6 CLOVERDALE AVENUE - BUILDING JACKET vie Commonwealth ofMassachusett; SFECTIONA� SER�JII� &
Board of Building Regulations and Standards ' SALEM
a � Massachusetts State Building Code, 780 CMR 11pp�� e v l�dYAP'2011
Building Permit Application To Construct, Repair, Renovate Aemo ish 6
One-or Two-Family Divel ing
This Section For Official Use Onf
00 Building Permit Number.- Date Applied: Q
Building Oiticial(Print Name) - Signature,. Date
SECTION I:SITE I40Rh1ATION
I.1 Proper�ty//Address: 1.2 Assessors Map&Parcel Number
( VUlie✓Dior/�
(1 I.1a Is this an acce ted street?yes no M1fap Number Parcel Number
IW 1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Cot (sy R) Fronmge(R)
1.5 Building Setbacks(R)
Front Yard Side Yads - Rear Yard
Required Provided 'Required Provided Rcquhed, Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone►nformatloni 1.8 Sewage Disposal System:
Public O - Private O. Zone: _ OutsideFlood Zone? Municipal 0 On site disposal system O
Cheddf "esO
SECTION 2:'.PROPERTY OWNER$HiR ,
2.1 Ownerr ojRccord:au O /$ 70
Sd K
' nc(Print) / - Ctly;State,ZIP
6
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WOR(G'(cheek nil E apply)
New Construction Cl FE.ilitingBuildin Owner-Occupied 0 Repairs(s) Alterat(on(s) Addition O
Demolition Cl Accessory Bldg.C Number of Units_ Other O Specify:
Brief Description of Proposed Work': i cl r✓ k e o,f a 1
.4-op '� l�Qr ; a c� i� r3 re F
�o
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated CLP
Official Use Only
"Mcchanical (FIVA
Labor and M11 -
ing S /n Ol, ilding Permit Fee:S- Indicate how fee is determined:
ndard City/Town Application Fee
ical S 3So Oal Project Cost?(item 6)x multipliering S /o Od Oer Fees: S nical (HV,\C) $nical (Fire S All Fees:Sionl No. CheckAmount: Cash Amount:
Project Cost: S SO in Full 0 Outstanding Balance Due:
lugs TZ-.>
m Q t LAr-O I ' !`1
ti.,
'..y7IVti�?.^ ihNrrrr•-.,, SECTIONS: CONSTRUCTION SERVICES
5.1 Construction Supervisor Liceriie(CSL)
F ) WO .ti,'g License Number Expiration Date
Name of CSL Mulder List CSL Type(see below)
Nu.and Street Type ,. Description .
U Unrestricted(Buildings tip-to 35,000 cu. It.
R Restricted 1&2 Family Dwelling
Cityfrown,Stale,ZIP M Masonry
RC Rooling Covering
WS Window and Siding:
SF Solid Fuel Burning Appliances
1 I Insulation
-Telephone Email address D Demolition
5.2 Registered dome Improvement Contractor(HIC)
HIC Registration Number Expiration Dane
HIC Company Name or HIC Registrant Name
No.and Street Email address
—City/Town, State ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVI (M.G.[L c.152.§25C(b)),
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Isivance of the building permit.
Signed Affidavit Attached? Yes ..........O No...........O
SECTION lap OWNER AUTHORIZATION TO BE.COMPLETED)WHEN:, .
OWNER'S AGENTOR CONTRACTORAPPLIES FOB;BUILDING PERMIT'
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,)hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true^and to to the best of my knowledge and understanding.
�/71 / ' (-? 2c�6
Print Owner's or Authorized gent'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&J have access to the arbitration
program or guaranty fund under M.G.L.c. 1 J2A.Other important mformaCanon the HICl'rogram can be ro ndat-- —
Ncwvv.mass.eov:'oca Information on the Construction Supervisor License can be-found at AAAaias� .
2. When substantial work is planned,provide the information below:
'total floor area(sq. ft.) `x (including garage,finished basementlattics,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"fatal Project Cost"
EXISTING SGDER M51INGEXTREAR
EX SINK
DW
CLOSET DOOR
SEDRti
PENDANT.LIGRTS
PA
El
//
FRIG
PF.4P05M LJI.
PROPOSED- -
DOOR
Commonwealth of Massachusetts
r�
y �
Citv of Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit No. B-16-23 In n =somw
TO
FEE PAID: $0.00 PErWIT
BRUNILD)
DATE ISSUED: 1/12/2016
This certifies that CLOVERDALE AVENUE REALTY TRUST THE TAMASI JOHN P
has permission to erect, alter, or demolish a building„ --6,CLOVERDALE AVENUE Map/Lot: 80084-0
as follows: Repair/Replace REMOVE NON LOAD BEARING WALL BETWEEN LIVING ROOM & KITCHEN.
INSTALL BEAM. jl�
s A'`-
rt
Contractor Name:
DAVID A. SWANSON
DBA: SWANSON CONSTRUCTION
Contractor License No: 023749 r
1/12/2016
Building official ,, �a Date
ll,
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 ":
si"„ it
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit 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.
-
-i, if The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this._'�permit.
HIC #: 109405 "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A).
39tpjj3 ,�a °4a44 s, i - _ u3
Restrictions:
u... r..wx E, 'CIF d ub Building plans plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
Commonwealth of Massachusetts .
' Citv of Salem
" 120 Washington St,3rd Floor Salem,MA 01970(976)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit B_16.38 PERMIT TO BUILD
FEE PAID:: $1$115.00
DATE ISSUED: 1/14/2016
This certifies that CLOVERDALE AVENUE REALTY TRUST THE TAMASI JOHN P
has permission to erect, alter, or demolish a building 6 CLOVERDALE AVENUE Map/Lot: 80084-0
as follows: Repair/Replace REMODEL KITCHEN; ADDING A HALF BATH IN BASEMENT; PUTTING BACK
THIRD BEDROOM
Contractor Name:
DBA:
Contractor License No:
)' 1/14/2016
Building Official Date
This permit shall be deemed abandoned and invalid unless the work authorizoo by this pennitls commenced within six months after issuance.The Building Official
may grant one or more extensions not to exceed sic months each upon writian 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.
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 Official4 are,provided on this permit.
HIC#: 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' `` � `
P City of Salem
120 W ashington St 3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy ..
Structure CITY OF SALEM BUILDING PERMIT .
.Excavation - ` PERMIT TO BE POSTED IN THE WINDOW " A .R
Footing INSPECTION RECORD
r
Foundation
I Framing . r
c
i
,Mechanical � � � JPTJ
Insulation INSPECTION: BY DATE
Chimney/Smoke Chamber Y
9 'J
Final -
�
:1 Plumbing/Gas
Rough:Plumbing
Rough:Gas
Final _ n
Electrical -
Service 1
v`V
Rough
Final
Fire Department a
Preliminary
Final
Health Department ° *Y
Preliminary
,e
Firial w � '
The Commonwealth of Massachusetts KEF,
Depariment of Public Safety Q r T�
Massachusetts State Building Code(780 CMR)
O Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For'Official Use Only) ,:
1O Building Permit Number: 'f Date Applied: rBuilding Official:
V ECTION 1:LOCA ON(Please indtcate Block#and Lot#for locations for which a street address is not avail e) ;
No.and Street City/Town Zip Code Name of Building(if applicals r
SECTION 2•PROPOSED WORK t n.
Edition of MA State Code used_ If New Construction check here❑or check all that apply in the two rows belatew,C
Existing Building❑ Repair❑ 1 Alteration ❑ 1 Addition❑ 1 Demolition ❑ (Please fill out and submit Ap endix C]
Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ I$❑ rrr
cy
Is an Independent Structural
En*ga He erin V,e�er/R-�e vie Y 0
1 e_N. ro ❑
of Proposed WorkTv �X p^Brief Desc
o l n Af
r cC1U fij�
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDINGUNDERGOING RENOVATION,ADDITION;OR
CHANGE IN-USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0
Existing Use Group(s): Proposed Use Group(s):
• • "`" :SECTION 4L`BUILDH4G 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❑ B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2❑ H: Hi Hazard H-1 ❑ H-2❑ H-3 ❑ H4❑ H-5❑
I: Institutional I-1❑ I-2❑ 1-3❑ I-4❑ M. Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑
S: Storage S-1❑ S-2❑ U: Utility❑ Special Use 0 and please describe below:
Special Use:
SECTION 6.CONSTRUCTION TYPE(Check as4pplicable)
IA 0 IB 0 IIA 0 HB 0 ILIA 0 IHB O IV 0 VA 0 VB 0
SECTION 7:SITE INFORMATION(referto 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❑
Private❑ or indentify Zone: or on site system❑ required❑or trench or specify:
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 OFCERTIFICATE.OF:OCCUPANCY ,
Edition of Code: Use Group(s):- Type of Construction: Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations:
rnAil_E:yD `TD Sf,'j(:L�\)S Z( 11
•; SECTION9:'PROPERTYOWNER'AUTHORIZATION" 'j
Name and Addres��pp��..Property Owner
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information: _ ,_� �U
)it -,)�
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
(mac s ,r jy�3
Name Street Address City/ own 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) s
building is less than 35,00o cu ft.of enclosed space and/or not under Construction Control thencheck here 13 and ski Section 10.1
10.1 Registered Pmfessional Responsible for Construction Control 'ce
c.�em,j 3 0(d 3 ice$'— Off'
1,� Ut
N (Rstr Te phone No. e-mail address ! Registration Numbe�
—o
Street Address City/ own State Zip Discipline Expiration Dare
10.2 General Contractor '.
Company Name �--✓ ���� !Y � /��. �O r4 Gl U�
Name of Person Responsible for Co ction License No. and Type if Applicable
�' 1,4
gfiee- �,F-t G/ 616
Street Address City own State Zip
Telephone No. business Telephone No. cell e-mail address
SECTION IL•;WORKERS"COMPENSAPION INSURANCE-AFFIDAVCI' .GS1.a152 '75C6)) -
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes 0 No 0
SECTION 12•CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor.
and Materials) Total Construction Cost(from Item 6)_$
1.Building $ Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical $ appropriate municipal factor)_$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
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 beg of in knowledge and understanding. a 7
I ntJ,j Ln5 7 _�3? O 6 $ ?/
PleaOs.erXrint and sign name Title Telephone No. Date
55`^.E'It C r l)
Street Address Ctq1Tw, re Zip
Municipal Inspector to fill out this section upon application approval ,
Name , Date
y
�t -, ' = tza wasnn§fin sE srd�tos�Cem'ra ar %b'(ste)yas�esasat
t'
n ? Y + Rot um card-to Bxfpol iwbiuiston fQr eoaric*`&p*paacy
14,
_77-
4 ,. 1
Perrnit Noy .B 16-38
os 115.00 F PERMIT =TLDFEE PAI $ U I
DATE ISSUED: 2 1,` 016 n
a This certifies that '' CLOVERDALE AVBNtJE R$ALTY rR1kS1 THE T11,MA�SI ,kp1#N P
3
a. has permission to erect, alter, of demolish ott �80�84-0 x
r
era" gas follows. n Repair/Rep.kace RE 1. = �' BASEMENT; PUTT1NGMACK
�" '� „• THIRD BEDROOM
Contractor Name:
4 Contractor License No., 111412
,
g
Date
{This permit shall he deemed ab3ndorod and Im, d u' the after.issuadCe.ThB.BPIIdlfig§OdicYPl+ "'^-: - , f
' may graht one or more extensions nowo axc ,eed,sjx:
� 1
All work authorized by this perfnft shaltconform tothe a aiiirthe appro3edYcori"s"vue •. t ' h;6tis'permit has-bei3,'n"grenfatl:
PJI constnut(oq+'aftarations and changes<of usa of`:eny, ccrrli7, 'eneNwltCrthe to a Y 1� nd,cadasy.•. . , + w & . . , ,
P
This pamrit'shall,be dispIgyed in a loriation-o(early Wr -. tar road and OMR*rhpL lied -
:' work untilthe,com letionrof4he sam&° . a for'the en r,2 dust a,of the v -
P
The Cenifioate of Occu nc wlll�no`t:ho is�ued.0 I al
Pe v 0.� U '�tl BUII 1�� d ot$cJal` mrt
.. �, "� ti%rand^(asfserroMii�Mct.c.La�li,)
Restrictions
AR
x .r 1. Building plans,**to bps a alla�le at►cstte: r
F i a
z Ail ��rMlt Cards are the pecp erfy of the PROPERTYrIVNEf�.
.4 a.
� . r 91hlFil nWi@8I�1fi � �SD�ifJtt5
j
��� 'y^�x : � grd W`>IOiJ, 1 ���Itt+l�e8�,9�ioYav'+%.�Sd"1 �'x �� � { •.
ato'6ulldlrcg,P •;;><td'4�'FGrC�.eigoYfi¢cp�hry "
ructl�r , � x' RI1ITm ffirrr"", ' INTHE WINDOW
Euca>zeUon �, �,:
Footing:
�� �, ..
NSP T E,C�l�fl .
FAa[fllJl�: e+
t 1! ''
MecHayuoaf y ^ "`. 1 fm
lirfsulautin _ k INSPECTION:
WWA DATE � 2
�himne�d$mtikenG. ITft—r e`,' ?� s , -•
� .
teal .✓ i 'f'- a a i!. ..o-k, Yah,ya„ x
3dxi.»t- trr .
Xm
�
�, �
f
F'mal: ;;
d2W9h1.
Final aI Wr I�,n
FtrePD.epartinent
Final
),4 ♦ >
H m tf DeparHrient
Pxalirpinary'• �1
x a
a
fix.
_i
The Commonwealth of Massachusetts CITY OF
Board of Building Regulations and Standards RECEIVED t�� ALEM
If Massachusetts State Building Code, 780 CikNECTIONAL SER YZ d d Mar 2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
M One-or Two-Family Dwelling 201b JAN —1 P : 35
This'SectionFor Official Use=Only
Building Permit Number: Date A ied
Building Official(Print Name) Signature Date >
SECTION 1. SITEJNFORMATION
1.1 Property A dress: // 1.2 Assessors Map &Parcel Numbers
I r rda/P
L la 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 e PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Name(Print)
Prri W �C r✓i�nt (� City,State,ZIP
C
J ) �LAw / .
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PRQPOSED WORKZ(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) Addition ❑
Demolition ❑ 1 Accessory Bldg. ❑ Number of Units_ Other ❑ Specify:
Brief Description of Propos Wo 2:
j
C. � a -f,_ ell" u,.l Z ��
S
r+'licr g k- u . . )e C ep, A^ LN . S T e ..G e ,r7
V -. u ... .. l/.(e,.- v i Pal 'fL o fu».. of...� �,. A ®1 F J1.4 rn.v
S CTION 4:ESTIMATED CONSTRUCTION"COSTS
I[em Estimated Costs: Official Use Only
(Labor and Materials
1.Building $ 00 p d E Building Permit Fee: $ Indicate how fee is determincd:
I]Standard City/`Town Application Fee
2.Electrical $ s
❑Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ Total.Al1 Fees:V.
Suppression)
Cheek No. Check A C h Amount _
6. Total Project Cost: $ a ] UU rJ ,❑Paid inF.uli ❑OutstandittgBalance I)ue;
mat `�� l � iV Its
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
1� / yr
' D o V' v f/�/ S4J<^S � +� License Number Expiration Date
i
Name of CSL Ho
lder List CSL Type(see below) (A
Type ; _Description;
No.and Street ,,/� q ^ lJ /
/emu UJ' // �// C)/ 7 .6 U Unrestricted(Buildings u to 35,000 cu.ft.
R Restricted 1&2 Famil Dwellin
Cityrrown,S te,ZIP M Masomy
RC RentingCoverin
WS Window and Sidin
L / SF Solid Fuel Burring Appliances
p l)"33— 0691 iJr u G.w/rn c e�-,^tai� I Insulation
7 'Y
Telephone Email address .,/e I I Demolition
5.2 Registered Home Impr vement Contractor(HIC) 01 IV41
.
C t r C^f,C n S�n°�� eAJ /r" HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
tt/ vt�r S, LruCc o/�jYcc 0(+�ncwr7. veT
No.and Street Email address
/ u� 7�i-a 3� �6�d 3
SA �✓I✓1 U s
City/Town, State ZIP Tele hone
COMPENSATION ING.L.URANCE AFFIDAVIT(M G. c.152.§ 25C(6)) '
SECT
t�N6.�WORKERS'
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 . ..... .X
SECTION 7a. OWNERAUTHORIZATION TO HE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLI(CS 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 7h: OWNERi 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.
J�(14Ll'z/ .14 St-Jc..tC�_ > // -) // 1r
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOW- .
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 eov/oca Information on the Constriction 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/at[ics, 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"
17
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•FEWER PAPER CUTS
wNnU.� Commonwealth of Massachusetts
q
City of Salem
e m 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
x Return card to Building Division for Certificate of Occupancy
Permit No. B-15-38 PERMIT T O BUILD
FEE PAID: $115.00
DATE ISSUED: 1/14/2016
This certifies that CLOVERDALE AVENUE REALTY TRUST THE TAMASI JOHN P
has permission to erect, alter, or demolish a building 6 CLOVERDALE AVENUE Map/Lot: 80084-0
as follows: Repair/Replace REMODEL KITCHEN; ADDING A HALF BATH IN BASEMENT; PUTTING BACK
THIRD BEDROOM
Contractor Name:
DBA:
Contractor License No:
rx� 1/14/2016
Building Official' 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 permit 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#: "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
` City of Salem
yl
r
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595x5641
n Return card to Building Division for Certificate of Occupancy
Structure CITY OF SALEM BUILDING PERMIT
Excavation
PERMIT TO BE POSTED IN THE WINDOW
Footing INSPECTION RECORD
Foundation
Framing
Mechanical
Insulation INSPECTION: BY DATE
Chimney/Smoke Chamber
Final
4111 Plumbing/Gas
Rough:Plumbing
Rough:Gas
Final
Electrical
Service
Rough
Final10-4 o'�U
Fire Department
Preliminary
Final
Health Department
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Certificate Number: B-16-104 Permit Number: B-16-104
Commonwealth of Massachusetts
City of Salem
This is to Certify that the ..................................I........................._Single Family Building located at
Building Type
6 CL0VERDALE AVENUE................................................................. in the .....................................Cit?..of Salem
..................................................................................... .................................................
Address Tov"Cily Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
Final A single family home .
JOHN TAMASI*
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires ...............................Not Applicable.. .. unless sooner suspended or revoked.
Eviration Date
re44--�Issued On: Tuesday, April 26, 2016
J Cw.m.b.^wealth of Massachusetts
e 3
City of Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5841
Return card to Building Division for Certificate of Occupancy -
Permit NB-15-23=
$0 PERMIT TO BUILD
FEE PAID: $0.00 -
DATE ISSUED: 1/1212016
This certifies that CLOVERDALE AVENUE REALTY TRUST THE TAMASI JOHN P
has permission to erect, alter, or demolish a_building,b-6.,.CLOVERDALE.AVENUE Map/Lot: 80084-0
as follows: Repair/Replace¢ REMOVE NON-LOAD BEARING WALL WEEN LIVING ROOM &KITCHEN
INSTALL BEAM.
Contractor Name DAVID A. SWANSON � ----- --- - o-.•.- C
- DBA-"'SWARi6N-,CONSTRUCTION CO. A
Contractor License No: 023749
�4
1/1.2/2016
Building Official �,.� � Date
c
This permit shall,be deemed abandoned and invalid unless the work authorized by this permit is commenced within s z 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 theapproved construction,documents for which his permit.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 visitile 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. r JIr I
The Certificate of Occupancy will not be issued until all applicable signal res by the Building and Fire Officials are providedon this permit.
H IC#: 109405 .. - Persons contracting with unregistered contractors-do not have access to the guaranty fund"(asset forth in MGL c.142A).
Restrictions: t �
Building plans are to be available on site..
All Permit Cards are the property of the PROPERTY OWNER.
pe Commonwealt 'uf I.Massachusetts �
City of Salem
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_ 120 Washington St,3rd Floor Salem,MAO 1970(978)745-9595 x5641 -
' sReturn card to Building.Division for Certificate of Occupancy s
structure CITY OF° SALEM BUILDING PERMIT
PERMIT TO BE POSTED„IN THE WINDOW
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Comrr�chweaIth—Massachusetts
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TMCity of Salem
-' -_ 120 Washington St,3rd Floor Salem,PAA 01970(978)745-9595 x5641
-"p Return card to Building Division for Certificate of Occupancy "
FEE -
FEEPANO. 16.104 PERMIT-TO BUILD .PAID: $0.00 `
DATE ISSUED: 2/11/2016
This certifies that CLOVERDALE AVENUE REALTY TRUST THE TAMASI JOHN P
q`
has permission to erect, alter, or demolish a building , 6,.CLOVERDALE AVENUEMap/Lot: 80084-0 `
as follows: Repair/Replace REMODEL KITCHEN, NEW FIXTURES IN FIRST.FLOOR BATH,ADD 1/2 BATH cl
IN BASEMENT'RE-INSTALL THIRD BEDROOM. (See previous permlt#t-16-38. Fees paid on 4
a
that permit.) � '
Contractor Name: -DAVID A.SWANSON
DBA: SWANSON CONSTRUCTION CO. I
t: . ContractDr License No:,,023749`
_ ... 2/11/2016:
1' Building Official. ,�/ Date a t;'
This permit shall be deemed abandoned.and Invalid unless the work authorized by this permit is commenced within sixom nt after issuance.The Building Official
may grant one or more extensions not to exceed six months each upon written irequoqt.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which hist"permit.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. F _
(, t:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public,inspectfon for the entire duration of the
work until.the completion of the same.
The Certificate of Occupancy will not be issued until att applicable signatures by the Building an_d Fire.Officials re provided on this,permit. "f
H IC#: 109405� V "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. ,
- f
t Commonweaith of Massachusetts :,
` City of Salem
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` -` 420 Washington St,3rd Floor Salem,MA 01970(978)745.9595 x5041 Uvj I
ls Return-card to Building Division for certificate of Occupancy :
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ch ret . 4 ' CITY OF SALEM BUILDING PERMIT
Fxdavation .. °JPERMIT TO BE POSTED ]N THE WINDOW "
Footing - } _ INSPECTION RECORD
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