32 HANCOCK ST - BUILDING INSPECTION , r
The CommonWeulth of lVlussachusetts
Board qt Buddin 'Re uluttoris dnd St Inihtrds EOR
B S � m MUN1C'1P\ltll
(� Massrchusetta stuta Building Code 78U CMR,71. edwori USE
I l;w)dmg Permit Application Tn Constr pputr [Zz, vate Ur Demottsh u Rc+ncrl Jnrnrn+,
�� , ,':, One arTt+vr nnti?vDltel6rrg ;. 1 3rH/3
This S •iibhForO" ulU Unly
Budding Pertntt Nutt)be' , a ted.: . , ••` -
Stgnu¢ure
_ 9uikhn@ Cummiss3onert los a.trsraf Bu Date _
SIiCTHON'I. TE:INFOIdMATION,
2.A Property Addeess 2 2'Assessors P dup&Pgrcel+Nuttl6crs,
Iau 1s this udtuueptedstreet?yes_!' no,' n'laPNumber -,3 Puncl Numt+w, -
2 3 Zoatng Intorttuttlon`: 2 4Property®Imens6ons
=Z,o'nmg Dtstnu¢:' Prriposed Use [mt(A -a(sq Y4) ''`. Fronmgt`(t4) r
fl:9 Brill SetOacke
,...
Front Yard `- Stde Yar3v Reui Yard r
.?.Rcyulrcd '.Piuylded - Regiiirad _ Provided;', .Regmred - Pnivid�d
1`.6 Yater SteppOy I M G;L a 40,§541
d I? FlogdrZone Infoeptatlont 2 8 Sewage Dtspgssd System
:: 7�ne Outvtde;Rond 7one7'.
Pubhc❑ PnvWe❑ Muntcipnt O On sue dtspa ul system ❑ N,-
SFCTHOIY'Z _P2Y®PERRY-OWNERSIOPt
2.E OwnertbfRacord
i, AA)AM 'Alttc
Narru(pr(PU Atkhess for Service
z Tele'hoot
P ..-
SEC Pp®M 3 1DESCRIPTHOAIOF PROPOSEHD WORHC'{chec@s uB 4hat apply) ,
New Canstiuetfan❑ Existing Building❑ Owoer-Occupied a Rep+airs(s)x� . ',Alteration(s} ❑ rtiddinon ❑
Denghhort ,,., .t7 Accessory 81dgi O} Nymber afyUnits ;Qther O Sp�dly `-`�= ,.�
Brief Descrtpnon of Proposed Work = /J '- ' '
42 ✓ brio)d-L
A
5RCT2ON 4 E5 dIMATE®CN5TRUCTION COSTS
tram Esrimatad Casts ®fH2eiltH YJse Ord `
(Labor at d Matenals)4+
i Building Pernu[Fee $ 'anduatt haw tet is determinedi.
O 5tarsd'u d Ct[yaowq Appltcano Fee
2:Elestncal $ p Total Prq)ect Cos . (Itetn fl x multiplier x
3 Plumbing L$ '-2Other Fees $ , -
4 Mechsntut! {HVAC)
S,Mxhantcal (Etre
Su" rexs,un) ' ;$ °` r ;Total All Fees S
k No Chd:k Amuuni Gish AmcwnE ''r
5 .�otaH
;P Oct L'or+l $ rEl PmdtnFull 7�,Oursmndin�BulongeDue ` r
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(sqp below)
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en or
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Uhnisfrididt u0tfiO5;000,17aFt
63trided-I&I'Funfity'D
St n
RCri
-RL5idMiL9 Roar Vcriiig
UVII t1a1,AVindbW,iIAd;Siding._
idcfit1d1SbhdFu&Burn
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HICCompany Name or HIC Registrant Name e
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ignnw
SECTION:6W&RE�� COMp ENSAT -AFF1DAVT(M.Gac15 S,
Onsurance affidavitonustUtdin0lete........ hi pair ii,
=Workers Cohipensattai _d,_dhd.sUbn
this dfidavirwill result iWthe enia the a : inppermit
..........
als N
SECTX MWWO
MAUTHORIZATIORTO.WCOMPLSTED MHW'.,t
%AGE R.CONTRACTORAPPUtgPERMIT, 2.
0 '
"m ofthe subpet property hereby
o act on.my behalf rm,til minters
�
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"I �,nz�r.2 tNc!/� /ale6y.<t � t as Owner or Authorized Agent hereby declare
"that-thestAterrims and:informa ion on,the il d ,best foregoing Ica orfare true an -accurate,M of my knowledge and
-X
[It N -Y--
Pit
99inini airownevor-Authorized-Agm jpate '
- '.(Si ned under the mss olidpalin thni of UrOn.%,
-i�MOTES
—building' "Whai' -h*iVhc'r.-o'wn,,wo'rk�,:,or"an'o-'wn'er-,,'wW:h'Lres an unregiste"red-c'
'AnOvMbinOdobtains'a: PCMI d 0 1 ontruclor
Home Improverrick
antractor-,( )'Progrurrij;will aw have access to the U-6
progmin tit "U
ndibilderM.GXic�A ZA.-Utherimpor=ttntormi3tionrafai(he IHMJU% r !I-
ngiqg:(CAL).can bbfound:ih78O,CMR Regulations,11l l0 R6 nni3 110 RS-respevovaly..
.
work A'wp1iinn&dj!OroVide-the mforiiiofWn below
611111flo,ors'arda(Sq.-FL),:1. 1-- An
TL
?Gross!wing nrealS F 02� Ly hit,til
N'M
Number of bathrooms 7-
Type of healing system Number nt s/
porches
;Type
10
o cdiblinWsysfcrni Enclosed