14 CELESTIAL WAY - BUILDING JACKET The Commonwealth of Massachusetts RECEIVED CITY OF
Board of Building Regulations and Stand ar ECTIONAL SER ICESSALEM
Massachusetts State Building Code, 780 C
Revised Mar 2011
Building Permit Application To Construct, Repair, Renov VAWrr�"'A . I'l
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date Apr ' d:
x N
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Pro ert Address: 1.2 Assessors Map & Parcel Numbers
/ J P 5tl
I.1a 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: (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[]
SECTION 2: PROPERTY OWNERSHIP[
2.1 Owner[ I Reco�(d: I
.� 2P T7T�r, 101et cSakfv\ AA 0/9 20
Name(Pant City,State,ZIP /
9 e,les4 ►L) 70d37S- I I+rA 00, Cow
No.and Street Telephone Email AJ8ress
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building Owner-Occupied 0!(1 Repairs(s) [y Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work': ln)
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
Labor and Materials) -
1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2. Electrical $ ❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: S i^
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $Su ression Total All Fees: $
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ e(�tj Q ❑Paid in Full ❑ Outstanding Balance Due:
6 O?n 1( ��
SECTION 5: CONSTRUCTION SERVICES
5.1 onstructi Supe isor License CSL) /?/
r (�j `07Z1�� l
/V r G Z :7 e License Number Ex rati n Date
Name of CSL Holder
List CSL Type(see below)
No. and Street /) /// / ���JJf / Type Description
/ �� J �-/ U Unrestricted(Buildings Family
u el ing ca.ft.)
City/Town, late,ZIP O/�' UUU((( Restricted I&2 Famil Dwelling
//� M Masonry
RC Roofing Covering
7`' i/ WS Window and Siding
/ SF Solid Fuel Burning Appliances
7F[ FIZI ��J I Insulation
Telephone ' Email address D Demolition // `5.2 Registered ne Improvlte rnt Contractor(HIC) l' S_o71/I 3
Q °fi HIC Registration Number x 'ration Date
HIC Company a or R4trapit N e
No. and Styey C n �/. / Email address
�
Cit /Town, State,ZIP /✓( Telephone l
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 Issuanc the building permit.
Signed Affidavit Attached? Yes .......... rf No........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property,hereby authorize
to act on my behalf, in all matters relative to work authorized by this buildio permit application.
Toseek `/"-e/t it
Print Owner's Name(Electronic Signature) IMe,
SECTION 7b: OWNEW 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.
�oS PO L. !aIQJ
Print Owner" or Authorized Agent's Name(Electronic 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.masu ov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dos
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"
-pjA"j1A"ST-"Ef jE94ND OPPROVEO BY T44E
ASPZC=PRIOR TD A.PERT ff AEING GRANTED
CITY OF SALEM
No.
Date l d 11
Is Property Located to Location of
ate Hiskade oWnct? yak--No ftuAiog
Is Property Located In
I*CorwrvaYpn Ana? Yew No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Dark, Shed, Pool,
RepaidReplaoa. Other: R lar,. SUa.ls
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS W PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name �c3Se�I. L. —Sc,
Address & Phone 1� Cde S+iA I W R J (921 7y�/a37J
Architect's Name
Address & Phone L
Mechanics Name
Address & Phone
what Is tfw purpoee ol t>vifdrrg? A401.C.t,
mdWW of b AWN? 0 a dmov,for how many farnil"?
wm building cmdorm to law? S Mbastos? / 0
EatbWed cod 3 is O 0 , 0 City Liowrse r � P6
^� Howe Iapzo+eaeat
C� ! D� Lie. i
ignature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
a s
MAIL PERMIT TO: � OT ��D� rJ �f Ja�2la t
S
No.
APPLICATION FOR
PERMST TO
LOCATION
PERMIT GRANTED a
AP 'OLD
INSPECTOR tF BUILDINGS
E_ e
OEs$ &
74520 400/oP4
American Properties Team, Inc.
s
TO: Mr. Tabet, 14 Celestial Way
FROM: Jill Fama, Property Manag
RE: Replacement Sliders— San tuary Condominiums
DATE: August 22, 2005
I am pleased to advised, that the Board of Trustees for the Sanctuary Condominiums,
approved your request to replace your sliders, providing that they match in appearance
from the existing, they must slide and not open like a French Door, and can fit in the
existing opening. They will not allow grids etc.
We also require the permits be pulled in advance, and that a copy of the final approved
permit once completed is also submitted to our office. We also require that you hire only
a licensed contractor, with adequate insurance.
You will most likely need to show a copy of this letter to the Building Department.
Should you have any questions or require additional information, please feel free to call
me directly at(781)932-9229.
500 WEST CUMMINGS PARK • SUITE 6050 • WOBURN • MA • 01801 • 781-935-4200 • FAX 781-935-4289