84 FEDERAL STREET - BUILDING JACKET 84 FEDERAL STREET'-"' `ToM�s.
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FIELD COPY
(' CITY OF SALEM BUILDING
SALEM, MASSACHUSETTS 01970 PERMIT
T• V•LID•Tl ON
abiDVNt
DATE August 17 .9 93 PERMIT NO. 352-93
APPLICANT Chuck Thornhill ADDRESS . 90 Federal St . 047109 _
' IMO.1 "111A[f T1 'ICOI.'P'S 011.111
Siding - DWelg'lin NUMBER OF 'l
PERM-T TO (_I 5TORY DWELLING UNITS
ITrRf 0• IMPAOYEMf NTI H0. IPPOPOsto OSfI
84 Federal Street w a 9 DINING
•T ILec.T�oxl DISTRICT^[7,-2
Ixo.l IST A99n
BETWEE. AND
IUO1a STRff TI ICPOSS STPff TI
LOT
SUBDIVISION LOT BLOCK SIZE'
BUILDING IS.TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AMC) SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP - BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Siding
p r a e p
IOLUME ESTIMATED COST S 12 ,000 PERMIT S 65 . 00
C'Sajc so HAP9 1991
OWNER John Wathne
'nOAEss 84 Federal St Salem Masa i . +
INSPECTOR OF E ILDINGS
Ir
INSPECTION RECORD
DATE NOTE PROGRESS CRITICISM$ •NO REMARKS INSPECTOR
Plans must be filed and approved by the Inspector before a permit will be granted.
No /�"93 City of Salem Ward
-�
IS PROPERTY LOCATED IN TFC ;
HISTORIC DISTRICT? Yesl/_No w
+, 9
IF SIDING, HAS ELECTRICAL Home Phone # 7 `fs34 l S
PERMIT BEEN OBTAINED. Yes No_
APPLICATION Bus. Phone # �7
FOR
PERMIT TO ROOF, REROOF OR I(�NSTALSIDIN
IJ
Salem,Mass., v — L — /-
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv appljs for a permit to build according to the following specifications:
Owner's name and address __ 0 1tn.1 LIJ g''T t+,-J
Architect's name N I A
Mechanic's name and addresi rv. l
Location of building,No. LF Fe -c ra 1R-
What is the purpose of building? R4-t� dc"7+t, ✓, _
Material of building? W G o o Asbestos? N 0
If a dwelling,for how many families' `2--
Will the building conform to the requirements of the law?
Estima�ed cost 12 i entl Contractors Lic.No. -RCPM 4 2 AIALSS 0
Signature of applicant
REMARKS SIGNED UNDER THE
PENALTY OF PERJURY.
NaS— � 9-3 Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Locatiot �
PER IT GRANTED g
19 ( ^
App
rov d
Sun
ing Inspector
COX°" CfU of *aleni, rl�nse##s
3 Public VropertV Bepar#anent
=. s
JA�u�MMt��n4~ �Illillinq �epttrtnTent
(Onr �*,ttlent (lbrern
7,15-11213
William H. Munroe
Director of Public Property Maurice M. Martineau, Ass't Inspector
Inspector of Buildings Edgar J. Paquin, Ass't Inspector
Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp.
May 9, 1988
To Whom it May Concern:
—'RE ,84:Federal—St.;Salem- MA`.-
Said listed property is a single family dwelling, there are
no other records in this office indicating other wise.
Sincerely/,V11JJJJJ
James D. Santo
Assistant Building Inspector
0'0
-7 D Zoo
The Commonwealth of Massachusetts CITY OF
Board of Building Regulations and Standards SALEM
Massachusetts State Building Code,780 CMR Revised-Hai-2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Direlling
--I: This Section For Official
Building Permit Number .: Date Applied 'i
Building:Official(Print Name) SignatureV,
: ,
Date
SECTION 4: SITE INFORMATION
1.1 P Add
.0 mm: 1.2 Assessors Map &Parcel Numbers
_4rr
1.I a Is this an accepted street?ves no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sit hit Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rem Yard
r'n J
Required Provided Required Provided Required Providyd .4 '
1.6 Water Supply: (M,G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: > o
Zone: _ Outside Flood Zone?
Public 0 Private 0Check if yesO Municipal 0 On site disposal sysim 0
2.1 twner f R cordi ,,,
Iq 0
Na e(Print) City,State,ZIP
&,5)-0131
No.and Street Telephone Ehsail Addresl
IRIPTION OF PROPOSED,
SOCTION3: DIESC W-(chkk all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 13 Repairs(s) 0 Alteration(s) X Addition 0
Demolition 0 Accessory Bldg, 0 Number of Units I Other 0 Sp,,ffi.
Brief Description of Proposed Work?: K,&kp-o CaL In r✓ I ris�aA
SE ESTI -ATKD4'4.-, M -CONTST.RtJCTION':cos"fg���l:::-
Item Estimated Costs:
(Labor and Materials :Offic
1. Building $
1. Building Permit Fee: 1Indicate how fmis determined:
C-f 5N-1:116
-
2Electrical $ OStandard 0tv/TownAptificationHee
.
El Total Project c6s x multiplierx
' '
3. Plumbing Fees $
4. Me List:
Mechanical IFIVAQ $
5. Mechanical (Fire
Sucession)
Check No. Check Amount Cash Amount:-
6. Total Project Cost: $
�
% tstin.uan Balance O,Paid-in Full,...... 0 0 d g But Due:
t-k A,t L- TO k 1. o
fw��, k ov
SF;7T10145;'-CONS'<RUC'1`IOTiISFRNICES
5.1 Construction Supervisor License{CSL) �p L� 1 q
�t I' �Cn�np 2:icense dumber r.apiranon D rte
�.Name of C �
List CSL Type(see below)
C Cai CfA41 t✓-
No.and Street 7':_pe ?t�e<'-nptien_.
� ^ U Untestncted(Buildings u to 35.0ft-)
.cu0
(�.• � 'U tJ` �' R Restricted 1&2 Family Dwelling
Cityll-own,State,ZIP M Masoar,
—_—' RC Rnoftns CanAing
di
R'S \b`indow and Sidin -
�91^ SF I Solid Fuel Burning Appliances
t14
9 <-,)'..7"1 � c:i('r�!-�•i� -:R_ v1 jM4A1- T + fnsu.larion
Telephone 1< .air address ikflltS F D Demolition
5.2 Registered 1;ome improvement Contractor(fff lq ^- ,U.r-�,G3 C,�.- 1
£ t_i-j_I t
'ra
kL V O n HFC Re isiration Number F`xpiiution Date
BICC � ` o ur Re istram mime
qany n t` �- =L'rt ar '! :S c
Vo. sSt et F'tn 'I address C-+x
Ci /Town,State,ZIP i'cicp6otte
S.'+.C7'1�1t�I 6:W(3ltitl•:ILC'4'C3it5P.,71S,1'TICit7 TNSI>€2A1\^E A.�l+I;1.4V1-i'tlii.C:I:c.152.§:2�C{6)`3
Workers Compensation Insurance affidavit must be completed and snbmittcd with This application. Failure to provide
this affidavit will result Inthe denial of the Issuance of the building permit.
Signed3f$davitAttached? Yes .......... ❑ No.---------- 0
SF_ T if1!`7a:(s"s?l\'�R :.I T a?L;t2£3 3 2'If)\"TJ i3I i0<VSPi,i:i i.13 V.g?pV
i15V1 L 'S ?G$14T:�R z�YTR C'.i�;t 4t P� ss s e t)R 3z3 i:•,N£ JPER
I, as Owner of the subject.property, hereby autboriic C. C +� �� c ���A�S= { n�i_• KK
to act on my behalf,in all matters re lati� to work a orl7xd by this building_permit applicatiion.
i
.� Print�-- OwnerT,N'amT LcarrDate{lItur-
SECTI
— _JW Rt TB2 11'T. I4 I3 tZ cI :tCb\ 'UEC .4t3'I'I —
I By entering my name below,I bereby attest under the pains and penalties of perjury that all of die information
contained in this.,_Fticat'ion is true and accurate U>the best of my?,nowledge and understanding.
Print Owner/or Authorized A�Cnt s Name(Elcetronic SigmUtre) Date
NOT
1. An ON ner N•ho obtains a building permit 0 do his'hcr own work,or an owner wbo hires an unregistered contractor -
(not registered in the Home tmprovemerd Contractor(HIC)Program),will nat has a access to the arbitrai.ion 1
program or guaranty fund under M.G.L.c. 142A.Other in portant information air the WC Program can be found at j
r,,.;Information on The Construction Supervisor License can be found at
2. When substantial work is planned,provide the information below:
Total floor area(sq.It.)_ (including garage,finished basemen_tiattics,decks or porch)
Gross living area(sq.fc.) __ Habitable mein count__,,,,_,_
Number of fireplaces lumber of bedrooms
Number of bathrooms Number of half/baths.
Type of heating system -dumber of decks/parches }
Type ofcoulingsystem L.relosed Open
3. "Total Project Square Footage"may be substituted for"'total Projzct Cost-
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s. BE 781-544-4493 X108 F1 Plan View All measurement in inches
0000-9437-1078
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INSTALLATION DISCLAIMER:
This drawing is an artistic impression for the express purpose of placing your materials order only.Due to variances in how
an installation can be perfarmed,it is important that your installer check the auto-generated parts list in the IKEA Nome
Planner for accuracy to their own installation requirements prior to placing an order at IKEA. These plans are not intended
to be used as a blue print for installation and your installer should field verify all measurements against their awn
installation requirements to develop detailed installation plans
httpJ/kitchenplanrker.ikea.ccm/US/U I/PagesNPUI.htm 7/16
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q%*"1M16i gEfKM&*ND APPROVED BY T44E
mSPJ:r=PAIDR TDA.P.EAWT MING GRANTED
CITY OF_SALEM
4 Pwprty Loyd in Imcatioa of G
Wnode Olshld9 YM No_ aaiubw
Is P owto Loosbd In
In Cawnaa0n P.M? Yu No_
BUILDING PERMIT APPLICATION FOR:
Pormt to:
(Circle whkdwver apply) Roof, Remo Ina d Siding. Construct Dock. Shed, Pool,
, Other:
PLEASE FILL OUT LEGIBLY fk COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
speoftedons
OwrwesName Jeo�h ZAIJ i2 (f�,
Address & Phew
Amhkeds Name
Address 3 Phone !
Mocisnics Name )/1 ! Iz"c✓' j& -
Address 6 Phorw �� � �� �`ivo� �✓�vim_ t�> ) /� 31 _
wen is to p qp of bWmYp7
m"m a may I a dwa m.for now many imm"T
wo bAmm mWo m to law? Mbwoa?
EnlmYsd eon r S G G_ City um"1 aft uwc�is
Ate. rmrtow. t
� � Lie. 7 X S Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO' ) ew
/fo- 6
No. . L_L_
APPLICATION FOR
PER1tT TO
LOCATION
PERMIT GRANTED
APPFlkW7
INSPECT OF BUILDINGS
The Commonwealth of Massachusetts
Department of Industrial Accidents
0/Hesollnvestlgatlans
600 Washington Street, 7t8 Floor
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit: Buildin Y/PlumbinZIElectrical Contractors
name: I / h Lz
ad ss, we
eity .l'/ �l'rl state: ' ! f zip �/ /ram phone#
work site location(full address) •
❑ 1 am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel
❑ 1 am a sole proprietor and have no one working in any capacity. 0 Building Addition
-am an employer providing workers' compensation for my employees_working on this job.
address:
Cory: h
Q` ^� l ✓_"
r ^
❑ 1 am a sole proprietor,general contractor,or homeow (circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
eam DanY name:
address:
city.;
hope#.
..,.r. .., -. -.. .. - ..:. .
company name. -
address: - . .
city S> r
$gi
T r1fr
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the Imposition of Criminal penstties of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties In the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 undentand that o
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certify under e p 'ns an en ties of perjury that the information provided above it true and c rrec%
signature
/ Gate
Print name Phone#
official use only do not write In this area to be completed by city or town official
city or town: - permit/license#
, De ❑Building Department
❑Licensing Board
❑check irimmecl response is required ❑selectmen's Once
contact person: hone#; ❑Health Department
ir,Ka sra� :�sn�
P ❑Other