20 BARSTOW STREET - BUILDING JACKET i;
20 Barstow St.
li
E
No. 13,E City of Salem Ward
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items in sections:1, Il, Ill, IV, and/X.
1. AT(LOCATION) C�to !`S/t���(� cS� DISTRICT
LOCATION ("O.) (sTREFTr _ _
OF BETWEEN 67— AND Se/i410L' ST
BUILDING (CROSS STREET) CROSS STREET(
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 Q Amusement,recreational
housing units added.d any.in part D, 13) 19 Q Chruch,other religious
13 �Two or more family-Enter number
3� Alteration(See 2 above) of units .............. ................ 20 Q Industrial
21 ❑ Parking garage ._
4 Q Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 22 Q Service station,repair garage
Enter number of units ...........................
5 E] Wrecking(if mu/Mamilyres�dential.soler number 23 E] Hospital,institutional
01 units in building in Part D, 13) 15 Garan 24 Office,bank,professional
6 ❑ MOvmg(relocation) 16 ❑ Carbon 25 ❑ Public utility
26 Q School,library,other educational
7 Foundation only 17 ❑ Other-Specify
27 Q Stores.mercantile
B.OWNERSHIP 28 ❑ Tanks,towers
8Private(individual.corporation.nonprofit
29 Q Other-Specify
inatltUlgn,etc.)
9 Q Public(Federal,State,or(oral government _
C.COST (Omd cents) Nonresdentlal-Describe in detail pmposed 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 plats.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 ___..........................____
it. Other(elevator.etc.).....................................................
-11. TOTAL COST OF IMPROVEMENT $ D 0c
111- 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 I. TYPE OF MECHANICAL
30 Q Masonry(wall bearing) 35 [] Gas 40 RC Public or private company Will there be central air
31 Wood frame 36 Oil 41 C] Private(septic tank.etc.) condhioning?
32 Structural steel 37 Lj Electricity 44 Q Yes 45 6No
33 Q Reinforced concrete 38 Q Coal H. TYPE OF WATER SUPPLY Will there by an elevatoR
34 Q Other-Specify 39 Q Other-Specify 42 Public or private company 46 Q h-''yes 47 o
43 Q Private(well,cistern)
J.DIMENSIONS M. DEMOLITION OF STRUCTURES:
4e. Number of Srories ....__..._....----_.._..------_._.-----.._..
49. Total square feel of Noor area. Has Approval from Historical Commission been received
all floors based on exterior
dimensions .............__...._..._................_.................. for any structure over fifty(50)years? Yes_ No_
50. Tow land area,sq.It .._.......__..._.....__........._....... 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:
Electric:
Gas:
Full_..._.._...._._------------_.. Sewer: --- r-.
54. Numbers,
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 No_
Is property located in the S.R.A. district? Yes_ No
Comply with Zoning? Yes; No—%)L/ (If , nclose 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_
Is Architectural Access Board approval required? Yes_ No (If yes,submit documentation)
Massachusetts State Contractor License# 03.26-16 Salem License# //ao
Home Improvement Contractor# /0/7,iB 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: 1613/Zjf in writing to the Inspector of Buildings.
V. IDENTIFICATION - To be completed by all applicants
Name Mailing address-Number,street,city.and awe ZIP Code TeL No.
Owner or
5, eft L OUJ,rI)S X70 464of5jo l.C/ ST. a,/6
Lessee
z J �S h. KigQ9d / e3v G� Fik(�r b. L�dd4�•rs SFr o�9a3 7 �/-SS3a
Contractor Builder's
License No.
3.
ArUNeot Or
E+r9lrreor
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 autftodzed agent and we agree to conform to all applicable laws of this jurisdiction.
re of applipnt Address Ap iced n date
<r� WW iQi Q K AA U1/��PS moi¢ 6 /�
4P :_ _
DO NOT WRITE BELOW THIS LINE
_W. VAUDATION
Building7� FOR DEPARTMENT USE ONLY
.Permit number Use Group
Building L
19� Fire Grading
Permit issued —�-�— -
BuldingLive Loading
_Perml _
Occupancy Load
`Certificate of Occupancy $ Approved by:
Drain Tile $
Plan Review Fee $
TITLE
NOTES AND Data•(For department use)
C' V 0. 10 vi,-
3)
i,3
` a
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by: Completed by:
VI ZONING PLAN EXAMINERS NOTES
DISTRICT -
- III
USE
FRONT YARD
i
SIDE YARD SIDE YARD -
REAR YARD �-
NOTES
i
SITE OR PLOT PLAN •For Applicant Use
N
1
i
9,
3
I
I
1"VDM
A
L
I
' I
i
II
K ( r • �;}� .d � D/ N.
I
r-1
,+ s TR, M 5 TF,
it
I
_ t
ram
y � •
I
I
I ,
i
fh
-- .IvN.
- ! L 1 V. h -
LIV, Rh1.
- -- --- I------ --
RnTtl `, B ATN 1 - 4/
1
- - --- � L
L
MS —
E �. j
1
2 Nb FL . / A N
ov.
— ---- _ - ----- ------------- ---
Plans must be filed and approved by the Inspector o
prior to a permit being granted
No.� / (� CITY OF SALEM
L/(/ Ward a
HISTORIC DISTRICT? Y (5) f �. Date � ZL
i
IF FOR SIDING, HAS ELECT C +y Home Phone
PERMIT BEEN OBTAINED? Y Bus. Phone
APPLICATION
FOR
PERMIT TO ' X/.S' e--4< OF 170e11-5,C
TO THE INSPECTOR OF BUILDINGS: 9- SLiD/4J02- doh
The undersigned hereby applies for a permit to build according to the
following specifications:
Owners name and address
Architects name 4 �
Builder's name --A�z5
Location of building, No. S7, � �f
G, '(
What is the purpose of building?
S/NL�-1-E IZ�,9,A7i�
If dwelling, # of units? 02 Material of bldng? WOOb
Will building conform to law? yes Asbestos? �d
Estimated cost r� City Lic.# �� State Lia# 03a /B
Signature of Applicant �z ��
UED UNDER THE PENALTY OF PERJURY
DESCRIPTION OF WORK TO BE DONE
-4,rc7- /4 'XiS' ck sive axe PT/�-Loclolc-
�OisTs /6 ''O. X / PT i-UG< aXA PT
i
Mail Permit to:
/''/S, G.� 070 �.A�PsTOcU ST, , S/l��itif h.9o�pyc
No. J —" ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location zO Ba.rsto w
PERMIT GRANTED
Approved
/D cu( ng lns4bctor
JOB
s 0-414 OwIE-,vs
James M. Kieran SHEET NO. OF
Building and Remodeling Contractor
7 Burley Farm Road CALCULATED BY DATE
DANVERS, MASSACHUSETTS 01923
(508) 774.5530 CHECKED BY DATE
SCALE
G.J
z
_ 1 i
p,U 3'1
Ex
/,S 77/,(E
„ - 6ULKN�AD s
� i.
4> /K
_ SLipi�rG C r.�ss �eZ;
— uj/.Z-.2XLD ltA�e.e. }cavE
'9iCLCi.vi:NeaS,T...�: ;:.••'v' 'zTg:%2�
JOB � t �-.�1�-- o
James M. Kieran SHEET NO. OF Z
Building,and Remodeling Contractor
'7 Burley Farm Road CALCULATEO BY DATE
DANVERS, MASSACHUSETTS 01923 / y
(508) 774.5530 CHECKED BY DATE
SCALE
.s/pX(o PTCht=
I i ?xz vTch�vsTCR
POST
- - ?XB P.'FL SolsiS
1� PT 11j-ricE SX9T _
It=—U'1=
,
FTG-
,
_ =11
ll
1i
Elf 14
/-T/S. (T(;-, PT LooGt ores
/6 "o, C. 7 y?,
EI
- srRi�vbEies
EX /,� /i t= �T� ✓��
MORTGAGE INSPECTION
BA`( STATE SURVEYING ASSOCIATES
CABOT ST.. 3EVER12! SAA.
LOCATION L tlu MOTES.
l� . . 1 i s T^is ,s a Morteage !nspec:ion sur ey;and not a
n. .' ---- ----
DATE :
SCALE I .QFT _ . _
-- - - etc this
t :)Ian Is pr
LREFERENCE , morteage nsoer enpurposes only./ c
ESSEX SOUTIf I� rSi
_ . . _ . .._ --- ---- - This Is based onsurveymarksorothers. l
• Bushes, shrubs, fences and tree iines do not
To )1/� /�10(Z'I�= c- _CORP, necessarily indicate prooerty lines.
SALEM _F. _ . _ .. .. 7. -(;PRO. .. ... ..... . In my professional opinion the building(s) are not located
he location of the building(s) as shown, either complied with the in the special flood hazard zone, as defined by H.U.D.
local zoning set backs at the time of construction or is exempt • Whenever an offset is t'_ or less, an instrument survey-
from violation enforcement action under Mass. G.L. Title VII is recommended to determine prop. lines. i
Chapter 40A Section 7. •Offsets shown are approximate by tape survey.
N/F N/F
KozlK SWENSON
I� SO.oO _ I
LOT C5 LoY f6 Loi i�
(A, Sq� b SF+)
��ERBf Sf{EG doc'<
00 I:
00
I
SHED
XI 1<\
2 SiY
Woo 0
X20
i
SASS 7-0 W 5 T