HomeMy WebLinkAboutPermit 087 - Churchill - Bulkhead lw Churchill Bulkhead
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BUILDING PERMIT BUILDING
PERMIT No,
Nu 87
OWNER
ADDRESS _/
PHONE
GATE
BUILDING
TYPE OF CONSTRUCTION
BUILDER
ADDRESS
S`C7 fib
ARCHITECT
ADDRESS
OF
JOB
STREET Y NUMBER
ADDRESS
-r 7
USE ZONE
LEGAL 'r ,r or 1.U7 vvc C1
LOT 812E
LOT AREA
c G A A �RL' 'In /1 o l- r: ss � a �" r�
�7f be i
L, PVC
LOT ..: ca A
BLOCK �• ,
YARDS MAIN
SET BACK
81 DE YARD
REAR YARD
NEAREST
ACCESSORY
SETBACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETO BUILDING
OCCUPANCY
TO BE USED
BUILDING
BUILDING
AS
HEATED
BUILDING
PROPERTY LINES
TOTAL
BED
BATHS
LIVING
L•D
DEN
I
NOOK
K +D
CLASS OF WORK ( ;01VrJ?.'7'9 -M- G'' ' 3D''
REMARKS 09SCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNIN Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
I cover before inspection and OK fo covering has been give by In spector 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 • � � c u BY
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSE i = ARAGE S G ARAGE i BUILDINGS i FEES S
RECEIVED PERMIT ��
BOND NO. TOTAL FEEEES f —_.� B y��BY DATE `,
1
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
WIDTH DEPTH AREA
BUILDING
�/
X
TYPE OF CONSTRUCTION
SIZE
FT. FT, — 80. PT.
ACCESSORY
WIDTH DEPTH ARE
OF
BUILDING
BUILDING
X —
/� j�
0 ' /V G
FT. FT. — 80. FT.
(/
EXISTING BUILDING AREA--------- - -- - T� .
80. FT,
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED
LOT COVERAGE
_ �
SO. FT. SO. FT. 7
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
HOW
BASEMENT
AS
HEATED
SIZE SO. FT.
ROOMS
TOTAL
BED
BATHS
LIVING
L•D
DEN
KITCHEN
NOOK
K +D
ATT. ❑
ROOMS
COMBO
NOOK
DET. Q
VALUATION OF
HOUSES
GARAGE s
HOUSE ATT, GARAGE
/ GARAGE
OTHER
ALL IMPROVEMENTS
• S
*
FOUNDATION OK
FRAMING OK -T
FINAL INSPECTION
REMARKS 09SCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNIN Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
I cover before inspection and OK fo covering has been give by In spector 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 • � � c u BY
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSE i = ARAGE S G ARAGE i BUILDINGS i FEES S
RECEIVED PERMIT ��
BOND NO. TOTAL FEEEES f —_.� B y��BY DATE `,
1
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK