29 BROAD STREET - BUILDING JACKET I
29 BROAD STREET
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UFC 90330
No.95SL
HASTINGS,MR
t
¢o CITY OF SALEM9 MASSACHUSETTS
g PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3RD FLOOR
�Aq - SALEM, MAO 1 970
TEL. (978)745-9595 EXT. 380
FAX (978) 740-9846
STANLEY J. USOVICZ, JR.
MAYOR
October 29, 2002
Cornelia Jones Grephart copy
RFD Box 930
Windsor, Vermont 05089
RE: 29 Broad Street
Dear Mr. Grephart:
Enclosed you'll find a copy of a letter I received from your latest contractor. My records
show this is the third contractor to come and go since I've been connected with this
project.
Please be aware you no longer have a contractor and no work shall be performed at this
address until, first an inspection of where this project is at, then a new contractor in place.
Thank you for your anticipated cooperation in this matter.
Sincerely,
��/(-
Frank DiPaolo
Local Building Inspector
1
,--=OMTI®NS
P.O.Box 22
Peabody,Ma 01960
Country
Phone 978-204-3784
Fax 207-647-2130
October 26, 2002
Commonwealth of Massachusettes
City of Salem
Department of Building Permits and Licensing
Dear Sirs,
I would like the enclosed building permit cancelled. The owner is satisfied with the
work to date and we have terminated our working agreement
due to scheduling differences etc. We have completed one bathroom on the second
floor,any work done since has not been done by us and we will assume no responsibility for said work.
It is my understanding the owner/representative has been in contact with your department and has
requested that we be released of our permit. A copy of the permit is enclosed for your reference.
Sincerely,
William R Hodgkins
CS073442
'BICE/C. 0. COPY
:cD
.CERTIFI TE,OF-OCCW,PANCy
CITY OF SALEM Issued. 60 Permit d: Ivs�=2 q,
SALEM, MASSACHUSETTS 01970 CRY of Salem Buildin Dept.
�mlue v
N. C. BUILDERS & REMOD DATE MARCH 09 B 00
APPLICANT PO BOX 493 PERMIT NO. 1QISB-2000
ADDRESS 2
HAMILTON NQ.) (STREET) 001
CITY ICONTR— S L'�—
STATE MA ZIP CODE 978-468-15%
ALTERATION ON �--TEL.NO.
PERMIT TO ) ( No) STORY TWO OR MORE FAMILY
(TYPE OF IMPROVEMENT NUMLLING
(PROPOSED USE) DWELLINGUNITS�—
AT(LOCATION)=009 BROAD STREET'
(NO.) (STREET) ZONING
DISTRICT R2
BETWEEN
(CROSS STREET) AND
SUBDIVISION MAP 25 0 (CROSS STREET)
Lor 446 BLOCK s°E 0009688 SO FT
BUILDING IS TO BE FT.WIDE BY
��FT.LONG BV—_FT,IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE_______ USE GROUP
� BASEMENT WALLS OR FOUNDATION
— —
REMARKS: ,- FORFOR -2ND APARTMENT. (TYPE)
AREA OR
VOLUME
(CUBICISQUARE FEET) ESTIMATED COST$ 25 000 FEEPERMIT
OWNER JONES QUINTON O $ 155. 00
AODRESs RFD BOX 930
BUILDING DEPT.
By
THIS PERMIT CONVEYS NO RIGHT TOOCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS
► ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION,STREET OR ALLEY GRADES AS WELL
AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE
eoRlIreR'F RI IRDIVI.SION RESTRICTIONS.
RESTORATIONS
P.O.Box 22
Peabody,Ma.01960
Country
Phone 978-204-3784
Fax 207-647-2130
October 26,2002
Commonwealth of Massachusettes
City of Salem
Department of Building Permits and Licensing
Dear Sirs,
I would like the enclosed building permit cancelled.The owner is satisfied with the
work to date and we have terminated our working agreement
due to scheduling differences etc. We have completed one bathroom on the second
floor,any work done since has not been done by us and we will assume no responsibility for said work.
It is my understanding the owner/representative has been in contact with your department and has
requested that we be released of our permit. A copy of the permit is enclosed for your reference.
Sincerely,
William R Hodgkins
CS073442
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The Commonwealth of Massachusetts CITY OF
3, Board of Building Regulations and Standards
� Nlassachusetts State Building Code, 780 CMR $d 1far Revised.b/ur 2011
p Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Divelling
This Section For Official Use Only .
Building Permit Number: Date:A p 'ed:
%n ( 70 f
Building Official(Print Name). _ Signature Date
SECTION L•SITE INFORNIATION
LI Property Address: 1.2 Assessors blap& Parcel Numbers
I.la Is this an accepted pted street?yes_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq It) Frontage(It)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Require J Provide) Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone'?
Public Private❑ Check if yes❑ Municipal ❑ On site Disposal system ❑
SECTION2: PROPERTY OWNERSHIP!
2.1 Ownert fRec ord•
_��/st�f , N4 0/976
�me(Print) City,Slate,ZIP
�!'�Loan t' 4!�•333-9�y8
No.and Street telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ Existing Building Owner-Occupied ❑ 1 Repairs(s) Alterations) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ I Number of Units I Other ❑ Specify:
Brief Description of Proposed Work-:._3v1 0 3 !O t
IY( T lnd.LE c
A/GEA<p `
SECTION 4: ESTIbIATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials -
I. Building 4 S I. Building Permit Fee:S _ Indicate how ree is determined:
❑Standard City/Town Application Fee
2. Electrical S ❑Total Project Cost'(Item 6)x multiplier x
3. Plunmbing $ ? Other Fees: S
4. Mechanical (HVAC) S List:
5. Mechanical (Fire S 'rot:d All Fees:S
Suppression)
Check No._Check Amount: Cash Amount
6. 'total Project cost: .S w � � 11 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
a.l onstruction Supervisor License(CSL)
nj MAC l)Z4- License Nw ber Espi anon ate
Name of CSL Holder
List CSL'fype(see below)
itre/t1RL /.iikJQ
NN�and S TYPe Description > -
/- Unrestricted(Buildings tipto 35,000 cu. R.)
�t7A R_> Restricted 1&2 Family Dwelling
Cityfl,own,st e,ZIP I Nfaso
LC Roofing Covering
Window and Siding
O _ SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
T C/Ty I / O1Lf f
HC llcgisro Ntunbe E1 n Date
111C Company Name or IIC Re strant Name
6,rLdrt�Ag& rk � 7
No. ; d Street Email address
>��/��nI4C0b
Cit /Town, te,ZIP 'fete hone
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 Issuance of the building permit.
Signed Affidavit Attached? Yes .......... (A--, No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN.,
OWNER'S AGENT OR CONTRACTOR APPLIES:FOR BUILDING PERMIT`
I,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.
!Tint Owner's Name(Electronic Signature) Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
contained 't this applicati n is true and accurate to the best of my knowledge and understanding.
3!/
Print Ow ter's or Author d r\ nt's Name(Electronic Signature) ate
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 bf.G.L.c. 142A.Other important information on the HIC Program can be found at
%vww.rnass.cov�'oci Information on the Construction Supervisor License can be found at wtvtv.mass.aov/dnS
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. R.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system. Number of decks/porches
Type of cooling system Enclosed Open
3. -Total Project Square Footage"may be substituted far"Total Project Cost"
Salem Historical Commission
120 WASHINGTON STREET,SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has detennined that the proposed:
❑ Construction ❑ Moving
❑x Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other Work
as described below does not involve an exterior architectural 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: 29 Broad Street
Name of Record Owner: Cornelia .Tones Gerhart
Description of Work Proposed:
Replace current roofing with new 3-tab roof. New roof will match the existing in color, material, and design.
Non-applicability issued due to work being in-kind.
Dated: September 4, 2013 SALEM HISTORICAL COMMISSION
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.
TFFS 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.
76a7 ast
The Commonwealth of Massachusetts
° Board of Building Regulations and Stand ar�gQFCj��N ,C�+I�T�Y OF
Massachusetts State Building Code,780 C � vlsVed Mar 2011
Building Permit Application To Construct,Repair,RenovateEM
��dNID1CsOh a
One-or Two-Family Dwelling
This Section For vial Use Only
Building Permit Number: Date Applied:
„Building Official(Print Name) Signature "- - `" Date
SECTION 1:SITE INFORMATION
1.1 7rtyed�ss: � 1.2 Assessors Map&Parcel Numbers
Lla Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSIIIP'
2.1 caner' fRecgrSl:
et lz*s-• /111 D/970
Name(Print) City,State,ZIP
9 �raa� Sf. 7 Y- 176
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 AI ration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other pecify:
Brief Descrip��Cpp��yy of Proposed Work:
P`� Ce..Q.2 G ,C 3� fig/ •I
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
Labor and Materials Official Use Only
1.Building $ _ 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical g ❑Standard City/Town Application Fee u =
❑'rotal Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $ ���/�"
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No. . Check Amount: Cash Amount:
6.Total Project Cost: $a i 0 Paid in Full 13 Outstanding Balance Due:' -
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) p -7 97 ,7 q L
PAII License Number Expiration Date
Name of CSL Holder 6-
3 Milton Street List CSL Type(see below) L-k
No.and Street a efllMA01970 Type = Description '
U Unrestricted(Buildings up to 35,000 cu.ft.
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
N-21'f�,1 I Insulation Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) IL4 ZO&G '3 /�2 /�
Atlantic Weatheriution,LLC HIC Registration Number Expiration Date
HIC Company Name or HIC Avenue
jl
No.and Street Email address
io-gly 3
City/Town,State,ZIP 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 Issu a of the building permit.
Signed Affidavit Attached? Yes ..........16 No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize__i -1 C it/Pi.?
to act on my behalf,in all matters relative to work authorized by this building permit application.
)��"I-e G e-okvt'� ;e
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of pedury that all of the information
contained in this application is an�ccltrate to the best of my knowledge and understanding. /
��iiPP ky�
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. 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
wy w.mass.sov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dos
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 half/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"