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70 VALLEY ST - BUILDING INSPECTION (2), �. The Commonwealth of Massachusetts ,/� ��g � Board of Building Regulations and Standazds CITY -'\J �\p�/� Massachusetts State Building Code, 780 CMR, 7`"edition OF SALEM ` �u�y Revised January }� Buildiug Permit Applicatio�To Construct,Repair,Re�ovate Or Demolish a l, 2008 � \ .(� One-or Two-Family Dwelling . . J ,('Y� � = :_� �� ;:� ��_' ThisSect�anForOffic�alUseOnly a = ' k ' �- � a� � o � � �� Bailding Pumit Num � � r�° Date Appl�ed. i� v t. Signature '�� ` %" � .. `� ��` � �� e . �y � 'T�� _ 1 � , � ;.��;,,a a.'. ,Butl � g ownissionerl Tnspector of Buildings i '��; .�a:.:.. .. Date �` � � v-:�w x,, ,� �,::r � ` '.._��. rY W�� , � m.. . ?�. : .. .,. .�.;a�W23.. ..`,;;SECTIONI:SITEINFORMATIONr.�� n�; . ,_ ° �,a..,'""�';� ;-i: ,� � 1.1 P�er�Add�s�:�i�� S� �1,2 Assessors Map&Parcel Numbers CJ �, i l.la Is this an accepted street?yes no I Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: .� Zoning District Proposed Use Lot Area(sq k) Frontage(ft) 1.5 Building Setbacks(ft) , Front Yard Side Yards Reaz 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: Pubiic❑ Private❑ Zone: _ Outside Flood Zone? Municipal O On site disposal system ❑ Check if yes0 r ;+`ir,,.`. � �.::� "','�. „ ,r„ , 'tSECTION2: PROPERTYOWNERSHIP', '' ' ' e�.� r M /' . . �r.,.. , . , .� _.. � ...a ... ,..,... .. 2. �ner' f ec 1 . i ��f�fG 7� //�(/-2V l��FCI Na P ' t) �_ Addresys�for^Service: C�'' Q( (/ � �� //�Da Signat te Telephone __ � i ��::' ;SECTION 3:DESGRIPT[ON OF PRpPOSED WORKZ(check�all that�apply) ,t„ - ' ,; � r fi:,, ..__„ f ..e., ., w New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) O Alteration(s) ❑ Addition Demoli[ion ❑ AccessoryBldg. ❑ NumberofUnits Other ❑ Specify: . BriefDescrip[ionofProposedWorkZ: P � L�l f ! �� ; r z i`a� }�;.'� -� SECTION 4: ESTIMATED CONSTROCTION COSTS � ; �''_ � ''`` � � � Estimated Costs: �'^ `` �. � -� �item �� ; -- Offic�al Use On( �� r Labor and Materials ��, -�,�� , 'r _ ,�. � � - -. " ` ,�'� 1.Building $ �(t 1: Building Permit Fee $ w ;�.�� Indicate how fee is determmed. ��. ❑Standard Ci{y/To'wn AppLcation Fee , ,� 2.Electrical $ . � � , 3 . .. • '� � `w ❑Total P�ojeet CosC.(Item 6)z'mult�pl�er="�� =x z•& � 3.Plumbing $ " .� 2 �OtherFees $ _ 3�, �, � � s � " ' 4.Mechanical (HVAC) $ L�st � °� �, r � '� � ` :� -.�.. ,' '� � .. ,r ir r 5.Mechanical (Fire �""' �' �� '� a :_ � � Su ression Total All Fees $ . a_3 n � s t i .: ,�r `'�` I tr ry Check No = �Check Amount �'Cash Amount �: s;`,' 6.Total Project Cost: � '�F Il � �-?: =O Outstandin Balance Due. "s= �=:;' � �U` � CJ Paid m u _�...., . g � � 1� . � r,�� - ��1 °., ";�' �' �k„a "��13��=; ,.,,, _. SECTIONS: CONSTRUC'CIONSERVICES.:� ,w �, ..;;�' ' : .� _„�, W,._�' �... . 51 �Licensed�Construction Supervisor(CSL) License Number Expira[ion Da[e Name of CSL Holder List CSL Type(see below) ...... . . ... .. . . . . ._.._. Address -;Ty e � �+n .�:„� ., 7,�:�.';.Descri�tron ?^,� � U Unrestricted(u to 35,000 Cu.FtJ R ResVicted 1&2 Famil Dwellin - SignaNre M Mason Onl � � RC Residential Roofin Coverin ' Telephone WS Residential Window and Sidin � SF Residential Solid Fuel Burnin A liance lustallation D Residential Demolition 5.2 Registered Home Improvement Contractor(AIC) HIC Company Name or HIC Registran[Name Regisvation Number Address . Expiration Date Signature Telephone ... . . � _..0 .._ m..�_- � , � �� SECTION 6 WORKERS',COMPENSATION INSURANCE AFFIDAVIT(M G L:�c:152 § 25C(6)) �� ,aM R � ... iFj[. .....,......,, m.... . ..........��r,.. ..-.. . .:... . .:. ._....� .e.....: ... Ya,'c . ... _,. . . ... . .. .... . .:..: .. . . �.... . .. . .._. . . _, .. _. Workers Compensa[ion Insurance affidavit must be completed and submitted with this application. Failure to provide� this affidavit will result in[he denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... ❑ No........... ❑ SECTION 7a: OWNER'AUTHORIZATION TO BE COMPLETED WHEN '�.� , � � E � ; '�` , OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERM[Ta� �a.. .'..` �re.m�a.�;z. . A.�:� T, , as Owner of the subject property hereby authorize [o act on my behalf,in all matters relative to work authorized by[his bailding permit application. � Si ature of Owner Date ',r�'..�.�, ?;� �;��!�%��SECTION 7b:OWNER',OR AUTHORIZER AGENT DECLARATION�,�..� '. �: . .. �'�°�r. l� I� ��'� � as Owner or Authorized Agent hereby declaze � that the statements and information on the foregoing application are true and acwrate,to the best of my knowledge and � behalf^ ^ �� zo� p�� 3 � Signa o er uthorized Agent Date Si ed under th ains and enalties of e 'u � ,.,..,1� �Si..�«� �€'��.�:. n;-�d _ ,a:`a... ��i :�, ,�. . ; ,. �;. :.,.NOTES °_ .-`�`�"' c„ �F� ;;� �.,�, �� .c.: . . �:* . ..':i.;'.', 1. An Own r who obtains a building�permit to do his/her own work or an owner who hires an unregistered confractor (no[registered in the Home Improvement Contractor(HIC)Program),w�ll not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program and Construc[ion Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.R6 and 110.R5,respectively. 2. When subs[antial work is planned,provide the information below: Total floors area(Sq.Ft.) (including garage,finished basement/attics,decks or porch) Gross]iving area(Sq.Ft.) Habitabie 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 CosP' I -- CITY OF $.�I.EM ;' - �� PUBLIC PROPERTY �� DF.PARTMF.NT KllOIF111sY�vw•ry� �� 13p W,�w��q+S1w�t�Sur��Iwa�u�userrs 01970 7FF1:97l-7�i959S� Fnx:97l�T�10.98i6 H�MEOVWER LICENSE E?tE.vIM'ION Ptease Prine Date � � JobLocation � 1�0.��e S`f' S�.�co1 vtF1 0�9'a-e7 Home Own�Addreas �o Ua 1e �i�j Home Own�Telephone Present Msiling Addrees Ualk� .Sfi Sakr�� /h/� 47�� The cuaent exempdon of"Homeuwners"wae extended to include owner-occupied dwepings of two Units or less and w allow such homeowners W engage an individual for hire who.doa not possess s ticense.pmvided tdat the ownar acti ae suparvisor. DEFINTI'ION OF HOMEOWNER Persoa(a)who owns a parcel of laad on whic6 hdshe reaides or intends w reside,on which there ie, or ia intended to be.a one or two family dwelling. attached or detached structurea accessory to such use and/or fazm structures. A person who constructs more thau one home in a two year period shall not be considered a homeowner. Such "homwwnd'shall submit w the Building O�cial,on a foan acceptable w the Building , Ofl'iciat, that hdshe be responsible for all such work performed under the Building Permit The undersigned"homeowner"assuma responsibility for compliance with the State Building Code and other applicable by-laws and regulations. The undersi�od "homeownd'certifia that hdshe undeistands the Ciry of Salem Building Department minimum inspecdon procedures and requiremrnts and that hdshe will comply with said proceduca and e�u' t HOMEOWYERS SIGNATURE �f C .+►PPROVAL OF BUILDING INSPECT See other side for state code Crr�t oF S,�.EM PUBLIC PROPRERTY DEPAR'I'�IENT ..u�W�i er� w�:.��i ��"•� t�vr.w w::�►5aect�3��:�.�L�.cu::u.�na::ar. Ta:9ri7+i•�S9! �F.�x:97Wi69�K Constructioa Debris DisposaC .�lttidavit (requireJ fix all demolitioa aud rawvation wodc) [n ucorJaace w ith tha �ixth editioa ot the State Buildia�Codq,�30 C'A1R saction t l l.3 Debris,u�d the provisioro of.LiGL e 40.S 54; BuiWina Pecmit N _ is iswed with t1r¢onditioo chat the dcbris resultins�om �his wuek shall be disposcd of in a properly liaensed waste dispo�l faeiliry as detined by�lGL¢ �i�, s �so�. rne a��. W;u � u��oKea by: ---- �iu,ne oe hautu) fhc:lcbri� wili br disposed uPin : lu:,me ut i�:il�ry) — �+J.:rc.. ot YxiLty) � . �/?±L�1/ `�---- --- ��:..�fYi:�i[ �.Cf1l.3I+�:jI.IC.1.0 / �� - ..�� - .. , - ., � , 3�-g° � ��, � q New Landing and sfairs \ !0 2nd floor Q Sewing & Cra'+.s .rz'�.o�'ED U l U Exis�ing 3�e�ct to approval by a.y c:?::�r Room ExisFing au:h�rit:;havfagj:sis�iction. Living room i New wall under skai Bedroom CIT� oF SA��2�,P�;, �� and up to ceiGng gT�+.�IDv �'FSd�Pd L eT_�'-'9U sY �r :�..��dse� PLA":?R9E APPROVEDSOI,ELY F.QR'i�rz7 i„�w\T�;:C F i!FE AND L'JCATION 0�'P18�R9i7��^"'+ ['=JiCE3. I � . f`l FiRr pRCTECTIOM1'DEVI.eg;o_:g�<�gp7't'0 A I � Remove W0�5 I .^.L'I f57 AND INSPEC7��N�FOR CO(nPi.Ei-L�^n'"it- Ai.c�YlITh;T4�ElRECODE. � " . ________ _. ______ I �iG. �G I ;- � � C Exis�ing ' r Kifchen Exisfing � :-- Exis'ting Bedroom Colberf Residence �� Bafn 7B Vailey S�., Salem, MA ls� Floor Plan Scale 1/4" - 1' �� . � j �' � 34'-1 1/2" ' 27'-5 1/2" 24'-11 1/2" , 22'-7" 19'-1 1/2" �12'-1 3/4" 7'-4 I/2" 2'-7" 7'-1' Bedroom 1 � Office Walk-in 10,_�. 11'-4" � Close� �2,_� vz„ �J� � 19'-7 I/2" 3'-2" 21'-8 1/2" 2'-1° 26'-3" ��• I "",(,�- 3,_Z, 8'-2°--I � 8" 0 4' /2" MasFer Bedroom Bedroom 2 9'-10 1 O 11" � I-- 9'-10° Colberf Residence ,a--»� 15'-10 3/8" 7� Valley 5free�, Salem, MA z0'-4 3/8• aa�-„• Plan 2nd Floor Scale 1/4" - 1' 27,_y. 29'-9 1/2° � x�� , � . . � �_! � � Proposed Addi}ion � � � � � . Exisking� � � � � i �� Colberf Residence �� 7B Valley Sf., Salem, MA �� Scale 1/4" - 1' �� , � . '": � , � _ � Proposed Addikion Exisking � � Colber� Residence ' 7� Valley Sf., Salem, MA Scale 1/4" - 1' , , a8 ❑ ❑ Proposed Addi}ion 12 ae � o Exis}ing Colber� Residence 7� Valley Sf., Salem, MA Scale 1/4" - 1' , � , � , � � � Proposed Addi�ion � � Exis}ina Colberf Residence . � . . . . " . . " . . � . . " . . " . . � . . " . . " 7B Valley S�., Salem, MA . ,� . � _ � . - � . - � . � � . - � . � � . � _ � . � � . � � . Scale 1/4" - 1' . ' ' . ' ' . ' ' . ' ' . ' ' . ' � , ' ' . ' ' . ' � , ' . . Roof 2x10 rafters 1/2" CDX plywood sheafhing Ice 8 Wa�er a} bokfom 3' w/ roofers feR on remainder 30 yr lamina�ed roof shingles 2x10 Ceifing joisks 16" OC R-30 fiberglass insula�ion 26'-2" 7'-9" Exkerior walis 2x4 5�Ud5 R-13 Fiberglass Insulafion 1/2" CDX plywood Tyvek Housewrap and Vinyl siding 1/2° plasker board w/ veneer plasker Boise 14" AJS 25 MSR I-Joisks Spaced 16" OC I Colberf Residence 7B Valley Sfreef, Salem, MA Sec�ion 1 Scale 1/4" - 1' 2x10 roof raf}ers, 16" OC Roof pifch is 8/12 3_1/2° x 14' x 13' Versalam Beam Boise 14" AJS MSR I-Joisks Spaced 16" OC 3/4" T86 Advan�ec subflooring � � ❑ Colber� Residence 7B Valley Sfreef, Salem, MA Sec�ion 2 Scale 1/4" - 1' :. , . . 3_l/2" x 14" x 13' Versalam beam 6oise 14" AKS MSR I-Jois}s Spaced 16" on cenker Colber� Residence 7� Valley Sfreef, Salem, MA 2nd Floor Framing Scale = 1/4" - P 20'-3 1/8" 21'-8 5/8° {. � . 2x8 firsk fbor roof rafkers 16° on cenker 12" overhang for soffi} 2x10 roof raf�ers 16° on cen�er 2x12 ridge board Colberf �esidence '� 7B Valley S�ree�, Salem, MA IZoof Framing Scale 1/4" - 1' . , ` Q The Cummonwealth of Massachusc�ts j� —' Board of Building Regulalions and S�andards Town of Nassachusnus State Bwlding Code, 780 CMR, 7'"cdition � f \�v �i� BudJing Depl �� Bwlding Permit Application To Construct, Rrpair, Renovate Or Demolish a � � One• or T�ro-Purnil�'D�rrlfing is e � n For ORcial Use Onl Bwlding Perm�� umbe Date Applied: Signaiure: �� v BuJdin�{Co is ioned In o dings Date SECTION 1: SITE IIVFORMATION I.I Property Addresf: 1.2 Assesfon Map& P�rcel Numben � rH l� S�eT I.I a Is this an accepted street''yes ✓ no Map Number Parcel Number �.� ZoninQ Informatlon• 1.1 Property Dimemianr. R-2 �-2 Zoning Dis�nc� Proposed Use Lo�Area(sq Il) Frontage(R) I.S Buildin`Setb�clu(R) - From Yard Side Yards Rear Yard Required Provided Requircd Provided Required Provided 1.6 W�ter Supply:(M.G.L c.a0,S54) 1.7 Fiood Zooe In(ormilloa: 1.8 Sew�Qe Dlspo�sl Sy�tem: Public❑ Priva�e❑ Zone: _ Ouuide Flood Zone? Municipal O On site disposal system ❑ Check i( es0 SECTION 2: PROPERTY OWNERSHIP� 2.1 O� ner�of Reeo�� . � �� „�rr �e^. �X. �� D v 11� �r�ov� .�tirr..,� Name �nQ Address Por Service: _ � • �178 �07 Ca53 7 Sig at Telephone � SECTIOIV J: DESCRIPTIOIY OF PROPOSED WORK�(check 11 that apply) New Conslruction O Existing Building O Owner-Occupied ❑ Repairs(s) Alteration(s) ❑ Addition O Demolition ❑ Accessory Bldg. O Number of Units Other O Speciy: Brief Dexription of Proposed Work�: I1/00 '� . SECTION�: ESTIMATED COIVSTRl1CTIOIV COSTS '��m Estimated Costs: Oflleial U�e Only Labor and Materials I. Building f � 6'�f"p , gp �� Building Permit Fee: f Indicate how fee is determined: ❑S�andard CiryiTown Applica�ion Fee 2. ElecMcal - f O Toul Project Cost�(Item 6)x mul�iplier a J. Plumbing S 2. Other Fea: f 4. �lechanical (HVAC) S List: 5 Nechanical IFire 5 Su ress�on Toul All Fees: f � Check No. _Check Amoune Cash Amaune_ � b. Totrl Project CosC S � �Q pp ❑ Paid in Full ❑Ouu�anding Balance Due: � SECTION S: CONSTRUCTION SERVICES " S.1 Licensed ConstrucUon Superrisor�CSL) •• .. L�.cnx�umbcr Espvauon Da�e N;�roe ul CSL HplJer Lial CSL Typt�,ca brluwl • T� Descn uon AJJrcss U Unresmcled u to)5,000 Cu. Ft.) R Resinctrd I&2 Famd Dwel6n 5ignalure N Atason Onl RC Rcvdrnnal Roofin Coverin Tclephone WS ResiJennalWindowandSidm SF 0.esidemul Sol�d Fuel Bumin A liance Insullauon D ResiJenual Demoliuon S.3 Re�f�tered Home Improvemeot Con�nctor(HIC) HIC Company Name or HIC Registram Nune Registn�ion Number Add�ess Eapira�ion Da�e SignaNrc Telephone SECTIOIV 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.� 15C(6)) Worken Compensation Insurance andavit must be completed and submitted with this application. Failurc to provide this atTidavit will result in �he denial of the Issuance of�he building permit. SigMJ AffiJavit Altuhed? Ye�.......... O No........... O SECTION 7a:OWNER AUTHORIZATIOIV TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT v � , as Owner of�he subject properry hereby aulhonze � to act on my behalf,in all matters relauve work a rized by t ' buildin pertnit application. �— / 0 Si na wner Date SECTION 7b:O R� OR AUTHORlZED AGEIVT DECLARATIOIY �, � /�� vN"!/ , as Owner or Authorized Agent hereby declare that ihe statements and infortnation on the foregoing application are true and accunte, to the best of my knowledge and behalf. � � Ytint N 8 / Q Signatu of nw or A thorizedy4'gmt Da�e Si ned nhe ains d nal'tiesof r�u NOTES: I. An Owner who oblains a building pertnit to do his/her own work,or an owner who hiree an unregistered conuactor (no�registered in �he Home Improvement Contractor(H(C)Program), will�have access to the arbitration prognm or guaranty fund under M.G.L. c. I J2p. Other imponant information on the HIC Program and Construction Supervisor Licensi�g(CSL)can be found in 780 CMR Regulations 1 IO.R6 and I IO.RS, respec�ively. 2. When substamial work is planned,provide�he in(ormation below: To�al floors area(Sq. F�J I including��garoge, finished basemenVattics,decks or porch) Gross living area ISq. F�.) Habiiable room count ��'umber of firepl acee V umber of beJrooms Number of baihrooms Vumber of halGbaths Type of htaung sysiem � Vumber of decks/ porches Typeufcoolingcystem Enclo.ed Open 1. "To�al Pro�ec� Syuare Foo�age" may M1e.ubs�imied for"Tmal Pro�cn Co.Y' �L ' � ' '� CITY OF SALLM ��' '�' :,.. I;� ,,�; PL!BL1C PRc)PRERTY ;� . ::.',� >.,.,• DE('.�IZ"f�L1ENT �•� �' L': U �.�r.•.�. ,��.�..:iil � �ui ��. \I��.�� . . � .I�� . � I i i •i•r.-�:.v:.,: � I �� .'� v: ��;�,. ('onstrurtiun Ucbris Uisposal .-�t'tid:nit ' (rryuirc� liir all ��nwlition anJ rrnuc.�uun wurk) In :�crurdancr ��i�li �hc sixd� rJition u(thc Slatc Duil�ing Co�c, 7JU CM1IR s�ctiun I I 1.� Dcbris, und thc provisiuns uf'.ti1GL c �0, S 54; , > � v' i• cb is resullin from DuilJiny I rimil M is issucd � uh Ihr ronditiun th�t U � d r g this work sh:ill br di,poscd uf in a properly IicrnscJ wa,te ilispos�l lacility as d�fincJ by MGL c 1 I I. S I SUA. Thc dchris ��•ill bc Iran,portcd by: ; • - �i�� Ll/(/IY �/�v� I namc ol'hauler) I hc J�bris will bc Jisposed uf'in : _ /��r�� (nainC ��1 I��u ily) I.��Idre�� u(I-,lcihlV� � . � � � .� • JIUK � I �Ii11I111 ��INJ� 8/1/� .� .. ' ° ' ' CITY OF S.�I.E.�i ' ' PUBLIC PROPERTY DEP�IRT'�fENT �u,uruar,,•�•••�� w"O� i 3o w�uru.Tou snFsr•suuti Mna�ntiar,s o»-o 7�L 9'�71�7S9S�F.�lt 9'L7�69N� � HOti1EOW�1EIt LICENSE EXE.rIPTION ptew rr1.t � $ z v9 1ob Locatios G T .JA'Gd/�/ �1 p' 0�9'10 Home pwner Addrea� d O Home Owns Telephon� o rm�nc�s waa�,. o "Cde current exempdon of"Homeownas"wa�exta�dad to ineluda oanar-0eeupied dweUing�o[two Unitr or Iw and w allow such homeownen to mgage an individual for hira who doa nat poaia�s ticense.pmvided that the owmar acq ar auparviaor. DEFIIJITION OF H011�OWNER Penon(s) who owns a p�el of land on whic6 hdahe raida or interd� w redde. on which thera is, or is intended to ba, a one or two Camily dwellin� attached or detached suuctura accessory to euch uae anNor Carm �tructurea. A penon who comtructs more �haa one home in a two year peciod shall not ba considerod s homeovmc. Such �•homeownd'shall �ubmit to [ha Buildin�OfHcial.on s form aeceptable to the Building p@ieial� that he/ehe be reaponsible Cor all auc6 work perfocmed uader the 8uilding Pamit The undmi�ed "homeownd'auuma responsibiliry for complianee with the Stata Buildin�Coda and other applicabla by-law� and rogulations. The undmigned "homeownd'certifia that hdshe undmtandt the City of Salem Buildin� Deputmrnt minimum inspat' proc ura and requitemrntt and thu hdshe wiU comply with said pracodura and ir a. � HO�tEOWYERS SIGYATL'RE ' � .aPPROVAL OF BUILD(�1G 4YSPECTOR Sce other side for state code