HomeMy WebLinkAbout31502 RIVERSIDE DR_ 95-00000866
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31502, RIVERSIDE DR
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City of Lake _Elsin!
130 South Main Street
NO: �5-aaaa0$Sb
FDATE: 9/15/95
_l JOB ADDRESS . . . . . 31502 RIVERSIDE DR
TENANT NBR, NAME . . EMBERS
DESCRIPTION OF WORK . ADD OR ALTER NON RESIDENTIAL
OWNER CONTRACTCR
POTEAT JANICE OWNER -------._
A.P.# 379-191-029 5 SQUARE FOOTAGE 500
OCCUPANCY RETAIL,RESTAURANTS,OFFICE GARAGE SQ FT 0
CONSTRUCTION . . . TYPE V- NON RATED FIRE SPRNKLR .
VALUATION . . .
• 500 ZONE NA
BUILDING PEF{MIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45� 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 45.00 .00 45.00
OTHER FEES
PLAN RETENTION FEE 1.50 .00 1.50
SEISMIC OTHER .50 .0{l .50
PLAN CHECK FEE 33.75 .00 33.75
TOTAL80.75 .00 8A.,7
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:a`�r4tiV ilttl _ . . !. !as tk rued undtr the pmv9NOrt9 d and prufeselonal
Pout Jil�� Y1]�,S'<`3. ZZ? ,;; and my iftia lea inru+ee
q"vas•
,' cor.Erest.►4fon iila� ar mY imPbr�:�v. as thdr.ulo
do thc.wraelt.nd Abe wmetitte not Intended at
M the j of3erod fire a.>t
"mil t �!bllttiTT r ER 3-I•as owner cf the p operty,am«duaivElj VOd=ctIng with kvnaed
cnerr.csors to constroet the project.
andaw XSADr MRS 10t'wh g.fhs sataerWastedcarrsenttt.adtkimmoraeertlAcalrofWorkem
E1sm-.10n: tApmrtrtfar Insurance or a ceMfied copy t!>rreef.
$xw Rig be on�at, et e►play ay p"wn in any mamw so as to become subject
to W-iw-CaompenwOon taws in the permrmartee of the conk for
marking this oerdfic%tfam,you must forthwith comply erlth such prn-
wtstorw or this perreet shall be deemed rev*cd.
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110 Scuth Main Stree
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS `p$ Q 01
1st FLOOD
2nd F'`OOR -� SF
36d r-LOOR —-
SF � W.woG '• ,,,
GARAGE SF
STORAGE —Sr
DEC'K&BALCONIES SF � w�'� . . —
PATIO SF -
• clt J -low
O►-HE
�— SF - - —
VALUATION. �++F �- •—
�u
%r
V
FEES —
<
BUILDING PERMIT g -taw WWW
=A0can0+
BUILDING PLAN CHECK --ALTTEA?ION
=OTilER
PLANNING REVIEI*V FEE -S94C.0 FAM&Y ---
_APARTMEWS an+tz
MISCF_LL4NEOUS,
__TiJMr�AIOAa<Es y Wntf �1 �s3l:tttsila ~_
TOTAL — -00VAINKM-'es�5mR4,-
t urt4r*W t hws*►end this og A=tion and state that the ---
abov4 boa is umect_1 orpree to ca+nply with all city
and covo*1 ordkwcsi and starve kwis retoting to building —
constnrcArn arad hereby ovthan:e representatives of this
"to~cyan t?t+t obfd ty fcr Inspec-
tion
ove.menor" proporj
i
Sryt+oterQ of Aypl$co;$lotAgen+ Date — — —
AGENT FOR CONTRACTOR ❑ OWNER
AGEW'S NAME
AGEN+R'S Fa[?i3RM
SYRUT CITY STATE, ZIP .ixr?4ts