242 LAFAYETTE ST - BUILDING INSPECTION (2) -1y-J1� ( '�� 27
The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY
Massachusetts State Building Code,780 CMR,70'edition R O ed L nary
Building Permit Application To Construct,Repair,Renovate Or Demolish a 1,2008
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: I I Date Applied:
Signature: J lP>,f,� �I?l
Building Commissioner/Inspector of Bbild1w _ Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 242 Lafayette St 1.2 Assessors Map&Parcel Numbers
Ll a Is this an accepted street?yes no Map Number Parcel Number
13 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 Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: - -
Lucien Labonte 242 Lafayette St Salem, Ma
Name(Print) Address for Service:
978-744-2899
Signature Telephone
SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ Existing Buildings Owner-Occupied ❑ Repairs(s) & I Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work :
strip and re-roof
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials)
1.Building S 11,774 1. Building Permit Fee:$ Indicate how fee is determined:
2 Electrical $ ❑Standard City/Town Application Fee
❑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: $ 11,774 ❑paid in Full ❑Outstanding Balance Due:
Se7-rf —► 1 O
6<�Ka
a - SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) 100542 3/17/2016
Joseph Arone License Number Expiration Date
Name of CSL-Holder 18 Mount Vemon Dr Pelham NH List CSL Type(see below) R, RC, W$
Address Type Descri Lion
U Unrestricted(up to 35,000 Cu.Ft.)
R Restricted 1&2 Family Dwelling
Signature M MasonryOnly
978.8 5.9483 RC Residential Roofing Coveting
Telephone WS Residential Window and Siding
SF Residential Solid Fuel Burning Appliance Installation
D Residential Demolition
5.2 Registered Home Improvement Contractor(HIC) 160710
Joseph Arone
HIC Company Name or HIC Registrant Name Registration Number
mon Dr Pelham, NH 8/19/2014
Address
Y-\-- 978.835.9483 Expiration Date
Signz E 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..........CU No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, Lucien Labonte as Owner of the subject property hereby
authorize Joseph Arone to act on my behalf,in all matters
relative t work authorized by ' wilding permit appf St
s H
are
r azure of Owner Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
1 Joseph Arone 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.
Joseph rone
Print Name
Signature of o Authorized Agent Date
(Si ed under LK pains and penalties ofury)
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 I I O.R6 and 1 I O.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"maybe substituted for"Total Project Cost"
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The Commonwealth of Massachusetts
Department oflndustrial Accidents
t Office of Investigations
4
t 600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
AApnlica it Information Please Print Lecibiy
Name(Business/Organization/Individual): Joseph Arone dba Arone Exteriors
Address: 18 Mount Vernon Drive
City/State/Zip: Pelham, NH 03076 Phone #: 978-835-9483
Are you an employer?Check the appropriate box:
1XI I am a employer with 2 4. ElI am a general contractor and I Type of project(required):
employees(Rill and/or pair-time).' have hired the sub-contractors 6. ❑New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling
ship and have no employees These sub-contractors have g. D Demolition
working for me in any capacity. employees and have workers'
[No workers' comp, insurance comp insurance.' 9 ❑Building addition
required.] S. We are a corporation and its ME]Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑;Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑Other
comp.insurance required.]
*Any applicant that checks box 91 must also fill ont 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,
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the subcontractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers I compensation insurance for my employees. Below is tiie policy and job site
information.
Insurance Company Name: Chase and Lunt
Policy#or Self-ins. Lic. #: WC2-31$-369961-013 Expiration Date: 10/31/14
Job Site Address: 31 Shawmut Ave
City/state/zip: Wayland, Ma
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required tinder 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 D.IA for insurance coverage verification.
ecertify under the pat nd penabies ofperjury that the information provided above is true and correct.
Date: 5/1/14
978-835-9483
use only. Do not write in this area,to be completed by city or town official
Town: Permit/License Authority(circle one):d of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector
r
Contact Person: Phone#:
OP ID:AC
CERTIFICATE OF LIABILITY INSURANCE lon1113�TE1F11 ,
vt3
TUTS 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 I'NSURERtS), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: It the certificate holder is an ADDITIONAL INSURED,the policylies)must be endorsed. It SUBROGATION IS WAIVED,subject to
the terns and conditions of the polity,certain Policies may require an endorsement. A statement on this certificate aloes not confer rights to the
certificata holder in line of such endomomantis).
PRODUCER 978-482-4434 tOiucT
Chase&Lunt LLC NMOE'
P 0 Box 590 978465-6204-iP"ON o. i FAX
47 State Street
Newbury PRODUCER.Yt,MA B19SO ADDRESS:
•. _. _,_.v.. ._..v
fAfchaa) .Conlin cVSTOWR IDP ARONE-1 _ __ -�T'_
IISURERISIAFFORDMOCOVERAGE -- 1 NAICY
NIsuREo Aaorie ExQeroors - rxsuRERA:hlorthiand Insurance Companies
18 Mount Vernon Drive - — _
Pelham,NH 03076 wsuRERe._Libert7 Mutual Insurance
_rx_kw"C
INSURER O: 1
WSURER E
UISURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOUIREIVIENT,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 SUSMECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSRi'�- ADOL'SUBR-- "�-_-'.. i POIrCVErr`r'POLICY EAPT
LTR TYPE OF RISURANCE POLICY NUMBER : rrM! MOB LIMITS
GENERAL LIABYITV I i EACH OCCURRENCE I3 1,000.00
A 1( coMMERcwI GENERAL LIAenm 'WS112781 10110t,13 IOMOI14 -DAMAGE TO aENTED ,
PREWSESiE&-o--p) �,S�. $0,OD
CLAws-MADE OCCUR - 1A(Etl E%P(Any wm perTon)�ES__ 6,000 '
S PERSONAL S ADV INJURY 1 3 ^_ 1,000,00
dI GGENERALAOGREGATE_1S 2,000,00
GEN'L tC� AGGREGATE ULBTAPPUES PER: pPRODUCTS-COMP/OP AGO IS
POLICY
� 2,000,OB
PRO. r" C PlcY( iLOC is
AUTOMOBILE LIAB1Lm COMBINED SIXGUE�pRINJURY LIMIT IP. ) 1 3
ANY AUTO I
AU.OwNED AUTOS BOOB neulen Y INJURY Ira i'.3
SCHEOULEDAVTOS l �."�.-
I PROPERTY DAMAGETT�I 3
HIREDAUIOS 1 (Paraccdamll
NON-O'OMED AMOSEX
UMBRELLA
M a ONMS OCCUR MADF. �EACH OCCURRENCE 3
HDEDUCILME tt 5 I .AGGREGATE.. ....-.
A 11VC STATU- 'OTH-
ANDE�oYEA AS TTY ITN VC 10131/13 t 10f31114 _'T% LLMIrS_1 ER �.
ANY PROPRIETOWPARTNERrERECUTIVE NIA t((} EL EACN ACCIDENT ' 3 100A.
OFFICERIMEMBER EACLUOEDI Q X•
IManOatarLn NH) II{II{ If4 EL DISEASE EA EMPLOYEE 10_D,000
R OrxADe urroer 0^-
o�scRIPT1DNOFor>ERArwNsee„a � �E.L pSEASE-PDLIcv uMlT�s 500.0DO
DESCPoPIMNOFOPERATIONS)LOCATFM)VEMCLES IANtt�ACOR01a1,AaplIIPnDIRmm}s SPArOub,Rmore Fpoub wRVaeal
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
lnspectionai Services ACCORDANCE WITH THE POLICY PROVISIONS.
51 Grove Street
Arlington,MA 02478 AunlomtEO REPREsemATlvE
m 1988-2009 ACORD CORPORATION, All rights reserved.
ACORD 25 12009109) The ACORD name and logo are registered marks of ACORD
CITY OF SM EM. -LA ss kCHUSETTS
BL'ILDNIG DEPAR-mENT
j 120 W 1SHNGTON STREET,3r FLOOR
TF-L (978) 745-9595
F.jx(978) 740-9846
KIMBERLEY DRISCOLL
.MAYOR T HOM AS ST.PtERRB
DIRECTOR OF PUBLIC PROPERTY/BUEMLNG COMMISSIONER
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 c 40, S 54;
Building Permit# 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
111, S 150A.
The debris wi II be transported by:
Arone Exteriors
(name of hauler)
The debris will be disposed of in :
Rooftop Recycling
(name of facility)
369 Codman Hill Rd Boxborough, Ma
(address of facility)
ature of permit applicant
date
dcbtivlT.dc
Arone Exteriors
Home Enhancement Specialists -
TV1�S � iS
str
A Note From
Joseph M.Arone, Sr.
L
f
978.835.9483
www.AroneExteriors.com
Airone Exteriors Construction Supervisor License 10054
Home Enhancement Specialists Home Improvement Contractor Registration 160719
General Liability and Worker's Compensation
2M PREFERRED per,
(ONTRA(TOR
Contract
Wednesday, May 14, 2014
Lucien Labonte, Homeowner, desires to contract with Arone Exteriors of 18 Mount Vernon Dr
Pelham, NH, to perform work on the property located at: 242 Lafayette St Salem, Ma.
Our Commitments:
1. Job Description: See attached proposal.
2. Payment Terms: Full payment upon completion.
3. Time of Performance: See attached proposal.
4. License Numbers: See top of this form.
.5. Permits and Approvals: Arone Exteriors will be responsible for determining and obtaining
necessary permits, as well as the costs incurred.
6. Materials: All materials shall be new, in compliance with all applicable laws and codes, and shall
be covered by both the manufacturer's warranty and a 15 year warranty on installation through Arone
Exteriors.
7. Change Orders: Should unforeseen events alter the original cost estimates, or should the
Homeowner decide to change any part of the attached proposal, those items shall be discussed and
a 'Change Order' form will be signed by both parties outlining the new details.
8. Site Maintenance: Please indicate any specific requirements:
Materials shall be stored in the following location: DAWW117 ti€AL3�fk�T9/�L
Dumpster shall be placed in the following location:Da<vl u/ly .Qum.-A✓'cLaSE -,D J-/V e f r--uJW//eC
Work shall be performed between the following hours: 7:30am - 7:30 pm
We agree to use equipment (generators, pneumatic guns, etc.) only during these hours.
We will use our own equipment but may request the use of an electrical outlet.
9. Point Person: Joe, our owner, is the contact person on your job. Should you (or your neighbors)
have any questions, concerns or comments during your project, please do not hesitate to bring them
up to him. After hours, his cell is 978-835-9483.
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What We Ask of Customers:
1. Neighbors: Home improvement projects often generate inquiries from neighbors. Please check
the box below if you agree to the following:
® Arone Exteriors may place one yard sign in front of the home for the
duration of work being completed. Once complete, it is the responsibility
of the contractor to collect the sign unless other considerations are arranged
up front.
® Arone Exteriors may give neighbors business cards or door knockers when it
appears their home may benefit from one of our services.
2. Payments: In general, we do not require any payments before work begins. The exception being
if products requested require a special order. In that instance, we would have to collect a deposit for
the order.
3. Safety: Please be mindful to avoid construction areas, especially with small children and animals.
4. Your valuables: (Roofing) Customers may want to cover items in the attic as unavoidable small
fragments of asphalt will fall through the deck boards. Items may need a vacuum upon completion of
work. (Roofing & Siding) Customers may want to remove fragile valuables from interior walls.
5. Utilities: Depending upon the type of project, we may ask for access to an electrical outlet or a
hose.
6. Additional Notes:
Verbiage required in our contract by the State of Massachusetts:
All home improvement contractors and subcontractors shall be registered (which we are, see license numbers
at the top of this contract) and any inquiries about a contractor or subcontractor relating to a registration should
be directed to: Office of Consumer Affairs and Business Regulation, Ten Park Plaza, Suite 5170, Boston, Ma
02116 (617.973.8700).
Owners who secure their own construction-related permits or deal with unregistered contractors shall be
excluded from access to the Guarantee Fund. Failure to pay in full for the work completed may result in a lien
or security interest on the residence as a consequence of the contract for the sum of labor, materials and
lawyer fees.
The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has
a dispute concerning this contract, the contractor may submit such dispute to a private party arbitration service
which,has been approved by the Office of ConsumerAffairs and Business Regulation and the consumer shall
be required to submit to such arbitration as provided in MGL c 142A.
The signatures of the parties apply only to the agreement of the parties to alternate dispute resolution initiated
by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed
separately by the parties.
The homeowner has a three day cancellation option under MGL c93 s48: MGL c 140Ds 10 or MGL c255D s 14
as.
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Roofing:
✓ Obtain all necessary town permits.
✓ Install tarps from the edge of the roof to the ground to protect your home and landscaping.
✓ Strip roof to bare wood to reveal any defects that might otherwise go undetected.
✓ Nail loose deck boards and provide a flat surface to lay new shingles for abetter looking roof.
✓ Replace any rotted wood (up to 32 ft. of material and labor free).
✓ Inspect lead flashing and install new step flashing around chimney to divert water away.
J Replace pipe boots with rust free aluminum boots on all vents.
J Paint vent pipes to match roof(when applicable).
✓ Adhere 6ft (double Code requirement) of Ice & Water Shield to deck eaves, valleys and all
protrusions to protect against the elements as well as ice dam build ups.
✓ Apply synthetic underlayment to the remainder of exposed deck boards offering a
600% stronger tear strength than 30#felt paper while allowing your roof system to breathe.
✓ Install eight inch metal drip edge along all rakes and eaves to direct water off roof and prevent
wicking under the shingles.
✓ Lay a starter course at the base of the eaves to prevent leaks and wind blow off.
J Install the customer's choice of Certainteed Hatteras shingles, which includes a Lifetime limited
warranty.
Install copper in two valleys using 16 gauge and 10 ft lengths.
vr Install ridge ventilation on all three ridges (except rear shop) to prevent condensation
problems, deterioration of deck, mold growth and premature aging of shingles.
✓ Provide a dumpster to remove all nails and debris from the property and neighboring properties.
✓ Remove debris from all gutters.
Proposed Payment: $11,774 with no pre-construction deposit required
unless there is a special order item.
SW
Ne
ate omeowner Signature Date Co or Signature
There are no other documents as part of this contract.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
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