9 SAVOY RD - BUILDING INSPECTION (2) . f •
fL*NS*WT9E f&fi- ND APPROVED BY 774E
JMSPZC=PRIOR TD A PEANUT=NG GRANTED
11\\ CITY OF_SALEM
N0.
Date Z9 U
YZ Ward
Zoning District
Is Property Located in Location of Q
the Hlstonic District? yes No DaildingIs PMPIWY Locatrad!In
l
Ua
the conservation Area? Yee No
Permit to:
BUILDING PERMIT APPLICATION FOR:
'
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, 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 accor(Liq to the following
specifications:
Owners NameCl fyt CLGL 1�Cf�V1 lS L'YeG 12r
Address & Phone a 5 a✓rn-j led ( L) G� , I IQ
Architect's Name
Address & Phone f
Mechanics Name
Address & Phone I
What is the purpose of tw ding?
Material of b ooW JC +cb-4 am a I A V litd II a dweling,for how many tanifts?
Wa building contorts to law? Asbestos?
Eslhriated cost 5 i 000 GN Ucense a dab license a
Roora Iwreea.at: �� e A
S' stun of Applicant
SIGNED UNDER THE PENALTY'
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO:
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
B/off/oL1 19
APP,AOVFD
G 1
INSPECT011 OF BUILDINGS
CITY OF SALEM
BummDEPARTtvlM
HOMEOWNER LICENSE EMOMON
Pkae Pdd
DAY_ '1 �Za U��
JOBLOCI►TION �l S�VC�� YZc�
NOMEOW14M °i S o v o�- I2 6
ADDS
'HOMEO'ilIM "L 5 -7 t_a 07 Q t F�
TELEPHOWS
PRESENT 1.fAII.1t?G ADORES= ^� S�.-v� ��
The avant ommidon cf-licir.Kawqor was extended m Include owon-OP=rkd dwsl•eo TWO
Vales a less and to allow such homeowners to cnpp an bdiridsgl tins grim Who does not power t
11ccum .provided t 1st the owner net as wrerrbw:
DE1704TION CF 1101-ZOWHIM 10 adds,op wbkh these
n al
Pen(s)who owns a pw of land on which le/she asides a bucnde sue!is sndht
intended m be,s one m two fondly dwcUbag,susdaed a deteched stra%wu xy b� �
farm svocuoes.A penan who constructs most tlmn ame lmme in s two-7 Period
a houteowaa. Such lwmw wf OmV submit m the Bualdbtg Of icid,w a f�cM tetaptabk 10 tls
Building Official.that Wshe be nsposmbk m all such work pe:fostoe>d ands the balldlicig perms
The undasiped-homeomta-aseurno responsibility for c)MplisMt with the Staff BtaTldlng Code awe
011er appgabk goes Vr4sws,ntks and repti d=a
The tudcniped-hoveownle a dfms that he/she amdesstsrds the Cipj of Salem Building De wvm t.
tninimmo iitspcti proocdtaro snd regmrevmms and thmt hlshe wW=qdy with said ptooedma trod
•
rwwr=ma
HOMEOWNER'S SIGNATURE
TAUZ,
APPROVAL OF B=ING DISPECTOft
See other side fm saw code
I
HOMEOWNER'S EXEMPTION
The code Rates tint •arq b=wow•acr paforminS iv*for w•hicb a bait perm*is tegd rbf tit
cm-wO from the pv+isiom of Ibis sccdon (Semioa 309.1d-Umuslog of Coaarwctioo Sum
Provided that is a homeowner=Ma p pesoo(f)for biro to do.such wok tbt such bomeowaer dog an
at rtrytrvias�� ,
MwW bmneownm wM ust this exemption arc"ware to shop an m min the!Vo» a arg '
supervisor(am Appcodbr Q.Rules sad Regubsiow for Lieroalag Coostrwedm Sapervie"s,Seedm
2.34 This bdt of swsscrress often Twits in serious problems.pardc*WV w'bea At bomeowm bbs0
llnikcmed persomc In sbls Case pom Board camrot pmoeed ataino tbt mataas d pettoo w ltwonld wm
licensed Sapcnisar. 71se bomeowner acing as aupervbw is ub sst*ssaEoup .
To ensum than the homeowner Is tally awwe of hiller respoasibmhies.mare oormmmddm=qmb%-es past
of ibe permii appliodoq that the bomwwna cudtj that hLWn sdersoads she nsponslbilwas ore
supo visor. You may cart to amcad and adopt nib a&nokcnM=dao fbr tss In your coummuft.