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118 LEACH ST - BUILDING INSPECTION (3) !!�C.(erA 194C,, 3 `7-4�� The Commonwealth of Massachu ME ' CITY OF Board of Building Regulations'i� SERVICES SALEM Massachusetts State Building Code, 780 C Revised Mar 2011 Building Permit Application To Construct,R411r,AM@v*e Pr 11vtmLish a One-or Two-Family Dwelling This Section For Official-Use Only 3 Building Permit Number: Date A lied: n Building Official(Print Name) - Signature Date —Y SECTION 1: SITE INFORMATION 1.1 Property Addrss;; ll 1.2 Assessors Map&Parcel Numbers 1.1 a 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 ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(MG.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 OWNERSII[P' 2.1 Owperr of to o d: Name M t) '- City,State,ZtP l/S ,C ecc/. 798-�l39-81l5 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WOR]e(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 :AOeAtocfe Itfidkd Sec ek/ 6#r rrs. /ecb 1t Joc,.4j A 51cP S Sk lei a!/l BcA in: rzl M SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item Official Use Only (Labor and Materials 1 Big $ O _ 1. Building Permit Fee: $ Indicate how fee'is fletemtined:' 2.Electrical $ ❑Standard City/T own Application Fee a oSo ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ S yoo 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees:$ t' Suppression) Check No. Check Amount: Cash Amount: 6.Total Project Cost: 00c7 1 13 Paid in Full 13 Outstanding Balance Due: . SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-l08'%33 1f /OB A�'/ AA0 n��ct/6.(l 0 S t✓ License Number Expiration Date aznne of CSI Holder 'l List CSL Type(see below) U No.and Street Type Description y� p U Unrestricted(Buildings up to 35,000 cu.ft. Af•Rey 11�4 I 0 6 R Restricted 1&2 Family Dwelling iC ty vn,State, M Masonry RC Roofing Covering WS Window and Siding �y�� I SF Solid Fuel Burning Appliances AtT�I L7tl$�rpi('J7t�LC`SC-rlP I Insulation Telephone Email address D Demolition 5.2s]Registered Home Improvement Contractor(HIC) HrT co-s Co- .7M • /DR �00 ��C Registration Number E p Goa Date HIC Com y ame or HIC Registrant Name �7 YA( w b AGcons+TitlGjerom ear4 • PMA NcpV ; ;(,,, /n-� �/M Q1Y6Z-1 V9--(6V-9'3`(k1 Email aJdress City/Town, State,Z Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be mpleted and submitted with this application. Failure to provide this affidavit will result in the denial of the Issutan of the building permit. Signed Affidavit Attached? Yes .......... No........... ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR 'f APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize A14- +t t Gr(. vcj(e!�z (fiG- Cons{ •) to act on my behalf,in all matters relative to work authorized by tffis building permit ap lication. Print O er' Name(Electronic Signature) r-Date 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 information contained in this application is true and accurate to the best of my knowledge and understanding. Print Ownef s or Authorized Agent's Name(E ctronic 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 www.mass. og v/oca Information on the Construction Supervisor License can be found at wL w.mass.gov/des 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" The Commonwealth ofMassuchuseas Department oflndustrialAccidEnts OJJ9ce of Investigations kv I Congress Street,Saito 100 Boston,MA 02114-2617 wwminass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 9 Co /�� Please Print Legibly Name (Business/Organization/Individual): 0 (�. tA, C,O •�NC Address' "o0 * S vi- / Ci /Stateizi : IV Read 1 Phone#: Are you an employer?Check the app ate bo:: Type of project(required): C 1. � am a employer with _'? 4• ❑ I am a general contractor and I employees(fWl and/or part-time).* have hired the sub-contractors 6• ❑New nstruction 2.❑ )am a sole proprietor or partner- listed on the attached sheaL 7. imodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employe=and have workers' insurance.; 9. ❑ Building addition [No workers' comp. insurance comp. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.(] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. (No workers' 13.❑Other _ comp.inswance required.] -Any applicant that chocks boa#I mug aim rill out the seetim below showing the0 wwkW cmVenssom policy information. t Homeowman who submit this affidavit indicatng may am dohhg W work and than him wood&eonosetae most submit a now affidavit indicating such. tContracters that check this boot mum stuehed an additional shad sawing dw mane of the abcwnsaan and stme whetba a not those entities have employeq. If the sub-emamtas hsve employee,they man provide lair workers'camp.policy number. I am an employer that Is providing worherw'compensation insuramir for my employees Below is the policy and fob site informadon. /� // {/ _ Insurance Company Name: .J b 2r 7t14.J Policy#or,Self-ins. Lic.#: u/G S—A L C— 3�Q a b —D�tll�t, piration Date: o'Z(� /6 Job Site Address: !/D ec.-r_k S� 1StaWZip �Ca IG'ir11 jai! Attach a copy of the workers'compensation policy declaration page(showing the polity somber 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the point of pcifury that the information provided above u t/ne and correct. J ®. /V Ji�at�re: t s��J, DAM 1 � I Phone#: Offrcial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityrrow• ^jerk 4.Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone M I ® Massachusetts Department of Public Safety Board of Building Regulations and Standards License CS 108833 _�Constdion Supervisor] Y J ANT ONY GRA_V LLES a"i4 17 SHA LbR7U� ' j j NORTH READING Mo r"r. a` IA Commissioner Expiration: 04123i2o1a . - Q\ Office of Consumer Affai '$Busiues Re ME IMPROVEMENT CONTRACTOR egiStration 37700 "' " _ o �� T P@ xpiration F 316016_, .Private torpor AG CONST. CO, ff An hony G?avallese` r t �g s" 1.7 Shasta DrWe ` N,�Reading, MA 01864 - — 11kilersecretiry 0 og- Lid E fir. Re-S 14 i / 76 �-3 1 i e� ��� ��� t�� �� -��ti��,s-�� .�uog-�� � ,,o� � i---.. ---- --- _; i -, f i � v � i ������ � t 3 � _.. 1 _ i � � , 1 -" �O-� 1,9:5 \ �\ -j --------,,9 ;� .� 1 E $ec -QMr BATHROOM RENOVATION DATE: 5-29-15 MtG a v e r n_ _ LABONTE RESIDENCE SCALE: 112" = V-0^ AlDesign SALEM, MA Hl a — 3'-0" x 6'-0" OVER-MOUNT s ,3 TUB � � & ,_. 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BATHROOM RENOVATION DATE: 5-2+z McGovern amyr RESIDENCE SCALE q` = »z Design SALE% m a §; 4� Soo 4Ge E WE JA 141 wve S n ` se` ,x t BATHROOM RENOVATION DATE: 5-29-IS ; McGovern LABONTE RESIDENCE SCALE: 1/2" = V-0 n _ -_. . H Design SALEM, MA aJ W J 00 x ;1� o, f z — az w ors � Ln w i 02L � o xm < g rr II a u m u Ell NN I (LD 0 L c c L � a V ' lUI c G a v e r n Sec Pw BATHROOM RENOVATION DATE: 5-29-15 ___ _ LABONTE RESIDENCE SCALE: 1/2" = V-0" ^ �s Design SALEM, MA H M I-eu eX Sk 3'-0" x 6'-0" OVER-MOUNT — _ ,�= y �# �� ;-. 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III cna .a i BATHROOM RENOVATION DATE: 5-29-15 M c G a v e r n LABONTE RESIDENCE SCALE: 1/2" = V-0" Design SALEM, MA A7 Unofficial Property Record Card Page 1 of 1 Unofficial Property Record Card - Salem, MA General Property Data Parcel ID 33-0647-802 Account Number Prior Parcel ID 51 -- Property Owner tABONTE KATHLEEN M Property Location 118 LEACH STREET Property Use Condo Mailing Address 118 LEACH STREET U118 Most Recent Sale Date 7/1/2014 Legal Reference 33384.58 City SALEM Grantor NEUMAN KATHRYN/BRAGEN JOEL, Mailing State MA Zip 01970 Sale Price 464,900 ParcelZoning R2 Land Area 0.250 acres Current Property Assessment Card 1 Value Building 468,200 Xtra Features 0 Land Value 0 Total Value 468,200 Value Value Building Description Building Style Condo Tn Hs. Foundation Type Brick/Stone Flooring Type Hardwood #of Living Units 1 Frame Type Wood Basement Floor Concrete Year Built 1914 Roof Structure Gable Heating Type Forced HIW Building Grade Average(+) Roof Cover Slate Heating Fuel Gas Building Condition Avg-Good Siding Clapboard Air Conditioning 100% Finished Area(SF)2364 Interior Walls Plaster #of Bsmt Garages 0 Number Rooms 6 #of Bedrooms 2 #of Full Baths 2 #of 314 Baths 0 #of 112 Baths 0 #of Other Fixtures 0 Legal Description Narrative Description of Property This property contains 0.250 acres of land mainly classified as Condo with a(n)Condo TnHs.style building,built about 1914,having Clapboard exterior and Slate roof cover,with 1 unit(s),6 room(s),2 bedroom(s),2 bath(s),0 half bath(s). Property Images Disclaimer:This information is believed to be correct but is subject to change and is not warranteed. http://salem.patriotproperties.com/RecordCard.asp 1/7/2016 Commonwealth of Massachusetts 1 City of Salem Y�4a 'e. 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Structure CITY OF SALEM BUILDING PERMIT Excavation PERMIT TO BE POSTED IN THE WINDOW r- Footing INSPECTION RECORD Foundation Framing Mechanical Insulation INSPECTION: BY DATE Chimney/Smoke Chamber Final . Plumbing/Gas Rough:Plumbing Rough:Gas Final Electrical Service • -- Rough v Final Fire Department Preliminary Final " Health Department )l Preliminary Fina: Page 1 of 1 Harry Wagg From: kathleenlabonte@comcast.net Sent: Friday, January 08, 2016 7:33 AM To: Harry Wagg Subject: Fwd: Building Permit- 118 Leach St. Hi Harry. Below is an email from the owner of the other condo owner of 116/118 Leach St Condo Association. Please let me know if you need anything else. I can be reached via this email address or by phone -978-239-8115. Thank you, Kathy From: "Diane Raftery" <dianesraft@gmail.com> To: kathleenlabonte@comcast.net Sent: Thursday, January 7, 2016 5:13:33 PM Subject: Re: Building Permit Hi Kathy, We have no problem with your proposed improvements to unit #118 Leach St. If you need further documentation to expedite the acquisition of a building permit, please let us know. Diane and Paul Raftery 978-302-3474 Sent from my iPad 11 ill 'd $- NtlP 918i 1,301A0Q ,13 33dS , vsi2016