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7 KIMBALL RD - BUILDING INSPECTION . I d �1 UI "��1�Fd1 : ' � ��' f ��.ti r � ���. . _ . 4 '. �n�j� � ! . . ,' i �� . �+'k'" � a�� ��������� � . " �t",� � � . - �� \ � � ,_ � � �4 �- 1 � J 'u i� � : fla4[181Nii6 N*�8E �$+M'!� ? OVED 8Y �iE �Ay ' JAIS�PFL'IL�F.t ,��JIO��D;9#.P.E�,EWG GRANTED ��,l� 1 � � q . .,���.t... Y, ��, , �CITY OF SA��EM No���� �J�� :.� ouo /Z 6 ,;, , � ' y+... •i � i . n�� ,\ n., . ' b FropaAY LoCatad In / Location of �7 /� /� � Uw Histaic DisMct7 Yas_No ✓ Buiiding / �rn�/� ,`��` � b PropwtY loalad h / . ;� IM Ca�earved9�Atea7 Yw_No✓ BUILDIN(i PERMIT APPLICATION FOR: ' � Pertnft to: (Cfrcle whichever epply) Roof, Reroof, Install Stding, Constru�t Oeck, Sh�eJ, I�ool, . RepaiNReplace. Other: �n f{��o i d�e>�o /n���Pi� 2-� l S}-�/o:.�/ �• ���-r1.a.� ' P3.EASE FlLL OUT LE�3IBLY&COMPLETELY TO AVOID �YS IN PWOC�8�11�3 TO THE INSPECTOR OF BUILDINaS: The understgned hereby applies for a permit to build ac�ording to the folic�winq specifications: - Qwnsr's Name ��' � �'1 �1�� � „ ,�,_, Addresa & Phone ��C�ric�h /I I/� ���� j 1 Archftect's Name !�'� . Addees� � Phone . 1 1 MechaNcs Name i/J�t ��'(���'�3 �.L �- �. GS!�!�" , Addre$s & PhOne SU �c'�ts�'�!�-�� �;'� LZd'i 1 S g.� �7 �� � , , ' ;.,��w:l' . ,s�::+�,r�:.�f '�'e,c, WMt Is IM purpoe�ol btdldlnp/'1��� ��`"'�t �'-• "ve �, nfC ;;i,r,,.;:�. • Mdadd ot bulWlnp4 i^�D D,�lf'(Z� ,�-.2 R�dw�Ninp�10►how meny femNN�4 (,�.,,�,.;,,, ' l���= �, . {�' ' WIII bWMlnp coMorm to I�w7 � A�ba�tos? �d ;;i r" I e.u�oa�o�. 3° �C cay ucw�w r ►� o` sua u�« �S ��a�� :'� , � >�!� �. ,/ ` Ha�s Ispro�s�n � 1��� � L1C. / " t�l� X fil ��r��r S ���I �' , Signature of Applicant y� SIGNE,D UNDER THH P�Bt�II�I�' ;i II' �'. OF PERJURY ���, : DESCRIP'TION OF WORK TO BE DQNE '� ' ; / I �'S� i� ( �, al�-�n� IL�Gc�Ss� f CI �y, o�2i i 2ti ;�;il ; n � � "' I i ' o J -� � t'"�,� � 7 �sv� 1� ';�i� r \ p II jl' II�I�� � I .. .. . �. :�.'� I � 4 . . , ' � � � — a�r � , , , .. � ������: � � �� � � � �� I E , ,.., ri , � ��l b, �, V� G� �., � �.� . .;r � "�� i ���I,�<<'r y. MAIL PERMIT TO: a P�•-• � ��S u�:.�i�G�;, ; � , , , . ",���r ' S 7j (/U� rc�� n/ � ✓ ,� i a�� n Q �y���K��,� y, ,j'(/l/h�,j, � ��� I�Y�T�' � 7 ! �'� � � �} ,�^'. � � , g:�,,.:f�6n r � - � _ _ �:- - _ - _ - �-_- � , .. _ _ � . ;.;. _ ._:>-. _. ., : :.. _- �--� _ - _ . - ;_- . -- � -� ..... . . ', _ s+r.4i+ r �' " l - ' �:'�'�-: . . . No. \�� �h�V� � ' � AP�LICATION FOR ' � PERMIT TO . � ' . ' _ � , ' - ' ,� -.-- LOCATION � � `�, �-�.°���\ . . . � ' . � PERMIT GRANTED . " c'J ' � \�, .:,.�� ; � - ' , , �-� �► ov�o � � . . , ,/�%rx�^ro . ��y , INSPECTOR F BUILDINGS - a - ; � . • J„ , s , ' f �. ._ �R'� ' �_._� �� ' � . . �. � . . _ . € �,9,r ,y . . . - . ' �-�-cr.':�.�� . .� _. . . . _ . ' t _ ' � � � . :_ _� _: _,__,�c�___ >. :, PUBLIC PROPERTY DEPARTMENT • 120 WASHINGTON STREET. 9RD FLOOR . SALEM,MA 01970 - ` TEL (978)743-9595 EXT. 390 Fwx (978) 740-9846 STANLF,Y J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVTf In accordance with the provisions of MGL c 40,S34,I aclmowledge that as a condition of Building Permit# ,all debris resulting frum ttie constuction activity govemed by this Building Permit shali be disposed of in a properly licensed solid-waste disposal facility,as def ned by MGL c III,S 150A � The debris will be disposed of st a Location of Facility � � Sig►ature of Permit Applicant Date FCTI,LY complete the following infomiation: (PLEASE PRINT CLEARLI� /,�✓��lh ���'��� Name of Permit Applicant � �� �� Firm Namq if any � � /�)� Address,City& State The above statute requires that debris from the demolition, renovation,rehsb or other alteration of building or shucture be disposed in a properly-licensed so�id-waste disposal facility as defined by MGL cIII, S 150A, and the building permits or licenses are to indicate the location of the facility. � ' /n�'ti�a,n� c:S'�-✓tif � • � 1 � ✓� � �OmmOhW�:Li. 0 G3�6CriWC� �G � �e'.�- J � �� j9.�,af.a ' � � !-�� I�� s�, . ��pn�nud e cciwaLt' y T I �Y J: n 6 = . boo w��,.��..t � ,-� s�-3 2 �� � �.�.a c.� �, Y!'I.�.��W.w os� i r c�� � . Woricers' Comperwsion Ituunnce �davit �, �-► � 1.� ��� �- � � �L � , �, , � � �z I w 1�,� l�- �� �,,,,� �-- -- � . . wich.a prinupal pba of business as: • o �'"Q � . J Z1 %r�c jz C�S���� �";/ S'in/� � ✓' S ��-��' 'Y�'�[. I � . . — ��� � � do henby�cercify under she pains and penoltiss ot perjmy. � � . . () I am an employer providint svorkers' compcnsasion covcn`e for my �mployees workia� on this i�b. w a¢��,.c,,.s. fn � � � �" X `'� `� �� I ' � ����?r� . �p� ����� �,.a�j�� . 1 cv� � 0 � I � � S I J .,ae� Imurance Compary � Policy Number . . I am s sole propricwt �nd have no one workit�tor me in atry capadtY• ' () I am a so� proyricwr, general coniraccor or homeownet (cirdt one) aod ve hired the consnaori lissed below who�have ihe tollowin� workcn' compensasion o(ic3es: Consracsor Insuran�e Ccrimpar�y/Pol�q Number Concn ot Insuranc ComyaTry/Poliq tiumber Contraaor Insu nce Cam;+aary/Policy tiumber () I am a homeowncr periorming all the work myself. • I uroeruane wi s coor ef qio ua�emex.+'e O: ior.�aresa m dx O�fei e1lm�sut+*+�*+ ef dx DIA lar ce.<nJt���m^��«1O"�t co.erate y �ewrao unoer Secoo�n ISA o� GL I 5 2 cm k�a w ux:noowon o�a�+"^��o�^AO�eer��/n{� e1 � fwe ol�e mi I.SDD.00+�or wr r<sn'�r.aruenmem a� vo v ei.'s oe � in in< Iorm e!� STOP W ORK ORD R ana Fr ef '00.00 s vr +s+irot wt. day of . �'Z� �i "� � — Signed chis � . (/N �w ( -��.-� 1.�. ; � < < �f �iun c iFcrniII LLet /� Em�lcing Deparcn+ent 3 --// / `�//.���%,�k�V V " �„v�.y �C�'/ :J Ct'1`.1 T7€ ���G 7 i C '� Seieamens Office �,:slch Geq:rmcn. - - - - - - - - - - - - - -- = C':' . . _ _ . =. Q� 4Ct , =05 , -rvr _ .. .. . _ _ , .� __ ��.'�:r .. - - .�. . �r. __ . _ . . . _ . . . - h'V� ' �.�$�`� � - City of Salein, ,�Vfassachusetts � �, � �"ire Depart�rcent �'�arrn�� � 48LafayetteStreet 29 Fort Ave. o6ert'W.7urner SaCem.Mass'ackus'etts 01970-3695 , R. �re Prevenrion , C�f 7e�978-749-1235 Brueau • , � 978-744-6990 � 'fa,Y 97�745-4646 _ „ 97&745-7777 : i s " " FIRH DEPARTMENT CERTIFICATE OF APPROVAL FOR A BUIEDING=PERMIT' r� � �*ag, �.• a v .. . � . ' � - � . . . � . � - 'IN ACCORDANCE WITFi TRE PROVISION$..OF THE MAS5AQH[TSETTS �'lATE SUILDING CODE' ` � +. ;; AND TtIE SALEM FIRE CODE, AYPLICATION IS HEREBY`MADE`FOR THE APPEOVAL OF PLANS �; � 7 ' � • - AND THE ISSUANCE OF A CERTIFICATE OF AYP&OVAL FOR A BUILDING PfiRMIT BY THEq ' " " ,,p�',; � � SALEM FIRE DEPARTMENT. ( Ref. Section 113.3 of the Mass. Bldg.'Code) • 0 {� p / y� � � k i JOB LOCATION: � .�� �,b4 �L �•�� . f ( ` li - OWNERIOCCtJPANT: . J O�� :"T�:<�7 ) v, ] ' �t* �I � �. E�'° I ) / J � a EL�CTRICAL CONTRACTOR: C h �'i S ( ,� � �✓-�d J� J.C.G�!'� t, ;�:.. �' �� ., � , . . .-� p �`FIRE SIIPPRESSION CONTRACTOR: 5�t✓''�� ' � ;, � y ,� �f ,. L...� ��,,.� S/i�' j�%/:>. L-C, G C.�..� M"` t 4 � ^�,,. � APPLIA�RT:OFC;�i��\, �j ' "' y�=Lwv� �t/ ? : PHONE 9: �I� � �J �� '� n � ,. . . . . . 7� / �` x . S ADDRESS OF {. . n . � z .� '. A4PLICANT: �a��Jg 2cL5���,/`J�J� czrx ox .�wl� i�- c�+f G�P�� TOWN: n`� .. . . .. , . . . . �.. . 'R' . � � � . .. .i'�' ` '� -z���;. . APPROVAL DATE: �"I I� c�OG'�'J • � ' `� y t' - .. �. , ..a • . a . . � . _ �4 . � ' �._� . . , � �. �� � . � ' 1.. '� .a �:�.;� ' ` Certificate of a roval•is 6eieb ranted, on aV roded lans' or aubmiLtal of � -�� �,� ,,:`a � . PP Y S PP P . ... .. �s�.."� � project details, by the SALEM FIRH DEPAEtTMENT.- AL1 plans are ,approved,�solelyf � � "t" � tfor'identification of type and"locatlsa,of"fiie�protectioa devices and�equipment ;�,�"�.° � � �r� �'` ..-:7 _ All plans'are eubject to approval of any other authoritg Laning�jniieciictiaa � ���,.� �> , a`� IIpon completion. the applicabt or inataller(s) .e6a11 'request�aa"inepection and/or e � fi� �test of the fire protection devices and>equipment. •(ADDITTIONAL REQIIIREMENTS, i, : � r� ya �y� �i� SEE REVERSE SIDE *s*) � � .�� ' ,"' ' - � `. }�. y §;,0.Yf'�,�! . . . P'r �' ; "i y � . . . . . - . . � . . . . . - . � , f. . 4 4 W. �;C V � , O NEW CONSTRUCTION. � :E �"�: "�, �.. �I � ' � PROFERTY LOCATION HAS NO COI�LIANCE WITH TEiE PROVISIONS OF , , _ , �.• ' � . CHAPTER 145, SECTZON`26 C/Ey M.G.L., RELATIVE TO Z1iE INSTALA= �=: +� � TZON.O� APPROVED FIRE AI.ARM DEVICES. TEiE OWNER OF TEIIS PRO- , � ' PERTY, IS REQUIRED TO ABTAIN COMPLIANCE AS A CONDITION'OF ' , a Ii OBTAINING A BUILDING PERMIT. ` � � k. . . � , . . ' . . . . . ' . . . � . � . O PROPERTY LOCATION IS IN COMPLIACNE WITH THE PROVISION .OF CHAPTER � .. - 148, SECTION 26 C/E, M.G.L. � BXPIRATION DATE: t f�/z �-GG�. (�G.yN G✓,ti� � �"�"�ti. , � f —T 2p�% ! 51¢5 SIGNAT[TRE OF FIRE OFFICIAL `. } FEE DUE: UNDER 1,500 SQ. FT. - 30.0 � FORM�� 81 3/98 7,500 SQ. FT. OR LARGER- $50.00 9 ' = R r „ . . �n.: .. . . . . � ra , ° � . , . . . . . . I ,� PUBUC PROPERTY DEPARTMENT � , � '�� .1�O WASNINGTON STREET, 9RD FLOOR ' . � ' " SALEM,MA 01970 � TEL. (978)745-9598 EXT. 380 � FnX (978) 740-9846 STANLEY J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVTf In accordance with the provisions of MGL c 40,S34,I acl�owledge that as a condition of Building Peimit# , all debris resulting from the conshvction activity govemed by this Building Permit shali be disposed of in a properly licensed solid-waste disposal facility, as de5ned by MGL c III, S 150A . The debris will be disposed of at: `j � ",^,�T�`-����'1„a�+�e�*e.ti'� �8 I �Z� `3 s�°7 Location of Facility '�/ ��� ��id��l�► �-(/{�� (�l�,�en 1�����i� C,LC �z 6 Sig►ature of Permit Applicant ate F[TLLY complete the following infocmation: (PLEASE PRINT CLEARL� ' r� l U� �l � �� I.�. ,,�,�.. �P� Name of Permit Applicant �,..���.�..��.- � ���-1���� C, L � Firm Name,if an}+ Jti GJ -z C.�.S �F el J ;5,,1�.,� S z.G`�-� � � l sj i � � Address, City&State The above statute requires that debris from the demolition, renovation,rehab or other alteration of building or s�ucture be disposed in a properly-licensed solid-waste disposal facility as de5ned by MGL cIII, S150A, and the building permits or licenses are to indicate the location of the facility. . > 15'-4 1/2" 7'-5" 11'-2 1/2° 13'-0' D�Iw''BiflN Whalen Bros. � �� ' S0 Worcester Street , . � N ' i� Swampscott, MA 01907 � . � 9edroom #2 Bathroom � Bedroam #t Entry to 7at.sse.97a7 Apt #2 �qpt #2 Alcove � — o � � 3680 door � � � Project 04.OJ O � e A} � /'7F/a. i � � 3680 door . R9nO�On � Entry to� .1 - . P /{ � Apt. #1 � A t 1 � Hallway °n � o Alcove /����IEntry to � � -o � �Apt. #1 L+OCBdOfl: � 3680 door 3fi80 door � - 3600 daar 7 pm�� � � __ - 88�BR1� INA 01070 — -- — --- -- o — i o -- . 3—��� v � � clear � - - o a��� � opening � M ����� n 3680 door � � rn . . . ''�, c � a y u�i Kitchen � � Dining Room e� o Living Room Office `o dm � � 1 04-12-04 Building Permit � a� ���� DRAwNO iRLE 1 st Floor ,,,- , , ,_ _o„ _ Renovation 4 _o„ ��_ Plan � ,� ;��<, _ � � . __. , - �ze;�cc���r.ro�e3�'•�a.z�3 c.�'::� an.uori�h��-�:,;^..:.-'u-�`_t•:. CIT:'0�'S�x=;��-' �":'M''-. r�o� asn�;:T7�;i;T�'�i!S7JF.1.`«I Q�7E ONINIINO Na ) /A'��� � ` / � APr. 12, 2004 . . L i ��/ �/.�+/ �. //l�l.,�,�.. A1 . 1 Flet FIOOr R9n0�VatlOn Plan �.�. ��.��a����:����r � sGt� 1 rra�s r =s��t,.�c u r < r �'�:��k��� �ai F"u..u'S?t'yGcfi:T1C1.. ��'!::k:.'� ...., `�.:.., ..b"ry R � os noled� _ . - '- .W:..:u; ....xm:�xy,u�::;6::5¢a�-"n��-Glwid'!'T1- ' /�7dVc'��7NP,'N!�.'?i�S�'+L� . ' . . . - •. . - o.ra,.-e�rau Whalen Bros. - 50 Worcester Street ' � � Swampscatt, MA 01907 - 781.598.9747 �� � Praject 04.03 � "�-�' /4pt. 1 � Renova�ion � Loce�uo�: 7 IQmbe11 Roed S�91arn� MA 01970 qbnt Conlact Da�g �ugen (781) 84L9B68 1 04-12-04 Building Permit . ' �/ �� ���� �W���' Basement - _ - Fire Alarm (� = Hard Wired �YOWt Smoke Detector/ F i r e A I a rm a►,e uru►�No� I Apr. 12, 2004 �'�.. , �-�re� , � FA.B I ��:1����� . as noted _ . . o..prw.�rd�. . Wh81611 BrOS. Bedroom #2 Bathroom Bedrocm #1 SOWo��=st« S��ee� Apt. #2 � Entry to Swamp81.598.97471907 � Alcove � Apt. #2 � � Praject 4A.07 Apt. i Renovadon Entry to -1 � Apt� #� Entr to Apt. #1H � � � Alcove y �oomnon: Hallwa � Apt' #� Y �am�i �oea sa�em. Nwo�em c�Msne Cor� Do��p Cugan Cre�) s�a�eese Kitchen Dining Room �iving Room Office . 1 04-12-04 8uilding Pe�mit �V a� ���� ��b�� 1 st Floor — . Fire Aiarm � = Hard Wired �yOVt ''' . Smoke Detector/ F i r e A I a rm a►,� ow►w�No�a � Apr. 12, 2004 1 Flret Floor Flre Alarm , � FA. 1 �CdB:1/4 v itiG' aa nocea _ ._ . , o.rv�.-e�ra.r V111'18�en BrOs. Bedroom �2 Bathroom Bedroom #1 � SOWo���s,�� s��e°° Swampscott, MA 01907 781.598.8747 Project O4.OJ Apt. 1 Renovadon �-- � � � �ocau«,: H C]� � W C]y 7 Wmbell Road 8alem. MA 018'!0 qlent Cor� Doug Dugen (781) 8�48968 Kitchen Dining Room Living Room Office 1 04-12-04 8uilding Permit . . . � a� ���� ' , �Aw�� 2nd Floor Fire Alarm � = Hard Wired �yOVt Smoke Detector/ F i r e A I a r m on�e ow►wiNo ria Apr. 12, 2004 1 � ��� . � FA.2 as noted �Cd9:1l�'m 1�P