7 AMANDA WAY - BPA-08-211 FOUNDATION ONLY . f
What is the current use of the Building? /1&�
Material of Building? � 'f}° if dwelling, how many units?
Will the Building Conform to Law? Asbestos? AOCJ
Architect's Name
Address and Phone ( )
Mechanic's Name.
C !dam . 6 �/ - 7d
Address and Phone Z
Construction Supervisors License# -HIC; Registration#
Estimated Cos$of Project S �� Permit Fee Calculation
Permit Fee S s Estimated Cost X$7/$1000 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 Jbthe above stated
specifications. Signed under penalty of perjury /�
Date.
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Professional Land Surveyors 8 Civil Engineers
ESSEX SURVEY SERVICE 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD & WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
SOLEh1 MASS.
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LG79�
0
D
0
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GJ��ZL/hG �I
16' !6"
7a'
XRx/Yd x W4
I hereby certify to the 511ZZA1
ZONE: �( LOT AREA; G Building Inspector that the pro-
LOT FRONTAGE: �� posed construction shown conforms
to the-dimensional zo '
FRONT YARD: SIDE YARD: IVI REAR YARD: Hof S/✓ZA7//i Mas s���t 0 1y
SCALE: f q CHRISTOPHER GN�
DATE: �0/JL 31 LOG 17 R.
`� ,p No.313 31317 O
REFERENCE: BK PG JG, Christopher R. Mello z
104 LOWELL STREET
PEABODY, MASS. 01960
(978) 531-8121
FAX:(978) 531-5920
/ � f
ErrY-OFSXLEi 0 --
PUBLIC PROPERTY
DEPARTMENT
KI.%LLfER6EY 0115CULL
NAYM 120 WAsHINCT(7N h MEET•St&K.MMUajLsk-9S 01970
Tm-978.745-9S"1 F=976.740.98"
APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION,
DEMOLITION OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION S' � J :. 77TfG
Location Name: Building:
Property Ad.All -',zlz 7
prop" is located in a; Conservation Area Y/N Historic District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: //
Address: 7� �/�l' 6-4e eM%0V
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 (sf) Renovated
construction or renovation
of existing building New
Brief Description of Proposed
/Work:
Mail Permit to: