12 WOODSIDE ST - BUILDING INSPECTION (2) 28 c-�-- ay
The Commonwealth of Massachusetts
WOF
Revised Mar Board of Building Regulations and Standards CITY M
Massachusetts State Building Code, 780 CMR SdMar
2011
Building Permit Application To Construct, Repair,Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For ON se Only
Building Permit Number: Date Applied:
-r 4, 424iJJ
Building Official(Print Name) Signature DaTe
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
I" 12 11.loaaslde 6Y ,
L la Is this an accepted street?yes ✓ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: Tr G
rn
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.407§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public Pe Private❑ Zone: _ Outside Flood Zone? Municipal
Check if yes❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
20,Ownerr of Record:
utywrd MY Siat:ggan Salem UA olAlD
Name(Print) City,State,ZIP
12 t,baAS1L c4 • 9w-l`is- n4o
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ 1 Existing Building El Owner-Occupied fid Repairs(s) Mf Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work': plkr Y.I�L4�n.. Loblr�i's I [[un(ar b -Rwy
lnstgll Varil-u 4 i-n'.lae- i54 �100✓ rtmona ��I•k • tbnu �t�t
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 32 'tID 6b 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2.Electrical $ - El Total Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 6b 2. Other Fees: $
4.Mechanical (F[VAC) $ List:
5.Mechanical (Fire $ Total All Fees:$
Su ression
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ 4b tom OD ❑ Paid in Full ❑Outstanding Balance Due:
rn A I>V,D 'm e7fi NS 7/2q
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
,,//yy�� 11__ CS- 6�33�5 gl3b 11
Byldn Illtlra'IU License Number Expiration Date
Name of CSL Holder r
List CSL Type(see below) u.
I I Ke li rrnare
No.and Street Type Description
2hYWZY8• MN DlgZ3 U Unrestricted(Buildings u to 35,000 cu.ft.
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
�l8 Il4- 3333 bylan 4 toro�ns klo.raM I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
�rat.yns k trher, e �kF. Cenler lnc. 103bit 1p9�18
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
-12 iicOerv :St , brinn e �otcr�nskl�.corn
No.and Street Email address
L�,nye.vt. LAP, bia i 3
City/Town, State,ZIP Telephone
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 .......... d No...........❑
- - SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize '�r t%r"b tU.GI•r uh* ax4n
to act on my behalf,in all matters relative to work authorized by this building permit application.
Q�J! �. k4olond r ' fY1`S�;amen 7�/z�/S�
caner 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 this application is true and accurate to the best of my knowledge and understanding.
'Pnrrr6wner=s or Authorized Agent's Narrid(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 canbe found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.sov/dps
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"
m;GOMMONWEALTH OF MASSACHUSETfS
ID
r „BOARD OF
PLUMBERS=AND GASFITTERS "�, l
ISSUES THE FOLLOWING L:IdENSE
LICENSED AS A MASTER PLUMBER
a ;z
;a
BRIAN F MURPHY .-
11 KENMORE DRw
DANVERS.MA 019231126� iw
9325 „'' 05/01/2018,,.,,, 45405
0
=�IJ�Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
=13
-- �,i7 Registration: 103611 Type:
Expiration:, 7/9/2618 Private Corporation
BROWN'S KITCHEN&-BATH CENTER
BRIAN MURPHY -
72 HOLTEN ST.
Danvers, MA 01923 JUndersecretary
Massachusetts -Department of Public Safety
Board of Building Regulations and Standard's
Construction Supen isor -
License: CS-073375
BRIAN F MURPH)t OWL
11KENMOREDR
: -
Danvers MA 01923
Expiration
_ . Commissioner 09103/2016
72 Holten Street ' Danvers,MA 01923
Telephone 978 774-3333 * Fax 978 774-8709
P ( ) ( )
Home Improvement License#103611 * Mays.Builders License#073375
CONTRACT
This contract,dated below,for materials and/or labor to be supplied by Browns Kitchen&Bath Center
(Hereinafter,referred to as the contractor),at the sole request and order of:
NAME:Raymond McSwiggan PHONE:978-745-3340 DATE: May 2,2016
ADDRESS: 12 Woodside St. Salem, MA 01970
(Hereinafter referred to as the owner or buyer)to be supplied/performed at premises set forth above,subject to all of the terms and
conditions set forth on both sides of the Agreement,as follows:
Browns Kitchen&Bath Center is pleased to furnish you with a quotation on your Kitchen remodeling.
For the purpose of this quote, we have used Kemper Cabinets. These will be supplied
p pp d and installed according
to our design and drawing.Door styles, hardware, wood species and stain color to be decided
Flooring: We will prepare floorr or: To be determined
Plastering: We will have plasterer come by to price ceiling(not in quote at this time)
Plumbing: We will disconnect and reconnect appliances
We will supply and install an undermount stainless steel sink and pull-out faucet(chrome)
We will connect owner supplied disposal, dishwasher and icemaker
All work to be connected to existing plumbing.Any modifications to accept draws or other items will be extra If any
upgrades are needed a quote will be provided
Ventilation:None
Heating:None
Electric: Will be quoted
Counters:For this quote Mid priced Granite with no backsplash has been quoted (Some Granite colors are higher
in price.) The walls between the upper and base cabinets have an Owner Supplied, Brown's installed tile.
Appliances:Set and Level.No assembly oLappliances
**All hardware(knobs and pulls)must be picked out at time ofsigning contract or within a week ofsigning. Ifthere
is a delay in ordering hardware and it is not at the job when cabinets are being installed there will be an additional
charge for the carpenters to conic back
*Coolers ! irived er our measurements size than es will a ecr rice. Marble like file and large tile are an
added cost o.installation. Tile bucks lashes are rived or installation o a lain straight backs lash. Intricate
Pgtterm are an additional cost for installation
Nothing other than stated above is included in this quote.No paint or paper.All sales tax is included.All work is
fully insured Any debris created by Browns will be disposed of by Browns Local permit tees nol included
*Owner supplied material is the sole responsibility of the owner.Any defects or problems will be billed at an hourly
rate.
Door Style Lp who �4� AGREED PRICE:$21,750.00
Handle/Pull _
- �+•.-wm.... w- n�-mac.—.T�.�c+.c..��..+...
Moor
Counter 113 DEPOSIT:
BALANCE DUE:
It is understood and agreed that this contract will be completed on or before the
day of represents and warrants that he is owner of aforesaid premises and that he/she has read this agreement,se[forth on both 2016.des. owner
IT IS EXPRESSLY AGREED THAT NO STATEMENT,ARRANGEMENT OR UNDERSTANDING,ORAL OR ides.WRITTEN,
EXRESSED OR IMPLIED NOT CONTAINED HEREIN WILL BE RECOGNIZED AND THIS CONTRACT AL OR fRI THE
ENTIRE AGREEMENT.
It is further agreed that this contract is not subject to cancellation except by written consent of both parties.
SALESPERSON: ACCEPTED:
ACCEPTED BY: t
X
(SUBJECT TO ALL CONDITIONS ON THE REVERSE SIDE)
D
R "S Kff'CHEN & BATH CENTER
72 Holten Street, Danvers,MA 01923
Telephone(978) 774-3333 ` Fax(978) 774-8709
me Improvement License#103611 ` Mass. Builders License#073375
CONTRACT
ract,dated below,for materials and/or labor to be supplied by Browns Kitchen&Bath Center
(Hereinafter,referred to as the contractor),at the sole request and order of:
McSwiggan PHONE:978-745-3340 DATE: May 2,2016
oodside St. Salem,MA 01970
( the owner or buyer)to be supplied/performed at premises set forth above,subject to all of the terms and
conditions set forth on both sides of the Agreement,as follows:
Brown's Kitchen and Bath Center is happy to furnish you with a quote on your Bathroom project
Carpentry
we will supply and install cabinets(2)over washer&dryer
The walls will have new blueboard and plaster where necessary.(Andy's quote is included in this price)
We will supply and install a vanity(36")with Corian top with integral sink
We will supply and install a mirror above the vanity
We will supply and install trim around base and window where needed
We will supply and install a bathroom door
Flooring: The floor will be prepared for Owner Supplied,Brown's installed tile(can change to hardwood if you
would like)
Plumbing: We will disconnect all fixtures.
We will supply and install a Kohler 8"Forte lave faucet.(chrome)
We will supply and install a Highline Comfort height toilet w/elongated seat(white)
All work to be connected to existing plumbing. If any upgrades are needed a quote will be provided.
Shower Door:None
Heating: We will supply and install a new radiator
ventilation: Fan light(supplied by other)vented to outside
Electrical:Will be quoted
'Tile quote is based on a straight installation. Intricate patterns or large tile are higher in price for install.Marble like tile is a
higher price for install.
*At time ofjob all knobs,handles, TP holders,towel bars etc.must be on site for installation.If not on site during job
ifWatlation a serwrefee will he charged to rearm to job and install these items.
Nothing other than stated above is included in this quote.No paint or paper.All sales tax is included All work Is fully
insured Any debris created by Browns will be disposed of by Browns.Local permit fees not included
`Owner Supplied material is the sole responsibility of the owner.Any defects or problems will be billed at an hourly rate.
Door Style �(, On AGREED PRICE: 14,500.00
Handle/Pulls
Floor _ 1/3 DEPOSIT•
Counter
BALANCE DUE:
This quote is good for(30)Thirty Days from date above. The owner represents and warrants that he is owner of aforesaid premises and
that he/she has read this agreement,set forth on both sides.
IT IS EXPRESSLY AGREED THAT NO STATEMENT,ARRANGEMENT OR UNDERSTANDING,ORAL OR WRITTEN,
EXRESSED OR IMPLIED NOT CONTAINED HEREIN WILL BE RECOGNIZED AND THIS CONTRACT CONSTITUTES THE
ENTIRE AGREEMENT.
It is further agreed that this contract is not subject to cancellation except by written consent of both parties.
SALESPERSON: EPTED:
ACCEPTED BY: X�
X
(SUBJECT TO ALL CONDITIONS ON THE REVERSE SIDE)
BRORVSKITCHEX & BATH CENM
72 Hollen Street,Danvers,MA 01923
Telephone(978) 774-3333 * Fax(978) 774-8709
Home Improvement License#103611 * Mass.Builders License#073375
CONTRACT'
This contract,dated below,for materials and/or labor to be supplied by Browns Kitchen&Bath Center
(Hereinafter,referred to as the contractor),at the sole request and order of:
NAME: Raymond McSwiggan PHONE: 978-745-3340 DATE: May 2,2016
ADDRESS: 12 Woodside St. Salem,MA 01970
(Hereinafter referred to as the owner or buyer)to be supplied/performed at premises set forth above,subject to all of the terms and
conditions set forth on both sides of the Agreement,as follows:
Brown's Kitchen and Bath Center is happy to furnish you with a quote on your Bathroom project
1) We will demo the bath under stairs and hall closet and remove floor
2) We will remove fixtures
3) We remove wall and door
4) We will install new blueboard and plaster(using Andy's most quote)
5) We will supply and install new molding around room
6) The floor will have Brown's installed, Owner supplied tile
• The price for the demo in this quote is based on doing the demo at the same time as
the kitchen or bathroom
*Tile quote is based on a straight installation.Intricate patterns or
higher price for install large rile are higher in price jor install.Marble like tile is a
.
*At time ofjab all knobs,handles, TP holders,towel bars etc must be on site for installation.if not on site during job
installation a service fee will be charged to return to job andlnstall these items.
Nothing other than stated above is included in this quote.No paint or paper.All sales tax is included.All work isftily
insured Any debris created by Browns will be disposed of by Browns Local pawl fees not included
*Owner Supplied material is the sole responsibility ofthe owner.Anv defects or problems will be billed at an hourly rate.
Door Style <
Handle/Pulls AGREED PRICE:$4,400.00
_ Floor _.
Counter - ' _ ' ir3 DEPOSIT:
BALANCE DUE:-_
This quote is good for(30)Thirty Days from date above. The owner represents and warrants that he is owner of aforesaid premises and
that he/she has read this agreement,set forth on both sides.
IT IS EXPRESSLY AGREED THAT NO STATEMENT,ARRANGEMENT OR UNDERSTANDING,ORAL OR WRITTEN,
ENTIRE D E B ENT.D NOT CONTAINED HEREIN WILL BE RECOGNIZED AND THIS CONTRACT CONSTITUTES THE
ENTIRE AGREEMENT.
It is further agreed that this contract is not subject to cancellation except by written consent of both parties.
SALESPERSON: ACCEPTED:
ACCEPTED BY: "411, n _
(SUBJECT TO ALL CONDITIONS ON THE REVERSE SIDE)