41 BARSTOW STREET - BUILDING JACKET 41 Barstow Sty
1/IP.QIG®
-No. 153L
HASTINGS. MN-LOS ANGELES
LOGAN ON•McGNEGOR TX U. S. A.
143 , Plans must be filed and approved by the Inspector
prior to a permit being granted
CITY OF SALEM 11 � we
No. 4,7j-%n q Ward li w
HISTORIC DISTRICT? Y N � •• � Date—L
IF FOR SIDING, HAS ELECTRIC Home Phone '
PERMIT BEEN OBTAINED? Y N Bus. Phone
APPLICATION "
FOR ' + -
PERMIT TO rJ
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to then
following specifications:
Owner's name and addressl�Si✓n/ r✓C2
Builder's names � p
Location of building, No.
What is the purpose of building? Aaf
If dwelling, # of units? Material of bldn ? x"
OGLEg'
.
Will building conform to law? Asbestos? 4 Z4)
Estimated cost City Lic.# elState Lic.#s- �_ •
Signature of Applicant
SIGNED UNDER THE PENALTY OF PERJURY.7 '
DESCRIPTION OF WORE TO BE DONE
Mail Permit to: A/�S �i✓rU /�UC�U� � / J�� S �
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No.J L— Ward--
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ard w -
APPLICATION FOR
PERMIT TO ROOF
o, 1
REROOF OR INSTALL SIDING
1"tion
PERMIT GRANTED
Approved
Oca( ! g Ins ctur"'
0
Sa,'em F.i,.e Depatzment. Al'eOINIMENI FUK FINAL
APPOINTMENT FOR FINAL Fite PteventLon Su teau INSr'ECTION MUST BE
I'Cg;�_tiT!ON MUST BE 48 La4ayette Sxiceet
AT LEAST ONE WEEK
n/"„.c AT LEAST ONE WEEK
Satem, Ma 01970 AHEAD..------- --------------
AHEAD--------------------------- (5 0 8) 745-7777
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In aeco�Ldance wi th the pn.ovi-6w.on.6 of the Ma44achu4et-t-,6 State Bu i Pding Code
and the Satem Fine Code, appt-LccLYton .i6 hevreby made 4o�L appn.ovat v4 ptan4
and the 44.6uance v4 a cera-L44cate o4 app�tova,C 4o�L a butZd i.ng pe vn t by the
Satem F.i,Le Department. (Re4. Section 113. 3, Maa4. State SZdg. Code)
Job Lvca -4on: n LTJ
U j./ -ISVRFi
/(J // �9�c SAG
EZecth icaZ Cvnt�cacton: 170 S ( (Po0EUIG/ O1PP✓FFk
F•i,Le Suppne•6.6ton ContAacton: A2 Z/1,
Stgnatur.e v4 _
Ap pt,Lcant: r �� Phone #: q S7- kQ 7
Addr.e.64 o4 City OCL
App.P LCZ-nt: / O � � J� Town:
Appnovat date: / J C' - l
Cent-i jZr-ate o4 appnova.Z 1,6 hereby granted, on approved ptarvs on. aubmtt-tak
v4 project deza, ,e , by the Satem Fite Department. Att pta.n4 ane app�Loved
.6oPety 4o�L tdentt4ication o4 type and ZocatZon o4 4tAe protection dev-i•cer
and equipment. Alt pta.n6 ar.e .6ubjer-t to appr.ovat o4 any other authority
having jut .6dict.Zon. Upon eomp-Zet.ion, the appt-Lca.nt on tn'6taZZer.(4) ahatt
nequ"t an t"pectlon and/on te.6t o4 the 4.ite protection devtce6 and
equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
New eonattuetion.
Property Zoeati.on ha.-6 no eompZiance with the provt3ton,6 04
Chapter 148, Section 26 C/E, M.G. L. , re.eatf.ve to the
i"tata .Zon o4 approved 4ite atanm dev-ic". The owner o4
tht(.6 property t4 --egwih.ed to obtain comp.PZance " a
condi tion o4 obtaining a Su iZd Ln,9 Penm.i t.
0 Property •Zocation .i s in compk i.a.nce. with the prvvt stony 06
Chapter. 148, Section 26 C/E, M. G. L. K1
ExpZLati.on date: d C�
V� r
Fee due: under 7 , 500 Sq. Ft. - $10. 00
7 , 500 So. Ft. or P,a.zgen - $25. 00 Form #81 (Rev. '0/90 )
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. J w
Inspector and the Salem Fire Chief, the applicant for a building permit z W I
shall obtain the Certificate of Approval (see reverse side) and stamped LL w
LU
plan approval from the Salem Fire Prevention Bureau. Wzo
Said application and approval is required before a building permit may be g
issued. The Massachusetts State Building Code requires compliance w z J
approval of the Salem Fire Department, with reference to provisions of � a r
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts z ' o
General Laws, and 527 Code of Massachusetts Regulations. a (r,` 1_.' J
¢ ? ¢
The applicant shall submit this application with three (3) sets of plans,
drawn in sufficient clarity, to obtain stamped approval 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 will
not, in the opinion of the Building Inspector, require 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 hot require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 229 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 Y
IW
entire structure based upon current requirements as per Laws and/or z 3 i
Codes, but the existing structure may comply with regulations LL m W
applicable for existing structures. o F- 0
cn
Notice: Sub-contractors may also be required to file individual �- N
applications for a Fire Department Certificate of Approval w` z w
for the area of their work. Such sub-contractors shall file ` o �_
`
an Application to Install with the Fire prevention Bureau o i, .yo
prior to commencing any work for those areas applicable. rL
Form 81X (10/90)