Loading...
90 BAY VIEW AVENUE - BUILDING JACKET tuperRib,0mrd 90%targarlaWArvc ••; /// I amEAD® KEEPING YOU ORGANIZED No. 10301 PM FEN N4 �rtorw wwolum GETORGAN®ATSMEAD-COM `�po.oirt.o i oMXciit, � tts �zcl�ziets 's�, w_y.,..� :' �ITl�lic �3rT��Pr#g �P�l�r#IttPTTt �`OjM� �°"� �;l1IClI1Ta �B�IZIrtIllPttt _�Inlri �{. �7n(urrs G)nc �ulcm USrrcn .as-nz Is December 14, 1979 Mr. Kenneth A. Green C9A`Bayview Avenue Salem, MA 01970 Dear Mr. Green: It is necessary for me to reject your application for permit to construct a chimney on the westerly side of your residence at 90 Bayview Avenue. This chimney represents a further reduction in side yard width which is presently non-conforming and as such is not permitted by Section V-10 of the Salem Zoning Ordinances. I regret that you proceeded to erect the chimney without a permit and so it is my duty to order it removed. You do have the right to appeal this decision to the Salem Board of Appeals. Very truly yours, Daniel F. Mansur Asst. Building Inspector & Zoning Enforcement Officer Dr :tc • yt ,c ov,,�e Location, Ownership, and Detail Must be Correct, Complete and Legible 9 q* Separate Application Required for Every Building Plans must be filed with this application fol Application for Permit for Alterations, Repairs & Demolitions Salem,Mass. ----------------------- TO .-_TO THE 13UILDING INSPECTOR: c M The undersigned hereby applies for a permit to..VIL[i ..( � m the following described building: Location and No.. . ..... .__.--- -- Zoning District---------------- ......-_ 0 0 n w P Name of Owner. _ - X c U Address.... : -- - o --------------------------------- --- - -----------------------;----- m If Owner is corporate body name of responsible officer------------------------------------------------------ _-----................------ o o , Address---------------------------------------------------------------------------------------------------------- C - - w � Name of Builder----- ........._-__------- ----------------------------._.-:..------............ ----Address----------------------------------------------- o. W eName of Architect.......-------------------------------------------------------------------------------Address----------------------:.............. oc 1st Floor -_---- . .: 3rd Floor W s� Existing use of Building -) 2nd Floor ----- .-_: -- 4th Floor ............... a v a. 1st Floor-------------------------------------------- ....... 3rd Floor_..__.------------ Z a If vacant show Previous Usez C� m cn 2nd Floor------------------------------------------._. 4th Floor-----...--------------------------------------- - c `e'o - 1st Floor- 3rd Floor_....-_--_.-. aa -------------------------------•----------__--._ F -------- m E p2nd Floor........--------------------------- ---- ---- ------------------------------------------------- O Pro X Roofing material - ---_---------------- - ------ - ---------roof type-------------_-- -------- m in o 0-0 How many means of egress providedes # of fire escapes W ------------------------------------------------------------------ p . ____.-_.-----. M sStairway enclosure rating------------------------------------------------------------------------------------'of elevators------------------------------------- Z 3` Z X Provisions for handicapped included?-------------------------------------------------------------------------------------•---------------------------------------- Z dAre the following involved? Sprinklers---------------------------------------------- plumbing __-_-__--------------- 0 _ -- -- -- 0 Y - Type of 0 3 Gas fitting--..:.-----_--------------------------_-----------------.heating--------- ----------------------------------.--electrical----------__---------------------- O W o Type of Type of fire Type of X vfire alarm-------------------------------------------------extinguishers -- ...--------------------------------fire detection.................................... 0 0 $ If application is for demolition name and address of exterminator.---------.------------------------ 0 41Y a. _..............-------------------------------------------------------..__...-.----.____...--..._------------.-------------------------------------------.__.._............. .-_.............. ._.-._. A o 06= DETAIL OF YROPOSED ALTERATIONS, C. ._..--------- ��\fin � V V . G N ---------------\ e.E .............. .. .. . .. . . . ................................. . --- .. .. . . . . .............-. •-------------­-­- .......... N., .. :.. ..... ... . . . --- .. ------. ----:_..........__. .. . . .------------------------ ................... m 1. n. --------- N± C - o Signature of Owner --._ L. ---------------. /J Estireitjed cQg# of new'wor -_ .?-,5 C'r0 Address ....... .... _ ___.�L!"" . ��'•C 4 7Y U y.•- � � Telephone N LO 7 Si natu e,_Burl-cler's Authorized Representative r 3 ao a Lv r Lj Ad rens... . . --- u Q U �.�}. v �J' ..: - /--- ------------- Telephone-----------Salem Builder's License Number ?=5,�19 01,7 No.. .... . ..... ........ PLAN OF LOT APPLICATION FOR PERMIT FOR Show Location of Present Structure ALTERATIONS, REPAIRS AND and Addition DEMOLITIONS ................................................CLASS BUll.,D][NG LOCATION NO.................... ........... ........................................... .....................................................ward..... ........... cc0.Owner.......................................................................... rM Cost.............................................................................. CONDITIONS .........................................I............................................ ...................................................................................... ...................................................................................... .................................I ................................................... .............I........................................................................ ...................................................................................... Permit Granted .................................................................. 19.......... ..................................................................................... WOOD STOVE INSTALLATION CHECKLIST MASSACHUSETTS STATE permit BU LDING CODE COMMI SS 10N A building pernit is required for the installation of any solid fuel burning appliance. The building pernit and installation inspection are limited to the stove installation and not to the- stove construction. Stove A) Tyrairadiant circulating B) Manufacture test label U,, jItl , Zafter July .1 1979 only) . Name/Model No7k-el,,C"p21 Collar size R Itil Dimensions/Height -z�'�� Length '3(0 Width ZZIIz_ Ch1�9'1 A) New V/ Er.isting \ B) Size flue area II GI C) Other appliances attached to flue Number and flue size) "0 0 D) Metal (Manufacture name and type) E) Masonry/Line Unlined Flue liner C( (typeq& /anufacturer F) Height (refer to diagramsU -I- Cap CfuAEA)1 IOYIr Ire I I OVarIO, ' IZ. /Yl//f. Zlni� •j H1 . � ro• /all - - alters red.) HEARTH CHIMNEY HEIGHT Hearth A) Materials B) ' Sub-floor construction C) Minimum dimensions (refer to diagram) Clearances and Wall Protecticn(s�eyqe- stove instal lation clearances chart) A) Type of wall protection provided Cptn,e�t2lCL `hiav�h Og uSS7� B) Clearances (refer to diagrams / tx( / _µq__ SECTION 1002.11 - �—"— _A;' 1:mnPLE FLUE CONNECTIONS: —� Liquid and gas fuel burning C METAL CHIMNEY appliances map not be vented into a caorl:ing fireplace or a solid-fuel appliance. SECTION 1002.12 ` ? PROOF SUPPORT- CLEANOUTS: 9 -� t t Cleanout or other,approved \_SUPPORT BRACKET device shall be provided at the base of ,every flue, g TYPICAL CONNECTOR -PIPE WALL PROTECTION Q\ __ CONN=CTOR OVERLAP - a \�•�-� I—WOODBURNING a % ' STOVE 7 Tr 2 - . e r�• - - FLOOR PROTECTION figure 2109.4•- - STOVE INSTALLATION 'CLEARANCES TYPICAL WALL PROTLCTICH Combustible i" Asbestos Hl i lboard, Concrete/Masonry Stove Companents materlat Spaced Out 1" ). Foundation Wall 411 Brick Veneer Radiant Stove i• 36" — — - -Frant Circulating Stove 1• 24'• — — -- -Front A. Radiant Stove 4• 361' Id" 6" lsn —Slde/Back A. Circulating Stove 12.1 V. 6" -Side/Back 6^ - a. Single Wail 2. IB" 1211 6" Connector Pipe �1 a, Doable Wall or Insulated 9'• 6" �'• 6•• Connector Pipe C. Chimney Melght Three (3) feet above adjacent roof and (Metal or masonry) to (2) feet ab,"- ally roof rtdge within 10 Peet 1 a damper Is not Inclooed' n t e stove construction. D..Oa.ryer It must be Installed In the co.nector pipe. 1. Front: fuel or ash access side. -- ''" 2VThlrble' re ulred for - . . q passage through conbustible construction. lion-ew.buattble spacers required. - .r ."'" 6."'clearances on each`Ide of a radiant stove with aA eat shield swall.be measured aa, If,a elreulating type. • V Tk �V r 1 1l , 1� t , I I I . Y I I I II i I I I I I t-- I t I I 1 ♦ j . . ....... FT 1 I 1 - - }- _4 I i h t I I , I 4-4- - Ir } - I I � f T I 1 ff r I + I � ��, �-'� � �� �� ��' � �X � � � � � � � � � � .�-.- . � � � ', � � t �, ', � � � ` � � t � � � \ �� `� � �� � 1 \ �� ��� y � � � � ..-- � 1 \_ } 1 E�--^1"-�� �� 1 1 � 1 r � .�— ` ti � � � � �� � ` ' � �k- -� � `� �,�._ � � r� � � G \ �'" � � � � � ; � � `` X .1 \ 1 � � , `� � � �` l � ( � i .r' � � � \ � t � � �` �_ � \ � �', 1 � � � � � � � � ` � � � 1 ` � t � � � � A , h � �\ -%C� �` � � � . • � � � "� � � !�� �, � � t � - � � 2✓ � "'` ��"" » � , s'" t � � � - jam � �, � �,- � � � ,� � _ Yr•'�'� � � � � _4 I 4-4--t-- + - t I I + - 1 - - i I I i DEFT A` 'ATT Top or Rear Flue exit models SECONDARY COMBUSTION 11"11 v 1 are available for in- CHAMBER—unburned stallation in a wide variety \_ gases combine with oxygen Parlor Stove of situations._ here to provide more heat SMOKE SHELF directs spent gases into upper chamber, where they release addi- tional heat before rising up flue + THE BAFFLE creates,a 60-inch THERMOSTAT automatically horizontalflamepath for controls air intake to assure il� extra effective heat steady,even heat all day, _ ;-" transfer all night longi t <, SECONDARY AIR(TUBE feeds DAMPER,lowered,permits use U' {t preheated oxygen to as fireplace;raised,helps r P vy � secondary combustion provide maximum heating �'' dw"",iio 0R1 chamber efficiency .,y " i s' DAMPER CONTROL HANDLE,as all handles and accent hardware,are nickle plated �.4 SECONDARY AIR ENTRANCE PORT The Defiant and the Vigilant have been tested to ers PRIMARY AIR ENTRY PORTS Laboratories Standard 737 by an independent testing laboratory. disperse preheated air even- The results are approved by and listed with Building Officials & ly into combustion zone Code Administrators International, Inc. (BOCA) and Southern Building Code Congress International, Inc. (SBCC). Other approvals are pending. SPECIFICATIONS: Maximum Heat Output. ..55,000 BTU's Height. . ... .. . ... . .. . ..321/2 In. ue Collar Size.. ... . .. . .8In. Length of Fire in Hours . . .12-14 Hrs. Length. . .. . ... ... . ... ..36 In. Flue Exit . ... ... ... . .. . .Top or Rear Area Heated. . . ... .... . .8,000-10,000 Cu.Ft. Depth .. ... ... ... . . .. . .221/2 In. Primary Air Control . .. . .Thermostat Size of Load .. . ... . .... .70 Lbs. Loading. .. . . .. . ... ... . .Side and Front Secondary Air Control .. .Manual Length of Wood... . ... . .24 In. Loading Door Area .. ... .14'/4"H x 101/4"W No.of Interior Baffles Weight . ... . .... . ... . ..340 Lbs. Fireplace Opening .. . ... .14'/d'H x 173/4"W and Air Preheater Tubes . .6 THE DEFIANT- THE INSIDE STORY Most people who know wood stoves know the Defiant for its graceful good looks and easy, quick convertability from wood heater I to free-standing fireplace. womC R But homeowners who heat with the Defiant have come to value their stoves for what goes on inside: slow, even, efficient combustion too for a fire that lasts up to 14 hours on a single, smokeless loading.More heat for your money if you buy wood, and more heat for your labor _ if you cut your own. The Defiant's airtight, cast iron construction means a stove that's built to last. Quality materials, superior workmanship, and stringent ' quality control assure your complete satisfaction. There are other beautiful wood stoves. But none of the elegant _ imports has the Defiant's thermostatic control (set it, forget it) for steady, even heat from bedtime till morning. And no stove on the market combines good looks, efficiency, convenience, and long life • .; as beautifully and as effectively as the Defiant. Finally, there is the Defiant, a single model made of cast iron by Vermont Castings, of Randolph, Vermont. The Designer, Duncan Syme, is my good friend, so I am nervous about recommending his stove with the enthusiasm I would show had I found my way to it without his guidance. . . I wish 1 owned one, and 1 probably will. It is "" '-- beautifully constructed, will hold as much as 60 pounds of wood, has the longest flame path of any stove made(the longer the path taken by the flame, the more surface it heats)and should last, like the Lange and ''•• fetal, forever. It is larger and heavier than the Scandinavian units - and will accept logs 26 inches long. Unlike them, it has a thermostat, and, unlike all of them except the fotul jj4, its doors may be opened for the viewing of the fire . . . Most convertible contrivances are sorry creatures whose halves equal less than a whole. Automobiles that float and boats with wheels perform miserably on land and VERMONT =I sea alike. The Defiant seems to be an authentic exception: If you wish to stare into a roaring fire, you may. Satisfied and eager to go a CASTINGS about your business in a house heated by efficient, airtight Iambus- tion, you may. The Defiant also enjoys the advantage of a ground, INC cast-iron cooking griddle. . .May its tribe increase. llll�01ll1 from"Phoenix of the Forest" Prince Street,Randolph,Vermont 05060 by Geoffrey Wolff, Telephone(802)728-3111 NEW TIMES Magazine March 5, 1976 © 1978 Vermont Castings.Inc. V ,�� >� a�� �fit"' • ."w..;,. � > f Al . s f i IAI 1 i t f� Ile tv r� • / k l e r Y / p � : 1 h. " 19'z° 222' a o 0 0 12" � i l� ^ ° 1=LUE cQLLAR n X12' ACGF,PTS �TANbARD I n PTFE.Ko AVAFT R 1�I gi2 u K NFCE r /moi FHM wtu,sgWk-N To FITONALGa AR 0 0 14EEAT o c SN W PIf DU�IDE MtR cpf$t qt-VEXt, 2" TOP EXITING STOVE 2EAK F—XIT1N6 STOVE 4121 Ptd INSIDE M*t Wm a Ff4w Exp. 3�� DEFIANT 38 DB IANT FIREPI./ICb oPEt 11NI 251' 14%}` HI6FE 14 ' 6Y �3z2 17}"WIDE Z8B o 72 �T Imo" DEFIANT VEIZMONTGAe>TINr�,S, lNL Princes , �IMEN510N5 tZandol.ph, VCYmovrti td, _ + 3 ,I Parlor Furnace Tdom�58 2; 26_311t Corner Installation Top Exit irlto Masonry Flue NON-Ca4 6T10U-„ WALL \\ IF YOU MUST REovcp YOVR PIPE 41EAT Fj p S17-E FPOM 6",aV rr HERE J \ o ro" MAGUS CI.EAmAwE G�PTPVEFAD oR „] FOR LVADINb HEARTH 0” MIN.VR7 \: FNI J OJ Oft- Y" ft-OVAL- ra ROVrJD. _JL ,\ . �ZI Y �\ 4NE �•. . o • � � NIH. � .<: .�`• Cl~CUT* NON-G1MW'J718 NEARrN \..\ On Clearance, TI C, following clearances, and recommt JAVOn0 have been MoLP c( from variov5 National Fire Fadory"Built Chimney R�tociat om bulletins, and from Jay 5h&M'4 excelle< 1 )6 +rXificatior» on-thi6 payearLTor rrweonrl work in7he, I✓rvbu✓ erq inalcloyediX (we carry 4'. evrrotrvcbon.Thc, use of a fact-"-bviLt metal See your Order form.) Heed them. chiminC,� allow more 41Cxibilift in inetallgtion. SUdA a chimne.9 consists of Z Ia4er5 of "n4css steel, W4h 'neat wield - cillow IV 4U a cvvnM iW6 wall tAjhtly packed wi+h insuloltlPaa,. Detailed in,5tallAcn W4110A heat wield-allow 310" -+oa Wmba�ible wall. in4r ctioWc ar), available from the manufaCturi;r. Make wry such a prefabricaW chimney is listed A non-combw-Aible wall means a mascmr' f replace, far solid Tuels by) a nationally recognized a-a wall or*W, like. Allow enwgh room testing laborA+&-tg arch as UL. -For ade(L,nate onveo ion. Tiemembcx- +hot R"A'Am, wrtain5, and 41rewm3 are combustible 5u�ces�, and Rear Exit into Fireplace. that slate Dr pick placed over a eomburr6blewall No t*MrW NEC6%WY. , sc NSD 8" MIN. FOR ',v \- will transfer neat throvyh to cwt wall of�eriny -'PAWMTION FRDM „ QWE \• no protection. CNAL TD IMNP vAMPER <° OrE#4 K�crcp�etov ipe IS" award Tran wrnbuetibler un- .�` • Provideproter-+'C VI (Zo M. KXINTAIN U-EARANC" rO �,�h IeC ne al 5paccd out 1") alloy,/ 9" 0rF CjC0rAnrb. CONBUSTIgIb MAWXIALz Non-Combustible Hearth yEr ANT Since, temperatures IArder a radiant Stave are 5i t ' ' nifieanug lower}hovi 4o 4h6 Ndc9 of chat etove-,allow \' 4" min. clearance Tram -the glove los om to a non- , FREflX6 cpmb,etible, Wrface. W{, recommend 'ilialvpur luAMN 28�e M OMMINv Wend l2" d the back and nyht iidec7F your _ D OFF -CL-Rant and 6" beyand the frost and le$(loading „ ...... .. ... . ... door) side, 4a catch amid fallirq Cmbw&. Ig — N - M&K'fiBLE DEFIANTbyvERMOS lNGS, INC. IN5TALLATION PYi✓Y.P, Stree.�veet., Parlor Stove Randolph, Vermont osoroo sPMFlcaTlONS 602-/ 72t)-3111 @ 19-77,1979, Veneont CASE'-9e, l-r.. The Commonwealth of Massachusetts Board of Building Regulations and Standards MNI Sassachusetts State Building Code, 780 CMR Z�Ib OC a se E 0 I q ,4 � j ( Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: DateAppl' Building 011icial(Print Name) .Signature - � / Date SECTION 1:SITE INFORNIATIOW 1.I Property Address: ' 1.2 Assessors blop ds Parcel Numbers V�La.1 INJL 1.la 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 It) Frontage(It) 1.5 Building Setbacks(R) 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: Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Public❑ Private❑ Check if es❑ P F y SECTION2: PROPERTY OWNERSHIP,' 2.1 Owners ofTorch: l'z=aeq . k Vtwr,e b� Gfv�a• SadtN.} rn)k aka_ N)hme(Print) City,State,ZIP J 10 3_y ,ne_Q ME— TIP,-)4\-f ILKi l c Nu and Street Telephone Email Address SECT16N 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ I Altetntion(s) ❑ 1 Addition ❑ Demolition ❑ 1 Accessory Bldg.❑ 1 Number of Units_ Other ❑ Specify: Brief Description of Proposed Work-: Pydck 31'-i - d SPAe`t SECTION a: ESThNATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) I. building S 3S 'S I. Building Permit Fee:S Indicate how fee is determined: ❑Standard CitylTown Application Fee 2. Electrical S 00 ❑Total Project Cost?(Item 6)xmultiplier x 3. Plumbing S 2. Other Fees: S 1.Mechanical (EIVAC) S — List: i.MechanicaI (Fire S Total All Fees:S Stippression) Check No._Check Amount: Cash Amount:_ 6.Total Project Cos[ S � ) 13 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONS'rRUCI'ION SERVICES 5.1 Constructio»Supervisor License(CSL) ,- f ' „ r , 1 License Number Expiration Dale Namc of CSL Holder List CSL'rype(see below) Type Description No.and Street - U Unrestricted Bill in s u to 35,000 cu. ft.) R Restricted l&2 Farnily Dwellin Cily/rown,State,ZIP M Masonry RC Roofinx Coverin WS Window and Siding SF Solid Fuel Burning Appliances 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date 1IIC Connp:my Name or HIC Registrant Name Nu.and Street Email address City/Town, State ZIP Teletilione SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.QIL e.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...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize t9 act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Nmne(Electronic Signature) Date SECTION 7b:OWNERI ORAUTHORIZED AGENT DECLARATION LIthname be her est under the pains and penalties of perjury that all of the information s appli ation i tru umte to the best of my knowledge and understanding. /o -- � � � bAu ri d Agent's Neunc(E ecuunie 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(I11C)Program),will eot have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program can be found at +++v+v nrus cov'ocun Information on the Construction Supervisor License can be found at+vw��J 2. When substantial work is planned,provide the information below: 'total fluor 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 ). 'Total Project Square Footage"may be substituted fur"'rota) Project Cost" OnOFSAMA MASSAaAM DUUMDAPAXaMa ��A�cxrtS�r,31°Rom Aar 16.�7459995. %I1�BItt8Y 00l1 74"Off MAIM 7laarAsSrP�e > crrtsaX r/bmsVca MMMmm COMMUCt%On Debrls Disposes/AffldffW (required forall demolition and renovation worki In accordance wa the"eftm of the state Bung Code. M C#A Section ill S OM and the WV*bM of M6L coo,SS4;leg pWn*p Is issued with the cond'don that the debris rOu ti W from this Workshe6 be dkpmd of in a properly licermd waste depad&dWy as defined by M6L c lily S 15K The debris will be transported by: (name of hauler) The debris will be dkposed of in: (name of fadlftV) WOWS of fads ) 49gnatu� plicant Date QTY OF SALEM, MASSAC3USETTS a ¢ BUILDING DEPARTMENT _. 120 WASHNGTON STREET,3" FLOOR 'ILL. (978)745-9595 KIMBERLEY DRISCOLL FAX(978)740-9846 MAYOR TrIOMAS STYIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION GIO A_ V)f w iA-✓E: HOME OWNER ADDRESS: tS FMB c PRESENT MAILING ADDRESS: Ste` The current exemption of"Homeowners"was extended to include owner-occupied dwellings of two(2)units or less and 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 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. 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 comp s c cedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING INSPECTOR $ �Il CK `753 The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code,780 CMR SALEM Iyy sed�I , Building Permit Application To Construct,Repair,Renovate Or Demob IE 1L tt55 Nn One-or Two-Family Dwelling This Section For Oficial Use Only Building Permit Number: Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Prope� Address: 1.2 Assessors Map&Parcel Numbers 1 QI3 6-1,v L la 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 Qwnerl of Record: Name(Print) City,State,ZIP 2 q w&-l+v'1/ ,&— g-)b-)%f4 4(n-z— c�ree� �w`ICs ' \ d%) /� Sw•a��, No.and Stret Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORIO(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) Addition ❑ Demolition ❑ Accessory Bldg.❑ [Number of Units Other ❑ Specify: Brief Description of Proposed Work2: V r"&%/-e_ Ott 9t ti QS P�'^ 3ktL 1'�, _Re PL*tl e &0A ' v✓eA.IJ jX61 fi I-- tT-t wa L L . c�p �..., WQe SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1.Building $ r2Q, n 8 1. Building Permit Fee;$, Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)'x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees:$ Suppression) �7, Check No. Check Amount: Cash Amount: >( [6-Total Project Cost: $ '3, )W V 0 ❑Paid in Full O Outstanding Balance Due: Mpkt_ep Ttt� kk.c . 3h i SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) t `j t2 4�_ License Number Expiration Date N:une of CSL Holder ' I List CSL'fype(see below) (0,( Type Description No.and Street U Unrestricted(Buildings Lip to 35,000 cu. ft. '+M2 f 4 �"^ y �� U U R Restricted 1&2 Family Dwelling City/Town,State,ZIP 1vt %4asonry RC Rootin Covering WS Window and Siding SF Solid Fuel Burning Appliances �,$—31 y_�j I �t+rl�wxU�Si S�jk w • Ca+M I Insulation Telephone Email address D Demolition 5.2 Registered Ifotne Improvement Contractor(HIC) HIC Registration Number Expiration Date I IIC Company Name or MC Registrant Name No.and Street Email address Ci /Town State ZIP Tele hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.¢2S.C(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 Is+;uan of the building permit. Signed Affidavit Attached? Yes .......... No...........0 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 - t9 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:OWNEW OR AUTHORIZED AGENT DECLARATION By entering my nam h by attest under the pains and penalties of perjury that all of the information cot in this a licat' i rue nd accurate to the best of my knowledge and understanding. 2(Z f �- Print Owner's r A o ' ed Agent's Maine(Electronic Signature) Date NOTES: I. 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 no have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program can be found at w►vw.mass.eoy:'oca Information on the Construction Supervisor License can be found at%yww.mass.�ov/Ul m 2. When substantial work is planned,provide the information below: Total tloor area(sq.R.) (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 far"Total Project Cost" 1/4'SCALE UTILITY RM. 53,�13N5 I�- II QyO IV' O H w S 7^ a M Q 3,_8„ I 1 1 IMi I ID 3, 2'10" 1 ADI ST0D0.,1GE j I � I w REMOVE EXTG.STAIRS i I I L ru C9 I _ - I 1 16-OC I 2X8®18"OC 3/4'ADVENT314`ADVENTE CM p II _ I 1 I 1 m II wg I 1 I 1 3 p K ❑ d___ 1 N 4 I 0 all ❑ N a ri 7 a WORK AREA 3„ RELOCATE STAIRS " HOUSE n BASEMENT FLOOR PLAN GFIRST FLOOR PLAN SECOND FLOOR PLAN DESIGN 978 314.9178 1/4^SCALE 1/4'SCALE 1/4^SCALE 976 348-8871 6 9/16" 3/4" , 7 5/16" p D F p • O N W N 6'-B 5/16" rn I � I I L 4'-10 7/16" I 3'-1/2" I I On ioE I � I I I � I I I II I P c Ill/4 / 6'-9 1/2" / w a 7 5/16" / w / w 3'-1/2" 5'-5'Y m 8`57/8" 7'-10 15/16" 'R9 = REVIEW: OWNER: PAGE: N 2 30 16 _ � 90 BAriIEW STAIR FRAMING ' r m Z rw GREG&LAURIE GREEN F N