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8 BUENA VISTA AVENUE - BUILDING JACKET f 8 BUENA VISTA AVENUE �ry V Q INSPECTION REPORT DATE: � 17- ADDRESS: U - fief �+' .� ' ou �•2 c4� OWNER: , USE GROUP: NUMBER OF STORIES: NUMBER OF" ROOMS (BY STORY) : i HOW HEATED: GAS: YES NO: NUMBER OF SANITARIES: . NUMBER OF APPROVED EGRESS DOORWAYS: !� 1 REMARKS:' FEE RECEIVED: YES NO: DateL/� %�, Mr. 0-6&•-C2.ce� , Building Inspector Town/ of Mas chusett>>s77 Re !J Ge,� Q V CS�cc ✓ e . Dear Sir: In accordance with Section 111.43 and Section 120.3 of the State Building Code, I, as the owner, hereby request an inspection of the premises at _g Z3 O eW a Vlsia /P✓e. , and the issuance of a Use and Occupancy Certificate. Entry to the premises may be obtained by contacting should you determine that an inspection is necessary or desired. Will you kindly acknowledge that you have received this letter by signing and dating theattachedcopy, and returning it to me in the enclosed envelope. Yours very truly, r On 19 , I received this letter for the issuance of a Use and Occupancy Certificate. An inspection will be made by our office within three days. An inspection will not be made by our office. Building Inspector July 28,2005 8 Buena Vista Ave. w Salem Mass. 01970 Wolsey Associates Inc. 112 Haverhill St. No. Reading Mass.01864-0128 Atn.Michael Tripp RE. Pre blast survey at 8 Buena Vista Ave w in Salem Mass. Michael I, as the immediate abutter of the blasting site at 10 Buena Vista Ave, in Salem Mass. I have some concern that I want addressed before I sign off on any permission slip (s). As I understand Wolsey Assoc. is the go between for the blaster WAYNE JOHNSON Inc. And the builder and abutters, and is authorized to perform the pre-blast survey for the blasting company. My concerns are as follows.... CONCERN#1.... I want a meeting with the blaster and a representative of the SALEM FIRE DEPARTMENT to discuss with me, the precautions that will be taken to protect my property during the blasting of the utility trench and foundation. CONCERN#2 I am requesting a copy of the blasters insurance policy for this site for a review by my insurance company and attorney. CONCERN#3 '1 need to know what will happen if some cracking occurs in my foundation due to seismic shock waves, after the blasting is completed, (3 months—6 months— 1 year) after repeated freeze and thaw cycles have occurred, and water has settled in the fissures. CONCERN #4 The waste pipe and the water pipe that is located 110 feet from the blast site and is probably laid in a trench that was hewned out of the same ledge that will be blasted, cast iron pipe does not react to good to movement, even if it is so slight, lead joints will leak. CONCERN#5 the chimney, it sits right on the cellar floor that was poured on the same ledge that is being blasted. CONCERN#6 the buried propane gas line in the yard, and is connected to a 500 gallon above ground tank (approx 70% full) CONCERN #7 the windows facing the site. CONCERN #8 The 2 (two) shed that are on the same side as the blast site. CONCERN#9 the possibility of flying shrapnel from under blasting blankets. CC John J Walsh insurance co Salem fire department, fire prevention Salem Building department Thomas St.Pierre Attorney Paul Cullinane THANK YOU ancis A. G on The Commonwealth of Massachusetts O Board of Building Regulations and Standards RECEIVED CITY OF W Massachusetts State Building Code, 7945MTICNAL SERVI ES SALEM Revised Mar 2011 Building Permit Application To Construct,Repair,Re ov te.O1, 11 z Qebmo h 4 -r One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date li : Building Official(Print Name) I - Signature / Date SECTION 1:SITE INFORMATION 1.1 Pro ertyi�d dress-dre 1.2 Assessors Map&Parcel Numbers lJue )CL V;tfu — L l 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) 1.71 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone?Check if yes❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owyyer of Record: I c NnA F-✓ra rl t' 'S �ra 9Na-✓ f �t I -n-r ,'a Name(Print) _ f City,State,ZIP tbueula V t > L 7NN-0-?3 SS No.and Street Telephone Email Address SECTION 3:DES CRII ION OF PROPOSED WORW(check all that apply) New Construction❑ 1 Existing Building❑1 1 Owner-Occupied ❑ 1 Repairs(s) ❑ 1.Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other Specify: Z7��o..�naM1.J Brief Description of Proposed orkZ: SECTION 49 ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item (Labor and Materials ofricia1 Use Only I.Building $ 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) $ ( Lisp 5.Mechanical (Fire Suppression) $ Total All Fees:$ Check No Check Amount Cash Amount: 6.Total Project Cost: $ [3 Paid in Full ❑Outstanding Balance Due: r11Prl.ti=D IZ 1 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 2 -71-7—7 y 3 License Number Expiration Date Name of CSL Holder I;I1C W. 1'aAlll List CSL Type(see below) U n rr•t. No.and Street �-rtm6tYQuffe Type Description .Salem MA 01970 U Unrestricted(Buildings up to 35,000 cu.ft. City/I own State,ZIP R Restricted 1&2 FamilyDwelling M Masonry RC Rooftn Coverin WS Window and Siding ��, "'�('�� SF Solid Fuel Burning Appliances VO -1 I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(MC) ' �-Cl Atlantic w aidiefiz �HIC Company Name or HI Nam ' �'TIC i HIC Registration Number Expiration Date �6 a rm Avenue No.and Street Salem MA 01970 Email address —City/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 ........It. No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR`APPLIES FORM PERMIT I,as Owner of the subject property,hereby!uthorize C..ri-C Ca /M to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) I Date SECTION 7b: OWNER' 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 is appfica' n is true a curate to the best of my knowledge and understanding. 1' ( Z 14 Prim Owner's or Authorized Agent's Name(Electronic Signature) Date 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.LI 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.mass.eov/dos 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 Number of bedrooms Number of bathrooms I Number of half/baths 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" l T6— [ q - I 3 25 °D GIB R 9 (� a The Commonwealth of Massachusetts og Board of Building Regulations and Standards RECEIVED CITY OF Massachusetts State Building Code, 71% TIONAL SERVI ES SALEM Revised Mar 2011 �— Building Permit Application To Construct,Repair, Retio�' tG,�z DGtnoh�_ U . One-or Two-Family Dwelling UU 1 Wool This Section For Official Use Only Building Permit Number: i Date li : ^ - Building Official(Print Name) - - Signature - Dare IV`11. SECTION 1:SITE INFORMATION 1.1 Property efddress: S �� 1.2 Assessors Map&Parcel Numbers L I a Is this an accepted street?yes_ no Map Number Parcel Number 13 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 Rem Yard Required Provided hi Required Provided Required Provided I 1.6 Water Supply:(M.G.L c.40,§54) 1.7! Public❑ Private❑ Zo Flood Zone Information: 1.8 Sewage Disposal System: ne: Outside Flood Zone? _ I Check if yes❑ Municipal❑ [3On site disposal system SECTION 2: PROPERTY OWNERSHIP' 2.1 O�wy�terr of Record: c 7 V74 m 's Q q^J '-) I �t l ei*7 Name int) City,State,ZIP � 614 til A Vt- hK �- :ZYW-O�23 Sr No.and Street I Telephone Email Address SECTION 3:DESCRII'I ION OF PROPOSED WORK=(check all that apply) New Construction❑ Existing Building Oj Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg.❑ Number of Units Other Specify: Brief Description of Proposed orkt: I �I &1. I C I SECTION 42,ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and Materials Official Use Only 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2. Electrical $ I 17 Standard City/town Application Fee ❑Total Project Cost'(Item-6)x multiplier x 3.Plumbing $ I 2. Other Fees: $ 4.Mechanical (HVAC) $ ( List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. —Check Amount- Cash Amount: 6.Total Project Cost: $ p�((f jf , �� ❑Paid in Full ❑Outstanding Balance Due: rnpLL_� p 1z1 q SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) R .7 C License Number Expiration Date Name of CSL Holder Eric W. 1':d ni List CSL Type(see below)--- No.and Street 3 Hilton Street - Type Description Salem MA 01970 U Unrestricted(Buildings up to 35,000 cu.ft. R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masor RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I I Insulation Telephone Email address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) ' �-Cj L I4, Adantid VLF tto I r Ba��1@[I78.--I1� HIC Registnttion Number Expiration Date HIC Company Name or HI Nam eWM Avenge No.and Street Salem MA 01970 Email address City/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 ........Ir. No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR T `APPLIES FOR BUILDING PERMI I,as Owner of the subject property,hereby i uthorize C ✓-1 C Ca /M to act on my behalf in all matters relative to work authorized by this building permit application. � F � --I L ) l vl 1`/tA.rnr r r , Print Owner's Name(Electronic Signature) I Date SECTION 7b:OWNER' 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 is applies ' n is trpy, curate to the best of my knowledge and understanding. a Print Owner's or Authorized Agent's Name(Electronic Signature) Date I 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.L1 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.mass.eov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basementlattics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces ? Number of bedrooms Number of bathrooms Number of half/baths Type of heating system i Number of decks/porches Type of cooling system I Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost"