30 CRESCENT DR - BUILDING PERMIT APP Ll - 1 -74 (0 3 qW
The Commonwealth of Massachusetts
' OF
Board of Building Regulations and Standards CITY M
R Massachusetts State Building Code, 780 CM SA Revised Mar Mar 2011
Building Permit Application To Construct,Repair, Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date Applied:
Building Official(Print Name) Signature I( ate
SECTION 1: SITE INFORMATION
1.1 Property Address 1.2 Assessors Map&Parcel Numbers
O C,2ee,1T �oL t✓t
Lla Is this an accepted street?yes ✓ no Map Number Parcel Number
1.3 Zoning Information: 1A 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 Provi»
.L n
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:'
0
Zone: _ Outside Flood Z9ne? � t
Public Private❑ Check if yes9� Municipa On site disposal sys,: ❑y
SECTION 2: PROPERTY OWNERSHIP' N
2.1 Owner'of Recor
64u+R� sK� P4t 7z�,J S A(eM I !M O 14,7 o
Name(Print) City,State,ZIP
4;p rn
(!1x6CerJT �.Lt✓G ( 'la c{( -ot o .LTe,-J i C'ortie/{-s o No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction Existing Building Owner-Occupied 2f I Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work': d 'to i7r;
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ N t O 3 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ 1q,03�Jrf ❑Paid in Full ❑Outstanding Balance Due:
-- E�-r- t I / l o la •o .
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 0-2 20
ge,6' r (� , License Number Expimtion Date
Name of CSL Holder I I
;- ,t , to 7/ 2 9 List CSL Type(see below)
No.and Street Type Description
No U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC CoveringRoofing Window
WS Window annddSiding
r c^ SF Solid Fuel Burning Appliances
I Insulation
1 hone Email address D Demolition
5/JJ��(Reegissttered Home Imp/jovement Contractor(HIC) (Fo � 3v r
`—T�t �• �rJ�!G'4 AIC Registration Number xpi lion Date
FxJC C�pany�N;aipe or HIC Reg strant Name
N an Street b Email address
�. - 4t H4 Olb F�
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
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...........❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 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 A n' Name(Electronic 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
(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/dns
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"
Finish Work a Specialty
Robert C. Bailey Quality Workmanship
Building & Remodeling Inc. Free Estimates
P.O. Box 638 Builders License#025620
North Andover,MA 01845 Home Improvement
Telephone(978) 682-7087 Contractor#171905
TO JOB LOCATION
F 7 F_ -1
Mr . & Mrs . Ed Skeffington
30 Crescent Drive same
Salem, Mass . 01970
L J L J
DATE DATE COMPLETED TERMS CONTRACT PROPOSAL BILLING PAGE NO. 1
0/2/ 14 1 XXX OF 3 PAGES
JOB DESCRIPTION: Deck Construction
All parts of this proposal are based upon field measurements , preliminary dis-
cussion with the owners regarding overall deck layout, and a review of
materials and methods to be used in the construction process .
The contractor shall construct a rear deck to extend from the left rear corner
of the house for a distance of approximately 20 ' to the right hand roof
line of the lower main living level of the house .
Existing siding material ( vinyl ) shall .be removed from the rear entry door area
level down to the starting course . in this 20 ' deck area layout.
The overall deck shall be 10 ' in width and 20 ' in length .
Support for the deck shall be accomplished through the installation of three
concrete sonotube assemblies with "Big Foot" vinyl base units . The
bases shall maintain a 48" frost protection factor by extending that
distance below existing finish grade in the back yard . 12" sonotubes
which extend above the top of the "Bi.g Foot" bases up to finish grade
shall be secured to the vinyl bases. through conventional attaching
devices approved for that purpose. . Both the sonotubes and "Big Foot"
assemblies-'that be filled with 3000,1b . ( psi ) rated concrete prior to any
backfilling . The three pier locations shall be at each end of the 20 '
length of the decking structure and at midspan ( 101 ) . All excavation
for the footings , installation - of th.e "Big Foot" and sonotube assemblies
shall be completed by Scharn Industries and are not included as part of
this quote .
The homeowners shall be responsible for obtaining the necessary permit and the
fees associated with it.
All floor joists , perimeter banding pieces, and ledgerboard shall be 2x10
pressure treated stock . A single house to deck frame .ledgerboard board
(2x10 ) shall be installed along the entire 20 ' deck frame lenbth . The
ledgerboard shall be approximately 7" below the existing first floor
level and be lagged to the main house framing structure by the use of
3/8" x 4" galvanized lay bolts and 3/8" galvanized washers . Lag bolts sha 1
be placed at the top and bottom portions of the ledgerboard as 24"
intervals along its entire length .
Each end of the frame shall be double 2x10 construction and the main perimeter
banding joists shall be 3-2x10 ' s laminated together for the entire 20 ,
length of the decking frame . All floor joists shall be 2x10 construction
�t 16" on c nter. Three pressure treated 6x6 posts secured to the sono-
ubes by metal anchoring brackets shall serve as the supporting posts for
to deck triple banding assembly. Al1 floor joists shall be secured to the
ledgerboard and banding joists through the use of steel joist hangers
and approved galvanized hanger nails .
w
Finish Work a Specialty
Robert C. Bailey Quality Workmanship
Building & Remodeling Inc. Free Estimates .
P.O.Box 638 Builders License#025620 w �s
North Andover,MA 01845 Home Improvement
Telephone (978) 682-7087 Contractor#171905
TO JOB LOCATION
F 7 F
Mr . & Mrs . Ed Skeffington
30 Crescent Drive
Salem, Mass . 01970 same
L J L J
DATE DATE COMPLETED TERMS CONTRACT PROPOSAL BILLING PAGE NO. 2
OF 3 PAGES
JOB DESCRIPTION: Deck Construction
The contractor shall install an ince & . water membrance material (Vicor) behind
the mounting surface between the house and deck ledgerboard assembly and
extending up the vertical wal sheathing approximately 6" above the top of
ledgerboard . A copper flashing piece shall also be installed behind the
Vicor material and extend over the ledgebaord and onto the joist interface
points to further reduce the possibility of water infiltration into the
main house framing structure.
Decking shall consist of Azek 1 " x 5'/P' Rustic Bark stock from the XLM Tropical
collection and secured to the deck framing members through the use of
Cortex fasteners (2 per floor joist location ) and color plugs to match the
decking . A perimeter board along the two sides shall be mitered at the
rear corners and attached to a rear board of the same material running the
.entire length of the deck . Once this perimeter pattern is installed , the
contractor shall then install complete lengths of the decking to run from
side to side with no intermediate .joints . All decking components shall
overhang the main framing structure for a distance of 11/4" .
Upon completion of the decking installation , the contractor shall install Secure
Mount Posts (metal ) at the two rear outside corners , 10 ' intermediate
point along the rear of the deck between the two outside corners; and one
at a distance of 6 ' out from the main house on the right side of the deck
before the exit stairs begin . These metal mounting posts shall serve as
points of connection for all decking railing and baluster installation .
The contractor shall install a 4 ' wide .se.t of exit stairs from the deck to the
rear yard located at the far right outside corner of the deck . There
shall be approximately 5-6 steps (dependent on finish grade) with a rise
of 7'h"-7'h" and a tread width of 1111 including the 1 " overhang per step .
Where the railing stock meets the main house structure, the contractor shall in-
stall a pressure treated 2x4 vertically to the house sidewall . All mout.ing
posts and 2x4 interfacing pieces shall be enclosed with Radiance Rail
(Timbertech ) composite post sleeve material , matching post skirts and caps .
All this stock shall be white in color and be from the Radiance Rail
collection . Overall rail height shall be 36" with square balusters main-
taining a maximum 4" baluster spacing format . Upper deck railings shall
consist of three 10 ' sections ( left side , and rear) and one 6 ' section
( right side ) . The secure mounting posts shall be secured through the
decking and into the framing structure by the use of 3/8" x 4" galvanzed
lag bolts .
The contractor will match existing house siding ( vinyl ) as closely as possible
to complete making the structure weathertight beneath the deck area .
Robert C. Bailey FinishWork aSpecialty V' i
Quality Workmanship
uilding & Remodeg Inc. Free Estimates
B lin
P.O. Box 638 Builders License#025620
North Andover,MA 01845 Home Improvement = '
Telephone(978)682-7087 Contractor#171905
TO JOB LOCATION
F
Mr. .& Mrs . Ed Skeffington
30 Crescent Drive
Salem, Mass . 01970 same
L J L J
DATE DATE COMPLETED TERMS CONTRACT PROPOSAL BILLING
10 2 1 X X X OF PAGES
JOB DESCRIPTION: Deck Construction
Stair stringers shall consist of 2x12 pressure treated stock with four stringers
along the 48" width of the stairs.. The contractor shall install Radiance
Rails along both sides of the exit stairs with the same balusters and top
and bottom rail stock as the main decking surface.
Each stair tread shall be two pieces of. Rust.ic Bark decking stock secured
by the use of the same Cortex fastening system as the main deck. Riser
stock shall be lx8 white Azek PVC stock secured to the striners by the
use of color coded Cortex screws . There is no provi-sion in this quote.
for any wrapping of the main deck framing structure ( pressure treated
stock) or installation of vinyl lattice or decorative panels below the
decking structure.
The contractor shall provide an on-site dumpster for the disposal of constructio
debris as generated by deck framing components, decking and railing stock .
Composite post sleeves shall be 5x5 with appropriately sized skirt and cap
pieces to match .
The contractor shall used 4x4 pressure treated stock for lower rail mounting
points on the exit stairs . These 4x4 posts shall be enclosed with composit
sleeves , vinyl skirts and caps to match the upper deck railing system.
The bottom portion of the stair stringers shall sit on a 12" wide by 48" long
concrete pad (to be installed by. others ) . This pad is not included as
part of this quotation .
If the owners select Kona decking from the.. Harvest Collection in place of the
Rustic y Pledbe deduct $594.41 fruit, the puposed Ngum below .
Hereby Propose to furnish labor and materials complete in accordance with the above specifications for the sum of
$ 14i,633. 15 ( Fourteen Thousand Six Hundred thrity-three and --15/100 )
With payment to be made as follows: $1200 upon siding removal, installation of ledgerboard &
Vicor; $3000 upon decki, frame & 6x6 posts installation ; 2600 upon decking or er
railings, post sleeves , balusters & Secure MountiPosts ; $1500 upon completion .
ma%4iaM% 9&4ecilel?r ,IR %rbe 11MIReteYpg�, � e ion o contract. t
manner according to standard practices. Any alteration or deviation from above Authorized
specifications involving extra costs w I be executed only upon written orders and will Signature
become an extra charge over and above the estimate.All agreements contingent upon
strikes,accidents or delays beyound our control.Owner to carry fire,tomado and other Note:This proposal may be withdrawn rawn by us i not
necessary insurance. - accepted within 30 days.
Acceptance of Proposal -The above proces, specifications and
conditions are satisfactory and are hereby accepted. You are Signature
authorized to do the work as specified. Payment will be made g
as-outlined above. Signature
Date Accepted
A�Vhr CERTIFICATE OF LIABILITY INSURANCE ioiioizo a'
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 CONMTACT
NAE: Lisa London
MTM Insurance Associates PHONE (978)681-5700 FM 0:1978)681-5777
1320 Osgood Street ADoaILE11 lisal@mtminsure.com
INSURERS AFFORDING COVERAGE NAIC 4
North Andover MA 01845 INSURERA:Preferred Mutual Ins Cc 15024
INSURED INSURER B:Citation 40274
ROBERT BAILEY REMODELING INSURER C:
PO BOX 638 INSURER D:
INSURER E
NORTH ANDOVER MA 01845 INSURER F:
COVERAGES CERTIFICATE NUMBER:14-15 master List 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 INSURANCE D UBR POLICY NUMBER MNUDDYNYYYI EFF MhfDD E%P LIM"
POLI
LTR
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocwnenw $ 100,000
A CLAIMS-MADE OCCUR OP0100716219 /11/2014 /11/2015 MED EXP(Any one Person) $ 10,000
PERSONAL$ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG If 2,000,000
X1 POLICY PRO- LOCI I $
AUTOMOBILE LIABILITY OMBINaDt SINGLE LIMIT 1 000 000
B ANY AUTO BODILY INJURY(Per person) $
ALL OWNED x SCHEDULED 07583 /1/2014 /1/2015 BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Peraoede
Undednsured motorist BI split $ 100,000
UMBRELLA Use OCCUR EACH OCCURRENCE $
EXCESS LNEB CLAIM51r1ADE AGGREGATE $
DED I I RETENTION It
WORKERS COMPENSATION WC STATU-LIM
OTH-
AND EMPLOYERS'LIABILITY [TOR ER
ANY PROPRIETOR/PARTNERE%ECUTIVE� NIA E.L.EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT It
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
This certificate of insurance represents coverage currently in effect and alay or may not be in compliance
with any written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Ed Skeffington ACCORDANCE WITH THE POLICY PROVISIONS.
30 Crescent Drive
Salem, MA 01970 AUTNOR¢ED REPRESENTATIVE
L Mancinelli, CIC/VIC
ACORD 25(2010105) 01988-2010 ACORD CORPORATION. All rights reserved.
INS0251m11nmi n1 Th.Arnnn s..d I,...,. nF Arnon