22 BERTUCCIO AVENUE - BUILDING JACKET
o+oirA�Q CITY OF SALEM, MASSACHUSETTS
BOARD OF APPEAL
120 WASHINGTON STREET. 3RD FLOOR
SALEM, MASSACHUSETTS O 1970
TELEPHONE: 978-745-9595
FAX 97B-740-9846 Z0IU Ji�,a. _ I � b: 05
KIMBERLEY DRISCOLL U
MAYOR
July 1, 2010
Decision
City of Salem Zoning Board of Appeals
Petition of CLIFFORD GOODMAN seeking a Special Permit to alter a
nonconforming structure by adding a second floor on the property located at 22
BERTUCCIO AVENUE (R-1).
A public hearing on the above Petition was opened on June 16, 2010 pursuant to Mass
General Law Ch. 40A, § 11. The hearing was closed on June 16, 2010 with the following
Zoning Board of Appeals members present: Robin Stein, Richard Dionne, Beth Debski,
Jimmy Tsitsinos (alternate) and Bonnie Belair(alternate).
Petitioner seeks a Special Permit pursuant to Section 3.3.3, Nonconforming Structures, of
the City of Salem Zoning Ordinances.
Statements of fact:
1. Clifford Goodman, the petitioner, represented himself at the hearing.
2. In a petition dated May 25, 2010, petitioner requested a Special Permit to allow
for the addition of a 36'x 36' second story to his house.
3. The property is currently a single-family home; at the hearing, the petitioner
stated his intent to keep it as such.
The Board of Appeal, after careful consideration of the evidence presented at the public
hearing, and after thorough review of the plans and petition submitted, makes the
following findings:
I. The proposed alteration of the nonconforming structure will not be more
detrimental to the neighborhood than the existing nonconforming
structure.
2. The applicant may vary the terms of the Residential One-Family Zoning
District to allow for the proposed addition as shown on the submitted
plans; the petition is consistent with the intent and purpose of the City of
Salem Zoning Ordinance.
3. In permitting such change, the Board of Appeals requires certain
appropriate conditions and safeguards as noted below.
On the basis of the above findings of fact and all evidence presented at the public hearing
including, but not limited to, the Plans, Documents and testimony, the Zoning Board of
Appeals concludes:
1. A Special Permit to alter a nonconforming structure is granted to allow the
addition of a second story, as shown on the submitted plans.
In consideration of the above, the.Salem Board of Appeals voted five (5) in favor(Stein,
Tsistinos, Debski, Dionne and Belair) and none (0) opposed, to grant petitioner's requests
for a Special Permit subject to the following terms, conditions, and safeguards:
1. Petitioner shall comply with all city and state statutes, ordinances, codes and
regulations.
2. All construction shall be done as per the plans and dimensions submitted to and
approved by the Building Commissioner.
3. All requirements of the Salem Fire Department relative to smoke and fire safety
shall be strictly adhered to.
4. Petitioner shall obtain a building permit prior to beginning any construction.
5. Exterior finishes of the new construction shall be in harmony with the existing
structure.
6. A Certificate of Inspection is to be obtained.
7. Petitioner is to obtain approval from any City Board or Commission having
jurisdiction including, but not limited to, the Planning Board.
8. Unless this Decision expressly provides otherwise, any zoning relief granted does
not empower or authorize the Petitioner to demolish or reconstruct the structure(s)
located on the subject property to an extent of more than fifty percent (50%) of its
floor area or more than fifty percent (50%) of its replacement cost at the time of
destruction. If the structure is demolished by any means to an extent of more than
fifty percent (50%) of its replacement cost or more than fifty percent (50%) of its
floor area at the time of destruction, it shall not be reconstructed except in
conformity with the provisions of the Ordinance.
Q"(",
Robin Stein, Chair
Salem Board of Appeals
3
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY
CLERK
Appeal from this decision, if any,shall be made pursuant to Section 17 of the Massachusetts General Laws
Chapter 40A,and shall be tiled within 20 days of filing of this decision in the office of the City Clerk.
Pursuant to the Massachusetts General Laws Chapter 40A,Section 11, the Variance or Special Permit
granted herein shall not take effect until a copy of the decision bearing the certificate of the City Clerk has
been filed with the Essex South Registry of Deeds.
May 04 10 10:01a Clifford Goodman 9787400753 p.2
nMORTGAGE INSPECTION
PLAN IN N/F
LEM, MASS. SEWARDS N/F
CALABRESE
D LAND SURVEYORS
365 CHATHAM ST.. LYNN, MASS. 1'f
;ED 50
MOVEABLE
NOTE: SHED W VIOLA-1110N.
5' REAR YARD REQUIRED.
ABOVE
GROUND
POOL
I CERTIFY THAT THE DWELLING IS LOCATED
AS SHOWN AND CONFORMED TO THE ZONING
SET BACK REQUIREMENTS OF THE CITY OF N/F
SALEM WHEN CONSTRUCTED. OR IS 4997±S.F. O'NELLI
EXEMPT FROM VIOLATION ENFORCEMENT
UNDER M.G,L. TITLE VII CH. 40`A�SEG.7. n W O
C
NOTE:
OR WHESS N FULLOFFSTS; ARE ONE INSTRUMENT SURVEY
IS RECOMMENDED. 1 STORY
WOOD
#22
N/F s't
LUPO
41
rh gs� V- 10.02'm'� 40'
3tv Nc r�z:
t 22 BERTUCCIO AVE.
.1. HEREBY. CERTIFY TO THE BEST OF MY KNOWLEDGE NOTE: THIS PLAN WAS PREPARED FROM .A
THAT THE PREMISES SHOWN ON 7195 PLAN ARE NOT LOCAT- TAPE SURVEY AND IS INTENDED FOR
ED WITHIN A SPECIAL FLOW HAZARD AREA AS DELINEATED MORTGAGE PURPOSES ONLY. OFFSETS SHON
ON THE MAP OF COMMUNITY #250102-B PREPARED BY THE ON OR SCALED FROM THIS PLAN, ARE
FEDERAL EMERCENCY MANAGEMENT AGENCY OR ITS' APPROXIMATE ONLY AND SHOULD NOT BE
SUCCESSORS DATED 8/5/85. PANEL 5 . ZONE C .` USED TO DETERMINE PROPERTY LINES-
SUCCESSORS
FURTHER CERTIFY THAT THIS INSPECTION WAS PER—
FORMED IN ACCORDANCE WITH THE "TECHNICAL STAND— SCALE: 1" = 20' DATE: MARCH 1. 2001
ARDS FOR MORTGAGE LOAN INSPECTIONS. AS
OPTED BOOK: 16112 PAGE 44 CERT.#
13Y THE MASSACHUSETTS ASSOCIATION
AND CIVIL ENGINEERS-
THIS
DOES NOT
INCLUDE
WALLS-
CONTRPOL #'P01 -0243 B
FENCES OR DRIVEWAYSTHEY DALWAYS IN
PROPERTY LINES.
No. -� City of Salem Ward
6//6
a`r
APPLICATION '
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items in sections:1, It, /it, IV, and IX-
/�i ZONING
I. AT LOCATION) �� /�/�i Y'U.rd�O /✓'��y DISTRICT
LOCATIONpFF �iNO1 srnFFn
,y _
OF BETWEENAND
BUILDING ACROSS STREET) ACROSS STREET)
OT
SUBDIVISION LOT BLOCK SIZE
II. 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 Residential Nonresidential
2 ❑ Addition of resoenval,enter number o1 new 12 erne family 18 ❑ Amusement recreational
nousmg units ached.it any,in part D. 131 t 9 E] Chruch.other religious
3
13 F7 Two more(amity-Enter number 20 ❑ Industrial
�Alteration ISbe 2 abovet of units ._._.._....._.._.........._...._........_..
21 Parking garage
4 Repan replacement 14 ❑ Transient hotel,motel,or dormitory- 22 ❑ Be,"station.repair garepe
Enter number of units ...........................
5 � Wrecking(I/murtrtamtlY tesrderteal.enter number _ 23 ❑ Hospital.InstauliorW
Wilding of units in en Pan O. 131 1 ..erne 24 ❑ Office,bank.Protessonal
6 ❑ Moving(relor21on1 16 ❑ Carpor 25 Public utility
26 ❑ School,library,other educational
i Fountlatan only 17 ❑ Other-Specify
27 a Stores.mercantile
B.OWNERSHIP
28 Q Tanks,towers
8 Private Inbiwduai,corporaben.nonprofit
institution.etc) 29 Other-SpecAy
9 Q Public(Federal.Slate.or btai govsmment
C.COST )Omit cents) Nonresidential-Describe in detaa proposed use of buildings,e.g.food ptoossial PMM
machine shop.Wundry building at hospital elementary school.secondary schook collage.
t 0. Cost of improvement �'�� ���(7 paroch W school,parking garage for department store,rental office butldog,olfi=building
._.- ..a,..O..Q_............ $ at indbetra l Alam.It use of existing building is being changed.enter proposed use.
ro be installed but not included
in the above cost
a. Electrical.............,_v....................................................... Oa7
b. Plumbing..._...../-/........__.....__......._............._......_
Heating.air conditioning ..._"..................._,........_.__ // d
d. Other(elevator.etc.) . ............._.........
)1. TOTAL COST OF IMPROVEMENT Oil g aO 6
III. SELECTED CHARACTER( TICS OF BUILDING - For new buildings ano additions. complete Parts E - L:demolition,
complete only Parts J & M, all others Skip to IV
t E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL
30 ❑ Masonry(wall beanngl 35 ❑ Gas 40 Public or private company Will there be centre)air
l 31 [TWood frame 6 2-071 conarcnng?
S - d1 C1Private(septic lank.elC.l r-
32 Q Structural steel 37 F-1Electricity4a Q yes 45 Zl'%
6 33 Q Reinforced concrete 38 Q Coal H. TYPE OF WATER SUPPLY will there by an eW atW
34 Other-Spectty 39 ❑ Other-Svecuty 42 2-Public or pnvate company �6 Cl Vis a7 C] No
yfR 43 C] Private(well.cistern)
F
t
f
[I
F
18 Nuooefo _ M. DEMOLITION OF STRUCTURES:
=A. Numcer of stories �/C� !!�'.�.
....... . . .
:d. Total square feet of floor area Has Approval from Historical Commission been received
an flgar&naseo on extenor
mmmsans ...._ ............ ._ for any structure over fifty(50)years? Yes_ No_
'0. Total land area.sq.ft._.___.. Dig Safe Number
NUMBER OF OFF-STREET PARKING SPACES
Pest Control:
1. Enclosed _............................... ............_................
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
'?. Outdoors Yes No
,ESIDENTIAL BUILDINGS ONLY Water:
:a. Enclosed ..........--....................................._..._._---_------ Electric:
Gas:
Full ......_{............................ Sewer:
;4. Number of
bammoms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
Pa"n'------- -- BEFORE A PERMIT CAN BE ISSUED.
COMPLETE THE FOLLOWING:
Historic District? Yes_ Nov If yes,please enclose documentation from Hist Com.)
Conservation Area? Yes_ No-4 (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_ No1G
Comply with Zoning? Yes.L/-- No_ (If no,enclose Board of Appeal decision)
Is lot grandfathered? Yes_ Nom (If yes, submit documentation/if no. submit S -
If new construction, has the proper Routing Slip been enclosed? Yes_ No_ k/—A
Is Architectural Access Board approval required? Yes_ Nom (If yes,submit documentation)
Massachusetts State Contractor License # /�� '(��� Salem License#
Home Improvement Contractor# 1.4 Homeowners Exempt form(if applicable) Yes_ No_
CONSTRUCTION TO BE COMMENCED WITHIN SIX (6) MONTHS OF ISSUANCE OF BUILDING PERMIT
)NSTRUCTION IS TO BE COMPLETED BY: If an extension is necessary, please submit
l in writing to the Inspector of Buildings.
IDENTIFICATION - To be completed by all applicants
Name Mailing address-Numoer,street city.and state ZIP Coce el.No.
8 or
4
d
actor Builder's
License No.
;ect or
+eer
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.
':atureof poli Addr plication date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building /7S FOR DEPARTMENT USE ONLY
Permit number o
Building Use Group
Permit issued 19 Fire Grading
Building
Permit Fee S ��5 - Live Loading
Certificate of Occupancy S Approved by: Occupancy Load
Drain Tile S
Plan Review Fee S
CLI
VOTES AND Data- (For department use)
442 C lot q
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by: 9 Completed by: l/
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN •For Applicant Use
t
O N
i
I
1 2 3 4�.Q 5 6 7 �{89 y1100 11 12 13 14 15 16 17 18 19 20 21 �2�222;I3 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65
fiI I
5 -+- — — - -i---� 4+
- - , _T_- µ-- ---�--- }-
Tr
a - - �- - - _1J-8&T ` - �k rHOV_ED,i
-
4 - + I -
10
1 c2 _ ;tl �n�T+oNiBUR AU
„ - - --+- - - -- I - - -- }- �— - - } a- l- i I t
_ _- _"�;45 _- - I �- - nLl_FI N FROTLO'10 -Y-
12 -._ - �-� --�_- r -_ - - __ � -—+_ - - _. - - PLAf41 ARE APPr OVBO SOIECY-FOfliD NTIFiCATlO, -..
} Y. —
A � TYP:AND LOCATICu OF DFIRE,PRARECT.1
13 -- - � I l � Ij � � � � �l/� � � PINA�ic�pTf[iD ioF CT10N,FIIOR CWdPLETE
�_ AHC:_!'+ ri it c Flnu CGDE.-1-
14 L_- - - a--�.-�--- �----I- -I W�- p ICY--
17
ri t -
18
}
20
2, __KE
-
22 — �0- - - - 6UaD1NeS
r
23 - — d -- - --�-- ----'� - --- - - - �-� --
24
25 - - —I
26
28
29 - -
30 -�- - }-- -- -- - -- - - - - -
3132
33
—
�1
r TI
34 -'- -t- - - - \ - - - --
___ — -- - - - -_ __ - - _-
36
37 -_� NI -r -- -- - 11—}----t-- -F- --� t-� -- -- - f -- --� �---� - -- -+-} -- I� �-- - + - }�-1 -- - i--j-- -
3a -� -I 4 4 +- - } t
I � I
t � fi . I r
41 -� i�L_ - i - i i �._ _ __1—. .�. _ t _ _,FAV- _ -_ t '�I1L y. _� 1_ t_�__y.__
E COMMONWEALTH OF MASSACHUSETTS
JEI`ARTMENT OF INDUSTRIAL ACCIDENTS
600 WASHINGTON STREET
fames camooeo BOSTON, MASSACHUSETTS 02111
�mm:ss one WORKERS' COMPENSATION INSURANCE AFFIDAVIT
12:YL O /2' y
(Iicenseeiperminee)
with a principal place of business/residence at:
1�' 1/G,Yr- sT
(City/Stec/Zip)
do hereby certify, under the pains and penalties of perjury, that:
[ ] 1 am an employer providing the following workers' compensation coverage for my employees working on this
job.
Insurance Company Policy Number
[ (Xam a sole proprietor and have no one working for me.
[ I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below
who owing workers' compensation insurance policies:
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
[J I am a homeowner performing all the work myself.
NOTE: Plcuc be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto arc not generally
considered to be employers under the Workers' Compensation Act(GL C. 152,sea. 1(5)),application by a homeowner for a license
or permit may evidence the legal status of an employer under the Workers' Compensation Act.
I understand that a copy of this statement will be forwwded to the Departmenr of Industrial Accidents' Office of Insurance for Coverage
verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties
consisung of a fine of up to $1500.00 and/or imprisonment of up to one yew and civil penalties in the form of a Stop Work Order and a
Fine of S 100.00 a day against me.
Signed thiday of 19
77
Licensee/Permits a Licensor/Permirtor
APPOINTMENT FOR FINAL SaZem F-i ee Depan tment.
INSPECTION MUST BE Fi,%e P-tevent-,Lon Bureau APPOINTMENT FOR FINAL
MADE AT LEAST ONE WEEK 48 La4ayette Stteet INSPECTION MUST BE
AHEAD............... Saeem, Ma 01 970 MADE AT LEAST ONE WEEK
:may� (508) 745-7777
- AHEAD--------------------•--...-•-•----•
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT 11
i
In acco-tdance with the pnov444on.6 o4 the M".6a.chu setxis State SutZd ing Coda
and the Saeem F-i ce Code, app.Pi.catton ins he-ceby made 4on appnovaZ o4 pZan-6
and the Zbzuance o4 a eetttii.cate o4 appn.ovaC 4ox a buLZdtng peLT- t by the
SaCem Fite Depa4tment. (Re4. Section 113. 3, Mc-64. State SCd.g. Code)
Job Loc t-Zon:
TO ti
Owne�L/Occupant: PIP
gs�Gsr ,ci�
ELect�LtcaE. Conttacton.:
fd �%' �i�i•� AFF
Ft-ta Suppn.e 64,ion Con-thactot:
S.ignatun.e o4
APPZi.eant: Phone
Addcea-6 o4 Ctty on 7
App.P i cant: Town:
App.,ova2 date:
Ce tt4Zcate o4 appn.ovat .c.6 heteby gAanted, on approved ptan,6 on. aubmdt-tat
o4 project deta�, by the Satem FZt a Depahtmertt. AZ2 ptaan,6 an.e approved
aoCety 4on. tdenti4.ieation o4 type and Zoeatl.on o4 4Z�ce ptotect.4on devZcer.,
and equipment. AZZ ptart6 ane aubject to apptovaC o4 any othet autho4,i.ty
havZng ju t-6dZcti,on. Upon comptet-ion, the apptLcant or. .in-6ta ten(o) .6haU
n.equeat an •ln4peetLon and/or. te4t 04 the Jite pr.otecti.on dev.lc" and
equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
New con6tnuct4on.
Pnope7ty Zoc.ati,on has no compliance with the pn.ovt,6tons o4
Chapter 148, Section 26 C/E, M. G. L. , -%et'ative to the
4n-6tza4t-i.on o4 appr.oved 64,xe ataAm dev-ce6. The ownet o4
tht,6 property Z4 nequ,i, ed to obtatn compt lance a4 a
condition o4 obta,intng a Bu,i.Cd ing Permtt.
Pnopenty -Cocation 4,6 to compliance wdth the pr.ovi s-ions o6
Chapter. 148, Section 26 C/E, M. G. L.
Expt4.a, ion date: za /36 4
S,i gn.a;tu. a o4 Fite 06jtc-i 2
/fie i�JlrelY,
Fee due: u.ndei 7 , 500 Sq. Ft.
7 , 500 So. Ft. on Pa-tiye�c - $12'570T Foam #81 (Rev. 10/190 )
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
Y
In compliance with the provision of Section 113.5 of the Massachusetts ¢ w
CO
State Building Code, and under guidelines agreed upon by the Salem Bldg. Z m w ;
Inspector and the Salem Fire Chief, the applicant for a building permit o ~ o
shall obtain the Certificate of Approval (see reverse side) and stamped w 5 �_ ,
plan approval from the Salem Fire Prevention Bureau. z
wzw
Said application and approval is required before a building permit may be Z a
J
issued. The Massachusetts State Building Code requires compliance z w u q
approval of the Salem Fire Department, with reference to provisions of a o w
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts a _ Z ¢
General Laws, and 527 Code of Massachusetts Regulations.
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 not require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 22, Appendix 7, and Tables applicable w
shall apply. This section shall not, however, supersede the a w
provisions outlined in the Salem Fire Prevention Regulations, Chapter Z w
148, MGL, or 527 Code of Massachusetts Regulations. All permits for " m z
fire code use and/or occupancy shall apply for the entire structure; o v~i
fire alarm and/or smoke detector installation shall apply to the v~i
entire structure based upon current requirements as per Laws and/or w w
Codes, but the existing structure may comply with regulations g
applicable for existing structures. z C)
¢ o
9L "[.,Jri1
a 4
Notice: Sub-contractors may also be required to file individual 0 '
applications for a Fire Department Certificate of Approval
for the area of their work. Such sub-contractors shall file
an Application to Install with the Fire prevention Bureau
prior to commencing any work for those areas applicable.
Form 81X (10/90)
CERTIFICATE DATE 151/ /95
CITY OF SALEM
` s SALEM. MASSACHUSETTS 01970 BUILDING PERMIT -
T�4[pm„ CERTIFICATE OF OCCUPANCY
DATE `-''+ (-
PERMIT NO.
APPLICANT ljor: :10`11. ADDRESS kC' a _j 11 1,-
IND.)i `ISTRECTI ICONIN•S IICENEEI
a._ lP.1 .-i:>r ,i 1_i i..
PERMIT TO (_1 STORY _ NUMBER OFDWELLING UNITS
I1�PE OF IMPROVEMC NiI 'N0. )PROPOSED USE)
AT (LOCATION). •-� lig.:i_4::C1_) id:�L. warm ZONING
DISTRICT
1x0.1 ISTREETI
BETWEEN - - • AND
ICROSS STREET) (CROSS STREET)
SUDD)V IS ION LOT
LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE F. FT. LONG BY FT. IN ME'IGMT AND SMALL.CONFORMIN CONSTRUCT ON
h:
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Wi
REMARKS: ReTud3el •,basement w/ twb bedrooms,failily YODG:, bathroom/ 1st ;.lour bay windows
117 1)1 77 _,f j r
AREA OR .. . . I ) �I ; O X
NE Emilaw
VOLUME
C•:R¢,SQUARE FEETI
OWNER. Rlcbard Tardiff - se•nsi-Nse:ns�ee•Eloe.•Eloe�se.+Ibeiloe.Toew selflseEEsrPEotno
TO BE POSTED:ON PREMISES
4DDq E55 -. 22 Hert SCC dO Ave. Sale._:, Hai;sl SEE RP.I'kP5�510frFaftLtpgfyIT IONS OF CERTIFICATE
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit No. 325-94
i
Approved by LEO TREMBLAY ' Date 1/9/95
Remarks
PLUMBING Permit No.
Approved by
DENNIS ROSS Date—' 10/12/94 {
Remarks
ELECTRICAL Permit No. F
Approved by AL FALKOWSKI Date 10/12/94 y ` , i
Remarks2
Ri
OTHER Permit No. 3'S
Approved by_ Date
Remarks
OTHER Permit No.
Approved by Date I
BV�
Remarks ' 0
MIMI
ira CMzc as "
_ }BUILDI
} k � h� f' TY� �JOB"_WEATHER CARD
.. ;^ . :� # ��e �.t• � GATE A.�C'at ei ,'. s AT,_y' 19 ����rPERM1T NO � �'J-sJ�fi-`�4i �;
APPLICANT JOF+ V <:+.3..8'. 'S.. 00RESS ..._ F.•.aI-iIC�..'$E,:,-' '' ,z r,' ...i.:�:' 3,1'TE`: Id.
/CONT •f 61. Y rere
• '.. iFRa
PERMIT TO
�' �7yLTh�[OF��IMIIIgY[l�E�)F M OPOf[ V[
a:- .•_c". - -' y..•>)IQOfA ftA[ETI
SUBDIVISION w .. `,t .x .Ci lES"F ART' y.--- __ WT! 'N,§�..r R't'" i R
LOT' .BLOCK 3RE
BUILDING IS TO BE: '�"" . FT* IDE"BY -x. °`� F.T.-LONG BY '` "'.FT. IN HE1GXT AND-SMALL-CONFORM"
USE GROUP BASEMENT WALLS OR FOUNDRY ION us� k.�1'Ghklw rv-
«+2 +aC '-
'a.. '9!'�E•anPr�rr-Stx.� ,s gq� r,.:.:+�#'n� .b
w.s=1F3Yy.- ^-YN..'"+E^i:
REMARKS: - - '
,REA'(CR- Call for Permi.t` to0�ccupy § j° py :.
EE.. 'T PERMIT I
VOLUME LESTIMAT ED COST .,T FEE S"" "'"-"'
OWNER .. , r rZ:r•;'i s , ._,t sr `anw;.... s-- vw,.: yw.+.q`S'.,:. sr SR+ .a:'._.,'tea �, r,. - - 4..'
:;.;,..,;P.-- .,cr.i>;�?� . .,ek?cY`Eti A•tq� -*i`�-.�#'... 3�ys� �ia"r-a# �- BwLDINCDEPr '-� =�r�3
ADDRESS
THIS PERMIT CONVEYS NO RIGHT TO OCCLPY"ANY STREET, ALLEY'�OR-SIDEWALK 0R'ANY'P4RT THEREOF. EIT NER TEMPORARILY.-OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY. NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST."BE AP-
ED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL.AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE_OBLAINED I
FROM TME DEPARTMENT OF PUBLICNORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. , „_.may -; •„-., -„`. _- - _. - -
MINIMUM OF THREE cALL
INSPECTIONS AEOVIRED FOR c APPROVED PLANS MUST BE, STAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE-
- PFRMITS ARE REQUIRED FOR-
ALL CON4TRUCTION WORK:. CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN y.
�+ ELECTRICAL, PLUMB AT.ION ND
I. FOUNDATIONS OR FOOTING). MADE. WHERE A CERTIFICATE':�OF OCC UPA NCV IS RE• MECHANICAL INSTALLATIONSi;
2..PRIOR TO COVERING STRUCTURAL OUIRED SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
NIEARBERSIRE ADY TO LATHI i I FINAL INSPECTION HASzBEEN MADE a 4°' eta "'
):iFINAI INSPECTION BEFORE0. � Ilr AhY .+^ �j '. 0
OCCUPANCY.
a =^•-+h" }y if r.% w^+r �`•' '*µ�.
POST TIHIS;,.CARD: SO'IT 15= VISIBLE: FROM STREET. .
BUILDING INSPECTION APPROVALS PEOMI)MG INSPECTION'APPROVALS - ELECTRICAL INSPECTION APPROV
af. .
_I _
42
BOARD OF HEALTH GAS INSPECTION APPROVALS FIRE DEPT.INSPECTING APPROVALS
1 I
1
OTHER CITY ENGINEER Z y /
WORK SMALL x07 PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON TXIS;C
INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGBD FOR BY TELERN'. '
STAGES OF CONSTRUCTION. OR WRITTEN NOTIFICATION
PERMIT IS ISSUED AS NOTED ABOVE. gg^=