9 GALLOWS HILL ROAD - BUILDING INSPECTION I9 Gallows Hill Road
No. 3 3" City of Salem, �.� Ward C/
4cumn�'
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT•Applicant to complete all items c sections:1, Il, /it, IV, and IX.
I. AT(LOCATION) a (S REE I z� � � , STRCDIIT
LOCATION
OF BETWEEN AND
BUILDING (CROSS STREET) CROSS LOTET )
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING •All applicants complete Parts A -
A. TYPE OF IMPROVEMENT D. PROPOSED USE•FOR"DEM LITTON"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,if any,in part D, 13) 19 Chruch,other religious
13 � Two or more family-Enter number
3 ❑ Altemllon(See 2 above) of units ....................................... ............ 20 ❑ Industrial
4 Repair replacement
9 14 Transient hotel,motel,or dprl dory-
21 El Parking garage
Repair
rnumber of units ...........�............ 22 E] Service station,repair garage
5 ❑ Wrecking(If multifamily residential,enter number ❑ 23 [:] Hospital,institutional
of units in building in Part D, 13) 15 Garage 24 ❑ Office,bank,professional
6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility
7 ❑ Foundation only 26 Q School,library,other educational
17 ❑ Other-Specify 27 Q Stores,mercantile
B.OWNERSHIP
28 Q Tanks,towers-
B Private(individual,corporation,nonprofit 29 O[her-Specify
institution,etc.)
9 Public(Federal,Stale,a local government
C.COST (Omit cents) Nonresidential-De,.;ribs in detail proposed use of buildings,e.g.,food processing plant,
machine shop,laun i y building at hospital,elementary school,secondary school,college,
//��--//��,,��,�,'.�1 parochial school,p;.i <ing garage for department store,rental office building,office building
....../.1..
10. Cost of improvement _........_............. $ at industrial plant.II se 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. PRINCIPAL TYPE OF HEATING FUEL G. TYP. OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL
111
30 Masonry(wall bearing) 35 ❑ Gas 40 Public or private company Will there be central air
31 Wood frame 360 I,�I Oil 47 a private(septic tank,etc.) conditioning?
32 ❑ Structural Steel 37 rLn1 Electricity 44 [] Yes 45 ELNo
33 Reinforced concrete 38 Coal H. TYP OF WATER SUPPLY Will there by an elevator?
34 Other-Specify 39 Other-Specify 42 IRPublic or private company 46 ❑ Yes 47 4 No
43 0, Private(well,cistern)
J.DIMENSIONS
48. Number of stones ............
M. DEMOLITION OF STRUCTURES:
... ...... ..
49. Total square feet of Noor area
all floors,based on exterior Has Approval from Historical Commission been received
dimension: ......................................................................... for any structure over fifty(50)years? Yes_ No_
50. Total land area,sq.It....................................................... Dig Safe Number
K.NUMBER OF OFF-STREET PARKING SPACES Pest Control:
51. Enclosed....................._........................_............................
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. Outdoors............................................................................. 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_ 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 # ZZ2 Salem License*
Home Improvement Contractor# OYS3/—
'z— Homeowners Exempt form (if applicable) Yes_ No_
CONSTRUCTION TO BE COMMENCED WITHIN SIX (6) MONTHS OF ISSUANCE OF BUILDING PERMIT
CONSTRUCTION IS TO BE COMPLETED BY: If an extension is necessary, please submit
in writing to the Inspector of Buildings.
V. IDENTIFICATION - To be completed by all applicants
Name J� Mailing address
-Number,street,,city,and state ZIP Code Tel.No.
Owner or
Lessee
Contractor Builders r
License No. r!--4 f
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
/fis his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature_off as 11 Address1 ' Application date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19 Fire Grading
Building
Permit Fee $ Live Loading
Certificate of OccupancyApproved by
$ occupancy Load
:
Drain Tile $
Plan Review Fee $
opal /mss
T E
NOTES AND Data - (For department use)
/
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Lz Cp o- rar' h
-c— q a s 2
L e- -2f- froV,
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by: Completed by:
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN -For Applicant Use
oN
a (MV of i$Mletn, Maasac4usetts
s Public Propertg Department
Nuilbing i9epartment
(Due ftlem Green
500-745-9595 Ext. 398
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer September 12, 1994
Mr. & Mrs. Lajoy
9 Gallowshill Road
SalemC- 9
Mass-.01A70
Rllowshill Road
Dear Mr. Lajoy:
On Monday September 12, 1994 Local Inspector John J. Jennings
conducted an inspection of 9 Gallowshill Road. Upon inspecting
the damage to the property, it is in the opinion of this inspector
that a licensed, professional engineer investigate. After the
engineer investigates the job, he will submit his findings to this
office.
If I can be of any further help, please do not hesitate to call.
Sincerely,
�I
ohn J. Je ngs
Local Building Inspector
JJJ: scm
cc: Dave Shea
Councillor O'Leary, Ward 4
PAUL DAVIS SYSTEMS TEL:617-224-3460 Sep 23 94 0:35 No .004 P .02
Sep.13,.94 13107 P.02
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Beptrmtxex 23, }H94. � �,
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338 Mein Street, Cr
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Wakertald, Mann. 0188¢-4532, y
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At Lu: Mr. dames Mccoldrieh, RsaacO ftlfetr.
Mei No. 9 Fallow Hill Road, salon, Mass.
boar Mr. M(!Goldrlak,
oa Thureday, Saptexthar 15, 1994, 1 Inspected the structural rapaira
made un No. 9 Gallow Hill Road In sales, Nnssac8ueet1.8.
Na. 9 Gol)ow Pill hand is a singe family wood franul rooldenoe
on A oonoreta foundation. The front left. hand front turner when
feting the house , standing on the sidewalk) was damhgcd. The concrete
foundation Wall was ant. dnmegsd. The framed wall from tlm top of thr
conetute foundation Val) to the underside of the first floor )Mata WAR
badly damaged.
The damaged portion of thn wall Waft removed Ann a new treated wood
sIII was anchored to the top of the existing controto wall. 5/8" diameter
bolts at 64-0" on centers were Added oil around the building to anchor
the house to the concrete foundation wells. New 2" x 4'9" at 16 Inches
on renters were Installed. The extcrier fmcn of tha will was covered
with s/a" thick exterior greds CUR. 1011111 extetior finish was done to marry
It to the parent wall. Nev double 2" x 4's" wood mills were added to
tier top of the 2" x 4tv". .tack at-unit vera odded to the corner of the
well.
The whale addition van Installed in a professional axlnner end the
tOmalruct}wn won alyiluvwd. Tho ,apslr work Was dorm In a professional
manrror and air is structurally dale.
Vely truly youtm, to
Arthur Char mobciotes Inc., �Ag1PWl� ,
ff.
Arthur Chap 11r., ew
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