BELLS FLATS BK 3 LT 2A-1 - Building PermitBUILDING DEPARTMENT —
&You APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
"P-1
CLASS OF WORK
NEW 1 X I DEMOLISH
LO LIT Pl..--A1---
ALTERATION REPAIR
ADDITION
I I MOVE
NEAREST CROSS ST.
USE OF BUILDING
ARNI ECT
ENGINEER PERMITTEE
NA �SL t - �/�G��
SIZE OF BUILDING 1(_X lv HEIGHT \�%
AID
{{�(/l AI `l/ N
NO. OF ROOMS
MAIL ADDRESS �/' �j
PilJ,7j0 7� 1 L
NO. OF FLOORS 1
CITY TEL. NO.
I f O fAr LI
C*'T
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
NAME
SIZE OF LOT Z (-16 ""16 A Y'�/'
// �•
ADDRESS
USE OF BLDG. NOW ON LOT
CITY
SPECIFICATIONS
FOUNDATION
STATE LICENSE NO.
MATERIAL
EXTERIOR i PIERS
CONTRACTOR
NAME
WIDTH OF TOP
WIDTH OF BOTTOM
ADDRESS
DEPTH IN GROUND
CITY
R.W. PLATE (SILL)
SIZE I
SPA.
SPAN
STATE LICENSE NO.
GIRDERS
LEGAL
DESCRIPTION
SUBDIVISION
�-
BP-1-5 PL ACTS
JOIST 1ST FL.
JOIST 2N0 FL.
LOT NO. RLK.
P--1
P16'1V- A-
JOIST CEILING
EXTERIOR STUDS
^^
i1. District '�f b y
2. Type of Construction
I, II, III, IV, VI
3. Occupancy Group A, B, C, D, E,
F, G, H, I, Div. 1, 2, 3, 4,
4. Use Zone;
5. Fire Zone 1 204
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS
REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE GAS OIL
1 hereby acknowledge that I have read
this application and state that the
above is correct and agree to comply
with all City Ordinances and State
Laws regulating b 'Wing co truction.
Applicant
BUILDING PERMIT NO.
70
VALUATION
5 cow
DATE ISSUED
( .vs`i- 7(
BLDG. FEE
$ 5 c
PLAN CHK. FEE
TOTAL
a- 00
BUILDING
PLUMBING
ELECTRIC
FOUNDATION
ROUGH
ROUGH
FRAME
PLASTER
SEPTIC TANK
FINISH
SEWER
FIXTURES
FLUES
GAS
MOTORS
FINAL
FINISH
FINAL
tK G7 —
3 L A4 P 'P}l
T2J2 S
By:
Approved: CHIEF BUIL
By:
3N11 A1213d021d
A
PLOT PLAN
3N11 111213dOLld
STREET
MAP NUMBER
NO. ASSIGNED BY
FIELD CHECK BY
DATE
PLANNING & ZONING INFO
TYPE OF OCCUPANCY
TOTAL FLOOR AREA
NUMBER OF STORIES
AREA OF LOT
TOTAL HT.
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
NEW CONSTRUCTION ALTER
CHANGE OF OCCUPANCY FROM
To
L Q N odarn
RENT MUST BE PAID IN ADVANCE
Date r-z / % 197 6' 2673
Received Fr •m .a -�� -� � - ,�-�C� r
$ .�
7 6
For Rent of
From
To
HOW PAID
CASH
CHECK
MONEY
ORDER