62 BUTLER STREET - BUILDING JACKET 62 BUTLER STREET
j
Sa.eenl F LAe Depcvvtment
FtvLe Pn,even tion 13wceau
48 La6ayette Street
Salem, Ma 01970
( 617 ) 745-7777
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In accordance with the pnov,".ions o4 the Maw-5achuzett-6 State Bu-Led-ing Code
and the Sae,em F-vLe Code, appyi.cation -i6 hereby made hoz. appn.ova,e o6 pPa.n4
and the -i s,5uance o4 a ceAt-L4tca:te o6 appnovat bon. a bu-ZZd ing perm-i't by the
Salem F-vLe Depahtrnent. (Re4. Sec -Lon 113. 3, Maw-6. State Bldg. Code)
Job Location: 0a7ze
Owner./Occupant:
EZec t�c.icae CorztLactor.: / �e
F-vLe Suppr.e,5,6ton Conttar-to,, :
S.i.gna-twee o4 r
Appt,Lcarzt: � Phone
Adduce-6,6 o4 Cyty or.
Appyi.cant: Z �UTown: J (�
Apprvva.e date:
Certi"cate o6 appao7vae -i6 hereby gr.a.nted, on approved pZan-6 or 5ubmi-tta2
o4 projecX deta.i,e-6, by the Sa.eem FiAe DepaAXment. AZZ pZan,5 a.�Le approved
aoZeZy -6on. .identi Zcation o4 type and Zocation v4 4,Lte protection devtce,5
and equ,Lprnervt. Aye plan s cue subject to appfLovaZ o4 any v.thei authority
having jur"dLcti.on. Upon compZetion, the appZ-Lcant or tn,6tatZen(,6) 6hatt
requeat an i.n,6pectLon and/on telt o4 the 4,Ae piotect<;on devtce-,,� and
equipment. ( ** FOR ADDITIONAL REQUIREMENTS , SEE REVERSE SIDE ** )
0 New construction.
Property Zocat(.on has no compyia.nce wi th, the prov-i,6Zons 04
Chapter 148 , Sect-Lon 26 C/E, M. G. L. , aeP-ati,ve to the
t"tatat{.on o4 appn.oved ¢vee aZa. Lm devtc". The owner. 04
thus property i-6 requ LAed to obtain compya.nce as a
cond t i.on o4 obtz-,.r Lng a Bu-i. dtrLg Pe�Lm i-t.
u Property Zocati.on is .in compZZance wyth the pn.ov-i-6ton,6 04
Chapter 148 , Sectio/n2 26 C/E, M. G. L.� /
Exp.vLation date: L- PC)
4, S.i.gnature 0-6 F.L Le 046,Lc-Lc
Fee due: under. 7 , 500 Sq. Ft. - 10 . Z
7 , 500 Sq. Ft. on larger - $25 . 00 Form #81 (Rev. 9/87 )
;IT( OF _.vLEFi
SUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTTON
Please Print
DATE �_/ —/J—
JOB LOCATION S� Sa e m YYI�� S S
Number Street address Section or Town
"HOMEOWNER S0,'3 e- IJP .Lfir(A__ ,JO`b rjt-lI -OlIy '
`lame Home phone Work phone
PRESENT MAILING ADDRESS
SoJ P ,n/l { Yl q �S
City/Town ':tate Zip Lode
Tile current exemption nr "homeowners" was extended to include a:mer-occuoled
dwellings of six units or less and to allow such homeowners to enoage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor. ( State Building Code Section 109. 1 . 1
DEFINITION OF HOMEOWNER:
Person(s ) who owns a parcel of land on which he/she resides or intends to re-
side, on which there is , or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. :,uch "homeowner" ;hall submit to the Buildinq Official ,
on a form acceptable to the Building Official , that he/she shall be responsible
for all ;uch work nertormed under the building permit. (, Section 109. 1 . 1
undersigned "homeowner" -assumes responsibility for compliance Ilth the State
Building code and otherapplicable codes . by- laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that
he/she will comply with said procedures and requirements.
HOMEOWNER' S SIGNATURE
APPROVAL OF BUILDING 'Of FICIAL
NOTE : Three family dwellings 35,000 cubic feet, or larger, will be required
to comply with State Building Code Section 127.0, Construction Control .
f
a ✓1tFi VG�l7t�llZtYluL'ltuQ.G(!L r.�L �.�(tld6LZC/"ufGL��
�� p p�
\tiel Dukakis
G .K�'re? "ftwa� JIaG rut'aii o
Governor fix, .,�ir - 9" _ tom
/301
Kentaro rsuuumt .4 aglow. , 1/aaaaoiaar7a 02103'
Chairman
t617i
Charles J. Oincuo
Administrator
MEMORANDUM
T'O: Ail Buildine Departmenuratate Building inspectors
FP0M: Charles J. Dineuo. Administrator
DATE: October 31, t988
SUBJECT MCI[. cJb S51 Added By r9l4. S9 of the AM of 1989
The antive•mcnuoned statute rcouires that debris resulting trom me dcmodtton. renovation. rehabilitation
.jr other alteration ut a budding or structure he disposcu at in a properiv Itccnscu sand waste disposat
ueaidv as dcfttncu by MGL e111. S150A anu that huddine permits or ticcnscs arc to indicate the location
of the faciiity at which the said dcbrfs is to he dispnscu. THIS REOUIREMENT DOES NOT
,\PPLY TO NEW CONSTRUC 10N.
In order in simnhfv the process and to provide uniformity. we urc attacnine 2 uipy td a corm which You
cap either rcpmuucc and use as it is since the completed form wdl be attached to the office copy of building
permits lir Iiccwcs:. or reproduce it an your letterhead.
In ase tit tnuntctpal.commercial.industrial.or mule-unit housing construction, the contractor may not know
the uumpster subcontractor at clic itme of the budding permit application. In such cases. the attached copy
of an Affidavit can be used.
The complete law is contained in the November issue at CODEWORG which writ he m3119ni to von in the
nest two weeks. If you should have any question. please let us know.
CJD/km
City of g aim = lassaousEtts
`1:; utalit 3rnnerty Denattment
3tiy _ t.:'
`"+.1,;; �/ �uilDinq �etrnrtment
Ont walem tlrern
T43-4345 ext. 390
William H. Munroe
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
AF=?L+avrr
.as a result nr the provisions of MGL 6 +11. SN{ I .icXnowtedec that as a wnuuwn ut Buddine Perml
Number all debris resumnt from the construction activity ttmrrieu by int
9uildint Permit snail be uuposed of in a property nlcnscu solid waste ulsorual 13011M as ucttncu by MG1
c I It. S ISOA.
I ceruty that 1 will nouty the Butldint official by
(Two months maumumi of the location of the sn1W waste uisposal 13011ty where the debris resulting from
the said construction acttvoir snail be dlsposeu of. and l shall submit the appropriate form tot attaoustest
to the Building Permit.
Date Signature tit Permit Appunnt
(Print or icpc tnc wuowne intormattoni
o,s
Name m Permit .applicant
Firm Name. it anv
f S c C
.address
r chin of �aiem, , ta �ari�usrt�
;, � �uilainq Denartment
One ttsatent drren
743 v'st. 3�3
William H. xtunroe
Director of Public Property
inspector of Buildings
Zoning Enforcement Officer
.a accordance with the provisions nt MGL c au. S 54. r mnauton at Budding Perron
Nunttier is that the ucbrts rctuittne tram 1111S wOM sniff be
disposed of to a properly bcettsrr solid waste disposal facility as actizea by MGL c III.S
150A.
The debts will be disposed of in:
C— 161 I'KI 10L.LOOL4 ilia,
(Location of Facwtvp
X r�
Slebat re ae Permit nppbent
Date
—
;r�=;.>:'; to rpproval by any other
NIFDWI71d a r having di
ing jurisction.
311_ EM, MASS.
ORD ST. CT, AfI�nea .ld;VEl-
ON Bv11E�A
BY l �Qy(
515 _r I PL hS ARE APPROVED SOLELY FOR IDENTIFICATION OF
I TYPE AP40 LOCATION C' FIRE PROTECTION DEVICES.
ALL FIRE PROTECTIDN DEVICES ARE SUBJECT M A
FINALTEST AND IN9PEGTION,FOR COMPLETECOMPU-
ANCF 1'ITFI TH'FtR`.i:C%DE.
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8,500 . S.F.
2 2
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STORY
WOOD PROa
ADD/TION
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NO. 62 W FCOoR
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BUTLER ST,
PLOT PLAN
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SALEMMASS.M. Q MAR/A L. PERE/RA
SCALE /"20' MARCH /990
LANDMARK ENG/NEER/NG 8
SURVEY/NG, INC
L YNN, MASS.
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Plans must be filed and approved by the Inspector before a permit for erection will.be granted,
duplicates of which when approved by the Inspector shall be kept at the building, during -
the progress of the work.
No. /G8-9D City of Salem Ward_
'J,S�cU4HE� �
APPLICATION TEL.. '7M1ICEN1SE
FOR
PERMIT TO BUILD ADDITION OR MAKE ALTERATIONS
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following specifications:
Owner's name and address c 1 n S f__ ra - 6�2_ 60 rc rc S 7 C d L C 1
Architect's name W V\e C'
i
Mechanic's name and address
61_�tocation of building, No. U 'at/
sr
What is the purpose of building?-a loorC.:�b ELY\
Material of building?
/1`f a dwelling, for how many families? Z
C/ Size of Addition: No. of feet front, ; No. of feet rear, ; No. of feet deep,
No. of stories? 3 .
No. of feet from the level of the ground to the highest part of'the roof? M
J
How near line of the street? A_J&6L
How near line of the adjoining lot?—
i
What will be the means of access to the roof?
Size of floor timbers, 1st—; 2nd _; 3rd ; 4th ;5th
i
Span; S �2 ,/ Distance on centers? 4 er" Cr
Size of carrying timbers?-- 2—
Distance of supports on centers? �L
i
What kind of support?
Will the building be erected on solid or filled land? SOS to
What is the material of foundation?
Will the roof be flat, pitched, mansard or gambrel?—
Material
ambrel?Material of roof covering?
Will the building be heated by steam or hot water or hot air?
No. of brick walls? Where located? Thickness?
Will the building c nform to the requi ments of the law? 'Y C�1
t/Estimated cost O O }'O 71 n o O
[_ Signature of applicant
V
MARKS SIGNED UNDER THE
PENALTY OF PERJURY
71
No, uL..v``�' Ward
APPLICATION FOR
PERMIT TO BUILD
ADDITION OR MAKE ALTERATIONS
Location / 6 X Ct Lit L1!
PERMIT 412,61qo
p� �vti 19
k
App rov d
Building Intprator
!ate p _
4c
TOWN OF
BUILDING DEPART' rNT
HOMEOWNER LICENSE E(EMPTION
Please print.
DATE
108 LOCATION
Numoeer street aedress Section or town
HOMEOWNER" c t_ PC r- „^ct `1 q1—o y/ Y
Name Home pnone WorK pnone
PRESENT MAILING ADDRESS S L�7S
City/town .tate L:p code
"e- r+e n V e m,,p t 1 I4. � e s Il
current E..,. � On f0Y I IICm�CWn Y was extended t0 include CWneY-CCCL'N led
dwellings of six units ore
ssT— ana to allow such homeowners to engage an in-
civ!aual for hire who does not possess a license, provided that the owner
acts as supervisor. (State Building Code Section 1 . 1
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered 'a homeowner. Such "homeowner" shall submit to the Building Official ,
on a form acceptable to the Building Official , that he/she shall be responsible_
CY uli such Work performed under the "_•ildina permit. ,_ection J.: _ +
The undersigned "homeowner" assumes responsibility for compliance with the State
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Building Department minimum inspection procedures and requirements
and that he/she will comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE i
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35,000 cubic feet, or larger, will be required
to comply with State Building Code Section 127.0, Construction Control .
8
HOME OWNER 'S EXEMPTION
The Code state that : "Any Home Owner performing work for which a building
Permit is required shall be exempt from the provisions of this section
(Section 109. 1 . 1 — Licensing of Construction Supervisors) ; provided that if a
Home Owner engages a person(s) for hire to do such work, that such Home Owner
shall act as supervisor . "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix O, Rules and Regulations
for Licensing Construction Supervisors , Section 2. 15) . This lack of awareness
often results In serious problems, particularly when the Home Owner hires
unlicensed persons. in this case our Board cannot proceed against the
unlicensed person as It would with licensed Supervisor . The Home Owner acting
as supervisor is ultimately responsible.
To ensure that the Home Owner Is fully aware of his/her responsibilities, many
communities require, as part of the permit applicatlon, that the Home Owner
certify that he/she uncerstands'tr�� re:.ponsioiiities of a supervisor . On the
last page of this Issue is a form currently used by several towns . You may
care to amend and adopt such a form/certification for use In your community.
{L�to�� iF �IIa�F-t7 �SSUG fi7
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Plans must be filed and approved by the Inspector before a permit for erection will be granted,
duplicates of which when approved by the inspector shall be kept at the building, during
the progress of the work.
City of Salem
NO, co*w� ward
H
n qt�
�CUpNf.�Y
APPLICATION
FOR
TEI
4."
PERMIT TO BUILD ADDITION OR MAKE ALTERATIONS
Salem, Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following specifications:
Owner's name and address lc:`e fa Ct ' ra Li -1 tic L} I e r` S-f Ser J e, jig A q`>S
Architect's name
Mechanic's name and address
Location of building. No. fa a OLI-4'i e ti a <{1-e, y
What is the purpose of building? 1°r i 0 of -f n 0 Q li-A 5-
Material
Material of building? !).- meuvN5 0 -9 S r�it' C
If a dwelling, for how many families? 2
Size of Addition; No. of feet front. ; No, of feet rear, ; No. of feet deep,
No. of stories? 3
No. of feet from the level of the ground to the highest part of the roof?
How near line of the street?
How near line of the adjoining lot?
What will be the means of access to the roof?
Size of floor timbers, lstAL�,2_,V—Lt ; 2nd ; Srd ; 4th ; 5th
Span, Distance on centers?
Size of carrying timbers?
Distance of supports on centers?
What kind of support?
Will the building be erected on solid or filled land?
What is the material of foundation?
Will the roof be flat, pitched, mansard or gambrel?
1� Material of roof covering?
Will the building be heated by steam or hot water or hot air?
No. of brick walls? Where located? Thickness?
Will the building conform to the requirements of the law?4 "s
Estimated cost ��Eicsi
Signature of applicantI
MARKS
c ont�S 1 rr : cs Q va1_�r+rye, coq a F� s t� 44 p^ �z (—
777
e'
No. i' 9 Ward
APPLICATION FOR
PERMIT TO BUILD I
ADDITION OR MAKE ALTERATIONS \
Location A,
PERMIT GRANTED
.. 119
Appr ed
/ Building Inspector
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;' - - DOSE . E.Mf�K;r•,... t-�. u,c�w•
" G;) BUTLE R< STREET
• SALE M ,. MASS,
0%970
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Plans must be filed and approved by the Inspector before a permit for erection will be granted,
duplicates of which when approved b/ the Inspector shall be kept at the building, during
the progress of the work.
City of Salem
No. Ward
a o*mq.
h�
:i
APPLICATION 7I -del _.
FOR
PERMIT TO BUILD ADDITION OR MAKE ALTERATIONS
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a perm4 to build .according to the following specifications:
Owner's name and address
Architect's name
Mechanic's name and address �Ele
Location of building, No. �� ( 77 -�— ?
What is the purpose of building? E N / l
Material of building? L j Ce9
If a dwelling, for how many families?
Size of Addition: No. of feet front, No. of feet rear, ; No. of feet deep,
No. of stories? z=-
No. of feet from the level of the ground to the highest part of .the roof?
How near line of the street?
How near line of the adjoining lot?
What will be the means of access to the roof?
Size of floor timbers, 1st—; 2nd ; 8rd ; 4th ; 5th
Span, Distance on centers?
Size of carrying timbers?
Distance of supports on centers?
What kind of support?
Will the building be erected on solid or filled land?
What is the material of foundation?
Will the roof be flat, pitched, mansard or gambrel?
Material of roof covering?
Will the building be heated by steam or hot water or hot air?
No. of brick walls? Where located? Thickness?
Will the building conform to the req iremeats of the law?
Estimated cost
Signature of applicant 4EMARKS
�i �a1�2� b-F IPc�P�Y� ZUc�i+� }-�G-(Lf✓�S r�vit✓L
oL:: yoy - 5L--Pep_ -- C /fit IT- t s/ -).VD Q^�
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No. i Ward-2Z—
APPLICATION
ard__APPLICATION FOR
PERMIT TO BUILD
ADDITION OR MAKE ALTERATIONS
Location
jJ
PERMIT GRANTED
i�
Approved
Building Intprctor
Ilk
�V An
�� Y
7i
o �tCitp of *atem, ,�aggarbugettg
j'11 J' Pubtic Prupertp Mepartment .
�6uilDing Mepartment
One balem Oreen
745-9595 (Ext. 380
William H. Munroe
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
May 17 , 1989
Mr . Jose M . Pereira
62 Butler Street
SAlem, MA . 01970
RE : 62 Butler Street
Dear Mr . Pereira ,
This office has received numerous complaints regarding
the above referenced property of violations of Mass State
Building Code , Sect . 123 unsafe structures and Sect . 616 .4 . 1
minimum dimensions of stairs .
Upon inspecting your property we found the stairs to
be unsafe , we therefore posted the property . To correct
these violations contact this office within forty eight ( 48 )
hours from receipt of this letter and to obtain a building
permit .
Sincerely ,
James D . Santo
Assistant Building Inspector
JDS/eaf
C . C . City Solicitor
Ward Councillor
Goodhue & Goodhue , Esq ; ' s
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1747
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SENDER: Complete items t and 2 when:additional services are desired, and complete items
3.and 4.
Put your address in the"RETURN TO" Space on the reverse side.Failure to do this will prevent this
card from being returned toYou.Th return reg 3 t fee will provide you the name of the arson delivered
to and the date f.de�ry.;or aaamonst Toes one o owing ear ces are avarilable.Consun postmaster
or Toes one check beX a9 for addhional service(sl requested.
1. O Show to whom delivered,date,and addresses's address. 2. ❑ Restricted Delivery
More Charlie) (Ft diar8t)
3. Article Addressed to: �4. icla Number
U 7or-�
Type of-Service:
egistered ❑ Insured .
(�d• Certified — CDD
Q'/y7d jjj Express Merl forMem can W
Always obtam smgnature of addressee
or agent and DATE DELIVERED.
5.•Signature -Address 8. Addressee's Address (ONLY if
x u (� /)��• _ requested and fee paid)
. Signature - Agent
x
7. -Date of D livery -
PS Form,3gl1,Mar. 1988 a U.S.O.P.O. 1988-211 -SBS DOMESTIC RETURN RECEIPT
3 jJublic 13ropertg Pepttrtlnent
'�J'�f01MME��n4M �uillillCq �lepttrtnient
(Out ?nlem (6reen
7.15-0213
William H. Munroe
Director of Public Property Maurice M. Martineau, Asst Inspector
Inspector of Buildings Edgar J. Paquin, Asst Inspector
Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp.
January 19 , 1988
Jose Peirrera
62 Butler Street
Salem,MA 01970
RE: 62 Butler St . , Salem,MA
Dear Sir ,
On your request for an inspection of the side porch at 62
Butler Street the following was found .
I . Stair treads do not conform to code .
2 . There must be handrails installed on both sides of stairs .
3 . Four by four posts must be attached to deck to resist
Lateral movement .
The overall condition of the stairs is hazardous . Please be
advised to remedy this situation expediously .
Sincerely ,
David J . Harris
Assistant Building Inspector
DJH/eaf
a
(Situ of �ttlrM, 4attssttrllusett-
�3nttra ofpeal
DECISION ON THE PETITION OF JOSE PEREIRA FOR A VARIANCE
AT 62 BUTLER ST. (R-2)
A hearing on this petition was held January 31 , 1990 with the following Board
Members present: James Fleming, Chairman; Richard Bencal , Vice Chairman, Messrs. ,
Febonio, Luzinski and Associate Member Dore. Notice of the hearing was sent to
abutters and others and notices of the hearing were properly published in the
Salem Evening News in accordance with Massachusetts General Laws Chapter 40A.
Petitioner, owner of the property, through his attorney, John Keilty, Peabody,
is requesting a Variance from density and setbacks to allow parcel to be divided
and to construct a single family dwelling on newly created lot in this R-2 zone.
The Variances which have been requested may be granted upon a finding of the
Board that:
a. special conditions and circumstances exist which especially affect the land,
building or structure involved and which are not generally affecting other
lands, buildings and structures in the same district;
b. literal enforcement of the provisions of the Zoning Ordinance would involve
substantial hardship, financial or otherwise, to the petitioner;
c. desirable relief may be granted without substantial detriment to the public
good and without nullifying or substantially derogating from the intent of
the district or the purpose of the Ordinance.
The Board of Appeal , after careful consideration of the evidence presented and
after viewing the plans, makes the following findings of fact:
1 . There was strong apposition from abutters.
2. Councillor O'Leary opposed the granting of the Variance.
3. There were concerns regarding a possible drainage problem.
4. The density of the neighborhood would be imposed on.
5. Granting of the requested variances could set a precedent in the neighborhood.
On the basis of the above findings of fact, and on the evidence presented the
Board of Appeal concludes as follows:
1 . Special conditions do not exist which especially affect the subject
property and not the district in general ;
2. Literal enforcement of the provisions of the zoning ordinance would not
involve substantial hardship to the petitioner;
DECISION ON THE PETITION OF JOSE PEREIRA FOR A VARIANCE
AT 62 BUTLER ST. , SALEM
page two
3. The relief requested cannot be granted without substantial detriment to the
public good or without nullifying and substantially derogating from the intent
of the district or the purpose of the Ordinance.
Therefore, the Zoning Board of Appeal voted 0 to 5 against the granting of the
requested Variances, Variances are therefore denied.
DENIED
ichard Febonio, Member, Board of Appeal
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
Ircm Ihi, c'ccr:on. if any, shall b^_ r 1,!c Pt--cant to s^_ction 17 of
.•.i!-_,. O:aeral L:":.. CIC.,,..ter 802. -:1'1 cl1'11 ti_ Ill rrl :o:thln 2i? rh;s
.I d(dc of of this dC.'.IOIGn In the C11'.CL' el 1:1^ t;.'.]
.II'.'.' I 1 qn•� PI 1]
r- r.wc
r.v, .c f2a to nl
no :. "I l u he n n cr ifuh 1 : �.._n
f:i_-J, Lid[ H P,s Lean d'xr>s. , or nci:rn r I::rl i m . 0:11:1 _sex
R_,istry of Dc=ds and lade.-.ed un^or Ine name or the owner of record or
i; recorded and notad on the onner's Certificate of Titla.
BOARD OF APPEAL
IIfttlPm, � ttssttt�jusetts
,3 s oarb of al
DECISION ON THE PETITION OF JOSE PEREIRA FOR A
SPECIAL PERMIT FOR 62 BUTLER ST. , SALEM, e,, r
A Public Hearing on this petition was held August 14 , 464it1^
Wj�!arwing
Board Members present: James Hacker, Chairman; Messr�htElarnas, Gauth9i r,
r Luzinski and Strout. Notice of the hearing was sent to a�$""utters and others and
z notices of the hearing were properly published in the C$�te� News in
Z
- C �
accordance with Massachusetts General Law Chapter 40A. M455. '
w W
LL C 0 y S
o ` U F m o o LRttitioner, owner of the property, requests a Special Permit to extend non-
W W Z W Lmonforming front setback in order to construct a second means of egress in this
11-2 district.
ghe provision of the Salem Zoning Ordinance which is applicable to this request
t` c c w o
rE ., a �7 e W dor a Special Permit is Section V B 10, which provides as follows:
> : < :,: _ �
` W ` - o W Notwithstanding anything to the contrary appearing in this Ordinance, the Board
of Appeal may, in accordance with the procedure and conditions set forth in
S .- o r Section VIII F had IX D, grant Special Permits for alterations and reconstruction
� W t.a
z of nonconforming structures, and for changes, enlargement, extension or expansion,
r w C of nonconforming lots, land, structures, and uses, provided, however, that such
W, W
change, extension, enlargement or expansion shall not be substantially more
w _ =
= ;., LLdetrimental than the existing nonconforming use to the neighborhood.
0
n.
o
o In more general terms, this Board is, when reviewing Special Permit requests,
guided by the rule that a Special Permit request may be granted upon a finding
by the Board that the grant of the Special Permit will promote the public health,
LL LL o safety, convenience and welfare of the City's inhabitants.
LL < + Z L V
The Board of Appeal , after careful consideration of the evidence presented and
V tW w
< w N after viewing the plans, makes the following findings of fact:
` LL 1 . This is the only logical location for a second means of egress; .
C C U
r r 2. Planning Board is in favor;
3. There was no opposition.
On the basis of the above findings of fact, and on the evidence presented,
the Board of Appeal concudes as follows:
1 . The proposed plan will promote the health, safety, convenience
and welfare of the City's inhabitants;
2. The relief requested may be granted without substantial detriment ^
to the public good and without derogating substantially from the
intent or purpose of the Ordinance.
Therefore, the Zoning Board of Appeal voted unanimously 5-0 to grant the
petitioner the relief requested.
�ames B. Hacker, Chairman
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND CITY CLERK
GOODHUE & GOODHUE BUILDING DEPT
ATTORNEYS AT LAW
375 NEWBURYPORT
TOPSFIELD.MASSACHUSETTS 0 983 MAT I S
46 QM `89
ELDON D.GOODHUE,P.C. (508)B 7 2CC0j(('L E 11r E LTEAADDNGG�O E
RCf TM.000DHUE.PC.' FAX(508)8873746 CITY Cr SALEA,.01
A.l 28
0
RCA TTA 0186]
'also a�rvttetl in Maine
(61])992-1100
May 12 , 1989 SALEM ORRCE
]LYNCE STREET'
SALEM.MA 01970
15081794-8894
Building Inspector
City of Salem
One Salem Green
Salem, MA 01970
RE: 62 Butler Street, Salem, MA
Dear Sir:
Enclosed please find copies of a building permit which was
taken out, the work done, and, the job not given final
approval by your department. The stair are not within code
and this led to a citizen being seriously injured.
Please inform me as to what must be done to have this
situation corrected before someone else is injured.
We will await your prompt response. Thank you.
Very truly yours,
Eldon D. Gopdhue
EDG:dlm
Encs.
CERTIFIED MAIL RETURN RECEIPT REQUESTED #P783 677 187
1•�+77-•--•.�-�-.—r-i
APPLICANT COPY-:P
THIS PERMIT NOT VALID UNLESS
y 3SBUILDING is PROPERLY;RECEIpTED BY CASHIER
CITY OF SALEM r.,
s SALEM MASSACHOSCTTS 01970 PERMIT'
. VA LIGATION -
�CO�E t71 - I✓ - -
DATEPERMIT NO 'IT-`
APPLICANT705$ P -reirA - - ADDRESS -
( j (N 0.) ISTREE`) (COFTR 5 LICENSE)
PER TO /YfT -ICYP lc ( ) STORY -E P11 n� •� - NUMBER OF
DWELLING UNITS
- - T ITTPE OF (MPR OVEMENT4 „ NO ,. {' 1 ( OPOSEU USE)��
NING-
FAJ'L'C�'eE:'T ION( -\JZ 7{tt2'2 �1 n" `fT^TCt (L - O�STR CTINC.) - - (STREET) ., AND.(CROSS STREET(
.: , (CROSS STREET)'
LOT
t; SUBDIVISION LOT BLOCK SIZE -
BUILDING IS-TO BE FT. WIDEB'I FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION I
1
TO TYPE USE GROUP BASEMENT WALLS OR.FOUNDATION
ITTPE)
REMARKS: on. PY9.rh %nrT hero Ca. YnY lo(• f• inrT FI nnrr _
""CUL FOR CERT_TrzC�1� SO C CUPY��T'
.AREA OR
VOLUME ESTIMATED COST $ 1PERMIT
._RRR.RO FEE
ICLSICISOUARE FEET) T E
OWNER lin Pprpi Ya ;c; ,,,{'"= •�S • � ..
ADDRESS G7 .`Yt =r cr - sl -r• T T
inspector of Buildings I .
i
CERTIFIED
GOODHUE & GOODHUE
ATTORNEYS AT I..A W
375 NEWBURYPORT TURNPIKE
'I'OPSPIEI..D.MASSACHUSETTS 0I9S3 I
MAIL
D.`.SldL'IC? I.nSp2CtOr
City of Salem
One Salem Green
Salem, MA 01970
IIhIIIIJIII Ifill IIIIIIII,IIIII
DATE OF PERMIT PERMIT No. OWNER LOCATION
Jose Pereira I 62 Butler St. R-2
STRUCTURE MATERIAL DIMENSIONS No.OF STORIES I No,OF FAMILIES WARD COST
DWELLING 2
BUILDER
BOARD OF APPEAL: 8/14/85 - GRANTED - Special Permit to extend nonconforming front setback
in order to construct second means of egress.
11/25/85 4#775 Construct 2nd egress for 1st & 2nd floors $1,800.00
8/ 17/87 I# 1001 replace existing porch , est . cost $300 . fee $20 . 00
5/26/89 #235-89 Replace boards on front stairs w/ pressure treated wood est.cost $1,000
fee $20.
BOARD OF APPEAL: 1/31/90 - DENIED - Variances to allow lot to be divided and to construct single family
on newlycreated lot. Recorded at the City Clerk's office on 2/6/90
4/20/90 #168-90 Build enclosed 2nd fl. porch. J.S. Est. 1,000. fee $20.
10/2/90 #510-90 Install vinyl siding. J.S. Est. 2,500. fee $20.
002"�,
(liit" ofTy
DECISION,ON THE-PETITION OF JOSE PEREIRA FOR A VARIANCE
AT'62 BUTLER ST.'(,,R-2)
A hearing on this petition was held January 31 , 1990 with the following Board
Members present: James Fleming, Chairman; Richard Bencal , Vice Chairman, Messrs. ,
Febonio, Luzinski and Associate Member Dore. Notice of the hearing was sent to
abutters and others and notices of the hearing were properly published in the
Salem Evening News in accordance with Massachusetts General Laws Chapter 40A.
Petitioner, owner of the property, through his attorney, John Keilty, Peabody,
is requesting a Variance from density and setbacks to allow parcel to be divided
and to construct a single family dwelling on newly created lot in this R-2 zone.
The Variances which have been requested may be granted upon a finding of the
Board that:
a. special conditions and circumstances exist which especially affect the land,
building or structure involved and which are not generally affecting other
lands, buildings and structures in the same district;
b. literal enforcement of the provisions of the Zoning Ordinance would involve
substantial hardship, financial or otherwise, to the petitioner;
c. desirable relief may be granted without substantial detriment to the public
good and without nullifying or substantially derogating from the intent of
the district or the purpose of the Ordinance.
The Board of Appeal , after careful consideration of the evidence presented and
after viewing the plans, makes the following findings of fact:
1 . There was strong opposition from abutters.
2. Councillor O'Leary opposed the granting of the Variance.
3. There were concerns regarding a possible drainage problem.
4. The density of the neighborhood would be imposed on.
5. Granting of the requested variances could set a precedent in the neighborhood.
On the basis of the above findings of fact, and on the evidence presented the
Board of Appeal concludes as follows :
1 . Special conditions do not exist which especially affect the subject
property and not the district in general ;
2. Literal enforcement of the provisions of the zoning ordinance would not
involve substantial hardship to the petitioner;
DECISION ON THE PETITION OF JOSE PEREIRA FOR A VARIANCE
f AT 62 BUTLER ST. , SALEM
page two
3. The relief requested cannot be granted without substantial detriment to the
public good or without nullifying and substantially derogating from the intent
of the district or the purpose of the Ordinance.
Therefore, the Zoning Board of Appeal voted 0 to 5 against the granting of the
requested Variances, Variances are therefore denied.
DENIED
ichar Febonio, Member, Board of Appeal
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
Ircm this s:ci:!on, if anY. shall ho re:!^- ptT'�t•�nt to S^_Coon 17 of
I!zes. I':acral La:•:5. Cln;,ter E03, r:n'1 '_n.-JI 11^ lilrrl v:-.thIn 211 rhy5
r Ir; da!a m i.... of 111,3 dech:on :n the m:lcc of th^ I,' L' l;L:fk.
Of
avc
r -:d A no j1.15 1 u n I Cr :at s h
lhat it Las titan or ocn d 6 r Crd 1 :1 w I':I •_:Sex
Rc,i5try of D=ads and indexed unr2r the nama or ti,2 owner of record or
is recorded and noted on the o'wner's Certificate of Titli.
BOARD OF APPEAL•
' GOODHUE & GOODHUE BUILDING DEPT
ATTORNEYS AT LAW
375
RT
O9TOPSFIELD,MASSACHUSETTS 83 ®Hy 16
B 46 AN '89
ELDON D.GOODHUE.P.C. (508)8872000 (`R 4 C E I l IiE 1µEADING OFFICE
ROBERT M.GOODHUE,P.C.` FAX(508)8873]46 CITY OF SALEM,PEIMINWa185]
'alWadmitt in Maine
161]1942-1100
May 12 , 1989 SALEM OFFICE
]LYNDE STREET
SALEM,MA 01470
(508)]44-6644
Building Inspector
City of Salem
One Salem Green
Salem, MA 01970
�- RE: 62 Butler Street, Salem;-MA
Dear~Sir:
Enclosed please find copies of a building permit which was
taken out, the work done, and, the job not given final
approval by your department. The stair are not within code
and this led to a citizen being seriously injured.
Please inform me as to what must be done to have this
situation corrected before someone else is injured.
We will await your prompt response. Thank you.
Very truly yours,
Eldon D. �dhue
EDG:dlm
Encs.
CERTIFIED MAIL RETURN RECEIPT REQUESTED #P783 677 187
V >I H APPLICANT COPY F
5 '12 ' s �D THIS PERMIT NOT VALID UNLESS
1) BUILDING sa PROPERLY,tRECEIPTED BY CASHIER
CITY OF SALEM `T
s SALLh1 MASSACHUS -TTS 01970. PERM IT, -
TA -: VALIDATION -
CSL I _
-'
DATE I' C7P10C?_1''-ZS % (9�45. i PERMIT NO 775
APPLICANT SO '£ PEZF+ - ADORE -
�,. ira . S �)7 LLLl '' ,Rl1PY '1
(NO.)A (STA EE TI ICONTR 5 LICENSE'
PERMIT TO iT'FT 'CYST o ( 1 dTORY r. �} r-i - I NUMBER OF :�P
g ITYPE OFIMPR ov E M Ex TI NO DWELLING UNITS _
' '" 1 ( OPOSEO USE1�` I
AT (LOCATION I. ` -'r)2 HstI�z s.T „ •;" ,'d^rd G. o�srnlcT'•: 1?• I - .
(x0.1 (STREET)
B ET WEcH -
AND
-(CROSi'STREETI
\ ...
LOT
SUBOIVIS ION `-LOT --" BLOCK SIZE
BUILDING IS.TO BE - FT WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE _ USE GROUP BASEMENT WALLS OR FOUNDATION - -
(TYPE)
REMARKS: rnnchY9.nh IT,A (crow n, � gh F. 9nrTFT nnrr.
...,"C F
^••�.AI,L FOR CER�rTsIGA1 TO CCCIT�1**'- ,I -
AREA OR - - j
PERMIT
VOLUME ESTIMATED COST 1._R(+l1_00 FEE TI -r✓'_
' - ICGBIC:50 UFAE FEET) ♦
OWNER T ..P D-�roi)n wiP*z!A,)v
ADDRESS OI ,:t'1Pa Q'h. 'av (s'Tr F
Inspector of Buildings I
1
I
rYar YVYVYYVYVY v
GOODHUE & GOODHUE CERTIFIED
_
ATTORNEYS AT LAW
375 NEWBURYPORT TURNPIKE r
TOPSFIELD,MASSACHUSETTS 01983a� �•. N
777-
. W MAI
�M
EM=
Ise v 4'
wv
aiilding Inspector I I oo
City of Salem
One Salem Green
Salem, MA 01970
'11111111111h1111111111111 11 tilt
Thank youp tar UMM=
F.=tern �Qrigi€Il serVicF.
l
I
l
3
�.CON 01',� tv of '�$Uljcm, 'fflassar4usie##Y
Public Propertg Department
�AFa S �iuilbiug Department
Our �nlem (6rrrn
7,15-11213
William H. Munroe
Director of Public Property Maurice M. Martineau, Asst Inspector
Inspector of Buildings Edgar J. Paquin, Asst Inspector
Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp.
January 19 , 1988
Jose Peirrera
62 Butler Street
Salem,MA 01970
RE : 62_But1er_St . , 5�m MA
Dear Sir ,
On your request for an inspection of the side porch at 62
Butler Street the following was found .
I . Stair treads do not conform to code .
2 . There must be handrails installed on both sides of stairs .
3 . Four by four posts must be attached to deck to resist
Lateral movement .
The overall condition of the stairs is hazardous . Please be
advised to remedy this situation expediously .
Sincerely ,
David J . Harris
Assistant Building Inspector
DJH/eaf
° Citp of *aiem, Ala zarb gettg " "'z
i3ublic Propertp -Department
�3uilbing Department
One balem green
745-9595 (Ext. 380
William H. Munroe
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
May 17 , 1989
Mr . Jose M . Pereira
62 Butler Street
SALem, MA . 01970
^' =:`REc J62 Butler Streeee
t--- ,,t,
Dear Mr . Pereira , _a
This office has received numerous complaints regarding
the above referenced property of violations of Mass State
Building Code , Sect . 123 unsafe structures and Sect . 616 . 4 . 1
minimum dimensions of stairs .
Upon inspecting your property we found the stairs to
be unsafe , we therefore posted the property . To correct
these violations contact this office within forty eight ( 48)
hours from receipt of this letter and to obtain a building
permit .
Sincerely ,
61James D . Santo.Santo
Assistant Building Inspector
SDS/eaf
C . C . City Solicitor
Ward Councillor
Goodhue & Goodhue , Esq ; ' s
d
fIr
11
9 � x
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• SENDER: Complete items 1 and 2 when additional services are desired, and complete items
3 and 4.
Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this
card from being returned to you.The return receipt fee will provide you the name of the person delivered
to and the date of delivery.;,or ittone ees ins o owing services are avai a e. onsu t postmaster
Tor Toes and c ect ox es for additional services) requested.
1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery
(Extra charge) - (Extra charge)
3. Article Addressed to: 4. A5ticle Number
❑l El
Service:
egisteretl Insured .
-Certified ❑ COD
/i�// �y7U ❑ Express Mail ❑ Return Receipt
for Merchandise
Always obtain signature of addressee
or agent and DATE DELIVERED.
5. Signature —_Address 8. Addressee's Address (ONLYif
X requested and fee paid)
. SignaVtare`—Lr-Agent
X
7. Date of Dlivery
Y/ r
PS Form 3811, Mar. 1988 • U.S.G.P.O. 1988-212-865 DOMESTIC RETURN RECEIPT
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS
1.th Your name,addressantl 21P Code
in tits space below.
• Complete hems t,Z,3,and 4 on the U-
reveres. MMOMELO
• Attach to front of article If space
permits, otherwise affix to back of
article. PENALTY FOR PRIVATE
• Endorse article "Return Receipt USE, $300
Requested"adjacent to number.
RETURN Print Sender's name, address_,,, and ZIP Code in the{�/apace below.
TO » i 2!A :z Qom/
0i/ 7O
P 152 922 784
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse)
Se
t
e aV/d No.
O�
-P.O tatrind ZIP
Postage S
Certified Fee
1
i
Special Delivery Fee
Restricted Delivery Fee
Return Receipt showing
to whom and Date Delivered
a Return Receipt showing to whom.
Date,and Address of Delivery
C
TOTAL Postage and Fees 5�., �l/)
Postmark or Date
E
0
LL
N
a
STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see[tariff
1. If you want this receipt postmarked,stick the gummed stub to the right at the return address leaving
fire receipt attached and present the article at a past cities service window or hand it to your rural carrier_
(no extra charge)
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of
.the article,date, detach and retain the receipt,and mail the article.
3. If you want a return receipt,write the certified mail number and your name and address on a return
receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends it space per-
mits.Otherwise,affix to back of article.Endorse front of mites RETURN RECEIPT RECIUESTED
adjacent to the number.
4, If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse
RESTRICTED DELIVERY an the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return
receipt is requested,check the applicable blocks in item t of Fern 3811_
-G. Save This receipt and present it if yon make inquiry,
a c,G,p,p.1938 217 132
�v6 o�P Cftp of *aiem, ,laggacbm5ettg
Public Propertp Mepartment
�3uitbing Mepartment
One Oalem green
745-9595 ext. 380
William H. Munroe
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
May 17 , 1989
Mr . Jose M . Pereira
62 Butler Street
SAlem, MA . 01970
-------------------------
RE : 62 Butler Stree-t.,,
Dear Mr . Pereira ,
This office has received numerous complaints regarding
the above referenced property of violations of Mass State
Building Code , Sect . 123 unsafe structures and Sect . 616 . 4 . 1
minimum dimensions of stairs .
Upon inspecting your property we found the stairs to
be unsafe , we therefore posted the property . To correct
these violations contact this office within forty eight ( 48)
hours from receipt of this Letter and to obtain a building
permit
^ Sincerely ,
James D . Santo
Assistant Building Inspector
JDS/eaf
C . C . City Solicitor
Ward Councillor
Goodhue & Goodhue , Esq ; ' s
t
4.4 Ctv of Sttleut, 4Httssarhuse##s
Public Propertg Department
P, uilbinq 3flepartntent
Mae imlem (kirren
7.13-0213
William H. Munroe
Director of Public Property Maurice M. Martineau, Asst Inspector
Inspector of Buildings Edgar J. Paquin, Asst Inspector
Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp.
January 19 , 1988
Jose Peirrera
62 Butler Street
Salem,MA 01970
RE : c=.6'2--Butler St . ,ASalem;MA
Dear Sir ,
On your request for an inspection of the side porch at 62
Butler Street the following was found .
1 . Stair treads do not conform to code .
2 . There must be handrails installed on both sides of stairs .
3 . Four by four posts must be attached to deck to resist
lateral movement .
The overall condition of the stairs is hazardous . Please be
advised to remedy this situation expediously .
Sincerely ,
David J . Harris
Assistant Building Inspector
DJH/eaf
GAB Robins North America, Inc.
220 Norwood Park South
Norwood, MA 02062
Date 07/10/2000
Building Commissioner/Inspector of Buildings
Town of Salem
Salem, Ma. 01970
Board of Health/Board of Selectmen
Town of Salem
Salem, Ma. 01970
NOTICE OF CASUALTY LOSS TO BUILDING
Rolw� UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
GAB Rabin.Notth A,.a..Inc.
Claim has been made involving loss, damage or destruction of the property captioned below,
which may either exceed$1,000.00 or cause Massachusetts General Laws, Chapter 143, Section
6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B
is appropriate, please direct it to the attention of the writer and include a reference to the cap-
tioned insured, location, policy number, date of loss, and GAB Robins file number.
Insured : Jose&Maria Pereira
Property Address : 62 Butler St.
Salem, Ma. 01970
Policy No. FP1898460
Loss of 7/5/00
GAB Robins File No. .10303-15725 Q
igna ure
Title : Adjuster
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
indicated above by first class mail.
Signature and date
Form 645(2178)
,
The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY
!J OF SALT M
Massachusetts State Building Code, 780 C'MR, 7'"edition
RrvirrJJumury
Building Permit Application To Construct, Repair, Renovate Or Demolish a /. 20AV
�n One-or Two-Family Dwelling
�"-- This Section For Official Use Only
Building Permit Number: ate Applied:
Signature: J r
Building Cummissioner/Inspecto(gffluildings Dale
SECTION 1: SITE INFORMATION
I.1 Property Address: 1.2 Assessors Map At Parcel Numbers
L l a Is this an accepted street?yes no Map Number Parcel Number
13 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq B) Fromage(11)
1.5 Building Setbacks(R)
From 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 O Private O Zone: _ Outside Flood Zone? Municipal O On site disposal system O
Check if yesO
SECTION 2: PROPERTY OWNERSHIP'
2.1 ' s ner' r oC//fj�j r 7 r X !��/(J ✓ V UL T
Addre"fa Service:
ign we Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction O Existing Building❑ Owner-Occupied O Repairs(s) O 1 Alteration(s) O Addition O
Demolition O Accessory Bldg.O Number of Units_ I Other O Specify:
Brief Description of Proposed Work':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: 011lclal Use Only
Labor and Materials
I. Building is 1. Building Permit Fee:f Indicate how fee is determined:
2. Electrical $ ❑Standard City/Town Application Fee
O Total Project Cost'(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: S
4. Mechanical (IIVAC) s List:
5. Mechanical (Fire S
Suppression) Total All Fees:f
Check No. _Check Amount: Cash Amount:
6. Total Project Cost: S 0 Paid in Full 0 Outstanding Balance Due:
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
License Number Expiration 1}a11e
Name of l'SL-I lulder List CSL Type(see below) .1
f Description
Address U tlnresuictesf u to 55.000 Cu.Ft.
R Restricted 142 Family Dwelling
Signature M M Only
RC Residential Rouling Covering
Telephone WS I Residential Window and Siding
F—SF I Residential Solid Fuel Burning Appliance Installation
D I Residential Demolition
3.2 Registered Home Improvement Contractor(HIC)
I IIC Company Name ur IIIC Registrant Name Registration Number
Address Expiration Date
Signatuns Tetephune
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.a ISL f 23C(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? Yea ..........O No...........O
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 ure of Owner Date
/ SECTION 7b: OWNERI OR AUTHORIZED AGENT DECLARATION
,as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are We and accurate,to the best of my knowledge and
be f.
Pri
S' ore of ner or Authorized Agent dale cy (J
. i under the sins and penalties of 'u
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 HW have access to the arbitration
program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 790 CMR Regulations 1 IO.R6 and I IO.RS,respectively.
�. When substantial work is planned,provide the information below:
Total floors area ISq. Ft.) (including garage, finished basement/anics,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"
L
QThe Commonwealth of Massachuscits
i Board of Building Regulations and Standar:dig :*
Massachusetts State Budding Code, 780 CMR. T
Building Permit Application To Construct, Repair. Renova
One- or Tt o-Familt•Duelling
This Sec ion For Official Use Onl
Building Permit Num Date Applied: 1• 0 5
Signature: 9• Q� o
Building Commissione/I of Buildings Date
SECTION 1: SITE INFORMATION
1�1frope dd re d 1.2 Assessors Map& Parcel Numbers
I.Is is this jan accepted sir/eel??yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot AnaIsq fl) Frontage(R)
1.5 Building Setbacks(B)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.I,c.a0,Ssa) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone? Municipal O On site disposal system O
Public O Private O Check if yesO
SECTION 2: PROPERTY OWNERSHIP'
2.1 wner'o Rae r
(� Na i Address for Service:
1 a2�7 -� (-/f- 1255
sign Telephone
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction O 1 Existing Buildin Owner-Occupied O Repairs(s) O 1 Alteration(s) Addition O
Demolition O 11 Accessory Bldg. O 1 NumberofUnits_ Other O Specify:
Brief Descripti n of Proposed Work':
W t� ✓
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Offlcia) Use Only
Item Labor and Materials
I. Building S Z) 1. Building Permit Fee: S Indicate how fee is detemtined:
❑Standard City/Town Application Fee
2 Electrical S p Total Project Cost'(Item 6)x multiplier x
1. Plumbing S 2. Other Fees: S
4—Mechanical (HVAC) S List:
S Mechanical (fire S Total All Fees. S
Su ression Check No. _Check Amount: Cash Amount:_
x6 Total Project Cost: S 0 Paid in Full 0 Outstanding Balance Due:
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
'' • Licenvc Number Expiration Date
NCtnc of CSL Hylder List CSL Type(aec below)
Type Description
Address
U Unrestricted(up to 35,000 Cu. FL)
R Restricted 42 Family Dwelhn
Signature M Mationry Only
RC Residential Roolins Covering
Telephone WS Residential Window and Stdm
SF Residential Solid Fuel Burning Appliance Instal lanon
D Residential Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Company Name or HIC Registrant Name Registration Number
Address
Expiration Date
Signature Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c. 152.1 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.......... 0 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.
Signature of Owner Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
as Owner or Authorized Agent hereby declare
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
Si ned under the psins and penalties ofperjury)
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 W 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 110 R6 and 110.RS,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 ofhalfbaths
Type of heating system Number of decks/porches
Typeof cooling cystem Enclosed Open
3 "Total Project Square Footage"may he substituted for"Total Project Cost"