B-17-1190 - 0003 BECKFORD STREET - Building Permit fi
_ F
The Commonwealth of Mai'"`.• sachtisiii etts
Board of Building Regulations and Standards 2811 DEC -I 'VAA1y1�Zrj
Massachusetts State Building Code,786 CMR
Revised Mar 2011
Building Permit,Application To Construct,Repair,Renovate Or Demolish a
`One-or Two-Family Dwelling 1
�T ZZ 2i Z: .l7iis Sectio�%For;DiticialU
Butidtng Pemut Number ..
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ButldiDg Offidgl._#w.Print Name)�..�,,,
SECl'ION3 _SITE INI+ORMATIoN .
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
3 Beckford St 26 .0525-0
l.la Is this an accepted strwt?•yes X no Map N=W Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
R2
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) i
1.5 Building Setbacks(fit)
Front Yard Side Yards Rear Yard
Required Provided Required> Provided Required Provided
1.6 Water Supply:(M.G.L c.40 §541 17 Flood Zone, Information: 1.8 Sewage Disposal System: -
Zone: Outside Flood Zone?
Public 0 Private 0 Municipal 13 On site disposal system 0
• _Check if es0
2.1 Owner'of Records
Holly Barrett ; Salem MA 01970
Name(Print) City,State,23P
3 Beckford St 978-910-5953 _beckford3(aD-msn.com
No.and Street - >' Telephone Email Address
{ ��N 3DESCRIPTION'`OF PROPOSED WORK'(check all mat apply) x���� �'� 1�
New Construction,0 Existing Building 0 " Owner-Occupied,® Repairs(s) l3 Alteration(s) ® jAdditionO
Demolition 0 Accessory`Bldg.13 Numbs of Units Other M Specify:_Replacement
Brief Description of Proposed.W.W. Reolacing 2 windows
t
:;b - SEGTI9N4.ESTIMATED GONSTIIU.CTION COSTS{
Estimated Costs: E -,T77
Item s Offfal y
(Labor and Materials r. .
1.Building $ 'I; Butldmg Permit Fee:$" M C"Inl>cate how"fee.is tleternutned $
3428 1 -
0 Standard t Ctty/Town'Appliratton Fee i=
2.Electrical $ t �= � � ' � � �.
Paz41
0 Total Project Cad(Item 6)x mulhphea k x
3.Plumbing
d ..
4.Mechanical (HVAC) $ E -'4
;
S.Mechanical (Fire $ ., . {
Suppression)
Total All Fees#$ -_ _ zs ,
Check No'
o .Check Amount Cash Amount
6.Total Project Cost: $ iid:"tom Full"
3428 O P in l�0otstaniiiag Balance Duie:
N T7>,C:�-IEY> 1-50 l
3 I fM f1 t L-r--O t tQ S Fa
i
-4i 3EG"I ION Ss CONS1'itUCTIOi�t SEIiYIC`ES #
n v _ .. _.. ___- -- -- -
" 5.1 Construction Supervisor License(CSL)` 90125
10-06-18
Jamie Morin License Number Expiration Date
Name of CSL Holder
30 Forbes Road List CSL Type(see below) U
No.and Street tton ,
„ . .. .
Northborough, MA 01 32 U Unrestricted uil ' s to 35 000,cu.ft
R Restricted 1dt2 Family Dwelling
City/Town,State,ZIP M
RC Roofing Coveting
WS Window and Siding
a SF Solid Fuel Burning Appliances
508-351-2277 rbabostobpermittin4(a)-andersencorp.com I. Insulation
Telephone Email address D Demolition
5.2 Registered Rome Improvement Contractor(HIC) 170810 12-23-17
Renewal by Andersen HIC Re
HIC Company Name or HIC Registrant Name Registration Number Expiration Date,
30 Forbes Rd rbabostonpermittin g@andersencorp.com;
No.and Street Email address
Northborough, MA 01532 508-351-2277-
/Town StaA ZIP Tele e
f:� F k' Wi+ �..Y.9 .`.�.. g� 4 wY. T•�,.
SECTIONi6 WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MG.L.tGri152
iY`ww+�,' wm; '*9- . =•,w-;..H RS' .nna„wtv.&€s;aw,..:n-�,h:w...v.;:,«„x »+axssr. c-a erX
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.
Y . S CTION¢7a UWNER AUTIiORiZATION TO BE COMPLETED WHEN 'e.
_.}. �� ;
_.
� a'UWNEIi.'SAGEIITT_OB C'O:NZ'R9►CTQR€AI'P'LIE;S;p'ORBIJII.,DING PE1tMIT
Las Owner of the subject property,hereby authorize Jamie Morin
to act on my behalf in all matters relative to work authorized by this building permit application.
F
r
See attached contract 12/5/17
Print Owner's Name(Electronic Signature) Date
SECTION,7b ,OWNER OR AUTHORIZED AGENT 1)ECLARATIONt £ t ..` r
By enterimg my name below,I by attest under the pains and penalties of perjury that all of the information
contained in this application' and accurate to the best of my knowledge and understanding.`
{
Jaime Morin 12/5/17 {
Print Owner's or Authorized A _-'s Name(Electronic Signature) Date
NOTE *, `r :. -
a. ,:.. .x ...._.., ... __, e .a S: —.._..�.. .,. _
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,MM.&LvLm Information on the Construction Supervisor License can be found at www.mass. v/dns
2. When substantival work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.1) 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"
Salem Historical Commission
120 WASHINGTON STREET, SALEM,MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction ❑x 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 District
Address of Property: 3 Beckford Street
Name of Record Owner: Holly Barrett
Description of Approval of Work:
■ Replace second story paired windows on side(south) elevation with new Renewal by Anderson
1/1 windows. This replacement is based on existing conditions at this property only and is not
intended to be precedent setting in the district.
Dated: February 12, 2018 SAL ISTORICAL C MIS ION
B ,
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.