Plans must be filed and approved by the Inspector before a
be granted, duplicates of which when
ction will
building during the progress of the workproved by the Inspector shall be kept at the
No.
Ward
Application for Permit to
Build
Beverly, Mass.,
191
To the Inspector of Buildings:
The undersigned hereby applies for a permit to build, according
the following specifications:-
Owner's name and address
1
Arehitect's name
2
Builder's name and address
3.
Location of building, No.
4.
5. What
s the purpose of building h
6. Material of building ?
If a dwelling, for how many families?
7
8, Is there to be a store in the lower story 1
9. Size of building, No. of feet front,
No. of feet rear,
: No. of feet deep.
No. of stories ?
10.
No. of feet from the level of the ground to the lhighest part of the roof?
I1.
12. Size of ell
feet long
feet wide;
feet high.
How near line of the street?
13.
How near line of adjoining lot?
14.
15.
What will be the means of access
the roof ?
16. Size oi floor timbers, 1st
2d
3d
: 4th
sth
Span
: Distance on centers
Will the building be erected on solid or filled land ?
17
Will the foundations be laid on earth, rock, timber or piles
18.
the material of foundation ?
What
19.
Will the roof be flat, pitched, mansard or gambrel?
20.
Will the building be heated by steam, furnaces, stoves
21.
grates?
No. of brick walls?
Where located?
22.
Thickness ?
Will the building conform to the requirements of the law?.
23.
24. Estimated cost ?
Signature of applicant
REMARKS
