HomeMy WebLinkAboutPermit 1100 - Chance Residence - New Houseloren Chance Residence
BUILDING
PERMIT No.
1100
OWNER
��
ADDRESS ,
U u- Sf/
PHONE
DATE
'_4-/y G . —/94
BUILDER � �ry
ADDRESS
TYPE OF CONSTRUCTION
ARCHITECT
ADDRESS
JOB
STREET ' ltl Ny�
QI•
LOT O
/
ADDRESS
l _
+�
LOT SIZE Ux - A
/-
O T AREA /. , b
USE ZONE
I 9r
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIOE YARD
REAR YARD
NEAREST
DISTANCETO
PROPERTY LINES
BUILDING
//
p/J
BUI DING
BUILDING
G�/LJ'� �`'�LILo le
BUILDING
7$—
CLASS OF WORK
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING Notify Building Department 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 OWNER-- BY
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE 4 Q��„ OTHER MISC.
HOUSE _.___.GARAGE E- —. --_ __ __...__GARAGES _3 2 � --- BUILDI GS $_ - -FEES $—.-- _
A Q � � �
BOND NO._ __ _�. _.._...._._TOTAL FEES S— BYC BY PATE —Sil O
NOTICEI THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH
�
DEPTH
v /�
FT. / /
—
FT. r
AREA
rI/ & I g SO. FT.
TYPE OF CONSTRUCTION
SIZE
f
ACCESS
WIDTH
DEPTH
AREA
BUIO
NGY
�(
PT, "
PT.
80. FT.
p/J
G�/LJ'� �`'�LILo le
SO. FT.
EXISTING BUILDING AREA—__
r
SOS FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
�--
-
-'
py
7
BO. FT.
p?
BO. FT.
EXTERIOR
FINISH
OCCUPANCY
i
TO BE USED
HOW
BASEMENT
AS
/�
HEATED rS
SIZE K SO.
FT.
ROOMS I
/
TOTAL /
BED
BATHS /
LIVING r L.D
DEN
KITCHEN
NOOK
K +D
GARAG ATT.
1G/
ROOMB 4+
COMBO
NOOK
OET.
AJ r �..r�.'f
Gw V4
VALUATION OF
AL LI MPROVEMENTB
HOUSE E
GARAGES
1 r
HOUSE • ATT. GARAGES )=
OTHERS
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING Notify Building Department 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 OWNER-- BY
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE 4 Q��„ OTHER MISC.
HOUSE _.___.GARAGE E- —. --_ __ __...__GARAGES _3 2 � --- BUILDI GS $_ - -FEES $—.-- _
A Q � � �
BOND NO._ __ _�. _.._...._._TOTAL FEES S— BYC BY PATE —Sil O
NOTICEI THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK