3 WILLIAMS ST - BUILDING INSPECTION e
t w i 7
The Commonwcallh of Massachusetts **hUNOWNW&
Board of Building Regulations and Standards t� Massachusetts State Budding Code, 780 CMR. 7's edition
Building Permit Application To Construct. Repair. Renovate Or Demolish a
One- or rwu-Funr/fs-Du a/ling
This Section For Official Use Only
Building Permit Number Dal pplied:
Signature: I D
Budding Commissioner/Inspector Buildings
SECTION 1: SITE ATION
1.1 Property Address: 2 s essors Map✓!< Parcel Numbers
C
I.I a Is this an accepted street'!yes no a Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use La Area(sq(1) Frontage 1 R)
1.5 Building Setbacks(ft)
Front Yud I Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.I.c.40.934) 1.7 Flood Zone Information: 1.9 Sewage Dhposal System:
Public❑ Private❑ Zone: _ Outride Flood Zone?Cheek if esO Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
Owner' fRe r
Na riot ! Address for Service:
- Ko1 3 -33 � 5
Signature Telephone
SECTION l: DESCRIPTION OF PROPOSED WORK'(check,all that apply)
New Construction❑ Existing Building❑ 1 Owner-Occupied ❑ Repairs(s) ❑ Ali-ration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Speeify:
Brief Description of Proposed Work':
1 2 a b 2G
SECTION 4: ESTIMATED CONSTRUCTION COSTS
ItemEstimated Costs: Official Use Only
Labor a d Material
1. Building f j Q I. Building Permit Fee: f Indicate how fee is determined:
❑Standard City/Town Application Fee
2 Elecincal f O Total Project Cost'(Item 6)it multiplier x
J. Plumbing f 2. Other Fees: f
4. Mechanical iHVAC) f List:
5 Mechanical (Fire f Total All Fees: f
Su ression
Check No. _Check Amount: Cash Amount.
6 Toisl Project Cost: f ❑Paid in Full O Outstanding Balance Due'
d6
r
SECTION !: CONSTRUCTION SERVICES
�of!�.I Licensed (onstr ctlon Supervisor(CSL) �33 ra L�1 Q
J fl J V e, ' License Number Expiration Date
N of CS tylder 4\t r- List CSL Type fare tic-low)
JJ rss Ty pe I Description
c U Unrestricted(up to 35.000 Cu. Ft.
R Restricted Ih1 Family DwelLn
Signature M slasonry Unl
c7 Z�3(20 �� 0 RC Residential Roofin Covering
Telephone wS Residential Window and Siding
SF I Residential Solid Fuel Burning Appliance Installation
D I Residential Demolition
s Regbte ed
Hop,
7� Ho Is p m ctor(HIC)
9�� e t6 c
d
H om� pC'� any N or HI gistrant f��atte Registratyy«�^�Nu�"ber
AL�L— g 7 i 360 `��G� Expiration Date
Signature Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.1 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.......... O No...........O
SE 7a W EF AUTHORIZATION TO BE COMPLETED WHEN
OWNEMS XICENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner of the subject property hereby
a ze to act on my behalf,in all matters
r Iativ to ork 'zed by this building permit application.
2 L
Si a of wner It Date
S 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
1, ,as Owner or Authorized Agent hereby declare
that statements d in ions the foregoing application are true and accurate,to the best of my knowledge and
behalf.
J ( J
Print N
d
Signature of Owner or Authorized Agent Date
Si ned 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 W 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(CSL)can be found in 780 CMR Regulations 110 R6 and 110.RS,respectively.
2. When substantial work is planned, provide the information below
Total floats area(Sq. Ft.) (including garage, finished basemenVattics, decks or porch)
Gross living area(Sq. Ft.) Habitable room count
`'umber of(replaces Number of bedrooms
Number of bathrooms Number of half baths
Type of heating system Number of deckst porches
Type of cooling system Enclosed Open
1 "Tool Prgect Square Footage" may he suhstituted for 'Total Pro)cci Cost"
i
1
�...— HOME IMPROVEMENTCONTRACTOR
eabF�nf`B'dtY
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_ Registratio4.' 108782 -
Expiratiari 8125/2010 Tr# 274971
- Types- Privele DOfpOfatlOn
DAVID REITANO.REMODPL- BUILD r
David Redano
56 Pleasant St
Methuen.MA 01844 ,...�; Administrator t
7/w a�o-.xmwAu aQlG6 o ./�amoe✓ra�elk ,`[-.',
Board or Building Regulations and Standards
Construction Supervisor License
License: CS 23365 !
" Espira l 4/2009 Tr# 12834
DAVID REITANO �
56 PLEASANT
MET HUEN, MA 01844�
Commissioner
CITY OF SALEM
PUBLIC: PROPRERTY
DEPART'NIENT
I
Construction Debris Disposal At'lidasit
(rcyuired Ibr all demolition :uld renu%auon Wolk)
In accurdancc will the sixth edition ul the State Building Code, 7S0 CNIR section 1 115
Debris, and the provisions ut'.Iv1GL 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 property licensed waste disposal lacility as detined by MGL e
I11. S 150A.
The debris will he transported by:
k t! + s
-- (minic tit hauler)
I he debris will be disposed ofin
(IIJIOt uI IJII II Y) /
I e 3 54 v�l-�t
LldJrc.. ur lia llnvl
•icn Jlule III p:nnq .yglhunl
,IJI:
CITY OF S.�LE.�t, �LASS.ICHL'SETTS
BUILDING DEPARTMENT
120 WASHINGTON STREET, 3'°FLOOR
TEL (978) 745-959S
FAX(978) 740-9W
K1-tgFR1 FY DRISCOLL
MAYOR THoniis ST.PmAu
DIRECTOR OF PLBLIC PROPERTY/BCQDING CO%DQSsIONF1t
Workers' Compensation Insurance AMdavit: Builders/Contractors/Electricians/Plumbers
Applicant information Please PrintLegibly
_ R � c
Vama (Basirwv,orgarti:uiorindwttfad): J, e, lln.�� o mow. -*
Address: C,54 �LEGSc .l 67.. r �e (4,Gv e,
City/State/Zip: M el[���_( hone fil: )el ��--X an a
Are you as employer?Check the appropriate box: Type of project(required):
1.91 am a employs with -3 4. ❑ 1 am a general contractor and 1
employees(full and/or part-time).• have hired the sub-contractors 6. ❑New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet : ?. ❑ Remodeling
ship and have no employees These sub-contractors have S. ❑ Demolition
working for me in any capacity. workers' comp.instarsnce. 9. ❑Building addition
[No workers'comp. insurance S. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
required.) otYcers have exercised their
J.❑ 1 am a homeowner doing all work right of exemption per MOL 1 I.❑Plumbing repairs or additions
myself. [No workers'comp, c. 152.§I(4),and we have no 12.❑ Roof repairs
insurance required.] t employees. [No workers' 13.❑Otha
comp. insurance required.]
-Any applicant that crucial Iloa I I mail also fill our the a lim below aMwina their worker'congentutim policy mlam d m
'I h.,meuwraa who submit this affidavit indicting they ant doing all wart and thin him owide contruhm,most submit a new atlidavil indicting such.
!r,tmrcton that chuck this bolt mad attached an 3"iu al Whet showing on name of the subavntrecto,s and their worker'romp,policy infgrnaaoa. I',
I um as employer that Ir providing trwrkers'compensation Insurance for my employees, Below Is the policy and Job rlli
information. _
Insurance Company Name: a . _( t
Policy N or Self-ins. Lie.N: :�I) 6 VJC 1 L4 o Expiration Date: �n
Job Site Address: �5 UJ • I l c, < )1 2�c City/State/Zip:
,%ttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration due}
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of■
fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250.00 a day against the violator. Ile adviw:d that a copy of this statement may be forwarded to the Office of
Invcsitgatiom of the DlA for insurance covcmgc v,uilicaliun.
1 do here c rif rider the in nd penuldes of perjury that the information provided above is true and correca
ci„n
Phone 4: 3l2 0 Z
iOfficial use only. Do nat write in this area, to be :uirepleted by city or rows aJJlci,J
City or fuwn: -- __ NcrmiVI.Icense N ___ _--- - —
bsuing Authority (circle one):
I. Iluard of Ileallh 2. Building Departinval J.Citylfown Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
CuotactPerson: _. .. __. Phone#•
y' GENERAL. CONTRACTORS
56 Pleasant Street
Methuen, MA 01844
Phone/Fax: 978-688-3944
Company Email: DavidReitano@verizon.net
Proposal
Date: 8/16/09
Submitted To:
Mr. And Mrs. Allen
3 Williams Street
Salem Mass. 01970
Home:
Work:
Mobile 617-283-3365
E-mail
[JobDcripn: Front porch
Phase 1:
We herby submit specifications and estimates for: removal of exsisting front porch deck frame and columns.
Prior to frame and column removal,roof structure will be supported with proper framing material.
Columns will be removed carefully and salvaged for reinstallation.
All framing debris will bt removed from job site,..contractor will supply dumpster.
4 concrete footings approximatly 12inches round x•18 inches deep will be excavated and poured into sona tube
sleeves.
Main deck floor frame approximate size 33 feet x 8 feet will be built with 2x8 pressure treated 16"on center
supported with steel joist hangers and a double perimeter box,properly lag bolted into main house.
6x6 pressure treated timbers will be placed between top of footing and underside of main floor frame.
Main stair framing will be constructed and installed in preperation for decking material.
Above total price: $4630.00
Owner responsible for Demolition credit- $800.00
Revised phase 1 price $3830.00
Owners are responsible for decking material and installation.
Butress's will be constructed with 2x and plywood material,finished with white cedar shingles to compliment
previous.
Salvaged columns will be reinstalled between top of butress and underside of main roof
New fir railing system will be installed to compliment previous stele on main deck and stair areas.
Lattice(wood) and skirt board will be installed around base perimeter.
Phase 2 total price; $3650.00
*Contractor is responsible for allowances mentioned, anything that exceeds these
allowances - Homeowner is responsible for.
*Homeowner is responsible for paint and stain
*Please review this proposal carefully for any items which may be missing. Contractor is not
responsible for items not mentioned here.
*Please do not hesitate to contact us if you have n st' s.
Thank you for considering us for this project- __ _ _____________
David Reitano
Workmanship Completely Guaranteed/Sullivan Insurance
(Please sign and return one cony) /
Signature:U,,�1_< -----Ll- ------- Dater
Signature: ------------------------ Date: ------------ 77