130 BOSTON ST - BPA-2005-771 U2, RENO KIT & BATH C
No- LL— City of Salem ward
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTIOP
MVORTANT•Applicanw to complelet_e^ag it*=In"Com ..4 b A IV,and IX.
! L ._--., AT oc UK" !UN �'1 T CNT Gar
LOCATION fy-p�10'1
BETWEEN 1Turo®vs�n � S7.OF
BUILDING
darbassm�n
SUBOMSION. LOT_BUXK_, .• LOT - -.s qC
N. TYPE AND COST OF BUILDING-AN app/ir._ants compieM.Parts A'-D
A. TYPE OF IMPROVEMENT D. PROPOSED USE•FOR"DEMOLITION"USE MOST RECENT USE -
t Q Nevbwdlrp . .Aw�e�ntl41 l4orrrsodenlW-
:. 2 Addlbenp indMeN.vdvarndvaniw 12 Q Orr Wrdy - r lard Anwas"wAM mcreebaW
... huUMV urofs 000d.d WW.n AWD.13) 191]CMOL 09W lN WAl
13 Q T units
an W1d1!-Enlr numOv
3 QAerelre An ISN 2 eba+! a 20 ° brdubisf. .
4�RePee nofe�anwf 14 TrenfrPelrefM,nlorl,wAarrlifOrY- 21 °.Perfi99vs9�
v S ° Wneknp(emuffamir rsadrresl err ~umber Eewrrvrbraurrif -22 ❑swiee Nefrnrpwo~
of rams a buwm n Pert 0.13) 15 Gvapp 23 ° fldepiaL irfnadrrf
S ❑ 9lreMaalml w _ 18 *.:- _ 225 Q �uw abffewr
..... _ .Q Groat. .... .
7 ❑ FaselNOnorer 17 �..Ofr•Spe/r. - 2013 Selmlw ry a- edrwwwo
270 Slag nwraMYp
a.OWNERSHIP ze °.mrwa lderert
8 Q(J Prllrilf f/ItlNtltY�CMo0f440M1 f�enpl0lf. _
(�WWWA in.W-1 290 onw-SPeav
9 p Pubfie&oft-.S90L w mf grown mere
c.COST H
NpearOfnrll-Deaf.n eeW O=ou ur of ftW&rrgf.e.p..rooa aaar4q oars. j
rod.n rim.Wnakr bMdM&t hospat ow w"y onnof...anfty=hod CoNaM
la Car a inorowenrrr Preaer vJna.'pMa9 QwaW fw dpenrrM9 aeon.renal dlk,bu40Y9,Cams f A" 9
r idubN tlusaeurvp. heap Pr4ofmd um ,.
TO be swoo .but nw ncAdo
in fU do"Ootf."a Efeebrbr y�
4 PYsrrbeq
e_IMefrq,ucvrolferlhq
d.0111v 1efeeeb.MG) -
r•11. TOTAL COST OF IMPROVEMENT-
ILL SELECTED CHARACTERISTICS OF BUILDING •For new buildings and additions,,complete Parts E-L:denwWon,
c on Parts J&U. all others ski to IV
E PRSfC�Ak TYPE OF FRAME F. PRSrCPAL TYPE OF NEAT4q R1EL G. TYPE OF SEWAGE DISPOSAL L TYPE OF MECFWaCAL
30 ❑ M4nrlr�Y fsaf bfriq) 33 ° Gff _ 40 ° Piefb w pmm"COMMWry ` - WE 11r bedwvN elr
EI
3z 0 SW=dJirrfel 3e ° 01 41 ° PrMYffptcw*.@ G1 0p1 p11e1�
No
33 ❑ Rsiraod motif 3a 37 Q N. TYPE OF WATER SUPPLY " ° y. 46- °
34 ❑ Ooev•soa* 38 ° ofrsl•uw* - 42 ° POW or orMr� 1m y Wa nenMfnsis 7 46 4
43 13P&mtwmfE OYMrf - 111f ° No
I
I
J.ohMENshONS M. DEMOLITION OF STRUCTURES:
48 Num a epMe3 ..._........_.._......_.......__....._..___
49. Toga eoume tea Of 400F'M Has Approval from Historical Commission been received
a.:uoora.waq m eewtor _. for any svtx*j a over filly(60)years? Yes_ No—
so. Tom two a u as I .._---- " Dig Sete Number
K NUMBER OF OFF-STREEr PAWNG SPACES Peat Cionbol:
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
• 52 Oweoom - Yes No ?
L RESIDOIIIAL BULNGS Ott'. -
Gax ..
Fw saw -
54` NUMW of DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
'itlYOq°`. PMor BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:Historic District? Yes_ No_e//- (ff yea please.erxiose documentation from HiaL Con) .
Conservation Areas Yes_ NoX (ff Yea Please enclose Order of Conditions)
Has Fire Prevention apptcved and stamped Plans or aPPlicaftm? Yes_ NoX-
Is property located in the S.RA district? Yes— No&^
Comply with Zoning? Y No— (If no,enclose Board of Appeal decision) .
Is lot grandlel ered? .Yeses_- No— (If yes,submit documentation/if no,submit Board btAppeal decision)
It new correEnktiort,has'the proper Routing Slip been enclosed? Yes_ No—
is Architecture!Access Board approval required• X (If yes,submit documentation)
• � Yes_ No
Massachusetts State Contractor License# Q ) Salem License#
Home Improvement Contractor# Homeowners Exempt form(if applicable) Yes_ No_
CONSTRUCTION TO BE COMMENCED WITHIN SIX 16)MONTHS OF ISSUANCE OF BUILDING PERMIT
CONSTRUCTION IS TO BE COMPLETED BY - $ i w extension to Inspector of p submit
E �• in writing to the Inspector of Buildinr}s.
t
V. IDENTIMATION• To be completed by all appf ants
Nam moire amm•M~..meat cay,AV S M LPGIM Tel►b...
C e 3yge5r 6LL ve LAP NO 0040 TV ►7-
e 178
_ e�A db F
". UGMt.No.
i Ce �� f V 9 o19; 3
beNNm ar - -
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I hereby that the proposed work is authorized by the owner Ot mcord and that I have been authorized by the owner to make this application
as his ano we agree to ogntprm t - I amhC2ble laws of this tumdiction.
Sig of aPPI Address date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Use crow
Building I
Permit issued t 9- Fire Gm*v
Building= lnsB
Pwmit Fee $
0oCuvw"Lod
Certificate of Occupancy $ Approved by.
Drain Tile $
Plan Review Fee a
TrrLE
NOTES AND Data•(For department use)
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by. Completed by.
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE II)
FRONT YARD -
_ . � Illli
SIDE YARD - SIDE YARD
REAR YARD
NOTES
' I
i
SITE OR PLOT PLAN•For Appkant Use
iJ -
,� O N
mmm r
nas
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aars
rz
4vbm Now
• ra=r
130 Bosm STREET ,
2N0 nOOR
l CERTIFY THAT THIS PLAN SHOWS UNIT BEING CONVEYED AND THE
IMM£DIA7F ADJOINING UNITS AND THAT /T FULL Y AND ACCURATEL Y
DEPICTS THE LAYOUT, LOCATION, DIMENSIONS, APPROXIMATE AREA, MAIN
ENTRANCE AND THE IMMEDIATE COMMON AREA TO WHICH /T HAS ACCESS
AT 130 BOSTON S7REEr SALEM, MASSACHUSE7TS, AS-BUILT.
DATF PROFESSIONAL LAND SURVEYOR
uwT * HANCOCK clfir Br
Survey Associates, Inc. DATE
�®� 185 CENTRE STREET, DANVERS, AAA. 01923 ?DA7E-
C " VOICE (978) 777-3050, FAX (978) 774-7816
114105
T30 BOSTON STREET SCALE: 1" = B' JOB
NO.
SALEM, MA 40 4 8 18 F 117.�3
F1tcw Rtln ns�ee is - nra m