0008 HARBOR VIEW TER - BUILDING INSPECTION 0008 HARBOR VIEW TERRACE 192-2004
6-iS4: 47951, COMMONWEALTH OF MASSACHUSETTS
Map 32 CITY OF SALEM
Block:
Lot ' z�:�0378.
Category: REPAIR/REPLACE
,Permit# 192-2004 BUILDING PERMIT
Project# JS-2004-0314 ey
Est. Cost: $5,000.00
Fee: $35.00
Const:Class: PERMISSION IS HEREBY GRANTED TO:
Use Group: Contractor: License:
Lot Size(sq. ft.): 110626 UNKNOWN
Zoning: RI ]Owner: David Pabich
Units Gained: " Applicant: David Pabich
Units Lost: AT: 0008 HARBOR VIEW TERRACE
Dig Safe#:
ISSUED ON: 29-Aug-2003 AMENDED ON: EXPIRES ON: 29-Feb-2004
TO PERFORM THE FOLLOWING WORK:
192-2004 REMODEL KITCHEN. TJS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Buildin
Underground: Underground: Underground: Excavation:
Service: Meter: Footings:
Rough: Rough: Rough: Foundation:
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: Oil:
Final:
House 0 Smoke:
Treasury:
Water: Alarm:
Sewer: Sprinklers:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS
RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2004-000332 29-Aug-03 Ill $35.00
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.
OF SALEM: !TtA==JA%_M
a PUBLIC PROPERTY DEPARTMENT
• ° 120 WASHINGTON STREET, 3RD FLOOR
SALEM,MA O 1970
` TEL. (978)745-9595 EXT.380
,
�cnvra FAX (978) 740.9846 .
STANLEY J. USOViCZ, JR.
MAYOR
DISPOSAL OF DEBRIS
AFFID
AVrr
4
with the visions of MGL c 40,S3 ,
I acknowledge that as a condition
In accordanceefrom the construction activity
of Building Permit# ,all debris resulting
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility,as defined by MGL c III, 5y�
T
hesposed of at:
Location of Facility
mit Applicant Date
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
Name of Permit Applicant
Firm Name e/,if any
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 clII, S 150A, and the building permits or licenses are to
indicate the location of the facility.
CITY OF SALEM
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE -0
JOB LOCATION $ ��
HOMEOWNER
ADDRESS
HOMEOWNER
TELEPHONE
PRESENT MAILING ADDRESSQ +�-V► ���
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:
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is
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 ons.
The undersigned"homeowner"certifies that he/ un�rstands the City of Salem Building Department
minimum inspection procedures and requireme that h/she will comply with said procedures and
requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING INSPECTOR
See other side for state code
HOMEOWNER'S EXEMPTION
The code states that: "any homeowner performing work for which a building permit is 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 hire to do such work,that such homeowner shall act
as supervisor."
Many homeowners who use this exemption are unaware that they are&%um g the responsibilities of a
supervisor(see Appendix Q,Rules and Regulations for Licensing Construction Supervisors,Section
2.14 This lack of awareness often results in serious problems,particularly when the homeowner hires
unlicensed persons. In this rase your Board cannot proceed against the unlicensed person as it would with
licensed Supervisor. The homeowner acting as supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of h>/tier 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 fonn/certification for.use in your community.
J
s'
-ft-AdQS IdWT-OE ftLiEg� APPROVED BY T44E
,fJ, 5P XTP ,PWR TP.A.PERMT.i3FMG GRANTED
CITY OF SALEM
No. 1 q 2- 2- Date ` L
,y
NINE D ��
Is Property Located in Location of
the Historic District? Yes_No Building
Is Property Located in �(
the Conservation Area? Yes_No'A
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof Reroof, Install Siding, Construct Deck, Shed, Pool,
e it/Replace Other: VCUIZIp.EYO R"A 1,
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 bk\) t 1$ P
Address & PhoneII
Architect's Name
Address & Phone ( 1
Mechanics Name 4
Address & Phone If 1
What is the purpose of building? C)r-t—N c
Material of building? If a dwelling, for how many families? _
Will building conform to law? Asbestos?
Estimated cost :50 b O City License # N A State License #
Home Improvement
Lic. I
Signatur cant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
Got9N�12.4`���5
p
MAIL PERMIT T0:
I
N
No.
APPLICATION FOR
PERMIT TO
LOCATION [ �j^
�Gi/Ov/y e'✓ fU'�"
PERMIT GRANTED
2.0
P OVFD -
INSPECT.- R OF BUILDINGS