84 HIGHLAND AVE - BUILDING INSPECTION (10) L
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� No ��� � `� -;�. e"` .�`�.��''��" Date � '�7�a�
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��j`��,,y ��.'k Ward
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\�'iniNecA'' Zoning District
Is Rroperty Located In V Location of /t
the Histqric Dlstnct7 Yes_No ^ Building ��( Ug �(��e �B�
Is Property Located in
the ConservaUon Area? Yes_No�,
BUIL.DING PERMIT APPUCATION FOR: '
Permit ta
(Circle whichever apply) Roof, Reroof, Install Siding, Construct De k,��d, �Plool,
RepaidReplace, OthBf: �'d'Jnin�(:ia�/ ��� �,.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 It[�Iavid /I P,�(�i I I't�4�
Address & Phone �v� a ' ic t Ff d ( 1
Architect's Name 01 (k ��
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Address & Phone � l�, (�78� �l�7`37�{S .
Mechanics Name � 7/^ ��u �.J P -�
Address & Phone �� ��X�e�u�o-e�/�, . �a� ( �/� �3�— � 9�5�
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What is the purpose of building? (/���� � ��L y/�7-CsJ.s'
Mffieriat of bullding? Li,�el 7" (Cnerd.2 , It a dwelling, for how many lamil(es7
WIII 6uilding confortn to law9 1 �`i' Asbestos? /,I�
�
Estlmated cost � � City �icanse u�� te censa +t � �S
Home Improvement
Lic. /
ignature of p icant
IGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
uC�W � R (d C � �' ,2 X w�
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MAIL PERMIT TO: � ���
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APPUCATiON FOR � - � .. �° � �r
PEA:AAI7 TO � , rs _ �� :� _ ,. w ._ �. - ;: }
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INSPECTOR OF BUILDINGS #` N �" '' . " ' I
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�ames J.Camooet Uestoa, �as+ac�,�wlt� 02111
Co.rnvssiona
Workers' Compensaiion insurance Affidayit
�, _ �'� �� �,��
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. . with.a principat plau of busin as:
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' do hereby ccrtify under shs p�ins �nd pcnalties of perjmy. thn:
� I am an employer providing workers' compcnsation covcra�e for my cmployea workias on
chis job.
� Z �r ���„ �����.�� �. �/� 6'a��6� . .
insurance Compa�ry Poliq Number
1 am a sole proyrie:or �nd have no one warki� tor me in arry caWdcY•
() I am a solc proprietor, gencnl con:ncsor or homeowner (cirde one) aod have hired she
conuaccors lisced below wfio have iht followin� worktrs' compensation policies:
Consnccor Insunn�e ComyamlPoliq Number
Convaaor Insurance Compatry/Policy Number
Coraracsor insunnce Company/Policy Numbec
O I am a homeowner perlorming �II che work myself. •
I vnoeru.�nc wt� too7 of�hc wnm��t�bc iorv+aroe0 tc tFu ORre ol Imoct�w+n of [!u DlA la co+�*�t� +�*���^����1O�e �
. co•euT� sf rea�rre unaer Secuon ISA e(MGL 1 S 2 on IOE w Nt �ow��ion ol[�s+�N�otnx6es cor.uslint OI 0 fne ol oo mi I.SODGO+nbla oet
r�an' �aruo�,+rni v�vo u ci.. o<Niuo M in� Iorm o!� STOP W ORK ORDER sn �6K ef S 100.00 a oa�' n++n��•
Signed c is , �� day of � � ����
cnszciFcrr�ittee tuilding Gep: n+ent
� licer�ing Eeard
' Seleccmens Office
�,u1th Utparnent
_ ' - - _ _ -_ n�r. v _ G(_1G CCC G(�1G T7L
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o CITY OF SALEM� MASSACHUSETTS
� '� PUBLIC PROPERTY DEPARTMENT �
�
"- '� 9g', " 120 WASHINGTON STREET� 3RD FLOOR �
���'� . 'raa SALEM. MA 01970 �
' �'�^�=�� - TEL. (978)745-9595 Ex7. 380
"yBg�
- Fnx (978) 740-9846 .
STANLEY J. USOVICZ, JR. �
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, 534, I aclrnowledge that as a condition
. of Building Permit# , all debris resulting from the construction activity
govemed by this Building Permit shali be disposed of in a properly licensed solid-waste
disposal facility, as defined by MGL c III, S 15 A.
� �
The debris will be disposed of at: /� ! � � �
Locarion of Facility /
�
' � C
ignature of Pemut Applicant ate
LY complete the following information:
(PLEASE PRINT CLEARLY)
1/dh�� . �l.l'.P���
Name of Pernut Appl�cant
� �/.l e.!/`e 4rL d�7n A
Firm Name, if any /
�� � �d� , /7�
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 pemuts or licenses are to
indicate the location of the facility.
,--_.:
t�q:� � 6 CitzO of�'��`ern, �IassacFusetts
_ \�� , , �ire De�artment
� � 4f1Ga,ayette$treet 29 Fort Ave.
� 4Zi�6ert'ltt 7urner Sale�n, 96fnssuchusetts 019743695
<fiief 7eL 97&744-1235 ��rE Treventum
978-744•69A9 �'ax 978-745-9646 �urenu
978J4.S-7777
FIRE DEPARTMENT CERTIFICATE OP APPROVAL FOR A BUZLDING PERMIT
IN ACCORDANCE WITA THE PROVISIONS OF THE HASSACHUSETTS STATE BIIILDING CODE,
AND THE SALEM FIRE CODE, APPLICATION IS BEREBY MADE FOR T9E APPROVAL OF PLANS �
' F
AND 'PHE ISSUANCE OF A CERTIFICATE OF APPROVAL POx A BUILDING PERMIT BY THE �
SALEH FIRE DEPARTI9ENT, ( Ref. Sectioa 113.3 of [he Maee. Bldg. Code)
` JOB LOCATION: � � %�2 G G 0( '
� f
OSiNER/OCCOPANT: 1� �" 1I �_ i
ELECTRICAL CONTRACTOR: (
I� : PZRE SIIPPRESSION CONTRACTOR• . -
� •
}i SIGNATURE 0 � } qy !/
� �AYPLICANT: �� Zn,�ri . . P$ONE'I: ( / d�'�'ll�l�T
y � � � � � �
�� ADDRESS OF � �I CITSf OT . ` r
. • APPLICANT: �� GY`6 u. 'G�i[ TOWN: � �
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�':,APPROVAI. DATE: IO _ '` : a>
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"r . Certificate of approval is herebp granted, on approtrad plans or eubmi[tal of f �
project details, ,by tha SALEH FIBE DEPARTl�NT. 611 plana are approved eolely
„ for identiHcation of type and location of fira protaceioa devices and equipmenc
�, 911 plans are aubject' eo apprwal of any ocher authority having jurisdiation. �' �
Dpon completion,, t6e applicaat ar installer(s) ehall requeat an inepection and%or,
�eat of the fire protection devices and equipment. (ADDITTIONAL REQUIREMENTS, ,
�± SEE REVEBSE SIDE �*tr) �
�
Q . NEW CONSTRUCTION. , 3 �
_ , • �
,�/ PROPERTY LOCATION HAS NO COMPLIANCE WITH TRE PftOVZSIONS OF � �
_ . CAAPTER 148, SECTION 26 C/E, M.G.L., RELATIVE TO THE INSTALA- �
TION OF APPROVED FIRE AI.ARM DEVICES. TAE OWNER OF TFIIS PRO- ' #
PERTY IS REQUIRED TO OBTAIN CONPLIANCE AS A CONDITION OE i
OBTAINING A BUILDING PERMIT.
I
O PROPERTY LOCATION ,IS IN COt�LIACNE SiITH TAE PROVISION. OF CHAYTF:R �
148, SECTIUN 26 C/E; M.C,.L. �
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EAYIRATION DATE: �
, _11' / „�.�— -4 —
� , , SIGI1ATUkE Oc FIRT: OFrIf,:AI.
FF.c Ut;L': UNDEH 7,$00 S4 E"f. - FOiZfi� 81 3/98
7,500 SQ. FT. OR L:�G:GFF.- �30r00
�so-.00
CHEC�
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ER. EXI EM�R. EXIT
F GENERAL NOTES: i
I ; $: •� ALL WORK AND MATERIALS '
� ^, NVA XISTING HVA SHALL COMPLY WITH THE MASS. � I
XISTINCa STATE BUILDINy CODE, THE MASS. STATE FIRE CODE,
� NE THE COMIMOMWEALTH OF MASS. REGULATIONS, lHE
TOILET #2 rj�CH. ROOP'1 EXr� #2 OILET It2 REGULATIONS Of THE NAl10NAL BOARD OF FIRE UNDERWRITERS, � e i
� .� EXISTING MECN. NA710NAL FIRE PROTECTION ASSOCIATION REQUIREMENTS,
ROOM ELEC. I r �LEC. AND ALL FEDERAL, STATE AND MUNICIPAL AU'iHORITIES � � ,
PANEL � PANEL HAVING JURISDICTION JJVER THE WORK. THE BUILDING PERMIT � �
; . . . . . .
I, • - � O SHALL BE SECURED BY THE OWNER OR THE GENERAL CONTRACTOR
� AND HE OR TH� OWNER SHALL OBTAIN ALL OTHER PERMITS
� I I . . AND APPF:OVALS AS REQUIRED BY LAW FOR THE COMPLETION
_ � 0 0 R U.1 A L L I N I S H�S T O OF THE WORK. 1}iE CONTRACTOR OR THE OWNER SHALL OBTAIN
- � 9q" � 9' AFF 3o X68 MATG EXISITNG THE CERTIFICATE OF OCCUPANCY.
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EX:ISTING i � �XAM u3 DOOR a
EX:AMINATION i � �XIST Ct , „ 99"AF 3° X68 �Li O
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CABINET W/ SINK. i O ET ttl
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rEXISTING O�FICE (2)NEUI DOOR I X68 i �
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NEW OFFICE #2� `/ ��C�PTI — CN PLAN LEGEND n
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ENTP`Y 2� ENTRY 2 BOTH SDES AND 90 ND INSULATION./ �U LAYER OF 5/e" GW6 O y � �i
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MECH. ROOM 8 -5"A F 1�1ECH. ROOM DEMpLITION LEGEND
� � OILET 2 — NE E AM #2 OILET 2 �
� � • • _ _ _ _ = EXISTING WALL TO SE REMOVED �S� EXISTING 5PEAKER -T'O BE � � '
� � REMOVED d RELOCATED
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� � � � � � � EXISTING DOOR TO BE REMOV � � '
EXI TIN � � • �N\ 8'-II"A F �` \ ED
� EX R = �e'-n"A F � - -
� � � � i � CUT & PATCH E I G — — — - - - - � �
�n\I � � � � CEILING �OR NEW — — — � �� H EXISTING 2'X9' FLUORESCENT LIGHT TO BE I
, _= 8'- "AFF �I REMOVED 9 REUSED WHERE REQ. � W '
, � ` }-� WALLS AS SHOWN • p . _�s=ii 1�
t�r • I I _ _ — _ — � � ' � a+ F. '
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� 8'-II" PF 8'-II" FF s=N O��11 �
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EXISTINCs 2'X9'FLUORESCENT UGHT Q EXISTINCs SPEAKER Ue � a^,
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Q I `— — — � EXISTINCs 2'X2' DIFFUSER TO BE O a
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NEUI WALLS AS SHOUIN �
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' CEILINC� DEMO LITION PLAN 6 Pi� OPOSED R�FLECTED CEILINC� PLAN '
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