0B FELT STREET WAY - BUILDING PERMIT APP ZG0 3
The Cummonwealth of MassachusettsOlNumbers
Board of Budding Regulations and Standards
a� Massachusetts Slate Building Code, 780 CMR. 7'a edition
Budding Permit Application To Construct, Repair. Renovate Or De
One- or ritu-Funult Duelling
,gJ 11a This Sectionfor Official Use Onl l
d Budding Permit Num r: Date A h li :
J i
Signature: �¢N
40
Budding Commissioned Insprctor of Buildmp Dazs
SECTION 1:' IT INFORMATION
p�r� .�Q�res,: 1 1.2 Aausson Mop Ai ParcelIpl Pr n 1 -1y tihre r � !? Ll1L M Numker
L 1 a Is this an ecce ted street?yes no Map
13 Zoning Information: I.! Property Dimensions:
Zoning District Proposed Use Lot Arca(sq R) Frontage IRI
1.3 Building Setbacks(11)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.I.c.40,1 SI) 1.7 Flood Zone information: 1.8 SewoBe Disposal System:
zona: _ Diisside Flood Zone? Municipal O On site disposal system O
Public O private
O Cheek if
SECTION 2: PROPERTY OWNERSHIP'
2.1 OwJJner'of Reed:• I
—
Name IPrint) Address for Service:
Signature Telepham
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction0 Existing Building 12 Owner.OccupiedO Repsirs(s) O Alterstion(s) Jia Addition O
Demolition 0 Accessory Bldg.O Number of Units-1— Other 0 Spedfry:
Brief Description of Proposed Work':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item Labor and Materials
I. Building S I. Building Permit Fee: f Indicate how fee is determined:
0 Standard City/Town Application Fee
1 Electrical S O Total Project Cost'(Item 6)a multiplier a
Plumbing f 2. Other Fees: f
a. Mechanical (HVAC) S List:
i Ntchanical lFire S Total All Fees: S
Su region
O Check No. _Chick Amount: Cash Amount:_
6 Total Project Cost 3 00 O O Paid in Full 0 Outstanding Balance Due:
)0 Is-
t)
St)--.7- ff% �D� PGtrl?Y
� I �
SECTION S: CONSTRUCTION SERVICES
5.1 LicensedConstructionSupervisor(CSL) 1 70
11m o+kI, ` IITIYI� N Lrccn,e Numbcr Es uati Dau
Nyar of -s4. Hpl n L..1 cal type(x!hetow)
��Ayyy�a. �1y�<VI�tJ Ve Ociova�RSF Description
�� `�,,4 Unrestricted u to)3,000 Cu. Ft
Sipumre Restricted l ik2 FamilyD%ellm
I �5 a?�3 Mason Only
Residential Roaring Covering
Telephone Residential Window and Siding
Residential SolidFuel Bumm A Nance Installation
Residential Demolition
S."egist
er Home rovemeat Contractor(HIC)
� I(')M�f d71 am ihyh�i5
HICaComp �N r III E LJ R_eg(slranl Name ? Registration Number
,�/�E pirafion Date
Signature Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L_e. ISL I ISC(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 ARldavitAnached7 Yes..........0 No...........0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, u 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 orowner Dau
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
1, TI M rl�tg t MGN ,as Owner or Authorized Agent hereby declare
thatthestatements an are information an the foregoing application atrue and accurate,to the best of my knowledge and
mil �mlJ+h f AMc(✓J
Prm stns
Signature of Owner or Authorized Agent Dald
Signed under the sins and penalties ofperjury)
NOTES:
1. An Owner who obtains a building permit to do hisiber own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will Sg 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 RJ, respectively.
2. When subntial work is planned,provide the information below
Total noon aro sta(Sq. FL) (including garage, finished basemenVanics,decks or porch)
Gross living area ISq. Ff.) Habitable room count
Number of lirep)aces Vumber of bedrooms
Number of bathrooms Vumber of halfbaths
Type of heating system Number ofdeckv porches
Ty pe of cooling system Enclosed Open
1 "Tool Protect Square Footage"may he,uh,muned for'Total Project Co,Y'
Fe k+ , LJ
REMOVE EXISTING WINDOW,
REMOVE PORTION OF WALL REMOVE
2 PORTION OF WALL
�`7���� TO ALLOW FOR NEW WINDOW TO ALLOW FOR NEW WINDOW
9 1 6 0
I I B
_ REMOVE EXISTING
EXISTING D60R&DOOR CL": TOILET&SINK MASTER BEDROOM
FRAM TO REMAIN i - 19'-0"X 11'-2"
BATH _--
9'-5"X T-5" °r SHELVES
,<
EXISTING STORAGE
2"` ! ! AREA TO BE REMOVED
! ' IN ITS ENTIRETY
C
�..;
DN 'LIN.
PORTION OF WALL TO
BE REMAIN
STOR.
-------------
f
d HALL
O
J CASE
N
CL.
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BEDROOM 2 SHELVES BEDROOM 1
13,-3„X 9,_7„ 15,-7„X 13,-2„
w
CL.
CL
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N
5'-4 3/8"
E.Q. E.Q.
/ -
'co,
MASTER BEDROOM
O / Y 19'-0"X 11,,2„
- 1'-5 r! /�� � T-8"CLG.HT.
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T_2"X 5'_5'
--- .
]'-8'CLG.HT.
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DN -
.. 10"
LLJ
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QUEEN BED
Pzi I
LU T-8"CLG.HT. 4'-5 1/8"CLEAR
HALL
BOOK-
CASE
CL.
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BEDROOM 2 SHELVES BEDROOM 1
13'_3"X 9'-T' 15'-T X 13'_2"
T-8"CLG.HT. T-8"CLG.HT.
CL.
LLJo
PATCH EXTERIOR WALL
TO MATCH EXISTING
CABCORNER BASE
INET 16'1W CORNER MEDICINE CABINET
CAB
20"W WINDOW 24"W WINDOW
NEW TOILET 5'-4 3/8
O NEW KOHLER SANTA
ROSA COMPACT MASTER BEDROOM
ELONGATED TOILET
19'=0'X 11' 2"
BATH " NEW THRESHOLD "cec.Hr.
T-2"
X 5'-5'' 32"W DOOR
11 %"THICK FRAMELESS
2Xq S LID WALL GLASS ENCLOSURE ;
1N/32'WIDE DOOR
ON _ WALL MOUNTED
10" TOWEL RACK
WALL MOUNTED RAIN
8"W.18 D SFIOWERHEAD QUEEN,BED
VANITY
HALF WALL
` I
7 8^GLG Hr.
HALL PROVIDE BLOCKING FOR
+ SHOWER HEAD AND CONTROLS
CASE
CL
tLL.
BEDROOM 2 SHELVES c� BEDROOM 1
13 3"X 9'-7" 15 7 X 13'-2"
e' cic.Hr: � r-ocLc.lar.
I RAIN SHOWER HEAD,
PROVIDE BLOCKING
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{
CONTROLS, PROVIDE
BLOCKING
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Ll CONTROLS, PROVIDE
BLOCKING
ao
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A ELEVATION
BATHROOM E V 10N
SCALE: 1!2"=1'-0"
117
V
OPERABLE FRAMELESS 68%2"H
GLASS DOOR WITH DUAL ACTING
j' HINGE
KNEE WALL
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ry \ e C
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CONTk,.tl,, �,
BLOCKING`*<
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CONTROLS, P
BLOCKING
DLi
BATHROOM ELEVATION
SCALE: 112"=1'-0"
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OPERABLE FRAMELESS 68%y"H
GLASS DOOR WITH DUAL ACTING
HINGE
KNEE WALL
All
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LL, r
LL LL
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BATHROOM ELEVATION
SCALE: 112"=1'-0"