128 BOSTON ST - BPA-2005-767 U1 REPAINT N V City Of Salem Ward
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APPUCATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTIOP
IMPORTANT•App&xnt to complste sH henna in sections.4 l4 ig tV,and/X.
L AT4.=nC4
LOCATION �-r�
OP BETWEEN - lfJtlYl/DI I 777 AN0 Ro✓� sT.
BUILDING 1AMMEFn
SUBDIVISION. LOT` - �
LOT_BLOCK yRE .S
p. TYPE AND COST OF BUILDING-All applkanfs compiate Pads A-D .
A. TYPE OF IMPROVEMENT D. PROPOSED USE•FOR.'VEMOUTIOW USE MOST RECENT USE.
1 New tramahy RaMtlahMY r�ar..hd.ntr
2 0 AOtlNbn 1#naidwM i MM numbwof nw 12 0 0M 4nW 18 Q AMMO MC hecrestOlw
nouawa wum aawa if any.o perfa 171-
, /Altaranorh ISM z aeael 13 ❑,a uw MR*•Enar rANVOW 19 0 ovum cow MNOWO
3 0
4 W passe repoce M 14 0 TMM"Ibw.obY1l or 161,111M• 21 0.P+re+h9 g=W
wMuheh9 fa nadlrrrayrmdeMY6 enYrnrmMlr - EMwMiabwctwM 22.❑ sMeba soon rases lPw9e .
23 0 11ojpaM
of um6 n bwbnD a Pwf 0. 13) 15 0 GMaP batlaabf�f"
_9 0 %4 eV Usbrawnl 24 Q omo..tnnih.ohofeMer.I
16 0 carve" . 25 0 PuEee uNty A
7 0 wwhoelbn only 17 O oar•Spo* ZB 0 $choaL Urm.Ww oo=oohw
" G.OWNERSNP - O.Slam Mo6twoe
�.p - '' 2813,Anbl Wm -
' [�wdokao etm) 2913 om.=spscry
9 0 "ic hFaft .Shft a ar 9ouMMrhra -
G COST low cw= WMWOM W 06Wft 0 dedtll aoowao ur a1 owd.h9e.ail.boa do om*awe.
AA ww,�� rhhaCffaN a)raa.MUrW —n nMWr.e1MMIW V samxwv school.CON"&
1Q CMtatarorow " 6 1, �rU aMorJwISUUM.oMti 9ab
h09nardwoonMn aton.rerhltl olfid bhatlliq.olflM ohfidYhp
a.hdrsw owa:p uM al.sassn9.1me1Mhhq M.uMhp ethuhaeq sash oraaaeee ur:.
ro be/wlasd aw not ahcsabd q.�-
u1do arose aasf - ,p_Y>41UT - I)OT "
� a Elcaareat_ -
0. Phehftig - 4
hL Ohatebwor.elal -
. .11. TOTAL COST OF mamovEmew -
NL SELECTED CHARACTERISTICS OF BUILDING •For new buildings and adddws,com0e19 Parts E L.dwroi Bon,
canpiefe only Parts J&M.all OdWS ShP to IV
E PR NCML TYPE OF FRAME R PREIom TYPE DF MEAxwo FUEL O. TYPE OF SEWAGE DISPOSAL 1. TYPE OF MECiWaCAL
30 0 MMKalry twat OMIa19I 350 GM 400 PhEfe ar amweooMMW Wa go,0c G"W 6,
3z 00 an maw mw 37 0 eemcay 41 0 P/M+ee paste 11cat.alt:) cammhr
I M ❑.,RearMod oMhGale 3813 Cast 'FL TYPE OF WATER SUPPLY Wa Mn by an Mnworr
34 Q orm-spew 39 0 ouler•sa.w 42 0 PtOk orpMlecompow 4613 yw 47 0 No
43 0 PMialeMwl.haelerfa
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J.GG NSIONs M. DEMOLITION OF STRUCTURES:
As
49. Too ewm Nr a roa a ea Has Approval from Historical Commission been received
roar G m m 9 w 9 Yes— No—
:,mevms for any sh icture OwY fifty(50)years
so. Tar ova+�xi IL.. r IN Safe Number
K.NUMBER or OFF•STREFT PARKING SPACES Peat Control:
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. OLWt ..._ --- Yes No
` L RES010"114L BLUDINGS ONLY 'F Water - - .•„ - -
Sa lreMee f9ectrrG� ._' - -
FUR
s� N.eee a DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
POW BEFORE A PERMIT CAN BE ISSUED.
N. COMPLETE THE FOLLOWING:
��//
Historic Distrfcl? Yes___ NOY- (If yes,Plesse enclose documentation from HISL Com)
Conservation Area? Yes_ NoX (if yes:please enclose Order of Conditions)
Has Fire Prevention approved and stamped plans or applications? Yes— NoX-
Is property located in the S.RA district? Yes_ No&°
CAmply with Zoning? Y No_ (If no,enclose Board of Appeal declim)
Is lot grandfatl Bred? .Yes. No_ (if yes,submit documentation lrf na.;submit Board of Appeal decision)
It new corrshuction,has the proper Railing Slip been enclosed? Yee— No_
Is AnclitecUal Access Board approval required? Yes_ NoX- (If yes,submit documentation)
Massachusetts State Contractor License#
I Salem License#
Home Improvement Contractor# Homeowners Exempt form(if applicable) Yes_ No—,
CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT
CONSTRUCTION IS TO BE COMPLETED BY- - i w extension tot I s necessary,Pie submit
•8 1� � . � in writing to the Inspector of BuNd'mgs. I
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V. IDENTIFICATION• To be completed by all applicants
Name wall q am=•Numeer.meal co,me rs ZIP CM Tel No.
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I hereby a proposed work a authorized by the owner of retard and that I have been authorized by the owner to make Ins applim
i as hi 9=Vent ana wtaggee to conform to all aodicabte laws of this wrisdictgn.
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128 BOSTON STREET
1ST now
ELEV a 4a 1
I CERTIFY THAT THIS PLAN SHOWS UNIT#1 BEING CONVEYED AND THE
IMM£DIA TE ADJOINING UN17S AND rHA T IT FULL Y AND ACCURATEL Y
DEPICTS THE LAYOUT, LOCAAON, DIMENSIONS, APPROXIMATE AREA, MAIN
ENTRANCE AND THE IMMEDIATE COMMON AREA TO WHICH IT HAS ACCESS
AT 128 BOS TON STR££T, SALER, MA SSA CHUSETTS, AS-BUILT.
DATE PROFESSIONAL LAND SURVEYOR
UNIT #1 HANC®(;rllL cHK Br.
BOS
�� �� Survey Associates, Inc. Z
T£
185 CENTRE STREET, DANVERS, MA. 01923 2114105
DADA
CONDOMINIUM VOICE (978) 777-3050, FAX (978) 774-7818
128 BOSTON STREET SCALE°• 1" = 8' JOB
SALEMB, MA 0 4 8 1 E No.
F „�f , n nouno_ it 117.E