74 TURNER ST - BUILDING INSPECTION 11L*NS1A"ST9EfH£G--AW9 APPROVED By CIE
.IWECTDB,PRIOR TD A PEANUT BEING GRANTED
q _ CITY OF_SALEM
No.
.Ah. Date / "
ward
�. Zoning District
Is Property Located in Location of
the Historic District? Yes No_ gui.Iging
Is Property Located in
the Conservation Area? Yes No
Permit to: BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, eroof, Install Siding, Construct Deck, Shed, Pool,
air/Replace, Other:
PLEASE FILL OUT LEGIBLY Y TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name r A,
p1�
Address & Phone i uQ),-km ,, If I
Architect's Name
Address & Phone f
Mechanics Name
Address & Phone
What Is the purpose of building? t�—
Material of building? If a dwelling, for how many families?
Will building conform to law? Asbestos? fi
Estimated cost f' �City License ai Sfate
� ImprovementCJ V Wk
Signa u f Applicant
SIGN D UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO: ' Gn tta'ehn
No. CO
APPLICATION FOR
PERMIT TO
LOCATION r
PER�4IT GRANTED
APPRO4
INSPECTOR OF BUILDINGS
r
9
8o*R1f OF WILD[go Rx ATI GULON8
Licanx.gk,4ONSToC N UCT� SUPERVISOR
i NumS.'f 0213 2
Birthdab O1i33/1947` `�
i ExQi 02D08 Tr.no; 17292
JOSEPH S NAP%fTaNQ��,
2011BERTY ST
GLOUCESTER NIA 01930 Actlng C nar.
PUBLIC PROPERTY DEPARTMENT
129 WAs:,11NOTON STREET, 9RD FLOOR
VALEM,MA 01870
TEL (978)745-MDS EXT.880
FAX (078) 740-8846
STANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40,S34,I aclmowledge that as a condition
of Building Permit N .all debris resulting fiDm the construction sctivity
governed by this Building Permit shall be disposed of in a properly licensed soH&waste
disposal facility,as de$aed by MGL c III,Sii150A.
The debris wu71 be disposed of at
OF 1 L-7F2
Location ofFacrhty
SiPi4v 40mait Applies D 6
FULLY complete the following infoiatio L
(PLEASE PRINT CLEARLY
Name of Permit Applicant
Firm Name, if any
Address,City dt State
The above statute mquu es that debris from the demohn n,renovation,rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL ca S 150A, and the building permits or licenses are to
indicate the location of the facility.
C � F
t
Salem Historical Commission
120 WASHWGTON STREET,SALEM, MASSACHUSETTS 01970
(978)745-9595 EXT 311 FAX(978) 740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction )§ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other work
as described below will be appropriate to the preservation of said Historic District, as per the requirements set
forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: Derby Street
Address of Property- 54 Turner Street
Name of Record Owner: House of Seven Gables Settlement Association
Description of Work Proposed:
Removal of existing roofing(slate, asphalt, wood) and f ashing materials. Replace with cedar shingles per
drawings and specification dated 2120104; Rev. 3130104.
Dated: June 23, 2004 SALEM HISTORICAL COMMISSION
By: � s�
The homeowner has the option not to commence the work(unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals)prior to commencing work.