0098 NORTH ST - BPA-12 t y The Commonwealth of Massachusetts
Department of Public Safety
4. 'a• � \la...ldtu.rn.tit.ur Building l-ode(,-80 CVIIi)<a•rrnth Edulun !
1 City of Salem
U� Building Permit Application for any Building other than a I-or 2-Family Dwelling
/I 1 rhis Sacuun For Official Use Only)
/I I thudding Permit Number: Date Applied: Building Insprctue j
SECTION I: LOCATION IPfea""se indicate Block s available)
a for locations for which a street address is not availabi
4 /mot.,
i
No, and Street Ci7s' / ioavn Lip Gxtr .Name ut Building Ut applrcablrl
SECTION 2:PROPOSED WORK
It New Construction check here O or check all that apply :n the twu ruws below
Eauting Building Repair❑ Alte"tiun O Addition❑ Drmulition ❑ (Please fill out and submit Appendix I)
Change of Use ❑ C"hangr of Occupancy ❑ l)thrr ❑ Specify:
Are building plans and/ur cunstructiun ducumrnn bring supplied as part of this permit application? Yes ❑ Nu ❑
Is an Independent Structural Engineering Peer Review era wired? ` Yes ❑ No ❑
8nuf Description of Proposed Work: f z/
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,Oft
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑
Existing Use Group(s): Proposed Use Group(s): r
Existing Had Index 790CMR 34: Proposed Hazard Index 780 CMR 34:
SECTION 4: BUILDING HEIGHT AND AREA
Existing Proposed
No.of Flours/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq. ft.)and Total Height(ft.) _
1
SECTION 5:USE GROUP(Check as a livable)
A: Assembly A-1 ❑ A-2r ❑ A-2nc❑ A-3 ❑ A-4 ClA-5❑ B: Business ❑ E: Educational ❑
F: Facto F-1 O F2 O H: HI Hazard H-I ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
1: Institutional I-1 ❑ 1-2 ❑ 1-3❑ 1-4❑ M: Mercantile❑ R: Residential R-10 R-2 ❑ R-3❑ R-4 ❑
S: Storage S-1 ❑ 5-2 ❑ U: Utility O Special Use❑and please describe below:
Sprawl Use: '
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ IB ❑ IIAO IIB ❑ IIIA ❑ 1118 ❑ IV VA ❑ VB ❑
SECTION h SITE INFORMATION(refer to 780 CMR 111.0 far devils on each item)
i trench Perrnil: Debris Removal:-
1Vat<r Supply: Flood Lone Information: Sewage Disposal:
Public ❑ C11'J .1"'.1>Ide I L,r-,l Gina•O Indlratr mumn)`al❑ '\ trench ,.It not be I_rien.rd Cl
rcquuud❑ur trench .,r .peel lc._ —
I'rlcatc❑ ,rt inJcnllls Zane._ nr,rn�itr�c•Irm❑
prrmu I.ench,.a•J ❑
Ridrnad right of-way: Hazards to Air Navigation: ....... -i•.n R„ ,,,
'\,q. \pplp.d•Ic❑ L�Irutlulr++ilh,n.nrpnrl.rpppa,Ch.In•u' I•Ihcu rraic++ irn,Idclr,l' . .;:
.., 1 r. 1,1 ❑ I lc.❑ ,•r Or❑ lr. ❑ \„ ❑
-�
•'•SEC"iIUN 8:ION TENT OF CFRTIFIC,1 rE OF OCCUPANCY �
I dd .", ••I l •-dc- . .__ �•c l....u)`i" _ f,F`r• I l un-InL ll,nt l t<i rri•.u,l l u,,,l f cr l Ln•i -_. ___...._.._.
II„r. Iho bwl,lu,q.,nn.Im u, �pnn{.Ier?t.lent` �prclal�lipuldbr,n.
SECTION 9: PROPERTY OWNER AUTHORIZATION
✓L20 9� A 1o.� r if t . A44
\onle III'rInI No ,ind }burl l it\ ; G...n GIV
I'ruF+a•rly lh.nee Contact Inlurm.rtlun:
tide relrphon,No. Ibunmenn) rely)+hone.Vo. (cell) ,•-mad a.fdrr..
If.il+ +hc.lblr, Ihepm ete ,,ner herrli);aulhurues ,, �,/� _ n
—�a s c�Gry l/,? /lAW 9�- &� Kdf4--/'�t- -- K.RP
\'.tmr lih•/T...cn State Zip,
w act on the projlvrh owner'.behalf, mall minter.ra•Ialice lu o•ork authonta•d by this buddm • •rrmrt a + dica non.
SECTION 10:CONSTRUCTION CONTROL IPlease fill out Appendix 2)
111 t•uddm•is le s than 19•tloticu. U.of.•ndusaJ>Vace and/ar nut under C,n',"t', un Gn,W1 Ihen check here❑.,lid.k, V 5.•.hun III II
10.1 Registered Professional Responsible for Construction Control
:Name(Rr•istr.lit) rpplr,hunr u. mad address O1 Registration Numb/ Pik
Street Address - City/Town State Lip Discipline Expimtwn Uetr
10.2 General Contractor '
f L L
Cfi�ompailly N
a.
Name of Pers.m Resp.msible for Construction Lic�ysep� Ind Type if Applicable Q �\
9 S••t il
.3 AAZW Set/�-/�-_ 4 L.,�F/Ao,icr ��'rs6� "j
Street Address City/Town tote Zi
Telephone No.(buslness) Telephone No.(cell) e-mail address
SECTION 11:WORKERS'CONTENSATION INSURANCE AFFIDAVIT(M.G.L,e.I q-1 & 25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must becompleted 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 O No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6) _$
1. Building S d BuildingPermit Fee=Total Construction Cost x
2. Electrical $ _ (Insert here
appropriate municipal factor) _$
7. Plumbing S
4. :blechani al (other)
S Note:Minimum fee=$ (contact municipality)
5. Mechanical. (Other) S Enclose check payable I ,ble to
6. Total Cost S
(contact munici alit )and write check number here
SECTION if SIGNATURE OF BUILDING PERMIT APPLICANT
Hy enlenng my name below, I herebv..hest Under the p,unsand penalties of perluv that all of the mfnrmatiun c,ini.uned in thin
.ipphcanon is true and eccurate t„the best of my knowledge and undervtanding.
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I'Ied. �i l . unr�,. f tl f le)•h:weI)"c —
d0=��
.).: sliral \,LIn•" lih r Tu..n Mate G + —
1
I >funicipal Inspector to fill out this section upon application approval:
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o
Proposal
93 ti wcol¢mSl-u Wal,clielilM A ill SM)
MIi. ;?I full N'- %L,corn
www,nvaw m sonnooling.com
Submitted To: lob location:
George Ahmed
98 North Street 98 North Street
Salem,MA 01970 Salem,MA 01970
Phone#. 978-766-6413
Email:
Propasal date: 'reday'sDate We are pleased to hereby sohniftiffisproposal to foriffish materials and labor,completely in accordance with the
below Specifications.(Additional charges may apply for any change's not included below in proposal either by request of owner, or if Ryan and Son
Roofing finds unforeseen circumstances that will affect the performance, quality or integrity of this job). In the event legal action is taken to enforce
any provision of this agreement, the prevailing party shall be entitled to all its reasonable costs, including reasonable in-house or outside attorney's
fees. Not responsible for debris in attic.
THIS PROPtISAI IS TO: Perform the following work at the above listed job location:
Iniall vinyl siding:
• Prepare existing walls of house for installation of vinyl siding
• Install 3/8"Fanfold insulation board
• Install vinyl siding on house,in style and color ofyour choice
• Install J-channel to match siding color around all windows and doors,to receive siding
• Install all outside corners to match siding color
• Install vinyl soffit
• Wrap all soffit,fascia and rakes in coil stock
Replace fingers where they are eldsting now:
• Remove existing gutters
• Leave elbows and down pipes
• Instal l new gutters
• Gutter seal where needed
• Every joint to be zip screwed to properly attach
Sirip frontside and where damage is from tree reel to bare wood and re-shingle:
• Strip existing shingles down to bare wood
• Check for rotted wood and replace as needed
• 'Nail down any loose wood
lr. • Install ice&water shield to first 6',which is 2-rows and in all valleys
• Install premium synthetic underlayment(in place ofstandard 301b.felt paper)
• Install all new 8"white drip edge on perimeter and step flashing,where needed
• Install IKO architectural shingles in Dual Black
• Install ridge vent
• Cap ridge vent properly with manufacturers suggested cap(GAF Timbertex or IKO Hip&Ridge 12)
• Properly flash any protrusions and all new pipe flanges,ifarry on roof
• Re-lead and re-point chimney
11=11 shntiem- Instal I shutters on front of house where they are now
Window Work Repair window sills before covering
Clean UP:Cover area with tarps,remove debris related to work.Please cover attic belongings. Will get dusty.
• Will cover area with s to minimize debris .____—
---_ tP_ ,._ _. ..-----
Payment Terms made as follows: (This includes labor, dump&materials)
Total price: $25,800.00 Kindly remit payment to "Peter Ryan"
Total cost-171 no chale�esl $25,800.00
Thank you!
1"payment due upon signing Balance
��� due upon completion
Respectfully Submitted by./ // / t __-Accepted by-
All work is 100%guaranteed for 10-yeaa on all craftsmanshrpkAfl—other warrantees are through the ma ufacturer.All wart swill be null&void if
job is not paid in full.Thankyou for Iettjug�rve you!!! Ryan And Son Roofing,Inc.is Ily licensed(tit 15 7)&insured.
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