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8 CLARK ST - BUILDING PERMIT APP (003) �-� ` � 8�s �� a�� $� �� ,IJ�Sp��OA ,PF�R Tp A PEAMIT.B,EWG GRANTED � �4� CITY OF SALEM 1 Q� ��N�ir a; �^ � No. \\1��,\� Nc;;� ..� �.�,\ Date b /y�c� �� U �y 0 i; �.� ��. ��' i�,l) Ward ,� > . \'�'cimN��''� Zoning Distnct Is PropeAy Located in Location of �+/ � the Histonc Distnct7 Yes_No X Building C /�� j b Is Property Located in the Conservation Area? Yes No X � BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, RepaidReplace, Other. A�T� o � 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'sName � �2Ui � � J � LINS Address & Phone g GC��.�� s i Su.L�,� ('1C�( � y aK- �� ArchitecYs Name Address & Phone ( ) Mechanics Name � Address & Phone ( ) What is the purpose of building? f'T 0 �`� Material of building? (.�o ar—C If a dwelling, for how many families? � Will building confortn to law? Y�S Asbestos� ^, � Estlmated cost��`�v, �o City License #_ State License a �y h F Q( Home Improvewent � Lic. / ' Signat!�re ot A��(icant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DON� �}��.—� wa d�F � CF�z y�c2�c, e �n-�� `� �loc+� �u �;crs�(!^�i � G�A-�l� MAILPERMITTO: � CL�,. /1 5T ScL�,.,� �!� Cl(F?d , , No\��,�,� v APPLICATION FOR PERMIT TO C�h-///�KG�n 'X/�ll U ?�Or� -i'1K p� � J�� . . ' LOCATION � CIc.�� Si�� PERMIT GRANTED �/��/ la� 14 � APPpQV�D / � `+�-r�„� i�� INSPECTO OF BUILDINGS !� � �� .• � � � ' GTY OF SAIEM BUII.DIIdG DEPARTN�NI' � xor�owrm��c�xsE�10N ' �� DA'IE G - /�f- 0`( J�LOCAT101t S e.L q� '� ST " • • , H03vlEO�V1�R � 0 �li nJ L� S � ' ' ADDRF.S� •Ho�o�vrm� 7 i- ya �- � a�5`' � � �� . . . PAESENT MAII.Tr?G ADDAESS G La.�k ST ' ' op o{`J�pmeowntA"svaf txfcnded to vcludt o�rocro�wP�d�rsliep dTWO ' • Tbc c�cnt.r�cmP� ��bye�vLo does aol po�n�� Uniu a kss aad m a11o�+aucL Domevwnas w a�e . . L�.y�vid��a�e e+r�er�el u wperviwr. . Dgp�7p]i p�F HON�OVV1'47L• to�esid�ouu,vlSd�9ws i�a 4 • • Pcrson 0)��`'O:�Pffial a�land on whSch Ldshe asides or itucads 10 web mt aadkt in�a�ed u be.�one a two tam�'a'"�iltn�ansched m dcuclKd sa�� od�O17sLaD aot bc eonsfde�ed faTm avucuaa.A P«wla consovcts moac than one twrnc in s two-�P� � •homcowxt. Such'homcopTef shsD'subndt w the Bu�lding Offxifl,on a tasm s�Dk b tis Build'v�Officid.that Lc/she bc icsponubk w all s�wrnic pcfot�d mda dit Dafid�PQ�L . 7]K imdmigeed'Lomcow�neT ass�an�rc�ns'biliq So[compiiar�cc with thc Sutt Bu��Code ad ' ott�cr sypli�bk goes by-lssrs,tules�� . . 'iM imdasi�'liocrc�awnc�'arufia tl�at hc/she imdcav+rds tfi��9'°t� �� ' . . minim�an inspcuon F+o�d�au atd reqwcaums and thst hlshc►rill c�P1� �� ,��/ }IOtv�OW'NFR�S SIGNA7'URE�'%"�'Y-�- f.PPROVAL OF BUIIDAIG II�SPECfOA ��""� L�� Sx ot6er sde fm s+au code HOA4EOWNER'S EXEMPTION 7�c codc siata thaC 'airy homeomur performing wmk fm whicA a bu�d'mg permit b�eq�red s1nB tie � ' c. fmm tht isioas of tLis xctioa Secti — i . p�o+ ( o0 3 .1.1 lSaos o ot Cowtrac►ioo So '�� fl9 . E Provided tLu is s LameowTer v�gaga�Pcrson(s)for hiri w do.such wor1S t}at�i�e6 Lomcawaa�aol � as:upwitaw• • . , � Lameoanccs aLo use this cxe � thep ass�i �d� Mat7' mption a�e imawaa�at aie ihe ' _ , svpervisar(�ee Appeodh Q�Rulea and ReYula�iow for I3oco�io=Coostruetbn So�ervbors.Sae11N : , • .2.1�. 7Lis bdt of errarenaa ollrn nsults in arirns Drobkms.Peroeulsr�w�bea t�ho�ac Idt�{ . unl;an�d persoac m tMs eax yom Board earma pra�d b�4ic mJi«med per�on�t�l.roda.r]s . 1'�ocnfed Sopa'�isa. 7bc Domew+vcr sainp a wpctviwr ff ohiwte�resEoosPoi�, . � To easure thn t!rc horncovnKr is tally awan ot l�lA�er�esponn'bJkfties.msn7 ernmnmdda reqoLt;as pnt of the permi{aypliodoq thst th homemrnet eerdty tMt hrJshe mdersmdt tbe�ssponslbtWiq df super.i�a You mry eue to amced aid adopt tuc��formlecnificatSm!bc me in yav oom�m�p, � PUBLIC PROPER7Y DEPARTMENT � 120 WASNINGTON STREET. 9RD FLOOR ' SALEM,MA O 1970 TEL. (978)745-9593 EXT. S80 Fnit (978) 740-9648 STANLEY J. USOVKZ, JR. MAYOR � DISPOSAL OF DEBRLS AFFIDAVTT In accordance with the provisions of MGL c 40,S34,I aclmowledge that as a condition of Building Permit# , all debris resulting from the construction activity govemed by this Building Peimit sLati be disposed of in a properly licensed solid-waste disposal facility, as defuned by MGL c III,S 150A The debris will be disposed of at . . ' Lxation of Facility ��,�= ,��—G---� �-/�/-C�y ' Si�ature of Permit Applicant Date F[JLLY complete the following info:mation: (PLEASE PRINT CLEARL7� s��,��„J . ��f [ �� s Name of Pe�it Applicent Fum Name,if arty � GL�ti r< <� 5��,..� naa�,ci�y 8�s� The above statute requires that debris Erom the demolition,renovation,rehab or other alteration of buildmg or structure be disposed in a properly-licensed solid-waste disposal facility as deSned by MGL cIII,S150A, and the building petmits or licenses are w indicate the locaaon of the faciliry. Ir Certified Plot Plan C�ark Str� �t 81.�S 73 ' --N� Proposed 274'+ 43.g�F Addition - 1�22, ~I '�� Exisitng " / Dweliing , �" �/ ..;; . 10.9'+--, � ' , �, j 22.9'+� Z,J � � � � �pt �oo o Uj z �2' 14g S f �' � `° � � o `„° �.� a� � U � a � a � a,.� Note: S �3-43 Call Dig Safe @ 888-344-7233 for location of buried utilities� � - . '30 F a�d Iocal Communiry water&sewer locaUons prior to any � . . - excavation. - � . . � � 3 Clark Street REGISTRY OF DEEDS Essex South District Scale:1=40� 3 Clark Street,Salem,Massachusetts J une 4, 200�} °eed: B°°k:�s89Pa9e:8' Proposed Building Plan Doc.#: � CertificateofTNe: Plan# Plan Year Book:5558 Page:800 I certiTy that the � ctures are located as shown and conform to llie communily of Salem zo ' quiremenls ien constructed and that the lot and structures do not tall Land Court Case#:26214 flood d area shown on F.I.R.M. ,n��laz rence Map,Community Panel Board of Appeals,Case#: 50-70 �6,Y C Z(iOF� � � : � �� Granted:/L . . � � � Assessors Map: Parcel �' _ . Zone=R-1 � Alan C. Nelson, Professiona/Land Surv�;�y� �, Setback Requirements NFl,g',p�,� y . �. y Front=l5' x'�7a . • Rear-30' . 'Cq�FSSIONOP ��//� Owned By. S��'� A. C. Nelson Cartography Vanessa E.&Marvin Dollins . � Pmles4onal Land Surveyors . 8 CIelk Stf¢ei � ' POBox939 Bu�ington;Massachusetts U.S.A.O1B03 � Certified Plot Plan C�ark Str�� t 8j��S�3. �N� 27.4�+ 43.3p F xisitng Dwelling 22.9'+ y.. ��f' , M M� . � CO{ 10o O � . c � z '2� �4g s f E' � � L ^ o � va� � � o �; a � 8,.� S�3'q3.3p� 3 Clark Street REG/STRY OF DEEDS Essex South Distnct Scale:1=40� 3 Clark Street,Salem ,Massachusetts J une 4, 2004 Deed: Book:22689 Page:87 Doc.#: Certificate of Title: � Plan if Plan Year Book:5558 Page:800 I certify that the � ctures are located as shovm and conform to the community of Salem zo ' quirements ien consWded and that the lot and structures do not fall Land Court Case�:26214 flood d area shown o�F.I.R.M. rence Map,Community Panel Board of Appeals,Case#: 50-1 B,z. C � � .. . - Granted://. . � � . _ � . . Assessors Map: Parcel � . Zone=R-1 � Alan C.�Nelson, Professional Land Su �. �"�+�M �, Setback Requirements �N(�j,� y�� . Front=l5' +'�•S� y� . Rear=30' 9'�E N� . ��//� ,G. S51 .,�0�DQ ow�ed ey: A_ C. Nelson Cartography P+o/es5iona/Land Surveyors-. Vanessa E.&Marvin Dollins ' � � Poeox�t39 8 Cla�k$tf¢¢t Budingron;Massadrusetts U.S.A.01803 � - Salem,MaSSeChU5et45 878b57-J681 FwPh r �� .;� f c-��y'v./ Jucerrc, �vl�lSSaC/ZZlSettS (' � �"ire Department ; `� 43Lafayette,$treet � R.o6ertM1t!'Iurtter Sa(em,Mrusqcltrrsetks01970-J695 ' z9 Fort Av ; ChieJ 7eL 978-744-1235 �re Preventior ` 978;744-699D Bunau fa�978-745-4646 � 97&�45-7777 • FIRE DEPARTMENT CERTIFICATE OF APPROVAL. POR.A BUILDING PERMIT I � IN AC r CORDANCE pITH T8E PROOIBIONS Op THg HASgACHUSEIT5 STATB BOItDING�CODE � �' Al1D THE SALEM FIRH CODE, AYPLICATZON IS 9EAESY MADE FOfl YHB dpPgpppL OF PLANS . .. �ND 'feE I3sOAttCE OF d CERTZPICATE OF APBROvpL ppg A BDILDING PS&!II! BY.TaE 'i S ' SALE!( PIRS DEPAdTNEt1T, ( Rep, Seceion 113.3 of t6e Mase. Bldg. Cade) � '' � JOS LOCATION: , . � �`['t 2 ,� S I S�(�..,,�. � - 9 " � �i1AEA/OCCITPANT: �Al�Jl� �C�'II/^�S " � '�, , ' �, �; . ` ELECITCICAL CONTRACTOA: .. S�(� ' 'i . e � � . a . � . h'4�%� . _ � ' , , - ` ,. ' BIRS SOPPRE39IOlZ CONTAACTO&E ` � 0 � s �� .. W 4, , . . , .. G°''. . . . � ' , >�_� , . SIGPATURB OP � '` ,''�� j �� `:. /�r I ' ,APPLICANT: ��-'f i%`E�'t--�"-,'.V� ,< .P90N8./: /d� .�I�c �I-��=� � �J y � , . . x v, I 6's� . . . . .. . . . . .. ADDRESS Oit � � * i,. APPLICANTt' . �, G�L4'�l� ST. �,, ; CIT1f OT�' � � �-C �+ �„i ,,�t� � .., t „TOfiN s` 'f' � � '� APPROVAL DATS: !y .200`I ' x� � m - x + �1 � • ' . � . r .� . e � .. ,af.. ,~ . .��.. . p � 4 , ._ � ^ � ' , '; ' . , 3s ° Certificate oE apprmral le hereby grantad. oa approvea plane°or aubmiteal of � �A pro�ect datails. by the SAL@t glRg DgppHT!ffiTp:° All;glaas ard'`apprwed ;eolely'' � , Por ideetificatiop of eqpe a�,lacation of firn proteceioe devicqq and equipment All plaae are subjece to ,apprwel `of any other�authority ltaving juriediction. ' k f Upon completioa, the appliean[ or inataller(e) ehall requeet ,an inspaction end/or , , i �" ; ,, teae of th� fire protectioa devices and e,quipment. (ADDITTIONAI, REQUIHffiifiNT3, ` � 4 .. ' �, SEE REVERSS SIDS **�} ` :r.,, c,.. • 4 � ..t � . } � . i „ . ; ` � � „ �,. . � �J NEW CON5TROCTION.. �. . La � _ „ a . ' , �' ' ' ` ,' , , , ` + ; . + ' ,. _ � " � PROPERTy LOCATION HAS NO COMPLIANCE 4IITH ZE[E PROVISIONS OF . � � CIiAYTER 148, SECTION 26 C/B, M.G.L. , BEI,ATIVE TO THE INSTALA- � t TION OF APP1i0VED PiRE AL1RM DEVZCES: THE OWNER OP THIS PRO- PERTY IS REQUIRED TO OBTACN. COMPLIAtVC$. AS A CONDITION OF j � OBTAINiNG A BUILDT'IG PERMIT. � � . . ., . � . . . . . . . . .. .°, , . . � . . . 1 �� ?R07ER?'Y i,pCATL�N TS [N cO;fFLIACNF, ',7I'i'H I71C i'20VISION OF CN�\Y;P:F t4t3. �ECTION Z6 •'!F', ��_p,�;. . " t.:�.�;Kn:�rn n:�--: 3 /�/z�J�. < . - __. _.. _. ._ !��'_,. a2 f�.�.,.. - --� _.__ _ ---- . � . _ • . . ��T. ' Jl.� i�..��.� I �Ff. l :C � . . . � � �' IJ..1� l 5�,. ... . . ". , . . 30� , , .. , � � r. „ t t ., , ; .;.. � $50.00 � � CHECri�7 _ r d . . � � , . ` in comptiance uith the provision of 3ection 113. 5 of Che �lassachusetts ' 3tate Building Code, and under guidelines a$reed upon by the Salem Bldg.' Inspector snd [he galem Fire Ghief, the appiicant Cor a 6uilding permit shatl obtain the CertiPicate of �1ppr�aal (see re��erse side) anci stnmped plan approeal frnm the Saleo Fire Pre�•ention Bureau. � Said application and approval is requtred before a building, permit mas 6e ? issved. The yassachusetts State �uilding Code requires co�apiiance � • � approval of the Salem Fire Departmenk, With rePerence to provisiuns of .�lrticlas d and 12 of the Building Code, the 3alea Fire Gode; Nassachuseets , � General La+:s, and 527 Code of Massachusetts Regulations. ` - Yhe applicant shali submit this appl(cation With three (3) sets of plans, drawn In sufficient clarity, to obtatn ,9tamped appeo�•al of the Salea fire Department. Thia applles for all new conatruction, substsntial , � � alterations, change of nee .and/or occupancY� and an} other appro�•als requtred by the Massachusetts General Lawa, and the 9alem Fire Code. I6 , . _ „ . ,, 6xceptton: Plan9 wiil not be required _[or structural �ork uhen the - ; - ' proposed Worl• to tie pecfor�ed under the building permit wfll o��, in the opinion of the 8uilding Tnspectur,. require a plan: to show the natvre ar�d. character oY the �ork to be performed. . �otice: , Plana are. nor'ma21y required far Lire suppression syst¢ms, Pire alarm syste�s, tank installationa, and Fire Code � �. _ requirea�erts. rs : � ' , Cnder the Drovisions of articTe 22 of the Nagsachu$etts State. 9uildin� ' Code, certain .proposed. projects maq not require suboisaion of. plans ur i coaplete coapliance,vith new conatrucLion requ;rAqents:fi In 'Ghese � ; ' casee, proviatons of Article 22, .lppendix T, and Yablea applicable � i ; shail apply. 'Thie sectlon shall not, hoeever,�supersede the pcovisione outlined in the'Salem Fire $revention Regulations; Chapter 1�8, '.MGL, or 52T Cod'e oP Massachusetta Begulations. . .Ill peeai.ts Por - fire code use and/or_occupancy shail apply .for the�entire structure; _ _- � ffre alarm and/or s�oke detector instsllation ahall epplgito .the • � entire;atructure based upon currene cequirements as per` LaHs and/or � � Codes, but the existing structuie may complr e+iLh requlations.' i �f . , applicable for existing structures: �= ' . - � t _ j � _ � , .Votica: Su6-rontractors mu�• also be required to file �indi� idual ' � anplicotions icir a Pire Department CertfPicar_e of .lppro�•�1 �- �j � for th�� araa uf their work. 3uch sub-contractors shall file j � ad :Ipplication to install with the Fire pre�•entiun Buresu � � , prior to commencing any uork for those areas applicabie. i� � . ' , � . � : , N ! i j. . . ' � � ' . � { � . . _. , � I i,. :,) . - ' �.. 5 '�� , � ' .. � . ' � . ' .. ' . .. 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' . - - . � � , � ,, � ' ' � ' � : , . . ; . ' . �1�daC5EG1',':.`�DIP�SF2CTION,FOF.COtdFLET�C;IMPU- � � � � . . . . . , , . . . . . . . � - . . . '� . . . . ' >NC�'�iITF;THE FIRE CODE. . . . - �. �.. , _ , , �� . , . �� . . �� . '� .� � ..� � � � � � . � ., — � . , . . , , �. - . �� - _ - , , � : � , ' '2,�� ; _ � � � � � ' ' � ; , � � � � . , , , ; - _ _ � >c � . , , -- . , , i _ _._ - - ..__ _ _ _ _ _. _ _ __ _ .. _ _ _ _ . _ _ _ . _ . _ . _ _ _ _.. .__ _ _. __ _ _ _ _ . _. __ _ . _ , _ . _ __ . _. . _ __ .:r�_ _ _ _ _ _ -� _ _ _ _ - _ _ � _ _ _. d _ _ __ _. _ � _ _ _ _ _ . . _ . _ � . _ _ ._. __ _ . - . _.. . _ . .. .... . .. . . .. ._ . ... . . _. . k�1.:. .. . . ... . " _ _ " . . . . . ... . . . .._ . . . . . . _ . .. _ . . .. .... ... . ._ ... .. .J . . � . _. ._.... _ . . . . _.. . . ._... . _ __.___ y_" . . . -�.b� . _. . ..... . .._ _. . . . . ._.. . . . . . . . . . . . .. . . _ . . . . . .._. _ . _ . .. . . . . . . . . . .., _.._ _. . .cw . . . . . . .... . .. . .... . ._ _ ._ ._... . .... .. _ . ... ._ . 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