30 ALBION ST - BPA-10-421 DECK & MUDROOM /� i• � �
� , �� � . o .�
.,
� 1 � The Cummonwcal�h of Mrssachuscus
�� 7own of
� �j`�a Boud of Budding Regula��ons �nd SundarJs ��
� HJ550CI1Y5t113 SIJIt BW I410�C01Il, 780 ChIR. 7'"edmon� BwIJm{Dept
Bwldm� Permn Apphcadon To Coasuuct, Repau. Renovate Or Demofish a , �
Onr-ur ��u•Fwruh•DurN�ng
This S uon For uul Usc nl
BwWin� Pertm� N mber: ppli :
Signamrr. '�'L`� \` ��i����
Bwldm�Commiss� r/In �a of BuJd� � Dus
SECTIO 1. 1 E I1vFORMAT101V
1.1 Propenx Addreu: 1.2 A�uason Mso i P�reel NumAen �
`2". "'-�b�o� S�
M Number Parcd Num6er
I.1 a b�his m ucs ted sueeYr Yea ^a 'p
IJ Zooln�Inform�tlos: 1.� Property Dimeoslons:
2onm�Du�nc� Proposed Ufa La Arc�(sq 11) Froniase IR)
13 Bulldln�Se1b�cW(11)
From Yud Side Yardt Re�r Yard
Requucd Provided Required Providcd Required Provided '
I.i W�ter Supply:IM.G.L e.e0.y5�) 1.7 Flood Zose IsformNloe: 1./Sew�p Dbpofal System:
Zom: _ Ounide Flood 2one7 Mwieipd O On aile di�po�l ri�tem O
Public O Prirau O Cheek if f0
SECTIOIV�: PROPERTY OWNERSHIP�
Z,�,Owoer�of Retord: '�i ���8e) S�'•
�Qp c�n�Q �G-� of n-e 4� ror serv�oe:
N.�����► �s�� 33 s-- s.�'7 y
sipunue rekynw�.
SECTtOIV J: DESCRIPT(OIY OF PROPOSED WORK�(eheek�U tMt�pply)
� New Conewction� Exietin� Buildins O Owner-Otcupied O Repain(s) D Alteration(a) O Addition O
pemolition O Acceswry Bld�.0 Number of Uniu_ Other O Speeiy:
� �i n � f'�2Rv4 Q. Sr.�n-�(f�l UtC
Brief Dexnption of Proposed Work : F2P,�-
„i;� /Y� ' 0� ilcQ wio�la�. �i"X7 '
SECTION�: ESTIMATEO COIVSTRUCTION COSTS
E+�imaud Co�n: Ofllcld U�e Oaly
� lum �����d Ma�erials
°� I. Bmldm/ f — �� Bwldin�Pertnit Fee: f fndinte how (ee i�de�ertnintd:
O Sundard CiryiToWn Applica�ion Fee
� I Elec�ncal f �U� • ' O Toul Project Cos��(ltem 6)� multiplia � .
!s ,/ J Plumbin` f � 2. Olher Fea: f
� Lisl:
i. �lechamcal IHVAC) S
t Nechamcal IFirt S To�al All Fea: f
Su rexaion
� / /7� Check �o. ChecY Amoune Cuh Amounc
� . A Told Project Coft 1 p�/ �7"'�¢ ❑ Pmd m Full ❑Owsundmg Balance Due�
' /�cf -OO
�� ' l�C1L � V w '�f/�
.�
P � ��
1 �
1�
SECTIOIV 3: COIVSTRUCTIOIV SER�'ICES
3.1 LicemedCorolruatlon5uptr�iforlCSl) �„�� -Y/I� �/Z��10
� �• . ��'16+2� bt�-.y �� � o
g,.,,, Li..nx VumDr� E� u�uon D��e
� Nyoe ul CSL� HylJer �,c, �M,M Li.�CSL iype I�ee I+.lurl
. S� 2o�s �a,.�n . ^C6v5
,,,���,,,y11,,��� Cj� or�cn �on
. �e Unrex�ncud u �o)3.000 Ca FI.
r. R Rri�naedlA2famd Drellm
�i�M1Yf! .N \Ii VIII
�--5��`�1�/���y! � RC ResidenualRw(n Covenn
Trkphone W S Res�Jemial Windor and S�dm
- SF . Rnidennal Sohd Fuel Bumm A hance Install���on �
D Res�Jemul Demolwon
3.2 Re�btrred Home 1�qproremeet Contr�ctor�HIC) 2 � C�� Z
w� b 1 t
HIC Comp�ny Nams ar HIf R �strant Name Re�isuauon Number
T 42oS S Z�a �] �/,�/fG
A� �� �-
1�.-� L. '7 �✓��r/^�/�f'1� E�pmt�on Oa�e
Si�nanue � TelepAoM
SECTIOIV 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.4 e. 132./ 73C(6))
Workm Compenaation Inaunnce a?davit mua�be comple�ed and submined wi�h�his application. Failure to provide
thia and�vi�will rc�ult in rhe denial of the lasuance of ihe buiidin�pertnit.
Si�{neJ A111Javit AlucheJ? Yes..........O No........... O
SECTION 7�:OWN6R AUTHORIZATIOIV TO BB COMPLETED WHfN
O WNER'S ACEIVT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, , u Owner of ihe subjcct property hercby
awhorim to act on my behalf,in all matten
relauve to work authorized by Ihia buildin�pertnit applieation.
Si nweofOwner D�te
SECTiON 7b:OWIYER�OR AUTHORIZED AGEIVT DECLARATIOIV
1, , as Owner or Awhorized Agen�hereby declare
tha[�he sutemenp and informa�ion on the forcQoinQ applic�tion ate true and accunte, to the best of my knowled�e and
behalf.
Prin/Nuns
Si�nawie of Owner or Au�horized AQenl Date
Si ned unM�he uro and nslties of
norEs:
I. An Owna who obuina a buildin�pertni�lo do his/her awn work.or an owner who hirca an unregiytered conaactor
(no�msis�ered in �he Home Improvement Contruio�1 HIC)Pro�nm►,will�g have xcess ro ihe ubivaiion �
prosram a Quaranty fund unJer M.G.L. c. I�2A. O�her imponanl info�na�ion o��he HIC Pro�nm and
Coe�uuuion Supervisot Licen�in�(CSL)can bt found in 7B0 CMR Re�ula�iont I 10 R6 md I 10 RS, respee�ively.
1. Whrn subs�aniul work is planned.pro��iJe ihe mformauon below: . .
7ou1 Ooon aro(Sq. Ft1 Imcludmg gange, finished basemenUatltte,Jeckf or porch)
Grosf livin�are�ISq. Ft) Habiuble room counl
Number of fireplxes Vumber of beJroomt
Number of baihrooma Vumber o(halGba�hf
Type olhea�ing sysiem vumber o(Jecky porchef
r>���r��i��e�yu�m Enclo.ed Open
', 1 �'Taisl pro�ecl Sywre Foo�agd'may Ae .uh.mwed for�'Toul Pro�ect Co��"
.
. . �
.►� ZONE: R1 RESIDENTIAL ONE FAMILY
PROPOSED BREEZEWAY 8c GARAGE
EXISTING LOT COVERAGE = 28� �, ov r��
PROPOSED LOT COVERAGE = 40% �
� RIILFH
"I CERTIFY THAT THE DWELLING IS Ra" w
LOCATED AS SHOWN. No. seas
LOT A � � �FE
,
N/F 2� 789 � S� F� RAL H W. REID P.L.S. ���/�
JOANNE ATKINSON &
SUZANNE DZIADYK NOTE: THIS PLAN WAS PREPARED
PARCEL ID 15-0236-0 FROM A TAPE SURVEY.
RECORD OWNERS:
iN KENNETH A. CORNEAU
SHED GROUND AND
SHED U POOL PATRICIA A. CORNEAU
FENCE
51.01 BOOK 12667 PAGE 175
�r N�F —`,
a.a�f -- - SALLY & GRAPHIC SCALE
N/F ����- PAUL BUTLER
KENNETN & .c"'i� � PARCEL ID 15-0235-0 20 ° t0 10 '0 °°
PATRICIA CORNEAU rn �,
PARCEL ID 15-0233-0 � MVp 1� � �
+ m ( IN FEEf )
� �CA^ �� 1G � ' 1 inch = 20 ft
2 1/2 STORY
�N �301DED � �32
�28 . SALEM , MASSACHUSETTS
' � PLAN OF LAND PREPARED FOR:
� 37•} 50.0°� } KENNETH & PATRICIA CORNEAU
�
�
0 30 ALBION STREET
m
, ALBION STREET PARCEL ID 15-0234-0
�
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� REID LAND SURVEYORS R
0 365 CHATHAM STREET ��
� � LYNN, MASSACHUSETTS
� � R�LTS 6g DATE: JUNE 9, 2009 SCALE: 1 "=20'
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