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47 BUTLER STREET - BUILDING JACKET UPC 10333 No.153L-3 HASTINGS.MN FIELD COPY ' CITY OF SALEM BUILDING ,a SALEM, MASSACHUSETTS 01970 PERMIT 'FEOBNE E'1}, II DATE Nnirpmhr- 16 19 01 PERMIT NO: 41(\-07 APPLICANT T•.Et In 1 i rl 4).gk1 ADDRESS A Manz., tCt rn�ta " 704- � 1 . (X0.1 ` ISTREETI (CONTF'S LICENSE) ALteraAlon$ Dwelling NUMBER OF PERMIT TO (_) STORY DWELLING UNITS ITrPE Or IMPROVEME NTI N0. )PROPOSED VSE) ZONING AT (40C AT CONI 47 BE1C le 1' Srrent tdar,rl/x DISTRICT Y-1 IND.) ISTREET) BETWEEN AND (CROSS STREET) ICROSS'STREETI LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE N: FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TVPEI REMARKS: .R@mPEthI 1riY h n/Call for for Permit to Qccupy VO UME. EST)MPT EO COcT i .E'•IC FEEMIT S O')-1k JCURIC SQUARE FEET) OWNER Henry zhT-r-iauli ADDRESS 4/ Sutler St. Salem. .sass. _ INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR /t..` (508)531-7997 LLL-C/�CtE .OLL[L�E't1 Additions • Dormers • Renovations Upper Levels • New Homes Roofs •Siding 1 ED GASINOWSKI &SONS eapbody, MA01960Extension NoJ20 3 City of Salem Ward X r - APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:I, It, Ill, IV, and/X. NIN I. AT(LOCATION) DISZOG TRICT K LOCATION (NO) (STREET) OF BETWEEN AND BUILDING (CROs STREET) (CROSS STREET) LOT 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(If residential,enter number of new 12 ❑ One family 18 ❑ Amusement,recreational housing units added,if any,in part D,13) 19 ❑ Chruch,other religious 13 Two or more family-Enter number 3 ❑ Alteration(See 2 above) of units....................................................... 20 ❑ Industrial 21 ❑ Parking garage 4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 22 ❑ Service station,repair garage 5 E] Wrecking(II multifamily number of units ........................... 23 residential,enter number ❑ 23 ❑ Hospital,institutional of units in building in Part D, 13) 15 Garage 24 ❑ Office,bank professional 6 ❑ Moving(relocation( 16 ❑ Carport 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School,library,other educational 17 ❑ Other-Specify 27 ❑ Stores,mercantile B.OWNERSHIP 28 E] Tanks,towers 84� Private(individual,corporation,nonprofit institution,etc.) 29 ❑ Other-Specify 9 ❑ Public(Federal,State,or tical government C.COST (Omit cents) Nonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant, 1, machine shop,laundry building at hospital,elementary school,secondary school,college, parochial school,parking garage for department store,rental offce building,off ice building 10. Cost of improvement ......................................................... $i` if iat industrial plant.If use of existing building is being changed,enter proposed use. To be installed but not included - in the above cost p O a. Electrical........................................................................... V td b. Plumbing.......................................................................... c. Heating,air conditioning............................................. d. Other(elevator,etc.)...................................................- 11. TOTAL COST OF IMPROVEMENT $ D B III. SELECTED CHARACTERISTICS OF BU LDING •For new buildings and additions, complete Parts E-L;demolition, complete only Parts J& M,all others skip to IV E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 ❑ Masonry(wall bearing) 35 ❑ Gas 40 ❑ Public or private company Will there be central air 31 ❑ Wood frame 36 ❑ Oil 41 ❑ Private(septic tank,etc.) conditioning? 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 ❑ No 33 ❑ Reinforced concrete 38 ❑ Ccal H. TYPE OF WATER SUPPLY Will them by an elevator? 34 ❑ Other-Specify 39 ❑ Other-Specify 42 ❑ Public or private company 46 ❑ Yes 47 ❑ No 43 ❑ Private(well,cistern) i�� J.DIMENSIONS 48. Number of stories M. DEMOLITION OF STRUCTURES: ....... 49. Total square Leet of floor area, r all floors,basHas Approval on exterior oval from Historical Commission been received dimensions .!...........................-......................................... for any structure over fifty(50)years? Yes_ No_ 50 Total land areI.sq.n....................................................... Dig Safe Number I K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed ........... ...................... ........................ 52. Outdoors...._.j.................................................................... HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed .....L...................................................................... Electric: Gas: Full........................................... Sewer: 54. Number of bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial............................... BEFORE A PERMIT CAN BE ISSUED. I IV. COMPLETE THE FOLLOWING: I Historic District? Yes_ No (If yes, please enclose documentation from Hist. Com.) I Coq�ervation Area? Yes_ No (If yes, please enclose Order of Conditions) I Ho Fire Prevention approved and stamped plans or applications? Yes_ No— s property located in the S.R.A.district? Yes_ No Comply ith Zoning? Yes_ No (If no,enclose Board of Appeal decision) Is lot gra,dfathered? Yes.— No (If yes,submit documentation/if no, submit Board of Appeal decision) If new coi struction, has the proper Routing Slip been enclosed? Yes_ No Is ArchiteIctural Access Board approval required? Yes_ No_ (If yes,submit documentation) I Massachusetts State Contractor License # Salem License # (A Home Improvement Contractor# Homeowners Exempt form (if applicable) Yes_ No_ CONSTRUCTION TO BE COMMENCED WITHIN SIX (6)MONTHS OF ISSUANCE OF BUILDING PERMIT If an extension is necessary, please submit CONSTRUCTION IS TO BE COMPLETED BY: in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants Name Mailing address-Number,street,city,and state ZIP Code Tel,No. Owner or Int C,` - Lessee z. R/011iS !` Contractor Builder's License No. Na. 3. y /koros Architect or Engineer I 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 a ent and we agree to conform to all applicable laws of this jurisdiction. Signature of pli Address - A plicatesate ��l6 DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building `�jQ — 93 93 FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued 19 Fire Grading Buildingp Permit Fee $ q o Live Loading Certificate of OccupancyApprove $ occupancy Load d by: ^ Drain Tile $ Plan Review Fee $ l TITLE NOTES AND Data -(For department use) � no a aL Z o.-. N� PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: Completed by: F i VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN -For Applicant Use O N III,II flv' IIII Iflll tl II Ill lull ul full li ly Ill lull�Gl l I glI'I^li '�I'llNIi III,hI 11�11�111i14'r IIII�I IIN .NI a4lu IIIINIIIII �� II�jI,aIVI llllllll��l� I'll rl "" I i�uilll�µll ISI'II 7 , y�Ill I�IIIIII I'I � ''J'I hl�lll I�_ - Now III „ MI tri, Il'I ill i 00 ® APPROVER _ (508) 531-7997 Sub czt to approval by any other Rau`?,-.-;ty having jurisdiction. -si t,,RitE BiA lfaETA BV / Additions • Dormers • Renovations PLAINS ARE APPROVED SOLELY FOR IDENTIFICA-NOF Upper Levels • New Homes TYPE AND LOCATION GF FIRE PROTECTION DEVICES. Roofs • Siding ALL FIRE PROTECTION DEVICES ARE E"JBJECT TO A FINAL TES i AND;NSP_CTION,FOR CCt1PLETE COMPU- 1 Maple Street Extension AN'E l'l!TH TIP FIRE CODE ED GASiNOWSKI & SONS Peabody, MA 01960 i ; � � �� / � � J �' � � � � oar �, ----� ,� � � R Y. �__ _._..:. ehk'. +4 �: q �, 4. i"„.:.�3: $ k .,� Imo: +... ..c ' �� _ ,� _ { �-- � -� �<' � _ � , � � ,� `E. .�,— - y . j-.' i :.;5'':n 4..•. 1: � � •• �• •� • •.��• _ a� .. ^1 I i i I � I --- �; � �� - - �r .y - H.. - •a. 4,- r�-Htro-�. _�. �< _ '�� .,�. ,: .. .� :.- -.. . . .. - •.. I U 1 l 3 4 5 b y IU 11 1Z 13 14 10 10 1 / Id lj 2U Z1 24 Y3 24 G: �� y 3 � I1rfGl�e�GR�'3S 0 45 Sy (ca 235 U 3 K 7 - - 10 k . 1213 z � i 14 - � 15 6� _ �� -"' 81 �' T Silt Rite Builders QAYLFe STRnET. CpET EX 16 �ASQD�y MASS. 01960 17 18 - ocs++eA w+E arsm