32 CROWDIS STREET - BUILDING INSPECTION C - `lion 7o'f3
The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code,790 CMR SALEM
Revised Mm'2011
Building Permit Application To Renovate Or Demolish a
�fl idm9 pp Construct Repair,
�( One-or 74vo-Fmnily Dwelling
This Section For Official Use Only
Building Permit Number; Date Applied: _
Building OtH6ral(P�t Name) — Sigoaaae Date
n(1 SECTION 1:BITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
32 Crowdis Street
Lin Is this an accepted street?yes no Map Number Parcel Number
13 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Prentage(ft)
1.5 Building Setbacks(ft)
From Yard Side Yards Rear Yerd
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L a 40,§54) 1.7 Food Zone Information: 1.9 Sewage Disposal System:
Public 0 Private O Zone. _ Outside Flood Zone? Municipal O On site disposal system O
Check if yesD
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'ofRecord: Salem MA 01970
Anne-Marie O'keefe & Robert Blazonis
Name(Print) City,Surae,ZIP
32 Crowdis Street 978-744-1365
No.and Street Telephone Ema>7 Address
:SECTION 3:DESCRIPTION OF PROPOSED WORKS(check all that apply) .
New Construction 13 Existing Building Ownw Occupied fi{ Repairs(s) If I Ahetation(s) O 1 Addition 13
Demolition 13 Accessory Bldg'.O Number of Units_ I other af Specity:Replacement
Brief Description of Proposed Work': Replacing 2 gliding windows and 1 entry door - no
structural change
SECTION 4:ESTIMATED CONSTRUCTION COSTS
It® Estimatedals O>Dcial Use Only,(Labor and Mderi )
.:
1.Building $ 1, Buiklaag Permit Fee:$ Indicate how fee is determined:
2.Electrical $ O Standard City/Town Application Fee
13 Total Project Costs(Itmt 6)x multiplier x
3.Plumbing $ 2. Other Foes: $
4.Mechanical (HVAC) $ Ltat
5.Mechanical (Fire $
S •ce Total All Few:$
Chock No. Check Amount: Cash Amount:
6.Total Project Cost: $ $7721 0 Paid in Full 13 Oinstending Balance Due:
10113 matt n kN 5P,5t✓ ,
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 90125 10/6/18
Jamie Moirn License Number 17rpirationDate
Name of CSL Holder
List CSL Type(see below) U
86 Gardiner St
YpC Description.
No.and Street I
Lynn, MA 01905 R Unrestricted F� �Dwelling ca ft
City/rown,State,ZIP M blasomy
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
508-351-2214 1 Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 170810 12-23-17
Renewal by Andersen MC Registration Number Expiration Date
HIC Company Name or MC Registrant Name
30 Forbes Rd
No.and
MA 01532 508-351-2214 Email address
City/Town.Statx6 ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT('M.GJI c. 15L¢ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. FailUM to provide
this affidavit will result in the denial of the Issuance of the building p®mit.
Signed Affidavit Attached? Yes ..........ir No...........O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUIWING PERMIT
I,as Owner of the subject property,hereby euthori= Jamie Morin
to act on my behalf;in all matters relative to work authorized by this building permit application.
SEE CONTRACT 10/7/16
Print owner's Name(Electronic sWun ne) Date
SECTION 7b:OWNERr 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.
JAIME MORIN 10/7/16
Print Owner's or Authorized Agent's Name(Electronic Signs=) Dam
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or as owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will Mg 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
www mass.sov/oca Information on the Construction Supervisor License can be found at 3mmy meALZm/dos
2. When substantial work is planned,provide the information below:
Total floor area(sq.fL) (including garage,finished basement/attics,deck or porch)
Gross living area(sq,g,) Habitable room count
Number of fi eplaces Number of bedrooms
Number of bathrooms Number of halflbaths
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"
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MASSACHUSETTS QUITCLAIM DEED SHORT FORM (INDIVIDUAL) 881
I"
DONALD S. EMMERTON and ANN J. EMMERTON,
of Salem, Essex County,Massachusetts
t
beirg x2unarried, for consideration paid, and in full consideration of $8 , 000-00
A.
grancsto DAVID CODY and SHARONACODY, Iusband and wife, . tenants by #
the entirety,
of 387 Essex Street, Salem, Massachusetts , with sjultdaim ruuenan29 .
tlx_1xtd:•ia `
(Description wad n"umbrrneq,if any; - -
The land in said Salem, situated at the corner of Crowdis Street and
:'flurry hill Avenue, Salem, being Lots 572 and 573 on a plan entitled,
"Home Sites" Salem, Mass. , Owned by F. H. Griswold, Oct. 1925 , T. A.
Appleton, C. E. , 1" _ .1001 , recorded with Essex South District Registry
of Deeds, Plan Book 55 , Plan 'J7 , bounded and described as follows:
) � SOUTHERLY by Cherry Hill Avenue, one hundred twenty-three
w and 23/100 , (123. 23) feet;
r♦
ro
U) SOUTHWESTERLY by Crowdis Street, sixty-four and 99/100 (64 .99)
feet;
to
NORTHWESTERLY by Almeda Park, as shown on said plan, one hundred
4a forty-seven and 71/100 (147. 71) feet;
m
NORTHEASTERLY by Lot 583 , as_. .shown on said plan, seventy-four
to and 16/100 (74 .16) .feet.
3
O
v Containing 9 , 000 square feet of land according to said r' :1n. .
M For our title, see Deed of Donald S. Emmerton to Donald S. Emmerton
: and Ann J. Emmerton, dated April 24 , 1959 , recorded with said
o Registry of Deeds , Book 4554 , Page 540_
w
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04O
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"tine su.our...hands and seals this ..........rit7. ....... day of ......J.uae.................... 19-.8.0..
DONALD S . EMMERTON
..................................... ................ ...... ........................................................................
..... ........ �^--
�1_ .c
V
}, Chr. Ct:nuunuuulralill of tliaat�trhuurttat
Essex, SS. � 19 80
ti
'F Then personally appeared the above named Donald S . Emerton and Ann. J . Er ^erton,
z — —•.-. _ .. - - - z
and acknowledged the foregoing instrument to be their C free at dLed,before me
f •'
Notary Public—j�^tiee eE•tl+e-Peaee—
(aL-*Osr;r p, VALLIS
My commission expires NOTARY PUBLIC 19
MY CU;a A715510N EX.PIF.PP
(*Individual—joint Tenants—Tenants in Common—Tenants by the PlrfiretM i sr?z,
CHAPTER 183 SEC.6 AS AMENDED BY CHAPTER 497 OF 1969
Every deed presented for record shall contain or have endorsed upon it the full name,residence and post office address of the grantee
and a recital of the amount of the full consideration thereof in dollars or the nature of the other consideration therefor, if not delivered
for a specific monetary sum. The full consideration shall mean the total price for the conveyance without deduction for any liens or
encumbrances assumed by the grantee or remaining thereon. All such endorsements and recitals shall be recorded as part of the deed.
Failure to comply with ti!is section shall not affect rhe validity of any deed. No register of deeds shall accept a deed for recording unless
it is in compliance with the requifements of this section.
ESSEX SS. RSCC: )`D ,///; i- / ]9- 0 PA3T - M. INST.
MASSACHUSETTS
.0fttYuir Yrrat of �f
Quitrlcaint Dub r'
r
(INDIVIDUAL) -
DONALD S . EPIMERTON and
ANN J. EMMERTON
to
DAVID CODY & SHARON CODY
RECEIVED FOR RECORD AND
ENTERED WITH ESSEX SOUTH
DISTRICT REGISTRY OF DEEDS,
SALEM, MASS. FEE: )r)
..---..*.... ..........JUN.-727....la ........1 19........
at..............�.- � nntff------..--...m. '
Received and eo�te �1J1} tl...l,!•••••..--•-••••---
ti:—�= PAGE... ^^
. ...........................- �jh .. Deeds d
Book....ATI c. ..
T
Attest: �....`' R.6GlSTER OF DUDS -
O
___..._._.__..".----_-----..........-._.................._................... w-
Register e
FROM 711E OYTICE OF r
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d �
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Ura t.'.....n .... ..t E
RETURN TO '�
HOOD* •W.P.9.. I.C.
PUILISn E4l $T.np.4O Lt O.L IOWM•
13QETpN
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FORM 881 N1458 t ' {F
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