Loading...
15 WHEATLAND ST - BUILDING INSPECTION CIO > The Commonwealth of Massachusetts REC.EIY X�F W Board of Building Regulations and Standards INc ECTIG AE SERY3f4 Massachusetts State Building Code, 780 CMR SALEM �eviSed.A9er 2011 C\J Building Permit Application To Construct,Repair,Renovate 01tJS 1KK h1a5 1 44 ��i One-or Two-Family Dwelling I This Section For Official Use Only Building Permit Number: Date Applied: `i tS ly I Building Official(Print Name) Signature 1 3 Date SECTION 1:SITE INFORMATION 1.1 PropertywheaAddress: 1.2 Assessors Map&Parcel Numbers I S tav� S� L la 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 R) 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❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner of Record: R"e{N f\oc� Name(Print) City State,ZIP IS \N'V Y'CAV%� s1, 7 0 -32S-50(- No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED RK2(check all that apply) New Construction❑ Existing Building Owner-Occupied ffl Repairs(s) Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': �-ON V OtYt�! K-e—<bcrV 'N-�QLJ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1.Building $ 1?- 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ p- Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ O ❑Paid in Full ❑Outstanding Balance Due: - SECSHMS: CONSTRUCTIONSERVICES 5.1 Construction Supervisor License(CSL) "�o�S j —A V \,i\ ����U Ct'iY\ License Number Expiration Date Name of CSL Holder List CSL T ype(see below) j No.and Street Type Description o l - U Unrestricted(Buildings u t to 35.000 cu.ft.) Cny/Town. State,ZIP - R I Restricted 1&,2 Family Dwelling ]d Masonry RC Roofing,Coverin WS Window and Sidin SF Solid Fuel Burning Appliances Sc, l Insulation Telephone Entail address D Demolition 5.2 Registered Home Improvement Contractor(HIC) } ( �� I r -�/ (p-� '% e( \Ac�� r t; -e \� ,a�e\ly- G�u o l4 o H1C Com any Name or BIC Registrant Name HiC Registration Number Expiration Date as�� No.and street yy, �j �y S�'lPs�'�,C' `!h• I0\C) SO�'a�'G-6 S(o Email address Ci /Town,State, IF Tel bone 'SECTION 6:W4RKRR COI4IPENSA3IOJV INSURA�'CE 1FFIDA! T{I#i.G.li'.t I5x.§�SC(�) Workers Compensation Insurance affidavit must be completed and submitted with P p this application. Failure to provide this affidavit will result in the denial of the lssuan of the building permit. Signed Affidavit Attached? Yes .......... N.........-U SWTION 72:OWNER AUTHORIZ1TIONTC $ELOMPI,ET'ED WfIEN OWNER.SAGENTOR& TRACTKO(R,OPLIESAFnOS$IUILDING.PrEAjmT. . r. O I,as wner of the subject property,hereby authorize JV\Q'(-\� to act on my behalf in all matters relative to work authorized by this building permit application. �v1S Print Owner's Name(Electronic Signature) Date kch 76 OWNERttflR;p[3IIi0$IZED GENIDECL iAIiON By entering my na a be I ereby attest under the pains and penalties of penury that all of the information contained in this a tic io is a and accurnte to the best of my knowledge and understanding. CyLI/U Print Owner's or Authori Age 's Name(Electronic Sigtature) Date 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(I-DC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.D. 142A.Other important information on the H1C Program can be found at m .mass.eov/oca Information on the Construction Supervisor License canbe found at wy" .mass.eov/dps 2. When substantial work is planned.,provide the information below: j Total floor 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 halfibaths 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 Cosy' Project 31-66972- Signed Sales Agreement https://nitro.powerhrg.conVproject_doctnnents/6182909?pages=l Rojwt 3166972-SIgnM Sles Agreement a JPEG(157 MB,244&3264) Devlce:IPad5.5 l� NATIONAL HEADQUARTERS Robert Luke Clerk - 2S01 Seap6rt Drve.O .PA 19013,..^ ,.,� ,- POWER 31-66972 Auust ' .. -..wo.a g 31,2015 �.888-REMODEL- - CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Buyegsy mram.non and Dow"Im or tlw Propety; Project Number:31-66972 Augur 31,=5 Robert Luke Clark ) 15 wheaftw81 p8l)375"58%(Na4n lMkeaCee) robnrlulacldrlca) Il.wm C4Yr -Sekm:MA OtaTO i2 Buyer(S)listed above hereby jointly and severely agrees to purchase tie goods and/or services of Power Home Remodeling Group and Its vendors r'Conbacton In accordance with Me prices and terms described in this 5 page document and the Product Specifications,which are Incorporated as pen of the Agreement(collectively,We-Agreemenr9. ThIS Agreement represents a cash sale of goods and services. Buyer($)e9rees covey the cost of We goods and services purchased es described harem,regardless of uming or approval Of any financing-Buyers)may seek for their purchase. purchase Prim: $9,818.57 Pre Installation Inspection Dates: Dowrl.Payrient: . $p"ag Mon en4b lalm&d 11:101 Batanm Due on 89,618.57. FBtimatad Project Start:3 to 4 weeks Substance]Completion: EsUmeted Project Completion:t to 2 days , Method of payment: Crack moeo)eturc.Wdsraarlmsreeswn erN eurosmnmw vaHorameawnro.calm _ CarmaNur)mwdmvaawwalww.a time trMml.SeeaellYN^�^Da^OiYctn. i Buyerys)hereby SaWwrfedges recelpt of a copy of tee pamphlet,-The Lead-Safe 08r119ed Guide to Renovate Right",Informing Buyers)of the potential risk of lead hazard elpostrs from renovation activity,to be Performed In or at Buyer(s)'Property,at the neesLsss,wr srt above.Buyers)retched INS pamphlet on car wor date of this Agreement,before commencertwm of k. _13UM a)Unlcals;l This Agreement consllOtes,the entire agreement and understanding between the parties,end into Agreement replaces any and all Prior rregotistbra.represen lAWCO,M agreements,elder wdsen or oral. NO em(nement,modification or wahw of Ids Agreement Shelf be valid or efiedive urgass in wrlting and signed by both parties. Buyers)thereby adalowledges that Buyw(s)1)has read the entire Agreement and has received a competed,Slgnad,and dated copy at this Agreement,including the two accompanying Notice " of Cancellation forms,on The date first wr]pen above and 2)vats orally cd=*d of homer right 10 cancel this transaction. Buyers)also agrees and understands that itBUYSI(a)finanoes tie work with a third-io",the terms of that financing wig be contained on Separate documents,Including any i narlce duelist. Future pmmoWrls not applicable. DO NOT SIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES. - I hM road and received sedr pogo of tAh 5 page apmsmseL IYRemod Ring Group B 6) v1s C`` �yoa:4ln� Signature of emodeling CormTlam Signature Daniel Abate t) Robert Luke Clark YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT August 31,201518:17 Page 1 of 5 1 of 1 9/14/2015 3:33 PM NATIONAL HEADOUARTERS Robert Luke Clark 2501 Seaport Drive,Chester, PA 19013 ,. . POWER 31-66972 August 31,2015 8-REMODEL •• r •• r•• MA HIC#168676 PRODUCT SPECIFICATIONS Buyer(s)'Information and Description of the Property: Project Number: 31-66972 August 31,2015 Robert Luke Clark oarwAyaemeni (761)3755636(Robert Luke's Cell)15 Wheatland St robertluke.clark@gmail.com - E-Mail Address t Salem,MA,01970 County:Essex Township:. Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively,this"Agreement"). Pre Installation Inspection Date:Your pre installation inspection is tentatively scheduled for Mon 9/14 between 10:10a and 11:1Oa. Roofing -GAF Inclusions: Includes Timberline Ultra HD Lifetime shingles with 50 year non prorated labor warranty.Also includes removal of existing shingles,installation of F-Style drip edge,Weather Watch ice and water shield, Deck Armor breathable roof deck protection, Pro Start starter strip, Snow Country ridge vent exhaust,Timbertex premium ridge cap shingles, PowerVent intake ventilation, all Flashing where needed and 6 nails per full shingle.All steep slope installation applications used only where applicable, Low slope roofs,ones below a 2/12 pitch and Flat roofs do not apply.Clean up and haul away all job related debris. 'Low slope roofing installations include a 15 year non prorated labor and material warranty, removal of all existing roofing materials, new decking,TriBuilt base and cap sheet,drip edge and flashing where applicable. To protect our clients,Power HRG includes at no additional cost,the removal and replacement of up to 300 square feet of soft or rotted roof decking if needed. Low slope roofs below a 2/12 pitch and roofs with cedar shingle removal do not apply as they will include all new decking as part of the installation.Any additional wood replacement needed,over and above the 300sq/ft we provide,will be done at a cost to the homeowner of$3.57 per sq/ft.(Buyer initials ) For Example:After the shingles have been removed, if we find there is a need to replace 325 sq/ft of wood, Power HRG will pay for the first 300sq/ft. It is the responsibility of the homeowner to pay for the cost of 25sq/ft of replacement wood at$3.57 per sq/ft,which in this example is$89.25 It is agreed and understood by and between the parties that the Product Specifications,along with the Custom Remodeling and Improvement Agreement, constitutes the entire understanding between the parties,and replace any and all prior negotiations, representations,or agreements,either written or oral. The Product Specifications may not be changed, modified,or varied in any way unless such changes are in writing and signed by both Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read the Product Specifications. - - - I have read and received each page of this 2 page agreement. Power Home Remodeling Group Buyer(s) /08/31/15 /08/31/15 Signature of Remodeling Consultant Signature Daniel Abate Robert Luke Clark YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY _ AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. August 31, 2015 18:17 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII Page 1 of 2 t, - - Robert Luke Clark + NATIONAL HEADQUARTERS 2501 seaport Drive.Chester �j, RA 19013 _ „,.. /-OWER 31-66972 August 31, 2015 888-REMODEL - •Ws e •• • • MA HIC#168616 Project Specifications Roofing: Whole House 1 1200.0'z1.0' a ROOFING: Models GAF Styles Architectural Shingles Types None Configs None OPTIONS: Color Slate I Removal Standard Shingle I Installation Details None 1 00 MAMMALS CORPORATION Slate µm r A e L� un d N7 r • ® s LAIWE ►.� Aena!-Measurement August 31, 2015 18:17 I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII Page 2 of 2 ..:..,,. �fCPP&E. C$-057645 MARK E MORPM 9S NEWELL DR N ATTLEBORO NIA 017641 " c Gnmrni�s;cnc 09/18/2015 . .. .� EJ� C�'oinrnc,luw.a.J/./z cf'�vfrurara�2uar✓.Z:':. flice of Consumer Affairs&Business Regalatian OME IMPROVEMENT CONTRACTOR Regtstraitar3 9ii86;� _ Typl Exptra}rri5] 371ffif3017 Supplement FOWER HOME RwbpELIt4-G.C-ROUF LLC. MARK MORDINI - - 2501 SEAPORT DRIVE STE.8910 CHESTER, PA 19013 ` Undersecretary B ' "Ig. 9a EFn ep tdl��yqBig -Q�pp i-. ni a e1B:N��yyyy��LT DR N ATi1EBOR0U(`H;MA OIfb0.35§S`;" iy L�{� 5 DD BBl1-NltFer Bi-\SN09 T — Zce- m�iarar;veatPZT7sF �s�s — � •• � ���. 1 dLl2%L fyxgz�,PjS F�F G '7v (- '-yi ("�n_,ess+f3r ,rzati�v2r a,wGua7r a^ i1. < r - r; r� r/ - r, . 1�f „;', 3E+7� Fboniey - ecan zn exe.PIQYc"Cheek_tht zg3p apr,isEf bee: 1 I Edp am a employer sifb e tJ. 't y.f�eA"praiect(Tegtnred1: cmp)nyf (fnll saorprpyn_vmc).'' _ u�j . 1.�)am a sole Fr +etor argumersgap ash Lsve m engr)AjeeL working for me in CAIISEf'4iCd1071 �'�P"a<in` pco porkers'camp IDamance rEgave4.] $. etnotle]ing 3©]am a hameoyme�dcIDg ali worx myself IN'wmxers'coa,P.IDc`rzocc m�uved.)1 9'1 ®DCN03ib0Tl �'.�)aa, homaoszsr and'riii Lisng conusclor:in conm all wo3r on 311, lt3i771d1Ilg aan;Yioz I e .uc elan a,L nomreaor_cubw hsse vc xmn ftti YoPafda+:'amPen�'don imaazncem v<_cie 33.C1CiCCC�iis7.lT .ir�03 uflIIi�OnS �ployce , l €e�1�clm ad)?¢sc2m�fi?hx=ab-ccmlmcA4 li9en m ifix aa- j,w dheei. 31.�j �b1Y�g 7Ck7�1T,4 OT 2UIIiY031E 7Tx:f_ab ccrrp�pcs TYc'iK earplaj'ec=-E h--�:rorkt3s'cmT ir.. mm=,m-_ 3_. �Rce37q]dTf �.�wf QJ 5 CA}pnTBHO/n HIlG Sd:OSeC/d h81£eS�e]Sea S}K.n Tly..a aT Q[CmflOan p y.©VYSICT 75i 5i(A),�6 we have no 7 �_ T DerMGL c. amp oY [ a workeas'camp,inctaanee reyuved.] . 'A.y applicant that che:la boz t7]must also fig?ont tLe section below sh 1 Homeowneta who wbmfl �'mg their workers'cAminasa'aon po7ay information.ibis affidavit indicating di fi ase doing ell work and thenitire outside eoonactats art sobmit a new RMdavit mdicating such. fnwlo a - fth check this box must attached an a&l Y mu sleet idt their the name of the sob.conas ,=and state whether m not those entities Lave emp]oyees. If the snb-connectors have employees,they m?ut rovide fbeir. ➢ n�rkers'comp.policy mmnberam . -an employer that is provWng workers I eompensadon insuranre or informatiar i f r+9'employee.!; Below is Ure polfey and job site hwaraace Company Natne: Pt►Lc�-�C'SrtCl[� �3(7f7C(Z$7 /Z 1Atftira4, ei-tz y P Policy#or Self{ns.Lio.#: 4 i N OD Z(} °f Expiration Date:J�' r -'�Dftj Sob Site Address: I VV\\���yy� Ci BfafelZ' E Q�G� Attach a ropy of the workers' rotnpensatfon policy deciteration s \��Pape[ htrwing the pDlicy ntunber and expwi atiota date). Failure to secure coverage as required under MGL D. 152, §25A is a criminal violation punishable by a tine up to S1,5D0k.DD andfm Dae-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a.tine of up to SM.DD a day against the violator.A copy of this statement may be forwarded to the Offim of SnvWdgations of the DM fDr iasu rmam coverage v " I tfo hereby the pains and penalties afP�lury that the information provided above is n'ae turd correct Date: ` /ly 'bone# 511—Z.&6-6f of irw use only. Do not wrfte in this areQ to be eontpleled by aff3'or town affr W - City or Town: Permit/License it Iscuing Authority(circle one): - l.Board of health 2.Building Department 3.City/Town Clerk Q.Electrical Inspector S.Piumbing Inspector 6.Other 4 Confect Person: PbD®e F. �TS 1 r t c�c ri C 1 �t 17109/a r l > r �L+' �4 C NCE Ot fill t�3 ..�kl s r, s;