Laserfiche WebLink
Cross Street <br /> <br /> S,te.o <br /> <br />~-r~gerty'T~x Lot No:: <br /> <br />S/C Z- -'-one' -- <br /> <br />Lot <br /> <br />Sp #:: <br /> <br /> Block <br />~.,, <br /> Total # Spaces <br /> <br /> Section I Township 1 Range <br /> <br />Lot Width Acres <br />___ ¢'// <br /> <br />Irreg ,Lot <br /> <br />Map:: <br /> <br />ContractOr I~ts4.gess Nar~e and NO <br /> <br />Ty? of Permit ] New L~-~' Addition [] Demo E] Tach <br />/?~/j/Cc~y,~..~/~..~ Alter [~ R¢ocation : CCC Chg O Review:: <br /> <br /> Heigh~of Building ~o Stories ~ Sq Ft Main Floor:: ' Sq Ft 2nd ROOT:: <br /> /¢/ ,/ / ~ ~/ <br /> Width ngth ~ ~ <br /> <br />Use of Building F-REs <br /> .ieom <br />Sq Ft Garage ) Other <br /> <br />Occupant Load Wa~ <br /> <br />Type of System <br /> <br />Test Holes Ready <br />Will call when holes ready Proposed Bedrooms <br /> <br /> Existing Septic System <br /> __. Existing Tank .Size <br /> Existing Oraintield Length <br />~,pe of System <br /> Date Teak Pumped <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT.:: PLUMIBiNG, MECHANICAL, ELECTRICAL <br /> <br />Bldg Fee <br />Mobile Home Fee:: <br />Fleet Surcharge ~.~, ~z/' <br />Zoning Surcharge <br />State Surcharge: <br />Plans Check Fee <br />Site Evaluation Fee <br />Septic Permit Fee <br />DEC Surch&fge <br />Technical Review Fee <br />Rein~pection Fee <br />Investigation Fee ,~-- <br /> <br />TOTAL FEE <br /> <br /> <br />