25-27 BUFFUM ST - BPA-2006-895 DATE: y
Citp of ' a&aft ' 1KA'e!55LbU!50t5
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building �Jr a V UTf Ui Yl 5wee +
Building Permit Application For:
'(Circle whichever applies) Roof,Reroof, Install Sifting Ger>5\t Deck, Shed, Pool
Addition Alteration, epair/Replace Foundation Only, Wrecking
Other:
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: r50I 'Priry-)oI In Contractor: Chri srnnh 7.ar ZnrN
Street �`I rJl)iF)n� c3FWee-+ Cit}' leM Street115 North StraatCity_Salam
State.MA Phone (q% q�IN -`bnglo State MA Phone(978) 741-0424
Architect: City of SalemLic# 1405
Street City State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) _ Homeowners Exempt Form_yes_. /no
Structure: (please circle) Single Family, Multi F ' # a Other
Estimated Cost of job S ,5 t n�3 1 , DO
Will building confirm tp law?_yes no
Asbestos?_yes V no
Description of work to be done:
SERVICES
Drawings Submitted:�es� no Mail Permit to: 1•15 NORTH STREET
+St#T girl 119A 6;@;C9
Signature of Appli lion,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
Department use only: Perntit# Zoning Map/Lot
Permit fee S
coMMENTS:
No. -1c
APPLICATION FOR
n' PRRW TO
LOCATION _
PE MIT GRANTED
lip �
APPROVED
,
I CTOP OF 8 LDINGS
CEBTIFICATE .OF OCCUPANCY .
YES
NO 4 �,
•