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LOCATION
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PERIAT GRANTED
ECTOR OF IJILDPM
CITY OF SALEM� MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3RD FLOOR
SALEM, MA O1 970
TEL. (978)745-9595 ExT. 380
FAx (978) 740-9846
STANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, S34,I acknowledge that as a condition
of Building Permit# , all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility, as defined by MGL c III, S 150A.
min
The debris will be disposed of at: 6• ry\ C d` -ro N S 7vi to f S t+b W#Q
Location of Facility
Signature of Permit Applicant Da e
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
S't c Q C.1,f V o 0 M
Name of Permit Applicant
e Q e rn
Firm Name,if any
Locnar ST• �U iyL�-f M � oi52 �
Address,City & State
The above statute requires that debris from the demolition, renovation, rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cM, S 150A, and the building permits or licenses are to
indicate the location of the facility.
-=~ The Commonwealth of Massachusetts
Department of Industrial Accidents
omill stinvadpiden
600 Washington Street, f"Floor
Boston,Mass. 01111
_y...Workers'ComlenMsation Insuromce Affidavit: Buildin lumbin lectrical Contractors
name .{—�-
address
city state: zip: phone#
work site location(full address):
❑ 1 am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel
❑ 1 am a sole proprietor and have no one working in any capacity. ❑Building Addition
❑ 1 am an employer providing workers' compensation for my employees working on this job
addrem
City' 1'$
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❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
comet inv name:
address•
city: ohone lk .y
irlsttrsnec ,;:^. - :r +, x, s,:. .a.,SF. .; -ry ,'ta : �'`d. � 'f�'f. 'Px 'r .''
comnauv name:
address.
city: R r nhog *A, -
TFy
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Failure to secure coverage as required under Section 25A of VIGIL 152 can lead to the imposition of criminal penalties of a floe up to SI,500.00 and/or
one yeiru'imprisonment as well as civil penalties in the form of STOP WORK ORDER and a Bne ofS100.00 a day against me. l understand that s
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veri0atiou.
l do hereby certify under the pains and penalies of perjury that the information provided above is true and correct
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Signature C7 ' tom— Date 4:l/ I f a a—
m
Print nae S^firs CH � (6� h Phone#
official use only do not write in this area to be completed by city or town omcial
city or town: permit/license a ❑Building Department
❑Licensing Board
❑check if immediate response is required pselectmen's Office
QBeslth Department
contact person: phone a; QOther
uwuJ Sepi Yxnl
ACORD INSURANCE BINDER OP ID[ °<TE
i1/19/•04
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRCCJCER CNE
Ix,xe,EMe 781-455-0700 Ia:NCER. 13488 --_—�
781-449-8976 Continental Casulaty Companv j
EFFECTIVE ExPIRanOh' —Roblin Insurance Agency, Inc. T DEX _
144 Gould Street OAre ! _ TINq
Needham NA 02494 ME 'M Y j�z Di nM
11/11/04 12,01 j P 11/11/os !�
Jams e Smith -----�
THE BINDER IS ISSUED TO EXTEND CURORFGEW TY.EAODRE..1ENED COX-RF !
ODE: ENCODE PER EIPIRINGPoLCV E: {
AGE - BINDER
JSTOMER IOI RIeMOD-S OESCNPPIX1 OFOpEFATONSNEXICLESPgOPERTY I:rc1PGhp La4en�
JRED
Remodeling Group, Inc
i Steven Bloom
PO Box 332
iopa£ield NA 01983
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ACOP.D 75-S(t/S8) NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE Cc ACORD CORPORATION 1993
uerre Flan Bath
55 Forrester St.
Salem , MA. 01970
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5 ,Forrester St.
Salem , MA. 01970
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CONTRACT
The Remodeling Group
PROJECT NAME:
Carrie&Joe'Guerrre Date: 4/25105
55 Forrester ST
Salem,MA 01970
Consultant: Steven Bloom
978-745-2806(R)
We hereby propose to perform remodeling and/or repair work upon the above mentioned
premises per the following description, scope, allowances, exclusions and general conditions.
GENERAL NOTES:
The homeowner is responsible for moving all valuables and breakables from the project area prior to the start of work.
We assume all pre-existing conditions to be sound,any additional damage that is found will be addressed on a time and material basis
Homeowner to make plans for house pets that may be affected by the project.
Budding permit is included.
Provide dust doors at hall bath.
Provide tack mats at demolition entry and exit points.
Area of construction to be broom cleaned at the end of each days work.
All job site debris to be hauled away at the completion of work,and the construction area to be left in a
broom-cleaned condition
1.) HALL BATHROOM REMODEL:
-Remodel existing hall bathroom per layout.
DEMOLITION AND ROUGH CARPENTRY
Provide site and dust protection as practical.
- Remove existing sink, vanity top, toilet, bathtub, accessories
and flooring as required.
- Remove existing plaster walls and ceiling.
- Frame new walls per plan with 2"x 4" studs and '/2" blue board or '/2" ceramic substrate
MECHANICAL
- Re-rough-in plumbing, to code, per plans.
- Install electric, to code, per plans.
- Furnish and install Panasonic low sone exhaust fan.
- Vent fan to the exterior.
** No work has been included to upgrade existing plumbing service, electric service or H.V.A.C.
systems.
INSTALLATION AND FINISH WORK
- Patch existing ceiling and connecting walls as required.
- Install '/4" Hardi backer board as substrate for Swanstone walls.
- All plaster work to be slick finished plaster.
- Install new trim paint grade trim on skylight.
- Install new trim on inside of door; all trim to be 1-piece, paint-grade to match
existing.
- Install new baseboard trim in bath and guest bedroom closet wall.
- Install new laminate counter top selected by owner, per allowance.
- Install new medicine cabinet, selected by owner, per allowance.
- Install new sink and faucet, selected by owner per allowance.
- Install new tub, shower valve and head, selected by owner per allowance.
- Install new toilet, selected by owner per allowance.
- Install new ceramic tile, selected by owner, per allowance.
- All bathroom walls and ceiling prepped and painted with one coat
of primer and one coat of finish latex paint, Benjamin Moore or equal, color selected by owner.
- All bathroom wood working to be painted with one coat of primer
and one coat of finish latex paint, Benjamin Moore or equal, color selected by owner.
(978)762-4687 Tele The Remodeling Group (978)762-7346 Fax
PO Box 332 Topsfield,MA 01983
494 Locust Street Danvers,MA 01923
t
CONTRACT
The remodeling Group
PROJECT NAME:
Carrie&Joe Guerrre Date: 4/25/05
55 Forrester ST
Salem,MA 01970
Consultant: Steven Bloom
978-745-2806(H)
2.)POWDER ROOM REMODEL
- Remodel existing Powder room per layout.
DEMOLITION AND ROUGH CARPENTRY
- Provide site and dust protection as practical.
- Remove existing plaster walls and ceiling.
MECHANICAL
- Re-rough-in plumbing, to code, per plans.
- Install electric, to code, per plans.
Vent powder room with remote low sone exhaust fan, fan vented to the exterior.
** No work has been included to upgrade existing plumbing service, electric service or H.V.A.C.
systems.
INSTALLATION AND FINISH WORK
- Furnish& install '/2" blue board with slick finished plaster on walls and ceiling.
- Install new trim on inside of door; all trim to be 1-piece, paint-grade to match
existing.
- Install new baseboard trim.
- All bathroom walls and ceiling prepped and painted with one coat
of primer and one coat of finish latex paint, Benjamin Moore or equal, color selected by owner.
- All bathroom wood working to be painted with one coat of primer
and one coat of finish latex paint, Benjamin Moore or equal, color selected by owner.
- Install existing owner supplied sink and faucet.
- Install existing owner supplied toilet.
- Install new ceramic tile, selected by owner, per allowance-
- Furnish and install overlaid '/2" blue board with slick finished plaster on dining room ceiling.
INCLUDED BATH ALLOWANCES:
Toilet, Allowance $225.00
Sink&Faucet, Allowance $375.00
Tub, faucet, Allowance $750.00
Medicine Cabinet, Allowance $375.00
Ceramic, Material $400.00
Swanstone, Material $800.00
Toilet Accessories, Material $150.00
The following items are not included:
Area 1: New Electric Circuits w/associated patch& paint, if required by authorities, are not
included.
Area 1: New Smoke Detectors w/associated patch& paint, if required by authorities, are not
included.
(978)7624687 Tele The Remodeling Group (978)762-7346 Fax
PO flox 332 Topsfichk MA 01993
494 Locust Street Danvers,MA 01923
CONTRACT
The Remodeling Group
PROJECT NAME:
Carrie&Joe Guerrre Date: 4/25/05
55 Forrester ST
Salem,MA 01970
978-745-2806(H) Consultant: Steven Bloom
The lump sum bid price of this project as described above is Twenty Four Thousand Seven Hundred and Eighty Three Dollars.
PAYMENT will be made as follows:
1. $8,261.00.00 upon signing
2. $8,261.00 upon start
3. $2,065.00 at start of blue board work
4. $2,065.00 at start of painting
5. $2065.00 at start of fixture setting
6. $2,066.00 net upon completion
License Number: CS-074109
Expiration Date: 4/20/2006
Reg.Number: 136331
ation Date 7/16/2006
Fea.ID Number: 01-0624772
START DATE:The Remodeling Group will contact the owner within three to five business days upon receipt of signed Decision/Selection sheet to
schedule work.
NOTE: This proposal may be withdrawn by The Remodeling Group if not accepted within 15 days of
presentation.
ACCEPTANCE: The above prices,specifications,conditions,and`Terns and Conditions'on the attached sheets are hereby accepted.
You are authorized to perform the work specified. Please refer to General Conditions on back of contract. You have the right to rescind this
Contract within three days of signing.
Do not sign this contract if there are any blank spaces.
S�d� �✓�za '�DJ� u�
Steven&Bloomy President i f Date er Date
Remodeling Group
(978)7624687 Tele The Remodeling Group (978)762-7346 Fax
PO Box 332 Topslield,MA 01983
494 Locust Street Danvers,MA 01923