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138 BOSTON ST - BUILDING JACKET M!ds, �E f�LfB lfli3 iA�PROVEfl BY T44E 1 I1 P1=CI4?l� PF3103 Tp ARERM.IT 3FJNG GRANTED C-C * I ;CITY OF SALEM No. (�— O� tii�y` �� 'ts�; Date 03 Ward Zoning District Is Property Located In / Location of .7'�i� aw e the Historic District? Yes_No V_ Building Is Property Located In the Conservation Area? Yes_No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof Reroof, In (ding, Construct Deck, Shed, Pool, pair/Replace, Other PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's Name �ana� �1 L Address & Phone () L 3-3 Architect's Name —' Address & Phone ( ) Mechanics Name Address & Phone What Is the purpose of building? 1 7CN �Jl�`It Ivl Material of building? ( It dwelling, for how many families? Will building conform to law? Asbestos? I rl J Estimated cost 2 City License # Stat License # Home Improvement I /� L 1 i 24p2- Lic. 1 Signature drApplica6t SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE amove_- - re la Q - e ,4ri wcy i�4mb2 (-e Iy ak n6ipr rji[L- . x and tf r ,� rmjj cbr/m:e r on r�F (�oara� -6tL/ Ay �n6 (ILOr l-n,'74- � 7(D 31G�� 7- lOY MAIL PERMIT TO: dvY S YG (O rn 3 3 ` 'W'r 'Ya SiiNVOROr 'S`�• ;.3 ,' ":4 ' .lw'�s' � n e 0 o w � o oZco � A j yr 9V, )ME YSii t;? of :1-«iJ' ekia.4� I _ Al I r !a .3�i :g CY I iu'Nt . r FIRST FLOOR FLOOR PLAN BATH BED '2 Ll KITCHEN i LV. ROOM BED 1 © � t 1 Su sjoot$o k,anrov $y any othor aut,:orihr hsvim , rLsdi-"iijn. CITY of SALEI!,jf t,9S. F:P2 PP,"V-0 %TIO J1^T'E TT PLANS AP!" YrROVEDSOLELYEOR TYPE PNO LOCkT:-C! OF P1;S P1'9t>:77:1-4 D ALL Fl?p PROTECTIOM DSALES Ji ANAL TEST AND INSPECTION.FOR COiAPi.ET id[: ANC€WITH THE FIRE CODE. SECOND FLOOR FLOOR PLAN BED ROOM BATH KITCHEN LV, ROOM " BED ROOM O THIRD FLOOR FLOOR PLAN BATH l�J BED ROGM LV. ROOM i City �lnfass Chili �e;-t; Fire De1W,1'tM46T1t- 29 Fort: Ave Aobert If?-Tu7 ner Sakwi, 'Ifiocsarfiusafts 01970-3695 Toe Preveation C'fi i ef 'ref 978-7-14-1235 BuTec2u ,+78-74 1-69.90 FaX 978-745-4646 978-745-fi".'17 FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND THE SALEM FIRE CODE, APPLICATION IS HEREBY MADE FOR THE APPROVAL OF PLANS AND THE ISSUANCE OF A CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT BY THE SALEM FIRE DEPARTMENT. Ref. Section 113.3 of the Meas. Bldg. Code) JOB LOCATION: OWNER/OCCUPANT: ELECTRICAL CONTRACTOR: FIRE SUPPRESSION CONTRACTOR: SIGNATURE OF PHONE APPLICANT: ADDRESS OF APPLICANT: CITY OT TOWN: APPROVAL DATE: Certificate of approval is hereby granted, on approved plans or submittal of project details, by the SALEM FIRE DEPARTMENT. All plans are approved solely for identification of type and location of fire protection devices and equipment All plans are subject to approval of any other authority having jurisdiction. Upon completion, the applicant or installer(s) shall request an inspection and/or test of the �irs protection devices and equipment. (ADDITTIOFAA REQUIREMMITS, SEE REVERSE SIDE ***) NEW CONSTRUCTION. PROPERTY LOCATION HAS NO COMPLIANCE WITH ME PROVISIONS OF CHAPTER 148, SECTION 26 C/E, M.G.L. , RELATIVE TO TTIE INSTALA- TION OF APPROVED FIRE ALARM DEVICES. THE OWNER OF 1111S PRO- PERT-7 !S REQUIRED TO OBTAIN COMPLIANCE AS A CONDITION OF OBTAINING A BUTI-T)TNC PERMIT. F-1 LOCATION IS 1'JXPT—FiACN.E ';TMil T�'K PROVISION U. CF.APT!T 143, SECTION 26 C/r, E X I lu�f ON DAT71 "7 '�50.00 J C rn compliance 010 the prQviKon of sv "cti a tit-'.5 State guilding Code, and under guidelines agreed upon by the Own Bldg. inspector and the Salem fire Chief, the app,,'.icant f;-,r ` building permit shah obtain the Certificate of Approval ro-ierce side) and stamped plan approval from the Salem Fire pr"vs;ntion pureau, Said application and approval is required before a building pevmit way he issued; The Massachusetts State Building Code requires compliance approval of the Salem Fire Department, with reference to provisions of Articles 4 and 12 of the Building Code, the Salem Fire Code, hassachusetts (leneril Laws: and 527 Code of lassachusetts Regulations, The applicant shall submit this application with three (3) sets or plans, drawn in sufficient clarity, to obtain stanped 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 Waachusette 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 !Q11jul 991, 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 installationsp 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 Tt and Tables applicable shall apply. This section shall not, however, supersede the provisions outlined in the Salem Fire Prevention Regulations, Chapter 118, 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 awoke detector installation shall apply to the entire structure based upon current requirements as per Laws and/or Codes, but the existing structure may comply with regulations applicable for existing structures. Notice: Sub-contractors may also be required to file individual applications for a Fire Department Certificate of Approval for the area of their work, Much shall fi&- an Application to install with the Ore prevention Burean prior to commencing any work for those areas applicable. EI`I'Y"OF�L 1 -- ''~ PUBLIC PROPERTY < DEPARTMENT Ki.%RlFRLEY DRISCOLL MAYOR 120 WAsHINGr( a S-rREEr 0&UXK MAsSACHMI-IS 01970 TEL-978-745-MS•FAR:978-740-9846 APPLICATION FOR THE REPAIR,RENOVATION CONSTRUCTION. DEMOLITION OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: Building: Property Address: 3 /3 0 s- o:-, 67— property is located in a; conservation Area Y/N /i/ Historic District Y/N /V 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land _ Name: Au., /77� c 4z Address: 7` Telephone: 9 - 6 - // 7 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use El 3 New Demolition Existing Approximate year of Area per floor (sn Renovated construction or renovation 0 y New of existing building Brief Description of Proposed Work: -------Mail Permit to: /66 /�rk�/e sl �• /vF/ �,,,, a. o` 9 '-Y What is the current use of the Building? Material of Building? wv�IQ If dwelling. how many units? 3 Will the Building Conform to Law? Y Asbestos? Y Architect's Name Address and Phone Mechanic's Name Address and Phone Construction Supervisors License# US 9 y a ? HIC Registration# Estimated Cost at Project$ Yl UUC Permit Fee Calculation Permit Fee$ Estimated Cost X$7/$1000 Residential _ Estimated Cost X$11/$1000 Commercial An Additional $5.00 is added as an Administrative charge. Make sure that all fields are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to build to the above stated specifications. Signed under penalty of perjury i Date a � � N a a