Loading...
56 WEBB ST - BUILDING INSPECTION The Cummumvealth of\(nssaehusetts Board of Building Regulations and Standards C(Cy OF assachusetts State Building Code, 730 CWR SALE ti(tbl Building Permit Application To Construct,Repair, Renovate Or Demolish a Ravfser!Mar 101! One-or Tivo-Family Uvelling this SectionFbrOfficial UsdOnl.. Building Permit Number: Date Applied Building Official(Print Naine) W G $tgnaiure Date SECTION l:SITE INFORMATION I��part A dreS6 .5T 1.3 Assessors Map& Parcel Numbers L la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: L4 Property Dimensions: Zoning Disuict Proposed Use Lot Area(sq R) Frontage(R) 1.3 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided ' 1.6 Water Supply:(bLO.L c.40,§34) 1.7 Flood Zone InformaHoa: 1.8 Sewage Disposal System: Public❑ Private❑' Zone: _ Outside Flood Zone?Check if yesCl Munlalpel❑ On site disposal system ❑ 5kCTION2,PROPERTIdOWNERSIIIP!'': , 2.1 gwnerlof ecord:Name Pnnt &aa dL. � L - '�'� 67 City,State,ZIP' No.and Street Telephone Email Address SECTION 3: DESCRIPTION 0E PROPOSED WORKt'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessary Bldg. ❑ Numher err nits IOther ❑ Specify: Brief Description of Proposed Mrk : N e.U O r g SECTION4: ESTUNIATEDCONSTRUCTIONCOSTS rtem Estimated Costs:Labor and OfRelal Use Only. ;Materials I. Building 5 1. Building Permit Feo:4 Indicate how fee is determined: r. Electrical ❑Standard.City/rown.4pplieationFear. ❑'funk Project Costr(Item 6)x multipl(er x ). Plumbing S 7. Other Fits: .3 1. M-0111nic.11 (IIVAC) S List:. \Iccimnic.tl (fir•: 11) — -- S — .- Ibtal All fees: 3 flack iNo. _Cltaee,Auwunt: ash :Amount l „tul Project ( 'oat s 4 y3, of I l] I',ii,l in I_nll ❑rint;tanJim� 1411:11:ca 01w — -- � SECTION 5: CONs'racrION SERVICES 5.1 Constntcliott Suliervisur License(CSI.) — — f LLicense Number Grpiratiuu Uuro a n me of CSL I loldcr List CSL fypa(see below) ,S e ✓ Type Description No. and Street U UnrestrietcJ Buildings uP to 33,000 cu. tt. R Restricted U2 Hind Uwelliu Cnylfw Slata,ZIP Il \Ltsonr RC Rootin Coverin \yS Window and Sidin SF Solid Fuel tlurning AP liances .r r n [ Insulation � Email address U Demolition I'ule hona 5.2 Registered Hosne Improvement Contractor(11(C) 2 n/ I L I I I i ryt at Q H gl I3 fIIC Registmtlen Number Expiration Date C Cut any Nun a or ll C 114 mtt Name Email address -an trees b t /To State 'LIP Tale hona SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(NI.G.L.c. 152. 1 25C(6)) Worker 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 0 SECTION 7a:OWNER AUTHORIZATION TO BE CONIPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT {� a f, as Owner of the subject property,hereby authorize lli� l )e� 1 1.to act on my behalf, in all matters relative to work authorized by this building pa t application. ��L7 Date not Owner's Nnmt(EIC t�nw Signature) SECTION 7h: OWNER' OR AUTHORIZED AGENT DECLARATION penalties of perjury that all of the informatiult hest undo the gins and pen p J rY By entering my name below, f hereby a P contained in this application is true and accurate to the best of my knowledge and understanding. L z,4A- )/2/�3 _ T/ Print owner's or Authuriecd:\gcut'(aYune(ueetrwtie Signature) D,na Non& F-o An Owner who obtains a building permit to do hivher uwn work,or an owner who hiresan unregistered contractor Glut registered in the limn: Improvement Contractur(HIC) Program), will n,t haveaccess to thearbitrationrogram or guarunty tiutd under MAI L. c. 142A. Other important infurmatiun un the H[C Program can be found at nruwocalutormationun theCunstruction SupervisorLcan ba Found atb'hcn substantial vvoh is planned,provide ihanvrmtiun beluvv: Iloor:trca(a,l. lt.) ._----- _(inchtding gartga, finished bascmenV;utics,decks or porch) (iro:c living area(a Vumberl. 11.) f innher ufbcdrn0nns o nt count nn `Inntbcroftircpha c; ._-- __. -__- .-_----- Vuuihcroth.tdtnanrts luuthcrofh.dfb.0 s -. . .--__ --- (.iw,�(h;.uim; ;y;icin ---- --- Xninbcrnt,lce6;;Iorcltc+ - --- Pndo:cd V ' t l'•,Ise��t ianilpa :y,lew _ --- - .- � � I.�i it 14q. et � pi m: P� ,f r;r" w.tv he cuh,ti�ut�,l Gar 'I •�.d I'ny:�l t'.�•I' v I ,.,•, ,,� ,�► CITY 06," , 155 iCHLS ETiS { (j01'U.13HLVGTO,Y STRSST, 3ia p'(,OO.t T'2L(973) 71'5-9595 XIMOUr Y MUSCOLL FVC(978) 7•10-91" AMA 11103,U Sr.P1ER" Df CCOROFAI of1CPROPE9TY/aCtLO4VOCO1LUISSIO,YER Construction Debris Disposal Aftldavit (required for ail demol(tiun 'd n nuvition work) In accardanca %vith tilt)sixdt edition of the State Building Code, l l l Debris, mid tltepravi.viuns oeb(CL a 40, S 54; 780 C,bfR section .3 ©wilding P iall b o is issued with the condition that tha dabris resulting from this wur!c sha11 be disposed of in a properly licensed waste disposal rauility as dt)tincd ul ,ng from c l l 1, s t sn,�. The debris will be trnnsportcd by; �I1JIO0 0�144t1'I The Ilubris will bu disposed of in ; (nnnm u(Llcdily) II ,1V -� /icJa� , IIh'esa ai LI.i6 ,) i�naulre o(parmit.Ipplic.mt CITYoF5 ♦LG tf, lN/Ll``J i LCH J TTs ,•!„��j ()' QCtLD4YC DEP.IATJtE+`iT bw.r IiHt:rcTav STctFst, 3 O FYao t yam' 1I.t(973) 71'3.9595 1QROE'quY OWCOLL F1-%(973) 7.1&9344 ;,Uro;t -t�to�t •pt� Dt1ECt'ARUFpt;OLl�pR ER7Y�8CtLD4V0003lSt15�lO.VEA Construction Debris isposal Aftldavit (rcyui ' for all demalitiu :utd ronuvatlon)yolk) (n accurdanco with tha si.rth editio arthe Sta a Building Coda, 11.3 Debris, :uid tha provisiuns of&(CL a 40, S 54; 730 CM section l ©wilding permit 4i issue with the condition that the debris resulting from This wur!<shall be dispuscd of in a pruperi lice sad wasta dispasal faullity as daBncd by ttifGL a 3 1JOA. 1'hu debris will be trnnsparted by; b1amn ut'hauler) 'i'he dubria will bu dispo.ed ut'in -- (name of t'tcdit%) itiuerc ii u �• mir dpplir.mt CITYOF' SA LEM N r ti , LrLi5S�1CHL5ETTS F{ I!01'y13HLVGTO,YSTZEE7', 3 F'tOOR 1'FL (973) 713.9593 1Q UO ERLEY O(uSCO LL R1x(973) 740.9344 �,Ci YO;t i�tOS6W ST.(hE tllg 1)1ASCTO3 UP?COLIC PROPEQTY/at:MnLYC COSLti(159tO,YER Construction Debris Disposal Afflduvit (required toe sll ti malition Ujid renovation work) to ucconlanca with tha si.rdt edition afthe State Building Coda, 130 CGb(R saction l l 1.3 Debris, uid the PcOvi.-lion3 of tb(CL a d0, S Sd; Building Permit 4 is issued with the condition that the da419 resulting fmm this Svur!<shall be disposed of in a properly licensed waste disposal facility as daHrtcd by ,L(CL a l l 1, S I SOA. The debris will be tr nspartcd by; G (n�roa ut'haulur) The debris will be disposed of in t (nanta nr ticilily) I� ,i•4u�mra olpcnnit.ipplie.uu " CITY OF S.uELVI, l�I�- sS IcHusETTS BLILO .NG DEPARTMENT 120 WASHINGTON STREET, 3"FLOOR �dse TEL (978)745-9595 F.ux(978) 740-9846 KIN IBE1tLEY DRISCOLL MAYOR THODtAS ST.PmRRH DIRECTOR Of PUBLIC PROPERTY/BVILDING COJMISSIONER Workers' Compensation insurance Affidavit: Builders/Contractors/ElectricianstPiumbert Annlicant Information Please Print Legibly N:lmc(Busitxua,OrganiraliorvIndividual): Address' City/State/Zip: Phone M: Are you an employer?Check the appropriate box: Type of project(required): LEI❑ I am a employer with 4. ❑ I am a general contractor and 1 6, C1 Now construction employees(full and/or part-time).' have hired the sub-contractor 2.❑ I am a solo proprietor or partner- listed on the attached sheet 1 7• ❑Remodeling ship and have no employees These sub-contractors have g. 0 Demolition working,for me in any capacity. workers'comp.insurance. 9. 0 Building addition [No workers'comp.insurance S.'❑ We are a corporation and its, reyuircel) officers have exercised tbeir 10.0 Electrical repairs or additions 3.❑ i am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c.,152,41(4);and we have no 12.❑ Roof repairs insurance required.)1 employees:[No workers',_ lJ.❑Other comp;insurance required,), •Any apptkam thus checks box s I most also fill out IN section below showing their worker'compmsartoo policy infurmnalol, I hvneuwnem who submit this alydovit indicating they am doing all work and than him outride contmatcn must submit a new affidavit indicting such =C.mtmcmrs that check this box most anachodan additional sheet showing the name ofthes Isimotractors and thaltwurkers'comp,policy information. /am an employer that Is providing workers'compensaden btrurarree jot my emplotleds Below Is the polley and Job site btformaton. Insurance Company Name: Policy 4 or ScIR-ins.Liu.N: Expiration Date: Job Site Address, City/Statei2:ip: Attacb a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of VIGL c. 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the fort of STOP WORK ORDER and a line of up to S250.00 a day against the violator. lie advised that a copy of this statement may be forwarded to the Office of Investigations-ofthe DiA for insurance coverage verification. t do hereby certify ender the pules and peauldes of periury that the tnfonnutlat provided above is true and correcL ltenantro: Dam• Phone 1: OJJiciul use only. Do not write in this urea,to be corupleted by city or tows o lchat City or'rown: Permit/f.Icense Al Issuing Aulhority(circle one): _-- I. Board of Health 2.Building;Deparbneat J.Citytrown Clerk 4.Electrical inspector 3. Plumbing inspector 6.Other Contact Person: - PhoneB: [ tyf Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Speciattr —"- License: CSSL-100824 s W ELLL4,M J DELANGLS t.l 15 BAELEY STREET 0 SAUGUS MA 01406 � J.L.. .11 �¢. Expiratiod, • Commissioner 05/05/2014 Office of�sumer�Affair.&Busidess Regulation e i - OME IMPROVEMENT CONTRACTOR • e91stration 111129 xpiration 11I25/2014. DBA Type: AMER CAN DOOR WINDOW 8 INSULATION WILLIAM DeLANGIS` _ - 15 BAILEY AVE - SAUGUS,MA 01906 . Undersecretary THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S). JM /A� F DATA WAP Work Order North SI.ore C�a I mnity Action Programs,Inc. Job Number: 91!i 59 98 Main Sneer. Work Order:D:.::: -1.2/16/2013 Peabody Il4A.t11 - 1 Ownership:T;elller Phone:9 711-531- ! 0 - America:Door, ndow,&B:sulation Auditor:Brand a Dorriugton 1:5 Baile3 Avert11 Email:bdorrinl ::iwinscap.org Saugus A d:ar l Cell: 781-540 8! 0 Email:a 31-231!;! comcast.net Phone:975-531.11767 x121 Phone:7 it-23i 4 I Ann M p ichard! NGRID Gas 56 Webb Si �1;7d3:18 Appt.2 Total $2,743.18 Sis7e'tnM\D19'I? 508-397-398 landlord Nanit estG. Manzi Landlord Phone 1 8-852-:3973 ...�. To ,II'IPIL'WbIW „ 1 II ; `! ,r�I'I��,I!1 7LII I f I I! 111 i iill'I ry� ' , n,xmlllrvr II '11 h'�!I G i1!E�!Iv �' Il l;w ! ,fill l_ I a •Ill,! I, I�ld. i1�,1, 1, ll�lll�l�l,1� ;I� I�!�f,�dlililll���tl>i 81��lll�llli�llily,ll!i1�ll � , I ,.,gip,In Jill QQ���IIy,; ICltll � �.IL� ,rII�Ii11NIi N6�!�ii��l ' ����luN ll'llh�ll�� '�I� I�l� 1! �' I�II'r�ll�� if l� , lllll':� , : I III Ili � l'�' �IIII' I NI�� • 'l l( IlIp1M,�f#!"! jl'�!'11"' 1il!'" ,Il'1 ; , ;1M 1 $I` e',ii Auto:I!I Sweep ll $23.00 $23.00 1 $23.00 Repair t Door ! $52.00 $104.00 2 $104.00 Weatl a rvip s/Q-Im c $45.50 $45.50 1 $45.50 — i 11ry III . .'.111 l r'`all unnil �I II _.V'9 I I'l l 'i ' i,,,: �l I it ,,: l li If �,•, i l ,I l0 `;r'I I11 1'1' 1 }-I 1j14 ,t, I1Jl :h I_e lq r.!i{11!1 it Irvervenna �Nli.Iil11111Ni1i1111,�1111liiIIIi.IL.,V� 11111.IINi•INI,,,,.1�INII�NI!�IdNLi,N, Nih.IN�I'I I�� Iiilll��!h�9�l�rll �.���!Iadi � ���16N1� 1!I, ` !��u��i ,;l�ll! IIIIIIIkl11IIII� y udine. 1 $89.00 $89.00 1 $89.00 Exhacs tact IINP is lllilv6',I,ccu�nF 1 !I�IIP''Iil !•I ,I Ij II tim I ', I"i , , i i i• ! �r'gG l Ill I p1I Y� I'II lu;. I;I III l lu•�I',,�•11 1 I r n1 I 'l'lii 1 I!I 1! I11Y,!11 `III II!t 1h�i1 it"'t Ali li ""li Nii N,1 "t• Nii Ni.1F.l: it IIT � ��ill'I'I fll'0Pr',' �nllillf� „ �NI,I.IIIiIIII,IIC�nl�ll�lll',!011111IIIIIIIid,.i,I�NiIN�I�NII!ilhui6l!Il�tll NlNllil i�!;!HIN�ri��Tl�ll !�;I N!!!I pINI!il! �liN�1! hI � Dome!i water pipe vrap 6 $2.63 $15.78 6 $15.76 Hydro n I ipe iasula is n to I 30 $3.41 $10230 30 $102.30 **E S9'I YIATE MEASURE AND copper hi!R-5 _ CHAB I I.E** I1;!1I :.. .JI,_ IG ,r,is l.i.. Illl �li'i4, I'I';, ', h! Il,:� li i II Iltll ' vll'•I t111�41Nlilll 'I"' IiII41ll6 dl;l„ � -� NMI' -tl Ij dell �u,IIINNI�N1.:,..1I11eIfBllt11161��411fl.lull . !iIINlllltl!IiN!li!± �I�l!��hll!�NINI ���1111 ,N�IN�, iNNl�p�hl�ll �!!ui��hhili;�u�� II ���11h ��ll,N�'� �II�INGn� ,ii�il[n,',!��11a�� ll, Basenu sealing witI I Iwo-p: 2 $75.00 $150.00 1 $150.00foam - Date: I-. 1 '12013 Page 1 VAP Work Order: Job Number: 992;511 L, , II�II!�r�i!!��I�li�l� d I�'IIIIi�.I�II�INflI�I!NI�In9�� ICI Building :rmit - 1 $100.00 $100.00 1 $100.100 10,.1 1 I 118hil1101111111110111111.11 Iit IhP N hl �' �ill'I �Mi G�11111��'GI�i1 ���hl�rl,IN!(1iN�N Drill fit ti 6 patch plan er(den 168 $1.90 $319.20 168 $319.20 pack) Wood t I Id.:oar=/shak aslshiuy r 9ti0 7 $1.79 $1,718.40 960 $1,748.40 vinyl(t t 1 pack) Ill I���?; ,.I It fi lu'Pl i!!ilti!I!I . i81i� I'!li!II IeTlj�i!11!li p!IBltttl l!�!I!,I111hinl�, !l ,l'I nlCNdllhll l' "I Vdh'hii huh '! cliff! �hl��f plNi lh lh111111111i 1110'1!1L�l Top Sass .ick. 8 $9.50 - $76.00 8 $76.00 Total $2,743.18 $2,743.18 Contra a I h structim s: Before;i i ;ing_thc Job: During the Job: 1.Pleas:i I if'y us 24 It mrs bc.l: starting or scheduling a job. 1.Incorporate lead safe practice: t s applicable. 2.Obta r �,Iuited buile ing pert 2.Total for Heath&Safety a;'.d I l:paas cannot exceed$2500.00. 3.Davis Bacon time sheets requ,,11 for ARRA work on US Department of Labor Certi ire,I layroll Report Form WH-347. - Additit.t I C!ontral Instnu ns: - ___ . .._ ---• -- Attic Inspection form alta i l ted? Yes N/A Circe On'e Certif c; of Insulat nil post : Yes No (Circle One) - Amer:t: IDoor,Wit d1rw, i:: mlation hereby certifies that this job was supervised and comi:le::1 is compliance with all Depart : lit of Labor ;tmdan nd Lead RRP regulations. Conti a _sir St astur —__. _D!ate: RRP License I here i, .;:knowlege hat all l c has been completed and inspected. -----.--Date,Castan I r Signature:___. __-- - Page 2 Datt i 16/2013 WAP Work Order: Job Number: 99 Y;� Energy actor: __ ____Date:___ Fiscal Otficer: _ __ Date: FOR AGENCY USE ONLY - Pre Post Language Other than English needec ties No (Circle One) Dryer( O.CO __""'"` If Yes,indicate language: Stove C 0.(1) _ Occupany change in last 18 months? Yes No (Circle One) - H20'I:; 1 :"O 2.01) Comments: Heath! i stem CO LW Number of windows Ambi. i :9 0.00 - Number oftooms - Blown :::yr 0.0( - Date: 1 V2013 Page 3 ` 56 WEBB STREET 488-14 GIs#: 6708 COMMONWEALTH OF MASSACHUSETTS Map: 41 Block. CITY OF SALEM Lot: 0226 Category: INSULATION Permit# 488-14 BUILDING PERMIT Project# JS-2014-001090 ._ Est. Cost. $2,743.18 Fee Charged: $25.00 tff- Balance Due: $.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Expires: Use Group: ,.: WILLIAM DE LANGIS CONSTRUCTIO SUPERVISOR-CS SL-10 05/05/2014 Lot S1ze(sq. fr.). 4589.9172 - Owner: MANZI CREST G III,MANZI CATHY R Zoning � � R2 � I`r I,..�..,,`,:,_. Units Gamed: n ' 'Applicant: WILLIAM DE LANGIS Units Lost."�m _ ;,;d i»,..., `ar,: AT: 56 WEBB STREET Dig Safe#:e11 '�' " "s' ' ISSUED ON: 17-Dec-2013 AMENDED ON: EXPIRES ON: 17-Jun-2014 TO PERFORM THE FOLLOWING WORK: INSULATION&AIR SEALING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Building r.- Underground: Underground: Underground: Excavation: Service: Meter: Footings: ' Rough: Rough: Rough: Foundation: Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Health Insulation: Meter: Oil: Final: House# Smoke: Treasury: Water: Alarm: Assessor Sewer: Sprinklers: Final: eT HS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. I Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING RFC-2014-001090 17-Dec-13 6822 $25.00 GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.