11 ECLIPSE LANE - BUILDING JACKET L
uu
® � s
UPC 10330
No. 153L
HASTINGS. MN
Green Dolphin Village
c% Crowninshield Management Corp.
18 Crowninshield Street
Peabody, MA 01960
(978)532-4800
May 26, 2015
Mr. &Mrs. Kevin Kelaher
1 I Eclipse Lane
Salem, MA 01970
RE: Replacement Doors and Windows
Dear Mr. &Mrs. Kelaher:
Thank you for your inquiry regarding the window replacements at your unit. Please be
advised that the Board of Trustees for the Green Dolphin Village Condominiums does
not object to the replacement of these windows providing that they match in appearance
from the existing, they must fit in the existing opening, molding size must remain the
same and they will not allow grids etc.
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 of this letter to the Building Department in
order to obtain your permit.
Should you have any questions or require additional information, please feel free to call
me directly at (978)532-4800 ext#232.
Sincerely,
P 5;4"
Jill Fama, CMCA
Regional Property Manager
Crowninshield Management Corp.
Managing Agent for Green Dolphin Village Condominiums
cc: File
FICO. COPY CERTIFICATE OFOCCUP NA CY
�BNB)T� Permit N:�Z
Issued.9/.?.�=Z2—
w CITY OF SALEM Ci of Salem Buitdin Dept.
SALEM, MASSACHUSETTS 01970
a o „
'moi ` fir! —1999
�A�lmNecf�' APRIL E7 g 99 PERMIT NO. cJ�lci6�
DATE -•�� ELI
STREET (coNTR— si— Iced
ADDRESS �
FAFARD DEV CORP. (NOI srREEn
APPLICANT 0171-1 TEL.NO, 508--BB 1-1600
STATE MA ZIPCODE�----� I'
CITY ASHI_RND NUMBER OF Si
DWELLING UNITS —'
PERMITTO NEW BUILDING ( No) sroRv TWO OR MU RPOEE FAMILY ZONING
(TYPE OF IMPROVEMENT) DISTRICT R=_
OIT11 ECLIPSE LA
�) AT(LOCATION) (NO.) (STREET)
AND (CROSS STREET)
EN (GROSS STREET) 908 SIZE
1J. 79 ACRES
MAF' 07 LOT OOB1 BLOCK
�I SUBDIVISION
_��
FT.LONG BV��FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
BUILDING IS TO BE FT.WIDE BY
BASEMENT WALLS OR FOUNDATION (TYPE(
—'—
roTYPE� USE GROUP
--- BLDG 179 UNIT A ULTRA COACHII OF 4
REMARKS: BUILD 4 UNIT CONDOMINIUM AS PER FLANS.
90 450 FEE
PERMIT Q J
C
ESTIMATED COST$
AREA OR
VOLUME (CUBIGSOUARE FEET)
DING DEPT
BUIL
OWNER
FAFARD R.E. D. C. By
ADDRESS 2910 ELIO-f STREET
GK 3 ��(So
The Commonwealth of Massachusetts
00 Department of Public Safety
Massachusetts State Building Code(780 CMR)W -
_ Building Permit Application for any Building other than a One-or Two-Familpwel"
(this Section For Official Use Only) =n
�n Building Permit Number. Date Applied: Building Official• ti J=
SECTION 1:LOCATION(Please Indicate Block#and Lot#for locations far which a street address is not available .n
t j 11 C-ell z m e. 5ahem 1 D
No.anti Street City/Town Zip Code Name of Building(if applicMe)
r SECTION 2:PROPOSED WORK - co,
LEdition of MA State Code used_ If New Construction check here 0 or check all that apply in the two rows below
1 Existing Building Repair Alteration Addition❑ Demolition ❑ (Please fill out and submit Appendix I)
Change of Use ❑ IChaniteofOccu, Other ❑ Specify. r
Are building plans and/or construction documents being supplied as pan of this permit application? Yes 0 No Or
Is an independent Structural Engineering Peer Review required? Yes O No
Brief Description of Proposed Work MIX bath renovdtlen5 . Reotace- ya.ntty:
rce4kg, -fat-let . r-e-nw✓r sGrpwrrstall . VernaVe iaCu'>�,i an
r^e4 arP eve-th L.3a/K rin 5' Aeile-)n,
d r S rb C,.)J-6er M,57,
SECTION 1 COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
l�( CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0
Existing UseGroup(s): - - - Proposed UseGroup(s):
SECIION4:BUILDING HEIGHT AND AREA
. . Existing Proposed
No.of Floois/Stories(include basement levels)&Area Per Floor(sq.R.)
Total Area(sq.k)and Total Height(it.)
SECTIONS:USE GROUP Check as a Ik le)
A: Assembl A-t 0 A-2 0 Nightclub 0 A-3 0 A-10 A-5❑ -B: business 0 E: Educational ❑
R Facta F-t❑ F2 0 H: Hl h Huard H-1❑. H-2❑ H3 0 H417 H-5 0
F. Institutional 1-1 0 1-2 0 1-3 0 14 0 M: MereanHle 0 It. Residential R-10 - R-2 0 R-3❑ - R4 0
S: Storage S-1❑ S-2❑ U.. utility❑ - Special Use O and please describe below:
Special Use:,
SECTION&CONSTRUCTION TYPE(Check as applicable)
IA ❑ too IIA ❑ IIB O ILIA 0 IIIB O IV ❑ 1 VA ❑ VB O
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details an each item)
Water Suppl Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal-
-Public V Check if outside Float Zone Indicate municipal 0 A trench w f not be. Licensed Disposal Site
Private❑ or indentify Ztme: or on site system❑ required Wor trench or specify:
permit is enclosed❑
Railroad right-of-wa • Hazards to Air Navigation: 4r\t lide.rir l.nnmicsi.m Rr,icwa!rn.c_s:
Not Applicable 1 Is Structure within airport ap roach area? Is their review completed?
or Consent to Budd enclosed❑ Yes C or No I Yes 0 No O
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
rditian of Code: Use Group(s): Type of Construction: Occupant Load per Floor.
Doe�the building ctnat.iin an Sprinkler System?: Special Stipulations:
Ei G
'I m fa a L-el-)
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner 1
�/ PTL
/1Gi/lA �ba 11 fo�I�ase � I rx Ma. ZI
Name(Print) KC.ale✓ No.and S reet City/Town P
Property Owner Contact Information: 7gl'8 7Q7°1
9'1 59�1 1 9W- 3y laherl��acas
e-mail address
Title Telephone No. mess) Telephone No. (cell) nt°
If applicable,the property owner hereby authorizes t k6gs
n d �5 15l�mer)L<t�r. —�
Name Street Address City/Town State Zip
to act on the ro r ownels Ixhalf,in all matters relative to work authorized this building permit application.
SECTION 10 CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building B less than35,080 cu.it of enclosed s and or rot under Con-n-HonConMol then check hoe vm ski Section 10.1
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. email address Registration Number
Street Address CIty/Town State Zip Discipline Expiration Date
10.2 General Contractor
r i �z
?
Compani Name I 'Y '?�/CSFA-
Name of rson Responsib for fC�onstruction / License No. and Typye�ij Applica e/
J�uC/� I /rKY�I
Street Address City/Town State Zip
trn�1-A/fig 9( JyfS/I. (2p04
Tele.hone No. business Tele h me No. cell e-mail address
SECTION 11:VVOFP:tI:ti'COAII'ENS PION INS KANCE AI'FIVAVD' G.L.C.M 25C 6
A Workers'Compensation Insurance Affidavit from the Iv1A Department of in,
Accidents must be completed and
submitted with this application. Failure to piovide this affidavit will result in the denial of the issuance of the building permit.
is a signedAffidavit submittal with this application? Yes 0 No 0
SECTION IT CONSTRUCTION COSTS AND PERMIT FEE r7a1n ��
Item Estimated Costs: s abut Toad Construction Cost(from Item 6)_$ /o�/�•
and Materials)
1.Building $ 000' 4fl Building Permit Fee—Total Construction Cost x_(insert here
Z Electrical $ f7 00, I appropriate municipal factor)_$
3.Plumbing $ '010 Note:Minimum fee=$ (contact municipality)
A.Mechanical (HVAC) $ {+
5.Mechanical Other - $ Enclose check payable to
6.Total Cost - $ V0,91 6V (contact municipals and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,1 hereby attest under the pains and penalties of perjury that all of the information contained in this
a plication is true and attumte to best of my knowledge and understanding. 5 .
�Ivn�i .
frNe 9' _SDR 39Ioa l0 0�� S
Pie int and si me �e2 / Title a Tele hone N Date
r/C t ✓. ff 2�_ �(� 18
Street Address City/Town Stue Zip
Municipal Inspector to fill out this section upon application approval:
Name Date
The Commonwealth of Massachusetts
ri E D CITY OF
Board of Building Regulations and Standardso
Massachusetts State Building ejae°,EFS6IC&u SERVIGES SALEM
Revtred Mar 2011.
Building Permit Application To Construct,Repair, pvple t De o"a
One-or Two-Family Dw�A ,
This Section For Official Use Only
Building Permit Number. Dade A 'e&
77 - Jul
L n Building 016aal(Pratt Name) - Sigaan¢e Dade
U SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers a
11 Eclipse LANE Salem MA 01970 07-00'11-10
1.1 a Is this an act street?yes no Map Number Parcel Number
13 Zoning Information: 1.4 Property Dimensions:
Gordo
ZoningDistrict Use Lot Area ft F ft roatege(Proposed (sq ) )
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Suppiy:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private 17 Zone: _ Outside Flood Zone? Municipal E3 On site disposal system O
Cbeck if
SECTION 2: PROPERTY OWNERSE[W
LI Ownerr of Record:
Kevin Kelaher Salem- MA 01970
Name(Print) city,State,ZIP
11 Eclipse LANE 978-594-0167
No.and Sweat Telephone Email Address
,SE ION 3:DESCRIPTION OF PROPOSED WORD'(check all that apply) _
New Construction 0 Existing Building Owner-Occupied Repairs(s) Alteration(s) t] 1 Addition Cl
Demolition O Accessory Bldg.O 1 Number of Units_ I Other specify: Replacement
Brief Description of Proposed Work:Replacing 7 Windows, no structural changes.
SECTION 4:ESTIMATED GONSTRUCITON COSTS
Item Estimated Costs-
item Use Only
aabor and Materials
1.Building $13,801.00 1, Building Pormit Fee:$ Indicate how See is determined-
2.Electrical $ 13 Standard Cily/fown Applies Fee -
O.Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2- Other Fees: $
4.Mechanical MVAC) $ UsL
5.Mechanical (Five $ Total All Fees,$
Suppression)
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $13,801.00 0 pad in Full U Outstanding Balance Due:
fy) l2 t l-�o -1 Z�
L
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 90125 10-06-16
Jaime Morin LiceuseNummber Expiration Date
Name of CSL Holder
List CSL Type(see below) U
86 Gardiner ST
No.end Stet IYPe Description
U Unrestricted(Buildings to 35.000 cu.ft.
Lynn MA 01905 R Restricted lA2 Family Dwelling
Cityfrown,State,ZIP M Masonry
RC Rooting Cov
WS Window and Sidiog
SF Solid Fuel Burning Appliances
508-351-2200 x 55285 1 insulation
Telephone Email address D Demolition
5.2 Registered Rome Improvement Contractor(HIC) 170810 12-23-15
Renewal by Andersen HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
30 Forbes RD
No.and Street Email address
Northborough, MA 01532 508-351-2200 x 55285
C' /ro ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.0.15L§ 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
L as Owner of the subject property,hereby authorise Jaime Morin
to act on my behalf;in all matters relative to work audiorized by this building permit application
Kevin Keleher
Print Owner's Neme(Electronic Signature) Dam
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION.
By entering my name below,I hereby der pains and penalties of petimy that all of the informstion
contained in this application is trite aexarate to a best of my knowledge and tmderatending.
Jaime Morin 7 " 2( - '
Print Owner's or Authorized A s mc.Signature) Date
/' NOTES:
1. An Owner who obtains Lt 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 fiord under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mess.eov/ors Information on the Construction Supervisor License can be found at www.meas.eov/dos
2. When substantial wait is planned,provide the information below:
Total floor area(sq.fL) (including garage,finished basementlattics,decks or ponk)
Gross living area(sq.fL) Habitable room count
Number of fireplaces Ntmuber 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"