HomeMy WebLinkAboutPermit 151 - Van Iepenen Residence - Additionfred Van Iepenen Addition
BUILDING PERMIT
BUILDING
, PERMIT No.
IV? -1 5 1
OWNER
?ED
y4))
WIDTH
//_/1
FT.
ADDRESS
13 9O-
PHONE
DATE
lc
3r'5PE
E ,tJ
/
6 _6 fi vE, s,
--
7 � 7 cam_
BUILDER
OF
ADDRESS
ACCESSORY
WIDTH DEPTH AREA
BUILDING
BUILDING
X
ARCHITECT
ADDRESS
FT,
80. FT.
5A A1,65
-
II-Iv SQ. FT.
JOB
ADDRESS
STREET
n 7 1 [- 1 � .5 NUMBER
1 „ J C � (/
USE ZONE
LEGAL
- - -- - - --
LOT SIZE Z dAe
LOT A REA 2 2 3 , c
SQ. FT.
b /
LOT
BLOCK
YARDS
MAIN
SET BACK
BIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE TO
PROPERTY LINES
BUILDING
IN
BUILDING
c,
BUILDING
OCCUPANCY
70 BE USED
r/ •�` /
Q
Ile
fJ
BAS MENT
8Q.
FT.
AS
,7S
CLASS OF WORK
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
co vered 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 Z BT x �� -- -
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
/ �_ HOUSE 9 OTHER MI
HOUSES ^ - ARAGE f ^ - ARAGE S BUILDINGS f FEES f
BOND NO.— TOTAL FEES f "�' RYCEIVED ( / /)t ��ERMIT TE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION. /
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH
//_/1
FT.
DEPTH
v
^ � 3 FT.
AREA Sq. FT.
__ ^
3a '�
TYPE OF CONSTRUCTION
SIZE
/
,
OF
ACCESSORY
WIDTH DEPTH AREA
BUILDING
BUILDING
X
PT.
FT,
80. FT.
II-Iv SQ. FT.
EXISTING BUILDING AREA -
- - -- - - --
SQ. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
LOT AREA LOT AREA OCCUPIED
O�
7 61
-
SO. FT.
-
A�O / HQ, FT.
/O
EXTERIOR
FINISH
c,
OCCUPANCY
70 BE USED
r/ •�` /
HOW �
HEAT ED
BAS MENT
8Q.
FT.
AS
,7S
`�
h f.,
L � / t 7 J /,,, !
O 7
ROOMS
TOTAL
�'
SED
ROOMS
BATHS
I
LIVING
L•O
COMBO
DEN
KITC HEN /
/
r.vvK `
K•O
NOOK
GARAGE ATT,
DET,
❑
❑
y
_T
AL VALUATION OF S
HOUSES
a�
GARAGE f
HOUSE •ATT, GARAGE f
OTHERS
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
co vered 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 Z BT x �� -- -
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
/ �_ HOUSE 9 OTHER MI
HOUSES ^ - ARAGE f ^ - ARAGE S BUILDINGS f FEES f
BOND NO.— TOTAL FEES f "�' RYCEIVED ( / /)t ��ERMIT TE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION. /
PERMIT PLACARD MUST BE POSTED ON THE WORK