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4 GRANITE ST - BUILDING INSPECTION X -7 Gt 37Z� The Commonwealth of Massachusetts 4 c L`W ' Board of Building Regulations and Standards fkV'fjDCC!frY OF SALEM Massachusetts State Building Code,780 CMI�O,b AUG e A gkv3gd Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling \� This Section For Official Use Only Building Permit Number: Date Applied: 'nn Building Official(Print Name) ':Signature ,,, Date Y SECTION 1:SITE INFORMATION s. \ 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers Ll 1.1 a Is this an Y accepted street? es no Map Number Parcel Number P 13 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.G.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 yes❑ SECTION 2: PROPERTY OWNERSIUP' 2.1 Owner of Recor Name(Print) City,State,ZIP q -?q1- ( swwhsy(DAd.c4�4 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORF0(check all that:apply) New Construction❑ Existing BuildingOwner-Occupied Repairs(s) Alteration(s) Addition 11 Demolition Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Workz; &A41MAA AApLA ! ✓ "'AJ I cbr, e 1s ' e') 14A I �s u'zr _fSECTION 4: STIMATED CONSTRUCTION COSTS _ Estimated Costs: - - Item Labor and Materials Official Use Only 1.Building $ ' (.P,"��8 1. Building Permit Fee: $ Indicate.how fee is determined: 2.Electrical $ 13 Standard Ci YTown Application Fee ��� � El Total Project Costa(Item 6)x'multiplier x 3.Plumbing $ (� 000,O 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire� $ :Su ression Total All Fee s $ n Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ a q I ElPaid in Full ❑Outstanding Balance Due: a Zvo t7 TO 64 .0 , I SECTION 5: CONSTRUCTION SERVICES 5.1 YConstruction Supervisor License(CSL) tYU V1(4 N, �A License Number `1 Expiration Date / Name of CSL Holder I /JI List CSL Type(see below)A- I6Q 17-✓��A(1(!l�( .type .. Description No.and Street n O U Unrestricted(Buildingsa to 35,000 cu.fL _I R Restricted 1&2 Family Dwelling City o ate,ZIP M Masonry RC Roofing Coven WS Window and Siding �'_q4 �'1i k, SF Solid Fuel Burning Appliances �f Or i �p/p.7 06(AI,✓' 1 Insulation Telephone Email address D Demolition 5.2 RegisteredHome Improvement Contractor(HIC) �� �aT S � 1A 1 ��U(1,P�Y'S rYtA(.I Wn M(.V)1 V 1 IUr tom; IUC Registration Number xp x�C Company Name or HIC Registrant Nam J, I IIUa 11 I JUrI No.an / SS treet 11kc)1io OA6 "'�(O n�r-a.31-y Email address Ci /Too,Stile,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AVIT(M.G.L:c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuan#of the building permit. Signed Affidavit Attached? Yes .......... No...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S ACENT OR CONTRACTOR APPLIESFORBUILDING PERMIT 1,as Owner of the subject property,hereby authorize Alo l�(,(J) I V IC (�4144;4_!<( �V to act on my behalfin all afte 've to work authorized by this building permit application. (VYn � Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' 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 s application is true and accurate to the best of my knowledge and understanding. Print er's o Authorized Agent's Name(Alectronic Signature) - Date NOTES- 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration ' Pro program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC gram can be found at Supervisor License can be found at s www.mass. ov/d www.mass.¢ov/oca Information on the Construction Sup www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. It) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths- Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost" 4��)r Massachusetts - Department of Public Safety Board of Building Regulations and Standards C-mtructinn Supeni,ur License: CS-051304 t FRANCIS MCCOP1 sagas 1161 BROADWAY `If ROUTE 1 SOUTH ®J ` Saugus MA 01"6,,, Expiration Commissioner 0110 512 01 7 Oma of Consumer nffairs& Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: r Registration: 131725 Type: Office of Consumer Affairs and Business Regulation expiration: 9/6/2016 Private Corporatio 10 Park Plaza-Suite 5170 Boston,MA 02116 McCORMICK BUILDERS GROUP, INC. FRANCIS MCCORMICKJR. / 1161 BROADWAY J SAUGUS,MA 01906 dtrs� ttr� t�r�c -- �' Not v ithout signature �. CITY OF &UEM, UNSSACHUSETTS • BUILDING DEPART-.%iED7r f 120 WASHINGTON STREET,iso FLOOR a "ISL (978)745-9595 FAX(978)740-9846 KI\ffiERy6Y DRISCOIl MAYOR THOMAS ST.PD3RRs DIRECTOR OF PUBLIC PROPERTY/BUl DDJG CO%1!% 3SIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectricianslPlumbers Applicant Information Please Print LeaiblV Name(Busines IOrganiratioNlndividual): Address: 11 b J 13 road[, h"v p ll City/State/Zip:46 0 (0 Phone #: ZILJ 31 'V 2yo Are 1pau ao employer'Check the appropriate box: Type of project(required): 1.❑' am a employer with 4. ❑ 1 am a general contractor and 1 P (f di and/or part-time).* have hired the subcontractors 6. r❑-,New construction 2_❑ I am a sole proprietor or partner- listed on the attached sheet.t 7. NJ R m°modelmg ship and have no employees These sub-contractors have & [915c—molition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its rrr---,,, required.] officers have exercised their 10 eteytriral repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.Ly'llihimbing repairs or additions myself.(No workers'comp. c. 152,§1(4),and we haveno 12.[]Roof repairs insurance required.l t employees.[No workers' 13.[1 Othec comp_insurance required.] Any ti nl Ga out seta y app not that chats hwt must also the m below showing their work-'compensation policy infottnation. 11on%XF ere who submit this aflidsvh indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such. i:mttaatota tint cheek this bolt must attached an additional sheet showingthe home of the audeontrectaa and their wotkea'conw.Policyinfwnutioa fain as empbyer(hat it providing workers'compeasadon insurance for my employee% Below is the policy and jab stiff information. InsuranceCompanyName- Policy#orSclf-iris.Lic.#: b� IA� I-1,� ��� Expiration Date: . 7 � �� Job Site Address: C-,✓/- nlrk L City/State/Zip: &k k1 M P OLC 2 U 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 lad to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as wall 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 c fy a the pains and penalties ofperjury that the Information prosided above is erre and correct. i n t are• , Date: Phone X: � g -A 31 - U2,O J Ojfcial use only. Do not write in this area,to be completed by city or town ojjiciaL City or Town: PermidUccuse# Issuing Authority(circle one): 1.Board of Health L Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other, Contact Person: Phone#: MAKE!11�w_i.1614 E7vtnl(LY) DOOR 13000VG 26c ( 2P) �k'OOD MIxpL�i STAM Cd4 77�AtT n MLDGS l -DuGR.� ACCESS. 61 "' 4 v 1-3112" — --29 „ — 7 f -- ----$1 3 a -�—21" ---�--40 3,, a a k" J O ". N co 44 M N ' Q N m O W IN N m 1 J i r --co oom — Ma -- P1-II.e3s.u! ra toW F--- -Hlb gg in mto Mlm U I co n Q Ya,LL „"66- 0£---� Ordcred by -- Ack.n. Ckdby Final d.by FM --- - tt? Z9— - <Alme- P,.S vwvy e ® o® McCormick Kitchens -3� 0 � � 1161 Broadway (vytLoY1-mwf�- kt1Z,W1. US -r— V�-f Fy Yi r Saugus, MA 81906 Sur6 p� t5 S4AtTArI34,c-­ tF su6�,ov� R'0'PL^cq0, TI m o= r m'rvi-42a.r n (781) 231-4200 Fax (781)231-4270 �cu;=Nr -3 e'=T � www.mccormick-kitchens.com TO: MARY & PETER SALKINS PHONE DATE 8/4/2016 4 GRANITE STREET JOB NAME/LOCATION SALEM MA 01970 (H) 978.741.4863 (C) 978. 335.5983 - MARY (C) 978 .828 . 7470 - PETER JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: PAGE 1/4 JOB START DATE: 08.22. 16 JOB COMPLETION DATE: 10.21. 16* *INSPECTIONS/PERMIT SIGN OFFS MAY EFFECT COMPLETION DATE* MCCORMICK KITCHENS IS FULLY LICENSED AND INSURED: COMM OF MA HIC REG# 131725 1 MA DEPT OF PUBLIC SAFETY LIC# 51304 MCCORMICK KITCHENS TO DEMO CURRENT BATHROOM & PREP FOR NEW, CONSISTING OF THE REMOVAL OF TOILET, VANITY, FLOORING, AND EXISTING TUB/SHOWER. MCCORMICK KITCHENS TO DEMO FLOOR TO DOWN TO EXISTING SUB FLOOR. MCCORMICK KITCHENS TO REMOVE EXISTING BATHROOM WINDOW, AND PURCHASE AND INSTALL NEW CONSTRUCTION ANDERSON 200 SERIES WINDOW, R/O TO REMAIN THE SAME (CLIENT TO BE CONSULTED RE: GLASS TYPE ON WINDOW, I.E. FROSTED GLASS, IF TEXTURED GLASS IS ADDITIONAL CHARGE, COST TO BE PASSED ON TO CLIENT) . MCCORMICK KITCHENS TO PURCHASE AND INSTALL NEW BATHROOM DOOR. DOOR TO MATCH AS CLOSE AS POSSIBLE TO EXISTING (CLIENT RESPONSIBLE FOR PAINTING DOOR) . MCCORMICK KITCHENS TO REMOVE ALL DEBRIS FROM SITE. MCCORMICK KITCHENS TO SCREW DOWN THE EXISTING SUBFLOOR TO MINIMIZE ANY MOVEMENT, & PURCHASE AND INSTALL 1/2" DUROCK/HARDYBACKER INSIDE THE WALLS OF SHOWER AND FLOOR OF BATHROOM. MCCOMRICK KITCHENS TO PATCH WALLS/CEILING WITH SMOOTH PLASTER AS NECESSARY. MCCORMICK KITCHENS TO INSTALL TILE ON BATHROOM FLOOR, AND ON (3) INSIDE SHOWER WALLS. Cust. Office FM Cu.st. Office FN4 MAKE S Fwcr DOOR s PACI= t = C WOOD kt, STAIN MLDGS. 0 ACCESS WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: dollars($ ). Payment to be made as follows: PAH>= 4f All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifications Authorized ,g involving extra costs will be executed only upon written orders, and will become an extra Signature --- charge over and above the estimate.All agreements contingent upon strikes, accidents or delays beyond our control.Owner to tarty fire,tornado,and other necessary insurance.Our Note:This proposal may b workers are fully covered by Worker's Compensation insurance, withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are Signature\f�lL� f r✓+ authorized to do the work as specified.Payment will be made as outlined above. Signature Date of Acceptance: o ® o® McCormick Kitchens • • 1161 Broadway Saugus, MA 61906 h (781) 231-4200 Fax (781) 231-4270 www.mccormick-kitchens.com PHONE DATE TO: MARY & PETER SALKINS 8/4/2016 4 GRANITE STREET JOB NAME l LOCATION SALEM MA 01970 (H) 978 .741.4863 (C) 978 .335.5983 - MARY (C) 978 .828 .7470 - PETER JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: PAGE 2/4 MCCORMCIK KITCHENS TO PURCHASE AND INSTALL SHELF ON KNEE WALL AS SHOWN ON PLANS. MCCORMICK KITCHENS TO PURCHASE AND INSTALL TOP/SHELF FOR THE CAP ON KNEE WALL (TOP BASED ON REMNANT COUNTERTOP) . MCCOMRICK KITCHENS TO PURCHASE AND INSTALL BASEBOARD AND TRIM FOR INSIDE OF BATHROOM AS NECESSARY, TO MATCH AS CLOSE AS POSSIBLE TO EXISTING. MCCORMICK KITCHENS TO PURCHASE, DELIVER AND INSTALL MEDALLION GOLD VANITY CABINETS AS DESCRIBED BELOW AND SHOWN ON PRINTS. MCCORMICK KITCHENS TO PURCHASE AND INSTALL REMNANT COUNTERTOP AND 4" BACKSPLASH WITH ONE OF THE (3) STANDARD NON-UPCHARGE EDGES NOTED IN CONTRACT PACKAGE. IF COUNTERTOP MATERIAL (OR) EDGE IS UPGRADED, ADDITIONAL CHARGES WILL APPLY. ELECTRICAL: MCCORMICK KITCHENS TO WIRE BATHROOM TO CODE. MCCORMICK KITCHENS TO PURCHASE AND INSTALL (1) HIGH OUTPUT ELECTRICAL PANASONIC FAN LIGHT. MCCORMICK KITCHENS TO PURCHASE AND INSTALL WHITE DECORA SWITCHES AND OUTLETS, WIRE AND INSTALL LIGHT(S) ABOVE MIRROR, AND PURCHASE AND INSTALL (1) RECESS LIGHT IN SHOWER. MCCORMICK KITCHENS TO PUCHASE AND INSTALL ELECTRIC RADIANT HEAT IN FLOOR. NF'YU i-bSE: 11 DArneoa_ -to PFS IF ELECTRICAL SUBPANEL IS NEEDED, ADDITIONAL COST OF $750 AND IS NOT INCLUDED IN CONTRACT TOT�UPGRADE TO 200AMP (FULL PANEL) UPGRADE IS REQUESTED BY CLIENT, ADDITIONAL COST TO BE $3, 000 AND IS NOT INCLUDED IN CONTRACT TOTAL. V"t' Cust. Office FM Cost. Office FM MAKE Sty 1211 !f 0 DOOR WOOD 0 STAIN li MLDGS. t 0 ACCESS WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: dollars($ )- Payment to be made as follows: s� PAl 4 All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifications Authorized involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire,tomado.and other necessary insurance.Our Not This proposal ma workers are fully covered by Workers Compensation insurance. withdrawn by us if not accepted withi days. ACCEPTANCE OF PROPOSAL —The above prices, 8 specifications and conditions are satisfactory and are hereby accepted. You are Signature authorized to do the work as specified.Payment will be made as outlined above. Signature .. Date of Acceptance: e ® o® McCormick Kitchens • • 1161 Broadway Saugus, MA 61906 (781) 231-4200 Fax (781) 231-4270 www.mccormick-kitchens.com TO: MARY & PETER SALKINS PHONE DATE 8/4/2016 4 GRANITE STREET JOB NAME/LOCATION SALEM MA 01970 (H) 978 .741.4863 (C) 978.335.5963 - MARY (C) 978 .828. 7470 - PETER JOB NUMBER JOBPHONE We hereby submit specifications and estimates for: PAGE 3/4 PLUMBING: MCCORMICK KITCHENS TO PLUMB BATHROOM TO CODE. MCCORMICK KITCHENS TO DISCONNECT & RECONNECT SINK, FAUCET, TOILET AND SHOWER VALVE. MCCORMICK KITCHENS TO PURCHASE AND INSTALL ALL NECESSARY PLUMBING FIXTURES AND PARTS LISTED AND ATTACHED TO CONTRACT. PLUMBING FIXTURES (EXCEPT A,Rau WHICH ARE WHITE) ARE BASED ON KOHLER WITH A CHROME FINISH. IF COLLECTION OR FINISH IS UPGRADED, ADDITIONAL CHARGES WILL APPLY. A) TOTO DRAKE II ELONGATED 2-PIECE TOILET B) AMERISINK OVAL PORCELAIN UNDERMOUNT LAVATORY SINK C) KOHLER FORTE TRADITIONAL WIDESPREAD LAVATORY FAUCET D) AMERICAN STANDARD PRINCETON TUB (30" x 60") E) FORTE TUB SPOUT WITH TRADITIONAL LEVER HANDLE F) FORTE TRADITIONAL RITE TEMP PRESSURE BALANCE VALVE TRIM AND VALVE G) MASTERSHOWER HOTEL HANDSHOWER KIT H) FORTE TRADITIONAL TOILET TISSUE HOLDER I) FORTE TRADITIONAL 24" TOWEL BAR ()(2) J) FORTE TRADITIONAL TOWEL RING K) FORTE TRADITIONAL ROBE HOOK CUM. Office PM Cust. Office PM MAKE Sem P.A.GE: 9 0 0 DOOR f� Pa6E-- g �� WOOD 0 STAIN �I MLDGS.x t 0 0 ACCESS WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: dollars )- Payment to be made as follows: PAS 4 All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifications Authorized e2 involving extra costs will be executed only upon written orders, and will become an extra Signature CJ charge over and above the estimate.All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Our Note:This proposal ma be workers are fully covered by Workers Compensation insurance. withdrawn by us it not accepted wit in days. ACCEPTANCE OF PROPOSAL—The above prices. specifications and conditions are satisfactory and are hereby accepted. You are Signature authorized to do the work as specified.Payment will be made as outlined above. — Signature Date of Acceptance: _ o ® McCormick Kitchens • • ® 0 ® 11161 Broadway Saugus, MA 61906 (781) 231-4200 Fax (781)231-4270 www.mccormick-kitchens.com TO: MARY & PETER SALKINS PHONE DATE8/4/2016 4 GRANITE STREET JOB NAME/LOCATION SALEM MA 01970 (H) 978.741.4863 (C) 978 .335.5983 - MARY (C) 978 .828 . 7470 - PETER JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: PAGE 4/4 MCCORMICK KITCHENS TO PURCHASE AND INSTALL GLASS SHOWER PANEL (CARDINAL SHOWER DOOR) . CLIENT TO BE CONSULTED REGARDING SHOWER DOOR SETUP. SHOWER HARDWARE FINISH TO BE CHROME, IF FINISH IS UPGRADED, ADDITIONAL CHARGES WILL APPLY. MCCORMICK KITCHENS TO REPAIR LEAK THAT IS LOCATED UNDER MAIN SHUT OFF IN BASEMENT. COST TO BE PASSED ON TO CLIENT. * CLIENT TO VIEW AND SIGN OFF ON ALL SPECIAL ITEM ORDERS (FAUCETS, KNOBS, ETC) . MCCORMICK KITCHENS IS NOT RESPONSIBLE FOR THE PURCHASING OF SPECIALTY LIGHTS OR SWITCHES, PURCHASING OF TILE, PURCHASING OR INSTALLATION OF WALLPAPERING, HARDWARE, PAINTING, OR PERMIT FEES. Cuss. Office Flviii Cust. Office P, MAKE Mr=DoaLioti 6oLl> (PLY) DOOR i3Rvotc+ht� I�P� J WOOD YY1prPL P STAIN CHz srNuTa v� MLDGS.-TY , DXCI2r:r ACCESS 0j'N —I WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: Twent sand Seven Hundred Eighty Eight and 00/100 Dollars dollars($ 24, 788. 00 ) N aymenl to a made as lot ws: 5, 000 DEPOSIT $5, 000 DUE UPON START, $5, 000 DUE UPON ROUGH ELECTRICAL & PLUMBING, $5, 000 DUE UPON TILE COMPLETION, $3, 000 DUE UPON COUNTERTOP INSTALLATION, $1, 788 DUE UPON COMPLETION All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifications Authorized involing extra costs will be executed only upon written orders, and will become an extra Signature C _ charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Our Note:This proposal may be workers are fully covered by workers Compensation insurance. withdrawn by us it not accepted within days. ACCEPTANCE OF PROPOSAL —Thecce ted. prices . "Z,�> //(, specifications and conditions are satisfactory and are hereby accepted. You are Signature � � authorized to do the work as specified.Payment will be made as outlined above. Signature _ Date of Acceptance: