75 MASON - BUILDING INSPECTION -PL*NS1dttST13Ef9I,-E� APPROVED By T*IE
&SPECTLIB PRWR TO.A.PERMIT BEING GRANTED
CITY OF SAL_ EM
No. �'Q� ���� ' *\ Date
In sa,. R
Is Property Located in Location of
the Historic District? Yes_No Building 'SMaSo'j
Is Property Located in U A 1
the conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding Construct Deck, Shed, Pool,
Repair/Replace, Other: k;rk c. a A =nV + F---k+.
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 12iColtLCn-
Address & Phone _ Q AocLase LU M 7k/ 13/- d /2 3
Architect's Name 14 AI ►''j A rr L,` 44�
Address & Phone
Mechanics Name T 112e Ce ='tG
Address & Phone R &�c M'A-e& r_ dA . ( 9l a35 — yg1 y
What is the purpose of building? ((rL?n Ad
Material of building? Vc)m c�:dhfc..u,P _ If a dwelling, for how many families? 02.
Will building conform to law? E9= Asbestos? Aj 0
Estimated c st � idoo City License# N A' State License # 6K9
Home Improvement ,
Lic. II 03�� ZZL2`��q5 ;
Signdfure of Applioffit
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
�.btf�t�nJ>_o fan.K �siati.l .
MAIL PERMIT TO:T ay 3�1 /IGt/Sit MJ _ ,vtC�
1
No.
APPLICATION FOR
PERMIT TO
n iv.�o K No f+ Y4
LOCATION
75�A-Song cS� (JjuiJ' Z
PERMIT GRANTED
lo
APP OVfD
CTOR OF BIALDINGS
APPROVED
Subject to approv�l by�yalher
autbnr;fv
CITY of S." ,IfA003.
FLEE Pu-E-yummiz
PLAN? P^I.;TIEC.-. 7::CF
r,'P',A.NO UYATION OF r'Lr PQ=97:"!' F :-3.
Ai,l, R" Pji7CTI0I: 'DLV!CEE An� �L;, !�-' , f3 A
A::,'.:ISKCTICN,FOR CO,','.FL-.fL vi.'ll I.
MAP 26
LOT 91 MAP 26
LOT 23
77'.±
MAP 26 LOT 99
AREA = 5450 t S.F.
MAP 26 1-H
7)
LOT 98 ^ aved
F
arking nMAP 26
LOT 22
#75 #77
on Ifne ±-1 ..I L"on line
'.-7- 67'±
MASON STREET
vi OF M.44
GAIL Gn
SMITH
No.35043
NOTE: LOT LINES & DIMENSIONS
ARE BASED ON OCCUPATION. PLOT PLAN OF LAND
75-77
I CERTIFY THAT THE BUILDINGS SALEM MASON STREET
, MA
HEREON ARE LOCATED ON
THE GROUND AS SHOWN PROPERTY OF
RICOL ENTERPRISES, LLC.
SCALE 10 - 20' MAY 13, 2004
NORTH SHORE SURVEY CORPORATION
A /REG. PROF. LAND SURVEYOR 47 LINDEN ST., SALEM, MA
#22a7
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VARIES
REAR ELEVATION SCALE; 1/4" = F-0"
'1A OIq�O H.N.D. ARCHITECTS DATE: 08-31-04
1 SOUTHERN HEIGHTS. ESSEX. MA 01929
9._7„
UP - 0 ❑
I �
36" KITCHEN u
_ DIN NG/ LIVING R OM
DN
�.,{ "III I1111I left
BEDROOM
S•MD
queen bed �J
BATH LAUNDRY
v I 00
12'—
v `9
UP
V
26"
FIRST FLOOR - Scheme 3
SCALE: 1/1" = 1'-0'I
75 MASON ST. 09-09--as
RICOL ENTERPRISES
I--IND ARCHITECTS
MINIMUM-
-- - - - - O O -- - 1 I
00
DN 1 I il.
! IlO1�1
001 I ^:
( KITCHEN
1 a
I I 36" i i n DINING/ LIVING ROOM N
I i
i
laundry ® SM/gyp
B DROOM/OFFICE
BATH OL
_
ON
0 1
❑ UP
SECOND FLOOR — Scheme I
SCALE: 1/9" = 1'-0"
15 MASON ST. 09-08-05
RICOL ENTERPRISES HND ARCHITECTS
I
l PORCH ROOF
II
li a J linen
O W I CIOSet OI I
II _4" 3 9 BATH
� sfi r
zi BEDROOM I BEDROOM/1
W I I OFFICE
sfq 1/2 L DN
D O
az
5._a* n u
SAVE STORAGE
THIRD FLOOR — Scheme 2
15 MASON ST. SCALE: 1/4"
09-08-05
RICOL ENTERPRISES HND ARCHITECTS
II•I SM�CC . - _ - � -
DN
_ 1 i
loll I 36"
iL= i
9'-7"
- i
SECOND FLOOR - Scheme I
SCALE: 1/9"
15 NASON ST. 09-08-05
RICOL ENTERPRISES HND ARCHITECTS
Oats: 11/08/05 Time: 12:10 PH To: Tom Rice @ 1-978-745-3479 781-395-2300
Page: 002-009
. ' 38 (Pft pfflWd= VC 00 00 00 A)
w p"WATMI PAGE
MW WOAIMCMMMTM AND BAPLOyM LU1BU f POLICY
MUM: TWIN CITY VIBE INSDRANCR COMPANY
HARTFORD plan HARTPORD, eOWWCPICUT 06115 THE
it
NCCI COmpety 1Nan6ae Lsa9z�d— HARTFORD
compawCodr- 7
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o POLICY NINBER:
o plaeda�M POYq NuaaLar
f" HOUSnr, CODE: DN
1. NMad kWWW and IWq Ad*QW T. RICH INC
c (No,Sh K Town,M"Zip Coda)
0 124 HIGHLAND AVENUE
SALEM, MA 01970
,r PM Nmdrr: 910629431
� 8Ya Yedrballen Niaabeh$
r
1WHondhanWhr C0ltPMMTION
Nil ofNowelr,aw.t CARPMU Y - 3IrrERIOR - OFFICE,
Olm -16' pa4pta6awnabavv ND SVECIFIC ADDRESS IN STATE OF,
L PdW PUbt fto 11/26/04 To 11/26/05
� 12Ct a.m..Standard 8ma at 1ha Insureds md&q address•
PIedllaaraNaaM: RISC ZZiBSIIME AGENCY, INC/PHS
asol MIDDLE sH'1'PL8ME1T ROAD
DH411 HARTFOAD, NY 13413
p0do gftCoda: 068235
!soft OMW THE HARTFORD
4401 MIDDLE SETMEMENT ROAD, 21D FLOOR
RUM7= NY13413
Ones` Tad�� palain' $5,487
DapbaR
es r„b,,,,Pnnlen: 500 MA
Auspulid: N®RIAL Ye�asedSsne:
The pd op is not Wn"urim 0 uomowd by our auger nd rspment0"-
Cmm*4pwd by AutlwrbadFAPr@8GrlVfflM Doha
Pa0o 1 (00ravied on fled papa)
FOMWc808003A (11piM1adhUEA pAWEgb I0n0ale11/26/05
P"Mmoft 12/02/04 PROMKER COPY
,:Date`+. 11/D8/05 Time: 12:18 PM To: Tom Rice @ 1-978-745-3479 781-395-2300 page: 003-009
e INFORMATION PAGE (LoftU80 Peft Nunb$r. 08 NBC NJ8138
A.A. warty.Caffaamow bwuaros: Part ow of the pslq appks to the workers CompwM&M LM Of 8w
oWn Ndrd hero: 1R►
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TM Imib of ow soft under Part Two am:
Beftb*rlybyAeddmd $100,000 embsoddid
loftk$"bybbaaaa $500,000 poky1MR
BONY""by Dbaaea $100,000 aKb
a C. MW ado bwrraneo: No Thrw of the podcy appNoa to the abbe,4 OW,darted hero:
N
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ALL STATES 8'NCSPT ND, OR, 1rAr NV, NY, AND
STATES DWrG ►TED IN ITHK 3.A. OF THE INFORMATION PAGE.
0 0 0. 7w pow bla- - too andoraaeads and odwdub:
es NC 00 04 20 NC 20 03 03B NC 00 04 14 NC 20 03 01 NC 20 03 02
en
ro 11C 20 04 01 WC 20 04 03 WC 20 04 05 NC 20 06 01
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o Prarebad Boat
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Cods Nnaibar and AnmwJ 1loB d Ahead
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5651 50,000 9.93 4,965
CARFBNPRY - ONELmas - THREE STORIES
OR LE88
a.
TOMOPAL, ggTTnpTgp AN[iIJA[, STANDARD PRffiUN 4,96264
5
> CONSTANT (0900) 243
MUSACN TUNS VIA ASSBSMUSEPP 9.900 PERCENT
TMMMIU RISK INS ACT OF 2002 (9740) 50,000 .030 5,487
TOM E6'PItWW AfRI[TAL PREMIUM
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membeas or partmas.ate not regaled b early wodrea'comps-adios bmmrlr m If a LLC a LLB doe bbvo
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ladtabial AcddcW . Sboald yea bs�a gaadan> as the required to shiers s wmatrees'
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uMimarasoeltoeasa mm�araa tba sPoropriaoe Nat
C"ar Tows Of this
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Please be sore a S is the pan>it*em+mmdw whirr win be used as a taftmaI Is adds ^a aM&"
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rowel"A copy oftha dodo*1Mt bw bee oflZ&W tmtped of"NOW by the eiW or tows a"be p wA"to 2w
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Year: ose wh a bums mm 4r dtba i oboist o Beale or p not sot salted ro Say basimas ar commicial vemmue
(ta a doh Noeso.or pon&a bass leaves d&)Wid palm is NM regained to ona;lels ibis affidavit
1bs Office of hwatipdm would&a ro that you a adva+ee fi:your ccopaWm and shoatd you bave say quokm%
phase do we baime to ON 0 a c+L
Ile peptmmarl addreb tekpbaa ad 9m aumbtr
The Commonwealth O Maasachoseds
Depatlmeat of lndaatrial Awdew
Offlot alLveadpldon
600 wadh sum Swd
Hodta&MA 02111
TeL p 617-7274900 ext 406 of 1-V7-MASSAFE
Fait N 617-727-7749
Revised 5-2" www.masL&ov/dia