140 HIGHLAND AVE - BUILDING INSPECTION What is the current use of the Building? �h��
a! P�
Material of Building? � �` if dwelling,how m..any units?
Will the Building Conform to Law? See, Asbestos?
Architect's Name
Address and Phone
Mechanic's Name
Address and Phone
Construction Supervisors License# HIC Registration#
Estimated Cost of Project S � 120 Permit Fee Calcuia w
Permit Fee$ '� y Estimated Cost X$7/51000 Residential
Estimated Cost X$11/$1000 Commercial An Additional $5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to lid to the abo led
specifications. Signed under penalty of perjury X
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CITY-OFSXLEM-- -
PLTsLIC PROPERTY
DEPARTMENT /�(Q
Kl.%GwJIbY 13RWX , z2
N(wvoa 120 WASMN TON l"71FPr•SAL&K NIAMAC LSLI-rs 01970
TeL-979-74S-9S9S*FNt 97S.740-96M
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DEMOLITION,OR CHAINGE OF USE OR OCCUPANCY FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
Property Address: fq/(j Hb9A)v
Properly is kxatted in a;Conservation Area Historic District Y
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
d,�
Name:
Address: J L,/O N� [ ,g/U!� ✓�l�
Telephone: ��j � —
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing k
Renovation Number of Stories Renovated a
Change in Use New O
Demolition Existing �o
Approximate year of Area per floor (sf)- Renovated 7`
construction or renovation
of existing building New
9def Description of Proposed Work: J
A)" ✓L/J�1 S'l Cfi x ��a� ct?orY1+¢1 i`�77E:n?X �2rra�h�1
Mail Permit to:
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CITY OF &XI.EM
PUBLIC PROPERTY
DEPARTMENT
KI L
Stwrw 130 WA9UNGTON S &M•S ,• eM.Nw4AOn.'S6TIS01970
TFi 978-73S-9S"9 FAIL 97&740-9"
HOMEOWNER LICENSE EXEMPTION
Please Print
Date
Job Location l q4O 141' 2AZLOe( AAV-
Home Owner Address
Home Owner Telephone
Present Mailing AddressThe 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 acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s) who owns a parcel of land on which hatshe resides or intends to reside, on
which there is, or is intended to be,a one or 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 for all such work performed under the Building
Permit.
The undersigned "homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures an requirements and that he/she
will comply with said procedures and r777
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HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING INSPECTOR
See other side for state code
Y CITY OF SALEM
` PUBLIC PROPRERTY
DEPARTNEM
>La.s tit tl.�s,nx:: f7sReiur+tivtvaw�a��s::4.
h:vOt17�3•�1�ifuc 9�,7�If
Cotsstruedos Debris Disposd Affidavit
(requirml fbt all demolition and emovatim wort)
Is,man mm with the sihda oddest of dw Stan Building Cods;790 CUR sactim 111.5
Dcbft wA the provisions of MGL a 40.S Sk
Suildird Permit A _ is issued with the condidos due the debris resudng Bats
this wort shall be diVau d of in a property licensed wasto disposd facility as defined by WL e
111.S 15OA.
The debris will be transported by:
tnawe a haWdd
rho&-brls will be disposed of in :
(nwnte uP t'xd,ty)
....Mr,ry.,i Yx:Ltya
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140 HIGHLAND AVENUE 680-08
Gis# .r, 6765 COMMONWEALTH OF MASSACHUSETTS
Map: 14
Block: CITY OF SALEM
Lot: 0264
Category: REPAIR REPLACE
Perant# 680-08 BUILDING PERMIT
Project# JS-2008-000984
Est. Cost: $6,000.00
Fee Charged: $47.00
Balance Due: $:0o PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License: Expires
Use Group: . HOMEOWNER
Lot Size(sq. ft.): 17441.8596 Owner: FULCINITI SAVERIO P, AVTGES ANNA
Zoning: RI
Units Gained: Applicant: FULCINITI SAVERIO P,AVTGES ANNA
Units Lost: AT. 140 HIGHLAND AVENUE
Dig Safe#:
ISSUED ON. 14-Dec-2007 AMENDED ON. EXPIRES ON: 14-Jun-2008
TO PERFORM THE FOLLOWING WORK:
INSTALL VINYL SIDING, 2ND FLOOR DORMER, FRAMING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
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# 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-2008-001236 14-Dec-07 203 $47.00
GeoTMS®2007 Des Lauriers Municipal Solutions,Inc.
J
NEW 24'WINDOWS
3 SHOWER BENCH 3r ,11r-8n
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M / pp SHOWER I
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72"
3'-9 " WASHER/ to
BATHROOM #2
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ELECTRICAL 04
00 SUB-PANEL V7 1 -. i�a
a 5,_3„ MASTER
30" BEDROOM N ! LL
4'-10" SMOKE/CARBON , / (277 SFt) a •b
MONOXIDE pD O /Q� .�'-� -Ci 9 c•
DETECTOR a M - ` "��o
SMOKE I CARBON
\\_ N MONOXIDE
1 ( 61-11" 2'-5" DETECTOR o r
J.. _
AI\ 7,-1
SMOKE / \ �•
DETECTOR J '+
a
N ° CD
i BEDROOM #3 O
(182 SFt) co
5'-7" 5' 3'-4" PROJECT:
24" SECOND FLOOR
RENOVATION '
N CLOSET FIREPLACE
CLIENT:
18-2j SAVERIO FULCINITI
CONTENT:
H. ..A.C. LAYOUT PLAN
EQUIPTMENT AREA °
a SCALE:
I"=4'
DATE:
12-17-07
DRAWING NO.:
A.1 .
10'-0j" 10'-2" 5'-2" 1 10'-3+j"
I =
a ^
100
n BATHROOM #1 BEDROOM #2
°D BEDROOM #1 0 (108 SFt) co
SMOKE/CARBON I
FOYER (131 SFt) MONOXIDE 01
N DETECTOR
M
N SMOKE c 24"
24' M M DETECTOR 6
SMOKE " 7 , DETDECTOR� 2 -2 " 3'-O "
DETECTOR I 32" 30"
N 3'-9"
8'-5" " I
N— — — — — — — Ic 1 41 31 4'-7" L
fV
a '
�91n 7 -71" � rIN
4 II
I i0
I
'v
AN
1 -4 n
°4 SMOKE N
KITCHEN M DETECTOR n
LIVING ROOM n 3'-10j"
4'-3 "
It
I I
5'-10" 14'-11"
7'-9" PROJECT: SCALE:
EXISTING CONDITIONS p'=4'
CLIENT: DATE:
SAVERIO FULCINITI 12.17.07
CONTENT: DRAWING NO.:
FIRST FLOOR LAYOUT PLAN
40'-9rj"
i�
I
O
SMOKE/CARBON
MONOXIDE
DETECTOR---- FF
BASEMENT
I
N
SIN
M
I
40'-91"
PROJECT: SCALE:
EXISTING CONDITIONS 1"=4'
CLIENT: DATE:
SAVERIO FULCINITI 12-17.07
CONTENT: DRAWING NO.:
BASEMENT LAYOUT PLAN