8 FOSTER CT - BUILDING INSPECTION _ Y CITY OF SALEM
PU���_ �� BLIC PROPRERTY
DEPARTMENT
,�,u�al ar• �+`tl
%Wk a t'l 7.�eLVt.:.�si 1ttT•iu:�i 1Lwpt»w..tatls.:4
Construcdon Debris Disposst Ai'8dsvit
(required far all demolition and rwtovation worst)
in mconlaneo with the sixth edition of the State Building Coda 730 CUR section 111.E
Dcbr*sad the provisions of vtGL a 44 S 54
9uiWag pan p _ . _ is two"with the condition dmt the debris reeking tkm
this wok shall be disposed of in a properly licatsed waste disposal facility as dented by%tGL e
1 t I. S ISO&
The debris will be transported by: J �7
(danw of MAW)
rho&-brio will be disposed of in :
—Z 6) _
•.aGt
,
CITY OF SM EM
PUBLIC PROPERTY
DEPARTMENT
�.....a..o u,
wvaa 130w snssr•s^u!K NAsLv3&'Sen 0jTM
978-745-9S"•FAX 978.740-""
HOMEOWNER LICENSE EXE.MMON
Plea"Print
Date io -215-0,
Job Location b
Home Owner
Home Owner Tel
Present Mailing Address —
The current exemption of"Homeowner"was extended to include owner-occupied
dwellings of two Units or less and to allow such homeowners to engage an individual for
hire who,does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on
which there is, or is intended to be, a one or two family dwelling, attached or detached
structures accessory to such use and/or farm structures. A person who constructs more
than one home in a two year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official,on a form acceptable to the Building
Official, that he/she be responsible for all such work performed under the Building
Permit.
The undersigned "homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedures and requirements.
HOMEOWNERS SIGNATUREL C(�✓`
APPROVAL OF BUILDING INSPECTOR
See other side for state code
Covrt-
TEA2 .t�...ni �'x/s7Sn/G- lrA1zt�6F
/07G�c+ /jU,LLI' Nfw /s'xa�/
• /�FGoT L✓AG[.5 1/lrld� S/alalro
(�p�fc 1. raeS /arck 3oy/"-
31<5
l tx fa.�or a.o 3e66�
/ GG/pOa door Rx7�
014
I ,
I
I
0`
1
I
I I
I ,
I �
1 I h
I �
l�
f I 1
I
( I I
1 f
I
� I
r
� 6 �
3
S
7AX
PPDTMENT
wro. iaov�c,�wsnsa.
1�:f7�t�fSe1�R�frre.��►fey
AttPLICATION FOR TRZ REPAIR RRNOVAnGN C >Qit[ TTnIV
DIMOLPI'ION.OR CBANGR OF USZ OR OCCUPAN Cy, w.R ANy >PMrr> G
3TRQC'RJBR OR BUII.Dt�ItZ
1.tr SITE INFORMATION
LOCO*" NWW SuYdlrxS
44 J o
Propaly b kxadsd in a;Corawvodol AriaYM.fl HWorlo okmd YM
2.11 OWNEROW INFORMATION
9.1 Owed of Land —
Nams:
Addnaa:
S at/ b�
TNaphorw
LGCOMPLETE THIS SECTION FOR WORK IN E>I�O BU LDINOS ONLY
Addidon us"
Renovation Number of stories :=N.W
Charve h Use
Demoudon ExisWV
( �
constructlon Yr renovation Ans PK Hoot s Renovated
a existirq building New
Brie!Des
cription of Proposod Work:
Zoe Glo wi'l 6IGl L`.�K�s'ivcS 9ait,�,c /O x-2D orlc� .df.i/CC
/JCS✓ /S jCa� ®c�"SC �o�..�Glo�,ar., +3IC(� cf''� FiG..- t,
job! sob p�,.:� ayo�b
-_ - --Mail Permit to.
„ mgisOwcuff"us.ofthe ,
Matarid at su~ tt ew• +Q.how mart„�a,iis9 —
VW*a&M*q Conitorm to twO Aabasbs9
AtddMftNww
Addraaa and PhocW l
Medwiies,No”
Address and Phorw HIC RaQWAdon d
Eslintlad Coat hd Panri FM C�,_+W_on
Parmit Fes i Esd n ftd Cod X$7191000 RaaidaMW
Eatlmabd Cant X i411$1000 Canrrwrdl*An Add kwW 50.00 m added as an
Admklmbmdve dwjpL
Matra aura ame am neids are propwv and wow witt n to avoid daiays In Proeaaainp-
The arch Swoed does haraW appy W a Buwkq Permit to build to dw above stated
spsdlaWm Sed wxW PanaUY of parJury
Wi
Date
R)
ft
m 4: 1ii