Loading...
7A BUFFUM STREET EXT - BUILDING INSPECTION n . X 102�zI � -7 �0 The Commonwealth of Massachusetts CITYCOVI OF Board of Building Regulations and Standards REC IVERAL M Massachusetts State Building Code, 780 CMR INSPECTION ALL �et�s&�'�fiF28[1 Building Permit Application To Construct, Repair,Renovate Or Demolish a One-or Two-Family Dwelling 2015 MAR 31 t n This Section For Official Use Only V^ '/ Budding Permit Number Date Applied: NBuilding Official(Print Name) gnature Date SECTION'1: SITE INFORMATION ].1 Property Address: 1.2 Assessors Map&Parcel Numbers 7sl Kv fP� 5w ��r r _(1 1.la Is tiffs an accepted street?yes_�no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided IV D eS S rS P 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 S age Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Check if yes❑ Municipal ❑ On site disposal system ❑ SECTION 2i PROPERTY OWNERSHIP' 2.1 O Sner of R c rd: Name rint) City,State,ZIP ZIr 9-)g 1y4f No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ Number of Units I Other aSpecify: Brief Description of Proposed Work': /l }g Kit* o w ,a / 'm �� . �.K SECTION 4: ESTI ED CONSTRUCTION COSTS e1r��a 1�1w� 5�✓ ` ��S Item Estimated Costs. Official Use Only Labor and Materials << I. Building Budding Permit Fee. $ Indicate how fee is determined 2. Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ `:2 Other Fees. $ 4. Mechanical (HVAC) $ List. 5. Mechanical (Fire $ Su ression Total All Fees. $ 6. Total Project Cost: $ Z QGj3, Check No. Check Amount: Cash Amount 0 Paid in Full ❑Outstanding Balance Due k■j I SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) cyhl iq M w7a t/ License Number Ex r ion Date Name of CSL older ' l f List CSL Type(see below) L{� 0044t-} ". �turhlel'���Lr2 �� No.and Street ^,, Type Description tlA, Ie I AL /,[A �c/y5 U Unrestricted(Buildings u to 35,000 cu.ft. /J R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Mason ry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Y n pv. 1 Insulation Tee Email addres D Demolition 5.2 Registered Home Improvement Contractor(HIC) 81h C D� I�5_0� /'376io 7 HIC Registration Number E "ira on Date HIC Cyy mpany Name or HIC Registrant Name Cf}-nig,l�5r�rwc"J A Cowl N . d Street �-- EmaWalhitrAs — �e�l�d Y f-0- ofyG/ 926 C5 Ci /Tate,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) i 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 he building permit. Signed Affidavit Attached? Yes .......... No........... ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize 00 to act o r behalf,in 11 matters relative to work authorized by this building permit appli4 ion. r7 /J Print l ner's Name(Electrod Signature) Date SEC ION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: L An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor 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 Square Footage"may be substituted for"Total Project Cost" U.S. Roofing 0 0 o a division of Building Maintenance Corp. Q a as P.O. Box 3118 v ev Peabody, MA 01961-3118 ROOFING Telephone: (978) 532-6300 Fax: (978) 977-0803 March 18t", 2015 ROOF CONTRACT Ready and Associates Inc. 22 Sable Rd. Salem, Ma 01970 Attn: Jim Ready Re: Roof Replacement @ 7A Buffum St. ext. Salem MA 01907 Dear ]im, After reviewing the roof located at 7 A Buffum St. Ext. Salem MA, I am providing you with specifications and pricing to remove all the existing roofs system and replace with a new fully-adhered EPDM roof system Systems. The roof on this masonry block and wooden structure is approximately 1,200' of a low-sloped Asphalt BUR Roofing system with a torch applied roof on top over a wood plank deck substrate. REPLACEMENT SPECIFICATIONS FOR FLAT ROOF - Provide and procure all dumpsters, staging and crane required to complete this project - Remove entire roof down to exposed beck and dispose of all debris in a legal landfill - Prepare existing decking according to Carlisle specifications - Mechanically-attach 3.5" PolyISO insulation. Install pressure-treated wood nailer at exterior perimeters of roof to match heights of all newly installed insulation and fasten to code; preventing any racking or uplift Fully adhere Carlisle .060 mil rubber over all newly-installed insulation according to Carlisle specifications Mechanically-attach plywood to all sides and top of all outside wall's and fully adhere Carlisle .060 membrane over all newly installed plywood Remove all abandoned curbs and deck in On applicable perimeters, shop-fabricate & install .040 aluminum edge cleat with slip connectors and hook strip to prevent any wind uplift ensuring that the building edge aesthetics are preserved as designed and improved Flash newly-installed edge cleat and all applicable penetrations on new roof according to Carlisle specifications Provide for a safe, non-disruptive job-site ensuring appropriate access and disposal lanes;work environment to be clean and safe for roof mechanics, building employees and public Dispose of all debris in an approved facility in accordance with all local, state and federal regulations U.S. Roofing will acquire all permits. Cost of Work: $ 14,775.00 x REPLACEMENT SPECIFICATIONS FOR Shingle ROOF - Remove all existing shingle layers down to exposed roof boards - Dispose of all roofing debris in a legal landfill - Install 72" of Ice and Water Shield at leading edges; including valleys and all roof penetrations - Nail TRI-FLEX High Tech Roofing Underlayment over remaining roof surfaces - Install 8" aluminum drip edge to all roof perimeters - Install Certainteed" 30-year Architectural shingles to all roof surfaces; storm nailing each (six nails per shingle - Cap ridge vent with Certainteed" 30-year cap shingles Cost of work: $ 6,308.00 If you have any questions or require additional information, please do not hesitate to contact me @ 978-265-7319. Thank you for considering U.S. Roofing for this project. Sincerely, A 'P Peter Allard Jim Ready U.S. Roofing Ready and Associates Inc. The Commonwealth of Massachusetts Department of IndustrialAccidems Office of Investigations a I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Thine (Business/Organization/Individual): 1' l` Ptl . Address: /q-/S Ct,rl�k City/State/Zip: AIWv1f°119— O ( Phone#: r 3D Are you an employer?Chec the appropriate box: project(required): 1.Ilf 1 am a employer with /D 4. ❑ I am a general contractor and Iew constructionemployees(full and/or part-rime).# have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. emodeling ship and have no employees These sub-contractors haveemolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance comp.insurance.[ 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their 1 I.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.La6ther 12 ^l2Onc employees. [No workers' comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. [contractors that check this box most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name: TAL Pr 1 SCo 149etv� C—C, i Policy#or Self-ins. /Laic.#: Ut1)L`/bD- 46)IA93 Expiration Date: /L 23 1 Job Site Address: //4 8off2M ST LXT City/State/Zip: _Sg)e/t't /11A­01170 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 of criminal penalties of 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$250.00 a day against the violato Be advised that a copy of this statement may be forwarded to the Office of Investigations of the W for insuran ve erification. I do hereby certify u d the p n e (ties of perjury that the information provided ohoa is true and correct. Si ature: Date: 15 Phone#: Official use on Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ' f�CORO® CERTIFICATE OF LIABILITY INSURANCE oaTE(MkuoomyY) 12/24/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement($). PRODUCER CONTACT NAME: The Driscoll Agency, Inc. PHONE 8 - 656 aIc Na: 1- 81-6 8 IC 93 Longwater Circle El4A1L P.O. BOX 9120 ADDRESS: coIIa e Norwell MA 02061 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:First Mercury Insurance INSURED 3327 INSURER B:Excelsior 11045 Building Maintenance Corp. INSURERC:AIM Mutal Ins Co 33758 dba U.S.Roofing INSURER 13:1-b Mutual Holding C PO Box 3118 - Peabody MA 01961 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:1223274751 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF ADDL UBR POLICY EFF POLICY EXP OMITS LTR IN WV POLICY NUMBER MMIDD MMIDD A GENERAL LIABILITY Y Y MACGL000000279004 2/23/2014 2/23/2015 W RRENCE $1,000,000 X RENTED COMMERCIAL GENERAL LIABILITY a occurrence $50,000 CLAMS-MADE KI OCCUR y one person) $5.000 X XCUADV INJURY $1,000,000 X Inc Contractual GREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' -COMPIOP AGG $2,000,000 POLICY X PROJECT- LOCCOMBINED SINGLE $ B AUTOMOBILE UABIUTY Y BA8730382 12/23/2014 2/23/2015 Ea accident $1,000 000 ANY AUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident) A rlUMBRELLA LAB X OCCUR MAEX000003723102 2/23/2014 r22312115 EACH OCCURRENCE $5,000,000 EXCESS DAB CLAIMS-MADE AGGREGATE $5,000,000 CEO X RETENTION$0 $ C WORKERS COMPENSATION To be issued by carrier 2/23/2014 2/23/2015 YTATU- OTH- ANDEMPLOYERS'LIABIUTY YIN ANY PROPRIETORIPARTNER/EXECUTWE❑ NIA E.L EACH ACCIDENT $ OFPICERMEMHER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ (Mandatory in NH) If yes,descries under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ D Installation CBP8732582 12/232014 2/232015 Job Site Limit $100,000 Floater Leased Rented Equip $180,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,U mom space Is required) RE: Latitude Condominiums,281 Essex Street,Salem, MA&all other projects in the city. Notice of cancellation provision is 30 days,except 10 days applies for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED) IN City of Salem Massachusetts ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Public Properties Dept. 120 Washington Street,3rd Floor AUTHORRED REPRESENTATIVE Salem MA 01970 rdlElrrs>:1_r S.o ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD AC40R& CERTIFICATE OF LIABILITY INSURANCE Da011151201 yrY) �� ov1s12D1s THIS CERTIFICATE IS 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED,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 endorsement(s). PRODUCER 06175-001 52NTACT ME: uGo TDA Inc dba The Driscoll Agency .No.Ext: (781)681-6656 A�,No.: (781)681-6686 93 Longwater Circle JoaRtss: kseip@dciscollagency.com Norwell,MA 02061 IN URER S AFFORDING COVERAGE NAIC N INSURERA. A.I.M.Mutual Insurance Company 33758 INSURED INSURER Building Maintenance Corp US Roofing INSURER C: P O Box 3118 INSURER D: Peabody, MA 01961 INSURER INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MSR TYPE OF INSURANCE I s11Ii p POLICY NUMBER tArN�D/Y1'Y1' MAVL�CO/YYVY LIMITS 77ftR GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED occurren $ COMMERCIAL GENERAL LIABILITY PREMISES Ea ce CLAIMS-MADE OCCUR MED EXP(Any one person) 9 PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ ENE AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ OLICY F_tlROf OC AUTOMOBILE LIABILITY EO MBMdentSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OMED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accd nt UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LMB CLAIMS MADE AGGREGATE $ V/ppDEEDg pMy�R�EgTEENN�TIION $ WC gT TU N $ ANO EMPLOYERS'LIABILITI X TORV LAMBS OER III A P IE RIE ECUTIVE YIN EL EACH ACCIDENT $ 500,000.00 A o� Icy N1�M�� LZC�ED J NIA VWC-100-6018031-2014A 12123/2014 1212312015 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000.00 DffMOIe7sT10N 91d_0 P E RATIONS below EL DISEASE-POLICY LIMIT $ 600,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aftach ACORD 101,AAOltimal Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION City Of Salem 120 Washington Street-3rd Floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Salem,MA 01970 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 26(2010106) The ACORD name and logo are registered marks of ACORD 4 T � office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 137667 Type: Private Corporation I Expiration: 12/17/2016 Tr# 260114 i BUILDING MAINTENANCE CORP. PETER ALLARD ---- P.O. BOX 3118 PEABODY, MA 01961 — Update Address and return card.Mark reason for change. Address Renewal n Employment Lost Card SCA 1 as 20M-05/11 /�C� l9L>'7%k7lI C7H000Yt/�� O//�//'(.QJtiCIC'�Ll3f'l/J License or registration valid for individul use only . Office of Consumer Affairs& Business Regulation before the expiration date. if found return to: h}V— — eglistration:�OOOMIMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation B 137667 Type: 10 Park Plaza-Suite 5170 xpiration: 42/17/2016 Private CorporationBoston,MA 02116`g BUILDING MAINTENANCE CORP. j PETER ALLARD ! 14-15 WILLARD ST ,®�P_..-- _ ---- PEABODY, MA 01960 Undersecretary Not valid without signature Unrestricted-Buildings of any use group which 9 Massachusetts -Department of Public Safety contain less than 352000 cubic feel(991M )of I Board of Building Regulations and Standards eDCIOSed Space. Comtruction Supenisor License: CS-107719 CRAIG MURRAY ) 48 P1rMAN ROAD .. : Marblehead MA a1945 G Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. . ,� �,+`� Expiration For DPSUcensinginfonnationvisit: www_lV:ss.Gov/DPS ` Commissioner 0610812017 !y. A -- aa � t 3 • ' 1/ earth • 1 4 o _ l'. earth leell 1