7-9 FOWLER ST - BUILDING INSPECTION � The Commomvealth uf Massachusetts
� �� Dourd oFBuilding Regulations and Standards CITY
� � Massachusetts Sla[e Duilding Code, 780 CMR, 7'�editian ��F SALF.M
' � Revisrd Ju+u�ury
^ ^ [3uilJing Permit Application To Cunswct, Repair, Renovate Or Demolish a l. ?008
� Onr-or Tivo-Fumi/v Dwrlling
This Sec�ion For Ofticial Use Onl
Building Pertnit Nu be : Date Applied: �`�• �D
Signature: 5 � �,l�
Hui ding mmissioned Inspretor uf Buildinys Date
SECTION 1:SITE INFORMATION
� I.� Property Addreee: � 1.2 Aeeeaeoro Map& Parcel Numben
�—�'i T=owLe.r� S �
I.I a Is this an accepted sireel?yes_ no Map Number Parcel Number ,
13 Zoniog Information: I.J Property Dimensiona:
Zoning Distric� ProposeJ Use Lo�Area(sq 15) Frontugr(ft)
I.5 Bullding Setbacks(ft)
From Yard SiJe Yards Rear Yard
Required Provided RequireJ Provided Required Provided
1.6 Water Suppiy:(M.G.L c.40,§54) 1.7 Flood Zone loformatloo: 1.8 Sewage DLspoaal System:
Zone: Outside Flood Zone7 Munici al O On site dis sal s stem O
Public❑ Private O Check if esO P PO Y
SECTION2: PROPERI'YOWNERSHIP�
� 2.1 Owner ot Record:
`�2..`P C G �A S Au1J h,QS
Name(PrinQ Addrcss for Service:
�R .��� � e�,�.�
Signaturo Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all tdot apply)
New Construction❑ Existing Building❑ Owner-Occupied Repairs(s) ❑ A�teration(s) 0 Addition ❑
Demolition ❑ Accessory Bidg. O Number of Units�� Other ❑ Specify:
� BriefDescriptionofProposed Work': "�F noe l ,M�+ �K2 i r{-,�y .C'v„iPv(ce f2
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: OOlclal Use Only
Labor and Materials
1. DuilJing S � I. Duilding Permit Fee:T Indicate how fee is Jetermined:
. ❑Standard City/fown Application Fee
2. F.lectrical S �
❑Total Pmjcet Cost (Item 6)!e multiplier x
l. Plumbing 5 2. OtherFees: S �� �� �� �
�. Mechanical (HVAC) S Lisr. c �
5. Mechanical (Fire S Total All Fees: E
Su ression
Check No. Check Amoune Cash Amount:
�_. 6.Total ProJect Cosh S '� OpQ �c7 O Paid in Full ❑Outs�anding Balance Due:
3
tiECTtON 3: COIVSTRUCTIOIV SERVICES
S,1 Lfcensed ConstrucNun Supervisor(CSL)
I.ircnse Number F.spiration Unie
N�une of CSI.- I�ulJer
I.ist CSL�fype lxe below)
.4JJress T' Dexri tion
U Unrestric�eJ u tu 35,000 Cu.Ft.
R Restricted 1�2 Pomil Dwellin
tii�{nmurc M Mawn Onl
RC RrsiJential Roulin Coverin
Tcicphone WS Residrntial WinJowanJSiJin
tiF RefiJential Solid Fuel Bumin A liance Inuallatiun
D ResiJemiul Drmoli�iun
5.2 Regbtered Home Improvemeot Contracror(H►C)
FIIC Cumpany Name or HIC Regi�tram N:une Registration Number
AdJress
Crpiration Date
tiign�wre Trlephone ,
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. IS2.� 25C(6))
Workers Compensetion Insurance affidavit must be completed and submitted with this application. Failure to provide
Ihis a�davit wili result in the deniel of the Issuance of the building pertnit.
Signed ARidavit AttachedT Ves ..........� No...........O
SECTION 7a:OWNER AUTNORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, , as Owner of the subject propeRy hereby
authorize to act on my behalf, in all matters
relative to work authorized by this building permit application. .
Si mrc of Owner Date
SECTION 7b: OWNER�OR AUTHORIZED AGENT DECLARATION
� 1. �2� � c[, (1 �rA L� N/1G 2S ,as Owner or Authorized Agent hereby declare
that the statements and information on Ihe forogoing application are true and accura[e,to the best of my knowledge and
behalf.
3a�� c; � Sa�Nov✓+S
r����N�,� �
��,)���A `� `�"c�w>v,-�Q��., �G rn R-c. 7 Il
tiignalum of Owner or Autborized Agent - " Uate � '.
Si ned unJer�he ains and naltie�of 'u
NOTES:
I. An Owner who ob[ains a building pertnit lo Jo his/her own work,or an owner who hires an unregistered contrac�or
(not registered in the Home Improvement Convactor(HIC)Program), will�have access to the arbitration
program or guarrnty fund under M.G.L.c. IJ2A.Olher important information on the HIC Program and
Construc[ion Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and I IO.RS,resptttivrly.
?. When substantial work is planneJ,provide�he information below:
Total Iloors aren(Sq.Ft.) (including garage, finished basemenUattics,decks or porch)
Gross living area(Sq. Ft.) Flabilable room count
Number of fireplaces Numbrr of bedrooms
Number o(bathroums Number of hal f%baths
Type uY heating system Number of decks/porches
Type o(cooling system Enclosed Open
3. "Tu�al Project Syuare Footage"may be wbstituted f'or"Total Projecl Cost"
CITY OF $.�LE.�I
PUBLIC PROPERTY
DEPAR'ItifENT
K11Ok1liy Nwvv i �
�� 1'�W.�9Uq[.ZOM 9T1EiT�`'. '��,NwSApll'SaTIS 019.'0
� - � T41.9'.L733-9S9S � F.�7c.9`L7�0.9/.t�
HOtitEOW�IER LICENSE EaCE.�[PTIO�1
Pteaw rii�t
DStO aC r�A�r, � � _ .
��
Job tacuian q ro w�� s T
Home Owner Addrear s�..� -r,
Home Oans Telephoc� 9 �-�- 44 G o —���,G
prcseat Mailias Addrea/ S n�n�
"I'he current exemption of"Homeownas"wa� extaided to include owna-0ccupied
dweUings o[two Unit�or le� and w allow such homeownets w engage an individual for
hire who.doa not possa�s license,provided that tha ownar acts as supe:vi�or.
DEFIIVTI'ION OF HOMEOWNER
Penoa(a) wfw oww s parce)of land on whic6 hds6e raida or intends to rodde, on
whic6 ehere is, or i� intended to be,s one or two family dwelling, attached or detached
structura accessory to such use and/or farm structure�. A peraon who comtrucL moro
chan one home in a two year period shaU not ba comiderod s homeovmer. Suc6
"homaownd'shall submit w the HuildinQ Otflcial, on a form acceptable to the Huilding
Of�icial, that hdshe be responaible for aU euch work performed uader the Huilding
Pmnit
Tha undmigned "homeowner'assuma respomibiliry for compliance with ehe State
Building Code and other appiicable by-Isws and rcgulatioru
The undmignod "homeownd'certifia that hdshe undmtanda the Ciry of Salem �,
Building Departmrnt minimum inspection procedure� and requiremenb and chat hdshe I
will comply with said procedura and requiremrnts.
' HO�tEOWYERS SIGNATL'RE �,���,�,,,PQ � �c�_,u,v.�2�,!
,�PPROVAL OF BUILDING [.�iSPECTOR
See otha side for state code
:, � CI'I'Y UF SALEM
.� -���� PUBLiC PROPRERTY
�" DEPARTMENT
� ... .
1'.1I: Mlfl "Mlr�'ll
�I .,��N I:C�t'.��n�o..�v5f*�` ����:���t.•/7t��S�M�A �,.:I'�':
I'��:��:1•'1. ' .'N
Constu U�t1011"�nwl tiunDwl ronuIIt iun w�d�V it
(r��y
In accunl:un:c wi�h �hc yi�tl��litioa of the State Duilding CoJe, 730 CMR scctiun I I I.S
Debris. •rnd the provisiuns uf MGL c �. S S4; MGL c
i� iw�ued wilh tha condition thot the debris resultinY from
Duilding I'ermit N - � rl lic��'d wdste Jisposal faeility as dafinod by
thi�wurk shall I+e disposcd of in •r p Pc Y
! l l. S 1 SpA. .
The debris will be trunepoRc�! bY�
.� h� C-
n�oma�r no��e.►
'I'ha dcbria will be disposed uf'in :
(n:uneul x� ��y � . . .
�:�����uf 1'xdiiyl
� � � �a S'
.��"��f�xrouc�pp��.ant
�� 'M 1��I / � I
date
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`� �� _ . jTJ, . �INHu!IIN1111I�118�1�I �
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;, E � QUITCLAIM DEED 2003041900768 Bk;20693 Pg;83 '
�' • �%' �-la` . 04/�9l20Q3 12:43:00 DEEp py 1J7 � I
� I, Renee J. Black, Trustee of the AAJ Realty Trust u/d/t dated January 31, 2003 and recorded with the �;ssex
Registry of Deeds in Book 18266, Page 152 of Salem, Essex County, Massachusetts for consideration paid One
($1.00) Dollaz grant to Bruce A. Saunders 'p of
9 Fowler Street, Salem, Massachusetts, with quitclaim covenants: �7j yZC�.
The land, consisting of three parcels, together with the buildings and improvements thereon, now known as and �
numbered 9 Fowler Street, Salem, Massachusetts, i
PARCEL L•
�
The pazcel shown on a plan entitled "Land of T.J. Maroney, Salem, Mass." , dated Jan. 1915, by T.A. Appleton,
C.E. recorded with Essex South District Registry of Deeds, Book 2284, Page 548, bounded and described
according to said plan as follows;
SOUTHEASTERLY by Fowler Street, 36.09 feet; i
SOUTHWESTERLY by othcr land now or formerly of Moroney, 61.30 feet;
NORTHWESTERLY by land now or formerly of Annie L. Knight, 36 feet; and
NORT'HEASTERLY by land now or formerly of said Knight, 61.95 feet. !
Consisting of 2,229 squaze feet more or less according to said plan. .
PARCEL2: �
The pazcel shown on a said plan entitled "Land of T.J. IVlaroney, Salem, Mass.", dated Jan. 1915, by T.A.
Appleton, C.E, recorded with Essex South District Registry of Deeds, Book 2284, Page 548, bounded and ;
described according to said p3an as follows; �
� SOUTHBASTERLY by F'owler Street on two courses,4.58 feet and 32.33 feet; I
SOUTHWESTERLY by land or Moroney, formerly of Henneberry, 60.46 feet;
SOUTHEASTERLY again by land of Moroney, formerly of said Henneberry, I 1.85 feet;
SOUTHWESTERLY by land now or formerly of Tuttle, 6.46 feet; '
NORTHWESTERLY by land now or formerly of Knight, 43.L0 feet; and i
NORTHEASTERLY by other land now or formerly of T.J. Moroney, 61.30 feet.
Consisting of 2,221 square feet more or less according to said plan.
PARCEL 3:
Beginning at the Southerly corner thereof on Fowler Street by land now or formerly of Boudreau; thence
running on said street 34 feet to land .of Moroney, formerly of Turner; thence turning and running
Northweslerly by said land of Moroney, formerly of Tumer, 59 feet 8 inches more or l ss t 1
, e o and oFMoroney;
thence tuming and running Southwesterly by said land of Moroney, formerly of Knight, and land now of Tuttle
34 feet to land formeriy of Boudreau; thence turning and running Southeasterly by sadi land formerly of
Bourdreau 59 feet 8 inches more or less to Fowler Street and point of beginning.
Being the same premises conveyed to the herein named mortgagor(s) by deed recorded with Essex South
District Registry of Deeds in Book 18266, Page 16 L i
I
i
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° 2093042980168 Bk:20693 Pg;84
� p`�'�..r maizei2ees �2:a3:me oeeo ao z�z
EXECUTED this��day of April 2003.
� 4,,.,e:� /J-� .
Renee J. Blac rustee
THE COMMONWEALTH OF MASSACHUSETTS
Essex, ss April ��2003
Then personaily appeazed before me tlie above-named Renee J. Black, Trustee
and acknowledged the foregoing instrument to be her free act and deed, before me
otary blic �7� �q�.-:h Lrs'A�rt
My Commission Expir�s: �� ���0 3
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'` ' L AN,Q OF T. ✓.`MARONEY`
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