9 AMANDA WAY - BPA-07-1149 NEW, SIGLE FAMILY HOME No. City of Salem ward
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APPLICATION
FOW
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTIC'
IMPORrAlW App9ar�rM,^t^o conWitt aR fetus In secdona f;14� A/,and IX pip
L AT(LCCJI i 1r o , � a AA--`i'wn LA ZWSTR1Cf
OLOFC/►TION BETWEtl M Q r u AM
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BULMNawwmsxm 0 S born e j I 11 is y3 mom LS02TE S4tlos-E
L TYPE AND COST OF BUILDING-AN applicants complett Parts A-D
A. TYPE WV PROPOSED ROVEMENT D. P USE•FOR"DEMOUTION"USE MOST RECENT USE
1 brute .. _.
2 ❑ AddMon Plmbintwenlwn&nb&dnew 12 E Pfaff* - 18-13.Asasem&t nereiliarrd
houaing unda added,d any,in Pan A 13) 13 ❑ I ❑ O&rdr.edger relipips
Two more ymYy-EMw mmrDw 20 ❑ w4u*w
3 ❑ Alteraaorr lSee 2 etMfvel d ueb
21 Q Psr garage
4 ❑ Repair rapycenwra 14❑ EnW m )stet.mo*unft or d----. 22 ❑ s&wre eamm mw wraw
5 ❑ wMd'im Pf"AV110dy mderew enter Minter 23 rrwmbrdurnL—�__—•
of unite in bud*V h Pad 0.13) 16 Cl_Gwspe 24 ❑ Ho os.b b*.polm W
_ ❑ 012ca.bank oroleeabnd
6 ❑ MoMn9(rebotlar) 16 Q C&pad, 26 Q Pubk uNy
7 ❑ Foswadon o0i 26 ❑ sdbd aa.y.O6w educ"ons,
17 ❑ other•SW* 27 Q Blame,mwood@
S.OWNqt8H1P 28 Q T&1rs.lowers
8 Private(individual,cnrporab&4 ranprdit 29 ❑ Ober•SpeeN
instlydion,eel
9 Q Pudic(red&µ Slay,or beta goveawnent
C-COST (01"1t OW" Npaewd&IW-DwaWe n deW proposed use d buidigs,a9,lood prooss"V pyrt
oocc ccL n machbw shop,1s naVY heedrp atma Iaepft d nwy whod ssoondwy whoa COM6a.
10. Coat d lavrovemeru J5�1L '1_ i. 9S' lwedllal edlo t pw"gwape a dsmbiiwlt swa.r&iW enbe buidit dace buadbq
at id sbW plat a use of exietinp IxreBrq is Osnp dwQ8A ner preDuraed rsa
To be Installed but not ncbwed
in the above coat Qr1 O —_
a PNsnbinp.._ - - ._...-- - ----
e. Nestirtp,air condi bwweV.-----_--- - -
d Oder(owdabr.air.)
11. TOTAL COST OF IMPROVEMENT 3 IAs-, vb _.
IIL SELECTED CHARACTERISTICS OF BUILDING -For new buildings and additions,complete Parts E-L;demolition,
complete only Parts J&Mall others Skip to IV
E. PRINCIPAL TYPE OF FRAME F. PR TYPE OF HEATMG FUEL G. TYPE
,,O/F SEWAGE DISPOSAL L TYPE OF MECHANICAL
30 Q MaWM(was bewail) 38 Gad 40 LGl"PLtk or pmete owipany WV m«e be central as,
❑ Private(septic tank W-1 cawkbnnpfl
31 Nbod hems 78 Cl ON 41 ,r,/
32 ❑ Snchxal steel 37 Q EyctriM L) 44 l U 45 ❑ W,
H TYPE OF WATER SUPPLY
33 ❑ Rebllarced Concrete 38 Q COsI YVi tlrertr by an etevabor/
34 ❑ 00w•So" 39 Q other-SW* 42 [94ubac ar private daro&w 48 Q yM e7
43 0 Private(wak cistem)
I DWENSIONS M. DEMOLITION OF STRUCTURES:
s Nu amWr a stodge . _
ae. TIM saute ter Of aoor arse. Has Approval from Historical Commission been received
a%WM tweed ore esrodor ) Sft far any strnrcture over fifty(50)years? Yes,_ No-
54 Tar WW area.ea It .p.�B�_y-J-T t DigY ete NUmber
IL WJUWM OF OFF-STREET PARRIn6 SPACES Pest Control:s,. Endowd--------- ----— HAVE THE FOLLOWMG uflums BEEN DISCONNECTED?
sx aadoole----------- Yes No
ow Vl
L RNWOMAL o aW-
sa FiKneed-
Eleotrnc- .
Gaz .
F4 d Sewer.
51L MAnbsr a DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
°'I"100Af Faretrr. I — BEFORE AA PERMIT CAN BE ISSUED.
N. COMPLETE THE FOLLOWING:
Historic District? Yes— No (If yes,please ewe documantation from Hist.Coml...
Conservation Area? .Yes— No_ (ti yes;please endow Order of CWddWW
Has Fire Prevention approved and stamped plans or applicagDns? Yes-Z No—
Is property located in the S.R.II district? Yea___ No V
Comply with Zoning? Y No (M no,enciose Board of Appeal decision)
Is lot grandfathered? Yes_ Nod (N yes,submit documentatbrVif no,submit Board of Appeal decision)
If new construction,has the proper Routing Slip been enclosed? Yea— No—
Is Architectural Access Board approval required? Yes_ No— (If yes,submit documentation)
Massachusetts State Contractor License# S 1 14] Salem License# li I Q
Home Improvement Contractor# Homeowners Exempt form ('d applicable) Yes— No
CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT
Sf �D it an extension is necessary,please submit
CONSTRUCTION IS TO BE COMPLETED BY: in writing to the Inspector of Buildings.
V. IDENTIFICATION• To be completed by all applicants
Name Ma&q addrm-Number.street cirri and stab DP Code TeL Na
Z UtDIN aK r +
cons al,e & 9
o►� '1 t cenee NLL ;
3 t' SL e �(-
G►tiyo 3aS3
I hereby certify that the proposed work is authorized by the owner of record and that I have been allft&ed by the owner to make this application
as his authoriz and we 2im to to aU ficable laws of this jurisdiction
Signature of Addr ationdate
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
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re Depari-inent
o 18 La'layetle titr-', 2 9 _Fort A
A(,Ulacl� j.1,:.t:0 1 9'0-_4,A5 Tur TrC;e'w,'
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FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT
IN ACCORDANCE WITH THE PROVISIONS OF THE KASSACHUSETTS STATE BUILDING CODE
AND THE SALEM FIRE CODE, APPLICATION IS HEREBY MADE FOR THE APPROVAL OF PLANS
AND THE ISSUANCE OF A. CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT BY THE
SALEM FIRE DEPLRP�MT; ( Ref.-Sect-ion 113.3 of the Mass. Bldg. Code)
JOB LOCATION: 71-.7
044NERIOCCUPANT.-
ELECTRICAL CONTRACTOR:
FIRE SUPPRESSION CONTRACTOR:
SIGNATURE OF PHONE 1.
APPLICANT:
ADDRESS OF CITY OT
APPLICANT: X'�ex 70 TOWN.
APPROVAL DATE:
Certificate of approval is hereby granted, on approved plans or submittal of
project details, by the SALEM FIRE DEPARTMENT. All plans are approved solely
for identification Of type and location of fire protection devices and equipment
All plans are subject to approval of any other authority having jurisdiction.
Upon completion, the applicant or insealler(s)_ shall request an inspection and/or
test of the fire protection devices and equipment. (ADDITTIONAL REQUIREMENTS,
SEE REVERSE SIDE
NEW CONSTRUCTION.
PROPERTY LOCATION HAS No COMTLLAINCt WITH TJjE PROVISIONS OF
CHAPTER 148, SECTION 26 CIE, M.G.L. , RELATIVE TO THE INSTALA-
TION OF APPROVED FIRE ALNp_4 DEVICES. THE OWNER OF THIS FRO-
PERTY IS REQUIRED TO OBTAIN COMPLLC;Cy A3 A CONDITION OF
OBTAINING A BUIU)7NG, PERMIT.
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ppnoc;-,y LOCATION L T "F
143, 4 �7.L-
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30.�00
$50. Go
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CHE:CF.