Loading...
1 WITCH WAY - BUILDING INSPECTION c�K � �F 3 i 8 ��q � � The Commonwealth of Massachusetts � BoardofBuildin Re ulationsandStandards RECE YED � Q Massachusetts State Building Code, 780 CMR ��SPECTIO�i� t- ����� Revised Mar 2011 .� Building Permit Application To Construct,Repair, Renovate Or D,�poli�a_ A ��: 46 One-orTwo-FamilyDwelling �-�U�� � 'Ihis Section For Official Use Only Cl Building Permit Number: Date pplied: �J �' (�(1 Building Official(Print Name) - Signatur_ v� Date ��l SECTION 1:SITE INFORMATION � I 1.1 Pro e dr�is: /� ///�� 1.2 Assessors Map&Parcel Numbers � + �/� (/v — 11a s this an accepted street?yes no Map Number Parcel Number 11 1.3 Zoning Ioformation: � 1.4 Proper[y Dimensions: l Zoning District Proposed Use Lo[Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yazd Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.4Q§54) 1.7 Flood Zone lnformation: 1.8 Sewage Disposal System: . Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal O On site disposal sys[em ❑ � Check ifyes0 SECT[ON 2: PROPERTY OWNERSHIP' 21 Q �qf Rec�rd: � - �. �� A�,� D . / � A✓1�..�i /''G Z _ Name(Pri ) City,State ZIP _ ��Sp�l._��J� o' ��� —3� ,� No.and Stree[ Telephone Email Address SECTION 3:DESCRIP'fION OF PROPOSED WORKZ(c6eck all that appty) New Construction❑ Existing Building Owner-Occupied ❑ Repairs(s) ❑ Alteration(s ❑ Addition ❑ Demolition ❑ AccessoryBldg. ❑ N berofUni[s Other .Speci : O B�nef- escripti�fProposed WorkZ: ` �cI' > � + �p SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Ofticial Use Only Labor and Materials l.Building $ � 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical g ❑Standazd City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3. Plumbing $ 2, Other Fees: $ 9 '� 4.Mechaoical (HVAC) $ L��� �,• �� . I 5.Mechanical (Fire � Su ression $ Total AII Fees: $ � Check No. Check Amount: Cash Amount: � 6.Total Project Cost: $ � �� p pa�d in Full ❑Outstanding Balance Due: 1 `� I�l l� � �,1� Q'U 1-�. p, � Y�-2 � ��cwr� SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supe is License(CSL) 1 - �_.��/ License Number piratio Date Name of CSL Holder' - 1' O List CSL Type(see below) y No.and StroCt r�1 Type Description U Unrestricted(Buildings up to 35,000 cu.ft. R Restricted 1&2 Family Dwelling Ci own, O[e ZI _ M Masonry RC Roofing Covering WS Window and Siding SF SolidBurning Appliances I Insulation Telephone Email address D Demolition 5.22 Registered Tome Improovemenn 6,ontractor(HIC 12/���/ HIC Registration Num her xpiration Date HIC„C� a or IC Registrant Name —lL street � �S/• 7/may? Email address Ci /Town, ,ZIPL Telephone J SECTION 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 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BU DING PERMIT I,as Owner of the subject property,hereby authorize � to ac; behalf,in all ma �lj�atrve to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNEW 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 thi application is true accurate to the best of my knowledge and understanding. 7/ 0 Print Owner's or Authorized Agent's Name(Electronic Signature) Date 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 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dos 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 dec /porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost ey;7 Massachusetts -Department of Public Safety Unrestricted-Buildings of any use group which Board of Building Regulations and Standards contain less than 35,000 cubic feet(991M )of Construction Super,isor enclosed space. License: CS-103080 STEVEN C ffiOU ` _p�� 2 NEPTUNE ROA2)A'PLtz,1�40�f EAST BOSTON IOWA Failure to possess a current edition of the Massachusetts Expiration State Building Code is cause for revocation of this license. Commissioner 01/27/2017 For DPS licensinginformationvish: ~v.Mass.Gov/DPS -�/e`fr o�unm,+roen/U ojc�/(os:admNtG t License or registration valid for individul use only - - S°- mceof Consumer Affairs& Business Regulation I before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration: 171254 Type: 10 Park Plaza-Suite 5170 :ard Boston,MA 02116 rExpiration-':-3/1%2078- Supplement t. M GENDRON 8 SON CONSTRUCTION LLC. } e e STEVEN HIOU P.O.BOX 1024 1 DERRY,NH 03038 Not valid with t signature Undersecretary MGS CONSTRUCTION ProposaLrcentract Roofing Insti lladoln FROM: RIGS Construction LLC Michael I Manick P.O. Box 1.024 781-MGS-ROOF 781-647-7663 (2 Lake ave.) mmanidc@mgsconstructionllc.com Derry, NH 03038 North East Sales,Manager Phone:60:1-216 2633 www.eW4MGSROF.com Fax:603-432-3282 PROPOSAL SUBMRTED TO:: i Christine-OSden 1 Witch Way 1 Witch Way Salem, MA 01970 chrisobie@oamcast.net Salem, MA.0970 978-741-3598 V MGS Construction will remove and dispose of all existing roofing material and flashing from roof field RrMGS Construction will supply and install V of ice and water shield atsoof eaves.andvalleys T to rake locations,V around all sky lights (f any), pipe be otstroof penetrations &TMGS Construction will supply and-install 100%of Ice and Water shield to all dormer roofs"y window bump outs and entry roofs (under 3172 pitch if any) MGS Construction:will overlap the ice and water shie?d 10 over(ascialrake boards to help protect against ice dam damage grMGS Construction wilfsuppiy and install roof shingles O 3-Tab Shingles:. WArchitectural Designer WMGS Construction will hurricane nail 6 nails per shingle to protect against blow offs grMGS Construction-will supply and-install a professional grade drip edge 3 9rMGS Const action will supply.and install starter strip EZPro Start ❑;Weather Blocker 9MGS Construction will supply and install'roof,mutilation ❑'Cobra Vent WSnow Country 0 Master Flow W MGS Construction will supply and install DedC Amcor GKMGS.Construction will supply and install`ridgy:cap shingles WSeal-A-Ridge ❑Timbertex J;.- 0tT : R+ 0 J 1tgSt k 7100 ++F Y' t�py\ll fi� 10 J 1 Ye�ratrartteed > ' 7DOO 140 t 4 112JGL�1Al IEH�� ]ICES _J In,the event that unforeseen rot is found.A plywood rephicement charge in the amount of$50.00 per sheet(labor and material)will be billed additionally to ON,Contract amount Should ledger Ward be in need of replacement the cost will be$2.50 per linear foot and will be billed additionally to the contract amount below. Any items not stated above are to be considered as an extra charge and will be invoiced separately from this billing.All other agreements to be made in;writhig bidween the customer and MGS. TERMS/NOTICES: RESIDENTIAL MGS Construction.is not responsible for any shrub, landscaping, lawn or loose personal property damage while work is in progress. it is the home ovaiee-3 responsibility to ensure that prior to the start of the project alt areas of concern are prepared for start of project;Any shrubs, plantings that are potted and easily able to move should be pulled away from the house to ensure that no damage will be endured by work in progress. MGS Construction will tarp from th3 roof to the ground according to standard practices to try and avoid causing any damage to any plantings and shrubs:however;due to the weight of roofing shingles,and personal cleaning up the site MG: Construction.is not responsible for any damage to plantings or shrubs within 15 feet the residence.All plantem; grills,patio furnishings, and other precious objects should also be moved prior to the starl'r of any roofing or vinyl siding project.All vehicles should be parker at least 15 feet away from the home during all work in progress this is due to debris that could fall and or hit the vehicle.Meg Constriction is not responsible for any damages to this property as this-should be.considered as a formal notion.All interior wall hangings;including shelving, pictures, and other precious objectsshould be removed due to heavy hammering until the project has been completed. MGS Construction takes extreme care in the setting up of the equipment; scaffolding, and tarpsmsed on each project in order to protectall_property and Iandscsrpes.,Anil exterior damages to property incurred by MGS Construction will be remedied repalredhesolvod by MGS Construction. However,we cannot be held liable for damages to plant and or flower beds,stimbbery,etc. located within 15 feet of the perimeter of the work area. MGS Construction will not held liable for cracked of damaged drywall or for any interior objects that. may vibrate,shake,or fall due to heavy hammering or normal.construction Work. 5 OTHER TERMS: Color&ow by hm eownOr Dobe: .08-21-15 . SlgnaEuW. 6 L WARRANTY: Manufacturer's warranty:The manufacturers all cany limited warranties on all products used(usuallypro rated afters years).MGS Construction is a-certified Certainteed 5 star installer and a Master Elite GAF installer.This allows us to offer the following warranties :)n top of the manufactures warranty: ❑GAF System Plus WGAF Golden Pledge MGS Construction will warranty their craftsmanship for 15 years from the date of completion.This does nottinclude acts of nature and or damages incurred by others. PAYMENT TERMS: We hereby propose to furnish labor and materials to complete in aC0Da e WIMP a ove specifications,for the sum of $L,000 '[ U NC OOMMPLETIONOFTHE"PROJECT PAYMENT WILL BE UE.IN UPON DATE OF C All material is gauranteed to be as specified.All work to be completed in a workmanlike manner aeoording to standard practices.Any alteration or clevistion from the above specifications involving extra j costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All:agreements contingent upon strikes,,accident or delays beyond our control.The first.visit discount is valid only on day this Proposallcodiract was created with your sales consultant.The - gauranteed price is valid for one year from the date the:Contract/Proposal was created with your sales consultant.This proposal is subject to acceptance within the time frame stated above and it void thereafter at the option of the undersigned. 9 Authorized Signaturel -� ir,,�./ ACCEPTANCE OF PROPOSAL By signing this proposal.it will then:in fact:be oonsidendf to be ai legal and binding contract between Christine OBrien and MGS Construction.The above prices,specifications and conditions are hereby accepted.You are authorizing aIGS Construction to do the work as specified above. Payment will be made as outlined above.Shall MGS Construction not reoieve payments in accordance with the above stated terms all work in progress will be stopped immediately untilpayment has been recieved from you the client.Upon not receiving the final payment for the completed contract/ projects, MGS Construction has the right to hold you the client responsible for all and any reasonable legal,filing, and attorney's fee's necessary for MGS Construction to collect payment at yourexpense. ACCEPTED: l Date: U6=21=15 Signature: f � `� Signature: ALL ACCEPTED'PROPOSALS MUST BE SIGNED ANDA URNED`TO OUR OFFICE, UPON ACCEPTANCE. CSL Signature: 'r CERTIFICATE OF LIABILITY INSURANCE DATEIMM/ODIYYYYS TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS • CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER.ANILM&SIMIELCATE 14OLnFR • IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,subject to he terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not Confer rights to he certificate holder in lieu of such endorsemen s. PRODUCER CONTACT NAME: PLANRIGHT INSURANCE PHONE E(AICN-1: 224 MAIN ST STE 2A (AIC,No,Ext): EMAIL SALEM,NH 03079 ADDRESS: 76HMH INSURER(S)AFFORDING COVERAGE NAICN INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY M GENDRON R SON CONSTRUCTION LLC DBA MGS INSURER B: CONSTRUCTION INSURERC: INSURER D: P O BOX 1024 INSURER E: DERRY,NH 03038 INSURER P. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INS S TO CERTPYTHAt THE POLICIESNSU CE LISTED BELOW NAME BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,EXCLUSIONS ANDCONOTIONS OF SUCH POLICIES. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS. INSR ADD SUB POUCYEFFOATE PCUCYEXPDATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) OMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE REMISES OCCUR. ES( RENTED $ REMI (Ea ocwrtence) EO EXP(Any one Person) $ ERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY PROJECT[3LOC RODUCTS-COMPIOP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALLOWNEDAUTOS BODILY INJURY $• SCHEDULE AUTOS (Per person) HIREDAUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR M OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ S A WORKER'S COMPENSATION ANDX WCSTATUTORY OTHER EMPLOYER'S LIABILITY YM UB-4292P583-15 061J02015 067302016 UMrts ANY PROPERITORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDEDT NIA E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE-FA EMPLOYEE $ 100,000 Ilyes.des beunder E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATK)NsiLOCATIONSNENICLESIRESTRICTONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED N THE CERTMCATE HOLDER AFFECTING WORKERS CONN?CO VERAGS. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED M ACCORDANCE WITH THE POLICY PROVISIOt EC' AUTHORIZED REPRESENTATIVE , � J ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORP (STIP,�Afffthts reserved.