65 AURORA LANE - BUILDING INSPECTION e�-5- AcCeira, , a-PC- 1 1
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CITY OF SALEM
BUILDING
SALEM, AIASSACHU,SETTS 01970 PERMIT
T�*rDD,eN,
August 1$ 93 355-,93
DATE 1 * P AMIT NO.
Michael COnway 55 ya
•PPL�C ANT ADDRESS _
IN4.1 ISipC[llICtlNi q'S LICENl E1�
Renovate bathroom Dwelling NUMBER OF l
PERMIT TU - (_._._I STORY DWELLING UNITS
ITTP{ Oi I.K OVEMLM" NO. IRROPPSED I,I
65 Aurora Lane WardZONING
AT (LOCAi10NI DISTRICT
twa.l IFT RE[TI ,
BETWE'_n __ AND
tt ROSa SiRf{t! IC.05S STREETI
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS BE FT_ wsOE N. Ft. LONG BY
FT, IN NEIGMT AND SMALL CONFORM IN CONSTRUCTION
TO TYPE �USE GROUP BASEMENT WALLS OR FOUNJLT 10N
(TvPEI
REMARKS:
Renovate bathroom
,
Gail for Permit to Olccupy rt
1 , 350 PERMIT 2V.
VOLUAREAM5E ESTIMATED COST ��_ FEE
' CVlIG SO VARE fi{U - - - -
OWNER Michael Conway
ADDRESS 6 Aurora Lane Salem, ass : Lea E. Tremirlay
INSPECTOR OF BUILDINGS
INSPECTION RECORD
DAT! "OTC •*0049!3 CRiTiCUMS AND REMARKS iNSKttOR
No. City of Salem Ward
�CH.CM>y4-
d �0 ij
,� Cx
4CUU1R.
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items in sections:1, ll, /it, IV,and IX. ///Ill
I. AT(LOCATION) —L7 S /%"'io i , L w D OTR CT
LOCATION (NO.) (STREET)
OF BETWEEN AND
(CROSS STREET) (CROSS STREET)
BUILDING f / LOT
SUBDIVISION —;J per'�'" / e'y d 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(If residential,enter number of new 12 One family 18 ❑ Amusement,recreational
housing units added,B any,in part D,13) 19 ❑ Chruch,other religious
13 ❑ Two or more family-Enter number
3 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
26 ❑ School,library,other educational
7 E] Foundation only 17 Other-Specity
27 ❑ Stores,mercantile
B.OWf�yNERSHIP 28 E] Tanks,towers
8 M Private(individual,corporation,nonprofit
institution,etc.) 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,
�r�♦ machine shop,laundry building at hospital,elementary School,secondary school,college,
10. Cost of improvement ......._!_� U parochial school,parking garage for department store,rental office building,office building
""""""""""""""""""""' $ at industrial plant.If use of existing but ding is being changed,enter proposed use.
To be installed but not included
in the above cost SO
a. Electrical...........................................................................
d
b. Plumbing..........................� 0
................................................
c. Heating,air Conditioning............G...........................
d. Other(elevator,etc.)................�q................... \. -
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 O AGE DISPOSAL I. TYPE OF MECHANICAL
30 ❑ Masonry(wall bearing) 35 ® Gas Public or private company Will there be central air
conditioning?
31 ❑ Wood frame 36 Oil 41 ❑ private(septic tank,etc.)
32 ❑ Structural steel 37 tncity 44 ❑ Yes 45 ❑ No
33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator?
34 44 Other-Specify �4 �� 339 ❑ Oth 42 N Public or private company 46 ❑ Yes 47 ❑ No
Lv'f dui�/ /�'e /�L� 43 ❑ Private(well,Cistern)
J.DIMENSIONS M. DEMOLITION OF STRUCTURES:
48. Number of stories ............................................................
49. Total square feet of floor area r
all floors,based on exterior Has Approval from Historical Commission been received
dimensions ......................_................................................ for any structure over fifty(50)years? Yes_ No_
50. Total land area sq.ft....................................................... Dig Safe Number
K.NUMBER OF OFF-STREET PARKING SPACES Pest Control:
51. Enclosed .............................................................................
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. Outdoors........................................................................... Yes No
L RESIDENTIAL BUILDINGS ONLY Water:
53. Enclosed............................................................................ Electric:
Gas:
54. Number of Full........................................... Sewer:
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_ Noi (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? Yesl No (If no,enclose Board of Appeal decision)
Is lot grandfathered? Yes_ No4 (If yes,submit documentation/if no,submit Board of Appeal decision)
If new construction,has the proper Routing Slip been enclosed? Yes_ Noi
Is Architectural Access Board approval required? Yes_ No_1X (If yes,submit documentation)
Massachusetts State Contractor License# F) W N.-Q. R Salem License# 0W A)2.128 A_
Home Improvement Contractor# 49 W ail R- tZ Homeowners Exempt form (if applicable) YesX_ No
CONSTRUCTION TO BE COMMENCED WITHIN SIX (6)MONTHS OF ISSUANCE OF BUILDING PERMIT
CONSTRUCTION IS TO BE COMPLETED BY:
/ If an extension is necessary, please submit
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.
i
/�. .. s L
Ow. Dig�o
ner or / a
Lessee (' J 9 ! •��1�} !
2. JLir � [
Contractor
Builders
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 ap Address ,,�[ ` Application date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building q3 FOR DEPARTMENT USE ONLY
Permit number
Buildingn Use Group
Permit issued 19 93 Fire Grading
Building n �'
Permit Fee $ (�'� ��C Live Loading
Certificate of Occupancy $ Approved by: Occupancy Load
Drain Tile $
Plan Review Fee $
LE
NOTES AND Data•(Fordepartmentuse)
PERMIT TO BE MAILED TO: Qe Gl✓yta/L�
DATE MAILED: r-1j 4
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
N to approval by any other
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