HomeMy WebLinkAboutPermit 129 - Segale Residence - Additionmario Segale Addition
129
OWNER
WIDTH
DATE
BUILD A
ADDRESS
BUILDING
rJp
FT. X �J
ARCHITECT
ADDRESS
SIZE
.S
WIDTH
DEPTH
AREA
OF
JOB
ADDRESS
STREET' , 3 _ ��
LL /
/ NUMBER J -
G ,n
c 5'
FT. X
—
FT. — 80.
USE ZONE
LEGAL
/
LOT SIZE
LO AREA
EXISTING
LOT
BLOCK
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETO
PROPERTY LINES
BUILDING
�1
YO
(��
0 "
BUILDING
BUILDING
_
%
BUILDING
SO. FT. '
go. FT.
EXTEIRIOR
FINISH
rl nqq nF wn n .�,
REMARKS, DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING ivomy tsunaing liepar D Street ti aaress ana rermn rvumDer wnen reaay for rnspecuu VY U1 ALI 11U1 Utl
c overed 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- /l
sented when work is done by occupant or lessor OWNE y
R "' 54; D T
PERMIT FEESI (THIS SPACE FODUILDING DEPARTMENT USE ONLY)
n � HOUSE $ OTHER MISC.
HOUSES l` L - G ARAGE i GARAGE i BUILDINGS i FEES i
RECEIVED ERMI7 Z�7��
BOND NO.— TOTAL FEES i .lJ�_� Y BY DATE OF
NOTICE NOTICE THIS PERMIT DOES NOT COVER PLUMBING. SEWER. OR WIRING INSTALLATION.
PLACARD MUST BE POSTED ON THE WORK PERMIT I
MAIN
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
rJp
FT. X �J
FT. 00. FT.
SIZE
ACCESSORY
WIDTH
DEPTH
AREA
OF
BUILDING
BUILDING
FT. X
—
FT. — 80.
Sq. FT.
EXISTING
BUILDING AREA----------- - --
SO. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
_
%
SO. FT. '
go. FT.
EXTEIRIOR
FINISH
OCCUPANCY
TB BE USED . I
SIZE EM ENT
A
��
HEATED
Sq, FT.
ROOMS
TOTAL
BED 1
BATHS
/
LIVING
L-D
DEN
KITCHEN
NOOK
K.D
NOOK
GARAGE ATT.
DET.
.❑
p
g0OMB J
COMBO
VALUATION OF
HOUSES
A
0
OA
IGARAGE i
HOUSE. ATT. GARAGE
i
OTHER f
ALL IMPROVEMENTS
/`/�`
FOUNDATION OK ^
FRAMING OK
FINAL INSPECTION
REMARKS, DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING ivomy tsunaing liepar D Street ti aaress ana rermn rvumDer wnen reaay for rnspecuu VY U1 ALI 11U1 Utl
c overed 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- /l
sented when work is done by occupant or lessor OWNE y
R "' 54; D T
PERMIT FEESI (THIS SPACE FODUILDING DEPARTMENT USE ONLY)
n � HOUSE $ OTHER MISC.
HOUSES l` L - G ARAGE i GARAGE i BUILDINGS i FEES i
RECEIVED ERMI7 Z�7��
BOND NO.— TOTAL FEES i .lJ�_� Y BY DATE OF
NOTICE NOTICE THIS PERMIT DOES NOT COVER PLUMBING. SEWER. OR WIRING INSTALLATION.
PLACARD MUST BE POSTED ON THE WORK PERMIT I