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36 APPLETON ST - BPA-2003-05 SHED ,f Mill T-SE f#UEB-4 Jfl APW30VED BY T44E -WSPFST.OFi ,PR-Wfl TAD A.PERMIT.B,FING GRANTED CITY OF SALEM =� T , 7 No. � � :t• ..� i.,T�\ Date LA-9 Lil— Ward NE ° Zoning District Is Property Located in Location of the Historic District? Yes_No It/// Building �n�/FJch Is Property Located in V the Conservation Area? Yes No_ BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Dec Shed Pool, Repair/Replace, Other: PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's Name s�cv e— 1yo r R c-; 1 SY—er✓I / 7 n Address & Phone �6F/° `�'�� S� (9 o) 'tr y 6 �6y Architect's Name Address & Phone ( ) Mechanics Name Address & Phone ( ) What is the purpose of building? 5;(93 0. g Material of building? u'o 6 If a dwelling, for how many families? v Will building conform to law? t �S Asbestos? Estimated cost ©0 t7 City License # State License # Home Improvement Lic. Signature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE MAIL PERMIT TO: i No. APPLICATION FOR PERMIT TO LOCATION -1-1�10 PERMIT GRANTED APPF & INSPECTOR OF BUILDINGS i CITY OF SALF.M BUnZING DEPAATMM HOMEO W NFA LICENSE E)MOMON Pkm Pda DATE I081 OCA'nON AOMEOWIM DD HOMEO*M TELEmm PRESENT MAnVG ADDRESS on an to c of"homwwmta"was a mnded to include owner•oewpkd dweviv otTWo The r a mi tler hire who does swt posses a Units a less saw d 10 m albw such homeowacs r�8aia ;rdividual. . Lceme,.pmvkkd dues the owaar set as saper vhw- DEFII a7701'1 CF HOMEOWNER: dd� ar . Pcrson(s)who owns a pw=l of Lad on which he/sh resi des ides of kmcads m reside,on wlb h t'dwe IA me R orb 6 or b intended tobe,a am to two family dwcUin&anadwd or dcndod stnrctmes odes M smtbe eousidAw farm suucwm A pcfamn who c onsv=mess than cmhome in a two-year Pest Sufi"lwfnwwaer•' Ongs»bndt m the Building OC44 on a f *sesrytabk tends a hommg Offs wAw the buildiag POU L Building Offuia►.tint hdahe be responssibk w all sufi work p . The undersigned"homcowna"a%umcs responsibility for o�mpti>aree witltthe State BuDdkg Code asd otha applicable Sow by-laws,rules smd nguladwL The un k sip d'homwwne cc mfm thsl hdahe tmdmurds the Cq of S� > . minimum inspcction proeedua and fegifuc nu and that WON will wmp� requir mma HOWOWMIS SIGNATURE APPROVAL OF BlI➢.DING INSPECTOR Sm other sick fof Stan cods :4 HOMEOWNER'S EXEMPTION The Code SUICS ftC 'arry hoauowmr performing vvmk for which a building permit is regained sbaB be crcmpt from the provisions of this section (Section ]99.Ll r I.J tosing or Coostruetim Supsxvisora Provided tbat is a bomeawaer tngages p peTam(s)for hire to do.such worlt,tbM si_eb homeowaa don an as mpavisae Mara bomeowtten who use this ommptioa an i wmn Thar they are ass WWmg the revs tea supervisor(am Appeodis Q,Rules and Regtdatloos for Lktoalog Coostrwa&m Supeaviams,Son" .2.24 This lack of swarawn often rwlts in serious problems,pertieulvly when the homeowr=bbu unliecrue. pemm In this case your Board earuwt procccd agab st 9rt tmlieeated paws a k world via licensed Suprn•Isq. The homeowDtr acting as supervisor is oldssr F,*- r szoMI"16 To ensure that the homeowner is fully aware of hyber respoan'bMiles,mmry oommmdG"regaim;as pat of the permii application.that the homeowner ocnify that he/she mrdanuds the respmsibiihia afta supavisoa You may care to armed and adopt s&ft a forzWccnVmdm fm tsae in yaw cuumsu in.•