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78 BRIDGE STREET - BUILDING JACKET 78 BRIDGE STREET TICKET NO: B0201�DATE ISSUED: 01-21-98 DATE DUE: 02-11-98 GRACE PERIOD:02-21-98 LAST NAME: NGUYEN FIRST NAME: THOMAS TRUNG MI : STREET NO. : 78 SUF: STREET NAME : BRIDGE ST APT. NO. : CITY: SALEM STATE: MA ZIP: 01970 SS: D.O.B. : EMPLOYEE NO. : 9091 EMPLOYEE NAME: LEO E. TREMBLAY DEPARTMENT ISSUING TICKET: PUBLIC PROPERTY VIOLATION SECTION: SEC. 26-14 OFFENSE: REMOVAL OF ICE F DATE OF VIOLATION: O1- -98 LOCATION OF VIOLATION 78 BR DGE S N0: 78 STREET: BRIDGE ST APT: FINE DUE: $10 .00 DATE 701-29-96 CASH: CHECK: 751 FIRST OFFENSE: SECOND OFFENSE : SUBSEQUENT OFFENSE: HEARING REQUESTED BY VIOLATOR: DISPOSITION BY DEPT: CLOSED DISTRICT COURT RECORD DATE OF HEARING: TIME OF HEARING: DISPOSITION: DATE DUE: DATE PAID: COMMENTS: w ..r -ti TICKET NO:(BL VV01� DATE ISSUED:01-21-98 DATE DUE: 02-11-98 GRACE PERIOD: 02-21-98 LAST NAME: NGUYEN FIRST NAME: THOMAS TRUNG MI: STREET NO. : 78 SUF: STREET NAME: BRIDGE ST APT. NO. : CITY: SALEM STATE: MA ZIP: 01970 SS: D.O.B. : EMPLOYEE NO. : 9091 EMPLOYEE NAME: LEO E. TREMBLAY DEPARTMENT ISSUING TICKET: PUBLIC PROPERTY VIOLATION SECTION: SEC. 26-13 OFFENSE : REMOVAL OF SNOW FROM SIDEWALK DATE OF VIOLATION: 01-21-98 LOCATION OF VIOLATION: 78 BRIDGE ST NO: 78 STREET: BRIDGE ST APT: FINE DUE: $10 . 00 DATE PAID:,,-1 29-98- ? CASH: CHECK: 751 FIRST OFFENSE: SECOND OFFENSE: SUBSEQUENT OFFENSE: HEARING REQUESTED BY VIOLATOR: DISPOSITION BY DEPT: CLOSED DISTRICT COURT RECORD DATE OF HEARING: TIME OF HEARING: DISPOSITION: DATE DUE: DATE PAID: COMMENTS: 3II '2- GI< I I Z The Commonwealth of Massachusetts REC IVE WINBoard of Building Regulations and Standards INSPECTIQ ALES Massachusetts State Building Code, 780 CMR Revised Mor 2011 Building Permit Application To Construct, Repair, Renovate Or DelOW 9 A 4- 10 One-or Two-Family Dwelling \0 This Section For Official Use Only ^�11 Building Permit Number. Date.Apphed: • ' lV � q1VA ^ Building Otlicial(Print Name). - Signature _ ate SECTION L SITE INFORVIATIOPF' I.1 Pro erty Addre s: ^ 1.2 Assessors Map&Parcel Numbers R 7 6117 L ' 1,I a Is this an accepted street9 yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq It) Frontage(It) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided I.6 Water Supply:(M.G.I,c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal O On site disposal system O Check if yes13 Al2 fL fknPb SECTION2: PROPERTY OWNERSHIP)` 2.1 Owner'of Rec d: Cl 9 26 5me(Fri t) City,Smte,ZIP No.and Street Telephorm Email Address SECTION 3:DESCRIPTION OF PROPOSED WORKS(check all that apply) New Construction 0 Existing Building O Owner-Occupied ❑ Repairs(s) ❑ Altemtion(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specity: Brief Description of Proposed Work-: SECTION a:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: OfOciul Use Only Labor and Materials I. Building S I. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical S ❑Total Project Cost?(item 6)x multiplier x 3.Plumbing S d P Qther Fees: .$ d.Mcchvrical (FIVAC) S I List: 5. Mechanical (Fire S Total All Fees:S Su ression) Check No._Check Amount: Cash Amount:_ 6.Total Project Cost: .S ❑Paid in Full ❑Outstanding Balance Due: [� �1 L_ '71� Coh��F-1 C_TCs' IV)A l _-_ t-1 l l g l l S SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS g ({ 6 e2 ( 7 t/ License Number E.rpir• iun D None ol'CSL Holder 1 .1 11 List CSL'fype(see below) T Description . o.and Street „ e Unrestricted (Buildingsu u cu. It. Restricted I&2 Family Dwelling City .State,ZIP61 M Masonry RC Roo fin Covering WS Window and Siding SF Solid Fuel Burning Appliances J 1 Insulation Telephone. Email address D Demolition 5.2 �It giste/rec%�HJoome I-mpro/veement Contractor(HIC) d �� 6 j7 4 C `/�L 6 G��( t— L L IIC Registration gxpiruti6n Date f I IC c n any Na r f CWR�istran ( —N mail address fF �Telee _Cion, SECTION 6:WORKERS'COMPENSATION INSURANCE AF AVIT( G. 25C(6)).. Workers Compensation Insurance affidavit must be completed and sub ratted with this application. Failure to provide this affidavit will result in the denial of the Isluance of the building permit. Signed Affidavit Attached? Yes ..........❑ No........... O SECTION lap OWNER AUTHORIZATION TO BE.COMPLETED WHEN., OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT' I,as Owner of the subject property,hereby authorize t9 act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Dale SECTION 7b:OWNER!OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the:pains p alties o erjury that all of the information contained in this application is true an accurate to the !tofi n nderstanding. •� � l� Prii kgcntA None(Elccuoni i ti D'JfC NOTES I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC) Program);will out have access to the arbitration program or guaranty fund under h1.G.L.c. 1 d2A.Other important information on the HIC Program can be found at www mass.eov:'oca Information on the Construction Supervisor License can be found at ww�! _ 2. When substantial work is planned,provide the information below: Total floor area(sq. R.) 3 (including garage, finished basement/attics,decks or porch) Gross living area(sq. 11.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 1. "Total Project Square Footage'may be substituted fur"fund Project Cost" 1 ,/ lY - --- fho C'omnwnweallh of Massachusells CI 1'1' OF Board of luilding Regulations and Standards I Massachusetts State Building Code. 730 CNIR SALh,\I He,i.,eil.tGu dull Building Pcrnil Application To C'onslruct, Rcpair, Renovate Or Demolish u Ohre- or rwo-P'urnih' Divelth,\r This Section Fur Olre' se only Building Permit Number: Dat ,\pplicd: lAiiiding Ot)icial(Print N;une) siipmture Ihlc SECTION I: SITE INFORNIAT1 I.I Property Ad res$. 1.2 Assessors �la mbers1 u _ I.la Is this an accepted street?yes no Map Number Parcel Numlxr 1.3 Zoning Informadon: I.4 Property Dimensions: aQstdem,1 -,h) Zoning District Proposed Vie Lot Area(sq 11) Frontage(11) 1.5 Building Setbacks(It) Front Yard Side Yards Rear Yard Rcyutred Provided Required Provided Required Provided 1.6 Water Supply:(M.G.I.c. 40.§34) 1.7 Flood Zone Information: 1.8 sewage isposal System: Public❑ Private❑ 'Loma: _ Outside Flood'Lune? Check if yes❑ Munieipal� On site disposal s)stun ❑ 2.1 SECTION2: PROPERTY OWNERSHIP'rd: �Ownerr of Reco GJ20J1V1� Sqkw VVI-A- 019 q-0 Navigj Print) City.State,ZIP '8(,?`6-)(- ;�©l MO 18,61 OL� tzonrteR�gmc(;I•(d�m Nu.and Street rvlephone Emuil AJ rcss SECTION 3: DESCRIPTION OF PROPOSED WORKS(check all that apply) New Construction 21Existing Building❑ Owner-Occupied Repairsis) ❑ 1 Alterotlon(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg, ❑ Number of Units_ Other M Spcoil : aL, Brief Description of Proposed Work': S SECTION J: ESTIMATED CONSTRUCTION COSTS Item JEstin,iva, sts: 0111cia1 Use Only rialsl y I. Building1. Building Permit Fee: S Indicate how fee is determined: 2. Electrical ❑Standard CityrTown Application Fee❑Totnl Project C ost�(Item 6)x multiplier _ _ .x1. I'IumMng2. Other Fees: S — -� - LisC__ -_-._�� \lech,mical iFircSu ,neuiunlTouml \Il Fees: S --- '-- .._('hock No. ('heck Aolo nt: l'.,ih \mmmrn lbwl I'rnjoct C0 Paid in Full (3 Uwstanding BaLmcc Due: SFC'HON S: CONNI-Ru r10N SERVI('FS 5.1 Construction Supenvisor License(CSL) I iccnse Nwoher —._. _._ P\piralion P;ne Nmne of C'St. Holder l ist 01. I)pe leee lido") ------------- '11pe Description Nu. .mJ Street l I Inrestricicd I IluilJim gs up to 15,0IIt)al. ll.l R Ralricmd 1&0 Famii - M%cllill RC Roolin C'ovcrm N'S N'inao%% ;old Sidin SF Solid I ucl]turning Applimiccs I Insulation l'cle Iona Ifnlail address D Demolition 5,2 Registered home Improvement Contractor(HIC) IIIC Rcgisuutiun Numhcr licpiratiun Data I IIC Conlpan) Nanlc or I IIC liegisuunt Name No.and Street limail address Ci ITown, State ZIP role one SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,e. 152.f 2SC(6)) Workers Compensation Insurance affidavit 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. Signed Affidavit Attached? Yes .......... o No...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Date i'rint Uwncr's Nane IElccltunic Signature) SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below. I hereby attest under the pains and penalties of perjury that all of the information contai ed t i a plication is true and accurate to the best of my knowledge and understanding. ` Dart. inl Ual nr:\uth, ircd.\gcnt's Name Ililactrunic SignaUlro) I ' NOTES: I. .\n Owner who ubtnins a building permit to do his.her own work,or an owner who hires an unregistered coniraeiur inut registered in the Hume Improvement Cuntractor(HIC) Program).will n, have access to the arbitration program or guaranty fund under\I.G.L.c. 142.A. Other important information on the HIC Program can be fund at ,,,,,, men. 0% ',J Information on the Construction Supervisor License can be found at ? \%'lien substantial wurk is planned, provide the information below: rotal llour area I s+ tl.l - ____.._(including garage. finished basenient oitics, decks or parch I Cross living area lsy. 11.1 Habitable room count Number of hcdrooms Nlnnbenll'lircplaces .. Nunlbcrol'halfhatlu f�pc of Im,ming i>aem . . Nunlhcr ofJecks, porches I)pe ofcooling i)Skint rncllscd 1, "l offal Proiccl Square )o,o.IgC- III:1% he substituted tLr 1'oad Project ON The Commonwealth of Massachuseus fQ V Board of Building Regulations and Standards CITY Massachusetts Stale Building Code. 780 C'MR, 7'"edition (IF SALEM t Revisrd uw Building Permit A plicatiun To Construct, Repair. Renovate Or Demolish a l. :(NAVNAY One-or rw Fumily Dwelling This ection For Official Use Only Building Permit Number, Date Applied: 10 17 Signature: �,416 +O Ruildinif Cum issi r/Inspector of Buildings not SECTION 1:SITE INFORMATION 1.1 Property Addre 1.2 Assessors Map d1 Perch Numbers I.Is Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning{District Proposed Use Fx Arm(sq 11) Frontage(11) 1.5 Building Setbacks(B) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.I.c.40,§Sa). 1.7 Flood Zone Information: 1.3 Sewaga Disposal System: Public O Private O Zone: _ Outside Flood Zone? Municipal O On site disposal system O Cheek if nO SECTION 2: PROPERTY OWNERSHIP' 2.1 wner'Of I word: e(Frio Address for Service: Telephone SECTION 3: DESCRIPTION OF PROPOSED WORKS(cbeck eB that apply) New Construction O Existing Building O Owner-Occupied O Repairs(s) O At cration(s) O Addition O Demolition [31 Accessory Bldg.O lNumberorunits_ Other O Specify: Brief Description of Proposed Work-, e en 1 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: OlRclal Use Only Labor and Materials I. Building S 1. Building Permit Fee: S Indicate how tee is determined: 2. Electrical S O Standard City/Town Application Fee O Total Project Cost (Item 6)a multiplier x ). Plumbing f 2. Other Fen: S 4. Mechanical (I)VAC) f List: S. Mechanical (Fire f Su ression Tutal All Fees:f Check No. Check Amount: Cash Amount: 6. Total Project Cost: S U 0 0 Paid in Full O Outstanding Balance Due: SECTION S: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) w � 0� _ l.iceroe Number rpirao I>.rte N—wine of l'SI.- I lul r Lis1 CSt.-rype(see below)CS O L� T— f Description .\JJress�/��y U I llnrestricteJ(up to 35,000 Cu.Ft. =rf6��O W. F Restricted IR2 FamilyDwelling S tgnat re M (htl Residential Roulin t.'overin felephune Residential Window ants Sidin Residential Solid Fuel Burning A liarree Installaliun D Residential Demolition S.2 egls His rnsJlnpravement Contractor(HIC) �� m me l Registrstian NN m2 1IIC Cupany Na IuY IIC egi� el strant N• e AJtsress Expiratidn Date Signature 70e one SECTION 6: WORKERS,COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. IS7. S 2SC(6)) Workers Compensation Insurance affidavit 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. Signed Affidavit Attached? Yes .......... No...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I , as Owner of the subject property hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. SitituturcofOwner Date SECTION 7b: OWNERr OR AUTHORIZED AGENT DECLARATION as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are We and accurate,to the best of my knowledge and behalf. Print Name Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of 'u NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who him an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program), will rgg have access to the arbitration program or guaranty fund under M.G.L.c. 1 J2A.Other important information on the HIC Program and - Construction Supervisor Licensing(CSL)can be found in 790 CMR Regulations I IO.R6 and I IO.RS,respectively. ?. When substantial work is planned,provide the information below: Total Iloors area(Sq. Ft.) (including garage, finished basement/attics,decks or porch) Gross living area(Sq.Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half7boths Type of heating system Number of decks/porches Type of cooling system Enclosed Open J. "Total Project Square Footage"may be substituted Ibr"Total Project Cost"