HomeMy WebLinkAboutBLD-90-584 stess
, 'f 4' TOWN OF ARMOUTH ok Fes, 9/as/4e
to MI7ACN[[5 "Z'` (ij�Y1
066-67 Appli on for a Permit to Build No. S __
UPON FINAL APPROVAL qa5 /O MAP 39 LOT X-6 3
FEE MUST ACCOMPANY THIS APPLICATION. DATESe_ 25 1 7c
The undersigned hereby applies for a permit to build 91A-1 9o
according to the following specifications
1. Name of property owner t?tM.es PAUL J/ f orvA,e/Irs c � Tel. 960 3576(N)
Address be Likkeelidd i,,1 s y � fit) 398–A21 atwj
2.Name of Architect(if any) Tel.
3. Name of builder_ Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
7. Construction address GO i i4.en'i el A eRA . y
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost , DO NOT WRITE IN THIS SPACE
10. Multi family 0 o2Q a 0 eda- o&uoo& Type of room No.
11. Commercial 0 4Z— Kitchen
12. Other ialf .,,;,_�c,..44. ,C Dining Rm.
13. No. of stories i
Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 ,COr e'r'—" Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck
16.Type of heat — Oil 0 Gas ❑ Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 0 Family Rm.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — SizeShed
20. Stove —Wood V2-‘-al
al 113< 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
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
LOT RELEASED BY Signatur nAi a rnr) /
PLANNING BOARD Address G 8 4-4 lel, s
Date S, IfiR i jny,t7i ih9 oZl-6s/