13 RAVENNA ROAD - BUILDING INSPECTION What is the current use of the BuildlnO
Material of Building? if dwelling.how many units?
Will the Building
Conform to law? Asbestos?
Arohuds Name l 1
Address and Phone p
Madmids Name G C Si %-V yt5� 7��..�-GAS p ��Gi
Address and Phase 0 ' HIC Registration 0 1Y�.LcI--
C XuWucdon Supervisors license 0
Estimated Cost of//%::;41 Permk Fee Caleulatlon
Permit Fee: Estimated Cost X$7Is1000 Residential
--- - EstImstedCostX:1US1000C4mmwciai`An Additional $5.00 Is added as an
Administrative charge.
Make sure that all flelds are property and legibly written to avoid delays In processing.
The undersigned dais hereby apply for a Building permit to build to the above stated
specifications. Signed under penaRy of Perjury
Date
77
t \ N
---
EITMOF&ALES
PUBLIC `PROPERTY
DEPARTNI MINT
N..roa I M Wnswwc.ww sntm•
!M&K Xwo Man:se1n 01970
IVL'97s 7ii9S"•PAZ 978-740.n*
APPLICATION FOR THE REPAIR. RENOVATI N CONSTRUCTION
CHANGE
DEMOLMON. OR OF USE OR OCCUPAxtN FOR ANY EXISTING
STRUCTURE OR BUILDIN
1.0 SITE INFORMATION
Location Name: 0 r Building:
Property Address:-
� 3 V 2 viva �
Property Is located In a:Conservation Area YIN Historic Dtslriot Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land `
Name:
Address: I
6 � �Q ve woo,-
Telephone: %0
3.0 COMPLETE THIS SECTION FOR WORK IN inAT Q BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (so Renovated
construction or renovation
of existing building New
Sdd Description of Proposed Work:
�Jl V��DuJSi �or� �
- — - T.
— Mail Perrnitto:
wcy� CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
\1-%I m 120at1A91LVGCJNSCREET•SAL VM.MASSACHLSLt-rS 0191C
'rn.:978-745-4595 *FA-X:978-74C,9846
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 7S0 CMR section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit # _ - __ is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL e
111,S 1.50A.
The debris will he transported by:
_114__ rS o S
(name of hauler)
Hie debris
/will
be�fdisposed of in
(nameuffacility) L
------
i address of faility) .
sivature of pdnnit app;iean[
:!SIC
CTTY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
aa.aentntaesoau.
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often here much" 10•p EtWWAIl rapein or additions
doing all wont dtia of esmnpthu per um 1 l.p PI robing mpe{ta or addkloes
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Insurance Company Name:
Policy#a Self-ins,Lic M_ 6n 7 C� d� v Expiration Datr.
Job Sib Add vm_ R �N o y e6U11)
Attach a toff of the werkara'compenaatloe poney declaradon page(showing the pogef namber and up rodae doh}
Flaun m secure coverage as reasurd under Section 23A Gf MOL a 132 can Ind to du impoid"of criminal paealt(a of t Ada up to 31,300.00 Anwar onayeac imprisonment,as wen as civil penakine in the form of a STOP WORK ORDER and a Ada of up to$230.00 a day aghast the violator. Be advised that a copy of thin statement may be forwarded to gist Otlke of
Investigation of the DIA for insurance coverage vmiAeatioa
/Jo hereby ruder de palm anf peealNq oJpnfrry dot At/a orardon proWd abere is dare ad cornea
Phone At In S-NL
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City or Tawas Permit!!ieetts,H
Issuing Authority(circle Gasp
I. Board of Heeith L Building Department I Citylrowe Clerk 4. Electrical Inspector x Plumbing Inspector
& Other
Contact?arias: pr___
Thursday, May 31. 2007 2,22 PM D.01
Acow. CERTIFICATE OF' LIABILITY INSURANCE CSR of DAM(L.M,OWYYYI
IDEAL-1 05 31 07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wilmington Inausance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Five Middlesex Avenue Unit 14 HOLDER. THIN CERTIFICATE DOEN NOT AMEND, EXTEND OR
P. 0. Box 1010 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Wilmington MA 01887-0580 j
Phone:970-656-3805 Bax1978-657-5724 INSURERS AFFORDING COVERAGE NAICM
INSURED --T
u�^R:PA: Essex _
Ilr,�rea $,....'P.PP..ty a C....It, z.. v
Ideal Pxoaexty Maintonanae I'nl`-'LPRRC Axbella Dxptaction 41360
96 Lake Street
Tewksbury MA 01876 ---=
io!_ucE=E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUI REMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI TH RESPECT TO WHICH THIS CERTIFICATE ALLY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SL EJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES,AOGltEGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I.TR SR TYPE OF INSURANCE POLICYNUMMR qI I I I LIMBS
DENERAL LIABILITY 1 I EACH=LCP'PENCE IF 1000000
E rO FE aED
A X co:nu:Rcl eL GSNERAI.UAnwN � 3CJ6616 07/19/06 ' 07/1D/07 PPtm sac(e.e..,,,..,.:.7 a
I;LAIMS VALE EX OCCLIR � Mi EC F';V:!�Ily 00e E,:r5011)
__ PERSorrAL e.ADv nvdcr Y 51000000
r,PNPRaI onr;HPrerP t2nnnnnn
rtrrLAGrR=_rATeunnTAFPLIISFZR: veoour.,Ts-cenlwoPAcn .Y 1000000
P LID' ?E T h
AUToucDILE uaes Rv
cmnnu�o cTruL LNIIT ab000000.
C ANY fJJtO 02139400000 06/05/06 06/05/07 �(Ea 0:1I14n9
X ALL CONED ALITas =oDILY N l RY 4
sIAEDULED+ rs 1 I 0fi05/06C 06/05/07
C �X PRED AUros 02139400000 C6/05/06 06/05/07 PIPLM>O IILIaYI sIoNli!lI r
(or,
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C tAlrCs I02139400000 06/05/06 06/05/07
`J _ PRl P[RTY GAMNr[ S
GARAGE LIABILITY AUTO ONLY-EA ACCICENf {
Ali AUTO OTdEP THAry EA ACO U
ALTO ONLY'. AG3 S
O%CSOCIUNOPI LIABILITY EACH OCCUPPRNCE S
UCC.Ik CLAIMS udDG 4G'GREC+AYE 6
4
UEDUOp BLE � 5
RCIENTICvJ P I '£
WORKERS COMPENSATION AND I X IT LIMITS ER
$ lOMFIFP ILCO'EYr�ERS'LgIAEBRILITY 1 WC0001250-05 06/24/06 06/24/07 IEE II._,EDmH.e5aE 1E0AE rET Maryr Ee $S 110000000O0
AfIFR PPoppFTCPIPQR"Nr R 1PCU?IVE
E?. LLJEt 0 Ifvaa ALFRie unllM LISEASE-Pnu cr Limrt E 500000
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DOtlDRIpT10N OF OpERATIDNOI LOCATIONO i VEHICLlOI E%CLUtlI0N8 ADDED BY ENDOP$!MlMT j OPICWL PR001810N0
CERTIFICATE HOLDER CANCELLATION
czor NTy 6H61ILDANVD9THE A60VE DESCRIRED FDLICRE ME CANCELLED pEepp6 THE E%PUbMN
DATE THEREOF,THE ISSUING INSURER WILL ENCEAYOR TO MAIL 10_DAYS WRITTEN
NOTICO TO THE CERTIFICATE HOLDER NAMED TD THE LEFT,BUT FAILURE TO DO 00$HALL
City Of Salem IMPOSE 140 OBLIGAMON OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
130 Washington Street REPRESENTATIVES.
Salem MA 01910
ACORD 25(2001/08) 0 A ORD CORPORATION 1AS
7 CITY OF SALEM
DEPARTMENT OF PLANNING AND
e a COMMUNITY DEVELOPMENT
120 WASHINGTON STREET ♦ SALEM, MASSACHUSETTS 01970
TEL: 978-745-9595 ♦ FAx: 978-740-0404
Kim DRISCOLL.
MAYOR Ideal Property MlliD$o Corp.
Tewksbury,bLake S�R8A
LYNN GOONIN DUNCAN,
OdJM
AICP
DIRECTOR
HOUSING REHABILITATION LOAN PROGRAM
WORK WRITE-UP
PROPERTY INFORMATION:
Homeowner
(s): Marie Moran Date: April 5, 2007
13 Ravenna Ave. (978) 745-5108
Prepared by: Cliff Ageloff Case #:
Housing & Construction
Consultant
1. LICENSE: The contractor must meet all local and State licensing requirements and be duly
licensed.
2. INSURANCE: Contractor must show proof of adequate liability insurance and workmen's
compensation coverage be provided.
3. PERMITS: The contractor must obtain all required building permits prior to starting work. Copies of
the required permits must be submitted to the Housing Program.
4. CODE REQUIREMENTS: All workmanship must conform to the Program's guidelines, all applicable
Massachusetts Building Code and local codes and must be of acceptable quality, as determined
by the Housing Programs Inspector.
5. WORK AREAS: The owner must completely remove all furniture, stored items and other
obstructions in the work areas identified herein. Items must be moved to a non-work area and
covered by the owner or relocated to temporary storage as needed. Neither the Program nor the
Contractor is responsible for owners' items improperly relocated during construction. Work can
not proceed unless work areas can be freely accessed by the contractor(s) on a regular basis
during the term of the contract. Failure to provide regular and unfettered access to work areas
may be cause for contract termination.
Contractors are responsible for verification of field conditions, measurements and quantities.
Submission of a bid is presumptive evidence that contractor has evaluated all site conditions
which pertain to the work herein. Permits and Permit Fees to be included in all bids.
t
WORK SPECIFICATIONS for REPAIRS
1. ELECTRICAL UPGRADES and REPAIRS for CODE COMPLIANCE
1. Provide and install new 100 A Breaker and complete load center and entry service, including
masthead, meter to meet all current code requirements
2. Install Fire Protection NFPA and Mass. Code Compliant for new construction. Include all CO
detection and smoke detectors in all bedrooms.
3. Obtain all permits and sign-offs for fire detection and warning system.
4. Install GFI receptacles in all locations required by code in bathrooms and kitchens including
utility and exterior areas.
5. Provide and install new 20 A line for 1st floor refrigerator (circuit overload potential)
6. Install new bathroom rough and finish electrical and include new Broan fan/light/vent unit,
vented to exterior. Install new GFI and add one additional switched line for owner's wall-
mounted mirror or medicine cabinet unit. Owner to provide medicine cabinet and fixture or
lighted medicine cabinet. Meet all code requirements. T
7. Label all existing panels to accurately indicate all existing and newly installed circuits.
2. Window and Door Replacement and Lead Paint Hazard Abatement — See FULL
COMPLIANCE GUIDELINES herein and attached lead paint report for FULL COMPLIANCE
requirements.
a. 10 window units (all existing windows) - match existing size and configuration including
grid pattern. Include,all operable and fixed units.
b. 3 New Exterior Doors and Storm Door, repair sills as needed at existing door openings.
c. Exterior trim replacement/stabilization o I .
d. Other work incidental to achieving Full Compliance
1. Remove and dispose all wood window units and install one new HARVEY INDIUSTRIES,
equivalent window with Low-e glass and half-screen.
2. Remove and dispose all exterior doors and provide and install THREE new pre-hung Therma-
Tru or equal fiberglass door and new screen combination unit all exterior egress doors. All
doors shall be double bored and provided with brass passage sets-and thumb-bolt activated
deadbolt.
3. Repair sills and existing frames. Paint one coat over primer at exterior per manufacturer's
requirements.
4. Provide matching Iocksets at all doors, keyed alike, Schlage or equal.
5. Provide and install three combination storm units with self-storing storm/screen feature. Doors
to be white.
6. . Include mail slot at front door. t
7. Match existing door type and general design. Owner to approve all door configurations prior to
installation.
3. NEW ASPHALT SHINGLED ROOF CMR 410.500
• 1800 SF Approximately— Contractor to verify all dimensions in the field prior to bidding
• Use 30 Year Architectural Shingle, Tamko, Iko or GAF. Owner to select color
1. Demolition: Strip all asphalt and roofs to expose sheathing. Remove deteriorated sheathing and roof
boards. Remove all non-essential roof attachments. Remove and dispose all (lashings and drip edge.
2