2-26 FRONT ST - BUILDING INSPECTION =4 _ INS RECEIVED
J
The Commonwealth of Massachusetts
Department of pry fcl�gf � ' 9
Massachusetts StateBuilr7 C671L*(78d W
Building Permit Application for any Building other than a One-or Two-Family Dwelling
_(This Section For Official Use Only)
Building Permit Number: Date Applied: Building Official:
r� SECTION 1:LOC TION(Please indicate Block#and Lot#for locations for which a street address is not available)
FfivLOv
(
1 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
LExisting Building'®, Repair❑ Alteration Cl I Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify: O
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No a
Is an Independent Structural Engineering Peer Review r yore t? q\ Yes ❑ No
Brief Descri!ption of Proposed Work: vV D I �i�-2Ci ✓L��N �l C
1�<aL9iJ �� S(� 1 J'e ^a S�C C\c��e__
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): -1. Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Flour(sq.ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as a Ifcabie)
A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ B: Business ❑ E: Educational ❑
F: Facto F-1❑ F2❑ II Hi h Hazard H-1❑. H-2 O H-3 ❑ H-4❑ H-5❑
1: Institutional 1.1❑ I-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑
S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ IB O HA ❑ 118 Cl IBA ❑ 11111 ❑ IV Cl 1 VA Cl VB Cl
SECTION 7.SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Trench Permit: Debris Removal:
Water Supply: Flood Zone Information: SewaIDisposal: Licensed Dis us d Site❑
Public❑ Check if outside Flood Zone❑ Indicatl❑ A trench will not be P s arequired❑or trench or specify:
Private❑ or indentity Zone: or on ❑ permit is enclosed Cl
Railroad right-of-way: Ilazards to Air Navigation: yia I __t --1..... ,yi,m I:rvicu-Pnxp,C
_....------ ----- --------._....._.. .--
Not Applicable❑ Is Stmcture within airport approach area? is their review completed?
or Consent to Build enclosed Cl 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 Iuildiny,nnuain an Sprinkler System?: Special Stipulations: _._
SECTION 9. PROPERTY OWNER AUTFIORIZATION
NQISan`� sof
;roper ptyOwrier h n ( 1
N19- DO�tI
Name(Print) No.and Street - citylTo%.Vld Zip
Property Owner Contact Information:
S^C,foe Go]1b�rs --
Title J Telephone No.(business) Telephone No. (cell) a-mail address
If applicable,the property owner hereby authorizes
Name Street Address City/Town State Zip
to act on the property owners 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 skip 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
10.2 General Contractor -
Company Name W `
E 1 /L
Name of Person Responsib for Construction License No. and Type if Applicable
!A Icil L-ow"\. s �-�,�0&\7
Street Address Town State Zip
0--Au.�— R�bZcs-�z,� 7aer,y�tl��sk® w�teG . V1*
Telephone No. business Telephone No. cell a-mail address
SECTION 11:FV0NKER9'COMPFNSAI'ION INSURANCE.AFFIDAVIT M.G.L.c.152.S 25C 6
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? - Yes O No ❑
SECTION 12•CONSTRUCTION COSTS AND PERMIT FEE -
Item Estimated Costs:(Labor
and Mawrials) Total Construction Cost(from Item 6)_$
1. Building $ 1 6 Building Permit Fee-Total Construction Cost x_(Insert here
2. Electrical $ appropriate municipal factor)_$
3. Plumbing $
J.Mechanical (NVAC) $ Note:Minimum fee=$ (contact municipality)
5. Mechanical Other - $ r- Enclose check payable to
6.Total Cost $ )LA U (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below, 1 hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true anal accurate to the best of my knowledge and understanding.
Ple:nse print and sign nat�n� J4 Title #1J Telephone 1 o V Dale
L1�-1 Lain e\\ \ ��/ � b y
Street Address City/Town State Zip o
Municipal Inspector to fill out this section upon application approvak " O��
Name Date
, r
D.S. Roofing
o l= O a division of Building Maintenance Corp.
a = lea P.O. Box 3118
'qC===W NVo Peabody, MA 01961-3118
5=1O01=11%JG Telephone: (978) 532-6300
Fax: (978) 977-0803
CONTRACT
The Owner(s)of the premises described below ("Job Address"), hereby contract with and authorize U.S.
Roofing, a division of Building Maintenance Corp. ("Contractor"),to furnish all necessary materials,
supplies, labor and workmanship, and to install, construct and place improvements at said Job Address,
according to the following specifications, terms and conditions:
1. Owner's Name: Goldberg Properties Management Inc.
7 Rantoul St., Suite 100B
Beverly, MA 01915
2. lob Address: 2-26 Front St., Salem, MA
3. Specifications Contractor agrees to perform the following services in a good
and workmanlike manner:
- Stage building front and back; The building will be staged front and back , but only
half way down the front and back at the same time, another words the front half
and back half will be one set and the other half front and back will be the second
set
- Remove existing asbestos slate roof down to the exposed wood decking
- Dispose of all debris per Massachusetts state laws
- Install Two (2) overlapping widths of ice and water shield over wood decking
and valleys of the roof surface
- Install IPR-SBS roofing Underlayment over remainder of exposed roof
- Install red copper drip-edge at all outer roof edgings
- Install red copper valley at dormer roofs
- Re-use existing gutter to remain
- Install Inspire synthetic roofing slate Class A fire rating over entire roof
surface
- Step-flash all vents and penetrations with red copper step flashing to allow for
proper water-flow
- Install new red copper step flashing at all brick areas where the roof meets
the brick walls and chimneys
- Install ridge vent at roof peaks; Ridge vent will be capped with Inspire hip
and ridge synthetic roofing slate
- Clean grounds daily and at completion of roof project
- Procure & Provide Inspire Roofing ProductsTm Synthetic Roofing Slate
Warranty
- Secure and clean all existing gutters at completion of project
4. Possible Afternates: (Only if pre-approved and performed)
Sheathing replacement:
Existing rotted sheathing or board replacement cost(if needed) would be subject to an additional cost
$4.00/ft.z
5. Warranties: The above work comes with an INSPIRE°" Roof Material Warranty
(furnished by Material Manufacturer) and a written warranty(furnished by Contractor)
for labor
6. Payment Terms: The Base cost of the contract is$ 149,684.00 Payment shall be rendered
in the following manner:
To be billed on percentage completion basis:
30% ($ 44,905.20) due upon material delivery or commencement of work
30% ($ 44,905.20) due upon,50% completion of all work;
30% ($ 44,905.20) due upon successful completion of all work;
10% ($ 14,968.40)due upon delivery of Manufacturer's Roof Warranty
7. Attorney's Fees: In the event of default,the Owner shall pay costs for collecting amounts
owing including, without limitation, court costs, expenses and reasonable attorney's fees, in
addition to any sum that the member may be called on to pay.
S. Entire Agreement: This contract constitutes the entire agreement between the parties and any
prior understanding or representation of any kind preceding the date of this Agreement shall not
be binding upon either party except to the extent incorporated in this Agreement. The Owner
agrees that Contractor has made no statements, promises, commitments or representations not
contained herein.
9. Modification: Other than that required as a result of paragraph 4 above, any modification of this
Agreement or additional obligation assumed by either party in connection with this Agreement
shall be binding only if evidenced in writing signed by each party or an authorized representative
of each party.
10. Unforseen Circumstances: Contractor is not liable for delays due to weather, strikes,
accidents, acts of God or other circumstances arising out of causes beyond its reasonable control
and without its fault or negligence including ice damming due to pre-existing conditions; i.e. lack
of roof ventilation, hot spots or unmaintained snow or ice loads.
31. Governing law: It is agreed that this agreement shall be governed by, construed, and enforced
in accordance with the laws of the Commonwealth of Massachusetts.
12. Completion Schedule: Slate work will be substantially complete by September 15d', 2015.
During the four(4)week scheduled period of this job, rain days will be added to the end date as
weather dictates. US Roofing intends to complete this job on time and be off the site no later
than October 1n 2015; If unable to complete by that date., a $ 500.00/day penalty will be
accessed against the contract amount for any day that the work is not completed past October
2nd, 2015, excluding additional rain days and work stoppages.
IN WITNESS WHEREOF, the parties have signed their names hereto:
Date: 7-21-201S Date: �3 S
_�_ � L
U.S. Roofing, by its agent, Owner and/or O r s Agent
Michael S. Murray Printed Name: Steven J. Goldberg
List desired material color:
(Please Print)
2
Redevelopment
Authority
Salem Redevelopment Authority Decision
June 10, 2015
2-26 Front Street (Goldberg Properties): Discussion and vote on proposed
replacement of roof
SRA Decision
At their meeting on June 10, 2015, the SRA voted unanimously(4-0)to approve
the May 27, 2015 DRB recommendation to approve the proposal to replace the
roof shingles at 2-26 Front Street(Goldberg Properties). The roof shingles shall
be "Wintergreen Mix" as specified.in the proposal and any replacement of the
snow guards shall not use a "shiny metal" - i.e. powder-coated steel or copper
are acceptable/galvanized steel is not.
Recommendation
At its meeting on May 27, 2015 the Design Review Board voted unanimously(5-0) in
favor of recommending the applicants proposal for replacing its roof at 2-26 Front
Street. The DRB recommends the use of the `wintergreen mix' as shown in the
enclosed specification sheets and that the applicant not use any shiny metal to
replace the snow guards - i.e. powder-coated steel or copper are acceptable/
galvanized steel is not.
Proposal
The applicant proposes to replace the existing synthetic slate roof on this building at
this location with the same synthetic product—Aledora Classic Slate, a rubber
composite material made by Inspire Roofing Products. The slates will be either"sage
green" or a "wintergreen" mix as shown in the enclosed spec sheets.
Staff Comment
A sample of the material will be provided at the meeting.
The Commonwealth of Massachusetts
Department o IndustrialAccidenls
1 Congress Street, Suite 100
Boston,MA 02114-2017
www.massgov/dia
Wm,orkers'Compensation Insurance Affidavit:Builders/Contractors/Elects icjans/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Le 'bl
NaMe(Business/Organintion/Individual): S V O 4)
Address: q 2
City/State/Zip:�� t t" �f 04 Y9 Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.io I am a employer with employees(full and/or pan-time).' 7. EJNew construction
2.O I am a sole propriemr or partnership and have no employees working for me in S. Remodeling
any capacity.[No workeis'comp.insurance require&.]
9. El Demolition
3.Q 1 am a homeowner doing all work myself.[No workers'comp.insrnance required.]t
10 Building addition.
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. ]will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.Q Plumbing repairs or additions
5. 1 For a general contractor and I have hired the sub-contractors listed on the reached sheet. ]3. Roof repairs.
gbese subbcmmactors have employees and have workers'comp.insurance.
6. We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other
I(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 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.
tContracu s that check this box must ariscbed an additional sheet showing the wine of the sub-contractors and state whether or not those entities have
employees. If the sub-cordmcmrs have employees,they most provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jobsite
information.
Insurance Company Name:Vf t SCO 1\� N s•—V\C %J _
Policy#or Self-ins.Lic.#: /00 G 0 1 "1I-�Y Expiration Date: l ],�'"r�.
Job Site Address:2 2�4,0,Y N�` City/State/Zip:^�_!\ -'V lm 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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do here=ci der thepains andpehies oflierjury that the information provided above is true and correctSi aturep, ja Date:
Phone 1�� — ����
Official use only. Do not write in this area,to be completed by city or town qKIcial
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#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states`Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple petmit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dqg license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston,MA 02114-2017
Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 02-23-15 www.mass.gov/dia
CITY OF SALEM, MASSAaiUSE M
BuLmmG DEPARTMENT
120 WASHNGTONSTREET,YoFLOOR
T EL(978)745-9595
KIWERLEYDRISOOLL FAX(978)740-9846
MAYOR THOMAS STJP ERRE
DIRECTOROFPUBucPROPERTY/BumDiNGc massiomR
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 c40, 5 54; Building Permit#i is issued with the
condition that the debris resulting from this work shall be disposed of in a properly licensed
waste deposit facility as defined by MGL c 111, S 150A.
The debris will be transported by:
�,AZN�e- �N
(name of hauler)
The debris will be disposed of in:
(name of facility)
(address of facility)
{
Signature of applicant .
7
Date
. l
d� aT
i
Office of Consumer Affairs&Business Regulation I!
;- ME IMPROVEMENT CONTRACTOR .Type:
a egistration 37667 -
r Private'Corporatiol
xPiiahon 12��7J2076 .
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k t BUILDING MAINTENANC�P
� eA PETER ALLARD_ -�
14-15 WILLARD ST ,
# i e
PEABODY,MA 01960 UodePsecre@ary
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Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License. CS-099551
I IN oR:
PETER D ALLARO �'
- Beverly MA 01913 � - -
i
ri-s. n nA` Expiration
l 0754 03/25/2016
Commissioner
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Unofficial Property Record Card Page 1 of 1
Unofficial Property Record Card - Salem, MA
General Property Data
Parcel ID 35-0245-0 Account Number
Prior Parcel ID .-
Property Owner 2-26 FRONT STREET REALTY Property Location 6 FRONT STREET
TRUST
GOLDBERG WILLIAM H TRS ET ALI Property Use Store
Mailing Address 7 RANTOUL STREET SUITE 100E Most Recent Sale Date 10/17/2000
Legal Reference 16622-591
City BEVERLY Grantor FRONT STREET ASSOCIATES,
Mailing State MA Zip 01915 Sale Price 1,386,000
ParcelZoning B Land Area 0.078 acres
Current Property Assessment
Card 1 Value Building 462700 Xtra Features 0 Land Value 80,600 Total Value 543,300
,
Value Value
Building Description
Building Style Store Foundation Type Flooring Type Carpet
#of Living Units 1 Frame Type Steel Basement Floor N/A
Year Built 1900 Roof Structure Gable Heating Type Forced H/W
Building Grade Good Roof Cover Slate Heating Fuel Gas
Building Condition Good Siding Brick Air Conditioning 100%
Finished Area(SF)6704 Interior Walls Drywall #of Bsmt Garages 0
Number Rooms 0 #of Bedrooms 0 #of Full Baths 0
#of 314 Baths 0 #of 1/2 Baths 2 #of Other Fixtures 0
Legal Description
Narrative Description of Property
This property contains 0.078 acres of land mainly classified as Store with a(n)Store style building,built about 1900,having Brick
exterior and Slate roof cover,with 1 unit(s),0 room(s),0 bedroom(s),0 bath(s),2 half bath(s).
Property Images
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w .
Disclaimer:This information is believed to be correct but is subject to change and is not warranteed.
http://salem.patriotproperties.com/RecordCard.asp 7/31/2015