BELLS FLATS BK 3 LT 2B - Building PermitBUILDING DEPARTMENT —
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. . • OF OCCUPANCY
BUIkDIN A DRESS
`V-1 n
CLASS OF WORK
NEW I V DEMOLISH I
LO LITY 1
7-
ALTERATION
ADDITION
MOVEIR
I
NEAREST CROSS ST.
USE OF BUILDING
ARCFTITECT
ENGINEER PERMITTEE
NA Ng: l,SL kit ,^ S� ^ G^, ,L_
(cf j, L f
SIZE OF BUILDING
J (pX � HEIGHT i 7f -
1�/ } iJ
NO. OF ROOMS
1
MAIL ADDRESS
P,o.go) - I•2-
NO. OF FLOORS
-
CITY TEL. NO.
O M<
NO. OF BUILDINGS NOW ON LOT
NAME - -
-
NO.'OF FAMILIES
SIZE OF LOT Z d -7� _d_/'
Tl��
ADDRESS
USE OF BLDG. NOW ON LOT .-- - -.
CITY
SPECIFICATIONS
- FOUNDATION
STATE LICENSE NO.
MATERIAL
EXTERIOR 1 PIERS
CONTRACTOR •
NAME
WIDTH OF TOP
WIDTH OF BOTTOM -.
I
ADDRESS -
DEPTH IN GROUND
I "
CITY
R.W. PLATE (SILL) '
STATE LICENSE NO. `..
SIZE 1
SPA.
SPAN
GIRDERS
•
LEGAL.
DESCRIPTION
SUBDIVISION -
I�S1'✓I 1 e `P1 /��I�
�L- `-- JB�LK�.
JOIST !sr FL.
'JOIST 2ND FL.
LOT NO.
p'
• P-18 /
r'�
JOIST CEILING '
.
EXTERIOR STUDS
,
.1. District 1(rj.D q -
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 2' 4
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS
REROOFING
• FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE GAS OIL
i 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 'lding co truction.
Applicant... .
BUILDING PERMIT NO.
X7`0
VALUATION
5 000E9
DATE ISSUED
AcG,agr 7
BLDG. FEE
$. 5co
PLAN CHK. FEE
TOTAL
BUILDING
PLUMBING
FOUNDATION • •
ROUGH
ELECTRIC
ROUGH
FRAME
PLASTER
SEPTIC TANK
FINISH
SEWER
FIXTURES
FLUES
GAS
_ MOTORS
FINAL
• FINISH
FINAL
?�C -14C.6 r uVP`f Vim' 4
Approved: CHIEF BUILD G OFFICIAL
By:
3N11 A11:13dO8■
A
PLOT PLAN
3NI7 A143dO21d
STREET
MAP NUMBER
-No. ASSIGNED BY
FIELD CHECK BY - -
DATE
PLANNING & ZONING INFO
TYPE OF OCCUPANCY
TOTAL FLOOR AREA
NUMBER OF STORIES • TOTAL. HT.
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
NEW CONSTRUCTION ALTER
CHANGE OF OCCUPANCY FROM
To
• „
Date,
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