Loading...
14 COUSINS STREET - BUILDING JACKET Y43�� 400/0 11:1f'. �ONOIT�,� CITY OF SALEM9 MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT m 120 WASHINGTON STREET, 3RD FLOOR SALEM, MASSACHUSETTS 01970 TELEPHONE: 978-745-9595 EXT. 380 W FAX: 978-740-9846 KIMBERLEY DRISCOLL MAYOR February 12, 2007 To Whom it May Concern RE: 14 Cousins Street I have been asked to determine the legal status (#of units) that exist at 14 Cousins Street located in an R-2 (one and two family) zone. The most current zoning in Salem is the 1965 Salem Zoning Ordinance adopted August 27, 1965. Any non conforming structures were grandfathered in 1965. After that date, buildings need to meet the zoning ordinance or seek relief from the Zoning Board of Appeals. 14 Cousins Street was a two family in 1965. No record of building permits or zoning relief from the Zoning Board of Appeals has been secured to construct a third unit. If a third unit exists in the building, it is in my opinion, illegal. If I can be of any further assistance, please feel free to contact me directly. Sincerely, Thomas St. Pierre Zoning Enforcement Officer Building Commissioner The Commonwealth of Massachusetts Town of Board of Building Regulations and Standards ka Massachusetts State Building Code, 780 CMR, 7ih edition Building Dept Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Tivo-Family Divelling This Section For Official Use Only Building Permit Number: pplied: n Signature: �S Building Co mmissioner/Inspec(or'o uildings ate SECTION 1:SITE NFORMATION 1.1 Property Address: r 1.2 Assessors Map At Parcel Numbers /'y 1.I 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 Disposal System: Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Public❑ Private❑ Check if yesO SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Name(Print) Address for Service: 8/ y3T 3if7 Signature I I Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK=(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) 0 Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ 1 Number of Units_ Other ❑ Specify: !!� Brief Description of Proposed Work': SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only Item Labor and Materials 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost'(Item 6)x multiplier,%/ < ( x 3. Plumbing $ 2. Other Fees: S 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Total All Fees: $ Su ression Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ S�Q� 13 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor Supervisor(CSL) License Number Expirafion Dat Name of CSL- Holder List CSL Type(see below) 61 Address _ J , , Type I Description U I Unrestricted(up to 35,000 Cu. Ft. R Restricted 1&2 FamilyDwelling Signal➢ /' M Mason Only �il 7f 7 �711 RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel EluminI4 Appliance Installation D Residential Demolition 5.2 Registered Hom5�,Improvement Conlrector(HIC) HIC Company Name or HIC Registrant Name Registration Number Address / P/-9�/o9 5 �._a sL -� ��/ 7 8� 97li Expiration Date Signature Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.1 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 ..—�.. u No........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 4�W ic�f oJ1L Z� / as Owner of the subject property hereby authorize G!�(�( O.vC! it . -!i T.a✓ to act on my behalf, in all matters relative to work authorized by this b_'Iding permit application. Si nature of Owner Date ��// SECTION 77b1: OWNEW OR AUTHORIZED AGENT DECLARATION 1, _.�-flt,A-. c,✓ /-�/-� -.-ram ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. Print Name ' Signature of Owner or Authorized Agent Date (Signed under the pains and penalties ofperjury) 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 and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 1 I O.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 3. "Total Project Square Footage"may be substituted for"Total Project Cost" - ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit' Builders/Contractors/Electricians/Plumbers A.ppliceant Information l Please Print Le 'bl i/,i/ ! d �e �o us�iiic / Name(BusinesstOrganir�lion(Lndividusl): 4�4[y �* /244 AiodAa... Address: City/5tate/Zi O ^4 DIBa/ Phone#: Are you an employer? Check the appropriate box; Type of project(required): 1. I am a employer with 4• ❑ 1 am a gco�contco raclb d I 6. []New construction ' employees(fall and/or part-time)° have hired the sub raors 7. Remodeling listed on the attached ❑ g 2.❑ I am a sale proprietor or partner- These sub couliractors8. ❑Demolition ship and have no employees . employees and have s 9 Building addition working for me in any capacity. ❑ comp.insurance x [No workers' comp_insurance 10.❑Electrical repairs or additions regulrecl] S. ❑ We are a corporations 3.❑ I am a homeowner doing all work officers have exercisir 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption pL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and w no 13.❑Otheremployees.[No worcomp.insurance req 'Any applicant that duee}s box tl must also Fill out the section below showing their workers'compensation policy infnrmetion. t Homeowners who submit this affidavit indicating they are doing ell work and then hire outside contractors rmui submit a new affidavit indicating such. tCo,marton that obeck this box must attached an additional sheet showing the name of the sub-contraetms and state whcthor or not those entities have employe if the sub-contractors have employees,they most provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab Site information. Insurance Company Name: C9f Aiu A.a� Expiration Date: &:?� op Policy#or Self-ins.Lic. 2 i„i #:�-�� / Job Site Address: "��" """ ( CBS5"ys -54 ) City/State/Zip: elo�_MA Attach 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 MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certifZundAepains and penalties of perjury that the information provided above is true and correct. Date: b_ ��° / ice / / Pho e#: 7 F se only. Do not write in this area,to be completed by city or town officiaL own: Permit/License#Authority(circle one): of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Person: Phone#: CITY OF SALEM ;j rye` A PUBLIC PROPRERTY DEPARTMENT ;'1 ,, ,: '; U .\,i u%i.. fr • >.\Ii fit. .\L�.; Construction Debris Disposal Affidavit (MittiWd for all demolition and renovation work) In accordance ith the sixth edition of the State Building Code, 780 CMR section 1 1 1.5 Debris, and the provisions of MGL c 40, S 54; Building Permit N is issued with the condition that the debris resulting from this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c I 11, S 150A. The debris will be transported by: (name of hauler) I he debris will be disposed of in : /A el�.. (name of facility) (address of Iucility) signature of permit applicant d/a //o 9 date Massachusetts- Department of Public Safeh Board ul' Building Re_ulations and Standards Construction Supervisor License License: CS 90389 - Restricted to: 00 LAWRENCE HILDEBRAND t 30 SHERIDAN ST WOBURN, MA 01801 )It LICENSE Expiration: 5I242010 11 ('nnmis wiwr Tm: 25739 I gorrd of Building Regulndons and Stsodnrds HOME IMPROVEMENT CONTRACTOR Registration: 148422 Tr# 133270 Expiration: 922/2009 Typq: Individual I LAWRENCE HILDEBRAND � LAWRENCE HILDEBRAND l� 30 SHERIDAN ST. pdmi WOBURN.MA 01801 i L � d I i (t pR R, j lit 5 zvj ' iy2 i 10 fit lip yl tPr# 3 C t f t {{ k rt 4o tt t l�7 IJ 's.P.Ul - I t + Its) to t h lll 6 z5 (.I t` in t{r d •_ S } E ell ,�' ""41 N RESIDENTIAL.ROOFING PROPOSAVCONTRACT QUALITY ROOFING :. by LARRY HILDEBRAND 30 Sheridan Street 14 4 Woburn, MA 01801 781.789.9711 Owners Name - Owners Address NVZGG�C��L )r l!J 1115 CS090389 ra Owneesbpcode OwnersFlomaPho. OwneraWorkPhone larryhildebrand@verizon.net Project Tess V D Pmjec[City Project Plrone Dat � Z finality Roofing by Larry Hildebrand,hereinafter referred to as"Cmtmctor",hereby proposes to furnish to Osvner all materials and labor necessary to roof and/or improve the above premises in a good workmanlike and substantial manner accordingto the followingtorms,specifications and provisions: a.Description of the work and the materials to be used: . . _Use tarps to protecthouse&gropeny from shingle removal&installation. - - - - Remove all old shingles from the house dispose of in dumpster we will provide. Examine roof deck. We will make any minor repairs free of charge up to 1 sheet of plywood 1)On the edge of your roof at all the eaves.and all penetrations such as vent pipes and attic vent fans we will install Ice and Water Shield _ - 2)At the edges of your roof,eaves and rakes we will install drip edge. 3)Install Shin a-Mate Roo Deck protection,a breathable membrane a - 4)install - `_shingles. Color 5)Install Cobra Ridge Vent - - 6)-Install Ridge Cap Shingles �� At completion of installation completely clean property of all roofing related debris. �lcrX S -Total cost includes all labor,materials,permit&disposal asdescribedabove. 4011 b.Description of any areas that will NOT be workedIS-C" on: This list or speciricatiens maybe continued on subsequent pages(see page number below). e.Payment:Contractor proposes to perform the above work,(subject to any additions and/or deductions pursuant to authorized change orders,for the Total,Sum of 8 SSPbh coo' _ Down Payment(if any)$ - PAYMENT DUE WHEN AMOUNT PAYMENTS TO BE MADE IN INSTALLMENTS AS FOLLOWS: 1. Balance upon Completion By check upon receipt of invoice for draws as - - -- - - described under "Payment Due When to the left 2. -. - column. ne 3. 4. d. Commencement and Completion Ot Work: Substantial commencement of the job shall mean either the physical delivery of materials onto the premises or the performance of any labor and shall be subject to any permissible delays as per provision(3)on the reverse side of this proposal/contract.. Approximate Start Date- Approximate Completion Date: e.Acceptance:Ibis proposal is approved and accepted.I(we)understand there are no unit agreements or understandings between the parties of this agreement.The written temps,provisions,plans(if any)and specifications in this propomi/contnict is the entire agreement between the parties.Changes in this agreement shall be done by written change order only and with the express approval of both parties.Changes may incur additional charges. Additional Provisions Of This ProposaYContract Are On The Reverse Side And May Be Continued On Subsequent Pages(see page number below).Read Notice To Owner on page two(2)before signing.Read"Arbitration of Disputes"provision on page two(2),provision 10 and the NOTICE following this provision.If you agree to arbitration,sign on the line below the NOTICE where indicated.Also,sign in the same place on EACH COPY of this contract. DO NOT SIGN THIS CONTRACS F THERE ARE ANY BIANK SPACES You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be !' < 1 his main office or branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted, by lG'G ALL telegram sent or by delivery, not later than midnight of the thud a ppro ed and acrx ' dam business day following the signing of the agreement.See attached �a notice of cancellation for an explanation of this right. a2 d NOTE:This proposal may be withdrawn after_days from app ad(contractor) a<e If not approved and signed by both parties. Page one of2_Total Pages Form RPC-C Copyright©1996-,2008 ACT Contractors Forms(800)8205656 www.calform.com � a�� Q� ?ate � � yrti t,A ,o� , r� �,