23 LINDEN AVENUE EXT - B-0094-75 & C/O BUILD NEW HOME 23 LINDEN AVE EXT.
No. 73-JT1 City of Salem Ward
4ctwvr.vr*'
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items in sections:1, ll, Ill, IV,and IX.
I. AT(LOCATION) OU UNbeAI hw, e,&en5/n D srRICT
LOCATION (NO.) (s7tEET)
OF BETWEEN AND
(CROSS STREET) (CROSS STREET)
BUILDING "' LOT q q
SUBDIVISION LOT—6L_BLOCK SIZE �C OC�DB
II. 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 17r(I One family 18 ❑ Amusement,recreational
(rousing units added,if any,in part D, 13) J 19 ❑ Chruch,other religious
13 ❑ Two or more family-Enter number
3 ❑ Alteration(See 2 above) of units ....................................................... 20 ❑ Industrial
21 E] Parking garage
4 ❑ Repair replacement 14 E] Transient hotel,motel,or dormitory- 22 ❑ Service s
itatifil repair garage
Enter number of units ........................... --�__
5 ❑ Wrecking Q/multifamily residential,enter number 23 ❑ Hospital,institutional
of units in building in Part D, 13) 15 ® Garage
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
8IXI Private(individual,corporation,nonprofit
7TT-TTC 29 E] Other-Specify
institution,etc.)
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,
parochial school,parking garage for department store,rental office building,office building
_em10. Cost of improvement ......................................................... $ at industrial plant If use of existing building is being changed,enter proposed use.
To be installed but not included
in the above cost
a. Electrical...........................................................................
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 ❑ Masonry(wall bearing) 35 ❑ Gas 40 ❑Public or private company Will there be central air
31 JR Wood frame 36Oil 41 �] Private(septic tank etc.) conditioning?32 F] Structural steel 37 U Electricity 7-C 44 ❑ Yes 45'M No
33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator?
34 ❑ Odrer-Specify 39 ❑ Other-Specify 42 M ubli orprivatecompany
46 ❑ Ves 47 No
43 ElPrivate(well,cistern)
J.DIMENSIONS
48. Number of stones . ..-................. M. DEMOLITION OF STRUCTURES:
49. Total square feet of floor area,
exterior
all floors,based on ent Has Approval from Historical Commission been received
dimensions ............................. OO for any structure over fifty(50)years? Yes_ No_
J0,6-50. Total land area,sq.N....._ .................... O O Dig Safe Number
K.NUMBER OF OFF-STREET PARKING SPACES 0 Pest Control:
51. Enclosed..............................Z,.......................................
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. Outdoors.............._.........._. ......f................................... t Yes No
L RESIDENTIAL BUILDINGS ONLY Water:
53. Enclosed......................._............................-...................... Electric:
�/ Gas:
Pull................sC,:................... Sewer:
54. Number of
bathrooms / DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
Partial................................... BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:
Historic District? Yes_ No (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-A- No--
Is
o_Is property located in the S.R.A.district? Yes_ No+
Comply with Zoning? Yes—L 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-?C (If yes,submit documentation)
,/
Massachusetts State Contractor License # (��?6? Salem License # 6n)
Home Improvement Contractor # 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.
L
O a✓ v A � G-/
Omer or (Plobe✓d
Lessee 3 N d
2. J/,l ((""�6)030 Z��J)'� ''w
ContractorN -
eeilder030963
License No.
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 appli Addres / / /? /yApplication date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building �j�_ QL/ FOR DEPARTMENT USE ONLY
Permit number
Building , _ Use Group
Permit issued L///L�^ l � �j�[19�
Fire Grading
Building -Orj/!J�'�— s� '/
Permit Fee $ . `)— diY ib� • r� Live Loading
Certificate of Occupancy $ Approved by: occupancy Load
Drain Tile $
Plan Review Fee $ (` ,
TITL
NOTES AND Data• (For department use)
PERMIT TO BE MAILED TO:
DATE MAILED: p'2
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
v
i
a goy, 1 CERTIFICATEISSUED"
! DATE August 25. 1996 .
CITY OF
` 9 SALEM, MASS SALEM
01970 BUILDING_ PERMIT-.-,-
G CERTIFICATE OF OCCUPANCY
DATE' MHLC.jI PERMIT NO.
APPLICANT' COtt: T "nOWB�Cl ADDRESS bIP.CG'000l ' ,ane ..J64
'(NO.) (STPEETI (COMIR'S LICENSE'
PERMIT TO A!nra l',]C )�Irl,].1`/- j]T1p�_1 - NUMBER OF I� -
(_1 STORY ,-f.nA DWELLING UNITS F
IYYPE OF IMPROVEMENT, 'N0.- 'PROPOSED USE)
�Z -Juien Y--O - 1•(8Z'-s ZONING n f
AT-(LOCATION) DISTRICT
(ND:) -•'STREET' - -
.l
., '.. �[ ✓.Zy .!-v-: :- L.'..a+-:kpf. .l
STRl .:^•)'4.x.":'>✓j3.+Y!S! Y¢ Sq�' }.: ...f:.Yr I
T .ABO T73-j- i-f L .•,. s ,n.:. ,.;:.> ,.
EET
._ .. .: - y - `.ICP OSS STREET) ... j ...0.. �.
LOT 1 BLOCK- - LOT
E -
BUILDING 1.5 TO SE � FT,:_WIDE.P•,t •-FTS LONG BY
!FT. IN MEiG NT AND SNALCICONFORM�N LDN$TP UC-TIION
... .: . „
TO TYPE -' USE GROUP `BASEMENT WALLS OR FOUNOAT lON 1 I
(TYPE' i !.
.fl6t LOne
Po. O
REMARKS.
AREA OR
VOLUME -
' C.BIU SOUG9E IE ET,1
OWNER ^�h :Y!.OG'.4 TO. ' o.9^Im'R'vrEEernerwoe'rm Nis
isinlosrwsc'ns
TO'BE POSTED ON PREMISE$ -
ADDRESS - " LOL7U�1...03^ 3..C'.iG 1f 35. SEE,BEYERSE.5198 FOR.CONDITIONS OFCERTTFECATE
._;.•.".�;p„ ,. SNS i R .`y � _ _ _ -�._.:
I EPARTMENT,, ApPR V 11; FOR CERTIFICATE 1
``. of OCCUI�AHCY' n COMPLIANCE u. F
l 4 , e tilled i bV each isjon indicated hereon I
�• i�N on completi, n( of its i al i inspection.
.'Bbl DINGS Petm�t No. 75-94
Approved by Leo E. Trembl y Date 8/25/94
Remarks !
i
I
PLUMBING Peiinit No.
Approved by Dennis Ross ( Date 8/19/94
Remarks '
ELECTRICAL i Pe mit No.
John! Giardi 8/17/94
Approved vyi ! Date tJ
Remarks
OTHER'. Fire Permit No.
Approved by_ Normans Lapoin to Date 8/25/94'..'m
Remarks
OTHER Permit No.
I i
.:
`Approviid by ! I I Date
Remarks
� f
LO-
I
-APPLICAMCOPYIS PERMIT_NO_,,R.ALID UNBUILDINGPERLY RECEIPTED BY CASHIER-
CITY OF SALEM _.
SALEM, MASSACHUSETTS 01970 'PERMIT~
VALIDATION
•a
4cBaNE
DATE - - '- 19 PERMIT- NO. O " _
APPLICANT
ADDRESS.7C y%la-;10t:..' �9.
° ' - -' - . � � - P.
ISO.) (STREET) yy�CONIiN•! LICIINSEI.
NUMBER OF-'
PERMIT TO '. f;D@ tl r,`..,. (_I STORY .o? � -' ^ -DWELLING UNITSt.of
ITTPE'OF IMPROVEMENTI x0.- . . IPROPOSEO,USE)
0.7 + ai - RONANG'I`F�f "t" R i g
AT (LOCATION( Wen d ® TGI DIST A
INOI (STREET( ' _
,. _ .s. a ..;r i .4}s1.s1„hysFgx:.i^:
BETWEEN AND" -
(CRO!!'STREETI (CROSS.STREET) o^, UFegF Y
SUSO IV IS'ION LOT. ,BLOCK
_ .. uu.1_. .... ti."..'§y L, ::J.:'T :r•., 'E '.'3+:.,i - :vaarakSa^S3Ti1.� •• �.
BUIODING IS TO BE_ .. FT, -WID BY FT. LONG;,ZY F,T,,IN HEIGHT:,PND SHALL-CONE.O,,,RNL�tF 1754R UCT ION
.. i �:,- 'Y, ( _ ,. .. •kil l
TO TYPE USE GROUP �' •BASEMENT WAA LLS OR FOUNDATION ' -
a• rrgq;.. Tr• a '•;x Y .'.a:.+f 1;Y -�/ - A _ ,(,
_... gym. ....
REMARKS:
k.A +.
trail for Perlrit to Occupy jE 41a
AREA OR t9.y':f Pf: PERMIT 11
VOLUME ESJIMATED COST FEE S
:CUBIC/SOUARE'FEETI4 ...:;'•• 1':a +..-y .. ;..-c: ..1.l BLT.,'.•� -�•.
OWNER y . yT�
l[>• ad �Ialr—Tr, , .,T' el..._:'--. _._ .P:Q �'.-- � �'i'eh-),3V
ADDRESS •'
OF ANNA APPLICABLE
SU
P'pB"�'K°110 "'YT1'E`T'SS ISA � FK`AFRTDTSES?T`OT R E LEASE THE APPLICANT FROM THE CONDITIONS .
OF ANY 4PP lICABLE SV BOIVISION RESTRICTIONS.
MINIMUM OF THREE CALL AppROV ED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PFRMI TS ARE REO UIRED FOR
ALL CONSTRUCTION WORN: ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,S UCH BUILDING SHALLNOTBE OCCUPIED UNTIL
MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
0, 2 Bl� ���'1 y 2
BOARD OF HEALT GAS INSPECTION APPROVALS FI E.PEPT. IPOPECTING APPROVALS
OTHER CITY ENGINEER 2 \\^vl 2
WORK SHALL NOT P40CEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD
INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGBD FOR BY TELEPHONE
STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.
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