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16 ANDREW STREET - BUILDING JACKET -r 16. Andrew St 4 07/17/2013 03:30AM 100 C&0 PAGE 02 The Comm onwealth of Massachusetts A Board of Build ng Regulations and Standards CITY OF Massachusetts tate But ding CMR SALEM e g Revised Mm 1011 may.. Building Permit Application Construe,Repair Renovate Or Demolish a One-o Two-Fami y e ting This Section For Official Use Only Building Permit Number: fiat,Applied- ` Yom `nvc S`�y i Building Official(Print Name) Signature - Date SECTION 1:SITE INFORMATION LI Property Address: 1.2 Assessors Map&Parcel Numbers n Lla Is this an accepted street?yes_ no - Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zordng District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yazd j Required Provided R,,quired Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 FI d Zane Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: Outside Flood Zone? Check if yes❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: g:Erlbele e nam.✓ & SA/P. r a1.rxS 0/�i7o Name(Print) City,State,ZIP No.and Street Telephone Email Address SECTION 3:DESCRIPTII PIN OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building❑ I wner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ 1 Addition ❑ Demolition ❑ 1 Accessory Bldg.❑ 1 4umber of Units Other ❑ Specify: Brief Description of Proposed Work"': Z2&y yek CK. rn kQ C t ue-t - r f_ SECTION 4:ES rIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materia Official Use Only 1.Building $ f O S, 3 7j 1. Building Permit Fee:$ Indicate how fee is detemained: 2.Electrical $ _ ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ — 2. Other Fees: $ 4.Mechanical (HVAC) S — List: 5.Mechanical (Fire _ Su ression) S Total All Fees:$ Check No__Check Amount: Cash Amount:_ 6.Total Project Cost: $ (}��iJ' ❑Paid in Full ❑Outstanding Balance Due: s Dow, (0,01 (flo ro,11?.>c1'* C+a Conlr2r'tc4i�`l/ `u(a SCZJe 000-4-,ux'O, (2S- c„} 3as- ff/(p ' �2?u3S=f7/�o c t83'I�pa tY/,S/ co n m I- RP����nu� + ( ¢f�in.Ce. !o!� I-edge✓t m /C� _ . . . . .. . . . hU✓t) u)rtl; JAL hre,g-OtV, b ees r-A). w- - rt`�rs r•-e 1 o(} 77 Ml car; baeowl � ypTy7 n �Q3 as 1SIi�o -Seue Ro0u)e0C5-ay 3(n5 t ve. (gym w m m m rr . n 0 i cv, r �p I hZemav + i>e�la�Q (�) aXB 7bi�i replace Cu eT 2x& f1u�r� W �a1 ,�+;sl liczv+ �CaJ �'I; ?. 0,4cQ Va"6-4t XIZ" (Arraau. baL j6 �eCuv� eaw �� D m J J Terms and conditions N m 1. Please do not sign this contract if it contains blanks. 2.C&O Contractirig/Stephan Rothwell is responsiable for all applicable permits and coordination of all inspections required by m city of Salem Mass. w 3.C&O warranties all workmensh�ip for 12 months form date of completion. °1 m 4. Projected start date is August 11,2014,completion date is schedule for August 28,2010 not including change orders. D 3 5.Payment schedule :deposit on materials to be delivered to the site(100%),balances of payments based on progress payments, �. As work is completed home owners will be invoiced for work accomplished. m m 6.Home owner and contractor agree to alternative dispute resoroution:Arbrition by Mass Dept of Safety approved arbritrator, 7.C&O Insurance hinder available upom request, Ma' Sunt America Group,Progressive Casuslty(PAPS86672) B.C&D tax id number: ©c�.Svc '].__�7_�,_._ 9.Home has a grace period of,10 days form date of contract/deposit-100%of deposit is fully refundable during this period. 10 6'5 .-0 4 34-r S Inc f�3 y �s o i l I1> D G) m m j J 'o, 4'✓'� 'JIL D1Si�`r t4J rA p_ p yg pp ♦ j 11 t t t 1�IliYF JIl2i,�iQLtAY AIL ,1.:1 �afzz�reffc �f. . iz(cm, J'iitusu. 01970 .a''lreu fllabr 617 745-6300 May 19 , 1982 Mr . Bramble Allyn Realty P . O . Box 4487 Salem, Massachusetts 01970 Re : [16 Andrew Street Dear Mr. Bramble In regards to our phone conversation on May 17 , 1982' concerning the hazardous condition of the electric ' service'. I am requesting you to take immediate steps to correct. this electric hazard . Your cooperation with this Office will be appreciated as it will be strictly enforced. Yours truly.' . Paul M . Tuttle / Wire Inspector cc : Building Inspector✓ Fire Prevention: PMT/m $. AY aut 19. Outfir CITYR CCIVE°MAss: imiirr "+Jns}�rrinr ` _ G �ttlem, a9.luss_ D197D ran (gobe 617 715-63IID May 19 , 182 Mr . ,Richard Dragon 9 Linden Street Salem, Massachusetts 01970 Re : t16 Andrew Street , Dear Mr. Dragon : . This letter is to inform you that ,'Che electrical permit dated . September 25 , 1:981 at the above add-ress has been canceled . Any additional electrical work will require another electrical permit. Yours truly , Paul M . Tuttle Wire Inspector cc : Fire Prevention / Building Inspector ✓ PMT/m 11in�Ioben? 1D CK 3( �'I ISLI1 The Commonwealth of Massachusetts Department of Public Safety (,ECE1VEQ tIhAL SERVICES Massachusetts State Building Code(780 CMR)1t1sPEQrt Building Permit Application for any Building other than a One-or Two-Famil (This Section For Official Use Only) Building Permit Number. Date Applied: Building Official: SECTION 1: OCATION(Please indicate Block#and Lot#for locations for which astreet apddres,ssiis not available) / a No.and Street City/Town Zip Code Name of Building(if applicable) 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 GPJ Alteration ❑ Addition❑ 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 ❑ No Brief Description of Proposed Work: d Q /2t h 1 viSd- -h Sf. 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.) SECTIONS:USE GROUP(Check as applicable) A. Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ P Facto F-1❑ F2❑ 1 H: High Hazard H-1❑ H-2❑ H-3 ❑ 11411 H-5❑ L• Institutional I-1❑ I-2❑ 1-3❑ I4❑ 1 M: Mercantile❑ R Residential R-113 R-2❑ R-3❑ R4❑ S: Storage S-1 ❑ S-2❑ U. Utility❑ Special Use❑and please describe below: Special Use: SECTION&CONSTRUCTION TYPE(Check as applicable) IA ❑ rB ❑ IIA ❑ ITB ❑ IHA ❑ M13 ❑ 1 TV ❑ 1 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: z Public❑ Check if outside Flood Zone❑ Indicate municipal ❑ A trench will not be Licensed Disposal Site❑ Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: permit is enclosed❑ On'St Railroad right-of-way: Hazards to Air Navigation MA Historic Commission Review Process: Not Applicable❑ Is Structure within airport approach area? Is their review com ted? _ 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: �yAc�C�- C�hsr'2-(�.J�-o� w Ntsly YZ�AOvI (00'�— Z3S— g l lop et2S- P 1 Ivry SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner // MAX/ gzt - 5'n-Am yzQ S Name(Print) No.and Street City/Town Zip Property Owner Contact Information: 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 p=ty 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 O and skir Section 10.1) 10.1 Registered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.22 General Contractor l — 1 Q c--, 7I C;6�4q Company Name ;1 P�I C'S-OV3V76- Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Town State Zip = 603 340 735 y RyWLz.1.e6/ J/,--P/-6 f/7'I� Telephone No. (business) Telephone No. (cell) e-mail address SECTION It,WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents most be completed and r7 submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. l Is a signed Affidavit submitted with this application? Yes 0 No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ Building Permit Fee=Total Construction Cost x (Insert here 2 Electrical $ appropriate municipal factor)_$ 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other)'- $ / /Q �.3 Enclose check payable to$ i 6.Total Cost 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. i Please print and sign name Title Telephone No. Date Street Address City/Town State Zip _r Municipal Inspector to fill out this section upon application approval• 4X+ (� Name Da �1509/4 C+a ,�c �� P Sre�e well �S- a� 3175 �17�� I 6Q3a3S 8ibo I�L f 237�a (YSJ I ! Coca � r Y Y- i t'�ernou�j+ 2o,�12c�(o�D Le.d9e✓c . VI 3-a�eanJ+�et �faczC aa) ix a , [ I � loist .('r�lace,wr�t- t�r' Zx8- � r 'Re ina,e Icct �% .esT 4' Read' y1 4;ctL 1 1( �ctV (`r �ehofl i I _ -5 ; Rem. re. 'I SI�XtG C. f I Ni'n (o nn I L I RT e r�I r tr r � i _ fin) - - - I - - - - -}--�� ,! _ �l - - - - i � f —1 fit _ I �_ 7o� b1✓�b/] „ZI X �b� � �p� � i � " —t I _ JJ f 1 1 a . 1 � .-I�M 9 Xp (s)v�bj� + ra•^(g I f i y j j-, moo ay i J 1 I 1 _ 11 � + a it 1 i. - . — i a. 'My Y - — - 4 4- I 1 I i ! 4 -fop — — ° eSLh�'to= 4 1 -- a- _ . - -� - -t C&O Contracting,Plaistow,NH cocontractineCa live.com/603-235-8160 16 Andrews Street,Salem Mass Revised 4-23-14 Section Statement of work Mat'I Labor Other Total 1.00 Permit $ - $ 105.00 $ 225.00 $ 330.00 2.00 3rd floor deck repairs a. Demo the add on triangle - 1.Dismantle decking,structure and railings $ - $ 1,000.00 $ 1,025.00 $ 2,025.00 2. Repair damages to siding and corner $ 225.00 $ 350.00 $ - $ 575.00 3. Build new railing 9'0 $ 125.00 $ 190.00 $ - $ 315.00 Includes man lift for demo and dumpster $ Sub total section 2.0 a $ 350.00 $ 1,540.00 $ 1,025.00 $ 2,915.00 b. Build temporary support to carry 3rd floor $ 98.00 $ 190.00 $ - $ 288.00 c. Remove and replace carrying beam(replace with 2x12 PT) $ 158.00 $ 450.00 $ - $ 608.00 Attached to 6x6 post with 5/8"Gal carriage bolts/2 per $ - d.Replace dry rotted joist(double rim joist)15/gal hangers $ 249.00 $ 900.00 $ - $ 1,149.00 e.Remove 10'ledger board(replace 2x10 PT/lag in to building $ 36.00 $ 198.00 $ - $ 234.00 f.Remove 3-row decking front of door/replace flashing $ _ install new 5/46"decking $ 150.00 $ 225.00 $ - $ 375.00 g.Optional:remove and replace decking 5/46 Perm PT $ - $ - $ - $ _ h.Remove and replace damage 6x6 timber frame $ 225.00 $ 550.00 $ 75.00 $ 850.00 Sub total Section 2.0 $ 1,266.00 $ 4,053.00 $ 1,100.00 $ 6,419.00 3.00 2nd floor deck a. Build temporary support to carry2nd floor $ 98.00 $ 190.00 $ - $ 288.00 b.Remove and replace carrying beam(replace with 2x12 PT) $ 158.00 $ 450.00 $ 275.00 $ 883.00 Attached to 6x6 post with 5/8"Gal carriage bolts/2 per $ _ c.Replace dry rotted joist(double rim joist)10/gal hangers $ 166.00 $ 600.00 $ - $ 766.00 Includes removing shorts d.Remove and replace damage 6x6 timber frame $ 225.00 $ 550.00 $ 75.00 $ 850.00 Sub total section 3.0 $ 647.00 $ 1,790.00 $ 350.00 $ 2,787.00