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7 ORCHARD TERRACE - BUILDING INSPECTION
C—K r' k TU CommonNucalth of Massachusetts CITY OF Board of Building Regulations and Stattda?cTsCTF ) X�L $ , 'y Massachusetts State Building Code,Ti10 CARR Revised Mar 4011 010Building Permit Application To Construct,Repair,Ren&kM OelnoftJ4: One-or Two-Family Dwelling Tbis Section For Official Use - - ' BuildtagPermitNumber Bate Building Official(1Rtni Nsme) Signature SECTION is SITE INFORMATION I� Y.1 Addy 1.2 Ams Map&Parcel Numbers 1.1a Is this an accepted shed? es no Map Number Parcel Number 1.3 Eening Information- 1.4 Property D measiow. Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Buffing Setbacks(ft) Front Yard Side Yards Rear Yard Regaieed Prnrided Required Powided Required Prmrided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private Q Zone: _ Outside Flood Zone Municipal Q On site disposal system ❑ Check if es❑ SECTION 2,=PROPE$TY OWNERSHII'r, (`. 81ownerx t 11A1�1cckJr�l `,ALEIv)t /"1A Name(Print) City,State,ZIP No.and Street Telephone Email Addresr SECTION 3 .DESCRIPP ION OF PROPUSED,WORK'(check all that apply) New Construction❑ Existing Building 13 Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) O Addition Q Demolition ❑ Accessory Bldg.❑ Number of Units I Other ❑ Specify: Brief Description of Proposed Wmk7- GAF,2&T6M -e-tOyk 26iX Aet of al 11LT6 60-F -f z6-JUCX1Rl'-- 3A-11!ccoM --ro !s4m ' 40AS�TIuyTAT�nn! PS9W DC V!5 AAE17k)ZA " MD nJ&J L3[ll_KF/G-AD SECTION 4:ESTIMATED CONSTRUCPION COSTS — Estimated Costs: Item aalwandMaterials ()fBeial'Ilse Help 1.Building $ ' L.Building Permit Fee $ Indicsw how fee is dettrmined: 2 Electrical AGI ❑Standard City/Town Application Fee G TetBI l§oteet Com'(he>i;6)x m�j : 3.Plumbing $ 4.Mechanical (HVAC) $ I int (fig n 5.Mechanical (Fire $ Totat Att Fees.$ Suppression) Check No Ctierk Amount Cash Amount b.Total Project GaW $�G�l�I O.Gf<C' ti3 Paid is Full 4 I Dae n ioli b cr�,4� ; rn n a--csn � c, CLQ, SECTION S. CONSTRIICTION SERVICES 5.1 Construction Supervisor License{CSL) / Z f2Ay.�'la ALT YtOU66, .Of License Number E4"606 Date NameofCSL.Holder List CSL Type(see below) 13orl /la�r No,and Street DescnPnon `- OANilZ[ ( E, Ald o�l'(i 1 es�ua Restricted �F amily Dwza3 , Ctty/Town,State,ZIP M masonry RC Roofing ayedM Wa Window and Siding SF Solid Fuel Burning Appliances W,3-- 702—Z 14/q l/c r�rlill ck yR�#tcn I 1 Insulation Telephone Lima addrm I? I Demolition 5 22j Registered Home Improvement Contractor(HIC) 1(02 y-3 Kite/.��0 S !hde giRegistration Number Upiratron Date we NameWrHIC'RegistrandName Ng and Street I address t I aN-,V,g i 6-dgld f7Y Rr Ci T Staten Staten� Telephone _SECTION 6 .WORKERS'COMPENSATION INSI7ItANf E AFFIDAVIT(M G.L.c 152: Workers Compensation Insurance affidavit mum be comptetedand submitted with this appheanon. Faihae to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes.......... No...........C3 SECTION 7a OVMR AUTMORlMTION TO BE COINPI ETED Nv HE OWNER'S'AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize t�o,�acct on my behalf,in all matters relative to work authorized by this building permit application. Print Owen's Na*(Electronic Signature) Date SEC1WN 71k, Ai HQ iZED A[zEi11T DEGLAR�T . 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 andumderstandiag, Print Owner's or Authorized Agent's Name(Electronic Signature) Date - 1. An Owner who obtains a building permit to do hisAter own work,or an owner who hires an unregistered contractor (not registered in the Home-hnprovementCnnt>acfor(BIC)Pmgtam),will ant have-amess.m the arbitration program or guaranty fiord under M.G.L.c. 142A.Other important information on the IRC Program can be found at www.mass. og v/oca Dion on the Constructim SupenisorLkww can be hnmd at www.mass. ov/dns 2. When substantial work is planned,provide the information below: Total floor area(sq.fl.) (including garage,finished basementlattics,decks or porch) Gross Airing area(sq.ft:) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number ofhalf(batas Type ofhe"S system, blumber ofdecks/perohes Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" C. " creating dreams of taaaliomorrow•today 375-9'14-3744 or 6Q3-7t�2-2444 www.buildingcreations.com CONTRACT SPECS KRISTEN&MAZEN GHAMLOUCH 7 ORCHARD TERR. SALEM,MA EMAIL:MAZGHAM@GMAIL.COM TEL:(781)996-9182 A. KITCHEN 1. LABOR TO REMOVE EXISTING COUNTERTOPS'L"SHAPE AND STRAIGHT AND INSTALL NEW FORMICA COUNTER TOP CUT HOLE FOR SINK-------------------------------------------------------------525.00 2.LABOR TO INSTALL NEW SINK,FAUCET,SHUT OFFS,AND DRAIN (SHUT OFFS AND DRAIN MATERIAL INCLUDED----------------------475.00 3.ESTIMATED COST OF NEW FORMICA COUNTERTOP "L"SHAPE 5X8,STRAIGHT SECTION 4-W---------------------------------------1115.00 4.TOTAL COST ICITCHEN ---------2,115.00 B. 2ND LEVEL BATH; 1. LABOR TO GUT BATHROOM DOWN TO STUDS AND DISPOSE------1,200.00 2. LABOR AND MATERIALS TO RESTRAP CEILING,INSTALL NEW ADVANTECH SUBFLOOR,FRAME WALL FOR SHOWER-------865.00 3. PLUMBING TO INCLUDE: ANEW TRAP FOR SHOWER B.NEW SHOWER VALVE C.SHUT OFFS AND DRAIN FOR VANITY D.TOILET FLANGE E.NEW VENT THROUGH ROOF IF.NSTALL TOILET G.NSTALL VANITY AND TOP H.INSTALL SHOWER---------------------------------------------------------3,400.00 4. ELECTRICAL TO INCLUDE: A.NEW VENT FAN LIGHT B.GFI NEXT TO VANITY C.INSTALLVANITY LIGHT----------------------------------------------------850.00 S. MATERIALS AND LABOR TO INSTALL R-19 INSULATION TO EXTERIOR WALLAND R-301NSULATIONTO CEILING----------------280.00 6. MATERIALS AND LABOR TO INSTALL%"BLUBOARD AND PLASTER TO WALLS AND CEILING---- ---------------------1,900.00 7.MATERIALS AND LABOR TO INSTALL'A"HARDIBACKER TO FLOOR SURFACE--------------------------------------------------120.00 S.MATERIALS AND LABOR TO INSTALL TILE TO FLOOR ANDGROUT--------------_----------------------------------------------------385.00 9.ALLOWANCE FOR VANITY,TOP,FAUCET,AND TOILET ANDSHOWER-_...._._-----------..._ --_-----_-_ 10.TOTAL COST 2ND LEVEL BATH -----9x250.00 C.BASEMENT: 1.LABOR TO REMOVE ROTTED WALL IN BASEMENT BELOW KITCHEN WINDOW TO INSPECT FOR LEAK AND DISPOSE---325.00 2.LABOR AND MATERIALS TO REMOVE BLOCK FROM BASEMENT WINDOW OPENINGS,FRAME IN NEW PRESSURE TREATED FRAME AND INSTALL NEW HUFFER WINDOW 3 WINDOWS @ 650/EA-------------------------------------------------1,950.00 3.LABOR AND MATERIALS TO REMOVE PRESSURE TREATED BULKHEAD AND STAIRS,REMOVE BRICKS,AND DIRT FROM UNDER STAIRS,FRAME IN NEW STAIRS AND NEW PRESSURE TREATED BULKHEAD 3.TOTAL COST BASEMENT ----5,620.00 D. EXTERIOR: 1. LABOR AND MATERIALS TO STRIP ENTIRE ROOF AND INSTALL 6'ICE/WATER SHIELD,SYNTHETIC UNDERLAYMENT AND 30YR ARCHETECTURAL SHINGLES-----------------------------------------7.000.00 2.COST OF NEW DOUBLE 4"VINYL SIDING INSTALLED(color chosen by customer)WITH WHITE TRIMWORK ON CORNERBOARDS AND RAKES AND FACIA BOARDS AND WIDE TRIM"J"CHANNEL AROUND ALL 16 WINDOWS=12,000.00...COST OF 2 FRONT DORMERS DONE WITH SAME SPECS AS ABOVE- 1,500.00------------------------------------------------------------13$00.00 3.COST TO ADD 3/8"FAN-FOLD INSIIATION WRAP TO ENTIRE EXTERIOR OF HOUSE OVER EXISTING SIDING TO MAKE NEW VINYL SIDING JOB A FLATTER SURFACE AND TO ADD INSUABILITY TO HOUSE ENVELOPE----------------------1,325.00 4.EXTRA COST TO HAVE VINYL CEDAR SHAKES INSTALLED TO FRONT OF HOUSE VS TRADITIONAL VINYL CLAPBOARDS-----------------------------------2,000.00 5. TOTAL EXTERIOR-----..--.-.-.----------------.--.-...---------------.23,825.00 E.TOTAL COST ALL ABOVE WORK (A-D)---------------------------------------40NO 10,00 F.ALL WORKMANSHIP GUARTANTEED FOR 1 YEAR FROM COMPLETION G.COVERED UNDER MASS CONTRACTOR LAW.HIC REG#167843 H.JOB DURATION=8 WEEKS 1.PAYMENT SCHEDULE:4-5 SCHEDULED DRAWS WITH A&M CONSULTANTS AT VARIOUS STAGES OF THE PROJECT - ------------ --------- - UILDING CREATIONS 30/8/16 MA2EN H H 10/8/16 CITY 4F S U EItii, INIAss tcHusETFS 130 WASHV40TON STREET.3"'FLOOR TEL (978)745-9595 FAX(97M 730-9846 YJNMERLeY DRISCOLL ,MAYOR THOMAS ST.PWAM DIRECTOR OF PL'BLtc PR.OPEILTY/B[.'iLnmG cosmrlssrONER Construction Debris Disposal Affidavit (required for all demolition and renovation wank) In accordance with the sixth edition of the State Building,Code,780 CMR section 111.3 Debris,and the provisions of MOL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a property licensed waste disposal facility as defined by MGL c 111,S t SOA. The debris will bre transported by: (name of hauler) The deliria will be disposed of in C�ZR60 (nemeoCfaoility) 27© cy;-r6 fZD <n/G /FYI o3r�jZ (address orfacilily) gnantre of permit applicant ate Aboi.mIr.j,w The Ceamaea weatO efMam 1110gooratoistoffadusbMAeddamb I Cewapme$WWI,smiAr l" M,�esu�rT werkper cemp�e,ratar:Ke A TOB$FAjKD WnR TBL 1!FJtWMNG AUUMM. 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I dotes b a a,fa audPmd"ofpopm d 'W b orm a d FOAM lk� t � ; --2s-2'2--00`1 qqfddmmaWa4ax I*A*ar44 obircomphudbpAP&Oft My ar Towtm• periammAccapr ti Inuit Army(dxtk on* 1.Bond of PASS L BWMWI Dapntmeot 3.CNyfrawa Clark d.Blectrkd tapecter s n mllug impector C other Coataet Fenoa: Psoae 0: (J IW ( /11��2(IPIX 0 Coreumer AHaVs&Businesso log �ytE{ PROVEMEN'1 CONTRACTORCTOR � <f' Indvidual - - M � on 17)1812019 - 3V�. Iqq� I nd J HoONDHOUtP UndersecretaryP'a au+St. ft NH 03819 1, s Massachusetts Department of Public Safety j= = Board of Building Regulations and Standards License: CS-105990 Construction Supervisor , .,. RAYMOND J HOULE,01. 309 MAIN ST ;, ' ! DANVILLE.NH 03819, r Expiration: Commissioner 0310212018