HomeMy WebLinkAboutBuilding Permit 99-1175
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Permit No. 99- //75.
jCTlONS :. ~
ES NUMBERED 1 THRU 17 MUST BE FILLED IN ,"
ORE PERMIT IS ISSUED (Please Print or TYPl1 and sign at ~ottom)
2.SI~EADDRESS/49S' Ct2rrla,~ Ld/U./
v
1. DATE
~9 '~flf"
~I
BUILDING INFORMATION
11. SIZE OF STRUCTURE '.
,(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
..3
BLOCK
C/lKK/rl6E. lilt.. t..5
s-
2 /V!:)
12. NO. OF STORIES
LOT
PID
2S -28~- CJsc./-f.L
ADDITION
13. TYPE OF CONSTRUCTION
4. OWNER 1/_ (Nam,e~. /I }AddreSS) ,
/W/f.p" ~17/fz I#'9 S- '~rr/" jO
5. ARCHITECT (Name) (Address)
(Tel. No.)
~";"37.m
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
~~cr~J;lm~;;t;;u
.3/1f &v//!'W- J4tJuuu SA/pi!; 1iI)J
7. TYPE OF WORK' Fireplace 0 ~\C 0 Dl1Ck 0
New Construction 0 Alterations~." ' ~itlbnF ,FiniSh Attic 0
Chimney 0 Misc. \' L11 f1\. 1
8. PROPERTY AREA OR ~ \, t'PROPERTY DIMENSIONS 10. CULVERT SIZE
. I .
Sq, Ft. r;; 'id!J!. ~\ Depth Yes No. '
I hereby certify iltat ~ve lfumishecliiinf atio.i..J.; ptlicatlon which is to ltle bl1St of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above men~ p'~rty and qo~i 'an-will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building off~~okl1.this pe,' ~ t ca~~l1. Furthermore, I hl1rl1by agrJe that the city official or a designl1l1 may l1nter upon the propl1rty to perfo.~~jl~t':Pectlons. ; ,
-J( vr;:r:.M./..u'1LA. ! \j. .~ .t2/79 '~/9 9-
(\ U Signature '" \ , _ ".-...... License No. Date /.
J '\ ., '. FOR ADMIN~TRATIVE USE
ETBACKS: Required, MATERIAL FILED WITH APPLICATION
Actual ' \ SOIL TESTS 0 ENERGY DATA
Front !lack Side Side
;"'r"'" (AddreSS)"'" ~." 0-:, "".' ",. ',....".. -(Tel;'No.)";"", .,- ".0.,"." '-"15;-NUMBER.OF OCCUPANTS OR SEATS
7 .:;J/- (, t" :rg
~~ft)fe,
OCCUPANTS
. Rl1-roofipg 0 Porch 0
Re-:sidin~ Finish Basement Cl
SEATS
16. PROJECT COSTNALUE
. ~tJ!'tJ - .
17. COMPLETION DATE
o
USE QF BUILDING
,KE s rt/.K-,
\.! PILING LOGS 0 PERCOLATION TESTS Cl
OFF STREET PARKING
SPACES REO. PLANS & SPECS Cl SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION Z (''0 2J_ v-v PLOT PLAN Cl
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II IIIHIV .Y__
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4 7&./ 7S
Permit Fell ................................... $ .
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Ml1chanical Pl1rmit Fee ..................... $
/'2('
. CitY:. - -'1 - . -Amount Brought FOfWard -.........:.........-.$
, ~ ~ Park Support File ........................... $
. 1 S (;L\ ; ~ -fAC :........................................ $
l)JO: J J~ Collective Strl1et Fell ....................... $
O~D VI' ~ Sewer Tap ...................................:
Prl1ssure Rl1ducl1r .......................... $
Meter Horn................................... $
Water Ml1ter ................................. $
Silwer & Wall1r Connl1Ction Fl1l1 ............-$
Plan Check Fl1l1 ............................. $
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
~
*~;:~~~~.w~~ =;"~;:;;::::::::::::::::::::::::::::: ·
By <:.. /' vcr Date 9 '7. r'/ I Other ......................................... $
Oflcale of Occup~ncy/ / Total Due .............................. $ '7 ~ M
, ~ Paid /0 . () 0 Rl1Cl1ipt ~o. -3 C- 2.=, -;
, Date q /z 4/ t? '1 By/1!/J ..
This is to certify that the requl1St in the above application and accompanying documents is in accordancl1 with the City zoni~g Ordinance and may pr~~l1Sted. This document whl1n
signed by the City Planner constitutl1S a temporary Certificatl1 of Zoning compliance and allows constrUction to commence. Beforl1 occupancy, a Certificate of Occupancy must be issued.
, City Planner
Date
Special Conditions ff any
241Jour notice for all inspections 447-9850
II