ROOFc4 ', t',,' �UILDING INSPECTIONS
�-NSPECTJONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
'-
ALTERATION
III
ADDITION REPAIRS
SPECIAL PERMITS
BEAMS & LINTELS
-
FEE
TEMPORARY SERVICE
$
RANGE CONN.
FRAMING
$
SEPTIC TANK
$
FIXTURES
SEWER
$
FINAL
$
SOLAR HEATER
RE- INSPECT
-'�\
RE- INSPECT
BY
CLEAN -UP
�01��o1(ad
GAS
-
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR C
�-'� PHONE
$
PERMIT NO. I :1
1 DATE
� �%� / FEE
$
NEW BLDG. I
ALTERATION
III
ADDITION REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
RANGE CONN.
$
SEPTIC TANK
$
FIXTURES
SEWER
$
INSPECTIONS
$
SOLAR HEATER
RE- INSPECT
-'�\
RE- INSPECT
BY
TEMP. SERVICE
$
GAS
-
ROUGHING
$
H. W. HEATER CONN.
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
GAS
FIXTURES & FINAL
i
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
FI_FCTRICOL PERMITS & INSPECTIONS
CONTRACTOR - ��1. -. -%' -�� r, PHONE
PERMIT NO. :% / DATE FEE
$
NEW BLDG.
ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
C'
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
�' ��
/BAY
AD
-
ROUGHING
H. W. HEATER CONN.
RANGE CONN.
FIXTURES & FINAL
i
APPROVAL TO POWER CO. FOR SERVICE DATE : Tv ! BY / —4 c
1�dP 0 0 IN _i ILI_w ari,)
OWNER'S NAME
PRESENT ADD ESS
LICENSE NO.
PHONE NO.
CAR "OLL, J.S.
371 DT. -. l0j S .
JOB LOCATION (ST. OR AVE.)
LOT
BLOCK
SUBDIVISION
go N.E. 101st St.
1 & r 20' Of
10
I Sec.
GENERAL CONTRACTOR
ADDRESS
PHONE NO.
LICENSE NO.
�
J.."'arr611
I
I
ytic :64-rvBUILDER'S BOND
11984
9 -4 -51
16.0o
I,j "r1314 9-4 -51
BUILDING PERMIT NO.
DATE
PERMIT FEE $
NO DATE
189500
18,11.11
LPLAN
12,000
ZONE PEQUIREMENTS CU. FT.
CUBE CU. FT.
EST. COST $
DATE
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
TYPE
STORIES ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
x
CBS
1 TILE
oak strip floors, terrazzo on
NEW CONSTRUCTION
4al 1 �lfj " Ai i l i
DESCRIPTION p=a piaster
2 bdrm., 2 baths, living -room, porch, kitchen, garage
REPAIRS
ALTERATION
I DESCRIPTION
ADDITION
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
SUBMITTED TO PLANNING BOARD
RE- SUBMITTED TO PLANNING BOARD
REMARKS
SUBMITTED TO VILLAGE COUNCIL
,\
I O
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J
CERTIF]CATE OF OCCUPANCY NO.
ISSUED ,-ab
BY `"� TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE --"-
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