10 CHESTNUT ST - BUILDING INSPECTION (3) -PL-*NS IMST-BE f L+G--A+d0 APPROVED 8Y TME
J�PBCT�A .PF9R Tp;A PERMIT BEING GRANTED
CITY OF SALEM
No.
✓� q-ZQU�'I ,��`� .L ��'g� Date
Is Property Located in Location of
the Historic District? Yes L,-'No_ Building
Is Property Located in
the Conservation Area? Yes—No V
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) eroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace Other:
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name / °In,�
41-1 L/I
Address & Phone //V� C4r?N.'T Pf- Lq ) g 9�( S U b 7
Architect's Name C-�r N, l fl61.
Address & Phone d W f°x f' - ✓ A A^ 7Y I
Mechanics Name A-k
Address & Phone
What is the purpose of building?
Material of building? fi0 c h ' W G'Z�GP If a dwelling, for how many families?
BI
Will building conform to law? 1 <[ Asbestos? //" V
Estimated cost 3 0 , City License# N P' State Li nse #
Rome Improvement
Lie. i
X Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF /WORK TO BE DONE
AOff a� / T7 rfiC�Pn Gi,.a'' v, 7 .
MAIL PERMIT T0:
No. 3 l q� oto tiJ
APPLICATION FOR
PERMIT TO
LOCATION-' ��sfonLv
io C4
PERMIT GRANTED
APP VFD
INSPECTOR OF BUILDINGS
3 �
CITY OF SALEM
BUII.DING DEPARTMENT
HOMEOWNER LICENSE E)MMPTION
Please Pratt
DAIS
JOB LOCATION / 6 C �-f�v�� TG 4o,
xorgowNEII m Ae
ADDRESS
HOMEOWNER r �d 7
TELEPHONE /
PRESENT MAILING ADDRESS / 0 C lFIfiA/�7 �T
The curreru crempdon of`horncowaerC Has r-=nded to include owotroceopied dwdliogs of TWO
Units or less and to allow such homcowners to engage an individual for bite who does rot posses a
license,provided that the owner act as supervisor.
DEFIN TION OF HOMEOWNER:
Person(s)who owns a parcel of land on which hc1shc midts or intends to reside,on which there i;or is
intended to be,a one to two family dwelling,anached or detached swoctwcs accessory to such we and1w
farm structures.A person who constructs more than one home in a two-year period sball not be considered
a homeowner. Such"homcownei'1 shall'submit to the Building Official,on a form acccptabk so the
Building Mcial,that lrclshe be respormble to all such work pafotmed tinder the building preop.
.The tmdenigrted"homeowner"antmta rmportsibility for compliance with the State Building Code and
other applicable goes by-laws,rules and regulations.
The undenigncd'homrowner"certifies that ht/shc understands the City of Salem Building Depwuacot
minimmn inspcction procedures and requirements and that 1Jshe will comply with said prootdwa and
TD9 �%9!
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING INSPECTOR
See other side for state code
HOMEOWNER'S EXEMPTION
The code states that "any homeowner performing work for which a building pernut is required shall be
exempt from the provisions of this section (Section 109.1.1-licensing of Construction Supervisors);
Prodded that is a homeowner engages a person(s)for hire to do such work,that such homeowner shall so
as anperyiw."
Many homeowners who use this exemption are unaware that they are assuming the reespoansrbilitia of s
supervisor(sec Appendix Q,Ruia and Repiarions for Licensing Coostruetion Supervisors,Seetiw
.2.14 This lack of awarrnas often results in serious problems,particularly when the 6omeovrrtahires
unlicensed persons. In this case your Board cannot proceed against the unlicensed person as it'"veld with
licensed Supmisor. Tbc bomt"-Dtr*cling as supervisor is ultimately respouslble.
To ensue that the homeowner is fully aware of hi/her responsibilities,marry commtutitia require;as part
of the permit application,that the homeowner certify that he/she understands the responsibilities ata
supervisor. You may care to amend and adopt such a formueenification for use in yaur eonm Melly.
- I
Y OF SALEM, MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASNIN6TON STREET, 3RD FLOOR
i qp SALEM,MA 01970
a j ,
TEL. (978)745-9595 EXT.380
arnr8 FAX (978) 740-9846
STANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40,S34,I aclmowledge that as a condition
of Building Permit# , all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility,as defined by MGL c III,S150A.
The debris will be disposed of at: /V fl ��/i✓rP
Location of Facility q
Signature of Permit Applicant Date
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
Name of Permit Applicant
Firm Name,if/any
( �
0 C/ / i 7 J /
Address, City & State
The above statute requires that debris from the demolition,renovation,rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cM, S 150A, and the building permits or licenses are to
indicate the location of the facility.
Ca
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 10 Chestnut Street
Name of Record Owner: Marshall Strauss & Elaine Gerdine
Description of Work Proposed:
Per drawings submitted, remove sliding glass door as shown in right elevation;remove,first,floor, right window of rear
elevation and reuse window to replace sliding glass door being removed.- Window to align with 2"`,floor. Install door M-
3984 (3'0"x 7'0) in location where rear window being removed, with casing to match existing window casings. A?ove
granite blockfrom former slider door location to new rear door location.
Replace existing bulkhead door and transom with new wood, true divided light, window to match rest on,facade (suggest
order with no sill and have carpenter create sill to match rest on house) and to align with first and second floor windows.
Option to install basement window (matching other basement windows) under new window.
Patch all clapboards was Irick k extend water table to match existing.
Installation of porch door and handrailings continued to the meeting of October I, 2003.
Dated: September 4, 2003 SALEM HISTOORIICAL 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.