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126 1/2 FEDERAL STREET - BUILDING JACKET I h 125? FED"RAT. STREET �ouorrq„� CITY OF SALEM, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT n 1 20 WASHINGTON STREET, 3RD FLOOR SALEM, MASSACHUSETTS 01 970 TELEPHONE: 978-745-9595 EXT. 380 �t9nllryg poi FAX: 978-740-9846 KIMBERLEY DRISCOLL MAYOR May 15 .2008 To Whom it May Concern: RE 126 'h Federal Street According to our records, it has been determined that the property located at 126 '/2 Federal Street is a legal grandfathered non-conforming 3 family dwelling located in a Residential Two family zone R-2 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. Sin erely, f,. Thomas St. Pierre Zoning Enforcement Officer The Commonwealth of Massachusetts Board of Building Regulations and StandaP�s N I E VD R p �R F Ulf Massachusetts State Building Codq;a"WL M Revised Mar 201! Building Permit Application To Construct,Repair, Renovt�`t O_r Zq A � 22 One-or Two-Family DwellinJ5)5 b V This Section For Official Use Only Building Permit Number: Date Ap it: Building Official(Print Name) Signature Date (� SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 12(01- fecln .l Stack L l a Is this an accepted street?yes_ no Map Number Parcel Number 1.n 1.3 Zoning Information: 1.4 Property Dimensions: 1 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) (�V=jd1 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'o ecor n S sales, 1V, 01970 _JD- N -lY/N� J•�Q�/1 F �Nay ( nnt) City,State,ZIP ✓� � 978-a39 o76s�, ioVrnarehQ�A g1-noi/ oar, .and Street Telephone �rT Email Address SECTION 3:DESCRIPTION OF PROPOSED WORW (check all that apply) New Construction❑ Existing Building 0 Owner-Occupied Repairs(s) W I Alteration(s) I Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify: Brief Description of Proposed Work' Remade a mdw, o Xgk4 ke,aa,. ",-f SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1. Building $ a 760 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical g ❑ Standard City Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: �6 6 5. Mechanical (Fire $Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ 2 ,F 706 11 Paid in Full 0 Outstanding Balance Due: SECTION 51 CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) CS-Ogb453 �/a aol7- 5-ef,hen E k"Isr.r License Number Expiration Date Name of IC''SL Holder h slv'e,� List CSL Type(see below) v Jr`1 to No.and Street Type Description pD U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Towm,9tatc,ZIP M Masonry RC Roofing Covering WS Window and Siding SF I Solid Fuel Burning Appliances (78l)( 7o-6i% 5kasrernr. Ade,51gnbuild. (Om I I Insulation , Telephone — Email a4dress D Demolition 5.2 Registered Home Improvement Contractor(HIC) 150 TQ 9 loa%61 b Gal &4,,c41 HIC Registration Number Expiration Date HIC Cordpany Name or HI Registrant Name L5 I�a55 poin+ Rol Skcaso nkAeS1gn6oi1r .ot J No.and Street Email addkos Nalian-I- ,_MW 6190k (7SD9 4-84fr1 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 I,as Owner of the subject property,hereby authorize 5'} htVV C tv} .)-et' to g4A on/my alf, i all ma r elative to work authorize by this building permit application. % Jo y h?at-ehah&Ar vtT fFi�4 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. PrintOwner's or Authorized Agent's Name(Electronic Signature) ate 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 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. og v/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 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" AL Home Improvements Estimate 99 Lawrence St H 1 DATE: -. 7/10/2025 Salem Ma 01970 Estimate 115 (978) 595 4949 Customer ID Jo /Scott Project: 1261/2 Federal St Salem Me 01970 Joy Marchand 126 1/2 Federal st Salem Ma 01970 DESCRIPTION AMOUNT Estimate for carpentry and remodeling work according to plan design by 27,500.00 Helen F. Sides. Details: Demo according to plan. Demo existing Bathroom and framing to extend according to plan Demo existent 3th floor kitchen Demo of closet near bathroom third bedroom adding two access doors and demo of the existen closet Building book shells according to plan Remodeling bathroom, paiting the entire 3th floor down to stairs. Materials included are: everything needed for framing and carpentry, painting, ciment for tiling, grout for tiling, durock for tiling, drywalls, book shelfs. NOT included in this Estimate: Toilet, tiling,vanity,glasses for costumated shower, plumbing, electrical and Permits fees. Repair water damage to roof 1,200.00 SUBTOTAL _$28,700, OTHER COMMENTS TAX RATE 0.000%0 TAX L $0' OTHER $0 TOTAL L $28,700 Any Questions please call (978) 595 4949 J&L Home Improvements Massachusetts -Department of Public Safety - Board of Building Regulations and Standarddss— Construction Sunerrisnr License: CS-086453 tsutiE r i ti °FA STEPHEN E KASRkB 'k. 59 ugh St < %=F Reading MA 018V r J�1&16w— ^a Expiration 06/02/2017 Commissioner . lM L Office Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite sine Boston,.Massac etts 02116 ° Home170 � _improvement C " su _ or Registration z = o -- - " mv C o, Registration: � m m eg tra8on. 152808 a " A M 7J v m 0 ,,Type: o -. m 3 GALAXY CONTRACTING INC Private Corpora8on N o a m STEPHEN E�Wiration: 10/1/2016 Trd 2577tg KASPER M w V . �"'"°_'- o 65 BASS POINT RD =l ;n^l ?!r �j+ ' o NAHANT o MA 01908 �g t11III �m IN m Y I V scA i 4 zara.osm •�•'F�..x;;.a Update Address and return ca f "• ? �r ❑ Address rd.Mark reason for change. e �' $ to ❑ Renewal Employment ❑ Lost Card m r 0 OIBce of Container Affairs&BOA A C) A ME IMPROV0I°ti0p' License or ,$ Initiation- E¢IENT CONTRACTOR before the�r��ratios valid for individul use only a 1 ` .j'' expiration date. If found r Iratlon:,.' • Type. Office of consumer � e • mar Affairs and Business return to. GALA)ty CON1Rq ��..:,W�:.M Prime Corporation 10 Park Plaza_Suite 5170 °�Regulation a m e h[ C'ir'•�nr Boston,MA 02116 STEPHEN KASPER• RD SASS POINT .f tybpV S' 65 E _: NAHANT,AM 01908 ., 4•. �. °°, w '-� o m Undeneeretary. #NOtwitho -----�—- without lure Massachusetts- _-- _ - gu w��� a a e A ^ 'm Department of P W10Saf&f& of B11y f 7 4 e s tgoard of BmIdi R — p 69 egttFations and''M d�feis... r bttr � � p ° "i . Construction Supervisor �CSg I}IBh :• . .c License: CS-108118 ```tie:'rrx ed sp*e• . 'MAX.SIfASPER 5.=.. °'' '" P O 1 ,20Sea View Ave rK., " .,. .. ..•r,;wi_ fc;, :a . l y ° a a S r 'Nahant:lllA 01908` I � - achusetts oflpelJla41 ql `y Yri rrea.melon o4lhislicense w S ° 5 ,rro�� ' o 0 'oner atron, a�Pceco.-sceuse for r4voc o 'Commissioner nB ei5 onvd�^ ,Mass:GoilO� •e t08/1'S/2t11S S��'•uceminBmf°"°lad - e 4 °t k e r. "f1�so�� ---- awl 9r�t , - rvo�.tilz�rd "n L�F75�!?Pg' q 1111 i i -�s 4T F ya g ! ty.t S �4R =7 • i Iv011Wo'i i Naiii.t�vd 7 Ay of .. I'lie C'ummuntr�;lhlt of ht;u�;l:husrlls s; Hoard of Building Regulations ;,lid Standards CI'I.1. OF ' s) binssachusctts State Building Code. 780 CM1IR SALE.M G(1 Building Permit ,lpplieatit'll To Construct. Repair. Rclwvate Or Demolish a fore-fir Tiro-Piuuilr Utr,llin.�+ This Section For Otliciui Use OIII Building Permit Number. _— Uate Ap limed' ` K IIuilJing(7111ciu1( 1rin1 N,uncl / , J .tilgrlalU �. Ualr SECTION I: SITE N' t.l PropertyaJJreJ 1 �2� 12 AssessorsSlep,it Parcel Numbers /ape % /mod I.Is Is this an acre led street? es no �lup Number I'urcel Nw— miser I.J Zoning Informatlonf 1.4 Property Dlmenalonst Coning District I'ntpa+cJ ll.rr Lul�rcu s III 14 Frontage(II► 1.3 Building Setbacks(R) Front Yurd SiJv Yuma Required PruviJud Required Provided Required Yurd keyuircd I'roviJeJ 1.6 WA ter Supply:(M.G.I.c. a0. §!d) 1.7 Flood tone Informtttlont 1'011 Prlsma Zone: _ Outside Flood Zone? I.!Sewage Dlaposal System: � 0 C rck if cs❑ Munieipd❑ On siW Jispusul s7.rtum ❑ I�wnert o Record: SECTION I: PROPERTY OWNERSHIP' Nwno(Pri I JwP-m g1970 Ako 7, 'O,� C7ityy.-1..u....11 q Nu.,Ind itnel X �L!_r I- h --d ' telephone .mull Jdresa SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Eaisling Buildiny❑ Owner-Occupied O I palrs(a) ❑ Alteratlon(s) ❑ Addition O Dentulition ❑ Accessary Bldg. ❑ Number of Units Brief De cripiionofP opo d Work': Other:®.�Specily: O r ,- SECTION : ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: tLabur and\latrrials) Official Use Only I. OuilJiny S 3 �) pOQ-- I. Building Permit Fee: S Indicate how fee is Jeterntincui: '. 1`1wrlcal S 90---- ❑Standard City:Tusvn application Fee t I'Innlhinq S ❑Tuml Project Cost'(hen,6)x multiplier i000 ,. Other Fees. f_ — J. \Irdr,mical I I\ \f') i List: \fcCh.tll'c.tl IFlrc Ibfal 11rnject Cnsf: i /)/v ChccA Vat. _. _( hcck Amtlunt ❑ P.tiJ n Full Cl(hnstanding Del.snce Due: ©l 28 ("PION t: ('I)Ntil'R1 ("rION SII'FS eonsre(CsSI_. . _. . . 965^-53.. fS,I C'ustructiuSucnisurLic ieen,e\umber I rat�i � Q/� � �dl SL l Inlder ---- �Pf'oldcr Iwt01 - \note Description N„ .old hueet ll l4veitrideJ I Ilw Wilt ]ti to ii,UoO ai. Il.l C � �J' `�� Ii llearicleJ Ifi2 Pdmil Dttcllin C it)ira„n.State.%11' K %X11in C'o,erin µS Windo,v.,od Sidin Sp Solid Fuel Iluming Applialtces Iniululit+n Demolition 1'ele bars Ivn:ul;tJJmas � �a'cv S.2 Registered Alums Ini Jroventent Contractor(111C) / O tine un 1)ute IIIC IteglsuuUun Number I �i�/9GMO�GKS Q�G�CJ,GO IIIC Coat a Nant,o HC I(eylslrunt Nanttt /' .� P� �c7t /etc/�- � l:mun atlenss N 4 We A rele hone CI !Town, State ZIP SECTION 6:WORKERS' COM1IPENSATION INSURANCE AFFIDAVIT(M.G.I.e. 137. 2!C(6))� Workers CompenstuIon 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 A(Rdavit Attached? Yes ....... No...........O SECTION Tat OWNER AUTHORIZATION TO BE COMPLETED 1VHEN ` OWNER'S AGENT OR CONTRACTOR APPLIES FORBU �INCIRM1I 1, as Owner of the subject property,hereby authorize to -ton my b olf,in all matten relative to work authorized y this building per-merit application. y©v�lZ 3o y �2 Dote -10 Print o%vil s Nome(Eleewnie Signutn ) SECTION 7bs OWNER' OR AUTFI0RIZED AGENT DECLARATION By entering Iny name below. I hereby attest under the pains and penalties of perjury that all of the infurmatiun Contained in this application is true and accurate to st of my knowledge and understanding. f /, aW Nail O,tncr's nr:\ulhunied,\gem +Nanw I LL.uI nl• sign iturel Non& l �iln nutOregist red iobtainshe a hnpruing pementer it tCuntr lour lHlCl Program).nvill ito have access to the arbitrire$an ation lm ur prog`ant of guartm i)I 1,41 nro nru un on he Ceostruction Supers sor Li xtnset an be round atation on the Program c'n`bel'bwtJ at Mien substantial Durk is pl;tnned. provide the information b2. elow: I ineluding gunge. Imishcd basement attics.Jocks ar por0l rota) tiller area l itl• 11.t , --- llabiwhle rout" cuunt I Groii Iis inq area I sy. ILI Number of hedruoms \umheroftircplaces .. -. ._ \unlbchtfhall'huths \uniher ofhathromnt , . - \unthcr of Jeeki porehcs pe of beeung i),lem (teen Ihielo,cJ I\pe ol'an+llnq s item 1 "1,,ial I'rnjeel S,lwlre I'dPl.l,_'-'e Illll) be ,IIb,111111eJ Ilrr"rotA I'roieel01,r' , 'per CITY OF S.tiEM, \tLNSSACHLSETTS � BUILDING DEPART,1EINT , r 120 WASHINGTON STREET, 3se FLOOR TEL (978) 745-9595 Rsa(978) 740-9846 KIJIBERLEY DRISCOLL IfAYOR THomAs ST.PIEItRB DIRECTOR OF PL•tiLIC PROPERTY/11CIIDING CO'XMISSIONER Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Lefliblv Name((Jusitnss.Organizatianrindividuaq�/r� Address: _,�2_�S �09T�JSL City/state/zip✓/4 W y s �4�_(LS,23 Phone Are you an employer'Check the appropriate box: F6.:IE71Ncw roject(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 construction Iayees(full and/or part-time).• have hired the sub-contractors1 am a sole proprietor or ne. listed on the attached Sheet. x odeling tp• have no employees These sub-contractors have olition working for me in any capacity. workers'camp. insurance. Wing addition(No wvorkcrs'comp. insurance 5. ❑ We are a corporation and itsrequired.) officers have exercised their trical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 I.❑Plumbing repairs or additions myself.[No workers'camp. C. 152, §1(4.),and we have no 12.❑ Roof repairs insurance required.) t employees.LNo workers' I3.❑ Other comp. insurance required.) •Any uppliaani that chucks box at must also fill uut the%ectim below showing their wwkeri compenemion policy inlutmadon. I Lwneuwncn who suhmil this affidavit indicating they am doing all work and then hire outside contmetom must submit a new amdavil indicating such. =Cumrauden that chuck this box must a lached on additiurud sheet shuwing the mmne ofthe subwvntnctom and their workem'ramp.policy infortrution. I um an employer that is previdiitg workers'c ompetrsation insurance for my employees. Below Is the policy and job site information. Insurance Company Name: Policy k or Self-ins. Lie.y: Expiration Date: Job Site Address: _ City/Stnte)Zipi Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration data). Failure to secure coverage as required under Section 25A of,'YIGL c. 152 can lead to the imposition ofcriminal penalties of a ine up to S I,S00.00 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 i day against the violator. fie advised that a copy Of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the puma and penatles of perjury that-the 'rfurarrat/ua provided above is true and c'orrecG Pho Ojjicisd use only. Do not write in this urea, to be cunrplered by city or town njpcluL City nr'1'uwn: _.. ._ . Pcrmlt/f.Jccnse# L+suing,\of horily(circle one): =Plunibing 1. Huard of llcallh 2, fluilding Department J.City/ruwn Clerk 4. Electrical in 6. Other Contact Person: ..__.. ._. Phone ti: i 1 � CITY OF SALEM, N'LxsSACHUSETTS BLtLDCvG DEPAR[.MNT N 120 WASHNGTON STREET, 3' FLOOR T EL (978) 745-9595 FAX(978) 740-9846 KIJiBERLEY DRISCOL[ MAYORT'HOSL►S ST.PIER1lH. DIRECTOR OF PUBLIC PROPERTY/BUILDCVG COMMISSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 11 1.5 Debris, and the provisions of MGL c 40, S 54; Building Permit # is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: (name of hauler) The debris will be disposed of in (name of facility) (address of facility) signature of perm applicant �— / 41L �- date dcbrisalf dlx: