HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB INFO LIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � { Permit Number:
S - 1'
•
Building Permit Application
Planning and Development Services
Suilding and Code Reputation Division
2300 Virginia Avenue,Fort Pierre F!34982
Phone:1772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To SeW from dMpbox, click affm at the end of line
Address: Regh 61vol A AL ft Rtvi, 344
Legal Description: • vam - uxit -2,A i
Property Tax ID#: W5 6-7^ 000 J? "' 000- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Ct-fl
S Ale., Sfiz�rn w 1+ 7. 5^KJ V7Q9C
Xaditijfhal work
.to t orme under this permit—C . a p
p Ty:
HVAC 11 Gas Tank []Ws Piping Windows/Doors
11 Electric 0 _Plumbing Generator Roof
Total Sq.Ft of Construction: Ft.of First Floor:
Cost of Construction:$; on.00 Utilities: Sewer Septic Building Height:
Name Do rt Name:
Address: XQA Ati&IL4 U 6 Company:
City: State: l� Addresss:510 6 A
Zip Code: 3LRLH Fax: City:fb &— FtrC& Stater
Phone No. Zip Code: 14q s l Fax:-71;--4&&-373"t
E-Mail: PhoneNo.7T _ !Ud-4I4-1
Fill in fee simple Tide Holder on next page(if different E-Mail:
from the Owner fisted above). State or Co my Licen e: C -C,18 13 13 Lp
If value of cmvMuctlon Is$1S00 or more,a RECORDED Notice of Conunencenwd Is requlred.