14 RIVER ST - BUILDING INSPECTION (2) What is the current use of the Building? PIMACY IJWFIl(�4
Material of Building? W600 If dwelling,how many units?
Will the Building Conform to Law? Y75 Asbestos? Nb
, kName OE C TKncfUi?- Pklzg ggoq(
Address and Phone "VV IA g,0 4 1
Mechanic's Name
Address and Phone
----------
Construction Supervisors License# HIC Registration#
Estimated Costj Pro' 1 Permit Fee Calculation
Permit Fee$9�_ U II Estimated Cost X$7/311000 Residential
Estimated Cost X$11/51000 Commercial
An Additional $5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the above stated
specifications. Signed under penalty of perjury
X F `
Date 1.1 O�
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CITY OF SALEM
PUBLIC PROPERTY
a" fw- ,1,7 DEPARTMENT
KIAOSERLEY DRISCOLL
MAYOR
l20 WASHINGTON STREET•SAIEM,MASSACHUSEM 01970
TEL 978-745-9595♦ FAx:978-740-9&W
HOMEOWNER LICENSE EXEMPTION
Please Print
Date 5l�110-'F
Job Location_ `+— SALrd HA 0I4-fU
Home Owner Address I µ ����Q
Home Owner Telephone 0-1 tf po q
Present Mailing Address I!' RI rR yt
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 who,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"shall submit to the Building Official, on a form acceptable to the Building
Official, that he/she be responsible for all
P 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 requirements.
HOMEOWNERS SIGNATURE r HADVV
1 4
APPROVAL OF BUILDING INSPECTOR
See other side for state code
F
Homeowner's Exemption
The Code states that: "Any Homeowner performing work for which a Building Permit is
required shall be exempt from the provisions of this section(Section 109.1 —Licensing of
Construction Supervisors);provided that a Homeowner engages a person(s) for hire to do
such work, and the Homeowner shall act as Supervisor."
Many Homeowners who use this exemption are unaware that they are assuming the
responsibilities of a Supervisor(see Appendix Q, Rules and Regulations for Licensing of
Construction Supervisors, Section 2.15). This lack of awareness often 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 ultimately responsible.
To ensure that the Homeowner is fully aware of his/her responsibilities,many
communities require, as part of the Permit Application, that the Homeowner certify that
he/she understands the Responsibilities of a Supervisor. On the last page of this issue is a
form currently used by several towns. You may care to amend and adopt such a
form/certification for use in your community.
a
a
Salem Historical Commission
120 WASHINGTON STREET,SALEM, MASSACHUSETTS 01970
(978)745-9595 EXT 311 FAX(978)740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other 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- 14 River Street
Name of Record Owner: Stephanie Trainor MadiQari; Daniel F.Madigan
Description of Work Proposed:
Replacement of'cedar shingles with solid wood clapboards. Paint color to be applied for at a later date, prior
to painting.
Dated: March 8, 2007 SALEM HISTORICAL COMMISSION
By: �� �1jf�.�
The homeowner has the option not to commence the work (unless it 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.
Crry OP S am
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PUBLIC PROPERTY
DEPARTMENT
MAYM 120 WAsHjN c *N rREur•S.LL2]K MisncHcsn-m 01970
TF197b74S-9S9S•Fex:975.740-9s16
APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION,
DEMOLITION OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
rTE INFORMATION
ion Name: M IJt✓R Building: Q�kSll�� ILL F.l Il
rty Address:JR t F 4k
perty is located in a;Conservation Area YIN Histori Dietrlot YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land _
Name: DA11L i Sj AI+J`�IF I
Address: 14 pK 9 Sit',
)AA d 1 k d
LTelepne. IT9 46 �3<Z �3
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing ✓�
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of B�$ Area per floor (so Renovated $$O d
construction or renovation
of existing building Newg0 SQ
Brief Description of Proposed Work:
Mail Permit to ry