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40 RUSSELL DR - BUILDING INSPECTION PUBLIC PROPERTY -© DEPARTMENT yob 07 �� KI%R1F11 Ey DRISCULL \IAYbR I-V WASHINGTON STREET•S Al uu NinssACHl;st-I-IS 01970 1Ft 978-745-9595.0 FAm 978-740-98" APPLICATION FOR THE REPAIR, RENOVATION CONSTRUCTION DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: ljp,rr zou605 Building: Property Address: '/0 / L S-5el! pre Property is located in a; Conservation Area Y/N Historic District Y/N 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: Q/'02 Aq X A Address: Y 0 R c"SSGl Telephone: q g_ -7 ' —o 0 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use X New Demolition Existing Approximate year of Area per floor (so Renovated construction or renovation of existing building New Brief Description of Proposed Work: XeM0.le -e—xt5T1;V5 �ii0cwi.wce. /1~/� S�AGy� f1./.L 2ep/AGE wI'�I1 ,nle�.✓ 1=-.v5d! h_Z y,,v� ST/9GK5 , Mail Permit to: . �4e G�i M vern ,�, �� pQ t3ojv 4o`7y Pe 46co� /n,4 a/g co What is the current use of the Building? on Wei I Material of Building? if dwelling. how many units? r Will the Building Conform to Law? Asbestos? Architect's Name Address and Phone Mechanic's Name Address and Phone PO /90u rla7U P>°✓t � �� ✓rA �fi6f7 ���������� Construction Supervisors License# HIC Registration# Estimated Cost Of�rAject� $ � Permit Fee Calculation Permit Fee l v`/� Estimated Cost X$7/$1000 Residential Estimated Cost X$11/$1000 Commercial An Additional $5.00 is added as an Administrative charge. Make sure that all fields are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to build to the above stated specifications. Signed under penalty of perjury X-4� Date N 09 J y 9 D u � i u y a CrrY OF SALEM PUBLIC PROPERTY DEPARTmENT wm" .Yowsc= wwa tm w�c,ee�ero„stwear•S �faa�asar�s ot97o Constrncdon Debris Disposal Affidavit (enquired fos all demolition sod ranovatim work) to aecordancs with the "edidoo of the Skits Building Code.780 CMR section 111.5 Debris,and the provisions of MCM a 40,9 Sop Building Parmit 0 is iuuW with dw condition that the debris rommag fien this wort shell be disposed of in a properly&AvSed waste disposal thdUty as donned by Mat,a 111.S 1SO& The debris will be transported by: (same The debris will be disposed of in : (name of hwity) I (addrm of facility) (y airs of pam�it apft;eaar dare :.tri.r7.us � 4 Proposal The Chimney Guys P.O.Box 4074 Peabody Ma 01960 Tel: 978-977-9900/Fax_979-977-9909 Fully certified and insured Submitted to: Piclmoan Park Association Date 10/12/06 Name: Jill Fama Street: Pickman Park City,State,7. Salem Ma,01970 Phone: 1-791-932-9229 Job Description: Option 1: For the customers with the Marco fireplaces. We will replace the top 1 or 2 sections as needed with new approved double wall sections of pipe making the proper connection from the old to the new with an approved connector.We will have to also install a new rain collar and cap as well as a new custom chase cover_All debris will be removed from site and disposed of.All work completed at said unit will meet the NFPA 211 fire codes. Associations cost for option I with a single chase cover$600.00 Unit owners cast for option 1 with a single chase cover S337.00 Total cost for option 1 with a single chase cover$937.00 Associations cost for option I with a double ease cover$750.00 Unit owners cost for option I with a double chase cover$337.00 Total cost for option I with a double chase cover Sl087.00 Cost of chase cover may vary due to the customers choice of option. Permit fees will be applied to these prices. Option 2: For the customers with the Preway fireplaces.We will have to replace the complete chimney with new double walled sections of pipe as well as the proper off sets if needed and a new fire box will also be instaffai We wr71 also ic»Q the proper fire stops at floor separations as needed as well as new custom chase cover(double or single)which ever is called for. There will also be a new chimney cap and rain collar installed.For certain installations the wall above the fire box will have to be cut out for access which we will do. The repairs to the walls after the job will be the responsibility of the owners/ associations All debris will be removed from site.and disposed of.All work completed at said unit will meet the NFPA 211 fire codes. Associations cost for option 2 with the shorter chimney and a single chase cover 5600.00 Unit owners cost for option 2 with the shorter chimney and a single chase cover 5848.00 Total cost for option 2 with the shorter chimney and a single chase cover 51448.00 Associations cost for option 2 with the taller chimney and a double chase cover 5750.00 Unit owners cost for option 2 with the taller chimney and a double chase cover 51319.00 Total cost for option 2 with the taller chimney and a double chase cover$2068.00 Cost of chase cover may vary due to the customer's choice of option. All new fire boxes am zero clearance. Glass doors for these new fire boxes am an additional SISo.00 Pennvt fees will be applied to these prices. Option 3: For the customers with the Preway 5replacm Remove existing fire boxes and sections of vent pipe from the unit Seal off the top of the chimney with a custom chase cover. Owner/Association is responsible,for sealing of the remaining opening after fire box is removed.All debris will be removed from site and disposed of. Associations cost for option 3 single chase cover 5375.00 Unit owners cost for option 3 with single chase covers 5350.00 Total cost for option 3 single chase cover S 725.00 Double chase cover add S150.00 Cost for chase covers may vary due to the customer's choice of option. Permit fees will be applied to these prices. Option 4: For a pellet stove installation. Remove all existing chimney components and install new chimney components for the pellet eve. There will have to be a new chase cover installed along with a new cap and rain collar. The customer is responsible for the purchase of their own pellet stove.All debris will be removed from site and disposed of. All work completed at said unit will meet with the NFPA 211 codes Total cost for option 4 with the shorter chimney and a single chase cover S 1325.00 Total cost for option 4 with the taller chimney and a double chase cover 51775.00 For a woodstove insert installation material cost will vary due to the unit type. • All prefabricated fire boxes and chimney vents will be manufactured by ,LENNOX + • All pellet stove and woodstove inserts will be vented with approved DURA- VENT/DURA-PLUS venting systems. • All new fire boxes are zero clearance, • For the work to be guaranteed and the manubeturer's warranties to be valid the above said options must be completed is their entirety by Tke Chimney Gays. Terms of payment: Will be delzmined upon acceptance of proposal. Authorized Signature: Scott C Hunt Acceptance of Proposal: Date of ac ceptance: