85 SUMMER ST - BUILDING INSPECTION A The Commonwealth of Massachusetts
Board of Building Regulations and Standards Town of
\ fb Massachusetts S Code, 780 CMR, 7'" edition Wilbraham
Building Dept
Building Permit [cation To Co tract, Repair, Renovate Or Demolish a 413-596-2800
On Av mnily Divelling Ext 118
s S ion For Official Use Only
Building Permit umb : Date Applied: 0 G Q
Signature: LAC
B6Rdihg ommissioner/ft or r of Buildings Date
SECTION 1: SITE INFORMATION
k 1.1 Propertv Address: 1.2 Assessors Map& Parcel Numbers
J?G yam/ w%-,b ;7 V
I.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 tt) Frontage(ft)
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:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal O On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP[
2.1 Owner:of Record:
y � its eolled4�
/\ Name(Print) Address for Service:
a-t?; - #,&4 1232
Signature Telephone
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ 1 Existing Building❑ 1 Owner-Occupied I Repairs(s) ❑ 1 Alteration(s) ❑ Addition Cl
Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work':
' k
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2. Electrical g ❑Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAQ $ List:
5. Mechanical (Fire $
Su ression Total All Fees: $
�.. heck No. Check Amount: Cash Amount:
6. Total Project Cost: S 2
S ❑ Paid in Full ❑Outstanding Balance Due:
'SEN!� 40 VKP/
7 Z-2"e - S'Z.
P,6A1-310V Lf-
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) - "
tl 00 12•+ It{• 2ml(
S16V(zu� 110WM Oy y1.f� Licen c Number Expiration Date
Name of CSL-Holder (Z, W S
List CSL Type(see below)
Addresjj Type Description
1( 1.1„4 LS� C 7� U Unrestricted(u to o 35,000 Cu.Ft.)
� � R Restricted 1&2 FamilyDwelling
Signature � M Masonry Only _
RC Residential Roofin Covering
Gam`- k g
Telephone WS Residential Window and Siding
SF Residential Solid Fuel Burning Appliance Installation
[[ D Residential Demolition
5.2 Registered Home Improvement Contractor(HIC) tYd. 1S43�LP
HIC Company Name or HIC Registrant Name i-g'istration Number
Address 2fZ7�
Expiration Da�t
Signature Telephone
S ION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers 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 .......... 0 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
authorize to act on my behalf, in all matters
relative to work authorized by this building permit application.
Signature of Owner - -- Date --
SECTION 7b: O'AiN ,Rt OR AUTHORIZED AGENT DECLARATION
I, ,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 Nam, -
Signature of Owner or Authorized Agent Date
(Signed under the pains and penalties of perjury
NOTES:
1. 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 not have access to the arbitration
program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I I O.R6 and I IO.RS, respectively.
2. When substantial work is planned,provide the information below:
Total floors area(Sq. Ft.) (including garage, finished basementfattics,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"
r
R^ I DATE(MWDOIYYYY)O ?DTM. CERTIFICATE OF LIABILITY INSURANCE
.F VCER P.. (611)E5T511D Fe¢(61Y)65Y-6112 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION
KNIGHT INTERNATIONAL INSURANCE GROUP ONLY D CONFERS
O HOLDER. CERTIFICATE ATE DOES NOT AMEND CERTIFICATE
OR
500 VICTORY ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MARINA BAY
' QUINCY MA U2171
INSURERS AFFORDING COVERAGE NAIL S
{.,; .
LDIRAOLYMPIC
� � _ INSURER A: FIRST MERCURY INSURANCE COMPANY
. . ERTY.SERVICE:S CO-;INC. INSURER e: ,.SAFETY INSURANCE COMPANY . .
,. INSURER C:REET _1970 INSURER D: —_ __—._... ... .
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION-OF-ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOMONS OF SVCH- "--
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NM AUDiI TypE OF INSURANCE I POLKY NUMBER POLICY FtFEcrNE POYGYExPIRATroN LIMITS
LTR Wend GATE M—af P4TE PIYT
�MNECOL LWBILTY FMMAO01186 I 06/14/08 06114IO9 W14 OCCURRENCE S 1,000,000
OAMAGETO REMEp g 50,000
ME 1.GENERAL LIABILITY PACMISCs(Fs aswvlPnl
CLAIMS MADE OCCUR MED.EXP(Any one p,I w ) S .
A X 619IxIBl AcmuorellfLSUrea mdua6a PERSONAL&AOV INJURY S 1.000,000
X.. " GENERAL AGGREGATE S 2,000,000
I X Waiver of 6eGlagaion ircNOeO
GEN'L AGGREGATE LIMIT APPLIES PER PROCUCTS-COMPIOPAGG. S 2,000,000
POLICY X M n LOC
AUTOMOBILE LJAEIUW 2702651 01/09/08 01109/09 COMBINED SINGLE LIMIT I$ 1,000,000
ANY AUTO _ TEA exJpenO
ALL OWNED AUTOS aODILY INJURY
_ (Pe.perzen) S
SCHEDULED AUTOS
B X HIRED AV705 IBODILY INJURY S
X NONAWNED AUTOS
PROPERTY DAMAGE Is
(Pe Aeidenl
GARAGE LIABILITY ' •AUTO ONLY-(SA ACCIDENT j$
ANY AUTO j BOTHER THAN EA ACC�$
`—y I 'AUTO ONLY: Ate:R $
I
ExcEss/uxeRELU LIABILITY CUMA000117 06114/08 06H4/09 EACH OCCURRENCE s ___ 6,000,000
i
OCCUR CLAIMS MADE AGGREGATE I$ 5,000000
A I$
DEDUCTIBLE j$$
..X RETENTION$ 10,000 I ✓ _� 4'.
I
IVJORRETMCOMPEN$ATIONANO . . .. XJ TOTe'iaLVMfi oTHD1 -.
EMPLOYERS'UABILnY I kLEACHACCIDENT I S
ANY PROMaE1oAmAlaNwexecume
OF0ICfpjMw6ER EXCLVOE% E.L.DISEASE-FA EMPLOYEE IS
IaPielu�Vle DI�AeIOr. I E.L.DISEASE-POLICY LIMIT Is
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DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUS!ONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE
EXPIRATION DATE THEREOF,THE ISSUING INSURER'WILL ENDEAVOR TO MAIL 10 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BITTFAILURE
TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,
ITS AGENTS RREPRESENTATNES.
AUTHOR EPRESE
Attention:
ACORD 25(2001108) Certificate# -- ACORD CORPORATION 1988
I
IB FICA LcSU 5 A MA R OF IN MA'O
raoWCER. ONLYANO CONFERS NO RIOHTB UPON THE CERTFIC 1,o
OR
CDCle6 Inc. HOLDER. THIS CERTIFICATE DOE6 NOTE POUGIP-B BELOW.
11.7,KnigIlL iRleTnelt011811Tmuanc0 ALP T ALTERTt1E COVERAGE AFFORDED OBY OVERA
aDay 500 COMP
,NorthTctoryQPID�°jyl q M02 211 cSMPAIW VDAC
A Atlantic C6wter Insurance Co aJa
3 cow
u Y
i ASURED B
Alpine PmPcY 9OrviceB CO.,1DC. oOMPAHr
Olympis G
I1 Wilson Shaer COMPANY
Salem,MA 01970
THIW L1 CERTIFY 7HATT00�-
NE POLICfBW pFDL9URANGE UBTED ME EflON HAYCBEEN EDTOO eB+9URE�NAh H,BPECTTTO HIICHTHM '
'Tmvwx v.NOTwa WTANOMO ANY ReDLIIREMEM,TERM' cpnmRIDH OF ANYGDNucia RSRISE
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Lm DDOILY INNRY OOC T
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pOMPgEHENWIVEFOR" PPOpERTY CHARGE DOD 6
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OTHERTHANUMBRE U1 WRM TR OTAMORY UM
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BHDUIDANYOP THE ABOVE DESCRIBED POUOIES E6GWCEUPD BPS-0R6TNE
EXPIRATION OATETHEREOF,THE ISMA NG COMPANY WILL ENUEAVORTO MAR- ,
12 DAYS vmnTEN NOROe TO THE CERTIRGTEXOLOE WNW TOTHEULF
BUT FAILURE TO MAIL SUCH NOTICE SHALL INSENO OBUGATIONORLIASIUIY
OF ANY KIND UPON THE COMPANY,-ITS'AG OR REPRESEMp.TN/ES.:
AumDPam T®gFsvrtATr/e •:}.,ryr:T�1
Board of Building Regula ons and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02109
Home Improvemeni,Contractor Registration
Registration: 154326
Type: Supplement Card
'[::F'`5:_. .`•`:; Expiration: 2/27/2009
ALPINE PROPERTY SERVICES
GEORGE VASILIADES
11 WILSON STREET
SALEM, MA 01970 Update Address and return card.Mark reason for change.
;nt 0 sons-osioe-aCeaso 0 Address Renewal Employment I] Lost Card
---------�7 -------------...---------.. . ..... ..... ... ...--'-".- ........--..... . .
�/�ze'�aosvmaaxuea�i al��aaaac�u+QeCA
Board of Building Regulations and Standards License or registration valid for lndividul use only
HOME 114PRQVEMENT CONTRACTOR before the expiration date. If found return to:
Board of Building Regulations and Standards
Registry qwv`154326 One Ashburton Place Rm 1301
lip �'E'xpfaSir�=.2.'zi2009 - Boston,Ma.02108
t`� ' plement Card
ALPINE PROPER�`�wS'l=F.j�/ Q: -
UE?OYZGE-VASI i
11WILSONSTREE'fs��
SALEM.MA 01970 Administrator Not valid without signature
License or registratiop Yalu+"'
v�/s iaoorvma�+uax"s° y , • .. dale•:If found return to:
e ulstions and Standards before the fxPi. -• e utations and:Standards
•• Board of Bullding R B CTOR
CONTRA guard of Baud'nS R,S 1301
HOME IMPROVEMENT+ Qpe Ashburton P-11"'RID
• ' Re9f5?r4tTon: 154326 rr# 254379 'Boston,lam•0�
.�piretlon: 2127MA09 rall00
. . . . Type: Pdvals Corpo
S SERVICES CO,INC.
Al PINE PROPERII otv ithoutsignature
S7ARROS .MOUTSOUTAS fie,sue.
11 WILSON STREET kdTnInIStrAtor
SALEM, MA 01970
Board of Building R12oerns and Standards
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 154326
Type: Private Corporation
Expiration: 254379
Expiration: 2/27/2009
ALPINE PROPERTY SERVICES CO, INC.
1TARROS
WI SON STTREETULAS
SALEM, MA 0.1970
Update Address and return card'Mark reason[Or
rLost Card
Address ❑ Renews] Q Employment
oPa•GA7 �+ 60M-05M&pC9490
_t. '
{
_ Oo�ae �oP /etvuuealW n'—d Stand ardes
r9 egutahor5 n
Construction Supervisor License
License: CS 50145
eirthdate: 10/2611963
Ecpira0on: 10/2612009 Tr# 6205
Restriction: 00
GSILIADES
515 15LOVV LOWELLLL ST
PEABODY.MA 01960 Commissioner
MC#154326
E1N#56-2618812
OLYMPIC
+.Painting,Roofing&Siding office 978-535-0943
515 Lowell Street—Peabody MA 01960 facsimile 978-535-2008
Jim Collette
Essex Management Group
5o Washington St
Haverhill,MA 01830
(978)469-1232
Job Location:
85 Summer St
Salem,MA
September 29,2008
Dear Jim,
The following estimate is for the roof installation for the property located at the above address.The following paragraphs describe the work that
will be performed.
Installation Procedure
Strip existing roof on the entire house down to the roof deck
Install an 8 inch drip edge on all leading edges(rakes&fascia)
Install ice&water on all leading edges&valleys
Transitional walls me optional and incur an additional cost for the siding repair
Install new vent pipe flanges
— Replace any rotten or damaged decking(we allow 32SF @ no charge,$80.00/sheet thereafter) -
Replace any rotten or damaged ledger board(we allow 30ft.at no charge,$3.00/ft.thereafter)
Install 15 pound felt paper on all areas that is not covered by ice&water shield
— Install new GAF 3-TAB shingles
Install new ridge vent system
Additional Soec(frcadons
— Homeowner to choose color of shingles COLOR:
— Our dumpsters are sent to a recycling facility;therefore no additional trash may be placed in them. The transfer station will charge us
a fee for additional trash which will be passed on to the homeowner.
— Chimney re-pointing and re-leading is not part of the roofing contract. If you are in need of this service,we will provide you with an
estimate.
Transition walls are an option,and if the existing flashing is in good shape,usually do not require replacement
During a roof job,the nails could break the sheathing during the nailing of the shingles
We are not responsible for any of the cracks that may arise in any walls or ceilings
Please cover all your floors in your attic to protect from dust and debris
— We will remove all of the job related debris
Permit costs vary from town to town and are not included in this bid
Initial the oadons you are choosing below:
Cost for Labor&Material for Roof: $1395.00
Payment Terms: IC deposit upon signing contract $ ,1/3 work in progress $ and la upon completion$
Remit to:Alpine Property Services Company,lnC.,515 Lowell SL,Peabody,MA 01960
Total Amount Agreed To Be Paid: $
The following schedule will be adhered to unless circumstances beyond Olympic's control arise:
Work Scheduled to Begin: TBD Expected Date of Completion: TBD
Warranty: Olympic Painting and Roofing.guarantees all work performed for a period of one year. If any problems occur we will cover the cost
of all labor and material to correct the problem and meet the customer's satisfaction.
Do not sign this contract if th are any blanks ces.
itio v ions follow and are i o mMin b this reference)
JAI
George Vasiliades,CEO Jim Collette
Alpine Property Services Company Inc., IFEssex Management Group