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4 BRITTANIA CIRCLE - BUILDING JACKET
4 Brittania Circle k - JY JOB SITE COPY CITY OF SALEM BUILDING ' psi _ `o SALEM, MASSACHUSETTS 01970 PERMIT DATE MAY 30 i9 96 PERMIT NO. 265-1996 APPLICANT FAFARD ADDRESS IDT—S7— 1562 (N0.) (STREET) (CONTR'5 LICENSE) CITY ASHLAND STATE MA ZIP CODE 0`119 TEL.NO. 508-981-1600 NEW BUILDING, TWO OR MORE FAMILY NUMBER OF (+ PERMIT TO ( ) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT(LOCATION) 0000 WHALERS LANE - Z MING RICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION MAP 07 LOT 0045 BLOCK LSIZE OT 3. 37 ACRES BUILDING ISTOBE FT.WIDE BV F7.LONG BY FT.IN HEIGHT AND SHALL CONFORM INCONSTRUCTION TO TYPE USEGROUP BASEMENT WALLS OR FOUND T N E) REMARKS: PERMIT TO BUILD 4 UNIT "L" SHAPED CONDO Id X44""" LINTY CIRCLE. J. J.. Unit 2 of 4 units. AREAOq Call for Permit to OOMPH PERMIT VOLUME ESTIMATED COST c:88+ QIQIIZ7 FEE ,$ `"`-304. 00 (CUBIC/SQUARE FEET) OWNER MARINER DEVELOPMENT CORP ADDRESS 290 ELIOT STREET BUILDING DEPT. J. J. J THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION,STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT WHERE APPLICABLE SEPARATE REQUIRED FOR ALL CONSTRUCTION WORK: POSTED UNTIL FINALINSPECTION HAS BEEN MADE. WHERE A PERMITS ARE REQUIRED FOR 1.FOUNDATIONS OR FOOTINGS. ELECTRICAL,PLUMBING AND 2,PRIOR TO COVERING STRUCTURAL CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH BUILDING SHALL MECHANICAL INSTALLATIONS. MEMBERS(READY TO LATH). NOT BE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 3.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION VPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 `� C`Vd `3` l`� 2 BO RD OF HEALTH GAS INSPECTION APPROVALS FIRE DEPT.INSPECTING APPROVALS l �� . OTHER CITY ENGINEER 2 ,:::7—, i l r 2 CERTIFI A OF OCCUPANCY Issued: d 4 G Permit d: d4 � ( WOCity al Salem Soulluing ILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS INSPECTIONS INDICATED ON THIS CARD INSPECTOR HAS APPROVED THE VARIOUS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCTION. AS NOTED ABOVE. OR WRITTEN NOTIFICATION. +Z--7 - t 4 CA-' zg 6-5 4 s zc`�4 The Commonwealth of Massachusetts OF Board of Building Regulations and Standards CITY M Massachusetts State Building Code, 780 CMR SALE a Revised:War 201/ Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date,Applied: II Ll Building Official(Trint Name). -Sigtmt_ D to SECTION 1:SITE INFORMATION I.I Proper4�" �l l I� �i c! s• 1.2 Assessors blap&Parcel Numbers Y1 I� TCI�- 1.1 a Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq 11) Frontage(11) 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: Zone: _ Outside Flood Zone? Public❑ Private❑ Check if yes❑ Municipal❑ On site Disposal system ❑ SECTION2: PROPERTY OWNERSHIP' 2.1 Orvncr oj,@cmcd,-A T� nie(Print) "Ib�� C� City,State,ZIP LA�'zY`inlr �JC{� No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK (check al that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ er ❑ Specify: Brief Description of Proposed Work': SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Itch Official Use Qnly Labor and Materials) I. Building S 1. Building Permit Fee:S • ate how fee is determined: �. Electrical S ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4. Mcchanic:d (HVAC) $ List: 5. Mechanical (Fire $ Su ression) 'total All Fees:S Check No. Check Amount: Cash Amotmt: 6. Total Project Cost: S ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction vlso cease(CSL) er nC4 l/ J L Espir ti D e Name of CSL Holder tfl�—�b�� icenseNumber _ List CSL Type(see below) No.and Sveet 'type � � ,�':,,. : � Description U Unrestricted(Buildingsm u el ing cu. R.) Cit i f_ownn,,State,ZIP R Restricted I&2 F:unil Dwelling Y M Nfisonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 40r.�aLj�j�j 1 Insulation 'Tale'1'elc lion Email address D Demolition 5.2 Registered H me Ira rovemera ontractor HIC) HIC ReA-isfrafioitNilmber E pir tion at fI1C C m t r 1 Reg' No.audRliEmail address City/Town, State,ZIP 'fete hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.$ 25C(6)) Workers Compensation Insurance affidavit must be comp! and submitted with this application. Failure to provide this affidavit will result in the denial of the IsAuance of a building permit. Signed Affidavit Attached? Yes .......... ❑ No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN: OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize t9 act on my behalf,in all matters relative to work authorized by this building perm[ app ication. Print Owner's Natne(Electronic Signature) ate SECTION 7b:OWNER[OR AUTHORIZED AGENT DECLARATION By entering my name below,! hereby atte tun r the pai s and penalties of perjury that all of the information contain e this applilgatwin is true and a curate to he b t of my knowledge and understanding. V Print Owncr'i or Authorized Agent's Name(E ect unit Signatur Date 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 1M.G.L.c. 142A.Other important information on the HIC Program can be found at my .mass.,,ov�'oca Information on the Construction Supervisor License can be found at www.n:ass.aov�'d ss 2. When substantial work is planned,provide the information below: "rotal floor area(sq. It.) (including garage, finished basement/attics,decks or porch) Gross living area(sq. II.) 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 ofcooling system Enclosed Open 3. ,rotai Project Square Footage"may be substituted for 47o(al Project Cost" The Commonwealth of Massachusetts " Board of Building Regulations and Standards FOR Massachusetts State Building Code, 7.80 CMR, 7 h�edition MUNICIPALITY USE. ` Building Permit Application To Construct, Repair,Renov. a Or Demolish'a Revised January. . One-or 7iv ily l)wezzfag 1, 2008 This's m F Of5cial Us Building P ennit Numb m- App d: Signature: Building CDmmisgion=/Insp=ibr ofBuildin Date SECTION I:SI INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers p - - , _ 1.1 a Is this an accepted street?yes no Ma_ P Number Parcel Number. 1.3 Zoning Information 1.4 Property Dimensions:. Zoning District Proposed Use. Lot Area(sq fi) Frontage(fi) I.S.Building Setbacks (ft). Front Yard Side Yards Rear Y—ard- Required . Provided -Required Provided Required - Provided L6 Water Supply: (M_G.L c.40,§54) 1.7 Flood Zone Information:. 1.8 Sewage Disposal.System. Zone Outside Flood Zone2. - Public❑' Private C — Municipal❑ On site disposal systemO Check ifyes❑' SECTION 2i PROPERTY OVVNER6' 22.1 Owned'of Record: 1 I V)e T (?t].l-)e. g 11\� Li S`\ t••CL J�1 r� �1� �5.. v•vet (�1"l /�' Name(Print) - Address for Service: a31( Signature Telephone. _ - - SECTION 3:.DFSCRIPTION OF PROPOSED WORK=::(cheok all that gpp)y)' . lsev.'CoasGu�'Gn ❑ c.aLng Buifdtrig,❑ Owner:0--cupied ❑ Repai s(s):O ':.6.lte:at:L s) G1' Addilic C Dern6lition ❑ •Accessory Bldg. ❑ 14umber of I lnits__ Other Spccifg:_._. -lC�S Pict , � Brief Description of Proposed Work'': SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building $ [I, GOD 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee - ❑Total Project Costa(Item 6)x mulfipLier - x 3.Plumbing $ 2. OtberFees: $ 4.Mechanical (HVAC) $ List 5.Mechanical (Fire Su pression) $ Total All Fees:$ Check No. Check Amount: Cash Amount: 6,Total Project Cost: $. I / av(,JU � 0 Paid in Full ❑ Outstanding Balance Due: c SECTIONS: CONSTRIJ.C1pN SE_RVSCEs , 5.1 Licensed Construction Supervisor(CSL) - 0,e License Number Expiration Date. . Name of CSL Holder p )o C/-e(\v C k(` L)D/C b L 6S 3 ListtSL Type(seebclow) dl Address U Unrestricted j up to 35 000 Cu.Ft-) Signature - - - .: R Restricted 1&2 Family Dwwun '. . 5-D7 -CIM 01ga M Masirrinvurliv Telephone. RC . Residential Roofing Covcrim - - WS' Residential Window and Sidin SF Residential Solid Fuel Burnina Appliance Installation Residennal Demolition 5. Registered Home improver nt Contractor(HIC) Amp l 45 6 yl HIC Compan N me or H C Registrant Name - Registration.Number - lbti ,ewi- Oe' ]iS33 Ad dress St azure 5VT-q Lq-Oc-2 Expiration Date . P Telephone _ - SECTION 6:WORKERS, COWIPENSAtION INSURANCE AFFIDAVIT(M.G3,.C.ist§ 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 burilding permit - SignedAffidayitAttached? Yes ...... No..........❑ SECTION 7a:0 AN:. . ©�R'SAGEN3'�1rt;CCONT'R.AICT'ORAPPLIESFABBIIIL'Ah�T{�"'PL}5211�iT.. . . ,,. ... , I> J as Owner of the subject property hereby authorizebe0A kj.in to act on my behalf in all matters relative to work authorized by this building permit application. - - Signature of Owner . _ .. Date .. _ . . -. . . _sEC(��miat .<Qv,�Nr_x'rox���a. 'A?� ^��� �o ` . �,-::-_; .:: -; }` �.t`"�u✓i '✓�✓IitL..r© •." ''•'..'�-c'OubernrA4tkot¢edAgent#r'erPlrv8eCl9ie_ din[the st tenzenls and information en the fere_aein 'application'artftue aisdaccurate, to'tlie btsl of in ]utov le he and behhl E '&O-. .Print Name GTaJ1r1 Signature of Owner or Authorized Agent Date " `. (Si ed underthe pains and penalties of a 'u NOTES: 1. An Owner who obtains abuilding-permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor CMC)Program), will not liave access to the arbitration program or guaranty fund and M.G.L. c. 142A. Other important"information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780`CMR Regulations 110.R6 and 110-R5,respectively. I When substantial work is planned,provide the information below. Total floors area(Sq.Ft). (including garage,finished basementlattics, decks or porch) Gross living area(Sq.Ft) Habitable room count Number of fireplaces Number ofbedrooms Number of bathrooms Number ofhalf7baths 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" c(,�d/,da