HomeMy WebLinkAboutPermit 58 - Histon Residence - AdditionHiston Addition carport
OWNER
MAIN
WIDTH
-ADDRESS
AREA
PH
TYPE OF CONSTRUCTION
BUILDING
FT.
X
/
BUILDEA
SIZE
OF
BUILDING
ADDRESS
ARCHITECT
ACCESSORY
BUILDING
ADDRESS
FT.
JOB
STREET
NUMBER
ADDRESS
A
- --
EXISTING BUILDING AREA
---------- ^ -- ^-
USE ZONE
LEGAL 1
F
w
LOT SIZE
LOT AREA
t'
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
LOT , S
BLOCK
YARDS
MAIN
9ET BA5P
SIDE YARQ
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETO
BUILDING
/
FINISH
f/
-
/q �
BUILDING
BUILDING
OCCUPANCY
TO BE USED /
BUILDING
PROPERTY LINES
HOW
BASEMENT
1
U
AS (�
HEATED
SIZE
CLASS OF WORK I a n . // n_�'
REMARKS! DESCRIPTION OF ANY WORK NOT COVERED ABOVE -& • --4 ~ #a 5-
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.
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE IN OTHER MISC.
HOUSES GARAGE $ -- GARAGE f BUILDINGS —FEES $
BOND NO. TOTAL FEES fY CEIVE ERMIT ; DATE
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD. MUST BE POSTED ON THE WORK
BUILDING
• PERMtT No
N`-' 58
ADU 114. 1%1
MAIN
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
FT.
X
/
_
FT. 80. FT.
SIZE
OF
BUILDING
+, e-
��IA
ACCESSORY
BUILDING
WIDTH DEPTH AREA
�(
FT.
� `
FT. - Gi 80. FT.
80. FT.
EXISTING BUILDING AREA
---------- ^ -- ^-
80. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
sa, FT.
ea. FT.
EXTERIOR
FINISH
OCCUPANCY
TO BE USED /
HOW
BASEMENT
AS (�
HEATED
SIZE
SQ, FT.
ROOMS
TOTAL
BED
ROOM9
BATHS
LIVING
L.D
COM80
DEN
KITCHEN
NOOK
K D
NOOK
GARAGE
ATT. ❑
DET, ❑
VALUATION OF
ALL IMPROVEMENTS TICS
GARAGE$
HOUSE• ATT. GAR AGE f
OTHER$
FOUNDATION OK FRAMING OK
FINAL INSPECTION
REMARKS! DESCRIPTION OF ANY WORK NOT COVERED ABOVE -& • --4 ~ #a 5-
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.
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE IN OTHER MISC.
HOUSES GARAGE $ -- GARAGE f BUILDINGS —FEES $
BOND NO. TOTAL FEES fY CEIVE ERMIT ; DATE
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD. MUST BE POSTED ON THE WORK
BUILDING
• PERMtT No
N`-' 58
ADU 114. 1%1