19 BELLEAU RD - BPA-15-550 NEW DORMERSf
"-rST-BlE fit-EO;,t#O APPIROVED BY T44E
W..PECTOI3 PRIOR T-0 A PERMIT BEING GRANTED
TY yr Sr1�EiVi- —
0
Dale
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IN
IS
is Pruperty Localea in Locaciou of
the Historic District? Yes_ No_ Building /� �B�i t�, A�
Is Pruperly Lucated in
the Conservation Areal Yes_No—
BUILDING PERMIT APPLICATION FOR:
Hermit tu:
(Circle whichever apply) Ro Reraot, Install Siain , Construct Dec�l , �hed, ool,
epair/Replac Other: -nyM S>7c�Ca �� �if�aof
PLEASE (FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
I O Ti-tE nvSPECTOR OF BUILDINGS:
The undeisigneu nereby applies tar a permit to guild accoraing to the tollowing
specifications: 1
Vrvnel's Name u-J bOUY Qu l r
Auaress is Phone 9 Re lie_ CI y Q Oae) )97�') 7 qt/- 303?
Architect's Naine
ewuless cS Phone taw-,[(
-, I__S,�_ (94) sir- 09 y3
/ q
vunat is tile ur se of uwloin '! Y ,� Y `� 4 4 C YVK1
p w y _�) a c ac�oQl i a� cQo lviriJ d 4 ,
Ivlatunal VI uuiuliny? ,)pp � p�__,._it a owetling, tur now many tamilies'!
vVul wiluiny CVrllonn to law'? y ASC�51osY DO � U
a:aimald., cyst IS 900.00 __City uL;el Ise « - r`-f — state License ri CS D4's0 /'1S
Hume LwPE.Vemeuc
Lie. r 13 y35b a— — 4itudre-otApplicant
SIGNED UNDER THE PENALTY
OF PERJURY
UESCHIPTION OF WORK TO BE DONE
_1_ l�L d_ m�s`�stit��ovwta __ i„ YcuV_
IVIAIL PERMIT TO: '� �e liCGu Ae '
No. - Zoo y
APPLICATION FOR
PERMIT TO
2-
LOCATION
PERMIT GRANTED
O <p � ts.
. APP OVED
INSPECTO OF BUILDINGS
O IUVI
CY
O
Bath 0
` Dining Area ❑ Clos t _
_ LLLJJJIII Kitchen Area
1 Car Garage
ON
BAS MENT
�ose
fireplace
OFFICE
Living Room
U
I
loset Closet
Entrance Way
Clo et
12 BATH Cl set
(�
ON
Bedroom Bedroom
SECOND FLOOR
I
FLOOR PLAN
SUBJECT SKETCH
NOT TO SCALE
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tut'rar s ha,;p;mg jurfsd ct?orL
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>LArtS-R.:SP'YR,'Z+SG
YPE AND of
U FIR', PVOTECiiort LE:42*i ro l - -.
=INALTEST ANG INSHUT ION,FOR CCtvir'_Ei'E CONIPU
LNCE WITH THE FIRE CODE.
itL:(978) 837-3335 FAX:(978) 837-3336
MORTGAGOR: C' :T`IIA DAVID 5CVkG%`,ULT
LOCATION: I �ELLEAU ROAD DEED REF: 1090G/ I G3
CITY.5TATE: Si :_''M. MA PLAN REF: GOG/ 1953
DATE: 8/:'7/02 SCALE: I "=20'
JOB #: 202.O8G34
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R
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z =
1 /2 / GAR
STORY
W Wo l)
j# 19 .
25,901
BELL EAU LOAD
CERTIFIED TO: RTN "-)ERAL CREDIT UI
Flood hazard zone has bee,, tetennined by scaly
and is not necessarily accr .te.Until defintit ivy
are issued by HUD and/or uertical control si:.:
is performed,precise elevai: cannot be deter:;
NOTE: This morigaga fiu7zcf icn u. .:n rad
apacifiealId fo r.mar(goga pu,posu snd JY�C .. Th. marlgaaa insrwetio,. .,.,. ._
O F ( )0
RD 0 O
th
Dinin7k, ;
Clos t _ I II
_ LLLJJJIII Kitchen Area
1 Car Garage
DN
BAS MENT
�ose
fireplace
OFFICE
Living Room
U
I
loset Closet
Entrance Way
112 BATH Cl set
Clo et n
® O
DN
Bedroom Bedroom
i
SECOND FLOOR
i
FLOOR PLAN
SUBJECT SKETCH
NOT TO SCALE
WlnSkatch by Jammh SOM -