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14 WEBB ST - BUILDING INSPECTION -- ' PUBLIC PROPERTY DEPARTMENT 2- � `�J� KI�MFJUEY DRISCULL ��- MAYOR 120 WAsHINGTON STREET•SLk:W A%%SACHLSh1-M 01970 11:i 978-7454595♦FAX 975-740-9M 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: Building: Property Address: property is located in a; Conservation Area YIN Historic District Y/N 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land _ Name: Address: Telephone: q7 5 �3s 7�4Y 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of I� Area per floor (so Renovated construction or renovation New of existing building t]riPf Description of Proposed Work: 1,75-}Ct l/ n euJ k; ,,- e r\ P en ovQ+2 �e�'f1� r'cx.�n75 r5�ll necu hee.rdw� ��00('S -- - - -- -Mail Permit to: — J What is the current use of the Building? Sin 9 j e ✓� jY Material of Building? ZL/ Y 8 If dwelling, how many units? -� Will the Building Conform to Law? Asbestos? Architect's Name Address and Phone l ) Mechanic's Name M ir—k 1 a8% Address and Phone 1S7 Scl�cx�/ ��- Reuere � e�ajS 1 7�l- 386E Construction Supervisors License# 09396.5 HIC Registration# Estimated Cost/,of rol,e�Et$$ a-000,00 Permit Fee Calculation Permit Fee$ 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 theabove stated specifications. Signed under penalty of perjury X Date \ N O •� y 4 y •I.I F" Z A o u DUNNS CONSTRUCTION Proposal B 157 SCHOOL STREET ® REVERE,MA 02151 LOCAL(781)289-3866 •• • •• . TOLL FREE(888)824-3866 - 1/24/2007 63 NAME/ADDRESS CONDITIONS OF PROPOSAL Contractor submits this proposal for work on the property herein described. Upon acceptance, Contractor agrees to furnish labor and Bruce and Jane Lawson materials necessary to improve the above premises in a good, I4 Webb St. workmanlike and substantial manner according to the terms, specifications,provisions, prices and plans(if any). Salem , MA 01970 Start and Completion: The approximate start date of and approximate completion date of are subject to permissible delays as per provision (5) on the reverse side. Owner and Contractor agree that a definite completion date: ❑is of the esse�nc,ee.,�O is not,0 the ce Submitted blr /j C1 .s/ —. 1'-JI©-7 Approved and Accepted(Contractor) Date ❑ADDITIONAL SHEETS ATTACHED DESCRIPTION OF • • • • carpentry Frame new bathroom on 2nd floor . Install new blueboard and 8,300.00 plaster on walls . Install new handrail at top of stairs . Finish framing in Ist floor bath and install blueboard and plaster . Frame closet in room behind kitchen and install 2 sets of bi-fold doors . carpentry Install 800 s.f. of bamboo hardwood flooring throughout 1 st 5,200.00 and 2nd floors . Sand and finish 2 small rooms on Ist floor 200 s.f. carpentry Install new cabinets and countertops and crown moulding . 5,000.00 electrical Go through entire house and make sure wiring is up to code . 1,000.00 carpentry Misc. work(doors ,moulding, built in closet , permits ,etc. ) . 1,500.00 C� e Jso0 o : 00 a a ti z r Estimate is good for 21 days. s Total $21,000.00 ACCEPTANCE OF PROPOSAL This proposal is approved and accepted. There are no oral agreements. The written terms, specifications, X provisions,prices and plans(if any)are the entire agreement.Changes shall be made by written change order only. Approved and Accep ner Dare You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of l this transaction. See Owner's Right to Cancel on the reverse side for details. PROVISIONS—Unless otherwise specified herein,the following provisions are expressly incorporated into this contract: 1. Order of Precedence, Plans, Specifications, Proposal. The work described in this proposal shall be done according to the plans and the, plan specifications (if any) except in the case of conflict when the provisions and content of this proposal shall have control over both the plans and the plan specifications.All work will meet applicable state and local codes. 2. Location of Property Lines.Owner is responsible to locate and inform Contractor of the location of all property lines. Contractor may require Owner, at Owner's expense,to provide a licensed surveyor's map of the property showing the relevant property lines. 3. Change Orders..All extra work as well as any other modifications to the original proposal shall be specified and approved by both parties in a written change order. All change orders shall become a part of this contract and shall be incorporated herein. Change orders may incur additional charges. 4. Insurance. Owner is responsible to maintain property insurance with Fire, Course of Construction, all Physical Loss with Vandalism and Malicious Mischief clauses attached, in a sum at least equal to the contract price, prior to and during performance of this contract. If the project is destroyed or damaged by accident, disaster, calamity, theft or vandalism, work or materials supplied by Contractor in reconstructing or restoring the project shall be paid for by Owner as extra work. 5. Delay-Contractor-shall.not be hefcj,responsible for any damage occasioned by delays resulting from::work done by.Owners subcontractors, extra work, acts of Owner or Owner's agent including failure of Owner to make timely progress paymentsor payments for extraii.work, shortages of material. and/or labor, acts of nature, bad weather, fire, strike, war, governmental regulations, or any other contingencies unforeseen by Contractor or beyond Contractor's reasonable control. 6. Unanticipated Conditions, Existing Defects & Concealed Damage. Expense incurred because of unusual or unanticipated conditions, environmental hazards, concealed damage, or existing defects or code violations, hereinafter collectively called "defects", which are discovered during the course of the work shall be paid for by Owner as extra work. Contractor is not responsible to repair any such defects and work done by Contractor to remedy such will only be done as extra work in a written change order. 7.Rigot to Stop Work. If any payment is not made,to Contractor as per this proposal, Contractor shall have the right to stop work and keep the job idle until all past due prbgresspayments are tecb�edl - 8. Collection& Legal Fees.Owner agrees to pay all collection fees and charges including but not limited to all legal and attorney fees that result should Owner default in payment of this contract. Overdue accounts are subject to interest charged at the highest rate allowed by law. If litigation arises out of this contract,prevailing party(ies)are entitled to all legal,arbitration,and attorney fees. NOTICE OF LIEN RIGHTS.Contractor, any subcontractor,any laborer,or any equipment or material supplier who performs work or supplies materials or equipment on your property may have the right to place a lien on your property if they are not paid in accordance with the applicable Lien Laws. OWNER'S RIGHT TO CANCEL. Owner has the unconditional right to cancel this proposal, without penalty or obligation, until midnight of the third business day(Saturdays count, Sundays and most holidays do not)after signing. Cancellation must be done in writing. To cancel this proposal,Owner must mail or deliver a signed and dated notice to Qontractor indicating that;Owner is cancelling. IfContractgr did not give you cancellation forms,you can write your own cancellation fetter or notice. Your Notice of Cancellation 'shah be deemed given when deposited in a mailbox; properly addressed?' and with postage prepaid and with the envelope post-marked before midnight of the third business day after the contract date. It you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 days following receipt by Contractor of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel you must make available to Contractor at your residence, in substantially as good condition as when received, any goods delivered to you under this proposal or sale,or you may, if you wish, comply with the instructions of Contractor regarding the return shipment of the goods at Contractor's expense and risk. If you do not make the items available to Contractor or if you agree to return the items to Contractor but fail to, then you remain liable for performance of all obligations under the contract. Payments in Trust. New York lien law requires Contractor to deposit progress payments into a trust(escrow)account at a bank, trust company, savings bank, or state or federal savings and loan association, located in New York State, within 5 business days after receipt. In lieu of making the deposit of such payment or payments in an escrow account, Contractor may post with Owner a bond or contract of indemnity, issued by a surety company licensed to execute such an instrument in New York State, or an irrevocable letter of credit issued by a bank, trust company, savings bank, or state or federal savings and loan institution located in this state,guaranteeing the return of the payments,or the proper application of the payments to the purposes of the contract. Such deposit or deposits in escrow shall remain the property of the owner or such bond or contract of indemnity or irrevocable letter of credit continued in effect until the proper payment, transfer or application of such deposits by Contractor to the purposes of the home improvement contract under the schedule of payments provided therein is made or until Contractor has substantially performed the contract. CALIFORNIA ONLY: Contractors are required by law to be licensed and regulated by the contractors state license board, which has jurisdiction to investigate complaints against contractors if a complaint regarding a patent act or omission is filed within four years of the date of the alleged violation. A complaint regarding a latent act or omission pertaining to structural defects must be filed within 10 years of the date of the alleged violation. Any questions concerning a contractor may be referred to the Registrar, Contractors State License Board, P.O. Box 26000, Sacramento, CA 95826-0026. State law requires anyone who contracts to do construction work to be licensed by the Contractors' State License Board in the license category in which the contractor is going to be working- If the total price of the job is $500 or more (including labor and materials). Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with a complaint. Your only remedy against an unlicensed contractor may be in civil court, and you may be liable for damages arising out of any injuries to the contractor or his or her employees. You may contact the Contractors' State License Board to find out if this contractor has a valid license. The board has complete information on the history of licensed contractors, including any possible suspensions, revocations, judgments, and citations. The Board has offices throughout California. Please check the government pages of the White Pages for the office nearest you or call 1.800-321-CSLB for more information. THIS FORM IS PROVIDED "AS IS" WITH NO EXPRESS OR IMPLIED WARRANTIES, INCLUDING BUT NOT LIMITED TO, THE WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. ADDITIONAL REQUIREMENTS OR TEXT MAY NEED TO BE ADDED TO THIS FORM OR IN OTHER SUPPLEMENTARY AGREEMENTS OR DOCUMENTS. EACH USER OF THIS FORM SHOULD CONSULT A LEGAL ADVISOR BEFORE USING THIS DOCUMENT TO ENSURE COMPLIANCE WITH RESPECT TO APPLICABLE LAWS AND THAT THE FORM MEETS THE USER'S SPECIFIC REQUIREMENTS. BY USE OF THIS FORM,THE USER SPECIFICALLY WAIVES ANY CLAIM AGAINST ANY PARTY FOR THIS FORM'S NON-COMPLIANCE WITH ANY LAWS. rr� CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT KArsERLBY DR6COLL MAY# to Wtiamvcrmst:t sr•Sn<rst,ettwc»usaTrs ot97o To-W2-745.9595 a FAX 97L7404W Workers' Compensation Insurance Affidavit: BnIIders/Contractorsmectridanw7hunbt rs Applicant Information Rhos Print Legibly Name(Hmians/Oraaniutitrs/fadividmi): 1.J r J ny?s Address:— 1< 7 5j .-boo 57-f-. City/StatNZip: RaierP , lq,4 6a15,1 phone m ;ql -,2 g 9-5Y(5 C Are you as employer?Cheek the appropriate best F[3Ramodaffng Project(Isgslred): 1.01 .❑ 1 am a employer with 4. ❑ I am a general contractor and I employees(fib andlat part-time).• have hired the stb contrsctars uctios 2.[�I am a sole proprietor or ptumeo- listed an the anached shear f gship and have no employees These sub-conuactaa haw worsting for me in any capacity. workers,comp inatrsnce(No workers,comp.insurance 5. We ace a corporation and itstiOa required.) ofiicars have exercised theta 10.❑Electrical repair or additions 3.❑ 1 am a homeowner doing all work right of exemption per MOL 11.0 Plumbing repairs or additions myself.(No workers,comp. c. 152,j1(4),and we have no insurance required)t employee,(No workers, 12. Roof repairs comp.insnance required.] 13.❑Other ;ANY aPp�tbm abeeb boa ai swat an war tbs&wren bdcw obow4ea dWk waoko'mmpmadoa pdiey jl—ft m<H"sowsess w to subdt tW aAtdwa mdl�M"w&kg a wok sed tbes tie atrdda cares ax 1 mat stbmk a ens stfideva bWko&g amL - rCoatraeeom tom cbeck dds box aatat attsdast so addidamt obsm d awiq 68 ems of dw adaaoa.exae sad tbak wake,comR play ml insedse. I am ass ie eemployer that Is providing workers'comspensadsn ine"amefor my rmployres. Below is l tits poBry and job sEpr I Insurance Company Name: Policy#or Self-ins.Lie.# Expiration Date: Job Site Address: City/StaterLip: Attach a copy of the workers'compensation policy declaration page(showing the Obey number and esplratloa date)6 Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the imposition of criminal fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and of fine of up to f250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the OfiW of Investigations of the DIA for insurance coverage verificatiotL l do hereby c��and,*?As p 00"JAP rhet the Injormagon provided above is arrt end cornet Si�ature: �i �o ! ii� Data. -2 7 Phone#: 751/ E onl3t Do not write in A&areA to ke comtple"by city or towts oQleta! n: Permit/Llceass#ority(circle one):ealth L Building Department 3.Ctrylrowa Clerk 4. Electrical Inspector S.Plumbing Inspector son Phone#: Information and Instructions sad on for their iassachuseas General Laws chapter 152 requires all employers to provide workers' compen IOYCCL him pursuant to this statute.an smp/oys contractoo e is defined as"...every person in the service of another under any express or implied,ord or written" aasocisdon.corporation or other legal entity,or any two or more An employer is defined as"an individual,pareaeishtP. ves of a deceased employer.nc the of the foregoing engaged in a joint enterprise.and mchuft the begat representati However the receiver or trustee of an individual•pastners6iR association a other legal entity-id employing t the Y of the owner of a dwelling house having not mar°than three%urbnenb and who resides t6eiel4wodt on aueh dwelling dwelling base of another wbo employs Persons to do maintenance.eoostmetino at mPav deemed to be an empto Ouse at on the gsotmds or building appurtenant thereto shall not because of such employment MGL chapter 152.$2SQ6)also am=that"every state or legal tleessisg agesey Char wtMold the lss°aen of operate a business or to construct buildings is cake commonwealth for any renewal of a tleessa or perslt to acceptable evidence of eosepdnsee with the hssurasga coverage requlrcd. applicant who has not produced staoea"Neither the commonwealth nor any of its Political sn"visiom shall Addiuoaally.MGL chapter 132.$23CCn tic work until acceptable evidence of compliance with the insurance enter requirements contract for the performance Of of this chopter have red to the contracting authorlty" req Applicants Please fill out the wockars'Compensation affidavit eampletaly.by checking the boxy that apply toyrar situation and.it neceaaary,suPPIY aub.conpaewl(s)name(a),addreas(es)and Phone numbet(s)along with their cesti8catds)of than the (LLG7 or Limited Liability ParmershtPs(LLP)with no employees insurance. Limited Liability Companies �narance, If an LLC or LLP does have members a patmers6 are not required to carry workers'compensation employee,a Po�Y is� Be advised that this affidavit may be submitted to the Dclimunem of Infitanvit Accidents for confirmation of inwranog coverages Aloe be sere to sign and data the affidavit The affidavit sho not the DeputwIlt uld be returned to the city or town that the application for the permit liceensse is�ybeing r m obtain a pub, have any quesanos regarding required industrial Accident& Should you compensation policy.please call the Depowam lame. number wed below. Self-inatrred companies should enter their self inarmce license number on the city or TowsOfgelaM lets and printed legibly. The Department has provided a space at the bottom Please ff dare that the affidavit is comp y regarding PP of the affidavit for YOU to fill out in the event the Office of Investigations has to contact you re the a Harm. Please be dare to fill in the permittlicense number which will be used as a reference number. In addition,an applicant in any given year,need only submit one affidavit indicating camant that must submit multiple permiMicenss applieatiom in policy information(if necessary)and under"Job Site Addrese the applicant should write"all k>cadonsrovided to or of the affidavit has been officially stamped or marked by the city or town may be p town). A copy or licenses. A new afudsvir mug be filled out each applicam as proof that a valid affidavit is on file for alicense a perms owner or citizen is obtaining not related to any business or Commercial vumnre year.Where a home to complete this affidavit (i.e. a dog license or permit to bum leaves etc.)said person is NOT required The Office of htvestigatioits would like to thank you in advance for your cooperation and should you have any questions. please do not hesitate to give us a call. The Depacamenes address,telephone and fax number. The Commonwealth of Massuhttsetb Department of lndu*W Aoeidents Of ft eat lavpgEatlona 600 washjnaooa Sticeett BoM%MA 02111 Tel. N 617-727-4900 W 406 or 1-877-MASSAFE Fax N 617-727-7749 Revised 5-26 05 www m agov/cats CrrY OF SAIEM PUBLIC PROPERTY DEPAWMENT �. �s'�.odaso��.srasawe.oa.�+aat.is Ilk#► 4& M6PASV&74NW CoasbVetloa Imrb Dbpold Am"It 1511 d�air dasaolidara am rnewMia.1011" Is m=dsoa.wb►rbs� t s�He WMG CW%796 C!d modem I I IJ �� is Meadmi*dw ssa Mm mM dw debts ma Nag tom Lhu SVA"b.dasar of is s yrooarb bond wam dieoaad belft as d.eead by UIGL s Thserbrb wiD be Mmg*dad by T-,-�deGhnc%✓i `t �s� (aaara dlwMri The dells will be disposed of In: (eaeea a!� ry1dr•M of MOM vsosua arv.nn.,opk„r dus