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10 ANDREW ST - BUILDING JACKET 10 Andrew St. 0�• 06 EI IJILLINt DEPT . . L S ,MINK Sz (jRj (t Jap' )FlFl)++ ^ENr CITY OF SALEM HEALTH DEPARTMENT RLCL`I :` D BOARD OF HEALTH CITY OF SALEHdIA5S. Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT (617) 741-1800 September 16, 1986 James Bailey 0. Box 3062 Salem, Mass. 01970 Dear Sir/Dear Madam: In accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation, an inspection was made of your property at 10 Andrew Street, Apt. 3 Salem, Massachusetts, occupied by Vacant This inspection was conducted by B. Lockard J. Bailey Salem Health Department, on 9/10/86 at 3:30 P.M . Based upon said inspection, you are hereby ordered to take the following action within 5 days of receipt of this order: The rear door to the building must be weather-tight. Living Room - All the windows must be made weather-tight. Small room off of Living Room - Light fixture must be repaired. Kitchen - One window must have an operating lock and screen. ^Child' s Room - All windows must be made weather-tight. Adequate smoke detectors must be provided for the apartment. Front Common Hall - 2nd floor light fixture needs a bulb. Small Room off of Living Room - The window must have a screen and be weather-tight. Emergency lighting must be installed in the front and rear common hallways. NOTE: The other violations from the letter dated June 30, 1986 have been corrected. Thank you for your cooperation. Page 1 SALEM HEALTH DEPARTMENT September 16, 1986 Page 2 of 2 le s 9 North Street � Ten ants) Vacant(-f Salem, MA 01.970 Property in Salem at 10 Andrew Street , Apt . 3 To: James Bailey P. O. Box 3062 Salem. Mass. 01970 t, ONE OR MORE OF THE ABOVE VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS. Failure on your part to comply within the specified time will result in a complaint being sought against you in Salem District Court. Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within seven (7) days of receipt of this Order. At said hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be"represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Please be advised that the conditions noted may enable the occupant(s) to use one or more of the statutory remedies available to them as outlined in the enclosed inspection report form. FOR THE BOARD OF HEALTH ROBERT E. BLENKHORN, C.H.O. Health Agent Certified Mail # P-398-703-417 enc. Inspection Report cc: Tenant X Bldg. Inspector _ Electrical Inspector PlumbtS9 6 Gas Inspector x Fire Dept. _ City Councillor Este es un documento legal importante• Puede que afecte sus derechos. � ^ 3|�� �t?[ XW �k7 �5 CITY OF SALEM HEALTH DEPARTMENT R[CE|YED O0x|<D OF HEALTH CITY OF 34.L[M. HA SS. Maoo'hvse/'s0|Y70 xomxT E. ouvKoo«w v wC):r* STnaT *ExL/xxGEwT (617) 741-1800 January 8, 1987 James Bailey '-O. Box 3«6/ & 271 Essex Street Salem, |y, MA 01915 Dear Sir/Dear Madam: In accordance with Chapter lll, Sections 127& and 1278, of the Massachusetts General Laws, 105 CI8l 400.000: State Sanitary Code, Chapter l: General Administrative Procedures and 105 CMD 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation, an inspection was made of your property at lV Andrews Street Salem, Massachusetts, occupied bIb10 inspection was conducted b V Moustakis Salem Health Department, on Based upon said reinspection, you are hereby ordered to take the following action within 30 days of receipt of this order: Installemcrgency lighting in both front and back hallways in this (4) apartment building. Provide the (]) storm windows for Apartment #3- NOTE: Please call this office at 741-1800. ' y«Qc 1 SAJEM HEALTH DEPARTMENT January 8, 1987 Pa£c. 2of2 ,__ North Strs:f Apt . //3 r t 'I'un�nc(s)�Qmmon�.r_aaslVaczi.c�t Salem, MiA 01970 Property in tit]lem at - 10 t -10 Andrews Street_ To: James Bailey P. 0. Box 3062 & _0271 Essex Street Salem, MA 01970 Beverly , MA 01915 ONE OR MORE OF THE ABOVE VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS. Failure on your part to comply within the specified time will result in a complaint being sought against you in Salem District Court. Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within seven (7) days of receipt of this Order. At said hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Please be advised that the conditions noted may enable the occupant(s) to use one or more of the statutory remedies available to them as outlined in the enclosed inspection report form. FOR THE BOARD �O/FJ HEALTH /V.M. ROBERT E. BLENKHORN, C.H.O. Health Agent Certified Mail # P-155-187-175_ enc. Inspection Report cc: Tenant_ X Bldg. Inspector _ Electrical Inspector P1um6.f09 E Gas Inspector _ Fire Dept. _ City Councillor Este es un documento legal importante• Puede que afecte sus derechos. Certificate No: Building Permit No.: 957-2001 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the RESIDENCE located at ------------ Dwelling Type 0010 ANDREW STREET in the CITY OF SALEM ------------------- --------- --------------- ------------------------- ------------- Address TownlCity Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY 10 Andrew Street, Salem. Tsp This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires ---_-_--------------___------------_-_-_unless sooner suspended or revoked. Expiration Date Issued On:Thu Apr 18,2002 -- ------ ---- :� ------------ ----------------------- --------------------------- -- GeoTMS®2002 Des Lauders Municipal Solutions,Inc. ---------------------------------d'------------------- ---- ---------- U010 ANDREW STREET 957-2001 GIs#: 6?0o COMMONWEALTH OF MASSACHUSETTS Map: 3s CITY OF SALEM lock' Lot: 0531 Permit. Building. 7� Category: 437 Nonrestdential:ad BUILDING PERMIT emilt# 957-2001, Project*. JS-20014844 EsIt-Cost: $25,000.00 ee: $255.00 . PERMISSION IS HEREBY GRANTED TO: Const.Class. < Contractor: License: Use Group: George Tanch General Contractor- Salem#1969 Lot Size(sq,'ff:): 7220 Owner: BAILEY JAMES A Wig' Applicant: George Tanch Units Gained:i Units Lost: . AT: 0010 ANDREW STREET ISSUED ON. 26-Jun-2001 EXPIRES ON: 26-Dec-2001 TO PERFORM THE FOLLOWING WORK: Remodel left 3rd floor apartment per plans submitted. T.J.S. POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Foundation: (x4�J D' Rough:r�/� House# t� 3'kl Rough Frame:4�1 Finalf7(4� --3 10 J., Final:11P-102— F replace/Claimney: 1 44111 / Insulation: Gas Fire Depar ment Board of Health Final; /y!/ � t/ C Rough:©i _q Oil: 3' Treasury. Finale J `8 Smoke. / Excavation: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM ON VIOLATION OF ITS RULES AND REGULATIONS. / aQ Signator ,��'-•o // Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC-2001-002030 19-Jun-01 4304 $255.00 Call for Permit to Occupy GeoTMS®2001 Des Landers Municipal Solutions,Inc. OP-2002-0084 Building Permit No.: 958-2001 Commonwealth of Massachusetts City of Salem BUILDING,ELECTRICAL&MECHANICAL PERMITS DEPARTMENT This is to Certify that the Residential Building located at Dwelling Type 0010 ANDREW STREET in the CITY OF SALEM ------------ ----------------------------------------------- ------------------------------------------------------- Address Town/City Name - IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY 2nd floor, unit on left side This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires unless sooner suspended or revoked. Expiration Date --------- - IN Issued On:Wed Mar 6,2002 ------------- - GeoTMS®2002 Des Lauriers Municipal Solutions,Inc. --------------------------------------------------------- 0010 ANDREW STREET 958-2001 GIs#:" 6700 COMMONWEALTH OF MASSACHUSETTS Map: 35 Block: CITY OF SALEM Lot: 0531 Perron - Building Category. ;. ,,�w 434 Residential:addti BUILDING PERMIT Permit# 958-2001 Project# IS-2001-1845 " Est. Cost: $30,000.00 Fee:" $305.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: George Tanch General Contractor-Salem#1969 Lot Size(sq:ft.) 7220 - Owner: BAILEY JAMES A Zoning: R2 Applicant: George Tanch Units Gamed: Units Lost: AT. 0010 ANDREW STREET elf ISSUED ON. 26-Jun-2001 EXPIRES ON: 26-Dec-2001 TO PERFORM THE FOLLOWING WORK. Remodel left 2nd floor apartment per plans submitted. T.J.S. POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Foundation: Rough�4 , jLrej Rough:(�J//6�� House# Rough Frame:be � Final:O I l a "a$-�1—Fi ..."— AIPIA` Fireplace/Chimney: 51210 / l Insulation: / Gas Fire Department Board of Health . 3 /�/0'. Final: (mje% Rough: 0 K IL, 1, ^} Oil: /' / y Treasury: Excavation: Final: P k 4—)4- "j L Smoke: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM TN VIOLATION OF ANYPF ITS RULES AND REGULATIONS. B 9 Signature: Fee Type: Receipt-No: Date Paid: Check No: Amount BUILDING REC-2001-002031 19-Jun-01 4303 $305.00 Call for Permit to Occupy GcoTMS®2001 Des Lauriers Municipal Solutions,Inc. 10 V3QVE AD CITY OF SALEM BUILDING PERMIT OP-2002-0083 Building Permit No.: 775-2001 Commonwealth of Massachusetts City of Salem BUILDING,ELECTRICAL&MECHANICAL PERMITS DEPARTMENT This is to Certify that the Residential Building located at D -------------- --------------------- ------------------ welling Type 0010 ANDREW STREETin the CITY OF SALEM ------------'-------------------------------—------------ - ------ Address TowNOlty Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY 1st floor, unit 1, left side This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires ---------------_----"--""__--------------_unless sooner suspended or revoked. Expiration Date Issued On:Wed Mar 6,2002 -"--"-------- ____ --- ------------------------------------- ---------- ----------------- GeoTMSdD 2002 Des Lauders Municipal Solutions,Inc. -- ""'------------------ ---------------------- '-"---"--- 0010 ANDREW STREET 775-2001 GIs#: 6700 COMMONWEALTH OF MASSACHUSETTS Map 35 Block: CITY OF SALEM Lot: 0531 Permit: Building. Category: 434 Residential:additi BUILDING PERMIT Permit# 775-2001 Project# JS72001-1525 Est. Cost: $30,000.00 Fee: $305.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: t George Tanch General Contractor-Salem#1969 Lot Siie(sq. ft.j: 7220 Owner: BAILEY JAMES A Zoning: R2 Applicant: George Tanch / Units Gained:.. AT: 0010 ANDREW STREET Units Lost: ISSUED ON: 30-Apr- 001 IMPOR EXPIRES.lON 30-Nov 2Q01 i!-i7- TO PERFORM THE FOLLOWING WORK: upon cot rpletic;n of 4`, r lc, p1:>v. e call 1st floor renovations to unit I left side per plans submitted. TTS 745-9595 Ext. 385 POST THIS CARD SO IT IS VISIBLE FROM THE-STREET - Inspector of Plumbing r- Inspector of Wiring D.P.W. Inspector of Buildings Underground: Servicer 1 Meter: Footings: q` Foundation: Rougha,7 C �0` i a� Rough: *�/�/p� ,( House# trough Fraine:oz Final:((! '��rLA�'1/ F/innaall: 3/,//Q/ Fireplace/Chinucy: ( ' Insulation: Gas Fire Department Board of Health /LtitCl-`f Final: 01/ ✓,/°' �J�.j/Q,Z Rough:®�a—Z-fr, Oil: - Treasury: Final: ®/t\ �b —E'Z Smoke: �ul(7 Excavation: THIS PERMIT MAYBE REVOKED BY THE CITY OF SALEM UPONLATION OF ANY OF ITS RULES AND REGULATIONS. r ��/��� Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC-2001-001678, 11-Apr-01 4164 $305.00 n M GeoTMS®2001 Des Lauriers Municipal Solutions,Inc. i �•��NJNT '� n ' YSQYE AQ CITY OF SALEM BUILDING PERMIT 1 �4r CITY OF S ATE'M 9 � G( ASA; 9 , 1984 '�. In City Counc� pf�INM61P R E L E f,L o CITY OF SALEPt,[Uj Ss Ordered: That the Zoning Enforcement Officer investigate the total number of occupants at (lo Andrew Street, to assure that NO ZONING VIOLATIONS have occured . RP if furfhPrordered . that fhP Zoning Rnfnrnemen+ offir-Pr inform the Ward Two Councillor of his findings . immediately upon completion of said investigation. In City Council August 9, 1984 Adopted Approved by the Mayor on August 14, 1984 ot ATTEST: JOSEPHINE R. FUSCO e +'`OX CITY OF S LEM t,t:Attg 9 , 1984 In City Couric�h - :_ - 1 ----- ----------------------- 1 i -tom CIlYCr S1LCr. �p%r FFI ij$� Ordered: That the Zoning Enforcement Officer investigate the total number of occupants at 10 Andrew Street , to assure that NO ZONING VIOLATIONS have occured. Be it further ordered , that the 7nnina Enforcement Officer inform the Ward Two Councillor of his findings , immediately upon completion of said investigation. In City Council August 9, 1984 Adopted Approved by the Mayor on August 14, 1984 01 �J ATTEST: JOSEPHINE R. FUSCO �. City of Salem gg BUILDING DEPARTMENT_ FIELD CORRECT1flIE „ LOCATION C ,PEERM)T�NO. ISSUED TO V �5�5 Gr S CITY OF S41.E"4,I;ASS. PERMIT HOLDER AND/OR ALL RESPONSIBILE PARTIES. NOTICE DELIVERED TO Upon inspection, violations of the Secwere in evidence. The following orders are hereby issued for their correction: I-----yy� 7 , ---,1 �y c',rs 7" wvz. yr r of / O N-if M tw 5 7: December 17, 1984 RE: 10 Andrew St. Assessed Owner: James A. Bailey Mailing Address: P.O. Box 3062, Salem, MA 01970 Assessors' Office, pms PLEASE CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEEN `COMPLETED. ACCEPTANCE AND APPROVAL BY AN INSPECTOR OF THIS DEPARTMENT IS REQUIRED AND MUST BE CORRECTED ON OR BEFORE DATE BY ` INSPECTOR ORIGINAL r \ C 1r7 ( 9 g�'r cr, The Commonwealth of Massachusetts DepartmentPublic Safety Massachusetts State Budding Cale(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling /1 (This Section For Official Use Only) fit Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) t �fZ F� SAV- O(5-7� No.and Street City/Town Zip Code Name of Building(if app icable) —� SECTION 2•PROPOSED WORK. Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ 1 Alteration ❑ 1 Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ Is an Independent Structural Engineering Peer view reyuired? /lYes i No 13Brief Description of Proposed Work: C/f Sed S.7.roI SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Checkas applicable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-S❑ B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional 1-1 ❑ 1-2❑ 1-3❑ 14❑ M: Mercantile❑ T-R-. Residential R-10 R-2❑ R-3❑ R4❑ S: Storage Sl ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 13 IB E3 IIA 13 IIB 13 IIIA 13 IIIB ❑ 1 IV ❑ 1 VA VB C3 SECTION 7:SITE INFORMATION(refer to 780 CNIR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ required❑or trench or specify: Private❑ or indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: Ali\,i 1. «,ic fn,nmNsnnR ,wv Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes O or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Ower lfsL l 12y 7c), 0 940 "Val��iX Name(Print) No.and Street City/Town I--- Zip Prolzerty Owner Contact Information: PYAJ Wer w gam — Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0 and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control pQA-S6t() �� - ys-may 3 lfiz� Name 670"' Telephone N . e-mail address Registration Number' ' �)� ^ 6I1 Street Address City/Town State Zip Discipline Expi anon Date 10.2 General Contractor L-liiOOV3 `F�c MAM,4(11L Comp. y Name L74a)t,)u--c-. CS Name of Person Responsible for Construction License No. and Type if Applicable -103 1115 7✓67CaJ S7e �1 QM�}— Street AA]ddress City/Town Statel Zip Tele hone No. business Telephone No. cell e-mail address SECTION 11:W0RKEIi.9'(.0t,1PFNSA'I'ION INSURANCE AFFIDAVIT M.C.L.c.152. 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Rem Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1. Building $ Budding Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)_$ 3.Plumbing $ d.Mechanical (HVAC) $ Note: Minimum fee=$ (contact municipality) 5. Mechanical Other $ Enclose check payable to 6.Total Cost I $ 12 8'(JJ I (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the ins and penalties of perjury that all of the information contained in this ap ihon is true and accurate to the best of my r understanding. Please pruit and sign name Title Telephone No. Date a(9)C Street Address City/Town tate Zip Municipal Inspector to fill out this section upon application approval: ?iLft^a Lw 7 Name V Date - - LQ3 wASHINf,E9(9PJ SL t'?'.,k. P' REsaERVE .,reHMMA019M c.upvmry IminHng.roofing ,,titters vnrjre,.079J4�47s5 4 y r»r Ehe .14`.i4f, . 5ntr56rapE.tHVtsradt c;I(I.+ AT I'Ennaln N'Iasrli't ( nndnnlinium Date Bid:11/16(2015���_ it} hndrC'tts St Estimator:Sean O'Crnma `+e2lt., 1:±.5 01 qip Mople:(479)395-77,17 g',71 65-6355 Enail:Sean@prescrvewfvlc,sxoY`T'�� ihEii,Dug iR: :.irctec the siding on the right wall Stelling at the corner by the road until the start of thejolt nut. I he a.{,Iztcemeni toil} he-in above the new boards on the bottom until the top. WC gill pct n buildirEL i7c1r1lit. fi he dost til ale 11crnIit is included in the below price. Remove the siding: dispose nitlie sic.liIt.; in,lsll eek r0l;t�h Lihm,C dexa's and windows; install pre-primed tingerjointcc, rcd cedar nsin,t stainLrsti steel (. c�ILir ttindott tic Iow the ttnll we are changing the siding. Replace the latcid around the indott. Pcillacc the tt[nerutble, the board at the hale ofthe siding. on the front t+all. Replace the base ul' t'dimuts \there Chet arc touch lhe .,tnirs and arc rotten. httiidint: S: 14111,1c'c the wstertnhle im the rear most wall and the vertical corner next to the Icnce on both sides_ PAINTIN<i N,unLinI Paint the !'ight wall on Building 10 from the front corner to the richt corner of-the jutt 'rut nn,:ar IIIc dl'NMay. Oil the: rear of 131.1ilding 10 paint the 2 walls that 3 decks are are attached to it vCItILL, tltc rit•kW. Naini the Ieft wall (driveway side) and rear most wall with the I'ulce touchint: it on ltnilditt, R. i'MOR !'Rh:PARATION ytp� ' lye Oro?or I he cost ol'paim is included in the above price except for the tbllovving: Ren.jamin Moore Aura (a tt<« line of 11,°njaInin iYloore paint) exterior paint will cost an additional $15 per =salon: other spcv.ialq products prices will be given on a per product basis. "AW c additional prices includes all discounts. "_1 1 he carpentry portion of this estimate is valid for 60 days and the painting portion is Wd lo,r 464 lax w. "o' :_ 4y arrancy: Craftsmanship: Kyron Inc. DBA Preserve Services warrantees all exterior i1..urttin+; a ainsl blistering and peeling 12r a period 0'2 years. The only,exclusions are: mo,ded gutter,; v AW on tiurl wum aocl structurnl problems such as but not limited to"mill glaiingl Should peeling or 1+stVwj;" occur ice will lix the affected area including labor and material:. I c'n-the warranty to Ice valid is !to oi.c that vas presented at the time ofcompletion must have been paid in full. Licenses: Bente Improvement Contractor (111C): 123553 Protection: II is required by law that exterior painting contractors- have a home improv rtncnt contracior license. If a contractor is properly registered. you are entitled to limited protection M.. the Residential Contractor Guaranty f=und up to $10,000 (The above is a (1111) n wnunar: of Massachusetts Gena-al Law 142A). To check our license or our competitors go to: �,�y� alr , tic.ntp us�l�omcim3�ru 'em,�nthccytse�lisi.ctsp and check license 12.3553. Construction Supervisor (CS): 93403 1 ho Construction Supervisors license, is under an indh icluars name, not a cotnpany name. I o ch"k ``vat O'C'onnor's. owner of the Kyron Inc. DBA Preserve. license go to: hti.- .:P, tgtr_�i�;i t ,tcfhsiliegnscelistasn select Construction Supervisor and license 93403, Iosurance: Worker's Compensation: Ofn- 1101iQ is under Kyron hoc. DBA Preserve Services I'+ntcctiott: Covers the injury ora worker employed by the contractor doing work at yntn- home I o Check our policy or our comphiticros go to on his page go to—check rkrr's compensation proof of coverage"our license is under Kyron rip code 111070. Liahility Insurance Our policy is under Kyron Inc. IJ13A Preserve Services and has limit ot'.$4.000.000, Protection: Covers your property in the event of accidental damage up to a dollar INA! sped IU on the policy. 'I'o check our policy we will provide a certificate from our Nsuroncc company. PUN I R NN ASI ZING: Power "ash the outside orthe house using bleach anis water to clean the house and kill ah mold and mildew. N I I N 0R 11AINTE NANCE t \I TI.,1NU: ('hulk all gaps :md cracks. I'i+?ITARATION PM PARXIION: Scrape ;all loose and peeling paint. \RE,Nls 'l O HE PAINTED k11?dN(r \ppl,� I Cull coca of primer. Apply I full coat ortinish. t ftllt .lpply I full coal ol'primcr. Apply I full coal ol'tinish. V I utit),}, ,; Paint file w haloes Iramc but exclude ALL the sash. Apply I full coat or primer. Apply 1 I"M "tat c4rlinish. tHx itay Paint the cmerior orihe.doors. Spot prime all hire areas. Apay I full cora or Knish. t;i 6 ii.R: tiselude the rest orthe buildings. 111M I N G 111raiute Wal $ 9.900 ( ancQnu'� notal $ 7.900 tivic $ 17.800 `,ar4 I a $ 0 I owl Price; S 17.800 including labor So iA9acrial* V uncut I cans: _0'!ro d sit (day orstart): i0% progress: 50°/4 end or job Senn wnnor Customer signature 100I1'lQ1itiA1. 'I'OAI3UVP; ES'f(ty1A"I'E: tttlii: !'aintthe real'stqIsOur 3uildingl0. � } - "��j��lLO(t, Priceb175InchWingIAllorand Material J� J Note: tr�vc arc povccrevashingyour home the vvindows maybe streaky post washing. lr yon wash win wiat (o�+sun a regular lmsis. you should wash them after we wash the outside of your home. �c�iC. Rer,r7�atiou. RcpairandPainting(RRP) Nat-21650-0 i'�-i df) stork on homes built prior to 1978. All painting &. remodeling connocR s ha%e to he ttaincd and I.Cgimacd t\ith the FTA. The fines for noncornpliance arc up to $3 MOO nor (Itis. Pwicetion: I Iclps educate the consumer and the contractors on sale practices sahcn handling Riad. o cheep our regiswation or our compethoors go to http:!i��nib,c a�mj ilhh wt ut'}rrt ,t 'in.im WRI search IOr lirnvs located in Salem Ma. �t'7� J r a 37+ s r ilk � b 'S i 1 r r r.. i �,557,� by 1F �i b -xn sG ' q, I '8 F n 4cy,?�r Com, +�� 3e t. Pre,sOent R. Ryan Raffety Putn;ur; IVlasury Condominium Association 10 Andrew Street 92A `,atern, Massar.husetts 01970 ',ean 0;C011nor 1o1 Street 4206 `,alCm, Massachusetts 01.970 Aay 31, 2016 r'k,<tr Stan Pfea.e aravpt this letter as the Putnam Masury Condominium Association's official approval to replace the exterior siding of buildings 8& 10 Andrew Street as stated in our signed proposal. Please give me a coupe days' notice before the work begins, so I can make parking arrangements for our member,. Ki+ad regards, P- Ryan Raiety Massachusetts Department of Public Safety ®a" Board of Building Regulations and Standards License: CS-093403 Construction Supervisor SEAN OCONNOR o.. 26 CHESTNUT ST SALEM MA 01970 Expiration: Commissioner 12/3112017 enrniirairrora�/�n/'C3��u�rrz�aJc//J Office of Can sumergffairs g Business Regulation �{OOME IM PROVEMENT CONTRACTOR eglstration; 123553 tiExpiration: 3/6/2017 Type: PreserveDBA ainting Sean O'Connor 203 WASHINGTON ST.#256 SALEM, MA 01970 Undersecretary CM OF SALEA MMACHLEEM BtuDmaGDBrArnsearr 1M Wesr CXKS71MffT,3 ROOJt TkL(°778 7469595. �iEYDRis�u, FA]rMV 740.9846 HD MAYOR THOAASSTJUW Dmn cwRcrrimucmcnm/atzLmyGacaaagwm Construction Debris DisposaiAfdavit (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 c40,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 deposit facility as defined by MGL c 111,S 15oA. The debris will be transported by. (name of hauler The debris will be disposed of in: (name of facility) (address of facility) Sig atur sof ap Iicant bate The Commonwealth ofMassachuseft c Department oflndustrialAccidents Wj_ I Congress Street,Suite 100 Boston,MA 02114-2017 wwmasagov/dia workers,Compensation Insurance Affidavit:Builders/Contradors/Electricians/PlumberL TO BE F1=MM TBE PERMIT TING AUTHORITY. Bcant Information Please Print 'b Name(Business/OrganirationBndivichnso: / ly Address: City/State/Zip: Phone#:_ ' Are you an employer?Check the appmprfate box: 1. 7 am a employer withType of project(required): 4Lemploym(full amvorpart-time).• 7. Ej New construction 2. I am a sok proprietor or partnership and have no employees wo ldaa forme in MY cevacity.[No workers'"comp,fintnmtce requhed.] g- 0 Remodeling 3.01 stn a homsowmr doing all work myself.[No workers'comp.itaorance required]1 9. 0 Demolition 4.01 nm s homecwne arsd will be hiring contractors to conduct a0 work on my property. I will 10 0 Building addition emme that all contractors either have workers'wmpemation mnnence u are sole 11.0 Electrical repairs OI additions proprietors with an employees. 5. I am a 12.0 Plumbing repairs or additions 0These sub-contractors hawand I love an the cub-contractors listed on the attached shat employees and have workers'comp,mstnance.t 13.0 Roofrepars 6.0 We ere a corporation and its offices hoe exercised their risk of exenptim per MGL c. 14.0 mer 152,§1(41 and we hoe eco employees.[No workers'comp.unmans requbed.] -Any applicant that chedm box#1 must also fill am the section below showing their workers'compmm mtim policy inhuation. Homecwmrs who submit this affidavit fadicntiog they as doing all work and thus hive oueide comram n mus,submft a new affidavit indicating such. tGantrectom that check this box must ethchW on add.. shcet showing the,of the suh-contr ..ed sore whether u not those entities hoe employees Ifthe sub=cmaaUus hoe employees,they mustpmvide�eQ wukms'comp,policynumber. Jam an employer that is providing workers'cohrpeasation insurance for my keformadon employees Below is thepolicy and job site huw=Ce Company Name: / yy�''�og�pt Policy#or Self-ins.Lic.#: /0�, ,pp { �/ Expiration Date: Job Site Address:_ �t Cit,/StataT4. Attach s copy of the workers'compensation pollryaeclaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I eco hereby certify under thepaurs andpenahres ofperJu y that the mforma iron provided above is hue and correct. Signature: Date Phone M FPerson: use onlJt Do not write in ads area,to be completed by city or town official Town: Permft/License# hority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector on• Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,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 dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§251;0 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 evidence of 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 performance 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 subcontractors)name(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 atrurcriniate 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 fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the perrniUJicense number which will be used as a reference number. 'In addition,an applicant that must submit multiple perrmttlicense 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 permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia SUN RICES The Commonwealth of Massachtiets g 'S8 M1, Department of Public` �pgtaQ . yQ Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) _C)7- Building Permit Number: Date Applied: -Building Official: SECTION 1: LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) /0AfneQ20w Sr--floe IT (- 6-TA leery (L70 9 No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK 1 Edition of MA State Code used_ If New Construction check here❑or check all that apply in the two rows below f Existing Build ng(SL-1 Rep x'mr4i Alteration ❑ Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ 1 Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No�' ,. Is an Independent Structural Engineering Peer Review required? Yes ❑ Nr>r� Brief Description of Proposed Work: �o ct -o l £ eT r w d la./ f-ti0[�c.,eC' d- h� f ✓e Q >~a ,�Yl L SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CNIR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.) Total Area(sq. ft.)and Total Height(ft.) SECTION S:USE GROUP(Check as applicable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ B: Business ❑ E: Educational ❑ F: Facto F-1❑ 12❑ FI: Hi h Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-S❑ I: Institutional I-1 ❑ 1-2❑ 1-3❑ [-1❑ NL• Mercantile❑ - R: Residential R-1❑ R-2❑ R-3❑ R=t❑ S: Storage SI ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ II1B ❑ 1 IV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: A trench will not be Licensed Disposal Site❑ Public❑ Check if outside Flood Zone❑ Indicate municipal❑ required 13 or trench or specify: Private❑ or indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: �)I I Iiii vjy_C mon. se.m_i. i �� I r,x(--i": Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): 'type of Construction: Occupant Load per Floor: Does'the building contain an Sprinkler System?: Special Stipulations: ?r,q�' 'SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Pio" he O`wrir f -(-s .7u^..P ts•,R•2,crr.,-.n (0 A•..D,QO,:..STUN l;, F3 S G!Lo ./Y7 O 1 47 7 Name(Print) Al. P No.,and Street City/Town Zip i.'j Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address IT applicable, the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)` if building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then cheek here O and skip Section 10.1 10.1Registered Professional Responsible for Construction Control -- Name(Registrant) Telephone No. e-mail address Registration Number _ Street Address City/Town State Zip Discipline Expiration Date 10.2/General Contractor .Sf - - - - a 1 ri G'1&-92 "C11.I-T Company Name i �75b Ua�t C S 9 '4-7 Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Town State Zip q?gSa 'R 3)012 4SE9.o!Qo,?6- C-0-asr- Tele hone No. business Telephone No. cell e-mail address SECTION 11:11'0NKERS'C0bI PF:NSA CION INSUNANCH AFFIDAVtT M.G.L.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes❑ No 13 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Rem Estimated Costs:(Labor and Materials) Total Construction Cost(from[tem 6)_$ 1. Building $ Building Permit Fee=Total Construction Cost x_(Insert here 2. Electrical $ appropriate municipal factor)_$ 3. Plumbing S d, iviechanical (HVAC) $ Note: Minimum fee=$ (contact municipality) 5. Mechanical Other $ Enclose check n ible to a y< 6.Tota Cost $ 1 3 (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT, 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 and understanding. �-V o„tom 5s 3 l Please print and sign name Title Telephone No. Date Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date J