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B-19-885 - 0046 BUTLER STREET - Building Permitf g, The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code,780 CMR USE M'[JNIUSE LITY Building Permit Application To Construct,Repair,Renovate O pl rri i&l4a3 XA` aVar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date A plied: _ 60 wilding, fficial(Print Name) Signature Date SECTION 1:SITE INFORMATION 1 Pro Addres�s� 1.2 Assessors Map&Parcel Numbers �.. } 1 a Is tfii's an accepted street?yeses_ no Map Number Parcel Number r `'It.1"3 dog Information: 1.4 Property Dimensions: * `Zgmn•g Mitrict 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 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 ❑ SECTION 2: PROPERTY OWNERSHIP' 2�Owner'of Record:((__ p..�A C�lcl� %.;CVO A �c2—�v'^CZ— ��t;� � Name(Print) City,State,ZIP B'AIc.Y -C119- Alex Q407-0vvr-*nac0w4 No.and Street Telephone Email Address SECTION 3:-DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied 1 Repairs(s) ❑ Alteration(s) ® Addition JN Demolition ❑ Accessory Bldg.❑ Number of Units Z• Other ❑ Specify: Brief Description of Proposed Work2: f`CLK'%K8 e'f. v )vl o�SPcticL . Cy v��i/ a' X4 a-a 5'X 1 eyc.K , tZ X'Z4 e14is vi (tir-` ECTION 4:ESTIAATED CONSTRUCTION COSTS Estimated Costs: Item Official Use Only Labor and Materials 1.Building $ 00 uo 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee �31 13 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ Dv 1� 2. Other Fees: $ / \ 4.Mechanical (HVAC) $ i5o "" List: a (� 5.Mechanical (Fire $ Total All Fees:$ Suppression) Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ (2C ❑Paid in Full ❑Outstanding Balance Due: 1b -0 . 1 At 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 up to 35,000 cu.ft. R Restricted 1&2 Family Dwelling .City/Town,State,ZIP M Masonry 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) "* HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email 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 72 OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR f 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) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION . By entering my name below,I hereby attest underhhe 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. �c�J�uvo ��'1'►'!z Z- l(jovur y � '� 13 1 Print Owner's or Authorized Agent's Name(Electronic Signature) ate 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. og v/oca Information on the Construction Supervisor License can be found at www.mass.gov/dpss 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" f CITY OF SALEA MASSACHUSE TTS 'low BUILDING DEPARTAENT 120 WASH9gGTON STREET,3"D FLOOR 0% ') TEL(978)745-9595 K MERLEYDRISODIL FAX(978)740-9846 MAYOR THOMAS STAERRE DIRECTOR OF PUBLICPROPERTY/BUJI DING 00hWSSI0NER HOMEOWNER LICENSE EXEMPTION PLEA!;E PRINT: G c,�,�wNo Gom krZ G©m�Z DATE: �l 3I1 q JOB LOCATION G 6^tv SV KA, o l cta p HOME OWNER ADDRESS:_ y "�cv S} SC�1cw� NA A, ©lit-f O PRESUIT MAILING ADDRESS: q �v �� `^" 4A , o tciTo The current exemption of"Homeowners"was extended to include owner- occupied dwellings of two(2)units or less acid to allow such homeowners to engage an individual for hire that does not,possess a licenses provided that the owner acts as supervisor. Definition of Homeowner: Person(s)vvho own a parcel of land on which he/she resides or intends to reside,on which there is,.or is intended to be,a one-or tw6-family dwelling,attached or detached structures access6ry to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to,the Building Official,that he/she be responsible for all such work performed under the Building Permit. s The undersigned"homeowner"assumes the responsibility for compliance with the State Building Code and other applicable by-laws and regulations. The undersigned"homeowner"certifies that he/she understand the City of Salem Building Department minimum inspection procedures and requirements and that he/she will comply with such procedures and requirements. HOMEOWNER'S SIGNATURE GV-'�` M Z APPROVAL OF BUILDING INSPECTOR CITY OF SALE4 MASSAMUSE M BUILDING DEPARTA ENT 120 WASHfNGTONSTREET,3RDFLOOR AL(978)745-9595 KAMERLEYDRISCOLL FAX(978)740-9846 MAYOR THOMM ST.FIERRE DIRECTOR OF PUBIdCPROPERTy/BUILDING ODMUSSIONER Construction Debris Disposal Affidavit (required for all demolition & renovation work In accordance with the sixth edition of the State Building Code . and.the provisions of MGL c40,S54;Building Permit# is, 780 CM i Section ssued h the Debns, condition that the debris resulting from this work shall be disposed of in a properly licenses wasite deposit facility as defined by MGL c 111,S150A. The debris will be transported by: CGvk,v� ivy. (name of hauler) The .. debris will be disposed of in: «QU e-rc— (name of facility) (address of facility) , Signature of applicant (today's date) r r FLOORPLAN SKETCH Borrower:Gustavo A.Gomez Fde No-- MENB41567R ilmperty AditW46 Buller Street Case No- Q0 ..Sdern State:MA 73rx 01970 Under Eastem Benk Third For 30' [Arae:$filifC'J awe unit 1 12, Bedroom oam ]a, Untt2 4A180SF /-MSF 3v Second Floor 4W V-7MfM .14' Bath gedrown 21' ilnit.l Unit-2 #/497 SF 19` r 273 SF 20' 30• 4' it fleck �sz3iiaj First Floor [Aren:: .MfM ll' 14' � r�las4d.PlxeTs sedEloafi [dies 132t1'i 12. 4 - _ ROOMId,en �, "Bath 12' Ktchen 21' r unit 1 K95, IV Unit 2 t/-"4 SF -W 399 SF . 1,321 SFnclosed En" +/-852 SF [Puen:105fl'j r 12-8 Roor ,B43fl*Fbst F�Or x,Ao.+Bee --- " Thkdi<foar 36O04 12'x Tx 0.50. 42 Qdat 6t300�II Bx IV4.i x 0.44- 40AOW rTdosedpomh ,Z8AOIPD` _ ,Yx' rt us D 40'34Pi x_... 1310wx ISO a Floor x,AB.rrBAo II 1T2Y:x Ox 0.41- TM x1&0-380 Irx WX As. ISO 607 North Ave.,Stye 18.Vbkefield,MA 01860 Pk M 245-OM FAX 7812464M MORTGAGE INSPECTION PLAN 14-08923 c LOCATION: 46 BUTLER STREET BOSTON CITY,aTATE: SALEM,MA SURVEY, INC. APPLICANT: GUSTAVO GOMEZ CERTIFItl)TO: LAW OFFICES OF JOSEPH A.TORRA P.O.BOX 290220 SCALE: &EASTERN BANK CHARLESTOWN,MA02129 PREPARED: 1 30' T(617)242-1313,F(617)242-1616 W W W.BOSTONSURVE V INC.COM NOV. 11,2014 B 61.48' `31 V LOT A 9,165 SF+/- deck p 2.5 story 2+/- 63.00' N BUTLER STREET FLOOD DETERMINATION REFERENCES