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79 FREEDOM HOLW - BUILDING INSPECTION
1f�-lL4- ZS c-tc�_ 10oo� �LN The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY UK" Massachusetts State Building Code, 780 CMR, 7°edition OF SALEM Revised January Building Permit Application To Construct, Repair,Renovate Or Demolish a 1, 2008 r One-or Two-Family Dwelling This Section For Official Use Only t Building Permit Number: Date Applie Signature: m l Building Commissioner!Inspector of Buildings Date J = n 0 SECTION 1:SITE INFORMATION p 1.1 Prope�Address: 1.2 Assessors Map&Parcel Numbers I Z r' P P C —. Ir- I.1 a Is this an accepted sheet?yes_ no Map Number Parcel Number r rn 1.3 Zoning Information: 1.4 Property Dimensions: O A Cn m Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yazd Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Check if yesO Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' Owners of Record: ar e P ) Address for service: ° ? i 1 L01 4 - r:L)7 _ o tgnature Telephone SECTION 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 Work2: SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard Cityrrown Application Fee ❑Total Project Cost"(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (1IVAC) $ List: -!�/��( 5.Mechanical (Fire Suppression) S Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Tot81 Project Cost: S 0, Ob ❑Paid in Full ❑ Outstanding Balance Due: ILl)c( - I^PPE ZNO �{ 'U SECTION 5: CONSTRUCTION SERVICES "5.1 Licensed Construction Supervisor(CSL) CS —n f D 8'�?o l�h YYLI.( a D r U Y Yam- License Number Ex irat on ate Name of CSL-Holder —" n A List CSL Type(see below) Addre Type Description U Unrestricted Cup to 35.000 Cu.Ft R Restricted 1&2 FamilyDwelling Si anise M masmiry Onl y 7 RC Residential RoofingCovering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 egistered Hom Improveme t.Contractor(HI Company aTeorfuc,Registrant ame Registrati n Number Addres c�� / piration ate t ture Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. 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 ..........Id No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT b as Owner of the subject property hereby authorize to act on my behalf,in all matters relativ wor nutizednl�this building ermit application. / Sia amre of Daze SECTION 7b:OWNER'OR AUTHORIZED AGENT IDECLARATION 1, L ('/ hC4 as Owner or Authorized Agent hereby declare that the statements and information on tfie foregoing application are true and accurate,to the best of my knowledge and beh Print N // _ ignature of Owner utho ' Spar Date (Signed under the pains an ena ' of perjury) 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.L. a 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.R5,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" The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street z Boston, M4 02111 www mass.gov/dia Workers' Con petesatioa'Fnsurance-:Affidavit:Builders/Contractors/Electricians/Plumbers _(Busz4icss/organ;zationdnmviduai):.� -- Address: ' 7 S o �)P�S r JZ )1 Y2 t c itY/statezip: Lq rt,vl _ J YI ! 1 a 90 Y phouE _: ::),K S� a G `� L4 -1 Are you am employe C heels the appropr ate b -- oa: Type of project(required): 7 N-1 am a employer with�- 4. ❑ I am a general contractor and I employees(null and/or pax -dme) � have fired the sub-contractors 6. ❑New construction2.El am a sole proprietor or partner- listed on the attached sheet. 7. El Remodelinz ship and have no employees These sub-contractors have g n Demolition working for me in any capacity. employees and have workers' q Building addition [No workers' comp. insm-ante comp, insurance.+ required.] 5. ❑ We are a corpompon and its 10.F I Electrical repairs or additions ❑ 1 am a homeowner doing ?ll work oTcers have exercised their 11. PIumbina repai_, or add s myself. o workers' comp. right of exemption per IvIGL p 12.7 Roofrepais insurance required.]t c. 152 §1(4),and we have no employees [Noworkers' 13. 0�her p o n comp insurance requred.] _Any anpiicant that checks ba.. . . _ - `. y 'checks• �trl:Host also n_I!out the section below showing then workers'compensation policy i,_Sta-aiix. - !iorneownnes who subr.tit this affidavit indicating they ar_doing all work and then him outside compactor must submit a new am—davit indicatng such. 'Contactors that check this bon must attached an additional short showing the name of the sub-cone actor and s ate whether or not those entities hive employees. t the sub-connctors have employees;they mu.provide their workers'comp.policy number. I end art employer MG-e is paovidann workers'compensator insurance for my ea-aloyees. Below is the policy rend job she inforraeaton, n --.- Insurance.Compa y Name:( 2 �t -1 ' 1�^G }nil A , Policy'Or Selfrins.ic. r".-:��r„�(•T`7 U U" 1 ©;);A T.-�1� & >✓xpitatlon Date: Job-Site Address:��1� P pL�� a City/Ste&7ip:��_�� ,ineb a copy of the worlsers' comnpemsatiom polney.deconrabom barge(sbowag tine policy number amd empacztuom•daae). FC11UTe to se.^ure coverage as reguired under Section 25A or MOLT c. 152 can lead to Le imp';sinon of criminal p�_naliies of a - DID--up tD S 1,530.3'3 and/or one-year, inso irnea� as well as civil penalties in:he io m of a STOP VVOR r;oRi and z fine of up to$250.90 a day against the violator. Be advised Lot a copy of his statement may be4orwarded to the Om—ce of in Ves-deatlous DI hire DLA for msuratice coverage verification. �+do:t;Fre5ay CSP2s'Fy S:•-. ;lEi are p u>dS apd pePsaMes of pine inry e`hae the iF7j'oYw"s hVo;5.pF 9vided'aabove c5 we��dd Cbrm Simature: Date: II y Phone -®fftcaal use only.. Do not Write in this area, to be cornpl�-ed.by city or town official - City or Town: Permit/License Issuing Authority(circle one): - - 1.Board of Health- 2. Budding Depat-tment_3._City/Town Clerk 4.Electrical Inspector S. Plumbing,Inspector 6. ®tber Contact Person: Phone : E.B. Window and Siding Co. Proposal - 756 Western Ave. (Rt 107) -- Lynn MA 01905 Date Estimate No. 11/4/2014 42686 Name/Address Cathrine Mcdermott 79 Freedom Hollow Salem, MA Project Description Qty Rate Total Furnish and install Harvey Classic windows. 5 482.00 2,410.00 All windows to have matching grid pattern to existing 5 22.00 110.00 Remove existing windows and prepare opening to 0.00 MOT accept new vinyl replacement windows All windows are to have Low E glass, Argon Gas and 0.00 O.00T carry an Energy Star rating Seal Windows in and out using Tite bond lifetime 0.00 sealant All Window to carry a lifetime warrantee to the original 0.00 0.00 owner including glass failure and breakage Take away all job related debris 0.00 0.00 O.00T acceptance of propo 1 / 1i authorized signatur G Sales Tax 6.25% 0.00 We look forward to working with you! Total $2,520.00 Phone# Fax# E-mail Web Site 781-592-9747 781-592-9746 ebwindow0msn.com www.ebwindow.co`n O L tc fl) hl. 4r,) u UCO 10 w CA I, M 'AI 1:', 1 CH 2Z1 iJ All A) Am (V Y,A <> of :" q) U ht q I ( d :- TiC. A" III.-A U �� i' M At, 1, ill LLI f1, t>>I v, ,fta t< LII C7 CS O (D All CA CU a) ADG> r) CI (-j Kl10 m 10 0 !� [f) OD p) oy (n ai i^ kLJ r nl All ^' <i r r 1 y_ C 01 p) E n 5 o tti Ci j' E x <fl rN (/1 Ih _I R ll I: 1- r� :.! ^iQ)+ d .`.' r) 1p ...� 'pI) 1C K( O c'i a{ 4i Nr to Okl., i11 'i� G: I' O) IB t9 U Ifl r1 li c, t5 �; ul j]1 f.L !1 IA. r aj ,u 9) l l l,A N N CI) (� K C5 'If Ali (11 T Oti llJ (� .� _. Ill a) N 1 - ""I (a I \` i ..J t tl in i4 U) O t l rn M m --) l.. 4 x °G al fo CA l) w - to m f_l n r) rr (!) ql kf1 N 1 L1 C1 in r ' 1� L� CI 1 Ya III UI O r� 1 rkl n) p fl_ CO ry q G7;I .7. III u'.� V nl ,l IiJ �yi(1 (�d If tp L ) ' ui A O a� ai (9 ) y d) ai „) w a t,r, w LS rn x _. (' t, - '�) la r . r lu N a! 1 f ' r Lt L.., � (0 i, "C h.._i ..I I... 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(-- I) t ,f L U) ip 6 ni N 'AU to ul q> u - 1, Y� 15:' n O i' m n1 i. c. f 10 tY LI,I C)--1 u) 1) ti) C th �. .CYl f) to t--q of �• F.. r1 U ,1, .w .... �' t>i vi tel: -f 1� w.r UJ 10 I�t QKk O, cl t. t.: {9(A 7 a) {F. 1� urin di l) � A u r• -�*,Cc _-tee!tYt 's*. ' ' ' # tE T�4'arrr 'Iert7[sre '� �• e i am-It yf.ornmr+ euaart i cs kur raeC s Ctmsvmer Affairs c�c 1a + ax c n t'ran �^ JICIME IMPROVEMENT CONTRACTOR egFstration: 128634 Type piration: 512J2095 DBA Eta BYRNE WINDOW 00 EDWUND BYRNE 756 WESTERN AVE CYNN, MA 01902 dtrsecrctary r I 11/06/2014 02: 14PM 7815929746 E B WINDOW PAGE 02/02 1)/6M14 "mk.corn Print Message Print Close ............ .................. .......... ................ ............... 94 Freedom Hollow; 1 Freedom Hollow; 79 Freedom. Hollow, Salem --------From: Cyndy Anselimo (eyndy@ecpllc.net) Sent: Thu 11/06/14 7:17 PM To. tstpierre@salem.com(tstpierre@salem.com) Hi Tom, The Board of Trustees of the Village at Vinnin Square Condo Trust 11 have approved the installation of windows as follows in the following units at the Village at Vinnin Square Condominium Trust II: 94 FREEDOM HOLLOW 5 WINDOWS I FREEDOM HOLLOW 9 WINDOWS, I SLIDING GLASS DOOR; FULL SCREEN STORM DOOR 79 FREEDOM HOLLOW 5 WINDOWS The work is being done by EB Window and Siding, 756 Western Avenue, Lynn MA 01905 Cyndy Anselmo East Coast Properties, LLC Real Estate and Property Managerneut 400 Highland Avenue Suite 11 Salem, NIA 01970 P: 978-741-2003 F: 978-745-9684 cyndAecul1c.net https://blul72.mail.live.cw/oUmail.mvePririMessegee?mkt--a -us 1/1