5 LINDEN ST - BUILDING INSPECTION What is the current use of the Building? 2es� 7-
it dwelWg,how many units? . -
Material of suildkg? tie
Win the awns Canlbrm to law? Asbestos?
Archilods Name l
Address and Phone
Medwies Name
Address and Phew HIC Regbtratlon tl
Construction supervises License tl ---
Estimated Cost 3 c =` PsrmM Fee Cala+l dw
Permit Fee i Es*nabd Cost X$7/$JooO Residential
Eawnd d Cat X swslo00 Cemmerdal, ---
An Additional$5.00 Is added a•an
AdmWdmdve charge.
Make sure that au fields are properly and"bly written to avoid delays In processing.
The undersigned does hereby apply fbr a Building�PWITIA to build to the above stated
,Pec&awmL signed under penalty of Penury • '
Date 6- 3 i 7
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PUBLIC PROPERTY
DEPARTMENT
1:1 WIEO.�Y,lyrtnv
Nar'all 130 WAfMitK71rIN 9r1Ba>'•�r�yAe�IGILsrTR 01970
M745-""•PAZ ffL?W*46
APPLICATION FOR TM REPAIR RENOYAMON_ CONSTRUCTION,,
DEM, LITION. OR CHANGE OF USE OR _ rr_ R ANY EXISTING
STRUCTURE OR BU DING
1.0 317E INFORMATION
Location Nsmuc ,-f` SuA ft
Poperty
Property k located in a;Conservation Area YIN HWAft OW4 YIN
10 OWNERSHIP INFORMATION
7.1 owns at Land _
ENwnwe: c_oT7 �` S N.�D.t/Address
3.0 COMPLETE THIS SECTION FOR WORK IN EY18S1Nja BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per Floor(so Renovated
construction or renovation
of existing building New
Bdef Description of Proposed Work:
ErL err 20' sy�T Crro�y)ol ��poL
59- v�P
— - Mail Permit to: 4
CITY OF SALEM
PUBLIC PROPERTY
DEPARTMENT
NAYM
120 wwvuNGMN STU=♦SALM NAMACHLW 9S 01970
71i:978-74S-9S9S 0 FAX;978-740-994
HOMEOWNER LICENSE EXE..M"ION
Please Riot
Date 5- 3i- o7.
Job Location S ie g
Home Owner Address
Home Owner Telephone _9 7f 7Q4 - 9v7o
Present Mailing Address s L nolcn s—, SPG�m /r�Lf
The current exemption of"Homeowners'•was extended to include owner-occupied
dwellings of two Units or less and to allow such homeowners to engage an individual for
hire who does not possess a license,provided that the owner acts as supervisor.
DEFMION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on
which there is, or is intended to be,a one or two family dwelling, attached or detached
structures accessory to such use and/or farm structures. A person who constructs more
than one home in a two year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official,on a form acceptable to the Building
Official, that he/she be responsible for all such work performed under the Building
Permit.
The undersigned "homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedures and requi ts.
HOMEOWNERS SIGNATL
APPROVAL OF BUILDING INSPECTOR J/
See other side for state code
.r
Above Ground
PRIVATE POOLS - CONDITIONS
I . PRIVATE POOL - DEFINITION
Any pool intended to be used primarily by occupants of a one or two family
dwelling. Any such pool more than 24 inches deep or having a surface area
greater than 250 square feet (18 foot diameter) requires a building permit
before installation, enlargement or alteration.
2. PERMITS
Applications for a permit shall be accompanied by a certified plot plan
(scale not less than 1 " = 20' ) fully dimensional, showing pool location on
property, relation of adjacent structures on property, location of all fences
and gate, and owner's name of abutting propertiaS (See sample) .
3. POOL LOCATION
No side of any pool shall be closer than 6 feet to side or rear property lines,
no closer to front yard lines than the zoning setback requirements, or closer
than 10 feet to any building foundation. Variances from these requirements
shall be permitted only by Special Permit from the Board of Appeal.
4. SAFETY REQUIREMENTS
Pools will be surrounded by a fence at least 4 feet high and no further than 25
feet from the sides of the pool. Rail fences will not be permitted. ONE 3 foot
wide gate with closing and locking device will be permitted. Pools shall
comply with all applicable codes.
5. CERTIFICATE OF COMPLIANCE
Before a wiring permit can be obtained a Certificate of Compliance must be issued.
Said certificate will be issued only after a new certified plot plan (bearing
the stamp of a registered surveyor) showing that the pool is properly sited has
been filed with the Inspector of Buildings, or a request for an on-site inspection
has been honored by the Inspector of Buildings. If in the opinion of the
Inspector a site plan is warranted, a certified plan shall be furnished before
the Certificate is issued.
(A cant)
(Address) (Phone)
I
Above Ground
SAMPLE SITE PLAN
MAIN STREET USA
SO .D
•
�A
HOUSE
John Doe Jane Doe
� _ O
�T I PORCH O
r �
DECK I
20' Diam.
POOL
—
Fencee
! �
No- M
Scale 1"=20'
Mr. & Mrs. Smith
SURVEYOR'S STAMP