429 HIGHLAND AVE - BUILDING INSPECTION (2) F �
i
JMST-BE fiUE� APPROVE{3 8Y T44E
=pfXTpl ,PFIl9A IP A.pEAM1T BEING GRANTED
CITY OF SALEM
`. ix
c \ Date
No.
is Property Located In Location of
the Historic District? Yes_No Building Ziy z �J, .
Is Property Located in
the Conservation Area? Yes_Now_
BUILDING PERMIT APPLICATION FOR:
Permit to: Construct Deck, Shed, Pool,
(Circle whichever apply) Roof, Reroof, Install Siding,
Repair/Replace, Other: J2L%�
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 a 4 Dh-L/1-a �
Address & Phone !10 logT° S ���J�rl�1f row) 7G r
Architect's Name vz7m 7za•Lic treC
Address & Phone ba� � � � r S✓ f��l �— /yam
Mechanics Name
Address & Phone $'
What is the purpose of building?
Material of building? OD If a dwelling, for how many families?
will building conform to law? Asbestos? /)
State 'e nse #
Es4matad cost O Pl00; City !~cease#
Rome Improvement
`' Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
l'�isiiv�T �-i��f%K L���✓S--ice/ Iry�/� � 7`�-j'�`
MAIL PERMIT TO:
No. /D/ -O
APPLICATION FOR
PERMIT To /
�0..�.�icT FRee�aNal, 5 .
LOCATION
PERMIT GRANTED
APPR VFD
P CTOR OF BUIL GS
03- Olds=�
' 4
,y
CITY OF SALEM
ROUTING SLIP
NEW CONSTRUCTION_
CERTIFICATE OF OCCUPANCY
LOCATION: y9�� .4� DATE
APPLICANT: �ril le', Aof
ASSESSORS
FRANK KULIK DATE: O 6
(93 Washington Str
CITY CLERK S 0
CHERYL LAPOINTE �'6E�o �1��� DATE: 116
(93 Washington Street)
PUBLICS SERVICES
BRUCE THIBODEA � DATE:
(120 Washington Street 4 to r
WATER
DOTTIE THIBODEAU DATE: Od k/
(120 Washington Street)4d Floor
CROSS CONNECT SUPE MIt
BRIAN THIBODEAU
(5 Jefferson Avenue) y
,\\ PLANNING
U� r V*I;ERIrGINGWCH y�� i)L DATE:
t-, -J q(11,, (120 Washington Street) 3`d Floor
CONSERVATION COMMISSIO
F FRANK TAORMINA DATE: Z O6
(120 Washington Street)3`°Floor
ELECTRICAL
JOHN GIARDI DATE:
(48 Lafayette Str
FIRE PREVE ION
ERIN GRIFFIN DATE:
(29 Fort Avenue)
HEALTH
JOANNE SCOTT DATE:
(120 Washington St ')4d'Floo .
BUILDING
THOMAS ST.PIERRE DATE: 6 Z 06
(120 Washington Street) r
�e16 doh,
DZ7G �
DATE OF PERMIT PERMIT No. OWNER
Kenneth Nadeau
STRUCTURE MATERIAL - DIMENSIONS No.
BUI
4/22/81 - Bd. of Appeal - Variance to Const
conditions.
6/25181 #249 Construct shed 12'x10 appv d b
No. City of Salem w.Td
_ IRPTION
PERMIT TO.BUILD ADDITION, _ . n I NO OR NEW CONSTRUCTIOV
Q�ORTi11Vf-AppYgnt b>!.,` . rNiens h saeElDTta:4�, e4 N,and'IX „`
L AMOCAMN pISIgCT
OF GEMIEN AM
_._
Sill LOT BLOCK
L TYPE AND COST OF 8l1N.DIDIQ HN.
��P�s`A810tA-Q -
A IIAPROVEYEDIT .. 0.PROP 110E`,FOB"DDi0L1T10N'USE MOffi RECFM IISE
2.0..Amllbn amierwd.«iw iwiroraa. 120"Orfowp` to AmAUTAft oertr�r
houwrq unr�tltl�4laeryGwprt0.t>f r. ., - _ 4 �<. gam-
tY Twe`"'3Tdiai T` =Eeiiriiuii6a - ' �� , -",�0141,•.
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so
6 FMmi.mra.L ooroomaon naOew., .-- 280
'vw asawa�
tq: Oewt Sp1fe7Y• -
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_ nwr�w-rw4 wy! Y o�i0i�0r�o�aot'Nrewwrf�'wmoeii ai'eoii0�rwywal eoUYa
to Cma:ffmiowrdwh. ODO s. p.ed+r.reaLo +nba,mo.a sum MMWae&wiwiv.ai=&Adra
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i,. TOTAL COBT OFI<iRDYEAAHIT tip;, ' O Ow' 'j' ""'� 'w •,.a f .;J \.,
IL SELECTED cHARAcrErmmcs OF wLDwa•for new buddnp and addltlw4 corn**Parts E-L.ftno*bn,
c oft Parts J&M. dffi=MAD toN
L PWPNM AL TYPE OF FEAW P. OF WRA M AB 3, TYM PeSEWAOE DOMSAL L TYM OF MSDMWAL
3o Q� . . lret hern0 . .. 3 . , Q anCj(pipeaarroammrM . wwsmme.aw Way
.,�� ❑ wwr.mom oft wi
3t �iawr. - 3e Q a - �,
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33 Q awrwoee anew 3613 Cal NA emm W IM-rOw T
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43 Q'P�iYeia.wLairm
a DWENSONs M QEbWIRION OF STRUCTURES..
a9. TC.al saw*i a err flow a.bi "� x ;,.. 'Apploval from HiaSDrfoal CArraroasgn been rflcened
L eoora owo an�sv
p atftlGtae over t(50)Years° Y86
_ No_n
sa 'raw wasowm.a ,. Sate Number
K.rwaa of aFsmeer vwutd awcee
d �...
sr enaerD FOLLOWING UTILITIES BEEN DISCONNECTED?
Np
77.
N,
_..w__.. SlYref
sc i�uyeyr�a FOR THE ABOVE MUST BE ATT/ HED
ISM
... -
CAN,8E
� _ � HiaMrieDlstrkr+• Yes=: No_ .,IH
Cortservebon >h ? IltYea:PleaeserrGoae��'Candinorrol
He`S ire( evelibon and 518mped Plana or appncaVppl?`
—
�_
(H no.elrcbse Boe►tl d Appeal
v.
Is, H submit n4 of Appeal deciabn)
oar- ,�S �Y-""•=r,—_:
No ( Yes. ,
a
.been ,
H new cQrlr1`��,Pr�RadYq Slip eltClgeedl :
Is kchitecfiia?RAtxese d approval revue? Yea_ —P/r (n Yoe submiC:dogatlon)
67*/, fro u
Massachr�selts SIaIe,Canbaclor I ICerroe lI .galBte uco*4 0
x f Fbmgow�las Exempt tone('d amkab*) Yes_
.r :_,,,;.., ,,rvm. la t$_.. �• n.r.0"gyp. ,a^. ':
"' F. BTA eLt�'TIO�1rTp,BE Wf7�N_ 181 OF ISSUJINCE OF Wm—
PILDING PERMI .'.
n an exOerleiort.as,rre�apery, . submd
(:ONSTRUGLION:L4 TO BE COMPLEIEQ_Qlf in to IMe tnapecr of
V. IDENTIFICATION• To be oompteted by at)applicant
wee M9ie aObwlr•fMner.a9wt Mt rtl YU ,.- DP CAM, : rr Na
t. a✓G.!/elcnr�3 �.� � . Shy �� ' `' 4$7Ol
a
1
I hereby cm*00 me aoDosed Wok is aillain0'by the°Mrt1°'of retard and Mal I wan been ailixfted by ale owner to maker eiie applieabon
as his a swim agent anD we b eDni"to aN apobeable laws of this wriadbeon.
rot Ad&m AppYWDan date
I
DO NOT WRITE BELOW THIS LINE
VL VALIDATION.Bud" FM DEpARTK40ff LJSE OW
'
Pemit umber
19 Fn Ge7ae
PBrtIW Fin a Ui�'lamdm9
oa:iowy lad
Certlflcw of Ocawncy 5 Approved by
Drain Tile a
Ptan Review Fee a
TmF
NOTES 1 WD Data (Far d0PwWwn use)
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by. C nclet d
VI ZONING PLAN MANNERS NOTES
DISTRICT
USE � x
FROM YARD
SIDE YARD t _ Ou SIDE YARD _ ?
REAR YARD
NOTES
WE OR PLOT PAW•For Applicant Use
O N