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98 BOSTON ST - BPA & B-15-900 BOA STOREFRONT TO 1 BR APT zs�3 $7e j The Commonwealth ofWp §gam ® Department) ''tfAl ety Massachusetts State Building Code(780 CMR) �11 Building Permit Application for any Buildin 4tj(Ae- Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: - �//rJJ' SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) 98 13aS-10rx 44 - 5�(�wt ?-tom- V1R7o No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2 PROPOSED WORK Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ Alteration Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) L� Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No Ri Is an Independent Structural Engineering Peer Review required? Yes ❑ No 9J- ' Brief Description of Propposed Work: fir` -►a.l l a ukr i e h 1 S4i it bcz+.� o o sk , n } J��d r000l c�n� rlOsct t2 ^le�z W be aoo + t o 4-w (I, za i.> b ti i 1.4 a ky A- e,' it h zit R �m o K2 zits'-}Ire? noi.�.�12+- '1• �. 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 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ R Facto F-1❑ F2❑ 1H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional I-1❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-111 R-2❑ R-3❑ R-4❑ S: Storage S-1❑ S-2❑ U. Utility❑ Special Use❑and please describe below: Special Use: SECTION 6.CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ HA ❑ HB ❑ HIA ❑ IHB ❑ 1 rV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply- Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public Check if outside Flood Zone❑ Indicate municipal trench will not be Licensed Disposal Site Private❑ or inden ' Zone: or on sites stem❑ required Plt5r trench or specify: 6fy y permit is enclosed❑ Railroad right-of-way: ds to Air Navigation: Not Applicable 19-- Is Structure within airport approach area? ;s their review completed? or Consent to Build enclosed 0 Yes 0 or No U� Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: a A� 0whin l SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner �I)Lk .ae 1-4 Ct6hXC�) I-1 Albtdt 019,76 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: d U)/la' 9 n _'r-/o _ 9 z7— 9P8_No_9 PJa- (e_ SS CL70 - P_dc-,�. Title Telephone No.(business) Telephone No. (cell) e-mail address if applicable,the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) f 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 Dua, �e Mac . `T7& L10 9ki2— Name(Re trant) Telephone No. e-mail address Registration Number r4 Al.hi oa, 'i4 - Sal erti o147o O�/1za/ 6 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor 11 _bUQr A�- M Company Name Nl.>a- -r-�-- mac_ t Clo LS s c e (7 9 �1G16 Name of Person.Responsible for Construction License No. and Type if Applicable Itl F«- 019 -2 Street Address City/Town State Zip 176V- 921 Mrvin�cl+ark�vD5,,lerr�Si� Telephone No. business Telephone No. cell e-mail address SECTION 11: .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 is ance of the building permit. Is a si ed Affidavit submitted with this application? Yes C' No ❑ SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ bo J Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ Q od appropriate municipal factor)=$ 3.Plumbing $ 2 e-111 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact mu/ni\/cip/a�lity) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ 000 (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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. IN .p da t'..Iadiaf.) l7uJ✓1 9_1� ��� do/0 - C/ Please print and sign name Title Telephone No. Date I AISi eK J` H- 0147d Street Address City/Town state Zip ,p Municipal Inspector to fill out this section upon application approval: O Name Date Appendix 1 For the demolition of structures the building permit applicant shall attest that utility and other service connections are properly addressed to ensure for public safety. Please fill in the information below and submit this appendix with the building permit application. The building permit applicant attests under the pains and penalties of perjury that the following is true and accurate. Property Location (Please indicate Block # and Lot# for locations for which a street address is not available) No. and Street City/Town Zip Name of Building(if applicable) For the above described property the following action was taken: Water Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Gas Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Electricity Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) +a- e 10 (Qce Appendix 2 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required for this. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x'where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing include local connections 9 Gas(Natural,propane,Medical or other 10 Surveyed Site Plan Utilities,Wetland,etc. 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review 521 CMR 18 Workers Co m ensation Insurance 19 Hazardous Material Miti ation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to triple the original permit fee. Registered Professional Contact Information Duct ' J �q�lva cio q7e 2!0_ 9f2-z— hlmachodo�sa�c't 1/�d ! 8 Name(Registrant) Telephone No. e-mail address S+4e dd N Registration Number le lq?• O olO/6 Discipline Expiration Date Street Address City/Town State Zip Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zi Discipline Expiration Date ' ._ CITY OF SALEM MASSACHUSETTS 1 BOARD OF APPEAL ��tAJ1N8p�' 120 WASMNGTON STREET ♦ SALEM,MASSACHUSETTS 01970 KIMBERLEY DRISCOLL TELE:978-745-9595 ♦ FAX:978-740-9846 MAYOR Notice of Decision At a meeting of the City of Salem Zoning Board of Appeals held on Wednesday,February 18,2015 at 6:30 p.m. at 120 Washington St., Salem,MA,the Zoning Board of Appeals voted on the following item: Petition of DUARTE MACHADO requesting a Special Permit per Sec. 3.3.2 Nonconforming Uses of the Salem Zoning Ordinance,in order to allow an existing nonconforming use of a commercial storefront to be converted to a non-conforming one bedroom apartment at the property located at 98 BOSTON STREET (Map 16,Lot 145) (B2 Zoning District). Decision: GRANTED Filed with the City Clerk on March 4,2015 This notice is being sent in compliance with the Massachusetts General j aivs, Chapter 40,4, Sections 9 dam'15 and does not require action by the recipient.Appeals, if any, shall be made pursuant to Chapter 40A, Section 17, and rball be filed within 20 days from the date wbich the decision was filed with the City Clerk. I Commonwealth of Massachusetts C\- r City of Salem q. 4 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 X5641 n Return card to Building Division for Certificate of Occupancy - FEE PAID: : o.$7 B 5_900 PERMIT TO BUILD FEE PAID: $70.00 DATE ISSUED: 9/16/2016 This certifies that MACHADO DUARTE MACHADO MARIA has permission to erect, alter, or demolish building._98_BOSTON-STREET„`. Map/Lot: 160145-0 as follows: Change of Use CONVERT COMMERCIAL STOREFRONT TO ANON-CONFORMING ONE (1) BEDROOM APT. I APPROVED BY BOA 2/18/2016. Contractor Name: DUARTE MACHADO * ^ DBA: I Contractor License No: 099496 9/16/2015 Building Official } e Date 1 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 wtritten request..---_R All work authorized by this permit shall conform to the,pproved application and the approved construction d uments for which this permit has been granted. I 1 t All construction,alterations and changes of use of anylbuilding and structures shall be in compliance with the local zoning by-laws and codes. i d i I I 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. ° r The Certificate of Occupancy will not be issued until all applicable signat ures_by the Building and Fire Officials are provided on thisrmit. t HIC#: 112218 "Persons contracting with unregistered contractors do not have access to the guar fund"(asset forth in MGL c.142A). Restrictions: 1 Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER.