2 SHILLABER ST - BUILDING INSPECTION '*LENS T7E fadm4 g APPROVED 6Y im
=PZCUIM.PWR TO A:PEBWT'ABM QRANTkD
S CITY OF SALEM
No. o.b
zaYip Dbt w
Is
ft Rai~ Y«No or 2 G r//A ft
Is phawly u0sm in
• Ca sWWWon AWO YN No
Permit ro: BUILDING PERAMT APPLICATION POik
Ode whi&4m apply) Roof Remit, Install Skittp, Cansbvd Dock, Shed,
LPTO
ftawpao a. odw-
PLEASE RLL OIR LEamLy a COMPLETELY TO AVOID om AYB N PROCESSNp
TO THE INSPECTOR OF BUILDINGS: ,
hsnby appin for a permit to build aocortLip.to the.W4wkV
Owners Name +- A \
Address a Ph" t97�i 7 45-`' 1 W
Amhkwes Name
Address a Phone t
Mechanics Name
Address a Phone l i
Whit b No pupow of
hw.w a hurttnPr r.errstiro,for parr ar�rgr In On?
we bac"oontorrn to bw7
fel&Mtl OOti ,�__CMtr Lkm w• stet+Uo *
i 3 I�ro��t
2S Lic.
SOMWre of Appkent
811 i WIDER THE PENALTY'
OP PE 1614 Y
DE8CR�1pN OF WORK TO BE DOW
f y s
MAIL PERMIT TO:
7
Na
APPL WATION FOR
PERl"TO
LOCATION
PERMIT GRANTED
APPPOVPD
Y/
/ V `
LOINGI/'
MY OF SALSd
BURRING DEPARTNM
HOMBOW NEIL LICENSE EmanoN
Man Pdt
IM UXATM
H01�0aR� qIn - r74S= ► �z
TELE»�as .
pRFSENT>dA0.0'IG ADDRES:
• The emmr.aamplao or-eomeo.roaf-.h+cxoc�ed,o trrtnde ewocr�wWd d+►.Aiv eCf'W'�
Uniu a kn aad b a)bw such honacowaas to�a .�hips�rbo doa not ptstaes• .
lksaae..Aa'+�thss the ewaer act w sa�es�iaa
DE rDgnM OF]]OIZOWMM
Person O)wk cwa a parcel of Lad w wwcb wft mma a brew tv cow"cow"twa
lea w k
d
bua ad is be.a arc w my ftu t�dwtMn&attad"a dwdad t lr c �7i
farm svacova A pcawu wbc COW"=mwa tan aK home bk f twolm Pv� 0 avtbe eoatidd
a boawowaet Svcb�homcow•aef'shay s b the Baildb+g �
Bw'ldivg Olficid,that UWs be uspombk w a0 suds vv*palame0 totda pa=L
The wdasip cd"hcmeawtd aatmta rapons�bi80 for complies wbht�te State BnOdloO Cade d
other sppliabk goes by kwa,rules nd refaktiaaL
The midasip w-bcmeownet"oati5es tat hclshc mdasuadt the CjW c(Sahn BuIW4 Dgm=wa.
m...bsp=cm p v=dw=and negtoncmeaa aad that hhhe wil=WV+rah
UW
lwpbwmua
HOMEOWNER'S SIGNATURE
APPROVAL OF B=ING DIMMOR
See other side for stem code
k
HOMEOWNER'S EXEMPTION
The cods svtcs thaco aq lgareo.rner*fornsi wmk tei viW&a a OdmIry it wtyabea sbsitt
exeagA tma du pomisioaa of tbb secdou(Scoles 70).1.1-Votnsing of Gastruetbrt Supervim$
provided that Is homeowfra enpla p persao(t)he bit a do.such wed6 that av�bo®eowa-44 tits
MW tanwow tea wbo we Us oamom are iorwate that they are wooming dw roposribObia oCe
syper&w(am Appcndla Qr Rules and Regulnioos for Vesoatng Caosfrmcdm SupervIoOM Sao*r
.2ag6 'Ibis buic of awwwwss cfl=resnfn in actions problems,p odealarlb w Lea the. P 'A a t
Lb
ytdicetued penome In tbb mac your Bard mtnwt prooead apho the mrDamed pavm at It would va
lktased Supmitor. The bowcomer acting as sopety" b ohbwo*!esjee#1
Tc sums doe the homeowner is tally swats ctU%cr usposuibAkin,moq aom ----FI a fngoba:as part
of the pttmli applieadm that ft boaeowmat ctdly dha belshc a erssu, the tespoosbumes of a
mVavbm You may an to amead and adopt sad a b1`10010 fitadns Sot Ira IS your oomurrmlIP6
,
r
CITY OF SALEMV MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3RD FLOOR
SALEM, MA O 1970
TEL. (978)745-9595 EXT. 380
Is FAX (978) 740-9846
STANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, S34,I aclmowledge that as a condition
of Building Permit# all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility, as defined by MGL c(Ill,S150A._1
The debris will be disposed of at: /elf(6)S(cam' cn
Location of Facility
U
y
-Signature Perm App ant Date
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
0 hrv\d P3'?c 1)n/
Name of Pehnit Applicant
Firm cNa��me,if any
Aci C
f l �r�C1D�
Address,City& State
The above statute requires that debris from the demolition,renovation, rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL ca S 150A, and the building permits or licenses are to
indicate the location of the facility.
LAND OF
ESTATE OF JULIA J. REAGAN
SHILL.ABER ST. SALEM, MASS.
SCALE I IN.=20FT. OCT. 1956
REGISTE ED 5 YOR ,�G.a
ESSEX REGISTRY OF DEEMS, SO. DIST. MUM MASS. /�n OF Ala
Received tl9.S6.. wa'1 h.... FOYIWni N\ 1
1 T n
_...... __ . __. .. ... BR1IMNSKq).�
Rec. B ,315-p.6OQ . ...Filed as No.,.7qLD
a =� cue
Wing Register Of Deeds
SHILLABER ST.
as ao
i
0 rl R1,' G
'.o ^ m
A n
rn
416E SQ. FT. 3162 SQ.FT.
G°` N
GOODRICH
.MMA10k"��AI TH OF i ASSACtSU4ETTS
QSSTX RFGII`pY c t+ r C,I: Oly'"T vXlft.l NQ�rs r
nr., r .. .
LAND OF
ESTATE OF JULIA J. REAGAN
SHILL.ABER ST. SALEM, MASS.
SCALE I IN_20FT. OCT. 1956
REGISTE ED 5 EYOR �,,.
ti�zMn
E556X REGISTRY 6F DEEDS, SO. DI5T. SALEM MASS.
�a� c
Reserved I915�.. ._ �� EGWIN �'mj
a T,
._.... .___.. . .. . ._.. .... �\ BRUMYNSN I,
---
Rec. B.4 �, .P.�:,Q,�,.. .Filed as Plot:- 9- ���, l�
Attest: CNlW
Acting Re&ter of Deeds
SHiLLABER ST.
,, 6$20 .96.80 li
0L,
r�}61 A
0 l{0�1 ti1
m
A rn1
0 m
Ln
—� 4188 SQ. FT. 3 I62 SQ.F T.
GOODRICH
' CUanMC�ta t.t,[�idr jc y NU^G'P3
@xc YRE61gT'3 Cfb^^iP't h) Ci^T.,<4LLGS M�a'S "
gS cX 33. L
APT"s3T�-COP tj t LIED IN TH S C
R �w