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0025 WASHINGTON SQUARE NORTH - BPA-09-710 The Commonwealth of Massachusetts Town of Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR, 7ih edition Building Dept Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Tivo-Family Dn elling This Section For Official Use Only Building Permit Number: I Date Applied: • U Signature: t Building ommimomr,Inspector of Buildings Date SECTION 1: SITE INFORMATION 1.11 Properly Address: ..1 1.2 Assessors Map& Parcel Numbers wNiLG NOry � , ,r b. I.1 a Is this an accepled street'?yes_ no_ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq n) Frontage(R) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.(:i.L c.40,1M) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal O On site disposal system ❑ Public 13 Private 13 Zone: if yes13 SECTION 2: PROPERTY OWNERSHIP' 2 1 Owner 01 R�e,cp rd: 1 feruv 0n+��o 1A�RS�nna��o.� h1o¢a� NaPrint) Address for Service: q`le)- 9LO-- Signilture Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction❑ Existing Building$ Owner-Occupied 71♦, Repairs(s) ❑ Alteration(s) 01,1 Addition Demolition Accessory Bldg.❑ 1 Number of Units_ Other ❑ Specify: Brief Description.osed Work=: WW7_ f Pr & 1 Er' 4S Rrt S lFw l2oDG D �m SECTION 4: ESTIMATED CONSTRUCTION COSTS 4and s: Official Use Only Item ials I. Building , 1. Building Permit Fee: E Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical ❑Total Project Costs(Item 6)x multiplier x 3. Plumbing 2. Other Fees: S 4. Mechanical (HVAC) S List: 5. Mechanical (Fire S Total All Fees: S Su ression r� Check No. _Check Amount: Cash Amount:_ 6. Total Project Cost: S I �� SI ❑ Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) ^ c, n 11 r) -/ _ Rj , ' aO 1 0 � l��'1 I o� U10 1,2 CPAe i- �- S(� ) License Number Expiral on Dal, N'm,of C(S�L-Hpl er List CSL Type(see below) NOG. OC),> U 1 C d r ss T Descri lion U Unrestricted u to 15,010 Cu. Ft.) A au R Restricted I&2 Family Dwelling Signal re_ _ .M Mason Onl O RC Residential Roofing Coverin Telephone WS Residential Window and Sidin SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Re istered Home Improvement ntract GFS O. ' i ia� J �wo��\t %-, 17 ,E 1 'Z HIC ComRRany Name or HI Registrar!ames Registration Number I U 162' �s ,11-1 , O Expiration Date Signa re Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 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 Altached? Yes .........x No........... 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, GA 12\ — - S A-Nmo jf2 , as Owner of the subject property hereby authorize GF,S CoN Sn Z L-C(1C%k I 7G&aU C/(NM to act on my behalf,in all matters relat7a;u7zedwby his building permit application.QZ Iti/�Si rDate SECTION 76:OWNERt OR AUTHORIZED AGENT DECLARATION I,l�� 'S(�)- t!(�` FS ec vN Lzi—or L &tvo D�'5s Owheerr or Authorized Agent hereby declare that the statements and informs ion on the foregoing application are true and accurate,to the best of my knowledge and behalf. Print L I Signature o Ownerlor Authorize Agent Dat Si ned under the 2ains and penalties ofperjury) NOTES: I. 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 and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I I O.R6 and 110.R5, 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 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 Syuare Footage"may be substituted for"Total Project Cost" gl'eB J fi laid n &na4-ffe& One Ashburton Place - Room 1301 T Boston, Massachusetts 02108 Home ImprovementContractor Registration Registration: 152158 Type: Private Corporation Expiration: 8/4/2010 Tru 0 GFS CONSTRUCTION & REMODELING.IN GARY SANTO 190 BRIDGE ST SUITE 2405 -- - ---� - SALEM, MA 01970 Update Address and return card.Mark reason for change. (�-1 AddressRenewal Employment (- Lost Card OPS-CAI 0 SOM•07/07-PC8490 � lie 'fOoorarxo�uneal� af'✓�nunr,/euaetty 'i I � � . ponnl orIIuilding':Regulntions and Snurdnrds �., I '� Construction Supervisor;License '! ;•" -., Y Ucense: CS 97288 Birthdate: 12/31/1944 Expkatlon: '12/31/2010 Tru 97288 Restriction: 00, GARY SANTO 190 BRIDGE STREET 02405, SALEM,MA 01 Commissioner CQ �vQ ri Salem Historical Commission 120 WASHINGTON STREET,SALEM,MASSACHUSETTS 01970 (978)745-9595 EXT 311 FAX(978)740-0404 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction )�r Alteration ❑ Demolition ❑ Painting ❑ Signage ❑ Other work as described below will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District:_ Washinglop Square Address of Propertyc 75 Washin nn 4gnare North Name of Record Owner: Gary&Jennifer Santo Description of Work Proposed: Alteration of garage (including addition of pitched roof and new siding and trim), demolition/enlargement of mudroom and addition of entry overhang per plans dated 8/4/08. Garage windows to be wood, 6 over 6, true divided light with a new palladian window above to replicate the palladian window on the front of the house. Roof ofgarage to be slate with copper edge. Existing garage door to be reused. Downspouts to be copper. Garage to be painted-grey stain with white trim to match house. Dated: August 21, 2008 SALEMS ORICAL^COMMISSION/ By: C- � . t The homeowner has the option not to commence.the work(unless it relates to resolving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildings(or any other necessary permits or approvals)prior to commencing work. co�wrA� CITY OF SALEM, MASSACHUSETTS BOARD OF APPEAL + - 120 WASHINGTON STREET. 3Ro FLOOR 7 SALEM. MASSACHUSETTS 01970 TELEPHONES. 978-745-9595 nea'' FAA. 978-740-9846 KIMBERLEY DRISCOLL MAYOR September 4, 2008 n _ <n - -J Decision City of Salem Zoning Board of Appeals -p Petition of GARY & JENNIFER SANTO seeking a variance from F minimum rear yard depth and a special permit to alter a nonCn -- - conforming-structure-t"Ilow--for--the-construction of a mudroom- -- - attaching the existing garage to the main structure and the addition of finished space above the garage at 25 WASHINGTON SQUARE (R-2). A public hearing on the above Petition was opened on August 27,2008 pursuant to Mass General Law Ch. 40A, §§ 11. The public hearing was closed on August 27, 2008 with the following Zoning Board members present: Robin Stein(Chair),Rebecca Curran, Elizabeth Debski, and Rick Dionne. Petitioner seeks variances pursuant to the following sections of the Salem Zoning Ordinance: Table I: Residential Density Regulations and Sec. 8-4: Nonconforming structure. Statements of fact: 1.. Project architect, Walter Jacob, presented the petition on behalf of the Santos. 2. Plans entitled "Santo Residence", prepared by Walter Jacob Architect, LTD accompanied the petition. 3. A plot plan prepared by North Shore Survey Corporation accompanied the petition. 4. The property contains a single family home and an existing garage. 5. The applicants are proposing to connect the existing garage to the main structure. This change would make the garage part of the primary structure; it would no longer be recognized as an accessory structure. The single story structure proposed to connect the two buildings would be within the required rear yard setback of thirty(30) feet. 6. The applicants are proposing to renovate the garage, which they currently describe as having a Mexican motif so that it looks like the primary structure and fits in with the neighborhood. The proposed renovations include increasing the height of the garage(by 10 ft.) with a gable roof. The finished space created 2 above the garage would be approximately 700 sq. ft.; the space would be accessed by a pull down ladder and would not be entirely useable since it is partially in the eves. Additionally the applicants plan to do shingle siding, a slate roof, and copper downspouts. 7. There was no opposition to the request at the public hearing. The Board of Appeal, after careful consideration of the evidence presented at the public hearing, and after thorough review of the plans and petition submitted, makes the following findings: 1. A literal enforcement of the provisions of the City of Salem Zoning Ordinance would result in substantial hardship financial or otherwise to the petitioner who is seeking to make,improvements to their property, which will enhance the neighborhood. 2. The style of the current garage does not fit with the neighborhood; the proposed renovations require minimal dimensional relief and will keep with the character of the neighborhood, therefore desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the ordinance. 3. There are unique conditions affecting the locus and structures, not generally affecting other lots in the in the Zoning District including the existing layout of structures on the site. On the basis of the above findings of fact and all evidence presented at the public hearing including, but not limited to, the Plans, Documents and testimony, the Zoning Board of Appeals concludes: 1. A variance from minimum rear yard depth and a special permit to alter a non conforming structure are granted to allow the proposed connection and renovations. In consideration of the above, the Salem Board of Appeals voted, four(4) in favor (Debski, Curran, Stein,and Dionne) and none(0)opposed, to grant petitioner's request for variances subject to the following terms, conditions, and safeguards: 1. Petitioner shall comply with all City and State statues, ordinances, codes, and regulations. 2. All construction shall be done as per the plans and dimensions submitted to and approved by the Building Commissioner. 3. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. 4. Petitioner shall obtain a building permit prior to beginning any construction. 3 5. Exterior finishes of new construction shall be in harmony with the existing structure and shall meet the requirements of the Salem Historical Commission. 6. A Certificate of Inspection is to be obtained. 7. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but not limited to, the Planning Board. 8. Unless this Decision expressly provides otherwise, any zoning relief granted does not empower or authorize the Petitioner to demolish or reconstruct the structure(s) located on the subject property to an extent of more than fifty percent(50%) of its floor area of more than fifty percent(50%) of its replacement cost at the time of -- -----_destmction,_ILthc S" ture is demolished by any rmeans to an extent of more than fifty percent(50%) of its replacement cost or more than fifty percent(50%) of its floor area at the time of destruction, it shall not be reconstructed except in conformity with the provisions of the Ordinance. 61VLc eT .K /At- Robin Stein, Chair Salem Zoning Board of Appeals A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision,if any,shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A,and shall be filed within 20 days of filing of this decision in the office of the City Clerk. Pursuant to the Massachusetts General Laws Chapter 40A,Section 11,the Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certificate of the City Clerk has been filed with the Essex South Registry of Deeds. ¢oewtL� CITY OF SALEM, MASSACHUSETTS r �n BOARD OF APPEAL j 120 WASHINGTON STREET, 3RD FLOOR SALEM. MASSACHUSETTS 01970 ---`-�'�p TELEPHONE: 978-745-9595 - FAX: 978-740-9846 KIMBERLEY DRISCOLL MAYOR Notice of Decisions At a meeting of the City of Salem Zoning Board held on Wednesday August 27, 2008 at 6:30 p.m. in Room 313, Third Floor at 120 Washington Street, Salem, MA, the Zoning Board voted upon the following items: Petition of: Daniel LeBlanc Location: 71 Orchard Street (R-2) Request: Variances - Description: Request for variances from the distance an accessory structure is required to be from the side and rear lot lines to retain an existing 11'x 29'pergola enclosure, and a variance from height in stories to retain an existing 3'd floor deck Decision: Approved- Filed with City Clerk September 4, 2008 Petition of: Ronald Mercier Location: 21 Circle Dill Road (R 1) Request: Variances Description: Request for variances from the distance an accessory structure is required to be from the side and rear lot lines to construct a 24' x 24' garage. Decision: Approved- Filed with City Clerk September 4, 2008 Petition of: Gary and Jennifer Santo Location: 25 Washington Square (R-2) Request: Variance and Special Permit Description: Request for variances from minimum rear yard depth and a special - permit to alter a nonconforming structure to allow for the construction of a mudroom attaching the existing garage to the main structure and the addition of finished space above the garage. Decision: Approved - Filed with City Clerk September 4, 2008 Petition of: William Wharff Location: 17 North Street (R-2) Request: Variances and Special Permit Description: Request for a special permit for a change in nonconforming use and variances from maximum height (feet and stories), minimum lot area per dwelling unit, and required parking to allow for construction of a third and fourth story and the conversion of the current assembly hall to seven residential condominiums Decision: Approved- Filed with City Clerk September 4, 2008 (Cbaii r on reverse) t CITY OF SALEM ,j ryA PUBLIC PROPRERTY :. DEPARTMENT \`i-8.4='1n L. Construction Debris Disposal .affidavit rec uired l'or all demolition and renovation work I ) In accordance wth the sixth edition of the State Building Code, 780 CAIR section 1 1 1.5 Debris, and the provisions of MGL c 40, S 54; Building Permit H is issued with the condition that the debris resulting front ihis work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c I l I. S 150A. The debris will be transported by: (SFS uyn"5tftuc 1'ar.,, Iname of hauler) I he debris will be disposed of in Now 5 i;k0e_F__, C1n�21 ,ave Co. (name of facility) SWA✓nOSCo. Ct�� �(}1�tM O1I.000 ' Iaddresa ul IScllilyl I�ualu c of p:rmu.lpphcant latr CITY OF SALEM • �, , PUBLIC PROPRERTY DEPARTMENT J\II'.M1 S INhI. I 1 xl o"n 12: WdSHiM.I,^Saul • i•itl%t.NIA%N%r In al I INJ197: I'cl. V11-7/3-9595 • f sx 97&.'+,''1.446 Workers' Cumpensa(ion Insurunce Affidavit: Builders/Contractors/Electricians/Plumbers %J)p icant Information Please Print Leeibly Name lnu.uwal�rpanlr.ninNlndlu6(uul l:� r\ l-f�T�LQ JZldG 4�1 s�Nt1CX�e11�'r.� �..1�1Q- �tldross: \go Ciry,Srarc•7ipa pIkeV`s, Mtl . ,y���W) Munt:': grJR —.210—Qjl0 .\re�r)nu an etnployerl Check the appropriate buy: �1'ype of project(required): I M 1 ;1111 a employer with 4. ❑ 1 :un a general contractor and 1 0. Q new construction employees(full and,ur part-time). have hired the suh-aonracwrs 3, aRetnodeling 2.❑ 1 an)a sole proprietor or partner- listed on the attached sheet. i ship trod have no employees These sub-contractors have S. C] Densolirion Lurking li,r me in any capacity, workers' comp. Insurance. g. Q Building addition 5. ❑ We are a cnr lKn worker'comp. insurance r°ration and its 10 Electrical repairs or additions required.) officers have ctercised their right of exemption per NIGL I LQ Plumbing repairs or additions ).❑ 1 am a homeowner doing all work myself, iKo workers' um)p, c. 152, ql(4),and we have no 12.Q RWI repairs insurance required.] r employees. (Ko workers' 13.❑Other calnp. insurance required.] •w� .,;n6hcmn,h+I ebccka bas AI moat also rill ion the w,lma Iwluw,buwil,y Ihe6r wurkui eun6puna iun Iwlicy mlium:6liun. ' I lomcuwran whu.uloiml this anWavi,indicidny,hcy am dumst all work aIW Then him outside ewurncmn plus,.uhmir new utrdavit indica lny arch. 4.n,rxlrN^„hm check this box mist nrachcd an add6liun+I.ah rot vhuwn,y ala omits of IM cub<etalrwlars and their wurkcn'comp,pmd¢y plforonmin /um un earpfu)•rr shut is pruridinq,vurkers'cmnpenenriaa inaanurce fur ury uopluyeex, dr/ary is rhe pu/icy and Jub sift injunnurion. _ r InsuranccC'ompanyNamec�L' RzILAG 16olicv is or Sclf-ins. Lie. n: _--- . . .. -_— Eepirutiun Date: Job lite Address: _._. Clty;SlatvZlp: .\ttuch it crrpy of the workers'compensation pulic) declaration page(showing the policy ntuuber and expiration date). failure to secure cucerage as required under Section 25:\cal'\IGL c. 152 can lead to the imposition of criminal penalties of a rine up to SI.5o0.00 antilur one-year Inlprisolnncnt,aY %%ell as CMI penallics in the 1'urm ofa STOP WORK ORDER and a fine of up m 1250.00 it d.ly .Igalll)I III,vu)IIIWr. lic advL+cd that a Copy of this.,satchel Inay be forwarded to the 011ice f In�..hga otitis ulthc UTA :Or msurutce trio cra�c lerillc shun. /du hereby certify under rhe prrirrs and penalliev r jury that the iofurmuflon provided above is(rue turd correct. oggli ,)ficial oae wily. Do no( write ire this arra, to he ruurp/rtrd by l•iry car lo6vn uJ/3-63-4/. I ( ilv or fao'n: _-- Pl'1'InitiLiccnie 0. Issuing.\uthurily (circle line): I. 1I.'Jrd of Ilcah It L Ila dd in Mpar trot cat I. Cits.'funn Clerk 4. Liver rival tui pec for ;. PIuin bink luspec for b. Other Phone q: Information and Instructions : Lfj i&ldluseUs Gancral Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pur,u.ult to this sta(ute, in empluree is defined as ' eser) person in the service of another under any contract of hire, c.prais or unpbed, oral or bitten." An ,,npluyer ii defined as"an Individual, partnership, association.corporation In other legal entity,or any two or Inure ..t the htrcgomg engaged in a print enterprise, and including the Icgal representatives of a deceased employer, or the rccen er or(rulee of all utdtvtdual,partncnhlp,association or other legal entity,employing dmplo)ccs. However the owner ot*a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling llouse of another who employs persons to do maintenance,construction or repair work on such dwelling house or or. the grounds or building appurtenant thereto shall not because of such employment be deemed to be in employer" .IGL chapter 152, �25C(6) also states that every state or local licensing agency shag withhold the issuance or renewal of u license nr permit to uperate a husines"s or to;construct buildings in the commonwealth for any applfcont who has not produced acceptable evidence of cumpilance with the insurance coverage required." Additionally. MGL chapter 15_', §25CM Sratcs"Neither the comniol Wcalth nor any of its political subdivisions shall enter into any contract for the perfoml.mce ufpuhlie work until acceptable evidence of compliance w ah the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please rill out the workers' compensation atTidavit completely,by checking the boxes that apply to your situation and, if necessary.supply sub-contractor(s)name(s), address(es)and phone numilcr(s)along with their cernflcatc(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Pannerships(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 confimnation of insurance coverage. Also be sure to sign and dale the ul'fidavit. The al'f idavit 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 Iinc. City or Town Officials Please he sure that the affidavit is complete and printed.legibly. The Department has provided a space at the bouorn of the affidavit fur you to fill out in the event the Officeof Investigations Itis to contact you regarding the applicant. Phase be sure to fill in the pennit/license number which will be used as a reference number. In addition,an applicant that must submit multiple pcnnitilicense 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 Iucations in (city or town)." A copy of the affidavit that has been officially stamped or marked by ale 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 hone owner or citizen is obtaining a license or permit not related to any business or commercial venture I i.e. i dug license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. I ll: i)thee Uf Insestigattun) would lane to dlank )'ou til advance fur your cooperation and should you Ilasc any queslioni, pleaw Ju not hesitate to give us a call. File I):partnctu's address, telephone and fax number The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations '-- 600 Washington Street Boston, MA 02111 Tel. q 617-727-4900 ext 406 or 1-877-MASSAFE Fax p 617-727-7749 www.mass.gov/dia ACORD01/07 07/22009009) CERTIFICATE OF LIABILITY INSURANCE DATE / PRODUCER (978) 922-4600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ARCHER INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 271 CABOT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BEVERLY MA 01915- INSURERS AFFORDING COVERAGE NAIL# INSURED INSURERA:NAUTILUS INSURANCE CO GFS Construction S Remodeling Inc. INSURER B.GRANITE STATE INS CO. 190 Bridge St UNIT 2405 INSURER C: INSURER D: Salem MA 01970— INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR ADO'L POLICY EFFECTIVE POLICY EXPIRATION LTR HERO TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YY) DATE MM/ODM') LIMITS A GENERAL LIABILITY NC813619 08/02/2008 08/02/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50,000 PREMISES Ea occurrence $ CLAIMS MADE FRIOCCUR / / / / MED EXP Any one person $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 / / GENERAL AGGREGATE $ 21000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 1,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS / / / / BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS / / / / BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ OCCUR E CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND WC43815070136608007-00 08/05/2008 08/05/2009 X I CSTATU- OTH- EMPLOYERS'LIABILITY TWORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICERMIEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE$ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT GARY F fi TENNIPER SANTO FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 25 WASHINGTON SQ INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - I-------- — I I SALEM --'""-- SALEM MA 01970- ACORD 25(2001108) °a,�,. "-'-.'a ©ACORD'CORPORATION 1988 .M INS025(0108).05 ELECTRONIC LASER FORMS,INC.-(800)327-0545 ✓ Page 1 of 2 1I Contract GFS 190 Bridge St ConstremoAcll� Ine. Unit 2405 4/4/2009 Licensed and Insured Salem MA 01970 HIC# 152158 CS#97268 Phone(978)210-8310 Fax(978)745.2545 Jennifer and Gary Santo e-mail:gsanto@gfscon.com 25 Washington Square North Salem, MA 01970 GFS Construction&Remodeling,Inc. will provide the following services as requested by homeowners: Remodel existing garage and mudroom as outlined in architects plan provided by homeowner. These plans have met with the approval of the Historical Committee and Zoning board of the City of Salem. This will also include the construction of a pergola and the construction of a roof over existing exit door located on side of house. The details of these items are also included in the plans provided. GFS Construction&remodeling,Inc. will obtain all necessary permits and inspections as deemed necessary by the building department of Salem. All work will be performed by fully licensed and insured workers. The remodel will include the following: 1. Complete demo of existing mudroom and side basement entrance. 2. Complete demo of concrete parapet on top of garage. 3. Construction of new foundation for new mudroom. 4. Cutting through of garage wall and floor in order to have access to new mudroom and the installation of new basement stairs. 5.Framing of new mudroom as outlined in plans and as per code. 6. Provide and install new oak flooring to mudroom area. 7.Provide and install blueboard to walls and ceiling of mudroom. Blueboard to be plastered and made ready to accept paint. 8. Framing of exterior of new attic above garage as outlined in plans. Note: Framing will be as per code and as per recommendations of engineer. 9. Provide and install sub-floor to attic area. 10.Provide and install slate roof to garage roof area outlined in plans. 11. Provide and install blueboard to ceiling of existing garage area Blue board to be plastered and made ready to accept paint. 12. Provide and install new flat roof to areas as outlined in plans. 13. Provide and install cedar siding to exterior wall of garage and mudroom. Siding to match existing siding on main house. Contract - GFS 190 Bridge St construction&Renwdefing.Inc. Unit 2405 Licensed and Insured Salem MA 01970 4/4/2009 HIC a 152158 CSH 97268 Phone(978)210-8310 Fax(978)745.2545 Jennifer and Gary Santo e-mail;gsanto@gfscon.com 25 Washington Square North Salem MA 01970 14. Provide and install windows and doors as outlined in plans. Note: Windows and doors to be manufactured by Jeldwen. They are of wood interior and exterior and have insulated low a-glass. 15.Provide and install exterior trim. Trim to match trim of existing house. 16. Provide and install insulation to all necessary areas of garage and mudroom as per code. 17. Provide and install all necessary electrical to areas as outlined by plans and as per code. Note: This will also include electrical heating for attic area and mudroom. 18. Provide and install new stairs from garage to existing basement entrance. 19. Provide and install attic pull-down stairs as per plans. 20. Construct new roof over existing side doorway as per plans. 21. Construct rear patio pergola in area designated by plans. Exact size and shape to be determined at a later date. 22.Remove all debris from site. 23. Backfill foundation areas and compact soil as necessary. Note: This contract does not provide for any interior or exterior painting. It also does not include any interior or exterior lighting fixtures. If provided by homeowner we will provide installation of fixtures at no cost. Also,as per plans provided,this contract does not provide for finished wall or ceiling in attic area or the interior&awing necessary for interior work. Gary F. Santo GFS Construction&Remodeling,Inc. REMAINDER OF THIS PAGE LEFT BLANK INTENTIONALLY. � {y -16 Contract ' CAFS Cons'+on&Remodeling.lac. Unit Bridge St Unit 2405 4/4/2009 Licensed and Insured Salem MA 01970 HIC# 152158 CS#97268 Phone(978)210.8310 Fax(978)745.2545 Jennifer and Gary Santo e-mail.gsanto@g1scon.com 25 Washington Square North Salem,MA 01970 Pricing as follows: Materials: Framing materials and supplies:$7242.00 Siding:$6067.00 Windows: 11 -double hung with grills: $7,293.00 1 -special order custom design: $3,880.83 Doors: 1 special order design door and side panel: $3,151.36 1- 5 foot french door unit: $1,587.64 Oak Flooring: $1250.00 Basement stairs: $850.00 Attic stairs: $1,000.00 2-Interior fire rated doors: $500.00 Exterior trim boards: $1,000.00 Dentil Molding: $1,500.00 Insulation: $2,800.00 Interior Trim and moldings: $500.00 Blueboard: $650.00 Wood Widow Walk Railings: $2,500.00 Wood for Pergola: $3,000.00 6-exterior columns: $2,150.00 4-pilings for pergola columns: $1,200.00 Nails and fasteners: $1,200.00 Misc. supplies: $1,000.00 TOTAL MATERIALS: $50,321.83 Labor: All concrete demo,foundation construction,back filling and grading: $23,000.00 Mudroom and basement entrance demo: $4,600.00 Framing: $12.500.00 Roof includes roofing materials: $22,873.00 ok ±yam ry IV, Contract GFS 190 Bridge St CoosWatlon a 0 dellug.Inc. Unit 2405 4/4/2009 Licensed and Insured Salem,MA 01970 HIC# 152158 CS#97268 Phone(978)210-8310 F*978)745.2545 Jennifer and Gary Santo e-mail:gsanto@gfscon.com 25 Washington Square North Salem,MA 01970 Leaders and gutters: $4,400.00 Siding: $15,000.00 Electrical includes supplies: $10,050.00 Blueboard and plastering:$2,800.00 All other carpentry: $19,500.00 TOTAL LABOR: $114,723.00 DUMP FEES:$2000.00 PERMIT AND ADMINISTRATIVE FEES: $2837.00 TOTAL FOR PROJECT: $169,881.83 NOTE: DUE TO THE NATURE OF THE JOB ADDITIONAL COSTS COULD ARISE DURING THE EXCAVATING AND CONSTRUCTION OF THE FOUNDATION. THIS WILL BE BILLED SEPARATELY AND ACCORDING TO A LABOR RATE DETERMINED AT THAT TIME. TERMS OF PAYMENT TO BE DISCUSSED AT SIGNING OF CONTRACT Gary F. Santo GFS Construction&Remodeling,Inc. f You as the owner have a right to cancel this contract within three days of signing the agreement under M.G.L.c.93sec48:M.G.L.c.140sec.10 Or M.G.L.255Dsec 14. Permit notice:That it shall be the obligation of the contractor to obtain such permits as the owner's agent. The owner shall be responsible for obtaining any special permits for the work to be performed. Owner; that secure their own permits or hire unregistered contractors shall be excluded from access to the Guaranty Fund. All home improvement contractors and subcontractors shall be registered and any inquires about a contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor Registration,P.O. Box 871,Taunton,MA 02780-0871. Phone(508)821-9375. Arbitration:The contractor and owners hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit such arbitration as provided in M.G.L.c 142A. Acceleration:This contract does not contain an acceleration clause under which any part or all of the balance not yet due may be declared due and payable because the holder deems himself to be insecure. However,where the contractor deems himself to be insure he may require as a perquisite to continuing said work that a balance of funds due under the contract,which are in the possession of the owner,shall be placed in a joint escrow account requiring the contractor and owner for withdrawal. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signed: Date: t^I/ kl/ 200 el OWNER Labor guaranteed for one year. Materials guaranteed as per vendors/manufacturer guarantees. Signed:G 1 �J Date: Op Gary F. Santo, GFS Construction&Remodeling,Inc. Notice:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alterative dispute resolution even where this section is not signed separately by the parties.