60 OCEAN AVE - BUILDING INSPECTION i ��� .
� ; :: , .
��.
� � , '`��� ��; i,w
j � � ;m � = i �,
t r�
� �" �r i+L�i4S 9dlliSiry�f ffl.f�1fJfl�"A`?PftOYED 8Y �+IE
j �� � ' ,I�S,A,�CT,QI`� PF�I�A TP�A_PEAMIT .�,�W� GRANTED
�
<-
� ��- � CITY OF SA�LEM
";� "'�, r�:r
�/�(L� ' �,N�� �
No. ;�, " 7 CJ ] „ vt '�''��5�: Date Iv-iy-�3
� cw+.'�3' �� r
( a �r'• �,
\a�;`s�': r'}�1 ward
;'\ mN�o�'•'° � Zoning Distnct
Is PropeAy Located In Location of /
the Histodc pistrict? Yes_No� BuiTding (jU QCe C� a(,L
Is Property Located in
the Conservellon Area? Yes_No �
BUILDING PERMIT APPUCATION FOR: '
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Poot,
epaidReplace, Other:
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 fotlowing
specifications: -
Owner's Name �cn�� �r�� e � cJ
Address & Phone h o OC'�c n ,4v� ( )
ArchitecYs Name
Acfdress & Phone ( 1
Mechanics Name -� .
Address & Phone ( 1
What is the purpose of buflding? KC',����n�/+�1 II
Matedal of bWiding? � a]� II a dwelling, for how many familfes?�
WIII building conform to law9 ��1 Asbestos? �.lU.
estlmated cost � cu. "'` city ucense n�State Ucense n D�/ 7 �/Z
�� Home Improv�ent
Lic. t /' 3 S D
{-� ignature of Applicant
�"./ 3 a � SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
(�e-h�; I�,l s�� s3,�-� o� �t�►�4 � �Jt 1�;�
22 -�� I� s•�-r-� si z e.
MAIL PERMIT TO: S 7 ��f/'A � .Sf /C,'G b�c:�j p '/% QI �J �C>
T
No.;-_��, y � , � . ,
�
y-= � i
APPLICATION FOR Y � }. ,' � - _
PERMR TO ; � 4� .Y ;;., ., � �. Y " - ` :
f _. <,
n �/ � � x �
/`C e�i�.,-fi.(' S�/,�P ��i,n�/� u� `' � - ` w _ �. '
�
s: �. �
� ..:� �, - . ,�
� � ;;, =� .� _ .�. _ .
w_ � , � .
LOCAT�ON", - ;, '=' -
�
�'�s ;; °� -
�D � �C�u-, �2 �> : .
� $� � ,
� n ;
PERMIT GRANTED ; ' � � �- - .s
� �
. ���- ' � '° + � , �
�(� ��'J'�/��3 19 _ . � � ,. � ' _ , ,
AP�D � � ���� � „ �; � 3 , .
�u ' `s . T .., - , , �
� � � s"� � �'�t �:� .�, `
�//���nT �3' r C'' ��'�? I
�'vvy�f� 4 '� F' . .
INSPECT R QF�BUILDINGS � �' � �:
� �" �� � ; � _ , ; "
� �, ���; � , z
� �< :- ;� .
� ;� h_ ;� ; � � � _ �
, � ; �
;� ;� �� - < � °�
� � = v ,�; -._ t _ :� �
x �; . _ ± ' , _
y` � `�� � s � � � ;
� � � � � �
3 �
� °�' - � �� . : r# �
� �' . T "' �� _ '� ,� $ ,
tic"5 � �
i� h
�.+. .i ' � s�.. � : � . � . ..._ - . - _
i �
X i p 1
i .r. i �o- d, . '' . . �' . . '
_ _ " _ . , . . �sw � :
• : - . 4:t � � � . . . . . .
' �. �:.; }� . � '. ) 3+,� � . `
. . � . j . F> . . _
� - .."s I�f t I t. ., � Y' ' _ " . •
« «4
. _ �� s .. . � � . .
> � e S ' _ r . . , .
' : t i , >__ .m. � . _ . k . . . , f . . , .
'
� � �om.monw�:aWt o��asdac�af�
l:�.
�
s �.Pa,Im.n� o j.9wlu�,iaf��ua.�+
boo w�►�.��..f
�ame:�.c,mooe� d�,tea, /Il.auclw+.w o21 I � .
Ca-.mrssqaer
Workers' Compensaiion Insunnce Affidayit '
� /'
I, _ �'P//'��,•1� C3-z�/�Pl� � I
t�-».����
. . wich.a prinupal plau of busincu at:
S `7 C����'r�� -�fi /�es��./� �'1/�' O� SGc1
,�.,.,,y,,,.,, .
do hcreby'cercify �nder the p�ins and penolties ot perjmy. chn:
O I am an cmployer providing �vorkers' compensasion coven�e to� my cmployets workia� on ;
shis job. �
Insunnce Ccmparry Policy �lumber
� I am a sole proprietor and havc no one warkirs� for me in atry oWotYJ�
() I am o sole propriesor, genenl con:ncsor or homeowner (cirde ooe) aod hsve fiired the
consraaors lissed bclow who have the to1)owin4 workers' compensar.ioo polic.ies:
Concncsor Insunnce CompatrylPoliq Number
Contraaor Insurance Comparry/Policy Numbt�
Consraccor Insunnce Comyany/Policy t�lumber . ''I
() I am o homeowner perForming �II the work myself. •
I uneerwnc w�� coo7 of fho ua�mxnc� D� ion+aree0 m tlu Of(ct ol(mu6[awnf ol Ou DIA lor co+e*aS�+<*+&��^����e��e
coverai� a7 rto+rra unoar Section 25A ol MGL 1 52 on{eaE w Nr:rww�uon ol crcnirui oaiwues wrsuunj ol a 6na ol oo te-S I.SOOCO+n0/a ona
r�an'rafuoM,+mi v.vo u ci.�i o�viuo� ��� lor,,,o!� STOP W ORK ORDER a�o� f+K of S 100.00 a aar sp:oi me.
Signed this , day of '
oA�f � �t P —
' ccnseciFcrniuee Euilding Ge �rcr*+en[
Uccnsing Eoard
Seicamens Office
�-,e�tth Gep�rzmenc
- - - - - - °CC .� , _ ;ce tpc , _Oc, -�r
� � , _ , ���� � !r:= - _-'`', `= __ _ �. . . . -
o • ' G�ITY OF SALEM� MASSAGHUSETTS
`$ � ' , PUBLIC FROPERTY DEPARTMENT
" � I2O WASHINGTON STREET, 3RD FLOOR �
���, . � 7Aa SALEM, MA 01970
�"�`�=''� - TEL. (978)745-9595 EXT. 380
� FnX (978) 740-9846 . �
STANLEY J. USOVICZ, JR. �
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 4Q S34, I acknowledge that as a condition
of Building Permit# > all debris resulting from the construction activity
governed by this Building Permit shali be disposed of in a properly licensed solid-waste
disposal facility, as defined by MGL c III, S 150A.
The debris will be disposed of at: S��e/�-� 7Yf3�J i��' �7��}7`��S/'�
Location of Facility
/o - jy-v 3
Signature of Pernut Applicant Date
FULLY complete the following information:
(PLEASE PRINT CLEARL�
�'C.'PnG/Ir./� C.JZ)/'ti � 7
Name of Permit Applicant
f c�� e� 13�o t�en C'on;�k.,fi�h
Fum Name, if any
�� cP���i .� �°s� �� ��s��
Address, City & State
The above statute requires that debris from the demolition, renovation, rehab or other
alteration of building or strucriue be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cIII, S 150A, and the building pemuts or licenses are to
indicate the location of the facility.
�o CITY OF SALEM� MASSACHUSETTS
,<`$ � ' , PUBLIC PROPERTY DEPARTMENT .
���� � 120 WASHINGTON STREET, 3RD FL.00R
�a SALEM, MA01970 � ,
�sqB�'="-�� TE�. (978)745-9595 Ex7. 380
A'� FnX (978) 740-9846
STANLEY J. USOVICZ, JR. � . �
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, S34, I aclmowledge that as a condition
of Buildin Permit# all debris resultin from the construction acfivi
S , S tY
govemed by this Building Permit shali be disposed of in a properly licensed solid-waste
disposal facility, as defined by MGL c III, S 150A.
The debris will be disposed of at: ��RTN SI ��P C�2'T iN (r
�Location of Facility
� � lo p
Signahue of Permit Appli ant D te
FULLY complete the follow' information:
(PLEASE PRINT CLEARL�
Name of Pernut Applicant
Firm Name, if any
Address, City & State
The above statute requires that debris from the demolition, renovation, rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cIII, S150A, and the building permits or licenses aze to
indicate the location of the facility.
,r�,
2x4 pt hand ralls
�
1 I/2x 1 1/2 pt ballnsters 4' nax spacing
5/4 x 6 P Top �/ ( ` VY
y' x5' ing
6 pl
�olst hungers Spt
x10 p
�a,m
5,4X6Pt � Sicle View
'-2x12 pt 3pl ��
Standoffs
.
12'x 48' footing 2pt
I
I
_ - . ..__.. .. . . _..- _.
� _ . .._--`---_ I .
��
2x4 pt hnnd rnlls
I . .
I 1 1/2x 1 1/2 pt baltnsters 4' ronx spacing
5/4x6p I I � V � � W
p
Y,• xs• �o9
i 6 pl
Joist hangers Spl
2x1U p
'� — �a.0 '
5,4 x 6 pt Side V iew
`2x12 pt 3pl I �
Standoffs i
• 12'x 48' foot�ng 2pl