16 PICKMAN ST - BUILDING INSPECTION �
i
��+6���� �y� 8�r r�
JdSP�CI'OB P�IOA 7DA.P.EFr11�iT A�ING GR�►NTED
CITY OF SALEM
No.���Cj�, � .—'� \ � ll 3 U
�..
:`. ,,� . f�
� 4..: ,
�1g�p�rpyp���yy��y�y��y� �1� I`AC-i.'t1♦�0u� of / �}/'f {/�� ���lii
•A r�N11��Y MwIM! Y�TI� q�yy�r� ( � V �C I`�FiSYl � 'i
M�y W�Y.1 /
;.. tlr 6orw�vaY9�Am4 YM No'?�_
BWLDINti PERMIT APPUCATION FOR: '
Pertnit to:
(Clrcle whichever aPP�YI Noof, Raroof, InstaU Sfdb�p. Construct Dodc. Shed� o�/
FiMaidReplace. OthK: �sh?ti�wl ,erja/��U�t�
PLEASE RLL OUT LE�iIBLY�COYPLETELY TO AVOID DELAYS W PROCESSIN�i
TO THE INSPECTOR OF BUILDINGS:
The undersiyned hereby epplies ior a permit to build socordinq to the folbwinq
��� -
_ ow�ers Marne �o y,l� �'L'�zn/�7c-
l�ddress � Phor� � � �1 c 1G N,Y�i S/, f g7�' 7 ��/ .T 3 � �
Arc:hitect's Name 2L�,.N�o '�� (J' U�'� l'1
�--�
Address 8 Phone �/" TJn�vv,�ii��r I�hf�uf i9�'i 3S�v 2 � ¢9
n�ect,anics Name /�1Z��, � �.r� -
,
Address 8� Phone �q 6 �Nc-P�, ���� L9�� J� ���
Whtl is tlq qupow d bWqkq9 ��s r l� Lti C �
MYwl�l al bulldUg? � q a dMwYfrq,for how mr►y IamWa�?
WW arldlnp corMorm a law? �� AaDwW87 /��
2 Uv O q�y��wua�r N P` � G S' G g 6¢6S
g��5 — � i'�r�43 � X
of Appticant J
NDER THE PENALn
OF PBRJURY
D�Rii�'Ti if3Pi OF iAi�ii#K� Se ��iE
1���^o��� u�r o� c�, r n,�.�c P�l �l�w.
�/YI�-f-fL uc� � nf1'TTLv c-� /.v G-�a r n nl� S/�'Y-�d' _
��lI7It O Y /S1.+y �� � �cE�vl �t//k"�L S �1 �
�� rJi jZ�
MIUL PERMITTO: �/�/ ���� '�� S�4 '� jz -��y�-
. o �� � ,�
-
� �
.
,
i �.nb. `7���,-(,
APPLICATION FOR
PERM�T TO
, �0/l(6i�.Q� �LLon�K 1 �No/` . _ - . . .
� T (J'[ / l+�w..L' - , .
LOCATION
1� f'���,�. ��- - : .
PERMIT GRANTED = ^
/����o� 7.b j -
nP oV�o : � ;
�.�o
INSPECTOR BUILDINGS ;;
� 3
� f
.. � 'a
f .
r � .
CO I
� CITY OF SALEM, MASSACHUSETTS
� � � PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET� 3RD FLOOR �,
SALEM, MASSACNUSETTS 01970 I
' STANLEY J. USOVICZ, JR. TELEPHONE: 978-745-9595 EXT. 38O
MAVOR FAX: 978-740-9846 �
Salem Buildine Deuartment
Debris Disnosal Form '
In accordance with the provisions of MGL c40 S 54, a condition of your
Building Permit is that the debris resuiting from this work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL
Chapter III, S 150 A.
The debris will be disposed of in:
/�' �4,�2cr� I/� ST� (Location of Facility)�1�t,o-vv� � L L�j �u�'
Sig ure pplicant
� �����Us
Date
il�
� The Canmonwealtl� of Massachusetfs
D¢portment ojlndustrial Accidents
, O�`'ice ojlnvestigations
600 Washington Street
Boston,MA OZIlI
www.nwssgov/dia
' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriaans/Plumbers
A ticant Iniormation
Please Print Le¢iblv
Name (s�e�ea�rion�na��:2�.�� • � �.
Address. ��l �p `7"-/�G� 7��
� n /�- • �one#• �/7� .5�� �''`'16 �
. .�
� �� .S
c�ryis�t�z�• y ,l�f
Are you as empioycr2 Check thraPProP��'W� TyP��Projeet(re9aired):
4. � am a genual contracror and I 6. ❑New consvucaon
1.0 I am a emploYa�*'i1b 1 �
empbyees(&II and��V�_��• e h'ved tbe sab-contracto�s 7 -�D����
listed on tbe aaached sluct = S"\
2.� I am a solc pmprietor or parmer- T6ese sub-contracLors 3ave 8. ❑ Demolition i
ship aad bave m emP1oY� workers' oomp. iasuiance. g, � Bmld'mg addiuon
worlon8 for me in any caPacitY•
[No worke�s' coa�. insurance 5. � We are a cosporatan a�its • 10.� Electrical repaus or additions
rWaaed.] officers have excrcised their 11.� FlumbmB nPays or additioffi
3.� I am a homcownei domB all v''°� �81►t of exemption per MGL
myself. [No workps' comp. . a 152,$1(4),and we have� 12.Q Roof repafre
insarance raluaed.)t emPbyas. [No workecs' 13.❑ Other
comp.insurance mluired•]•
'Anr ePP�ic�tLet checlm box Nl muet eteo 511 out the ae�tiion below eLowmQ tM'v vw��'we�°°n°°P°�'t°��� ..
t Homeownm w6o euGmt tbie at6devit mdicat�i�Y��i�wak and theo L've outsde co�aMms must euhnrit s mw effdavit mdicating such
� =Cantrec6ms thet cLcek tLis box muee ettached m additiond afieet ehow'v�tfie name of the eubwntndora md thea wohen'cort4•Po�7 IDfomietioa
I an an eroployn that!s providing wo�kera'compensation insurenet jor my employees Below Lr ths poUey and fob sits
infonnaelae. �—
Ins�aana CompanY Name� / L !a !1 � �5� �t� tt
{� G j— U I gxp'aation Date:
� 06
Policy#or Self-ms.Lia#: ("� � � 2��— ^J �, �p
Job Siu Addresa:_,� (0 //�I G/G��.l S� �� City/Stau2iP: �/T�� i"��' �� ' 'Y-�
pttac6 a copy of the worken' compensallon poUcy declaratlou page(showing the podcy numb�and ezptration date).
Fa����on�erag�as roquired unda Sation 25A of MGL c. 152 can Iqd to the imposition of crm�mal Penalties of a
fine up to S I,500.00 and/or ono-year miprisonment,as wen as civ7 penaldes in the fotm of a STOP WORK ORDER and a fine
of up w 5250.00 a day against du violatoT. �ad`^$��t a copy of Uus staument may be forwazded to the 01Kce of
Iavestigations of the DIA for' caverege vtrification.
II do benby ee►NJ'Y unds aid penables ojOsrlury'that tlu/nformation providtJ abov�e b onl eorrect
D - � 3 � � �
n��:
O,aleld rut arlyi. Do nat writs Gr t141r ana,to be rnMp/el�d by cky ormwe o,Q9e14L
CHy or Town: PermM/Liaoee#
Isauing AuthorNy(circle oue):
l.Board o[Heakh 2.Building Department 3.Cky/Powu Cler� 4.Electricai Inspedor S.Plambing Iuspector
6.Other
Coutact Persou: Phone#•
� 1i11V1 111f;61Vii Mliu Zll�7Vl 11v61V11►7
Massachusetts Ge�ral La�*'s ctapter 152 requ'ves ail employers to ptovide workas' compensatan for d�e'v ee�loyaa
Pursuant to this statute, an emp/oya is defined aa"...every person in the suvice of another under aoy contract of hae,
wcpress or�plied,oral or w�itun." . "
An aeployw is defined as"an mdividual,parmecsLip,association,coipora�n or other legal entity.or any two or more
of the foregoing engagod m a jomt enterp�ise,and including the legal npresentatives of a doceased employet,or the
reccivc or trusta of an iadividual,Parmership,association or otLer legal enary�emP�YmB�Pbyed. Howevea the
owner of a dwelling house having mt mon tLan thra apazmuots and who resides themm,or the ocapant of ffie
dwellmg�use of amiher wfio empbys persons ro do mamtcnance,canshuction or repaa work on such dweDing I�use
or on the�o�mds or bwlding appurten�t d►eiee�sLail mt because of such empbyment be deeme+d m be an employa."
MGL chapter 152,§25C(6)aiso smtes t6at"every atate or loai tleensing ageuey shall wkhhold the issaance or
renewal d a Ileense or permit to operate a ba�neu or to conswct bnfldinp In the commonw�ealti for auy
applicant w6o h�s aot prodnced aeeeptable evidmee of compllance wit6 the Imurance coverage requlred."
Additionally>MGL chapter 152,¢25C(�states"Nait�r the commo�vealtIl mr aoy of its political subdivisiom sLall
enta into any contract for the perfomiance ofpubl�wod�unul acceptable evide�e of com�liana with the insurance
requffemats of d►is chapta Lave ban preseated oo the co�acung autLority."
APPllaun
Pieage 5ll out the workers' co�ensat�n atl5davit completely,by checking the boxes that apply to ywr siwation a�, if
necessazy,supply sub-contractoKs)name(s�,addrass(es)and phone number(s)along with theu certificate(s)of
insurance. Limited Liab�7ity Companies(LLG�or L�ited Liab�7ity Parmerships(LLP)with�emQloyas other tLan d►e
members or parmers, are not requued to carry wrorkds' compensation msuiana. If an LLC or LI.P doea have
ea�ployees,a policy is required. He advised that this affidavit may be submitted ro ihe Dcpartmeut of Industtial
Accidems for confirmation of insmance coveraga Aiso be sure to sigo and date the a111davlt. The atfidavit shouid
be reuuned to tl►e city or town that the application f��e pewit or license is bemg requested,nd the Deparanent of
Indysuiai pccidc�. S7►ould you have auy questions regard'mg the law or if you are requ'ved to obtain a workers'
compcnsation policy,please call the DcparUnent at the number listed bebw. Self-insured companiea should enter iheu
self-insur�ce fianscnum6er on the appmpriate lma
Clty or Town OPfldab
Please be suro that the affidavit is complete and prmted le�ly. The Department has.provided a space at the botoom
of tlse affidavit for you to 5ll out m the went the OtEce of Investigations has ta coniact you ngaid'mg ihe applicant
Please be sure to Sll in the peimidlicense number which w�71 be used as a referwce number. In additioq an applicant
tLat must submit multiple petmittianse app6cations in any given yeaz;need only submit one affidavit mdicatmg current
li information if necessary)and under"Job Siu Address"the licam should wriu"all locations m ci or
Po CY � aPP ( tY
, town)."A oopy of the afSdavit tLat has been officially stamped or marked by the city or town may be provided W the
applicant as proof tLat a valid affidavit is on 51e f�future permita or licensea. A new affidavit must bt fillod out each
yeat Where a home owner or citiun is obFammg a license or permit not relaud to any business or commercial veaUtte
(i.a a dog lianse or peimit to burn leavcs etc.)said person is NOT roqu'ved to complete this affidavit
The Offia of Imestigations would lilce w tLank you�advance for your cooperaCon�d shonld yon Lave any questions,
pleace do mt hasitate Lo give ns a call.
The Dcpazm�enYs address,telephone and f�c number.
The Commonwealth of Massachusetts �
Department of lndustrial Accidents
OfSce of Investigatlons
600 Washington Strcet
Boston, MA 02111
Tel. #617-727-4900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749
ttcr;see s-z�-os w,R,R,,mass.gov/dia
09/06/2005 14: 30 7815937260 DUFFY INSURANCE AGCY PAGE 01
ACO�R CERTIFICATE OF LIABILITY INSURANCE °°"`"w°°"""'' '�
09/06/2005
vrtooucex (781)593-1200 FAX (7g�)593-7260 THISCERTIFICqTEISISSUEDASAMATTEROFINFORMATION
Duffy I nsurance Agency, I nc, ONLY AND CONFERS NO RIGHiS UPON 7HE CERTIFICATE
3l 7 BI'o0tlwey HOLDER.TMIS GER7IFIGATE DOES NOT AMEND,EXTEND OR
AI,TER THE COVERqGE AFPORDED BY THE POLICIES BELOW.
Wyoma Square ,
L fifl, MA 01 904-2 6 02 � INSURER9 AFFORbING COVERAGE NAIG ti
IN9UPED Rektech I nc
INSUHER k
196 Haynes Road iNsuaeR e: p i I gr i m I n5urance Compan p(1a5
Sudbury, Mq 07776 iNsuaeAc: Travelers Insurance Gomp211 0056
INSURER D:
IN&URER E:
C E
7HE POLIGES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE IN5URED NAMED ABOVE POR TNE POLICY PERIOD INDICA7ED.NOTMTHSTANOING ��
ANY REQUIREMENT,TERM OR CONDfT10N OF ANV CONTTLICT OR O7HER DOCUMENT WttH Rc�cErT 70 v�n�ICH TMis CER71FICa7[huY BE 13SUED OR
MnY vCRTAIN,7HE IN3UMNGE nFFORGtU tlT'iHE POLICIES DESCRIBED HEREIN I$$UBJECTTO ALL THE TERMS,EXC WSIONS ANO CONDITIONS OF SUCH �
, POLICIES.AGGREGATE LIMI75 SHOWN MAY HAVE BEEN REOUCED BY pqlD CLAIMS. '�,
IN9ft DD' �ypE0FIN5URANCE YOl1LY �`iryE C llf,'yWIRA N V�TQ ��
PO{ACYNUMBER t
caEnnlllHbiulY EACHOC�RRENCE f I
COMAAERCIALGENgRqLL1ABIUTY DAMAGE70RENTEp f '
CU11M5 MAOE-❑ppp�R MEp EYG(My er�o oomm) 6 ��,
PER30NAL6ADVIWIJRY i I'i
6ENERALAGGREOqTE 5 �
GEM�AGORE6ATELIMITAPPLIESPER: YNVDUGTS�COMP/OPNGG 5
, PO4LY PE� LOC
pUTOM091LE4ABILITY PMG7194539 01/27/2005 0��2]/20�6 �pMfM�uFnsiu����iMrt
nIJT RVTO 3
(EepWaemJ . �,
<lL ONME�AIITp$ � �'�
X 9CMEwLEO AVTOS BODILY IwUfiv s '
R �°°'°"'°"� 250,00
X MREDA�JTp$ �
X NONAWNEDAIf�0.5 BODILYINJURY F �
�vereeaemml 500 00
PROPER7Y DAMA6E F I
(GarBaKmtl) Z5� OQ
GARAGELIA9ILITY AUTOONLY-EAACC�DENf f � �
Hrvr aw u �ACe �
OTHERTMAN
AUTOONIV: �� 9
EJICESSNMBREILALIA9ILITY EpCqOCCyRpENCE 6
OCCUR a��qIM9MNDE AGGREGATE §
E
OEDUCiIBLE � S
RETEMION S
E
�nr�oreas�uaeniTi oNarvo 6KUB7402A34-3-OS �4�08/z0�5 �4/08/Z�Q6 X RyS�jMRB OTM-
C O CERIMEMB�EREA.�tp,UDEO ECIfrIVE ELEACHAOfilOENf 7 �QQ�00
I/yel,Eofc�peUf10er . E.L.OISEA6E-EREMPLOYE f �QQ�QQ
SCECIAIPROVI310NSbalow FI nl$CpSE.DOUCVLINR t SOO�OO
IorMers ,
OESCRIP710N OF ODERATON51 LOCATONS!VEXICLE91 EllCLUSIONS AUOEO BY ENDOR9EMENT I SPECIAL VRON6�ON9
ontractor
CERTIFIC TE HOLDE CAN WTION
'.I IOV6011Mt aI TNG neove DEecq�eEU vuucqs5 gE CANCELLED BEfOftE 7NE
E%FIpATION OATE 1f�EREOF�TNE 166UMQ MSIINER W��,�,pNDEAVOR Tp MpR
CICy of Salem 0 OAYSWRITTENNOi10ETOT�IECERTIFlCA OIDERNA61EOT07NELEFf
ATTN: Electrical Department B FAIWRETp RSIICNNOTICE9XALLIMP E OBIIGA'I�ONORLIABIIATV
City Hal I qNDUP EINSUREq� �g
Salem, MA 01970 � a
ACORD 25(2001/OB) FAX: (978)745-3018 pqC C R 0 N 1986
12-13-04 01:12pm Fram-C.J. �cCa�thY 97865TTOT3 T-666 P.00.1/001 F-426
OP ID ont¢luwoom^M ',.
.,�CORD_ ' . CERTIFICATE OF LIABILITY INSURANCE R�_1 iz is oa
aonucot THIS CEfiT1FICATE IS ISBUEO 49 A tJIAT�ER OF INFORMATION
ONLYAND CONFERS NO WGH75 UPON TNE G6RTIFICAI'E
SQS Iaternatioaal New Eaglaad HOLDER.THI9CERTIFICATEDOEBNOTAMEND,HX7ENDOR
qLTER THE COVERAGE 11FFORDED BY TME POLIqEB B�OW.
299 Hallardvelfl. SE , . � . , �
Wilmiagtoa i01 01887 NAICu
Phone: 978-657-510o Fax:878-656-9185 IN9URERSAFFORDINGCOVERAGE
��� wsurren�: National 81=e S I4aiine
� . IHsune�te: Zuriah-Amer9-ca� ZasuraaCe C .
� North Rivax Developmeat T�st Msur�ac _
Re1e Tech � � ����4
196 BayAee Road
9udbuxy MP+ 01776 i�p�E: .
� COVERAGES � � - -
7ME POLICIES OF IN9UPANC6 LG4TFD BEIAW HA��N ISSUFA 707ML'IN8URE0 NpM�AeoVE FORTHfi 7�L�C��OO INOICA7ED.NO7VA7HST�DMO
ANY REQIIIREMENT�TEFm/ORCONDITION OF M1V CONiPAGT OR07HER DOCUMENf'Mffl M9PECTTD WHIQITH15 CERTIFlGTE MNY BE ISSUm OR
OYIIGE�.4rA6GRTME0ATELi�MNRC88XOWNMAyMAVEOEENREDUCFDBYP�A�DGN/A9.9U&�ECfTOALLTHE7FAM13O(CLUSIONSPN�CANORIONSOFSUCM ��
yip DATfi U�
LTttNS OF�NBURANGE �uCYNUMBER �M���y�� SS 000�000
6E"Er�""e'�nv 10 O5 vr��aRs Faoo�e a 50 000
a 3 x �oenM�reuuce+�w�.uneairr sxxmax la/lo/oa 12/ / ss,000
� M�FJ�(NnY ono P��i,
WIMSMA�E �OCCUR PH7SONAL6AOVIWUM' Sl �00 040
GEN�w.nocrsEsah s2 OOO,OOO
pqpqJ(;TB-COMPIOPA30 s1 000,000 �
GEN'L AGQRECATE LpdRAPPLIEB PER: . .
ppU�y � lOC '
AUTOIdO61LE LIM���' (�e&��l)��LIMIT 8
qNY AUTo � � .
. • BODILYIPUVR� s
ALLOWNFDAUfos . � (perpereon)
sa�oinED Auros .
� BODRYINNRY g
H�REonvfOS � � IPorecddrnq �
NON-0WNEDAUTOS
PROPExfYOAMnOE- S
. 1Peracddm�
AUI'OONIr•EAACCroEM s -
GaRnGEW�BRITY OTM�TM� PAACC S
p�ryAl!(p AUTOONLY: M76 S
EACHOCLURR@JCH S
RCESAIUMBRFLVIU��LITY AG(iRE6AT6 5
oLGUR ��CWM9MN�E . - � . 6
S
DEWC7IBLE i -
qETENiION S T� � gµ
WORKERS COMPENSA710N AND EL FACN ACCIDENf s
EMPIOYFJ2S'IJA61LIlY ' .
ANYPROPRIETOfLPARTNEfLD�CUTN6 ELUISEASE.FAEMPL 8
OFFICEWMQdBERQCLUDm7 ELOISFA66•POLICYlN1R 8
' N�e6,OiW�bGMOEf � �
gpEqq�pqpVISIONS Oelvw . �
07T1ER
a auiiaers Riek BR60636018 i�/io/oa la/io/os sixt sia �2,aoo,oa
DESGRIPf10NOPOPFFA7ION51LOCA710N5l�p�51E%CLUSIONSA��BYENDOp��I5P8C�PFOV1510MB ;.
lg IInit Townhouse Condomiaivm Frojeot at 2 & 5 �Vaters 9treet, saiem, DtA
CERTIFICATE HOLDER CANCELLATION
. 8��_1 SNOUIDPNYOFiNE1160V6D6SCW9EPPO1�GE58EC4NCELLECiFFOPE��6%h�N�
onren��e,iNE16sU1NGRlSURERWILLONFAVOR�� �_
N07Ke7o iHE CERIIFlCAT6/pLOER W WEo 70 7516 LEFf.BUT FaWRH7o DO So sMaLL
saveriy Cooyerative HfiII�C IE�OSENOOBUWnONORLW��OFPNYIONDUPONTM8M7YRER,IBA�ENTSOR
y54 Cabot Streat - ��¢Krnmo-a
aeverly MA 01915 q�o nevnesEr�rnme � .
� Janloe M. YoM �pCORDCORPORATON198f.
� ACORD 25(2001108) � �
', ,3
, . Ly.t�J � �I'.J�' �� Y-.j �y .r'tJ�l'"._'._. -� � . _-_.__. - ��. r1:7\.� �. ��1J � lP4J;.:.,':.,
'.__._._.___ /
� . LI ...�{�` h1i_'.� �}:�c-„� , 1l-.�
� /; Pw�"�81�.1;�- F'.'�C'(:.i�2�`�_;,•
' � C�:P ��� ��� PLur;Biti,�-
I � I I . i i I � j, /j�� �I ��j �'ts;`i_?��.i;�.U.
� � i �' % %
� � r
_ � _ t` � I • _ I_ � �' i ! _ � �- E�i��7 � � � L �UtiDIL1'
� �YtST' i , - - - CNL1-(� -7G� FZE i iY,: }-i
,,: 4 �;i,`, ;,k:>-� �r�e�rz.� � ; ;,� ,,/� , ' ��- �a��;- - - _, �� �oC�T� � xisT ���TfN�
�JU�� �I;�-� lz- i i �; �; ; � ,, ' � ,"� ,---� DuC'( AS R�t��lIR�D �D.R
, ; � �i � ' _ _ � � ' � I.I�W }3�.?.-i L AYO uT I�ATCN
$ � _
i ; ;� i ' / i F�c'�R'foMATCu �.X � STiN�,
; i , i , �
� �i �
t �� � '
= L � - �� ' - -- , i "[�)�!Pc2A2t �Y SHURt.
i
�a - - ` _ - - - - - � - - -- - EXISTfNC-{ TNIRD F��o2
- �` r _ _ _ __ .� r_' _ ' _ �
�
� ' ,j oisTs A1.1b REM,o��E AL�-
"y � Ex�s"�iNi� WAu-S �Poo2s
� � SHaW {-1 DUTTE'D C'TY��CAL'J.
Y �' � / _ � i I
' I
' i i ` ��I S'f J p .. E 7� t S 7 I IJ l�... I
. � ; � � �'�� '(.�/. �orJ r't
� y.�/�L L
..---__.__ , :
� � -- r.�--_ � ' ;
i ; � _ -- -------._-- � �I
i -------___— i ' ' �'
; �
1 �
� — +� `
-- --- --- -
-_ . `-�__ -
�� G.D .� � �L�<f.�t�--- ��M � I.._ I I I J r--� I�L�=-� �
�
Sc�.LE ;. ,��,� : t�_a �
SECOND FLOOR BATHROOM REMODELING °�� 6�6 OS
16 Pickman Street, Salem, Massachusetts � �
� Rsymond T.Guertin,Architect i
89 Tumpike Road,Suite 207
Ipswich, Massachusetts 01938
TeL• (978)356-2749 Fax: (978)35�2409
. : � � �_�aC� o� �.XtS�iF�Cq �+.�-CER�FZ�.LOCIi-C� PLl1MBitilC�
� wA�L �� �X i S'T l N Gr P l?� S�CE. AS
" t�r_v.� �IP}�E)L,(�LbS�, h1-F-pvJt�1"L � i . . � FLEQUIR�D F�Rl�t�V�J BrlT�4 L��'oU'j.
�- - � �1-fJ17�- � ?74�� X J�4"� b S �:_-� NFkJ -" _l
S�YGLI�`b � TH�E crJr�t�`�• � To���T �G�W��L.SCtt��
pp-�V�D� ��,.� '��L, _ , � �
STu7-„�1�, � 'i'o� s�,ru'l� �'� 3-� / r.��w SI.aK.�� sc�Lac,,�'rer�3tt�- ►�..1 �
u
bS V��L'�.�-� tr"i 'f�+� �I ' � � co uti,-r�c.. — \ Ex k,,T t rJ tr p►P ig 'v�
. OIJ/Jls.� ' P� �`t ' �
G !��L7�_ # � O .. �. O �/,. . '.��i
�, , ' �-t �XlST LJ.utJDR`( �t
�TAIt2a�_� � % � t_� ` C+�U'CE , �
k� d- L. �
; II i � � �,.-� �` C ` ` . NEW S-[oR.t.tT� �.
� ' � �� �� ,�Ei-.tnb. (�� �iu, s�.E DE-ra�s
�f � ' � ;. ==-,� U�T1-E y � � O1J DRdW1Ul� A7
� _N
�3 ToPS-�li�•![x�D AS
DV-, s `� NFV/ _ 2:. � SHowJ►J1
'
�-� Li.�'- y� • — 1 -- ----
_ ,. ____.__ -
s�� =:n� 2�'6g 6y2 6��,'Z -- . �
( �
i 3 S� �x '
' j / �.� UP .. �.I�W OR`( �►��T
RFkOC}�� tX�ST W/�LL NE�'T�R � i RQCK, SEE
. £ DUGT�AS SHaW�� F���'C- ,4 }!r* DET�4tLS �U
LpG�CTtOiJ AS DtR�cCT�� � \� Dwewi►Jc� Ab. '
SY �ue �rNF� ": �x I�Ti,.S t�-
� p�T�b+ w�iL -TV. t?o or�t
, � �."` 'BUIL-C`�►1 u�W BoOKCrSSE
�� � - - - - - - - - S�F-'DET�AI L OF.1 DwGt Q-S
ri _- x� -_ I ` '
� � � $G7�-I� �)Cl57fti�
_ ��` B�,aM.
L� G- E ND • - t-_: _ .__.__ �
— � — -- --
; --- �_ �—
a � y
�XIST�NG7 U�AI-LS �1'O R�.MA�IJ. � � �
'� NEW W,t�t.��.S- 2 x4 S"R.NDS � I(e�ol� wt?H �'J�J M �„ i-' I `'' "J � " '� �� ��/�' ,� v
( ,%/� J!� 1,
€ �I2,�T�OISTURE RESISTAt.1T Cr`(PS�N� Bo�RD 5L` �= ��' =.II D , �
' W l"!H �� �KtM COAT PLrdS7ER PRaV lDE
TtLE Bf�.CKERBCARDs OIJ W{4LLS � �Tk� 1.lO�E� QROV(DE ACCE55 PAF.IELS 1.�1 NEW REM�D�LED BATH WAI..L FOR
, W��,cl C�.RAM�C TI�E. laCCESS To pVP� SPaCE, Coti1SULT W ITN THE OtiJt�IER FoR
F11,1AL L�CAT�OF.SS . � COORD1ts�iTloN WITH PLUM4INCY,
� �XtSTINC� w,���S: R�Mov� P�ST��z , -
D�WtiI Ta F+�CE OF �Xts'T1�iC� STUDS. ' Date: � ��i^5
ius'Ta�� N�vv ��2 Mo�sTURE �s�STaN i SECOND FLOORBATHROOMREMODELING
0 2D �U '� K� c��'( 16 Pickman Street, Salem, Massachusetts
8 �t �N�ZE4 L 5 �"S
c��cvsuM ��
PIAST�R . P�v�DE �/2�T1LE BACKER pN � � RsymondT:Guertin,Architect
� W y.L�.S W�"Cl� NEvJ CER�dM�G Tl LES• 89 Tornpike Road,Suke 207
. , Ipswich,Massac6usetts 01938
TeL•(978)356-2749 Fsa:(978)356-2409
;_ ... �,.��
• � i
�
i R�PL.aCE �X1S�t1.�CT w�k,-)DU�.J TR�M
��f W 1'C F-4 1J Ek! \K 3 P tl�l E T RI M,�
1�1EW I�L�SSTcrZ -- ALtC-{A1 ALL N�W _» .—_i�--.�__ . N�YJ DRY1FJLx , '
I i X3 P �tiE TRIr� � �}Z,laCK SEt..Ue.TA[(...
TY� ica�, r s� + Z7N 'DK/Li. p-� , '
`` j
� - - ' �
i� � ' , � —t-- ~� .
� � . —�
�`
_ ,I , ,
� ; I � ---; � ,� �
` � 1•1 r2..\R./
n , I x, 4 � � Pl-ASTE't�.. PI.sLSTER ,
L.
E � � � � .
_�� � � , _, , . ,,,��
j a � �. 2_ x g � � � �t , %�` ---_1.1EW S�DR{_4c
2= ` ` .
� � ; - '�--_ � �` 81 f.l SE�E D�T�6t�.
� e ; N U i Q � --- • t ' � ` ot� Dw� A-'7.
� � �� .
� _ � . � � ' I
I ' y .
a
11 — I1 � • --�
ii .s 5 � „ . �; . ,�� � .
( 'N '� N . . i� i� ii �o�
: ` � � `TM ( � • � . Nt
� .,j�� � �� —�
� __: TOE , NE4�! wOf�A �._.;' �.]EW PLI��?E,2
, � Sr�',6.Cc � ; � �-��,..._._ __..- , ,' . . .
St�SE � M�Dlr _ -
• �� i D M,b?Lli EK�57.
�.1��.v��T i C� �J � 1.._. �. �!• �- `�j
SGAIE: �IZ�� �=c�y � SC�LE: °/2=a�v" ' .
1�10'TES'. I- AL.L. tJEW FINl51; CAgli.lET Nf.2bWkp�
�Uc�u�;��lx i<Uo�35, ��-��!_5, �-+�N �x�S��TC,_
AS SEL�Ci E.D 6Y TN�. oWfJ�2.
2,_ Gn�J�J:.T W!7�+ T+-�tt ox�rJ�Y�- F°�
Date:
SP�G �L o���-r-�b,,� �. }.�,2n�u�,� SECOND FLOOR BATHROOM REMODELING � 4���
�� g��� �q3,.,��j- q�v;2s �'���F_ ' ? _ 16 Pickman Street, Salem, Massachusetts
� Raymond T.Gaertin,Archkect �� ',
' 89 Tarnpike Rosd,Suite 207 ,
Ipswich,Msssac6usetts 01938 �
Tel:(978)356-2749 Fsx: (978)356-2409
— ���>_ ._. __ r -
-
,_ � � Y p I�'G��''-��,�
� . .- _1� ��� - � �y - ��37y
� _ � �� - ���- � o ;�
.�� - 3riz - 1� � � 5 .
� S�COND FLOOR BATHROOM REMODELING � 12. PAINTING NOTES: ACCEPTABLE MANUFACTURERSARE SHERWIN WILLIAMS, PRATf 8 LAMBERT,
16 Pickman Street, Salem, Massachusetts BENJAMIN MOORE, OR APPROVED EQUAL. ALL COLORS AS SELECTED BY THE OWNER.
a. All new plaster to receive one prime and two finish coats of latex paint, eggshell finish.
b. All new doors, door 8 window Vim, baseboards and closet shelves to feceive 1 prime and rivo finish
coats of latex paint, semi-gloss finish.
Raymond T. Guertin, A�ChiteCt c. Re-finish epsting hardwood floors in N Room.
89 Turnpike Road, Suite 207
Ipswich, Massachusetts e
Tel: 878-356-2749 Fax: 978-356-2409 � ITEMS SUPPLIED BY THE OWNER 8 INSTALLED BY THE CONTRACTOR
• Toilet, sinks and fittings, mirrors, surface mounted medicine cabinet, light fixtures, toilet paper
Date� June 6, 2005 $ holder, towel racks, floor and wall tiles at remodeled bathroom.
� PLUMBING WORK
G EN ERAL NOTES � t • The Plumbing Subcontractor shali visit the site and acquaint himself with the worlc. He shall provide
� all labor and materiais (except those materials listed above) required for the complete installation of
I. ALL WORK TO BE IN ACCORDANCE WITH THE STATE OF MASSACHUSETTS BUILDING CODE, t the remodeled bathroom, inciuding water supply lines, drains, traps, vents, etc. _
NATIONAL ELECTRIC CODE, STATE PLUMBING CODE, AND ALL OTHER LOCAL CODES AND ` • The General Contractor shall coordinate with his plumbing subcontractor and include any labor or
ORDINANCES. � materials required to complete the work, such as constructing plumbing chases, roof penetrations,
. floor framing alterations, etc.
� 2. VERIFY ALL DIMENSIONS AND CONDITIONS AT THE SITE BEFORE COMMENCING WITH THE WORK. �
COMMENCING WITH THE VARIOUS PORTIONS OF THE WORK WILL SIGNIFY HIS ACCEPTANCE OF
THE EXISTING CONDITIONS. HEATING WORK
3. ANY DAMAGE THAT OCCURS TO THE EXISTING BUILDING, PROPERTY, OR ADJACENT PROPERTIES ':
BY THE CONTRACTOR OR HIS SUBS SHALL BE REPAIRED BY THE CONTRACTOR AT HIS OWN t • The Heating Subcontractor shail visit the site and acquaint hir:�s��:f s�ith the work. This
EXPENSE TO THE SATISFACTION OF THE OWNER. � subcontractor shall design, supply and install new/altered heatinc sys�ern as required including all
,� materials and equipment for a complete operating system.
4. THE CONTRACTOR SHALL GUARANTEE ALL WORK AGAINST ALL DEFECTS FOR A PERIOD OF 12 �. • The General Contractor shall coordinate with his heating subcc;�tractcr and include any labor or
MONTHS FROM THE DATE OF ACCEPTANCE BY THE OWNER. � materials required to complete the work, such as constructing chases, etc.
5. IT SHALL BE THE CONTRACTORS RESPONSIBILITY TO OBTAIN AND PAY ALL FEES FOR PERMITS y
AND APPROVALS IN CONNECTION WITH THE WORK. THE PERMITS SHALL BE POSTED AT THE ELECTRICAL WORK
SITE. �
� • The Electrical Subcontractor shall visit the site and acquaint himself with the work.
6. ALL CARPENTRY WORK SHALL CONFORM TO THE LATEST NLMA STANDARDS USING SPRUCE, Remove all electrical devices from walis, floors, ceiiings, etc. that are scheduled to be removed. All
' PINE, FIR#2 KD, Fb= 870 psi& E = 1.4 x 10^6 psi FOR DIMENSION LUMBER. ! • other devices are to remain operational.
� 7. PROVIDE JOIST HANGERS AT ALL FLUSH FRAMING. ALL METAL CONNECTORS/HANGERS SHALL '' • All new lighting fixtures to be supplied by the owner and instailed by the contractor. All other
BE AS MANUFACTURED BY SIMPSON STRONG-TIE OR APPROVED EQUAL. DOUBLE-UP JOISTS devices to be supplied and instalied by the contractor.
UNDER NEW PARTITIONS AND PROVIDE CONTINUOUS ROWS OF BRIDGING BETWEEN NEW �� • Supply and install GFI duplex receptacles, lighting fixture boxes, switches, cover piates, etc. Obtain
JOISTS. LOCATE BRiDGING AT MIDSPAN OF JOISTS. Fi owner approval for locations and quantity of ali electrical devices mentioned above.
• The General Contrador shall coordinate with his electrical subcontractor and include any labor or
8. NEW INTERIOR WALL CONSTRUCTION SHALL BE 2X4 STUDS AT 16"ON CENTER WITH 1!2" materials required to complete the work, such as providing additional framing or support for light
MOISTURE RESISTANT GYPSUM BOARD AND 1/16"SKIM COAT PLASTER, SMOOTH FINISH. fixtures, running conduit, etc. �
9. OVERLAY EXISTING CE�LINGS IN REMODELED BATH, SHOWER AREA, NEW CLOSET AND EXISTING
T.V. ROOM WITH 1/2" MOISTURE RESISTANT BOARD GYPSUM BOARD WITH 1/16" SKIM COAT OWNER
PLASTER, SMOOTH FINISH. AS AN OPTION, THE CONTRACTOR MAY ELECT TO REMOVE ALL
EXISTING PLASTER CEILINGS PRIOR TO INSTALLING NEW GYPSUM BOARD.
• The house yvjll be occupied during the construction period. Provide dust barriers between occupied
10. SUPPLY AND INSTALL NEW 3/8" PLYWOOD UNDERLAYMENT AT ALL AREAS TO RECEIVE NEW TILE. areas and new work. Tape perimeters to prevent infiftration of dust. Twenty-four hour notice shall
( be required prior to shutdown of electric or water services, if any.
; I 11. ALL NEW INTERIOR DOOR &WINDOW TRIM AND BASE TO MATCH EXISTING.
i � �
�