8 LOCUST ST - BUILDING INSPECTION 11
'Th,e Commonwealth of Massachusetts
Boar of BuildinRegulionantndud FOR
M[ss[ci:use[ks Smte-Hu(Idmg Cade 78()CMR Tx ed[[[on -i
M9t IF:1f 'i 1 UN
USE
Building Permit Appltcution To Constetict Repair RenCivitteAr Demolish Ri aired J<,nrnre
M - One-eirTtsn-Finn{lvBwellifig -a;,
This Secttan,For Official Use Only. ...
Budding Perm ttNumber Date Applied D
777
ummtssmnv/'[nspectnr nt'Buddmgs
SECTIO)Y I SITE INFORMATION
J I Pr arty Address, t 2 Assessors Mop&Parcel Numbers
ka,is this an accepted street?yes' -- an_„_ :Map Number Pans!hfumh�Y
1,3 Zaneng lnlartmtlon. 14 Property Il�itneuslons
�'Zmm�g Din.dct ' Proposed U =t.m Area(Sq Ermtiuye tl[Jtl[J
-� n _ - .�
:1.6;.Baildl�Setbaclts(it) -. - -
Front Ynid Srde'Yards _ '- Renr Yord��" -
Reyuired Pmwded ;`Requlrcd - Provided Rrquued"J - ':Provided
k 6 Wa_te/Su .ply tM.f:L r-4n.§541 1 T Flood Zone Ilif [mNori. 1X Sewage D bsnt System:
Pubfic�7 !'nva[e C7. Zoae: (ktbfde Flood Z,aye?
.._Crick if yeai3� Municipq! On site dispogul system ❑
_ '% SECTI0N-2:`P ERSHEP
2. Owner of Record, `
o W ��ieznie Lt^le�rr Lor�r�
.Na rfn[j: Address forSenicc'
Tele h
SECTI(11°f I bESCR1PT10N.OF PROPEiSFb.WORK'{cl�cic aft tbnt aPPjY)
New"Constivetfan.C7 :Exisung 9uildingta Owner Oc�-upted ,Repairs(s) O Alterntran(s)- Addidnn
Demnfitioit'; R. 'Accessory_Bldg.f7 .:Numberaf[{Inhs Other: [I Specify ��--.-
BdefDt�rfpnonof,PriiposedWork :
zj
SEC- N C F.STiMATED CONSTRUCTlOI�ty.OSTS -
em 'Estimtacd Costgr• Oct Use O>il
(Labor and Mntedals Y.
-1 Bufldtn �'.: •S ,, U t Building Permit Fcei-$ - Indieate haw fecjs dc[erminod:
2 O Statidnrd Cttyll pwn It
pro'*' a Fee
Electricall $ 0(� '�`'- ' Tatgl Pro)oct Cosh(Uem 6).a nut lnplter {
Other Fees, $... -
9 li�echnnical (EiVAC)� $ �...` r. Lest '-
5 Mechpetical (Fire $ Total All Fees $ -
$u xessianJ ...
�✓� CheekNa Check Amount, Coah Amtxmi
b.Total t'M eat -
. > _ . , . ,`.. ❑Pnfdin Fu0 . .,❑Outstanding Balance Doc:
SECTION S C,mNSTRUCI'[ON ST;lt,VICES' .�
5 t t4ceused Constntttion 5upe r'[CSGD
Number' - ptntttmi-Dal'
Nat 'ofCSL
rT)4�9
4ddrCs` T _d De"
ption-
� � iinresldcled itipto34IX3pCu.F }
. - Rastricled t&'-Futfll Ot.cllm
St nfurc
Moro Ont
RC Rdcnfiat Rtiuiin .Cutenn
Tctcphoex ;:WS. .Rcsidcuaui.Wttniutv..tmlSnlue �
;Rcsidetitldl SLAW Fael Sumiu _A liance litsiail4oa -
.
5 2�`Ijt,¢�r�;��;/r�Hyp�yrte I pray¢ryypnt Contractor(HIC) ay35!
HOC Co N e'o H Re ' tmm ame Registtatian urt�rr -
A �,._ p e, ', .
/ ��'S"1��„ t?xpirntion Uatr --
Signouite ..Teleph
SECTION& WORKERS'COMPENSATION INSURMCE AMDA V&(M.Gd..c.152.;2SC(b))
Workers Cotnpensntwn Insuraiue affutavif must be edinpleted and submined with this application. Failure m pnivide -
this`gffiduvn%0 1'mWj tothe"id of tiie IssanMe of.the butidit g permit.`.
Stgned kifidnaifA"ttachul? Yes tkt
SECTION Tar OWNER AUTHORIZATION7088 COMPLETED WHEN
OWM W&AC.EN'I'OId' kTft/Ar bR'AM. I WS ObLkC j.. DING=i'FRMIT -:
�+` as Owner of thesubject property herehy
authorize �� ,AIr to�on my behittt; in'alJ mauers
redadve'to work authorized by thts buildong:permit applicatton -
-4
-5tai ofOwaer.V, I
SECIIOM ::OWNER'OR A`UTHORIZED'AGE1H7 DCsCHrtiRi1TION
vet`/ asOwner.orAuthorizedAgen[�hereby;declare,
that the slatemems and mfartnattut nn the foregoing appttcadon are true andaccurate;.[o tho licst ofiay knowledge a
behalf.`
Oe
Sigtwtute or' u dz Agent
-[5i .tinder,dtE' aitrs'and' aides of UFO
1 An Owttu who'obptms a btiitding pertnit to do htsdlurown work tx nn owner who hires an unrcgisiercd�uatrwtor
(rau mgtstexed In the Home'Imprhvemeta Contractor(HIC)8rogrnm) wtll' ituve:actess io the urbitmtion_=--
program ar guaeiiaty fund uh�r M'G L c 142A.Ot[t�lmport5m mform ikon on tlu.}dIC Yrogrnrsi and
Catiswettoe Supertihsor 11t enstng[GSL}can be found in 7R0 CIKR Ra gWtiuonsJ10.R6and110,R5 reSpvFt1vcly
2 ' 'When sttbsmndal wark es piennod provide the inPormation bettiwir `
Total fteiixs area( FG)
(meindmg garage,finished IrasemenVottics,decks or tx,n h>
Gross Nving area(Sq.Ft l ;Habitable,room count
Numbct:of fircplues Num nsber of 6edroor
Numberot bathrew`ms `Numberpf.fiaiflbnths
Type ofJo,^anng sysie"m jr LYtimber of decks!poriJies
Type of tvohng system = ' En�luaed Gpen
J "Toleil Project Si(uars Footage may 6c substituted for Taal prpject Cost ;
- - - --- _ -,38 ----- - -
NOTES:
24"--- 12" �— W02433R TO BE CUT INFIELD TO FITAROUND PIPE
-- --�- - --64' 1)CHASE
- ! 2)CABINETS TO FIT UP AGAINST CASING OF DOORS
I. _ .ET 4g AND WINDOWS BOTTOM MOLDINGS ON WALL CABINETS
—5740 '=._-- TO RETURN INTO CASINGS.
•� TRIM EXTENDED STILE AS NEEDED ON:
W1433R
W30338D
i ro 3)TOP MOULDING IS 2 314"HIGH,CABINET INCLUDES
0818-4 I COWS 380 SS \ f� A 1 3/15"SPACE FOR MOULDING ATTACHMENT AT TOP,
ALLOWS FOR CEILING HEIGHT MINIMUM 85 13/18"
' O 4)ATTACH DECORATIVE FEET IN FRONT OF TOEKICK
m
- - COVER-TRIM HEIGHT IF NEEDED TO FIT.
14e6 i S
m ��1II — '�" 1 O I' - "FIGURES AND MATH:
57 3/8"TOTAL SPACE-29"STOVE DEPTH
I' e 28 3/8"OF LEFT OVER SPACE
.r I to fit 24"dishwasher
O
M
I
..h M
eJ * I it �
I � :.C38R 1
BM}�Y�
39r k} as 5# ti
All dimensions_size designations given are This is an original design and must not be Designed: 11/11/2008
subject to verification on job site and released or copied unless applicable fee has Printed: 11/12/2008
adjustment to fit job conditions. been paid or job order placed,
dmg landry measure 11-11-08 All Dra%ving#: 1