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82 TREMONT ST - BUILDING INSPECTION (3) • ,ttil eI .{".1.. .{S.,a.i e . 9, .r•+ v.t r.',. 9hi. +.;Wi ,ry;tiR6 •h s. i..{IL n 1�+ rr .'✓Ue .:<.ii1r nel ,iY.%Jr :iAir - Al, +1,Yi4r an r'Y rd i,+ ;'.•`d'd ur•;V Y:�1 „'� }'. _. i lt3'll . . , . ,�f �'.'!: "'E?' � y . . �Rily ;.fir,;. ;�c,y,'!. H'j¢_r•1 • Jv4 etvl;RU.sfi Ckr .. .,.....,.,.. .,.. .,._....... .,., ;:•,...y .� .,,..... .»... ... ... ..... .. .. .... .. .. ,„ r :i3tStt• �r�l'V,< r ,\ .a+:S M"n��r s1hlb ': ia,z k §Y 1x�eptrtr,iNt4,:i' d+< Wtisb " � + 4..-d isu i':Yf� � �� i+s�1"� -:i 1, , CD �ZC)LL CC- CL z_ .1� a- c _• - DATE: Citp of 'r=ParEm, r aS��L�U�Ett� a PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building ';;-P, Building Permit.Applicatioo For: '(Circle whichever applies) Roof Install Siding, Construct Deck, Shed, Pool Addition, Alteration, Repair/Replace,Foundation Only, Wrecking Other. PLEASE FILL OUT LEGIBLY & COMPLETELY TO AV.OD) DELAYS IN PROCESSING To the Inspector of Buildings: The undersigned hereby applies for a permit to build according to the following specifications: Owners Name: E�/9 D/f Contractor. Street fa 7En10NT ST City S7¢LEM Strat City State A14 Phone ( V� State Phone( ) Architect: City of Salem Lic# Street City State Lic# HIP# State Phone ( ) Homeowners Exempt Formyes no Structure: (piease circle) gle Famil Multi Family# Other Estimated Cost of job S 7 S `D 2l Will building confirm to ?ems no Asbestos?—_yes_oo 5T?/P EjcjSl/yG 19sP�,1[T SEf/.y >/�'S Description of work to be done: RE ELI CE w/ LE ) -30 Y)Z ©vE R ICE' 5�Yclz p 9- ?*R W6P. Drawia mitted: ecs, no Mail Permit to: X S' re of p i atton,SIGNED UNDER THE PENALTY OF PERJURY CONSTRUCTION TO B 'COMPLETED WITHIN SIX 6)MONTHS OF PERMIT ISSUED DATE Department use only: Perrnl(I Zoning Map/lot T Permit fee S COMKENTS: BU MINOWARTMM iimao mLI(E=E mwnoN Pkm Pda � ADS lOD1ACATfQ1 �� E�ioNl S%'- Si¢-GE/Lt /� gat Ell o'ty i Tazrlow rx>< brrmmm w ��o�!T- Umlta w lm aad a auto so&'--.I U a wwa k lis.rltt am paaaaa r>:rn�rloeatladE.owlalc ?as=(Q WM wrar a pmd of W d o&wW Wdn maiden a Wm&o fir.au.dtidl�itib 4aaidad a K�oaa a two�dwdMq.ae�sdtd w dseadtad ttaaetaota aatlt ar lienl firm nuaw L A pKum rho eerrmm mete dra an homt iaa trrorw P� W aboommoM B Ss diet LrJdK be�poa�blt a all md�wp�onrd PQi .The midcWPW-bomaow mf aomaes tapaasklk fm C=PBm wl&*$Sena Bad cede ad ' atha too%-bvi%vft=dnpbdmL Tht M&mipad-mmeorrad arm a dat hehls mdam&the Olp�of Belem salldb f DePeo� wa mn wpow m Pro="=and"gedamttma and Chet Mafia wm V=*wilt am puawmm ad rmq*=M& HO?aOVMM'S SMATIAt>< AFMVAL OF BMDING II15PECJQI Sac otla odt for Mee coda arY OF S/►lEM BUII.DII�IGD�PARTI�Nr HOW10VOM l iCEm E mirnoN Pkm Pdt DAB — B ocAT�oM HCIAO SM liobdEo�►++� TE>LEPMG �sFxrw►n,a+.ci 71r easesit.a d'boa'O"Of= wo cuaW to brtaa..wwta PmPW i'p d'lMO Uwa Nick od to aAsw &b=ovwmn to wwv w bdINId4 '�des atpo�tts f ya,r,,d,vv{ded tbat4tt vwear eet s M . QWft ?own OPAO vwoa a Oalud w.vbli uMii roads at brn►b�o*s1�.a•+Yd►Ows iS s Y . baen a w b%a aua a two 5aoib dwcffiy,atoclted ee daoebal t>re> ooaesteay is teeef trs adlrt farm etrecma A yenao WW UMUDUM m t m aae ban ins twa7K P&A tmslsetM eosel/eeed Sne►'ho wwme dnittebetdt o dtcBeDdie�Ol4e3i.w s wenF evspallt� Duaft o lda thn beldee ba napomibk is al tuft vredt patsbamed tsdat the bad IU=derdp ed'wmwwmf"a`vr4+asPe*MW foe TAO tha San$dfti Ceds aad ' other go=bk pa briowme tds and tepbdm L -hoa�eoerad'ocrtffia 9�a1 he/abe m�derrueds>ha�ed Salem BdldbiD�oo�t awn pmctdms and nq�cmm and*0 h4ba.vt'S�.rim still PO00�ar mqW ®au HONIEOWHM'S SIGNAT W APPROVAL OF BMDD4G WVEECTCR Sec 06a adc for sate cafe CITY OF SALEMt MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RO FLOOR / SALEM. MA O1970 TEL. (976)745-9595 EXT. 380 Is FAX (978) 740-9846 STANLEY J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL a 40,S34, I aclmowledge that as a condition of Building Permit# all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid-waste disposal facility,as defined by MGL c III,S 150A. The debris will be disposed of at: 8z 7;?E1110'V7— 57--AS P 015P05 L Location of Facility Signature of Permit Applicant Date FULLY complete the following information: (PLEASE PRINT CLEARLY) Ells p,4t_6_N Name of Permit Applicant Firm Name,if any 7�J3E�co•y� 57- 5e_fl_ y Address,City& State The above statute requires that debris from the demolition,renovation, rehab or other alteration of building or structure be disposed in a properly-licensed solid-waste disposal facility as defined by MGL ca S 150A, and the building permits or licenses are to indicate the location of the facility.