17 GREENWAY RD - BUILDING INSPECTION fLltNSiMIl6T�Ef *114019 APPROVEo BY T*IE
JIlISPICT1113 PWR TA A PERMIT MNG GRANTED
CITY OF SALEM
No n'
l� Date
Ward
Zorifng District
Is Property Located In / Location of y�
perty
the Historic olstricr Yea No t/ Building L G 11e�.,y--t-1z /'o n
Is Pro Located In .the conservation Area? Yes No
Permit to: BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed col
Repair/Replace, Other:
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS: 1.
The undersigned hereby applies for a permit to build accordNig,to the.following
specifications:
Owner's Name �,�5
Address & Phone l Cs �ee� vCi, {ern 07N 1 —14 (—(8q,
Architect's Name
Address & Phone f
Mechanics Name
Address & Phone
What Is to purposa of budding?
Mat m of b~ d a dwel",for how many families?
WO budding conf�o(rfn to law? Asbestos?
Eafteted cost '/✓i��t�� CHy Ucenee a state Licanee M I I
Signature of Applicant
SIGNED UNDER THE PENALTY'
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
5nwil _ ��e_ U�i>J� (�`�\ oil ��✓� e�asw\an t��
MAIL PERMIT TO: LN L 41-2�(,;n S
No\ A �\
APPLICATION FOR
PERMR'TO
D✓.� /`rOcr�K O .V Id,
LOCATION
PERMIT GRANTED V
19
APP7FD
INSPECTOR OF BUILDINGS
CITY OF SALEM i
BLUING DEPARTMENT
liMaOWNER LICENSE EMOMON
Plow PAN
DATFHOWECWM
�f10�1
LOCA
ADMMO
TELEMONS
PRESENT MAIl.II?G ADDRESS � '�ti�2 •'
7 m etmcat,cseMam cf"bontwmw qwC was ctacuded W lmh3&nc
L1nlU a lest and to&now tueb bomsow'aers w cop on SdNid=i.
lis�e..prwided dm tbs et+av sel as aperriwa j
DEnNTr Ol'l OF mcMEOWNM to taidr,m wbidt tbue f0.or 4
Pesos(s)w'bo owns a Ptoal of bad on w•bkb be/sbe tesidti or bueads 10 web rise ster b
intended to bt.a arc to two famfiy dwellirt&sasdted m deutitW wucrtoa sloop sat 1x tft mdtd
farm svocwm A person wbo consvtttas acre than one home in a two-y p
o bomeowaet. Such nwmo°w•nel'sbalt sobrrdt to the But&n Odtoal.am a!malt*=Vtibis 10*A
Bnllldbg OMe4 gW bdshe bt wsporAk w all rod work pafoataed widst t w WBft pew
7be tmdersigned'bomwwnu"Mum respom-bft for wmpliw=w bhtbt snit Btu Codt:wd
other appHeabk goes by-lows,roks>md regWadomL
Tw ard,.iprd-hoaw uw•tte>"=lifm that W t md=wAnds the um of Sakam snip ooad.
minimtoo inspection proccdma and regimemaas and that Wshe will comp!!with said ptooedtaam a ad
regtt>r�'eas' ,(�
HOMEOWNER'S S]GNAnW �� K A\l�
APPROVAL OF B=ING INSPECTOR
Sm otba We for sett W&
I
NONTOWNER'S EXEWnON
The code ststa tt t '07 b=wowaa performins dmk for wWcb a dxtiJ ft permit is to r*w sbas tie
' c.%cV from the provi&M of ibis section (Section of ConanKiloa Sope ;
provided that Is a bm=xwira crvsa p pcnw(sj for birt to do such wwk tba:itch bwnwwaer doll set
as sqwvimw
Mara bonwowma who we this erecmpd=are ivmwatt ttat tbcy art assmat d tine xap=dbUMn eta
supervisor(ow Appends Q,Roks and Resulatlom for 1Jeznsieg Coostroctim Suptrvbata,Seedw
.2.24 This Jack of wwwar_m often asuln in scrims pmblcm pw*ols�wbxa do banwwaa Mrs•
Uriiecnse pcncm 1n IMs case your Bard cum proceed apba tbt mutecseeo palm as It W WA wldi
itocased Strper►isa 7be bomeoweer aeti�a wperviso►b olds.ase�sssEooppiL
To ensm than the homeowner is!idly•wart of hVba responribfliOM mnp eomsomddes ngaito;as pal
of the pawl{sppdiotioq that the homww=ecrdfy that h&Wn mrdentareft*a resymo bitlda of e
supeviror. You mry Mn to amend aid adopt sock a for akcn =tles lw me is yom=mmu fq
MORTGAGE SURVEY
PLAN IN N/F
SALEM, MASS_ j
REID LAND SURVEYORS /
365 M4771W ST., L YNN, MASS.
i
S3 '
a�HOF u Tcnks
o=
RALPH
WlLLIAM I G S 96 S: DU.+oG/a.0 fit.
&D r
b 29422 I -
certify that the dwelling is / -
Iccated as shown and ron•
ormed to the zoning laws of
the Of
when constructed.
sided
#,7
SJ" '
/ 7 GREc- /V wl9 Y R.O.
'r IE-REBr. CERTIFY TO 77-E-BEST OF MY KNOWLEDGE NOTE.- THIS PLAN WAS PREPARED FROM A
7HAr 77E PREMISES SHOWN ON THIS PLAN ARE NOT TAPE SURVEY AND IS INTENDED FOR
LOCATED WITHIN A FLOOD HAZARD AREA AS DEZINEATPI7 MORTGAGE PURPOSES ONL Y. OFFSETS SHOWN
ON 77E MAP OF COMMUNITY fMMP-B PREPAPW BY 77-E ON OR SCALED FROM THIS PLAN, ARE
FEDERAL EMERSENCY MANAGEMENT AGENCY 09 IT'S gppROXIMATE OK Y AND SHOULD NOT BE SUCCESSORS FtRTORs DATED Y POT PANEL S , oNNE C . USED TO DETERMINE PROPERTY LINES.
I FLd971lEA CERTIFY THAT THIS INSPEZ'7ILW NAs PER-,
FORMED M ACCORDANCE WITH THE -'7ErW1cAL STAND-
AROs FOR MOR7r>AGE LOAN INsPEcrrays• As AODP7PD BY SCALE I'-- Zo DATE -Iv,c.4 /21 /9 M
7HE MAssACHUS = ASSOCIATION OF LAND SL69YEYORS'
AND CIVIL ENGINEERS. BOOK 9#c*8 PAGE 49 h°Z CERT..4
THIS CERTIFICATION DOES NOT INCLUDE SHRL= WALLS
FSMES OR DRIVEWAYS AS rlffY 00 NOT ALWAYS INOICA7E CONTROL Af /0?Z- O 3 3 7 IL.
PROPERTY LINES ACCUR4ra Y.