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14 CARRIAGE HILL LN - BUILDING INSPECTION `f07 CG< Z-1 OS Pftffp RECEIVED RVICU a The Commonwealth of assachusetts Department of Public ' q I b + 'I Massachusetts State Building C0 8UC.' Jt q 0 Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only). - Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for whi eet d bf II[— ' No.and Street City/Tow 20"Z30 ip Code L.�j Name of Bu' . p 'cable) N I 1 SE OPOSED WORK Edition of MA State Code used If New Construction check here O or check all that apply in the live rows below Existing Building Repair❑ Alteration � Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes CK No ❑ Is an Independent Structural Engineering Peer Review requfr d? ` Yes ❑ No f— Brief Description of Proposed Work: !S�Ajrf5 . 'c> l">c7¢_ anti u''aA 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): IProposed 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.fr)and Total Height(ft.) SECTION 5:USE GROUP(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: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional 1-1 ❑ 1-2❑ 1-3❑ 14❑ 1 M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑ S: Storage 5-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use. SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ rB ❑ IL\ ❑ IIB ❑ IIIA ❑ BIB ❑ I IV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Licensed Disposal Site Elm Public Check if outside Flood Zone❑ Indicate municipal required e quired❑o trench will not be r trench or specify:2!�2r C. Z Private❑ or indentify Zene: or an site system❑ permit is enclosed❑ c Railroad right-of-way: Hazards to Air Navigation: xi;)_I list ra r_�mmnit ,i o It .reap:, r i,.�_,g: Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑ SECTION B: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: lIM P 5ago - -0 2- 1S t.-Iturnf)"ez--u5T © ieAyS SST 3� � '�CVts�o oN� ���.tr 3•�2--' SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address,of Propehy"Oiv.nei')H , Name(Print)d� No.and Street City/Town Zip Property Owner Contact?,,,hormattiio,:AAli 0111 Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable, the property owner hereb authorizes Name 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❑and skip Section 10.1 10.1 Registered Professional Responsible for Construction.Control ��'1..��-_�rL•s�.. �` _ �tJl �od! sG1�r2�sa-,Cm'verf Ls_ �5%l3.Sf Name Reg' trant)�� Tele Ito e �. !y e-mail address d1�,' Registrat n Number / y_ ✓wl 7 Street Address City/Town State Zip Disciplin E piration Date 10.2 General Contractor - Comp.ny Na e Name of Person Responsible for Construction License No. and Type if Applicable ZIP untnt k4 S{, l tZ riw4. D l9 Lf S Street Address City/Town State Zip /60/ 70l 99 G 3 Z7 Telephone No.(business) Telephone No, cell a-mail address SECTION 11:1V0ItKF16'C0bIPFNSA'I JON NSuItANCE AFFIDAVl1 M.G.L.c.152.§25C6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of ill suance of the building permit. Is a signed Affidavit submitted with this application? Yes gj No ❑ - - SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1. Building $ 2 000 Building Permit Fee=Total Construction Cost x (Insert here 2. Electrical $ 3b(7 appropriate municipal factor)_$ 3. Plumbing $ -7 J C) T.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5. Mechanical Other $ Enclose check payable�7 to 6.Total Cost $ (contact municipality)and write check number here SECTION 14.SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereyy attest under the pains and penalties of perjury that all of the information contained in this application is true ri'd accurate !'the Est of my knowledge and understanding. 7, Pleas rin;A I told.i name ide� Telephone *�it Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date 1 ` . Z1C�CI ,� The f ommonwealth'of m B 'All L $ RVICES CITY OF . Board of;Building Regulatious and Standards SALEiY[ Massachusetts State But, in, C 7 '�'�. A 5: Ol ` Revised All 2011 Building Permit Application To Consttl Repair, Renovate Or Demolish a 61l or,11vo-Fnmrly Uivelfrng Chis SectivaForOfPiciai Usd` Buihiing Permit.Number• D£te'Appl[ed 4 ; BuildmgOfiicial.(PnntName) . $tgnature, Date SECTIONi SITE'I@F ORrtiG1TION, 1.1 Pro erty lldress: . 12AssessorstVlaltBtParcel;Numbers 1,1 a Is this an accepted street?yeses, no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions:, '; Zoning District. Proposed Use Lot Area(sil ity Frodtage(B);' 1.5 building Setbacks. FrontSide Yards;C Rea[Yard Required Provided Required Provided r Required Provided` ' 1.6 Water Supply:(M.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal,System: Zone: _ _ Outside Fiood Zone? Munici ���,.,�+On site dts osal system ❑ Pub Private❑ : , t`' t heck if:es0 ..., p�P� ._ ,,P SE noT Z:;PROPEItTYOWNERsi]:l 2.1 Owneri of Record a ► a�.g.�(J <-4-AA14 6 �Q Name Print City,.S ZIP , / /�il'dellJfr1Cl C�QKQ � u i r� ,0a>v, No.and StreeE Telephone,, Email Address SE&IOtY 3 DESCRIPTIOO N F.P ROPOSED WORle:,ecbeck all'tba. apply,i New.Construld_i0 Eriss"f(ngBuildmg` Owner.Occupied` ' Repaits(s) (]" Alteration(s) I 'Addition 0 Demolition i7 AccessoryBidg 6 NumberofUnits Other Q Specify: Brief Description of Proposed.Workt. . n 1c�S, C sECTIOY4: ESTIiLaTEDGONSTRUCTIONCOST Vll S• A\ `0JA . Estimated @osts Item Official,UseOnly! . Labor�nd.Xfattcrials . l' BuilJmg ; ";'Z l .Buildmg,PerrnttFee..S fndicatehow fee is determined- !?'Standard Eity/Cowri etppll hca ion Fee` 2. Fleciriwl 5 .~p q'Cotat Pro�eet Cost(Item 6)a multiplier x 3. Plum6mg 3 ` v 012 'OrherFees S {. �lachani�il (EIV\c,) f'S: : List: 5. Mechanical (Fire $ , l'J[al:\Il Fces:.S Slipprl Check No. _Check Amount Cash Auwuut-. 6 1 utal Protect Coit' 3 p Pod in Pull 0 Outstanding Balance Uu w zzF Qaul U] a � I W � � a wUl LMXG AREA LMXL AREA Z O V) E- Q vwa a \ UNI AREA OIHIRG AREA -44 1✓I'. ® V II �. KITCHEN KITCHEN Y AMMiCX- TMG D e PATCH E ROOR i0 ALL MEA OAF FIWWG ® _. Al ALTERHATF 11 Q 03/11/4 -- ®-� --- PATCH TEI PIw9 COMING L ® ® R. R RME MALL. AaLL`oI':E m EE�ssm ucxrs MDDER�%mps TAPROOT o soFHT r`.Pa'ME°:_ DESIGN D=MG FRI ART T TD n�TCH METixo INC. M1ECHAkCAL CIOs, CL09. TIY DEyLNER M.AM GxNOT M1ECXAWCAL „ CLOO. ME RMMc 0 AT FiTc. CLOS T 04eb sLrceL Yerbleheed Y W90 TeI 901b0i.Wi0 Cell 701.081C301 EXISTING AND EXISTING PARTIAL PLAN PROPOSED PARTIAL PLAN PROPOSED I - PARTIAL I/4" I'-O" I/4" = I'-O" FIRST FLOOR PLAN ..I. IH•-r-O' Bnk: 02/04/14 anm bT VLH TRIM REQUIRED ABOVE T 1 Ll In REFRIGERATOR AND - DOOR-ry011NTF0 CHROME L/ W TALL GLA55 CABINET SPICE RACK IHAFELE OR EQUAL) SIl.MllT OPTIONS PON REVIEW JOG SHELF DEPTH FOR CLEARANCE 3'-O' ]'-f' 2'-0' 1'-(' 1'-T 2'-0' ]'-4' 2'-0' 2'-4" CORNER ACC 55 W a REPTHE SOFFITDE TO F^�i P05S B E II'IF �HN �..� 0�11N 000 � ❑.. PI E SASSPERS V1118' �PROVIDE LIGHTRAIL 4 FOR TOTAL RECESS EIPDEPANEL/ / Fy J OF I V4'MINING n2n0 /y Fi UT TRAY DRAWER � La_1 o e VERIFY KNOB SLIDE-OUT e e e INSERT. APLE REV-A-SHELF T^ CLEARANCE BLIND DONNE 1WCT-3 OR EQUAL,WITH V l 1+5 o ONE ADJ. IKXAPEIVOLi a _ ADDITIONAL SNIDER AT CUT / SHELF MIGX/ O BBCi-L-IS-FN L000 TRAY OR III o _- 1� a \ CIVICS 5 VERIFY DOOR �5 LOW IHAFELE LEARANCE _ D)ROL-OUT gel 3('REFRIGERATOR o Rp OR EOUAD A p15HWA5HER -- TRAYS O r I'-3' I'-f' I'-3' ]'-4' 2 -0' CUTLERY TRAY INSERT CUTLERY TRAY INSERT, B LITER,CI'A>'Jn.STAINLESS �J WOOD IHAFELE HA-55(99.IO1 WOOD IHAFELE HA-55f99104 SWING-OUT WA57E ON CUT TO FIT OR EQUAO CUT TO FIT OR EQUAL) IHAFELE OR EQUAL) KITCHEN ELEVATIONS KITCHEN ELEVATIONS A,- 0 I/2" = I'-O" I/2" = I'-O" Qi 03/I2/14 TAPROOT DESIGN INC. 19DE OPPOSITE SRO (40E OPPOSITE RANGE) O nl PANEL 9 "00 UP HI Slmet WrEleheed.W OIWS Tel 7M.658.fB10INTERIO R L-OUTADJUS '3' ' ' nAPE EVATIO2 TRAYS T FOR CUSTOM RGANWER ELEVATIONS TRAYS (APPRO%.SLF) KITCHEN ELEVATIONS 1/2" = -O" mm 02/69/14 drem ea VILLA � 2 144" 1 25 z" 30" 30" 24" 30" 76TE3' : 11-6 —45" 39" 15" 30' N oWBC2730L W3030B W3018B W2430B W303 M I U_ 3 BB42/45L DB15 �24.DISHW 384 0 N M to 3 LL B30RT M FULL HEIGHT DOOR< BUILD 2 ROLLOUTS w TOE KICK IN FIELD �z� o It N N a m DB15 B24B V) p W p N M rfl LL (Y) (') j W > 0 OJ I (M T All dimensions size designations OLOGIES O This is an original design and must Designed:2/10/2014 given are subject to verification on races 202 1�1 e]21 not be released or copied unless Printed:2/28/2014 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Sheldon=Goldstien All Drawing# 1