HomeMy WebLinkAboutPermit 174 - Gardner Residence - Additiondwight Gardner Addition
BUILDING
PERMIT No,
N? 174
OWNERp f I,.i
ADDRESSt
DEPTH
PHONE
DATE r'i
,t
1
�(
__
BUILDER
t
ADDRESS
� _
FT. �`
FT. 80. FT,
SIZE
ARCHITECT
ACCESSORY
BUILDING
WIDTH
ADDRESS
AREA
_
OF
BUILDING
y� / 5'{
,
JOB
STREET
NUMBER
FT.
ADDRESS
/
/ / \
((
r
8q. FT,
USE ZONE
LEGAL
LOT SIZE
A
f
Alt
IV
:) f.�. t / (� //
l L ,l / ! j �..
S LOT 1
BLOCK
+Y'
I
! / ! -� 4w'•
ft i� /! •'JU ! /!SI`
LOT AREA OCCUPIED
LOT COVERAGE
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST.
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BUILDING
EXTERIOR
BUILDING
BUILDING 1
FINISH
BUILDING
PROPERTY LINES
OCCUPANCY
TO BE USED
HOW
BASEMENT
CLASS OF WORK /, /) / T / (`' Ai
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE 1 4 Al 7 /.' - � / /�I N L* _
,!
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 t' l ' "r ! k f ) "V 6 6r x
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSES G ARAGES - GARAGES BUILDIN : FEES S
(rPE / //�
BOND NO.- TOTAL FEES*
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
�(
__
FT. �`
FT. 80. FT,
SIZE
ACCESSORY
BUILDING
WIDTH
DEPTH
X
AREA
_
OF
BUILDING
y� / 5'{
,
I7
FT.
FT. A SQ. FT,
/
/ / \
((
r
8q. FT,
EXISTING BUILDING AREA----------- --
SQ. FT,
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
py
80, FT. •
8Q, FT.
/�
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
HOW
BASEMENT
AS
HEATED
SIZE Sq, FT.
ROOMS
TOTAL
BED
ROOMS
BATHS
LIVING
L.D
COMBO
DEN
KITCHEN
NOON
K•D
NOON
GARAGE ATT.
DET.
El
❑
VALUATION OF
HOUSES
GA RAGES
HOUSE • ATT. GARAGE S
OTHER S 4�
ALL IMPROVEMENTS
�,� -o
FOUNDATION OK
FRAMING OK
=FINAL
INSPECTION
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE 1 4 Al 7 /.' - � / /�I N L* _
,!
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 t' l ' "r ! k f ) "V 6 6r x
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSES G ARAGES - GARAGES BUILDIN : FEES S
(rPE / //�
BOND NO.- TOTAL FEES*
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION,
PERMIT PLACARD MUST BE POSTED ON THE WORK