Loading...
10 CHESTNUT ST - BUILDING INSPECTION (2) C/L* 1"?QS MUST-ef fiL-E� AfPROVED BY T+IE .=PXTpR ,PRWH TO A_PERMIT BEING GRANTED CITY OF SALEM o No. 20 t - 2©oy Date \°cimwe Is Property Located inLocation of the Historic District? Yes V/No_ Building Cb-es V,,A Is Property Located in the Conservation Area? Yes_No_ BUILDING PERMIT APPLICATION FOR: Permit to: i Construct(Circle whichever apply) Roof, Reroof, Install Siding,g, Co st uct D eck, Shed, Pool, Repair/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 Address & Phone M Csin (G9S) 5�i --.-500 Architect's Name /Pct ov� Address & Phone ZtoZ �sse x (S'��6) 'lel-(- 587-7 Mechanics Name z Address & Phone n ( ) What is the purpose of(building? �e 51 e �✓ Material of building? If a dwelling, for how many families? Z Will building conform to law? C.-S Asbestos? ISA Estimated cost K City License # N A State License # ¢ Home Improvement $ f 20 Lic. / 1 Gt✓ -79 L( Signature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE MAIL PERMIT TO: No. zOl -zooms APPLICATION FOR JJ PERMIT TO e. 1-9 all le, - i LOCATION PERMIT GRANTED AP VfD 91 INSPECTOPKOF BUILDINGS ca .-- y OF 5ALEM. '!RAb=1K%.n" . PUBLIC PROPERTY DEPARTMENT ` • ° 120 WASHINGTON STREET, 3RD FLOOR < SALEM,MA 01970 TEL. (978)745-9595 EXT.380 '&qy� FAX (978) 740-9B46 STANLEY J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVIT e that as a condition 40 S34 1 aclmowledg provisions of MGL c , In accordance with the prove of Building Permit# all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid-waft disposal facility,as defined by MGL c III,S150A. .E' l�l P,oa�P C�r� 47 The debris will be disposed of at: / c 2 Location of Facility Signature of Permit Applicant Date FULLY complete the following information. (PLEASE PRINT CLEARLY) q�1 �G.11 Name of Permit Applicant Firm Name,if any , C),Or�,, % Address, City & State The above statute requires that debris from the demolition,renovation,rehab or other alteration of building or structure be disposed in a properly-licensed solid-waste disposal facility as defined by MGL c111, S 150A, and the building permits or licenses are to indicate the location of the facility. City ® Salem, Massachusetts Fire Department '�qpp 48 Lafayette Street - 29 Fort Ave. Robert 9N-Turner Safem, Massachusetts 01970-3695 5r tion Chief Te[978-744-1235 Bureau 978-744-6990 FaX 978-745-4646 978-745-7777 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 Mass. Bldg. Code) JOB LOCATION `.. A s ,. C' , AJC ,�97 .LLS � amu'' "•�� p .. OWNER/OCCUPANT: / /.��J �N I S7�^DI V f ��R rn ELECTRICAL CONTRACTOR: e•< FIRE,,SUPPRESS ION CONTRACTOR. ` 'r 4�F rj SIGNATURE OF PHONE 0: SY Y ` ,: .Y APPLICANT: . r0 6 v;.. ADDRESS,OF °. e / �.� ^"ra �ry m CITY OT ' $ Y., APPLICANT. C I �.: C fir v'T ? TOWN: • 7/Pn 1 a APPROVAL -DATE , 01 " �x'� t= xs• '; ;Fi •+ a T ' "'s �; . . Certificate of approval is,hereby granted, on approved plans or submiLttal;of� project "details, by the SALEM FIRE DEPARTMENT. *,All pl4ns'are ,approved' solely ,r - for identification of type• and'�location,,of .fire protection devices and- equipment ti All plans are subject to"approval of any-other.authority. jurisdiction., Upon°completion;°'the,applicaut or installer(s) shall ,reques....a5. iaspectian.and/or' . test of the tire protection devices and equipment,: (ADDITTIONAL REQUIREMENTS, SEE REVERSE SIDE ***) ; .. 4 NEV CONSTRUCTION., PROPERTY LOCATION HAS NO COMPLIANCE WITH THE PROVISIONS OF ' CHAPTER 148, 'SECTION 26 C/E, M.G.L. RELATIVE TO THE. 'INSTALA- i TION"OF APPROVED FIRE ALARM DEVICES. THE OWNER,.OF THIS PRO- PERTY IS REQUIRED TO OBTAIN COMPLIANCE AS A CONDITION OF OBTAINING A BUILDING PERMIT. PROPERTY LOCATION IS IN COMPLIACNE WITH THE PROVISION OF CHAPTER 148, SECTION 26 C/E, M.G.L. 99 EXPIRATION DATE: ZO �� ✓lu ° lr u -71 SIGNATURE OF FIRE OFFICIAL FEE DUE: UNDER 7,500 SQ. FT. - $0 0� FORM# 81 3/98 7,500, SQ. FT. OR LARGER- $5 00 In compliance with the provision -of Section 113. 5 of the Massachusetts State Building Code, and under guidelines agreed upon by the Salem Bldg. Inspector and the Salem Fire Chief, the applicant for a building permit shall obtain the Certificate of approval (see re.erse side) and stamped plan approval from the Salem Fire Prevention Bureau. Said application and approval is required before a building permit may be 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, Massachusetts 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 anis other approvals . required by the Massachusetts General Laws, and the -Salem Fire Code. a 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.-.' I � requirements. Under the provisions of Article--22 of ,the Massachusetts- State Buildinel� j; Code; certain proposed projects may not require submission of plans or. V complete compliance with new,,construction requirements...- In these cases, provisions of Article 2.7, ,Appendix T, and fables applicable shall apply. . This section shall not; however, `supersede the y. provisions outlined in the. Salem Fire Prevention<Regulations, _Chapter ..` ° a 14S MGL; or M 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 " entire •structure ,based upon currentsrequirements;as.pea-Laws and/or , Codes, but the`existin,- structure may'comply with regulations ' ' t applicable for existing structures. .Notice: Sub-contractors -may also be required'to file individual applications for a Fire Department Certificate of Approval 9 for 4e area, of their work. Such subcontractors shall file ) an Application to Install with the Fire prevention Bureau ' prior to commencing any .work for those areas applicable. . F FORM #81 REV. 10/97 CITY OF SALEM BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please Print I DATE / JOB LOCATION / 0 C k f N-7 J-yr HOMEOWNER ADDRESS p� HOMEOWNER TELEPHONE PRESENT MAI .ING ADDRESS SQ me The current exemption of"homeowners"was extended to include owner-occupied dwellings of TWO Units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner act as supervisor. DEFINITION OF HOMEOWNER to reside on which there i or is Person s)who owns a I of land on which he/she resides or intends s, ( parcel intended to be,a one to two family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner'shall submit to the Building Official,on a form acceptable to the Building Official,that he/she be responsible to all such work performed under the building permit The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable goes by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the City of Salem Building Department minimum inspection procedures and requirements and that Wshe will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE �— APPROVAL OF BUILDING INSPECTOR See other side for state code HOMEOWNERS EXEMPTION The code states that: "any homeowner performing work for which a building permittis required shall be exempt from the provisions of this section (Section 109.1.1—licensing of Construction Supervisors); Provided that is a homeowner engages a person(s)for hie to do such work,that such homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are asstuning the responsibilities of a supervisor(see Appendix Q,Rules and Regulations for Licensing Construction Supervisors,Section 2.15). This lack of awareness often results in serious problems,particularly when the homeowner lura unlicensed persons. In this case your Board cannot proceed against the unlicensed person as it would with licensed Supervisor. The homeowner acting as supervisor is ukimately responsible. To ensure that the homeowner is fully aware of hither responsibilities,many communities require,as part of the permit aPPlication,that the homeowner certify that he/she understands the responsibilities of a supervisor. You may care to amend and adopt such a form/certification for use in your community. 4