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9 DANIELS STREET - BUILDING JACKET 9 DANIELS STREET N wwww 011lral� YM...��° M PwpAr loarod In w.a�aN.wI AnaMp.QM POW YK�NO IM pM Pa"Im Vag Sid11& ww" Do*, P" (Ci1101�w111011awr apPb) ibd � . PUAit F"OUr UMLY E Qom MMVTO AV=0""MI MWWWO TO THE ur6P6CM OF eu DI" TiM wtda moW hoft WON w a PW" to No aoow" b to toMoy** .v.a�oron� � P� ✓� V�— Owtws Noma � Addnoa a Phan 9 2r',� J5 TIV 9 0�_ `� AnhhoWs tint � t AddMN& Phar . s9 y- as3 AddWU 8, Pho rw yn✓�.v19rs v�e,h.prvor,aarrrw�'a D✓r('U��F i/� �� �/r, h 2rc aOAI "ImMWgWN a arweaR vm ro dm to Inca ,tea a� m aIr.r.a oor j�P a.. mM a � s,� ads. 1 //9 X W LPP �TtW PITY OP PWAW oucrArnom OF WOW TO K DONE N2uj Tile a9.3 sg-/, wwL PBW I 6� . Y e' PWAW To APPLICATION FOR nevC l4ee �f� j LOCATION A PEF09T GRANTED l APPROVED OF ` 1 F fLJ4NS1iAtl6T*Eflb4Hk4M APPNOvED 9r TW JURPFC?OR PFADR TTI A PEAM17 BEING GRANTED CITY OF_SALEM N°'� �� s Dif. \ , Wad / ZOnkw DWbM�C-z_ Is AMMy hoc t@d in r�rastom of IfN FRMoNC DWdct? YM No_ aati7diae A h PmpMy Loaohd In : nM Colwnlaeon ABM? YN No Permit to: BUILDING PERMIT APPLICATION FOR: (Circle whichever apply) Roof, ("� Install Siding, Construct Dads, Shed, Pool, RepeidReplace, Ofttsr PLEASE FILL OUT LEGIBLY i COMPLETELY TO AVOID DELAYS IN PROCESSM TO THE INSPECTOR OF BUILDINGS: '• The undersigned hereby applies for a permit to build accortmg.to the folk)*" specifications: / Owner's Name fyl%r5 L 0lk7rrilA �- yr/"✓ Address 6 Phone 9 ivI rf Amhkftfs Name Address Q Phone Mechanics Name Aa r/i/aA,41 K 011-ri /and /A- C Address A Phone d GWax e?62 wwt w sr purport a buYdrq? ytIr AIA-1 Cld momw of buldfq? M.dwMYrp,for tow nwry fan~ wa b Adna coi nn to law? .Adjn s? EwnaYd cod CRY UO 0 /V/� skin uowme o o/?>-2 Gera. I�[o•�t Lie. / /y/// .yrs % A-11 /,•r L ignature of Applicant SKIINED UNDER THE PENALTY' OF PERJURY DESCRIPTION OF WORK TO BE DONE qz /lr r z �av t /6 o t T �q/er v/r/� A/''��/ J.�./•�'`n �� / �ii✓ �/�z AGO �v/�� �/ �1h����t r� a� y r,� T MAIL PERMIT No�A— V� APPLICATION FOR PERVT TO LOCATION PERMIT GRANTED APP,ROVPD t � ` ECTOR OF OUILDINGS i r x4f Tommnnwralt4 of Anssnr4usets CITY OF SALEM ea. In accordance with the Massachusetts State Building Code, Section 108. 15, this °tea sae` CERTIFICATE OF INSPECTION is issued to s 1='OL_IF1-+, L_EGI(T'.! OF AP4EfiICAN VETS 7 Tgrtlfg that I have inspected the premises known as POLISH LEGION OF AIiIERI.CAN VETS Zi0215 1:ANIE::LS SlREE:T in the cit o S located nc Y f Salem County of Essex Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BYSTORY bAt °gtvtisXwF", � �bl4 YS�k Gk% % 7�6�57� Story C ''•%' tx"�xxx��r,� ��s`��n� Capacity Story C � ci>F��x� Capacity BY PLACE OF ASSEMBLY OR STRUCTURE Place of Assembly Place of Assembly or Structure Capacity Location or Structure Capacity Location E+b-1R 5 151` FLOOR HALL S 21\1D FLOOR 0i 7;: 1.797 1.21ZI/ :1.937 1.1- /Z1/ 199a � Certificate Number Date Certificate Issued Date Certificate Expires wilding O ficial The building official shall be notified within (10) days of any changes in the above information. T � rf Col^!ONHEALTH OF MASSACHUSETTS_ CITY OF SALE! C��_bl kc1 � _ T 4 }may APPLICATION FOR CERTIFICATE OF TNSPECTZ'0 Date Fee Required S (X) No Fee. Recuired In accordance with the provisions of the Massachusetts State Building Code. Section 108, 15. I hereby apply for a Certificate of Inspection for the below-named prmises located at the following address: Street 6 Number C r Name of Premises . / // ��JJ Purpose for which Premises is use 1✓J�"7 k' rKJN '.j - License(s) or Permits) required for the premises b. ocher Cw_—mental Adacci�: q License or Permit ,..,[Agency 14 Certificate to be issued to: -r�r Ab✓✓-e- _ Address: _+ Owner of Record of Building: �z � y Address: m co � Name of Present Holder of Certificate: r ✓Vm< v Namme of Agent, if +any.. . / Y 3 M Cn Signature of Person to woo= Cerrificace TITLE is issued or his/her authorized agent .L0 S 7 Date INSTRUCTIONS: Day time phone / syP- 7c/j- cj/eJ I. Make check payable to: The City of Salm Z. Return this application with your check to: Inspector of Buildings. City of Salm Building Department. One Salem Green. Salem. MA. 01970. PLFASE NOTE: 1. Application form with required fee must be submitted for each building or structure of part thereof to be certified. Z. Application 6 fee must be received before the certificate will be issued. 3. The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE 1 / "1 EXPIRATION DATE: / X PERIODIC INSPECTION REPORT This form is to be completed each time a Periodic Inspection is made. At the time a new Certificate of Inspection is issued, a notation indicating that the fee has been paid will be made to Application Form prior to the new Certificate of Inspection being. issued. Any changes since the last inspection are to be added to the file card of the premises. < Street b Number J v'jI�i(.L{'11 'e� sL Name of Premises i-s 1I�e q I o n ©- C� YH e- c 1 ca2( V Certificate to be issued to: �rJl1S� \ P G 1 0 Vl C) U 117t�.(�ic"I II�ty a,Address I jl 2 I s+ ' Owner of Record of Buildingg,, !�Ccyr Address VY-) Purpose for which premises are used Y P +�(t�C(, U, Changes since last Inspection (required on file card also) 1. 2. 3. 4. 5. Date Order Issued: Order Issued To: Address Date Violations Corrected: REMARKS: I have this day inspected the above premises, and the same conforms to the pertinent requirements of the Massachusetts State Building Code and the rules and regulations pursuant thereto. < {ao -9 z ' oU Date Building Official Certificate # j Date Issued: Date Expires: Recommended Next Inspection: