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10 FAIRMOUNT STREET - BUILDING JACKET 10 FAIRMONT STREET `•IR^^•1[al'%N'7N`T'("'1'^l'�'.'1.�'' '1�fA1- �0'T'RdSM4[�insT�"r fISTN"^_1`1�1471„'M>•I�� +w Y�,a'On1nELKo �D FIELD COPY CITY OF SALEM BUILDING SALEM, MASSACHUSETTS'01970 PERMIT VALIDATION a4E� y,� Michaud DATE May 51 19 93 ieT PERMIT NO. 148-93 APPLICANT Peter Michaud ADDRESS Salem,MA ----_ - 140.1" ISIREf tI 1(0x14.5 xlE[x3U (yip V�T��rLLM NUMBER OF ONE 1 PERMrt TGwy (�I STORY 1JVS�P+IAESLE`N DWELLING UNITS �YY "'It 01 IM4SOV[MC 4i,l N0. I4RO4O5E0 USEI AT ILO:ATiON1 10 Fairniont Street Ward 6 DIS ,AgT R-2 140.1 IS1A([i) BETWEEH AND v� ICPOS! ST4CET1 ICAOSS STP[Etl LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS.TO BE FT. WIDE B+ FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION L IT.PEI REMARKS: reroof VOLA ORUME �_ESTIMATED COST p 1.875.00 `EEMIT p 20.00 .r:ela SouA F[nl J ]WNEA EYEtPat Hanson AnDAE5S 10 Faf Tmont Rt. Cal mn.MA INSPECTOR OF B ILDINGS ;..�r r+y ... :aba..�. r :T. . •.;i 'T': •i�'.•� ♦'♦ {". _ .;.. h J" INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS _ INSPECTOR A No. -93 City of Salem Ward H.cowrr4, r •• ,r 4CUpNC APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1, It, lit, IV, and IX. I. NINaA AT(LOCATION) \O DIOSTRIC — LOCATION ^� , (NO.) (STRUT) OF BETWEEN l � AND BUILDING (CROSS STREET OSS LOTET ) SUBDIVISION LOT BLOCK SIZE II. 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 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential,enter number of new 12IXI One family 18 ❑ Amusement,recreational housing units added,it any,in part D, 13) ��^"fff 19 ❑ Chruch,other religious 13 ❑ Two or more family-Enter number 3 ❑ Alteration(See 2 above) of units ....................................................... 20 ❑ Industrial 21 ❑ Parking garage 4 Repair replacement 14 ❑ Transient hotel,motel,or dormitory- Enter number of units ........................... 22 ❑ Service station,repair garage 5 ❑ Wracking(If multifamily residential,enter number 23 ❑ Hospital,institutional of units rrinn-fbuilding in Part D,13) 15 ❑ Garage 24 ❑ Office,bank,professional Movviinng relocation) Carport ) 25 ❑ Public utility ❑ 7 E] Foundation only 26 ❑ School,library,other educational 17 ❑ Other-Specify 27 ❑ Stores,mercantile B.OWNERSHIP 28 ❑ Tanks,towers 8 Private(individual,corporation,nonprofit 29 ❑ 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, iQ floc' parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement ................_. .................................... $ at industrial plant.If use of existing building is being changed,enter proposed use. To be installed but not included in the above cost aElectrical........................................................................... b. Plumbing.......................................................................... 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;demolition, complete only Parts J& M, all others skip to IV E. PRINCIPAL TYPE OF FRAME F. PRIyCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL 1. TYPE OF MECHANICAL 30 Masonry(wall bearing) 35 lR Gas 40 Public or private company Will there be central air VR condi inning? 31 Wood frame 36 C] Oil 41 Private(septic tank,etc.) 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 No 33 ❑ Reinforced concrete 38 [:] Coal H. TY�pjE[OF WATER SUPPLY Will there by an elevato 34 ❑ Other-Specify 39 ❑ Other-Specify 42 I�Public or private company 46 [-] Yes 47 No 43 7❑-"Private(well,cistern) J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stories ....... ............................................... 49. Total square feetf floor area, all floors,based o Has Approval from Historical Commission been received nexterior dimensions ....................................................................... for any structure over fifty(50)years? Yes_ No_ 50. Total land area,sq.ft.S...4 .t.�.....`.�. Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed............................................................................. 52. outdoors HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? ....... Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed ..:.........................................................._............. Electric: Pull... Gas: 54. Number of ........................................ Sewer: bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial ...........-- BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ NOLI� (If yes, please enclose documentation from Hist. Com.) Conservation Area? Yes_ No U (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_ No (If yes,submit documentation/if no, submit Board of Appeal decision) If new construction, has the proper Routing Slip been enclosed? Yes_ No Is Architectural Access Board approval required? Yes_ No (If yes,submit documentation) Massachusetts State Contractor License # Salem License # Home Improvement Contractor # Homeowners Exempt form(if applicable) Yes_ 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,city,and state ZIP Code Tel.No. Owner or c Lessee z. Contractor Builder's 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 nt ` Address ��`� Application date DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building /[/g/_ FOR DEPARTMENT USE ONLY Permit number �/ 7 Building / Use Group Permit issued 19 Fire Grading Building f� l\ Permit Fee $ [�� y Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ , a/ A TIFE NOTES AND Data- (For department use) PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: Completed by: s VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN •For Applicant Use O N Plans must be riled and approved by the Inspector before a permit will be granted. No. �-� City of Salem Ward _ IS PROPERTY LOCATED IN THE c` ,�-a , c15 HISTORIC DISTRICT? Yes No 1ao,� 3 IF SIDING, HAS ELECTRICAL Home Phone # PERMIT BEEN OBTAINED? Yes_No APPLICATION Bus. Phone # FOR PERMIT TO ROOF REROO OR INSTALL SIDING Salem,Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned herebv applior a p mit to ui d according to the following specifications: Owner's name and add s _ �'t"nyNSO� Architect's name P it Mechanic's name and address r 3u Location of building,No. /49 //'/Y1 D✓/ What is the purpose of building? N _ Material of building? 8100 Asbestos? If a dwelling,for how many families^. _ Will the building conform to the requirements of the 1 � Estimated cost S' d77—• a c. Signature of applicant REMARKS 51GNED UNDER THE PENALTY OF PERJURY. No. .ZZIP�1 Ward APPLICATION FOR PERMIT TO ROOF REROOF OR INSTALL SIDING Location�� PERMIT GRANTED 197j` Approve Building Ins{ clot