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9 BECKET ST - BUILDING INSPECTION �(P3GK lots r The Commonwealth of Massac ILI�gL�IS;l ION AL SLR\hCE CITY OF Board of Building Regulations an� thnUards SALENI 780 CNQIFR h / Massachusetts State Building Code, 34�P I d P 2; 5 Revised J1ar 2011 Building Permit Application To Construct, Repair, v Or emolish a One-or Tivo-Family Dtvel ing `y This Section For Official Use Only Building Permit Number. Date Applied: I BuilJing Otlicial(Print Name). Signature Date (� SECTION 1:SITE INFORb1ATIOW 1.1 PP{oper Address; 1.2 Assessors Map&Parcel Numbers f zPIQ>` S� Map Number Parcel Number 1.1 a Is this an acce led street?yes_ no F 1.3 Zoning Information: 1.4 Property Dimensions: "Coning District Proposed Use Lot Area(sq tl) Frontage(11) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 W G. Water Supply:(M. L c.401§5d) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Public❑ Private Cl Check if yesE3 SECTION2: PROPERTYOWNERSHIP1 2.1 Ownert of Recorf��I _DAIA-11,y P� Q f y 76 NNme(Print) . i CAIVi� L- Ciry,state,ZIP /7 N113-SPA-/700 No.and StreetTelephone Email Address SECTION 3:DESCRITTPON OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building El I Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief Description of Proposed 1Vork': L / N�o�7 z�vmP oL� m�rUJ�ofA, SECTION a: ESTIMATED CONSTRUCTION COSTS Itcttt Estimated Costs: Official Use Only Labor and Materials) I Building S I. Building permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical S ❑Total Project Cosh(itetn 6)x multiplier x 3. Plumbing S k f)ther Fees: S d.Mechanical (11VAC) S - List: 5. Nlechanicat (Fire S Total All Fees:S Su ression) (f� Check No._Check Amount:_Cash Amount: G.Total Project Cost: S a �OO. J ❑paid in Full ❑Outstanding Balance Due: G�zz rnr>t�� ra SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) /d(v ✓7y,Q,em/C Licens/se Number Expiration Date Name of CSL Holder p �,r / List CSL'Type(see below) ��Di t� (N/�'T�2Type. . . . -.... . Descrfption . No.and Street�� O ��- Ol9 roZ) .. U Unrestricted(Buildings u to 35,000 cu. Il. R Restricted U2 FamilyDwelling City/town,State, P M Masonry RC Roolin Covering WS Window and Siding ^78,3 J �ia�'/ SF Solid Fuel Burning Appliances yb Y I Insulation Telephone Email address D Demolition 5.2 Register d Home Improvement Contractor(HIC) ' ©O� IIIC Registration Number xpuu ton Dnte Compiliv Na/,//Ir se nt Natt a` No.an Street D SS�� Email address cam- Cb i NI r 9 97� _Ci /TommState_ZIP Telephone SECTION 6:WORKERS'.COMPENSATION INSURANCE AFFIDAVIT(M.G.L:c.152.§25.C(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 Isivanc 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,as Owner of the subject property,hereby authorize t9 act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Nano(Electronic Signature) Dale SECTION 7b:OWNERt OR UTHORIZED AGENT ECLARATION By entering my name below,I hereby attest under the pains 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. Z m-Do®BrMs Print Owner's or Authorized Agent's Name(Electronic Signature) Dale 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(f11C)Program),will nor have access to the arbitration program or guaranty fund under M.G.L.c. 1 d2A.Other important information on the HIC Program can be found at �eww max, cov:'oea Information on the Construction Supervisor License can be found at www.�ns 2. When substantial work is planned,provide the information below: 'total floor area(sq. ft.) (including garage, finished basementtatlics,decks or porch) Gross living area(sq. ft.) Habitable room carat Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths 'type of heating system Number of decks/porches 'Typeofcoolingsystem Enclosed- Open 1. "Total Project Square Footage may be substituted 1'or-Toed Project Cost" ri Pape No.�a _Faces LEN GIBELY CONTRACTING CO., INC. 23R Winter Street 26989 PROPOSAL PEABODY. MASSACHUSETTS 01960 All home Improvement contactom and ]unwgleterod tractors (978)531.8234 Fax(978)531.9304 engaged In home Impressment contr ,unless W W W.Ierl Ib01 contrectln sect speclRcally exempt from registration bysions of 9 Y g• Chapter 142A of the general laws,musgistered 9uDMttecl /�,� � with the Commonwealth of Massachusnquiries To: C'�iJll ���ILx/ about registration end status should b .to the .. Director,nAsh Nome Improvement Con301,BeMA 1LJ C l Cn 1l One Ashburton Place,Owners hot,BosA 02wn (a17) 727.6690. Owners who assueir own S _ I ( I Q�� construction related permits or cleat wigleterod t..lA Q)A 71 contractors will be excluded from the ty Fund / Provision of MGL C.142A. �yq�a /� MTE I/p REONnUTUNNP "Joe q 3 A-3 8 - 17 ZO 1(0)i l S .pR tocnrx�x MA.REG.100811 .. pL.EONAV�'D 1(o @ 0)-jZC4 oei SI+H 'w,E"�rvh'semi wadncatlan uia aumaw ar%wN m D.Penmm.a vie m.leMlE m De used: LV IN—DOLL) S Qednot ..a�M p . i7 axle C,cm (,U�,Y.•Q ����I. �pl + wt.t<Jows. 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WB P70p08B hereby to furnish materiel and labor-complete In accordance with above speciHcatlona,tar(p�e s F. Payment Id ea made ae larowa: Ravow a job DUD. All� M eu•,.ni•••m W WOda%a Ilan meWCW�a. . 11 wai tlPmY COnYecl: MdPOmui Oo•I it roedoe.ws Pa�WmtiL .. r ( )NDm WmpBlYna NOYW: NO aW9CTBM b111oma inWwemad NnVaCINB%Wk WNY IaNYl169 darn WY^ent(e0reca 1 ad a er Was ontrOWd a Ne Iael wnvea %I span wmaotlon DriOs atlasbW vrowlal Wd cowpey ott wltldt me canaeaor mar ;fts to L eM/a oNe ccW OaiuerY a•DeOkl orMr IMeDenudeeadannl ymlm=g*fficnofby n lAcceptance of Proposal I five read balk sidw a�De dowmerd prkes,spedfiar4ons and cor�acna stated.I understand that upon signing,this propose!become a hinting contract.You are authorized to do the work as specified. Payment will be made as outlined above. You,the Buyer,may cancel this transaction at any tlme.prior to midnight of the third business day after the .,date of this transaction.Cancellation must be done In writing. 00 NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. ,Lt.L� � O,N /S �wa•�. � Massachusetts -Department of Public Safety Board of Building Regulations and Standards Cmistructiun Supersisur License: CS-0Wt783 P` .t. .is °jJ WOMAS ELDOBBPI f i s: Expiration Commissioner 05/14/2016 �j..............._... ... ._. .. . .. <J/ell t(lo>�vrnanrrJerlL(�(/�(Jr'(rrJJrnr�rwa(!� trice of Consumer Affairs&Business Regulation License or registration valid for individul_use only ' OME IMPROV'RM€NT CONTRACTOR before the expiration date. If found return to: r Office of Consumer Affairs and Business Regulation Regiatratl N., ,fl1J Type: 10 Park Plaza•Suite 5170 Explr�ytlr _- �%; Supplement Card Boston,MA 02116 LEN GIBELY CON; - �'.•;ZINC. THOMAS DOBBIN$, 23 R WINTER ST PEABODY, MA 01960 Undersecretary �'!r' Not valid without signature r , r r' Hi Deanie, I am in full agreement with Deanie Leonard, co-owner of 9 Becket Street condexin Salem MA on the replacement of older, and installation of new windows in her unit Sincerely, James Chisholm, co owner, 9 Becket Street condex. On 09/16/15, Deanie Leonard<dleonardl6@verizon.net>wrote: Jim, The Salem Building Department has asked that I obtain from you in writing your agreement to the new windows being installed in my condominium. If you would simply reply to this email to me, I will then forward your reply to the contractor(Len Gibely)who has pulled permits for the work. It would be helpful if you could reply affirmatively to this request as soon as possible. If you have any questions please call me at 443-838-1720. The work is to be completed by Friday or no later than Monday of next week. Thanks, Deanie 2 1 +x Marcia Kirkpatrick From: lengibelyoffice@gmail.com on behalf of Len Gibely Office <office@ Iengi belycontracting.com> Sent: Thursday, September 17, 2015 8:25 AM To: Marcia Kirkpatrick Subject: Fwd: Request for your written consent to my installing the new windows Hello Mirium, Please see the attached email response giving approval for window replacement at#9 Becket St., Salem. Please confirm receipt and that we have met the requirements for the permit. Thank you, Deb Office Staff Len Gibely Contracting Company 23R Winter Street Peabody, MA 01960 phone: 978-531-8234 fax: 978-531-9304 email: office i)[eneibelycontracting.com website: hl r�w IentiFul}ulrtractm =.cQnt ---------- Forwarded message ---------- From: Deanie Leonard <dleonardl.6Cabverizon.net> Date: Wed, Sep 16, 2015 at 9:54 PM Subject: Fwd: Request for your written consent to my installing the new windows To: Len Gibely Office <officeaa lenaibelycontraetin,, coni> Hi Deb, Here is the affirmative response from jim Chisholm, co-owner with me of 9 Becket Street Condominium. Cheers, Deanie Begin forwarded message: From: iames.chisholm2C@verizon.net Subject: Re: Request for your written consent to my installing the new windows Date: September 16, 2015 at 7:56:22 PM EDT To: dleonard16(a-)verizon.net t