4D STILLWELL DR - BUILDING INSPECTION I`Q
The Commonwealth of Massachusetts
Department of
uiPublic Safety
Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two Family Dwelling
(This Section For Official Use Only)
Building Permit Number: Date Applied: Building Official:
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
Sfi 1 I Lvel 1 Dri VA—f cd-eM1., M_r/_L/LT7_0 -No.and Street City/Town Zip Code , Name of Building(if applicable)
SECTION 2:PROPOSED WORK
Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below
Exist ng Building❑ Repair❑ Alterafion Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use 1 Change of Occupancy ❑ Other ❑ Specify:____ ------
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑
Is an Independent Structural Engineering Peer Review required? Yes ❑ No ❑
Brief Description of Proposed Work: /n 5 'f 0. lL 2 i �t-�` �6� /�-�t-v( li r✓F�/ ✓�n y
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA.
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-1❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional 1-1❑ 1-2❑ I-3❑ I-4❑ M: Mercantile❑ 1 R: Residential R-10 R-2❑ R-3❑ R4❑
S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Spr,cial.Use:__ _
SECTION 6:.CONSTRUCTION TYPE(Check as applicable)
IA IB ❑. IIA ❑ IIB ❑ IIIA ❑ II16 ❑ I IV VA VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑
required❑or trench or specify:
Private❑ or indentify Zone: or on site system❑ permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed ❑ Yes❑ or No❑ Yes❑ No ❑
SECTION 8:CONTENT Op CERTIFICATE OP OCCUPANCY
Edition of Code: _Use Group(s): Type of Construction:____ Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
.Q✓iV1tU_CUl1(G qD 61970
Name(Print)' No.and Street City/Town- Zip
Property Owner Contact Information:
()Uj^-LA q-ff -7VO_ 8Sa
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
r.hr SZo✓y� I l i A/o✓rt�S I e", 4D/� 70
Nan�ie Street Address City/Town State Zip
to act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) J/
If buildingis less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here®a`lii skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Company Name
_( k ; S �� f2�1-3-3 G.S
Name of Person Respoonsibl for Construction 1 License No. and Type if Applicabbllee�
O✓� J'C-- l�iM Mil- - - q 70
Street Address City/Town State Zip
Telephone No. business Telephone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION 1NSURANCIi AFFIDAVIT(M.G.L.c.152.§ 25C(6)) _
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? _ Yes❑ No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$
1.Building $ !O 9 ,-
Building Permit Fee-Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)_$
3.Plumbing $ unici a
4.Mechanical (HVAC) $ Note.Minhnutn fee _$_ _(uattaci m p-ii ty)
5.Mechanical Other $ Enclose check payable to
6.Total Cost $ y (p (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below;I-hereby attest under the par.ns and penalties of perjury that all of the information contained in this
application is true and accurate to the Tt of my kno edge and understanding.
C(r -r S 7 -4 �l�✓e
- --- - --- -- -
Please
9 print and sign nam- 'title 'telephone No. Date
Streit Address ..., .City/Town -..> 7t-
�_ __ ......,. ... ..m� ...
_ 3
Municipal Inspector to fill out this section upon application approval A/: _—_ ._
une Date
yJ , + AG E
A^ mow i `A & A SERVICES, INC.
A&A SERVICES 115 NORTH STREET,SALEM,MA 01970
• Telephone:(978)741-0424 Fax:(978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No.CS057733
WINDOWS AND STORM PRODUCT SPECIFICATION SHEET
Buyers)Name Date of Contract
c%'OKItoAs I (_x1HAnJ l 1 -8—Iz
Buyer(s)Street Address,City,State and Zip Code -
N D STILLIAIeLJ.-_ eR, 5ALOW MA 6IR70
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
q76—H3v-82S-s--
The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on -
this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification
Sheet is a part.
WINDOW REPLACEMENT
4 Remove and dispose of# 1 1-,,existing win ows.
It Install # new [Tr't7'=c/ J�-I C>�((�.ty� windows:(TVinyl 4Wood
(Manuf Curer)
Options: Style 1)4 Grid pattern 1
Color Interior iAJ"I—M- Color Exterior Wf4 i nc Glass Type D"f'LJ;i F�H�r)U L-:1A1"C
rap exterior trim with aluminum: Style Color •-rr�-yOn)CS
} All windows will be installed according to the installation procedures in the portfolio.
Ir Caulk all interior and exterior edges.
Ir Insulate where possible around new units.
Insulate window weight pockets if exist,and around new window units where possible.
tt Included in this proposal are set up,clean up,Heps vacuum and cleaning windows inside and out.
IrBuilding permit included.
BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS -�
t Create new window opening by cutting through existing home and framing in opening.
a
i Remove and dispose of existing units)in its entirety.
Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with.
f Install windows)into.opening(s).
Note: If Bay or Bow installation to include cable support system,new roof system(matching color as close as possible)
or tie into existing soffit system.
t Bay t Bow t Casement 4 Other windows)to include new interior style trim and new exterior style trim and head
flashing as needed.
Note Painting ndcta'o'on,� \
Are} " !A'j, S iZpS(`t i 74TORM PRODUCTS
4 Remove and dispose of# existing storm_w/indow(s).
t Install new storm windows# Manufacturer
Style Color Option
t Remove and dispose of# existing storm door(s).
t Install new storm doors# Manufacturer
Style Color Type: t Aluminum 4 Solid Core
SPECIAL INSTRUCTIONS:
y dal, C 37-Lt New 27
bWA10C4A/ A )SIAJI S/2 aZAr�i .s'Amx�S �E�'Far-vs I�uST�9-LLind c;
It Is agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes
the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the arms.This contract may not be changed or Its
arms in edified or varied in any way unless such changes are in writing and signed by both the Buyers)and the Contractor Buyer(s)hereby acknowledge that Buyers)
has read this Specification Sheet.
Contractor Initials: y -.0 Date: Buyer's initials: DatO!\ /I ��
• , V Adults
+s ,
melw . A & A SERVICES, INC.
A&A SERVICES 115 NORTH STREET,SALEM,MA 01970
/ Telephone:(978)741-0424 Fax:(978)741-2012
` IwlU pff;.S 1 WTI �' I y. ontractor Registration No. 101609
Federal EIN:04-3090162 - Construction Supervisor No.GS057733
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyer(s)Name Date of Contract
G02► Nr.1E C° r}tlANA1�1 fl- 8-lam
Buyers)Street Address,City,State and Zip Code
yn DR-, S'AULVO MA 01G70
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address:
e►78-740•-985Z `t7€3�'f3�-o�S� 'G-cF)t,�d41-N}N�cvwnc:45T.
The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance with
the prices and terms described an the front apd the reverse of this agreement and any specification sheets(this"Agreement'),and Buyers)have requested that such
goods or services be installed or provided at Buyer's address listed above,A&A Services,Inc.(°Contractof),hereby agrees to install or cause to be installed fire products
or services listed In this Agreement at the auyeds)address written above. This Agreement represents a cash sale of goods and services. The Buyers)agree to pay in
cash the cast of the goads and services purchased as described herein,regardless of liming or approval of any financing Buyers)may seek for their purchase.
Purchase Pdc + Est.Starting Date:
C
Down Paymen I ���+ Est.Completion Date:
-' ❑Cash VISA
Amount Due on Stan of Job: U Check
,ICretlit Card Amount due on of Completion: No.�st�-630000)133ZP>
Amount Due on of Completion: Expiration Datte::�t (97-1
Balance Due on Upon Completio �7 CVC Code: ^!3 g
It is agreed and understood by and between the parties that this Agreement,front and back and any addendum,constitute the entire
understanding between the parties,and there are no verbal understandings changing or modifying any of the terms of this Agreement.
Buyer(s)hereby acknowledge that Buyers)has read the front and the reverse of this Agreement and has received a completed,signed
and dated copy of this Agreement,Including the two attached Notice of Cancellation forms,on the dale first written above. Buyers)also
(i)acknowledge that they were orally informed of their right to cancel this transaction;and(11)request that they be contacted via their
telephone numbers or a-mail, as listed above, in the event Contractor believes Buyer(s)would be interested in any additional silty
products or services of Contractor. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES.
A&A Services,Inc Buys ) -
By: �G �---�/L /
Liu
Signature k� 6' ` ,Slgnature�'j a yt t
Print Name KPrint Name. yC lJrt�-
Signature
Print Name
You,the Buyer(s),may cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. See the following Notice of Cancellation form for an explanation of this right.
ARBITRATION:Thew antl Pe homecomer M1ereby mutually agre6ln eoYance tM1al In Neevent ellM1er path M1az eEispute conreming Nis mneetl,eilM1ar path may submit aucM1 tlispme tp j
a ptWere arbitration call which has been approved by the Secretary of the 6eWive Mice of Consumm AXelre and B Ineyg Regygellona an011te olM1ar parry sM1all raluir�to wbmit 10
such mblrration as proved in M.G.L.c.112A. �j�y�q.a x f✓`�
Contractor initials— Y—,, l auyer'f Inls.�t�1r /
nett'. 1/�J(—/7r 7-- Oa¢:�
NOTCE OF CANCELLATON LI` y/ �INOTICE OF CANCEATON
Oats of Ttansaztbn����Voo may cancel this transaction,withom any penaly or Date of Trarsaztbn(( 119�You may cancel this transaation,without any penalty or
obligation,within three business tlays tram Me above date.Ilypucancatenyproperstradedln, obligmion,withln Nreebusinessdaysfrom the alwvedate.Ifyoucancel,enypmpeMtratledin,
arty payments made by you under Me Contract or Sale,antl any negotiable Instrument executed any payments made by you under the Caned or Sale,and any negotiable Instrument executed
by you will be returned within 10 days following receipt by the Sailer of your cancel harder by you will M rermand with 10 days Arno ing remlpt by the Seller of your rsncellaton notice,
and any security interest arising out of the transaction will be cancelled If you cancel,you must and any security Interest arising out of the transution will Ice caraalled. If you cancel,you must
make eveilable to Me seller dapur residence,In sddyAtlaly as good install as when received, make available to Me Seller at your residerure,in wficie fly,as good condition ad when received.
any goods delivered to you under Nis Contract or Sale i or you may,ff you wish,mmpty with may any .its delivered to you under this Contract or Sale;or you may,if you wish,comply with the
instructions of the Seller regarding the Mum shipment of the gootls at the Sellars expense al instructions of Me Seller regarding Me return shipment of the goods at the Sellers expense and
Oak. If you do make Me goods availble to Me Seller and the Seller does not pick Nem up risk. If you do make me goods avallable to me Seller and the Seller does rot pick them up
area 20 days of the data of your Notice of Oanceratioq you may retain or dispox of Me goods within 20 days of the data of your Notice of Cancellation,you may retain or dlspsm of the goods
wliMut any further obligation.it you fall b make Me goods avalable to me Seller,or it you agree without any further obligation.Ilyou fall to makethe goods available b the Sit or Ryou agree
to return the goods to the Seller and fail to do as Men you remain liable for performance of all to return My goods W the Seller and fall b do so,than you remain liable fair pertorm cam of all
obligations under Me Conrad.To cancel this transaction.mail or deliver a signed and dated copy oblleations under Me contact.To cannot min transaction,mat or deliver a signed and all copy
of Na can a lation notice or any other written dome,or send a telegram,to A&A Ser does.115 or the as papal notice or any Divan wrihen notice,AT or send a telegram,to ABA Services,115
North Street,Salem.Massachusetts 01970,NOT LATER THAN MmNIGHr OF Norh Samor,seem,MascechusMd 01970,NOT LER THAN MIDNIGHT OF
(Date) (Date)
I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature Oath I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature Dare
American Properties Team, Inc.
TO: 4D Stillwell
FROM: Jennifer Pappas, Property Manager
RE: Window Replacement
DATE: February 28, 2013
It has been brought to our attention that you recently replaced the windows at your unit (41)
Stillwell Drive). Please be advised that the Board of Trustees for Pickman Park must approve
replacement windows as they must match the existing windows and fit in the existing opening.
Installation should be be completed from the interior of the unit and they must be the same in
appearance from the exterior. Should the installation be completed from the exterior of the unit,
you are responsible for any damage that your contractor might cause (this includes painting). We
also require that permits be pulled in advance (regardless of what your contractor may tell you),
and then a copy of the final approved permit once completed must be sent to APT for the unit file i
as well. Upon receipt of this letter, please provide my office with a copy of the final approved
permit.
I
You will need to bring a copy of this letter to the Salem Building Department in order to receive
your permit.
Should you have any questions or require additional information, please feel free to call your
Condominium Coordinator, Mary Ann Waldron, directly at (781)569-2626.
cc: Unit File
500 WEST CUMMINGS PARK SUITE 6050 WOBURN •MA 01801 781-932-9229 FAX 781-935-4289