104-110 NORTH STREET - BUILDING INSPECTION 104-110 NORTH STREET
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i C0i^!ONWFALTU OF MASSA,CIMSET75
2�Sc CITY OF SALEM
WE, APPLICATION FOR CERTIFICATE OF INSPECTION
Date_ Fee Required S 70
( ) No Fee Required
C' in accordance with the provisions of the Hassacausetrs State Building Code.
pc" 11'08. 15. i hereov apply for a Certificate of Insnecc;oa for the below-named prem.
' C.2 v 'located ac the of owing address:
o ���
i K
Street 6 Numce C �� //�� '
e .J Nae of Premise c�i�'CQir.1 CJ(A'T6[',-)
Pur-pose for which Premises is used
License(s) or Permic(s) required for the premises by ocher C0verSm1enral Agencies:
ILicense or Permit A2encv
1r,00 P /JOl1/'c�. 0/, 7(iil
Certificate ca be issued to: /�/�'�1/�7tn C.Gyrjy/�;,5 _5i< • '
Address-
Owner of Record of Building: ,/ 1�iZ.� �LT" 7Z(L;,�r,n
Address: �( f'lm K,��'t2. /�� 9Hcv� W-6--k-k,
Name of Present Holder of Certificate:
Name Agent. " ny. . .
CI
Signa ure oc Perso co waom uerc_cicace TITLE
Lr is ued or hisib aucaorired agent
--� Date
INSTRUCTIONS:
�j
INSTRUCTIONS: Dap time phone t `y/�i] I✓6`ae
I. Hake checi payable to: The City of Salem
2. Return this application with your caeci to: Insnecror of Bu:ldinzs. City of Sal
Buildinz Denarrment. One Salem Green. Salem. H.1. 01970.
PLEASE NOTE:
I. Application form with required fee moat be submitted for each building or stmt
of part thereof to be certified_
2. Application 6 fee =at be received before the ccrrificare wi11 be issued.
]_ The building official shall be notified within cen (10) days of any change La tJ
above iniormarion.
CEBTIFICAT'E 1 73 ' G`� yy EIPIRATION DATE: AJ b "fe-
fJE
� ,44
101 NORTH STREET 1054-08
GIs#: 285 COMMONWEALTH OF MASSACHUSETTS
Map: 26 0P ,
Block: CITY OF SALEM
Lot: 0344
Category: REPAIR/REPLACE
Permit#: „ 1054-08 BUILDING PERMIT
Project# , JS-2008-001590
Est.Cost: $45,000.00
Fee Charged: ,; $500.00 ;£
Balance Due:
$.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: ' ` Contractor: License: Expires
Use Group: . AFFINITY CONSTRUCTION INC.
Lot Size(sq.ft.): 15973.8876 Owner: JACKSON ROBERT
Zoning: B1
Units Gained Applicant: AFFINITY CONSTRUCTION INC.
Units Lost: ]A I0 NORTH STREET
Dig Safe#i ;
ISSUED ON: 21-May-2008 AMENDED ON: EXPIRES ON. 21-Oct-2008
TO PERFORM THE FOLLOWING WORK:
REMODEL DUNKIN DONUTS jhb
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
Underground: Underground: Underground: Excavation:
Service: Meter: /�( p Footings:
Rough//�/}o,�� Rough: j \ Rough:G/{ y/7pG'. /g/Cg'Foundation:
Final:/�/L/�gj Final: Final:Q(� / _a $" Rough Fram
Fireplac C '�.HeY: .
D.P.W. Fire Health
Meter: Oil: rr7) Insulation:
Final:
Houseft Smoke: C(.t.� � 3 ��'
Water: Alarm:
Assessor Treasury:
Sewer: Sprinklers: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOL O F ANY OF ITS
RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDMG REC-2008 002031 21-May-08 2599 $500.00
745- bya LA.abb
GeoTMS®2008 Des Lauriers Municipal Solutions,Inc. ot
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,�•�ONDtT�
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^_ YSCYE •C r�
CITY OF SALEM
BUILDING PERMIT
PERIODIC INSPECTION REPORT
This form is to be completed each time a Periodic Inspection is made. At the time
a.new Certificate of Inspection is issued, a notation indicating that the fee has
been paid will be made to Application Form prior to the new Certificate of Inspection
being issued. Any changes since the last inspection are to be added to the file card
of the premises.
Street 6 Number SCC )Uo,4 j,
Name of Premises J L f �1 Sl nJo CJ
Certificate to be issued to: --77 `lila �r0✓ //�/ �� �rodi6s �'
Address
Owner of Record of Building Z A-
Address �Zj X/,o / GC ✓l /' ®T G h`4✓E/'/1/ Gf-
Purpose for which premises are used ,SEI'✓ 'G6 S`i� �/ rn1/
Changes since last Inspection (required on file card also)
1.
2.
3.
4.
S.
Date Order Issued:
Order Issued To: Address
Date Violations Corrected:
REMARKS:
I have this day inspected the above premises, and the same conforms to the pertinent
requirements of the Massachusetts State Building Code and the rules and regulations
pursuant the eto. O
Date Building Official
g y� f
Certificate # 7,3 ( ,.(J Date Issued:
Date Expires: /Lrz�)'l)C^
Recommended Neat
Inspection:
(34r (jumnturtm alto of
,z
CITY/TOWN OF
r
In accordance with the Massachusetts State Building Code, Section 108. 15, this
CERTIFICATE OF INSPECTION
isissued to . . . . . . . . . . . d�LC. . . . . ;Sr. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TPTYifU that I have inspected the. . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Ers known as Sj�G y S�•vo j
locatedat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the. . . . . . . . . . . . .of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of. . . . . . . . . . . . . . . . .Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location . , or Structure Capacity Location
A�Io'uC
Certificate Number Date Certificate Issued !kite Certificate Expires Building Official
The building official shall be notified within (10) days of any changes in the above information.
>W
x4f (I mummital## of Attuiour4undb
x o CITY OF SALEM
In accordance with the Massachusetts State Building Code, Section 108. 15, this
Qw e�
CERTIFICATE OF INSPECTION
is issued to
that ! have inspected the premises known as
Zi J.4?i NO'R I il RiFE
located at ` in the city of Salem
County of Essex Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
, GG66 #'�' !�2s.14'Kk'f,`.� 5 +£ °A.f2�f5Gryt
Story Ca Path % A'.',&°a°G8 94 2� '(G Capacity Story Ca7pA ri, Y?4 Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of, Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
07/iTl 1".?93 /00071 - -
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
i
The building official shall be notified within (10) days of any changes in the above information.
APPLICATION FOR PERMIT TO ERECT A SIGN
Salem, Massachusetts Aarl FJ 19 `1_3
T
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 u ersigned hereby applies for a permit to Erect,
Alter, Repair a sign on the following described
building. \I ( -
Location I� - 110 I`�O4T,✓l sk • Zoning/District
Name of Property Owner GeOr� V e AryLe4 mhnud 11soyii ice,
Name of Sign Owner SCkUL�Q
Address
If Owner is a corporation, name of responsible Officer
Name of Licensed Sign Erector SIGjy� 6XPMSS
Address Salem License No.
Use of Building: 1st Floor ✓ 3rd Floor
2nd Floor 4th Floor
Type of Sign: Surface Right Angles to Building
Free Standing Other ( ) Height:
Sign Materials : 1IIVVVei }ed '7 PG��� nice"-kA fo e stiV7
Sign Dimensions : 51M X &1W Sign Area SF
Existing Signs : Surface : I/ Sign Area SF
Right Angles : Sign Area SF
Free-Standing: Sign Area SF
Other: A Sign Area SF
Signs to be removed: Type Sign Area SF
Frontage: Building &0 FT Property FT
Signature of Owner —
Name & Address of Address
Insurance Company:
Telephone
Esthated Cost of New Work: � I, q00
APP VALS
V
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:
�d y iso
BUILDING USE:
USE:
-------------------------------------
-------------------------------------
�Y1 /CONDITIONS
c
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GRANTED (�
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BUP - 10 - 42 THU 10 : 2e S I GfJEXPP. ESS .F, 131
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COPYRIGHT 019
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WALL `e�bS W Iorav�Cly� J�
Mme.•,` ,a rV,51•u�, VS'1
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BOSTON ELECTRIC
SIGN CO.
Date: 10-6-92
P . O . Box 302 , 145 BodwelL St . Avon , Ma 02322
A f�RQ 1`IDrNtcfis�ta113tir4�tx&ra�� BSd�K
National Fax
Li 508-587-9363 1-800-886-1177 1-508-588-0710
Ahmed Insurance Agency Inc .
104-110 North Street
Salein, Mass 01970
Attn : Gregory Ahmed .
.To manufacture and install one (1 ) 6 ' x 5 ' Double face Lexan
Illuminated Sign box high performance Vinyl computer Graphics .
Sign to be manufactured of .040 Aluminated factory baked enamel
with high output Lamps and Ballasts .
..Sign ,t_o be set on existing pole after removing and disposing of +
exiting Sign. n
to
Dollars: .$ 1 , 850 . 00
9 2i.5M,
Tax:.
50% Deposit Required, Balance upon Completion. Total 1';942 .'50`"11ij7f'
The above prices, specifications and conditions on both sides are satisfactory and accepted.
DATE: Signature
Payments to be made as follows: Res ctfull . `
1/2 down with acceptance. y Guy M tet/
Full payment at the time of delivery. Submitted Per: "
NOTE.This proposal may be withdrawn by us if not accepted within 20 days.
Subject to terms and conditions on reverse side of this contract, Prices do riot include any state or local taxes, permit fees or
cost of time involved in obtaining same.A service charge of 1-1/2%will be charged on all overdue invoices.