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8 SCOTIA ST - BUILDING INSPECTION pL.*MjdWT,0E fILfB•�tHD.APPROVED BY T44E apl pX=DB P.MR TD A PPERMIT.BEING GRANTED CITY OF SALEM No. Date y •� (l Is Property Located In Location of the Historic District? Yes_No_).� Building Is Property Located in Me conseratlon Area? Yes NO BUILDING PERMIT APPLICATION FOR: Permit to: (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 according to the following specifications: Owner's Name Address & Phone Architect's Name Address & Phone f Mechanics Name Address & Phone f Whet is the purpose of building? Material of building?a> C& C( f a dwelling, for how teeny Iamlies? \ WIU building conform to law? I \0 C Asbestos? Estlmated cost 00 Cl city ucer"r N fa state Ueertse ore Bowe Improvement ; Lie. I Signat re of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE l `` ``o�,ceii.i c,� 2XiS-Fvia C�QC�C L�U \c��ryG UR JIA�C� .liv3• OAV- 4 MAIL PERMIT TO: 1 No. APPLICATION FOR PERMIT TO &,6,0/,36 - 44" w LOCATION PERMIT GRANTED 2.0 AP OVFD INSPECT_ OF BUILDINGS CITY OF SALEMO MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WAsm,NOTON STMCIM. 3*0 FLOOD SAL[M. MASSACNUStTr9 01970 TtLSPNON[: 978-745-9599 EXr. 350 FAX: 97e-740-9946 HOMEORWM'JMSZ EXEMpTTON Please Priat Job Location c- Dale_ . HOn10�iw+wr Ad* Homo OwnerTelepWV "an LA ��- Pm=atMnlmgAddtets S .S _ TAGMrtv��! Tbe eurrw eete mption of"Homeowners"was extended to igchlde ownaFaocupied d wellings of two-.Uru14 ar 11 sad to allo y agch engage=hire who does not poana a license,provided that the owriee� dual for DEFINITI0�10I9,H011atEQW(�1Eg; . »' whiach stha�0*"s Or, pareelof land on which'Wdw reaidaa or intends to reside,on is mtmdea to beR,a one Or two family dweWag,tacbod or detached that one a accessory to such use and/or fium dmckM A peiaon who cm. m ouca than bane in a two Yw prod shell not bs considered a homeoww. Such ' submit to the Building Oi&iaj,on a form acceptable to the Building Pam . responnble for all.such work performed under the Building The undersigned'nomeowme Bw d otherucabl amunei bitty for compl, with the State regulations. 116 undamped"homeowner'catties flit hdshe understands the City of Salem Building Department minimum inspection procedures and requirements and that he lshe will comply with said procedures and requiremer" HOMEOWNERS SIGNATURE APPROVAL OF BUILDING INSPECTOR Sex other side for state code s Poll as of am�ROx ya+�o�lm -!m Ra rom!t I *r P4e Pw 8*ao�onR!qu°°d:u s n ones► ofd Vi s*90 ' o s*d s n!ynn6oi tdhnncoo 4um JoomoH �oomoH�i�P omwo 01 d 1 � i�aoewod►d ee!a4'n a iO� pmrd nS ss doss pomagmi P a pinoA+ri' . " ` MMoomoH�Wb Avggssd hu�1Q� mo�C aesa one III 'suos� °° 'sus motmc m Sago sa31 It �I.a aoe)so�n�►S aHa'A� . on Wad==Im. osn� .ems se s�t[�sooboomoH WM V[p P'=6430A` 04 o�!(sioswadns nod 30 . ol m!9 M MUORW s o ao aa�oomo Hs ►osd aqs�B °°m aq pago Pm!nbos Sap�i 1— ['1'60l IIO1i�0S)mmS�Ru A"oomoH f soieP apoD�L n i!�d�g i goryb m3� NOLLa1l SH�IJAA WOH CITY OR SALEMV MASSACHUSETTS • PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET. 3RO FLOOR SALEM. MASSACHUSETTS 01970 STANLEY J. USWICZ. JR. TELEPHONE: 978-745-959S EXT. 380 MAYOR FAX: 978-740.9848 Salem Buildinu Ptnartgnent Debris Disnossl t storm In accordance with the provisions of MGL c40 S 54, a condition of your Building Permit is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL Chapter M, S 150 A. The debris will be disposed of in: ^^ 2 M a (Location of Facility) SLym- Signatdre of Applicant L-t � 6 r © C, Date