23 BRIDGE STREET - BUILDING JACKET a� � '� ,�
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Salem Historical Commission
ONE SALEM GREEN, 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: 11 Andover Street
Name of Record Owner: Doug Eichmann
Description of Work Proposed:
Repainting of house to replicate existing. No changes in color, material, design or outward appearance. Non-
applicable due to being in kind maintenance.
Dated: June 30, 1999 SALEM HIST�O/RICAL COMMISSION
By: Ld,�. '1 hb�lil
The homeowner has the option riot to commence the work (unless it relates to resolvi(�n 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.
�,.CONWt
. Salem Historical Commission
3;� a CITY HALL. SALEM. MASS. 01970
1
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CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has
determined that the proposed construction [ ] ; reconstruction [ ]
demolition [ ]; moving [ ] ; alteration [ ]; painting [ x]; sign or
other appurtenant fixture [ ] work as described below in the. . .
Federal Street Area Historic District.
(NAME OF HISTORIC DISTRICT)
Address of Property: 11 Andover Street
Name of Record Owner: Deborah F. Owen
DESCRIPTION OF WORK PROPOSED:
Painting the trim of the house white (including corner boards, cornices,
sill boards, and window and door trim).
will be appropriate to the preservation of said Historic District, as per
the requirements set forth in the Historic District's Act (Federal Laws ,
Ch. 40C) and the Salem Historical Commission.
Dated: SALEM HISTORICAL COMMISSION
By t G'Yl
airman
�IJtLa111Cs �E1 ' • r'° i
CITY tOF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Dr. Israel Kaplan Public Health Center
J R JeffersonAvenue
SAS Wein.1
Massachusetts 01970
PHILIP H. SAINDON ROBERT E. BLENKHORN
JOSEPH R. RICHARD
M.MARCIA COUNTIE, R.N. HEALTH AGENT
MILORED C.MOULTON. R.N.
(617) 7459000
EFFIE MACDONALD
ROBERT C. BONIN
July 17, 1979,
Marshall Charles J. Connelly
Salem Police Department
17 Central Street
Salem, Massachusetts 01970
RE: Alleged nuisance at the
rope' t-y,—c,Tpsep�Cavan
S 1L hndover Street i�-.fi-al'em, Mass.
I
Dear Sir:
Due to complaints received by this office , :i site inspection of the above
property was conducted on .Tiny 16, 1979. This inspection reve;ale.d two
unregistered vehicles and a registered cnr and truck.
The neighbors allege that vehicles are being towed into the property during
the night and claim that the flashing lights and resultant noise is offensive
to them.
Any attention you give this matter will be appreciated.
i
Robert E. Hlenkhorn
Health Agent
I
CC/ Joseph Cavan
John B. Powers
�1
� o � o -7
rhe Commonwealth oflyaftpc�i e ?ntt SERVICES CITY OF
� Board of Building Regulations and Standards SALEM
q(! Massachusetts State Building M� e (7(��80 C(nMR//�� tI. Revised 1hir 201/
Building Permit Application To Construct, Repair, endJ3te Ot t7timdl h a
One-or Two-Family Divelling
This Section For-Official Use Only
r Building Permit Number. Date Applied:
I
(J / Building Official(Print Name) Signature " Date
SECTION 1:SITE INEORiNIATION'
r 1 L 1 Property Address: LZ Assessors Map Sr Parcel Numbers
�23 tS�"S� s-r
1.1 a Is this an acce accepted street9 es no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District -:-.. Proposed Use -Lot Area(sy 11) - 'Frontage(11)
1.5 Building Setbacks(R)
Front Yard - Side Yards Rear Yard
Required Provided Required Provided. . ,Requited Provided`
1.6 Water Supply:(M.G.L c.40,§5d) t.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Public 0 Private❑. Check If es❑. -
SECTIONZ PROPERTYOWNERSIIiP)
2.1 OwneriofRecord: �ll�etit NlefS O(g76
t
KT ne(Print) City;.State,ZIP '
N'o.and Street Telephone Email Address
SECTION 3:DESCRIPT_ION OF PROPOSED WORKS(check all that apply),
New Construction❑ Existing Building❑ 'Owner-Occupied ❑ 1 Repairs(s) ❑ I Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Nurnber of Units_ Other ❑ Specify:
Brief Descrip(ion of P oposed\York=:
r v
SECTION a: ESTIMATED CONSTRUCTION COSTS
Item - Estimated Costs: Official Use Only
Labor and Nlaterials
1. Building S 1. Building Permit Fee:$ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical S ❑Total Project Cost'(item 6)s:multiplier s
3. Plumbing $ TO Qther Fees: $
a.Mcchanical (i1VAC) $ List:
5.\1u4:hanic:I (Fire 3 'rotal All Fees:S
suppression)
Check No. Check Amount; Cash Amount:
6.'rotal Project Cost: S �� ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES /
5.1 Construction Supervisor License(CSL) C5 Q� N
F h�rC � 5 Ltl ��Q 5 License Number Expiration Date
,are of C{�SL Holder List CSL'rype(see below)
Type. Description .
No.:md Street
U Unrestricted(Buildings u 0 to 35,1)00 w. It.
R Restricted1&2Fami1 Dwellin
City/town,Stale,ZIP M Masonry
RC floating Covering
WS Window and Sidinst
SF Solid Fuel Bruning Appliances
1 I Insulation
Tcle hone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) I , � �6
J!E:dt.,.,aS f�iCLvtSe( 5 HIC Registration Number ExpnmtnenDate
HIC Coal Name or HIC Re Strant Name
1 -'
. j�u 4 L S`1 -
Re.and Street Email address
M1,es qy Sr
Citvrrown.State ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.I52.§2SC(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 Isivance of the building permit.
Signed Affidavit Attached? Yes..........1A No........... 0
SECTION Tat OWNER AUTHORIZATION.TO BE COMPLETED.WHEN'
OWNER'S ACENT OR CONTRACTOR APPLIES FOR BUILDING.PERMIT'
I,as Owner of the subject property,hereby authorize v p
t9 act on my behalf,in all matters ative to work authorized by this building permit plication.
!6 6
Pant Owner's Name(EI (:troffis Signature) Da
SECTION 7b:OWNEW OR AUTHORIZED ACENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained i t ' plic ion is true and accurate to the best of my knowledge and understanding.
io/30
Printer' Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work;oi:an owner who hires an unregistered contractor
not registered in the Home improvement Contractor(HICPProgram);will wort have access to the arbitration
progiam or guaranty fund under h1.G.L.c. Id2A.Other tm ortant informaTion onan theNlC Program can be tolnt nJ-aT-
cvww m;tss.cov:'oca Information on the Construction Supervisor License can be found at www.mass.eov'dns
2. When substantial work is planned,provide the information below:
'rota) floor area(sq. ft.) 't (including garage, finished basementlattics,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
'rype of cooling system Enclosed- Open
1. "Total Project Square Footagc"may be substituted tar"Total Project Cost"