HomeMy WebLinkAboutBP 1973-587 New Single Family FEE SCHEDULE Permit No. f7
VILLAGE BLDG. 6n_00 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 17.22 (For Dept. use only)
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG. 'nom M APPLICATION FOR PERMIT
METRO S.A.C, s-iu`r
UTILITY CONNECTION Date June 12 197
TOTAL AMOUNT DUE Single family dwelling
STRUCTURE USED AS
REFRG HAN
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG'
SQUARES
BY X
Owner Thomas Nelson. Address /5-G, . Upper 63rd St. N. _
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
Upper 63rd St.. N. _
LOT BLOCK ADDITION OR TRACT
10-11-12 9 McKenty's Addition
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 120 135
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE S5, 41t 70, 8t1
�9* 0" $ 34,440
BASEMENT
0 YES DETAILS OR REMARKS:
❑ NO
Minimum set back 30' front - 10' side
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village bef re permi can be issued. .."/j+
OWNER/CONTRACTOR SIGNED LLr�ld/�, �T- 1✓ (2 /
OK'D BY