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6 CHESTNUT ST - BUILDING INSPECTION e � a Salem Historical Commission 120 WASHINGTON STREET,SALEM, MASSACHUSETTS 01970 (978)745-9595 EXT. 311 FAX (978)740-0404 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction 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 Prope Name of Record Owner: James McLean Description of Work Proposed: Replace existing door and window in rear with two panel, wood, French style door with one side fixed, 15 true divided lights per panel. Instead of transom proposed, door to have lintel with maximum 9"projection. Option to move door to the left a maximum of 12 inches. Painted to match existing. If above is not feasible, option to replace existing door only with wood, 15 light, true divided light door, painted to match existing. Dated: April 5, 2007 SALEM HIST�OpRICAL 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. 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. p Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 (978)745-9595 EXT.311 FAX (978) 740-0404 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction 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: F Chestnut Street Name of Record Owner: James & Julianne McLean Description of Work Proposed: Addition of transom similar to those existing on the house over rear doors approved on certificate dated 4/5/07. Dated: June 21 2007 SALEMM 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. 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. CITY OF SALEM 4,1- PUBLIC PROPRERTY DEPARTMENT ,..r.::■l r.Y ra:r xv i. 12C W.\.9lIX4::0NSAEET •S.atVV. Nf.%%%c: a 'Li I5;:97: TF.1:978-743-9595 •F.-M 978.7449846 Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 7S0 CbiR section 111.5 Debris, and the provisions of viGL c 40, S 54; Building Permit # _ _ is issued with the condition that the debris resulting from (his work shall be disposed of in a properly licensed waste disposal facility as defined by N4GL c 111. S 1.50A. The debris will be transported by: (name of hauler) The debris will be disposed of in tIG/�tilrty) d CITY OF SM.EM PUBLIC PROPERTY DEPARTMENT KI Nwroa ,20 WARONGTON S RM.SMEKNUMACHuMM01970 7vA:978-745-95".FAr;978•740-ft" HOMEOWNER LICENSE EXEM"ION Ptease Print Date Job Location Home Owner Address c ' Home Owner Telephone !T o 3, S-Ci Present Mailing Address j �v 7- The current exemption of"Homeowners"was extended to include owner-occupied dwellings of two Units or less and to allow such homeowners to engage an individual for hire who,does not possess a license,provided that the owner act@ as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two family dwellin& attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official,on a form acceptable to the Building Official, that he/she be responsible for all such work performed under the Building Permit. The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable by-laws and regulations. The undersigned "homeowner"certifies that he/she understands the City of Salem Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE ✓�- APPROVAL OF BUILDING INS E OR 14 See other side for state code GIT`Y-OF�XLE� PUBLIC PROPERTY DEPAR'I1bMNT wI�01F�Y DRLSCULL NArol •130 WA WNCUa b`f7Fi'r '�t��ACHLUXTS 01970 TEL M-745-9"S*FAX 971040."" APPLICATION FOR THR REPAIR. RENOVATION CONSTRUCTION DEMOLITION. OR CAANGE OF USE OR OCCUPwNCy FOR ANY E?QSTING STRUC � OR BUII.DINC 1.0 SITE INFORMATION - Location Name: g�M Property Addreser VT" Property Is located in a:Conservation Area Y/N Hlstorlc District Y/N 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land ` Name: S ri V L L wl C Address: (P e,�p tom'! `7 a Telephone: 01 '7 '7 y Z�3 3.0 COMPLETE THIS SECTION FOR WORK IN EYISIING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor(sf) Renovated construction or renovation of existing building New Brief Description of Proposed Work: JL..ti�L�c_1 r✓�—� a{� � .� kz-k� Tj-I v r T,� + —" Mail Permit to: What is the current use of the Building? units?�--- ifdwelling.tow many Material of Budding? s Asbestos? WIN the Building Confom+to Law? Amhiteds Name ( ) Address and Phone Mechanic's Name Address and Phone esue.o-wNt�HIc Registration f1-- Constriction supervisors License 0 Estimated Cost of Project Permit Fee Cakulstior soma Estimated Cost X$7I1111000 Residential parmitiFeell Es*nated Cast X S111S1000 CammerciMi- An Additional$6.00 is added as an AdminwratNe charge. Make sure that all fields are property and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to build to the above stated specifications. Signed under penalty of perjury D e IL N s SO C O y mar --