BUILDING JACKET (004) 0
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f't
I The Commonwealth of Massachusetts
q Board of Building Regulations and Standards FOR
Massachusetts State BuildiXRr,
Cd 780 CMR MUNICIPALITY
USE
t 1 Building Permit Applicati To ConstrucRenovate Or Demolish a Revised Mar 2011
O e- r Two-Famig
is Section F r OfficiaYOse Only
Building Permit umber: Date Applied:
Building Official(Print rqarW Signature 10 Date
E TION 1:SITE INFORMATION
1.1 Pr erty Address: 1.2 Assessors Map& Parcel Numbers
1.la Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(tl)
1.5 Building Setbacks(ft)
front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'yf Record:
y_Okl (_ 0-)1t'h acv—1
Name(Print) ity,State,ZIP
Ce Y1hYl l A Or d gc� 4_So'
Noo..and Street T TeJ�phone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WOR]e (check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Altemti s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units er ❑ Specify:
Brief Description of Proposed Workz:
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
d. Building $ Q 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4.Mechanical (ITVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $
Check No. - Check Amount: Cash Amount:
6. Total Project Cost: $ 0 Raid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5. onstruction Supe r Li a(CSL)
License Number iF tion 4t,
Name of CSL Holder
j ax 1 ��/�, List CSL Type(see below)
NN.and Street ` y� T Description
Unrestricted(Buildings u [ 35,000 cu.ft.
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP' M Masonry
RC Roofing Covering
WS Window and Siding
(T4190-11-
4SF Solid Fuel Burning Appliances
I Insulation
Email address D Demolition
5.2 Re *stered Home Improvement Contract o HIC)
HIC Registra on Number E irati llate
HIC Cora an am or HIC i an e
ME) I
No. d,Street 0 Email address
Ci /Town, State,ZIP Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of drjsspance of the building permit.
Signed Affidavit Attached? Yes ...... .. No ........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES
FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorize
to act on my.behalf, in all matters relative to work authorized by this building permit application
Print Owner's Name(Electronic Sign ) ate
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understandin .
Pm wner's o e(Electronic Signature) Da e
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(IIIC)Program),will not have access to the arbitration
prograrn or guaranty fund under MG.L.c. 142A Other important information on the HIC Program can be found at
www.mass. oQ v/oca Information on the Construction Supervisor License can be found at www.mass.eov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basementJattics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage" may be substituted for"Total Project Cost"
\\G7Min�W�r��
Salem Historical CommISS1011
120 WASHINGTON STREET. SALEM, MASSACHUSEEtTS 01970
. (978) 619 5685 FAX(978)740-0,404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
Reconstruction ❑ Alteration
Demolition ❑ Painting
❑ Signage ❑ Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: McIntire
Address of Property: 11 C 2mhridge Street
Name of Record Owner: Kathleen 7uhick
Description of Work Proposed:
Replacement of 3-tab roof shingles to replicate existing as close as possible (CertainTeed XT30, 3-1ab in
Weathered Wood). No changes in color, material, design, location or outward appearance. Non-applicable
due to being in kind maintenance/replacement.
Please note that this property is still under violation per Certificate of Appropriateness dated October 3, 2002
and should be corrected forthwith. "Rear porch railings to be painted to match the front porch, pergola and screen to
be painted trim color and decking/stair treads to be clear stain or a stain no darker than 13 Cambridge."
Dated: April 7, 2011 SALEM HIST CA MISSION
By:
The homeowner has the option not to commence the work (unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals)prior to commencing work.
a
�j The Commonwealth of Massachusetts
06 s; i tj Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code, 780 CNIR SALEM
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised I lur 2011
One-or Tnv-Funk.'Du ellinx\,
This Section For Official Use out
Building Permit Number: ate Appli•
Building 01111cial(Print Name) Signa ure 6
Drill'
SECTION I:SITE INF IATION
1.1 Property Address: 1.2 Assessors Nlap& Parcel Numbers
/i 04y8ez $Z Si F.n�
L is is this an accepted'
ccepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq It) Fronluge(Iq
1.5 Building Setbacks(ft)
4
Front Yard Side Yards
Rear Yard
Required Provided Required Provided Required 4 Provided
1.6 Water Supply:(M.G.I.c.40.§Sa) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public Private O Zone: _ Outside Flood Zone?
Check if esO MunicipalM�On site disposal s)slem ❑
SECTI N2: PROPERTY OWNERSHIP'
2,1 Owner'of Record:
STEVGu -IL] JOr. c' i3�z
Name(Print) L It .Slate,ZIP
Ad Street Telephone hmuJ Address
SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply)
New Construction❑ Existing Building❑ Owner.Occupied ❑ Repairsls) ❑ Alteration(s) Addition ❑
Demolition O Accessory Bldg. ❑ 1 Number of Units I Other ❑ Spccily:
Brief Description of Proposed Work: sj2l{pj,[, �,>♦g sy ,.
/ rn1Gi 7n /',..� ,t �` Oeerdl -L1tL r I
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Itcm Estimated Costs:
I Labor and.\laterials) Official Use Only
I. Building SQ,— I. Building Permit Fee: S Indicate how fee is determined:
'. Electrical S ❑Standard City7own Application Fee
7. ElecricO� ❑Total Project Cost'(Item 6)x multiplier __..x
Plumbing S Oc), 2. Other Fees: S - -
q. \Iechanicul III\':\('1 S List:
5. \IechIlicclt (Fire .___-- --- —-- --- -- -'
Su t ucssion) S Total :%It Fees: S_ _
o Total Project Cost: S d Check No. -----('heck Amount: - ---- Cash \uluunc
(]� ❑Pni I in Full 13 Outstanding Bal,mce Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Su ervisor License(CSL) '
License Numbcr P\piradon ale
Ndnto of CSt. I lulder
cam List CSI.
/ -z,
- <7-- ------------ 'I')pe Description
No. and Street
(I (Inrestricted(Buildin 9s Up to 35,000 cu. 11.)
R Restricted I:C'_Pamil M%ellin k
(AM foen.State.LIP M Masonry
RC R,wlin Cuverin
-_ WS Window and Siding
SF SuliJ Fuel Buming Appliances
cl hot e I Insulation
'fete hone Email uJJress D Demolition
5.2 Registered Ilome Improvement Contractor(HIC) ` a
I IIC Registration Number F.\pirniun Date
I IIC Compan) Name or I IIC Registrant Name
No. and Street Email address ,
City/Town.State,ZIP Telephone
i
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.1 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes .......... ❑ No........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property,hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Print Oaner's Name(Electronic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
Print Owners or:\utlnniicJ Agent's Name(Electronic Signature) Dune
NOTES:
I. An Owner who obtains a building permit to do his,her own work,or an owner who hires an unregistered contractor
(nut registered in the Hume Improvement Contractor(HIC)Program),will no have access to the arbitration
program or guaranty fund under I.G.L.c. 112A.Other important information on the HIC Program can be found m
;% i Information on the Construction Supervisor License can be found at r>s\s.nos 4t,
2. When substantial wurk is planned, pros ide the information below:
Total fluor area(sy. R.1 _ I including garage, finished basement attics,decks or Porch)
Habitable room count --
\umber of lireplaces._- - _ Number of bedrooms
Nuniberofbmhroonu -. .- - - . . NUInbcrofliall'belhs
I\pe of heating i)stem .. ._ . _ __ Number of decks, porches
1)Ile ol'cooling s)stem . . - _ 1?11closcd (teen
1. "T,gnl Project Syimre Footage-nuq he substituted for"Total Projec(C'osi-
b.cum",
y
AAA/MINBW
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstniction Alteration
❑ Demolition Painting
❑ Signage ❑ Other work
as described below will be appropriate to the preservation of said Historic District, as per the requirements set
forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: McIntire
Address of Property- I I Cambridge Street
Name of Record Owner: Steven & Julie Colby
Description of Work Proposed:
Construction of shed dormer on left (North) side of house per drawings submitted, to match existing materials.
Width to be 8'0"from eave, height of dormer to be 3'0"from roof to top of'eave as depicted on Sketch 2. Ridge
of new downer to coincide with exi.vting ridge. Option to reuse skylight in dormer roof
Window(s) of dormer to be continued to the meeting of December 21't (or Jarnuary 4"' rf requesTed by applicant).
Dated: December 12, 2011 ;7/=
R a\LBy: Z& .
fhe homeowner has the option not to commence the work (unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A 13LJILDING PERMIT. Please be Sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals) prior to commencing work.
'J _ -'. _._.._.--
, `�/�� � I'he Comnwnwc:ihh uf Massachu+xlls -- _ _
n i,�j j� IluarJ u(13uiWing Rcgulations;mJ S�andarJs CI'I'1'�)F
ry ti,\LI:\I
�I`��� �,.�,;� � �bi;issarhusctts Statc Ouilding CoJ�. 730 ChiR /7.�ri.rrJ.IGu 'u//
v 'L.,..�
13uilJing Prrmit Applir,rtion 'fn Construct. Rcp�ir. Krnuvate Or Dcmulish �
fh���-ur T�vu-P'uniilc D�n�(lin,��
This Sectiun Fur Olficial •e Oni /�
l3uilJing Permit Number. Dale� li� • �
- �' � 5 '� 13
l)uiiding 011icial IPrim N;unc) tii�talurc D�lc
. SECTIOIV I:SITE IIVFORIIIATIOIV
I.I Property AJJreee: �_ 1.2.lesnson biwp dc Purcd Numben
�//C��o��a��—�,� �A
I.la Is this an ncce ted strat?yu ' no ����p Nwnhvr Purccl Numlxr
I..1 ZonlnQ Infonnnflon: I.d Property Dimen�lon�:
Znning District I'rupuscJ Usu Lut Arw I�y Itl I'ronwga�11)
I.S Bulldlna Setbacka(R)
Front Y�vd SiJc Y�nb k��y;v�
Reyuired I'ruvided Reyuircd Provided Nayuircd 1'rovideJ
1.6 Wyter Supply:�M.G.1.c.JU,§Sa) 1.7 Flood Zone Infarmwllon: 1.8 SewxQe Dlepo�al System:
Public O Pnvulu O Zone: _ OuLviJn F�ood'Lune? Municipel O On si�n Jispusul s �I�m ❑
Check if ceO 1 '
SECTION2: PROPERTYOWNERSHIP�
2.1 Owner'of Recordt
s�,r� cp.�.R� �[F� .��. a�q��
N;mic IPriaq C ily.Smlc.l.IP
d1 �w.M�2�Oc� s,— /-Go3-7�8.�v�
Nu.anJ Strccl . �f elephone Fmuil AJdrcss
SECTION J: DESCRIPTION OF PROPOSED WORK�(check oll thqf opply)
New Construction ❑ E.risting Building � Owner-Occupied �, Repairs�s) ,Ql Altermion�s)f� Additiun ❑
Demulition 1� AccessoryBldg.❑ NwnberoFUniis Other O Speciry:
Oriaf Descrip�ion of Proposed Work':_�,7�;cs� V iZ,:l�„c ��,aG(,t> ,�LBr+�S ,�Fp�a1c;� �y �
iA9rui�u��5� OIJF. �Ki TJJO _ :�76/+lrn�r YXi�iir v� Cna�:�- r��/1 R/nt�Clw.+wCl.lnr-Il� R(e���/
1�>�tu ,�XG C:s..;fP,>e_��>._ns�yT � ��K� 1 /<i1—�L�� i/ ii�_F��-.i��— P�;4'iRiw'�
SECTION �: 6STIJI.�TED CO�VSTRL�CTION COSTS
- ������ Estimmad Cosis:
I L;ibur:md \I�ta�ialsl Offlciul Use Only
I. DuilJing $ � �� I. Building Pertnit Fee: S Indicate how f'ee is determineJ:
'. h:lecuieal S ❑Siandard City�Tu�vn Applieation Fee
' O�� ❑Tutal Projat Cusl�I linn 6)r multiplier ____x
� i. Plumhing 5 ' v U ?. Uther Fees: 5 - -'-- -
� 1. \I.�h:mie,d ii11�.1(') 5 -_ List:- ---- ---�����
i5. \Irrhanical iFirr 5 _ -------.-- --- .----- .._--..._ . .
tiu�+iri5ionl T�rtal .111 Pc¢5: S
Chrck:\b. ('hrek:\nwunC l',uh �\muun�:
! o Tnt�l l'rojccl Cusl: 5 p. - - - ----
3( �U� ❑PaiJ in F'ull ❑UUISI:IIIIIIIIy II:II:IIICC I)UL':
.
tiEC'IION S: ('ONS'I'RUC'fION tiF.HVI('RS ' �
S.I Cunstructiun Supcn isur I.icciue ICSI.I _�l�l - - - - /plx 5�3
��� I icensc Nwnhcr f�pir;tlion I):tic
.r----v��`r��- ___ ____._---
' N;unc��I'Ctil. I IuIJ¢r
L/ �y��/�,�� I isl Ctil. f�px I•�c h¢lu��l__".�____
_�1��HlY��GZ!:.-Jr�_..--_- -'-.--__--- '11pe Ucxripliun
���. .inJ tilrcel
i�'A,� ��J �J � l� 1�nrcsiri.icJ 1 DuilJin�e ii io is,11110 eu. Il.l
LC^�Z��%—LL� , .. DC/-L---�--.. . . R Rntricl.d IXL P.unil � D�wllin
l'ini fown.`t:ua LII' AI Al;uun
� µ(' R�ndin Coccrin
._._. N'ti N'inJu�r:mJtiiJin
p9'/ Q ,/ �Q // /�'�"� tif �ulid I�uul I)urning A(1PIIJOIC!
9�0'OLS�'�LfT�,�la�Ul^Lf.[.�.T7`�i �19�7(vg� 1 IiuidWiun
1'.Ic hane I[mail:iJJra,i D Dcmoliliva
5,2 RrgistcreJllumeimpruvemenlCuntmctor�FI1C) ��32jc�. l
�j�yZ�[�„c-,�,�%r� I IIC Rcgistr;uiun Numhcr h.cp utiun b�ic
I IIC Compan) Nanw or I IIC R¢gistr�nt Nantu
� ���
Nu. wiJ SU¢et LttIJ1I JJ1IRStl
c� rroWn, siace,ZIP Tcic n��r
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.C.4 c. IS2.� SSC(6))
Workers Compensation Insurance nffidevit must be completed end submitted with thia applicetion. Failure to provide
this aFlidavit will result in the deniel of the Issuance of�he building permit.
Signed A ffidavit Attached7 Yes .......... O No...........O
SECTION 7�:OWNER AUTHO(tIZAT10N TO BE CODIPLETED 1VHEN
OWNER'S ACENT OR CONTRACTOR APPLIES FOR BUILDINC PERMIT
I, as Owner of the subject properry.hereby authorize
to act on my behelf,in all mntten relntive to work authorized by this building permit applicalion.
Print O��ncr'e Nwne(Elcctrunic Signowrc) D'JlC
SECTION 7b:OWNER� OR AUTtIOR12ED aGENT DECLARATION
By entering my mm�e balow.� hereby auest under the pains ond penalties of perjury that all uYthe infurmntio�
coNainrd in this application is true and accurae to�he best of my knowledge and understanding.
Nrim U��ncr't��r:\uth�vireJ,\bcm'+N;unu I lik.lrunic.�iynauirol n"�`
VO'fES:
I. :\n O��nar ��hu ublains a building permit lo do his.har uwn �rurk,ur an owner who hires an unrcyisterrd cuniracwr
�nut regisrered in ihe Hwne Impru�emrnt Cunancwr�HICI Programl,�vill no hove aaess to tha arbitr�iiun
progrom ur guar:mty funJ wid�r\I.G.L.c. I a?.1.Other impunan� infbnnmion on the HIC Program.an be fiwnd a�
o���� nt1�.. ���� .�..i Infomiution un �he Cunstruclion Supervisor License can be found al ����`� i�i���� �,'� '�I"
� \1'han subs�amial��ork is planned, prwiJe ihe inl'urm�iiun bclow�
fo��� tlour arc�I+y. R.1 _�a5 � �--..-I including g:vagt. tinishtd bascmenC�tties.Je.ks��r pur:l�l
Gruss Ii�ing erea isy. 1T.1 --- - H:ibi�ablt ruum tuunt ___ ._. . _ .
_..- - '
� \wubtt ol'lircplo.cs .... \umher oYb.droums . .. _ . .
� Vumhcrol'ho�hnwnu �'-- -. . . . _ -_ �umberul'h:dlhutlu .. . . .
I I'�po af h.,uing i�;icm . _ Xwnh¢r ul'daki, por.h.s I
� fnclos.J Op•n �
i �1��C��1 i0���111_4' i\>ICIII , , . .. .
i {. "�old� ��f��j�'d ti��U:IfC �'UpCl4���Itl:l\ he:uh��imtrJ ILr'f��ial Pruj.ct C�ut" i
z . . . ..
` \ N.I.G. . A 3 . .
�J (PHASE )
LIDIN6 DOOR AND TRAGK BY
° LOF HAEFLE.
� ry O
OOG PINE HANDRAIL WITH ? Zrn
I ELEV. 0+48'� "WA6NER"BRAGKETS(2) U��
ROOF PRIME AND PAINT. ALL HARDWARE �
c�i BATHROOM TO MATGH(GABINET, DOOR,
008 T_O" 3' O" 3'_g" BRAGKETS c=i ��
REGLAIMED PWE TREADS FOR a � �
� STAIR EXP05ED TO VIEW FORM w �E ���
� 3�-10° EXI5ITNG SITE MATERtAL OR STAIN � �" ���
NEW TO MATGH EXIST. � �� �� �
�
� � ( S, 1 �
�-� XISTIN6 GMU WALL TO BE N �/ m = �
MODIPIED AT NEW STAIR W.G. P — 1
LOGATI NS SAWGUT AND REMOVE _3
TO NDERSIDE OF ROOF DEGK TUB+ 5 Y L V. O I6�� N
WHERE REQUIRED 70 = 5H. 2668 31 �II
GGOMODATE STAIR ONLY -
— - �
`� REF. � GONFIRM NEW ELEVATIONAL
� � � DIMENSION AT RELOGATED
� p � i EXTERIOR ENTRANGE � o
� + 3 '-2" WALL DEMO p
�/ Z � Z 2868 DEMO EXIST. FLOOR FINISH AND �
�-� � � z � KITCHEN E EV. O+O'� SUBFLOOR TO EXPOSE STRUGTURE. w „ .- � „ „
� � � � STO E 00-I G.G. TO REVIEW STRUGTURE o R g' � � ' '
� INTEGRITY, PERFORM ON SITE � > ^
O � � � � ELEVATIONAL SURVEY TO �
Q 4 � 6RANIT DETERMINE EXTENT OF LEVELLIN6 �
� � � Z B f- ISLAN REQUIRED. INSTALL NEW 2 X 10 A LL , � a $ �
> o v p - z TOP A'3 � � _ � � � S
� � � �p AT Ib" O.G. DEPENDENT ON EXIST.
— � O y � d STRUGTURE SPAGIN6. PROVIDE NEW
� z � U I/2" MARINE PLYWOOD SUBFLOOR
� � �' � INK TO REGEIVE WIDE PLANK
� m w Z FLOORIN6 TO MATGH EXIST. LIVIN6 0
.� `� � � 3,_q„ 3,_3„ RooM FLooR Z o ; g g
W G B T �, � ° � � z
� u: -- � � � � ��
� — WOOD THRESHOLD A FLOOR > o � o a
� p� FRAMING TRANSITION A m � m y z
� / � a-2 � o � � o
_i _ _ � - C�L LL
- �
PROYIDE NEW STAIR LA LEV. 0+8"
TREAD TO MATGH EXISITN6. STAIN � g �
AS REQU�RED TO AGHIEVE GOLOR snee�
MATGH 14'-5" + OR . V.I.F. POST DEMO EMO EXIST. RADIAT�ON. PROVIDE
SMALLER WIDTH UNIT REPLAGEMENT A-1
RADIATION TO AGGOMODATE NEW
City .of Salem, Massachusetts
aEngineering Department
120 Washington Street, 4th Floor
Tel. (978) 619-5673
Fax (978) 745-0349
Kimberley Driscoll
Mayor BRICK SIDEWALK
David H. Knowlton, P.E. REPAIR,REPALCEMENT,Or
City Engineer BEAUTIFICATION PERMIT
DATE OF ISSUANCE: 11/23/2015
Permission is hereby granted to: Al
:3
Murray Masonry and More Corp
100 Rear Lynn St#1
Peabody, Ma. 01960
Licensed Drain Layer
City Approved Contractor
To repair, replace or beautify I S'Q sf of Sidewalk
AT: 11 Cambridge Street
FOR THE PURPOSE OF BRICK SIDEWALK IMPROVEMENT
DESCRIPTION OF OPENING: Replace Existing Sidewalk
Dig Safe#2015-460262
You are subject to the provisions of the ordinances of the City of Salem, Chapter 26,Article Iv and City of Salem
Department of Public Services manual.
GENERAL CONDITIONS
1. Permit expires 6 months from issuance date.
2. Permit may be revoked at any time for non-compliance
3. Sidewalk areas shall be restored to similar existing thickness,
4. City may order work suspended,and roadway surface repaired due to impending inclement weather.
�. Public Safety shall be protected with MUTCD standard signs,barriers,lights,and/or other proper means. Police
details may be required and shall be coordinated and paid for by the applicant.
kL CONDITIONS:
City Engineer,