4 DESMOND TERRACE - BUILDING JACKET e � 400� P4
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PUBLIC DEPARTME
KIMBERLEY DRISCOLL
MAYOR
120 WASHINGTON SIREEr•SALEK MASSAC}USEI-IS 01970
1ti 978-745-9595•FAx:97&740.9916
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: / CIV S O/�! /
94 loy�
Property is located in a: Conservation Area Y/N Historic District Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: yea
Address:
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EX RTLNG 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
Brief Description of Proposed Work:
Mail Permit to: �
What is the current use of the Building?
Material of Building? If dwelling.how many units?
Will the Building Conform to Law? Asbestos?
Architect's Name
Address and Phone
Mechanic's Name
Address and Phone
Construction Supervisors License# HIC Registration#
Estimated Cost f Pro'ect$t6 G Permit Fee Calculation
Permit Fee a Estimated Cost X$7/$1000 Residential
Estimated Cost X$11/$1000 Commercial
An Additional$5.00 is added as an
Administrative charge.
Make sure that all fields 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
specifications. Signed under penalty of perjury X
ADate ��
J
69 1
s�
N
CITY OF SALEM
PUBLIC PROPERTY
a
DEPARTMENT
KIMBERLEY DRISCOLL
MAYOR 120 WASHINGTON S'I'REGT♦ SALEM,IMASSACHOSEIIS 01970
TEL:978-745-9595 ♦ !'AX:978-740-9846
STOP WORK ORDER
Property Location 4 Desmond Terrace
August 9, 2006
Adrian Shehu
4 Desmond Terrace
Salem, MA 01970
Dear Mr. Shehu;
The above listed property has been posted with a Stop Work Order due to being in
violation of the following State Codes and/or City Ordinances.
780 CMR Massachusetts State Building Code,Section 118.1, regarding violations of
the construction code, states that it is unlawful to add, alter, or construct any structure
without the proper permit to do so.
No further work may be done until such time as the order is lifted. Any person who shall
continue any work in or about the building or structure after having been served with a
Stop Work Order, except such work as that person is directed to perform to remove a violation
or unsafe condition, shall be liable to a fine of not more than $1000, or by imprisonment for
not more than one year, or both for each violation-, with each day constituting a separate
violation.
If you have any questions regarding this letter, please contact the Building Inspectors Office
at (978) 745-9595 ext. 386.
Sincerely, �� f
os ph E. Barbeau, Jr.
Assistant Building Inspector
CC: file,Mayor's Office, Councilor Veno, Health Dept., Fire Prevention
0004 DESMOND TERRACE 148-07
GIs#: 4901 COMMONWEALTH OF MASSACHUSETTS
Map:,, 32
Block: CITY OF SALEM
Lot: 0301 .
Category. Shed
Permit# 14807 BUILDING PERMIT
Project# JS-2007-000689: `
Est.Cost: $600.00`:
Fee Charged: $25.00
Balance Due: $.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: " Contractor: License: Expires.
Use Group: owner
Lot Size(sq.ft.): 5170
Zoning: R1 Owner: SHEHUADRIAN
Units Gamed:' ' ' Applicant: SHEHU ADRIAN
Units Lost: AT. 0004 DESMOND TERRACE
Dig Safe#.
ISSUED ON. 10-Aug-2006 AMENDED ON. EXPIRES ON. 10-Feb-2007
TO PERFORM THE FOLLOWING WORK.
BUILD SHED 8 X 10 KEEP 5'FROM PROPERTY LINE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
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 VIOLA N OFA O I S
RULES AND REGULATIONS. GCrr "
Signature:
Fee Type: Receipt No: Date Paid: Chec o: Amount:
BUILDING REC-2007-000845 30-Nov-06 Cash $25.00
GeoTMS®2006 Des Lauriers Municipal Solutions,Inc.
v3QvE AD
CITY OF SALEM
BUILDING PERMIT
The Conunonwcal(h of Nlassachu.selis ----
t Board of Building RCgtllallo1)S lllld Standal iS
'y Massachusetts State Building Code. 780 ('NIR, 7"I cJitioll III VI( II' v Il 1
Building Permit Application To Consu'uct. Repair. Reno%ate Or DCI1111WI J R, i n, d l....... ,
(blc- w Ttru-ftimilt DIt(1111,q
'his Section or Official L!se Only ---i
BwlJing Permit Number: — Dale Applied: - �- - G_4-- ------ --1
— -
SN'llature
nwlJn,E ('unun,s,lon� In> iNr ui(Sm Idows
_ SECTION I: SITE INFORMA HON
1.1 Properh' .\ddress: 1.2 assessors Map & Parcel .`umbers
I.Ia Is this :lit accepted ,Ir eel'. )es_. no htap \umhrr
LJ Zoning Information: La Property Dimensions:
Zoning porno Pn.p-..scJ Use L, , , v_
I i.:i Building Setbacks (Ct) - -- --- -
- _.._
Y-,n( _ Ir2ea1
4 u i I e, I Pr
cd-- R_t,un ed Pot,o ld.d Rn(u,red Nut,JrJ
L6 TVa.er Supply: I,Y1 QL c 10, §S1l 1.7 Flu-d Zone Information: 1.8 Sewage Disposal System: j
I Public ❑ Private❑ Zone: -_ Outside flatd Zone:'
Check it ves❑ I .Municipal ❑ On site disposal Sysic:n ❑
I
- --- SECT?v:Y 2: PROPERTY OWNERSHIP' - -
----
r2.1 Owner°oi'Record: ---- -- --------.._. --i
- 4 DLswl try �rzncr_
mtl Address for Srrvice:
�R,Fnrui__ - Telephone -- .
—_— SECTION 3: DESCRIPTIOi+I OF PROPOSED WORK'(check all th:a apply) j
Vcw C,srstru,Anm ClExisting Bu,lding� Owr-•—�-� 1�� -- j
cr-0ccupi±d Y5, LRepmrsW ❑ Aiteraoonms) WJuwn r— -- — -- -- - -- ----i
O:mont:on 0 cc essory BiJg. C) Number of Units.-� Other ❑ S cc } —�
I�--------- — P I Y—
Prirf Descripnnn of Proposed Work
_ _._- ---- --- Ot'ticial Use Only
--
_ S`'. TION 4 1 c''ii'Yfa ..:aJ d::O,VS'd'RUCTIQti
I(nn Fstim,ed Costs
_ (t aborand Mare_naisi
�I. ISniiJing- $ I I. Building Permit Fee: $ 6 Indicu[e hose fee a Jr(irnuneJ- 7
_1. F-Jeclrlcai $ --- i ❑ Standard C'ilylrown Application Fee
-- ❑ Total Project Cost' (item G) x multiplier x _
S. Plumbing $ ? Other Fees: 5
1. :bferhaniial 1H�':1C1 $ List:
i. M1lech:miial (Fire ,
Sutrc_ssion) .$ Total All Fees: 5._ ----------
Check Vo. ---.__(.'heck Annnmt:o folal Project Cost: $ 1S avlj O Pail In Full - ---
❑ Outstanding Bal:utce Doc _
I:
SECTION 5: CONSTRUCTION SERVICES
5.t Licensed Cunstruclion Supervisor (CSL)
Licaroe Number - 1`..Npiration Date
\anir of C'SL- I folder l_let C'SI_ I\pe t.ee helow l ---
tc Desc h ttum _
I -- (- I nnroumed rit t(o 1�.0001'u Ft —
JJtes.
ReaneteJ 18c' F.mnit D,.elllnc —li
Signature
41 %Ia.onn
RC ReslJenual Boating l'o,rtine
\1.5 Re.iJanual \\1 nJm, and Sului _ ______.
telephone
SF Rc,iJenu.11 Soli) Fuel 1lwuuim \ lieui.' In.l,ilLniai 1
p Rc.IJenual Dr inolwon --{
5.2 Registered Home Improvement Contractor(111C')
RCgutradult Number
If Company Name or HIC Rcelstrant Name
Address Expiration Dana
Telephone
Signature
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 2506))
this applira[iun. Failure it, pnl,l e
Workers Compensation Insurance affidavit must be completed :end submitted with
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached'? Yes .......... 0
No ......... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE CONIPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property hereby
to act on my behalf. In all nutters
;:uthorizr
elative to w•.`,c authorized by this building permit application.
—�I
STY nature of Owner
SECTION 7b: O ER' OR AUTHORIZED AGENT DECLARATION
as Owner or Authorized Agent hereby declare
.sn the fore wing application are true and accurate. to the best of my knowledge and
that t tatements and informat on o
behalf.
Print Name
Date
Sienauur of Owner ur Authorized:agent _
tSi ned under the atns:md enalties of rru 't NOTES:
1. An Owner who obtains a building permit to do hi /her own work. or art who hires an unregistered anus.for ll
(not registered in the Home Improvement Contractor (HIC) Program),
will not have access to me :ubitialion
program or guaranty fund under M.G.L. c. I42A. Other important information tin the 111C Program and
Construction Supervisor Licensing (CSL) can be tiwnd in 780 CNIR Regulations 110.RG and I It) R5, respecntcly.
' When substantial work is planned. provide the information below:
Total flours are�!Sy. Ft.) (including garage. finished basement/atucs. decks or P"I"ehl
!{abitable roost count
Gross living area iSq. Ft.) Number of hedroom. --—---
----
Numberof fireplaces Numberof h,ilt/fkath. ____--------- -
Number of hathrooms Number of deck./ porncc. .
f\pe of heating Nvslem
--
Tppe of oohng system j
z `Total Pn,ject Syuare Footage" maybe substituted for "total Prnjen C'oa"
N �
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LAND OF
ERNEST R. BELLEAU
DESMOND TER . SALEM, MASS.
SCALE IIN= 20FT. OCT. 1955
'AF Mgg"
ESSEB REGISTRY of DEFDS, So. DISI'. SA\EM, TERED VEYOR
ceived ® ,�, 21 19 5� t+i1+� �
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ERNEST R. BELLEAU
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ESSEX REGISTRY oP DEEDS, So. MST. SAL cEM, MAS9.!-T-RED VEYOR r+A
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