10 HARTFORD ST - BUILDING INSPECTION (3) pL.MSill":-BE fILf0 N O APPROVED BY T44E
JdSPF.CIDA PRIOR TD.A.PE IMIT BEING GRANTED
CITY OF_SALEM
No.
!�� / Date
lL�fl�s
is Property L.oaated in Location of
Vas No
HniLd
�6
Ow Historic District? _,
is Property Located in
Um ConservatWn Ann? Yn No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding onstruct 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 IrI�P + Line `Pnr«.
Address & Phone
Architect's Name
Address & Phone
Mechanics Name
Address & Phone f LL
wht fs ttre purpose of IwiWlrq? Ga�S{-rc.�c`E" l�z�Cre.� D e cr`
MAI"d btridlnp? W Uo n a dwroNing,for how many families?
Will tMildnp conform to law? \Ie—s Asbestos? I)b
Estlmsted oral 3600. ci'J City,Janos rt N A stag IJantse•
soma improver ant
Lie. 0 Signatur of plicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
_ CGn S f/�t c l� Aa Gvodd� iez lc Gt/r i S 7 l/cezSe
MAIL PERMIT TO:
No.
APPLICATION FOR
PERMIT TO
LOCATION.
S-17
PERMIT GRANTED
APPROVED
�N?ECTOR OF B LDINGS
CITY OF SALEM9 MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASNINOTON STREET. 3R0 FLOOR
SALEM. MASSACNUSETTS 01970
STANLEY J. USOYICZ, in. TELEPHONE: 975-745-9593 EXT. 380
MAYOR FAX: 976-740.9446
Salem Buildins<DeuartMent
Debris Dlaoos 1 Form
In accordance with the provisions of MGL c40 S 54, a condition of your
Building Permit is that the debris resulting from this work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL
Chapter III, S 150 A.
The debris will be disposed of in:
-(Location of Facility) S4161�11
Signatur f Applicant
Date
i
CITY OF SALEMp MASSACHUSETTS
• PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STR[aT, 3R0 FLOOR
SALEM. MASSACNUSaTTS 01970
T[L[PNONR: 978-743-9395 W. 380 --
FAR- 978-740-9e4a _
HOMEOWNER UMSE EXEMpTTON
Please Pont
Date
Job Location 10
Home Ogmar Address. s�„,r,
HMO.0MW elephotgpt_g7 g- S`1 -Sin 4 z
Prsieat Mailing Add<eaa Ste,�
The culr"muaaptioa of"Homeownere was aartended to include ow11101.0ccupied
dwellings of two.Units Or]en and to allow-such
him who does not bt1 owns, an individual for
poeeeas a licerlae,provided that the owner¢ � .
DEFINITION OF HOMEOWNER,
Peraon(sj:who owns a psecel an
_of land on whidt he/abs ream of intends to d0.
which there ia,er is ftftWW to be,a one or two family dwelling,attsdIpd or detached
structures accessory to such use and/or alma aquctl M A person who cotioucts nmra
than one home in a two year period shall not be Considered a homeowner. Such
�` use refit to the Building Officials on a form acceptable to the Building
Permit. nsponaI for all such work performed under the Building
The undersigned"homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
Building
undersigned"homeowner"certifies that hNabs understands the City of Salem
will co Department minimum inspection procedures and requirements and that Wshe
mply with said procedures and requirement.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING INSPECTOR
See other side for state code
HOMEOWNFil.4ghQTIOPi
"A for which a Buildmi pamtt is
The Code states thsiw "Any HOMe0" f W,
sedi.(Sed►on 109.1.1 -Licensing
S ��ovide Home°wnar e°gaga a pawn(s)fw Wm to
of Ccoswmfm wr>a shall ad ss Supemm•
do ouch work.and that ouch Homed
dW ae am mwg the
Homeowner who use dries mcwvfm am wa RuWW
fa iic
r ihdee of a Supm swdon.1A�I..t of awucnm oRas realty is aaioua
gupavisats n dm Homeoana hoer In this case yo
Conatrudi-Patio y{.., . a p wt►th a>tw
aoerd camas proceed tiit unNcrosed person amble.
up�aviaoty The Homeowaa adi° as uor j4 '"—.3i
S i�
aware of his&a bilitiee.many that
To ensure that the Homeowner is fW1Y Ucstionthe Homeowner cer�1Y
conununitlea megdm as,a Pact of the permit ApP , the Joe 1�of thin issue is a
the rsi'bilitiee of a SupaZvisor. MOP such a
form curd mad by saved towns' YOU MY cue to emend a<id
formlcaScat<oA.f�.use in yoyr COMM*-
it
I
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� . _ _♦. a - , . -_ , t - h--"` , _•;— � _.— -. _-+__+.- i__h_ _h__.__a _., - .. _ i :-. +. .- 1 .___..,,...ter__... . _ « . .♦..�- ..
1—
MORTGAGE INSPECTION PLAN
BOSTON
SURVEY, INC.
05-02480
P.O.Box 290220 Charlestown,MA 02129
(617) 242-1313 MAIN (617) 242-1616 FAX
APPLICANT.., FRAYLER&ZABILSKI DEED/CERT. 5702-723
LOCATION., 10 HARTFORD STREET PLAN REF: 114-88
CITY, STATE., SALEM, MA
0
I o
b �
34.79
LOT 283 7441+/-SF
pO'ra DECK C!i -- L- - 1
#10
1.5 STORY
ll't�l 8V'L5£�l
30.89
HARTFORD STREET
1994(c)Boston Survey$ORWdre
SCALE: finch =30 feet
CERTIFIED TO: AMERICAN TRUST MORTGAGEINC
PREPARED: 02-17-2005
The permanent structures are approximately located on the According to Federal Emergency Management Agency
ground as shown,They either conformed to the setback ,aSH OF 4%IF, maps,the major improvements on this property fall in an
requirements of the local zoning ordinances in effect at �a p
the time of construction,or are exempt from violation �� GEORGE yGu, an designated as Zone.
enforcement action under M.G.L.Title VII,Chapter 40 o C Community Panel No. /� /+
� y ty Z.SOIG'Z
Section 7,and that there are no encroachments of major COLLINS Effective Date:
improvements either way across property lines except o.417 /p
shown and noted hereon. �P� NOTE:Zone C is areas of minimal flooding(no shading).
pQ This designation is not based on an elevation certificate.
NOTE:This is not a boundary or title insurance survey. s plan ccordance to procedural and technical standards for Mortgage Loan Inspections as adopted
by the Massachusetts Board of Registration of professional engineers and land surveyors,250 CMR 6.05,and use for any other purpose is prohibited.This plan is not to be
used for recording,preparing deed descriptions,or construction.