Loading...
30 WARREN ST - BUILDING INSPECTION (2) Pip m A:lWNW ARM QRANft CITY OF SALEM Wad 1..J no 4 Y lie X tasatla�e or 1ai�N,aa Y PIOP"L0000d b Ne CaomNasa AnnPwmit to: 3 aWAMq PWM APPL1CAlM NMI ` (Ckola wlwotwm appy) �I s Sl0' C°noW D@* shod. Pooh. PLUM M L our LAMLY a COWLaMY TO AV=OI LAV&IN PFANXIMNa To THE'PONEC OR of eWLaNG :The , undNraiprnd hereby apples for a p«mit to build a000niftlo tha.%IWA p 0WW* NMO Ike- C:o.Asec-vc �c�j Ad*euaPhom JO W0.ffey� �� sC ILM 1"•V[ ( I !8 LVJ- S7 1 AlohNaft Name N/A Address A Phone c MaohrA= Noma N Ip, Ad*m a Phone l wl■I a Nr NePNNe d mot Cr��o w'.. t.,,�. MrldNl d � f�S N a Omdb ,for hoer Ne"UNiaNet-q vm kdd ng oadana low? Add1 ROAN NNNI 2q` -zoo qy►LloNlw•__1falN lialw r © 7 q 5 p an era. 0 17105e.0` Sglok f Appluent swm INIOMII Tm pw"T1f' MC1�110N OP VMOpK To m mm P NIII _IMP rvrnp s sb 12e.�Icac- e-x 's MAIL t11T T0: r. f . ' ��� _ � s ��� 3� W sT /r1� ZS� Zee � V - ��-� I, ri The Commonwealth of Massachusetts Department of Industrial Accidents y Office ellmresUROMMs ` 600 Washington Street, 7ra Floor Boston,Mass. 02111 Workers' Compensation Insurance.Affidavit: Buddin /Plumb l.e.ctr..id-c al Contractors name e- C Od,- e_:t' n1;l6st r address: g3fl S�- city state (1LI{ zip, phone# 7l `65) 5- DDL( work site location(full address)i 30 1...7`_`C�\ ¢k-. 5l ly\P' 01 -7 Q ❑ lam a homeowner performing all work myself. Project Type: ❑New Construction Remodel ❑ I am a sole proprietor and have no one workin in an ca act ❑Buildin Addition Ma W f^am an`employer //providing workers' compensation for my employees working on thisjob. company name: Le.L\G, !� ly9✓ 4 �' 2Ci..\y�D"r f? r (� 8/v �^ y} S S 1 k { Qz address: tJ:rKfY�1/� `S`S skf city: .l��s'bs` 11r\\Iekaaet4"Ea"�^ 71 ?may g msurence co :T- > VC=S c.91.1r7.�RJ1C_e— pnhevA �o1;d s©(2005,:" *i. rau en ss�amnaasaeaneon ❑ 1 am a sole proprietor,general contractor,or homeowner(circ%one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: city: about& ,t insutati .r ,fix^c"-y .. comoanv name: - - add: city; - phonq(ti 77 insu n Atlaeh'iidd #hlD Wilt -. . Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as eivil penalties In the form of a STOP WORK ORDER and a line of$100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations orthe DtA for coverage verification. I do hereby certify under thleRmillic and penalties of perjury that the information provided above is true and correct Signatura Date Print name Phone# Q 75 ' "b51 ' e.SD t{ official use only do not write in this area to be completed by city or town official city or town: 1 permit/license a Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone a; ❑Other rontac<pi rsot CITY OF SALEMV MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RO FLOOR SALEM, MA O1970 TEL (978)74E-9593 EXT. 380 FAx (978) 740.9846 0 ? STANLEY J. USOVICZ. JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL c 40,S34,I acknowledge that as a condition of Building Permit# all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid-waste disposal facility, as defined by MGL c III,S 150A. The debris win be disposed of at Li nn S:jA m N e i`t A c Location of Facility Vi y S -2- I Signature of permeTvacant Dike FULLY complete the following information: (PLEASE PRINT CLEARLY) Sieve, Le-Ca;r Name of Permit Applicant LEAOa r A ao�,�l 1�9P� yrs o�',rcE I �rc. Firm Name,if any 4y5 (� I.�v;�.4s o� S�, ► 13 ("� �l�sfo.rr �c MA DI )7CE) Address,City dt State The above statute requires that debris from the demolition, renovation,rehab or other alteration of building or structure be disposed in a properly-licensed solid-waste disposal facility as defined by MGL ca S150A, and the building permits or licenses are to indicate the location of the facility. APR 2 2 20o6 oeeCeaiz Toolimg i & Weatlieir zvv is gne. 830 LIVINGSTON ST. #13 TEWKSBURY, MA 01876 (978) 851-8304 FAX (978) 851-9884 April 13, 2005 Page 1 of 2 Robert I Mitnik, A.1.A Phone# 978-283-7579 Attn: Robert I Mitnik Fax# 978-283-6289 11 Pleasant Street Gloucester, Ma. 01930 RE: Warren Street 430 (Roof Replacement) Salem, Ma. 1. Roofing work not to exceed 2,039 square feet, as per plans A-1 only dated 11/02/04. 2. Remove and properly dispose (4) existing roofing systems, (3) Bald Modified and (1) Flat Seam Metal Roof with a total thickness of 1.0". 3. Supply and install 1.0" Firestone polyiso insulation protection board with an LTTR=6.0. Note: Insulation will be fastened to FM-1-90 guidelines. 4. Supply and install .060 Firestone Non-Reinforced Fully Adhered Roofing System as per manufacturer's specifications. 5. Shop fabricated perimeter trim: 20 ounce red copper 2 '/2" L-Drip per detail7/A-1 due to the add of a 5/4x6" wood nailer added to the perimeter edge to match the new 1.0" insulation. 6. Removal and disposal of the existing wood deck the existing addition included. Note: Existing white wood railing to be saved for the owners use. 7. Flashing included for all units and projections as shown on plan A-1 listed above. 8. Supply and install (74) lineal foot of 20 ounce red copper 5" K Style gutter at the existing addition roof area only included with 20 ounce copper seat and drip edge for gutter to sit on. 9. Supply labor only to clean approximately 90 lineal foot of existing gutter the main house only inciuded. 10. This estimatc�/proposal will become part of the contract unless stricken by the Owner. 11. Manufacturer's (10) year labor and material warranty included at rubber roof areas only. 12. Supply and install (1) Firestone 30"x30" walkway pad at the existing roof hatch included. ii-' , t% Page 2 of 2 (Warren Street 430, Salem, Ma. April 13,2005) 13. Bid includes allowances of $1,500.00 per section 01015. 14. Suppty and install (4) 4'0" 4"x4" pressure treated wood sleepers at the (2) condenser units on an approved slip-sheet included. Exclusions: Bonds, Winter Conditions, Snow Shoveling, Weather Delays, Prevailing Wages, Union Labor, Asbestos, Walkway Pads Other Than Carried In Base Bid, Concrete Pavers, Deck Cutting For Penetrations, Vapor Barrier, Ponding Water, Police Details, Parking Permits/Fees And Rotted Deck Replacement. Please note: Any additional work beyond the above scope of work will be done at a rate of$65.00 per man per hour for roofing work and $70.00 per man per hour for sheet metal work, plus materials, portal to portal and $.405 r rya l per mile travel expense and any per diem charges. Note: This price is contingent upon existing roof deck meeting manufacturer's fasteners pull requirements to issue warranty. We propose hereby to furnish material and labor—complete in accordance with the above specifications, for the sum of: Twenty Nine Thousand Seven Hundred Dollars----------------------$ 29,700.00 (Subject to manufacturers price increases as they occur.)Note: All roofing materials must be delivered and loaded prior to May 31,2005 to hold the above a; pricing. Please Advise ,s r tl, ;vs; Net 30 Days_ A 1 5% finance charge per month will be added to all invo ;es on the 31 day. All legal and or collection fees will be paid by the binding holder of this contract. ^-/� � p Authorized signature; �'L1AL1 ��jplU i Jt". 7 Robert R. Therrien, Senior Estimator Note: We may wid;dr-iw this proposal if not accepted within (30) days or delivered prior to May 31i, 2005. Acceptance of proposal. --The above prices, specifications and conditions are satisfactory and are hereby ncccoted. You are authorized to do the work as specified. Payments will , be made as outlined above. Iy Date;" bb - Signatur?g f` CERTIFICATE OF INSURANCE ISSUE DATE(MMJDDrvY) PRODUCER TII!S CERTIFICATE 1S IS.SUl9 AS A NI ATTEE Or tNFOR&IATION ONLY AND J Bapy Drisaa:l lrs Agncy Inc CONFERS NO RIGHTS UPON THL CERTIFICATE HOLDER• "PHIS CERTtb1CgTE Pp 30) 8120 DORS NOT AMEND,@kT1 Np UR ALTER T2IE COVERAGE AFF'OROED BY 7I1$ POLICIES AELOW. Narwcl?, MA 02A61 C01VI P<l:�S Ab'F0,1t ING COVERAGE INSURED LeClair Roofing&Weatherproofing Inc 830 Livingston SueeL L k A A.I.M. Mutual Insurance Co Tewksbury, MA 01876 COVERAGES T}tISISTOCERT[AYTHpTT ,,I' OFLVSURANCByySTPD7igLOvrHp�B>3ENL£SUI;D,1•p,p!{EINSSRtEn+`N INDICATED,NOTWITHSTANDING ANY RP.QWAEMSNT,TERM OR CONDITION OF ANY CO 'AHED AAOVE PUR T11E J+ CERTIFICATE MAY O DITISSEION OR MAY PERTAIN,THE INSURANCE AppORDED BY THE NTRACTOR OTHER DOCUMENT WITH RBSAECTTO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH FOLIOS- LIMITS SHOWN MAY HAVE poLJC28 DESCRIBED HEREIN IS SUBJECT TO ALL THD TERMS, Co MEN REDUI'M BY PAID CLAIMS. LTTI Tm or valR,INCg PQUCTT�'MREg POUCTUFRcrim TOLICyE)y(R,A L[ABILiTY DA1'RPAM/DONY) DATE(.MUMDHY) IIMrrs GHI'ffiRAL OMMPRCIAL GENERA;.LrASTLTY GRNICRALL AGGRCGATe g _ Umfs MADE ccUpj PRODUC'fS_L'OMHOPA WNER'S At CUNTRACTOR'S TROT. PEMNAL&ADV.INJURY S -' RACH OCCURRENCE $ �- FIRE`DAMAGE(Amp, F^J S AtnPOe1C3IrX LIARJI.M MED.EX?6N$E(A,y ow mrmp) f ANY AUTO COMBINED SINGLE ALL OWNED AUTOS IM)T OhRIDULBD AUTO$ OOMY INJURY RIBGD AUTOS NON OWNED AUTOS DOILY INJURY RAGE UARILTY ok-'=; mTj _ f ROPERTY DAMAGE XC.Fa'"I,fABDJTY IRRELLA FORM EACNOCCURRP.NCE S IRR TITAN UMBRELLA FORM AGGREGATE IT ORLIM'SC)hff%NS.ATION.AND VMOYRRS'LEAWLITY x A THE AROMF5TORJ 70150050120p5 INC[. 011012M5 01/012006 EL EADRACODGNr ARTNP,RVEXECU'TIVR S 1,000,p00 1 MIK ERG; U E EL DI$FAg5-pOL(CY LIMYt f _1 Qn[�Un F:.DfSIiAS+I_6ALT(F.MPLOt'RC S 11CVOQO • IIISL'RIP1'JUN OF UP6'1lATJ!W�llq(•A2TU[I$(yRU{C[EBJ'@l1CI,OL J,JMN$ CER'fTFICATTs IfOLDER CANCELLATION O S`Q.-2P7 SHOULD ANY OF TILE.A80YE D CRATED . ... .. 8E CANCELLl;D BEFORE THE The Conservancy Condominium BXP RATION DATA THL•REOF, TIiS ISSLRNG CGMAANY WILL $NDAAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO 711E CERT'RCATEHOLDER NAbIED TO THE 30 Warren Street LEFT'BUT FAILURE TO MAIL SUCH NOTICE SHALL 1\,IpOSe NO OBLIGATION OR LIABA.IT'y OF ANY KIND UPON THE COW OMA•ANY• .AGENTS OR .S4101T11 MA OI970 AU'DIOSUZEb REPRP.SRNTATiVE � Board of Building Regulations and Standards ,r V' HOME IMPROVEMENT CONTRACTOR� RACTOR — Registration: 121050 Expiration: 4/1/2006 Type: Private Corporation LECLAIR ROOFING & WEATHERPR INC STEVE LECLAIR'�' 830 LIVINGSTON ST 11 TEWKSBURY, MA 01876 � Administrator - -- - � ✓�ee �auvrnarwN.¢�.�>%�aaaac�uaeka . _ BOARD OFBUILDING REGULATIONS `. License:;,CONSTRUCTION SUPERVISOR Nurnber_i„CS 079609 _T '�` � Birthdafev09t�7::/,1960 - ;. `Expires:0912712006 Tr.no: 3272.0 Restgcted 00> STEPHEN P LECUkIR 36 BRETTCIR Commissl PELHAM NH 03076 s