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4 BROAD STREET - BUILDING JACKET 12Pendafle.yr OEM& 74520 400/4P4 J ,E ,,. yTjfy` • 'TO� CERTIFICATE./ZZ ME) DATE CITY OF 11 1 9 SALEM. MASS94 A HUSETTS01970 BUILDING. PERMIT- 'a4c�m; CERTIFICATE OF OCCUPANCY DATE 10/11 IS, 94 PERMIT NO. 475-94 APPLICANT Peter Lles_lardinr, ADDREss >; EE ii�St. Laverly, MA - i �5+, 4M 0.) ISTREETI (CONTR'E LICENSE' PERMIT Trenovations NUMBER OF O I STORY wenK DWELLING UNITS ITvPE OF IMPROVEMENT' 'N0. .,,PROPOSED USE) 4--Broad St.' , :Ward 3 ZONING FA 'AT [LOCATION I; DISTRICT IND.) .(STREET) BETWEEN^ AND 'CROSS STREET) ICROSS STREET) 'LOT SU ODIVISIO I LOT BLOCK SIZE BUILDING*R TO BEr 'FT. WIDE P.• FT. LONG BY FT. IN HEIGHT AND SHALL'CONFORM IN CONSTRUCTION C1 TO TYPE '— USE GROUP BhSEMENT.W4L15 OR FOUNDATION a (TYPE;m ` Nmode. kitchen w/ new electrica136 plumbing- (no exterior changes). REMARKS:. ' i { AREA OR ' �• ' VOLUME C':BIP SQUIRE FEET) Brian Shaughnessy nvF'venvrnv�'ve 'vrnbeubrilvellv�seTveNlsea srnsmv OWNER TORE POSTER PRMISES ADDRESS broad St. Salem, Tk SEE REjj� $�� TE ION5 OF CERTIFICATE DEPARTMENTAL APPROVAL FOR CERTIFICATE of OCCUPANCY and COMPLIANCE ' To be filled in by each division indicated hereon upon completion of its final inspection. BUILDINGS Permit No475-94 i JOHN JENNINGS 11/22/94 Approved by Date T_ i i Remarks I. i PLUMBING Permit No. DENNISiROSS 1 /16/94 Approved by Date I Remarks ELECTRICAL- Permit No. al Approved by JOHN GLARDI Date 11 i Remarks4 . s+t t aI ! ar14 OTHER FIS ' Permit No. Approved by_ NORMAN LAPOII�TE Date 111/16; ,stir ' Remarks OTAER" Permit C�o. ., I s !Approved by !' I I Dpte , �k tr Remarks I d�� DATE 10/11 19 u94 PERMIT NO. kj5-•y14 APPLICANT Yater Q6E1716id SAB ADDRESS 333 Elliot skit. beverly, I i4.1 (NO.1 (STREET) (CONTR'S LICENSE) renOVCtiara eYa11iTI NUMBER OF PERMIT TO I—) STORY g DWELLING UNITS (TYPE Of IMPROVEMENT) NO. (PROPOSED USE) G brnad1 St. 6.�.rd � ZONING ... AT (LOCATION) DISTRICT Iti• (NO.) ISTREET) BETWEEN AND (CROSS STREET) (CROSS STREET) fi $OT t" `'.SUBDIVISION LOT BLOCK S(ZE 4 SULLOING IS TO BE FT• WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE; USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) RIMARNS_1. 8a/lO4al kitchou v/ new electrical & plumbing Cao eitarior chargea3. .. _ - � AREA OR CaU for Permit to OCCUPY pE. ++145G. PERMIT 13 VOWME ESTIMATED COST $ FEE S T" ICVSIC/SQUARE FECTI - 'y Y owgeR Drier. 3haughneaay x4 aoDREss '4 rand 5L. Sai.usF f#A ev"°'"T32�•JEM:tiI2i,3Y '�_ :, '�3+TH15 PERM17 CONVEYS NO RIGHT TO OCCUPY ANY STREET, AL tEY O4 SIDEWALK OR ANY PART THEREOF. EITHER TEMPOR4gILY O� - _, PERM AN EN7LY. ENCROACHMENTS ON PUBLIC PROPERTY. NOT SPEC(FICA LIv PERMITTED UNDER TME BUILDING CODE, MUST BE AP- ' PROVEDs,BY"THE JURISOIC TION. STREET OR ALLEY GRADES 45_WE LL_AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBT AINEO ) GPRPAOAMN'YT-APPLI CAARBTLMEE SUBDIVISION UBDIVISION WORKS. THE (SSU ANG E-O P'T N)YT[i'RIA1T DOEYHOT RELF ASE-Ti1E APPLiC ANT FROM THE CONDITIONS (', RESTRICTIONS. MINIMUMx.OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS R EOUI R ED FD R CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PF R MITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. Z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. S. F INAL INSPECTION BEFORE OCCUPANCY. ."POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS :A� z .. BOARD OFHEALTH OAS INSPECTION APPROVALS FIFIE DEPT. SPECT( G APPROVALS Len-n)A. g OTHER CITY ENGINEER 2 / 2 OCT-05-94 WED 13: 16 PURCHASHING DEPT rl, . 110 5087445918 P, 02 No. 41_5 f'4 City of Salem Ward 0 .1 ryv - a4dL��s APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:it ll, ill,1V,and IX. r y ZONING pf$TAICT I, AT ILOCATIONI LOCATION BETWEEN `-' " r" ' �'" AND 1og0`SS S1AEEl1 OF ccaoss srn�n LOT BUILDING LOT -BLOCK-SIZE SUBDIVISION II. TYPE AND COST OF BUILDING -All applicants complete Parts A-D A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION"USE MOST RECENT USE 1 Q New building R9a10M1ta1 f$Mr`eaideMlef 18 Q AinLlsemertL recreational 2 Q Addition dr M8iden0al.$Afar number of naw 12 One tamilY 19 ❑ Cnnr-h.ottler religcua Musing units added,d any in pan O.13) 13 0 Two by more family•Enter number -Do tnoustrol 3 eAlterduon(See 2 above) of ands._..._......^.—._.......--- —..• 21 0 Parking Garage 4 ❑ Aepair replacement 14 o Transient howl moo.or dom itorY. 22 Q $mice station.repair garage Entse number of units.._......__........... 23 ❑ N octal.inotautiM�n $ ❑ of units i dl mding in y rt 0.1lmal,solar numpe! of units m Wildin4 in Fart D.13) 15 r7 Garage 24 ❑ Office,bank,PrvlOdsiorrN 2S I] PVDac u11htY 6 ❑ Moving gelpination) 16 ❑ Carport 26 ❑ School,library,other educational 7 © Fourominn onry 17 Q Other•Specify 27 ❑ Stores,mancanble B.OW7RSNIP 28 Q Tanks.towers 8 rLU Private(individual.cort»retion,nonprofit Z8 a Other•specify nbtdution.etc.) 9 [] Pubs¢(Federal.State.or local govemmeml C.COST (Omit cenr5) Nohreeidential•Descnpe in detail Proposed use of buildings,e.g..food Processing Plant, machine an=laundry building at hospdaL elementary school,secondary school,college. Parochial=no&,Coming garage for department store,rental office building,office building 10. Cost of improvement ..............._................_..........-.._._ $r9Ol 000, at Ingustrial plant.It use1 ofexistingbuilding is being changed,enter roposea ustr To W instafte'0 out nol included in tri$above Cost ` TN lL 1 a. Electocal ..............._..._.......,................................_.._... yov,da ��2toe� wog n. Plumbing....................................... ..._.. c Healing,air cunoitioning .......................................... c. Other elevator.etc)......................... .........._.............. X11 t 1. TOTAL COST OF IMPNOVEMENT s t/` - III. SELECTED CHARACTERISTICS OF BUILDING For new buildings and additions, complete Pans E L; demolition, complete only Parts J& M.ail others skip to IV E. PRINCIPAL TYPE OF FRAME F. pRWCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 40 public or drivate company Will there oe centrat air 30 ❑ Masonry(wall oearmgl 35 1] Gas conditioning? L4C od frame 36 ❑ Oil a1 Private laePlq wok.ecce a5 ❑ No AA � Yes uctural steel 37 Q EleamcFty H. TYPE OF WATER SUPPLY Will there by an elevator?r infogaC concrere 38 ❑ C9a1 42 Cl Public or omraw Company 46 ❑ Yes 47 ❑ No her•SpecRy 39 ❑ Omer•Sc�PrN qty C3 r''1 Plate(Well-Cistern) �r nu „Ivu ucrl, FAX NO 5087445918 P, 05 , r , J.DIMENSIONS ?3. Number of slones ..................._..............__—........ M. DEMOLITION OF STRUCTURES: 49. Yotar square feet of floor arat all floors,oaseo on exterior Has Approval from Historical Commission been received dimensions ................._...,..__-..._..,_. for any structure over fifty(50)years? Yes_ No— SO. rota)land area,so,h.............____ Dig Safe Number K NUMBER OF OFF•STREET PARKING SPACES st. enetoseo.........................._...---._.... Pest Control: ez. oul000m........................._..__._....___ HAVE THE FOLLOWING UTILITIES-BEEN L RESIOFN77AL BUILDINGS ONLY Water: Yes No $a. Enclosso......__.....�„__...�—..._...,___ Electric: Gas: s<. Number of Full_._...._............... Sewer: 7mnroamspaft DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No— (If yes,please enclose documentation from Hist Com.) Conservation Area? Yes_ No— (1f yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes_ No, Is property located in the S.R.A. district? Yes_ No_ Comply with Zoning? Yes_ No` (If no,enclose Board of Appeal decision) Is lot grandfathered? Yes_ No (If yes,submit documentationiif no,submit Board of Appeal decision) If new construction,has the proper Routing Slip been enclosed? Yes— No— Is Architectural Access Board approval required? Yes_ No_. (If yes,submit documentation) Massachusetts State Contractor License n 0372! Salem License Home Improvement Contractor rt jD 30yS— Homeowners Exempt form (if applicable) Yes_ No CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT CONSTRUCTION IS TO BE COMPLETED BY: If an extension is necessary, please submit rJ in writing to the Inspector of Buildings. V. IDENTIFICATION • To be completed by all applicants I Nailing address.Numbd.street.d:y,ano�s;:re zZ�F 1Co�ce Yes.No.? iCaner nr V/ r/ LCi$N _anrac;Or �n (Wilt' R-t.�� [_� �/��:I 1�C�' F-- � L�ig/Bln5erN0. �?• ,Srr,NtKr or I //l� fC/(,ICs Engineer i I hereby certify that the proposed work is auth as his autorized by the owner of reCora and that I have been authorised by the owner to make this application nonzed aae a gree to conform to ail applicable laws of,his lunsdiction. I Signature of applicant r Address ,333 OCT-05-94 WED 13; 17 PURCHASHING DEPT. FAX NO, 5087445918 P, 04 DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Use Group Building Permit issued t9� t=ire Grading Building Permit Fee $ 4;�e Loading Occupancv Load Certificate of Occupancy $ Approved by: Drain Tile $ '— Plan Review Fee $ TIRE NOTES AND Data • (For department use) Z 3 PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: Completed by: I I I ru¢UDm'WIINU utril FAX N0, 5087445918 P. 03 VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN •For Applicant Use ON I ----------- --- --- - --- I 0 0 \1y 2 6•V4�_: , A 1 cv4cc V-)C& J I APPROVED $object to approval by any `\ aut?aority having jurisdiction. ,,.,T'. r tir'Lo• SALEM, ':REVEPITIO BY FLANS A.E APP @D SCLEI:Y FOR IDENTIFICATION TYPE AND LOCAT; OF FIRE OT C:101`1 DcffL'25. L FI'.E FP.OT`: The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF Massachusetts State Building a Code, 780 CMR SALEM Revised hoar 2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Qsf Only Building Permit Number: Date Ap ied: Building Official(Print Name) Signature Date _ SECTION 1:SITE INFORMATION 1.1 Property Aljd 1.2 Assessors Map& Parcel Numbers 14o -z I.1a Is As an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq It) Frontage(11) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.1.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone?Check if yes❑ Municipal ❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Own to Record: Name(Pn I Cite No.and Street T lephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK=(check all that apply) New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': 2 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) I. Building $ I. Building Permit Fee:$ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ r` \ 4. Mechanical (HVAC) $ List: (_ 5. Mechanical (Fire $ Suppression) Total All Fees:$ `f Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ U c 13 paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Situ,pe isor License(CSL) l lG/�'f� ��(,�.�(_ License Number Bspiration a e NamedofCS—dcr���"—���— List CSL Type(see below) No. at—' ect '� Type Descrip ion U Unrestricted(Buildings up to 35,000 cu. I) _ l�✓1M R Restricted I&2 Family Dwelling City/ToNvn,St t ,ZIP M Mason ry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 1 Insulation cL hone Emailaddress D Demolition 5.2 Re istered Home Improvement Contractor J� fh HI ' egistration Number flspia ate HIC Cot ark an r C Registrant e No. and tr Email address l Ci /Town, ta � Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(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 Iss ce of the building permit. Signed Affidavit Attached? Yes ........ . No........... ❑ 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 to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION By ente ' my name below, I hereby attest under the pains and penalties of perjury that all of the information con[ ned in this applic g.lion ' true and accurate[o the best of my knowledge and understanding. .�-- Print wner's or Authorized Agent's Name(Electronic Signature) Date 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(HIC) Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program can be found at www.mass.�rov:'oca Information on the Construction Supervisor License can be found at www.ntass.zov/dps 2. When substantial work is planned, provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of halt/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" ' .CONDIT Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 (978)619-5685 FAX(978)740-0404 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction 0 Alteration ❑ Demolition ❑ Painting ❑ Signage ❑ Other work as described below will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District McIntire Address of Property: 4 Broad Street Name of Record Owner: Brian Shaughnessy Description of Work Proposed: Replacement of existing green, 3-tab asphalt roof with new black, 3-tab asphalt roof Color change only- no changes in material or design. Dated: May 3, 2011 SALE M HI C MMISSION By: The homeowner has the option not to commence the work (unless it relates to resolving an 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.