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122 BRIDGE ST - BUILDING INSPECTION
0122 BRIDGE STREET 841-07 CIS#: 1012 COMMONWEALTH OF MASSACHUSETTS Map: 36 Block: CITY OF SALEM Lot: 0032 Category: ategor: 8O PAIR/REPLACE Permit# BUILDING PERMIT Project# JS-2007 001345 Est.Cost: $9,000.00 Fee Charged: $68.00 Balance Due: $.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Expires Use Group: - PROFESSIOAL ROOFING STATE-019729 Lot Size(sq.ft.): 5466 Zoning: R2 Owner: ST JOHNS UKRAINIAN Units Gained: Applicant: PROFESSIOAL ROOFING Units Lost: A T: 0122 BRIDGE STREET Dig Safe#: ISSUED ON: 18-Apr-2007 AMENDED ON. EXPIRES ON. 18-Sep-2007 TO PERFORM THE FOLLOWING WORK: ROOF REPAIR POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Building Underground: Underground: Underground: Excavation: Service: Meter: Footings: Rough: Rough: Rough: Foundation: Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Health Insulation: Meter: Oil: Final: House# Smoke: Treasury: Water: Alarm: Sewer: Sprinklers: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC-2007-001655 18-Apr-07 11529 $68.00 GeoTMS®2007 Des Lauriers Municipal Solutions,hie. i -_- C"'y©F LEi� PUBLIC PROPERTY DEPARTMENT KISI)WAL cv 0ALSf/41 MAYOR 120 WASHING"SMEEr•SLEK SL,.SUCHLstn'rs 01970 141:976.74S-9S9S 9 F)m 976710-9U6 APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION, DEMOLITION OR CHANGE OF USE OR OCCUPANCY, FOR ANY 03STING STRUCTURE OR BUILDING rLocadon ORMATION ms: rBuilding: ress: 24,qY fil boated in a;Conservation Area YIN 1,' Historic District YIN N 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: !i✓ ��lvr! / Address: 22 ,eel 0/yz j'14, JA717, Q7g6i Telephone: 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor (so Renovated construction or renovation of existing building New Brief Description of Proposed Work: �7�d/r cf/H�L /OIv!' / �fl�// /r/Zw Cl/��Yv /!��'t C'!/�• ----- - - --Mail Permit to: What is the current use of the Building? Material of Building? If dwelling,how many units? Will the Building Conform to Law? Asbestos? Architect's Name Address and Phons >) Mechanic's Name �� r/d/otiw /oo -y �G. ` /TZ Address and Phone Z 2 /1 G/ J Construction Supervisors License# 2 HIC Registration# Estimated Cost of Project S GaG� — Permit Fee Calculation Permit Fee$ Estimated Cost X$7/$1000 Residential Estimated Cost X$11/$1000 Commercial 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 //� z!/ZIL Date of N 0 ,.1 � N a a a � v u a II ^S y ' u