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9 BAY VIEW CIR - BPA-14-508 REMODEL KITCHEN
the Commonwealth oftlVlassacltusetts + Board of Building Regulations and Standards CITY OF V Massachusetts State Building Code, 780 CMR SALENI Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised,blur?011 One-or Tivo-Family Dwelling This Section For Official Use Only. C Building Permit Number: Date Applied: DuilJing OlEcial(Print N.une). f� I ature - Date SECTION li SITE INFORtMATION' 1.1 Property Address: 9 >;a vi2wCr�a/� 1.2 Assessors blap&Parcel Numbers I.1 a Is this an accepted street?yes no_ Map Number l arcel Number 1.3 "Zoning Information: 1.4 Property Dimensions: Zoning District Pred Ue—opos�— Lot area(sy R--)-- Frontage(R) 1.5 Building Setbacks(ft) Front Yard Site Yards Provided Re Require) Provide) Rear Yard Required aired y Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Check ifyes❑ Municipal ❑ On site disposal system ❑ 2.1 Owner'of Record: SECTION 2., PROPERTY OWNERSHIP[ ��,aau I9-Vaeo 7r 1 ^1�me(Print) ��/f /� , /11", G/9-20 City,State,ZIP g �re�.✓ Ct�l.t No. mtJ Strl�r pIP/—$�?/-737� Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Alterations) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Brief Description ofProposedwork': jJ Other ❑ Specify: SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and Materials) Official Use Only I. Building y( 9 g.S 1, Building Permit Fee:S Indicate how fee is determined: 2. Electrical S Cl Standard City/Town Application Fee SOp ,OQ p Total Pro 3. Plumbing S ject Cost'(Item 6)x multiplier x 000.00 2. Other Fees: S 4. Mechanical (HVAC) S List: 5. \-lechanical (Fire Su ression) S Total All Fees:S 6. 'total Project Cost: ,S Check No._Check Amount /$+r7�S� ❑Paid in Full Cash Amount:_ 0 Outstanding Balance Due: • r SECTION 5: CONSTRUCTION SERVICES �s-ag/iv3 5.1 Construction Supervisor License(CSL) is irut License Number P oa fk �: A Nmne of CSL Holder List CSL'rype(see below) li roo fyp e -Description �( $� No.and Street U Umcstricled Buildings Lie to 35,000 cu. RJ �n� TtwKsbvrN�r G1£f�� R Restricted )&2Famil Dwellin M Mason Citylfown,State,ZIP RC Roofn Covering WS Solid Fuel and ruin SF Solid Fuel Burning Appliances I insulation 77�_bpQ p Demolition '1'cle hone Email address 5.2 Registered Home Improvement Contractor(HlC) TUC Registration Number Expiration Date I IIC company r kll Registrant 'Lime Email address No.an Street /�.�.,,,.�rs 1 3 —`i Tel ephone Cit /Town,State,ZIP SECTION 6c WORKERS'COMPENSATION INSURANCE AFFIDAVIT(b1.G L C. 152.§ 25C(�) , pleted and submitted with this application. Failure to provide Workers Compensation Insurance affidavit must be com this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... No.......... ❑ SECTION 72:OWNER AUTHORIZATION TO BE COMPLETED WHEN:: OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize r t9 act on my behalf,in all matters relative to work authorized by this building permit application. 1 rl-/`/ 'm •. -frr f- Date Print Owner's Name(Electronic Signature) SECTION 7ti:OWNERt OR AUTHORIZED AGENT DECLARATION 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. 1— 7"'A-J Date Print Owner's or Authorized Agent's Name(Electronic Signature) NOTES: 1, An Owner who obtains a building permit to do his/her own Work,or an,owner who h°a access to ires an thearbitration tractor (not reti gistered in the Home Inorma Contractor(HIC) Program) ro ram), program guaran'tytfund ,tor on the Construction 0 Sutherpervther isor Li ertant fon'he nse c.1n be found ormaticon on the at wP osu rnscaovb found rat ant 2. When substantial work is planned,provide the inf°(incliatiudingn be), ge, tinished basemenVattics,decks or porch) 'total floor area(sq. ft.) Habitable room count Gross living area(sq. ft.)____.__--.------ Number of bedrooms Number of fireplaces Number of half/baths Number of bathrooms Number of decks/porches Type of heating system Enclosed _Open Ii Type of cooling system ,,tell for,, Project Cost" 3. -Total Project Square Footage"may be substit 1 Massachusetts -Ddpartment of Public Safety Board of Building Regulations and Standards Construction Supervisor - License: CS-081143 a, s F.rrA 0 JAMES R PI3[[ S fr m 16 BROOK ST 5 TEWKSBURYAa 0 �tl�6cgF 'i'?"'a ` Expiration Commissioner'`: ' 66116/2015.: - -Tk mei AoxaIrs&/c o�./�¢aa2c/tuJeLta Office of Co asumer Affairs&Busroess Regulafioa License or registration valid for indrvrdul use only HOME IMPROVEMENT CONTRACTOR ;. before theiix ,iration date. If found_return to: Regietrabon:�i.52838 Type Office of Consumer Affairs and Business Regulation Expiration 9�014 Private Corpordio ' ,10 Park Plain-Suite 5170 n q _- Boston,111A 02116. CA NETRY BY {f4, RICHARD BROW - 1 456 NORTHPUTNAM�� Q, a DANVERS,MA 0192J - � � Undersecretary �� Not Valid without signature 11/27/2013 12:09 FAX 978 532 2217 CROSS INSURANCE [RI 001 " CERTIFICATE OF LIABILITY INSURANCE i%2/20 3' THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poficy(ies)must be endorsed. If SUBROGATION IS WANED,Subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER GONTAE Lauren Goldman Cross Tnaurance-Peabody PNDNG , (978)532-5445 Nal.(970)S32-2217 139 Lynnfield Street E'^mL -lgOldman@croseagewcy.com INSURERS AFFORDING COVERAGE mce Peabody MA 01960 INSURERA-Main Street AKLerica f0rmerl INSURED INSURmE. NQX Ins=Srace Co 14788 CabinOtry by Design Inc. INSURERc WesCO Ins CO 56 N PUTNAH ST INSURER D: INSURER E: DANVERS MA 01923-2058 INSURER F: COVERAGES CERTIFICATE NUMBER:CL73101595089 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE US ED 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 SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DOL B POUCYEFF POLICY IMP LTR TYPEOFINSURANCE POUGYNUMBER ImmobarrrrYl a&w29= LIMITS GENERALUABILITY EACH OCCURRENCE 4 11000,000 X COMMERC01 GENERAL LIABILITY PREMISES To S 500,000 A CLANS.WDE OCCUR PT39368 /1/2013 /1/2014 MME(P(A,.,Iryn) $ 10,000 PERSONAL s AOV INJURY S 1,000,000 GENEPALAGGREGATE 5 2,000r000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS AGO $ 2,000,000 X POLICY PR0. LOC S AUTOMOBILEUABIUTY COMB D SINULb LIMIT B ANY AUTO BODILY INJURY(PdPmPn) s 250,000 ALL OI ED X SCHEDULEDAUTOS 834944 /29/2013 /29/2014 BODILYDUURY(Ee =6dcnl) S 500 000 X HIRE(AUTOS NON.OWNED PROPERTY DAMAGE S AUTOS PIP6we $ B 000 UMBRELLA U40 OCCUR EACH OCCURRENCE $ EXCESSUAB CLAIMS.MADE AGGREGATE S J.DEQ I I RETENTIONS $ MRKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIEYORIPARTNERIM% CJEW EL EACH ACCIDENT S 500,000 OFFICER/MEMBER aCLUDEDT N/A (Mandatory In NH) NwC3070116 0/11/2013 0/11/2014 E.L.DISEASE-EA EMPLO S 500 000 It yyeea,dO ON under E.L DISEASE-POLICY LIMB S 500 000 OE$CRIPTION OF OPERATIONS Celwi DESCRIPTON OF OPERATIONS LOCATIONS 1 VEHICLES(Atweh ACORD TOT,AMUSIIM RenIaIW Sehawle,N mars$,ace Is ncNI d) Refer to policy for exclusionary en em dorsents and special provisions. CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W City of Salem ACCORDANCE WITH THE POLICY PROVISIONS, Tom McGrath 120 Washington St. AUTHORM REPRESENTATIVE Salem, MA 01970 �p ./ Timothy Tramonte/bml J �d- �� ACORD 25(2010/05) ®1988.2010 ACORD CORPORATION, All rights reserved. INS025(201006pi The ACORD name and logo are registered marks of ACORD CITY OF SALENI, -'L%LxsSACHUSETTS ` BuiwLNG DEPART\t&tiT 130 WASHNGTON STREET, 31O FLOOR " TEL (978) 743-9595 FAx(978) 740-9846 KI\IBERi FY DRISCOLL NLAYOR THo.%w ST.PIEm DIRECTOR OF PUBLIC PROPERTY/BI;ILDNG CON IISSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit # is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c l 11, S 150A. The debris will be transported by: (name of hauler) "fhe debris will be disposed of in -me do (name of facility) G e.awc.-7OWA MC a dress of facility) signature of permit applicant date CITY OF S..kLEtii, ',%L1SSACHLSETTS BUILDING DEPARTNIF-NT 120\ti ASHINGTON STREET, 3'a FLOOR -0 TEL (978) 745-9595 FAx(978) 740-9846 K1\CgFRi F.Y DRISCOLL THOhW ST.PIEAE MAYOR DIRECTOR OF PUBLIC PROPERTY/BUILDING CO\L\IISSIONER Workers' Cornpensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Natne (BusinesslOrganizaiiow[ndivicival): Cab I G! x N4�est n Address: 56 /)/curf>, 82 L ` S"t f City/State/Zip: Q0.n1/e,-S /4a Di"13_3[ !tone # Are y u an employer?Check the appropriate box: Type of project(required): I.91 am a employer with -1— 4, 1 am a general contractor and 1 6. ❑New construction employees full and/or part-time)." have hired the sub-contractor ( 7. [Remodeling 2.0 1 am a sole proprietor or partner- listed on the attached sheet.t ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. worker' comp. insurance. 9. Q pudding addition No workers'comp. 5. We are a corporation and its ( P insurance 0 officer have exercised their 10.❑ Electrical repairs or additions rcquia homeowner right of exemption r MGL 11.0 Plumbing repairs or additions 3.� 1 am a homcuwner doing all work S P p" myself.(No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repair insurance required.]t employees. [No workers' 13.0 Other comp. insurance required.] •Any applicant that ducks box HI must also OII out the section blow showing their worker'compensation policy inti malion. r I L,meoI who submit this atFdavit indicating they ate doing all work and then hire outside cuntmctors most submit a new affidavit indicating such. :(;an l motors Ihot check this box most an ached an addi Bowl sheet showing the none of the sub-contractors and their workers'wrap.put icy infonn,aion. 1 ant can employer that is providing workers'conipeasatlon insurance jar my employees. Below is the policy and fob site information. Insurance Company Name: W e Policy 4 or Self-ins. Lie. #: W M e.3 02011(e,_ Expiration Date:[/O�— I/—)t- Job Site Address: 4 Qay ✓t'e'I e City/State/Lip: �JG/[^v i"�a �19—V Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition ofcriminai penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. 13e advised that a copy of this statement may be forwarded to the Office of Investigations ofthe DIA for insurance coverage verification. I do hereby certify under the ppaai-n's/and penalties of perjury that the inforinatiou provided above is true and correct. ne, �.e(i4vM !//:�l..o.u�,y --_7-1� Phric4 47 �—�751—©l301— - Official use only. Do not write is this area,to be completed by city or town off eArL City or Town: Permit/1.1cense Issuing Authority(circle one): 1. Board of health 2. Building Department 3.C'ily(fown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other......... — ---.....--_......_. Contact Verson: Phone#: _ CABINETRY DESIGN Proposal October 16,2013 Emanuel&Veronica Giuffre 9 Bay View Circle Salem,MA 01970 (781)321-7373 (617) 872-8599 We are pleased to quote you on remodeling your kitchen. All work is fully insured and all trash created by Cabinetry By Design will be removed by Cabinetry By Design. Cabinetry&Hardware: Supply and install Signature frameless cabinets as per plan. Cabinets are priced in the Birmingham door made of Hickory in your choice of color. Cabinets are complete with matching Signature moldings and the hardware of your choice. Counter&Back Splash: Supply and install mid price granite counter as per plan. Counters are complete with any standard edge and one sink cut out. Tile back splash with owner supplied tile and gout. Camentrv: Remove existing cabinets and counters and floor to sub floor. Nail off sub floor. Supply and install new Anderson CN235,FWH6068 and TW28310 as per plan closing up inside and out up to paint. Remove knee wall as per plan. Patch walls as needed. Cage windows and door and patch base boards as needed matching existing as close as possible. All work as per code. Plumbing. Gas&Heat: Disconnect existing sink and cap as needed. Upon completion install owner supplied sink, faucet,dish washer and ice maker. Pipe for and install owner supplied gas range. All work as per code. Supply and install new twin flow heater and a piece of high output base board heat tying into existing system. Electrical: Wire kitchen as per plan and code. Supply and install six 5"recess lights,two 4"recess lights,wire for two owner supplied pendants over Island,add one TV outlet, change main breaker to 125amp and add sub panel in basement. Install owner supplied light at back door. All work as per code. Proposal continued on next page 56 North Putnam Street 4 Danvers,MA 01923 4 Phone 978-774-0002 4 Fax 978-774-7799 CABINETRY �y DESIGN Proposal (continued) Flooring: Supply and install 2 V4 oak flooring in kitchen and sun room. Floor in sun room to go over existing floor. Floor is complete with three coats of oil based polyurethane. Nothing other than stated above is included. No appliances,tile, grout or painting in quote. Cost: $48,985 Terms: 30%down,20%upon starting,40%upon delivery of cabinets, 10%upon delivery. Options: Change cabinets to Yorktown Platinum in the Brentwood door mad of Hickory subtract$4,000 from quote. Z/ � / () — / ? — /0 Owner Date �-rtiv /o Owner Date Richard F. Brown,President Date IHC License #15283 Selections 16Ae Wood: 14,eKv Door: AmesFwry Color: 17 1 Sheen: -20 3"RaelstS�,/rs Counter: Edge: .S-Fe 4rawerArAd Wl"A lob 5%d rep Hardware Door: 7CG t;-A/✓ , Hardware Drawer: '7-3 1'—AA1 Giuffre—October 2013 56 North Putnam Street 1 Danvers,MA 01923 4 Phone 978-774-0002 4 Fax 978-774-7799 _ � _�__� I-- I __�-_I -J�-T_I_J-� � I_ I --1- !--I-� J - I -,--� __; t -_ �r- �-- -- - -_ I --- - ' � -•-�- I---I !- J--J--- I � � I ! � I I I ! � - - i--L—� _1_- �_1 _! !_. I I— - I !� ! l.. I- ' •1 � � {�,+sl FT 4-1 . _ � + _ P 5(33DT 5{ _ R�/D i- - r--- --_�--� ,-+ > - -- ---I �d � d -- _ IV T f -I 7 I - ! t6N - +H I � I III l II IIIII