51 OSGOOD ST - BUILDING INSPECTION , f
�L1tN6iiMl6T�EfI MW*ND APPROVED BY T44E
SPF=DB PWR TID A REMIT MING GRANTED
CITY OF SALEM
No. fi —O Date
Is Property Loce Location of
tad inansLdsne 5 ) �U S�
to Historic Dbtdct? Yas_No
is Property LocaW in
m Conservation Area? Yee No_
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed," ool
Repair/Replace, 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 following
specifications:
Owner's Namee�r` / ppp
Address & Phone (J / aac✓ U (97A �73151- 5 ��
Architect's Name
Address & Phone
Mechanics Name
Address & Phone ! I
What is the purpose of WAk"?
Materkl d buddirq? � n a dwWdng,for how man amides?
WN butidkq cord to law? �/�S Asbestos? D
Edmated coet�/` ,700. CRY ucenae r ►`I �` slater
Ems Lopcoveswat air a�
Lie" 0g4mtupd of ioint,
SIGNED UND R THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
r
Cs•�- O -d �C
MAIL PERMIT TO' 0 ood
t
No.��D-lG6
APPLICATION FOR
/} J PERNQ TO
�JT
�-l-n 5/4// �/�0,40
LOCATION
PERMIT GRANTED
PROV�D
INSPEC R O BUIL4'INGS
CITY OF SALEM, MASSACNUSETTS
I •
PUBLIC PROPERTY DEPARTMENT
120 WASNINOTON STREET, 3R0 FLOOR
SALEM. MASSACNUSarrS 01970
TELEPHONE: 970-748-9595 EM. 300 '
FAX: 97e-740-9e4e
HOMEORWM L' MSE EXEMPTION
Place PrintDo
Job Location
Hama Owner Addresm.
Hemq Oases TelepWV /
Praaeot Mailinj Address:;.
The cmrw eamption of"Homeowaara"_watsawn"to include
o
dwellings of town Ur*a Iess sad to allow vxk engage individual for
hue who does not poeaesa a license,provided that M ai supes<visor,
DEFINITION OB.H011EOWN]m -'
Peraon(SIWM OWM a pareel.of lead can wbicb he/she resides 4 Wteads to m6koa which dune w Or is intended to b%a one or twe family dwallin&attao W or detached structures accessory to such use and/or farm ah 10WI S, A parson who constructs more
than one home in a two year period shalt no be coauderod a homeowner. Such
mac` s W submit to the Building Official,on a form acceptable to the Building
Permii+ responsible for an such work performed under the Building
The undersigned"homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and rogulatiom,
The undersigned"homeowner"certifies that he/she understands the City of Salem
Building Department minimum Impection aid requiremeata and that heshe
will comply with said procedures and
HOMEOWNERS SIGNATURE t
APPROVAL OF BUILDING INSPE
See other side for state code
mommz WNERS_F.mN!lTIOm
that My H�°0� work for which a Building Permit u
The Code states of this section(Son 109.,.l -Liceoains
required shall be ezesept Sons Hontaovlm engaW a peflon(s)for bee to
of SUPWASM);Pro banuuction shall ad as Ste•
do
�y Homwwnata who use tbia on'-ate Rule ft tio�
of a Sgwvi a(s0e Appandts% often
result in serious
Co�! 50n'Section Z' leclt of eantenaa in this case your
when the Homeowner burs valce°sad p°1°o�
Boatel 'p - inet the unlicensed Den1 .
o°a,it would bhc�s°d
1 . as
Supelsa� The Homouwaa<actin °0r .,
To ensure that the Homeowner is fW1Y aware of hislhar moo+ Ay
certify that
as a pat of tba Permit Apply 0° the HOt°00 d& m is a
commUmi44a m4v t of a Supen'ijod On the lad pdSe
helehe undacataodi the0Ob1 YostY csce to amend sad adopt such a
form cusre4ttY vied by eevecel towns.
fotmlcariScad°�4.f�,�to your commvaitY•;
4.
Ito `'so I yao s
ti
t
CITY OR SALEM9 MASSACHUSETTS
14
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3ND FLOOR•-. .
SALEM. MASSACNUSETTS 01970
STANLEY J. USOVN:t, J8. TELEPHONE: 978.745-9593 EXT. 380
MAVOE FAX: 979-740.9844
Salem BuildL Department
Debris Disposal F I=
In accordance with the provisions of MGL c40 S 54, a condition of your
Building Permit is that the debris resulting from this work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL
Chapter III, S 150 A.
The debris will be disposed of in:
(Location of Facility)
Si f App c
Date
aaz�zl ,,---6
CITY OF SALEM
DEPT OF PUBLIC PROPERTIES
ABOVE GROUND POOL INFORMATION
PRIVATE POOLS—CONDMONS
1. 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 (I 8-foot
diameter)requires a building permit before installation, enlargement or alteration.
11. Permits
Applications for a pen-nit shall be accompanied by a certified plot plan (scale not less than 1." _
20') fully dimensional, showing pool location on property, relation to adjacent structures on
property, relation of adjacent structures on property, location of all fences and gate.
M. Pool Location.
No side of any pool shall be closure than six (6) feet to side or rear property lines. Pools are not
allowed on front yards without obtaining Variance from these requirements from the City of Salem
Board of Appeals.
IV. Safety Requirements
Pools will be surrounded by a fence at least four(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.
V. Electrical Requirements
After receiving a permit from the Building Department to construct a pool, the installer must
obtain the service of a licensed Electrician to do all required electrical wiring and grounding of the
pool. License electrician is required to pull electrical permit from Electrical Department. (The
Electrical Department is located behind the Central Fire Station, 2nd floor.)
( lic
ip,
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20' Diem.
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Scale 1"=20'
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SURVEYOR'S STAMP
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