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4 BUFFUM STREET - BUILDING JACKET UPC 10333 No. 153L-3 HASTINGS,MN Certificate No: 832-10 Building Permit No.: 832-10 Commonwea th of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the RESIDENCE located at ------------------------------------------------ Dwelling Type. 4 BUFFUM STREET in the CITY OF SALEM - - -- - - -------- - ---------------------------------------- Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY OCCUPANCY PERMIT FOR(4 BUFFUM STREET) This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires -_- -_ ----------------------------- unless sooner suspended or revoked. Expiration Date Issued On:Thu Jul 29,2010 GeoTMS®2010 Des Lauriers Municipal Solutions,Inc. ------------ ------------------------------------------------------------ Zoo YSCYE-A0 1 CITY OF SALEM BUILDING PERMIT 4 RUFFUM S'T'REET 832-10 COMMONWEALTH OF MASSACHUSETTS a Block ta b f -z.,,' C,I'l i OF SALEM L6t R 0370 s" t:•a'e my RCM_ODEL � � ,.y;_> +j Yerm.t# = X83210 -,.< BUILDING _PERMIT lyiciect# JS 201 -001178;'`x" r' iEst Cost "130 C00 00 rFee Charged %, $915 00; ' `' ; 1 .- Balance Due.` $00 Y " PERMISSION IS HEREBY GRANTED TO: �C6nst Class_'( ` x e `. -s' � Contractor: License: Expires Use Group A e �j ` Terenzoni Construction/Dan Terenzoni CONSTRUCTIO SUPERVISOR-053814 iL6t S[cvx4.ft) 5499.5544 -- + - -;Owner: Traders Group LLC - IUhtts Gaini "" ;e' *:Applicant: Terenzoni Construction/Dan Terenzoni - UmtsLost +`.� �k "� AT. 4 BUFFUM STREET pig Safe ISSUED ON: 20-May-2010 AiIIENDED ON: EXPIRES ON: 20-Oct-2010 TO PERFORM THE FOLLOWING WORK;; TOTAL INTERIOR REMODEL ROOF,'WINDOWS jbh POST TIITS'CARD:SO IT IS VISTRLE FROIVT 'CHE STREET Electric Gas:- = ` a; Ptl.lubui2 13uildiue i Underground: - Underground: ... Ilnderground: ,.a Excavation: Service: Meter: - Footing,: W Rough: Roughs � g ,0,4f hO6 (_A/11c, //a/O Foundation: /94tw✓SS y4J5-re . Final: /2,9�� Final: ;?_f1 a..yrr f' Final:(q_q a J141, Rongh Frame: 0 \/ - 7— O/ 7 1 J—�a'U •: Fireplace/Chimney: D.P.W. Fire / Health Insolation: Meter: Oil: 1 -. w= 1 C(J ,. Final? Ic ok C/✓ ���9 Jv _--�Treasuryy: Water: Alarm: ASsessnr' (Sewer: Sprinklers: Final: - _3. THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPO OT.AT[ON OF ANY'OF ITS RULES AND REGULATIONS. _ .- .. Signatu �-�"� Fee Type: Receipt No: ate Paid: Check No: Amount: BUILDING rAI�_��,y,�RtiC=_'010-OG1374 A%Iuv=lO 1005 - 5915.06 14f1 It I!' ^ is Fitimer . .WWI 0011114G.W11011 Ol°.WOtEI, CallforPermi toOccupy�. _..�. . :. GcoTMS®2010 Des Lauriers Municipal Solutions,Inc. P f rs®ve A® 1(� ��jiAe►rtt ���' CITY OF SALEM • a - - - - B UILDING PERMIT- } Cap- 2010022200626 Bk;29292 Pg;583 CITY OF SALEM 02/22/2010 03:22 STATE Pg 116 ESSEX, SS + " Statement of Claim MAR 0 8 2010 Pursuant to Mass. Gen. L., ch. 139, Section 3A VES;. C" . NOTICE IS HEREBY GIVEN that the City of Salem claims $1,575.00 (One Thousand, Five Hundred Seventy-rive Dollars)* due from ROBERT R. AHEARN and CORNELIA AHEARN, owners of record of the premises at 4 Buffum Street, Salem, Essex County, Massachusetts as set forth in Book 3601 , Page 534 in the Southern Essex District Registry of Deeds. Such debt, which became due on December 12, 2009 for the purpose of a board up due to fire damage, together with interest of 6% per annum, hereby constitutes a lien upon the land on which said premises are located this /901 day of February, 2010. ya-i� �' mix %G Kimberley Driscoll Thomas St. Pierre Mayor of Salem Building Commissioner *BREAK DOWN OF COSTS: ACTION EMERGENCY SERVICES $1,575.00 TOTAL 1 575.00 ACTION EMERGENCY SERVICES 23-1/2 Hour Board-Up and Disaster Services W%Z' Debris Removal Phone: 781-286-3900 Auto Repair Flood Pumping_.— Toll Free: 1-800-BOARD-IT Auto Body Demolition Towing 't6 u ,'A:____—E-st-19$8 1087 Broadway Fully Insured Revere, MA. 02151 A�pptop N:_ . ,oWan,: _ _ Work Authorization I hereby authorize my insurance company to directly pay Action Emergency Services for the emergency service they provided to secure my building. I also understand that I will be liable for all unpaid balances owed to Action not covered by my policy. Owners Name: City of Salem Owners Address: 4 Buffum St Salem Ma. Owners Phone: Bank or Lien Holder: Cindy Jameson 978-532-6726 Insurance Company: Insurance Agent: Insurance Adjuster: Policy Number: Incident Number: FB-4580 Public Adjuster: Date: 12/18/09 Time Out: 1000 Time in: 1630 Address of Job Location: 4 Buffum St Salem Ma. Job Description: Board up due to fire damage Ordered by and authorized by City of Salem Building Inspector Thomas St.Piere Action Authorized Signature of Work Completed: C-1 Payment due 30 days from date of incident. If not paid when due, subject to penalties of interest, demand charges and fees. Interest accrued on any unpaid balances from the due date until the date of payment at a rate of 12% per annum IF ENTRANCE CAN BE GAINED, PLEASE CALL ACTION BOARD UP - 23 HOURS. Thank you for your patronage. Ad- ACTION EMERGENCY SERVICES 23-1/2 Hour Board-Up and Disaster Services Debris Removal Phone: 781-286-3900 Auto Repair Flood Pumping Toll Free: 1-800-BOARD-IT Auto Body Demolition Towing Est. 1988 1087 Broadway Fully Insured Revere, MA. 02151 Job Description Sheet Date: 12/18/09 Incident No. FB-4580 Description Measurements Amount On the above date and time Action Ememency Services responded to and was authorized by The City of Salem building inspector Thomas St.Piereto board up the property located at 4 Buffem St Salem Ma.due to fire damage Action responded using3 trucks with 4 men for 6.5 hours for the emergency service call. Basement right window 24 x 32 55.00 Basement right door 36 x 57 75.00 Basement rear window 24 x 32 55.00 1"Boor front window 35 x 63 75.00 1"Boor left window 34 x 63 75.00 1"Boor right window 38 x 65 75.00 Address: 4 Buffum St Salem Ma. Total Amount: Pape I Authorized Signature: C-1 Thank you for your patronage. JA ACTION EMERGENCY SERVICES 4 23-1/2 Hour Board-Up and Disaster Services Debris Removal Phone: 781-286-3900 Auto Repair Flood Pumping Toll Free: 1-800-BOARD-IT Auto Body Demolition Towing Est. 1988 1087 Broadway Fully Insured Revere, MA. 02151 Job Description Sheet Date: 12/18/09 Incident No. FB-4580 Description Measurements Amount V floor right window 34 x 34 55.00 1'`floor rear window 38 x 65 75.00 1"floor rear window 34 x 54 55.00 ls`floor rear door 35 x 82 75.00 2nd floor front window 26 x 70 65.00 2"d floor left window 34 x 63 75.00 2"d floor right window 34 x 63 75.00 2"d floor right window 48 x 51 65.00 2nf floor rear wall opening 48 x 120 150.00 Roof front opening 46 x 45 300.00 Ice and water shield Roof rear skylight 24 x 28 175.00 Address: 4 Buffum St Salem Ma. Total Amount: Page 2 Authorized Signature: C-1 Thank you for your patronage. ACTION EMERGENCY SERVICES 23-1/2 Hour Board-Up and Disaster Services Debris Removal Phone: 781-286-3900 Auto Repair Flood Pumping Toll Free: 1-800-BOARD-IT Auto Body Demolition Towing Est. 1988 1087 Broadway Fully Insured Revere, MA. 02151 Job Description Sheet Date: 12/18/09 Incident No. FB-4580 Description Measurements Amount H-5 truck with 2 men for 6.5 hours C-5 truck with 1 man for 6.5 hours T-12 truck with 1 man for 6.5 hours Address: 4 Buffum St Salem Ma. Total Amount: $1.575.00 Authorized Signature: C-1 Thank you for your patronage. INVOICE DATE INVOICE NUMBER INVOICE DESCRIPTION - NET INVOICE AMT-POND: VOUCHER 12/18/09 F94580 BOARD UP 4 BUFFUM STREET L,575.00 605412 370875 a c CA r C O 2 0 W 0 v Q Q � 00 N VENDOR NO: VENDOR NAME, ^'.tt.s.,,'F,,,;{;;,. 'CHECKNO. CHECKP:4'M # ;;y"rtCHECK'AMOUNT.,- 22353 ACTION EMERGENCY SERVICES 00186791 02/04/2010 $1,575.00 . CITY OF .SALEM Vendor Numtier. Check Date' Check Number 5-701712110' SALEM„MASSACHUSETTS + - - VENDOR ACCOUNT'S^ r - -�->`22353 02 O412010, 00186791 y $1,575.00 Pad' "`*'"1 575 DOLLARS AND NO CENTS O Ta The "'-'ACTION EMERGENCY SERVICES ti A OideiOI , 1087 BROADWAY r REVERE s MA 02151; ="�y 3 oN, x n CITIZENS BANK m SOSiON,MR a t tas r J .r✓ _ - CITY TREASURER 11800113679le 1: 2110701751: 110414101611, I- _I 'See Reverse Side For Easy Opening Instructions" CITY OF SALEM WASHINGTON STREET SALEM, MASSACHUSETTS 01970 ACTION EMERGENCY SERVICES 1087 BROADWAY REVERE MA 02151 � r AMA ACTION EMERGENCY SERVICES 23-1/2 Hour Board-Up and Disaster Services Debris Removal Phone: 781-286-3900 Auto Repair Flood Pur�7ping__ Auto Body --'- Demolition Toll Free: 1-800-BOARD-IT Towing rAom Est.19Bt� 1087 Broadway Fully Insured Revere, MA. 02151 N:"_ —.;,� Work Authorization _- Thereby authorize my insurance company to directly pay Action Emergency Services for the emergency service they provided to secure my building. I also understand that I will be liable for all unpaid balances owed to Action not covered by my policy. Owners Name: City of Salem Owners Address: 4 Buffum St Salem Ma. Owners Phone: Bank or Lien Holder: Cindy Jameson 978-532-6726 Insurance Company: Insurance Agent: Insurance Adjuster: Policy Number: Incident Number: FB-4580 Public Adjuster: Date: 12/18/09 Time Out: 1000 Time in: 1630 Address of Job Location: 4 Buffum St Salem Ma. Job Description: Board up due to fire damage Ordered by and authorized by City of Salem Building Inspector Thomas St.Piere Action Authorized Signature of Work Completed: C-1 Payment due 30 days from date of incident. If not paid when due, subject to penalties of interest, demand charges and fees. Interest accrued on any unpaid balances from the due date until the date of payment at a rate of 12% per annum IF ENTRANCE CAN BE GAINED, PLEASE CALL ACTION BOARD UP - 23% HOURS. Thank you for your patronage. A ACTION EMERGENCY SERVICES 23-1/2 Hour Board-Up and Disaster Services W�a/' Debris Removal Phone: 781-286-3900 Auto Repair Flood Pumping Toll Free: 1-800-BOARD-IT Auto Body Demolition Towing Est. 1988 1087 Broadway Fully Insured Revere, MA. 02151 Job Description Sheet Date: 12/18/09 Incident No. FB-4580 Description Measurements Amount On the above date and time Action Emer encu Services responded to and was authorized by The City of Salem buildin2 inspector Thomas St.Piereto board up the property located at 4 Buffem St Salem Ma.due to fire damaLye Action responded using3 trucks with 4 men for 6.5 hours for the emergency service call Basement right window 24 x 32 55.00 Basement right door 36 x 57 75.00 Basement rear window 24 x 32 55.00 1"floor front window 35 x 63 75.00 1"Boor left window 34 x 63 75.00 1"Boor right window 38 x 65 75.00 Address: 4 Buffum St Salem Ma. Total Amount: Page I Authorized Signature: C-1 Thank you,for your patronage. �50 ACTION EMERGENCY SERVICES 23-1/2 Hour Board-Up and Disaster Services I Debris Removal Phone: 781-286-3900 Auto Repair Flood Pumping Toll Free: 1-800-BOARD-IT Auto Body Demolition Towing Est. 1988 1087 Broadway Fully Insured Revere, MA. 02151 Job Description Sheet Date: 12/18/09 Incident No. FB-4580 Description Measurements Amount I"floor rieht window 34 x 34 55.00 1" floor rear window 38 x 65 75.00 1"floor rear window 34 x 54 55.00 1"floor rear door 35 x 82 75.00 2nd floor front window 26 x 70 65.00 2"d floor left window 34 x 63 75.00 2nd floor rieht window 34 x 63 75.00 2"4 floor right window 48 x 51 65.00 2nf floor rear wall opening 48 x 120 150.00 Roof front opening 46 x 45 300.00 Ice and water shield Roof rear skylight 24 x 28 175.00 Address: 4 Buffum St Salem Ma. Total Amount: Pape 2 Authorized Signature: GI Thank you for your patronage. A ACTION EMERGENCY SERVICES 23-1/2 Hour Board-Up and Disaster Services Q I Debris Removal Phone: 781-286-3900 Auto Repair Flood Pumping Toll Free: 1-800-BOARD-IT Auto Body Demolition Towing Est. 1988 1087 Broadway Fully Insured Revere, MA. 02151 Job Description Sheet Date: 12/18/09 Incident No. FB-4580 Description Measurements Amount H-5 truck with 2 men for 6.5 hours C-5 truck with 1 man for 6.5 hours T-12 truck with 1 man for 6.5 hours Address: 4 Buffum St Salem Ma. Total Amount: $1.575.00 Authorized Signature: C-1 Thank you for your patronage. Bei i We need' J%eh plqce )P AP - Lip AP Up �� k s 7 h The Commonwealth of Massachusetts V� Board of Building Regulations and Standards CITY Massachusetts State Building Code, 780 CMR, T"edition OF SALEM ��✓ Revised Junuury Building Permit Application To Construct, Repair, Renovate Or Demolish a 1. 2008 One-or Two-Family Dwelling This Sectio or Official Use Only Building Permit N mber: Date Applied: Signature: &tee /C) Building Commission nspector of Buil ngs IV Date SECTION 1:SITE INFORMATION I.I Property Address: 1.2 Assessors Map& Parcel Numbers i3vF�v.*r _ 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.1.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Public❑ Private❑ Check if es❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Ownert of Record: %'ZZZd�?cs �AZot,f' 1.4.C' Name(Print) Address for Service: Sienature Telephone SE .IO 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': .DeXj° ;ItAat -/c s�7to0I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials I. Building S I. Building Permit Fee:S Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical S ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4. Mechanical (fIVAC) S List: 5. Mechanical (Fire S Suppression) Total All Fees: S Check No._Check Amount: Cash Amount:_ 6. Total Project Cost: S ❑Paid in Full ¢❑,Outstanding Balance Due: SECTIONS: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) ,r7�/ License Number Espimtion Dot Nammeeool'C'SL-I lulder List C'SL'fype(see below) nc rype Description Add s U Unrestricted(up to 35,000 Cu.Ft. his R -Restricted I&2 Family Dwelling Signature M Mason Only /77°��— � C RC Residential Roolfing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registere Home Improvement Contractor(HIC) i �� y� 7 L-7l/ZU;/, �d7✓f. 6,C770N tIIC Company Nama or HIC R gutrmt Name Registration Number 3s il c-1(ZC 15� a F /0 A s 57873/-6e76 Espimti nDate ature Telephone SECTION 6: ORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.¢ 2SC(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 .......... 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 to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION r � 7Z47,/262,Vt as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. r �"�7ZE�d2lt Print Name l6 Signature o' wner or Authorized Agent Dme (Signed under the pains and penalties o r u 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 riot 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 I IO.R6 and 110.115,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 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" MORTGAGE INSPECTION BAY STATE SURVEYING ASSOCIATES INC. JOB# 100 CUMMINGS CENTER, SUITE# 316J, BEVERLY,MA., 01915 LOCATION :....AL. �r......�A ............... NOTES: ....... This is a mortgage inspection survey and not an _ instrument survey,therefore this plot plan is for SCALE : 1" =30 DATE :..........$.. Z4. ...... �1�... mortgage inspection purposes only.It is NOT to .. . . ..... be used to establish boundaries or for the a �/��� construction of any type of improvements. REFERENCE : ..........!....................................... 2)This survey is based on survey marks of others. ....... 3)Bushes,shrubs,fences and tree lines do not necessarily Indicate property lines. .................................................. 4)Whenever an offset is 1'+-or less,an instrument survey is recommended to determine property TO: ..................................................J................�................ lines,and any possible encroachments. The location of the building(s) as shown,either 5)Offsets shown are approximate, and are to be complied with the local zoning setbacks at the time of used_onty-for the.determination of zoning,Not to construction or is exempt from violation enforcement be used to establish property lines. action under Mass.G.L.Title VII Chapter 40A Section 7 6) In my professional opinion the building(s)are not located)n the special flood hazard zone,as defined by H.U.D.MAP# � 1 Q / w 1, 40% IF TQLSUNZOR'S SEAL IS NOT EmsED.THE PLAN IS A To HEOULDD.T E ASSUMED To AIN UNAUTHORIZED ALTERATH E CERTIFICATION CONTAINED ON THIS DOCUMENT SHALL NOT APPLY TO COPIES. �j The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY 0 1 t3F SALEM Massachusetts State Building Code, 780 CMR, T"edition Revised January Building Permit Application To Construct, Repair, Renovate Or Demolish a 1. zno8 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Nu er. 4 J),R41kApp 'ed: Signature: I it.), 7-6 Building ummissioner/ spectorof Build Date` SECTIO is SI E INFORMATION 1.1 Pro a ddress: 1.2 Assessors Map& Parcel Numbers f v F � 1 �T —z - I.la 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 It) Frontage(tt) 1.5 Building Setbacks(R) 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 es0 Municipal O On site disposal system ❑ SECTION2: PROPERTY OWNERSHIP' 2.1 Ownert of Record: N e(Prin Address for Service: are Telephone SE :DESCRIPTION OF PROPOSED WORW(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other O Specify: Brief Description of Proposed W rk-. ev SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials I. Building S ewo 1. Building Permit Fee: S Indicate how tee is determined: ❑Standard City/Town Application Fee 2. Electrical S 006 ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing S If— 100 2. Other Fees: S �� / 4. Mechanical (HVAC) S 2 600 List: . 5. Mechanical (Fire S Suppression) Total All Fees: S Check No. Check Amount: Cash Amount: 6.Total Project Cost: S 3�t ©o ❑Paid in Full ❑Outstanding Balance Due: ,kk l v 6,)f, v� t SECTIONS: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) /6 la PIAr �� �.��( License Number r pirawn Da e Name ol'CSL• III[ollder2 c/ List CSL Type(see below) 3&— °�-c�`' ""` �l .rype Description AJd U Unrestricted(up to 35.000 Cu.Ft. Restricted I @2 FamilyDwellin Signature M Mason Onl Sl9 lZC 8�� RC Residential RootingCovering felephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D I Residential Demolition 5.2 Registered Home Improvement Contractor � � =Zz;a�e,lne dllc�llscic 7lGvy HIC CompanyName or f IIC R gistrant Name Registration Number AJJ 7g sJcg l Ex0iratioil Date � Signature Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.9 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 giNhe building permit. Signed Affidavit Attached? Yes ........: No...........❑ SECTION 7r:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 as Owner of the subject property hereby authorize i✓ to act on my behalf,in all matters relativ wo authorized by this build] g$ermit application. SE//y -of Owner Date SE 7b: OWNER'OR AUTHORIZED AGENT DECLARATION l 2Oic{, as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. Print Nam SignatbWofOwner or Authorized A Date (Siltned under the pains and Mn bf 'u 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 W have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I I O.R6 and I IO.RS,respectively. 2 When substantial work is planned,provide the information below: Total floors area(Sq.Ft.) �e 7© ° (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 2 Number of half/baths !' Type of heating system 4 4-/ Number of decks/porches C Type of cooling system G/ Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 12, QfpAiRtb y?eRwlub ` airs F�a� 8'x10' biss5 !a'b.e 3 VI 00 IQ First Floor RLOOR FLANS I RUFFUM STREET SALEM, M.A. PRBPARSD;FOR: i GROUP, L.L.C. SCALE 1"=8' DAM APR2 14. 2010 j DAI?D P. TBRNMONI, P&s. 1.1 y_ -- - 4 AUBN !?OAD, PPABODY, NA: 01960 SHEET 7 OF 2 ;- - i x .A - "J P .. 32o a 7 13EDRa0 7 eep.41ACDA, 319" - - ie Oa c. 13 Cft.4lRdD 2Yip - �+ r o;jvY O 1 3CPrt00Mdoom. woe so 00 8'x8' � 4� Mf L :•: Second' Floor FLOOR -PLANS �} B`UFFUM STREET SALEM, MA. PMPAW "M TRADES GROUP, L.L.C. SCAJ,B:f^=8' JUTS: APRfI `fI. EOfO DAVID P. TBRENZONI, -P.L.S. 4 ALMN ROAD, PEABODY, NA. 01960 SHEET 2 OF 2 P10-034 J vm 12' g��•� 2ca��rteb. , ►x ie icon you�7 ,. j'._ I . 1' r I?ep4iae b L a,►s 81 10' : 13' _ curs tx'b.c 00 s 1 8 x'8 I rvr*-f ^^ irst Floor 4 FLOOR PLANS 9 BUFFUM' STREET SALEM, .MA. SI l`1 I( p _ PREPARED FOR. �•':� :. . PRAMS GROUP, L.L.C. SCALE:f �8• DATE. APR(L 14 E010 .r DAAVID P. TERENZONI, P:L:S. —' 4 ALLEN ROAD, PEA BODY, MA, 01980 SHEET t OF 2 c. ; P10-034 2 84m 2 VAI - keP4rnr0 2'6"x ZXB JbrS/f 3'9" ib" a. e. _ �rµorasc .xx.o c� F�oun Jo,1rs ��.st. lie X1 d''+ 13 �6 �.Nn !�&niYoe O i M t 00 a , ` * H'X8' GL, 00 Second Floor FLOOR PLANS B UFFUM STREET SALEM, MA. PREPARED "A TRADES GROUP, L.L.C. SCALF.Im—Or DATE. APRLS 14. 20f0 DAVID P. TERENZONI, -P.L.S. 4 ALLEN ROAD, PEABODY, MA. 01960 SHEET 2 OF 2 P10-034