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396 ESSEX STREET - BUILDING JACKET _� �9� f�ss�X ST���! �� Y I t Iiam PERMI JOB WEATHER CARD 1 . E 04. °: - _,.. r~.,�_ Z1B _. cr ERMI •.NO.Y`A -c L,FL�i:1 .is r' :r, 1-.er , -- P-._. F. -==_Ila NT —TADDRESS_ irv0.) i17REE ) LICE v5.1 5 !'T P?11 L I.6.1 C 2 P C:a F C' :1 C':1.^.n NUMBER OF E. Mli T I I STORY- 7WELLING UNITS '0 TPC OI IMPFOVEREN'T1 '0. IPFOPOSED USE) —�--- (— ZONING DISTRICT '••_ _— t Irv0.1 ISiFEETI (CF055 STREET) AND (CHO55 STREET) S'JE]IV IS IDH _ LOTBLOCK SIZE SUI;.OING IS TO EE _ FT. 'NIDE By FT. LONG BY FT. IN .EiYHT INC SHALL CONFORM IN CONSTRUCTION l3 TYPE - _ USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) c:. r cO-:.non of 7.'1.... Di:i,Ci.n& L.- LSiliCS1 aZi al--_rziI'TOuse E. � IUhiC) , S Der p13rs. . r: L __.. 0 < I:, p'T _ .Y6 t6 . ... _,u _ IL ✓... ,._... -_.... ..,I,a- t `:, 5;tn.-::::er:SCA'.?, SRR PT,;%,Mi°' TO (1>^,frTv:-r*rII-*� S c PERMIT c U'L"- --- ESTIMATED COST FEE S_ IC'SCU(-RE f SITZ —' ,n v F r as C 3 ka E 9U1LD:. v=E55 EV " THIS i ERMIT CONVEYS NO PICHT TO OCCUPY ANY STREET-, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR 'rANENTLT ENC RO CMM NTS OIPJB LIC PROPERTY. NOT SPECIFICALLY PERMITTED UNDER THE BUT LOING CODE MUST BE AP- R ':EC N 'Y HE JIS DiCT'ON STYE I-- On ALLEY GRADES AS WE LL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBT A)NED R_.'! TH- CF PA TMEN T OF Joy:C WG4KS. THE ISSUANCE OF,7HIS PERMIT DOES NOT RELEASE T HE APPLICANT FROM THE ^.ONDITIONS Or N. APPLICABLE SUBCIVISION RESTRICTIONS. - +JNLduM CF THS EE CALL Ar-ROVED PLANS MUST PE RETAINED ON JOE AP:D THIS WHERE APPLICABLE :NSPE CTIONS REO!!IPEC SOP E IC GBLF_ SEPARATE CARD FE PT POSTED UNTIL FINAL INSPECTION HAS BEEN PEPMI rs ARE Rr OLIIF.=D FOR - AU_ CONSTRUCTIC^I WORK: ELECTRICAL, PLUMBING AND I. FCUn'DA TICNS Oft FCCTING S. MADS. WHERE A CER T:FCATE OF OCCUPANCY S RE- ME CM 4N'IChL INET ALL4TION 5_. 2. PRIOR TO tOv=_RING STRUCTURAL pUIRED.SUCH BUILDING SHALLNOT BE OCCUPIED UNTIL M-FIMMBES LVSPECTIEBS(REAO 5. Y TO LhTH). FINAL INSPECTION HAS PEEN MADE. ON 9EPORE OCr UPA NC Y. - --- POST '9 HIS CARD S® IT IS VISIBLE FROM STREET =l Iv.. NSPEC71GN SPPR A LS F- OMCING In'S PECTIONAFP ROv'AL,! ELECTRICAL INSPECTION APPECYA_S �� �. L( �-,,,.,'a—CL'��I � ���?_l' -�O �- I � `3��r3�� �- ,ti�i�'-- .3i,.cP ✓y ),a ' ,,moi;%1 © �l��ture,,�7r l];Y •C�n-.�`2:�,1�/ C) I EOA:RD OF HEALTH GAS INSPECTION APPROVALS FIRE DEPT. INSpry/��C ING AAPPPRRq,VA�S c OTHER CITY ENGINEER 2 - 2 q Wr SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCI"ION INSPECTIONS INDICATED ON THIS CARD INSPECTOR HAS APPRO'V%O THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE OF-CCLOTRUCT nN _ The Commonwealth of Massachusetts 1b i`i Department of Public Safety Building Code(780 C\IR)Seventh Edition f 1 / City of Salem w� Building Permit A licatoon for any Building other than a I-or 2-Family Dwelling I (This Section For Official Use lfily) Budding Permit Number: Date Applied: /C.r Budding Inspector: SECTION 1: LOCATION(Please indicate Block N and Lot M for locations for which a street address is not available) D No.and Street Cite /Town Zip code Name dBuilding(it applicable) SECTION 2:PROPOSED WORK If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ 1 Alteration ❑ 1 Addition ❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No..❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No ❑ Brief Description of Proposed Work: ' SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑ Existing Use Group(s): Proposed Use Group(s): f Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Flewrs/Stories(include basement levels)&Area Per Floor(sq. ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2r ❑ A-2nc❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: Hi Hazard H-1❑ H-2 O H-3 ❑ H-4❑ H-5❑ 1: Institutional I-1 ❑ 1-2 ❑ 1-3❑ hi❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1 O 5-2 ❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ IIB ❑ ILIA ❑ 1118 ❑ IV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Chuck tf uutide 19uod Zone❑ Indicate municipal❑ A trench will not he Ltcen,ed Dinp,,,sal Site Cl required ❑or trench ur.pretty: 1'n va to❑ ��r tndenttfc Zone:_ ur nit•tte>v%tern ❑ permit is enclosed ❑ _ Railroad right-of-way: Hazards to Air.Navigation: %I:\ IL.b,n. ( .•nnnt..u•n It...a.. Pr,•.r- \ot .\f•f•hc,thly❑ 1,�trttctmv t.rthut atrpon appruoch area' k their ret wt, contplcted' „r l" n.cnt to Budd end."rd ❑ le.O ,,r Xu❑ Yrs❑ ❑ SECTIONS:CONTENT OF CERTIFICA rE OF OCCUPANCY 1:,ldn ut d C.me _..__C�e(gin vpt.c ft pvoi l un,iructtun: Occupant Lo.id per 11' ,"r I hers the budJ ut>;contain an Spnnkler !'t.k•m': �prc tat Shpulabnnv SECTION 9: PROPERTY OWNER AUTHORIZATION Name at t Address of 'rnp -rly Uwner Name No.and Street Citc/Town Zip Pmperiv 0%,ner Contact Information .,, Title Telephone No.Ibusmess) Telephone No. (cell) a-mad addres, lf.ippLie.ible, the proper An er he rrbv authrZZ tzrs Name Street Address City/Town Stale Zip to act on the *ro env owner'+behalf, m all matters relatne to work authorized by this bui[ding permit a + +lira hors. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) (If building is Lis than 35,tiou cu.ft.of enc4rvd s ace and/or not under C0nsuucti0n Cunwl then check here D and skip Suction 10.11 10.1 Registered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 GePtO Contractor Comp ny me: Name/uf Person RSmsiblyforCunstructiun � License No. LLand Type if Applicable S t -- Cit own State Zip , Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? YeVV No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor - and Materials) -Total Construction Cost(from Item 6) _$ 1. Building $ Building Permit Fee=Total Construction Cost x_(Insert here 2. Electrical $ appropriate municipal factor)=S 3. Plumbing $ 4. Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5. Mechanical (Other) $ Enclose check payable to 6.Total Cost $ 15� (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT B.v entering my name below. I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best f knowledge and understanding. I'Ira.c F rim and.ry;n none Title Trlyph e No. - Date ?level lddre�. C rty;' open . t zip Municipal Inspector to till out this section upon application approval: - t�-�• L v \am hate Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 (978) 745-9595 EXT. 311 FAX (978) 740-0404 CERTIFICATE OF NON-APPLICABILITY It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving _0�, Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Signage ❑ Other Work as described below does not involve an exterior architectural feature or involves a feature covered by the exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire Address of Property: 396 Essex Street Name of Record Owner: Gamey House Condo Description of Work Proposed: Replacement of 3-tab, black asphalt roof in kind and undertake repair and maintenance to wood gutters in kind. No changes in color, material, design or outward appearance. Non-applicable due to being in kind maintenance/replacement. Installation of 3 low profile, 1 'xl ' black PVC roof vents in locations as noted in drawing, conditional that they are non-visiblc.from the public way. Non-applicable due to being non-visible. Dated: May 7, 2010 SALEMHII�S/TOORIC�A�LL CCOMMISSION By: The homeowner has the option not to commence the work (unless it relates to resolving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. 'ri IIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permits or approvals) prior to commencing work. L IZX �✓ ' ] The Commonwealth of Massachusetts r1 W Department of Public Safety Massachusetts State Building Cute(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Pleasp indicate Block#and Lot#for locations for which a street address is not available) 3 F JAn cNo.and Street City/TownZip Code Name of Buicable)SECTION 2.PROPOSED WORK Edition of MA State Code used If New Construction check here❑or check a8 that approws belowExisting Building Repair Alteration ❑ Addition❑ Demolition O (Please fill out apendix 1)Change of Use ❑ Change of Occupancy ❑ i- Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permitapplication?Is an Independent Structural Engineering Peer Review required? .Brief Description of Proposed Work: OG� SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Groups) Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ 1 H: Hi h Hazard H-1 ❑ F1-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional I-1 ❑ 1-2❑. 1-30 14❑' M: Mercantile❑ R: Residential R-t❑ R-2❑ R-3❑ R-1❑ S: Storage S-1 ❑ S-2❑ U:.Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ HA 1[B ❑ ❑IA ❑ IIIB ❑ IV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Abos Removal: PP Y Public❑ Check if Outside Flood Zone❑ Indicate municipal❑ A trench will not be Disposal Site❑Private❑ orindentify Zone: or un site system❑ regiired❑or trench permit is enclosed❑Railroad right-of-way: Hazards to Air Navigation: :\I \I I� t;ri �.nniyr I r,na,,,a;Not Applicable❑ Is Stn¢ture within airportapproach area? Is their rleted?ur Consent to Build enclosed❑ Yes❑ or Nu❑ Ycs SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code Use Group(s): Type of Construction: Occupant Load p Dues the building contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTIIORIZATION N ;;d \ f Property Owner � �'J� �✓ sir Name(Print) No.and Street Ci /Town Zip proper ner ontact nformation: - ��- �v�'iY �_3oJ B3Z I Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes Name Street Address City/Town State Zip to act on the ro er owner's behalf, in all matters relative to work authorized by this building permit a2plication. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If buitdin is less than 35,00t1 cu.ft.of enclosed s ace and or not wider Constmction Control then check here O and ski Section l0a 10.1 Registered Profession I Res ionsible for Construction Control - f / Nat to a,istra it) Te one No. e-nail addr•ss Registration Number / u� 1 X �� Street Address City/To n State Zip Discipline Ex irati n Date 10.2 General Conti or Company ;�• e /7���7j Nat a Person Res ons le fo ons,trr ction License Yo. and Type if Applicable Street dress City/TownV State Zip � 9 -- ele hone No. business Telephone No. cell e-mail address. SECTION it:tut?I titfK 5'CCV,1F LNSA I10N 1n1;1JNAN .k. ,%l H ?AVI'I M.G.L.c.152.§25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit wdl result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor Item and Materials) Total Construction Cost(from Item 6)_$ 1. Building $ Building Permit Fee=Total Construction Cost x_(Insert here 2. Electrical $ appropriate municipal factor)_$ 3. Plumbing $ municipality) Note:Mfninuun fee=$ (contact V rlity ) d. Mechanical (HVAC) $ 5. klechanical Other $ Enclose check payable to 6.Total Cost $ (contact municipality)and write check number here SECTION 13:SI NATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attes tide tl is am penalties of perjury that all of the information contained in this application is V ad accurate the be' of Me an underst r�g. Please u t and si m name Title ele hone No. Date Street Address City/Town Sate Zip Municipal Inspector to fill out this section upon application approval: 7 M) Name r Date 1