8 BEDFORD ST - BPA-13-319 REMOVE WALLS/INSUL. REWALL _ 'a --- I'hc C'ununum+'eaidt of�bl:usachusetLs
Ifu,lyd of Building Regulations Mid Standards Cl IT OF
+?e„ "'15 aehusctts Slatc Building Code. 7SO CNIR SALIi,xI
Building Permit Application To Construct. Repair. Itcnuvate Or De olish a
Unv-or rna-funny Dn ailing
IIuilJing Permit Number. This Section For 0frUal Use Old /
to Applied;
ILuIJmy 011iclal(Prinl N;une) �.r
Signature )a
SECTION I: SITE INFORMATION
P perry dal a t 1.2 Assessur Dlap ds P cal Numbers
Sr
I.la Is this an acre teal street? •m no Tlap Munher I'urcel Nwuher
1.3 Zoning Information: Ly Property Dimensions,
Ts—im, D—irida,— I'n puscJ tjw
LutArcafsyltl L! BuIIJIna Setbacks(It) Fmninyc 00
Front Yard Site Yards Reyuircd Provided Required Provided Neyuircd Rcsr Yard Provided
1.6 Wester Supply..(M.G.,.a 40, 154) 1., Flood Zone Informalloms 1.8 Sewage Disposal Systems Pablle O Pri%ate O Zone: _ Outside Flood Zone?
Check if csO Municipal Cl On site dispurul system C
SECTION 1: PROPERTYOWNERSHIP'
1.1 0+ n t of Re ds
°ArborN W 67 7o N;une(Prim)j r C'ily.Seale,l.Ip
No.and Slreel ✓� ii, d.C:.ti_
felrphune hmull Address
SECTION J: DESCRIPTION OF PROPOSED WORKS(check all that apply)
New Construction O Existing Building❑ Owner-Occupied O Repairs(s) ❑ Alleratlon(s) C Addition ❑Dentulition 0 accessory Bldg.p Number of Units
BriefDescriptio ofPr9ose \ orks: Other O Spccily:
f IS Sv� W D✓8l o F
f9rt e.t w
SECTION 4: ESTIMATED CONSTRUCTION COSTS
liens Estimated Costs:
(Labur and.\Imerlals) ORiclal Use Only
"Iring S 1. Building permit Fee: S Indicate huw tee is determined:
'. hacdrieal S O Standard City:Town Application Fee
I I'(unlhing S O Total Project Cost,I Item 6)1 multiplier
'. Other Fees;
J. \Icch.11lic.11 ill\ 1l'a S Lisc
�u+.n'ssiuna S rohd \Il Fccs: S_ _—
n l'utal Project Cml i3 ChaA Vu. _< hccA.\mollllt: C',nh \maunl:
❑P.Iid in Full p Oulstandiny Il.d.wce Due:
L9J
1
SE("[ION t: f'1)N11'gtgl( rgON 5ERV1('F.S
Pq
S•1 ('unstr ctiotlSupen'isurLitensel(til) jr,+1 '111m IMW
Iec
_ _.. ......._-- Iu,tNunlhcr I
Iu1CSl
I)e>rripliun
Arid d 1 ll)uJJin s li la 15•Il1
lq.u. It
_ \I 1ta>oa
l'ini111en,51,uc.Lll' R(' RihIIIII Cuwrin
µS Wllldll\1',Ulu tiIJIII
SF Solid I'uuI Iluming APPliances
Demotion
1'elc hunt rmuil nJJrva
D Dennslitiun
S,1 Reglstered Ilume Improvement Co' rltclor IIIIC) IIIC I(egbl r f spirWian I)att
IIIC(:anlpun) Noma or I IIC Itegistrunt Nunw
limail aJJrvss
No.and Street
role hunt
Ci /Town.State ZIP
SECTION 6t WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. ISI. !SC( )
Workers Compensation Insurance affidavit must be completed and submitted with this application. failure to provide
this atlidavit will result in the denial of the Issuance of the building{permit.
Signed Affldavit Attached? Yes..........O No,..........O
SECTION Tat OWNER AUTHORIZATION TO BE C0111PLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERNIIT
1,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit opplicatlon.
Duta
Print Uwncr's Nwnt(Elcctrunic.signuture)
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my Maine below,I hereby attest under the pains and penalties of perjury that all of the information
contained in th' app i t t and accurate to the best of my knowledge and understanding*
1,2-
Duct
I'rint0eIle ', or: whori1W agent'+Nam'111: clrunit.\iynaulrv)
NOTESt
I. \I�o 11 egisttredinbhelHunehliliproing vemtnterinit tCumr hither
ctorlH10Progrnthi"llni,er shavehanesstoire$an t the arbitration
stractur
prognntlUr guaran i)1 food un er un he Caostr .4.Other lien Supers ria t alma sn be found ation on the �Prugrant.,>nt .10hund al
�1 htn subilantial cork is planned, prw idt the inl'urntmiun below:
I including yaragt, linisI basement attics. Jacks or Purclu
fatal dour area t,y 11.1 . ---- — Ilabitahlt ruunt count
Gn+st lis ing,vea l sy, lt.l ..... \umher of hedrwnns
\unlheroflireplaccs ,. _ - -- \wnberul'halfhalht
\unlhcr ot'hathroorlli glluher al'Jccl t parches
I\peal hc,uulg s),leul 01wil
I'nclo,cJ I
I t I,t of Coohllg N,Ie lli
ProieGl he ,III+d11111eJ tar fatal Project(a,t"