7 WHEATLAND ST - BUILDING INSPECTION i
,
IRMW1AVW4@EfiL4NHM APPROVED 8Y IM
J!{BPEL7O Pfl R TV A P.EI W BEING GRANTED
CITY OF SALEM
Vftrd
7 "omm
Is PIOWY UXWd in Lxitloa of�}
"Id" ow"? Yei Nb_ 1
Ib Pmpwty Looabd In
: Its Canwvaean one Yn No_ l )
Permit to:
MJ LDM POW APPUCA'TM FOR
(Circle whichaver apply) Roof, RMW. Install Sidi, Constn fx Deck, Stffad,
Repa+►/RaPlaOa. other:
PLEASE I "Off LEML.Y A CWPL EMY TO AVOID DELAYS tN PROMMM
TO THE INSPECTOR OF BUILDINGS: '
The undar*WW hereby applies for a permit to build aa:or tto the,tokm"
"Ndocasom.
ownsee Name \ ECM-0 w S
Address
Amhttect'a Norm
Address a Phone ( 1
Mechanics Name k 6, USP,
Address a Phone - :Zll OI,G
What is to prpaa at WjdW
Mdww d taadrg7 If a dwrlMrp,for how many i marr7
wr had*V oaronn 10 rw7 MOrdor9
tafrnttrd and 117 S.02� Cay Lioww• 9latr Clowns r
U0. tea`
SiptlMt n of plisaM
SI01 THE PENALTY
OF PeR,NLItY
DE . . m o=%A T€; DE 0016
MAIL PERMIT TO:
I
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? •( CITY OF SAL M
Bunmra DEPARTMW
HOMEOWI�R.R UCENSE EmvnoN
Man PAN
ADWJM
1os iocArlort �1 l>`�ne rR���n d- S+ .
HOMEOWM
TELEPHOW
PRESENT1dALNG ADDREs: 2� .Cfi
• 71�cmeent.aasspd0o a(-nameos�e+i"was�eaeee>o brmde ewoae+�+pi0+.d"�'a� .
tlnha a ka..nd to albw such 3omtvwmn eo er�sjc m bdFldgl for Idn,vDo does am pore.•
IICCMM,.pwided dmtbq eeeear.II as surowsra
DE" DncmOFHONffOwmb
Pen=(e)who swat.p.W ef bmd on which Lshhe aside a bfaade to tsside.04'���1��
intended eo be,Ian to two�dweMr46 sttachad at dcudwd smacma�aetbe aonsl M
farm mwues.A pcnm wbc tOT VUM move:the me bomc bt a"wrw POW
sboarDmM. Stsit'lwsneow•aef&bmVrubndlistheBudding MOCKbtsUd6t*per� 9
Bwldbg OMcK tlm bchhc be nspombk a all s0dt Wmk p abrand seder
Zbe imdMiPed'nUMWWnd"smarts nesponsn%ft fa wmPft=Tft*e sun Bumag Code d
other appSabk Sots W-bv4,roles and upkfiwL
Thc andersiprd-hmwowne acrtiLe to hdshs m�das�and+ft aw of sakmo Ba ift De wmm.
minimmo i dpac i=pn=dme and eequsearcms and thn Alshc wdil c=*'ritb said p0adald d
HOMEOWNER's s1GNA , \
APPROVAL OF BUILDING INS IMM
See otket sae fa sett code
x
afy OF SALMA
B1Jimmi DEPARTMENT
Bola IM LICENSE E MOMON
Pkase p"
DATE
J081 OCATION
ADVIMW
HOMED IM
TEI.EPMG
pRtSbrrMALWG ADORES=
Tbc eam�a.eRmp<]oo d-bomeoWWC«n cacade6 to br bde ewoes•. ++P ,dwslS:gs o[T OYI,
Uahs a kas ad>e albw soeh homoowmem to.awe am bdivida�llot hbs Arlo floes mat possess•
liecme,.Wa'�that the arai set a smpenrtasti
DEnwrmMOFHONzcwm=
pen=(s)wbo owns a pmml of land ca wWa b0sbc usida OF brads to tesidR om ed *am k .
bead to bk s one a two family dwcgsi&studied a dwdmd Muc ma MAON
motbe eomtdaad
farm rwo mva.A pcnm who oonstnM moec thtm am home is a two•ycw FC&A
Building ODic+albomwwM.s 00 by iesp�k a aA�«�oeb�p��to pw��
Tbc wWcz%iVmd-Wvm ucf ass►m a tespoasibliV for�P�w�
w *a state Building Code d
mha appgcabk goes by4xvA,teia and tcVdadooL
The udatigned`homoowmf entities tin hdsht udasuvds the CjW of Salem Balding Depwuma.
n&W mw brpcW=pro=dwa ad ngnbcmcros and that h/shc wM wmPV w&mid Pmolft"d
+cgs
HOWOWM'S SIGNATURE
APPROVAL OF B=ING INSFEC i0it
$a mba side br sou Code
MORTGAGE INSPECTION JOB #
BAY STATE SURVEYING ASSOCIATES INC.
100 CUMMINGS CENTER, SUITE#316J, BEVERLY,MA., 01915
NOTES:
LOCATION .....................M.� ........... t)This is a mortgage inspection survey and not an
instrument survey,therefore this plot plan is for
SCALE : 1" = 30 DATE :3CSw9....2.`.'.... ...... mortgage inspection purposes only.
2)This survey is based on survey marks of others.
REFERENCE :QCF,�. Sj.sg.. 3)Bushes,shrubs,fences and tree lines do not
necessarily indicate property lines.
�C,�w1:.X. ..SS�l1Tk3..l1�GT'1.11S X. J-4)Whenever an offset is 1'+.or less,an instrument
...Q�FQ.S....... . survey is recommended to determine property
lines,and any possible encroachments.
TO: .NS?. �.kl..H.1�.:5,1�..SZ..\.C:: .t .M.Q.T3T...... 5)Offsets shown are approximate,and are to be
The location of the building(s)as shown,either used only for the determination of zoning,Not to
complied with the local zoning setbacks at the time of be used to establish property lines.
construction or is exempt from violation enforcement action 6)In my professional opinion the building(s) are not
under Mass.G.L.Title VII Chapter 40A Section 7 located in the special flood hazard Zone,as
defined by KII.O.MAP# 2 5 01 O'Z S -5- s 5
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