97-99 WEBB ST - BUILDING INSPECTION I
O
The Commonwealth of Massachusetts
Y Board of Building Regulations and Standards CITY
( ! tl Massachusetts State Building Code, 780 CMR, T"edition OF SALEM
Revised Januury
Building Permit Application To Construct, Repair, Renovate Or Demolish a 1. 2008
One-or Two-family Dwelling
This Se io For Official Yise Only
Building Permit Number: Date A plied:
Signature:
Building Commissioner/Inspectorof Buil ' gs Date
SECTION1 11 SI E INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
L l 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 It) Frontage(ll)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.I.c.40,§54) 1.7 Flood Zone Information: 1.9 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public❑ Private❑ Check if yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1(�Ownert�frRecOos bil1�(Iot�l�� ( � � �
U'( I s-1
Name(Print) Address for Service:
Signature Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work': WC.•�
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
I. Building S I. Building Permit Fee:S Indicate how fee is determined:
2. Electrical S ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier
3. Plumbing S 2. Other Fees: S �
4. Mechanical (HVAC) S Lisc
5. Mechanical (Fire $
Su ression Total All Fees:S
Check No. Check Amount: Cash Amount:
6.Total Project Cost: S B p
0Paid in Full ❑Outstanding Balance Due:
t f
SECTION 5: CONSTRUCTION SERVICES Q
5.1 Licensed Construction Supervisor(CSL)
LaTNumber Expiration Date
Name of Lam-I ladder List CSL"type(see below)
Type Description
Addrcs ` u Unrestricted u to 35.000 Cu.Ft.
R Restricted 1&2 FamilyDwelling
Si at rc M Mason Only
RC Residential RoofingCovering
Ic one WS Residential Window and Siding
SF Residential Solid Fuel Burning Appliance Installation
D I Residential Demolition
5.2 Re +ter��Ho�e Impwement� r or N-5s� ,
_��lY S o
HI 'Comp a e or il Re istra9l Mstme Regi)tration Num r
' S/ � 2 32a /
Address —
� Expiration Date
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 ..........❑ No...........❑
SECTION 7s:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1 V"-y fwl !� 44/d9—r5 as Owner of the subject property hereby
authorize y to act on my behalf,in all matters
relative to work authori ci by this building permit application. ,
TituiaturcoMwiter Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
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 of Owner or Authorized Agent Date
(Signed under the pains and penalties ofperjury)
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 have access to the arbitration
program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and 116.115,respectively.
?. When substantial work is planned,provide the information below:
Total floors area(Sq.Ft.) (including garage,finished basement/attics,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"
CITY OF S.U-E%I9 ANSSACHUSE M
&MDLNG DEPARTIL?iT
120 WASHINGTON STRE17r, r FLOOR
TEL (978) 745-9595
FAx(979) 744964
KI,®EAL.EY ORMOL L TUGMU ST.PMUA
AAYOt DIRECTOR O►PL BUC PIOPERTV/gL:uDwG CO%L%nSslO'%ER
Workers' Compensation Insurance AI1ldavit: Builders/Conir2ct0171EIect/iciansiplumbers
.k t llcant Infartnatlon ' Please Print Legibly
Namestnwuw+a0(tartuauonlnblv,dual):
Addrcys; G�
cily/stat zip Mine* 7,g I g y y ��3
Are ou an employs'Cbeek the appropriate beat Type of project(required]:
I. I am a employs with 4. 111 am a gencnl committee said I & Q Now construction
,,"ploys"(full and/or pan-time)." have hired the srdt.comma oors
2.❑ I am a soM proprietor orpartner- listed on the anaehed shut:
7. ❑Remodeling
ship and have no employee Them sub-contractors have N. ❑Demolition
working for me in any capecicy. workers'comp.insurance 9. Q Ouikling addition
INo worken'comp insurance S. Q We an a corporation and its 1<3 Electrical repaint or additions
required.] of eras have examiscd their
).Q 1 a a homeowner doing ail work right of exemption per MGL 11.0 Plumbing repairs or additions
m
myself.[No workers'comp. c. 152.L 1(4),and we has no 12.13 Roof repair$
insurance required.)t %:Mploycm.(No workers' J 13.0 Other
comp insurance required.]
-Any APPIC20 roar dtreaa tat rt moat able ern ante the minas below•@ream lbdr.aAara•mnrwaaritn Pofkr irtarrtrralloa
'i l.wrurmr rho sub"iris■aldwil iNferirte ihy aw Joins aV weA aW rAr.Ab soil]/ev/oeerara mesa wMnk•row a111Jarir Iriditarine nark
['.mlratela der"bark Aix ban mue aOaaAd an.LIJIIIYnd atrl daring dW nee of At A649MORINO sae lhk rwaw'amlr/.P OGY iarsmatlas'
/tar ow erspAsys.herb prov//GrR lwrhrn'cowprstedra/atrOmffWfOr airy rrmplayms Qr/err fx tAf psNep eslJtl rUr
in/ornaWlora
Insurance Company Name:
Policy N or Self-ins.Lis.fh. �C- 2-o—2 0 `��2.0 6 ' Expiration Date._2' 2-1 /1
Job Site dA dress: y 7 9/ L:L� q City/stao-JZip: S'QLe l M4 a1 9 70
.%ttscb a copy of the worken'compensation policy deeisstiem page(skewing tks policy number and espiradese daft).
Failure to secure coverage as required under Section 25A of MGL e. lJ2 can lead to the imposition of criminal penalties of■
fine up to S1,500.00 and/or one-year imprisonmem,as well as civil penalties is the form of a STOP WORK ORDER and a Rd
Of up to S250.00 a day against the violator. Its advi.*A that a copy of this alatuntem maybe rurwarded to the Office of
Ioviceugatiuna of Ora MA for insurance cavcrage rrrit)chtiaa.
/Je herby nrI,*under the pa(wa nod penalties of perluq thair Ike in/onrredea provided u Vail f uI and Correct
I) e
9 S
OJJ/cia/tar mr/p, no not wain is this area.to be Lump/Wed by city at town lqf riot
I
City orruwn: PrrmittUccosee__.
Loving Authunq (circle line):
I. Ituard ut Ilrulih 2. Building Duparlmunt ). Citytrown Clerk t. Electrical lUrspcctor S. Plumbing Impactor
6.4)1her
L-nitacl Person: _ . I - . Phone C
�S CITY OF SALEM
`WA!
PUBLIC PROPRERTY
DEPARTMENT
.1111% M l f l "Mlv i'•1 1
\I IN •).%II M. -
I'FI:'17r.71i:)iy3 •1'.1s:971•746'INNI
Construction Debris Disposal Ai'tldavit
(required lur all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 730 CMR section 111.5
Debris,and the provisions of MGL c 40. S 54;
Building Permit p is issued with the condition that the debris resulting from
this work shall he disposed of in a properly licensed waste disposal racility as defined by MGL c
l 11. S 150A.
The debris will be transported by:
I Name of hauler)
The debris will be disposed of in
(name of facility) .
,(-L*y M-erf
ladil oflacday)
NI nature of l rmit applicant
V-2U9
(late
RESDENTIAL*COMMERCIAL*INDUSTRIAL*LICENSED*INSURED
ACCEPTANCE OF PROPOSAL
P2
']'his agreement made the 03/24day 2010 by and between DIMITRIOS ANDROMIDAS Here in after called the
owner and NLiVROS CO INC here in after Called the contractor. Witnessed,that the owner and the contractor
for the considerations named agree as follows:
Article 1. Scope of Work.
The contractor shall furnish all of the labor and materials to complete all of the work As written on the proposal
and accepted by the owner.
A r6cle 2.Time of Completion
The work to be performed under this contract shall be completed no more-
Then 4 DAPS weather permitting .Changes to the scope of work by
The owner will add to the completion date.
Article 3.The Contract Price
The contract price as agreed upon is $7,100.00 RISPLACU AI.-ROOFS ON 97 WUBB ST SAI.I:eM
Article 4. progress payments
40%when we start, rest when we finisl-I
1 & half% interest per month on any unpaid balance. All attorney Fccs and court costs shall be bum by the
owner if collection procedures must be implemented.non payment or customer hold backs,following completion of
job as outlined in contract will result court proceedings.
Article 5.Warranty
The contractor warrants his workmanship for 3 YLARS AND 30 YISAl1 FACTORY WARRAMY
Article 6.Change orders
Change orders must be in writing and signed by both the owner and contractor And shall be incorporated in and
become a part of the contract.
Article 7.Insurance
The contractor will provide the owner a copy of his current insurance certificate.
Article 8 cancel contract:
The client has 3 business days to cancel contract from the day of acceptance.
AGR6FI)T'OTHIS OF 3/24/ 2010
DIMYPRIOS ANDROMIDAS .i VROS
_-- -
100 BIRNEY ST#3 * PEABODY,MA 01960 * Tel: (978)-5315055
1d AVROS CO INC
March 26,2010
100 birney st # 3 Proposal submitted
Peabody,MA, 01960 DIMITRIOS ANDROMIDAS
Tel: 1-(888) 7 mavros Toll free 97 WEBBST
Fax: 1-(978)-5315055 SALEM MA 01970
H.I.C. LIC 145533
mavrosinc.com
mavros@comcast.net
PROPOSAL
Re roof HOUSE
Complete roof preparation:
Building to be protected by tarps and plywood to protect landscaping, and shrubs.
Entire existing roofing material to be removed to existing decking.
Site to be cleaned everyday, debri removed every day by dumptruck
Deteriorated existing decking replaced up to 150 lenear ft.
8inch metal drip edge installed at eaves rake edges.
New metal step flushing will be installed where is necessary
New plumbing vent flashing will be installed and flashed.
v!Yla\S:KIIUM.Iaa- UCpaI UlKpa of a uvrn ..Or�aj
Board uC Building Regulation"and Standards
Construction Supervisor License `
License: CS $0721
Restricted to:. 00
JOHN 1.' KARAVOLA81 `
29 ABINGTON AVE '
PEABO�Y, MA 01WO
` I
Expiration: WSt"10,
Trp: r6
t . CunIDliyeiimrr[
Bo��o u m�n� u e oils en� an a-Fds ICI
=— NCM6IMl•ROXPM,. 6OHTBACTOR
Regl145533
Fjr4ti t„ 2rN20i 28,4243
y3/2011 Tr,�
,. �pn p�wl;oiporalbn
MAVRCSl COMRANY IIiC,
ARGYRkC I,gpVRO',S ' -
14 GARONER$T
PEA-k4,y,MAo1980 - .-:'iWlolalsl,tretor