HomeMy WebLinkAboutBuilding Permit 99-1320
LOT
'13. .TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
-----.--.'-
9. PROPERTY DIMENSIONS
Width' Depth
10. CULVERT SIZE
16. PROJECT COSTNALUEVO
. S11J9q-
17.. COMPLETION DATE
Yes'
No
I hereby certify that I have furnished Information on this application which Is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws arid will proceed in accordance with submitted plans. '.1. am' aware that the
build.~. o. . I ca.'n. ..':za.. ke. '.thls. pe.... 9~;il.ust cause... FUrtherm. ore. I hereby agree that thec~ official ~r j1~~9J1eJl... rna.~. enter upon the property to,.p.e.7iltf-1.~p.~ 'ens.
X'" (lrd~ ...... '. CilOII-f~Lld:::> . .; '-1 '-1
-:-". '. 'Signature.' : . " ...' license No,. .,' .' Dele
I
\.. ;..
l:I~-rsACKS: Required
Actual
FOR ADMINISTRATIVE USE
Fronl
Back
Side
Side
lIi~'-!
'" \
. ,
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA CJ
_ ~eu.tNG LOGS CJ .~.ERCOLA;~~~.T,ESTS. CJ
PlA~~ SPECS 0 ""SETS. ". '.",.
\ ' ".
SURVEY CJ "'COPIES .' .......'~'
" tl.L ..A.'
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~.s /l,/..e.
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
.
~
PERMIT VALUATION
:$ Z" 50 o.oV
PLOT PLAN
CJ ...
.","'~'" ~1''''':'''''''
",.-.........,
TYPE OF CONSTRUCTION: .1, II III IV V '. . .' . AmouQt Brought Forwa'rd ...............~.. $
, .Occupa~Group ..~:;~''': -:' : ~M~.fl....S'.,l:h<--~::.. ..,,,..... ," ",-"," ,~9ity,- '-'-~tQ., ~'"-Pa:;k SU~/{Fe;":::.:'... ::.::.::: :':.:.::::-.'"'$
Permit Fee ................................... $ '74. 7 of::> J d ~ ~c ......................................... $
Plan Check Fee ............................. $ i)// loLP.1. 0';" Collective Street Fee ............ ..... ...:.. $
I. 2. ~ V [;0'1" \ SewerTap ................................".. $
State Surcharge ............................. $ $
. ...
Pell8lty ....................................... $ Pressure Reducer. .-..~..~:~.,~.................::-. $
... --,..,:-,-~-.. -...... -"-
Meter Hom ................................... $
Water Meter ......."........................ $
Sewer & Water Connection Fee ...........~
Water Tower Fee .............. ~...... ...... $
Gas Fireplace Permit ......:................ $ Water Tap ................................... $
ThIs~~~Y ~~ingpermitWhenfP~q Builder's Deposit ............................ $
By , , ' Date 1/1 ,g, , Other ......................................... $ ;'7(, 0 ()
Certffica' t f n.....'.' Total Due .............................. $ '.1,,-;.
e 0 """"pancy . ,
". . <d.'. . Paid .-'/t;,. tJO . ReceiPt.- .3C:.4-'?1
'.~ / .' . _ Date "III p,/qcJ
- 'ih~ ~'to certify that the request in the above appJlca~ and accompanying dOcuments is in accordance with the City Zoni~d may pr s re<l.!!.ested. . This document when
signed by the City Planner yon ...~;Jtes a temporary CertiIlcate of Zoning compliance and allows construction to y..... ...Ilce. BefOre occupancy, a CertifICate of Occupancy must be Issued.
Plumbing Permit Fee ....................... $
MechanicSl Permit Fee ..................... $
Sewer & Water Permit .........,............ $
City Planner
Dale
Special Conditions ~ any
24 hour notice for all inspectlons447-9850
I I