7 DANIELS ST - BUILDING PERMIT APP PUBLIC PROPERTY
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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: Buikung:
--- Property Address;--. - - - 11
1.2
Property is located in a;conservation Area Y/N Al Historto Dbtrld YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land `
Name: SC e
Address: 9p3
,�• O I �D
Telephone: - ? V 1 ,9
3.0 COMPLETE THIS SECTION FOR WORK IN EXIS A BUILDINGS ONLY
Addition Existing j
Renovation 1/ Number of Stories Renovated
Change in Use New
Demolition Existing
LAea,�
Approximate year of APtiOh er floor (sf) Renovated
construction or renovation bu i ldl;vof existing building j New
Brtef Description of Proposed Work:
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Mail Permit to: i s /hoc/ S�re,L� /3 e✓r� ly �I�t O/9if - -
What is the current use of the Building?
Material of Building?i r [k _' if dwelling.how many units?
WiU the Building Conform to Law?�/�� Asbestos? /I/O
Architeds Name
Address and Phone ( )
Mechanics Name
Address and Phone CS 624
Constriction Supervisors License U O f HIC Registration# / 9y
Permit Fee Cal Won
Estimated Cost�of�Pr�oled i D,Off•
Permit Fee i �--� Estimated Cost X i7Ii1000 Residential
Estimated Cost $111$100o Commercial--An Additional $5.00 is added as an
Administrative charge.
Make sure that all fteids 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 X:Z ✓ l�
Date 7
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0007 DANIELS STREET 976-07
GIs#: 5729 COMMONWEALTH OF MASSACHUSETTS
Map: 35 Block: CITY OF SALEM
'
Lot: 0382
Category: REPAIRIPEPLACE
Permit# 97607 BUILDING PERMIT
Project# JS 2007-001605 '
Est.Cost: $120,000.00
Fee Charged: $425.00
Balance Due: ` $.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor., License: Expires
Use Group: PATRICKAS TED CONSTRUCTIO SUPERVISOR-062954
Lot Size(sq. ft.): 3458
Zoning: R2 Owner: GALBER SCOTT
Units Gained: Applicant: GALEFR SCOTT
Units Lost: AT. 0007 DANIELS STREET
Dig Safe#:
ISSUED ON. 17-May-2007 AMENDED ON. 09-Aug-2007 EXPIRES ON. 16-Nov-2007
TO PERFORM THE FOLLOWING WORK.
REPLACE WINDOWS AND SUBSTANTIAL INTERIOR RENOVATIONS ADDITIONAL WOARK WITH PLUMBING
AND ELECTRICAL COLLECTED ADDITIONAL 425.00
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-2007-001952 17-May-07 CASH $425.00
GeoTMS®2007 Des Lauriers Municipal Solutions,Inc.