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24 WINTER ST - BUILDING INSPECTION (4) Iv _� The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF 1 Massachusetts State Building Code, 780.CNIR $ALEM dMar Revised Mar 2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Tivo-Family avelling 'this Section For Official Use Only Building Permit Number: ` Date Applied.`. 01 BuitTling Official(print Name) Date.- SECTION 1:SITE'INFOR TI LI Property Address: 1.2 Assessors Map& Parcel Numbers a W—,144:e_t� :!5h, 1.1 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 ft) Frontage(ft) 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: 1.8 Sewage D' osal System: Zone: _ Outside Flood Zone? Public Private❑ Check if yes[] Municipal On site disposal system El SECTION 2:,'PROPERTYOWNERSkrPI- ` . 2. Oyv�gctrt of R cord: n� _7C) 124A th a .vli /✓( 0 1 e(Print) City,State,ZIP o k O'k -�r ��A 9 7R 764� No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK?'(check all that apply) s New Construction ❑ Existing Building ❑ Owner-Occupied ❑ I Repairs(s) d Alteration(s) ❑ I Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify; Brief Description of Proposed Work: r 2 ( K SECTION 4: ESTIMATED CONSTRUCTION COSTS- Estimated Costs: Item Official Use Only..; Labor and Materials 1. Building S d I Building Permit Fee S Indicate how fee is determined: 2. Electrical $ ❑ Standaid.City/Torun Application Fee ❑ Total Project Cost' (Item 6)x multiplier. x 3. Plumbing S 2 Other Fees: S t. Mechanical (HVAC) S List: 5. Mechanical (Fire Sup rl p cssian) 'total All Fees: Check No, Check Amount: Cash Amount: 6. "l'otal Project Cost: S qdQ ❑ Paid in Full 11 Outstanding Bul:mcc Due:_---- SECTION 5: CONSTRUCTION SERVICES 5.1 Consh-uctioti Supervisor License (CSL) CA_e—t �1 _ License Number E. pirauo t Uate Name of CSL I-tolder List CSL Type(see below) -3 R ��'Ch", Type Description No. and Street \ U Unrestricted (Buildings up to 35,000 cu. ft.) R Restricted 13c2 Family Dwellin city/ own, State, ZIP Nf Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 1 Insulation 'Fclz hone Email address D Demolition 5.2 Registered Hone Improvement Contractor(HIC) 1 ) t9 7�� Z �� Q 2 I IIIC Regissttration Number E. pua on Uate I1 Company Name or IIIC Registrant Name o. and Street Email address Z �t 7st1 .9Z2- !SK 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 Issua a 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 I, as Owner of the subject property,hereby authorize RAA tS I/ &A I:& to act on rry behalf, in at[ matters relative to work authorized by this building permit application. Jn et� 4 14sg- F-9—' /6 `7,o/ m Print Owner's Nae lectronic Signature) c. Date' SECTION 7b: OWNER' 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 in this application is true and accurate to the best of my knowledge and understanding. Prii t Owner's or Authorized Agent's Naiue(Electronic Signature) Date NOTES: 1. 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 Houie Improvement Contractor(HIC) Program), will not have access to the arbitration program or guaranty find under M.G.L. c. 142A. Other important information on the MC Program can be found at www.mass < oviura Information on the Construction Supervisor License can be found at vv.vw.nnss.gL) ^ L 2. When 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. 11.) Habitable room count — NumberofCueplaccs_ — Number of bedrooms _ Number of bathrnoitts Number of h;dubaths_ I'vpe of heating system ------ Number of decks/ porches --_-- -- Typeufcoolingsystcm___-------_ Enclosed ---_--_Open _ 3 Total Project tiyunre Poot;ige" uriy be sub;tihdcd for 'Total I'roject Cuss" CITY OF 5ALE1I, lNLAsSACHUSETTS Bull-DING DEP.IRT\IF—NT r 120 WASHLNGTON STREET, ate FZAOR TEL (978)745-9595 RvX(973) 740-9844 KIJCBERL&Y DRISCOLL MAYOR TfiORUSST.FlERRB D[RECTOR OF PUBLIC PRO PERTY/BI:II.DLYG COSLMISSIO:i ER Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Leeibly Name lousiiio&organlratiowlndividuap: 3A Q. Address: '>R City/State/Zip: i= ® Phone I{: Are you an employer?Check the appropriate box: Type of project(required): I.❑ I a 'mployer with 4. ❑ I am a general contractor and I 6. ❑Now construction ployees(full and/or part-time).' have hired the subcontractors 2. 1 atn a sole proprietor or partner- listed on the attached sheet t 7. ❑Remodeling ship and have no employees These subcontractors have It. ❑Demolition workingfor me in an capacity. workers'comp.insurance y9. ❑building addition (No worker'comp.insurance 5. ❑ We are a corporation and its required.) officers have exercised theft 10.0 Electrical repairs or additions 3.❑ lam a homeowner doing all work right of exemption per MGL i 1.0 Plumbing repairs or additions myself.(No workers'comp. c. 152,01(4),and we have no I2.❑ f repairsinsumneareyuired.)r employees.(Nowarkeis' 13. Other eP-54L,Crn�[LvL sump.insurance required.) ;Any oppllcam that cheeks Iwx rl must alwa nil out the action drlaw showing their workers'compensndon puUcy inrumtalfom I Lvnuuwnen who sulmtit this anldavit indicaing they am doing all work and then him outride contra ton must submit a new affidavit indicting such �Onnr wlon that check this box mint anachad an addillund shot showing be name,etthe mbcon nn tore and their workers'wmp.pulley fnformallon. l um art employer that is providing ivorkers'compertradon insurance jar my employees, Below la the po/ley and Jab site information. Insurance Company Name: Policy N or Self-ins. Lic. t: Expiration Date: Job Silt:Address: - - - City/State/Zip: Angell a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 254%of NIGL c. 132 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 Corm of a STOP WORK ORDER and aline of up to S250.00 a Jay against the violator. Ile advised that a copy of this statement may be furwarded to the Office of Invcsligutitms of the DIA fur insurance coveraga verification l du hereby c errlf idle the u�llis and: ®JenuId ar ujperulyy that the infurnmrle,provided above is true and correct UJJirial use only. Do nut write in rhls area;robe completed by city ur town"litetat Cityor'ruwn• _ _ Pcrmttfl.lccme N Issuing Aulhority (circle one): 1. board of health Z.Duilding Department 3.Cilylrown Clerk J. rleetrical inspector 5. Plumbing lnrpector I 6.0t her Contact Person: ... ---.__ Phone li• I 1 r ' r _ CITY OF S UE.M, AaSSACHUSETTS N BUILDING DEPAR- ENT 120 WA51-IGYGTON STREET, 3" FLOOR TEL (978) 745-9595 KIMBERL EY DRISCOLL FAUX(978) 740-9846 AAYOR T nosus ST.PtERRs DIRECTOR OF PUBLIC PROPER-rY/Bl.'ILDLNG COSWISSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance will' the sixth edition of the State Building Code, 780 CMR section 1 l 1.5 Debris, and the provisions of NfGL 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 defined by MGL c 111, S 150A. The debris will be transported by: (name of hauler) The debris will be disposed of in G o ya���nJ-�.C�c��I B✓I (name of facility) t t —i K2�149R�n , C� /yl tit A4 /T Q 1C/d Z (address of tacility) I t signature of permit applicant dart: 'ICI11'I::J Ii I•K fie &rr MOMWe eW 0/ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cow for Registration Registration: 149797 Type: Individual _ _ r Expiration: 2/9/2014 Tr# 221469 RUSSELL ONEILL w RUSSELL ONEILL 38 GROVE STREET LYNN, MA 01905 \�og1f y0�` Update Address and return card.Mark reason for change. — Address ❑ Renewal Employment ❑ Lost Card DPS-CAI 8 50M-"O0 G101216 - - Office o�onsu=.i-.�c-$u4aAs g l urr o License or registration valid for indtvidul use only URY'LLONEIL HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ,149797 Type: Office of Consumer Affairs and Business Regulation Expiration: 2/9/2014 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 L� �/r(+ - RUSSELL ONEILL -_')` 38 GROVE STREET LYNN,MA 01905 -- �y- Undersecretary Not valid without signature . . . ... setts- De utrment of.Public Safetn- �le.saibu 1 Board of Building Regulations and Standards .Construction'.Supervisor License License: CS 9282-1 RUSSELL ONEILL , I" 38 GROVE STREET LYNN, MA 01905 i � Expiration: 21,28/2013 - (lnnmisaiuiirr Trp:'11720 Ilk Russell O'Neill 38 Grove St. Lynn, MA 01905 781-922-1515 November 1, 2012 Jeffrey Laaff Dear Jeff, We are pleased to provide a quote for $36,900 to provide renovations to your carriage house, as detailed by Pierce Architects. The scope of work consists of: Sill Replacement. Replace up to 30 ft of sill. Structural Steel and Wood Framing. Provide temporary support where necessary to complete new steel and wood structural alterations and reinforcement. Install new steel as detailed by Pierce Architects. Rebuild overhead door opening and install wood blocking as detailed by Pierce Architects. Add laminated veneer lumber to overhead door header assembly. Exterior Trim and Siding. Install new spanish cedar exterior trim at the following locations; overhead door opening, West facing corner boards, loft door casing, soffit assembly and rake board at lower roof of rear section. All trim will be primed with an oil based primer prior to installation and all cuts will be primed before final assembly. Install new clapboard siding at the following locations; entire west elevation (Oliver St.), between roof lines at rear section and a total of not more than 30 sq ft at bottom of south and east elevations. Clapboards to run full length of course where possible. Joints in clapboards to be square but joints backed by aluminum step flashing. All end cuts to be primed prior to installation. Replace loft door with non operable panel to match existing using stock profile tongue and groove paneling. Roof Repairs. Strip existing asphalt roofing at lower slope of south elevation. Replace sheathing if necessary only at lower section. Install new slate to match existing at lower slope only. Install new lead coated copper flashing where roof pitch changes between sections. Install new lead coated copper step flashing at roof to wall transition. Install new cap flashing to be provided by owner. Repair broken slates to be fastened using copper slate hooks. Allowances. Clapboard, material only. $1,700 Slate repair, labor and material. $800 Exclusions. This quote does NOT include the following; Painting. Masonry repair. Electrical work. Overhead door or installation of door. Back priming of clapboards to be coordinated with and done by owner. Owner will move or relocate as necessary materials other than tub and large glass door enclosure. Owner will have sill areas dug out to expose sills to allow for replacement at start of job. Additional structural design costs. Notes. The rough sawn lumber will be green and may have up to a 40% moisture content upon delivery. The owner can at his own expense store the lumber in a dry environment and reduce the moisture content prior to installation. Terms of payment. $9,000 deposit on signing contract and receipt of slate samples. $2,500 due upon completion of sill replacement. $7,000 due upon completion of steel installation. $6,000 due upon completion of wood framing. $5,000 due upon completion of trim and siding. $7,400 due upon completion of roof repairs. We thank you for the opportunity to be of service. Since � l��/ Approved: Russell O'Neill Date: �,��c�rry'tFi & �� 11 c of Salem Historical Commission 120 WASHING TON STREET,SALEM, MAS SACH US ETTS 01970 (978)619-5685 FAX(978) 740-0404 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction 9 Alteration ❑ Demolition ❑ Painting ❑ Signage ❑ Other work as described below will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: Washington Square Address of Property' 24 Winter Street(carriage house,) rvame or Record Owner: felliev&Ann Laaff Description of Work Proposed:' installation of custom wood overhead carriage house door painted to match existing trim color. Size is 10'6"x 7'0". Paint wood clapboard siding at exterior wall infill to match, 514 wood painted door casings to match. Dated: July 19, 2012 SALEM TORICAL Cn By: The homeowner has the option not to commence the work(unless it elates to resolvin 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.