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13 CAMBRIDGE STREET - BUILDING JACKET � ��ooHo�rt"o °••} Ctu of ttlent, tt sttr u�et# Public PrnpertU Department "M. Pnilbiq Pepttrtmmt �3Jnhn �. �3nfners (One Safem Green 745-0213 Re #13 Cambridge Street Personal check on this attached request for investigation,revealed that the house is not being used as a shop. The tenant is merely fabricating some stereo cabinets in the front room for his own use. The truck mentioned is owned by the tenant (Young's Engineering Co.) Congress Street,Salem, and is owned by Mr. Young. He was contacted and promised not to keep it at Cambridge Street, and stated that he only parked it there on isolated occassions anyway. Note: Talked with Mrs. Ballou, who was quite happy that there has really not been any attempt to use the house as a place of business. Property owned by Cambridge Realty Trust Robert Landry -Trustee 18 North Street Manchester,Ma a" V L i%/rLel✓9 „ Ufa �� ����a✓x PUBLIC PROPERTY jf DEPARTMENT tC' gI.%WERLEY DRMCOLL MAYOR 120 WASwNGTON h[REEr•SALEK MASSACHMMS 01970 TEL 979-74S-959S•FAx:97&740-9946 APPLICATION FOR THE REPAIR, RENOVATION CONSTRUCTION. DEMOLITION OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING STRUCTURE OR BUILDING rSI.TEMATION/� rp. c 5 Building:s: ated in a;Conservation Area Y/N Historic Dlstrict YIN 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: Address: _ =L,z-7 Telephone: -,7 S 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of ���� Area per floor (sf) Renovated construction or renovation New of existing building Brief Description of Proposed Work: Mail Permit to: What is the current use of the Building? Material of Building? l& r,*�d dwelling, how many units? I Will the Building Conform to Law? Asbestos? ✓/n Architect's Name `x/At`rA� `l Address and Phone /® 4-�e --%-r Mechanic's Name ✓��fE Address and Phone Construction Supervisors License# HIC Registration# Estimated Co Project$ 9 .ra Permit Fee Calculation Permit Fee a �"��" ``� Estimated Cost X$7/$1000 Residential ot," a-` a k r Estimated Cost X$11/$1000 Commercial An Additional $5.00 is added as an Administrative charge. Make sure that all fields are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to build to the above s t r specifications. Signed under penalty of perjury X Date \ 1 i O w � a C �I a c''+ a a o: - -- -- - - ---- - - -- - -- - �I r i 1 •/ I a, _ G - - -- J , i I i...:�.'aw3 =dw�>. .�,+r --. w., q; P=ji,r o.,,,« �p t, Sw I h ( / PIP" - -t -- I I� I 1 M- 6n v i a e. \Documents and ettln s\shenims eskto \kates house.htm 1/31/2007 MORTGAGE INSPECTION PLAN UDEsLAuPJERS JiDDRESS: 13 CAMBRIDGE STREET, SALEN WA SL ASSOCIATES, INC. LENDER: 101 CONSTITUTION BLVD, SUITE D, FRANKUN, MA02038 —le TEL.:(800)287-8800 FAX.:(508)528-4011 ATTORNEY: ANTHONY J. VESONA. K. UNREGISTERED LAND FILE No.: 159053 OWNER: - DEED BOOK: 25401 - PAGE: 6 APPLICANT: IAICHAEL S. SHERRIfF DATE: 3/27/2006 SCALE: 1*=20r PLAN BOOK:4014 PAGE: 559 LOT(S): B PLAN NUMBER: 753 OF 1953 FLOOD HAZARD INFORMATION COMMUNITY No.: 250102 ZONE: C. PANEL: 0001E DATED: 8/511985 REGISTERED LAND CERTIFICATE OF ,TITLE: REGISTRATION BOOK: PAGE: ASSESSORS MAP: BLOCK: LOT: PLAN NUMBER: LOT(S): N/F TAYLOR 2.5B, Z SHED o A2 N/F BIGELOW CO w'ol 4k SHED �" OT14-1 NI i 1g N/F 4 1 a - LANDRY o 1�"'1 DECK ' (LOT A) oa ±- I°0 Z BENNETT (T S70 . DWELLING ! r NO,13 1 w v 32.92' CAMBRIDGE STREET MORTGAGE LENDER USE ONLY _ I I��'~ ..!•-''��" ` THIS K THE RFSII{T QF TAP F MF pCIIRFMFNT NfIT �1 O W,pigtplans.com THE RESULTOF AN INSTRUMENT SURVEY:A D IS'"�'' '°'� *n CERTIFIED TO THE TITLE INSURANCE COMPANY AND I ' ABOVE LISTED ATTORNEY AND LENDER. t THERE ARE NO DEEDED EASEMENTS IN THE ABOVE �'(H DF 4414 - }} REFERENCED DEED OR ENCROACHMENTS WITH o`' RAYMOND 9G .l RESPECT TO DWELLING SITUATED ON THIS LOT E, I EXCEPT AS SHOWN. BEALE, JR. THE LOCATION OF THE DWELLING SHOWN DOES -o NO. 8973 NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE. 9�^rr qFL`/STERF� •IIIIII� �' } THE LOCATION OF THE DWELLING AS SHOWN SS�NA( AND S� HEREON EITHER WAS IN COMPLIANCE WITH THE LOCAL ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage inspection tape survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This pion was not made for recording purposes, for use in preparing deed descriptions or for construction. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished by an accurate instrument survey. (5) No responsibility.is assumed herein to the land owner or occupant. Cappight C 2005. D Launers k ASToa., 7. I The Commonweallh of Massachusetts Board of Building Regulations and Standards CITY ul t!y j Massachusetts State Building Code, 780 CMR, 71b edition OF SALEM "wws� Revised Junuurr Building Permit Application To Construct, Repair, Renovate Or Demolish a 1. zooR One-or Two-Faindy Dwelling This Section For Official Use Only Building Permit Nu ber: Date Applied: 2 'O 0 Signature: 'f/2(!(O Building mmissioner/ ns of Buildings Date SECTION I:SITE INFORMATION 1.1 Property Addrtss 1.2 Assessors Map& Parcel Numbers J3 Ca wMxl�rP S-E• Sa1'etit. /V L l a Is this an accepte street'yes_ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq It) Frontage(11) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard Reyuired 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: Zone: _ Outside Flood Zone? Public❑ Private❑ Check if es❑ Municipal❑ On site disposal system O SECTION 2: PROPERTY OWNERSHIPI 2 r10"Sl er f RecJyrd: f int) Address for Service: Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORW(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify: Brief Description of Pro osed Work': �i vti,ails�r,,t s SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials I. Building S 1. Building Permit Fee:S Indicate how fee is determined: �. Electrical S ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4. Mechanical (IIVAC) S List: 5. Mechanical (Fire ` Suppression) S Total All Fees: $_ L Check No. Check Amount: Cash Amount: 6. Total Project Cost: S rS / J ❑Paid in Full ❑Outstanding Balance Due: S�Nb To I Sf11 L /ZtGy/nscOJ I� Goa-wt-Q2� s-r ' 9 SECTIONS: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) /,0,1/ 7-e 3 `� License Number Expiration Date Name ol'C'SL•Ito Jer ,y J List C'SL Type(see below)_L( QGNO f1-� � �,Ll���QQ f. Description Address �^ /' Q�f�v U Unrestricted(up to 15,D00 Cu. Ft. R Restricted 1&2 Family Dwelling S'nnatu M M. Only �U`CCad RC Residential Routing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition S.2 Repbtered Home lmprovemeot oot cto�r(HIC) I Registration Number HIC Company Nt to uJJ IIIC Regis)ant Nam4 ��' / Address ,,! .2,// _ //(l zo' Expiration Date . Signature Tellepdhone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. 152.1 2SC(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... No...........O SECTION 7a OOWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 �i'2c� �dr. sf/�✓Y1$ as Owner of the subject property hereby Authorize _ l'Ptel4el to act on my behalf, in all matters relative t work authorized by this buil ing rmit aI cation. Si ore of Owner Date SECTION 7b:OWNER'OR AUTHORIZED A NT 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 (Signed under the pains and penalties ofPerjury) NOTES: I. 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 goJ 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 780 CMR Regulations I IO.R6 and 110.115, respectively. 2 When substantial work is planned,provide the information below: Total floors area(Sq. Ft.) (including garage, finished basement/auics,decks or porch) Gross living area(Sq. Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of halt/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open J. "Total Project Square Footage"may be substituted for"Total Project Cost" J CITY OF S.U.&Nig 2AASSACHI:SETTS Bt:ILDLNG DErmunc1ENT 120 W.\iHLNGTON STREET, 3"FLOOR TEL (978) 74S•9S95 FAx(978) 740.9&M Kl%CSES FY DRISCOLL MAYOR IltOlW ST.P[EIRI DIRECTOR OP PLBLIC PROPERTY/BL: DLNG CO-*LLMISSiONER Workers' Compensation Insurance Affidavit: guilders/Contractors/ElectrielansiPlumbers 111nllc2nt Information �j J�/J Please Print-Legibly Vane (ausin Orytmruionlndividual): /6f�GQ 1 �UI,11 y p Address: l o exsS l City/Statc/Zip: Scr�Pvk . Phone M: \re you a employee?Chest the appropriate tree: Typo of project(requlyde*: I. 1 am a employer with d. 0 1 am a gencral contractor and I P Yin 6. ❑New construction employces(full and/or part-time).• have hired the subcontractors 2.0 1 am a sole proprietor or partner- listed on the attached sheet. : 7. Remodeling ship and have no employees Thaw sutseontrsetors haw B. 0 rkmolition workin for me in an capacity. workers'comp.irrnuanct B Y Por ry• 9. Building addition I No workers'comp insurance 3. We are a corporation and its requinal.) otTlcdas have exercised shoe► 11 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work right of exemption per MOL 11.0 Plumbing repairs or additions myself.(No workers'comp. C. 132,410).Will we have no 12.0 Roof repairs y insurance required.)t employees.LNo workers' 13. Odter �/IJrGG// comp insurance required.) •Any applicaar thin dwdm boa el mum alm fin tad tlw rondo bwfow akwiq dhdr works'conspo trf m polity infumuctim. 't hvtwwm who admit dais anlbva indiedp they an Joins all work and thin hie autei6t cattraoart mum admit a now,a(gbvit indioeiq nslt =('.mdrswa dat ckvek this bm mud a sadmi an a lditiunl rho Showing the moor of the wi.cearnsaaa sad thh wars ,tong.policy infwmmim, i um as employer that b providing workers'rowpatrotbn lnaannaee fer my rarplayars ddew/J the peliey ew//o1 slat informal" > / / n Insurance Company Name: �r /A P Policy N or Self•ins./Lic.//M. Ste) � �c�T Expiration.Data: /�/�/��1� tub Sine AdrkeL: L C////r(Ly/ GP. 1 "City/StaWZip: <'lPAu, 11li4 .\nsch a copy of The workers'comps ■Pogry deelarulsn pep(showing the policy somber and expiration date} Failure to secure coverap as required under Sectios 23A of MGL c. 132 can lead to the imposition of criminal penalties of a Roe up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a rise of up to S230.00 i day against the violator. Ire advi..%W that a copy of this statement maybe forwurtiLd to the Office of Inc.atigatiune.dl'the nlA for insurance coverage verification. /do hereby terrify Under the pains and pena/rles of perjury that the inforararloa provide/above is true and Correll O/JJcial we only. Do not wren in this area,n be cunnp/etd by city or town olficiml I City orruwn: _ eermM.lcenstM__. Issuing.\urhurity /circle one►: I. guard of IlrahA 2. melding nrparimenf 3.C'ilyfrown Clerk J. Electrical Intpntor S. Plumbing Inspector 6.thher C..nracl Perin: _ ._ _.. Phone a: a £ b i i Commission 120 WASHING1 ON Sl NF_'cT, SALEM, AiASSACHUSETTS 01970 (978) 745 9595 EXT.311 FAX (978) 740-0404 CERTIFICATE OF NON-APPLICABILITY It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Signage ❑ Other Work as described below does not involve an exterior architectural feature or involves a feature covered by the exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntim Address of Property: Name of Record Owner: Eric Richards & Michael Sherriff Description of Work Proposed: • Remove storm windows and repair window casingjtrim, repaint casings in existing white as needed, installation of new storm windows (color to match window sash) • Replace copper drip caps above each window • Restore and reglaze wooden windows as needed Rebuild chimney, salvaging existing brick as much as possible, in color and thickness to match existing; installation of non-visible flue liner • Rake and repoint granite foundation mortar joints as needed • Repaint front porch to match existing Repair and repaint shutters in existing All work to replicate existing. No changes in color, material, design, location or outward appearance. Non- applicable due to being in kind maintenance. Note: Storm windows are not within the Commission's jurisdiction. Dated: September 23 2009 SA7testo T AL COMMISSION By: The homeowner has the option not to commence the work (unless it rsolv ng an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permits or approvals) prior to commencing work. CITY OF SALEM i PUBLIC PROPRERTY �• DEPARTMENT I!(! \l•.\.1 ll.\L.�LV�1'M tl T ��•\I I\I,fit. .\I lit N I ":VV. 141 Construction Debris Disposal A111davit (rcyuired ,or all denolition and rcoovatiun work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40. S 54; Building Permit H . _ is issued with the condition that the debris resulting from this work shall be disposed of in properly licensed waste disposal facility as defined by MGL c S 150A. The debris will be transported by: i (IIYr110 ul Iwule The debris will be disposed of in (n:une u1'�a�nY/ t;lddllr.,,lllulh 1 .I�nature of Ilornul apphcaM :7/aoAx� ,lacy Iclnndl C.K t f The Commonwealth of Massachusetts Board ul'Building Regulations and Standards CITY m OF SALEM Massachusetts State BuildingCute, 780 C'MR, 7 r on RrvisrJJurtuarr I)uilJing Permit Application To Construct, Repair, Rrnov a Ur Demolish a /. :lRhY One-or rwo-Frr ilv Dwelling This Section FoV Official U OnI Building Permit Number: 1 at Ap ied: Signature: 9/.; W/6 Building Commissioned Inspector Buildings Data SECTION 1: S#TE INFORMATION 1.1 Property Address: i 1.2 Assessors Map& Parcel Numbers I.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Am(sq 11) Frontage(it) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Required Provided Requited Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone?Public O Private O Check if esO Municipal O On site disposal system O SECTION 2: PROPERTY OWNERSHIP' 2.1 Ownert of R ord. MiZ; S`�elzi;oFF I3 Cfrf\12rZ,idgc ST Name(Print) Address fa Service: Signature Telephone SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction O Existing Building O Owner-Occupied O 1 Repairs(s) Alterations) ❑ Addition O Demolition O Accessory Bldg.O Number of Unit_ Other O Specify: Brief Description of proposed Work': SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials I. Building S 1< Q I. Building Permit Fee: S Indicate how tee is determined: ❑Standard City/Town Application Fee 2. Electrical S O Total Project Cost(Item 6)x multiplier x 1. Plumbing S 2. Other Fees: S 1 ('/6 4. Mechanical (IIVAC► S List: 5. Mechanical (Fire S Suppression) Total All Fees:S S S Total Project Cost: S ,j 041ca Check No. Check Amount: Cash Amount: 6. ❑Paid in Full O Outstanding Balance Due: I l SECTIONS: CONSTRUCTION SERVICES 5.�1 Licensed Cons fiction Supervisor(CSL) pt 13� r 1 License Number Expiration late Name of C'SI.• lulde � S\ List CSL Type we below) •(— f Descri ion :Address U I tInrestricted(up to 15.000 Cu. Ft. It I Restricted 1&2 Family Dwelling .l" Masonry Only fi' RC Residenial Raolin C'overin I'elcpMme WS Rnidential Window aml Siding SF Residential Solid Fuel Bumin Appliance Installation D Residentid Demolition 5.2 Registered Home Imp rovemeol oatrsctor(HIC) I aw53 2 S (1.J✓ ��� RtSisarpilon Number f III'Company����w istranl N a Sr . 54 Address C1 � I Expiration Dale Sian:tturc ��/ Tclephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.I. c. 152. 1 2SC(6)) Workers Compensation Insurance atTidavil must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ..........O No...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner of the subject property hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Si ure of Owner Date SECTI//ON�i7b: OWNE/W OR AUTHORIZED AGENT DECLARATION I ��/� L yv Jw—i r_ ,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 behalf. S-eP 0 ,co/VJJo-2 Print Name 09 j 0 Signalureof(hv er orized Agent Date Siwwd under t ens and penalties of 'u NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who him an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program), will=have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 790 CMR Regulations I I O.R6 and 110.115,respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq. Ff.) (including garage, finished basement/attics,decks or porch) Gross living area(Sq. Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Typeof cooling System Enclosed (-pen ). "Total Project Square Footage**may be substituted for"Total Project Cost" Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 (978)745-9595 EXT 311 FAX (978)740-0404 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction Alteration ❑ Demolition ❑ Painting ❑ Signage ❑ Other work as described below will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire Address ofPropertv 13 ( ambridEe Ctr et Name of Record Owner: Eric Richards &Michael Sherriff Description of Work Proposed: Replace existing green, 3-tab asphalt shingled roof with black 3-tab asphalt roof. Remove wooden gutter on front and rear facades and repair fascia and crown molding to replicate existing . Change window s g g ash color from white to gloss black to match front door and shutter color. Storm window color to be black Dated: October 14, 2009 SALEM//HISTO��RICAL COMMISSION By:��L2�1�(i `�/'� . The homeowner has the option not to commence the work(unless it relates to re/solving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the lnspectpr of Buildings (or any other necessary permits or approvals) prior to commencing work. i The Commonwealth of Massachusetts I. ( OF ' Board of Building Regulations and Standards,';PECTOQNAI OMEM Massachusetts State Building Code,780 CMR Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate I�et '1 27 2� One-or Two-Family Dwelling 'oT This Section For Official e ;ply �. Building Pemut Number 'Datg'Ap Budding Official(Print Name) Signature' Dat SECTION It SITE INFORMATION -w' 1)7ope r�ess:n( ��i 1.2 Assessors Map&Parcel Numbers L l a Is this an accepted street?yes V no Map Number - Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yazd Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water pply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage * osal System: Public Private❑ Zone: — Outside Flood Zone? Municipal On site disposal system ❑ Check if yesO SECTI6N2i PROPERTYOWNERSHIP- 2. Owner' Record: JA t(/inw r "HT © l�1 Names(Print)/_ r7�� {� City,State,ZIP /3 C(4-e w i�7— , / No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WOW(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief DescritionofProposedWork': L - C SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials). - - 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined - 2.Electrical $ ❑Standard City/Town Application,Fee • . ❑Total Project Cost'(Item 6)x multiplier - x. 1 3.Plumbing $ .2 Other Fees: $_.q�.-� 4.Mechanical (HVAC) $ 5.Mechanical (Fire Su $ Total All Fees:$ - ression Check No. Cheek Amount: Cash Amount:' 6.Total Project Cost: $ �B©0 ❑paid in Full ❑Outstanding Balance Due: f`n A t LAZY. 5 [2 F F SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) a L3q r# License Number pirati n Date Name .Holder. r� r� a I i' Pa; t List CSL Type(see below) IQ L5R=No.and Street T Description (.1 „�. 1 A O/G�� U Unrestricted(Buildings u to 35,000 cu.ft. y,(f/� 4/ { / R Restricted 1&2 Family Dwelling City/rows,State,ZIP M Masonry Roofing Covering O WS Window and Siding �i SF Solid Fuel Burning Appliances 9 7�I 21 J[� IP3/ I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) i HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address City/Town, State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G:L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... ❑ No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR /A,PPLIESS FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Wt LLtrRM- T 44cff to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 71b!OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of pedury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES,: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at wti+nv.mass.gowoca Information on the Construction Supervisor License can be found at www.mass.eov/dPs 27 When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basementlattics,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" r . o Salem Historical Commission 120 WASHINGTON STREET, SALEM,MASSACHUSETTS 01970 (978)619-5685 FAX(978)740-0404 CERTIFICATE OF NON-APPLICABILITY It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Signage ✓ Other Work as described below does not involve an exterior architectural feature or involves a feature covered by the exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire District Address of Property: 13 Chestnut Street Name of Record Owner: Nicholas Kiefer, M.D. and Jennifer Rousseau Kiefer Description of Work Proposed: Repair/rebuild two chimneys (one a center of house and one at rear abutting driveway) with in-kind materials. Replace existing rubber roof and 3-tab asphalt shingles with in-kind materials. No changes in color, material, design, location or outward appearance. Non-applicable due to being in- kind replacement. Dated: March 29, 2016 SALEM HISTORICAL COMMISSION By:( ,� � IF_Z� The homeowner has the option not to commence the work(unless it relates to resolving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. Once completed,please submit a photograph(s) of the final result(maximum offour-i.e. one photograph of each affected fapade). THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permits or approvals)prior to commencing work. 00 The Commonwealth of Massachusetts CITY OF Board of Building Regulations and Standards SALEM Massachusetts State Building Code,780 CMR Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling �, T�Simon For+DB';c�1L�a . O gullthng Peratft.Numloer- I Date Wed. 91rSIle I3ultdiug0110y t(Pr Name) 8igrtattrr®, _. arCnON1:3 ' —0"ORMA'1701e' 1.1 Pro rty dress: 1 sessors Map&Parcel Numbers c3 4wak/mee - Ll a Is this an accepted street?yes_ no Map Numb Parcel Number 1 Zoning Information: 4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(R) 1. Building Setbacks(ft) Front 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 13 Private❑ P Zone' _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Cyecic if es❑ S$ETION2 PROPERTYOWNERSBTPt 2.1 O err of Record• - a/c 'f-tsf tTA-t.641 0, r(q 0/9'7 t) (Print) city,state,ZIP 5 T 'P/r. S No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK$(cheek all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ SPecifi B 'efDescription ofProposed Work: - v moo/ �,c19r,a Cawert(.s rw(- Sr2gP 4se >S ;L Woa w.St t EN 3c'r v a+ y :%C)4r +re , arc Bo , SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Of ficial Use Only . abor and Material 1.Building $ le s2 S' T Bottling Permit ran:$ Iadlc to horov fee is determined: 13 Standard CityiTowo Application gee 2.Electrical $ 0 Total Project Cosh(Item 6)x multiplier - x 3.Plumbing $ 2. Other Fees: S '. 4.Mechanical (HVAC) $ Lam: 5.Mechanical (Fire $ Total A9 Fees:$ ression Check No. Cheek Amount- Cash Amount: 6.To 1 Project Cost: $ ❑Paid in pull ❑Outstanding Balance Due: BION 5: CoNsTR MION SERVWEs .... 5.1 Construction Supervisor License(CSL) license Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street - Description U I Unrestricted(Buildings R Restricted)&2FCityfrown,State,ZIP M I MasonryRC Roo CoverinWS Window and SidinaSF Solid Fuel Burnin I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date ' HIC Company Name or HIC Registrant Name No.and Street Email address - Ci /town State ZIP Tel hone SECTION&WORKERS'COMPENSATION VMMANCE AFPMAVIT(A4 G L c.152.4 250.(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ..........O No...........❑ Tae OWNER AUTHORIZA TO BE COA4PLETED�i 7IEN WNTSR'S 19T 9 O 4R_ & INO PIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7h:OWNEW OR AIITHOR1 M AGENT DECLARATION / By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information X contained in this application is a and accurate JP the best of my knowledge and understanding. Print Own 's or Authorized'Agent's Niirne(Electronic Signature) * - Date 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at Maw.mass.eov/oca Information on the Construction Supervisor License can be found at Mm .mass.uov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basemenUattics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of f replaces Number of bedrooms Number of bathrooms Number of haWbaths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" I Q . Ata`+ti7114@� Salem historical Commission 120 WASHINGTON STREET,SALEM,MASSACHUSETTS 01970 {978)819-5685 FAX (978)740-0404 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction 0 Movino ❑ Reconstruction El Alteration ❑ Demolition n Painting ❑ Signage ❑ Other work as described below will be appropriate to 'the preservation of said Historic District, as per the requirements set forth in the Historic District's Act (M.G.L. Ch. IOC) and the Salem Historic Districts Ordinance. s District: McIntire Address ofPropertv7 13 Cambridge Street n 3 Name of Record. Owner: Michael SherrifFand Eric Richards a Description of Work Proposed: Rehuild-front entry stairs with new wood stairs on granite base. Exposed saufitce (#granite base to be ,finished in a thermai.finish with cushioned edges. Stairs to be constructed of teak and retain unpainted. Dated: July 27, 2016 SALEM HISTORICAL COMMISSION By; 1 The homeowner has the option not to commence the work (unless it relates to resolving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. THIS IS NOT BUILDING PERMIT. .Please be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permits or approvals)prior to commencing work I t 1 ' CCvj Vee �`Yh e h e current What ie the use of the B 'Idi ?S r,,„e 2S Material of Building? o o dwelling, many un' V Wilt the Building Conform to Law? Yes: Asbestos? o Architeds Name Va fee S S � �78-Zff1- 8670 Address and Phone alp Mechanic's Name Address and Phone consbuction gupervisors License f HIC Registration S Estimated�/gf�Proje�t 5 ,000,00 PerrnN Fee Calculation Pennit Fes Estimated Cost X$7/$1000 Residential -- - - *S� Estimated Cost X$41/i1000 Commercial An Additional$5.00 Is added as an Administrative charge. Make sure a are properly and legibly written to avoid delays in processing. i The undersigned does hereby apply for a Building Permit to ild to e i SpeoiBcations. Signed under penalty of perjury Date g Z O S. 4,5 ao a 4L— •� - 4- l PUBLIC PROPERTY = y DEPART'MFNT ri..mFx�v n•,�•-,� �(wroe 13D Wwwuutrcw.near• s�wsuaasers ot97o To-97e•745-gM FN¢97t7i0 9iM APPLICATION FOR THE REPAIR RENOVATi0N CONSTRUCTION D&MOLTPION.OR CHANGE OF USE OR MEMNCY FOR ANY EM TING STRUCTURE OR BUR DMG 1.0 SITE INFORMATION Location Name: 13 cao Building: z Property he located In a.Conservation Arsa YM Historic DWM Y 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name. e er i Address 13 CahibJ i d e S� re�� S e o l Telephone 92 7 3.0 COMPLETE THIS SECTION FOR WORK IN E EING BUM Addition Renovation Number of Stories Change in Use Demolition EApproximate year of �� Area per floor (sf) Rconstruction or renovationof existing building ) N Brie[Description of Proposed )Work: .1 WOV)d i ke— tG de m vl o S' A f GP d I b� G�-t i�Gf�f'►� fCGvKa�/e Qh c� e ,< S�in� c(S a h I7�4/ 7` l�/ C�axQe fie >`CcJr- eri�r�hc� /fmrn �ve �I whe+ e ► f revr�et T) f-res ides hq w�1Gl�'Ti e e c( o b rov qh t P Iraq: -�- Mail Permit to: /o., �a�✓��r e d S, oaf dap S Ill w JJJ ' �e4A"r s� i L� -14