14D RUSSELL DR - BUILDING INSPECTION (2) �L'M�6iIIMi6T�E fK&BAND APPROVED BY 774E
ASPECM PWR TD A PERMIT BONG GRANTED
CITY OF_SALEM
No\ —�
Dab IL( 6
ward
ZQ" Dlstrkt
Is Property in
the Mlalorlc MOW? Yda No Location ioa of
aailaias 12.05s el
Is Pmpady Locasad In /
eta Carervadon Arms? . YM No v
Permit to:
BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other_Li to cc W wviowS
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS: '.
The undemkpwd herby applies for a permit to build accordwig,to the following
specifications:
Owners Name �-kAj rR-�A 1 A V l o
Address & Phone (`A\) &-c se-uc-D(L.
Architect's Name -Fjob L I-HEvgEuK
Address & Phone l 4Avs wrtd. S A IA---M '74s-(e I y
Mechanics Name
Address & Phone y f
What Is nr purpm of Euu*q? `rho�-o 2
MAN"of wmg? If a dwaft ,for how mmy Iamon?
WE bul ft c fti, to law? q ZS Afbaatoa?
Eafinatad wd b my Ucarara 0 Sh"Uaaw N
tee ` liC�2(n l�
Lis. e
Signaturef Applicant
SIGNED UNDER THE PENALTY'
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
�M6Uai S1 60 �k laCu Ws'( V —
W� 1 N Lw W
MAIL PERMIT TO: Maew^a tco� i uO 2� eu. D2, SAc,tm mAA o tgi 0
NO. \AV(S�
APPLICATION FOR
PERMT TO
LOCATION
�y� � ���1 � � .
PERMIT GRANTED
19
APrOVfD
INSPECTOR OF BUILDINGS
i PUBLIC PROPERTY DEPARTMENT
120 WAsHINwrom 6TRzwrT 3no FLAOR
f 6ALaN.NA 01670
TEL. (276)745-9595 E7R.360
FAX (676) 740.6646
STANLEY J. USOv1c2, JIL
MAYOR
DWOSAL OF DEBIM AFFIDAVIT
In accordance wild the pmvWom of MaL c 40,S34,I acknowledge that as a condition
of Bm7diBS Permit S_ .all debris reaulting fiom the conadvction activity
govaned by this Building Permit sW be disposed of in a props*licmnd s0H&www
disposal facr7ity,as deTrmed by MfE,c I1L,S\1_ �\
The debris wM be disposed of at: ��1 \� tt`,,
Location of Facility
�I tR ld�
Sigmtute otlPemait Applicant Dan
FULLY complete the following information:
(PLEASE PRINT CI.BARLY)
I�A4ZCA A-\4 Low
Name of Permit Applicant
Firm Name,if any
D euq-,elI ';c�
Addmss,City&State
The above statute requims that debris fim the demolition,renovation,mhsb or odw
alteration of bu ldmg or Oucttn be disposed in a propaly-licensed soH&waate disposal
5cility as defined by MIL ca S150A, and the building permits or licenses we to
indicate the location of the facMW.
. CLTY OF SAIEM
BLWINGDEPARTMM
HCraOWIER LICENSE EMOMON
Plump"
DAZE g I� i 6
HomEowm Sc� w.sL
TELEPHOW /
M.CiNT idAII�?G ADORES: Vv l_ F—
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UriO a Im rod to allow aucb homww mn to cop Wm wbo doa sot paaas t
lkeam povww daa to awswed d agaerkaa
DEnNmONCFHCIdEOW"m
Person(S)who ow=a yacel of had on wbkb bahbe v=Wu ag bands to lcdit m.rldtL thna lE w k
bu=AW w K a one so im Lunt dwcllbrk a=dxd or duadxd macmma rwasay Is SO&tae aSdAw
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a boareowaet: Sueb'Iwmeowrxr shaII Sufiaoit to the Bn�db�OdxkLwda*A boO ��ts
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aha anst2bk Soes by-bwk nies and nvW aL
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n=mmm bapwum proadmm wW nsgmgcz wm mad that W"will wmPV wbb said pr000d�o m d
geQoirearm--
HOIWOWNER'S SIGNATUitI<
APPROVAL OF BMDING WSPEC']OR
sac a =side for sate code
HOMEOWNER'S EXEMMONI
The cods seta tbW •arq bwmww Parfwmlr4 wmk for wbkb a building permit Is regained abal be
cxcmpl5om the prvAdcm ort h secdon (kerbs 30p u-lic cosiag d Comractioe Egerrbwo
provided that L a homeowT►er eTrpies s persoo(�)for bbs to do.such woai�tMt aiseb bo®eowaer ahaS aal
o aupaviaot:'
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liamed Supa isor. 71c bomeowwer acting"aperrinr is wht�le *=s�oos�IL
To easms that the hmmowrra Is idly Nw=of hilba TesponsibMdck matq oo�dea sa4dR:•past
of dye permil appliodM that tha homeowTra CC7ft that WON tmdaamras*a TeaptOfbUMtl ata
supevisar. Yon may care to wand nrd adopt sae%a lmmAaTtHicalim fm ON is yom=M=N W-
APT Management, Inc. /\
TO: Maria Taylor, 14D Russell Drive
FROM: Jill Fama, Property Manager
RE: Window Replacement
DATE: August 12, 2004
Please be advised,the Board of Trustees for Pickman Park does not object to the
replacement of your windows. Please be advised, you may not change the look of the
existing windows, grids or anything different, other than being vinyl. A licensed
contractor must replace the windows. A permit must be pulled prior to this work
commencing. A copy of the permit should be sent to me. Once the work is complete and
the Building Inspector has signed off on this work, a signed copy of the building permit
will be required as well.
Should you have any questions or concerns, please feel free to call me directly.
Sincerely,
Yillma
Property Manager
500 WEST CUMMINGS PARK • SUITE 6050 • WOBURN • MA • 01801 781-935-4200 • FAX 781-935-4289