7 KIMBALL RD - BUILDING INSPECTION (3) PL*NBIMT13E flLA"AD APPROVED BY T;NE
J UPZCIDR PWR TD A PERMIT AIWIG GRANTED
CITY OF_SALEM
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Permit to:
BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) RftL Reroof, Install Siding, Construct Deck, Shed, Pool,
Repeir/Replace, Other:
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS: '
The undersigned hereby applies for a permit to build accordwig,to the following
specifications:
Owner's Name -Tdhn
Address & Phone ( I
Architect's Name
Address & Phone
-Mscbanft Name Oft ,+ Be oar+m6, w(,
Address & Phone �0 w�"��` '4"`i 5LJA^ PSGo -rr (161 I Syx• 97Y7
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ame Improvement
Lis. / HvIol
Sonature Applicant
SIGNED UNDER THE PENALTY,
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
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MAIL PERMIT TO: W�kqL-r-,1J �MH&Q-5
50 Wrji1Gvtat AVE
swgMQ y��' MR 01107
No.��
APPLICATION FOR
PERIII<T TO
LOCATION
PERMIT GRANTED
APPRQVfD
INSPECTOR 6F BUILDINGS
PUEUC PROPERTY DEPARTMENT
120 WASHINGTON ST111907,3RD FLOOR
6ALIKM,MA 01 a170
T[L. (D76)745-9595 EXT.360
FAX (976) 740.9046
STANLEY J. U6OVICZ, JIL
MAYOR .
DISPOSAL OF DEBRZ AFFIDAVIT
In accordance with the Pwvigm of MGL c 40,S34,I acknowledge that as a condition
of Bmldiag Permit g .aH debris r=u*g from the condraction activity
governed by this Building Permit shaH be disposed of in a properly licensed aog&waate
disposal facility,as defined by M(l3,c lilt S1S0A.
Mw debris wM be disposed of at
Location ofFacilty
AL
SiPAU30 of Format Applicant Date
FULLY coarplete the following information;
(PLEASE PRIld1'CLEARLY)
Name ofPennit Applicant
G(AALEn/ (�IZojyr/ 3, LG c
Fnm Name,if any
So t✓a ce s E c. /}ve
S At , PtGo7-7 .thy O/% 7
Addrw,City&State
Mw above statute fegUlm that debris from the demolition, mOmItIon,rehab or other
alteration of building or smxtum be disposed in a properly_Nceosed 5OH&Waate dinmw
facility err&fmW by MM CA S 130A, and the building permits or licenses are to
indicate the location of the&mlity.
4
M Cve�m,MaAwualih/o/ !I/a`mae"ad
boo w.a�4e.�red •
Jaime 1 Capseel &dm Mu .4.6 02111
Workers' Comperwtiw lawrance AffUlw e
1, ��6.✓oa„! !.,/ha/e� of �l���, �o ors �L G ,
. . widi.s prbm*w place of bt dmM an
JU G/a✓Gcs-l�Gr /�'�'` .>`w',n,.r/�Sc=�"f,- .�� Or 707
do hereby•cendfy under shs pains and patsldes of pw*y, sham
I and an employer prwdditag worked• eomper od" coveya/e for nw aapieyoes working a
this
ti
1fa�e��cr'5 Tr A. F{,I(ana/
Insurance CompsW P Number
1 am :mob proprietor and haw no one working fir me in any opadq.
() i am a sole proprietor, general contractor or homeowner (drde one) and have hired dw
coatntton lined btlow who•haw thi ft llowiag workers' compensstlem pofldest
Contractor Insurance Company/pollcy Number
Contractor Insurance Compatry/po Nmnber
Convactor Insurance Company/policy Number
() 1 am a homeowner performing all she work myself.
•I r.w w"ow i""of 06 x w om we be nsnwarese a ow tMee A bnaknow of ox M wr cvvwaw.wleo.m sw sm Where s acss
cowrap a sewn ensw foie SSA sl MGL 1 S 2 can lea.r.ow ira..ri.s sf�a esaaia tsnwin[N a aea N as asi 1•SCQOO aWtr sex
Teal•Daarsommim a vt add ansawo in ow wns a/a STOP WORK ORDER ones ice,N s ICCAC a aw srsbo oL
Signed this . t _ 2ao
�' � �sus r
.iccrsc— a Fcrmncet 6mlatnf Geparsn.ent
ucensinf Ecarf
Selectmen Office
=tjlsh Depar:menc
=.:_ : - -.cc[r ye : _ 9ec 4pc eke 77c
WHALEN BROTHERS, LLC — General Contractors
50 Worcester Ave / / Swampscott,MA 01907 / / tel. 781.598-8747 / / fax. 781.595-9297
July 9, 2004
SCOPE OF WORK: 7 Kimball Road, Salem, MA—Apartment#2 Renovation
Kitchen — 14'x13'
• Strip interior walls to stud frame.
• Block out 2 existing windows along side elevation, re-shingle exterior to match
existing.
• Replace rear window with new 36x36 casement window located above new kitchen
sink, includes exterior wall work (i.e. trim and shingles)
• Insulate exterior walls (R-13 kraft face)
• Y:" thick Blueboard gypsum along walls
• 5/8"thick Firecode Blueboard gypsum on ceiling
• Existing linoleum removed exposing original hardwood floors. Sanding and
refinishing by others.
• All appliances, sink, disposal, fittings and fixtures supplied by others.
Living Room— 13'x14'
• Strap existing ceiling and rollover with 5/8" thk. Blueboard.
Dining Room— 13'x13'
• Strap existing ceiling and rollover with 5/8"thk. Blueboard.
Front Bedroom—9'x14'
• Strap existing ceiling and roll over with 5/8" thk. Blueboard.
• Rollover existing paneling with 3/8"thk. Blueboard.
• New closet with bi-fold door where directed by owner.
Bathroom—8'x8'
• Strip interior walls to stud frame.
• Insulate exterior walls (R-13 kraft face)
• '/2"thick Blueboard gypsum along walls
• 5/8"thick Firecode Blueboard gypsum on ceiling
• Cement Board on top of existing subfloor.
• Install floor tile only, no wall the
• Toilet, Faucet and fittings (sink and shower) supplied by others.
Rear Bedroom
• Strap existing ceiling and roll over with 5/8" thk. Blueboard.
Front Alcove
• Strap existing ceiling and roll over with 5/8"thk. Blueboard.
Whalen Bros.
Bedroom #2 Bathroom Bedroom #1 ow, ,es.a
zevsae.ewz�so
weim oa.oa
Apt t
Renovadon
2
Hallway �01tl
7 KFnMl Nma
LI. aemcaaam
Kitchen Dining Room Living Room Office
w—n—a eweno v.,mu
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2nd Floor
Fire Alarm
� = Hard Wired Layout
Smoke Detector/
Fire Alarm oae murMara
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License:
pp gUl pi�`�
nse: CONSTRUCT►pG REGU�gT1ONS
A
" = Number. CS N SUPERVISOR
Birthdate: 050057
05/22/1961
Expires: 05122/2006
Restricted: Tr' na: 27112
MICHAEL W►iALEN. Q�.
50 WORCESTER AVE
SWAMPSCOTT' MA 01907` G`
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Board of Building Regula ons and Standards
One Ashburton Place - Room 1301 1.
Boston. Massachusetts 02108
Home Improvement.Contractor Registration
Registration: 143709
Type: Ltd Liability Corporation
Expiration: 7/2 112 0 0 6
WHALEN BROTHERS L.L.C.
MIGHAEL WHALEN -
50 WORCESTER AVE
SWAMSCOTT, MA 01907
Update Address and return card.Mark reason for chang
❑ Address Renewal Employment Lost Card
nPS-GA9 0 50M-04/04-G1012166o
—7k l000n�nooe«eald a�./�aoa¢c�uraalld
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. if return to:
'' Board of Building Regulationss and and Standards
Registration 143709
Expiration j/2112006 One Ashburton Place Rm 1301
Boston,Ma.02108
Ii Type Ltd Liability Corporation '.
WHALEN BROTHERSIL L C
MIGHAEL WHALEN
50 WORCESTER AVE = �,'
SWAMSCOTT,MA o190T" Administrator Not valid without signature
I