8 OAKLAND ST - BUILDING INSPECTION (3) �tst/�s��wry fw�ov�o aY�
��f!T�A'1.ff�F� TiRANT�D
CITY OF SALEM
Ao
wre
ZE"omm
18 n.wLooftd In o r. ao ar..�:s Of
b AapNh�oa�hd fn /
fM non Oaw � AmW . Y1_No_✓
AW fit APP=TM f�
Pamlit b:
(Ckft uhM*W appy) Raflf. Rafod, kow flifft Cfl nvm Book, fih44 POIK
PLEAN rat OW LIMMY i OOMPL EMY TO AVM OMAVB IN PII�
TO THE INSPECTOR OF BUtOMM'
no uffdaraiprfad hwft soft for a po t b buN MOonftb ft.'nln g
OwfWONa Matt
Addnfaa t PhOM g Dakla,r c, S-t- 19181 7 y5 B,U 2 R
Ard*wf t Noma N 1A
Addm a A Phone j 1
MMhanft Name a.'s. R oC�C%a Cot-�,ST.
Add1Ma& PhW* SA IJuRse" - T S4cko MA okari 6 L91& 1 74q - 6 0 Z S
ear M ar vupw a b~
MOW d fadlaq'f N a ' for hm MpW--- I �
YYa�q Oo1r0a11 b IaN9 Yes n �
EdWA@d=d So 0 o CNr UOtI1M• WAAD Ifo • O'1
mm bpmnmnt 1
` � J ftiptftl A of AppkWK
u I'M Purr
OP PONAW
DISCWIWN of wOfNc Tom O
"J
T-o2 Kites
P'1o�71' S�r�iS
MAIL PEFOAT TO� ..g=—60 .5- 5.._4 o N1 p C t I 7
.. �
c � � _
, .
��
.. ., , :�a� - :�,., .��.�.. �
�� � _ �,� /^)
nM�wr'�ry •:.f:'n � V
�.
.. � ��
f,—
,w
' .._.�,'
V '
�.
oi'; .o,� r0
. � l.oaunoaluelaf� ���
boo W.Ayes Sw
j� .w1ai 02111
Workers' Complwdon Ilowa m/1f Awk
•� e�r.5ty �¢.� .� . �oGC1 O
.. wieh PAW601 AM o/bmbmm M
36 l�uzsE2>i� s-r Sp�£ri riles � o,a7n
des hereby'c?ft under PAN and P=Mu d sur$msa then ,
=*Wyw pv4ding WwkeW compaeratkss covsPis for eW civele)so wakiei M .
• L,6�rt P1 a+.,o.� '. wc�- 3 s - 33s 5'18 -o
lanwanp Cea+re�q► 0 4► • w"ar
1 ao a sok PrePelew and how M om werkklg fir mas he MW oPodW-
0 1 an a woks Proprlemr, general commcgw or hemwwlwr (drde ous) and how lied sdn
cowascom Bred below wbo•haw the foBowiag workeN' campaIMMIdIDE PO Mw
�p� Irsaswtacs CeesgspgNr
C011patip Inwrance Company/ eft CompamyllPeft Hum
CollpatiOf Insurance Conway/ umber
O 1 am a homsewrw Wor*ning all the work myself.
•�ew.OWwe na�sad►.f di waaaeae.,n N len.reee a des Olin.A Yw'�aww d/n eM 1e <a.wap nAkMw sae dM es..•rears
gmwap so imme wr faedee 21A of FILL 15 1 cas lead r wr weewie sl aieirw eeesale csaaas"d a be d se 041.f"abler es s
Hare'wrwre.w a% a dd e w o in am ions as STOP WORK ORDER me s bw of s ICCAC s do ae"da
Signed chk • 2Q dw of O (.:*060-C-
c V
l
l
.iccrs ei'Fcrmncee o cnf Depar0kent
ucensint Scare
Sekcsmens Office
=calch Deparsrer"
-- r :. :. •;::. _- _' C.=.__. . " _ 4 5 C C yak _ 904 <Oc ape 775
ruzuc rworortr ugrAwTMgNr
120 V"HlNetaM tt7waaT ana FLO M
aALsw taA of atio
Tam.(279)7411-MM an.ago
*w FAR (9 M 7404 M I
STANa.�A1 T ; �' -- — - -
OR
MOM OF DE RN AFFIDAVIT
Is aooadaooe wide the paviaioos of MM 0 4%SK I acknowledge Ihut r a oomMos
of BttildiMS ramie r- .aD Mark m db$>tom the aooet<oedoet aoddq
,ovemod by this Patait sh0 be ditposad of is a po?aly licuosed solid.Masb
disposel heft.a deAoed by UM a lit<SIAL
Mw debris Mitt be dlspoaed of at
Loeadea ofFaeR(gi
•
�o za 4
otTPeemitAppSeaoe
RMLY oampleee the lolloainy intonation:
ODUM PRlrtl'CLEARLY)
�•C7 CC_L 6
Name of Pamk Applio nt
Firm Nam%if sey
F>C 0..E J 25 E,e-Y
Addtese.dq A Staea
The above atat b roWw that dabds S+om the demolitiM renovation,rebab or odw
altaadoo otbml ft or oftetae be disposed in a popaly-licaoaed aog Masse dhpowd
f dThy as defined by lrlM c9L S150A.and the btail ft pumice or Homage ate to
iadioace the loeado n of dw Am-ft.
e�EwP'W ..�... ✓t/4maa(xrca(t3¢:
BO b OF BUBPWREQUILAXIONS
Lic�ne4: CONSTRUCTIONSUPERVISOFV
s s
075�5, ;
3 r
Birlltdnb.0267/""1&00�
F.zpiraF 0?J07r ' Tr.116fiA gll `a'.
CHRISTOPHER
36 NURSERY ST
SALFRA MA 01971) �.�' ArmnWS#ator
OT "�a7nmwreeae¢(!�i o�✓61'ieeoac�ue�G
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration 134301
__Expiration::_1 O/23/2005
.'Type:. DSA
C.J.ROCCIO �
i
CHRISTOPHER ROCCIO,y� ,.
36 NURSERY T. Z2 -
SALEM, MA 01970
_ - Administrator
SKETCHiESTIMATE—
Proposed Layout for:
NAME - . ,. tf .-
C) CONST- ADDRESS
3� N v RSE�.y S T
PHONE NO.
SAc.� I '1 A O► q
ESTIMATOR DATE . 11
0 loW
Scale 114"_
1 2 3 4 5 6 7 8 9 10. 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
3 -
_
—4 -
5 1
6 - - --- -
I
--- J -- -
7
8
x
I
7� 10 a
O cH M f
-� 12 - - - - - - - - - - -- -- - - --- — .__
13 3
14
15 -
16
17
18
JL
19 - vry hxr . --- X - -- ---- -
20
21 xO AG£
22 -
-— -
23
24 - -
I
25
Notes ,..Materials
�-& Labor
w :
Zxy wa\�s Tax
2x8 cell: TotalDC8
MADE IN
aEmv MADE N USA