0 BAKERS ISLAND - 98A GRAND VIEW AVE - BUILDING INSPECTION _ BAKERS IS;AND'
98A GRAND VIEW AVE,
No. 9� City of Salem Ward
� >t
r
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items in sections:1, ll, III, IV, and IX-
1. AT(LOCATION) ^ Vi TPICT
LOCATION - . - ("o. (S
OF BETWEEN AND
BUILDING (CROSS STREET) )CROSS STREET)
LOT
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 Resident N Nommoldentlal
2 6 Addition(It residential,enter number of new 12 One family �5v M M&p_ 18 ❑ Amusement,recreational
(rousing units added,it any,in part D, 13) 19 E] Chruch,other religious
13 [:] Two or more family-Enter number
3 ❑ Alteration(See 2 above) of units....................................................... 20 ❑ Industrial
21 ❑ Parking garage
4 ❑ Repair replacement 14 ❑ Tmnsient hotel,motel,or dormitory- 22 ❑ Service station,repair garage
Enter number of units ...........................
5 ❑ Wrecking(If 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
B.0) SHIP 28 E] Tanks,towers
B Private(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 ......................................................... $ at industrial plant If use of existing building is being changed,enter proposed use.
To be installed but not included
in the above cost /� �,�1
a. Electrical................L ..0.f&&.........................
b. Plumbing.....f..V... ../..V..��. pC//..11....�.........)..................
c. Heating,air conditioning,^./.1,[.(.!Z_t/..&.........
d. Other(elevator,etc.).....J...x..�. C...........
11. TOTAL COST OF IMPROVEMENT $ (J
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 ❑ onry(wall bearing) 35 ❑ Gas 40.E] Public or private company Will there be central air
31 �ood frame 36 ❑ Oil 41 E] Private(septic tank etc.) conditioning?
32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45No
33 Reinforced concrete 38 Coal H. TYPE O WATER SUPPLY
❑ ❑ Will them by an elevatoR -
34 ❑ Other-specify 39 ❑ Other-Specify 42 ❑ Public or private company
46 [3 Yes 47 No
43 ❑ P�at ell,cistem)
J.DIMENSIONS
48. Number of stores ............... ...................................... M. DEMOLITION OF STRUCTURES:
49. Tsquare feet of floor area,
allll floors,based on exterior PP
HApproval from Historical Commission been received
r as
dimensions ......................
�...7......3C cz�.............. for any structure over fifty(50)years? Yes_ No_
50. Total land area,sq.ft.05 �_9 .d........... Dig Safe Number
K.NUMBER OF OFF-STREET PARKING SPACES Pest Control:
51. Enclosed ....................... .......................I............................
/� J /� HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. Outdoors..../...�L. ..L.7............................................._
Yes No
L RESIDENTIAL BUILDINGS ONLY Water:
53. Enclosed ...............n. .e................................. 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 (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-L�
Comply with Zoning? Yes No (If no,enclose Board of Appeal decision)
Is lot grandfathered? Yes_ No '�(f yes,submit documentation/if no,submit Board of Appeal decision)
If new construction, has the proper Routing Slip been enclosed? Yes_ Nok/�
Is Architectural Access Board approval required? Yes_ No yes,submit documentation)
Massachusetts State Contractor License# O Q10 a n Salem License #
Home Improvement Contractor# WPI 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: ' I _ 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.
Owner or
Lessee
2.
Contractor
Builder's
License No.
3.
Architect or
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 Address Application date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building _ f j FOR DEPARTMENT USE ONLY
Permit number –/
Building Use Group
Permit issued 19 Fire Grading
Building
Permit Fee $ — !l l 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: T S
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN •For Applicant Use
O N
rGA" �p5 I
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Z
N" 0110 y y
JEpNNE
o
REGISTRY USE ONLY
POND I
-yyy ,--/'�'SALEM PLANNING BOARD APPROVAL
NOT/ CONTROL. LAW UNDER THE SUBDIVISION
LOT 98A rt��
I 20,900lSF.
`\ X30.•- / 'I ' a— Srct
y
NO. " -4i(
ui
` LOT 988 /' / ; ` THESE D2-. +INGS TO B
�f 2/,000.fF. KEPT /.T BUILSi
Jill
e TOR OF
BUILDINGS
PLAN OF LAND
17G: ON
GRAND^2dWIOE -PAPER- � r BAKERS ISLAND
F
Il_yY
SALEM H4RBOR
SCALE 1.20 SEPTEMBER /989
I CERTIFY THAT THIS PLAN CONFORMS WITH THE RULES AND ' HUB SURVEY ASSOC. INC.
REGULATIONS OFTHE REGISTERS OF DEEDS - SAUGUS MA
O S'10 25' SO co
/?O 0240
L
iFON�Ay� aaSaQ2Jf/+ DeP�raeaaetH� A �+¢ r [
APPOINTMENT
Free P�eevertt%on, } ^ PPOIN
M' INSPECTION MUST BE 48' La
TMENTFOR FINAL„ "
{`MppE AT LEAST ONEWEEK ^ ,. 4 yeteSti¢et ILVSPECTi01VMUST ,
AHEAD �• "=----- �`'� .�Sa;eem, Ma „} -Oi'970T R3�,� ¢�. MApE'ATLEASTOIV�r�"'�'�:
. x' V ix..,' 4 �„(5"081 745 7777 <g-. `�tiAHEAhpn3� M Wim,.:
FIRE DEPARTMENT •CERTIFICATE OF APPROVAL FOR 13UZLDING PERMIT k
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In accondanee with the
p3ovt6ton 6 04 the Ma 6 aachu bete Stade Code
and the Sa.Zem F.L.%e ,Code, •'app.e,lca tion 4:6 ;hey eb made 9
and the 44-6uance o4 a eentc4�ccte o a y 4oa appnovaZ o4�13
Salem Free Depa�etinerit 4 ppnovaE 4v�c a bu LQd tng Pnm�tti11,
y"�"the�j
ti (Re4 Sects on '113 3, Ma o e 'State Bldg Code) ei
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04 pnoject detaLQo, by the`SaZem F4Ae`Depahtment J=AZZ ppnvved
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y 4vn ;caCenti 4 i ca t-con 04 "type-'and •ZocatZon 04 4 vie
and equ Zpment.,a.AZt ptc n6t� ' :6uB 'eat to a Protection dev Lce� �.-
havcn 9 pp�covaZ o4 any :othe�c 'awth04;ty
9 "�cvu adt on ` U P,
pon Com Z¢ttvn, -<#he appP i carzt on ZnataZ2en(.6) ahaZZ
neque at an t"pectZon and/ox •teat •o ' the x.
4 " 4.1,te p4otect 6- tev cce a and ^. . rx
equipment ( . ;- * FOR ADDITIONAL ^REQUIREMENTS, " SEE REVERSE SIDE <**�ud�.` ` �
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a, Cha pten 148, ySecti on 26 CIE, M.G L. " Aee2ative to the
n-6ta2Za Icon-04 aPP Loved 4.i t6 a Zcvun dev cee o ' ', The ownelr o4
PxOPenty .46 3equ.�eed" to "obta Ln compZcance a% a �*
cond•�ti.vn o4 .obta wu,ng a Bui.Zdiatg Pe�un•�t �, , ,,., r ��x f •;.
' e•Pzopenty Zocat,< vn .ire 4n. comp•Z.lance w<.th the t`
x p2vvd.o4onA o4
w "Chapter 1481 'Sect<on"26 C/E M.G L
e Pir Y ✓ r k �K i r ,
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.. xn 7{._.
Exp.i_ca t 1.on date
l/25 S-49natuae o4 FZte 064�ciae
".
Fee .iu.z: under 7 . 500 Sq. Ft. - 10. 00
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"Aw
IRE DEPARTMENT CERTIFICATE OF 4PPROVAL FOR�BUTLDING PERMIT $�
zi
Eck,
1411
of,��he'
Hassac,fi , t
Incompliance with the provision Sectibii ,113'..13" Massachusetts a,,, e�
State Building Code, and under guidelines "agreed6n� h4"Sal&m"Bldg ef t
"UR
Inspectorand the Salem Fire Chief ''the'AppXicanefor &;buflding- perMjtT
4(see
,,shall obtain the Certificate d- Approval re*6ft-,e Is Bffia).^4,&#d-
,,
plan approval from thePrev
'Salem Fire entibit'Bureau
.,
V *t4l
4.. .,
.. Said application and approval is requirLid.b4ifbre-a-�biiil'�ti'ngpermit may e 1W
issue . ."Th 'k husetts State Building I.C I o,de,.,tequi`rds. compliiifice
d e. Massachusetts
M_ Fire Department,'- ith-
approval of the Sale wi. �tre erence to provisionsf U.Z W
Articles 4 -and 12 of the Building Code, the-,I�Salem. Fire Co sac usetts 0 0: (nW t
General Laws, and 527 Code of Massachusetts Regulations. U. 5
;M (n
=-_The applicant sha'll submit. thia"16J.-
1icati(8 Ith three '(3). se S
drawn in sufficient. c arityl .to obtain stampeMapproval or- e e ire
This applies' f6 raill new conistruction,fiiubst - is
-,.Department. ,,
I dmuj...
alterations, change of use and/o
ancr any other- p a
� II�ftt_. 1 . Zz
required by the .Massachusetts4deneml LaNs�, -d' Code. '
and: the'Sal6m Fire
_
pti o n Plans will required4,�W, ruc ural 4cr' 4hen the 77,
1..Exce iI.not,, e fo- t t-
proposed work to be performed unaier the building _permit will '*4
not, he
ot., in t opinion of the Bijildiiig,l-nstector,--t.equire A-
I to show th6 'natu'iea'n&+cnMracter of the WU
per OL-MCU.
f
W, �M
V
"'iniiiij requireS e,�q
Notice: Plans are no ,,Ig ression systems;
�jrqA"�. , 74
RAF M_
fire alarm systems, in -"�'�.�in AL
V
44A
L
re 7ements.
U"
ITf V4
Massachusetts State Building-
tj X_VO
Under the provisions of Article 22 of. �.the_ Mal
ts may�noi*�
Code, 'certain proposed pi�jecs. "OrvquFfe,submission-of plans or r.
p ilon,*r_�ei n these i
c �*-w riii:remmex�
complete co'M liance' with niew"c`oA'siti�u-�c' _,ntt,�
, -11 ~,t " A AW
f N .4 Tables
cases, provisions 0 Articleapplicable y
ihall apply 'Thki�sectionjhall not o However, aupersed
R., 4
m Fir- tfoR-ReguritMiz,-XIza
i e. Preven
provisions oui'linea 'in:,thi, Sale' .Aff
f
148, MGL, or 527 Code of Massachusetts Rijali* ionff� s or.
fire code use and/orloccupandy shall- ilipIX.'Jfbr.,4,thiE�. entire structure-
N - A, - ft 1 . 1 , - Me
rm`aid Lull a
ire`a1a - Lill- a I jW 0thee,
/or smoke detectorifistallat'�i,,,5 -
yp y,
entire itriuctur`e*based upon 'current�"t�e(Lq�irAgentij,�as� per Laws a6a/or
- ;, , . -9 . L '. w� _�,
"W*W7fP_4W&
.. Codest but' the. existing -structure. ma comply
a structures , -z"
applicable for existing tuL V��
V
Notice: Sub-contrac ors may also be. requirid tfile individual
A
applications foi a Fire DepartmehtCe 1 icate-A Approval
for the e area of their work. Such •"sub contractors.ahall file
an Application to Install-C with* the-,
Fireipreventibn Bureau '
J.Z.
'
CL bl
pplica e
prior ,to commencing ork 10
aany w
g
01.
Form 81X (10/90) ON I 1krr-*- jiONM
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— � }— T . 33144'
i:4't'44DVED.
7 iv': •;::';to approval by any othor
' F f a IlUving juriEl"ctia:;<
`,ALMA, T.;LASS.
BY
PLF,PJ: ARE nTo SOLELYFORID€MTI 'TIJ'.l OF
TYPE ILOCr,Ti' 1 f. r!RE Ff01'ECi•?OD7 DE•"`,.
11.3,; DEVICES ARE Q9!FCT TO P
PINR.L A.''!O i.-PEVION,FOR CO.'.IPLF.TE OOMPLI
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