6 AMANDA WAY - BPA-08-211 NEW, SINGLE FAMILY HOME 140 City of Salem %Vwd
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6
APPLICATION
FOR-
PERMIT TO BUILD ADDITION, MAKE AETERATIONS OR NEW CONSTRUCTK
Iti1PORTANT AppEcant to compfwWAN/tarns in socdw a:414 H4 W,and nL
LOCATION " ;
+ ""°
OF
BUILDINGsusow �ldae L0T—41 BLOCK 73�D J
L TYPE AND COST OF BUILDING-All applicants complete Parts A-D
A. TYPE Ilt iiiibo err - D. PROPOSED USE-FOR"DEWXJnOM USE MOST RECENT USE
t NOW brsArlg 1hs16W11Y1
2 ❑ Addatlon(it reskiwRisi.enw number ofnow, 12 lamsy 16.13 ArraaWrw;noailtrlW
housing uNp 8084 d arlA in pan D. 13) 1s ❑ CMucK ogler moolous
13 ❑ TMo dmoref roily-Enrr mwnbr 20 ❑ IrrAtarrriW
3 ❑ Alteration(See 2 abm* d uric 21 ❑ Parkng garage .
4 ❑ Repair mplawnwt 14❑ Twelyd holsk nro1M,or do, Wxy- 22 ❑ Swvi=00ftM np+e garage.
numer of unb�__—• -
S ❑ vvrackng(it mubramry rasidantlal srrtr number23 Q hibapuaL w>•unitlorrl
of unib in buddig In Part A 13) 15
w 24 ❑ anb. blink.tarow.elonr
6 ❑ Moving(relocalion) 160 Carped 25 ❑ Pubic utWy
7 ❑ Fdaldabon«dy - 26 ❑.3d"Mew.oVw eclucaborW
17 ❑ Wave-specy 27 ❑ Skoms,rl.MM@
S.OWNERSMP 26 ❑ Twftlorrs
6 ❑ Private(ldNduaL corponrOM nonprdlt ❑.��-SPaeIY _
inetltlAlon•etc)
29 9 ❑ Public(Federal.Smla,or local gmwmwd
C.COST (O"w Cams) Nomeidrroel-Deso be vet daw Proposed uae d Wordagk ag,lood paoessYq Para.
//•A�� maclans Shop.YrndlY 1- N I xt hospital.eWnw"schod eecadery refloat coseg%
10. could Ynpwemra __ 3 N 00 7rodMY send perking grape for deMl W I alon%raver ollbe buitlYrg,d1los bLtk*V
at wKkm&W plrs.If use of exalt bt fa Wing clWW4 user Proposed uaa
To of insiadad but not heron -
in the above cost
a EYctrieal
b. Pkmnbng -- -- ---- ---- �B
c Hee in%air eordabn:q
I
d Ovw(devalor,ale.)................
.___—.._—_--- v/-
11. TOTAL COST OF IMPROVEMENT D`�g04
IIL SELECTED CHARACTERISTICS OF BUILDING -For new buildings and additions, complete Parts E-Q demolition.
Coro to only Paris J&Mall othenwskipito1V
E PRIgo
PAL OF FRAME F. NtNCiALyrrE OF MEATM FUEL G. TYPE OF,REWAOE DISPOSAL L TYPE OF MECHANICAL
30 (wall beerry) 3s L`-"7 GGea 40 •Cr21<61ie_ dr prn aM CWkMW be CrWal aY
31Wood hams 36 p or 41 ❑ Privals(septic l nk sic.)
`tlt 32 ❑ Sbu h W span 37 p B=Wcay yW TEpp 44 Yes 45 p No
33 ❑ RelMoroad cancreft 38 p Coal H• �j--•-- 'Y W6&wit by an WOMW
34 ❑ O*W-Specry 39 p Oltw-Speedy 42 1LIJZ'6``•'•`'2 dr prlvala oon4anY 46 p Yee 47 p No
43 0 PrNale(well.coven)
SjL0V0Fr-5MEE1rftMUWGSPAiCES
RL DEMOLITION OF STRUCTURES.
smriaa .._.____6 fed a Soon arw Has Approval from Historical Commission teen receivedmeee an eauror �'/ J. fararryl stricture over fifty(50)Years? Yes— No—
e --- n/ams.sa R ✓..-�!v S� DI�.S88 Numbef
Of-STREET WWKMG SPACES Past Controk.
sh. E,+do:w ------------------ HAVE THE FOLLOWING llIILITIES BEEN DISCONNECTED?
51 Outdoors_. ------- , ... Yes No
h hhhEaZmArbw
hI �A / Ip
Ss
Fur !% Sewer:
sa DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:
Historic District? Yes— No (If Yes,pose enclose documentation from Hlst COOL)--_
Conservation Area? ,.Yes— . No (It yea please endow Order d Cad(ions)
Has Fire Prevention approved and stamped plans or applications? Y NO_
Is property located in the BRA district? Yes_ NO_
Comply with Zon hg? Y` No— of no,enclose Board of Appeal decision)
Is lot grandfathered? Yes_ No— (t yes,submit documentatlo(lrf no,submit Board of Appeal decision)
If new construction,has the proper Routing Slip been enclosed? Yes_ No—
Is Architectural Access Board approval required? Yea_ No— (lf yes,submit documentation)
Massachusetts state Contractor License# cps Salem License # 8!
Home Improvement Contractor# Homeowners Exempt form lit applicable) Yes— No
CONSTRUCTIONTO BE COMMENCED WffHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT
t an extension is necessary,please submit
CONSTRUCTION IS TO BE COMPLETED BY: j f 20(� in writing to the Inspector of Buildings.
V. IDENTIMATION . TO be completed by all applicants
Nam Ma"aCOmea-Number,soeet OV,,and stow ZIP Coo TaL No.
k10r—Ajllef� S2 a SuddWs
cowacwDyI � Lft
JNY
3. '�� � 011� 3�Sz
I hereby certify tlhat th 'p work is thorized by the owner of record and that I have been authorized by the owner to make this application
as his authorized we agree f to all Wicable laws of this jurisdiction.
Signature of appl
HiYm- -CUrR lo: l-i rkUlli:LH51LKN LHNU SuKULY I Ll: i i a iS.:�4v711 i r'.1
/fL/y5
9o� o�
Professional Land Surveyors Ff Civil Engineers
ESSEX SURVEY SERVICE 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD & WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
S, /I MASS.
I
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ca Z4
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7 3XU xs
Lel 7� 5Z C 15
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I hereby certify to the 15,AlZy17
�1 �� / Building Inspector that the pro-
ZONE:
LOT FRONTAGE: posed construction shaven rnrs
to the dimensional Zo .OF 41AS
FRONT YARD: �5l SIDE YARD: /<7l' REAR YARD: 7f)ll S�L�7yi Mass. . �4Oy
CHRrSTTJPHER Gm�
SCALE: ! '96 m R. ,
yy�� JJ-- MELLO
DATE: AaG, � G(h�� p No.31317 O
REFERENCE: BK c= PG stopher R. Mello P
2
104 LOWELL STREET
PEABODY,MASS.01960
(978)531-8121
FAX:(978)531-5920