75-87 WASHINGTON ST - BUILDING INSPECTION CITY OF SALEM
PUBLIC PROPRERTY
DEPART.%AEM
..��a■s aa�r�>_
al��.� t'_C`r.�Y.v::Jt►S 1EtT•iu:f1,ft�vtvl::a.t�1 a::9I.
T1s:W►fa3+191e�f.�1t:97W�.'sar,
Construction Debris Disposal Affidavit
(required fix all demolition and ratovation work)
in=ordance with the sixdt edition of the State Building Codes,7110 CUR section 111.5
Debris,and the provisions of NtGL c 40.S S c
Building Permit 0 _ I _ is issued wilt the condition that the debris resulting hots
this wait shall be disposed of in a properly licensed waste disposal facility as dented by M. GL e
I t L.3130A.
The debris will be transported by:
Inanfe allfaul
rho debris will be disposed of in :
_ (u,ucsruYfaalay)
i
IK*M IMST-BE fiLf_� APPROVED By T44E
IAISPF_CIL#B PFWB TP.A.PEBMIT.B,EING GRANTED
CITY OF SALEM
No.� � :� Date 9l-27/07
yr,
Is Property Located In Location of
the Historic District? Yes No_ Building
75-87 Washington St.
Is Property Located In
the Conservation Anna? Yea No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other:
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name 81 Washington Street Reality
Address & Phone 7 Rantoul Street Suite 100B Beverly, Mh 978-922-0800
Architect's Name H.H. Morant & Co.
Address & Phone 221 Washington Sr_ Saiom MA 978) 744-5354
Mechanics Name
Address & Phone f )
What Is the purpose of building? office/retail
Material of bullding? brick/wood If a dwelling, for how many families? N/A
WIN building cordorm to law? Yes Asbestos? No
Estimated cost sgb>000.00 cftV License 0 N A state ae sa ss CS069097
Home laproveaent V
U(l Lie. t SO Applicant
CA � �}9 � O SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
Please refer to plans by H.H. Morant & Co. dated September 17. 2007_
Please note after City approvals we shall
•install
/new windows at an/
additional cost of $50,000. '/ W�'`v✓,ram�LDl�itt
MAIL PERMIT TO:
1'
No. �'d�.
APPLICATION FOR
PERMIT TO
Q� _
z
LOCATION,,
PERMIT GRANTED
20
AP ROVfD
r
INSPECT. OF BUILDINGS
t