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292 LAFAYETTE ST - BUILDING INSPECTION (4) What is the current use of the Building? Material of Building? If dwelling.how many units? win the Building Conform to Law? Asbestos? Archhecra Name m�lr'0 / ( ) Address and Phone r"• Mechanles Name E vAn1G F-Gv g/ C T €9 Y /y� g3f3 535 09 v Addr ess and Ptahs S [-�� � c � /�9/� M9 D N-7 f HIC R istration Su ConstructionD� isors License# G S 8 _ e9 to /D/ Permit Fee Calculation Estimated of $ h pelt Fes Estimated Cost X$7/111000 Residential Estimated Cost $11/:1000 COmmerCW------ ._- - An Additional $5.00 is added as an Administrative charge. ff Make sure that all fields are properly and legibly written to avoid delays In processing. ` The undersigned does hereby apply for a Building Permit to build to the abo stated specifications. Signed under penalty of perjury ate 8 23 v f N F y s" a 1 EITYY-OF . PUBLIC PROPERTY DEPARTMENT KIMISM 6Y DRISCOLL �/AYOI 120 WASWAGW 1 h%VEEr•YVby.M&%ACHLShrTS 01970 TEL-970.74S-9S9S•FAx;M740-9M APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION DEriOLITION, OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING STRUCTURE OR BUILDIN 1.0 SITE INFORMATION Location Name: Building: ---- Property Address:-- 2cT2--- -.—. ..----- - ------- Property Is bested in a:ConservaWn Am@ Y/N Historic District YIN 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land ` Name: DFAJ105 OV✓�1 LL Address: 292 L AF4 S7-PEE7 S96EM M 01q 70 Telephone: 9 7-6-377 -D 2D ? 3.0 COMPLETE THIS SECTION FOR WORK IN EXISX1kQ BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor (sf) Renovated construction or renovation of existing building New 8ciet Description of Proposed Work: ,5�1e1P IrX197-M.16 9V,99e7 Sy/V�L6 ROvF //VS%s�LL 1t/�w 9SONA[T 5'P/A/6<ES ����' fJN® P. EPc9<E ExiSi/nic �u�/1E/? R001r if n/!] 1NSFALC A/EGt/ 5-69AgLEsS Gv i`✓� y Mail Permit to: 5/51 G0Wx7Zt ST,P PE9Bv0`' M4 D/g/, HIC#154326 rsc lass EIN#56-2618812 Dennis Duvall Roofing Siding • Painting 292 Lafayette St. Salem,MA 01970 (978)397-0202 July 19,2007 Dear Dennis, The following estimate is for the roof replacement for the property located at the above address. The following paragraphs describe the work that will be performed. In addition to installing your roof, I would like to offer you the opportunity to obtain a warranty directly from Versico. We are a Versico Master Elite Certified Installer and have the ability to provide you with a 15 year labor warranty directly from the manufacturer and a 20 year material warrantee. Rubber Roof: • Strip existing rubber roof on the house • Install ''/z"fiber board with screws&plates • Install all new flashing around the perimeter of the roof • Install .060 fully adhered EPDM rubber roofing • In addition we will provide you with a 1 year warranty on workmanship • Install 3" seam tape on all seams Install L-Stock drip edge on entire flat roof perimeter • Install 6"cover tape on all aluminum L-Stock • Remove all debris from property • Option 1: Strip all rubber and terminate at transition wall on one side and ridge on the other side • Option 2: Strip ridge side 10 feet and rear side 5 feet,and install new Poly-ISO board and new rubber Initial options you are choosinr below: Cost for Labor&Material for Option 1: $6,000.00__Z Cost for Labor&Material for Option 2: $3,000.00 Payment Terms: 1/3 deposit$ 2000 1/3 work in progress$ c9 60 O and 1/3 upon completion$ t: O Please make payments to Alpine Property Services Company Inc. Total Amount Agreed To Be Paid: $�d Warranty: Olympic Painting and Roofing 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. Do not sign this contract if there are any blank spaces. (additional provisions follow and are incorporated herein by this reference) jAlp,ne o,Sales Mana er Dennis Duvall erty Services Company Inc., Homeowner d/b/a Olympic by(Name) Tel: (800) 535-4312 • Fax: (978) 535-2008 • 515 Lowell Street • Peabody, MA 01960 1-888-5 OLYMPIC • www.OlympicContractors.com 15 Tanguay Avenue 117 South K Ilingly Road Nashua, NH 03063 Foster, RI 02825 " CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT mvirm RIF.Y IaRba:ULL M. Ayot Ir.w.tsw.%)GrolvSntraraSALEM.WAssnclR-. -lTi6197.^. Tlat_9711-743.9595 •FAX:97t-740.9946 Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lenibly Name tBusincsstOrganirationtlndiv,duuq: /i(P I NE P.QOPF_ eT✓ SEA✓/CEI Address: 5/5 LOt s/EGL -5FeCC7 City/smteizip: PEH/30D`r MA 0/960 Pbonetl:_ q7&-535 -09y3 Are you an employer?Check the appropriate box: 'type of project(required): I.(3 1 am a employer with 11�_ 4. ❑ 1 am a general contractor and 1 6. ❑ New construction elnpluyces(full amUor part-tine).• have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. ; 7. (�Remodeling ship and have no amploycwa. These sub-coatpcton have S. ❑ Demolition working for me in any capacity. workers'comp. insurance. 9. ❑ Building addition ,No workcn'comp. insurance 5. ❑ We are a corporation and its Electrical repairs required.) ocen exercised have exerc their 10.❑ pairs or additions 3.❑ � 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myselL [No workers comp. c. 152.§1(4),and we have no 12.❑ Ruormpairs insurance required.) r employees. [No workers' 13.❑Other comp. insurance required.) -Any applicant tMt thetas box el must also Fill aut the scenes buluw altowiaa lhoir wwktas'cumponwaiaa PWicy iari,rnrutiaq. 'I tamw,wlgla wbe submit mia affidavit indieuins thry an"as as work and then hire outside cantraccon must autumn a paw amdavit indicating web. :Cantrnum that chuck this box mud anaehed an additional slurs sbowine the name of the sub-comtacrors and their workan'comp.policy informadua. I um an employer that Is providing workers'compensaten Insurancefor oty employees. Below is the paiidy and job site information. Insurance Company.Name: 97-19n/T/C CH91e7Ee /NStteq"CC C0A4Pt9,Vr Policy N or Self-ins. Lie.0: WC 1/00 7 5q&60 Eapuruon Date: / 5 zGVB Job Site Address: 292 1-/9KOI r'e C Si PCe7 City,SlawZiP; cALEM M9 0/93'r Attach it copy of the workers' compensation policy declaration page(showing the policy number and ckpiratiun date). Failure to sccurc coverage as required under Section 25A uf.NIGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,5t10.00 and/or one-year imprisomncnt,as well as civil penalties in the form of a STOP WORK ORDER and a fire of up to 5250.00 a day against the violator. Ile advised that a copy of this statement may be forwarded to the 011ice of Imshgauwts of tllc DIA for in.uraree coverage verification. 1110 hereby certify underthe sins ai Densities ufperjury that/he infurmuNon provided above is it a and correct. Date, 2CrJ7 Of lcial use anty. Do not write in I/dr area,to be Completed by city or/own a/JIi iuL City or Town: __. Permit/I.1cense N Issuing Authority(circle ease): -- 1. hoard of health 2. Building Department 3.Citytroan Clerk 4. Electrical Inspector 5. Plumbing Inspector G.Other Cuutact Pcrsmt: ___ Phone p: Infor mation and Instruc tions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for[heir empk)yen. ' pursuant to this statute.an employee is defined as"...every person in the service of another order any contract of hire. express or implied,oral or written." An employer is defined as"an individual,partnersh*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,-cc iation or other legal entity.employing employee& However the owner of a dwelling house having not more than[lace apartments and who resides therein,Of the oatupant 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." h1GL 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 busineu or to construct buildings to the commonwealth for any appocant who bas not produced acceptable evldeace of compliance with the insurance coverage required." Additionally.MGL chapter 152,42SC(7)stases"Neither the commonwealth nor any of its political subdivisions shall enter into say contact for the perfottiance 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 dte boxes that apply to your situation and,if necessary.supply sub-contractor(s)nan*s),adtheas(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. [f 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 dale the aflidaviL Tile 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 Aceideats. Should you have any questions regarding the low or if you are required to obtain a workers' compensation policy.please call the Departnent at the number listed below. Self-insured companies should enter their ,elf insurance license number on the appropriate litre. City or Town OQleisls 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 till in the porttit/license number which will be used as a reference number. In addition,an applicant that must subunit multiple permitilicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"Elie 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 now affidavit must be tilled 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 dog license or permit to bun leaves etc.)said person is NOT required to complete this affidavit. l'hc Oi lice of Investigations would like to thank you in advance for your cooperation and should you have any questions, please du not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents O®ee of Investiptle" 600 Washington Street Boston.MA 02111 Tel. # 617-7274900 ext 406 or 1-977-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia HIC#154326 Dennis Duvall. Roofing • Siding • Painting EIN#56-2618812 292 Lafayette St. Salem,MA 01970 4 /i (978)397-0202;(978)922-0348(fax) July 19,2007 Dear Dennis, The following estimate is for the roof installation for the property located at the above address. The following paragraphs describe the work that will be performed. In addition to installing your roof, I would like to offer you the opportunity to obtain a warranty directly from GAF or CertainTeed. We, as GAF Master Elite Certified Installer and certified CertainTeed installers, have the ability to provide you with a 25-30 year labor warranty directly from the manufacturer. // Installation Procedure x. (j� r['eµ,v em) 5t n right side main roof and two entries , /f- %E Strip existing slate off roof o the gh ,.7�5�,`,r (."�r�cy4 j yl l� � 4. Strip existing asphalt shingles of left side main roof and left side of tower only I n i • Install olyglas on bulkhead roof OC M LLL P inclt�9a • Install an 8 inch drip edge on all leading edges&rakes 8 Install ice&water on all leading edges&'valleys&transitions 71 v pipe flanges JJJ 46 Install new vent p p & Inspect decking for any rotten or damaged areas(we allow 32SF @ no charge,$80.00/sheet thereafter) • Replace any rotten or damaged ledger board(we allow 30 ft.at no charge,$3.00/ft.thereafter) at Install 15 pound felt paper on areas not covered by ice&water 4 Install new GAF 3-TAB 25-yr(Royal Sovereign) w after new a flashing is applied we will put & walls-1.Metal swill be removed to install ice and water u all aft step Transition s cap p P 8 PP P back metal caps.2.New lead will be applied on block wall.3.Stucco walls will be cut(at least V up)water and ice applied up walls after new step flashing we will re-stucco walls to match as close as possible to rest of wall. 4. Chimney—Cut into stucco to install ice&water shield,12"lead and counter flashing 4: Option 1: Strip parsonage front porch roof(same installation procedure as above) 4: Option 2:Install 26 new vinyl replacement(Harvey classic)fusion-welded,Low-E,argon filled energy star rated double strength glass replacement windows(grills to match existing windows).And install 9 vinyl hopper windows in basement 4, Option 3:Frame and install two FS deck mounted Velux fixed skylights(21 '/2 x 70'/z)and two VSE deck mounted Velux electric venting skylights(21 'h x 54 15/16)on left side of main building.Price does not include interior finish work or electrical hook-up. Additional Specifications • Homeowner to choose color of shingles COLOR: • 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 which will be passed on to the homeowner. 46 Chimney re-pointing is not part of the roofing contract If you are in need of this service,we will provide you with an estimate. 46 During a roof job,it is not common for the nails to break the sheathing during the nailing of the shingles 4 We are not responsible for any of the cracks that may arise in any walls or ceilings 4 Please cover all your floors in your attic to protect from dust and debris & We will remove all of the job related debris 4 Permit costs vary from town to town and are not included in this bid Initial the options you are choosing below: Cost for Labor&Material for Main Roof: $15,995.00 Cost for Labor&Material for Option 1: $ 995.00 Cost for Labor&Material for Option 2: $10 500.00 Cost for Labor&Material for Option 3: $ 5,580.00 Cost for GAF Smart Choice Plus Warranty: $ 250.00 -N O Payment Terms: 1/3 deposit$ 10 84�O ,1/3 work in progress$ )U2 and 1/3 upon completion$ SAa Please make a ents to Alpine Property Services Company Inc. Total Amount Agreed To Be Paid: $ Q70 Warranty: Olympic Painting and Roofing 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. Do not sign this contract if then blank spaces. fadditional provisions follow and are in orporated her "t by this reference) Jo •Garofalo,Sales Manager Denn D Alpine Property Svcs.Co.,Inc.d/b/a Olympic by(Name) Homeowner Tel: (800) 535-4312 • Fax: (978) 535-2008 • 515 Lowell Street e y, MA 01960 1-888-5 OLYMPIC • www.OlympicContractors.com 15 Tanguay Avenue 117 South Killingly Road Nashua, NH 03063 Foster,RI 02825 CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT \4�UHt l'.C1Y.�i1 LL�t::Ji►3?E1T•��Li 11.at.��'iK:ie.k tls.:9/'. Tn.Y7L7i as" fmt:-9W4ti9W Construction Debris Disposai Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 7S0 CNIR section 111.5 Debris, and the provisions of vtGL a 40.S 54; Building{ Permit N - . _ is issued with the condition that the debris resulting goat this work shall be disposed of in a properly licensed waste disposal facility as defined by%1GL c t 11. S 130A. I The debris will be transported by: I GN9etEs GFoecE ��vcri� (name of hauler) k� j fhe debris will be disposed of in 4 PE#300.y- ?� Ip w=c of faulty) powvy- AILL11,1, 11) —2' D - •.ltr' l HIC#154326 Fst 1958 EIN#56-2618812 Roofing • Siding • Painting Dennis Duvall 292 Lafayette St. Salem,MA 01970 (978)397-0202 (978)922-0348(fax) August 16,2007 Dear Dennis, The following estimate is for the installation of new gutters at the above address. The following paragraphs describe the work that will be performed. Gutters: • Install new aluminum seamless commercial gutters on all sections of Church and Parsonage(except Tower &new gutter on rear of Parsonage) • Install downspouts where needed for proper water flow(you may choose residential or commercial) • Replace missing downspouts to Tower • Fur-out any fascia where downspouts cannot be properly installed to fascia • Inspect fascia board for any rotted or damaged wood • After inspection any rotted wood will be replaced for an additional $10.00/foot • If any repairs are required we will advise the homeowner prior to starting any work • Caulk and seal all junctions • Remove all debris from property Option 1: Install vinyl gutter screens over all gutters(except Tower) Option 2: Install Leafproof system over all gutters(except Tower) j Initial Options You Are Choosing Below: Cost for Labor&Material to Install New Gutters: $ 1,725.00 ✓ Cost for Labor&Material for Option 1: $ 306.00__ / Cost for Labor&Material for Option 2: $ 1,256.00 Payment Terms: 1/3 deposit$ G 7 7 ,113 work in progress$ 6 7 7 and 1/3 upon completion$ 6 7 7 Please make payments to Alpine Property Services Company Inc. Total Amount Agreed To Be Paid: $ 670,31 Warranty: Olympic Painting&Roofing Company 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. Do not sign this contract if there are any blank spaces. (additional provisions follow and are incorporated herein by this reference) w Jo Garofalo,Sales Manager Dennis Duva Alpine Property Services Company Inc., Homeowner d/b/a Olympic by(Name) Tel: (800) 535-4312 • Fax: (978) 535-2008 • 515 Lowell Street • Peabody, MA 01960 1-888-5 OLYMPIC • www.OlympicContractors.com 15 Tanguay Avenue 117 South Killingly Road Nashua, NH 03063 Foster, RI 02825 CERTIFICATE OF LIABILITY INSU DATE(MWD°'Y"'Y) —TM. R/ANCE zoOUCER I`Mka: (W)6$f-5110 FeY (617)85➢5112. ..-.. - '0 210 9/20 07 .. ..NIGHT INTERNATIONAL INSURANCE GROUP - THIS,CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION DO VICTORY ROAD - - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE r (ARINA BAY - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR. IUINCY.14A 02171 45 �a - ALTER THE COVERAGEAFFORDED EtY :7HE POLICIES BELOW. INSURERS'AFFORDING COVERAGE NAIC# NSURED INSURER A;' m Clarendon America Insurance Copany LLPINE PROPERTY SERVICES CO.,INC. -1 WILSON STREET INSURER B: Mercharlb Mutual Insurance Company _ ,ALEM MA 01970 INSURERG: Hanoverinsumnce INSURER R Atlantic Charter insurance Company INSURER E: COVERAGES T+E POLICIES OF Irv$URANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICATED. NOTWITHSTANDING JVY REQUIRFMEM, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEM WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,THIS CERTIFICATE AND AY BE CONDITIONS OF R 'OUCIES. AGGREGATEUMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SUCH IR ARD TYPE OF INSURANCE ?R INSR PDUCY NUMBER PoLTE(MM ,,,,) POLKY E%PW4T04 "'— GENERAL LIAUILITY GATE MNIppiY mTE ,,o UMO$ H440000161.0 01/O4J07 01106I08 EACH OCCURRENCE s 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMM OCCUERTEN CLAIM$MADE� OCCUR PREM,S[s([a ovumnwl S 5O,DOD A MED.E.[P(gity Anc FgR011) S 1,000 P"SONgI,B AOV INJURY 5 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 2,000,000 PRO E i.000.000 - PRODUCTS-COMP/OPAGG. FBI,, PRO AUTOMOBILE UAeILITY AFN 657155-00 01/09/07 01/09/08 MY AUTO COMBINED SINGLE UMn ALL OWNED AUTOS (E.Aoc;aenp S 1,000,000 C SCHEDULED AUTOS PeDl�feNjURY S X Hu1ED AUTOS - X NDN-OWNED AUTO$ BODILY INJURY (Pv�cCMiM) g PROPERTYDAMAGE S GARAGE LWBILRV:.. (Pm 5ca�^0 ANY AUTO AUTOONLY.EAACCIDENT 3 OTHER'n1AN EA ACC $ AUTO ONLY: EXCESS UMBRELLA LIABILITY AGG S X OCCUR �cwM$MaDE TSA 01/01/07 01/01/08 EACH OCCURRENCE _ $ 5,000,000 Et AGGREGATE S 5,000,000 DEDUCTIBLE S X RETENTION S 10,000 S WORKERS COMPENSATION AND S EMPLOYERS'LIABILITY WGV00754800 01/05/07 01/0SIO8 �Y1AN' o1NER M1RT PROPRIETORIo DR"lIu1T6 _D oFRCERmEMaEw cXc El>Ecunv[ E.L.EACN ACCIDENT .. $ 100,000 A yw,ascrtm,,,AA� EL DISEASE{A EMPLOYEE S 100 QQQ BPeCIAL G0.0VYtIOM Ae:ow _ OTHER: E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES/EXC�U$IONS ADDED BV ENDORSEMENT!SPECNLL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED.BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR:TO n"AIL 10 DAYS' WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TQ DQ SO SMALL IMPOSE NO OBLIGATION OR LIABILT'OF qNY KIND UPON THE INSURER', - ITSAGENTS ORREPRESENTATNES.���$.L� AUTHORIZED REPRE$ENTwTryE ,. �— ,' R4iI c✓ yt� Attention: , Harold eJCm I� : ACORD 25-(2001108) 9ht. G . ertifica[e#' - 6579 (0 ACORD CORPORATION 1986 9,?;•"��Pw'..in :::':'r1s Fr=a`:v[gr!?nr dv gret. ,.� ...._. . . ,. .. : . _' .: '.