13 PURITAN RD - BUILDING INSPECTION (2) fL�iflSiM ST13Ef-IL*"%D APPROVED BY TfiE
1mPZ=DA PIWR TD.A.PERAMIT BEING GRANTED
CITY OF SALEM
No.d7y 06 Date �a6
is Property Located in Location of ✓/ /�/
to Hlatortc Didw? Yes_No Building
Is Property Located in
am Comemllon Am? Yaa No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding onstruct D Shed, Pool,
RepaidReplace, 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:
Owners Name
Address & Phone
Architect's Name
Address & Phone f I
Mechanics Name
Address & Phone f
What Is the purpose of WON?
Matedsl of buYdirq? ff a dwelft,for Crow many families?
WW bWidlrq cord to law? Asbastos?
EslknatyQ cost ���DU City ucerw s N A State ucan a
Boar Iapravaiment
VV i
CO -- re of Applicant
SIGNED UNDER TH ALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE l
MAIL PERMIT T0:
APPLICATION FOR
PERWr TO
LOCATION
PERMIT GRANTED
,off/ Z-;', 24�T0�
APPR VfD
7"R OF BUI INGS
c
CITY OF SALEM, MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STIIIT, 3Ro FLOOR
SALIM, MASSACNUSITTS 01970
TILVNON I: 974-745.9398 Va. 390•..._FAI: 978-740.9846
HOM10vMn UCUSE EXEMMON
Plane Print.
Job Location 5�i �, �
Name t�xner Address
Addww� 7 7Yo -v
The current exemption at"Homeownere wat.alcteoded to include a
dwellings
oftwo�a kn and oo allow a"an individual fbe
posses a .provided teat� _ aa:asor
l)E1FD iW OF HOwwm
Pmaoa(al who arm a par d of tw 001 whiff lwgw resides or Intends to recid%on
which there k or is intended to*a out or two family dweging, athcbpd or detached
strums Memory to each use soda h m structl9ft*A parson who co*oct.more
then one home in a two year period shall not be condda W a homsownat Su
"h0meownat"shall submit to the Building OtgciaL on a SormBuilding
Official,that he/she be responsible for all such work performed�the Building
Permit.
Buildin and other habl umes ponsbility fm complianua with the State
applicable by-laws and mplat ons.
no undamped"wmaownce certifies that he/she
understanda;the alem
Building DePlutrnent minimum i requirements�Sthst he/she
wdl mply with said procedures and hoes reme ft es and
requiremenh,
HOMEOWNERS SIGNATIJ�
APPROVAL OF BUILDING INSPECTOR
See other side for state code
1
HOW �
Oti1►N811sh �
which a BuAft Peemit's
The Code states thsG "Any Hod °Dwna Hof t�s•`*01k ( 109.1.1 -Licensing
required aha11 be attempt atom the Po was Corso a Pis)
f ad as Superviaor.
are unaware that dwy ste asan�g
arho use this e dw
ms, and Reguls�&Lic�f
Many Hn ,Su •(see as as ones tewlb is aeeious
C Asa,,Bassos 2unUcCood Y
our
woiggind dw ud[ceiaed pees wanld
3� T��neowagt actini � :� y
. swam of hislherr� °� that
that the Homeowner is illy licadaa.tilt toT�eoaner cettity
To ensure as a of the Permit App otthis issue is a
comm�mW� W.
�t of a CM tto amend and adopt such a
be/Asformy used b!►wvt is moans' You mq
fondca °R tY
Ito G 301 so*s
0 zz'
16 x 16'
15'x 25' Deck
Pool O O
19.5'
x
des th
hopection exclue
mov$ CoMOt�ll�f0e pF
sheds as to zoning s wwk
x
If built more than ten years ago, may be
grandfathered, Chap, 40A, Sec. 7, If less
than ten years old, it violates zoning.
1
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BUYER:
(= Y PjwTxr-IS �cAa.a MORTGAGE INSPECTION PLAN
LOOAIM M
ATO No s�nc n:m �\�GSfi 1I�7tzTG/�C,G Co I Nc > S4,LE/A
I OU WY THAT I HAVE EXAAIMED THE MUM AND 71R evuDDlos OMOWN MMmm DD AM wmm�
MASSACHUSET13
ODNFORM 10 711E Z"40 tAWs AND AME 00178 Lw(PHONT,
ONLY OF �A�yG_'//� N41E7) OON6 '7 Y
I FURRIER OEltiliY 111 Y jA }ryS PROP4lTY 16 LOOAYW M THE WrABltm rLow DEED
HAxARD ARP.1,COMMUNITY PANEL, NO.: 2561pZ-aOSJ3 DAYS; 0.5- 8S DOW 13 61j
LLl11AASNA110N OF 'M REOORDS 17 MADE ONLY SUBSEWMT TO 'DIE' Rn W4= DATE OF THE ATM DEED AND OOES NOT MRIJ E YnDFNNO nK AOOURAOY OF 711E OWDESOR1P110N PAW Z50
PRENOUS M M OA1E DF REM.
TN IS COMPANY IS NOT RESPONSIELlr FOR ANY SNDE nVW MADE CERT. N0. -
DA7E Or MLATEST DEED OF ROOOROED,
SUO8EOVENT 70 7HE l�ODADF77
*M""t DS ARK SH071N LM THAN ONE FOOT ntom IMf PRDPEkW UW IT IS AONa�b PLAN SK I(a�} PAGE THAT A MORE PREQW SURVEY SE MADE TO �tW T� Mr
AVJMUWM1142F: PLAN 55 DA1Eb__