The URL can be used to link to this page

21 BELLEAU RD - BUILDING INSPECTION (2) $ 106 c� 52I 'Z�s A��tvo� s� The Commonwealth of Massachusetts WBoard of Building Regulations and Standards SA EM Massachusetts State Building Code, 780 CMR 20Ib DEC -2 �aALE Mu Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official U Only Building Permit Number: Date Ap ied: nBuilding Official(PrintName) SignatureL / _ SECTION 1:SITE INFORMATION 1.1 PrXrty Address: 1.2 Assessors Map& Parcel Numbers ].Is Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Irdormation: 1.4 Property Dimensions: Q-� Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.Lc.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public lr� Private❑ Zone: _ Outside Flood Zone? Check if yes❑ Municipal 0 On site disposal system ❑ SECTION 2: PROPERTY OWNERSHW 2.1 Owner'of Record: r o l�'10 Name(Print) At City,State,ZIP a� C ��ea1t �?�tl>�rS©omrn ow�o ��g�1g��byy k n irren No.and Street - Telephone Er Addre SECTION 3:DESCRIPTION OF PROPOSED WORKZ(check all that apply) New Construction Cl Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ 1 Number of Units_ I Other Specify: Brief Description of Proposed Work': \ ( { - t.J SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials y 1. Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (AVAC) $ List: 5.Mechanical (Fire Sv ression) $ Total All Fees:$ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ 10 JACK) 00 ❑Paid in Full ❑Outstanding Balance Due: rn auLIE* To G . m1-\t�� 11 Massachusetts Department of Public Safety ' -�� Board of Building Regulations and Standards License: CS-029124 Construc:ton supervisor DARRELL J GONYEA PO BOX 504 + ?-- - ROWLEY MA 01969 m§;�a Expiration- Commissioner 06/0812018 ,� rlh�l�'hvt tm nrn fli 4p04��,j alrr,/rF�e.Cl1 Office of Consumer Affairs usmS�esskegu5ation HOME IMPROVEMENT CONTRACTOR 9 m- Registration 117575 Type. - Expiration 10/20/2018 DBA GORYtA CONST li t DARRELL GONYEA 105 FENNO DRIVE ROWLEY,MA 01969 Undersecretary