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21 MAPLE ST - BUILDING INSPECTION What is the current use of the Building?Material of Building? i if dwelling.how many unda? __-- Will the Building Conform to law? Asbestos? Architeds Name ( 1 Address and Phone Mechanic's Name �L ,� 0i5 Address and Phone J GV I Construdw Supervisors license 0 1�7s HI Registration d Estimated Cost of Project 3 Permit FN Caleulatlor Permit Fee: Ea*nated Cost X S71i1000 Residential --- - - Estimated Cost X 11111S1000 Commercial---- - /���/� An Additional $5.00 is added as an Administrative charge. Make sure that all fields are properly and legibly written to avoid delays In processing. The undersigned does hereby apply for a Building Permit to build to�e stated spec&atkxw. Signed under penally of perJufy Date S d � N al N s a v F •� o 0 C a - PUBLIC PROPERTY DEPARTMENT KI\.YCMLI10�ULL • �//^] (� / -t 13D W�Sl'1FJ�T�yu�;y�r,�pp;�M 01970 'ni MU69M 1 PAM 97L710.9" AMICATION FOR THE REPAIR. RENOVATION'CONSTRUCTION DEMOLITION, OR CHANGE OF USE OR A FOR ANY EXISTING STRUCTURE OR WELDING 1.0 SITE INFORMATION " Location Nang guldg. P►operty Address: Sri" ►��. Property Is located In a;Conw atlon Ares YIN Historic OWMet YM IV 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land ` Name: IV1 r my s t vl C, Address: SC4,.1 bl ?r7 Telephone: 3.0 COMPLETE THIS SECTION FOR WORK IN EXUSIING BUILDINGS ONLY Addition Existing Z S4"e5 Renovation Number of Stories Renovated Change in Use New Demolition Existing S 0 Approximate year of Area per floor (sq Renovated S construction or renovation K 6 Of existing building New Sum add Description of Proposed Work:k Ad-& �,� -&J� . ------ - ----Mail Permit to: --- - CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT xuirrni.el !'Kixx:a.1. {.11 C2 120 WASIi1VClONS-1'HEET •SALFV, MASSACHL..;LCIN0197: Trt,978.74 -9595 • FAX:978-7+498+6 Construction Debris Disposal Affidavit (required for all demolition and renovation work) 1n 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: Gnfnh^h� W�� (name of Ilauhr) II-lie debris will be disposed of in me f facility) .(address of facility)' 51�I:alU1C Ut �)C[Illll:l`Oil Sill — /1� /0? '.ci;n.aa Lug CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT a.ntatmtav reasoner xnvaa uo.�a�wsr»+S,amr.S�uat.M�aet�rssp1970 M&-9W434M a Pam WW4&%% Workma' Compeandoa Isanrasta AAdatW MWderslCe AnnKnot Inhrmados Please Print i a.ts.s. Nano t Address: rl�vi5 �T city/ Phone f1: Are you so eatployor7 Cheek W approprlaq ban 1.❑ 1 sm a employer wide & ❑ I am a gad contactor and I employer(MB miler put dma).e have hired the dv ❑New easssuotine 2.❑ 1 am a solo proprietor or poetaaa listed an the attached sheet t 7• R modelied ship and have no employer Then atboomacmm have t. Demolida world" for me in soy capacity. waken'COOP WonaneL g, ❑Buddingaddition (No workers'camp ioammos 3. ❑ we in a capaadoa sad its regrind,) officers have exaciond this Io.O Electrical repairs or addhtaea 3.❑ 1 am a bomoowmr doing all work right Of e:esepdm Per M43L I I.❑Plumbing npain or adddoos myself(No workers'comp, a 132.I I ft and we have no 12.13 Roolrepaw imauance required]t employees.Db wakaa' 13.0 Othr come h attsoce nquind.] '�W30W feel dada boa h sett ate AN err do asadoe ratan snaky irkwadtq' +HOMWW era.e..r.rmr.meaermYd�dat..ady.r.odtrtfa.uaa.rwar .art.�it faBaryrs ree.r.oas dr soak drip tee aar+taeW r odeakeol rent tlsdy dr ear of tr si maeaasw rd dab rwtrN asew PAW khowdo. lass ow NaOfoye char fe prosadGB awntaa'eorpawdoa Lrranne�Jbr my earpfoyep Beforo 6 tAe peBry dwf/oi rills lejoialiff" 9 n L Insurance Company Name. Policy S Or Wine.Lie.N:_ WC7_ - 316— 314-12o I - bi o� Epiradnu WOODame. I 0? Job sits Address: 7_I Mu Ci /S n1c_ 01 of 7 0 Attack a copy of the workers'compensation polity declaration paps(showing the policy amber and oaplradea dab} Failure to secure coverage ore required under Section 23A of MGL s. 132 can lead to the imposition of Czie iaal peaaldes of a find up to 31,500.00 and/or onwyear imprisonmem,as well so civil penaldr is the form of a STOP WORK ORDER and a Rae of up to 3230.00 a day against the violator, Be advised this a copy of this statement may be forwarded to the Office of Investigations of the DIA for inwrance coverage vaific&doe f de hereby cert(j) poise per/ery rher the Jnjoraudox provided above is sae caw/correct D b OVk d use on1A DO not WHU to/tile area to be compfstd by cdy or torus o, kki City or Tower PermlNLieean N Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/tows Clerk 4. Electrical Inspector 3.Plumbing Inspector &Other Contact Person: Phone th '. . ftcearthy Saito Zee GENERALCONTRACTORS 14 DAVIS STREET BEVERLY, MASSACHUSETTS 01915 May 17 , 2007 CONTRACT BETWEEN: T . F . McCarthy Sons LLC AND: William Leblanc 21 Maple Avenue Salem, MA 01970 To perform renovations to Kitchen and new 12 Bath . Contract in the amount of $ 19 ,718 .64 Work to be performed: 1 . Remove existing cabinets and dispose . 2 . Remove existing wall between Kitchen and Dining Room. 3 . Remove existing back door to deck and patch in. 4 . Construct 2 Bath . 5 . Add window to z Bath . 6 . Remove dauble casement window and install slider . 7 . Relocate baseboard heat as needed . 8 . Install Owner provided cabinets and fixtures . . 9 . Install Owner provided toilet , sinks and faucets . 10 . Install new electrical fixtures as discussed. 11 . Blueboard and plaster all effected areas . 12 . Trim paint all . Owner to provide: 1 . All Kitchen cabinets and accessories . 2 . All faucets , appliances and toilet . 3 . New Bathroom window and french sliding door . 4 . Flooring by others . Any variation to the described work will be discussed and approved bbbHHome Owner and Cont- ctor before proceeding . Robert K . McCarthy , McCarthy Sons LLC � v— William Leblanc, Home Owner Unofficial Property Record Card Page 1 of 1 Unofficial Property Record Card - Salem, MA General Property Data Parcel ID 10-0124-0 Account Number Prior Parcel ID 41-- Property Owner NOT AVAILABLE Property Location 21 MAPLE STREET Property Use One Family Mailing Address Most Recent Sale Date 1/111976 Legal Reference 17289-69 city Grantor Mailing State Zip Sale Price 35,600 ParcelZoning R1 Land Area 0.099 acres Current Property Assessment Card 1 Value Land Value 129,700 Building Value 166,100 Total Value 295,800 Building Description Building Style Colonial Foundation Type Concrete Flooring Type Hardwood *of Living Units Frame Type Wood Basement Floor Concrete Year Built 1966 Roof Structure Gable Heating Type Forced HAW Building Guide Average Roof Cover Asphalt Shgl Heating Fuel Oil Building Condition Average Siding Vinyl Air Conditioning 0% Finished Area(SF)1128 Interior Walls Drywall #of Band Garages 0 Number Rooms 6 #of Bedrooms 3 #of Full Baths 1 #of 314 Baths 0 #of 112 Baths 0 #of Other Fixtures 0 Legal Description Narrative Description of Property This property contains 0.099 acres of land mainly classified as One Family with a(n)Colonial style building,built about 1966,having Vinyl exterior and Asphalt Shgl roof cover,with 1 untt(s),6 room(s),3 bedroom(s),1 bath(s),0 half bath(s). Pro 12 Ima es s. a - Disclaimer:This information is believed to be correct but is subject to change and is not wananteed. http;Hsalem.patriotproperties.com/RecordCard.asp 5/17/2007 213" 67" 36;" 36;" 83;" 36 '," 198" 330 TTW2430 W3012. W2430 1530 W331224 nn F 3DB27 B27SS O O 4.DISH SB36S TRBD1 ., 60•, m T 0 tw/1 W M 0 LL � 1-Fridge; 33" wide C l- m m x 72" tall space a M m in p F 2-30" wide spa a for w m O O stove & micro ve 0) m qq a M E. TEP2484F1. FPE pOU� 3-24" space for LL R' N n dishwasher CY ?� o "' — oo I�23' 'nsn 4-36" sinkbase $ TF396FH a for sink 1530 W3024 30L 25" 6312 1082 35;" S 33;" 78' 280" 0 All dimensions size designations given are Varsano Design 1 This is an original design and must not be Designed: 4/7/2007 subject to verification on job site and May 16,2007 released or copied unless applicable fee has Printed: 5/17/2007 adjustment to fit job conditions. been paid or job order placed. mas.leblanc schrock kitchen fin All Drawing.#: I 213" 67" 36;" 363" 83Z" 36," 19$" 330 TTW2430 W3012 W2430 1530 F� t nn F 3DB27 B27SS O O 4-MSH SB36S TRBD1 60" m mWIn M 1-Fridge : 33" wide m x 72" tall space LO M a gg©� Is N m stove O _ e wide spa for q a M stove & microwave 0) Co pOUq 3-24" space for W TEP2484F1. FPE vdishwasher ZO CY N to•• 39 ,'--" �I bo23' ^n-4n 4-36 sinkbase ri N for sink -� LL J J3 TF396FH 1530 W3024 30L NI+ 25" 63;" 108�" 35;" S 33 ',•1 78' 280" All dimensions size designations given are Varsano Design 1 This is an original design and must not be Designed: 4/7/2007 subject to verification on job site and May 16, 2007 released or copied unless applicable fee has Printed: 5/17/2007 adjustment to fit job conditions. been paid or job order placed. mas leblanc schrock kitchen fm All Drawing#: 1