Loading...
8 OUTLOOK HILL RD - BUILDING INSPECTION �I.,MIsiiAtlst�EfN.fGIiD APPROVED BY T+IE MPFCIDA pp" Tp A,PE MIT=NO GRANTED CITY OF SALEM 12 l�� date No. is is Property Located In r ocation of ttw Hlatorie Dbtrict? Yae_No fti1dinli IS Property Located in the Canaeroation Araa? Yes No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Sh Pool, Repair/Replace, Other: PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Q Owner's Name A Address & Phone d ak c/7@ Architect's Name Address & Phone f Mechanics Name Address & Phone f What is caw Wrpoea a buikum? Stied Maum of WldhV? It a dW"N,for how manly families? wig b AWN cordoen to law? Y-e-5 MDastos? ✓vim/ Eatl MMW cost /ODD f� City Llcensa a Slate Liso o .k c Rome rp=o....ot: X 5 Li°' i ature of Applicant LMNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE Ccvi 5f1rvc-l- a- 5'1-e I a2X fl©Of5 F-r - -or TorSfS /y�ly .ovd Farr, anol ✓Ql�s /N� MAIL PERMIT TO: Ova /�II� Seri I, No. —4 APPLICATION FOR PERMIT TO ��/yfJST 8E �Qu S, FPon LOCATION PERMIT GRANTED 2.0 Q6 APPROVED i CTOR OF BU LDINGS CITY OF SALEM, MASSACMUSETTS PUBLIC PROPERTY DgpARTM[NT 120 WAEIIINOTON STREET, 3RD FLOOR SALEM. MASEACHUSETT9 01970 TELEPHONE: 97e-74S-9a9S EUT. 3a0..._.. _._ __ ._.n_.- _,...... ... ... .. _.._ .. .. FAX: 97e-740-9e4e HOMEOWNER UMSZ EXEMPTION Ptens Prins. Job Ucadw �v�CCaok Ili"// Home Saar waotess. s 4 Homo OwnW Tdsphogp 17,7 �7 117 �I S 7 . Ptt i► ing Addtesa o The cumft owupdon a["Hombownat,'_was atooded to include owed dWC[Hnhim whopdoes not of leas and to agoei engage an itldividad far postm a license,Provided thath as supervisor Pason(aj who owns a pared-of land oa which he/she nodes or intende to made,on which these w Or is iatanded to be.a on@ of two family dweUioi schod a detached di n ones acc insthm to such use aod/ar shun slittotgM A person who conskuots mole than ons home in a two year period shag not be considaad a homeoww. Such "hom oww shall submit to the Building Ogk*on a form acceptable to the Building Pamit.Official, "lWahc be respomble for erg such work performed undo the Building 71ie und"ped"home0wnu"asenmes regwnsibility for complisno with the Stste Building Code and otba applicable by-laws and rephdons. TUu�lf�d lIameownce cat fin that he dw and waoda Ede City of Salon Building Dqurtmalt minimum inspection procedure will comply with said procedures and eWs, n that he/she HOMEOWNERS SIGNATURE APPROVAL OF BUII.DING SPECTOR See other side for state code e wodt for which a BWWW9 Permit is 1�Coda stator that "Any�own0f . (S.,f l09.1.1 ucmlb* — mound&an be k pocovwd &Mwwma mSI a tea) dCVmwdddmh rsballactasS • we unaware dat dwY are assuming the wbo use this cm fWLi�S w,y nneownaa 4 Rules °0e wp,iiuin sedous ihtia of a supac�a i ��af am mess oom"Care rota Constn> on s udicero�ed tleaA" Board cazvat a���cwaor m �� S46vieob t many TO awn*A the Homeowner L fb11Y aware of bislbar t "that dwHomeowm m4yit0.as pact of the Permit App &B but issue is a communities o a Superv�aa• the tespod0a and adapt sum a T be►ebe f. _.__. � , Yoe may cs�e to. yid by sev forml ° for use m Yo—W 0009014Y• it0 6I so I saw s