15 CLARK STREET - BUILDING JACKET 15 CLARK STREF T
-
5 CERTIFICATES ISSUED
r, TY OF SALEM DATE March F, 1994
9 SALEM. MASSACHUSETTS 01970 BUILDING PERMIT -
CERTIFICATE OF OCCUPANCY
.. DATE. -j
19 PERMIT NO.
APPLICANT i:uL'.1lL:Oi Gi3i lCiE"`r aL:{It'..L [ idis-j235
ADDRESS � -'t U4
INO.1 ISTRECTI
1 ICONL R'SLICE NS[1
PERMIT TO 13llwells-lq 1.1u +.:RE i37R:11V 1_1 STORY DNUMBER OF.
IITYF OI 14RROVEM[NTI' NO. IPROPOSED USE1 DWELLING UNITS
AT (LOCA TTONI' .iJ l,ie: %t--�=P� iSc;LCl .; ZONING _
1N0.1 'STREET' - DISTRICT
BETWEEN
'CROSS STR AND
Efil 'CROSS STREET)
SUBDIVISION' _ LOT LOT _
BLOCK SIZE
BUILDING IS TO BE FT. WIDE PT FT. LONG By -FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR'FOUNDAT ION
. .. _ ITTPEI
REMARKS:.r ,.41s1T_ 1 :.1 TF (,Z - _T.y V.a .. lir_.
mg Ing
AREA OR0L�L1n'rrEYNY'!YWI WrL!I JIWS
'VOLUME 9MYIYYL
C�iBIC SOOfRE iE ETI
OWNER - 7 . ven oi�rowrErv�-noeTrs�-n vCErblTip!/ro R!Elvgrs�-ErotNsi�slTlp
._TO'Bf P jED,DM,PREMIBES
ADDRESS n P +_S SE6+RErVERBE.SIDE+FORiGONBIjhONS OF CERTIFICATE
DEPARTMENTAL;APPROVAL FOR CERTIFICATE
Of OCCUPANCY and COMPLIANCE
a ,
'.y To be filled in lry each division indicated hereon
Upon completion, of its final inspection.
:BUILDINGS Permit No. 435_93
Approved by � + w !r
i Date
Remarks
PLUMBING Permit No.
Approved by _7Dp(` /
Date _
Remarks i
ELECTRICAL //�� '' Permit No.
Approved by ij9L
Date 9V
Rematks
OTHER I permit No.
Approved bjL4, fi'✓��A
---�_ Date
Remaiks
OTHER _permit No.
APProSed by
Date
Remarks
CITY OF SALEML
WATER
NT
r0<�
ow j
Assistant
i
. ��.
No. City of Salem waYa
-' APPLICATION
" r FOR
PERMIT TO, BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
e_ �FIMPORTANT-Apoiicant to complete all items in sections:1, It, 111, IV, and IX.
erg 1f/' �� ZONING
I. AT(LOCATION) 15- C`�K. DISTRICT
LOCATION (NO.) (STREET
OF BETWEEN AND
BUILDING (CROSS STREET) )CROSS LOTET)
SUBDIVISION LOT BLOCK SIZE
11. TYPE AND COST OF BUILDING -.All applicants complete Parts A -D
A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION'USE MOST RECENT USE
1 2/N'
building Residential Nonresidential
2 ❑ Addition(lt residential,enter number of new 12 One family 18 ❑ Amusement,recreational
housing units added,N any,in part D,13) 19 E] Chruch,other religious
13 ❑ Two or more family-Enter number
3 ❑ Alteration(See 2 above) of units ....................................................... 20 ❑ Industrial
21 ❑ Parking garage
4 E] Repair replacement 14 ❑ Transient hotel,motel,or dormitory-
Enter number of units ........................... 22 E] Service station,repair garage
5 ❑ Wrecking(lt multifamily residential,enter number 23 ❑ Hospital,institutional
of units in building in Part D, 13) 15 ❑ Garage 24 ❑ Office,bank,professional
6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School,library,other educational
17 ❑ Other-Specify 27 ❑ Stores,mercantile
B.OWN HIP _ 28 ❑ Tanks,towers
8 Private(individual,corporation,nonprofit W, _
29 E] Other-Specify
institution,etc.)
9 ❑ Public(Federal,State,or local government
C.COST (Omit cents) Nonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant,
machine shop,laundry building at hospital,elementary School,secondary school,college,
parochial school,parking garage for department store,rental office building,office building
10. Cost of improvement ......................................................... $ Wovo at industrial plant.If use of existing building is being changed,enter proposed use.
To be installed but not included
in the above cross �f h q f� '�q I� �f,( �e�'-I C ON OZ.
a. Electrical........................................................................... d
b. Plumbing.. ...............................
c. Heating,air conditioning.............................................
d. Other(elevator,etc.).....................................................
11. TOTAL COST OF IMPROVEMENT $ 11RQQ0
III. SELECTED CHARACTERISTICS OF BUILDING -For new buildings and additions,complete Parts E-L;demolition,
complete only Parts J& M, all others skip to IV
E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OFF SWAGE DISPOSAL I. TYPE OF MECHANICAL
30 ❑ my(wall bearing) 35 ❑ Gas. 40 IVe PuPublic or private company Will there be central air
31 �frame 36 it 41 ❑ Private(septic tank,etc.)
conditioning?
32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 �4o
33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF YHATER SUPPLY Will there by an elevator?
34 E] Other-Specify 39 ❑ Other-Specify 42 Public or private company r�
46 [:] U Yes 47 'v
43 ❑ Private(well,cistern)
J.DIMENSIONS M. DEMOLITION OF STRUCTURES:
48. Number of stories ............................................................
49. Total square feet of Noor area.
all floors,based on exterior Has Approval from Historical Commission been received
dimensions .._..........................................................._........ for any structure over fifty(50)years? Yes_ No 44
50. Total land area,sq.ft.....................-............................... / 006 Dig Safe Number
K.NUMBER OF OFF-STREET PARKING SPACES Pest Control:
51. Enclosed ....................... ..........
52. Outdoors................ HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
........._...._........................................... 3 Yes No
L RESIDENTIAL BUILDINGS ONLY Water:
53. Enclosed ............................................................................. I Electric:
Gas:
54. Number of Full........................................... I Sewer:
bathrooms 3 DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
Partial................................... 4 BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:
Historic District? Yes_ No-Z
(If yes, please enclose documentation from Hist. Com.)
Conservation Area? Yes_ NO—,,/(If yes,please enclose Order of Conditions)
Has Fire Prevention approved and stamped plans or applications? Yes✓ No_
Is property located in the S.R.A.district? Yes_ No
Comply with Zoning? Yes No (If no,enclose Board of Appeal decision)
Is lot grandfathered? Yes—Z No (If yes,submit documentation/if no,submit Board of Appeal decision)
If new construction, has the proper Routing Slip been enclosed? Yes-4z/No—
Is Architectural Access Board approval required? Yes_ No-Z (If yes,submit documentation)
O
Massachusetts State Contractor License# O Salem License# 910 y
Home Improvement Contractor# Homeowners Exempt form(if applicable) YesZ No
CONSTRUCTION TO BE COMMENCED WITHIN SIX(6) MONTHS OF ISSUANCE OF BUILDING PERMIT
If an extension is necessary,please submit
CONSTRUCTION IS TO BE COMPLETED BY: in writing to the Inspector of Buildings.
V. IDENTIFICATION - To be completed by all applicants
Name Mailing address-Number,street,cii�ty,and state ZIP Code Tel.No.
,. CPrr 3DC L5 f DOta r. 0n✓e'j'.kC ,/L4A - 011&32 521-230
Owner or
Lessee
2 1.10. L12f ek �i r
Contractor L� Builders
License No.
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application
as his authorized agent and we agree to Conform to all applicable laws of this jurisdiction.
Signature of applicant - Address Appli tion date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building
Permit number FOR DEPARTMENT USE ONLY
BuildingG� g Use Group
Permit issued / 19 9"3
Fire Grading
Building
Permit Fee $ ` • ~y Live Loading
Certificate of Occupancy $ ApprovedOccupancy Load
Drain Tile $
Plan Review Fee $
TLE
NOTES AND Data-(For department use)
PERMIT TO BE MAILED TO: o / h GS 81/ p pf$
DATE MAILED:
Construction to be started by: �Q Completed by:
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN •For Applicant Use
ON
O
IV.'F MASELLA N/F RJ.4 REAL 7 Y TRUST
N/F✓RS REAL TY TRUST
a�a� I53
/5'D.00
AS.SES SORT° MAP 3 LOT B/
any % �•
per.
.. /5.000 S.F. �,�QQ�Y4�4�pVa}Si cr 1
AY0ev+E
`i°"",•�'yea b t.�,.. �
sum-� cS �'ft,Yv^S� / /E\�c\�\,%n�•_ � "�
v O 5 iST/NG '(yi�c P•E 'g6yV\a;"i�Vpp4.• O 1
h FOU10A TION
N
=
40.8
r 1
e
y t 150.00
i
J CLARK S REST
All
P'S,
G
PLOT PLAN
THESE 0 F
/N
/CERTFY 7NA T TFC FOAIDA T/ON SHOWN'
7R- NCdPfpRMS TO T/E ZON•'/!G RULES
ANO REGI2AT/ONS OF 7riL`C/TY OF 5.4LEM MA
B! :_D.::GSSALEM
� .
DENMSOENMB✓�S FOR
'tia(x Of
1 THOMAS ANDREWS
DENNIS J.. A
ZONED R-/ ° YY W -
J.
�o
SCALE/" = 20' SEPT. /7, /993
�rC�m LANDMARK ENG/NEER/NG
8 SURVEY/NG, INC
L YNN, MA
SKYLIGHTS ARE OPTION
0
® ®o
36'
8'-2 3/8' 10'-3 3/4' 8'-7 1/8' ---1 _ 8'-10 3/4' �(
no USAN SB-36 AZYD1W O B-30 I FIRST FLOOR F
0
OO I
8'-7 1/4' M 7' 9 3/4'
2 MICRULAMS ABOVE
1-3/4 X 11-1/4' 210
EACH
24'
LIVING
DINING
T
2'-6 1/8 12'
}--- 4 '-6 1/8
6'-8 3/4 "
T-T- I
SECOND FLOOR PLAN
--I r-
T-8 112- I----- 10' �I
Da 5'-4' --
14'-3 3/4'
9'-8 /2'
IU NO"
I. ALL
- 34X5
- � 2, ALI
24, ARE c
OTHEF
10'-11 5/8"
7' 1/8'
�o
14'-7 13/16'
2X8 16" ❑.C.
2X4'S EVE BAY
20'-9 9/16'
2X8'S 16' O.C.
2Xlo'S 16'O.C. GENERAL FRAMING PLAN
2X10'S 16-O.C. '-0 5/8"
2 1-3/4' 2X4'S 16' O.C.
X 11-7/8' MICROLAMS
6'-1 1/8' / n
10'-8 1/8•
2X10'S 16' C.
4'-3 112' G MEAN AVG, GRADE
5'-2 1/4'
24'
TYPICAL WALL
SECTI ❑ N
2 2X8 HEADER
R - 13 INS . D ❑ UBLE 2X4 SILL
7 / 16 " ❑ , S ,B
�- 4 " W ❑ ❑ D GRAIN VINYL SIDING
94�LTJ
loo I i�
36'
Fo
T-0 3/4' —{- 6'-8 3/4- T- 14'-4 1/2'
------- ------ ------ ------- --------
10'
Mcc �PoC.'h�S Msov£ rk�`nr
a �� U�om��ta�tulet�i ����amaclivaed�'.a
1
.hale200asa a�:.Ua�deso �"`�`"a4Offb a�rad.Jr+awara.,o�s
MichDukakis
G .1�rwaaa�e .��als � to . pay(
Governor on* Q&Uuae0ft •l� _ , � '80'
0.
Kentaro Tsutsuml , v KaaaaM1M 081'08
Chairman
(617) 7.'-3:
Charles J. Dinezio
Administrator
MEMORANDUM
TO: All Buildine Dcpartmcnanitate Building Inspectors
FROM: Charles J. Dineao. Administrator
DATE October 31. 1788
SUBJECT. MGT. cad. 151. Added th e594, 19 M the Acts of 1997
The above-mentioned statute requires that debris resulting from the demolition. rcnuvation. rehabilitation
or other alteration of a building or structure be disposed of in a Properly hcenseid solid waste disposal
lacility as defined by MGL cl ll. S150A and that building permits or ticcrises arc to indicate the location
of the facility at which the said dchns is to be disposed. THIS REOUIREMENT DOES NOT
,APPLY TO NEW CONSTRUCTTON.
In order to stmolifv the process and to provide uniformity. we are attachme a copv at a form which you
can either reproduce;and use as it is since tike completed form will be attached to the office wpy of building
permits or liccuses: or reproduce it on your letterhead.
In ase of municipal.commercial.mdustrtal.or multi-unit housing construction. the contractor may not know
the dumpster subcontractor at the time of the budding permit application. In such cues. the attached copy
of an Affidavit an be used.
The complete law is contained in the November issue of CODEWARD which will he mailed to you in the
nest two weeks. If you should have any question, please let us know.
CJDlkm
AFFIDAVIT
As a result of the provisions of MGL c 40, S54, I acknowledge that as a condition of Building Permit
Number 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 111, S 150A.
I certify that I will notify the Building Official by Zig 77-zr / z
(Ttvo months maximum) of the location of the solid waste disposal facility where the debris resulting from
the said construction activity shall be disposed of, and I shall submit the appropriate form for attachment
to the Building Permit.
7
Date Signature of it Applicant
(Print or type the following information)
,, Name of Permit Applicant
A 7 W4 OX
a 01�>e
Firm Name, if any
Address
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
The debris will be disposed of in:
Ll�t/S`ti 'S �„ve u ip �oc�o ?v �Vea0 le ZYC 6,-,G
(Location of Facility)
Signature of Permit App icant
Date
� Chit
x of �tt1enl, assttzhuee#fs
�
ALL DF%mMOPM9 OF SIX (6) OR MORE M. SIDENI'IAL UEML.ING
UNITS OR 10,000 SQUARF. = OF Can-IMC?AL SPACE
ROUTING SLIP
REVIEW AND PASS ON AS INDICATED
LOCATION: 15 C(179hL
DATE
APPLICANT: Sal-1-1 126ZJ !f_S
INSERT DATE WHEN PASSING ON
. AS
Date
ca,
CONTACT PERS
PFTF12 CARON ° --73
R . CITY PLANNF R
2 Nz- 9 �3
STEVE WEIN'.FRT
• RzN ys
3 FIRS DFPARTDTF.W k
jj
COPT. TURNER OR
INSPFC T'OR TAM=
4 DEPARTMENT: DEPARTVn7 CF PUBLIC SEP,77CES 9 3
CONTACT PERSON: DIREMR
5 nFPARTMFNT*
WATT DxPAR7S"T-w y'o7 3
MARGART'.P H7k(MTY OR
EiFTlr-l 17IAMqZ
6DEPARTMENT: ELECTRICAL `- -
CONTACT PERSON: PAUL TUTTLE
7 DEPARTMENT:
8 DEPARTMENT:
CONTACT PERSON:
RETURN TO
BUILDIM DEPART^—'N?P
v
• e
CITY OF SALEM, MASSACHUSETTS
PLANNING DEPARTMENT
r ,0 F:AVAI;AUGN ;. }\'1 ONE SALEM GREEN
G-R"' ` 01970
t17Y PLANNER I� r T 1•
I'�=�..� (617)744-45sa
TO: All developers of six (6) or more residential dwelling units or
10,000 square feet of commercial space
FROM: Salem PLanring Department/Building Department
RE: Salem Area Residents Construction Employment Ordinance
------------------------------------------------------------------------
The Salem City Council recently passed the attached ordinance which
requires that all developers of six (6) or more residential dwelling
.units or 10,000 square feet of commercial space hire specific
percentages of Salem and Salem area employees for their construction
work.
e
The purpose of the ordinance is to ensure that Salem and Salem Area
residents receive the maximum benefits from the growing construction
ecomcny of the City of Salem.
A preconstruction conference will be scheduled by the Planning
Department to discuss and explain the developer' s requirements as
outlined in the City of Salem Ordinance. The following information
shall be furnished by the developer to ensure compliance with this
ordinance:
Upon issuance of a Building Permit, the developer shall submit to the
;odea Planning Department the following requested information:
a. scope of construction;
b. construction time schedule;
C. projected number of employees and man—hours;
d. types of trades to be hired; and
e. names , addresses, and principals of contractors and
sub—contractors being hired.
Upon initiation of construction, all developers shall submit weekly
workforce reports listing the following:
a. names of employees;
b. residential address of each employee;
c. craft of each employee;
d. job category of each employee;
e. hours worked of each employee;
f. hourly wage of each employee; and
g. company which each employee is employed by.
_73/L145)
Salem F-ite Depaa amen t .
F.vice P-eeventl on Bureau
48 La4ayette Stoeeet
Sa.Zem, Ma 01970
(508) 745-7777
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In accoadance w4th the ptovtbtona o4 the Ma44acJu"ett6 State Butr?.di.n3 Code
and the Salem Fite Code, appZLcatLon 4.6 heaeby made 4o4 appnovaZ 04 pear"
and the .wauance o4 a ce4tt¢4cate o4 appn.ova.Z 4on a bw2di.ng p",n<t by the
Satem FL,%e Department. (Re4. Sect-Lon 113. 3, Ma,64. State Bldg. Code)
Job Locatfon: `,r �� J7('y
`, J[a7T UooG,eS
F, C�1 r�
A �S�,N✓` tzacton:.
St.
App Phone
Addn.e6.6 o4 ctty on
Appttcant: f Ami Town: 1�A✓
G
��8 a
App-covaZ date: / z Z/ 3
CeatL4tcate 04 appnovat 46 hereby granted, on appaoved ptan,6 on aubmi ttaZ
o4 p.,coject detaiZ6, by the Satem Ft,ce Department. AZZ ptan6 ane appitoved
aoteZy 4o-m identt4tcat4on 04 .type and tocatLon 04 4-L- e paotectton deutce6
and equZpment. Att ptan.6 ane 4ubaect to apptovaZ o4 any othe+L atithouty
ha.v.eng ju4,"d ctLon. ;Upon eomptett.on, the app•Z.i.eant 0& tn4tatt"(4) 4haZZ
- eque 6t an t n.apec tl on and/on teat o4 the 44te P4oteaL4on dev.i ce.a and
equtpment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
New con-6tltuct on.
P-cope4ty tocatLon ha,6 no compliance wtth the p4ovi-6t.ona o4
Chapter 148, SeetZon' 26 C/E, M.G.L. , neZative to the
4n4taXation o4 app-eoved 44:,ce ataAm devt.cea. The owne�L o4
tI4,6 pnope2ty .i a 4equ4Aed to obtcin comPt4anca a.6 a
condi ttgn o4 obta Uu q a Suitd-tng Permit.
-P�Lope%ty-Zocati.on 4.6 to compt-Lance- wtth the ptovt.6t.orn6 u4
Chapter. 148, Section 26 C/E, M.G. L.
Expt4a .Lon date: 70 ` "w
St.gnat[u 04
Fee due: under. 7, 500 Sq. Ft. - $10. 00'
m11� i l�
Ckp"y�, �'.�
Salem F-i'Le Depah tme vt.
F-ivice P,Leventton 8weeau.
48 La4ayette S-Vteet
Salem, Mm 01970
(508) 745-7777
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In accoAdance wi th .the p,Lova:-4ton6 o6 the Ma64achu,6etta State Bu,"d Lng Coda
and the Salem FZte Code, aPPZZcatton 4a he,Leby made 4o,L appAovae o4 ptans
and the .(.6.6uance 04 a ce,at4.tcate 04 appnovaC 60-L a buZZdi.ng peaUnt t by the
Salem F.vice DepaAtment. (Re-4. Section 113. 3, Mafia. State Bldg. Code)
Job Locat ion: /---
Owner/Occupant: 17T U D GGt¢S
EZectn icaZ Cont,%actoa:
Fine Suppaeaa.ton ContuLr-ton.:.
S.tgnatune 04
Appt.Lcant: ocz Phone #: o / 2.?0
Add,t".6 04 Cdt y on
Appt,Lca.nt: f vou/ �r. Town: 1�/J✓
AppxovaZ date: / Z Z/ 3
Cent44.teate 04 appnovaC L6 heaeby granted, on appaoved pZan.6 on .6ubmtttaZ
o4 paoject detai.Z6, by the Salem F-Le Department. AZl ptan6 ane approved
•aot.ely 4o,L tdent -6tcation o4 type and Zocatton o4 4-ire protect(.on dev.ice6
and equ,tpment. AZZ ptan.6 axe 6ubjer-t to approvaC o4 any othet authon.i ty
havtng juA4,6d4cti.on. Upon eompZetton, the app.Ptcant on 1n.6ta22ea(.6) aha22
,Leque t an 4-m4pectton and/on teat o4 the 4NLe protection devtr-e4 and
equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
New eon4t4ctton.
Property Zocat.ion ha•a no comp4.iance wdth the provt4ton6 04
Chapte,L 148, Section 26 CIE, M.G.L. , aeZative to the
4,tota.2at4on o4 approved 44,%e dtaAm dev4me.6. The owners o4
th.i.a p4ope4ty 4.6 aegUZILed to obtain eompZ.i,anee " a
cond.iti,vn o4 obtauti.ng a Building Permit.
0 -P,Loperty Zocatton 't4 -Ln comp lance- w.rth the ptovZz-Zon6 o4
Chapter. 148, Section 26 CIE, M.G. L.
Exptaatton date: 70 `
04
S-Zgnm
f
Fee due: under. 7, 500 Sq. Ft. - $10. 00
7 , 500 So. Ft. on. Za zget Form #81 (Rev. 10;901
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In compliance with the provision of Section 113.5 of the Massachusetts
State Building Code, and under guidelines agreed upon by the Salem Bldg.
Inspector and the Salem Fire Chief, the applicant for a building permit
shall obtain the Certificate of Approval (see reverse side) and stamped
plan approval from the Salem Fire Prevention Bureau.
Said application and approval is required before a building permit may be
issued. The Massachusetts State Building Code requires compliance
approval of the Salem Fire Department, with reference to provisions of
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts
General Laws, and 527 Code of Massachusetts Regulations.
The applicant shall submit this application with three (3) sets of plans,
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire
Department. This applies for all new construction, substantial
alterations, change of use and/or occupancy, and any other approvals
required by the Massachusetts General Laws, and the Salem Fire Code.
Exception: Plans will not be required for structural work when the
proposed work to be performed under the building permit will
not, in the opinion of the Building Inspector, require a
plan to show the nature and character of the work to be
performed.
Notice: Plans are normally required for fire suppression systems,
fire alarm systems, tank installations, and Fire Code
requirements.
Under the provisions of Article 22 of the Massachusetts State Building
Code, certain proposed projects may not require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 22, Appendix T, and Tables applicable
shall apply. This section shall not, however, supersede the
provisions outlined in the Salem Fire Prevention Regulations, Chapter
148, MGL, or 527 Code of Massachusetts Regulations. All permits for
fire code use and/or occupancy shall apply for the entire structure;
fire alarm and/or smoke detector installation shall apply to the
entire structure based upon current requirements as per Laws and/or
Codes, but the existing structure may comply with regulations
applicable for existing structures.
Notice: Sub-contractors may also be required to file individual
applications for a Fire Department Certificate of Approval
for the area of their work. Such sub-contractors shall file
an Application to Install with the Fire prevention Bureau
prior to commencing any work for those areas applicable.
Form 81X (10/90)
COMMONWEALTH OF MASSACHUSETTS
E� DEFAR:MFN'T OF INDUSTRIAL ACCIDENTS
k
600 WASHINGTON STREET
aures Ganooei BOSTON, MASSACHUSETTS 02111
-omm'ssione• / WORKERS' COMPENSATION INSURANCE AFFIDAVIT
(licenseei permittee)
with a principal place of business/residence at:
(Cicdstatc/zip)
do hereby certify, under the pains and penalties of perjury, that:
( ] I am an employer providing the following workers' cutnpensation coverage for my ernployces working on this
job.
Insurance Company Policy Number
( ] Ia sole proprietor and have no one working for me.
1 am a sole proprietor, gene==1 contractor or homeowner (circle one) and have hired the contractors listed below
who have the following workers' compensation insurance policies:
Name of Contractor Insurance Companv/Policy Number
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance CompanyiPolicy Number
[] 1 am a homeowner performing all the work myself.
NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto arc not generally
considered to be employers under the Workers' Compensation Act(GL C. 152,sect. 10)),application by a homeowner for a license
or permit may evidence the legal status of an employer under the Workers' Compensation Act.
I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' office of Insurance for coverage
verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties
consisting of a ine of up to 51500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of 5100.00 a day against me.
Si this 2 day of ��P7�• a/� , 19 95
License'? crmiaec licensor/Permittor
.,
,��
`,
s�-�!
����y ��a� � ��.���'
.............
...........
ISSUE DATE(M M/D D/YY)
.......... . .
......... ...
A"vit
ERT", ...................
4 OXXX ol:XXI"XX' ....... F109/28/93
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER Of INFORMATION ONLY AND
B.K. McCarthy Ins . Agcy. Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
106 Lynn Street POLICIES BELOW.
Peabody, MA 019605795 COMPANIES AFFORDING COVERAGE
COMPANYA Aetna Life & Casualty, CID
LETTER
COMPANY
INSURED LETTER
Hamilton Builders DBA COMPANY C
Milton R. Hamilton & Jeff Hamilton LETTER
2, Derek Circle COMPANY
D
Georgetown MA 01833 LETTER
COMPANY
LETTER
-U
M
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, 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 POLICIES. UMITS.SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Go TYPE OF INSURANCE POLICYINUMBER POLICY EFFECTIVE POLICY DAEMM/IDD/YY)EXPIDD/YY)RATION LIMITS
LTIR DATE(MM/DD/YY)
• GENERAL UABIUrry MP0023368614TWF 06708_T9_3 TT/�O8 94 GENERALAGGRE GATE $ 600,00
X COMMERCIAL GENERAL LIABILIT) PRODUCTS-COMP/OP AGO. $ 600,00
LAIMS MADE 7XI OCCUR. PERSONAL&ADV.INJURY $ 300,00
OWNERS&CONTRACTORS PROT. EACH OCCURRENCE 111 300,000
FIRE DAMAGE(Anyone fire) $ 300,000
MED.e(PENSE(Anyone person) $ 5,00
• AUTOMOBILE LIABILITY FJO022971209TCA 11/20/92 11/20/93 DOM SINED SING LE $
ANYAUTO LIMIT
A LL OWNED AUTOS BODILYINJURY $ 250, 000
X SCHEDULEDAUTOS (Per person)
HIREDAUTOS BODILYINJURY $ 500,000
NON-OWNED AUTOS (Perecoldent)
GARAGE LIABILITY PROPERTY DAMAGE $ 100,000
EXCESSLIABILFTY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
.................
E OTHER THAN UMBRELLA FORM
..........
................................................
..............
WORKER'S COMPENSATION STATUTORY-Mm5mm
AND EACHACCIDENT S
EMPLOYERS'LIABIUrrY DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE I$
OTHER
DESCRIPTION OF OPERATIONS/LOGATIONS/VEHICLES/SPECIAL ITEMS
............ ........... .....
S ULD ANY THE VE DESCRIBED POLICIES BE CANCELLED BEFORE THE
RAT N EREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
11X
City of Salem, City Hall IT
MAI D ITTIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
L
Building Inspector 11x LE FAIL TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Salem MA 01970 UA F ND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
........................ ...... .............
. US,
A
..7' .......E.S..E.N..T..A.T
..I.V...E.
..... ........ ......
......
SENDER:
• Complete items 1 and/or 2 for additional services. I also Wish to receive the
• complete items s,and as a b. following services(for an extra fee):
• Print your name and address on fM reverse of thisform so that ,a can return this card
to you 1. ❑ Addressee's Address
• Attach this form to the front of the mailpiece,or on the back if space does not permit.
• Write"Return Receipt Requested"on the mailpiece below the article number. 2. El Restricted Delivery
• The Return Receipt Fee will provide you the signature of the person delivered to and the
data
of delNer,. Consult postmaster for fee.
3.Article Addressed to: 4a.Article Number
P 921 991 520
1Ci..,:.4 P1t1dt�J1 $
4b.Service Type
..y.sn, I.el t»Igf(, CERTIFIED
7.Date of Deliv
ignature—(Addressee) 8.Addre ,e s I -
(ON it equested a paid.)
6.Signature—(Agent) j
G
PS Form 3811,November 1990 DOM R N RECEIPT
t ,
United States Postal Service II I I II
Official Business
PENALTY FOR PRIVATE
USE,$300
INSPECTOR OF BUILDINGS
ONE SALEM GREEN
SALEM MA 01970-3724
III,.,,,.III,I,�i,,,ill„�„I I,i,,,l„I,I,I.,i l►„„„I I,I I,.I
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ARTICLE
P 921 991 520
UNE 1•
TtThomas Andrews NUMBER •
319 Lynnway Suite 310
Lynn, Mass. 01910
+ I
Jj_
* FOLD AT PERFORATION t I �T' WAS •
INSERT IN STANDARD#10 WINDOW ENVELOPE. - ./ CER THIED 'r
` 'f'x M A I L E R
w •
yy POsiAOR - . POSTMARK OR DATE or
RERIRNSHOW TO WHOM.DATE AND/ RESTRICTED W
ADDRESS OF DEUWRY DELIVERY y
SERVICE GERn +RETUR ECEIPT ,�
T' [] TOTAL POSTAGE AND FEES
2W
RINO INSURANCEOVE - W
Ln SENT TOI NOT FOR INTERNATIONAL MAIL _ LLO�
SIR S110n
6
Om
o- T:Tttozas A:drews a�
Er 319 Lynnway Suite 310 xo
a ynn, Nass. U1910 ur
ru r
Er U L7
W 2
ar
PS FORM 3800 z
RECEIPT FOR CERTIFIED MAIL
i
wsu SNMCE s... 7
1 SUCK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS PWAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELE&ED OP7ONAL SERVICES(sed front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the return address of the
article,leaving the receipt attached,and present the article at a post office service window or hand
it to your rural carrier(no extra charge).
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address
of the article,date,detach and retain the receipt,and mail the article. -
3. If you want a return receipt,write the certified-mail number and your name and address on a return
receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space
permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED
adjacent to the number.
4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse
RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If return
receipt is requested,check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present it if you make inquiry.
g�`°� (�itg of �ttlem, �tt,ssttrl�u�P#t�
" f's Public Propertq Department
�4^ ° iguilaing Department
(One Belem Green
500-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning,Enforcement Officer
August 25, 1993
Thomas Andrews
319 Lvnnwav Suite 310
Lynn, Mass . 01910
RE: 15 Clark Street
Dear Mr. Andrews :
A building permit was issued to you on February 20, 1992 for a one
story dwelling at 15 Clark Street. I have driven by said property and
found that although the foundation has been installed, it is apparent
that no ongoing work has taken place within the last 8 months or so.
Please give this office a call within 5 days upon receipt of this letter
to inform us of your intentions of completing said project.
Thank you in advance for your anticipated cooperation in this matter.
Sincerely,
��z� e:2
Leo E. Tremblay
Inspector of Buildings
LET: scm
cc: Councillor Furfaro, Ward 3
Certified Mail 11 P 921 991 520
S
p
139 APPLICATION FOR
1 � PLAN EXAMINATION AND
^� BUILDING PERMIT
A sy ;_: k' ANT — Applicant to(complete all items in sections: 1, 11, 111, IV, and IX. ZONING
ee,��� O
I• AT kLOC ATI ON) , ` ��-Cs�� a ) \C� D STR CT `�
LOCATION (STREET)
OF BETWEEN �Q�\)2_ AND
BUILDING lJ (CROSS STREET) (CROSS STREET)
LOTiitn`�/i\
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -�
z
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For-Wrecking" most recent use m
M
i New building Residential Nonresidential
2 ❑ Addition(// residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — -.► 20 ❑ Industrial
3 ❑ Alteration lSee 2 above) 14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — y 22 ❑ Service station, repair garage
enter number o/units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
6 Moving (relocation)❑ 16 ❑ Carport 24 ❑ Office, bank, professional
17 ❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only 26❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 DK Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other — Specify
9 ❑ Public (Federal, State, or
local government)
C. COST it 1)� Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, mac.iine shop, laundry building at hospital, elementary
10. Cost of improvement................ school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use,
in the above cost
a. Electrical....................... z) 9/ ✓
6-Plumbing ....................... / /� of
c. Heating, air conditioning.........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 ❑ Masonry48. Number of stories................
(wall bearing) 40® Public or private company
31 Wood frame 41 ❑ 49. Total square feet of Floor area,
Private (septic tank, etc.) all floors, based on exterior —7
32 ❑ Structural steel dimensions ..................... a /�
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42® Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be Central air 52. Outdoors........................ a
36 ® Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44Y45 No
® es ❑ 53. Number of bedrooms..............
38 ❑ Coal /
39 ❑ Other — Specify Will there be an elevator?
54. Number of Full..........
46 ❑ Yes 47 [R No bathrooms
Partial........
NOTES and Data — (For deportment use)
S
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — �1'umbar, short, coy, and Staty ZIP cotN..
1.
Owner or RIC)
Lessee �Ilv
3
2. Builder's
Contractor License
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature f pplioant Address �q
V19oF Application date
61(il4ED THE
PENALTY OFDPERJURY 00 NOT WRITE- BELOW THIS LINE
V, PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans Date Plans
Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check DO1e Number B PDate
Obtained Y Permit or Approval Chetk Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building p
Permit issued ,2 -a O 19 /,-2 use Group
Building Fire Grading
Permit Fee $ _7/1
Live Loading
Certificate of Occupancy $ Occupancy Load
App/�r0v by:
Drain Tile $ rn � 1
Plan Review Fee $
TITLE
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LAND COURT SURVEYS SUBDIVISIONS REGISTERED LAND SURVEYOR REGIST ERE_D CIVIL ENGINEER !
LOTSURVEYS MORTGAGESURVEYS CONSULTING
(-I;
PARSONS AND F IA, INC.
(/�r z7u - 60 LEWIS/STREET LYNN, MA SACHUSET S 01902 LST L3.�
593-7927 Z L
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b I.. $ 40.
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"T tU Lt1 �5ttlem, CTnUUTa��tt�hu�e#��
A
SLIP
REVIEW AND PASS ON AS INDICATED
LOCATION:
�� DATE - - -ga
APPLICANT: \ l�o�...�c
INSERT DATE WHEN PASSING ON
Assessor Date
CONTACT PERS Peter Caron moi.
2 P Fire Department
C or Insp. LaPointe z�l9Z--
3 DEPARTMFNT7 Department of Public Services . p
DirectorCONTACT PERSON-
t"vel . t3�J52
4 DEPARTMENT: Water Department
CONTACT PERSON : Margaret Hagerty/HelenJiadosz 7J//
5 Planning Dept.
CONTACT PERSON- et r)
6 DEPARTMENT: City Clerk (if involving new streets)
/ CONTACT PERSON:
7 DEPARTMENT: �a
cnNTACT PERSON-
8 DEPARTMENT:
CONTACT PERSON:
RETURN TO
i
i
LAND COURTSU RVEYS SUBDIVISIONS REGISTERED LAND SURVEYOR REGIST ERED CIVIL ENGINEER
LOTSURVEYS MORTGAGESURVEYS CONSULTING
PARSONS AND F IA, INC.
&Jr 230 60 LEWIS STREET LYNN, MA SACHUSET S 01902 7 t33
I� . 593-79(2277 � IC14
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Or CNARLEB
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APPLICANT COPY r `--
5 y_ �o THIS PERMIT NOT VALID UNLESS
E' CITY OF SALEM BUILDING :A PROPERLY RECEIPTED BY CASHIER
SALEM, MASSACHUSETTS 01970 PERMIT
VALIDATION
,a4B�
.qa......,,� DATE -^C). l7Vn 19 '92-'� PERMIT NO. �N7-47
APPLICANT 1h,Yl'vkS AIidri, :A (.emv5_MA_ s'F-".w A _
(Y T 1 ISTREETI ICONTR'B LICE NSE1
PERMIT TO JXkJJ,TNr. I_1 dT ORY IYA'N`.E f TA\ NUMBER OF k
(TYPE OF IMPROvEMENTI 0. IPNOPOSE vE) OWE G UNITS
AT (LOCATION)
�. a ��5 .. �r.s � �tqu +� / ZONING LZ—I
DISTRICT
I O.1` Z ISTREETI /
BE EEN AND
ICROSS STRE FTI 1 / (CROSS STREET)
OT
SUB61VIS'I N LOT ,BLD KC KC SIZE
BUIElD ING IST BE fT, w10FT, LONG B/ FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP��_BASEMENT WALLS OR FOUNDATION
,w�yy Tfpyy T � C�¢R��EE,,��!� �q� L+•���TT{/ ppyy.�.�Lyrsq� �'�tA]SE/�� ((�� JyrQe'� {[�'�{yLLOM
REMARKS: N L[WI A 11' ...� LL aO; I'MaL3 AJFA��+eI1= 29'15521 Ri.3I3 C�i+ VaiDM
CALL P&*UT UT ?O IX 13PY 745-95995AREA OR n a
VOLUME ESTIMATED COST Vas SVD.UtI - FEEMIT S
'.CCUBIUSOUARE FEET)
OWNER ahomaJ Andrew
ADDRESS 319 T,'wmwaYP 717m.mh. 01901 -wrffnVnwrsd.,^
1 OF -BU ILD I GIBS
r
r
w R .
YOUR SPECIAL ATTENTION is Pdlud to Iho (olluwinc:
This permit is granted on the express condition that the said construction shall, in all respects,conform
to the-Ordinances of this jurisdiction including the Zoning Ordinance,regulating the construction anduseof
buildings, and may be revoked at any time upon violation of any provisions of said ordinances.
ttcautertirouf pits:vd glvest at Ute time permit is issued must be displayed on premixs. The department must
he notified and inspt•r tion movie of prior nmstru, tion work ms requestx•d on weather card. All new buildings and
rublitiuns and .Jteralions to existing buildings rc,ryirr a minimum of three call inspections, namely, (1) Footings,
.drain ti I s%stems, fouudat ion and basement walls, wJhnn walls are at Irnst'two feet high, but before back it Iling
the wall and before proceeding with the sulterstrurlures. (2) Framing prior W lathing and plastering, duct work,
fire .stepping and other i•quifxnent-before it is (S) Final inspection when building or structure is coat
pleled.
On job» involving ruinforced concrete work, inspection must be made after steel is in place and before concrete
is poured.
The Department reserves the righ( to rejert jtny work which has been concealed or completed without first
having Kron inapt•et.•d :uil approved by the Ikgmrtment in ,v cordlmc i, with the requirements of the various codes.
Any deviation frum th. approved plans must he rwthorized by the approval of revised plans subject to the same
procedure eslriblished f,,r the examination of the urigimJ plans. An additional permit fee is also charged predicated
on the extent of the .;vi,awn from the original plaits
Permits we not .dv1 if construction work is not started within six months from date permit is issued.
Request for Finai Inspection should be made by pumcard or phone call to Ibis department when the
construction work is completed and heating apparatus has been installed. Painting or decorating is not required
before the Final Building Inspection.
Final Inspection std corlilicnte of occupuncv must be obtained before coeupying building.
' BUILDING
PERMIT
JOB WEATHER
C CARD !�
DATE Feb. 20, 19 923 PERMIT NO. 57`92
ng,.,,,.,
APPLICANT 63ums AndrL SIR mI . y,n9yny-y;
i )STREET) - ONTR•S LICENSE)
ryJm Si•{ NUMBER OF
PERMIT TO (_I STORY SJEefd1AL3 OWELLI NITS .
(TYPE OF IMPROVEMENT) IgP�RR OOPOSEO EI
AT (LOCATIONI �" ZONING DIST
1 0.1 19TREETI 01$TR ICT [{"1
BET EEN AN
ICROStl STREE 1 (, y )CROSS STPEET)
I �.Lpr
SUED IV ISI LOT pCK
BUILDING IS T BE T. 1-1 By FT, G BY i - T FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
UCa` 2' ZI vm CM FAMILY F3i>rk3'AL= 29 I X52 E t6I ra C CSE Mom
REMARKS:
CALL FM P aF MLT To 0CX.'UF'Y 745-9595
VOLUME ESTIMATED COST A OR 8215M.00 PERMIT
S 50U.00
:CUBICJSOVARE FEET)
OWNER thaTm Andmw , T
9
ADDRESS 3 Ly41Tlw y1 Lytu1om. U1901 llf
— _ INSPECTOR OF BUILDINGS
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY 09 SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY. NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION, STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE PPPLIC 4BLE SEP4F ATF.
INSPECTIONS REQUIRED FOR CARD
KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PFRMI TS ARE REQUIRED FOR
ALL CONSTRUCTION WORN: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRE D,S VCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERSIREADY TO LATH). FINAL INSPECTION HAS BEEN MADE,
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 I
2 2 2
POARD CF HEALTH GAS INSPECTION APPROVALS FIRE DEPT. INSPECTING APPROVALS
1 1
OTHER CITY ENGINEER 2 2
WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD
INSPEC' 14 HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.