1B HART WAY - BUILDING INSPECTION (4) 1
-PL lAtST�EffL+G,-V ,APMOVED BY T+IE
,WSPzj;TDj3 PFI0J3 Tp",A PEJ3 MIT.I3,EWG GRANTED
CITY OF SALEM
No -ZDOy :`
mot:.
. N9 �
Is Property Located In Location of
the Historic District? Yes_No Building 16
Is Property Located in
the Conservation Area? Yes_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other:Ee 21 .C2 LUlnd0uls
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 1�07�€rzr I, ` /CNN- MFfRir-- l—' HEORf£Vx
Address & Phone 1- �J HAS LUA\} SAL.EH( qV1- '745— (o1L1 /
Architect's Name
Address & Phone )
Mechanics Name En(2, t I?/r
Address & Phone PALr LAD (q76) -IN S—(^ )4 j
What is the purpose of building?
Material of building? If a(dwefilno,,how many families?
Will building conform to law?
Estimated cost ��City License# N License 4C5 I g %(0-
pt{7Home ImprovemeLic. i nature of Applicant
420% NED UNDER THE PENALTY
ERJURY�
DESCRIPTION OF WORK TO BE DONE
Co S
E-An—H i�L-L p
MAIL PERMIT TO:
SI�sN v� �y uJ �u W•iu.r-1pod Nuse>p4v0 S D
6KV S w C L Y- 5 1 NCt-s cc)o00 .
No. Z(o Pj -Z bo
APPLICATION FOR
PERMIT TO D
LOCATION (/
c;4 z
PERMIT GRANTED
APPROD
INSPECTOR OF BUILDINGS
CITY OF SALEM
BUILDING DEPARTMENT
HOMEOWNER LICENSE.FXEM] TION
Please Prim
JOB LOCATION / 6 /A A�
HONEOWNi7(
ADDRESS
HOMEOWNER g r7 q - D Ll
TELEPHONE
PRESENT MAILING ADDRESS M
The etunent exemption of"homeowners"was r-mended to include aroer-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'whicit there is or it .
intended to be,a one to two family dwelling,attached or detached swactunes scrossM to%xis use andlar
farm structures.A person who constructs more than one home in a two-year period shall not be considered
a homcowver. Such"homeovm r shall'submit to the Building Official.on a form&=Vtabk to the
Building Official,that be/she be responsible to all such wort:pc fonued under the building peruAL
The umdmigned"bomeow nei"assumes responsibility for compliance with the State Building Code and
other applicable goes by-laws,rules and rcgulatiaL
The undersigned"homevwnm" certifies that he/she understands the City of Salem Building Depwtrnml
minimum inspection procedures and requirements and that h/she will comply with said pnocedtms and
rcquircmc[KL A .
HOMEOWNER'S SIGNATURE 0�1��n
W
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 prrnisiors of this action (Section 199.1.1-licensing Of Construction Supervisors)
Provided that is a homeoWnct engages a person(S)for hum to do such work that such homeowaa shall act
as supuvisor."
Many homeowners who use this exemption are unaware that they arc assuming the Tespoustbthnes CC a
sups visor(see Appeodix Q,Rules and Regulations for Liceosio9 Construction Supervisors,Sectiw
.2.14 This lack of awareness often results in serious problems,particularly when the homeowrw biter
unlicensed persom. In this case your Board cannot proceed against the rmlieettsed personas h-would with
licensed Supenisor. The homeanvcr auirg as supmrvssor is ukimateiy responslbk
To ensure that the homeowner is fully aware of Ian=responsibilities,many eommtuuitim rmqui m,as PA
of the permit application,that the homeowner certify that he/she undustandss the responabilitia at
supenisor. You may care to amend and adopt such a formicenification for use in yom eommadly.
�o
-,` OF SALEM. MASSACHUSET75
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3RD FLOOR
° SALEM,MA 01970
a .7
TEL. (978)745 9595 EXT. 380
a FAX (978) 740-9846 .
5TANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFMAVIT
acknowledge that as a condition
MGL c 40 S34,I g
' the pro
visions of
dance with In actor p activity ction
tin from the construction
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 MGfiL cIIIII,S150A.
The debris will be disposed of at: L�s I OE
Location of Facility
Signatu o Permit Ap licant Date
FULLY complete the following information.
(PLEASE PRINT CLEARLY)
Der L: H EyRF-uX
Name of Permit App ant
Firm Name,if any
1 6 H CA) Av4
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 cM, S150A, and the building permits or licenses are to
indicate the location of the facility.
American Properties Team, Inc.
August 22, 2003
Robert and Ann Marie L'heureux
I Hart Way
Salem, MA 01970
Re: Window Replacement
Dear Mr. &Mrs. L'heureux:
Please be advised,that the Board of Trustees for Pickman Park has approved
replacements windows by several manufacturers, providing they match the existing
windows, and can fit in the existing opening. They will not allow windows with grids,
crank outs, etc. Obviously, we also require the permits be pulled in advance and copies
sent to me in the office.
Should you have any questions or require additional information, please feel free to call
me directly at (781)932-9229.
Since ly,
J 1 eSantis
Pr erty Manager
American Properties Team, Inc.
Managing Agent for Pickman Park
Cc: file
500 WEST CUMMINGS PARK • SUITE 6050 • WOBURN • MA • 01801 • 781-935-4200 • FAX 781-935-4289
n ✓� �IYINII[O I[IOP-(L��� O��'OLQ0.Xl�LILOE� .
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 018386
Birthdate: 11/02/1951
Expires: 11/02/2003 Tr. no: 8827
Restricted: 00
ROBERTJ LHEUREUX
40 LEACH STREETv,y
SALEM, MA 01970 Administrator j
I
00-35,000 cr enclosed space
(MGL C.112 S.60L)
IA-Masonry only
1G-1 8 2 Family Homes
Failure to possess a current edition of the
Massachusetts State Building Code
is cause for revocation of this license.
i
f
}
DIG SAFE CALL CENTER: (888)344-7233