0004 - 0006 BOARDMAN ST - BPA-2006-792 SIDING DATE: .q'�I - Q�U
Citp DfAY�IU, � dL�U�Et
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building N -(D &Qrdfn�n s*rnef
Building Permit Application For:
' Circle whichever applies) Roof, Reroof, tall Sid' ct Deck, Shed,Pool
Addition, Alteration epair/Replac Foundation Only, Wrecking
Other: F
PLEASE FELL 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:
Owners Name: IN04) > 001 / 24fnon Contractor: CnristnnhPr, 2.orz�E_
Street H-La Lo 0-0t) 5r. City Street 115 North Straat City Sa1Pm
State, MA Phone Orro) 7H5 -OL01a State MA Phone(97g) 741-0424
Architect: City of Salem Lie#, 1405
Street Citv State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form yes no
Structure: (please circle) Single Family, Mulii Family .3 Other
Estimated Cost of job$ 1 hl 4 aa: b0
Will building confirm to law? yes no
Asbestos? yes no * 51Gliriq over 05be,5f0,5 (nOf Y noVin9)
Description of work to be done:
FY15>U1 +woluP ( 19) <Caunre,s C} yin Sfdlild RPOtIa(1� raSbinalk
L2CL On a hulKhend5 nrYJ -Frt 4 Porch wi-f'h ruhlrn_r YpnC
Tn�katl owe C1 yinul r gncPryyn-f• rnsern.Pr-�k I,ylrndaO .
SERVICES
Drawin S b fitted: es no Mail Permit to: 115 NORTH STREET
BEM ARA 9�879
Signature of Applicati n-SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6) MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning Map/Lot
Permit fee$
COMMENTS:
_ 1
if
No.
AF.PLICA TION FOR
' PERW TO "
LOCATION
PEIMIT GRANTED
//30/Q� ,9
APP� V p
INSPECTOP BUILDINGS
CERTIFICATE OF OCCUPANCY
YES
NO � • 4
..