17 BAY VIEW CIR - BPA-2007-955 REMODEL BATH What is the cuff ant use of the Building? residential `
Material of Building? if dwelling.how many units? 1
Will the Building Conform to Law? Asbestos?
Archited's Name
Address and Phone -
MechanWs Name
Address and Phone
Construction Supervisors License#�---HIC Registration#
Estimated Cost of��P��roje��d""S�. —� Pertnn Fee Calculation
ial
Permit Fee$_ sr Estimated Cost X$71$1000 Resident
.-—_ -- Estimated CosiX$111$1Goo Commerclal�—
An Additional $5.00 is added as an
Administrative charge. - —
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the above stated
specifications. Signed under penalty of perjury
Date—_'--
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PUBLIC PROPERTY
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S,may,MAwuHL;Sh'rR 01970
TM-976.715-9S99•PAX 976740-gM
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING
STRUCTURE OR BLUDIN
1.0 SITE INFORMATION
Location Name. Building:
--- -
Property dress- ------- ---- — -- -------------- - -- __
17 Bay View Circle, Salem, MA 01970
Property Is located in a;Conservation Area YIN M Historic District Y/N M
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: Diana M. LaMonta ne ^
Address: 17 Bay View Circle
Salem, MA 01970
Telephone: 978.745.1016
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing 1
Renovation x Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (so Renovated
construction or renovation 1965
of existing building New
Brief Description of Proposed Work:
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-- -- Mail Permit to: - --- —