HomeMy WebLinkAboutPermit 0016 - Phillips Residence - New Houselee Phillips Residence
° 16
-OWNER
MAIN
BUILDING
WIDTH
ADDRESS
AREA
TYPE OF CONSTRUCTION
PHONE
DATE
PERMI
BY
G/ p r.
16 7�r" BG. FT.
NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
ACCESSORY
_
WIDTH
DEPTH
AREA
OF
A
BUILDING
BUILDER
ry
PT. X Q � .�l[ p7 .
ADDR SS
a
- o' FT.
ARCHITECT
ADDRESS
Ar
LOT COVERAGE
TOTAL AREA OCCUPIED
LOT AREA
— LOT AREA OCCUPIED %
BO. FT.
BO. FT.
/O
EXTERIOR
t
FINISH
.JOB
STREET
OCCUPANCY
TO BE USED
AS
NUMBER
HOW
HEATED
ADDRESS
3/Jf
S
ROOMS
USE ZONE
LEGAL
�,r
�Cf-
ac� l�A��CT
�LSL
✓mac
LOT SIZ 1iC /.S /�
KID
",&
VALUATION OF
ALLIMPROVEMENTS
HOUSES
GARAGE !
HOUSE. AT , G R GE nc�
r
O'fFaR S
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
LOT
BLOCK
YARDS
MAIN
SETBACK
610E YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETO
BUILDING
BUILDING
BUILDING
BUILDING
PROPERTY LINES
/9 2 ,r
.S/,i 1s
70 1
CLASS O F WORK
REMARKS, DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNI Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
NG covered before inspection and OK for covering has been given by Inspector in writing on Permit Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree to comply with allf
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction.
Writtei Authorization of the owner must be pre-
sented wh�)n work is done by occupant or lessor. OWNER �` �/,(��; BY x �• �
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
I
/MOUSE;
/
'' ARAGE; HOUSE rZ
ARAGE
t
�C OTHER MISC.
BUILDINGS !-FEES S
t
i BOND NO.
j 1 �d RECEIV
TOTAL FEES f � BY
PERMI
BY
DATE 6 D
NOTICE, THIS PERMIT DOES
NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT
PLACARD MUST BE
POSTED ON
THE WORK r