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7 SEEMORE STREET - BUILDING INSPECTION i UPC 19334No.153L 0 zan�rtta©a.N+N No• '0_�4"9�% City of Salem, Ward / 4/ A S S E 0 R S CITY OF SALEM APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERAInONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items a sections:1, It, Ill, IV, and IX. I. AT(LOCATION) z S��n oRE sT ZONING DISTRICT P. LOCATION (NO.) (STREET) OF BETWEEN 1�400�-117 / "Fd, AND BUILDING (CROSS STREET) (CROSS LOTET ) SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING -All applicants complete Parts A - A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"OEMb LITTON"USE MOST RECENT USE 1 2New building Residential Nonresidential 2 Q Addition(It residential,enter number of new 12 EOne family 18 [3 Amusement,recreational housing units added,it any,in part D,13) 13 Q 19 Chruch,other religious Two or more family-Enter number 3 ❑ Alteration(See 2 above) of units ......................................_............. 20 Q Industrial 21 Parking garage 4 Q Repair replacement 14 Q Transient hotel,motel,or dormitory.. 22 ❑ Service station,repair garage Enter number of units ......................... 5 ❑ Wrecking(ll multifamily residential,enter number23 E] Hospital,institutional � of units in building in Part D, 13) 15 Garage } 24 Office,bank,professional 6 Q Moving(relocation) 16 Carport 25 Q Public utility 7 Foundation only 26 School,library,other educational 17 Other-Specify 27 Stores,mercantile B.O;P!HIP 28 Q Tanks.lowers- 8 Private(individual,corporation,nonprofit - institution,eta) 29 ❑ Other-Specify 9 [] Public(Federal,State,or local government C.COST (Omit cents) Nonresidential-De:, ribe in detail proposed use of buildings,e.g.,food processing plant, machine shop,laun i y building at hospital,elementary school,secondary school,college, S Q Q parochial school,p I ting garage for department store,rental office building,office building 10. Cost of improvement ......................................................... $ at industrial plant.If se of existing building is being changed,enter proposed use. To be installed but not included in the above cost a. Electrical............-............................ ........................... 63 b. Plumbing.......................................................................... G 0d'n c. Heating,air conditioning............................................. 7 OD-3 d. Other(elevator.etc.)..................................................... 11. TOTAL COST OF IMPROVEMENT $ 13f OD O III. SELECTED CHARACTERISTICS OF BUILDING -For new buildingir 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. TYP. OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 [:] Masonry(wall bearing) 35 Gas 40 Public or private company Will there be central air 31 IaWood frame 36E] Oil 41 lJ Private(septic tank,etc.) conditioning? 32 ❑ Structural steel 37 ❑ Electricity 44 E"Yes 45 Q No TYP OF WATER SUPPLY 33 Q Reinforced concrete. 38 � Coal H. Will there by an elevator? 34 Other-Specify 39 Other-Specify 42 Public or private company 46 ❑ yes 47 allo 43 Q Private(well,cistern) - J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stones ......................._.........._..._.....__......... 2 as. row aware feet or note 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.ft. .......................__ __ 2 G 56 Dig Safe Number K.NUMBER OF OFF-STREET PAI,KING SPACES Pest Control: 51. Enclosed............................................................................ 'L HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? 52. Outdoors..........................-....................................-........... 2 Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed............................................................................. Electric: Gas: Fall.................. ................... 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 v (If yes, please enclose documentation from Hist Com.) Conservation Area? Yes_ No-!:L-'(If yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes-Z' es No_ Is property located in the S.R.A. district? Yes_ No__4::1_'_ Comply with Zoning? Yes_ No1! (If no,enclose Board of Appeal decision) Is lot grandfathered? Yes_ No fv (If yes,submit documentation/if no,submit Board of Appeal decision) If new construction, has the proper Routing Slip been enclosed? Yes-Z No Is Architectural Access Board approval required? Yes_ Notv (If yes,submit documentation) Massachusetts State Contractor License# 0:1 Z E3T o Salem License# i®IR Home Improvement Contractor# Homeowners Exempt form(if applicable) Yes_ No`f 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 in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants Name Melling address-Number,street,city,and state ZIP Code Tel.No. Owner or Py'0^ �,Klft /Z 3.4.,f A)E (lam (51,774 C-5-08) Lessee Cf<r, e d?A.1 E f t-F PT 77-4, 743=7 23 z. L�Z__ /jL-r Ra . C04-1_/us J-7-' T�-9. 617)SYS Contractor Builder's (ptiJTT L.7. /plc, L YJnI r7,-V D17n Z Ucense No. <1G 77 3. J�lI R 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. Signature of applicant Address Ap lication date DO NOT WRITE BELOW THIS LINE VI. VALIDATION Buildingn FOR DEPARTMENT USE ONLY Permit number C7` b 7 Building � Use Group Permit issued ,Gc��.R--T �� 19 97e Fire Grading Building � Permit Fee $ C J/ Live Loading Certificate of Occupancy $ Approved by: Occupancy Load Drain Tile $ �, Plan Review Fee $ T E NOTES AND Data- (For department use) PERMIT TO BE MAILED TO: r� //�� n Y��t/G../f PROS. �-✓S c- la' .lnfC �/ �O ^r.74 Z7- 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 O N x Chit of 5alern, 17'Fass2 chusdis ALL DF:C'EOPERS OF SIX (6) OR MORE. RFSIDENTTAL DWELLING UNITS OR 10,000 SQUARE = OF Ca"TO tC?AL SPPCE ROUTING SLIP REVIEW AND PASS ON AS INDICATED LOCATION: 7 SEG�woRE .3'7-. DATE APPLICANT:. /vf-/s-iRkn5, C'o . 1AIC INSERT DATE WHEN PASSING ON ASSESSORS Date 1 CONTACT PERSON.. PF= CARON 2nFPARTMENT.. CITY PLANNER ✓ 3 • FIRE: DFPPRT,7W I `{�5 SSI ` CAPT. TURNER OR / IDISPFf7CR T NPOTDTE 4 DEPARTMENT: DEPAP.TMFD"P CF PTJBLIC SF7 .T.CES CONTACT PERSON: DIRECTOR 5 WATT R DFPFAR7,T- TP NARGARE.0 FACERTY OR rONTACT PERSON- FLkTr-N JIPMI;Z 6 DEPARTMENT: ELECTRICAL CONTACT PERSON: PAUL TUTTLE Ci? Z7z6" ke 7 DEPARTMENT: 8 DEPARTMENT: CONTACT PERSON: RETURN TO BUZZINCZ DFPARTPTMI"P CITY OF SALEM, MASSACHUSETTS PLANNING DEPARTMENT G-.P.A°.O KAVANAUGH i. � yp�\ ONE SALEM GREEN CITY PLANNER �� #T} 3 01970 Z, w:J; (617)744-4589 TO: All developers of six (6) or more residential dwelling units or 10,000 square feet of commercial space FROM: Salem Planning Department/Building Department RE: Salem Area Residents Construction Employment Ordinance ----------------------------------------------------------------------- The Salem City Council recently passed the attached ordinance which requires that all developers of six (6) or more residential dwelling units or 10,000 square feet of commercial space hire specifii. percentages of Salem and Salem area employees for their construction work. e The purpose of the ordinance is to ensure that Salem and Salem Area residents receive the maximum benefits from the growing construction ecomony of the City of Salem. A preconstruction conference will be scheduled by the Planning Department to discuss and explain the developer's requirements as outlined in the City of Salem Ordinance. The following information shall be furnished by the developer to ensure compliance with this ordinance: Upon issuance of a Building Permit, the developer shall submit to the glen Planning Department the following requested information: a. scope of construction; b. construction time schedule; c. projected number of employees and man-hours; d. types of trades to be hired; and e. names, addresses, and principals of contractors and sub-contractors being hired. Upon initiation of construction, all developers shall submit weekly workforce reports listing the following: a. names of employees; b. residential address of each employee; c. craft of each employee; d, job category of each employee; e. hours worked of each employee; f. hourly wage of each employee; and g. company which each employee is employed by. ijLLDeIULIS BROTHERS LE'U"T(EQ CONSTRUCTION CO., INC. 31 COLLINS ST.TERR.LYNN.,MA 01902 DATE JOB NO, Phone: (617) 595-8677 6/16/94 Fax: (617)593-7840 ATTE"T'D" nE: TO City of Salem Building Dept. _ 7 Seemore Street One Salem Green Chicoine Residence Salem, MA 01979 GENTLEMEN: WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 1 (2 pages) Affidavit — Re Solid Waste w/Notification of Facility 1 Affidavit — Re Workers Compensation 1 Certificate of Insurance — Re Workers Comp. , General Liability & Auto 1 12526 Receipt from City of Salem Water Department THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval For your use - ❑ Approved as noted ❑ Submit copies for distribution As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: 4 �Odaz':�, It enclosures are not as noted, kindly notify us at once. AFFMAVTT As a result of the provisions of MGL c 40, S54. I acknowledge that as a condition of Building Permtt Number all debris resulting from the construction activity governed by this Building Permit shall be atsposea of in a property licensed solid waste disposal facility, as defined by MOL C 112. 5 250A ff I certify that I will notifv the Building Official by �ll���� (2hvo months nixamum) of the location of the solid waAe disposal fatality where the debris resulting from the said construction activity shall be disposed of, and I shall submit the appropriate form for attachment to the Building Pe MIL Date e `Signature of Permit Applicant (Print or type the following informationi zC7IfA nix Ly/- 4s Name of Permit Appli®nt C4 Ar-5-77 Cd.LC Al 1' Firm Name. if any 3l Cn 4-Z-/,LJ_r 7"? ' G Y•tIn PL)74 <9 9<P Z, ' Address In accordance with the provisiotnc of MGL c 40. S 54. a condition of Building Permit Number is that the debris resuitine from this work shall be disposed of in a property licensed solid waste disposal facility as defined by MGL c 111. S 150A. Tie debris will be disposed of in: GJejdp .yes-cYci_l�iG . /arc, r7/1< (Location of Facility) �-� Signature of Permit goplimnt V Date COMMONWEALTH OF MASSACHUSETTS DEr'AxniENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET amen a-sae BOSTON. MASSACHUSE TS OZlll WORKERS' COMPENSATION INSURANCE AFFIDAVIT t�iccnsev permittee t with a Principal place of businessiresidence at ,31 �G.c../•erS fT 7�'�".� . L_�r.�r.at� tz�¢ Gr f Pd 2. (CiryistaruZip) do hercbv ccrriiy, under the paths and penalties of perjury, that: ! am an cmpiover providing the following workers' compensation coverage for my employees working on this loo. Liberty Mutual WC1 312 494728 014 Insurance COmPanv Policy, Number ( ) I am a sole proprietor and have no one working for me. I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workerscompensauon insurance policies: will advise Name of Contractor Insurance Company/Policy Number %amc or Contractor Insurance ZomoanyiPoiicv Number Name of Contractor Insurance Company/Policy Number () I am a homeowner periorrnmg all the work myself. NOTE: Please be aware that wbiie homeowners who employ persons m do maintenance,coasuuaron or repair work on a dweliine of not more than three unru to which the homeowner siso resides or on the gmunds aopunensnt thereto arc out generally considered to be cmoiowrs under the Workers Camvensauan Aa(GL C. 152.acct. 1(5)), appiicauon by a homeowner for a license Or permrt may rndeace the legal sutus of an emvioyer under the Worken Compensation Act. i understand that a coov of this statement wild be forwarded to tnc "evanment of industrial Accidents' ccidents' Office of insurance for mvene wcnitaufmrnalti a nature to secure wveraec u mourreci under Section Z5Aof MGL7nieadto theimpoaronoo consisting of i fine of up to 51500.00 andior imprisonment or'up to one yearand civd penaitia m the form of a Sino Work Order and a :ane of S 104.40 a day azwnst me. Signed this /�5— zz day of 19 Licenseci Permittee U-nsoriPermtaor �tI\►i,�r. j "RTI/ ICAT NN SURAN -! ISSUE DATE(MM/DD,YV) CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE MAZONSON,INC, DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 2 CORPORATION WAY POLICIES BELOW. P 0 BOX 6071 COMPANIES AFFORDING COVERAGE PEABODY, MA 01961-6071 508-531-5200 COMPANY LEITER A C um & Forster Commercial In COMPANY LEITER B Crum & FO to /NElCO Dolulis Brothers Construction COLWANY LEITER C Libe[ty Mutual Ins . Co. Co. , Inc. 31 Collins St. Terrace `OMPAANY ETTER D Lynn MA 01902 COMPANY LEITER E W. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR I HE POLICY PERIOD INDICATED.NOT WIT HST ANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCIMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL SHE TERAS, EXCLUSIONS AND CONDIT IONS OF SUCH POLICIES,LIMIT S SHOWN MAY HAVE BEEN REDUCED BY P AID CL AMS, CO 7YPEOf INSURANCEPOLICYNUMBER IC POLYEFFECTIVE POLICYEXPmAT10 LIMITS LT DATE(MM/W/YY) DATE(MM/OD,W) OENEAALLIABLITY GENERAL AGGREGATE = 2000000 B X CONNERCIALGENERAL LIABILITY CA5035132755 7/01/93 7/01/94 PRODUCTS-COMP,OPADD. } 1000000 CLAIMS MADE a OCCUR. PERSONAL a AOI. INJURY IT 1000000 OWNER'S 6 CONTRACTOR'S PROT. EACH OCCURRENCE ( 1000000 FIRE DAMAGE VkIy ane file) } 100000 MED. EXPENSE(A one e'so, } 5000 AUTOMOBILE LIABILITY COMBINED SINGLE _ A ANY AUTO 1310271723 7/01/93 7/01/94 UMI' 1000000 ALL OWNED AUTOS BODILY INJURY } X SCHEDULED AUTOS IPM persenl X HIRED AUTOS BODILY INJURY }. X NON-OWNED AUTOS IPM AmideniT GARAGE LIABILITY PROPERTY DAMAGE } EXCESSLIABLITY EACH OCCURRENCE } 1000000 A X UMBRELLA FORM 5530032414 7/01/93 7/01/94 AGGREGATE } 1000000 OTHER THAN UMBRELLA FORM WORKER'S OOMPENSATION "X��S1AlU10RY LIMITS�� �i iP?ii:!`i;i3 C AND WC1312494720014 1/01/94 1/01/95 EACH ACCIDENT } 100000 DISEASE-POLICY LIMIT } 500000 EMPLOYERS'LIABLRY OiSfASF'FACH EMPLOYEE } 100000 OTHER DESCRIPTION OF OPERATIONSILMATIONSIVENICLESISPECIAL ITEMS GEtiT1FiCATE}1OLDER CANCELLliON 3 w .; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE '3';`; EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO DAVSWRITTENNOTICE TOTHECERTIFICATE HOLDER NAMED TO THE G i ty 0 f S a I em :'`:' LEFT.BUT FAILURE TO MAIL SUCH NOTICE$HALL IMPOSE NO OBLIGATION OR Depa7tm¢nt 0} Pub{ IC Works ?'! LIABILITVOFANYKINDUPONTHECOMPANY.ITSAGENTSORREPRESENTATIVES. 1 Salem Green AumonaeoREP EeyarrvE �— Sa l em, MA 01970 .E,u A .c,, 014700000 APRO*3�s jV01 ((?riGOREE CORPdRAT16N'19�6,.. r (Mita ofttiem, � HttssttCljusP#ts Naara of e RECEIVED `" nr�G 3 22 Ni MAY 2 7 1994 Nulls Brothers DECISION ON THE PETITION OF DEIULIS BROTHERS CONSTRUCTION FOR VARIANCE AT 7 SEEMORE STREET (R-1 ) A hearing on this petition was held April 27, 1994 with the following Board Members present: Stephen Touchette, Acting Chairman; Gary Barrett, Stephen O'Grady, Associate Members Nina Cohen and Arthur Labrecque. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioners, owners of the property, are requesting Variance from the required 100 feet frontage to 53. 71 feet of frontage to allow construction of a single family dwelling. Property is located in the R-1 district. The Variance which has been requested may be granted upon a finding by this Board that: 1. Special conditions and circumstances exist which especially affect the land, building or structure involved and which are not generally affecting other lands, buildings and structures involved. 2. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise, to the petitioner. 3. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. The Board of Appeal, after careful consideration of the evidence presented at the hearing, and after viewing the plans, makes the following findings of fact: 1 . The lot is an odd shaped lot having frontage on only one improved street. 2. There was one abutter concerned with the location of any structure on this lot, these concerns were met by the petitioner. 3. There was no other opposition. DECISION ON THE PETITION OF DEIULIS BROTHERS CONSTRUCTION FORA-' . ,; SS VARIANCE AT 7 SEEMORE STREET, SALEM page two On the basis of the above findings of fact, and on the evidence presented at the hearing, the Board of Appeal concludes as follows: 1. Special conditions exist which especially affect the subject property but not the district in general. 2. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship to the petitioner. 3. Desirable relief can be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. Therefore, the Zoning Board of Appeal voted unanimously, 5-0 to grant the variance requested, subject to the following conditions: 1. Petitioner shall comply with all city and state statutes, ordinances, codes and regulations. 2. No structure shall be constructed any closer than 122 feet to the front yard lot line. Variance Granted April 27, 1994 Steph n eph4V Touchette, Vice Chairman Board of Appeal I A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to Massachusetts General Laws Chapter 40A, Section. 11, the Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certification of the City Clerk that 20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed, that it has been dismissed or denied is recorded in the South Essex Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on the owner's Certificate of Title. Board of appeal SaZem Fierce Depaxtment APPOINTMENT FOR FINAL' Fite Prevention Bureau j APPOINTMENT FOR FINAL INSPECTION MUST BE 48 La4ayette Street INSPECTION MUST BE MADE AT LEAST ONE WEEK Satem, Ma 01970 MADE AT LEAST ONE WEEK AHEAD------------- — (5 08) 745-7777 AHEAD--....-- FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT i In accordance w4th the Prov4.6tone o4 the Ma,6hachu 6ett 6 State Buttdtng Code and the Salem Fite Code, app2i.c4�Gon 4,6 hereby made 4ox appxvvaE o4 pta.n,6 and .the i-6.6uance o4 a cexti,4tcate o4 approval 4or a bui•Zd ing pexm4t by the SaZem Fire Department. (Re4. Section 113. 3, M".6. State BEdg. Code) Job Location: y 7 --7f t ST Ty?N10 Owner/Occupant: EZectAtcaZ Cont�tactox: m Z y �aC _!� fffc.YE E'aFCZ-Q! + y2� aG ^ F-i,te Suppxe-ass-i,vn Cvnthn.ctox: � � .; 0 St ynatuxe o4 m APPt,fcartt: Phone Addxea6 o4 C4ty ox Applicant: Town: 3/ lJc ti.Js Ste: 7�� APPrvvae date: Ce�Lti.4tcate o4 approval -w hereby granted, on approved pZanb ox aubmtttaZ o4 project deta,it-6, by the Salem Fivice Department. AZe plana ate approved aoZely 4vx identi.4tcat.i.on o4 type and Zocation o4 4.iAe protection devtces and equipment. AZZ ptan,6 ane eubject to appxovaZ o4 any other authox4ty having ,uAt-6dietion. Upon compZetion, the applicant or t"ta2Zer(e) 4ha t xeque-at an cnbpection and/or te-6t 04 the 4Zj e protection device-6 and equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** ) New eon6tnuc t i,on. Property Zocat.i,on ha.6 no compliance with the pxovi.6ton,6 o4 Chapter 148, Seetlon 26 C/E, M. G. L. , xe-eati.ve to the t"t to -Zon o4 approved 4Z-te ata cm devtce-6. The owner o4 th4-6 propezty ti 6 requi,%ed to obtain compliance a-a a coed-itton o4 obtaining a BuLtding Perm4t. Property Zocation i-6 in compliance w4th the prov4.6ton6 o4 Chapter. 148 , Section 26 C/E, M. G. L. ExptAat on date: a /! /f t/ Stgnatu %e o4 Fite 064iciaZ F_e jua: undo 7 . 500 Sq. Ft. 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 Cw approval of the Salem Fire Department, with reference to provisions of U_ m w Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts MHz 0 0 i General Laws, and 527 Code of Massachusetts Regulations. F- Z � y i The applicant shall submit this application with three (3) sets of plans, w z drawn in sufficient clarity, to obtain stamped approval of the Salem Fire P a Department. This applies for all new construction, substantial Z w w alterations, change of use and/or occupancy, and any other approvals a CL required by the Massachusetts General Laws, and the Salem Fire Code. a 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. j FOR F1Npl '� Form 81X (10/90) tMENT FOR F ` ! APPLE T�N MOS'T wE 1NSPEtJOS STS014E WEEK WMpDE AS ��ST --� MADE AT IEP Y��f PH�D....... ..... AHEAD........_.._._. V G1 U � m �)REi; = y?, 19 0 � a FpUntAaT� N 0 lu. o Ci o 21.71 G o a Q �1F P'10!�.HrJ h• PrP 0� 7� 7 5EEHO/iC REFERENCE: PLOT PLAN OF LAND DEED : AEC. BK. 559! PG. 5�P8 _ LOCATED IN PLAN : ISA L<E M I CERTIFY THAT THE F0010C0fT1,W ar s4 PREPARED FOR HEREON JS:" LOCATED ON THE GROUND oGAn. �� pE/UUS /3RC"HCZS COZTRUC X0 CO INC. AS SHOWN ,AND CONFORP6 TO THE ZDN ZNG BYLAWS OF THE CITY OF SoqU SMIT � H SCALE 1 - 40' SE7'7 /S) 199'{- AT Sj189'{.AT THE TIME OF CONSTRUCTION. T vF°' 3 mar NORTH SHORE SURVEY CORPORATION CANO S 4 208 WASHINGTON STREET - SALEK MA # 7S CERTIFICATE ISSUED CITY OF SALEM' DATE APRIL 20,.1995 A SALEM, MASSACHUSETTS 01970 BUILDING PERMIT - CERTIFICATE OF OCCUPANCY DATE SII 19 5" PERMIT NO. APPLICANT JI c III _ _ ADDRESS 1".li -Wr' .-lass . IXO.1 (STREETI ICONTX'S LICENSE( N PERMIT TU UMBER OF(_1 STORY DWELLING UNITS IT�Pf pF IMYXOYEMFMI: Xp. (PROPOSED USE( ZONING AT (LOCATION) - DISTRICT 1X0.) (STREETI 'BETWEEN nv-' 1,1 AND IEROSS STREETI (CROSS STREET) LOT SUBDIVISION-- LOT BLOCK S12E BUILDING IS TOBE FT. WIDE P, FT. LONG BY FT. IN HEIGHT -NO SHALL:CONFORMINCONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION .. (TTPEI REMARKS " 1. 11! Ir- n�I CIT,= 1•' ( iilq L 1 1 x.31 ,.L,"^ L"C" AREA OR . . � 1 ow VOLUMEi..M„YllTl--Y^.11'( A-..�r'Y-4•E11}f S :BIC.SO UtA E,FF ETI99 VAI-111-f'FI—��1—X91 pr116rII Of'Il.b'ITIO LFI— !71 OP.'IIO!'11plFIOf'IIOIII OWNER Y1r:7CT^ L Arn-I F: l,_i T CC i:i= TO BE POSTED ON PREMISES 12 'r• .= �; ':a SEE, EVERSE.SIOE ROR,CONDIT IONS OF CERTIFICATE ADDRESS �Y._:IJS ti'7+_. _.._S'd.. 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. 236-94 ` 'JOHN JENNINGS' 4/20/95 Approved by Date Remarks PLUMBING Permit No. Approved by DENNIS ROSS Date 4/13/95 Remarks ELECTRICAL Peimit No. PATUL TUTTLE 4/18/95 Approved by Date . r, Remarks OTHER Fire _Permit No. i Approved by_ 1'101' HUDSON Date 4/19/95 Remarks OTHER Permit No. tt.. ie 'Approved by' Date. Y ter; Remarks "`�lr BUILDING PERMIT JOB WEATHER CARD GATE 1�pE� II' 1B PERMIT NO. APPLICANT ADDRESS I I Vit:: , aJ_3E (NO.)` I (STREET) (CONTR'S LICENSE1 Ne: �_7.4 � - I_I STORY ilio��""<. NUMBER OF PERMIT TO ' . ,, DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) AT (LOCATION) "E _ ' '"cUL w':YIS ZONING AND.) (STREET) DISTRICT BETWEEN �_..1::' ... (:a AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT 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) REMARKS: I.OZ]A C 7Uc'. tC`a riiv ;is'_! t '/ J0•3E ' call for Permit to occupy tREA OR VOLUME ESTIMATED COST 'YC�'. 1" FEEMIT 5• �C'VSIC%SOUARE FEET) OWNER 1n:0{_+1•' (['• BUILDING DEPT. ADDRESS �'I` BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY 09 SIDEWALK OR ANY PART THEREOF. EI!HER 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 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. MINIMUM OF THREE CALL AppgOV ED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REO U I RED FAR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PFRMITS ARE REQUIRED FOR ALL CONSTRUCTION WON K: ELECTRICAL, PLUMBING AND L'FOUNDATIONS O R POO T' NGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 3. PRIOR TO COVERING STRUCTURAL QUIRED.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINA L INSPECTION TO LATHE FINAL INSPECTION HAS BEEN MADE. ]. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS OL iq -o BO tDta ALTH GAS INSPECTION APPROVALS FIRE DEPT.INSPECTING APPROVALS ' 67 oK Yry s� OTHER CITY ENGINEER 2 WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION 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 15 ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.