20 CELESTIAL WAY - BUILDING PERMIT APP 33 ct� r8o�
l v The Commonwealth of`1Vlassach!sgdws
hf Department 6P blic Safety
V(JJI�f - Massachusetts State( cl ft(79Q )
Building Permit Application for any Building other than 5�r�4trwo-Femily Dwelling
1 n - (Thi+.Section For Official Use Only)
Building Permit Number: Date.Applied: Building.Official:
1 SECTION 1:LOCATION(Please indicate Block It and Lot N for locations for which a street address is not available) -
ao Ce esT?A wqY s,{L, ely &4
No.and Street City/Town Zip Code Name of Building(if applicable)
[' SECTION 2•PROPOSED WORK - -
Edition of MA State Code used_ If New Construction check here❑or check all that apply in the two rows below
Existing Building❑ Repair❑ 1 Alteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy 13 Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑
Is an Independent Structural Engineering Pger Review a aired? y Yes ❑ No ❑
Brief DeLscription f Proposed}}��ork: IV S TJ'f
s' id ��9 u�i1T %a pots S
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) Cl
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
-
OExistingProposed
F
Floors/Stories(include basement levels)&Area Per Floor(sq. ft.)
rea(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as a licable)
embly A-1❑ A-2❑ Nightclub ❑ A-3❑ A=4❑ A-5❑ 8: Business ❑ E: Educational ❑
Factory F-1❑ F2❑ - H: High Hazard H-1❑ H-2❑ H� ❑ H-4❑ H-5❑
tutional I-1 ❑ I-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-1❑ R-2❑ R-3❑ R-4❑
age S-t❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IB ❑ IIA ❑ IIB ❑ IIIA ❑ 111B ❑ IV ❑ VA ❑ VB ❑SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Trench PermihDebris Removal:
Supply: Flood Zone Information: Sewage Disposal: Licensed Dis os�l Site❑lic❑ Check if outside Flood Zone❑ Indicate municipal.❑ A trench will not be Pate❑ or indentify Zone: or on site system❑ required O or trench or specify:
permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: ;tiA Ilistonc,Comntiseiun Re,w,,-
Not Applicable❑_ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ I Yes O or No❑ 1 Yes❑- No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor:
Does the building contain m Sprinkler System?: Special Stipulations:
r(1(aYt, ir ' �
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
yf4T®R MANS /�✓I az� c' e � es %I ,� � �' �9 % s.d.Cer/ /'/�' .,
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
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).- . - - -
f buddingis less than 35,000 cu.ft.of enclosed space and/or/ not under Construction Control Then check here W ana skip Section 10.1
10.1 Registered Professional Res onsible for Construction Control -
'KCVC f if /94 V/Y/141)Al u5 -ivdc ' 7f/ 39 / mao o
Name(R gistrant), Telephone No. e-mail address Registration Numbe
r/<3 LIlVco1 N A� sA �s'L's iY/t 9 !
Street Address City/Town State Zip Discipline Expuation Date
10.2 General Contractor
ReyeRe /9LVIVIX"I'llAIV
Company Name
9 1 d�/ &l
Name of Person Responsible for Construction License No. and Type if Applicable
1 tl,3 /4 / i/11C4 Al A ✓e 5Ay,705 Al j r
Street Address City/Town State Zip
7f-/ tj . GGi'G (,/ 7 11 clGaG
Telephone No. business Telephone No. cell e-mail address
SECTION 11:WORKEIS'COMPf':NSA'1[ON INSURANCE AFFIDAVIT M.G.L.c.152. 25C 6
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 the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes O No O
SECTION 12:.CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$
1.Building $ 7 Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical $ C9 appropriate municipal factor)=$
3. Plumbing $ d
d. Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
S. Mechanical Other $ - Enclose check payable to
6.Total Cost $,3 70 v I (contact municipality)and write check number here -
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
application is true and accurate to the best of my knogledge and and ,standing.
kc
Please print and sign name Title Telephone No. D. e
Street Address City/Town fate Zip
Municipal Inspector to fill out this section upon application approval: -
Name
Sanctuary Condominium Trust
e% Crowninshield Management Corp.
18 Crowninshield Sheet
Peabody,MA 01960
(978)532-4800
September 21, 2015
Mr. & Mrs. Mancini
20 Celestial Way
Salem, MA 01970
RE: Replacement Sliders— Sanctuary Condominiums
Dear Mr. & Mrs. Mancini:
Thank you for your inquiry regarding 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 sliders providing that they match in appearance. They must fit the
existing opening, no grids, no French doors, glass size and moldings must all remain the
same, 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 9232.
Sincerely,
Jill Fama, CMCA
Regional Property Manager
Crowninshield Management Corp.
Managing Agent for the Sanctuary Condominiums
cc: File