354 ESSEX STREET - BUILDING JACKET UPC 10330
N0.153L_ �Rlq
HASTINGS, HN
aCITY OF SALEM, MASSACHUSETTS
INSPECTIONAL SERVICES DEPARTMENT
THOMAS ST.PIERRE
INSPECtIONAL SERVICES DIRECTOR /BUILDING COMMISSIONER
KIMBERLEY DRISCOLL
MAYOR
120 W ASHNGTON STREET+ SALEM,MASSACHUSETTS 01970
TEL:978-745-9595 4 FAX:978-740-9846
htp�lt-6 b
July 10, 2014�—
Re 354 Essex Street
Herbert Schild
354 Essex Street
Salem, MA 01970
Dear Mr. Schild:
The Building Department received a complaint regarding the location of a shed located on your
property at 354 Essex Street. A site visit,July 9, 2014,confirmed that the shed at the rear left-
hand comer of the yard is, in fact, too close to the rear and side property lines.
The Salem Zoning Ordinance(3.2.4) requires that sheds "shall [not[ be located nearer than five
(5) feet to any side lot line ... or five(5) feet from the rear lot line."
You are directed by this letter to remove the existing shed, or to relocate it in conformance
with the Salem Zoning Ordinance, before Aueust 8.2014.
While on-site, I'observed that excavation work was in-progress beside and behind the house.
When questioned, a worker stated that preparation was being made for underground gas supply
lines to two proposed gas appliances in the backyard.
Please note that not all outdoor gas appliances/installations are allowed by the Salem Fire
Code. Please contact the Salem Fire Prevention Department regarding this matter.
Additionally, any,gas-fitting work will require a permit and approval by the Salem
Plumbing and Gas Inspector.
Failure to resolve the issues cited above will be construed as non-compliance and may result in the
issue of municipal tickets and fines as well as further enforcement actions.
If you feel you are aggrieved by this order, you have the right to appeal to the Salem Zoning
Board of Appeals.
Thank-you,
w
Harry kVagg
978-619-5643
11wagE a salem.com
cc. T.StPierre, Building Dept., Lt.Schaeublin, Fire Prevention, D.Ross, Plumbing & Gas
Y • ��off/ �?�(��
I'lie C'on)monweallh of Massachuscils
Board of Building Regulations and Standards CITY OF
41 Massachusetts State Building Code, 7SO C'NIR s,\Lli\I
'L�•' !fr risaJ I Gu•'0//
11jildiog Pennh Application To Construct. Repair, Renovate Or Dcn)olish a
Unit•ur Tnvl•Fun:ih'fhr.•llin,�,
This Section Fur OI'fle' USe Onl
Building permit Number: D ./Applied:
(holding OI)ieial(Print N;unc) Signature c )u
SECTION I:SITE INFORMATIO
1.1 Property�5(yAddre 1.2 Assessors Nlap dlt Parcel Numbers
77 a
I.la Is this an occe led street? es no Map Nunthcr Purcel Niankr
I,J Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed U% Lot Ares(sy 11) Frontage(11)
1.5 Building Setbacks(R)
Front Yurd Side Yards Rear Yard
Required 1'rovidcd Reyuircd Provided Required Provided
1.6 Witter Supply:(M.G.I.e. 40.154) 1 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Gone? Municipal❑ On site disposals)s Stcm ❑Check if rs❑ P N )•
SECTION2: PROPERTY OWNERSHIP'
2.1 Owne t of Record• A�/
N,unc(Print) C tty,Stato,Z.IP
Nu.andNa.and Street
retephone Email Address
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied Cl Repairsls� Alterations) ❑ Addition ❑
Demolition ❑ Accessory Bldg,❑ Number of Units__ Other ❑ Specify:
Bri Description of Proposed Work-: ) .Gro 4,ile CP{ y7on/ OC
r
SECTION 4: ESTBIATED CONSTRUCTION COSTS
mi
Estimated Costs:I l.aher and.\latrrials) OOldul Use Onlying S I. Building Permit Fee: f Indicate how fee is determined:ieal S O Standard CitytTosvn Applieation Fee❑Total Pru'eet C'ostt IItem 6).x multi her _ —_x°g S ' Other Fees: S p -
llical ill\ \(') S Lis::wical i Fire ' - ------- - -- - -
ionl S Total \11Fecs: S ____ ....-...._ . .r� ,/ Cileck No. ('heck AmounC l',uh \niotmi:Pntject Cast O 0 Paid in Full -- 0 Outstanding Ilakutee Due:
SEA"P[ON S: CONS I'RUC'rIONSFRVI('FS
5,1 C'onstructiotiSupenisori,iccnse(C'St.) lei I/ l /��
�ny� < .. //6 I ic.nsc Nu�QnLibcr I �pir;aian U;uc f
M1,uttc ul'C.\L I hddcr
list CSI.
S./�G------------�---- -__._._..----- 'f)pe Description
ld Street
ll I InrcsuielcJ I II tip lJin 110 to 14000 eu. III
It Restricted 1&2 F-und Dttdlin
Isi Aloe Gale./II' M Shuoo
RC Roolin C'overin
AS 'Aindow;mJSidin
— SF Solid Fucl ihtming Appliances
Insulation
1'ele Ilona I(mail:dJrezy V Demolition
5.=2 gis Bred Ito mpruvementContractor(HIC) /s0 ellZ7
e / Z Q,14e,4 /2 II1C Itegistrdiun Numtwr liwal"',lip, ule
I IIC C=pjaj Nmtu or IIIC'Iteglstrunt Name
No.an Suce �l7 Q � ?3 Email addressCi /Town.S ate ZIP 7 / /relc hone v
SECTION 6,WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. 152.S 1SC(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...........O
SECTION 7s:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
h as Owner of the subject property,hereby authorize
to act
//on my behalf,in all matters relative to work authorized by this building pe applilicatatiioon.
Prin Us ner's Nwne(Electronic Signalurcy Efute
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below. I hereby attest under the pains and penalties of perjury that all of the information
rained in Th7 .ct Ito is true and accurate to the best of my knowledge and understanding. /
ilOW C
ring Ihsncr's Jr:\uthurircJ.\gent's Name(Flevtnnlic Signaturet ale
NOTES:
I. .\n Owner w obtains a building permit to do his.her own work,or an owner who hires an unregistered contraoor
I nut registeredho in the Hume Iniprovenieot Cuntrictur i HIC) Program).will nrr have access to the arbitration
program or guaranty fund under\I.G.L.c. IJ?A.Other important information on the HIC Program can be found at
tt,t,t m.l" n -,.I Information on the Construction Supervisor License can be found at tt tt tt tml,t t -III,
2. \\'hen substantial work is planned,provide the infunnatiun below:
rn(al Iloor area Isy. R.) _ (including garage, finished basement aloes.Jccks or porch
Grosslking area lsy. 11.i _ flabilable room count
\untbar of lircplaces ... Number of bednmms
\unlher of hathrounli .. — \umber ul'half haths
i
Is pc of healing s)stein \wnhcr o(decks, porches
I'\pe of Coolling S\ile'il I'.ncloicd OIhll
). "foi,ii I'mjw Square Foolage'elan besuhilirncd ILr ,I\ual Project Cost"
CU
The Commonwealth of Massachusetts WS PECTIU A� Ctl S
Board of Building Regulations and Standards SALEM
Massachusetts State Building Code,780 CMR ,1015 DEC 32evAFgra+}?1111
Building Permit Application To Construct, Repair,Renovate Or Demolish a ll/!
One-or Two-Family Dwelling f
This Section For Official Use Only
Building Permit Number: Dat Applied: 7
Building Official(Print Name) Signature ate
SECTION 1: SITE INFORMATION
1.1 Propertyddress: f 1.2 Assessors Map&Parcel Numbers
'3S44 91"Z: S
1.1a 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(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:
Rtrber+ and Leanne. Schild 314t- IC-4 ,S'ALEr"1 ✓ A 01gZ71
Name(Print) City,State,ZIP
3s44 Ess<x Sfi
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s)X Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work': C 4 .onoy' oo r>"
0`
r
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
Of Use Only
-(Labor and Materials
1.Building $ ey
V J 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $
❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
QQ Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ 115 ❑Paid in Full ❑Outstanding Balance Due:
COO-
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 0- 053M /0 b
--(/E Fr g-FiI `j(,%�gr/',nom. License Number Expiration Date
Name ofCSLHolder
�� List CSL Type(see below)
No.and Street Type Description
C J� U Unrestricted(Buildings u to 35,000 cu,ft.
V �N�M 06-70
t l/C� R Restricted 1&2 Family Dwelling
Cityaown,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
��7 ,3 72 Z SF Solid Fuel Burning Appliances
r 63 Qr -e-7 �'wa,34�..J�(.t�,( I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) I ZL
15
(C;:;7(26 ��-����� HIC Registration r Exp' ation Date
HIC Com y Name HIC a rsh'an[ e
(S P�4 S T 6 3 rw.ctrl @ 44.C
Ido. nd S eet Or�rD 72 722 �.. Email address
�] �� >B
City/Town,State,ZIP 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..........r
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 buil ing permit application.
Prrlxrf- SCLt' Id 12-- 23 -2-0rL
Print Owner's Name(Electronic Signature) - Date
SECTION 7b: OWNEW 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.
JErF�2.E-1 G�rt�d2 ,�1.,.L- �z_zs - zor �
Print Owner's or Authortzed Agent's Name(Electronic Signature) Date
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. ovg /oca Information on the Construction Supervisor License can be found at www.mass.gov/dos
2. When substantial work is planned,provide the information below:
Total floor 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 halfibaths
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"
. Q
3y
'fi Dy 4, _
Salem Historical Commission
120 WASHINGTON STREET,SALEM,MASSACHUSETTS 01970
(978)619-5685 FAX-(978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction ❑ Alteration
Dcmohtcn i ❑ Painting
❑ Signage ❑x Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic
District's Ordinance.
District: McIntire
Address of Property:354 Essex Street
Name of Record Owner: Herbert& Leanne Schild
Description of Work Proposed:
Rer•oof with 3-tab shingles in the same color as the existing shingles.
Dated: -November 12, 2015 SALEM HISTORICAL COMMISSION
f
sy. �--
J� t•
The homeowner has the option not to commence the work (unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A-BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals)prior to commencing work.
3 o0
�LikNSidl *JS EffLf� APPROVED BY T44E
Ipg;,ppXTDB pp" TD.A PERMIT BEING GRANTED
CITY OF SALEM
No..� onto 2 oG
i
Is Property Located in Location of . c
tiw Historic District? Yes No_ Building Sq r S S 3T
Is Property Located in
tin Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other:
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name S-6-1 141 )
IG 171 9L�3 7�j
Address & Phone
Architect's Name
Address & Phone
Mechanics Name
Address & Phone J J crf � S�ttwl R� ,l78 611
What is the purpose of bUlding?
Matwiel of ? OcpI2 r/49!*-tip M a dwelling,for how many families?
Will building conform to law? Asbestos? 1 q
Estimated cost d r .City License k W A state Lican k �� 1
Bane Inproveraeut
Lin' # Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
jDd
MAIL PERMIT TO• � C(x
No.
APPLICATION FOR
PERMIT TO
C ^
LOCATION
35. se.,
PERMIT GRANTED
2-0
AP ROVfD
INSPEQTON OF BUILDINGS
4 �
The Commonwealth of Massachusetts
WE
Board of Building Regulations and Standards 'LvCITY OF
husetts State Building Code, 780 CNIR SALE
Massac Revised Nlar dMar 2011
Bu.1diug Permit Application To Construct, Repair, Renovate Or Demolish a
YYY One-or Two-Family Dhvelling
This Section For Official Use Only � '
Building Permit Number: Date pphedi /
'Building Official(Print Name) Signature e.! ' Date,
SECTION I: SITE 6NFO9IV1AyY0N
2.1 P. a erty-Address:, 1.2 Assesso Map Parcel Numbers
�5 L,JSsek Shea�,Sa(Lev AWO)9��
1.l a Is this an accepted street5 yes_ no Map Numb 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.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public: Private❑ Check if yes btunicipall?9 On site disposal system ❑
SECTION 2:; PROP.ERTY OWNERSHIPL
2.1rOwner'of Record:� ar>e SGtiil� " 01"V
Name(Print) City,State,6P
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORW check all that apply)
New Construction ❑ Existing Building Owner-Occupied sl] Repairs(s)- Y I Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other XSpecify:
Brief Description of Proposed Work": r a�S'Ll,
SECTION 4: ESTIbLaTED CONSTRUCTION COSTS
[tern Estimated Costs: Official Use Only.
Labor and ivlaterials
1. Building 1. Building Permit Fee Indiddie how fee is determined:
❑ Standard._City/"Gown Application Fee
2. Electrical S
❑"Coral Project Costa(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: S
4. Mechanical (IIVAQ S List:
5. \Mechanical (Eire $ Total Ul Fees: .S
Jut ression) -
Check No. Check Amount: Cash Amount:
I'mtal I'rnject Cost: S y6� ( 0 Paid in Full ❑ Outstanding Balance Due:---
Cry ,tee/ P wP� J
SECTION 5: cONsrauc'rION SERVICES
5.1 Construction Supervisor License(CSL)
License Number E.epiratiun Dane
Name of CSL [[older List CSL Type(see below)
No. and Street TYPe Descriptions,
U Unrestricted(Buildings up to J 5,000 cu. t1.
_ R Restricted 1&2 FamilyDwcllin
City/Town,State, ZIP NI blasonr
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
[ Insulation
role hone Email address D. Demolition J
5.2 Registered Home Improvement Contractor(IIIC)
II[C Registration Number Expiration Date
I IIC Company Name or[i[C Registrant Name
No. and Street Email address
City/Town,State, ZIP 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, 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.
z�
'Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby a est under the pains and penalties of perjury that all of the information
contained in this application is true a ur to the best of my knowledge and understanding.
I/"It utlwrized,\�pri' 'S vne • tronicSignature) Date
t
NOTES:
I. :\n Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Honnc 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 MC Program can be found at
ww%vmlass."ov oca Information on the Construction Supervisor License can be found at www.mass.eu�'rdL
2. When substantial work is planned, provide the information below:
"Total floor area(sq. ff.) _(including garage, finished basement/attics,decks or porch)
Gross living area(Sq. 11.) _ Habitable room count
Number of fireplaces Numberofbedrooms ._-----__—_--
Number of bathrooms Number of halt'baths
Type of heating System
I)peofcaolingiyitcm _ Enclosed--- Open _
{ "I'oral I'nryccI Syuara Fuott,le" finny be Subititutcd G)r"I'ld.tl I'rujeCt ('oi[" —
fp o
s
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX (978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ . Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage Fx-1 Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: McIntire
Address of Property: 354 Essex Street
Name of Record Owner: Hebert & .ieanne Schild
Description of Work Proposed:
In kind replacement of rotten wood clapboards. New clapboards will thatch the existing in style, material, and
paint color.
Dated: April 17, 2013 SALEM HISTORICAL COMMISSION
By:
�n`J
The homeowner has the option not to commence the work (unless 1 elates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals) prior to commencing work.
�'" �• - --- I'he C'onumm�we;dth of M:us;trhuseus - .
Board of Building Regulations and Standards CI IN OF
s '+ klassachusatts State Building Code. 7SQ LAIR SALT:\I
Building Permit \Poication 'ro Construct, Repair. Renovate Or Demolish a
Otte-ur Tu•rr-FunN(m• Ulra'lliu•(r
This Section For Official Use Only
Building Permit Number: f D pp ' d; _
\P_eda.d�Yi(._ l ta`l"Yl�'I Ncy�' U
Building OR)cial(Prins N;une) Signatu 0310
SECTION I:SITE INFORIIIATION
1.1 Property Address: 1.2 Assessurs dlap dt Parcel Number
.3S y EssEx sT. __ _ -
1.Its Is this an aces ted street:'yes no INtapNumber I'urcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
zoning District Proposed Use Lot Area(sq 111 Frontage(11)
1.5 Building Setbacks(R)
Front Yard Side Yams Roar Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.I.c.40.154) 1.7 Flood Zone Information: 1.8 Sewaaa Disposal System:
INblic t" Private O Zone: _ Outside Flood Zons1 Municipal O On sitedisposal s)stum O
Check il' esO
SECTION2. PROPERTY OWNERSHIP'
2.1 QQwner'of TRecords
Hft?l3E2 SIX�� �SAG�fn1 r�lA. a/97a
Mane(Print) Ciq'.51uta,l.IP r
3� s5sx ,sT 976-WO-06Y
No.:umd Sucel relephune Email Address
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ Existing Building Owner-Occupied O Repairs(s) ❑ 1 Alteration(3) ❑ 1 Addition C
Demolition O accessory Bid#.O Number of Units_ Other C3 Spcciry:
,
B(ief Description of Proposed Work,: 2r a JNixk ct5 L ar7 IrEAQ &4-r3iq,E M✓sl J '04
SECTION J: ESTI3IATEO CONSTRUCTION COSTS
Items Estimated Costs: Ofllclal Use Only
(Labor and\laterials)
I. Building Is 7,666,rip 1I. Building Permit Fee: S Indicate hosv lee is determined:
'. 11cctrical S 0 Standard CitylTussn Application Fee
t7 Tuml Project Cost't Item 6)x multiplier
1. I'lumhiilg S 1, Other Fees:
J. Nlcdm.mical ill\ W) S List: _
Aral .\II Fees: S
`u uesiiUn 1 --------
Chcck No. ( heck Amount: ('ash \mount:
n 1'u1a1 Prnjact CusL i O.Oe p Rud in Full O outstanding Bat:mcc Data:
f "a
SECTION S: ('0NS1'Ril rim SERVK FS
S.I C'a structiun Super isor License(C'SI.) -
iccn.c Nunthcr !- 'spir Ion I);na
N.nnc ol'l'SL I kidder ....---' I la C'SI. 1)Pc Hoe helu,ll,_ -G
Na. .ntJ Slrcct A— M,
stricrcJ Ului Win s li dl 1S,UIy Rictcd IR?P.unil Dt,cllin� ln C'ot Grinnt�'.mJ.4idinfuel burning AppliancesIfnluil litian5.2 Registered Home Improvement Contractor(HI ) Wt4 "aAL
�i,(�/� lWAC-fW-1 IIIC Itcgtstratiun Numhcr liv tialo
IIIC'Con al>� Nunle n I IIC'liti: trunt Nanulr�� Ixit S
Na. Wl $heel .h^/� Emilladdress
�n��✓ n) aJ9��a
Citvrrown. Sta a ZIP Telc hone
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 Issuancip of the building permit.
Signed Affidavit Attached? Yes .......... IIK No...........C3
SECTION 7s:OWNER AUTHOOZATION 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 Uencr's Nal(Electrunic Signature) Date
SECTION 7b:OWNER' OR AUTFIORIZED AGENT DECLARATION
By entering Illy name below,) hereby attest under the pains and penalties of perjury that all of the information
contains n this applicat'o is true and accurate to the best of my knowledge and understanding.
O 11
Print 0 ncr's or Awhoriivd \ •t 'i Muni:i l!Icclrunic Signatursl Date
.NOTES:
I. An Ossner who obtains a building permit to do his.her own work,or an owner who hires an unregistered contractor
(nut registered in the Hums Impruvensgnt Cunlractur(HICI Program),will nu have access to the arbitration
program or guurutty I'wod under M.G.L.c. 1 ?A.Othcr important inrurnlation on the HIC Program can be Ilrund at
„o„ n 'N' �, . I Inforntmiun on the Construction Super-isor License can be found at„,,,t nl.n; 5o% Jp.
\\'hen substantial work is planned,pro%ids the inl'unnalion blow:
rota) dour area Isy. 11.1 . _— I including garage. limished basement attics.Jocks or porch
Gross its ing area l sy. tl.t _---. _ Ilabitable rounl count _..
\till lber of fireplaces .... __. . - Number of hcdruonts . .
\anther a(hathr wllls .. .. —_ ♦anlher lit half halhs
11 pu al hating s)arnl . . . \anlhcr ofdecks, porches
I'nclaKJ
I�pc��f cooling ;);tom ..01wil
1, "I,a.11 I'roiect \thlare foot•Ige' it;l\ he;uh,tittiwd t1ktr"1'ot.11 Project Cost"
, h
✓ y��g0 y�wIT�
H
Salem Historical Commission
120 WASHINGTON STREET, SALEM,-MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving,. .`.
Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: McIntire
Address of Property:-354 ,Fssex Street
Name of Record Owner: Herbert & Leanne Schild
Description of Work Proposed:
Replacement of roof to replicate existing(3 tab, black or charcoal grey). No changes in color, material, design,
location or outward appearance. Non-applicable due to being in kind maintenance/replacement.
Dated: April 3, 2012 SALE M HISTO L COMMISSION
By:
The homeowner has:the option not to':commence the woik (unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals)prior to commencing work.
DATE: NI/3/t�(a
`FA Citp Df 'E)atem, 1Ea55arbUE;ett5
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building m l 1 �SS2x `�Ye21
Building Permit Application For:
'(Circle whichever applies) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool
Addition, Alteration, a air/Rep ac , oundation Only, Wrecking
Other: 1
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
To the Inspector of Buildings:
The undersigned hereby applies for a permit to build according to the following specifications:
Owners Name: ltpYhPa'+ --)V)i1 (-A Contractor: Christonhar 7.orzY
Street tpl R a )rnmar 6fre Sit}• c11Prn Street 11 5 North Street City Cal am '
State ® A Phone (ate) aaa �_�o9 State MA Phone (978) 741-0424
Architect: City of Salem Lic# 14 0 5
Street City State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form_yes V no
Structure: (please circle) Single Famil}. Multi Family# Other
Estimated Cost of job S I 1 of l7(o�l)
Will building confirm to law?_z yes no
Asbestos?_des Vno
Description of work to be done:
lace. �f-2er, f I51 t � i r �l rnlnl t�5 I I l-,
en C.115 ne-v-.) bra,5c�P l;txx)d i4�indo( JS .
SERVICES
Drawing miffed: V es no Mail Permit to: 1.15 NORTH STREET
1 g aAT.RAI XA
Signature of Applic on,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning Map/Lot
Permit fee S
COMMENTS:
4
f
No.
AFPLICATION FOR
' PERW TO "
LOCATION
PE MIT GRANTED
APPR�//AD -
..GG
INSPECTOP OF BUILDINGS - --
CERTIFICATE OF OCCUPANCY .
YES
NO +
-
r
►o c��,OnA i'f M A y
,Ji i oao�A 3s� seX S'- i v► �inn trr'a A�� �► ;
�r T)ivlaed � ..
�� v' d, ✓��eCs
vj
viq o �
out~ oh
ov�C (P OVIK I o vex'
�rou; }e ws Abe. mf,
02/23/2008 THU 12:32 FAX 617 884 9288 JB SASH DOUR CO ®001/004
Brosco Wood Single Glazed sack
profile top meeting rail Oat top meetingrail
stile stile
top and bottom raiNxtend stiles fit over end of to
full length of sash p
and bott=mi,,
SSB sash, "new" SSB sash, 'bid"
style square-plough — sty}-_round.PlMgh e
V m c
w it „'"l...a,m.r.
Cr N o m pmp Q
a S W
. . C, m-P
O v
Lo m `9 �?x ?'
N .N U � LL ry
m
3
s
_ 58' bar 6„ bar