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15 WINTER ISLAND RD - BUILDING INSPECTION i . < C9It v y� The Commonwealth of Massachusetts CITY OF Board of Building Regulations and Standards SALEM Massachusetts State Building Code, 780 CMR Revised Mar 2011 n Building Permit Application To Construct,Repair,Renovate ohsh a One or Two Family Dwelling E5 a.; r .,,.-�-.*�.a�':9,. & 3.5 �'"� '�^*Da�� hed3� i,• �.,Y`�'r �.,_ k- Dzwz ?i 3.�� iz ... Date rE h SECTION)1' SLTE I'NT O xr s ,`, , 1.1 Property Address: 1.2 As es s Map&Parcel Numbers l S Uzo2 Zs/s/7 2d 1.1 a Is this an accepted street?yes v no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) 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❑ 2.1 Ownerr of Record: p sic 015H,64 o<Q 7o Name(Print) C ,State,ZIP /5 Gt/".aY 'rL 1,,5/A4D oco' 2102 74/S-0L SO No. and Street Telephone Email Address t SECTIOPI3 bESCRIPTION:OPROPQSFD WORKZ (checlual that plx) My , ' New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Rr' Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify: Brief Description of Proposed Work : A'_F_ 610/1772-/C7` &7lf}CfiZPC7 i a i EC4yriION64 Ec5T r TED GQNSTR C�TIbI�CO.. I 54 A, Estimated*Costs Item Labor and Materials) � � Ofi allZSe �r13 � � '� t ' 1.Building $ 1, B 1tg Peim t R $ #ndzcate=h a fee is Bete m ned-= ❑ Standapd City vyn ALi Itcata n x 2.Electrical $ s` ``4x<, .R-c � ��k Z400.OD `�'1'ota�ect Cso� ( em6)zxmultiplte�«, ��� � x .u,�' 3.Plumbing $ 2 ( ei�ee $� � t . 4. Mechanical (IIVAC) $ 'is t F�� S. Mechanical (Fire 14"N Suppression) $ Total All^ ens 3 x , V k'..f�'s� '�"•a } �• Che k No��(h cle xun Cash.AmOaf' 3 .: 6. Total Project Cost: $ '7966,60 ❑Pa d tnxFull ®Oulst nd g Bahr ccDue a"°x SECTION 5>�CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 9 2� f.4k'L - �je05� J/� LicenseNumbe�� Epiation ate Name of CSL Holder List CSL Type(see below) v No. and Street Type Description U Unrestricted 2 Far(Buildings u el ing cu. ft � R Restricted 1&2 Famil Dwelling City/Town,Suite,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement pContractor(HFC) J ,, ` '1 5. Z9 ql J0 P2, .7oJ 0"5�20R/75 eu5T ug uM l_%�"�©P C''�e/Y�[�_ Ulf HIC Registration Number E puati nDate H..ICC�,C mpany Name or C Re HIgistrant NamT � Ng.,and Street Email address /}inAYav� A( �/. 03VyZ 743 -0/0 Ci /To n,State,ZIP Tele hone "SECTION 6t WORKERS' COMPENSATION INSURANCE AFFIDAYIT(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 ........... 0— SECTION 7a: OWNER AUTHORIZATIONTO BE COMPLET 11 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. pflU l Q 5f/ /Z 1 Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNERr OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. �v L ` -, &0 715 IJe. z Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: ' 1. 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 not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.roc vtoca Information on the Construction Supervisor License can be found at www.mass.govrdns 2. When substantial work is planned,provide the information below: 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 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 OE S.V-&Ni, AkSS.1CFiUSETTS OLLLOLYG OEP.1AT.%z%r 110 W-U)INGTON STXW, J`Ft.00A ILL k9711) 145-9595 IMSERLBY DRLSGOLL FAx(978) 740-9846 MAYOR rRox ,fST.Pt "A DIREGTOIt OF PL BL(C PROPEATY/el'Q.DLYG COJLNI33t0v EA Construction Debris Disposal Atfidavit (required for 4 demolition and renovation work) In accordance with the sixth edition of the State Building Code, 190 CMR section 111.1 Debris, and the ptovisions of MGL c 40, S 34; Building Permit a is issued with the condition that the debris resulting frsmm This work shall be disposed of in a property licensed waste disposal racility as defined by,bIGL e t 11. S 150A. The debris will be transported by: e 1O 55 40,g175 r u5T0,n 6CN7�/ B Fernor/��..vG �LC (name al'haular) ` The debris will be disposed of in : I lLO !J/S a5.4� 4 (name of facility) O (,ddrvirrar'rJobly) 64, �namtaorper trppLcanf — =d CITY OF SAL.EM, N WSACHl;SETTS `J BUILDING DEPARTMENT 120 WASHINGTON STREET, )o'FLOOR TL (918) 745.9595 F.Ii-'c(978) 7 W-9846 I.%IBERL.EY DMCOLL NLAYO 2 T�iOhL\S ST.PIE.aaa DIAECTCa CF PL'OLIC PAOPEATY/lIUMOING CONL-IISSIO\ER Workers' Compensation Insurance AI1TJavit: Builders/Cuntrtctorv/Electrlcian1/Plum bere 4polleant Information Pl aae Print LI. ibltt s V;IIflC(Ihleitie.�Orgtm»liun lndivicaull; 'e OSSl20 Ay75 U T �' O��/„a{- �[G Address: y/9 L[Jrnil�eunn rPr✓ '7 CitylSratc/Zip:_1 ;i�yo// �i�f 03S1y� PhunrSN �975� 79.3- O/O� Are you ua employer'!Check the appropriate boat MinAimatiom e of prnJatt(required): I.& I am a cmployar with ffi 4. ❑ I am a genera(comractor 0 Now construction dltiPlnyea(tLll and/arPart-time).• have hired the sub-contrac 1.❑ Lima a sole proprietor or Partner. lived on the atlachcd.rhe I ❑Remodeling .,hip and have no employees These sub-contmctars havDemolition ,vurking for me in any capacity. /workers'comp, insurance, Building addition (Na workers'comp. insurance 5. I� We are a corporation and i raiuired.) officers have exercised the Electrical repairs or additions 1.❑ 1 am a homeowner doing all work right of exemption per MGI Plumbing repuirs or udditlons myself (No workers'sump, c. 152, 11(4),and we have Roorrepairs insurance required.11 vmpluyeca. [Not workers, �/ sump, insurance required.) Oiher_�S.17� ��CI_ iq//L •.\ny yplltme Iles ehwks but/t M"I alto all ,,I eve s'""below sbowing?bait norktn'eompanudun puney inAimmtiom '11-9uwrav uhu.uhmil his alf)davit indicating They an daing ell%wrk and then hint uunide A"ali at mntl Inhmn an"al71davil Indiaine.uelu <',mtcwtun Iht1 chwk this box muttaaaabud an.Idduluwl.hut,huwiny IN nwna of the sub.unlrutun and thait warken'camp,pulley Inrarma,ite. /am an ealPlaya that/s prav/dBrX ivarktW eamptlrsallan ln.rutanee/br my ernpleye•s: Btluw/a the policy and Jub sire infararullnrs. I n.,liralied tallllPany Valriel _._.. Policy 4 air Salr•ins. Lie. d: Expirulian Date: lob Sile Addruss: Cityi Stute/Zip: Attach A copy ul the workers'compensatloo pulley deelaratlan PA0(showing the policy number and esplrallon data). 1- iduru to wvuru coverage as required under.Section 2JA u(MGI.c. 172 can lead to the imposition of criminal penalties ore tire uP to S 1,500.00 und/ur One-year impri.mnmcnt, as well as civil penalties in Iho t'orm era STOP WORK OROEA and a line of ilp to M0,00 s Jay )guinst rile violamr. Ile advised that u caPy of this nlatament may be iurwardcd to he Otlicd or Llvc,tigatiuns,r f 0w 01 \ (:)r insurance eovcragc vcriilv�iiun. /do/,vreby certl -''na�,Jdo Is opalmrJ pens/rlr.r,r�p.•rjury clout r/rt ia�utnwrlar proviJaJ uGuvt it trot wad eorrrrt I)ard: .p Z- ....ly. /7w„ot if in r/ri.r:arur, rd.5t cmuplrred Sy city nt ru curs n/Jlrie[ City -if Iowa: --- ..-. Pcrmirrr.lcense 4 Mui,I�.\whorily (circle nnc)t --._. . .__ 1. ;loan) ul Ileuhh !. Iluilding Ucp.0 been) 1. ( il t"I'ann Clerk 1,Y (i lectrlcal fntpccbrr i, i'bnnlrin� Intptclar ii. I)t h<t l.uglAir i'ef UUK CROSSROADS CUSTOM CARPENTRY & REMODELING, LLC n 419 Winnacunnet Rd ' Hampton,NH 03842 (978) 793-0105 crcc61(rDgmail.com MA CSL# 92324 _ MA HILL# 27666E r Paul O'Shea 15 Winter Island Project: Rot Repair Salem MA. 01970 Rot Repair on the corners of the house/garage: Replace 8' of 5 1/2" x 5 1/2" pine corner board. Replace 8' of corner studs and bottom plate. Replace 20 sq. ft. of 1/2" fir plywood ' Install Greenguard Raindrop rainscreen air and water infiltration barrier. Install 48 lin ft. of clear vertical grain (CVG) pre-primed cedar clapboards. Install flashing over water table trim Install kick-out flashing between roof step flashing and sidewall. Rot Repair on sliding door walls: Strip clapboards over door headers to allow flashing to be installed. Replace approx. 2' of sill under left door. Replace approx. 1' of sill on right corner of the back of the house. Replace approx. 18 sq. ft. of 1/2" fir plywood. Install Greenguard Raindrop rainscreen air and water infiltration barrier. Install flashing tapes over nailing fins on doors Install 185 lin ft of CVG clapboards Install approx. 8' sq. ft. of R-15 fiberglass batt insulation. Removal of Bump-out: Temporary remove power to ceiling lights and outlets in bump out. Remove 5 ft. x 10 ft. deck above bump out Install floor protection in immediate area and access of work area. " f Install floor to ceiling dust curtain to quarter off work area from the rest of the house. Temp. Support approx. 8 ft. of the deck Remove windows to be reinstalled Remove and dispose of Bump-out walls, ceiling and roof(save floor) Install new framing, sheathing, insulation, vapor barrier, and Greenguard Raindrop rainscreen, Reframe new roof with 2 and 12 pitch. Install .060 EPDM membrane roof: ' Reinstall windows with intricate sill pans and flashing tapes Insulate and seal rough opening with expanding foam. Install drywall to a level 4 finish Install interior trim to match existing house. Install exterior trim and install-approx. 156 lin ft. of CVG. l f Reinstall deck: Reframe deck up to code independent of Bump-outs Flash deck ledger with Vicor,self-sealing peel and stick flashing membrane (approx. 12 inches up side wall) to be incorporated with sliding door sill pan. Install secondary aluminum flashing over deck ledger. Install decking and rails 1^ Move Master bedroom Slider: AM c+_ Remove existing 6'-.8" x 6-0" to be reinstalled Install Vicor intricate sill pan and flashing tapes (incorporating them in to deck ledger flashing) Insulate and seal rough opening with expanding foam. Retrim interior to match existing house Waterproof Existing Deck Ledger: Secure deck ledger to house with appropriate fasteners Flash deck ledger with Vicar self-sealing peel and stick flashing membrane Install secondary aluminum flashing over deck ledger Replace approx. 100 lin ft. of 1 x4 fir decking that was removed for access to deck ledger Miscellaneous: All cuts on clapboards and exterior trim to be primed and sealed before installing. All ends of clapboards and trim to be lap caulked All rain screen to be taped and/or sealed All exterior fasteners to stainless steel Finish painting not included Permit fee not included Labor and Materials: Seven Thousand Six Hundred and Seventeen Dollars and Sixty-Sixty Cents. $7,617.66 Payment schedule as follows: $3,617.66 due upon commencement of work., $2,000.00 due upon half completion. $2,000.00 due upon completion All work to be completed in a workmanlike manner. Job site to be kept clean & orderly on a daily basis. Earl T. Cross, Jr., Contr for D e Acceptance of proposal: The above price, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. We acknowledge that any alteration or deviation from above specifications involving extra cost will be executed only upon written order, and will become an extra charge over and above the es ale. All reements co� gent upon any delay beyond our control. b Paul O'Shea Date