140 BRIDGE ST - BUILDING PERMIT APP (003) City of Salem Ward -
9
♦ ri
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
i`
_ IMPORTANT-AppficaW to com pme am Rerna in seetbns:4 it u6 IV,and IX.
L._ AT M1OG710W
lV0 BKIDGr< OTKE� T �y
LocanoN BErNEEN F 1 rJ T R S i AMOLIVE K ST .
BUILDING
n710.e SrMEn Kebes41 R
BUILDING LOT-.
SUBDIVISION LOT_BLOCK - sag
I. TYPE AND COST OF BUILDING-All app9cwts complete Pats A-D
A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION"USE MOST RECENT USE
1 Q.NM eudc!" _ Rsslrlensfe NereeemselW .
2 Q Addition(a resd aneef,wore numbe«rw - 12 Q wanly 1B ❑ Artasenre.retneebese
unaa aooea d 4rry.w pwf D,731 - 19 Q Ctsuck, M 9 i
- 13 Tw or dine 4mtly-Ensrnumser
3 r ft 2atoW/ of prW 20 ❑ Irtll�rr
4 Raper rep4pmwy - 14 Q Tranownt hoist mo1M.«Oortrdory• 21 Q Psrefrlp 1Wa0e.
S Q Wndnala nan04m1Yrsewttlr4 Ones`rnrrosr - Enrarrworruses 22 13 SsrMop s4arr.rwsepra0s - .I
23 Q HosplW,institutional
of units w ouddeV 0 Pet D. 13) 150 Grasps 2413 ORse.Orr.pro4aWse
S Q MowV(rsbaport) - Is 0 C4rpn 25 Q wesc alike
T Q Fprrtowon ortly 1T ❑ OUsr-Spedy n a &stew 13 so"metoerroY other se
E.OW! RPSNIP 2B Q units,towers
I
8Ly PnvB44ydwwuw cwp«eor4 rvsrss Other•Bosley
Moslem ao.l 29 ❑ Other
9 Q Public iFederal.Subs.or OW poYrrmare .
C.COST (Oros owns/ Norimuder r-Oaspree o OHM proposso use of bid dings,a.p.two procesung;pees.
nsuch WM Mw4V bAkinV al hooPM s4rrlerrery suooL SOMM V @d=M oobm
10. Costd anpro amen .. 3 l O DOG, al wtrwprY planLW 9 a9ea0a 1«Espetnww sore.dines office buldsiR office OrVtirq n
■uO Oldawq a biding cnmpse.weer proposed uses
r
Tosedsussd brit not npbdad (//J ® ® N-� S
m a4 above can • !"'f.,./G` /1 oq.- �W" �40- S
a Elomm
nn 3
n Piwroep
e rlereq,se opMwbep
a oirrls4leocetl
11. TOTAL COST OF IOPROVEMEW
IL SELECTED CHARACTERISTICS OF BUILDING •For new bur gs and addi0 ons compleN Parts E-� 1Gbn.
coop on Parts J&M.aN others ski to IV n/
L PRINWAL TYPE OF FRAME F. OF NEArm FUEL & TYPLy SEWAGE DISPOSAL L TYPE OF MEOWWAL
30 Qb(eary hvl beeatD 33 Gae 40 Rife«prime OwOpnN wa/tw becer laF
31
32 �U0ftiraaaf stew 37❑ ScoiriciM 41 ❑ PrM.I.4epeC tW4 ru ss 0 YM 45 —/
ma
33 ❑ Realwutl c«ersos 38 Q Coe N- TYPE OF WATER SUPPLY YW 94te q,nOFA ?
34 ❑ Other-SosaV M Q Odw.Spelp 42 Public or prhess cos misery ❑ 17
43 0 Pdl hlw.A orient
J.DIMENSIONS M. DEMOLITION OF STRUCTURES:
is NuaGP 7 ar _._..._..._...__.._.._._.__._...._..__.. d.
as. Taal square ran a floor area Has Approval from Historical C0mmISSIOn been remved
oes n a: owe an aaraa
- for any structure over fifty(50)years? Yes_ No_
&. oomna
so. ran una area as n 0ig Safe Number
IL NUMBER OF OFF-STREET PAMUNG SPACES
':.PastCOflhof:
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
• 52. oiaeona..._ -- _ Yes No
L RE81 SMAL BRMICS 0ILf•
51 Endoaae - - -..
Full SOW.
s<. ft"a - DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
'awep~ Pa" BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:
Historic District? Yes_ No_ (M yes.Please enclose docuRrentaf on from Hist.Com:)'
9
Conservation Area?, Yes_ No_ (If)es,please enclose Order of Conditions)
/
Has Fire Prevention approved and stamped Plans or apPftcatbns? Yee_ NoJL
Is Property located in the S.R.A.district? }Yes_ No
Comply with Zcning? Y No_ (If no.enclose Board of Appeal decision) .
i
Is lot-grandlatlr ed. Yee,_ No_ (If yes,submit documentation/If no,submit Board of Appeal decision)
if new oorlatructon.ties the proper Routing Slip been enclosed?, Yes—
Is Architectural Access Board approval required? Yes_ Now (If yes,submk,documentafion)
Massachusetts State Contractor License#f'S 05129 - Salem license#
999,
' 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: N an extension is necessary,please submit +
in writing to the inspector of Buildings. 8
V. IDENTIFICATION • To be completed by all applicants
)
Hama Ma"amna•mmew sleet car,aaa aura ZIP Code TaL No.
I. C?EVE MI-1H I6oz C.EWIS m , GKny D2. SAvs-us MR 01gob 074$n66$
Owlr a
haaRe . . i
MICHAE� ST£ENE N � 66ACiOlLa K) AVt ✓`14otl Q&� r'i d2f 8 617dd887`r
x . jjCourse. LBIAWG
a E e- i
AfchW or fq-
6gwar -
I hereby cenily that the Pro is by the owner of record and that I have been authorized by fne owner to make eht5 apdiCSbw
as his aum izeo aaent a to to all acatcable laws of this iunsdictim.
Signature of item oVpn
i
I
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building _ _ FOR DEPARTMENT USE ONLY
Permit number
Building Use Gmup
Permit issued t 9— Fire GmdM
Building
Permit Fee $ Live Loading
Oraooa:v Load
Certificate of Occupancy $ Approved by.
Drain Tile
Plan Review Fee S
TITLE
NOTES AND Data•(For department use)
z
PERMIT TO BE MAILED TO: I e(-CA vp C,()
DATE MAILED:
Constnution to be started by. Completed by.
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN•for Applicant Use
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dial mast submit maltipk pam"Wate application is any Siva year.need ody submit one affidavit bAk Aft am-
policy mformsdOfi(if m ccongy)sod under"Job She Addrem"the appMaa should wriu"ail loatfoas is_jciW or
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Tee Of es otlovatipdons would bbe to dusk you in advance fbr yaw coopersdos gad should you have any question%
plea do not baiule a give as a ei
The Depatswes addreK selepkoae and 9r=mbar:
The Qmmonwealdk of MLUKhl„db
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600 Wathi 19M ShId
Bodtad.MA 02111
TeL # 617-7274900 ext 406 of 1-877-MASSAFE
Fax#617-727-7749
Revised 5-2ti-OS 1YwwmmSov/dia
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140 Bridge Street, Salem MA
Job Description
Tear down front porches and remove debris.
Lag support for roof at front of house.
Replace 2nd and P floor front doors with windows.
Rebuild front porch, first floor only.
Replace rear door with window.
Rebuild rear porches where existing porches were.
Repair and replace miscellaneous siding, corner boards and trim.