14 GARDNER ST - BUILDING INSPECTION (4) f13ANS11111WIDE f4LdNkW APWiOVEO BY 744E
J UPACMB PWR TD A PEBMIT BEING GRANTED
\� l CITY OF_SALEM
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Is Plamfly Locom in Loeatios of
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Permit to:
BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Remof, Instal SidN, Construct Deck, Shed, Pool,
Repair/Replace, Other•. v-ect
PLEASE FILL OUT LEt>IIBLY&COMPLE rELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS: '•
The undersized hereby applies for a permit to build accordGig.to the.fokm"
specifications:
Owners Name C."
Address A Phone
Architect's Name
Address d Phone ( 1
Mechanics Name
Address d Phone ( 1
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Signature of Applitannt
SIDED UNDER THE PENALTY'
OF PERJURY
DESCRIPTION OF WORK TO BEA DONE
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MAIL PERMIT TO:
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Cn'Y OF SALUA
BURDING DEPARTta=
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voin a ka.ma to allo.►eneb borssowntts to�w .�bks vko aoa aet Potw. . .
�provided tb.r ie.w.er«+to sw,er.bta
DEnHMON OF HOMEOai1M to mskk.ao wbt�thas k,err k
Pctsoo I vbo owns a pans]n ly d oa stadwd or dctsfied t�sctass�7le aeb tat sndAw
bnedsd c be,s arc to two o cor dw•c1Nrr< tda0 sot bt omuMusd
farm svtrcssts.A pctsan w•uo tortstrttets more thot tat homc 3A a two-year Period
s bomw„•m. Sv*-}mow mf "V to the BuDdind OJticbL=* w dkf�
Bm•Idb g OYid4 that bclda be nspomibk to arnek wok petfa=od
The wwcrsip w-bomwwnd-LUWM mspDm%m v for==Pft=wuh*A snit bcoft code ad
otha sppsabk`ocs try-Isws,tda and tetakt om
Tut sndvsip ed-homeow nef'esati&s that bdsht midcr=t *9 CjW d S� .
mir immo irupec .V mdw=ad mgnuemKtas and liar bhhe wigeamply
regoirematr.
HOhSEOWfrbR'S SIGNATUREi
APPROVAL OF BUILDING DWECfCR ✓7j Z
See otba ode tot mu Cade
HOMEOWNER'S EXEmP—nONI
The cods suers tbw •any bameowacr pafcrw*amk for afikb a buDft permit Is :bat to
emwpl5om du p v&iom of tbb ucdon(Seesbm 30'Jd-Li="log.f C.oaruesia.Soya vissrs�;
ilhovided tLst�.�omeowr,a enpjes r lx�is�>ra bir.a der.aocb*�k yw sireb botacoaraa abdl trot
swervisse
MOW bvnmwma srbo ttse Us etoxom err.lawau to dmy an asumss dm vgondWNa Wo
snpavisor(see Appcodia Q.ltulo mad Replatio.s for Ummsleg Ceastsresbo Supervisem EaeWim
.2.34 77da Iads of n+arermes ollea rwhs is acrioss prablemt.pardeata f*�a t k Looeovaa bba
unikcnud persm in tbb case yom Board e.msot proosod ad ba the=pops,..ilwwld via
itocased Snya►isgr. Tibe bomeoeier adbn as supuvb. (.r jow[ilL .
To ensvm dm dte homeowner is fJfy sw vn of bUha•respoee%Mdem.re rp eosommd la r ga%as pat
of she permli appdksdvA that the twmevana cc"**A be/she mdosard i*a rapansbm"ats
supavbor. You may tart to amend w d adopt suilt s knufte Okadom Aw r.s is your oowmu dlV6
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Plot Plan Of Land
l
14 Gardner Street
' Salem, MA
Prepared For:
David & Victoria Cote
Scale : 1" = 20' October, 2002
Note:
Lot numbers shown are from Salem Assessors Map No. 34