HomeMy WebLinkAboutPermit 255 - Larson Residence - Additionvern Larson Addition
BUILDING PERMIT
BUILDING
PERMIT No.
1W? ' 255
OWNS r J(' w
ADDRESS v
PHONE
DATE / ZhIZ
G
BUILDER
ADDRESS
TYPE OF CONSTRUCTION
BUILDING
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p< [p
�/
FT. ^ I FT.
- .11108- SO. FT.
ARCHITECT
ADDRESS
SIZE
A„J i I
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JOB
ADDRESS
STREET D J NU
—
USE ZONE
/ 'q
LE6A G 0 , t r c; ' M e ll A s-
LOT BI E
LOT ARE
D N it c a f? D E I
LOT
BLOCK S J
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSO MY
SETBACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BUILDING
EXISTING
BUILDING
BUILDING
BUILDING
PROPERTY LINES
SO. FT,
CLASS OF WORK
a
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE � p /1C_ U.
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 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 lossor. OWNER A y x
PE FEES (THIS SPACE FO BUILDING DEPARTMENT USE ONLY)
P a O O HOUSE& OTHER MISC.
HOUSES S 1 ARAGE i Q G ARAGE BUILDINGS i FEES f
BOND NO.— TOTAL FEES SAL.--. —�-8 ED BY DATE / �
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRI GINSTALLATPON.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
((�� ))
p< [p
�/
FT. ^ I FT.
- .11108- SO. FT.
SIZE
A„J i I
:� ///��� � / �
ABUILDINGY
WIDTH DEPTH AREA
B
�
/` � �/
/
,f Q( i '1OmFT.
'` FT.
SO. FT.
f
O O D� SO, FT,
I
J !� X -Z, C0
EXISTING
BUILDING AREA—
'�•�- -e' - - -^
SO. FT,
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
SO. FT.
Bo, FT,
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
HOW
BASEMENT
SO, FT.
AS
TG _ 6 IVr
Aq
L
0A
HEATED
SIZE
ROOMS
TOTAL
BED
R OOMS
BATHS
LIVING
L.D
COMBO
DEN
KITCHEN
NOOK
K.D
NOON
E ATT,
GARAG ❑
DET. o
G
VALUATION OF
HOUSE
i
[ GARAGE $
HOUSE • ATT. GARAGE f
OTHER $
ALLIMPROVEMENTS
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
a
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE � p /1C_ U.
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 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 lossor. OWNER A y x
PE FEES (THIS SPACE FO BUILDING DEPARTMENT USE ONLY)
P a O O HOUSE& OTHER MISC.
HOUSES S 1 ARAGE i Q G ARAGE BUILDINGS i FEES f
BOND NO.— TOTAL FEES SAL.--. —�-8 ED BY DATE / �
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRI GINSTALLATPON.
PERMIT PLACARD MUST BE POSTED ON THE WORK