5 AMANDA WAY -BPA-17-08 NEW, SINGLE FAMILY HOME City of Salem ward
v ,fee
APPLICATION 7 `
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTIO°
MWORTAW-AppMcwt to cwW1` �yJwa:•1 N in smtkm 41& nR IV,and M
L -AT(LOCATION► 10& ~ D197R1CT
LOCATION �p
OF 8ETNEEN /�/y � f(YBG1AY9 � AND
BUILDING drove
SUND11M19YJNC. "����7 l /� LOT BLOCK �
N- TYPE AND COST OF BUILDING •All applicants complete Parts A D
A TYPE IMPR01l�lT N"D. PROPOSED USE-FOR"DEMOUTiO USE MOST RECENT USE
1 b k*bg NotreeWenlY
2 0 AddWon(SnsbendaGenlMnwnOManaw 12 _ . WIJV is 0,AMUNMWIL nuslbnd
houskV umla adWd 9 any,in pert a 13) 19 Q Check ce w wi0ous
13 ❑ llvo or WAS more landy•Fider number 2013 w4uswW
3 0 ABwalbn(Sae 2 above) ofuN
ganew
4 0 Repah nPWWr nt 14 0 Tr hole) or ho moth or don*M- 21 0 service servicedskm
5 ❑ Wredd 4L ng(N muMen*resdal enter number ender number of unb ."-'---• 223 O H
of unift n budding in Part D, 13) is 0 Gwaaa _ _ _ 24 0 ONice.bank proleOwnif.
9 0 mww g(rabco on) 19 ❑ carport, 28 0 ruelt uW&
7 0 Fou cbMon or y - 2e Q. Sdwd.Amy.GUMedtreatlond
17 ❑ ONw.Spsol 27 0 abroamwcwde
S.OWNEF$FAP 29 0 Terft Wn.,
8 IYi1�,^"G,-e-•"(mdJVWua1 corporaamn,rwnproM 29 ❑ Offier_
insbkdk^W-)
9 0 Pudic(Federal Stab,or bW government
C.COST / A ont cents Ndide reeM aa Yl-DeW in d e d*W proposed use d kq diW 04.food Procesa plan.
metlrYr dlop.larM by lY al hospAnk sbnwdwy uMdeoon eduy aohoo4 e0109%
1Q Cant d krrpmverrwit -�{ ` -_ 3 �(N V rW Wr edwo( kine garage tar depw h ad doM renal pubs NA*XP6 a"d+YOln9 at MWwV W pWn.N uss of eaistkp Cui is bent dWO4 aMr proposed usa
7o he awaked bur not brduded -in dw move cost (7 !'OG
a. Elsoalcel-____.__.__-.__.__-.__.-____
b. Pkanbne..------'--'------ ao'�/
e. Heating.aircandilbcne.-------_- 14,
d. Other(aWAdw,ate)---_----- /fi �I
11. TOTAL COST OF IMPROVEMENT 0 rn
IIL SELECTED CHARACTERISTICS OF BUILDING For new buAdings and additions, complete Parts E L;demolition,
complete onty Parts J A M aN others skip to IV
E 3300 Q TYPE beers F FRAME F. PRINCIPAL JN/EDF NEATeq FUEL f1 40 PE OF S�Irluvahtoproany L TY MECHANICAL
WW onera be central air
31 han 38 rL❑`, of 41 Q PMeIe(sapbe mnk elm) �tlor/aq�
32 ❑ StrucNral slad 37 0 Ek MWAY 4+ LJ 's 45 0 No
33 ❑ Rekdaced concrete 38 0 cad lr!K TYPEJr/OFyYATER SUPPLY Wal tlwe by an eWaM
34 0 Odw•SW4 39 0 other-SW* 42 Pubtb or WMla mnw ny 46 0 Yea 47�NO
43 0 PnvW(wash Clewrl)
S
d
I DYEPISIONs '
M. DEMO.UTION OF STRUCTURES:
OS Number d -
as Tdr wuo*feet d ro«area Had Approval from Historical Commission been received
as Boors,bA «�asmrw -J v_ far aPy structure over fifty(50)years? Yes— NO—
dooms-on
sea Total Wnd area ea R -Q �1L-- D!4 Safe umber
K.NurM OF OFF-STREET PARKM SPACES Peat Control:
_ 51. EnckeW .----------_.--'---------
` .HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
sz Wdo«e.----------- Yes No
L RF8LD01TML BUlDS1}! � GM
-.. -
Full Sewer: .
s' Motor a1 DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
BEFORE A PERMIT CAN BE ISSUED.
N. COMPLETE THE FOLLOWING:
Historic District? Yes— No (If Yes please endM doaantettta M frnro.Hist Corn.)
Conservation Area4 :Yes— No_ (tf yes;please encase Order Of�Co/nditlonsr
Has Fire Prevention approved and stamped plans or applicatlons? Yea/G No_
Is property located in the S.RA diagiw Yes._ No_
Comply with Zoning? Yes_ No— (If no,enclose Board of Appeal decision)
Is lot grandfathered? Yes— No (H yes,submit documentatlon/ff no,submit Board of Appeal decision)
If new construction,has the proper Routing Slip been enclosed? Yea_ No_
Is Architectural Access Board approval requireed7?�+�Yes�1_ No_ (If yes,submit documentation)
Massachusetts State Contractor License Salem License# OR I /
Home Improvement Contractor# Homeowners Exempt form (it applicable) Yes— Nol
CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT
ff an extension is necessary,pie submit
CONSTRUCTION IS TO BE COMPLETED Sr. in writing to the Inspector of Buildfnga
V. IDENTIFICATION• To be completed by all applicants
Name manna address-Mar4dr,street.cdr,and sWe ZIP Cade TeL No.
1. O Ie X Old 7�/ v'3
owner« Lrfo���
sudw
Leaass
c«dra= �/q n//1 Lc N0. L0 L;
A -3gy
Engineer
1 hereby certiy that 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 t and we ree to form to all Ifeable laws of this jur sd ction.
Signature of appl' Address _ Q, �� -2 Appl Don Ot
1-117g5 - �s
Professional Land Surveyors 8 Civil Engineers
ESSEX SURVEY SERVICE 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD & WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
ShL&/Y! MASS.
0
LT46 ti
40'
Q.PG F�/IEY�
AELL/a� ci
L- �a/
I hereby certify to the ,S&69oh
,I Building Inspector that the pro-
ZONE: ( LOT AREA: / // LOT FRONTAGE: posed construction shown
to the-dimensional zo
FRONT YARD: 15�i SIDE YARD: IDF` REAR YARD: &ri 5,p`L,�-�l Mass
7j o' CHRISTOPHER
SCALE:
p ) //,�� ) MELLO E'
DATE: /el rJil(i j Lam// 0.31317 r
�0 id
�1G7STER.�O�`'�
REFERENCE: ILL BK 4o2 PG 7% Christopher R. Mello P '
104 LOWELL STREET
PEABODY, MASS. 01960
(978) 531-8121
FAX: (978) 531-5920