21-104574-buildingapplications
i
•
TYPE OF
a 4:
MT
NAME OF PROJECT
PROJECT
c M DESCRIPTION
be included on tW permit only;
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w. _ _ .,..._ _.._ _....... _._.. .. .. �.,.
-r.Ohavond to
JECT CONTACT
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I
= a asn' a e s e . ♦:dne s rr ua. a .. -..:> -t p.�
1,i1F O tafr0 IAIVICAL WORK
MECHANICAL NI C AL PERNI r
tj�VA
I11diCote. �ta��u_rm�>� r� ��ctr fa��rte b Uri tea tie ire tattc ct �r re d�ac�t� � c s�at�rt
a�tPtt� rsr+a��E, Ib ne e saccdar�f� e�est`rtr� erg dry re�n�esz
AIR IIANCDLING ONIt`S
PANS
GAS PIPE OUTLOI"S
OTHER (Describe)
AIR CONDIT3C?EYrR
FIREPLACE INSERTS
HOODSgcs.--i4
BOILERS
FURNACES
HOT WATER TANKS
COMPRESSORS
GAS LOG SI $
RErRIGFRATION SYST
DUCTING
GAS PIPING
WOODSTOVES
�.�
VrY1,CJ,L: Dk^pd.Cllfif3dNts woleg
PLUMBING PERMIT
-—.—....m....
_
Ir$riacctt ^ osla tlm Is ccacla Isl e tr alopretq be installe d or re loceat �a t<s art r ttzis rej` ct. Do riot include e isfing -cures ra remain,
i3ATI I I C "i3 q�x r t wa a ms
LAVg Ict t s YTOfl,ffN
WATER PIPING
D1914WASHkRS
RAINWA°Y`ERSYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS_
-
DRINKING I=*Cii. NTAINS
SINKS (xe rye:t[ nLeyp :
WATER HEATERS (m-ui,)
i-iOSE I3iIIk3"
GENERAL INFORMATION
CRrrICAL AMW ON PROPERTY? __.. gWATER PURVZYOR
IDMIxS
SEWER PUR
WASHING, .MAC14INES
OR .VALUE
!()TAL
OP _,DVROVZMrJM
=aST7NOjPR=ous II _ LOT S= Itm Sj.0 a Fast( -- riso I=
REsIDENTIM, — NEW OR ADDITION
SPIONKLM SYSTEM PPOPOSIM
ci Yes 7 No
rME SUPPRESSION SYSTIC.-'?:.
I B Yes No
ARRA DESCRIPTION (in square feet)
EXISTING PROPOSED
TOTAL
?R OFFICE USEBASEMENT
FIRST FLOOR (or Mobile }Borne)
SECOND FLOOR
COVERM ENTRY
40
DECK
Oc A C" E cAR.F ow
OTHER ( es be)
Area Total
PRO
�5"Z,o
10
** i .i '.:. Way"
ESTIMATED SELLING PRICE LL. -_. __
. ... .. t7i* BEDROOMS,
C I IT [A4, E / I�1�TO
Area in
Constructian
of
ARFA _ C S u sect
Occupancy iGronp(sl
Type Stories
Additional Information
BUILDINGNEW
ADDITION
AREA Area in
DESCRIPTION
oars feet
TOTAL L t O
Occupancy ixronp{{dditio
Construction
Type Stories
of
Information
TENANT AREA ONLY
PROJECT ARrA ONLY
lluIle:tin t Ioo-1°Cbrua ry lei, 2020
Page 2 oft
k.t3-1andoutslPennit Application -'