14 BENGAL LN - B-14-3333 REPLACE PATIO DOOR Up
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The Commonwealth of Massachusetts RECEIVED FI-y OF
LA Board of Building Regulations and Standards INSPECTIONAL SE }(y
ill Massachusetts State Building Code, 780 CMR
" Revised Nfar ZO/l
Building Permit Application To Construct, Repair, Renovate Or MA111 4 2 A "� 2U
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: _ Date Applied-
� lz
Building Official(Print Name) Signatur Date
SE0T-IOm11.SITE INFORMATION
1.1 Pr per�t W�d�ress: V F SD 1.2 Assessors Map& Parcel Numbers
1.1 a Is this an accep((ed street?yes_y_ no Map Number Parcel i bo
unber
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq 11) Frontage(Il)
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 'Lone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone'?
Check it yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
O ner' 1 R� ef ord:
L A 1 111 w I �a x 50/. , PtAd, 0/17>o.
Name(Print) City,State.ZIP
No. and Street 'Telephone Bnmil Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied Repairs(s) X I Alterations) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work' c1y-�-�--
/(�Jl/� �.�"F e_,1( i /'L /b �•00/- /ifi i / v/ /1&—Lb
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and bloteri"Is)
I. Building $ o230a. �-- I. Building Permit Fee: $ Indicate how fee is determined:
�. Electrical $ ❑Standard Citylfown Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (IIVAC) $ List:
5. Mechanical (Fire
Suppression) S Total All Fees: $_
Check No. Check Amount: Cash Amount:__
6. Total Project Cost: $ o,°( 3v p, Balance Due:
l7T/ 0Paid in Full 0 Outs[andin,
S'E:mT T-0 F. M�Ut-Lp�AiP
I
SECTION 5: CONSTRUCTION SERVICES
5 onstruction Sup isor L,i�ce/f se(CSL) �`�r�('� / J
•P A41 c-A a to License Number t xpu;(uoion Date
Name of CSL Holder
�:.. r/lr J J I "�f( . List CSL,'IYp;(see below)
No.and/SSttreet 1/� rype Description
,AM al�70 U Unrestricted(Buildings u to 35,000 cu. R.)
CY/tfl R Restricted 1&2 FamilyLAvclling
Citylrown,Stand,ZIP
M Masonry
RC Rooting Coverin
WS Window and Sitting
Q r� SF Solid Fuel Burning Appliances
I Insulation
/,Telc hh`one��,/ ' }»- �/9 Email address D Demolition
U'w�t 4e�rs{V �vV/mta4t fC1 �e )rilCoptrnc[or 11 �M 10306,S7 7 �l•
l'./e FIIC Registration Number spuatian Daft
HIC C�,ompsyr11-2�Nam et� C Rey�str•�n[Name
No. d trect e/ ,/� •f 1/
1040�, /era or770 Email address
it /Town,State,ZIP Telephone
SECTION 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 BBUILDING/ PERMIT
1, as Owner of the subject property,hereby authorize Pe, P Y /t/L c, /a t4 V ,
to act on my behalf, in all matters relative to work authorized by this building permit application.
An
IJavJ r-ox g lIg Aw
Print Owner's Name(Electronic Signature) I .ate
SECTION 7b:OWNERI OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
contained in thi application is true and accurate to the best of my knowledge and understanding.
��� s �a��y .
s or Authorize)Agent's Nome(Electronic Signature) Unto
NOTES:
I. 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 can be found at
www.mass.eov/oca Information on the Construction Supervisor License can be found at www.ntass.eov/dns
2. When substantial work is planned, provide the information below:
Total floor area(sq. ft.)_ (including garage, finished basement/attics,decks or porch)
Gross living area(sq. ft.) _ Habitable room count_
Number of fireplaces N umber ofbedrooms _
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed---Open
3. "rota) Project Square Footage"may be substituted for"Total Project Cost'
Sanctuary Condominium Trust
c% Crowninshield Management Corp.
18 Crowninshield Street
Peabody,MA 01960
(978)5324800
July 28, 2014
Ms. Liisa Fox
14 Bengal Lane
Salem, MA 01970
RE: Replacement Windows—Sanctuary Condominiums
Dear Ms. Fox:
Thank you for your inquiry regarding window/slider replacements at your unit. Please be
advised that the Board of Trustees for the Sanctuary Condominiums does not object to the
replacement of these windows providing that they match in appearance (no crank outs or
French doors, unless replacing a crank out, etc.) from the existing,they must fit inahe
.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)532-4800 ext#232.
Sincerely,
Jill Fama
Jill Fama, CMCA
Regional Property Manager
Crowninshield Management Corp.
Managing Agent for the Sanctuary Condominiums