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32 BEACH AVENUE - BUILDING JACKET [CertificaMe"No: Building Permit No.: 496-08 496 08 _--- -_-- --- - Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the RESIDENCE located at Dwelling Type 0032 BEACH AVENUE in the CITY OF SALEM ---- Town/City Name Atlddd ress IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY 32 BEACH AVENUE i This penrut is granted in conformity with the Statutes and ordinances relating thereto, and s, expires _ .- .- unless sooner suspended or revoked. Expiration Date Issued On:Mon Sep 8,2008 GeoTMSG 2008 Des Launers Municipal Solutions,Inc. -- - - 0032 BEACH AVENUE 496-08 GIs#: 16,386 COMMONWEALTH OF MASSACHUSETTS Map: 44< Block: CITY OF SALEM Lot: 0108 Category: Addition Permit# 496-08 BUILDING PERMIT Project# JS-2008-000778 Est.Cost: $120,000.00 Fee Charged: $870.00 Balance Dae: $.00 PERMISSION IS HEREBY GRANTED TO: Const. Classy Contractor: License: Expires Use Group: -Ronald Verrette Homc Improvement Contractor- 145918 Lot Size(sq:ft.): 3440 Zoning: RI Owner: Carter Vinson Units Gained: Applicant: Ronald Verrette Units Lost: AT: 0032 BEACH AVENUE Dig Safe#: ISSUED ON. 25-Oct-2007 AMENDED ON: EXPIRES ON: 25-Api 2008 TO PERFORM THE FOLLOWING WORK. THIRD FLOOR ADDITION PER BOA APPROVAL POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Building Underground: Underground: Underground: Excavation: Service: / Meter: Feelings: Rough: //�� Rough:('i ,��1^ ^r: J- ��F�1 Rough: Foundation: Final: 'f�� Final: Final:'Cl/�U �( �L Rough Frame: �'u�/�,r1I �� 'r-f bt Fireplace/Chinmey: D.P.W. Fir Health Insulation: Meter: Oil: 5t� 8 QJ,oB t4 1. House# Smoke:Zl�� Final:n y/ rI p A t- Sewer: Water: Alarm: o( O( // d' Sewer: Sprinklers: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPO VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Sign: Fee Type: Receipt No: Date Paid: _ Check No: Amount: BUILDING REC-2008-000946 25-Oct-07 2045 $870.00 J yg1 GeoTMS@ 2007 Des Lauriers Municipal Solutions,Inc. City of Salem Zoning Board of Appeals DRAFT Minutes of Meeting Wednesday, August 19,2009 A meeting of the Salem Zoning Board of Appeals ("Salem ZBA") was held on Wednesday, August 19, 2009 in the third floor conference room at 120 Washington Street, Salem, Massachusetts at 6:30 p.m. Those present were: Robin Stein(Chair), Beth Debski, Bonnie Belair, Rebecca Curran, Jimmy Tsitsinos. Also present were Danielle McKnight, Staff Planner, and Thomas St. Pierre, Building Commissioner. Those absent were: Rick Dionne, Annie Harris pt Stein opens the meeting at 6:35 p.m. 1. Approval of minutes: July 15,2009 Debski made a motion to approve the minutes of July 15, 2009, seconded' Stein and �� tr approved (4-0—Stein, Tsitsinos, Debski, and Belair in favor':Curran was absent at the July 15 meeting). 2. Old/New Business: Request of SHALLOP LANDING.AT COLLINS COVE PARTNERSHIP, LLC to extend Va i incesvi 'p eously gran . for a period of six (6) months for land between SZETELA LXNE agdVORT AVENUE, Salem,MA. Attorney John Keilty. Because only three nemhers ark h 't �tonight who are eligible to vote on this item (DebskiaBela' and Tsitsinos the Board votes (3-0) to continue the item to September 1(f ' 009. 3. Continued petition of GARTER VINSON seeking a Variance from maximum width of entrance-and exit drives to allo;W r an off-street parking space proposed for the property`at 32°BEACEWAVENUE,Salem, MA, in the Residential One- Family Zoning Distriet;: . McKnight tells the Board this items been withdrawn. 4. Continue :petition of BVS CORPORATION seeking Variances from required lot area, lot width ud,minim9m rear yard depth to allow for the subdivision into four single-family housetots of the property at 16 SCOTIA STREET,Salem,MA, in the Residential One-Family Zoning District. Attorney Bill Quigley. (Agenda item 8). Brian Sullivan, the property owner, requests to continue the hearing to September 16, 2009. McKnight confirms she has received a signed request form from Attorney Bill Quigley. Sullivan explains he has revised plans; the neighbors had requested to see these updated plans, and he wants the opportunity to share them before coming before the Board again. Beth moves to continue the hearing to September 16, 2009, seconded by Stein and approved (5-0). 5.Petition of JACQUELINE'S GOURMET COOKIES seeking Variances from minimum distance of an accessory structure to the main building and maximum 1 height of an accessory structure to allow for construction of two storage structures on the property located at 96 SWAMPSCOTT ROAD in the Business Park Development District (agenda item 4). Marc Hazel presents the petition. He says they have spoken with the other condo owners in the business park complex, and they do not have any issues with the proposal. Bill Yuhas shows photos of the property to the Board. Stein opens up the issue for public comment. Fred Hutchinson, 15 Robinson Rd., says he doesn't want his business to be impacted by the proposed food storage, particularly any dust that would be gc teratgd. Stein says she doesn't see how the project would impact him, and furthermot4l the project must comply with any requirements the Board of Health may have. There being no further comment, Stein closes the pub&cyomment portion of the hearing. V1 Belair asks how the flour is put into the silos. , it l says d truck hooks up tWa--Bose and pipes the flour into the silos. To get it out into the akery,ft use a vacuum system. Flour will be deposited through piping inside the build -isays it's a fully hermetically enclosed system, not open to the air. Debski asks if they need a permit fromlhe;He '1h department; a el says no, but they are Fn' inspected by the Salem Board of Health and the�A.: He ha, eontacted Janet Mancini to let her know what their plans are. He says'�his i acor t1 technology for storing and delivering flour and su Stein says this seems�ll —minimal request Xthat.,is consistent with City ordinances. She notes there would be no oth rpla e,to put it, given the shape of their lot. Curran W: references a,letterthe Board recei eit'fromThermal Circuits, located in the same business park ISUP orting th g oaect. Belau n es a motion to,' rove the petition with six (6) standard conditions, seconded by Stein.v`The,motion passes 5 0 ($elair, Debski, Stein, Curran, Tsitsinos in favor, none opposed). 6. Petition of ROYIL'APHAM seeking Variances from minimum lot area,minimum lot area per dwelling=nmt,and minimum rear and front yard setback requirements to allow for construction of a two-family residence on the property located at 2 ATLANTIC STREET (AKA 17 LUSSIER STREET) in the Residential Two-Family Zoning District (agenda item 5). Paul Fermano, architect for the project, presents the application. He says this was a site that was previously approved in 1995, but never built, and so he is asking for relief again. He says this is a two-family wood frame home, much like others in the neighborhood. He says the project is consistent with the average dimensions in the surrounding neighborhood. 2 Curran asks if this is the same footprint as the original proposal; Fermano says it is. Belair asks about the composition of the outside. Fermano says that due to cost it will probably be vinyl, possibly cement plank if budget will allow. Curran asks which way the front is—Ferman says it's now facing Lussier. Debski says the old decision states the house was to be built according to the submitted plans. Fermano says this is true, but drawings other than the plot plan were never submitted. Debski asks for clarification for when the ANR was granted and when the variances were granted—McKnight says the variances were granted to allow for the ANR. Stein says the ANR was not submitted with the original variance applicaho& Fermano says there are no other drawings on file with the-bmldmg department or at the Registry of Deeds. Curran asks about the information Ferman provided on the other u a= houses in the neighborhood.. Ferman says most of tlje _uses are o.=family with a couple of three-families and single-families Belair asks if the tree shown on the plan is existing;Fermanyrsays yes. Behr asks if there would there be parking; Fermano says yes. Belau ays the project is consistent with the neighborhood but she's bothered that there's no o er landscaping. Debski says parking spaces need to be 911$ Viand these spaees qre smaller. Fermano says the 15' dimension indicated on the pan is actually a setback, but the parking spaces are 16' x 19', and he could 40'pull them over anottfer fciot.,or tA. Stein says they will need to be 9' x 18'. Stein sayssshe%- glad they are providing fou spaces on the site. Stein opens the public co ment portion of the hea ing. ; o-, Dan Tremblay,kwho,is worlism- 8 n the projeec';l, says the property will stay in the family; they agree additional l' dscaptng should be one and they intend to do that. There be' no further conrtnent in closes the public comment portion of the hearing. Belair says this is.consistent'=with the neighborhood, but comments that she'd like to see more landscapin She understands they intend to do more, but it is a big house on a small lot with no gree -space and she wants some assurance it will be landscaped. Curran wonders Ayu e curb cut so close to the corner—does it need to be 20 feet from the corner? Stein says the applicant should bring the final plans to the building inspector to ensure these dimensions are all right. She also says this project would benefit from St. Pierre's giving it a final word and suggests they come back. Fermano says he'd be happy to give up the current parking design, ask for relief from tandem parking, and condition landscaping in the decision - he'd prefer to do that and have the Board vote tonight. Stein agrees, and says he will also need a buffer along the parking area. She notes that she thinks the project is appropriate and consistent with the neighborhood and notes that no one has spoken in opposition. 3 Curran moves to approve the petition with tandem parking and with landscaping requirements, eight(8) standard conditions and one (1) special condition, seconded by Stein and approved 5-0. 7. Petition of MICHAEL & HEATHER UKSTINS seeking Variances from Section 7-3 of the Salem Zoning Ordinance to allow four (4) existing stacked parking spaces to remain on the property located at 7 ENGLISH STREET in the Residential Two- Family Zoning District (agenda item 6). Attorney John Keilty presents the petition. He says the Ukstins own Unit 2 of the condo unit. The condo was created in February of 2007, and there were spaces deeded at that time to the residents—they are tandem, stacked spaces. In 2008?Mt (Cairo, the original developer, came before the Board for permits to put parking spaces in front. Arty Keilty says those always require variances, and the parking aread`re'ached the curb cut, and there could have been loss of parking along the street an( parking in font yard. He says the Board approved those spaces. Stein corrects him;andysays the Biia d,denied the vq spaces in front but granted those in back. Atty KKeeylty concurs. He says4- case was appealed to Superior Court; the case was bifurcated and hi- clients are now eking approval only on the spaces in back. He says theylin, �lo, nger have the benefit bf the approval of the rear spaces because of the first case7iei3t ithdrawn. Arty Keilty says the spaces are accessed viaa paper street`slrown on the plan, and he believes his clients have access and eg0 fpr these spaces.�Hesents the Board with pictures of the property, showing the access to the spaces. He;says in Superior Court, the focus was whether his clients had the right to us e way':�jIe says the matter before this Board is whether the use,of the stacked spaces'derogates from the intent of the zoning. He shows additionalFphotos showjng the alignment of the spaces. Curran asks about the use tl 0 parking spaces.-r are there three units that use them? Atty Keilty says-three of the units have deeded spaces, and the other parks on the street. Stein asks about the s atus of the-J I s .t. Keilty says that according to City Solicitor Betl'Rezulard, the case haeen remanded to the Board of Appeals. Stein says it's a remand,bia the action is st'ilf aliverShe says there has been no judgment of dismissal, and the Court ewanded the case back to the Board with the parties retaining all their rights. She sayst evazianee is still out there—Mr. Carro isn't asking the Board to :_ withdraw it, and so h''Ere is a live variance under appeal. Stein says the Board could declare he didn't ha the first time, deny it, and then evaluate this petition. Stein says pursuant to a court order and judgment, the Board will determine whether Mr. Carro had standing to petition the Board for the variance granted. She says that given that Carro did not own the property at the time he submitted his petition, he did not have standing to pursue the variance, so the variance was improperly granted. She says the Board will treat the current petition as a new petition for a variance for four parking spaces. Stein opens the issue up for public comment. 4 Attorney William Delaney, 246 Andover St., Peabody, is here on behalf of Ellen Twardowski, who is present. He says Attorney Keilty referred to a public way, and there may a difference of opinion of what that's called, but he says Mrs. Twardowski owns the property to the rear of the parking area. He was party to the previous litigation and involved in negotiating this with Ms. Rennard; he says the Board's interpretation was what was intended. He says they asked the court to send it back in the fashion Stein suggested. Atty Delaney says he is in opposition to the new petition—while he's sympathetic to the property owners, the difficulty was with the developer. He says applicants purchased a condominium with deeded parking spaces which did not really, as a matter of law. He says when Arty Keilty talks about the previous existen -of th spaces, they actually only began use this way when the condo was created in2007 Priortq this, a third was grass and two-thirds was paved in an enclosed patio ar'e-a-with a chain lmk fence; he has photos he can share. He says in 2007, the spaces,w,e e created, but shoull'not have been created or sold as they were, since they didn'tt,c0 poly with zoning. They�e'undersized and require setbacks of 2 feet, which they do not have. Ther are also aisle requirements that are not met. He says Mrs. Twardowsky has lived amore a long time andthis impacts her quality of life, with the ingress and egress of this shared way; when cars back out.of that, they come close to the corner of tier porch. There ar al'so issues with fire safety and snow removal. He says it will impact dilValuher propertg E&e refers to the Board's previous decision on the curb cut on this property,in`the wording of the denial of the , parking area, the Board had found that not,everyone had parking on site in the city, that many parked in the street;and that no hardsh was demo-WY by lack of parking. He says there is not a legtMmate 1l ghhardship and requests that the Board deny the relief. Stein says previouslyMrs., Twatdowski said she owned the right of way, and asks what year - her current position is. Belau asks tf t�tat-ik'an easement. Stein says it's a derelict fee, and all the abu ters�iwrt to the ce ter and have rights to use it. Stein says'they have to con ider thimpacts to the neighborhood on the whole oe neighborh o tf parkQjs%'t on°the property, there will be more cars on the street. Stein asks if'wec prove ths�Mrs. Twardowski can't drive immediately along her side of the way? Atty aotentrally she wouldn't be able to. Stein says that previously, her belief that she was Win&impacted was premised on her ownership of this way. Stein says putting the parking on the street would potentially impact the neighborhood and Mrs. Twardowski more than parking in this way would. Atty Delaney says the Ukstins don't have enough area to rightfully park in the right of way. Stein says they could possibly give two spaces. Stein says she sees a de minimus impact on Mrs. Twardowsky if the spaces are used. Atty Delaney says impact isn't the legal criteria for issuing the variance. Stein says Any Delaney said this would negatively impact Mrs. Twardowsky as part of his argument against the petition. Atty Delaney says he referenced this, but it's not the legal standard that decides the issue. Stein says the 5 Board has to consider the impact of the petition on the neighborhood. Atty Delaney says his client suffers less impact by having the allowed number of cars there. There being no further comment, Stein closes the public comment portion of the hearing. Belair says she feels very strongly that the Ukstins bought the condo and thought there were parking spaces; if they resell, that's a burden on them. She says the recourse may be to go after the developer, but she thinks this is a de minimus impact on the abutter's quality of life. She says two or four cars wouldn't affect her that much; a fire apparatus wouldn't be able to go in there anyway. She feels very strongly on ,he side of the condo owners, and this is third time this has been before the Board. DSWIkl agrees; any 4W 1 opportunity the Board has to get off street parking, she says they need to take. She doesn't think this is a lot of relief to give. Curran says not much has changed other than the re and;they are looking at 5 feet in length and 1.2 feet in width less than what is required. She has no probl6rn-with this, and none of the issues have changed since last yep a 01 Stein agrees, she stands by the original decision, that tIi ;variance could be granted without substantial detriment to the public good. She s`ayswould cause substantial hardship to the applicant if denied. She sayit's in the interest-of the neighborhood to 10 keep off-street spaces. She says without his,Rhe Ukstins woui :'s4fer a hardship to their quality of life. Tsitsinos likes it the way the':orginal variance was granted and sees no reason to change any' it. 40 Stein says the Board shout' irA a"nnul,the original variance and rescind the decision. Curran moves~to rescind the variance�gran edto Paul Carro due to lack of standing for the variance,.fzom minrmu sta11 an etback requirements at 7 English Street, seconded by Stein and approved (50A Curran makes>a motion to rove the petition with one (1) standard condition, seconded by Debski aid approved 5 S. Continued petition of WILLIAM WHARFF seeking Variances from minimum lot area per dwelling unhand Special Permits to change one nonconforming use to another and to increase existing side yard setback nonconformity,to accommodate conversion of an office building to nine (9) residential condominium units, on the property located at 162 FEDERAL STREET,Salem, MA, in the Residential Two- Family Zoning District. Attorney Scott Grover (agenda item 7). Attorney Scott Grover presents the petition. Bill Wharff, the developer, and Peter Pittman, the principal architect, are also present. Any Grover shows photos of the old convent, saying it was once part of St. James Church. He says Mr. Wharff is under agreement to purchase the property contingent on his ability to develop it into condos. 6 4 Any Grover says when they first presented this project in the spring, the original development called for 9 units and 15 parking spaces. At the hearing, there was concern expressed by the neighbors about the density. He says they have been working with the neighborhood on the density issue. He says one reason it's taken so long to come back to the Board is they has been trying to negotiate purchase of the property behind this site in addition to the site of the original proposal. Atty Grover shows a plan showing the whole area owned by the archdiocese, which is about a 10,000 SF parcel. He says the archdiocese has authorized them to submit this proposal. He says the addition of this piece of land allows them to respond to concerns about density; this allows them to move the parking lot back and include much more green space. Atty;Grover also says he heard the neighbors' concern that other houses on the street had yard9,and this one would not, as originally proposed. He says the addition of the land also allowed them to plan three more parking spaces in back of the site; even though thele was pada on the site previously, there might not have been enough to acco odate visifCxs_ He says this plan Arl has 18 spaces shown, which will be an improvement. He says they have also reduced the lownumber of units in the building from 9 to 8. He explains how this changes4lie relief needed—they still need a variance from lot area per dwelling unit, but before they were proposing 1166 SF per dwelling unit, and with the addition of 10,000 SF now, and dropping a unit, they're now at 3,200,SF per dwelling uniLHe says that is the only dimensional relief the project requirePii'nthe previous petition, they were going to put a side entrance, but that's been eliminated Th Bare also askutg fora Special Permit to go from one nonconforming use to another Peter Pitman, Pitman&Ward ley Architects-^Church'St., says there will be no architectural changes tit the f onto d side other than repairs. He says the color scheme draws from histori'eal� Wets and e shows the color plates. He says there will be new VIV doors, windows, and lan 4pin w s muc green space as they could fit. He runs through the layout-of the uniW' t[ie buildin He says there is no common access from the first floor to th&,elevator,so all access Y that area will be through the floor nearer to their pairing space. He says the`fisst floor will be all dedicated to the units except for egress spa pe. The secorid floor wilya e two more units of 1600 SF each, the third floor has two units'', a 1400 and`d 110(7 SF unit, and half a townhouse unit, partly on the third floor and partly in the attic fI or. Wharff says there ate 150 trips per day for the current use; he says with the 8 units he's proposing, the bulk Mlle traffic will go to the Bridge St. side. He says there no longer is a common hallway on the first floor to allow the upper floors to the elevator, meaning not everyone will come in through Federal St. He says the average square footage of the units has also increased. He discusses the pricing of the units —4 of the 8 will be at or over$400,000. Stein opens the issue up for public comment. Attorney John Carr represents the Federal St. neighborhood association. He agrees there's been progress, but he says their support is not confirmed yet. He says that at the 7 May 20 meeting, the Board agreed with the neighbors that the density was too high. He ' says there was a subsequent walk-through of the building. He says there was a discrepancy between the square footage that the assessor had on record for the building and that presented by Mr. Wharff. He says today at noon he and Mr. Grover met to discuss that discrepancy. He says it was due partly to the fact that he has living space in the attic and basement, where the assessor doesn't count living space. He says the problem is, as a group, they have several key abutters who couldn't be here because of vacations. He says they like the direction this is going, but not everyone is here. He says they prefer the project continue to September and he says Mr. Grover is agreeable to that — if they put this off, the neighborhood can be solidly behind the project.Ken Wallace, 172 Federal ST. — says he likes the way this is.gomg`, though he would like to see the plans. Joyce Wallace, 172 Federal St. — says she had participated in the walk ough—they have not yet seen plans, and this is the first they ares'hearing about 8 units instead of 9. NN McKnight says Meg Twohey has submitted a letteit,but th Chin light of recetiVevents it may not apply; she asks Any Carr if he would like theoletter read. Carr and�K Stein say to }x wait to read the letter until next month. Stein says she h�no problem continuing, but she won't be at September's meeting. O '' E4 Stein says Harris or Belair could vote, but they ould-need to`l sten to the tape of the May 20 meeting. Stein requests a letter toIT archdio Vii; authorizing the petitioner to act on their behalf, so i e ;.o standing issues AttyjGrover said the reason the plans were submitted so late is beca e_they just found out this morning that the archdiocese felt the negotiatiori�ha_ihSrogres,sed far enough'thab it made sense to come before the Board with this prof al 3 . Debski moves to coritinue the-hearing to September 19, 2009, seconded by Stein and approved 5-0. P. Stein movesclose the me ing, seconded by Beth and approved 5-0. The meeting adjt"', s at 8, p.m. Respectfully submi . Danielle McKnight,Staff Planner 8 ONmaq,go ._ CITY OF SALEM, MASSACHUSETTS _ BOARD OF APPEAL 120 WASHINGTON STREET, 3RD FLOOR 'ay0' SALEM, MASSACHUSETTS 01970 TELEPHONE: 978-745-9595 OOH FAX: 978-740-9846 KIMBERLEY DRISCOLL _ MAYOR October 2, 2007 Decision City of Salem Zoning Board of Appeals Petition of Carter Vinson requesting a Variance from number of stories (2-'fir)-to-allow-a-third-floor-expansion-for-the-property located-at 32 Beach Ave (R-1). A public hearing on the above petition was opened on September 19, 2007 pursuant to Mass General Law Ch. 40A, Sec. 11, with the following Zoning Board members present: Robin Stein, Annie Harris, Rebecca Curran, Richard Dionne, and Bonnie Belair. Petitioner seeks variances pursuant to Section 9-5 of the Salem Zoning Ordinance to allow a third floor expansion for the property located a 32 Beach Ave. The Board of Appeal, after careful consideration of the evidence presented at the public hearing, and after thorough review of the plans and petition submitted, makes the following findings of fact: 1. Carter Vinson,petitioner, presented the petition for the property he owns at 32 Beach Ave in the R-1 Zoning District. 2. Petitioner proposes to remove the three existing second story dormers on the front of the home and replace them with a combination of gable dormers, and a shed dormer as show on the plans entitled "Vinson Residence, 32 Beach Ave, A Proposed Addition", dated August 10, 2007, sheets A.1- A.3. The addition consists of two-story(2nd and 3rd story) gable dormers (front - approximately 12' 8" wide, 12' high and extending 16' from the center of the roofline) and a third floor shed dormer (front and rear- approximately 28' wide, 9' high and extending 14' from the center of the roofline). 3. In support of the petition was Robert McCarthy of 153 Bay View Ave, who spoke at the hearing. On the basis of the above findings of fact and all evidence presented at the public hearing including, but not limited to, the Plans, Documents and testimony, the Zoning Board of Appeals concludes as follows: 1. The petitioner may vary the terms of the Residential Single Family Zoning District to enable the proposed development, which development is consistent with the intent and purpose of the City of Salem Zoning Ordinance. 2 2. In permitting such change, the Board of Appeals requires certain appropriate conditions and safeguards as noted below. In consideration of the above, the Salem Board of Appeals voted, five (5) in favor(Stein, Harris, Belair, Dionne, and Curran) none (0) opposed, to grant petitioner's request for a variance, subject to the following terms, conditions, and safeguards: 1. Petitioner shall comply with all city and state statutes, ordinances, codes and regulations. 2. All construction shall be done as per the plans and dimensions submitted to and ar,nrnsed_hy_the_Buildin.g-Commissioner. 3. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. 4. Petitioner shall obtain a building permit prior to beginning any construction. 5. Exterior finishes of new construction shall be in harmony with the existing structure. 6. A Certificate of Inspection is to be obtained 7. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but not limited to, the Planning Board. 8. Unless this Decision expressly provides otherwise, any zoning relief granted does not empower or authorize the Petitioner to demolish or reconstruct the structure(s) located on the subject property to an extent of more than fifty percent (50%) of its floor area of more than fifty percent (50%) of its replacement cost at the time of destruction. If the structure is demolished by any means to an extent of more than fifty percent (50%) of its replacement cost or more than fifty percent (50%) of its floor area at the time of destruction, it shall not be reconstructed except in conformity with the provisions of the Ordinance. Rb5in Stein, Chair Salem Zoning Board of Appeals A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any,shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A,and shall be filed within 20 days of filing of this decision in the office of the City Clerk. Pursuant to the Massachusetts General Laws Chapter 40A, Section 11, the Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certificate of the City Clerk has been filed with the Essex South Registry of Deeds. . o STREET PERMIT 4 tY d (fttp of *alem nNg Office of 31nopector of Auilbingl Gl7lall, (L✓ 'CAI 20 l ermiss,on is Feere6y peen!o to occupy fore 1- purposes in fronl of eslale 34 f�l n ec t-4 3T� w� &d of sir/emallr of slreel. `7e is peurm,l is liniledlo zo , saljeel to I e prou/sions ofloe ordnances andslalules in relalron to cSlreels andlSe 9nspeclion anof Gons1ruclibn of Zurldr/ys in lnle Ci e of coal `/ �irec/o`er 6l'c c$eroicea 9nspec%o`.�vi�daya cSiyna/ure o`fApplcan/ /�. co STREET PERMIT Cttp of *alem Office of 3ngpector of Aui[Dingo /,.%ermissionrnrs�e'e're6y9luen to to occupyfor (.t purposes mfronlof!eslale er , 1 of siolemal/z, of slree% `7nis permil is lmileo(lo 20 , su6'ecl to Ise prouiseons o � e9speclionfI � i t � n and Cionslruclion of J3ut/dn9s in Ile ci y of cSaleA.6 � � X �F' 7Jirec%!of�6lc c$ermre.r � .lnspec/ate of.:7fuiid�ys 6$,,a/.re oJ-2ppli.l 1 IGI 5 We co i� Fit Al Jig:: y o, J� ?c , � I �";� eva EITY-OF h PUBLIC PROPERTY DEPARTMFr�1T meaKAVOUNCuu NAras 130 WAOUNCTM STWW•sNJDk yAiACHUW s OWN TAL m7+64516••AM M7449Na APPLICATION FOR THZ REPAOi. RENOVATION CnNcTfzttrrrnnr_ DEKOLITION.OR CHANGR OF USE OR OCCUPANCY, FOR ANY ZXRV W 1.0 WN INFORMATION Laea*m Name: Properly k1 bcabd In N Camna*m Area YM Flisim OlsX. YM 2.0 OWNEMWIF IN 11 Owner d Land _ Nar w. f' , e/L AJ o Addnea: 3a �3r c��h -¢ s (A- Talepluxw. S 3.000MPLM THIS SECTION FOR WORK IN 9XUK[IlWt;BUILDINGS ONLY Addition Existing Rerwatbri ,� Number of Stories Renovated Change in Use a New Demolition ��g Approximate year of Area per flow (sf) Renovated construction or renovation of existing building New Brief Description of Proposed Work: j T/C- A T h --I S7/Zct-7�4 ,tea L cj)pVACr �✓c'� _ _3 1 - -- ---Mail Permit to: c 3,2 ;3�,q� 4✓ Sc,LPM ✓.1K _._ .-. use of the Suildit? VYlrat is tir eurrent / t,Aatertst d euiidirw7' W d d E dweitirrq.haw marry unMa9 Will the&&&V ConfwM to Law? Ve s Asbestos? "j' Amhhsws Nsnre avSP Ad&00 aed Phor» 3 t, s% Me&&-A s Name a J Fl2✓2e�I� AddnaaaMPhorWJ(' c% si {�u✓rY� // �µ 5aa-32o 371E Construction SuPeNisars I.lcerree /O 91 qe HIC ROGISIM ion 0 Estimated coat of Rc*d �cala+latlon Peal Fee S Es*nsted Cost X$7/:1000 ReefdanM -- Esttrnated cost X=11/:1000 canwnwelat- An Additional 35.o0 is added w on Admhmvadve eherys. Make sun that an now$ are property and kip*written to avold delays in processing. The undamWsed does hereby apply for a SuUdbV Permit ULbuNd to the abqve spgaka m signed under perudty of pw ury Date Ad 3 6 s Sn The Commonwealth of Massachusetts Town of �a, Board of Building Regulations and Standards � a� Massachusetts State Budding Code. 780 CNIR. 7la edition Budding Dept Building Permit Application To Construct. Repair. Renovate Or Demolish a One. or fiso•Fumefs Du'rlbng This Section For Official Use Only Building Permit Numbe Date Applied: 0 Signature: Buildf 6z I` ` C ie o laloner/Inspects'of Bwldmp Due SECTION I: SITE INFORMATION 1.1 Property Addrrsg• 1.1 Assessors Map i Parcel Number 3ZI B erl MF I.I a Is this an acc ted street'.'yes ✓ no Map Number Parcel Number IJ Zoning Informatlon: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq n) Frontage 1Ik) 1.5 Building Setbacks(n) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided ' 1.6 Water Supply:(M.G.I.c.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outafds Flood Zone? Municipal O On site disposal system O Public O Private O Check if s0 SECTION 7: PROPERTY 3a EJ�OWNERSHIP' 2.1 Ownerl of Record: rn ..rc VLINTS 0A) wrcw i ''".r Address for Service: Name lPnnq Q7&- 7 S-3ar8 Signature Telephone SECTION J: DESCRIPTION OF PROPOSED WORK'(check• hat apply) New Constevction O Existing Building O Owner-Occupied O Repain(s) . Altention(a) O Addition O Demolition O Accessory is" O Number of Units Other O specify: Brief Description of Proposed Work': E/XanG a/!__',sE fw iw)o/Mi/S Ia SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: OfficialUse Only Item Labor and Materials I. Building f ►',�.D-Do I. Building Permit Fee: f Indicate how fee is determined: O Standard Ciry/Town Application fee 2 Electrical S O Total Project Cost'(Item 6)a multiplier a ) Plumbing S 2. Other Fees: f ' 4. Mechanical (HVAC) S List: i Mechanical (Fire s Total All Fees: f Su ression Check No. _Check Amount: Cash Amount: h Total Project Cost S 114000 ^ 0 Paid in Full 0 Outstanding Balance Out: SECTION !: CONSTRUCTION SERVICES 5.1 Licensed Construction Supery isor ICSL) MCI K113 LJ.GID4, I;t AJ,CA*IS Lacnw Sumber Esprrition Dire Ntree VI CSL Hylder Lsr CSL Type Jvve hclow) `J A,kkesa n Desc non Unrestricted u to f7,000 Cu. Ft. L�� R Restricted Ih2 FamilyDuelling S, rumre M .Na Onl RC Restdemtil Roofin Covering Telephone wS Revdenual Window and S,dm SF Residential Solid Fuel BurningAppliance Instillation D I Residential Demolition 5.2 Rfaistered Home Improvement Contractor(HIC) l /Y LAIJ/VW07n/_Y 7Z IC Coommpp+ypnyy Name or HIC Rc�t Vanl Name Repslratiun Number Address`f�/rscfE 2Jf1uv6�� tti/� Q !( t i, C ` g Zie7'�d�� Expiration Date ,ignatttre Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDA V IT(M.G.L.e. IS2.I VIC(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 7s:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, K �tN V t N SO titi as Owner of the subject property hereby authorize reUilk WkAlii to act on my behalf,in all matters relative towork authorized/by this building permit application. tb Signal=ofOwner Data SECTION 7fb: OWNEW OR AUTHORIZED AGENT DECLARATION as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application arc true and accurate, to the best of my knowledge and behalf. Wi �Itarh nlc �vcS Hint Name rJ ` WA_,A — -(-- S-ZZ Signature of Owner or Authorized Agent Due 5 ittried under the gains and penalties of r 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 gg have access to the arbitration program or guaranty fund under M.G.L. c. 1 a1A. Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 730 CMR Regulations I IO.R6 and 110.R3,respectively. 1. When substantial work is planned, provide the information below Total Goon area ISq. FL) (including garage, finished basemenVattics. decks or porch) Gross living area(Sq. Ft.) Habitable room count .Number of fireplaces Number of bedrooms Number of bathrooms Number of half bathe Type of heating sysrem Number ofdeckv porches T.peof cooling system Enclosed Open t Total Project Syuare Foorali may he.uhstimted for"Total Project Cost' CITY OF SALEM PUBLIC PROPRERTY . I DEPARTMENT ,1\II:: MI tl "Mlw "11 NI ,,,,µ I_'C VI'.t<I II]L:,IN 51'Nkt'T 0 S•\I I'N, St.NiAt ilt .I 11+:I't 'fFl: '/78.,'�.+•'lays 1:,%X:978.7449816 Construction Debris Disposal Affldavit (required lur all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit # is issued with the condition that the debris resulting from this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c 111. S 150A. The debris will be transported by: f�l�Ll r F�e1.tA-NSC lh�,�/� (112MV ofhaular) The debris will be disposed of in : ci (mane ul acllty) (address of lacilily) +ignatum of permit applicant date The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ?e 1 I4t //W```r A4 D W 5 aL t4 TDOOPS J AC . Address: q5' U . City/State/Zip: 4aye6ill A14 o132 Are you an employer? Check the appropriate box: Type of project(required): 1.IR I am a employer with Z.T 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.[3 I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers'comp. insurance 5. Q We are a corporation and its required.] officers have exercised their 10•❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c, 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing theicwdrlfeis'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C . C k yr e.k Policy#or Self-ins. Lic. #: 0 8 W 6NL 5 7M 2 Expiration D: 7 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy,'ti'f this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the inforniatlt n provided above is true and correct Signature: /f�/9�� IL)�— Date: Phone#: ? /9' 2.65'-22-SC5 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk, 4. Electrical Inspector S. Plumbing Inspector TE ACORDrN CERTIFICATE OF LIABILITY INSURANCE OA/200916:20 Y) 06/30/2009 16:20 PRODUCER (800)225-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ---_-- Fred C.Church,Inc. ONLY AND CONFERS.. NO_RIGHTS- UPON..THE. CERTIFICATE 41 Wellman Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lowell,MA 01851 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 800-225-1865 - INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Citizens Insurance Company of America New England Window&Door LLC INSURER B: Hanover Insurance Company 45 Fondi Road Haverhill,MA 01832-1302 INSURER C: Massachusetts Bay Insurance INSURER D' Wausau Underwriters Insurance Company INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY NUMBER POLICYrEFFEOCTIVE PDATE MMDOTION LIMITS LTR INSR GENERAL LIABILITY EACH OCCURRENCE $1,000,000 OA AG TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occmence $100,000 CLAIMS MADE OCCUR MED EXP(An one parson) $ 10,000 A ZBN8161407 7/1/2009 7/1/2010 PERSONAL S AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ 2,000,000 POLICY X PRa LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ee ecoident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) C ADN8162169 7/l/2009 7/1/2010 HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per acc,d.nt) PROPERTY DAMAGE $ (Per acddent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ 9,000,000 X OCCUR CLAIMS MADE AGGREGATE S 9,000,000 B UHN8167305 7/l/2009 7/1/2010 $ DEDUCTIBLE S X RETENTION $ $ WORKERS COMPENSATION AND X WCST MIT OTH- EMPLOYERS'LIABILITY $OO,000 D MY PROPRIETOMPARTNERIEXECUTIVE BINDWC 7/1/2009 7/1/2010 E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 500,000 It yes,describe under 500,000 SPECIAL PROVISIONS below I E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION New England Window&Door LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 45 Fondi Road DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Haverhill, MA 01830 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001I08) Client# ?Den Mst# 09-10 GL,WC,Auto, Ceti# ' - M©ACORD(CORPORATION 1988 Umb Mass rch Depart�nent ui Public Safctc . $Dart! to ' �t9ititf�tnt)ards :.. Cdns ruction Su ;soR"License .L�censA°CS'.,89853 c Restrictedto:.00-' _ WILLIAM R NICHOLS 57 PEARTREERD;; HAVERHILL, MA01830 10/26/2010 Tr#: 5196 �. Ofit�rr�('a�ousumer Affgirs&B wes3-Regulation ! HOy01Mp�i6VEMENT`CONTRACTOR 1 Rpq ,129�774 5(pnattdn 11/2F2all peysuppleinentCard PELLA�WINDOW&kANDDOORS,� WILL IAM NICHOLS ,". r? 45 F6Nf}I"6, � HAV=RFilt.t;MAO �3Z, Undersecretary^. to Contract - Detailed Pella Windows&Doors Sales Rep Name: Bloom, Zachary HIC#129774/Tax ID#26-1413183 45 Fondi Road Sales Rep Phone: 978-423-6914 Haverhill, MA 01832 Sales Rep Fax: - Phone: (978)373-2500 Fax: (978)373-7274 Sales Rep E-Mail: rdoherty(fDpellabostorl.col Customer Information Project/Delivery Address Order Information Kristen Vinson WZB,Vinson,Kristen,Salem Quote Name: Architect 32 Beach Ave 32 Beach Ave Order Number: 741 ZB0076 SALEM,MA 01970 Lot# Quote Number: 1554237 Day Phone: (978)745-3218 SALEM,MA 01970 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: DepositfC.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: Quoted Date: 5/10/2010 Great Plains#: 4261050 Line# Location: Attributes 10 Bedroom Architect,Precision Hung Double Hung,34.25 X 56.5,White Qty 2 1:Non-Standard Size Double Hung,Equal Split Frame Size: 34 1/4 X 56 112 General Information: Luxury Edition,Clad,None Exterior Color/Finish: Standard EnduraClad,White Interior Color/Finish: Primed Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas eu s j Hardware Options: Spoon Lock,White,Order Sash Lift Viewed From Exterior Screen: Half Screen,Vivid View Frame Size:34.25"X 56.5" Grille: ILT,No,7/8",Traditional(3W2H/OWOH) Wrapping Information: Perimeter Length=182",Glazing Pressure=85, PF STD-Install Standard P-fit oty I No Exterior Wrap.No Wrap oty I UNFINISHED-No Finish-Ready to Stain oty I For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 5/10/2010 Contract-Detailed Page 1 of 6 i Customer:Kristen Vinson Project Name: WZ3,Vinson,Kristen,Salem Order Number: 741ZBOO76 Quote Number: 1554237 Line# Location: Attributes 15 Hallway Architect, Precision Hung Double Hung,27.5 X44,White city 1 1:Non-Standard Size Double Hung,Equal Split Frame Size: 271/2 X 44 General Information: Luxury Edition,Clad,None Exterior Color/Finish: Standard EnduraClad,While 1_r Interior Color l Finish: Primed Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware Options: Spoon Lock,Brass,Order Sash Lift Viewed From Exterior Screen: Half Screen,Vivid View Frame Size:27.5"X 44" Grille: ILT,No,70%Traditional(3W2H/OWOH) Wrapping Information: Perimeter Length=143",Glazing Pressure=135. PF_STD-Install Standard P-fit Qty 1 No Exterior Wrap-No Wrap Qry I UNFINISHED-No Finish-Ready to Stain City 1 Line# Location: Attributes 20 Livingroom Architect,Precision Hung Double Hung,33 X 64,White city 2 1:Non-Standard Size Double Hung,Equal Split Frame Size: 33 X 64 General Information: Luxury Edition,Clad,None Exterior Color/Finish: Standard EnduraClad,White I, U Interior Color l Finish: Primed Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware Options: Spoon Lock,Bross,Order Sash Lift Viewed From Exterior Screen: Half Screen,Vivid View Frame Size:33"X 64" Grille: ILT,No,7/8",Traditional(3W2H/OWOH) Wrapping Information: Perimeter Length=194",Glazing Pressure=80. PF_STO-Install Standard P-fit QtY I No Exterior Wrap-No Wrap city 1 UNFINISHED-No Finish-Ready to Stain DIV I For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella(B)website at www.pella.com Printed on 5/10/2010 Contract-Detailed Page 2 of 6 l Customer: Kristen Vinson Project Name: WZB,Vinson,Kristen,Salem Orde Number. 741ZB0076 Quote Number 1554237 ' Line# Location Attributes ity 25 Livingroom Architect, Precision Hung Double Hung,27.75 X60.25,White r 3 3 �I 1:Non-standard Size Double Hung,Equal Split Frames¢e: 27 3/4 X fi0114 General Information: Luxury Edition,Clad,None V Exterior Color/Finish: Standard EnduraClad,White jJ Interior Color l Finish: Prtmedinterior I. Glass: insulated Low E SunDeferow Dual LowE Argon Gas Hardware Options: Spoon Lock,Brass,Order Sash Lift Viewed From Exterior Screen: Half Screen,Vivid View Frame Size:2775"R 60.25° Grille: ILT,No,7/9",Traditional(3W2H/OWOH) Wrapping Information: Perimeter Length=176",Glazing Pressure=too. PF-Integrated.Install Integrated Stop P-Fit City t UNFINISHED-No Finish-Ready to Stain Oty 2 No Exterior Wrap-No Wrap Cry 1 Line# Location Attributes 30 None Assigned OCSM5000•ASDH3 Brass Spoon Lock&Strike aty 2 Line# Location' Attributes 35 None Assigned OCST5000•ASDH3 Brass Sash Lift oty 2 ! Thank You For Purchasing Pella® Products PELLA WARRANTY: Pella products are covered by Pella's limited warranties in crl'ect at tine time of sale. All applicable product warranties are incorporated into and becom.a Part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation not Pella Windows&Door will be bound by any other warranty unless specifically set out in(]its contract. However,Pella Corporation will not be liable ka branch warranties which creato obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress.)i"Junnation does not lake into consideration the addition of a Rol screen for anv other accessory to die pa)ducl. You should consult your local building code to ensure your Pella products meet local egress requirements. Per die manufacturers limited warranty,unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refmi>lned annually,thereafter. Variations in wood grain,color,texture or natural characteristics are not covered under the limited walrurh�. Please see the warranties for complete details, taking special note of the two important notice sections regarding installation of Pella products and I proper management of moisture within the wall system. Neither Pella Corporation,nor Pella Windows and.Doors of Boston will be bound by any other warranty unless specifically set out in this contract. However, Pella Corporation will notbe liable For branch warranties which create obligations in addition to, or obligations which are inconsistent with Pella written warranties For more information regarding the finishing, maintenance,service andwairanty of all Petla®products, visitlhe Pelb®website atw Nw.pelfa.com Flirtation 5110/2010 Contract-Detailed Page 3 of 6 Customer: Kristen Vinson Project Name: VUB,Vinson,Kristen, Salem Order Number 741ZB0076 Quote Number: 1554237 Clear opening(Egress) information does not take into consideration the addition of a Rolscreen[orany other accessory]to the product. You should consult your local building code to ensure you Pella products meet local egress requirements Per the manufacturer's warranty, unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually, thereafter. Variations in wood grain, color,texture or natural characteristics are not covered under the limited warranty Arolect Checklist has been reviewed Order Totals Taxable Subtotal $10,547.82 Credit Card Approval Signature Sales Tax @ 6.25% $659.24 bi Non-taxable Subtotal $1,792.92 Customer Name (Please pnnn Pella ales Rap Name (Please prim;, Total $12,999.98 \ ' Deposit Received $6,499.99 LillJCv V i l i5(7vt G� Amount Due $6,499,99 u tomer Signature Pella a .eo Signature �,11U G Dale Date For more information regarding thefinishing, maintenance,service andwarranty ofall Pella.®products, visitthe Pella(Ewebsite atwww.pella.com Printed on 5/101201C Contract- Detailed Page 4 of 6 NOTICE OF CANCELLATION Customer Name: 1 �' } tN U;Ao 'v (Please print) Date of transaction: G You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you Under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Pella Windows and Doors, at 45 Fondi Rd., Haverhill, MA 01832 f not later than midnight of h X (three business days from the date of transaction above). hereby cancel this transaction. (Date) (Buyer's signature) PELLA WINDOWS AND DOORS CONTRACT 7 PAYMENTS 1. 'PERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner.including but not limited to.the Owner's These Terms and Conditions am an integral pan of the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is Product Order(the"Contract")between New England Window and Door LLC due, dba Pella Windows&Doors.Inc.(-Pella")and the persoms)identified on the Product Order("Owner')to supply the products(the"Products").and perform the CORRECTION OF WORK the work(the"Work")described or referred to in such Contract. For Product Only purchases,a signed"Product Only Addendum"is a required part of the Pella shall correct installation Work not in conformance with the requirements contract of the Contract,if notified in writing by the Owner within two years after the Completion Date or,if earlier,the due on which the Work is substantially 2 OWNER provided and payment of the Purchase Price made subject to a holdback as provided above.Correction of Work as herein provided shall be Owner's sole Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other all shades:verticals.blinds.curtains,drapes or window mounted air remedies.Pella's obligation to correct Work is conditioned on Pella's prior conditione,s.prior to the installation of the Products.Pella's installers are not receipt of all payments then due. responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverings fining on newly installed Pella 9. LIMITED PRODUCT WARRANTY windrows. Pella shall warrant all Pella products.but only in accordance with the Pella The Owner,shall provide mmnlete access to the work site between the hours Windows&Doors Limited Warranty.THIS LIMITED WARRANTY SHALL on oo—_..,,d 6:fin p.....fn)onday through Friday)for Polls's installers to BE THE SOLE WARRANTY WITH RESPECT TO THE.PRODUCTS.AND deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS.ALL OTHER WARRANTIES- EXPRESS OR IMPLIED. WRITTEN OR ORAL(INCLUDING WITHOUT s. PELLA LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS Pella will be responsible Cut and have control over construction means. FOR.A PARTICULAR PURPOSE). methods.techniques.sequences and procedures and for coordinating all portions of the W'od:.Pella will be responsible It.the Work of its Pella 10. NO COMSFQUF.NTTAI.DAMAGES Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE.FOR Unless provided otherwise in the Work description.Pella will provide and pay CONSEQUENTIAL.INCIDENTAL,INDIRECT.OR SPECIAL bAhIA(IES. for all labor,materials,equipment,tools and machinery.transportation,and WHETHER FORESEEN OR UNFORESEEN. other facilities and services necessary for the proper execution and completion 0rme Work. it. HOME IMPROIThIF.NT CONTRACTORS The mazxrinls and equipment furnished under the Contract will be good quality All home improvement cmmrmlu6 slid subcontfacmis Snail be rc¢mCred with and new unless otherwise required or permitted.the Work will be free front site directorot the Home Improvement Contractor Registration Program defects not inherent in the quality required or permitted.and the Work administered by the Board of Building Regulations and Standards. Pella and conform with the requirements of this Contract.Pella shall not be responsible any of its subcontractors identified in this agreement have been registered_ Any inquires about Pella or any of its subeentrucrurs retutin`ro rcm.rrao'— for damages or defects caused by abuse,modifications not executed by Pella, should be tluwretl to:Direcwr.Honor tnprowenu:or eomrnctor ncEn.n ort..n, "proper or amcle nmintenance,improper operation ornunrml wear and tear. Pella w ms m ill keep the promises and surrounding area free from One Ashburton Place.Boston.MA 0a 108.61 -�_7-aseR accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(:YIA customers only) Work. Pe i� eal oblied to and will obtain the following permits for this pmjcp: �`-•I to, . Homeowners who secure their own permits will be 4. CHANGES excluded from t hguarann fund provisions of Massachusetts General Laws. The Owner may ardor in writing changes in the Work ronsisting of additions. chapter 142A. deletions.or modifications("Change Order'). Any Chunee Order shall include an adjustment to the Price and the Substantial Completion Date.as In addition to the rights and warranties enumerated in this agreement,you may determined by Pella. Pella reserves the right to approve or disapprove any have additional debts under Massachusens General Laws,chapter 142A.cod Change Order and any such Change Order must be signed by both Owner and 780 Code of Massachusetts Regulations R6. Pella to be effective. 13. NOTICE OF CANCELLATION 5. SUBSTANTIAL COMPLETION You may cancel this agreement if it has been signed by a party Owner understands and agrees that the Substantial Completion Dale is an thereto at a place other than an address of the seller.which estimate only and that the actual date on which the Work is completed may be may be his main office or branch thereof,provided you notifv extended to allow for Change Orders requested by Owner or if the time to complete the Work is affecred by conduct of the Owner.weather.labor the seller in writing at his main office or branch by ordinary disputes.availability of subcontractors,acts of Gad.fire or other causes mail posted.by telegram sent or by delivery.not later than reasonably beyond Pella's control.If for any reason the Work is not fully midnight of the third business day following the sionino of this completed by the Substantial Completion Date(including any extensions agreement. e e contemplated above).but is substantially completed be such dam,i.e.,the Product has been installed,but minor ports orcomponenB are missine or need See the attached Notice of Cancellation for an explanation of to be replaced fir repaired.a hold back proportionate to the cost of remaining this rioh[. pans or work it)be completed k acceptable.However.the holdback twill not e exceed the amount of the completion costs or 10 S of the remamine unpaid balance of the Price,whichever is less. Do not sign this contract if there are any blank spaces. 6. FINANCING If pay mcm of the Price is financed with a financial institution through Pella.all l financing paperwork must he completed upon signing of this Contract and the (\ r C requisite apprnwals and authorizations for the full amount of the requestedt Aj 1 1 y financing shall have been received from Inc financial institution. Customer". azure Date CC DISPUTES Job Name_ j\ -A, V Date A lVl 10 THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT, PELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMTI' TO SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A Contr4cto �'7w✓�.�y� -��I Ho owner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO TILL AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE;CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT a.\l:l:NI r.Y!'AAA A'l 1. t.tti R I2C WASI"'-.:JNS[AEET •SA UM.MASS\C.it Tn:9M7454595 •F.--r:97f-7,*Gse4 Construction Debris Disposal Affidavit (required for all demolition and renovation work) in accordance with the sixth edition of the State Building Code, 7S0 CbtR section 111.5 Debris,and the provisions of M. GL c 40, S 54; Building Permit # _ _ 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 1.50A. The debris will be transported by: (lame of hauler) 7-Ile debris will be disposed of in : G�4/Ciiv✓� (Hume of facility) 1�ddfrxe of Cacil.lY) ..1I CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT SINflrR[F.Y Ualit:ULL VtAyr xt lY VYAiH11%%;roN STREkT 4 SAtEM.MAaACI R.-Si.l-1"i 0197,^. 'I'bL-978.745-9595 • FAX:97x-74C,9846 Workers' Compensation Insurance Affidavit: Builders/Contractor's/Electricians/Plumbers Annlicant Information — /I Please Print Leelbly Vanetf3uaim;ss/OrganizatiotJlndivtduall:� A LC/� G. `V 9FQizE_7Tr— Address: L � CityiState1zip:'- k1�t��tt 1 ) ' f 4A— iahone k: 5d Sad Are you an employer?Check the appropriate box: 'rype of project(required): 1.❑ I am employer with 4. ❑ 1 am a general contractor and 1 6. Q New construction employees(full antl/or part-tine).• have hired the sub-contractors 2.9-1 am a sole proprietor or partner- listed on the attached sheet 1 ?• ❑ Remodeling ship and have no employes These subcontractors have S. ❑ Demolition working for me in any capacity. workers' comp. insurance. q. Q Building addition[No workers'comp. insurance 5. ❑ We are a corporation and its required] officers have cxercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I t.❑ Plumbing repairs or additions myself.[No workers'cutup. c. 152.§1(4),and we have no 12.❑ Roof re airs insurance required.] t employees. [No workers' comp. insurance required.] 13.0 Other'I'd to h ,-t?cl f�S .Any applicard 1141 clwdn has#1 must also fill nor due section 4:Iuw showing their workers'Compensation pulicy inharmatiwa ' Iwrrn+twnors who submit this affidavit ittdinting they am doing all work and than him outside contractors must submit a new arridavit indiraaing such. =Conaaevxs that check this lox must attached an additional short showing the nano of rho subcontractors and their woken'comp.policy information. fain an employer that is providing workers'compensation insurance for sty employees. Below is the pu/icy and job site information. insurance Company Name: 11:9 1 _ 14%L4 14 Policy is or SclGins. Lic. M We- / "IS ,33u&.c7c),7o_!I Expiration Date:_ 2vr`- �20,,v Job Sire Address: 32 f- e,k 4✓rf C ity1State1zip:E4LPM •%K dl Cj 7 U Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of.%,IGL c. 152 can lead to the imposition of criminal penalties of a fine op to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against lilt violator. lie advised that a copy of this statement may be forwarded to the Office of lavcsngalions ul'thc DIA for insurance covcrayu verification. i do hereby c • if t w Clue pain• td enuit es of perjury that the informudon provided ub a is rue and correct _ Phunc T OJrcii d use only. Do not wrire in Brix area,to be completed by city or town ojJicial City or Town: Permit/License Issuing Authority (circle one): 1. Iloard of liealth 1. Building Department 3.Cityfrown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone #: Information and Instructions hfassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire. eapress or implied,oral or written." An emplojwr is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership.association or other legal entity,employing employees. However the who resides therein,or the occupant ore than three nts and of the owner of a dwelling house having not m apartments dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shag withhold the Issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally.MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance w ith the insurance requirements of this chapter have been presented to the contracting authority." Applicants please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone nutmbe4s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Ofgcfale Please he sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to till in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permitilicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be tilled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dug license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. 1'ho Oi ti:c of Investigations would like to thank you in advance for your cooperation and should you have any questions, please du not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Invttst[ptlens - 600 Washington Street Boston,MA 02111 Tel. # 617-727-49M ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.man.gov/dia (MM/DD/YYYY) ACORD.„ CERTIFICATE OF LIABILITY INSURANCETHIS ]GATE/19/2006 OF RODUCER (970) .-,922-4600 ONLY ANDFICATE IS CONFERS ISSUED NO RIGHTS UPON HE ICERT CERTIFICATE 1RCHER INSURANCE HO LDER. RHE COVERAGE AFFORDEDAFFORDED BY THE POLCATE DOES NOT ICIES BELOW. EXTEND OR ?71 CABOT ST BEVERLY MA 01915- AFFORDING COVERAGE NAIC# ®nn-NSURED7erette, Ronald Libert Mutual 16 Norfolk St.Haverhill MA 01830-310 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FOLICY EFFECTIVE POLICY EXPIRATION NSR ADO'L POLICY NUMBER DATE(MMIDDNY) DATE(MMIDDM') LIMITS LTR INSRD TYPE OF INSURANCE 300,000 A GENERAL LIABILITY PAC6464224 02/22/2007 02/22/2008 EACH OCCURRENCE - $ DAMAGE TO RENTED $ 50,000 PREMISES Eaoccurrence X COMMERCIAL GENERAL LIABILITY 5,000 CLAIMS MADE � OCCUR MER ONEXP(Anyone Person Xp P ERSONAL B ADV INJURY $ 300,000 GENERAL AGGREGATE $ 600,000 PRODUCTS-COMP/OP AGG $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ E.accitlent) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ 100,000 (Per parson) JSCHEDULED AUTOS BODILY INJURY $ 300,000 HIRED AUTOS (Per accident) NONAWNED AUTOS PROPERTY DAMAGE $ 100,000 (Per ecciCeut) AUTO ONLY-EA ACCIDENT $ GARAGE LIABILITY OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESSIUMBRELLA LIABILITY AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WC STATU- OTH- B WORKERS COMPENSATION AND WCI-31S330828-011 09/28/2006 09/28/2007 X TOR Y LIMITS ER EMPLOYERS'LIASILITY E.L.EACH ACCIDENT $ 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE 100,000 OFFICERIMEMBER EXCLUDED? ` / / ✓_ ./ E.L.DISEASE-EA EMPLOYEE$ If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT ORILITY OF ANY KIND UPON THE INSUR R,IT AGENTS REP ESENTAT A`ITHO IZ REPRE fyfATI *INC,ti C AC( CORPORATION 198 ACORD 25(2001108) Page 1 of { INS025(0108).05 ELECTRONIC LASER FOrE�. -(800)32]-0545 �6TM PUBLIC PROPERTY DEPARTMF.►�1T u%avju rDRISCLX S"Yon 130 Wwswuwrm snrser•$AujKwuAan:sb„so197o 1st:97 USAWS•FA=97e.748.gW APPLICATION FOR THE REPAIR. RENOYATIDN_ c- NSTRUCTION DEMOLITION,OR CHANGE OF USX OR OCCUPANCY_ FOR ANY EXISTING STRUCTURZ OR BUII nn_�t� O SITE INFORMATION . Location Narrw c— 42rc2 �-)inls'q ni Building: --- Property Address -'3 Property is kteafed in s;Conee AMM Ares YIN Hlatorlo Dieblct YIN O OWNERSHIP INFORMATION 2.1 Owner of Land Name: C,19T E 2 Vin/S Ed Address: SLe o i Cr 70 Telephone: 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use Now Demolition Existing Approximate year of Area per floor (sf) Renovated construction or renovation of existing building New Brief Description of Proposed Work: ----- ----Mail Permit to: L What is the Current use of the Building? Material of Building? W dL '/ ifdwelling.how many units? Will the Building Conform to Law? ef27,17-- Asbestos? A/ Architeas Name �A/� R1 c -i Address and Ptrorr. 32`,eSs Py' ,5i 2fl,'t rtu . 7y� �`�S� Meehanids Name 0 �(1 R Address and Phone L� tJrJiQroL/c Sow 337/2 Construction Supervis«s License 5 06c/ 679 rP HIC Registration ys Ci l Estimated Cost Pro-ad S 3 �' Parmit IF Calculatbn Permit Fee Estimated Cost X$?IS1000 Residential --- -- h - Estimated Cost $11/111008 Commerdal -----_- - - . An Additional $5.00 is added as an Administrable drarye. Make sure that all fields are properly and legibly written to avoid delays In processing. The undersigned does hereby apply for a Building PwmltA to the abc s sta specifkations. Signed under penalty of perjury Date y N � 3 � F 3 aM V y96 s` 9 t . . �y�.�� ;��i� �'�� `� ,� The Cummumv�alth of�4assacliusetts �� c �� Board of BuiWing Regulations and Stmidards CI'CY UF ',j� �[assachusetts State Building Code, 7S0 C�(2 Rav�eJ Nn��i�2�� Building Pzrmit Applicatiun To Construct, Repuir, Renovate Or Demolish a Oite-or Ttivv-FnmiJy lhvelling fhis Sact'iortFbrO� 'al UsaOnf ` Building Permit Number; • � 'D e Appfie3� � J g � �� Building 0(ficial(Print Nnme) ,.;: $ignaturs . - Date " SECTION(:S[TE INFORitiG1TIOlY: L t �o�perty�\�ese�. �� LZ Assesson b[ap g Parcel Yumbero /3 GF- r t.la (s this an acce tad street7 yes nu N�ap Number Parcei Number 1.3 Zuning[nformaNan: LJ Property Dimension�: Zoning District Proposed Usa Lot Area(sq @) Frontage(R) 1.4 Duildtng Setbnckf(ft) Frant Ynrd Side Yarda Reaz Yud Rtquired Provided Required Provided Required Provided ' 1.6 Water Supply: (�1.a.L c.40,§54) 1.7 Fload Zone Informatlon: 1.8 Sewage D1�poaal System: Pubiie 0 Private O' Zone: _ Outside Fload Zone7 Municipa!p On site dtsposal syatem ❑ Cheek if a� , , , � SEGTIONZ:; PROPERTI�'OWNERSHIP�'.'' ` ;;` " . Owner�of Rewrd: n� s4�,.� �/,�.r�0•�— �44e� Narne(Print) Ciry.Stazg Z!P 3a- �,�r��j-ar No,and Street Telephana Email Addresa SECTION 3: DESCRIPTION OF PROP05ED.WORKi'(check a0 that ppply} - New Construction ❑ Existing Building❑ Owner-Oaupied Q Rapain(s) Alteration(s) O Addition ❑ Dzmolitiun ❑ Accessary Bldg. ❑ Yumher of Unib Other O Specity: E3rieF Description uf Propased 1Vark�: � � � SECTIO��F�: ESTI�W"PEDCOC{STRUCTIONCOSTS� [tem Estim�ted Costs: Officlnl Use Only�. , La6or and�fatcrials I. Buil�ling S'�Q .--. I. Building Pertnit Fee:S ' Cn�licate tiow fee is determined: �. f;lcccricil g QStandaid.CityCCuwrtApplicationFee.` q'Cotak Project Cost�(Item 6)x mu(tiplier x 3. 1'lumbing S — ?. OtherFeas:.$ !. .\(��hanic,il (f(V.\C) $ � Li;t:. ?. ,�laeh.mir.tl (Fin. 5i� , iressiun) $ � fonl :\II Fees: S _LF_____ _ -- Chack Yo. (:hcc!c Anwuuc: C.ish Amuunr. n I'nf:l� PI'n�CCt ('��SC $ �OQl7 -- � �-- -- --- _ S f (] I.iiJ in Pnll ❑l)utstmclin; Ikd.7nc� Uue: _._... . -- - -. . .._ __.._._.. A - srcrio�v s: covsriiuc�rio�v sr:iivicF:s 5.t Cunstructiun Supervisur Licciue(CSL) (��5,3 _ -��/ � a ; .. 1 _ f� .�l S _ Li�ense Nwnbcr G.vpir.uiun D;itc uame of CSL 1lofdar List CSL'Type(sce beluw) � ��5� ��.�•r f1�j �ry . Descriptiun Nu. and Street Unrestrictcd DuilJin s u to 35,000 tu. tt. ��,f��,�l+ � �q-7-.�. R Rastrictcd 13e?F;unil Dwelliu CiryiPown, Statt,ZlP �f �lasonr RC Ruutin Covcrin 1V5 - tVinJuw imd 5idin SF Sulid fucl Burning Appliancus �� ;� [ Insulatiun Tcle hone Email nddrcss U D�molition 5.2 RegistereJ Hame fmprovement Contracmr(kl[C) �a� �7 y �J-O a-j3 � S FIIC Ragistrntian Number Espir:uiun Uate IIC Com any Name ur FIIC Rc3is[rnnt Nmna �S r h' Emailaddrcs� �o.and Stmat ' ;.� [�fl( wna- �L� �--- %��,zcs•,�� /Tuwn State, ZIP Tale hane SECTLON 6: WORKERS' COMPEYSA'C[ON IIYSOEGINCE AEF[DAVIT(M.G.L.c. 152.$ 25C(6)) Workers Compensation Insurance nffidavit must ba completed and submitted with this application. Failura to provide this affidavit will resu�t in tha denial of the Issuance af tha building'permit. Signed Affidavit Attachedl Yes .......... No.......... ❑ SECTION 7n: O�VNER AUTHORI2ATIOK TO DE CONtPLETED WHEIY OWNER'3 AGENT O[i CONTI2ACTOR APPLIES FOR HUILDiYG PER1V[IT (, as Ownzr of the subject properry,hereby authorim l�R t��-� n� �� A�C ec�l— to act on my behalf, in ull matters relativa to wark authorized by this building pecmit:�pp�ication. ��.�,-„-n 1t' n,�.�Q 7-r7 /3 n,�e Print Uwner's Nama(Elactmnic Siynaturo) SF.CT[ON 7b: OWNER�OR AUTF[ORIZED:\GEN'f DECL:\R:\TION Dy antzring my name balow, f hereby attest under tha pains and penutties of perjury that atl uf the infurmatiun contained in this applicazion is true and accurata to tha bcst ofmy knowledge and understending. 7_� � -%3 tti.�-_ �v'.__— — -- o,�cz I`rint Ownar'>or Authuri[cd:\;ant't N,mi�(Glectrouit Signnniro) NOTES: I. :\n Uwnar�vhu obnins a buiWing permit ro da hisiher o�vn work,ur:m uwner who hires an wvegistered cuntracror (not registarcd in the Nom� Improvzmmt Cuntracror(HIC) Program),will nn havd access tu tha arbitratiun program ur guar�nty timd undcr�LCi.L. c. 1�12A. Ucher imporhnt inFurmatiun un the H[C Program cnn ba found at ��v m:u?.��uv%ora InForm;ition un tha l'unstruction Supervisor l.icense can be Fuund at��v�v.m;i...•��y��_'��L ?. 14'hen sub,tanti;d �vurk is pl:inned,provid�ih� information baluw: ('ut.�l fluor;�rca(;q. It.) --.—_- _(inelu�ling guraga. tinishtd has�mcnVatties,d�cks ur purch) tiro;; living:uca(;q. ft.l _ f f:ibit:ibl�ruum tount _ �nmb�roFfirapl,iec3 .._—.------ NumbtrqfbcJ�'rn�m3 -- --------_.----- Vumbdrofb,tthrnums .- ----- Numb�rofhalG'baifu --------,----- I'�.pouCh..uiu4 ;y.i�in _ ._--__ \umbcr�rl'deck,'purchds --. _-- ---- Enclo;cd. -- � �pcn , I\��e��l'co�,lin•� ;y•tcm ---..__ ._ _ _. � I � ..I',�t.il I'nq.,:t �yu.uv I �I.i�„�" iu.iy I+e ;nh;iitW:�l I;,r" I��r.il I'rni�d l_�r:t�--- . . . . . i ._.. . . .___ . _..__ - - C � � � s � . , ��s�eE�eaw� ,�ov�o er � � I ��m�►"�.e�r��o c�nNtf�n CITY OF SALEM �� — �. ��< o � s �� il i W� \ � Z.. �y . .+�..�y a�r LOOitiOm OS ) tlN F#Mo1b DY111CI?h Yn NO� 1�t1�1o� jd �c5c �i }}uP :' Can�on An�4 YM No� ' BU�OMKi PE�T APPUCA1qN POfi: Permit ro: (Ckda which�r�r apply) Roof. R«oof, Irut� � Conp�ucx D�ok, Sh�d. Paol. R�p�ir/F�O�. OIhN: i Ci�6��r-� /c'�?ckr�v PLEASE FRL OIIT LZ�LY i C�YPLETaY TO AVOID DELAIId N PIIO�q TO 7HE IN8PECTOR OF BUIL�Nf3S; '' I T� �� Y aPPMss � a pKmk to bulld accordb�p.to 1h�,toMowirp , �tlon�: , i OMRte�a 1��ens ��1f21 cR \C;NJonl I � a �,. 3 � �i3c-�,� � �� c4 �i ��s-3a�� ,�s �. � nddross a� �,«,. r � I� M�d1�niCs Nems �1 cn��-�2�7k�2�nt �/VatZTltE,as?' c�> J'� _ Addroes 6 PhorN // GV�i2��lr ��a..� ��F� ?'7'�-cy �2 w�a m.p.po..a wrdr��n�1�,�TLrr�_ � 3 6A�w a wbrq� ��a�, r.awMwq�1a now nrny ani«9 �� I' a � �, i � MI�411�q oarom�b yw'r �� A�Mo�7 N6 I b r�nwo oo.i a s,o�a aq uo.r.. eiw uo.r.. 0 6 a I ��l r�. r�c �.te. � 1 ►7( 8ipn�lun of APPlicmt �D t11�IDER TlIE PlNA�TY' �� DESCRIPTfON OF VYOAI(r0 0E DONE C'�� e�cl�{-.nm �c-�EHr� � 5�� ,) l/��.�'{ �tl��f �l/l,��l� ��{ ��di r��lrr� e(CC�(-/1 �4 0 ,n Cc�,( c•�d�. � ( CtiSrnc�-i , �� R�: 3a� ��. �.� � A . � __ � � , I ..� - - ,� ._ _ .M • .A • ».�; na . . . i.,r4� - .�' C �. 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