Loading...
32 JACKSON ST - BUILDING INSPECTION The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF 1 Massachusetts State Building Code, 780 CMR SALEM dMar Revised Mar 2011 Building Permit Application To Construct,Repair, Renovate Or Demolish a One-or Two-Family Dwelling is Section Section For Official Use y_'Onl +=w =, Building Permit Number.� s -' a Applied - --;i Building Official(Print Name)"_.— f; mm. .,,« ,?; ,,—= Signatuta _. _ ...„ '' ^a- ui Date r. . «, :a SECTION 1:SITE INFORMATION 1.1 Property Address: y. .. 1.2 Assessors Map& Parcel Numbers :��.. Tp Ky,5Q r6 S 1 Lla Is this an accepted street?yes no Map Number - Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq fu Frontage(it) 1.5 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❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ / Check if yes[] " = SECTION 2: PROPERTY OWNERSHIP'L,. 2.1 Owners of Record: 7t&;�_ LV -k*-- Name(Print) City,State,ZIP No.and Street Telephone s y s.. ,r SECTION 3:DESCRIPTION OF PROPOSED WORKZ,(check all that apply)LV New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg.❑ Number of Units Other Specify: r0q+ Brief Description of Proposed Work': r SECTION 4i ESTIMATED CONSTRUCTION COSTS Estimated Costs: ; Item Labor and Materials s � `� `„„= Official Use Only 1 fi ].Building $ '�� 1: Building Permit Fee $ "5 Indicatehow fee is determined: ' 2.Electrical $ ❑Standard City/Town Application Fee (❑Total Prodect Cost'-:(Rem 6)xl multiplier 3.Plumbing $ 2 Other Fees r$ ' vn - f g 4.Mechanical (HVAC) $ List 5.Mechanical (Fire Suppression) - Total All Fees $' ^� Check No Check'Amount Cash Amount 6.Total Project Cost: $ $ � I ' ,❑Paid inFull .r.. , O Outstanding Balance Due. `(�LCc',c..Q db SECTION 5:'CONSTRUCTION SERVICES 5.1 Construction -Supervisor License(CSL) -013 S 2y Ly. C,IeOIN fW�\\l`IC`1l License Number Exp ration Date Name of CSL Holder U' List CSL Type(see below) No.and Street Descnp ion U Unrestricted(Buildings up to 35,000 cu.ft. R Restricted 1&2 Family Dwelling City/To te,ZIP M Masonry RC Roofing Covering �— �4/ WS Window and Siding SF Sosulid Fuel Burning Appliances �'Jg Gi^L'] �'�� I Inlation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 104s,�2 �y G ier`� V9AIS14\1 I (AnSt FV� 1 b TN HIC Registration Number xpi ion Date HIC OCorppannl�4 HIC Registrant Name �/, L N and Sir et �.r� z/1..._....,....�_ Q'iet�.A . mA Ol�1lS CM:00 1 k I City/Town,Walle,ZIP Telephone SECTION b:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L:'c.i152.§ 25C(6)) W: _. 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 7s:OWNER AUTHORIZATION TO BE COMPLETED WHEN ,r.:.. «„ OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT " I,as Owner of the subject property,hereby authorize� �r tt w c.. 1�QA 0\1\Ix 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 11b:OWNERI OR AUTHORIZED AGENT DECliARATION . By entering my name below,I hereby attest under the pains and penalties of perjury 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) TD ate _ .. ;. NOTES. -4; „ ri...... 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 www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass. og v/dos 2. When substantial work is planned,provide the information below: Total floor 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 heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 1 CITY OF SM.FIN13, NIASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET,Sao FLOOR * TEL (978)745-9595 FAX(978)740-9846 KIStBERL.EY DRISCOLL T HObIAS ST.PlERRB MAYOR DIRECTOR OF PUBLIC PROPERTY/BI:ILDLNG COJMBSSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / 1 Q —`r Please Print Leeibly Name(Busintss;OrgtniratioNlndividual): Ulerxrl U 11\j fif'S�QVi, � "C,l10r-, Address: P0 g0X 45 10 City/State/Zip:�t�10\91'S Phone #: QZ� OR:) r> b Are you an employer?Check the appropriate box: Type of project(required): I.C1 am a employer with 4. 0 I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.0 1 am a sole proprietor or partner- listed on the attached sheet.: �• ❑Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in an capacity. workers'comp.insurance. g y p ry• ©Building addition [No workers'comp.insurance 5. 0 We are a corporation.and its required.] officers have exercised their ]o.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]It employees.[No workers' comp. insurance required.] 13.�Other •Any applieam that chocks box#1 must also fill out the sectim below showing their worker'compensation policy information, 1 fnmeownm who wbmit this iffidavh indicating they are doing all work snit then hire outaide ccausetor must wbmn a t altdavit indicating such :Contratom that check this box must atlached m additional sheet showing the name*(the sub-contractors and their worker'comp.policy information. . lam an employer that is providbig workers'compensation insurance jar my employees. Below is the poUty arld jab she information. p 1 Insurance Company Name: Tf-oa.1e.�[cs Policy#or Self-ins.Lic.#: V 'u- '-A!;Tk?041� -•I[ Expiration Date: G�T,__ J_ Job Site Address: `3`7. &la-sori ,l Ciry/State/Zip:� t _ ]]�� 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 S 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 S250.00 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. 1 do hereby certify at der the palms and penalties of perjury that the information provided above is true and correct lure , Date' 7 17;7/j 1 I Phone#: 91k OM-1 %IKC Ojrcfal use only. Do not write in this area,to be completed by city or town of/lclai City or Town: Permitfl.lccuse# Issuing Authority(circle one): 1.Board or Ilealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: __ Phone#: CITY OF S.U,&Nl, 1'LkSSACHL'SETTS • BITLDING DEPAWM NT 130 WASHINGTON STREET, 3"o FLOOR a TEL (978) 745-9595 FA.r(978) 740-9846 1�5{gFRt RY DRISCOLL MAYOR THomm ST.PIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMSSIONER Construction Debris Disposal Affidavit (required for all demolition 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# 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 MGL c 111,S 150A. The debris will be transported by: G rdd;.�rrJ. Uytxs�Q (name of hauler) The debris will be disposed of in : nam Facility) 7t �ij`d S-k �cOcktp n (address of facility) G� signature of permit applicant '7h--/1 X date dcbriwR'dac Massachusetts - Department of Public >atct% Board of Buildin_ Re-Likition. : id Standards Construction Supervisor License License: CS 2123 Restricted to: 00 GLENN R BATTISTELLI 11 BROADWAY-R/PO BOX 496 BEVERLY, MA 01915 Expiration: 5/24/2012 (' nnu innionrr T r#: 27684 Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 y Boston, Massachusetts 02116 Home Improvement Contractor Registration - _ Registration: 104352 Type: DBA Expiration:. 7/13/2012 Tr# 298688 GLENN BATTISTELLI CONSTRUCTION Glenn Battistelli PO BOX 496 Beverly, MA 01915 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS-CAi 0 50M-04I04G101216 License or registration valid for individul use only Office of Consumer Affairs&B siness Regulation g Y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 104352 Type: Office of Consumer Affairs and Business Regulation Expiration: 7/13/2012 DBA 10 Park Plaza-Suite 5170 -� Boston,MA 02116 GLENN BATTISTELLI CONSTRUCTION Glenn Batlistelli - 11 BROAD WAY REAR /P O. BOX ge`verly, MA 01915 - Undersecretary �' Not valid without signature JUL-27-2011 09:37 FRON:STERLING INSURANCE A 9789227650 T0:9789219202 P.1/1 PATE(MM/ODIYYYY) A r-R�?. CERTIFICATE OF LIABILITY INSURANCE 07 27 2011 PRODUCER (978) 922-6600 THIS CERTIFICATE IS ISSUED A9 A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE Sterling Xnauranae AgonOyj Inc. MOLL THE CO CRAGS AFFORDED BY THE POLICpk EXTEND BELOW. 306 Cabot street p,0, Box 403 INSURERS AFFORDING COVERAGE NAIC 0 Beverly MA 01915- INsuRBRa 800ttadala Inauranoe INSURED Glenn Battistelll L= INSURERW 11 Broadway - INSURER 0.. IN b Bever, MA 01915- SURPIt . GES REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT HAVE BEEN ISSUED TO THE EWITH RESPECT TO WHICH FHIIS CERTIFI ATE DMAY Be ISSV D OR MAY PERTAIN. , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PD1,I�EFPecnVE Po PpIIRA ON WMIM INS11 ADPL rMfi OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MMIDPIYY y 2,000,000 CPSI172209 02/26/2011 02/26/2012 EA HOCCU It NC A OENBRAL LIABILITY Eft M ER N ranee i 50,000 X COMML'RCIALGENERALLIAIiILIIY MEDEAP An One 7 S,000 CLAIMS MADE DOCCUR 1,000,000 Pry NALS OV INJ Y i GEN RILL AD REOATF a 2,000,000 PR DU S. MP/0 i 2,000,000 GENL AGGREGATE LIMN APPLIES PER•. POLICY J [72—LOC AUTOMORILE LIABILITY COMBINED SINGLE LIMIT y (EA ACCIdWt) ANY AUTO / / / / 9ODILY INJURY y �� ALLOWNEDAUTOS (Per Pn ) SCHEDULED AUTOS / / / / EDGILY INJURY y HIRED AVTOB (Pm aCj;IdW) NON•OWNEDAUT09 If PROPERTY DAMAGE (per waOipe,O) AUTO ONLY-IU ACCIDENT A OARAORLIABILITY . EA AC i ANY AUTO / / If OTHER AUTO ONLY. AGO 4 OXCESNUMRRELLIT �A'�LLIIAEa LIABILITY If / / / HR S OCCUR CLAIMS MAOE AGGREGATE III DEDUCTIBLE i RETENTION S WORNSRS COMPENSATION AND / / / / EMPLOVERS'LIADILITY E.L EACH ACCIDENT i ANY PROPRILTONPAATNER, SCOTIVE OFFICERNEMEER EACI.UOEOT / / / / EA.DISEASE.EA EMPLOYEE P e I! aOaErlaAI8 ELDISEASE.POLICY LIMIT BPECIA P O\nS1071480 aw III OTHER DESCRIPTION OP oveRATN1NeILOCAnONSNBNICLBerPJLCLUSIONB ADDED BY MNDORSEMENTOPECIAL PROVISIONS Wortarm CoapdeARtiOn certificate will be went Under a weparnte cowr. CERTIFICATE HOLDER CANCELLATION (978) 921-9202 FAX ( ) - SHOULD ANY OF THE ABOVE DESCRIORD POLICIES DE CANCELLED BEFORE THE EXPIRAnON DATE THEREOF, THE =DING INSURER WILL ENDEAVOR TO MAIL 10 DAYS W.119N NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO ONALL IMPOSE NO OBLIGATION OR LIABIMTV OF ANY HIND UPON THE JTxlie Burke INSURE ITS AGENTS OR REPRESENTATIVE 32 Jackson St. AUTHORIZED REPRESENTATIVE Salem MA 0197D- ACORD 28(2001108) ® FOR 'CORPORATION T gas uf2 tlti IN ELECTRONIC LASER FORMS.W.,(=0)3V-O545 Pap 1 So28.1aLOBJ.DB RightFax N2-2 7/28/2011 6 : 07 : 56 AM PAGE 2/002 Fax Server ACORD. ' CERTIFICATE OF LIABILITY INSURANCE 07/28/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:It the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not corder rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE FAX STERLING INSURANCE AGCY (A/C,No,Ed): FAX (A/C,No): 306 CABOT ST E-MAIL ADDRESS: PO BOX 493 - PRODUCER BEVERLY,MA 01915 CUSTOMERIDx. 22PSC INSURER(S)AFFORDING COVERAGE NAIC6 INSURED INSURER A: TRAVELERS INDEMINITY COAIPANY INSURER B: GLENN BATTISTELLI LLC INSURER C: - INSURER D: P.O.BOX 496 INSURER E: BEVERLY,MA 01915 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CER IFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHETERMS,EXCLUSIONS AND CONDITIONS OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF DATE. POUCY EXP DATE TYPEOFINSURANCE POUCYNUMBER (MMDD\YYYY) (MNTOMYYYY) LIMITS LTR INSR WVO GENERAL LIABILITYEACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WC STATUTORY LIMITS OTHER WORKER'S COMPENSATION AND EMPLOYERS LIABILITY Y/N UB-4258PO48-11 OG(DO/2011 06/08/2012 E.L.EACH ACCIDENT $ 100,000 ANY PROPERITOR/PARTNER/EXECUTIVE Y E.L.DISEASE-EA EMPLOYEE $ 100,000 OFFICER/MEMBER EXCLUDED? (Mendworyln NH) E.L.DISEASE-POLICY LIMIT $ 500,000 11 yell.daeorlbe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS T116S REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING W ORICFR COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION JULIE BURKE SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE 32 JACKSON ST WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE SALE VL MA 01970 Charles J Clark ACORD 25(2009109) 1988-2009 ACORD CORPORATION. All rights reserved. GLENN BATTISTELLI PAINTING-ROOFING-SIDING-CARPENTRY-VINYL REPLACEMENT WINDOWS KITCHENS-BATHROOMS-PORCHES-DORMERS-ADDITIONS P.O.BOX 496 BEVERLY, MASSACHUSETTS 01915 (978)922-6338 (978)777-4499 DIRECT LINE (978)927-8956 FAX(978)921-9202 CELL(617)962-1235 ESTAKISHED>974 GLENN BATTISTELLI CO., hereby agrees to perform the following services for: at 1--32 .�`AG.f'f 0 ,,r /,-' A7 Home Phone: 7'�i �f �/ 3 Business Phone ) ok �! "� 3 Sealer applied to all vent pipes and chimneys. All Flashing will be inspected. Roofing Nails will be /�y inches. Grounds will be cleaned of all roofing materials. All workmenare covered with Public Liability and Workmen's Compensation. All work will be continuous and will be performed in a workman like manner. Chalk lines will be used to line-up the shingles. Roofing Shingles are self Sealing. While installing the new roof, we will protect your home and plantings from debris. Roofing Shingles to be delivered Install new fiberglass paper to roof boards when stripping of shingles is required. All shingles will be secured with four nails. State and local building codes, along with manufacturers specifications will be adhered to at all times. Color of Roof to be All wore pJicgd as specifi ,The possible occurrence of rotted roof boards or poor flashing will warrant an additional cost of The homeowner is responsible or covering their articles within the attic. Work is to be commenced on Payment is to be delivered Apply �11 inch aluminum drip edge to the following areas: <_Year Workmanship Guarantee. =s,1Q Year Material Guarantee �> Roofing shingles to be S � //� �+'� �/J�i�'/ - - , d't/is�%.�7 ��r' /s=, Agreed by Home a gr e b Contractor Ref. Page Date 3 Day Cancellation Notice Required Uncfftcial Property Record Card Page 1 of 1 Unofficial Property Record Card - Salem, MA General Property Data Parcel ID 25-0378-0 Account Number Prior Parcel ID 32-- Property Owner NOT AVAILABLE Property Location 32 JACKSON STREET Property Use One Family Mailing Address Most Recent Sale Date 9113/1985 Legal Reference 14538.472 City Grantor VELARDI CARMELO P Mailing State Zip Sale Price 97,000 ParcelZoning R1 Land Area 0.140 acres Current Property Assessment Xtra Features Card 1 Value Building Value 114,600 Value 400 Land Value 96,200 Total Value 211,200 Building Description Building Style Ranch Foundation Type Concrete Flooring Type Hardwood #of Living Units 1 Frame Type Wood Basement Floor Concrete Year Built 1959 Roof Structure Hip Heating Type Forced H/W Building Grade Average Roof Cover Asphalt Shgl Heating Fuel Oil Building Condition Average Siding Vinyl Air Conditioning 0% Finished Area(SF)1047 Interior Walls Drywall #of Bsmt Garages 0 Number Rooms 6 #of Bedrooms 3 #of Full Baths 1 #of 3/4 Baths 0 #of 1/2 Baths 0 #of Other Fixtures 0 Legal Description Narrative Description of Property This property contains 0.140 acres of land mainly classified as One Family with a(n)Ranch style building,built about 1959,having Vinyl exterior and Asphalt Shill roof cover,with 1 unit(s),5 room(s),3 bedroom(s),1 bath(s),0 half bath(s). Pro ert Images _ � t I _ X Disclaimer:This information is believed to be correct but is subject to change and is not warranteed. http://satem.patriotproperties.com/RecordCard.asp 7/27/2011