28 1-2 BROAD ST - BUILDING INSPECTION (2) f . �'�' ' �. �' //' i/// _ � (i��� `i � ��
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� The Commonwealth of Massachusetts
(�,� ^� Boazd of Building Regulations and Standazds CITY OF
�f\ Massachusetts State Building Code,780 CMR SALEM
` Revised Mar 201!
\ Building Permit Application To Construct,Repair,Renovate Or Demolish a
� One-or Two-Family Dwelling
This Section For Offid � e Only
Building Permit Number: Da Applied:
� � �� ,
Buitding Official(Print Name) � Signature ate
SECTION 1:SITE INFORMATION
1.1 Property Address:����� �/2 ��O`9F7 1.2 Assessors Map&Parcel Numbers
!
I.la Is this an accepted stree[?yes no Map Number Parcel Number
1.3 Zooing Information: 1.4 Properly Dimensioos: �
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Fmnt Yard Side Yazds Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.4Q§54) 1.7 Flood Zone Informatioo: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal� On site disposal system ❑
Check if yes0
SECTION2: PROPERTYOWNERSHIP'
Z.1 Owner�of Record: Ie
�IbJ N��.rhS;,(. � �j�vv:iCl1�". �9.JaR �qN�A-.
Name(Print) City,State,ZIP
�z l ti��L ��� s; ��-r��•��o � � 0.� ,� ,�t,.�.��� .
. No.and eet Telephone Email Address
SECTION 3:DESCRIP'PION OF PROPOSED WORKZ(check all that apply) -
New Construction❑ Existing Building Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other �❑ Specify:
Brief Description of Proposed WodcZ:
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v /Orih �v c-� / r+-n / •
SECTION 4:ESTIMATED CONSTROCTION COSTS H� �"�J G�`
Item Estimafed Costs: Official Use Only '
abor and Materials
1.Building $ 9S v0 1. Building Permit Fee: $ Indicate how fee is determined:
2.Eiectrical $
❑Standard City/I'own Application Fee
❑Total Project Cost�(Item 6)x multiplier x
� 3.Plumbing $ - 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Su ression Total All Fees:$
/ Check No. Check Amount: Cash Amount:
6.Total Project Cosh $ � 9 9S . �� ❑Paid in Full ❑Outstanding Balance Due: - �
G',�,� -- �''7 �-SSZ -cjS�l�
�: .
SECTION 5: CONSTRUCTION SERVICES
5.1 Construcfion Supervisor License(CSL)
6//'� q �i2- zor3
C����S�fP�js�. � �4/NN License Number Expiration Daie
Name of CSL Holder
SOU �-�9�/3�S1�t //� l.ist CSL Type(see below) �
No.and S[reet T Description
�y Nrv���� �� p/S t1a�j U- Unrestricted Buildin s u to 35,000 cu.ft.)
Restricted 1&2 Faznil Dwellin
City/Town,State,ZIP M Mason
� RC Roofin Coverin
. WS WindowandSidin
97�i-�s2-�fO�f �yiA/N�yaxl'Y18i UJ SF Solid Fuel Buming Appliances
1 Insulakion
Tele hone Email address D Demolition
5.2 Registered Home Improvemeot Contra tor(A1C� �Q r�j r�z
L�rc�srophfvc � �u�.�ti �
HIC Regislration Number �cp�
FI1C Company Name or HIC Regishant Name
SDU G—D6�iv�tK-j �17 QH�rvwGB��l�w�,�4 ,[!,
No.and Street � Email address
�yn+ivF�L�.O m�9 q18 �S2'95��1
Ci /Town,Sffite,ZIP Tel hone
SECTION 6:WORKERS'COMPENSATION IIYSURANCE AFFIDAVIT(M.G.L c.152. § 25C(6))
Workers Compensation Insurance affidavit must be wmpleted and submit[ed with this application. Failure to provide
this affidavit will result in the denial of the Iss e of the buitding permik
Signed Affidavit Attached? Yes .......... No...........❑
SECTION 7a:OWNER AI71'HORIZAITON TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING P IT
I,as Owner of tt�e subject property,hereby authorize C� /t/?�STa/�h tK ,� /,��N'V
to act on my behalf, in all maUers relative to work authorized by this building pem�it application.
(�a hfvJ d�l t c W��� f
Print Owner's Narne(Electronic Signature) . . Date
SECTION 7b:OWNER�OR Ai11'fIORIZED AGENT DECLARATION
By entering my name below,l hereby attest under paios and penalties of pequry thai all of the infortnation
contained in this applica � � e a t the best of my knowledge and understanding.
8' 2� / L
Print Owner's or Authorized AgenPs N (Electronic Signature) Date
NOTES:
1. M Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registe�in the Home Improvement Contractor(HIG�Program),will Rot have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Progam can be found at
www.mass.eov/oca Information on the Constrvction Supervisor License can be foimd at www.mass.sov/dns
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,fmished basemenUattics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baihs
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open _
3. "Total Project Square Footage"may be subs[ituted for"Total Project CosY'
�
� /
�
REMOVE THE EXISTING
STAIRWAYS TO THE SECOND �
AND THIRD FLOOR DECKS. �
� //
/ \
REFRAME AND INSTALL NEW 2/8
PRESSURE TREATED FLOOR � �
JOISTS AND TREX DECKING,, � � /�
SECOND FLOOR ONLY
� � i ,
� \ i
REMOVE AND INSTALL NEW
PRESSURE TREATED BALASTRADE
TO CODE, FIRST ANMD SECOND
FLOOR .
CHRISTOPHER B QUINN LLC
28-28 1/2 BROAD STREET CONDO ASOC. 500 EDGEMERE ROAD EXISTING REAR DECKS
SALEM ,MA LYNNFIELD, MA 01940
978-852-9504� i � , �
=
, , , � , • � �
�
FRAME IN AND DECK OPENING BELOW /
/ /
REMOVE THE EXISTING
STAIRWAYS TO THE SECOND
AND THIRD FLOOR DECKS.
/
� �
REFRAME AND INSTALL NEW 2X8 /
PRESSURE TREATED FLOOR / \
JOISTS AND TREX DECKING, /
SECOND FLOOR ONLY
/ �
�
�, >:
\
» ti
REMOVE AND INSTALL NEW
PRESSURE TREATED BALASTRADE
TO CODE, FIRST ANMD SECOND
FLOOR .
28-281/2 BROAD STREET CHRISTOPHER B QUINN LLC
CON DO ASSOC. 500 EDGEMERE ROAD A . /�
SALEM, MA LY9N8�852D-950401940 EXISTING REAR DECKS �
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9���MIN6�
,Sale�a �li�storical C'om�aission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF NON-APPLICABILITY
[t is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Constrttction ❑ Moving
❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other Work
as described below does not involve an exterior azchitectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: McIntire
Address of Property: 2R-2R 'G Rroad Street
Name of Record Owner: .lohn Michael
Description of Work Proposed:
Rebuild/reframe 2"d and 3'd,floor rear decks. Remove stairways to 2"d und 3"�floor decks. Install new wood
balzistrade to meet code (same design).
Non-applicable dt�e to being non- or minimally vis•ible from the pub[ic way and heing moa�tly in kind.
Dated: AuQust 28. 2012 SALE C MMISSION
By:
The homeowner has the option not to commence the work (unless it re(ates to resolving an ouCSYanding
violation). All �vork commenced must be completed within one year from this date unless otherwise indicated.
"CHIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
13uildings (or any other necessary permits or approvals) prior to commencing work.