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5 FAIRFIELD ST - BUILDING PERMIT APP (002)
' ` • ' ---- =-`�o�� `�/ --- ; �hC l ��nun��n���'nllh ul �IJss;i��nl�cll. I I � �I! � � , IS��:ir� �,1 liu�l�ing Rr�ul.,iiun, .�n� tii.inJarJ, i >II �:I� II' �I I I 1 � L :� ; �la.seihu.rils Si:�t� 13ui1JinC ('��dr. 7511 ('�1R. 7°i �Jiii�,n I �I I ' I ISuilJin_ Prrnut :\p��i�:wun T�� ('un.iruii. Rrp�ir. R�ni��alr l)r 1)rnu�li.h ,i R� � ,,, ,1 L���,�.�� � I � l �unilrl)��rllir�e ' l ._�n_.�-- -� \ Onr- ��r Tn��- . \� � fhu .leiuunf�al)ffiiiall'.rOnly --_-- `� �y /_ -- -t � � BwlJin� Pernnt Vumhar __-------_— - -.._. ��alr .\pphrd: . --- — . —..V .V . � , — ----- -• �/ �/� e ,,,.�,.,,��� -- __ _— - �-- v BwWuiF (���inuu..iun:ii In.�k'.wr oi BwlJuie. U.nt _'_"____"' '_" - .' ' i tiF:C'I'll)N I: �I'I'F: I\POK�I:\�fll)N __ --- - - - - . . 1.1 Pruperh� .\ddrc+ • — � 1.2 .\ue+�urs �lay & Parccl Vumber� � ���__�_ �� - -- -- - ; _— '—___ T lt.i I�uwhcr 1'ei.:l Xumh:i I . I. Idl� ihu .in .irrrpl�d >trcrll �e�_/ 111�_ P —_ 1.3 'Luning Informutiun: I.a Properly Dimensiuns: I 7ufuf.� i�ulni� � PN(xiscl� 1�1t... 1_Ul AfC:I l�y 111 f'fullluLC Illl , . . • I 1_ � 1�:5 Building Setbacks lft) � ' ' � Frun� ti'�rJ Sidr YarJ+ � Hrur YarJ � ' RryuireJ PruviJcd Rcywrcd Prmidad RtywirJ Pn��i�r� I 1.6 Water Supply: �.�1.G.L c 10. §Sl� 1.7 Fbod Zone Informa[ion: I.8 Sewage Uisposal S��strm: . Zune: _ Outvde FLx>d Zone". �tumap�l ❑ On .nc Jn�H��ul y��+�cin ❑ � Puhlic O Pnr�tc❑ ` Check il'ycs❑ < SECTION 2: PROPERTY OWNERSHIP� �.I Own4r��A �p.o�• (1, y✓I, F� — t.1/WJ ��C� ��� ��K1 ?:amciPr ./� �'1n � � .\JdresatorSrrvicc — - - E/I.i n // / �+(ri..� �—�ac� I Signaturc Tcltphunr . SECTION J: DESCRIPTION OF PROPOSED WORK=Icheck �II that �pply) NewC�instrurtiun ❑ Exiuing8wlding ❑ Owner-Occupied Repa�r�ls) ❑ Alteratuml�) � �\JJui��n C Demolition ❑ Arresaury Bldg. ❑ Number uf Units Other ❑ Speciiy _ — � Bnel Desrriptwn uf Prnpi�aed W�a�� ' �� � —�� . ,V, � ------� - � SECTION i: ESTI�IATED CONSTRUCTION CUSTS E�ummed Cuxts Q�cial Use Only I i liem il.aF�xand �t:uenals� - _ _ . _._. _ . 1 . - I IimlJine 4 /(� Q d � L [3uilding Permn Fee: S Indira�e hu�� fec u �etrinunrJ�. . I ❑ SGmdard City/To��n :\pplirahun Fee '_ E{lec�nral 5 O T�+WI Prnject Cu,t' I(ttm G) r muliipliar r ______ � 1. P�umhmg '� � _'. O�her Pees: 5 �/�� � J �lrrhamral ili�'ACi 'S Lut: ����`-! - -- i \ltchamral iFve ---- - ---- --- . 5 ', f���.d :\II Fea,: 5 — � �u >>rcuwiu � , l�hrrk N�i l�he�k .\m��unc �---f'.nh \in��um _ � ; o �ul'JI P�ujecl C�u�l� � ; ❑ P.uJ in Full ❑ l)ut,i.in�mg Ii_d.in.r I hie- --- - -._._ ���_"'l � �t��a _ ,__ -- -- .. , _ _.; � tiF1'110.� ;: l'UNSIRI'C'fIOV tiI�N�'l( F.S ' � g.l I.iicnsc l�u utructi n .'�per i ur Il',� � -- f�" �'A6 p - -- -- - - �5c r YY�/ Q�13� � �— � � � �� I.i�.'ini Auiuhrr I_ym.d;,�i� I�.��: i ."'___" . _-_ ___�_n�'___'.___ . __ _'_.__' . \.uii �I l'�I. t �IJ��. !v � . ._ . .:- _ . _ ___. _ _- �V�CiI � . � �.ii�S� �,�x� ..rh,���„i __-- -- - - - - - - -- -------- �.i .i�., r ���° I) _i1�"�n _ � , ��'_-_ �-"l I-nir.In.Ir� i1� i�� : INIUI�u I I � .. . _. y�. . .. .__ .. . _ _._�-�I��� � K + Hc.in. :J I � ;�.uiul� I��� i'n:,_ ._ . . � �iciwu: � __� ... i VI AI.n,�nn �)nl� , �._-- �— -- .._ ._.. � . ._. .___ . "" --' , Kl� �2 iJ i li J li 1 i� l i n ' f:l:plwni �J /�/} �/J � �—\\1 , 11 i 1 i1i ii �1 ..1 � i I l� I i�� � � - "'-" � � / �� � V ! � . � lF R i l.rli I i li� 1 u i H ii,i n _�L�I � , L� :I..� . , � �_ —�_ .. ._ _._. I _� U i R:.i.l:nl I I)iiii I'.i� ii . ...._ . _ _ _. ' �.2 Hexi,�ered I u e I��dru�em�t �C"�un't�ecy+ir i111C1 - /�/ ��� - - , 1C�_/ca.d�rlsr��n � ' H�u.�w�.��n ,\uiuh - � III(� (�unip.m� V (y�r IIC H• ulr�❑ ��n . /^^. / � V ry _L�-- JlQ ���,.,.- _���7����� - � �� �- _ _ i - -- i:���- � ,��:u.�� � j I t;:�::ylu frlrpnunr . ___�_ _-- --_ � __� � 5ECTION 6: WORKERS' CO�IPENSATION INSUH:\NCE :�FFIUA�IT i!eLG.L. c. IS.. § 25Ci6u j � Wurl.rr� C��mpcn�anun Inaur�nce�YYidavu mu�t br i�nnpleic� ;inJ ,uhnuneJ �uh �hi. .ip�,li�.u�,�n. f'.i;lurr i�� pi���iJ� Iihis aftidavit �vill rcsul� in ttir Jen�al uf ihe Itisuan. • u(;he hwlJ�,g prnnn__ _ _ �i�r.ed :\1fid:�vi1 :\uachrd? Yts _._..... �-- \'u .. . . ❑ ' ISECTION 7a: OWNER AUTHORIZATION TO BE COMPLETF,D �YHF.N � ' OW'YER'S AGENT OR COYTRnCTOR APPLIES FOR BUILDING WFR�SIT i r- �' L _ __-_-__-_ _-' a� O«ner �if th._ .uh�-tri pn�pert}' hrrcby I . � .iu:b,�n[e _ _ —. —__.._ __.. . ;n crt �.�n nry 1-.ch,�(!, ii: .il' nidt;.:r. ; . j �c!_u•.e tu •.��urk authurizrd by ihia hwlifing permit apphcdn�m. � ' — � ------- ------- ---- �--_____ _... .___. --- - -- -� - � SienaWrc ut O��ncr Da;e I SECTION 7b: O1ti'NER� OR :�UTAORIZED nGENT UECL:�N:�'I'ION —� --� II. ------. .i+ Owner ur .1wh��ri��d .\gcnt hcrch}� Jrrlarr I that the �iaremenis anJ infi�rmn�iun un tha li�reguine �pplir�tiun aro i�ue und arcur.ite, tu �he brs� �N nn� I.n����!c�ee .ind � nrn:,ir. I IPnnt .Vame I . __ _-. ----_ _________- I Si¢nalurc���Owncrur >whoritcJ �1�.n1 Uaic iSi��ncdunJcrdir am..mJ cnalursuY cr-u 'I � ti0'PES: I�. :\n(l.�ner ah�� ubi�ins a hwlding permit ��� dn hi,/her��wn ��„rk. ur :in���cncr �.h�� hire. .in unrcei.�rieJ i��nir.ici„i� i �nnt rcEutercd in ihe Hi�me Impru�emem C�umracwr 1 HI(.�1 Prn��raml. ��ill nu( ha�r :�rrc,. tn ihe ,irhnr:w��n i pr�,gr.�m ��r guaranty� (unJ unJer �LC',.L. c. 11'A. t)ther impurteni inh�rman�m �m the III(' Pn,gr,im .inJ . ,'• l'��n.tru�nun Supenu��r I_iren�ing iCSl.i ..in he I��unJ in 7Y0('�1R Rcgul:�ti�,m I IU H6 .in� I IU I25. ic.��e.u�cl� � � ' ' W'hrn ,uh,tann.�l �.��rk u planned, pn��i�e �hr �nt�amau��n heluw � �. � T��n�l tlnurs .�rca iSy. Ft.� IIf1iIUt�lf1� Ldf.I�C. I1f11�I1C1� f+,1.�CI11C111Idf11��, ilerA. ,�r ��,urh� � . � (irn,� h��ing ,ireu �Sy. Ft.i ____ H.ihrt,ihlena�nt :��unt ___.__.__ - ---- � -- - --- � - Vwnhrrrtfirrpl.iCCs_ �wnher ��IhrJn���in. __.._._._ -------- --. ._ .__. ._. ._ . � • \liniher �d h.iihiu��nt. Vuniher �q h.il!�h.iih. ' ; I���,r ��lht.wng .�.t�m ___.__. _____. . _.._ Vumher ,�l .Ir�A.; p��i.hc. _ . . _ _� . . � �� f�peu� :�n�lin, ,�.trm _.-.__ __.._ l�n.L„r� ._. ._.._____ .._ . � )�`�n . _. � — ----- - - ��-- -.. i 1. ��l���l.il Prn�rrl tiyudre P��ui.ige'� ntd� h� ,uh,��iu�rJ h�r .:��nel Prn�e�� (���.I�' � '_ --- _-_--_-_-_-__._ _ ' �.a — �.i s���I 6 .__..__I,�.... w; �p�H _ . - �L �y�G �5,'�lj;, _ � ar�u �L � � `i�� '{ ,��_ ., U �L � I - �;A�;� ritNT Ioc' w iM d<w� ylio�� � ' gI���T t%1,"Sll� �°�" _ _ --t I � GI'�AGG — ,� tli � - _ _ . ... _ ....__--- ' - — -- -� �.,c'y� �(__ _I7UWN S�i�LI� � T�t1z-�t � � � I�UN��1k�1� �q, i, ��, (,�It � 1 �b��� n � Z� „ g � _P � , � � � M � , � � � , �'��M ��� �I�� . ��+T►� `( . , . . ���.'1. 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