8 BOTTS COURT - BUILDING JACKET 8 BOTTS COURT �
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' Proposed Alterations to : o
8 Botts Court, Salem, MaooachuoOtts
For MrA Mrs. William Goldberg Q 5
David F . Ja with = T
Architects : & planners
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8 Enon Street Beverly , Massachusetts 01915
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Proposed Alterations to
8 Botts Court, Salem, Massachusetts
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For MrA Mrs. William Goldbero
David F . Jaquith '
Architects & planners
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8 E n o n Street Beverly , Massachusetts 01915
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x� The Commonwealth of Massachusetts RECEIVED
l Board of Building Regulations and Standards INSPECY10NAL SE =
Massachusetts State Building Code, 780 CMR Revised Mar 2011
Building Permit Application To Construct,Repair,Renovate Or Ica a.4 A % 35
One-or Two-Family Dwelling
This Section For Offici Use Only
n Building Permit Number: Date/Applied:
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 PropV Address: 1.2 Assessors Map&Parcel Numbers
fO .5 G+
L l a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone?
Check if yes❑ Municipal ❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record- �h
JeXal7 �zr /'/ar S Sa/rt
Name(Print) City,State,ZIP
%�' 60ffs G> - &/7- 893- 1953
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK (check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition ❑ I Accessory Bldg.❑ Number of Units Other Specify: 21%J1k-(a
Brief Description of Proposed WorkZ:
C --/
ct
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials '"
1.Building $ a l�(//j, — L Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee ,
CI Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Suppression) $ Total All Fees:$
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ ,'L('� ❑Paid in Full ❑Outstanding Balance Due:
S�3J T z l c_
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 'R 2 y,7-7
License Number Expiration Date
Name of CSL Holder Lric W.Palm
List CSL Type(see below)
3�[ilton Street
No.and Street Type _ Description.,
Satem MA 01970 U Unrestricted uildin s up to 35,000 cu.ft.
R Restricted 1&2 FamilyDwelling
City Towa State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
D b I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
AtlanticWeatlifrl7,AU0CyL L ZO��
HIC Company Ne HIC Registration Number Expiration Date
P yNffW
No.and Street
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 Issuance,of6e building permit.
Signed Affidavit Attached? Yes .......... No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT'
1,as Owner of the subject property,hereby authorize r;�. PG I Vt.-?
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 71b: 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
contains acat a and accurate to the best of my knowledge and understanding.
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. ovg /oca Information on the Construction Supervisor License can be found at www.mass.gov/dns
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basemenUattics,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"
Commonwealth of Massachusetts E
y, 4 Citv of Salem 4
r` 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
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Return card to Building Division for Certificate of Occupancy
Permit No. B-15-114
FEE PAID: $0.00 PERN'511T TO Boun I L Din
DATE ISSUED: 2/6/2015
This certifies that LEE FAMILY ENTERPRISES,LLC
has permission to erect, alter, or demolish a building 331,LAFAYETTE STREET Map/Lot: 320231-0
as follows: Signs SIGN PERMIT AS APPROVED FOR,;LUCKY NAIL & SPA
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Contractor Name: a
DBA:
A F MV,k
Contractor License NO: �3fi; r` re�5k IY 1
,A"
2/6/2015
tf 'Building-Off clall air . Date
This permit shall be deemed abandoned and invalid unless the work authorized by this permit Is commenced within six months after issuance.The Building Official
may grant one or more extensions not to exceed six months each upon written request.: S R .J
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All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
.i .tom �.. ',S% _• 4:i
All construction,alterations and changes of use of any buildingand structures shall be in compliance with the local zoning by laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public Inspection for the entire duration of the
work until the completion of the same. a in =t *`_ ° lilVR
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The Certificate of Occupancy will not be issued until all applicable siatures by the Building and Fire Officials are provided on this permit.
JW
H IC #: Persons coMrachng with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A).
.
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
The Commonwealth of Massachusetts
;1 ►� :� Board of Building Regulations and Standards CITY
r Massachusetts State Building Code, 780 CMR, 7'"edition OF SALEM
Revised Jwruury
Q Building Permit Application To Construct,Repair, Renovate Or Demolish a 1, 200
One-or Two-Fumily Dwelling
This Section For Official Use Only
Building Permit Number: �I Date Applied: /J y
Signature: G pgz
Building Commissioner/Inspector o Buildings Date
SECTION 1:SITE INFORMATION
C 1.1 Property Address: 1.2 Assessors Map& Parcel Number
8 Botts Ct. 25--0419
1.la Is this an accepted street?yes B no Map Number Parcel Number
IJ Zoning Information: �- 1.4 Property Dimensions:
1,871
Zoning District -Proposed Use Lot Area(sq 11) Frontage(It)
1.5 Building Setbacks(ft)
From Yard Side Yards Rear Yard �i
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public[ Private❑ Check if es❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Willian H. Goldbere
XName ni Address for Service:
978-922-0800
Signature Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ Alteration(s) O 1 Addition ❑
Demolition ❑ Accessory Bldg.❑ 1 Number of Units_ I Other ❑ Specify:
Brief Description of Proposed Work': Make repairs to exterior of property, remove
X rotted lumber and damaeed exterior areas and replace with same.
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
I. Building S I. Building Permit Fee:S Indicate how fee is determined:
2. Electrical S ❑Standard Cityfrown Application Fee
❑Total Project Cost(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: S
4. Mechanical (IIVAC) S List:
5. Mechanical (Fire S
Y Suppression) Total All Fees:S
Check No._Check Amount: Cash Amount:_
6.Total Project Cost: S 10,000.00 ❑Paid in Full ❑Outstanding Balance Due:
�S D v
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) CS65097 3/12/2012
Steven J. Goldberg License Number Expiration Date
Name ot'C'SL•IWider List C'SL Type(see below)
9 Old Planters Rd. Beverly, MA 01915 f Description
Address U llnrcstricled(up to 35,000 Cu.Ft.
R Restricted 1&2 Family Dwellln
Signature M Maso only '
978-423-6344 RC Residential Routing Covering
I'dephone WS Residential Window and Siding
SF Residential Solid Fucl Burning ADDItance Installation
D Residential Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Company Name or IIIC Registrant Name Registration Number
Address Expiration Date
Signature 'telephone
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.1 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes..........❑ No...........O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, William R. Goldberg as Owner of the subject property hereby
authorize Seven J. Goldberg to act on my behalf,in all matters
relative t rit authorized b this building permit application.
Si azure of Owner Date
SECTION 71b:OWNEW OR AUTHORIZED AGENT DECLARATION
,as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and
behalf.
Print N
Si ature ol'Owner or Authorized Agent Date
Signed under the ains and penalties of 'u
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will joi have access to the arbitration
program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and I IO.RS,respectively.
2. When substantial work is planned,provide Inc information below:
Total floors 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"
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)745-9595 EXT.311 FAX(978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: McIntire
Address of Property: R Botts Court
Name of Record Owner: William H. Goldberg
Description of Work Proposed:
Repair/replace cedar clapboards, window trim and window,Jlashing to replicate existing. Repaint house as
needed to replicate existing. No changes in color, material, design or outward appearance. Non-applicable
due to being in kind maintenance/replacement.
Dated: April 27, 2010 SALEM HI O MMISSION
By:
The homeowner has the option not to commence the work (unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals)prior to commencing work.