15 ECLIPSE LANE - BUILDING JACKET rrrr � ,��
UPC 10330 i�`�rr� 4
_No. 153E
HASTINGS. WN
--ISE/C. O. COPY
CER IF �A�TE OF OCCUPANCY
CITY OF SALEM Issued.` 1 Permit N:
�`' Ir SALEM, MASSACHUSETTS 01970 Cit of$alem Buitdin De t
-
A�Q�MINeCAN� -
DATE APRIL 27 19 99 PERMIT NO. 234-1999
APPLICANT FAFARD DEV CORP. ADDRESS 290 ELIOT STREET 1562
INC) (STREET) (CONTR'S LICENSE)
CITY ASHLAND STATE MA ZIPCODE 01721 TEL.NO. 518-881-1600
PERMITTO NEW BUILDING ) STORVi TWO OR MORE FAMILY NUMBER OF
DWELLING UNITS 4
(TYPE OF IMPROVEMENT) NO. (PROPOSED(ISE)
AT(LOCATION) 0015 ECLIPSE LANE ZONING R3 _
DISTRICT
(NO.I (STREET)
BETWEEN AND -
(CROSS STREET) (CROSS STREET)
SUBDIVISION MAP L LOT 0081 BLOCK 906 SIZE
LOT 15. 79 ACRES
t
BUILDING IS TO BE FT.WIDE BV FT.LONG BY FT.IN HEiGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS BUILD 4 UNIT CONDOMINIUM AS PER PLANS. BLDG 179 UNIT C ULTRA COACT-1. 3 OF 4
AREA OR PERMIT
VOLUME (CUBIC/SQUARE FEET) ESTIMATED COST 90. 450 FEE $ 589. 25 -
OWNER FAFARD IR. E. D. C. BUILDING DEPT.
ADDRESS 290 EL IOT STREET BY T J-- 5,
Commonwealth of Massachusetts
Sheet Metal Permit J
Date: (7'Z"741-f Permit#
Estimated Job Cost: $ -z Sr� Permit Fee: $
Plans Submitted: YES_ NO Plans Reviewed: YES_ NO x
Business License# Applicant License# Z/ 6 q
Business Information: Property Owner/Job Location Information:
el
Name: 1
�.CMral CDolaPafa*a1 1Tnc Name: aC%ttejd�7P i-rk)m
Street: % Na }{, rnagip c-tr . Street:1J- 6 u p5� LXne
City/Town:_W 6ha,rn� MR a/d'C1/ City/Town: 5�"n0 J tYK— . P( 1� cQc,7 � !�o
Telephone: 7 _q 1_ ,� 8,p Telephone:
Photo I.D.required/Copy of Photo I.D. attached: YES NO_
d-l-/ I-1 unrestricted license saerhwmt
4-2+H-3-restlicted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less
Residential: 1-2 family Multi-family— Condo/Townhouses_ Other
Commercial: Office— Retail— Industrial— Educational
Institutional_ Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft.— Number of Stories: 3
Sheet metal work to be completed: New Work:— Renovation:_
HVAC `�_ Metal Watershed Roofing— Kitchen Exhaust System—
/� Metal Chimney/Vents-_ Air Balancing._.
Provide detailed description of work robe done:
�2C-, le (W-[L -
INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Ye ] No❑
If you have checked Yes, indicate
/the type of coverage by checking the appropriate box below:
A liability insurance policy a A Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:l am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this b I he certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the bes of medge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
ProeressInspections
Date Comments
Final Inspection
Date Comments
I '.
Type of License: j
By Ma er
Title
❑ Master-Restricted
CityRown
❑Joumeyperson Signature of Licensee
Permit# /_
❑Journeyperson-Restricted ZO li
Fee$ License Number: - 7
Check at www.nu=.00lddol
Inspector Signature of Permit Approval