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6 CARPENTER STREET - BUILDING JACKET ' iTT 6. CARPENTER STREET r * HISTORICAL �*may- .. ,. x.. .. t xg ys• VVPlans must be filed and approved by the Inspecid o `U prior to a permit being granted k ' CITY OF SALEM No. Ward HISTORIC DISTRICT? N 8 Date i IF FOR SIDING, HAS ELECTRIC Home Phone �' = •. PERMIT BEEN OBTAINED? Y N Bus. Phone XS — APPLICATION V w, FORIV- APERMIT TO l NSB i ti �� cS� t t rj 70d� , oj. e TO THE INSPECTOR OF BUILDINGS: ~ The undersigned hereby applies for a permit to build according to:the " following specifications _ Owner's name and address p gytil -P�sV' (D Architect's name Builder's name / W06DS' C0NI�AGPtLr, lG12P �,J1 (41 , (k, 6t,) wh Location of building, No. c What is the purpose of building? 1)c=p-1 A-z- t x If dwelling, # of units? Material of bldng? Will building conform to law? LS Asbestos? � . Estimated cost City Lic.# State Lic.I1�� Signature of Applicant Wk� Ujw (1 _ -�1 J470�' ,: SIGNED UNDER THE PENALTY OF PERJURY"- � 0 DESCRIIPPTI,ON OF WORE TO BE DONEE p LL �z�,Lovz �k'[sC� rea (tee � i�S��--L� ry CEJ 9 �n•I � "��� , Mail Permit to: #s6 } {3#i y;F� 7 �.� � r 1� '�1,� ,y� , y` '�,�4 �5. .� 4+ �t�yY���� �,+�a�i"} i.�X•'#��'+ _.i°S � � '.}.i � if�iY'Y i ! �-Tk - �G ��,��"44��� r � �N Skr� '�•,�i V! ➢r �4�� � $ �iy R.�V � {'-�. � )4 �11 [�vQY"Sy!' • J No. Ward APPLICATION FOR E! !. , PERMIT TO— c OOF REROOF OR INSTALL SID NG Location I PERMIT QRANTED 18 Appro ed ��� p Inspe r CIL _ 1 I he C'onunonwe.ddt of;blussachuseus Board of Building Rcgulutions and Standards Cl I1'OF I 'I' blassadsusctts State Building Codo, 780 CNIR SALEM 'y"•• Rdrieed Ilur_'rl// Building Permit Application 'ro Construct. Repair. Renovate Or Demolish a One-ur rnvr-fimn(t' gn'elfin.\+ This Section For OI'flcial Usc Onl Building`Permit tNNumber D e Ap ' d: / Building Ulllciul(Print, ;unc) - A � !r�' Uatu SECTION 1:SITE INFORhI T. L I Property Addrea: 1.1 Assessun,S p 6 Parcel Numbers I.Is Is this an acce teal strew? •es no Mats Nunsher I'urcd Numher 1.3 Zoning Informationt 1.4 Properly Dimensions: Zuniny D— iytr— i— •cj I'n�poscJ lJvr Lnl Ana 1+ It 4 1 fronmgultl► LS Building Setbacks(R) Front Yard Provided Yunls Rryuircd ProvidedroviJcd Rryuircd Provided Required Rest Yard Provided 1.6 Water Supply:(M.G.t.e.40.§Ja) 1,7 Flood Zone Informations 1.8 Sewage Disposal System: Public(3 Private O Zone; _ Outside Flood Zone? Check if esCI Municipal O On site disposal s)+lam CI 1.1 owner'.. SECTION]: PROPERTY OWN ERSHIPt Reeords N,mw l 'nnl) ('it)'.Slate,ZIP No ,mJ Strcet relep .nail Addruss SECTION JI DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction O Existing Building Owner-Occupied Repalrsls) e Alteratlon(s) C3 Addition O Denwlition O Accessory Bldg.❑ Numberof Units_ Other ❑ .Specily: BriefDescriptionofProposed %Vork-: L7 L'VlG SECTION 4: ESTIJIATLis CONSTRUCTION COSTS Item Estimated Costs: Il.ahor and\laterials) Ofllclul Use Only I. Building S 9gzo, (7Eq I. Building Permit Fee: S Indicate how fee is JetrnnineJ: :. Ff"trical S 9 (3 Standard Ciry+Tu%sn Application Fee t Plun;h;,ty S _ O Tutal Project Cost'I Item 6)x multiplier Other Fees: S J \Icch.mic.d ill\ \f) S LisC rotai \11 Fces: S_ -- — )bWl I'rnject Cosl: i (he" \o. /!9 Qp C3 Rlid in Fan ❑Uutsrwding Bal.utce Due: 78'/ , z!�t, 7eIo57 r I st:(A ION S: ('ONSF1411 " MN S"N'I('F'.S — �az <,I ('unstructimsSuPtnisurLicenst(CSLI C5—I©! � liml);uc I ian,c Nwnhcr I N,uue of t'SLIlnldef lut l''SL 1)Pe l>cc 1)Pe pescriPlian No. .wJ Street I4+reitricicJ IIIndJin i u la lt,lllltl cu. IL1 I( H¢�uic1.J1(0f.unil D++.Ilin \Lunn Cil)iI',n+n,SLne.LII' KCKtxdin Cuwrin µ S µ'indusv,utd Sidi" —" SF Solid Fuel 11urninOPPliunces Ina Minn D Iknwtiliun 1'ek hm!> 79/D retail;tJJrc+i � 'D ' „/ .1.1 Registered Ilume Imprurtntent Contractor(HIC) 5 _ I IIC It¢yiauauun Numher li�pinuion Uwe I IIC Con! un Ndnw or I II( ))lygiilrunt Nanw p ;�M G.R'1G 5 t� !:moil address No. tJ S e (,e/ CI !Town,Slate ZIP Tele hunt 23C(d)) SECTION tit WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L e, -- I Worker 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 ..........l7 No,•••.•""' SECTION 7a:01VNER AUTHORIZATION TO BE CODIPLETED HEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit appllcatitin- Oute hint Us�lwr's Nm+e lElcetrunie Siunuturv) SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the inrarmaliun contained in this application is true and accurate to the best of my knowledge and understanding. - C Dula 'riN lenar'iur:\uthorbcJ, �cnl'iNanwll�IcdronieSign;durv) NOTEst I, iin0egitr%%hstered iobhelHumehnpruing ptmenternn,it lCuvrcturlHlClProgrnnlnailn'r+haveaccesstottheubitrditiuotraetur ation on It 9 Program or guaran lyl ro nru un on Itle Cuostruction Super for Licensetcan be round atC Program.'nsbal+IbwtJ al ++++,� ni.l�• \I hen substantial+surk is plaited, prut ide the information below: I including garagt. finished basement attics. decks or pordu rota) (lour area 14 Habitable ruunt cuunt croii liking.'IreaIiy. ll.l ..... - \umhef kit bed fuunli \tnuhefolli(cp r laccs _ Nunttteolhall'h;uhs i \umheral'balhnWnti - - \wnhefalJccki• parchci I\Ilk: kit heeling i).mnl !)Pen Pncln+cJ I\Pa dcralnly ,)ucm 1 I, LII I'nj�'U Srlu:+re Pin l.tyd•'t1111) he•kbNln IItcd IiV..I,n,ll 'fnietl(•U+l' gONDIT,I 2� & ��/MINB rA� Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 (978)619-5685 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 of Property: 6 Carpenter Street Name of Record Owner: Michael Chefitz and Robyn Frost Description of Work Proposed: Removal of non-working chimney in rear addition, patching in the roof to match the rest of the roof'surface. Dated: September 10, 2012 SALEM HISTORICAL COMMISSION B - 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 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. Qs 0 y�r,�rA 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 Address of Property: 6 Carpenter Stret Name of Record Owner: Michael Ch fitz and Robyn Frost Description of Work Proposed: Rebuild existing foundation on back of house to replicate existing. No changes in color, material, design, location or outward appearance. Non-applicable due to being in kind maintenance/replacement and being non- visible from the public way. Dated: August 29, 2012 SALEM HIST AL C SION By: 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 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.