16-18 GREENLAWN AVENUE - BUILDING INSPECTION � . 16718 GREENLAWN AVENUE
I
Z
83. Do '
qZt S.
�s
�Z Area
� egel?
�5�oof graa'P /4��z o
FXisf/ grade-/4G- - w
9 '
v /48x 2 ��
14� 144 X / � \
12, G, y
/e?-
10
e?-<0 Si v9/c 211y o u
�F i47t o L /014
V - y
gre
•� � � �i ' / 4s"zs
�ofC v �L
G/ehn A✓c. ' �. �
2
,elm e%t! /4,Z. 3 f
in✓. e/w. 138. 6 (D - - — - - — - -- - —
IVO e: G/'/or l`0 C0/)S1,rUC1/or) -oi7lYGC702Z �Gfcr
/ y&)rifq /ocofio/7 and glade o 1'�e vGr PROPOSED
q//01/el01er selviCcl. 4c �� PLOT PLAN OF LAND
2 0 GERALD ' IN
6UERRIPoI SALEM' MASS,
Poo. 1393k ll-;�
PREPARED
7TH' N,4Z ¢3 P.J.F. & ASSOCIATES
.Gf -y�`+2y 11 GLEASON ST. MEOFORD, IAA
C� �`L��=n7 .�'�•.ti"—^ -w1 0 .93 PAUL J. RNOCCHIO —P.LS.
0. �" (617)395-7662
G'er-a/a� GGerrini r� E Da/C \R
a Rva rsktlx tf:` SCALE, 1'•= s70 .
Y,aa�J1 %g _
DEED REF. 2717191;, 8.g
DATE ,Qp i/ 11, /9 93
PUL . FI DCCHI P.L.S. DnTE �� FILE Noi z o 8/
i9B iSo
- 151x ` I
.LO f Q
II
J I JVD
�( A9 l
S,00f �iGde /s�4 X�
X15- "IPV �ra;71 - 144
R'0,00seO/ ?rack -------
146 146
ILI
/.Sa � y/�f",P �Meriega�e5
j
U:u�ib:,9 F- I I
� ,
.VdJCmC✓17. /4t0
3�
/46 x s S 3 /44x 7 ¢¢
v
611-17 4W foo, oo '
y , I
------------ � (areenlQwrr Aernte
0
�••Pvc -'sews= - -2 _ - - - - - -- -- - - - s
g"-o z i� {e r �l/o�e Prior fa cQn sfrucii�n canfrgc `or;s fo Verify
/acUrior� ar/d grade or serr/�r a!/duiafer ser�i�es.
PROPOSED
GERALD �r PLOT PLAN OF LAND
�- �.,
GUERNIT
13438 - SALE M , LASS:
p Q� PREPARED B1':
70 . 93 q T Ott P.J.F. & ASSDCIATES
/�C 7
Nell, ° �Q 11 GLEASON ST. MEDFORD, V
Ger'albl Gae r;^//?/ T F—. Z)OX-- p % 3Fk`� PAUL J. FlNOCCHIO —P.LS.
S1S� (617)395-7662
Xl
SCALE, 1 = 20
DEED REF.
DATE
PAUL J. FIN❑CC ❑ — P.L.S. DATE ' FILE Nod Z D 8 O
V fOMI
�0 CERTIFICATE ISSUED
DATE August 31 . 1993
y t' CITY OF SALEM
a SALEM, MASSACHUSETTS 01970 BUILDING PERMIT AA
l qC CERTIFICATE OF OCCUPANCY
11�_ 19 DATE April 26! 93 PERMIT NO.
APPLICANT Albe t Hill ADDRESS a`cla, m
T mrn tfir f .nat.00.1 ISTREETI IC.11-'S LICERSU
PERMIT TO ERB �T��w (6 1 STORY DJUn. NUMBEROF ING UNITS cm
(I'll 01 IUPPOV EM[Nil r� v0. (PPOPOSEO UlFI
b ✓1� A'i 11 ZONING
AT ILOCATIONI DISTRICT—
INO.1 (STPEETI
BETWEEN AND
4CROSS STRECTI (CROSS STREETI
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE ET. WIDE Pr FT. LONG BY FT-, IN HEIGHT AND $HALL CONFORM IN CONSTRUCTION
TO TYPE 'SSE GROUP BASEMENT WALLS OR FOUNDATION _
AsTF�pA� b t40 S'I(�Z�' CAiE :_Aids' 17hit .•F.T3GE :SLK RO�JS� r ! t
REMARKS: 'SAAJASN�E�S/M3, E{IMIM, DIN= _R(n1 FAMILY TVM4 :.:.1VSPJtT TtM4
CALL r1_ M�T 40 OCC'U'PY "� 5-'.`595 k�yQ��AEi1E•�_B1'�' p(���j�E�LJH�y. !����jR�EyNj
EY(�!
AREA OR ayi\IRRE� TsOYYT rYEEYW\�E[♦E!{WEE�
VOLUME
E .ela soUeat Ftnl
'ejjc; .">i I:Y nin veosrrTse+Tsrn sev(o rrlswro�T4b,Qe}i(�[o?v1l�Tor9nnelsrrme�ls.-Emmo
)WNER AI`.F P /S • SEE REVERBSI4M POR 9L' CERTIFICATE
ADDRESS
BUILDING
Duplacate Caro 10.00 FEE. PERMIT
JOB WEATHER CARO
DATE 8F.ri1 26 19 4: PERMIT NO, 12193
APPLICANT Alhrrt lil 11 ADDRESS Dcryers N.cl. _ 10`.42 _
(No.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT
TO EY'PCt' I7C.:•F•l linr ( I STORY ENAellinq DWELLING UNITS ('.1-IE
(TYPE OF IMPROVEME 1 N0. (PROPOSED USE)
Ar (Loc;rloNly 16 Ca'PPrlau'n pVe ZONING
Wi.id 4 DISTRICT R-1
(N0.1 (STREET)
BETWEEN AND
(CROStl STREET) (CROSS STREET)
SUBDIVISION LOT OT
BLOCK_�SIZE
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)
Erect a 36x26 two story cne fairi ly dwel ling, Bever. roomer, Ulree te(2rocfris, tow
REMARKS: 1-�_.fh.Y....E, kiteher, eAning rBC'FfI,�TTyIOCj,�i'Vil,y luZ
AREA OR JAliiI ..'1 /1 3111 L l_y
/GLUME ESTIMATED COST $ 82,000.00 FEEMIT J p Q07
CVBIVSOUARE FEET)
OWNER Gecoge Cronin
BUILDING DEPT.
ADDRESS - rett1S@ 9 h1Pi1:0 E,P7' _ By
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 AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE 09TAINEO
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 APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO BEFORE
FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
BOARD OF HEALTA GAS INSPECTION APPROVALS FIRE DEPT. INSPECTING APPROVALS
G.kU+✓ _
® s i/ss
OTHER CITY ENGINEER Z 2
WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CON$T RU CTION INSPECTIONS INDICATED ON THIS CARD
INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.
APPLICATION FOR
93 A'=t 1 J s: PLAN EXAMINATION AND
BUILDING PERMIT
A ]51MPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
r
4
di/ �/ ZONING
AT (LOCATION) ,� �L� 'IST
RICT�L7"'
LOCATION I"o.l or � (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET))LOT
< J
SUBDIVISION LOT _BLOCK SIZE ` ✓� (�/CJ SD
IL TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For-Wrecking" m
4 1 9' moat recent use m
t'� 1 New building R -4
I Residential Nonresidential
l) 2 ❑ Addition(if residential, enter number 12 ne family 18 71 Amusement, recreational
i of new housing units added, if any,
I in Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
3 ❑ Alteration (See 2 above) number o/ units- - - - --). ❑
20 Industrial
14 ❑ Transient hotel, matel, 21 Parkin e
4 ❑ Repair, replacement or dormitory - Enter number ❑ g garage
5 ❑ Wrecking (If multi/amily residential, of units ------- - _► 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
6 ❑ Moving (relocation) 16 ❑ Carport 24 ❑ Office, bank, professional
7 ❑ Foundation only
17 ❑ Other - Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERS 27 ❑ Stores, mercantile
8 rivafe (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other - Specify
—
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, mac.rine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, '2=� school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, ent:e: use.
in the above cost
a. Electrical....................... LI3 O0
b. Plumbing ....................... /t/(/
C. Heating, air conditioning......... O '
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 �] Masonry (wall bearing) 40 48. Number of stories............... Z
u is or private company
31ood frame ( 49. Total square feet of floor area,
41 ❑ Private septic lank, etc.) all floors, based on exterior
32 ❑ Structural steel dimensions ..................... !Ir- 2 2-
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
Other 50. Total land red, sq. ft. .......34 S ecifY 42 ublic or Private cam any
I3 OOO
j 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑o. Will there be central air 52. Outdoors........................
36 it conditioning?
� ,�-- L. RESIDENTIAL BUILDINGS ONLY
37 ❑ _�
Electricity 44❑ Yes 45 U ,.o 53. Number of bedrooms..............
3B ❑ Coal
39 ❑ Other - Specify. Will there be an elevator? Full..........
I 54. Number of
46 ❑ Yes 47 � boil
Partial........
NOTES and Data — (For department use)
NOlAn 9 (. eon
r
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Nurnber, street, city, and Statc ZIP code Tel. No.
1.
Owner or C �'!"� e / p P
Lessee
2. ,'`/ Co�Si. (�� �fjti(/G�-5 fL//�. Builder's l0.��1-
License No.
C onirac rot
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.
t Signature { oPP 'con} Address
Application dote
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date PlansB Date Plans
Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B y ermor Pit A royal Check Date Number Obtained pp bBy
y
BOILER PLUMBING `
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER e(06N— WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building /
Permit issued `� ' tP lg Use Group
Building / p o7 Fire Grading
Permit Fee $ Y / /'
Live Loading
Certificate of Occupancy $ occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ `
TITLE `
i+-}�ffi L+t trt�4h _
1 "Y'f {' M�"�$l� + :].1` + 11 S i-1 "LT .}$j '11 I�-r .. 4 x
-
-.3
X 1+ p A kt + + +,L'..#7� i t t .iii }1 �. {1�1 r+ i� f 1 +•}$ m A Z N
�1 r�+ +w � +1 tt�{ +1yr ♦•A i�a)a $ �{-y i'''� + � +]}'s t+ ;���iit T t F- � Z
17
tr
4y^i tiT f +1 �)' T'.-71a,.++»r t• r } m
N -
tt o A
„
77
Lr.!-t•4 -
3.
lilt
fi F It
Ct
a a e 1+7 t rX o
1 1 1 f1, r +
k 1
144
I
{ � t t .A ,j tt -T•t Y yt I 1++ � i
iT +bT ,.s a 1} 7 { ?,FF1..'. r:
ifi,
—,41t`, +fI
y -4 a
APPOINTMENT FOR FINAL Salem Fite Depan-tment
INSPECTION MUST BE Fite PteventZon BwLeau + APPOINTMENT FOR FINAL
MADE AT LEAST ONE WEEK 48 La4ayette Stte-et INSPECTION MUST BE
Salem, Ma 01 970 MADE AT LEAST ONE WEEK
AHEAD- -••--- — (508) 745-7777 AHEAD-............
_
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In accoAda.nce with the pa.ov-Lo-i.ona o4 the Ma-64ach"ett-6 She Su Ltd i,ng Code
and the SaZem F-Z- a Code, appt.Zc tion .i.o hereby made 4ot approval o4 pZan,6
and the d aauance o4 a eettC44cate o4 appn.ova2 4o�L a bu.i'e ng pe-,Lm t by the
Salem F-i,ce Department. (Re4. Section 113. 3, Ma-6,6. State SZdg. Code)
Job Locat-i.on:
Owner./Occupant: ,[1¢
EZect�L cat Conttacto/L:
F.i ce Suppneaad.on Cont,%acto�t:
L FIZit u Hr l
S.Lgnat"e o4
AppZi,ca.nt: Phone #: 597¢- 774#*- �t5'F1
Addn.eaa o4 AAw fes► 7T� __ City on
Applicant: gyw s Town: /¢A'440W LS
r
Appnova2 date: u C A 3
Cen tC4tcate o4 appaovat i-6 he2eby granted, on appn.oved ptana on 'subm-i tta2
o4 ptoject deta.i.2.a, by the Salem Fite Depa4tment. AZ2 pta" ane appn.oved
aoZeey 4o�L tdent.L4.ieation o4 type and Zoea .Zon o4 4tae pn.otection devtcea
and equtpment. Alt plana ate aubjeet to apptovaZ o4 any other authon,ity
having juAriadtc - on. Upon eompZe -ion, the a.ppZ.icant oa tn,6ta tete) aha22
aequeat an tn,6pection and/on teat o4 the 4tre p�Lotecti.on devtcea and
equtpment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
New con sttuct-Zon.
Ptope%ty Zoeati,on has no eom Zia.nce with the �Lovt-6to
p p nes o4
Chapter 148, Section 26 C/E, M. G. L. , Aeea ti.ve to the
tn-6ta2at-i,on o4 approved 4.i-ce atanm devtce-6. The owner o4
th,i-6 pnope%ty -`e tequited to obtain compliance as a
condi tion o4 obta.inLn.g a ButZd.Cng PenmZt.
Pn.openty ZocatWn -i-4 .in compliance w.ttth the p-tovtzto" o4
Cha pt 148, Section 26 C/E, M.G. L.
ExpZ4.ation dater
// ` cg p� cg 06' acral
Fee due: undue 7 . 500 So. Ft. 10. 00
kll
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In compliance with the provision of Section 113.5 of the Massachusetts
State Building Code, and under guidelines agreed upon by the Salem Bldg.
Inspector and the Salem Fire Chief, the applicant for a building permit
shall obtain the Certificate of Approval (see reverse side) and stamped
plan approval from the Salem Fire Prevention Bureau.
Said application and approval is required before a building permit may be _J w
issued. The Massachusetts State Building Code requires compliance < w
approval of the Salem Fire Department, with reference to provisions of a: U w
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts o N p
General Laws, and 527 Code of Massachusetts Regulations. F D y
z
The applicant shall submit this application with three (3) sets of plans, LU zo
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire F- i- l '•
Ci
Department. This applies for all new construction, substantial o w w
alterations, change of use and/or occupancy, and any other approvals i vai ¢ _
required by the Massachusetts General Laws, and the Salem Fire Code. ¢ z
Exception: Plans will not be required for structural work when the
proposed work to be performed under the building permit will
not, in the opinion of the Building Inspector, require a
plan to show the nature and character of the work to be
performed.
Notice: Plans are normally required for fire suppression systems,
fire alarm systems, tank installations, and Fire Code
requirements.
Under the provisions of Article 22 of the Massachusetts State Building
Code, certain proposed projects may not require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 22, Appendix T, and Tables applicable
shall apply. This section shall not, however, supersede the
provisions outlined in the Salem Fire Prevention Regulations, Chapter
148, MGL, or 527 Code of Massachusetts Regulations. All permits for
fire code use and/or occupancy shall apply for the entire structure;
fire alarm and/or smoke detector installation shall apply to the
entire structure based upon current requirements as per Laws and/or
Codes, but the existing structure may comply with regulations
applicable for existing structures.
Notice: Sub-contractors may also be required to file individual
applications for a Fire Department Certificate of Approval
for the area of their work. Such sub-contractors shall file
an Application to Install with the Fire prevention Bureau
prior to commencing any work for those areas applicable.
E FOR F1NPL
Form 81X (10/90) FMEN{ FOR BE A pPpOE S1pN M.SONE WEEK
INSPE 110` P USON WEEK 1NSD AT LEPST --�
T E Mp E
MADE pT I PH�D.._:..._.......
.
P010_......_.. ......
SALEM FIRE DEPARTMENT
Fire Prevention Bureau
s 48 LAFAYETTE STREET, SALEM, MASS. 01970
Date . . . . . . . . . . . . . . . . . . . .: . . . . . . . .
Certificate of Completion - Installation or Alteration of Oil Burning Equipment
The undersigned hereby certifies that the installation (or alteration) of fuel oil burning equipment and/or storage tank and applying to the installation for
[Name of Owner) ..................................................................................... Floor heated
/ �,w ! ............. by system................................................
at(Address) ..../.W ..... .2 er!da) ./getlJ/�...*6............... ....... .. (lst,2nd.all)
has been made in accordance with provisions of the Salem Fire Prevention Code,of Chapter 148,G.L.,and regulations made under authority thereof now currently in
effect and pertaining thereto.(Ref.527CMR4.00)
Furthermore,this installation has been tested in accordance with such requirements,is now in proper operating condition and complete Instructions as to its use
and maintenance have been furnished to the person(or persona)for whom the installation for alterations)was made.
BURNER
Name.......... ......................................................... Mfg.by........................_...,..................,.........
Type.................................................................... Maes.Approval No. .. ...........................,.................
To use not heavier than.......................fuel oil .................. ... Kind of heat......,........,...........,..................,.......
(D.H.W.;F.H.W.;STEAM;F.H.A.)
STORAGE TANK
Typeof Tank........................................................................... [ 1 New Tank
No. of Tanks.... ....... .. .. ........... Total Capacity,.......... ... ... .......... [ 1 Existing Tank
Location...-- .................. ............................. ... ....... ...... ... [ 1 No additional storage,using same tank as smother unit.
Note: New underground tank installations,require a plan and Form 81G to be filed.
Type/automatic or coastal)control.............................................................................................................
Location of automatic shutoff valve.........................................................................
Location and type of manual shut-off valve. ...... ... .......... ... ... ..... ELECTRICAL CONTRACTOR: ..... .............. ..... ..... .
Special requirements. ......................................... Company,.........,... ................, ...................,.................
By.............................. ....,... ..............................
[written signature)
Cert.ofCpmp.Ree'd............................. ...... .... .. ................ ....................... ...... ...... ....
Permit lowed.................................. Address.. ....,... .....,...,....,...
Issued By................ .............. ... . Installer's Certificate of Competency No...................... ..... ...............
DO NOT WRITE BELOW THIS LINE
SALEM FIRE DEPARTMENT
4 ' Fire Prevention Bureau
PERMIT
FOR STORAGE OF FUEL OIL AND FUEL OIL BURNING EQUIPMENT
In accordance with provisions of Chapter 148,O.L.,and Regulations made under authority thereof.
Name ....................... ...................................... Name.....,..........................................................
(owner or occupant Floor heated (Installer)
Address.................................... by system............................ Address................ ......... .................... ............ .
BURNER STORAGE
Name .............................................................. Type of Tank..................,...............................,.......
Manufacturer....... ................................................. Capacity.........................gals. (or) Size...
ModelNo.or Size............................. ........................ Location.............................................................,
Type.......................Maes. Approval No........................ Kind of heat...........................................................
Date Permit Issued................................................... Type of fuel...........................................................
Impactor..............................................................._.....................................
............................
(Chief of Fire Departmentl
THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES
This permit will expire on a change of ownership,burner or storage.
Form 23SFPB(Rev. 11/82)
APPLICATION FOR
PLAN EXAMINATION AND
BUILDING PERMIT
PMPORTANT -1.Applicant
� to complete all items in sections: 1, 11, 111, IV, and IX. o
ZONING
• AT (LOCATION)� y r"''�"�/�CyK� /T✓� DISTft CTr
LOCATION NO.I (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK S12E
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �
a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ew building Residential Nonresidential
2 ❑ Addition(I/residential, enter number 12 EEll<family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religious
number of units— — — — —). 20 ❑ Industrial
3 ❑ Alteration See 2 above) 14 ❑ Transient hotel, motel,
4 ❑ Repair, replacement or dormitory — Enter number 21 Parking garage
5 ❑ Wrecking (If multifamily residential, of units ------- --y 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Pmt D, 73) 24 ❑ Office, bank, professional
6 ❑ Moving (re location) 16 ❑ Carport p
17❑ Other — Specify 25 ❑ Public utility
7 F-1 Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other — Specify
—
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, mac:iine shop, laundry building at hospital, elementary
10. Cost of improvement,,,•,,,,,,,,•,,, 00 school, secondary school, college, parochial school, parking garage for,
department stare, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost }
a. Electrical.......................
b. Plumbing ....................... /to
e. Heating, air conditioning......... �i,,lCFI C �
d. Other (elevator, etc.)........... t
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF sE�A'AGE DISPOSAL J. DIMENSIONS
30❑Masonry ,L—„r,/ 48. Number of stories...............
(wall bearing) 40 Public or private company
31 [jood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all ficarsdimension
based On exterior ���
32 ❑ Structural steal dimensions based
a eater.........
33❑ Reinforced concrete H. TYPE O"ATER SUPPLY
50. Total land area, sq. ft. ...........
34 ❑ Other — Specify 42 Public or private company Q ^A..»
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 n GoS . Will there be central air 52. Outdoors........................ 2
36 iI conditioning? v —
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44❑ Yes 45 L?< 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other— Specify. Will there be an elevator? Full.......... I
54. Number of
46 ❑ Yes 47 [N bathrooms I
Partial........
NOTES and Data — (For department use)
r
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Nmnber, .street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
Contractor License No.
Contractor
3.
Architect o
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 of applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B y or Permit Approval Check Date Number B
Obtained ppr Obtained y
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building _ Q� FOR DEPARTMENT USE ONLY
Permit number
Building
Permit issued T 19� use croup
Building Q r>aJ Fire Grading
Permit Fee $ J�/
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ �-
1
Plan Review Fee $
TLE
VIII. ZONING PLAN EXAMINERS NO'iES
DISTRICT
USE
FRONT YARD
-SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN - For Applicant Use
k='�•-wr-...`"� r t_��,
S�.
J:,- y " # rt
... ., ,.. i*
" s t•i Y i : *fit �, ' ,-'+- w T $ r '� �+ ..�. '"+' 4 ,;.
t�
�t-�-�.�i-T
kt t�i_1
x1'C` �{a 14
µ' r y;$$'�" {-tr _p{{y `I.Y .�JW
"1j:+ '-'-
tl.
� t 1 qv��'����
IJ
y+;�l-+ +
+- + ;• .+-. x ' ,t c -�- ami '1 ( I�
�y}t 111 a t s r rhe i
f esIF
*ice
t -t t
0-i
M } q t
t•+ +++T'''tttty
_ r
BOCA -ORM APEBP — 569 C1969 EUI.OING OFFICIAL 0 101' AOMINISiEATORS INTERNATIONAL INt
APPOINTMENT FOR FINAL Salem Fi-xe Department
INSPECTION MUST BE FtAe P2event-Lon Bwce , ! APPOINTMENT FOR FINAL
MADE AT LEAST ONE WEEK 48 La4aye tte Street INSPECTION MUST BE
Saeem, Ma 01 970 MADE AT LEAST ONE WEEK
AHEAD------------------ (50 8) 745-7777 AHEAD-.----.-
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In acco tda.nce w-1 th .the pn.ovt-6ton.6 o4 the Ma.6,6ach"ett-6 State Buttd i.ng Code
and the Salem Ft-te Code, appt-.canon i,6 he�ceby made 4o-t app�covat- o4 pkan,6
and .the 4.6-5uance o4 a ce4ti,4tca-te o4 appAova2. 4oa a bui ding pe�uni by the
Salem FZLLe Depan-tment. (Re4. Section 113. 3, Mane. State Bldg. Code)
Job Location:
Owner./Occupant:
EZectiLtcaC Cont4actoa: �A/� �O/A/ ✓
F.i ce Suppn.e64ton Contiracto�t:
S.iynatur 'ce o4 �
AppZ cant: Phone #: SpF��� y-�sr2
Addne.6a o4 C4ty on.
AppZccant. Town:
App-tovat date: ,l) I q-3
Centi4.ieate o4 appaovat v6 hereby granted, on app�Loved ptan6 oa eubm-(ttaZ
o4 pAoject detatt-6, by .the Salem FtiLe Department. AZ2 ptan6 ane approved
eoZeZy 40n. i.dentt4.i.eati.on o4 type and tocatton o4 4-1h-e pnoteeti.on devtce6
and equtpment. Att ptan,6 ace 6ubjert to appnovaC o4 any othe2 authon,Cty
having jevL, diction. Upon eomptetton, the a.ppt,,cant on t"t4aZ2en(e) 6hatt
n.equeet an tn,6pecti.on and/oar, te-6t o4 the 4-i to pn.otec-tion deutcee and
equtpment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
New eom6tnuct6on.
Property location has no compliance wZth the pnovi-6ton6 o4
Chapter 148, Section 26 C/E, M. G. L. , -tetative to the
tnstatati.on o4 appn.oved 4.ih.e alarm devtcea. The owner. 04
th,s-6 pn.ope�rty 4.6 tequAAe-d to obtain compZian.ce ae a
condition o4 obtatni.ng a BuUd.ing Pe- m.i t.
Pn.opehty Zocation i,6 -in compZi.ance with the ptovt-6ton s o4
Chapter 148, Section 26 C/E, M. G. L.
Ex A-tation date:
r �
i ^\, s-ig o4 e 044.icri,a,2
Fee due: under 7 , 500 So. Ft. -_ 51 ! v /
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In compliance with the provision of Section 113.5 of the Massachusetts
State Building Code, and under guidelines agreed upon by the Salem Bldg.
Inspector and the Salem Fire Chief, the applicant for a building permit
shall obtain the Certificate of Approval (see reverse side) and stamped
plan approval from the Salem Fire Prevention Bureau.
Said application and approval is required before a building permit may be _J w
issued. The Massachusetts State Building Code requires compliancez W
approval of the Salem Fire Department, with reference to provisions of LL m 3
w ;
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts it N p
General Laws, and 527 Code of Massachusetts Regulations.
F- 2 i
The applicant shall submit this application with three (3) sets of plans, w 2
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire �
Department. This applies for all new construction, substantial o w W
a.
alterations, change of use and/or occupancy, and any other approvals a cn ¢ _
required by the Massachusetts General Laws, and the Salem Fire Code. ¢ z
Exception: Plans will not be required for structural work when the
proposed work to be performed under the building permit will
not, in the opinion of the Building Inspector, require a
plan to show the nature and character of the work to be
performed.
Notice: Plans are normally required for fire suppression systems,
fire alarm systems, tank installations, and Fire Code
requirements.
Under the provisions of Article 22 of the Massachusetts State Building
Code, certain proposed projects may not require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 22, Appendix T, and Tables applicable
shall apply. This section shall not, however, supersede the
provisions outlined in the Salem Fire Prevention Regulations, Chapter
148, MGL, or 527 Code of Massachusetts Regulations. All permits for
fire code use and/or occupancy shall apply for the entire structure;
fire alarm and/or smoke detector installation shall apply to the
entire structure based upon current requirements as per Laws and/or
Codes, but the existing structure may comply with regulations
applicable for existing structures.
Notice: Sub-contractors may also be required to file individual
applications for a Fire Department Certificate of Approval
for the area of their work. Such sub-contractors shall file
an Application to Install with the Fire prevention Bureau
prior to commencing any work for those areas applicable.
ENT
eS
Form 81X (10/90) APPOINTMENMUO gE ALEK ANSPE j C,, pS SONE WEEK
1MAp f AT_EAST OSE Wi PNpp p T..............
p,HFAD......._.._....
�
SALEM FIRE DEPARTMENT
Fire Prevention Bureau
48 LAFAYETTE STREET, SALEM, MASS. 01970
'bcrbi ds"
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Certificate of Completion - Installation or Alteration of Oil Burning Equipment
The undersigned hereby certifies that the installation (or alteration) of fuel oil burning equipment and/or storage tank and applying to the installation for
(Name of Owner) . 9 ......�1 ....... .....j� � r...... .... .... ...... Floor heated
8 ..G t\ oro . L4�lTl_.10��V by system...........................................
at(Address) .... ... ......... ....I... .. (lst,2nd,all)
has been made in accordance with provisions of the Salem Fire Prevention Code,of Chapter 148,G.L.,and regulations made under authority thereof now currently in
effect and pertaining thereto.(Ref.827CMR4.00)
Furthermore,this installation has been tested in accordance with such requirements,is now in proper operating condition and complete instructions as to its use
and maintenance have been furnished to the person(or persona)for whom the installation(or alterations)was made.
BURNER
Name................................................................... Mfg.by.......................................,..................
Type................................................................. .. Mass.Approval No. .. ..............,....... ......................
To use not heavier than.......................fuel oil...........,......, ... Kind of heat...............,...........,.........,.......,........
(D.H.W.;F.H.W.;STEAM;F.H.A.)
STORAGE TANK
Typeof Tank...................................................................... ..... I )Now Tank
No. of Tanks.... ... ..... ................Total Capacity.... ...... .. .... .. ....... [ I Existing Tank
Location... ... ...... .. ................ ... ...... ....... .................. ...... I I No additional storage,using same tank as another unit.
Note: New underground tank installations,require a plan and Form 8 1 G to be filed.
Type lautomatic or manual)control.................................................... .........................................................
Location of automatic shutoff valve........................................................ ....................................................
Location and type of manual shut-off valve... ...... ... .. ... ...... ... ... ELECTRICAL CONTRACTOR: . ... .... ..... .... ... .... ...
Special requirements... ........... ...... Company.......,...,...,...,....�.........,...,
By..... ... ... ... ... .....�wmitteri elgmuturel ......... ....................
Cart.ofGpmp.Rec'd...... ....................... . ... ... .. .. ... ......... .. .............. ..... .. .. ...... ........ .... .
PermitIssued.................................. Address...,...,...,..................,....,........,...,....,.........,......
Issued By................. ... ...... ........ Installer's Certificate of Competency No..... .... ........................... ... .
DO NOT WRITE BELOW THIS LINE
SALEM FIRE DEPARTMENT
4 ' Fire Prevention Bureau
PERMIT
FOR STORAGE OF FUEL OIL AND FUEL OIL BURNING EQUIPMENT
In accordance with provisions of Chapter 148,G.L.,and Regulations made order authority thereof.
Name .............................................................. Name,.......,.............................,..................,......
(Ownsror Occupant Floorheated (installer)
Address.............. ..................... by system............................ Address ............. .......... ....................................
BURNER STORAGE
Name .............................................................. Type of Tank......................................,...................
Manufacturer....................... ................................. Capacity.........................gals. (or) Size......................
Model No.or Size............................. ........................ Location...........................................................
...
Type.......................Mass. Approval No........................ Kind of hat............................................ ,..............
Date Permit Issued................................................... Type offuel............,..............................................
Inspector.............................................................................
(Chief of Fire Departmenti
THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES
This permit will expire on a change of ownership,burner or storage.
Form 238FPB(Rev. 11/82)
V�
� x GHU of ttlem, � a rz> hi n t
9
U T I N G SLIP"
REVPi'�F!- • AS INDICATED
LOCATION: ' ' ✓ (�.Y/,pd �'!s�
/ DATE �� 2.0/9 .:$
APPLICANT: .`I• dJ'�!I /2w o
INSERT DATE WHEN PASSING ON
pFpAgTmFNT. Assessor /D to
Peter Caron 4" ���5
CONTACT PERS �C-,
2 aRo'OTMF T• Fire_ Deoartmert
or Insp. LaPointe
3DEPARTMENTiDepartment of Public Services i3
Director
4 DEPARTMENT: Water Department /
CONTACT PERSON: Margaret Hagerty/HelenJiadosz X� L
Planning Dept. `f- y�
bxkh,t lfur ib,i-,i—
CONTACT PERSON- i /-h . )L
6 PARTMENT: City Clerk (if involving new streets)
CONTACT PERSON: �
7 DEPARTMENT: ELECTRIC DEPT. 'awl M &3!f GQ
PAUL TUTPLE
8 DEPARTMENT:
CONTACT PERSON:
RETURN TO
A
BOARD OFASSESSORS
93 WASHINGTON STREET,CITY HALL,SALEM,MASSACHUSETTS 01970
3� a (508)745-9595 Ext.261
+f� (508)744-5918 FAX
J�
�Up,1E
April 27 , 1993
Deborah E . Burkinshaw
City Clerk
City Hall
Salem MA 01970
Dear Miss Burkinshaw:
Please be advised that the two new single family homes to be
constructed on the two newly subdivided lots on the
southeasterly side of Greenlawn Avenue, currently assessed
as a portion of 234 Highland Avenue (Assessors Parcel
#08-0120 ) , have abeen assigned the legal street addresses of
_
,r�16—and;lB=Gr-eenlwn_ _Avenue; with the lowest number being the
house to be built nearest Marlborough Road.
(7 r l yours ,
Peter M. Caron
Chairman
cc: Postmaster Joseph L . Leccese
Chief Joseph F. Sullivan, Fire Department
Helen Jiadosz, Water Dept .
k- Ieo Tremblay, Inspector of Buildings
Richard Lis, Engineering Dept .
Capt . Paul Murphy, Police Dept .
George Cronin, c/o Serafini , Serafini & Darling
s =34
i t � q :
y° , w
� �� � �
CERTIFICATE ISSUED
e DATE July 29. 1993
CITY OF SALEM
s SALEM, MASSACHUSETTS 01970 BUILDING PERMIT -
�a4e,� CERTIFICATE OF OCCUPANCY
April 26, Z 93 122-93
Hill
DRE 19 PERMIT NO.
APPLICANT Alf Led bili — ADORES .anver�s,�tA
(�NTrO+.TIISIPEETI ICOvi x'S LICExsI-
TUEw+[L
2 LIM NUMBER OF CNE
PERMIT TO I__1 STORY DWELLING UNITS
I7.1E Or IM.POVEM[MTI x0. IPSOPOSED USE)
Rd OL a 5I ZONING lx t
AT ILOCSTIONI - 0ISTRICT—
Ix0.1
BETWEEN AND
(CROSS STR[ETI (CROSS 57RETTI
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS 708f FT. W IOE P. FT. LONG ev FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIUN
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
NE-4•T�PTrtIyU.CCTTt{TA 170 SMI RvYvY3�.5 6 fC:++IF�I�NNU..LY'-SE1VEN FrcCnX,y4 rtt7STa`ILLZYTTn�^1T T
REMARKS: `-:J.iI.LALLY, �'1\l-DIG ROWI[ DINING RIM-k! CE _t ULY t?MM ,11-111 L•A.+C OFF ZtlLMLi
CALL FOR PERUT 'T_O OCCUPY 795-9595
KWIMIMERN
mum
AREA OR y .JWEE�EE•�
VOLUME
/�Ya E 1eTl�VIIY♦a sa U/.RE r[[n
t.lt3v1":�r? C=inTR[-mR-r.brrEsrR.oRrror[Isw.v[vTsame
be�Ti9l As eYlofllovlo�.oa�l s.�m[-[To
IIINE
SES
ADDRE , ,. SEE REVE115AS1OEJ�OR C N iMIOF CERTIFICATE
AODRE 59
PERMIT
;yl� t( G 2 4q JOB WEATMf,,&_ ARO
C ['• DATE Ppril 26p 1 19 PERMIT NO. IWAA
APPLICANT Alfred Hill ADDRESS
��p♦p�� ISTPFETI (COW'-'$ LICE SIT
av= Il TAU.[IAtw 2 DNUA= NUMBER OF
PERMIT TO 1_I STORY DWELLING UNITS
(TTI[ 01 IMI110V(ME NiI M0. IPPOIOS[O USfI
GREWLAM AVENUE VOW B ZONING
AT (LOCATION) DISTRICT
1x0.1 ISTR(ETI_,
BETWEEN AND -
ICROSa STREET) (CROSS STPEETI
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT, WIDE BY FT. LONG BY �y.�,E. FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPFy ' �E��TyS1yyE GpROU[P,t wy��Sl}� �yy� Y�,'EExMyp�Ty ASL/EWE�yM'EF4NeY TE�� �1.��p. .+.�-���y+ ;g�ryp[
REMARKS: krmm,, •VA.VAiEERiTFA(mo,�SSIJ}.E�L44fyRyIN�E'1pi4�NE'AS�6WSi'fYg9giiSpi EQ�SMoYifRE"Fs SITE i-•EB,gEga�S= :/OY 11't'i'JE tx Xmm.
JB4vV�NAR�[W FEE So* PERMIT
VOLUMEE
AREA - ESTIMATED COST 'J _�,�
:C'1BIC/SOV1R[ FEET'
ow
VmW. p /Ml4wSIa.Sw`RtSwS q[.�yp��W,, SI +[ ,aIR,E,yW[EY w-.- -
OWNER P + BUILDING OEVFT^+ ASW
ADDRESS Wwnteis.aAxfaE BY -
INSPECTOR OF BUILDINGS
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET .ALLEY OR SIDEWALK OR ANY PORT THEREOF. EITHER,TEMPORARIFY OR
PERMANENTLY ENCROACHMENTS ON PUBLIC PROPERTY NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MVST'BE AP
►ROPE O_BX_THE,JVRISOt CYION. ]REE T'OR ALLEY:OJ110E5 AE-WE LI,AE_OE PTH ANO.LO.CAS.ION_QF.VUf1UC-bEWERS-J.M�.Y [..DBT/�I --
�
FROM THE OE RAR Tl1E NT'O F-P US LIG WOIITISYT HE'ISSUANC E OF"T HIS*E RMtT DOES NOt RELEASE THE $PPL-IC ANT=FW OMIT OTT�ON
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL- APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS COU'
RED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PFRMITS ARE REQUIRED. FOR
ALL CONSTRUCTION WORN: ELECTRICAL, PLUMBING. AND
I.-FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE- OF OCCUPANCY IS RE. MECHANICAL INSTALLATIONS.
Z. PRIOR TO COVERING STRUCTURAL OUIRED,SUCH BUILDINGSHALL NOT BE OCCUPIEO UNTIL tti4S
M EMBERSIRE ADY TO LATxI. FINAL INSPECTION HAS BEEN MADE.
E. FINAL INSPECTION BEFORE - .h
OCCUPANCY. � � '
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS BING IN PECTION APPRO ELECTRICAL INSPECTION APPROVALS
OAR /'F 4ALTk GAS INSPECTION APPROVALS FIRE DEPT.INSPECTING APPROVALS
I R
OTHER CITY ENGINEER - Z. Z
J'