5 AMANDA WAY - BPA-07-929 FOUNDATION What is the curent use of the Building?
Material of Building? � �O.f�ZYW iling, how many units?
Will the Building Conform to Law? Asbestos?
n
Architect's Name
Address and Phone )
Mechanic's Name 7fldW, ;PA6
Address and Phone ; L)' OX ZED Ti�4� - Dom' U
Construction Supervisors License# 427� HIC Registration#
Estimated Cost of Project S1�,T Permit Fee Cakx4atlon
Permit Fee 3 l/m. - 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 itermit to b ttoottthhhee above stated
specifications. Signed under penalty of perjury X A "� / e
Date
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9 � Professional Land Surveyors 8 Civil Engineers
v
ESSEX SURVEY SERVICE. 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD 8 WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
S4L,!514 MASS.
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I hereby certify to the S�LCni
Building Inspector that the pro-
ZONE: I LOT AREA: / //i LOT FRONTAGE: 11111i posed construction shown co
FRONT YARD: 15Fi SIDE YARD: lMi REAR YARD: Sari to the-dimensional zo a� of f4,y \,
5&0-7 Mass.
CHRIS70PHER
SCALE: �U �,✓, R I
/�WIZ
Z 7 `d// MELLO
DATE: AWIL j oo/ - ;pNo.31317
AG/3TER�p�
REFERENCE: PC BK 402 PG 7% Christopher R. Mello PLS
104 LOWELL STREET
PEABODY, MASS. 01960
(978) 531-8121
FAX:(978) 531-5920
PUBLIC PROPERTY
DEPARTMENT
Kl.kew-R EV ORMOLL
MAY(A 130 WMH1NarC1N SMEr•&M.Ey.waif SM lS 01970
TO;978-74S-9S9S 0 FAX 976.740.98"
APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION.
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.o SITE INFORMATION
Location Name: Building:
Property Address:
Lot't'f3 S Awlw�q 4 S l� /0
Property is located in a;Conservation Area YIN /V_Historic Dftk t Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land _
Name: DS O/' S L�sr` '
Address:
7ftj 1Zf2�i� i OIL
Telephone: �'�J'
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 (sf) Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:
-_-_- - _- --Mail Permit to: