163 OCEAN AVE W - BUILDING INSPECTION (3) fL�w+�aE wt�M�r�a �ova�o ar�E
AiV=W PWR TV A'.VLl W B,EINO ORANTLD
CITY OF SALEM
No.
Dar
want 3
U
�
mow
wy
\b Raft Docmd� Yak_ � of
YObt7
: f♦la Oorawvw On one YM Na
BIIILOMKi PaIBNr APP=TION PDfk
' Pannk to:
Pda whW war apply) Roof. Raroof, InmW SW tp, Doak, Shad. Pool
Ropwd%Pk" 011tar:ZAA-rog L PFUor sn y&S
PLUM PILL our La mLy a COw wroLY To Avon om AWi MI PROOaBfM10
TO THE INSPECTOR OF BUILD w&. '
honby op$n for a pw mk to build t000td to ft.lol000l
Ow we* Nanto GORY LER6Z� rn/
Aftme A Plm I,(a3 C)ceAy A+-E T 0A, -7yq-- Asa
Arohktt 8 Nwm
Ad*m A Phata ( 1
Maohanbs N.m. GARY LiMun/
Addmw A Pl ana ll0.3 QC.00W A iG' 4,6r:V" &?X 1-7V V-3SSa
Whd Is ha papm it g~
md"d W~ la dlMarl g for now w M I-i
1NN 4rldrq oaraw b law'r
Etawrlad coot �. 5'v�. �c_pgr tlorwa• awa uatr•a
taaa L�ssoawaet
Lte. i 8ipn Uo of Applioam
fatONB1 u Tm PaNALTY'
OP PNIAMT
DEBCW l NM OF WORK TO W DONE
STALL PELLET S-roves, oosEMFL7
H S AC QD STUuES u-rJL
MAIL PERMIT TO: l(o_ QLC6 /�v�� c�EST SgLE�1
:_
_ _ .
,�,..
.,� . . .
,,:���,.��.a„ .
. . .. �
��.�. -7-
.. ' ,.I w+��,
// „,•
S
,a....
\� .
��
� �
w
CITY OF SA1EM
BURDING DEPAATlv1M
HCzaOWMLICENSEMMAP IOId
Pk=Pm
AUJ
OAs
v
1 GOAT10lf�19 3 �CE�^� ��� (.tiES%
• Ho> O�vr>a ./! r1c Avg GvECT �9LFYY1.
HOME0�1R� a:d- _7V V
Tmxrdm
PRESENT mmWG AMRFSSJ(03 UC za ACE t�vES7�
nK e,a,mttaemous of-1=.a raas'was emended w blade owaero=. P"dwelLNep o[Tm
Udu a less and b snow such homeow mn to mgapa an bAhidta *F WM wLo doer dot pans s
Iteeme,.provided that dse ewaaf as t ut aupervisaa
DE vcn N OF HCWECWA47t: b teslde.on whkh dress
Pen=(s)who owm a pared d land oa wWcb btWK resida a baeads b such ttse aad�r
WaAcd w be,a one to two UvOy dwcUbmL aaadrd a dcu:hW suvcava � ��
farm svucaoa.A pcnan who constructs more than one home k a two-year period
a lomwm". Such-hwntvvA f sbaF submit ro the Budding O1Tt A to a lmsp seaptsbk to*A
Building Official.Ow belshe be rrspombk to aA soft work paformW mda to buildba Pc=L
The tmder pwd-bomeow num an mies responsibility Sot wmptib=with the Stitt Btu code and
otha appGobk god by-kws,rota and regoladaat
The tmdasigmd-lwmeowM{ ecrti5a th%WOK woastards the Ctq of Sskm BaHdio<Depoowt.
n1bummo bdpc uonprocsdma and mgtursmcros and Am hhhe wW oomph'wbb said ptooedma and
liomEowmvs SJGNA
APPROVAL OF B=ING INSPECTOR
See other side fm sate code
P
HOMEOWNER'S EXEMPTION
The cods states tbw 'wT homeowner performing-,iv*for wrbieb a bull&g Mmit is myked s%N W
exempt Lour the pv%Uiom of ibb section (Section lf*.12-1Jansio=of Comruetim Swita v%ort;
Provided tba is a bcmeoww cneada a passe(s)for Mm m do.such w eik lba sues bmnwwaer shaft ast
as supervisor.• .
Mara borpeoweurn wbo the this exsmptim arc imewatt ibm tbey we summing use!tea erg
sopavim(am Appcodis Q.Roks and ReSulsriom for IJcrasio=Coustruedos SuperviaeM Secdm
L251 Ibis Iaefe of awareness cf=rceuhs in ser;mn pcbkms,pertieu111711 wbea tfie bemeowne On
nnlim—sed pcmM In tbts case your Board orarot proceed a jaiQat the tourocmed pe M it world wis
Named Supenisa TLt borne wwr acting as supervisor is ublimsteay resEousMa,
To ensure than the homeowner is fully aware of hyb a respcm-cMita.mare eowmmddes rerrae;as past
of the pcmdq app&mdm that the h mevw na certify that b&WK undasurds the nespouskilhta eta
supuvLor. You may cart to amend and adopt sues a formhxnif=dm fior use in 7w eoma®iq