245 LAFAYETTE ST - BUILDING INSPECTION (2) -pullillMIAMT-BE F!L-ED-i 40 APPROVED BY T*IE
WS.PECT.IR PFWR TD A.PEBMIT BEWG GRANTED
CITY OF SALEM G
No. 2-Q 6 Zoo L-Q ,!`.. o \�* Date
y
Is Property Located in ✓ Location of
the Historic District? Yes_No_ Building 2,<L96AYL%Tje 4T
Is Property Located in V Ns �T
the Conservation Area? Yes_No_
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) of ns1'all Siding, Construct Deck, Shed, Pool,
Repair/Replace, it r:
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 Nj LI 1�Aryt S
Address & Phone 24 S' LA FA%�I R T r E ST (60) 90/ - Lfyat?
Architect's Name
Address & Phone
--7 Mechanics Name I MmIRS �A' tEs
Address & Phone _ -21 weei ST (981) 5 tf�-931 R
What is the purpose of building? CUNQO
Material of bu iding? If a dwelling, for how many families? GCS t�tJc�
Will building conform to law? Asbestos? w
Estimated cost 046 01) City License # N A State License # C Z ITS 9K
Home Improvement
3�kS3 Lie. i bo$ 'A1 S gn lure of Appplicafir'�/
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
NEW 13y7/tcoor
MAIL PERMIT TO: 2YS� Lgmpfo%Esr fl Z r
I
�-wEVNT- I rJ r.v�smwY�:
No. 2-L/
APPLICATION FOR
PERMIT TO
LOCATION.
v
�. PERMIT GRANTED
APP O -,D
INSPECTO OF BUILDINGS _mow
t�
09/11/2003 10:43 00000000001N PAGE 01
LAFAYETTE CONDO TRUST
C/O IMPACT PROPERTY MANAGEMENT, INC
245 LAFAYETTE STREET
SALEM, MA. 01070
September 11, 2003
To Whom It May Concern:
Please let this letter serve as permission for condominiu #2F the above address, to
do construction within its unit walls. The owner has asked or t is letter so it may get a
Permit from the City of Salem to do plumbing and carpentry work.
If I may be or further any assistance, as the property manager, pleas.contact me at 781-
595-0100.
Since
Kenneth Stotl
Impact Property Management, Inc.
r 1
�ommonulaakk of lllae6acL¢t`.6
' 1Japa,Iraaanl or Jad ice(-ccia ALS
6 =
n/ 600wry�—, , Wel
JamesJ.Camooes Uoilon� /1/astao�uuslG 021I1
Corrmrssttsna
f Workers' Compensation Insurance Affidavit
with-a principal place of business at:
. . larrsr+rraar)
do hereby'certify under the pairs and penalties of perjury, that:
O I am an empioyer providing workers' compensation coverage for my employees working on
this job.
Insurance Company Polity Number
✓1 am a sole proprietor and have no one working for me in any opacity.
() I am a sole proprietor, general contractor or homeowner (circle one) and have hired the
contractors listed below who have the following workers' compensation polities:
Contractor insurance Company/Policy Number
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
() I am a homeowner performing all the work myself.
I un0era m mat a cm of thu uatemtnt wN Ds iory 3rote to the Off Ct of lmotitaoons of the DII, 1V coverate eerWKadon ana eMat(Aar W aeewe
cov arc at rraieea unaer Section 2SA of MGL I S 2 on Iead to the:noopion of criTimi oenadn eonuednt d a ewe of no tot i.5M.400 wwor one _
,ran'iraruommrnt vn ci.i oenalua in i loan of a STOP W ORK ORDER ano a rwe of S 100A0 a ory apiwst me.
�
Sig day of �ntd thi .
ccrscc/Fcrnittee building Departn,e t
Uctnsing board
seiectmens Office
He.2ith Department
- i -- - epp Yep_ tpt, ape _po �7c
to ,... OF SALEM, IYtd\SSAGHuaci
.16 PUBLIC PROPERTY DEPARTMENT
• • 120 WASHING'IPN STREET, 3RD FLOOR
yp SALEM,MA 01970 -
�>� TEL. (978)745-9595 EXT.360
FAX (978) 740-9B46 .
iTANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40,S34,I acknowledge that as a condition
of Blinding Permit# all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility, as defined by MGL c lII,S150A.
The debris will be disposed of at:
Location of Facility
63
Signature of Permit App cant Date
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
�owN
Name of Permit Applicant
�,oYY.Ai r 1�4�s C�"ST'
Firm Name,if any
J( 41)ev% <i L�t►�, MA rJt401
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 cID, S 150A, and the building permits or licenses are to
indicate the location of the facility.
i
BOARD OF.BUILDING REGULATIONS 111
a
s k' License: CONSTRUCTION SUPERVISOR �
.Number.CS_ 029894
Birthdate i1 AN1957 s
- Expires 01/1872004 Tr.no: 14819
i
Restricted -
THOMAS E HAYES
71 ALDEN ST ( i
LYNN-, MA 01902• Administrators
t
s
✓die �m+vrtwvewval!/z o�✓uaa�ac�u+oa"ll
.Board of Building Regulations and Standards
IMPROVEMENT MPROVEMENT CONTRACTOR
Registration: 120082
Expirati9n: .10/15/03
1 _ Type: DBA
THOMAS E. HAYES CONSTRUCTI
fi)bMAS HAYES.
71 AIDEN ST.
j LYNN,MA 01902 fir^"
llll Administrator
09/11/2003 10:43 00000000001 PAGE 01
LAFAYETTE CONDO TRUST
C/O I NIPACT PROPERTY MANAGEMENT, INC
245 LAFAYETTE STREET
SALEM, MA. 01070
September 11, 2003
To Whom It May Concern:
Please let this letter serve as permission for condominium#2F at the above address, to
do construction within its unit walls. The owner has asked for this letter so it may get a
permit from the City of Salem to do plumbing and carpentry work.
If I may be of further any assistance, as the property manager, pleas. contact me at 781-
595-0100.
Sin
Kenneth Stoll
Impact Property Management, Inc.