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18 1-2 WEBB ST - BUILDING INSPECTION r' What is the current use of the Building? �eSl 1 ) C) if dwelling.how many units?�Q----- Material of Building?�— `j�S Asbestos?�lr�----- "Now Wang ConWrn to Law? Architect's Name ( ) Address and Phone Mechanids Name Address and Phone HIC Registration 0 Constnwtion SupervisorsLiCanss ktlon Project$ S G U peL"Fee Calq� Estimated Cost Estimated Cost X$71$1000 Residential Partmlt Fee S � -- _ Eatknated CostX S11IS1000 Commercial-- - - K M Additional S5.00 is added as an Administrative charge. Make sure that all 1leids are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to build to the above stated spec&atlons. Signed under penalty of perjury X D to L I i 0 N , y s a . _ wy.. 4 — CITY OF SALEM PUBLIC PROPERTY DEPARTMENT K1kQWA wvDRMC= MAYOR 130WASWNGW*4SnE=4SAIE MAZM3N5EM01970 TF.L 978-735-9S9S*FAx:975-740.9846 HOMEOWNER LICENSE EXEML "ION Please Print Date 511101 Job Location 10j W e h b S Home Owner Address I iC'L Home Owner Telephone Present Mailing Address The current exemption of"Homeowners"was extended to include owner-occupied dwellings of two Units or less and to allow such homeowners to engage an individual for hire who.does not possess a license,provided that the owner acts as supervisor. DEFDUION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official, on a form acceptable to the Building Official, that he/she be responsible for all such work performed under the Building Permit. The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable by-laws and regulations. The undersigned "homeowner"certifies that he/she understands the City of Salem Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNA APPROVAL OF BUILDING E OR See other side for state code J CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT ril\IPi N LtT!'KIN„�,. \L;YCv: 120 WASHIXf,'iON SIAEET •SALVIM.51ASSACHL ILI CS 0191C 'rn:978-745.9595 ♦FAX:978.74G9846 Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit # - _ ,_ is issued with the condition that the debris resulting from di this work shall be sposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: (Ui1MC of haUli The debris will be disposed of in NoTXS,Ac gr�ty\ (name of facility) _. _-_.__ iadurcss oP faCililV) . �i�r re� f p rn c appC ant- - EITSt©Fg �/ ���fr� PUBLIC PROPERTY ��EPAR'TNIF.IVT u.mEusr ORWA L Srnroe t�O wwur�c»r b'fk=9 Tf7:97L745.9S"0 F,r 978 740-9W 01970 APPLICATION FOR THE ttEPA� RE VA N nNSTRUCTION DEMOLITION OR CHANG OR FOR ANY EXI TIN STItUCTCtP>P OR BUII_DIN 1.0 SITE INFORMATION Location Name: N P h St (Uri Building Property Address:----, ,� r(a wQ IL Properly is klcated In a;Conservation Arse YM Historic 010Md YIN 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: }� Address. Telephone: 3.0 COMPLETE THIS SECTION FOR WORK IN EXISIM BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use 3 New Demolit ion Existing Approximate year of Area per floor s Construction or renovation I n Renovated Of existing building New Biel Description of Proposed Work: Mail Permit to: � '/ , /Di,r,�+ 0