7 SUTTON AVENUE - BUILDING INSPECTION ---��_
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No.� City of Salem Ward
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APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items) .in.sections:1, It, /it, IV, and IX-
I- A7(LOCATION) -9 4!11;,r,,1QI`S W $ \i DISTRICT
LOCATION (NO.) s nEEn
TF
OF BETWEEN AND
BUILDING (`Ross STREET) (CROSS ETI
LOT
SUBDIVISION LOT BLOCK SIZE
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 ❑ One family 18 ❑ Amusement,recreational
housing units added,it any,in part D,13) 19 E] Chruch,other religious
13 ❑ Two or more family-Enter number
3 Kf Alteration(See 2 above) of units....................................................... 20 ❑ Industrial
21 ❑ Parking garage
4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory-
Enter number of units ........................... 22 Service station,repair garage
5 ❑ Wrecking(if 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 G h. ,' 26 ❑ School,library,other educational
17 Other-Specify q 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,
parochial school,parking garage for department store,rental office building,office building
10. 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.).....................................................
c � �
11. TOTAL COST OF IMPROVEMENT $ I Z - -
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 urpublic or private company Will there be central air
31 ® Wootl frame 36 ❑ Oil 41 ❑ conditioning?(septic tank,etc.) B
32 ❑ Structural steel 37 Electricity 44 ®Yes 45 ❑ No
33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator?
34 ❑ Other-Specify 39 ❑ Other-Specify 42 ErPublic or private company 46 ❑ Yes 47,Ej�No
43 ❑ Private(well,cistern)
J.DIMENSIONS M. DEMOLITION OF STRUCTURES:
48. Number of stories ............................................................
49. Total square feet of floor 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:
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. Outdoors............................................................................. Yes No
L RESIDENTIAL BUILDINGS ONLY Water:
53. Enclosed.......................................................................... Electric:
Gas:
Full 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 , please enclose documentation from Hist. Com.)
Conservation Area? Yes_ No (If yes, please enclose Order of Conditio s)
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 documentationfif no,submit B of Appeal decision)
If new construction, has the proper Routing Slip been enclosed? Yes—
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Is Architectural Access Board approval required? Yes_ Nov (If yes,submit documentation)
Massachusetts State Contractor License # AIZ4 Salem License # /t
Home Improvement Contractor # 0117 Homeowners Exempt farm(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.
' r
Owner or '744-147
Leasee S r w 01776)
2.
Contractor /�
'ri Builder's
License No.
3. 1�
Architect or
Engineer
I hereby certifyt the pr osed work is authorized by the owner of record and that I have been authorized by the owner to make this application
as his authori agent n we agree to conform to all applicable laws of this jurisdiction.
Signature of 6t AddrF plicati da e
f�LJJ (
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
BuildingJ Use Group
Permit issued 19
Fire Grading
Building Utl n
Permit Fee $ Live Loading
Certificate of Occupancy $ Approved b Occupancy Load
Drain Tile $
Plan Review Fee $ G4:W—
TITLE
NOTES AND Data • (For department use)
e a � . mow
W O
11.E 2
PERMIT TO BE MAILED TO: .
DATE MAILED: —�
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
L
O N
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Ir t ' .i- f 'CERTIFTE iSSUEC
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` .CITY OF SALEM Y r n < # rl ry .r arae , i* t
` } BUtLD1aVC PEItA�11T� zrei..ed a(
SALEM, MgSSACHUSETTSOf970 = tf'b d car(
CIiR�1FCA;T� FCIPaNCY k
from J.J.
T DATEJanuaryTanuarV 6 19 ' I..._
3arodd DeMonaco , i 94 PERMIT NO: 9`-QCI ' 3/11/(
�I,PPLIG• `--' V "DREss 8 Settlers•. Wav I i Owner:
rr% 4s ¢ 11 / t IN0.1 9STRECTI ICONIR-S LICENSEI
Pv Eq IT Tait terat`lons 1 ii� _(_I STORY 1S DGTP Plfin .1� 'NUMBER OF. j +
v g NUMBER-
LUNG LNIT$
•f'f 1 IT Rf OFIWROY(MI[Nill ` 'NO': ...APROROSED USE): I , 3
5•i�tLoctT lai+ 8 Settlers {lav �"s
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BUILDING AB � FT Wa OE P FT. LONG BY t{T IN HEIGHT AND SHALL CONF04PN CONSTRUCTION
XO tftfPER a'S ISE GaO{tUP :+ BA9EME 'NALL3 OR,iDUN0A7lOM
0P I LTill I 1
tiEM•RN$^ RCA�V tion o'{ baseir.1' hitt ne ' roams "'Net9 # i { a
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AR A
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I pf11pf91 Vf1IOAr01116C116!'IIOT!'Eld!{E CEI TES ON PREMIOCNON'1IOC/Ip
OWNER Harold LeF.BnaCOBE. POSTEa DM PREMISES
ADDRESS 9''settler8 Way $E IeR" '1'.^& 3EE1REJARSE.S1a@ifflI�91TIONS OF CERTIFICATE
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i :,, -.;.QEPARTNENTAL A,pFRQV L FOR CERTIFICATE
' z 'i a(OCCUPANCY pn�tOMPLIANCE a
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i be filled in by each ijision indicated hereon
�;PP T� cort pletil I of its i6a1 inspection.
B D G5 '^ t No.
23794
Approved by SJohnlJeniinPes ( Dlite E 2/4/94
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PI�JMBING i Pe u 't No.
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ELECTRIC i Pe aut No.
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It Approved by{ A F lko ski, Date 2/2/94
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