Laserfiche WebLink
�I : tl-IALL :59�IIi45 <br />eveaerr, wn yazot �COMBINA7ION <br />� <br />otsicniq <br />n�u� nooaess <br />BUILDING ❑MECHANICAL <br />❑PLUMBING PERMIT NJ. <br />'3s 3- 335� <br />ZIP PHON[ <br />GENER�I f0Y10.�.`Tng �- AtA!t ADDPE55 C�TY ZIP PHONE IICENSF II <br />�����-r--r �� D2� vv c s�c�c� ����c ��ti� w��Y '3� �-- 7r61 <br />MECHnniUl COUTRnCTOR hqll ADDRF55 UTY 11P PHORE LICErvSE tl <br />� � � �-�� -�� -r- 2-rr� �-x�� ��l <br />PWM1If31NGCONTN.ICTOR h1AllADDRE55 CRY ZIP PHONE llC[NSEp <br />❑NE\Y �DDIT�ON ❑ALTERATION ❑REPAIR ❑DENOLITION ❑fENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIUATIOu Of \ <br />S ��ec �v�t AODiTiUil, - 2�'�'� S-f�°�/ �DV� o,�.> At3ov� CAPA6E <br />orstaioc�aouK . {-� - <br />'�5 8G'L'1. �� I<-�� t-1 - � il, crn,' L`/ <br />PftOPOSE'qJ� se oF uwioi�e I HEREBY CERT�fY THAT I HAVE READ AND EXAMINED THIS AP- <br />F e� l O�ZI..� f F�L. PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />i[enioacairnouovvaoreetris��o�rnaeiowoanTrneHrouamrics� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />�y, '� OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED hIEREIN <br />io��_niocK�or S�L �� OR NC�f. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />?� I ��i�� I`j ��p Z� i Z� (;IVE AUTHORITY TO VIOLATE OR CANCEL THE PROV�SIONS OF <br />� ANY OTHER STATE OR LOCAL LAW REGULATING CONiTRUCTION <br />t��1 OR THE P�FORM�NCE OF CONSTRUCTION. <br />J�I � U—(h� ^ _ SIGNATURE�O� CONTRACTOR OR AUIHORIZED AGENT OATE <br />1011 <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />\VATER CLOSET (TOLIET� <br />DATHTUIi � <br />LAVATORY(WASi OASIN) <br />SHOWER <br />KITCIiEN SINK & UI . <br />DISWASHER <br />LAUNORY TRAY � <br />\YAT[R HEATER <br />URINAL <br />ORINKING FOUI <br />V'ACUl1M f1R[AKENS <br />ROOF DRAINS—RAINLEADCRS <br />SINK f$ERVICF—f1AR. ETC.1 <br />SUOTOTAL <br />TOTAIFCE <br />� �. , <br />USE ZONF. ` lOT AREA <br />TYPE OF CONS v_� OCCUPANCY GROUP <br />�/I/�Ir.-�� �'3 <br />SIZE OF OLDQ NO. OF STORIES <br />/S� s`�tiC z./ � <br />FlREZONE AASEMENT RLDRi <br />APPROVAlS <br />L ENVIRONMCNTALCHECKLIST <br />2. DUILDING PLANS <br />J. FIRE IIYDHANT <br />4 FlHE PROTKTION SYSTEM <br />5. GRAUINC.,'f XGVATION ft CIFARINGIGRUI{�7�NG <br />6. �RAINAGE <br />Z ENVIHONMFNTAIIMPACT5TAT6NENT <br />B. HEALTII DISTRICT <br />APPLIUTIOY ACC. tlY PUNS CHEIXkU OY <br />V � � <br />q-I�'9 <br />FEE <br />J� � <br />NfAR VARD $ETOACK <br />VACA\T SITE <br />❑YES y��7�10 <br />NO. OF DWELLING L�NITS <br />� <br />MAX OCC. LOAU <br />�. <br />riH� srkiNK�Erss <br />RCQUIRED <br />f7Yf5 . O <br />BY DATE <br />APPR FON ISSUAM1CL OY <br />-u <br />MECHANICAL <br />TYPE OF EQUII <br />AIR CONO. UNITS—HP. kA <br />RFFRIf,ERA710Y UNIT$—HP. <br />GA FlRE� A.C. UNITS—TONNAGF. EA <br />fOH D AIR SYSTEMS—O.TL. M EA <br />\VALL ATER$—�.T.U. M <br />UNIT H[Ai�2S-137.U. M � <br />EVnPORATIVLLCOOLFRS / <br />VENTILATION FAN <br />RANGEHO00 <br />AIR HANDLING UP <br />STOV( <br />n�erni riaeri.nci� <br />PIAN CIIFCK NUMOER <br />�D�S 3 SO <br />nuuoiNc <br />ewMmNe <br />MECHANICAL <br />OiHCR <br />PENALTY <br />TOTAL <br />Y <br />SUB TOTAL f <br />PfRM1T S <br />TOTALfEE S <br />r� PUN CHEIX FEE t <br />FfC�� /3 NKEIPTNO' <br />VAlUA710N fEE <br />U.11.C. <br />SEC.30J(a) <br />PERMIT VAIIDATION <br />WHEN PROPERLY VALIDATED pN THiS SPACE) THIS IS YOUR PERMIT <br />✓� <br />� <br />