96 SWAMPSCOTT RD - BUILDING INSPECTION (15) ��+s�s�,��.��.na�ov�fl $Y r� .
.IAIS�PFtJ.P� .P131L�A TP A_PEAMIT 9,�1NG GRANTED
� CITY OF SALEM
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Location of �� �,x �
Is Property Located in Yes_No� B�� �� �
the Historic Distrid7
Is Property Lxeted in
Ihe Conservetlon Area? Yes_No�1
I ' BUILDING PERMIT APPUCATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Poo ,
RepaidReplace, Other: 1�- M� �X�S�"ug S�.�b
pLEASE FlLL OUT LEGIBLY &COMPLETELY TO AVOID DELAYS IN PROCESSING .
TO THE INSPECTOR OF BUILDINGS: •
The undersigned hereby applies for a permit to build according to the following
spec'rfications: L
A Z� �f� � CU S DJ2M.l. CQO FI f
me G r�
pvmers Na
Address & Phone 3`�Z (�""`�' S� "�°(�`"' m`' c�sr � 3z�r yYzz
A�chitect's Name
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Address & Phone n� n^t� 78( 7!$ S6 93 (�) �!8
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T
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Mechanics Name � n'""' '-"'".`"
Address & Phone �'.� �ells v�ll��� /� C���"''l�H IGo3 � 887 8 z��
2o�cey5� , �Yti!"I
wnat�s me Purpose or baild�r�g� FocxQ ,
��o' ���� ���,�,4,{� � 5.��( ���f a dwelling,for how manY tamilies?�--
psbestos? °�J�
WIII buildng contorm to law7 � �- �.--�---
0 o c CftY license N N A State Ucense n I�( R OQ°!
Estlmated cost a� j
flo�e ImProve�ent I
�• �-- Signature of AFplicant '
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTiON OF WORK TO BE DONE
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\ � r�o 2�:^�oJ-e �Zovo S IA�O t
6 ne �NcQvs n�es ��L �LC �-�-�°V
MAIL PERMIT TO:
•�.
,
No. ��'�=o�
APPLICATION FOR
PERM�T TO
`"`�'p � U�o v '
t7 ��hcver� Sfcti ,1...�,. .
LOCATION �
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PERMIT�GRANTED
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A ROV�D `
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INSPECTOR F BUILDINGS
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� �Y .I �Ul�l[l� �C��S�����n�� ��� �
' james Doherry ,
I Specializing in cold srorage and food �
plant constmc[ion.
, 93 Wells Villa e Rd. off�(�03) ss�-szts .
, � g Cell (978)697-5148
Chesrer,NH 03036 F�(603) ss�-ssst
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_
,� . .h7are Con�ero�weotfAi'ojM�bwselb
Depart�t oflndt�idAaldaita
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aoo w.s���or
Bosrouy M,! 02111 �
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Worfcer�'Compensadon Insnrana A�davt� Bnfldaal'Contnctozs/Elcdridan�/Plumben _
Au�Bcant IntormattQt . . . Plaae Prfnt LeQlblv
Name • 3Fir�es ��1��,��4-� � :J�'v� coNs-(-����,o.il ��
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Are qo�u , . Ciee�tl�'. rfue 6azs' ;, . . _
l.� I am s emp�loyQ� :. ��� �s�eaaal om6�etor sod I �������
� eaqloyaet(fi�L mdlos pa�dme}' Lave Li�ed��Raelon 6. ❑New oomttaAba
2� I am a�ok pdoprie�or ar�mc- lis0ed m�e amc�ad�eet= �• ❑��i
sLip aod Ltve no empbYea 7�e aboontr�aoa bsve E. 0��dOa
wnrkEo��me i��opt cay�eity. ��aomp!. � .maowos 9: []�'ddi�ou
warkes' mrm�oa . s. 0 We am� " ,
[� �+�v.' �a�edie. • laC7Ebctricat . m
r�e�Y.� ,� . .:: offioas�iiye ese�,lio�9kir � addi�w
I' 3.� Ioms3omeow�.doiotall�t n�6tofde�ffq��etM(�. tl.[�PS�bioire�ns�addiaour
�I��'.�F aIS�,�I(#�ae�i�e8sve.ao 12QRoo�tepai�f
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' 'Auq�ppUc�mtcboebbmcYll�t�LofiYayS4[sc�bdoMawL��}.,p��ydkymb�mulor
I tllamwwa�s�'1a�mitmii�dav�iodfoflieRm�7fa�i+Awt�d�h�ij`ahid�oo�q��ort�ubait�a�w��vlt�weh
�Cmu�eion�lrtdretriirbaa�trde�d�ddRloedihert�howfi��te�sbf�w8:eo�ai�i�roAoa'em4P�7�. �
r.,..K.,�n+or..rk.rr.n�+�a�'�..�a„�,.,k.r...4.�r,-� �.�.�r�.�.u�.,w��,�e.,� .
a.l«..r1aa
tna�mnoe Comp�xama �bc,eEs T�s�,n�,�e Ae�ticU �i�c ����3�- 6 C3 3 - 8 o 73
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Policy N or Se1F6q.Lic.M: Expiration DaOe: 3 �Z ZJ��
I1oe Siu admac-G b S t,u��4 r�s�c5tt �Z�-Q ' (�h/g�: Sf� l es+� /h,�,
Altaei a eap�af the worten'eompeautlo�pole�dedar�pa�e(�awLt�P�7 vombx a�d e�iratio�date}
- Fa�re oo saara aovaa�e ar nquued unda Sccdoe 23A of MGL a 132 ea kad b�5e�poiidos ota�iaal penaltip of s
Hae up ao f 1,500.00 ad/ar onayar�pri�mem,s weD at civil pmauia a�e Lo�m ots S'POP WORR ORDER aod s 9ne
ot up to 5230.0o a day aga�t�e vtolabr. He adviead t6�t�a�py ofthif�atemeat mry be 6xwa�dad b tbe O�ce of
, Im�atiQationr aEtLe DU fa m�or�nce aovm�e vaihados.
I b lrarbi w�li.a1.P.as arn�Aala ofaw�wr rN.r Nl�e bja�►�n�dosO.wfJil.bon.b aw.�/e«rees
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r�one�: q�S �� -r - sryg
OB7eW�u a�l� D�eot wrkt l�tbtt iny ti bv towpldsl b�elqabw�o,�lcld
C7ry arTowu lvmWi.leenu M �
ibsl��Aathark�(etrde oee):
1.Board d HnNi i Buildlas Department 3.Cky/fow�Clerk I.Elatrlal in�pedor 3.Plambin�[nspector
6�OtLe►
co�a r�nod reo�rr.
.psx.v.l�.,trw�a..,>.,w•,�.n,'sMie«.a..r..w . . . . . _- ..µ.:+s� � .. �
Information and Instructions
.. �:�����: ..
��r.�.�iss*e�arn�ma�oo��p`�°�mom��r mr oo�a�ct�ra :
po�uaot so tfii�s�mte. ffi a"pl�y"'is d`6aod�t ..."rery paa� _ �
����'�al o�wntxa ' `
�Y.a�Y liW C�!IDO[0
M.�d����s �wte�P�������daoatadm4���° .
o[me�t � �a o�a]epl mit�e�P���0� ���0
caner of s dweIIiot6O°������0�aod w�o raida�s.��°����
�y�u�e ot�ootLa wm emP�!'�v�m n do m�t�R�or re�wak
cr aa tbe�a bnlldmf���1�0tboau�e ottse�anPlaYme��damed b be aa emP1oY��
1Kc�.ch�r 1s2,4��'1'°stata d�"e�7�de ar toed tlend�t�7'r'�"�Itl'Yali ti`Mwuce°r
to operiote�Mdw ar b oo�tr�d E�O V t!e tommw�al�fot W
�e�,a1 d a tleease ar p�k wil�tYe W�rua ea�ra�e ro9�»
�gq�t wYo Y�aet Prod�al a�°1'�dC0�0° � otil�polWcd ab��
/�d�tiaoaUy,M�.ebfP�13x 423��"Nei�a�e eammnona�al��oi�P�oce wi��a msara�e
ea�mlo mY ao�5ot Ibe pa�otA�lie wod�woul acuP�b1C
�pq�Ot1�C�9P�LiY0b0li�b�O�L�'� �
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� �ebo�a that appb�ti ya�riovadoa aod.if�
Pkaee BA:o!Q tLe aoilcen'eo��affidavit e�P�.bY�f �tLe'a cad9ca�e(�)°i
A s)n�{�b add�aKtl)au4 D�n�bat�)�s
���C�(I.�or Limioed 13�b�14Y Pamas�(1�-�•vid�m emPloYa�o�r t�a�a
���p�en,ara not ro4a�a��°�Y�•��°O0' Itas II..0 arI.1.Y doa htvs
He adviaad�rt�a�day#�Y��1D�e���°i 1�1�
emplayca,�Po�Y�iO4°II°a' Alto b0l����date the dRdavM. 1be a�dsvit sbaald
p�d 6r o�of imarana oovaa�a �l�e i�bemL ra�aate�.sot tLe Dep�of
be��o d►e citY o�tows lbat tLE aPPticatiom Ear�e paIDK b�p�s w��k�•
�tr;,iAoeidwa, snv�Y���°Y 4°��me law az dyaa ae re4�. ��th�
. �t the ma�b�t ps9�� SelFinared�om�
���p�acaII d�e D�!�� .
x���mmDa°°�e
pt�ar Tow�Ofedds .
p���re t�t the a�dsva'u camP������• The Dep��P�Od a spaa at t6e�
of the sPBdavit for Yw b fiD oat m the evmt tha OtHca of Im�eatigatiom lur to contxt Yon ���aa�l�nt
plesee be sure oo fill in the pamrt/licenae nambQ wmch w�7I be nsed a�a rc[erace�mbec.
tic�don�in aaY�'ea Y�.�0°lY��one at8davit iudicatini�
that mo�t mbmit��P��
. �nadat"Job Site Ad�ea"the�PP�s�°a�°���16 ��Y�
P��»��ea�a.vit�Re..b�a.o�Ar��l(►��bx�0�rarawam.ybepdwidedtotLe .
���{fl�t s ealid atBdsv@ i100�e Sor L�ara pqm�ar lieeme�.��ae�v a�davit�1tbe 811ed aat acb
�tioeme a pamit not rdsoed ao my���venmre
eae Wheie s home oanar�citixea i obLmioi n lete thi�affidsv9t
(ia a do�Noeate a�Pa�b bars lava eoe.)said pa�os'u NOT mlaaed oomD
would 1�7ce oo dudt Yaa a advaxc for your coopaation aod sLoald yoa bave anY 9a��
TLe OfBa oflavdti�Om u�a caH:
pkate do mt haibtle 10�
71e D�D�'��eu.ukPb°°��od fa nomba:
'Ihe Commonweaith of Massachnsetts
- Depuimeut of Industcial Accidenb
O�a� �� Inve�cdod
r WV �16LW��M J�
py,wa 1rlA VLlll
TeL #617-72?-4900 act 406 ot 1-877-MASSAFS
Fax#617-727-7749 �
Revis�d s-2�os www.mass.gov/dia
�
� GITY OR SALEM� MASSACNUS6TTS
PUBLIC PROPERTY D�pARTMBNT
120 WAiMINCTON STR[t7� 3R0 FIOOR
� QAItM� MAfiAGMUi�� 01970
iTANL[Y J. UtOVIC=, Jb T[L�►NONl: Y7b743-p399 l7R. 380
rrwro� Fe►x: 97e-7�OYA4O
�l111 BL�d1no IIl�s1'M..n!
Debrla]�SD�R9__ 1�i'p�i .
In accoidaace witlr che provisiona of MGL c40 S 54� a condition of your
Hnilding Permit ia that che debris nsulting from thia work shall be disposed
of in a proPerlY liceased solid waste disposal facility as defined by MGL
ChaPter III, S 150 A.
The debria will be disposed of in: �ec�ele�Q c�' A�Gne�,q-t-e.—�NcP�sd-n�e3
(I-ocation of Facility)
S ahue of Applicaat
3 �Z� �o�
Date
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vr �ra � "_'i'ro'-" _�'a,o""' ' �ra aa nr zro zra uo nc av na no mr xa aeo � mo ro »�.` Drawn by: WY
ams , �� Job No. 0519
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