The URL can be used to link to this page

38 CROWDIS ST - BUILDING JACKET Oil ............................. ......... ........... ............. p F—Offici vast 9 111111111111111.111003v. ....E c_F 00 Bwlding Permit Nu ........... .... . I ..... ..... ...... s1TlkAM70 10 Y.111151.' -14 Yom Q% o_11`i%fc� 1�_M I...... Ems yw=Ql� -61nii6aii AM No I I I I I I I I I I I I I... -AN .............. N w Wiy.11 11 ........ ..........................o2 .WHOM 4. ................................ .............................. .I .................................................. W j.4,,Wjter u .jji;� i no :w Zone -,.......... B�,VN: NOT! W MAI ESE 6 ------------- 4mi" pan -----------------------I v Ems Ila long M� NEW Co, . .................... ............... of., .... ....... M�14.44VIW� own AMMOV162 P _15 Has di Any" R gown 0 go, 0 P M.11M END, IN ........... MvM ns %Rom Aq W Awl smommuhn 7, ............ ...................... tii ✓' t i ` -r- ; a7 sr ,. ;f b - rl t. LrvWP T Yty3 f3LCTIONSTMCON47RUCTIONSFIIVIt`BS` r i. " ` t ff � UF4 ` t""Mom, 33s 91LlcettsedCottstrucJlan,Suprt�tsar(CSIr)3}S , 3 rrr ' i`' ` r ,C r r �' w. MON 4 5:tj a rr7 bn�v -�- � a7 r•'ri e .•�¢. i a ,: LHxnse,Nitmtia�, Ir p ,u�>. y"?' t's A. `tr �,T " 'T t"c'rK,.»c `fyl. l ^.psi w t�i.15t,CSt.5TypC'�SCC bCIOwl `. Fa7+�ri a..11 . f y y 3 - x„t r�,CR- u:t"R6fiicied 1�.Fum'fl DN,dhn is - ' ` ha xy 4'=1ii. '✓n,CS-'3�` rMS"Tl'" v- - '- '�p�y M n Mos ".Onl emu" .J rA x ��.o-' 12,�: £RC9ys <Res's9dhitiUl,Ron }'"'� �y �lephoirc � ` i- ., a��' /�WSx:r"Restitenlitll WiniluWvrel Sidtn -iP ti ..vU- .,nr ,- S`;� NOW Y+cc- s ia�* -C. i` t4 - J ' _r' - - . '.,� '• .e=SF-,�`'R�ideiiirdl?Sn1id.Fuel.Bumm3A iritt`�`I�lallrtxm`' s '._ u 4 rs� <s y4 rr`` --n -z' L.' „ .-i. ' ' v� , la md'D" ReSillellttal DenWlnwn' ' ,s•. < s �� , we� /(/1�' di Y S rr iIJ�S } T Y"•... l� �i �l • ?. i1 S '1 '' 3 SECTTONfu}WORiCERSCOMPENSATIONINSURANGBSAFFIDAYIT(MGL?c lSi $l3SC(6))`� t Warkels Cnmpeasatton Ism+m^�^ltffidait mtwt,bE campit tedand submitted mlth this Uausart Paiute m pruwde ;� ' �? -. nK f Ursa y3lti 'r.+ � < S✓ { M} a { .,.+. �.. t `"f Usls�idFdu�itwi�l(resWt�nthedental,ofdiethi�imnce-afthrbmhlmgperm"it:' F ,k .t J �, � _.�. Pot; 4 y , . r �y VIMg} .�'T .�y .�k 5'4 kE• atMile 4 +` � $IgImO'�frlda�Vif3'Atfuehed4�."S'3xtl � r3tf y.♦"rY,� NO•"` "5^x,l�`i�.t� a ...✓ y s h y" s , '� ,�- ]. WWt " '-F"tisY bYY 1• FA s' J f .tv 5 S. a r��'�3,y+,�,,'.SECR'ION�7�„eP sOW,�NF,R EAUTHORIZpTION�T,O HB COMELE'F®WHEN� c•� �,.4r 4 {,,, �� ' Y 'Rfk!'r!"`�- OR'N>It.B.AGEIV��Tq--OR CONTRACTOR AEPf.IE4S'BOR'BIIH.DING PBRM)�T x�' >• � . " ✓s �' I t , tau +ss d � ��r n;C o f Y' -eu '*!�i j ' � p = z a I Way authonne r '� �r��at �+�` rr t ` ' � r ° ; Waatairmy,behalf fnaR''iiintiers ' .s Ieletive tn,work�'>iuthorrmd'by this 6atldmg'rpvmit application �. t..-.- `Y , ,.,' _,� � x + II ✓r 3>L 2'".a4 HAS .y - ^t rs ''Y,fJ i �'4 - ;) S < r fi r u.: a..�.;f'ss� >..�' i '-: .. . t ....r . F .. r n z'-SECT16N 7b OWNER OR AUTNOR7ZItD AGENT flF�CLAI(ATiON`t z x Vs t S}r> -S i ,J', - F; y ;.. �: R h y .,� ,: {'J} t• x � {� s 4 , vE `RftS� >^..,k n r rL s< �;r- rfijtr�..� < � _ ,-'z: asOwn�orAuthariudAgentherebpdeclure�7 Y'e c - 4,• S v"; 'r='= '2. t rs that the statements nml information on the foregoing application sre2nm and accurate,m tie best of my knowledge alid a r ,. Punt Nasor ,u F 7+ ,',. - }e= . , ,S t ♦ -4 r ` .z rway i nafaie aP r Awhmiied A t ' - ,• .Date F- r j ,r _ Ajgned.ulder the mnl tim aF '- ^r' _j • x- , .� -.�1 a: , r 1 1F+ Au Omerwho obtsms a-Miiidt"'WOMMt to da hte/her own work or ottA r who,intvs an unreg+sWtd-rontrw4ar y , .i-K1 r.C•LY i.< W L '4 F r i �iu ..! -7'0':�,. n, c Y,.- r ,•, w '� Y(pot;regtsteral itt{ Aottte ltnpwvemeld Contractor(HIC)t-Ptogrwn) wtll fiavc access to th�arbi_'AmN - 3 r a piogmm orrguvanty�fund LttdaM O c t14 Other wmpottnnt tJtfottwtion Hirai___- '_ l ogrum and 4 , r ` 'tr `'Cons�i'ri3``ctionSupw�itsorlensing(G9L�cnn 6e�.foiynd�{nr71�CFIft Rigulatfona J l0 R6 atxl 11QR9 �espectivelY¢ ,^z . r � ': 2 }E r sub�tsntial wo k is plmtemi i�ttovide+llie info�matlba Total ftoms�area(Sq Ft) �" " (urcluding garage filti9hed baserncridattics decks err pnn h i + r l`�. Gros41)rrtng area,(Sq,E2jt s ' ° { r -�y.�Habhable rd6m countn '��[s f 1 t '; , Niimba aRfirepluc� E^'J � , ,<Nutabar tifliedmoria 4' �+* r ' r r 1Vumtier"°'ofb`athtooms '""'' r' 'NtlmbertifJmlf/bath5 \� ' 'r` e - ' cType nf,hestng system`" "' hu r > r Number of docks/paicftes a ' f w� 5 ile t 3 / ,��'-`ri).Type bfi:CDriing SyStetnr s / 'r 4 .Y t r J3in.klsxd '''`-011,(7pei1/ �.'U"'"Tatal;Pro�CCL$Qeare F'a0amge ttMyibe SIII75tlt11tld far"Ta[dl}Plopxt Cost F' r - L , vx; ,1 t rr r a Ho vs� stair t 'S{Oli i 21 LeI r�c� s t,2t!' , befiefl C41 /6" e.e. • . I Cennol�t� f S!' C.a,..>da s�. Sv�e.., M A � •. I1 L 9 1 S}wvf !: 61tra4rwl St4t�Dt �AM 1 ^14'tM ' ItN s.t.t¢ft 4 �"6" caw+e/avai � Fed.wS S-bod•ile &4« sehed•e k L otr.4-to-t � S i ae. *I*dW 8etw iC it t 5 4tw 1 700 12. sXi' g : ► 4t97 B F it if 68y 3 2 YSO of 44 (�Sl3$-b+) 4/ 12257 120 0 S 16lzX lift Od c. 111!s a 7 02.S /s 4 f( �aa YtaMs tY"xYa'xy' s1,6 . The Commonwealth of Massachusetts ! i Board of Building Regulations and Standards I t)R %I I!Nll'll'AIJI1" Massachusetts State Building Code. 780 C NIR. 7a' edition SI[ ••*` Rrris'ed.hmna;r Building permit Application To Construct. Repair. Renovate Or Demolish a ! One- ru Tit u-Fanoh, Duelling This Section For Official Use Only Building Permit Nam r: e7 ^C'�p Date Applied: `2 Z� -7/?�� Signature: O -- Building Co nmissioner/ Inspector of Buildings Date SECTION 1: SITE INFORMATION 1.1 PropAr ddiess: 5� p L2 :\�essurs Map & Parcel Numbersil CC 2sL¢>f' 1.la Is this an accepted street? yes_ no Map Number - Parcel Number 1.3 o mg Information: IA Property Dimensions: 2V g . /aAw r15 District Proposed Use Lot Area(sy ti) Frontage Uit uilding Setbacks (ft) Frunt Yard Side Yards Rear Yard ! Required Provided Rcyuired Provided Required RuviJcd 1.6 Water Supply: (M.G.L c.40. §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: —/ Zone: _ Outside Flood Zyme? Municipal E On site disposal s tein ❑ Public [7 Private❑ Check if yel P I Ys SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: , �� tj Name(Print) Address for Service: Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction W Existing Building ❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specity: Brief Description of Proposed Work': �' ue — 7 U A xL _ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I. Building $ (Cf�ppa.a' 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost'(item 6) x multiplier x i 3. Plumbing $ 3. Other Fees: $ 4. Mechanical (HVAC) .$ List: 5. Mechanical (Fire Suppression) Total All Fees: $ 6. Total Project Cost $ (v ��"' oo Check No. Check Amount: ("ash Amount: _ ❑ Paid in Full ❑ Outstanding Balance Due: ___ i SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor (CSL) P 3 d 3 C7-. "'. i �License Nunther I:al n,Nameof CSL- Ifolder Lul C'SLType 1>ee hcluwl \di . QC 5r r� T e Ucs,� C Unrestricted 1u i to 35.00R Resumed I:c'_ Fanitk D Signaturep l ••�� M Masonr\ Onlv 9� Fi v4�' �• �� T3 RC Resident ial Rooting Uo�rn ne Telephone \\'S Residential WmJuw :md Suhm _ SF RcsiJcntial Solid Fuel Iflln11116 \ t)hMWc I1111.1ni u D Residential Uemohuon 5.2 istercd 1 ume/Improvemen Contractor(IpC) r/C L.UgCsr�1 �GKC�� ...-- IIIC Cumpuny Name or HIC Rcvistrant Nerve R�gistr:aiun Number Signature _ Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit most 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 .......... ❑ No . SECTION 7a: OWNER AUTHORIZATION TO RE COMPLETED WHEN OWNER'S AGENT OR L'ONTRACTOR APPLIES F•OR BUILDING PERMIT as Owner of the subject property hereby authorize _ _ _ to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION i as Owner or Authorized Agent hereby decl:ue that the statements and information on the foregoing application are true and accurate. to the best of my knowledge and behalf. Print Name ---- — Signature of Owner or Authorized Agent Date (Signed under the 2ains and penalties of er u ) NOTES: I. An Owner who obtains a building permit to do his/her own work or an owner who hires an unregistered contractor (nut registered in the Home Improvement Contractor(HIC) Program), will not have access to the :ubitr:uion program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 730 C'MR Regulations I IO.R6 and 11O.R5. respectively. ' When substantial work is planned, provide the information below: Total flours area(Sq. Ft.) (including garage, finished basement1uttics. decks or porchi Gross living area iSq. Ft.) Habitable room count _ Number of fireplaces Number of bedrooms Number of bathrooms Number of halt1baths Type of heating system Number of deck,/ porches Type of cooling system Enclosed Upen 3. "Total Project Square Footage• may be substituted for "Total Project Cost" ^� The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF Massachusetts State Building Code, 780 CMR SALEM Revised Mar 2011 Building Permit Application To Construct, Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Ofrwial Use Only Building Permit Number: to Applied: Building Official(Print Name) Signature 61 Date SECTION 1: SITE INFORMATION 1.1 Pro rty Address: 1.2 As ors Map&Parcel Nu 3 C'Tot1< � S-r t i 1 1.1 a Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zon�ing Information: 1. Property.Dimeons: !n� Z Zoning District Proposed Use Lot X&(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 OWNERSHW 2.1 Ownert of Record: ©1 P,4sY C.e m- J l �hrW �� c�F '2fN� 4 Name(Print) City,State,ZIP -ZOu ero w(ka S k"_QJ 911 -%0 144cf scAeconv,o �3 S_�g1 t 1Zo No.and Street Telephone Email[Adress SE TION 3:DESCRIPTION OF PROPOSED WORK (cheek all that apply) New Construction d I Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alterarion(s) ❑ 1 Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ Number of Units_ Other ❑ Specify: Brief Description /ofProposed Work 2: O S Jf SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building $ g'i o00 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ❑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:$ G � Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ O( - ❑Paid in Full ❑Outstanding Balance Due: �� -© O ACV/ �� Dr•,QOt�ne/ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) i q-t G iV V License Number Ex pi [ion Date Name of CSL folder " z List CSL Type(see below) y No.and Street Type Description /t 1 U Unrestricted(Buildings up to 35,000 cu.ft. �J"t6 r.-��"-2�. mi o l.r� C> R Restricted I&2 FamilyDwelling in City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding mtc SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Imp rovemen Contractor ) I - I 1 c�cp4 ((lA �Bc�IS�J�L HIC Registration Number Expiration Date HIC Co rm�any Name or HIC Registrant Name \ // 1�4. 0 Su + S� hC C5 - v N d Street Email address �T 4,,- Mil- GSr 56 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 Issuan f the building permit Signed Affidavit Attached? Yes.......... 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 to act on my behalf,in all matters relative to work authorized by this building permit application. 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 perjury that all of the information contain i is plicaf iiseandac orate to the best of my knowledge and understanding. -7.7- 1 � PrintOwner's or A ri 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 www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass. ovg /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. 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"maybe substituted for"Total Project Cost" �\ _-- fhe l'onuuouwe,tlth of 1las+.tchuseIts I ( nt Boa I:d of 11 uddin Ih:cu Ia(a )its ,Ind Standards \II NIL if, \I I I 1 Ol y \tI>Sa.husetts Slat wl inc Code. 7SUl'MR, 7"" -dwon � Buildin= Prnnit :\pplie, on To ('t nsinlil. R,:pair. R,•nu%ah• l)r Ik•nt,tll,lt a � h' � �-J A„�: ,, • „s \ U w- r 'it, -1 ,unilc lht cllin¢ - I s : CC ]kill For Official l!se Only .._. Building Pernvi N the - --- — -- Date Applied, --_-- ---. 13w1 g onuu oueu lin .fat If Budding, �— SECTION I: SITE: INFORMA 11()N LI 1'r- crts k dress 1.2 Assessors Map & Paivel Numbers I la I Ih III Su t.IIcJ_ttiU' "es j 1.3 Zoning information: 1.4 Pruprrty Dimensions: Z+ ., t !?uvlct Prop,urd C\e __ I Lai :\Ica I,y to Runmge I ll r 1.5 Building Setbacks Ifti —� —_-- Front Yard Side Yards Rr:a Yard j RcyuueJ PnrviJed Reyuucd Pros deJ ReyuueJ Pn�,idtd —.—--: - 1.6 Water Supply: I\4.G.L c. 10. §54) 1.7 Flood Zone information: 1.8 Sewage Disposal System: Zone� _ Outside Flood Zone' tiuniclpal El Oil .tie Julwsal ,,,trot ❑I'uhlic ❑ Pmate❑ Check If yes❑ SECTION l: PROPERTY OWNERS.MP' �1 Ownert of Record• ' � fee k,Cem��C• nw,uol��F �c3 CSZowvJi�—S-•---------- Name I Print) �— Address for Service Signature Telephone __ — _ SECTION 3: DESCRIPTION OF PROPOSED WORK'(�check all that apply) BuilJin ❑ Ow.ner-Crcupied I� Rel�ialnls) f] i :\Ile :u� ahs) ❑ I :\J:i::n,:: ❑ j New Construction Existing g Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other Sp�r,uy _ ___-- jo�riel��X� ct�iptton of Proposed Work'' - — -- — -- SECTION -3: ESTIMATED CONSTRUCTION COSTS —i — — Estimated Cuts: IOfficial Use Only Imrn ILahor and Materials) I Building ('� i 1. BwWmfi Permit Fee: S---- Indicate ho,s lee is Liar,nt;r,cd- ----�c ❑ Standard City/ILwn Apphcahon Fee i'lec otral �� ❑ -fowl Project Cost' (hem G) x mole leer t. Plumhlnt '� ap Do _'. Other Fees: S — �j !,l i. Mechamcat (FIVACI 4 i )Iechamcal ;File15 faa! All Fee,: S - — _ ��777 (heck No _ l�heck .\mnu nl' h Dotal Project t_'ost ) 13 �S� ! ❑ P.ud In Full -- C Outst_�mhnt� Iti,,hl n.r-Due. V _ SECTION 5: CO:NSTRUC HON' SFR% WES ! 5.1 Licensed Cun+tructiun tiupervisor (C'SL1 --- ' \,u l sl II W r p I I.I,( S1, I,Ix' �ic h.Ln,( J) o to ._ 7 �Ilur.11LuJ �+ . IMIUI .I 1'I K + Kr,ul,•.J 14 f umh D„ Ilu sP I4, egis Bred Ilum`tprolV, •nt Cuntr Our (Uu. ) I Il'lL q,:m, ..viol• a IIIC Kl••�I�II aIII .\dII1Q RCgn(rdIIUII Nuwh:r i _ _ C7-�o31 I:mr�u,gi D,ae ' Sigu twe rclrplrunr SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (:M.G.L. c. 152. § 2506)) Workers Compensation Insurance athdavil must be o-mpleted and ,uhnutted with this ,1pri—it -m. [:allure In plus Ide this attidavit will result in the denial of (he Issuance of the building permit. Signed Affidavit .Attached'? Yes ..........Im No ❑ --{ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. --___, -- _.__ _---- - ❑s Owner of the• ,i�h jli l property hereby allthi."Ze _ 1:1 flit im in, hchaif. I1 .t11 nl.utel:S �rl:do.e to •.cork authorised by this building permit appli anon. -- -_ ----- Sieiiaiurc of Owner UJ1C SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION /� ti I. + ) S br-kS\ ' AAf C \'[�\ YP,IMO�-"L -1- f, as Owner ur Awhruved \gent hereby Jri Lne that the statements and information on the foregonc application arc true and accurate. to the best tit my know ledge and he f. U pro t . it Signulur of Owne or Authonied .Agent Date (Signed under the pain,and penalties of perj ir)l ! NOTES: I. An Owner who ohtalns a building permit to do his/her own work or an owner who hires an unIeUis(Cled tkmt1a0u)1� U)o( reeistered In the Houle Improvement Contractor (HICI Program), will not have access or ihe ,uhitimi,m Program or guaranty Lund under M.G.L. c. 11_'A. Other important mtormanon on the HI(' Proto,im mid j C,'nenui non Supervisor Licensing WSI.i can he tound in -80(':•IR Regulations I If).RO and I I(1 K5, ie,pc,usely When suh,(annal work is planned, pni,IJe the inhumation below. Total Hours area iSy. Ft.l including garage. finished ha,emenUmn,s. Jocks ��r p�a,hl ' (no„ by-mg .tiro iSy. Fri Habitable n,om count Numberct nieplaces— _-- Ntnnhertit hedn,,nn, \nether tit h,ilhn(.nna- Numher ( h,ll: hjih, I\I,e �,f hr,nme 'v'Iem - 1-,Iseul :� ,�Ilne ,\,tern ______— I'n,k.,cd �. F'(al Prnleet ti•hrare 1 indagr nLi, he ,uh,tituted hu '5a'd ("'11"