42 MARCH ST - BUILDING INSPECTION What is the current use of the Building? c@I& ant 4A
Material of Building?wrala\, If dwelling, how many units?
Will the Building Conform to Law? Asbestos?
Architect's Name
Address and Phone j
Mechanic's Name Glens �tts�e���
Address and Phone P6 dO A 4S b
Construction Supervisors License# 0004,7-3 HIC Registration# t454 3J11
Estimated Cost of Project$ 52"254 Permit Fee Calculation
Permit Fee$ `S� 3-10 :ls Estimated Cost X$7/$1000 Residential
Estimated Cost X$11/$1000 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
(i to build to the above stated
specifications. Signed under penalty of perjury /� "`��`—
Date
�I
0
N
ate+
v N
--
I
rr -erry-6FSALEM
PUBLIC PROPERTY
DEPARTMENT a
a
I:INMFRLEY DRISCUIL
MAYOR 120 WASHINr.roN STREET 0 SALI-m,MA.SSACALSLM 01970
TTi 978-745-9595♦FAx:978-740.9W
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION,
DEMOLITION, OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: LO irlarckS`� Building:
Property Address:
y L �rnsc� St" Savers` mi�% o v l 0
Property is located in a; Conservation Area Y/N N Historic District Y/N r4
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land d
Name: Svsa*-N
Address: yZ ty'of-4-, W ';Qkrr. ,MPl 0\0\710
Telephone: I-it -140 04yD
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing )<
Renovation k, Number of Stories Renovated
Change'in Use New
Demolition Existing
Approximate year of s b�1 Area per floor (so Renovated 1,3 T-O'
construction or renovation
of existing building New
Brief Description of Proposed Work:
�ns��.11 new wIn aoW S r re oe ce
�tnv5k Ss aln(aa ��rravf arc\
snS�a.\` nevl gvi�e�s . See 0.i�osl�e� cDr`�cacts for ����� �e,�a.I\s
---- --- Mail Permit to:
CITY OF SALEM
t' PUBLIC PROPRERTY
DEPARTMENT
RIMar RtfY DRIK:ULL
M AYoR t20 WA\HING I ON STREET 1 SALF-M.MASSACI n:a:'t'r s 0197�.
Tk:L_978-743-9395 •FAX:978-740.9846
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Anolicant Information Please Print Leeibly
�lafl'it: ltluciiw;xs/OrganizatioNlntlivicluut): [!i�Qn r\ tJ(T.�v.0\`Q.`1� �0 .
Address: PO Gets. 4� 6
City/StateiZip: VA\kA A n - Phone #: "i'M TV7
Are you an employer?Check the appropriate box: 'type of project(required):
1.0I am a employer with 1 4. ❑ 1 am a general contractor and 1 6. ❑ New construction
employees(full and/ur part-tine).' have hired the sub-contractors
2.❑ i am a sole proprietor or partner- listed on the attached sheet. : 7. E]_jtemodeling
ship and have no employers These sub-contractors have S. ❑ Demolition
working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition
Ito workers'comp. insurance S. ❑ We are a corporation and its
required.)
officers have exercised their 10.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. (No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs
insurance required.j r employees. [No workers' 13.❑ Other
comp. insurance requirel.l
.
.Any applicant first cheeks box 01 most also fill our the.section betuw drowing their worked cumpanatuiun policy inrurmaLion.
' I Wmcuwnets who submit this affidavit indicating Ihcy arc doing all work and then him outside contractors mtwt submit a new amdavit indicating such.
(btrtrxuas that cbeck this box must attached an additional Ave showing the nano of the sub-comracim and their wurkera'comp.policy information.
I ant an employer that lr providing workers'compensation insurance for my employees. Below is the policy and job site
hifurmatiom
Insurance Company Name: Lt� r)\ COV_.�'_,__
Policy#orSeif-ins. Lic. #: WC 3,--31S-L{SL9fa$-Qy� Expiration Date: '�4t\hy
Job Site Address: LVI, ff`V^k �Vlt City/State/Zip: S,4arnlfJl 0 ` 11 Q
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 uf:rlGL c. 152 can lead to the imposition of criminal penalties of a
tint up to S1.500.00 and/or one-year imprisonment, ax 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
hwcangations of the DIA for insurance coverage verification.
l do hereby certify under ere pains mhd penaltics of perjury that the iufonnafion provided above its true and correct.
Date: Sl st [v
Official use only. Do not write in this area,to be completed by city or town official
City or'rown: _ _. Permidl.iccnse#_
Issuing Authority (circle one): _
1. Board of Health 3. Building Department 3.Cityfrown Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone #:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to(his statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
:Vt employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
hiGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required:'
Additionally,bIGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work„until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and dute the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain u workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to till in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permitilicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be tilled out each
year. Where a home owner or citiun is obtaining a license or permit not related to any business or commercial venture
(i.e. it dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
1'hc Oiliee of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us u call
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office Of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-NIASSAFE
Fax #617-727-7749
Revised 5-20-05 www.mass.gov/dia
CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
\t.�i: N tit: W.\91i�t;:JN S:aEET �).\Li'\r. `f.\ti\(:.Il •1:{'l)i:9P
TEI:9M743-9595 •F.\x:9711.74C-9646
Construction Debris Disposaf Affidavit
(required for all demolition atui renovation work)
In accordance with the girth edition of the State Building Code, 7S0 CNIR section 111.5
Debris, and the provisions of M. GL 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 1.50A.
The debris will be transported by:
�ic m \,Nc, 'e
(name of hauler)
I'I~e debris will be disposed of in :
��C UI facility)
�1 Fasts St acktoc\ . 0230v
of Caci1,IY)
.. ♦tg :LlYr. J( ;i:Illil .(:� IC 1.](__ ____
341- 01�
`Glenn Battistelli Estimate
Painting, Roofing, Siding & Carpentry
DATE February 4, 2008
P.O.Box 496 Quotation # 100
Beverly,MA. 01915 Customer ID
(978) 927-8956 ( 617)-962 1235 fx ( 978) 921-9202
Quotation valid until: February 14, 2008
Prepared by.-
Mrs Susan Hallam
42 march st
Salem Ma 01970
978 740 0440 978 578 4600
For every job we :
1) If necessary, secure Building Permit from the City or Town.
2) A clean jab site will be reasonably maintained at all times.
3) Contractor has all necessary Public Liability and Worker's Compensation.
4) All work will be done to code.
Comments or special instructions:
N— d+"sMKY'
�gq 4
''' .:"4`# eSCI{lfil"trt -� x ,r, 'ys m a.5. WIN
Install 11 new Anderson windows in main house - include all new interior trim $ 11,100.00
Install one 30 degree Anderson bay window in front of home with new interior trim $ 2,000.00
Install one Anderson picture window in bedroom with new interior trim $ 1,700.00
Install four Anderson awning windows with interior trim ( $937.50 each) $ 3,750.00
Remove the existing cantilever deck
Rebuild new cantilever deck approx. 12"wider then existing with presure treated frame
Install Correct decking with plastic rails $ 2,700.00
Remove the existing front porch and stairs and re frame with presure treated wood
Install Correct decking with plastic rails and vinyl lattice to customers specifications
Install Azek trim boards-enclose under the stairs $ 6,500.00
TOTAL
If you have any questions contact Glenn Battistelli 978-927-8956
Glenn Battistelli Estimate
Painting, Roofing, Siding & Carpentry
DATE February 27, 2008
P.O.Box 496 Quotation# 100
Beverly,MA. 01915 Customer ID
(978) 927-8956 ( 617)-962 1235 fx ( 978) 921-9202
Quotation valid until: March 8, 2008
Mrs Susan Hallam Prepared by:
42 March St
Salem Ma 01970
978 740 0440 978 578 4600
For every job we :
1) If necessary, secure Building Permit from the City or Town.
2) A clean job site will be reasonably maintained at all times.
3) Contractor has all necessary Public Liability and Worker's Compensation.
4) All work will be done to code.
Comments or special instructions:
�, �,
P 4 € 4 e :IrO4 p I si l i7 6 AMOUNT k
x.'a6.IL� 'Sr S wfxfu�3z, m D08Cn tlOn_ ?v. ,.'i�. .t ,P; �.�.ar.N.a. . ', L` � _ . :
Strip the existing wood siding on exterior walls and install tyvec
Apply Mastic/Alcoa vinyl double 4" , 50 year warranty,vinyl siding to all ext walls of home
Siding &trim is Montana Suede-color of gutters and downspouts are white
Install new gutters at areas where they currently exist
Cover with Montana Suede the fascia, soffitt and rakes and walls
Bring the siding up to the new windows
Secure building permit, all electrical work done by licensed electrician, wk continuous.
Clean job site, allow proper space for expansion and contraction. Galvanized nails $ 24,500.00
TOTAL
If you have any questions contact Glenn Battistelli 978-927-8956
I __
o�k and o ui ing�afibns`-aA�ars
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement,:Co actor Registration
Registration: 104352
T Type: DBA
Expiration: 7/13/2008
GLENN BATTISTELLI CONSTRUdTbDN
Glenn Battistelli :4 a
PO BOX 496 r --
Beverly, MA 01915 --
4 Y J
''�Update Address and return card.Mark reason for change.
Address Renewal (j Employment -'. Lost Card
PPS-CAI A 50M-0&0e-PC8490 -
-'- .-_.-- .. .... .. .. ... ....... _ ------ ....... . .__..
B...d.of u I mg egu atl.onlan ,tandards License or registration valid for individul use only
lugHOME IMPROVEMENT CONTRACTOR before the expiration date. 'If found return to:
Registrat f'• 104352 Board of Building Regulations and Standards
' One Ashburton Place Rm 1301
Ex r�IrAtloti�- 1: /2008 Boston Ma.02108
If Y11 !F_a�'
GLENN BATTISTEtIL ION
Glenn Battislelli
11 BROAD WAY RERFR� .. 1 ---------..._.
®e`verly, MA 01915 Deputy Administrator Not valid without signature
took-
1 "
Page 1 of 1
Card 1 of 1
Location 42 MARCH STREET --Property Account Number Parcel ID 36-0218-0
Old Parcel ID 21 --
Current Property Mailing Address
Owner NOT AVAILABLE City
State
Address Zip
Zoning R2
Current Property Sales Information
Sale Date 9128/2001 Legal Reference 17703-546
Sale Price 249,000 Grantor Seller SANTO JAMES D,
Current Pro ert Assessment
Card 1 Value
Year 2008 Building Value 214,000
Xtra Features Value 3,100
Land Area 0.064 acres Land Value 114,700
Total Value 331,800
Narrative Description
his property contains 0.064 acres of land mainly classified as Two Family with a(n) Multi-Conver style
building, built about 1895 , having Wood Shingle exterior and Asphalt Shgl roof cover, with 2 unit(s), 6
otaI rooms , 3 total bedrooms , 2 total baths , 2 total half bath s , 0 total 3/4 baths .
Legal Description
Click Property Images to Enlarge §qi
'L ESIY 5FF \ �� fl, �G1111
A.
� 5�192 £rR SFL
2 '16 3 4
� Ve
31 105 p
fFL FFL. 35 Y
9ui
OW 1915)
5,L 4 e
FFL
14
F (0)
t' p'
http://salem.patriotproperties.com/summary-bottom.asp 3/5/2008