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10 DANIELS STREET - BUILDING JACKET 10 DANIELS STREET . ��dHiS��EffLf��f/O A�PflOVE{) 8Y �*iE ,J,Al�Sp��,gF; ,Pf�R Ip A.PEAMIT.B,EWG GRANTED CITY OF SALEM � '��``1�`A�*�y� / — I ` — � � No., o �I ;F.` � \ Date O 3�:�ry R ���1ti�i��:!�� \�'?�huvnNe o�''�� I � IIs Property Located in Location of ` I the Historic Districtl Yes_No� Building ` �fl�s�¢H/I�/�� Is Property Located in - the Conservation Area? Yes_No� BUILDING PERMIT APPUCATION FOR: I Permit to: (Circle whichever apply) Roof, Reroof Install Siding, Construct Deck, Shed, Pool, I air/Repla� ther. 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 J e�� � �LO l/L KFt6V T Address & Phone Z� �a�a�tC�n�f�t �� �J f1�s� VYl1} 117� Architect's Name Address & Phone ( 1 ' Mechanics Name 4 Address & Phone ( 1 What is the purpose of building? ��L ' ` � Material of building? (���� If a dwelling,for how many families? 7 ,I WIII buflding confortn to law4 Asbestos? ' EsUmated cost (D, �7) City License� N p' State Lic se ri 6 .S � �U v��� ��-�o� flome Improvement _ Sig u e of pplicant � ► c� I �ZC�S'ti S E UNDER THE PENAI.TY ERJURY DESCRIPTION OF WORK TO BE DONE dJ P�t/ GU <�vc�o�,/s ����%Y�'�� 7l.eo?�� �X�S� ��� � r� � v •✓r�f �o�e �� ��� �' s� �e � `,� � ,� r�r��.� MAIL PERMIT TO: �-� �� �'�`"�u- �� l � l��i G2T/�i � a �f �/� , No. -5 () - Z (D CDI� APPLICATION FOR PERMIT TO LOCATION /a D) PERMIT GRANTED -7— j �3 APPROVED INSPECTOR OF BUILDINGS What is the current use of the Building? Material of Building? -A ' K dwelling, how many units? Will the Building Conform to Law? Asbestos? Architect's Name Address and Phone Mechanles Name ',�G �"r Zz vLYUYtI c) Addressandphons �� 7�Iwt6 .v��ar✓ 7ria ��� � Construction Supervisors License# OWN-57' HIC Registration# /Oa 2 2('7- Estimated '7-Estimated Cost of Project S K Permit Fee Calculation Permit Fee$ Estimated Cost X$7/$1000 Residential Estimated Cost X 511/$1000 Commercial An Additional $5.00 is added as an Administrative charge. Make sure that all fields are property and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Pe o ild to above stated specifications. Signed under penalty of perjury ate �O I N V O � y 9 v a a v. O y $ a O o. - - Ery-OF- - �� "O PUBLIC PROPERTY DEPARTMEINT ' 1:1\NF�3'iY DRIYAxl `� MAYOR 7 130WASWNG'1M h1Fb'r•1M.LK XMIAU1LUMS 01970 TFl 978.745-9S9S•FAM 976-799" APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: Building: Property Address: /0 174NI PG f T Property is located in a;Conservation Area YM Historic District YM 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: r: e v i WE )` M ev 1cM15- Address: 1�7% Telephone: 97 — Jr`y 11 —190 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor (sf) Renovated construction or renovation of existing building New 9tief Description of Proposed Work: 2 Ed�yY2We �-aVi `.`p G�lE� vt/ �© tzeN�P5 lD�i!✓N� �P�Gc�h� �P�u`�� Mail Permit to: -mj Yr'a4,,y'9 4,/y r� 11/4 — Lo.oz/� ( ;ti � (l�b'r(b� R/ (.1! 1� 6'✓ :�':� ,7 �Ixl� 7 O/ syun��e���,�� r�v ? :A�� 3N L 171 Al(W bA?13 ;i 1)�3 a 7�^3? <Xpnolo 641) FXZ 37309(z \ X _ , d�.l ; 8 Z ,Pdlst ALL SHNuoo.� ZI I+ , / n d t I _ 3A J7. g® rlZlp4Le ung.. 'Dou'RIS 'ZY, ' i I lFz� �O i I ; d ITzKa /60 1Z Foo-rlNG,S iTy� Ib-� rF -rpIPEE ZXB i bouBLE ZX9 ftyp` =olhT k-7R 4Xro PotiT (rlT� W A n-hlOt P,eVj N6 JO Lr'�ul G ,7 . �ACS i�/ �� N ►� N.9rV 7 yYl L, f la::siw, • r �\ :7 x- C6 o,c y 7Z� L3 - ZxIZ STR Nrf� 1'c < - fff / '. � I S:�i�' c�vac'.. �� �c. k', �TG� r91•�I/,/ll �� . \ � PI_ �_,�� F-6. / rt"" � i.^'7 ,..�.• �''� T�tt� n •PJC/ . :,'ri.= 4 �/f ��r ti«��C{ w• �P•s vJ1Y'llal!!�' vvi> ,�—I „ ( ✓�c:14'. , a (�l�P Tammanwralt# of Ansfisr4uartts i F CITY OF SALEM In accordance it,ith the Ma s s a ch use its State Building Code, Secrioit 1OS. 15, this CERTIFICATE OF INSPECTION HARRY KOHIAL.KA is issued to 7 KY�i ll�� that I have inspected the premises known as AF'ARIlyl E..NTS located at 0010 DANIELS GTREEf in the city of Solent County of Essex C o to to o n to tet l i h of Massachusetts. The means of egress art sufficient Jur tItc I ,IIoit,ing nnlnber of persons: BY STORY xxxxxxxxxxx�F tx�x�xxxx xxxx xxxxxxxggxxxxx Story C�CN� k 'xxxxxxxii �Yxxx Capacity Story C t #xxxxxx## "S$$ Capacity FIRST FLOOR 2 UNITS SECOND FLOOR c UNITS BY PLACE OF ASSEMBLY OR STRUCTURE Place of Assembly Place of Assembly or Structure Capacity Location or Structure Capacity Location 0077-1997 03/15/ 1997 03/15/2002 Certificate Number Date Certificate Issued Date Certificate ExpiresAl. i i tl The building official shall be notified within (10) days of any changes in the above information. T, COMMONWEALTH OF MpAS ��SACHUSETTS S4Y sig CITY OF 0*'.D{NG"DEPT. . �O"SY APPLICATION FOR CERTIFICATE OF. INSPECTION Date -/� -CJ > ';MAfl 1154 P!e`Required S 83 REC61AP Fee Required C TY OF SALEM,MASS. In accordance with the provisions of the Massachusetts btate Building Code. Section 108, 15. I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street 6 Number �� � (.��..� .q�e Name of Premises Purpose for which Premises is used License(s) or Permit(s) required for the premises by other Governmental Agencies: License or Permit Agency Certificate to be issued to: Address: Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent/, if any.. . Signacure7of Person to wbom Certificate TITLE is issued or his/her authorized agent 3 ,_ �/ �/— Date INSTRUCTIONS: Day time phone / I. Make cheek payable to: The City of Salem 2. Return this application with your check to: Inspector of Buildings. Citv of Salem Building Department, One Salem Green. Salem. MA. 01970. PLEASE NOTE: 1. Application form with required fee must be submitted for each building or structure of part thereof to be certified. 2. Application & fee must be received before the certificate will be issued. 3. The building official shall be notified within tea (10) days of any change is the . above information. CERTIFICATE / EXPIRATION DATE: c Zi 6 —ZCJy s3 jE4L 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. 1 Street & Number Name of Premises Certificate to be issued to: H f& c r\4 I`' C 6 , /c�, CA, Address 10 -00.y, SLS ^� � JT/�e �, • 1,` q C C Owner of Record of Building L1 Address y Purpose for which premises are used U VIN,`� 1 S Changes since last Inspection (required on file card also) 1. 2 3. 4. 5. Date Order Issued: Order Issued To: Address Date Violations Corrected: pp REMARKS: Zlh. o �- S k © 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. R � Z6- /421.6 Date Build ng icial 2 Certificate - Date Issued: Q,, ``�`� /0 �' yy�� ✓/�5 /9� Date Expires: Recommended Next Inspection: 1 '� ��p (�mnutonmrttl� of l�tt���rf,�tsri#B b CITY/TOWN OFlux SQL. In accordance with the Massachusetts State Building Code, Section 108. 15, this j� CERTI /FICATgE, OF INSPECTION isissued to . . . . . !./Gt1'.r Y. . . JK0.Rl.�L/A.<./•I• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i (Urtifg that I have inspected the. . . . . Q . . . . . . . . .known as. . . . located at. . ./ot . . �.�// L. . . . . . . . . . . . . . . . . . .in the. l..(„1` . . . .Of. . . . ` . . . . . . . . . . . . . . . . . . . . . County of. . .C� S S 1r_ .Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY Story Capacity Story Capacity Story Capacity Story Capacity E�� cJt fps C=C� �` BY PLACE OF ASSEMBLY OR STRUCTURE Place of Assembly Place of Assembly or Structure Capacity Location or Structure Capacity Location -z �- Z601 Certificate Number Date Certificate Issued Late Certificate &rpt tb Official All. The building official shall be notified within (10) days of any changes in the above information.