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� ' ' CITY 7RON0 - BOILDING PERMIT A1 �CATION <br /> Total Fee: $ ��'l�/ 7 � Date Received: {z <br /> Date Approved: � ��� <br /> Permit#:�� Project#: <br /> Building Permit Application Requirements: <br /> 1. Building permit application - to be filled out comp letely and signed <br /> 2. 2 sets of construction plans to include the following: <br /> a) Floor plans; <br /> b) Footing and foundation plan; <br /> c) Elevations (of all sides) ; <br /> d) Wall sections and cross sections; <br /> e) Details - stairs and any special connections. <br /> 3. Certificate of survey with :location of existing and proposed <br /> structures including hardcover calculations and grading and drainage <br /> p lans as required. <br /> 4. Energy calculations - form provided. <br /> 5. Septic report and design if required. <br /> ABOVE INFORMATION MUST BE SUBMITTED IN FOLL BEFORS PLAN REVIEW WILL BE STARTED <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �7�9 ,�.G;,��f.�✓�`�"f�,'<Y �/,';%'v�� ZIP: �� --'��> <br /> � 1 ,f� _`, (work) 'SSJ�-�';�� ( <br /> NAME OF OWNER: }=� �+12�� C�;�v'+' v�-C�7t'�.�� PHONE: (home) <br /> MAILING ADDRBSS:��� y�l� t�i'/��/�,r{ �i-c,�C CITY: P/�i'r�.c:.w�.��� ZIP: , .�.�' �{/f(�t.- <br /> CONTRACTOR: }(;: '��-� �,� �A,�a ;;�,, �. PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> ARCHITECT: �,�(Z'.S ���,����� PHONE: �y�-,,ZSi���r <br /> � , <br /> MAILING ADDRESS: CITY: G.�4����SL3,. ZIP: <br /> TYPE OF WOR.R: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED DS$ (describe in detail) : �+�,� �.w�.,�., ��1`,� c�,;,L�-a c� .� _ <br /> STORIES: � SQ. FEET OF EACH FLOOR: ���cS�- S - /S`� i �'�,�/�,�J�S._ <br /> NO. OF BEDROOI�lS: `�` G�G$ STALLS: ATT. �= DET. <br /> ESTIMATED CONSTRUCTION VALDATION (excluding land) : $�(���,��/�`�C, � <br /> T <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and curate, ha the work will be in conformance with the <br /> ordinances an3 codes o the i y d with the State Building Code; that I <br /> understand thi � is no 3 per ' n ork is not to start without a permit; anc <br /> that the work vill be 'n ac ce ith the approved p lan. <br /> �� <br /> APPLICANT'S SIGNATIIRE: DATE: . �/� <br /> (Please the everse side of this form) <br /> �_. <br />