3 AMANDA WAY - B0A-10-634 NEW, SINGLE FAMILY HOME h0 City of Salem weal
A* 09 ,
/�,� ^ .
APPLICATION
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUC
IMPORTANT-APPOMW to oonWN(r aM Na1r in soctlam 4 X K N, and DL
L AT ROCAnOq zozzesdg AlTkllpBigCT
LOCATION
OF BETWEEN A!0
BULDING 3ueonnatoN �s /� � nor e�oa1 SIC•LOT _�
L TYPE AND COST Of BUILOW O •A/apppunta Compfels Part A-O
A. TYPE got OiROVE1IEAR _ 0, PROPCS USE•FCR"OEMOUTIOW USE MOST RECENT USE
1 WHOW Wld o 11aa1rmlEr NonmeMMOd
2 p AAd W(,raardsndat anbr mnew of nwa 12 bm1y 1 B p AMMMWIL rao�llord
hwaing rnb adda4,arr):i1 Pad a r3F is p Obwa GtW r.aya+
3 p Aavaabn(s4a 2 abaW 130 �maa MYIY-Err1r nra,re.r m p alsarW
4 p P pQW rapYc4 -- 14 p T1.abd nor,nwK a dorm(bry- 21 p AN"Prat
S p Mlntlr:w(/na,bbnr,r..(danda(«rr rwrrnalar EnW numeoof rndr—_--- a2 p s.taba ra lom nrbaa mom
d unib it buA*v in Pwt 0. IM 1513 Oaraps 24 p Oft&at YrrllWdns
24 p Oeob b.aa.oraaa.aforr
e p a o.*v(nbtadal) 16 0 Cuym1 xa p PWh usft
T p °NY 1 T 0 cam-so,,* 27 p 31a.n mwwr+Y. .srd.Yarr
s o m p Tuft naab
8 PMaaa(bW*Kfusr,corooraabn.na0sN xs p oar sP.c r
i sUkArcrl 4(C)
9 ❑ Pubft(Fadws4 ss1a6 m awar W..M%
a COST (orna canon Niawwift r-Deaft in drbrt a000wd uaa d bl�&S.tbad orcosa o v arr..
mad OVA aa.drT b A*q at hMd1 l alenar"a I I sawndry who*00
10 Coa1 of Yrpro.amva — _ • -Oaroof WI advA PWMV- - b da W w I MOM MnW oft@ WM%Oftm brMrar'.
>t irdyabY 01wa Y uaa d aaelAq OrAdrp Y aabq dranSp
Jb ba AwuaBrO bW nd ircLdad I
n wnwv...._..........
d OYua tsraramr.4a)..__----.-----__---.
11. TOTAL COST OF IMPROVEMENT
F32
SELECTED CHARACTERISTICS OF BUILDING -for new buildings and additions, Complete Parts E -L• demoldi0n.
can bon Pads✓S M aN c&ws ski to 1 V
Ppl►IC7PAL/TTP[of FRAM! P. PIINCiAVA Oi NEATV4 FU9L a Ty Ci�SEGYAO[D{9POSAL L TYPE OF MECMANCAL
300 Iws1 bernp) JS rlyd✓Oas 40 rL,vJ'/Ptd1c a Vsra oar10/.F M drs bs as
31
�Lr`p'l/%%ctww abd 1 O Elec" 11 p Pnra/.laapbo writ Me.l 430
33 p Rsa4wAd Cwa W u i] Cy K TTPE OF"TtR WPFIY w.d,..w in @W mk lr�/
34 p on+o-sw* 39 O orm-so.o,, 42 G�iade a,bMtla dbmo.a 48 p Yas a C1
-- 43 p PMs(raA cL11am) _.
y.
I DrrrarONG M. DEMOLITION OF STRUCTURES
+e Nmbr of -
,s .py IMAM Nr co%W Ma Has Approval from Historical Commission been received
,r+mn er aW m..ew a tar any structure over fifty 150)Yam? Yes__ No—
'/o, f . pip Sala Number
K.rarer or O� js'"C4 Peat Control
sr E clout _.. /.. - HAVE THE FOLLOWING ununES BEEN DISCONNECTED?
_.. ....—.. Yes No
L RUMBIT k susunr s OW Walef:
Goa
FW___—_.._..___ sewer
s' maw d DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
°firaca t wr ------ -- BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWWG:
Historic District? Yea— No (K Yes,pWwel widow docwnentatidn from HI9L Cara)
Conservation Ares? Yes— No (M yea.plea~enclose Order of condtiona)
Has Fire Prevention approved and stamped P"or applications? YnIG No—
Is property mated In the SRJI district? Yee— No
Comply with Zoning? Yes— No_ If no,enclose Board of Appeal decision)
Is lot grandfathered? Yee - No_ (M yes,submit documental on/If no,submit Board of Appeal decision)
it new construction,has the proper Routing Slip been enclosed? Yes_ No_v
Is Architectural Access Board approval required? Yes— No— (If yes,submit documentation)
Massachusetts State Contractor license x 7� Salem Lima@ •
Hone Improvement Contractor • Homeowners Exempt form(if applicable) Yes— No—
CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT
H an extension is necessary,Pleas)submit
CONSTRUCTION IS TO BE COMPLETED BY: in writing to the inspector of Budding..
V. IDENTWKATION• To be completed by all applicants
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Z L , 6dX 70
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I hereby certlypal the proposed Mork;s authorized by tins owns of record and tat I hays been authorized by the owrer to-make this application
as his autpozfid 3gent and a to conform 10 all ?]cable laws Of shu;urisdkt on
Apaka as 1
Sgralure -�� ��� 1eO
r l Z 'I 615 --�ff
�n�40� band ��p�O�J Q�3�30Q��40�3a L1�i Qo
Professional Land Surveyors & Civil Engineers
ESSEX SURVEY SERVICE. 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADF_OR.D_8`1NEED 18R5 - 1972
PLOT PLAN OF LAND
LOCATED IN
SXZ,E 'l MASS.
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I hereby certify to the 554zL�f9
Building Inspector that the pro-
ZONE: 0/ LOT AREA:/q�/ A! LOT FRONTAGE:AO!Z:_ posed construction shown conforms
to the dimensional zo inHof
FRONT YARD: SIDE YARD:/ate REAR YARD: 3ar-/ 5.9LEM Maas/ F Fs•Ss a
SCALE:
70PHER
DATE: 111121,41 2 Z 2Q/f ^ uo
REFERENCE: BK r�CZ PG 9�7 Ch opher R. Mello E
++r
104 LOWELL STREET
PEABODY, MASS. 01960
(978)531-8121
FAX: (978)531-5920