56 APPLETON STREET - BUILDING JACKET 56 APPLETON STREET
UPC 10330
No.153L '�*
NASTIMCS. YN
Citp of *afem, Aaggarbu!5ett!5
1, public Propertp Mcpartment
Wuilbing 3kpartment
One*alem green
(978) 745-9595 ext. 380
Peter Strout
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
August 22, 2000
Donald Lavender
22 Prospect Street
Beverly, Ma. 01915
RE: 56 Appleton Street
Dear Mr. Lavender:
After receiving a complaint from the residents at 58 Appleton Street relative to the grade
changing in the back yard of your property.
We conducted an inspection and found not only was the grade changed on your land, it
was also changed on the abutters property. The concerns of the neighbor as well as
myself are, drainage and that no permission was granted to fill in the land not owned by
you.
Please respond to this letter at your earliest convenience.
Sincerely,
r
Pe trout
Building Inspector
cc: Mr. Cuneo
58 Appleton Street
Citp of *alem, 41am6atbuatt.5
� i P.•
3public 3propertp Mepartment
36uilbing Mepartment
One§Wein green
(978) 745-9595 Ext. 380
Peter Strout
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
November 14, 2000
Arthur Cuneo
58 Appleton Street
Salem, Ma. 01970
RE: 56 Appleton Street
Dear Mr. Cuneo:
I have enclosed a copy of the plot plan at 56 Appleton Street showing your fence right on
the property line which means you don't have any property on the other side.
At this point we are convinced that the plot plan is proper. If you wish to pursue this
matter it becomes a civil issue.
Sincerel ,
Peter
A
Building Inspector
cc: Raymond Lavender
56 Appleton Street
Salem, Ma. 01970
City of Salem Nov. 8, 2000
Building Dept.
One Salem Green
Salem,Ma.01970
Attn.: Mr. Peter Strout
Building Inspector
Dear Mr. Strout:
As a follow-up to our discussion of today, I am forwarding a copy of the latest plot
survey. This was done to answer any questions that have been raised by Mr. A. Cuneo.
As the property owner of 56 Appleton St.,we have not changed the grade of the land as
claimed by Mr. Cuneo.
If you have any further questions regarding this complaint, please do not hesitate to
contact me to discuss.
Zao��Vaven
Encl.: Plot plan of 56 Appleton St.
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SALEM, MA
I CERTIFY TO�Tn 4 E�E_LAVCNDCR SCALE : 1 = 20 . DCT 2, 2000
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NADSXORTH VILLAGE - DANVERS BUILDING
My s 130 CENTRE ST. DANVERS• MASSACHUSETTS
DATE v PROF 0 AL w 5uHyt r0H (9Z8) Z74- 94So
S- 838
PUBLIC PROPERTY A
DEPARIVEINT
KISMOUSY ORM"LL
MAYOR t3D WAsHiNGTnN]1aEEr•SALKW X%AAolcst„s 01970
TEL,970-745-gS"0 FAX 975-740-9846
APPLICATION FOR THE REPA_M RENOVATION, CONSTRUCTION.
DEMOLITION OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: „ L& c Building:
Property Address: 5(, P"Qe IC-4-or\ Sli+ee-'
55�-kc� m A.-Olc06
Properly Is located in a; Conservation Area N Historic District Y
2.0 OWNERSHIP INFORMATION
2A Owner of Land _
L
S6 or Pplo� r�k
_ �tev-\ yiA Oi9 1D
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:
(e �.wa 01� Plc.slec
�� S� 1G. �e watl5l /�tw PtrtiS�ec an ' wc.ilS (- Ce,11 ,-i5
�, -
-- - Mail Permit to: SAkyq cis a �-
What is the current use of the Building? �on
Material of Building? S / If dwelling. how many units?
Will the Building Conform to Law? Asbestos?
Architect's Name
Address and Phone ( )
Mechanic's Name
Address and Phone
Construction Supervisors License S HIC Registration#
Estimated Cost of Project$ 70"'0"'0 Permit Fee Calculation
Permit Fee$ 5�f' Estimated Cost X$7/111000 Residential
Estimated Cost X$11/51000 Commercial
An Additional S5.00 is added as an
Administrative charge.
Make sure that all fields are property and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the above stated
specifications. Signed under penalty of perjury X
ate
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CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
N1 A YOK 120 WASH ENG]'ONS17KEET 4 SALEM, MASSACHUSEI IS0197C
TEi,978-745-9595 #FAX:978-740-9846
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 780 CN4R section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit Ift — is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c
111, S 150A.
The debris will be transported by:
C, IS-1 9 3 - 5 308
(name of hauler)
The debris will be disposed of in
(name of facility)
(address of facilily,
—9-signature of permit applicant
I/—S—--F 7
date
debnsaffdoc
CITY OF SALEM
PUBLIC PROPERTY
DEPARTMENT
K1IWERLEY DR15(:OLL
MAYOR
120 WASHINGTON STREET♦SA E K MASSACHuserrs 01970
7ki 978-745-9595•FAX:978-740-98"
HOMEOWNER LICENSE EXEMPTION
Please Print
Date 5 161.
Job Location 5-6 kpkP gn �aeSc 1eA` rvl{} yIq'�b
Home Owner Address Sa.� G
Home Owner Telephone !t 1?
Present Mailing Address
The current exemption of"Homeowners"was extended to include owner-occupied
dwellings of two Units or less and to allow such homeowners to engage an individual for
hire who does not o p ssess a license,provided that the owner act
s as supervisor.
DEFINITION OF HOMEOW
NER
Person(s)who owns 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 accessory 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.
I
I
The undersigned "homeowner'assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedures and requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING INSPECTOR
See other side for state code
Homeowner's Exemption
The Code states that: "Any Homeowner performing work for which a Building Permit is
required shall be exempt from the provisions of this section(Section 109.1 —Licensing of
Construction Supervisors);provided that a Homeowner engages a person(s) for hire to do
such work, and the Homeowner shall act as Supervisor."
Many Homeowners who use this exemption are unaware that they are assuming the
responsibilities of a Supervisor(see Appendix Q,Rules and Regulations for Licensing of
Construction Supervisors, Section 2.15). This lack of awareness often results in serious
problems,particularly when the Homeowner hires unlicensed persons. In this case your
Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The Homeowner acting as Supervisor is ultimately responsible.
To ensure that the Homeowner is fully aware of his/her responsibilities,many
communities require, as part of the Permit Application,that the Homeowner certify that
he/she understands the Responsibilities of a Supervisor. On the last page of this issue is a
form currently used by several towns. You may care to amend and adopt such a
form/certification for use in your community.
� 250ID ca� � 132 �
The Commonwealth of Massachusetts
A Board of Building Regulations and Standards CITY OF
•� Massachusetts State Building Code, 780 CMR SALEM
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
One- or Two-Family Dwelling
60 This Section For Official Use Only
I Building Permit Number: Date Applied:
9
Building Official(Print Name) Signature
^n g
ISECTION 1: SITE INFORMATION
1.1 Property Address: 56 Appleton St 1.2 Assessors Map& Parcel Numbers
37-0180-0
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
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? Municipal ❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner of Record: Joanne Salem, MA 1970
Lavender
Name(Print) City, State,ZIP
56 Appleton St (978) 314-6144 joannelavender@comcast.net
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ Existing Building ❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units I Other M Specify: Insulation
Brief Description of Proposed Work':Air sealing, blown in cellulose into attic,weather stripping and door sweeps
install roof vents
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials) 00
I. Building $ 2,854.75 1. Building Permit Fee: $ Indicate how fee is determined:
2. Electrical $ ❑ Standard City/Town Application Fee
❑ Total Project Cost' (Item 6)x multiplier x
33 Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Su ression Total All Fees: $
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ 2,854.75 ❑Paid in Full ❑ Outstanding Balance Due:
r^n ra t t_ ro G..C ,
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-052576 10/03/2017
James Fortin License Number Expiration Date
Name of CSL Holder U
50 Rundlett Way List CSL Type(see below)
Type Description
No.and Street
Middleton, MA 01949 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
978-998-4684 phil@air-tightweatherization.com l Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 165640 3/15/2018
Air-Tight Weatherization,LLC James Fortin
HIC Registration Number Expiration Date
HIC Compan i Name or HIC Registrant Name
50 Rundlett Way phil@air-tightweatherization.com
No. and Street Email address
Middleton, MA 01949 978-998-4684
Cit /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 .......... EX No ........... 0
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner of the subject property, hereby authorize James Fortin
to act on my behalf, in all matters relative to work authorized by this building permit application.
7oa�L. �a,U e5-1 y Aug 8, 2016
Joanne Lavender �Zoa��e�a�eodar�n�e e,zo,e>
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNEW 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.
James Fortin a ' 8/8/2016
Print Owners or Authorized Agent's Name(Electronic Signature) Date
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.sov/oca Information on the Construction Supervisor License can be found at www.mass.sov/dos
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"