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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. � b 8,500 . S.F. 2 2 -9 //2 Izss STORY WOOD PROa ADD/TION y SECOWD NO. 62 W FCOoR `D 50.0 - ^1 M BUTLER ST, PLOT PLAN IN VN,o. 4FOR SALEMMASS.M. Q MAR/A L. PERE/RA SCALE /"20' MARCH /990 LANDMARK ENG/NEER/NG 8 SURVEY/NG, INC L YNN, MASS. to � l.b4r ,J9fCt - r Oh3 �f wa o d — s t ; _ JJ .r c K \� 3J4 r y �, — ✓v - - --- - ic f,`r S 1 - f I - Z k44 w o,Ils i � 0 n C f'f;: cp Qp— out- � ej7y I ar _ i ' : S 1 C I C + C I 1 i . f � . n : s l ^ { a Ino 6 j S X 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 GC cc.v va�cY r'��ti�T o� A 0 C 4. r \ 7�- ✓_�� rV EL AI QGGT 7 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 1� ccs 0 n -_.._. _ .. S�-�bV • O• °JI •p(l ,� Olt ' jo J;�(01 , 01 vroU YZ ' g ✓� oo� � l Zli( Z � �y�o� � � �cz . � ,✓a� oo,1 �3 � �' � c Al 71 7A IA 1 L , , I,.qp I ! 44 jo 5✓.)v f r i • 36 I 1 ;' - - DOSE . E.Mf�K;r•,... t-�. u,c�w• " G;) BUTLE R< STREET • SALE M ,. MASS, 0%970 DIDO El ID — `r. 2. X£5_.._ LANDtN(lS.�-- GU AQO, aA;c,S- a,, x 6 Top r . 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^� i � F 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 I�A 1747 Vl- p IV IL s ru ruW ti iv1 v inn 3 —.�~--- 5861. aunF 'D08£w,od Sd 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 r 1 1 Y 71 13 �z 11 1 �(v ' V � � � .. ' v - i I i � I � ` � + � � i. i i I i . i �. � � 'i ' i i f � � i � 'e �. .`y • 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"