16 HORTON ST - BUILDING INSPECTION NO. City Qf Salem ward
•. 9
APPLICATION
FOB
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IAEPOMAIT-Applicant to complete SB Items in sections.4 Il, 94 IV,and LT.
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LOCATION
OF eETwFaN 'ft�725t�A1 . '-tom.." '' AND ^7/A�e•✓f/�
BUILDING 1CROMO"MEn CAMSTRUIn
SUBOPASION _. LOT_BLOCK Sig
U. TYPE AND COST OF BUILDING-AN applicants complete Parts A-D
A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLMON"USE MOST RECENT USE
1 p New eiddW19 Rewa.eua NowreadenYel
2 p AAdtlOn Id wsw.sew.MW number of new 12 ❑ One kn* - is Q AMarlak aPrMOPrr
notaM was adrift d ury,a D.731 13 Q o or axwe 4my•Enter Mm0W
� 19 Q CMCK O N-
W RONIVA
J Of Lows 20 ❑ hd�6W
• edSsMwzeEorA) -
le ❑ TrUiar etw owewtel«dormePry• 22 ❑ scan YaY4Igorwse Wor
Em
EnWWmtOeialu k
5 ❑ Wacarg(O nuwwnalr•etidWlseL ertrWtamlOsr 23 ❑ NOsoYL YwtlU1101ai
of ums n,oudkV n Put D. 13) 15 Q Gaspe 2e ❑ OMn.Oast Paaa07w1
6 ❑ MMM In1bOYsrn1
is ❑ Carowt - 20 ❑ PUOseup7iy . .
7 p rouwbon Pray 17 Q onW-sA.eir 20 ❑,sd1OO6w=y odw *&j=wW
L O"ER040 2e 0 Tabema
0 Privaa Ir uwwNgA st etcj Y.nlPOrenOrt.riOrgldY 29 OdW•sPwY
et ❑
9 p Puolc(Fedor S1ae.Or bni pwemnaa
C.COST (omf oom Norreerlw"-Desaew Y dead Proposed use a ISYrtpL pop,bod olxeuYp PWs.
medww Yw0.Mwdry budding Y nompaL eirle—w sWm*seoondwV shoot Odeam
aaasw edool:ason9 parse br deow-w -Yaa.waa a01os euer4 Pan Otwdaq
10. COY of impotanwlt 0 �J^�a�' Y w4J ON Plant 5 uM Of&WOO OluoYq a or9 dlWpeO.Near w,,
TO be antda0 Out n«elObdd
m Ow above cow OIGf'�/��G 7� /tf �✓/19fp.� / lL�t/f 7�7"T//45
a. Elec"M_
b. Pentbaq ` yi/p"cVZ
c Howls roO1ldlbnYlp
(L Olwr~00r.W-)
11. TOTAL COST OF OAPROVE1ENT
IL SELECTED CHARACTERISTICS OF BUILDING -For new buildings and additions, complete Parts E-L:demokfbn.
complete Only Parts J&M.aU others skjo to IV
I- PRRKCWAL TYPE OF FRAME F. PRPICM TYPE OF HEATING FUEL M TYPE OF SEWAGE DISPOSAL L TYPE OF MECHANICAL
3O❑ t inew w rues aarslei 35 ❑ Gn 40 ❑ Parise or prsw mmOan W/Iwo be ow"Sir
31 ❑ 11 od Oaa 30 Q OS et ❑ PIMAIssple a7YL aa) Wndwaow?
32 ❑ SOubbMO W 37 ❑ OededY M Q ors ss ❑ No
33 ❑ Rrao, wwww, 30 ❑ Cow IL TYPE OF WATER SLIPPLY We Saba sYAll SrnwR
3e ❑ OOwr-Sdey7 39 Q OWa-Spot* e2 ❑.NtlC or wasaw ma,M 46 ❑ YM 47 ❑ No
4313 PrMwstonKca ens
i
I
I
J.ouaENswNs M. DEMOLITION OF STRUCTURES: I
48 hum orsronas ..._..._..._...___...._.....__...__..__.
as. Tow shuata mf of MW a ea Has Am" Historical Commission been received
a:hoot oaMM m aatm«
�,,, ---•---.--------....—. , for any strtxstrm over fifty(50)Yam? Yes_ No_
50. TOW um area as IL.__--- a Y: Safe Number
I
K.NUMBER OF OFF-STREET PARM M SPACES - Pod Cordrot
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. Outdoom..._ ' ` . Yes No
LREs�emALetaBB+BsoTu ylfawt <a
53. Ettdowd
Full SaAer
saMhhoma DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
RYMY BEFORE A PERMIT CAN BE ISSUED. . .- - S
IV. COMPLETE THE FOLLOWING: '
Historic District? Yes_ No_ (If Yes.OWN endow dpcurrtertfatiott from HiSt.COM)
Conservation Area) Yes_ No_ Iti Yes,please enclose Order Of Conditions)
Has Fire Prevention approved and stamped plans or applications? Yes_ No_
Is property located in the S.RA dishi V F Yes_ No
Camay with Zonatg? Yee__ No_ (If no,moose Board of Appeal decision)
Is lot grandfatliered. Yea No_ (N yes,submit documentatbnlrf no,submit Board of Appeal decision)
It new construction,has the proper Routing Slip been enclosed?_ Yes_ No_
Is Architectural Access Board approval required? Yes_ No_ (M yes,submit documentation)
Massachusetts State Contractor License# Salem License#
Home_Improvement Contractor# 2 y 2 Homeowners Exempt forth(d applicable) Yes_ No—
CONSTRUCTION TO BE COMMENCED WITHIN SIX IB)MONTHS OF ISSUANCE OF BUILDING PERMIT
submit
CONSTRUCTION IS TO BE COMPLETED BY: 0 an exteraim or necessary,please
in writing to the Inspector of Buildings.
V. IDENTIFICATION- To be completed by all applicants
MOM MAYp aMahm-M~..aaa I cry.acre ow aP CON Tel ta
o
trraALL /
�{ ' Z3 Z
2 ,
CawacT« Q i81NO Mrs b
a
Archdw or
I hereby cersly dwt the proposed work is auotaized by the owner of retard and that 1 have been aulh rmed by the owner to mane This application
as his authahzieb Spent ano we agree to conform to all aodicable laws of this iurtsdiction.
Sig Address/ �� data
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building FOR DEPARTMENT USE ON Y
Permit number
Building
us@Gmvo
Permit issued 7� rs�d d Firs pr8WV
Building /1�� ` tm p
Permit Fee $ l
Owawrcv tmd
Certificate of Occupancy 5 Approved by.
Drain Tile _ S
Plan Review Fee $
4 � TmE
NOTES AND Data•(For department use):"
m 0 PV l<4 N
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by. Completed by:
1
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN•For APPheant Use
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Boff 96 MA 02111
TeL #617-727 4900 eat 406 of 1-MMASSAFE
Fas 9 617-727-7749
gevitd 3-2" www.masl.6ov/dis
--r�-CRRrTPrrAT>r'rst�sD�D-�-N�TT�rar�rRaoexATt6N 1:
I ! D0NOVAN—DUQ01T INS. A
mIKNCY NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT A01),
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
�11p7BSHX STREET -•-------------------------•----- ------------....----...----------------
' I 019 MA COMPANIES AFFORDING COVERAGE
PHONE781-231-1326
...................... .• --I--------------------------- — .............................
INSURED COMPANY LETTER A XS BROKERS INS. AGENCY, INC.
-----------------------•--------- -------.-------_..........
ALL CONSTRUCTION k R410DELING I COMPANY LETTER H THIS PROVIDENCE MUTUAL FIRE INS
._.._.....•..........:.................................. -----------------
LETTER
l 8A VINE g COMPANY ...... C
1 MA
COMPANY LETTER D
------•-----•----------•---------------------- -----------
COMPANY LETTER E
THIS IS TO CERTIFY THAT POLICIES INSURAQNCB LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY j
I --PERIOD INDICATED, NOTWITHSTAMDI ANY RBQR MfldUIREMRNT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHI'I I CO ALLCH THIS CERTIFICATE NAY BE TERMS,
YPE---------------OF INSURANCE CONUI. ..ID OAS SUCH -POLICY NUMBER------------------POLICY -- -------ICYLICtES. LIMITS SHOWN RAY HAVE BERN DE---------UCED BY -------INI"S IN THOUSANDSY PIRTAh THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED ARUN IS SUBJECT -
1
LTRI I , DATE DATE
------------ i_-------------------------I--------------I--------------I-------- ---------- ------------
GENERAL LIABILITY I ; I GENERAL AGGREGATE ' 1000
I ....I...........
Ell IX) COMMERCIAL GEN LIABILITY F000405804 3/13/05 03/13/06 PRODS-COMP/OPS AGG. 11000
] CLAIMS MADE pc] OCC. PARS. 6 .ADYC' INJURYI1000
-----------------•--I 1... __...._
I ( OWNER'S d CONTRACTORS EACH OCCURRENCE )1000
PROTECTIVE ,
j FIRE DAMAGE
I •I (ANY ONE FIRE; 150
---------- -----------:
] ] I I I MEDICAL EXPENSE
(ANY---j- ..... ............. ------•------- .............. ..... ONE PERSON �5---------
AUTOMOBILE LIARCSL
1
ANY AUTO
BODILY INJURY' ALL OWNED AUTOS (PER PERSON) !
SCHEDULED AUTOS -------------- ------
HIRED AUTOS I BODILY INJURY
NON OWNED AUTOS IPER ACCIDENT'
GARAGE LIABILITY -----------••-
LITY _--•--.—.- I ---
PROPERTY
--------------I EACH (CC
AGGREGATEHANBLANJJSTHEHB THNUBAELLA FORMI
STATUTORY
A, WORKERS' COMP 9830966 03/17/05 03/17/06 I1 0 EACH ACC
5 DISEASE-POLICY LIMIT
EMPLOYERS' LIAR 1 S DISEASE-EACH EMPLOYEEI
J. .. ..................
OTHER I
i I I I I I I I
----------- - ------------ ' '-------------------•------ ----------------------•-' - -------- I
DESCRIPTION OF OPUAT[ONS/LOCATIONS ICLIS/SPECIAL ITEMS I
I I I
I I
1) CERTIFICATE HOLDER <. :_::_::zce:::a > CANCELLATION
SHOULD ANY OF
E ABOVE
S BE
RE
FX-
1 TOWN OF SALEM DAYS WRITTEN QMAILIORION DATE �SUCNTNOTEREOF HCEAYCPCOMPANY WILL ENDEAVORBTOOMAILHE1 0 I
CERTIFICATE HOLDER NAMED TO THE LEFT BUT
L IMPOSE NO OBLIGATJON OR LIABILITY OF
pLEM, MA N THE COMPANY, ITS AGE S OR REPRESBNTATIVRS.
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A GT1. �o�xmoruural!/ o�✓dlamad«v«
�\ Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration; 123425
Flilugp tlo4:F 14/2007
(iijte Corporation
.,I
ALL CONSTRUCTIO .REMODELING INC.
N&
MICHAEL BONIA -
65 VINE ST
SAUGUS,MA 01906 Administrator
`e i°ianmwrBUILGNy jL/( arae�iugeG
BOARD OF BUILDING REWi AS16N:
Ucense: CONSTRUCTION SUPERVISOR'
° Number"CS 065707 -"-
� m1
Tdate 10/05m972
WHEN
E� (r1 /2006 Tr.no: 3971.0
_ y . r Re�trt t-RN
MICHAEK.J BONIA7 "1
e.' 155 ELMST � / G...
GEORGETOLVN, MA\01833%` /�/J
"r ,r Commissioner
fi
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