176 WHALERS LN - BUILDING INSPECTION GF 2 ZS
RECEIVED
The Commonwealth of Massachusetts INS
' Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code,780 CMRSAll
' Ta�4 DEC�E� ' RevisedMar2011
QBuilding Permit Application To Construct,Repair,Renovate Or Demolish a
�a -- - - - - One-or Two-Family Dwelling
.This Section For QfPcial Use Only
rBuilding Permit Number: -Da Applied:
1 _
4(io iding Official(Print Name) Signature
SECTION 1: SITE INFORMATION
1 roperty�Addre�ss: 1.2 Assessors Map&Parcel Numbers
ItnV/\VI t� G1 ,h illlle� L /9r✓t�
L l a Is this an accepted street?yes_AG 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(it)
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 B� Private❑ Zone: _ Outside Flood Zone?
_ Check if yes❑ Municipal-L7-15n sitedisposal system ❑
- SECTION 2- PROPERTY OWNERSHIP`
2.1 Owner`of Record:
Lt/N�.a :(/oa o Ks Sg Ae ji . nI4 e!)1 g 7 o
Name Print) City,State,ZIP
I & WAoltles lhrvc ' 97r ?J7- -`i22f
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORJO(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) AReration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ 1 Number of Units Other ❑ Specify:
Brief Description of Proposed Work2: e �.,�,
SECTION 4:ESTIMATED CONSTRUCTION COSTS
k4n:03
Estimated Costs: Official Use Only
Labor and Materials y
$ Cr 1. Building Permit Fee:$ Indicate how fee is determined:
l $ ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplierx
g $ 2. Other Fees:ical (HVAC) $ List:
cal (Firen $ Total A11 Fees:$
6. Total Project Cost:
Check No. Check Amount: Cash Amount:
$
7 ❑Paid in Full ❑Outstanding Balance Due:
Mratt� 12.�1�
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) D?
IshAwH7 Att6-eponvl7- LicenseNurnber Expi tion to
Name of CSL Holder
)0 / � !�� �� List CSL Type(see below) _
No.and Street �Y�yl s Type Description
U I Unrestneted(Buildings up to 35,000 cu.ft.
City/Town,State,ZIP R Restricted M2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
a C 'J SF Solid Fuel Burning Appliances
?F—�J�7__��y� I Insulation
Tele hone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 1 7/ v,V
HIC Registration Number Expiration Date
HIC Company r C I egistrjj��me
No.and Street
(�`/ Email address
City/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 .......... lily 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 S4~,od Anse-o-9W1-7—/W,0,, )M0v ] LvYn
to act on my behalf,in all matters relative to work authorized by this building permit application.
„" 1-16Q (, , 1 1 I q
Print Owner's Name(Electronic Sighatwvr Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties ofpedury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
LT
Print Owner's or Authorized Agent's ame 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 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.eov/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 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"
Main:781-944-8500 —
978-664-3310 Office:978-229-2040
Fax:978-664-9078
AACell:617-791-9218
MOYNIHAIFLUNBER; CO.
Qua(ity bac(pd by a&¢,sire to please'
Installed Sales
DOORS-WINDOWS
Rick Prescott
Installed Sales P.O. Box 128
richardprescott@comcast.net 164 Chestnut Street
North Reading, MA 01864
CITY OF SAI_E,-NI, TNL-kss xCHUSETTS
BUILDING DEP iRTNIEINT
130 WASHINGTON STREET, 3W FLOOR
TEL. (978) 745-9595
KI3fBERLEY DRISCOLL F.rax(978) 740-9846
,MAYOR T Hows ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BUI DLVG COMMISSIONER
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 780 CMR section 1 I L5
Debris, and the provisions of MGL c 40, S 54;
Building Permit# is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c
i 11, S 150A.
The debris will be transported by:/_
ex eo
_ (name of hauler)
The debris will be disposed of in :
(name of facility)
(address of facility)
si'nature of permit app[ican[
date
Jcbrivt'f dix
DEC-11-2014 THU 01 : 59 PM P. 002/002
Sanctuary Condominiums
c/o Crowninshield Management Corp-
is Crovminshield Street
Peabody,MA 01960
(978)532-4800
December'10, 2014
Ms.Lynda lJorrocks
176 Whalers Lane
Salem,MA 01970
RC: Replacement Door—Sanctuary Condcminiur"
Dear Ms. Horrocks:
Thank you for your inquiry regarding the door replacement at your unit. Please be
advised that the Board of Trustees for the Sanctuary Condominiums does not object to
the replacement of the door providing it matches the existing in appearance, it must fit in
the existing opening, molding size must remain the same.
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 ofthis letter to the Building Department in
order to obtain your permit. I will email this letter to Tom St. Pierre, Building Inspector
today.
Should you have any questions or require additional information,please feel&ee to call
me directly at(978)532-4500 ext r#232.
Sincerely,
l� ��aaacl.
Till Fama, CMCA
Regional Property Manager
Crowninshield Management Corp.
.R_......:...- tee.,*fnr tt,. }1anatilary Condominiums
T
C//t2 NOOltnxnlxtue(tll/2 o��YLfIJJOCYUWeIt
Office of Consumer Affairs& Business Regulation
ME IMPROVEMENT CONTRACTOR -
gistration 171474 Type:
xpiranon ::3r2 r20.6- individual
{
SHAWN ARSENAULT i=
SHAWN ARSENAUI-i'1 -
24 GRAHAM ST
LEOMINSTER,MA 01453 Undersecretary
Board oi Budding Re3 l ion "I d eta nCahs
C,m,tructiun SupC
1 icei3e CSFA-106031
SHAWN ARSENAULT
105 HAMILTON STREET = ti
Leominster MA 61453 -
oarzaizol s
r�rt,r,-issier.ex -
79
I
i
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MOYNIHAN-NORTH READING LUMBER, INC.
"QUALITY BACKED BYA DESIRE TO PLEASE"
164 Chestnut Street FEIN:04-2261995 ,
North Reading, MA 01861 AA Contractor Reg No.: i
y t 978-864-3310/781-944-8500 1fH 96 Exp. Date:
Salesperson(s): -
/ HOMEOWNER INFORMATION
k. Name Daytime Phone
Street Address(Not RO.Box) Evening Phone
City/Town - State Zip Code Mailing Address(if different from Street Address)
} 1 WORK TO BB PERFORMED AND MATERIALS*TO"BEWSEU r.
Moynihan-North Reading Lumber, Inc. agrees to perform the work set forth in Exhibit A for Homeowner and to
use such materials in connection therewith as set forth also in Exhibit A, attached hereto and made a part
hereof.
The following schedule shall be adhered to unless circumstances arise beyond Moynihan-North Reading
Lumber, Inc.'s control:Work scheduled to begin: _/ /_ Expected date of completion:
May be based upon arrival of special order material
TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE
Moynihan- North Reading Lumber, Inc. agrees to perform the work, and furnish the material and labor set forth in
r.. Exhibit A for.the �'he Total Contract Price of: $ / • e.72 (which amount includes all finance charges). - a°
Pa ments shall be made b Homeowner according to the following 'y L y g g payment schedule:
$ 3 1 /"_50 Initial deposit upon signing this Contract (the initial deposit shall not exceed the greater of r
one-third (1/3) of the Total Contract. Priceas set forth above; OR the Total Cost of Special/Custom
Orders as set forth below). `'
$ by—/ / or upon completion of delivery of materials
$ /n.f G1 by—/ / or upon completion of install
$ upon completion of the Contract
In order to meet the completion schedule set forth above, the following materials/equipment must be special
ordered before the Contract work begins, for a Total Cost of Special/Custom Orders of$ O
$ to be paid for building perr�d)
$ 120,,LIC to be paid for t,w.vi.c 1— L IGLUS k�r�,/rJ.wg Arrr ; �� punt:�/3S„yo
$ ito be paid for
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
i f Is :�,tr1\-��(A. �7 t111;'li�-riii..U -,l. I 1 r
t� I Moynihan-North Reading Lumber,Inc.
Homeowner's Signature Date Contractor Date
By: Dale Fuller
Homeowner's Name(Printed) Installed Sales Coordinator
° You may cancel this Contract if it has been signed by a party thereto at a place other than an address of -
Contractor,which may be its main office or branch thereof, provided you notify Contractor in writing at
its main office or branch by ordinary mail posted, by telegram sent or by delivery, no later than midnight
of the third business day following the signing of this Contract. See attached notice of cancellation for
an explanation of this right. - ,9
I� See reverse side for additional Homeowner Terms and Conditions
t. kp
f 1057-NR 1/11 White-Office Yellow-Sales/Service Pink-Customer Page 1 of 5
1
HOMEOWNER TERMS AND CONDITIONS
The following terms and conditions are an integral part of this Contract between
Moynihan-North Reading Lumber,Inc.("Contractor")and Homeowner.
1. All payments are due upon presentation of billing,and a late charge of one and one-half.percent(1%%)per month will be applied to past due
charges. Homeowner shall pay Contractor court costs,attorneys'and paralegals'fees,and any other expenses incurred in the collection of
past due accounts.
2. If Homeowner is borrowing money from a construction lender to perform the work,Homeowner represents that the construction loan fund is
sufficient to pay Contractor and any other contractors performing work on Homeowner's property. Homeowner irrevocably authorizes
Contractor to communicate directly with the construction lender regarding payments and loan_ balances,and authorizes the construction lender
to make payments directly to Contractor.
3. Homeowner shall be in default if it breaches any provision of this Contract;if any warranty or statement to Contractor in connection with this
Contract or Contractor's extension of credit to Homeowner is false or misleading when made;if any statement to a lending institution in
connection with financing for this Contract is false or misleading when made;or if Homeowner becomes insolvent,makes and assignment for
the benefit of its creditors,or files or has filed a petition for bankruptcy.
4. If the Total Contract Price includes allowances,and the cost of performing the work covered by an allowance is either greater or less than the
allowance,then the Total Contract Price shall be increased or decreased accordingly without the need for a signed Change Order. Unless
otherwise requested by Homeowner,Contractor shall use its judgment in accomplishing work covered by an allowance.
5. If Contractor agrees to do any installation work,Homeowner will procure at its expense and before the commencement of work hereunder"all
risk"insurance with construction,theft,vandalism,and mischief endorsements attached,the insurance to be in a sum at least equal to the
Total Contract Price. The insurance will name Contractor and any subcontractors as additional insured. If the project is destroyed or
damaged by accident,disaster or calamity such as fire,flood cr storms,Homeowner shall pay:for work done by Contractor in rebuilding of
restoring the project as extra work.
6. If Homeowner defaults under any of its obligations under this Contract,Contractor may:
a. Stop work until any payments are received or defaults are otherwise cured.
b. Terminate work upon seven(7)days written notice and recover as damages,at its option,either the reasonable value of
the work performed through termination,or the balance of the Total Contract Price plus any other damages including
reasonable attorneys'and paralegals'fees Contractor suffers as a result of the default.
7. Contractor shall be excused for delay in completion of the Contract caused by contingencies out of its control,including acts or delays of
Homeowner or other contractors,acts of God,labor trouble,acts of public agencies or inspectors or public utilities,extra work,breaches of this
Contract by Homeowner,problems obtaining materials from suppliers,or other contingencies unforeseen by Contractor. Under no
circumstances will Contractor be liable for monetary damages caused by delays as set forth above.
6. If Contractor encounters unforeseen conditions that were not reasonably anticipated by Contractor,Contractor shall call the conditions to the
attention of Homeowner and the Total Contract Price and schedule will be adjusted by the extra work necessitated thereby. No installation,
plumbing,electrical,flooring,decorating or other construction work is to be provided unless specifically set forth herein. In the event
Contractor is to perform the installation,it is understood that the price agreed upon herein does not include possible expenses incurred in
addressing hidden or unknown contingencies found at the jobsite. In the event such contingencies arise and Contractor is required to furnish
labor or materials or otherwise perform work not provided for or contemplated by Contractor,the actual cost of such additional unexpected
work plus fifteen percent(15%)thereof will be paid by Homeowner. Contingencies include but are not limited to:inability to reuse existing
water,vent and water pipes,air shafts,ducts,grilles,louvers and registers;the relocation of concealed pipes,riser,wiring or conduits,the
presence of which cannot be determined until the work has started;or imperfections,rotting or decay in the structure or parts thereof
necessitating replacement.
9. Homeowner shall be responsible for the coordination of any work performed by itself or other contractors,and shall be responsible to have the
work site ready for contractor to proceed. If installation is involved,with its work through the completion date.Any work performed by
Homeowner or other contractors shall not hinder Contractor's schedule. Contractor does not warrant any work performed by Homeowner or
other contractors not working for Contractor as its subcontractor.
10. Homeowner understands that some products described in this Contract may be specially designed and custom built,and as such Contractor
will take immediate steps upon execution of this Contract to design,order and construct those items as set forth herein. Except as Provided
on page one of this Contract,this Oontract is not subject to cancellation by Homeowner.
11. The delivery date,when given,shall be deemed approximate and performance is subject to delays caused by strikes,fires,weather
conditions,acts of God or other reasons not under the control of Contractor,as well as the availability of the product at the time of delivery.
Once the delivery date is determined,Homeowner agrees to accept delivery of the product(s)within one(1)week.
12. The risk of loss,damage or destruction,shall be upon Homeowner upon the delivery and receipt of the product. If Homeowner is not ready to
accept the product,the delivery payment will by made as agreed upon and an extra storage fee of Fifty Dollars($50)per week will be
charged.
13. Title to the items sold pursuant to this Contract shall not pass to Homeowner until the full price as set forth in this Contract is paid to
Contractor.
14. Contractor agrees that it will perform this Contract in conformity with customary industry practices. Homeowner agrees that any claim for
adjustment shall not be reason or cause for failure to make payment of the purchase price in full.
15. This Contract sets forth the entire understanding of the parties. Any and all prior contracts,agreements,warranties or representations made
by either party are superseded by this Contract. NOTWITHSTANDING PARAGRAPH 4 NO CHANGES SHALL BE MADE TO THE WORK
DESCRIBED OR TO THE CONTRACT PRICE UNLESS AND UNTIL HOMEOWNER AND CONTRACTOR SIGN A WRITTEN CHANGE
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