13 APPLETON STREET - BUILDING JACKET 13 APPLETON STREET 1,
Citp of �balp T, 41a$!5arbu!6ett$
Public Prupertp Mepartment
�Builbing 30epartment
One 9palem Oreen
(978)745.9595(Ext. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
August 3, 1998
Michael Cronin
13 Appleton Street
Salem, Mass . 01970
RE : 13 Appleton Street
Z-17-98
Dear Mr . Cronin:
According to the records on file in this office,
it .has been determined that 13 Appleton Street is a
lawful ,nonconforming, two ( 2 ) family dwelling.
This is to determine use only and in no way is meant to
confirm or deny whether said property is in compliance
with all building, plumbing, gas , electrical , fire or
health codes .
Sincerely,
Kevin G. Goggin
Inspector of Buildings
-- ------ I'he C'olmmontve;tllh of Massachusetts
Board of Building Regulations and Standards CITY OF
�' J5 SALEM
Massachusetts State Building Code, 730 CtiIR /
Building Permit Application To Construct, Repair, Renovate Or -nutlish a
One-or Two-Fiuni(t Dlve ink
this Section For Official -e Onl
Building Permit Number: Date; plied:
Building Olhcial(Print N une) Signature 5
f, Dulc
SECTION I: SITE INFORMATION
Ll�ro ert Address: �jy),p h 1.2Assessors,Nlap& ParcelNum rs
I.la Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lol Area(sq 11) fmnlage 111)
1.5 Building Setbacks(R)
Front Yard Side Yards Rcar Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.I.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone?
• Check iFcs❑ Municipal❑ On site disposal system ❑
SECTION2: PROPERTY OWNERSHIP'
2.1 O rt of Record:
Name(Print)
uy. m .Z.IP
�� 13 Analela„ C Ste ��/-�Y�
6matl A rcss
ff'A --
Ne.an Street — fete one
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs($) ❑ Alteration(s) ❑ Addition (3
Demolition ❑ 1 Accessory Bldg. ❑ 1 Number of Units_ Other ❑ Spccify:
Brief Description of Proposed Work':
SECTION d: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
I Labor and Materials) Official Use Only
I. Building S I. Building Permit Fee: $ Indicate how fee is determined:
'. Llectrical S ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
i. l'huuhing S
?. Other Fees: S
4. .Mec1lanica1 111\':\('1 S List:
?. .\lechaneal tFire
-- -------- - --
Su,tressionl Totul :\II Fees: S
e. Total Project Cost S f' / ) Check No, --Check Amount: - —.—Cash ash:\mount:
v 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supenisor License(C'SL) '
---�l�,t.� / __� /�-/�.yu�-._ Lictnsc Nmnhcr I�cpirauouU tc
h'amcyl'l�\L Ilh,ldcr --.._...---
d/�/� Lisl C'SL 1)pc(sec bcluw)
----- 1 ""J�-F-�"6- — --------- "I)po Description
No. .m reel
ll l InrestricleJ IlluilJin,s ti ut i5.U110 w. Il.l
R Restricted 1@2 Family Decllin
C'i 0"mn,State.LlP NI Masonry
RC Rooling C'ovcrin
.-_—. K:S Windosr and Siding
SF Sulil Fuel(honing AEpliances
1 on Insulati
Telc hone Email aJJrcv Il Demolition
5.2 Registered Ilome Improvement Contractor(HIC)
f ZU(
IIC Ragistrution Numhcr F.cpoutii t Date
I IIC Con any an
ar I IIC Registrant Nam•-
No. and SiraetJ �W �" Email address
City/Town,State,ZIPS— Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C. 152.1 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 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.
Print Owner's Name(Electronic Signature) 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 informatio
contained in this application is true d7ac,urate to the best of my knowledge and understanding.
Print Oene '. or Atal im/cd Agent's Nmnc(Electronic Signature) Date
NOTES:
1, An Owner tvhu obtains a building permit to do his.her own work,or an owner who hires an unregistered contractor
(not registered in the Hume improvement Contractor(HIC) Program),will M) have access to the arbitration
program or guaranty fund under I.G.L.c. 142A.Other important information on the HIC Program can be round at
UON m.n.�n_ '�A Information on the Construction Supervisor License can be found at gLok di1. '
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 I sq. ft.) Habitable room count -
\umberoffireplaces---._ — Number of bedrooms
Numherol'bathrooms --- \tunberofhall'hatfts
I' pr of heating systcnt Number ol'decks, porches
I t Ile of cnohng ss stets I'.nclosed Open
3. "Total Project Square Footage"mat he substituted for"foul Project Cost"
iM.11fIS MU TIBE ffW04MI0 APPROVED 8Y T44E
"ZCTDB PFWR TO A PEANUT BMG GRANTED
CITY OF_SALEM
No 3 'y Dater*/
s: x
;r Ward
Zoning District
Is Property Located In Location of
the Historic District? Yes No_ Building ( 1` 1
Is Praperty Located In
the Conservation Area? Yes No
Permit to: BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace. Other:
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name l��r" T. N A(ti
Address & Phone f3 6-cl;i
Architect's Name
Address & Phone
Mechanics Name
4
Address & Phone I
What Is the purpose of building? A 425Jekc-e
Material of building? !,).„j If a dwelling, for how many families?
Wilt building c ordonn to law? 45a; Asbestos?
Estimated cost 5 CZD0-> City License 0 State UC@rkM N
Hare Laproveraent
' ll \ Lic. i
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
'1!#1 is1, U11 h sl /oowA fo GLJJ one be�/oar_
MAIL PERMIT TO:
No.
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
9
APP OV D
INSPECTOR 6P BU LDINGS
0
q ..
CTfY OF SALad
BUnDING DUARTIvIM
lioNMOWNER UCEA1SE MOO A01N
Please PM
DATE
)OBUXAT)ON ( �
HOhgOWM
ADDRESS q
TE EPHols -51 P
PRESENT MA]1,II?G ADDRESS /.� fy7»�c
Ttae cwrent ucmPtion of'horncowj�aa"was t=uded w incltdt owoer-octupied dsseNep o[T M
Unin or less and to allow such bomtowtaeta to�e an ind9vad tnl far Itue °does sot posses•
Uccuse..➢rwidcd that tht owed act as suptryiew.
pEraan0N OF HOhgOWMLO oa�+tdela these$orb .
Peron(a)who owns s pw=l of kud ca which bdshe resides or intends to reside. hi aufi um of Is
intended m be,a one 10 two famtTy dwelling atached or dttact tar»ctruts atd shaE sot bt cbnsldemd
farm saycwm A pcnm who constructs trtore than oat home in a 1wo•y Pam'
a hotneowver. Such`homcowtat' &b.T tnrbndt to tht Budding OrlcbL on a farm at 9lAk to*4
carder tht:btttWmg prtadL
Building Official.that heJshe be ruponstbk to all atilt wok pafonaed .
The tmdexsigned'hoatevwatt"asstattes tupo>u'bility Sol ,mPr'W"7-a'uhtht Stave Bui1tffiag Code atd
other applicable goes by-kwa,rules sand regahtirmL
ternfm that htlshe erstards tht City of Sslem Bttildmg D9wvm 0..
Ttac ttndasigncd'hotneown0 and���� 'that Naht wili comPly wlffi aatd t m d
minimum bzpccd Pad
regt»reaterii
HOIaOWNER'S SIGNATURE -
APPROVAL OF B=ING INSPECTOR
Sec otter sde for state fade
III
HOMEOWNER'S EXEMPTION
The code state that any bomeowner performing-k*for which a bulld'mg permit is tegob sba➢be
ex from the prmisions of ibis section (Section I .].1—liansio of Construction Su
� 09 li Pc*v'isq'o:
Provided tbtu is a homeanmcr engages a person(s)for hie to do.such worst,lb"such homeowner d m @a
as super4goe.
NIy borneowncrs wbo use this exemption are Tura that they are asst=%g the responsImm ate
supervisor (see Appcodh Q,Rults and Regulations for 3lecnaiog Construction Super&**Sc*U
L24 This b ck of awn =x= cNm results in scriom pmbl ms partieu"web=the bomeowr=bba
urJit cn persons. In this case your Board mrmm premed sgsinst the wAleeased person persons. it would va
liecwed Svpa'+isor. The bomeosvaer acing as superviwr 1s oWawte�ssaEoo�IbN.
To enswc than the homeowner is My aware of M*w responsibilities,many eormaunitim regdm as pm
of the permil applieatioq that the homeowner certify that bclshe t WaTmads the responsibnwas dal
supervisor. You may mm to amend and adopt such a forx9cmifiotim for toe in your eonmrdq.
PUBLIC PROPERTY DEPARTMENT
.' .' 120 WA/NINOTON WMKWr� 9RD FLOOR
SALEM,MA.01 E70
TILL. (979)74"595 EUT. 360
FAX (976) 740-9646
STANLEY J. UnOVIC7, JR.• -
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provision of MOL c 40,S34,I aclmowledge that as a condition
of Building Permit# .all debris resulting from the wnaQvction activity
governed by this Building Permit sball be disposed of is a properly licensed sOlid-wa %
disposal facility, as defined by MGL c BL` S150A.
The debris will be disposed of at
\ Location of Facility
ignaWm o emrit Applicant Dat
FULLY complete the following fil&nnatim.
(PLEASE PRINT CLEARLY)
Name ofPermit Applicant
Firm Namq if my
_L3 44a(e lEtn ) ( -15-:i�eG� _
Addreas,City&State
The above statute Tegnirea that debris from the demolition,renovation,on,rehab or other
alteration of building Or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MG.cIII, S 150A, and the building permits or licenses are to
indicate the location of the facility.
I