Plans must be filed and approved by the Inspector before a permit for erection will
be granted, duplicates of which when approved by the Inspector shall be kept at the
building during the progress of the work
No.
Ward
ΑPPLICATIOΝ
FOR
Permit to Build Addition or Make Alterations
Beverly, Mass.,
191
Tot he Inspector of Beildings:
The undersigned hereby applies for a permit
specifications:
make additions or alterations according to the following
Owner's name and address
Arehitect's name
Mechanic's name and address
4 Location of building, No.
5 What is the purpose of building ?
Material of building?
6
7. If
dwelling, for how many families?
8, Is there to be a store in the lower story?
: No. of feet rear,
9. Size of addition, No. of feet front,
: No. of feet deep,
stories?
10.
No of feet in height from the level of the ground to the highest part of the roof ?
II.
How near line of the street?
12
How near line of adjoining lot ?
1 3
What will be the means of access
the roof?
14
; 3d
15. Size of floor timbers, 1st
;2d
4th
5th
Distance on centers
Span
Will the building be erected on solid or filled land ?
16
Will the foundations be laid on earth, rock, timber or piles ?
17
18, What is the material of foundation?
Will the roof be flat, pitched, mansard or gambrel?
19
Will the building be heated by steam, furnaces, stoves or grates?
20.
Will the building conform to the requirements of the law ?
21.
Thickness i
Where located?
No. of brick walls ?
22
23. Estimated cost ?
Signature of applicant
DETAIL OF THE WORK TO BE DONE
