HomeMy WebLinkAboutPermit 1094 - Duxbury Residence - Addition glen Duxbury Addition
ag radford
BUILDING
PERMIT No.
N u 10
OWNER
WIDTH DEPTH AREA
ry
X )/� / _
ADDRESS
PHONE
DATE
BUILDER
SIZE
ADDRESS
WIDTH DEPTH AREA
OF
'
ARCHITECT
BUILDING
M
X
ADDRESS
PT. FT. - SQ. FT.
Sq. FT.
EXISTING BUILDING AREA----------- --
JOB
STREET c � �J
c- �- NUMBER
LOT
ti/1 5I`BOQ� //./
BLOCK
ADDRESS
�
_�4
EXTERIOR
LOT SIZE
LOT AREA
USE ZONE
I
�►
HOW
BASEMENT
YARDS
M*M
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BLHATDMG
�N Reao-
i
BUILDING
BUILDING
�►
VALUATION OF
HOUSE S
BUILDING
PROPERTY LINES
"IC7 OA
er -
36 e
fs
O
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
[`LASS OF WORK / - t-,fAA " Tr , = , lT Yn/ / - if)= )f
REMARKSt 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
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
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor, OWN
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
BY
HOUSE & OTHER MISC.
HOUSE S __ GARAGE S -. BUILDINGS S -- -FEES S.-
�� RECEIV tFJ�L PERMIT
BOND NO. .____
_._- _- - ._._TOTAL FEES 5--. -_ _.BY t - ._.BY �+ DATE-_ f
NOTICEt THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION,
PERMIT PLACARD MUST BE POSTED ON THE WORK
AI7CnG
��/,�fp�µp
WIDTH DEPTH AREA
ry
X )/� / _
TYPE OF CONSTRUCTION
(Act,
FT. �vO SQ, FT.
FT, ' ` l�lV "'G7
SIZE
ACCESSORY
WIDTH DEPTH AREA
OF
BUILDING
BUILDING
M
X
PT. FT. - SQ. FT.
Sq. FT.
EXISTING BUILDING AREA----------- --
SQ, FT.
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED
LOT COVERAGE
-'
-
- %
SQ. FT. SQ. FT.
EXTERIOR
FINISH
OCCUPANCY
I
TO B
HOW
BASEMENT
AS vn L k/ U �
HEATED 0 ,(L
SIZE SQ. FT.
ROOMS
TOTAL
O BED
ROMS
BATHS
LIVING
L•D
COMBO
DEN
KITCHEN
NOOK
K +D
400KK�Q`/7y
GARAGE ATT, ❑
DET. ❑
�►
VALUATION OF
HOUSE S
GARAGES
HOUSE . ATT, GARAGE
CVF�►�i� i
ALLIMPROVEMENTS
O
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKSt 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
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
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor, OWN
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
BY
HOUSE & OTHER MISC.
HOUSE S __ GARAGE S -. BUILDINGS S -- -FEES S.-
�� RECEIV tFJ�L PERMIT
BOND NO. .____
_._- _- - ._._TOTAL FEES 5--. -_ _.BY t - ._.BY �+ DATE-_ f
NOTICEt THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION,
PERMIT PLACARD MUST BE POSTED ON THE WORK