64 SUMMER STREET - BUILDING INSPECTION ( 64 Suer St.
Ir ,
-,0 CERTIFICATE ISSUED
DATE October 19. 1944
CITY OF SALEM
SALEM, MASSACHUSETTS 01470 BUILDING PERMIT -
'a���T CERTIFICATE OF OCCUPANCY
DATE 15 Z 15 19 "3 - PERMIT NO,
APPLICANT_ )",l ,jc 01 ^^n ADDRESS 34 .iurme, St'.
te0.1 I SARQTI {EQNTR•S-LICENSE)
' e .:11ZL NUMBER OF
PERMIT TO �' f (_I STORY
'waiting DWELLING UNITS
(i.Pf
Or I.10"EMENTI N0. IPPOPOSEO USE)
EONING —[
AT (LOCATION) :i,UpiIl@Z :+C re£eE t+1a:Q �" DISTRICT-
1 0.1
ISTRICTIN0.1 (STREET)
BETWEEN
71C. VenionND ';road
ICROS5 STREET) (CROSS STREET)
LOT
SUBDIVISION LOT - BLOCK SIZE
BUILDING IS TO BE .FT, WIDE.P• FT. LONG BY _SFT. IN HE'IGNT AND SNALL�CCNFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENTWALL$ OR FOUNDATION
t TYPEY
eYu r_ 0 3rd Lour xparcce.^.c ;:? or.
eciros,: i_crea,1ivX ,-,un.
REMARKS:
as',:a11 Laseooarc cir;CLriu {�"j��
I
AREA OR
VOLUME
VOLUME �EpLEI p�,EI�
C 'BICiSOuf 9E.FEET' ����YY��EERR•• EEi�GG�wWYii1111 AYYE 4MYMYW
OMv�'V,C•7Tvl7t VT1,4Rip•!rI ts!'!fb•ITItYL?)vY.R OT.'ETOTT)Yft'R OR•E�8ST1th
OWNER TO,BE POSTED ON PREMISES
ADDRESS
..4 �LLiir2 _ee� J.318::. ..:dS 3. SEE R6VE R9E 5N)E'wPOR�C9�lE}{f+IDNS OF CERTIFICATE
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
v To be filled in biyy each division indicated hereon
upon completigni of its final.inspection.
%%4' BUILDINGS Permit No. 413-93
Approved by Leo `,F4 Tremblay Date ,10/18/94
� Remarks ._.
}
PLUMBING Permit No.
Approved by Dennis Ross Date_,. 10/17/94
Remarks
t
ELECTRICAL; Permit No.
Approved by 4ohri Mardi Date 10/18794
Remarks
L
OTHER Fire Permit No.
Approved by_
Lt. Hinson ; Date 6/3/94
{Remarks
fi t 1
' t I
2 OTHER Permit No.
iApproved by Date
,
Remarks
9'*`LICAM COPY
y tr, a THIS Icy ,..,�t N
D; OT VALID UNLESS
CITY OF SALEM i BUILDING f° PROPERLY RECEIPTEDBY CASHIER
9 SALEM, MASSACHUSETTS 01970 PERMIT
,A VALIDATION
,FDS
DATE -nr-MbsS 19 PERMIT NO. ' 13
'y.;.,
APPLICANT 'U*q.n ADDRESS ;!Y
(x0.) (STREET) ICOINTR'S LICENSE'
PERMIT TO ^t:178=0.. (_1 STORY .`mZ fir`--' NUMBE_D WELLING OF v
ING UNITS
(TYPE OF IMPROVEMENT, x0. IPROPOSED USE)
AT (LOCATIONI '`'G JLLt3 wr Street Ward J ZONING
DISTRICT K^L
(NO.) (STREETI -' -
BETWEEN
.it. Vernon .. AND . LrO3Eli I
(CROSS STREET) ICROS5 STREET)
COT
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: •`-0�1`_ .' �CG: apiir Sa?w / , k:F.dr00:33T 1i.;. ?'.'.t25i1'i 11it;L9CiilT .•J3C_s1'vCUs
AREA r �cr:mjt to Cccupy
VOLUME ESTIMATED COST }� FEE
5 '-)'•"
:CUBIC/SOULRE FEET)
OWNER '�❑i,^ 1)1,^.-0
ADDRESS _ n4 ..`.utvaOL :i C'•E!r':L .:Cs. e❑l. .::IP43. •• .1 . '.:.-T::
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL AppROV ED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION MAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORN: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS P'L1,14BING WSP APPROVALS ELECTRICAL INSPECTION APPROVALS
I
BOARD OF HEALTH GAS INSPECTION APPROVALS FIR/E DEPT. INSPECTING APPROVALS
OTHER CITY ENGINEER 2 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 IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.
Salem F.ice Depantmetzt.
Fine PiceverLtion Sure=
48 La4ayette Stteet
Salem, Ma 01970
(508) 745-7777
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In accon.dance with the p40vt4ton,6 04 the M"4achu,6e. t State BuZtdZng Code
and the Salem FiZce Code, appttcation 4�6 hefceby made 4o-c appAovae o4 pZan.6
and the i.6.6uance o4 a centi.4.i.cate o4 appaovae 40-c a bu.i a tZng permit by the
Salem FZte Department. (Re4. SectLon 113. 3, Mazz. State Bldg. Code)
Job Location: / L Svk,vv\vv�e �0— C �r
Owners/Occupant: -L)0-r Q y\rn n ] f�V�
EZect� cat Conttacton: T7,11j ;A I4�cr V
Fite Suppne644on Contnacto2:
S.Lgnatune 4
AppZ.icant: Phone #: 2�/7 - 03C)L
Addnezz o4 C-4ty oar.
AppP.ccant. �Q0 v � Town:
Appn.ovae date: 9/3/9 3
Cent l6tc ,te 04 app-covae Z4 hereby granted, on approved ptan.6 on aubm.<ttat
04 pvoject detait6, by the Salem Rice DepaAtment. At-P- pta" ane approved
aoZe,ey 402 tdent44.Leati.on o4 type and tocatZon o4 4-i to p40tect4on device 6
and equtpment. Ate p$anb ane .6u.bject to appa.ovaZ o4 any othe.L authonL ty
having juAt4dicti.on. Upon eomptetton, the appP.i.cant on. .i.n,6taR,een(.6) ahate
,Leque.6t an tnzpect(.on and/on teat o4 the 44,Le pn.otectLon devi ce.a and
equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
0 New eon4tructLon.
P�Lope� ty ZocatZon ha b no compliance with the pn.ovt4ton.6 o4
Chapte-c 148, Section 26 CIE, M.G. L. , aeZatLve to the
Z"tatati.on o4 appn.oved 4ine ata,%m devtce.6. The owner o4
this property 4,6 �Lequtted to obtain compliance a6 a
condition o4 obtatn,i.ng a BuiCding' Penm.L.t.
-P-Lopenty ZocatLon i.6 .Ln compliance with the p�tovi bi.onb a6
Chapter. 148, Section 26 CIE, M. G. L.
Exp.iAa tion date: Av
d� /t' /4A,w
•. o
cask
Signature o4 Fite 064itciae
Fee due: under 7, 500 Sq. Ft. - 10: 00
7 , 500 Sq . Ft. on. Zatgen. - $ 00 Foam ✓x81 (Rev. 10/00 )
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
issued. The Massachusetts State Building Code requires compliance
approval of the Salem Fire Department, with reference to provisions of
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts
General Laws, and 527 Code of Massachusetts Regulations.
The applicant shall submit this application with three (3) sets of plans,
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire
Department. This applies for all new construction, substantial
alterations, change of use and/or occupancy, and any other approvals
required by the Massachusetts General Laws, and the Salem Fire Code.
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.
{ Form 81X (10/90)
1
LIVING R OoT+'t m1NNtNG iZOOY�'t
L3
Cl oSeT
sD
0
C Lose
' Clam' Roo r�
C-L45�.t
K JC�e_N
APPROVED Y�r3�43
approval by any ather
�+ i? Z SALEM,MASS.
1 `1t7mwtc� �� FFYU P MVENTION BUP
PLAM ARE APPROVED SOLELY FOR iDFNTtFiCATiO)I OF
TYPE AND LOCAT10:1 GF FIRE PROTECTAON DEV;CES.
ALL FIRE PROTcCTiOt; DEVICES ARE 5418JECT TO A
FIRAG TEST AND FOR CMIPLETE COMPU-
ANCE^ryTH THE FrliE CODE
h
-1ITY ';F_,- ALE•i
UILDING DEPARTMENT
iOMEOWNER LICENSE EXEMPTTON
D'ease Print
DATE 2— lZ/ � 3
.iOB LOCATION 6 Z/
Number Street address Section or Town
"HOMEO'WNER_1)DYy\_&_v,,�C iZZc 7y4-03 Z 617 y4 3 -.3233
Name Home phone WorK phone
PRESENT MAILING ADDRESS S e A 5 44 o V-(�_
City/Town State Lip Cade
-ho current exemption of "homeowners" was extended to include owner-occuoiea
:iweilinos of six units or less and to aiiow sucn homeowners to engage an in-
dividuai for hire who does not possess a license. provided that the owner
acts as supervisor. State Building Code Section 109. 1 . 1 )
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Buildino Official ,
on a form acceptable to the Building Official , that he/she shall be responsible
for all such work performed under the buildino permit. tSection 10 . 1 . 1 )
he :ndersigned "homeowner' .ssumes resoohsibility for compliance catch the State
;uiidino code and other opiicabie codes , :;y- iaws, rules and regulations.
'he undersigned "homeowner" certifies that he/she understands the City of Salem
Buildino Department minimum inspection procedures and requirements and that
he/she will comply with aTprocedures and requir ents.
n
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
'VOTE: Three family dwellings 35.000 cubic feet, cr larder. .iill be required
,o comply with State Building Code Section '27.0, Construction Control .
HOME 01.11NER ' S .:(EMPTION
The Code states that: "any Home Owner performina work for which a buildina
oermit is required shall be exempt from the provisions of this section
(Section 109. 1 . 1 - Licensina of Construction Supervisors ) ; provided that is
a Home Owner engages a person( s ) for hire to do such work , that such Home
Owner snail act as suoervisor. "
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) . `his lack of aware-
ness often results in serious problems, particularly when the Home Omer
hires unlicensed persons. in this case your Board cannot proceed aaainst
the unlicensed person as it would with licensed Supervisor. -he Home Owner
actino as supervisor is ultimately responsible.
D ensure tnat the Home G:mer is fully aware cf his/her responsioilities .
many c-mmunities reauire. as part of the permit application. that the Home
Owner �2rtifv that he/she understands the responsibilities of a supervisor.
On the last oage of this issue is a form currently used by several towns.
fou may care to amend and aaopt such a form/certification for use in your
community.
No. City of Salem Ward 19
X
4ctwrrr.vd
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTAN/yT`-Applicant to complete all items in sections:1, It, 111, IV, and IX.
ZON NG
I. AT(LOCATION) / J ��/�/`�/� D STRICT
LOCATION t„��(NO.? STREEq' / o
OF BETWEEN 'V`� y �t" Loh— AND
BUILDING (CROSS STREET) (CROSS STREET)
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 of new 12 ❑ One family 18 ❑ Amusement,recreational
housing units added,if any,in part D, 13) 19 ❑ Chruch,other religious
- 13,R Two 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 E] Service station,repair garage
5 ❑ Wrecking(It muififamily 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 E] Tanks,towers
8 5t,,Private(individual,corporation,nonprofit
institution,etc.) 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 ......................................................... $ at industrial plant.If use of existing building is being changed,enter proposed use.
To be installed but not included
in the above cost
a. Electrical...........................................................................
b. Plumbing........................................._............................... �� i�✓
c. Heating,air conditioning............................................. '
d. Other(elevator,etc.).....................................................
11. TOTAL COST OF IMPROVEMENT
111. 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 K Public or private company Will there be central air
31 WWood frame 36 ❑ Oil 41 ❑ Private(septic tank,etc.) conditioning?
32 ❑ Structural steel 37 &Electricity 44 ❑ Yes 45 N No
33Reinforced 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 R No
43 ❑ Private(well,cistern)
J.DIMENSIONS
48. Number of stories M. DEMOLITION OF STRUCTURES:
.... �rf�Q
as. rotas ors,re based offloor , Has Approval from Historical Commission been received
all floors,based on floor air
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 .............................................................................
sz. Outdoors........................................................ 2V e� HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?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.---.... ................... I I BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:
Historic District? Yes_ Nov (If yes,please enclose documentation from Hist.Com.)
Conservation Area? Yes_ No (If yes, please enclose Order of Conditions)
Has Fire Prevention approved and stamped plans or applications? Yes—V"'No
Is property located in the S.R.A. district? Yes_ No4z
Comply with Zoning? Yes No no,enclose Board of Appeal decision)
Is lot grandfathered? Yes_ No (If yes,submit documentation/if no,submit Boar 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# Salem License*
Home Improvement Contractor# Homeowners Exempt form (if (pplicable) Yes_ No
lfz 1/14
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: J Q S in writing to the Inspector of Buildings.
V. IDENTIFICATION • To be completed by all applicants
Name Mailing address-Number,street,city,and state ZIP Cade Tel.No.
Owner or
T)OM2 A')I'c (Z Z G 5umAje4Z 5p- 51q- C11 -o oz
Lessee
Q 'C-
Contractor
CContractor
Builder's
License No.
3.
Architect or
Engineer
I hereby certify that the proposed work is au orized by the owner of record and that I have been authorized by the owner to make this application
s authorized nt and we agree tpcQnform to all applicable laws of this jurisdiction.
i atur of applicant Adres��MMe Application date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building � q�7
FOR DEPARTMENT USE ONLY
Permit number /�
Building use Group
Permit issued �� 19
Fire Grading
Building // yy�C)11
Permit Fee $ A,S + ® Cn Live Loading
Certificate of Occupancy $ y Approved by: Occupancy Load
Drain Tile $
Plan Review Fee $
TITL
NOTES AND Data .(For department use)
0 v t,
E1
I�-
otiv�
L N !3 IaS � ec 'I�t21 C
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
O N