Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BUILDING JACKET
What is the current use of the Building? 1,12Xr�� Material of Building? W 2 b if dwelling,how many units? 3 Win the Building Conform to Law? tS Asbestos? Architect's Name Address and Phone ( j S E eS Machan ic's Name Address and Phone —2L 2ukn P` Swamp SGo� YYl 7�l' S`/�- f 3 Construction Supervisors License# HIC Registration# Estimated Cost of Project$ 00 Permit Fee Calculation Permit Fee S '6 - Estimated Cost X$7/$1000 Residential - - Estimated Cost X$11/$1000 Commercial— An Additional $5.00 is added as an Administrative charge. Make sure that all fields are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to buil the above specifications. Signed under penalty of perjury X Date < 7 a N !+ N d Q ' V � W O n a\ r d CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT 120WASHING1 ON SCREET 4 SALEM,MASSACI I L.Sk F[S01970 Tr.j,:978-745-9595 +FAX:978-740,9846 Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit 9 _.._ is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined. by MGL c 111, S 150A. The debris will be transported by: (name of haulzr) U The debris will be disposed of in --Nor rti5ax-, (name of facility) (7 so"y W (address of facility) (late Gt<Uvsllo , -t12-1 I q I RECEIVED INSPECTIONAL SERVICES The Commonwealth of 1* Department of Public tfl��e 41 Y° MassachusettsStote Building Code(780CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Numbec Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) No.and Street City/Town Zip Code Name of Budding(if applicable) SECTION 2:PROPOSED WORK Edition of MA State Code used_ If New Construction check here❑or check all that apply I in the two rows below Existing Building,' Repair Cl I Alteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) - Change of Use ❑ 1 Change of Occupancy ❑ 1 Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ NoA Brief Description of Proposed Work: sT f\rv^t _ O(C Ac SECTION 3:COMPLETE TIIIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CIIANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 31) ❑ Existing Use Group(s): Proposed Use Group(sp SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as a licable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational E3F: Facto F•l❑ F2❑ H: Hi h Huard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional I-t❑ 1-2❑ 1-3❑ I--1❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-I❑ 5-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION'M'E(Check as a licable) IA ❑ IB ❑ 1 IL\ ❑ IIB ❑ IIL\ ❑ IIIB ❑ IV ❑ VA ❑ VB ❑ SECTION 7.SITE INFORMATION(refer to 78o CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: permit is enclosed❑ Railroad right-of-way: Hatards to Air Navigation: yM 11pt ri i monks-i m K vw"-,I'nkess: Not Applicable❑ Is Structrue within airport approach area? Is their review completed? - or Consent to Build enclosed❑ Yes❑ or No❑ Yes Cl No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Constriction: Occupant Load per Floor Does the building,contain an Sprinkler System?:- Special Stipulations: — SzAd�--r ( rJ rllkli.;n_rSECTION9. PROPERTY OWNER AUTHORIZATION Name and AddG..relss�oE Pr_oper�jOrfici�?9c',dli �f G l Ptdc 1 c�Ji re S 1 S r^+1 e ,.. V-^ J'1 O\9 7 C Name Pint No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes P& " Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this build ing permit a pplication, SECTION 10.CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0 and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control QRr+7'A9,41a/ K& cc.- CS S?�3 Name(Registrant) Telc hone No. e-mail address Registration Number Dn. d3 t \4Q&f aW41)Li _ � A ct (1 /o-1G-/f Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor ^nI A QNr Company Name NTC &IZZ9, Z N:une of Person Responsible for Construction License No. and Type if Applicable Z-/p7 /,,,a S,/- a6ARyOj V" I CiS6a' Street Address City/Town - State Zip 9&--.10� - a77� PAI kD � T r/ Telephone No. business Telephone No. cell a-mail adc ss SECTION Il:\YORKbKS'COMI'ENSMIQN INSUIMNCE,\111Ur\7 M.G.L.c.152. 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes 0 No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor Item and Materials) - Total Construction Cost(from Item 6)_$ 1. Building -$ d Building Permit Fee=Total Construction Cost x_(Insert here 2. Electrical $ appropriate municipal factor)=$ 3.Plumbing $. d. Mechanical (HVAC) $ Note:Minimum he=$ (contact municipality) 5. Mechanical Other $ Enclose check payable to 6.Total Cost $ (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below, I hereby attest under the sins and penalties of perjury that all of the information contained in this application is true and accurate to the be of y k r a a and Understanding. q01 Please prbnt and sign mm� Title Tclephofsn Date a Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date BIGm Pro Check Desi nTM 3D View e 9�; • ,g i j��. r� t ;+Y r Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia a instrcciones importantes: Esto no as un plan ni una estimaci6n final del disefio. EDGENET, INC.no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda Is informaci6n contenida en esta p6gina est®conforme a los tErminos an Is negaci6n,situada an el extremo de este documento. Copyright®1989-2014 Edgenet, Inc. Page 2 of 21 Doc ID dfdcfMa-4615-4cca-88bd-de3c96ci058b BIGm Pro Deck Desi nTM Mull Plan View Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia a instrcciones importantes: Esto no as un plan ni una estimacihn final del diselio. EDGENET, INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informacihn contenida an esta p6gina esti conforme a los terminos an la negaciGn,situada en el extremo de este documento. Copyright m 1989-2014 Edgenet, Inc. Page 3 of 21 Doc ID dfdcffla-4615-4cce-88bd-de3c96c1058b IM M 3 Pro Deck DesignTM Dimension View 30 ft 1 11 r - - e M � 12 n2 fn 5Ri,. II ft 10 In _ ix nxm un nnioin rznzm � en ^ uniom 30 n Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia a instrcciones importantes: Esto no as un plan ni una estimaci6n final del diseflo. EDGENET, INC. no asume ninguna responsibilidad del use o de Is salida correcto de este programa.Toda Is informaci6n contenida en esta p6gina esti§conforme a los t6rminos en la negaci6n,situada en el extremo de este documento. Copyright 0 1989-2014 Edgenet,Inc. Page 4 of 21 Doc ID dfdcnia-4615-4ccs-aebd-de31;9600seo i _Gm Pro Deck DesignTM Post View rm xin xis ® - xis 8 i S., IlnaYuin� � i a � _ 5' Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia a instrcciones importantes: Esto no as un plan ni una estimaci6n final del diseno. EDGENET, INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la infonnaci6n contenida an esta p6gina est6 conforme a los t6rminos en la negaci6n,situada an el extremo de este documento. Copyright©1989-2014 Edgenet, Inc. Page 5 of 21 Doc ID dfdcffla-4615-4cca-88bd-de3c96c1858b _Gm TM 0 Pro Deck Design Joist Layout View G V V V w _ o 5 3i O O O O O O O O O O O O I O O O O O O O O O O O C O n n n n n n n n n n n n n n n n n n n n n � a �. O O O O o n n n n n Notes'. All joist and stringer spacing dimensions are measured in OC. Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia a instrcciones importantes: Esto no as un plan ni una estimaci6n final del diserio. EDGENET,INC. no asume ninguna responsibilidad del use o de Is salida correcto de este programa.Toda la informaci6n contenida an esta p6gina asta conforme a los tdrminos an la negaci6n,situada an el extremo de este documento. Copyright O 1989-2014 Edgenet,Inc. Page 6 of 21 Doc ID dfdcffla4615-4cca-88bd-de3c96c1058b BIGm Pro Deck D►esigrynTM , Railing Details View 81 0' X D' 225' Railing Style 3 Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia a instrcciones importantes: Esto no as un plan ni una estimaci6n final del diseno. EDGENET,INC. no asume ninguna responsibilidad del use o de Is salida correcto de este programa.Toda Is informaci6n contenida an esta p5gina esti conforme a los t6rminos an Is negaci6n,situada an el extremo de este documento. Copyright®1989-2014 Edgenet, Inc. Page 7 of 21 Doc ID dfdcffia-4615-4oca-88bd-de3c96c1058b a } i E fill- ND.py1WROVED BY 'T44E tTM' IAISP C ,,RWR ` Dp,4YEIMT B,ENG GRANTED CITY OF SALEM No _ " DateCQ Ward / Ward \ Zoning District Is Property Located In notation of the Historic District? Yes_No_ Building Is Property Located in the Conservation Area? Yes_No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, Repair/Replace, Other: tAQ.& WL�oLi PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: / Owner's Name /G�lh G rlGl'� � Address & Phone l- ha)a, S- V) -7, Architect's Name Address & Phone Mechanics Name Address & Phone 2 VCl�l e (( U ��Uh�LS r91Y I -Oq Z7 What Is the purpose of building? CIO ✓LV C� Material of building? If a dwelling, for how many families? Will building conform to law? e S Asbestos? Estimated cost 35WW CityLicense # I 1�(_state License # 05 q.(aS lb— Bane Xaprovemut iso. IW 2X 6�9 Ole Pig n ature of Applicant o /v SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE vi s t��l e.✓��Gc�vv�a 4 D W MAIL PERMIT TO: Is .7 Shu „(n 2 rn ' Z 0 ui � m � 7 � � � � C' � . q)La d ;y ^: et off w¢ Wa z - � a.1a Z CITY OF SALEM, MASSACHUSETTS 3 BUILDING DEPARTMENT a 120 WASHINGTON STREET,3"FLOOR TEL. (978) 745-9595 FAX(978) 740-9846 KIMBERLEY DRISCOLL MAYOR THODL-kS STYIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER December 5, 2017 Robin Adler P.O. Box 312 Roxbury, VT 02669 Ordinance Violation 1 Chase Street This Department has received numerous complaints regarding the storage of multiple vehicles at your property 1 Chase Street. The vehicles appear unregistered and uninspected; this is a violation of City Ordinance 24-21 which prohibits the keeping of unregistered and uninspected vehicles,boats, and trailers. You are directed to contact this office upon receipt of this letter to discuss this issue. You are hereby directed to remove or legally register and inspect this vehicle immediately. Failure to respond could result in Municipal Code Tickets and further enforcement actions Sincerely, Kelly Stevens Salem Building Department 9789-619-5649 II,I �ft t4 fd� t i1�6F,sx s p' fly a II P l'I I