5 HILTON STREET - BUILDING INSPECTION C .M
S Hilton $t. _
No. / City of Salem Ward ZI
�N.cermrq- �—
Ld; x
i-t.C `JL S'l is 4�: ,,dice..
CITY OF St+,_r%;
APPLICATION 5�S FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items in sections:1, ll, 111, IV,and/X.
�
I. AT(LOCATION) S✓ DISTRICT
LOCATION 04__0)n ` STREETI /y I
OF BETWEEN _'ClrYh/.CAND eG.-V'2�RO
BUILDING cao sTRF� cnoss LOT
SUBDIVISION LOTBLOCK 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(d residential,enter number of new 12One family 18 ❑ Amusement,recreational
Musing units added,it any,in part D,13) 19 ❑ Chruch,other religious
- 13 [:] Tvro or more family-Enter number
3 ❑ Alteration(See 2 above) of units..............................._...................... 20 ❑ Industrial
4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 21 ❑ Parking garage
Enter number of units ........................... 22 ❑ Service station,repair garage
5 ❑ Wrecking tM muthfamily residential,enter number 23 ❑ Hospital,institutional
of units in building in Part D,13) 15 ❑ Garage
24 E] Office,bank,Professional
6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility
26 ❑ School,library,other educational
7 ❑ foundation only 17 ❑ Other-Specify 27 ❑ Stores.mercantile
B.OWNERSHIP 26 ❑ Tanks,towers
8 Private(individual,corporation,nonprofit
institution,etc.) 29 ❑ Other .Spa,;^v
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,
10. Cost of improvement ......................................... ' cW_ Parochial school,parking garage for department store,rental office building,office building
----.....---- $ at industrial plant It 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. PRINCIPAL TYPE OF HEATING FUEL G. TYPEOF AGE DISPOSAL 1. TYPE OF MECHANICAL
30 ❑ my(wall bearing) 35 ❑ Gas - 40 Public or private company Will there be central air
31 Wcod freme 36 II 41conditioning?
❑ Private(septic tank etc.)
32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 ❑No
33 ❑ Reinforced concrete 36 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator?
34 ❑ Other-Specify 39 ❑ Other-Specify 42 Public or Private company 46 ❑ Yes 47 [a'No
43 ❑ Private(well,cistern)
J.DIMENSIONS - /�
48. Number of stones ..............................._�................. OL M. DEMOLITION OF STRUCTURES:
as. notal squors,based q loor xtenora Has Approval from Historical Commission been received
all Boors,basad o f exterior
dimensions ....................._............................................... for any structure over fifty(50)years? Yes_ No_
50. Total land area.sq.It....................................................... P5 Cr03 Dig Safe Number
K.NUMBER OF OFF-STREET PARKING SPACES
51. Enclosed .. C—) Pest Control:
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. Outdoors
Yes No
L RESIDENTIAL BUILDINGS ONLY Water:
53. Enclosed....... .......... Electric:
Gas:
Full ........ a-- Sewer:
54. Number of
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_z(If yes,please enclose Order of Conditions)
Has Fire Prevention approved and stamped plans or appticati ns? 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/0,submit Board of Appeal decision)
If new construction, has the proper Routing Slip been enclosed? Ye No_
Is Architectural Access Board approval required? Yes_ No (If yes,submit documentation)
Massachusetts State Contractor License# b S//C73`� Salem License#
Home Improvement Contractor # Pt%r(2, '73 cZ 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
io 9d& 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.
0900
Owner or
Lessee
2.
Contractor �— Builder's
License No. l�3
3.
Architect or
Engineer O Q
I hereby certify that the proposed w thonzed by the owner of record and that I have been authorized by the owner to make this application
as his authorized agent and w r to con to all applicable laws of this jurisdiction.
Signatlx o ppli n Ades $3 C�
--� Application date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
BuildingI ,(�' FOR DEPARTMENT USE ONLY
Permit number I
Buildings� qty Use Group
19
Permit issued )Q
Fire Grading
Building I
Permit Oke G���
Fee $ U r_� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ OGS
TITLE
NOTES AND Data- (For department use)
Ne, 1 I.,
2 New 0U 30
3 ►U�-� ` t� 1 �
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
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4 r :. _ 1 .:� t •-t t� W , d,1ll 4 I 1) I I. '
ALL DEVELOPER$ OF STX C6) OR M.OR RESIDE AL N
10 007SQDARE FEET')FlOOMMERCI4L. ;SRACE'°!zf(s".1�
U., Yif /f
p .Pyt I
YLIR � '% i ,.. ". Ea4k�P. ;. , Cj. 'Y�I�.'fA'�1i�.' fi.. IJ ,.f •,
REVIEW AN r o I $ f
till,y�
tf � �1, + �� II� �r � '' ' !-• !y $df♦a+ i
LOCATION of � i��ohf` S� +�t��r s "1t74 "p �a�xlr
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ASSESSORS tt ' "rl1� } 1i;�E
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CONTACT P... S PET�,g CARQN .,
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STEVE D;, uq /�" �b✓lP �f / ,a �Z`5 T SM ^eJ,II � i�P ' �:,.
3 � lFIRE
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GAPT TURNER OR INSPECTOR LAPOT$FF�"� �<" },a, 1191p,lin.
4 DEPARTMENT' PEPARTRiENTx p1�
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CONTACT PERSON OI}ECTP � ' ,. �`.tG,i i ,Er P ,. a i 6` ! : �h �A •
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ATER DEPARTMENT
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TACT PERSON:CONMARGARET #AGERTY Oft RELEN JIADPSZ \ " , .,
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6 R ME T' PLANNING gg e
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NTA PERSON: BETH I�FBS$i
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7NT:
DEPARTME t `
cnNTACT PERSON-
8 DEPARTMENT,:, i r
CO TACT PERSON:
RETURN TOIt
BUILDING DEPARTMENT
i
i.
ilPPROV1GD d9 qy
MA,oct to approval .;y as:
.. auf;)cr.,ricp h�?vinW jvri �ief.i,+�.
M-i"Yof SALEM, MASS.
Fuu,F-I
PRE
NMI lg�
m F1 ® ® aY �
PIANS ME PROVED SOLELY FOR IDENTIFiCATi014 OF
TYPE AND LOCATION OF FIRE PROTECTION A
ALL FIRE PROTECTION DEVICES ARE BJECT M TO 70
SV .6
FINALTEST AND IIWECTION,FOR COMPLETECPPW
AN CE%q[TH THE FIRE CODE.
o ,
® ® z
talar
I— 5'-3' --� Cy 14; I6v� Sk
5'-3"
P❑UNDATI❑N PLAN
-36'
4'- 4 // _
- - - - - - - - - - - - - - - - -
I
i
I a I I
I I I I N❑TES
WALL HEIGHT 7-6"
7'-2 1/2" 5'-7 1/2" 7/_2"
I I
FT2I
26,
20"WX10'DEEP, F❑❑TING
I I
14'
I I I
6X10 BEAM POCKET
i I I
36/
11'-5 1/2"
6'-10 3/4' 2/8X6/8 4'-10 1/2'
LAUNDRY D/W S -361 LAZY
SUSAN
FIRST FLOOR PLAN
r d
8'-3" 34X36— ro
O NOTES:
w 1, WIND❑W UNIT DIMENSI❑NS
F01
5 2X10'S ABOVE w ARE 34X52 ULESS
7'-6' _ B-30
NOTED OTHERWISE
BB-48
11'-6 3/4' 1 2. INTERIOR DORS ARE
- - - - - -
�0 2/6X6/8 UNLESS NOTED
26' - - -
11'-3 1/2"
5 2X10'S ABOVE
14'-3" 0'-4 3/16'
UP S
II II
1-4/-6#-I 6' 1--7'-6' 1�- 6' 4/-6#-i
36'
4'-7 3/4"
8'-4 1/4" 8'-7 1/4"
WALK �N o on no 2' 6" 146 1/2" SECOND FLOOR PLAN
C�OSEr - 'L2141
3/4"
8'-6 1/ I O �7' 11 1/4"
5'
12' NOTES:
1. ALL INTERI❑R DOORS ARE
1 (6 -� 2/6X6/8 UNLESS DIMENSI❑NS
ARE SHOWN OTHERWISE
3'-11 1/2" r 9'-1" 2. ALL WIND❑W R.❑.'S
- i— — — — - 26' ARE 34.5X52.5
4 2X10'S ABOVE7'-0 1/4"
7'-1"
11'-10 1/4" 8'-10 1/4"
-10'-7 1/2"
3 6 9 L-6/ 3
GENERAL FRAME PLAN
s
12
86
2X81S 16" ❑,C,
29'-8 3/16"
-� - - - - -
2X10'S 16' O.C.
4'-2"
IT-7'
2X4'S 16" ❑,C,
'-6 1/2"
7-7/8"
10
2X10'S 16" D.C.
3 2X10'S
10"
8-1/4" 7'-6"
3-1/2" LALLY C❑L.'
• 14'
26' 10"
,:. �� ��� ► a Lagoa-`�_ -
1
CERTIFICATE ISSUEDCITY OF SALEM _
Y ! DATE
SALEM. MASSACHUSETTS 01970 BUILDING PERMIT -
Ta4E CERTIFICATE OF OCCUPANCY
DATE �'"� 19 PERMIT NO. 01,'-94 _
APPLICANT __uSt I'".__'`a.L" ADDRESS -iSJv,4
(NO.) (STREET) ICOINR•S LICENSE)
NUMBER OF
PERMIT TO (_1 STORY DWELLING UNITS 1
ITYPE OF IMPROVEMENT) mO, (PROPOSED USE)
1,
AT (LOCATIONI `On tt:'lE TZONING
1
I
]1 INO.1 � IETR[ETI -DISTRICT
BETWEEN- AND
ICROSS STREETI (CROSS STREET)
LOT
SUBDIVISION- .LOT BLOCK SIZE
BUILDING IS TO BE FT, WIDE P., FT, LONG BY 'FT. IN.HEIGHT ANO SMALL-CONFORI.fpE CONSTRUCTION
P
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
ITYPEI.
emit tO build Single famil,T dwelL'na.'
REMARKS:
AREA O0. - I
a111YEEE4IES1
IEEI�
V GLUME -'jL. - - �f�REY1YIMSSIII IASEn�
C�:BIC'SOut RE PE CTI
O hfi, slzgletD[ 'SIO'llbnlbnlplTO'f/IOI�IpI.'IlbCllp!/10�'91 pf.71p\71p111b171blIIO
OWNER TOBEPOSTED ON PREMISES
ADDRESS _"anne_d, iA SEEJeaARSjC+IJABy,,&F CONDIT IONS OF CERTIFICATE
DEPARTMENTAL,APPROVAL FOR CERTIFICATE
Of OCCUPANCY and COMPLIANCE:
l To be filled in by each division indicated hereon
upon completionfof its final,inspection.
1
BUILDINGS Permit No. 619-94
� .
J Approved by John J: Jennin, s Date_?/20/95
Remarks
PLUMBING i Permit No.
Approved by Dennis ROss Date—' 7/21/95
Remarks
ELECTRICAL Permit No.
Approved by Al Falkowski Date 7/10/95 3'.
Remarks z3 t
OTHER FireI '
Permit No.
Approved by_ Capt. Hudson Date 7/20/95
Remarks
OTHER ' Permit No.
Approved by
Date
Remarks
F
l
� P ` � - BUILDING
n PERMIT
JOB WEATHER CARO
DATE 1
PERMIT NO.
aA-1 - – ADDRESS =+ +
(X0.1 ISTREETI ICONTF'S LICENSE'
(_1 STORY _ _ NUMBER OF
., p ^�QRpb01ItMLRy1 No. IPFOFOSED USE) DWELLING UNITS
33
. - ZONING
ISTREET) - DISTRICT
xilICROS, STREET' I D
(CROSS STREET)
LOT
W LOT_ IBLOCK S ZE
MIDE BY FT. LONG BY_ FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
rx
a
_USE-GROUP BASE ME' YLLS OR FOUNDATION
* ty - }1 (TYPE)
BwA}�Ir SL;l -111:+:.....;, {:
T— I
,fall for Permit-to �Iccup
ESTIMATCOST
$ JE ef1i��'� FPEREEMIT 5. :d,°. ,
Y�IC�1[OYAR[FF ETI -
BWIDING:
BY
pQ1CUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PORT THEREOF. EITHER TEMPORARILY OR
r PUBLIC PROPERTY. NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUSTBEAP-
OR ALLEY GRADES AS WE Lyy,, AS-DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
%.
O HORNS: TH .ISSUANCE OF THIS PE'R MHT DOES NOT RELEASE THE APPLICANT FROM THE CONOIT,IONS
�KB'TRi CT IONS.
Ay,P,.PRDIVED PLANS MUST BE FIETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
YARD KEPT POSTED UNTIL FjbIAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
LL ELECTRICAL, PLUMBING AND
MADE. WHERE A CERTIFICA/I E OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. -
Q UIRED,SUCH BUILDING SHA'NT},LNOTBE OCCUPIED UNTIL
'iNA;IsINSPECTION HAS BEE MADE.
CARD SO IT` I VISIBLE- FROM STREET
PLUMBING INSPECTIC ".APPROVALS ELECTRICAL INSPECTION APPROVALS
4,' ,
h
2 Fill
Fs
OAS.INSPECTION APPROVALS FIRE DEPT:INSPECTING APPROVALS" �
Z
YS "q PS Hi
.-. ..
RINME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON TS CARD
TED WITHIN SI%MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE
S NOTED ABOVE.. OR WRITTENNOTIFICATION_
%C>) —Y
. Pr°°�� ss io6al�r�,jS'u'vgyors £t Civil Engineers
h�'SSV SURVEY SERVICE. 1958 - 1986
OSBQW, P#EWR 1911 - 1970
MUMAbX0VbEDSS• 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
S1.Lt=M ._ , MASS.
mol
LOl3Ar I1�
42
0
`mea
\ J At J Q/
I Y,
I
�r x -
r8
I hereby certify to the "�c.,n
Building Inspector that I have
examined the premises and the
SCALE: I-= A,=>. buildings are located on the
ground as shown, and buildings
DATE: t=�3. 15, 1995 shown conformed to the dimensional
zoning laws of ,MA
REFERENCE: BK PC when cons
� as-rcR.,l Ln.,to SJR.�6�{ d�oc. Sc-r'L-�4 OF Sa,
This Plan has been prepared for Building i`P PHE qy. .
permitting purposes only for the above party, R
and is not to be used for boundary measurements,
land conveyancying or mortgage loan inspections or No.313 p
plot plans. Christ hs � LS 31317
104 LOWELL STREET
PEABODY, MASS. 01960
(508)531-8121
FAX:(508)531-5920