The URL can be used to link to this page

25 DEARBORN STREET - BUILDING JACKET 25 DEARBORN ,STREET- a CITY OF SALEM, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RD FLOOR SALEM, MASSACHUSETTS 01970 STANLEY J. USOVICZ, JR. TELEPHONE: 978-745-9595 EXT. 380 MAYOR FAX: 978-740-9846 October 4 2005 To Whom it May Concern RE: 25 Dearborn Street According to our records, it has been determined that the building located at 25 Dearborn Street is a legal grandfathered non.-conforming 2 family dwelling. This is to determine use only and in no way is meant to confirm or deny whether said property is in compliance with all building, plumbing, gas, electric, fire or health codes Sinc y, Thomas St. Pierre Zoning Enforcement Officer , � _, The Commonwealth o'f Massachusetts �n' � � Board of Building Regulations and Standards CITY OF u�\� Massachusetts State Building Code, 780 CMR SALEM Revised Mar 20/! Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two-Family Dwelling �' 1 This Section For Official Use Only � � BuildingPermitNumber. Date pplied: I { A � � C IY(�+.mM.t i'1 �'--� �, c ri � . � Building Official(Print Name) Signat Date SECTION 1: SITE IN ORMATION 1.1 Property Address: 1.2 Assessors Map& P el Num rs 2�t.:��¢tif Z-T'. 1.1 a Is this an accepted sheet?yes � no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq fr) Frontage(ft) 1.5 Building Setbacks(ft) Fron[Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.4Q§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public� Priva[e❑ Zone: _ Outside Plood Zone? Municipal�On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP� 2.1 Owner�of Record: l',t�s�cx'�:; 1�/rJl�c � ��M; M� Name(Print) CiTy,State,ZIP I '� �R$Dl�hl �' � �'� S.�rJ,�Wi�SOn�/�i.[o,rZ No.and Stree[ � Telcphone - Email Address SECTION 3: DESCRIPTION OF PROPOSED WORKZ(check all that apply) New Construction ❑ Existiug Building Owneo-Occupied Repairs(s)� Alteration(s)�I Addition ❑ Demolition Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed WorkZ: �{EMOV4l. D� O �ilF.ul Bk7il8�1AA�_�l.�it s /.,di/ND� QJt�.N - A/� � '1�i GL06ET SECTION 4: ESTIMATED CONSTRUCTION COSTS [tem Estimated Costs: Official Use Only Labor and Materials I. Building $ G'j�� . 1. Building Permit Fee: $ IndicaCe how fee is determined: 2. Electrical $ � ❑ Standard City/Town Application Fee - ❑Total Project Cost� (Ifem � x multiplier x 3. Plumbing $ . �j� 2. Other Fees: $ �/'� 4. Mechanical (HVAC) $ � �� List: �� - 5. Mechanical (Fire $ Su ression Total All Fees: $ � � Check No. Check Amount: Cash Amount: � 6. Total ProjecY Cost: $ �'�� ❑ paid in ['ull ❑ Outstanding Balance Due: � SECTION 5: CONSTRUCTfON SERVICES 5.1 Construction Sopervi.aor License(CSL) � License Number Bxpiration Date Name of CSL I-lolder List CSL Type(see below) No.and Streel Typc Description U Unrestricted(Buildin s u to 35,000 cu. ft.) R RcsVicted I&2 Famil Dwellin CiTy/Town, State,ZIP M Masonr RC Roofin Coverin WS Window and Sidin SF Solid Fuel Buming Appliances I Insulation Tele hone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Gxpiration Da[e HIC Company Name or HIC Registrant Name No.and Street Email address Ci /Town, State,Z[P Tele hone SECTION 6: WORKERS' COMPEN5ATION INSiJRANCE AFFIDAVIT(M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidaviY will result i�the denial of the Issuance 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 to act on my behalf, in all matters relative to work authorized by this building permit application. Print Owncr's Name(Electronic Signature) Date SECTION 7b: OWNER� OR AUTHORIZED AGENT DECLARATION By entering my name below, 1 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 understandi�g. Cbl'P i'�'Y—�y-,r!h�i� �uVJEl3_ 20�Z Print Owner's or A horized Agent's Name(Glectromc Signature) DateT— 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 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 can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the infonnation below: Total floor area(sq. ft.) (including garage, finished basement/attics, decks or porch) Gross living area(sq. ft.) Habitable room count Number of tireplaces 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 CosP' —._ . _ . _.__ __ __ _ __ —___� . � , I ^ , , �: ,� foyer :. . living dining room I room I I I I I . . . RELOCA1EIX4iINGCA9IE � I I I � OUIINANOPOWfRRKEPtIC1E I 1 ! i . , . . PROVI�EBASE1RNIi0 i0RLL5L0UMN1 v v ' MAiCHEASRlG.RF6E , � �. IX6tMGIRIMF � PoSY&E . . :. .<i:::..... . �:::: � � / � . CLOSEfRODAND5XEIF � � / ' . RE?Nt/PAICXp61NG — — — . . � . C9WGfOPROV�E — - - . �� SMOOIHCOMMWUt w. RFinOVEIX6IMG byer� � � R�IX61NGW000 CLOS� ': EWIhMN.cfrMC ry '. Ra0CA1FIX61MG I � �REMOVEPORIqN flECIRICfOR . . . .. ROORAiIOCAiION Ww51�M11RYERiONEW � - - -- _Ji . � OFWSINGWALL WASHERANODRYER � . � � OFDEM016H�WAL. ' �py . I I � I I � � PMJVDE!/SEIRYATO 6'-2Y S-10�• I _ � __�_�..__ NWALLPAiCN I I I . � fMICHIXRING,REVSE � G� ��,�r � , n��wN,. �----L--J � POIIIBIE. � I L A . . ' KWYOIDOWI6 . , ...........`"�.._. i � PANTRY C I �i a.na t r � I N�noa CMM�. RD.PROVDE I ---� KITCHEN LAUNDRY ', � � �< NRLIX61@IGOPENING � 3�WSURfA ECW OPiOMAiCHIX6111VG . � � � � . � . � � � bedroom I KIfCH@IC /JtSfONEIAWSk11E . . . WIIXW0001NMIMG I I I . RFaWVEIX611rvG � . .. ._____... OWRAND iPM1E __.. ._.._. . , � ANOGWBIOMAiqI ..,� ...; . 1 . . . � AD1AC@If.PROWENFN . . . _ L5 BASEIAIMiOMAiCH I � "... ... � � FM61NG. � . . , , � ' `�� I ... ........__I . ' � _ _ � IL � �. . � ❑ PROVID W000 _ � . �G , .� I. iNR6 Ai � ' i . . ROOR 1rtAldflpN. `� � ___� _ � � � ................ ....1__.. __ . _..1— .__ "__— . . � � ��'�, . WflLLIX61MGOPENNG ��VIq1�5ry�Fl00Ri0BE0.LL5HWTNDEiNG EX1511NGOOORIO � t . � ' WIMWOOpiRAAVNG � � � ANUGWBIOMAiCX ft00RFG. lFRFMOVFO,NfILL � ' • . . � M1ACRtf. � D' IGSfAWiOAEMMI . . � W�W'� � , � . CONSIRIICIpNiO ``L/� ' . . QEANGHVACDUCf10 .......... • �, .. _......__,. "_'"_�'_—_ ;- �UWERCIlIOOplTOALLOWFORNEWROORNa AUICHEYJSiWG �. � I I IX611NGIIAIRiO ' . ' .. � BFMO�i£DiOPROVIOE � I .. - . . t ' � RFAWN . � NEW GRILLN WPlI. �i I \ � . � � � � � ROOANCASXEDlOUNDIl7f0lElWEtED. NEW WAll CA&NkiS,i0 � ' lFTUPRIE➢BYOWNER � I �� lJACGRIIIENWNI �� I ��6HROORANDSUIFl00RttJBE � � �: FLOOAWDASXEDIOUNDRTTOlFLEVEI�. � � .. , . 2NflvW00�Jd5Ri08E561FHDi0IX61MG RENOVEIXpTNG I I I,pRiNGRIl5HR00RAN�$UBROONiOEE � . . . I lRM1NGi0PR0�1DElEVEIFlUAUNGFOR . . . W/�IL . � RFMOVEO g �6GlU1pN0f NEW�PLYw000511&LOOR. 2 NEW W000 J0615 i0 BESlS1EREDiO EAlS11NG � I.."_ " . . . 7.NSU1lC6�.BVIBACKERBOMD�iARF/Si0 � I I . . � � WSIINGPWMBINGR6ER I .............. . ... . ...__�_._"_ ....... y .................. -- ' kGEVENEWRERI6X RGI0VEIX611NG . flLVNNGiOP¢OVbEI£VFLiRANHGfOR . RIIMBNGUN09f � � �"1� 1.NSfALLCFMEM6IC[HtBO,�ROAfAAFASiO ro�.w�+.��P�o:. MALLWA � �� T�No �1 tEtAllAM1NOFIEW}RYWOWSUB0.00R. � � NflYWAILY�M1MM'} I �� 1 ' MMTIEMROUGHOIR.SIIPPI[DBYOWNER. . ROOR . RKEVENEWIAfR"b4 . . � ��... M06NRFRBpUMGWB InIIC91nMK;A.MEIAWChCOAIENBINi1 . , � . � BAi1k00M51�E � ... .._........._ �.-. . ; . . ....... ......""'_"_' � . . RFMOVEIX6RN' ' . :i � �R ' IXISINGCHING � . SfANDAROGWB1UllWAY � . .. . .. SV1lFFM41. S�1 . � � ..:. lFWWALL�IX/WIIH�'GWB� RFMOVERFM,VNOfROf ^1 � . � NEWWALLI�dWIM�' ' . I C�MMNFli0b15EM@If � �j I ' .. . . � . . GMOKSIURERB6tAM i_. .._..�__'__ _'L..--. . � � S� bOfh �'1 � � . __.__ . '. . . �. p � .. � �� FYEIM('INACGRR1i0RFMAM � SNKAHOUIEG Vll I I Ro� � . . �� ' wnvvamwirxs�Nc ' 1 UNDR � �+�u�on wu�u�ow�nx J II , ; ._...- --=--_._ _.� . . _..—, ----"—r- r��wnEwumcaNc�ma�Rov�nESMooNG ��AtqmtEo �� . . . � NSfALLOWN9i5UPPl� COMNOUSIN611�SURf�CEWIRINO/SN� � I I - s�io�wi rt000watwm� ATHRO' M , .m, _(T ' uu� e�+ovEamu�c � � . � SIqW9tCOM0.01S11@E � W/�1L ' 1._._ � ... }—====1 ( I --�-- - .__,. 3�.• . � .. � ' � . NEWWAlLl1%6WifN�' ' � �. �� 1... NEWWnllI�W11H�'GWBI RFH.OVEE%6RIG I . . . . M06NRER66IMlIGW91 . .----1 i "• . ___ !_ . . NlnNDALL I '. —'—�— HVAC .- _. � R9ARDPLUnWIC. : ( i �i ..::6 .., �.�.... b ( � � � ' � NEWHVACWIIEiIN B� . � � � 1 �I - FLOOR.GRLLiOEE � . . REMWEALL '� � �ECOR�ME IRON. � � ' � . . OWN�i05UPPLY. �M�. . . � . . . . . . � PROVIOEWAIERfORW/SHER � . � � .+) � . � . � � . . . � � �. � . 1ROVIOE NFV ORY6(YB1f IN0.011GH WALL. � � I . NEWWNLI�IWIfH}GW01 . . � � . .'. 2 PROPOSED FLOOR PLAN � DEMOLITION FLOOR PLAN I/4"=��-�" I/4"=I'-0" � � . �ROJECT . . . � REVIEIONS . � d nla reSldenCe demolition, prop�osed y first floor plans �� 25 dearborn s�reet � � ,0 � salem, massachusetts ' SCALE: 1/4.. _ �..�.. , I'---- _ _ _ I , . _..r� ..__... ___. __—.._ _� __-___�_.._.,� _ . _ ��_ . ..,;,,:, - . . ,�,.m ,.�.. _ �,�� _._...,a,� , ,_ _,.� _ _ _ ____ � _ �.ef ,, ��_ � � _ J� � ..... ; ^ _ �_��-�rrm�-�'G., .,E _: . . . . ....J V :'[l:.e�i aLu Y :� �� 1lsst,*..tt. . . . . II � � I I I I ' I I I III I I �I��,I II�� N�,IR�M�,� II I ;II IIII I I I��I I�I III I,�I I I Illi II� ��.�� II I I I��I I I I I I Iii I I I I�I J� II I I i II �t' II I[ I I II I�I I I(�I I I I�jl II �P� I I_I I I I I�II I I I II II II I I II II II II III II II II � CUfPAN9S II I�.I I�I I�I I�I I�I I ��I I,I I��I II � . � - �� .}� ��I�� ) � � � � � �� sEw�ciasssa�ro � �� ►II� � � �. � � � � �(l� �I� �I � ��. EMSiMG J061.1 FACM90E � �� C � �� ; . � � � � � . rrttw oare�2��as uro� . . . NEkW WNL TILE BACKER B�OARD LAYOUT PROPOSE� PARTIAL FRAMING PLAN � I/4��_��_0� � 1/4��_��_�� ; . . J � L . . I � . . . ...._.....__ � � � I . �I �.—� . . . '.... � � _....� � __ .. _____ . �,: � ' � .._._ t _ ... ........._. .�..__�_" _., . � � � . �,� _._ _ � � I � � ' / � ' / . . ...... . _ �-- -r--� . �J ......,I � I I � � � i . . � I------i I � �. �. � .:. ...�ma: r°-"--*„ . . � � . 'J'�` +� .:._': =�v,...+ ,:':v �, ,.,,':��: t� , �..:::-G_. ,��t:::.::.:,_,;�. .... .. _. _ ... ._ ,. I I ....I._ I _ � . i ' I IXKRIG'IRlF�9 ' 9F�M � � CUf PANdS ,,.�__ ......... ....... __._.. - ......i .._... Ei1511`!G'IRlFB%8 � :. . I � _"... : DI I 1 HALLWAY i. I �w� i . L�. .•�,, >: , -�--- __ � FJm1NG'IRIIFQB I . �............... ..;. � �i . .. ' .... IF.�M ( .. ; . i . � . � � .: V4'� -- �---- -- --- --- -- - -_ --1--- �� : x; � T � � � l� ' � I IX6ANG'IR�R 2Y0 � UNDR �I-J i ; � 0.00R1dSR NfVlidG3/fO5B5UARIXNt " ..__.._... .... __"-�—"' .' "'"i _—_'_ _'__.. �ATHROOM i uoarsvaww I ( : x � ) i ---�-.�._� I --� a�,,, - - „�«—i � — . i i , i i � � � : - - . - �_ _ � _._ J � �" ��_ i ( �I TILE LAYOUT PLAN SUBFLOORING LAYOUT PLAN ��ING IPARTIAL FRAMING PLAN � I/4��_��_0�� I/4"=I'-0" ' � I/4"=1'-0" ' I � � � � � � � � � t ' I rao�ecr rt�nsioxs V I � � dynla reSldenCe first floor framing and ; subfloor�ng plans �� . � 25 dearborn street � salem, massachusetts � � SCALE: 1/4" = 1'-0" _ -- _ _ _ _ . ;�-_ , __. -� _--- , .. ._ _ - � , I ___ _..__ __ � - - .___.__ _ _ . - � I � i II � � � flLCIPJCALPANEIS � . . . � . . � � LOCAI�HEREN bVEMEM � living dining living dining room I room room I room II I II I �U U ' _ �� ' 0 ----. � ��oS� _ _ -- — �,�,�� ----- _ � ;F � �—�ne, � —,�� . � . � an�.m I — � - - --j..__.�__._. . a�aoc�im ro� � � � ro�art�roei� . . . L——�——J RELOCAIFU I I � i, � �L_ �fµ� I PANTfRY � � PAMRY � I I I�-- —�-- KITCHEN � �C _ KITCHEN � bedroom I � r- I � � � I ; ( � I bedroom �� . � I I � i i i �_ � � - -- _ - - - �i- --i - II — � -- - � � I � I I 1 � � ,,, I � � ' ' EIV5IMC IXIERIOR t . . . . . � I fl�� . . � EQSIING IIXNREiO BE� � .. I RFMOVED _ __ . IX61MG$WIICI�tt1 WS11NG BECIF.MGL ___�� BE RPISED � i0 BEMOdREO �� ' . RFCtSiNWYII'lll('Alf. I RELOCARUEIING I � NP. OMEf.M I . . � . . . I I WSm�GanerroeE �� HALLW/AY 1 �, �,,m � + ,,... .:: .. � . �nr+cn�nueeroe� I � aum+eamnroe� 1 ' , �� . RELOCAIED � ,��,�N � �� n �P�� ,� � � � �y o � NEWGW � � EriSTNGiANiOeE� RENAV� I rt�auu�muca 1 . . � � vnNm �1 DR � vJ . I I � SURFA EMOIMI� BATHROOM �"R i i Roosn+c�mu�roe� m..:.:_. . _, FAN.IXHAu51�io . � . IXIERIOR � . �� ' . � � �� i � ' . � � IXGAMGOMEff08E . . �. . � . R9DCAIED . ' P0.0Y1DEflECIRICFOR � �. � . � FXISIMGIXIE. WASHERANpDRY6t. � . pXNRE ELECTRICAL FLOOR PLAN ELECTRICAL DEMO PLAN 'f i' � I/4"=I'-0" � I/4��_�,.0�� f '� j � i � � PROJECT ✓ REVISIONS �.. iI • ' ' demolition ro c�sed '� dynia residence — . � p � 25 dearborn street f�rst filoor electr��al � '� � O . salem, massachusetts plans • • SCALE: 1/4" = 7'-0" _ ._ I --- _ �..._ . _ — . ____- __—_ .._ . _— i . I I I I SAQ �L F' PUBLIC PROPERTY DEPARTMENT IJM BERLEY DRISCOLL MAYOR 120 WASHINGTON STREEC Jw„WMAScnCHt;5tl'is 01970 TEL-978-745-9595♦FAx:97&.740-9846 APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: j Building: { cal Property Address: ZS` Ipbtre►7 ST ELM MA Property is located in a; Conservation Area Y/N Historic District Y/N 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land ` Name: Address: 2S pE� "�t�M1MA Telephone: Q jam_ S c� _ c/�/ C-u- 6217.711•Ws-9 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing 15 cro Approximate year of IQ� Area per floor (so Renovated construction or renovation of existing building New Brief Description of Proposed Work: rtrlta�iv R&NoUzT &0I I.�tI�1Dnw [.�1l vt�SJ �t T�ICA� tYQ..,t2-4P(-- WIqr-- �titt? �y Awovo77 Mail Permit t� O/970 G /3 r What is the current use of the Building? C . Material of Building? If dwelling. how many units? - 1 Will the Building Conform to Law? y�5 Asbestos? Architect's Name Address and Phone Mechanic's Name Address and Phone Construction Supervisors License# HIC Registration# Estimated Cost of Project$ Permit Fee Calculation Permit Fee $ a' C0 Estimated Cost X$7/$1000 Residential Estimated Cost X$11/$1000 Commercial An Additional $5.00 is added as an. Administrative charge. Make sure that all fields are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Perm' o b \ %othe above stated specifications. Signed under penalty of perjury Date .Z N a 00 F °o C7 iZl=L--- ` G u i CITY OF S.UENT 15 NNWSACHUSET`Y'S • HL MDLNG DEP\RTNI]MT 130 W.{SHINGTON STREET,3w FLOoR TM (978)745-9595 KISfBERLEY DRISCOLL 7(� l� FAX(978) 740-�9846 �` 66` MAYOR THObW ST.PIERRS DIRECTOR OF PUBLIC PROPERTY/13UHMING CM-MSSIONER APMCATION FOR THE CONSTRUCTION;REPAI $81MOVATICK CHANGE 19 USE ON OCCUPANCY. OR DENIOLRION OF ANY BuiLDINs OR STRuCTURe This Section W 2!llcktai_use Only Pelndt P►o ' 4widing; UtapOctor . �grmhxa,_ Eetimalg Arojet3lDatae Start End: Conrneritx 1.0 STTS INFORMATION i Location Nance: L r,s building:� - '*"Adele W. Assessors MapBlodc LaUParcet �QWNkil�,p�ORIY�/1TION 2.1 Owner of Land Name: n i S Address: R 5' Dew-61,ti 511rr cL Sc.Le.,- -- Telephone: (?7 2.2 Owner or lessee of build/ng or sgmcWm Name: Addresx Telephone: 3.0 AGENCY OR AUTHORITY AUTHORONG CONSTRUCTION AgencyName. Address: /ao lb &),?'J Ny 5F q-l- l 5� �a� ✓e^ Wa- 7 Agency Project Number. Project Manager Name: Tel:P/v /Z-L C 6.0 PROFESSIONAL CONSTRUCTION SERVICES: 6.1 General.Contractor Address: Telephone: Fax: Responsible in Charge of Construction: 7.0 CONSTRUCTION DOCUMENTS .to be prepared by applicant Item 4 as Applicable 7.1 Plans (Note 1 this page) Submitted Incomplete Not Reauir®d 7.1.1 Architectural 7.1.2 Foundation 7.1.3 Structural 7.1.4 Fire Suppression 7.1.5 Fire Alarm 7.1.6 HVAC 7.1.7 Electrical 7.2 Specifications 7.3 Structurat Peer Review 7.4 Structural Tests & Inspections Program 7.5 Fire Protection Narrative Report 7A Existing Building Survey 7.7 Workers Compensation Insurance 7.8 Other Documents (Specify) (Energy Narratives, etc.) Note 1 Areas of Design or Construction for which Plans are not complete at the time of this application must be identified herein. Work so identified must not be Commenced until this application has been amended and proposed construction has been approved by the Department of Public Safety District Building Inspector'having Jurisdiction. 8.0 COMPLETE THIS SECTION FOR NEW CONi$TRUCTION ONLY For Misting Buildings Proceed to Section 9.0 Number of Stories above 'Nu€r ber of Stories Maw Grade Grade- Story Height Floor Area Per Floor Total Building Height Total Building.Area Above above Grade Grails Total Building depth below. Total Building Area Bekwr Grade: :., Brief Description of Proposed Work: 83 USE GROUP AND CONSTRUCTION CLASSIFiCAT10N:(Newt Construcdo4.Only),,,. sd. USE GROUP4r USE GROUR SUMCA GORY` ' "` .CQNSTRUCTIONi *P.PI I C�:frs appi Car CLASSIFICATION A i" +, Art / -5,. . A 4 1A 8 Business z - 18, E Educational 2A F Factory F-1 F-2 2B H Hi0,Hazard H-1 H-2 H-3 H-4 2C I Institution[ 1-1 1-2 I-3 3A M - Mercantile 3B R Residential R-1 R-2 R-3 4 S Storage S-1 S-2 5A U Utility 58 Mx Mixed Use Specify. Specify: Sp Special Use 9.0 CONSTRUCTION COSTS (See 780 CMR Appendix L) Total Construction Cost Building Permit Fee Check Number (1) =(1)x $0.001 jU, p0 Z. 2� 10.0 AUTHORIZATION OF STATE AGENCY FOR AGENT TO APPLY FOR BUILDING PERMIT(when applicable) i, on behaff of the auftwb ng State Agency or Authority. hereby authorize. to apply for the building permit for project number, ' Signature Date 11.0 SIGNATURE OF BUILDING PERMIT APPLICANT n GC ,a l�vye Name Signature Date . 12. Certificate of Occupancy required on completion of project? _Yes Nto insoactor's Notes: 9.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY For new construction coma I to sac on 8.0 777-777 Addition Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor (sf Renovated` construction or renovation, , of existing building New►° F. Beet Description of Pro sed Work x ... .. .. .,.sty s 94 t1SE,GROUP`AND coNSTRUCTIQN CLASSIFICATION (ExtatiiigButdltq '" EXISTItIG PROPOSED Chandii= -66NliThucr0 USE Group(sj . In ,, . {CLAFAIFWATIO Use. Hazard Use Hazard Hazard s V aO1S').> Group Index `group Index lac* (Jas'appileabli} A Assembly �A B Business :18 .. Y E Educational aA F Factory 28 H High Hazard I Institutional., M Mercantile 38 R Residential 4 S Storage, 5A U Utility 58, Mx Mixed Use Hazzard Index Sp Special Use Note: Include Hazard Index Modifier for Construction Type as applicable H3VE LUMBER COMPANY-m INC- 1:�.VI::J:11 FAX 4cp U1.0 Z301.... I...ATION ("USY,011F.Fe S1.11F, I I. t" A TO:: 2r.. S)l Fl::.F. I (:slit. .................. .................. OUR F,0:1 30c'-4:1. CIJS,�0:: 4.101)(H) DEI... 117 Cf-lSi 1 0 78 1A("J. -------------------------------------------------------------------------------- L# OTY LOADED DESCRIPTION CATALOO# UNITS LOC ------------------------------------------------------------------------------- lvl()WJ*ll WHI'Ti*- (.,L-()D -1 PPRII'll llqTE-.'Rl0F,' L-0W' E--- 3 7/8" - Sf)rl.l,l TALPI: 1111. S('.;Rl:.:. 5 rl 7 MADH 313 1/2"X 64 5/8" 2/2 NWIN \4j GlhIDH 19 3/8" X CA 5/8" 1/1 lilwiH 4 LSI L) l CT.1,11)JA 33 5/8" X 64 `5/8" 2/2 VILJIH 6661.42 FJF{E'VIOLJS DEFUSIT" 3716.48 10-10SI 1 2944.94 1::.(1*Lx) By", By ------------- UPS YOU FOR THIS ORDM WE WILL DO MR SW TO ME YOU GIACKLY. SELF INSURED LUMBER BUSINESSES ASSOCIATION N&I CARRIER CODE NO. WC 00 00 01A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE 1. The Insured: Gove Lumber Company Policy No. WC 000806-7 Renewalof: WC 000806-6 Individual Partnership Mailing address: P. O. Box 12 X Corporation or Beverly, MA 01915 04-1382050 Federal Employers I.D.# Intemntrastate Risk I.D. # 012217 Other I.D. # Other workplaces not shown above: See Schedule 2. The policy period is from 01/01/2 00 7 12:01 a.m. to 01/01/2 00 8 12:01 a.m, standard time at the Insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500, 000 each accident Bodily Injury by Disease $ 500, 000 policy limit Bodily Injury by Disease $ S n n, n n n each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06 A D. This policy includes these endorsements and schedules: See Schedule 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Code Total Estimated $100 of Estimated Classification No. Annual Remuneration Remuneration Annual Premium See Item 4 . Extension WC 00 00 01A Total Estimated Annual Premium $ 51, 151 Deposit Premium $ 12, 791 Minimum Premium $ 500 (MA) 5645 Expense Constant$ 284 MA - DIA Assessment 0 . 012 447 _ 00 Premium Adjustment Period: Annual Countersigned by: Servicing Office: SELF INSURED LUMBER BUSINESSES ASSOCIATION Date: 10/12/2006 Producer: Copyright 1987 National Council on Compensation Insurance. Original Application for Pe it to: 9 Location 2s- s� Permit Granted Z� Approved In or of Builds s SELF INSURED LUMBER BUSINESSES ASSOCIATION NCCI CARRIER CODE NO. WC 00 00 01A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE 1 .Thelnsured: Gove Lumber Company Policy No. WC 000806-7 Renewal of: WC 000806- 6 Individual Partnership Mailing address: P. O. Box 12 X Corporation or Beverly, MA 01915 Federal Employers I.D.# 04-1382050 Inter/Intrastate Risk I.D. # 012217 Other I.D. # Other workplaces not shown above: See Schedule Z. The policy period is from 01/01/2 007 12:01 a.m. to 01/01 /2 0 08 12:01 a.m. standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. T he limits of our liability under Part Two are: Bodily Injury by Accident $ 500 000 each accident Bodily Injury by Disease $ 500, 000 policy limit Bodily Injury by Disease $ 500, 000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06 A D. This policy includes these endorsements and schedules: See Schedule 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Code Total Estimated $100 of Estimated Classification No. Annual Remuneration Remuneration Annual Premium See Item 4 . Extension WC 00 00 01A Total Estimated Annual Premium $ 51, 151 Deposit Premium $ 12, 791 Minimum Premium $ 500 (MA) 5645 Expense Constant$ 284 MA - DIA Assessment 0 . 012 447 _ 00 Premium Adjustment Period: Annual Countersigned by: Servicing Office: SELF INSURED LUMBER BUSINESSES ASSOCIATION Date: 10112/2006 Producer: Copyright 1987 National Council on Compensation Insurance. Original y� �/1$oard ofWuil ng ) eguatr ns an t ares One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Repistration: 129170 - Type: Private Corporation - Expiration: 7/19/2009 Tr# 131584 Gove Lumber Company, Inc. Bruce Gove 80 Colon Street Bever)y, MA 01915 Update Address and return card.Mark reason for change. - ' Address 1 Renewal l Employment Lost Card PS-CA1 ea 5OM-05/4 PC8490p Bard of Building Regulation/nd Standards License or registration valid for individul use only HOME I MPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration:, 129170 One Ashburton Place Rm 1301 Expiration: 7/19/2009 Tr# 131584 Boston,Ma.02108 Type: Private Corporation fr Gove Lumber Company Inc Bruce Gove 80 Colon Street :.` :.) '� e- 1.t 7.fidwAlionat Beverly, MA 01915 Administrator signature r" Installation Marvin Window .& Door Showcase byGLC Quote 100-B Newbury Street Route 1 South 978-762-0007 Danvers, MA 01923 978-762-0008 fax CUSTOMER Chris D nia REVISION DATE 09/20/07 Quote expires in 30 days ADDRESS 25 Dearbom St. PROJECT NAME CITY,STATE,ZIP Salem , Ma. ADDRESS DAY TIME TEL 978-594-1461 CITY,STATE,ZIP SALESPERSON Matt Tiffany DAY TIME TEL REV 01107 LABEL QUANTITY DESCRIPTION PRICE TOTAL The following Insert windows are made To Order from Marvin. The general specifications are as follows: Exterior: stone white clad Interior:primed pine Glass: Low II w/argon Grills: 7/8"simulated divided lites w/s acer bar Hardware: satin taupe Screen:•full screen hall 2nd fir 1 Interior opening 33 '/"x 64 5/8" 2/2 570.50 570.50 master b.r. 2 10; 33 9z"X 64 5/8" 2/2 570.50 1,141.00 SPARE RM 2 10: 33 %2"X 64 5/8" 2/2 570.50 1,141.00 2nd flr liv rm 4 10: 19 3/8"X 64 5/8" NO GRILLS 1/1 439.10 1,756.40 11 2nd fir liv rm 1 10: 33 5/8"X 64 5/8" 2/2 570.50 570.50 OFFICE 2 10; 33 %"X 64 5/8" 2/2 570.50 1,141.00 Building Permit Fee 193.00 1 Installation Flat Labor Charge 2,570.00 2,570.00 1 Miscellaneous Materials 111.00 1.11.00 21 hite Insert Frame Expanders-If Applicable 23.99 503.79 1 Rubbish Removal Fee 120.00 120.00 All installations will be left broom clean at the end of the day.All painting is by others.Cove Lumber warrantees the installation labor only.All materials are covered under the Manufacturers warranty.Any rot found or extra work not specifically mentioned in this work order will be billed at an hourly rate plus the cost of materials. Gove Lumber will not be held responsible for the fit of existing window treatments to the installed replacement windows.Interior trim included is BROSCO#8710,any change will be an additional cost. Customer will supply electrical power and water when necessary.Customer will prepare the work area by removing all furnishings and provide easy access to area.Massachusetts Home Improvement Contractor Registration#129170 TERMS DEPOSIT OF $3,716.48 REQUIRED PRIOR TO PLACING ORDER SUB TOTAL 9,625.19 $3,716.47 DUE WHEN MATERIALS TO BE INSTALLED ARE DELIVERED. DELV CHARGE 25.00 $2,570.00 FINAL BALANCE DUE ON THE LAST DAY OF INSTALLATION. 5% MA TAX 352.76 MAKE ALL CHECKS PAYABLE TO GOVE LUMBER COMPANY, INC. TOTAL $10,002.95 CUSTOMER HAS RIGHT TO CANCEL ORDER WITHIN 3 DAYS FROM DATE AT TOP ORDER ACCEPTED AS WRITTEN X v \ IF YOU H ANY QU TIONS REGARDING YOUR INSTALLATION �� PLEASE CALL BARRY GOVE AT 978-922-0921 /` 1� The Commonwealth of Massachusetts �r►. Board of Building Regulations and Standards CITY OF Massachusetts State Building Code, 780 CMR SALEM Revised Mar 2011 Building Permit Application To Construct,Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Offici se Only Building Permit Number: Date ppplied: ,n Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& arcel Numbers w )A�ti �. r Lla 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: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: - A>A I hlS �J Name(Print) City,State,ZIP -1— Q Qs r�no `S� n.'ysr�hv1y\A1{-\ No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Met ❑ Specify: Brief Description of Proposed Wbrkz: �{r c",.� ,(.�� ooAc vac'.•r\ �('05�' SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building $ .�rJ"� _.� 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: J 5.Mechanical (Fire Suppression) $ Total All Fees: $ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ %/')01 0 Paid in Full 0 Outstanding Balance Due: CITY OF S.U.EINI, NIASSACHUSETTS BUILDING DEPAJITNIENT • a• 120 WASHINGTON STREET, r FLOOR \ TEL (978)745-9595 FAX(978)740-9846 KI\tBERLEY DRISCOLL MAYOR Tt�iOtttAs ST.PIERRH DIRECTOR OF PUBLIC PROPERTY/BUILDING COSWISSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(BusimsvDrganizwion/individual): Address: 1\1 , 7K4 City/State/Zip: �oy��,� Q*�.R Phone#: Are you an employer'.'Check the appropriate box: Type of project(required): I.;S 1 am a employer with t 4. 111 am a general contractor and 1 6. ❑New construction employees(full andtorcaart-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached shceL t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity, workers'comp.insurance. 9, ❑Building addition [No workers comp. insurance 5. ❑ we are a corporation and its required,] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.)t employees. [No workers' 13.❑Other comp. insurance required.1 ;Any applicant that checks box NI rant also fill cut the section below slowing their worked'compensation policy infunnation, t ltomeowren who submit this affidavit indicating they are doing all work mod then hire outside contractors most submit a new affidavit indicating such =Cumrattors that cheek this box must anwhed an additional abort showing the none of the sub-eoetractors and their wodem*oomp.policy intamoti W. I am an employer that is providing workers'compensadon Insurance for my employees. Below Is the policy and fob site information. insurance Company Name:__Qc1 Policy#or Self-ins.Lie.#: AW C—��11a—�` \Z`U\ Expiration Date: Job Site Address: _ _� �A rti� City/StatetZip: Sckau�11, J\c.. wy—No Attack 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 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. Ida hereby certify ander thu�s pain�s and pen�jfitles ofperfary that the information provided above is true and correct. SiLpature: Iyy-✓ Q�� ✓d4..—� Date: SDI )C7' f'L Phone C Ofciel use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I. Board of lleallh 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5. Plumbing inspector 6.Other Contact Person: Phone#• r��,�r�{ �� lf l� '=��/ � r� y� The Commonwealth of Massachusetts � °� Board of Building Regulations and Standards CITY OF Massachusetts State Building Code, 780 CMR SALEM Revised Mar 201! ��l " Building Permit Application To,_�onstruct, Repair, Renovate Or Demolish a � Or1`e- or Two-Family Dwelling This Section For Offic' se nly Building Permit Number: D pplie : J .� ��ab �3 �Building Official(Print Name) ature �� . � � Date SECTION 1: SIT ORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 25 Dearborn Street 1.1 a Is this an accepted street?yesX no Map Number Parcel Number � 1.3 Zoning Information: 1.4 PropeHy Dimensions: , Zoning District Proposed Use Lot Area(sq YY) Frontage(ft) ` , 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided � r!. � 1.6 Water Supply: (M.G.L c.4Q§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal O On site disposal system ❑ Check if yesO � SECTION 2: PROPERTY OWIVERSHIP' 21 Owner ofRecord: Christopher Dynia Salem, MA 01970 Name(Print) CiTy,State,ZIP 25 Dearborn Street 978-594-1461 cmd@wilsonbutler.com No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORKZ(check all that apply) New Conshvction]p Existing Building AQ Owneo-Occupied ](I Repairs(s) ❑ Alteration(s) ❑ Addition gl Demolition ffi Accessory Bldg. ❑ Number ofUnits Other �I Specify:Replacing rear steps with deck Brief Description of Proposed WorkZ: Demolish existing wood framed steps and landinq I Construct new deck with railings to fit within existing 'L' of house. , Construct New gated entry from corner of house to existing neighbors fence. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials l. Building $ $3500 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost ([tem 6)x mulYiplier x 3. Plumbing $ 2. Other Fees: $ � 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Su ression Total All Fees: $ 6. Total Project Cost: $$3500 Check No. Check Amount Cash Amount: ❑Paid in Full ❑ Outstanding Balance Due: �/� �/��'%v�"9 ,C'�l,`i ►�'..r. i^�� . . SECTIOIY 5: CONSTRUCTION SERVICES 5.1 Constraction Supervisor License(CSL) License Number � Expiration Date Name of CSL Holder List CSL Type(see below) a No.and Street Type Description U Unrestricted(Buildin s u to 35,000 w.ft. R Restricted 1&2 Famil Dwellin City/Towq State,ZIP M Mason RC Roofin Coverin WS Window and Sidin SF Solid Fuel Burning Appliances I Insulation Tele hone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address Ci /Town, State,ZIP Tele hone 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 resalt in the denial of the Issaance of the building permit. Signed Affidavit Attached? Yes .......... ❑ No........... ❑ � SECTION 7ai OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf, in all matters relative to work authorized by this building peanit application. Print Owner's Name(Electronic Signa[ure) Date SECTION 7b: OWNER� OR AUTHORIZED AGENT DECLARATION By entering my name below, 1 hereby attest under the pains and penalties of perjury that all of the information contained in this application is h a�fl�cc e to the best of my k�owledge and understanding. Christopher Dynia � July 9, 2013 Print Owner's or Authorized Agent's Name(Electron c ign ure) Date r� NOTES: � l. 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 can be found at �vww.mass.eov(oca[nformation on the Construction Supervisor License can be found at www.mass.:tov/dns 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage, finished basemenUattics, 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 CosP' , _ � W._..._._. _ .- .�--_ ' ' r . • � . . . i ��I � � I � i i � r- � i � � r- — � � I I . . � i i-__I_- , i � � .._....._�__......... ....._.._.__. I I I �_______________ I " ___..—__ _ : � I ��_______________, NEWFBJCEWIIFI � � I � IATCHING GAIE � � ! '� � � �� I �___ _�_ I � �__�_ � � � � � � � - � �� i O O O O � ....._ ___ ""'"_. .,_. ! � _ � L .� _ � � � � � � 1 �-_: : � , � � -.. � -- --- -- - ' -- � ' - � � � � � ' --�--- T � , , I � �__. _. l ._ __ _I._. � I I I I y�q�L MOUMED i-� � L_ ;�, � � i I I MEfALHANDRAIL � � �.,, 1 � �� I I I I I I � . � � � —__' _"_ -_i _LT�_I ' 1 � • . j_ �__ r_- ._._ . . _.._.�_..__..�__. I , 1 I I I CLOS�ERS I i I I 2-PT.2X10J0��, NEIIGH80RFENCE �I I I� _ _ _ . _ _ _ _ ! EX6iING � , ._ �_ . . .. ,i 1 � � 1 l._ _�__ -- -- �i - - I ��_ �� ---- -�-------�- . I- -� "' � -- �� -- j NEIGHBORFENCE I - � , � _ �I � ' Y I � � . � --- I ....-.-.-- - --._.__.� :-- � i �i HALLWA � I HALLWA g � I � � { - , �- -- ---- -�--1-----_�.. --�_ _ ; 1 ;--- L; ' � ; �� ,_ _ �� - I i , ; _—r. .T '_.'_�.._._ r��._. � i � ! � �.___ .._- r ..__�_.'_.. ' , � � � i � � ,�y , T j � � � 2YIOPTDECKFRAMIN 16"O.C.WRHSOLID i � _�_ ; BRIDGINGASSHOWN _..._... . �( r_ . I ' � I N 1 _.._.. . I . .._.... I __... I . ' I RAILING POSTS _ � . • .... . _—_ -__— � ' CEDA 0 � � _.__ __... ' � . ._. ..... . � I ,_.. _. _._..._--- _ i .J � _� f I _.,_ AUNDR J , �— -- -- �.AUNDRY , . 0 . . . �,T,_T ...... I '�'i ATHRO M ', i '� BATHROOM � ' ' ' � . _ .. . L__-- -- ' - - . _�.. _-,- .. i...... , , ; ; ; ; ; � , ; � � i � � , , I �� ' 1 � . : ', � '� '- i�I PT.:2X8 RIM J01ST ... _.. ..--._ — :__ ._..',"_ __. � I �� . _i ._._. . ---- �� .� ..._ ._ '_ '_ . - ._---- � � � I � .I...- I IRIMMED RAILING "--� � I _.__'.-� . .-___. i �� I POSTS � � ' ' I IXIqTRIMBOARDS � i � i , � . . NVALLMOUNTED � � � � ' v I � �I; � NAEfALHANDRAIL � j I I . i i i � I 14 � �II I � . SIIEPS WIfH i i .1 _—_I CLOSEDRRERS � � . . _—_ _ . ._—_—_—_-- ' _____. . ' � _—__'_ - e . � ��-7�� __ � � 01 . � - . � DECKPLATFORM, `— � � � � . � NO RAILS,SINGLE �--�------------- �, . EXISTING HOUSE . � EXISTING FENCE � STEPTO GRADE �. '-" — � � _. � IATCH WOOD CAP PROFIIE ', 12'-7�' 4'-p• � , � WOOD$UBRAIL . � . . MAIN DECK FINSH + RAILING MAII�! DECK FRAMING . ' .. 4 ,i4•=r-o• � , 3 v4•=r-o• i I , !, , � . , - � .� , � i � , . � � i � i �- i i i r- . � I --� �--� . . � � �— I I I � I � � �_..__'�___._ i _` ��--------- J''r--�_ � Q ' O O i -- � -------�---�---�= 7• 2,-0' 4'-4� �2'-0'� � i i � i 1 , . i . � I . ,�� . � i r; � . � � - .. ...__-. __.__�..... _.._ _ : : ._... .. HE4VY DUfY STRAP HINGES � .i- ' � _.....�.... ..-- _ . WOODBALUSTER �', � � - � �� ----------- � --- i .J_ 1 .-1 . �------ �ca° � I a � , � _.,... ...--- ' WOODBOROMRAIL i i L. ...__ � � � I ; ;� �� i . _� _.., I_._ I ,.. j --------- I _........... i i 1 � I� I i�_ � , �+ � � _ �... � � ' � . , , � � ; �� /'�� ; - � - � � I I I ❑ I� � ' ; ' 3�Pf1%IOBUMtJ ,� . � . . .----- —- � in I 1 IXISTING � .�. N7 '� I - - 'a�� I I NEIGHBORFENCE I � � EXSIING . FENCE WITH GATE � � -- ---� I � _ _ i__�= NBGHBORFENCE � _—_—_—_—_ . �L .— ._._ ____� ' . . � 6 3,4�=,�-�• ; I � 1 ;-_�� ; � � � ; � � 1 i___ I ! � ._ , , i� � _ - --- _ � - - -- -- - -- '� � -- -� -� --�-r--�-1 � �' , ,;i � ; I � � , I ; � 6 9 2 OI IHALLWA - -—;— . .. ��' �I� � Q;. � HALLWA� , I � I � � C l.__ _ �' .__ _ � , - -- - �-- - , � 1 � ' , ;, i;�; � � T T- I 1 i _� ' � =r , ; , ; � ,. ; � ; , �� --: --- -- -1 _�_-t__ ;�; ; ! - - - -1-- .� h ' i , �_ , , � ' I 1 ' , , . 1 , , ; , -- ; ; �- � ��E�� ; � - I � �� ° � _--- � _ _ -1��._ . -- - ; �, !,,; ; 0 � __ � ..- - -._.._ L_,.. ------ ' � � tAUNDRY ' � UNDR ; ' ------------ t5'-5" , — -,--!— , � � � r - ---- — - � , � � .� BATHROOM L- L i m.rr,x,ronorrox � WOODCAPPROFILE 3 �4• . BATHROOM .:..� _____�... I 1 ' ^P��Posrurwx � I ...... . ...._ _. . ' � ��__._ ......... . .... ___. ._'_ . ' � � . DK[SUPPoYI /�' � ; DECRSUPPORf .... .... ... .. i � � �—�-- ' ��].R1%IOEFMIf� {�I� ' : : � � � � I i WOOD$UBRAIL - - -"- i era � 1_� 1 -�- _.� 13; i� � I i , i L. � ........ ._--_. ...--.._._ � �� i _I .._..__ .._. _----T - � in ' ._....... �i. . ..� , ' � i ��1; ; � i � � WOOD BALUSTER '-�-- :.� -.- , 1 ...-'--" -- ...-- ' 1 , �;II ...._. _ r '--- � � II . PT.2 RIMl IST I��I � � � �-� � ' o � j� �II�I� I . :m, I i - ---I I ------------- I � � ' N I ' � M ih � ';ti� . � I�I�� I I 1 � I ' � 2 P�� . J�li � � 1 I � �� ; � � � �i . . - --------- ---- ' � -- -------� � --"'-----� '' '� `-- -----"- '---- -- - -----�-T - - - '--- ----------------------------- ------ � r. za Q I 't � WOOD BOIIOM RAIL � � � ' 2X 1 DE FRAMI G,Id' .G � I ; � � � wi SOLID RIDGI ns ' � I, i � i � i� � � � CEMER BLOCK,AS REQUIRED � i ' I . %8 I . � � � -------- --------- ' � . . ` ---------------------- ---------'---------------" ' ' � 1%IOTRIM BOARDS � . . 5'-8" 6�-2}' 3'-2' TYPICAL PERIMETER RAILING L01/�'ER DECK FRAMING n FOOTINGPLAN 5 3/4"=1'-0" � 1/4"=1'-0' � 114•=1•,-0" PROJECT . . REVISIONS . d�/nla rGSId,GnCe . proposed deck �alans i � , � 25 dearborn street . , . � � � 0 salem, massachusetts � SCALE: 1/4" = 1'-0" I � �---• _ __-- --..._._.. ._...__ ..__.. _ - - --- _-- _ _ , - _._�._... ... ' _ _. __ __ _. _ t - �-- --- ---- The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY Massachusetts State Building Code, 780 CMR, 7`�' edition Ois SALEM 1 Revised January Building Permit Application To Construct, Repair, Renovate Or Demolish a 1, 2008 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: Signature: /7 ///6.2 Building Commissioner/Inspecto Bui dings Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 7S DEAR-50" 5- I.l a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(R) 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: Public❑ Private❑ Zone: _ Outside Flood Zone? p (W y Check if yes[] Munici al Y+ On site disposals stem ❑ SECTION'.: PROPERTY OWNERSHIP' 2.1 Ownerr of Record: G s rYre_ ! 1,5 Name( Address for Service: 478- Gq* Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify: Brief Description of Proposed Work : REltiptlAt oj�: E><tSS1961 EIbtRAO LY�� 7[ 112.h(sA£ �FX�LdG>�I�JT WtSFF Vr�it_ � �L1NE '�IMF�JytPJS SECTION 4: ESTIMATED CONSTRUCTION COSTS ;,},- 1; Item Estimated Costs: Official Use Only' i� Labor and Materials 1. Building $ rj, ovo 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ _. ❑ Standard City/Town Application Fee ❑ Total Project Cost (Item 6)x multiplier x 3. Plumbing $ --- 2. Other Fees: $ 4. Mechanical (HVAC) $ List: y 5. Mechanical (Fire Su $ _ Total All Fees: $ Suppression) Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ ❑Paid in Full ❑ Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES " 5.1 Licensed Construction Supervisor(CSL) License Number Expiration Date Name of CSL- Holder List CSL Type(see below) Address Tye F _:Description U Unrestricted(up to 35,000 Cu Ft. R Restricted 1&2 Family Dwelling Signature M Masonry Only RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company Name or HIC Registrant Name Registration Number Address Expiration Date Signature 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 Issuance of the building permit. Signed Affidavit Attached? Yes .......... ❑ No ........... ❑ SECTION 7a: OWNER AUTHORIZATION TORE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. J lsit Si natura.ner J, Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION 1, 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 of er u 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 Home Improvement Contractor(HIC)Program), wil I 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 I IO.R6 and 11 O.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"