7 WINTER ST - BUILDING INSPECTION (2) I'lie C'onlnlunsvc;tllh u(I�I:usarhusclls
Ilaard of Building Regulations and Standards CI I OF
yl , \lassadulsetts Statc Building Code. 7SO LAIR SALIM
'ti"•' krrileJlGuyl// '
Building Permit Application ro Construct. Repair. Renovate Or Demolish a
(hle-ur Ate)-/'iamb Dmrlln(k,
This Section Fur 0119cia se Onl
Building Permit Number: Date pplied:
kluilding 01)icial(Print Mune) Signature Bale/
SECTION I:SITE INFORMATION
I.I Property Address: 1.2 Assessors.Hap SI Parcel Numbers
I.In Is this an acre ted street? ,es no Map Numhcr Purccl Number
L
Zoning Information: I.4 Property Dimensions:
ng District 1'nlpowd(l:w Lot Arco(sq II) Frontage(Ill
1,S Building Setbacks(R)
Front Yard Silo Yards Rear Yard
Required Provided Required Provided I Required Provided
1.6 Water Supply:(M.G.I.c.40, 154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
lirblic O Prl%ate O Zone: _ Outside Flood Zone?
Chcck if ycs0 Municipal O On site disposal s).vtem O
SECTION2: PROPERTY OWNERSHIP'
2.1 Ownerr of Record:
3u lfal Kt11 il-ke- S [z Lour �re4 n/971�
Narne(Printl Cip•.SWte.l.IP r
7 �r ax 7- 7� I - �i l 3 -IWO w/A
No.:ud Street relephone Email Address
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building O Owner•Ocwpied O Repairs(s) ❑ Aiteration(s) ❑ Addition
Demolition O Accessory Bldg.❑ Number of Units_ Other Specify:GU K 9.� A 10
BriefDescri tionofProposedWork': IZ N-(bv ig [,c/
6asS A�uur[wv[rr Cr ,9^fi4r<S' (9oyvs�d y
ey [ti, '7W,4 1EdurL[��aT
SECTION J: ESTIMATED CONSTRUCTION COSTS
Itcnt Estintaled Costs:
fLaburand\lateriais) Official Use Only
I. Building S I. Building Permit Fee: S Indicate how tee is determined:
2. F.1"trical S ❑Standard Ciry•Tu%sn Application Fee
O Total Project Cush I Item 6)x multiplier
I'lunlhiltg S +, Other Fees: S
J. \lah.mic.11 III\ \C) $ List:._
�u ++n•vionl S coral \11Fees: S
n I'ulal Project 0141: ) 2 d ( hr.k Vu. _. .__( heck .\nunnit: _ l'.nh \nwmit.
❑ P.IiJ in Full Cl Oalst;ulding 11.11,utce Due:
SEX PIONS: ('ONSI'MIC ION ,SERVI('F.S
..I ('arislrucIitnt Supervisor I.icelue SI-) S/a��i(p /// 226
w �
C'F/� 'SyOn�_?'(cYL t2 . COY -
I iceme Nuh.r Ils^p_ir wit Mite
N.uua ul'l'S1 16dJer ....__—_ I lei 01. 1\pc(,cc helu+tl.__.
Mimplion
Nu. and\beet -- .- -- I Ni re,Iri clad IIIitI Idi w 15,IIIItl,u. ILI
g{A;dD �— �P D/ �/ (D6_ It Rc,IrieleJL(? I'.unil Deellin
Guy l' n .' ale./II'` -- .\I \loon
- �'`-- RC Nwrlin Cut Grin
it
µ'S µ'induw mu NIU11111
�p SF Solid fuel lhrrning s,\Ppliancc
g1� / 't9/4 / I Insululiun
l'cic lane
P nluil addre,+ D Drnxdiliun
4.2 Registered flume Improvement Contractor fHIC) �Z �Zrj Q 3 / 7 2 013
G. C'U ��fL77,t1 e� IIIC Itegielratiun Nuntt+ur Ifvpir; un Date
IIIC 'on+pan) Name or I IK' lieyi,uwn N.rnw �m ywE,aa9 sU,r�rCa uPx)/eTit��
N and Street.
Z Q 3C)d limuil uJJnsi
�Se= pN
Ci I-- S to ZIP fele hone
SECTION tit WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L e. 132.1 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this atlldavit will result in the denial of the Issuanceof the building permit.
Signed Affidavit Attached? Yes .......... r No...........O
SECTION 7a:OWNER AUTHORIZATION TO BE COM i :—ETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,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.
Date
I'rinl Owner's Nwne(Electronic Siµnulure)
SECTION 7b: OWNERI OR AUTtIORiZED 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 t of my knowledge and understanding.
Prim Uttner's n :\udnmreJ \hem +Nnnm I...lectrunly Slgnauidrl
Dole
VOTES:
l. An Osvner who obtains a building permit to do his her u,vn work,or an owner tvho hires an unregistered.untractur
taut registered in the Hume Improvement Cuntrictur(HICI Program).will n i have access to the arbitration
program or guumnly fond under\1 G.L. c. Il'A. Other important information on the HIC Program can be Ibund at
nl,l , Information on the Construction Supervisor License can be found at tt t%,% all + ' " '1111
\then substantial twrk is planned, provide the into)inclludingion garage. finished basement attics,decks ur Porch i
row fluor area t sy. 11.1 . _--- — g g' b
_ _ Ilabilahle room count - .. ... .
)boss lit ing area 1 sy. 11.1 . . .. \umher tit hrdruums _ . .
i
\untberofllrcplaccs --- \tunbvrol'halfhaths l
\timber q hathrooms _ -
\llnther tit Jciki pt+rihcs
I�lie ul'he.uulg s),tetn open
I\pe �'I ctathng ,},Icm
I'nilu,eJ
1 ..roi.J Ironed ]tltLlrc tt+nLlCe iR,lt he ,IIb,IItutcd 11or I tn.11 Project(u,l"
1
CITY OE S-U-&M, AUSACHUSETCS
duLOLYG CEF.IATmNr
110 W.UHLYGTON 5TR9IT, J`FtccIt
llt. k978) 743.9505
KIJ(BFRr F%Y DIUXOLL F.�x(978) la4 984d
MAYOR MoxwST.Pt>US
D ixECTO4 aF PL etJC PROPERTY/8C RDLYG C010IISSION EIt
Construction Debris Disposal Atfidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 730 CMR section I I I.3
Debris, and the provisions of MGL o 40, 3 54;
Building Permit M is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by NIGL c
III. S 150A.
The debris will be transported by:
r
(name ut'haulsr)
The debris will be disposed of in :
c
(Marne or facitily)
Su���y/.�Co7T20 g�C��
' (jddrersorLrcdiiy)
u�namre of,;ermit applicant
_ 7 9 2a /2
+ a
CITY UE S."iLEM, 1%L,SSACHUSETTS
OLILDIVG DEPARDIE.\T
1?O WASHNGT 1O R ON $TltEET, FlUO 3
TtL (979) 745-9505
Ric((9 7 9) 7149844
v t3E U-EY DMCOL L
MAYO Z -111C."W ST.PIE11U8
DigECPOROP PL•OLIC PROPERTY/auriDt1G co.%vi1SSl0NEl
Workers' Compensation lnsurance,kITTdaVit: 13uilders/Contracturv/Electr(cian.'/Plumbers
Itoolleant Inrormatinn Please Prhtt Ll �lbly
.Nairn:(tlusitruw Urgamratiomindividual):Cfh�Y57Y� l 'yL nr? w�' DSO �� ,
Address: ZZ G` ro+zl/ S7 r
CilpSralazip:422,6 D y ltiig Phone ll:_ 9 76 .S.32 - O Sea
,Fire u An employer!Cheek/the appropriate bait type of
1. lam a cmploycr —f---with _ 4. 111 am a general contractor and 1 wproject(required):
cen
enlpinyees(Nll and/or part-time).* have hired the sulaconlracter 6. ❑New mtatrtution
2.0 1 am a Bole proprictm or partnur. NOW on the ottachcd Ave L I 7. 0 Remodeling
.hip and have no employees These sub-contractor have V. 0 Demolition
working for me in any capacity. worker'camp, irourance.
Ito worker'corn , insurance 3. �• ❑ Building addition
� p ❑ We are a enrpamNan and its
required.) oiBcer have exercised thult 1011❑Electrical repair or additions
).❑ 131113 homeowner doing all work right of uxamptiun per Me
i 1.❑Plumbing repair or additions
myself.(No worker'cump. C. 152, 11(4),and we have no 12.0 Roof rupairs
insurance required.( t employees. (Yo workers'
cump.insurance mquires.J 13• Other�1 �r�
•.\ny ,pplp:uq Am dgcka boa al mwl illw till um the uctiuq batag.hawine their rotes'compenmtun pulley mArmralloa
'I h.neuwwva who wlwril this almdavil indlealne they.ne daina all twrk and than him"Bide roetmetcr mwl whmtt a new nmavil indiaine
R'•.mnwtum that cheek thin bus mwl attach d ran.,"Ilur.9.hael rhuwlne they nwng of the rubrumrutur and their workm'cump.policy InWrmatieq.'oet.
wrr an rurplayer that it providing workers'eampeamllan brsurance for my emp/uyeea Bdaw lS 1//epo!/cy and job rlra
injonnurlons
In.uranev Company .Naine: Z— �//���Yt�
Policy J or Self-ins. Liu. d: U& '• a / 7 pe q e j 2 /
_ Expiration Dare:lob Site Addruss: p
1 e� /H!'rr-hI� �'% y L ��'/ /�`(L� Off/ 70
Cit iState/Zip:
.\Itacb s copy of the workers'compensation policy declaratlon papa(showing the policy number And expiration data).
h'tilura to svolro Coverage as required under.Section IJA of'bIGL e. 132 can lead to the imposition ofcrimiwl penalties of s
rice it[)'a i1,SCOAU and/or one-year imprisonment. as well is civil penalties in the toast of STOP WORK ORDER lids,) line
,a up to S210.00 a Jay )gainst the violator. Ile advised(hat a copy❑tthis.ramment may W iurwardv'd to rho ROE of
favrw guuuna ti the Db\ 1;)r insurance coverage veritieatiun.
/du by
car y rr jar the pains mrJ pnru/rases•r�pvrjury dmt r/re injurmuNun pruviJeJ obese it true unJ canrrt
I)lira
00,ivl a to Andy. in r/r(r:lrru, ran 5t rump/t!.•J by airy ro/urns/jlria2
Cry or town; ___ i'crmiril.ln'nse 't
hwitr; -- --
I. Iio.trd nl Ilcallh L Ilnilding 001"nna•nl i, ! ;ty,I'onn Clerk 1. (•aeetrlc)I hnpcc ter :. I'luut hid•, Lnp.'ehtr
5, thhrr
l.n,tLhl l'rnnn:
T
COYNE & SONS
GENERAL CONTRACTING CO.
P.O.BOX 605 SALEM, MASS. 01970
978-532-0300 / 978-740-0101
MASS LIC.# 128253 / 144946/CS 10 1965
W W W.COYNEANDSONSCONTF ACTING.COM
SEAMLESS ALUMINUM GUTTER ESTIMATE
ESTIMATE FOR; 6/18/2012
JOHN KELLRIER
7 WINTER STREET.
SALEM , MASS. 01970
781-913-1970
J.KELLIHER@HOTMAIL.COM
JOB SITE ADDRESS;
SAME
RE;
GUTTER ESTIMATE 2012-054
WE AGREE TO ;
1. REMOVE THE EXISTING WOOD GUTTERS ON THE ENTIRE FRONT,
AND THE RIGHT& LEFT SIDES OF THE BUILDING, AND REPLACE THE
OLD GUTTERS WITH NEW SEAMLESS ALUMINUM GUTTERS &
DOWNSPOUTS..
2. INSTALL APPROXIMATELY 160 FT. OF NEW WHITE SEAMLESS
ALUMINUM GUTTERS &DOWNSPOUTS ON THE COMPLETE FRONT,
AND THE RIGHT& LEFT SIDES OF THE BUILDING. INCLUDING THE -L-
SECTION ABOVE THE REAR DOOR ON THE LEFT SIDE OF THE BUILDING.
NOTE.. THE REAR ADDITION SECTION IN THE REAR OF THE
BUILDING,ON THE RIGHT & LEFT SIDES OF THE BUILDING ,THE
GUTTERS WILL NOT BE REPLACED ON THOSE SECTIONS AT THIS
POINT IN TIME..
3. INSTALL ALL NEW HANGERS, DOWNSPOUTS, ELBOWS, STRAPS/CLIPS,
END CAPS,NECKS, CORNERS, TEC-SCREWS, SEALANTS, ECT, AS NEEDED
ON THE COMPLETE JOB..
4. SEAL & CAULK ALL OF THE NEW GUTTERS ON THE ENTIRE HOUSE.
REPLACEMENT OF FACIA BOARDS (ONLY IF NEEDED)
NOTE. THIS SECTION MAY NOT APPLY TO EACH SPECIFIC JOB...
5. NOTE..
REPLACEMENT OF ANY ROTTED FACIA BOARDS ON THE BUILDING
WILL BE AN EXTRA CHARGE OF$ 10.00 DOLLARS PER FOOT.. WHICH
IS A (STANDARD CHARGE) ABOVE THIS ESTIMATE.
6. NOTE..
HOMEOWNER WILL BE NOTIFIED OF THE CONDITION ,LENGTH,
AND THE ADDITIONAL COSTS..ONLY IF ANY ROTTED FACIA BOARDS
ARE DETECTED.. ANY REPLACEMENT OF ANY WOOD FACIA BOARDS
ON THE BUILDING. WILL NOT BE INSTALLED UNTIL IT HAS BEEN
FULLY AUTHORIZED BY THE OWNERS OF THE PROPERTY.
7. ANY REPLACEMENT OF FACIA BOARDS ON THE BUILDING, WILL BE
REPLACED WITH %" PRE-PRIMED PINE WOOD TRIM STOCK..
8. WE AGREE TO REMOVE ALL DEBRIS FROM THE PROPERTY.
RESPECTFULLY SUBMITTED FROM;
COYNE& SONS CONTRACTING CO.
& RAPID ROOFING COMPANY
SALEM, MASS 01970
978-740-0101 BUS.
978-223-7740 CELL
OWNER ; CHRISTOPHER R. COYNE SR.
WE HEREBY PROPOSE TO FURNISH ALL MATERIALS AND LABOR COMPLETE IN
ACCORDANCE WITH THE ABOVE SPECIFICATIONS FOR THE SUM OF.....
**** TWO THOUSAND FOUR HUNDRED DOLLARS ****
.... $2,400.00
WITH PAYMENTS TO BE MADE AS FOLLOWS' $ 1,200 .00 DOLLARS DOWN/
$ 1,200.00 TO BE PAID IN FULL UPON THE COMPLETION DATE OF THE JOB..
NOTE..
ANY ALTERATION OR DEVIATION FROM THE ABOVE SPECIFICATIONS INVOLVING
ANY EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDER,AND WILL
BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE.ALL AGREEMENTS
ARE CONTINGENT UPON STIKES,ACCIDENTS,OR DELAYS BEYOND OUR CONTROL,
THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 14 DAYS OF
SAID DATE ABOVE..
THE ABOVE PRICES,AND SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY
AND ARE HEREBY ACCEPTED.YOU ARE HEREBY AUTHORIZED TO DO THE WORK
AS SPECIFIED.PAYMENTS WILL BE MADE AS OUTLINED ABOVE..
NOTE.IF FINAL PAYMENT HAS NOT BEEN RECEIVED OR PAID IN FULL AT THE TIME OF
THE COMPLETION OF THE WORK, AS OUTLINED IN THE CONTRACT,AND RESULTS IN ANY
TYPE OF COURT ACTION.. THE OWNER OF THE PROPERTY OR CONTRACTOR OF SAID JOB.
OTHER THAN COYNE&SONS INC AGREES TO PAY ALL COURT FEES,ANY ATTORNEY
FEES,AND INTEREST OF 12%COMPOUNDED EACH MONTH.,ON THE FINAL BALANCE
OWED TO COYNE&SONS ..
SIGNED
SIGNED
DATE SIGNED
PLEASE MAKE ALL CHECKS PAYABLE TO; CHRISTOPHER R. COYNE SR.
THANK YOU!