93 FEDERAL ST - BUILDING JACKET fhe Commonwealth ot''Massachusetts
I Board ul Building Regul (inns and Standards CITY
I , Massachusetts State Building ode. 780 C'MR. T"edition OF SALFM
I Revised Juntrur1.
Building Pe it pplicaliun To Cu truce, Repair. Renovate Or Demolish a
One-or Av -Fumily Dwelling
This§fElion For O.ftcial Use Only
Building Permit N ymbe . Date Applied: t�
Signature:
Huddind Cormnissione I spector of Buildings Data f /
SECTION 1: SITE INFORMATION
I.I Pygv ppd,„ // `�j/ 1.2 Assessors Map A Parcel Numbers
I.la Is ibis an accepted street?yes_ no Map Number Parcel Number
1J Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq 11) Frontage(11)
1.5 Building Setbacks(R)
From Yard Side Yards Rear Yard
P
d Provided Required Provided Required Provided
Supply:(M.G.t.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Private O Zone: _ Outside Flood Zone? Municipal O On site disposal system O
Check if esO
SECTION 2: PROPERTY OWNERSHIP'
rRecor 93 Add/less for Service:
Telephone
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction O Existing Building O Owner-Occupied Repairs(s) O Alteration(s) O Addition O
Demolition O Accessory Bldg.O Number of Units_ they O Specify:
Brief Description of Proposed W k2:
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: 016clal Use Only
Labor and Materials y
L Building S Q 1. Building Permit Fee:f Indicate how fee is determined:
?. Electrical f O Standard Ca�frownApplication FeeO Total Projectem )x multiplier x
). Plumbing S 2. Other Fen:
4. Mechanical (tIVAC) S List:
3. Mechanical (Fire S
Suppression) Total All Fees:f
Check No. Check Amount: Cash Amount:
6. Total Project Cost: S ❑Paid in Full 0 Outstanding Balance Due:
SECTIONS: CONSTRUCTION SERVICES
.t.l_Licensed onstructlonSupervlsor(CSL) (Is /3y[U j(s7 � �l1
(`� 1 I.icense Number F%piratiun Date
Nam�5C'.l'f_J.., ld(/f/ / �I lyn—per- List C'SL rype/see below)
�,,/i `�/ r Description
:C U unrestricted u to15,000C'u.Ft.
R Restricted Id2 F—ilv Dwelling
�t re M M On]
`7 RC Residential Rooling Covering
Telephone WS Residential Window and Sidin
SF Residential Solid Fuel Bwnin ApplinrwY Installauun
D Residential Demolition .
5.2 Rpab(llrod fT%p C t c r(HIC) // �/Registration Numbibir
IllliC «%� ` e 101-7/ o(c
A 2 �D -- Expintion Date
Signature 'relephune
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,e. ISL S M(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 ..........O No...........Cl
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWN R' GE O ONTRACTOR APPLIES FOR BUILDING PERMIT
1 as Owner of the subject property hereby
authorize to act on my behalf,in all matters
relattr' a to work authorized by this building permit application.
!J 22
Si are of Owner Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
1 ,as Owner or Authorized Agent hereby declare
that the state menu an 'nformation on the foregoing application are We and accurate,to the best of my knowledge and
beh /
Pri
Signature of Owner or Authori Agent Date
Si under the ains and penalties of 'u
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who him an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will have access to the arbitration
program or guaranty fund under M.G.L.c. IJ2A. Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 730 CMR Regulations 1 IO.R6 and 1 10.RS,respectively.
? When substantial work is planned,provide the information below:
Total floors area(Sq. Ft.) (including garage, finished basement/attics,decks or porch)
Gross living area(Sq.FI.I Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of healing system Number of decks/porches
T)peof cooling System Enclosed Open
). "Total Project Square Footage"maybe substituted for"Total Project Cost"
(.
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• 91-93 Federal Street
Name of Record Owner Arlander Realty Trust, Jean Colby Arlander, Trustee
Description of Work Proposed:
Replace the second floor window over the front side-entrance door with a double hung 12 over 12 window,
replace the front 3refloor ell window with a 6 over 6 window and replace the top two wooden panels of the
front door with antique glass (laminated safety glass 5116" thick), reusing existing moldings.
Dated: June 7, 2010 SALEMEIIS ORICAL COMMISSION
By: �l
/j/ l 1
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.
x
r iL
The Commonwealth of Massachusetts - - Cl'I'1'OF
Board of Building Regulations and Standards SALEM
af\ Massachusetts State Building Code, 780 CMR ile1.i,e,l flux 2011
L,
Building Permit Application To Cons epm , novare Or Demolish a
One-or T -Family Divellin
Th's'Section For Official a Onl
!Building Perini[Number: Da ppli,J. C D e�
Building 011icial(Print Naune) Signature Date
SECTION 1: SITE INFORMATION
.1 Propert JJress: 1.2 Assessors Map& Parcel Numbers
93 FYeAera l Si rPe Sc�Qem M
I.I a Is this an accepted street?yes K no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sy It) Frontage(11)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Reyuircd Provided Required Provided Required Provided
1.6 Water Supply: (M.G.I.c.J0.§Sy) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone? Municipal ❑ On site disposal s stem ❑
Public❑ Private❑ Check ifyes❑ P P 5
SECTION2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: I
ary ad 93 -e emI Reef
N ante(Print) ICity.State,ZIP
93 IF64em l areeti- G7t— 7 N q-o 9//(
No. and SLreet Telephone Email Address
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg.❑ 1 Numberofunits_ Other ❑ Specify:
Brief Description of Proposed Work'':
5 xalL
InAll
G/
SECTION 4: ESTIMATED CONSTRUCTIO STS
Item Estimated Costs: Official Use Only
Labor and Materials)
I. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town Application Fee
2. Electrical 5 ❑Total Project Cost'(item 6)x multiplier x
1. Plumbing S 2. Other Fees: $
a. Mechanical (IIVAC) S List ,r
t Mechanical
ion) (Fire
Su tress S 'Total All Fees:S
Check No. _('heck Amount: __Cash:\mount_._._
Q/ 6. Total Project Cost: S (D/ ��� ❑Paid in Full ❑outstanding Balance Due:
elv—
f '
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
__ __. _ License Number Iispir;uion Ua(c
Name of('SI_ I lulder '.
List CSL Type(see below) _
No, and Street "I)pe Description
U Unrestricted I Bit din�s up d,35,000 Co. It.)
C'ily/town,Stale.ZIP — R Restricted 1&2 Pantil Dwellin
M Mason
RC Rootin Cowrin
W'S Window and Si In
SF Solid Fuel Burning Appliances
_ I Insulation
Telephone Final[address D Denmlilion
5.2 Registered home Improvement Contractor(HIC)
I IIC Company N,une or I IIC Registrant Name I IIC Registration Number Expiration Date
No.attd Street
Email address
City/Town,State,ZIP "rele hone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c. 152.9 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 Owners Nane(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
c ained i ff�tis app31J�7tion is true and accurate to the best of my knowledge and understanding.
lit Ottner's or Itoill0rized Agent's Name(Flectronic Signature) Dale
NOTES:
An Owner who obtains a building permit to do hisiher 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. 1 q2A.Other important information on the HIC Program can be found at
\�%Vt\ gpeoca Information on the Construction Supervisor License can be found at2.
When substantial work is planned,provide the information below:
Total floor area(sq. It.) (including garage, finished basement'attics,decks or porch)
Gross living area(sq. R.)_ Habitable room count
Number offireplaces__ _ Number of bedrooms
Nwnber of bathrooms N --------------
----__----.--_— umber of
__--PC of Ilea[i ng S)stein Number of decks, porches
--
1)pe of cool ate ss stem ------------
` ------ -------------- Enclosed Open
7 "rot:d Project Square Footage-may be Substituted for"rolal Project Cost"
The Commonwealth of Massachusetts
Board of Building Regulations and Standards I-OR
Massachusetts State Building Code. 780 CMR. 7ih edition 1VIUNIc'IP:u.fl'1"
LISF.
W Building Permit Application To Construct, Repair, Renovate Or Demolish a\ Rcrisrd Jamiat
On -or Tiro-Family Duelling 1, 2(x)3
his Section For Official Use Only
Building Permit Number Date Applied:
�l Signature: 16 O�
Building Commissi Spector of Buildings Date
VVV SECTION 1: SITE INFORMATION
1.1 Properly Address: 1.2 Assessors Map & Parcel Numbers
L la Is this an accepted street'?yes Y no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq 11) Frontage 01)
1.5 Building Setbacks (ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.I,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 yes13
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner of Record:
i, r) r, fJ r J� �
"4, r �% � / /,/e -Tr / ---7
Name(Print) Address for Service:
Signature Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ Existing Building P Owner-Occupied El Repairs(s) .O Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ 1 Number of Units_ I Other ❑ Specify:
Brief Description of Proposed Work':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item (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 $
Suppression) Total All Fees: $
Check No.a 2& Check Amount: Cash Amount:
6. Total Project Cost: $ /7-z 0 6)a aid in Full 13 Outstanding Balance Due:
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) Z-) y
/ t- S License Number Expiration Date
f
Name ot'2 H�u List CSL
/ L(
s T Description
Addres � U Unrestricted to toi5.000 Cu. Ft.o
R Restricted 1&2 Family D%cllin -
Signamre� M Masonry Only
RC Residential Rocifing Covering
Telephone — \VS Residential Window and Sidra
G / p Gy es � S SF Residential Solid Fuel Bumm A ihancr In.tallauun
Q / D Residential Drmuhuon
5.2 Registered Home Improvement Contractor(HIC)
HIC Company Nrmeyf HIC Registrant Name Registration Number
Address �/ f ��� XS �, —
/o Expiration Dale
Signature Telephone
SECTION 6: WORKERS COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152.$ 2SC(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 .......... O No ............0
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.
Si nature of Owner Date
SECTION 7bp%®'4RJV�Ex��R AUTHORIZED AGENT DECLARATION
1. ,Odxytn lot Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate, to the--best my knowledge and
behalf.
Print Name
Signature of Owner or Authorized Agent Date
(Signed under the pains and penalties of perjury)
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 and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 1 I0.R6 and 110.115, respectively.
2. When substantial work is planned,provide the information below:
Total floors 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"
i