46 CAVENDISH CIRCLE - BUILDING JACKET I
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UPC 10330
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HASTINGS. UN
CERTIF�IA OF-
OCCUP
Permit Issued.
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CITY OF SALEM
Ci of Salem Buildin Be t.
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SALEM, MASSACHUSETTS 019
DATE 19 PERMIT NO,
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NO,) (STREET), ADDRESS IC0N'Tl S LICENSE)
APPLICANT
STATE ZIP CODE TEL NO.
CITY NUMBEROF
DWELLING UNITS
j STORY
PERMITTO � (PROPOSED
(TYPE ZONING
DISTRICT
T P"
AT(LOCATION) ...........
(NO) (STREET)
AND (GROSS STREET)
BETWEEN LOT -j
LOT BLOCK SIZE
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SUBDIVISION FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
BUILDING IS TO BE�FT.WIDE BV�
FT,LONG BY�
TO TYPE USEGROUP_-�- BASEMENT WALLS OR FOUNDATION �(TYPE)
77
REMARKS. q'-.I
PERMIT
AREA OR ESTIMATED COST$ FEE
VOLUME (CUBICISFEET)
BUILDING DEPT.
OWNER By
ADDRESS
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May 12, 2000
Building Commissioner
Salem Building Department
Salem Town Hall
Salem, Massachusetts 01790
Re: Control Construction Certificate to Occupy
Dear Building Commissioner:
I, Ray A. Renzoni, Registered Architect in Massachusetts, certify that I have performed the
necessary professional services; observed the construction; was present on the construction site
as required under Chapter 1, Section 116 of the State Code; and made periodic observations and
reports.
To the best of my knowledge, I have determined that the work proceeded in accordance with
regulations, permits and the submitted documents approved for the building permit.
Therefore, I request that a Certificate of Occupancy be issued for 46 Cavendish Circle,
Salem, Massachusetts, Unit 167 A.
I thank you for your cooperation.
Sincerely,
y A. Renzoni
Registered Architect
NCARB/ASID
Architectural Innovations x1 South St. ■Berlin, MA 01503 ■(978) 838-2976
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The Commonwealth of Massachusetts CITY OF
CRU
MBoard of Building Regulations and Standards
assachusetts State Building Code, 780 CMR SALEM
Revised,Nar 201
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use Only. ,
Building Permit Number:- Date Applied;:
tiding OlticiaP �'nt Name), ) Signature
1) 1 Q)4 6 SECTION 1:SITE INFORMATION
L o r A s: 1 1.2 Assessors Map&Parcel Numbers
I.I 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 It) Frontage(11)
IS Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
l.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❑
SECTION2: PROPERTYOWNERSHIP1
2.1 Ow¢ert of Rec d• �-' / /9
(Print)
I� j aGor )C</ll: n
Nhme(Print) City7Smte,ZIP
G
No. and Street Telephone Email Address
SECTION 3: DESCRIPTION OF-PROPOSED WORK'(check all tha(apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ 1 Number of Units_ Other ❑_ Specily:
Brief Descr' lion of P p ed Work':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
Labor and Materials) -
I. Building $ "W I. Building Permit Fee:$ Indicate how fee is determined:
„W ❑Standard City/Town Application Fee
2. Electrical $
❑Total Project Cost?(item 6)x multiplier. s
3. Plumbing $ '� 2. Other Fees: S /��i/' / )
4. Mechanical (HVAC) S List: / �F !/ l/
5. Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ ❑Paid in Full ❑Outstanding Balance Due:
I / 12113
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number E.epimtion Date
Name of CSL I-!older
List CSL'fype(see below)
No— ed Type DescriptioiC.
../i. U Unrestricted(Buildings a to 35,000 cu. ft.)
Owl
Restricted 1&2 Family Dwelling
Cityfrown, tate,ZIP M Masonry
RC Rooting Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
Insulation
Telephone Email address D Demolition
5.2 is dl Home Improvement Contractor(HIC) 'ZIr"7 ` !
(�� //✓ , � HIC Registration Number -spvation Date
HIC Con ry N me or FtrC Registrant Name
No. nd treet „A b l 4.6 / 6 Email address
,t°lo` 7 7�� /M
City/TcAn,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.¢ 25C(6))
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 7a: OWNER AUTHORIZATION.TO BE COMPLETED WHEN.
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT'
Ias Owner of the subject property,hereby authorize .5reyeyt l4 a Y eS
t act on in all matters relative to work authorized by this building peAmit application.
_ i
rin[ wner's Name ectronic Signature) Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
By entering my name below, 1 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.
!> & 7
Print Owner'- r Authorized AgenV Name(Efellfronic SiggoatUrey Date
NOTES:
L 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.,ov'oca Information on the Construction Supervisor License can be found at www.mass.govidpS
' 2. When substantial work is planned,provide the information below:
'fatal 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"