The URL can be used to link to this page

6 SOUTHWICK ST - BUILDING INSPECTION (2) What is the c uront use ofBuirdu+0't d how rtjaMl matelot d euww W`— o°4 — ? — UPS _ - �� W&the 9ukW*Cgdwm to Led?�— Amhbad's Name l t AddrNa sod Phony Mae AWS Now Address and ~ — HIC Reglatra0on d Canso&gwvisors License erase aY �r,ladon a n a oo PMrr�FM C—_- Esg�lad Cost ofProjaat Esttinama Cost X i7/i1000 RaslderMisl Permit Fee 0 Estlmaftd Cost X Si 1/i1000 Canrnerdal An Add k"i6.00 is added as an AdnWdmdve dwgs If r y O Make an that so 0elds an proP«b and Go*w~to avoid dekiys in procOSSIV'a The undmignad dam herby appy for a euudbi Permit to build to the above stated signed under Penalty Ofu psf " u�uQ s ate Ce t 107 w � I e N g a © n L �1 i -� CITY OF SALEM 1i ► PUBLIC PROPRERTY DEPARTMENT ",G.\I CF N LCl'!`BilCUl1. \L�YCK 120 WAS)IT%*('JNSTREET ♦SAL1:M.NIASN'.lCttlSL l-15019/C Tut:97&74 -9595 . rA-X:979a4G9846 Construction Debris Disposal affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MIGL 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 1.50A. The debris will be transported by: r� (name of hauler) The debris will be disposed of in : 01ame of facility) -- .� urc of permit app,icunt ---- ,:ate ----- CITY OF S.kLEM PUBLIC PROPERTY DEPARTMENT KI?mEtlbY DRLS1:011 . MAYOR 130 WADdNC-MN STM1'T 0 S+EK MASAOHl:56r13 01970 TM.978.73S-9S9S*FAx:976.740.9&4 HOMEOWNER LICENSE EXEIMMON Please Priest Date�rcL Job Location G 5o L,f t .A. .. Home Owner Address G S o v f A •,, Home Owner Telephone 9 7S -.3 9 s= ,96 9 Present Mailing Address a.� 9oar f A L p Sakix 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 dwellin& 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 "homeowner"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 procedures and requirements. HOMEOWNI ERS SIGNATURE _ - M.n /e�tsw1 APPROVAL OF BUILDING LNSPECTOR See other side for state code .ram v� ya u+L"V& PUBLIC PROPERTY DEPARTIN NT D • �.e�INFORMAnoN . LLocadon Name _ . Properly Addreac- - lv SnuI-lua ,e� S-f- SafPm , n1A A"wily le bested>n e;Cawrvvdon Ars@ Y/N Af _hllslorle L M =YM_N 1e OWNERSHIP INFORMATION zt awe..a ,n ts Mama: Addreae: Tebphone; 3.0 COMPLETE THIS SECTION FOR WORK IN EYlSIIlIp BUILDINGS ONLY Addldw — fadstinp Renovation � m roe Number of Stories Renovated Change in Use — New Dom oG$on — Existing Approximate year of Area per Aoor(so Renovated construction or renovation /75g Of existing buildup New arfmi 0escription of Proposed Work: Reitcua-/lov PXrS-lL„uf 10'04PAJ - - Mail Permit to: -