36 CROWDIS ST - BUILDING INSPECTION ng T-ANt . �CSl17G�1•�17��-
What is the current use of the Building? 511•Ic�t�
Material of Building?u1� 'hlAS67+aY If dwelling.how many units?
Will the Building Conform to Law?
/t3 Asbestos? �y
Architect's Name u M ez"sS r t�2 j�c5 rDc/y i r�l t, 17C S/4
Address and Phone
149 PA2K 5r N.Re?A-0yJ4 "Af • ( ) R7£r • (�i4 0«j
Mechanic's Name N J A-
Address and Phone
Construction Supervisors Ucense 0 4S * --- �� HIC Registration# 14g20Sf
Estimated Cost of Project$ Sl 9j-7 Permit Fse Cak "don
Permit Fee$ 2G Estimated Cost X$7/s1000 Residential
Estimated Cost XS?1/s1o00Commercial-= ------ - -
12 Tb An Additional s5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the above stated
specifications. Signed under penalty,of perjury , X '�l
Date
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PUBLIC PROPERTY
DEPARTMENT
KI.%QWYAAV ORMCOU moo,
13D WASHIN -"J`tltfiT �.V&j,ti y,�pHt:�I-R O1970
'iWM715-9S"•FAvc.979-740.96"
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY VUSTINGI
STRUCTLT>R� OR BUILDIN .
1.0 SITE INFORMATION
Locatlon Name: Qc Aya t iNo Building:
Propeny Address: - —
SAt.e-tK CIA• v 1�►70
Property is bested in a;Comwmtbn Area Y/N N Hlstorb Dlstrbt Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land i�r>A2 FCMt1�/0
Name:
Address: G t x3w i t s
3At.EM MA, 0147o
Telephone: "1�I - l034 • /<022»
3.0 COMPLETE THIS SECTION FOR WORK IN EYIATING BUILDINGS ONLY
Addition oNew672-
I 2
Renovation Number of Stories
Change in Use 2
Demolition Qsr T 41
(00
2� 1770
1 � 12l$Approximate year of Area per floor (sf)construction or renovation Ig40 ZWD , +Sq2of existing building 277C07
Brief Description of Proposed Work:
�2) FLcmw, ADD►rA:1 (asMi-A IST)
HCR4 sa ► ►a GI_L 99 J e FAO--u LY .12M
-- - ---Mail Permit to: StHa�DDA��eRiN • C->A &Z0jei�! I:ieor. LL.e . 15 �ot�4c
� l
3
MAP 14 (�
LOT 82 MAP 14
LOT 80
J
'r J
S152830 MAP 14
18184 "E LOT 79
MAP 14 SHED
LOT 75
MAP 14
LOT 74 - AREA - MAP 14
43,638 t S.F. LOT 76
3
� o
w
I1 M n CV (D
to N
z 13'f
..._ GARAGE
13't
25'
64't PROPOSE 72"f
PROPOSED ADDITION N DECK
DECK TO BE
REMOVED
DECK
1 1/2 w
STORY c
DWELLING
#36
60't
�- 178.00'
N 27'16'30"W
CROWDIS STREET
PLOT PLAN OF LAND
36 CROWDIS STREET
SALEM
PROPERTY OF
I CERTIFY THAT THE BUILDINGS OFM4 RICHARD FEMINO
HEREON ARE LOCATED ON o�'� "L oyGN SCALE 1" = 30' MAY 29, 2007
THE GROUND AS SHOWN L NORTH SHORE SURVEY CORPORATION
29 07SM No.3 as 14 BROWN STREET - SALEM, MA
9OF``B�FGISTER�O Q� 978-744-4800
D TE REG. PROF. LAND SURVEYOR s/pNAiLkAOS�
#724