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393 HIGHLAND AVE - BUILDING INSPECTION No. �1� - \ ��� City of Salem wa�d O` �.��� � � � .s. ` x �� - �� �' �401p:r . � p��:ICATION ' � I PER11111T TO BU1LD ADDITtON, MAKEALTERATIONS OR NEW CONSTf�UCTION ' 1MROR�AN�•APPlicant to-eoinplete aN Hems in secHons:1, ll,III, N,arW IX. Q' 3 � / ' �9n �' � �. t AT�„� 3„v, ... �.ocn�a+ ,�.�s ,,,,o ����s�c r 2 _o� �'"'�" �� �� � su��o�NG � (� �or_e� � su� . _, q, 7YPE AND COST OF BUIL�iN6•AH appl�C(�C���R'� A, OF IMPROVEMENT 0. PROPOSED USE•FOR`DEMOlR10N"USE MOSf RECENT USE . ., '.�, : . �� .. . NenwawMY �N�r eu�q . � �e Q �...wa�«.,...ur 2 � neeww�n��.•^��,"b°'a ne. ,� o a»�. ,s a�.�,�. Ipuvqwo_aqOSA.YanY•nYM0.191 13�❑'T�wovmos4n�N'EnlvnunW+ ��'f �y. ..... ottMrb ,.. W 3 ❑ AMwam�ISes 2 a0we/ � .. . Z1 Q��9�P�P 11 O haiwai�labi nntl.a OambY• � � ❑,Sa�Me�.asYa���.YrY� � , 4 Q nea.r�p+�^s+ � . brrnn+eras`b — - �,���o�o`Lrna'�Wor 5 0 ,�„�.p�_���-�- „ o �.,.o. � a_�...�� du�na.�9APaRQ191 . �y ��i�i6ieYi1► . 6 a MuenYU� �� � C°�� 78�Q.:Selnalf�+'V.aYrWofei+� 7 � Fou+eano�m1Y 17 � 011or'SO�N T���.�.°� � . y� 8��i lor�� ' B. 8 af�a.�.W�iad.mo�^?^o'°r z4 ��-Gwv•so.w _�-- atl 9 ❑ PUEYe�ieOs�L S�ab.o�od 9�!^°^� . . . C.COST � ��� mfclrwY�ao.lfuW�Yb+iEyg �p�n�a�sd adnol�em'iOnYa�� . - � " Nux�!tl�}�.:��° • ' - m Im0�la1.ak�7 � y� �,�,��' srJnaLD�l��lOr'd��Itlia iervr-alfiw b��V.eife M�q �J� �L�� Y1�iWUY�1� Mu»M.emtn4��9'sOan9tl�gW pWaWtla . . 10. Cat d:�pv�a�r+--�'—' . . �� Tob�Eutnotiwi+4b �jj,,. � . ) � `• . nK�� ` z a'a'.�' � �r� ( H �h,� . , ' o h i . � n w�+.�e c�+wr�v._�+'g __ 'z—- G�611��°�°��s�rJ . �"" .�t.�cosi oF u.�vno�+.+e+► . • � PBrLs E-L:dBm0litlOn. ' CHARAC7ERISTiCS S�B.UItDJNG -Fa new buildmgs and addibons..comP� IIL _SELE 4 comP�te on PaAs J 8 M,ad other5 SkiP�N _ � TYPE OF ME� .F..yy���pF F�AT71C Fl1EL G. TYPE SEVUACE OISPOSAL , E, p�7YRE#� . � q�.e,er.irsaeeiowr w���eaesa�rrW � 3p�lYfotiY(�wFbeo�W ❑ . . � w 47 ❑ Pri�IMO��.� M �,M ���Q !b �1.q' �a�r � � � . �, ' 3Z U�Sncusai siee� li TYGE WATEA SIJPPLY .YArrw�ny�wW�d� pII�� �_�.`°.� .��".�`°.°�:.`m.o.'" �.p "' � � �+p �-�. ���"r's°�." r✓,.��...Y.La..�» . J.DIMENSqN$ . °� """10""°""� -- �: DEMOLfTION OF STAUCTURES: a9. Taa�syye ka�d ryoor mea s.rowa oaeeo on meiw � ..; . fi2§'APP��d�hOrti H�StOfiC21 CArtirt�iSSi0f1 DEEI1 fECCivCd =�++��s ' fa arry structure over fiftY(50)Y�rs? Yes_ Np_ 50. Tdal hno Nea f0.Q ..''.����@ NUfll�@► IC NUMBEA OF pFFy7p�7 pqp��Sp�� s�. �— � _ ��: -s�. Q.ao�. '" •�11VE TFIE�FOLLOWING UTIUTIE3 BEEN DISCONNEC7ED1 �C,.- � ��t�euinwcs a[�i .. .... . . : .: . . . . ..c . - . - : . ; . . .,. ygg � , �. ;��fa. .-. ..:. . 53. Eiuke�e . .: �� `:'" ' . . �. . .. . ,.. . .'. .� . . . ,. . . _. ,...�. � K„RaEvaf � . . �.:SgIM�;... . . ... . . � w�r D�11v1ENTATION FOR THE AHOVE MUST BE ATfpCliEp - BEFORE A PERMR CAN BE ISSUEp. N. COMPLETE�F{EFOLLOWWG; ` : , , :,, .; H`a�oric-Dis�iict't Yeg_ Wp� (M Y�.P�se.endose _.. . �on tr@erl�St.Qee�; ... --- _. ... _ _.._. _ _. ._ Conservation Ar�� yeg_ ry� i� . _ . _ �m r�s:a�se e�se�ia«o'r cond�rc,�s� `.. Has F�e�iever�6iom approvEd and sfamP�d Plans or appliptip�p y� �_ � �S p��P�tY bcate�in ttie SR9l districi7 Yes� Nc� \. , _ _ co^�g',�,�, .,y� r� iK�,o.�e�ea��€�a�on� �s wt� :;.y� �K res.s�mi!doc„menfabonni np.sibmn eo�d ot app�1�;o„� ff'�"�cUon.fias�e�roper RarUog$lip be��yp� Y� �_ ,:�.. Is ArchitechuafAc�Boead'approval requi►ed? Yes_ ��� �( �� - ��W Y'es.submil docume�hp�) Massachusetls Shate Contraclor License# ��# , . ,.�. .. �^��P�e�t Co�traclor a . Flort�v�mers Exe�t fam ffi aPPbCdtl�el'Y� Ne COPISTiiWCT10N:7{�BE Ct)MMMENCED WJTFIIMSFXIC)MONIHS OF ISSUqNCE OF BIALDING PERMIT CONSTRUCTION IS TO BE COMPLE�ED 8Y: '�an extension is.r�Y.P�se submil " in vvriting to U�e iiispec�r`q���, K �DENTiFICATION- To be completed by al!ap�licanfs � �s m..•Nuros.mar. � d�a9tl�01Y ,. ��er�; /�NC�CAVV o3 �,A h;K n.,, ��. x� O�ra � ./�.�. 13_5 3 � �I9 M YHR o/r70 � � ' �q7$SE`'/ 7Gy� ei! ... . .. , . . ...: :. _. 2 ��' P`HSIiv2/o � - . Cumpr • . _ - '78I RS 3- 3 %� ' ' . : . .. , , . . . 9ii'dr'a . . g i4Rc�tn f-�d.MZ'S .. ' .�if.n/�ynSinST�Z 2 - LOClC 2�- YV �t . .�M�Na. . . .:MJreaw �' - ... ' ��3vs' av7 �P�rr ��Y �at tlle proposed- �s :.- � �� , � ' ara we b conlam�o a��ticable la�ws�d tt�i�.s�iu�t�een aWkor¢ed by rie orner to a�ake ris appieagpn , � • �- --. - AOOres,S / D 35$_. IZ� /Zton E'- 1t'/�.vl /✓�9�• —p � DO NOT WRITE BE �OW THIS LINE VL VALIDATION Bwldu�9 Pertnit number wr+nEwa+r►.�rrr u5E aar � ��o �"�� 18_ PermR Fee 8 ������ � ��a Certifirate of Occupency � o�cancy laad � APP�oved by: Dra�Tie y Plan Review Fee s im.E NOTES AND Dafa•!Fa department u�e/ � 1�iPw 5,,� �� � � f � G., s L,;d • ( . . . C'� l� G��i�., �� g �� � , 1 R Q �� i L/�-/ . . S k PEAMR TO BE MAILED TO: DATE MAILED: Construction to be star�d by. ���, 1 r � t r � .__._. ! VI ZONING PLAN EXAMINERS NOTES � DISTRICT USE � FppNTYARD $�E YARO SIpE YAfiO FlEM YARD • N07ES SITE OR P�OT PLAN•Fa��^�� I : ON � ��h � �� � I J�-PLOh �D � P � � �j� �l�/h � �I�i � �� �� 5��,� s a � �e�, �� � $o.00 ---�. F $o.00 �� 7,920 OA545 $431.64 7,920 $431.64 $431.64 7,354.28 $0.00 $0.00 _.__.- . _..,=�^ $431.64 �'---'_ $431.64 _�_`�-- „!;y �--���^ +�%p%t,s '�� . ;counting department at(40�) 568-9550 x364 or • CII`Y OF SA1�M . BUIl.DING DEPARTtJ�NT �iOlvg,OWNER LICENSE F�t��N Plcase ' . DATE7 0 �osLocn�natz 3�i3 ��J� ��� /4�P, � , NOMEowrmt 3 s S f e��25�� 13'`f-C_ . ' ADDRESS • I �N�� 97 � �� `� �74 y � . . pr�sExr rM.n.u�c nDDnEss V L m w�.��,-v ����lov a Gr9 ,^-t . • Thc nmrnt ctrmytion of`homeowncs"wae c.�nct3cd w inc]udc o.rocr4cwpicd dxslGop d11�V0 . Uniu or less snd to sJlow soch Lon�ners to a�gagc an iidn'idua!ivr L'ae w1w doa aot potxs f liccnse,.prondcd�tlx owecr sct as wpervbor. DEFR�11T70N OF HOMEOWNFR: . Person(s)wtw awns a paszl ot land on wbich hclshe residcs m�cnds to reside,on«'1dd��it,� • inuridsd u be,s oru io cwo i�miyy dwcll'vig,FnacTicd a dcwched mvttwc� �shall aot be consideRd farm swcnuea.A puson who conswcts morz than one hmnc vm a two-7 on form a bk to 1►s a homcowvcr. Such`homco��x�' sTa]]1'sub7cm to t1x Bu�ding O�c�sl.��the b� Building O$+cial,that 2ulshc be Tsspons�ble w r,A such work paiosm�d �F�'� Thc tmdcrzig�cd`bomeos+acr�nunes rcryonnbility tos compliance with thc Smu Bn�diag Code aod � ot}ur�pplicbSc gocs by-1Yws.tnlss�d reguls$oat • . Thc wdasigxd'homa�wncr"ccrn5a that}ulshc imdcstsrds thc Ci�'of Sa1cm Bm'ldiag Deparaoml . minimwu irispc-"uon ptvccdtucs and izqtinicmcnts snd that}�Ishc wiU tvmP1Y��s�d PSO�� ��� C�� HOMEOW't�ER'S 51GNA7lTRE '��^�� � I E.PPROVAL OF BiTILDING INSPECTOR J��" Scc otLcr.sdc fot stau cade � HOA7E0��'ER'S EXEMPTION • . . • ' homeowncr rformin wark fm�vhich a biu'] ' 't u u'ved atreD be -tu that �8 code sti P�� �9 Tht �Y Pe 8 isions of tLis xction Scnion .11-L'acsiu o[Conaructioo Su ' ' cxcmpt from thc F�m ( �9� Y P���: . �o�a�a�u e n�..T�r��$a e y��cs�ro��u a�.�a����n n�a�naal gs Sypql7Sa w. , : . . .. �. . . . . . � � Many Domcowr�ca wLo usc this c�xmption sic ima�+-arc tLat thcy arc�ssms�g ihe icsponslb�tia df • _ svpaviwr (xt Appcodia Q�Rll�t1 iDd R[�U�81IOD�tOi Lj[20�)O�COOfST11C110�1 SOpct�iwra.5ectiM • .2.]S� 'lhis lsdc af e�-arcncss oflrn ruulu�xrious problcros,paticular�w�Len thc�eosrmhLi tuilianud p�rso� ln iLis ¢asc yotn Bozrd cannol procccd aFpin�t thc miliaused pcnvn u$wwld v� , I . lianscd Supavisv,r. 7�c homco.+vcr saiay an wpervisor-b uldmaidy rnpwslWR To cnwcc�Tat thc hocneowncr is fu11y swa7c of Ai�hecaspo�nbibties,n�any evnumu36ea teq�ae;upM , of thc permSt sppli�Soq that thc homeo.rncr ccrnty that lulshe imdustardti tbc*esponsibiliDa dt super�isor. Yw mzy care to amrnd ard adopt such a iormlctnificatim tot nse ia Yaa comm�Q. ', l_�i � � S8 Y 7 C� �-/ � riaP 63 laf 6o�y rvt;Ic� v✓�aG l.ea��-- CITY OF SALEM ROUTING SLIP � IJ CHECKED DEPARTMENTS REQUIRE SIGNATURES BEFORE BUILDING PERMIT Wlll BE ISSUED. - LOCATION: � � 3 , / � �/1 /��� // " � DATE: G/ � � "—D �/ � nn i ' APPLICANT: //I C�G %Y (/`I�/-e/`}✓1/ Q ASSESSORS OFFICE n / n Q 93 WASHMGTON SL ' //� // �/�/ ,Q /�/ � FRANKKULIK ���✓"�✓` � 1� /IfS� /I/SISS/r DATE: LI- �-O�� r] CITY CLERK(if involving a new str t) � � � r(�i93 WASHINGTON ST. � �J �� �� DEBBIE BURKINSHAW �i�GG1(� � /�%7�%CC.�6C� DATE: � ,�•o � PUBLIC SERVICES(Engineering Dept.) � Q120 WASHMGTON$T,4T"FL. � BRUCE THIBODEAU DATE: 13 � � WATERDEPT. Q120 WASHINGTON ST,4T"FL. �// HELEN JIADOSZ L DATE: � �� dJ` ❑ CROSS CONNECT SUP'R /� /� � BOB DESCHENE /,��J � /y�� �� /, _"/ Q120 WASHINGTON ST,30.° FL. � /� � DA��1//<'S/O� � . �� � PLAN1vING QI20 WASHINGTON ST.,3RD FL... � nn�: i 0'� _ / VAu�ta�C�nl�t�uH- ��' CONSERVATION COD�Il1-II I N(Pla ' g ept: ``` ��/ � t/ 120 WASHMGTON ST.,3RD FL. y DON CEFALO DATE: / )3 O � � �ELECTRICAL ` . rLil48LAFAYEITE STREE , NDF EAR � � ���� JOHN GIARDI DATE:_y��"''�`,��L ❑ FIRE PRE N N / r�,J29 FORT AV ILLOWS AREA) - , CAPT.HUDSON DATE: [� HEALTH . Q120 WASHINGTON ST.,4�"FL. � JOANNE SCOTT DATE: � . 3 -0 � � � BUILDING DEPT C 120 WASHINGTON ST.,3A0 FL /6� /� - TOM ST. PIERRE � ��'�lGi�7� DATE: Z � LJ � �.i I **'SUBI�iIT'��%ITH PERMIT ,4PPLICATION `UHEA' CO?�1PLETED*** � , � ,'�.�.,ye /�,�s.'.ti�'Q �'� °\���� �/� (�P�'M, � � , fLwNB�Atl6T�Ef1Ltl4aMD AP�PI'�OYEO$Y iiiE J11SJ��P9�1 TD A PlB1n'l SEJNR ORAW1'�D CITY OF SALEM �. s �. �'� �� --�—�— � � \ ` S.. �y� �M1w11r1 _ � °` �S3 � w.r��c otM�i�rr� r.s No �/�9�„�� a P�q�Ay Loor.a In ;� �Can�on A�? . YN No_ eu�o�w �n�rr�nw�c�Ta� �on� Permit ro: (Ckcla whic�wr apply) Roof. R«oof. In�N Sidkip, Conpn�ot D�ok, Sh�d. Pool, R�paidli�No�� OIhK: PLEASE FlLL OUf t�1.Y i CaY�.Y TO AYOn DELAYS MI PIIOCE�fN�q TO THE INBPECTOR OF BUILDINf3S: '. � heroby appNes tor a pKmR to build �000rd�,p.ro th�:foMowinO OMRlers N�m� ✓ 1�Ki ��}e�c�,v✓ AddrNs � Pharn 3 s���fFtrM� �r-�. 97e� ��Y 7� �/� Archihct's N�n� �H-/'�-en �/o.,1—z S �deress a F�I,on. i'�'1�'��/����f /V y_ c Avr�� 3 � s �'a� 7 M�nics N�ms ��l� � � n OP.� U/GL, � Addross 6 Fnon. Zj S�e�/�-- �C . ('�.�' l SY�-S�'38 w�a n.pupa.a euran� S%^5� Fa�� lY. �ww a eura�q� G�o� r.dw.wq,ar now nw�wnr..z._�_ w114�Ydiw aaromi a N�w'r 7`-r S Iue.Mo.4 I� � I E�n�Md ooM �� ply lbww r e�w � `� V � �� Iytv��at " i.ie. / �n T1� PeNAL.Tr� OF Pe11�NJllY DESCRIP110N OF VYOAK TO BE DONE ' __ � � !� � s��y� ��� ��/� �� -� 3�i 3 � � �%- 5/�„� �, � MNL PERMR T0: f � � . � . . , � �'. .. ` :� . . .. ,. .+..... . . . ... - . , � . . .. �'�r: r. . . . *. .. .... . . � 4� ._i�ybl sn . . �..f . a.n ' 1..• i�":'�\:�'i � . ,yi • . W 4• _'� . { � rY .y, � fq � .A � +T v � � `^C V` . � \ � � i S \ � � �l k ..� �w �1��.�. ,�.>� � �.m. . �� � � ., � � . . . w..�.. . . � r�e%'.. ,�.eN::.,. rK , � Q r J � _ � " hS `� �r`; � .� . . � O � J � � �► � ' . � � ' C'am.�,�,,� o f�'1���� � . b • �JJ.p�.r.,..��.l.lr:wf.�ail..b� . boo 1a/..L.�`..5�...i � �.�.,�c...o.� � L�.r.� �,.d�.� osr�� c�.a. � Workers' Comper►satioe Imnnuu Aftidsyf� .1, _� l�-a v��. � � . t�+■.v . . wi�b.s vrindosl oba at ba�ess ac � • . 2( ��rl u-�t- �� , "Z'Y�r�i �� � /'�l QO,� • . . � . . ' �a.i ' . do hsrebr'csrt� undet:he psiias ind �ensh(s� d yerJ�ryi c!� . () 1 s�a ao emylorst yrovldLu �vorkas' comPeasssko covin{s io� nry siayloyee� woekie�a1 : sbb jor. • • . , . • . In�urancs ComPsq . � Poliq Huenbp . . . I sw a sok proPrieser snd hsve ne ens workie�fo►ens 1�nry csp�dq. . () I am � sok proprktet, �enersl co�nrsaor or hotneowner (drdt one) sa� htve Need tIN co � w li�ted beloa wbo•i+sw the followiM workas' co�nyentssfoq po8dei � r • • ' , s � ' Insunnu Compsay/Po NumYq Coe►usaer Insursnce Co�ny�a�r/Policp Nun�r : . Conasaer Insurancs Compsep/Polity N� � i O I am � homeowna performini sll the werk nrysdf. . • I rwe.yswa ow�cw�d Oi mwiww.��s fervrw� s OM Ofic�iT Mn+iPaa�of Or DIA Nr ce.�r+t��wlkMw nM ww(i���wv� ce.wqr r nwrn. Saien ISA d MGL I S 2 an kN�e we irwwa d aiiina�e��ado cawan� M�M�d w M I,f00A0 arlu w +rsr�'iaerw�w�ny a y .��ie �h� b�+e d� yTOP WORK OROER aiw�ir d i t00.00� q�i��. SiEnsd chis dsy el �"�� , — � .��/a av :iccr,seeiFcrmiicee 6uildin� Geparin.ent �censin; Eear1 Seleamens Oft�ce =calth Gep�r.mert - � • - - -. %�" • • - - _ . �-.__ . . - - _-_ecGr "e � = 5Qe e�t epe T�c �� � , ; i i� ,.��, � MAP 3 MAP 3 MAP 3 ILOT 97 LOT 96 LOT 95 '' S40'16�20"W � 100.00' -� LEGEND � — — � SETBACK LINE � — — — — — EDGE OF PAVEMENT W WATER LINE I I I S SEWER LINE ' T UNDERGROUND TELEPHOINE IINE o I w w G GAS LINE � N � I � Y ohw OVERHEAD WIRES c.Yi MAP 3 Q \ a LOT 69 m O TELEPHONE MANHOLE °�° w v�`'i AREA = 20,000 t S.F. �' O SEWER MANHOLE I �, UTILITY POLE MAP 3 w � : HH' HAND HOLE � o I o � LOT 70 �� o o �� v I � � �' Z � MAP 3 29.0' 13.0' I � LOT 68 � I 26 PROPOSED 22 � • D WELLING {J) 29.0' 32 22 13.0' . w SEWER NOTE 2 z 8" CLAY PIPE FOUND 4/7/04 � � DYE TEST WILL BE DONE TO DETERMIINE IF I PROPOSED I � Q IT IS CONNECTED TO EXISTING 12" bAAIN � o� . I � I I � m rBEFORE ANY CONNEC710NS ARE MA�E. I o �O , DRIVEWAY I � �' , t ' F,O ��`� I I .se EXISTING W �PROPOSED 10 WIDE UTILITY EASEMENT) OQO�/ Q� a �4� 8�\ � Q�,�� SETBACK INE � �p�� ~ / r �� 1• � EXISTING 8" I I �� W � fire-rela /CLAY- � / EXISTING - �y g�� ' � - !- �box Y r }00.00� . _ 16 , � � GAS � — � — 7 ' — —�--na�� s� Pwa��T—��-;�-.= — -- --- - ,. ~ � �=ohw ohw - - ' o w N4(3�1R',�f)_ o w ! �/ SIGNAL� � 12..A � Existing bituminous berm --_� - - - - - � LP � S S �2"°A.C. S S — �I�� OT � °° �� � °° W M I O . °N° c� ^ o °' � _, �} 'F -� t t I h Z STATE HIGHWAY BASELINE S39'16'02"W N N N c c�v 0 ao � r+i . � � � , O� N . + , ef N EXISTING MEDIAN JSLAND HIGI"�LAND (1946 STATE HIGHWAY LAYOUT) AVEI�JE ROUTE #107 NOTE 1) MAP NUMBERS REFER TO CITY OF SALEM ASSE�SSORS. . �n�'1�n o:�,ey.S'c 2) UTILITIES SHONM ARE FROM FIELD LOCATIONS OF SURFACE INDI�ATIONS AND � `�"i 2�, PLOT PLAIV� �F LAND COMPILED FROM UTILITY PLANS ON RECORD AND SHOULD BE CONSIDER'.ED "APPROXIMP.TE." u No.35043 `" 393 HIGH�AfJD -AVENUE CONTACT DIGSAFE PRIOR TO ANY CONSTRUCTIOIY. 'fs�'4fc��RE°F��P --. SALEM ' . 'O�'et �*tio s' . . �A � PREPARED FOR GRAPHIC SCALE � V(CKI .�iIACLEAN SCALE 1" _ -20'`> � APRIL 7, 2004 zo a �or i ?° �o � r ^ : - NORI'N SHOR�' SURVEY`�C�RPORATION � ' � 47 LINDEN ST. - S7�LEM, MA � � } ( IN FEEi' � (978) 74a-480o � , 1 inch = 20 ft #22',43 ' ; f: n � �.,� � . - - J . .� � -- -- ------ --_-I �