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0155 WASHINGTON STREET - SIGN: H. KERR REST. Y 0155 WASHINGTON STREET 209-2004 GIS#: ._ 1457 COMMONWEALTH OF MASSACHUSETTS ;Map: 11 34 CITY OF SALEM Block: Lot: 0426 ` Category_ REPAIR REPLACE 1 BUILDING PERMIT ,Permit# 209-2004 ProjectJS-2004-0321e Est. Cost: $86,500.00 Fee: $870.00 � Const. Class: PERMISSION IS HEREBY GRANTED TO: Use Group: . >u Contractor: License: Lot Size(sq. ft.): 120071 Mark Tremblay General Contractor- Salem #2010 � IZoning: Owner: 155 WASHINGTON LIM PARTNERSHIP Units Gained: B5 Applicant: 155 WASHINGTON LIM PARTNERSHIP �Umts Lost:Dig Safe SAT: 0155 WASHINGTON STREET #: ISSUED ON. 04-Sep-2003 AMENDED ON: 05-Nov-2003 EXPIRES ON. 03-Mar-2004 TO PERFORM THE FOLLOWING WORK: 209-2004 SHEETROCK INTERIOR WALLS/FINISH WORK& PAINT @ 157 WASHINGTON ST FOR H. KERR/RESTAURANTOWNER. FRD POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Buildin Underground: Underground: Underground: Excavation: _ Service: Meter: Footings: Rough: Rough: Rough: Foundation: Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Health Insulation: Meter: Oil: Final: House# Smoke: Treasury: Water: Alarm: Sewer: Sprinklers: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount BUILDING REC-2004-000618 05-Nov-03 1042 $815.00 BUILDING REC-2004-000344 03-Sep-03 1315 $55.00 GeoTMS®2003 Des Lauriers Municipal Solutions,Inc. 0155 WASHINGTON STREET 209-2004 cis#. Y f4I �„ T "I COMMONWEALTH OF MASSACHUSETTS Map:. , 34 ' 4- CITY OF SALEM Block: Lot: 0426 Category: REPAIR/REPLACE Permit# 209-2004 BUILDING PERMIT Project# JS-2004-0321 Est Cost: $5,000.00 Fee: '$55.00 = Const. Class: PERMISSION IS HEREBY GRANTED TO: Use Group: Contractor: License: Lot Size(sq. A): 20071 Mark Tremblay General Contractor- Salem#2010 Zoning: B5 '` Owner: 155 WASHINGTON LIM PARTNERSHIP Units Gained: Applicant: 155 WASHINGTON LIM PARTNERSHIP Units Lost: Dig Safe#: 0155 WASHINGTON STREET ISSUED ON: 04-Sep-2003 AMENDED ON: EXPIRES ON: 03-Mar-2004 TO PERFORM THE FOLLOWING WORK: 209-2004 SHEETROCK INTERIOR WALLS/FINISH WORK& PAINT @ 157 WASHINGTON ST FOR H. KERR/RESTAURANTOWNER. FRD POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Buildin Underground: Underground: Underground: Excavation: Service: Meter: Footings: Rough: Rough: Rough: Foundation: Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Health Meter: Oil: Insulation: House# Smoke: Final: Water: Alarm: Treasury: Sewer: Sprinklers: ` THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: - Amount: BUILDING REC-2004-000344 03-Sep-03 1315 $55.00 GeoTMS®2003 Des Lauriers Municipal Solutions,Inc. r A) r9 gma -ft1liST�E fiL{�'1fJfl APPROVED BY T*FE lkING z IAI;aP CTIA ,PWR TP F, A.P.ERMIT 13FJNG GRANTED i 'CITY OF SALEM ti . { N No.Z:[q -2C0o ;t"` .. air Date /G12/03 L OPO/]'I�) a,, ' !r sJ Ward \A�crmNrcA Zoning District Is Property Located In Location of the Historic District? Yes_No_ Building Is Property Located in the Conservation Area? Yes_No_ BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, Repair/Replace, Other: PLEASE FILL 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 specifications: Owner's Name Address & Phone ( 1 Architect's Name Address & Phone ( 1 Mechanics Name Address & Phone ( 1 What Is the purpose of building? Material of building? If a dwelling, for how many families? Will buildin orm to law? Asbestos? Esl ted cost �/ ity License # State License # Home Improvement Lic. / Signature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE Gins11_S MAIL PERMIT TO: PW4- li-jE33AIII I(Y M"acNbl40l,A A OHIN" I ,,, Vi,,� DOOF 40WED rADEt3 IhE, bEVV Tl IlCi"Vi- vpwtimol-1Ul, rmq- u7ENU'l' LAM0111 FRCA��r'A 'W VAQfF) mirvkp, m MANWOW10"' 4EX16"Ol 'ftW-1,CV,AKoW LOB� ivTA tlllill',,!C- 'CD cc LL Z 0 LLI 0 P F�-, �- k= CC �JC)Lcul-tL-a"Mil et-l'Ou lu CL rf 0 VWJ 2b+x"OAF-lr4 BA ll'hn-E er a. CL - 0 LU a. a. z {oe� OF SALEM. MASSACHUSET7S v6� PUBLIC PROPERTY DEPARTMENT 120.WASHINGTON STREE7, 3RD FLOOR V gp SALEM, MA01970 TEL. (978)745-9595 EXT. 380 cnlna FAx (978) 740-9846 5TANLEY J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL c 40, S34,I acknowledge that as a condition of Building Permit# , all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid-waste disposal facility, as defined by MGL c III, S150A. The debris will be disposed of at: 10(ore7VLocation of of Facili afore of Permit Applicant ate FULLY complete the following information: (PLEASE PRINT CLEARLY) Name of Permit,Applicant C,�n.LyVl$2�ii �l d LAl C. Firm Name,if any Address, City & State The above statute requires that debris from the demolition,renovation,rehab or other alteration of building or structure be disposed in a properly-licensed solid-waste disposal facility as defined by MGL cIH, S 150A, and the building permits or licenses are to indicate the location of the facility. Comrnonwaakk 01 //f dJ'SacLa.a6 1' Jepnrlmani oj_y.Lfrial 4eeia rds S r�' 600 Vlf sLyImS1r..I James ICamooes Uo1lo^r �°yOQ� 021 It C W;&wssrona Workers' Compensation Insurance Affidavit with.a principal place of business at: `7 ZZ . . Icanrs.arda4) do hereby certify under the pains and penalties of perjury, that: () 1 am an employer providing workers' compensation coverage for my employees working on this job. L) 2L- 2L--�� -5� � Insurance Company Policy Number 1 am a sole proprietor and have no one working for me in any c2packY. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insuran4c Company/PolicyNumber Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. i unoeratano wt r coot of this uartment wa be ion arced to the Offce of Imestitavont of the DIA la coverate dation and 07l faiKe to teare co. atr v reourro under Section ZSA of MGL 152 can lead to the inoovuon of cr4nin3i oawtin corsttunt of a fine of we toi I.SCDCO and/or one yean'iraruonmenr x .cra v chi ""kits in the loan of a STOP W ORK ORDER ano a fau of S 100.00 a Om atwnt int. Signed this .----) day of Lic sc crmiuee building Departn,ent licensing board Seicarnens Office ruith Department S, — c 272 l 1L-99iS M"ST-BE fiL-ES-4 40,Alf Pf10VED BY T44E .WSP.CTO-8 .PIWR TP.A.PEFINT$Ir1NG GRANTED r CITY OF SALEM :z 9 3 No. ©7 —2—Qfl `� .�y. ���s�. Date � Is Property Located in Location of LJ' � o N the Historic District? Yes_No Building S 7 sT Is Property Located in the Conservation Area? Yes No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Sidin Construct Deck, Shed, Pool, Repair/Replace, Other: c4' 44 QCZl g—c giir 6khS11 PLEASE FILL 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 specifications: 7 614, � T- C Address & Phone Z2 l�02 e Si i9 ✓� f�O/�) S�0 z g 33 Architect's Name Address & Phone ( 1 ,AAeekanics Name Address & Phone / 7 � 1��C /''/v )�l f Ee c /ljl 66^0 What is the purpose of building? C/2Cila C _ %2c f7 Jiz 7— Material of building? 4vood If a dwelling, for how many families? Will building conform to law? to C,S Asbestos? NO Estimated cost -000r Cx::> City License# N A State License # /�cr Home Improvement V 7 .3 Lie. t /30$0 r/�1 gnature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE ` �'/e.y'-2oclC S�/7ZlZ/off ls.rtGLI'/ ��n.YJtil /.ymcGC ✓i L MAIL PERMITTO: / 0y kelr C` J rctx�--C"?svA) ,�d� 1 No. ZOq -ZcDoLl APPLICATION FOR PERMIT TO ` LOCATION. /S 7 -1 .194 PERMIT GRANTED / �— L$ APPROVFD INSPECTOR OF BUILDINGS