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3 HERITAGE DRIVE - BUILDING INSPECTION 3 Heritage Dr: i I. � .f. ems• �. Santo -. ._._.r "^"'^"^*rf'I.,+:9.vN�^.'M r'"5..,.Fv^'.rt.Fr..wrr^�elLrH'f"t'r�{iY."'t..,'a..r••°,......: �....rr-... T ..,d_�.. ,-m ... �. .,... ..�,-..—....�R.-.,,,....,r...-.,r ,,.Tq. �cDNa FIELD COPY CITY OF SALEM BUILDING ?° SALEM. MASSACHUSETTS 01970 PERMIT �� VALIDATION �/NINB OD r DATE September 29 IS 93 PERMIT No, 438-93 APPLICANT Benedetto Corn. ADDRESS 300 W. Main St. Northboro.Mass. 1387 Iw0.1 IAIA[(TI (COLI Yf LIf(wFu PERMIT TO Repairs (_) ;rDRT Dweilinv NUMOEP DF OWELLINF, UNITS IITPI Of IMPAOFEM(NII NO. IPAOPOEEa USE, AT [LOA', ON, 3 Herttage Drive Ward 4 ZONING DISTRICT R4 IN0.1 If TREETI RETWECM AND ,Class su(En (CROSS STP(EII LOT SUBDIVISION LOT !LOCH SIEE BUILDING IS.TO SE FT. WIDE Of__FT. LONG W FT. IM NEIGNT AND SMALL CONFORM IM CONSTRUCTION TO TYPE USE GROUP OASEMENT WALLS OR FOUNDATION ITTP(1 REMARRS: Carpet rep lacement,doors, railing/ New paint & paper , VOLUME ESTIMATED COSTS 9,000 F EMIT S 50.00 'C':EIL EOYLR F.IEETI OWNER Princeton Properties 11ORE!s Heritage Drive Salem, Mass. - - .Tnhn .T_ .Tanning INSPECTOR OF BUILDINGS INSPECTION RECORD DATE Mata PaaaMaaa - CaiTltl{M! •Ma REMARK/ INSPECTOR ll 3 No.� City of Salem Ward 'A'comvr.vd APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1, ll, Ili, IV,and IX. 3ZONING I. AT(LOCATION) DISTRICT LOCATION (NO.) f 1 IRITl OF BETWEEN 0 1 Cj\L Ir, l� A ✓f AND BUILDING OWS EET) ^-(CROSS ET) LOT SUBDIVISION -- LOT BLOCK SIZE 11. TYPE AND COST OF BUILDING,-All applicants complete Parts A -D A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION'USE MOST RECENT USE 1 ❑ New building- _ Residential Nonresidential 2 ❑ Addition(It residential,enter number of new 12 ❑ One family 18 ❑ Amusement,recreational housing units added,if any,in part D,13) ❑ - 13 �7vro or more family-Enter number 19 Chruch,other religious 3 1 of units ....................................................... 20 ❑ Industrial 21 ❑ Parking garage 4 Repair replacement 14 ❑ Transient hotel,motel,or dormitory- Enter number of units ........................... 22 E] Service,station,repair garage 5 ❑ Wrecking(It muni/amity residential,enter number ❑ 23 ❑ Hospital,institutional 13) 15 Garage of units in building in Part D, ge - _. 24 ❑ Office,bank,professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 7 ❑ Foundation only 26 School,library,other educational 17 ❑ Other-Specify ❑ 27 ❑ Stores,mercantile B.OWNERSHIP 28 ❑ Tanks,towers 8 ® Private(individual,corporation,nonprofit institution,eta) 29 ❑ Other-Specify 9 ❑ Public(Federal,State,or local government C.COST (Omit cents) Nonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant, machine shop,laundry building at hospital,elementary school,secondary school,college, 10. Cost of improvement """""""'""""""""' $ parochial school,parking garage for department store,rental office building,office building at industrial plant If use of existing building is being changed,enter proposed use. To be installed but not included in the above cost aElectrical........................................................................... b. Plumbing.......................................................................... c. Heating,air conditioning................. d. Other(elevator.etc.)..................................................... 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING -For new buildings and additions, complete Parts E-L;demolition, complete only Parts J&M,all others skip to IV E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL 1. TYPE OF MECHANICAL 30 E] Masonry(wall bearing) 35 Gas 40 LAK/Public or private company Will there be central air 31 Wood frame 36 ❑ Oil 41 ❑ Private(septic tank,etc.) conditioning? 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 Lam'No 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE 0 WATER SUPPLY Will there by an elevator? 34 ❑ Other-Specify 39 ❑ Other-Specify 42 ©'Public or private company 46 ❑ Yes 47 ® No 43 ❑ Private(well,cistern) 0 J.DIMENSIONS 48. Number of stories ............................................................ M. DEMOLITION OF STRUCTURES: 49. Total square feet of Boor area, Approval all floors,based on exterior Has pp oval from Historical Commission been received dimensions ............................................... .................... for any structure over fifty(50)years? Yes_ No 50. Total land area.sq.It.............. .............................. Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed......................-........................................... .......... HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? sz. Outdoors..............................1.................................... Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed ............. ...................... Electric: Gas: 54. Number of Full........................................... Sewer: bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED I>adial...................................... BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ NO—NIL (If yes, please enclose documentation from Hist.Com.) Conservation Area? Yes_ No (If yes,please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes_ No Is property located in the S.R.A.district? Yes_ No Comply with Zoning? Yes No (If no,enclose Board of Appeal decision) Is lot grandfathered? Yes_ No (If yes,submit documentation/if no,submit Board of Appeal decision) If new construction, has the proper Routing Slip been enclosed? Yes_ No_ Is Architectural Access Board approval required? Yes_ No_ (If yes,submit documentation) Massachusetts State Contractor License# �`{q aq l Salem License Home Improvement Contractor# I l'z cn? Homeowners Exempt form (if applicable) Yes_ No_ CONSTRUCTION TO BE COMMENCED WITHIN SIX (6)MONTHS OF ISSUANCE OF BUILDING PERMIT If an extension is necessary,please submit CONSTRUCTION IS TO BE COMPLETED BY: in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants Name Mailing address-Number,street,city,and state ZIP Code Tel.No. 1 VI Cf. Oti�ro �� Owner or Lessee LbkJQAl 2. >n Co, Contractor Builder's Ov 0o- License No. 11- 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date DO NOT WRITE BELOW THIS LINE VI. VALIDATION r Building A{ v� �j FOR DEPARTMENT USE ONLY Permit number � BuildingUse Group Permit issued, l z- (-�9 19 95) Building ,�f' t/ Q Fire Grading Permit Fee $ W J C-�'-K� Live Loading Certificate of Occupancy $ Approved by: Occupancy Load Drain Tile $ Plan Review Fee $ N. TITLE NOTES AND Data• (For department use) Cos me, 2 1+^ ose C, Jac -Doy r +'e t 'F 'Fla w o:r a1pe n N PERMIT TO BE MAILED TO: DATE MAILED: 9 f Construction to be started by: Completed by: VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN -For Applicant Use O N