HomeMy WebLinkAboutPermit 35 - Sukurt Residence - Heaters robert Sukurt Residence
BUILDING
PERMIT No.
35
OWNER .
ADDRESS
P110
D
AREA
RUILDLA
ADDRESS
v
/�
�
FT, 3ZV SQ.
ARCHITECT
ADDRESS
SIZE
JOB
STREET NUMBER
ADDRESS
� f1
USE ZONE
LEGAL
WIDTH
DEPTH
X
ARE
OF
BUILDING
T Slze
o AREA
F
FT. S O. FT.
pqM
LO T T
BLOCK
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
BET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE TO
PROPERTY LINES
BUILDING
EXISTING BUILDING
euILDINa
BUILDING
BUILDING
SO. FT.
16 J
��
OCCUPIED
LOT ARCA LOT AREA OCCUPIED
LOT COVERAGE
CLASS OF WORK
64 1
r
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE GvCQ ��l7
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 writ 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 x
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
�
HOUSE & OTHER MISC. '
HOUSES 4 00 � D ' GARAGES _GARAGE i BUILDINGS f FEES i
RECEIVED PERMIT
BOND NO. TOTAL FEES S BY BY DATE ,
NOTICE: TI4I6 PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
WIDTH
DEPTH
AREA
BUILD NG
FT.
v
/�
�
FT, 3ZV SQ.
TYPE OF CONSTRUCTION
SIZE
FT,
ACCESSORY
BUILDING
WIDTH
DEPTH
X
ARE
OF
BUILDING
1T
FT.
FT. S O. FT.
pqM
-
/
EXISTING BUILDING
SO. FT.
TOTAL AREA
OCCUPIED
LOT ARCA LOT AREA OCCUPIED
LOT COVERAGE
_
O�
_
SO. FT.
SO. FT. '
/O
EXTERIOR
FINISH
J
OCCUPANCY
TO BE USED �(
HOW
BASEMENT
AS / J.�
�
a
HEATED •
SIZE 80.
FT,
ROOMS
P
TOTAL / w
BED
BATHS
LIVING /
L•D
DEN
KITCHEN
NOOK
K D
ATT.
GARAGE
Y/
pOOMB
COMBO
NOOK
pET,
VALUATION OF
ALLIMPROVEMENTS
HOUSE i DO
GAR f
HOUSE .ATT. GARAGE i
OTHER f �6r
V
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
64 1
r
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE GvCQ ��l7
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 writ 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 x
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
�
HOUSE & OTHER MISC. '
HOUSES 4 00 � D ' GARAGES _GARAGE i BUILDINGS f FEES i
RECEIVED PERMIT
BOND NO. TOTAL FEES S BY BY DATE ,
NOTICE: TI4I6 PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK