HomeMy WebLinkAboutBuilding Permit 92-0064
n, _.7 195 OF PRIOR LAPCE wldm.clfy
3, Yellow • Aftefwr
ILDINCd PERMIT, 555 PIN • Appllcanl
FICATE OF XONIN(3 COPAPLiANCE
CONNECTION PERRflIT p®~It No+
1
IRE I ~ ~~ 1. GATE
9PACE8 NUMBERED 1 THRU I7 MUBT 8E FILLED IN
flEFORE PERMIT IS ISS
P
ED
-
N
(
U
lesae PrIn1 or Typo and elfin el bottom 9 ®UILOINO INFORMATION
Z. SIT
E ADDRESS 11. I 0 TU
//
S'V ~ IV r~4' ) < s r (_ o
G (Nelghll (VYldlh) (Depth)
9. LEGAL 9ESCRIPYION 12. N0. Of STORIES
~
~
LOT
BLOCK
__
P
I
DU~ "n •~ ~~
~_,L
~
~
~1
t
r
~
~
'
`
~ iJ. TYPE OF CONSTRUCTION
.t-~
/l 1
~
/ /rJs/ ~T
ADDfI
Z1.C. 1
GI~ t_t~ f~rl/
ION
~ WNER (Name) (Addreae) (fat. N
9. t/. FLUOR AREA APPORTIONMENT.
~
a m ~/y ~/- 2 z uEE:'
5. ARCHITECT (Name) (Addreee) (Tel. No.)
~~r`B,UILDE~ir~;'r~~''' lNitne) ,;:. IAddreea) (Tel. No.) 15. NUMBER OF'OCCUPANTB OR
Nt E 9EATS
7. TYPE OF WORK flreplece^ Sapllc0 Heeling0 PIUmDIngO Rorooling0 PorchO OCGUptcNT3_
N
ll
Ail
ll
C
t
O
0 Ad
l
l
F SEATS
ow
one
ruc
on
ere
one
on^
lnl
d
l
s
h Ai
i
lcO Reeldlnp0 flnlen Beoament0 18
ESTIMATED VALUE
n
+
/
f
l
Chlmney^ Mlac.:Z +~'fl _S. rQ~J.V~ POGI /,QX3X __ .
8. PROPERTY AREA OR ACRES B. PROPERTY DIMENSIONS 1C. CULVERT S12E 17. COMPLETION DATE
S . FI. WIOIh Depth i Yea tJo
I Mr•Dr <•nnr IMI I Mq Iwmin•/ Inlpmtllpll on roll •DDIICIIIOn wmcn b to IM NII of mY FMwI.09HN• Ine <onltl 1 IIIO CINIr IMI I lm IMOwMI a W RKKIIIO •Q•nl
Iq IM IDpv minbpn/p prownr •nn loll pl Conllrotbon wlll <onlo(m lO 111 UI111nQ IbIUM loCll l•rI lnQ will poc••p In •CCdQ/nc• rnn IVDTNIpp pl/nl I •m lw•I• In/I
IM DUIICmQ 0111 ylq .rolllm p•rmnl C N Vnn/rmpl/,IMgDr/QI/•InU Inl illy 0111C111QN a/IIQn•/mry Mbl upOrlinl DrQp/nr lO p•nWm nDW111MD•C•
uon/
elQnllVl~ O/1•
R ADA91NtSTRATIVE USE
SETBACKS: Required M TE IAL FILED WITH APPLICATION
Acluel SOIL TEST9 O ENERGY DATA O
Dlom e/u slo• sta.
PROPOSED GRADE FOUNDATION PILING LOOS O PERCOLATION
iN RELATION TO CURB OR CROWN OFF STREET PARKING- PLANS 6 SPECS O SFTS C7
OF STREET SPACES REG.
USE OF BUILDING ___-_ SPACES Or! PLAN SURVEY O COPI£3__
_ PERMIT VALUATION PLOT PLAN
TYPE OF CONSTRUCTION; i II III IV V Amount Broupnt Forward........,, ~.. f
Occupancy Group A B E I H R M CITY: Park Ded ............................. S__
alrbl0n 1)f / Sac ............ ...................... f
Permit Fee ........................... S
Piumbinp ............................ f
Plan Checklnp Fee .................... f
Sewer Tap ........................... f
Slate 5urcnarge ...................... f
8ewarHOOkup ....................... f
Penally .............................. f W61er HOOk•uP ....................... f
SePIIC SYeIam ........................ f Metsr Horn ........................... f~,
Other .............. ................. f Water Meter .'........................, f
Subtotal ....................... f Check it ^Sewer d Water Connecllon Fea ....... f
Thle Appllcallon Becomee Ynur Bulldlnq permll When DBlerred OW010r Tower Fee ..................... f
APDrovod Walet TaD ............................ f
Clty Fea .............................. y- _
Oy .__ Date Other ................................. E
Certlllcele of Occupancy Tolel Due ...................... f
leeued Peld _ _ RMSipI no.
Dale __ By
fIVI II IO<x11ry1MIiM IIQV•ItmIM/WV1•pDlk•Ibn Mq KCOmO•nYMy QOCVTMII i•411COMpwMP wkn IMCIIY ionInQ OlQlnlnt.~ + pIpC1101tIpvNIM.TDII epCY~
mYnl wCyn llQryp eYIM GIY p11nnY COn1111 W/IMnpp/ry Gnlntlll of ZOnInQ COmDII•M•/n0 /Iqw>tLnllrvtlbn to CpmmMKl. bla :upMtr,/C•nlllkll•oI OCpVp•MY
mwl a mwa
Gly D4nM1 OIN eD•clli COOpnIMI 11 /nr
N Nour nollt• bl /II Inl Dlcllonl /I r~aN 9:00 Lm • 10 QD /.IM1
P
I
j7
t
O t?•Qol c'~cC.~Y
I~
_ ~~<.~~
~r
<_~r_' ~~ ~ ~ ~ j
`~ /
~ ~ ~ ~ ~~
~ %~ ~ ~ ~ A ;~'i~
f~ ~ ~~, ;J
~, ~ ~~~
1 .r- ~ ~~,
_~ ~ s-=~----max ~i--'--g- Q
b I v tl ~• ~
- ~ _' o s ~
SIN ~ d I ~~' __J
3 ~~
C ~ I'
t
D P'O~ l
~1771~ 3~J,J4b'S' ~
~~~ ~~
~..~
_. _.~ ~~