130 BOSTON ST - BPA-2005-770 U1, REDO KIT. & BATH No. ��� City of Salem Ward
tr wi _
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE-ALTERATIONS OR NEW CONSTRUCTIOP
{ w IMPORTANT•Applicant to coMpiete aM Nenra in seewns:4 it,III, N,and X.
L _ ATILOCATWW
LOCATION ;
OF- MWEEN AND �Roves s7r
r BUILDING (CAM STON "' PeMSTAF T) .
SU601VISION LOT BLOCK SIM a$
U. TYPE AND COST OF BUILDING.All appllcarifs complete Parts A-D
A TYPE OF IMPROVEMENT 0. PROPOSED USE•FOR."DBK)Lr iON"USE MOST RECENT USE
I`I 1 Q NOW Otto". � �Reoldnfer
f 2 ❑ Addleon(#,wedMetanfr MMbrd, M 12 0 Onlf nuty * * Is 0 AMUMM M,NdeeafW.. .-,
r houwv urm added a ant•.n petta 13) - 19 I] Clumm oer Rehr" j
3 I] Aeerran lSee 2 ebrel t3 of unbman ltnuly Enatt NntM71r 20 ❑ kduww
aRawer lapfaafnM . ,a ❑ TW MMhOW.eMM-or ry- 21 Q.Paranp 9elepe
���'''111 F.Marntnl6rdungr 2213 Sraice etetlon Nper grape
[ _ a S Q WnRhn9(b MUWW*�eadrfpal~mmtlr _ -- ---
dunirnawMnpnPrtO. 13) 1S I]. Grepe. . 23 ❑ nbap+rLiMeemer" _
S Q MOMnO tnbueonl.: .. 24,13 omm beret.rarraMMf
' O Fdtatdoton Dray ,7 onw•soawr - 26 13saMaLuvw.rbradtmaco f
2713 3 sbm ttMNrMw
B.OWNERSHIP 28..p.Trib.lOMeta
B Pnwoe Indiyiw,aL moorrnn.iniwoNt- _ 29 . -
+neaetbobt nd 0 OMw:SpaCaY-
9 0.Pudic lFechn Sltla r n0190AeMlrtl _ . ..
C.COST 1On11 cw= NonaMrMMI-Darmbe in detei Prow ad use d bLddtt9a,a9.,food amcon atp ptra.
,�gamq ttgelrM VNXL WOV GiiA'm9 athoapaaL ehornowYy at2Ma,.aacwmWVwheal eolape.
10. Cato anrmeffow Vllt/ ProrJrl'scna DrI g9ra9a Ice,trdarettrM toete.NnW hmiciq,.dSa dWrq
at nd wtr P"tou"of"mom N bang cnrlp.S ropoaed t� .
'o e•�Mraee aw nor neapd
Coat
- -
aa Elashim
bital .. •�.�.Vy'!.m of A ��[ D
C a. P,.bnp
[�. a „erne,rt dd„d;tle„Y,9 •— -
1 a Oliver, ow _
.11. TOTAL COST OF MIRO11EAEM -
UL SELECTED CHARACTERISTICS OF BUILDING -For new buildings and adcIti na,.completer Parts E-L:del"b ri,
cpawlete only Pars J a M.ad others skin to IV
E. Pftrj= f`TYPE OF FRAAN L F. PRVXVAL rM OF WATM FM YPE_O. T OF SEWAGE DISPOSAL L TYPE OF MECNANCAL
3013 Awea.Yt wbaeNtpr .35 cr 40 ❑ Ptthper order addMN
r . . efsrr.aorrfrer .
32 p,sjarr 6 ❑ Oi. a1 ❑ Plover teepee tfnc.rw �"
33 ❑ RaiMot brr ar 38 Q CW K TYPE OF WATER SUPPLY WB,11nN by w in"?
34 a 0thw-Spm* 39 13 Opfr-sm* 4
2 o PfeperrMYwnmV b I] wM 47 I] No
43 0 Ptt..fec etl.tarrfp
J.ONENSIONS M. DEMOLITION OF STRUCTURES:
is NUTOaI Or atpMa .___......_.._......._..._......_-..___.. .. -
49. toy fauaie m ON floor am Has Approval from Historical Commission been received
&; oo am oaeaa on aannn
�,,. --------.--_.-_.__..-- for arty structure over fifty(50)Yes? Yes_ No—
SO. Total Woo aran.$a K Dig Safe Number
K.NUMBER OF OFF-STREET PARKWO SPACES Peat Control:
51 Erkpmaa
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
• 52. Outooa a... - Yes No
ufEBOeHnuBULDOWorar
. g
_. : .. Ebctrta
sa enaowa �. _
Gig
Fat Seivw.
` SO NiA INOf DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
oatlaOd~ PaNYI BEFORE A PERMIT CAN BE ISSUED. -
N. COMPLETE THE FOLLOWING:
HistonC District? Yes_ N01 (ft Yes Puss enclose doamen>>bon From HisL.Com)
Conservation Any? Yes_ Nox (ft 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&-'
Comply vvkh Zoning? Y No_ (If no,enclose Board of Appeal decision) .
Is lot grandhatliered? .Yes.__ No_ . (If yes,submit documergationlit no,submit Board of Appeal decision)
If new caatruction,has the proper Routing Slip been enclosed? . Yes_ No_
Is Architectural Access Board approval required? Yes_ NoX (ft yes submft documentation)
Massachusetts State Contractor License# � Salem License
Home Improvement Contractor#' Homeownsrs Exempt form(d applicable) Yes_ No
CONSTRUCTION,.TO BE COMMENCED WITHIN SIX(B)MONTHS OF ISSUANCE OF BUILDING PERMIT
CONSTRUCTION IS TO BE COMPLETED BY:t $ i w itIngan to the
I s p�submd
^' � in writing>b the Inspector of Buildings.
i
V. IDENTIFICATION- To be completed by all applicants'
Naar Maiq aUMa-Nun .mea oars and am ZIP Coax Tat N&
rawo 3 LL A tie L V mo witit, o�LID ►7
Ottawa
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Z e a1960 _ t
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I hereby the proposed work is ad horn th ed by the owner at record and at 1 have been authored by the owner to make to h application
as his a at Xconform to all applicable laws of this Nrisdielion.
' re of Address ('
J1
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building
use caw
Permit issued 19- Fwe Grath*
Building _ LNs t
Permit Fee $
oldrq
Oa LVWCV load
Certificate of Occupancy $ Approved b .
Drain Tile 5
Plan Review Fee 5
Tm E
NOTES AND Data•(For department use)
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by. Completed by.
A ZONING PLAN EXAMINERS NOTES
DISTRICT "t
USE.
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN•For Applicant Use
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130 BOSTON STREET
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ELEV = 451
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I CERTIFY THAT THIS PLAN SHOWS UNIT f BEING CONVEYED AND THE
IMMEDIATE ADJOINING UNITS AND THAT IT FULLY AND ACCURA7ELY
DEPICTS 7H£ LAYOUT, LOCATION, DIMENSIONS, APPROXIMATE AREA, MAIN
ENTRANCE AND THE IMMEDIATE COMMON AREA 70 WHICH IT HAS ACCESS
AT 130 BOSTON STREET, SALEM, MASSACHUSETTS, AS-BUILT.
DATE PROFESSIONAL LAND SURVEYOR
Uw fJNN. HANCOCK ow. 8Y.
�� � Survey Associates, Inc. DATE
185 CENTRE STREET, DANVERS, AAA. 01923 2DA7F-
CONDCMWM VOICE (978) 777-3050. FAX (978) 774-7816
130 BOSTON STREET SCALE. IN _ 8' JOB
SALEM, MA 0 4 8 16 NO.
n n n> ra► Baas- ,aro aer 117M