HomeMy WebLinkAbout05050192-ApplicationL ADDRESS
OWNER:
NAME ..~OHONE
AMILY
TOWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
-':; -i = RM ' -: :
Early Release
Permit:
crrY ZIP
LOCATION I LgT~ ~--~ su~s~oN.~ - SEC'nO,
& PRO3ECT __
[ INFO: [ ADDRESS OF CONSTRUiCTION , I f) S~UARE
FOOTAGE:.
(%)ST OF CONSTRUCTION:
- F I. '-' V NT:
NEW STRUO*URE
[] ROOM ^DD[T[ON(S)
[] PORCH ADDmON(S)
REMODEL
[] ACCESSORY BUILD[NG
[] DETACHED GAP, AGE
DEMOLITION
(MulU-Famfly
Manufactured
Trusses:~ Y N
Lot Split: Sump Pump: ~._Y--N [] CP~WLSPACE
Does any part of the property lie within a special Rood _y.
· additions, remodels, and/or accessory srrucvares, this permit is valid only if construction commences
permit, and must b~ complcrod (Certificate of Occupancy issued) within 18 months of thc
~ Services (Date)
~evJews
Cert. of Occupancy: __~__~_. ~- 0
P.R.I.F.: ,~-- ~1. ~, -Additional
TOTAL: /~ Y~