HomeMy WebLinkAboutBLD-90-460 1 O YAR�'��, POSTED
z F . TOWNS ► ARMOUTH °Kra''
o f y' 7/3D/10
Hc,"4q»"«: `� '6 Application for a Permit to Build No. 6
Nle .
UPON FINAL APPROVAL 1I301l t' MAP LOT
FEE MUST ACCOMPANY THIS APPLICATION. DATE 00 199
The undersigned hereby applies for a permit to build V207°
according to the following specifications
1. Name of property owner �Gn1u i S_/ITRntio crr 14� I)
h9. SdooL ,,j r Tel..S9V-9&l6
Address /9,6 STAT.O N A v c
2.Name ofArchitect(ifany) 1.1/A •.i Tel.
3. Name of builder ERNtsr P ti,deasoN Address/So•y4ernou r A •
4. License No. On 6531 , Tel. .391- IND /
5. Name of Mason 100 Address
6. License No. M O1 Tel.
7. Construction address a I o r ATr o IV A VE- _ D-y- 4.5N CCPOo
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 49c"' • Cl)
11. Commercial 0 Ota.
' • Kitchen
12. Other Er Dining Rm.
13. No. of stories B- Living Rm.
Bed Rm.
14. Foundation — Full ❑y alf 0 Crawl 0 Slab 15" Bath
15. Materials — Wood D Cement 0 Other 0 Deck
16. Type of heat Oil IH'Gas K Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 ❑ Family Rm.
/ Sun room
18. Swimming pool - Size N R Garage
19. Storage shed — Size 111/r Shed
20. Stove —Wood 0 Coal 0 Alterations /
21. Size of lot: No. of feet front No. of feet rear No. of feet deep
22. Size of building: No. of feet front No.of feet side No.of feet rear N
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
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LOT RELEASED BY Signature _ 4....._•- :' 4/ a. 1 ' -
PLANNING BOARD Address
Date
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pildvl am
91
. .
PLOT PLAN
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) a
Well 0
(lot ft. rear) I
Abuttor's ' I a Abuttor's
Name - Name —
Lot # I Lot #
REAR YARD
If this is a • If this i=
corner lot, ft. corner la
write in name � write in
•
of street. I name of
a other
street. . •
Ft,
4-1
SIDE YARD SIDE YARD
HOUSE
FT. 0, 0 FTQ
Q `,
•
•
SET BACK
• I ft. --
0 •
•(lot ft. frontage)
\ /
\ /
(NAME OF STREET)
/ Information
/ Supplied by
•
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. . : a
MARK NORTH POINT
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