HomeMy WebLinkAboutPermit 128 - Lombertson Residence - Porch floyd Lombertson Remodel
allstate cosntruction co
N? 128
OWNER
MAIN
BUILDING
WIDTH DEPTH AREA
�( —
ADDESS v f
R
PHONE
DATE
/� �..
ABUILDINGY
WIDTH �( DEPTH AREA
ADDRESS
L }l
K = �
✓
�Ntiv►
ARCHITECY'
EXISTING BUILDING AREA--------- - - --•-
ADDRESS
JOB
STREET /
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED
NUMBER
— —
—
%
ADDRESS
EXTERIOR
FINISH
OCCUPANCY
I TO BE USED
USE
Y'
Lys—
AS `
HEATED
SIZE 80, FT.
ROOMS I
TOTAL
ZONE
LEGAL VV
„
L -D
COMBO
t LCD
LOT SIZE
NOOK
LO AREA
GARAGE ATT. ❑
DET. 0
VALUATION OF
�j
HOUSE f =[
GARAGE f
HOUSE . ATT. GARAGE f
OTHER f
ALLIMPROVEMENTS
r � /
FOUNDATION OK
LOT ..5
FINAL INSPECTION
BLOCK
YARDS
MAIN
BET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
BIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BUILDING
I
BUILDING
BUILDING
BUILDING
PROPERTY LINES
CLASS OF WORK �n , .'_D , �2 1 -71 /. (i /• . ,. 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 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 City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con-
struction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor OWNER 1S •r�?��� B. x �zL f���_ �r�_
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) v
6�' / L� HOUSE & OTHER MISC.
HOUSE f G ARAGE f G ARAGE f BUILDINGS f FEES f
G7 -e "
RECEIVED PERMIT
BOND NO.— -- .TOTAL FEES f Y —BY DATE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH DEPTH AREA
�( —
TYPE OF CONSTRUCTION
SIZE
FT. " FT. SQ. PT.
/� �..
ABUILDINGY
WIDTH �( DEPTH AREA
BUILDING
—
FT. " FT. B0. FT.
80. FT.
�Ntiv►
EXISTING BUILDING AREA--------- - - --•-
80. FT.
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED
LOT COVERAGE
— —
—
%
80. FT. Sq, FT.
EXTERIOR
FINISH
OCCUPANCY
I TO BE USED
HOW
BASEMENT
AS `
HEATED
SIZE 80, FT.
ROOMS I
TOTAL
BED
ROOMS
BATHS
T
LIVING
L -D
COMBO
DEN
KITCHlN
NOOK
K.0
NOOK
GARAGE ATT. ❑
DET. 0
VALUATION OF
�j
HOUSE f =[
GARAGE f
HOUSE . ATT. GARAGE f
OTHER f
ALLIMPROVEMENTS
r � /
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 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 City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con-
struction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor OWNER 1S •r�?��� B. x �zL f���_ �r�_
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) v
6�' / L� HOUSE & OTHER MISC.
HOUSE f G ARAGE f G ARAGE f BUILDINGS f FEES f
G7 -e "
RECEIVED PERMIT
BOND NO.— -- .TOTAL FEES f Y —BY DATE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK