25 OSGOOD ST - BUILDING INSPECTION Id y
fLINSiIIl TSE f NA94MO APPROVED BY T44E
AMPF.=B PWR TO A:PERMIT f'JENO QRANTkD
CITY OF SALEM
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Permit to: BWUW4 PERMIT APPUCA71ON FOR:
(Circle whichever apply) Roof. Reroof, Instal Sidstruct [)ack, Shed, Pool,
Repak/Replep. Other:
PLEASE FILL OUT LEGIBLY lR COMPLETELY TO AVOID DELAYS N PROCESSMIp
TO THE INSPECTOR OF BUILDINGS: '
The undersigned hereby applies for a permit to build aocoaftto the.folbwinp-
speofficatiorm
Owner's Name AIV411n,401 . Azwej .
27-7y - 77 vniKC'
Address & Phone DS (M) Ar-F.9 p vim,
�fi.ELCl;1�� SIS" y2GZ...r
Architect's Name
Address A Phone ( )
Mechanics Name
Address 6 Phone ( )
What is fr pwporra ah euYdrg4 k5"J'e",
m&W W of buY hW Wood N a dwahhlrrp,for how mmy hrri9 �
wA oorrrann to haw? Mbefts?
Edkn&Md toe f? - o 0 cuy uow • star n G v 7Xt�
aawe Isrso.oaaat
I.1c. i
of Applicant
SIGNED WwER THE PENALTY'
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
l' I 0'/1 �'J�r�AG OF �'Lo �� G✓,'l�`j U✓K�O a,e�'
�o2r�C. S);ar en"�'rl2e � dM�
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S
MAIL PERMIT TO: 2s OS od S4 fa hem
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No.
APPLICATION FOR
PEFEW TO `
LOCATION J �~
0
PERMIT GRANTED
19
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FO
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INSPECTOR OF BLJILDI14GS
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N / F
Perreault
Assessor's Map 36
Lot 250
i
I 57 54
LOT C
�H- 7,5" SF.t
o0
N b o Proposed
osed ,
=_ Deck N / F
4Addition
j Ayers
5'1
N / F I Assessors Map 36
Boggoch ILot 265
\�
Assessors Map 36 N
Lot 263 Cd
i
No. 25
Dwelling Proposed
2 Wood tY ?orkLng
57.00'5'=
SHosr,r
OSGOOD STREET ��,P
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Assessor's Map No. 36, Lot 264 PLOT PLAN of LAND
Zoning District: R2
Existing Lot Coverage = 28% f 25 OSGOOD STREET
Proposed Lot Coverage = 34% t SALEM, MA
Deed Reference: Book 17139, Page 423
Prepared For:
NOTE: THIS PLAN WAS PREPARED FROM A PETER SHEPPARD
TAPE SURVEY AND IS INTENDED FOR BUILDING SCALE: 1" = 30' JULY 11, 2005
INSPECTOR PURPOSES ONLY. OFFSETS SHOWN REID LAND SURVEYORS
ON OR SCALED FROM THIS PLAN ARE
APPROXIMATE ONLY AND SHOULD NOT BE 365 CHATHAM ST., LYNN, MASS.
USED TO DETERMINE PROPERTY LINES.
CONTROL #:R05-184 OPT
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TITLE REFERENCE: k• 47Z5 p6 Z75
PLAN REFERENCE: Pl SL, 23(c', P1,34-
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This plan was not prepared from an instrument survey. MORTGAGE INSPECTION PLAN
Offsets and distances shown should not be used to
establish property lines. LOCATION ZS(:)SG Q0—D
This plan is intended for mortgage purposes only. SA LEM �M A
I certify that the structure shown on this Plan "_ '8 p 3
- p
4/0.5 in conformance with zoning setbacks SCALE: DATE: i
in effect at the time of construction: CERTIFIED TO:
I certify that the parcel shown isNO-rJocated within ` nJ0A Amerlcct✓) M4,9 . co
a flood hazard area as depicted on HUD Flood Insurance
Rate Maps for Community No: ZSa I o 2
CAMERON BROTHERS INC. Job No.
11 Touro Ave. Medford, MA (781.) 324-9566
APPROVED
Subject to approve?by 8z:7 G'-!2=
authoriip having j.:risdiict ea"
CITY of SAs MN, MP S.
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ary OF SALEM
BU MINGDEPART1v W
HOMOWM UCENSE EMOMON
pkm Pdd /
DATI� ,i Z-03
MOWCATIOMerv-
3� S_,Ipn —
ADUMM
HOMEOwNa
TnEraom
. pp•ES�iThdAll.dNo ADORES: •
The emrer�.euraptlon of-bm.sawnwC was emoaded a dadade ewoe7-"M' "d +�a 4T*O
than a test amd a snow aneh bomoowaera m�am bavi"*ff mm VAM aoea am pmm a
iiornlS.prtdidrd tom the owaei ad as apasvbaa
DEFOdTMcFHcMEOWmb
Person(s)who owot a pond d bud m wbkb brlshe sides or breads m taai8a.ou VW&*An kak '
intadd m be.a one m twv�dwcllba f.anadwd a dwd�ed aa+rcnves�setbe eand8aod
farm swocwm A pcnm who wnsaueu mart t m cmbe=In&two a�P m*s
a bom�eowaet m
Such—n acwad'Oar nr wA m the BuDd b* � �
Bwl ft Odre4 go won be respomtbk m aw&waeit Wnft
Th,.dmipud-bomcowner"anurm rapmmbft for=Wprmm width sum salt Code and '
otter appliobk`oa by-kwa,rda and npkdoad,
The tvW.,p W`houaow od c, f.to hrhh Bastards the C1p'of Salem BWMIag Depoa�ait
miaimrvm bapwdvn Fo=dnra and teq�emre is rd+ U�r,e,v,�witL aid ptoadma and
feor=MNL
HONZOWM'S SIGNATURE
AYPROVAL OF BVIIDING R4WCrM ✓fir"
Sec other side fm man code
CITY OF SALEM
BURDING DEPARTMENT
HOMEOWNER LICENSE EmvnoN
Pk=Pdt
DA73-_
)OlOLOCATJOl1
HOMEOMM
HOivirawma
TELEPHM
PRESENT!idAi<.IIWG
Tba emtaw.eumptloa �c�aeaded so betide wroeHC�P d"�w0 dTwo
Uahs a ka sod to aDow such kmwwmu to aagt�wa fndividnil lat bits wba gees sot poates s
liocme,.prwidrd dams esrasr wel d s+�erriewa
DEFA(TIONiOF ns&pwW bW oa w•Lkh bdd a resides a bArads w mi t.oo WmASows k ar Y
Pa rid d t wb.a ow•ptreaN snselod a do d taneaaes�7 tt taeb ate XA41r
b m su to be.•one to two Ladi)r rum m, Ad W be wasidasd
firm sweatrec A ycrsoa w•bo constructs a►ae tlmt oac home Iaf two•�oo POWf lbrsR sooe�Obk Iota
s bamww•aat: Suet nMnww=f a a tabmIl van Bubdbrg oZcid ssa a fw �i �
Building Oddtl.that behu be rcapou"to aD sf&work pafamsd
TUC wWcrtigmd`bmwu% a usmaas n Mw-tfllry is=Mpft=w%h tbs stile Building code tad
otba sppBobk goes by4ww .rJu wad njoh ioaL
The mdersiFCd-M ww ne ardfw OWhe/she mdasuuds the =FV of S� >
=nhr=fmpc=m pmesdma wadu4m'earcms and that Mahe will W
Toque
HONWwM R'S SIGNATURE
APPROVAL OF BUIIDING 1NSPECI OfR
See otba ode it starve Cade
CITY OF SALEM, MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASNINGTON STREET, 3RD FLOOR
SALEM, MA O1970
TEL. (978)745-9595 ExT. 380
(00 FAX (978) 740-9846
STANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, S34,I aclmowledge that as a condition
of Building Permit# , all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility,as defined by MGL c III,S150A.
The debris will be disposed of at: SiIYA 7JZnPN& SCYwitM
Location of Facility
- 4i____ 15--/7—
S gnature of Permit Applicant Date
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
V s
Name of Permit Aipiplicant
Firm Name,if any
Address,City& State
The above statute requires that debris from the demolition,renovation, rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cIII, S150A, and the building permits or licenses are to
indicate the location of the facility.