35 FLINT ST #104 BP 11-13 -�♦ The Commonwealth of Massachusetts
Department of Public Safety
\lascahusa•Ils State Building Code(:80 CMR)Seventh Edition
City of Salem
Building Permit Application for any Building other than a I- or 2-Family Dwellin
1 (rhis Section For Official Use()nly)
coBuilding Permit Number: Date Applied: Building Inspector:
SECTION 1: LOCATION (Please indicate Block 0 and Lot 0 for locations for which a street address is not available►
35 F17vT 5f Loy Sn:lfrm ml9 01017c3 B06"A)T-C1, peoee-
Nu, and Street C itv /Tuwn Zip C',de Name of Building(if applicable)
SECTION 2: PROPOSED WORK
If New Construction check here Our check all that apply in the two rows below
Existing Building❑ Repair❑ 1 Alteratiun ❑ Addition ❑ Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify:
Are building plans and/ur cunstructiun documents being supplied as part of this permit application? Yes ❑ No ❑
Is an Independent Structural Engineerin Peer Review required? 1 Yes ❑ No ❑
Brief Description of Proposed Work: Uer S uSi2eryd °—1 Coil ' NON- Slruo7:Jral
�.� -
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑
Existing Use Group(s): Proposed Use Group(s): r
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Fluors/Stories(include basement levels)6r Area Per Floor(sq.ft.)
Total Area(sq. ft.)and Total Height(ft.)
SECTION S:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2r ❑ A-2nc❑ .A-3 ❑. A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-I ❑ F2❑ 1 H: Hi Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ .
1: Institutional r-I ❑ 1-2 ❑ 1-3❑ 1.4❑ M: Mercantile❑ R: Residential R-10 R-2 ❑ R-3❑ R-4❑
S: Storage S-1 ❑ S-2 ❑ - U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ IB ❑ IIA ❑ [ISO IIIA ❑ IIIB ❑ IV VA V8 ❑
SECTION 7: SITE INFORMATION (refer to 780 CMR 111.0 fordetails on each item)
ivater Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal:
Public❑ Check it outside 19oud Zone❑ Indicate municipal ❑ A trench will nut be Licensed Dispo: al Site❑
required❑or trench ur.p.cdc:
I'nvaty❑ or mdcnUA Zone: or on srtr scstem ❑ permit is enclosed ❑
Railroad right-of-way: Hazards to Air.Navigation: \IA l h.t.,n e, omun......n lte, l'wi r..:
\,,I \ppbcA,1v❑ Is Theo rer iew complctcd.'
n 1. m.rnl to Ihnl.l cncl,r.�rl ❑ 11•.❑ or No❑ \'es.❑ \o ❑
SECTION B:CONTENT OF CERTIFICA rE OF OCCUPANCY
f,iin"11 ,.I G-dc: __—_ L.c(;roup(s). r%pcnl Construe Uom: lkaipant Ltod per I looc
I Lac. the bud,fing omtmn mi Spnnklcr :stem': Special >lipulanons:
f�WA )vjllco
SECTION 9: PROPERTY OWNER AUTHORIZATION
.Name and ,\d ress of Prnperty Owner
-5c.So•j "ic Fj)P T sr. I MA- ®197a
.Name(Print) No. and Street city/rown Zip
pruperN• knN%ner C onlact Information: �') q y���
ASON hint'SSa OwNe� _-_- ��-�- 979°/
Title Telephone No. (busmen%) Telepha"me No. (cell) a-mad address
If applicable, Ihr i•ruprrly owner hereby authortz" -
Name Street Address City/Town State Lip
to act on the pro pert%owner's behalf, in all matters relative to iv, rk.utthonzed by this buildin • permit application.
SECTION 10:CONSTRUCTION CONTROL (Please fill out Appendix 2)
(if building is Ies than 35,000 cu.It.of enclovJ s ace and/or not under Com tructiun Control then check hen O and,kip Section I0.1)
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Company Name:
Name oLPersorn R ptmsible for Construction LLiice se No. and Type if,ARplicabl^
Street Address - Q� City/ own State Zip
Telephone No.(business) Telephone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152 25C(6))
A Wurkers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes O No O
SECTION 12.CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor f' Lc_-e '00
and Materials) Total Construction Cost(from Item 6) =E Ow
1. Building S Building Permit Fee-Total Construction Cost x—(insert here
2. Electrical $ appropriate municipal factor)=S
3. Plumbing 5
4. Mechanical (HVAC) E Note: Minimum fee=5 �7(contact municipality)
5. Mechanical (Other) - $ Enclose check payable to G J gn�*4
6. Total Cost S o b (contact munici alit )and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name L,elow, I hereby attest under the pains and penalties of perjury that all of the information cunt.uned in this
applicaton is true and accurate to the best of my knowledge and understanding.
Vlea.e print and +ign name ritle r%1 • phone Xo. Uate
Street :\d.fres Ctt%i Tm%n S ate Zip
Municipal Inspector to fill out this section upon application approval:
Name Uatr
Jake Patrisso
From: Mark W. Livermore [markwoodmgt@hotmail.com]
Sent: Friday, May 28, 2010 1:40 PM
To: jpatrisso@comcast.net
Subject: RE: 35 Flint St Unit 104
Jake,
Being sent to you shortly:
Letter from Mark to Building Department
Copy of your email below
Both as single attachment to an email.
Carol
From: jpatrisso@comcast.net
To: markwoodmgt@hotmail.com
Subject: 35 Flint St Unit 104
Date: Thu, 27 May 2010 18:14:04 -0400
Mark, I am in need of a letter from the condo association granting me permission to do some
renovations in my home. The building department needs a letter stating the fact that Markwood is aware
of the renovations I will be making. So you know, I will be moving some non-structural walls and doors.
I will be removing the drop ceiling and exposing the brick on our interior structural wall. If possible I
would also like to add a washer and dryer.
I am pulling all necessary permits and will be using a licensed contractor for the building end
of the renovation. I am a licensed electrician and will be pulling my own permit for the new wiring. I
know a few licensed plumbers that will do that work if necessary.
To get my project started the town needs a short letter of stating your awareness of this
matter. I thank you in advance for your time.
Jason Patrisso
35 flint St. unit 104
Salem Ma 01970
978-317-9794
1
Markwood
Management
Incorporated
28 May 2010 J
Salem Building Department
Salem MA
I
To whom it may concern, a
Please be advised that the Board of Trustees of the Bowditch Place Condominium Trust,35 Flint St,
Salem MA, is aware of,and has approved the renovation work as per the attached.
Thank you,
Mark W. Livermore
Markwood Management
Agent for Bowditch Place Condominium Trust
Post Office Box 900 • Marblehead, Massachusetts 01945
Telephone (781 ) 639-4080 • Facsimile (781 ) 639-0228
markwoodmgt@hotmail.com
Massachusetts- Department of Public Safer%
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 89365
Restricted to:. 00.
WILLIAM R BOTTE
378 FOREST AVE
SWAMPSCOTT,MA 61907
Expiration: 1/2=12
('onunisxioner Tr#: 14803
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�A CITY OF SALEM .
PUBLIC PROPRERTY
DEPARTMENT
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Construction Debris Disposal Aff7davit
(required lur all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 7S0 CMR section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit p _ is issued with the condition that the debris resulting from
this work shall be disposed of inn properly licensed waste disposal facility as defined by MGL c
111. S 150A.
The debris will be transported by:
prams of hauler)
The debris will be disposed orin
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