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0429 HIGHLAND AVE - BUILDING PERMIT APP
No City of Salem ward 0 APPUCATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCT I►NPORTANr-Appacaw to complete a/nw.w in section.:4 K M4 tv, and ix. z�ppN��Npp L AT IIOCATK*4 O1STf11C7 _, LOCATION of BETWEEN APO BUILDING ICnoea STME" tones smart LOT SUeOMMON LOT BLOCK S12E E TYPE AND COST OF BUILDING -AI app/kants complete Parb A-D A. TYPE OF)MFRMEMEt'ti D- PROPOSED USE-FOR"DEMOUTION"USE MOST RECENT 119E 1 ❑ Now err+arq Raaidorr „onrookhmW 2 ❑ AadMon IN msk%r4A wM,rnrrrer a raw 12 ❑ Orr M ilp 18 ❑ Arrsr mono rsa.drW AouNrq urtlr adda4/ury a Ott O. 13) 19 ❑ Chrrrdt d1r ntYpiolr 3 ❑ Albrtlfon rsaa 2 abarvl 13 ❑ �^'oi9 MNI,-F,dv rarrrer 20 ❑ W,mrrW 4 ❑ Rpsk rapft wrwd 14 ❑ TM*Wd Intl mpeat a drmaorp• 21 ❑ Park ft 9srs9s &ours nun or unb—__._____ 22 ❑ So sWWmnpsk 9arsM S ❑ wrsckirq(8 nxW&M*nadndst wM,mutter 23 ❑ n«pAnk i dbutlrW of Ne1 n buA*rp in Pfn D. 13) 1 S ❑ D.r.o. 24 ❑ brrl OMM bank.pnlw B 63,0 1 Mbc llon) 16 ❑ Crporl 23 ❑ Pubae uWy 7 ❑ Fo kds orl p*y 17 ❑ odrr•spacdy 2e ❑ Sd"Mxmy o6w eAcaborW S.Owmim-sl-iip 27 ❑ Srrea mwc Ms B raj r!^`rar - artly, (lndhridual corporaeprl rlonprola 26 Q T 29 Odrr-Spoc#V inetNUSpr1 s0¢) ❑ - 9 ❑ Pudic(F;kW StRW w br l 9owwmw l C. COST (Qref ono) Norssafdsr"-Donato n dvW propond u d s AWMs,a4.bod proonafnY PW*x 100L 0roA brarAY bukbV r I+oapl- obnwftry=hoot sowndmV adnpl cosaa� IM Coal d avro..mrd eplloot parkkr0 paraps br daparkclard aeon.nnrl aSlpa euik)1e,dlb er,ddrr's; j --- al r4u,kW plan a uaa d a .s"W q Y be"c3 rgsd ar ar vopsaad uaa 1 7b e•Irramaad bd rrd NckoW in ter aewa cot -/ a EMCLtca1 ..._............I� b. P4mbrq ._._......f .�®.�"..._____.___. o �A� /i1 Z° �© _ a �9.a,arbiuw"..� BOO a 01Irr lebvalor,e1c.)...��LJ -- 11. TOTAL COST OF IMPR011EMEM Q III SELECTED CHARACTERISTIC$ OF M&DING - For new building and additions, comple Parts E - I 'demolition, c13Yrr to on v Par"J 6 M all others skip to/V E. 1: N-7CI PAL TYPE OF FRAME F. PRMPAL TYPE OF NEATM FUFL G. TYPE OF AGE DISPOSAL L TYPE OF MECHANICAL IJ Musarr7(wad oawwv) 33 5 40 13 Pwft Or wMar owpww We date M u Lqw ak 32 S6lctval aW 37 Q A4 EW," � 43 ❑ '/- 33 Q RskApcsd causer 38 ❑ Car K TYP�O�MATER SUPPLY 'Arm nw a or n ewdY 34 ❑ OaW-Sc/7 39 ] Oea -SpwdV 42 prNab 000paw ,May" 47 /' 43 0 Prhrab(wall Garter) I DaIENSIDW M. DEMOLITION OF STRUCTURES 4a MurMW of seorsee ...__.._...__.. _.._ . ..._ as T,,Q, m tier a io am& Has Approval from Historical Commission been received y%= padad W e.a for any st ucture Over fifty(50)years? Yes— NO_ SG Tar WW are*.$a -._.. NO— Dig Sa1s Number :. IL Numem or orFSTRW PAWING SWES Pest Controk S/. Embowd ..___.._- - - -._.._.._.___.___....___ HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? yzo do, -.._.—.._._.._.._._..__.____.....____ Yes No A-FAZWOrnAL euawrs aar Water. Electric Gas: Fd__—_.._..__...__ sewer: sa NanbW Of DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED BEFORE A PERMIT CAN BE ISSUED. N. COLWL.ETE THE FOLLOWING: Historic District? Yea_ N04 (H yes,please enclose doc andniation tram Hist.Coat.) Conservation Area? Yee — W4_ (M Yes,please enclose Order Of Con id") Has Firer Prevention approved and stamped plans or applicaUona? Yett-lk- NO_ Is property located in the S•RA district? Yea._ No..-,A, Comply with ZonhV7 Yeses No (H no enclose Board of Appeal decision) is lot grandfathered? Yes_ No-,�- (H yes,submit documentation/If no,submit Board of Appeal decision) If new construction,has the proper Routing Slip been enclosed? Yee_ NOS Is Architectural Access Board approval required? Yeses No_ (If yes,submit documentation) Massachusetts State Contractor License * �� NON r� Salem License t Home Improvement Contractor Homeowners Exempt form (if applicable) Yes_ No CONSTRUCTIONTO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT If an extension is necessary,plkemaw submit CONSTRUCTION IS TO BE COMPLETED BY: in writing to the Inspector of Buildings. V. IDENTIFICATION • To be completed by all applicants Nye va"ad&r .Yu low snaK CO.arM srs ZIP Code Tat NM I ud.�.l K7vs Q O C. a Castes p W•tsa x _ Ergr'e*r70> 1 hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by she owner to make this applicabon as his thorized aWt and we r to conform to all ecable laws of this;unsdiction. S gra Address _ A icatian/to /� DO NOT WRITE BELOW THIS LINE VL VALIDATION FOR DEPARTWNT use Orwy Building Permit number use Gmv Building 1 g Fin Grading Permit issued Budding 1Je tad<q Permit Fes S Oo«w.nCr LDW Certikate of Occupancy C Drain Tile Plan Review Fes - T"-L& NOTES AND Data- (For department use) r , �E. to 0 S C � PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by. Completed by.