0356 ESSEX ST - BPA-13-1005 �k u-7 ^)
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The Commonwealth of Massachusetts
Board of Building Regulations and StandardEIIA
s CITY OF
/ ALEM
Massachusetts State Building Code, 730 CNIR Sd Har
Revised Mar 2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Divelling
This Section For rbfticial Use Only.
Building Permit Number: . D3 Applied.
Building Official(Print Name) Signature Date
SECTION I:SITE INFORMATION
1.1 Property Aqjdr ess: /� L P
2 Assessors Ma reel Numbers
•_ d'Sr(O 5 fit✓(. �I �
1.1 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(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided j
1.6 Water Supply: (M.O.L c.40,§54) 1.7 Flood Zone Information: LS Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
c y' �S,ECTION!:, PROPERTYOWNERSHD?L
w Q�]
1.1 rrtoW(j11^/tu 1� fCi
Name(Priny City,State,ZIP
No.and Street - Telephone Email Address
SECTION 3: DESCRIPTION OF.PROPOSED WORW'(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) Addition ❑
Demolition tio�} ❑ Accessory
Bldg. ❑ Number of Units Other ❑ Specify:
Brief Dy.�cr�ptll` Propose
nb�//lV( —
1lt:i3O 1
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
hem Offidal Use Only.
(Labor and iLlaterials
I. Building $ -3 d 6 1 I. Building Permit Pee:S ' Indicate how fee is determined:
2. F.Icctrical ❑Standard..City/Gown Application Fee
❑'Cotal Project Costr(Item 6)x multiplier x
3. Plumbing S ?- Other Fees: 3
1. Mechanical (IIVAQ 3 List: [7�
i. Mechanical (Firo S
Sn > session) 1'utal:All Fees:S_
r I Check No. _Check Amount: _ Qish Anwunt
r, I'ntnl I'rnjeet Coi1t: 3 (�'�U t ❑ Paid in 1'1111 0 Outstmuhn„ li tltncc Du.;
SECTION 5: CONS'rRUCPION SERVICES
5.1 Cmtstruction Supervisor Liceuse(CSL)
License Number Gspir:ttion Date
NNne of CSL I[older List CSL Type(See below)
Type Description
No. and Street
- U Unrestricted Duildin s"il to 3i,000 cu. R.
R Restricted I&2 Fmnil Dwellin
citylrown, State, ZIP M blasonr
RC Rootin Coverin
WS Window and Sidin 1
SF Solid Fuel Burning Appliances �^
I Insulation
Nle hone Email address D Demolition
- — ?a 5.2 Registere Hom mpr e�tg,,ntContractor(H[C)
j '
f I(J '(- HIC Re 1 trttion Number /E�e irnti n Uate �M
I IIC Cum y j�tftp egistratt None �, 1'�1 ,Q��'r,Q;m llt r gJ 91n�'1,l •e r r L
No. and Street '&rrt Jl Q 7 '7I W �l Email add Ws
City/Town, State, ZIP / / Tzle hone
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
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
contained in this application is true and accurate to the best of my knowledge and understanding.
rrlm 0% ner's or Authorized A;cnt's Name(Electronic Signnturz) Date
NOTES:
I. :\n 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 find under M.G.L. c. 1 12A. Other important information can the HIC program can be found at
www.mu;<.�.uvrort Information on the Construction Supervisor License can be found at www.nnss.,-ovdL
2. When substantial work is planned,provide the information below:
rord floor area(sq. 11.) —(including garage, finished busement uttics, decks or p� ch)
aro;; living mca(sq. It.) _ — Ifabitable room count --
Nuntbcr of tireplaxs. —_-_-------- Number of bedrooms
Numberufbailaroon" Num6erofh:dtib;uhs
fvpo of heating ;y;tena - -- "--- -- _ Nunther of,leek„porchc; ._. ... ___
fy pe of cooling wy tQln .._.._ -- __.—. - _ F:nclo;cd __. - J Ipcn ----_-------
V. `h��tal i,gwa Oyu uv Foot.ye 11.1V he ,nbstituc,l t;,i I ;.il I rn'Itd Co:t"
CITY OF S:LLE4NI2 M kSSCwHUSETTS
BU=LYG DEP.1RT MNT
120 C1/-131iLYGT0N STREET, 3'0 Ft00[t
T-FL (978) 745-9595
FAX(973) 7.40-9345
fUJfDERi.EY D(i:ISCO[1.
AMOA. TlfcmUST.ItIEA s
DIRECTOR OF PLOLIC PROPERTY/8L=LNG COSL%IISSIO.YER
Construction Debris Disposal Aff7davit
(required for all demolition turd renovation work)
In accordance with the sixth edition of the State Building Code, 730 C&fR section t 11.5
Debris, and the provisions of tMGL e 40, S 54;
Building Permit/s is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed wast
t 11, S 154A. e disposal facility as defined by ttifGL c
1'hc debris wil~ntransportld,byL
(name ut'haulcr)
The debris will be disposed of in :
Ninicofracc�litty)
--1()0j
siyn ue of permit applicant
Front-porch replacement
356 Essex Street
Overview
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RAILING SIDE VIEW
TOP AND BOTTOM RAILS: 11/2rr X 3"_
BALISTERS: I13/16" ROUND
36" '
rr 1 i
4 PACIN ; ON CUNTER i
i
1
4„ i
i
STAIRS SIDE VIEW
TOP AND BOTTOM RAILS-
1 1/2ff x 3"
s
34 9 i
,
fB Uc TERS: 113/16"'RouNDy
4" A" SOLID POST
i
. _. � � � EE i i � � ` • � WITH PYRAMID CAP
10 1/2 STEP
71 4" RISERS i
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