7 AMANDA WAY - B-09-792 APP & BP, NEW SINGLE FAMILY HOME No' s City of Salem vra►d
APPLICATION
FOR- --1
Y..
PERMIT TO BUILD ADDITION, MAKE AETERATIONS OR NEW CONSTRUCTIC
IMPORTANT-Appicant two coonwi t SO Nww in asctbnad&t4 n4 IV,and a
L AT 9 OGTlON1 `�„ r'„ i2 ( ZDISTR .F /�
LOCATON
OF BET1MEEe1 ^ ,ld-a / Ado /f
BOLDING Roo
LOT
sufaoM3loN �� ; smfffl >�! LOTS—BLOCK LRE
L TYPE AND COST OF BUILDING-As applican`tss `comppllete Parts A-D
A. TYPE 9FINPROVEMENT D. PROPOSED USE-FOR"DEMOLITION"USE MOST RECENT USE
1 "� PA@kiwIY... .. .. Noleselden9el
2 ❑ Addison IN eefdende6 easlr nunbw ofnwe 12 limey is ❑ AMU MOWIL MOSSOorrr
heuain9 wilt addeq far%in p W A 131 19 13Claud►otlrr M69iore
3 ❑ Alleratbn(See 2 aboa+l 13 ❑ amore famey•EnY number ❑
20 IrrduW W
4 ❑ Repair rePMW.Wt 14 ❑ TrMOWA Molef.M06K or domdbry• 21 ❑ PMNer9 9wgp
5 ❑ WV ckY fV.1Ww.*Mdwdet enter remw Erd.rammrdums__..___. 223 0 w90N 9Maw
of undo it bu*ft i1 PMf A 131 150 GMa91 24
- ❑ (3aoe,bMeL OrdeeebrW
s ❑ wwm(Mbeadon) 19 ❑ Cerpat _ 2s ❑ PUMc umv -
7 ❑ FawdallonordY 26 13Sd"amy Oaereducoww
17 ❑ ONw•Specify27 ❑ SbRW rrrreM 11
L OWNERSAP 29 ❑ TMMe,rows
s Prfvafe(bdi idual,cMp WOM Miprcpl ❑ Olber• �
inetllulkn etc)
29 9 ❑ Public(Fed&aL Stec,a btef 11owwwaril -
C.COST (OnY cw" Navoo dMdlY-Desawe m dsw proposed ur d buader9e.e9.food procewske PWK
neadre dwW6 WxKky W&V M bospALt elenwiWy sarool,Seco dwy edrooL CONS .
I& Cos a improaeneM _-- t DDD— PMOaMeI saslak per"w�aoe fa depMenM+aa. ranw Olfin WIN'%01411011,busdYr9
M indumW tyMM.It use d exiedrp buildrl9 a b&V chwOd.Md proposed use
lO be haf 0od but not mcck~ - Mir",
.1 w.
in the avow COW �O (/� `•�
E'°c"'a' -- --- --- --- -- Ori7
tL
.aW .---
d Ode,(ebaabr,e1G).--------- /f
11. TOTAL COST OF IMPROVEAIE W SDDd
IL SELECTED CHARACTERISTICS OF BUILDING-For new buildings and additions, complete Parts E-L;demolition.
complete only Parts J&M aN others skip to IV
E. PRINCIPALLTTYPE OF FRAME F. OF HEATING FUEL O. TYPE OF AGE DISPOSAL L TYPE OF MECHANICAL
30 ❑ remarry(waN bwrp) 35
Gee 40 ErPublicarprKSWOWOMW Will Ire be canny air
31 LidWlootl frame 38001 41 ❑ PrMft(aeodo erlt de.) CO/dY'"ay7
1 32 ❑'SVuctwW stets 37 ❑ EMWic*y 'u ❑ No
33 ❑ ReiMaeed eanerele 39 ❑ Coal H. TYPE Qy(IVATER SUPPLY will dwo by M1 wr dol?
�., 34 ❑ Otber-Speedy 39 ❑ Odw-SW4y 42 eLl'J(Public a WKdo 0WO&y 4813 yes 47
43 ❑ PMale(wet cWem)
J.
aWNSIONS
°8. WIAM " M.. DEMOLITION OF STRUCTURES:
as ra wooI sour. a b«ares Hes Approval from Historical Commission been received
al s ursW etl m WNW
aaerrsions�----�'_;�!!v . fort 81ry sitUCture orer BfIY(5D}yeesrs? Yom_ No_
sn wuh W.+u ana w A - �' ` DIg Sethi Number
K NUMBER of OW-SM BT aMWOO S"CEa ResE Cixttrot
St.
s2 o�m«._------.------ MW THE FOLt.OM4 UTILITIES BEEN DISCONNECTED?
Yes No
nEsnsarnwr P-446y" WNW.
EI Gaz -
St
al FJ SM .. .
m� DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
va mn BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWM: I
Historic District? Yes— No� iff Yes,Pfau enclose documentation tram Hist.Com.). ..
Conservation Area? ..Yea— NoZ'(IfympleaseencloseOrdsidConditionst
Has Fire Prevention approve dtand stamped plans or applications? Yei� No.
Is property located In the S.RA district? Yes-- Np_�
Comply with Zoning? Yes_6No (t no,enclose Board of Appeal decision)
Is lot grandfathered? Yes- No_ (If yea,submit documerdatkmfd no,submit Board of Appeal decision)
If new construction,has the proper Routing Slip been enclosed? Yea, Na/L�
Is Architectural Access Board approval required? Yes_. No-L---'(If yes,submit documentation)
14 el
Massachusetts State Contractor License# C 0 Oo� 715IZ Salem License# ¢
Home Improvement Contractor # Homeowners Exempt form (t applicable) Yes— No�4f ~
CONSTRUCTION TO BE COMMENCED WITHIN SIX(e)MONTHS OF ISSUANCE OF BUILDING PERMIT
�! tan extension is Inspector
of.Phase submit
CONSTRUCTION IS TO BE COMPLETED BY:,
in wrung to the Inspector of Builder
V. IDENTIFlCATiON- 7o be completed by all applicants
him* Mahw ad&e �M00W,509K cq: nd Aft zV Coen Tal Nu.
owner« � dr % _!9 r Aope 7dlI
i� I 9fr
07P 3
aaa aecr«
I hereby certify Proposed work is auttodzed by the owner d record and ftt i have been authorized by the owner to make this application
as his author= and we to go=to all 2MOcable laws of this jurisdiction.
Signature of Address i y" /j Z cL A da
y
DO NOT WRITE BELOW THIS LINE
VL VALIDATION
Building FOR DEMTMFW USE Omar
Permit number
Building use cwcua
Permit issued 19 Fra Cva*q
P Fee $ t;Ms t�np
C.erGticalle of Occupancy $ AFPro"ed
Drain Tile S
Plan Review Fee $ t
Tme
NOTES AND Data-(For department use)
s
E t
Ai S u
N
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r
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by. Completed by.
7 AMANDA WAY 930-07
GIS #: I178 COMMONWEALTH OF MASSACHUSETTS
Map: 09
Block: CITY OF SALEM
ILot: 10001
'Category: ]Foundation Only
Permit# 930-07 BUILDING PERMIT
jProject# I,JS-2007-001541 1
jEst. Cost: 1$3,000.00
!Fee Charged: $110.00
jBalance Due: !$.00 j PERMISSION IS HEREBY GRANTED TO:
'Const. Class: ]Contractor: License: Expires
Use Group: i DIBIASE CORP.
Lot Size(sq. ft.): 1',7034940 !Owner: OSBORNE HILLS REALTY TRUST
1Zoning: ',RIR
IlUnits Gained: 1 !Applicant: DIBIASE CORP.
Units Lost: !AT. 7 AMANDA WAY
Dig Safe#:
ISSUED ON: 09-May-2007 AMENDED ON. EXPIRES ON: 09-Oct-2007
TO PERFORM THE FOLLOWING WORK:
FOUNDATION ONLY MAP 09/LOT 0311
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
Underground: Underground: Underground: Excavation:
Service: Meter: Footings:
Rough: Rough: Rough: Foundation:
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: Oil:
Final:
House# Smoke:
Treasury:
Water: Alarm:
Sewer: Sprinklers:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIO TION O Y F ITS
RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: l6beck No: Amount:
BUILDING REC-2007-001876 09-May-07 1170 5110.00
' TA .,tA AM jtiSoeotion is r'1-FY:I I=
it l cofnplet Lr;nt Work. pkiase cau
74" 9595 EXL 385
GeoTMS®2007 Des Lauriers Municipal Solutions,Inc.
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7.!
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FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR A $UILDIN , PERMIT
I
IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE
AND THE SALEM FIRE CODE, APPLICATION IS HEREBY MADE FOR THE APPROVAL OF PLANS
AND THE ISSUANCE OF A CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT BY THE
SALF.4 FIRE DEPA.In=T. ( Ref. Section 113.9 of the Mass. Bldg. Code) f,,,'''
TOB LOCATION:
0`rltiER/OCCUPANT:/Ij "' 'AIA r c- V gl t67
ELECTRICAL CONTRACTOR: � `. �L. i'-..✓ =—
FIRE SUPPRESSION CON CTOR:
SIGNATURE APPLICANT:OF 'L- -L/ 21611
}/j —�.*p---- - - --
KGs ns+�...— PHONE 0: /tS/'
ADDRESS OFJ} /n� /
APPLICANT: _o e` ' Sex CITY OT
TORN:
APPROVAL DATE:
Certificate of approval is hereby granted, on approved plans or sub=ittaL of
project details, by the SALEM FIRE DEPARTMENT. All plans are approved solely
for identification of type and location of fire protection devices and equipment
All plans are subject to approval of any other authority having jurisdiction.
_.. .. Upon completion, the applicaut_or_,installers) shall request an inspection and/or
test of the fire protection devices and .equipment. (ADDITTIONAL REQUIREMENTS,
SEE REVERSE SIDE
NEN CONSTRL'GTiON. /7�`��� 7jZl�jrLJflop/iL
-� PROPERTY LOCATION HA3 NO COI-TLLS.NC WrTH TAE PROVISIONS Cr i
CHAPTER 148, SECTION 26 C/E, M.G.L. , RELATIVE TO THE INSTALA-
TION OF APPROVED FIRE AURM DEVICES. TAE OWNER OF THIS PRO-
PER7Y rS REQUIRED TO OBTAIN COMPLIANCE Ac A CONDITION OF
OBTAINING A BUILADI tC PERMIT.
PPOorZ.-1 LOCATION IS 'i, t;O:ip. 'ACN-F t :-' i:PE 7,,W SIOR' ,F
148 . SE(-TD,V 20
$
cH EcK
2g�3q 1 m IgA Llwn J G��3�3OQ� 40 3a �nQo
Professional Land Surveyors Et Civil Engineers
ESSEX SURVEY SERVICE. 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD & WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
5,4L t1 MASS.
- 82,od
; 44
86ra-�sr
'n
_ a
P/�o�sen N
OG/�LLING `�
ZO
�Z.aG
AI�Ati/J9 l�A y
I hereby certify to the 5,,9L 111,
Building Inspector that the pro-
ZONE: PI LOT AREA: A//� LOT FRONTAGE: posed construction shown conforms
to the dimensional zo '
FRONT YARD: /3F SIDE YARD: 167f7 REAR YARD: 3dp 1�s 4zl-- MassSys of qa 9
SCALE: / N 4U CHRISTOPHER G
0
R.
MELLO
DATE: 6 a-0 6/f% Zc I �'. ,Q No.31317 O y
REFERENCE: BK PG Che stopher R. Mello Po
104 LOWELL STREET
PEABODY, MASS. 01960
(978) 531-8121
FAX: (978) 531-5920