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B-17-1209 - 0015 BARTON STREET - Building Permit The Commonwealth of Massachusetts �— Board of Building Regulations and Standards © Massachusetts State Building Code,780 CMR MUNICIPALITY ??� �� 11 USE. Building Permit Application To Construct,Repair,Renovag Or Dt;Yn�blgh F 'el2d Mar 2011 One-'or Two-Family Dwelling ' .• , This Section Foi Official Use Only Building Pe_emit Number:'- Date plied: I Building Official(Pent Name) Sigiiatpre Date - SECTION 1:SITE INFORMATION 1.1 Proper Address: 1.2 Assessors Map&Parcel Numbers /5- i 701'V S'i 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 b 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 ❑ SECTIO N 2 PROPERTY OWNERSHIP' C2.1 Owner'of Record: j 6 2-5- / � ' . Q, —1—',u Lt C� 1.0��4 � 5� t� oC,� ram- / Name.( rint) City,State,ZIP /XW. v 1 7 g tr T Q Ste=07& No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) 1l New Construction❑ Existing Building Owner-Occupied ❑ Repairs(s) Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ 1 Number of Units Other ❑ Specify: Brief Description of Proposed Work': Af'ooF—G1 Ave-' SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1.Building $ '-2 Z 0®Co 1. Building Permit Fee: $a& y©Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing " $ t� t� T 2. Other Fees: $ 4.Mechanical (HVAC) $ 6 O List: 5.Mechanical (Fire $ Suppression)- Total All Fees:$ Check No. - Check Amount: Cash Amount: 6.,Total Project Cost: $ ❑Paid in Full ❑Outstanding Balance Due- . rb 12 9 L f SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) 16 faoDL•4 No.and Street Tye Description �/� U Unrestricted(Buildings u to 35,000 cu.ft. � L Restricted 1&2 Family Dwelling City/Town,State,ZIP. M Masonry + RC Roofing Covering WS Window and Sidin SF Solid Fuel Burning Appliances 6--7B�i pew I Insulation 1 { Telephone Email address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) �� HIC Registration Number Expiration Date HIi�o�Sp�ny NK jRegjstrant Name No.and Street Email address � orur �G78Jgo �s88 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...........0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT,OR CONTRACTOR APPLIES FOR BUILDING PERMIT (•fib 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) Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION W By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information' contained in this application i e and accurate to the best of my knowledge and understanding. VV Print Owner's or Authorized gent's We(Electronic Signature) vDate 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 www.mass. ovg /oca Information on the Construction Supervisor License can be found at www.mass.eov/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 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" . t i Ana, Commonwealth of Massachusetts City .of Salem � � Inspectional Services WE_L E I PT 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595 x5641 Application For Building Permit (One- or Two- Family Dwelling) Permit No#: TB-17-1160 Date Applied: 11/30/2017 11/30/2017 Building Official(Print Name) Signature Date Issued SECTION 1 : SITE INFORMATION 1.1 Property Address 1.2 Assessors Map&Parcel Number 15 BARTON STREET 36-0369 1.3 Zoning Information 1.4 Property Dimensions R2 4680 Zoning District Proposed Use Lot Area Frontage(ft) 1.5 Buidling Setbacks(ft) Front Yard Side Yard Rear Yard Required Provided Required . Provided Required Provided 15.00 0.00 10.00 0.00 30.00 0.00 1.6 Water Supply: 1.7 Flood Zone: Outside Flood 1.8 Sewage Disposal System Zone? Check if Public Zone: yes ,Municipal SECTION 2: PROPERTY OWNERSHIP Owner of Record QUEZADA PAINTING &CARPENTRY 25-27 HIGHROCK STREET LYNN MA 01902 Name Address Phone Email SECTION 3: DESCRIPTION OF PROPOSED WORK Permit For: Other Building Permit Brief Description of Proposed Work: TEAR DOWN CHIMNEY, CARPENTRY WORK, BASEBOARD TRIM, REPLACING DOORS, RECONFIGURING ATTIC STAIRS. SECTION 4: ESTIMATED CONSTRUCTION COSTS/PERMIT FEES Total Project Cost: $22,000.00 Payment Date Amount Paid Check No Total Permit Fee: $154.00 11/30/2017 $154.00 Total Permit Fee Paid: $154.00 I THIS IS NOT A PERMIT a°°NIT, Commonwealth of Massaehusetts f � i City of �S a i e-�n W -, Inspectional Services r' RE w E'07T 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595 x5641 Building Type: Two Family Existing Proposed No.of Floors/Stories(include basement levels&Area Per Floor(sq.ft.) 0 0 Total Area(sq.ft.)and Total Height(ft.) 0.00 0.00 0.00 0.00 SECTION 5: CONSTRUCTION SERVICES SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT 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 On File? 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. /r QUEZADA PAINTING&CARPENTRY LLC 11/30/2017 Print Owner's Name(Electronic Signature) Date Submitted 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. QUEZADA PAINTING&CARPENTRY LLC 11/30/2017 . Print Owner's.Or Authorized Agent's Name(Electronic Signature) Date Submitted NOTES: s 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 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.gov/dps When substantial work is planned, provide the information below: Total Area(sq.ft.) 0.00 Type of Heating System Number of half/baths Gross Living Area(sq.ft.) 0.00 . Type of Cooling System Number of decks/porches Number of Fireplaces Room Count Enclosed/Open Number of Bathrooms 0.0 Number of Bedrooms 0 } - . THIS, ISNOTA PERMIT �CONDITq ,� Commonwealth of Massachusetts City of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 D Return card to Building Division for Certificate of Occupancy - - Permit No. B-17-1209 FEE PAID: $294.00 TO PERMIT BUILD DATE ISSUED: 12/18/2017 This certifies that has permission to erect, alter, or demolish a_building 1-5-BARTON-STREET Map/Lot: 360369-0 as follows: Other Building Permit I , REMODELING, STAIRS,ROOMS. UPE N,UP SPACE, STRUCTURAL REINFORCEMENT OF BASEMENT - FIRST FLOOR, DRYWALL, PLUMBING, HEATING & - 4 ELECTRICAL UPDATE. (Replaces permit#b-17-1160.) Contractor Name: MARCOS A DEVERS, P.E. DBA: MDJ INC Contractor License No: CS-047056 12/18/2017 Building Official 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 mb nths each upon Mtten request. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and d codes. This permit shall be displayed in a location clearly visite from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. il The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. jrsons contracting with unregistered contractors do not have access to the,guar fund"(as set forth in MGL c.142A). H I C#: 103898 `` Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. Commonwealth of Massachusetts d { Citv of Salem 4 T�s x 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 I n Return card to Building Division for Certificate of Occupancy Structure CITY OF SALEM BUILDING PERMIT `o D'T,� PERMIT TO BE POSTED IN THE WINDOW + a Excavation Footing INSPECTION RECORD Foundation Framing Mechanical Insulation INSPECTION: ^ BY DATE Chimney/Smoke Chamber Final Plumbing/Gas Rough:Plumbing Rough:Gas J, Final Electrical :.ter Service Rough Final Fire Department Preliminary Final LAHealth Department s Preliminary Final