HomeMy WebLinkAboutZP-4827 - 1080 Shelburne Road 12/16/1974 Code Officer Copy OF SOUTH BURLINGTON PERMIT NO.
8'd 7.
APPLICATION FOR PARELieiNG PERM _
c'st�'i�� ZONE ��[
DATE, �� .�. ?.../ 197I
ems.. dersigned hereby applies for permission to make certain building improvements as described below. (Plans to be submitted if required
r, ling Inspector.) All construction to be completed in accordance with the Zoning Laws and Building Regulations of the Town of South
Bur... ton and the State of Vermont, and conform to the Rwlations of the National Board of Fire Underwriters and any and all Federal
Regulations now in effect. dt,Ga \__S-C2.—c /6 f-t.A CX e- q.(a-
973/
CONSTRUCTION STREET -��- - Lam` D•
, �7NUMBEE< lac j OCCUPANCY FLOORS LOT SIZE: Ft. Frontage Ft. Depth Lot No.
Single Family B 1 2 3 1; P
Two Family Cement OWNER N he BUILDER D.
Apartment No. Fam. Earth ` d✓ � ¢" r t ' u-t,
Store Pine WATER SUPPLY: Pub is g' Private CI
Offices Hardwood SEWAGE DISPOSAL: Public ®. P
Septic Tank ❑ Permit #
Warehouse
Comm.Garage ROAD OPENING: (Show layout) Permit #
Res.Garage Attic Fl.&Strs.
No.Cars Det.D Att.D ELEC. WIRING: Underground Overhead 0 Permit #
Gas Station INTERIOR FINISH . ; -
*Additions-Alterations B 1 2 3 ' ' a 1
FOUNDATION Pine I ' 1 1
Concrete ( Hardwood -- - -
Concrete Block Plaster ! t ' 1
Brick or Stone Unfinished - - • . ,
Piers Metal Clg.
Cellar Area Full I'
34 Recreat.Room I , ' .-
No Cellar Finished Attic 1 !
Fireplace I , ,
EXTERIOR WALLS
Clapboards HEATING I , A - '
Wide Siding Pipeless Furnace
Drop Siding Hot Air Furnace
I o-cke" 'ng Forced Air Furn. —
W gles Steam k .
A_ -.S.,.hgles Hot Wat.or Vapor .. . 4
Stucco on Frame No Heating
Stucco on Tile Electric
Brick Veneer Gas Burner -
Brick on Tile Oil Burner , . 4
Solid Brick Stoker _ , , •+ a I. r.
Stone Veneer PLUMBING - , "`�
Conc.or Cind.El. Bathroom - , '
Toilet Room "
Terra Cotta Water Closet I ,
Vitrolite Kitchen Sink i I
Plate Glass Std.Wat.Heat , It i
Insulation Auto.Wat.Heat
Weatherstrip Elect.Wat Syst STREET LINE
Laundry Tubs
ROOFING No Plumbing
Asph.Shingles Remarks 0 Demolition 0 Utilities closed El Rejected
Wood Shingles TILING
Ashes.Shingles Bath Fl.&Wcot 4:"?' Ode--414q -e,*-6�J /`"40 e4.L c, CZ,I.P�L..
Slate Toilet Fl.&Wcot• 7 7 r _
Tile LIGHTING A., .d�1 e . .c. , t t,A-- a -14 4- f a
Metal Electric
Composition No Lighting (e5'04--L. ,w. -c.k,> A-,-c c.Q.Q.4
Roll Roofing NO. OF ROOMS
Bsmt. 1 2nd. -44A--- C-091-tG -` .- C .41--e-- -f Via- :
Insulation 1st. 13rd. po
/ o
FEE COMP ATION $ / l� _......._•. .... Plans received Yes ❑ No. ❑
/x7 S.,,vv,„ -- (59-7- ei,Lii..,f4,,„r 1,/.2—. .f.
SIGNATURE of 0 ER or AGENT ADDRESS of OWNER
APPLICATION: REJECTED ❑ APPROVED ir
ii4z,‘__.... ... .... .............
/Y n /
45SIGN ATURE OF CODE OFFICER
ISSUED TO & ' #2, .141�. a 'a �/� /i-�'e[- - .r--
ir
Date
19/ PERMIT VALID FOR SIX MONTHS
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