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417 LAFAYETTE ST - BUILDING INSPECTION The Commonwealth of Massachusetts CITY OF Board of Building Regulations and Standards SALEM CT W Massachusetts State Building Code,780 CMR Revised Mar 2011 C� Building Permit Application To Construct,Repair,Renovate Or Demolish a t One-or IrWo-Family Dwelling For tidal 17&e rBwlda pLad:azuresi�meSEECl:dr 1.2�lessors Map&Parcel Nu s ay ' 1.1 a Is this an accepted street?yes v no Map Numb Parcel Number 13 Zoning Information: 1.4 Property Dimensions: e � SZ.k,i Fla !y /2lydd /, 2.77 Zoning District Propos U�'3 se / Lot (sq a) Frok(8) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Requved Provided Required Provided / S' .,2- 3 rrDea 7.2 4' - 30 102--t- - 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public If Private O Zone: outside Flood Zone? Municipal V On site disposal system t( Check if es[3 SECTION Z: PROEERTYOWNERSIIII't 2!Nm,)e 1 O err of Re d• -P s� � 0/7 >9 �r�ct)lrrtc�(Princity,state,ZIP t) -"' i wi �7oT 7 nd Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(aback WIN apply) New Construction❑ Existing Building❑ Owner-Occupied 11(^ Repairs(s) ❑ Alteration(s) Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief Description of Proposed work2: d E SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only . (Labor and Materials 1.Building $ J D 1• Btdkling Permit Fen:$ Iadlcate how fee is determined 17 Standard Cityfrown Application Fee 2.Electrical $ a O Total Project Cost'(Item 6)x multiplier x w 3.Plumbing $ a ifW 2. Other Fees: $ 4.Mechanical (HVAC) $ �p X 5.Mechanical (Fire $ Total Ali Fees:$ Su ression Qtedt No.___Check Amotmt: Cash Amount- 6,Total Project Cost: $/ Q O ( ❑paid in pull ❑Outstanding Balance Due: 4,, f Pero..,&-AP-1 q(a ''#oOv' oFScuGz� SECTION 5. CON;STR11C INiN 91&RVICls .. : -- 5.1 Construction Supervisor License(CSL) �l f 1 IA'el T ��I✓I�/GY3 License Number Expiration Date Name of CSL Holder Q Lis[CSL Type(see below) YY G No.and Street a(`V MRC r Unrestricted uil to 35 Ooo am.ft. Masonfil m O �� Restricted I&2 F Done City/rown,State, Roo WmdcSolid Fuel Burning AppliancesInsulation Telephone Email address D Demolition 5.2.tegistered Home Improvement Contractor(IIIc)ip 1(0(V I© ' 1 �I -q 1 :�o D/, HIC Registration Number Expiration Date HIl;.,Comp�rmy HICti rRegstr�t Name y O SPP � hfir Nc d S b61 n-n CtC(ra'1 address W6A qi � S 2co lain �'7d o� ll Ci /Town State ZIP Tel `hone SECTION Q WORICEW CY?MMNSATION RMRANCE AFFMAN71T(11LG.L e.152.§ 25G(8)) 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 pemvt Signed Affidavit Attached? Yes ..........O No...........❑ . S`&ildiN las OWNM AUT"RIZAMN TO BE COWLETED WEEN gWNER'S 1VIgR qR.. / .F DVGI'T11tM1T I,as Owner of the subject property,hereby authorize ��l V V �T rt R to acts on my behalf,in all matters relative to work authorized by this building permit application. , ,� IIN' 73��-��Ilo Print Owner's Name(Electronic Signature) Date SECTH*7b.OWNEW OR AUTHOXV&D AGENT DECLARATiUtY By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in 91is application is true and accurate t the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) Date 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.sov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dins 2. When substantial work is planned,provide the inforrnation 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" Fw Q7 YOFSALE]V, MASSAQ"ETt! BUZDMDEPAJMMff M WAMOWS7R88'r,3oi9OM 7kL"7454995. SIIAERIBYDROCM FAx 740-9M MAYOR 71iC1li�SST.P DmncrrxtcippuuxY/summ cccmmgcm rt Construction Debris DisposaiAffidWit (requiredfforall demolition aind,.renovation work) In accordance vitt the sixth edition of the State Building Code, MO CMR, Section 111.5 Debris; and the provisions of MGL c4Q S 54; Building Permit B Is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste deposit facility as defined by MGL c 111,S 151. The debris will be transported by: (name of hauler) The debris will be disposed of in: (name of facility) , 1/3 (addre of facility) e Signature of applicant Date f, 1. r 1 t MAP 32 LOT 384 w srAlRs & LANDING PHILIP & CAROLE MORAN W 0 14' W/DC ` TO BE REMOVED 415 LAFAYETTE ST. RIGHT OF WAY 1� Z V/ i YARD sf�aq�-�I S76'46'00„i35.57 o z°`°\ \ _ �ryd (B S88'59'55"E 00 IM O on n 132't -----------------------------------------------1 O W I #417 - - - - - - - - - Lu —7 LL. sz'a� - a MAP 32 LOT 385 AREA = 12,800 f S.F. r J 5 SIDE YARD SETBAC^ __l- _1p° Ip• DE O O rA O K -# YAR / e SE1gACk� - � _ IDZ. � (C __ SPIRAL STAIRCASE 207�f - - - 0 10 TO BE REMOVED N81, _----____ doe 8"W MAP 32 LOT 386 G� JOHN & GARCIA BRENNAN w __n�,1 419A LAFAYETTE ST. ZH OF M S�C GAIL L 5s ZONING DISTRICT - R7 PROPOSED o SMITH ' REQUIRED EXISTING ADDITION PLAN OF LAND NO.35043 " LOT AREA 15,000 12,800 12,800 417 LAFAYETTE STREET STeF�° / LOT FRONTAGE 100 62.77' 62.77' SALEM SON'IL FRONT 15 52.3' — PROPERTY OF I CERTIFY THAT THE BUILDINGS , SIDE (DWELLING) 10 7.2' - ANDREA & MICHAEL CAWLINA ' HEREON ARE LOCATED ON SIDE (DECK) 5 _ 7.2t { SCALE 1 20' AUGUST 31, 2016 THE!111 1 GROUND �AS SHOWN. REAR 30 120't 102't NORTH SHORE SURVEY CORPORATION /,J &A�1 Ct:)"—z 14 BROWN STREET — SALEM, MA DATE PROFESSIONAL LAND SURVEYOR 978-744-4800 #3937 4