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6 SETTLER WAY - BUILDING INSPECTION
C�Np O The Commonwealth of Massachusetts r: ��L Board of Building Regulations and Standar �E�VEp CFFY OF Massachusetts State Building Cod SALEM COYh� tJ 4 g �µ'��ANAL SERVICE Revised tiler 2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-orTivo-FarnilvDwellin SEP _4 P 11: 5j This Section For Official Use Only Building Permit Number: Date Applied: J0 Building Ot7icial(Print Num �e) Signature Dale SECTION 1: SITE INFORMATION LI Property JJresscWANA 1.2 Assessors Map& Parcel Numbers L la Is this an accepted street?yes_ C;;;7 no Map Number Parcel Nwnbcr 1.3 Zoning Information: - ---- IA Property Dimensions: Zoning District Proposed Use Lot Area(sy 11) Frontage(11) 1.5 Building Setbacks(It) Front Yard Side Yards Rear Yard Required Provided Rcyuired Provided ReyuircJ Provided 1.6 Wat/eySupply:(NI.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public m Private❑ Zone: _ Outside Flood Z c'? _/ Check ifyes Municipal lJ On site Disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'at Reco — ••N5 % Y Name 'ante I,t /,Q�,, City.State,ZIP We.and Street I Telephone Enmil Address SECTION 3: DESCRIPTION OF PROPOSED WORK=(check all that apply) New Construction ❑ Existing Building V1 Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work,:' p j O b,1 11-4 1 47, t10�S SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) I. Building $ 3 S 60d I. Building Permit Fee:S - Indicate how fee is determined: y. Electrical $ ❑Standard City/town Application Fee 3x50 0 ❑Total Project Costs(Item 6)x multiplier x_ 3. Plumbing $ 5 ZOO 2. Other Fees: $ 4. Mechanical (I IVAC) $ dpd , pv List: �. Nlechanical (Fire Suppression) $ ( Total All Fees: (� 700-(U Check No. Check Amount:_ Cash Amount: (i. Total Procct Cult $ ❑ Paid in Full ❑Outstanding Balance Duo: -- 1 LMv 5, Not m� L�7 t- T . _ l.oc�t� ,- G To fDo ,De-M 0 {�0 2-s t o a AS P . D EW O J Llz (I7 tom-- fyt �- w I J -2Y�tati P�rvw o c-r-%L.t_(- SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor'-1License(CSL) LSD 5' li(,C, 3 MLicense Number Expiration Date ' Name of CSL Ildlder .'r List CSL Typo(see below) No.and Suec[ Type Description 1 / Ii Unrestricted BM �-J&�yvi © ` � R Restricted 1&2 City/Town,State,ZIP M Masonry RC RoofingCovering INS Window and Si SF Solid Fuel Burn G�$ta �1�5� I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) li1C Registration Number Expiration Date fI1C Company Name or I IIC Registrant Name No.mid Street Email address City/Town, State,ZIP 1'ele hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. § 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 BUILDDIJNG PERMIT 1, as Owner of the subject property,hereby authorize ,` , W- � I" 021 tot on my behalf, in al alters relative to work authorized -ttus building permit application. I'd in Owner's Name(Electronic Signature) Dlfte SECTION 7h:OWNERt OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information containedin this ap�pli}cation is true and accurate to the best of my knowledge and understanding. + Print Owner's or Autho acre Agra is Name(Electronic Signature) Dale NOTES: I. An 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)Program), will trot 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.rnass.eov/dns 2. When substantial work is planned,provide the information below: Total Floor area(sq. R.)_ (including.—rage, finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces__ Number of bedrooms Number of bathrooms_ _ Numberofhalf/baths Type of heating system__ _ Number of decks/porches_ Type of cooling system__ Enclosed_ Open 3. `Total Project Square Foolage"may be Substituted for..Total project Cost" CITY OF SM-EM, INL1sSACHUSETTS i BUILDING DEPARTNtr—NT l?O 1'UASHNGTON STREET, 3 " FLOOR TEL (978) 745-9595 F.k,e(978) 740-98-t6 KIMBERLEY DRISCOLL y",Sif,AYOR T'wi Liss ST.PIE.RRE DIRECTOR OF PUBLIC PROPERTY/BL•IIDING CONLQISSIONER Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information h/ �/�1 Please Print t eeibir `, Name (Husin<s Orgvtiratiam'IndividmJl t 2 tL I' �-L'a� Address: 3 111C"\\ 1�109\Q A�\ City/State/Zip:�'c L b'u` I"\Pc D1X2n Phone lt: Are you on employer!Check the appropriate box: 'Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction -ntployces(full and/or part-time).' have hired the subcontractors 2 1 am a solo proprietor or partner• listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 3. Q Demolition working for me in any capacity. workers'comp. insurance. 9, ❑ Building addition [No workers'comp. insurance 5. Q We are a corporation and it, required.) officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additions myself. (No workers'comp. C. 152, §1(4),and we have no 12.Q Roof repairs insurance required.) t employees. (No workers' 13.Q Other comp. insurance required.) -Any applicant nuts chwkt but 01 must also aft out the section bctuwshowing their workers'cumpeneation put icy is,ptmotion. ' I IonnommT whd)uhn,it this inl(bwlt Indicating Ihey um doing at work and then hire outride cunsmeton m,nt it,hmis anew airdaviI indicating such. $'•mouton Ihot ch vk this box musI anaehv,l an additional shut showing line name at the subaemnctun and their workers'camp.policy information. I um an eutpluy'er that is prosvfrliaK)vorkers'conrpeuxatlaa insurance for my employees. Lfelow is fitsr policy andtub site inf rnnufinn. insurance Company Policy 4 or Self-ins. Lie, 4: Expiration Date: Job Site Address: City/State/z pt Attach a copy of the workers'compensation pulley declaration page(showing the policy number and expiration date). h'uiluie to secure coverage as required under Section 25A ut•SIGL c. 152 can lead to the imposition ofcriminal penalties ofa fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the Porto of a STOP WORK ORDER and a tine of up to 5230000 a day against the violator. Ile advised that a copy of this statement may be,funvarded to the Office of Inve,tigwiuns of the MA for insurance coverage verification. - !do hereby c ify surfer the pains rrd penuities of per/ury that the h furinutiun prust dv ubu a is,true and correct.!I�L I re' �_ Datc: �_ Phonc 1 'Sb - S D 9 - 6 Of/idol use unly. Du not write in this area, to be completed by city or town JJJiVIUL I City or fawn: Permitff.icensc 4 l (,.cuing Aulhuri(y (circle one): — --_ _— -- I. Board of Health 2. nuildlnq Departuten( .1.Citylrnwn Clerk I. Flectricil Inspector 5. Pinntbing Inspecrur 6. 00wr I Contact Person: , I hone a; I QTY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET,3' FLOOR TEL. (978) 745-9595 KIMBERLEY DRISCOLL FAX(978) 740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR, Section 111.5 Debris, and the provisions of MGL c40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste deposit facility as defined by MGL c 111, S 150A. The debris will be transported by: (name of hauler) The debris will be disposed of in: N' 6 ) 10 nn(name of facility) l91!�605C' q0b jaJ (address of facility) V Signatur of applicant rl I q _ Date Michael Lutrzykowski .From: John Finnegan <finneganjohn@hotmail.com> Sent: Monday, September 08, 2014 8:13 AM To: Michael Lutrzykowski Cc: Gerry McSweeney; Sue and Jeff Conley; Thomas St. Pierre Subject: Building Permit 6 Settlers Way To: Mike Lutrzykowski Asst Building Insp. City of Salem Mike, Please be advised that the Trustees of Collins Cove have no objection to a building permit being issued for number 6 Settlers Way the property of Gerry McSweeney. I am a member of the Board. Should you require any additional information please contact me 508 294 1727. Thank you for keeping The Board involved in this process. John 1 Finnegan Trustee 4 Settlers Way, Salem 01970 i 09/05/2014 08:46 7816222676 JIMBRUNELLE PAGE 02/02 September 5, 2014 City of Salem Building Inspector Salem, MA 01972 Ref: 16-18 Andrew Street, Salem MA TO WHOM IT MAY CONCERN All parties to include units A,B,C,D,E with addresses at 16-18 Andrew Street Salem MA have agreed to the deck work applicable to units E and D and the common area repairs. If you have any questions or require further clarification please do not hesitate to contact me at(339) 927-1271 or jeb310@hotmail.corn. Sincerely Ja es E Brunelle Treasurer 16-18 Andrew St Trust 09/05/2014 08:46 7816222676 JIMHRUNELLE PAGE 01/02 Ice a� x .� C9 BASEMENT DEN x N Inst nt NEW SELECTED FLOORING Hot THROUGHOUT(EXCEPT TILE IN BATHS) Wot Boiler ro elec UNDER STAI pni 2'8"x6'8" NICHE a i W/ 1 s '� EXISTING PAOJG P PLUMBIN iv WAAA- 2y`�t,'a.�r -3%" L� STACK / )?Age '5'"la. ty(.�DVJ iAr� V P G✓t- CA►i� m BASEMENT BEDROOM v — LINEN m �I x Ise 0 O BASFMENT PLAN MCSWEENEY RESIDENCE RENOVATIONS 1 �g SCALE:1/4"=F-W 7-28-2014 6 SEWLER'S WAY SALEM, MASSACHUSETPS RICHARD W. GRIFFIN, ARCHITECT Y LIVING ROOM `Q NEW HARDWOOD FLOORING THROUGHOUT(EXCEPT TILE IN BATHS) =m 8 x6 NEW FIXUTRES NEWCLOSET AND m W/S&P FINISHES `O 42" IN EXIST HIGH 2=8"x6'8 n n 112 BATH BAR \2V4iA 5. LC'-W •�' b. 9•,Pl• � c hove O O q•- r HOOD ABOVE I � / p 3 H e \ � 2 v QINING AR ——\ 1 A4 4 V M.W. A4 A " � PANTRY FIRST FLOOR PLAN MCSWEENEY RESIDENCE RENOVATIONS 11��GJ1 SCALE:1/4"1!-O" 7-28-2014 6 SETTLER'S WAY SALEM, MASSACFNSETTS RICHARD W. GRIFFIN, ARCHITECT � n • it � II I I a WALL TYPE OF CLOSET x 9 II CABINETRY < mll io TO BE CONFIRMED W/OWNERS I. ewers c x sheNes� king size 8.1. dma &shelve e a0 ❑ ro x N �D x =m < o N ' n m s Ives Z- o O o 2-W BENCH GLA ntgG�L_ PANEL )1�, AND DOOR 11'-2J�y' m / W Alpevt W 1 ^ x 3 x Cj 1.LC rah NEW BUILT-IN SHOWER 2'8"x6'8" WI COPPER PAN SIZED TO FIT NEW HARDWOOD FLOORING THROUGHOUT(EXCEPT TILE IN BATHS) `m i v 1T-0° SECOND FLOOR PLAN MCSWEENEY RESIDENCE RENOVATIONS SCALE:v4"=r-O" 7-28-2014 6 SE°=R'S WAY SAUK MASSACHUSEM RICHARD w. GRIFFIN, ARCHITECT f!`°= CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT I 120 WASffiNGTON STREET,3' FLOOR TEL. (978) 745-9595 FAx(978) 740-9846 KIMBERLEY DRISGOLL MAYOR THomAs STTIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMNUSSIONER March 27,2015 Gerard McSweeney/Wendy McSweeney 6 Settlers Way Salem Ma. 01970 Re:permit#B-14-1460 Dear Owners, This office has received notification that your contractor, Mark Morin, has withdrawn from this project. The Mass. State Building Code requires a licensed contractor to secure the building permit for your project. At this time you are directed to stop all work until another contractor is hired and takes responsibility for the job. You are further directed to call this office,upon receipt of this notice, to arrange for an inspection. This is to document where one contractor stopped and the next takes over. If you have any questions,please contact me directly. . If you feel you are aggrieved by this order, your Appeal is to the BBRS in Boston. SinKell �V Thomas St.Pierre G