BUILDING JACKET_3 DODGE STREET_3/4/2021 6:40:59 PM_AGGREGATE_FILE 3 DODGE STREET
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APPLhG`�'! UIJ MUST BE SUciA„T,7 D IN �UPI.ICr . c , utrE S. Tu c FiLEU ,1tTN THE
?L I (211IG UEPARTi<ERT , AND ONE SET (P,URING THE APPROVAL OF THE PLAII\IhG '
U'EPART rENTTO BE FILED W110 THE EIJI! DING ihSPECTOR.
Locd; to^ ° lel Jil.`.f aF�i p, cid DFtail Must be Correct , Co-ipletE'. .`.
and Legible . 5epafate .A;.)plica?.ian Required for Every Sign,.
I _`, 'r�r f�err7�1L to Erect a s r,
. a r AppiiRtC�E�IVEk�'
+�ip,aM1C P�`
SEP 021993
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C'T ItI'S iU
PLAN Or.L T
�PPLI ATIOId FOR PE �1 Y� 'r9tt Shout Location o} P�cscnt Sttuctuto S1i01.1 SIGN SIZE, LDLDR AND LOChTIOU 011. CUILD111C
ALTERATIONS, PEPAIRS �iKD and Signs LOCATION as?F OTHER SIGNS AND CUiLD1t1G ENTRANCE
DEMOLITIONS
C�
... .................................6.[r'�..9ril DUILDING
LOCATION .ea . .
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Ss - C{3NJ;i ONS
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nr -Permit Granted
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' APr'�101J. MUST',E'_ SUEP,I.TTED IN DU?LICATE , ONE SET TO EE FILED WITH THE
' , ,?lING DEPARTMENT , AND ONE SET (ECARI !!G': THE APPROVAL OF THE PLANNING
t DEPARTMENT) TO BE FILED WITH THE BUILDING INSPECTOR.
Location , Ownership , and Detail Nust be Correct , Co;aplete
�r lk and Legible. Separate .Application Required for Every Sign, .
Application for Permit to Erecta Sign
-s
9 p �
Sa1e.n, 'Massachusetts
0 THE %i11LDING INSPECTOR:
r,Pplies for a per;.:ii to ` rect , Alter r i epair
ai cr t: f^iio,;iny :ie.>cri ;._d buildin,: —_
�)c-- i and
• t,d::.c of Prep,.. .
y 11
ttu:t;: of Sign Owner
If Owr,Rr is a corporate: '3 d nanrr r,f re:. ponsible(offic.er/' __/ _
Name of L", cc!rsed : ign .Ere ;:.tor
Addy..'- <<T %_ _wp/ f/o7/'? Alh :: o, .2 l_icens to '_...._.
Use of *,,,.`'1`zitng:- is=: Floor G�' 3rdjle.
- 2nd floor 11th Flcar
r '
Type of Jicjn: — S:'if C4, Andes Ic 8uildina , - Free Stand`ny,
Other Het + .
Sign t".aLerials. i 4
/t7 Lr ,, !,-. '. 10
ka, rr
Sign D;mr; rn@icn-s ay 5 b Sign Area I¢
Exiting Si-qr,s : Surf. ..e : Sign Area SF
Rigi,t A:igles : Si^fin Area.. . -- _..._. .. . . -�...Ss
Free-Stardi ng S
0thet � y. ^.rea_
Sign; to be Removed: r .'�4r7' RYp.lwrf
Frontage: Building FT Pro;)ert}.-.__
Na ,e aril Adaress of S ' r
41-
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InsuranceCc.apa;y: '
>��e����� Si ;;�acu: e t;f O,�ne' . rUth rued ^^prey.-.,r• i�..:,
f8
b em{'
-t•�
ru111pf.7teo q�a?� '��
of New Work Fro ^� Telzph;nr..
APPROVALS:
Siglature :f Prc,.erty ''r. _ �l�l .. ,`99�
Sa �E1 P � dflfli (r� 61g�sr; n>ny4rer , nten gr
l gP ter crt7 ,. .r.nlssrnn
PLAN Or-.LOT
6 t'C IC,Jl7tON Fort PERMIT AOR Shaw Location of Present Siructuro SHOE! SIGN SIZE, COLOR AND LOCAT I Om Ots W tLo
ALTERATIONS, REPAIRS ANI) and Signs LQCAT1Q1I OF OTHER SIGNS AND PUiLfliNG STRAM
J EMOLITIONS (1 1F
..................................CLASS .13iJILD1NG t
LOCATION
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................................................................
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CONDITIONS `• - -•_-• _...
...............
- . . . . _
�, Ternsit
Granted I
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Cffixu ofe-,jL>nt,
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TO: Mr. Richard mcIntosh, Building Insnector
FM4: City Clerk Josephine R. Fusco
This office has received notification that the sign located at
has been rived.. Please verify
this information, and respond to this office so we may cancel the bond.
TO: -City Clerk' Josephine R. Fusco
FROM: Mr. Richard.f4cIntosh, Building Inspector
Please be advised that this office has verified that the sign located at
L4_,, Xbebeen ree}cmved. ,, /�
It will therefore be in order for ou /�o '_
RATED: ?Z„,r 3 , l 9 S J s/
EXECUTION REPORT F T !vl 1 r- S 111.11)1 N ry M ; N
SURETY BONDS 1-20-87 Js I
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w«T
Rp-" 0 0 1 G O O G 0 2 0 ] 1 2 G 3 6 0 z 2 (� I N R Christina G. Sun 1-,
20-87
,xR
exv q,r Tn re m o n ror
011 2 1018 7 0 1 ? 0 Age 0 0� �C f i J_ t I 0 t C 101 C '/ Hartshorne Ins. Atm<nl y in Fact
1111215 00 +
1/87
—L_I I I I I ►
-2-00- i
4010 +
A0101 +11
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iF�m uce r+vH wm oc %///4��/i��i�d /r // t " •• ••"" ^/ ,-.nuc orv�c . /F n11Y i luloin/
2L9�41418 01010101010 1 0 1 /�/ii����'i.'% ��{T
OOUCHq 10q OPIICH OV RHCOROI VIBLU OI-PICE 10R C .U�x.. C9 1 S��RLrt J' P£RPAIT
C. F. Hartshorne & Son Boston
- -- — -- - ----- - -- — - ._. ---------------
RINCIPALrmrml �,.ry reel OPUpFI. (,\'�r�n�' �n� ! -I•LG��.:..;
S & S Realty City of Salem
—75---FNH Im-1OR- DTWU iii-- VNINCIPAL --
Bond A,,nnnt $ 1,000. -- j{ CONTINUOUS --
MR,nenance Por'od .__ to____--_—�
T,po .d Bond L & P I Por'. Prelniu.rn
4 M
Fn.n:_NP. S-19] nior. Prem „o' b _ C.11we f No.
If Ce-surety, Controlling Co. T"1411 FOR CAN(:-ELATION EVIDENCE WRITE TO
p.`j,?-}.?�'�e^,("„('ryjE.
Tatal Bond Amount $ Total Prem. Amonnt
PREMIUM AND COMMISSION IF GRADUATED SCALE-INSULIMENT BREAROGVlN
CANCLLLA RON CLAUSE
CONTRACT BOND LICENSE,PERMIT,P.O.,MISC.BCNDS
-
COURT AND PROBATE - — REPLACES BOND NO. REPLACES D N0.
—
HE PLACI:a BOND NO.OH IN AU[11TION TO BOND NO
BIO OR CONTRACT PRKE REN'L BY CONTINUATION CENT.,
-----------
I IMI: FOR COMPLETION IF DEFINITE TERM, IN EXCESS OF
YEAR, EXPIRATION DATE OF BOND
PLACE BOND IS FILED I ----------------
-._
ENCLOSURES: l/.i..e% neh,r cn�alsun•.x/
i,__7 APPLICATION
UND. DATA SHEET
.i :OIN r CONTROL IS TO BE EXERCISED, BY WHOM � UND. MF_MO
'AGENT PLEASE NOTE! UNDERWRITING
NAME .+ ADDRESS OF ATTORNEY — INFQRMA 7ION NEEDED
I
_For Home Office Use Qnly_
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15UI ANCE
A001110NAL PAPERS TO FOLLO, --—
'HIDH I:ONUB -- - INDEX iAPPgO VAL
C 17487 Re,2.85 Printed In V.S.A. -- ------ ---------- ----
ate I
Certificate Number: 13 _J 9 . 1 Z g J Permit Number: 13 ) g•f 2.$O
Commonwealth of Massachusetts
City of Salem
This is to Certify that the C o/ti m En, 4 sq4 located at
Budding Type
3 Q 0 I) Ca£ s f n(E t in the City of Salem
Address Town/City Name
IS HEREBY GRANTED A TEMPORARY CERTIFICATE OF OCCUPANCY
S EA Gnass Sf3FC 3 VE&'DtJJ.S O4X 9
This Permit is granted in conformity with the Stat„trs and Ordinances relating thereto, and
expires r?.C/d i% 3 e1D a.O - unless sooner suspended or revoked.
Expiration Date
r4E.M4:
3 OaO
Issued On: S 1r))BEM J3E .
Certificate Number: )3_ ) 9 210 Permit Number:,...)3 / 9_ /02 pp
Commonwealth of Massachusetts
City of Salem
This is to Certify that the aus...t .)zss located at
Building Type
Do GE EE-t' in the City of Salem
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
cEP C,2 ASS
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires Not Applicable unless sooner suspended or revoked.
Expiration Date
Ctra•iLirnto
Issued On: 5 P-1.E141 13 b2 011 ° v�O
Final Construction Control Document
tf)>ffftil To be submitted at completion of construction by a
• Registered Design Professional
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Seagrass Dispensary Date: 9/25/2020 Permit No. p " 1 G ZeU Project No.220018
Property Address: 3 Dodge Street,Salem,MA 01970
Project: Check (x)one or both as applicable: New construction X Existing Construction
Project description: Renovation of existing commercial tenant space into cannabis dispensary.
I Jill Peebles MA Registration Number:20571 Expiration date:8/31/2021 ,am a registered design professional,
and I have prepared or directly supervised the preparation of all design plans,computations and specifications
concerning:
X Architectural Structural Mechanical
Fire Protection Electrical Other: Describe
for the above named project. I, or my designee, have performed the necessary professional services and was
present at the construction site on a regular and periodic basis. To the best of my knowledge, information, and
belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved
as part of the building permit and that 1 or my designee:
1. Have reviewed,for conformance to this code and the design concept,shop drawings,samples and other
submittals by the contractor in accordance with the requirements of the construction documents.
2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Have been present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine if the work was performed in a manner consistent
with the construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
Enter in the space to the right a"wet" or 40.0 qRelectronic signature and seal: , �,E Cy!F
o ). t
o
044, Lam'
OF;11p`'
Phone number: (617)257-0795 Email: jpeebles@bkaarchs.com •
Building Official Use Only
Building Official Name: Permit No.: Date:
Version Ol 01_2018