Loading...
15 HIGH ST - BUILDING INSPECTION One or Two-Family Dwellin; If� The Commonwealth of Massachusetts - V(1 Board of Building Regulations and Standards o � Massa c setts State Building Code, 780 CMR, 7'h Edition ul.�.:' w :fi�'c »•c- a �, : w , ., ryhtsaSe o r'-iOfficlal,[IsetOnl Building Permit Number '�taY�s�J ' . Date of application �u l � [ 1 q f+'• Buifdin ComSiisetoner/Local dns ec[or, Date � , z , c ,,,yr - Lr'i-�-xFwr`,.�kw"�,t:i' r aira,i•�e'��' •'V;r72��t v�-�',•K'� '� � i ��TxII��x�I$F�. F0.�21VvTi':'srf� e; ��3.. � •.`+�,, r#� X' �.. mob.. .��. ; 1.1 Property Address 1.2 Assessors Map&Parcel Numbers /6Kic7W 5`(' IAL M, 146o1S7D Is this an accepted street? Yes ❑ No ❑ Map Number Parcel Number 1•.3 Zoning Information 1.4 Property Dimensions ?,onin District Pro osed Use Lo[Ar!a(sq ft Frontage(ft 1.5 Building Setbacks(feet) Front Yard Side Yard Rear Yard Required Provided Required Provided Required Provided 1.6 Water and Sewer Municipal ❑ 1.7 Flood Zone Information 1.8 Conservation Commission Private ❑ On site disposal❑ Flood Zone: N/A ❑ DEP Number 40- N/A❑ 1.9 Old &Historic Commission 1.10 Site Plan Review 1.11 ZBA Special Permit COA number N/A❑ Date filed N/A❑ Date filed N/A❑ ia"M 2. ROPERTiY 2.1 Owner of Record o0174,A.Q 4 _ Name(Pri r// Address for Service CJ9�- 7� -V� i I to Signature of owner Telephone Via+ ED G' che�lL h to 3�3 , € t.. R +�O bPROYSy PP r s az ,s New Construction ❑ Existing Building ❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Description of Proposed Work: z I9br/%) e,Cll/Af/,�604,w ATis�� ii CC"J'`o Dyers o a x� r � t �XRsue. r C + ONEST�hTEDE�COjSPRI) QC�S .�xdfi� Estimated Costs r ? Item - ThlsSecdon For OtficlalrUse Only = , (labor and materials) - 1. Building $ � Building;S10/$1000 2. Electrical $ jZ pOv Buildmg+Plumbmg_$12/$l000 Building+Electrical $13/$1000rn_ 3. Plumbing $ 2n, 000 Bmldmg+Electrical+pjumbingcombthed;$15/$1000c 4. Mechanical (HVAC) $ Total project cost(labor and materials)$ x 5. Fire Suppression $ a Fee multiplier from above$ %$1000 6. Total Project Cost rmit Fee$ Receipt Number Y ;+ Uf✓cr +C .k$ I r? �°1 e ks.+ 5 `1 5•"-'sri ay, , -r{ a,+a'- C t{, .,;'"f�"s% i".' d ,P'10 y+n -� '�c 5.1 Construction Supervisor License(CSL) License /O/S/ y Expiration Dare Z2Z 7./ Nameof CSL rT Description!, " '{ _ Unrestricted(up to 35,000 Cu.Ft. Addre� / J / Restricted l&2 Famil Dwelling •� a/!�/�L r/"/'/A M Masonry Only Sig ature RC Residential Roofing Covering WS Residential window and Siding SF Residential Solid Fuel Burning Appliance Telephone D Residential Demolition 5.2 Home Improvement Contractor Registration(HIC) znH�R f &*Y*�S _,5f�I✓'Li✓& Registration ��V�S� Expiration Date ' HIC Company ame t Name1re) AA-Bt9f�f dress Signature Telephone Worker's Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide an insurance affidavit may result in the denial of a building permit. Signed affidavit attached? FFYes ❑ No ❑ e. SEC- LO 'aa x��OWN R�`IJ��OrRIZ '^ONTO'I3 �G�© L+E E' SAE O ERRRR��G`ENr �O + 3� .r �^ 4y� ', ��N�n•�r "T ��,�Pt *�`IEJ;�+OR,�Ir L"�IN�+tP�+,--��.t< it��,+x �+�*�, ,r�'",.�r}n,. X I, as Owner of the subject property,hereby authorize to act on my behalf in all matters relevant to work author dO this building permit application. O 9 /fir Signature of Owner `� Date t 5" rti4 � fit, ' ALJ'TI ORI�> as Owner or Authorized Agent, hereby declare that the st mf a i formation on the foregoing application are true and accurate,to the best of my knowledge and belief. y 15�iZ Signature of Owner or Authorized Agent (Signed under the pains and penalties of perjury) Date SECTCO]VzB �DEB�SD $PO L 4 .y :a'T x S.ru ,fsS z4�„ k"St14rM"cAu vi. s. adn^^Y±"+a._ .r rc Y ✓,, x 9_. _ I xx' — _ All dumpsters of six(6)cubic yards or more are required to have a permit from the Marblehead Fire department: call 781-639-3428. In accordance with the provisions of 780 CMR 111.5,5111.5 and MGL c40,§54 a condition of issuance of this building permit is that debris resulting from any work performed shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c111,§ 150a. DEBRIS DISPOSAL LOCATION � r SIGNATURE OF APPLICANT ' wx^s {N aur,^Sy sm. ,o- 7 a ,��¢;.,- an 3 .F� a ' '� '�mt�.+ �'� �s'ra '*=;S';'nYTh� a" �"b`L E`w:�V'71. «111 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 and Construction Supervisor Licensing(CSL) can be found in 780 CMR Regulations 110.R6 and 110.R5. l The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Mashington Street 1 Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nagle(llusiness/Organization/fndivi(fual): �,/�./ 6VY/1144 6 Address: /Cr2 City/State/Zip:A, lea` �- t9 hone#: G� y/ p7Rd Are you an employer?Check the appropriate box: 1.Q I am a employer with 4. Q I am a general contractor and I Typeect(required): employees(full and/or part-time).* have hired the sub-contractors 6. ❑ onstruction _?.Q I am a sole proprietor or partner- listed on the attached sheet. 7. Qeling ship and have no employees These sub-contractors have g. Qition working for me in any capacity. employees and have workers' [No workers'comp.insurance romp.insurance.t 9• ❑ g additionrequired.] 5. Q We are a corporation and its 10.❑ cal repairs or additions 3.❑ I am a homeowner do' all work officers have exercised theirt LQng repo rs or additions myself[No workers'comp. right of exemption per MGL 12.0pairsinsurance required.]t c. 152, §1(4),and we have noemployees. [No workers' 13.Q comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensanon policy information. t Homeowners who submit this affidavit indicating they are doing all work and then him outside wntmcturs must submit a new affidavit indicating such: tC(ntmctr)m that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. r am an employer[ha[Ls providing workers'compensation insuraneefor my employees. Below information. is the policy andjab site y _! Insurance Company Name: Policy#or Self-ins.Lic.#: 7/� C 2-9 0 6-S Z Expiration Date: / ' S l2 Job Site Address:_ / -1�d _ .� &;k ----�{ �� City/StatelZip:<5" � Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Signature• Date Phone#: FI- Ojfrcial use only. Da not write in this area,to be completed by city or[own oJjiciaL L1. or Town: Permit/License# ng Authority(circle one): ard of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector ther act Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership, association,corporation or other legal entity,or any two or more of the. foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the r�„ci:er or trustee of an individual, partnership, esso6a ion or ether legal entity,cmploving cmpioyees. hlowevcr the o;r;er cf::ck -'I ., house h:n ing not .hare ihsm utree.apann_nts aMd Mio iesides tl ^rein,or the occupant of Lhe duelling house ofanoihel who employs persons to do maintenance,eolrsh"Uetlnn or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have e that this affidavit may be submitted to the Department of Industrial employees,a olicy is required. Be advised a y p P Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the peauit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. CItY orTowri'Otrcials Please he sill e that the afftclavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required.to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia CITY OF S,V-&Nvi, AASSACHUSETI'S BULLDLYG DEPARTNU NT 120 W.ISHNGTON STRBET, Y°FLOOR TLL (978) 745-9595 FAX(978) 740.984 K1JtHERLEY DRISCOLL MAYOR THo.+w ST.PMAIN DIRECTOR OP PLixic PROPERTY/Ht: DLYG CO\p(ISsloNER Construction Debris Disposal ACttdavit (required for all demolidon and renovation 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 4 is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by lV1GL c I11. S 150A. The debris will be transported by: (name of hauler) The debris will be disposed of in (name of facdity) (address of facility) Ek, signature ofpermit a pliwnt data Office o�Consumer\fta i�s& ne�� liitir�on HOME IMPROVEMENT CONTRACTOR Fi- Registration c 160856 Type: '( t Expiration 9/8/2012 DBA r SH1L ING�`CARPENTRY a r'✓ THOMAS SHILLING: I f - 160.; ERSEY ST J ,- - MARBLEHEAD, MA 01945 Undersecretary Nassachusctts - Department of Public Saret% Board of BuiltliriL Rc;;ulatioos and Standards Construction Supervisor License License: CS 101569 Restricted to: 00 THOMAS SHILLING �160 JERSEY ST MARBLEHEAD, MA01945 ° I DAM(MANDDNYYYI ACORN l CERTIFICATE OF LIABILITY.INSURANCE 09/15/2011 THI PRobueBR (g78) 745-6464 S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY CERTIFICATE R O CERTIFICATE Rose 7nsurance OERTHIS DOES NOT AMEND, EXTEND O ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 66 Loring Avenue - P.O. Box 958 INSURERS AFFORDING COVERAGE NAIC# Salem ma 01970- INSURED INSURER A:GT?ARD INSDRANCE Shilling Carpentry INSURERB,Merc4ants Xnsuran 160 Jersey street INSURER C: INSURER 0; Marblehead NA 01945- INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTNATHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VRTI4 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRISEb HEREIN IS SUBJECT YO ALL THE TERMS, EXCLUSIONS AMC CONbITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PDLK:v EFFECTIVF.POLICYEKPIRATION IHSR AOU'L TYPE.OF INSURANCE POLICYNVMDER DATE MMIDbMy OA1T MMIDOrYY) LIMITG LTB INSRO 01/04/2011 01/04/2012 1000000 �} GENERAL LABILITY 80P104494H EACH OCCURRENCE��_$ DAMAGE Ta RENiED 1000QD COMMERCIAL GENERAL LABILITY PREMISES C.nncurrence $ CLAIMS MADE IJ OCCUR / / / / MEURKP An ow Arena $ $000 PERSDNALBADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GP AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOP AGO $ 2000000 POLICY JCOT LOO AUTOMOBILFLIABILITY / / / / COMBINED SINGLE LIMB $ fEe ncntleno AJALL AUTO Ow ROSILY AUTOS / / / / BODILY INJURY P (Per lnnnon) EDULED AUTOS ED AUTOS / / / / BODILY INJURY $ (Per aceldwt) N.OVJNED AUTOS PROPERTY DAMAGE $ (Per BctldbM) GARAGE LIABILITY AUTO ONLY-SA ACCIDENT ANYAUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGO $ EKCESSNIMBREILA LIABIL." / / / / F CN OCCU JCE $ OCCUR 0 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE S RETENTION $ _ ]$ WORKERS COMPENSATION AND TE91=20892 01/05/2011 01/05/2012 X T p L�MIT9 ER EMPLOYERS UABO.m 100000 ANY PROMPYCI /PARTNERI ECUTn/E E.L.EACH ACCIDENT S OFFICERNEMSPR F_XCLUDEO^ / / / I E.L.DISEASE-EA EMPLOYEE$ 100000 Ir yea,deecrlUD under E.L.DISEASE-POLICY LIMIT a 500000 SPECNL PROVISIONS bobW OTHER OF8CRIPTION OF OPERATIONSrLOCATIONSIVENICLESIEKCLUSIONS ADDED BY ENOORSEMENTH:PECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (97S) 740-9846 ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Attn: Joyce BOMBATION DATE THEEWE, THE IBBUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Salem Builcung Department FAILURE TO 00 SD SHALL IMPOSE NO O,LJaAM1 OR LIABILITY OF ANY KIND UPON THE INSURER rM AGENTS OR REPRESENTATIVES. ORIZEO REPRESENTA^T�NG3 Salem ba 01970- f� Y onmr CITY OF SALEM, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT n 720 WASHINGTON STREET, 3RO 01 FLOOR MASSA SALEM. MASSACHUSETTS 01970 TELEPHONE: 978-745-9595 f FAX: 978-740-9846 KIMBERLEY DRISCOLL MAYOR Section 116.0 DEMOLITION OF STRUCTURES Structures over fifty(50) years old must have approval of the Salem Historic Society UTILITY DISCONNECTIONS REQUIRED Authorized Agent Date of Disconnection f Water q 'Z (see attached requirements) Electrical �— Fire Health k1 Sewer it Salem Historic Commission WAI'Ke r tcS Dig Safe Numhe�//2 Pest Control: ***DOCUMENTATION OF ALL THE ABOVE MUST.BE ATTACHED BEFORE PERMIT CAN BE ISSUED*** Fee for Demolition $5.00 application fee plus$2.00 per 100 square ft gross area, Minimum$25.00 tint o� �{�two�k- '�. n�-b F+l(a�. _i��o s�F�ks`� 4kedzy f �( 257 CITY OF SALEM ROUTING SLIP New Construction�_�� 6?6"7 Certificate of Occupancy L LOCATION / �O DATE-- '-0/f ASSESSORS DATE 93 Washington St. 2 uN1-5 CITY C K DATE t7 (4U- f.(-3P- (� 93 ashington St. ],� / aG PUBLIC SERVICES ( P�"=DATE 120 Washington St. 41 WATER kil- DATE Idl y< << 120 Washington t. CROSS CONNECTION DATE ld br l k 5 Jefferson Ave PLANNING ,/Z �l — 7 �JA_DATE lo 1/1 //1 120 Washington St. CONSE ON DATE 120 ashington St. V ELECTRICAL DATE 48 Lafayette _ IRE PREVENTION DATE 29 Fort Avenue HEA DATE 1 Washington St. BUILDING INSPECTOR DATE 120 Washington St. Shilling— Ferris Builders 160 Jersey Street Marblehead,MA 01945 617-791-0227 Client Contract September 15,2011 Paula Pearce 2SGale Road. Swampscott,MA 781-710-2586 SCOPE OF WORK: Tear down existing garage at 15 High St. Salem Ma. Pour new foundation and rework existing utilities.Replace side-walks with poured concert.Build new single family home with three car garage according to approved architectural plans. 0 2or(i&_V 00 Note: Final payment must be given upon completion. Scheduling: The above work will be scheduled once a signed contract is returned and the agreed upon deposit is received unless prior arrangements have been made. Unless otherwise agreed,all specified work areas are to be cleared of any furnishings before work begins. Any areas not ready are subject to an additional labor charge of$55.00 per person, per hour. Other: Any additional work agreed to will be billed at$55.00 per person,per hour. Cleaning:Premises will be broom swept clean. Any disputes not settled are subjec to arbitration. Homeowner Signature: Q Date of Acceptance Shilling—Ferris: �A4 T Final Shilling—Ferris accep a ubject to approval. 25 CITY OF SALEM ROUTING SLIP Ll � j New Construction_�r 6?oO C (� S J Certificate of Occupancy `;yLOCATION / �� DATE 2UvlI ASSESSORSV�A� DATE � ?-�(( II j 93 Washington St. ) 7 1)71 / CITY C K DATE 93 ashington St. PUBLIC SERVICES DATE t/ 120 Washington St. WATER DATE YY 120 Washington St. CROSS CONNECTION DATE 5 Jefferson Ave PLANNING DATE n ` 120 Washington St. CONSE ON DATE 120 ashington St. ✓ELECTRICAL DATE 48 Lafayette St. IRE PREVENTION DATE 29 Fort Avenue HEA DATE 1 Washington St. BUILDING INSPECTOR DATE 120 Washington St. � � �I � � i �� � i � -- i _ �_ __ I i � � I r• I i I � � � � � � I I � _� I ,�17 `�9/�QI�`7 � ' I�(�l�itci:UU � I I /� � 4 � �� I v/,1 -, f f ----� ���p ,(�// /�/ ��]� �//may" � � J I � T �_� _ _ 4 _�__ I — .. � I I — - I -- i ' — . ( _ � � �� -�-�_ _-, � . , � � � � , � � _ �_4 t � � - ��� ; - - ,_� I - � � I -- - - i � f ..-I---- -+- -- - � � i- - - -- • ! ' ��- ----a-I---I- - - _ f _�. --- - � �--r-- - - �- ��� � � �; � I i � � � „� i i I i I LAND Of ESTATE OF SALVATORE RIZZOTTI HIGH `'ST. SALEtr1, MAS S SCALE 11,N,.- 20ET. APRIL 19. 9 REG1.S VEYOR 5 N ' I ti9.2 COr•USO � N 4 b N' .�/.98 � N Ai7 ZG.Bd zz. 41. i4 IG H ST . ESSEX,REGISTRY OF DEEDS, SO, D)ST, SALEM, MASS, = .44 Resister of Deeds ASAP Phone:ASAP Drains. Inc. Phone:A.D.T. �' �®� � BOSTON CAMBRIOGE LOWELL LYNN DRAIN CLEANING (617)292-2727 (617)876-0383 (978)454-3115 (781)596-0383 DRAINSINC• SERVICE PEABODY OUINCY SALEM SAUGUS (781)391-3787 IQ EXPERT SEWER CLEANING SERVICE® AIITypen;Cleas of Drains 978 532-5654 617 773-7777 978 745-0388 781 233-3322 781 646-3410 B sewers Cleaned ( 1 ( ) ( ) ( ) ( ) 405A ESSEX STREET WINTHROP WOBURN (617)924-7350 SALEM, MA 01970 (617)846-0292 (781)938-5556 OWNER'S NAME: r HOME: tir � ADDRESS: If 5-t DATE: ;le 41 CITY,STATE,ZIP:: CC DESCRIPTION OF • • ✓� I O p�N SUGGESTIONS TRUCK# INVOICE # PO # r ASAP DRAINS INC./A.D.T. DRAIN CLEANING SERVICE intentions are to unclog drains to allow water to flow by electric snaking/jetting of lines. Camera inspection of lines after snaking helps to assure pipe is clear from debris or objects, fatigue, scale, cans, toys, etc. which can cause damage with future back ups that ASAP DRAINS INC./A.D.T. DRAIN CLEANING SERVICE is not responsible for. ASAP DRAINS INC./A.D.T. DRAIN CLEANING SERVICE,as a courtesy,will revisit toilet bowls within 3 days and 30 days on all other services unless voided for pre-existing,or demand for, more work to be performed. -- // ❑ Void ( No Guarantee on Camera or Pipe Locator Services 1 hereby authorize the work described above and agree to the terms an conditions as stated on this form. I recognize that aged and dete- riorated plumbing fixtures and piping and appurtenances may no longer be serviceable,and I agree to hold ASAP DRAINS INC./A.D.T. DRAIN CLEANING SERVICE blameless for any damage or destruction to these items as a result of these conventional repair efforts. I agree to pay for all work, goods and se 'c received. I hereby agree to pay interest at 1 1/2 percent per month (18% per annum) on charges that go beyond 30 day as ue a1 balances. Signature AA ❑ Pre-priced ❑ Resigned PLEASE •M THIS INVOICE e NO STATEMENT RENDERED I hereby acknowledg the satisfactory completion of the above described work and am in receipt of my copy. 77 Signature TOTAL JOB -00 Date . 11 AMOUNT DUE a h Town of Marblehead Office of � B UI�DIN 7 TOO WN SEAL C01�1111ISsy Oi `T�T/7y LR - Robert S. Ives,Jr. SPIRIT OF'76 Mary A. Alley Municipal Building tel: 781-631-2220 Commissioner 7 widger Road, Marblehead, MA 01945 fax: 781-631-2617 DEBRIS DISPOSAL MAP PARCEL BUILDING PERMIT NUMBER In accordance with the provisions of 780 CMR 111.5, 5111.5 and MGL e40, § 54 a condition of issuance of this building permit is that debris resulting from any work performed shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c111, § 150a. NOTICE: All dumpsters of six (6) cubic yards or more are required to have a pen-nit from the Marblehead Fire department: call 781-639-3428. DEBRIS DISPOSAL LOCATION /t�rpS SIGNATURE OF APPLICANT DATE �� ��� 740 - ��y Shilling— Ferris Builders 160 Jersey Street Marblehead,MA 01945 617-791-0227 Client Contract September 15, 2011 Paula Pearce 2SrGale Road. Swampscott,MA 781-710-2586 SCOPE OF WORK: Tear down existing garage at 15 High St. Salem Ma. Pour new foundation and rework existing utilities.Replace side-walks with poured concert.Build new single family home with three car garage according to approved architectural plans. 4 7gcc0p,pp Note: Final payment must be given upon completion. Schedulin¢: The above work will be scheduled once a signed contract is returned and the agreed upon deposit is received unless prior arrangements have been made. Unless otherwise agreed,all specified work areas are to be cleared of any furnishings before work begins.Any areas not ready are subject to an additional labor charge of$55.00 per person,per hour. Other: Any additional work agreed to will be billed at$55.00 per person,per hour. Cleanine: Premises will be broom swept clean. Any disputes not settled are subject to arbitration. Homeowner Signature: Date of Acceptance Shilling—Ferris: E Final Shilling—Ferris accept "c subject to approval. ti.,oNDI , o! CITY OF SALEM, MASSACHUSETTS ��. BOARD OF APPEAL e 120 WASHINGTON STREET, 3RD FLOOR 0 SALEM, MASSACHUSETTS 01970 � .'yi '�Q TELEPHONE: 978-745-9595 E�� FAX: 978-740-9846 KIMBERLEY DRISCOLL - ?`� —L,I .�, 1!�. ?7 MAYOR May 4, 2011 Decision City of Salem Zoning Board of Appeals Petition of PAULA PEARCE requesting a Special Permit and Variances from height, number of stories, lot area per dwelling unit, lot coverage, and front, side and rear setbacks in order to demolish the existing building on 15 HIGH STREET and construct a one-unit, three-story residence (R-2). A public hearing on the above Petition was opened on April 20, 2011, pursuant to Mass General Law Ch. 40A, § 11. The hearing was closed on that date with the following Zoning Board of Appeals members present: Rebecca Curran, Elizabeth Debski, Richard Dionne, Annie Harris,Jamie Metsch, and Jimmy Tsitsinos (alternate). Petitioner seeks a Special Permit pursuant to Section 3.3.3 and Variances pursuant to Section 4.0 of the City of Salem Zoning Ordinances. Statements of fact: 1. 15 High Street, and the abutting property at-17 High Street, are owned by T. William Smith; petitioner Paula Pearce intends to purchase both. 2. 15 and 17 High Street are lots held in common ownership, but with two distinct uses, and have not merged for zoning or assessment purposes. 3. The petitioner,Paula Pearce, and her attorney,Alessandra Baldizzone Donovan, presented the petition at the hearing. 4. In a petition date-stamped April 7, 2011, the petitioner requested a Special Permit and Variances from number of stories, lot area per dwelling unit, lot coverage, and front, side and rear setbacks in order to demolish the existing building on 15 High Street and construct a one-unit, three-story residence. 5. At the hearing, the petitioner noted that three garage parking spaces would be included on site at 15 High Street - one for 15 High Street and two to be available for use for the two units on 17 High Street. 6. At the April 20, 2011 hearing, two residents asked questions about the proposal, but neither opposed it. Both residents noted that the proposal would improve the property- J The Board of Appeal, after careful consideration of the evidence presented at the public hearing, and after thorough review of the plans and petition submitted, makes the following findings: 1. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the zoning ordinance, since the proposed project would improve the property and neighborhood and provide parking that does not currently exist. 2. In permitting such change, the Board of Appeals requires certain appropriate conditions and safeguards as noted below. On the basis of the above findings of fact and all evidence presented at the public hearing including, but not limited to, the Plans,Documents and testimony, the Zoning Board of Appeals concludes: 1. Variances from height, number of stories,lot area per dwelling unit, lot coverage, and front, side and rear setbacks are granted. 2. A Special Permit under Sec. 3.3.3 of the Salem Zoning Ordinance is granted. In consideration of the above, the Salem Board of Appeals voted, five (5) in favor (Debski, Harris, Curran, Dionne and Metch in favor) and none (0) opposed, to grant petitioner's request for a Special Permit and a Variance subject to the following terms, conditions, and safeguards: 1. Petitioner shall comply with all city and state statutes, ordinances, codes and regulations. 2. All construction shall be done as per the plans and dimensions submitted to and approved by the Building Commissioner. 3. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. 4. Petitioner shall obtain a building permit prior to beginning any construction. 5. A Certificate of Occupancy is to be obtained. 6. Petitioner shall obtain street numbering from the City of Salem Assessor's Office and shall display said number so as to be visible form the street. 7. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but not limited to, the Planning Board. 8. Petitioner will provide two (2) spaces at 15 High Street for use by 17 High Street. Spaces will be secured by condominium documents or deed. b a 3 Rebecca Curran, Chair Salem Board of Appeals A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A, and shall be filed within 20 days of filing of this decision in the office of the City Clerk. Pursuant to the Massachusetts General Laws Chapter 40A, Section 11, the Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certificate of the City Clerk has been filed with the Essex South Registry of Deeds. CITY OF SALEM 2011 DRAINLAYER LIST Company n p y Contact Address City Fax TELEPHONE A.Rotterman Derek Gagnon 15 Littles Lane Peabody MA 01960 1.978-532-5560 1-978-532-4744 Atlantic Paving Norman Dube 10iR Foster St Peabody MA 01960 978-532-1033 978-745-2890 Bartlett and Steadman Co Tue. Ken Steadman R67 Village Street Marblehead,MA 01945 781.631--9099 781-631-3751 Caruso Corp Richard Russo 320C Charger St Revere,MA 02151 781-286-6848 781-289-2900 Caruso&McGovern Construction Steven Caruso One Industrial Way Georgetown,MA 01833 978-352.3398 978-352-3399 Clamps Construction Joseph Ciam a 36 Dewey St., Saugus Ma.01906 781-231-6851 781-389-6233 D'Alelio Construction Arthur T.D'Alelio 31 Lewis Rd. Swampscott,MA 01907 781-598-1833 781-598-1843 Delulis Brothers Const.Inc. Frank Delulis 31 Collins Street Terrace Lynn,MA 01902 781-593.7840 781-595-8677 DiBiase Corp Paul DlBiase 749 Lowell StreeVPO 780 Lynnfleld,MA 01940 781-334-0111 781-334-9899 E.B.Rotondi&Sons Dennis Lawhorne 21 Manison Street Stoneham,MA 02180 781438-5006 781-438.5005 Geologic Earth Exploration Christopher DeVillars 7 Sherwood Drive Norfolk,MA 02056 508-384-4452 508-384-4434 Infiniti construction LLC Ken Hamilton 689 Newburyport Tpk Rowley MA 01969 978-948-2817 978-948-3335 J.Masterson Construction Jeff Masterson 46 Prince St Danvers Ms.01923 978-750-8046 978-774-8782 James W Fleet Co. James Fleet 800 Pleasant St Belmont Ms. 02478 781-899-5453 617-484-8500 J.J.Obrien&Sons Inc. Scott Falconer 5 Fern St Waltham,Ms.02454 781.894.4409 781-894-2145 John F.Peterson Enterprise John Peterson 210 Broadway Lynn Ms.01902 781-598-1804 781-598-8895 Joseph Cardillo&Son,Inc Joseph Cardillo 1 Melvin Street Wakefield MA 01880 781.245.3478 781-245-8095 K&B Excavating Richard Brennan 105 Mason St Salem,MA 01970 978.744.9103 978-741-4721 Linskey Construction William Linskey 47 Jefferson Ave Salem,MA 01970 978-745-3443 978-744-2700 Mackey,Thomas&Sons Daniel Mackey 58 Broadway,P.O.Box 366 Salem,MA 01970 978-744-3850 978-744-3849 Manter Co,Inc Dennis Fogarty 20 Popes Lane Danvers,MA 01923 978-777.7410 978-774-5500 Mattuchlo Construction Co. Joseph F.Galasti 223 Commercial Street Malden Me 02148 781-322-1944 617-593-9718 McLaughlin Construction Co. James McLaughlin 72R Central St Peabody,MA 01960 978-532.1984 978-532-1984 Menlnno Construction Co.lnc. Nicholas Meninno 76 Oakville Street Lynn,MA 01905 781-593-2070 781-581-5533 Mirra Co.Inc. Anthony Mina 6 Nonno Way Georgetown,MA 01833 978-352-7172 978-352-7879 N Granese&sons,Inc. John Granese 18 Yorkshire Rd Marblehead,MA 01945 781-631.8466 781-592-8121 Pumel Enterprises Steve LeBlanc 37 Baker Rd. Salisbury,MA 01952 978-465-8147 978-745-4054 R.Dilisio Co Inc Robert DiLisio 113 Fayette St Lynn Ma.01902 781-599-3332 781-599.3332 R.B.Strong Excavating$Sewerage Inc. Ronald Strong 122 Western Ave Gloucester Ms.01930 978.283-6481 978.283.0080 R.D.Site Development,LLC William Daley 7 Hemlock Lane Groveland MA 01834 978-702-4408 978-374-4353 Raffaele Construction Corp. Gerardo Raffaele 21 Elm Place Swampscott,MA 01907 781.593.0608 781-598-5989 Roto Rooter Richard Peters 175 Maple Street Stoughton MA 02072 978-702-4793 781-297-7049 Spencer Contracting Corp. Peter Holland 350 Main Street Boxford,MA 01921 978.887.2010 978-741-8000 TDS,Inc. Mark Zork 2 Peter Drive Sterling Ms.01564 978-422-0006 978-422-0005 Thomas Mackey and Sons Inc. Daniel Mackey 58 Broadway,P.O.Box 366 Salem,MA 01970 978.744.3850 978-744-3849 Village Construction Co.,Inc. IMichael Rockett 190 Pleasant Street Marblehead,MA 01945 781-639-2290 781-631-3070 www.modernpest.eom PE T ES 128B New Boston Street Woburn MA 01801 781.938.7378 Ms. Paula Pearce July 20, 2011 15 High Street Salem, MA 01970 Dear Ms. Pierce: On Monday July 19, 2011 1 performed a rodent inspection at 15 High Street in Salem, MA. There did not appear to be any evidence of rodent activity present on the inside or outside of the building. I do not feel that any treatments necessary at this time. Regards, Matt Benton Sales Associate Allow s t J f- s.`r�swcwa�rw . ' ASSfiC .tos s 01060 (731) 5 -2710 (973) 532-3330 Oq _ <� THE - ❑AES I, IA TIIyE ❑AES n� � � ❑INOOOA �OUrp00A 1 '>ONNE69 Grp a U�OEBPEAiOHME PI{pNE TAOE{ ' s INSPECTION CATIGNMET!(pp C -TAEA7MENP . . �:�- ; CHE6UCALS U@Ep� ANOUNft±�'.;� ,nw mA"NUEASEp 40 a . �e6NgCE0 UC.NO. Q U M NgTJgE V�� TOTAL' SERVICE REPORT 26357 L ra SCALE: 1"= 10• Ilk Y+% a Lot A O Area= 1020 +/-SF Proposed Building Z �+ Foundation H 15 (existing bldg.to be removed) t37 S�3. o ' PRATT STREET ZN Of CONCEPTUAL PLAN RCHAW at A a 15 HIGH STREET BARf7= H SALEM, MA prepared for Note:This plan is meant for conceptual use only.To PAULA PEARCE move fenvard on this proicct a Pull Boundary Scale 1"= 10• Insirumeni Survey must be performed. . �` BARTRAM LAND SURVEY ' 2 Fruit Street, Byfield MA 01922I e79534%0=cvr ase carbonless NC3m . 3 PART S & S Abatement LLC CONTRACTORS INVOICE 3 Baliister Street Wakefield, MA 0 1 880 WORK PERFORMED AT: '[ TO"' O - l VOUR WORK'ORDER'NOs; [:; OUR NO DATE - - . Ae All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings and specifications provided for the above/Iworkk 1a_nd was completed in a substantial workmanlike manner for the agreed sum of 4-fxl h (I A eA rr///'1111 "I ��ev t0 � i Ir9,S A4-,) rPii t: Dollars ($This is a G Partial yCFJ invoice due and payable by: .0 r s i a l7—' Month�-- Day Year i A --i>Y. .-?..._� M^1 �•/NER%Si PHCC.E : ADDRESS BUSINESS PHONE CITY,S 7E ZIP Custom SobtronsForAff JburPLumhmgNeed% 22 Treat Rd. Marblehead, Ma. 01945 DATE SERVICE TECHNICIAN STARTTIME ENDTIME TOTALTIME Tel. 781-639-6101 Cell. 781-603-9970 Fax.781-990-3507 MANUFACTURER MODELNUMBER SERIALNUMBER www.puleoplurnbingandheating.com DESC,11,PTIOO.l7- 41n /L � ,ex 4S q+ Cc"-Ire — QTY. . MATERIALS LIST QTY. MATERIALS LIST WARRANTY INFORMATION •MATERIAL WE SUPPLY WARRANTED ACCORDING TO MANUFACTURER'S TERMS AND CONDITIONS UNLESS OTHERWISE SPECIFIED. •WORKMANSHIP IS WARRANTED FOR 90 DAYS UNLESS OTHERWISE SPECIFIED AND DRAIN CLEANING IS 30 DAYS SERVICE WORK ORDER OFFICE COPY ,� - ONDIT�.1O CITY OF SALEM9 MASSACHUSETTS , PUBLIC PROPERTY DEPARTMENT m 120 WASHINGTON STREET, 3RD FLOOR SALEM, MASSACHUSETTS 01970 TELEPHONE: 978-745-9595 �. FAX 978-740-9846 KIMBERLEY DRISCOLL - - MAYOR Section 116.0 DEMOLITION OF STRUCTURES Structures over fifty(50) years old must have approval of the Salem Historic Society UTILITY DISCONNECTIONS REQUIRED Authorized Agent Date of Disconnection Water (see attached requirements) r Electrical 02 Fire Health Sewer Salem Historic Commission Dig Safe Number Pest Control: ***DOCUMENTATION OF ALL THE ABOVE MUST BE ATTACHED BEFORE PERMIT CAN BE ISSUED*** Fee for Demolition $5.00 application fee plus $2.00 per 100 square ft gross area, Minimum $25.00 J City of Salem, Massachusetts f Fire Department Ly 48 Lafayette Street David W Cody Salem, Massachusetts 01970-3695 fire Prevention Chief Tel 978-744-1235 Bureau 978-744-6990 fax 978-745-4646 978-745-7777 dcody@safem.com Demolition • Before a structure can be demolished, the Salem Fire Department shall conduct a preliminary demolition inspection, to ascertain any conditions which may require a fire watch* or other preventative measures to be taken before, during, or after the demolition process. Minimum of two weeks notice required to schedule appointment • A permit to demolish or remove a structure shall not be issued until the preliminary inspection has been conducted and a report of requirements necessary to prevent life safety hazards has been obtained by the applicant. • The inspection report shall include but not limited to: cutting and welding permit, fire watch, on site storage of materials, underground storage tank compliance.... • Proof of utility disconnects. • The requirements outlined in the report shall become a part of the restrictions of the demolition permit issued by the Building Inspector. *Fire watch patrol Salem Code of Ordinances Sec. 20-124 October 5, 2010 CITY OF SALEM SALEM, MASSACHUSETTS Tyr c ENGINEERING DEPARTMENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 Phone: (978) 745-9595 x5673 Kimberley Driscoll Fax: (978) 745-0349 Mayor DAVID H. KNOWLTON, P.E. CITY ENGINEER January 30, 2009 Water, Sewer and Drainage Requirements Regarding the Demolition of Structures within the City of Salem In accordance with the provisions of the General Laws of the Commonwealth of Massachusetts and the Salem Water and Sewer Department, the following regulations governing the demolition of structures within the City of Salem shall be followed. This regulation is made in the interest of protecting the city's water, sewer, drainage and public way infrastructure at each connection located within the City of Salem, as well as to prevent conditions which may cause danger to public safety, result in water loss, or damage to city or private property due to water or sewer loss or back-ups, or cause pollution of the city's storm water receiving waters. 1. Prior to demolition of structure, a licensed plumber shall ascertain where all water, sewer and drainage lines are located entering and leaving said structure. The plumber shall make a determination of existing or prior use of each line, including, but not limited to domestic, commercial or industrial use; irrigation; fire suppression; sewer, storm drain or septic system; roof drain; or sump.pump. After all lines have been located, the plumber shall make a formal written report with plans of all lines found to the City Engineer. 2. Once the plumber's report has been reviewed and approved by the City Engineer, a Registered Professional Civil Engineer (hereinafter referred to as "the Engineer") shall make a determination of the point of origin or discharge on each city main, for each line identified in the plumbers report. The Engineer shall also ascertain the location, use, and point of origin or discharge of any other lines on the property that may or may not be affected by the demolition or connected to the structure. The Engineer shall provide the City Engineer, for review and approval, a stamped plan of the property and adjacent City utilities, indicating the results of his investigations. 3. A request to the Department of Public Services, for assistance in shutting down any water main, prior to cutting and capping it, shall be made only after the City Engineer has approved the written reports and plans described above. ti'J'ater, Sewer and Drainage Requirements Regarding the Demolition of Structures January 30, 2009 Page 2 4. Prior to demolition of the structure and immediately following item #3 above, a City of Salem licensed drain layer shall cut and cap the water, sewer and drainage lines at the city main and arrange for an inspection by the Department of Public Services prior to backfill. Backfill, compaction, temporary and permanent paving will follow to current city standards. 5. In the event that the lines will be used immediately after demolition for construction purposes, a set of plans and/or drawings, stamped by a Registered Professional Engineer, describing the lines to be used during construction, must be provided to the City Engineer for review and approval, prior to obtaining a building demolition permit. Any other lines identified shall be abandoned as described herein. 6. A demolition permit shall not be issued until the items above have been completed and the Department of Public Services has conducted an inspection and signed off on the water and sewer portion of the Building Department prerequisite Utility Disconnections Required Form. A proved,)by: �j� v � • l4 avid H. Knowlton, P.E. City Engineer \\Salemdc0l\WaterAdmin\dknowlton\My DocumentAnniscellaneous\demo regulations water,sewer and drainage 1-30-09.doc J r5 ^�_. n.TU•:•'•C-�n�cA �•y�,:.�.:^..�1KL.1�^N.M1�i:.v..�. •,�ti�!Ir:.IM]Jr`.r .�•T.riY,•...'•iYrr:w lf��=�.^•_Y w•T___ '...�`^: _ae-V v.+ w !T!.�5 V•.��:i tic _ _ _ _ .:.c�•..r_ r o h. _+'r. .M� _ �.¢..r,r_JA .�ja::_.,(•Ara Ar f .<dt......' ._, - ... du JYS �`' :-� .v _t -, • C,: rJw.1~.� . . �Ar.••rY.•i�% .:14. .L•I� '..r•�•� •') _ r'�{L:- (�VC�,�:..�.Y� ITwJ��rK\ .. :a.'. i'".�:re.:v.�i :..:''..'w°`ta:C,..rN:t}•_.����•r„�,..�i.:...,..v.: f:;��) 1..'•...��a'��r•.eC_-.rr� .`••. w��;. 'Y.,Fr.>�:vn1sJ�:�....=es�, K• e_y�}lr t.J n '.._r.-i�+tw=' _'•..,w-_r.lelli[w � ;R:,,fe:V.7�:.T:.:iC'y,:Y•y t.ia;���d4?. r. r.rc:.�T�-p..- t.�•,-rr...t.:'� 1 N ,.. •,�.a.f-•i 7. Sir a ,60 CMR: STATE BUILDING CODE COF4A15510!✓ , - _ SECTION 115.0 CONDITIONS OF PERMIT _ a I15.1 Compliance with code-. Tha permit shall be a license to proceed with the work and shrill not be of the p vdisiOng Of thus i to violate, cancel or set aside any modification or legally ; d ' coda, except as specifleallY stipulated by j �� granted variation in accordance with Section 126.0. i 115.2 Compliance with Pelt: work shall conform to the I I =f and plans for t which the Permit stamped of endorsed application...:,. approved amendments thereto. I + has been issued and any PP Ian: A lot or sit& Shan not be changed, ' - 115.3 Change in site p ! ; increased or diminished In area from thatanless a revised plan n j et a •. �za,� sits Dlan. as specified In Section 113.6. affidavit of showing such changes acrnmPanied byy the necessary ' owner or applicant shall have been fled and approved. -t.a :.: t A revised site Plen wiU not be required !t the Exceptions . change is caused by reason of an Official street opening. street widening or other public improvement. SECTION 116.0 DEMOLITION Or STRUCTIIRE3 ' 118.1 S Xvics Connections: Before ■ building Or Structure Can '. ,� •,;,, notify all _ be demolished or removed. the ormer or agent shill utilities having service connections within the building tors. such as: water. eleetrle, gas. sewer and older connae- bons. A permit to demolish or remove a'btrilding cc asu & •�c�?tCr' uAtlla i r.•,_ shall no at their re Pedv elservice conn�ectian�nd aPPurtrA _ statlrtg Store have been re- z• ant equipment, such as: eel in a sale rMaannnar. moved or sealed and Plugq i ' has been 7• " 116.2 Lot regulation: When a building oP Brad structure not be demolished or removed and a building i •" t shall be filled with nOM- projected or approved, vacant conformity with djacent I organic fill. graded and mein grades. The lot shall be unsafe maintained conditions which of r the accIMALIstion ubbish and all other shall be endanger the Ilfs or heath of the Pubes:ktar Provisionsa to any �.: the made to Prcnnttlrapremisuti or t�lrsoad�oWtrg PtoPeTtyor a% emrd- `.' foundations retaining wells and fences shall be erected in I l r , necessary of Article 13, t ante with the provia ions , r SECTION 117.0 MOVED STRUCTURES 117.1 Genera: Buildings and structures moved Into or within e, i . with the Provisions of this code. - v the Jurisdiction shall comply J •is i .r- •� .. � ill 9/1180 I