HomeMy WebLinkAbout119 HEALD AVE_ 95-00000356
h •
M
-h
!- a
/ • �: • B MUMAVIK
• 41 1 1'1 •
i
- i
r
FEW
�1-ty of Lake Edl
"%Isinor
"L e
g iERMT 130 South Main Street
PERMIT NOU 95-00000356
DATE: 5/01/95
JOB ADDRESS 119 E HEALD AVE
T)ESCP.IPTI0 N OF WORK" . REROOF
OiN$R CONTRACTOR --
KIRTIDES CHRISOULA OWNER
SQUARE FOOTAGE • 0
A.P. . . . 373-0�5-009 1 GARAGE SQ FT . 0
OCCUPANCY FIRE SPRNKLR •
CONSTRUCTION ZONE . • . • NA
VALUATION ,
REROOF PERMIT ITEM CHARGE
QTY UNIT CHG 35.'00
BASE FEE
FEE St1MM`.f�kY CHARGES PAID DUE
PERMIT FEES
15T9ER FEES 35.00
RFROOF PERMIT 35.00 •00
35.00 .00 35."00TOTAL
s
SPECIAL_ DOTES & CONDITIONS E
REI+sOVE SHINGLE. ROOF SHEATHING INSP. REQ
COASP. SHINGLE CLASS A . _
- y
U1 QO IP i 9
` 4161� = e
City Of tAkt Lisfnore - please PA%d and in
Bung 8dety Division t a L obib"•amlar the prohaliwal
Code Sectldm ltlolO,et aagd and MY is fif
�.'l CIS 2.1.as ownay attdra ptoprtty.a myPcst I* a u their sole
—` opmpmastl�n erda thcbYatk ands sUvcl fs not intended or
�
` . •- far 3pja _
on`l..t a job 3.t.all aaQ&of the property.aro dodu,tli+dbast(frndting fvlth bcrosed
You must furMsh PERMIT NUMBER canes to canatnxi the prafect
and the JOB ADDRESS for each 8 to UntlamteoirnnwrittoselAnsureoracerttHcauaorWorkcn
Insurance or a certMed cDW thercof.'
respecldve Inspection: 5�2 not emldtay any person to any manner nova to become sublect
Approves plans nxlst be on)oh to Worhere C.Onperraation lows in the periormusot or the work im
at all tirr►ss: which this pest to Issued.
Note iryou should bea me sutyect to Workers Campenaaum ancr
`—"-- '--—! making tWe ceruli atiom you must rorthwtth coomply with euci+pro'
visions or ad*permit shall be deemed rc%mke&
Approvois Dab
ELOt T Else^asrvicav r
PLot Sol Pipe LkwWgmund
L02 Ekie Conduit tlndar 'l
��CC T Pcf FF�7
Bp'�i Fi70G � r✓cftz
0M Sbd Reinforcement
C.W
&004 Slob Gads — ---
AL01 11 n!wabr Pipe
Septic.,slam
swot 4n sit. - - - —
.Elm atmbw
LA Prowl ath
Nugh E**-�q;ng
L05 Elaebic•T4W
E01 Rough t Gd*ntcd
E02 Duct! Ven0ila8
PLO4 Rauch Gas AwTest
&IL Lt &Siding
t
Firm Piu
CCLOG Fk*Ela VcW —_
Ei9 Fku'eAsehanicel
!0 Fkui Bd
Code Pool&Spa AWavds Date tttpscw p RTM R A ER
rD,,e�perlrnnnt APprad'al mgt*ed Ixior to IV �t
ROOT Pooi Sbei Aainffonm `^I&V�t0 by ft C r
�l Pool Plu. ese Taal s
8
0003 PWOtdn.9e ps ;or
SLOB Rough Pool E?acbic Piann i
rig
Su Liat wd
F Aoceu
lftffi r
-J
P-1
130 South.Main Street
P� ICATION FOR APPLICATION NO.
BUILDING PERMIT �S �E_ -
APPLICATION RECEIVED
DATE
VALUAI ION CALCULATIONS APR1300.5-00-1
By
_ SF .,geSESS �
1st FLOOR Tusr j� UOC,K'PAGE TrPARCEI
2nd FLOOR _SF ' 31-K A A eoti/� -So ��I yak+ *�lsq
�
NAME
3rd FLOOR SF ,f
ADDRE'
O
CITY
GARAGE SF
1 tterebr ciisrtn tlwt I ttm I.cent ed unde ro-
r P .slon1-1 ChePter 9(cmrmenc!nR w.t no^
TODD)of DFrisl 7 of the E ne us. s•.nd Prolesslans Code.End mP Ilcen.e
STORAGE SF to lull lorce
on
and effect. CITY 6USINESS
LICENSE s
` ANDCLIIS TAXr
DECK&BALCONIES SF $ "A""E
MAILING
PA 10 _SF ADDRESS
r�
CITY STATErZIP PHONE
OTHER: CONTRACTOR'S SIGNATURE DATE
5F
— NAME UCENSEI — ---
VALUATION:_-- --
W MAttING
— ADDRESS
u
FEES < CITP SIAIE:IIP PHONE
OCCGRP./ CONST.
t ANEW EPAIR _ DIVISION: TYPE:
BUILDING PERMIT $ Z -
-.ADDITION L�MOVE NUMBER OF NUMBER OF
ALTERATIr`w 'DEMOLISH STORIES: BEDROOMS:
BUILDING PLAN CHECK
r gTHER ZONE:
PLANNING REVIEW FEE L-SINGLE FAMILY units HAZARD AREA? YES NO
APARTMENTS units
MISCELLANEOUS []CONDOMINIUMS units SPRINKLERS REQUIRED? YES Ol
GTOWMHOMES units PROPOSED USE OF BUILDING: —�---
TOTAL -- GCOMMERCIAL OINDUSTRIALI PRESEM,T USE OF BUILDING: 0:1
JOB DESCRIPTION
v I certify that I have read this application end state that the
ab¢,recomply
me U U d
Informat!on Is correct. I agree to to crn oply with oil city
and county ordinances and state taws relating to building O
construction, and hereby authorize representatives of this $1(9 �' A �_
city to enter upon the above-mentioned property for inspvc-
tion purposes. N
Signature of Applicant or Agent Date
AGENT FOP. El CONTRACTOR Zr OWNER
AGENT'S NAMEAP
AGENT'S ADDRESS ' _CA 0
STREET CITY STATE ZIP 0(4 14 ` �����REV.DAv£atat
E