HomeMy WebLinkAboutPermit 159 - Mikami Residencematt Mikami Residence
BUILDING PERMIT
BUILDING
PERMIT No.
IV? 159
OWNER
MAIN
ADDRESS
PHONE
DATE
BUILDING
X
�-_
SIZE
BUILDER
FT.
ADDRES
ACCESSORY
BUILDING
�y
— AREA
�
OF
BUILDING
ARCHITECT
PT. BQ. FT.
ADDRESS
JOB
ADDRESS
STREET
SQ. FT.
NUMBER
USE ZONE
LEGAL �'
/dLVh/sj1f
3 �IJ�y
LOT SIZE
LOT ARE
S0- FT.
LOT
BLOCK
LOT AREA OCCUPIED
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETO
BUILDING
,,,rte
,
BUILDING
BUILDING
FINISH
BUILDING
PROPERTY LINES
( w
OCCUPANCY
TO BE UB D
HOW
BASEMENT
r`1_AAR of wc) 1L -AAWnMW.i..% ,df Mi I 49; . s/1
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
c overed be 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. OWNE q, a DY � 1416L� , `_'s=._ -
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
p HOUSE & OTHER MISC.
HOUSES G ARAGE $ G ARAGE $ BUILDINGS $ FEES:
t.
Q
RECEIVE ERMIT
-
BOND NO.— TOTAL FEES i GA--�Y I BY ATE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING. SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
WIDTH DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
X
—
SIZE
FT.
FT. 50. FT.
ACCESSORY
BUILDING
WIDTH DEPTH
X
— AREA
�
OF
BUILDING
FT.
PT. BQ. FT.
SQ. FT.
EXISTING BUILDING AREA----------- - --
S0- FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
SQ. FT.
so. FT.
EXTERIOR
,
FINISH
OCCUPANCY
TO BE UB D
HOW
BASEMENT
AS G ..
HEATED /
SIZE SQ. FT.
ROOMS
TOTAL
BED
BATHS LWINO I
L•D
DEN
KITCHEN
NOOK
K•D
NOOK
ATT.
GARAGE DET.
❑
❑
ROOMB
COMBO
VALUATION OF
HOUSES
GARAGE S
HOUSE - ATT, GARAGE S
OTHER S
ALLIMPROVEMENTS
FOUNDATION OK
FRAMING OK j
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
c overed be 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. OWNE q, a DY � 1416L� , `_'s=._ -
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
p HOUSE & OTHER MISC.
HOUSES G ARAGE $ G ARAGE $ BUILDINGS $ FEES:
t.
Q
RECEIVE ERMIT
-
BOND NO.— TOTAL FEES i GA--�Y I BY ATE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING. SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK