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94 NORTH ST - BUILDING INSPECTION (3) UThe Commonwealth of Massachusetts �' }�►, .� Board of Building Regulations and Standards CITY Massachusetts State Building Code, 780 CMR, 7ih edition OF SALEM Revised Janaury Building Permit Application To Construct, Repair, Renovate Or Demolish a L .DON One-or Two-Family Dwelling / This Section For Official Use Only Building Permit Numbe . Dale Applied: (7 Signature: Buildin ummtsst a for of Buildings Date SECTION 1:SITE INFORMATION 1.p1 Property Address: 1.2 Assessors Map& Parcel Numbers OL I.I 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(R) Front Yard Side Yards Rear Yard Retuired 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 es❑ Municipal O On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2t�it�rlJ�lvlj�or1'bXA14) / 7 "/771 5'TiRf91— s'p &f-,/ Name(Print) Address for Service: 908 7y5- (92-SG Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK(check all that apply) fr New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) Iteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other Or Specify: /�1iti IPA Brief Description of Proposed Work': 5(� ,,q I/7@¢ QE1�F. ���5/g�97�1bOF6,o h-- F' SECTION J: 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: 2. Electrical S ❑Standard CityfTown Application Fee ❑Total Project Cost(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 3. Mechanical (11VAC) S List: 5. Mechanical (Fire S Suppression) Total All Fees:$ 6. Total Project Cost: S oo Check No._Check Amount: Cash Amount:_ 13 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) o%l0/?a!;- tl 02 ZOIe— n �15..��� �P�� () _ I.icense Number :xpirao n Date L' � Name at'CSL•I It der List CSL Type(see below) e 4 A 4 S`_ �� f. Ixacri tion q U llnreslricted(up to 35.000 Cu.Ft. C'o R Restricted 1&2 Family Dwelling S'gnaturc M Masonry Onl RC Residential Routinx Coverin felcphone WS Residential Window and Sidin SF Residential Solid Fuel Branin A liance Installation D I Residential Demolition 5.2 Registered Home lm trovemeot Contractor(HIC) / FIIC Curd any Nume ar HIC Registrant N:une Registration Number A ress �j - 1O/ Expip6tion Date . rgnalure Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.1 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 Issuanc f the building permit. Signed Affidavit Attached? Yes.......... No...........O 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. SistnatureofOwner Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION 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. Prmy�rt)e �.� 4iggnalure of Owr r or Authorized Agent Dat (Signed under the pains and penalties of '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!Igo 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 1 IO.R6 and I IO.RS,respectively. 2. When substantial work is planned,provide the information below: Total tloors 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" CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT I'.IC N111 ''Nlv„II I_'C MtCT 0 5AI I fl.MNi\4 I II J I.•:I'�'. frl,7.'4.'1}')i4s �P�!t:'/lt•�!S'�Y1A Construction Debris Disposal Affidavit (required I'ur ull demolition:uid rertovulion work) In accordance with the sixth edition of the State Building Code, 130 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit p is issued with the condition that the debris resulting from this work shall he disposed of in a properly licemed waste disposal facility as defined by MGL c l 11. S 150A. The debris will be transported by. �- (Imme of hauler) The debris.wwilll be disposed Orin : piansul aci Ity l adalms of 6ilyl .Ignanue of Iwrmit applicant datr CITY OF S.U.E.NIy NLASSACHUSEM SLMDLNG DEP.1RTatENT 120 W.1SNLNGTON STRERT. r ROOK TEL (978) UMSIS F.kx(971A 740.9&W K1\C3EALEY DRISCOLL 114O SST.PRRAM MAYOR D1RRCroR OF pL aLIC pWpERTY/RL•RDL%IG COMMSION ER Workers' Compeasstloa Insurance Aflldsvit. Builders/Contractors/ElectriclansiPlumben anollcant Information Pleas Print Legibly Va1Te Itlururse.aOrpnuarieuvindrvrdutlY• c, � e mVuAE Se_ G,4f'D Address: po. l8c"�X 7 f�ity�'f4su Si City/State/Zip:9"?1e;P�-� til% Pfau N '59� 78 ©' 4l�/ \rtr onto rsplayw!Check the appropriate Mu Type of prolect(r*quka* 1.U 'am a.sployer with a 4. [f 1 aro a gnaal cmaaesr and 1 k0 Now construction employees(fdl and/or part-time).o have hired the su►eorrraeam 2.❑ I am a sole proprietor ter partner listed as the a wjw sheet: Y. ❑Remodeling ship and hove no cmpbyes These sub-com (anon haw L O Demolition wording rat not in say capacity. workers'comp.info raaca 9. 0 pudding addition I No worken'comp.insurance S. ❑ We are a eaepoosdoo and is nquirwll officers have onaeiaed their 10.13 EwArical repaint or amliom ).❑ 1 am a horneawnar doing age work risk otexalo ion per MOL 11.13 PI ing repairs or additions myself.(No workers'comp. c. I72.#1(1).and we haw no 12. Roof repair inswance requiced.l► .mployees.LNe workers' IS.❑Olher comp inwrrsnes rcipsind.l -Any+ppwd iti cbaeb bra at nwsr AM ns won ONE MUNO sakwatawitg thole wakes•MNPWAWo pesky iaawraolat. 'i f, 1, wu who su6wit dole aledw"ineietin tbty as dtnd an west ad that NOT sum"raaosreew own auto"a now allhkvit iu$tiwri$tg atsi T.auwtww the chock ibis bas awd aaachd a 3"liwwl.had$bowing Ow own atV roff"on ten s d$bolt wwbwa'm'1.ydiay itrlba$sdr� f am as rwpioy n$Aar&PPe"141AN waitron'rowpansrMn lninnmwfdf q aagfoyws Below 61A9PNIe7 exerm sw in/Nnedon. / In.urance Company Name: V r� policy e or Self-ins.Lit.A» �cL 7 ZI6 3 Eapitation Doty. 3 /7 �dl� )ob Site Address: 9 City/Statwzipc S'1 � erg .t track a copy of lbw wertmrs'componeadow pWey d cbnfteo pop(showing the policy ssshor and aspiration dab(6 Failure to axum coverage as required under Section 25A of MGL c. 152 can Ind to the imposition of criminal penalties of a ring up to 111.300.00 an&or one-year imprisonnifint as well as civil penalties imam farm of a STOP WORK ORDER and a'doot of up to S270.00 s day against the violator. Ile adviw:d that a copy of this statimtem maybe rwwwded to the OlYlce of invc,utlmiuns of des DIA for inswanca coverage vuitkatioa 1,10 hereby ce In rho pains owd Ptnr/No1f%r/wry'Age rM infierwadeo prewd ed above is true and/rw►rd Dore: P`unc 4: O/Jfcid vrr anfJt tea n at write in this d"4 to be,atnp1fW 6y city a rotva o/A•id City or rmvn: Pcrmir/t.kenrt 1 hairs AU1119rrty(circle une): 1. Iluird of Ilr+lik 2. 9u$ldlna 12rpariment 1. ciiyifowo Clerk 4. Electrical Intpectar 3. Plumbing In,ptetor 6. Office _ I l•,macrPcnan: . _ ._ PhontM: RAPID ROOFING GENERAL CONTRACTING CO. P.O. BOX 605 SALEM , MASS. 01970 978-740-0101 MASS LIC # 128253/144946/CS101965 RAPID ROOFING IS A DIVISION OF COYNE&SONS CONTRACTING CO. ARCHITECTURAL SHINGLE ROOFING ESTIMATE TO. 4/13/2010 FERNANDO PENA 94 NORTH( STREET. SALEM, MASS. 01970 978-745-6236 H. 9787703-0300 CELL JOB SITE ADDRESS. SAME RE; ROOF ESTIMATE# 010-034 UPDATED FROM ORIGINAL EST. COMPLETE STRIP ( 2 LAYER STRIP) OF 25 YR. 3-TAB SHINGLES 26 SQ. INSTALLATION OF 30 YR ARCHITECTURAL ASPHALT ROOFING SHINGLES - ON ENTIRE MAIN HOUSE ROOF, TWO REAR ADDITION ROOFS, AND THE REAR RIGHT SIDE LOWER ADDITION ROOF OF THE BUILDING.. INSTALLATION OF NEW %"PLYWOOD SHEATHING ON THE ENTIRE ROOF DECKING AREAS OF THE BUILDING. ALSO COMPLETE STRIP OF THE TWO EXISTING FLAT BAY ROOFS LOCATED IN THE FRONT AND ON THE RIGHT SIDE OF THE BUILDING, INSTALLATION OF TWO NEW RUBBER ROOFS ON THE EXISTING BAY ROOFS AS DESCRIBED ABOVE. REMOVAL& INSTALLATION OF APPROXIMATELY 150 FT. OF NEW WHITE ALUMINUM METAL GUTTERS ON THE ENTIRE BUILDING. ME AGREE TO. 1. COMPLETELY STRIP THE ENTIRE MAIN HOUSE ROOFS, ADDITIONS, RIGHT SIDE ADDITION ROOFS, AND FLAT BAY ROOFS OF ALL THE EXISTING TWO LAYERS OF SHINGLES ON THE ROOFS OF THE BUILDING AT THE PRESENT TIME. 2. INSTALL APPROXIMATELY 78 SHEETS OF %2"PLYWOOD SHEATHING ON ALL THE ROOF DECKING AREAS OF THE ENTIRE BUILDING. 3. INSTALL NEW WATER& ICE SHIELD ON THE FIRST THREE FEET OF THE MAIN ROOFS,AND ALL ADDITION ROOFS OF THE PROPERTY. ALSO ON ALL RAKE AREAS, VALLEYS, DORMERS, CHIMNEYS, OR FLAT ROOF AREAS OF THE ENTIRE BUILDING. 4. INSTALL NEW 15 LB. ASPHALT FELT ROOFING PAPER ON THE ENTIRE MAIN ROOFS, AND ALL ADDITION ROOFS OF THE PROPERTY.. 5. INSTALL NEW 8 INCH WHITE ALUMINUM DRIP EDGE ON THE ENTIRE MAIN ROOF, AND ALL ADDITION ROOFS OF THE PROPERTY. 6. INSTALL ALL NEW VENT PIPE BOOTS ON THE MAIN HOUSE ROOF & ADDITIONS ROOFS OF THE BUILDING AS NEEDED. 7. INSTALL NEW ALUMINUM STEP FLASHING ON ALL AREAS OF THE COMPLETE JOB AS NEEDED. 8. INSTALL NEW 30 YR. ICO ARCHITECTURAL ASPHALT ROOFING SHINGLES AND CAP ON THE ENTIRE MAIN HOUSE ROOF, AND ALL ADDITION ROOFS OF THE PROPERTY. COLOR BLACK.. 9. INSTALL NEW COBRA VENT RIDGE VENT ON MAIN ROOF RIDGE, AND ADDITIONS OF THE PROPERTY. 10. INSTALL NEW LEAD FLASHING AND A STONE CAP ON THE EXISTING MAIN HOUSE CHIMNEY OF THE BUILDING. 11. STRIP THE EXISTING BAY FLAT ROOF AREAS, AND INSTALL NEW 0.60 RUBBER ROOFING MATERIAL ON EXISTING FRONT AND RIGHT SIDE FLAT BAY ROOF AREAS OF THE BUILDING.. 12. REMOVE THE EXISTING GUTTERS ON BUILDING, AND INSTALL ALL NEW WHITE ALUMINUM GUTTERS, DOWNSPOUTS, AND HARDWARE ON ALL AREAS OF THE ENTIRE BUILDING 13. WE AGREE TO REMOVE ALL ROOFING DEBRIS FROM THE PROPERTY. BREAKDOWN OF COSTS.. INSTALLATION OF NEW 30 YR. ARCHITECTURAL SHINGLES, AND RUBBER ROOFS ON ENTIRE BUILDING....$ 9,100.00 INSTALLATION OF NEW WHITE ALUMINUM GUTTERS ON ENTIRE BUILDING............. $ 1, 500.00 INSTALLATION OF NEW PLYWOOD SHEATHING ON ENTIRE BUILDING............. $ 4,000.00--- REDUCED TO $ 2,900.00 INSTALLATION OF NEW LEAD & CHIMNEY CAP ON CHIMNEY. $ 650.00 TOTAL COST OF JOB..................................$ 14, 150.00 WE HEREBY PROPOSE TO FURNISH ALL MATERIALS AND LABOR-COMPLETE IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS FOR THE SUM OF.... $ FOURTEEN THOUSAND ONE HUNDRED FIFTY DOLLARS WITH PAYMENTS TO BE MADE AS FOLLOWS.................... $ 5,000,00 DOLLARS DOWN/$ ALL MATERIALS & DUMPSTER TO BE PAID FOR BY HOMEOWNERS CREDIT CARD.. BALANCE OF MONIES DUE -MINUS MATERIALS & DUMPSTER ..... TO BE PAID IN FULL UPON THE COMPLETION OF THE WORK.... RESPECTFULLY SUBMITTED BY' RAPID ROOFING CO. OF SALEM , MASS OWNER CHRISTOPHER R. COYNE SR. NOTE-THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN-21 DAYS. ANY ALTERATION OR DEVIATION FROM THE ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS,WILL BE EXECUTED ONLY UPON WRITTEN ORDER AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE. ALL AGREEMENTS ARE CONTINGENT UPON STRIKES,ACCIDENTS,OR DELAYS BEYOND OUR CONTROL. - NOTE; WE CANNOT ACCEPT ANY RESPONSIBILITY FOR ANY DAMAGES.OR DEBRIS FALLING INTO ATTIC AREAS, CUSTOMERS SHOULD COVER VALUABLES,GREAT CARE WILL BE USED TO PROTECT THE EXTERIOR STRUCTURE BY COVERING THE EXTERIOR WALLS,OBJECTS,AND FOLIAGE WITH TARPS TO HELP PREVENT ANY DAMAGES DURING THE STRIPPING OF THE ROOF,HOWEVER SOME DAMAGE AND MARRING COULD OCCUR BEYOND OUR CONTROL, HOMEOWNERS MUST MOVE ANY VALUABLES AWAY FROM THE BUILDING,PRIOR TO THE STRIPPING OF THE ROOF. NOTE; IF MORE LAYERS OF ROOFING MATERIALS ARE FOUND THAN INDICATED ABOVE IN THE ESTIMATE,THE OWNER OF THE PROPERTY WILL BE IMMEDIATELY NOTIFIED,THE OWNER ACCEPTS ALL RESPONSIBILITY,AND (AGREES)THAT,ANY EXTRA CHARGES WILL BE ADDED FOR THE LABOR AND THE REMOVAL OF THE EXTRA DEBRIS,OVER AND ABOVE THE PRICE OF THE ESTIMATE.... NOTE. IF FINAL PAYMENT HAS NOT BEEN RECEIVED OR PAID IN FULL AT THE TIME OF THE COMPLETION OF THE WORK, AS OUTLINED IN THE CONTRACT,AND RESULTS IN ANY TYPE OF COURT ACTION.. THE OWNER OF THE PROPERTY OR CONTRACTOR OF SAID JOB. AGREES TO PAY ALL COURT FEES,ANY ATTORNEY FEES,AND INTEREST OF 12% COMPOUNDED EACH MONTH.,ON THE FINAL BALANCE OWED TO RAPID ROOFING CO. ACCEPTANCE OF PROPOSAL THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENTS WILL BE MADE AS OUTLINED ABOVE.. DATE OF ACCEPTANCE 3 l) SIGNATURE SIGNATURE SIGNATURE PLEASE MAKE ALL CHECKS PAYABLE TO CHRISTOPHER R. COYNE SR.