130 BOSTON ST - BPA-2005-772 U3 REDO KIT & BATH NO--\ v ) City of Salem ward
_ 000CATION
FOR
PERMIT TO BUILDADDITION, MAKo AUtRATIONS OR NEW CONSTRUCTION
IINPORTXW-App&ant to conlpMts&H ftipir=in seerr0M.-1 li, 114 IV,and ix
L _...- AT ILOCATIOpq ^7 fT-�e
LocnnoN .
OF- N 1.-� 76M AND Ro✓� s' T
BUILDING ardmsmbn xnoessmeen
Lor'- 5Aa
SUBDIVISION. . LOT_BLOCK Sig •
H. TYPE AND COST OF BUILDING'-All applicants-com*ts Parts A-0
A. TYPE OF IMPROVEMENT O. PROPOSED USE-FOR"DEMOLITION"USE MOST RECENT LOSE, -
,. 1 ❑ Nw OrrYdblq `; Maldwntlr _ ' �' Meanndu�YaF. ,.:
2 ❑ Addabe le nndanne6 wdw nunewoldnwl! 12 ❑ Om bift* ,B 13AnummrL
rp rebraamw
noua uma addeq.it MY.a parr 0.13) 19
13 ❑ Twow momWrap!-EnM mdcer
3 ❑ Aewauwr ISM 2 abow) of uea ' .. 20 ❑ m&Aw r .
4�R rePNarrura ..ta ❑ Tunrriml,mW.mdK ordwnifty- 21 ❑.PwidnO 9a1e9a
,... B ❑ e4la mtlliki", -damd-wrier nlntlar 23 ❑ Nopiuit- llmrf-
ofuMwnbpddirpgVana 1M 15 ❑ Orapa ., .. 24 ®.OIBCa.Orlkprmrwar
e ❑ UMcotcnl. 16.a Carona. . - 24 ❑ PuE1e UMY .
7 ❑ Fouforpn wey 17 Qonrw sa.dr ❑.spnabL litraly,mbwniorwrl
I 2713❑ Seweamenanw
28 Q,Tada,,prwers -.
l:. S Priv ft ir4mil aL mrpouuan.nwoubY. - . -
iraWrdr.wGl 29 ❑ Oaar-speoi/
9 ❑ Pubic IF*dwaL Slra or nor W m ent -
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i 1a Codatoww4omwe - s prowler whom:=*iigpwagefor_ s/aa nriW Wdee oBb bu+duq
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IL PMarrbarp 31
M OmwIMeYrd..wal
11. TOTAL COST OF M*0%eAENr
j IL SELECTED CHARACTERISTICS OF BUILDING -For new buildings and addilipna, complete Pads E-L.denwlftfon,
i cormipwo only Pads J 8 M,allOdWS SkJo to 1V
E PRINCIPAL TYPE OF FRAME jr PR ucm TYPE of REATfIai na r. TYPE OF SEWAGE DISPOSAL L TYPE OF ANECHAMICAL
x❑ Meaol yMar- gi 3513 Gn 40 13PIAYewwimisiainmv, - wo own bea ma*
131 32 a'su cbar aw 37 ❑ ENraerlly cm 41 ❑ P1Na1e WPM l 45
No
33 13alrrw Awdo I bot 38 ❑ Cal K TYPE OF WATER SUPPLY ❑rr 13Wa ea by an alareW?
34❑ 00r-spec* 39 ❑ Odor-Spec* - 42 a Pubkororleaorldrpr ae ❑ ,,. . 47 ❑ Na
43 0 PrNalwtv.IK -anl,
I
J.DIMENSIONS M. DEMOLITION OF STRUCTURES:
Je Num P amros ......._..._..._._...._...._........_.._._.
49. Toy sou"tee a floor area Has Approval from Historical Commission been received
a:aaoa oases on a:wales .. for any structure over fifty(50)1 ? Yes— No_
50. Total two anal.aa.A.. �_:°_Dig Safe Number
i
K NumsER of oirpsnwrr FAw als sPAM Past Control:
HAVETHE FOLLOWING UTILITIES BEEN DISCONNECTED?
sz outman._ -- Yes No
L F E810HrhAL ellLeee65 OM71 - :• "`"„ - _. j
Elec
51 brmra
b�
FWI _o
%'N°n°"a DOCUMENTATION FOR THE ABOVE'MUST BE ATTACHED
oatliOO" , . . FrtOal BEFORE A PERMIT CAN BE ISSUED.
N. COMPLETE THE FOLLOWING:
_ i
Historic District? Yes_ Nol (If Yes,please enclose documentation"from Hist.Coral
I
Conservation Area? Yes_ Pb)� (If yea please enclose Order of Conditions)
Has Fire Preveotlon approved and stamped plans or applications? Yes-- NoX-
Is property located in the S.RA district? Yes_ Nok�
Comply with Zoning? Y No_ (If no,enclose Board of Appeal decision) .
Is lot grandlahnd? .Yeses_ No_ (If yea submit documentation/If no,submit Board of Appeal decision).
If now corlsbuction,has the proper Routing Slip been enclosed? Yes_ No_
Is Architectural Access Board approval required? Yes_ NoX- (If yes,submit,documentation) t
Massachusetts State'Contractor License# Salem License#
Home Improvement Contractor# Homeowners Exempt form(it applicable) Yes_ No
CONSTRUCTION TO BE COMMENCED WITHIN SIX,(6)MONTHS OF ISSUANCE OF BUILDING PERMIT i
8 p Men extension 'please ildin submit
CONSTRUCTION IS TO BE COMPLETED BY:
in writing to the Inspector of Buildings. `
V. IDENTIFICATION• To be completed by all appllc)ai,ts
Nanr MENU adoian•Ntmtla atreeb car anwme ZIP cote Tel No.`-
o..a P_ e 31 LL Ve- L V 9tfD
MIR A4v . o1 17-
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M Laterite MI.
a Ce p 57r. 019.�3 �.
Akletam or 8 ' '
t
I hereby roeosed work is authorized by the owner of record and that I have been authoraed by the owner to make thie applimbw t
as his ano we agree to conform to all=hcable laws of this jurisdiction. 4
Signa(qxliO dateAddress
M� �Cl� -x -
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building - FOR DEPARTMENT UsE ONLY
Permit number
Building
use Group
Permit Issued 19 Fee Gmdit
Building LnsB
Permit Fee $
Certificate Of Occupancy $ Approved t7y: 0 loaf
Drain Tile
Plan Review Fee $
TITLE
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
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD - ... -
y,
- NOTES , /
SITE OR PLOT PLAN•For Applicant Use
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130 sosrm STREET
2AV fzaw
EZEK = 544
/ CERTIFY THAT THIS PLAN SHOWS UNIT J BEING CONVEYED AND THE
IMMEDIATE ADJOINING UNITS AND THAT lT FULLY AND ACCURATELY
DEPICTS THE LAYOUT, LOCATION, DIMENSIONS, APPROXIMATE AREA, MAIN
ENTRANCE AND THE IMMEDIA7E COMMON AREA TO WHICH /T HA
ACC£5S
AT 1.30 BOSTON STREET, SALEM, MASSACHUSETTS AS-BUILT.
DA7E PROfESS/ONAL LAND SURVEYOR
uNT #.l HANCOCK cHK. BY
BOE
TON $ Survey Associates, Inc. DAZE
185 CENTRE STREET, DANVERS, MA. 01923 2DA7E'
CONDCUNUM VOICE (978) 777-3050, FAX (978) 774-7816
130 BOS7ON STREET SCALE, 1' = 8' JOB
SALEM, MA 40 4 8 16 117