17 WEBB ST - BUILDING INSPECTION (2) ' I
The Commonwealth of Massachusetts Town of
a, Board of Building Regulations and Standards immosow
a� Massachusetts State Budding Code, 780 CNIR, 7'a edition Building Dept
Building Permit Application To Construct, Repair, Renovate Or Demolish a !ko�
One- or Ato-Funuly Dtrellmg
This Section For Official Use Only
Date A� Iced:\ Building Permit Number: Pp J
` Signature:
\v J Building Co ssioneri In tar of Buildings Due �—
SECTION 1:SITE INFORMATION
1.1 Propely Address�f (� 1.2 Assesson MOP 6 Parcel Numbers
1.1 a Is this an acc ted street? es no Map Number Parcel Number
I.d Pre
IJ Zoning Information: SKN)'Dimensions:
Zoning District Proposed Use Lot Area(sq B) Frontage(R)
13 Building Setbacks(B)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.I.c.40.154) 1.7 Flood Zone Information: Li Sewge D4pon1 System:
Zone: _ Outside Flood Zonal Municipal O On site disposal system O
Public O Private O Check if sI3
SECTION 2: PROPERTY OWNERSHIP' '' /I rt �
2.1 O err of Record: 1� 1 c w 3 )1 I PY 1 h 1 0 ,
No"
kltA�
Name(Pnnt) Address for Service:
Signature Telephone
SECTION J: DESCRIPTION OF PROPOSED WORK'(chock ad that apply)
New Construction O Existing Building O Owner-Occupied 04 Repoirs(s) PL Alteration(s) O 1 Addition O
Demolition O Accessory Bldg;.O Number of Units_ I Other O Specify:
Brief Description of Proposed Work': Km
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: OfRclal Use Only
Item Labor and Materials
1. Building I. Budding Permit Fee: S Indicate how fee is determined:
O Standard City/Town Application Fee
2 Elecincal S O Total Project Cost'(Item 6)a multiplier a
) Plumbing S 2. Other Fen: f
4. Mechanical (HVAC) S List:
S Nechanical (Fire S Total All fees: S
Suppression)
lI Check NO. _Check Amount: Cash Amount:_
h Total Project Cost S I I l�U ' O Paid m Full O Outstsndmg Balance Due:
To cuvl-�c�
SECTIONS: CONSTRUCTION SERVICES
!.I Licensed Construction Supervisor(CSL) 5X3 2� 7
' License Number Espir uon to
N,yae,ut SL If lldn`��. �, L�.tC$L7
71 ,�.l� ,Jl I'CWI.W �/7Z/�d� rPl l,cc lw luwl
Address/np^A/^,^^ I' Descri tan
1�YIWV1 U I Unrestricted(up to J5,000Cu. Ft
R Restricted IA2 Family Dwelling
.M Masonry Only
RC Residential Roofing Covering
Telephone w'$ Residential Window aid Siding
$F Residential Solid Fuel Burning Apollairice Installation
D Residential Demolition
5.2 Regl
�e ed( Home Ir/proreQm�e/ot io�nL�l f�py � p , �J(h UICwyi / �
HICCooaName HI e isr Registration
Na
d7b
Address /y7
�-�i
Eapinb /
Signature V � Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDA VIT(M.G.L.a ISL 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 AMdavitAnached7 yes..........0 No...........0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, 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:OWNER'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 Name
Signature o(Owner or Authorized Agent Dale
(Signed under the pains and penalties of perjury)
NOTES:
I. 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 SA 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(CSLI can be found in 750 CMR Regulations 110 R6 and I IO.RS, respectively.
2. When substantial work is planned,provide the information below
Total floors area(Sq. Ft.) Iincluding garage, finished basemenvanics,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 cysoem Number ofdecks/porches
TIN peof cooling system Enclosed Open
1 "Total Project Square Footage"may he suhstiluted for"Total Project CO.i'
CITY OF SM E.M. INLASSACHUSETTS
BUMDING DEP.IRTN NT
r 120 WASHINGTON STREET. Via FLOOR
a� TEL (978) 745.9595
FAX(978) 740.98"
Kl%IB R FY DRISCOLL
MAYOR 'McKU ST.PM31 ere
D taECTOR OP PL BLIC PROPERTY/gC Q.DLNG COSL%nSSiON ER
Workers' Compensation Insurance Affidavit: Builders/ContractorslElectrlcianslPtumbers
anollcant Information Plesse Print 1 ibly's'
Valne Inurirweva,Ortaseuarionlstdevtduall:
Address:
cily/statc/zip: Phone Al.
Are you as employer!Check the appropriate box: F
project(required):
1.P_1 am a employe with r 4. ❑ I a n a general contractor and Iew caostruction
Cot (Rdl and/or part-time).• haw hired the sebcasractora
2.0
. I am a solo proprietor or partner. listed on the attached sheet: emodeling
+hip and have no omployeea These sub-contractors have molition
working rot me in any capacity. workers'comp.Dnstuanes, iWing addition
(No worker•comp, insurance S. 0 We ara a corporation and its
rkciulnal.J offlems have exercised their ectrical rpairs or additions
3.0 1 am a homeowner doing all work right of eaemprion per MOL mbing rpain or additions
myself.(No workers'comp. e. I5Z 111(41 and we have no of rpaira
insurance required.)► empkeyew.(No workers'
comp-in:wrance required.) her
Any ayrarata the aitudo boa es suer a"rs and tM roeuo■below shooing their sakes aor pwsr4w „��
t Lmrdwten who rs16arY thin anisrvie indladnr tMy eta chins dt work mt there hit@ ouuii coanneaen mom mhsrb a new.Mdevit heetkad rank,
t',muatiore the cheep this boa mare Maw am sleriuml shortshowing tea mo r of the wt►sowneYn are IMlr,wrl a s,cater.P ky iafameaoa.
/am an rnr*yer rhatbormvidlog workers-roarpeorarba/afar rmm jot say enrptoyoea Below 4r ike pNk7 04114M else
injoawados,
Insurance Company Name:
Policy r or SeXins. Lie.N —7 `A ) C CN]C) S b Expiration Date: a 4 )U
Job Site Address / I/(J P� c ) �� City/SlatotZip: C 1?go
tttack•copy of The workers,Compensating Polley declantba pap(Showing tko Polley ovmbor and expiration dab),
Failum to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of
fine up to SI,500.00 and/or one-year imprisonment•as wall as civil penalties is ON form of s STOP WORK ORDER and a line
of up to S250.00 a day against the violator. Ilo advised that a copy of this awrognt may be rurwarded to the Office of
Invc,ugalions of ilia MA for insurance coverage veritiealiom
1,16 hereby errtij araJer the pat and pens/des ojpri/wry that rka injarnratioa proridrd ubew is true and a'unrd
I)utc•
Phone 4,
0/Jrriad usr oily. no nor write in this dreg to be.umpleted by city or rows u/f/ri d
a
city or rusvn: PcrmiN.leense e
hsuing.luthurily (circle one): —
1. Iluard u(iirallb L Ruildlnu Mpartmunt J. Cilytrown Clerk a. Electrical Inspector 5. Plumbing Inspector
6. Other
l„ntaut Person: _ _ - Phone r•
CITY OF SALEM
• PUBLIC PROPRERTY
DEPARTMENT
KN
0 S.\I I M. MA%i\I
fFl:47tl•N 9iys I°.\.'(:9714740-1846
Construction Debris Disposal Affidavit
(required I'or all demolition and renovation work)
In accordance with rile sixth edition of the State Building Code, 780 CMR section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit N _ is issued with the condition that the debris resulting from
this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c
l 11. S 150A.
The
/debris will be transported by:
Iname of hauler)
The debris will be disposed or in
(name of aci ny)
INddress of t*acilityl
signature o1 • nit applicant
date
I.hi ..II L.K
CITY OF SALEM
DEPARTMENT OF PLANNING AND
S �
COMMUNITY DEVELOPMENT
KIMBERLEY DRISCOLL
MAYOR
LYNN GOONIN DuNCAN,AICP 120 WASMNGTON STREET♦SALEK MASSACHus=01970
DIREcrOR TEL:978-619-5685 ♦FAx:978-740-0404
HOUSING REHABILITATION LOAN PROGRAM
OWNER - CONTRACTOR
AGREEMENT FOR REHABILITATION
This AGREEMENT, made this 0L day of January, 2009 by and between Ideal Property Maintenance
Corporation, (hereinafter referred to as the CONTRACTOR), having a business address of 96 Lake Street,
Tewksbury, MA 01841 and Michael, Donna, and William Buckley having an address of 17 Webb
Street, Salem MA 01970 hereinafter referred to as the OWNER.
WITNESS THAT:
WHEREAS, the OWNER intends to rehabilitate his property located at 17 Webb Street in Salem,
Massachusetts, now therefore, the CONTRACTOR and OWNER, for the consideration herein stated,
mutually agree as follows:
1. BID AND PROPOSAL
1.0 This AGREEMENT shall consist of the bid and proposal; the general conditions included herein,
drawings (if any) and approved work write-up/specifications.
1.1 All work described and listed in the work write-up/specifications dated December K 2009 and
(attached) shall be performed by the CONTRACTOR for a sum not to exceed $11,400.
1.2 Exceeding of the above stated amount shall be grounds for the termination of this AGREEMENT
by the OWNER if the CONTRACTOR did not receive Prior written approval from both the OWNER
and the City of Salem's Department of Planning and Community Development (heretofore
called the CITY). Said written approval shall be in the form of an amendment.
1.3 If the AGREEMENT amount is exceeded without the approval stated heretofore (1.2), the
CONTRACTOR would bear all additional costs of the materials purchased and work performed.
1.4 If the AGREEMENT amount is exceeded with the knowledge and prior approval of the OWNER,
in collaboration with the CONTRACTOR and without the prior consent of the CITY, then the cost
of said improvements would be bom solely by the OWNER.
Page 1 of 8
2 2. TERM OF AGREEMENT
.00 The CONTRACTOR shall commence the work to be performed within 15 days of the Notice to
Proceed issued by the CITY.
2.1 Said work shall be completed within 60 consecutive days.
2.2 The CONTRACTOR shall provide the OWNER with at least three days notice that work will
commence.
2.3 The commencement date may be changed, if agreed upon by both the OWNER and
CONTRACTOR. The OWNER must notify the CITY in writing of the change in commencement
date.
2.4 Delays caused by, but not limited to, such events as poor weather conditions, illness or
unforeseeable construction problems may, at the option of the OWNER and CITY, constitute
legitimate reason for delays in the start or continuance of work. In such event; the
CONTRACTOR shall notify the OWNER or the CITY of any delay and the reason. The OWNER and
CITY reserve the right to reject said reason and demand continuance of work.
2.5 Failure to continue work if reason for delay is rejected, pursuant to 2.4, shall be grounds for
termination of this AGREEMENT by the OWNER.
2.6 Delays that are deemed legitimate will not be charged to the term of this AGREEMENT and will
be considered an automatic extension of the AGREEMENT.
3. USES AND DISBURSEMENT OF FUNDS
3.0 Project funds will be used only for those activities deemed eligible under Community
Development Block Grant (CDBG) Regulations, pursuant to 24 CFR § 570.201 — Eligible
activities and/or HOME Program, pursuant to 24 CFR § 92.205.
3.1 The CONTRACTOR may make application for payment only on those items in the approved work
write-ups or amendments thereto and satisfactorily completed. Satisfactory completion is
determined by the CITY. Payments will be made only upon work approval by the CITY.
3.2 The CONTRACTOR'S application for payment shall include an itemized list of the work
completed and copies of receipts and/or paid invgices for materials. The CITY will reject
payment requests that are not itemized and/or incomplete.
3.3 In order for payments to be disbursed, proper city building code inspections, heating and
plumbing and/or electrical permits must be pulled before the start of work and proper signoffs
received for work that is complete.
3.4 Work performed under this AGREEMENT shall be payable within thirty (30) days after the work
is satisfactorily completed, approved by the OWNER and the CITY, whose inspection and
approval of such work is required, and a complete, itemized invoice is submitted.
Paee 2 of 8
3.5 Payment by the CITY shall not exceed the percentage of work completed nor the amount of
assistance committed by the CITY and/or the OWNER.
3.6 The OWNER and the CONTRACTOR acknowledge that, work not included in the Work Write-up,
performed at the homeowner's request is not covered by this contract. This includes not only
additional work items but also upgrades in materials and the quality of installation (i.e. ceramic
tile instead of linoleum, hardwood floors instead of carpeting, etc.). The quality of product and
installation is the sole responsibility of the OWNER and the CONTRACTOR.
4. FINAL PAYMENT
4.0 The CONTRACTOR is allowed to make up to 2 (two) progress payment requests, unless there is a
prior AGREEMENT to allow more payments. Final payment shall be requested only upon
completion of all work in the approved Work Write-Up and amendments thereto.
4.1 Final payment shall be made only upon receipt of a Certificate of Final Inspection from the
Housing Rehabilitation Specialist and the following documents from the CONTRACTOR:
• Contractor's Final Invoice,
• Release of Liens and Warranty,
• Subcontractor List, and
• Building Permit.
4.2 Once final work is approved by the Housing Programs Inspector, all proper permits have been
pulled and required inspections have been completed and signed off by the City of Salem's
Building Department, the OWNER and the CONTRACTOR acknowledge that if the owner refuses
to sign Certificate of Final Inspection and/or co-sign check, the City may proceed to issue final
payment to the contractor and the project will be considered complete.
5. RESPONSIBILITIES OF THE OWNER(S)
5.0 The OWNER agrees to comply with the conditions of this section. The CITY reserves the right
to withhold payments if the OWNER fails to comply with the section.
5.1 The OWNER shall be current in payments to the CITY of real estate taxes, user fees and other
obligations. Failure to be current in payments or to have made agreement to pay delinquent
accounts shall be grounds for termination of the project and withdrawal of funds by the CITY,
or suspension of the project.
5.2 The OWNER shall permit the CONTRACTOR to use, at no cost, existing bathroom facilities and
utilities such as electric power, lights, water and telephone only for the purposes of this
AGRE@MENT. Failure of the OWNER to cooperate in this way shall be grounds to suspend or
terminate the project.
5.3 The OWNER will facilitate work by removal of rugs, coverings and furniture.as necessary and
when possible.
Pave 3 of 8
5.4 The OWNER will, when possible, cooperate with the CONTRACTOR in keeping the project
interior and or/exterior clean and free of debris, in compliance with the State Sanitary Code,
Article II.
5.5 Any unreasonable action by the OWNER, as defined by the CITY, to hinder the CONTRACTOR
from proceeding with work, or any action by the OWNER to deny the CONTRACTOR access to
the project site, shall be grounds for suspension or termination of the project by the CITY and
subsequent withdrawal of public funds committed to the project.
r
5.6 In the event that the OWNER takes legal action against the CONTRACTOR and, thereby, delays
the project for more than sixty(60) days, then the CITY reserves the right to suspend the project
temporarily and apply project funds elsewhere. Said funds may be restored upon completion of
legal action.
6. RESPONSIBILITIES OF CONTRACTOR/PERFORMANCE OF CONTRACT WORK
6.0 The CONTRACTOR agrees to comply with the conditions of this section. The CITY reserves the
right to withhold project payments, suspend or terminate the project if the CONTRACTOR fails to
comply with the section. Failure by the CONTRACTOR to comply with this section may also be
grounds for the CITY to deny the CONTRACTOR or any SUBCONTRACTOR participation in the
CITY's housing programs for up to three (3) years.
6.1 The CONTRACTOR shall maintain records of this project for at least three (3) years after its
completion and shall provide access to the CITY, upon request, to inspect all records related to
the project, including, but not limited to bids, drawings, vouchers, payrolls and purchase orders.
6.2 The CONTRACTOR shall comply with all applicable building, health and fire codes in the
conduct of this project and must obtain all necessary required permits for work. Cost of
permits may be included in the CONTRACTOR's bid. Conies of permits must be submitted to the
CITY before commencement of work Copies of signed-off permits must be submitted to the
CITY before final nayment will be released.
6.3 The CONTRACTOR acknowledges that all lead based paint abatement/deleading will be
conducted in accordance with the both the federal and state lead based paint regulations. All
contractors conducting lead based paint abatement/deleading must be licensed by the
Commonwealth of Massachusetts, Department of Labor and Workforce Development, Division
of Occupational Safety.
6.4 The CONTRACTOR shall indemnify and save harmless the OWNER from liability for any
personal injury or damage to the property in the performance of work unless there is a reason to
believe there is OWNER negligence.
6.5 Unles9 otherwise approved, the CONTRACTOR shall carry full and complete Workmen's
Compensation Insurance for all employees who require coverage under the law.
6.6 Prior to the start of the project, the CONTRACTOR shall provide the CITY with evidence of
liability insurance for not less than $300,000 for bodily injury and $100,000 for property
damage, unless otherwise approved.
Page 4 of 8
6.7 The CONTRACTOR shall keep the project premises clean and free of work debris and remove all
such debris upon completion of work. Materials and equipment that have legally been removed
and replaced as part of the work shall belong to the CONTRACTOR.
6.8 The CONTRACTOR shall not assign this AGREEMENT or any portion of it without written consent III
of the OWNER and the CITY.
6.9 Abandonment of project work by the CONTRACTOR for more than ten (10) consecutive days
without the written or verbal consent of the OWNER and the CITY, shall be deemed a breach of .
contract and is grounds for termination of this AGREEMENT by the OWNER and the CITY. In the
event of such termination, the CONTRACTOR shall be liable to the OWNER or to the CITY any
costs beyond the amount of this AGREEMENT, which are incurred for completion of this project.
6.10 If the CONTRACTOR'S right to proceed is terminated, the OWNER and/or the CITY may take
possession of or utilize any materials, tools, equipment, or plants on the site as may be
necessary to complete the project.
6.11 The work specified herein must be completed by the CONTRACTOR within the terms of the
AGREEMENT, including extensions. The OWNER and/or the CITY reserves the right to take legal
action to recover any payments previously made to the CONTRACTOR.
6.12 During the performance of this contract and during the term of this AGREEMENT, the
CONTRACTOR agrees to the following conditions. The CONTRACTOR shall
6.12.1 Not discriminate against any person seeking his/her employment or any employee
because of race, color, national origin, gender, age, religion, familial status, sexual
orientation or disability. Such action includes, but is not limited to, employment,
upgrading, demotion, transfer, recruitment, advertising, layoff, termination, rates of pay
or other compensation, and selection for training, including apprenticeship.
6.12.2 post hereinafter, in a conspicuous place, available to employees and applicants for jobs,
notices provided by the CITY setting forth this non-discrimination clause.
6.12.3 include all provisions in this section to be placed in any agreement s/he has with
subcontractors working on the project.
6.13 The CONTRACTOR and any subcontractor is prohibited from inducing by any means, any
persons employed in the construction, completion or repair of public work, to give up any part
of the compensation to which s/he is otherwise entitled. The CONTRACTOR shall fully comply
with this section, pursuant to 18 USC 874, the Copeland "Anti-Kickback" Act, as
supplemented in 29 CFR § 3. The CONTRACTOR shall cause to be inserted in any contracts and
subcontracts related to this project such"Anti-Kickback"regulations.
6.14 The CONTRACTOR agrees to abide by Lead Based Paint Poisoning Prevention Act, which
prohibits the use of lead-based paint in residential structures constructed or rehabilitated with
federal assistance in any form.
Paee 5 of 8
7. MISCELLANEOUS
7.0 No member of or delegate to the Congress of the United States and no resident commissioner
shall be admitted to any share or part of this AGREEMENT or derive any benefit from the same,
provided that the foregoing sanction is not construed to this contract and is made with
cooperation for its general benefit.
7.1 No Officer, employee or member of the governing body of the CITY or the Department of
Planning and Community Development, who exercises or functions or has responsibilities in
connection with this project, shall have any private interest, direct or indirect, in the
AGREEMENT or in proceeds of this loan or grant.
8. AMENDMENTS AND CHANGE ORDERS
8.0 This AGREEMENT, executed under the regulations of the U.S. Department of Housing and
Urban Development and the general laws of the Commonwealth of Massachusetts, may be
modified or amended only by a written instrument executed by the OWNER and CONTRACTOR,
with the consent of the CITY.
8.0.1 Change orders shall only be executed for unforeseen conditions that require
modifications in the work. The written Change order shall itemize the change(s) in the
scope of work and any change(s) in the amount of the AGREEMENT.
8.2 The OWNER and the CITY reserve the right to withhold payment for any work performed, which
is not authorized by either this AGREEMENT or amendments thereto.
9. WORK GUARANTEES AND PROTECTIONS
9.0 The CONTRACTOR, in consideration of the final payment s/he received under this AGREEMENT,
hereby releases the OWNER and the CITY from any and all claims arising from or by virtue of
this AGREEMENT.
9.1 The CONTRACTOR, by execution of this AGREEMENT, hereby provides the OWNER with a
Release of Lien and Warranty, which guarantees all work under this contract for a period
of one (1) calendar year from the date when said work is completed or terminated. This
includes work terminated before all work specified under this AGREEMENT is completed.
10. RIGHT OF RESCISSION
10.0 The OWNER and the CONTRACTOR, hereby understands that, under the general laws of the
Commonwealth of Massachusetts, the OWNER may cancel this AGREEMENT if it has been
consummated by a party thereto at a place other than the address of the seller (CONTRACTOR),
which may be his/her main office or branch thereof, provided the seller (CONTRACTOR) is
notified in writing at his/her main office or branch by ordinary mail posted, by telegram sent or
by delivery, not later than midnight of the third business day following this AGREEMENT.
Page 6 of 8
F111. INDEMNIFICATION
1.0 The OWNER and the CONTRACTOR shall save harmless the CITY against claims for injuries to
persons on the premises of the project or damage to project-related property.
11.1 The OWNER and the CONTRACTOR are required to reimburse the CITY in the event such claim is
successfully prosecuted by an injured third party and damages recovered against the CITY.
11.2 The OWNER and the CONTRACTOR shall be required to carry all necessary and required
insurances for the work to be provided under this AGREEMENT and for coverage of loss or
damage on any premises affected by this AGREEMENT. This shall include, but not be limited to,
insurances and certifications for contractors, subcontractors and vendors.
12. LEFT BLANK INTENTIONALLY
13. NOTICE TO PROCEED
13.0 The execution of this AGREEMENT constitutes notice to the CONTRACTOR to proceed with work
specified herein, or attached hereto, no sooner than three (3) business days following the date
of signing of this AGREEMENT.
IN WITNESS THEREOF, the CONTRACTOR and the OWNER (S) have entered into this AGREEMENT as of
the date first written above.
FOR THE CONTRACTOR: FOR THE OWNER:
By: Ideal Property Maintenance Corp. By:
Contractor Michael Buckley
Brian Moore OJ — B -7- 1 d
Authorized Signatory Date
Signature nn uckley
/G O [ — C ? �lU
Date Date
I
WITNESS: ��� ✓�. � Y
William Buckley
By: Jennifer Kolodziej
Authorized Representative of the 61 —G 2 _ G
City of Salem, Massachusetts
Date
i at e
Page 7 of 8
CONllt--],'jam
CITY OF SALEM, MASSACHUSETTS
i
9i1 DEPARTMENT OF PLANNING AND
Red%%INE ll`,t�' COMMUNITY DEVELOPMENT
KIMBERLEY DRISCOLL 120 WASHINGTON STREET ♦ SALEM,MASSACHUSEITS 01970
MAYOR TELE:978-619-5685 ♦ FAX:978-740-0404
LYNN GOONIN DUNCAN,AICP
DIRECTOR
HOUSING Ra- ABILITA'ITON LOAN PROGRAM
WORK WRITE-UP
I PROJECT INFORMATION:
Homeowner: Michael Buckley Date: December 14, 2009
Property: 17 Webb Street Contact: 978-239-9136
Prepared by: Cliff Ageloff Case #: 10-11 E
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.
0
Contractors are responsible for verification of field conditions, measurements, and quantities.
Submission of a bid is presumptive evidence that the contractor has evaluated all site conditions which
pertain to the work herein. Permits and permit fees to be included in all bids.
1
.J V
WORK SPECIFICATIONS for REPAIRS
1. NEW ASPHALT SHINGLED ROOF and REPAIRS
• Shingle 2000 SF Approximately-Contractor to verify all dimensions in the field prior to bidding
• Re-build two brick masonry chimneys and install new flashing system for each
• Use 30 Year#ehiteek+raFShingle, Tamko, Iko or GAF. Owner to select color
3-7Ab GU'k.
1. Demolition: Strip all asphalt roofing, sub-layers and flashings to expose sheathing. Remove
deteriorated sheathing and roof boards, up to 200SF.
2. Remove all non-essential roof attachments. Remove and dispose all flashings and drip edge.
3. Disposal: Legally dispose of all material. Debris may not be stored on site for more than 24 hours
unless in a covered dumpster. Thoroughly clean all roofing debris and nails from building perimeter.
4. Roof Board Repairs: Base bid to include all repairs up to 200 SF.
5. Flashing: REMOVE ALL OLD FLASHINGS FROM ALL AREAS. PROVIDE THE FOLLOWING:
A. New Flashing at Chimney(s): Lead and counter-flash, install EPDM at roof deck to seal
B. Penetrations: Replace all flashing with new flashing or penetration system to accommodate the
existing conditions in the most workman-like manner.
6. Vent Stack(s): Provide and install new neoprene and metallic flashing unit. Seal as needed to existing
vent stack; use ring clamp and sealant as need to seal.
7. Drip Edge: Install mill finish aluminum drip edge at all perimeters, including gable-ends and eaves
8. Venting: Meet code requirements where achievable within the existing configurations of the roof. Use
common venting methods of ridge and soffit or gable end vents where other venting is not practical.
Reflash and replace with new all existing vent equipment where applicable.
9. Gutter, Fascia and Soffit: Repair up to 120 LF of existing fascia and 60 LF of soffit. Match existing
finishes.
10. Ice and Water Protection: Install adhesive EPDM or comparable membrane-type or equal ice and
water shield at all valleys, roof/sidewall intersections at dormers, rakes and eaves. Adhere directly to
roof deck. Install membrane to cover T from edge of eave and T from edge of rake or as required by
code to clear plane of interior wall.
11. 151b. Felt Underlayment- required for all roofing. Lap 4" and staple to deck for full coverage except
where ice and water shield shall be applied. Apply horizontally, rake to rake, ridge to eaves, leaving no
roof deck exposed whatsoever. Lap 4" over all ice and water shield applications at all rake and eave
locations. RANDOM TEST CUTS WILL BE MADE. ROOFS NOT FULLY PAPERED WILL BE
REJECTED.
12.Shingle`: Shingles to be IKO, Tamko, GAF, and CertainTeed or equal 25 year-year Three-tab shingle.
Contractor is responsible to make his own estimate of exact size of area. Use nailing pattern and
quantity as specified by manufacturer. Color: Match existing
2
w
2. DEMOLITION and ASSOCIATED BUILIDNG REPAIRS
1. Remove and dispose existing unstable shed attachment rear of structure.
2. Provide and install new siding to match the existing siding colors
3. Provide and install all trim as needed to accommodate siding work. Provide and install
complete siding, flashing and cladding system to properly finish the entire section of the building
impacted by the removal of the addition.
4. Include all patching of the existing structure and repairs of all sections where the shed was
attached to the building.
d
3
/ ,C�IN I.DI'P,j,��l
CITY OF SALEM, MASSACHUSEM
DEPARTMENT OF PLANNING AND
° New" COMMUNITY DEVELOPMENT
KIMBERLEY DRISCOLL
MAYOR 120 WASHINGTON STREET ♦ SALEM,MASSACHUSErrs 01970
LYNN GOONIN DUNCAN,AICP TELE:978-61g-5685 t FAX:978-740-0404
DIRECTOR
HOUSING REHABILITATION LOAN PROGRAM
BID FORM
Property: 17 Webb Street, Salem, MA Owner: Buckley
WORK ITEM PRICE
I. NEW ASPHALT SINGLED ROOF $ �a`OD 60
2. RE-BUILDING CHIMNEYS $
DEMOLITION OF ATTACHED SHED
3. & ASSOCIATED BUILDING REPAIRS
TOTAL BID $ /I yOD
I, the undersigned contractor, have inspected the above listed property and understand the extent and character
of the work to be completed as described in the Work Write-Up. The bid includes every item identified in the
Work Write-Up by the respective numbers. The bid shall remain in effect for a minimum of thirty(30)business
days after the bid opening.
I propose to furnish all labor, materials, and equipment necessary to accomplish all work
d ribe�I he Work Writ Up for he su p0
�Q�`WIOII, NV" Dollars ($ yDo' ).
I would be able t9 start th project on 2010(estimated date).
I agree to begin the work within fourteen (14) calendar days of the Notice to Proceed and complete the work
within sixty(60) calendar days of the Notice to Proceed. I agree to fully guarantee all labor and materials for
one (1) year from the project completion date.
ikE dkALVAL koe /4
Signature of Authorized Representative Name of Authorized Representative Date
q 6 �r
Company Namel Address bL �/� � Telephone