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328 LAFAYETTE ST - BUILDING INSPECTION , - � .�' � a� - ° ° ���e9tfS��Eff4.{-�1fH3 A?PROVED $Y �+�IE 1AI�,P,��,Q1� ,PF.tJ�R Tp A_PFANllT B,�W G GRANTED � _ CITY OF SALEM y- � �6y � . ,`o u�.` .. No. � ] �� ��:t`� "� �`�r,� Date�'/�� ;_ s,� �. x� . '\�`'`�'/T . . ���MINC���� . . �� ��.��-�e � Is Properly Located In � Location of ihe Historic District? Yes_No_ Building Is Property Located in � the Conservation Area? Yes_No_� BUILDING PERMIT APPLICATION FOR: ' Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, ed, Pool, Repair/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 according to the following specifications: - Owner's Name � Address & Phone 7 (78i ) ��(� ��y2. � ArchitecYs Name �� ��'y�/C��� � "�u�.y�s <o}� f'!� - � Address & Phone ( ) Mechanics Name � Address & Phone ( ) What is the purpose of building7� �r�1M,1 � /�t �� SiC�_��1 � 1 Material of bullding? �� _ If a dwelling, tor how many families? � WIII building confortn to law?� Asbestos? Esdmated cost �(� City License a N P' State Licens F C- � ����3� Hame Improv�ent' r.��. t /�aG3 ���� Si ature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE �X���-i 1�Di �,al'� j S r��� ��t rJ c��2VP � i G�. � I V�j,.1 ��l` � i.t�i �� ti�' t�►���C� 1d Xi�`�-i l�il'i ��C'�, � ,j `��� f� �1"-�.��, � 5 �--F�-���> � � . I iMAIL PERMIT TO�cJ VI�C��'n� �O,�i' p�P ; . C . ;. � ,, , $' � :�-, � .�. No��> -�.J J� APPLICATION FOR PERMIT TO ,/%p-�%�.�J� " �C,� . P� }. LOCATION. '�J S -� U-r �;, e� -��— PERMIT GRANTED f��l.�o '� �.,� APP VED i ., INSPECTO OF BUILDINGS � t � - I � o � CITY OF SALEM� MASSACHUSETTS � PUBLIC PROPERTY DEPARTMENT n e 4 . , 120 WASHINGTON STREET� 3RD FLOOR � ' � . SALEM, MA O 1970 �""� TE�. (978)745-9595 ExT. 380 �� Fnx (978) 740-9846 STANLEY J. USOVICZ, JR. � . MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL c 40, 534, I aclmowledge thal as a condition of Building Permit# , all debris resulting from the construcrion activity govemed by flus Building Permit shali be disposed of in a properly licensed solid-waste disposal facility, as defined by MGL c III, S150A. T'he debris will be disposed of at: � N�r%`( /�C�'V� C Ci/'/''�� % Locarion of Facility � / � , a ignature of Permit Applicant ate FCTLLY complete the following information: I (PLEASE PRINT CLEARLl� �m�l� ��,� Name of Permit Applicu t Firm Name, if any ������ Address, City & State T'he above statute requires that debris from the demolition, renovation, rehab or other alteration of building or struchue be disposed in a properly-licensed solid-waste disposal facility as defined by MGL cIII, S150A, and the building pernvts or licenses are to indicate the location of the facility. � . , � . CTTY OF SALEM . BUII.DiNG DEPARTMENT �iQMEOV�''NER LICENSE E?�'IPTIDAI ' Pleasc Prim DATE JI � � ' )OB LOCf+770N ��� �i��� �� � �� 9� . , ` HOMEOwt�R �� ���4'�i 1 Y! �/i� 4 �` .�i �1(,�i�NJ�'�'���//✓ ' ADDRE53 ���� HOMEOtiVt�t ���`� � �) � �L�� . . TFI.EPHOT� y�, PRESEtTf MAII.iNG ADDAESS �{� �"" L� 7 �.7 �li YI /r V� ' 7'hc narrnt ctcmption of"hom�owvas"was ocutdcd to include oxocr-awFied d�rdGop of TWO • Units m lcts and to a]!ow such fiomwwnen to mgagc an'ud'n�dual iot L'nfe who does not posseat� . . liccnse,.Dro`�d�d tha�thc oxocr act u superviwr. DEflN1770N OF NONff.OR'NER: � Pcnon(s)who owns a pa�.]of land on which hdshc raidcs or intrnds to�ide,on w}ud��+T,� intcnded u be,s onc to two family dwclling,anschcd or dc�ac�ed srnx� �sLaU not be wnsidaed farm svucturet.A persan who mnsovcts morc than onc homc u�a two-y P�^ a hommw�xt. Such"homcow�xt' sTbll'sub�t to t}k Bu�ding Official.on a torm a�We�$e Buildissg Official,tliat hJshc bc Tcsponsibk to sll such work pctanned�drc buildin6 pauo{. � Thc imdasigrrcd`homcowncr"anana rc�ponnbility fot compliancz with�1►�Stau Bmlding Code md • othu applicable gocs by-18ws.rula�d regulafiws. . "[tu imdasigncd'hom�tt"ceru5a that hdshc imdcs��s thc Crt9'o:Salesst B��1�gDc�u�i . minimwn insp�tion prvcsduru sid reqimm�c and that 2J will mmP�Y`��P1O��� TWw�cu�s HOMEOViTIER'S SIGNATLTRE APPROVAL OF BiTII.DING WSPECI'OR 5«othcr sde for s:au code 1 , �a � j HOA'1E0�'�'I�TER'S EXEMPTION The codc statu that "arry homeowncr performing work fm�vhich a build'mg permit is requmd shaD be crempt hvm tTu p�rnzsions of tLis xction (Sect9on]if9.11-liacsicY o(Conatru�tioo Superviso�� Providcd that is s Lameowrcr cngaga a peraon(s)ibr huc u do.sucL a'ork.that such Lomeow na shs➢act 8S SUpW1S0[w- '• . . . . . � • jv]gnY�piI1eOM1CiS tv}IO iLSC t}315 CXCIDpU0I18TL 1II12P2it 1�18t 1�'S7C 8551DII1II$1�G iCS�ObSIb��a • ~ - yvpervisor (ace Appcndia Q,Rulc�aud RcgulatSone for L'+civainY Cooslnctioo Superviw�s,$ertjM . .2.15} This ladc of awarcncss oflrn�ulu in xrio�u probkms,particularly w}rcn th�Lomeow�na hi�t noas. In this case ur Board cannot s �' thc milic�t�sed u h s,wld unliccnscd pc Y� P� E�� P�a �id1 . lianscd Supcn'isor. 7bc bomconver sding ae wperviwr b ultimatdy r'cepoosibk. To cnsac t}�at t1u homeowrxr is fu11y awarc of hiAier respons�bibtia,n�ty eom�nmutia teq�me;as pari . of tAc perntiit applimtion,that thc}romemrner ccrufy that hcJshc timdustandt 1Le mponsibilitia d� super�isor. You may eue to amrnd azd adopt sucl�a fomilocrtffication for use ia your�p. • . • . - '� I __ _ - -_ _ . ����- � J � 3�� �� � Cp�F([. � w��,-oow 7a ' ao�Q �, � 2GGY.F+c� "2 2EPLsM.� O [f(��IJi I' �Kfif'/%N(�. 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L A FA YEll'E S .T PLOT PLAN of LA ND in , SAL EM I � � � � � � �� � � f H�p�rty of ,�. ��m - - �-�. ,, � .��rt�rt �E. �L� vesque et ux. Scale � /�� 20` Morch 26, /968 ESSEX S'URt/EY SER!//CE - 47 ,Federal Street, Solem , . . , _ „ _ ..' "`�- �