HomeMy WebLinkAbout19003 59TH DR NE_3206_2026 J5711 NATURAL HISTORY MUSEUMS
Martin, Lynne behind. the scenes at the
Museum'
mena.P,erie; c197�
nature museum. Criterion books ,
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TOPS FORM 4002
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PLOT PLAN FOR DEPARTMENTAL USE
Draw below,to scale, a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑
_ Check'ed Initials
1. Dimension and shape of the lot. I. �
2. Front street name. 2. Building Permit In-, Certificate of Occupancy ❑ checked and approved.
3. Side street name if corner lot. 3.
4. Sizes and location on the lot of buildings already existing. 4.
5. Location and dimensions of proposed building or alterations. 5. Building Inspector (� ���ti Dote
6. Front yard,side yard,rear yard setbacks. 6.7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. Date //9
front yard trees and shrubs,green belt.
8. Location and size of required off-street parking and loading. 8.
INSPECTION RECORD
Inspection Date Signature
Set Back
Excavation
Concrete
Reinforced Steel
Grout Blocks
Bond Beam s �/
Frame
Roofing
Room Ventilation
j Kitchen Vent y
Bathroom Vent /
Foundation Vent
Access Hole
Garage Fireproofing
i Fireplace
�j Spark Arrester
Water Closet
Water Heater
Sewage Disposal
Lathing
Plastering S
Correction Order Left
Stop Work Order Issued ✓ ��
Stop Work Order Released
Give brief report of special or unusual conditions
Job completed 1jk_ Date
Building Inspector
Certificate of Zoning Compliance No. Issued
Date
' Certificate of Occupancy No. Issued
Date
MOORE BII SIN Ess FORMS INC.LA