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B-19-826 - 0029 BUTTER STREET - Building Permit The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two Family Dwelling This.Section For Official Use Only 1 B:ulding Pit Number: - Date Applied: B ding vial ntName g�r �. ) Signature 161 Date 1 SECTION 1:SITE INFORMATION 1.T�-Pro w' A ess: a� '1�� l � m�e ��,(� 1.2 Asse'srsors Map&Parcel.Numbers L la Is this an accepted street?yes__I,,,' no Map Number Parcel Number 13 Zoning Informatio r 1.4 Proper Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard l Required Provided Required Provided Required Provided to SOIAit + , '_ 1.6 Water Sul ply:(M.G.L c.40,§54) 1.7 Flood Zone Info1 mation: 1.8 Sewage Disposal System: 4 (A Publ Private❑ Zone: _ Outside Flood Zone? MunicipoOgn site disposal system ❑ Check if yeig SECTION 2: PROPERTY OWNERSHIP' 1 2.1 Owner'of Record: Name(Print) City,State,ZIP No.and Street Telephone T Emidl Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all'that apply) New Construction❑ Existing Building❑ Owner-Occupied� Repairs(s) ❑ Alteration(s) Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ 1 Number of Units 1 Other ❑ Specify: Brief Description of Proposed Wor M OYi 0. f Con la A— S CTION :ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building $ 3.00C)r 1. Building Permit Fee:$-4� Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC). $ �y List: 5.Mechanical (Fire $ s Suppression) Total All Fees: $ 6.Total Project Check No. Check Amount: Cash Amount: Cost: $ � 3 60Q ❑Paid in Full ❑Outstanding Balance Due: IS Mates ac� N.- o I' 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 OOb'cu.R 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 INC 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 .........�Jd 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 authorizee�Qe— to act on my behalf,in all matters relative to work authorized by this buUng permit a0fication. Print Owner's Name(E onic Sign e) Date 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 Owner's or Au on gent's Name(Electronic Signature) �ftl) 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. ov/d s 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" Gmail - Thanks for shopping with us! Here's your order#: 1052766377615. Page 2 of 4 Standard shipping delivers to: Vicky Lepoutre, 29 Butler St, Salem, MA 01970-1360 Roof Vent Kit For Sun Room And Greenhouse-White- a Rion 1- 7 Qty: 1 $136.99/ea - ..,.- Arriving by Tue Jul2 i - - . To-the-door delivery delivers to: Vicky Lepoutre, 29 Butler St, Salem, MA 01970-1360 8'X10' Sun Room 2 Greenhouse-White- Palram +` `� Qty: 1 $1885.99/ea Arriving Mon Jul 8 -Wed,Jul 10 MM l r � Order Summary https://mai:Lgoogle.com/mail/u/0?ik=7f27eOf453&view=pt&search=all&permthid=thread-... 7/30/2019 Unofficial Property Record Card - Salem, MA General Property Data Parcel ID 15-0161-0 Account Number 0 Prior Parcel ID 41-- Property Owner LEPOUTRE VERONIQUE J Property Location 29 BUTLER STREET Property Use One Family Mailing Address 29 BUTLER STREET Most Recent Sale Date 5124/2018 v Legal Reference 36737395 City SALEM Grantor LEPOUTRE,JEAN-LUC Mailing State MA Zip 01970 Sale Price 0 ParcelZoning R1 Land Area 0.170 acres Current Property Assessment Card 1 Value Building Value 181,300 Xtra Features Value 0 Land Value 154,000 Total Value 335,300 Building Description Building Style Old Style Foundation Type Brick/Stone Flooring Type Hardwood #of Living Units 1 Frame Type Wood Basement Floor Concrete Year Built 1823 Roof Structure Gable Heating Type Forced H/W Building Grade Average.(-) Roof Cover Asphalt Shgl Heating Fuel Gas Building Condition Avg-Good Siding Clapboard Air Conditioning 0% Finished Area(SF)1579.5 interior Walls Plaster #of Bsmt Garages 0 Number Rooms 6 #of Bedrooms 3 #of Full Baths 2 #of 3/4 Baths 0 #of 112 Baths 0 #of Other Fixtures 0 Legal Description Narrative Description of Property This property contains 0.170 acres of land mainly classified as One Family with a(n)Old Style style building,built about 1823,having Clapboard exterior and Asphalt Shgl roof cover,with 1 unit(s),6 room(s),3 bedroom(s),2 bath(s),0 half bath(s). Property Images Disclaimer:This information is believed to be correct but is subject to change and is not warranteed. 119 j _ i 0109 1f-0120 i 1 IC-0135 +� r 16-0385. ` 19.0122 18 01 1 �C) 0110 {r, -15.0200 � . `` 1501d0 f �`•�. 15-01 8 15 020'1 -Zj�.. 6 i 1 15 0149 6 r r f '15.0198 j 15-0159 15.0197 15-0198 15 01`2 15- 387 15.0157 15-0189 15-01f33 15 01 90 15.0194 �, � � QTY OF SALEM, MASSACHCISE'I7'S 1 BUILDING DEPARTMENT 120 WASHINGTON STREET,3RD FLOOR TEL(978)745-9595 K OERLEY DRISUOU FAX(978)740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLICPROPERTYAUnDING OOMNffSSIONER HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION_ HOME OWNER ADDRESS:_ {��t t �r `�, �t VCR I 1 "A ©( PRESENT MAILING ADDRESS: S1 l B Acr I`1" akfn I RA 0 R10 The current Exemption of"Homeowners"was extended to include owner-occupied dwellings of two(2)units or less avid to allow such homeowners to engage an individual for hire that does not possess a license,provided that the owner acts as supervisor. Definition of Homeowner. Person(s)who 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 two-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. 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 minirnum_inspection procedures and requirements and that he/she will comply with such procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING INSPECTOR Q1 Y OF SALEK MASSAaR SEM Bt amm DEPARTMENT 120 WASHNMN STREET,P FLOOR TEL.(978)745-9595 FAX KDOERLEYDRISODLL (978)7449846 MAYOR Timms ST.PIERRE DIRECTOR OF PUBLIC PROPERTY/Bua DING ODMIuIISSIONER Construction Debris Disposal Affidavit (requiredfor all demolition & renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR,Section 111.5 Debris, and the provisions of MGL c40, S54;Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licenses waste deposit facility as defined by MGL c 111,S150A. The debris will be transported by: ter ' e. (na of hauler) The debris will be disposed of in: (name of facility) 631C (an (address of facili. Tb Cfl Signature of a plicant (today's ate) Your Confirmation number is 2019080110267396 Date df Confirmation:8/1/2019 NOTE:When paying by ACH(Checking)it will take two business days for the payment to be debited from your bank account.Your account number is not verified until this payment is presented to your bank.They have the right to return this payment if unable to process this transaction against your account. Your request for payment(s)of$28.95 has been received and is subject to approval by your financial institution. No email was entered so a confirmation was not sent. Account Information Payment Information Name: VERONIQUE LEPOUTRE Payment Type: Credit Card Note: QUICK PAY TRANSACTION Payer Name: VERONIQUE LEPOUTRE Card Number: **************5700 Transaction Information Transaction Quantity Amount Fee Payment Type City of Salem-Inspectional Services 1 $25.00 $3.95 Credit Card Building Permit First Name:Veronique Last Name:Lepoutre DBA/Company Name,if applicable: Name of permitted/inspected property: Veronique Lepoutre Address of permitted/inspected property:29 Butler St Phone#:978-979-2509 Contact Email Address: vicky.lepoutre@gmaii.com Total:$28.95