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2 FRIEND ST - BUILDING INSPECTION 4 15Z - CIE l C The Commonwealth of Vila is 'Jag �t S VICES I SPE Board of Building Regulations and Standards SALENI Massachusetts State Building Code,730 CrvIR 5i P1 r¢�ll I 'k 23 li Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling" This Section For Official Us Building Permit Number: Date Appli dt i� a zure Date Building OI'ticiul(Print N;une). � S SECTION is SITE INFOR,AIATION' 1.1 Proper' ddress: 1.2 Assessors Map&Parcel Numbers r� f/?Z 168L ad Cy—�-- I.la Is this an accepted street?yes_ n✓ o M1taP Number Parcel Number 1.3 Zoning Information: LJ Property Dimensions: Zoning District Proposed Use Lot Area(sq It) Frontage(Il) r 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided I 1.6 Water Supply:(M.G.L c.40,§5�) 1.7 Flood Zone Information: L8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Public❑ Private❑ Check iF es❑ SECTION2: PROPERTY OWNERSHIP' it 2.1 Owner'of Record: Nt11ne(Print' rq Piz_CEl-VS N Cad 1 City,State,ZIP N?mtStreet Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check nl hat apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ 1Repairs(s) Alterations) ❑ I Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ I Other ❑ Specify: Grief Description of Proposed Work': i i SE TION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only Item Labor and Materials I. Building S I, Building Permit Fee:S Indicate how fee is Determined: ' ❑Standard Cirylrown Application Fee 2. Electrical ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: .S t. `Mechanical (lIVAC) S List: i. \I dmnical (Fire S rued All Fees:5 Su ressiun) � Check Nu._Check Amount: Cash Anunntt:_ 6. 'I'utal Project Cost: ❑ P,tid in Full ❑Outstanding Balance Due:_ GA-t--t_� W"t--W Q-1 Z-Plra t_ C I-LL.( ..`7$t - S A 4- t M 5'-I CA0--ctV 1:�o(z %? I 1 v 4 1 1 y - t-lauwItu (3E� Bt-f lt"N P4, kI It C;E N � � P/ ) Lrnbrn t)C,-. 10 P�m sEcrm 5: CONSTRucrION SERVICES 5.1 C'oostructinn Supervisor License(C'SL) G P y�y n Gc'S 1 �f 1?1,11 n fe P1Z'e License i umber Expiration Date Nome of CSL Holder I p List CSL'rype(see below) 677 ' r V IQ PA,I type Description Nu. and Street �../ + U Unrestricted(Buildings u to 35,000 eu. It.) d 76 Restricted 1&2 Family Dwelling Cityll'u+vnr State,".IP N1 Masonry PLjSIf RC Rooting Covering WS Window and Siding SF Sul id Fuel Burning Appliances f P6 R � �4-Y I! anf GK�IL.cof I lnvdalfon 'rele hone Email address D Demolition 5.2 Reeg'iisteredHome Improvement Contractor(HIC) a St) 2 -�3 _ /3_16 ly �' P'I T HIC Registration Number Expiration Dote fflC Cumpam Nnme ur HIC Registrant one ��L -7 1�f c� Ra�.,ei'i J� eO� R�ALt�NEhT G k No. and Street Emml address CO _LV& A� "a 0t9oS `76V8Y419S Cit /Town,State ZIP 'rely hone 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 o 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 I,as Owner of the subject property,hereby authorize - t9 act on my behalf,in all matters relative to work authorized by this building permit application. I Print Owner's Name(Electronic Signature) Dale SECTION 7b:OWNERI 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 this application is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Signauree) Dane NOTES: 1. An Owner who obtains a building permit to do his/liar own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC) Program),will nol have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at saww.masi. •u�v'uc;t Information on the Construction Supervisor License can be found at www.nmss.eov:'IEs � ?. \Vhen substanti:d work is planned, provide the infonnatiou below: Total floor area(sq. 11.), (including garage, finished basement/attics,decks or porch) Gross living area(sq. it.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of healing system Number of decks/perches 1'ype of cooling syslom. Enclosed Open 1. '•f,nal Project Square Foota-ge"may be substituted titr 'Fotal Project Cost" G�J raj P ,D REALTY MGMT. rA W PHIL'S HOME IMPROVEMENT F: 57 MURRAY ST., APT. 2 LYNN, MA 01905 gnvaic:2 781-844-1954 pbrealtymgmt@gynail.com TO .............. oATE 3 JOB NO. ........................... JOBNAME ....................................... ..... ................ ..... JOB LOCATION ......... 2....... TERMS --'I' 7kl 9 KIESCRIPTION PRICE AMOUNT > ................— �Zoo ou: .................. ............. h-v L) �............ .................. 6 00 0 0 0c) . ... .. .............. .. ........ .......... ICL?......... yoo ou --o-0................ . ........... ....Jyl -AceA ........... . ............ ......................ir. JLQ ..............i 14,LllJp............................. ................2—I'l-Co, __.......... .....—a Lei 2 0,0. IJ:-- Thank You . A M&TTianic Rehabilitation Loan Permit Certification (Too be completed by oral municipality or HUD Consultant) Property: EA!2" ,,d scq l�, ,s Applicant(sj: � c`�'�L Q r2n c o AR 4>-i V.0 c a d a— Loan q: Rehab Type: ❑ Fu11203K ❑ Streamline203k ❑ Fnma Homestyle ❑ SONYMA ❑ Other Municipality Type: ❑ County ❑ Town ❑ City ❑ Village ❑ Other Name of Municipality: Phone No: ( ) ❑ Refinance 8arrower(s)must provide written evidence,priorto Purchase Borrowerdoes not own subject property yet,but must dosing,from local municipality(county/ctty/town/viilage,etc.)that they validate prior to dosing, with local municipality(county/ have applied for(and when possible,been granted)permits for all work dty/town/village,etc)which permits(If any)will be required for all work items listed in their 203K plan which require permits items listed In their 203K plan. ATTN:BUILDING DEPARTMENT/INSPECTOR: The property listed above is subject to renovations. Lending guidelines require that all necessary permits and Inspections be obtained from local municipality authorities. Please review the attached plans & specifications to determine if any permits are required for the outlined work. Please indicate below which permits/inspections will be required,or if alrea Issued. CONTRACTOR NAME`: _:< =+ :-`ANTICIPATED WORK(General oesuipt on) 2 , . :.i°r ?APPROX:COST:' \ Re 0V2ra- -Please use the back of this form to Include additional Information. MUNICIPALITY TOCOMPLETE , -': .,•: -. FOR INTERNAL M&T USE ONLY ' PERM RTYPE7yr+ ' ;,.sPERMR If P_UI EDTECTION s..{ CAST'OFEACH7 ', Fiitenced'into' .cPerm_gobeatnN+ T.. permatobe:'; .... gf! lhf�+� .,c, -R IRRED7;e RE ,Ufrtar"7i!/e,°°rdMat GENERAL BLDG PERMIT Y / N Y / N $ 'Yoe C-1 HVAC Y ROOFING Y / N Y / N $ ELECTRICAL Y / N PLUMBING Y / N OTHER NO PERMITS REQUIRED Y / N 1� Y '/ N $ �/ Signs e: Date: y 3K Consultant'ID k ("By Signi ,HUD Consultant certifies that s/he has verified the above information w/the municipality) ❑ City/Town/County Bldg Inspector/Code Enforcement Officer Borrower Acknowledgment/Notice to Mortgage Applicant: You must take this form to your local municipality to be completed,or your HUD 203k Consultant,if applicable. M&T will not permit the scheduling of your dosing without verification of required permits,for refinance or purchase transactions. Borrower(s)AELECT ONE: ❑1 DO / r I DO NOT request the sum of all permits to be financed into my 203k Rehabilitation Escrow. E' Borrower Signailire Date Borrower Signature Date Rehabilitation loan Permit Certification Loam: M&T Form B000/Rev.10-21-11 Borrower: Gmail- 2 Friend street Page 1 of 2 Gm1 i PBReattyMgmt Lynn< pbrealtymgmt@gmail.com> fri l n kr(ft' 2 Friend street 1 message Maria.Luker@salemfive.com<Maria.Luker@salemffve.com> Fri, Apr 4, 2014 at 9:34 AM To: pbrealtymgmt@gmail.com Hi Phil, Please fill out and return Maria Luker Senior Loan Officer Over 15 years of industry knowledge , Salem.hiv,.mayc Salem Five Mortgage Company, LLC 1 359 Main Street I Stoneham, MA 02180 tel. 978.720.5890 ]mobile. 781.316.4487 1 fax. 978.498.0437 1 maria.luker@salemfive.com NMLS ID: 29352 ..This information may be confidential and privileged.Use of this information by anyone other than the intended recipient is prohibited.If you received this message in error,please inform the sender and remove any record of this message." 203K Permit Certificatlon.pdf 322K Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-100434 ``` y,l I♦ "," PHELIP M BRIENA 57 Murray StreetSApt LYNN MA,.0190r Expiration Commissioner 11/11/2015 CITY OF SALEM, 2ANSS.ICHL'SETTS BUILDING DEPART%&—NT 120 W."HNGTON STREET, 3'D FLOOR TEL (978) 745-9595 F.A-x(978) 740-9846 Kl\tBERLEY DRISCOLL Vf iYOR 7HOMAS ST.PIERM DIRECTOR OF PUBLIC PROPERTY/BC[LDLNG CO\LUISSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ^ Please Print Le ibly NainC �fgleW2 `e q Address: S'7 (`t lIR P.,4 .r S`C- City/State/Zip: �-J((N N 1 I 0 Phone9: Z E-) &4Q 1 QS Are you on employer? Check the appropriate b . 'rype of project(required): I.0 I am a employer with 4. 1 am a general contractor and 1 6. ❑New ns(ruction employees(full and/or part-time).' have hired the sub-contractors LEI 1 am a suit proprietor or partner- listed on the attached sheet.t 7. emodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. workers'comp, insurance. 9, 0 Building addition [No workers'comp. insurance 5. 0 We are a corporation mid its required.) officers have exercised their 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work right of exemption per MGL I I.0 Plumbing repairs or additions myself. [No workers' cump. C. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.) t empluyees. [No workers' 13.0 Dthcr cump. insurance required.) -A qv applicant that checks box BI most a6a fill uuI the section chow showing their workers'compensation pention polity intbmnaiun. 'I lomeuwn v who submit this aflldzvis indicating thcy arc doing all work and then hire outsidecontncton most submit a new aR•davit indicating such. ;('omnoon shut chick this box must onach d an:ddiliurml sheet showing Ilse name of the sub.:onincion and their worken'comp,pul icy infe"Otion. l unt un errrployer that is providing)wrkers'evoipeasatfon htturunce for my eaployees. Melon,is the policy and Job site infornrarion. Insurance Company Name:_,,, _ ,__' Policy 4 or Self-ins.rrLiie.H: Expiration Date: G Job Site Address: o0, �/1,i 2mey. ,.Q"), oS W-Gity/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ins up to 51,500.00 and/or one-year imprisonment,as well as civil penalties in(he form of a STOP WORK ORDER and a lino nFup to S250.00 a day against the violator. Ile advised that a copy of this statement may be forwarded to the Office of Investigutions of the OIA for insurance covcrngc verification. f do hereby certify �under the pahis and penafties of perjury that the it formation provided above is true and correct, Phone Official cur only. Do nor write in this area,to be conspleled by city or low"official City nr Town: _ PermifA.Icense p Issuing Authority(circle one): - 1. Board of liculth 2. Building Deparfuunt 3.Cilylrown Clerk 4. Electrical Iuspectur 5. Plumbing Inspector 6.Other Contact Person: ___ .... _ Phone /h4r CITY OF SiUZM, ANSSACHUSETIS l t • t yc ©CILDL�IG DEPART.NLENT 120 WASHLYGTON STREET, 3'0 FLOOR TEL. (978) 745--9595 KIIBERI Y DRISCOLL FMX(978) 740-9844 ,LLIYOIL THo.%Lis ST.PIE.RnB DIRECTOR OF PUBLIC PROPERTY/3L:MnLN(;COWUSSIONER Construction Debris Disposal Aft7davit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 730 CMR section 1 l 1.5 Debris, and the provisions of rA40L c 40, S 54; Building Permit t! is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by tNIGL c l 11, S 150A. l'he debris will be transported by: (name ol'Iteuler) The debris will be disposed o(in (narne of facdity) (address of racility) i signature of permit applicant STONEHAM SAVINGS Fax:781-438-5914 Apr 16 2014 11:17am P002/004 M&T Bank V Rehabilitation Loan Permit Certification (To be Completed by local municipality Or HUD Consultant) /�Property: C.Js Applicant(s): Ooana , ///� ' Loan u: a. o Rehab Type: ❑ Full 203K v ]treamline 203k ❑ Fnma Homestyle ❑ SONYMA 13 Other Municipality Type: ❑ County ❑ Town Cilelty 11 Village ❑ Other "t� ( -CA� S��l Name of Municipality: �SL��5AIti" Phone No! (111b —{•-ts /� • vis�S ❑ Refinance Borrower(5)must provide written evidence,prior to P UFCIIaSQ Borrower does not own subject property yet,but must dosing,from local munidpallty(county/c@y/townlvlllage,etc.)that they validate prior to dosing, wkhlocal muniCipaliry(county/ have applied for land when possible,been granted)permits for all work clry/town/village,eta)whlch Permits(if any)will be required for all work items listed in their Z03K plan which require permits items listed In their 203K plan. ATTN:BUILDING DEPARTMENT/INSPECTOR: The property listed above is subject to renovations. Lending guidelines require that all necessary permits and inspections be obtained from local municipality authorities. Please review the attached plans & specification$ to determine if any permits are required or the outlined work. Please indicate below whichpermits/inspections will be required,or if already issued. CONTRAC70R NAME ANTICIPATED WORK(General Destnpnon). APPIR0131 ci er Let J, �`► i �©.w 're r F F' Vim 1 -Please uae the back of this form to induce additional information- MUNICIPALITY TOCOMPLETE FOR INFERNAL M&T USE ONLY - i ttERMi�T'TYPE - IN$,V.E¢t10N "'CO$TOF"EACH> sFirrysnr t¢n,t,o 1yi36i €d}r c�-.. SiG Y R UIRED? GENERAL BLDG PERMIT &/ N Y / N $ �� HVAC Y / N Y / N $ ROOFING Y / ELECTRICAL PLUMBING Y / N y / N $ OTHER Y / N Y / N $ NO PERMITS REQUIRED Y / N Y / N $ Signature: Date: _ 0203K Consultant IDa ("By Signing,HUD Consultant certifies that s/he has verified the above information w/the municipality) xCity/Town/County Bldg Inspector/Code Enforcement Officer Borrower Acknowledgment/Notice to Mortgage Applicant: You must take this form to your local municipality to be completed,or your HUD 203k Consultant,if applicable. M&T will not permit the scheduling of your closing without verification of requiredpermlts,for refinance or purchase transactions. Borrower(s)SELECT ONE: L71DO IDONOT request the sum of all permits to be financed into my 203k Rehabilitation Escrow, E' Borrower Signature Ddte Borrower Signature Date Rehahilhation loan PermR Clrtifrcthon Loan#: M&T Form 8000/Rev.10-21-11 Bormrver: STONEHAM SAVINGS Fax:761-436-5914 Apr 16 2014 11:17am P001/004 Luker, Maria Maria. Luker Senior Loon Officer Over 15 yeors of industry knowledge _S_a}exF -V RTGAGB COMPANY Salem Five Mortgage Company, LLC 1 359 Main Street I Stoneham, MA 02180 tel-978.720.5890 1 mobile. 781.316.4487 fax. 978.498.0437 1 Maria.Iuker salemfive.com NMLS ID: 29352 'I7hls lnformatlon maybe mnfidential and privileged.Use of this information by anyone other thaa the intended recvent is prohibited.if you received this messa a In error. Please inform the sender and remove any record of this message.'• g o� CUTS 014L �