134 FEDERAL STREET - BUILDING JACKET 134 Federal St, i l
�,`
n
F"CERTIF C TE OF OCCUPANCY
3 CITY OF SALEM Issued. 110/00. Permit
II, SALEM, MASSACHUSETTS 01970 City of Salem Building Dept.
mna —
DATE -' ':- 19 +'-+ PERMITNO. -
APPLICANT ADDRESS fI' ^r'' -
(NO�) (STREET) (CONTR'S LICENSE) .
CITY . rir=r R'+/ STATE_ii.__ZIP CODE %;7; TEL.NO.
PERMITTO r?I -!-.�I—•+��-T.-I h' - ri ;.— NUMBEROF _
(TYPE OF IMPROVEMENT) ( NO. STORY (PROPOSED USE(' DWELLING UNITS
AT(LOCATION '.T ^r7 =R 11 S _ ZONING
DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION r t LOT �;'BLOCK SIZE
BUILDING IS TO BE - FT.WIDE BY FT.LONG BY FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE -USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: RF'hICVI�'1"ti-j'y't; t'i= -` crl r^f!FJ�,
AREA OR - PERMIT
VOLUME ESTIMATED COST .�'? - FEE
(CUSIC(SOUARE FEET)
OWNER Ic.T Mir':1 e;^h., TO':eF—q
BUILDING DEPT.
ADDRESS 4'-3 I BY
THIS PERMIT CONVEYS NO RIGHTTO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS
ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION,STREET OR ALLEY GRADES AS WELL
AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE
APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
11\
CERTIF C TE OF-OCCUPANCY
CITY OF SALEM Issued. a aJ. Permit k 9q I-ii 1 SALEM, MASSACHUSETTS 01970 City of Salem Building Dept.
DATE 19 73'-1 PERMIT NO. -
APPLICANT T ADDRESS-7.. n _
u'
(NO.) (STREET) (CONTR'S LICENSE)
CITY 17;E R STATE "i ZIP CODE - "' TEL.NO._ c_.1-
PERMIT TO -^ �'=< 17?('1�) _ NUMBER OF
(_) STORY T�. !+^ - �;'.'•I. '. DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT(LOCATION). 'IO)- SIRE i =:Ci::) f;7'�%= ZONING
-I�"'T S
—(N0.1- (STREET) DISTRICT
BETWEEN AND
' '(CROSS STREEII (CROSS STREET)
LOT
'SUBDIVISION L ='>=• LOT--=BLOCK SIZE
BUILDING IS TO BE FT.WIDE BY - FT.LONG BY FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USEGROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: REiVV:�T?C;\IS Q--'JFL i Q-EiE =I?
AREA OR PERMIT
VOLUME ESTIMATED COST -._p, - FEE $ =
(CUBICISOUARE FEET)
OWNER _ h i^.{ (zI r.;Rr,! iQjy'.I=p;
BUILDING DEPT.
ADDRESS 4.9 BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS
►ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION,STREET OR ALLEY GRADES AS WELL
AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS..THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE
APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
I
�r
FT.6 _:/C. O. COPY Ute i 1' ONLY
CERTIfICA�E OF OCCUPANCY
5 CITY OF SALEM Issued.�R a Permit N:941"Qq
') za. SALEM, MASSACHUSETTS 01970 City of Salem Buildin Dept.
DATE OC rOBEF2 21 19 99 PERMIT NO, 741-1999
APPLICANT J IM NIC:HOLSON ADDRESS49 LAWRENCE ROAD 15-..3
(NO.) (STREET) (CONTR'S LICENSE)
CITY DERRY STATE NH 03038 TEL.NO. 603-53 7- )28F,
PERMIT TO ALTERATIONO STORY TWO OR MO RF FRMII-Y NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT(LOCATION)0I34 FEDE-RAL STREET DISTRICT-R-2—
(NO)
ISTRICr R-2(NO) (STREET)
BETWEEN AND
(CROSS STREET) - (CROSS STREET)
LOT
SUBDIVISION MRP dE LOTBLOCK SIZE I/I00526 3 SQ FT
BUILDING IS TO BE FT.WIDE BY - FT.LONG BV FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUPBASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: RFNnV1TTFINS FIF : FI f10R5 PF'R LSI ANR SUBMTTTFi1_ F FR- D.
AREA OR@@ PERMIT
(CUBIC/SQUARE FEET)
VOLUME ESTIMATED COST$ 140,OI 00 FEE $ 1405. 00
OWNER NT('HO I_S FIN -TQMFS BUILDING DEPT. r
ADDRESS 4S I AWRFNF'F RnAD BY '! R'�'
PARKER "The
The ChimneyMan
•CLEANED•BUILT•REPAIRED•POINTED
-DAMPERS INSTALLED -INSURED
- STAINLESS STEEL CAPS
&LINERS TO FIT ALL
CHIMNEYS
X "A FAMILY BUSINESS FOR OVER)S YEARS" �
Date:
NameG �¢
Address:
This unit has had its chimney inspected and/or cleaned by "Parker The Chimney Man"
and appears to be in said condition:
GOOD AVERAGE POOR UNUSABLE tt
Comments:
Y-�
Recommendations:-
Note: Caution should always be used with any and all wood burning stoves and
fireplaces.
by:_it serviced
.co r
Salem Historical Commission
ONE SALEM GREEN,SALEM, MASSACHUSETTS 01970
(978)745.9595 EXT.311 FAX(978)740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
Construction ❑ Moving
❑ Reconstruction )R, Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other work
as described below will be appropriate to the preservation of said Historic District, as per the requirements set
forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: McIntire
Address of Property: 134 Federal Street
Name of Record Owner: James Nicholson
Description of Work Proposed:
Balustrade above 1st floor addition. Construct per drawing dated 11/2199 with the following changes: railing to
be set back 18"from all roof edges; Federal Street side to have three recessed panels; return side to have two
recessed panels; railing to be to no higher than needed for code. Entire balustrade to be painted trim color.
First floor rear deck. Construct 6'x 10'deck with steps on the return side against the house. Railing to have 1%
square balusters and Brosco stock upper and lower rails; three full posts and one Y2-post against house. Posts to
be cased with 1 x 6 pine, with pyramid cap and bed molding similar to the balustrade above the 1st floor addition.
Decking to be unfinished mahogany, lattice under deck to be painted body color; lattice trim and railing to be
painted trim color. Wrought iron stair railing to be attached to house wall.
First floor front deck. Construct 5'x 10'deck with no railings. Decking and fascia to match 1st floor rear deck.
Dated: November 18 1999 SALEM HISTO COMMISSION
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.
PARKER "The Chimney Man"
ERMICT11,9% Ems
•CLEANED•BUILT•REPAIRED•POINTED
-DAMPERS INSTALLED -INSURED
STAINLESS STEEL CAPS
&LINERS ALL
CHIMNEHININE YSS
"A FAMILY SUS/NESS FOR OVER 75 YEARS" �
Date:
Name: a�rn.G� ` ,t �tDmQ U
Address: CSG{e�^�^��` �/f1 ✓�—�
This unit has had its chimneyins�ec d and/or cleaned by "Parker The Chimney Man"
and appears to be in said conition:
GOOD AVERAGE / POOR UNUSABLE
Comments:
Recommendations: �-� ✓oCiC�[ 'LC-J!t �9-(
ote• aution should always be used with any and all wood burning stoves and
fireplaces.
Unit serviced
by:
-. n...,F..;,. .-. s,! ;:.'s :», -<r.;�s's :..as�7 '�.e.^.•.,.'^..,. . T+. ..:,yE$«Y�r„ .� .:-net .,." ..5
-PARKER LT•he Chimney Man"
t,�l -
•CLEANED•BUILT•REPAIRED•POINTED
•DAMPERS INSTALLED •INSURED
STAINLESS STEEL CAPS
LHN'ERS TO FIT ALL
CHIMNEYS
\ 'A FAMILY BUSINESS FOR OVER 75 YEARS'
Date:
NameC/ ,
Address: �, ✓= 2Lc ✓� '«"`` i frGC7i� L� +
This unit has had its chimney inspected and/or cleaned by "Parker The Chimney Man -
and appears to be in said condition:
GOOD AVEPAGE POOR UNUSABLE
Comments: �L-t - j , /✓)
c
y��! I �' l/2 rr/>7,G—L r�7j jyl �t�c Lp� /� ✓y//�jit
Recommendations:
v
Note: Caution should always.be used with any and all wood burning stoves and
fireplaees.
f✓"" k�S_3d+"r" '"��
t SCVV L ! i. f F l + •: w- * Ct y n \ �, yxr y y
s, a � W? h ✓n' '»' vv s'4. t r.'s"i><- ty 'sn
.4h51r
r'
a.+ .. As.,x r::n .r,� wk&•.r.' ^. xd„,,, "I s,jh' ..v,'<F ;. 'M.e, ..Y"" ._:.T Y h .:.m:^'. "�.
3 Chi#g of #ttlem, Massar4usEfts
Public Prupertq i9epartment
� pd� iguilbing Department
(One dalem ($reen
500-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
October 30 , 1997
Federal St . Trust
Edward & Phyllis Mello Trs .
6 Walsh Avenue
Peabody, Mass . 01960
RE : 134 Federal Street
Dear Edward & Phyllis :
On September 2 , 1997 this office sent you a letter
with 5 violations concerning the above mentioned
structure . On September 15 , 1997 , you called and said you
would repair all violations with the exception of the
garage roof which you would make repairs to in the coming
spring. On October 30, 1997 , I conducted a follow up
inspection and much to my surprise none of the five items
have been corrected.
Please notify this department within fifteen ( 15 )
days upon receipt of this letter , to inform us as to what
course of action you will take to rectify these
violations . Failure to do so will result in legal action
being taken against you .
Thank you in advance for your anticipated cooperation
in this matter.
Sincerely
Leo E . Trembl
Inspector oflldings
LET: scm
cc: Jane Guy
Councillor Flynn, Ward 2
r
3 TitLi of #ttlem, Massar4usetts
Public Prupertg Department
Nuilbing Department
(One dalem (6recn
500-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer September 2, 1997
Federal St. Trust
Edward & Phyllis Mello Trs.
6 Walsh Avenue
Peabody, Mass. 01960
RE: 134 Federal Street
Dear Edward & Phyllis:
Due to a complaint received by the Neighborhood Improvement Task Force, I
conducted an inspection and found the following violations:
1. Repairs must be made to the stairs and platform located on the
Federal Street side.
2. Repairs to gutters and downspouts.
3. Ground wire must be secured, and removed from sidewalks.
4. Garage roof needs major repairs.
5. Chimney at roof level needs to be re-pointed.
Please notify this department within fifteen (15) days upon receipt of
this letter, to inform us as to what course of action you will take to rectify
]these violation. Failure to do so will result in legal action being taken
against you.
Thank you for your anticipated cooperation regarding this matter.
Sincerely,
Leo E. Tremblay
Inspector of Buildi s
LET: SCM
cc: Jane Guy
Councillor Flynn, Ward 2
t
w
CITY OF SALEM
NEIGHBORHOOD IMPROVEMENT TASK FORCE Jurisdiction
Hist. Comm. Yes No p
REFERRAL FORM Cons. Comm. Yes ❑ No ❑
SRA Yes ❑ No ❑
Date:
/3
Address:
Complaint:
Complainant: Phone#:
Address of Complainant:
BUILDING INSPECTOR
FIRE PREVENTION ELECTRICAL DEPARTMENT
HEALTH DEPAR�T^MENT CITY SOLICITOR
.0s o '
ANIMAL CONTROL SALEM HOUSING AUTHORITY
PLANNING DEPARTMENT POLICE D PARTM NT
TREASUR.EPICOLLECTOR ASSESSOR
WARD COUNCILLOR DPW
SHADE TREE DAN GEARY
PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHE.
WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE.
ACTION:
4 r
1�+1
3 Titg of §§ttlem, Aussar4usEtts
tluBlic Propertg i9epartment
iguilbing i9epartment
(One *slim Brccn
508-745-9595 fid. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer September 2, 1997
Federal St. Trust
Edward & Phyllis Mello Trs.
6 Walsh Avenue
Peabody, Mass. 01960
RE: 134 Federal Street
Dear Edward & Phyllis:
Due to a complaint received by the Neighborhood Improvement Task Force, I
conducted an inspection and found the following violations:
1. Repairs must be made to the stairs and platform located on the
Federal Street side.
2. Repairs to gutters and downspouts.
3. Ground wire must be secured, and removed from sidewalks.
4. Garage roof needs major repairs.
5. Chimney at roof level needs to be re-pointed.
Please notify this department within fifteen (15) days upon receipt of
this letter, to inform us as to what course of action you will take to rectify
]these violation. Failure to do so will result in legal action being taken
against you.
Thank you for your anticipated cooperation regarding this matter.
Sincerely,
i
Leo E. Tremblay
Inspector of Build s
LET: SCM
cc: Jane Guy
Councillor Flynn, Ward 2
n
f
CITY OF SALEM
NEIGHBORHOOD IMPROVEMENT TASK FORCE Jurisdiction
Hist. Comm. YesNO
REFERRAL FORM Cons. Comm. Yes ❑ NO
SRA Yes ❑ No ❑
Date:
3
Address:
Complaint:
a!
Complainant: Phone#:
Address of Complainant:
BUILDING INSPECTOR
FIRE PREVENTION ELECIRICAL D PARTM NT
HEALTH DEPARTMENT CITY SOLICITOR
/YA'w- S o 7144,.j P
ANIMAL. CONTROL. SALEM HOUSING AUTHORITY
PLANNING DEPARTMENT POLI D .PARTM NT
TREASURER/COLLECTOR ASSESSOR
WARD COUNCILLOR DPW
SHADE TREE DAN GEARY
PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEI
WITHIN Q VLF WEEK. THANK YOU FOR YOUR ASSISTANCE.
ACTION:
North Shore Public Purchasing Group
L49 a E.PRE55
Jour fvvnl c)u(�( + �o
Sales Customer Service
(617)388-6255 FAX: (617)324-4333 (617)388-6224
Tito of hlem, Massar4usetts
Public Pru}rertU Department
Ae � Nuilbing Bepartment
(One t3alem (6reen
588-745-9595 Ext. 388
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer April 25 , 1996
Federal Street Trust
Edward & Phyllis Mello
6 Walsh Avenue
Peabody, Mass . 01960
RE: 134 Federal Street
Dear Mr . & Mrs . Mello :
This office has been made aware that you have removed
railings on a second floor deck area . I have inspected
said property and have found that the deck still remains
above the first floor area, and that a door at the second
floor level exists to access deck. Our records show no
permits having been issued for existing decks and or door
to access same .
Please be notified you must acquire building permits
to legalize deck and exterior door or you must remove deck
and fill in existing door by placing a window in its
place, or by simply closing opening with siding to make it
safe per State Building Codes .
Might I also remind you that you are required to
receive approval from the Historic Commission concerning
repairs you choose to make .
Please notify this office upon receipt of this letter
as to what course of action you will be taking in this
matter Failure to do so will result in legal action being
taken against you.
Thank you in advance for your anticipated cooperation
in this matter.
Sincerely,
Leo E. Tremblay
Inspector of Buildings
LET: scm
cc: Jane Guy
Councillor Flynn, Ward 2
n v6��0 T
c
Salem Historical Commission
ONE SALEM GREEN,SALEM, MASSACHUSETTS 01970
(978)745-9595 EXT.311 FAX (978)740.0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
0 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: . 134 Federal Street
Name of Record Owner: James & Lori Nicholson
Description of Work Proposed:
Repair or replace facia to replicate existing. No changes in color, material, design or outward appearance.
Non-applicable due to being in kind maintenance.
Dated: July5. 19981998 SALEM HISTORICAL COMMISSION
By: !r�
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.
�0 T
v6t"
Salem Historical Commission
ONE SALEM GREEN,SALEM, MASSACHUSETTS 01970
(978)745-9595 EXT.311 FAX (978)740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ ReconstructionAlteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other work
as described below will be appropriate to the preservation of said Historic District, as per the requirements set
forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: McIntire
Address of Property: 134 Federal St.
Name of Record Owner: James & Lori Nicholson
Description of Work Proposed:
Replacement of window of stair enclosure with 6 over 6 true divided light window with window head height to
align with remaining window head heights.
Dated: July 5, 1998 SALEM HISTORICAL COMMISSION
By:
The homeowner has the option not to commence the work (unless it relates to resolvittding
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.
Salem Historical Commission
ONE SALEM GREEN,SALEM, MASSACHUSETTS 01970
(978)745-9595 EXT.311 FAX (978)740-0404
CERTIFICATE OF APPROPRIATENESS
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 will be appropriate to the preservation of said Historic District, as per the requirements set
forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: McIntire
Address of Property: 134 Federal Street
Name of Record Owner: James & Lori Nicholson
Description of Work Proposed:
Replace slate roof on garage with black asphalt.
Dated: July 16. 1998 SALEM HIST RICAL COMMISSION
By: ' ✓ G�
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.
I ]
The Commonwealth of Massachusetts
Department of Public Safety
N �; :\hui,lrhu+cll5 titatc liuildin)I Cudc(i 4111\IR) � �'
Building Permit Application for any Building other Wan a One- r Two- lily ing
(rhis ScClion For Official Use Only)
Building I'cnnit Number: I Dale Applied: --_----...__— Building Off" i. _
S EC'1-ION 1: LOCATION(Please ihd icatc Iilo k N and Iof p fur locati iiris for which li street address is n available)
No mid Slrcet CII)' /,own Zip Code Name of Budding(it dpplitai,le)
SECTION 2: PROPOSED WORK
Edition of MA Slale.Codc used -__-- If New Cunsoui lion,heck here O or check all Ill-it appi) in Ilse two rows below --
b+islinl; Bu1IL111;-❑ Rcpai O • Alteralign ❑ Addition ❑ Demolition ❑ (Please till out.md submit:\ppendix I)
Change of Use ❑ Change of OCCupancy' ❑ Other ❑ Specify:------
Arc building plans and/ur construction dtwunicals behlg supplied as part of ihis permit application? 1'rs ❑ No B ------_
Is an Inilepegdcnt StfzcCnldur it Enginecrin` Peer Review required? _ Yes ❑ No a]
brief Us,ri ,ti,t of l'ro nrscd lVurk: (� n 7?C
SECTION 3:COMPLETE rills SECr1ON IF EXISTING BUILDING UNDERGOING RENOVA"riON,ADDITION,OR
CHANGE IN'U§E OR C)CCUPANCY
Check here if an Fsisting Building Investigation and Evaluation is enclosed (Sce 780 CAIR.tJ) ❑
Esisling Use Groups): . ___._ Proposed Use Gruup(s):___ ..___.—
SECTION 4:BUILDING HEIGHT AND AREA
Ex is i11g Proposed
No.lit Flours/Stories(include basenwnt levels)h Area Per Fluor(sq. ft.)
Tidal Area(sq. ft.)and Total Huigltt((t.)
SECr10N 5: USE CROUP(Check as appilcable)
\; Aisembly;\-1 ❑ A-20 Nightclub ❑ A-{ ❑ A-! ❑ A-3❑ 1 B: Business ❑ E: Educational ❑
F: Pachr F-I ❑ F'_❑ 11: Hi h Hazard ti-I ❑ H-2❑ If-3 ❑ II-4❑ 11-5❑
I: Ins,notional I-I ❑ 1-2❑ 1-3❑ 1-4❑ �M: Mercantile❑ li: I(eiidential R-10 R-'_❑ I(-3❑ R-4 ❑
S: Storage 5-1 ❑ S-2❑ U: Utility❑ Special Use❑and please dcs,ribe below:
Special C'se
SECTION 6:CONSTRUCrION-IYPF(Check as applicable)
I:\ ❑ 180 II.\ ❑ IIB ❑ IIIA ❑ 111B13 . IVX3 1 VACS VB ❑
nlao
SECTION 7:SHE INFORMATION(referto 780CNIR 11L0for details oneach item)Ruud Lune Information: sewage Uispnsah Wrench 1'ennit Uehris Removal:hock if o Uldc 19nod /_line❑ hidiLme municipal ❑ A ovii,h ,.'ill nut be Licen+r•d Di+posal tiih•❑rindulltity./one: nron+itu+v+Icm ❑ n•quired Oor twoth or ipc,ifN
,vruul is enaloicd ❑
Railroad right-uf-way: Ilaiards to Air Navigation
X1 .\pphoi blc❑ I+vlru,tnrr,ulhin ,urport appm.0 h en'a! I Is Iheu wl w%, i inµdvlyd!
v Cmr,u to l{inld rn,I..+.'`I ❑ lr<O ,-r.No❑ 1,•+0 Xo ❑
Sl:( IION 8:CON IENI'OF CII(IIFIC ATE OF 0('CUPANC'Y
idmnu :l ldr: LwGmn � + ,
tl I- I\Ir.q l
l��n+lnn hear uup.nrt lead por tlri,r
P, Ihr bo,ldin); ololun.,n �pri nWr r tip+win spat 1.11 �lipulalion+
v
SI((_I[ON `L PRO1'I:R I OWNFR AU f IIl1RIYA I ION
_---_
wie and Wdmss ul I'roprrty Owner
-
JTNO. and ytnct Cily/ ruwn dip
Name ( Tint)
Properly Owner Contact Information: .
I'itlr—___._—__--- Telephone No.(husi,tess) Tclephone No. (cell) c-mail address
If applic,thle, the property owner hereby authorizes 6 tied
------
__ Ay-
Name Street Address tity/Town Slate Zip
I,).tit o" the property owner's behalf, in all matters relative to work authorized by this building permit application
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less than$,000 cu.ft.of enclosed s,ace and/or not tinder Construction Control then check here❑:nod skip Section In.l
lo.l Registered Professional Responsible for Construction Control ,r,
Ne ne(R ';istautt) Tciephone No. , e-mail address Registration Number
6 1107
Street Address Cily/T,nv Vn Stale Zip Discipline U Ea Date
10,2 General Contractor " ''" . • ` 5
Na �e�OOf Pe rst1111n Resp�sible for Construti con (� License No. and Ty pc if Applicable
rom 1107
St t Addres_ s City/Town State Zip
ree
_Z`6l k 13( FL - --
Toh• ihone No. business Telephone No. cell a-mail address
SECTION11: tonri:.I", (-tM; I,""thp\ 'L2n"ANEbA1lB,',)'i1 M.G.C.c. 152.1 ZSC6
A Workers'Compensation Insurance Affidavit fro n the MA Department Of Industrial Accidents 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.
Is a signed Affidavit submitted with lhisa lication? Yes 0 No
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Estimated Costs: (Labor
Item and \latcrials) Total Construction Cost(from Item 6) '`i--
I. Building S Building Permit Fee'Total Construction Cost x_(busert here
'. Electrical S appropriate municipal 61000 -S
1. Plumbing 5
Note: Minimum fee-5---(iontact municipality)
!. Mechanical (HVAQ 5
3, Mech,u,ical Other 5 Fitlone cheek payable to
n. total Cost 5 (contact municipality)and write check number here
SECriU IJ:SIGNATURE OF BUILDING PERMIT APPLICANT
Itr vntrring me "ante below, I herebv onest under the pains and penalties of perjury that all of the information contained in this
applicaion is true and accurate it, the best o ny knotJcdge and mtderslanding.
I'lo,ue print and .ignn name -_—_ I tile..-p_ f.�ry�lephonr No. Unto
street Addrtas G-! �H'" �� - Cil1'; Down ��' ',r,s }Lne l•f� /ip Q'`r(j� �
.municipal Inspector to fill out this sedion upon application approval: v - -
i ;N'a tit r I pair
�OOND[p
O'
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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:
Name of Record Owner: Barbara Julie BurnsDebwahoalasser- Gelija P tP tides
Description of Work Proposed:
Repair/replace frieze boards, clapboards, pine trim, casings, cornerboards and window flashing as need to
replicate existing- No changes in color, rn.aterial, design, location or outward appearance. Nan-applicable dare
to being in kind maintenance/replacement.
Dated: May 21 2012 SALE I .OMMISSION
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
' The Commonwealth of'Massachusetts
' 1 y,Y ( Department of Public SAae-
. l UI( / Massachusetts State Building CodIR)
Building Permit Application for any Building other th or Tw amity Dwelling
(This Section For Official Use Only)
Building Permit Number: Date Applied: Buildin Of 1: -
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for w c a eet address is not available)
m/970 )V,0 14Aro+ia, 9ARA,1eA'Ae0 51us
No.and Street City/Town Zip Code ame of Building(if applicable)
SECTION 2:PROPOSED WORK
Edition of MA State Code used_� if New Construction check here❑or check all that apply in the two rows below
Existing Building❑ Repair❑ Alteration I Addition❑ Demolition ❑ (Please fill out mid submit Appendix 1)
Change of Use Cl Change of Occupancy ❑ Other ❑ Specify: Ivor-w RdOF
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No U�/
Is an Independent Structural Engineering Peer Review required? Yes ❑ No ®--
Brief Description of Proposed Work:
�W /2r��' t �EG.4T�tO GIo-2r7�n rr�Si
aJ-M&kf fzrCsc nrr flry� T 2
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): ' ' Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4 ❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ Ff-5❑
1: Institutional 1-1 ❑ 1-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3&O'R-4❑
S: Storage S7. ❑ S2❑ U: Utility❑ Special Use❑and please describe below: '
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA Ill ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ I VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑
required❑or trench or specify:
Private❑ or indentify Zone: or on site system❑ permit is enclosed❑ 1 -
Railroad right-of-way: Hazards to Air Navigation: \tf\I I isL n l.; m nisi m Krou r>rs,4:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build inclosed ❑ Yes❑ or No ❑ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction: jCDOr Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations:
saw 40 \j u(,r c b Le?VL S vo + 2_
J
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner 3 �6�&e_
&3 ytJ`r9H!/R" 13 X/rtAAL1/A<b
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable, the property owner hereby authorizes ,
n t s Tub 4 13/lkrvs J3 y F�o��e.r� sr. s�l�str t�l�• �i� ��
Name Street Address City/Town State. Zip
to act on the property owner's behalf,in all matters relative to work niuthorized by this building permit a lication.'
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
F building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
Name (Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
TB
Company Name
l�l�vi,l, R /-C iOn�Ey cs 5�ss9 ,vac is/la3
Name of Person Responsible for Construction License No. and Type if Applicable
,,`yi ®s /3 &Avt A74A 0197y
Street Address City/Town State Zip
9 �5 �B75 f7W_766 0y717 T13N/Oil Ee 9 y&-ee/ZOA-/. Al T .
Telc hone No. business 'Telephone No. cell a-mail address
SECTION 11:\VORKF24'C0A411FNSA'CION IN9URANC7'AFFll'nAV'1T M.G.L.c.152.S 25C 6
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes❑ No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$
1. Building $ Building Permit Fee=Total Construction Cost x (Insert here
2. Electrical $ - appropriate municipal factor)_$
3. Plumbing $
4. Mechanical (HVAC) $ Note: Minimum fee=$ (contact municipality)
5. Mechanical Other $ Enclose check payable to
6.Total Cost $ 3 � m (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains:Mid penalties of perjury that all of the information contained in this
application is true and accurate to the best of y - b and derstanding.
e7ll He 441— Y 97B Ivy a*75 S //
Please print emd sign name Title Telephone Pip. Date
Street Address City/Town Sta e Zip
Municipal Inspector to fill out this section upon application approval: �f 7
Name Date
2 4J
I�
• coNolr
Salem Historical Commission
120 WASH INGTON STRE ET, SALEM, MASSACH USETTS 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: 134 Federal Street Unit 2
Name of Record Owner: Barbara Julie Burns
Description of Work Proposed:
Replacement of roof under second floor deck, which requires removal and reconstruction of the deck to
replicate existing. No changes in color, material, design, location or outward appearance. Non-applicable due
to being in kind maintenance/replacement.
Dated: Ayri126, 2011 SALEM ISSION
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.