2 AMANDA WAY - BPA-07-1142 FOUNDATION ONLY What is the current use Of thfik Building?
Materiai of Building? If dwelling.how many units?
Will the Building conform to Law? Asbestos?
Archited's Name
Address and Phone t )
Mechanic's Name DC�
Address and phone �
Constnrdion Supswisom License S Dom�/ HIC Registration#
Estimated Coa Project S r a- � Permit Fee CaRx ww
Permit Fee i �iV Estimated Cost X$741000 Residential
_ Estimated Cost $i il$1000 Commercial---
An Additional$6.00 is added as an
Administrative charge.
Make sure that all flekts are properly and legibly written to avoid delays In processing.
The undersigned does hereby apply for a Building Permit to bull" above
u �-
specifications. Signed under penalty of pert ry X /
Date
V
b �
xe a
F A
PUBLIC PROPERTY
DEPARTbIFNT
. i:L�WFY6Y o•e.•.a�
= 1�W'►L�1N4�w Sl1E6T��+'�4�ns'SAd6;5kTtt 01970
14L•978.74S-9S"0 FAr M740-98/0
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DLMOLITION-DR CHANGE OF USE OR OCCUPANCY FOR ANY EMSTIN61
STRUCnM OR BUIL.DVUG
1.0 SITE INFORMATION
Location Name: / s'u Clitd/wilding: f 2
Property Address
Property is bested in a;Conservation Area YIN Historic Oistrid YM
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land - wwe S .
Name: _
Address: //
Teleptlone: --M , 33
3.0 COMPLETE THIS SECTION FOR WORK IN EYISIIiQ BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existtng
Approximate year of Area per floor (sj Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:
Mail Permit to:
R227y -Z_1'
/ Professional Land Surveyors 8 Civil Engineers
ESSEX SURVEY SERVICE. 1958 - 1986
OSBORN PALMER 1911 - 1970
��✓�� — U7 BRADFORD 8 WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
SALE/LI MASS.
1
1a3.�is
17,7
lGT`F
w
5T
ti
o P���sGn
bh,.
I hereby certify to the 51ZZ-;1
�lGS7Ci1 Building Inspector that the pro-
ZONE: K LOT AREA: IPI' LOT FRONTAGE: A01,2 posed construction shown conforms
to the dimensional zo �..
FRONT YARD: &/ SIDE YARD: IG f,' REAR YARD: ,JY, �5416'6' Mass,
CHRISTOPHER �
SCALE: 4d R.
MELLO
DATE: Al 209 9 y No.31317 o
REFERENCE: BK PG Chri pher R. Mello P 15
104 LOWELL STREET
PEABODY, MASS. 01960
(978)531-8121
FAX:(978)531-5920