55 SUMMER ST - BUILDING INSPECTION (2) CK i 5915 y91,
tThe Commonwealth of Massachusetts
Board of Building Regulations and Standards z
Massachusetts State Building Code,780 CMR It��
Revised Mm 20XX
Building permit Application To Construct,Repair,Renovate Or Demolo� S P -2 AID2
One-or Two-Family Dwelling
_ ti Section For( ilseOnti
tT- Bvddtng Paansn.Nuntber Date Appb
,� 'db+g OiFiciat EPr�t :: e3
"� ` 1}ECTIOAr 1:SIT'L E+iit't1RlFt.4TION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
'
�
LSF.
� 1.7 a Is thisis an acceptedshwVyek nMap Number Parcel Number
13 Zoning Information: 1.4 Property Dimensions:
Zonutg District Proposed Use Lot Area(sq ft) Frontage(R)
1.5 (Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Proridedr1.7
equired Provided Required Provided
1.6 Water Supply:(M.G.L e.40,§54) ood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ —
Outside
Floud Zone? Municipal❑ On she disposal system ❑
if s❑
SECTION 2s PRCheckOPRItTI(OWNEI#SI_i tit '.
2.1 weer'of Record:
Name(Print) city,State,ZIP
ri
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PRO.OSED WOa(sheet all that apply)
New Construction❑ Existing Buitdiag❑ Owner-Occupied ❑ I Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg,❑ Number of Units Otttea ❑ Speeifp:
Brief Description of Proposed Worirz:
SECTION 4:ESTIMATED CONSTRUCTION COM
Estimated Costs:
Item Official use only
(Labor and Materials
1.Building $ �} 1. Buildlrig Permit Fee:$ adicate how fee is detantine&-
2.Electrical $ O Standard City/Town Application Fee
O Total Project Costa(Ran 6)x multJplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ Lrsi
5.Mechanical (Fire
Suppression) Total AN Fees:$
Check 6.Total Project Cost: $ ____Check Amount: Cash Amount:
J O Paid in!pull ❑Outstan Balance Due: .
��i2 MAtt-E.p ,rp C.
sEcrcox�: calvsTlt�rcrlcl>; sER�Ic�s
5.1 stroction Supervisor License(CSL) t
/--I
k l ��1161A License--� iration a
'Name of CSL'flolder
/( ,�/,//�7 �— List CSL Type(see below)
0412\t"E ,1�/ 9 ge Description
..
No.an treet - .
U Unrestricted Madings up to 35,00()w.ft.
R Restricted l&2 Family
City/town,State,ZIP M masonry
RC I Roofing Covering
WS Window and Si '
SF Solid Fuel Burning Appliances _
I Insulation
Telephone Email address D I Demolition
5.2 RJejyiss/tere{d�Home Improvement Contractor(HIC) 3
'
CC gistratie Number Exp
O/ Date
HIC Company Name or HIC Registrant N e
No.an S Email address
Ci /_own State ZIP — fel yr
SECTION 0 WOIiI1EW CQWENSAT10N DMIRMCE.AFFMAWT(nG. 7I.,e:152.4 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...........❑
SE071CW 7a:OWNER AUTHORIZAMON TQ BE COWYLETED WHEN
"R'S CONTRACTOR R IMPING P 3tMI'1'
I,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) Date
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
contain(�\d-m,'th/ii applicati/ ndino�nt\its trruue'and accurate to the best of my knowledge and understa .
-L
Printor Auth^` or Kgwt s Name(Electronic Signature) I DaV
NU Sp
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
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
mn massgovtoca Information on the Construction Supervisor License can be found at w Lung s.eov/dos
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basementlattics,decks or porch)
Gross living area(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"
q
203 WASHINGTON ST.#256
PRESERVE SALEM, MA 0197D
SERVICES `arf"'„rrytpa;nt;ng, rnnlL� ;gutter:t peonc:978.745.8745
rax:978.745.3476
SALES@PRESERVESE RVICES.COM
Kelly Shutoff
55 Summer St Date Bid:8/30/2016
Estimator:Sean O'Connor
Salem, MA 01970 Mobile:(978)395-7737
(857)225-0045 Email:sean@preserveservices.com
kelly.shutoff(agmail.com
COMMENTS
To make things easier to understand in pricing. The below price is an addition to the original
estimate. Assumes we can use the existing concrete.
CARPENTRY*
We will pull a building permit for the job.
Replace the front deck including the stairs with the same design and size.
PRICING
Painting $0
Carpentry $7,150
Basic $7,150
Sales Tax
Total Price $7,150 Including Labor and Materials*
Payment Terms: 20% deposit(day of start); 30%progress; 50% end of job McNisa/Amex
Sean O'Connor Custom ignatu e
Note: If we are powerwashing your home the windows may be streaky post washing. If you wash your
windows on a regular basis,you should wash them after we wash the outside of your home.
1 * If we are painting,the cost of paint is included in the above price except for the following: Benjamin Moore
Aura exterior paint will cost an additional$15 per gallon; other specialty products prices will be given on a per
product basis.
**The carpentry portion is valid for 60 days and the painting portion is valid for 365 days.
**** Warranty: Craftsmanship: Kyron Inc. DBA Preserve Services warrantees all exterior painting against
blistering and peeling for a period of 2 years. The only exclusions are: wooden gutters; walked on surfaces;and
structural problems such as but not limited to"mill glazing." Should peeling or blistering occur we will fix the
affected area including labor and materials. For the warranty to be valid the invoice that was presented at the
time of completion must have been paid in full.
Licenses:
Home Improvement Contractor Preserve(HIC): 123553
Construction Supervisor Sean O'Connor(CS): 93403
EPA Renovation, Repair and Painting(RRP) Nat-21650-0
Insurances:
Liability Insurance:
Our policy is under Kyron Inc. DBA Preserve Services and has limit of$4,000,000.
Protection: Covers your property in the event of accidental damage up to a dollar limit specified on the policy.
To check our policy we will provide a certificate from our insurance company.
Worker's Compensation
Our policy is under Kyron Inc. DBA Preserve Services.
Protection: Covers the injury of a worker employed by the contractor doing work at your home. To check our
policy or our competitions go to http://mass.gov/dia/ on this page go to "check worker's compensation
proof of coverage"our license is under Kyron zip code 01970.