10 Tyler Street Permit

0.66 MB·

by  Inspectional Services Division

Ciry OF SOMERVILLE, MASSACHUSETTS.
OFFICE OF STRATEGIC PLANNING & COMMUNITY DEVELOPMENT
JOSEPH A. CURTATONE

Mayor
Dunsiow oF INsPECTIONAL SERVICES ‘Bunpive eraaruext
1, Kelly A Como, as Keeper of the Records for the City of Somerville, Mayors Office of Strategic

Planning and Community Development, Inspectional Services Division, hereby certify that the
documents herewith are true and accurate copies of documents in the custody of the Inspectional
Services Division relative o the following property

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Signed under the pains and penalties of perjury. this R%_ dav of_WO\, 20.\\.

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Print Name

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CITY OF SOMERVILLE Date REC. a
DIVISION OF INSPECTIONAL SERVICES | s¢ceyren py
[APPLICATION FOR A PERMIT TO BUILD ALTER REPAIR To=4=
IN ACCORDANCE WITH SECTION 1100 arerssun._1O= 4
OP THE MASSACHUSETTS STATE BUILDING CODE | pare: peNtED-

PLEASE TYPE OR PRINT CLEARLYININK | rr 1 OB 2ST
TacRTON or ORE No NDSTREET TO TPRER- SF MAPS = BLOCK A Lore

NAMIE AND ADDRESS OF PROPERTY OWNER

3. NASIEAND ADDRESS OF ARCHITECTIENGINEER . :

REGISTRATION NUMBER 3° ‘TELEPHONE

NAME AND ADDRESS OF BUILDERLIGENSE HOLDER FT =

const sures. uc no, 222 2° _ wc Realno. * saGwarune weQ'D) eb ee
szonnopist 7A [rvreorrenwr = NEW TIADDITION —__COCERTIFICATE OF OCCUPANCY
eed Rem —_CDEWOLITON —_aLTERATION _C OTHER
Touma sas) CFC CAC Oca mOMOSD ISH | TTA 7
IF USES 1 A RESIDNENCE, INDICATE MOMIBER OF DWELLING UNITS TSE GROUP
S-ESTINATED CONSTRUCTION COST |G 72a
i WHATS THE CONSTRUCTION TY 7,7, LANG SUBMITED as aRe
11 LOT BNENSIONS TREX FRONT YARD REAR YARD WIGTSIDE—_UEPTSIDE
TE ROPOSED SERRANO FRONTYARD—REARTARS RIGHT SIDE TTSIDE
TE ETO OF SRUCTORE FETAL SQUARE FOOTAGE SONG OF STORET
Ti DOES THE PROFCSED PROTECT REQUIRE A VARIANCE ANDOR SPECIAL PERNGTT YES ONO

|}'YES, AND A DECISION HAS BEEN ISSUED, PLEASE GIVE DECISION NUMBER

TES PROPOSED WORK WITHINA HISTORIC DISTRICT GYES ONO IF VES, GIVE COMMISSION APPROVAL DATE
Ts WASTEDISPOSAL COMPANY 1 OX DISPOSAL STEADDRESS | yoy a
17. DEMOLITION: HAS DEFT. NOTIFICATION FROM BEEN COMPLETED? ovis NO

DETAILED DESCRIPTION OF PROPOSED CONSTRUCTION
(DO NOT INDICATE “SEE ATTACHED PLANS,” PLEASE BE SPECIFIC)

DRY sear PARTI Oo

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HAVE PROVIDED THE ABOVE INFORMATION AND ITS CORRECT
“THE REST OF MY KNOWLEDGE,

"ARETE FOLLOWING INCLUDED?
YES NO
OCCUPYING STREET ORSIDEWALK 0)