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36 OCEAN AVENUE - BUILDING INSPECTION .s CERTIFICATE ISSUED DATE November 17, 1993 CITY OF SALEM SALEM, MASSACHUSETTS 01970 BUILDING PERMIT - a CERTIFICATE OF OCCUPANCY DATE SeDt mbpr R 19 O7 PERMIT NO. '97-91 . APPLICANT Special ty LSnnriv.nrL-yns ADDRESS 5 N,onroe rt- - Sa l pa ,?;n 1 394 INO.I ISTA[[TI (LONIR'S LICENSE) PERMIT TO Repairs (�) STORY ___ Dwelling NUMBER of 1 DWELLING UNITS I1V01 Of IWPRV[Y[N11 YO. IPROPOS[O NSU AT ILOC•TIONI 16 OrRA, nyo Ward 5 DOZONING IN cT R-1 IY0.1 IsTA[[11 BETWEEN Summit AND (1r F+an uRoss sn[[n ¢Ross sr R[[n LT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIOE Br FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ITr.[1 REMARKS, Remodel kitchen/upgrarlp wiring k plambiag ^stall new flnnre k VOLA OR � VOLUME c :uc•sow.N[ r[En 101INS19110seilncnsew seTlse'nsc'n�.wseTle OWNER Mnr3LUTlilel•eaER TO BE POSTED ON PREMISES ADDRESS 36 hppnn Ave Salem,£4e SEE REVERSE SIDE FOR CONDITIONS OF CERTIFICATE DEPARTMENTAL APPROVAL FOR CERTIFICATE of OCCUPANCY and COMPLIANCE To be filled in by each division indicated hereon upon completion of its final inspection. BUILDINGS Permit No. 397-93 Approved by John J. Jennings Date 11/ 16/93 Remarks PLUMBING Permit No. Approved by John LeClerc Date 10/ 13/93 Remarks A' ELECTRICAL Permit No. Approved by John Giardi Date 10/28/93 Remarks OTHER Permit No. j Approved by Norman LaPointe Date 11/ 15/93 i ^A Remarks OTHER Permit No. Approved by Date t Remarks sYx« f t .L._;. Y'%1]•:. t L >,, yliT BUILDING .� µPERMIT JOB WEATHE%gM i o >eouer, D, 1B �:; v 1 - APPLICAYT� CnPriatrN WnnAcnrk gESS'�Ti'inr6r-,-r—. SaTeID,ERMffaNO.. X394 ' 1X0.1 (STREET( (CONIRiS LICEN![1 PERMIT TO ��+ (_I STORY Dwelling NUMBER OF % TYPE OF IMPROVEME MTI DWELLING UNITS . N0. IPPOPOSEOUSEI AT (LOCATION) a Elnn an AirWard�S ZONING j 1 0 1 (STREET) DISTRICT BETWEEN .I UIBIIlt AND UCean ICROlY STRERI &T (CROSS STRERI SUBDIVISION LOT BLOCK _ LOT 512 BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP . BASEMENT WALLS OR FOUNDATION ' r (TYPE) REMARKS: Remodel kitchggWrade wiring & dumbing! install new floors b cabinets j zREA ORD 11 for Permit to Occupy O. PERMIT s ESTIMATED COST $ 1COBICi SQUARE FEET) I OWNER ---Her- tem 111e•leamm ADDRESS '1F llnn Pn AEEe 'C-1 M BUILDING DEPT, o.. BY. j - THIS PERMIT CONVEYS NO RIGHT TO OCCUPY AN♦'STREET_,.:•ALLEY OR SIDEWALK OR-ANY PART TI.E EDF, 1 oER TEMPORARILY OR i PERMANENTLY. ENCROACHMENTS ON PUBLIC PR606RTY. HOT.'SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- FROM BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. y.E I MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FAR PERMITS ARE REQUIRED FOR ALL.CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE-1 MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLNOT BE OCCUPIED UNTIL ME MSERSIREADY TO LATH(. FINAL INSPECTION HAS BEEN MADE. S. FINAL INSPECTION BEFORE OCCUPANCY. - POST THIS CARD SO IT IS VISIBLE FROM STREET" BUILDING INSPECTION APPROVALS M81NO NSPEC OVALS ELECTRICAL INSPECTION APPROVALS I I z/(0zq 30 BO RD CF I&EALTH GAS INSPECTION APPROVALS F E DEPVINS ING APPROVALS O OTHER CITY ENGINEER 2 - � - 2 P✓ � 1 WORK SHALL NOT PROCEED UNTIL THE [PERRIIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD INSSTA E S OF HAS APPROVED THE VARIOUS OK ISNOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCTION. ERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. No.T77V City of Salem Ward M r g 4cuoRT.rA' APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPOR �T �A (NT-Applicant to complete all items in sections:1, 11, Ill, IV,and IX. I. AT(LOCATION) y`r/ ©clel Ayr-- DISTRICT R LOCATION �`(\1' `(NO.) ((��-" /� J (STREET) OF BETWEEN �]hYY\\ -i- C)Cjg^� AND BUILDING (CROSS STREET) (CROSS ET) LOT SUBDIVISION LOT BLOCK 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(If residential,enter number o!new 1 . 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 ❑ Alteration(See 2 above) of units ....................................................... 20 ❑ Industrial 21 ❑ Parking garage 4 .pair replacement 14 ❑ Transient hotel,motel,or dormitory- Enter number of units ........................... 22 ❑ Service station,repair garage 5 ❑ Wrecking(it multifamilyresidential,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 26 E] School,library,other educational 7 ❑ Foundation only 17 ❑ Other-Specify 27 El Stores,mercantile B.OWNERSHIP 28 ❑ Tanks,towers 8Pbvate(individual,corporation,nonprofit 29 E] Other-Specify mstilution,etc.) 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, O d j1 parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement .........F�.._.Jr..�.._..J....Q.............. $ at industrial plant If use of existing building is being changed,enter proposed use. To be installed but not included •�- in the above cost /�/ y{,(/ tI� i•(�• a. Electrical........................................................................... 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. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 ❑ Masonry(wall bearing) 35 ❑ Gas 40 Public or private company Will there be central air 31 Wood Name 36 Oil 41 ❑ Private(septic tank,etc.) conditioning? 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 0 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator? 34 ❑ Other-Specify 39 ❑ Other-Specify 42 ublic or private company 46 ❑ Yes 47 43 ❑ Private(well,cistern) J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stories ............................................................ 49. Total square feet of floor area, all floors,based on exterior Has Approval from Historical Commission been received dimensions ......................................................................... 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_ NoL (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. distri I? Yes_ NOV 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 # C)r1`j2 2- Salem License # F4 Home Improvement Contractor # \4ZNTZ0S 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: 6 t g in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants Name Mailing address-Number,street,co,and state ZIP Code Tel.No. 1. Owner or Lessee 2. 24 Contractor Builder's License No. 3. J AmhiteQ 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 agW2 to co form to all ap licable laws of this jurisdiction. Signature of appli Address Application date d� DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building /7 ( � FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued 191--D Fire Grading Building n Permit Fee $ Live Loading Certificate of Occupancy $ Approved by: occupancy Load Drain Tile $ Plan Review Fee $ TT LE NOTES AND Data •(For department use) / r C ( Ce. cK v�L�1H �C cK r 2a<3 w AWL--> r 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