128 FEDERAL STREET - BUILDING JACKET 128 FEDERAL STREET ''
.001)1Tq CITY OF SALEM9 MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3RD FLOOR
a C SALEM, MASSACHUSETTS 01 970
'1R TELEPHONE: 978-745-9595 EXT. 380
u Eos'
FAX 978-740-9846
KIMBERLEY ORISCOLL
MAYOR
May 15 .2008
To Whom it May Concern:
RE 128 -130 Federal Street
According to our records, it has been determined that the property located at 128-130
Federal Street is a legal grandfathered non-conforming 8 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.
Si erely,
��j✓
Thomas St. Pierre
Zoning Enforcement Officer
The Commonwealth of Massachusetts RECEIV D
Board of Building Regulations and Standard P
WMassachusetts State Building Code, 780 CWNSPECTiONAL ER M
Revised Mar 2011
Building Permit Application To Construct,Repair,Renovate SkWrK86sh
One-or Two-Family Dwelling lt•'+ 11Y
This Section For Official Use Only
Building Permit Number: IDate plied:
_ 'low, y /
Building Official(Print Name) Signature ate
SECTION 1:SITE INFORMATION
1.1 Propeprty A{d'dress: ) 1.2 Assessors Map&Parcel Numbers
r'PGIP fL / ��
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?Check if yes❑ Municipal❑ On site disposal system ❑
'OILp,o �&fzAfv N SECTION 2: PROPERTY OWNERSHIP'
2.1 Ownerl of Record: _5 PS Ede-r, /�le., An.4 0/ �o
Name(Print) city,St te,ZIP J /_'
(ail fe.Ar,( SF IG �I���`o-oY) 6rdP �/Ver;st �rones CJk'
No.and Street ` Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK (check all that apply)
New Construction❑ Existing Building❑ 1 Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work : 11el 6 k ' e
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
Labor and Materials Official Use Only
1.Building $ 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:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ 3 a So 0 Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Cons rue ion Supervisor Licensee(CSL)
fi.G,i I/� ✓'G.1 ZJ License Number Expiration ate
Name of CSL Holder
- w List CSL T see below
h (�e 4 W v s kv%el., 180 Type( )
No.and Street Type Description
I'�- �T�T'"�f � U Unrestricted Buildin s u to 35,O1111 cu.ft.
R Restricted 1&2 ram] Dwellin
Gtyfrown,State,ZIP M Maso
RC Roofm Coverin
/ WS Window and Sidin
3S'b S.a3 /r �,/ SF Solid Fuel Burning Appliances
J�+�' e4l"/vf✓ Mtis�,r k I Insulation
Telephone Email ad ess MJ .cv;, D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expration Date
HIC Company Name or HIC Registrant Name
No.and Sveet
Email address
Ci !Town,Stale,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
I'I OWNER'S AGENT OR CONTRAC
/T
GOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize 1/ClL C .o
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I h�y attest under the pains and penalties of perjury that all of the information
conta=P ��
the best of my knowledge and understanding.
PrmfOwner's or Authorized 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
xv%vw.mass.sov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dips
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 haWbaths
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"
c
Salem Historical Commission
120 WASHINGTON STREET,SALEM,MASSACHUSETTS 01970
(978)619-5585 FAX(978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑O 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: 128 Federal Street
Name of Record Owner: Brad Aham
Description of Work Proposed:
Reconstruction of the rear chimney. There will be no changes to the design or size of the chimney. Water struck
historic brick to match the existing brick in color and texture will be utilized.
Dated: August 28, 2014 SALEM HISTORICAL COMMISSIONd
By'
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.