7 OSBORNE HILL DR - BUILDING INSPECTION What is the current use of the Building;? ,%/1
Material of Building? z: e If dwelling, how many units?
Will the Building Conform to Law? Asbestos?
Architect's Name
Address and Phone ( 1
Mechanic's Name /
Address and Phone ZZ�_ el
Construction Supervisors License tt e�V 714-; HIC Registration#
Estimated Cost of Project l- I,S1 Permit Fes Cal ulation
Permit Fee$ Estimated Cost X$7/51000 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 bui to the above stated
specifications. Signed under penalty of perjury X � u --
Date
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Professional Land Surveyors Eh Civil Engineers
ESSEX SURVEY SERVICE. 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD & WEED 1885 - 1972
PLAT PLAN OF LAND
LOCATED IN
519C,5/0 MASS.
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I hereby certify to the 5WZz?,/
Building Inspector that the pro-
ZONE: Q/ LOT AREA: Al A LOT FRONTAGE: A/ posed construction shown conforms
to the_dinensional zo off.
FRONT YARD: SIDE YARD: �Q� REAR YARD:
/ � S✓J1_1E7�'I Mass.
SCALE: �G /32 CHRISTOPHER yGN
R. y
n MELLO
DATE: ���1/� J zoop No.31317 Q
REFERENCE: QL BK 702 PG 79 Christopher R. Mello F y
104 LOWELL STREET
PEABODY, MASS. 01960
(978) 531-8121
FAX: (978) 531-5920
EITY OF
PUBLIC PROPERTY
DEPARTNfE'VT
KI%QwjUAV DRISCOLL
MAYOR 130 WASMPICr'r1N h MEEr 0 SALXK.NASSACHLS 1-M 01970
147:978-74S•9S9S•RM 979-740-9N6
APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION,
DEMOLITION, OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Loc Building:
Property Address
Property is located in a; Conservation Area YIN Historic District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land �S s'/?c� / S l
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
Rrief Description of Proposed
Work:
---- -_ -_- -Mail Permit to: ---_