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39 CIRCLE HILL ROAD - DUP - BUILDING JACKET sIfWThe Commonwealth of M ch*ft CITY OF Board of Building Regulations $ Massachusetts State Building Conde, 780 CMR ERVtCFS RevisedSA EMar 1011 Building Permit Application To Construct, R41ArHRnb�atqVryew�tpplish a One- or Two-Family Dwelling 34 This Section For Official Use Only �y Building Permit Number: Date,App el Building Official(Print Name) Signature Date - SECTION 1:SITE INFORMATION • ��LLL��--- 1.1 Property Address:<31 1.2 Assessors Map&Parcel Numbers ) Lla 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(R) 1.5 Building Setbacks(it) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 WateF Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: blic Private❑ Zone: _ Outside Flood T�ene't =ci al Check if yes n site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owneri of Record• Ala-, �4vls ��r r°lA 01160 Name(Print) City,State,ZIP U l ldlz" T�\i11 Fk No.and Street Telephone Email Address SEC ION 3:DESCRIPTION OF PROPOSED WORKZ(check all that apply) New Constmctio_r. ' g Building ❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ 1 Addition ❑ 'Semolition 6J ])Accessory Bldg. ❑ Number of Units_ Other ❑ Specify:_ _ Brief Description.of Proposed Work :_ — V SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building 1. Building Permit Fee: $311 S Indicate how fee is determined: 2.Electrical g ❑Standard City/Town Application Fee ❑Total Project Cost'(item 6)x multiplier _x 3.Plumbing $ 2. Other Fees: S 4.Mechanical (HVAC) S List: _ 5.Mechanical (Fire Suppression) $ Total All Fees: $_ Check No. Check Amount: Cash Amount: _::::::,] 6.Total Project Cost: $ 4StrJ® � 11 Paid in Full_ 0 Outstanding Balance Due_ SECTION 5: CONSTRUCTION SERVICES 5.1 Con truction Supervisor License(CSL) � �(�1-- License Number Expiration Date Name of CSL o d r �( + List CSL Type(see below) No.and Sgeet ®RC Description t,^ Unrestricted(Buildings u to 35,000 cu. ft. I-` Restricted l&2 FamilyDwelling City/Town State,ZIP Masonry Rooftn CoverinWindow and SidinSolid Fuel Burning Appliances C4 vie I Insulation Telephone Email address D Demolition 5.2 Registered,^Ho\p�\e Im�prQjveme`nt Contractor(HIC) I llpma t (� I'1 rYh XttiS f l(Y HIC Registration Number Expiration Date HIC C?npawQl j�tne or HI Registrant Name o.an Street \�I'1h Email address COS Y1,Jk 1'a25- `ill City/Tfiwh, State,ZIP Tele hone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.g 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 belAf, in all matters relative to work authorized by t is buirAing permit application. Print O er's Name(Electronic Signature) Date 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. �C 9 &ra g9 6, L — 1S Date Print Own s or Authorized Agent's Name(Electronic Signature) 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.mass. ovg /oca Information on the Construction Supervisor License can be found at www.mass.eov/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 halfibaths 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" y �DNDIr� CITY OF SALEM, MASSACHUSET'TS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RD FLOOR f SALEM, MASSACHUSETTS 01970 P TELEPHONE: 978-745-9595 1. FAX: 978-740-9846 KIMBERLEY DRISCOLL MAYOR Section 116.0 C MA��;i�,karo DEMOLITION OF STRUCTURES Structures over fifty(50) years old must have approval of the Salem Historic Society UTILITY DISCONNECTIONS REQUIRED Authorized Agent Date of Disconnection Water (see attached requirements) •�/ � Electrical11o_�0 A Fire 9 Sl.2C Health '!!r/Z6 /�6 Sewer 6j(b Salem Historic Com mission 3 Dig Safe Number atx(p Pest Control: ***DOCUMENTATION OF ALL THE ABOVE MUST BE ATTACHED BEFORE PERMIT CAN BE ISSUED*** Fee for Demolition $5.00 application fee plus $2.00 per 100 square ft gross area, Minimum $25.00 Commonwealth of Massachusetts City of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 \ 11 Return card to Building Division for Certificate of Occupancy - - Permit No. B-16-195 PERMIT TO BUILD FEE PAID: $3,115.00 DATE ISSUED: 3/16/2016 This certifies that DALESSANDRO EDWARD L has permission to erect, alter, or demolish a building,__39_CIRCLE,HILL ROAD Map/Lot: 90210-0 as follows: Other Building Permit REMOVE OLD DWELLING & REPLACE'WITH NEW, SINGLE FAMILY PREFAB HOME WITH DECKS. Contractor Name: KRISTOPHER D. MEGNA — — -- - DBA: DREAMLINE MODULAR HOMES, LLC I Contractor License No: CS-105017 f I !' f 3/16/2016 Building Official j Date r / This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. i All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials-I provided on this permit. HIC#: 168593 'Persons contracting with unregistered contractors do not have access to the guaranty fund'(as set forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. Commonwealth of Massachusetts Citv of Salem 3 Q 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 X5641 Return card to Building Division for Certificate of Occupancy - 19 Structure CITY OF SALEM BUILDING PERMIT ° Excavation PERMIT TO BE POSTED IN THE WINDOW Footing INSPECTION RECORD Foundation Framing Mechanical Insulation INSPECTION: I BY i DATE Chimney/Smoke Chamber Final f I Plumbing/Gas Rough:Plumbing +f Rough:Gas i �r Final Electrical } Service 1 Rough + 111 Final 1 Fire Department Preliminary Final •-( Health Department Preliminary Final °T. Commonwealth of Massachusetts 3 bq. City of Salem Inspectional Services N42 RECEIFTJ 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595 X5641 Application For Building Permit (One- or Two- Family Dwelling) Permit No#: 13-16-195 Date Applied: 3/8/2016 j - - - 3/16/2016 Building Official(Print Name) Signature Date Issued SECTION I : SITE INFORMATION 1.1 Property Address 1.2 Assessors Map& Parcel Number 39 CIRCLE HILL ROAD 09-0210 1.3 Zoning Information 1.4 Property Dimensions R1 52000 Zoning District Proposed Use Lot Area Frontage(ft) 1.5 Buidling Setbacks(ft) Front Yard Side Yard Rear Yard Required Provided Required Provided Required Provided 15.00 0.00 10.00 0.00 30.00 0.00 1.6 Water Supply: 1.7 Flood Zone: Outside Flood 1.8 Sewage Disposal System Zone? Check if Public Zone: yes_ Municipal SECTION 2: PROPERTY OWNERSHIP Owner of Record DALESSANDRO EDWARD L 39 CIRCLE HILL RD SALEM MA 01970 Name Address (781) 718-0594 Phone Email SECTION 3: DESCRIPTION OF PROPOSED WORK Permit For: Other Building Permit Brief Description of Proposed Work: REMOVE OLD DWELLING &REPLACE WITH NEW SINGLE FAMILY PREFAB HOME WITH DECKS. SECTION 4: ESTIMATED CONSTRUCTION COSTS/PERMIT FEES Total Project Cost: $445,000.00 Payment Date Amount Paid Check No Total Permit Fee: $3,115.00 3/9/2016 $3,115.00 4617 Total Permit Fee Paid: $3,115.00 rr THIS IS NOT A PERMIT Commonwealth of Massachusetts 3 City of Salem Inspectional Services RECEIPT 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595 x5641 Building Type: Single Family Existing Proposed No. of Floors/Stories(include basement levels 8 Area Per Floor(sq.ft.) 0 0 Total Area(sq.ft.)and Total Height(ft.) 0.00 0.00 0.00 0.00 SECTION 5: CONSTRUCTION SERVICES 5.12 Registered Home Improved Contractor(HIC) KRISTOPHER D. MEGNA 400 WALTHAM ST, SUITE 2 License Number: 168593 Name Address (781) 325-4781 LEXINGTON , MA 02421 License Type: HIC Phone City/State/Zip Email dougcarlson@dreamlinemodular.com License Expiration: 3/8/2017 SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT 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 On File? True 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 KRISTOPHER D. MEGNA to act on my behalf, in all matters relative to work authorized by this building permit application. DALESSANDRO EDWARD L 3/8/2016 Print Owner's Name(Electronic Signature) Date Submitted SECTION 7b: 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. DALESSANDRO EDWARD L 3/8/2016 Print Owner's Or Authorized Agent's Name(Electronic Signature) Date Submitted NOTES: 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 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 When substantial work is planned, provide the information below: � THIS IS NOT A PERMIT- � Commonwealth of Massachusetts I Lv�mjll City of Salem Inspectional Services RECEIPT 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595 X5641 Total Area (sq.ft.) 0.00 Type of Heating System Number of half/baths Gross Living Area (sq. ft.) 0.00 Type of Cooling System Number of decks/porches Number of Fireplaces Room Count Enclosed/Open Number of Bathrooms 0.0 Number of Bedrooms 0 THIS IS NOT A PERMIT V Ir}�4 1�r • 1�• 1�' Yri. p u y � •� By TWE R P Aim JMG GRANTED h CITY OF SA .EM �.f r • ea M#Mab nMrdal? Yr4_�.1L` �� ,�/`,>rl � ,�!> 10 oaMMwegn ANd Vu _ft BUILDING PERMIT APPLICATION FOR: 1 Permit Im (Clydo whlo ~apply) Roof, Rwoote Instep Construct.DUK PLEASE FILL OUT LEGIBLY a COMPLETI LY TO AVOID DELAYS N PROONS M TO THE INSPECTOR OF BUILDINGS: The urdwWMW hw@W applies for a permit to WW aaeordirrp to the foNswirro 0~8 Name AV zwjii4v�1;54 Address a Phan. e ArOhkwft Nano Address a Phone ( 1 Mednmip Nome !� /j� ✓S _/,1Z� a Address a Phone wrrr Y e.pBpm it euedldr Mdedd d kddhgtled wMip,for taw ommoy rmdln4 wri bAding aorrorrn to Irw1 voo jmb~� r zIP17 , Souture of Appkwo SIGNED UNDER THE OF PERJURY DESCRIPTION OF WORK TO BE DONE 1 ,• v MAIL Pa Ow IT y" r. i ®� �i . '�� l Pi , . . . `. , a r. y. �ti� ;'.CyyyyC �1.. Grp !:p 8„'..; 1 ��:�� ' x A .� �;,: � .. i �*rl � '.. i � i. ,.. , � s, , .. .+�;�. �„ � . e N .� �� .. � .� � a::� . ,,�,� / G t� � ' . ' . . ? dd ,, Z �p ,:r. .4 i�` • � fit �.� 'LLF � 1{: 'L'1 l�� I+�'..', d:1' .li�f::.:. a. .. ��A�' .� ss o Ct:� I -► t - The Commonwealth of Mai Chu" �) CITY OF l Board of Building Regulations Q SALEM Massachusetts State Building Code, 780 CMMR�ER�€ Revised Mar 20(( 11 Building Permit Application To Construct, Re1VArH*�nb�tqWrYe }lish a �� One-or Two-Family Dwelling + This Section For Official Use Only 1 Building Permit Number: _ Date App ed: L 1 Building Official (Print Name) _ Signature Date f SECTION 1: SITE INFORMATION • (�� 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers I.I a Is this an accepted street'?yes_ no Map Nm2r Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: nF7` 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 a 40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:— � Public Private❑ Zone: _ Outside Flood Z�ehe'! ni Check if yes uci al n site disp osai system ❑ SECTION 2: PROPERTY OWNERSHIP' _ 2.1 Owner,of Record: COW — 1 MA Name(Print) Y City,State,ZIP No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK''(check all that apply) New Coosttucuon ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ emolitivn Accessory Bldg. ❑ Number of Units__ Other ❑ Specify:__ Brief Description of Proposed WorkZ: ___---_— SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is deteraimed: 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 $ Total All Fees: $_ zl Suppression) Cheek No. Check Amount:` Cash Amount: 6. Total Project ❑Paid in Full 0 Outstanding Balance Due: SECTION 5:,CONSTRUCTION SERVICES , i 5.1 CntuoSupervisor License(CSL)ti tr "�QK ti>70. License Number Expiration Date Nye of CSL od r List CSL Type(see below) fJ. + No.and Street Type No. t ^ „,." '_1 U Unrestricted(Buildingsam u el ing cu.ft. I`�J'C OO�'� R Restricted 1&2 Family Dwelling City/Town State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone I Email address D I Demolition 5(3�Registered Ho�t�ye Impr vq ement Contractor(HIC) 11��3 I'to(1�.\Xtn� \t11tY � HIC Registration Number Expiration Date HIC Company me or HI Registrant Name ny�� 't, �,,It \]1 �Q�j W a A/"v. S's'1 hH3w\.Iy1�. 1"`UUt1%X No.and Street Email address COVA rvk �l-�a25�'13f�1 Ci wn, State,ZIP Tele hone 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 L�: LlQP0.N1 thll 1 Ary/1C9 to act on my be f,in all matters relative to work authorized by t is bui ding permit application. Print O er's Name(Electronic Signature) Date SECTION 7b: 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 Own sorAuthorized 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.mass.sov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dns i 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" natonalgrol 40 Sylvan Rd, Waltham, MA 02451 May 12, 2016 Doug Carlson Dreamline Modular Homes 403 Waltham St, Lexington, MA 02421 RE: Service Removal for Building Demolition WR# 21779008 Dear Suzanne Davis, This letter is a confirmation letter stating that you requested National Grid to remove the electrical services at 39 Circle Hill Rd, Salem. National Grid has removed the electrical service from this address as of 5/12/2016. If you have any questions or need further assistance, please feel free to contact me at(508) 357-4982. Sincerely, cf&wv 9P* Sterling B. Ortiz Customer Fulfillment nationalgrid Ph# 508-357-4982 Fax# 1-888-266-8094 Sterling.Ortiz@nationalgrid.com natonai'grd May 6, 2016 Attn: Doug Carlson 39 Circle Hill Road, Salem, MA- This letter is to notify you that the gas service located at 39 circle Hill Road, Salem, MA, was cut off at the valve on 4/14/2016 If you have any questions, please feel free to contact me @ 781-907-2931 Thank You, Linda Gadourey Gas Customer Fulfillment National Grid 40 Sylvan Road Waltham, MA 02451 Tel #:781-907-2931 Fax #:781-522-1057 • 19 u1)E MODULAR.HOMES May 11, 2016 RE: Notification of Demolition 139 Circle Hill Road, Salem, MA Dear Neighbor, We are a local builder that will be constructing a new home at the above referenced property. We are currently going through the permit application procedures with the town to obtain demolition building permits. As part of the application process requirements, we are writing to notify you that we will be demolishing the existing home and foundation within the next couple weeks to prepare for the new dwelling. Exact scheduling is pending town permitting. The process of demolishing the home and hauling it away in dumpers is quick and typically only takes a couple days. Kind Regards, 0-k Doug lson Managi Partner Dreamlin Modular Homes 403 Waltham Street Lexington MA 02421 Phone & Fax: 781-862-9453 www.dreamlinemodular.com Enwiro-Safb E n- ghti pering 203,„Prospect-Street Brockton, MAk:=104 (617)623-6678- August 11, 2015 Susan Davis 30 Ellsworth Rd Peabody, MA 01960 RE: Asbestos Inspection, 39 Circle Hill Road, Salem, MA On August 7, 2015, Richard Alomar, Massachusetts licensed asbestos inspector AI900524, inspected the house at the above address for the presence of asbestos prior to demolition. The wall and ceiling material and the 12"x 12" floor tile and associated mastic in the kitchen were suspected to contain asbestos. Bulk samples of the suspected asbestos containing materials were collected. The samples were delivered to TRC Environmental Associates for analysis. The samples were analyzed by the EPA endorsed method of Polarized Light Microscopy with Dispersion Staining(PLM/DS) method. The PLM/DS is a qualitative and quantitative form of analysis that yields the type of asbestos in a sample, if any. All bulk samples were negative for the presence of asbestos. See enclosed results. If you should require more information on this matter,please do not hesitate to contact me at (617) 623-6678. Sincerely, P L—, Patricia). Riley President TRC Environmental Page,- of 3,00 Wilawood Ave,Woburn NIA Asbestos Bulk Chain of Custody Phone 781.933.2555 Fax 781.932.9402 TRC Project No..230004 Client:ENVIRO-SAFE ENGINEERING Turnaround(circle)same day 24•hr standard(5 day) 203 Prospect Street I Samples Collected by:�f � Contact PATRIEL9 RILEY ( �1 C mn, 1 Brockton;MA 02301 :� Project Name Phone,617-623-6678 License M and Location: (, r z } Fax 617-623-9493 Date(s)Collected: _\ 1 Sample ID DO NOT WRITE IN SHADED AREAS Stereoscopic Optical Properties Fiber Ref. %Asbestos Fiber %Non Asbestospresent Visual Ind. .Present.. C '% T H M E S- H P O C A C T A A. Fibrous Cellulose Hair 'Synthetic Other Non Field ID N o A e. o o x i li I. 't H M R R N' - C Glass Fibrous DESCRIPTION I s x v4 r ti g r e h R o O E T T lab ID a b t a p n. n e o e Y S C M i H I -- r _g :b E -r J. ll S 1 O O N. !' MATERIAL:VJri.�, J� Rc C6K cocaTlov: bG,t�) 1-0 C)(� 355 {7 -"A , +. p� MATERIAL:.G.1 V S t\0 cy\ � LOCATION: ZCAG Y'\. ,`J� V-\UGI`) MATERIAL: r,`i \{,I� LOCATION: K) 4l G J r W(` MATERIAL ` ✓J S r R � -I (fj LOCATION:. Z.G:." T-C)C)� TINN i 11 MATERIAL;, 4Ssy LOCATION: l. h 1 {tCiGt 4v ►N MATERIAL: ! 1 1 (\ J LOCATION: x ' CY)eY) N Relinquished byi, Date: Received by: T8 Date: 017 d Iccept_Reject_Comments Analyst's Signature Date(s)Analyzed: Temp L CRC Environmental Page; of ' 1:00 Wildwood Ave,Woburn,MA Asbestos Bulk Chain of Custody 'hone 781.933.2555 Fax781.932.9402 TRC Project No.,230004 Client:-ENVIRO-SAFE ENGINEERING 'Turnaround(circle)same day 24-hr standard i5 day) 203 Prospect Street Contact. PATRICL4 RILEY Samples Collected by:. Brockton,MA 02301 - ProjectName Phone 6I7 623-6678 License# and Location: - - F Date(s)Collected: Fax 617-623-9495 Stereoscopic Fiber Ref: %Asbestos Fitter o Sample ID DO NOT.WRITE IN SHADED AREAS Optical Properties /o Non Asbestos Present Visual. Ind. Present C % T H M E S It P -O C. A C T A A Fibrous Cellulose Hair Synthetic Other Non Field ID o A e o o x i i '1 a H M R R N -C Glass - Fibrous DESCRIPTION I s s ni r ii s. r c h R 0 O E T T Lab ID# o b r o p n. n e o e' Y S C M H I r g h E r J. 5 I O O N' MATERIA0a X .L- -;)nc LOCATION:.-KI•c,6,Y) }� MATERIAL: M G s I c 4 7" LOCATION: ( MATERIAL LOCATION: MATERIAL: . . LOCATION: MATERIAL:. _ LOCATION: MATERIAL: 'LOCATION: Relinquished by: Date: Received by: Date: r� lccept._Reject_Comments Analyst's Signature Date(s)Analyzed: Temp- - 1 •C%olr,�.� CITY OF SALEM, MASSACHUSETTS • • Q�• PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RO FLOOR 1 - • ( � SALEM, MASSACHUSETTS O 1970 TELEPHONE: 978-745-9595 f. FAX: 978-740-9846 • KIMBERLEY DRISCOLL MAYOR Section 116-0 DEMOLITION OF STRUCTURES Structures over fifty(50) years old must have approval of the Salem Historic Society UTILITY DISCONNECTIONS REQUIRED Authorized Agent Date of Disconnection Water (see attached requirements) /� •�(/ �� 51�'{ to Electrical lq�,CgL / Fire Z/ Health Sewer y 6kf(b Salem Historic Commission g' Dig Safe Number �(p Pest Control: ***DOCUMENTATION OF ALL THE ABOVE MUST BE ATTACHED BEFORE PERMIT CAN BE ISSUED*** Fee for Demolition $5.00 application fee plus $2.00 per 100 square ft gross area, Minimum $25.00 i i ° CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PablicIiealth 120 WASHINGTON STREET,4`"FLOOR Prevent.Promote,Protect. KIMBERLEY DRISCOLL TEL. (978) 741-1800 FAx(978) 745-0343 MAYOR Iramdin@salem.com LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT DEMOLITION OF STRUCTURES Prior to demolition of any building the following information shall be provided to the Board of Health: • Asbestos testing report. o If asbestos is found, provide an Asbestos Notification form ( ANF) 001 and an asbestos clearance certificate with application • A pest control report from a licensed Pest Control Company. o If pests are found provide a treatment plan and certification from the pest control company that pests have been effectively controlled has to be submitted • A Dust mitigation plan indicating what measures will be instituted to ensure dust from the demolition project does not migrate over the property line. • If the structure was built before 1978; The Demolition contractor has to be licensed Lead Safe Renovation Contractor by the Department of Labor Standards and their employees trained in the use of Lead-safe work practices. Additional information may be required based on the nature, location and length of the project 'rhe Commonwealth of Massachusetts CITY OF Board of Building Regulations and Standards SALEM ` Massachusetts State Building Code, 780 CMR Revised,Nur 2011 O J Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Oficial Use Only Building Permit Number: Da Applied: 1 " l Building Official(Print Name). Signature Date i SECTION 1:SITE INFORMATION' LI Property Address: 1.2 Assessors ctilop&Parcel Numbers Z'T C (-L l:e H , I k TW 1.1 a Is this an accepted street?yes no M1lap Number Parcel Number 1.3 'Zoning Information: 1.4 Property Dimensions: "Luning District Proposed Use L Lot Area(sq t1) Frontage(It) 1.5 Building Setbacks(ft) Front Yard Side Yams 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? Municipal❑ On site disposal system (3Public❑ Private C3 Check if yes13 SECTION 2: PROPERTY OWNERSHM 2.1 Ownerl of Record:, IPrn 01 7� SvzcnAf r�li diel �t�l NT�me(Print) City,State,ZIP 3C1 C1zle { I-II MJ g7859Y-95)S szdkales.Sg �,> �I. fal No.and Stmet Telephone Email Add ss SECTION 3: DESCRIPTION OF PROPOSED WORK=(check all that apply) New Construction[3Existing Building 13Owner-Occupied ❑ 1 Repairs(s) 13Alterntion(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work-: /1) ),/ 7— :l►Anl SECTION a: ESTIXIATED CONSTRUCTION COSTS Estimated Costs: Offlcial Use Only Itcm Labor and iviaterials) 1. Building S I. Building Permit Fee:$ Indicate how fee is determined: ❑Standard Cityrrown Application Fee 2. Electrical S ❑Total Project Cost(Item 6)x multiplier x 3. Plumbing `; 2. Other Fees: S 4.Mcch:mical (HVAC) S List: 5.%lechanical (Fire S Total All Fces:S Su ression) Check No. Check Amount: Cash Amount: 7 G.'rotal Project Cost: $ ❑Paid in Full 0 Outstanding Balance Due: , SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration trate Name of CSL Holder List CSL Type(see below) Type Description No.and Street U Unrestricted(Buildings up to 35,000 cu. 11. R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) FIIC Registration Number Expiration Date IIIC Company Name or HIC Registrant Name No.and Street Email address Ci /Town State ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.$2SC(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 Is§uance of the building permit. Signed Affidavit Attached? Yes ..........0 No...........0 SECTION 7a:OWNER AUTHORIZATION.TO BE COMPLETED WHEN. OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERhHT 1,as Owner of the subject property,hereby authorize - t9 act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date 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. c_t Print Owfit r's or uthorized Agent's Name(Electronic Signature) Date NOTES: I. 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 rm have access to the arbitration proram or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at ww%v.mass.gov:'oca Information on the Construction Supervisor License can be found at%►ww.mass.gov'Jns 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 1. —I'otal Project Square Footage"may be substituted for"Total Project Cost" 1 3 q. C rZ� -H i LL- 2� COUP . Super ab. avmsuedTW Tdde�s 90%LargerLa6elAreaID ••••^ F/// S M E A KEEPING YOU ORGANIZED No. 10301 PAMff PWM P AffiJ.R&YdID VYIWIVF CONIENfiPR �s•.tlk~w� PMT4M9AGi MOE IN USA GET ORGANIZED AT SMEAD.COM Certificate Number: B-16-195 Permit Number: B-16-195 Commonwealth of Massachusetts City of Salem This is to Certify that the Single Family.Building located at Building Type ..................................................................39 CIRCLE HILL ROAD..................................................................... in the .....................................Cil of...Salem ..........................I............... ................................................. Address -Tam/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Single Family Pre-Fab SUZANNE DAMS This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires ...............................Not Applicable............._......... unless sooner suspended or revoked. Emiration Date Issued On: Friday, November 18, 2016 i'� 6 -•=��stQ w • w�wls � LU w DIVIT� ' CIV E-� H Certificate Number: B-16195 Permit Number: B-16-195 Commonwealth of Massachusetts City of Salem This is to Certify that the Single Family Building located at Building Type 39 CIRCLE HILL ROAD..................................................................... in the ...................................._City o........................ .......................................... ........................................... Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Single Family Pre-Fab SUZANNE DAVIS This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires ...............................Not Applicable.................___._.... unless sooner suspended or revoked. E)piration Date Issued On: Friday, November 18, 2016 '9�gjQ• W w�w�s � � � � � � w '� • O �.� E� Commonwealth of Massachusetts !LIN 3 City of Salem q a 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Permit No. B-16-195 PERMIT TO BUILD FEE PAID: $3,115.00 DATE ISSUED: 3/16/2016 This certifies that DALESSANDRO EDWARD L has permission to erect, alter, or demolish a building 39 CIRCLE HILL ROAD Map/Lot: 90210-0 as follows: Other Building Permit REMOVE OLD DWELLING & REPLACE WITH NEW, SINGLE FAMILY PREFAB HOME WITH DECKS. Contractor Name: KRISTOPHER D. MEGNA DBA: DREAMLINE MODULAR HOMES, LLC Contractor License No: CS-105017 3/16/2016 Building O Icial Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this pennit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. HIC #: 168593 'Persons contracting with unregistered contractors do not have access to the guarantyfund-(as set forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. Commonwealth of Massachusetts fh\- i a City of Salem 19 ° 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595x5641 Return card to Building Division for Certificate of Occupancy ki Structure CITY OF SALEM BUILDING PERMIT Excavation PERMIT TO BE POSTED IN THE WINDOW ^ Footing INSPECTION RECORD Foundation Framing 69 n..I Mechanical Insulation INSPECTION: BY DATE Chimney/Smoke Chamber Final C^ )V/; fl* Plumbing/Gas Rough:Plumbing 2,6 �V' h L Rough:Gas E" 14 6 Final IF tca Electrical Service Rough FinalFire Department Preliminary FinalQ ! L Health Department Preliminary Final FOUNDATION AS - BUILT -90 a<o S69§� . m '�Q�•�� ze4.e?• v x _ p� O Iv Ip DoT �ry �3ot, 9 ,� ��feja�• �° u 4�3�Fo /� Baa GARAGE @.0. WOOD DECK h� WITH 6 STEPS BULKHEAD �1 ryM. H �+ EXISTING DWELLING § *-k<.6j96 9 CROAD IRCLE HILL 6 9 WOOD PORCH �kB� -WITH 8 STEPS3.6 e �o�� ► 0 I HEREBY CERTIFY TO SALEM FIVE BANK THAT THE FOUNDATION IS LOCATED IN THE GROUND AS SHOWN AND DOES NOT INCREASE THE NONCONFORMING NATURE OF THE ORIGINAL STRUCTURE PER SECTION 3.3.5 OF THE ZONING BY—LAWS OF THE TOWN OF SALEM, MA. THE FOUNDATION IS LOCATED ON A LOT WITH INSUFFICIENT AREA AND FRONTAGE AND COMPLIES WITH ALL CURRENT SETBACK, YARD, BUILDING COVERAGE, AND BUILDING HEIGHT REQUIREMENTS. I FURTHER CERTIFY THAT THIS PROPERTY 0 S NOT LIE WITHIN AN ESTABLISHED FLOOD f ZARD AREA. UG L. RG, P S 9 CIRCL HILL ROAD SALEM , MAS SAC H U S ETTS PREPARED BY: DRAWN BY: BDB DESIGNED BY: — — McKenzieCHECKED BY: DLA ►" FMgss�� APPROVED BY: DLA Engineering DATE:DATE: NOVEMBER 14, 2016 SCALE: 1 Group, Inc. mbe5G PROJECT NO.: 215-1115-111 �. 14c).3b362 ` PROFESSIONAL CIVIL ENGINEERING AND LAND SURVEYING q�,- _1 .� DWG. NO. 130 LONGWATER DRIVE SUITE 101 ►�� NORWELL,MA 02061 PHONE: (781)792-3900 FAB-2 FACSIMILE:(781)792-0333 M:\MEG\2015 PROJECTS\215-111\DWGS\215-111EX.DWG Home Energy Rating Certificate Property HERS Eco-Haven Dreamline_Davis_39 Circle Hill Rating Type: Projected Rating Certified Energy Rater: Frederick G. Terry III Rd_Salem_MA Stretch Davis Rating Date: 3-9-2016 Rating Number: DMH_06_2016 39 Circle Hitt Road Registry ID: SaterrP(316ted Rating: Based on Pians - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 49 Efficient Home Comparison: 51% Better Heating 34.3 $594 33% General information Cooling 4.2 $75 4% Conditioned Area 2542 sq. ft. House Type Single-family detached Hot Water 8.1 $125 7% Conditioned Volume 21783 cubic ft. Foundation Unconditioned basement Lights/Appliances 21.3 $979 55% Bedrooms 3 Photovoltaics -0.0 $-0 .0% Service Charges $0 0% Mechanical Systems Features Total 67.8 $1773 100% Heating: Fuel-fired air distribution, Natural gas, 96.1 AFUE. Heating: Fuel-fired air distribution, Natural gas, 96.1 AFUE. Criteria Water Heating: Conventional, Natural gas, 0.70 EF, 75.0 Gal. This home meets or exceeds the minimum criteria for the following: Duct Leakage to Outside 50.00 CFM25. 2012 International Energy Conservation Code Ventilation System Exhaust Only: 80 cfm, 14.9 watts. Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat R-38.0 Slab None Seated Attic NA Exposed Floor R-30.0 Vaulted Ceiling NA Window Type U-Value: 0.300, SHGC: 0.270 Above Grade Watts R-21.0 Infiltration Rate Htg: 1000 Clg: 1000 CFM50 Foundation Walls R-0.0 Method Blower door test RESNET PROVIDER Green Building Consulting Lights and Appliance Features 1401 Main Street Percent Interior Lighting 100.00 Range/Oven Fuel Natural gas Cincinnati, OH 45202 Percent Garage Lighting 100.00 Clothes Dryer Fuel Electric 513-381-1470 - 1 EiginI1r:ign byed G.Tert III IDN:c-FMehk G.Ttt lit—.- Refrigerator(kWh/yr) 660 Clothes Dryer EF 3.01nareoewaim srrtamx cu. emalbReny3eecaJiavencom r-u5 Dishwasher Energy Factor 0.80 Ceiling Fan (cfm/Watt) 0.00 Certified Energy Rater: r Dale-.W16.03.10011439(ISW REM/Rate-Residential Energy Analysis and Rating Software v14.6.2 This information does not constitute any warranty of energy cost or savings. 0 1985-2015 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. d Q I r I Q Q z NOTES: m o� O R 0 1. FIELD SURVEY PERFORMED BY MCKENZIE ENGINEERING GROUP, INC. ON APRIL 23, 2015. N A w 2. THE SITE FALLS WITHIN THE RESIDENTIAL ONE FAMILY (R1) AS DEPICTED ON THE oJ� LOCUS - CURRENT TOWN OF SALEM ZONING MAP. MAP 9 LOT 227 _ - - - 3. UTILITY INFORMATION FRGM ABOVE GROUND OBSERVED EVIDENCE IN CONJUNCTION WITH s 12' MAP 9 LOT-22a - _ - - " _. DIG SAFE MARKINGS AND RECORD PLANS. THE LAND SURVEYOR MAKES NO GUARANTEES H ,N F.DAVID'c. & _ _ _ _ - - - - ' _ THAT THE UNDERGROUND UTILITIES SHOWN HEREON COMPRISE ALL SUCH UTILITIES IN THE o ,2 / -7 AREA, EITHER IN SERVICE OR ABANDONED, THE LAND SURVEYOR FURTHER DOES NOT ANNE"MARIE COLEMAN - _ - WARRANT THAT THE UNDERGROUND UTILITIES SHOWN ARE IN THE EXACT LOCATION , 'BK. 32730,.PG. 103_ _ INDICATED ALTHOUGH HE DOES CERTIFY THAT THEY ARE LOCATED AS ACCURATELY AS w 90.82 POSSIBLE FROM AVAILABLE INFORMATION AND CONSTRUCTION AS THE LAND SURVEYOR HAS 2' ='` � NOT PHYSICALLY LOCATED THE UNDERGROUND UTILITIES. BEFORE CONSTRUCTION CALL DIG 284.6 _: - SYSTEMS, INC. C AT AGN vF, , �, - 5 9 E E _ MAP 9 LOT 229 869' - "� - 4. ELEVATIONS SHOWN ARE REFERENCED TO THE NORTH AMERICAN VERTICAL DATUM OF W ] / _ - - 1988 (NAVD 88). N F THOMAS R. DOYLE - ' - n 90'83 LOCUS MAP SCALE. NOT TO SCALE BK. 20270 PG. 401 , - ' _ - - - ' 5. WETLAND RESOURCE AREAS WERE NOT OBSERVED WITHIN 100 FEET OF THE SUBJECT n M PROPERTY. Q1 ^Q'1 yy m q LEGEND 6. ABUTTER'S INFORMATION WAS COMPILED FROM THE 2015 CITY OF SALEM ASSESSOR'S b o 0 SB DH STONE BOUND WITH DRILLHOLE 102.97' 02.97 ' 1 RECORDS. V F / SUP UTILITY POLE (D SMH SEWER MANHOLE - ! ,'�� FLOOD NOTE: °z x U o D4 WG WATER GATE �`�� THE PROPERTY IS LOCATED IN ZONE X OF THE FLOOD INSURANCE RATE MAP COMMUNITY co ®WS WATER SERVICE ,. - Cf) PANEL N0. 25009C0418G WHICH BEARS AN EFFECTIVE DATE OF JULY 16, 2014 AND DOESpq o S SEWER LINE I ;n , ` h NOT FALL WITHIN A SPECIAL FLOOD HAZARD AREA. � ti a G GAS MAIN =, ' ' 03 0- 41. o OHW OVERHEAD WIRE 11� 24.00' MAP '9 I� v a a WATER LINE - N - -�!, LOT 210 r I- 0 1 s' N 13;413 S.F. Im -105- - - - MAJOR CONTOUR C3 - - - - -104- - - - - MINOR CONTOUR __4 1 PROPOSED ' oI ' - cARACE LAWN V , ZONING TABLE: X 107.25 SPOT GRADE ' - ^ DISTRICT: RESIDENTIAL'ONE f-AMILY R1 N V- CRITERIA ) CRITERIAREQUIRED _ cn EXISTING PROPOSED 10 5 1' BULKHEAD I MINIMUM LOT AREA 15,000 S.F. 13,413 S.F. 13,413 S.F. LL ABBREVIATIONS MAP 9 LOT 209 1' 10.4' - " ,- N/F ROBERT E. JR. & 1 , �I I MAP 9 LOT 211 "� MINIMUM LOT FRONTAGE 100 FT. 70.00 FT. 70.00 FT. W PROPOSED`.; 13 5 N Q DRIVEWAY �y \\ ' N/F RICHARD F. SAKOWICH MINIMUM LOT WIDTH 100 FT. 71.86 FT 71.86 FT O (n BCC BITUMINOUS CONCRETE CURBING o DIANE LEBLANC I :: : - BK. 6798 PG, 188 N MINIMUM FRONT YARD 15 FT. 19.3 FT. 16.6 FT. 0 BCD BITUMINOUS CONCRETE DRIVEWAY 0BK26197 PG344 0 . . 0� i - N, \\ I BCW BITUMINOUS CONCRETE WALK 1 o MINIMUM SIDE YARD 10 FT. 11.3 FT. 10.4 FT. e.Emu _ � MINIMUM REAR YARD 30 FT. 119.9 FT, 86.1 FT, BIT CONC BITUMINOUS CONCRETE z 1 . 1 I DECK \ 108: ' EXISTING HOUSE TO BE RAZED MAXIMUM HEIGHT 35 FT. -- 29t FT. J U CONC CONCRETE 3 ; I ` \ - (COORDINATE TERMINATION OF MAXIMUM HEIGHT (STORIES) 2.5 2.0 2.5 C _ EL. ELEVATION tom �` WATER, SEWER & ELECTRIC Q EM ELECTRIC METER rn\ r MAXIMUM LOT COVERAGE 30% 7.6� 15.2% Q II J \ _.SINGILEI� I, SERVICES WITH DPW & II �, 107_ A\\Z :,d81 ,A\t\� ,iFIl�� EP EDGE OF PAVEMENT N FFE FIRST FLOOR ELEVATION ) PROPOSED-S L,5 - APPLICABLE UTILITY PROVIDER) LL1 co GFE GARAGE FLOOR ELEVATION , I ' _1 Q GM GAS METER FAMILY HOUSE ' ' e ' U) 1= INVERT ELEVATION - .12.0 o BFE `j o2f \ I �9 U (M MARKED : r 07 'I N�F NOW OR FORMERLY TF3�i �` co 600� W �� ORC 1.63 per' J R= RIM ELEVATION 4t© 1 , I °n, Lu VC VITRIFIED CLAY PROPOSED WATER SERVICE , ( I, _ I I 3 5 < � -71 a cy) (COORDINATE SIZE AND ( 2 PARKING OCATION WITH DPW, MINIMUM 1p _JSPACES I=� �0) BENCHMARK: co 10' FROM SEWER SERVICE)- - - 10'- _ �' I °' ` f' - e SPIKE SET IN UP 25.9 L=70.0 EL.=105.90 (NAVD 88 207 96' . =240 00' 13 C. " '102- , 1 "1'0 ' lhI . " _ PROFESSIO GINEER: -� R=102-08 6. -1___fj'VC S--f- I PROPOSED N3?�A o H�SCO RSONc m �ypyy��% SiJI I I ) a y CD 0 OSED SEWER CONNECTION 9 EN --= -- =- --_ NO.5IB45 RE-USE EXISTING SERVICE CIVIL ( LINE, CONTRACTOR TO FIELD '- cosy a VERIFY LOCATION) lo�� EH C Ap Q R � n a T w0 z z W LL] :Do � U) ❑ = cA zW � I� ® a Q �I Lu� co � RECORD OWNER: DRAWN BY: SLS ASSESSOR'S MAP 9 LOT 210 DESIGNED BY: SPH MIKE AND SUZANNE DAVIS CHECKED BY: SPH v39 CIRCLE HILL RD APPROVED BY: BCM 1 SALEM, MA 01970 DATE: 9/3/2015 DEED BOOK 9440 PAGE 216 SCALE: 1"=20' PLAN REFERENCE: PROJECT NO.: 215-111 PLAN BOOK 114 PAGE 88 DWG. TITLE: SITE 20 I 1I I 40 PLAN DWG. No: © MCKENZIE ENGINEERING GROUP, INC. FILE LOCATION: M: \MEG\2015 Projects\215-111 \DWGS I' STAiE'. 33612 MA 0. ow �a Elm THIS HOME HAS BEEN DESIGNED SPECIFICALLY FOR: BUILDER: GOER' DREMDREAMLINEMOMMMM EE eycel DAVI S agDM DAMS HOMES MODULAR HOMES Xcel W .EXCELHOMES.COM 39 CIRCLE HILL RD �HH WWOM ESS SALEM,MA 01970 403 WALTHAM STREET ESSEX COUNTY LEXINGTON,MA 02421 THIS LOCATION DOES NOT CONTAIN ANY LOT LINE FIRE SEPARATION REQUIREMENTS t�dulnxc w.xs EXIFILI® THIS HOME IS REPLACING EXISTING STRUCTUREm^""S" + ugw�mstsEveonwatpe �2r-r W CE Sl TO RON OF ROPES GROUP.UG.XNY REP NODUOUGN OF PFF THE 2 �y DE EXGELFI GROUP, CODE INDDOEADD 0'-0'_MD RMN Cm_MG XDSR B 0 ® 0 U �»Ginnn3;�s g U 12 PDOi BY E%CEL GO C-0'Ili RtlA NN'IfYAII � C ® ® SITE CONDITIONS: m ® ® « vawmuvina m eef I I NtO PFffi Im YM it u � rip e y d I SPI 15� I maccATmm e d Z` I I IH9mIY IO O ISi 11L_UI RD]x _ 001WK1911WE wA�MIEIIFKREIBI ILL1N[E FlNIBHED GRADE VARIES ----'-' �9 a^A�a j AC ESS TO GIRME PROMISED SQUARE FOOTAGE: a a a a% xoDE,wwuxS lT[T+SS nlnxn P[BCw nz um £4 4 guy 4 NFAMR TO BE S.P )AND WSiIlliD BY BU .. 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