57 BEAVER ST - BPA-16-417 w
The Commonwealth of 147aA �tRVk r
Department of Public Safety
Massachusetts State WBuilding Cotl�R �8 A CO00
Building Permit Application for any Building other than a.One-or Two-Family Dwelling
_(This Section For Official Use Dal )
�- Budding Permit Number. Date Applied: Building Otfici.d:
�-� SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
} 5-7 802P;Lva r s/
No.and Street City/Town Zip Code Name of Budding(d applicable)
SECTION 2 PROPOSED WORK
Edition of MA State Code used_ If New Construction check here❑or check a0 that apply in the two rows below
Existing Building❑ Repair❑ 1 Alteration ❑ 1 Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix I)
Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No O
Is an Independent Structural Engineering Peer Review requi ? Yet O No ❑
Brief Description of Proposed Work:. k'QrYJ or VG- 4 7� Q k I), �l✓le. 1 C S l/!�-Ca�G�.of'
CG✓t d h i �✓!� _r,15 r I ek C3 y/ r &P
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CIVIR 34) ❑
Existing Use Group(s): F-pose d Use Group(s):
SECTION 4.BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)k Area Per Fluor.(sq. ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION S.USE GROUP(Check as a Ifcable)
A: Assembly A-I❑ A-2❑ Nightclub O A-3 ❑ A4 O A-5❑ 0: Business ❑ E: Educational ❑
F. Facto F-I❑ F2❑ H: Hi h Hazard H-1 O. H-2❑ H-3 ❑ H-4❑ H-5❑
L• Institutional I-t❑ I-2❑ 1-3 O 14❑ M: Mercantile❑ R: Residential R-IO R-2❑ R-3❑ R4❑
S: Storage S-t ❑ - S2❑ JU: Utility❑ Special Use O and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA too ILA ❑ 1180 MAD 1110 ❑ 1 IV ❑ I VA ❑ Vu0
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Selvage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zune❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑
required❑or trench or specify:
Private❑ or indenlify Znne: or on site system❑ permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: MA I liskgir CnnunissicnRe,i.!r_l'�.*:� c
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
nr Consent to Budd cndosed❑ Yes O or No❑ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code Use Group(s): Type of Constnuction: (kntpant Load per Floor:
Dues the building,contain am Sprinkler System?: Special Stipulations: _
4�
5�2 cf�L��a� •� Lmo r-,
SECTION 9: PROPERTY OWNER AUTIJORIZATIOtY
Name and Address of Property Owner
Name(Print) No.and Street City/Town Zip
Property Owner G,onlact1nformation:
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
R U I 13a e 2 f5 GtA14(G ,j er 20 .
Name Street Address City/Town State - Zip
to act on the property owners behalf,in afl matters relative to work authorized by this building permit application.
SECTION 10,CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less than 35,000 cu.ft.of enclosed space and or not under Construction Control then check here O and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
Ya✓��i� � Z Z/ 7/J=32y'b' /G�rF�SG
Name(R}}gistr.y�) Tchphqmte No. e-mail address Registration Number
Rrw ha`GIa 5 (dr,�tY otfJO (rS - «(
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Company Name
y ae./lJ Q2. ��— 7 L L/ '
Name of Person Responsiblefor Construction License No. and Type if Applicable
Street Address City/Town State Zip
"-i 2-
Telephone No. business Telephone No. cell e-mail address
SECTION 11:1V'ORRERS'COMPENSATION INSUPANC1'AFFIDAVIT M.G.L.c.152§25C 6
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
is a signed Affidavit submitted with this application? - Yes 13 No CI
SECTION 12•CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$
1.Building S Building Permit Fee-Total Construction Cost x_(Insert here
2.Electrical $ appropriate municipal factor)_$
3. Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee a$ (contact munie�ty)
10-5. Mechanical Other - $ Enclose check payable to ,�
6.Total Cost $ ,S (� .QO (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,1 hereby attest under the pa ins and penalties of perjury that all of the information contained in this
application is true and accurate to the best of my knowledge and understanding.
Please print and sign name Title Telephone No. Date
Street Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval• n ✓�Dal t L
Name e
/ CITY OF SALEM
PUBLIC PROPERTY
I q DEPARTMENT
la nunu+Isxr.rn 1�Rls�;nl.l.
MAYOR 120 WASHINGI'ON ti'I'RGI'+1 ♦ sArAIiM,NtASSACI IU.SAlTS 01970
11TI:978-745-9595 ♦ [`AX:978-740-9846
Violation Notice
57 Beaver Street
April 19, 2016
Mnry C.Mnrte - .
38 Walsh Avenue
Peabody,Massachusetts 01960
RE: Working Without a Permit
Property Owner
Our office received a complaint regarding unpermitted work being performed at your property located at
57 Beaver Street. The complaints were investigated on Tuesday, April 12, 2016 and the alleged violations
were confirmed. This office has no documentation of an issued permit or permit application being applied
for as required by 780 CMR, Section 105.1 (See Below)
780 CMR: 105.1 Required 11 shall be unlnwfzd to construct, recnn. WIWt, alter, repair, remove or
demolish a building or structure: or to install or alter cozy equipment for-which provision is made or the
installation ofwhich is regulated by this code withott Trst,lilbrg a written application with the building
official and obtaining the required permil.
You are hereby ordered to contact this office immediately upon receipt of this letter. You will be required
to apply for the required Building Permit, complete a Debris Disposal Affidavit, a Worker's
Compensation Affidavit for the corrections to this violation and pay any applicable fees. Approval of said
permit sliall be only issued if the construction project is legal, Building Code compliant, and compliant
thru all City Zoning Ordinances. The opening of partition walls may be required by various Departments
to inspect work illegally completed constnu.tion work.
You are hereby ordered to stop work, and correct these violations thru application for permits as stated above
immediately upon receipt of this notice. Failure to do so may result in further actions being brought against you, up to
and including the issuance of Municipal tickets or filing of criminal complaints at District Court. You have the right to
appeal this order to the State Board of Building Regulations at One Ashburton Place, Boston, Ma. If you have any
questions regarding this letter, please contact.the Building Inspectors Office at (978) 619-5640.
Respectfully,
Thomas St. Pierre
Building Commissioner and Zoning Officeu-
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