18 THORNDIKE ST - DEMO SINGLE FAM & GARAGE CITY OF SAL.EM u
�' � ` PUBLIC PROPERTY
't; �`' —
� �4� DEPARTMENT ,c� � X��
h1�NERI.EV DRIS(:UI!- . . < �� �
�IAYOR �?O WASHINGTON S'1'RF.EI� SALLiM,�SAiSACHUS6l1S OI��O
- 'I'FL 978-745-9595 � F,v(:97&7�{0}9&i6
APPLICATION FOR THE REPAIR RENOVATION, CONSTRUCTION,
DEMOLITION OR CHANGE OF USE OR OCCUPANCY� FOR ANY EXISTING
STRUCTURE OR BUILDING I
1.0 SITE INFORMATION _ ��
Location Name: Buitding:
Property Address: �y � � •� ��t I
I E �ryr'h 1 G
Property is located in a; Conservation Area Y/N Historic District Y/N I
, . i
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land ✓
Name: S t4nnQ -__�le�n nC -
Address: �! Ctj /��ns s�¢7 (�ir'rL'i GL.
!��
Telephone: ']�l sy Z.b
3.0 COMPLETE THIS SECTION FOR WORK IN EXI�LMG BUILDINGS ONLY
Addition
Existing /
Renovation Number of Stories Renovated
Change in Use New
Demolition �C Existing p�S�f'
Approximate year of � /�3� Area per floor (s� Renovated
construction or renovation
of existing building New
BriPf Description of Proposed Work: /
,1�M—a�� SL� � ILMt�v� ($�-Qf'�J l.Jboia� �,tM�G � 6�'/ri�L,�
�1`��oi" pCir'�e � SIC�.kj`J
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l u �S ro er5 �„S�r'�/ ��7vn Cp. .�,nC .
d�: Mail Permit to: � "S S/�'"eGL� /= L A C�/ �jOo�
�` C�'v�l �t G�' c1 yo
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What is the current use of the B ilding? `�GGI;I.. t � M�� Gbn'{^<iC�T,s -r't�r��
� W(�G� �'!c/L If dweilin y � q `J
Material of Building. g, how man units?
Will the Building Conform to Law?�ll�A Asbestos? N O
ArchitecYs Name ��a
Address and Phone /� � ) � �
Mechanic's Name �J-k �� 5 K��s�'-� ��S'7�• C..� Z�nL C7(��
• S � TG+-r �, �/A b/SC�z S�S'SG77
Address and Phone 3 �� �
I � �/�js.c �� n �
Construction Supervisors License# �9.� � HIC Registration# � �
Estimated Cost/o/f Project $� bb0 � Pertnk Fee Calculation
Permit Fee $ 7q � Estimated Cost X$7/$1000 Residential
Estimated Cost X$11/$1000 Commercial
An Additional $5.00 is added as an
` �Administretive charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Per 't to uild to e ab e sta d
�
; , ' � . •
specifications. Signed under penalty of.perjury �
Date 7 S O 6 `
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��°: y CITY OF SALEM
�
�`' PUBLIC PROPERT'Y
;�, �
�'`�'Jr DEPARTti1ENT
"�„�
KI�IklERLEY DRISCOLL
MAYOR 12O WASHINGTON SIREET � $AIF�1,MASSACHOSETIS 01970
- "C�978-745-9595 � Fns:978-740-9846
�L'orkers' Compensation Insurvr,cx Affidavit: 6uilderslGontractorslElectricians/Plumbers
4 � licant Information __ Please Print Le�iblv
�18(Tlz (Busi�x:sslOrennizationAndividuul):
DeIulis Brothers Construction Co. , Inc.
. . . . . ___. _ . __. ._- __._ . .- -- ... . . . _ . _. _. _ . .. ._ . . .
,Address 31 Collins Street Terrace
City/S[atciZip: Lynn, MA 01902 l'hone N: 781-595-8677
:\re�•ou�n employer'.' Check the rppropriate box: . 'fype uf prnject(reryuireJ):
. I 1,�X 1 am u cmpluyer with 20-30 4. Q 1 am a general conlractor and L � ��ew construction
zmptoyces(Cull anellur puro-time).' have hireS thc sub-contractors � � gemodeling
2.Q 1 am a>ole proprietor or partnCr- lisced un the�ttached sheet.�
ship and have no employccs These sub-contrac[ors have 8. Qx Demoliuon
working for me in any capxciry. �vorkers' eomp. insurance. 9, � Building addition
(No workers' cump. insurance >� 0 We are a corpora[ion and its 10.❑ Electrical repairs or additions
rcquired.] ot7icers have exercised their
ri c of exem tion er MGL� �1.�Plumbing rcpairs or additions
3.Q I am a ho�neuwner�oing all work � P p
inyself.[No workers' co�np. c• 152,§l(4),and we have no �2,�RooFn:pairs
insurance requirzd.]1 employees. [No workeri �g.0 p�her
comp. insurance rcquired.]
•�1ny opplicanl thu[chccks boX'il must also lill uut Ihe veaian bcloW ihowiny+Iheir workr.n compenu�ion puiicy infmmation
`i�Wmeuw'u:rs who su6mil IAis affSda�i�indiuung Ih�y a¢doing utl woh and�hrn hin;wtside mNmnon muec submi�s nmv a1G�Li�I���dieatm6"°�h.
�Cnmmar>n�lu:t ehcck this boz must anxF.eJ�n addiiiunal shee�showiny�he namc ohlu:sub<ontru7ors and�heir wurke's'comp.p�ilicy informariun.
!um un ¢ntptay¢r tlra!is pruviding>vurkers'ron,pensntion insur:tttce for my employees. Belnsv is tlie pa/icy unJ jab site
injonim7iun .
InwranceC�mpanyVame: �erican Home Assurance Co.
WC8933972 Expiration Dact: O1/O1/2007
� Policv �ur Self-in5.LiC. �%: ----- � .
lob Si[e Addre.is:
18 Thorndike Street City/State/Zip: Salem, MA 01970
.�tcach u copy o(Ilie workers' compcnsation policy declaralion page(s6owing the policy number and expirutiun d•rte).
I�ailure tu sccum coverage as required under Scclion 2SA of�1GL c. 152 can lead to the imposition of criminal penalties of a
tine up co 51,500.00 and/or one-year impriso�.mene, as wcll x,civil �;nal�ics in the form of a STUP�VORK U2DER and a fine
of up co S'_�O.UO a day fl$�IDS[IIlC VIJIH[OL RC�(iVl.�f:(I(V7�I 1 CO�y UF llllY]IBCCIIICIII Rl:ly UC IOLW�f(JCf�l0 lI1C OIIICd Jt
In�'tsii�aiiuns�t'�h� DIA for insura�ue coverage vuilication.
!d�herrhy ccrtify w�de�the pnins ui�J prnulties uf perjury lhat�he Lijonautran pruvided ubove is trrre u�u!correct.
� ' Date. 7/5/06
Si iaiu�z ��z....� .�� s � �. -
ph„�:� ; 781-595-8677
Ojficiul�u'e u�dy. no�mt�vrite in rl�is�reu,to be cou�p/eteJ by crry or�o�vn aJ'JiciuL
City or To�rn: . _._ Pcrmidl.icense� -- .-----._ _. . . _
Issuing Au�hority (circic onc):
1. lioard uC Ileaith 2. I3uilding Dcpartmcnt J. Ciq•/fonn Clerk �.Llectrir.tl Inspector 5. Plumbing Inspector
G. Olher —
Cunlact Person: - -.-- .-- Phonc#:
ACORD CERTIFICATE OF LIABILITY INSURANCE °"'E,MM,°°""">
O1/11/2006
PRODUCER �g�g�887_4900 FAx (978)887-2404 THIS CERTIFICATE IS IS5UED AS A MATTER OF INFORMATION
Edward F. Sennott ,Insurance Agency, Inc. ONLY�AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
� 16 South Main Street �ALTER THE COVERAGE AFFORDED BY THE POIICIES BELOW.
P. 0. Box 457
Topsfield, MA 01983 � INSURERSAFFORDINGCOVERAGE NAIC #
INSURED DeIulis Brothers Construction Co. , IIIC. . � INSURERA �/�'�ddla� II1511PdfICO 31325
31 Collins St Terrace iNsuRERe: American Home Assurance Co
Lynn, MA 01902-2 20 5 iNsuaER.c
� . - INSUREft�D: � . �
� � � � INSURER E � . � �
COVERAGES � � - - �
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINi .�
ANY RE�UIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH.RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POIICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR DO' TypE OF INSURANGE POLICY NUMBER POLICY EFFECTIVE POIICV EXPIRATION LIMITS
LTR NSR DATE MM/DD/YY DATE MM/DD/YY
-——-GENERAL-LIABILITV----- ---�---EPA-13O127G L S--O7�OZ�ZOO S- -O7�OZ�ZOOG-'�`CH OCGURRENCE--�- --$---1��OOO�OO
X COMMERCIALGENERALLIABILITV PREMISES EaEoccurence $ ZSO�OO
CLAIMS MADE O OCCUR MED E%P(My one person) $ S�OO
A PERSONAL 8 AOV INJURY $ 1�OOO�OO
GENERAL AGGREGATE $ Z�QOO�OO
GEN'L AGGREGATE LIMIT APPUES PER: PRODUCTS-COMP/OP AGG $ Z�OOO�OO
POLICV PR� LOC
JECT
AUTOMOBILELIABILITV MAA1301277 ZM1 O7�OZ�ZOOS O7�OZ�ZOOG GOM8INEDSINGLELIMIT $
ANY AUTO � (Ea acciden�) 1'000'00
ALLOWNEDAUTOS BODILV INJURY
X SCHEDULEDAUTOS (Perperson) $
A X HIREDAUTOS BODILVINJURY
J( NON-0WNEDAUTOS (Peraccitlent) $
PROPERTV DAMAGE $
(Peraccitlent)
GARAGELIABIIJTV AUTOONLV-EAACCIDENT $
ANVAUTO OTHERTHAN �ACC $
AUTO ONLV: qGG $
EXCESS/UMBRELLALIAHILITY CUAI3OZZ7S-ZM1 O7�OZ�ZOOS O7�OI�ZOOG EACHOCCURRENCE $ ZO�OOO�OOO
X OCCUR ❑ CLAIMSMADE AGGREGATE $ ZO�OOO�OO
A $
DEDUCTIBLE S
RETENTION $ S
WORKERSCOMPENSATIONAND WC8933972 OZ�OZ�ZOOG OI�OL�ZOO7 TORYLIMITS ER
EMPLOYERS'LIABILITV -
B ANV PROPRIETOFLPARTNER/EXECUTNE E.L.EACH ACCIDENT $ 1�OOO�OO
OFFICER/MEMBER EXCLUDE�? E.L.DISEASE-EA EMPLOVE $ 1�OOO�OO
If yes,tlescribe untler
SPECIAL PROVISIONS beiow E.L.DISEASE-POLICY LIMIT $ I�OOO�OO
OTHER
DESCRIPTION OF OPERATION51 LOGATIONS I VEHICLE51 EXCLUSIONS ADDED BY ENOORSEMENT/SPECIAL PROVISIONS �
CERTIFICATE HOLDER CANCELLATION
SHOf1LD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE iHE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
C7 Ly of Sal em ��DAVS WRITTEN NOTICE TO 7HE CERTIFICATE MOlOER NAMED TO THE LEFT,
Bui 1 di ng -Dept BUT FAILURE TO MAIL SUCH NOTIGE SMALL IMPOSE NO OBLIGATION OR LIABILITY
120 Washi ngton SC Oi ANV KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
Sal em, MA 01970 AUTHORIZEO REPRESENTATIVE
Peter Sennott/LA � `�
ACORD 25(200'l/08) OO ACORD CORPORATION 7988
IMPORTANT.
If the certificate holder is an�ADDITIONAL INSURED,the policy(ies) must be endorsed.A�statement . � - � �
on Ihis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s). �
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between �
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
� affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2001I08)
�<°� CIT'Y OF SALEM
�
,�a g �� , ,,�' i PUBLIC PROPERTY
���``��" DEPARTMENT
��
KI�QlEALEY DR15C0[.L
MAYOR 7 QO WASHING"CON$'IREET� SAli.bl,A1ASSdCFICSET6 O7�70
- '1�[.:978-745-9595 � F.�x:978-740-9846 �
. . . _ .____ _.— _ ________ _ . _ . . __. ---_—__—_ __._
. _ . ... ..__—___._- _-_. -____._ _ __ _
Construction Debris Uisposal Affidavit
(require�i for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 7S0 CMR section l 11.5
Debris, and the provisions of MGL c 40, S 54;
Building Yerm.it # is issued with the condition that the debris resulting from
this work shall be disposed oT in a pro.perly licensed waste disposal facility as defined by MGL c
111, S 150A.
The debris will be transported by:
Northside Carting Inc. —
(name of hauler)
"Che debris will be disposed of in :
Northside Carting, Inc. .
(nsme ot tacility)
12 Swampscott Road, Salem, MA 01970
(address of facility)
� � �� � ��
signature of permit applicant
7/5/06
date
,IebriialEdac ' .
06/26/?006 10: 09 7813885241 NAT GRID ENGINEERING PAGE 01
n�tiona[grit�
Fax
'�'o• ,�CA..k T , C� � i ) i5
k'aY #: ���= �J-9 3� _l.�S_ _
��.a�: �� ��� ����� Maldext Bn�eering .
Phone#: '�"l�\-�i�`c 5Z='CJ�-� a
�ate. �o l�14-� � z`�;�,
Sub,j ect: �2.'MO V i` c7�� �Y V I C��.�._�-E'�' '_ 1�? 2��Ln C��� ����Q1M
Pages �tcluding Cover Sb�eet: a- .
ComrraenL�:
�"itls!s a conf3derzliu!Luoir�ess�ocmi:nst, mid:hc psoparej�ofNafre�al Grid . 17�.Medfoid StiCC[ �
Ifyou do not receive al1 pc�es,�or�if there nre problenes,with this trnnsmissioa, ,Malden,MA.02148
� please ca71 thenumberprovlrled abave.. . . Fsx:781388-524J, .
06/26'/2006 10:09 7613885241 NAT GRID ENGINEERING PAGE 02
nationalgric!
Robert c:.(�entlfaNe
Division Opel'atlon5-SuppoR SupeNI50r
-- -7une26,_2006-- ----- -- --- _ _ . --_ --- _ — I
Mr. Patrick beIulis
Pasquanna Dcvelopers,Inc.
31 Collins Strcet Tcrr.
Lynn, MA 01902
Rc: Removal o£elecl.rival scrvice f�r dcmolition
Dear Mr.DeIulis:
Project: 18R Thorndike St., Salem,MA
This letter is to confirm that the electrical services and meter(s)were remaved from 18R Thorndike St.,
Se�lem,MA on Junr. 72,2006. Tf y�u have any questions or need fulther assistance, please feel free
to contact me at 781-388-5292.
Sincerely,
P�.�-�dr �...��e,�d�z�¢_ �
Robert C. Pendrake
Supervisor of Suppo.rt Services
itCP/Id
�7n nnalf�rcl Street. Malden. MA 021�8-738A
T.7at/38H 5000 ■ www.nationelgrld.com
. JUN-23-2006 FRI 09�32 AM KEYSPRN FRX N0, 978 927 7459 P, O1
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Ya:`_ hakrlck peiulis � From: George Lovell
E�:�xr r�1-.�",93-'7�80 w� � �atc: �riday, June 23,2006
Pln�r��: 7$1 a99-6t�20 phune: 781�66-5782
YTr: 18121 horndike Sireet Fax:: 978••927-7459
C� 63re�c.nt pCa�yc�Yev@�w q please Comment ❑ Please Reply C7 please Recycle.
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al p erations
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Beveriy, Ma, 01915
i=rid�iy,Junc�3, 2006
'1'o whom it may cunccrn;
'1'l�is letter is in rcgnr�is 18R 7'horndike Sircet, Salem. Plcase be advised that the gas service
lc.� lhis b�.iilcling lias bcen cut c>Cf in t13e slrect.
tiliu�ild yau l�;�ve stiiy qnestiuns or coaccrns you c�n c�11 me at 781-4C(-57R2.
5iucerclY,
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Tiri,i;a ronFidentiol nm;sn�,���.c,;r}�t;���,�j solely for 11ic person�o ivhum it is nddresszd. Ifyuu reccive this
mcssa.;c in errnr, plo�su furward it to thc corrcct persoo, or b:ick lo us at fax 978-927-7459 �`
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f 11.15
10.95
I'� � � COMMON LTH OF �'' �� � � / +».90 � � ey9e
/ � o MASSACH�SETTS �J p� ' I I I - ' � • �`vi\ / - .--Wy��., t W � °`no�e '
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� o n�a O�� #14 1�2 tw�� �,� � ��C' . y �>>.ea �y, � �� 1.� O SEWER MANHOLE
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� � tz.as � #20 3>�� � �:_�iz.4zc /� ;., pJ'� , �sa �� 3, p°'� .ry/ \\ � DRAIN MANHOLE
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�' ,zse ' / 2_09 t � ,02 ;, ,y �o� / AR A = 36,331 t S.F. �~ � rya� � DRAIN CATCHBASIN
_ ..� + iz.za ix.<s : r�v , `., 6-�5� �`L �zz.n , r � � , F \
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D4 WATER GATE
D 11.99 ` 12.19 � . `- ----u--.-� � � i . . . � - .
9 � o��� �_ /�' #16 MARIA ALJX EDWARD & DEBRA O�BRIEN � ��/ '� , �
f �, � o.ss D4 GAS GATE
�c f, • ' h +n.as )
-f-12.57 'N, c4�y� �.�, � �o i <VP \� 1� � #�8 . ,
14'�� \�y 17.63 �2� o BA BA A PLECINOGA / � +� 49 y��� ii 62+ / 3 S - SEWER LINES
, 12.33 '�12'.18 � \ 2 � +i+.+9
\ �,� �� � /�M �+'8.42
z. ; .s +,,.zb'' i am +,o.s� \ h �/ � - DRAW LINES
ly �V C 17.3 � � � 3 � /y� M
90 e�. \ , i y .
n�e °Ob Ny � Nw . 9O're 2, n �_�� �, � . � JOHN DUMAS
2.2 f � iz.ai �`'� b�t�o _ ��4 " o �� n s:-�i I n.�a+ G - GAS LINES
�5 5 �£ � n.i� '°s;aeW - o_ � , / �i-l: \ -_�� � se W- WATER LINES
� ��k , � ' �
2.0 {y P` �' �y � %����, 10.33 ' 'Ffi
z.o - � n.az � d`� 24• ` ioee '- HYDRANT
c �� �ohjo� � � � X ' CHAIN LINK FENCE
#12 .�,+=t\;jj��/ y/ ,,�Q MARGARET k ��+ iz" � iy�;co ' #2O o
W � �V �o.8a , � � ,
sro�.te `r c � n RICHARD SMlhl � 8 \� � ,,,� ' WOOD FENCE
° ii.s s� + � W n. i i io.�i % 6 g pF Mj "
N
as 10.69 � 93 �o/ `S ; 2� p�• �o.as � � ,,�� � -OHW OVERHEAD WIRES
o.ss � / '� � `�33•�y��+ za• o.so � _ , �
,s, ��.\ d9P ofp yw � � � ��o I I i-,_ 72" j � � - E UNDERGROUND ELECTRIC
� D�V C o��� 10.62 � � �'J� �� ��(� �� �
9°'%fe � \ � r � D2 � � � � 1 RI�tiARD & GAIL DAV1S � _��- AREAS OF DEBRIS
�b . � , � # � �
,.,s 'i, � ��yO c I wo: s 2S i` 0 8 � -k, .s� (n
� ✓
o.az �Q
NOTES: , . o.4 � ' 1�/n 9_99 6�S S� .� / +s•oe , � RIP-RAP COVERED SLOPE
2
V �
1. DEED REFERENCE FOR LOCUS IS RECORD BOOK 16593 PAGE 289. "a9e ofpo a \��� � y� �o.os ',os �
. . °e�P,t\� F � #6 . +z• DECIDUOUS TREES, WITH LISTED CALIPER
2. THIS PLAN IS THE RESULT OF AN INSTRWMENT SURVEY.
c ia.si � s.sa �\�� , #22 �
3. ZONING DISTRICT IS TWO FAMILY RESIDENTIAL (R2). 1028 � ' d O c 95� \o,.FP +11.57 SPOT ELEVATIONS
4. CONTOUR INTERVAL IS ONE F00T. \\\� � S c`rb `�o�,Pt -
a ��Q s.a' es; � FLAGS MARKING TOP OF COASTAL BANK
5. ELEVATIONS ARE BASED ON NGVD OF 1929 DATUM. \\\\�� " 1�� � aw��+ ,
r, q,yb hiERESA ENGDAHL
9.89 W � � �
6. TOP OF COASTAL BANK FLAGGED BY GULF OF MAINE RESEARCH CENTER, INC. � 2p`wq� a^ c ''°h � . . '
\°� zz. c �� /' ' ,
7. UNDERGROUND U1ILITIES ARE SHOWN BASED ON FIELD LOCATIONS OF SURFACE INDICATIONS ���o,. y, do,;, 80 38 - ��
AND PLANS OF OPERATING AUTHORITIES. THE UTILITES AS SHOWN ON'THIS PLAN �°'\.�.�� a THORNDIKE PLACE , � � ` �
SHOULD BE CONSIDERED DIAGRAMMATIC ONLY. DIG SAFE AGENCY SHOULD- BE NOT1FIED TO ��'�P o �r o � � CONDOMINIUM - i
DEMARCATE UNDERGROUND UTILITIES PRIIOR TO COMMENCEMENT OF CONSTRUCTION OR \ ° �
EXCAVATION. " �s.ss I
\o � \ �2 �
�i
d G SITE IPLAN OF LAND
. c � e yh, '�,
a � \ \ THORNDIKE STREET & HUBON STREET I�
o " \ c - I
� s �p���oF,.,qssq SALEM
i
GRAPHIC SCALE c F=� GAIL c�N PREPARED FOR �
° \ � U �. �
zo o ,o zo w eo \ s
S"^'T" N DEIUUS BROTHIERS CONSTRUCTION C0. INC.
� Na.35043 P
cs�wore 9�FF RFG�q7FRE� �'o� SCALE 1 " = 20� AUGUST 9, 2004
( IN FEET ) o ��h����o C � ss��ya� �ANa S°Q
ra NORTH SH(ORE SURVEY CORPORATION ,
i inch = 2o it \ \' oAq, � 47 UM1DEN STREET, SALEM, MA �
o+,�oreJ � � ��
« ,�, \ 978-744-4800 i
� #2312
I ___ __ _ _ _
_ - � _____,-^--_- _ _ _-_ _ f;,
. i _' �
..<a�\ C��'�' O� SA��IY�
� ••r "� FIRE DEPARTMENT - FIRE PREVENTIOM BUREAU '
x
� ' Salem, Massachusetts 01970 •
�J�``�� ���'1��� Date : ��N � S� �'�f��
In acwrd�ce with the provisions ot Chapler 148, G.L a. provided i� Section l0A � '
this permit is gr�ted to '
, ;
rr�a '��Li/� �32v7��n-� ��.t �r�- � �/
IFull n��d p.noo, tlrm u eorpv'allon O�Id p.rmll) �
�o conduct demolition operations per Salem Fire Code .
Siate clecrly !nassachusetts Fire Prevention Regulations and �
purposa lor —
which permit Massachusetts State Huilding Code.
is gr�ted
Rescr.ctionq As per hlass. State Codes and City of Salem
� OTdinances. Clearance fran Salem Historic Comnission.
� ��S � ���!`�!'��� �� �����_
ICI�� IecaUm b� �Iml md m.. or d«vW� le �ueh mam.r u le po.ld. qu �o d 1 1
Fee Pcdd $�_.o�S• 00 • /�—�� _
�s� .. 'eu�wi p.wu
This permit vrID expire z� • ���0✓� ��' � � S £ `�.�
s3�' (THIS YF�ihIIi MUST BE CONSYICQOUSLY POSTED UPON iHE �F*"T�.r�) '3A
Form #2g�