15 GREENWAY RD - BUILDING INSPECTION (2) t
1L1MIS1011STIBEfIL£G--ANG APPROVED BY T44E
.IWJECIDB PRIDR TD A PERMIT BEMG GRANTED
CITY OF_SALEM
No. �� "� � � Date
i
s: x
i` Nw Ward
Zoning District
Is Property Located In Location of
the Historic District? Ye No 1/ gBuildBuildingg �s P&
Is Property Located In
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:
Owner's Name
Address & Phone
Architect's Name
Address & Phone If
Mechanics Name
Address & Phone f
What is the purpose&building?
Material of building? H a dwelling, for how many families?
Will building conform to law? Asbestos?
Estimated cost 1 Q, "D City License M State License M
Raise Isprovenent
Lie. i
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
U
MAIL PERMIT TO:
a µ
.t
No.
APPLICATION FOR
PERMIT TO
/5 Zv 30 J90 o/
LOCATION \ \
WU
PERMIT GRANTED
APt�D
INSPECTOR OP BUILDINGS
• P 5
SALEM HOSPITAL E.
PLAN BOOK'148, PLAN 50 n
n �
re
S 4820'45N.E- DH (FD)
50.F2' '�F. 111.06'�
o fi
.moo DH,rt (FD) S 4052'17,
66.73' r)ii
r DH, -(FD)f x=tJ` 0
LOT�,59 Y>.y K. �.'�rsy;,�r;.m•ate .w .+.�::�m.��'4" :�'.=w�..: -^a..�. . �7..�a. ,w .�..R�.._...^,„.�..
PLAN 591 OF 1947 ~O
6,938.�-S.F (CAL'C)',
6,959�±5 F, (4FE6) „ LOT 6� , "� �`� LOT.61A
PL N 591 OF 1947 1 k 3
�. p PLAN 694 .OF 19I
TOTAL AREA N q
1 059 fS.F (CALO„
7 ,075 tS F: (REC)
_ a . Q.
2 STORY WOOD .�
v- 13.3' DWFLUN6
�15
y tV
OR.C� -BOARD,
P
9
(TYP.)
m Lk
'
95.00� .
N 4426J5" W
y _