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0002 COLUMBUS SQUARE - BUILDING JACKET 2. CoLur� 6vs5Q - s Super ab® OrersizedTab Folders 90%Larger label Area A D] KEEPING YOU ORGANIZED No. 10301 PATENT PENDING (t SUSTAINABLE MIN.RECYCLED^})FORESTRY y INITIATIVE CONTENT IOY umne sws....mc POSTCONSUMER w+nw'N'iWoatem,cra sswlxo MADE IN USA GET ORGANIZED AT SMEAD.COM Commonwealth of Massachusetts ` Citv of Salem a 9' 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595x5641 ° Return card to Building Division for Certificate of Occupancy Permit B-15-1304 PERMIT T O BUILD , FEE PAID:: $1$196.00 DATE ISSUED: 12/1/2015 This certifies that Hunter Lane/dba/The Patio Company has permission to erect, alter, or demolish a building_ g,2 COLUMBUS SQUARE_ Map/Lot: 440011-0 as follows: Pools INSTALL 17' X 19' GUNITE, IN GROUND POOL Contractor Name: _ d DBA: r Contractor License No: 12/1/2015 Building Offi lal ' 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. 11 ,\ All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. r All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. i 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 d E 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 , � 9 City of Salem aa• n •Fo 120 Washington Sl,3rd Floor Salem,MA 01970(978)745-9595 X5641 Return card to Building Division for.Certificate of Occupancy Structure CITY OF SALEM BUILDING PERMIT xcavation 12 g I� PERMIT TO BE POSTED IN THE WINDOW -ooling i Z g Is INSPECTION RECORD <, 'oundation -raming dechanical nsulatlon INSPECTION: BY DATE :himney/Smoke Chamber sinal Y Plumbing/Gas Rough:Plumbing Rough:Gas Final La Electrical Service tough °final h Fire DeKtirtment 'reliminary =final 99, Health Department 3reliminary _ sinal The Commonwealth of Massachusetts I _D 1'OR Board>of Building Regulations acid Standards w Massachusetts State Building Code 780 CM USE R:7ih edition MUNI I'I'1' USE Building Permit'Application To Construct, Rjw epair, Renovate.0rDemoli sh a R+ +•�'+/ %+(+<++;v One or Tit 9-F(tntily Dwelling 1, 1(x)3' This Sec on For Official Use Only' 'Building Permit Number Date Applied: Signature •Building commissioner Buildings Date SECTION 1:SITE IN,FORMATION'. 1.1 Property Address 1.2 Assessors Map,&Parcel Numbers L la Is This an accepted street'?yes no Map Number Parcel-Number, 1.3 Zoning information: 1.4 Property Dimensions: Zonipg District` Proposed Use ' Lot Area(sq')t), Frontuge(11) 1.5.•_-Building Setbacks(Pt)' Front Yard Side Yards ^ ']*,Yard - Reyuired Provided - - Required Provided Required:^ Provided, 1.6 Water Supply: (M.G:Cc.40. $54), 1.7 Flood Zone In[orntationi 1.8 Sewage Disposal System: ' Zone: Outside,Ftood Zone' Mummpnl O_On site disposal system ❑ Public❑ Private❑ Check if es❑.: - ,- -SECTION 2: PROPERTY OWNERSHIP' 2.1"Owner'of Record: ' Tn�r\ r V+ Cu�vri.�v� A� tY1Q Name(Print) - Address for Service: - Signature Telephoner . . . - SECTION 3: DESCRIPTION OF PROPOSED'WORK. (check all that apply) New;Coastruction ❑- Existing Building❑ ' :Owner-Occupied Reppirs(s) Alterations) ❑ Additi to ❑ Demolition ❑ Accessory Bldg. ❑ Numberof Units•• I Otlier ❑ Specify: Brief Description f Proposed Wor t i�occ n w nCOdu 1 c• SECTION 4: ESTIMATED CONSTRUCTION-COSTS Estimated-Costs: Ot7lciel Use Only Items Jr, '(Labor and'.Materials), I.Building $ l Building Permit.Fee:,$ Ind tcn_te how fee is determined: 3. Electrical ., . .. Standard City/fawn Application Fee. $ " ❑ otal Project..Cost (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HYAC) $ List: I.Mechanical (Fire $ Total All Su p ression) Check Nol Check Amount: Cash Amount: 6. Total Protect Cost: $ ( l S o Paid in Full 13 Outstanding Balance Due: SECTION,Se CONSTRUCTION SERVICES S 1 -License-d Cponstructio1n Supervisor(CSL)" • YS�Qp�( ,1��2111 ' ' -License:, urn r Expiration Drle Name ofCSL-Huller last CSL T - - Q�':('x)x 4Gio RP:ree\�r, tn� (LgIS rpe(seebeluw) 4Jdress - 'Desert tion 'U Unrestncta(to to 33000 Cu. Ft.) ''Restricted,a&2 Famil -;Dwelling' Signature. M `Mason Oniv. k'7$' a _j 'RC ResiJential Rootin Covenn ' Telephone - WS Rcsidential-Windo%v,and Siding - SF 'ResidentialrSolid Fuel Bumin A Iiaucv his llatiun .. , D - :�R6id&nti4l'Denwli1i6ha.. ... 52 lglstered o" `.` vement•Contractor(H[C) ; I n n It P t K r� HI ComRany Name or HI Regtt t Name RggislrattonlVumber _ .1 Ax 4gto texed� tmt� . ®��1i� zl+3Vo . Address - ' (sV9n C1`l'1:'.$q Exptranon Dale Tele hone x Signature P a SECTION 6 WORKERS'-COMPENSATION INSURANCIrKAFFIDA VIT(M G'L c.x15Z..§ 23C(6)) Workers Compensation Insurance affidavit must'tie completed rnd submitted with [his apphcanon Fa ltire.to provide this affdavu williresult m the denial ofthe Issuance of the budding permit ' Signed AffidavitAttachetl7' Yes 'l7 No - 0. SECTION Us OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S`AGENT OI�` UNTRACTOR d•PRLIES'FOR BUILDING PERII�IT as, wrier of the su'blect property hgreby authorize $= to aetop my behalf, m all matters relative to.work authorized by this building permitapphcatton - a Si'nature,of Owner . " "` ' - - Date SECTION 7b: OWNERr OR AUTHORIZED,AGENT.DECLARATION as Owner or Authorized Agent hereby declare, thattlie statemerifs and information on the foregoing application are true`and'accu�ate, to,the bestof my knowledge and PpiptName .Signatu're of Ownerror Authorized Agent .` _ -Date- _ ` Si`neduriderthe; bins and nalties of r'u :. " NOTES 1. An.Ownor who obtains a buildmg.permit to do his/her own work,or an owner who hires'an unregistered contractor _(not'registered m the Home Improvemr.ent Contractor(IiIC) Program) will no have'access to the arbitration Prb ram'or guaraii(y, fund under M"t3 L c 142A Other'important information on the H1C Program and Construction StioervtsorLrce'sing.(CSL)can lie found im780 CMR Regulations 1 IO.R6:and 1 IPAR ,,respectively.' 2. `Whensutistannal work is`planned,provide the-informatiop below Total floors area($q Ft), (including garage finished'brsementlattics,decks ur,purch), Gross'living area'(Sq FLh •r`' Habitable morn ioum, Number oFtir...11, s Number ofibedroiinrs Nunibeer•of bath,00ms Nurotier & alf/ at Type'tif heatIingsystem Number of decks/porches Type of cooling system . Enclosed Open J. 'Total ProjegtSquare Footage' may be substituted for"Total Project Cost" s E Br �7111. 1 --- ' PUBLIC PROPERTY f�`� DEP2,RTVIE,�tT Kl.%QIFJLLF/DRIS:OLL MAYOR `n /% 120 WASHING ON hMEET•Ste:,MASSACMLSLI-M 01970 TEL,978-745-9S9S*FAr 97&740.98" APPLICATION FOR THE REPAIR, RENOVATION% CONSTRUCTION, DEMOLITION OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: `r Ze q('pvJ t5 Building: Property Address: 2 cola& -UT S . Property is located in a; Conservation Area YIN LV _Historic District Y/N 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: u.. J Address: Telephone: 8'-c?4J - 7-7 2_ 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Z Renovation Number of Stories Renovated Change in Use New Demolition Existing (aLl—/ Approximate year of /$�� Area per floor (sO Renovated construction or renovation of existing building New Brief Description of Proposed Work: Re-n6�,/ to 1(i t/ e A, 4,0/t,-A CiI`CviSof l 4c(4 ct ci� Cki�, Tar �i�l �`eClr rC c�r�el'. H¢��w�r� seve►1 s,v1C) /(e c�CfeclorS. �nal��•tLl car-at-PA4 ( Q60f-6 qKd cp%rt4auos, Nevi Mail Permit to: What is the current use of the Buil ing? n -- Material of Building? U,) d If dwelling, how many units? Will the Building Conform to Law? e-I Asbestos? / 0 Architect's Name Address and Phone t j Mechanles Name—G C C✓f e n rl c / Address and Phone�C7 i� �aCpl f � )Q /e►1( 97E- 771-'62- 4 Construction Supervisors License# ?'S/9�HIC Registration# Estimated Cost of Project$ 600 Permit Fee Calculation Permit Fee$ //Jy Estimated Cost X$71$1000 Residential Estimated Cost X$11/$1000 Commercial An Additional $5.00 is added as an Administrative charge. Make sure that all fields are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to build to the above stated specifications. Signed under penalty of perjury Date /-3h � 7 S C NI O 41 y � a � � 9 ,32 S aq i? W The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling „j— (This Section For Official Use Only) vv Building Permit Number: Date Applied: - Building Official: OSECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) (� a C.Iv;"bUs 59 sojCVV. 01971 iNo.and Street City/Town Zip Code Name of Building(if applicable) n SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here P9 or check all that apply in the two rows below 1 Existing Building❑ Repair❑ 1 Alteration ❑ 1 Addition ❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ 1 Change of Occupancy ❑ Other '% Specify: -Xn groU Acl POO Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ r Is an Independent Structural Engineering Peer eview required? Yes ❑ No 7F Brief Description of Proposed Work: Tv\ S A (� (� X 9 GU h t �e �OfJ 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❑ B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1❑ 1-2❑ I-3❑ I-4❑ M: Mercantile ❑ R: Residential R-1 R-2❑ R-3❑ R4❑ S: Storage S-1.❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA IB 13 HA IIB ❑ IIIA ❑ 11111 IV ❑ 1 VA 11 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: A trench will not be Licensed Disposal Site❑ Public WCheck if outside Flood Zone❑ Indicate municipal¢J 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)d Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: f`(�E1tL�p 'rb CONT- SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner n ,Fc4ricick ZPetcirowsk'l a ColowxbosS sa eM Ill ii ©14'71 Name(Print) No.and Street City/Town Zip Froperty Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Name 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) ` If building is less than 35,000 cu.ft.of enclosed space and or not under Construction Control then check here O and 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' Com pan Name p FLa JJE tA4f r Name of Person Responsible for ConsJci ,- _ Li nse No. and Type if Applicable Street Address City/Town State Zip > Tele hone No. (business) Telephone No. celle-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE 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 5('No O 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 1 9-/ ) 6 6.Total Cost $ (contact municipality)and write check number here SECTION 13: IGNATURE 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 best of /my knowledge and understanding. I� 9/� �/�I/ Z -'7 -�1"-�'� y/ PI e print and sign name- Title yy� Telephone No. Date Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: '� l Name Date 5 k _ } s Professional Land Surveyors �t Civil Engineers ' ESSEX SURUEY SERVICE. 1958 1986 OSBORN PALMER 1911 = .1970 BRADFORD & WEED .1885 -" 1972 PLOT.:,PLAN OF LAND LOCATED' "IN 1J AZ MASS . 16 �l - Lp' 61 Jz/✓ sJ�'Y �lC'�' r1 ✓ �l0 1 .11 �Al. Jr fi �rrS'1�J (I ,r IVF �J l�J1 P3 S oYVr Lr4o will -.' ILL I ereby certify , to the j buildings are. located ori ' he ground as shown .' " DATE. REFERENCE: BK PG Christophet R. Mello" PLSm31317 ' �1 : 3K317 ` M �^ IT- 104 LOWELL STREET PEABODY, MASS. 01960 (978) :531-8121 FAX: (978) '531-5920