12 POPE ST - BUILDING INSPECTION (2) What is the current use of the BuildingT it dwelling.how many unda7_
Material of Building? 40� p abesto,
Wilt theBuilding Conform0to L ?
Architect's Narnm
Address and Phone
Mechanic's Name
Address and Phone
Constructi«►Supe��Ucenae 0 C 5=Z HIC Registration S --.
of pYojed S a Permit Fee Calculation
Estimated Cost Estimated Cost X$11$1000 Residential
Permit Fee i / /D _ Estimated Cost X$1 US1000 Commercial--_
-. An Additional$5.00 is added as an
Administrative charge•
Make sure that all fields are properly
and isoby,written to avoid delays in Processing.
The undersigned do"hereby aPPy for a Building Permit to
build to the above stated
d�/�
speci}Icatlons. Signed under penalty of Penury
Date
I
N
Sa60.
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as
12,
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EITY`op-
PUBLIC PROPERTY
DEPARTNIFINT
K1.0WJ1"oRWA"
Nwras
130 WA& y �y„�r y �man st-M 01970
IVL 97&741999S•PAX 97L740.9{K
APPLICATION FOR THE REPA,i>R RENOVATrON Cn
DEIMO MO— . OR c V Roe P NSTItUCTI N.. .�..,,. vaa a tnwc�
STRUC`I'f�it OR . DINT R ANY EXI TIN
1.0 SITE INFORMATION
Location Name ,SgqcCcM /11 fT�s: euikting; A � y
Property addres
Property Is located In a:Conasrvatlon Gros YM 6 Historic Obtrid YM
FOWner
FORMATION
Pk � VOO 6 4f f1F� Pd'}$ 4S�/Cower <5 rArz-7'010_ 44 9 - Dc§G 3
3.0 COMPLETE THIS SECTION FOR WORK IN EXISILlip BUILDINGS ONLY
Addition Existing
Renovation
Number of Stories Renovated
Change in Use
New
Demolition
Existing
Approximate year of Area per floor s Construction or renovation Renovated
of existing buiiding New
Brief Description of Proposed Work:
kC�ca VA`
FV11L15 /4A/0 s¢56�
Mail Permit to:
CTTY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
tconratav nuaoott
xnra. u0.wsew-row stttsar a SALl1f,kL►ssaaas'r1r01970
Tau 97N454M a FAx 9Wet1.9deti
Worbn' Compearadan funnan AlSdavf t BWderWCo
Anolleant iafiarmatbt
Name C K. LEi it/n� I�G.
City/S Phone#. j2,f -
An yei u am~Me*Me appropryy be=
1 am a employer With Q 4. [31 am a tinned combs"and I
employees(!WI and/or part-time}e have hued the nobemtradota d Naw caustructim
2.❑ I w a sob proprietor or partner. Hand on the uWAW rhea,t 7. []Rwoda6ng
ship and have no employee, lbw subcontractors have t. E3 Demolition
working for me In any capacity. workers'cr*i nammom
(No warketa'campy insurance !. ❑ We am a earpaatim and its 9' ❑atudinsadditlm
3.❑ I ho eowner offices haw easeoLed their to-O m4etrieal repairs a addhioss
doing all work right of exemption Pa M43L 11.13 plumbiog repairs or additions
myubt(No workers'comp a 132.41N),and we have no 110"repair
inwmaaa required.]t CMDloYem(No works.' 19, t>�_!�1/n/�DG,/S
cat*Leo. ]
;AM wWb■nos dads boa at roe aim er en sloe smdw t.to.darly aohwrrYtia'
AaauavawarllaN6�(IltdralaboYmdpryaatOrMddya9aelYs/rbaau��� I7rna��ale�a
rC0•CameO dr drL't{ItIV bO{melf rlhrtW ra rddWealtdMtrbeV�dr Ol�r er*A rOt pr*rk NMWW eamp 9MM bdWMWdM
/aw de awPARYW tAW to provM&S wormers'co hunnwci/or ary ampleyees Baw fe ae def
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Insurance Company Name: CO .
Policy t+or Self-ins.Lie Ak W . e?677 papaw Date: of 07
Job Site Addreaa- /Z COPE City/SUM&7 . -J jA n j� t�?4. O1V70
Attach a copy of the worltan'eompenu es polky dechradon pate(skowlag the podey number and oq&adoa data)6
Failure to secuw coverage as required under geodes 25A of MOL c. 152 can lead to the imposition of crimiad penalties ate
fine up to!1,300.00 arwar one-year imprisonment a weU u civilperultia in the form of a STOP WORK ORDER and a Rne
of up to><250.00 a day against the violator, Be advised that a copy of this statemen may be forwarded to the 0t1Iu of
lnvcstill1dons of the DIA for insursma coverage verifiatioe.
f do barebp cadA andar slot prima andpan (Perjury tbmsloe la/orswdomOroy/di!above 4 are awl eorrrei
D
Phone A, ate
3 j O7
C'EY� cnP 7-r6 7234
00cid use oxIA De not write le/tilt area,to be eomplated by clop or toner oQ$lel,
City or rows: Permivuenu N
Issuing Authority(circle one):
L Board of Htdth L Building Department 1.CityfTow■Clerk 4. Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone N
Q
LEWIN INC.
June 16, 2006
Alexandra M. Dailey
Asset Management
Preservation of Affordable Housing
40 Court Street, Suite 650
Boston, MA 02108
RE: Salem Heights Apartments
12 Pope Street
Salem, MA 01970
E. R. Lewin, Inc. is pleased to quote the following:
Furnish and Install E. R. Lewin, Inc. Series 9050 Bronze baked enamel thermal barrier
aluminum Sliding windows (HS-050)glazed 7/8" Low-E insulated glass, half screens,
interior snap trim, and panning.
18 42" x 48"
76 48"x 48"
566 72" x 48"
38 84" x 48"
132 96" x 48"
38 108" x 48"XOX '
131 108" x 60"XOX
999 Openings
Material Cost $ 480,048.00
Delivery $ 1.250.00
$ 481,298.00
Sales Tax $ 24,064.90
Labor $ 349,650.00
Grand Total $ 855,012.90
Please do not hesitate to get in touch with us if you have any questions.
Eric R. Lewin
c
CITY OF SALEM
PUBLIC PROPRERTY
: DEPARTMENT
\1J.1 CAR 120 WASI IN iON S.'REET •SALFV.1fAti.lCtll. L FiS 0:9/C
'rn:978-745-9595 • F.+x:978-740-9M
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 780 CNIR section 111.5
Debris, and the provisions ofvlGL c 40, S 54;
Building Permit# _._ — is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c
111, S 150A.
The debris will be transported by:
E4
—�-- [name of hauler)
The debris will be disposed of in
lname of facility)
Z,f Gls6f�nGlr ve WA1q, 04 .
1:111u(Cll Ol IAl allyf
v_r.a re407
of pcnr.i[appiicunt
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