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B-17-81 REMODELING K&B, ETC s . 2-1 CK 3 so ThAn*yiwii The Commonwealth of ��gghusetts Department of PublicX14 '3 A 6 Massachusetts State Building Code(780 CMR) DO Building Permit Application for any Building other than a Oise-or Two-Family Dwelling (This Section For Official Use Only).' Building Permit Number. Date Applied: 23 Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) C-VlZTJ s ,5 AM4E t ©191"1 No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK. Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair Alteration ❑ 1 Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No Is an Independent Structural Engineering Peer Review required? Y ❑ No ❑ Brief Description of P posed Work: rs,r�,�� a SECTION 3r 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)k 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 ❑ A4❑ A-5❑ B: Business ❑ E: Educational ❑ F. Facto F-1❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H4❑ H-5❑ L• Institutional I-1❑ I-2❑ I-3❑ I4❑ M: Mercantile❑ R: Residential 'R-10 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 a licable) IA IBO IIA 0. 1113 a- IIIA0 1119 C3 1V0 1 VA13 VBO 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: Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ Private❑ or inden ' Zone: or on sites stem❑ required❑cl trench or specify: �1' y permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: A4 tReview 1'ruye.�:: 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 OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: D building contain an Sprinkler System?: Special Stipulations: �0. .��- U Co Z, S LC SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of P operty Owner ' f 1?Ex L� Sic S� ra m Name(Print) 41 No.and Street City/Town Zip Property Owner Contact Information: n..�- Title Telephone No.(business) Telephone No. (cell) a-mail address If applicable,the property owner hereby authorizes I I Name Street Addfess 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) f budding is less than 35,000 cu.ft.of enclosed s ce and or.not under Construction Control then check hen Q and ski 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 Company Na e Naive of Person Responsible for Construction tt License No. and Type if Applicable ;,et. —�112— Street Address City/Town State Zip Telephone No.(business) Telephone No. celle-mail address SECTION 11:6tiORKEI:S'COMPENSA'T'ION INS i:ANCi At.Fll)�\Vl'!' 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 0 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 a Total Construction Cost x_(Insert here 2.Electrical $ appropriate municipal factor)s$ 3.Plumbing $ 1.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ D (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 best of my knowledge and understanding. Pl rutt and^n name Title Telephone No. Date T.� Street Addss City/ own State Zip L7 gam. Municipal Inspector to fill out this section upon application approval• Name Date 1-7 V7 ►51ii .mss y�e�7 l�'t4S Iy,P�.2f D EIec+ µp k Q SAC-K 006A + �toin r o f 2 FLOOR Q � f E 040 c e e E ocl (� clox+l Gios� r rl I k i I r i A TIC r 77A E MORTGAGE INSPECTION PLAN IN TO KIERAN MCALLEN SALEM, MASS. I CERTIFY THAT THE DWELLING IS LOCATED As SHOWN AND CONFORMED TO THE ZONING SET BACK REQUIREMENTS OF THE CITY OF REID LAND SURVEYORS SALEM WHEN CONSTRUCTED, OR IS 365 CHATHAM ST., LYNN, MASS. UNNDDERR MPT G�TITLE VII CH.ENFSEQ ORCEMENT (781) 592-2660 - plotplans®reidls.com )ewR.- OF C ! RALPH UNEP wwr No. 29422 1 2 STORY ALUMI f23 SIDED 0.038±ACRES • ASSESSED `gyp 19 — 21 MALL STREET CONDOMINIUM N/F REARDON NOTE: WHEN OFFSETS ARE ONE FOOT OR LESS A FULL INSTRUMENT SURVEY IS RECOMMENDED. I, HEREBY, CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE PREMISES SHOWN ON THIS PLAN ARE NOT LOCAT— NOTE: THIS PLAN WAS PREPARED FROM A ED WITHIN A SPECIAL FLOOD HAZARD AREA AS DELINEATED TAPE SURVEY AND IS INTENDED FOR ON THE MAP OF " ' ' COUNTY PREPARED BY THE MORTGAGE PURPOSES ONLY. OFFSETS SHOWN FEDERAL EMERGENCY MANAGEMENT AGENCY OR IT'S ON OR SCALED FROM THIS PLAN, ARE PANEL NUMBER 419 OF 6tm. SUCCESSORS DATED 600Z MAP #25009C0419G, APPROXIMATE ONLY AND SHOULD NOT BE OF ZONE X . ' I FURTHER CERTIFY THAT THIS INSPECTION WAS PER— USED TO DETERMINE PROPERTY LINES. FORMED IN ACCORDANCE WITH THE "TECHNICAL STAND— SCALE: 1" = 20' DATE: JAN. 27, 2017 ARDS FOR MORTGAGE LOAN INSPECTIONS" AS ADOPTED BY THE MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS BOOK: 35414 PAGE: 474 CERT. AND CIVIL ENGINEERS. THIS CERTIFICATION DOES NOT INCLUDE SHRUBS. WALLS, CONTROL t P17-0018 L FENCES OR DRIVEWAYS AS THEY DO NOT ALWAYS INDICATE PROPERTY LINES. PLL FILE No. 16939 TITLE ABSTRACT PROPERTY ADDRESS: 23 Mall Street, Salem PROPERTY OWNER($): Associate SolutionsLLC 35414/474 REMARKS: An LLC certificate has not been recorded. MORTGAGE(S): Current Owner-Associate Solution LLC 1. Recorded 11-03-16 Michael A. Shea and Michael P. Sheehan Executed 11-03-16 35414/476 $ 111,472.00 Prior Owners—Anthony H. Stvczko and Regina M Stvczko 2. Recorded 12-23-93 Brotherhood Credit Union Executed 12-22-93 12334/508 Expired 12-28-13 per MGL Chapter 260 Section 33 EXCEPTION(S): None Noted EASEMENT(S): None Noted ATTACHMENT(S): None Noted TAX LIEN(S): None outstanding for Kieran McAllen (buyer). DIVA None Noted PROBATE: None Noted EQUITY: None Noted BANKRUPTCY: Records Not Available I I