50 DUNLAP STREET - BUILDING JACKET 1
i
Plans must be filed and approved by the Inspector /
prior to a permit being granted
CITY OF SALEM
No. ���_� Ward
HISTORIC DISTRICT? Y N Date
r
IF FOR SIDING, HAS ELECTRIC
+ + Home Phone may' a C a 7
PERMIT BEEN OBTAINED? Y N Bus. Phone
APPLICATION
FOR
PERMIT TO
E9� act �,zc_stN9 fRa•"F aRcrs +� •� •,$+
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the
following specifications:
Owner's name and address �j-�/f `�T �� L��Bii_ ZL-Ai?
Architect's name
Builder's name
Location of building, No.
What is the purpose of building? jjtvccay/
�Re£fet9r l Rea/a-rP ^n Gsaet,R
If dwelling, # of units? I Material of bldng?
Will building conform to law? S Asbestos? IV6
Estimated cost yrs o City Lic.SState Liao ,
GO
Signature of Applicant
SIGNED UNDER THE PENALTY OF PERJURY
DESCRIPTION OF WORE TO BE DONE _
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Mail Permit to: S(3 Du n) / 12
I..
sIT;
Ward
APPLICATION FOR
PERMITTO ROOF
REROOF OR INSTALL SIDING
Locetlon
PEERMIIT-GRANTED
Approved
L 3� '
o0ding Inspector
10 6 w n2 r
'PlW11S lA W13E fftA04 1D APPROVED BY TW
AIPECIOB PtMOR TD A PUWT UWG GRANTED
CITY OF SALEMIs Pmpwty Lomled in r
WWd
\QQ6A
f... an Dktdct? YM No of
_ bald'as lrildiaa
ht P10POY LoodAd in
ttr Cwuwv lon Am? . Yes No_
Permit to: BUILDING PERMIT APPLICATION FOR:
(Cirde whichever apply) Roof, Raroof, Instal Siding, Construe, Pool,
Repair/Replace, Olhar
PLEASE FILL OUT LEGIBLY i COMPLETELY TO AVOID DELAYS IN PROCESSMq
TO THE INSPECTOR OF BUILDINGS: '•
The und8m0ed hereby applies for a permit to build accordLig.to the.following
spaoHications:
Owner's Name
Address & Phone SCD ( 92A.7Y9 — W19cg/
Architect's Name
Address 3 Phone
Mechanics Name ���r�/��
Address Q Phone _ ,S_
Whet is to p xpow of huY W
AAdwhy d tedldrq? I s of 19,for how many hmau9
wa hurdhp coital.to low? AlpipDs4 ---
Evan ded cod _f/�CU 6�.o o CITY Lioerer O mm umm M CS
Lse. m 1 So of Applicant
SKPW UNDER THE PENALTY'
DESCRIPTION OF WORK TO BE DONE of PERJURY
fe-G_!M/'9 r16 r7l c 1 J�69 Fm2vn /4�U1�
� 7j a,4�s �3 S�
APPLICATION FOR
PERRW TO
LOCATION
LO
PERMIT GRANTED
,8
744,-"Lg�
INSPECT OF BUILDINGS
E �
5 S &- t q $ ( 3-- k (b--7
3
"4 The Commonwealth of Massachusetts CITY OF
UTA
Board of Building Regulations and Standards CITY
O
Massachusetts State Building Code, 780 CMR Revised LE 10/!
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date.Applied:
tow,.t /b
Uw1ding Official(Print Name). Signature-' - Dale
SECTION f:SITE INFORMATION
1,I Property Address: 1.2 Assessors Map& Parcel Numbers
So Dtunr t, Ae� S7
I.I a Is this an accepted street?yes_ no \lap 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:
Zone: _ Outside Flood Zone'?
Public❑ Private❑ Check if yes❑ Municipal❑ On site Disposal system ❑
SECTION2: PROPERTY OWNERSHIP''
2.1 Owner'of Record:
2oc3zr_-rn u\no2?dJ S/aZ. 0"" -7 o
�'yme(Print) City,Slate,ZIP
q 7 5-979-3j S 7
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied W1 Repairs(s) Z" Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specity:
Brief Description of Proposed Work-: (Z£vVto✓t= /:4rV,/) AqOfq/c
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials)
I. Building S I. Building Permit Fee:$ Indicate how fee is determined:
�. Electrical S ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x 1
3. Plumbing S 2. Other Fees: $ /4. Mcchanical (FIVAC) S List:
5. Mechanical (Fire S
Su ression) Total All Fees: S
/ oD oo Check No._Check Amount: Cash Amount:
6. Total Project Cost: S ❑Paid in Full ❑Outstanding Balance Due:
i SECTION 5: CONSTRUCTION SERVICES
! 5.1 Construction Supervisor License(CSL) 090 ,393 S
hA US r; n!v M L Lv License Number Expiration Date
Name of CSL[folder U
List CSL'fype(see below)
34 a-0-1Y1VtiN6'S G`12 No.and Street Type Description
PEi9 ®/96a U Unrestricted(Buildings u to 35,000 cu. tl.)
i413��� R Restricted I Set Family Dwelling
City/fawn,State,/LIP wl Nfasonry
RC Roofing Covering
WS Window and Siding
Q / //�� `` SF Solid Fuel Burning Appliances
/'AJST 1 Na tbiF(D a)/M5M,Gt1 I Insulation
Telephone Email address U I Demolition
5.2 Registered Home Improvement Contractor(HIC) /6r-9S3 'g- e-)3
%'L)ELO15 CONSi Q rCT0'O N LI— G HIC Registration Number Expiration Date
111C C mpan Name or HIC Registrant Nit �
�� �g'n!N "2 ,� �� �i+u.5 r;iuor�rE[nr✓,cs n/,Go rvI
No. A td Street Email address
Kc,fe5a01
City/Town, Statli,ZIP 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 Wtrance 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
1,as Owner of the subject property,hereby authorize
t4 act on my behalf, in all matters relativve/e'o work authorized by this building permit application.
F U51 I`Ald O✓JriGO <<¢ 6� /� lam' o2I- /3
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNERI OR AUTHORIZE[)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 accun to the best of knowledge and understanding.
Mat Owner's or Authorized Agent's Name(Electronic..ignature) Date
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�lLG.L.c. I42A.Other important information on the HIC Program can be found at
www.ntass.&cw:'oca Information on the Construction Supervisor License can be found at www.massjgov/dm
1. When substantial work is planned,provide the information below:
Total floor area(sq. RJ (including garage, finished basement/attics,decks or porch)
Gross living area(sq. It.) Flabitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number ofhalf/baths
Type of heating system Number of decks/porches
Type of cooling System Enclosed Open
i. `"total Project Square Footage"may be substituted for`"loud Project Cost"
-50 DUNLAP STREET 336-14
GIs# �3926 COMMONWEALTH OF MASSACHUSETTS
Map 26
Block:, CITY OF SALEM
Lot'. 0237
Category: REROOF``
;Permit# 336-14 BUILDING PERMIT
1 ,roject# JS-2014-000795. j
VCost 71. $7,900.00
tee Charged y $63.00'
Balance Due:`r;, $.00 i PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License: Expires:
Use Group: .,' ', ' Melo's Construction LLC C/O FAUSTINOCONSTRUCTIO SUPERVISOR-080393
Lot Size(sq. ft.): 5523.8436
Zoning . ';i R2 'fir , ,r,.,,xl y., Owner: ROBERT MORIN
Units Gained: Applicant: Faustino Melo
Units Lost: :iTM AT. 50 DUNLAP STREET
Dig Safe#:
ISSUED ON: 23-Oct-2013 AMENDED ON: EXPIRES ON. 23-Apr-2014
TO PERFORM THE FOLLOWING WORK:
REMOVE AND REPLACE ROOF
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
electric Gas Plumbing Building
W.
OIhderground: Underground: Underground: Excavation:
F+'
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:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS
#ULES AND REGULATIONS.
Signature:
t.. Fee Type: Receipt No: Date Paid: Check No: Amount:
' BUILDING REC-2014-000797 21-Oct-13 4673 $63.00
+GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.