32 FOREST AVE - BUILDING INSPECTION • IMA� 33� �.�T �S�
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CITY OF SALEM
ROUTING SLIP
NEW CONSTRUCTION_�,
CERTIFICA E QF�OCCUPANGY;--.. .
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LOCATION��.� �C1Y�eS�' �v�e, S DATE p�Jr�� a4, a0��a
APPLI�ANT: _....-�"'"�
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nssFssoxs � 0�(- Z6- O Co
FRANK KULIK��t�-- DATE:
(93 Washington Sheet) _.
CITY CLERK .
CHERYL LAPOINTE c�-n✓ �J c�, DATE: O�I' �Z —2pp {� �
(93 Washington Street)
PUBLICE SERVICES
BRUCETHIBODEAU �� DATE: � � � ��
(120 Washington Street) Floor a�
WATER � ��
DO'TTIE THIBODEAU � DATE: �S� [�d C� �.��
(120 Washing[on Street)4i6 F a�
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CROSS CONNECT SUPERVISOR /,�—�
BRIAN THIBODEAU�� �/ DATE: � d �
(5 Jefferson Avenue)
PLANIVING �jM���(,tl ��� J �,,�t
/��/ DATE:�
(120 Washing[on Street)3rd Floor �
CONSERVATION COMMISSI N ' �
FRANK TAORMINA ��� DATE: �` 06
(120 Washington Street)3b Floor
ELECTRICAL � -
JOHN GIARDI � ` DATE:�xLO�7
(48 Lafayette Sve
FIRE PREVE ON �
ERIN GRIFFIN � DATE: �
(29 Fort Avenue) /
HEALTH L/
JOANNESCOTT '�- DATE: � a 7'O�o
(120 Washington S et 4'"Floor
BUILDING c ,�/
THOMAS ST.P(ERRE /���J DATE: J C% �
(120 Washing[on Street)3`d Floor
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� � HOME IM�RpVEMEN7 CONiRqC70R Lj��se or registration v �
RBB�straHon 145375 betore the expiradan date. If tound returo�p only
�������l13/2007 Board af Building R nd Stand
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I ROGER q,TRE J F �'��� ���ate Corporation g �P�aCe Rm 130] -
t ostou,Ma.02108
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10 COLONIAL RD St�l��`, � � 1/�
� SALEM. �A <: :' _��_ -' . .
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� Admint— y�— �a�— ,� _/_ .
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signa[ure
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� CITY OR $AL�M� MAS'.iACHYgtTT�
PU9UC PROP[RTY DtPARTMtNT
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De6t�s Disoes�l �..�...
� �rdanca with the provisiona of MGL c40 3 34� a condition af ya�r
Bnilding Pemut is that ehe debris resulting from thia work shall be disposed
of in a pmperiy licensed solid waste disposal facility as defined by MGL
Chaptec III, S 1 SO A.
The debria will be disposed of in:
ti��Std9 r� (I,ocadon of Facility) S�,�a vv�
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Signature of Applic
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�tNS�AIl6i`�Ef�l.{��41rD AfPROVED 8Y �iiE
JdSPFCIOA PA1QR TD.A.PEAMIr BEWG GRANTED
� CITY OF SALEM
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No. 9/o?-�ti ~ % s oe�a �
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� P�y�� h Locatlon of �
uw luataic Dia1� Yas Pw� Buildins 3 z ta-eo� 'av2
k Propaty L.oalad in
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BUILDING PERMIT APPUCATION FOR:
Pertnit to:
(Circle whichever apply) Roof, Reroof, Install Sid�g, �strCuc t peck. Shed, Pool,
RepaidReplace, Other. �"�
PLEASE FlLL OUT LEGIBLY&C0IAPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
` specifications: -
IOwnersName �� a'�i '�ew..h14��.o.n.'�rGe� �K�
Address & Phone (D C�l���a l R1 .S.n� � ����� � 'f 5-3� s'l
ArohitecYs Name �
Address & Phone ( �
Mechanics Name
Address 8 Phone � �
wnu�s aa Pu�ow a wra�q� I����
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� Signature of Applicen�
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIP'T'ION OF WORK TO BE DONE
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MAIL PERMIT TO: � o C� 1 cv�.�.�� �J sv��P tI
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No. ��
APPLICATION FOR
PERII�T TO .
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LOCATION.
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PERMIT GRANTEa
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INSPECTO OF BUIL �INGS
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Falme 6o saate oovaa�e�rcqaQad�da Saxloa 23A of MGL a 132 cas kad b�e�pwidoa of a�al penaltta of a
Bme up oo 51,300.00�d/ar ono-ye��priaoumeat,s aeD�civ0 paalda in the fuim ota S'POP WORiC ORDER and a 9ae
otup b 5230.00 a dry agamrt�e viol�tor Be advised thrt a oopy ofdw afatemat mry 6e�rwuded p�e OtHce ot
� Iavati,�atiout af tbe D1A Lar�a oova�e veri9t�doa.
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Inaln�Aut�ork�(drde one)s
1.Board d Healt► 2.Bulldlnt Deputment 3.Clty/fow�C1erk 1.Eleetrlal Inipator 3.Ptambin�Impeetor
6.Othet
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Information and Instructions � i '
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Limiled I.iab�li4Y C7omp�N'�1�LimiOed I.iab�itY Pacma��p�I1.0 a I.LY doa have
memberr az Pa�tna�,ate not ralqi�b���°pD°��ID60�°°0' ot In�tr1a1
sffids►vit b��m���mxa
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�ti��i�matiou of�a w�aa�e. AI�O 64� . �P �
' y�rem�ned 90 9►e atY or tows tLat�e aPPticatio°Sor�e pamit or lieaee u bemi r�a��.�the D�om�
I �p��, $AquW yoa h�ve anY 4����lsal O�if yo�a o[0 reqaeed t�ob�s����
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sei����u°�a � �
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of tl�e afBdavit tor Yoa m 5II ont in the aat thc O�ce of Imest�tiom hat�o contact yoa re�diai�0 aPP��
plea�e be s�ue ao fiU ia the pam�/hee��wmch w�71 be nscd a�s refaace mimber- In addi8o�4�BPP�
that murt aobmit�1uP1e Per��PPlieaa�t in wy pva yar,need on1Y submrt one afHdavR mdicatimi c��
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appHant s�ootdW s valid afBdsvit i�a�5b fa�are Damiti�hcema. A nc�r agWsv$moltbe 811od au aeb
e�.When a boma oanar�dtizm s ob�a lioeme�pawrt not rdaood.oo anY b�at a oo�nacial vmmre
y 10 b�s ltava eOC.)said Paaoa i�N01'n+4uaed b comPlde Ihi�aflidsvit
(ia s do;tiam�a P�
nf would t�e oo th�dc yoa in advwce f�yom coopcation aod shoutd yron Lave anY 4��
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plaee do�haiate to�ve os s ca9.
The DePu��i addresR ukpDox wd fa namba:
The Commonwealth of Massachnsetts
Depactmeat of Industrial Accidenb
O�a ot Invest�atlons
60o w�►ewa s�c
Hostoa,M.a►021 t t
TeL #617-72�-4900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749
ttevisoa s-26-os www.mass.gov/dia
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NOTE.• THIS PLAN WAS PREPARED FROM A ,
TAPE SURVEY AND lS INTENDED FOR BUILDING
INSPECTOR PURPOSES ONL Y. OFFSETS SHOWN
36 Forest Avenue 17 Hersey Street 15 Hersey Street 1:i 1/2 Hersey Street ON OR SCALED FROM 7HlS PLAN ARE
APPROXIMATE ONLY AND SHOULD NOT BE
Assessor�s Map 33 Assessor's Map 33 Assessor's Map 33 Assessor's Map 33 USED TO DETERMINE PROPERTY LINES.
Lot 35 Lot 34 Lot 33 Lot 32
Lot 195 Lot 193 Lof 191 Lot 189
� , — NO7F.• UND£RGROUND U71LI71ES REFL£CT PHYSICAL I
� �� 'rJO.00 ` �� 'rJO.00 j ENDENC£ AND AVAILABLE U71LlTY PLANS.
CONTRACTOR SHALL CONTACT MASSACHUS£TTS
LOT 194 DlG-SAFf AT 1-800-322-4B44 72 HOURS PRIOR
0 4,900 S F.f L O 7- �9�. TO BECINNINC OF WORK. .
�
N � �Proposed 4,900 S.F.f
io.00• BH � � Patio
Proposed o
Proposed Property Line � 28 Forest Avenue
34 Forest Avenue I DWellinC� � a�
o I 22'x28 I
Assessor's Map 33 � I Unit 2 O �
Lot 12 m � _I BH to�a0' pp Assessor's Map 33
N o.30
� I Pro osed Dwelling �ot t4 GRAPHIC SCALE
I � I Proposed Patio 1 1 /2 Sty so o ,o zo �o eo
� �� I Dwellinc� L _ Wood
� 22 x28
� I Ufllt � I ( IN FEET )
Lot 196 � I � � 1 inch = 2o ft
4�i_
� Pro o ed Proposed -
Proposed 3 I� — P��-�h° I Parking Porch Lot 190
Parking � I��� � 3- L J �'
3 � N N i bR'�.i?.B�d
50.00' `� _. !_ 50.00 , �H���.,� SITE PLAN of LAND
o � — ��'a������ �e� 32 FOREST AVENUE
� � `e+ �
o PH9L.? �
o � � Q;� � �� S A L E M, M A S S.
o � G rEr,r,�zonn
W 6�� Water a �,y �n a � W 6�� Water W �,ti, ��k��°�y. Aq� �,� � ROGER T EMBLAY CONTRACTORS
° � // � ' _--�' =�
� �/ +'+3 �, ; SCALE: t" = 20� MAY 4, 2006
10" Sewer � 10'" Sewe� `J4 ��`�
S S S S g /�� REID LAND SURVEYORS
365 CHATHAM ST., LYNN, MASS.
FORES T A VENUE ' �
NOTES: R
Zoning D�istrict: R2 Z �
_ _ Assessor s Map 33, Lot 13
� Deed Reference: Book 76811 , Page 83
t CONTROL //:RO6-113 OPT,