18 SILVER ST - BUILDING INSPECTION What is the current use of the Buil Ing?
Material of Building? If dwelling.how many units?--. —
WIN the Building Conform to Law? �A,5 Asbestos?
Q�l
Architeds Name
Address and Phone
Mechanles Name
Address and Phone
Construction Supervisors License S HIC Registration S
Estimated Coat of Projed S. =EWmated
=60dX
PermR FeeS1000 Residential
Estimated cost S 1/S1o0o Commercial---
An Additional$5.00 is added as an
Administrative charge.
Make sure that all fleids are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the ab stated
specifications. Signed under penalty of perjury
Date U
�I
o
N
'1
1 8
� D
- 4
CITY OF SALEM
' I PUBLIC PROPRERTY
DEPARTMENT
MAWK 9 y I10 •SALL:M.MAS.iACLit ilati]191.
TFL:978.7454595 #1:.%X:979-74G9M
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 730 CMR section 111.5
Debris,and the provisions of MGL c 40, S 54;
Building Permit k _ __ 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
1 11,S 1.50A.
The debris will be transported by:
� I dame�f hauler)
\ Fhe debris will be disposed of in
(name o t facility)
t ad!res. o(tueiLly) .
_. �i_Calu[C ql,k[tlllt.il7j),tCa:4 —____
CITY OF SALEM
PUBLIC PROPERTY
DEPARTMENT
Mnroa
130 WASUNGTON S RM•c.LEK MAUnaHcser S 01970
7ki 978-73S-9S9S* FAX;97&740.9&M
HOMEOWNER LICENSE EXEMPTION
Please Print
Date
Job Location
Home Owner Address r�9�
Homeowner Telephone
Present Mailing Address x p
The current exemption of"Homeowners"was extended to include owner-occupied
dwellings of two Units or less and to allow such homeowners to engage an individual for
hire who,does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on
which there is,or is intended to be, a one or two family dwelling, attached or detached
structures accessory to such use and/or farm structures. A person who constructs more
than one home in a two year period shall not be considered a homeowner. Such
"homeownee'shall submit to the Building Official,on a form acceptable to the Building
Official, that he/she be responsible for all such work performed under the Building
Permit.
The undersigned"homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedur and requirements.
HOMEOWNERS SIGNATUTRE
APPROVAL OF BUILDING IN ECTOR
See other side for state code
Crrrop-3ALEiM
PUBLIC PROPERTY
DEPARTNI&NT
Nwwe 1�WwssutwT[x�MM•&MAM% G&ACKShT1s01270
APPLICATION FOR THE REPAIR RENOVATION CONSTRUCTION
DEMOLITION, OR CHANGE OF USE OR OCCUPA�iCY FOR ANY EXISTING
STRUCTURE OR BUILDIN .
1.0 SITE INFORWTION
Location Name ?O„ Yv\ Building:
--_- Property Address —1
Property Is located in a;Conservation Area Y/N Historic District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: G
Address
1 ,%- s 11,. � S JA" _
Telephone: 4 1 rc I
3.0 COMPLETE THIS SECTION FOR WORK IN EXIMING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor(sf) Renovated
construction or renovation
of existing building New
Bdef Description of Proposed Work: \
�a pa�c�
Mail Permit to: