10 BAY VIEW CIR - BPA-2004-107 ADDITION, MSTR SUITE -Pt--AM- ttST-BE f bEG-A ID,APPROVED BY T44E
.W5PFXTDR .Pr Wfl TP A.PERMIT.B,BWG GRANTED
CITY OF SALEM
03 No.
Is Property Located in / Location of
the Historic District? Yes_No_ Building U RUR V 1"ew
Is Property Located in C• w
the Conservation Area? Yes_No—Z
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other: C' H ��
i6tA� .�h
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
specificationsrr:1�lt
Owner's Name ka Gts- /l oeLvyL-S coL"
Address & Phone ��`�In 5t✓ t z ( �1y7 2y3a
Architect's Name ►�5 / l� w' C �'
Address & Phone �p t/M
Mechanics Name L liJ&"d7 W,&/) uoTG"—) lZW-Z,
Address & Phone 27 6:11' P al,�6 � � ✓" 14 / 9X- e 7 S�
What is the purpose of building?- ��j ��✓'� x1I �l✓ �l�h 14W-z . 'L
Material of building? t AJMCp if a dwelling, for how many families?
Will building conform to law? Y z5 Asbestos?_ 'y8
Estimated cost City License# N/A statelicansq # 06392-/
j Li-I -20 0 j Home Improvement
Lic. # 1222
,:j5(Oct 5 " I T r Applicant
N D NDER THE PENALTY
LK H bL4`S OF PERJURY
DESCRIPTION OF WORK TO BE DONE
1/JC,4 G� /'CXA.pp✓C�//1G Y�UH Co0.Ua, .51a/P e-ck 11.41 d-
v
MAIL PERMIT TO: ��
No. i O —2-�L' ,
APPLICATION FOR
PERMIT TO
LOCATION.
PERMIT GRANTED
? 19 I -
AP,PiOVFD
INSPECT _, OF'BUILDINGS
Hav\SCUVv\
N,J;
ACAMs11vUS o`
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—AREA-
7700 f S.F.
S
STOA
�WELLI�IG
II.F. Roy /b
LOT
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6,# h5.go 27,3
4•
to 0o G I K C L E
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REFERENCE: -
DEED:REC.BK. 16348 PG. 40¢
PLAN:
T0: SANKNORTN IVA THISPLOTPLAN WASNOTMADEFROM
1 CERTIFY THAT THk SUILOING(S)SHOWN HEREON AN INSTRUMENT SURVEY AND IS FOR
ARE LOCATED ON THE GROUND AS SHOWN AND THAT THEY THE PURPOSES OF THE BANK ONLY.
CONFORM TO THE HORIZONTAL DIMENSIONAL REGULATIONS UNDER NO CIRCUMSTANCES ARE OFFSETS
OF THE ZONING BYLAW$OF THE CI Ty OF SALEM TO BE USED FOR ESTABLISHMENT OF
AT THE TIME OF CONSTRUCTION OR ARE PROTECTED UNDER FENCES,WALLS,HEDGES,ETC.
GENERAL LAWS CHAPTER 40A SECTION 7. `zH of 144
I ALSO CERTIFY THAT THE DWELLING SHOWN IS NOT `a�" asq� - MORTGAGE INSPECTION PLAN
LOCATED WITHIN A FLOOD HAZARD ZONE ASo?_ GAIL LOCATED AT
DELINEATED ON THE YAP OF COMMUNITY i 250102 � L 10 BAYVIEW CIRCLE
SALEIh MA EFFECTIVE g.549 SMITH SALEM
THE FEDERAL EMERGENCY MANAGEMENT AGENCY. N0.35043 PREPARED FOR
9''Fs�F�urea�o V(AYNE HAIVSCDA &
NADINE NASIASI- AANSCoM
t iau4 SCALE 1"- 20' IT1Ay 5 2003
`` NORTH SHORE SURVEY COMP.
DATE' -4EG.PROFESSIO L LAND SURVEYOR 47 LINDEN STREET., • SALEM,MA
#2083 K