HomeMy WebLinkAbout086.13-01-45.210 ���Cs sti •
TOWN OF CORTLANDVILLE
BUILDING PERMIT
IJ Cs,e,t9, 71"
Census No. Occ.Class. L a- Permit No.
•
Fee,Paid Fire Hazard Tax Map No. ?( 9-1-
Name of Applicant e resS �) us Phone No. 7. - Q°/3
Address 393( LD esT l'C4 f a..D I v i//e
Name of Property Owner re I 2c-rT€r Phone No. .7-5 3 r_3j
Address for which Permit is Requested ,3?, / « --5✓ ems+ Zoning District
Size of Lot Setbacks: Front _ Rear._ Left Side Right Side
Existing Use Proposed Use Size of Building
•
Sewage Disposal Water Supply Est. Cost
Builder's Name Phone No.
• Date Health Dept.Approval Sq. Ft. Livable Area
Submit drawing showing location of building on lot in relation to property lines. A set of Building Plans detailing: foundation,
framing, grade & species of lumber, Energy Code compliance, sheathing, interior walls, stairs, windows, and any other
information that may be necessary to determine compliance with the N.Y.S. Building Code.
All Statements contained herein are true and the work will be performed in the manner set forth in this application in
accordance with all codes of the State of New York, and all laws, ordinances, codes and regulations of the TOWN OF
CORTLANDVILLE, NEW YORK. Certificate of occupancy is required upon occupying the premises.The undersigned grants
the Town Building Inspector permission to enter upon the premises at all reasonable times for the purpose of making
necessary inspections.
Permit is for 12" high neon lighted letters on front & rear
of facia.
Signature of Applicant
Permit APPROVED .
'gnature of Inspe or
Permit DISAPPROVED
Cortlandville Town Clerk
Date: f yi `-V2/9> , i7 fa2O,QK