HomeMy WebLinkAboutPermit 0025 - Thomsen Residence - Addition ke Thomsen Addition
BUILDING PERMIT BUILDING
PERMIT No.
N2 9 5
OWNER
MAIN
BUILDING
ADDRESS
his ✓
' — �s 5-r,
PHONE
C Q142 - S
DATE
V .
FT. FT, 80. PT.
BUILDER
ACCESSORY
BUILDING
ADDRESS
OF
BUILDING
5 � Q M
` /
FT. LS FT. 15 e) SO. FT.
• 8Q. FT,
EXISTING BUILDING AREA ----------- - --
ARCHITECT
ADDRESS
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED O�
SO. FT, SO. FT, /O
EXTERIOR
FINISH
�—
JOB
STREET
r
HOW
NUMBER
R C S I D C— NC
HEATED
ADDRESS
ROOMS
TOTAL
BED
ROOMS
BATHS
LIVING
L.D
COMBO
USE ZONE
LEGAL
NOOK
K +D
NOOK
GARAGE ATT, ❑
DET, I]
VALUATION OF
ALL IMPROVEMENTS
HOUSES
GE
GARAGE S
HOUSE G
S - ATT. GARAGE S
OTHER S �
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
LOT SIZE
LOT AREA
LOT
BLOCK
YARDS
MAIN
SETBACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE
BUILDING
BUILDING
I
BUILDING
BUILDING
PROPERTY LINES
CLASS OF WORK I? 1) D r'/ /] A/ - 7'"!l ?01J t= 'QZ 9 O C.J 7 i
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I Notify Buil Uepartment by Street Address and Permit Number when ready for inspection. Work must not be
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 all
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction,
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor. OWNE
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE Q
HOUSES G ARAGE S G ARAGE
IfC�/-5J RECEIV
OTHER
BUILDI
ERMIT
( y FEES E
BOND NO, TOTAL FEES SY Y 4 • ""BATE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED THE WORK
MAIN
BUILDING
WIDTH DEPTH AREA
X _
�
TYPE OF CONSTRUCTION
SIZE
FT. FT, 80. PT.
ACCESSORY
BUILDING
WIDTH DEPTH AREA
X __
OF
BUILDING
5 � Q M
` /
FT. LS FT. 15 e) SO. FT.
• 8Q. FT,
EXISTING BUILDING AREA ----------- - --
SO. FT,
LOT COVERAGE
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED O�
SO. FT, SO. FT, /O
EXTERIOR
FINISH
C r `
c"1, �� a"� �•
OCCUPANCY
TO DEC USED
AS
9
HOW
BASEMENT
R C S I D C— NC
HEATED
BIZE SQ. FT.
ROOMS
TOTAL
BED
ROOMS
BATHS
LIVING
L.D
COMBO
DEN
KITCHEN
NOOK
K +D
NOOK
GARAGE ATT, ❑
DET, I]
VALUATION OF
ALL IMPROVEMENTS
HOUSES
GE
GARAGE S
HOUSE G
S - ATT. GARAGE S
OTHER S �
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I Notify Buil Uepartment by Street Address and Permit Number when ready for inspection. Work must not be
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 all
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction,
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor. OWNE
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE Q
HOUSES G ARAGE S G ARAGE
IfC�/-5J RECEIV
OTHER
BUILDI
ERMIT
( y FEES E
BOND NO, TOTAL FEES SY Y 4 • ""BATE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED THE WORK