52B PICKMAN RD - BUILDING INSPECTION • �L lrucr�Efaco4a u*AWWVED 6Y TIE
NWISPIDf,POW IDAPU lr AgM GRANMD
CITY OF_SALEM
No. ID"
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6WLDM PERWT APPLICATION FOR:-
pa"UK
(Cbcla WhWhawr apply) Roof. F�aoof,,h m" sk-ft Conrt� Sh" Pool,
plr �011rr: �h
PL""RLL OUr LE+ MV i COYPIXISLY TO AVOID DELAYS IN PtiOCESSWt' li
TO THE OdSPEC oR OF BWI.DINOS:
Thy wwlaraiprwi hembby appms br a parmlt to build acconks M 1tw follow Q
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a° sum upwomm t
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UNDER THE PENALTY
DESCRIPf70N OF VJ=TO K DONE of PkULMY
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ADDgCasad atj0 pld>e Ihr$st
Name •�4niTOn/i oTjrJ �'o�ISTIZU b/o� (i'�1RRK �l v7o� r�
Adam: 72 g aRx�s-r S—f
Ars yes.a. eapek ekaf
m ass b '
-..., ,: .._. '4p•at peeJeet O"drodk
1.®'I am a,esapbyer witk >oe Csrtaetor sad t p New oosnnscdoa
®pioyeas(1lrg aedla psrrdme}• hsvehied tie
2 0 Y am a sohsp opsistsor Cr paroaam iktesr:on the ate:aasm to 7. tgRcw&ft
ship and bm no awbyece These sub•Coatrssstoo baw !. ❑Demoildon
[xoiwdaaafW• s, p WainbasWcapeft ` e�e •�� 9. Q
regsshed.1-1 ombmliiye " ' ' 100 P.techtcatmpsW or add doer
! 3.01maboomww doing aa.Walk TW. 9oF jw. )fM l' 1.pplembimreps.oraddWom
myreiL[Novsoskae4'.00mp a1s?,;1( a �le3tvenp 12Qltoofrepahf
13.0 oma
•Aiq�plic.dma�emcam.r.roMas4e«ofme.bwdor6oee�lr...a /ao�.�11poft�.�,
ta..amtsear..®arw tdaer�eirw dda.t1�alt�ds.l�orlas�m.ama. toahma.w.aldatte .00s
tCa..em m.Maae.t,.s�mt.srrs.a..�tort•!ue a�4r.sefa►�rmrlrwa4.'�,p,aD y
r••qr erwpfs�urstlat bprW�swrdera�eayeasaaiiss bsrrsrn:isyJirapea�fjf�•Defesei rArpeBgq.wd•Jo!siAs
lasnsaooe Compmyxame:
FoHq f or Sdf-ins.t.ia tF. CAA lk6 F�4XQ4 BV RC�i1G4EVbd=Daft
lob simAddseas SZ& P/GKi'-AAJ �D cnr SAL�a1,la'1'1�_
Attack a CWT of the was bW NgWsatM poBey declaration pp(kowhsg the po ft a and
amber�aaptration dates.
Fahm 10 seesis Covesap sr mq*W order Sccdm 2$A ofMQ,a 152 en ad to the maposidon ofssimbd pe naltim of a
66 ap to S1,50MOD nad/or oaaYear imprison sa wed as dvsi pasha is the farm of s STOP WM ORDER and s Bee
of up as S210A0 s dsy against the violmc Be advised that s Copy oftMs statement may be lbnvWW to the otiice of
lavadsWmofthe DYA for h mrmm Covesaw verification.
rdo boisby asdAr :lief sae i1fia malkat rorl4d above tr s>•ae cwp_
Z3
off ware m6L D.NO wdM Is A&sm,to be"•rpfe d by cbMilow#,Meld
City or?owns TesmlNl�tease N
Inning And writy(drde one)s
1.Bard of Hesalth L Budding Department 3.City/Tows Ciesk 4.Eleebi at L Other iaspedor I I'lumbing Inspector
Contact Persons rboae Ms
Information and Instructions
. : ..... ., :._ - for 6oir smlayaa
Geeing Laws cbspta 152 tegaies A emptopraap �tt>saar Say aostrad of bk%
Vgumt le this stator.as dim is deft°as-_.every yaso[ the tavioe
;apras ac itstptte4 oral err wrtt0as." .
mod" ir atba lead Co t,or srj two or tsars meludiesmol� a ' °r>b°�
owner of a dwe ��� colon owea
tdea three VENOM WWI wd nd"thaei►ar w oaapsat ao home
darr�r<boata of tsother VIM aopbya pasom b do raamtemoee. mtrttetbu or repair vuot#.ae ssch dweWss
err os w vwma arbus7dmg a fpmloasot Um da nabccnn of na atonaMbo deemed>o be a<ampbys"
Ma cbWEr 132.PSaQ 00 states the"tweq dtaa ar Dal doevV{a>pm7 t�esmminkmiu b w loses"m or
resrwet da Henan or Pa'"t''��"Odarat es b eaaalruet! b w oamsorawallb tar aaq
appgaat wM iar sat pso/soaA aeeept"wWais ns ef Via w het saes cawerap require&*
IS?.�13t�(»taster"Netthar w comtnonwald nor apt dill Pgderd ta�tt►ido■a Shall
Add[t o&ft,WLchap 1 DabOo "He workw Soulewidowofa=Vgmww &the
ofthin�mbavaboaP=EledadsooSprag.> -
Applicants wadws,c. - wboses that aP*to Yet ttita>�sA it
Enpauntion stIIdavitoompitbby tmnoba(')aloap
plum take" itnaoawy, PP1Y�00m' zmw�l aw�(�of Pb w�ode aetiAaoe(r)of
' Liabi ( err Limied Lisbtl'41r Y#maShiP 01,P)wilt no estployees lather 1112111110
mmraooa iamited ate Sot tegaised a►clay wades' ,a'na' Its u.0 err i1�boa haw
in or PtutaaS Be adviSad thrt this s nnW be mbminod%w D*srmtmt d hrd W1"
®ployea' Eld
ft of immSsoa enm*L Alta M As N SIp'WAccidents Sala w aAWavR. d
to 69 dry err talks that the appgados tr the permit err Hama f on E f rigs o In�a wokers'
IndaSn;,l Aaaidrart, should you bwo my gues6m w btw err tf yos m tegaietd aho m emor their
iota Topow
Caugg"Ada Ron gimmunaE at aaobm adbabw selEiosaed
poly or Tows Ofiidda
lets and Oozed le&,Y. the Depaamest tie rovid°d a rpaoa at the bottom
plumbs sae tbsS the toldsvrt i,comp
of the affidavit tar you o®oat it the evert the Ot9ca of lnveaapatioDS but to contact you npdini the�ptkan<
pleas be Arta fa®ia the patmt/gcease tt nnba which wM be used a a refac"comber. is adM^an APPHe"
that=a mbmit mnhipie Pam°av'anlicadom is any liya year,need only submit one of ld"k indieatb*aarent
Ed undfr"kb Site Addrue the sppgest should write"an too laaa is (dty or
D�»A�agSgMnitt Mbm bus 0jkhftSW%NJgE by gOWortowanrgbeposvidedInw
sPP&W a imatoo a vdm a0dwit is as file t r have Pamir of lie m s. A now agidsvil tantlbe AW oat act
year.Where a home awner of doses it obi it a gotten Or pamis cot telatad to auy busiams or oCUSnWC d vestare
(ia.s dof Some err pamk a Dora leaves eta.)aid pants h NOT ragoied'o eampias this sfiW it
otbtveso .
woald b1m to thmt you is advance far yottr wopaatioa and should you bwe any gadDIMP
please do ant besitsts Drive as•�
rw Depxuncnt's addrm taiephot sd fie rather
The Commonwealth of Musachnsdts
Depar>tntmt of Iadustrial Acaidenb
oma or tatesdpdaw
600 Washington Sttrod
Boston,MA 02111
TeL #617-727-4900 ext 406 of 1-977-MASSAFE
Fax#617-727-7749
Revised 3-2605 www.mm.gov/dia
VA Jim CITV ar SALS349 MASSACHUSIMs
ruRua PRQPRMW osrs.RUaW
126 w "Ime"m ft248% 200 ftmw
TNLSP"k& 67&74&UU 2W. 3"
/Ate 070-7466"4
Is a000e&=@ with the paovbioas O(MM CQ 3 A a coodtdoo otyoas
&&Has IPlermiit is that dN debb 3 hm thin wat dhall be dbpoad
of p l yJOli =a d sold wum ft=d f cft as de>iaad by MM
ChmpW A.
MW debts will be dbpoad of bu
G��t <=0�s-r►wcr���J �urlP�olFailiryl
3i3aad N otApp
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i7are
CITY OF'SALI1149 MASSACHUStTTS
lab I
PUSUC PROPtRTY OMPAJITMtNT
Now I'a W"N'Ma"al aTIMR. ills /Lace
"LEW M"GACMUSgM e1e70
TEL[M 6814h 976.740-0898 "T sap
'AXI 07e.7406"a
sstll�Bllild�n! p! w!
In accacdance with the poW&ns of&f(X c40 S 549 a condition of yoas
Building Permit is that the debris rams from this wort AM bs disposed
OfIsAAp�l�olicensed solid was*'dispossl facility as defined by M(3L
A.
The d1e'bris will be disposed of i/n:
Signadare of Applicant
z 3r 2cv 6
Date
ASS
-PL11ftI $MST-9E f4LA� APPROVED BY T44E
MPFXTDB P=fl TD A PERMIT BEWG GRANTED
CITY OF SALEM
No._/ 93-�j �� ° Date 5/22/06
Is Property Located In Location of
the Historic District? Yes No Building 17-21 Front St.
Is Property Located in
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: Tenant Build out
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 Goldberg Brothers R.E. LLC
7 Rantoul St. Suite 1OOB
Address & Phone Beverly, MA 61915-4822 978)922-0800
Architect's Name H. H. Morant & Co. , inc.
P.O. Box 4485
Address & Phone 221 Wahington St. , Salem, MA 01970( 978) 744-5354
Mechanics Name Steven J. Goldberg
7 Rantoul St. , Suite 1OOB
Address & Phone Beverly, MA 01915-4822 (978 ) 922-0800
What is the purpose of building? Retail, Restaurant, Office
Material of building? Brick & Wood If a dwelling, for how many families? N/A
Will building conlorm to law? Yes Asbestos? No
Estimated cost 550.000.00 City License 8 N A state nse 8 CS065097
Barge Improvement
Lie. III
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
See attached plans Job #06-032 dated 11 May 2006 by
H. H. Morant & Co. , Inc.
MAIL PERMIT TO:
4A
No. G091-06
APPLICATION FOR
.(PERMIT TO
LOCATION
PERMIT GRANTED "
AP ROVFD `
INSPECTO OF BUILDINGS
i