75 1-2 LAWRENCE ST - BUILDING INSPECTION (2) �1.i1RIS1Nli6t f*&64MG APPROVEO BY T44E
MPEC=P13" TDA PEWIT BFwG GRANTED
CITY OF SALEM
No. � ' Oats z7 06
is
is Ply Located in Location of /
Uts Historic District? Yea_No
is Propwty located in
du Coruervation Area? Yw_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, RprGot,.Install Siding, Construct eck, Shed, Pool,
Repair apiece 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 �1=ti �
I Address & Phone 7C' Z7 l a" ranee S�. r 97�') 7 5 �2-3 9
Architect's Name ,�Sn,'14 r l CJ w
Address & Phone 3/ Aue (9)�)
Mechanics Name 0 C d r lei b
Address & Phone 3` �s�,L - 2;j '4( '-e
who is to pwpole a brtll W � )e C.)L 0--A— s i J t?�C e
p,t,ss Gut d
Material of gyp? n a dw"N,for how many lambes?
WIN b kMV coMonn to law? L Asbestos?
Estlmated coat ZnS, ,City License a< N A state License e
sores Improvement
`' �4 Signature of ApplicarW
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
2c �P ry o c
zz
MAIL PERMIT T0: a
7, l L
" aCu x-" )L- A 0 970
No. Z
APPLICATION FOR
PERWr TO
LOCATION
6 -:
PERMIT GRANTED
Z?, 2.O iZ
APP OVFD
le ECTOK OF VILDINGS
The Commaxweahk ofbtessocbuaft
DepwhxeN of 1ndlts04d Aatdeab
6tl,Q?ee"W d
Bostolty MA OB11
wwwat asaoi✓Bi
Workers'Compensation Insannee A®daWt: BuRderi CoutndorsMedrlda WPlamben
Appficm t IliMatioe Please Print Les:ibly
Name
Address: 3 ) /-}.c ti u.ice �4
City/StatdZipc �� wi. ► /�r � _,_. Phone#� �_?� - y ems&- 3 0c�2
Are you s• Cfeeh the bons'
. .. �I am a Type of pro/ed(reydrea
1.❑ 1 am a empbrya with gesad ooa6sclar and 1 6. ❑New cmwi cdwt
empbye"OnamioryaMdme}• hsvnbhvd>tisaalietiatr s
Z I am a sole pmprielor or pa lsaw limed a dw attahed chat:: 7. p Remode ft
and have no anployees Thee cab-ambsc m;have S. EY15emown
wad ft AV me in Mw cape ft 'gip.insmace. 9, q addition
(No wad=,cony,hwavoce 5. 0 wCMS . 11 0i'' to s'
atBoenlitye • � -; 10.D P.lectrieairtyaira or addida=
3.0 i Ybomeowsw doing 4wodt *ig�tof ��MQ' 11.0Piambiogrgnirsoraddition,
myself Rio wodmw comp a ls$�1(� aa�i�ehave'iio 12.0 Roofrepain
manraoceregturaljt. employees.L � 13.0'0ma 0
CwqPL imtasaoe
Any a ppdeot abr dreb boat/1 und dw as*%*p aaxd=blow aboMiaaa at*.Woe. s•eeaippp m poft infix.nud aC
tHomeowoo�wlpaabeadt>sYaatedwi:iolkda� todoins+Awutod bjRamiicobG�eOoniiYoataabmit aw�hvai61 =CIL
tCaaefa.:laoa Wtshst lids bai'twt osaeb.d �dNlfoed ibaR rbovma aanatOttlYoabm Cbnodtbsirwortn'coop ro"
Iaas4tswPbyd�bpds'csebtsvrarafMepstiip B�lotsbtAepslfgaaufJobsba
Insurance CompmyName:
Policy S or SeiLins.Lie,N P.xphadon Date•.
Job She Addtaa ( y/g ;
Attach a cagy of the workere compeau+da policy deeiaratia page bkowlag the ponq soda and expiration date}
Pat'hne to scare osvaa-e>r required mda Secdon 25A of MGL 0. 152 can Ind to dw imposition ofa®ai penaMes of a
tine up to$1,300.00 and/or onayear bWlbonment,as wed AN civil penalties in do form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the AcIsaw. Be advised that a copy ofthis statement may be lbrwwM to dte OlSce of
Investigations of the DIA for bmrace coverage vaification.
I a Aarby csro wsdsrAspabu aedpseabla ofper/wy Ads the bfww&&e provided above b trot and eorrees
S;®ature Dan-- La c�
Qdkld use oath. Deno wdW b,tAb ails,»bs eearpldsd by ciparowe a ldee
City or Town Pamkucem 0
Issaing Authority(circle one):
1.Board of Health 2.Building Department 3.Clty/rowe Clerk 4.Eledrted Inspector S.Plambing Inspector
6.Other
Contact Person Phone M•
Information and Instructions
g Lxm cbWwt f52 requires aM cu*kWMp>x0 ° � � ofMM
Maw is defined as",..every paaoa is 8,e saavioa a;f another
Porsausf to him stamta. as�e!'�
eap<w or mghed'aal or wnmea
asaodVkS&oospaaaoo ar otter legal eotdy.of any two orAnew mtxe
de6aod a$"era iodividaal,partnership. a deotaoed etmpbyes,a t5sn
of s aop®od is ti joioteotapevva sad iscbtdmg t"x the
dthe fofegomtass asao�or otter legal entily.ersployM CmPb7ft& Ili
owners of Dosa dwelling muse having ad more then free apatmm�and who resides&Uc%or tte nemmust Of"
dweMisg ltoaae otaoothet!*bo empleys p�m a do anmtenusce,cnnanttctioo or Tepas wof# amt dweII�toaae
' stall aotbeame of NI&eagloym�tbe deemed.to be an employee»
err on de gtmmda orbmIdmi Wm therein
MGL chapter 152.12SC(6)also states that-ever)state or Intel Mended ageaxy*A w(thYald the lduetee or
rnegsd d e Menee or Perms to owe a business or to eoaetr"bell"V the dr fW a"
avldnn aleaapMtttta with the bourame eorerar rW
aispamst���UM motes roduced�statca"Neidw>be oommonwealtt nor
tmY of poHdeel abdit'L
for the pad�a of public wait ema accept"evidence of oompl�a with the insurance
eatainm ntsofdto my uact ter havebeapresntedb>moa�i '»
regaIIemnts of this chap
APPlkanv
affidavit to Wkwlyr by dheclmsg the bom that apply N Your ssm stime nod.tf
please 64,ont the woilcaa' s with their cuti6ate(a)of
aaoaat�ey,supply )name(01 addsa (es)an¢phone mtmba()along Ovid,no emphoyees other thus do
m>ormoa toned 1 m y�Via ,�1 LC as 1.1 p noes have
wmkew cuts manben err partners, Be advised that Ns of ldayit may be submitted m the Department of Industrial
a Poles'm�°of d and date the affidavtb 1be affidavit Should
emPloYea. to
Accidents �6rmation of iuwrance wvaape Also b4. 1 , en of
be returned to the city or town that the application fbr the permit Of
- license it berm��not the Dint
Accidents. SbVW you have any questions regarding the lags or rt'yoa an required w obtain a worlcas'
Industrial
paq please can the Dept st the nnnrber*"below. Self-iaaaed'coaopa sitoald eases their,
self-insurance- aomhei on the >�
pq or Town OfMelels
lee and printed legibly. The Department has provided a space at the bottom
Please be sore that the affidavit is comp
of the affidavit for you tD 6U out in the event the Office of Investigations has a contact you ngarding the aPPI �
Please be sun 10 f M in the pamWliccm nomba which will be used as a refance number. In add"indicating INS a0liced
currentthat met submit 0nidplc PamiNtcnee Wiicatieua is any gives year,need only submit one affidavit
gicy infWWdon(if neecajary)and under"Job Sens Address"the apphesm should write-all locations m (chY of
the ' a ttwn may he provided io Ile
le o alby .
haaitoeu f(lciaAYataapod
town}»A Copy ,d of valid thrt or ficemes. n�aflidsyii a>oltbe fBbd out nct
applicant as pmotthet a valid affidavit p Dn Eta for AMC pemtib Hccm Of Permit nor Td`04 to any itusioeaw or oommacial veamre
year.Wien a tome owner of citizen it to burs leavesi pin�required to aomplese this affidavit
(Le.a dog license a Permit
The Office of Iavaadgations would Lice to thank you,in advance for your cooperation and should you have any questions,
please do not heshle b give us a all
The Deparomeat's address,elepbom and fa nomba:
The Commonwealth of Massachusetts
DgWtment of Industrial Accidents
Office of Inves>tividons
600 Washington Street
Boston,MA 021 It
TeL #61772 7-4900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 5-26-05 www.mm.gov/dia
CITY OF $ALEMq MASSACHUSETT!
PlJ9WC PROPERTY DEPARTMENT
110 WAsNINGMA STREST. 300 FL*on
SALEM. MASGACHUSMS 01970
T[Lsh10 Ns: 97s.745-9399 sxT. 380
FAX: 970-740."44 r�
Salem 13nii e. rftA..n!
Dlbl'l!Uls 1 itnww
In accordance with the provisions of MGL c40 S 54, a condition of your
Budding Permit is that the debris resulting from this work shall be disposed
of in a property licensed solid waste disposal facility as defined by MGL
Chapter M. S 150 A.
The debris will be disposed of in:
`"-'x- aocation of Facility)
Signature of Applic t
1126, 106
Date
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after picture
Would you please comment on the perfomance decked out has
done overall?
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May we use your name as a referrance?
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Date........A!p....... .........t...... Terms
ZIP 33%down 33%after
/a frame is up,and
see-age ann2 balance due pan
31 Asbury eve Ham lion Ma 01982
www.deckedouldesi(m.co Costs
.................
L
--------
Name------- .Rn. ....... ....... ....... ....
Adress...._15- '
.............................. .....................
............................... ------- ----------- -------------
Phone h............R�7156 _1 C_77'_LAI 4
--------------------------
C_.......................................... .......
........... .......................................
W__ ---�Hu it
E-mail ----
.........W.. .S ---------- -------- ------------
Size......--..... - �
Rail-----t-'%T --tQtNc+ k
....milli (.CY;L -r to --------------------- -------------
Deckin Lt'�' kz:c c�
9------- ------------------------------------ ........................................... ..................
Posts............11
........................
-
Footings..... vr-,L; pfLtw
Lattice................... --------------------------
Floor height... -ro't --------------------------------
Septic._Wl e;_....vPxAA.....%A.;r----------------
Permit.............43w I-aw-------------------------------
Steps... ------- .................... ......................
SI
is qT
Designer...... .............
Installer.... .............................. ---------------------------------
APR.27.2006 10:41AM SMITH BARNEY N0.198 P.2i2
o,
RE14AIN/N6 r 2'� I pT /76
PART of LaT 176 a RoTb 1-4 AND
wA4Rfaor176fIX
a
s 6 _
AREA 6, 5t7`SR:
RBPM WIN G
PART o/ GoT r75 �oT /77
FlooD 20wr B
L.or /71- Dr GK /'I. 40T /72
• / STORY ,
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Oweet4INC
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= lift
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Z A WREN GE STREET
REFERENCE:
DEFA:REC.aK /v/22 PG,37/ �L
PNW:R6C40e 1074 RC. 010 d TWSK0tPLANWASNOYMA0EPROY
To: Nc 35043 ANINS7RL wrsuRVEYANDRSFOR
TPsw/c// sAVINss R v paF THE FURPO=xor noaANKMY. we"
IDENTIFY THAT THE 6UILAINGIS)@W*WN FM NO OS OUNBTANCEB ARE OFP M TO aE
ARE LOCATED ON THE GROUND AS SHOMIN AND THAT THEY UWD FOR E8rAalJ*WENT OPPENCE,%
CONFORM TO THE HORIZONTAL WMENSIONAL REGULATIONS WA"N!?DRE$ETC
OF THE ZONING 6YLAWS OF THE C/7'y vie m urM
AT TI$TIME OF CONSTRUCTION OR AN PROTECTED UNDER MORTGAGE INSPECTION PLAN
MORAL LAWS CHAPTER 0A SECTION 7. LOCATED AT
IAL$OCERTIFYTHATTHE DWELLMIO SHOWN 0 NOT T5V2 LAN"ENCE8TREEr
LOCATED WITHIN A FLOOD HAZARD ZOOM f"m '
DELINEATED ON THE MAP OF COMMUNITY 9 Z 50102. PREPARED FOR
SALCM . MA.EFFECTNB 8/S S' RAy W, H4N7ANa CAROL h,RE/D
BY THE FEDERAL EM MANAGEMENT AGENCY,
rQ*A AM PROFASSIONAL LANDOURWYOR ' N UNPIN STREET• SALEM,MA
>Y 1$77 L
- ��� BOARD OF BUILDING REGULATIONS
License: CANSTRUCTION SUPERVISOR
Number GS, 026313
�SB}dq�#�28/9957
=Q52812O.U6 Tr.no: 22291
�4'i� ds1
SCOTT I) ROY
31 ASBURY AVE
HAMILTON, MA 019I12 C
_ Commiaclouer
�s GTE &mmv~eq" 0/
Board of Building Regulations and Standards
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home ImprovementC.antractor Registration
y Registration: 127346
Type: DBA
Expiration: 10/142006
DECKED OUT
SCOTT ROY
31 ASBURY AVE
HAMILTON, MA 01982
Update Address and return card.Mark reason for change
DPS-0A1 a 50M-041"G101216 ❑ Address Renewal Employment Lost Ca
,q ✓Jee 70anYLtaRu.�ea�.UL O� ceQa
Board of Building Regulatioaa and Standards
HOME IMPROVEMENT CONTRACTOR
Registration:._.127346
Expiration 10%14/2006
Type D&4
DECKED OUT
SCOTT ROY
31 ASBURY AVE
. ` HAMILTON,MA 01982 Administrator
APR.27.2006 10:41AM SMITH BARNEY NO.198 P. 1i2
Caro1lpltlt
PAlfilb1ftAnvot.
2181ahSired BOWEN MA03109
Phoar.(617)970A493 F=(617)570.9594
■M atigroup'�'
■ SMITHBARNEY
To: from: (Tirol Hunt, Rog. Nib,
Assoc. to Mlch.:cl I'. Durgin
Sr.Vice President.-Inv.
Fax: pages to follow: —-�
Company: 7.1qc kP(� ��� c 1 'GYl Y1ate: akhk
O Urgent .f:f For Review Q Please Comment ❑ Please Reply d Please Recycle
• Comments:
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