HomeMy WebLinkAboutPermit 201 - Van Ieperen Residence - Remodelfred Van Ieperen Remodel
BUILDING
PERMIT No.
N® 2 41
OWNS
/AJ Gr+"
/
WIDTH
ADDRESS /
w
PHONE
DATE
V 6
BUILDE
AA •`,',�,
ADDRE88
/
_
FT. 80, FT.
SIZE
ARCHITECT
ADDRESS
OF
BUILDING
JOB
ADDRESS
STREET p r "�
4 CJ Ii }� NUMBER
I
X
^IGZ
Aryl
1 s
/
�v I
USE ZONE
LEGAL /7 F
/4� t9 4. C!
✓,'
Lo SI E
Q -
o E
1
- / , _,..
— //
6W
A •
AA
g
BLOCK
_- y
—.
LOT
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCES80RY
SETBACK
SICK YARD
REAR YARD
NEAREST
DISTANCETO
BUILDING
py
BUILDING
BUILDING
I
/�
BUILDING
PROPERTY LINES
FINISH
CLASS OF WORK /ir r.;.- /14 0 1" /: L rx) r7 I N t # d U x C
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
cov ered before inspection and OK for covering has been given by Inspector in witting on Perm P laca r d.
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 168sor. OWNER DY X
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
1 Q "" HOUSE E: OTHER MISC.
HOUSES F G ARAGE s /tn G ARAGE i BUILDINGS f FEES S
BOND NO.— TOTAL FEES i "'" r B YCEI BY ' TC w DATE Z/-/.�
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. X
/
_
FT. 80, FT.
SIZE
. N
OF
BUILDING
_
ACCESSORY
BUILDING
WIDTH DEPTH AREA
—
X
f:.+ 8Q, FT.
EXISTING BUILDING
—
AREA -- - - - --
SQ, FT,
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
py
So. FT,
SQ. FT.
/�
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
HOW
BASEMENT
612E 8Q. FT.
AS
HEATED
ROOMS
TOTAL
BED
ROOMS
BATHE
LIVING
L-D
COMBO
DEN
KITCHEN
NOON
K•D
NOOK
ATT, ❑
GARAGE PET, []
VALUATION OF
HOUSE S �U
`�" ""
GARAGE $
HOUSE • ATT. GARAGE f
OTHER i
ALL IMPROVEMENTS
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
cov ered before inspection and OK for covering has been given by Inspector in witting on Perm P laca r d.
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 168sor. OWNER DY X
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
1 Q "" HOUSE E: OTHER MISC.
HOUSES F G ARAGE s /tn G ARAGE i BUILDINGS f FEES S
BOND NO.— TOTAL FEES i "'" r B YCEI BY ' TC w DATE Z/-/.�
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK