1 CHERRY HILL AVENUE - BUILDING JACKET cK. (ac
The Commonwealth of Massachusetts
' Board of Building Regulations and Stand gEIVED I ` CITY OF
Massachusetts State Building Code)'IRHMONAL SERVICE.,-. SALEM
Revised Mar 2011
0 Building Permit Application To Construct, Repair,Renovate Or Demo is "
(1 One-or Two-Family DwelliMb APR 28 AL
This Section For Official Use Only
Building Permit Number: Date App '
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
/ //%kf I/C
I I.Ia Is this an accepted street?yes k--� no Map Number Parcel Number
1— 1.3 Zoning Information: 1.4 Property Dimensions:
1111 Zoning District Proposed Use Lot Area(sq to Frontage(to
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:
Zone: _ Outside Flood Zone?
Public rlt" Private❑ Check if yes57/ Municipal Von site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1. Owner of Record:
nnc6rs, �/- i/otc.s
Name(Print) City,State,ZIP
3 3 C',G-rf7L:/< <V �- !Ol % ,.SDR .�lol
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction ❑ Existing Building Owner-Occupied ❑ 1 Repairs(s) e Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_/ I Other ❑ Specify:
Brief Description of ProposedWork2: C'G E fJ
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y,4.r,
SECTION 4:ESTIMATED CONSTRUCTION'COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ O O, u a 1. Building Permit Fee: $ Indicate how feeds determined:
2.Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other:Fees:,$
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ -
Suppression) Total All Fees: $
Check No. Check Amount: '' Cash Amount:
6.Total Project Cost: $ ' Cy71 ❑Paid in Full ❑ Outstanding Balance Due:`
MAtt...EDTb MCC. 5j2.
SECTION 5:"CONSTRUCTION SERVICES'
5.1 Construction Supervisor License(CSL)
429���j f?/f /�/�f� License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) (/
No.and Street ;Type" Aescription i
U, Unrestricted2 Frm(Buildings u el ing cu.ft.
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Coverin
WS Window and Siding
{� SF Solid Fuel Burning Appliances
1 Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
/--I?A&7Y1 HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name f R
No.and Street Email address
is�A/Y y19/�i til d. 8U 4(s4
Ci /Town, 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
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7bt OWNER' 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.
Print wner's or Authorized Agent's Name(Electronic Signature) Date
NOTES: r
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.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps ,
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"maybe substituted for"Total Project Cost"
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CITY OF SALEM, MASSACHUSETTS
BUILDING DEPARTMENT
120 WASHINGTON STREET,3" FLOOR
TEL. (978)745-9595
FAX(978) 740-9846
KIMBERLEY DRISCOLL
MAYOR THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
March 16,2016
Dockside Properties LLC.
Darlene McCarthy-Manager
33 Sleeper Street unit 106
Boston Ma. 02210
Re:Required Inspection 1 Cherry Hill Ave
Dear Owners,
This Department has received information that significant renovations have been done at this property. A check
of City records shows that no permits have been pulled for any work . Per the authority of the Mass State
Building Code 780 CMR a"Required Inspection"is necessary . This Inspection is scheduled for Weds.March
23'at 10:00. If you have any questions,contact me directly. Failure to address this issue will result in
Municipal code Tickets and further enforcement actions
SM,71y,
�9 4'1't`
Thomas St.Pierre
Building Commissioner/Zoning Officer
CITY OF SALEM
BUILDING DEPARTMENT
120 Washington Street, 3r° Floor, Salem, MA 01970
ABANDONED AND FORGLOSED PROPERTIES REGISTRATION FORM
PROPERTY INFORMATION
Address: 1 CHERRY HILL AVE Parcel ID # 14-0221-0
Square Footage of Building: unknown Number of Stories: 1
Sprinkler System: Yes_No_(Operational yes/no) unknown
Pipe System: Yes_ No (Operational yes/no) unknown
Fire Detection System: Yes _No_(Operational yes/no) unknown
OWNER(S)-OF RECORD (*attach additional sheets if necessary)
Owner: Mortgagor c/o US Bank Home Mortgage
Address: 800 Moreland Street; Owensboro, KY 42301
Tel. No.: 855-698-7627 E-mail: patrick.bradfield@usbank.com
CONTACT PERSON/REGISTERED PROPERTY MANAGER (no management authority)
Name: Bob Somers
Primary Address (No P.O. Box) 606 Pleasant St., Leominster, MA 01453
Business Tel. #: 978-512-0012 Non-Business Tel. #: n/a
E-Mail Address: peggyk@fiveonline.com
Emergency Telephone# - 24hriday 586-772-7611
IS THE PROPERTY LISTED FOR SALE? Yes No x
If yes, Real Estate Agency n+a
Address: n/a Tel. No. n/a
VACANT BUILDING PLAN: Please check which applies.
1. —The building is to be demolished.
2. —The building is to remain vacant.
3. x The building is to be returned to ap opri a Occup cy or use.
SIGNATURE OF OWNER(S)/OWNERS AGE --vacant Registration Specialist
DATE: (o al of US Bank Home Mortgage)
REGISTRATION FEE $300 check Cash/Money Order/Cert. Bank Check
Send registration bills &inquiries to:
Five Brothers Default Management Solutions
Attn: Vacant Registration Dept.
12220 E 13 Mile Rd, Suite 100
Warren, MI 48093
FIVE BROTHERS MORTGAGE COMPANY 648954
SERVICES AND SECURING, INC.
Date Invoice Number Comment Amount DiscountAmoun Net Amount
7/21/2015 2717139 LMM-6800038166 300.00 0.00 300.00
Check: 648954 7/21/2015 0004600 CITY OF SALEM Check Total: 300.00
THE FACE OF THIS DOCUIVIENT HAS A UULTI-COLORED BACKGROUND ON-WHITE PAPER
fIYeUTOtI1CI'S" EasFIFTH
MTHIRD�Dowt 648954
-fNE BROTHERS MORTGAGE COMPANY - �4�'
724 CHECK NO.
SERVICES AND SECURING,INC. C CA I
12220 EAST 13-MILE ROAD,SUITE 100,WARREN,MI 48093 -. _ 648954 1
*THREE 'HUNDR€D AND XX/ 100'
DATE AMOUNT
i$ 7/21!2015 ************300.00ii PAY '
TO HE CITY OF SALEM - VOID AFTER 90 DAYS
ORDER
OF i
I F
.. ,q "�e nrc.�e' ' . ,q. AMIORIZED 310NANRE
ISI SECURITY FEATURES INCLUDED.DETAILS ON BACK. .4
0004600 u'61,8951,1I' 40 7 240 545 51: 791586317411'