3 LOONEY AVE - BUILDING INSPECTION IM--* iS Mill TEE fIL{�1iVD APPROVED BY T44E
LN3PfXTDB PRI R TD A.PERMIT B,EWG GRANTED
� CITY OF SALEM
No. J` Fes•`' 'T,�IIII Date
7-77
ara< '/ ll Ward
��tymNs ° Zoning District
Is Property Located in Location of-
the Historic District? Yes No_ Building
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, qercof, Install Siding, Construct Deck, Shed, Pool,
Repai Replac , Other'9✓dIPows i xoN�/7e�t/Jcv✓C
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 ,3 L00IYex hoe ft) yy- �161/
Architect's Name
Address & Phone ( )
Mechanics Name
Address & Phone 920� 12y s/
What is the purpose of building? /50-5-/:0Pn/
Material of building? Al"04/2 It a dwelling, for how many families? %Y
WIII building c/o�nbionn to law? Asbestos?
Estimated cost OM,�D City License t �J1 as State License # C S 3'3p
Home Improvement
Signa ure of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
5w
MAIL PERMIT TO:
o
APPLICATION FOR
PERMIT TO
CAT N
PE MIT G ANTED
d� 19
APPROVED
NS CTOR OF OUILDINGS
Information for Building permit applications
Workers Compensation Insurance:
American International Companies (AIG)
Policy # WC 625-46-58
Construction Supervisor License:
John A. Stueve
# 53330
Expires: 1010212066
Restricted: 00
Home Improvement Contractor:
Registration# 106127
Expiration: 7/22/2004
�P
� � �![e UJam�uemuarrs� o�✓L�[odfacltulv.�1 t y� �i
� .. " � �_ ✓!ze >°imrunaaoca�alr/ a�,,L1 � s
Board of Building.Regulations and Standards t{ '
. CONTRACTOR ' j BOARD OF BUILDING REGULATIONS
HOME IMPROVEMENT CONTRCT
�• k" '� ,.�- � License: CONSTRUCTION SUPERVISOR
(
Reg
istration:�. 9 106127 - i i -� Number:-CS 053330
I Expiration: '7/22/2004
Birthdate:,10/02/1961
.Type: DBA ,
] Expires: 10/02ti2005 Tr. no: 7829.0 [
STUEVE CONSTRUCTION - 3
t Restricted: 00
John Suave ' { JOHNA STUEVE-
38 Buttonwood Lane - j ' 38 BUTTONWOOD'LN (. •��+ f
Peabody,MA 01960 -4dmrmsrrarnr j PEABODY, MA 01960 Administrator !
; -� j
--------------
"A Oo 35,000 cf enclosed space
"' f -.(MGL C.112 S.60L)
License or registration valid for individul use only J -1A-Masonry only
.� before the expiration date. If found return to: i I I-1 8 2 Family Homes
Board of Building Regulations and Standards ( Failure to possess acurrent edition of the it
= One Ashburton Place Ron 1301 € .� Massachusetts State Building Code
Boston,Ms.02108 {: i is cause for revocation of this license. I,(
-� DIG SAFE CALL CENTER: (888)344-7233
.. Not valid without signature - 14.._.__.,�.._�-_--_ ._...._.,..._.. . . ..._ __._......___m__..,.. ...
�iTY OF SALEIK '^
BUILDING #1352 q'
LICENSE
1 u carti(y Thai
JOhh
. A• Stueve tc t
rn .St.
Haz boen. - St., Salem - -
granted a license b —�� Mass,
y Oho Building Inspec4or as a
co
2/25/93.
a •Ihsueal
C'
1
600 yWSAS16Sbed
come"~
Workers' Compensation Ilssos um Affidavit
. . whil.a pr311dpa1 place of business an
22 42
do hereby*army under tpa pains and peoildos of pw}ye dm
() 18111180 nm*l@Yw p wWbli worke s' compemdoe covspde for my sinpiuyou working an
Insurance Compaq Po Nuaabw
I am a sok proprietor and have so new working fdr me In any iapadq.
0 1 am a sok proprktors tenneral contractor or homeawnw (drde one) sad have Mrad dN
contractors lined below who•have the following workers' compensation pew=
Contractor Inrurania Company/Po Number
Contraaer Insurance CompaayRo Numbw
Convacsor lumance Compauy/Poft Number
() 1 am a homeowner performing all the work m y$W.
•1 rae,saS"ON s CM of M cucsuw.,a bs forwreal n an Ofaee A k.edtseae d Oa t11A k eerwan wAkaia we an Mm n rve
ce epp r f ftwed emw Scden 2rA of MGt 152 can lase roe irneti m of aka eeasdn cenmd"d s acts of to ni I,NO teeter eat
rcn'ww.ewra,e a•sa a sat '(s w du lane of s STOP WORK ORDER saes feed l tOOAo s M sties ns.
signed this . —day of _
.icer, eei Fermittee Eiu11 '1ng epa n.ent
�Liee in{ E08rd
Selectmen Office
ricalth Gcprrricr*.
Ye : _ 404 e05 eQe 17r