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CITY OF SALEM, MASSACHUSETTS
�i BOARD OF APPEAL
�`rarMlN6 LOWdSIi1NGl'ON SRI(
'I' IP` S:AfC
LiA[,NI,iSSACIN
- SIi:PCS0197 C
ICl AIHL:RI,m'DIZISC01.1.
Tet.r•.:978-745-9595 FAN:978-740-9846 z
;S.
K'kyoR
June 11, 2014
w
Decision N
J
City of Salem Board of Appeals
Petition of CHAPMAN MILLER requesting a Special Permit per Sec 3.3.5 Nonconforming Single-
and Two-Family Residentra/Structures of the Salem Zoning Ordinance, to allow the addition of a
covered porch and rear steps, as well as raising the roofline of the existing structure, at the property
located at 13 GRAFTON STREET (111 Zoning District).
A public hearing on the above Petition was opened on May 21, 2014 pursuant to M.G.L Ch. 40A, § 11. The
hearing was closed on that date with the following Salem Board of Appeals members present: Ms. Harris
(acting Chau), Mr. Dionne,Mr. Duffy, Mr. Watkins, and Mr. Copelas (Alternate).
The Petitioner seeks a Special Permit pet Section 3.3.5 Nonconforming Single- and T wo-Family Rejidential Structures
of the Salem Zoning Ordinance.
Statements of fact:
1. In the petition date-stamped April 30, 2014, the Petitioner requested a Special Permit per Sec 3.3.5
Nonconforming Single- and Two-Family Residential Structures of the Salem Zoning Ordinance, to allow the
addition of a covered porch and rear steps, as well as raising the roofline of the existing structure.
2. Mr. Chapman Miller, petitioner, presents the petition for the property located at 13 Grafton Street.
3. The petition proposes to raise the roofline of the existing structure in order to create a full second
story to the existing home, as well as to add a covered porch and rear steps.
4. The existing structure is a non-conforming single-family residential structure. None of the
dimensional non-conformities of the existing structure would be affected by the proposed additions.
5. The existing structure is 1.5 stories, with a total height to building ridge of 21-feet 5-inches. The
proposed addition would expand the structure to a full 2 stories, with a total height to building ridge
of 29-feet 0-inches.
6. The requested relief, if granted, would allow the Petitioner to expand the existing non-conforming
single-family residential structure by raising the roofline to create a full second story, and by adding
rear steps and a covered side porch with attached steps.
7. At the public hearing, one abutter spoke in favor of the petition. A letter of support from abutters at
11 Grafton Street was also submitted.
The Salem Board of Appeals, after careful consideration of the evidence presented at the public hearing, and
after thorough review of the petitions, including the application narrative and plans, and the Petitioner's
presentation and public testimony, makes the following findings that the proposed project meets the
provisions of the City of Salem Zoning Ordinance:
Findings —
1. The beneficial impacts of the proposal outweigh any negative impacts on the neighborhood.
y' City of Salem Board of Appeals
June 11,2014
project: 13 Grafton Street
Page 2 of 2
2. There will be no additional impact on traffic flow or safety.
3. The utilities and public services to the building will be adequate.
4. The proposal will improve the property and the neighborhood character.
5. There are no negative impacts on the natural environment, including view.
6. The proposal will have a positive economic and Fiscal impact.
On the basis of the above statements of facts and findings, the Salem Board of appeals voted five (5) in favor
(Mr. Watkins, Ms. Harris, Mr. Dionne, Mr. Copelas, and Mr. Duffy in favor) and none (0), to grant the
requested Special Permit to allow the raising of the roofline to create a full second story, the addition of rear
steps, and the addition of a covered side porch with attached steps, subject to the following terms,
conditions, and safeguards:
1. The Petitioner shall comply with all city and state statutes, ordinances, codes and regulations.
2. All constriction shall be done as per the plans and dimensions submitted to and approved by the
Building Commissioner
3. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly
adhered to.
4. Petitioner shall obtain a building permit prior to beginning any construction.
5. Exterior finishes of new construction shall be in harmony with the existing structure.
6. A Certificate of Occupancy is to be obtained.
7. A Certificate of Inspection is to be obtained.
8. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but
not limited to, the Planning Board.
9. Unless this Decision expressly provides otherwise, any zoning relief granted dose not empower or
authorize the Petitioner to demolish or reconstruct the sauctures(s) located on the subject property to
an extent of more than fifty percent (50%) of its floor area or more than fifty percent (50%) of tis
replacement cost at the time of destruction. If the structure is demolished by any means to an extent
of more than fifty percent (50%) of its replacement cost or more than fifty (50%) of its floor area at
the time of destruction, it shall not be reconstructed except in conformity with the provisions of the
Ordinance.
Annie Harris,Acting Chair
Board of Appeals
A COPY OF THIS DECISION I-LIS BEEN PILED W-ITH THE PLANNING BOARD AND THE CITY CLERK
Appeal from this decision, i any, shall be made pursuant to Section 17 o(the Massachusetts General Laws Cbapter 40A, and Shall be filed within 20
days offiling a%this decision in the o�ce o%the City Clerk. Pursuant to the tllassohusetts General Laws Chapter 40A, Section 1/, the Variance or
.Spada!Permit granfed herein shall not take Ott until a copy of the decision beanug the certificate o_l the City Clerk has been filed with the Esse, South
Registry of Deeds.
What is the current use of the Building?
Material of Building?, If dwelling,how many,units?
Will the Building Conform to Law? Asbestos?
Architect'sN 11 ame /✓EGJP�O°, 7?�I=/" FOXOA/ '
Address and Phone d6Di9.P 6-T
Mechanic's Name
Address and Phone
Construction Supervisors License# 0949,0 .HIC Registration# /�1663oZ
Estimated Cost of gProject$ /�` Permit Fee Calculation
Permit Fee$ /ai 0 d Estimated"Cost X$7/$1000 Residential
' Estimated Cost X$11/$1000Commercial
An Additional$5.00 is added as an
Administrative charge.
Make sure:that all fields are-properly and legibly written to avoid delays in processing.
t The undersigned does hereby'apply for a Building Permit'to.build to the above stated
specifications. Signed under penalty of perjury
Date of
� 4
,
r ,
F > .
` a
- CITY-OFSALE - -
PUBLIC PROPERTY
DEPARTMENT
KI\R1ERI.EY DRISCAXL ''�`�
MAYOR UV WASHINCTON SIWET•SALEW WASSACHUSLM 01970
11=L:978-745-9S95 4 FAX 979-740-9846
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION,
DEMOLITION, OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
Property Address:
13 G 2AFi on/ ST.
Property is located in a; Conservation Area YIN Historic District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: aAd/D IL, L J'S /A^/� H/u nls�Q
Address: /3 GAe/?F7_ZW S77
Telephone: 70— L/$
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING, BUILDINGS ONLY
Addition Existing
n IRenovation Number of Stories Renovated
�Gi 1 Change in Use New
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation New
of existing building
Brief Description of Proposed Work:
,eEPLAC'E `/ i.JiNDaW T /A1770
EX ISTinl6 0PE_A/i1,,/6 S
NFed
Mail Permit to:
A
[-o
w The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY OF
SALEM Massachusetts State Building Code, 780 CMR_9 Revised Mar 2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Tivo-Family Dwelling
This Section For Official U. Only
Building Permit Number: Date App ed:
!/ /n (
Building Official(Print Name) Signnlurc Date
SECTION I:SITE INFORMATION
�Propert Address: �� 1.2 Assessors Map& Parcel Numbers
_22 61V a.f.Fot^ — s _ Lo+
1.1 a Is this an accepted street'?yes___ no Map Number Parcel Numher
1.3 Zoning Information: 1.4 Proper Dimensions: r
I00116S
%using District Proposed Use L,ot,Aml(sq It) Frontage(It)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
ReyuireJ PruvideJ IteyuireJ Provided Required PmvidaJ
ISI li- 1 3 30 1 (0)
1.6 Water Supply:(NLG.L.c.40,§5•1) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public's Private❑ Zone: — Outside Flood Zone'?
M°nicipal�On site Disposal system ❑
Check if yesL9�
SECTION2: PROPERTY OWNERSHIP'
r�Ow��n""er'of Reca �f
�_ .f FVY14.J /YI,. < S,IeW\ Aq, 01910
Namc(1'VV�int)) rr rr City.Stalc,ZIP --
�f, 91 8.2]3-6677 Cfn4 ma M t jP/Q n �•Lw�_
No.and Strcet 'telephone Hmail Ad csd( s
SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply)
New Construction ❑ Existing Building 6a Owner-Occupied 91 Repairs(s) ❑ Alteration(s) ❑ Addition,6cl
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Spacily: _
Brief Description of R'oposed Work'`: Ji __ A C�VPfP rxc( c
[eur r�¢��-4s we(I ac rar»h
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials y
I. Building $ qo I. Building Permit Fee:$ Indicate how fee is determined:
�. Electrical $ ❑Standard Cityfrown Application Fee
$ ❑Total Project Cost'(Item 6)x nmltiplier x
3. Plumbing $ S 2. Other Fees: $
4. Mechanical (I IVAC) 1S List: _
5. Mechanical (Fire _
Su ression) $ Total All Fees: $_
Check No. _Check Amount:_—Cash Amount:_
6. Total project Cost .$ �l7t000 ❑ Paid in Full ❑Outstanding Balance Due:
Oft L SU p -• -1 ) I b
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Typc(see below)
No.and Street Type Description
U Unrestricted(Buildin s up to 35,000 cu. ft.)-
R Restricted 1&2 Family Dwelling-
City/I'owq State,LIP M Mason
ry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
E:xpim[ion Dale
HIC Company Name or HIC Registrant Name Ii1C Registration Number
No.and Street
P,muil 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
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 Owner's Name(Electronic Signature) pate
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
conta� d in th's application is true and accurate to the best of my knowledge and understanding.
Pr t Owner's or Authorized Agent's Name(Rleclronic 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 Horne Improvement Contractor(FIIC) Program), will not have access to the arbitration
program or guaranty find under M.G.L.c. I42A.Other important information on the HIC Program can be found at
www.nass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dns
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 3
Number of bathrooms i Numberofhalf/baths -9�
'type of heating system N •_�. .._ Number of decks/porches t-
'fype of cooling system Enclosed Open
3. `•Total Project Square Footage"may be substituted for"Total Project Cost"
(I � :a The C'omntumvcahh of Massachusetts __
Board ul'Building Regulations and Standards CITY OF
IW/I it i, Massachusetts State Building Code, 780 CMR SALEM
Heri.red.l6n 'nlr
Building Permit Application To Construct, Repair, Renovate r enwlish a
One-or rivo- ionih•Dwv ling
This Section For 011rieiel Use Onl
Building Permit Number. _ Date Ap is I Z
I �z r K� Gy/G� L7i
bmlJing Oliicial(Print N;un-�e) Signatu Umu
SECTION I:SITE IN ORAIATION
1.1 Property Addre s: 1.2 Assessors Map& Parcel Numbers
l f tj C7 ZAFToN �*
I.la Is this an acce ted street? ej no Map Nwnher Purccl Nunih r
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District I'ropoxd Use Lot Area(sy 11) Frontage(11)
1.5 Building Setbacks(It)
Front Yard Side Yams Rear Yard
Required I'roviJed Required I Provided Requirud Provided
1.6 Water Supply:(M.G.I.c.40.§Ja) 1.7 Flood Zone Information: 1.8 SewaEe Disposal System:
Public® Privutc 0 Zone: _ Outside Flood Zone? Munici el On site dis )
Check if es0 P � posul s stem 0
SECTION2: PROPERTYOWNERSHIP'
2.1 Owner'ofReco d:
Chap t t SnleM m4 014l0
NMmre nnl City,Smk I.IP
I� Gr>t tF C dl `I
am
Nu,and Street telephone Entail Ardress
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction(3, Existing Building O Owner-Occupied M I Repairs(s) ❑ Alteratlon(s) O Addition O
Demolition 10 Accessory Bldg.O Number of Units_ Other O .Spccily:
Brief yekscriptionofProposed Work-: v 2 0 t ivi r a eRis ih
b
SECTION J: ESTIMATED CONSTRUCTION COSTS
licm Estimated Costs:
ll.abor and ..%laterials) Official Use Only
I. Building S 20b0 I. Building Permil Fee: f Indicate how fee is determined:
'. [Acclrical S I OOO 0 Standard CityiTown Application Fee
❑Total Project Cost'l item 6)x x
multiplier lief _,.
7. Plunihing S 1000 _. - —-- —
Other fees: S
1. Nlcchanical 111N.\(') S LisC_ _
5 Mechanical tFireSuppression) 'rota) A11 Fees: S
o. Total Project Cnsf: S 1 bbO ('heck No. _.---('heck Anwunt: . Ca, h \mount:
❑Paid in Full 13 Outstanding 13al mce Doc:
A
SEC"PION S: C'ONS'1'RU r1ON SERVIC•F.S
5.1 C'onstruction Supenisor Liceuse(('SI.)
I icensc Number - -- - - I`%piration Dane
NJIIIC III'l'SI IlolJer -
I ist l'.SI. I)pe Isee helu\\1.__,_
No. and Street --
----------------�---- -._._- -- 'I)pc Description
(I I hlreslricicJ I Buildings 4 it, 75,11110 eu. tl.)
__ gD
Restricted NU Fanlil y MwIlili
t'in if a\\n,.Stale,Lll' --- --- �S ason
R(xi in C•ocerin
W'indow;uld Siding
Solid Fuel Burning Appliances
Icic hone Hilailaddress Demolition
5.2 Registered Home Improvement Contractor(HIC)
IIIC Registration Number Expiration Wig
I IIC Compan) Name or IIIC Itegistranl Nano
No.and Street Email adJrcss '
City/Town,State,ZIP Talc hung
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c. 152.1 25C(6))
Workers Compensation Insurance affldavit 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?I Yes .......... ❑ No...........0
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 matter relative to work authorized by this building permit application.
Print O\mer's Name(Electronic Signature) Dale
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
contained in this application is true and accurate to the best of my knowledge and understanding.
Print th\ncr's or.\uthorircJ Agrnt's Name 11:1Wronic Signature) Duce
VOTES:
I. An Owner who obtains a building permit to do his her own work,or an owner who hires an unregistered contmctur
(not registered in the Hume Improvement Contractor(HIC)Program).will!Up 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
m.n. ; \ \.t Information on the Construction Supervisor License can be found at\tpw
2. W'hen substantial\wrk is planned,pro%ide the information below:
Total Iloor area(sq. R.) . __—_-._I including garage, finished basement attics•decks or porch)
Gross li%ing area I stl. 11.1 _-_ - _-. . _ habitable room count
\untberol'tircplaces .... Numberofbednntos
Number of hathrooms - _ Number ul'half'hadu
I)lie of heating s)steal \limber ofJecks, porches
(lI\elt
I I\pe of eJUhllg i%\Ielll Pncloscd - -
i
1 "f.aal Project Stimuc Fooetgc•nl;n be suhstittucd lirr"final Project Cost"
I� The Commonwealth Of M•assachuseas
Board ol'Building Regulations and Standards CITY
Massachu
VI .t
7!/ setts State Building Code, 780 CMR. 7'edition OF SALF:M
Revised Jamnrw
Building Permit Application To unstrucl. Repair. Renovate Or Demolish a /. .ouv.
One-or Iva-Family Dwelling
T)Ks Section For Official Use Only
Building Pr it m r: Date Applied:
Signature:
ding Cum i r/Inspector of Buildings Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map dl Parcel Numbers
X 1,� GI(C A FT0A)
I.la Is this an accepted street?yes no Map Number Parcel Number
I J Zoning Information: 1.4 Property Dimensions:
Zoning District Pmpowd Use Lot Area(sq 11) Frontage(11)
1.5 Building Setbacks(R)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.I,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 es❑
SECTION2: PROPERTY OWNERSHIP'
2.1 Owners of Record:
C Nip Prnf�)1J M l/-G c"z I C1r1��at1 St-
XNam n Address for Service:
r 97b-IM bl a
Signa ore Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building Owner-Occupied, Repairs(s) ❑ Alteration(s) ❑ AdditioJO
Demolition ❑ Accessory Bldg. ❑ 1 Number of Units I Other ❑ Specify:
Brief Description of Proposed Work':
�—
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Ofllclal Use Only
Labor and Materials
1. Building S 16p0 1. Building Permit Fee: S Indicate how Ike is determined:
�. Electrical $ ❑Standard City/Town Application Fee
100U ❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing S 1000 2. Other Fees: S
4. Mechanical (HVAC) S List:
5. Mechanical (Fire S
Suppression) Total All Fees:S
XCheck No. _Check Amount: Cash Amount:
6. Total Protect Coat: S 5,000 ❑Paid in Full ❑Oulstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
rCS'l.-
tion Supervisor(CSL)
I.iccme Number Iixpimtion Dale
I.isl CSL-type Isee below)
f Descri ion
U IlnrestricteJ u to)S.I100 Cu.Ft.
R I Restricted Id2 Family Dwelling
Signature M M Only
RC Residenial Routine Covering
felephone WS Residential Window and Siding
SF Residential Solid Fuel Bumin A fiance Installation
D Residential Demolition
5.2 Registered Home Improvement Contractor(HIC)
I IIC Company Name or HIC Registrant Name Registration Number
Address Expiration Date
Signature Telephone
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 Issuance of the building permit.
Signed Affidavit Attached? Yes ..........O No...........O
SECTION 78: 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. -
Signature of Owner Dote
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
1, C HOPr4i4r-k) Ybt /C LFYZ ,as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are We and accurate,to the best of my knowledge and
behalf.
X <fH4(V44rf'0
Prin ame
aG -sup ao�a
Signature of Owner or Authorized Agent Date
Si under the ains and penalties of 'u
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who him an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program), will W have access to the arbitration
program or guaranty food under M.G.L.c. I42A. Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.R6 and 110.143,respectively.
? 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 half7bath3
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
). "Total Project Square Footage"may be substituted for"Tool Project Cost"
The Commonwealth of Massachusetts CITY OF
Board of Building Regulations and Standards SALEM
�I l Massachusetts State Building Code, 780 CMR
JJJ Revised.blot 201 l
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date pplied:
11113
Building Olticial(Print Name). Signature, Dnte
SECTION I:SITE INFORMATION
LI Property=ress: r 1.2 Assessors iIllap&Parcel Numbers
I.I 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 11) Frontage(it)
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:
Zone: _ Outside Flood Zone?
Public❑ Private❑ Check if yes❑ Municipal[IOn site Disposal system ❑
SECTION2: PROPERTY OWNERSHIP'
2.1 Ownert of Reco od Sal
/1 (rl
kayma4 VINAK j-, 01176
me(Pnn ) City,State,ZIP
13 C r,,446"J '5t. 17u-'173-%P 6 ., J1e itpJ (0m
No.and Street Telephone EmaitAddress
SECTION 3: DESCRIPTION OF PROPOSED WORK (cheek all that apply)
New Construction❑ Existing Building P, Owner-Occupied (a I Repairs(s) 18 1 Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work': qe ,x 'n 2'
a. d f IiPGG— Fz'x`Jf1 N 5 - E c.
SECTION a: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and blatcrials
I Building S ?� COO 1. Building Permit Fee:S Indicate how fee is determined:
❑Standard City/Town Application Fee
2, Electrical S
❑Total Project Costs(Item 6)x multiplier x
J. Plumbing S 1 Other Fees: S
4. \Mechanical (FIVAC) S List:
5. Mechanical (Fire S
'total All Fees:S
Suppression)
Check No. Check AmOUnt: Cash Amount:
6. "total Project Cost: S �C�^O 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL"Type(see below)
No. and Street Type Description
U Unrestricted(Buildings Lip to 35,000 cu. 11.)
R Restricted 1&2 FamilyDwelling
Citylfown,State,ZIP iVI iblason
RC RootingCovering
W3 Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Uemolilion
5.2 Registered_Llompe1lmproveement Conttr;tctor(HIC)
FIIC Registration Number Expiration Date
FIIC Company Name or ill Registrant Name
No.and Street Email address
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'CONIPENSATION 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...........bc
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
t9 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:OWNERI OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
coat 'ie in ihi application is true and accurate to the best of my knowledge and understanding.
ll /Y I'
rt Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires all unregistered contractor
(not registered in the Flome Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program can be found at
seww.mass.uov'oca Information on the Construction Supervisor License can be found at wwsv.mas.aavallL
2. When substantial work is planned,provide the information below:
Total floor area(sq. 11.) (including garage, finished basement/attics,decks or porch)
Gross living area(sq. R.) 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 ofcooling systeni Enclosed Open
3. "total Project Sgtr re Footage"may be substituted for"'rood Project Cost"
/�J,ND,I` \
t Commonwealth of Massachusetts
?, �, j,} City of Salem * �
�J,,,,,f,,A , 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x56.1
Return card to Building Division for Certificate of Occupancy " '.
permit No. B-14-1167 F
, 1 kx.
li
=EE PAID: $350.00
)ATE ISSUED: 7/10/2014
This certifies that MILLER CHAPMAN
has permission to erect, alter, or demolish a building 13 GRAFTON STREET Map/Lot: 150358-0
as follows: Renovation BUILD A COVERED PORCH OFF SIDE YARD, REAR STEPS AS WELL AS
RAISING THE EXI .>TING ROOFLINE.
Contractor Name:
DBA:
Contractor License No:
, . ////___,MA:
7/10/2014
I
Building affIcial Date
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official
may grant one or more extensions not to exceed six months each upon written request.
All work authorized by this permit shall confc,rm to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of:se of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location claarly visible from access street or road and shall be maintained open for public in:pection for the entire duration of the
work until the completion of the same.
The Certificate of Occupancy will not be isst ed until all applicable signatures by the Building and Fire Officials are provided on this permit.
HIC #: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
y%`` '.., r Corriinonwealth of Massachusetts ,:,.,:,
1 J1
I X ' I #.
T ;,; City of Salem ! {
G Ss
�As.;�'-� ' � 120 Washington St,3rd Floor Salem.MA 01970(978)745-9595 x5641 �\?pa��
Return card to Building Division for Certificate of Occupancy
Structure CITY OF SALEM BUILDING PERMIT ' _ '"
PERMIT TO BE POSTED IN THi. WINDOW '• ~ - i
ExcavationIV j j
s
Footing INSPECTION RECORD
Foundation
1 Framing
hanical `
V` '
lnsulation���,�v;�GIlrIS / ° 2Ij,• INSPECTION: BY 1 DATE
Chimney/SmokeT " Chambver\Ri / "6
nal `L'1toG. la\tbl14 .
3 -) �
!"c _
umbing/Gas
Rough:Plumbinga!/, _f` /
Rough:Gas ! / I J
Final 1.
•
Li Electrical
Service
Rough
Final k _/7_/cj nl5y
, Fire De ment
Preliminary
Final
(4.,i Health Department
1
!Preliminary
Final
Certificate Number: B-14-1167 Permit Number: B-14-1167
Commonwealth of Massachusetts
City of Salem
This is to Certify that the Single Family Building located at
Building Type
13 GRAFTON STREET in the City of Salem
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
Single Family Home
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires Not Applicable unless sooner suspended or revoked.
Expiration Date
Issued On: Tuesday, March 17, 2020