19 BRITTANIA CIRCLE - BUILDING JACKET f 19 BRITTANIA CIRCLE
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BUILDING DEPT.
OCT 2 7 43 All '97
RECEIVED
CITY OF SALEM,MASS.
August 26, 1997
Mr. Leo Tremblay
Salem Building Commissioner
Salem Town Hall
Salem, Massachusetts 01970
Re: Control Construction Certificate to Occupy
Dear Leo:
I, Ray A. Renzoni, Registered Architect in Massachusetts, certify that I have performed the
necessary professional services; observed the construction; was present on the construction site
as required under Section 127 of the State Code; and made periodic observations and reports.
To the best of my knowledge, I have determined that the work proceeded in accordance with
regulations, permits and the submitted documents approved for the building permit.
Therefore, I request that a Certificate of Occupancy be issued for.19 Brittania Circle,,
rte- -..
Salem, Massachusetts, Unit 145 C.
I thank you for your cooperation.
Sincerely,
g No.
BERLIN, !? ay A. Renzoni
O MASS. yr
Registered Architect
f9�rN F0 f' NCARB/ASID
Main Office
Architectural Innovations . 44 Central St. ■ Berlin, MA 01503 ■ (5081838-2976
■ 19 South St. ■ Berlin, MA 01503
/C. O. COPY f lqS c
ONDITA Cf RTIfFICdITE 4f OCCUPANO" ;
CITY OF SALEM Issued 4 Perms
SALEM, MASSACHUSETTS 01970 City of Salem 8uildin De
�QArnne cP�e
DATE JANUARY 27 19 97 PERMIT NO. 54-1997
APPLICANT FAFARD DEVELOPMENT CORP ADDRESS 290 ELIOT ST 1561
(NO.) (STREET) (CONTR'S LICENSE)
CITY ASHLAND STATE MA ZIPCODE TEL.NO.
PERMIT TO ALTERATION ONE FAMILY NU1
(TYPE OF IMPROVEMENT) ( NO. STORY (PROPOSED USE) DWEELLINGLLING UNITS
AT(LOCATION)
0055 SWAMPSCOTT ROAD ZONING(NO) (STREET) DISTRICT
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION MAF 07 LOT 0043 BLOCK LSIZE
OT 36. 54 ACRES
BUILDING IS TO BE FT.WIDE BV FT.LONG BV FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: BUILD 4 UNIT CONDOMINIUM AS PER GLANS: UNIT 3 OF 4 Q,-19--Brittania--Circle.
AREA ORPERMITQ
VOLUME ESTIMATED COST$ 28B^ QIQIQI FEE W X014. 00
(CUBIC/SQUARE FEET)
OWNER FAFARD DEVELOPMENT CORFU
ADDRESS 290 EL.IOT S I` ASHLAND MA BUILDING DEPT. L. E. T
_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 MAV BE 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 FINAL INSPECTION 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 APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1
2 2 2
BOARD OF HEALTH GAS INSPECTION APPROVALS FIRE DEPT.INSPECTING APPROVALS
1 1
OTHER CITY ENGINEER 2 2
WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS INSPECTIONS INDICATED ON THIS CARD
INSPECTOR HASAPPROVED 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.
JLEI SITE COPY
��CDNUIT� / r
BUILDING-•CITY OF SALEM
SALEM, MASSACHUSETTS 01970 PERMIT
9�Q�MIIVE Wit,
DATE JANUARY 27 19 97 PERMIT NO. 54-1997
APPLICANT FAFARD DEVELCIP'MENT CORP ADDRESS 290 ELIOT ST 1561
(NO.) (STREET) (CONTR'S LICENSE)
CITY ASHLAND STATE MA ZIP CODE TEL.NO.
ALTERATION ONE FAMILY NUMBER OF 1
PERMIT TO ( I STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
AT(LOCATION) 0 155 SWAMPSCOTT ROAD DINARDISTRCT
(NOJ (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION IYIAF 07 LOT 0043 BLOCK LSIZE
OT 36. 54 ACRES'
BUILDING IS TO BE FT.WIDE BY FT.LONG BY FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: BUILD 4 UNIT CONDOMINIUM AS PER PLANS: UNIT 3 OF 4 In 19 Brittania Circle.
AREAOR Call for Permit to Occupy �-8� PERMIT
VOLUME ESTIMATED COST$0 ^ 1�1� L��I'' TIS
FEE .P
I�
(CUBICISQUARE FEET)
OWNER I` AFARD DEVELOPMENT CORP
BUILDING DEPT.
ADDRESS c:'JIZI EL_.IUT S7 ASHLAND IYIR BY L. E. T
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 FINAL INSPECTION HAS BEEN MADE. WHERE A PERMITS ARE REQUIRED FOR
1.FOUNDATIONS OR FOOTINGS. CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH DING SHALL ELECTRICAL,PLUMBING AND
2.PRIOR TO COVERING STRUCTURAL 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 APPR_O LS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
BOARD OFHEALTH GAS INSPECTION APPROVALS FIRED PT.INSPECTING APPROVALS
17
OTHER CITY ENGINEER6 (} �f
2 2
�r]2L �
WORK SHALL NOT PROCEED UNTIL THE [AS
ERMIT WILL BECOME NULL AND VOID IFC NSTRUCTION WORK IS INSPECTIONS INDICATED ON THIS CARD
INSPECTOR HAS APPROVED THE VARIOUS OT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED CAN BE ARRANGED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. NOTED ABOVE. OR WRITTEN NOTIFICATION.
The Commonwealth of Massachusetts
f ��� Board of Building Regulations and Standards CITY
'I 1 Ulf
Massachusetts State Building Code, 780 CMR, 7 edition Revised January
n q Building Permit Application To Construct, Repair, Renovate Or Demolish a 1, 2008
�j✓h One- or Two-Fam ily.Dwelling
This Section For Official Use Only
Building Pemrit Number: ate Applied: I
Signature:
Building Commissioner/In ector of Builcli Date
SECTIO : S TE INFORMATION
11 Proper fv Ad r ss: 1.2 Assessors Map &Parcel Numbers
.1 rl nip &o Le.
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 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'
i�2.1 Owner'of cord: /� r ) f4Q I c
bt )) ( CSC]_ I es U Q l ( '�
(Print) Address for Service:
A fir - 41 $ 1uU — 0F)Ll7C4
Signature fI Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) N4 Addition ❑
Demolition ❑ 1 Accessory Bldg. ❑ Number of Units I Other ❑ Specify:
Brief Descriptio of Pro osed Workz:
n _ -� ' -r- -ram u
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ o-0 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5. Mechanical (Fire $ Total All Fees: $
Su ression)
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ 17/ e:O ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) )7-7`)s2 �I��, �2611
l�1 S IJ h p,1 �6 r (�/, License Number"� Expt tir<a kon D to
Name of CS H ]der K
List CSL Type(see below)
A e Type Description
U Unrestricted(up to 35,000 Cu.Ft.)
R Restricted 1&2 Family Dwelling
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 4er e � Zm�nt Cper(HIC)1 ��
HCmanyNameor CRe t n Name Registration r/ation Number/z�/zd s
Expiration D to
Signature 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 Issuan e 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
I, Z as Owner of the subject property hereby
authorize L�( Z�C/X, to act on my behalf, in all matters
relative to work authorized by this building permit application.
9/3110
Signature of Owner Date
h SECTION
�7b: OWNEW OR AUTHORIZED AGENT DECLARATION
I, 0/ /t S ��/�/ Zv Z L/ as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing apoication are true and accurate,to the best of my knowledge and
behalf.
rs � z
Print Na
/0 - �Io
Signa r o Owner or Auth rized Agent Date
Signed under the pains and penalties ofperjury)
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 110.R6 and 110.R5,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 halffbaths
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"