46 CHESTNUT ST - BUILDING PERMIT APP E he ( '„II mon�ti.Jih UI Nlxs,acllu,ell, -
v k Iioaid it litnldin�: RegnIation, and Standaid, I f rlt
!
., \1:u,.1.hu,rtu State Huildini Code. 7Sll ('MR. 7 ' cannon
r 1• I �i
l3uilJin Pernul :\pPlii.tuun To (,,n,suucl. Repair. I?in: late Or I)inl, li,h ,t
(hrf• nr T.!„-/runrlc !h!Alin(• l
�— Thu Section For Ot hth,ial I',e hd.v
l3widu,u Permit Nu ,ee - _ _ _.. _. __—_—_ L•I!e'Applied J: J_(J -�. .�TJ�
19n ;nf Cr!mnu .umi .m;'e.ni .' ISu!IJ me, U.!te
-- 'S;:k PION 1: .SI I V I.NFORNI.\11(.):N
I 1.1 Proper') I"<ddress: �.r , 1 \,se,sur \YaY/ s Pareri Number,
t -S �ontn„ II1Y.:ril'atlnkl: •Y.1 Property Dimensions:
----
_rnu!/ Dulr:Cl Pn,po,eJ 1 x• Lot Area r,y IL F!:mr!vr ul it,
1.5 Ruilding Setbacks (ft) r--
Fnmt Yard �.. "'de YJ16 — Real 1'md
' Rnpw eJ Pnn!JiJ j Rey:ureJ Pr!rv!JeJ Hcyun eJ P
1.6 Water Supply: !.\1.0 L c 111. §54r 1.7 Hood Zone Information: 1.8 Sewage Disposai System:
Zorr Outside Fl(n)d Zone:'
Puhlre ❑ Pr"ate ❑ — (heck it ye,❑ Municipal ❑ On sae Jrs)nnal ❑
SECTION 3: PROPERTY OWNERSHIP'
Owner'of Re•ord: �-f --
C'arEt je#+/voa (( '46
Print) Addreu for Scr,ice.
S!cnrlure Telephone !
SECTION 3 f E ,C'RIP'NON OF PROPOSED 1VORKz(check a that apply)
New Cl rnsirucurm ❑ F:i,nr 6 B'u me!d!ng UI 11%% r Occupied Retrur,i iiieraUf nr„ fi :\ 1J!u n—
__.
! Dc^r, r ❑ Ac eN HI;r.Y ❑ I H,;❑ bcr ut Unite Other ❑ Speuty
Prnp'!,el CY! rr }Zfl+'r o1LE �f lid C� ez �fU S7-Z
-
- - -
'
I ___PfRwctT FIZoKA Sx(ltwa _N(sTDatcwl
Sl•:CfION 4: EST1NI:STED CONSTRUCTION COSTS
Ilan I E . , r •rcd t r us: Officiai Use Only
I 13wIJ!ng 'S 7 SL O I. Building Permit FiC: 5 Ind!i❑tc h,r,% lee r, lcle!!nin�,l
t- ❑ Standard City/Tu,s❑ :lpphcaufm Fee
'_. F:lectneul S t
CI T!,Inl Pngeci Cost (Item 6) s multiplier ___ s --_. __
( I'lumh;ng S , Other Pees: S
1 Nlerhanlral !Ei\':\(') ] ---1 List: _--
t i %Icihan!e.d IFire - _-� ---- - -
h:uul :\I1 Fee.. 1
l� � I ('heik Nn l hecA .\mrrur.t
b (alai Project Cult � ) / ❑ Paid In Fa11 ❑ Oul,tdnJ!ml IS.J.u!.e I)ue
h� LO
a
SECTION 5: CONSTRUCTION SER% ft ES
5.1 Licensed Construction Supersisor IC'SL1 -- ---- -- p
a� a �
� Lniini Numher I.slni.ui�ni D.l i .
CS1.- n,�wir S
t- GAT ig Le, 11,1 ( 11. rl Zvi — hi lu,% 1
l I nli,Irx lid u t w �'.(M)U Cu I`I
1i_nauuerr 1 �\Ln��nn I lnh
\\S—�IIi,iJ,i Ii.J
�sl`—+H:.iJ.uu.d �u iJ I ;r1 Ii tin n \LLi n lini li i, i�
5.2 eKistcrcd Ilomr In pnrremrnt Contractor IIIIC) --- �O.3e � �_--- __- I
/J licZ p,-2 O f.V lam/�.✓(C'Z --- I- -
It IC C'm .mv .Name [ III Zee; �u Nome C,/L `� �A Rre;,l ration Nooll,.r
4/7—FSY-oaf— F,puatumDate
signature telephone .
SECTION 6: WORK ' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 2506))
Workers Compensation Insurance affidavit must be-completed and ,ubmiued with this :;ppllr,rw m. Failure to pn;\IJe
this affidavit will result in the denial of the Issuance 'the building permit.
Signed Atfidavit 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 m_v behalf. in all inauers _
relative to work authorized by this building permit application.
Slenature of Owner Date
SECTION 7b: OWNERI OR AUTHORIZED AGENT DECLARA rION _
1. �� WAI- 6 Z-S�o IL G)(L.z , as Owner or Authorized A.em herchy Jeclarc
That the statements and information on the foregoing application are true and accurate. to the best of my knowledge and - - -
behalf*
, L K-1 Ez./icz
Print N ne —_— t z2
S;enulure tit Owner or Authorized Agent Date --- -----
tsl med under the nine and enal ties of periu
NOTES:
I. An Owner who obtains a building permit to Jo his/her own work.or :moaner who hires an unregl,lcicd c,nnra, Ior
(no( registered in the Home Improvement Contractor (H1C1 Program), will not have acces, to me .uhin:uu-n j
program or guaranty fund under M.G.L. e. IJ'_A. Other Important inhumation on the HIC Program .;nd
Construction Supervisor Licensing IC51_I can he found In 780 CNIR Regulations 1 10R6 and 1 11) 145, rrspecuseld
When substantial \wrk is planned, pnr\tde the mlotmation below:
Total floors area 1 Sy. Ft uncludtng garage. finished ha,eirent/attle,. Jocks ,,r pond\,
Gross hclnv area ISq. Ft) Habitable room count
I Number of loeplaces -- Numher of hedro,,ms _
Numbet „r h.uhloorn, ._ NLI lllhel of h.J lih.l l hs -
'
I \i+eof ,,ohng ,.\,tern___ ___-__ Iin,Lu•J _- __-____ . 2lPcn _ ______ ..:� _
i "I\ual Protect Syuare FooLIgC" Ian he ,ubstituled his .:17o1.11 Prnlect C\nt'
0
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978) 745-9595 EXT. 311 FAX (978) 740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
I
❑ Construction ❑ Moving
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: 46 Chestnut St-
Name of Record Owner: Randall Realty Trust
Description of Work Proposed:
Repair/replace siding on front fagade to replicate existing. Repair/replace trim as needed to replicate existing.
Repainting of house in existing colors.
No changes in color, material, design or outward appearance. Non-applicable due to being in kind
maintenance/replacement.
Dated: March 18, 2008 SALEM ICA 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.