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104 BRIDGE STREET - BUILDING JACKET � oLi ST rsupe �9b. Oversized-Tab Folders 90%Larger Label Area /// I S MEA KEEPING YOU ORGANIZED No. 10301 PATENTPENDINCI (Z�jJFSUSTTAAEIE MIN.RECYCLED y INITIATIVE CONfENT70Y. e.ma.arene..�., ®.a POSTCONSUMER �+sar.aMWM Mm MADE IN USA GET ORGANIZEDAT SMEAD.COM r r - � CITY OF SALEM, MASSACHUSETTS BOARD OF APPEAV iS:Y 1zoWAsttrNcioNsrxErr* S.AI.EM,btnssAcxust' ctERIf IilMBER7.EY"DRi ScoLL Trr.E:978-745-9595♦ FAx:978-740-9846 t; M,4gs MAYOR July 27, 2017 Decision City of Salem Board of Appeals Petition of COPPER REALTY LLC seeking a Special Permit per Sec. 3.1.2 Table of Urex, of the Salem Zoning Ordinance, to allow a historic carriage house to be converted into a dwelling unit at the property of 104 BRIDGE STREET (Map 36 Lot 114)(8-2 Zoning District). A public hearing on the above Petition was opened on June 21,2017 pursuant to M.G.L Ch. 40A, � 11 and continued to July 19, 2017. The hearing was closed on that date with the following Salem Board of Appeals members present: Rebecca Curran (Chair),Peter A. Copelas (Vice-Chair),Mike Duffy,and Jim Hacker (alternate). The Petitioner seeks a Special Permit per Sec. 3.1.2 Table of Ufex, of the Salem Zoning Ordinance, to allow a historic carriage house to be converted into a dwelling unit. Statements of fact: 1. In the petition date-stamped May 30, 2017, the Petitioner requested a special permit per Sec. 3.1.2 Table of Urex, of the Salem Zoning Ordinance, to allow a historic carriage house to be converted into a dwelling unit. 2. The property is located in an R-2 Zoning District and is currently a six (6) family dwelling unit. 3. The petitioner is proposing to renovate the existing historic carriage house to use the structure as a single family dwelling unit. The petitioner is also proposing to renovate the primary structure and reduce the unit count from six (6) units to four (4) units. 4. The petitioner presented the City of Salem Ward 2 map of 1874 and the City of Salem Ward 2 Map of 1897 to demonstrate that the structure meets the definition of a historic carriage house as defined in Sec. 10 of the Salem Zoning Ordinance. 5. A historic carriage house is defined as an accessory or outbuilding, originally built to house carriages, horses, or for use as a bam, that has been in existence since 1900 at its present location. 6. At the June 21, 2017 public hearing, the petitioner provided elevation plans with the proposed changes to the exterior of the existing carriage house. The petitioner is planning to restore the historic carriage house in accordance with the plans dated June 17, 2017, by Seger Architects, Inc. and associated project narrative. 7. The existing footprint of the structure will not be changed. All modifications will be within the existing footprint. 8. The bulk of the exterior work improvements include the restoration of the existing building envelope including the restoration of the original wood clapboard siding, soffits, trim and woodwork. The petitioner is proposing to paint the exterior grey with white trim. The petitioner is also proposing to City of Salem Board of Appeals July 27,2017 Project: 104 Bridge Street Page 2 of 3 replace the existing garage foods on the south fagade with new overhead insulated doors in the style of the carriage house aesthetic and will be black. 9. The doors will be replaced as well as the existing windows. The windows will be replaced with insulated wood windows and match the original fenestration, muntins, and two new windows will be added to the west facade,which will be located within the existing hay loft door openings. All window frames will be black to match the doors. 10. The petitioner is also proposing new three tab asphalt shingles in a dark grey. 11. The existing parking and landscaped areas will remain. 12. The requested relief, if granted, would allow a historic carriage house to be converted into a dwelling unit. 13. At the public hearing, no (0) members of the public spoke in opposition to the petition or in favor of the petition. The Salem Board of Appeals, after careful consideration of the evidence presented at the public hearing, and after thorough review of the petition, including the application narrative and plans, makes the following findings: Special Permit Findings: 1. There are social, economic and community needs served by the proposal as the petitioner is proposing to preserve an existing historic structure and serves the community by adding additional housing stock. 2. There will be no impacts to traffic flow and safety, including parking and loading. The petitioner is providing off-street parking in accordance with the Zoning Ordinance. 3. There will be no impact to the adequacy of utilities and other public services. 4. There will be no impacts on the natural environment,including drainage 5. The restoration of the existing historic carnage house is in keeping with the existing primary structure and neighborhood character. The petitioner will restore the structure and original fabric or have details that are consistent with the era and architecture of the historic carriage house. The adaptive use will positively contribute to the Bridge Street Neck District. 6. The potential fiscal impact,including impact on City and tax base and employment is positive. On the basis of the above statements of facts and findings, the Salem Board of Appeals voted four (4) in favor(Rebecca Curran (Chair), Peter A. Copelas (Vice-Chau), Mike Duffy, and Jim Hacker (alternate) and none (0) opposed,to approve the special permit to allow a historic carriage house to be converted into a dwelling unit subject to the following terms, conditions and safeguards: Standard: 1. Petitioner shall comply with all city and state statues, ordinances, codes and regulations. 2. All construction shall be done as per the plans and dimensions submitted to and approved by the Building Commissioner. 3. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. 4. Petitioner shall obtain a building permit prior to beginning any construction. • z City of Salem Board of Appeals July 27,2017 Project: 104 Bridge Street Page 3 of 3 5. Exterior finished of the new construction shall be in harmony with the existing structure. 6. A Certificate of Inspection is to be obtained. 7. A Certificate of Occupancy is to be obtained. 8. Petitioner shall obtain street numbering from the City of Salem Assessor's Office and shall display said number so as to be visible from the street. 9. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but not limited to the Planning Board. Special Condition: 1. All restoration, alteration and construction shall be in accordance with the plans dated July 17, 2017, by Seger Architects, Inc. Rebecca Curran, Chair Board of Appeals A COPY OF THIS DECISION FLAS BEEN FILED WITH THE PUNNING BOARD AND THE CITY CLERK Appeal from this deer cion,if ary, shall be made pursuant to Section 17 of the Ma sacbusettr General Law.r Chapter 40A, and shall be filed within 20 days of fiGhg of this deanon in the office of the City Clerk. Pursuant to the Marsachusettr General Laws-Chapter 40A, Section 11, the Vianaz or Special Pernit granted bereia sball not take effect until a ropy of the deacon bearing the certificate of the City Clerk ba.r been filed witb the E.crex Soutb Registry of Deedr. Al The Commonwealth of Massachusetts Board of Building Regulations and Standards Town of Wt Massachusetts State Building Code, 780 CMR, 7"edition Wilbraham Building Dept Building Permit Application To Construct, Repair, Renovate Or Demolish a 413-596-2800 One- or Tivo-Farm( Ext 118 This Section or O ial Us Only Building Permit Numbe . Signature: 4""o Building Commissioner/Wspectorof Buildin s V Date SECTION 1:SITE INFORMATION 1.1 ;Prop y Addrefs: 1.2 Assessors Map& Parcel Numbers 1.1 a!s this an accepted st t?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ' Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP[ 2.1 Ayrnert of Record: ` r rCwsl � Name(Print) Address for Service: Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK'(check al at apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Irl Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed W rk': SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials I. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical - ❑Standard City/Town Application Fee — -- --- ❑Total Project Cost(Item ti)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ 6. Total Project Cost: $ Check No. Check Amount: Cash Amount: �v 0Paid in Full El Outstanding Balance Due: —R SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) - License Number Expira ton Date Name of CSL-Holder List CSL Type(see below) Address Type Description U Unrestricted(up to 35,000 Cu. Ft. R Restricted 1&2 Family Dwelling Signature M Masonry Only _ RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Register I provementCont actor(HIC) HIC Company Name or I Re strant Name - Registration Number Address. G 1' 6 - CT ton Date Signature Telephonjf SECTI 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 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 r� 1, 141'/ _.,,Z q as Owner of the subject property hereby authorize'— to act on my behalf,in all matters relative to work authorized by this building llermit application. Si nature of Owner Date SECTION 7b: OWNEW OR AUTHORIZED AGEN'1 DECLARATION 1, ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. Print Name --- - Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of perjury _ NOTES: 1. An Owner who obtains a building 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 fund under M.G.L.c. 142A. Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I I O.R6 and I IO.RS,respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq. Ft.) (including garage, finished basement/attics,decks or porch) Gross living area(Sq. Ft.) Habitable room count Number of fireplaces Number 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"may be substituted for"Total Project Cost" ov t` Ulf The Commonwealth of Massachuse s Department of Public Safety Massachusetts State Building Code(780 CMR) ` Building Permit Application for any Building other than a One-or o-Family Dwell' g (This Section For Official Use Only) Building Permit Number: Dale Applied: Budding Offtcial:. SECTION 1:LOCATION(Please indicate B #and Lot It for locations for which et:address is not availab dy � - 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 allrAlteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ 1 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 Engineering Peer Revie required? Yes ❑ No � Brief Description of Proposed Work: /,n 5. 'O�y y— 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.) SECTIONS: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: High Hazard H-I ❑ H-2❑ H-3 ❑ H-4 Cl H-S❑ L Institutional I-1 ❑ 1-2❑ I-3❑ 1-4❑ 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'appiicable) IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ I IV VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Trench Permit: Debris Removal: Water Supply Flood one Information: Sewage Disposal* Public Check if outside Flood Zone❑ Indicate municipal A trench will not be Licensed Disposal Site❑ , required❑or trench or specify: Private Clor indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA I l tones�onunnsion ace_{{<<. 1 ru,cgs: Not Applicable❑ Is Structure within airport approach area? Is their review completed? _ or Consent to Build enclosed❑ Yes❑ or No❑ 1 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: SECTION 9: PROPERTY OWNER AUTHORIZATION. Name and ddress of Property, caner Name(Print) KFa2nd Street k City/Town Zip Property Owner Contact Information 9 _ f 2,3s 7 Y6 Title Telephone No. (business) Telephone No. (cel) e-mail address If appl' able, the properh,owner hereby authorizes l/ir 3 Or 6,14 Vr 0WA NA 1J, Name Street Addr s 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 tinder 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 ontractor ' l G �- Company Name Name of Person Responsi le for Consvuction License No. and Type if Applicable Street Address City/ 6wn State Zip telephone No. business Telephone No. cell e-mail address SECTION 11:YVORKER.S'COMPENSATION INSURANCE AFFfDAVl r M.G.L.c.152.§25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed.mid 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. Building $ 0 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 to 6.Total Cost $ payable (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. (/14" yt'--I eta p�_Pi3 far � Please1 3 �}nd igty)nAI Lj � it le Telephone �No. �y D to Street Address City/Tow State Zip Municipal Inspector to fill out this section upon application approval: Name. Date 15''r CITY OF 5.1[ &Ni, JA1SS \CHUSETTS 4. BU LOLNG DEP.�Rrsl��r 1 yy t4 ). I?0 CV.1�N�tGTOY STREET, 3e FLOOR TEL 973 745-9595 <I1 3&U-aY DRISCOIl.. (c{01613ST.PlEAltB i,UYQR D( [TOR OPPCOLICPROPERTY/BCILOL`lGCONNISSIONER Construction Debris Disposal Af'fIdavit (required for all demolition and renovation work) (n accordance with the sixth edition of the State Building Coda, 730 CMR section 111.5 Dcbris, and the provisions of ti(GL c 40, 3 54; Building Permit It _ is issued with the condition that the debris resulting from this work shall be disposed of in a property licensed waste disposal facility as defined by bIGL o I It, 3 150A. The dchds will be transported by, / � s (nan a of hauler) The debris will be disposed of in �/�� (nnmt:u(t'acdity) --(iddrti.i of facility) lJ — siynanua ui armit applicant 13 luc ry ' CITY OF S.1LE,�1 N1 ,L_�S&ALCHU'SETI'S i BVILD4�IG DEPARTSIENT !i2$'9a• 120 WASHINGTON STREET,316 FLOOR TM (978)745 9595 FAX(978) 740-9846 KIMB Ri AY DRISCOLL THOMASSTTIERRIS MLr*IYOR DIRECTOR OF PUBLIC PROPE&TY/1 UtMLNG COMMISSIONER' Workers' Compensation insurance Affidavit:Duiiders/Contractors FleetrieiiWPlumhers Anfilicant information Please Print L.cg ibl Namc(Busitttss:Organiiationiindividual): 3 Address: City/StateiZip: 1APhone #:� Are you an employer?Check the appr priate box: Types of proieet(required): 1,Eli am a employer with� 4. 01 arts a genera!contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 7. ❑Remodeling 2.El am a sole proprietor'or partner- listed on the attached sheet '- Theses subcontractors have S. ❑ Demolition shipand have no employees _ .comP insurance. working' for me workers' ,in any capacity. A. ❑building addition (No workers comp. insurance S. ❑ We are a corporation and its _10.�]Electrical r airs or additions officers have exercised their required.] l 1. PI n repairs or additions 1 am a homeowner dam all work right of exemption per MGL ❑, . g P 3.❑ g ers'comp. c. 152,41(4),.and we have no 12 oof reparra myself, No work p Y i t om to ees. [go workers' ' insurance requimd.J,, P Y ( 13.0 Other t • comp.insurance required.) , 'Any applicant that ducks boa e l must also rill out the uctioa below showing their worker'compeowrion poli y information. t l htmeowners who submit this affidavit indicatitta they ale doing all work and then him outside contemn mml submit anew aMdavil indicating_such. =Conimson that cheek this box must attached,an additional sheet showing the name of the sub-contractors and their woriters comp,policy infortnatim.. '. I am an employer that is providing workers'cotnpensadon htrurance for my employee& Below If the policy and fob site firjoranutiam - insurance Company`lame: Policy H or Self-ins.Lie.H: Expiration Date: Job Site Address: City/State/zip: ' Attach a copy of the workers'compensation policy declaration page.(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of tine up to S I;500,00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. lie advised that a copy of this statement may be forwarded to the Office of': Investigatium;ufthe DIA for insurance covcragaveritiwlion..` !des herebycertify under the pa and peaaltles ojprrfory4hat the bt formurlar provided ubov is true nd correct'. .j t • � hate• -,7/2-0 Phone Official use only. Do not write in thlr arr4 to be completed by chp or fawn of flcial City or Town: Permidt.lcense# Issuing Authority(circle one): 1. Bourd of i!ealth 2.Building Department 3.Cityifown Clerk 4. Electrical Inspector 5. Plumbing inspector 6.Other Contact Person: _.__ Phone#: ti RECENED ^ �� The Commonw tICo Massachusetts W Department ofcP�u�bl�ic Aiassachuselts Sbite Ytl��Yi�dB+�u�73tl-CM�) Building Permit Application for any Building other than a One-or Two-Family Dwelling .(rhis Section For Official Use Only) Budding Permit Number Date Applied: Building Official: r SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) b s� U/970 No.and Street City/Town Zip Code Name of Building(if applicable) SECTION2:PROPOSED WORK I ^ Edition of MA State Code used If New Construction check here❑or check a8 that apply in the two rows below I Existing Building❑ Repair Qrj Alteration ❑ Addition❑ I Demolition ❑ (Please fill out and submit Appendix I) Change of Use ❑ 1 Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No Er Is an Independent Structural Engineering Peer Review required? yes ❑ No IBl--*, Brief Description of Proposed Work: �.P.d/G . 0/ 6010 7 -�i�.'t Lr/b e Y7 7w ,/04 i r ,V •/Cr /JI/J01 cit/s 40 t') 1V . SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANCE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) Cl 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.) - 3 Total Area(sq.ft.)and Total Height(ft.) SECTION S.USE CROUP(Check as applicable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑.. H: Hi h Huud H-1❑: H-2❑ H-3 ❑ H4❑ H-5❑ 1: Institutional 1-I❑ 1-2❑ 1-3❑ f-t❑ M: Mercantile❑ R: Residential R-1 R-2❑ R-3❑ R-4❑ S: Storage -1❑ - S-2❑ U: Utility❑ Special Use❑and lease describe below: Special Use: SECTION Cr CONSTRUCTION TYPE(Check as Applicable) IA ❑ IB ❑ IIA ❑ 111) 0 IIIA ❑ I(IB ❑. IV CI VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Trench Permit: Debris Removal: Water Supply;/ Flood Zone Information: Sewage Disposal: Licensed Disposal Site Public Check if outside Flood Zone fndicate municipal A trench will not be required❑or trench or specify: Private❑ or indentify,Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: kf,%I li_tonc Cowud,ci��I I4",k..r,I'p�e�..: Not Applicable❑ Is Structure within airport appro area? Is their review complet� . nr Consent to Budd enclosed❑ Yes❑ or No Yes❑ No SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: OLcupant Load per Flour: Dues the buildiny,contain an Sprinkler System?: _ Special Stipulations: rn�1 �� -clzg SECTION'}. PROPERTY OWNER AUTHORIZATION Nat ie and Addres o Property Owner Name(Print) No.and Street v City/town Zip Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Ngune 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 Company Ime r 4c,- >024:y6 42 C1 1,2 2 6 Nmne of Person Responsibl for Construction Lice a No. and Type if Applicable " 6 > �/�oS r- �Street Address City/Town State Zip Telephone No. business Telephone No. cell e-mail address SECTION 11:WORKERS'COMPENSA PION INSURANCE.AFFIDAVIT M.G.L,c.152.§25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents most 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 O No ❑ SECTION 12.CONSTRUCTION COSTS AND PERMIT FEE' Item Estimated Costs:(Labor t and Materials) Total Construction Cost(from Item 6)_$S0710 1. Budding $ Building Permit Fee-Total Construction Cast x_(Insert here 2. Electrical $ appropriate municipal factor)=$ 3, Plumbing $ d. Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ (fGO (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 na[Ae Title Telephone No. to A aid/S Street Address City/rown State Zips/ Municipal Inspector to fill out this section upon application approval: 'ru" Name Date Certificate Number: B-17-755 Permit Number: B-17-755 Commonwealth of Massachusetts City of Salem This is to Certify that the Multifamily 3+ Building located at Building Type 104.BRIDGE STREET........................................................................ in the .....................................City of Salem............................................... ........................................................................... . . .......................... Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Unit #1 This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires Not Applicable unless sooner suspended or revoked. Expiration Date t Issued On: Wednesday, March 07, 2018 Certificate Number: B-17-755 Permit Number: B-17-755 Commonwealth of Massachusetts City of Salem This is to Certify that the Multifamily 3+ Building located at ............................................................................................................. .. Building Type ........................................................................104 BRIDGE STREET........................................................................ in the .....................................City..of Salem ................................. ... . ................................................. Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Unit #2 This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires No..Applicable............................. unless sooner suspended or revoked. Expiration Date Issued On: Wednesday, March 07, 2018 Certificate Number: B-17-755 Permit Number: B-17-755 Commonwealth of Massachusetts City of Salem This is to Certify that the Multifamily 3+ Building..................................................... located at Building Type ........................................................................104 BRIDGE STREET........................................................................ in the .....................................0 . .....ty of Salem............................................... ................................................. Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Unit #3 This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires Not Applicable unless sooner suspended or revoked. Expiration Date Issued On: Wednesday, March 07, 2018 l Certificate Number: B-17-755 Permit Number: B-17-755 Commonwealth of Massachusetts City of Salem This is to Certify that the Multifamily 3+ Building located at ------------------------------- ---- Building Type 104 BRIDGE STREET in the - - QyofSalem------------------. - - ----------- - Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Unit#4 This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires ----------Not Applicable___ _____-- unless sooner suspended or revoked. Expiration Date Issued On: Wednesday, March 07, 2018 .0mv. of Massachusetts ,, C� o Sateen 120 Washington•4t,'8rd'F)oorSalmi,MA01970(978):745-9595'-x5641 Retu carni to Buildi>ag ptvtsiort•for Certtlimate of Occupancy Perm, if No. 84L- 53 ID 11Q,00 -IL D EE.PA 0, B U: DATE ISSUED: "; 45 This certifies,that CQJ PER REALTY'L 'C has permission to erects after,or demolish Map/Lot: 3601140 as follows: INSTAL, (2) FIRST FLOOR UNITS, ALL N,EY11"O FOR SERS. Contractor Nate: 'SILLYS#LVA Da Con tractor'License ft: -1 45 8/17/2017 Date This permit shell•be daeined abandoned andAnvatid u the after issuance.The Building Official may grant one„or mord,eictefisions not to exceed six;rr All wont authorized by this pennft:shall,conform to the and the approved cons. is permit has been granted. All construction;aRerat ona and changes,of use-i6i%ny res-shah be in compliance with the nd codes. This.permit sha11 be tiffs layedia,a location clear! viri or road and shaft be maintained n for the entire duration of the work”until the`completion"oftke s8mla: y The Certificate of'_O+t<cupane'WilUnot be..is'sued ala res by tti tat ld � tt1 F' rcials mtit. land"(as set forth in MGL 042A). Restr$oons BuII>�i#ag_pJ�trts aye to be~availabl on site. All Permit Cards aWft propertrof the PROPERTYOWNER. a sa , 4�x >n - .,,. : �1l r rwwwt '©ATE r r ' f R4 n x - 41 + a �`n z -NRY x i1. X�,4%��� �y,�05•" "' r4—d '`'€#�f.:.. .fir• a r � tai � aPs . a »gtanr G � %r 3 1Rifl � i nt" � y+ x dtx .,,;r 4 ,a: .-'^:^e ' i ,"'" °ip,;: #"�9�' ,^; JO ,'h1 '` ,s .,>t;z a....t,&3E�.r .a.�43,,,✓ th:»r'r4'au _ „, -; ,. „ t.�.; . i20•washiOgton 5t,'3rd floor.Salbm,MA 01970(978),745-9595 x5841 Retum card to Building OvTsion for Certificate of Occupancy Permit No. B-1�. ?.-?55 M, BUILDN FEE PAID': $2255.00 "IT, TO, DATE ISSUED: 8117„ , /2017 This cert#ies.tha# CdPPER"REALTY LLC has perrrtisslon to erect, atter, or demolish , i T Map/Lot: 3601140 as follows: Keir/Replace. RE NS &6 FULL BATHS & 2 HgLF.BArtFIS, Contractor Name: JOHN CAMIRE DBA: JJ G4NERA11 CONTRACTtN Y Contractor License,No: 095895 8/17/2017 Date This permit shall beAeemed abandoned and•invalid,u the after issuance.The Building Official may grant one or more extensions not to exceed six All work authorized,by this permit shall conform to the and tide approved cons is permit has been granted. All construction,,alterations and changes of use"ofany res shall ben compliance with the nd codes. This permit shall be displayed�ina•locadon,cW y visi t or road and shall be maintained ope �.n for the entire duration of the work until the completion:of the same. 4 . r p The Cortif ehi of Occupancy will.not be Issued•untltai res by theBuilding and Fire Officia FISC#� 12s• "� fund"(as set forth In MGL 042A). 4 s SuNding plans:are to be available on site. A11 8rfnit are alae prppeA of the.PROPERTY OWNER. • r z � t ar �F ""?C '•s ti4@ .°^;�, ' 'r •£ t t 'Y .� ``.',_y`'" t - ,U ,� y ��ri� N sfi` s»�Vis` -r s. er; � i ' sa.,,. ,.'f' _",�- �.•i- � � a s a * € t vam s r s ; ly �- 'May n' j � d roS'a slylv DATE t a i r f id,fq n 3"f K• +�,�yyY*`rP ��^;rt b4.����:Jlx.J a Jl„�H,L, }.. r _ PEI too" k u ✓x s=,j Fp h@ °�µ'ri a •�1,u $ + MM ': �uwt,4 ,'f;•nx�*, :� ` " '. �"". - „�„�,¢ ,ls �4, Y a$. Sx -r �, az ,,� •s s r?fi r.t "�. -t`5-:'ir.,t t ' -� a.,«,.�e,.....,�wo..a:�:s.�...,Y...•�as,:.,.. ,,. ,..,: _ .:.: ,..,'•. xxaw' "'`.� ..' >,.- :.,�e J� ..:,.irs��.,.sw....,w�^ro-.,r_-...e...�.._....�,.._.,s,,.. �... ... 1..._... _Y...... ... ...._.. _ _ ... March 7, 2018 Salem Building Department RE: 104 Bridge Street; 'Salem Cove Condominium' To Whom it may concern: Please accept this letter as my true attestation and oath that I, both individually,and as Manager of RJ Associates, builder of the above referenced property for owner/client Copper Realty, LLC,agree to unconditionally complete the replacement of such pre-existing bathroom windows, as needed,to comply with the 'tempered glass' requirements of MA Building Code,within such reasonable timeframe as is needed to order and install them. Thank you for your cooperation,assistance and consideration with this matter. Sincerely, J seph Bates, individually /oseph Bates, Manager: RJS Associates 978-778-0583 Witess: Eric A.Towne, Owner Representive 978-979-9100