44 DUNLAP - BUILDING PERMIT APP JACKET �LlliftailAllSi�EfNe"W APPROVED BY T44E
JdSPJ iw Pean To A.PEFW RAING GRANTED
CITY OF SALEM
Date
No.
Is Property Located in ✓ Location of q4
f W Historic DWtnd? Yes_No_ Building l T
Is Property Located to
fhe CarmervaW Ar"? Yak—
BUILDING No
PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) stall Siding, Con Shed, Pool,
RepaidR Other: "P SS hh,
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications: I J
Owners Name _ s7-L-d-f l�(l) C)K, qAJ
Address & Phone qL( U U^) L,4pO S'% , 448
?`l( �3�7i
Architect's Name
.Address & Phone L 1
Mechanics Name Gcit# <Lk- L
Address & Phone _? 401-y'� I PVt —11 am eZ 6- /T.S0
whet is the purpose of b kMV ` 2Csc y
Materiel d buildirq? ��U If a dwa tg,for how many lamina?
Wo buildirtq confotrn to law? V S Asbestos? Af b
Eawneted cost l r�Gly License M N k slate ucW" o �P Z^6
Laic. Improvement X ,
lure of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
Rc'PACK Rol- A- -- ���lz 'Popeld one)
tiJS 7-r4-LL NCLJ WbyjbwS A-,r-
as & b c'k- 10A, I sr ��p2
(5;c'e. &fI N)
MAIL PERMIT TO: Lly U^J ( 41�
No. `�i� 2��0
APPLICATION FOR
PERMR TO
s
LOCATION
F
PERMIT GRANTED
APPROV
m .
INSPECTOR OF BUILDINGS
t
,
dining
kitchen
h utch
UP
porch
bulkhead"
existing layout
dining
kitchen
UP EO
0
porch
bulkhead
proposed layout
I�
ii
loll i O L-AL --_
PUBLIC PROPERTY
DEPARTMENT
,fie/rt � �
KI.%WE]UEV ORMCULL
MAYOR 120 WASHING ON 57xEEr•&%LAM%XAAA04C5hM 01970
IFl:97&745.959S♦FAM 976-740.9846
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: j e-- . Building: 6r1
Property Address: / `
Property is located in a; Conservation Area Y/N Historic District Y/N O j
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land Y%if(!(f, NCI t9�t7
Name:
Address: 7 /�✓n,U¢/' �7
4ol , 70
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of q S Area per floor (sf) Renovated
construction or renovation /
of existing building New
Brief Description of Proposed Work:
Zod
Mail Permit to:
What is the current use of the Building? "Pes-44jC P
Material of Building? WCD If dwelling, how many units?—
Will the Building Conform to Law?_�u c Asbestos? " J '
Architect's Name
Address and Phone ( )
Mechanic's Name
Address and Phone
Construction Supervisors License# ® /7 HIC Registration# /Z 0O00
Estimated Cost of Project$ CX�D�°O Permit Fee Calculation
Permit Fee$ O® Estimated Cost X$7/$1000 Residential "
Estimated Cost X$11/$1000 Commercial
An Additional $5.00 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 ab a ad
specifications. Signed under penalty of perjury X
Date / Z D
= 4d T
F s qo u
z Zl-
� u
.i,0044 DUNLAP STREET 15-2004
3§2877T77771 COMMONWEALTH OF MASSACHUSETTS
Map 26 CITY OF SALEM
Block.
Lot x' 0240
Permit ... Building '
Category`'. 329 New structures oth BUILDING PERMIT
Permit# 15-2004
Project# JS-2004-0040
Est.Cost: $4,440.00'
Fee: : = v $29.00 - . PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: HOMEOWNER
Lot Siz4sq.ft.): 4298 _ -JOwner: HINCHMAN SANDRA H
Zoning: R2 Applicant: HINCHMAN SANDRA H
Units Gained:FU-
AT.• 0044 DUNLAP STREET
ISSUED ON. 10-Jul-2003 AMMENDED ON. EXPIRES ON. 08-Jan-2004
TO PERFORM THE FOLLOWING WORK:
15-2004 INSTALL POOL. FRD
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
Underground: Underground: Underground: Excavation:
Service: Meter: Footings:
Rough: Rough: Rough: Foundation:
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: Oil:
Final:
House# Smoke:
Water: Alarm: Treasury:
Sewer: Sprinklers:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
.BUILDING REC-2004-000044 08-Jul-03 1853 $29.00
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.
fL4i�QS4RliS V9EfiL{� 1D APPROVED BY T44E
U�SI F�TL PIER �p`A PEAT IIT REEING GRANTED
CITY OF SALEM
N , 1 /
No. I ZO O y�:` Sys Date A ��
r.
y t .
`a 4 j it
Is Property Located In Location of
the Historic District? Yes_No A Building
4J-
Is Property Located In �T
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other:
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications: �'j p 11
Owner's Name T� I P 11 o ul l��t�a S �1
Address & Phoney ,D,D I�T�
Architect's Name
Address & Phone j 1
Mechanics Name
Address & Phone ( 1
What is the purpose of building?
Material of building? If a dwelling,for how many families?
Will building conform to law? Asbestos?
Estimated cost -� City License k N A e
Rome Improveaeut
Lie. /
Signature of App icant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
..
MAIL PERMIT TO:
t
S
NO. -Ls-2--o(
APPLICATION FOR
PERMIT TO
LOCATION:
PERMIT GRANTED
3 _.
.APPROVED
INSPECTOR OF BUILDINGS