37 STATION RD - BUILDING INSPECTION t
j The Coin morovealth of Massachusetts
�;[�� OF
Board of Buildin• Regulations and Standards CITY M
�/ t I 6 g
� u ,y Massachusetts State Building Code, 780CMR NLItS;Lt�Mar 'ni/
aye ;
Building Permit Application To Construct, Repair, Renovate Or Dernolish a
One-or Two-Fcnnilt,Dwelling
This Section For Official Use Only
Building Permit Number: Date Applied: �• 2 • Il
01(kp ,
Building 011icial(Print Name) I Signatur&,j Date
SECTION 1:SITE INFORMATION
1, P� to y A�Id�ss:^ Cq)e , i,k 1.2 Assessors Map & Parcel Numbers
XI.l a Is this an accepted/street?yes_ no / Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use- Lot Area(sq It) Frontage(11)
1.5 Building Setbacks(R)
Front Yard Side Yards Bear 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:
Zone: _ Outside Flood Zone?
Public❑ Private❑ Check if yes❑ Municipal ❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Recor 8 ft O/?70
Ntmie(Print) City,State,ZIP
X 37 s rr,�n M. 9����tN39��t �arr7r.�e @C�owlcusT.het
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building Owner-Occupied Repairs(s) ❑ 1 Alteration(s),K I Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units I Other ❑ Specify:
Brief Description of Proposed Work': t
l�o NEW
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials)
1. Building $ 1. Building Permit Fee:$ Indicate how fee is determined:
'. Electrical ❑Standard CityfTown Application Fee
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) S List:
5. Mechanical (Fire $
Suppression) Total All Fees: $
Check No. Check Amount: Cash Amount:
X 6. Total Project Cost: $ 0X0,
00
0 Paid in Full ❑Outstanding Balance Due:
t
r
SECTION 5: CONSTRUCTION SERVICES
rofCSL
on Supervisor License(CSL)
License Number Expiration Date
der
List CSL'fype(see below)
Type Description
U Unrestricted(Buildings u' to 35,000 cu. It.
R Restricted 1&217amil Dwelling
C'uyllown.State,ZIP M Mason
ry
RC Rooting Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address U Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
fIIC'Company Name or I IIC Registrant Name
No.and Street Email address
Ci /Town,State,ZIP Telephone
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 BUILDING PERMIT
1, as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
I'nnt Owner's Name(Electronic Signature) Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
By entering my name below,1 hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding. .
X ayn De-rict" canto 31a7
Prt Owner's or Authorized Agent's Name(Electronic Signature) _ ate
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 not have access to the arbitration
program or guaranty fund under YLG.L.c. I42A.Other important information on the HIC Program can be found at
uw%c.nu±ss. ,ov_'oca Information on the Construction Supervisor License can be found at tvttw.ni_u .sov41
2. When substantial work is planned, provide the information below:
Total Boor area(sq. Ill.) (including garage, finished basentent/attics,decks or porch)
Gross living area(sq. R.) 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 Footage"may be substituted fir"total Project Cost"
CITY OF S.0 EM
PUBLIC PROPERTY
DEPARTMENT
o,a.nar o•srnti
`u1Oa i b vewuttsoN st..ar•ssura VNuoRssrn ours
ttr�rs�+sss�s.r..a.nar+asw
HOMEOWNER LICE.rS6 EXEMPTION
Pleaw Mat
Date �2 zzj
!ob Loeados 7
Home Owoar wddre@.
Home Owoor Telephone - q-
P,esad Mailing Add eea 3 S M M
The current exastpdon of"Homeowners"was extended to inehrde*wow-occupied
dwellings of two Units or leas and to glow such homeowners to engage as individual for
hire who.does not possess a lea s%provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Pasos(s)who owns a panel offend an which he/she redder or intends to reside,on
which there is, or is intended to bs6 a one or two Melly dwelling,attached or detached
structures accessory to such use and/or Perm sauctures. A person who constnrcto-more
than one home in a two year period shall not be considered a homeowner. Such
-homeowner"shall submit to the Building Offfciai,on a form acceptable to the Building
Official, that he/she be responsible for al such work performed under the Building
PwMA
The undersigned"honteownde assume@ responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undasigned "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 proceduresand requirements,
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING NSPECTOR
See other side for state code
CITY OF SALE , NLisSACHCSETTS
BI:mmr.DEPARTMENT
120 WASIONGTON STREsT, 3iD FLOOR
TEL (978) 745-959S
FAx(978) 740-9846
KIJBERIEY DRISCOLL
MAYOR THOM"ST.PMRR2
DIRECTOR OP PLBLic PROPERTY/BL:ILDLNG CONNISSIONER
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 1 l 1.5
Debris, and the provisions of MGL c 40, 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 disposal facility as defincd by MGL c
111, S 150A.
The debris will be transported by:
(name of hauler)
The debris will be disposed of in
(name of facility)
(address of facility)
sigt Lure of permit applicant
date
dcAnailf J•a
3 ca r ri De,t'v�ncesc o�
fog -3)-g-q60 � 1
1
I
UTDATE:05 / 25 /11
CARPENTRY
ESTIMATE
CLIENT: Barry DeFrancesco
37 Station Road
Salem, MA 01970
JOB DESCRIPTION: Proposal: Take existing (Main) rear deck (12 x 16)
and extend it to 14' x 32' . Deck extension to be builtusing same existing framing
widths (2 x 10 PT floor joists 16" on center) 2 x 10 Joist hangers on all joists.
Footings (12" sonotubes, 48" deep to be poured where necessary. Continue canterlever
beam for extension of new deck, posted down with 4x4 posts, supporting beams. 4x4 PT
bolted to frame to be used as railing posts which will be covered with composite sleeves
to accept new composite railing system. Composite decking with hidden fasteners to be
MATERIALS/COSTS:
used. Boarder framing where needed. Azek used to trim out everywhere pressure treated
wood is exposed. Any extra cosmetics (lights on posts, owner preference details) to be
added not a structual issue.
LABOR:
TOTAL ESTIMATE:
781 .704.8175
100%SKILLED LABOR GUARANTEED
n/f n/f
LAFRANCOIS DIBBLE
n/f
MICHAUD
n/f
MCDONOUGH
131012f S. F.
PROP. 14'x31 '
WOOD DECK
EXIST 12xl6'
WOOD DECK
EXIST.
WOOD STAIRS
#37 TARUZ j
EXIST. SINGLE FAMILY /
/ DWELLING /
EXIST. HMA
DRI VEWA Y
f
` ss;
STA TION ROAD
PROPOSED DECK PLAN
SCALE: 1 " = 20' OWNER INFO:
BARRY DEFRANCESCO
37 STATION ROAD 37 STATION ROAD
SALEM, MA 01970 SALEM, MA 01970