10 ENGLISH STREET - BUILDING JACKET 10 ENGLISH STREET
July 2 , 1984
Building Inspector
Salem, Ma.
Dear Sir,
To the best of my knowledge the house on
10 English St. , has been used as a two family dewelling.
Period of use was in the mid 1930 's .
Patricia Ay s (Thompson)
c,v k 51', JL -
Subscribed and sworn to before me this 2nd day of July, 1984 .
Notary Publ c
My commission expires: February 21, 198
BUILDING DEPT / t rj p.r t,cpT
KAPLAN -u- V
4 1ST# CENTER
kit - 11
RECEIVED BQA44 DD O ;SHE
x-< , _ 1 E D
CITY OF SALEPAIMASS. y,'O.ff JeffetgrA}+ ueL.E11 LASS.
Salrp+\em iss,chysetars01970
ytl \\tet
ISRAEL KAPLAN. M. D. "A •1'�• JOHN J. TOOMEY, D. P. M.
JOSEPH R. RICHARD HEALTHAGENT
J. ROSERT SHAUGHNESSY. M. D. (61]) 745-9000
ROBERT BLENKHORN
M. MARCIA COUNTIE. R. N.
MILDRED C. MOULTON. R. N. -
EPPIE MACDONALD _
Januaxy 9, 1976
Mn. Jack. R. Thompson, Sx.
10 Engti4h Street
Satem, MA 01970
Dean Six:
The Boaxd o6 Heatth sevvLat times has contacted you in xegaxd to the noon
.,.state o6 xepad,% o4 the siding on your 10 Engti6h Stke.et pnopeJrty, howevex
conditions have 6wttheA detex ionated. �
A eomptaint has been received this date which indicated you have now
.in6ta2.eed caxdboaxd 6M siding on you& stnuctme. This :is a seAious 6i&e
hazaxd as WeZ_ and eontAibute6 to bti.ght..in the axea.
You ane xequezted to .immediatety contact the Bowui o4 Hea.Eth (and not katex
than 72 houu a6.teA xeeeipt o6 this tetteA) on your intentions .to xepaiA
the siding on youx stxuetwce.
FOR THE BOARD OF.HEALTH- ; Repty to:
n J. Toomey, D.P.M. Cotin E. CameAon, R.S.
Health Agent Seni.ox SanitaAian
/4
CeV,i.4.ied Mail 0449901
Retwcn Reeecpt'Requested
CC: Bu,itding Inspector
Counci,E m Nowak
SaRem Fixe Department (Fixe Pxevention)
l` The Commonwealth of Massachusetts
^� Board of Building Regulations and Standards CITY
W /
Massachusetts State Building Code,780 CMR, 7h edition OF SALEM
Revised January
Building Permit Application To Construct,Repair,Renovate Or Demolish a 1,2008
One-or Two-Family Dwe mg
'this Section For O ial Use Only
Building Permit Number:- ate Applied: 5 "LO
Signature: tn tC �/il1 I
Building Commissioner/1 spect�&Ipuildings Daze
—�—
TION 1:SITE INFORMATION
1.1 P7erty,Addres: 1.2 Assessors Map&Parcel Numbers
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 Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'n � 1 ,pa I
2.1 Owner'of Record: f 0 ✓I
(9-AN SA l L 5H L-A �'{ (� ( l3 e✓I y
Name(Print) Address for Ser / 2b / o
7 IP
sigabd Telephone
SECTION 3:DESVRIPTION 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 Workz:
SfYtD and rn/D(u�p 'e'r
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cosl3.(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Su ression Total All Fees:$
00 Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ r ❑Paid in Full ❑Outstanding Balance Due:
<- / to 4-0 GN-Cf70G'-0/z-
i
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) 01j�(Yh 3 13 I�
V
0 L �I 1 ��Q. License�jExpirati Date
Name of CS -Holder
List CSL Type(see below)
AddressType Description
U Unrestricted(up to 35,000 Cu.Ft.
R Restricted 1&2 Family Dwelling
Signature M Masmay Only
-7 9-/ � / SL RC Residential Roofing Covering
Telephone WS Residential Window and Siding
SF Residential Solid Fuel Burning Appliance Installation
D Residential Demolition
5.2 Registered Home Improvem nt Contractor(RIC)
HIC Company Name or HIC Registrant N�ajjnne Registration Number
7 WIO✓I�h^2v1T A—� SWAtMpl/ / I1Z
Address
�06r—cc�Un 7 r I $-(, 3 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 TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, lS U I / J ISI hs N as Owner of the subject property hereby
authorize L_i to act on my behalf,in all matters
relative to work authorized by this building permit application.
Si tore of Owner Date
SECTION'K-OWNER'OR AUTHORIZED AGENT DECLARATION
I, o / 1 (' rC.V— 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. n I - ^
Print Name U� a9c /T
Signature of Owner or Authorized Agent Date
(Signed under the pains and penalties of
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 and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 1 I0.116 and 110.R5,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"maybe substituted for"Total Project Cost"
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