HomeMy WebLinkAboutPermit 144 - Zgone Residence - Move Residencenita Zgone Remodel
N? 144
OWNER r
MAIN
BUILDING
WIDTH
ADDRESS
PHONE
DATE
TYPE OF CONSTRUCTION
/10 IV Et
FT. ^ �
lyr
BUILDER
SIZE
ADDRESS
r
)I
J
WIDTH
DEPTH
X
AREA
_
�
e. A
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ARCHITECT
'
PT.
ADDRESS
.JOB
ADDRESS
STREET f. f^
NUMBER (�
1
USE
LEGAL
'.•j:: ,'
LOT SIZE / J �! G .?
��1
O Q$EA 6/
` ZONE
SQ. FT.
BLOCK
/ 1
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
LOT
YARDS
MAIN
%
SET BACK
BIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET SACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BUILDING
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/
JJ
BUILDING
BUILDING
OCCUPANCY
BUILDING
PROPERTY LINES
.� .,! ! `A!
HOW
HEATED I�
�� ✓
BASEMENT
SIZE SQ. FT,
�LJ
�'�
�,
y
CLASS OF WORK A>,-' 'v 4 I ,G= 1.` n r) e I
REMARKS DESCRIPTION OF ANY WORK NOT COVER9D 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. (_f�
Written Authorization of the owner must be pre-
sented when work is done by occupant Or lessor OWNER lY j J A BT x Ae
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSES G ARAGE $ ^ - ARAGE i BUILDINGS S FEES S
RECEIVE PERMIT 1
BOND NO.—. TOTAL FEES i r � � ° Y 4-G` =� BY � � -- / i —� —DATE ICI
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
'? j
FT. ^ �
FT. ,� j SQ. FT.
SIZE
)I
ACCESSORY
BUILDING
WIDTH
DEPTH
X
AREA
_
�
OF
BUILDING
, ^ �� "(
'
PT.
FT. SO. FT.
1
EXISTING BUILDING AREA---='------ - --
SQ. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
—
—
%
SO. FT.
SQ, FT.
EXTERIOR
FINISH
OCCUPANCY
TO Be USED
,
.� .,! ! `A!
HOW
HEATED I�
BASEMENT
SIZE SQ. FT,
�,
y
ROOMS I
TOTAL
BED
ROOMS
BATHS
LIVING
L-D
COMBO
DEN
KITCHEN
NOOK
K.G
NOOK
GARAGE ATT. ❑
DET. o
VALUATION OF
HOUSE
S
GARAGE f
T
HOUSE`�lATT. GARAGE f
OTHER f
ALLIMPROVEMENTS
FOUNDATION OK
FRAMING OK
: IF
NAL INSPECTION
REMARKS DESCRIPTION OF ANY WORK NOT COVER9D 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. (_f�
Written Authorization of the owner must be pre-
sented when work is done by occupant Or lessor OWNER lY j J A BT x Ae
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSES G ARAGE $ ^ - ARAGE i BUILDINGS S FEES S
RECEIVE PERMIT 1
BOND NO.—. TOTAL FEES i r � � ° Y 4-G` =� BY � � -- / i —� —DATE ICI
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
receipt
receipt