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73 BOSTON ST - BPA-2009-800 RPR 3 UNITS, FIRE DAMAGED. Y t CITY OF SALEM PUBLIC PROPERTY <) DEPARTMENT KIMBERLEY DRISCOLL MAYOR 120 WASHINGTON STREET'♦ SALEM,MASSACHUSETTS 01970 ' Tei_978-745-9595 ♦FAX:978-740-9846 APPLICATION FOR PLAN EXANIINATION AND BUILDING PERMIT ALL BUILDINGS EXCEPT ONE AND 2 FAMILY DWELLINGS IMPORTANT:Applicants must complete all items on this page SPIE INFORMATION Location Name Building Property Addres 3 �osnr, 'rV et Located in: Conservation Area Y/N Historic district APPLICATION DATE Use Groups (check one) Group Homes R3 R4_ Residential(3 or more Units) R2= - Type of improvement Residential(hotel/motel) Rl_ (check one) Assembly(Theaters) Al_ New Building_ Assembly(restaurants&clubs) A2r A2nc_ Addition Assembly(churches) Al_ Alteration Business B_ Repair/Replacement-X- Educational E_ Demolition-4- Factory(moderate hazard) Fl_ Move/Relocate Factory(low hazard) F2_ Foundation Only High Hazard H Accessory Building_ Institutional(residential care) Il_ Institutional(incapacitated) 12_ Institutional(restrained) 113_ Mercantile M_ Storage Sl Moderate Hazard Storage S2 Low Hazard OWNERSHIP INFORMATION(Please tri o Priat CI arty) OWNER Name J( Address Telephone - — C '1'i g� SignatureR�'QRMEl / DES. KLYIONOf ORTS,TOBEIA. l fk ( ('UAA�( OT "Fll� Qw /OP ���7 S �--- ESTIMATED CONSTRUCTION COST 3 CITY OF SALEM PUBLIC PROPERTY DEPARTMENT KIMBFRI.EY DRISCOLL MAYOR 720 WASHINGTON$TRF..Fr SALEM,MASSACHUSF-M 01970 TE[_978-745-9595♦FAX:978-740-9846. CONTRACTOR INFORMATION � Name Enyirporr1PJ1W i2gtwCLtfmN C Address— 10 C G Telephone 'LP! Construction Supervisor's Lic# J Home improvement Contractor# 114 U ARCHITECUENGINF.ER INFORMATION Name Address Telephone Mass.Registration # PERMIT FEE CALCULATION Estimated Cost x$11/$1,000+$5.00=��2(p 2 I D COMMENTS The undersigned applicant g pp nt d oes hereby attest that all information stated above is true to the best of my knowledge under the penalties p ryury Signed (owner) (agent) APPROVED BY: DATE APPROVED: I 1 � John A.noris,CLnirm n Peter K.Simut,Vice Chairmen Fnnk J.Milo, Second Vice Chairman Jam,'R.Zks .,,Tmvnre, SALEM HOUSING Robert J.J.1bet, Assistunc Treasurer A U T H 0 R I T Y Carol A.MacGoom,E.ccutive Uimcrm April 30, 2009 Gary M. Goldstein Seltser& Goldstein Public Adjusters, Inc. 900 Cummings Center, Suite 302-T Beverly, MA 01915 Re: 73 Boston Street, Salem, MA Insurance Repairs(Fire D.O.L. 10/11/08) NOTICE-TO-PROCEED-FOR INSURANCE LOSSES ONLY Seltser& Goldstein Public Adjusters, Inc. is hereby authorized to have Environmental Restorations,Inc. commence work at the start of business day on May 4,2009 and will be completed by August 4,2009. You are informed that Carol A.MacGown is the contact person for the Salem Housing Authority. Please acknowledge receipt of this Notice to Proceed by signing and dating the original and three copies with one to be retained for your files. Please forward one original back to the housing Authority and one to the contractor. Our tax exempt number is 04-6003930 Si cerely, arol A. Mac= own Director CAM:dt Accepted B - By: A&. Date: Gary M. Goldstein, Seltser& Goldslein Public Adjusters, Inc. File: Notice to Proceed insurance east coast 27 CHARTER 5TREI-1 • SALEM MA 01970-3699 � 978.744.4431 • FAX 978.744.9614 EMAIL: saleniha@comctsr.net T AC-080- CERTIFICATE OF LIABILITY INSURANCE OP ID PG IDATE(MMIDD1YYYY) ENVIR-2 04/15109 11PRoouceR THIS CE TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DeSanetis. Insurance Agcy, Inc. - HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR �' '6 Cummings Park ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Iburn'MA-01601_.. . . __.. '- ?hone: 781-935-8480 Fax:781-933-5645 INSURERS.AFFORDING COVERAGE NAIC# ISURED INSURERA: &basset Insanity Ineurenee INSURER B: I Harleysville Insurance Environmental Restorations Inc INSURER C: c®era s xrWuetry me. rA. 10 Hazel Drive Hampstead NH 03841 IdsuAERD: Acadia Insurance Com an INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITIONOF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TOWHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - LTR NS TYPE OF INSURANCE POLICY NUMBER DATE MMID DATE MMR) LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 000,000 A X COMMERCIAL GENERAL LIABILITY 4000005948081 06/01/08 06/01/09 PREMISES Eeomlrence s 50 000 CLAIMS MADE FX]OCCUR - MED EXP(My ala Person) $5,000 X Inc.P011uti:onLiab PERSONAL&ADV INJURY $ 11000,000 Asbestos/Lead GENERAL AGGREGATE s3,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO -i3,000,000 POLICY X JECT . ' LOC AUTOMOBILE.LUISILTTY B ANY AUTO - BASIJ3901 04/12/09 04/12/10 (asaCd Ei DSINGLELIMB $ 1,000 CO BINE 000 B ALL OWNEDAUTOS BA19J3901 04/12/09 04/12/10. BODILY INJURY S X SCHEDULEDAUTOS - (Per PersoA) X HIREDAUTOS - BODILY INJURY $ X NON-OWNED AUTOS (Per soddpnl) PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT E ANY AUTO OTHERTHAN EA ALC E AUTO ONLY: AGO S EXCESSNMBRELLA'LIABILITY EACH OCCURRENCE s3-10-0-0-10-0-0 A X7 OCCUR E CLAIMSMADE 40UM000594081' 06/01/08 06/01/09 AGGREGATE s3,000,000 s 0DEDUCTIBLE - ' $ X RETENTION $10,000 - :S WORKERS COMPENSATION AND - X TORYUMRS ER EMPLOYC ANYPRBRsTOR/PAs WC6966445 O8/01/O8 06/01/09 E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNERIIXECUTIVE OFFICER/MEMBER EXCLUDED? MA,NH,RI,NY E.L DISEASE-EA EMPLOYE E1,000,000 Byes deSWbe eller M ' - IALPROVISIONSbelm E.L.DISEASE-POLICY LIMIT S1 000 000 OTHER D ,Equipment CIM025607811 04/23/09 04/23/10 Scheduled $107,965 Deduct $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONSADDED BY ENDORSEMENT I SPECIAL PROVISIONS Illustration of Coverages . - CERTIFICATE HOLDER CANCELLATION TOWHO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN TO WHOM IT MAY.CONCERN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. A=I-ZE-D REPRESENTATIVE ACORD 25(2001108) 0 0 ACORD CORPORATION 1988 'Board of Building Regulations and Standards ?.� ,. � Construction Supervisor.-License Unitise CS 71077 X25/1960 . � ir-ti —MGRZ25_12009 Tr# 16343 CHARLES J MINAS08 20 CRANE.RD "N � E.HA'AAPSTEAD,FRA 03826" Commissioner . rf I At Is I ff6d*i`dE�.HOME IMPROVEMENT CONTRACTOR iRegistration: 117430 y� Expiration: 1013/2010 Tr# 275407 Type: Private Corporation ENVIRONMENTAL RESTORATIONS INC CHARLES MINISALLI 10 HAZEL DR C_ -4„.,CL.,,..,,_ HAMPSTEAD, NH 03841 Administrator - �s 73 Boston Street,Salem MA 5/26/2009 1 Environmental Restorations, Inc. A professional approach to quality service TASK MATERIALS QTY UNIT Unit A,3rd Floor Room 1(9'9"x10'2"x7'6")+closet Supply and Install new exterior door w/hardware(2'8"x6'8") 1 EA Supply and Install new Storm door with hardware 1 EA Demo existing sheetrock,flooring Re-frame damaged wall(replace smds,plywood,etc. Supply and Install new insulation 275 SQ FT Supply and Install 5/8"drywall 500 SQ FT Supply and Install carpet 13 SQ YDS Supply and Install window and trim 1 EA Supply and Install window shade 1 EA Supply and Install 3"baseboard 20 LN FT Supply and Install baseboard heat 20 LN FT Supply and Install plywood at floor 110 SQ FT Supply and Install bi fold with hardware(closet)and trim 1 EA Supply and Install new interior door w/hardware and trim 1 EA Prime and 2 coats Finish Paint 420 SQ FT Room 2(4'4"x4'5"x7'6"+10'9"x12'1"x7'6") Clean entire room Supply and Install sheetrock to patch holes 5 SQ FT Supply and Install carpet 17 SQ YD Binz room 470 SQ FT Supply and Install new window I EA Prime and 2 coats Finish Paint 470 SQ FT Bathroom(7'6"x6'0"x7'6") Clean entire room Supply and Install sheetrock to patch holes 5 SQ FT Supply and Install ceramic tile 45 SQ YD Binz room 470 SQ FT Supply and Install new window I EA Prime and 2 coats Finish Paint 470 SQ FT Hallway(11'5"x3'x7'6") Clean entire room Supply and Install sheetrock to patch holes 10 SQ FT Supply and Install carpet 5 SQ YD Binz entire room 250 SQ FT Prime and 2 coats Finish Paint 250 SQ FT Supply and Install insulation in ceiling 35 SQ FT Supply and Install new 3"baseboard 23 LN FT 73 Boston Street,Salem MA 5/26/2009 2 Hallway Closets(15"x26"x7'6") Clean entire room Supply and Install sheetrock to patch holes 5 SQ FT Binz Entire Closet and shelves 50 SQ FT Prime and 2 coats finish paint 50 SQ FT Supply and Install ceiling insulation 10 SQ FT Kitchen(8'l"x12'10"x7'6") Clean entire room Binz entire room 355 SQ FT Supply and Install vinyl flooring 12 SQ YD Supply and Install new kitchen cabinets 1 EA Prime and 2 coats finish paint 355 SQ FT Supply and Install ceiling insulation 104 SQ FT Supply and Install window 2 EA Supply and Install window shades 2 EA Living Room(14'5"x13'1"x7'6") Clean entire room Binz entire room 524 SQ FT Supply and install Carpet 2t SQ YDS Clean fireplace 1 EA Supply and install new exterior door w/hardware 1 EA Supply and Install Windows 2 EA Supply and Install window shades 2 EA Prime and 2 coats finish paint 524 SQ FT Supply and Install ceiling insulation 188.5 SQ FT Prime and 2 coats finish paint 524 SQ FT Electrical 1 Fix back bedroom where fire was Supply and Install 120v smoke and co detectors through out apartment Permit fees included Plumbing 1 EA Supply and Install toilet,tub,sink Supply and Install rough plumbing Supply and Install finish plumbing Supply and Install faucet and mixing valve Supply and Install piping for sink Supply and Install new sink Unit B,2nd Floor-Complete Gut Demolition Remove and Dispose all Sheetrock Remove and Dispose all Flooring Remove and Dispose kitchen cabinets Remove and Dispose bath vanity and fixtures Remove all Furnishings/waste(provide dumpster) Living Room(14'x]5'2"x8') Supply and Install Sheetrock(walls and ceilings) I 557 SQ FT 73 Boston Street,Salem MA 5/26/2009 3 Supply and Install Carpet 24 SQ YD Clean and Repair Fireplace 1 EA Supply and Install windows and trim 3 EA Supply and Install window shades - 3 EA Supply and Install insulation 335 SQ FT - Supply and Install new baseboard heat 15 LN FT Supply and install new Exterior door w/hardwarc and trim 1 IEA Supply and Install 3 1/2"baseboard 20 LN FT Supply and install new plywood on floors 200 SQ FT Prime and 2 coats finish paint 557 SQ FT Kitchen(7'6"x14'6"x8') Supply and Install Sheetrock(walls and ceilings) 400 SQ FT Supply and Install Ceramic Tile 108.75 SQ FT Supply and Install window and trim 2 EA Supply and Install Kitchen cabinets 1 EA Supply and Install refridgerator 1 EA Supply and Install Stove 1 EA Supply and Install insulation 225 SQ FT Supply and Install baseboard heat 22 LN FT Supply and Install 3 1/2"baseboard 13 LN FT Prime and 2 coats finish paint 400 SQ FT Hallway(3'x25'7"x8') Supply and Install Sheetrock(walls and ceilings) 509 SQ FT Supply and Install Carpet 9 SQ YD Clean brick in Nook Supply and Install hallway shelves 3 EA Supply and Install insulation(ceiling) 80 SQ FT Supply and install tile(by ext.door 4'x5' 20 SQ FT Supply and install new plywood on floors 80 SQ FT Supply and Install 3 1/2"baseboard 70 LN FT Supply and Install new exterior door I EA Prime and 2 coats finish paint 509 SQ FT Bedroom 1 (12'6"x14'3"x8"'closet-4'x3'x8' Ice Blast studs on wall facing hallway Supply and Install sheettock(walls and ceiling) 675 SQ FT Supply and Install carpet 20 SQ YD Clean Fireplace Supply and Install bi fold with hardware(closet)and trim I EA Supply and Install new interior door w/hardware and trim I EA Supply and Install rod for closet I EA Supply and Ipstall insulation 315 SQ FT Supply and install plywood on floors 179 SQ FT Supply ansa Install baseboard heat 15 LN FT Supply and Install 3 1/2"baseboard 17 LN FT Supply and Install ceramic tile(2'x5') 10 SQ FT Supply and Intall window 3 EA Supply and Install window shades 3 EA Prime and 2 coats finish paint 675 SQ FT 73 Boston Street,Salem MA 5/26/2009 4 Bedroom 2(9'x8'x8')+closet(3'6'x2'x8') Supply and Install studs/strapping on wall facing hallway 45 EA Supply and Install sheetrock(walls and ceiling) 400 SQ FT Supply and Install carpet 10 SQ YD Supply and Install bi fold with hardware(closet)and trim 1 EA Supply and Install new interior door w/hardware and trim 1 EA Supply and Install rod for closet 1 IEA Supply and Install insulation 144 SQ FT Supply and Install windows 1 EA Supply and Install window shades 1 EA Supply and Install ceiling joists Supply and install plywood on floors 72 SQ FT Supply and install baseboard heat 9 LN FT Supply and Install 3 1/2"baseboard 25 LN FT Prime and 2 coats finish paint 400 SQ FT Bedroom 3(13'10"x11'6"x8')(5'x28") Supply and Install studs on wall facing hallway .15 EA Supply and Install sheetrock(walls) 657 SQ FT Supply and Install suspended ceiling 161 SQ FT Supply and Install carpet 20 SQ YD Supply and Install bi fold with hardware(closet)and trim 1 EA Supply and Install new interior door w/hardware and trim I EA Supply and Install rod for closet 1 EA Supply and Install windows and trim 3 EA Supply and Install window shades 3 EA Supply and Install insulation 430 SQ FT Supply and install plywood on floors 160 SQ FT Supply and Install baseboard heat 40 LN FT Supply and Install baseboard - 20 LN FT Prime and 2 coats finish paint 657 SQ FT Bathroom(6'7"x8'6"x8')(5'x5'x8')(3'6"x2'x8') Supply and Install studs on wall facing hallway 10 EA Supply and Install sheetrock(walls and ceiling) 365 SQ FT Supply and Install ceramic flooring 85 SQ FT Supply and Install insulation 170 SQ FT Supply and Install interior door w/hardware 1 EA Supply and install plywood on floors 80 SQ FT Supply and Install baseboard heat 7 LN FT Supply and Install mirror 1 EA Supply and Install vanity 1 EA Supply and Install bathroom accessories I EA Supply and Install 3 1/2"baseboard 15 LN FT Supply and Install shelving 10 LN FT Supply and Install bi fold door 1 EA Prime and 2 coats finish paint 365 SQ FT Electrical I Re-wire apartment where fire has accord Supply and Install new electrical panel Supply and Install 120v smoke and co detectors through 73 Boston Street,Salem MA 5/26/2009 5 out apartment Permit Fees included Plumbing I EA Supply and Install toilet,tub,sink Supply and Install rough plumbing Supply and Install finish plumbing Supply and Install faucet and mixing valve Replace piping for gas dryer Replace dryer receptacle Replace washing machine hookup Supply and Install piping for sink Supply and Install new sink Unit C,1st Floor Living Room(14'x15'2"x8') Supply and Install Sheetrock(walls and ceilings) 557 SQ FT Supply and Install Carpet 24 SQ YD Clean Fireplace Supply and Install insulation 330 SQ FT Supply and Install baseboard heat 29 LN FT Supply and Install Exterior Door w/hardware 1 EA Prime and 2 coats finish paint 557 SQ FT Kitchen(7'6"x14'6"x8') Supply and Install Sheetrock(walls and ceilings) 346 SQ FT Supply and Install Vinyl the 12.5 SQ YD Clean Fireplace Supply and Install Kicthen cabinets I EA Supply and Install refridgerator 1 EA Supply and Install Stove I EA Supply and Install insulation 240 SQ FT Supply and Install baseboard heat 22 LN FT Prime and 2 coats finish paint 346 SQ FT Hallway(3'x25'7"x8') Supply and Install Sheetrock(walls and ceilings) 509 SQ FT Supply and Install Carpet 9 SQ YD Clean brick in Nook Supply and Install hallway shelves I EA Supply and Install insulation 77 SQ FT Prime and 2 coats finish paint 509 SQ FT Bedroom 1 (13'6"x11'10"x8"'closet-4'x3'x8' Supply and Install sheetrock(walls and ceiling) 560 SQ FT Supply and Install carpet 19 SQ YD Clean Fireplace Supply and Install bi fold with hardware(closet)and trim I EA Supply and Install new interior door w/hardware and trim 1 EA Supply and Install rod for closet 1 JEA Supply and Install insulation I 269 SQ FT Supply and Install baseboard heat 1 15 LN FT 1 73 Boston Street,Salem MA 5/26/2009 6 Prime and 2 coats finish paint 560 SQ FT Bedroom 2(9'x8'x8')(3'6"x2'x8') Supply and Install sheetrock(walls and ceiling) 400 SQ FT Supply and Install carpet 10 SQ YD Supply and Install bi fold with hardware(closet)and trim I EA Supply and Install new interior door w/hardware and trim 1 IEA Supply and Install rod for closet EA Supply and Install insulation 144 SQ FT Supply and Install baseboard heat 9 LN FT Prime and 2 coats finish paint 400 SQ FT Bedroom 3(13'x9'6"x8')(4'x6'x4'(jog by rocks) Supply and Install sheetrock(walls and ceiling) 539 SQ FT Supply and Install carpet 16 SQ YD Supply and Install bi fold with hardware(closet)and trim I EA Supply and Install new interior door w/hardware and trim I EA Supply and Install rod for closet I EA Supply and Install windows 1 FA Supply and Install insulation 455 SQ FT Supply and Install baseboard heat 33 LN FT Prime and 2 coats finish paint 539 SQ FT Bathroom(6'7"x8'6"x8')(5'x5'x8')(3'6"x2'x8') Supply and Install sheetrock(walls and ceiling) 365 SQ FT Supply and Install ceramic flooring 85 SQ FT Supply and Install Insulation 174 SQ FT Supply and Install interior door w/hardware I EA Supply and Install baseboard heat 10 LN FT Supply and Install 3 1/2"baseboard 15 LN FT Supply and Install shelving 10 LN FT Supply and Install bi fold door I EA Supply and Install mirror I EA Supply and Install vanity 1 EA Supply and Install bathroom accessories 1 EA Prime and 2 coats finish paint 365 SQ FT Electrical 1 Fix back of house where it was demoed Supply and Install 120v smoke and co detectors through out apartment Install new switches and switch plates Permit fees included Plumbing - 1 EA Supply and Install toilet,tub,sink Supply and Install rough plumbing Supply and Install finish plumbing Supply and Install faucet and mixing valve Replace piping for gas dryer Replace dryer receptacle Replace washing machine hookup Supply and Install piping for sink • e 73 Boston Street,Salem MA 5/26/2009 7 Supply and Install new sink Common Stairway Demo existing sheetrock(3rd&2nd floor) 350 SQ FT Demo carpet on treads/risers Binz and clean remaining sheetrock 1400 SQ FT Clean stairs Repair and Refinish railing and ballusters 1 EA Supply and install sheetrock 350 SQ FT Supply and Install insulation 327 SQ FT Supply and install new carpet on treads and risers I EA Supply and Install windows 5 EA Supply and Install mill work trim on windows 5 EA Supply and Install mill work trim in on doors 3 EA Refinish all landings 3 EA Supply and IntalI exterior door and trim+hardware I EA Supply and Install new 8"baseboard 64 LN FT Prime and 2 coats finish paint 1075 SQ FT Electrical Supply and Install emergency lights and exits in common hallway and basement I Supply and install 120v smoke and co detectors through out Permit fees included Decks Demo damaged deck boards and railings Supply and Install new deck boards 306 SQ FT Supply and Install new railings 70 LN FT Exterior Supply and Install slate roofing 3 SQ Repair and Rebuild manside roof 1 EA Remove and Replace ext.sheathing 20x20 15 Sheets Remove and Replace fascia board on deck 40 LN FT Remove and Replace copper flashing and rubber roof 18x17 306 SQ FT Supply and Install siding 3 SQ Replace ornamental brackets(5) 5 EA Rebuild 2 dormers 2 EA General Ice blast 3rd floor ceiling joist and rafters and 2nd floor studs 1000 EA General Conditions Temporary Power 1 Ea Porta Potty 3 Months Temporary Heat I EA Permits and Applications 1 EA Electrical Code Upgrades(Apartments 1,2&3) 1 jEa Change receptacle through out apartment to tamper proof receptacle per 2008 code Change out circuit breakers in panel to are fault breakers per 2008 code Bring kitchen,bathroom,and rest of apartment up to 2008 code