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14 NAPLES RD - BUILDING INSPECTION
,r_ n � ' �� �s � One or Two�Familv DwellinQ �� • "� The Commonwealth of Massachusetts �\. � Board of Building Regulations and Standards , � Massachusetts State Building Code, 780 CMR,7'h Edition ���� �''����:-' ' ...,hisSS'�ce ��on�FoT,�'Otfic��al?'[Jse`,��O�iIV. : �,T'�� ;;Ws � , ._. , ,.�� �,' �� .s.�'- .a,. .�_.. . �� .. .� Buildmg'Permit Numtier- R :Date of application '; � x g � !. �t�. V f� /�/ � e eJ .' ,^i.' . Si nature ,� BUiltlin -Commis5ionerhLocal9ns c `Date , L �, _ •e`nt3.^S `h`F: ^" f5� H +�ss.Y��.#^.s. � •�'s �r< �+# r� x kr,3_ n�"- ':. , �SEC�PION'41�,'. J��S�T�E�SN�F01t ��z�` ��"�� ����'��������« ���-��� "' `� ����� ,r r+;�.a.a-�.+s�F,�xxi r3c Ma_�aT'..*;:a,.ur..,a. cd.=U a+.. w� d" �� �, ,z �iis?�,w.,,, �:,,, ..�"naa�.�. �.€�'-,�. �_ .�*� .`F'.,'a. � 1.1 Property Address 1.2 Assessors Map&Parcel Numbers _ ��/ 1������s I�e_cQ Is[his an acce ted stree . Yes ❑ No ❑ Map Number Parcel Number 1.3 ZoningInformation 1.4 PropertyDimensions _ . Zonin Distric[ Pro osed Use Lot Area s ft Fwnta e(ft� �� 1.5 Building Setbacks(feet) � � Front Yard Side Yard Rear Yard Required Provided Required Provided Required Provided 1.6 Water and Sewer Municipal�� 1.7 Flood Zone [nformation 1.8 Conservation Commission Priva[e ❑ On site disposal❑ Flood Zone: N/A f/� DEP Number 40- N/A� 1.9 Old &Historic Commission L10 Site Plan Review 1.11 ZBA Special Permit . � COA number N/A� Date filed N/A Date filed � N/A B' ���..+�:r �� ,�� .� � �. ;� .. x - �r ��SE F� 01��2. OO R � �ERS ', S" � Y �"3 � '< �� e� �u.��. �.- sr�y,.u.4�� .���� ,..�� ...:t§�e�.��� �i3k.._.�°� a ; . a:�r� i}r�����x. ��'.�:ic; 21 O nerofRecord '� - � � �l�,�`� e�.ai� : � u n�,.��A Ule�i,�.�,C �Y �i�,�vlrJ �' " ��, Name(Prin[) ���— Address for Se ice � II/�' � �/yn ; �W^/ n ti �foin%�.� 97� S 78"�(i 101� ' ' $igna[ureofOwner ��"�— Telephone .`��� �,-„- '��,�T. T�i'`4Pn.�k a„ °��"i s' 'At. a g ..� °SEC �O��T`�'3� .D� �+�'�.�'O�'i PROP a SED , � ei4 I�. at$gP�).V� '� �:�h� ,�ue I �� s�1 �: �� � New Constraction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) �', Alteration(s) A�ddition ❑ Demolition Accessory Bldg. ❑ Number of Units -Other ❑ Specify: - Descri tion ofPro osed Work; /G����/G � �r -C ' 2Ch Z� (' c !'/[/S� � GJQ-�'� t'-��i.-i SG� Gl-: '� � Zn�i7 �^L-r'�U/[ �£ r�a'� �/L�0� lZ.� �L.YJyt' L1 C7 ��,r� - �. ,.�",.+g�€�'t� �W. g'r.*#�'g�`c�`�.'.� ��t°�i;i `�' �ss.'4S�'*" ,�. . . � EC1��Q�'�° S'GI�A�EDLO, : �� IO�tG�05�I'S`,'��I'TA:D NG�ER,`;I P,E ' ' � � ,M � ,:� �.'�r'���.`.,'"� `:w,�..�r.�'��--�sA H7 '��,x�' . . .. , �� k�.�w _ . F�a`- �. Estimated Costs ` ' ` ' � �� � Item � " This Secf�on Foc Official IIse Onlv ' � �' (labor and materials - n,� �k ; LBuilding $ � � � ' � ' �`. ``r-� ,roz'w kBuddmg:$10/$1000 : 2. Electrical $ � �� � � � Bmldmg+Plumbmg'_$12/$1000 t Buildmg�Electracal:$13/$IOOQ = Bu�ld�ng�Elecmcal+Plumbmg;combi ed�;$15/$1000� + 3. Plumbing $ , =, Y. 6� � h �"d 4. Mechanical (HVAC) $ Total project cost(I'abor and matenals)$ y` {� F`?. �„�.:,.,. 5. Fire Suppressio� $ Fee multiplier from above�$ .%$100Q 6. Total Project Cost $ ' Permit Fee$ Receipt�Number J�' O J .� x �G;� �-o �3 �,��,,,�— ,. L _ _ _ _ . , r-- 1 �. ,� ,p2-N y � ,7 i.w.-'an,�+ro�tibl� I�'�ar'r iyy'f n'u'iA"���"ve�.�42 + w� '4 i� >� � ��° 'h �[lT k„° kc 8 r � .�: l SE,,G�7'lON 5 �°iC,ONSsCRUC� Oly`SE'1,2V,r(�;ES;'�����+�'��'� '�°��.� � �" � 1����� � �` �q �Ga 7$t�'it€�_d.tr.'.s�i wtzn,Y =.e�4.�3er�'3'��..���.;i.sxA�`�s'4'3v :�ic'r's�xt�'i.�'x..��'+�.k..+avw.. . � � iw .. .anx� tk . .°+�.`r�",r .�m t, x1�.:...� 51 C struction Su ervisor License(CSL) � �/ . ����.�������y-� License �,[� Expiration Date "�/ Name of;�L � I � ��.��.T e :-�, . i��.- r Descri tip��, i�'l - W�- ^ !Wt /'J U Unrestricted(u ro 35,000 Cu.�t Addre �� R Restric[ed 1&2 Famil Dwellin n���� M Mason OnI Signatur,c� RC Residen[ialRoofingCoverin � �7 -gq-53a6 WS ResidentialWindowandSidin SF Residen[ial Solid Cuel Buming A liance Telephone D Residen[ial Demoli[ion SZ Home Ig�provement Contractgr Registration (HIC) ��l^�/� ��� r� �� Regis[ration_�(�/ puation Date ' HIC Company I� e or HIC Registran[N�me � � s /Z 9 .�� i�I��S�A.� � S �,- �.,-- . Address ';%s '/ ��L'^�I� . . `• • , � Signature �� - G3 J Sf'- 2/c��G 2v� Telephone a�s; s- �Fw. Sa x,elG�f c�"R. '� i "0Ei^ s s��' �y�' 5 C` �Q����^�`s t a R� .t � 'i�T�D U� �; � ;���Iu ' T�(��I3�'^3 . � `�t - ys , k �,�,k ��".,. ��:: �a. ' .Du:Gr �P • t+�u�, � � a ' �, - Worker's Compensation Insurance affidavit must be completed and submitted wi[h this application. . Failure to provide an insurance affidavit may result in the denial of a building permit. Signed afGdavi[a[[ached? Yes� No ❑ - S�E�'I�IOO °�� OO N�}A��'iZ��7'� OO�"lY�PO ��P�iE f ?'k �� ,;-�GFv � a � « ;a� & s e! ea� #� a � �Tt„�OR, ,��, s �''IE ,.00 � %I��� (�¢ ��'.. �:, + �zi r���" ��'' s?.c »s�,.,Au a� �' .�'€ �, � igy�n� � �(�y � ,as Owner of the subject property,hereby authorize �� i� � � to act on my behalf in all matters relevan[to work . au[horized by this,building penn' applicatio . � � ,�-- .. `�� 3� z�.3 Si nature of r Da[e . � -��:�ri7: .�'4 x �`ek��n�" 7 A�'�'F�i'. , exr� r�.? ._ ' '`a'�'�" � i�.��`�£�Js,'�,�` ,r, -� ' � �.� Q�i°�TL�Q$��`����: �, �" i1''� �i r "�� Q��`,�'�, a. �� s � a5v5." � _° � .�^lu.,. . 5� ,a.,....+�`'�aa �€Z m3��'# '*� 'a.._,. 1,...—is s�#+�,�� .�z ,8� �. I, ��/J /' � ���� Mv r �el/1 , as Owner or Authorized Agent,hereby declare that the statements and i for i on the fo gomg application are true and accurate, to the best of my knowledge and belief. �lcj .�-� Zo�"2 Signa[ure of Owner or Authorized Age� igned under the pains and penaities of perjury) Da[�' � � ""•tY +?` f^:FX�« � ,1T r ax "'�i � ha. ! . �hYR a��, s,�. ' ,;OM.A4 t��x,{�Ra2a :S� ' n1, ,. �� EC IOON 8"`�M"�''�s,'DE�S> I�SPOS�'�' �k=.�*z <" ��i�4 ���s���`��': � � ' ` �,�'a�s.�c�..,z�TM^, �� m.a�s, rc�.,. . .�., . x .�,�. . �..�. •i.�'.i, ��� e� ��de ��� ��.a All dumpsters of six(6) cubic yards or more are required to have a permit from the Marblehead Fire departmen[: call 781-639-3428. In accordance with the provisions of 780 CMR ll 1.5,5111.5 and MGL c40,§54 a condition of issuance of this building permit is that debris resulting from any work performed shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL elll,§ 150a.) � / DEBRIS DISPOSAL LOCATION �(_� /'� �� ��i � SIGNATURE OF APPLICANT �� �;> s .v� x ,�� ..'�:� �'�3 �k' �i�+�'y-fh A� .0' E ��m ��ts��Yy�2�%` �C 4 i ��K� av e�M:°n, "���i,R' ,.� ��,.,..�..,,-..<e �J's . '.E.� � ...��,Y 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 importan[information on the H[C Program and Construction Supervisor `� Licensing(CSL)ca�be found in 780 CMR Regulations 110.R6 and 1]O.RS. ` M 4 ti ssa� fp'p IYJ' &JO ]'d' 16S ' 5'-iP 6.-2'�- � -..-.6'�11'. �. 69 � . .6'-�P ..A'V �. iS"T8 -_ ..1'O .Y:l• . . , if'JJ _.. r.� . . . n u 'o' '.. :. . ."CYtl: . �x=sY'�R.'. .. __ ... _ . v..� .. . .�.e � � ^� a.� - ' � � . t " �� o � � 3 t � b . 6:' ..,�.g� . ..a �M4h:he+lA 1 = � ; .... -iS�ia�'D' ' � , 13'� 16'-0 .. . .6 110a{R 3'�� . . � ...� + . 192sqR � ' . . . G 6 . JawD , . �a:� 6�2�� .. . -rro 12-0'i18n � . � I i 2f6a9R , a 6 ,i ��1g � .r-r�—i��-im �'��$ _. JY .� V � 3d � . ':2 . _ � .q - . . . .... , h I I 3d' m .. . 6 iAl . 89M- � � m ��. IPtIO—��d � -0x¢' �-0B� 6 �'-0'x6'-0 � MBQIa �. 'q .[.i8'-0':el0'-0' � �^ 1� b � �e �..... I,�� ctaua "�_cmee d N� �� a x" " � ieo rt �� -0' 49 '-0' 4-0' � 59 � ix�o—�'� ,itfisV(P � f8s4R Y65qRS .. ,.� ro . s.sahe ,��e:�n ' - '"�� .. . . • . .3'A��..a1a�3F�1' ' � w.. -" "'� am�ao�-��-6 11'-0'aW'9 so . ."'^'""' .0 . �Iy� S . dAWR. .' vd—� • � . _� � � b " ... ._. . _ ' f � y,..: �....v. � . .. -��� f4•• �Sd '� . n 3 . . - 0 20.�F$T` '{ ��_ lauv0�' i - TV k v � (�y� BBywm � � ••42�0'�rtJ-0' :,12'-0' H'-0' ' .. , PO'x16-0 . v �. ..' .t56sqA d e .'f36i9-@. .. � ^ . �°WwrY':., ., y �.q. - i o.. . . . . -. 9'-0'x.f0'-0 b N;� t00sqft • , ` � .. � ' I'� °q � ` 4 . 90 .R. - 2 �.-0.a,�. . ..� \ . . _ n... . �,. .,< ... b o ,p� d , . F w.l y .. ..,.�.�, � -. i I'.f0' iP�1' '.. �9Y . . .ni'��P . -3'J' .. _ .. S+S - _8'O .. /-S -di4' �+zr y_.. . ._.. ._ . +za rn as �mr ao '. ' " �•�, � __— __ __ __. —_ .-- ' r _ _ .. Q � No.77 FNRVIEW ROAD No.9 FNRVIEYV ROAD . � WF � JAMES E.8 ELEANOR MARY CONNOLLV THOMAS P.&JOAN M.O'HARE m � a � SO.OP 58, � � M 3 - FOUNDA710N LOT 25 , 5,250+/SF N � � ' ON {i � I BH ' No.18 NAPLES ROAD No.14 No.10 NAPLES ROAD WF 17/25TORVDWELLING .. N/F - ELINORM.CONNOLLV N y'� JOANNEQ7WOMEY . � � � � � Z 8.8' ' � 5 PORCH �. W _ 2,.9' 90° �,�V1lrMih:pF� , l, �. y iso.aa so.00� � cP . I.P.POUND C� "7 9��4�°� -y NAPLES ROAD � o � ��8F88ioN���; , �vueucaa�non+) ,. vRV��: CERTIFICATION REFERENCES � I CERTIFY THAT THIS PIAN WAS MADE FROM AN INSTRUMENT DEED:BOOK 4884;PAGE 321 PLAN OF LAND MASSACHUSETTS - SURVEY ON THE GROUND BETWEEN THE DATES OF JULY 9 Pu+N:NAPLES ROAD LAYOUT SURVEY � � AND JULY 18,20t3 AND ALL STRUCTURES ARE LOCATED AS oATEo,9„ �� 14 NAPL ES ROAD �� �, � � SHOWN HEREON. PLAN:BOOK:20;PLAN 4 ' CONSULTANTS .��`-�F SALEM, MA ���Q�-1 1 HEREBY CERTIFY THAT THIS PLAN WAS PREPARED IN � � " �L��Y1� �' CONFORMITY WITH THE RULES AND REGULATIONS OF THE i ���� REGISTERS OF DEEDS OF THE COMMONWEALTH OF 10 FIRST AVE SUITE 24 y .F MASSACHUSETTS. ' PEABODY, MA 01960 � (617)899-0703 THOMAS BERNARDI P.L.S DATE: PREPARED FOR: WWW.M8SS8ChUS2ffSSUNBy.COR1 ti SCALE: 1 INCH=20 FEET MURLEY CONTRACTING �� �� ' �Z3 /� o o m � DATE: JULY23, 2013 JOB #14 NAPLES.DWG