41-43 LINDEN ST - BUILDING INSPECTION ,
iVIU T-9E f4L-ED-A+ D APPROVED BY T+IE
.LWZ.CTQR PFWR TO A PERMIT BEING GRANTED
Y / CITY OF SALEM
No. ��� �`\ Date i 5
�� yy11 R
��MNC
Is Property Located in Location of d / .
the Historic District? Yes_No_ Building �1— l J�UAIL151 s?
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, 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 ���i.s�/ �./(-?A 71`0 OF416 f7• 3/7_
'E �49i
Architect's Name
Address & Phone ( )
Mechanics Name
Address & Phone ( )
What is the purpose of building?
Material of building? If a dwelling, for how many families?
Will building conform to I w? Asbestos?
Estimated cost City license # N A State Licensre# _
Home Improvement
Sig, re of Appi' „
ED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
Pe�, f /.ems ,mil/ I3t?' �,J Lt dcr CpB�f+.e/f1
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MAIL PERMIT TO:
No.sgi� p
APPLICATION FOR
PERMIT TO
/1!D d� s7o-o 2 s NSriyr,-c e� n/�,>S
LOCATION
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f PERMIT GRANTED
Dc/zle — o
AP ROVfD
ECTOR OF UILDINGS
f
CITY OF S&P.gNv MASSACHUSETTS
I PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3RO FLOOR
SALEM. MASSACHUSETTS 01970
STANLEY J. USOVICZ, JR. TELEPHONE: 978-745-9595 EXT. 380
MAYOR FAX: 978-740-9846
HOMEOWNER LICENSE EXEMPTION
Please Print. / CC
Date
Job Location
Home Owner Address
Home Owner Telephone 22 -. 7 2
Present Mailing Address. AP6/
The current exemption of"Homeowners!'was extended to include owner-occupied
dwellings of two Units or less and to allow such homeowngNto engage an individual for
hire who does not possess a license,provided that the own, acts as supervisor.
DEFINITION OF HOMEOWNER..: a
Person(s)who owns a parcel.of land on which he/she resides or intends to reside, on
which there is, or is intended to be, a one or two family dwelling, attached or detached
structures accessory to such use and/or farm structures. A person who constructs more
than one home in a two year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official,on a form acceptable to the Building
Official, that he/she be responsible for all such work performed under the Building
Permit.
The undersigned"homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersigned"homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedures and requ r ts. ;
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING INSPE R
See other side for state code
a
t
HOMEOWNERS EXEMPTION
The Code states that: ,Any Homeowner performing work for which a Building Permit is
—Licensing
requited shall be exempt from the provisions of this section(Section 109.1.1 s for hire to
of Construction Supervisors):Provided that a Homeowner engages a person( )
do such work, and that such Homeowner shall act as Supervisor.
App Q who use this exemption
are
Rules and Regulations
that they are 2S four i Licensing ghe Many Homeowners
responsibilities of a Supervisor(see
Often
Construction Supervisors,Section 2.15). This lack of awareness results in serious
problems,Particularly when the Homeowner hires unlicensed Persons' In this case your
Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The Homeowner acting as supervisor is ultimatgly responsible.
To ensure that the Homeowner is fully aware of his/her responsibilities, many
communities require, as a part of the Permit Application,tlat the Homeowner certify that he/she understands the responsibilities of a Supervisor. On the last Page f hsassue is a
form currently used by several towns. You may care to amend and adopt
form/certification for use in your community.
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0041 LINDEN STREET 43 345-06
GiS#: 5191 COMMONWEALTH OF MASSACHUSETTS
Map: . � 33
Block: CITY OF SALEM
Lot: 0380
Category: REPAIR/REPLACE
Permit#; �. 345_ab BUILDING PERMIT
Project# JS-2006-0637
Est. Cost: $9,500.00
Fee Charged; $65.00.
Balance Due: $.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: HOMEOWNER
Lot Size(sq.ft.): 4482
Owner: WEINSBERG TIMOTHY
R2
,
ZoningIng: R2
Units Gained: Applicant: WEISENBERG TIMOTHY
Units Lost: --]AT. 0041 LINDEN STREET 43
Dig Safe#:
ISSUED ON: 07 Oct 2005 AMENDED ON: EXPIRES ON: 07-Apr-2006
TO PERFORM THE FOLLOWING WORK:
345-06 REMODEL KITCHEN AND BATH JB
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
Underground: Underground: Underground: Excavation:
Service: Meter: Footings:
Rough: Rough: Rough: Foundation:
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: Oil:
Final:
House# Smoke:
Treasury:
Water: Alarm:
Sewer: Sprinklers:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS
RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2006-000713 07-Oct-05 0 $65.00
GeoTMS®2006 Des Lauriers Municipal Solutions,Inc.