Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
9 SYLVAN ST - BUILDING INSPECTION
� ,l I . � , , • • ��l���� �V� 8Y T� Jp{�,�'�p,�1 py1pH 7D A.PF.H6eIT BEwR GRANTED � CITY OF SALEM rw. 9 -ad \ °� `� r �... �� . ,, � � ,. . \. ������„ ,/ i.00ation of tlw MUetori�W�t4 Yos Np " �"�� s(• I!J '�'1 b P�o�paAr Localad In 1/ ���� ;� th�Camwr9tl0�A�w? i(Ys_NO— BUILDING PERMIT APPUCATION FOR: Permit to: (Ckcle whichever apply) Roof, Reroof, In iding, Con truct Dedc, Shed, Pool. � RepaidReplace Other: . , Co�, y�-,�n � � e✓e �P�1e�+h PLEASE ALL OUT LEGI6LY 6 COMPLETELY TO AVOID DELAYS W PROCESSING TO THE�INSPECTOR OF BUILDIN�S: The undersipned hereby applfes for a permit to build according a the folbwing ��� ' � 0rmera Neme m �C C�� e ...� Address 8 Phone � V S-t2�E �1��Y ���� COnk�Neme � ��� A Addre�s 8� Phone �.� � ��- �11� � � w'l1� 1� 1 � ' `�i �c I� Mechanics Name Address 8 Phone � � I wr��aw�a a,uairp� ReS� �en �1-�0..\ �wW a a�rq� �l�D c�� n a dw.wrq,tor how meny lamitlos7 wW ouNd�np aonam a I�w9=� �? ewrna��a oon� �(o� ca�r uc�rw r N �` �—s�ato-ki �1 � y'� I,� a� ���� -Z!(1 � . '�1�� �� �� � Sl�neture Of AppliCerlt SKitdED UNDER THE PENALTY OF PERJURY DESCff11PT10N OF WORK TO BE DONE �' �� � � MAII PERMIT TO: 0' '� � � � p �l� , �UK 1 l�l 1 - 1 ►-45 � � -� ea .,. NO. ��/`4� APPUCATION FOR PERII/6T TO . �� P�� . �, . �oc�►,�, �, . 9 sN ��.� �� . � � PERMIT GRANTED 2d D �PAov�u . oA oF r�s . . . , � � . . . � , J i � l Apr 12 O6 01:24p DPCD 9787�0�4 P� Hyf 1 1 UO VL.iU�J y..i C OF S.�..Er�t 3 .:� B DEPART T OF PI.ANNING ��1D COi�11�ZIJ_ ITY DEVELOPN�NT IJ.116EIULY DRLS�OU. 1':D WASFIb�fGl' $ItEET�$hikJ11,�(.SSiif}RYTIS�17T0 Mnron 7a g� aa5-ss�s.Fns 97a.7ao-o�w+ iANNCi00N1%DI;NCAv,.lIC:P � - D�rtec[oR HOUSINGREHABILITATI LOANPR4GRAM ITEMIZED B FORM Propeny: 9 svt�en screee 1'I'E1�1 PRICB E7.ECfRICAL REPAIRS F�RR � � ( 'W 1• CODECOMPLiANCB ��� S13.iq BEAM�FOUNDAT1Qa1 aErane,w�rmow asri.ncFm�rr,sm�nvc, � �� 2 FINISFQ+S.CARPENTBY � GSN6RA1.FJCTFdtIOR �j L!JW •OtJ 3. _ CARPFliTRY&BEPAIRS ^�� �(�/�} (f 3.1 BECKALTf1tNAT8 � �lS� ST�F � L-`"�"�" "' O . � . T'ke Conu�to�x�o[t�oJM�uocbt�setts Dcpar�of Ind�sb�f�iAa�tdarb �,�ta al�iu . , 60o w.��sma ` Ba�toR,MA 0?]ll ww�wm�n✓�Ii Worke�s'Compensado�Insarma A�davt�Bddenl�Contndor�/Elcdrldan�/Ptambera A H • • • pl N� d ` _ � +- � � l�C A�: : l� 11�1 � . �►�R� - � �..���: p- �� xl - 1�.�� --�3�0 ;�,�,,�. :. - . ' (g I am a employQ�� � � Q�a�aaal aatraetor md I Q N� em41oyaa(�md/arpait'd�e}� bave�i�raike�ltaubn 2 0 I am a wk pioprie�or ar ptaur� 1b1ea a�th�aauiei�Yeet= 7• [�L� s3i�aod hnre m employee� ��ae mbmntraaoa M�e !. ❑Demo� w�od�Tm��me b�t e�ci9F �►'oomv.m�sce� y. C]�� �x,.��oam,D,mauao, s. p we ane��POA�:'me ib� . .. o%��iaqe �'.` �" �jr 10.Q F.leclrirai�rts or addi0amt 3.� I�}.bomeoovaQAointaQwodt �tol "���11�(R:' 11.QPbmbbeirq�aoscrad� my�e�I��rodra�'.aomp. a I3�il(� ae�:i�e�ave:np ��Q�,� ��*' . , ��,.,.- "r . 13.CI��Oms�e�l1(9� •Asy.ppue.d trr ar�emc i�m�s.Lo fi�a}Sg1[•ata.bdor rovh�A�k. „�,,,N„ mi�r � f 1lomio�wes w�olmk mY�v1t iqlo!IYR�1I w dde{�ra�t�d A��q�a�aa�a�NoitN➢o�itwLmlt�w�dt�met �Ca�tr�em�lAristAbbui'iwt��dd8ioed�rt�ho�d v�s hfekiao�oln�/�i�w�p•�q,����etuAla�. r...r"��irr�•r��s+�►r�,'�«�.r�a�a�►.4a.�r�rs a�.�rdr�q���ar �/� i ���,x,� �1� �'t�f�L �11S . � , � roticy r or s�uiro.tia�:�UJCI�►b�-I��DD(2005 I 2(X'k.Q E�phatton naoaAl(�—5 (3 aD =113I Ul �t,s�e aaan,ar � `'JU��l fl..�l S� ' c�r��:c ' � C�'�Q Attaei.aap�of tAe warten►eompa,.tlo�patl�aeel.ntlo.wa w�t�v�7■•mba a.a e�lraao.a.te} Fai7me oo aaafe aovaa�e�reqart�ed mdc�Oa 23A ofMGL a 132 cm lad b ms�paiefoa ofaimmal peoaltia of s 6ne uO oo Y1.JOQ00 ad/ar oaayar�p�noomem,�weII u civit pmaldp im�e fmm ota S'I�WORiC ORDER and a Sne of uP w f230.00�dry��amit me vioimor. He advised�at�oopy ofthL�xm�mry be&uaa�dei b�e Office ot Invad�adonf�tho DU fa�ar�a oova�e vaiAatios. I J�liarbl dY�tJire bfan�rlos provilsl�bow b inn a�/un+ses S� 1 �� � �� � v ( -�?��' - �-I'3�i� o,dlew u+.o�l� a nar wrLri a,Ab.n:e,a bv cowp�il y�d�.:ar►w e,QJeld CIl�or To�ns lermMlLaau� I��f Aatlorit�(drde oee)s 1.Bwrd ot Healt! t HuU�a4 Deputmesl 3.Ckyll'ow�Qerk I.Etatrleal in�pedor 3.?IamDln�Impector 6.Other Coetad lenoss �ya�� I Information and Instructions ... ._ _ _ ..._ �„a�.����. ��ai Lsa���ss nqaa��n ea�a�p��� �,�q,oonnact at�. is ddmed s'...every D��i�s ravioe qt,mo�fia r�to I�t sfsmte. aO�wp�J� ,. �����a1 or artitoea . � ���yqr two or mot� ����g��s�a mdtvid�P��B°b°°fp°oti°i�°r��aopioYaG ar tbe � ��y�d i�i joi�tamRs0.�mcmdmt�1��• HoMavq tDt raoeiva ar nmtee of m�V��'�a o�r l�pl em�4�P��bYe01' �ad w�lo taidea���m�L dar�►it,,.,,r o�vncr of a dwe�ot���°�°D�mae thn tbree� boase ��t OtL�ihQ Wb0���n��Of fOt�tl�bymE��O QOEp10d b bC S E��7�� QOtIbC�a��� ' M(�,�ar ls�,42sc(�ai�a�s m�'eva'�e ar�oa�ee�d�it�9�"kWoY H`in"�°e°r reacwai d�IleeaK or P�mlt t�°prrat°a b�dw�°r b ca�M�d�b ��.. �ppMq�t wfe�ut P��� �m[aip►oti11 puNdc�l ab��� /�imoatly.M4.eA�P�13�4�� of Ne wo�mtd�oeePmble cd�'�ot°°mP�'"'��e imarrnoe I e�mto mY��t6e pa� P� . �q�remmti of th��P�bsve baea�d tsa am�ac�f_�•� : . . •;. , _ - . � �he wodcen'oo�p�'tIId'v�t°o�ople0�'bY�j��wi��cadAc�m(��a�•� Plea�e 84, ... ��)n�(��add�(a)a�¢P� wim no emPbYea od�t�a me �� 1,�'uoa'�ed 1,iab�Y���°�LimiOed�.�bi7'�Y P�m�s�P�(�'�'� ��p��,ate not ro�ti���°�°�°� �papartiomt IndotMal empl�ayea.�Po1�Y�!0q°II0a' ���� ����dp ud date tis a�davlR 13e a�d�vit sLaaid ���s�madm of im�aua�m'aa�e. a Neeo�e i�bemt�aq�.�the Depatmeat oi or toovs�hat�e aPPI��Sar me pam�t � ���. Sn9ald y�os Lsve mY 4���a laa at�[yoa mo nqaaad b�b����ea�es d�dr �y�y�q plora caII�e D��tbe nmiba p�ed below. Se1[mnned comp� � selFinar�ooa Nom�e n°°�C°�me lioa pbr ar Tow�Ofed�M , -, ����D��,eQ��t the botBom p�be ame tmt d►e a@idsvit i�oo�P�O wd printod 1epb1Y• licat of tLe affidavit fa Yoa n IDI oat in the aat the O�ce of Iavesdgition�}�to contact yoa����� pkafe be sce�o�is tbe pamrt/�C��w�h w�71 be nsed ai s refaace mmber• �� that�rt sabadt multiPk p�� �m mY�'e�Yar.rad on1Y aubmrt one ai5dsvu indicat�i PoN�Y�(if nece�Y)���Job SiOe Ad�"�°matt�ed the city�bwm��D�'�0d 10� � town)"A ooPY o�me��'���b�ea o8(d��t�d ai Q��-A ne�v a�dav��ftbe�lfed oot aeti �gp��y�{�t s valid at�31 an Sh 6ar itimae pamw a oommac�ai vmmre es.Wheie���'°�ar dt(�ea's ob�oioL��apamu mc rdaood.to mY b� y b bma tava ex.)said paros i�NO'f n4aa�ed ti oomP��s�davic (s.a a dos�a pa� Tbe O@Soa otlavati� would lil�a to�lc Yoo a advaoce far your coopaatios wd shonld yoa have anY 4�� pkue do mt haitile 1�iiva as i qLL 1'he DePuUmeat'f addresr.telephonc aod ta mmbQ 'I7ie Commonwealth of Massachusetts Dep�of Industi'i�l�►ccidenb O�ae�Inve�itlon� 600 Waghingtou Strat I goston,MA 02111 TeL #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 . Revisod s-26os www.mass.govldia , I C�T1I �R 3ALtM� MASSACN�JSiTT! I PUSLIC PROPlRTY DtpARTM[NT tzo w�swiNaroN sr��n. a�e ►woR lw�sM. MnssKNus�� 01970 T�l[►NONt: i7►74l-Gsy! �. 3A0 wAR: �7�-71OiW� 3allm BIL��e�11s.....��-- Debels Disn � tr�.... � �O�ce with tue provisiom of MGL c4p 3 34, a condition of yous Hnilding P�mit is that du debria resultlag from this worl� s6all be disposed of in a properiy licensed solid waste dispc�sal facility as de�ned by MGL Chapter IQ S 130 A. The debria will be disposed of in: � ' (I,ocadon of Facility) � , � Signatun of Applicant SII � ��P Date