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36 FELT STREET - BUILDING JACKET� 3d f�if ���r ` CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET,3" FLOOR TSL. (978) 745-9595 FAX(978) 740-9846 KIMBERLEY DRISCOLL MAYOR THoMAs STTIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER November 6, 2012 James R. Treadwell Jr. 36 Felt Street Salem Ma. 01970 RE: Barn at 36 Felt Street Dear Mr. Treadwell, I have inspected the barn located at your property and have confirmed significant failures in both the foundation and the wood portions of the structure. The building is open to the elements and poises a significant risk in case of fire. I am declaring this an" unsafe structure"per the eighth edition of the Mass State Building Code section R115.1 and M.G.L c.143 -6,7,8,9. You are directed, within 24 hours, to begin to secure ,repair or remove the structure. There is no appeal from this order. You are entitled to the remedies' provided by the MGL.Failure to begin the work will result in the City hiring workmen to remove the structure and a lien being placed on the property to recover the costs. If you have any questions,please contact me directly. Thomas t.Pierre Director of Inspectional Services Building Commissioner Cc Jason Silva, Jane Guy, Fire Prevention The Commonwealth of it4assachusetts 1/ Board of Building Regulations and Standards CITY OF Massachusetts St at SALEM R e Building Code, 730 C�[R evised Mar 2Ul! Building Permit Application To Construct, Repair, Renovate Or mot a One-or Two-Family Divelling This Section For Official Use Only Building Permit Number: Date Ap lied:', - , Building Official(Print ame) Signature, - Date SECTION I:SITE INFORMATION. 1.L Pr-.3 6ty Address:. , �_ LZ Assessors tVfap 3c Parcel Numbers 1.1 a Is this an accepted street?yes 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.O.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 yesO SECTION 1:; PROPERT]G OWNERSHM' 2.1 OwnertofRecor6- S)� (' �Traa.P_e �i-�u 2e �' � +� r�E7C/ niJe 'riot) City,State,ZIP 41- 6 No.and Street elephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORW'(check all thatapply) New Construction ❑ Existing Building Cl Owner-Occupied ❑ Repairs(s) ❑ I Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ NumberofUnits I Other ❑ Specify: Brief Description of Proposed Work': ` SECTION 4: ESTIbL4TED CONSTRUCTION COSTS Item Estimated Costs: OfRclal Use Only Labor and L,laterials 1. Building ; Building Permit Fee:S Indicate how fee is determined: C Cl Standard.Cityfrown Application Fee 3. Electrical $ ❑'rota!Project Costa(Item 6)x multiplier x 3. Plumbing S 1. Other Fees: tS I. ,,%leeh:mical (I IVAC) S List: 5. \lach.mie.il (Pin. - SnF l'utal All Fees:.S_ Chock No. Check Amman: _---L"Ish AnWunt n G,tal Project ('o;t 3 ❑ __ I'u,l m Full ❑ thd;tillrlin If;,lanca I?u —_-- --- SECTIONS: CO;NSTRUC'HON SERVICES 5.1 Construction Supervisor License (CSL) License Number Gel ,ruim 'it Nam ut t ,t 'lo d `�_ List CSL rype(see beluw) Vt type Description No. and Street f ),� IJ Unrestricted BuiWin+s u to 35,000 cu. R. r M.A d/ 7%/ R Restricted 19c2 Famil Dwellin City own, State, Z[P iv( %lasonr RC Ruutin Covcrin WS Window and Siding ` ,) �1 SF Solid Fuel numing Appliances —7 4 '7 L g 7 �, �.t ,j�V G� - r I Insulation 1'ele hune it trMai/address D Demolition 5.2 Registered Home Int rovent t Contractor HIC) III `Registration Number �E{ pirat n D to 1 Cum y NaTe ur 1 C • istrnn Nmn No. a d IfCCt Emai address � MAO 1211 .t?r- 9 2�'- %y- C 76 City/Town,State IP Tele hone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(NI.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 .......... ❑ No...........❑ SECTION 7a: OWNER AU MORIZATIONTO BE COMPLETED 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. Print Owner's Name(Electronic Signature) Datc 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. 1 Q fu D,t e Print Qw s u ner' n ut med A;ant's N.une E1 •trunic Signautre) NOTES: I. r\n Owner who obtains a building permit to do his/her own work,ur an owner who hires an unregistered contractor (nut registered in the Haute Improvement Contractor(HIC) Program), will not have access to the arbitration progr:un or guaranty tend under 1M.O.L. c. 142A. Other important information on the HIC Program can be round at www mass.�uv/sea Information on the Construction Supervisor License can be found at www.utas5,.mv U n 1Vhen substantial work is planned,provide the in[ormation beluw: 1'ut.d flour area(sy. R.) ._____ _(including garage, tinished bascment/attics, decks or porch) tirosl loonivin ;ea( (sq. .) __ _ Rillimblc room count Nnntberotfrcplaccs_.------_-- - Number oflmltImnts - _-- -_-- Vuntberoth,uhrroitts ._._-- NuutbernFh:deb.uhs -_._ .__------ —. fcpc of ha.uing..Yy tcm l /amber of leek;'purnc�s _ - ------- - - nclo;ed t tput - � I I',v,il I4I:rt �yu.ir� F,,,,t.r,c in.ty he ;ub;tiuu.,l l;,r I'n,j,:Lt l'01t. CITY OF SM1 F-1I, ANSSACHliSETTS BUILDING DEPART,WNT 120 WASHIINGTON STREET, 3'u FLOOR TEL (978) 745-9595 F.+.xc(978) 740-9846 KI\[BEgL1rY DRISCOLI �t hYOA Twntts ST.Pumaz DIRECTOR OF PUBLIC PROPERTY/BUM.DLNG CONLMISSIONER Wurkers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers A a ilicant informatinn / lease Print Legibly Nacre(Busituss,Orgtniratioruindividual): 1A, ` r �— Address: ir49r o` City/State/Zip: Phone N: Are yn employer?Check the appropriate boxy p • ype of project(required): 1. I am a employer with 4. 111 am a general contractor and l employees(full and/or p�.• have hired the subr:omractara 6. ❑New construction 2.❑ I am a sole proprietor or partner. listed on the attached cheat t 7• ❑Remodeling ship and have no employees These subcontractors have 9. 0 Demolition working far me in any capacity. workers'camp.Insurance. 9, 0 Building addition (No workers'comp.insurance S. ❑ We are a corporation and its required.) officers have exercised their 10.0 Electrical repairs or additions 3.111 am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions myself.(No workers'camp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.j t employees.[No workers, 13 C Other comp,insurance required.] •Any applicant that chocks box 01 must also all out the sacriuo below showing their werkms'compensation policy information I hvnuuwners who submit this affidavit indicating[hey am doing call work and then hire outside connaetem most submit a novr affidavit indicating such, !Gmitactors that check this box most auachod an additional ahwt showing the name of the aub cotntwuns and their workers'wrap.put Icy infemudon. lam un emplaya that lr prov/ding ivorkan'campe+rrarlan huurance for my empluyearx Below is the poky ertd Job site injorurutlam / /y Insurance Company Name: V Policy 4 or Self-ins.Lic.Al: Expiration Date: Job Site Address: City/Statr/Z:ip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine up to S 1,300.00 und/or one-year imprisonment,as well as civil penalties in(he roan of a STOP WORK ORDER and a line of up to S230.00 a day against the violator. Ile advised that a copy of this statement may bo forwarded to the Office of InvcstiguIions of the DIA for Iosumncc covcraga verification. I du hereby certify corder chat pules mrd penalties ojperJury t rat the lnjorinutlon provided above is true at correct OJJIc pal use caly. Do not tvrile in th&uree,to be co u+pleted by ciry ur Iowa n/flrlu! City or'ruwn: _ Permit[Licenve X _ Issuing Auilierity(circle one): 1. Board of health 2.Building Department .i.Cilyfrown Clerk 4. Electrical inspector 5. Plumbing Inspector 6.Odur Contact P rson: .._. .._ _. _ Phone th CITY OF S.0 EM2 NL sSACHUSETTS BuU.DiNc;DEPARTNE&NT l 0 WASHNGTON STAE 3 ET�,. Ft.00R TEL (978) 745-9595 f<I.%tBERLSY DIUSCOLL Roc(978) 740-9346 " ��.L�YOIt T�105G13ST.PIEARS DIRECTOR OF PL13UC PROPERTY/SLILDLNG CC-NNISSIO.NER Construction Debris Disposal At'ttdavit (required for all demolition and renovation work) in accordance with the sixth edition of the State Building Code, 730 CNIR section 111.5 Debris, and the provisions of tbIGL c 40, S 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 t*vIGL c I 11, S 150A. The debris will be transported by: (Hama ut'hauh.r) The debris will be disposed of in : / (nanie of racaity) (address of tacilil/) ? s'Vjnj of permit applicant i to I, ,I I I r , p� F a I�y h 3 � y ai � • i �,.....__ . _ ds' � . _ _ 7 I'lie Cb(1mmonweallh of bLusachuscus 1: Board ot'Building Regulations and Standards CI'VY OF ') Massachusetts State Building Code, 7SB CMR SAL1iw'1)l/.\I 'L,'•' Iuilding Permit Appliritian 'fo Construct.et. Repair. Renovate Or Demolish u Rdrieed 1/ (fie-or rm•u-Piu o1v Divvfl nq This Section For ODieial Use Ool Building Permit Number: aIt Applied: _ �� ;i"Q Building 011iciol tPrint 1—Muno Signature Dale SECTION I:SITE INFORMATION 1.1 Property Address: 3 [t L ` Fe IT i.• � 1.2 Assessors Map,ft Pit cel Numbers I.la Is This an acre ted street??Jes no+� Map Number I'urcul Nwntwr 1.3 Zoning Information: 1.4 Pro erty Dimensions: R — I OPCN 9�'ACe—yAR11 ZS. y 7 lt13.23s Coning District I'mpnxd ll.ve Lot Arco tsq 111 Fmntuge(11► 1.5 Building Setbacks(it) NOT APPL%cAt34PC From Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1,6 Water Supply:tM.G.I.c. 40. §34) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private O Zone: _ Outside Flood Zone? Chock ifcs� Munieipal�vOn its disposal s)stem ❑ SECTION2. PROPERTYOWNERSHIPt 2.1 Ownert of Record: JAM65 R i'AEA"DW'81 L fjALGtK_ MA lA?n Maine(Prml) (u),Stale,LIP era ear g18.14y-b040 -- Nu.:udStrcet fdephone ,• ,kmaibAddPess .a'a SECTION]: DESCRIPTION OF PROPOSED WORKS(check all that apply) New Construction❑ E.risting Building Osvner•Occupied ❑ Repairslf) ❑ Alteratlon(s) ❑ Addition ❑ Demolition X Accessory Bldg,f6 Number of Units_ Other ❑ .iipccily: Grief Description of Pro osed Work': 13@ MO L t S't Ali O R VAC erns,+ 0 c.T012 1 I, Ell SRI, 11111w p .p� Ill I s s .. SECTION 4: ESTIMATED CONSTRUCTION COSTS lleiu Estimated Costs: (l.abur and Materials) Ofllclal Use Only I. Building S I. Building permit Fee: S Indicate hew fee is determined: 2. Fleclreal S ❑Standard Ciry;Tuwn Appliealion Fee ❑Tutnl Project COstt l ltens 6)d multiplier '. Other Fees: S_ J. \lcch.ulic.d ill\ \('I S List: \Icchanical i f ire ti❑ „rvisionl S ford \II Fccs: S — — o Total Project Cusl: ) Check Vu. _..---(ltcck :\nunun: . _....._. (',i,h \ur,nutl: 3�•r l ❑P.lid in Full ❑Outstwding 11sl.mce Due: tit:("I'll)N3: CONS I'Rti("FIONSF.RVI('t:S h /� ii �.I ('onstructionSuperisurLw Ise(CSI.1 � M2_6 1.� � ' f) I iceusu Numhcr I.+pv:pin t I);nu ' N;mt¢ul'l',,S11.'�lpluder _.`3._.1 13a-4�-. ,_.._._..._.--_ I•)Pt1 I)cicripliun No. anJ Strew /�_—._.____._— -`-1 —u0� I l4trestria.J lDuilJin i li Io 1s,I1110.u. 11.1 �to M.61 ! ----. . . R RalrieleJ lh?P.Imii Dttcllin Cit)i low n.S6ac LII'--� Nl Nlason RC R,elin C'o%crin WS µ'indow,mdSidin Y� /) mot/•` ,�rh SF Solid Fuel Ilurniny AppliatlCet I O Doliolinnlition. fdc hone Fmuil aJJress q, � � ' Deni 5.2 Registered llume Improvement Contractor(IIIC) IIIC Itcgiitratiun Number 1:%piruliun We IIIC Comport NatlIC or I IIC Rcyistrunt Nan.. ..•' -' .' Emuil address No. Aid Street Tel�`hona' 'Cityown State 21P " WORKERS'COh1PENSATION INSURANCE AFFIDAVIT(M.G.L.e. 152.125C(6)) SECTION 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 O SECTION 7s: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize:EC �f.e HRN•�� Wt,de*f . to act on my behalf,in all platters relative to work authorized by this building permit application. Print owner's Nu111e(Elcctrtntc Slynolnrc)► --_ SECTION 7b:OWNEIL OR AUTHORIZED AGENT DECLARATION By entering Iny name b low, I hereby attest under the pains and penalties of perjury that all of the information in ably fi tidn ii.tlumand adeuratil to the bestrohmy knowledge and llnderstsnding. x ate. � i A We Print tl ner'e or.\ul I rieoJ Ny ni'v N:11)u 11 Isvtrun c)tyn real•,r . ..• `'. '. :. ,`'.• VOTES owner who hires an unregistered contractor 1. .Nn Ovvner who obtains a building permit to do its her own vvurk,or an lout registered in the Home Intprovenlent Contractor IHICI Program).will nu have access to the arbitration program or guarinty I•und under\I.G.L. c. I42.N. Other important information on the HIC Program can be found al ,1ttN nlP. �;Ot "_I Information on the Construction Super isor License can be found at 2 µhen substantial work is planned, provide the infohinaludi iion g g;Ir, e, finished basement attics,decks or porch) g g� b rotal tlour area I sy. R.1 _ ------ llabitable room count _ .. .._ .. Groislbving .uealiy. 11.l __-.., _ _... . . \unlher of bednlonls I \umber of fireplaces —_ \umber ut h;dl halhs \till,her al'hathronti , . \lunhcrufJecks porches I\Ile or heating i),Icu1 - O+vn I'v I'ncloccd pe of of ling :.�octal 1 ' ). "rolal Project Square 1:001,1ge" 11c1\ Pe cuhstitt lord li,r"rotal Project Cast•' I ` r CITY UE S,V-&Nfl NEUSACHUSETTS t3LtLDLYC DEP.1RTtE\Y I _'0 %V-kJNLNGTON STXEZr, 1'O FtOOR 1' 1L k973) MC9595 KiJ®ERr Ay 0113COLL P.kx(971) 144984 MAY04 MO.WJ ST.PMXAS 011scrca aP PL sue PROPRATY/IL MDLVG CO.%L31ISSION EA Construction Debris Disposal Affidavit (required for all demolidon and renovation work) In accordance with the sixth edition otthe State Building Code, 780 CUR section I 1 I.1 Debris, and the provisions of MCL a A S 54; Building Permit At is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed wrote disposal facility as defined by,%,ICL a i 11, S I JOA. The debris will be transported by: W aSte S al v-h bV1S loons orAoulrr) The debris will be disposed of in : ( ddren or f�t,t„y) In�rut of permit ,pphcnr !Jig t.. N Lkss.kc H us E-ITS BUILDING CEP.etarmENT 120 WASHINGTON SMEET, )oa FLOOA yY „t TEL (979) 735.9595 F.eiY(97,9) 7 W-9844 I\II3EALEY DRISCOLL AA YO X 'Monet3 ST.PIE,aAB DIAECTUROF MLIC PROPERTY/OCB.DING C01L%IISStONER Workers' Compensation lnsurance AlVdavit: Huilders/Contractors/ElCetric(:rns/Plumbers 't t illeant Information l, . / llcIsePrin Legibly NainC 4-5' \ b1/ C Iam qid � � W Address: 6 Lane-,( A_ �— / � ( / CitylStatc/Zip:_ W��(�, 1111f QJgoT—,one M: to a-1 Z) 4W I� ' . ,1re ytlu an employer:'Check the appropriate boat 'type of project(required): 1.a I am a employcrwith 5— 4. ❑ 1 am a general contractor and 1 6, O Now construction anlplelyees(fill[and/or part-time)• have hired the sub•cantractors 2,[] I am a sole proprietor or partner- listed oil the attached sheet t 7• ❑Remodeling ,hip and have no employees These sub-contractors have g. rDemolilion working for me in any capacity. workers'camp,ii sttranea y, Building addition (No workers'camp. insuranca J. ❑ We are a corporation and its required.] officers have exdreiscd their 10,❑ Electrical repairs or additions ).❑ 1 ran a homcuwnur doing all work right of exemption pcir MGL I I.❑Plumbing repairs or additions myself.(\o workers'camp. c. IJ2,1 1(4),and we have no 12.❑Roof rupairs insurance required.) t empluydca. (MG workers' [J.❑Other comp. insurance required.] \sty applh:uH dW ehwW bee/1 must it"1111 out the wetioo below showing their waken'tompenudun puery mtlumollon. 'I L.neuwnun who.uhmil this uilMvit indi<Ying thry ere doing dl twd and then hiq uu4ide tenlmetare enrol mhmil s new ml!Jaril indlolins w<h. $'•gym rvwn chat chc<k this bust must nnchod in addatumd.11a1.hue ing'he nwne o/the tub.umraelun end their worked romp•paltry infom,aao". /din an/urpluytf their/s pruvlJ/nX tvorken'rumpwuar/un brsutunae14r my edepluyreft infannurinrr, Below It die paltry undJub We 'I 1 I yip In.,uritice Company .Name: �"� t '1 (L— flsj it�rytr ll. 01 ` '7 Policy U or Self•ins. Liu. 0:_9K�A U 333&0 3Z)I I I 1 IA— Expirilian Date: lab Siro.%ddruss: �1n Te I-I "It. Cilyi State/2ip; .\itach a copy of the workers' compensation policy deciaratlao page(shawl",the policy number and eipinlloes data). F.liluru to wcura cuvdn"d as required under.5WIlin 2JA ut',MCL c. 152 can?cad to the irrlposirion arcriminal pe"altias a(a rir.e up to 11,500.0 and/or arse-year impri.tmm�ent, es well as civil penalties in the form of a STOP WORK ORDER and a line ftge ra S'_:0.U01 Jay rgainst the violator. Ile advised that a copy of this ratcmant may bo iurwardcd to die 011ice of Iavr.lig,niunt he 171.11hr inwranee cov<raye erilie.eliun. /du/rrrrby ce tly u J t ins m /tnu „/perjury lhur title Ilirjonrrurlun ProviJrJ u uvr 'r our nuJ cnrrret 2-0 I Z r.rl/ic'iul u,e un ly, lbe,per�.virt in drr:r urru, to�e runrpltic•J Sy city ur lei ha ujJh'iuC City .tr fwvn: ._ i'crmit/License i I„uin'� .\arthnrily f6rclauae): I. !;oard of Ilc'silh I. Ilnddlm� Ucp.lrletent 1. pity;(nvn Clerk h h:fcetrtc.'I I-i)ccynr i. 11Inutbin•q Inspector 4. I h h.•r I CITY OF SALEM9 MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT e . 120 WASHINGTON STREET, 3Ro FLOOR - t 1Ij SALEM, MASSACHUSETTS 01970 TELEPHONE: 978-745-9595 reo� FAX: 978-740-9846 KIMBERLEY DRISCOLL - MAYOR Section 116.0 DEMOLITION OF STRUCTURES Structures over fifty (50) years old must have approval of the Salem Historic Society UTILITY DISCONNECTIONS REQUIRED Authorized Agent Date of Disconnection red�quirem\ents) Electrical Fire a An ra e V" Health / Salem Historic Commission r/"�Dig Safe Number 20 R '� » 5'1'T Vsrtsoa (9.1't•1'�7 # 2ai23.111'all ✓Pest Control: ***DOCUMENTATION OF ALL THE ABOVE MUST BE ATTACHED BEFORE PERMIT CAN BE ISSUED*** Fee for Demolition $5.00 application fee plus $2.00 per 100 square ft gross area, Minimum $25.00 - �Qot( Os��gmaari�< u. , M. G , a+, �a a�Qan t 0, 0-01 �S`� ON TARGET Locating Services 617 Water Street www.ontargetservices.co Gardiner,Maine 04345 Utility SGrV%C@S tel 800-598-0628 fax 207-588-3302 mail: screening@ontargetservices.co Date/Time: 09/17/2012 07:11:36 JAMES, TREADWELL, JAMES 36 FELT ST SALEM, MA 01970 Tel: (978)-744-6080 ext. This message is being sent in response to your request for underground cable location. The following represents a list of responses for the indicated member. These reponses only pertain to the specific member. Ticket#: 20123711577 Place: SALEM, MASSACHUSETTS Address: 36, FELT ST 1- NATIONAL GRID ELECTRIC - NE NORTH Ticket Screened on 09/14/2012 This ticket is clear of conflict and has been screened by On Target Utility Services If there are questions regarding this transmission or if you arrive at the site and have a question about the markings, please call 1-800-598-0628, extension 3347, during normal business hours, Monday - Friday between 7:00 and 4:30 We would appreciate your help in speeding up the notification process. Please contact On Target with a current email address or fax number. Thank you. 36 Felt Street Salem, MA 01970 November 6 , 01970 Heidi J . Wattendorf, Manager ICECAT, LLC 1200 Bennington Street East Boston, MA 02128 Attention: George V. Wattendorf Dear Ms. Wattendorf Pursuant to Paragraph 28 of our Purchase and Sale Agreement dated May 17 , 2012 , please let this serve as my written request that the barn, located on Parcel A, 36 Felt Street , Salem, and formerly identified as "Portion Lot 2 , 18 Felt Street, Salem" , be demolished . I , James R. Treadwell , the BUYER, hereby holds ICECAT LLC, the SELLER, harmless from any damage to landscaping and associ- ated improvements on Parcel A arising from accessing the barn for the purpose of its demolition. Please note that the barn has been declared an "unsafe structure" by the City of Salem and, therefore, I would ask that the demolition of the barn proceed as soon as possible . Thank you and I will , very much, appreciate your attention to this matter . Sincerely, James R. Treadwell Attachment p � 7 1'hc C'unu»omeeahh of Massachuscus n ltj Board of Building Regulations and Standards CITY OF sr M:lssachusetts State Building Cute. 730 0011 S,\LI:\I Building Permit Application 'fo Construct, Repair, Renovate Or Demolish a i One-or Tim-Fumilr Du e/litt,tr This Section For Official Use Only Building Permit Number: _ Date Applied: _ M t u Ff�—'�'rizzYIGt ZZ R (Itulding ptlicial(Print Mane) Signatu pule SECTION I:SITE INFISRNIATIO 1.1 Property Adred s: 1.2 Assessors Map& Pa a umbers 36 2 2t- C� I.la Is this an acre red street? 'a no hinp Numher Parcel Numher 1.3 Zoning Information: Li Property Dimensions: Zoning District Proposed pse Lot Area(sq 11) Ftnnlage(It) 1.3 Building Setbacks(h) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.1.c.40.§Sa) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Pmvle❑ Zone: _ Outside Flood Zone? Munici al❑ On site dis ) Check 2'..--❑ P pawl s stem ❑ SECTION 2: PROPERTYOWNERSHIPt 2.1 Ownert of Rec?r%1[t irP��„� Pit � L97n N;une(Prins Ltq-.�S p p �7(/�� telephone E&nuil AJdress SECTION 3: DESCRIPTION OF PROPOSED WORK'(check a that apply) New Construction❑ Existing Building❑ Owner•Occupied ❑ Repairs(s) Alterations) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Spcvq: BriefDescriptio of roposed�\WV-ork2: f ✓ - SECTION 4: ESTIMATED CONSTRUCTION COSTS hem Estimated Costs: (Labor and.\laterials) 0111cial Use Only I. Building S I. Building Permit Fee:S Indicate how fee is determined: 2. Electrical S ❑Standard CityiTown Application Fee ❑Total Project Cost'(Item 6)x multiplier _ --x 1. Plumbing S /,rv0 2. Other Fees: S J. \Icdianieal ill\.\(') S List: i5. \Icch:wicul -- tiupheck ncisiun) Totd .Vl Fces: S _-_.._ . .Total .\II Fces: S I, Tuful Project Cost: S Check No. ('heck Amount: _ -- C,uh \jnmmi: �S daa-� ❑Paid in Full ❑Outstanding BaLince Due: �C) SECTION S: CONSTRUCTION sFRVICFS 5.1 ('onstructioli Su set isor License(C'SL) N;unc of SI. I lot cr ♦G_j/ //(,,, c C I ist C'SI. I)Ik Iscc hclual .1)Pe Description No .m SIrcR -�, � , �� Q�2T U IlnrestrlcicJ111uiIJin'sli to 75,000cu. 11.1 U Nc.+tncicJ LC� P.Imil D�tdlin l'il+i loan.Swur./1 ' SI %lason KC Ittxiling C•occrin ---_. \\'3 Winduey;md Sidin �/// SF Solid Fucl fluming Appliances ��77 7�` Instdation fete bona h:mail aJJ •sy D DcnuJiliun 5.2 Registered Ito a Impr vemen i outractor(HI ) - IIIC•Registration Numl+cr i.y+' wiun Uam INC C unl N;my,or I I I 'It is Nano No. art Stn r ,7 Email address hA C( !fawn.State,ZIP fete hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c. 152.1 1SC(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........... SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED 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. Print Owner's Nwne(Eleeuunic Signature) Date SECTION 7b:OWNERI 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. � G 116 +sner's r Authorind Agent's Na 1 lElectronic Signature) 1e NOTES: 1. ,\n Owner whu obtains a building permit to do his her own work,or an owner who hires an unregistered contractor (slot registered in the Hums Improvement Contractor(HIC) Program).will nrr have access to the arbitration program or guaranty fund under.M.G.L.c. 112A.Other important information on the HIC Program can be found at +1t1N n4P.n .-+.1 Information on the Construction Supervisor License can be found at 2. \\'lien substantial work is planned, provide the information below: total floor area Isy. K.)- 1 including garage, finished basemenCattics,decks or porch) Gross lining area(sy. It.) _--. _ - Habitable room count _._. .....- ._ \umberoffircplaces Numberolbedroums .- .. _. . . Number ofhathrooms . . \'umber oflydfballls I'\pc ol'hc.ting s);lem Numhcr ofJaki, porches i I)pc of cooling is sam I'ndoseJ (!pall 1. "Gnul Project Square poolugc'•mad be suhstifulcd fur'•fowl Projcct Cost" Ct ry OF Siu Elms 1 L ss,kC HUSE-ITS s. BUILDING❑EPART\IE.\T 120 WASHIINGTON STREET, 3'a FLOOR �`>ra• `: TEL (978) 745-9595 FAX(978) 740.9844 Kl.,IBERLEY DRISCOLL NL1YO11L T140l6w ST.PIERRB DIRECTOR OF PUBLIC PROPERTY/BUILDING CMNISSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriclan..Plumbers A t al)cant Information Please Print Leaibl Name I llusineis,Orgtniratiun imlividual); L114I l Address: .City/state/Zip: PhoneN: Are you an employer?Check the appropriate box: Type of project(required): 1.U� I am a employer with 4. Q I am a general contractor and 1 6, Ne cunatrvctian employees(full and/or part-time).* have hired the sub-camtractors 2.0 I am a sole proprietor or partner• listed on the attached.rhecL i ?• emadeling ship and have no employees These sub-contractors have V. 0 Demolition working for me in any capacity. workers'camp. insurance. 9. Building addition [No workers',comp.insurance 5. 0 We are a corporation and its required.) officers have exercised their 10.0 Electrical repairs or additions J.❑ i am a homeowner doing all work right of exemption per MGL 1 I.0 Plumbing repairs or additions myself.[No workers'sump. C. 152, §1(4),and we have no 12.0 Roof repairs insurance required.[r employees.[No workers' 15.❑other insurance required. IAiiy applicant that ahccks but at must also,rill uul Ihv uctiuo below,eawing(hair rartmi camptnwdun policy infiummion. I hvnuownnt who,cuhmil this allldnvit indicating they am doing all want and then biro all nide coattoc em Mimi sohMll a new affidavit indicting suck$'unVyian that ch vk ibis box mutt.mxhud an addillurwt.hod shuwing the nwne of the ulb coalmet a t and thalr workers,wmp.policy infomnadoa. /urn an employer that pruviding workers'cumpauatlan btyaranee jot my L/ mnp/uyees Below/ tinu n shepo!/ty andJub site Insurance Company Name: y Policy 4orSclf--inn. Lic, 4: ,0 Expiration Date- '1 Job Sift Address: 1 /1 � /� c\� City/State/Zip: hnich a copy of the workers' compensation pulley declaration page(showing the policy number and expiration data). FFail=to secure coverage as required under.Suction 15A ofblGL c. 152 can lead to the imposition of criminal penalties of a line up to S1,500,00 undyur one-year imprisonment,as well as civil penalties in the farm of it STOP WORK ORDER and a line of up to S250.00 a Jay against the violator. Ile advised that a copy of this statement may bo furwardcd to ilia Of fico of Investigwiuns ol•fhe DIA for insurance coverage verification. Idea,hereby certify under the putty all peen ujperjury at the injurnrutlua provided ubu ve ix lrae uuJ currvea OlJiciol use only. Ou not write in this area, to be completed by city or town,/7-iuL I I City or 1•'wil: j Issuing Awhurily (circle one): - --- 1. hoard of Ilvallh L Iluildin., 0uparnncut 1. Cilyi ruwo Clerk J. F.Ieetrleal Ingscclur b. Plumbing Iospector lr.Odlcr i Cunlact 1'crauu- Phone rt: l Information and Instrnction3 >lassaL;busctis General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under tiny contract of hire, cypress or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the Issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the Insurance coverage required." Additionally. MGL chapter 152, §25C(7)states"Neither the commonwealth not any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicant Please rill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should he returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their Self-insurance license number on the appropriate,line. city or Town OMCIR13 Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom Of the affidavit for you to rill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to till in the permitilicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on files for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Of fec of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accident OMce of Iavestigations 600 Washington Street Boston, MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 ;tcviscd 5-'6-05 www.mass.gov/dia CITY OF S.1 ZN(, Akss.kcfjusETTS ©L'ILOLVG DEP.1RTtEV1' 120 W-kSNLVGTON STREET, Jw ROOR r2L (978) 745.959S KIJBERLSY OUX()LL FAX(978) 740.9SO MAYOR Tko.►W ST.FtEtus DtREGTOR OP Pl'BLlC PROPERTY/8CaDLNG CO-%OIISSIONER Construction Debris Disposal AlRdavit (required for all demolition and renovation work) In accordance with the sixth edition orthe State Building Code, 780 CMR section I 11.5 Debris, and the provisions of MGL c 40, S 54; Building Permit fa is issued with the condition that the dcbris resulting from S I JOA. this work shall be disposed of in a properly licemcd waste disposal facility as defincd by NICL c The debris will be transported by: rho The debris will be disposed of in : (name o(facd{fyl + y mreofperm+f 3pp iq ^r inn vd:.� t The Commonwealth of Massachusetts Board of Building Regulations and Standards • CITY OF O / 10 Massachusetts State Building Code, 780 CIVIR i016 DEC AvIIV r 2011 I 1 Building Permit Application To Construct, Repair, Renovate Or Demolish a `n One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: Z Building Official(Print Name) Signahue - - SECTION 1:SITE INFORMATION 1.3 ryper I fi Address n 1.2 Assessors binp Sr Parcel Numbers (o e sh I.la Is this an accepted street9 yes no Mop Number Parcel Number 1.3 'Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq 11) Frontage(11) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water ply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Munici al❑ On site disposal s stem ❑ Public Private O Check if es❑ P y SECTION2: PROPERTYOWNERSHTP! 2.1 OwnerlofRR,��c ord. S ly �144Jl�ir� se tP 7; - RR me(Print) City,Slate,ZIP 176 Q� 8- lk ?kl-4c 5-row <- lee AAk/P c.c11yd. ca No.and Street Telephone & Email Address �r SECTION 3: DESCRIPTION OF PROPOSED WORKS(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied CVrflepairs(s) Altemtion(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.Cl Number of Units_ I Other ❑ Specify: Brief Description at'Propo d Work=: D ( Orr Vat cf-lv ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) I. Building $ ;[ o(D o I. Building Permit Fee:S Indicate how fee is determined: ❑Standard City/Town Application Fee 66/dU 2. Electrical S t9 O O Total Project Cose(Item 6)x multiplier x 3. Plumbing S .2 v 00 2. Other Fees: S 4.Mcchanical (HVAC) S List: j o 5. Mechanical (Fire S Total All Fees:S Su ression) Check No._Check Amount Cash Amount:_ 6.Total Project Cost: S r ODD 0 Paid in Full 13 Outstanding Balance Due: t SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.S 9 -09Y11Z ulfI6 0 N/' License Number E.epiiratin Da e N:une of S Holder Pf List CSL Type(see below) �� / r ✓ Type Description No.:md Stree p U Unrestricted(Buildings u g to 35,000 cu. It. Restricted IA2 Family Dwelling City/town,State,ZIP 7T_ M Masonry RC _ Roolms Coverin WS Window and Siding 7/- SF Solid Fuel Buming Appliances Y1'11C45/ I Insulation Telephone Email uJJress D Demolition 5.2 Registered l me,I ov a Contr cto (HIC) f z 0 r 3 C Reg istralio0 N , er Es ' ati Date I IIC Company an r t Remiswint Name cos ,Ate No.air 2rV�f/I .O _ Emuil dJress Ci /To% n State ZIP Tale hone SECTION 6:WORKERS'.COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 2iC(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 Wtumc400Me building permit. Signed Affidavit Attached? Yes .......... No...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR{AP PL•IES FOR BUILDING PERMIT (j 1,as Owner of the subject property,hereby authorize e)I ept)"tW l 0 Pr t9 act on my behalf,in all matters relative to work authorized by this building permit application. RtLfl y- I2� z,, -4 Print Owner iName(Electronic Signature) Date SECTION 7b: OWNEHl OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and enallies of perjury that all of the information contained in this application is true and ac to to the b my knowledge and understanding. 1Z-7,1 Print Owner's or Authorized Agent's Nume(Electronic Signature) Dale 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 nut have access to the arbitration program or guaranty fund under LNLG.L.c. 1 d2A.Other important information on the HIC Program can be found at :eww muse t:ov:'out Information on the Construction Supervisor License can be found at wAw�ns 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.It.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of hal0baths type of heating system Number of decks/parches Typeofcuulingsystem Enclosed Open .3. "rutal Project Square Footage"may be substituted for"'rutal Project Cost" I .,w d �+!"W �/LE�dIH/htO�tf1/Q6L[/L.O�UVLQddCLC/t[(d... OlTice.of Consumer Affairs&+Bueieess-Re'�ulation`o', - _....5. • OME IMPROVEMENT CONTRACTOR-""j 3 egistration 138201 - Type; - Fj xpiradon 31 0.17 . DBA MPM DETAILS i STEPHEN GLEASONd� -` 158 HALE STREET �. • ��. BEVERLY;MA 019 5 Massachusetts,—Department of Public;$afety Board of Building Regulations and Standards .Construction Suner�isnr.l &.2 Family '+ 4 License: CSFA4)"l22' JS�T VS �Fp STEPHEN GLEAN 15s HALE ST << � f BEVERLY MA 6191 y '11e6a Expiration O512612017 , Commissioner ? \ The Commonwealth of Massachusetts Department of Industrial Accidents e I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leuibly Business/Organization Name: Address: 7 n / City/State/Zip: one ��� C/- Are you an employer?Check the appropriat box: Business Type(required): I.❑ I oprKa employer with employees(full and/ 5. ❑Retail V1 rpart-time).* 6. ❑Restaurant/Bar/EatingEstablishment 2. am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(me[.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8• ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have I0.❑ Manufacturing no employees. [No workers' comp.insurance required]** II- with Care 4.❑ We are a non-profit organization,staffed by volunteers, � Q with no employees. [No workers' comp. insurance req.] 12. Other f);.O(�l 1-4 *Any applicant that checks box#1 most also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: Insurer's Address: City/State/Zip: Policy#or Self-ins.Lic.# Expiration Date: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify,under t air alties ofperjury that the information provided above is true and correct. — 2 Si nature: �j Date: Id Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply your insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number.In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 www.mass.gov/dia Forth Revised 02-23-15 LIMCFFSALEA MAZAMWn BurowcDEPAXIM r Aex 70-SO MAYOR DXNASSTJNM Dffm3 rtcrFLM1c TAUMvMa Construction Debris Disposa/Af}rdavit (required forall demolition andrenovation worki in aoaer+Rnoe with the shah edition of the State euliding Code, 780 CA4k Secdon ULS Debris, and the provisions of MGL W,S S4; Birildhg Permit if is Issued with the condition thatthe debris resuftW from this wwkshen be disposed of in a properly rwensed waste deposit facility as defined by MGL c 111,S isKi The debris will be transported by: r,ri c I tis o5 , : 3-- jr3og (name of hauler The debris will be disposed of in: (name of fadlity) (address of facility) Sign re Af applicant D to OP ID: NS CERTIFICATE OF LIABILITY INSURANCE iz/1s/zoz6; THIS CERTIFICATE Is ISSUED AS A MATTER OF IN►ORMATION ONLY AND CONFERS NO MGM UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATIVELV AMEND, EXTEND OR ALTER THE-COVERAGE AFFORDED BY THE POLICIES j BELOW. THIS CERTIFICATE OF INSURANCE DOE$ NOT CONSTITUTE A CONTRACT SEMEN THE ISSUING INSURER(SL AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - IMPORTANT. 11 the eartMsde holder is an ADDITIONAL INBUIUER,the pollcy(lss)mud be atdarsad. N SUBROGATION IS WAIVED,s"d to the terTns end eondld0n of HN pdby,"rtdn polkbs mey require an oulane ment. A statement on this cainjests does not aonfor rights to SN eertMeste holder In Ilan of such endasermrd s tODwR Phone:978-741- tE BURKE INSURANCE ADM" ' Fax: I Brown Strad dem,MA OIS7WS70 mt.DETAI-I vim DETAILS estMA:Arballe PlotectlOn Insurance Stew Gleason swRetets: 1 LIVE Hals Street wlseat e: Beverly,MA 0191E erRSRELo: nReAteR a• . :OVERAOEI CE TIFlCI► NUMBER: REVNIION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF RMR/N LISTED BELOW RAVE BEEN ISSUED TO THE NiKM W1MW ABOJ!FO THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REC)IREMENT,TERM OR CCrIDRKIN OF ANY CONTRACT Olt OTHER DOCUMENT Wlnl RESPECT TO WHICH THIS CERTIFICATE MAY BE OWED OR MAY PERTAIN THE NSURANCE AFFORDED BY THE POLICIES DESCRISED HEREIN M SUBJECT TO ALL THE TERMS. EXC WSIONS AND CONDITOMM OF SUCH POLICIR.LMRs SHOWN WY HAVE BEEN REDUCED BY FAO CLAIMS. TY►a OF arivm Mucinusiont Lama .. aYIeULLWeITY EAH000URRENOE L X COMMER"GENERAL LIABILITY 00086208 1SIOEMS 101EW4 s 100, (IMMSMADE OOCCUR MEDEWJMY"qPVWjt. B, . PERSONALAADVOIJJRY f 1,BBB, GENERAL AGGREGATE t 'ZBBB, GFNL AGGREGATE OMIT APPLIES PER: PRODUCTS.COMPIOP AGO t i POUCY LOC1 . AUrOMOSU LIABILITY COMBINED 90RGlE LIMITt . ANY AUTO BODILY INJURY(Per Peron) f . AU OWNEDAlrT05 EOCILYINJURY(PwAOEdat) t 9WIEDIlLm AUTOS, PROPERTY DAMAGE f (PreWdial) HIRED AUTOS f NOWOWNEDAUTOS: t WMaLA LA E 'OOCUR BAI N OCCURRENCE t b�[eaLW *ANSWAADE AGGREGATE t RKM WON®UC OM IMTION AND WPLOYEM' MILITY Y E.L.EACH ACCIDENT f . ANY PROPRMTORNAR =dM MAR EXCLUDED? NIA E.4 DISEASE-EA EMPLOYEE f II Pndw EL DISEASE•POLICY y� P 0 T ON9 eMPH DE h n emw w e r• IVaNGH ACO lot' AeeeArd RrePheear.u., w NeM ]amlertgNOrOP6UT10t�ILOGIenq Nam , 01. CERTIFICATE RT HOLDER CA t WOULD ANY OF THR A110k DOC==POLK=Ee CANCUM BEFORE i THE t1XPMTON.DATE TRRAEO►, Nolen WILL LIST. conivintao IN Elissa Lee and Scott Pelletier ACCORDANCE Will TNS POLICY PIUMSIONS. .. 36 felt Street AUTfoR IRePaMMAWA Salem Ma 01970 0 1988- 00s ACORD CORPORATION. All rights reserved. ACORD 25(20011/09) The ACORD name and logo are registered marks of ACORD [/6Q 158 Hale Street, Beverly, MA 01915 Mobile: 617-899-6176 Fax 978-922-0764 Sadetails(o.comcast.net Contractor Reg ##88122 Home Improvement Lic#:138201 Contract for Services THIS AGREEMENT is made this day 18 of December 2016 by and between Details, hereinafter called Contractor, and Scott Pelliteir and Elissa Lee . hereinafter called the Owner. Witnesseth, that the Contractor and the Owner for the considerations named herein agree as follows: Article 1 Scope of the work The Contractor shall perform all of the work described in the Proposal of Services entitled Exhibit A, (Detailed in spreadsheet as it pertains to work to be performed on property at: 36 Felt Street, Salem, Ma (The Property) Article 2 Special Orders All bathroom fixtures, lights, cabinets outlined in Exhibit A. All other special orders must be approved by owner in advance. Int/ Article 3 Time of Completion The work to be performed under this contract shall be commenced on or before 01/03/2017 and shall be substantially completed on or before 03/30//2017 The work shall be deemed to be substantially complete upon the following: 1. Completion of all work described in Proposal of Services entitled Exhibit A: 2. Completion of any add-ons not included in Exhibit A, (Will change completion date). 3. Any additional Add-ons to be in writing either by fax or email, including a description of costs, services, start date and completion date. Article 4 The Contract Price The Owner shall pay and the Contractor agrees to perform the work, furnish the materials and labor under this Contract as specified in the proposal of services entitled exhibit A for the total sum of$72,000.00 . Any additional add-ons not part of the contract will be agreed to in writing by the parties. Any materials supplied by owner will be deducted from the contract price. CS= Customer Supplied. Materials, not stated in proposal, must be approved by Owner in advance and will be invoiced separately in addition to the contract price. Contract price is subject to additions and deductions pursuant to authorized ch a orders. Materials ordered and/or picked-up by Details have a 20% service charge. Initials: ( ) Page 1 of 3 Details and Scoot/Elissa Article 5. Subcontractors The Contractor agrees to sole) responsible for the completion of the work described regardless 9 Y of the actions of an thirdparty/subcontractor utilized b the Contractor. The Contractor further Y Y agrees to be solely responsible for all payments to all subcontractors for materials and labor under the agreement. Checks written directly to subcontractors will be subtracted from the contract price.. Any such payment will be considered satisfaction of the Owner's obligation under the contract. Payments Article 6 Progress Pa y Payments of the Contract Price shall be paid in the manner following: DATE:—Contact signing Sum: 25.000.00 (See attached payment schedule) Balance Due: Upon satisfactory completion of the Contract and the work described in Exhibit A If payment is not made when due, Contractor may suspend work on the job until such time as all payments due have been made. A failure to make a payment for a period in excess of 3 business days from the due date of payment shall be deemed a material breach of this contract Article 7: Collection Fees A$100.00 late fee will be charged for all past due accounts over 10 days. Should legal proceedings be instituted for breach of the terms of the contract, the breaching party agrees to pay reasonable attorney's fees, court costs, and other costs incurred by the non-breaching party. There will be a $30.00 charge for all returned checks. Article 8: Evaluation of Work One Final punch list of items should be in writing and given to contractor at end of construction. Customer understands what a punch list is (�Initia[s Article 9: Permits and Parking The following building or construction related permits are required and will be secured by the contractor as the homeowner's agent, and be adhered to unless circumstances beyond the contractor's control arise: All fees for special permits, are considered expenses for the job and are billable weekly. Page 2 of 3 Details & ScottlEli,ssa DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Acceptance of Contract THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. I have fully read, understand, and agree to all terms and conditions as described in this contract. You are authorized to do work as specified. When contract is signed on location, State law provides that the customer may rescind contract acceptance by notifying Details, Ltd. in writing and delivering the notification to our office within 3 days of signing. Signed this 02- 1 day of Pe "r" k�r'_ . 2016 Signed in the presence of: Witness Wines S Owner Signature Owner Signature Owner Address Apt or Suite# City �G 'G�/` State _ Zip , Phone 5��3n�i G Fax e-mail Contractor Signature 2/ /,6 Te Da Page 3 of 3 Details & Scott/Elissa IV t i Y i W3639BU"T W1239 R, } I N ca WR3721 BUTT P96, lllewr j N I N P _ a i � oe9soonn G �. A i CD to N W1236 - - R i co - G f ALn .._ { d8 ceoscIpdXOb 1966Z86C1;pH „ x E IMe Ae L jaffi �Z179t �Ztr9l N ` 18b Zc m xic u _ 12611 9" 3Cf" 73,6"' 1 ,� 1 ;6" A 1, 4Q 54 32 , t N m W1542 W304-BUTT W3639BUTT t37 r LO N1JI lfl R4, 7 ..._ .. . ",tIgN ." MP to n t p p VFP1348 r4 BWBB18; BD18 ,DISH IQ6 S630BUTT.W EZR36R.WSS V I ,Sra t r.. 1811-7r 1$„-- -2 " 3 "- --36, i 4811 27" 51 " t_ 76 71, 6' j 2 27}"3 \ . . w. . . . . �. . �. % . FF .R33721BUTT N . . l °V\13e3QBUT j$39 . \ t�T7 : « ®« : = y LO F 1 ,VVFE . . . � . .y» � m�� /y az�» . < §§ /Dƒ§ ( m > °ƒ`y«< ? > � ? : : . « » \ � . � . .. . _ : _ , . rl \ xyy « » \llnr mam« © © < ytv . /a»%% \ \ Sys EZR3 WSS 2L » 2 ») �r - 36 1 1-27110 , . 66 16 15491 24" 18"�42"�15" 18;" � 36" 4 ,v 32 7 co r�, N WA2442R W1842L W1542 V48T d _ a. 182496R.4DXR0 Y� Y— r� to 4I V x, BF6 ~ F . BD23 .3. RANGE GAS'3(},1 -BD21.3. m F F Jl "j It�, M< pSD33jjlF(6, x m 27 21 "-�'--3 01 21"-- -1811-��--33" 4 15l" 47z „" 91 Master Bathroom 20' 0' laundry: y o Shower 4' Vanity 4- 0" 8" Closet o 20- 0". _ _ 7 I'lie Cb(1mmonweallh of bLusachuscus 1: Board ot'Building Regulations and Standards CI'VY OF ') Massachusetts State Building Code, 7SB CMR SAL1iw'1)l/.\I 'L,'•' Iuilding Permit Appliritian 'fo Construct.et. Repair. Renovate Or Demolish u Rdrieed 1/ (fie-or rm•u-Piu o1v Divvfl nq This Section For ODieial Use Ool Building Permit Number: aIt Applied: _ �� ;i"Q Building 011iciol tPrint 1—Muno Signature Dale SECTION I:SITE INFORMATION 1.1 Property Address: 3 [t L ` Fe IT i.• � 1.2 Assessors Map,ft Pit cel Numbers I.la Is This an acre ted street??Jes no+� Map Number I'urcul Nwntwr 1.3 Zoning Information: 1.4 Pro erty Dimensions: R — I OPCN 9�'ACe—yAR11 ZS. y 7 lt13.23s Coning District I'mpnxd ll.ve Lot Arco tsq 111 Fmntuge(11► 1.5 Building Setbacks(it) NOT APPL%cAt34PC From Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1,6 Water Supply:tM.G.I.c. 40. §34) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private O Zone: _ Outside Flood Zone? Chock ifcs� Munieipal�vOn its disposal s)stem ❑ SECTION2. PROPERTYOWNERSHIPt 2.1 Ownert of Record: JAM65 R i'AEA"DW'81 L fjALGtK_ MA lA?n Maine(Prml) (u),Stale,LIP era ear g18.14y-b040 -- Nu.:udStrcet fdephone ,• ,kmaibAddPess .a'a SECTION]: DESCRIPTION OF PROPOSED WORKS(check all that apply) New Construction❑ E.risting Building Osvner•Occupied ❑ Repairslf) ❑ Alteratlon(s) ❑ Addition ❑ Demolition X Accessory Bldg,f6 Number of Units_ Other ❑ .iipccily: Grief Description of Pro osed Work': 13@ MO L t S't Ali O R VAC erns,+ 0 c.T012 1 I, Ell SRI, 11111w p .p� Ill I s s .. SECTION 4: ESTIMATED CONSTRUCTION COSTS lleiu Estimated Costs: (l.abur and Materials) Ofllclal Use Only I. Building S I. Building permit Fee: S Indicate hew fee is determined: 2. Fleclreal S ❑Standard Ciry;Tuwn Appliealion Fee ❑Tutnl Project COstt l ltens 6)d multiplier '. Other Fees: S_ J. \lcch.ulic.d ill\ \('I S List: \Icchanical i f ire ti❑ „rvisionl S ford \II Fccs: S — — o Total Project Cusl: ) Check Vu. _..---(ltcck :\nunun: . _....._. (',i,h \ur,nutl: 3�•r l ❑P.lid in Full ❑Outstwding 11sl.mce Due: tit:("I'll)N3: CONS I'Rti("FIONSF.RVI('t:S h /� ii �.I ('onstructionSuperisurLw Ise(CSI.1 � M2_6 1.� � ' f) I iceusu Numhcr I.+pv:pin t I);nu ' N;mt¢ul'l',,S11.'�lpluder _.`3._.1 13a-4�-. ,_.._._..._.--_ I•)Pt1 I)cicripliun No. anJ Strew /�_—._.____._— -`-1 —u0� I l4trestria.J lDuilJin i li Io 1s,I1110.u. 11.1 �to M.61 ! ----. . . R RalrieleJ lh?P.Imii Dttcllin Cit)i low n.S6ac LII'--� Nl Nlason RC R,elin C'o%crin WS µ'indow,mdSidin Y� /) mot/•` ,�rh SF Solid Fuel Ilurniny AppliatlCet I O Doliolinnlition. fdc hone Fmuil aJJress q, � � ' Deni 5.2 Registered llume Improvement Contractor(IIIC) IIIC Itcgiitratiun Number 1:%piruliun We IIIC Comport NatlIC or I IIC Rcyistrunt Nan.. ..•' -' .' Emuil address No. Aid Street Tel�`hona' 'Cityown State 21P " WORKERS'COh1PENSATION INSURANCE AFFIDAVIT(M.G.L.e. 152.125C(6)) SECTION 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 O SECTION 7s: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize:EC �f.e HRN•�� Wt,de*f . to act on my behalf,in all platters relative to work authorized by this building permit application. Print owner's Nu111e(Elcctrtntc Slynolnrc)► --_ SECTION 7b:OWNEIL OR AUTHORIZED AGENT DECLARATION By entering Iny name b low, I hereby attest under the pains and penalties of perjury that all of the information in ably fi tidn ii.tlumand adeuratil to the bestrohmy knowledge and llnderstsnding. x ate. � i A We Print tl ner'e or.\ul I rieoJ Ny ni'v N:11)u 11 Isvtrun c)tyn real•,r . ..• `'. '. :. ,`'.• VOTES owner who hires an unregistered contractor 1. .Nn Ovvner who obtains a building permit to do its her own vvurk,or an lout registered in the Home Intprovenlent Contractor IHICI Program).will nu have access to the arbitration program or guarinty I•und under\I.G.L. c. I42.N. Other important information on the HIC Program can be found al ,1ttN nlP. �;Ot "_I Information on the Construction Super isor License can be found at 2 µhen substantial work is planned, provide the infohinaludi iion g g;Ir, e, finished basement attics,decks or porch) g g� b rotal tlour area I sy. R.1 _ ------ llabitable room count _ .. .._ .. Groislbving .uealiy. 11.l __-.., _ _... . . \unlher of bednlonls I \umber of fireplaces —_ \umber ut h;dl halhs \till,her al'hathronti , . \lunhcrufJecks porches I\Ile or heating i),Icu1 - O+vn I'v I'ncloccd pe of of ling :.�octal 1 ' ). "rolal Project Square 1:001,1ge" 11c1\ Pe cuhstitt lord li,r"rotal Project Cast•' I ` r CITY UE S,V-&Nfl NEUSACHUSETTS t3LtLDLYC DEP.1RTtE\Y I _'0 %V-kJNLNGTON STXEZr, 1'O FtOOR 1' 1L k973) MC9595 KiJ®ERr Ay 0113COLL P.kx(971) 144984 MAY04 MO.WJ ST.PMXAS 011scrca aP PL sue PROPRATY/IL MDLVG CO.%L31ISSION EA Construction Debris Disposal Affidavit (required for all demolidon and renovation work) In accordance with the sixth edition otthe State Building Code, 780 CUR section I 1 I.1 Debris, and the provisions of MCL a A S 54; Building Permit At is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed wrote disposal facility as defined by,%,ICL a i 11, S I JOA. The debris will be transported by: W aSte S al v-h bV1S loons orAoulrr) The debris will be disposed of in : ( ddren or f�t,t„y) In�rut of permit ,pphcnr !Jig t.. N Lkss.kc H us E-ITS BUILDING CEP.etarmENT 120 WASHINGTON SMEET, )oa FLOOA yY „t TEL (979) 735.9595 F.eiY(97,9) 7 W-9844 I\II3EALEY DRISCOLL AA YO X 'Monet3 ST.PIE,aAB DIAECTUROF MLIC PROPERTY/OCB.DING C01L%IISStONER Workers' Compensation lnsurance AlVdavit: Huilders/Contractors/ElCetric(:rns/Plumbers 't t illeant Information l, . / llcIsePrin Legibly NainC 4-5' \ b1/ C Iam qid � � W Address: 6 Lane-,( A_ �— / � ( / CitylStatc/Zip:_ W��(�, 1111f QJgoT—,one M: to a-1 Z) 4W I� ' . ,1re ytlu an employer:'Check the appropriate boat 'type of project(required): 1.a I am a employcrwith 5— 4. ❑ 1 am a general contractor and 1 6, O Now construction anlplelyees(fill[and/or part-time)• have hired the sub•cantractors 2,[] I am a sole proprietor or partner- listed oil the attached sheet t 7• ❑Remodeling ,hip and have no employees These sub-contractors have g. rDemolilion working for me in any capacity. workers'camp,ii sttranea y, Building addition (No workers'camp. insuranca J. ❑ We are a corporation and its required.] officers have exdreiscd their 10,❑ Electrical repairs or additions ).❑ 1 ran a homcuwnur doing all work right of exemption pcir MGL I I.❑Plumbing repairs or additions myself.(\o workers'camp. c. IJ2,1 1(4),and we have no 12.❑Roof rupairs insurance required.) t empluydca. (MG workers' [J.❑Other comp. insurance required.] \sty applh:uH dW ehwW bee/1 must it"1111 out the wetioo below showing their waken'tompenudun puery mtlumollon. 'I L.neuwnun who.uhmil this uilMvit indi<Ying thry ere doing dl twd and then hiq uu4ide tenlmetare enrol mhmil s new ml!Jaril indlolins w<h. $'•gym rvwn chat chc<k this bust must nnchod in addatumd.11a1.hue ing'he nwne o/the tub.umraelun end their worked romp•paltry infom,aao". /din an/urpluytf their/s pruvlJ/nX tvorken'rumpwuar/un brsutunae14r my edepluyreft infannurinrr, Below It die paltry undJub We 'I 1 I yip In.,uritice Company .Name: �"� t '1 (L— flsj it�rytr ll. 01 ` '7 Policy U or Self•ins. Liu. 0:_9K�A U 333&0 3Z)I I I 1 IA— Expirilian Date: lab Siro.%ddruss: �1n Te I-I "It. Cilyi State/2ip; .\itach a copy of the workers' compensation policy deciaratlao page(shawl",the policy number and eipinlloes data). F.liluru to wcura cuvdn"d as required under.5WIlin 2JA ut',MCL c. 152 can?cad to the irrlposirion arcriminal pe"altias a(a rir.e up to 11,500.0 and/or arse-year impri.tmm�ent, es well as civil penalties in the form of a STOP WORK ORDER and a line ftge ra S'_:0.U01 Jay rgainst the violator. Ile advised that a copy of this ratcmant may bo iurwardcd to die 011ice of Iavr.lig,niunt he 171.11hr inwranee cov<raye erilie.eliun. /du/rrrrby ce tly u J t ins m /tnu „/perjury lhur title Ilirjonrrurlun ProviJrJ u uvr 'r our nuJ cnrrret 2-0 I Z r.rl/ic'iul u,e un ly, lbe,per�.virt in drr:r urru, to�e runrpltic•J Sy city ur lei ha ujJh'iuC City .tr fwvn: ._ i'crmit/License i I„uin'� .\arthnrily f6rclauae): I. !;oard of Ilc'silh I. Ilnddlm� Ucp.lrletent 1. pity;(nvn Clerk h h:fcetrtc.'I I-i)ccynr i. 11Inutbin•q Inspector 4. I h h.•r I CITY OF SALEM9 MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT e . 120 WASHINGTON STREET, 3Ro FLOOR - t 1Ij SALEM, MASSACHUSETTS 01970 TELEPHONE: 978-745-9595 reo� FAX: 978-740-9846 KIMBERLEY DRISCOLL - MAYOR Section 116.0 DEMOLITION OF STRUCTURES Structures over fifty (50) years old must have approval of the Salem Historic Society UTILITY DISCONNECTIONS REQUIRED Authorized Agent Date of Disconnection red�quirem\ents) Electrical Fire a An ra e V" Health / Salem Historic Commission r/"�Dig Safe Number 20 R '� » 5'1'T Vsrtsoa (9.1't•1'�7 # 2ai23.111'all ✓Pest Control: ***DOCUMENTATION OF ALL THE ABOVE MUST BE ATTACHED BEFORE PERMIT CAN BE ISSUED*** Fee for Demolition $5.00 application fee plus $2.00 per 100 square ft gross area, Minimum $25.00 - �Qot( Os��gmaari�< u. , M. G , a+, �a a�Qan t 0, 0-01 �S`� ON TARGET Locating Services 617 Water Street www.ontargetservices.co Gardiner,Maine 04345 Utility SGrV%C@S tel 800-598-0628 fax 207-588-3302 mail: screening@ontargetservices.co Date/Time: 09/17/2012 07:11:36 JAMES, TREADWELL, JAMES 36 FELT ST SALEM, MA 01970 Tel: (978)-744-6080 ext. This message is being sent in response to your request for underground cable location. The following represents a list of responses for the indicated member. These reponses only pertain to the specific member. Ticket#: 20123711577 Place: SALEM, MASSACHUSETTS Address: 36, FELT ST 1- NATIONAL GRID ELECTRIC - NE NORTH Ticket Screened on 09/14/2012 This ticket is clear of conflict and has been screened by On Target Utility Services If there are questions regarding this transmission or if you arrive at the site and have a question about the markings, please call 1-800-598-0628, extension 3347, during normal business hours, Monday - Friday between 7:00 and 4:30 We would appreciate your help in speeding up the notification process. Please contact On Target with a current email address or fax number. Thank you. 36 Felt Street Salem, MA 01970 November 6 , 01970 Heidi J . Wattendorf, Manager ICECAT, LLC 1200 Bennington Street East Boston, MA 02128 Attention: George V. Wattendorf Dear Ms. Wattendorf Pursuant to Paragraph 28 of our Purchase and Sale Agreement dated May 17 , 2012 , please let this serve as my written request that the barn, located on Parcel A, 36 Felt Street , Salem, and formerly identified as "Portion Lot 2 , 18 Felt Street, Salem" , be demolished . I , James R. Treadwell , the BUYER, hereby holds ICECAT LLC, the SELLER, harmless from any damage to landscaping and associ- ated improvements on Parcel A arising from accessing the barn for the purpose of its demolition. Please note that the barn has been declared an "unsafe structure" by the City of Salem and, therefore, I would ask that the demolition of the barn proceed as soon as possible . Thank you and I will , very much, appreciate your attention to this matter . Sincerely, James R. Treadwell Attachment p � 7 1'hc C'unu»omeeahh of Massachuscus n ltj Board of Building Regulations and Standards CITY OF sr M:lssachusetts State Building Cute. 730 0011 S,\LI:\I Building Permit Application 'fo Construct, Repair, Renovate Or Demolish a i One-or Tim-Fumilr Du e/litt,tr This Section For Official Use Only Building Permit Number: _ Date Applied: _ M t u Ff�—'�'rizzYIGt ZZ R (Itulding ptlicial(Print Mane) Signatu pule SECTION I:SITE INFISRNIATIO 1.1 Property Adred s: 1.2 Assessors Map& Pa a umbers 36 2 2t- C� I.la Is this an acre red street? 'a no hinp Numher Parcel Numher 1.3 Zoning Information: Li Property Dimensions: Zoning District Proposed pse Lot Area(sq 11) Ftnnlage(It) 1.3 Building Setbacks(h) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.1.c.40.§Sa) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Pmvle❑ Zone: _ Outside Flood Zone? Munici al❑ On site dis ) Check 2'..--❑ P pawl s stem ❑ SECTION 2: PROPERTYOWNERSHIPt 2.1 Ownert of Rec?r%1[t irP��„� Pit � L97n N;une(Prins Ltq-.�S p p �7(/�� telephone E&nuil AJdress SECTION 3: DESCRIPTION OF PROPOSED WORK'(check a that apply) New Construction❑ Existing Building❑ Owner•Occupied ❑ Repairs(s) Alterations) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Spcvq: BriefDescriptio of roposed�\WV-ork2: f ✓ - SECTION 4: ESTIMATED CONSTRUCTION COSTS hem Estimated Costs: (Labor and.\laterials) 0111cial Use Only I. Building S I. Building Permit Fee:S Indicate how fee is determined: 2. Electrical S ❑Standard CityiTown Application Fee ❑Total Project Cost'(Item 6)x multiplier _ --x 1. Plumbing S /,rv0 2. Other Fees: S J. \Icdianieal ill\.\(') S List: i5. \Icch:wicul -- tiupheck ncisiun) Totd .Vl Fces: S _-_.._ . .Total .\II Fces: S I, Tuful Project Cost: S Check No. ('heck Amount: _ -- C,uh \jnmmi: �S daa-� ❑Paid in Full ❑Outstanding BaLince Due: �C) SECTION S: CONSTRUCTION sFRVICFS 5.1 ('onstructioli Su set isor License(C'SL) N;unc of SI. I lot cr ♦G_j/ //(,,, c C I ist C'SI. I)Ik Iscc hclual .1)Pe Description No .m SIrcR -�, � , �� Q�2T U IlnrestrlcicJ111uiIJin'sli to 75,000cu. 11.1 U Nc.+tncicJ LC� P.Imil D�tdlin l'il+i loan.Swur./1 ' SI %lason KC Ittxiling C•occrin ---_. \\'3 Winduey;md Sidin �/// SF Solid Fucl fluming Appliances ��77 7�` Instdation fete bona h:mail aJJ •sy D DcnuJiliun 5.2 Registered Ito a Impr vemen i outractor(HI ) - IIIC•Registration Numl+cr i.y+' wiun Uam INC C unl N;my,or I I I 'It is Nano No. art Stn r ,7 Email address hA C( !fawn.State,ZIP fete hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c. 152.1 1SC(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........... SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED 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. Print Owner's Nwne(Eleeuunic Signature) Date SECTION 7b:OWNERI 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. � G 116 +sner's r Authorind Agent's Na 1 lElectronic Signature) 1e NOTES: 1. ,\n Owner whu obtains a building permit to do his her own work,or an owner who hires an unregistered contractor (slot registered in the Hums Improvement Contractor(HIC) Program).will nrr have access to the arbitration program or guaranty fund under.M.G.L.c. 112A.Other important information on the HIC Program can be found at +1t1N n4P.n .-+.1 Information on the Construction Supervisor License can be found at 2. \\'lien substantial work is planned, provide the information below: total floor area Isy. K.)- 1 including garage, finished basemenCattics,decks or porch) Gross lining area(sy. It.) _--. _ - Habitable room count _._. .....- ._ \umberoffircplaces Numberolbedroums .- .. _. . . Number ofhathrooms . . \'umber oflydfballls I'\pc ol'hc.ting s);lem Numhcr ofJaki, porches i I)pc of cooling is sam I'ndoseJ (!pall 1. "Gnul Project Square poolugc'•mad be suhstifulcd fur'•fowl Projcct Cost" Ct ry OF Siu Elms 1 L ss,kC HUSE-ITS s. BUILDING❑EPART\IE.\T 120 WASHIINGTON STREET, 3'a FLOOR �`>ra• `: TEL (978) 745-9595 FAX(978) 740.9844 Kl.,IBERLEY DRISCOLL NL1YO11L T140l6w ST.PIERRB DIRECTOR OF PUBLIC PROPERTY/BUILDING CMNISSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriclan..Plumbers A t al)cant Information Please Print Leaibl Name I llusineis,Orgtniratiun imlividual); L114I l Address: .City/state/Zip: PhoneN: Are you an employer?Check the appropriate box: Type of project(required): 1.U� I am a employer with 4. Q I am a general contractor and 1 6, Ne cunatrvctian employees(full and/or part-time).* have hired the sub-camtractors 2.0 I am a sole proprietor or partner• listed on the attached.rhecL i ?• emadeling ship and have no employees These sub-contractors have V. 0 Demolition working for me in any capacity. workers'camp. insurance. 9. Building addition [No workers',comp.insurance 5. 0 We are a corporation and its required.) officers have exercised their 10.0 Electrical repairs or additions J.❑ i am a homeowner doing all work right of exemption per MGL 1 I.0 Plumbing repairs or additions myself.[No workers'sump. C. 152, §1(4),and we have no 12.0 Roof repairs insurance required.[r employees.[No workers' 15.❑other insurance required. IAiiy applicant that ahccks but at must also,rill uul Ihv uctiuo below,eawing(hair rartmi camptnwdun policy infiummion. I hvnuownnt who,cuhmil this allldnvit indicating they am doing all want and then biro all nide coattoc em Mimi sohMll a new affidavit indicting suck$'unVyian that ch vk ibis box mutt.mxhud an addillurwt.hod shuwing the nwne of the ulb coalmet a t and thalr workers,wmp.policy infomnadoa. /urn an employer that pruviding workers'cumpauatlan btyaranee jot my L/ mnp/uyees Below/ tinu n shepo!/ty andJub site Insurance Company Name: y Policy 4orSclf--inn. Lic, 4: ,0 Expiration Date- '1 Job Sift Address: 1 /1 � /� c\� City/State/Zip: hnich a copy of the workers' compensation pulley declaration page(showing the policy number and expiration data). FFail=to secure coverage as required under.Suction 15A ofblGL c. 152 can lead to the imposition of criminal penalties of a line up to S1,500,00 undyur one-year imprisonment,as well as civil penalties in the farm of it STOP WORK ORDER and a line of up to S250.00 a Jay against the violator. Ile advised that a copy of this statement may bo furwardcd to ilia Of fico of Investigwiuns ol•fhe DIA for insurance coverage verification. Idea,hereby certify under the putty all peen ujperjury at the injurnrutlua provided ubu ve ix lrae uuJ currvea OlJiciol use only. Ou not write in this area, to be completed by city or town,/7-iuL I I City or 1•'wil: j Issuing Awhurily (circle one): - --- 1. hoard of Ilvallh L Iluildin., 0uparnncut 1. Cilyi ruwo Clerk J. F.Ieetrleal Ingscclur b. Plumbing Iospector lr.Odlcr i Cunlact 1'crauu- Phone rt: l Information and Instrnction3 >lassaL;busctis General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under tiny contract of hire, cypress or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the Issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the Insurance coverage required." Additionally. MGL chapter 152, §25C(7)states"Neither the commonwealth not any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicant Please rill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should he returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their Self-insurance license number on the appropriate,line. city or Town OMCIR13 Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom Of the affidavit for you to rill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to till in the permitilicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on files for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Of fec of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accident OMce of Iavestigations 600 Washington Street Boston, MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 ;tcviscd 5-'6-05 www.mass.gov/dia CITY OF S.1 ZN(, Akss.kcfjusETTS ©L'ILOLVG DEP.1RTtEV1' 120 W-kSNLVGTON STREET, Jw ROOR r2L (978) 745.959S KIJBERLSY OUX()LL FAX(978) 740.9SO MAYOR Tko.►W ST.FtEtus DtREGTOR OP Pl'BLlC PROPERTY/8CaDLNG CO-%OIISSIONER Construction Debris Disposal AlRdavit (required for all demolition and renovation work) In accordance with the sixth edition orthe State Building Code, 780 CMR section I 11.5 Debris, and the provisions of MGL c 40, S 54; Building Permit fa is issued with the condition that the dcbris resulting from S I JOA. this work shall be disposed of in a properly licemcd waste disposal facility as defincd by NICL c The debris will be transported by: rho The debris will be disposed of in : (name o(facd{fyl + y mreofperm+f 3pp iq ^r inn vd:.� t The Commonwealth of Massachusetts Board of Building Regulations and Standards • CITY OF O / 10 Massachusetts State Building Code, 780 CIVIR i016 DEC AvIIV r 2011 I 1 Building Permit Application To Construct, Repair, Renovate Or Demolish a `n One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: Z Building Official(Print Name) Signahue - - SECTION 1:SITE INFORMATION 1.3 ryper I fi Address n 1.2 Assessors binp Sr Parcel Numbers (o e sh I.la Is this an accepted street9 yes no Mop Number Parcel Number 1.3 'Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq 11) Frontage(11) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water ply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Munici al❑ On site disposal s stem ❑ Public Private O Check if es❑ P y SECTION2: PROPERTYOWNERSHTP! 2.1 OwnerlofRR,��c ord. S ly �144Jl�ir� se tP 7; - RR me(Print) City,Slate,ZIP 176 Q� 8- lk ?kl-4c 5-row <- lee AAk/P c.c11yd. ca No.and Street Telephone & Email Address �r SECTION 3: DESCRIPTION OF PROPOSED WORKS(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied CVrflepairs(s) Altemtion(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.Cl Number of Units_ I Other ❑ Specify: Brief Description at'Propo d Work=: D ( Orr Vat cf-lv ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) I. Building $ ;[ o(D o I. Building Permit Fee:S Indicate how fee is determined: ❑Standard City/Town Application Fee 66/dU 2. Electrical S t9 O O Total Project Cose(Item 6)x multiplier x 3. Plumbing S .2 v 00 2. Other Fees: S 4.Mcchanical (HVAC) S List: j o 5. Mechanical (Fire S Total All Fees:S Su ression) Check No._Check Amount Cash Amount:_ 6.Total Project Cost: S r ODD 0 Paid in Full 13 Outstanding Balance Due: t SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.S 9 -09Y11Z ulfI6 0 N/' License Number E.epiiratin Da e N:une of S Holder Pf List CSL Type(see below) �� / r ✓ Type Description No.:md Stree p U Unrestricted(Buildings u g to 35,000 cu. It. Restricted IA2 Family Dwelling City/town,State,ZIP 7T_ M Masonry RC _ Roolms Coverin WS Window and Siding 7/- SF Solid Fuel Buming Appliances Y1'11C45/ I Insulation Telephone Email uJJress D Demolition 5.2 Registered l me,I ov a Contr cto (HIC) f z 0 r 3 C Reg istralio0 N , er Es ' ati Date I IIC Company an r t Remiswint Name cos ,Ate No.air 2rV�f/I .O _ Emuil dJress Ci /To% n State ZIP Tale hone SECTION 6:WORKERS'.COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 2iC(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 Wtumc400Me building permit. Signed Affidavit Attached? Yes .......... No...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR{AP PL•IES FOR BUILDING PERMIT (j 1,as Owner of the subject property,hereby authorize e)I ept)"tW l 0 Pr t9 act on my behalf,in all matters relative to work authorized by this building permit application. RtLfl y- I2� z,, -4 Print Owner iName(Electronic Signature) Date SECTION 7b: OWNEHl OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and enallies of perjury that all of the information contained in this application is true and ac to to the b my knowledge and understanding. 1Z-7,1 Print Owner's or Authorized Agent's Nume(Electronic Signature) Dale 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 nut have access to the arbitration program or guaranty fund under LNLG.L.c. 1 d2A.Other important information on the HIC Program can be found at :eww muse t:ov:'out Information on the Construction Supervisor License can be found at wAw�ns 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.It.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of hal0baths type of heating system Number of decks/parches Typeofcuulingsystem Enclosed Open .3. "rutal Project Square Footage"may be substituted for"'rutal Project Cost" I .,w d �+!"W �/LE�dIH/htO�tf1/Q6L[/L.O�UVLQddCLC/t[(d... OlTice.of Consumer Affairs&+Bueieess-Re'�ulation`o', - _....5. • OME IMPROVEMENT CONTRACTOR-""j 3 egistration 138201 - Type; - Fj xpiradon 31 0.17 . DBA MPM DETAILS i STEPHEN GLEASONd� -` 158 HALE STREET �. • ��. BEVERLY;MA 019 5 Massachusetts,—Department of Public;$afety Board of Building Regulations and Standards .Construction Suner�isnr.l &.2 Family '+ 4 License: CSFA4)"l22' JS�T VS �Fp STEPHEN GLEAN 15s HALE ST << � f BEVERLY MA 6191 y '11e6a Expiration O512612017 , Commissioner ? \ The Commonwealth of Massachusetts Department of Industrial Accidents e I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leuibly Business/Organization Name: Address: 7 n / City/State/Zip: one ��� C/- Are you an employer?Check the appropriat box: Business Type(required): I.❑ I oprKa employer with employees(full and/ 5. ❑Retail V1 rpart-time).* 6. ❑Restaurant/Bar/EatingEstablishment 2. am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(me[.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8• ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have I0.❑ Manufacturing no employees. [No workers' comp.insurance required]** II- with Care 4.❑ We are a non-profit organization,staffed by volunteers, � Q with no employees. [No workers' comp. insurance req.] 12. Other f);.O(�l 1-4 *Any applicant that checks box#1 most also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: Insurer's Address: City/State/Zip: Policy#or Self-ins.Lic.# Expiration Date: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify,under t air alties ofperjury that the information provided above is true and correct. — 2 Si nature: �j Date: Id Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply your insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number.In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 www.mass.gov/dia Forth Revised 02-23-15 LIMCFFSALEA MAZAMWn BurowcDEPAXIM r Aex 70-SO MAYOR DXNASSTJNM Dffm3 rtcrFLM1c TAUMvMa Construction Debris Disposa/Af}rdavit (required forall demolition andrenovation worki in aoaer+Rnoe with the shah edition of the State euliding Code, 780 CA4k Secdon ULS Debris, and the provisions of MGL W,S S4; Birildhg Permit if is Issued with the condition thatthe debris resuftW from this wwkshen be disposed of in a properly rwensed waste deposit facility as defined by MGL c 111,S isKi The debris will be transported by: r,ri c I tis o5 , : 3-- jr3og (name of hauler The debris will be disposed of in: (name of fadlity) (address of facility) Sign re Af applicant D to OP ID: NS CERTIFICATE OF LIABILITY INSURANCE iz/1s/zoz6; THIS CERTIFICATE Is ISSUED AS A MATTER OF IN►ORMATION ONLY AND CONFERS NO MGM UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATIVELV AMEND, EXTEND OR ALTER THE-COVERAGE AFFORDED BY THE POLICIES j BELOW. THIS CERTIFICATE OF INSURANCE DOE$ NOT CONSTITUTE A CONTRACT SEMEN THE ISSUING INSURER(SL AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - IMPORTANT. 11 the eartMsde holder is an ADDITIONAL INBUIUER,the pollcy(lss)mud be atdarsad. N SUBROGATION IS WAIVED,s"d to the terTns end eondld0n of HN pdby,"rtdn polkbs mey require an oulane ment. A statement on this cainjests does not aonfor rights to SN eertMeste holder In Ilan of such endasermrd s tODwR Phone:978-741- tE BURKE INSURANCE ADM" ' Fax: I Brown Strad dem,MA OIS7WS70 mt.DETAI-I vim DETAILS estMA:Arballe PlotectlOn Insurance Stew Gleason swRetets: 1 LIVE Hals Street wlseat e: Beverly,MA 0191E erRSRELo: nReAteR a• . :OVERAOEI CE TIFlCI► NUMBER: REVNIION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF RMR/N LISTED BELOW RAVE BEEN ISSUED TO THE NiKM W1MW ABOJ!FO THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REC)IREMENT,TERM OR CCrIDRKIN OF ANY CONTRACT Olt OTHER DOCUMENT Wlnl RESPECT TO WHICH THIS CERTIFICATE MAY BE OWED OR MAY PERTAIN THE NSURANCE AFFORDED BY THE POLICIES DESCRISED HEREIN M SUBJECT TO ALL THE TERMS. EXC WSIONS AND CONDITOMM OF SUCH POLICIR.LMRs SHOWN WY HAVE BEEN REDUCED BY FAO CLAIMS. TY►a OF arivm Mucinusiont Lama .. aYIeULLWeITY EAH000URRENOE L X COMMER"GENERAL LIABILITY 00086208 1SIOEMS 101EW4 s 100, (IMMSMADE OOCCUR MEDEWJMY"qPVWjt. B, . PERSONALAADVOIJJRY f 1,BBB, GENERAL AGGREGATE t 'ZBBB, GFNL AGGREGATE OMIT APPLIES PER: PRODUCTS.COMPIOP AGO t i POUCY LOC1 . AUrOMOSU LIABILITY COMBINED 90RGlE LIMITt . ANY AUTO BODILY INJURY(Per Peron) f . AU OWNEDAlrT05 EOCILYINJURY(PwAOEdat) t 9WIEDIlLm AUTOS, PROPERTY DAMAGE f (PreWdial) HIRED AUTOS f NOWOWNEDAUTOS: t WMaLA LA E 'OOCUR BAI N OCCURRENCE t b�[eaLW *ANSWAADE AGGREGATE t RKM WON®UC OM IMTION AND WPLOYEM' MILITY Y E.L.EACH ACCIDENT f . ANY PROPRMTORNAR =dM MAR EXCLUDED? NIA E.4 DISEASE-EA EMPLOYEE f II Pndw EL DISEASE•POLICY y� P 0 T ON9 eMPH DE h n emw w e r• IVaNGH ACO lot' AeeeArd RrePheear.u., w NeM ]amlertgNOrOP6UT10t�ILOGIenq Nam , 01. CERTIFICATE RT HOLDER CA t WOULD ANY OF THR A110k DOC==POLK=Ee CANCUM BEFORE i THE t1XPMTON.DATE TRRAEO►, Nolen WILL LIST. conivintao IN Elissa Lee and Scott Pelletier ACCORDANCE Will TNS POLICY PIUMSIONS. .. 36 felt Street AUTfoR IRePaMMAWA Salem Ma 01970 0 1988- 00s ACORD CORPORATION. All rights reserved. ACORD 25(20011/09) The ACORD name and logo are registered marks of ACORD [/6Q 158 Hale Street, Beverly, MA 01915 Mobile: 617-899-6176 Fax 978-922-0764 Sadetails(o.comcast.net Contractor Reg ##88122 Home Improvement Lic#:138201 Contract for Services THIS AGREEMENT is made this day 18 of December 2016 by and between Details, hereinafter called Contractor, and Scott Pelliteir and Elissa Lee . hereinafter called the Owner. Witnesseth, that the Contractor and the Owner for the considerations named herein agree as follows: Article 1 Scope of the work The Contractor shall perform all of the work described in the Proposal of Services entitled Exhibit A, (Detailed in spreadsheet as it pertains to work to be performed on property at: 36 Felt Street, Salem, Ma (The Property) Article 2 Special Orders All bathroom fixtures, lights, cabinets outlined in Exhibit A. All other special orders must be approved by owner in advance. Int/ Article 3 Time of Completion The work to be performed under this contract shall be commenced on or before 01/03/2017 and shall be substantially completed on or before 03/30//2017 The work shall be deemed to be substantially complete upon the following: 1. Completion of all work described in Proposal of Services entitled Exhibit A: 2. Completion of any add-ons not included in Exhibit A, (Will change completion date). 3. Any additional Add-ons to be in writing either by fax or email, including a description of costs, services, start date and completion date. Article 4 The Contract Price The Owner shall pay and the Contractor agrees to perform the work, furnish the materials and labor under this Contract as specified in the proposal of services entitled exhibit A for the total sum of$72,000.00 . Any additional add-ons not part of the contract will be agreed to in writing by the parties. Any materials supplied by owner will be deducted from the contract price. CS= Customer Supplied. Materials, not stated in proposal, must be approved by Owner in advance and will be invoiced separately in addition to the contract price. Contract price is subject to additions and deductions pursuant to authorized ch a orders. Materials ordered and/or picked-up by Details have a 20% service charge. Initials: ( ) Page 1 of 3 Details and Scoot/Elissa Article 5. Subcontractors The Contractor agrees to sole) responsible for the completion of the work described regardless 9 Y of the actions of an thirdparty/subcontractor utilized b the Contractor. The Contractor further Y Y agrees to be solely responsible for all payments to all subcontractors for materials and labor under the agreement. Checks written directly to subcontractors will be subtracted from the contract price.. Any such payment will be considered satisfaction of the Owner's obligation under the contract. Payments Article 6 Progress Pa y Payments of the Contract Price shall be paid in the manner following: DATE:—Contact signing Sum: 25.000.00 (See attached payment schedule) Balance Due: Upon satisfactory completion of the Contract and the work described in Exhibit A If payment is not made when due, Contractor may suspend work on the job until such time as all payments due have been made. A failure to make a payment for a period in excess of 3 business days from the due date of payment shall be deemed a material breach of this contract Article 7: Collection Fees A$100.00 late fee will be charged for all past due accounts over 10 days. Should legal proceedings be instituted for breach of the terms of the contract, the breaching party agrees to pay reasonable attorney's fees, court costs, and other costs incurred by the non-breaching party. There will be a $30.00 charge for all returned checks. Article 8: Evaluation of Work One Final punch list of items should be in writing and given to contractor at end of construction. Customer understands what a punch list is (�Initia[s Article 9: Permits and Parking The following building or construction related permits are required and will be secured by the contractor as the homeowner's agent, and be adhered to unless circumstances beyond the contractor's control arise: All fees for special permits, are considered expenses for the job and are billable weekly. Page 2 of 3 Details & ScottlEli,ssa DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Acceptance of Contract THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. I have fully read, understand, and agree to all terms and conditions as described in this contract. You are authorized to do work as specified. When contract is signed on location, State law provides that the customer may rescind contract acceptance by notifying Details, Ltd. in writing and delivering the notification to our office within 3 days of signing. Signed this 02- 1 day of Pe "r" k�r'_ . 2016 Signed in the presence of: Witness Wines S Owner Signature Owner Signature Owner Address Apt or Suite# City �G 'G�/` State _ Zip , Phone 5��3n�i G Fax e-mail Contractor Signature 2/ /,6 Te Da Page 3 of 3 Details & Scott/Elissa IV t i Y i W3639BU"T W1239 R, } I N ca WR3721 BUTT P96, lllewr j N I N P _ a i � oe9soonn G �. A i CD to N W1236 - - R i co - G f ALn .._ { d8 ceoscIpdXOb 1966Z86C1;pH „ x E IMe Ae L jaffi �Z179t �Ztr9l N ` 18b Zc m xic u _ 12611 9" 3Cf" 73,6"' 1 ,� 1 ;6" A 1, 4Q 54 32 , t N m W1542 W304-BUTT W3639BUTT t37 r LO N1JI lfl R4, 7 ..._ .. . ",tIgN ." MP to n t p p VFP1348 r4 BWBB18; BD18 ,DISH IQ6 S630BUTT.W EZR36R.WSS V I ,Sra t r.. 1811-7r 1$„-- -2 " 3 "- --36, i 4811 27" 51 " t_ 76 71, 6' j 2 27}"3 \ . . w. . . . . �. . �. % . FF .R33721BUTT N . . l °V\13e3QBUT j$39 . \ t�T7 : « ®« : = y LO F 1 ,VVFE . . . � . .y» � m�� /y az�» . < §§ /Dƒ§ ( m > °ƒ`y«< ? > � ? : : . « » \ � . � . .. . _ : _ , . rl \ xyy « » \llnr mam« © © < ytv . /a»%% \ \ Sys EZR3 WSS 2L » 2 ») �r - 36 1 1-27110 , . 66 16 15491 24" 18"�42"�15" 18;" � 36" 4 ,v 32 7 co r�, N WA2442R W1842L W1542 V48T d _ a. 182496R.4DXR0 Y� Y— r� to 4I V x, BF6 ~ F . BD23 .3. RANGE GAS'3(},1 -BD21.3. m F F Jl "j It�, M< pSD33jjlF(6, x m 27 21 "-�'--3 01 21"-- -1811-��--33" 4 15l" 47z „" 91 Master Bathroom 20' 0' laundry: y o Shower 4' Vanity 4- 0" 8" Closet o 20- 0". _ VECTOR E n GIFIEER s VSE Project Number:U1876.1599.201 April 6,2020 Boston Solar 55 Sixth Road Woburn,MA 01801 REFERENCE: Pelletier,Scott Residence:36 Felt Street,Salem,MA 01970 Solar Array Installation To Whom It May Concern: Per your request, we have reviewed the existing structure at the above referenced site. The purpose of our review was to determine the adequacy of the existing structure to support the proposed installation of solar panels on the roof as shown on the panel layout plan. Based upon our review,we conclude that the existing structure is adequate to support the proposed solar panel installation: Design Parameters Code:Massachusetts State Residential Code(780 CMR Chapter 51,9th Edition(2015 IRC)) Risk Category: II Design wind speed: 127 mph (3-sec gust)per ASCE 7-10 Wind exposure category:C Ground snow load: 50 psf Designed for snow guards:No Existing Roof Structure Roof Framing and Material:Per plans prepared for Pelletier,Scott(Dated 02/28/20) Connection to Roof Mounting connection: (1)5/16"lag screw w/min.2.25"embedment into framing at max.44"O.C. along rails Use(4)#10 wood screws at rail ends as required. Racking system: IronRidge Conclusions Based upon our review, we conclude that the existing structure is adequate to support the proposed solar panel installation. The glass surface of the solar panels allows for a lower slope factor per ASCE 7, resulting in reduced design snow load on the panels. The gravity loads, and thus the stresses of the structural elements, in the area of the solar array are either decreased or increased by no more than 5%.Therefore,the requirements of Section 807.4 of the 2015 IEBC as referenced in 780 CMR Chapter 34,9th Edition are met and the structure is permitted to remain unaltered. 651 W.Galena Park Blvd.,Ste. 101/Draper,UT 84020/T(801)99 -1775/F(801)990-1776/www.vectorse.com I t VSE Project Number: U1876.1599.201 ECT 'ORO � Pelletier, Scott Residence 4/6/2020 Ens I n E E R S The solar array will be flush-mounted (no more than 6" above the roof surface) and parallel to the roof surface. Thus, we conclude that any additional wind loading on the structure related to the addition of the proposed solar array is negligible. The attached calculations verify the capacity of the connections of the solar array to the existing roof against wind (uplift), the governing load case. Because the increase in lateral forces is less than 10%,this addition meets the requirements of the exception in Section 807.5 of the 2015 IEBC as referenced in 780 CMR Chapter 34, 9th Edition. Thus the existing lateral force resisting system is permitted to remain unaltered.Any non-structural changes to the plans will not affect the conclusions in this letter. Limitations Installation of the solar panels must be performed in accordance with manufacturer recommendations. All work performed must be in accordance with accepted industry-wide methods and applicable safety standards. The contractor must notify Vector Structural Engineering, LLC should any damage,deterioration or discrepancies between the as-built condition of the structure and the condition described in this letter be found. Connections to existing roof framing must be staggered, except at array ends, so as not to overload any existing structural member. The use of solar panel support span tables provided by others is allowed only where the building type,site conditions,site-specific design parameters,and solar panel configuration match the description of the span tables.The design of the solar panel racking(mounts,rails,etc.),and electrical engineering is the responsibility of others. Waterproofing around the roof penetrations is the responsibility of others. Vector Structural Engineering assumes no responsibility for improper installation of the solar array. VECTOR STRUCTURAL ENGINEERING,LLC ,-Vr mils JACOB S tic ImitgitaIIy signed z PROCTOR a S a CIVIL ��, Jacobroctottoracob No 54953 2020.04.06 19 9F C 4Q 16.34.27-06'00 Cx' I V?' )FSSlOhAL ENU 04/06/2020 Jacob Proctor,P.E. MA License: 54953-Expires:06/30/2020 Project Engineer Enclosures JSP/jsl 651 W.Galena Park Blvd.,Ste. 101/Draper, UT 84020/T(801)990-1775/F(801)990-1776/www.vectorse.com JOB NO.: U1876.1599.201 * ECTOR SUBJECT: WIND PRESSURE n G I n E E R S PROJECT: Pelletier, Scott Residence Components and Cladding Wind Calculations Label: Solar Panel Array Note: Calculations per ASCE 7-10 SITE-SPECIFIC WIND PARAMETERS: Basic Wind Speed [mph]: 127 Notes: Exposure Category: C Risk Category: II ADDITIONAL INPUT & CALCULATIONS: Height of Roof, h [ft]: 25 (Approximate) Comp/Cladding Location: Gable Roofs 27° <8<_45° Enclosure Classification: Enclosed Buildings Zone 1 GCp: 1.0 Figure 30.4-2C (enter largest abs. value) Zone 2 GCp: 1.2 (enter largest abs. value) Zone 3 GCp: 1.2 (enter largest abs. value) a: 9.5 Table 26.9-1 zg [ft]: 900 Table 26.9-1 Kh: 0.95 Table 30.3-1 KZt: 1 Equation 26.8-1 Kd: 0.85 Table 26.6-1 Velocity Pressure, qh [psf]: 33.2 Equation 30.3-1 GCp;: 0 Table 26.11-1 PRESSURES: p =q,,[(GCS,)—(GCS,,.)j Equation 30.9-1 Zone 1, p [psf]: 33.2 psf(1.0 W, Interior Zones*) Zone 2, p [psf]: 39.8 psf (1.0 W, End Zones*) Zone 3, p [psf]: 39.8 psf(1.0 W, Corner Zones* within a) (a= 3 ft) JOB NO.: U1876.1599.201 SUBJECT: CONNECTION E r1 G I rl E E R S PROJECT: Pelletier, Scott Residence Lag Screw Connection Capacity: Demand: Lag Screw Size [in]: 5/16 Max. Trib. Cd: 1.6 NDS Table 2.3.2 Pressure Max d 2 Max. Uplift Embedment' [in]: 2.25 (0.6 Wind) Tributary Area Force (Ibs) (psf) Width (ft) (ft) Grade: SPF (G = 0.42) Zone Capacity [Ibs/in]: 205 NDS Table 12.2A 1 19.9 3.7 10.2 204 Number of Screws: 1 2 23.9 3.7 10.2 245 Prying Coefficient: 1.4 3 23.9 3.7 10.2 245 Total Capacity [Ibs]: 527 Demand< Capacity: CONNECTION OKAY 1. Embedment is measured from the top of the framing member to the beginning of the tapered tip of the lag screw. Embedment in sheathing or other material is not effective.The length of the tapered tip is not part of the embedment length. 2. 'Max.Trib Area'is the product of the'Max.Tributary Width' (along the rails)and 1/2 the panel width/height (perpendicular to the rails). VECTOR JOB NO.: U1876.1599.201 SUBJECT: GRAVITY LOADS E n o i n E ER S PROJECT: Pelletier, Scott Residence CALCULATE ESTIMATED GRAVITY LOADS Increase due to Original ROOF DEAD LOAD (D) pitch loading Roof Pitch/12 7.8 Asphalt Shingles 2.4 1.19 2.0 psf 1/2" Plywood 1.2 1.19 1.0 psf Framing 3.0 psf Insulation 0.0 psf 1/2" Gypsum Clg. 0.0 psf M, E & Misc 0.0 psf DL 7 psf PV Array DL 3 psf ROOF LIVE LOAD (Lr) Existing Design Roof Live Load [psf] 20 ASCE 7-10, Table 4-1 Roof Live Load With PV Array [psf] 20, w/ Solar Panel SNOW LOAD (S): Existing Array Roof Slope [x:12]: 7.8 7.8 Roof Slope [°]: 33 33 Snow Ground Load, pg [psf]: 50 50 ASCE 7-10, Section 7.2 Terrain Category: C C ASCE 7-10, Table 7-2 Exposure of Roof: Fully Exposed Fully Exposed ASCE 7-10, Table 7-2 Exposure Factor, Ce: 0.9 0.9 ASCE 7-10, Table 7-2 Thermal Factor, Ct: 1.1 1.1 ASCE 7-10, Table 7-3 Risk Category: II II ASCE 7-10, Table 1.5-1 Importance Factor, Is: 1.0 1.0 ASCE 7-10, Table 1.5-2 Flat Roof Snow Load, pf [psf]: 35 35 ASCE 7-10, Equation 7.3-1 Minimum Roof Snow Load, pm [psf]: 0 0 ASCE 7-10, Section 7.3.4 Unobstructed Slippery Surface? .rNe ,1- ;4, Yes ASCE 7-10, Section 7.4 Slope Factor Figure: Figure 7-2b Figure 7-2b ASCE 7-10, Section 7.4 Roof Slope Factor, Cs: 1.00 0.62 ASCE 7-10, Figure 7-2 Sloped Roof Snow Load, Ps [psf]: 35 21 ASCE 7-10, Equation 7.4-1 Design Snow Load, S [psf]: 35 21 JOB NO.: U1876.1599.201 :0, 11' /E n G I rl E E R S EC 'T 0 R SUBJECT: LOAD COMPARISON PROJECT: Pelletier, Scott Residence Summary of Loads Existing With PV Array D [psf] 7 10 Lr[psf] 20 20 S [psf] 35 21 Maximum Gravity Loads: Existing With PV Array (D+ Lr)/Cd [psf] 21 24 ASCE 7-10, Section 2.4.1 (D+5)/Cd [psf] 36 27 ASCE 7-10, Section 2.4.1 (Cd=Load Duration Factor=0.9 for D,1.15 for S,and 1.25 for Lr) Maximum Gravity Load [psf]: 36 27 Ratio Proposed Loading to Current Loading: 75% OK The gravity loads and;thus,the stresses of the structural elements, in the area of the solar array are either decreased or increased by no more than 5%.Therefore,the requirements of Section 807.4 of the 2015 IEBC as referenced in 780 CMR Chapter 34, 9th Edition are met and the structure is permitted to remain unaltered. JOB NO.: U1876.1599.201 VECTORSUBJECT: SOLAR LAYOUT E rl G I rl E E R S PROJECT: Pelletier, Scott Residence _.-- _::.. :;:::: :!! !! IIIIIIIIIIIIIIIIIIIIII MS' __ 0,:,- ..5.---1/4. .0. 040., . 0, vv.— ..-...-- --..... . ...4r '. ..:,z1- ---_;.:-_ 0. 00—__ A‘ =4-____--,---40.7=-7-7:---4s= :-..::-=- ::=,_....... 11%1-0/7 * t --....r..:- ,..i.-..- i.,..-..,...,_ "4* • C. -z.-... jr,:.- 4-•==. .::- 0 -----.71,-, ..--.,.., *----,-.3--:_ F--...t..- --,Roof 1 Azimuth:215° N Tilt:33° _ >= Solar Access: 95% 20 Modules-1.25 ---=> 3 klIV PV Load Cente Utility Meter/Mai 'V Utility Disconnect A SMART Meter