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98 WASHINGTON SQUARE EAST - BUILDING JACKET rSuperTab.Owsiz WOMMS 90%Larger Label Area : swan Ill SMEAD KEEPING YOU ORGANIZED Na 1Qd@t wrr�.rM r wNbYRA GETORGANMEDAT SMEAD.00M MR.om mcmw is �azeasr Permit Listing Report by District Printed On:Tar Feb 28,2017 SQL Statement:Street No.like"98"AND Street like"WASHINGTON SQUARE EA" District Address(Work Location) District Zoning Owner Work Category Est.Cost Proposed Use And Detail Permit Type Permit No Online Permit No Permit Status Date Issued Contractor(Phone#) Work Description Fees Paid Check# 98 WASHINGTON R2 Hill Properties Inc RENOVATIONS $900,000.00 Residential Other SQUAREEA Building 311-12 Expired Sep-29-201 I Hill Properties/Michael Hill(781)953-0119 TOTAL RENOVATIONS(12)UNITS INCLUDING SPRINKLER SYSTEM jbh $9,905.00 596 98 WASHINGTON R2 MELBA APARTMENTS,LLC REPAIP/REPLACE $1,800.00 Commercial SQUAREEA Building 971-10 Expired Jun-24-2010 Hill Properties/Michael Hill(781)953-0119 REPAIRS TO CHIMNEY AND RUBBER ROOF DUE TO LIGHTNING STRIKE $27.00 2603 98 WASHINGTON R2 MELBA APARTMENTS,LLC GAS $0.00 Residential Other SQUAREEA Gas g-174-13 Expired Oct-31-2012 MELBA APARTMENTS,LLC bsmt: l dryer $50.00 x 98 WASHINGTON R2 MELBA REALTY TRUST GAS $0.00 Residential Condominimium SQUARE EA(0098 WASHINGTON SQUARE EA) Gas G336-06 Expired Jan-30-2006 New England Gas Systems Inc(978)774-7030 G336-06 TEST GAS LINES DR $25.00 10337 98 WASHINGTON R2 MELBA APARTMENTS,LLC GAS $0.00 Residential Other SQUAREEA Gas g-350-12 Expired Feb-15-2012 George Batsinelas(978)532-4399 3rd fl:4 ranges,4 water heaters,4 dryers,4 rooflop units,4 gas logs $480.00 x GcoTMS®2017 Des Lauriers Municipal Solutions,Inc. Page 1 of 3 Permit Listing Report by District District Address(Work Location) District Zoning Owner Work Category Est.Cost Proposed Use And Detail Permit Type Permit No Online Permit No Permit Status Date Issued Contractor(Phone#) Work Description Fees Paid Check# 98 WASHINGTON R2 MELBA APARTMENTS,LLC GAS $0.00 Residential Other SQUAREEA Gas g-360-12 Expired Apr-23-2012 SCOTT MATTON(978)532-2612 U bsme 4 furnaces,2 water heaters,4 dryers,1st fl:4 ranges, 2 water heaters,444 gas logs,2nd fl:4ranges,4 terraces,4 water heaters,4 dryers,4 gas logs,3rd fl:4 ranges,4 watr heaters,4 dryers,4 gas logs,4th fl:4 roof top units $1,560.00 x 98 WASHINGTON R2 MELBA REALTY TRUST GAS $0.00 Commercial Other SQUARE EA(0098 WASHINGTON SQUARE EA) Gas G62-07 Expired Nov-02-2006 New England Gas Systems Inc(978)774-7030 (13)HEATING BOILERS $385.00 Cash 98 WASHINGTON R2 MELBA APARTMENTS,LLC HVAC $40,000.00 Residential Other SQUARE EA HVAC 643-12 Expired Feb-06-2012 Nuzzo Mechanical (617)387-2444 INSTALL(12)2.5 HEATING AND COOLING UNITS jbh $285.00 6833 98 WASHINGTON R2 MELBA REALTY TRUST PLUMBING Residential Two or more units SQUARE EA(0098 WASHINGTON SQUARE EA) Plumbing P62-07 Expired Nov-16-2006 Maihos Plg.&Htg. (5)BACKFLOW PREV. $160.00 Cash 98 WASHINGTON R2 MELBA APARTMENTS,LLC PLUMBING $0.00 Residential Other SQUARE EA Plumbing p-291-12 Expired Jan-06-2012 George Batsinelas(978)532-4399 bsmt 4 water closets,4lavatories,4 bathtubs,4 laundry trays $460.00 x GwTMS®2017 Des Lauriers Municipal Solutions,Inc. Page 2 of 3 Permit Listing Report by District District Address(Work Location) District Zoning Owner Work Category Est.Cost Proposed Use And Detail Permit Type Permit No Online Permit No Permit Status Date Issued Contractor(Phone#) Work Description Fees Paid Check# 98 WASHINGTON R2 MELBA APARTMENTS,LLC PLUMBING $0.00 Residential Other SQUARE EA Plumbing p-349-12 Expired Feb-15-2012 George Batsinelas(978)532-4399 3rd fl:8 water closets,4 kitchen sinks,12 lavatories,5 bathtubs,3 shower stalls,4 dishwashers,4 disposers 4 laundry tmys,4 tankless $455.00 x District( )TOTALS: ESTIMATED COST: $941,800.00 NUMBER OF PERMITS: 11 FEES INVOICED: $13,792.00 FEES PAID: $13,792.00 BALANCE: $.00 GRAND TOTALS: ESTIMATED COST: $941,800.00 NUMBER OF PERMITS: 11 FEES INVOICED: $139792.00 FEES PAID: $13,792.00 BALANCE: $.00 GeoTMS®2017 Des Lauriers Municipal Solutions,Inc. - Page 3 of 3 mill S: m AIA Document G70C - 2000 :T Certificate of Substantial Completion PROJECT:!Name and address) PROJECT NUMBER: Z . OWNER Jttt�Jrn*s�1 EvN CONTfiACTFOR: CONTRACTOki E: t�_ .`,R��Oi:, CONTRACTOR N 10 OWNER:(Name and address) TO CONTRACTOR:(Name and address) FIELD(84 ":4Li,�\;-k-N�N�izZ-5 kQC ZAS<s Project or portion of the Koject desigtrated for partial occupancy or use shall include: This Certificate is for all portion of the Building and Site omitting only the Natatorium.Specific portions of the work identified as INCOMPLETE on the attached Punch List are accepted but are subject to individual Punch Lists as they are completed. . The'Work performed under this Contract has been reviewed and found,to the Architect's best knowledge,information and ' belief,to be substantially complete,Substantial Completion is the stage in the progress of the Work when the Work or designated portion is sufficiently complete in accordance with the Contract Documents so that the Owner can the Work for its intended use.The date of Substantial Completion of the Project or portion designated above' issuance established by this Certificate,which is also the date of commencement of applicable warranties Contract Documents,except as stated below: Watratay Date M Commencernent ARCWTECT 7lsigrrahve) DATE OF ISS ANCE A list of items to be completed or corrected is attached hereto.The failure to include any items on such list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents.Unless otherwise agreed to in writing,the date of commencement of warranties for items on the attached list will be the date of issuance of the final Certificate of Payment or the date of final payment. 31 Cast estimate of Work that is incomplete or defective: S '"t! t���+ -� L ��,,OQDI 'Me Contractor will complete or correct the Work on the IISAof dr-- ch hereto within thirty ( 30 )days from the above date of'Sub Tial t n C OU nJ DATE The Owner accepts the Work or deliated portion as substantially coAplete and will assume full possession at �" CQVQCk0ime)on j����l72- (dare), PTTc�-''''��''�//tet 1 tj;' 9e A//1 f L OWNER 'o'•argnahveJ - DATE _ The responsibilities of the Owner and Contractor for security,maintenance,heat,utilities,damage to the Work and insurance shall be as follows: (NOTE:Owner's and Carmractor's legal and insurance ci)unrel should determine and review tsura ce requirements and coverage.) The Owner will assume responsibility for all items listed above for all accepted areas of the project except INCOMPLETE items. AIA DaI umem.G704"'–zoos.Copyright o 1963,1976,1992 and 2000 by The American inshude of Anataeds.An rights resamed,wARNIfK,:«l1-. AIX LMcumr•nt;5by U.S,Copyngbt l.a-=nitd tninl' of-ps4i fnalithv ;.A, - ,,;ie0i0;.Uor.w i(li-4aW ' Or.:ny naAian aE i;may rx«u3t its suvor<.civil:rue c.in,innt yunaaias,and v.t{I fin pf'n.Cr.plrh,!,rJnr:matin+.p,u Sauna I��rislhle unur:ifn.1;•�.,TN4 document was created on 1ei2512011 19:46:59 under the tears of AIA Documents W)eemand—order no. 2009340163 ,ant Is n&for resale.Ttds document is limnsw by the American institute of AmInterls for One-time use Only,and may nOt be repmds d Prof t0 As 0MVIdf0n. d 1_ A Document G704" - 2000 Certificate of Substantial Completion PROJECT:(Name and address) PROJECT NUMBER: OWNER 0 1�J l vc`+rte tt7 �Q9[—rte,�O^CONTRACT FOR: --jv1`' �.3i `L t:! CONTRACT DATE: Rl� ©i 1 CONTRACTOR N TO OWNER:(Name and address) TO CONTRACTOR:(Name and address) FIELD IH a A4510t� Js,� ,O . 7 OT R Project or portion of the Project designated for partial occupancy or use shall include: This Certificate is for all portion of the Building and Site omitting only the Natatorium.Specific portions of the work identified as INCOMPLETE on the attached Punch.List are accepted but are subject to individual Punch Lists as they are completed. The Work performed under this Contract has been reviewed and found,to the Architect's best knowledge,information and belief,to be substantially complete.Substantial Completion is the stage in the progress of the Work when the Work or designated portion is sufficiently complete in accordance with the Contract Documents so that the Owner can a c the Work for its intended use,The date of Substantial Completion of the Project or portion designated above• a }� issuance established by this Certificate,which is also the date of commencement of applicable warranties Contract Documents,except as stated below: yta� Date of CommiTeff ant t���C•'�I�C`�-cUP4��CS AR(:RrrECT /(Signature) DATf OF A list of items to be completed or corrected is attached hereto.The failure to include any items on such list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents.Unless otherwise agreed to in writing,the date of commencement of warranties for items on the attached list will be the date of issuance of the final Certificate of Payment or the date of final payment. Cost estimate of Work that is incomplete or defective: s 00 t SXAkD —MVP ' The Contractor will oomplete or correct the Work on a ist of itr^k ed hereto within thirty ( 30 )days ft' e ove dot of 5ub3t�ttia[ etion DATE The Owner accepts the Work Ord desi aced portion as substantially aof lilete and will assume full Possession at ;�GGV(Wime),on gjN�jY -7, (date}, ` OWNER u4•i,ugnrat ie) DATE . The responsibilities of the Owner and Contractor for security,maintenance,beat,utilities,damage to the Work and insurance shall be as follows: . (NOTE,Owner's and Contractor's legal and insurance cdunsel should determine and review innvance requirements and coverage.) The Owner will assume responsibilty for all items listed above for all accepted areas of the project except INCOMPLETE items. �1 Auo«umenIG704TM—mao.cooyrrgtam1961 1976.1992 and zoos by Thenmenwn lnsfitme of Arcl*ede All morons none WARNIN i:- AIA°Document is o fiictad by U S.i:nAyr WIt 1 a+nnJ int r tp:L,Pp1 rreai: a,:her :t. .Jtp:i�.t r.;^•�itu:f >. t_niiC r oN.r,y portion ori;May rer.n iu e0v11m::Tail onr'oAmin:rl fx�nanins,ani+wit,bn k':geCCUIeC to in+t::mxn!"..vin(:a Wot Po`sd;la nniir ihn,�D,— This document was created on 10025MI1 16:46:59- under the terns of ALA Docurrdvd m)or ard" order no. 200swi93 ,and is not for resole.This document is licensed by the American Ir s lune of Arcmeds for onetime use only.end may not be reproduced Prior to its completion - Certificate of Compliance Control Construction PROJECT ADDRESS: BUILDING PERMIT # In accordance with the ov sions of Section 116.0 of the Massachusetts State Building Code, 1 hereby certify that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCHITECT!=ENGINEER. (Please Print Name). i (5ignaturee I DATE_ 7 ! cam) ! Z tri ltl£.� COMMENTS: F � Cd'o3M1FJN Seal. r, Certificate of Compliance Control Construction PROJECT ADDRE55: Cwt �h l fJl`l� CD BUILDING PERMIT # Z` \ —\ -7— In ` \ —\?In accordance with the provisions of Section 116.0 of the Massachusetts State Building Code, I hereby certify .that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCH ITECTGENGINEER: <-- .QGC: (Please Print Name). -�, (5ignature) DATE: t t-201 Z COMMENTS: SfREOt c M TkN ryr }Y } � ''ti:avti«ao' Seal. Certificate of Compliance Control Construction PROJECT ADDRESS. cls J) vf4L F A 'L'�Yc <Dkq- `o BUILDING PERMIT # �2 t l Z In accordance with the provisions f Section 116.0 of the Massachusetts State Building Code, I hereby certify .that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is y suitable for occupancy in accordance with the provisions of Section 116.4. ARCH ITECTGENGINEER: (AS ^r- kkr, (Please Print Narney r�7 �, (Signature) DATE: a COMMENTS: L' -ON, Sear Certificate of Compliance Control Construction PROJECT ADDRESS: til S�ctA �aGV c� BUILDING PERMIT # �12 In accordance with the provisions of Section 116.0 of the Massachusetts State Building Code, I hereby certify.that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCH ITECT/,ENGINEER-- (Please Print Name) (Signature) DATE: -715 L ! ?Q(2- COMMENTS: 140. u 1 Seal. Certificate of Compliance Control Construction PROJECT ADDRESS: CIQ)i._W/At5S-0i�xc�c�yv BUILDING PERMIT In accordance with the provisions f Section 116.0 of the Massachusetts State Building Code, I hereby certify .that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCHITECT/-ENGINEER: D.nr A C CZ�o � (Please Prrin Name) (Signature) DATE: --ZJ2�A 12O(Z COMMENTS: t Nm 3299 t Seal. Certificate of Compliance Control Construction PROJECT ADDRE55: a q BUILDING PERMIT # ALL —ti2J In accordance with the provisions of Section 116.0 of the Massachusetts State Building Code, I hereby certify that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCHITECT/-ENGINEER: `�J�a�c��C� C4 (Please Print Name) u r.. : a (Signature) DATE: / , /Z' ) COMMENTS: n � e"' Seat. Certificate of Compliance Control Construction PROJECT ADDRESS: BUILDING PERMIT # C2At—t? _._ In accordance with the provisions of Section 116.0 of the Massachusetts State Building Code, I hereby certify that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCHITECTGENGINEER: CCS C O^e2 C� (Pleassee Print Name). (Signature) DATE: '? COMMENTS: No. 3299 ' BOSTON +vylt �lyf 4�As�t+m�,s Seat. Certificate of Compliance Control Construction PROJECT ADDRESS: �CAI-/u c BUILDING PERMIT # In accordance with the provisions of Section 116.0 of the Massachusetts State Building Code, I hereby certify .that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCH ITECTGENGINEER: 17)0J (Please Print Name) (Signature / DATE: /�k ! r, S� B 4. COMMENTS: `U' SHrr. KIE1S 3299 « BQSFAN. Seal. Certificate of Compliance Control Construction PROJECT ADDRESS: BUILDING PERMIT # In accordance with them provisions of Section 116.0 of the Massachusetts State Building Code, I hereby certify.that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCHITECT/ENGINEER: (Please Print Name). tr� .,: �.........., ........... (Signature) DATE: 7 /7v4 1201Z A40 '�tcRE9. r 1 COMMENTS: ^ � NIX 3299 Tp% Seal. Certificate of Compliance Control Construction PROJECT ADDRESS: W l bGt�x �QL BUILDING PERMIT # In accordance with theprovisions of Section 116.0 of the Massachusetts State Building Code, I hereby certify .that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is ' suitable for occupancy in accordance with the provisions of Section 116.4. ARCH ITECTIENGINEER: (Please Print'Name). {Signature) DATE: 7 1 SI /2.®/2 COMMENTS: P. G y F 1-7 ST N, ' Seal. Certificate of Compliance Control Construction er i•i t�;: {-�-( �L � " .�.� 1 PJC` PROJECT ADDRESS: of(3 Wf�ff6l Gi�'C4dyc'✓�� 15N-IEJ t; �,AA O ttt?t� BUILDING PERMIT # �` 2 In accordance with the provisions of Section 116.0 of the Massachusetts State Building Code,'[ hereby certify that the construction is in accordance with said plans and specifications, except as noted below, and that the Structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCHITECT!-ENGINEER: (Please Print'Name). t Signature) DATE_ __Zt�� /"-0'2.. st a� COMMENTS: m i Ma 3.299 g w: BG&ToN . IVIG �sdvn ii`a`' Seal. Certificate of Compliance , Control Construction •"w .``` '..�.�S��l�o�'.-fit j-1-�?� PROJECT ADDRESS: BUILDING PERMIT in accordance with the provisions of Section 116.0 of the Massachusetts State Building Code, I hereby certify .that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is suitable for occupancy in accordance with the provisions of Section 116.4. ARCH ITECT/-ENGINEE R: _ (Please Print Name? , . . . . . ._... .... ... . _. (Signatur.e.} DATE: —71 l / 20Z �t Ilk COMMENTS: ..,_ _ ...._ a. No, 3agg .. 4 7 M 'r Seal. Certificate of-Compliance Control Construction PROJECT ADDRESS:,c� BUILDING PERMIT In accordance with the provisions of Section 116.0 of the Massachusetts State Building Code, I hereby certify.that the construction is in accordance with said plans and specifications, except as noted below, and that the structure is ' suitable for occupancy in accordance with the provisions of Section 116.4. ARCHITECT/.ENGINEER: '(Please Print Namej (Signatur DATIE: .-7 /S\ f2,o12 COMMENTS: Seat. �� Commonwealth of Massachusetts I / Sheet N[etal Permit Date: .2 /1 Permit # Fstimated Job Cost: .SJ ), (,�'�d Permit Fee: S r PLm, S(Ibmillcd: YES _ NO Plans Reviewed: YES_ NO Business License # .31-5 Applicant License # 5;3�/3���� Business Infionriation: Property Owner/Job Location Information: Name: W7,7xi (Cl [( I Name: street: 7y/ �)�Gf�(�Gt� / Street: City/Town: awj'WCity/'town: ..fal-111 ) / 'rciephone: L/ 7 3 U 2 W Telephone: Photo I.D. required/Copy of Photo LD. attached: YES / NO Swff Initlal J-1 / i\1-1-unrestricted license J-2/ M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq�ft. / 2-stories or less Residential: 1-2 family_ Ntulti-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: 0 Sheet metal work ti he completed: New Work: _ Renovation: I:VAC_ Metal Watershed Routing_ Kitchen Exhaust System_ Metal Chimney/ Vents_ Air Balancing Provide detailed dcsuription of work to be done: Lin .�- 9� �3 cr.tiJb,,, ff �tiJ , IU4lb� r r INSURANCE COVERAGE: I have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes RJ<No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy L2 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I 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 ❑ Signatu Owner or Owner's Agent By chocking this boxo,I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge 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 Progress Inspections Date Comments Final Inspection D tl� Continents Type of License: 4,raie ❑Master ❑ klaster-Restricted ❑Journeyperson Signature of Licensee ❑Journeyperson-Restricted License Number: Check at w:v:v.m.ts,.quv6lL i r r /Q I The Commonwealth of Massachusetts Department of Public Safety NlaSachusctts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) Nn.and Stree City/Torun 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❑ 1 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? Yes ❑ No ❑ Brief Description of Proposed Work: 5 LGTjt/� b�[�Li71 O A6501�e 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 CNIR 34) ❑ Existing Use Group(s): Proposed Use Gmup(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.) - 000 Total Area(sq. ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as; licable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-I ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional 1-1 ❑ 1-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑ S: Storage S-1 ❑ S-2❑ 1 U: Utility❑ Special Use❑and please describe below: Special Use SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ Ill ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VA ❑ 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: Public` -- Check if outside Flood Zone❑ Indicate municipal ❑ A trench will not be Licensed Disposal Site❑ required ❑or trench or specify: Private❑ or iodeatify Zone. mr on site system❑ 1 permit is enclosed ❑ Railroad right-of-way: Hazards to Air Navigation: Not Applicable Is Stricturg within airport approach aroa? Is their review completed? or Consent to Build enclosed❑ Yes❑ or Now I Ycs 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 Slipulotions: g v SECTION 9: PROPERTY OWNER AUTHORIZATION N.une and Address of Property Owner - /���k .TA/G im 6 AIL,'v ✓e, �,d¢A 4 M ua / y Nome(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes Nance Street Address City/Town State Zip to act oil 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 �„P L/eu� r't�1 2b23F2 ao 33 145 OU00 Nano(Ro istrnt) Telephone No. e-mail address Registration Number) Street Address City/ f wn State Zip Discipline Expiration Date 10.2 General Contractor \ 7 SorV;(e s OFdf/lO Company Name & mie �j;CL do i /ear;e l AS 6y�OD / /lzC &% -ok Name of Person Responsible for Construction License No. andand Ty�iclible ,391 Street Address City/Town State Zip Telephone No. business Telephone No. cell e-mail address SECTION 11: wORi:67a'CO3\1111N SA I ION[tVSURANCI',Al 1-1 PAVI l' 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❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1. Budding S Building Permit.Fee,=Total Construction Cost x (hisert here 2. Electrical $ appropriate municipal factor)_$ 3. Plumbing $ 1. Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5. Mechanical Other $ Enclose check payable to 6.Total Cost $ L 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,ill of the information contained in[his application is true and accurate to the best of nw knowledge and understanding. z Please print and sign name "title Telephone No. Ua - [--fir, Street :\Jdress CitV/Town ate Zip M1funicipal Inspector to fill out this section upon application approval: S r S1, Name Dale I � L The Total Group, Inc. PO Box 185 Swampscott, MA 01907 781-593-9400 Hill Properties, Inc. 6 Albion Ave Stoneham, MA 02180 Job Site: Melba Apartment, LLC 98 Washington Square East Salem, MA01970 Secure All Demolition permits Scope of work Basement: 5,500 sq.feet Removal of 50 gallon water heater and 2 oil tanks. Demo laundry walls to studs, ceiling to studs Demo tool room walls to stud, ceiling to studs Demo all ceiling to studs Remove all loose debris Cut out plumbing as needed Cut out electrical as needed Scope of work first floor 5,500 sq.feet Remove all loose debris Demo walls, ceilings to original stud framing, floors to sub-floor Scope of work second floor 5,500 sq.feet Remove all loose debris Demo walls, ceilings to original stud framing, floors to sub-floor Also remove all debris and Demo half walls to stud, floors to sub-floor under tar and gravel roof Scope of work third floor 3,750 sq.feet Remove all loose burnt debris Remove burnt exterior walls as needed to the second floor deck Demo walls, ceiling to original stud framing,floors to sub-floor Demo and dispose of 2 exterior decks. Demolition of second floor tar and gravel roof to roof rafters and be responsible to handle any Asbestos issues if needed. Demolition of third floor rubber roof to roof rafters and be responsible to handle any Asbestos issues if needed. Cut around nine fire places and wrap for protection Removal of all 130 windows Strip and remove two layers of siding to the sheathing, vinyl and wood clap board Wrap and secure brick chimneys. $z.oq Cr., 304<&g AI The Commonwealth o f Massachusetts Department of Pule}f 09 Massachusetts State Build' 8 Building Permit Application for any Building other than a One-or Two-Family Dwelling ("Phis Section For Official Use Only) Building Permit Number: Date Applied: Building'Official: " SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) . ar by a_ clvvi t 2 5a eu r 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 K I Alteration ❑ 1 Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ Is an Independent Structural Engineerin eer Review required? r` Yes ❑ No ❑ Brief Description of Proposed Work: �t `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❑ I B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ H Hazard H-1 H-2❑ H-3 ❑ H-4❑ H-5 I: Institutional I-1❑ I-2❑ 1-3❑ I1 ❑ M. H., HiMerc ❑ ❑ antile❑ R: Residential R-111 R-2❑ R-3❑ R-4❑ 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 ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ VA ❑ 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: 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 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: 11[28 MAtI t—D TD �.C. LA-) � Y SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner is lKaran ( ttl favl r101� 2 Sz(el ti Ml� Name(Print) V No.and Street' City/Town zip Property Owner Contact Information: pp --t/�t--_t a- 431�7__ Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes e-jal.t td 4, a 490 WaS�—gf.,, Sf. Y/,q 0/I0/ Name Street Address Ci /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 Wa 4 Of 6t SSaU r -5q3- 6G 3 L? 6664 046t6qZ a�o N me(Regis ant y T le MAphong�I _ e-mail address © O Registration Number � M (_ Street Address 'City/Town State Zip Discipline Expiration Date 10.2 General Contractor F Company.Name Name of Perso��o Wt Constru 'n License No. and Type if Applicable Street Address — U_ ty/Town ntate Z' 0-fig 3c) "I/I Aawjj nqw Telephone No.(business) Tele hone No. cell j e-mail addr SECTION 11:WORKERS'COMPENSATTON 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❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor c and Materials) Total Construction Cost(from Item 6) 1.Building $ Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ ( l)o o 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 best of my knowledge and understanding. Please print and sign name Title Telephone No. Date Street Address City/Town State Zip 4 i9 j Municipal Inspector to fill out this section upon application approval: ice _'Lu^ Name e Dale" L_