28 RAYMOND RD - BUILDING INSPECTION DATE: '9'-3 /_ O(.
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9
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building c22 7yj�� (�d AM OJ
Building Permit Application For:
Circle whichever applies) Roof, Reroof, Install Sidin truct Deck, Shed, Pool
Addition, Alteration, epair/Replac Foundation Only, Wrecking
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:
OwnersNamcap-to 'j jrLS Dou-or-d Contractor: Chr; stnnhar 7,nr7.y
Street Z 9nL4n-)0r)() Cil} � Street l l 5 North Straat City_ ga l am
State, MA Phone OTT) '7H5 'O�I9R State MA Phone(978) 741-0424
Architect: City of Salem Lic$ 14 0 5
Street City State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form__yes ✓ no
Structure: (please circle Ingle Family, Multi Family# Other
Estimated Cost of job $ �i $H , Q(D
Will building confirm to law?- ✓ves no
Asbestos?_yes ✓ no
Description of work to be done:
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Lore_ ( I) nP�A� C l(y p n ,one n(o
SERVICES
Drawing miffed:des no Mail Permit to: 1.15 NORTH STREET
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Signature of ApplicaMon,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning Map/Lot
Permit fee$
COMMENTS:
APPLICATION FOR
' PERW TO
LOCATION
i
PE MIT GRANTED
L11m B s
APP OVfD
INSPECTOP1 OF BUILDINGS
CERTIFICATE OF OCCUPANCY
YES
NO
F145G`7
Professional Land Surveyors & Civil Engineers
ESSEX SURVEY SERVICE 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD 8 WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
S�LEM MASS.
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I hereby certify to Tic S,ZZ
961ZI;119 //GAi ,V that the
buildings are located on the
ground as shown. F �
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SCALE:
CHRISTOPHER
/�hl 24 2ca 6 R.
DATE: o MELLO
-,p No.31317 O
F � /
REFERENCE: BK/5' JlO PG Christopher R. Mello PL SURyli�
104 LOWELL STREE
T
PEABODY, MASS. 01960
(978) 531-8121
FAX: (9781531-5920