10 PARALLEL ST - BUILDING INSPECTION ' .- RECEf4'ED
The Commonwealth of Massachusetts�.,� ' u ''t
Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code, 780 CIO APR b I)SALEM I
i?evised Mar 2071
(� Building Permit Application To Construct,Repair,Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use On
Building Permit Number + ,_a , Date` h d:»`
- `; -� TR
�Buwlding 08icial(PrinCName) . _ W nii:3�4
p' ` :D _10%`i S,U,rYhnn �� F..o-:="v c T�l..�,... � b
.r SECTION 1:SITE INF'OV._�RMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
10 PARALLEL STREET 23 23-0136-0
1.1 a Is this an accepted street?yes_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
B SINGLE FAMILY
Zoning District .Proposed Use Lot Area(sq ft) Frontage(it)
1.5 Building Setbacks(Il)
Front Yard Side Yards Rear 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 System:
Public 0 Private Cl Zone: Outside Flood Zone?.
Municipal D On site disposal system 0
,,.... .. „...r. ...:Check if. esLl. .
'SFCTION2:'PROPERTYOWNERSHIPt_.
2.1 Ownert of Record:
CINDY MURLEY SALEM, MA 01970
Name(Print) City,State,ZIP -
10 PARALLEL ST 978-979-0773
No.and Street - Telephow Email.Address
Sktl'ION 3:DESCRIM(jN OF)PROPOSED WORK'(ctieckall that apply) LT.
New Construction 13 Existing Hui ldin (Tuner-Occupied Repairs(s) Aheration(s) 0 Addition O
Demolition O Accessory Bldg.0 Number of Units Otter A Specify:REPLACEMENT
Brief Description of Proposed Work :
REPLACE 3 WINDOWS NO STRUCTURAL CHANGE
SECTION 41 tsTIMATED CC?NSTRUCTTON COST5 t,a ., _`_
Item Estimated Cests: 7 MEf�Chat Uae O -
(Labor and Materials '., f 1' :.(
1.Building $ 6,137.00 1 Building Permit Fee $ lndicato 2tnw fee is determined><
2.Electrical g O Standard Ciiy/Town Appflcation Fee :;
❑Tota1 Project Costa(Item b)x tnuhiplier` a
3.Plumbing $ 2 Otrei Fees $
4.Mechanical (HVA $ List.
C) y
S.Mechanical (Fire
S ssion $ Total All Fees.$
Check No. Check Amount: Cash Amount:
6.eTotal Project Cost: $ 6,137.00 13 Paid in Full 13 Outstanding Balance Due:
'
SECTION 5:=CONSTRUCTION SER['ICES -t
5.1 Construction Supervisor License(CSL)
90125 10-06-16
JAIME MORIN License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) ll
86GARDINERST
No.and Street
"L 4 Uf
.,7YPe.F9 � F m.3�''.; D09ertptl
LYNN, MA 01905 U Unrestricted(Buildingsto 33.000 cu.ti
R Restricted 1&2 Family Dwelling
Citytrown,State,ZIP M Mitsonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
508-351-2214 I Insulation
Telephone Email address - D Demolition
5.2 Registered Home Improvement Contractor(111C)
170810 12-23-15
RENEWAL BY ANDERSEN HIC Registration Number Expiration Date
BIC Company Name or HIC Registrant Name
30 FORBES Rn
No.and Store[ Email address
_NLIRTHBCIRO,MA 01532 508-351-2214
C' !Town,State,ZIP Tel hone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M G L.r— 152.!t 25C(6))'
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes.......... No...........❑
SECTION 7a:OWNER AUTHORIZATION,TO BE COMPLETED WHEN
'" OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUMDING I'ERMI'T i.; ,'_�
I,as Owner of the subject property,hereby authorize JAIMEMORIN
to act on my behalf,in all matters relative to work authorized by this building permit application
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNFW O#AtfTHORIZED AGENT DECLARATION r,e U
By entering my name below,I hereby under pains and penalties of periury that all of the information
contained in this application is true and cctna o the best of my knowledge and understanding.
04-03-15
Print Owner's or Authorized A is (Electronic Signature) Date
.,._:r� E ._ '°u -...1 ,;.. ;..> '_ .NOTE . s_. -U.n _4.!. F.. "_ i_+* +b. ,�..,' ,. rr K
1. An Owner who o ' s 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)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.eov(oca Information on the Construction Supervisor License can be found at www.mass.eov/dns
2. When substantial work is planned,provide the information below:
Total floor area(sq.fL) (including garage,finished basement/attics,decks or porch)
Cross living area(sq.ft.) habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"