HomeMy WebLinkAboutPermit 49 - Bussell Residence - Housedj Bussell Residence
N2 .49
OWNER
MAIN
�IDTN
ADDRESS
AREA
/
TYPE OF CONSTRUCTION
PHONE
BUILDING
X X
BUILDER
FT.
ADDRESS
SIZE
ARCHITECT
ADDRESS
/'
ACCESSORY
BUILDING
WIDTH
JOB
STREET �^
OF
BUILDING
NUMBER
/ V!
ADDRESS
—
FT. Sq. FT.
USE ZONE
LEGAL
T/
LOT SIZE
LOTAREA {/
/ Bq. FT.
I
EXISTING BUILDING AREA-
LOT
BLOCK
YARDS
MAIN
SETBACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SETBACK
BIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BUILDING
% t �
S
'EXTERIOR
/
euILDI ! N4
DI
euI �NO
—_
euILO1No
��
PROPERTY LINES
/�
D/
TO BE USED
AS
HOW
HEATED
_Z�
BASEMENT �.y
SIZE /j_{! Z �sS SQ, FT.
ROOMS
rl eca n97 Wt)9ZW d. _ — 4 is w o Dir» .., a
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 befor inspection and O for coverin 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- �- n n G
sented when work is done by occupant or lossor. YOWNE �!i6�i� BY X
PERMIT FEES: (THIS SP� R BUILDING DEPARTMENT USE ONLY)
4T HOUSE & OTHER MISC.
HOUSES G ARAGES G ARAGE S BUILDINYa--d FEES 3
RECEIVED PERMIT /.J BOND NO. TOTAL FEES SeY BY ATE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORN
MAIN
�IDTN
DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
X X
FT.
PT. FT.
SIZE
ACCESSORY
BUILDING
WIDTH
DEPTH
— ARE ;
OF
BUILDING
/ V!
FT. X
FT. Sq. FT.
/ Bq. FT.
EXISTING BUILDING AREA-
eq, FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
.y
LOT AREA
LOT AREA OCCUPIED
J/
SQ. FT. T
`4�2/ /f SQ. FT. _
U
lop -
'EXTERIOR
FINISH
e
OCCUPANCY
TO BE USED
AS
HOW
HEATED
_Z�
BASEMENT �.y
SIZE /j_{! Z �sS SQ, FT.
ROOMS
TOTAL
SED '�
BATHS / LIVING
L•D
DEN
KITCHEN NOOK
K +D
NOOK
ATT.
GARAGE OFT.
ROOMS J
COMBO
VALUATION OF
HOUSES f
�i' v
GARAGE f
HOUSE • ATT. GARAGE S
OTHER S
ALLiMPROVEMENTS
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 befor inspection and O for coverin 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- �- n n G
sented when work is done by occupant or lossor. YOWNE �!i6�i� BY X
PERMIT FEES: (THIS SP� R BUILDING DEPARTMENT USE ONLY)
4T HOUSE & OTHER MISC.
HOUSES G ARAGES G ARAGE S BUILDINYa--d FEES 3
RECEIVED PERMIT /.J BOND NO. TOTAL FEES SeY BY ATE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORN