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22 CAVENDISH CIRCLE - BUILDING JACKET aa Crwend �,h C;rcl 7 171G(l(G UPC 10333 No. 153L-3 fir° HASTINGS, MN OP-2002-0022 Building Permit No.: 839-2001 Commonwealth of Massachusetts City of Salem BUILDING,ELECTRICAL&MECHANICAL PERMITS DEPARTMENT This is to Certify that the RESIDENCE located at Dwelling Type 0022 CAVENDISH CIRCLE in the CITY OF SALEM Atltlress Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY New single family attached. T.J.S. This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires unless sooner suspended or revoked. Expiration Date Issued On: Tue Sep 25,2001 ---- ----- /y--------------------- ---------- ------ — GeoTMS®2007 Des Lauriers Municipal Solutions,Inc. ----------------tJ -�/-- -------- 002fCAVENDISH CIRCLE 839-2001 GIS#: 10286 COMMONWEALTH OF MASSACHUSETTS Map: 07 Block: 838 CITY OF SALEM Lot: 0081 Permit: Building Category: 102 New Single famil BUILDING PERMIT Permit# 839-2001 Project# JS-2001-1615 Est.Cost: $90,000.00 I Fee: $901.25 PERMISSION IS HEREBY GRANTED TO: 6 Const. Class: Contractor: License: Use Group: ts' Fafard Development Corporation General Contractor-052848 Lot Size(sq. It): Owner: MARINER DEVELOPMENT CORP Zoning. Applicant: Fafard Development Corporation Units Gained: Units Lost: AT: 0022 CAVENDISH CIRCLE 3' ISSUED ON: 30-May-2001 EXPIRES ON: 30-Nov-2001 TO PERFORM THE FOLLOWING WORK: Call o( Permit d OCCUPY \, Bldg#168,Unit C,Coach style. Construct 4 unit condominium building as per plans submitted. T.J.S. POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Foundation: Rough —`I Rough: 0 House#0*4 Rough Frame: Final: q—(9/ Final: 9/ 5��„kr/ Fireplace/Chimney: Insulation: Gas Fire Department Board of Health �j ,,�1� Final: �le RoughYlr/Q � �r Oil: �'- v� Treasury: F'J'-iv YN'- •�( x Finale Smok / O/ Excavation: THIS PERMIT MAY BE REVOKED BY THE CITY OF.SALEMN VIOLATION OF ANX OF ITS RULES AND REGULATIONS. p Sign— Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC-2001-001790 03-May-01 01 $901.25 GeoTMS®2001 Des Lauriers Municipal Solutions,Inc. 4 y a YSQYE AO CITY OF SALEM , t BUILDING PERMIT 0 ICX The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling Official Use Only) ' ,Building Per t"Number:�'��- j:Date Applied. Bt'i_iIdmg'Offcia'I 'SECTION I-.LOCATI an ON:(Ple4se indicate Block# d Lot#for locations for which,i,sti6et address is not available) 50 Bldg 168 22 Cavendish Salem 01970 Green Dolphin No.and Street City/Town Zip Code Name of Building(if applicable) in P ROPOSED WOkW Edition of MA State Code used— If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 1 Alteration 121 1 Addition 0 1 Demolition El (Please fill out and submit Appendix 1) Change of Use 0 Change of Occupancy El I Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No Eft Is an Independent Structural Engineering Peer Review required? Yes El No 19 Brief Description of Proposed Work: Remove and replace roofing shingles a, CD zm COMPLETE THIS SECTION IF EXIST "D ON,OR -SECTIONI:,C PLE EXISTING BUILDING UNDERG OING,RENO�rATI'V,-, qm' �iNG N U E �USE OR OCC FANCY ..... Check here if an Existing Building Investigation and Evaluation is enclosed (See 780 CMR 34) 13 Existing Use Group(s): hesiaential Proposed Use Group(s):_ R4entli SECTION 4:BUILDING HEIGHT-AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft) -USE,GR OUP(Check as ape SECTION 5 A: Assembly A-10 A-20 Nightclub 0 A-3 El A-4 0 A-5 0 B: Business 0 E: Educational El F: Factory F-I El F2 El 1. High Hazard H-I 0 H-2 0 H-3 0 H-4 0 H-5 0 1 1: Institutional I-1 El 1-20 1-30 1_4 0 M. Mercantile 0 FR: Residential R-10 R-2121 R-3 0 R-4 1:1 S: Storage S-111 S-211 U: utility 13 Special Use 0 and please describe below: Special Use ", SECTION,6:1�ONSTRUCTIONT—YPE((;Iiecka(oapplica6leY' IA 0 111 0 IIA 13 IIB 13 IIIA 13 IIIB 13 IV [3 VA 0 VB 13 e on,e t�m) -`.SECTION 7.S 4 tails, ach i Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public 11 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site 0 Private 0 or inclentify Zone:— or on site system 0 required 0 or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes 0 or No EJ Yes 0 No 13 Itt '.SECTION Si OF'CERTIFICATVOF OCCUPA NCY CY, Edition of Code: Use Group(s):— Type of Construction:— Occupant Load per Floor: Does the building contain an Sprinkler System?:—Special Stipulations: -tK;SECTION :PROPERTYOWNh AUTbIOHIZATTOIV 'Name and Address of Property Owner Green Dolphin Salem 01970 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Charles Minasalli 25 Spaulding Rd Ste 17-2 Fremont NH 03044 Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Pleasc`fill out Appendrx 2)T, x x )f buildin 'is less than 35,000 cu.et of eneloseda ace'and ox not under ConstrucHori Control then:check'he're:C and ski' Section 10.1 ,10.1 Re istered'ProfessionaLRe6 onsible for Construction Contml ?-I»-, 't'. : '• 'f' Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10:2 General';Cuntracto KTM Properties LLC Company Name Charles Minasallli 160139 HIC Exp. 6/25/16 Name of Person Responsible for Construction License No. and Type if Applicable 25 Spaulding Rd Ste 17-2 Fremont NH 03044 Street Address City/Town State Zip 603 895 0400 603-231 1677 tara@ktmproperties.com Telephone No.(business) Telephone No. cell e-mail address SEC 'ION 11:W©RKPRS'C{JMPFNSXFj0N, INSGRANNC'E AFFIDAVIT M.G:L,c,152. .25C 6 ,,,.- - A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes L( No 0 $1 CTION 12 CO2VSTRUtTION COSTS AND�PERMIT FEE,' "^ _. .. Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6) _$ 5,000.00 1.Building $ 5,000.00 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ - appropriate municipal factor)_$ 3.Plumbing $ 4.Mechanical (IfVAC) $ - Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ 5,000.00 (contact municipality)and write check number here - " "" .':,SECTION 13:'SIGNATURE.OF BIJILDING PERMIT'APPhICANT _ 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 ccurate to the be of my knowledge and understanding. President 603-895-0400 8/18/15 Please print and sign a e -4Lmarieswinasalli Title Telephone No. Date 25 Spaulding Rd W 17-2 Fremont NH 03044 Street Address City/Town State Zip Municipal ct out is thsectmn upon applicati Inepe orto fill on approval �. ' . N Date- " am , n