7 LYNDE ST - BUILDING INSPECTION (2) , � '
�+.�s���.�� ��ov� er ra+E
JdSP�I'A��RIOR 7D A_PERMIT B�EIIVG GpqN'T�p
CITY OF SALEM
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:� IM Carro�natlon A�7 Yu No i—
BUI�DING PERMR APPUCATION FOR:
Permit to: ,�-
(C(rcle whichever apply) Roof, Reroof, Instell Siding, Conatruct Deck, Shed, Poo�,
RepeidReplace. Other. II.rrC-i1�o2 w�' pp�_�
PLEA8E RLL OUT LEdIBLY 8 COMPLETELY TO AVOIO DELAYS IN PROCEgg�f�p
TO THE INSPECTOA OF BUILDINGS: '
The underaigned hereby epplies for a permit to build accord'c,ig.to the.following
speciNcations: .
owners Neme E R� I� 12o p�—,v �.(r SC-�, �
Address & Phone Il� �O�t� S`r'2.K—T� SI�LC'wl (978� S`��—S�S.�
Architect's Name Amsl�, w�o+ia.tSE �1���e�w
nddre�s a �r,«,e RnS� w�r9��; �ds-ro�t �6�q � 523— oc�y�,Z
Mechanics Name
�
Address d, phCne ( �
wna�s ar purpa.a eundrq� RaO+iS �.,, S?b12.YTE LLi�tf G--�
M.�w a wwano� � n a wr.rrq.ror now meny iamws�
wAI a�ldrq conlonn to I�w► n�e.e�oa4 !C1 C�
E cpy uc«ro r sha ucw�• �' S o��.r 3 a
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, siqnature of npp6
��Q aJWiT�ER YFi� �Pi�L �
OF PERJURY
DESCRIPTION OF WORK TO BE DON@
$uilA a�nr,-�2;0►2 W�1U. �Dt���.R�
ADD �of� R�1F �►�2..T u� w�9l,L, Fdr2 C-�'✓Z�t c,u�_
MAIL PERMIT T0:
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APPUCATION FOR �
PERII�T TO . . -
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!1 h GR/C� �E�{ � i.. ' .
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PERMIT GRANTED << . i . •
CI � � /c9 19 � + �
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APP�iOV�D o, , , � '
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boo w..+L,�...51...� �
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Ca�ns�a�r ' �
. Workers' Ccmperwdo� Inmsnoe Aftidavi[
�. —%�s�.�•p/ �� �c./r��-� ' ' .
• . '��+ �rind�l P1� d bmillen aC � � .
I � a G�,.�,..« St. ' Gr>�e(�.,r r� �. ���3v • . .
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d0 herebr'Csrs/y Yadtt sJM psius snd oseiltle a/prJ�ry� iivO ' _
(� 1 s4 a�emobq�t y�widb+i fvorkers' cem�sanstee covep�s for nry siaPlo�reo wpid�eo : .
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' ��u-t�, ���--4( . ` • Wc�_3/S - 3v7C�a -ai3
Inrwana . ' P i!lueab�r . .
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1 sw� a sok ore�►iew� +nd hsw no one weric{tK idr n» i�nry np�dq. .
() 1 am � �ok prooriec�, �eneral concraaor or henuownv (dre1� oae) sa� hsve Nn� dK
' wnswcsoa iit�ed b�bw wbo•Atw thi foqowia� workefs' co�ensssioa poBd�R �
' Cona�aer � � Inwrsnu Gon��n�N�o N�
CoMrsaor Insunncs Compaap/�o Nuni�t
: '
Cona�am Inswance Con�s�ry/PoYq tivaiir �
() I am � homsownv perton�nin� all the work nrytdf. .
•i��wnuw rw�un d O�L wwn�w.a N ter..ara� e ew Ofin A Ywed��w�!M DY�Mr ce.wan•wMniw w ww fin r rv�
�owrare r nw�H wa SRie�SfA d MGt t S 7 �an k�w or irwp�d eri�:ea N��da cMwin��1��r d A M I.lOOAO arl�r�r
f�I�7�iWwlwnel i ti//D tlM ' w � � ► WORK OIiDER w��.� s io0.o0 a ar,�w�a,
rn��e �hu . is� e� of �7 � � , _�.,S. 1�o �
:icer,sceiFermites� �u�la�n� Deparsn.enc
�censin� Eoarf
Sdeamens O(fite
=e�lth Dep�r.mer,:
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Pusuc PaoPr�rrr De���
120 WASMINQTON ST11[lT. �RD FLoo11 '
' __. SALtM.MA 01 Y70
` T�L (D70)74d-YdDs EXT.3C0
FNt (Y7!) 71OYe4O
STANL[Y J. UtpNiCZ. JII,
Mwrae .
� DISPOBAL OF DIDRL4 AFFIDAVIT
In�ocordance wi�tbe pmvisionr of MGL c 4a 534.I ar.lmowledge tWt at s coodition
. of Bm7din�P�mit#1 .a�debri�s�il���a��y�Y
���bX�i+BuildmB Pamit shafl be ditpwed of m a pmopeiy liceneed wlid-waeoe
�al facilitY.v de$oed by M�,c Iq S1SQA.
�1C�!1/Wlti b0 al/p0/pd Ot� _ ��"�� / �/1v c rtr 'S'/V�'/ �r .
of Fu,�ty .
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�at�ue of P t Applica� . �
FIJLLY complet�We foll ' inSo�atioo;
(PLEASE PR1IV'P Cd.SARLl7
%� /�i•G'�/heN �
Name of Pe�mit Appficaot
Le���L:,.,P �Me L,..,�Jr�1Q�f
Fam Name„�f auy
( 11. Gq,��,.,<r f f. G��aJ@��L .c^ a� �.35'
Ad�e+b Ciry�3hte
The above atat�rte roquiia that debcis 5om the d�olition.rmovatio��rebab or ot�
alt�on of bm'l�ng a a�ucaae be disposed in a prvpaly-licea�ed ao�id-w�aqe di�pOta(
5�aliry a�de5ned by MQ.cIIi,S 150A, snd t6e buildin8 Pe�mih a licemet�e w
indiate the loc�on of the facility.
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F��< BOARD OF g�IlDINO REGULATIONS # ;
�� ��Llesnse• CONSTRUCfiION SUPERVISOR 1' �
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SIGN ON DOOR: I
EMER�ENCY EXIT ONLY I
ALARM WILL SOUND
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• CEILING PENDANT SPRINKLER(EXISTING)
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TO STRUCTURE � STORY TELLING
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ENTRY TO CEILING STORY TELLING Newa�-o•w x T-0•H � � �
V E S T I B U L E e R O O M#3 �F- OPENING IN WALL ; ; e � o o � � 'I
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STORY TELLING F�ooR Pu�N �
ROOM#Z GRADE LEVEL
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UP SW
DRAWN BY:JD
ISSUE DATE: 08.10.04 i
PROJECT NO. E.R. 'I
II
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ARCHITECTURALSHEET II
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SIGN ON DOOR:
EMERGENCY EXIT ONLY
ALARM WILL SOUND '
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SYMBOL LEGEND _, _ _ � ' � ��/�
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O CEILING PENDANT SPRINfdER(IXISiTING) � `
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I �SW SIDEWALL SPRINKLER(EXISTING) " • o ' p � �
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+ WAITING AREA OgM e .--i
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EMERGENCY LIGHTING(EXISTING) `' i � � �
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4SM SMOKE DETECTOR(EXISTING) p o
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STUD SUPPOR?TS
TO STRUCTURlE
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ROOM#1 �
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INFILL WALL UP � �
ENTRY TO CEILING NEW 4'-0"W x T-0"H�- i i � � � � �
STORY TELLING � � �
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ROOM#Z FLOOR PLAN
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TAR P 0 '
II e SE C DFL 0 CLOSET �SW • SCALE: 1/4^=r-0•
I UP DRAWN BY:JD
' ISSUE DATE: 08.10.04
j �
PROJECT NO. E.R.
1
' II
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ARCHRECTURALSHEET �
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