22 OAKVIEW AVENUE - BUILDING INSPECTION 22 OAKVIEW AVENUE
Ti#g of ttlEm, Eitto ttcliusPt#o
Public Prapertg Department
tiguilding Department
(One t3slem (6reen
500-745-9595 Fxt. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
August 18, 1993
TO WHOM IT MAY CONCERN:
RE: 22 Oak View Avenue, Salem
Mr. Wayne Tremblay elected to install a water well on his property in
lieu of running a new water main from Loring Avenue to his house site at 22
Oak View Avenue. The financial savings were the deciding factor in his
decision.
Sincerely,
Leo E. Tremblay
Inspector of Buildings
LET:bms
VAiI
Q CERTATE
DATE F15/12/93 ISSUED
CITY OF SALEM
SALEM, MASSACHUSETTS 01970 BUILDING PERMIT -
'
Ca4CERTIFICATE OF OCCUPANCY
Wayne i'teY !a
mhla DATE April 6, 1 98 PERMIT NO, 93-93
TTsFLT! !
APPLICANT l•• ADDRESS—
1x0.1 ISTRECTI IICYo.Tvnl ass L�ttxln
Alterations NUMBER Or Ky,.
PERMIT TO [..VV�.��..�a LL (_1 STORY r� N DWELLING UNITS
n.e[ of IUKA or[utxn xo. v+ueos[o ufu
OAKVIgn AMID, WARP 7 ZONING
AT (LOCATION) DISTRICT_
1x0.1 15T AT[TI
BETWEEN AND.
_ I[RO{$ f1R[[i) (CROS[ lT RL[i)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TD BE FT, WIDE P• FT, LONG By FT. IN MEIGMT AND SMALL CONFORM IN CONSTRUCTION
'TOTYPC USE GROUP BASEMENT WALLS OR FOUNOAT sON
n•r[I
REMARKS: Altera*.ims lu) Hera floor
CAIZ rm PErmT TO OCCUPY 745-•9595
•RFA OR [a�[ybpytl
VOLUME
[,ela sow+t Fenl
OWNER kaye Tremblay vTi.%.,4o
.,I `CERTIFICATEAve., �f SEE RiWh�I[!L Me
ADDRESS Maurice M. Martineau
No. ��93 City of Salem Ward
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTAN�IT-Applicant tocompleteall items in sections:1, It, III, IV, and/X.
I.
AT(LOCATION) ,�� �Q��l �� / %i: DISTRICT
LOCATION I"o.I / Is1ReLTl
OF 41 AND
h,
BUILDING ICROSS STREET) (cRoss Loiu)
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(1/residential,enter number of new 12 ❑ One family 18 ❑ Amusement,recreational
housing units added,if any,in part D, 13) 19 E] Chruch,other religious
13 ❑ Two or more family-Enter number
3 Alteration(See 2 above) of units ........................... ............... 20 ❑ Industrial
21 ❑ Parking garage
4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 22 ❑ Service station,repair garage
Enter number of units ...........................
5 ❑ Wrecking(if muttAamily 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 ❑ School,library,other educational
17 ❑ Other-Specify 27 ❑ Stores,mercantile
B.OWNERSHIP 28 ❑ Tanks,towers
8 Private(individual,corporation,nonprofit
institution,eta)
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,
machine shop,laundry building at hospital,elementary school,secondary school,college,
parochial school,parking garage for department store,rental office building,office building
10. Cost of improvement ......................................................... $ Q C7(' ,d at industrial plant.If use of existing building is being changed,enter proposed use.
he installed but not included
in A -
in the above cost �� rze)�
b. Plumbing.. ............................................
c. Heating,air conditioning.............................................
d. Other(elevator.etc.).....................................................
11. TOTAL COST OF IMPROVEMENT $ (JQ) Ud
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
30E] Masonry(wall bearing) 35 ❑ Gas 40 Lft
LAJ Public or private company Will there be central air
31Wood frame 362011 41 E] Private(septic tank etc.) conditioning?
32 Structural steel 37 ❑ Electricity 44 ❑ Yes 45 0 No
33 ❑ Reinforced concrete 38 ❑ 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 ® No
43 ® Private(well,cistern)
J.DIMENSIONS `_ M. DEMOLITION OF STRUCTURES:
48. Number of stories ............................................................
49. Total square feet of floor area, HApproval all floors,based on BS exterior pp oval from Historical Commission been received
dimensions . ......................_Af 8............... for any structure over fifty(50)years? Yes_ No
so. Total land area,sq.ft.._......1` 6. _ .......... Dig Safe Number
K.NUMBER OF OFF-STREET PARKING SPACES Pest Control:
51. Enclosed .............................................................................
HAVE THE FOLLOWING UTILITIESBEEN DISCONNECTED?
52. outdoors............._T ............................ Yes No
L RESIDENTIAL BUILDINGS ONLY Water:
53. Enclosed ................................_ ...................... Electric:
Gas:
54. Number of Full........................................... Sewer:
bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
"iN BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:
Historic District? Yes_ No_X (If yes, please enclose documentation from Hist. Com.)
Conservation Area? Yes_ No-k (If yes,please enclose Order of Conditions)
Has Fire Prevention approved and stamped plans or applications? Yes_ Nom
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 documentationfif 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_X_ (If yes,submit documentation))
Massachusetts State Contractor License#�A110 -e (24ftAek Salem License# V14
Home Improvement Contractor# !/Z- - 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.
1
Owner or
Lessee
2.
Contractor Builders
License No.
3.
Architect or
Engineer
1 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
HOME OWNER' S EXEMPTION
The Code states that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109. 1 .1 - Licensing of Construction Supervisors) ;
uch work , Provihat ded thl.t is
a Home Owner engages a person(s)
for hire to do Owner shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor ( see Appendix Q, Rules and Regulations
for Licensing Construction Supervisors , Section 2. 15) . This lack of aware-
ness often results in serious problems, particularly when the Home Owner
hires unlicensed persons. In this case your Board cannot proceed against
the unlicensed person as it would with licensed Supervisor. The Home Owner
actinq as supervisor is ultimately responsible.
"u ensure that the Home Owner i ; fully aware of his/her responsibilities ,
many communities require, as part of the permit application, that the Home
Owner certify that he/she understands the responsibilities of a supervisor;
On the last page of this issue is a form currently used by several towns.
You may care to amend and adopt such a form/certification for use in your
community.
CITY OF SALEM
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE I—EdtUA
,10B LOCATION Z2 0A4ylew
Number Streeetaddress Section of Town
"HOMEOWNER A)lywE £/i/bL/q'� 7ql yf73 �17 �3J' 7723
Name Home phone Work phone
PRESENT ,1AILIIG ADDRESS £w /)WF•
S14-L&g ri 7i)
tviiown State Lip Lode
_ i., emotion nr "hnmeowner� " was o: tended to include a:,ner-dccuoied
r;,ellinnc -,r -.ix units or less and to allow such homeowners to engage an in-
v viaua or hire who does not possess a license, provided that the owner
acts : ;oervrsor. ( State Building Code Section 109. 1 . 1
DEFINITION OF HOMEOWNER:
Personi , i ano owns a parcel of land on which he/she resides or intends to re-
side. ;n wnich there is , or is intended to be, a one to six family dwelling,
attached nr detached structures accessory to such use and/or farm structures.
A person -,no constructs more than one home in a two-year period ;hall not be
considered a homeowner . Such "homeowner" shall submit to the Euilding Official ,
on ,i rnrrn acceptable to the Building Official , that he/she shall he responsible
for all -,ucn work oerformed under the building permit. Section 109. 1 . 1
The unaersianed "homeowner" assumes responsibility for compliance with the State
Buildinq code and other applicable codes , by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the City of Salem
Buildinq Department minimum inspection procedures and requirements and that
he/she will comply with sa rocedures and requirements.
HOMEOWNER'S SIGNATURE e
APPROVAL OF BUILDING OFFICIAL
NOTE: Three family dwellings 35,000 cubic feet, or larger, will be required
to comply with State Building Code Section 121.0, Construction Control .
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 z 3
approval of the Salem Fire Department, with reference to provisions of a m w
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts 0o � p
General Laws, and 527 Code of Massachusetts Regulations. ti
Z }
The applicant shall submit this application with three (3) sets of plans, � zo
drawn in sufficient clarity, to obtain stamped approval of the Salem FireF-
Department. This applies for all new construction, substantial p aLU w
alterations, change of use and/or occupancy, and any other approvals a.vi ¢ _
required by the Massachusetts General Laws, and the Salem Fire Code. Q 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.
S FOR E1NPL 1
NEForm 81X (10/90) ENj volt AE ! PPPpIN�ION M�SOWEEK
APPOE TION MUS 14s WEEK1MAOE
1MADE NN LEAST Y^� �• .............
..__......._
NTMENT FOR FINAL Salem Fih.e Department
APPOI
UST BE Fite P�.evention Sun.eau APPOINTMENT FOR FINAL
INSPECTION M 48 La4ayette St,%eet INSPECTION MUST BE
MADE AT LEAST ONE WEEK Sa.Zem, Ma 01970 MADE AT LEAST ONE WEEK
AHEAD------------- (5 0 8) 745-7777 AHEAD-.---_-___-
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT 11
In accordance w.1th the ptovt4tona o4 the M".6achusett.6 State ButZding Code
and the SaZem FtAe Code, appt.ication t-6 he�teby made 4on. app tovaZ o4 p.Za.n 6
and the .wauance o4 a cent-i4tca to o4 app2ova.Z 4o,% a buttding pe vn.i t by the
Satem FZce Department. (Re4. Section 113. 3, Mafia. State SZdg. Code)
Job Location: 29-0,4-6-611 e- c4J S 7r-
Ownea/Occupant: �� n 6Z Pates FL�
EtectA,4caZ Conttacton:
F-vice Suppte64ton Conttar-too:
Signature o4
AppR i.cant: Phone #:
Addteaa 04 C-i ty o3
Appt,• cant: r7 Town:
f
Appnova.Z date: 4Z 3
Ceatli cate 04 appn.ovat 4-6 hemeby granted, on appn.oved ptanb on aubm-itta
o4 p-toject detait-6, by the Salem F-vice Department. AZZ ptan-6 ate app�Loved
aaZety 402 tdent.Zitcati.on o4 type and Eocation o4 4-brae p,,otec .Zon devtcea
and equipment. AP.Z ptZ4.n6 ane aubject to app-tova2 o4 any othe% authondty
having ju4.i.4dtc -Lon. Upon comptetZon, the appt-Lcant on 4n,6ta2Zen.(4) ahaU
neque.at an .r.n.epectlon and/on teat o4 the 4,L�Le pn.otection dev.ice6 and .
equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
0 New conattuction.
Paopea•ty location ha-6 no comp.Z.i.ance with the pnov.L6tomd o4
Chapter 148, Section 26 C/E, M. G. L. , tetati.ve to the
tn-6taPatLon o4 app.,Loved 4-r,r.e atanm deyteea. The owner o4
thi,6 p-copenty i4 � equi( ed to obtaLn comp?-Lance as a
condition o4 obtaining a ButZding Pe xm t.
P2ope%ty .location .i.6 .r.n compliance wZth the p-covd.6tona o4
Chapter. 148, Section 26 C/E, M. G. L.
Expt4.mt,ion date:
)A?v-'-7
4 S<- natuA o F-iice O 1i r In D
Fee due: under 7 , 500 Sq. Ft. -
7 5/7(1 Cr, P+ nn On nr.on !P;•, - .]�^. I
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building n� q� FOR DEPARTMENT USE ONLY
Permit number
BuildingUse Group
Permit issued y_ 19
- Fire Grading
Building
Permit Fee $ "1 -- Live Loading
Certificate of Occupancy $ Approved by: Occupancy Load
Drain Tile $
Plan Review Fee $
TITLE
NOTES AND Data • (For department use)
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by: t Completed by:
s
v_
� R'
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN -For Applicant Use
r
Rrvi d y e ® v
02m GS .G
SE C70 "Illy
2� R
APPROVED 3
Subjoct to approv by any y
a:�fh l" avin9 Jurisdiction.
DsLLM,IVL&ss.
PIf10 B LAN TO BE KEPT
BY '
nmjSAR- ROVE ELYFOR DENTIFICATIONOF ON SITE
rfY AND LOCATIO; r FIRE PROTECTION DEVI.Fb.
ALL FIRE PROTECT' N DEVICES ARE SUBJECT TO A
M01TESTANDINSPECTION,FOR cW11F ETECOMPLI-
ANCE WITH THE FIRE CODE.