102 BAY VIEW AVENUE - BUILDING JACKET l
16 � ��� V;�� due -
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3A puhlit propertg 'Pepartment
r�
��s��4�'? �uilain� �ep�rfinextt
Richard T. McIntosh
One Salem Green
February 2,1952
John Hamilton
102 Bayview Avenue
Salem,Ma 01970
Dear Sir:
This Department is receiving repeated complaints relating to
parking on the lot at 102 Bay View Avenue.
A copy of the Board of Appeals decision is enclosed which forbids
parking and required landscaping.
Continued use of the lot for vehicle parking will result in this
matter being persued through the District Court for whatever action
they may determine.
Please be aware that the Board of Appeals decisions and restrictions
are recorded at the Registry of Deeds and form a part of the deed.
To date you have received one Certificate of Occupancy. You do not
have valid Certificates of Occupancy for the lst and 2nd floor units.
Very truly yours
RTM:mo s Director of Public Property
cc: Councillor George Nowak
Edward Wolf
Anthony M. Feeherry ,
Giovanni & Anna Dellamonica -70i
—tw 7�
�Raj
� Pandr n# ml '81 AUG -6 P3 :41
DECISION ON THE PETITION OF JOHN H. HAMILTON FOR A SPECIAL 1MMa1.TQKcP. ,, E
102' BAYVIEW AVENUE INTO THREE CONDOMINIUM UNITS SALEM. s `'.'
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A hearing on this petition was held on July 29, 1981 with the
following Board Members present: . Mr. Douglas Hopper, Chairman; Messrs. Hacker
and Feeherry, Associate Member Lusinski and Martineau. Notice of the hearing was .
sent to abutters and others and notices of the hearing were properly published in the
Salem Evening News in accordance with Massachusetts General Laws Chapter 40A.
The Petitioner has requested a Special Permit to convert the existing
three-family- dwelling at this property into three condominium units.
This proposed condominium conversion is covered by the terms of the
City of Salem's condominium conversion ordinance. The Special Permit that has been
requested may therefore be granted only upon a finding by the Board of Appeals
that (1) the grant of the Special Permit will not adversely impact upon the city's :
existing stock of rental units for low and moderate income families and elderly
pr,ple �on .fixed incomes, (2) that the grant of the Special Permit is not contrary
; tv"c .e.City's Master Plan, and (3) the grant of the Special Permit will not have an
adverse effect on the neighborhood.
The Board of Appeals, after considering the evidence at the hearing,
and after viewing the property makes the following findings of fact:
1. The owner has made a large financial investment in this property and
has made capital improvements in what was previously a building which was in need
of substantial repairs.
2. The proposed conversion of this property to three condominium units in no
way: conflicts with the Master Plan of the City of Salem.
3. The conversion of the property to a condominium will have negligible
_ impact on the existing stock of rental units in the City of Salem for the elderly and
for families of low and moderate income.
4. The property is vacant. Thus, no hardship is caused by the proposed
condominium conversion to any tenants.
On the basis of the above findings of fact and on the evidence presented
at the public hearing, the Board of Appeals by a 4 to 1 vote (Mr.-Lusinski opposed)
concluded that the proposed condominium conversion is in harmony with the condominium
conversion ordinance of the City of Salem. Accordingly, the Board voted in favor
of z-_.�r;ting the requested Special Permit in accordance with the following terms and
coia__.t':ons:
1. Parking will not be allowed in the area in the front of this building;
that area shall be maintained as a lawn or landscaped area.
2. The passageway to .the sea on the southwesterly side of the property
--_ '81 AUG -6 P 3 :41
Q1gp •r&-'C€h
shall not be obstructed by any physical .barrier. However, ..
this requirement is not intended to grant or modify the legal rig S, f'any,
at
of any person to use this passageway.
3. Because the building was vacant at the time this petition was filed,
the Petitioner will not be required to allow six months to elapse before commencing
any work in furtherance of the condominium conversion. The Petitioner may commence such
work 20 days after the date of the filing of this decision. l
Aqthony M. Feehe rp, creta
al G!
TWENTY FOURTH FLOOR
28 STATE STREET n o
BOSTON, MASS. 02109 �OV 18 9 53 AM 181
CITY p ECEIyED
November 5, 1981 SALEM,MASS.
Mr . E. J. Wolfe
95 Bay View Avenue
Salem, MA 01970
Dear Mr. Wolfe:
I received your letter today; I sympathize with your
situation and with the Bay View Avenue neighborhood. However,
I do not have any easy answers to the questions which you have
raised. Condominium conversions are absolutely the most difficult
problems that the Board of Appeals confronts each month. Whatever
decision we make we necessarily displease one group or another .
Owners ar-e interested in the financial benefits that are
availalbe to them in conversions . Many young people see condominiums
as the only opportunity available to them currently to purchase a
first home. In the face of Proposition 2-1/2 cities are interested
in the additional tax revenues that are generated through condominium
conversions. On the other hand, abutters are understandably
troubled by changes in their neighborhood. There are no simple
solutions to these problems . In deciding the case involving the
condominium conversion at 102 Bay View Avenue, the Board tried
to balance legitimate neighborhood concerns -- such as access
to the ocean -- with the legitimate interests of the owner.
With respect to your point on the construction and aesthetics of
the property at 102 Bay View Avenue, unfortunately, the Board of
Appeals has absolutely no control over the architectural details
or construction practices involved in a condominium conversion.
We can, of course, mandate that construction be in accordance with
State Building Codes. However, I realize that this does not solve
the problems that you have with the appearance of the property.
Your question on parking is easily answered. If the developer of
102 Bay View Avenue uses the area in front of the condominiums
for parking, this is a clear violation of the special permit which
the Board granted. If this occurs, you should immediately contact
Mr. McIntosh, the Building Inspector for the City of Salem and
he will see that the terms of our decision are complied with. As
to the problems with debris in the area, I can only suggest
further communications with the Department of Public Health.
A copy of this letter is being sent to Mr. McIntosh who will, I am
sure, visit the site and report back to the Board on the situation
at 102 Bay View Avenue. Based on Mr. McIntosh ' s information, the
Board will, consistent with its duties, decide whether there is
anything further that we can do concerning this property.
iceerely,
AMF:hkk
cc : Mr . McIntosh
Anthony M. Feehe ry
tcW
e �s' /SCI\'C'1 .
Qli#g of 'Salem, assar�ju�#t� '
J 230ttrir of A"VA '81 AUG -6 P3 :41
'91a�Nn:e Wr
DECISION ON THE PETITION OF JOHN H. HAMILTON FOR A SPECIAL 1MU(I@1TQ X9 E
102 BAYVIEW AVENUE INTO THREE CONDOMINIUM UNITS SALEM: -?
A hearing on this petition was held on July 29, 1981 with the
following Board Members present: Mr. Douglas Hopper, Chairman; Messrs. Hacker
and Feeherry, Associate Member Lusinski and Martineau. Notice of the hearing was .
sent to abutters and others and notices of the hearing were properly published in the
Salem Evening News in accordance with Massachusetts General Laws Chapter 40A.
The Petitioner has requested a Special Permit to convert the existing
three-family dwelling at this property into three condominium units.
This proposed condominium conversion is covered by the terms of the
City of Salem's condominium conversion ordinance. The Special Permit that has been
requested may therefore be granted only upon a finding by the Board of Appeals
that (1) the grant of the Special Permit will not adversely impact upon the city's
existing stock of rental units for low and moderate income families and elderly
people on fixed incomes, (2) that the grant of the Special Permit is not contrary
to the City's Master Plan, and (3) the grant of the Special Permit will not have an
adverse effect on the neighborhood.
The Board of Appeals, after considering the evidence at the hearing,
and after viewing the property makes the following findings of fact:
1. The owner has made a large financial investment in this property and
has made capital improvements in what was previously a building which was in need
of substantial repairs.
2. The proposed conversion of this property to three condominium units in no
way conflicts with the Master Plan of the City of Salem.
3. The conversion of the property to a condominium will have negligible
impact on the existing stock of rental units in the City of Salem for the elderly and .
for families of low and moderate income.
4. The property is vacant. Thus, no hardship is caused by the proposed
condominium conversion to any tenants.
On the basis of the above findings of fact and on the evidence presented
at the public hearing, the Board of Appeals by a 4 to 1 vote (Mr. Lusinski opposed)
concluded that the proposed condominium conversion is in harmony with the condominium
conversion ordinance of the City of Salem. Accordingly, the Board voted in favor
of granting the requested Special Permit in accordance with the following terms and
conditions:
1. Parking will not be allowed in the area in the front of this building;
that area shall be maintained as a lawn or landscaped area.
2. The passageway to,the sea on the southwesterly side of the property
DECISION - JOHN H. HAMILTON - Page 2
'81 AUG -6 P 3 '41
shall not be obstructed by any physical barrier. However, cl� #� C�t
this requirement is not intended to grant or modify the legal igHE s'-:6 any,
of any person to use this passageway.
3. Because the building was vacant at the time this petition was filed,
the Petitioner will not be required to allow six months to elapse before commencing
any work in furtherance of the condominium conversion. The Petitioner may commence such
work 20 days after the date of the filing of this decision.
1 ,
Azjt5
ony M. Feehe ry, Vcreta
APPEAL FRO;! Tii!S C'CIS:OA, IF QY, SH LL BE ':Al'. PJmu'AN'T TO S=C VI 17 CF THE vASS.
1'^i-H;1 20 CSYS AFT EH THE _^ATS OF FI'Ci^ '
Ci TI'.IS GECIS';.. .a.'! ^0-i!ct CP Tr!E Ciif CLEYI\.
PO2S,VIT TG L",5�. CE.': „l_ L':Y!3. C�'.a??:_n £;3. SECTION 1:. TEE .'F..MM!CE GS SPECIAL PER4IIT
C 'd:TED NE-HN, S..1LL HOT Z...0 EFFECT UI:T:L A CO?.' CP T1iE EC....�... &EA THE CERT.
C: �... i'. i..:, ... DA"F L.�:E `s: '.': i ",L ,.a r=E''1 FILED.
Li 3V:V.. is -
H JP ItE C1571EH- .
CF U=za C V ':_:.?Ll ] r' ] iic:E:. 3N 1-4-: F .........
BOARD OF APPEAL -
A COPY OF THIS DECISION A10 PLANS HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
CITY OF SALEM
PUBLIC PROPERTY
DEPARTMENT
KINIBE LI-le DRISCOLL
LMAYOIZ
120 WASHINGTON$'GREET + SALEM,6'IASSACFIIJSEITS 01970
Tet.:978-745-9595 ♦FAX:978-740-9846
VIOLATION NOTICE
PROPERTY LOCATION
Unit 1 102 Bay View Avenue, Salem
June 5,2008
Mr. Vaughan Hennum
62 Blackberry Lane
Keene,NH 03431
Dear Mr. Hennum,
I recently inspected the above property along with our Health Department and noted the
following Building Code Violations:
1. Rotted decking at water side has created a tripping hazard
2. Required railings at stairs to deck are missing
3. Bathroom lacks code-required exhaust fan
4. Part of the bathroom ceiling is missing and there is a hole in Living Room Ceiling.
5. Clothes dryer lacks proper ventilation
6. Common Boiler Room ceiling has unprotected penetrations
7. Required locks are missing from sliders at rear deck and from exit door to side alley
The items listed above must begin to be corrected,repaired, and/or brought into compliance
within 14 days of your receipt of this notice. Failure to do so may result in further actions being
brought against you, up to and including the filing of complaints at District Court.
If you have any questions regarding this letter, please contact the Building Inspectors Office at
(978)74 xtension 5644
Sin erely, �
o cGrath AIA L i7•� t�
A istant Building Inspector/Local Inspector I
CC: file, Mayor's Office, Fire Prevention, Health Dept.,
CITY OF SALEM
PUBLIC PROPERTY
DEPARTMENT
KIMBERL1,Y DRISCOLL
MAYOR 120 WASHINGTON STREET♦ SALEM,MASSACHUSETTS 01970
TEL 978-745-9595 ♦ FAX:978-740-9846
VIOLATION NOTICE
PROPERTY LOCATION
Unit 1 102 Bay View Avenue, Salem
June 5,2008
Mr.Vaughan Hennum
62 Blackberry Lane
Keene,NH 03431
Dear Mr. Hennum,
I recently inspected the above property along with our Health Department and noted the
following Building Code Violations:
1. Rotted decking at water side has created a tripping hazard
2. Required railings at stairs to deck are missing
3. Bathroom lacks code-required exhaust fan
4. Part of the bathroom ceiling is missing and there is a hole in Living Room Ceiling.
5. Clothes dryer lacks proper ventilation
6. Common Boiler Room ceiling has unprotected penetrations
7. Required locks are missing from sliders at rear deck and from exit door to side alley
The items listed above must begin to be corrected, repaired, and/or brought into compliance
within 14 days of your receipt of this notice. Failure to do so may result in further actions being
brought against you, up to and including the filing of complaints at District Court.
If you have any questions regarding this letter,please contact the Building Inspectors Office at
(978) 745-9595, extension 5644
Sincerely,
Thomas E. McGrath AIA
Assistant Building Inspector/Local Inspector
C . file, ayor's Office, Fire Prevention, Health Dept.,
Certificate No: 115-06 Building Permit No.: 115-06
Commonwealth oiiMassachusetts
City of Salem
Building Electrical Mechanical Permits
This is to Certify that the CONDOMINIUM located at
--------------------------------- --
Dwelling Type
0102 BAY VIEW AVENUE in the CITY OF SALEM
---------------------------------------------------------------------------- ---------- -----
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
I
OCCUPANCY
REPAIRS TO FIRE DAMAGED STRUCTURE UNIT#1
This permit is granted in conformity with the Statutes and ordinances relating thereto, and
expires unless sooner suspended or revoked.
Expiration Date
Issued On: Mon Dec 18,2006 —
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-------___-_--._.________-_-_-_---------------------------------
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Certificate No: 115-06 Building Permit No.: 115-06
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Permits
This is to Certify that the CONDOMINIUM located at
Dwelling Type
0102 BAY VIEW AVENUEin the CITY OF SALEM
------------------------------------------------------------------------- -----------------------------------------------------------------
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
REPAIRS TO FIRE DAMAGED STRUCTURE UNIT#2
This permit is granted in conformity with the Statutes and ordinances relating thereto, and
expires _ _ . ......................... unless sooner suspended or revoked.
Expiration Date
-_-----------------'------------------_-_._--------------------..--- -_
Issued On: Mon Dec 18,2006 -------------------- - ------------------------------
GeoTMS®2006 Des Lauriers Municipal Solutions,Inc. -----------------------------------------------------------------------------
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Certificate No: 115-06 Building Permit No.: 115-06
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Permits -
This is to Certify that the CONDOMINIUM located at
Dwelling Type
0102 BAY VIEW AVENUE in the CITY OF SALEM
Address TowrVCity Name _
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
REPAIRS TO FIRE DAMAGED STRUCTURE UNIT#3
This permit is granted in conformity with the Statutes and ordinances relating thereto,and
expires unless sooner suspended or revoked.
' Expiration Date
-_-----_-_-----------------------------________---------------------
Issued On: Mon Dec 18,2006 ------------------------ - - - -------
GeoTMS®2006 Des Lauriers Municipal Solutions,Inc. ------------------------------------------------------------------------------
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0102 BAY VIEW 1 , hiNu 115-06
cis#: ;l 20 0 °�
COMMONWEALTH OF MASSACHUSETTS
Map: "' as -1 CITY OF SALEM
Block:
Lot 016
Category: E AIR/REPLACE -I I
Permit# 115
. 06 .131JILDING PERMIT
,Project ff. JS-2006-0225 " �
Est Cost: $50,000.00
Fee 1$305.00
Const. Class: _ PERMISSIONA7 HEREBY GRANTED TO:
Use Group: j Contractor: License:
_LotSize(sq.ft.): BaystateBuilding&R.emadeling
Zoning rl > jOWner: Anna Della ' ica
Urals Gained: _ ',Applicant Baysi ate 6 dliin>&Remodeling
(Units Losr.
Dig -
!AT:,0102 BAYIEW
V , :VCi-UE
Safe.
ISSUED ON: 10-Aug-2005 AMENDED ON: EXPIRES ON: 10-Feb-2006
TO-PERFORM THE FOLLOWING WORYa
115-06 REPAIRS TO FIRE DAMAGED STRUCTURE TJS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Phrrsb� Building
, _____
Underground: � � -- -�-•�—^' Undet•gt6ond:'-""""—"—�"" ` Unu��ground:" '-- ' ` Excavation:
Service: { I�G ..- _- Meier:_ - - - _ Footings:
Rough:�/ �„t.y/�✓ Rough: Rough; Foundation:
3 Final: Final: Finzl: Rough Frame:9jr ����
O t.T '°"" Fireplace/Chinmcy ego:'. 1 .,
D.P.W. Fire Hradth'
Insulation: -
Meter: Oil:
•
House# Smoke:
Final: Or
-
Treasury:
Water: ., Alarm: r. i
IL
Sewer: Sprinklers: - i„„
THIS PERMIT MAYBE,REVOKED BY THE CITY OF SALEM UP a}thl Ti � F�
RULES AND REGULATIONS. v
Signature:
Fee Type: - Receipt No: - 'bate Paid: Check No: Amount:
'- 'BUILDING '- REC-2006-000260 10-Aug-05 X - $305.00
, I
i ItitPOBTCili1'fl: i, el lul)Ll:'1i011 IS 1C�'ifultl w .
r~,.
�completion of work, Qlease call
74,5-9595 EM.385 t
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WINS SAO AID
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3 Otu of 19ttlem, massar4usetts
1 f'o Public Propertg Department
Nuilbing Department
(ane dalem (green
500-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building August 21 , 1997
Zoning Enforcement Officer
Ann Delemonico
18 Prescott Street
Salem, Mass . 01970
RE : 102_Bayview_Avenue�
Dear Mrs . Delemonico:
Per your request on August 21 , 1997 , I conducted an
inspection of decks that were constructed at the rear yard
of the above mentioned property .
It looks to this inspector that the decks have been
in place for a couple of years . The decks in there
existing condition are unsafe for use . The main carrying
post are not adequate , and the deck must be bolted to the
existing structure by lag bolts .
After checking my files , we have no record of a
permit having been pulled for this work.
I am requesting that these decks not be used until
they have been repaired by a licensed contractor, and that
a building permit is applied for .
Please notify this department within fifteen ( 15 ) '
days upon receipt of this letter , to inform us as to what
course of action you will take to rectify these
violations . Failure to do so will result in legal action
being taken against you.
Thank you in advance for your anticipated cooperation
in this matter.
Sincerelyr�
Leo E . Tremblay '✓
Inspector of Buildings
LET: scm
cc : Councillor Paskowski , Ward 1
The Commonwealth ofMassaclinsetts FOR 4
Board ofBuildmg Regulations and Standards
UY Massachusetts State Building Code,780 CMR MUNICIPALITY
USE
Building Permit Application To Construct,Repair,Renovate Or Demolish a R.AmdM.,2011
Ogre-or Two-Family Dwelli
^nn This Section For Official Use Only
lVJ Building Permit Number. - DateA lied
n Bomldmg 011icial(PriutName) +' signature Date
,J SECTION 3:SITE INFORMATION
1.1 Propperty Ad ess: ,/ � 1.2 Assessors Map&Parcel Numbers, T
N V'r Lt /%+-tom. i
Us is this an accepts street?yes_`no I Mep Number Parcel Number
1_ 13 Zoninglnformation: 1.4 Prop Gas:
Zoning District Proposed Use Lot Area(sq'ft) .. Frontage(ft) .
1.5 Building Setbacks(ft) _
FmntYmd "'` _ - SideYmds Rear Yard .. ..
Required - Provided Required: . Provided Required "Provided
1.6 Water Supply:(MG.L Q 40.554) 1.7 Flood Zoue Informatlout 1,8 Sewa eD osal g lsp System: -
Public❑ Private❑ Zone: _ Outside FloodZone7 Mtmiapal❑ l)a site disposal system ❑
UwkifyesO, .
SECTION 2: PROPERTYOWNERSEHI
2.1 Ownetaofltecor o
tT1ilNna. �e�la�/-toNt-GG.. R SG.>':F�'h-t ;. � r • ,,�• m
Name(Prot)n A aty,S�ylp
/O fY�Z I V,ew /73 f, z
No.and Sheet . . Telephone • .. Email ed. . Address b—
SECTION 3:DESCRIPTION OF PROPOSED WORK?(check all that apply) r rn
New Construction❑ Exmsting Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ tetation(s) ❑ dditt n ❑
Demolition . ❑ Accessory Bldg.❑ ' Number ofUn - " r Other Specify —
Brief Description ofPmposedWod2: 1111
C2 -
SECTION 4:ESI7MATE1)CONSTRUCTION COSTS
Item „ - Estimated CMatoeaia:s r '` Official Use Only
c
1.Building',_ $ -- . . . 1. Building PermitFee:$ a ' Indicate how fee is determined
2.Electrical $ ❑Standard Cityfrown Application Fee, • -
3.Plumbing $ _. ❑Total Project Cost'(Item 6)x multiplier x
2. OtherFees: $
4.Mechanical MVAC) $ 11• {' List
5.Mechanical (Fire _
Su ression) $ Total All Fees:$ -
6.Total Project Cost: $ �� �' Check No.( Check Amounk - Cash:Amount
❑PaidinFull..- ❑Outstanding Balance Due: * +"
Sj�,,5c Co 1 ,7
I
SECTION 5: CONSTRUCTION SERVICES
51 Construction Supervisor License(CSL) I �y 7 0/2-7 . a /
IarzoseNumber Expiration Date
Name orCSLHolder Iaet Cal,
Type(see below)
Eric W.Palm
N
�_ Description
o.and Street
3 HihDn Street lI Description
to 3 aoo ar.e.
gal em AM 01970 ' R Resmcted lMFamil Dwellia
City/Pawn,State,ZIP i" : .M maw my
. - RC Roofm Coverin
WS WindowandSidin
SF . SondFaelBmningApplimces:
lnsalation _
Tel arl Telephone Emaddress D Demolk -
5.2 Registered Home Improvement Contractor(Inc)
Atlantic Wldtl1CI16aUvi:,L ,. _ Won
n
MCRegishanoa .umber _... ftlai6enDate
MC CompanyName cumM venue
Saleln�1970
No and Street Email address
CiLyfrown,
.ZIP - .. Telephone ..
SECTION 6:WORKERS'COMPENSATION INSURANCE AFMAVrr(M.G.L r 152.§25C(6))
Workers Compensation Insurance affidavit mustic completed and submitted with this application. Failure to provide
this affidavit will result in die denial:ofthelssnauce e building permit
Signed AflidavitAttached? Yes ......... No ..
SECTION 7a:OWNERAUTHORIZATION TO BE COMPLETED WREN
.' OWNER'S AGENT OR CONTRACTOR APPLIES FORBUU DING PERMTr
1,as Owner ofthe subjectproperty,hereby aufhorize f�G 41;?
to act on my behalf,in all matters relative to work authorized by"building permit application.
/7 "r
' Prim OwncesName(Frewnic�Srgnature) .. Doe -
SECTION 7b-OWNERr OR AUTHORIZED AGENT DECLARATION
-By enterinM name below,I hereby attest umderthe pains and penalties of perjury that all of the information ,.
contained in rsgaccmatetothebestofmyknowledgeandunderstanding.
. ` ev�zti
Print Owner's orAathotizedAgenes Name(ElectrunicSignatue). - - ..Date
NOTES
1. An Owner who obtains abmldiog permit to do his/her own work,or an ownerwho hires an unregistered contractor
(notregistered in the Home Improvement Contractor(HiC)Program),will not have access to the arbitration
program or guaranty fund under KO.L.e.142A.Other important information on the MC Program can be found at
www.mass.env/oca lnforn afon on the Constru dion SupervisorLicense can be found atmmn .mass.gov/dos
2. When substantial work is planned,provide the information below:
Total floor area(sq.8.) (includmg garage,finished basemeiWattics,decks orporch)
Gross living am(sq.ft.) Habitable mom count
Number of fireplaces Number of bedrooms
-Number-of-bathrooms— Number-ofhaltlbaths
Type of heating system Number ofdecks/porches .
Type of cooling system Enclosed Open _
3. 'Total Project Square Footage'maybe substituted for Total Project Cosr
P! R.
-45
.•,Iv!i�t,!t. �, �+' , to•t�• �V
' it x find ` A !
�� ' �A+.f+f S�I1Jlr� "''�+ 1ir'�t�i.Lf�j�'fi;�i`ipllf E lii(diN1Fi! 1yY 1J '
f
yy�ItMf+� u't�^/IISA!7 �L ��:��rt1��1 �i.lifll��KM,M:1,`.3.1,�111rt,�)kid't.ii•k�;:
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r*4ttit0�1;. .
1, '
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>pl., .. . !v � ,�;aFi.;n.r.•r, F+fr:zab! Wr.,.;' . . . 'F:
{1,. ;...�•.�-lYu,• ::,.41.1V�-. fhi:'Ir.- i.0 - ., ..'�i':'f Uf: -•, �l{.f...�.r'.p.elflSi '`'Ct:f��t'4�lhi
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a. <LI'.. n•';{�1 �tr,•,_: (; .'XAFa..l�
•j .:::Y1r • ..p:,,. ..-w.'�r::r :Y�In7l1�:., .•';.1HIL-
.,,,IN,.. �Il,•'v},',� 4W..' 'Sr 1.•... a':a:i;` ,c*•..:f.,.t',. �±MLG; �?iMn' <:rr•.
'�- . �;ty+,:ii ;,.�1.61;1'` 14 ,;8 ^�' ..�,i�r } '.:.fE'lS�ij�►;W$1fYit:�i4if°'d'ki:l'.c�.F•
k dLPJf F"r.rk .;
of ,
• � ni►rar �'—�-5��S
Q �
UP of &af*em, Afa5.qarbu!gett!
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
BuildingPerak Location of Building 0,)
Applieatioa For.
'(Circle whichever appbes) Roof,Rawf, hush Siding,Cmaw Deck,Shed, pool
Addition`Alteration,Rgx&Mggw%pougdedw Ow Wte k*g
Other.
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
To the hupeaor of Bui►digp: '
The rmderaigood hereby applies for a permit to build a000rdwS to the following apeciBwdonc. �J OwawiNave: C lYn In it cl Coatramr.
Sweet-l0a tiurc l�K City _ e,. saw Ci y Q,,
Stua-M A Phone.ole) l4 `( -yo 1 r State M Vk phone(4-N) -7- i Cl oU
Archlowl° City or sobs Lldl
Sono Ciq' state Lich C7 b�6Mp g
stme Phone ( ) So�eawnera Eaespt Foro___yt a ao
Strwmre: (pleasetine ulu�Famtl _ O&W
EotWUW Coat of job f_SC) GY)L-)
Will building confira to lawl,2ya no
Aabefts?__yaa ego n
Deacriptie d work to be dea e e GI/
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� ,. sir .t, ccS��, •F ST � � zS
d R-G tM t innq I-c tinv-
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e✓ o,.�
Drawinp S ba luW: Mall Perak to:
re of ApPliptio.�$ GNE N R THE PENALTY OF PERJURY
sal ev., crt 4 dtS?o
CON TRUCTION T B y. OMPLETED WITHIN Six MONT$S OF PERMIT ISSUED DATE
Depatltrrent use trdy Permit/ Ups
Pmmit fee f --r.—_
C012IMTS:
The Commonwealth of Massachusetts
y� Board of Building Regulations and Standards CITY OF
q41'! Massachusetts State Building Code, 780 CMR SALEM
Revised Mar 2011
/\ Building Permit Application To Construct, Repair, Renovate Or emolish a
�1 1 One-or Tivo Family Divelling
J "this Section For Official Use Onl
Building Perm it Number: . Date Apphed>'
Building-Official(Print Name) SigWture ;c/ . Date
SECTION L SITEINFORATIO
1.1 Property Andr A 1.2 Assessors Map arcel Numbers
1.1 a Is this an accepted street?yes n Map Number Parcel Number
1.3 Zoning Information: I 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.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public❑ Private ❑ Check if yes❑ Municipal ❑ On site disposal system ❑
SECTION 2-, PROPERTY OWNERSHIP'
2.1 Own{T �f r
y9
Name(Print) City,State,ZIP
vls!Q f�, l eofl:3 M;;�57&
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF.PROPOSED WORK;(check a that apply)
New Construction ❑ Existing Building Cl Owner-Occupied ❑ Repairs(s Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. El Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only-,.,
Labor and Materials
L Building 1. Building Permit:Fee: S -thdicdte how fee is determined:
�. Electrical $ ❑ dar Stand.City/Town Application Fee._
❑ Total Pi6jectCost3,(Itern.6)xmultiplier x
3. Plumbing S 2. Other Fees: S
1. Ndechanical (HVAC) S List:
S. N-Iech:mical (Fire S
.Suppression) 'rota!All Fees: S
Check i Io. Check Amount: Cash Amour_u
fi. !`Dial Project cost: S 13 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES _
5.1 COUStr'nCt upervisor ••nse (CSL)
Q�p r License umber Expire ' , nt
Name of CSL Bolder 4E
List CSL Type(see below)
rA1�'IPf'�y�ly�p — Type Description
No. and treat
U Unrestricted Buildings up to 35,000 cu. ft.
R liestricted l&2 Fainity Dwelling
City/Town, State,ZI bt Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
Insulation
"1'ele hone 6ma,t address D Demolition
5.2 Registered Home Ito m
P roveent Contractor(IIIC)
g
H[C Registration Number Ex rat' n ate
HIC Corn an me r IiIC , istrant Name
No. and St 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 IssuancSpffhe 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) D/e
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
contain d in this application is true and acc rat to the b t of my knowledge and understanding.
Print Owner's or Authorind:\gent's Nine( -lec runic 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 Hone Improvement Contractor(HIC) Program), will not have access to the arbitration
program or guaranty fund under M.G.L. c. 112A. Other important information on the HIC Program can be found at
www.mass. ov uca Information on the Construction Supervisor License can be found at www.ntass.^_o�dL
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 _
fypc of heating system _---------_-- Number of decks/
type of❑poling .iystent"-- -_. '—_ Enclosed Open _
3- "Total Project Square Footage" may be Substituted rot -['otal Project Cost"
The Commonwealth of Massachusetts
Ulf
Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code, 780 CMR (RECEIVED SALEM
INSPECUONAI SE VW*dMar2011
Building Permit Application To Construct,Repair, Renovate Or Demolish a
t� One-or Two-Family Dwelling
V This Section For Official Use Only
Building Permit Number: Date p lied:
Building Official(Print Name) a Signature - - Date
' SECTION 1:SITE INFORMATION
1.1 Property Address: / 1.2 Assessors Map&Parcel Numbers
//1 0�- gnu ✓i cw
L1.1 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(11)
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-
Grannct- SuJev,, fill,4
Name(Print) City,State,ZIP
l0� &ywuv 978- tfa/-1;� 72
No.and Street Telephone Email Address
- SECTION 3:DESCRIPTION OF PROPOSED WORI0(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 Pro(�oscd Work :
I�f<Lw t e C L1
'SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
(Labor and Materials Official Use Only
1.Building $ a 1 Ov - 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (ITVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: "° Cash Amount:
6.Total Project Cost: $ 9-1 CTO ❑Paid in Full ❑Outstanding Balance Due:
K lk1coo 2-13
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 7 9,7-7 y Z 3 /�
License Number Expiration Date
Name of CSL Holder Eric W. Palm List CSL Type(see below) ti _
3 Hilton Street No.and Street Type - Description „A
Salem MA 01970 U Unrestricted Buildin s up to 35,000 cu.ft.
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Cove!
WS Window and Siding
�� SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) ' C1 Z Gi
HIC Registration Nam ber Expiration Date
HIC Company t
61A'Milisbn Avenue
No.and Street Salft MA 01970 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 Issuanc f 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 ct^t-t: I G Irv-7
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: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 a and accurate to the best of my knowledge and understanding.
a /�l �J
ZG
Print Owner's 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.gov/oca Information on the Construction Supervisor License can be found at mmy.mass.gov/dps
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"maybe substituted for"Total Project Cost"