6 OSBORNE HILL DR - BUILDING INSPECTION 4
What is the current use the Building?
Material of Building? G4illr eliing. how many units?
Will the Building Conform to Law? Asbestos? �
Architect's Name
Address and Phone )
Mechanic's Name 1
Address and Phone �X �a v
Construction Supervisors License# 41-42-21V7 HIC Registration#
Estimated Cogpf Project
Prroje $ l�,DoD Permit Fee Calculation
�
Permit Fee$�L_ Estimated Cost X$7/311000 Residential
Estimated Cost X$11/$1000 Commercial
An Additional$5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to b iid the above stated
specifications. Signed under penalty of perjury X
Date
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EITY-OF�XLENL - -
PUBLIC PROPERTY
I SIC DEPARTMENT
Ki%UfiRLFY DRISWLL
MAYOR 130 WASHING"SMM•SALEK N.SSSAa1LUTM 01970
Tm 976-74S-9S"•FNI:976-740.99"
APPLICATION FOR THE REPA_M RENOVATION, CONSTRUCTION.
DEMOLITION OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
Property Address:
Dsz10e-A`1 fig-
Area YIN Hlstorlc Dlatrld YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land Q D/ e
Name:
Address:
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (so Renovated
construction or renovation
of existing building New
S ief Description of Proposed Work:
--- -- - -- _-Mail Permit to: -----
flZVyS
Professional Land Surveyors 8 Civil Engineers
ESSEX SURVEY SERVICE 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD 8 WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
SAL,�71� , MASS.
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I hereby certify to the 59l��
/�� Building Inspector that the pro-
ZONE: K! LOT AREA: (/� LOT FRONTAGE: /2�// posed construction shown conforms
to the dimensional zoning of
FRONT YARD: /$ SIDE YARD: /dG REAR YARD: lir7 SASE Mass.
N / Ih UE MASS
SCALE: �U ray 1Si0PHER a07GN
DATE: /�90'/ lei 2Go 7 R'
ELLO w
Na 31317
REFERENCE: �/ BK 42 PG // Christopher R. Mall a�7t e
� o
104 LOWELL STREET
PEABODY—MASS. 019_ 6� 0—
(978) 531-8121
FAX:(978) 531-5920