Laserfiche WebLink
OUIIUttit�UG�,lCIL1i1GRt <br /> _ ,.,..,__ ,�'1i�1 •�A <br /> Date Ftecelv�d --Z —~ <br /> xuax:r.xatn <br /> � Phone Conta�ct tor Permittin � f 3 2, -. `� � <br /> Owner's Name ��(�.����` ��l�o�,� f�wrnar Phone Number �'13 -3$S- `'+�6s'�- �� <br /> Own��'s Addlress C�J��]tj/t! So�.� R�,.�"Z-Ft�tl_S Ft 33 S'f2 Own�r Phane Number �� .� <br /> Fee:�fmple 1'itleholdar Name C � Owrnsr Phone Number � � <br /> Fee aimple 7'Itleho�de�Address � � _.� <br /> JOH A�DDRESS 3�7S/y Sou?T� A���YI�i/f S FC. '�3Stf Z �________J LC1T# �S'^!-t b ,� � <br /> SUBbiVISIOIV Gr'7y pt- �,Ryh�l_,�_� PARC�I.ID# 1`�-�+,_2/-oO lO -OC7�fop .-p�s0 �--� <br /> {1�BTAtNED FI20M PROPERTY tAX NOTtGE} <br /> WORh PROPOSED NEW CC)NSTR ADD/ALT � :iIGN C� CI DEMOLISH I� <br /> � INSTA!_� �`� F2EPAIFt i <br /> PROIP()SED USE � SFR �� COMM C� OTHER [ �__� �, <br /> TYPf:t?F CONSTRI,ICTI�N Q SI.QCK �� FRAM� �� STEE� �..._t � .,_._..� i <br /> _ � .� ,__.._ .`�.� I <br /> DES�,1FqPTtO�N QF 1N4RK /Q2�lACe Z. L7ca4t2 tnNtTS .Si'7-��5�'� �t-, +�q0'�.b f�L lZ�t�G3 3 <br /> �-_ <br /> . , <br /> BUILmING SIZE C� � SQ FOOTAGEC� HIEtl3NT ���� <br /> �c�c.u�� ur�-r� �t�ara <br /> [��BUILDING $ .�39�i g� VAI.UATIQN 01=TOTAL CQNS'TRUGTION <br /> [_�ELI�CTRICAL � � AMI'SERVICE [� f'ROGR�SS ENERC�Y � W.R.E=.C. <br /> L__�PLUMBING � � <br /> � ��J� � <br /> [__�MECHANICAL $ VAL.UATION Of=MECHANIC:AL INSTALLA710N � / � <br /> � � <br /> [_�GAS C] F200FING [� SPECIALTY � OTHER <br /> FIN[SF{�D FLOOR EI,EVATIONS � FLOOD ZONE AREA �YES NO <br /> -Ftfti-t4i-ttittt-l-tfit-F � Ff-li-Ft�ti-Fttftt ���.ii-Hiii3tti� #fif-4tt�i-t#f#HtFfitttii•t <br /> 7�'%� _� <br /> BUILIDER C�MA�ANY �.o w�e_S���om� T�e..t�,, �.t, <br /> S1Gt+1A,1'URE ���, AtrT�F►q y G RO REG(STEREp '1`I�BN ' FEE CURitE� Y/N � <br /> � <br /> ,�ddress ��O 6�►1t 7`�Igq� Of�.�Ant n r'=t 32�7'$' Llcense# ��G1S0$�f/? ��.� <br /> EL.EC:1'ftiClAIY � COMi�ANY �� <br /> 3tGh�ATtIRE REGISTERED 'Y/ N fEE CURRE�� Y/�N <br /> `• ta�ldress � �� Eleense# � � `� <br /> � <br /> PI.UNil3t=R CQMPANY C j � <br /> _� <br /> SSGN,ATURE � REGI3TERE0 (/ N FEE GURRE� Y/N <br /> �� <br /> l���dress C� �� �Ecense# �� �� <br /> MECN�A4VICA!» � CONiPANY C� � <br /> SiGFi�ATURE � REGISTERED l�I N FEE CURRE� Y/N <br /> _ �� <br /> Atidress �_ � [.lCense# �i _.} <br /> QTHE:Ft COMRANY C ` _� <br /> SIGN,4IURE � REGIST£RED C'I N fiEE GURREh Y J I�l. <br /> _....� <br /> 11Ridress C� _ .� i.lcense# �� � <br /> -+-t++itti-#t++iFhtfi-H f�HitthP�ti-Fli-Fhht�t-Ft+Hiiitf�4�Fi�F+Hfii�HHtHii-FMi+i+Hi+4�l�4+f9-hH+FHi�#i�-Itf9 <br /> RESlq1EMTlAI. Attach(2)Plot Plans;(2}sets of Bullding Plans;(4)set oP�nergy Forms;R-��-W Permit for new constructPon, ` <br /> Mlnimum ten j10}warktng days after subm3ttal date. Requlred anslte,Cansfruction Plans,Stormwa#er P{ans w/Si1t Fence insta{led, <br /> Sanitary Facllities&1 dumpster;Slte Work Permit for subdivlslonsllarge proJecks - <br /> =rOtUlt,rtEl2CtAL--- �-Atkach-{3j-comptete-sets-of-6ultding-Plans-plus-a-k4(e-Safei}-Paga;{1)-s�t�f-Energy-Form�:R-O-�iV-Pemtlt-far now constructlon. _ ~—�� <br /> Minim�m ten(10}workfing days after submitfal date. Required onsife,Cc+nstrucilon Plans,Stormwater Pians w/Siit Fence instaited, <br /> Sanitary Facilitles&1 dumpster.Site Work F�ermft for all now proJects.All commerclal requlrements must meet compllance <br /> yiGN P�ERMiI' Attach(2}sets of Engtneered Pfa»s. <br /> «'*"PFtOPERTY SURVEY requirad for all NEW canstructlon. <br /> I7�IIIILU:7�".Cl:� ����72L� 7II% <br /> )3recf:l+�rs5: <br /> F�ill t�ut aFiplicatinn completely, <br /> Usvner&Contractar sign baek of appllcatlon,natarized <br /> t�f�over$.?500,a Notice of Cammencement Is requtred. {A!C upgrades over 57540p <br /> " Ac�ent(fov the cnntractor)or Power of Atkorney(for the owner)would be someone with notarized letter from owner authorfzing same <br /> )VER'tME C{}UNTER P�:RMI?TthtG (Front of Applicafion Only} <br /> teroofs,If shingles Sewers Service Upgradas A/C Fences(PIaUSurvey/Footage) <br /> Ciriv�sways-Not over Counter If on public raadways..noeds ROW <br />