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19 HARBOR ST - BUILDING INSPECTION (3) �� , -• The Commonwealth of Massachusetts Department of Public Safety NIansacrosetIs S6to Building Code(780 Cf,IR) r Building Permit Application for any Building other than aOne-or Two-Family Dwelling (Phis Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1: LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) 19_ 2aos1cf , a_ — ---- No.and Street City/'Fawn zip Code Name of Building;(itapplicable) SECTION 2: PROPOSED WORK Edition of MA Stale Code used If New Construction check here❑or check all that apple in the two ones below Existing Building 91, Repair❑ Alteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:_ n _ Are building plans and/or cunstntClion d+x'nmCntl being supplied as part of this permit application? Yes ❑ No Is an Independent Structural Engineering Peer Review reyuired? Yes ❑ Nu f12' Brief Description of Proposed Work: '2 EMG i/E FXiJ Z I G C/14�LO�J1. A.A/,0 _ /9LS6 zhoe=_.�{jtaD,,' An/rl /CN &.W- #/'Ad( i!IA,A) — 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.1.1) O Existing Use Group(s): Proposed Use Grou p(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Flours/Stories(include basement levels)& Area Per Floor(sq. ft.) 'r Total Area(sq. ft.)and Total Height(ft.) ' SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-i❑ A-5❑ B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H. Hi h Hazard H-1 ❑ H-2❑ H-3 ❑ 11-4❑ 1-1-5❑ ' 1: Institutional I-1 ❑ I-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑ S: Storage 5-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use SECTION 6:CONSTRUCTION TYPE(Check as applicable) - 7 lA ❑ IB ❑ - HA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ 1 VA ❑ VBO �• SECTION 7:SI7 E INFORMATION(refer to 780 CNiR 111.0 for details on each item) Trench.Permit: Debris Remo at: I_ Water Supply: Flood Zone Information: Sewage Disposal: Licensed Dis ,asal Site❑ Public❑ Check if Outsid h e ood [IZone❑ Indicate municipal .A trench will not be - I it required ❑or trench or specify:______. Private❑ or indrnti(y Zone:-- or on site system ❑ permit is enclosed ❑ Railroad right-of-way: hazards to Air Navigation: V h l i....nC � .,n(�nr,.• \ot \pplicahlr❑ F Sl ructure within airport approach area? Is their review complclyd' or Coosenl to Build enclosed ❑ Yes ❑ or No❑ Yes❑ \o ❑ SEC7lON 8:CONTENT OF CFRTIFICATF OFOCCUPANCY Edition of Code: ........ Lse Group(s): — I t pe al Construction'. __ ._ OcCup,utt Load per Hoot I boos the budding cant bin an Sprinkler System' --- _ _Special Stipulations iY r � SECTION Y: 1'1(0I11:lt'I`Y OWNI;It AU'I'IIORIZA"TION N,une and Address of Property Opcnor - •�Tr - Name(Print) No and Street City'/Town Zip Property Ouvner Contact Information: .3s8 Title - Telephone No.(business) Telephone No, (cell) e.-nnuil address It applicable, the property owner hereby authorizes BlllAara2o , f. ,nooc� �orrlow Ct Nutisi �iv- 4 010_52 Name Street Address City/Town Slate Zip Load 1 on the property oa ner's behalf, in all matters relative to work authorized by this building permit application, SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If buildin�is Ic"Own 35,I1ot1 cu.ft.of enclosed s+ace and or not under Construction Control then check here O and skip Section 10.1 10.1 Re istered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-nrdl address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor r3�rIeF ir2.ap�a�r� BdiGD�n_s �''n�r Company Name 13PAdGo/1 tJ T �?oR�Du CsG Name of Person Responsible for Construction License No. and Type if Applicable Street Address - City/Town State Zip 'z1 3616 / 79Yi f_�or2"u. 09SO 9'6;1 f, 'Go•t• Telephone No. business Telephone No. cell e-mail address — SECTION 11:wt,t:.tilttt,'timlt'b_ti�i;�m pN iN,,l.n:A.Ncr Al llr,AVll M.G.L.c.152.§ 25C6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure hp provide this affidavit will result in the denial of the ' .uance b of the building permit. - - Is a si+red Affidavit submitted with this al lication? Yes No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Casts:(Labor cam/ S and Materials) Total Construction Cost(from Item 6)_$ 1. Building $ f.. ,. ",a; Building Permit Fee=Total Construction Cost x_(Insert here r' 2. Electrical 5 - appropriate municipal factor)_$ 3. Plumbing $ 4. Mcv'hanical (11VAC) $ Note: Mininnun fee=$ (contact nttmicipalily) i. Aledpanical Other S Enclose check payable to h.Total Cost $ / b (Ion h- municipality)and write check numbs SECTI N 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 informal on contained in this a a� 1 application is true and accurate to the best of'my kilo%%ledge and understanding. t �RA.Q G1L� JIJG/1 � 1a� S —_VJ.f J WA l Ple,nse print and sil;n ram elk, hone No. Date Siryet AJJresS Cih'/Touyn \ tale Zip Ud i Municipal Inspector to fill out this section upon application approval: ___ _ Nap a Date i\ , -rTTVS CITY OF SALEM /+ PUBLIC PROPRERTY DEPARTMENT ' .nm:M:1 Y aMIN UI I \Ilnw I�:\PA Nr1Ala V.\ilael:r � $,111•.N,M.\1\.N.I11 V I nJ177: - 1're: 774lrivi'/S • P,x vlx41C•'IxM ' `iVorkers' Compensation Insurance ;Undavit: go!lders/Con tractors/Electrlclans/Plumbers y %willicant Information Plcrs Print Le 'hl v;ImOluuuiK,Ln,;lam,+lirnvindlv�.muu: .B.,ed n_i)yja) R/I�L(1Fi/�r x�/h ` ` Address: 9 C c A D I/ "D h I, one y 35R - ,9y� i1; /; •-� , I .ire'tuts in cmployar?Check the appropriate box:I.0 1:mr a em lu cr with 4. I yM.(If project(required): P ) n^I� ❑ I :un a gununl couuxlor and 1 olllpluycca(lull+nlYur p itt•liole).• hove hireJ the suh•amtracture 0' O,/Nuw cwwtructiun -'•0 1 till a sole proprietor or partner• listed on the lnachcd sheet 7• 1�RernoJelin` .hip and have no mnpluyuv's Tlicse subcontractors have working tier me in any capacity, S. ❑ Demolition workers'comp, Insurance. I No workers'cum , insurance S. 9• ❑ Daikling addition P ❑ We are a cnlporstion and its rcquircul.) officers have a icmiscd their 10.0 Electrical regain or additions ).0 1 ani a homeowner doing all work right orexemption per h1CL 11.0 Plumbing rupuirs or additions "myself.lNo workers'comp, C. 132,¢I(i),and car hove nil insurance required.l t employees.IN o workers' 1�•❑Ruul'repairs comp insursncuruyuind.I 13LOOther •4ny,Gq,hcua Ihel chucks pall AI mum:dw till ula llw,ecllan Wow 'Ilunwuwrwn who ila+mil Ihie amJevil inlliealin I Jrk anx hull it kul rumtMnaYlan twliey mfuremliun. e eki +w Jainx ml cash ka Ihm him uuoode cugrnrrore mwl.uAna a nAw ulnJerir imlivvring aKh. - (•�nlrhllA•I Ihm shuck Ihi1 pm{mIW+r1aaAlaf+e aJdlliunal.hwl.Iluw;ne Ihn uaeq Or1Ae t1lAcemtxta v and Thee auhem•mmit.ryllKy lnfMlnaliva /urn mr tulployrr that/r pruviJlnX lruritrn'rurnprnrn/tors hlwrnnee/br uty anp/uprrx Bduw is fhe pu/lay and/uA.vire iu�unnufGrn, - Insurance C'umpany Valne:_ � CC7M10 V/65 ._/._ NC• 1'III(cy a or Sclf•ins. Lic.H: ��//�� 7 Y . .. . Ewpirutlon Date: lob Sitc Addres.vjs k + C11y'slatuClp:c('s<l2�//1A /lrFn f .\ttach n cagy of the workers'cumpumatlnn policy Juclaratlun page(showing the policy nu ibur and expiratlun dare). failure to secure cuyeruge u required uodur Sucliun_'L\ul'JIGL c. 151 cau.lead to tale imposition ofcriminal penalties ors line up ny SLSIIOJIO+nJ/uruue•year imprisonment, a.r hull aA civil Ircnalhcs in the Lunn Ora STOP WORK ORDER and s fine''_1 (op rn S250.04 a Jay.Igainst the violator Ile advi.tcd that a copy urthu,falvinvot may be IurwardeJ a the Ullice of # III%Callgellmis ul Jlu DiA Ibr nlsarance envcfayu %critic+Icon. •.'�-r T 1,16/r.•rrhy t erti/y Iulder the paine wid rrrlehler u / ry/ /'pro n fhur fhd in�unnlr/ion prurided ubure is frue and correct. PI•;..I: •f 3 _ WCIZ IJ�/trio/n,ie an/y, Du nnI nvirr in drLr urru, OutAr sump/clod by c•iry ur rrnrn a//it•iuL - I i (7rr ur I'nlrn: �Pcnniul.leen+e e . _ Ivvuing .\ulhurily (circle nnc): II. 1)Ihv 1111cJ �lr Ile+hh !. IludJiolq Ikpatunenl 1. I;it) unu Clerk J. Electrical hliftwor i, Plumbing Inspector G. r l'�uN eel PLrsuo: r Information and Instructions provide workers' compensauoa fix their cntployeex. n rlo ers top •t of hire, I Lawvs chapter I�2 rWwrox all a i Y ice of another un.ler.uty cumm� 1 t.u,aall to lienera •'ned is'... every pcc on m the s..ry . to an rm luMe ix J�h + t w titix.tofu P i unu.ut :.pleas or implied, oral or written." ar any two or more �n ernployrr is defined as"an individual, purtnmhip,assoeianon,corporation ter other kbe entity, Y „t the t;tregomg engaged in a Joint enterprise, and including the legal representatives of deceased employer, How.•ver the house having not more than three aparments and who resides therein,or the occupant of the amver or uuxee of engage individual, ptumershrp,association or other legal cnnty,employing ' P uwner of a dwelling s Hans to Jo maintenunce,cunsuuction or repair work on such Dwelling house Iwelhng house of another who employ. pe or ten the grounds or building appurtenant thereto shall not because of such employment be JeemeJ to be an employer.' �IGL shaper 152. 425C(6) a1w stare that,,every state or local licensing agency shsU withheld gu issuance or renewal of s license or permit to operate A business or to construct buildings In the Camino for any ;rpplicant wbo has not produced acceptable ear Neahece r the om nano ide rlth not any of ts poll calancit with the insurance gtubdivisrans shall Additionally, %IGL ehupter I S_, a_ ( 1 enter into any contract for the Performance ofpbo the cit onvect g aathorCtyviJance ofcuntpli:utee with the insurance requirements of this chapter have been presented Applicants that applyto your situation and. if Please lilt out the workers' compensation atllJ lire saes)uodlphone numbar(s)a ag ilia bring with theoxes cenploye(s other than the necessary supply sub-contractors)name(s), ssl _ with no )of Limited Liability insurance. Limited Liability Companies(LLCworkars. compenta oe insurances(if an)LLC or LLP does have members or partners.are not required to carry of ilvit'my employees,a policy is requirendusivial d Be advixd that dtuAl'be surf te�lgn and date he affidavlLnt Tile ia►1 day t should accidents for confirmation of insurance covaroge. unit or license is being requested, not the Department of he returned to the city or town that the applicant n foreQ ding the low ter if you are re4uired to obtain a workers' 1 Industrial Accidents- Should you have Any y ql compensation policy,picric call the Department at the number listed below. Self-insured companies should enter their Q)N all-insurance license number on the a ro naro line. City or Town Officials Iicant. Please he sure that the affidavit is complete and printed legibly. The Department has provided u space at the ,uom /1 Of the afriduvit for you to Ill out in the event the 011ice of investigations has to contact you regarding the app licwu I'Itasu be sure to till in the permiUlicense nwnlxr which will be used as a reference 'luntbcr, In addition,an app that muxt submit multiple penniUl�rensa3Q PIlca"ons in any Site Address"givenilia upplica ntdshould only twrie it one l�,ucotunx in vit leafing lc Y ter ecessa ) o town trio be provided to the jl Policy information lit n rY town►. .A copy of the affidavit that has been officially stamped or marked by the city r Y affidavit is on file f'or tuttrro permits or licenses applicant as proof that a valid a . A now alltduvit tttust be lilted out each J fl )ear• Where a hums owner or af ran is on ru ng a license or permit not related to any business or commercial venture (i.e. ;t dug license or permit to burn leaves stew)said person is YOT required to complete this affidavit. r drank you in aJvanec fur your cooperation and should you have;my het)flick tit Lt yuesuons,( vesri gbations w w would like ) I please du nut hesitare to give us a call. f File U.paruncnt's address, telephone and rax number' ; The Commonwealth of Massachusetts Department of Industrial Accidents Office of lavesdandens 600 Washington Street Batton, MA 02111 Pei. p 617.727-4900 ext 406 or 1.877-MASSAFE Fax M 617.727-7749 . .%,„d ;.+o.us www.mas3.gov/dia CITY OF S'U-&AVfj ,'AiSSACHUSETTS BLILDLNG DEP.IRTIE.YT 120 W.kSHLNGTON STRM' 3i0 FLOOR TU. (978) 745-9595 FAX(978) 740-98M KiJtBF.1tIEY DRL4COLL MAYOR T omuST.Pmass . DIRECTOR OF PLBLIC PROPERTY/BLIIDLNG CONNISSIONER 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 1 l 1.5 Debris, and the provisions of MGL a 40, S 54; Building Permit p 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 l 11, S 150A. The debris will be transported by: �/L4D�o,� Krlicdaw�s n � • (name of hauler) ,y The debris will be disposed of in (narne of ractlay) 1 � (address of facility) tr ))) J $,an of permit applicant A", EI Y!C � l' ACOI CERTIFICATE OF LIABILITY INSURANCE os�ls�zou 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 corder rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME: Webber & Grinnell Ins. Agency, Inc. PNC Nu E : 413.586.0111 FAQ ry,:413. 586.6451 8 North King Street ADDRESS: Northampton, MA 01060 PRODUCER CUSTOMERIDa: INSURER(3)AFFORDING COVERAGE NAIC t INSURED INSURERA: Travelers Companies, Inc. Bradford Builders Inc INSURERB: WCAR--Granite State Attn: Bradford Moreau INSURER C: 9 Harlo Clark Road INSURERD: Huntington, MA 01050 NSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: Master Exp 2011 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 ADDLSUB POLICY EFF POUCYEXP LIMBS LTR INSR WVD POLICYNUMBER MMIDD MIDD GENERAL LIABILITY 6809219N27 09/0912010 09/09/2011 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300.000 CLAIMS-MADE Fx—I OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,OOO,OO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,OOO,OO POLICY JEC7 LOC $ AUTOMOBILE LIABILITY BA4616N49 04/17/2011 04/17/2012 COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ 100,QO ALL OWNED AUTOS BODILY INJURY(Per accident) $ 300 QQ A X SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ 100,000 NON-OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ - $ WORKERS COMPENSATION WC00994748 04/22/2011 04/22/2012 1 WCSTATuITS `EH- AND EMPLOYERS'UABIUTY YIN TORY UM ER ANY PROPMETORIPARTNER/EXECU IVE E.L.EACH ACCIDENT $ 100,000 B OFFICERMIEMBER EXCLUDED? NIA (Mandatory In NH) EL DISEASE-EA EMPLOYE $ 100,00 It Yes,describe under D E SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SOO OO DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES(Attach ACORD 101,Addidonal Remarks Schedule,If more apace Is required) e: Project for 19 Harbor St. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �yFyA Town of Salem Salem, MA Barbara Gr kiewicz ARBG OO 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD J las:uhu,GU,.-:.DL1t uYnkn1 0l Puhlia::�tPtn� ' Board of Buildin;, RcLulatiOn, rnd Shtnd iuhd� Construction Supervisor License License: Gs 75408 Rom° BRA DFORDJ MOREAU 9 HARLO CLARK RD HUNTINGTON, MA 01050 o— �'� Expiration: 2/9/2013 fl.mm�ibNium•i' TrH: 16074 l 0 HARVEY AC Manufacturing KNOWLEDGEMENT ® BUILDING PRODUCTS r: Harvey Industries,]nc. _ 1400 Main Street.Waltham.MA 02451-1689 (781)899-3500 harveybp.com BILL TO: SHIP TO: BRADFORD BUILDERS INC BRADFORD BUILDERS INC 9 HARLO CLARK RD 9 HARLO CLARK RD III III IIIIIIIII IIIIII IN IIII IIIIIIII III HUNTINGTON, MA 01050-0000 MP30160302744300 HUNTINGTON , MA 01050-0000 Phone: (413)667-3616 Fax: (413)667-0005 Phone: Fax: `Qraa _ r2atv�a[t cr7s © �T�nbARn 3027443 1045861 -0 4/5,2011 Quote Not Ordered Cash ON � R` brad None Whse Pickup DANVERS WAREHOUSE zSPA ` k,'3 ANE . � gcb -George Beebe salem 10000-1 Product: Smooth-Star Entry Door,Unit Size 63.625 x 82,RO 64.125 1 $1,022.00 $1,022.00 x 82.5 Dimensions: Unit 1,3: Call Width= 12, Call Height=68 ' € I j i I ;I Unit 2:Call Width=30, Call Height=68 Therma-Tru Door Options: Hinge Left, In-Swing t ; 1 y Therma-Tru Frame yOptions: Primed,4 9/16",Mill Composite o i} 1` 14 Adjustable Sill ( ' Therma-Tru Sidelite Options: Continuous Sidelite Performance Rating: SL Impact Rated Glass=No Therma-Tru Sidelite Grille: White Flat In-Glass Grille Therma-Tru Hardware'&Prep: Unit 1,3: Reinforced For Closer And Panic,No Hardware F7rep Unit 2: Reinforced For Closer And Panic Therma-Tru Sidelite Style: Smooth-Star Sidelite Style=S263SL 'i Glass: Unit 1,2,3:No Glass Unit 1,2,3: Smooth-Star Sidelite Glass=Clear, Sidelite Glass Option=Tempered(Std) I . Therma-Tru Door Style: S210 Mulls: Mulls 1: Vertical Factory,0"thick, 82" length Mulls 2: Vertical Factory,0"thick, 82" length Wrapping-Therma-Tru Exterior Options: Poly Brickmold No Fin Room Location: None Assigned - e r to f1a U P C E1�lI? '' W—ANARh 11000-1 Product: Smooth-Star Entry Door,Unit Size 33.625 x 82,RO 34,375 1 $612.00 $612.00 x 82.5 } ., Dimensions: *28,Call Height=68 } Therma-Tru Door Options: Hinge Left, In-Swing,Shelf Option=No Therma-Tru Frame Options: Primed,4 9/16",Mill Composite Adjustable Sill Therma-Tru Hardware&Prep: Reinforced For Closer And Panic Therma-Tru Door Grille: Simulated Divided Lite Glass: Clear,Tempered Low-E Therma-Tru Door Style: S607 T Wrapping-Therma-Tru Exterior Options: Poly Brickmold No Fin 6_ Room Location: None Assigned `!ri T Page 1 Of 2 '� � r . . � '�- � r,•`fibM '�. B;�RF�AE� I}�1�I+ p1�E 3027443 1045861 -0 4/5/2011 1 Quote Not Ord erede `E Cash brad None I Whse Pickup DANVERS USE b gcb -Geor a Beebe Salem "Note: Delivery charges may apply and are not included on this quote. This quotation is based on our interpretation of the information provided. All quantities,sizes,extensions, S1;1E'fOT �, _.,, grand totals,and specifications should be verified by the contractor prior to his/her bidding or ordering of - 51,634.0 materials. Harvey Industries,Inc.,is responsible only for the items as quoted above. Any changes or ,�,� , g 102.13 addendums will be subject to a requote. We propose to supply the materials as described above,subject to ` the terms and conditions as required by our credit department. The prices are guaranteed for 90 days from ORDER TQTAi the date of the quotation. Delivery charges may apply and are not reflected on this quote.We appreciate 736.13 the opportunity to quote this job. If you have any questions,please call your local warehouse. CUSTOMER SIGNATURE DATE l Page 2 Of 2 ` HARVEY Manufacturing ACKNOWLEDGEMENT Aff a BUILDING PRODUCTS - Harvey Industries,Inc. 1400 Main Street.Waltham,MA 02451-1689 (781)899-3500 harveybp.com - r BILL TO: SHIP TO: BRADFORD BUILDERS INC BRADFORD BUILDERS INC III IIIIIIII��IIIIIIIIIIII IIIIIIIIIIIIIII 9 HARLO CLARK RD 9 HARLO CLARK RD HUNTINGTON, MA 01050-0000 MP30160302744300 HUNTINGTON MA 01050-0000 Phone: (413)667-3616 Fax: (413)667-0005 Phone: Fax: QilOTE IYBR 'y CUSTITBR, 'G1S O1VTEtPO" DATLf CRE91 ED, DATE,OT2DERED QRDI2 T YPE 3027443 1045861 -0 1 4/5/2011 Quote Not Ordered Cash ORI1E.)tED BYr1 1Q71U0;STATUS t a SBIP'{ -PlAAM DEJ I"RXrARF,; � ,_ _ brad None Whse Pickup I DANVERS WAREHOUSE r �, ix� t .5 r .t r-,- s_' CLE�2'. t'_ s 1 n :ram rJOB IMAM 5 gcb -Geor eBeebe - salem r pp 10000-1 Product: Smooth-Star Entry Door,Unit Size 63.625 x 82,RO 64.125 I $1,022.00 $1,022.00 ° x 82.5 Dimensions: Unit 1,3: Call Width= 12, Call Height 68 r Unit 2: Call Width 30, Call Height=68 g j ) i1 Therma-Tru Door Options: Hinge Left, In-Swing t Therma-Tru Frame Options: Primed,4 9/16",Mill Composite Adjustable Sill Therma-Tru Sidelite Options: Continuous Sidelite Performance Rating: SL Impact Rated Glass=No Thelma-Tru Sidelite Grille: White Flat In-Glass Grille Therma-Tru Hardware&Prep: Unit 1, 3: Reinforced For Closer And — t Panic,No Hardware Prep Unit 2:Reinforced For Closer And Panic Therma-Tru Sidelite Style: Smooth-Star Sidelite Style=S263SL Glass: Unit 1,2,3:No Glass Unit 1,2,3: Smooth-Star Sidelite Glass=Clear, Sidelite Glass Option=Tempered(Std) Therma-Tru Door Style: S210 Mulls: Mulls 1: Vertical Factory, 0"thick, 82" length Mulls 2:Vertical Factory, 0"thick, 82" length Wrapping-Therma-Tru Exterior Options: Poly Brickmold No Fin Room Location: None Assigned a �aDES+Ct ION.tWq t,,,_+� " '� «x� .QT,Y,�•� +-,,-TJNIT PRICE tEXTEND�'rD 11000 1 Product Smooth Star Entry Door, Unit Size 33.625 x 82,RO 34.375 1 $612 00 $612.00 x 82.5 ` Dimensions: *28, Call Height=68 � \\\ Therma-Tru Door Options: Hinge Left, In-Swing, Shelf Option=No 9 Therma-Tru Frame Options: Primed,4 9/16",Mill Composite - Adjustable Sill Therma-Tru Hardware&Prep: Reinforced For Closer And Panic ki a i Therma-Tru Door Grille: Simulated Divided Lite F L Glass: Clear,Tempered Low-E Therma-Tru Door Style: S607 ; Wrapping-Therma-Tru Exterior Options: Poly Brickmold No Fin Room Location: None Assigned - - Page 1 Of Z*im'JOTE MRIN k�CI75 NSR ;CU EOMER PO t5)ATE CRI 1TED �DATE•ORDERED y gRDER TYPE 3027443 1045861 0 4/5/2011 Quote Not Ordered Cash m ORDERED,BX ST9TLJSfiSIIIP f 4 tDELIVER '2SI2E4, ry F r kA brad None Whse Pickup DANVERS WAREHOUSE S _ r JQB NAME a s gcb -George Beebe '...��,. _... ..x =�;,. salem / "Note: Delivery charges may apply and are not included on this quote. This quotation is based on our interpretation of the information provided. All quantities,sizes,extensions, SUBTOTAL .;.xq $1,634.00 grand totals,and specifications should be verified by the contractor prior to his/her bidding or ordering of materials. Harvey Industries,Inc., is responsible only for the items as quoted above. Any changes or addendums will be subject to a requote. We propose to supply the materials as described above,subject to the terms and conditions as required by our credit department. The prices are guaranteed for 90 days from ORDER`T T the date of the quotation. Delivery charges may apply and are not reflected on this quote. We appreciate ,4 "' 51,736.13 the opportunity to quote this job. If you have any questions,please call your local warehouse. CUSTOMER SIGNATURE DATE S � t ` E r� rn. i Page 2 Of 2 �` BRADFORD BUILDERS INC. CSL#075408 9 Harlow Clark Rd Huntington, Ma.01050 Patti Dravinskas Condo Project 19 Harbor St. Apt.5 Salem, Ma.01970 Scope of Work: Remove existing front door. Frame opening to new rough opening that will receive the new door. (Model # 5-210-6 panel S 263 SLG). Insulate properly around new door. Apply all new hardware to bring egress up to code. Example commercial closer, panic bar, and keyed dead bolt and lock. Then apply a perprimed wood around outside of door. Builder will use his discretion to create an authentic colonial style look around door. If more detail is needed this can be discussed at time of insulation. Owners can vary the mouldings that builders will use, but not the concept of what we are trying to accomplish. This exterior will then have nail holes filled, and all new material painted. Owners of condo will determine paint color for front. Builder will paint columns in front to match new door area. Owners of condo will pick out lock and dead bolt from Home Depot, or Lowes, or some place comparable. The lock allowance is $150.00 for front. Any amount not used will be deducted off of final check. Inside of front door to be trimmed out with a clear pine wood. This wood will be stained with a color picked out by owners. Finally, it will be polyurethaned. The age of the wood means we will not be able to match this exactly. Side Door: Old door to be removed. New door to be installed. (Model S 607). Builder to reframe opening to receive new door. A standard birch moulding will be applied to door on outside. The door will be painted. Owners will pick,out lock for side door.The lock allowance will be $50.00 for side door. The side door.%Wi not have panic bar. Builder will remove old doors and any other trash, or,debris.froin' premises. Total cost: $5,680.00 $3,400.00 due upon signing of contract $2,280.00 due upon completion From time of builder receiving check. Doors will be in in about 3 weeks. Builder will coordinate start date with Patti Dravinskas. Apt. #5 Project to take about one week depending on weather. Builder J Owner o .