31R BOSTON ST - BPA-2007-73 SPRAY BOOTH COMPLIANCE� : • /�� p� CITY OF Sr1LEM
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,`���°�`� � DEPARTMENT
KI�NERI.EY DRISCOIl
\�AYOR 1?O WASHINGTON S'IREEl'� SAlliM,MA15AC31G561"1S 019�0
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APPLICATION FOR THE REPAIR RENOVATION, CONSTRUCTION,
DEMOLITION OR CHANGE OF USE OR OCCUPANCY. FOR ANY EXISTING
STRUCTURE OR BUILDING
.; .. ,,. ,.. ..:,. :
1.0 SITE INFORMATION
Location Name: Buiiding:
Property Address:�\ �` �0���� • �CA�
Property is located in a; Conservation Area Y/N Historic Distrid Y/N
_ ,.
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name:
Address: c���(�
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Telephone: �
3.0 COMPLETE THIS SECTION FOR WORK IN EXlSI1fllG BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (s� Renovated
construction or renovation
of existing building I New
Firiaf Description of Proposed Work: � ��� �� �� �
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Mail Permit to:
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What is the current use of the Buildjing? � \U Y��--
Material of Building ��� If dwelling, how many units? � ,
Will the Building Conform to Law? VR C Asbestos?
Architect's Name
Address and Phone ( )
Mechanic's Name
Address and Phone
Construction Supervisors License# HIC Registration# �
Estimated Cost of Project $�_� Pertnit Fee Calculation
Permit Fee $ Estimated Cost X$7l$1000 Residential J
Estimated Cost X$11/$1000 Commerciai I
An Additional $5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Buildi iid to the above sta d
specifications. Signed under penalty of pery'ury
Date —��-- ,
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� CITY OF SALEM
� ����J ' PUBLIC PROPERTY
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�„� DEPARTMENT
KI\IISF.RI.EY DRISCOLI
i�1AYUR 72O WAtiH�NGTON$"I7tEET� $ALEM,NIASSACHUSL71ti 01970
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Please find the attached set uf plans for the proposed cons[mction for
SD�/�✓•�L.L<./L _..._ located at ��'2 3/ ,C�a.t'To�/ s"� , �
as sltown on Assessors biap # Z � ,block �^ , 10�#. �Q s 8 .
I am forwarcling these plans to you for your review per the current regulations of 780 CMR.. .
(Massachusetts State Building Codc) Cltapter 1 - section 110.8 and Chapter 9 - section 903.1. Please
review these plans for compliance with Chapter 9 and/or Chapters 4 & 34 as applicable. Please forward
nuticz of your approval, disapproval, or request for an extcnsion of time for review, to d�is office within ten i
(Ip) days. As provided in Article 1 section 110.8, if your approval, disapproval, or request for an
escension of time is not received by this deparement within ten(10)working days, ilie plans will be deemed
ro bz iu compliance with tl�e applicable sec[ions of Chapters 9, 4, 34 and, [hercfore, approved by you.
Por the pwposzs of your review, it has been detennined that the proposed use group(s) is/are �
.md the proposed conshuction rype is � �
. A 73U Cb1R fire protection nazralive is at[ached not at[ached � �
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;\ 730 C�1R Chaptcr=4 cvaluatiun is attached not at[achcd ' = `� i
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Thank you fur your prompt attention to this matter. o � ( , : •� � '
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General Notes
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. , �r�y'',� 9 bol Deacrfptlon Totel 7Wa 9Leet Tatal ".Ihb Job 9Sve FP-1 Job: I
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, ' � P.O.Box 56T ` � �I�bL�NOt� � 3. Nigh 7empenture Heeda ere to be fleld luceted 1lhere Requfred, +(�Os xn-q Sle�. o[ Top o[ 31ee1 Q i6 (1/2',K=5.6) CENIRAL UPRIqi'7 BRASS 155 OR Dmwn B� 3EC � Q
PRO TON v� 4. a� ri es end He � cemnq ttei�ne �I
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��+T�N�MASSACHUSETTS 01936-0567 oger IxnUon 14 1/2',K:4,2) CENIRAL WNT NSW 155 FR RE$
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'i TELEPHONE (978) 807-2397 c��' �� °e�8 � �08 29 JUNIPER DRIVE W
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�i '�, � Approvnl By LYNN P.D. SAUGUS, � �
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