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6 TRADERS WAY - BUILDING INSPECTION a 6 Traders Way t 1 UPC 10332 No. 153L.2 �4b HASTINGS. YN { _ _ r �} APPLICATION FOR PERMIT TO ERECT A SIGN Salem, Massachusetts PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK /.J Q"�Uk 3 APPLICATION MUST BE SUBMITTED TO THE BUILDING INSPECTOR WITH STAMPED APPROVAL FROM THE SALEM REDEVELOPMENT AUTHORITY. TO THE BUILDING INSPECTOR: The undersigned hereby applies for a permit to _1�� Erect, Alter, Repair a sign on the following described building. Location (o T'241JE625 /ilJ F) / Zoning/District Name of Property Owner �/¢5TE.Z� 2�->FJL_ Name of Sign Owner Address If If Owner is a corporation, name of responsible Officer -RSM�p n\ Name of Licensed Sign Erector a4-r7-EA) 757Zbs, //JC . Address 15- ?5 /I MtiU �/ Salem License No. '72170V' Use of Building: 1st Floor -9,4/J �_ 3rd Floor 2nd Floor 4th Floor Type of Sign: Surface Right Angles to Building Free Standing Other ( ) Height: Sign Materials : 1g1_0M/1,J01-1 h) ?t�"cE7YE¢rj, 30"c.oCTb a rf8 Sign Dimensions : el /0",Aco, /&"Le- 7'E25 Sign Area t� '/ SF Existing Signs : Surface : Sign Area SF Right Angles : Sign Area SF Free-Standing: Sign Area SF Other: Sign Area SF Signs to be removed: Type Sign Area SF Frontage: Building A FT Property FT e F7- Signature TSignature of owner Name & Address of Address `f9_ '�� Insurance Company: Telephone VA Esti tedOst of New Work: AP OVALS : ,567- 9Lf APPLICATION TO ERECT, ALTER, OR REPAIR PIAN OF LOT A SIGN IN THE CITY OF SALEM _ Location of Present Structure -------------- --------------- snd Signs BUILDING LOCATION: BUILDING USE: ------------------------------------- ------------------------------------ CONDITIONS ; ------------------------------------ ------------------------------------ PERMIT GRANTED �] l� 19 ^i . -- -gr�oa - - _ A L-0 0 P--& ALU "ii1 um C�1T� 2� fit- a � o� - �_ - _-�_�� VF � —1e r ray c�erfL v G I -- - - G L .T` - - I -- ' I I PH I - - I , -. 1 _ r r I I, -- I Sl� a � Itii•plVrPv �t_ Lccrc'C�S --' __—_ _.-- � -LGl �• _,,.�. , . I►JTC-'r��.1A�-��! r�U ti.-> lt�fAT�r] �` -- I -5TV 77j I S - 1 I�� � 111qE --- I I RG. -" .,'ti.✓ �c+O 4iA c-=,;1✓y�� - _.. I 1 1 I - _._ _ -. —._ astern _ • I nr TT- I it---r - ------� ! \I lk 33�r OvT °POSCO IIF_IH *&vq T =p A. �cr1c- cJR•a � -- — — ._ ...`� Imo;' ePor OKaabst6noJ 1 �73�7 4 1411 Jfl`� I 9" I'.1q 11 I l llllq :I:1: ccNc. �SYVNA I { � I IZ t..{/TaP P9Tfgq �,'�2oY � •SI•� ,G j I/I�1J i�IVi;? •iP it _. __ _— —_-_ 1� -- L_I _— ._ � -- osc — T C�tf� IIf �ttlEnt, ��a���Lhu�Eff� R ® uTI N G SLIP REVIEW AND PASS ON AS INDICATED LOCATION: Co 1 i2-�E(LS IAJA DATE - APPLICANT: ATE APPLICANT: T.r cyO c,c4 Co. 37n,Jc . INSERT DATE WHEN PASSING ON Assessor- Date f CONTACT PERS Peter Caron ��� 2 Fire Department Capt. Turner or Insp. LaPointe 1_ _ Department of Public Services Director q 4 DEPARTMENT: Water Department P7 C-? — CONTACT PERSON: Maroaret Haaerty/HelenJiadosz 5RTMFNTi DFP Planning Dept. rnNTACT PERSON- Beth Debsk i 7—Z,? 9`/ 6DEPARTMENT: City Clerk if involving new streets) CONTACT PERSON: 7 DEPARTMENT: ELFX•IRIC DEPT. Jazz YhT/ PAUL, TUTTLE C 7}. cf Rw c�/✓ 7,9 9-qsC S DEPARTMENT: f,ONTACT PERSON: RETUff�N TO 0. Tito of %liem, massac4usetts public Propertg Department Guilbinq department (One #stem Green 508-745-9595 Ext. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer September 12, 1994 J.J. Welch Cc, Inc. 27 Congress Street Salem, Mass. 01970 RE: Concrete Pier A Line - 2 Dear Mr. Welch: On September 12, 1994 Local Inspector John Jennings performed his weekly inspections on 6 Traders Way and the following was noticed. 1. Two concrete piers at A line were installed at less than plumb. 2. One of the columns appears to be at a 30 degree angle. These problems should be addressed . A letter from a professional engineer of removal and reinstallation would be acceptable. Sincerel , John JI enning Local Building Inspector JJJ: scm cc: Dave Shea Councillor Donahue, Ward 3 .r R cJA' 'Ip CERTIFICATE ISSUED y a! DATE December 15, 1994 CITY OF SALEM s SALEM, MASSACHUSETTS 01970 BUILDING PERMIT CERTIFICATE OF OCCUPANCY DATE <'ugu--t tl f9 94 PERMIT NO. ?6.0-04 APPLICANT Pl^h ( l"J^r.'•7 ADDRESS = Cone,ress SU. ic.-t, :ass. 401 (NO,) (STREET) ' ICONt P'S LSCERSE1 1 NUMBER OF PERMIT TO "-*' t1IIi�tT"a% II STORY nIn El DWELLING UNITS ft*9F OE (NPR Ov CfA£Mi! NO. SPRp POSED USU AT (LOCATION) e?(,`Tn^dp" HayCT _ yarc' ZONING ;tZ iNO.) Isi REETI HEEWEEN AND (CROSS STREET) ICROss sY PEET! LOT LOT BLOCK SIDE SUILDRIG IS '0 BE. FT, w10E P, FT. LONG BY FT, IN r.EfGr.T AND STALL.CONFORM IN CONSTRUCTION TO TYPE OSE GROUP BASEMENT WALLS OR FOUNDATION ITVPE: i'a ik .REMARKS! ..—. AREA O0. aWY VOLUME F:BIC SQUIRE FEET) p V T91aiN14�91alT1ef11$TIONYICnlEIbOOE POSTED $N PREMI$LElat'fi$EEfa OWNER i L- '`s > -� TO RE POSTED DI PREMISES apORE55 1 i UL:"9QUG I ��.C� •1 (�;: . SEE!_flEYERSE S7DE:.EDB7iCONDiTtONS OF CEBTiF/CLTE I . I DEPARTMENTAL APPROVAL FOR CERTIFICATE "v `k of OCCbPANCY and COMPLIANCE 'tie filled in by each division indicated hereon 31d on completion 104. its final ,inspection. BUILDINGS Permit No. 360-94 i Approved by Leo E Tremblay Date 12/15/94 Remarks PLUMBING Permit No. Approved by John LeClerc Date 12/12/94 Remarks ELECTRICAL Permit No. I Approved by Al Falawski Date 12/17/94 Remarks OTHER Fire Permit No. Approved by_ Norman LaPointe Date 12/15/94 Remarks OTHER Permit No. Approved by Date Remarks BUILDING PERMIT JOB WEATHER CARD DATE "quip- Li 1B 44 PERMIT NO. APPLICANT ADDRESS uj ny',r!"FR -all t!➢1E G0� 1x0.1 ISTREET) (CONTR•S LICENSE) PERMIT TO `+I I`41".A is l :TBga NUMBER OF 1_I STORY DWELLING UNITS (TYPE OF IMPROVEMExTI N0. (PROPOSED USE) AT (LOCATION) bOTrPEie-s kay Ward Z ZONING B:' (NO.) ($TREE" DISTRICT BETWEEN AND ICROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING 15 TO BE FT. WIDE BV FT. LONG By FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION IiYPEi REMARKS: 6REA OR Call for Permit to Occupy T::O.� FEEMIT S VOLUME ESTIMATED COST '.CUBIC/SQUARE FEETI OWNER .I..i V1.-tIrA01 - ii .:`.i--'-d BUILDING DEPT ADDRESS By THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY 09 SIDEWALK OR ANY PART THEREOF. EITHER 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 AP PROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARO KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY 15 RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MI NAL INS RE TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION TION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS BOARD OF EALTH GAS INSPECTION AP RO FI Cf-PT.IN CTING APPROVALS cr- OTHER CITY ENGINEER 2 - 2 /J I /aa 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 15 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. J •=tea xtt=�tts •0969-Ut M9) 11100 a.,eald ""t3santb Atte' $m Asa=ta 1I •taaga �ea7to18ttt?X1 fi=tttfnt4ttt +safrt±d Z $t=t�lTmstetQ3� Mri M ._ =arrr�ta 'Itt�.btNB de 8'IIitIS:W$ b1Rt—ttt UTO) 1 11 b$b9-ttt WO) t9NNtfilAM$ 'K, 99tte *118i Y'RA .U;T78S3 Mt}.i.JNtli9dN_ SiSt 4,U�5tatR�lnf 'Sqi js�tVt�gSv ! 1k�Vd 'R hd,�NNBR, i T•d 016E LEE Lig S Adadd'3 H13NH3A GO:bT b6, 62 inr , JUL 29 '94 14:07 KENNETH F.PRRRY 1 617 337 3910 P.2 1� r e nxFQBB� u��A.v�41 CH l K11"TM it PAR" t AEWC1ATtf9 C L' i s E' fNC ARCHITECTS{ , 195 Ruildlog Square Foot: 3,125 square: Feet +!- WASN1pt6yon STREEI LVEYMOu'tt4 Use Group: Type a businass MASS I Was PHONE Construction 337_4490 C1455itiwi0a: Type 5 - 58 Unprotattad Frame Coastructiun Height and ATa4 Limitotioas: Allowed: 2 Stories - 30' High 1,Z0o Squ4ro Feat Actual : 1 toty • 28' +/- to Top at ROW Peak 3,125 Square Fget of building I 1 1 } J No— y City of Salem Ward OF a/a,'l 94 JUL 2g. ,Fj 8 ,r s ASY OFsS41 APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1. 11, Ill, IV. and IX. I. AT(LOCATION) Cit TR,4DI— L-4J4L 1 X41 r11 MA• o°siia"Gcr LOCATION NO) SMIMT, OF BETWEEN AND BUILDING CROW STREEO 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 fit resaennal,enter number of new i 2 ❑ One family 18 ❑ Amusement•reQealioral ,ousmg units added.it any.in pan D, 13) 19 E3 Chruch.other relgious Sbo 13 C] Two it more . . Enter 20 C] Industrial 3 ❑ Alteration See 2 ave) of units _..............__........................._... 21 ❑ Parking garage a ❑ Repair replacement 14 ❑ Transient hOlel,mOtBl,or dormitory- Enter number at units ..............._.......... 22 ❑ Servs station.repair garage 5 ❑ Wrecking(If mun?amtly resaennal,enter number _ 23 ❑ HospiaL insinulioral _ of units in bwlding m Part D. 13) 1.; .rine 24)K Office,bank,protesaloral 6 ❑ Moving trekloabon, 16 I—! Jarcun 25 ❑ Public utility i ❑ Foundation only LJ 26 ❑ School.library,Other educational 17 ❑ Other-Specrt y 27 ❑ Stores,mercantile B.OWNERSHIP 28 ❑ Tanks.towers 8 0 Private bndiwdual,corporation.nonprofit 29 ❑ Other-Specify institution.etc.) 9 ❑ Public;Federal.Stat,or local goyemment C.COST (Omit centst Nonresidential-Describe in detad proposed use of buildings,e.9,load Proceeeelg Morn, machine shop,laundry building at hospital,elementary school.secondary 5;-11001,college. 10. Cost at improvementPachal school.parking garage for deom anent stare.rental office budding,dice building """'""""""" $ sat indlKfral Plant.If use of existing budding is being changed.enter Praposed use, ro pe installed but non included / In rine above cost A H K (�1 L (�1 Ai G a. Electnwl.........._._................._..................... ...._..._........ b. Plumbing............._........................._......._..._......._.__... s. Heating.air conditioning..........._---............... ._._.... c. 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 nearing, 35%Gas 40 IXI Public or private company Will there be central air 1� condrtaningii 31 'Nood frame 36 ❑ Oil 41 ❑ Pnvate iseptc tank,etc.) 32 ❑ Structural steel 37 ❑ Eleancrty a4 Yes 45 ❑ NO 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will Indra by an elevator? ,�..,r 34 C] Other-Specify 39 ❑ Other-SpecrN 42 Public or Private campanY i6 ❑ Yes 47 I kl No 43 ❑ Private iw ti.cisterm +��"""'lll DIMENSIONS NInVef stones M. DEMOLITION OF STRUCTURES: '3. Total OMsauare oaleet of Hour area Has Approval from Historical Commission been received d floors oases on extenor mmCnSgns ... _............._..........._..........._.._......__....._ I Z for any structure over fifty(50)years? Yes_ No_ 7. Total two area.so.it............._....................................... Dig Safe Number 94-2 t70(o l]Z 2i NUMBER OF OFF-STREET PARKING SPACES Pest Control: 41. Enclosed .._.....................___.......... HAVE THE FOLLOWING UTILITIESBEENDISCONNECTED? z. outdoors...... .. _............................_...._........ Yes No RESIDENTIAL BUILDINGS ONLY Water: Electric: -- Gas: A. Number of Full....._._.._....................._...... Sewer: bathroorns DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial.......-.........-.......:--..... BEFORE A PERMIT CAN BE ISSUED. COMPLETE THE FOLLOWING: Historic District? Yes_ No__ (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_ No_ 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 documentation/if no, submit IF— 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 -1 Salem License# �18 -7 Home Improvement Contractor# Homeowners Exempt form(if applicable) Yes_ No_ CONSTRUCTION TO BE COMMENCED WITHIN SIX (6)MONTHS OF ISSUANCE OF BUILDING PERMIT TISTRUCTION IS TO BE COMPLETED BY: If an extension is necessary, please submit 7 S in writing to the Inspector of Buildings. IDENTIFICATION - To be completed by all applicants Name Mailing address-Number.street.cay.and state ZIP Cade Tel.No. er or UD a S.S: urGL_c,t4 Go, I,ic- 2.1 CorFGI-a-6sS actor Builder's 5 L M A. O l O License No. enINeTH -F, A-A 195 WAS Otto :ect or ee 4 At­So(_. TN C.. UJZ4 m07-tEA 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. '.ature app Ican Address Application date Z-7 ice- 6—gS I DO NOT WRITE BELOW THIS LINE VI. VALIDATION BuIdPerm ng j FOR DEPARTMENT USE ONLY Permit number � ,E d�� Building / Use Group Permit issued lit [Lr - 19� Fire Grading Building Permit Fee $ �� Live Loading Certificate of Occupancy S Approved by: Occuoancy Load Drain Tile S Plan Review Fee S TITLE NOTES AND Data • (For department use) PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: Completed by: �� VI ZONING PLAN EXAMINERS NOTES � i ' I I DISTRICT USE FRONT YARD SIDE YARD SIDE YARD I REAR YARD NOTES SITE OR PLOT PLAN •For Applicant Use I I I O N FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT � J W Q _Z In compliance with the provision of Section 113.5 of the Massachusetts m W i State Building Code, and under guidelines agreed upon by the Salem Bldg. o n o Inspector and the Salem Fire Chief, the applicant for a building permit z i shall obtain the Certificate of Approval (see reverse side) and stamped w c < 2o pian approval from the Salem Fire Prevention Bureau. ' ` _J Said application and approval is required before. a building permit may be o c ) q issued. The Massachusetts State Building Code requires compliance a. z 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 229 Appendix T, and Tables applicable shall apply. This section shall not, however, supersede the provisions outlined in the Salem Fire Prevention Regulations, Chapter Y. w 148, MGL, or 527 Code of Massachusetts Regulations. All permits for a W fire code use and/or occupancy shall apply for the entire structure; z W fire alarm and/or smoke detector installation shall apply to the m z entire structure based upon current requirements as per Laws and/or O O Codes, but the existing structure may comply with regulations g W applicable for existing structures. w cw 0 __- Notice: Sub-contractors may also be required to file individual z 0 applications for a Fire Department Certificate of Approval a c n i for the area of their work. Such sub-contractors shall file a z `z _ - an Application to Install with the Fire prevention Bureau 4 prior to commencing any work for those areas applicable. Form 81X (10/90) APPOINTMENT FOR FINAL JQ� e'n Fi,.e Depa tZment. APPOINTMENT POR FINAL INSPECTION MUST BE F-vice Prevention Bwceau INSPECTION MUST BE MADE AT LEAST ONE WEEK 48. La4ayette Street MADE AT LEAST ONE WEEK Satem, Ma 01970 AHEAD--------------------------------•-- AHEAD--_---_-.----------------- .(508 ) 745-7777 FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT i In accordance with the pr0vtzZon6 o4 the Ma-64achu.6ett,6 State Bui ed i.ng Code and the Salem F.vice Code, appZLcation .16 hereby made 4or approvaZ o4 pZa.n.� and the i.63uance o4 a certC4tcate o4 approvat 4or a burtd,Lng permit by the Salem F.vice Department. (Re4. Section 113. 3, Mo,64. State SZdg. Coda) 9100. Job Loc tt on: �90�FCI��1F (p T 11 Pr D.E(117� LnJ!all 9h _F a�70n, Ur SA2 £t4 Owner40eeupa.nt: n fASTf4ZnJ EZect,tta.ae Contr.a.ctor: e S_r E F F.ihe Suppre-6. ton Cont-%aetor: L4 I iJ CA t' ft o Si.yna twee o4 AppRi.eant: ei =-ate LAVe,_ Phone #: 508'744 "t-Sco Add,t".6 o4 S T. t.,t FL.0 c4 =n1C. City on. AApll 21 GOl`IUiL�SS ;,T• �jla2�iA1 Town: cJ�� ApprovaZ date: Cert,i4 cate o4 approval .e"6 hemeby granted, on approved pian- o2 aubmZttaZ o4 project det U,6, by the Salem Fierce Department. Att ptai" ace approved aoZely 4or tdenti.4-i.catZon o4 type and Zocoti.on o4 ¢vice ptotec -Zon devtcea and equ.i,pment. Att ptan,6 are .6ubject to approval o4 any other author.l ty having juAt6d4ction. Upon eomptetLon, the appttcant or tn6ta ter(4) 6haZ%. neque"6t an tn.6peetl on and/or te.6-t o4 the 4 iv+e protectl,on devtc-" and equ,i.pment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** 1 New eon6tnucti.on. Property Zocati.on ha,6 no compt ance with the prov-i.6i.ons o4 Chapter 148, Section 26 C/E, M. G. L. , retati.ve to the 4"tata,tLon o4 approved 4.Zxe alarm devtc". The owne'c o4 th,i-6 property L4 tequiAed to obtain compZiance a.6 a cond,t-Lon o4 obta.i.ning a Su Ud i.ng Permit. 0 Property Zoeat,Con i.6 .Ln compt,ance wdth the provi--ton 6 04 Chapter 148, Section 26 C/E, M.G. L. ExpZAa tLon date: AZ2 2L %a US Sti5 4 ince i-c i a2 Fee due: under 7 , 500 Sq. Ft. 7 , 500 So. Ft. or Zatger - $25. 00 Form #81 (Rev. '0/90 ) E COMMONWEALTH OF MASSACHUSETTSIr 4^ G�. E�t DEFAI'MENT OF INDUSTRIAL ACCIDENTS ��_ � 600 WASHINGTON STREET fames Camooel; BOSTON, MASSACHUSETTS 02111 -om.+!ssionee, WORKERS' COM/P�ENS/ATION INSURANCE AFFIDAVIT si (I icenseei perminee) with a principal place of business/residence ac: 1'7 La til G 5T• S A-A,,G-ev-x O 19"1 0 (City/State/Zip) do hcrcbv certify, under the pains and penalties of perjury, that: fv ll am an employer providing the following workers' compensation coverage for my employees working on this job. / X606 G 2.3808782 C-AA Cgsurancc Company Polity Number C'.' [ ] 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 workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number [] I am a homeowner performing all the work myself. NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto arc not generally considered to be employers under the Workers' Compensation Aa(GL C. 152,sea. 13)),application by a homeowner for a license or permit may evidence the legal sums of an employer under the Workers' Compensation Act. I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' office of Insurance for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to $1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of$100.00 a day against me. Signed th ��lJ � day of 19 Licensee/Permittec Licensor/Permittor z w � p(� O d r A f 1 IT ttehau i Duktfkts .�e aPo�w��ee .�ral� (Ra:�iri�ii�•. Governor Kew= rsutsttmr �treow ..rr�attitmirrnr 02lOd C3oirmoa tdl� C3ssta J. D7aeao . dMMnu= r " Ea1ORANDUM i0: AM Bfu4Uat 09varuncurN]tate Butltttae tnsoecsors FROM: Ch2ncs J. Oil— Admraatr2r ar DATE OCt = j 1. LURK 5u8JECT. MG(. cld. tisd. Aedes n• r4XI. N9 of rhe Arm nr 19W he atstrue.meaaoact statute rcautra ina9 ueam rautttae tram Inc ucmounon. rcaeeigMfr011Wift Ir ntner atserstwn of a nmmtae or structure ac utsaosee ni to a nronern utsereu WAM Mir 9W aoutr as uct-mat ay MGL .11. SIMA anu 11129 nuttume permms ur umma are ar ingOMP-M MM d Inc Iaauly at wntca Inc sans scam a at ne utsntsscu. 77415 REOUIREM MMOES M .APPLY TO NEW CONSTRUC',:ON. In artier to StmatlW file protea anti w amrwate uauurmnv. we arc attamtne a cop►u1 a MM-wift a sa Caner rcpronu=dna use az u Is since Me Comateteo turns will be atratsco ill Inc aid=awa bow permm or tf=nsa: or remoauce it on w7ur tetterrseatL n CMSC nt moararsaL COmmrxLML 1nua9lrLTL Ur MUM.unit anustne COnrlruCnnn.Inc 9vluraOW 11W Ga9IM ;ne uumaatersuccontraCCr at Ine time a Inc oultur11e pelmtt anptlGttatt. in 7UC6 [SSC.tbC�Oc of sa At(Id2VIt as na Itsm. 'he rammete taw is mnntnea In me Nrnemner tssue tit comwORD wnu:n will ne tttatlCd W rBa m I ien twn weem if ma snouts nave any uucsunn. efcase tct us snow. Cinikm � 1 AFFTDA VTT AS a result of the provisions of MGL c 40. 554. I acimowled¢e that as a condition of Building Permit Number all debris resulunr from the construction activity governed by this Building Permit shall be utsoosed of in a oroperiv licenscd solid waste disposal facinty. as defined by MGL c 111. S 150A. I certity that I will notify the Buddine Official by (Two mantis maximums of the location of the solid waste aisposal faciury wnere the debris resulting fros t the said construction activity shall be disposed of. and 1 snail submit the appropriate form for attachment to the Building Permit Date Signature of Permit AppfiCmt (Print or tvpe tnc foilowine information Name of Permit Applicant Firm Name. if anv e Address In accordance with the provisions of MGL c 40. S 54. a condition of Building Permit Number a that the debris resulune from this wore shall be disposed of in a property ticenseo solid waste disposal fatality as defined by MGL c 111. S 150A. 'Me debris will be disposed of in: VlnitnlC , D,-,p5� �/Lce_ (laaudn of Fatality) V�6D Fob Signature f Permit Apphmnt Date r 'O M1i1� 1 1111D COPY 5 CITY OF SALEM BUILDING SALEM, MASSACHUSETTS 01970 PERMIT DATE August 12 Is 94 -PERMIT NO. 360-91,, APPLICANT J.J. Wn_l.rh Cornapy ADDRESS 77 COnA.ress St. Salem, Mari= 487 _ (NO.1 ISTREETI ICONTF•S LICENSE) PERMIT TO N<+F; }leil TCT ^a (_1 STORY Remi NUMBER OF DWELLING UNITS ITYPE Of IUPROVEMENTI N0. (PROPOSED USE) AT (LOCATION) AfeTTr,,rTPr4 T�T9FI T•T9 YFT 3. ZONINGR) DISTRICT INO.) ISTREETI BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE R. FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Permit to construct new Eastern Bank AREA VOLUME ESTIMATED COST S 365^563 FEEMIT �.-�^T qp _- JCUBIC SQUARE FEETI [J OWNER EI{P.}11ainA. Plaza Realrx TruAt ADDRESS 1.000 M_2.nlArbod 0>•. Mnnl- gb,,AA I..7. T,en r. Tr •mlh*. I• INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR