17 CUSHING ST - BUILDING PERMIT APP ClT`Y-OFSALEAIL
PUBLIC PROPERTY
DEPARTMENT
KIMMFRLEY DIUSCOLL
MAYOR V I-V WASHINCTON STREET SAtrar,\LAi&AcxLst-l-Is 01970
'IFi 978-745-9595 0 FAX:978.740-9U6
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION.
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
Prope Address:
— 1 4. , JU�
Property is located in a:Itonservation Area Y/N A Historic District Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name:
Address:
1
Telephone: g 7 Lf (o -
3.0 COMPLETE THIS SECTION FOR WORK IN EXL TLUG BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change.in Use Z New
Demolition Existing
Approximate year of Area per floor (sf Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work: - ZzS-I
Mail Permit to: r
What is the current use of the B Wing?
Material of Building? If dwelling, how many units?-
Will the Building Conform to Law? Asbestos?
Architect's Name
Address and Phon
Mechanic's Name `
Address and Phon 2T. r/
Construction Supervisors License# / $S� HI Registration itS
Estimated Cost of Prote $ �,b�'CIO Permit Fee Calculation
Permit Fee $ Estimated Cost X$7/$1000 Residential
Estimated Cost X $11/$1000 Commercial
An Additional $6.00 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 perjuryIA-LL
jDate ��D�
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li MAY-27-2003 12:35 ALOISI&ALOISI 617 227 6883 P.02/OS
Land In SALEW Belonging to Ronald E-3 Barbara J.Wilson Deed in Book 17726 Page 458
Y
Land Coup CaRIAoa[e No. — in Book Page In Essex County Registry of Deeds
Recorded Plan NONE Date of Plan
in Essex County Registry of Deeds Book No. Filed Plan No.
MORTGAGE INSPECTION PLAN Coldwell Alolsl B Aloisi, Attorneys at Law
Loan No. Robin&George Reels
14 Cushing Street,Salem
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CUSHING STREET
April 11, 2003 ,
JN 74267
Scale: 1."= 15' .
THIS PLAN IS FOR MORTGAGE PURPOSES ONLY
i CERTIFY THAT THIS PLAN WAS PREPARED 1N
z........ ., °i ACCORDANCE WITH THE COMMONWEALTH OF
-� MASSACHUSETTS PROCEDURAL AND TECHNICAL
STANDARDS FOR THE PRACTICE OF LAND
SURVEYING 250 CMR SECTION 6-05 AND WITH THE
SPECIFICATION SHEET ATTACHED HERETO.
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ANDERS sue"
No.24296
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