226 CANAL STREET - BUILDING JACKET S,
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`�. BUILDING
CITY OF SALEM
SALEM, MASSACHUSETTS 01970 PERMIT
.a vAUD•noN
4CO"
DATE January 13 IB 94 PERMIT No. 10-94
APPLICANT Anthony Belfiore ADDRESS ZTF_Can�f.reet Salem, ass . \
IN0.1 (STREET) (CONI R'S o7e.5[1
PERMIT TO Exterior stairs I_I $TORY Dwelling ' 'NUMBER OF 1 2
DWELLING UNITS
Il.r[ o• wrROVEMENTI N0. IPROPOSEO USEI
.T ILD:ATIoNI
. 226 Canal Street Ward 5 ZONING T R2
DIST1x0.1 ISI-(CTI
BETWEEN AND
IC.01. STIICET) - ICPOSS STRCEII
LOT
SUBDIVISION LOT' BLOCK SIZE
BUILDING IS.T0 BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP, BASEMENT WALLS OR FOUNDATION
ITIPE)
REMARKS: Install exterior stairs for second means of egress
IMPOATANT: An inspection is aE14 !JIAED
upon completion of work, pleaso call p
'REA On VOLUME 745-9595 SM.385 ESTIMATE COST 1 ,000 PERMITS 20.00
y �wHER Anthony Belfiore
226 Canal Street Salem, Mass. Leo E. Tremblay
r INSPECTOR OF BUILDINGS
INSPECTION RECORD
DATE NOTE PROOKESS - CRITICISMS •ND REMARKS INSPECTOR
Plans must be filed and approved by the Inspector before a permit will be granted.
No. City Of Salem Ward
Is Property Located in the 2
Historical District? Yes_ No p2
tS Home Phone N
Is Property Located in ar - e
Conservation Area? Yes_ Nov/ �'J `c. ���, Bus.Phone#
Esc
APPLICATION
FOR vL �
PERMIT TO CONSTRUCT ,
Salem, Mass., C1-O � 6'
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build accore following specifications:
Owner's name and address QN / (b2-�+r�di\\n��-g to th
Architect's name CA / rd
Mechanic's name and address 40 cJ
Location of building, No. 4 7--
What
What is the purpose of building?
Material of building? 6(1ld-0 (�
If a dwelling, for how many families? T�/G
Will the building conformbo the requirements of the law? -e
Estimated cost �/ o-U Contr to is No. W AJl1--OZ
Signature of applicant
Sign9TUnder I&Penalty of Perjury
REMARKS ,
i
No./0 Ward
APPLICATION FOR
PERMIT TO CONSTRUCT
SWIMMING POOL
Locationm z Ca,,� Al
PERMIT GRANTED
isC
Appro�2r
Building Inspecto
CITY OF SALEM
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE SVA j 3
JOB LOCATION PM
Number Street address Section of Town
"HOMEOWNER �rl�rtny�f �,cor� l�l�Q-`I�IC� 715 ac�3c(2�
Name Home phone Work phone
PRESENT MAILING ADDRESS S ( ,
$C`2rr-,� r Cll�tZh
City/Town State Zip Code
The current exemption of "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor. (State Building Code Section 109.1 .1 )
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building Official ,
on a form acceptable to the Building Official , that he/she shalol be109.1res onsible
for all such work performed under the buildingpermit. (Sec
.1
The undersigned "homeowner" assumes responsibility for compliance with the State
Building code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that
he/she will comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE ."
APPROVAL OF BUILDING OFFICIAL
NOTE: Three family dwellings 35,000 cubic feet, or larger, will be required
to comply with State Building Code Section 127.0, Construction,Control .
HOME OWNER 'S EXEMPTION
The Code states that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109.1 .1 - Licensing of Construction Supervisors) ; provided that is
a Home Owner engages a person(s) for hire to do such work, that such Home
Owner shall act as supervisor."
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for Licensing Construction Supervisors, Section 2.15) . This lack of aware-
ness often results in serious problems , particularly when the Home Owner
hires unlicensed persons. In this case your Board cannot proceed against
the unlicensed person as it would with licensed Supervisor. The Home Owner
acting as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities,
many communities require, as part of the permit application, that the Home
Owner certify that he/she understands the responsibilities of a supervisor.
On the last page of this issue is a form currently used by several towns.
You may care to amend and adopt such a form/certification for use in your
community.
L
411
We, Leonard J. Gosselin and Theresa R, Gosselin, ard, both
both of Binghamton,
New York, and Joseph Beauregard and T resa Y. Beaureg
of Salem, ----------------------------
Essex County, Massarhustt:s,
beott aam.Mmd, for oonsidetation Paid S One hundred Forty Five Thousand Dollars---
(5145,000.00)nt --1_____________________ _ _ .
geto Herbert/Mackev, s
Trutee of the Broadway Trust under a_________
declaration of_trust dated October 30, 1985 recorded here:ri th
of
with gatlrlahn rrmtmnla
the land in said Salem,being lot numbered eighty (80) on a Plan of Lots
made by Thomas A. Appleton, C. E. dated December, 1927, to be recorded
with Essex Southern District Deeds, and bounded as follows:
is bounded: Said lotm.a:nnt�o„mm mwamemn«a am,>t
WESTERLY by Broadway fifty (50) fee[;
NORTHERLY by lot numbered eighty-two (82) on said plan one hundred
_ twenty-two and ten hundredths (122.10) feet;
EASTERLY by Canal Street extension
(50. fifty and seventy hundredths
70) feet, and
SOUTHERLY by lot numbered seventy-eight (78) on said plan one hundred
thirteen and seventy-one hundredths (113.71) feet.
a Saidpremises are also shown as lot eighty (80) and part of lot
eighty-one (81) on plan No. 8 recorded with Essex Probate Records
recorded at the end of Book 574.
m- Subject to the agreements and restrictions that the/granteePrior
heirs and assignrslo€hall build anc maintain all divisonfences and
at his
expense to the/Jrancors so long as the latter own any adjoining land,
that no building shall be erected or maintained on said premises
y except one dwelling house for each lot with the usual private stable
or garage, that no such dwelling house shall contain or be used -or
more than two tenements and that no building or any part thereof,
J except the usual steps, eaves and coning, shall be erected or maintained
on said premises within ten feet of said street or avenue.
For title reference, see deed of Ida Gosselin to the
November 4, 198ranto3 recorded in Essex Southern District gRegistrydoo.
Deeds, Book 7276, Page 'Cl. o
N
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Theo petsooally aPPrued the above n ed. ..
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and ackvawledged the fomgoing inIItument robe. .......
..free act and decd, be(om me,
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the Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY
►� m OFSALEM
y j Massachusetts State Building Code,.780 CMR, 7 edition Revised Jurniury
^d� t'r Building,Permit Application To Construct, Repair, Renovate Or Demolish a 1. 2008
One-or Two-Family Dwelling
This Section For Official Use Only
Building.Permit Number: � _ Date Applied: / a
Signature: ""' z4K
Building Commissioner/Inspector ofBuildings Date
SECTION 1:SITE INFORMATION
t4�1�Pryperty Addressq S 1.2 Assessors Map& Parcel Numbers
((pO �.33c1 Ct I
I.1 a Is Ihis an accepted street?yes_ no Map Number Parcel Number
. . _ LJ Zoning Information: 1.4 Property Dimensions:
Sinq �f._.
Zoning District Proposed Use Lot Area(sq A) Frontage(It)
1.5 Building Setbacks(R)
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:
Zone: _ Outside Flood Zone?
Public❑ Private❑ Check if es❑ Municipal❑ On site disposal system ❑
SECTION2: PROPERTY OWNERSHIP'
2.1 Owners of Record:
( '4 I to 44.0 bUb<! �H �oncs� Sf S`-yA 7
Name(Print) Address for Service:
?79' -, l!5--IX-VA
Signature Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ !!
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work:
l--i-S —ems- t
Of-
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
I. Building S ® 1. Building Permit Fee:S Indicate how tee is determined:
❑Standard City/Town Application Fee
2. Electrical S ❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing S LOtherS4. Mechanical (HVAC) S 5. Mechanical (Fire SSu ression JsCheck Amount: Cash Amount:
6.Total Project Cost: S�a 00,000 Outstanding Balance Due:
Y Y;
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) a ! as o o? Z
Jar _� , A . License Number l:t ration ate
Name of C'S • I folder L List CSL type(see below)�—
rype I Description
Jd ss U Unrestricted(up to 35,000 Cu.Ft.
R Restricted 1&2 Family Dwellinig
Signature M Masonry Only
' -I�•Qt/I� RC Residential Roofing Coverin
lblephone WS Residential Window and Sidin
SF Residential Solid Fuel Burning Appliance Installation
D I Residential Demolition
.21tegbteredHit Im rovement Contractor(HIC) /H1778�
T�r/✓� � '` ��Lli.T7J Registration Number
H C Company Name or f I1C Registrant Name
JJre �yyy�-s�, G. irtio ate " "
Signature Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 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...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
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 atumorOwner Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and
behalf.
34f <v
Signature of Owner or AufliortZed Agent ID7
(Signed under the pains and penalties of 'u
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 aoj 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/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 healing system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"