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21 CHESTNUT STREET - BUILDING JACKET 1 WWO ST-BEf%£G-AND APPROVED BY T44E JUSP,�-T,DR PF,WR TD.A.PERMT.13EING GRANTED CITY OF SALEM No. Z 7 7 - ZG G� ,ye'�� ,� ,+\. Date S o3 r" yt s , Is Property Located In Locating of/ VY SV the Historic District? Yes No_ Buildin d P Is Property Located in the Conservation Area? Yes_No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, Repair/Replace Other: PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's Name Address & Phone 4 Architect's Name /111 Address & Phone _ & ' ( 1 Mechanics Name 0Yer A/i[' dtit al Address & Phone 13-kj �` 02f) -XI y_ 3d'�?, What is the purpose of building? J a ,r' Material of building? IiVDO (�/ If a dwelling, for how many families? A4. Will building contorts to law? Asbestos? Al'o Estimated cos�.1<70D, (TV City License# N A state License # Y / k Home Improvement Lie. /lD3 oloS" X Signature of Applicant CK 1�0� SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE Yr 44 N i'D 11 MAIL PERMIT TO:��P✓ MI �/' A2 . GUYI Jago S�- 5;10,a/. 1 No. 2-1 Z-c) APPLICATION FOR PERMIT TO LOCATION a1 rtias�^N s� PERMIT GRANTED APP V'D ' �2ca.✓J INSPECTOR OF BUILDINGS 3 , a Salem taraical Commission ONE GREEN,SALEM, MASSACHUSETTS 01970 ( 8 45-9595 EXT.311 FAX(978)740.0404 C I ATE OF NON-APPLJCA131LITY It is hereby certified that the Salem Hi to cal Commission has determined that the proposed: Construction ❑ Moving Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Signage ❑ Other Work as described below does not involve at, a erior architectural feature or involves a feature covered by the exemptions or limitations set forth in tl e listoric District's Act(M.G.L. Ch. 40C)and the Salem Historic Districts Ordinance. District:_ Address of Property: Name of Record Owner: Description of Work Proposed: Restoration of exiting garage including oration of eyebrow window, window sash and bifold doors, replacement of cedar shakes, trim, roo side door, and repair of sills. No changes in color, material, design or outward appearance. All work to re i to existing. Non-applicable due to being in-kind maintenancelreplacement. I Dated: May 30, 2003 SALEM HISTORI ' L COMMISSION f By: q6" The homeowner has the option not to cc Tu ience the work(unless it relates to resolving an outstanding violation). All work commenced must mpleted within one year from this date unless otherwise indicated. THIS IS NOT A BUILDING PERMIT. P14 me be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permis c approvals)prior to commencing work. N i IOe o Cs" The Commonwealth of Massachusetts M. Board of Building Regulations and Standards RECEIVED C TY OF �� 4 / Massachusetts State Building Code, 780 CMR INSPECTION ' L SEUM$ Revised Mur 2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a W. 25 One-or Two-Family Dwelling 1015 MAY \rev This Section For Official Use Only rV^ Building Permit Number: Date plied: Lh Building Official(Print Name) Signature Date I SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers FZD -mil CRA.T, _ot4 S'� I.I a Is this an accepted street?yes_ no Map Numbcr Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use [.of Area(sq It) Frontage(It) 1.5 Building Setbacks(ft) Front Yard Side Y:vds 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: r lone: _ Outside Flood Zone?Check IE Private❑ Check if yes❑ Municipal W-On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: _3cz5aw QyFei� Stcuh, Mg oi37a Name(Print) City,Slate,ZIP �{ IS t'rA'( 7y55�9/ No.unJuwl "telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction ❑ Existing Building- Owner-Occupied ❑ Repairs(s) 9 Alteration(s) ❑ r\ddition ❑ Demolition ❑ Accessory Bldg. El Number of Units Other ❑ Speedy: _ Brief Description of Proposed work'-: 4A l&"5o ! L jW t/M IFJ�3 SIQG� 4n_40JC Add �,f t i6td, IiAP�V/tE !�� N 411 _liv10�K DttR _ eZ JI/EtJ3f� '6urK3Tr1li L8A SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and iblaterials Official Use Only I. Building $ / I. Building Permit Fee: $ Indicate how fee is determined: '. Electrical $ ❑Standard City/town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (IIVAC) $ List: 5. Mechanical (Fire Suppression) $ Total All Fees:$ Check No. _Check Amount: Cash Amount_ 6.Total Project Cost: S / 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) e L MAa4AhPJ License umber E.xp atio Date Name of CSI,Holder ��0 �� List CSL Type(see below) No.and Street/ _ _ fYPe Description U Unrestricted(Build in s up to 35,000 cu. ft. R Restricted 1&2 Family Dwelling City/Town,State, ZIP M Masonry Rootin Covering S Window and Siding SF Solid Fuel Burning Appliances -�/ I Insulation Telephone r'-s+t— Email address D I Demolition 5.2�Reegistered Home Improvement Contractor(HIC) or CQA �J.IL`f[9L�7 HI'Registration Number F. piraonDate HIC bra arty Name or 11--C�trant Name No.ang Street I Email address pimdl)� Nil Citv4owri,slat ,ZIP Telephone G 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. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information coma' ed in this application is true and accurate to the best of my knowledge and understanding. Print )wner's or Aulhon Yd Ageat's Name(Electronic Signature) Date 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 M.G.L.c. 142A.Other important information on the HIC Program can be found at www.nmss.,ov/oca Information on the Construction Supervisor License can be found at www.ntass..,ov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage, finished basementiattics,decks or porch) Gross living area(sq. ft.) Ilabitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of hall baths Type of heating system Number of decks/porches_ Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"I'otal Project Cost" r 0 NK Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 (978)619-5685 FAX(978)740-0404 CERTIFICATE OF NON-APPLICABILITY It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Signage x❑ Other Work as described below does not involve an exterior architectural feature or involves a feature covered by the exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire Address of Property:21 Chestnut Street Name of Record Owner: Joseph & Lynda Pvfrin Description of Work Proposed: Reroof with 3-tab asphalt shingles in the color black to the match adjoining roof at 23 Chestnut Street. All copper caps will remain in place. Non-applicability due to work being in-kind replacement. Dated: November 6, 2014 SALEM HISTORI;CCAAL CCOMMMIISSSSION By. 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. 5-2 z/ 7 q033 The Commonwealth of Massachusetts CITY OF Board of Building Regulations and Standards SALEM Massachusetts State Building Code, 780 CMR Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This'Secttion' For Official use Oiily,'rinit Number are lid. Budding 'b am Date' ' :Building Official(P.,rintN 6 a SECTION I: SITE INFO,RMATTON 1.1 Party Ad ress: v�T_ 1.2 Assessors Map&Parcel Numbers / �ZoAi - L l a Is this an accepted street?yes--k= no Map Number— Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards R=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 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yesO U TY�'OWNF SHIP R ' .. ..... ION PRO 2.1 .Owners of Record: SN\9—V� V\-,% Name(Print) City,State,ZIP No,and Street Telephone Email Address SECTION sDES RIPT0 1 N OF ,PROPOSED WORK -, ply) eck'all fhat,ap New Construction 0 Existing Building El Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition 0 Demolition El Accessory Bldg. 0 Number of Units Other 0 Specify. Brief Deyription of.Proposed W k' I/J/ �157 icy to (V Ir C is .2 0'0wlze: roo 1, V Building g 0 Owner-Occupied 11 Alteration(s) 0 Addition u" C] um Units Other Spec Bldg. Number of Uni I�r k 2 on 11 SECTION 4: EST TED'.CONSTRUCTION COSTS : Estimated Costs: i Official it Item (Labor and Materials) 1. Building 000, op,_. 4 Building Permit Fe'e.'$ Indicate h6w fee is deterffilhed:'.' '0 Standard Citry/TA n Applicatidn 7- $2. Electrical O.'Total Pioj ect Costsr, Item :x 3. Plumbing 2.,.Other Fieeg:­$ 4. Mechanical (F[VAC) $ Lis 5. Mechanical (Fire Suppr ssion) $ total All Fees Check No. Check Amount: Cash Amount., 6. Total Project Cost: $ &V0 67— 0 Paid in,Full",: 0 1 Outstanding, Balance.Due._ 12 `)u P e'e_ A4AC4­7 I /L_W� — Q SECTIONS: CONSTRUCTION SERVICES n5f Sup o�L�rise(CSL) p vs. �I License Number Ex nation Date erList CSL Type(see below)a � s7 No.and Street Type.. Description Sa �� �� �/ 7 O U Unrestricted(Buildings u to 35,000 cu. ft. N / R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding O� p /' 7 p SF Solid Fuel Burning Appliances / 70 7 y'1�cJd I Insulation Telephone Email address D Demolition 55,2/�J2]e`gtste/reedd Hom(/q Impro/vfm(elnt Contractor(HIC) /i2 3 O& - / ri"le�-[A Cs/ )tTX 6Lr� 7'/S'Wj'0 4 HIC Registration Number xpnation Date HIC Comply Namepr HIC Registrant Name /a /Srt Nora S7 No,a d S eet Email address aleet City/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 ........1�!id— No ........... ❑ ` SECTION jai OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT X1,as Owner of the subject property, hereby authorize 2X / d a. d Q/ — to act on my behalf, in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic'Slgnature) Date SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained application i�d ac urate to the best of my knowledge and understanding. Priw;@O—w or Authorized Agent's Name(Electronic Signature) Date NOTES: r2. Whgevn 70wrierwho obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor red in the Home Improvement Contractor(HIC) Program),will not have access to the arbitration guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at Qov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dos substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage, finished basement/attics, decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of haWbaths 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" ` 6�CONDIT,{, �P711V6 - Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 (978)619-5685 FAX (978)740-0404 CERTIFICATE OF NON-APPLICABILITY It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving E Reconstruction ❑ Alteration ❑ Demolition ❑x Painting ❑ Signage ❑ Other Work as described below does not involve an exterior architectural feature or involves a feature covered by the exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire Address of Property: 21 Chestnut Street Name of Record Owner: Joseph & Lynda Pvfrin Description of Work Proposed: Repair and restoration of the front Federal portico, including removal and reconstruction of rotted sections. The restoration will use Spanish cedar and new copper sheeting on the roof. All work will be in-kind and match the existing original design. Dated: June 5, 2013 SALEM HISTORICAL COMMISSION By. 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. 21 Chestnut St. O eftp of *aleml' A.a5.qarbU0tt!5 Public Propertp Department ' jBuilbing department One 6alem green (978) 745.9595 (Ext. 360 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer December 19 , 1997 D .L. Cote & Company 7 Winter Street Salem, Mass . 01970 RE : 21 Chestnut Street Permit #666-97 Dear Mr . Cote : Our office has been informed by Pierce Architects that they are revoking any rights to use the contract documents prepared for the project at 21 Chestnut Street , effective December 16, 1997 . Your are hereby ordered to stop work immediately and make any areas of the project safe and secure until a new architect and construction documents are submitted to us for review and approval . Thank you in advance for your cooperation in this matter. Sincerely, e iZ i evin G. Goggin Assistant Building Inspector KGG: scm cc : Bruce Ksander Councillor Donahue, Ward 3 j h;5 s t i u Q m m m a 18 December 1997 Mr. Leo Tremblay, Building Inspector City of Salem One Salem Green Salem, MA 01970 Project: Renov2tions to 21 Chestnut .Street. Salem; MA Dear Mr. Tremblay; Please be advised that Pierce Architects has revoked any rights to use the Contract Documents prepared for the referenced Project, including all Drawings and Specifications prepared by Pierce Architects and our consultants, and rescind any consent for the Owner or Contractor to use said Drawings and Specifications for any purpose. It is my understanding that the Building Permit will no longer be valid as a result of this action. Thank you for your immediate attention to this matter. Sincerely, PIERCE ARCHITECTS TanielH. Pierce, A l j J'OB SITE COPY BUILDING CITY OF SALEM SALEM, MASSACHUSETTS 01970 PERMIT DATE NOVEMBE:::R J.8 _ 19 97 PERMITNO. 666-1997APPLICANT D. L. COTE & CO. ADDRESS WIN I"ER STREET 10130 (NO.) (STREET) (CONTR'S LICENSE) Sf4LEM MA 01`3717+ 52Fa-74;1—')7ti 3 CITY STATE ZIP CODE TEL.NO. ALTERATION ONE E=AIyII—Y NUMBEROF 1 PERMIT TO ( ) STORY DWELLIN UNI (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT(LOCATION) +j1`1 CEiESTNiU"r STREET DISTRICT REI (N0) (STREET( BETWEENAND (CROSS STREET( j L (CROSS STREET) SUBDIVISION IOC '"' L(IT z1'44 K/ S¢e FL'I1712I5fj41Zi SG! F T BUILDING4REND FT.W EFT.LONCyeV, FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPEEG UP VVVVVV ASEMENT WALLS OR FOUNDATION (TYPE) REMARKRIOR Oe= BUILT?IIID AS PSR PLANS fSUEspJJ: rTED K. Ge G. AREA OR l for Permit to occupy VOLUME ESTIMATED COST$ J. 15, 456 FEE PERMIT 7Q11. 00(CUBIC/SpUARE FEET) OWNER KSANDER BRUCE BUILDING DEPT, ADDRESS21 CFIESTNUT STREET BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDI CODE,MUST BE APPROVED BY THE JURISDICTION,STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM 7DEPARTMENTOF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE AlLICABLE APPLICANT FROM THE CONDITIONS OF ANY SUBDIVISIO RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONSAPPROVED PLAN'S hUSTB f AINED ON JOB AND THIS CARD KEPT WHERE APPLICABLE SEPARATE REQUIRED FOR ALL CONSTRUCTION WORK: PERMITS ARE REQUIRED FOR 1.FOUNDATIONS OR FOOTINGS. POSTED��yyyU T 'NAL PECTION HAS BEEN MADE. WHERE A ELECTRICAL,PLUMBING AND 2,PRIOR TO COVERING STRUCTURAL CERT' FOC FANCY IS REQUIRED,SUCH BUILDING SHALL MECHANICAL INSTALLATIONS. MEMBERS(READY TO LATH). NQT BCUP[ UNTIL FINAL INSPECTION HAS BEEN MADE. 3.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS R -SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APP OV L PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS G 1 1 1 7U 2 \ 2 2 BOARD OF HEALTH GAS INSPECTION APPROVALS FIRE DEPT.INSPECTING APPROVALS 1 1 OTHER CITY ENGINEER 2 2 WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS INSPECTIONS INDICATED ON THIS CARD INSPECTOR HAS APPROVED THE VARIOUS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCTION. AS NOTED ABOVE. OR WRITTEN NOTIFICATION.