231-251 WASHINGTON STREET - BUILDING JACKET OPendaffor
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Ceftificate No: 113-12 Building Permit No.: 113-12
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Permits
This is to Certify that the BUSINESS located at
Dwelling Type
231-251 WASHINGTON STREET in the CITY OF SALEM
------------------------------------------------------------------------- -----------------------------------------------------------------------
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
SALEM INK
This permit is granted in conformity with the Statutes and ordinances relating thereto, and
expires unless sooner suspended or revoked.
Expiration Date
---- ------------------
Issued On: Fri Sep 2,2011 -----------------
-- -------------- -------------------
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-------
GeoTMS®2011 Des Lauriers Municipal Solutions,Inc. --------------------------------------------------------------------------
231-251 WASHINGTON STREET 113-12
> ,34r-
Comm
apONWEALTH OF MASSACHUSETTS
kCITY OF SALEM
Lot 104067'£, 1 —,
Cateo ory DEMO ,
� m
erlt 11312 w BUILDING PERMIT
�Piolect# JS 2012-000306 fir.I
Est Cost $30,000 00 " sy
Fee Charged $335.00
13alane Due: $oo PERMISSIONIS HEREBY GRANTED ATO:
(ICon L Class: ; Contractor: License: Expires
hL'se Grc up _ _ I PRIDE CONSTRUCTION CONSTRUCTIO SUPERVISOR-CS97788
Loot St lsq. ft) 207 ,9232
-- 65,
Zomng: BS P,IOwner: RCG BUILDERS LLC
� � -;,
Units Gamed: {Applicant: PRIDE CONSTRUCTION
Units I ost: „ ;AT: 231-251 WASHINGTON STREET
1
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ISSUED ON: 09-Aug-2011 . AMENDED ON: EXPIRES ON: 09-Jan-2012
TO PERFORM THE FOLLOWING WORK
DEMO EXISTING SPACE TRENCH FOR PLUMBTNGPLANS IN TENANT FITOUT/REMODEL OF EXISTING SPACE jbli
POST THIS CARD SO IT PS'VISIBLE FROM THE STREET
Electric Gas Plumbing Building '
Underground: Underground: ”" Underground: - - - Excavation: .,
Service: `Meter: x � / ice "I Footings: '
I2ough:G���// J gh: Rough 0(� �'YJc�,,, Foundation:
Final:9 /'1 CJFinal: Final: I�,{.4/Jn('I ,Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health --
Insulation:
Meter: Oil: /J,
Final:
Treasury:
Nater: (Alarm: Assessor
Sewer: Sprinklers: Final: -
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON 'ION OF ANY OF ITS
RULES AND REGULATIONS.
r
Signature
Fee Type: Receipt No: Date Paid: Check No:- Amount:
BUILDING REC 2012-000.3.35 09-Aug-14 14314 - $335.00
T:
IMPORTANT:OWNER OR CONTRACTOR MUST
ARRANGE FOR PERIODIC INSPECTIOAiSPDUNING
CONSTRUCTION.SEE CURRENT BUILDING;CAGE _
CHAPTER 1 FORLISTOF REQUIRED INSPECTIONS.
CALL 978-619-5641 TO SCHEDULE AN INSPECTION '
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Certificate No: 57-11 Sign Permit No.: 57-11
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Pernuts
This is to Certify that the BUSINESS located at
-----------------------------------------------------
Dwelling Type
231-251 WASHINGTON STREET in the CITY OF SALEM
---------------------------------------------------
----------------------- ----------------------------------------------------------------
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
OCCUPANCY PERMIT FOR(FRANKENSTEIN ART)jbh
This permit is granted in conformity with the Statutes and ordinances relating thereto, and
expires _ unless sooner suspended or revoked.
Expiration Date e
Issued On: Wed Aug 4,2010 -
--- ........ - --- -- ---------------------------
GeoTMS®2010 Des Landers Municipal Solutions,Inc. ;------------------
c�
vsnve �o
CITY OF SALEM
BUILDING PERMIT
Certificate No: 0 Sign Permit No.: 2041-08
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Permits
This is to Certify that the BUSINESS located at
--------------------------------------------------
Dwelling Type
231 -251 WASHINGTON STREET in the CITY OF SALEM
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
RETAIL STORE
This permit is granted in conformity with the Statutes and ordinances relating thereto, and
expires unless sooner suspended or revoked.
Expiration Date
----------------------'---'_-------------------- -----------------------------
Issued On: Tue Jul 14, 2009
----- --------------
GeoTMS®2009 Des Launers Municipal Solutions,Inc. ------------- ----------------------�f-�-'-- -- ----- --�+ - ---------
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OP-2002-0063 Building Permit No.: 356-2001
Commonwealth of Massachusetts
City of Salem
BUILDING,ELECTRICAL&MECHANICAL PERMITS DEPARTMENT
This is to Certify that the______ BUSINESS located at
Dwelling Type
0231 WASHINGTON STREET 251in the CITY OF SALEM
------------ -------- ------------------------------
Address Town/City Name
IS HEREBY GRANTED A PERMANENT
CERTIFICATE OF OCCUPANCY
Biscotti Cucina Bakery
This permit is granted in conformity with the Statutes and ordinances relating thereto,and
expires unless sooner suspended or revoked.
Expiration Date
------------------------------------- --- — ------ -- - ------- -------
Issued On: Thu Ian 31,2002 ------ ----- --- ---- ---- ----` --
GeoTMS®2002 Des t.auders Municipal Solutions,Inc. - - - ---------- -- - ---------- ---------------
>'3
�ONDIT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street—4`h Floor
HEALTH AGENT Tel: (978)-741-1800
Fax (978)-745-0343
August 23, 2001
Minoan Mill Hill Realty Trust
C/o Delulis Properties
31 Collins Street Terrace
Lynn, MA 01902
Dear Mr. Delulis:
On August 23, 2001, Thomas St. Pierre, Building Inspector informed the Salem
Board of Health that he observed exposed, friable material that appeared to
asbestos within the building being renovated by you at 231-251 Washington.
From the scaffolding outside the building, Senior Sanitarian, Jeffrey Vaughan
observed what appeared to be crumbling, friable asbestos in the open ceiling
area around the pipes. A section of this material had fallen to the floor.
Exposure to friable asbestos constitutes a serious public health nuisance.
Therefore, in accordance with Mass General Law chapter 111, section 123, you
are hereby ordered to cease and desist renovation and demolition of this building
immediately. You are also ordered not to resume such operations until you have
received a permit from the Massachusetts Department of Environmental
Protection for removal of asbestos material. The contact there is Joseph Darling,
DEP NERO, 205A Lowell Street, Wilmington, MA 01887, telephone number
978-661-7625.
Sincerely yours,
oanne Scott
Health Agent
CERTIFIED MAIL 7099 3400 0008 9438 6488
cc: Leonard Milaszewski, Board of Health Chairman
Thomas St. Pierre, Building Inspector
0231 WASHINGTON STREET 251 356-2001
GIs#: 1821 COMMONWEALTH OF MASSACHUSETTS
Map: 34
Block: CITY OF SALEM
Lot: 0406 -
Permit: Building.
Category: 437 Nonresidential:ad BUILDING PERMIT
Permit# 356-2001
Project# JS-2002-0613
Est. Cost: $75,000.00
Fee: 1 $755.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class:, ; Contractor: License:
Use Group: DeIulis Brothers Construction General Contractor- Salem#1894
LotSize(sq. ft.): 20766 Owner. MINOAN MILL HILL RLTY TRUST
Zoning: BS
� Applicant: De Iulis Brothers Construction Co Inc
Units Gained:
Units Lost AT: 0231 WASHINGTON STREET 251
ISSUED ON: 27-Oct-2001 EXPIRES ON. 27-Apr-2002
TO PERFORM THE FOLLOWING WORK:
Tenant fit up per plans submitted. (Bakery) P.S.
231 Washington St
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
UndergroundkP(((j—//-G/ Service: Meter: Footings:
✓'jC Foundation: ///��t
Rough:VK Id 0/Ohr Rough:d—//10/ House# Rough Frame: K CA /w)yto
Final•6?f(j-d -�-0d Final: /` I�r�.
Fireplace/Chimney:
r l
Insulation:
GasFire par ent Board of Health Final: OK. 5 a7
Rough:P/(, Treasury:
Final: Smo Excavation:
✓ � VIS
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VI OF NY OF
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2002-000660 18-Oct-01 6195 $755.00
Call for Permit to OCCUPY
GeoTMS®2001 Des Lauriers Municipal Solutions,Inc. 1 J J
CITY OF SALEM-
BUILDING
PERMIT
Salem
Redevelopment
Authority
August 8, 2001
Mr. Patrick DeIulis
31 Collins Street Terrace
Lynn, MA 01902
Re: 231 Washington Street
Salem, MA
Dear Mr. DeIulis
It has come to the attention of the Salem Redevelopment Authority (SRA) that you are
performing exterior renovations to the building located at 231 Washington Street in Salem, MA.
This letter is to remind you that this building is located within the boundaries of the City of
Salem's Urban Renewal Area. This designation mandates that any exterior alterations to your
property be reviewed by the Authority's Design Review Board (DRB) and approved by the SRA
prior to any construction.
I have enclosed the appropriate application necessary for such approval. Please return the
completed application and accompanying material to this office as soon as possible so that your
application can be presented at the next Design Review Board meeting.
If you have any questions regarding this issue, please do not hesitate to contact me or Don
Giard at 978-745-9595, ext. 311.
Sincerely,
J
P. Walsh
ive Director
cc: Peter Strout, Building Inspector
One Salem Green • Salem, Massachusetts 01970 • (978) 745-9595, Ext 31.1 • Fax (978) 740-0404
.<ontily-
�os, CERTIFICATE ISSUED
~ r, DATE .Tune 17� IQQG
9
CITY
LEM. MASSACHUSETTS 01970 BUILDING PERMIT -
a4�D,nT CERTIFICATE OF OCCUPANCY
DATE - _'"ibpr :_{t 19 PERMIT NO. I_ IJ
APPLICANT )B. _ _ _^E 7 Sfl `ADDRESS :: I :.o 1. 15 Zi6
(ND.) (STREET, ICONIR'S LICENSE)
NUMBER OF
PERMIT TO _ A : . :-'.l` !'•TP I_) STORY DWELLING UNITS
('�RE�^101" II.P)ROVEMENTI N0. IPPOPOSEO USE)
AT (LOCATION( -7C31�1 111 Tali"' " 'p.` -�^p - ZONING I.
IITi0.1 (STREET) DISTRICT %
BETWEEN
AND
)f8055 STREET) ICRO55 Si REETI
SUBDIVISION LOT
LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE PI FT. LONG BV FT. IN HEIGHT ANO SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
TYPE)
REMARKS:
lull 6E
AREA OR E 9YNI ESENY AICEEy
VOLUME � 4YUYY�S 911YEE _ AEAIW�MI SME
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iwNER - -� - l TO BE POSTED.ON PREMISES
A ODRESo 1 ! )- • ••'- - +-%• I _fit,:_ SEE.RE VERSE.S I(]Ei FDR!CONOIT IONS OF CERTIFICATE
DEPARTMENTAL;APPROVAL FOR CERTIFICATE
of`OCCUPANCY and COMPLIANCE
" a
z Tobe filled in by each division indicated hereon
s, _ � upon completion of its final inspection.
N.
'�BUIl: INGS Peimit No. 518-93
Approved by _Leo E. ;Trembla' Date 6/9/94
Remarks
PLUMBING Permit No.
Approved by Dennis RossDate 5/5/94
Remarks
ELECTRICAL Permit No.
I
Approved bye Al Falkowski Date 5/24/94
Remarks
OTHER Fire Permit No.
Approved by_ Norman LaPointe Date 5/ 16/94
Remarks
OTHER• Permit No.
Approved by' i.. Date
Remark's
c
v r zD • THIS PERMIT NOT VALID_-U
-� r, .gU,lLDlNG jc PROPER LY�RECEIPTED,BYi CASHIE®'
CITY OF SALEM
SALEM, MASSACHUSETTS 0197bPERMITi
VALIDATIONS 4>
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OF qNY APPLICABLE SU BOry 1510N RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLAN$ MUST BE RETAINED ON !OB AND THIS WHERE APPLICABLE SEPAR.ATEt',c
INSPECTIONS REQUIRED FOR PERMITS aRE REOUIREQ FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL OUIREO,SUCH BUILDING.SHALLNOTBE OCCUPIED UNTIL
MEMBERS(READY TO LATH).
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. µ�
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET' '
BUILDING INSPECTION APPROVALS P UMBING INSPECTION.APPROVALS ELECTRICAL INSPECTION`APPROVALS
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BOARD OF HEALTH GAS INSPECTION APPROVALS F�yE DEPT. SPECTING APP VALS
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WORK SHALL NOT PROCEED UNTIL TIE 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 TELEPNONE
STAGES OF CONSTRUCTION. PERMIT 15 ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.
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j� ' THIS PE^RPMVTIIGOT�VALID U ,,SS
BUILDING ,, PROPERLYI RECEIPTED BY CASHIER
CITY OF SALEM
a
- � SALEM, MASSACHUSETTS 01970 i"Q'PERMIT
T v [�I� VALIDATION
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Ary,CG�G.^I MLG YG:MNII l'IVC] NV I MG`L`G`PSG 1.1J N-AYYL C1NT FVpM T.H6 C(tKIQETRxTI(.--
'OF ANY PPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUMOF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPEC TI ONS REQUIRED FOR PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL OUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MENRE TO LATH). FINAL INSPECTION HAS BEEN MADE.
3. PWA[AL INSPECTION
ON BEFOREE
OCCUPANCY. - I-
POST THIS' CARD SO IT IS VISIBLE. FROM STREET
BUILDING INSPECTION APPROVALS P UMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
3/����y D�
BOARD OF HEALTH GAS INSPECTION APPROVALS FIRE DEPT. SPECTING APP VALS
OTHER CITY ENGINEER 2 Z
' ✓/ —
WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARO
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.
DeIULIS BROTHERS JOB &-r >- S?ff7 r14. e-
CONSTRUCTION CO., INC. SHEET NO. 23I /Pc�,1.P .}SnfEi/JC �ealS�'
31 Collins Street Terrace
LYNN, MASSACHUSETTS 01902 CALCULATED BY DATE 3 Izz
(617) 595.8677 CHECKED BY DATE
FAX (617) 593-7840
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A
1
No:� -9�? City of Salem Ward
<UaMt
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items in sections:1, ll, /it, IV,and IX.
I. AT(LOCATION) DISTRICT d s
LOCATION (NO.) (STREET)
OF BETWEEN 1Y L.r- fill L� AND J��D�j.E— 1
BUILDING L0
(CROSS STREET) (CROSS ET)
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(If residential,enter number of new 12 ❑ One family 18 R]-Zrnusement,recreational
housing units added,it any,in part D,13) 19 ❑ Chruch,other religious
13 ❑ Tw0 or more family-Enter number
3 5 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 .....................I.....
5 ❑ Wrecking(It multifamily 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
EL OWNERSHIP
28 E] Tanks,towers
8 RPnvate(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 ......................................................... $ l,0 o o n at industrial plant If use of existing building is being changed,enter proposed use.
To be installed but not included
in the above cost ypp vq L PA Ly /e
a. Electrical........................................................................... @ e C.
b. Plumbing.......................................................................... 6,1 D
c. Heating,air conditioning
d. Other(elevator.etc.).....................................................
11. TOTAL COST OF IMPROVEMENT $ G Se
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 ML'7 asonry(wall bearing) 35 Gas 40 Q Public or private company Will there be central air
31 F1Wood frame 36 El oil 47 [:] private(septic tank,etc.) conditioning?
32 ❑ Structural steel 37 ❑ Electricity 44 M-les 45 []'No
33 Reinforced concrete 38 ❑ Coal H. TYPEOF WATER SUPPLY Will them by an elevator?34 ❑ Other-Specify 39 ❑ Other-Specify 42 2 Public or private company 46 ❑ yes 47 ❑G'No
43 ❑ Private(well,cistern)
4
J.DIMENSIONS
48. Number of stories ...........................�............................. M. DEMOLITION OF STRUCTURES:
49. Total square feet of floor area, Approval all floors,based on exterior Has oval from Historical Commission been received
dimensions ........................................................................ for any structure over fifty(50)years? Yes_ No
50. Total land area,sq.fl._l!S...P...a..t ............. Dig Safe Number
K.NUMBER OF OFF-STREET PARKING SPACES Pest Control:
51. Enclosed ...............................................-............................
52. outdoors...... -.0....r 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 BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:
Historic District? Yes_ No 1- (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? Yeses No_
Is property located in the S.R.A. district? Yes_ No
Comply with Zoning? Yes--L,, 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_ Not� (If yes, submit documentation)
Massachusetts State Contractor License# Salem License# Zi
Home Improvement Contractor# 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. e4c..Qf�3�- -�' o19e2 )2"-
Owner or
Lessee
�p
C vu .ev . G-o= (f'c �rrsv ��, d!?a-Z
Contractor
GC J�� Builder's
License No.
3.
Architect or r'
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- -e ^ p „ . Address o e Application date
.,;:.,.. . . .. ,.:..,; .. ;.. d ..'i <:, .:... '... _.. i ... •,.. �... �. . . ^i,ls .>SYfSlr.J* R5S Ja:,'._...
Sateen Fare Depa4went.
Eire P4.eve tt4on 13uxeaLL
48 La4ayezte St%eet
Satem, Ma 01970
(508) 745-7777
` FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In accoadance w.Lth the pn.ov4:-4ton,6 o6 the Ma,64achu ett6 State Bu Ud Ln� Cudz
and the Sa eem Fi�Le Code, aPPt-LcatLon t4 heaeby made Jon appnova2 04 ptan,6
and the 444uance 04 a ee4t44tcate of app4.ovaC 60-L a buttd.Lng pe-Ln-t by .the
Salem Fite Depaatment. (Re6. SectoLon 113. 3, Mafia. State Stdg. Code)
Job Lucati.on:
25/ GfRSH/�JGT a .r 5 T
Owner/Occupant:
/
lricr, Ae RE�t�z� 77e ,n.- torr. oeuFGea,eo P�� r4_jZ'"
EZeathica.Z Cunt�racton:
/VOlf?H
F,%e Suppne644on Cont4acto4.:
St_gnatuxe 04
Apptaicant: Phone k:
(6 SSS=86�!
Addne," o4 Cd ty on
Appt.Lcant. Town: 4,V-rd
App4ovae date: 11 /.23 A
Ce4t,44tcate o4 app4.ovaZ Z4 he4.eby 94anted, on appaoved ptan6 on aubmi ttat
06 p4tojeet det 4X-6, by the SaCem F:�%e DepaAtment. AZE ptan.6 ate apptoved
.6otety 4oa .LdentLJdeatton o4 type and t0cmtLon 04 4-Lte PtoteetLon devtce,6
and equtpment. Att p.Qan6 a-te .6ubjeet to app4.ovae of any othea autho4,i ty
hay.uzg Ju4,i.6dtctLon. Upon eomptetton, the appt- cant 04, tn6ta.Uen.(.6) ,6ha t
neque6t an tn6peetLon and/on teat of the j4,te pnotectton devlce6 and
equtpment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** J
0
New corco#ieuc t.ton.
P-Lope, ty ZocatLon hab no compliance wLth the p4.oWt dton6 04
ChaptejL 148, SeetLon: 16 C/E, M.G. L. , 4e ztZve to the
4n4taeatLon 04 approved 44,te ata un devtr-e.6. The ownea o4
th i-6 p�c0pe2ty 46 aequX-,Led to obata i.n eompt-Lance .a6 a
condtt.Zon o4 obtatn4ng a BuZtdl .g Pe%m4.t.
- _Pnopenty-Zoca tton .L6 to compt i,ance w.i th the p tavtz—Lon.6 a.6 - —
Chapten 148, Section 16 C/E, M.G. L.
Expi4ation date: 3115/9y //
S-49natute o4 Fvice 069.Lc i,aZ
Fee due: under 7, 500 Sq. Ft.
7 , 500 So. Ft. 0-L Catgut - $25. 00 Fo4m 1t81 (Rev. 10;90 )
h'
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 stampedapproval 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 wil
got, in the opinion of the Building. Inspector,'trequire 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: 'a 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 81% (10/90)
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building �) (�. �� FOR DEPARTMENT USE ONLY
�
Permit number
Building _ � (� use Group
Permit issued w// "> 19 7
Fire Grading
Building /J �
Permit Fee $ 6 C Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ '
TITLE
NOTES AND Data • (For department use)
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by: Completed by:
'i
6
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
R
SITE OR PLOT PLAN -For Applicant Use
O N