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2-12 INDIAN HILL LN - BPA-10-762 The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY Massachusetts State Building Code, 780 CMR, 7th edition ReOFSALEM visedJanuary Building Permit Application To Construct, Repair,Renovate Or Demolish a 1, 2008 One-or Two-Family Dwelling This Section For Official Use,Onl' y :Bwldmg.PerrnftNd Date Applied 4 Signature, BuiBuildingConithissionch/inspector of Buildings' DII C, g 0 INFORMATION SECTION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 3 0(9 0 1.1 a Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zoning Information: 1.4 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 F Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 11 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yesO SECTION 2:';PROPERTY OWNEASHIP'::,, 2.1 Owner'of Record: 0s.1- 0 Ave , S,j o, Mrs t)lrGla al-e-wTP r i n tc)p for SeYvice: I/ - 7[ 20o3 Signature Telephone SECTIO N 3:1 DESCRIPTION OF PROPOSEDWOEW,(check,all that apply) New Construction 11 1 Existing Building 0 Owner-Occupied 0 Repairs(s) V1 Alteration(s) 0 Addition 11 Demolition 01 Accessory Bldg. 0 Number of Units Other [03 Specify Brief Description of Proposed Work 2: nc !Llk Ala-1 ovw ACT16N.eli ESTIMATED CONSTRUCTION COSTS, Item Estimated Costs: S) _"�Ol Official Use Only (Labor and Material 1. Building $ Building Permit Fee- fed is determi,n L ed: cr, ElSt"dar& i own Application Fe 2. Electrical $ OTO I.PrciedtLCr6ts'�(1t'6n6)L xLmultiplier L L 'b1bejLF6e s 3. Plumbing $ $ 4. MeehaniCII14(HVACJ t]ist: 4. Mechanical (HVAC) $ 5. Mechanical (Fire Su ression $ Total All Fees pp ) L 6. Total Project Cost: $ 'L Check Amount: Cashmount: 1 1�5 Check No aid,in,FUIlr ❑Outstanding Balance Due: „SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) F ,rj IT ewcos AloofSUU/c, F License Number Expiration Date Name of CSL-Holder _ {� List CSL Type(see below) Address T ' Deacei tion U Unrestricted(up to 35,000 Cu.Ft. R Restricted 1&2 Family Dwelling Signature 9y A87 - TJ��I] M Mason Only f+ RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home Improvement Contractor(H►C) 1514326 /}1_nlnP- A �tr 4�cy�C�c CO Inc HIC C mpp�ny Name'or HrC Registrant Name Registration Number II 1X/i/S n sty <aIo Aid C)Ai70 Address -27 - I! 77Y-,997 -SA O Expiration Date Signature Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE;AFFIDAVIT(M:G.li 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 7s: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. Si nature of Owner Date SECTION 7b: OWNERt OR AUTHORIZED AGENT DECLARATION I> A L e- as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. M i S c ros /"�OV/scL,/Sc Print Name ;y re o caner Au orized Agent Date Si red under the ai s and enalties ofperjury) NOTES: I. 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 and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.116 and 110.R5,respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq.Ft.) (including garage,finished basementlattics,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' The Commonwealth of Massachusetts VCDepartment oflndustrialAccidents Office of Investigations „ 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ALQirle r),-q0P+ Service C Address: City/State/Zip: nlello Phone #: 27Y-9Y 7 - -S S l0 Are ou an employer? Check the appropriate box: Type of project(required): 1.0I am a employer with 4. ❑ I am a general contractor and I � 6. ❑New construction I employees(fiill and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. t �• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. workers' comp. insurance. Y P ty• 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other 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.' iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ��qq Insurance Company Name: Sea noh /t'UT6(a /05 (fo Policy#or Self-ins.Lie.#: 9 i7/Q4? Expiration Date: 03 %/6 //1 Job Site Address: O^�-/Z l/1 i4 rl fli 11 Z_e%a�_ City/State/Zip: Sala,, lri g 101970 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenakies ofperjury that the information provided above is true and correct Signature: 1/ Date: (t - 23 -/O Phone#: 9 - U1 - 53 70 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: pp1 0 '13: 05 UoorleU HgencU (FRX)OUI 886 9bee P. 001/001 o C® CERTIFICATE OF LIABILITY INSURANCE oFID DATE OIBIODIYYYY) Alt nr. Avg oa la to 1 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 17YS�7 t!i ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOML 1Qast `u ir�i$hRI 02818 ?honpsz4 _ Y, 6 ,9600 8ax:401-886-9622 INSURERS AFFORDING COVERAGE MAIO9 INSURCRA: Macon Motuaa Ins Co ...... INSIIRei a +> w • �5y,?t r Services, Inc ' COf�tery Rd HOx 446 INSURER Scituate RI 02857 INSURERD: INSURERE: a 0. .rri�xdh I,W$1E0 DCLOW HAVE BEEN ISSUED TO THE INSURED WOOED ABOVE FOR THE POLICY PERIOD INDICATED.NOIWTMSTANDING 4"a 4 OQ 11pNof ANY CONTRACTOROTHER OOCUNENrWRH ROSPSCTTO WHICH 1HG CEMIRCATE MAY BE ISSUED OR ' AF,FO,f1DED BYTHE POLICIES DESCRIBED HEREIN ISSMECTTOALLTHETERNS.EXCLUSIONSANO CONINT04OFSUCH ;8!]OIYNNVWH11VE0EEN RE000EDBY PAID CLAIMS ' •' ' POLICY NUMBER Iva pocl �IDIRRA O DATE M WTa I r.ITaTi Each OCCURRENCE i 4 st ODNCRAL µADUM B • Y S ,� I z _ OCCUR Lmamw ona Parcrll i PHISONALBADVMUW i 094ERALAOOREDATE i UMITAPRLIESPEB PRODUCTS-COMPIDPAOG i F . e4 vsT _ CDMBD®9UIGLG taalr ps bad" ��'aFr �� ROD0.YINAlRY i IPSOeraamaYq i i + '� PRO DAMAGE• r >t - Pl7rIY 1 ' F4c � � (PemddrnU S Nt _ 1v,, ,e AUTO ONLY.64 ACCIDENT S u'� ! OTHER THM PAACC i AM ONLY! j w{. Ps AMS f. EACH OCCURRENCE _ i ©,CLAa15W10E } AccREwre i 6 YIN X y8. 59009 03/16/10 03/16/11 OLBACHACCIOrINr SS00 000 r cFy;, FLOISEASE-EADVLOTEE SS00 000 1) �a MY ELOISEASE-Poucruear 8500.000 `a 0. 'b µ{ 4 � Fa� R I \may 5 ie;y�t I u4^s�_ T, ILGGTIGNs/Ve11CLas/aIICLIISDNS/WDOD BY 6NDON5EYENr18PEGAL PROV1810xa r t'ax to 978+887-5876 r 4 r .#iSn�V, � � • CANCELLATION SHOULD ANY OF THEARM DESCRIBED POLIOIE89E CANCELLED BEFORNTHS 6IPWATION RICaN= DATBTHEREORTHEI0BUINGINBURERMLLIMOEAVORTOMA6 10 manYYMTEN <- � NaneeroTHE CERnPIOATaxeLOERNaMSoro Lair.BUT La aLry PAMRa D TO DOBO pNaLI Tall Registration g48oard IMPOSE NO OBLIGATION OR LWeUTYOPANY 1011 UPoIi TNa1NSURER RSAOENIB OR _..�fi`' ill REPRBSWffATMPS' . ='.02gpg AUTHOR=MAWR a 01988.2009 ACORO CORPORATION. All rights reserved. ; ' The ACORD name and loge are joglarerad marks of ACORD' M '�• O'lass::chusetts- Dcpnt•tmcnt of Public S:tl'cn' - .—..Bmu'd of Suildin7;Regulations and Stun(ill . is License: CF,sL 101003 Construction Supervisor Specialty License License or registration valid for individul use ohly 11Yefm•e-the=plrution data If found return to: Restrlcted.toc RF,WS '` Board of Building Regulations and Standards Ip� One Ashburton Place Rm 1301 STAVROS"MOUTSOULA'S iBoston 11 WILSON STREET..,:. . SALEM, Nlq'01970 - Explration: l (lnnmisvo,,,rr I Not without signature TnY: 10100307003, f6a0r2noff9M9W egula�i.od ns�tan One Ashburton Place -Room 1301 Boston. Massachusetts 02108 Home ImprovemeaContractor Registration Registration: 154326 Type: Private Corporation Expiration: 2/27/2011 Tro Z79M t. _ ALPINE PROPERTY SERVICES!, STARROS MOUTSOULAS ==� G ; 11 WILSON STREET Y' -....... ` SALEM, MA 01970 Update Address and return card.Mark ressoo for chsuge. O Address Renewal Employment [] Lost Card ors•onr a sonwnar-resaeo ,,� � Board of BoBdl�letl6as sod License or registration valid for Individut use only , HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards 8 Reg1s1n. 154326 - One Ashburton Place Bin 1301 , I tlon••.-2272011 TrS 279846 Boston,Ma.02108 priGeteCoipomtion 0 ALPINE PR @, - ES:;CO,INC. SI'ARftOS 11 WILSON �* .,'`' " ''"^' Notvalid without signature SALEM,MA 01970 Administrator _. Cyndy Anselmo East Coast Properties FIIC#154326 Avenue 400 Highland e EIN#56-2618812 Salem,MA 01970 Job#: 978-741-2003(phone);978-745-9694(fax) Email: Property Location: Multiple Buildings March 9,2010 Dear Cyndy, Pursuant to our conversation, I have prepared the following estimate for the roof replacement of the above units. Below is a detailed description of the work that will be performed. We will inspect the transition walls and the chimney flashing since it has recently been done. If we find deficiencies we will notify you on a per building basis and provide you with an estimate to replace it., Installation Procedure 1 Strip existing roof on the entire building down to the roof deck 1 Install an 8 inch drip edge on all leading edges(rakes&fascia) 1 Install ice&water on all leading edges&valleys(6 feet on leading edge and 3 feet in valleys) 1 Install new vent pipe flanges and flash all other penetrations I Replace any rotten or damaged decking(we allow 32SF @ no charge,$80.00/sheet thereafter) 1 Install 15 pound felt paper on all areas that is not covered by ice&water shield I Install new GAF 3-TAB shingles(this will be upgraded to a 30 year GAF Architectural T-30) 1 Install new ridge vent system it 1 Upgrade to 30-yr Architectural shingles is an additional$350.00 per nit Additional Sbecifrcations I Condo Association to choose color of shingles COLOR: Burnt Sienna (Hickory)GAF T-30 1 Our dumpsters are sent to a recycling facility;therefore no additional trash may be placed in them. The transfer station will charge us a fee for additional trash which will be passed on to the homeowner. 1 We will not be stripping the base of the chimney to install ice and water shield and new step flashing and re-side it. 1 We will not strip the transition walls to install new step flashing and ice and water 1 If the transition walls or chimneys need to be striped there will be an additional cost 1 During a roofjob,it is common for the nails to break the sheathing during the nailing of the shingles 1 We are not responsible for any cracks that may arise in any walls or ceilings during the construction 1 Please cover all your floors in your attic to protect from dust and debris I We will remove all of the job related debris 1 Permit costs vary from town to town and are not included in this bid I GAF-Elk Weather Stopper System Plus Warranty may be purchased for$150.00/unit(30-yr warranty directly from GAF) 1 Payment terms will be arranged by Cyndy Anselmo 1 Place dumpster at end of Tanglewood Initial the options you are choosing below: Cost for Labor&Material for 15-25 Olde Village Drive: $8,995.00 Cost for Labor&Material for 2-12 Indian Hill Lane: $8,995.00 _ Cost for labor&Material for 14-20 Indian Hill Lane: $8,995.00 - - Cost for Labor&Material for 2-12 Tanglewood Lane: $8,995.00 Cost for Labor&Material for 13-19 Tanglewood Lane: $8,995.00 Cost for Labor&Material for 1-11 Longfellow Lane: $8,995.00 Total Amount Agreed To Be Paid for Labor: $51,970.00 Warranty: Alpine Property Services Inc.guarantees all work performed for a period of one year. If any problems occur we will cover the cost of all labor and material to correct the problem and meet the customer's satisfaction. GAF warranty will provide a 30 years worth of coverage. Stavros Moutsoulos Cyndy Anselmo—Property Manager Alpine Property Services Company Inc., East Coast Properties