24 CHESTNUT STREET - BUILDING JACKET a
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f1�N6�Ag6t�EfRA04AD AWROVED BY 744E
JIISPFCM&PWR WA:P.EAW AWING GRANTkD
CITY OF SALEM
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Pernik to: BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Remof, Instal Siding, Construct Dade. Shred, Pool.
Repak/Repleoe. 011W._Jj 7Crh� r� <zA,r7e .T 7Z e
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS W PROCESS q
TO THE INSPECTOR OF BUILDINGS:The unftm*W
'•
t hereby applies for a pmk to build aocordE,�p,to the.fol waft
specifica / ..
Owner's Name aJL2 6 ( c1&)A} d1-1 re
Address d Phone a-1 6 r/9/CW/1? S( ' (7)Y) 21i-.)(414
.E'9i� f .� 01
Arehitect's Name
Address d Phone PIP)
� f )
Mechanics Name PIPVlr�
Address r!< Phone 26Z 0 hS1t2AiVaJ S7 f� ) 21L 67�
ffd•S G !
What Is en pupoar it WRNW (')I( fir, ✓I/-_�� d, VA) (7
for how m"hm ft?
WE 1adav taro I to law?
EWmW nod -I\
T Cey licaw r 81pa LloallM r
Sipnatu AppUgnt
SKENED !HIDER THE PENALTY,
DESCRIPTION OF WORK.TO BE DONE oP PEwuRY
y�
MAIL PERMIT
No. �`��1-��
APPLICATION FOR
PEHlfft TO
LOCATION
PERMIT GRANTED
r 5.2 ti 4c _ •.
r (� 19
4
V�D
INSPECTOR ADF BUILDINGS
What is the current use of the Building?
Material of Building? If dwelling, how many units?
Will the Building Conform to Law? Asbestos?
Architect's Name
Address and Phone ( )
Mechanic's Name (�V'r� �� i le �C61C C•
Address and Phone °•0 kAg1 bQ vec � A)R 0R1S `n% CEO aB_\`h
Construction Supervisors License# CS UO 4'b1 _HIC Registration# 104�S L
Estimated Cost of Project$ 1 S '-QOQ Permit Fee Calculation
Permit Fee$ Estimated Cost X$7/$1000 Residential
Estimated Cost X$111$1000 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
Date
�I
VJ N
a
L �
9
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EI`I'Y-OF SALE
PUBLIC PROPERTY
DEPARTMENT
I:I�MERLEY DRISIULL � b
MAYOR t'_0WAsNINGif1NSrREEC•& xKS1nc5Aouatz1S01970
TEL,978-745-959S 4 FAr.978.740-99"
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION.
DEMOLITION OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
- STRUCTURE OR BUILDING
160 SITE INFORMATION
Location Name:%-4 SA , Building:
Property Address:
Property is located in a;Conservation Area YIN Historic District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: (fin On SIOCAN —.
Address:
Telephone: yan%
3.0 COMPLETE THIS SECTION FOR WORK IN FXicTiNn BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of ( Area per floor (so Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:
—- --------
t�n1 St0'e X
Mail Permit to: �y < vA S1 . YCI m 3 me (\A-)0 —-_ —
l 1
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)745-9595 EXT.311 FAX (978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
0 Construction ❑ Moving
Reconstruction ❑ Alteration
❑ Demolition ❑ 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: 24 Chestnut St.
Name of Record Owner: Anthony Storella
Description of Work Proposed:
Replacement of 3-tab, black asphalt roof to replicate existing. No changes in color, material, design or
outward appearance. Non-applicable due to being in kind maintenance/replacement.
Dated: May 17, 2007 SALEM HIS 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.
i
$4 Z ,�
The Commonwealth of M %956fi169MsSERV10ES
W
Department of Public Safety
Massachusetts State Building Code��fi 1�) ' R Q ' U
Building Permit Application for any Building other than Al e- )r ,Ivvo"Famrly Dwelling
(This Section For Official Use Only)
Building Permit Number: Date Applied: Building Official:
�J- SECTION 1:LOCATION(Please indicate Block k and Lot tf for locations for which a street address is not available)
I
\� No.anti Street City/Town Zip Code Name of Building(if applicable)
SECTION 2 PROPOSED WORK
Edition of MA State Code used_ If New Construction check here❑or check all that apply in the two rows below
Existing Building O Repair❑ I Alteration ❑ Tddition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1)
17— Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑
Is an Independent Structural Engineering peer Review required- Yes ❑ No ❑
Brief Description of Proposed Work: /� l
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Cluck here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 31) 0
Existing Use Group(s): I Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor,(sq. ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as a licable)
A: Assembly A-I❑ A-2❑ Nightclub ❑ A-3 ❑ A4 Cl
A-5❑ B: Business ❑ E: Educational ❑
F: Facto F-1❑ F2❑ H- Hi h Hazard H-1 O. H-2❑ H-3 ❑ H4❑ H-5❑
1: Institutional I-1❑ 1-2❑ 1-3❑ hl❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑
S: Storage S-t ❑ S-2❑ U. Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as a licable)
IA ❑ IB ❑ HA ❑ 11110 IIL\ ❑ IIIB ❑ 1 IV ❑ 1 VA CI VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit, Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑
required❑or trench or specify:
Private❑ or indentify Zone: or on site system❑ permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: 'dA I iktoric C.mimj.sioa U,wita% Pr.kvi,:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ I Yes❑ or No❑ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Constriction: Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations: _
�t G - 395 - -I-1 5 1
SEr�tJ
GLl-LL.tp 512�
r
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
7otiti �- S-maiauV, S�7ka 01 yc)
Name(Print) No.and Street - City/Town - Zip
Property Owner Contact Information:
Title Telephone No.(business) Telephone No. (cell) e-mail address
ff applicable,the property owner hereby authorizes
Name Street Address - City/Town State Zip
to act on the property owner's behalf, in all matters relative to work authorized b this budding permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less thin 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0 and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. mail add •ss Registration Nu r -
Street Address City/Town State Zip Discipline Expiration Da e
10.2 General Contractor
Company Na�e
CS - /t�
Name of Person Responsible for Construction License Nu.*Y a ype if Applicable
Street Address City/Town State zip
Telephone No. business Telephone No. cell e-mail address
SECTION 11:WORKERS COM'ENSM ION INSURANCE AFFIDAVIT M.G.L.c.152. 25C 6
A Workers Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes 0 No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE - -
Item Estimated Costs:(Labor
and Materials) TotalConstruction Cost(from Item 6)_$
I.Building S on Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical $ appropriate municipal factor)_$
3. Plumbing $
d.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to
6.Total Cost $ 5-7 Q 0 (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below, 1 hereby attest under the pains and penalties of perjury that all of the information contained in this
applic is true and accurate to the best of my knowledge and understanding.
Please print and si n name Title Telephone No. Date
2�
Street Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval• I � JF /
Name Date
�
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:
Cons ❑ Moving
g
Reconstruction ❑ Alteration
❑ Demolition ❑ 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: 24 Chestnut St.. -
Name of Record Owner: Tony& Stenhani Storell —
Description of Work Proposed:
Replace siding on house (beginning at point where garage starts and running back) to replicate existing. NO
changes in color, material, design or outward appearance. Non-applicable due to being in kind
maintenance/replacement.
Dated: May 13, 2015 SALEM HIS MMISSION
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.
NU l � Z
C-r- 11, lei
I 2
The Commonwealth of Massachusetts iNSPECTWNA SEfv OF
Board of Building Regulations and Standards SALEM
W
Massachusetts State Building Code, 780 CMR 14 CT ' r :�4ra20f/
p Q ..
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official qse Only LT Ci
Building Permit Number: Date plied. 10
i
Building Official(Print Name). Signature- ata
SECTION 1:SITE INFORMATION'
1.1 Propqerty Address: 1.2 Assessors Nlap&Parcel Numbers
<' N✓>CT KA- 7
I.I a is this an accepted street:yes no Map Number Parcel Number
1.3 'Zoning Information: 1.4 Property Dimensions:
"Coning District Proposed Use Lot Area(sq It) Frontage(It)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L e.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone? Municipal ❑ On site disposal system ❑
Public❑ Private❑ Check if es❑
SECTION2: PROPERTY OWNERSHIPt
2,LOwnet/rt of-Record: �L�
r!Il_� A j
No. and Street eiepho a Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building Cl Owner-Occupied ❑ Repairs(s) ❑ Altemtion(s) 13 1 Addition ❑
Demolition ElAccessory Bldg.❑ Number of Units_ I Other Specify:
Brief Description of Proposed Work': PUCAIAXI SEe oro C��°
SECTION-1: ESTINIATED C NSTRUCTION COSTS
ItemEstimated Costs: Official Use Only
Labor and Materials)
I. Building S U 1. Building Permit Fee:S Indicate how fee is determined:
❑Standard City/Town Application Fee
2. Electrical S ❑Total Project Costa(item 6)x multiplier x (p
3. Plumbing S 'P Other Fees: S 1
4. Mechanical (HVAC) S List:
5. Mechanical (Fire S 'rotal All Fees:S
suppression)
Check No. Check Amount: Cash Amount:
6. Total Project Cost: S O ❑Paid in Full ❑Outstanding Balance Due:
Gt�l�l� L®tJTTLpG�19p�
IOI Z-b GraL.�e.-p Ce2,tJ'rvz. q P,U ,
SECTION 5: CONSTRUCTION SERVICES
5.1 'om ru^ction Supetv'�C r Li Anse(CSL)
License Number' Expiration ate
Nmne o CSL [folder
�-. /, , � List CSL'I'ype(see below) .
�J ( L'f�C,�`�`-/j Type Description
No. an 'Fleet U Unrestricted Buildin s u to 35,000 cu. It.
Restricted 1&2 Family Dwelling
Cityfl'own,State,ZIP M Masonary
RC Rooting Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I To insulation
le hone Email address D Demolition
5.2 Regt ered Home Improvement Contractor(HIC)
md-4cLl(lk HI egistrai3 umber E. pirt ton Date
HIC Col pony rancor 111C Registrant Name
No. and Street i
Email address
Cit frown,State,ZIP Telephone / J
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C. 15L§ 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 Is§uance of the building permit.
Signed Affidavit Attached? Yes ..........;r 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
t9 act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Nmne(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
contau in this application istrue and accurate to the best of my knowledge and understanding.
Print 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 I.G.L.c. 1 d2A.Other important information on the HIC Program can be found at
www.mass.covoLa Inrormation on the Construction Supervisor License can be found at vvwwv.wmsj ov/d1n
2. When substantial work is planned,provide the information below:
'total floor area(sq. R.) 'a ,(including garage, finished basementlatties,decks or porch)
Gross living area(sq. ttJ Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of halt/baths
Type of heating system Number of decks/porches
Type orcooling system Enclosed Open_
1. "Total Project Square Footage"may be substituted fur"Total Project Cost"
.�OND7
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 El 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: 24 Chestnut Street
Name of Record Owner: Mary Mur2hy: Anthony & Stephanie Storella
Description of Work Proposed:
In-kind replacement of clapboards. There will be no change to the design, color, or material-type.
Dated: October 22, 2014 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.
the Commonwealth of Massachusetts INSPECTI NA�SERDVFCES
ITY
Board of Building Regulations and Standards Sr LEy�I
fir Massachusetts State Building Code, 730 CNIR H'� A ��Iisr25;
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Tivo-Family Dwelling
This Section For Official Use On]
Building Permit Number: D lied-
Building 011iciul(Print Name).
signature Date
SECTION I:SITE INFORMATIOi
�1 fPlrup �y Add ess: / 1.2 Assessors Map g Parcel Numbers0 �f
7 �0� �� Parcel Number
I.I a is this an accepted street^yes ✓ no_ Map Number
1.3 'Lorin Information: 1.4 Property Dimensions:
le-1 ems _ 1/700 �
Zoning District Proposed Use
Lot Area(sy It) Frunlage 0l) 1
1.5 Building Setbacks(it)
Front Yard Side Yards Rear Yard
ReyuireJ Provided Reyuired provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sew ageDisposal System:
Zone: __ Outside Fioo Fd/d Zone? Municipal On site disposal system ❑
Public CI' Private Cl Check it' es_
SECTION2: PROPERTYOWNERSHIPI`
2.1 Ownert of Record: �t ng �4 el/70
Ante(Print) City,State,ZIP
No. and Street Telephone —� Email AJdresg
SECTION 3: DESCRIPTI N OF PROPOSED WORK'(check all that apply)
New Construction❑ xisting Building Owner-occupiedRepairs(s) ❑ Alteration(s) Addition ❑
Demolition Accessory Bldg. Number of Units_ Other ❑ Specily:
Brief Description of Proposed Work':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item Ltbur and Materials)
I. Building S 000, 1. Building Permit Fee:S indicate how fee is determined:
r^^ ❑StanJard City/Town Application Fee
2. Electrical 5 6-601 ❑Total Project Cost}(Item 6)x multiplier x
}. Plumbing S 40rw. 2. Other Fees: S
d. Mechanical (I-IVAQ 3 List:
5. Mcch.mical tFire Total All Fees:S
Su resiion)
Check, _Check Anwunu Cuh:\nunurt:_
6. Tntai Project Cost: :S Wool ❑Paid in Full ❑Outstanding Balance Due:
r jT JHjr;i •J-,gpNtSEC'FION 5: CONSTRUCTION SERVICES
5.1'Construction Supervisor License(C'SL) 1 —,�)96077
License Number E. pir. on Date
Nan SL
Name ofCSLL/Hold r� t List CSL'rype(see below) U
dN `�""0s" 04- ��r{�' / rype Description
No.and Street
S5 , Az--
y ��� U Unrestricted(Buildings s u toing cu. Il.
� Ir d� R Restricted 1.4c2 Family Dwelling
C'ityfrown,State,ZIP bl Nlasonry
RC Rooting Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
�7�'✓rgf� 5�� � •� 1 Insulation
'rele hone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
` City/Town,State ZIP role horn
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.IL 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 Wtiance of the building permit.
Signed Affidavit Attached? Yes ..........❑ No...........O
SECTION 7a:OWNER AUTHORIZATION,TO BE COMPLETED WHEN.
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
trj act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's N:mte(Electronic Signature) - Darn
SECTION 7b:OWNEW ORAUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true nod accurate to the best of my knowledge and understanding.
G
I tort )wner's or Auth+i c r gents Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to Jo his/her own work,or an owner who(tires an unregistered contractor
(not registered in the Florae Improvement Contractor(HIC)Program),will girt have access to the arbitration
program or guaranty, fund under M.G.L.c. 1 d2A.Other important information on the HIC program can be found at
www.mass. Uoy y_Qg Information on the Construction Supervisor License can be found at www.nm; .eov'JL
2. When substantial work is planned,provide the information below:
rotal floor area(sy. If.) (including garage,finished basementlattics,decks or porch)
Gross living area(sq. 11.) Habitable room cows
Number of fireplaces Number of bedrooms
Number of bathrooms Number of halt/baths
Type of heating system Number of decks/porches
1'ypeofcoolingsysicnt Enclosed Open
J. To¢d Project Square Footage"may be.cnbstiluted fior"total Project Cost"
The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code, 780 CMR SALEM
�0 Revised Mar 20/l
�f a Building Permit Application To Construct, Repair, Renovate Or Demolish a
oV One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date Applied: O
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Pr ng Address. a �`_ , M c/a_ 1.2 Assessors Map& Parcel um s
I Art Is this an accepted street?yes no /"! Map Number Ureel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq R) Frontage(It)
1.5 Building Setbacks(R)
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❑ Private❑ Zone: _ Outside Flood Zone?Check if yes❑ Municipal ❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
t Owner'of Record: / /4
A��u-T- 5" q hl
Name(Print). City,State,ZIP
a� ' S'7 -7-27-SI S Cl Co yv�
No.mid Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specity:
Brief Description of Propo4 Work-:
011 @mil �r fypjj
cr�
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
Labor and Materials 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 (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $
��,,..++,, ��hl� Check No. Check Amount Cash Amount:
6. Total Project Cost: $ �V� -cam/ 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Dale
Name of CSL Bolder
List CSL Typc(see below)
No. and Street Type Description
U Unrestricted(Buildings up to 35,000 cu. ft.)
R Restricted 1&2 Family Dwelling
City/Town,Stale,ZIP M Mason
ry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street
Email address
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 .......... ❑ 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:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, 1 hereb attest under the pains and penalties of perjury that all of the information
sentainmHn this appl,catic is true an ccurate to the best of my knowledge and understanding.
PpKiTON%gr's or Autho ' gent'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
%"vw.massjwv�oca Information on the Construction Supervisor License can be found at vvww.nntss."ov:4lrts
72. When substantial work is planned,provide the information below:
Total Floor area(sq. ft.) (including garage, finished basentent/attics, decks or porch)
Gross 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"
}
c�s`ro
Salem Historical Commission
120 W,ASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978) 619-5685 FAX (978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Llistorical Commission has determined that the proposed:
❑ Construction ❑ Moving
Reconstruction ❑ Alteration
f Demolition ❑ 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: _24 Chestnut Street
Name of Record Owner: Anthony& Stephanie Storella
Description of Work Proposed:
Replacement ofgarage door to replicate existing. No changes in color, material, design, location or outivard
appearance. Non-applicable due to being in kind maintenance/replacement
Dated: .Tune 7, 2011 SALEM S O MISSION
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 pen-nits from the Inspector of
Buildings (or any other necessary permits or approvals)prior to commencing work.
The Commonwealth of Massachusetts
IBoard of Building Regulations and Standards CITY
/ Massachusetts State Building Cude, 780 CMR, T" Jition OF SALEM
g Revised Annmry
1 Building Permit Application To Construct, Repair, Ren ate Or Demolish a /. .oaY
One-or Tw - amity Dwelling
This Se4lioA For OINciall U e Only
t Building Permit Number/ Ap ied:
Signature: tff'�A411 )- AA
Building Commissioner/Ins iorof Buildin4s V Date
Y
SECTION 1 ITE INFORMATION
1.1 Propert��ddress• 1.2 Assessors Map& Parcel Numbers
�.3/C1>°���ridf sf' Sit/erJ� /K.'iL
1.1 a Is this an accepted street?yes_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Properly Dimensions:
Zoning District Proposed Use Lot Area(sq 11) Frontage(11)
1.5 Building Setbacks(ft)
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: 1.9 Sewage Disposal System:
Zone: _ Outside Flood Zone?Public❑ Private❑ Check if es❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
'A Aw -� y aes ii u-i4 sit
Name IP Address for Servi
lRttiof� - d od
Signature I I Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other Specify: i
Brief Description of Proposed Work': u
�Q X• �IF r r •� .S ✓H Q %J
SECTION J:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
I. Building S 1. Building Permit Fee:S Indicate how fee is determined:
�. Electrical S ❑Standard City/Town Application Fee
❑Total Project Cost(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: S
J. Mechanical (IIVAC) S List:
5. Mechanical (Fire ES
Suppression) Total All Fees:S
Check No._Check Amount: Cash Amount:_
6.Total Project Cost: 13 Paid in Full 0 Outstanding Balance Due:
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
License Number lispiraliun Date
Name of CS'Lwl lolder List CSL"type(see below)�_
nJCO J1-14 eil3 X � VQ �C✓�c7e. .f Description
A'rrdress V InA CtJ1�73� D llnrestricteJ u to JS,000 Cu.Ft.
1 !f� R Restricted 1&2 Family Dwelling
Signs are M Maso Only
a' ,.�aS �Y�Q RC Residential Roofin Coverin
feephone WS Residenial Window and Sidin
SF Residential Solid Fuel Bumin A fiance Installaliun
D Residential Demolition
5.2 R, Istered Home Improvement Contractor(HIC)
u/�/`Lcy /14! rs�Y�" �Na/'�(' Registration Number
Ii1C Company N or H14elrlrt�.upe F _ /e�� /
Address --ff tt-- YY-- �t ( 6 --1. 1 A611,
A , �- -I -- - G. Expiration Date
Signature Telephone
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.4 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...........O
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 IW LI -6 A to act on my behalf, in all matters
relative to work authorized biy this building perrhit application.
Sianaturc of Ow er Date
SECTION 7b.-OWNERt OR AUTHORIZED AGENT DECLARATION
I, /I loll 4`1"L—A ,as Owner or Authorized Agent hereby declare
that the statements and information on the fore oing application are true and accurate,to the best of my knowledge and
behalf.
Or u
Print Name /], n J 7
i /
Signature of Owner or Author zed Agofft Date /
(Signed under the pains and penalties of 'u
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 Ma have access to the arbitration
program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and I IO.RS,respectively.
2. When substantial work is planned,provide the information below:
Total floors 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 half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
J. "Total Project Square Footage"may be substituted for"Total Project Cost"
0
�me
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)745.9595 EXT. 311 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 ❑ 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: 24 Chestnut Street
Name of Record Owner: Mary Murphy- Tony Storella
Description of Work Proposed:
Remove and rebuild chimney (left.side of house from Chestnut Street) to replicate existing. Chimney
dimensions and shape to replicate existing. Brick size, color and texture to replicate existing. Mortar color,
thickness and texture to replicate existing. No changes in color, material, design or outward appearance. Non-
applicable due to being in kind maintenance/replacement.
Dated: April 15, 2010 SALEM C MMISSION
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.
24 Chestnut St. _ f
�)
of *alem, f laaacbuatto
3publit j9ropertp Department
3guilbing Department
One Batem Oreen
(978) 745-9595 ex1. 380
Peter Strout
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
5/20/01
Mr. O'Conner
Re: 24 Chestnut St.
Salem, Ma.
This letter is in response to you inquiry of the legal status of the above mentioned
property. Currently the zoning district is R2 which allows one and two family residenses.
I have concluded that you have the right to change the existing use of a doctors' office
and a single residense to a two family, provided that you have the ability to provide three
onsite parking spaces.
;Since
Peter trout
22 Chestnut St.
Salem, MA 01970
October 27, 1993
Mr. Leo Tremblay
Building Inspector
City of Salem
One Salem Green
Salem, MA 01970
Dear Mr. Tremblay:
would you please determine whether the medical practice of Drs.
Alexander, Cohen, and Goldenberg, which operates at 24 Chestnut St.,
has obtained all required variances and permits to operate in an R-2
zone. Assuming the building is sold, can the new owner operate a
business that occupies the first floor of this house as the current
business does? Thank you for your assistance in this matter.
Sincerely,
Craig Barrows v
VY
Nina Cohen
Alp -7 le V' -7
-' CITY OF•
SALEM
PUBLIC PROPERTY DEPARTMENT ,
FRANK DIPAOLO
L CAL BUILDING INSPECF _
Tel.745-9595 EM.386 -
Fax 978-740-9846.,`✓,-r 7i7 120-Washington Street ,
V
VJ
0024 CHESTNUT STREET /N3-2002
cis#: 11459 COMMONWEALTH OF MASSACIt. �JETTS
Map: , :..r 25 Block: CITY OF SALEM `—
_ .
Lot
0225-20F `"
ateg F 434Rng. -� �t BUILDING PERMIT
Category. `':' 434 ResidenhaLadditi
Permit# 493-2002 s '
Project# " IS-2002-1177
Est.Cost: $7,000.00
Fee: $47.00PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: HOMEOWNER
Lot Size(sy. ft.). 5328 Owner: COHEN LAURIE R
Zoning: R2 Applicant: HOMEOWNER
Units Gained:
Units Lost: AT. 0024 CHESTNUT STREET
ISSUED ON: 28-Jan-2002 EXPIRES ON: 28-Jul-2002
TO PERFORM THE FOLLOWING WORK:
Remodel 1st floor kitchen&bath.Drawings submitted. T.J.S. .. -
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: - Service: Meter: Footings:
_ r r Foundation:,
o 71 Rough: JF��IQ� House# o_�
8, ` 1 Z _ Rough Frame:. a
Final: { _A O Final: � 6� Fireptace/Chinmey:
K
\\ / 0 yy�h
Insulation:
Gas Fire Department Board of Health Final: '?— 2-3—o a.
O K-
Rough: Oil: Treasury:
Final: Smoke: Excavation:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEMuiVI%ATION OFA
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2002-001246 15-Jan-02 725 $47.00
Upon call
745-85c95 Ext. 385
GeoTNISO'-
c
4
• M
CITY OF SALEM
BUILDING PERMIT
Certificate No: 493-2002
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Permits
This is to Certify that the RESIDENCE located at
_______""______Dwelling Type______--"__"__
---- --------------- -- ------ -- in the CITY OF SALEM
-------------------
Address ______"____"""_____"____ _"____"_"_____
TowNCity Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
24 CHESTNUT STREET
This permit is granted in conformity with the Statutes and ordinances relating thereto,and
expires -- unless sooner suspended or revoked.
Expiration Date
_
Issued On:Thu Jul 25,2002
-------------------------------------------------- ----
------ --
---- ------
--
- ------------
GeoTMS®2002 Des Lauriers Municipal Solutions,Inc. '
7ted
002
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Permits
ertify that the RESIDENCE located at
-.""_"__"---"__"Dwelling Type___-_"___-_"__""_-
in the CITY OF SALEM
------------ --- ---------------------------
Address .---"_-"_"_-"_ _"_ _ _TowNCity NameY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
24 CHESTNUT STREET
it is granted in conformity with the Statutes and ordinances relating thereto,and
expires _ _ _ unless sooner suspended or revoked.
Expiration Date
------ --------------------------
Issued On:Thu Jul 25,2002 __ _ _
---------------------------
------------------
-------------
--------------
eoTMS®2002 Des Lamers Municipal Solutions,Inc. ""--""----
Citp Of &aiem, AlA!oarbuatto
3public 3propertp ]Department
3iiuilbing Mepartment
One 6alem Orem
(978) 745.9595 Cxt. 380
Peter Strout
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
5/20/01
Mr. O'Conner
Re: 24 Chestnut St.
Salem, Ma.
This letter is in response to you inquiry of the legal status of the above mentioned
property. Currently the zoning district is R2 which allows one and two family residenses.
I have concluded that you have the right to change the existing use of a doctors' office
and a single residense to a two family,provided that you have the ability to provide three
onsite parking spaces.
APeter
out