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15 FRONT STREET - BUILDING INSPECTION r _ ? 15-FRONTISTREET Plans must be filed and approved by the Inspector prior to a permit being granted3 dal CITY OF SALEM No.h�C)C/ Ward HISTORIC DISTRICT? Y q Data IF FOR SIDING, HAS ELECTRIC Home Phone PERMIT BEEN OBTAINED? Y N Bus. Phone APPLICATION r> FOR � ... PERMIT TO TO THE INSPECTOR OF BUILDINGS: �� .. The undersigned hereby applies for a permit to build according to the: _ following specifications: _ Owner's name and address Architect's name -GSR.-... Builder's name Location of buil No. La s7— T- -,� What is the purpose of building? waF=; If dwelling, U of units? Material of bldng? (2) C, Will building conform to law? ,e- S Asbestos? pj Estimated cost ity L t 56 State Lic.U / 7- Signature of Applicant SI ER THE P TY OF PE I DESCRIPTION OF WORE TO BE DONE _ C.0 Ar 0� Mail Permit to: I it {{ p�rrrr 1 li li �tI�F yV II{ I I I No. '✓✓��Y WaM APPLICATION FOR PERMIT TO ROOF I i' REROOF OR INSTALL SIDING IAcaaon Y5 doh f Sf- PERMIT GRANTED APF ' Building Inap �r s—/9c/ � co :,fr4c,fo,^ Plans must be filed and approved by the Inspector prior to a permit being granted µ ..c . CITY OF SALEMth fl, I Ward No. e Date HISTORIC DISTRICT? Y N q - d -744-0753 PERMIT IF FOR SIDING, HAS ELECTRIC '� Home Phone _07 PERMIT BEEN OBTAINED? Y N Sus. Phone APPLICATION " ' i�? FORLL> ors PERMIT TO �J2 / e Z, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the,--. ' following specifications: Owner's name and address Fran Realty Trust Architect's name Jaquith & Siemasko Inc. Beverly, MA 01915 Builder's name Joseph F. Berge Gloucester, MA 01930 Location of ,building, No. 15 Front StreetBM What is the purpose of building? Commercial ; If dwelling, # of units? Material of bldng? Brick `4a Will building n o to law? yes Asbestos? Not Estimated cost City Lic.# State )..ic.# 059445 .`��'�"y Signature of A ppeliant SIGNED UNDER THE PENALTY OF PERJURT"` `- w" DESCRIPTION OF WORK TO BE DONE �+4 o -Mail Permit to: / Yde -T r'' fi6hhh pry 3 Plans must be riled and approved by the Inspector before a permit will be granted. No. y _9 C/ City of Salem Ward IS PROPERTY LOCATED IN THE q ; HISTORIC DISTRICT? Yes_N0 a IF SIDING, HAS ELECTRICAL Home Phone # +gf�rQ�� a� PERMIT BEEN OBTAINED? Yes No APPLICATION Bus. Phone # FO.. PERMIT TO ROO , REROOR INSTALL SIDING Sale , TO THE INSPECTOR OF BUILDINGS: The undersigned herebv app 'es for a ermit to build according to the following specifications: Owner's name and address 12. N(lU A ZL '9gL11Y%-Y44 Architect's name Mechanic's name and address [ O N 4 Location of building,No._�1. `r <A11 fA What is the purpose of buildin ? OI��LC�S Material of building? LT Asbestos? If a dwelling,for how many families^. _ Will the building confonn to the requirements of the law? Estinuved cost C olttq t rs Lic. o. Signature of applicant r TU p CA^(Ek OF�Is ^ zr Sf(//76[R. T.tV &OBS ALTY OFDPERJURY. I Ward No. APPLICATION FOR PERMIT TO ROOF REROOF OR INSTALL SIDING Location /S 6--o t."t PERMIT GRANTED % M is Gl App ed ing Ins o -1-o e •No. � 8-9 U City of Salem Ward cN.co"wy� x 4cum.T� APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1, 11, /it, IV,and IX. I. AT(LOCATION) /S //j01/7- 5'7_/?cFg7— DISTRICT LOCATION (NO.) (STREET) OF BETWEEN �(LFJJ'f>'/iU�iO/U S'/�IC�.E% AND BUILDING (CROSS STREET) (CROSS ET) LOT SUBDIVISION LOT BLOCK SIZE 11. 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 12 ❑ One family 18 ❑ Amusement,recreational housing units added,it any,in part D,13) 19 ❑ Chruch,other religious 13 ❑ Two or more family-Enter number 3 Alteration(See 2 above) of units ....................................................... 20 ❑ Industrial 21 ❑ Parking garage 4 E] Repair replacement 14 C] Transient hotel,motel,or dormitory- 22 ❑ Service station,repair garage Enter number of units ....................... 5 ❑ Wrecking(If muRitamily residential,enter number23 E] Hospital,institutional ❑ of units in building in Part D, 13) 15 Garage 24 Q-15aice,bank,professional 6 ❑ Moving(relocation) 16 ❑ Carport - 25 ❑ Public utility 7 ❑ 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-Specdy 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, parochial school,parking garage for department store,rental office building,office building 10. Coll of improvement ......................................................... $ ,Z.3 06Vparochial industrial plant.If use of existing building is being changed,enter proposed use. To be installed but not included in the above cost S �j �Ocoo �, jgL Off/C'C By/cD/�I/G a. Electrical........................................................................... b. Plumbing.......................................................................... 3 X00 c. Heating,air conditioning............................................. IO DOO d. Other(elevator,etc.)..................................................... 11. TOTAL COST OF IMPROVEMENT $ (/ 000 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. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 Masonry(wall bearing) 35 ❑ Gas 40 ❑'Public or private company Will there be central air 31 a Wood frame 36 aOil 41 ❑ Private(Septic tank,etc.) wnfdiililonning? 32 ❑ Structural steel 37 ❑ L�Electricity 44 yes 45 ❑ No 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator? 34 ❑ Other-Specify 39 ❑ Other-Specify 42 [R`Public or private company 46 ❑ Yes 47 Q'NO 43 ❑ Private(well,cistern) J.DIMENSIONS M., DEMOLITION OF STRUCTURES: 48. Number of stories .....................Z................................. floor as. rota)ors,ba sed on exteriorarea, Has Approval from Historical Commission been received all floors,based on exterior dimensions .............................. 3700 ........................................... for any structure over fifty(50)years? Yes_ No_ 50. Total land area,sq.n._..._......_L(a.40.................... Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed ......._.......[r.��.✓..�L................._................... sz. outdoors............. ................_............. HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed .............:............................................_....._......,., Electric: Gas: 54. Number of Full........................................... Sewer: bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No (If yes, please enclose documentation from Hist. Com.) Conservation Area? Yes_ No—±—� (If yes,please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes--!f No_ Is property located in the S.R.A. district? Yes--!f 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_ #V, Is Architectural Access Board approval required? Yes_ No—v (If yes,submit documentation) Massachusetts State Contractor License # 669vy5 Salem License # 14/60 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. r1�z9 /Q4e;y 7dJ;t.Owneor 70-LS$O Lessee 2. J01/1 AV 11� 6111e6l-f 01930 28I -2772- Contractor Builder's9 v 4/s License No.No. QS Architect or J VI/Y dL SiCMASA0 4 01Q15 947-374/ Engineer I hereby certify at the proposed ork is authorized by the owner of record and that I have been authorized by the owner to make this application as his authori a ent and w g to conform to all applicable laws of this jurisdiction. Signature of a blic n Address Application date �/ C�zu�CA.tJO /V/f/O �rq�z,-y .tis1 �i- �g-9y DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building /� Gv�(j FOR DEPARTMENT USE ONLY Permit number Building r / Use Group Permit issued l o? 19� p. - Fire Grading Building �7 Permit Fee $ :�S/. tYa Live Loading Certificate of Occupancy $ Approved by: Occupancy Load Drain Tile $ Plan Review Fee $ TITLE NOTES AND Data•(For department use) 199q PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: Completed by: / S— r 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 APPLICATION FOR PERMIT TO ERECT A SIGN =n, Salem, Massachusetts _ 19 4r` PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APPLICATION MUST BE SUBMITTED TO THE BUILDING INSPECTOR WITH STAMPED APPROVAL FROM THE SALEM REDEVELOPMENT AUTHORITY. TO THE BUILDING INSPECTOR: The undersigned hereby applies for a permit to Erect, Alter, Repair a sign on the following described building. Location /S F 6foty 7� 5r S�4etM Zoning/District Name of Property Owner /fje_ ac A �dy4,j_Y r to -r•- Name of Sign Owner M , hi• �0jyACaie$6 Zkl9u ,e .4lvice Address 15 F 126127 '5 T SF7�e►v1, Md. If Owner is a corporation, name of responsible Officer Name of Licensed Sign Erector e ill s 1 Gfti C`0 m i) 4w 4 Address d3(;A 4- N L AN P Salem License No. 117 Use of Building: 1st Floor 3rd Floor / 2nd Floor 4th Floor _ Type of Sign: 7/ Surface J11 { Right Angles to :Building )VIA- Free Standing Other ( ) Height: Sign Materials : 4J 0 O U Sign Dimensions : l0.'0 X a t Sign Area ,39 SF Existing Signs Sur tuoo 0 Sign Area 39 SF fight Angles : A. i Sign Area SF Free-Standing: Sign Area SF Other: Sign Area SF Signs to be removed: Type )01A Sign Area SF Frontage: Building F e y 3 9oO FT Signature of Own �� ksee7rd,(i Name & Address of Address Jb� CLX Insurance Company: Telephone Estimated Cost of New Work: 50,00) A PROVA S : APPLICATION TO ERECT, ALTER, OR REPAIR PLAN OF LOT A SIGN IN THE CITY OF SALEM Show Location of Present Structure -------------------------------------- snd Signs BUILDING LOCATION: BUILDING USE: / O ------------------------------------- ------------------------------------- NDITIONS X-,,2 o - ------------------------------------ ------------------------------------ PERMIT GRANTED r l 19—Z < 19P6" Z9„ o IMO B®NAC ORSO UNSURAN E AGENCY Ci VRoRT Sr. SACS Z6,0 R��T �x�s-nc�G stGN • TtFIEFAcc- gob ,Cro 14 vL:TTEy- cook- 8LuE `slgc 1 COMMONWEALTH OF MASSACHUSETTS `c DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET tames: 3amooeu BOSTON, MASSACHUSETTS 02111 ^� ss,one )WIdpR1&WINSURANCEAFFIDAVIT I, Paul A Perry (licenseeiperminee) with a principal place of business/residence at: Fran Realty Trust, 15 Front Street, Salem, MA 01970 (CirylStudZip) do hereby certify, under the pains and penalties of perjury, that: ( J 1 am an employer providing the followingwl } coverage for my employees working on this job. Vermont Mutual Insurance #SBP6551732 Insurance Company Policy Number (J 1 am a sole proprietor and have no one working for me. (x] I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors lismd below who have the following workers' compensation insurance polieier. nspnh F_ Rnrap Arhpl la Tnat r nae hn7nnr0 755 L Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number (] I am a homeowner performing all the work myself. NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in which the homeowner aim resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workers' Compensation Act(GL C. 152,secs. 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers' Compensation ACL i understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' Office of Insurance for mvemp �Crifieation and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to$1500.00 andior imprisonment of up to one year and civil penalties in the form of a Scop Work Order and a fine of S 100.00 a day against me. Signed this A 28th dayof November . 19 P Licenseei Permitrec Licensor/Permirtor MichDukak G TCPiiwtiao(¢ .>rali � , �ur�itw�.. Govea is rnor Vice 1;f�" _ '30' ICeanro Tsutsumt G�dislow, t.f�,amaot waw 02!08 chairman (617) 72.4 Charles J. Din— Administrator MEMORANDUM TO: All Buildine Departments/State Building Inspectors FROM: Charles J. Dinexio. Administrator DATE. October 31. 1788 SUBJECT. MGT. can, S54. Added By r594. S9 M the Acts M 19117 The above-mentioned statute requires tnat debris resulting tram the dcmablion. renovation. rchabddtatlon tri other altcratton of a buddine or structure tic disposcu of in a property hcettscu solid waste dispoftat iacilttv as defined by MGL L111. S150 anis that nutldine permits or licenses arc to indicate the location Of the lacttity at which the said dchns is to ties dispascu. THIS REOUIREMENT DOES NOT \PPLY TO NEW rONSTRUCTION. In oruer to simalifv the process anu to pnwide uniformity. we arc attachinx a copy of a horn-whkis you - can either reproduce and use as at is slntT the completed form will be attached to the tlllice cupy of butlaing- permits or licenses; or reproduce it on your Icttcncc2u. In case of municipal,commercial.industrial.or multiunit housing construction. the contractor maty not know the dumpster subcontractor at the time of the building permit apphcatian. In such cues. the attached COPY of an Affidavit can be used. The complete taw is contained in the November issue of CODEWORD which wdl be traded ro van in the next two weeks. If you should have anv questinn. Pleases let us know. GDlkm AFFIDAVIT As a result of the provisions of MGL c 40, S54, I acknowledge that as a condition of Building Permit Number all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c iii, S I50A. I certify that I will notify the Building Official by (Two months ma)dmum) of the location of the solid waste disposal facility where the debris resulting from the said construction activity shall be disposed of, and I shall submit the appropriate form for attachment to the Building Permit. //- 2.9-rY Date Signature of Permit Applicant (Print or type the following information) Paul A. Perry Name of Permit Applicant Fran Realty Trust Firm Name, if any 15 Frnnt Street Salem. MA 01970 Address In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: Wood Recycling Inc. 300 Forest Street Peabody, MA 01960 (Location of Facility) Signature of Permit Applicant/ Date FILE/C. O. COPY CERTIFI ATg OF OCCUPANCY CITY OF SALEM Issued: ay `�(Permit 0: /62-95 SALEM, MASSACHUSETTS 01970 City of Salem Building Dept. DATE AUGUST 02 Ig 95 PERMITNO. 402-1995 APPLICANT DONALD A PEARSON ADDRESS 1030 JOHNSON ST (NO-) (STREETi (CONTR'8 LICENSE) CITY N ANDOVER STATE MA ZIPCODE 01845 TEL.NO. — PERMITTO ALTERATION O sroav OFFICE, BANK, FROFESSI NUMBEROF 0 ' DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USEI AT(LOCATION) 0015 FRONT STREET ZONING B_� (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (GROSS STREET) SUBDIVISION MAP 34 LOT 04'L 18LOCK SIZE 000LOT 3245 SG! FT BUILDING ISTOBE FT.WIDEBY FT.LONG BY _FT.IN HEIGHT AND SHALL CONFORM INCONSTRUCTION TOTYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS. RENOVATE 2ND FLOOR -- 2 OFF.(CES & PARTIAL BA-Fr-i, J. J. J. AREA OR ��nn PERMIT (CUBIGSOUARE FEET) VOLUME ESTIMATED COST$ 15, 100' FEE 17,,—J ITS OWNER CAROL PERRY BUILDING DEPT. ADDRESS sY J. .T- .7 JOB SITE COP-Y BUILDING k4 CITY OF SALEM SALEM, MASSACHUSETTS 01970 PERMIT DATE AUGUST IT 2 19 Sc PERMIT NO. 402-1995 APPLICANT DONALD A PEARSON ADDRESS 1030 JOHNSON ST (N0.) (STREET) (CONTR'S LICENSE( CITY N AI\IDOV.-.R STATE MA ZIPCODE 01845 TEL.NO. -- PERMITTO ALTERATION ( ) sToav OFFICE. BAN] PIROFESSI DWELLING Ill (TYPE OF IMPROVEMENT) NO. DWELLING UNITS (PROPOSED USE) AT(LOCATION) QD015i FRONT STREET DISNINETRIC (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION ;YAP, 3.4 LOT 0421BLOCK SIZE 0003245 SQ FT BUILDING IS TO BE FT.WIDE BY FT.LONG BY FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE, REMARKS' i_;JG ? _. c Uh'f":L.LS Z\ "rr : 'AR ,r7L L+ T i J. J. J. AREA OR Call for Permit to O�ecup VOLUME (CUBIGSOUARE FEET) ESTIMATED COST 15, 000 FEE PERMIT 9'5 1i� OWNER CAROL_ PERRY BUILDING DEPT. ADDRESS BY J. J. .T THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET.ALLEY OR SIDEWALK OR ANY PART THEREOF.EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS ► ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE.MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT WHERE APPLICABLE SEPARATE REQUIRED FOR ALL CONSTRUCTION WORK: POSTED UNTIL FINAL INSPECTION HASBEEN MADE. WHERE A PERMITS ARE REQUIRED FOR 1.FOUNDATIONS OR FOOTINGS. CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH BUILDING SHALL ELECTRICAL.PLUMBING AND 2.PRIOR TO COVERING STRUCTURAL MECHANICAL INSTALLATIONS. MEMBERS(READY TO LATH). NOT BE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 3.FINAL INSPECTION BEFORE OCCUPANCY. I POST THIS CARD O IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS BOMBING PROVALS ELECTRICAL INSPECTION APPROVALS n I (r ,rte �° Illi/ , 7CJc..•, Z Y.i' I 1 V BOARD OF HEALTH GAS INSPECTION APPROVALS FIRE DE .INSPECTING APPROVALS • I �� I I OTHER CITY ENGINEER 2 - _ WORK SHALL NOT PROCEED UNTILTHE I PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION V,''ORK IS INSPECTIONS INDICATED ON THIS CARD INSPECTOR HAS APPROVED THE VARIOUS I NOT STARTED WITHIN SIX MONTHS OF DATE THE PER1.1IT IS ISSUED ' CAN BE ARR-3CSED FOR BY TELEPHONE STAGES OF CONSTRUCTION. AS NOTED ABOVE OR WRITTEN ND-- FICATION