31 WILLIAMS ST - BUILDING INSPECTION Jew
-# *MT.-BE fKa041ND APPROVED By T44E
JdSi'F.Cm PWR TDA.pEMIT BEING GRANTED
CITY OF SALEM
No. l � �d Data
is Pmpatty Located in Location of 2 r
toFW A& DIdW? Ya—No_ Building / ' y
is Roputy toc.t o in
Via Coraarwtlon Area? Ya No_
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) R eroof, Install Siding, Constru t Deck Shed, Pool,
r/Replack Other: k'E mo,1EL ��i. �i�T ReN®u i
P1511iN6}5/1E�
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 �O�DTtI Y s« T T
Address & Phone j 974 5 3I,6 96 7
Architect's Name
Address & Phone t
Mechanics Name
Address & Phone f
what Is ow Paposa cr tWl W dF?Pa094, f e49EA°r-
m"W of burl G? tl a dwwq,br how mammy lambas? z
wW bu6dktq cotworm to kw? VE S ? rLV d
l.sWttatad SOGb, ao City ucerw r N A ftle lkmm M
Li`. f kjijgw��ure of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
T1iLmI irIo WADS rc�la/vas �i7+r��rn/� 4c� FLDOPS NEhi
/)iFp3/nIETS iN K/YLN��./ /NsTi4�.� UlSjf'rc/AS�fE.0 Y' h7/CRO �`/p-vE Dl1t=N . _
MAIL PERMIT T0: t ' y ' ITT 'V'�//L
No.
APPLICATION FOR
PERAAT TO L
LOCATION
PERMIT GRANTED
2.0
A ROV�D
INSPECTOR OF BUILDINGS
• r
/
CITY OR SAL UMp MASSACHYltTTS
PUBLIC PROPERTY CKPARTM[trT
120 W"W'"ftll 8MUCr. 3a0 A.=*
S"tM. MAanAOMUSMS 0I076
TtLtPMOMti 979-749-9698 MM. 380
PAM 970.7/0a{n0
3alenst Bnildln:Demrter�.a
Debris D!a wsl v......
In a=c&nae with the Provisions of Mo.co 3 34, a condition of our
th
Bu&&S%mit is at the debris resultinS from this want shall be disposed
Of in a Propedy licensed solid wsste"disp&W facility as Mned by MGL
Chapter IM 9150 A.
MW debris will be disposed of in:
SS�r (Location of Facility) No'AS �C �•��
Slpamm of Applicant /
sl o/i
Date
i
CITY OR $ALEMv MAssACMUStTT!
• PUBLIC PROPtRTy 09PARTM[NT
120 WAS111NQTCN STSaa-r. 3So FLoon
• SALEM, MASSACNUSaTTS 01970
TaLa►Noes: 37b7/s-Says a". Sep .--
FAM e78-740•9446
BOMEOWM
LIfEN31 EXEMP'ITON
Ptene prid.
Dale 5' /d Job Locadol 3f V4,: L q ?. S �q
HomoQ!rnarAddteu �1 NiL� sr_
Homl�lYn�T Era-fsabY YYl f� d/q 6 D
dwellin
Fne{vmtM�Addtma S.rm� AS l7-ROUE
C��i0me0iY0Qi�was,artfalded to iOClads awnae�oocupied
Es of tM L%ft or Isar and to allm a" engage an mivtd dval for
him who does not Posen a Hcm l%prpvidd thath
>a aupeevisaer.
DBFWnON OB HOMMW=.
Persan(alwho OWN Apaeeal.oflandoa wlli*hill nerides or iatmda to reddai,oe
which thane is,Of is intended to b%a ons of two
&0*4+"efti sKachod of detached
accessory tosuch use"dill l9rnt
than one home in a two yew pariod shall not a pew�ohomelown constructsSuld
�s
0odao -thatnbn*to the Building Oiliciel fan acceptable'to the Building
Permit responsible for all such work Performed under the Building
The undersigned"homec'"a"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and n dationa.
The undersigned"homeolvner'catifles that WSW undwitaada the City of Salem
Building Deparnrrent minimum inspection procedures and eta and that he/she
will mply with said procedures and r+equiremettL
HOMEOWNERS SIGMA
APPROVAL OF BLUDING INSPECTOR
See other side for state code
�r
i . .
M'
ZaAtrROVYN>E��*r7w[!'[i019
Wotk EW Whl&a Bniwwt Permit ie
The Code stag be t>atd6sW 0"v0AiO H O � aecd.(Sa.edam 109.1.1`,
o c '°nXp d.aa°m°°� Paste(
do nWA w«kl d fw big*to
that�Sao dtr
MmY H°p1°O arho use M.
e AN � tw RWhdoOS o in Serious
ee do snpa� 11$ Two lack otownumae olEaa ease Y
C6 +xtio°g, vieoeeout
�dre Homeowoec h d vA*a
� Agnos ans it won1d �0e0d
To OWN the HOQ100 sa filly r"n0 of he bibiMn tl Omean'w caahiY that
t as a Pot ottfia Ponoit P�otthia isnae iS a
rasps Yao mall ewe to Smad and adopt Such a
form Hied try mvay . `
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