19 VISTA AVE - BUILDING INSPECTION r `
,
IMLIM IAWTOE fK4NPwND APPROVED t3Y T44E
JWPFC=PMOR TO A.PERMIT BEING GRANTkD
CITY OF_SALEM
No. U \ Dft 1� O
r \ wad
ZONny DMW
Is Pml)"UCMW In Loaatioa of
tln i o tlo omm? Ym No _ Dolldiaa /5 _�k
Is P10pwly Loaabd In
Un Canumtlon Ana? Yo No_
Permit to:
BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roo(, Reroof, Instal Siding, Construct Deck, Shed, Pod,
Repair/Replace. Other
PLEASE FILL OUT LEGIBLY i COMPLETELY TO AVOID DELAYS IN PROCESSM
TO THE INSPECTOR OF BUILDINGS:
The umlersigned hereby applies for a permit to build accorcLag.to the following
specllications: nn -
Ownees Name A02 MAC C)c
Address a Phone 9 Af✓P ( )
Architect's Name /ljoly '-e
Address d Phone ( 1
Mechanics Name JO�l AJ co S ig-�
_ v�3
Address 6 Phone r�A� / Sr �' LGD/ (V- i 53 S���
What Is fha m•aoaa a b~ 1 iN cY Raceh t AUK
mWWN of hula W (HOC/ Nor' , "2 q- for how awry M lim?
w*hAft canlonn to law? Y2S Aabaloa? //f/a
te>amalWooa 30_aA,ukans..
�6 WpVkure oPA01cant
SNNM UNDER TILE PENALTY
OF PERJURY
DESCRIP�yTION OF WORK TO BE DONE (2 yj ,
) o.t moo.- 10T SP C ahC/
-
,
MAIL PERMIT M.
No.
T
APPLICATION FOR
PEFVW TO
LOCATION
IC7
PERMIT GRANTED
19
AP77fl)
INSPECTOR'OF BUILDINGS
r.1
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�Or>LgfpfllYaff>aih of �� .�
.1J.paalwaal 414-& A""
boo w.A;.#.Sea
�aaaq 1 C..ee.a &.w M..•J..A 01111
coon a w
Workers' Compensation Inwssance AflWwk
. . wEo" Principal plate of bnsbaess au
/UT-ST ZA
do hereby•cerdly under;he palm and pamil a of per*y, AM
I ate an employs► providing workers' eompeamdem coverade for my eimPiey.o walking w
l w e 7y�_ay'
Insurance Can*W P Number
1 aim a seas propslecer and haw me ens working fir ms to amp caPadq-
() 1 am a ark preprieser, general contractor or homeowner (drde one) and haw Nnd do
contractors listed below who•Iaaw the folkawiag workers' conocasmiva PoSdan
Contractor Insurance Company/Po .Numbw
Contractor Insurance Company/Po Numsbw
Contractor Insurance Company/Polley Number
() 1 am a homeowner performing all the work myself.
•I vwevasae ten a ea"of eel AMOK M WE one ferrareae m sr Onee#I LWU*M w of en DM for ce..rafe-arnkaeaa ale an laaae IS ten
co.wa fr a reevrw tea Sawa SSA of MOL 152 can kid M Vie' , i of 0*36an..aMW earuadat d e 6"done 104 1.10000 antler am
react•wereon m a„s a Mr amide in Ju i9m of a STOP WORK ORDER see a in/of
551�0,0.00 a an atiw OL
signed this . /2� �'
D4Z
.ice i ermitte ru11 •snf Department
�jcensinf Ecare
Selectmen Office
e.alth Depsmmer,c
a
ru�uc rwororrr DQAWrUWfr
r ao wmlmw m smlmT aa0/LMN '
fK/M.tU1 Oi�'�70
TaL.(976)7464500 OR.SGO
*TAN Lsr MAYOR{ YIf'�, iL.
DISPOBAL OF Di APPMAVV
b mooch w3dt to p wAdm dMOL a Ia S340 I admo bdp 90 r a amddoa
dBafld6tS Pr<mit/ .d1 debrle reaolt6rS Aam tlu omatniadoa and ft
aoomd by 0o BoD ft Pa®it dol ba dkpond aria a imp@*Somud soSbwaeb
dbpood hcMw,,ar ds&W by M13L a IM SISOIL
rm&wb will ba d v*nd art AT Z QNTIC A/P er' ,/
I,oaedoa arBaaWq► .
FULLY oompleM tlr b1lowLtB iaA�madae:
XZASB PRW CLEARLY)
t a IV) Ca Is
1V�a dPemie Applioaet
Fiev rio>~�t�►
Addeaet, !sdta
Mw atom atepbe rogoim that Men Am ft damohWo,reooY.tiaa,r"or o6w
aknxdm otboOft or etrnetma Is dispad in a p aparly-liomW adidqnft dirpoad
ftVy m ds&W by MM dK S13QA,and the buU ft pum t at Baamae m b
iad�aee ma loaatian arena Aaaligr.
a
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Professional land Surveyors Fiy;neers
hx_,f'..',rGAGE. INSPECPION ESSEX SURVEY SERVICE. t 958 8G
, 19
t7P PLAN OF LAND OSBORN PALMER 19t t - 1986
LIXATED IN BRADFORD & WEED M t885 . 1$72
k�?LtM ASS. ,
SfiLl)
7Z-tiurr✓«uti-tir
NJf
L7
PRaar, p 'fi
ADD
F.t'�,cG aGiELL.II aox�
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I Gl-rug
_ Vlsrra
J AV 'ao kE:PG!.iSl r
.AWITWIG6.:: :. !c . .
I, C}uisto a ,=.e R. Mello) A Registered Land Surveyor, Do Hereby Certify That Thk A4Yuve Mortga e
Inspection . lot Plan Was Prepared For �a.
Mortgage A,'rl Is Not Intended Or Represent T eaE&? lr�lGK In Conner.t;'i n With A Nei
Were Set, Tait Cannot Be Used For Establishing Fence, Hedge obr'r Property
lding Lines. -N(i, Responne Sui-V No sibilit
Is Extended f:xein o The Land Owner Or Occupant. This Plan Shall Not Be Acr-c,T.EY; For Rec.ordin
The Location Of The Dwelling As Shown Hereon }T,,,.. ,,
Is In Carp)i anpe With The Local Applicable 11�i Plan Has BCr_j. i , elated For
Zoning By ec
Y 9:�s In E£ft When Constructed .,'` Conveyancing RuF. s;[ C><,1y For rnie
With ResK , To Horizontal Dimensional ch'•_ , a Above Party And IB ^rut To Be Used
Requiremer',t.< Or Chapter'481'Of 1987. ,, _ For Boundary Meas1n ._ a_1,ts.
Subject Property fe, 1.:w•at In
l Zone On A Frn'r
1 +1 s,Mime
SCALS: ��' MR- stration Des7)nat.ed ood
`►o;°'
i ' ` Hazard Area, As Pet• Pl;r 75�J1G 2
"DATE: F1 ' �� -KZ Dated ��5� 5 p
RLFER}34CF: BK &773 PG
1
AO LOWELL STREET
PEABODY, MARS. 01960
FAX(508) 501-5920
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