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5 MONROE ST - BUILDING INSPECTION (3) , .. � � � c��.� �g�'n . � The Commonwealth of Massachusetts •;,b�q.p ' f�'F� ��tild���; s� � Boazd ofBuilding Regulations and Standazds �'�` Massachusetts State Building Code,780 CMR SALEM �014 JUN v�s�a,��A� Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dweiling ThSs S„c�on Pwu OYftoia4•Use Pat _ ' . , � �uildiog PermiL Id�anber. D Applied: _ .�7,�,,,, �.,w. , (� 3 a/ � ,^Iiuilaiag o'Hie�l(PriM hT§me� . . . . ��e . . � . � ' '\ 8EC1'IQi�i 1:SITE il�1FO12ikTATTDiV 1.1 roperty Address: 1.2 Assessors Map&Parcel Numbers � �% I'�� �G � '�� � Ma Nwnber ParceJ Number 0 l.la Is this an accepted street. yes_ no P - ^ 1.3 Zoning Information: 1.4 Property Dimensions: nt 1 . � Zuning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacics(fr) Fmnt Yazd Side Yards Reaz Yazd Required Provided Required Provided Required Provided . 1.6 Water Supply: (M.G.L c.4q§54) 1J Flood Zone Information: 1.S Sewage Dispasal System: Public❑ Private❑ � Zone: _ Outside Flood Zone? Municipel� On site disposal sys[em ❑ Check if yesO SECPIOt�'2s PROP$RTY O�'V1�EASHi1'' 2.1 wne �of Record: B a�r A S r tI�G.M . Y�109 0 � �"� a azne(Print) ciry,state, �D��1• inGJ'✓v�l+'l5 t�� �ev�,ro-e. 5�'`{.�- q7�r�53o��5�S dialoyrG. Gad+�l � N�d Street Telephone Emai�Address SECTION 3t D�SCRTPTLU7N OF PROPO�ED WOItK�(check all tfiaE apply) New Construction❑ Existing Building❑ Owner-Occupied � Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: � � BriefDescriptionofProposedWorkZ: � . �° 6614f1ruE-Fi ev� � CY'ic�rd��-�' C` ca.�tY' o:� . � . �E;CTIflIK 4:ESTIMAITD CO3VSTRUCTtD�T COSTS Estimated Costs: -� � � � � - � Item �or and Materials OfTieial Use Only 1.Building $ 1. BuI1d'ing Peu�iif Fes:$ Tudlcate bowv fee is determined: 2.Electrical $ ❑S'fandard Ciry/Tow+n App#icatiun F'ae 6J Total Praject CosY'(Ite�6)x vaultigtier x 3.Plumbing $ 2. Othei Beas: $ �p / � 4.Mechanical (HVAC) $ ��� �.`� �6�� 5.Mechanical (F've $ Totat Atl Fees:$ i Su ression � . 7y� Cheok No. Cheek Arnount: Casfi Amount: � 6.Total Project Cost: S �j a7w O Paid in PYili ❑Outstandiug Balance pue: Ma��� To N. o . "1 �5 � src�noav s: coivsTnucrrctry s�vic�s : 5.1 Construction Supervisor License(CSL) License Number Exp"uation Date Name of CSL Holder List CSL Type(see below) Tyge � .Dascx3ption �-. � � No.and Street . �_. . �.� . -� U Unrestricted uildin u to 35 000 cu.ft. � R Restricted 1&2Fami1 Dwellin City/I'own,State,ZIP M Mas � RC RooSn Coverin WS Window�d Si ' SF Solid Fuel Bivning Appliances I Insulation Tel hoae Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC� HIC Re@stration N�ber Expitatioa Date HIC Company Name or HIC Regishent Name No.and Street Email address Ci /fown State ZIP Tel hone � s�cr[ar��wo�as°co�r�r�Tia�n�rsv�wt�nt��avi7r�r.c.i,:G is�.g zsc(s�� . Workers Compensa[ion Insurance affidavit must be completed and submitted with this applicadon. Failure to provide this affidavit will result in the denial of tLe Issuance of the building permit Signed Affidavit Attached? Yes ..........❑ No...........❑ 7s:OW9�1�R i1ITTH RIZA7'L0�1'I'b BE Cb�fPLETLD�N OWFGEIt',�A ..NT dA�¢}VTitACi' .R k'OR .�i Il'di6 P�'T : I,as Owner of the subjec[property,hereby authori�c to act on my behalf,in all matters relative to work authorized by ttis btilding pertnit application. Print Owner's Name(Electronic Si�atuce) Date S&CTIO�T 76:OVi7�TER'OR Aia1'HOTiTZED A.GEN`I'DECLARA'1"IOPi By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in tLis application's true and accurate to the best of my knowledge and understanding. h O � 6 Print er's or Authorized geat's Name(Electronic �gnaNre) a� .. . . . . . . . . . . . . .. _ . . N0�3: 1. M Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Progam),will not have access to the azbitration program or guazanty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.eovr'oca Information on the Construction Supervisor License can be found at ww�•.mass eov/dos - � 2. When substantial work is planned,provide the information be]ow: Total floor area(sq.ft.) (including garage,Snished bazemenUattics,decks or porch) Gross living area(sq.ft.) Habitable room count ' Number of Sreplaces Number of bedrooms Number of bat6rooms Number of half/baths � Type of heating system Number of decks/porches Type of cooling system Enclosed Open � 3. "Tota1 Projec[Squaze Footage"may be substituted for"Total Project CosY' ' r � The Commonwealth of Massachusetts CITY OF � Boazd of Building Regulations aad Standazds SALEM Massachusetts State Building Code,780 CMR $eY�¢d Mm 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling `' 1'his,SeeEion�urO,ffsc�l�tJse . ` . �ui1�d+�g Permit I+fr�mfier:. Date t�p3ierlk Eteilding OfSiGie!(Print �aiuej -��:�SjP��� . � Da�s `: SECTI(�I l:BITEI1+i�'OR�kTATIUI�1' 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 1.1 a Is flus an accepted street?yes_ no_ M�N"m� P��N�� 13 Zoning Iaformation: 1.4 Proper[y Dimensions: Zoning District PtoPosed Use Lot Area(s4 8) Fr°ntsge�ft) 1.5 Building Setbacks(t't) Front Yerd Side Yards Re�Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal S�stem: Zone: _ Outside Flood Zone? Mimicipal O On site disposal system ❑ Public❑ Private 0 (,ye��'yesO , . SECfION2: PR�O��R1'YU�VI�IERSI4P� _ 21 Owner'otRecord: � - Name(Print) City,State,ZIP No.aud Sveet Telephone Email Address SECTION 3:DF.�CRiPTIOpV.OF PRQPOSED WORK;(check all tha!aPP�Y) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Altera[ion(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: � Brief Description of Proposed Worl�: Sf CTION 4:ESTIMATEU CONSTRUC3'lON G03TS Item Estimated Costs: Of�'icial Use Only abor and Materials 1.Building $ 1. Bnild[ug Persnit Fes:$ Tndlcate how fee is detem�ined: 0 Standazd City/fowa App#ication F�e 2.Electrical $ ❑T�g��j���'(�Sem 6)x mu3ti�ifier x 3.Plumbing $ 2. (k6er Fees: $ ' 4.Mechanical (HVAC) $ List: - � .. .. _ _ . . . , 5.Mechanical (Fire $ Tota1 A11 Fees:$ _ Su ression �eck i�io. Cheek Amowrt: Cas#�Amwiut: 6.Total Project Cost: 8 p g���� ❑Outsiandiug Batance i?ue. /'�,� CITY OF SALEM, MASSACF-IUSE TTS � � BUILDING DEPARTMENT ����� � �h 'i 120 WASHINGTONSTREET 3aDFLOOR \� `Z'� ^; r ��_�n� T'EL. (978)745-9595 FAx(978)740-9846 KIMBERLEY DRISCOLL ' MAYOR TrIOMAS ST.PIERRE DIREGTOR OF PUBLIC PROPERTY/BUILDING COMIvIISSIONER HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: Date (e Z Z B � [� � Joblocation �, �ohCf)� �fi. �4 \�� !�►\ �1" Home Owner Address Sa'h'�� PresentMailingAddress SGt7✓1� The current exemption of"Homeowners" was extended to"include owner-occupied dwellings of two Units or less and to allow such homeowners to engage an individual for hire that does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER 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" sha�l 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 euilding Permit. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable by-laws and regulations. The undersigned "homeownet' certifies that he/she understand the City of Salem Building Department minimum inspection procedures and requirements and that he/she will comply with such procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING INSP R �� �`�� . o . � � ' ,: :-. ��nn� � � Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 �s�a>sis-ssas Fnx�s�e��ao-oaoa CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction � Alteration - ❑ Demolition ❑ Painting L7 Signage ❑ Uther work as described below will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire Address of Property�Monroe Street Name of Record Owner: John Hermanski Description of Work Proposed: Construct 1 D'x 14'garden house per plans dated 4/27/16 and submitted with application. Door hardware to be determined at a later date with approval by the Commission. Garden house to be painted to match existing color scheme of main house or painted in single color scheme matching trim color of main house. Dated: Mav 25, 2016 SALEM HISTORICAL COMMISSION By: � � �-�e� ��"'4 / 'P"°u�• � The homeowner has the option not to commence the work (unless rt relates to resolving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permits or approvals)prior to commencing work. 7aylor/Hermanski Garden House Deck Plan 2z8 PT Floor Joists 8"Sonotube � � � Pilings � 4x6 PT Carrying Joist2(3) PEM Tea House - Front � _ _�a _,. ,� � ���: ; � c F'_" '" aa r�r. . .. :: .� ,.. . � '1C��+�iFi ai�.�� ��. �i�r I�i - 4 � �. a _ a ��r � , � .�. � � �J F � � . _ � ' �� ,i-� iIk �. iS t._ ; ` _ � __ .. . � �.t � �u� ii � ��M z� ';�g�.� .� . .� . � ' 'P� .. r. e � � r� �� �tw 3- . . . ,f d �i •a� � � ,, ;s Q,� ^�' 'mG ,1SP R� �,� ��� 4 . l�� � r.t%'d� "� 6 fi, gw x ��hJ�F "'; ' �=,�� `" ' � -:. � � � • e 4 ?" +Y`°' e � � � 4``�.i"`� . . u m Ru-� ^��e�� � .r"� �, � 7���,���'��.,�`,�4�'���'na�`-�;�y..�,,.�`_ ". �a' ,��--�; � � �� �h� 6 ;.��p"� �� !!r� ��,•, +� � '� ��s� � �'M�� . µ yy �I r �. 5�&�� P �� � ���p��'� ��" ��q �}y� ���i� �� � �,�� � � �"' ��� T,I� �� tid�41¢�E*'.�� '��+� Y" � Mj�4F,�i�4 r. lYA A��, i ,�p� i �\ � oi�sv d+� '�I�/�."' b�'' � � : r^�T tm ' M�ra.a i �1� .�""` �•�� � 'Y4�'.l �j��� Q�(iN�. .eanv[�Y.+dH��F2Rasi»x'�r t9 .. 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