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74 BAY VIEW AVE - BPA-2005-698 1ST FLOOR REMODEL A („� ��5 ��� . . �.�}��s��{�.{��{� ��'�'QV�{� $� �� ,IAISp,F��� PFJIDA 7p.A_PFAM�T S,�WG GRANTED CITY OF SALEM � ;_-, No. \J �- , �4�`.`".•t.�, i� � Date ��J �.J ' � y:i.' '\ �j`�� ,:�� .. \ � Is Property Loceted in Location of �/J the Histodc District9 Yes No� Buildin8 �.�¢�/(J� Is PropeRy located in �� -� the Conservelbn Area9 Y�_No� BUILDING PERMIT APPUCATION FOR: Permft to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, Repair/Reptace, Other:fJ,�'/,�.�D.�r�s� ��// �qi�R�P�/GP .t'�Ir�iP� PLEASE FlLL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build accofding to the following specffications: - Owner's Name _r�l�� l�f� �/�-� Address & Phone 7�,�JT�>i�i.�/ �� L��� 7�y_��'� � �:• � ArohiteCt's Name Address & Phone � � Mechanics Name ' Address 8 Phone l � Whet is the purpose of buildirg? �PS/ 4'�/9 �f� � Material of d�llding4 U�Bf�� It a dweuing,tor how many tamNfes? � WIII building coMortn to law7 Y S a�nos� 01� i) Estlmeted cost L�Q�QQ(L_,City License 8 N P' State lJcense N Ha�e Improvdent Lic. i Signature of Appticant SIGNED UNDER THE PENALTY OF PERJURY �i DESCRIPTION OF WORK TO BE DONE I ,��//�.(./ ,.�!�i/f�it� /,dA//' .�f/�i£'%�ifJ�G .(�i� Li�� �I ,�d� ,��� d�i� �' �s,.v��� �� �-,���t ����,� �� , ,�-� �� , MAIL PERMIT TO• �,��/�� i7]/5� CS���Jy/ ��i9 ��1�/� . .�. . �,. , .T.�_ ����� -U� � APPUCATION FOR PERMIT TO . i �/ � `� ����/ � . /7h � • LOCATION� ��l �t��-1 �'�a*✓ �3�e , PERMIT GRANTED - ' �/�5 �au tb � > � _. � o APP,ROV�D , _ � p G � � INSPECTO OF BUILDINGS , w _ ` � . o CITY OF SALEM� MASSACHUSETTS ' � PUBLIC PROPERTY DEPARTMENT � � 120 WASHINGTON STREET, 3RD FLOOR � j' 70 SALEM, MA O 1 970 � �'� Te�. (978)745-9595 Ex7. 380 Fnx (978) 740-9846 STANLEY J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL c 40, 534,I aclmowledge that as a condition —_ _ o-�Builr�in�Pe�rit#� — , a�l debris Fes�ltiflg-�ot�the-construction-activi-ty-------- - governed by this Building Permit shali be disposed of in a properly licensed solid-waste disposal faciliry, as defined by MGL c III, S 150A. The debris will be disposed of at: '�m�'�'s ��G �Ct��`�-.,_ Location of Facility � ��/� ��� ���/!�" a����0 '� Signature of Permit Applicant Date FULLY complete the following information: (PLEASE PRINT CLEARL� �vs� Sf-�'��'� Name of Permit Applicant /�— Fum Name, i any . . � .. 7Y.�i�f/�/iC� i� . Address, City &'State The above statute requires that debris from the demolition, renovation, rehab or other e ' sed in a ro erl -licensed solid-waste dis osal alteration of buildin or structure b di p p y p 8 � facility as defined by MGL cIII, S 150A, and the building pernuts or licenses aze to indicate the location of the facility. , . , . c1iY o� s� . BUII.DIIdG DEPARTN�NI HOMEOWt�A 11GENSE D�'T141d ' . Pkare PdR � ' • a� ? /5 d5 . ' • . . .�auu� 7=.T lJir�i,l , � . . � . � � -- --—�ran��t ' -- . - - . -- — . � � ' � � 'Ha„¢a�vr�t 1�7� - 7�Y� �l S-7� ' ' � '� '2� � �..G�/�� �d� rr�rw+n.n�o�wan� 7�vi • ' ��r.��d-n�or-.�,��e,�u�a�e..��vk+a.�s:o.ir+w • valy Q In..na e,nev.nm�oroeo�oe+s a o,�a�e.e bdFvid�►.!x)�s,►�e aoe�.ot po.es• . . � l�e,p,w�ded�t�e e.r.v'�et n w�a.Y«r. • Dgp�T10li�HOlv�OW1� • Pcrsoo(s)w1�o oNm�poal d Lad oo w�LieL Lsl�he�sida a breadt�o�s�t.ou'+fikfi�Y.� . iruended to be.�ane�o nw lan�dwclli�,ansd�ed a dcncficd�aoa�aottie taaslda�d fvm svuemet A penao w�ho comtrvcv mao 4+m ame homo in s ewo�ea PuSod . �)wapo*'nrt Sw�'hoaKowad'�finib�t to the 8uDffi�O�ieSd.���Pv� Bw7db�Olfril.tIm Lcl�he bc nsponmbk to all�nd1 Noh p� '. .The widcni�ed'boaKownef'aa�mia asPo+�+�blHp'Sar comPl�vr�"�tfie Sntt B�CoBe d ' othc,t appSobk`as by-ln+s,tda ad te�uLtioeL • . 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