57 ENDICOTT ST - BUILDING JACKET C c�5t 1 24S K z'7` It Z-7
The Commonwealth of Massachusetts
OF
Board of Building Regulations and Standards D CITY SALEM
Massachusetts State Buildin�j�p`�C�t SERVICES Revised Mar20ll
Building Permit Application To Construct,Repair,Renovate Or Demolish a
OOne-or Two-Family li
This Section For ly
Building Permit Number: Date Ap ied: -
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
X � C/vt'l C6 T7 S7'
L la 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 Rem 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:
Zone: _ Outside Flood Zone? Municipal ❑ On site disposal system ❑
Public❑ Private❑ Check if yes❑ P p y
SECTION 2: PROPERTY OWNERSHIP'.
2.1 Owner'of Record:
X KA-2E 134t -2 S�cc r V"1IQ
Name(Print) City,State,ZIP
'�: -7 6"o(C0rr sT -7<�< (
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK''(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work:
X Srh IA I C ()-El( QppA0 1 7-
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 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 $ Total All Fees:$
Suppression)
Check No. Check Amount: Cash Amount:
V 6.Total Project Cost: $ 5 ❑Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
o-7 (q p2 License Number Expiration Date (S
1 Name of CSL Holder List CSL Type(see below) V
No.✓and cStreet 1�S = Type Description.
U Unrestricted uildin u to 35,000 cu.ft.
Restricted l&2Fami1 Dwelling
CAItKown,Stale,ZIP M Masonry
rp RC Roofina Coverunt
WS I Window and Siding
SF I Solid Fuel Burning Appliances
I Ct ]5 I I Insulation
Telephone Email address D Demolition
52 yyRegistered Home Improvement Contractor(HIC)
Q;,a ono r ,J QA'y HIC Registration Number Expiration Date
HIC Company Name or HIC Registrar Name
li'L t-t.kc.� r�— ( 7 6 4 67
No.and S eet �--�
l ; fC/2� A,02� CIA C)I gra Email address
City/Town,State ZIP Telephone 3� U V tL t��u ® fKS IM Co/tf
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 .......... ❑ No...........❑
SECTIONN 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILBI NG PERMIT
I,as Owner of the subject property,hereby authorize U—�.Pw/`.. 'T iz, c t_,,
to act on my behalf,in all matters relative to work authorized by this building permit applicntiak
�/a2EN 'r3AlCC-� Z ZCt l �
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'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 in this application is true and accurate to the best of my knowledge and understanding.
Print Owner's or Authorized Agent's ame(Elcturmic,Signature) ate
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
wtivw.mass.eov;oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
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"
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IN-AM Idt#ST-BEfILfG--AN0 APPROVED BY T*IE
1USPFCT-0B ,PRWR TLJ A.PEWT.B,EWG GRANTED
CITY OF SALEM
Date
h
y
!rl� Ward
\ srmNso�j°} Zoning District
Is Property Located in / Location of I
the Historic District? Yes_No_ Building j 7 Ctld ril o
Is Property Located in
the Conservation Area? Yes No V
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, onstruct D , Shed, Pool,
air/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 &ke 7 AS
Address & Phone 57- (1�1w� ® 1512 3
C3eil ✓nl9 or9i,1-
Architect's Name
Address & Phone ( )
Mechanics Name amain
/ 4 s c3a ti d
Address & Phone fit( ManomeT 120 PZ4 0� ZO / 3
IN do
What is the purpose of building? Re S
Material of building? If a dwelling, for how many families? a—
Will building conform to law? 7 CS Asbestos? N O
Estimated cost o)OOO City License# State License # C S 0930313
C3 5"6 6 Borne Improvement
Lic. f c::2=-
SighaLure,bf Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
(2eU4o� d kD ca Z-� F�nrr £'uZ , Pa��G, 4-
Q�S .
�(a U- ress -R-k .4-re J wao ci-
MAIL PERMIT TO: I S7 13evu 6l MA- on (r
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
APPRI D
INSPECTOR 6F BUILDINGS
i
Z S Cis i-k I<� a Z-7 q SS
c� The Commonwealth of Massachusetts
W
Board of Building Regulations and Standards CITSALEM
Y OF
Massachusetts State Building Cade, 780 CMR Revised Mar 2011
F
Building Permit Application To Construct,fd'e'�iatz(WRECEet�ova1 eN t��eptolish a
One-or Two-Family Dwelling t` JJICES
This Section For O O I - NDate
D Building Permit Number: to Appli -: 1
Building Offcial(Print Name) Signatrao
L ' SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
5'� En1'7TC0 Tr ST
L l a 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(it)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Regdned 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: .PROPTRTV OWNERSHfP'
2.1 Owner'of Record:
�.�'�,kEly M• t3F1-tCE,K Sil4-LEM I /� Q1�7
Name(Print) , 9 City,State,ZIP
EA/DIC6Tr S` - - 04it �Yl-SOU—�a(0 LE0FAeprg97,gooS
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK''(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work:
if�t Aou.vb Aea+JC koUAuD FOO t—
`C TAL- NAAD PncloSuy2 l ' r 5r t uueG Pr p 1' Ce. t�� Vet+
u h26 G T� �t S
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
Labor and Materials Official Use Only
1.Building $ a QG OCJ 1. Building'Penult Fee:$ Indicate bow fee is determined:
2.Electrical $ ❑Standard-City/Town Application Fee _
❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Five $
Suppression) Total All Fees:$
JCheck No. Check Amount: Cash Amount:
6.I�Tnotal Project Cost: $ 3Q OQ �G ❑Paid in Full ❑Outstanding Balance Due:
1\1 l_u,, -7 ( Z-S
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date I
Name of CSL Holder -
List CSL Type(see below)
No.and Street 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
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
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 Issuance of 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
1, 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 76:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
con awed in this application is true and accurate to the best of my knowledge and understanding.
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
www.mass.eov/oca Information on the Construction Supervisor License can be found at wwu.mass.>of v/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"may be substituted for"Total Project Cost"
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57endicottplotplan.pdf Download 1 of 1
ProfessfOnal LaDtl Surveyors & Clv__4
' rWRTG&QE INSPECTION _ _ ESSE7(SURVEY SERV,I E
PLOT PLAN OF I D_ OSBORN PAL,iI
10CYST6D BRAD�bRD &.WEED
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Christopher R. 14e11o, A Registered Surveyor Do Hereby Certify That The-
it Plot Plan Was. Prepared For . d �& IId
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fortgage And Is Not Intended Or Represente To Be 6` Or Property:,L�aue Survey.
Iere Set. It Carmot Be Used For Fstabliahn9;4ence., Hedge Or Buildirig vine"s. :Nc
s Extended.Herein To The Iar Owner Or OccupariU "s Plsi Shall Not ;13e Accepts
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IN-AM Idt#ST-BEfILfG--AN0 APPROVED BY T*IE
1USPFCT-0B ,PRWR TLJ A.PEWT.B,EWG GRANTED
CITY OF SALEM
Date
h
y
!rl� Ward
\ srmNso�j°} Zoning District
Is Property Located in / Location of I
the Historic District? Yes_No_ Building j 7 Ctld ril o
Is Property Located in
the Conservation Area? Yes No V
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, onstruct D , Shed, Pool,
air/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 &ke 7 AS
Address & Phone 57- (1�1w� ® 1512 3
C3eil ✓nl9 or9i,1-
Architect's Name
Address & Phone ( )
Mechanics Name amain
/ 4 s c3a ti d
Address & Phone fit( ManomeT 120 PZ4 0� ZO / 3
IN do
What is the purpose of building? Re S
Material of building? If a dwelling, for how many families? a—
Will building conform to law? 7 CS Asbestos? N O
Estimated cost o)OOO City License# State License # C S 0930313
C3 5"6 6 Borne Improvement
Lic. f c::2=-
SighaLure,bf Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
(2eU4o� d kD ca Z-� F�nrr £'uZ , Pa��G, 4-
Q�S .
�(a U- ress -R-k .4-re J wao ci-
MAIL PERMIT TO: I S7 13evu 6l MA- on (r
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
APPRI D
INSPECTOR 6F BUILDINGS
i
/,^`0 b Commonwealth of Massachusetts.;
iCity ®f Salem
A c•
120 Washington St.3rd Fioor Salem,MA 01970(978)745-9595 x5E41
Return card to Building Division for Certificate of OccupEncy
Permit No. B-20-172 F) ERmiT
FEE PAID: $1,204.00 To
BuILD
DATE ISSUED: 2/14/2020
This certifies that LH CAPITAL DEVELOPMENT, LLC
has permission to erect, alter, or demolish a building 57 ENDICOTT STREET Map/Lot: 250518-0
as follows: Other Building Permit REMODEL 1ST & 2ND FLOOR BATHS, KITCHENS, LIVING ROOM,
REMODEL 3RD Ft BEDROOM & BASEMENT, WINDOWS AS NEEDED
Contractor Name: JOAD BAIA
DBA:
Contractor License No: CS-106753 %2r
2/14/2020
Building Official Date
This permit shall be deemed abandoned and •valid unless the work authorized by this permit is commenced within six montl is after issuance.The Building Official
may grant one or more extensions not to exec ed six months each upon written request.
All work authorized by this permit shall confor;n to the approved application and the approved construction documents for wi ich this permit has been granted.
All construction,alterations and changes of ue.e of any building and structures shall be in compliance with the local zoning b}-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public :lspection for the entire duration of the
work until the completion of the same.
The Certificate of Occupancy will not be issuE d until all applicable signatures by the Building and Fire Officials are provided on this permit.
H IC#: 188293 "Persons contracting with unregistered contractors do not have access to the gu<oranty fund"(as set forth in MGL c.142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
h
5
120 Washington St.3rd Floor Salem,MA 01970(978)745-9595;< o41
Return card to Building Division for Certificate of Occuo3ncy C `
;�' Structure CITY OF SALEM BUILDING PERMIT 2 <,�,
PERMIT TO BE POSTED IN THE WINDOW '(
Excavation '`
Footing INSPECTION RECORD
Foundation
Framing y-q a, ,n /� til/
Mechanical (/ (�'Insulation C/ -f•7 j 2 /"INSION• BY DATE
Chimney/Smoke Chamber
Final - ,/ ?.zez o .
I Plumbing/Gas Xl
Rot,gh:F'IumbingL' A
Rough:Gasq // C
Final 61Api j
thal Electrical
Service 2 .../
•
. Rough S 02 7zI
Final
. Fir- Department
Preliminary
SAC!
Final , / Is--
;+l Health Department
Preliminary
Finai