HomeMy WebLinkAboutPermit 38 - Larsen Residence - Remodelverner Larsen Remodel
BUILDING
PFERMIT No,
N" 38
MAIN
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
OWNER
��
ADDRESS
/
PHONE
_
FT. . SQ. FT.
DATE
BUILDS
ADDRESS
— 4 �
ARCHITECT
ADDRESS
WIDTH
O PTH
AREA
—
OF
BUILDING
JOB
STREET
J NUMBER
V FT.
X
FT, 8Q, FT.
A DDRESS
Q. FT.
EXISTING
BUILDING AREA•
- ---1. _C _ r
USE ZONE
LEGAL
SQ. FT,
OTSIZE
O E
TOTAL AREA OCCUPIED
--
*zz 1
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
LOT
—
BLOCK
YARDS
IN
SET DA
SIDE YARD
R YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE
r A LDING
/
__/
a
• ,
euILDINO
/ J /
BUILDING
PROPERTY L
TO BE USED
f'
/
BASEMENT
(
AS
V
f ACC !117 Wn C)I! / I.n.w/ftl.N //
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING Notify Building Department by Street Address and Permit Number when ready for inspection. woric must not ne
covered before inspection and OK for covering has been given by Inspector in writing on Permit Pl aca r d.
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 19ssor, OWNER TA90AUN" eY
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSES G ARAGE $ G ARAGE $ BUILDINGS $ FEES S
,-� RECEIVED PERMIT !YbiD))���'. i
BOND NO. TOTAL FEES S Y BY ,�.}G_ Cz
NOTICE; THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION, /
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
FT.
_
FT. . SQ. FT.
SIZE
— 4 �
ACCESSORY
BUILDING
WIDTH
O PTH
AREA
—
OF
BUILDING
,n )'�
(� / Y /
/} A ` /I+'�
V FT.
X
FT, 8Q, FT.
/ '
Q. FT.
EXISTING
BUILDING AREA•
- ---1. _C _ r
SQ. FT,
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
—
r
%
SQ. FT.
/ /mss zi? SQ. FT.
/
EXTERIOR
FINISH
Av 7 ^
OCCUPANCY
TO BE USED
HOW t
BASEMENT
AS
HEATED -
SIZE e
SQ. FT,
ROOMS
TOTAL
BED
BATHS
LIVING
L D
OEN
KITCHEN
NOOK
K D
NOOK
GARAGE
ATT. ❑,
DET.
ROOMS �/
COMBYYY
/�(`
VALUATION OF
HOUSES
GAR AGE S
HOUSE - ATT, GARAGE S
OTHER S
ALLIMPROVEMENTS
FOUNDATION OK
AMING 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. woric must not ne
covered before inspection and OK for covering has been given by Inspector in writing on Permit Pl aca r d.
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 19ssor, OWNER TA90AUN" eY
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSES G ARAGE $ G ARAGE $ BUILDINGS $ FEES S
,-� RECEIVED PERMIT !YbiD))���'. i
BOND NO. TOTAL FEES S Y BY ,�.}G_ Cz
NOTICE; THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION, /
PERMIT PLACARD MUST BE POSTED ON THE WORK