26 PRESCOTT ST - BUILDING INSPECTION J The Commonwealth of Massachusetts
Board of Building Regulations and Standards I OR
('t, 1� •,•! MUNI
Massachusetts State Building Code. 780 CMR, 7 1 edition II���LI'I1'
`U Building Permit Application To Construct. Repair, Renovate Or Demolish a Rrri.rrd huuum r
One- or Tsvo-Furrtily Duelling i 008
This rocY nFor'O ficial Use Only
Building Permit Num r: Da Applied:
Signature:
Building Commission nspector ut i s Date
SECTI N 1: SITE INFORMATION
1.1 Pr erly4dd �. 1.2 .Assessors Map & Parcel Numbers
9"=e3 7� Si
L la 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 tl) Frontage ob
1.5 Building Setbacks(1111)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required ProvidcJ
1.6 Water Supply: (M.G.L c.40, §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public❑ Private C3 Zone:
if yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP[
2.1�n
cO� or J
Name(Print) Address for Service:
( ����1 ?�Li - 30E-0
Signature Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ Existing Building' Owner-Occupied PK Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work': — /
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item (Labor and Materials)
1. Building $ I. Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town Application Fee
2. Electrical $ ❑Total Project Cost(Item 6) x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Su ression) Total All Fees: $
/ (, Check No, Check Amount: Cash Amount:
6. Total Project Cost: $ C67� ❑Paid to Full ❑Outstanding Balance Due:
-5^xi 4 CI �rlC -c sr-(`r
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) U �. /J
icense Number Expiration Dal,
Nameof CSL- Holder List CSL Type(see below) ul,P
� c a�.oCrw
Type I Description
A Jresx
U I Unrestricted I u to 35.000 Cu. Fr o
R I Restricted 1&2 Family Dwellin
Si : urc M Masonry Only
RC Residential Rooting Covering
Tcl, Kone WS Rsidential Window and Siding
SFdal Sohl Fuel Bu nuo g Appliance 11111-111A11111D Ra.Jcntial Demolition
5.2 Regis red ome JM ove nt Conor for(HJC ft 3�y
HIC Co p, HIC egislran{,Naim strution Number
Fj 5 r E) ira ionAte
urc Tel phone
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152. 5 2506))
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 ..........XNo ........... 0
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I , as Owner of the subject property hereby
authorize to act on my behalf, in all mutters
relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
i
as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and
behalf.
O
/in
2c� /_Z
OSigned
re of Owner or Authorized Agent Date
under the pains and penalties of perjury)
NOTES:
L 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(HTC) Program), will Ug have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.116 and t IO.RS, respectively.
2. When substantial work is planned,provide the information below:
Total floors area(Sq. Ft.) (including garage, finished basement/attics.decks or porch)
Gross living arca(Sq. Ft.) Habitable room count
Number of fireplaces
Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. 'Total Project Square Footage" may be substituted for"Total Project Cost"
ACCORD_ CERTIFICATE OF LIABILITY INSURANCE °° "'
PRODUCER _Flan.(617)8575110 Fea(617)6573117 01/0&2009'
KNIGHT IN
-' "- - THIS CERTIFICATE IS ISSUED AS A'MATTER-OF INFORMATION
INTERNATIONALINSURANCE GROUP BAY ONLY AND CONFERS NO RIGHTS UPON'THE CERTIFICATE '
I VICTORY ROAD HOt.pER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
MARINA ALTER THE CDVERAGE AFFORDED BY THE001,16ES BELOW.
-J QUINCY MA°2171
• INSURERS AFFORDING COVERAGE NAIC 14
INSURED INSURERA FIRSTMERCURY INSURANCE CO.
ALPINE PROPERTY SERVICES CO.,JNC. INSURER B: SAFETY INSURANCE
DBA OLYMPIC .
11 WILSON STREET INSURER C: - -
SALEM MA 01970. _ INSURER D:._.:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD fNDICATED. NOTMTHSTANDING
ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE AMY BE ISSUED OR
POUMAY PERTAIN,THE WSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS• EXCLUSIONS AND CONDMDNS OF SUCH
POLICIES.AG' SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I.dRrraD TYPE OF INSURANCE P � PO .
LTR Iwa POLICY NUMBER wr!EiFEC I oft wAnon ��
GENER�u.LlAetu7v FMMA00185 06MAIMS O6J1fflN09
X COMMERCML GENERAL LIABILITY EACHOCCIIRRENCE a 1,000,000
oaMAnETo qEM®
CAMS MADE PRBP116F91eo eoam,rd y 50.000
X OCCUR MED.EXP Om we P=?eN 5,
A X BWAelP44Aunei RMU dlmlucec
X WPER90NAL8ApVINJURY a '1,00%000
anerursWmgagwlrxiuA¢e
G
GENERAL AGGREGATE y 2,000.0001ENT AGGREGATE LWBT APPLIES PER
POLICY X P� LOC PROOUCTSCOMP/OPAGG. f 1,000,000
AurouDBItE LIABILITY 270265JGOM00 01/09109 01/09/10
ANY AUTO COMBINED SINGLE LIMIT
ALL OWNED AUTOS
(Ea a=ia8ODILYINJURY
amJ ' S 1,000,000
B SCHEDULED AUTOS (Per Paman) g
X HIRED AUTOS
X NOWOVJNrO TOS BOOILYIHJURY '
T (Pc aPjaeNJ f .
PROPERTY DAMAGE y
GARAGE IINBIIIN IParao-Jdmt)
AHYAUTO AUTOONLY-EAACCIOENT- y
OTHER THAN EAACC S'
AUTO ONLY: AGG S
EXCESS/UMBRELLA LW8ILTTY CUMA000117 06/14/06 06/14/09 EACH OCCURRENCE
X OCCUR CLAIMS MyADE 5,000,000 .
A
AGGREGATE S 5,00%000
DEDUCTIBLE S
X RETENTION S 10,000 y
WORKERS COMPENSATION AND S.
EMI L
EMI YIC STATu onER
TORY ,NTu
aNrvRoeB�TD41PARrNBMEXECrONE EA.EACH ACCIDENT . a
oFFlCEWMEM6ER FYcymEP/
afw,Anrnm®ar E.L DISEASE-EA EMPLOYEE S
ePEaI.L TRwelarrs eeiew
ELDISEASE-POUOYLIMT y
OTHER:GENERAL LIABRITY
A $10,000 DEDUCTIBLE PER OCCURRANCE
DESCRIPTION OF OPERATIONS/LOCATIONSA(EHICI,F..STvxr.I 4MIONS ADDED RY ENDORSEMENT/SPECIAL PRnVtalnAS.
I
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICES GATE THEREOF, THE ISSUBE CANCELLED BEFORETHE
I EXPIRATION ING INSURER WILT;ENDEAVOR TO MAX 10 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT;BUT•FAILURE,
TO DO SO SHALL IMPOSE NO OSUGATION OR LMSILNY OF ANY RIND UPON THE INSURER,
ITS AGENTS OR REPRESENTATIVES.
AUTHORRED REPRESENTATAIE
Attention: ,
ACORD 2S(2001108) o eJSnigfl� V
0 ACORD CORPORATION 1988
Nlas'�acIII,etrs- nu-tm
Delent of Public -
--_.. .-. -.
Bmu•tI of Buildim, Re,,ulatiuns and Standard.On --
Construction Supervisor Specialty LicensQ
-License or registration valid for-individul use only
License: CS SL 101003 -'" 'I hefore-the-expiration date. If found return to:
Restrictetl.to:. RF,WS - i Board of Building Regulations and Standards
STAVROSMOUTSOULABRim_ IOne Ashburton Place R 1301
(Boston
11 WILSON _ .
STREET ,... � .
SALEM, MA 01970 - - --
I
—"--�__ Expiration: 12r1412011 1 Notv without signature
f'unnW.rtuner
Tr#: 101003'
::vim fie
AMo on-A c�e bu> mg egul ions an tan ar s
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvemerit Contractor Registration
Registration: 154326
Type: Private Corporation
Expiration: 227/2011 Tr# 279846
ALPINE PROPERTY SERVICES! Os. .,
STARROS MOUTSOULAS =: ;;=i;•:,.�-=_:: ':
11 WILSON STREET
SALEM, MA 01970
Update Address and return card.Mark reason for change.
E) Address O Renewal E] Employment Lost Card
DP9-0At 0 50M- 107-1`08490 -__. ...
.....
Board'�anvneao:uiea�di op./lZaGda*�N/d¢Qa
Board of Building Regulad6dos and Standards License or registration valid for individul use only ,
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Board of Building Regulations and Standards
RegistYatlon: 154326 One Ashburton Place Rin 1301 .
Ex iratiprti;-y272011 Tr# 279848
:_ _-,. Boston,Ma.02108
_'>=Sy PHvate Corporation Yp..�:'
ALPINE PROPE11=ituESCO,INC.
STARROS
11 WILSONSTRFT•.>" ' `- _ Not valid without signature
SALEM,MA 01
97Administrator
'TA".0b.2000 UU:" DATE(MMQD/YYYI)
ACORDTIA CERTIFICATE OF LIABILITY INSURANCE o,/Dwzoo9
PRODUCER Pipne:(617)657-5110 FAS 16171 C5/-ST•12 _. -
THIS CERTIFICATE Is ISSUED As A MATTER OF INFORMATION -
KNIGHT INTERNATIONAL INSURANCE GROUP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE-
600 VICTORY ROAD HOLDER THIS CERTIFICATE DOES NOT,AINEND, EXTEND OR
MAW NA BAY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
QUINCY MA 02171
INSURERS AFFORDING COVERAGE NAIC It
INSURED INSURERA Atlantic Chartar insurance Company
ALPINE PROPERTY SERVICES CO,INC. INSURER W.
DBA OLYMPIC. INSURER C:
11 WILSON STREET )NSURER D:
SALEM MA 01970 . _-..., ...
INSURER E:
COVERAGES
THE POUCIES OF INSURANCE LISTED BELOW HAVE SEEN )ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED,NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY Be MSUEO OR
MAY PERTARk THE WSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS,
INSR TYPEOFINSURMNCE POUCV NUMBER MUWEFRKfl a PAUFY IwmATwN LIMITB
11R yry mwmm.") DAl GENERAL LIABILITY EACH OCCURRENCE S
COMMERCIAL GENERAL LIABILITYPRAweeTa REN(ID S .
CLAMS MAGE❑ OCCUR Mm.EXP,(Myo�m pvrsonl S
PERSONALSADVN
INRY S
GENERALAGGREGATE S
GENLAGGREGATE UMITAPPUE6 PER PRODUCTSCOMPIOP AGM, S
POLICY JA- LOC
AUTOMOBILE LIABILITY COMBINED SWGIS LIMB
ANY AUTO (EB fl ditm) t
AU.OWNED AUTOS BODILY INJURY
SCHEDhLEOAUTOS - IF,P n)
I S
HIRED AUTOS BODILYAIRY
NON-OWNED AUTOS (Per aria!°e) S .
PROPERTY DAMAGE
AGY' S
GARAGE UADJU AUTOONLY-EA CCIDPNT 5 .
ANYAUTO OTHER THAN EA ACC S
AUTO ONLY: qGG S
EIICES6l UMSRELLAMBILTIY EACH OCCURRENCE 5
OCCUR 0 CtNMS MADE AGGREGATE S
S
Of11UCT18LE S
RETENTION S S
woRRERs wMFGNsgnoN AND WCV00754902 01/05108 01/05/10 TOm�UwTMie °TMS
EMPLOYERS LIABILITY E.L.EACHAC=ENT 'S 500.000
A AIrY1HtOP10ErORmARTRkRiE,FI'NfNE
PTmcDUMeA�cmFX°uNAePr EL OueAse•EA EMPLOYEE S 500,000
rpa mvm4lmau
BPEGAIAAPV18wN0 bla.v EL 015EASE?DLICY LIMIT E ,SDO,OOD
OTHER:
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF TM'ABOVE DESCRIBED POUCIES BE CANCELLID BErORETHE
EXPIRATION OATS THEREOF,THE ISSUING INSURER WILLENDEAV,ORTO MALIO DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE,LEFT.BUTFAMURE
TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY m6UPON THEINSURER.
WS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Attention: Harold�Knlgh� ` V
ACORD 25(2001108) CaltlScate# 8149 Q ACORD CORPORATION 1988
CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
,11W; M'1 )I(hl •'11
\I w�„a 12�^W,KI11\6I0.\S I XL1:Y • SAIF-M,bf.mnl.I n Si 1 Is GI`i7�
lhi:1)78-'13-95')5 • 1:%X 978.741.9846
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
t, ) eluant Information �Please Print Leeibiv
Nafnt; l0u.inesy
Addl"ess:
Ciry,Staco /t/
%3-p: � Lt OLC/ 79 Phone •'':�( 7iFil 2 6
Are you an employer'! Check the appropriate box: 'Type of project(required):
1.❑ I :un a employer with
4. ❑ co6. 0 I n a ecncral contractor and 1 New construction
cnt aloyccs sola proprietor or partner-
co
full and,'ur art-unit).• have hired the sub-contractors
2I :un a
I ( P listed on the: ached sheet. 7. C] Remodeling
.❑
ship and have no umpluyccs These subcontractors have S. EJ Demolition
working for int in any capacity. �w'orkers' romp. insurance. 9, ❑ Building addition
No workers'comp. insurance 5. We are it corporation and its 10.❑ Electrical repairs or additions
required.) officers have n'cu
ave exed their
right of per MGL 11.❑ Plumbing repairs or additions
3.El I ;,,it a homeowner doing all work S exemption Pon P'
myself. (Ko workers' comp. C. 152,§1(4),and we have no 12.01 Ruuf repairs
insurance required.) a cinployevs. [Ko workers' 13.0 Other
comp. insurance required]
•nin.,i,phcaul that chucks box ell muss:dao fill out the w ct,on Iwluw showing their wurkus'cumpcnsudun policy in 1w,rwtiun.
' i hrmuuwtwn uhu submil this affidavit indica ng they are doing all work ail ihcn him outside coiurxtun must.uhmil a new at'Gda,,ii indiubng.uch.
-C„mrwturc Ihu1 chuck this box must atlxhcd an additional ohms shtowiny Ibe name of(M sub•conrraesarx and their wurken'comp.policy mrunnaunn.
!our an emplojer that k providing workers'c•umpcnsntion insurance fur rely eueployees. Below is the puny and job sire
iafonnutian.
Insurance Company Name:
Polity g or Sclf-ins. Lic. *: {//��tl C(tVp�lQy�/`Q� Expiruuon Date:
Job Site -\ddress: �� Y i'I Y t I [ 1'Lf__( f Z _ C Lty;Statei"Lip: C I- -e- t �`[ 0192d
Attach it copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
I;uiluic to secure corerdge as required under Section 25A uf.MGL c. 152 can lead to the imposition of criminal penalties of a
tine up m 51.5110.00 and/or one-year ntprisnninent, is wvcll as civil penalties in the tbrm of a STOP WORK ORDER and a fine
of op to 5250.00 a day against the violator. lie advised that a copy of this statement may be furwardcd to the Offitce of
Incon,au�nu of the DIA or mitivir.cc coscragc scriticaCon.
!Jo herrb l creify under the pains and penalties of perjury that du infunnutmn provided above is t fie and correct.
rh,a: - 7
O/jiciui ase only. Do con write in this area, to be completed by city or town a/ficial.
('ilv or Tnwn: Permit/L:iccnse.0_
Issuing Aulhurity (circle one):
1. Its,ard of Ilndlh 2. nuildin:; Mpartincut .l. Cily.'Ibau Clerk 4. Metrical Inspector i, Plumbing Inspector
6.Other
Phone Al:
Information and Instructions
>Iassadhusetts General Laws chapter I i2 requires all enghlo)ers to provide workers' compensation for their ediployces.
Pursuant to this statute, an emplorre is defined as"...every person in the service of another under any contract of hire;
cspress or implied. oral or wri herr."
An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more
)r nhe t0re.oing engaged in a Joint enterprise, and including the legal representatives of a deceased employer,or the
receiver or trustee ul an individual, paltner)bip,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
Jwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or an the.rounds 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 evidenceof,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 perfomnance 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 sub-contractors) nanhe(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
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 till out in the event the Office of Investigations has to contact you regarding the applicant.
Phase be.cure to till in the permitilicense number which will be used as a reference number. In addition,an applicant
that must submit multiple permitdice se 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 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 perinir4not related to any business or commercial venture
(i.e. a dog license fir permit to burn leaves etc.)said person is NOT required to complete this affidavit.
I-h: 0I of luvesti.ations would like to thank you in advance for your cooperation and should you have:my questions,
please Ju not hesitate to give us a call
The Department's address, telephone and Fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Iovestlgatlons
600 Washington Street
Boston, MA 02111
Tel. # 617-7274900 ext 406 or 1-877-MASSAFE
Fax N 617-727-7749
www.mass.gov/dia
CITY OF SALEM
r: PUBLIC PROPERTY
DEPARTMENT
wNQ*AL+Y otuscat �{A15ACHLsErm01970
MAYOR - 12Dw,�NGTONS7RF6TSM'EK
14y 979-745-9595 0 FA=978.740.9&16
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code,780 CMR section 111.5
Debris,and the provisions of MGL c 40,S 54;
Building Permit# 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 MGL c
111,S 150A.
The debris will be transported by.
I / &
gimme of hurler)
The debris will be disposed of in :
—" (natru of facility)
AM _
(addrets of fWaity)
k
signature of pemtit applicant
?
du
,felri;mr.Jue
r
HIC#154326
John Bordonaro EIN#56-2618812
26 Prescott St. Roofing • Siding Painting
Salem,MA 91970
(978)$44-3080
June 2,2009
Dear John,
The following estimate is for the roof installation for the property located at the above address.The following paragraphs describe the work that
will be performed. In addition to installing your roof, I would like to offer you the opportunity to obtain a warranty directly from GAF or
CertainTeed. We,as GAF Master Elite Certified Installer and Certified CerlainTeed installers have the ability to provide you with a 25-30 year
labor warranty directly from the manufacturer. To view the benefits of Stripping vs. Going Over the existing roof,please visit our website a -
www.olympicroofing.com
Installation Procedure
4. Strip
roof on the entire house down to the roof deck
4= Price does not include front porch rubber roof
4. Install an 8 inch white drip edge on all leading edges(rakes&fascia)
4. Install ice&water on all valleys -
4, Install 6 feet of ice&water shield on all leading edges
4, Transitional walls are optional and incur an additional cost for the siding repair
4. Install new vent pipe flanges
+k Replace any rotten or damaged decking(we allow 32SF a no charge,$70.00/sheet thereafter)
4. Replace any rotten or damaged ledger board(we allow 30ft.at no charge,$3.00/ft.thereafter)
iL Install 15 pound felt paper.on all areas that is not covered by ice&water shield
4, 'Install new GAF Timberline 30-year Architectural shingles
4. Install new ridge vent system
Additional Specifications
4. Homeowner to choose color of shingles COLOR: Barkwood
4, Our dumpsters are sent to a recycling facility;therefore no additional trash may be placed in them. The transfer station will charge us
a fee for additional trash which will be passed on to the homeowner.
4. Transition walls are an option,and if the existing flashing is in good shape,usually do not require replacement
ak During a roofjob,it is not common for the nails to break the sheathing during the nailing of the shingles _
46 We are not responsible for any of the cracks that may arise in any walls or ceilings
4 Please cover all your floors in your attic to protect from dust and debris
4. We will remove all of the job related debris
4. Permit costs vary from town to town and are not included in this bid
Initial the options you are choosine below.
Cost for Labor&Material for Roof: $5,995.00
Cost for Labor&Material to Re4cad&Re-flash Chimney: $ 395.00
Cost for CAF System Plus Extended Warranty: $ 250.00 _
Payment Terms: 113 deposit$ 113 work in progress$ and 1/3 upon completion$
Please pay o Inc Property Services Company Inc..
Total Amount Agreed To Be Paid:
The following schedule will be adhered to unless circumstances beyond Olympic's control arise:
Work Scheduled to Begin: TBD
Expected Date of Completion: TBD
Warranty: Olympic Painting and Roofing guarantees all work performed for a period of one year. If any problems occur we will cover the cost
of all labor and material to correct the problem and meet the customer's satisfaction.
Do not sign this contract if there are any blank spaces.
.11 (additi al provisions follow and are incorporated herein by this reference) /
to 0�'oit�CEYY�-.a-O
Micha rano roject ana r- John Bordo .ro
AlTrine Property Services 'o-frYp<Inc., Homeowner
d/b/a Olympic by(Name)
Tel: (800) 535-4312 • Fax: (978) 535-2008 • 515 Lowell Street • Peabody, MA 01960
1-888-5 OLYMPIC • www.OlympicContractors.com
15 Tanguay Avenue 1 Rockland Cemetery Road
Nashua, NH 03063 North Scituate,RI 02857