HomeMy WebLinkAboutROOF2013-1974Jun, 3, 2013 B:05AM Aspenmark Nu, 3891 P. 2
DAT E OP ISSUANCE :i L l� 3 C N'i
�Mp �`�N�E f , t
T E A a PERMIT #:
IV ]BUILDING PERMIT APPLICATION
IO
PURSE PRINT
94-W
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BUILDING CONTRACTOR (company name):
CURRENT MAILING ADDRESS:
SU DI"VISION:
CITY /STATE /ZIP: ` 'j 5" ck b I?H; # zi 1 Y -S 7- 76� 3 Fax #_AI V -d79- O 78-e
PROPERTY OW NE � � � r r�� —�� � ► ,� 4:.. _
CURRENT MAILING ADDRESS: ' 3 r `f , 5 A . -A n i
CITY /STATE /'LIP; 05` 1 PRONE NUMBER., _c2141 -- 69-,6- E181- 'j
PROJECT VALUE: $ ) '� 9 7 9, q 3 FIRE SPRINKLERED? YES NO
DESCRIPTION OF WORIC TO BE DONE: _ -Tc a -z- L& A, Ic
USE OF BUILDING OR STRUCTURE., ar S , `J4
NAME OF BUSINESS:
* *Total Square Footage under roof;
Square Footage of alteration/addition;
❑ I hereby certify itiat plans have been reviewed and the building will be Inspected by a certified energy code Inspector in accordance with
State Law. Plan review and inspection documentation shall be made available to the Building Department (required for now buildings,
alterations and additions)
❑ I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number; (Not required for I & 2 family dwellings)
d I hereby certify that au asbestos surycy has been cohductcd for this structure in accordance with the regulatory requirements of the Texas
Department of health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PU1111C BIIILDINCS)
I hereby certify that the foregoing is correct to the best of my knowledge and all work will be performed according to the documents approved by
the Building Department and In compliance with the City Of grapevine Ordinance regulating construction. It Is understood that the Issuance of
this permit does not grant or authorize any violation of any code or ordinance orthe City Of Grapevine. I FJCJT THERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND THAT THE
DESIGN PROI~ESSIONAL/OWNER IS RESPONSIBLE FOR OBTAININCy SUCH APPROVAL FROM THE APPROPRIATE STATE AND
OR FEDERAL AGEENCY(S). �
PRINT NAME: 6 A r (1 a rx- c " hQ ..-c 9 tf . ",� SIGNATIJRE ;,J 3 {.
PR4:,Q1q -'d1- 76C-3 P'A:I #:�/V -d79- 0 EMAIL:
0 CHECK $OX IF PREFERRED TO BE CONTACTED BY E -MAIL
TM FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type:
Pei mit Valuation: $
� Setbacks
Ap royal to ISSUe
Occupancy Group:
Fire $ rinkler: 'YES NO
Front:
Electrical
Plumbing
Division:
Building Depth:
Left:
Zoning:
Building Width:
Rear;
Mechanical
Occupancy Load:
I
Right:
Plait Review Approval-
Date:
Building Permit Fee:
j. c z"
Site Plan Approval:
Date:
Plan Review Fee:~
Lot Drainage Fee:
Fire Department: Date:
Public Works Depailment:
Date:
Slyer Availability Rate:
Health Department.,
Date:
Water Av'ailabili Pate:
j
Approved for Permit:
Date:
Total Fees:
Lot Drainage Submitted:
Approved:
Total Am aunt Due:
K0, BOX 9510{.t:RAKVM TX76M0(817)410 -51 65 0T0A 1S' b& PMWYAPP L1CA Y10W;ij0zAevAW4,4m2MT,IImAJi1
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