3D FLETCHER WAY - BUILDING INSPECTION ♦ l � A
AioTHST-19E f+Lf� APPROVED BY T44E
,W5P XTOA ,PRWR TO A PERMIT BEING GRANTED
CITY OF SALEM
�,NUIT
Date (O a:1 04
Ward
Zoning District
Is Property Located in Location of
the Historic District? Yes_No Building F\ f U rty
Is Property Located in SA\Pm , tV\% p1570
the Conservation Area? Yes_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) R f Reroof Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, ther: beC�
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 I,�SA SaPP
Address & Phone sc\e*coos W�., S�1Q,wMR (974) y5-oSay
Architect's Name lea i�pl\eE;es
Address & Phone 6L to
Mechanics Name Mgn K- Qr Ilelise �-
Address & Phone Sores ( )
What is the purpose of building? Re ocGc,zfw'no, lec K
Material of building? 1iJcr k If a dwelling, for how many families?
will building conform to law? �L S Asbestos? (\J,.)
Estimated cost ° City License# State License #
Home Improvement
Lic. # .G, �CP
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE f ' r
Lir T Inn becA lb I� c '�Cf�1GIIN skLY1G/t44 � a"\
M2poirtGd
MAIL PERMIT TO:
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
APPROV�D`A
U(
INSPECTOR OF BUILDINGS
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3RD FLOOR
SALEM,MA 01970.
TEL (976)745-9595 EXT. 380
FAX (078) 740-9846
STANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40,S34,I acknowledge that as a condition
of Building Permit# .all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility,as defined by MGL c III, S150A
The debris will be disposed of at bn. k /LT ^
Location of Facility
Se,
Signature of Permit Applicant Date
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
L
Name of Permit Applicant
Firm Name, if any
` - �tp-1P� Wok
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 cIII, S 150A, and the building permits or licenses are to
indicate the location of the facility.
JUN-21-2004 MON 10:54 AM APT FAX NO. 7819354289 P. 01/01
\American Properties Team, Inc. /
TO: Lisa Sapp—3D Fletcher Way
FROM: Jill Fama,property Manager
RE: Deck Repairs
DATE: June 21,2004
. repairs you would like to make W
Reference is made to your message concerning the repro
your deck. The decks at Pick-man Park are owned by the Unit Owner and are the owner's
responsibility to maintain. The Association does not allow for the decks to be enlarged;
however repairs are encouraged and required.
Please let me know if you have any questions or concerns. My direct line in Woburn is
(781)932-9229.
5oo WEST CUMMINGS PARK • SUITE 6050 • WOBURN 6 MA • 01801 • 781-935.4200 0 FAX 7BI-935-4289
CITY OF SALEM
BUILDING DEPP.xmm'I
liCbMOWNER UCF•NSE E)MOTION
Pkase PM
DATE D�
JOB ocAnor] 3D F1 e Jv�, W
• HOfrEOWlifR �D ��e i•� V�G� �`2T.. Ma 01 G�J .
ADDRESi
TMMWM 0
PRES!]n A MLW.c ADDRESS 3 A f�e
The c vrer.cae*vn cf- m'wwwn"was u �+
unded winch-dt oKoetPkd dwaiv Of Two
Unlu er bss and u allow'Such Lomcowne"to cnpp an irdlv�dual�Wm wbo does Sot Pones s
li...,.p acd t w.tot ewSa ad as supesv W-
DEnNrrION CFHOAgOWML
Person(s)who owns a pum,of bud an wWch bdsbe resides of burnds to teskk.m)to mach we tlwe e soft
cc 4
intaded w be,a one to two family dwelling.snactud of ditudled ouc mes oec to e
farm smrwwes.A pcnw wbc wnstructs trwee than one home in s two-ycw Wwd sl an aotIle eonside"
a bomeowma. Such•horn mvmcs" shalt submit to the Building Mci$,oa a form sr"'i le tgila
Building offici4 thin bc)she be nsponstbk to all such work Paforsned wdutwelvalldingrnolL
The t,ndcrsipcd-bomsownd'aS =xs nsPor�nbtlity fot r*MPliara a w7tZltlle State Bal1�Ag Code Sal
other applicable goes by lows,rules and tegnlsOoaL
ccrd5es that belslrc w�WWJ45 the�y of Salem Bnfldiog De WMMM.
The tmdersi�cd on Fo d, uuemcnts and that Wsbc will comply with Wd P ad
. minimum inspe-'lion p+oad�aes and req
nquirmrwL
HOIdEOVVNER'S SIGNATURE
APPROVAL Of BVIIDITiG INSPECTOR �
See otter sde for sou code
HOMEOWNER'S EXEMPTION
The code state IbW 'v7 bomeowrar performing work for which a but7db4 permit is requied sball be
cx from the isitms of this section Scales 7 — o io
� p1O` ( , g9.1.1. Las g of Construction Supt
sa a
1'rovtded the is a honseoaaer engages a person(s)for hire to do.such wtntlt.that such bosseostwyer act
as
MW bomeowran wbo use this exemption arc'u* ware that they are assaming the Tevonsibilldes are
supavixrt(ace Appcodla Q.Rules and Regulations for Licensing Construction Supervboss,Sesdow
2.24 Ibis lack of aww=ms of=results in serious problcros. 'eu wb=the homeowner I� b*b bhaa
unlieeased pusoat In this ease your Board mmlot proceed apbM the mtl=used papa as b w="va
licensed Supenita. 7Le 6omroe ser saiag as supervisor is oldsastei,tTs�owielb
To ettstvc that tie homeowner is fully aware of hitter nespo mbRhk%msM e m namddea tequiee;as pat
of the perndt application,that the homeowner cc7dfy that bc/ahe u dastasub the responsibilhlq of s
supcnisor. You may ere to amend and adopt suds a*mWccnif=d=for use is ym cosatsmdQ