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32C-111 (5) " agh Ark Oft 4110. Att. Mk AM 4" lift MN, 41110*' " Ank .10* irk AO. hk, 10. 0 * -'-- A A 04Ik , 400.. " itik 40. , 40%, 404, oth Ask ^ " ori. Ai " Aiik ^ ak Allik Aink ^ isk 4 !oh 04 Att ok, 4,C. 1 I / Fl v,,,-T. E La() 1 / --- .4 --- 4 ; .,,'. ., ., *' 16'T F\ 0°R, OUT 5 1 , '; tl ,I a 14 VE3 F',.,2-5_,JNPi.- . , _ TA f i I • t--.4 p I ■ . 1 m it — -- 1-1 wLL )-ti — I _I , 0 , _ lc, V5 a - -- - , . 1 , i 1 i -•-.7' c:‘,()L-.),., _...,, - ' P 1 - , i r, 4 ly>soINI k `---- zi , II 1 HAV.l.. - r , 1 , r 2 , ) GA R 0( 1) f 1 . e, +I _ , \ , rr 4. ., ,. " ■ .„, ...,,,, " , r, :11 „ 1 , : tc 1 ! , _ ,_ , t; , 1. 11 , i ; t I t ,t; ■ " 7 \ A ■ 1\ 1 ---1 ; i• 1 1 t . 't ..,;; 4 r,. f* •rt4; _ — 4;ry if filOroloo(zA t 4 4/ I b i ;J44i' ; •;'. .' -. tr 1 -a-3,.k2 ,, P3 1 ---0.1\tQ i - 1 \--........._ ,.. ,,.. A A . I (.....!, j- 1 1 ■.;.:`,6,1 .I.ri 0 KV 1 ----------- ---------, , t---------7-1 ,..„ , ,,,, ;,,,; ;; 7 ); t, 0, ... ,_ , -;; 1 i ; ; I , ,..,,,,, -..), ', 1 I 1 1 0 L1 r 1 j : U ) ;;-'''. --- ; -.....„. - --„,,,---,; ' - „174. G— - I1 / VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD ' i NOTES ' ice ) -,-' IX. SITE OR PLOT PLAN — For Applicant Use ON'— � s x ,� . .. ae � e o 9,,,,,t,'''''' r, y BOLA FORM APEBP 669 c1969 BUILDING OFFICIALS & CODE ADMINISTRATORS TINTERNATIONAL, INC.' ` IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — lv'umber, street, city, and State ZIP code Tel. No. Owner orf ,62,-te /7(//e? e,21/0,4 ,- digt. Lessee �1 Builder's 2. //9-ibliee...c.i 2: C!J�-T.�f + /JoX 6,:-/-7. iv"/'_ -r,--,l License No. Contractor 7 3. /1 :326,7-7 7/. A rchitect or ,5,51,9///C-— Architect Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this ication as h' authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signatu of plicant Addre }� /� ` Applic on d e,A 4('-5:;)i /1//177/4- if,9. / ,.,47-- 7/ �O DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Notes Plans Review Required Check Fee Started By Approved By BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building / FOR DEPARTMENT USE ONLY Permit number Building h Use Group Permit issued ey a.) /? 19 8V Fire Grading Building Permit Fee $ 761- ©d Live Loading Occupancy Load Certificate of Occupancy $ Approved by: Drain Tile ( ' L Plan Review Fee TITLE NOTES and Data - (For department use) 1 ■v) & � ,lT tA_Ow Cz-e- L LL CV'cb :13-.VZ t c.c_ K 1L ca J • (t[�RG.wi7 . _v "1`0 r `'-r7{■4.,..A -7?-) \ , FI G: V i�CeJ�G, A►lr� :le_ct :t -.3-.)r,t Z.. !'L A:04 1'`4\• -' IJC,O�tz _ n � i�jc c cm 3Ark `T cam; ti l °"Z\i�1Lt �?4atL eTT� 3 e c! nq ,A.-t `t&'.rz.�. � ,, u,) i(2-S t��L.L, ta;,R LC— T (\4 4' ' \\ n, 1 i�t C v;T ���es�t c: t117`6*, Ls eel . t TN 1'r. f SCE_.7....\n rsQ. a APPLICATION FOR PLAN EXAMINATION AND 3 rx C - /// BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. p C I. AT (LOCATION) - .J/n, /1 5/,e_'e ZONING CT ‘....1:-4-- LOCATION LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -` 1 73 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn rn 1 I New building Residential Nonresidential 2 [ I Addition(If residential, enter number 12 One family of new housing units added, if any, I y 18 I Amusement, recreational in Part D, 13) 13 Two or more family — Enter n 19 I Church, other religious dumber of units— — — — -.). 17J� 20 Industrial 3 Alteration (See 2 above) ����� 14 LA Transient hotel, motel, 4 I I Repair, replacement or dormitory — Enter number 21 I Parking garage 5 I I Wrecking (If multifamily residential, of units — .... 22 r1 Service station, repair garage enter number of units in building in 15 I I Garage 23 I Hospital, institutional Part D, 13) 6 I Moving (relocation) 16 I Carport 24 I Office, bank, professional 7 I I Foundation only 17 I I Other — Specify_ 25 Public utility 26 School, library, other educational B. OWNERSHIP _ 27 I Stores, mercantile 8 Private (individual, corporation, 28 I Tanks, towers nonprofit institution, etc.) 29 I Other — Specify 9 1 I Public (Federal, State, or local government) I C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food ir,�} processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement $ L,A_,, C;;;f school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical b. Plumbing c. Heating, air conditioning d. Other (elevator, etc ) 11. TOTAL COST OF IMPROVEMENT $l Lz),e, III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 L� Masonry Public or private company 48. Number of stories y (wall bearing) 40 31 Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions / ?O 56.t-17' 33 I I Reinforced concrete H. TYPE OF WATER SUPPLY t 34 Other — Specify 42 Public or 50. Total land area, sq. ft. p fy private company 43 Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed f 35 1 I Gas Will there be central air 52. Outdoors {� 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 I I Yes 45 X No 53. Number of bedrooms 381 I Cool 39 I I Other — Specify Will there be an elevator? 1 Full r 54. Number of 46 [ I Yes 47 XNo bathrooms ____ Partial . � lewp4-4-.41 _ ~ _-~' . _ -_ ' (�~��' *� � _� ��~ ía � " `~ ___ -- ' - . � ' I A '14 T 4 I G INSPECTIO 3 i D BUILDING 232 MAIN , •,.a. .. - , ;., ' �w - � � . 00 �-/� NOR,TH r S .* 01060 '-''PERMIT IT a ' ? 32C • 111 . ,' 11 `, : ' ..VALIDATION DATE gob2uar'y Ili`, '. 19; , atR PERMITf,M4.. ,6I APPLICANT RQ4?1bO17 'AsarinvSlt4f►#14 ADDRESS P.O. f t 457i *$"k rb� trioE.`.1 t, •°° - , (NOJ (ST$i¢ETT f" - \ (CONTR.'S LICENSE) PERMIT TO A1tateti*t rtd_ pertmes t `DWELLI OF (�' _) STORY � � '� DWELLING UNITS TYPE OF IMPROVEMENT) NO. (PR POSED USE) r', ZONING AT (LOCATION) 73 SO th DISTRICT 541 (NO.) ISTREET) ' • BETWEEN ASP •:' (CROSS STREET) V-"' (CROSS STREET) '' LOT SUBD IV IS ION LOT _,BLOCK SIZE y BUILDING IS TO BE FT. WIDE BY ‘ FT. LONG BY' FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION s t TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Al te'#rations to make 2nd. apartment AREA WME VOLUME ESTIMATED COST $ ‘O0•00 FErife" $ 1.),).0() (CUSIC/SQUARE FEET) OWNER Ci1b'el Hilda BUILDI D "q r ; ADDRESS lir .er Hilt 8d_ Willi.atburge Dim BY ter r� WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK .47 ,,ASSESSORS COPY