Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
7 ADMIRAL LANE - BPA-14-505 9 WINDOWS & 2 DOORS
2 (50 c-4�- 11KI V ,6� ,� The Commonwealth of Massachusetts 7. Department of Public Safety \ j Building Permit Application foMassar State Building Code(760 CMP.) g pp ' any Building other than a One-or Two-Family we g (-ThisSectioii-For-Official-Use-Onlu) .----- ---- Building Permit Number; - Date Applied: :Building Officia SECTION 1:LOCATION(Please indicate Block#.and Lot#for locations for which a street address is no vailable) '740A e (Ave a1970 No.and Street City/Torun Zip Code Name of Building(if applicable) - SECTION 2:PROPOSED WORK Edition of MA State Code used If New Constriction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ 1 Alteration ❑ I Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other erSpecify: i nt Oo• r Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No 8! Is an Independent Structural Engineering Peer Review required? Yes ❑ No 6'� Brief Descripflon of Proposed Work: SECTION 3:COMPLETE THIS SECTION IF E13STING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR'OCCUPANCY - ta Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(sk Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA rr - . Existing Proposed No,of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) —EEE ISECTION'5:USE GROUP.(Check asap.-livable) A. Assembly A-1❑ A-2❑ Nightclub 0 A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ H: Hi Hazard H-1❑ H-2❑ H-3 0 H-4❑ H-5❑ I: Institutional 1-1❑ 1-2❑ I-3 I-4❑ M: Mercantile❑ R Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage 5-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6-CONSTRUCTION TYPE Check as applicable) IA ❑ IB ❑ HA ❑ FIB ❑ IIIA ❑ IIIB ❑ R a VA ❑ VB ❑ SECTIONfi SITE INFORMATION(refer to 780 CMR 121-0 for details on each item) Water supply: Flood Zone Information: Sewage Disposal Trench Permit: Debris Removal: A trench will not be Licensed Disposal Site❑ Public❑ Check if outside Flood Zone❑ Indicate municipal❑ required❑or trench or specify: Private❑ or indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: h1.A Fiistaxic Co:nnti.^,sign Rai1ei1 I'roce=s 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 OCCIJPANCY Edition of Code: Use Group(s): - Type of Construcfion: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: SENo TID 2 -39 so mfal N s, MtDDt_6�0 OfRqR NmstT WV— sr-Nv�-% s: The Commonwealth of Massachusetts 'w Department of Public Safety Massachusetts State Building Code(780 CMR) o4- ��'�}� Building Permit Application to Construct,Repair,Renovate or Demolish any ------ ._._Building-other-than-a-One_or.Two-Family-Dw.elling___ -__--- Code and Other Requirements for Building Permits The Department of Public Safety has issued these building permit application forms so that municipalities across the state can move toward use of a single permit form and consistent permit application process. The MA State Building Code specifies the requirements of building permits and the applicant is advised to review and be familiar with these requirements in order to avoid some of the common permit application problems.Likewise the applicant should be aware that some municipalities require that the owner confirm, even prior to acceptance of the building permit application,that no outstanding property tares,water fees, etc. exist r_ Filing Instructions 1.Please contact the city or town where the work will be done to ensure that the city,or town will accept this application form and if any in additional information is required, and obta the correct mailing address. After doing so, print the application, fill in completely and then submit to the local city or town where the work will be done. 2.All applications shall be considered complete and will be reviewed if construction documents, specifications, fee, and other materials that may be required as indicated in the Building Permit Application are included with the application. 3.Please include a check for the Building Permit fee. The fee may be calculated using the information to be supplied in section 12 of the Building Permit Application. The check is to be made payable to the local city or town where the work will be done. SECTION 9: PROPERTY OWNER.AUTHORIZATION - ! Name and Address of Property Owner I 514,99pra h-dQ9Q0X `�RDAItRALs�AaP SR�em 0 70 Name(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 / {7 4 - w�w9�n;5•C�TNS �)niN Wnn� S? Mi0 NTa„i Name Street Address Citv/Town State Zip f to act on the propertv m+mer's behalf,in all matters relative to work authorized by this building permit application SECTION 10:CONSTRUCTION CONTROL(Please fill out.Appendix 2) - (If lxuldin is less tl=33,000 m.ft of enclosed space and/or not under Construction Control then check here O and sLzp Section 10.1) 10.1 Registered Professional Responsible for Construction Control' _ . M4&114 L s �� 4M.&E A . x. , i-Id s- Na�mpe(registrant) Telephone No. email a�dddrpgss j registration Number Street Address City/Tov.1t State Zip Discipline 'iration Date 10.1 General ContraContractor -. // - - -: 1Jlom SAP W/Naovl S)"670l�5 C�C r i Company Name Rim CN�rS7�gN o)k:�-76 unl�ac7�n 1 Name of person Fesponsible tfor Construction / License No. and Type if Applicable � Corn g4r i�j 1�r9 �( �� 91Y34zr Street Address City/Toam State Zip . ' we Uirl) Cora Tele hrnne No.(business) Tele>bone No.(cell) e-mail address -':SECTION 11:j'oRI:IIS_CCoA(iR_m5 Tl0x-DZ5UR4NCE.AFFIDAVIT M.G.L.'c:152§25C(6) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and i 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 n CONSTRUCTION COSTS AND PERMIT FEE 1 Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6) 1.Building jjaTtsolkoj Building Permit Fee=Total Construction Cost x_ {Insert here I 2.Electrical $ appropriate municipal factor) 3.plumbing $ i 4.Mechanical ( AC) $ '-dote:Minimum fee=S (contact muuapality) ' 5.Mechanical (Other) S Enclose check payable to 6.Total Cost $ L (n (contact municipality)and write check number here ` t ' 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 I application is true and accura,to the bet of my knowledge and understanding. lease print si name Title Telephone No. Date I Street Address City/Town state Zip Municipal Inspector to fill out this section upon application approval: " - Name Date 1 Appendix 1 For the demolition of structures the building permit applicant shall attest that utility and other service connections are properly addressed to ensure for public safety. Please fill in the information below and submit this appendix with the building permit application. The building permit applicant.attests under the pains and penalties of perjury that the following is true and accurate. Property Location(Please indicate Block#and Lot# for locations for which a street address is not available) No.and Street City /Town Zip Name of Building(if applicable) For the above described property the following action was taken: Water Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Gas Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Electricity-Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Yes ❑ No ❑ Provider.notified and Release obtained? Yes ❑ No ❑ Other (if applicable) Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) Appendix 2 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required for this. The applicant shall fill_out the checklist and provide the contact_information_of the registered professionals_ _ responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents" I Mark'Y'where plicable No. Item Submitted Incomplete Not Required 1 1 Architectural 2 Foundation E 1 3 Structural 1 4 Fire Su ression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical j S Phumbing(include local connections) 9 1 Gas(Natural,propane,Medical or other) 10 Surveved Site Plan(utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review, 13 Structural Tests S Inspections program 14 Fire Protection Narrative report 15 Existing BuildinI Sruve /Investigation 16 Energy,Conservation Report 1.7 ( Architectural Access Review(521 CAS) ! i 1s PVorkers Compensation Insruance ' 19 Hazardous Material MiGgaflon Docuurentation 20 Other(S ecifv) i 21 Other(Specify) 22 Other(S cifc) 'Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to triple the original permit fee. Registered Professional Contact Information Name(Regishaztt) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Disdplirte Expiration Date Name(Registrant) Telephone No. e-mail address. Registration\umber Street Address City/Town State 1p Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Totem State Zip Discipline Expiration Date CITY OF S.ULE.1l, L L-LSSACHUSETTS Bvmi)N,G DEPART>tENT f 130 WASHINGTON STREET,3`°FLOOR TEL. (978) 745-9595 FAX(978) 740-9846 KI.,,fBERLEY DRISCOLL -- —11fAYOR— - -- - - - _THOMASST.PtERR£ DIRECTOR OF PUBLIC PROPERTY/BuaMNG CO%WISSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions ofMGL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: (name of hauler) The debris will be disposed of in : (name of facility) cr2-F S ¢e( 7D�U/ (address of facilityl -Vol r- signature of permit applicant date CITY OF S�UE.XI, NLXSSACHL'SETTS BUILDL%G DEPARTSlE2N-r o- 120 W.iSHL*IGTON STREET,3w FLOOR TEL (978) 745-9595 Fax(978)740-9846 KI1%tBERLEY DRISCOLL -- _ _THomAsST.PIERRE YO DIRECTOR OF PUBLIC PROPERTY/BL'ILDLNG CO%061ISSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information A ibly r`, / Please Print Le Name(BusimssrOrganin6ofvtndivitWal): !V� W)A)0= Address: a oJ7l AWIN TF4P_T City/SMte/ZiP-,AQVze rat ml4 Q/`7 Phone #: Are you an employer?Check the appropriate box: Type orproject(required): 1.011 am a employer with 4. C3 1 am a general contractor and 1 6. ©New construction employees(full and/or par-time).• have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet' 7. ©Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers'comp.insurance, 9. ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its !0.[]Electrical airs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.1 Plumbing repairs or additions myself.[No workers'comp. e. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]t employees.[No workers' 13.G—d er'Oth Camp.insurance required.) ! 'Any applicant that efattk6 bores it{must also ill out the section below showing their workm*compensation policy information. '1lnmeowv who suMtit this afftdavth indicating they ate doing all work and than hire outside cmtmew,must submit a new atfutavit indicating such 'Cuntrvwn dot check this box must anachod an additiotml sheet showing the name of the wb-c a ractm and their wwkm,entrap.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy oad job she informmio L Insurance Company dame: PJ�(gvq L /Q'�46& Jr)Aa/ yes. 1Q Policy#or Self-ins.Lie.#: I_ mr 2c}C Expiration Date: Sy I Job Site Address::26 MIRAA i�4/VQ City/State/Zip-. ATV Attach a copy or 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 a fine up to S1,500.00 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. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. !do hereby ce 'y t nder the pain and. enaIt, of perjury that the information provided above is true and correct. Signature p`�yx9ftt�✓ Dater V Phone Official use only. Do nor write in this urea,to he completed by city or town o teiaL City or Town: Permitfl.lcense# Issuing Authority(circle one): 1.Board or llealth 2.Building Department 3.Cityrlbwn Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: f Massachusetts -Department of Public Safety Board of Building Regulations and Standards �� Cunctruction Supenisur _ License: CS-076576 ARAM W CHRISTIAN 90 COLUMBIA PART(, _ Haverhill MA 01930 , 111 +ar J�r � �.ro`� Expiration Commissioner 08/03/2014 [rJUa uUaLjli 67/e��ai,ro��r��uersl[/a License or registration valid for individul use only .N _ ffrce of Consumer Affairs&Business Regulation .before the expiration date. if found return to: office of Consumer Affairs and Business Regulation ME IMPROVEMENT CONTRACTOR Type'.! 10 Park Plaza-Suite 5170 -- ; egistratron 172585 Supplement tjard - Boston,MA 02116 Expiration 7110/2014 ' NORTH SHORE WINDOW-SOLUTIONS LLC 1i ADAM CHRISTIAN 239 SOUTH MAIN ST t ,> -� Not valid without signature MIODELTON,MA 01949 Undersecretary Peyc 3 of 3 20'13-i2-3'1 '17.'10.'10 (GMT) Frem. NSWS Mariner Village Condominium c/a Crowninshield Management Corp. I8 Crowninshield Street Peabody,MA 01960 (978)532-4800 December 31,2013 Ms. Sharron Devereux 7 Admirals Lane Salem,MA 01970 RE: Replacement Windows—Mariner Village Dear Ms. Devereuu; Thank you for your inquiry regarding window/slider replacements at your unit. Please be advised that the Board of Trustees for Mariner Village Condominiums does not object to the replacement of these windows providing that they match in appearance (no crank outs or French doors, etc.) from the existing,they roust 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)512-4800 ext#232, Sin erely, = r . J 11 'anra, CA gional Property Manager Crowninshield Management Corp. Managing Agent for Mariner Village Condominiums cc: File SI /:To. Peye'I o!3 20'13-'12_3'1 '17.'10.'19(GMT) Fiom. NSWS FAX COVER SHEET TO COMPANY FAX NUMBER 19787409846 FROM NSWS DATE 2013-12-31 17:10:02 GMT RE 7 Admirals Lane COVER MESSAGE Attn: Building Department The following is the letter from the Management Company for the Mariner Village Condominium. Adam Christian Installation/Service Coordinator Marvin Design Gallery by NSWS 239 South Main Street Middleton, MA 01949 Phone: 978-762-0007 Cell: 978-914-3902 Fax: 866-809-3136 www.nswsforTnarvin.com<http:/Avww.nsmformaivin.coni/> [new logo mail] To learn more visit us on Facebook!<http://www.facebook.com/mdgbynsws> WWW.MYFAX.COM