7 CEDAR AVE - BUILDING INSPECTION (3) 1
fL*NS*WT9EfligEDW D APPROVED BY T44E
MIISPECM,PR OR TO A PERMIT BEWG GRANTkD
CITY OF_SALEM
No)] \ Dab
WWd
zorrno DIsWo
Is Pnaperly Locabd in Location of _�
d»Histaf¢ Dlstrk t? Yde No / Building 7 �tGgr 4✓.2
Is Properly Locabd In /
Me Canervtllon Am? Yee No 11//
Permit to:
BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other: pt.n•.a.—
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS: '
The undersigned hereby applies for a permit to build accor&Ag.to the fotbwktg
specifications:
Owner's Name i C6,01 C h�4
Address & Phone 7 G rfar kgr u-z,
Architect's Name
Address & Phone
Mechanics Name
Address & Phone
Whu Is flee purpose a lxdldkq? duyol%M�xI
Malerm ol bxrtarq? Nut cu) luuurri ✓ h a dwaft for how mmy tamaes? 2
Wa tx**sg coidan to law? Asbestos? h,O
EWnsted cost 2Cro 0 CkV Ucare« WAW U==«
Base Iapromm sot ,
ignat pliant
ED R THE PENAL
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
(o move, act i h t•,n or, °A.e -y 4 o c�
MAIL PERMIT TO: " d tOA C "LLA
APPLICATION FOR
PERIff TO
/fie �o�e cYc��,•�i,�n
LOCATION
:2
PERMIT GRANTED
94 Nz4 19
AP ov�D
I OR OF BUILDINGS
t
Cl?Y OF SALEM
BUIIDING DEPARTMENT
HOMEOWNER LICENSE EMOMON
Pkaa PAN
312,00 4
Ioe LocATmer 1, 7 //��.
• HObgOWIM •tCtae( `r1',l_eA..s C_9dac Aij-e�
ADWJM
TELEPHOW
•Hoi�asvl� `��� 7 y � 5��3 . .
PI�s>xr w+aa?o ADORES: 7 CL�m� l�� �C�p,�m. I� !•� . •
The cmusa,aamptlan d-nomeo.rn was emcaW w bichp&ewoen*PwVW-d"cftv'QC6M
Umiu a ka and a allow ffad hommowm a w a,gage m br$vida0*9 Wm TAIo aaa mot Ponca.
gammc,.puovided t m ie awmet ad as mpetrbm
DErV4TMNCFHOhffOWNM
Pcn m(s)who owu a parcel of kmd on wW&bchhe usida a betem&w Tide.oa wMA than k R Y
Intetded to be,a one on two femdly dwcMn&amadm d a dewdod Xwxwes aea sal w we►ne suft
farm m cuvL A ptrum wbe eoarom s mac 4mm one home k a two-yomr period sbal mal is tmaida d
a bomwmmes. Sub 9tomeownd' Oml n*mdt w the Badh4 OS+dsL=8 the i k 10*0
Building OlfW4 that khhc be tespowlk toall Smdt wwrk pclamed Wdff
Ma mdenigned lwmwwnd'asstmnes mgom%ft fa mmyft=wide the State Bait code ad
other appbabk goes by-kas,cola and tegmkfwR
The wbdcw ud-b meowmd•ard5a that Wshe mA=w ds the Ciq of Slam Bmfldlog Dgwomat.
ummmo bmpec m ptoadmus erred agiwcmcms and t}mt hits will=q4 Wm maid Pmadae mud
nqokcmcmL
HON=WNER'S SIGNATURE
APPROVAL Of HVII DA1G WSPECTOR
Sac aka side for ma code
HOMEOWNER'S EXEMPTIONI
The code sutcs that •w7 homeowner perfa ubg dmk for which a buUdbs permit b regA :hers M
cm*Lvm the prw4wwtm of this accdom(sealm lopia-lictosios d comaroedom Supa view o
provided that b a hum wwna cWW#pesom(s)for Wm to do.aucb wcd6 tbad rm&isomeowaer dmN aat
. u aupavLot' •
Maq bomeawma who the this cmmpdm are i n wart that they an also ubg deer I I M11 ads
supervisor(em Appcodia Q.Ruies and Resulatioa for Umweins Ceoaesrcd@u Srpervb*M SOC*a
.2.26 7bb hick of awaresna aficnreauha in serious problems.pardenLa(f wLea dK 6tsneow=..im
unlfecmed Vasoma In thb a m yo n Bard carmot p mad asairsm the I pe:M m ftao+da wld
lictund Supcvim. The homeow�cr alias as supervbw it rMiaas*t mp
To emads to the homeowner Is fulb eweae cthillm mpoalbi8 IM mrnq eomaamdd raq"-a past
of ow parmii ap okadam that the lwmeowma ecrdly that btwa=dossmda tbs reapomabmm Its
supavbm Ym may care to amend and adopt web a fam/ocrdfiadem for are is year coo mmiy.
I
PU9Uc PROPERTY DEPARTMENT
(so WAaHlHOTM STREET, aeo FLooR
SALEM.MA o 1970
TEL.(979)749-9SES Fxr.360
FAX (979) 740.96"
STANLEY J. UWv Z. JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provision of M(X c 4%M I aclmowle*that es a coodffim
of Bmldb*Permit g .an debris muhMg fcm the s ftvgy
govaned by this Building Permit Ad be disposed of in a properly licensed solidi i im
disposal heft,as defined by M(X c 1%S15ft
The debris win be disposed of at _ � �;dt)c,-
Hk LacaticnofFae ty
f�F=�_
(S' ofPcl&f Date
(PLEASE P=fr CE EAR Y) mtio®atlon..
Name ofPeamrt Applicant
Firm Name,if nay
..-
Aftesk Chy a State
'Ilia above statute mp m that debris fi m the demolition.renovation,rehab or other
alteration of building or structure be disposed in s properly-& msed solid-waste disposal
5cility m defined by MQ,cHL S130A,and the building Permits or licenser no to
indicate the location of the hm*.