217 NORTH ST - BUILDING INSPECTION t
The Commonwealth of Massachusetts
v Board of Building Regulations and Standards CITY
Massachusetts State Building Code, 780 CMR, 7ih edition OF SALEM
Revised Junuary
Building Permit Application To Construct, Repair, Renovate Or Demolish a 1. 2008
One-or Two-Family Dwel#nff
This Sect' n Fo Offs 'a e I
Building Permit Number: /f a li o
Signature: `'?�/�i°
Building Commissioner/Inspeetorof Buildings Date
SECTION 1: ITOWORMATION
1.1 Property Addre j 2 Assessors Map& Parcel Numbers
21 � /VO/ S�
1.1 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(fl)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required 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 ifyes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.f a er of Record:C Ayurr A
Name(Print)( ri� Address for Service:
Signature 'telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK=(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ I Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ 1 Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work: o GfItee Cam.. CC, .1
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
I. Building S 1. Building Permit Fee:S Indicate how fee is determined:
�. Electrical S ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: S �
4. Mechanical (BVAC) S List:
5. Mechanical (Fire S
Suppression) Total All Fees:S
(j Check No._Check Amount: Cash Amount:
6. Total Project Cast: S `6 Paid in Full 0 Outstanding Balance Due:
r ,
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) � �
License Number Iispimtion Date
Nameol'C'SL•I lulder List C'SL Type(see below)
f Dexri lion
Add U Unrestricted u to 35.000 Cu Ft
R Restricted I&2 FamilyDw
Signs (4 r7 r� M Mason Only
L `t �r 7 RC Residential RootingCovering;
Telephone WS Residential Window and Siding
SF Residential Solid Fuel Bumnce Installation
D Residential Demolition
5.2 Reglyter �me�lmprovemeCeractor(HIC) i
HICHIC C�� e or III gilt 7Mne gr' n umber
u Z 20/
AJJress 7 Sl qy la/
D 7S `r 25 Expiration Date
Si a 'telephone
S TION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. 152.1 25C(6))
Workefs 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 ..........❑ No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property hereby
author' ee to act on my behalf, in all matters
relative to work autho 'zed by this building permit application.
2 a `
Signal w r Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
1 ,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.
Print Name
Signature of Owner or Authorized Agent Date
(Signed under the pains and penalties ofperjury)
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&of 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 110.116 and 110.115, 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"
MAVEZOS CO INC
March 18,2010
100 bitney st # 3 Proposal submitted
Peabody,MA, 01960 PETER SCANGAS
Tel: 1-(866)-863-8300 Toll free 217 NORTH ST
Fax: 1-(978)-977-9125 SALEM MA 01970
H.I.C.LIC 145533
mavrosinc.com
mavros@comcast.net
PROPOSAL
Re roof HOUSE
Complete roof preparation:
Building to be protected by tarps and plywood to protect landscaping, and shrubs.
Entire existing roofing material to be removed to existing decking.
Site to be cleaned everyday, debri removed every day by dumptruck.
Deteriorated existing decking replaced up to 150 lenear ft.
8inch metal drip edge installed at eaves rake edges.
New metal step flushing will be installed where is necessary
New plumbing vent flashing will be installed and flashed.
COMPLETE 5 PART WEATHER STOPPER
Gaf leak barrier installed at all eaves to protect from ice dams and meet codes.
Provide the best protection for your condominiums
Gaf leak barrier installed in all valleys, around penetrations,and chimney to protect critical areas
Gaf shingle mate. e f rrc� derlayment installed over entire decking
Install 30 year 3 t i t tea nails per shingle
Serves as second line of defense.
Gaf ridge vent:
Ensures that your roof system will last, your utility bills will be lower, and your
warranty will be valid.
INSTALL 30 YEAR ARCHITECTUAL
Apr 25 sq
We hereby propose to finish labor and materials complete in accordance with the proposal
For the sum: 5 8,100.00
/7���MAVROS CO INC
RESDENTIAL*COMMERCIAL*INDUSTRIAL*LICENSED *INSURED
ACCEPTANCE OF PROPOSAL
P2
This agreement made the 3/18day 2010 by and between PETER SCANGAS Here in after called the owner
and MAVROS CO INC here in after Called the contractor. Witnessed,that the owner and the contractor for the
considerations named agree as follows:
Article 1 Scope of Work
The contractor shall furnish all of the labor and materials to complete all of the work As written on the Proposal
and accepted by the owner.
Article 2 Time of Completion
The work to be performed under this contract shall be completed no more-
Then 3 DAYS weather permitting .Changes to the scope of work by
The owner will add to the completion date.
Article 3.The Contract Price
The contract price as agreed upon is $ 8,100.00 RE:ROOF HOUSE 11,,
Article 4 Progress Payments e¢s,4 4\{2'o9 ' 3—
r pp
So%when we start, rest when we finisH
1 & half% interest per month on any unpaid balance. All attorney Pees and court costs shall be bom by the
owner if collection Procedures must be implemented.non payment or customer hold backs,following completion of
job as outlined in contract will result court proceedings.
Article 5 Warran[v
The contractor warrants his workmanship for {�f years from the date Of completion.30 YEAR FACTORY
WARANTY
Article G Change orders
Change orders must be in writing and signed by both the owner and contractor And shall be incorporated in and
become a part of the contract.
Article 7 Insurance
The contractor will provide the owner a copy of his current insurance certificate.
Article 8 cancel contract:
The client has 3 business days to cancel contract from the day of acceptance.
AGREED TOTHIS OF 3/18/ 2010
PE:fER SCANGAS �I r
100 BIRNEY ST#3 * PEABODY,MA 01%0 * Tel-(978)-5315
r° CITY OF S.U.&M. NLAssmHusms
BLILDOW DEPARMLNT
120
WASHINGTON STREET, r FLOOR
TEL (978) 745-9595
F.,a(978) 740-9M
KINjBEPjLEY DR1SCOu
MAYOR Tucinu ST.Pmus
DIRECTOR OF PL BLIC PROPERTY/BL'ILDLNG CO%L%BSSIONER
Workers' Compensation Insurance Aflldsvit: Builders/Contractors/Electricians)Plumbers
annllcant Information l / Please Print Legibly
'4aine Bwir►vr.Orynuuiory lr�wj6vpd�ual l:_� '7 "/�tr- "� � I G'� e -
AdJress:
City/StatdZip: Phone N:
Are ..empleya!Chtet the apprsprtate boa: Type of project(reyulrern:
I. I am a employa with 4. ❑ I am a general contraeter and 1
cam to p a have hired ties subeenraetors 6. ❑New construction
p yeem(full and/or art-rime).
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet I 7. ❑Remodeling
;hip and have no employee Theme sub-contractors have a. ❑Demolition
working for me in any capacity. worken'comp.insursnos. 9. ❑Building addition
iNo workers'comp. insurance S. ❑ We are a corporation and id 10.❑Electrical repairs err additions
rvquirtd.) officers have exercised their
3.❑ 1 am a homeowner doing all work riaht of exemption per MOL 1 I.❑Plumbing repairs or additions
myself.(Na workers'comp. C. 152,41(4),and we have no 12.0 Roof repairs
insurance required.)t employee.LNo workers' 13.0 Other ) '
comp insurance required.)
-Any appk,cani t�ekodM bah at mtat Am fill vast the mime below a6eerisg their skater'oxeelmm on pMiey indi ne tlee►
'i ltvrtestw.an whs at6ete this afltdvir indicating they am Joins all work ate than him ounidg ceuueesme duet eu h jj s new anhYvit indicMing euek,
<'.mtrabn AM chalk ibis has tow aeeehad an*h itiuuel Am showing the aoma of the albswen aM ad their who raettp.pdiry ielkretauian.
/am an snepkyer that tr prvid/teir worked'compinsodaa/narreenca for any exep/oyme ONow 4 rAe paltry aed Jot slaw
informer,"
Insurance Company Name:
Policy a car Self-ins.Lie.p: C 20'2a b 20�&� I Expiration Dote: 2
Job Site Address.-, N011 7'` Cityi4latatZip:
Attach a copy of the workers'compeesanoa policy declaratles pep(skowing the policy somber and asplrallon dab(L
Failure to secure coverage a required under Section 23A of MGL c. 152 can lead to the imposition of criminal penalties of■
Erne up to S 1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a Ras
of up to S250.00 a day against the violator. Ile advised that a copy of this statement maybe forwarded to the O1YIce of
Inveatigmiuna til'the DIA for insurance coverage ventication.
l d,haraby eerrijy andor he pains and penalties t(perjury that the infor,ntioo provided a ve is trva and carree►
Phn rk.
OQ/cial mere mdr Do not write is this are,,to b,curnpletd by city or town m/jlcimit
I j
City atruwn: _ PermictUcenseM__.
1%suina Authurity(circle tine):
I. Iluard of Iltullh 2. Ruddlna Department J. ctyirown Clerk J. Electrical Inspector 5. Plumbing Inspector
6.Ulhtr
C�tnt act Person: _ ._ __ Phone e:
�S CITY OF SALEM
• PUBLIC PROPRERTY
•' DEPARTMENT
I'.11: 141hl -.111- '•II
\I uN Ifit:�.1+111.\L: LV)I'NL•rrs S.%II M. St.\li.\I IIIQ 1,1-0 -
l'FI:'17t•N!-9i9S �1'.\%:H70.7a47NIG
Construction Debris Disposal Aff7davit
(required lur all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 730 CMR section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit N is issued with the condition that the debris resulting from
this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c
ll1. S 150A.
The debris will be transported by:
I name of hauler
The debris will be disposed of in
(nameol aci my
(addre . of I'ac i i ity)
.ig tature o Ixrmit applicant
date
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