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HomeMy WebLinkAbout20201110144138655City of La Porte Planning & Development 604 W. Fairmont Pkwy BUILDING PERMIT APPL La Porte TX 77571 M. Ia#: NOV Q 2020 f 281.470.5073 281.470.5006 Lesley Kauffman NA a ddk_S5 NA HCAD Pal l No. (s): l a S V 4 Ll 1-+/4 4417f6 + I Lit r p C4, QIx4ldfs Property Owner. Mailing Address: E-Mail: Phone: Lesley Kauffman 10002 Robin Street, La Porte TX KauRman5o16@comcast.net 281-941-9669 Contractor: Mailing Address: E-Mail: Phone: NA Architect: Mailing Address: E-Mail: Phone: NA Engineer: Mailing Address: E-Mail: Phone: NA Contact Person: Mailing Address: E-Mail: Phone: q (r 417 Lesley Kauffman 10002 Robin Street, La Porte TX Kaufftnan50l6@comcast.net 281-941-906 Project Descdption: Business/ Project Name: Culvert added to access property Building Use: No. of Stories: Living Sq. Ft. Garage Sq. Ft. Porch Sq. FL Other Sq. Ft. Total Sq. Ft. NA NA NA NA NA NA NA SELECT ALL THAT APPLY. WI*RESIDENTIAL COMMERCIAL wUUATIONREQUIRED$ 'DOES NOT REQUIRE VALUATION ❑ NEW ❑ ADDITION ❑ REMODEL R1 CULVERTS ❑ FOUNDATION ❑ IRRIGATION ❑ SIGN ❑ OTHER ❑ FENCE. ❑ POOL ❑ DRIVEWAY APPLICATION CHECKLIST & SUPPORTING DOCUMENTATION: RESIDENTIAL PROJECT: COMPLETE BUILDING PERMITAPPLICATION AND (2) COMPLETE SET OF CONSTRUCTION PLANS OR TO SCALE DRAWINGS COMMERCIAL PROJECT: HARD COPIES: COMPLETE BUILDING PERMIT APPLICATION, (2) 24 X 36 COMPLETE PLAN SET, AND SITE PLAN USB MUST INCLUDE THE FOLLOWING IN POE FORMAT: COMPLETE BUILDING PERMIT APPLICATION, COMPLETE PLAN SET IN A SINGLE FILE, AND SITE PLAN. (PLEASE DO NOT SUBMIT Co IN LIEU OF USB) NOTE SREPLANFEEDUEATTIMEOFSUBMITTAL MAJOR SITE PLAN 10ACRLS OR GREATER:$M-W I$5.W PERADDmONAL ACRE; MINORSNE PLANLESS THAN 10 ACRES $200.00 + $5.00 PER ADDITIONAL ACRE CONTRACTOR REQUIREMENTS: CURRENT GENERAL LIABILITY CERTIFICATE OF INSURANCE MINIMUM OF $100,000. CITY OF LA PORTE: 604 W. FAIRMONT PKWY: LA PORTE, TX 77571 AS THE CERTIFICATE HOLDER. NOTE: NOT A VALID PERMIT UNTIL OWNER/ CONTRACTOR IS NOTIFIED OF APPROVAL AND ALL APPLICABLE FEES ARE PAID IN FULL. AS A CONDITION OF THIS SUBMITTAL, I AGREE TO ALLOW EMPLOYEES OF THE CITY OF LA PORTS TO ACCESS MY PROPERTY FOR THE PURPOSE OF INSPECTING OR VERIFYING INFORMATION PROVIDED IN THIS APPLICATION & THE PLANS SUBMITTED THEREWITH. SIGNATURE OF A STAFF USE ONLY: NAME: DATE: TAXES: CODE ENFOCEMENT: FLOODZONE I TYPE OFCONSTRUCTION: TYPE OF OCCUPANCY: USE ZONE: BASE PERMIT FEE PERMIT FEE I -REwEvt FEE 1 na 'YTIE 1 PARI¢AND aIDNE FEE OTHER FEE NEW WATER ACCOUNT SEr-UP REQUIRED FOR THIS PROJECT: YES NO 1'tKMI I APPLICAI IUN HEGLIVLU LfY:/, t DATE: 01-16 -c7-b PERMIT NO. - a/35 3 x ({YM�fY1KIW Aei 'Ul l0°H°5 XVWOI 1. c r ECEIVE© NOV 10 2020 B Y: �! L a�IL cr° �• p : iflaa�8i.p t,e."�1 \ i e 11 e* a T a kip ;pg,M15e 1 i ��p�@p?p?yy 9y E1 j{,,€ei gxAAAA ggg� 1 U' •° 99 C ep � •p==pg¢@�g€j�•j/yF��4EE3�aa3S9�i�39nCg� @ x 4�f4��^�ex i 4d$ PUR rat R F' 54Fy p4� Y yR��[3 4 R I a6"Yr''`ri/l� 2 yi n, e 9 €Ep�pRAggF 84ifig 3£SA$gj l 3g�. Iyl3pp€ oO � y� ei¢ s5a Q"3 N aQEs 8. ¢'3{4 SY9 i y S' 2- �.' v" �&Xcixp 1418 jg4pg=Vg'g`g NAP a GgFIq8 p°Ri1.11 :5'a1e0es NMI 'Mai OWN A 4q iR¢ FCCC R, �A 4n9z _ e I � swna�20OW '^8 0?0Z 01 /ION :�Q= 4a sess Ea§�`3�� R 6.$ c_ egg Ea A LOMAX SCHOOL RD. i5_yY€E C s q 1-1 NEq q�3e filar r S, na R p o•yrg`4 13