9 CHESTNUT ST - BUILDING INSPECTION (3) l CK- 5 5A -7�
T8 g _ tk6 Nor .—af t o
The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY OF
Massachusetts Stye Building Cade;780 CMR SALEM
Retdsedl6lar Z077
Building Permit Application To Construct,Repair,Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: DateApplied:
9d�
Building Official(Print Name) Signature R
ime 0
C16 -S-V SECTION 1:SITE INFORMATION �
1.1PaopertyAddrras:. 1.2-AssessarsMap.&P'arcel.Numbers
t.la Is this an accepted street?yes_ no Map Number Parcel Number r—
rn
1.3 Zoning Information: lA Property Dimensions:
ty
Zoning District Proposed Use Lot Area(sq R) Frontage(rt) W c)
N
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone_ _ Outside Flood Zone? Municipal❑: Owsite disposal.sY stem. ❑..
Public❑ Private-❑- Check if yes❑
SECTTON.2:..PROPERTV OWNERSFW
2.1 Owner'of Record:
Seel P., J i n 54_leg, , ItM 0/9 7-0
Name(Print) City,State,ZIP
No.and Street Telephone -Fatah Address
SECTION 3.DESCRIPTION OF PROPOSED WORK=(check all that apply)
New Construction Existing Building 0 Owner-Occupied ❑ 1 Repairs(&) ❑ 1 Alteration(s) ❑ J Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify:
Brief Description of Proposed WoW: e 1 im- esc a S( eel1
1` fBIS f !c lIC ii 4s S I no`nt lk
SECTION-4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labtuaud Materials)
�j
I.Building $ a H 6 B J i.Building-Permitf ee: $ Indicate how fee-is determined:
11
❑Standard City/Town Application Fee
2.Electrical $ U Total Project-Cost'-(item 6)x multiplier x
3..Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechamcal (Fire $ Total All Fees:.$.
Suppressionj
Check No. Check Amount: Cash Amount:
6.Total Project Cost: .$ 0 Paid in Full 0 Outstanding Balance Thte'
� � t
SECTIONS: CONSTRUCTION SERVICES
5.1 Constru,fLion Supervisor License(CSL) `O � P3 Y 11 t ! L
License Number Expiration Date
Name of CSL Holder /
1 List CSL Type(see below) 1
70-fr 6tee.\ S/ .I_ype Description
No.and-Street
S�n✓te / m ,A� Oa Ira U Unrestricted uildin s u to 35.000
/� /"/ R Restricted I8t2 Farm
Dwc
City/Town,State,ZIPS M - Maso
RC Ronfm Co
WS Window and Sidin
Bg SF Solid Fuel Burning Appliances
;7V-63r6sa3 i� vIYL, pµtUrfi�j�SotPr4.w/ f Insulation
Telephone Emaila dress wwiP•eo.,, D Demolition
t
e�d Homelmprevement Coonttractor(BIC) !6 9$icyr S//! S, ry L if �//i/Yo HICRegistratumNumber £xpinmoaDate
Name or HI Registrant Name
£mail t, rf'f� " 'State,ZIP Telephone
SECTION 6.WORKERS'COMPENSATION INSURANCE AFFIDAVIT{M G I.c 182.§25QO
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 Attached? Yes .......... No.. ___....-D
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S.AGENT OR-CONTRACTOR APPLIES.FOR,BUILDING PERMIT
I,as Owner of the subject properly,hereby authorise
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(E{ee[nwic Si�ature) Date
SECTION 7b:QWPTERt OR AUTHORIZED AGENTDECLARATION
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 knmvledgeand understanding,
Print Owner's or Authorized f�gent's Name(Eleetmme Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
.(notregistered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under MG.L, a`142A.-Other important information on the HIC-Program-can-be found at
www.mass.sov/oca Information on the Construction Supervisor License can be found at www.mass aov/dos
2. When substantial work is planned, the
the information below:
Total floor area(sq.ft) (including garage,finished basement/atties,decks or porch)
Grins 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"
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supenicur
License: CS-107834
ANDREW DAPRATO
307 GREEN STREET e
Stoneham MA 02180
tO
Expiration
Commissioner 11/13/2017
nn rn
�UQQQU
MASONRY&MORE
CORP.
(978)594-1138
MurrayMasonry.com
CONTRACTING AGREEMENT
Read this agreement and make sure you understand it before signing it.
This agreement has legal force and effect and binds those who sign it.
Notice: All home improvement contractors and subcontractors engaged in home
improvement contracting,unless specifically exempt from registration by provisions of Chapter
142a of the general laws, must be registered with the Commonwealth of Massachusetts.
Inquiries about registration and status should be made to the Director of Home-Improvement
Contract Registration, Office of Consumer Affairs and Business Regulation, Ten Park Plaza,
Suite 5170, Boston,MA 02116.
Designated Registrant's Name: Brendan Murray, President
Murray Masonry & More, Corporation
Registration Number: HIC License-# 169898
�7
This agreement is made on(date) D /5/ etween Murray Masonry & More. Com.
hereinafter.called "Contractor."
100 Rear Lynn St. Suite 1
Peabody, Massachusetts 01960
Telephone- (978) 594-1138
and Name: C/O.Joseph Pyfiin-Hamilton Hall
hereinafter called"Owner."
Address: 9 Chestnut St. Salem,MA 01970
Street City, State Zip Code
Telephone: Joe- (978) 873-1001 Hamilton Hall - (978) 744-0805
Email:info(iVhamiltonhall.org
Page 1 Mailing Address: P:O:-Box 8454 Salem,MA 01971
Murray Masonry & More, Corp. Office Address: 100 Rear Lynn St.#1 Peabody, MA 01960
L DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Restore South facing fagade
1.) Set up staging and shoring as necessary
2.) At two fire escapes where anchors or steel beams are fixed to masonry,replace damaged
bricks with matching red bricks and re-point as necessary
3.) Three (3)windows and one (1)door on fagade do not have lintels supporting weight of
masonry above and as a result the top of the wood frames are caving and the-brick-above
are sagging
a. Account for installing three (3) L-shaped galvanized angle irons at each window
and door with flashing, and installing new matching brick with weep holes
4.) Replace rusted angle irons above two (2)windows and one(1)door in same manner as
above
5.) Remove rusted angle iron(s) from above green door on fire escape and infill with CMUs
(cinder blocks)faced with red brick,toothed in, and matching existing.
6.) Re-point three arches above the large ballroom windows and any open joints encountered
on fagade during restoration(spot pointing+/- 50 square feet)
7.) Replace caulking where windows and doors meet brick
8.) Remove downspout at gate and re-point damaged masonry+/-45'square--feet
a. Reattach downspout upon completion
9.) Furnish and install the following items:
a. (4) C6x10.5 @ 4' - Steel Channel
b. (1) L6x3.5x5/16 @ 6' - Exterior Support angle
c.. (6)L2x2x3/16 @ 3" -Angle-clips-(welded to steel channel for stability in grouted
beam pockets)
d. All structural steel to be hot-dipped galvanized
10.) All structural steel to be field measured prior to fabrication for exact length. Any field
cuts to be approved by engineer, and protected with in-field galvanizing application.
11.) All welding to be done by AWS Certified-Adams Welding,with field assistance from
MMM workers
12.) .Remove staging and shoring
13.) Wash as necessary upon completion
All materials and installation procedures shall comply with all current local and national
building code requirements. All materials meet or exceed ASTM standards/Code.
H. PRICE
Contractor agrees to do all work described in Section I for the total price of: $24,600
III. PAYMENT
.Deposit due at contract signing= $5535
Due when staging/shoring set up= $5535
Due when steel installed=$5535
Due when brick restoration complete= $5535
Balance due at completion of project= S2460
Page 12 Mailing Address: P.O. Box 9454 Salem, MA t}1971
Murray Masonry & More, Corp. Office Address: 100 Rear Lynn St. #1 Peabody, MA 01960
Agreement and any negotiable instrument signed by the,Owner.with a notation indicating
that it has been cancelled, and 3) take any action necessary or appropriate to terminate
promptly any security interest created in connection with this Agreement.
A CANCELLATION NOTICE IS ENCLOSED WITH THIS CONTRACT.
OWNER:
'DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES OR YOU
HAVE NOT RECEIVED TWO COPIES OF THE NOTICE OF CANCELLATION.
► Go - Zojy
OWNER'S SIGNATURE WE SIGNED
OWNER'S SIGNATURE DATE SIGNED
MURRAY MASONRY& MORE, Corp.
BRENDAN MIUR ,President DATE SIGNED
Page 10 -Mailing Address: P_O. Box 8454 Salem, MA 01971
Murray Masonry &More, Corp. Office Address: 100 Rear Lynn St. #1 Peabody, MA 01960
CITY OF S. .E,Ni, N'LxSS.A cHUSETTS
BU DLNG DEPARTMENT
120 WASHIINGTON STREET, r FLOOR
TEL (978) 745-9595
Fwr{978)740-9846
KI.NiBERLEY DRISCOLL
THo
MAYOR >`r;�s'ST.PmRRs
DIRECTOR OF PUBLIC PROPERTY/BUILDING.COMaSSIONER
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 a 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
111, S 150A.
The debris will be transported by:
�— (name f hauler)
The debris will be disposed of in :
(name of facility)
l�/yw� wscoF RAP. Sf4.le., . �a
(address of facility)
4
signature of permit applicant
date
a�n�„J�raw
OP ID: MH
TJATE IMSVQdiYYYVI
A � CERTIFICATE OF LIABILITY INSURANCE 06/20114
THIS.CERTIFICATE IS.IS5UED 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 certifica6a3wider-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 thiscertificate does-notconfer rights to the
_ certificate holder in lieu of such emlorsement(s).
PRODUCER 976-975 1300 NAME:
Se
preve 8.tia0l ASS M c. 976-975- PHONE .97&594-1138 ac
305 North Main St.
Andover,MA 01810 A 05:
Patrick D.Hall YGNENID MURRA,3
AFFORDW11COVER46E. NAIC6
INSURED Murray asonry ore, rp INSURIStA:Arbells Protection Ins.Co. 41360
PO Box 8454 jNSUNg ee:AEiC 11104
Salem,MA 01971 INSURmc,Vermont Mutual
INSURER D:
INSURER E:
-'INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER.
THIS IB TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. tiOTWITHSTANDING 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.
PS
LTR
TYPE OF INSURANCE POLICY NUMBER
..^L4iERAL L7ABRJTY EACH OCCURRENCE UNIT $ 1+ •
001
A X COMMERCIALGENERALUABRITM 8500060632. 08=13 OBP18114 PREMISES oumnenre $ 100,00
CLAIMSMADE FK OCCUR MED EXP(AnY ero peraen) $ 5,0
PERSONAL BADVINJURY $ 1,000,0
GENERAL AGGREGATE $ 2,000,00
PRODUCTS-COMPIOPAGG $ 2,OOIi,
GEM AGGREGATE LIMIT APPLIES PER:
$
M lOC COMBINEDSINGU£IJMR
AmGMOeS:EUASILn'Y (En awlIeM) $ 1,000,00
ANY AUTO BODILY INJURY(Per pw i $
ALL OVRffD AUTOS BODILY INJURY(PeraccW.M S
A X SCHEDULED AUros -1020023137 A6129113 .08129114 - PROPEIr1YDAMAGE $
X HIREDAUTOS (Pe ecc dem)
$
X NONANNEO AUTOS
$
{p10RRELUL LIA8 X. .00fkIR EACH OCCURRENCE $'
EXCOSLJAB CLAWS#MADE AGGREGATE
A 00060633 08129l13 OSf29114 $
DEDUCTIBLE.
$
RETENTION X VVCSTATU-
WORRERSCOMPENBATION T
AND 9�LOYSM LIABILITY Y I x 500,00
B ANY PROPRIETORIPARTNERO(ECUTIVE❑ NIA C50OS012542-2013A 10103/13 101(13/14 E.L.EACH ACCIDENT $ 5NI
OOI
�I�R/MEVM�;EXCLUDEOI E.L.DISEASE-EA EMPLOYE $
-'.Ifyes,desaibevndar _ E.L.DISEASE-PMICY uurr $ SI NUI
OESCRNrT10NoF OPERATIONSbe Oslo I4 05I07N5 08 Genie 130,00
C ennont MutualMON OESCMpTOFOPERATIONSJLorAT10NSIVBUCLES WWhACORDIOI.AOtfi rote tiOMIROMMSdwdtftn sacpe W reOWredl
CERTIFICATE HOLDER CANCELLATION
- SHOULDANY OF THE ABOVEDESCRIBED POLICIES BE CANCELLED BEFORE
THE ExPIRATtON DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Salem Inspectional ACCORDA%CE WITH THE POLICY PROVISIONS.
Services
120 Washington Street AUn OPMED RREEP�RRESENTATIVE
Sal Floor / '�/Salem,MA @197@
619III&M 9ACORD CORPORATIOW AN rights reserved.
ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
I Congress Street, Suite 100
r` Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit:.Builders/Contractors/Elect ricians/Plumbers.
Applicant Information Please Print Let=ibly
Name (Business/Organization/Individual): Murray Masonry and More, Corp.
Address: P. O. Box 8454
City/State/Zip: Salem, MA 01971 Phone#: 978-594-1138
Are you an employer? Check the appropriate box: Type of project(required):
LE I am a employer with 4. ❑ 1 am a general contractor and I
employees(full and/or part-time).
x have hired the sub-contractors 6. ❑New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers' 9._ [].Building addition
[No workers' comp. insurance comp. insurance.t
required.] * 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself.,[No workers' comp. right of exemption per MGL 12 ❑goof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
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.
tContmctors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractars have employees,thew 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:Associated Employers Insurance Company
Policy#or Self-ins. Lic. #:WC-500-5012542-2013A Expiration Date: 10/03/2014
Job Site Address: 9 Chestnut Street City/State/Zip: Salem, MA 01970
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 violator. Be advised that a-copy of this statement.may be.forwarded.to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certifyn under the pains and penalties of perjury that the information provided above is true and correct.
Signature: 17• Date: SY(%AN
Phone#: 978578-0940
Official use only. 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.ElectricaLinspector 5.Plumbing.Inspector
6.Other
Contact Person: Phone#:
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 169898
Type: Corporation"
Expiration: 8/16/2015 Tr# 242998
MURRAY MASONRY & MORE, CORPORAT _
BRENDAN MURRAY
P.O. BOX 8454
SALEM, MA 01971 --
Update Address and return card.Mark reason for change.
iCAI 6 27M-05M1 ❑ Address (� Renewal Employment ❑ Lost Card
��r•Y/nurrunrrrucrr�/�n/(`��rurir/.nJe/7J
-� Otlice of Consumer Affain&Busions Regulation License or registration valid for individul use only
- - ' OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
POyegistra0on: 169898 Type: Office of Consumer Affairs and Business Regulation
;»Expiration: 8f16/2015 Corporation 10 Park Plara-Suite 5170
Boston,MA 02116
MURRAY MASONRY&MORE,CORPORATION
BRENDAN MURRAY n
10 REAR JEFFERSON'STREET S �o a—
MkLtM,MA 01970 Undersecretary Not valid without i atun
�'dmr>sao
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF APPROPRIATENESS
It'is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction ❑X Alteration
❑ Demolition ❑ Painting
❑ Signage IE 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: McIntire
Address of Property- 7 Camhridge. Street/9 Chestnut Street
Name of Record Owner: Hamilton Hall
Description of Work Proposed:
Repairs and alterations to the fire escapes, as detailed in the application dated 5119114. The masonry
surrounding the anchor points securing the renovated fire escape will match the existing brick and mortar in
terms of color, appearance, and texture.
Option to replace or brick in the 2nd floor door:
1. If the door is replaced, it will be a Brosco Pine M-7989 door, painted to match the existing door color.
2. If the door is bricked in, the brick and mortar will match the existing brick and mortar along that fagade
in terms of color appearance and texture
Dated: June 12, 2014 SALEM HISTORICAL COMMISSION
By�a�V�NL
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.
I