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13 LINDEN AVE - BUILDING INSPECTION (2) ek � �y5y — f� 9- o � � • , The Commonwealth of Massachusetts '� Board of Building Regulations and Standards SA EM „/ Massachusetts State Building Code,780 CMR Revised Mar 20lI �� /� � I Building Permit Application To Construct,Repair,Renovate Or Demolish a ���1' One-or Two-Family Dwelling � This Section For Official Use Onty -:.., BuildingPermi[Number. � � � D e pplied: � ' , A � �� . � . .. ,;��^'O .:: � . �� �� Building Ofticial(Prin[Name) ��� � �� f�Signature . � �� Date � - � � �- ��� SECTION 1:SITE-INF'ORMATIO � � � '� 111�rope�r_ty Ad ress: �� S�� 1.2 Assessors Ma Parcel Numbers F_� 11a Is this an accepted s[reet?yes ✓ no Map Number Parcei Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning DisVic[ Proposed Use I,ot Area(sq ft) Fron[age(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard � Required Provided Required Provided Required Provided 1.6 Water Suppiy: (M.G.L c.40,§54) 1J Flood Zone Iutormation: 1.8 Sewage Disposal System: Public Zone: _ Outside Flood Zone? C� Private❑ Check if yesO Municipal B�On site disposal system ❑ � ��. . SECTION 2:�PROPERTY OWNERSHIP� � �i 2.1 Owner'o`f Re ord: 1 Q� � C� �i�C,�LIfA �'y�1G11G�U cJ�`Q M�� 11 �` l.� Name(Prin[� �' City,State,ZIP 13 � "• � �• R •re- q?°vZYYsa45" No.and SVeet Telephone Email Address ;SECT[ON 3:DESCRIPTION OF PROPOSED WORKZ(check all that apply) . � .� New Conshuction ❑ Existing Building� Owneo-Ocwpied L� Repairs(s) ❑ Altera[ion(s) Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify;��. BriefDescriptionofProposedWorkz: �i�i �� M-c�:� 2-oDvti °�— c �s�.l �roX `4��o S'� �-�— , 4 C' (`� �-�-��v�z S ���J � h e � . �SECTION 4:ESTIMATED CONSTRUCTION COSTS � � �. - ' [tem Estimated Costs: Official Use Only Labor and Materials � � 1.Building $ 9 g Tj� — L�.Building Permit Fee: $ .Indicate how fee is determined: 2.Electrical g � � �Standard�CiTy/Town Application Fee. � �� � ❑Total Project Cost3(Item 6)x multiplier � x "� ' 3. Plumbing $ 2. OtherFees: $ �� �� , I ����� � 4.Mechanical (HVAC) $ List: � �� 5.Mechanical (Fire $ ��� � � � . Su ression Total All Fees: $ . �, Check No. Check Amount: < Cash Amount: 6.Total Project Cost $ I' � S 0• ❑Paid in Full ��� � ❑Outstanding Balance Due: �i ( � �'1 a�n eo cu�, �� ., �� 1 �SECTIONSi����CONSTRUCTIONSERVICES�-= , 51 Construction Supervisor License(CSL) �dt tJU �� �SQ`��-o�A CS �4 � S� I � —� - I2 License Number Expiration Date NameS�SLHolder � �1 � � � � ��L� ,i- List CSL Type(see below) �o.and Sveet „Type � .. �� •Descrip[ion " � � �. �p� ' ��_ � l �` � � � U Unrestricted Buildin s u to 35,000 cu.ft. � R Resvicted 1&2 Famil Dwellin City/fown,State,ZIP M Mason � RC Roofin Coverin WS WindowandSidin Q� � r �� 2 SF Solid Fuel Buming Appliances �- a � I lnsulation Tele hone Email address D Demoli[ion 5.2 Registered Home Improvement�onMactor(HIC) �S Q i ���Pt- CO�'+� 4, Rs�c� . 1 3'3 'b`Q 'L 8 ���- t I HIC RegisVatio�Number Expiration Date },{IC Cos�y N����C Regisvant Name � -}- L.t �� • r,� and Street `��� `�� Email address C�tiRf�a� 1��- c7 Saa- �O`-C.`t2 Ci /Tow�� Tele hone � SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.�§ 25C(6)) �� Workers Compensa[ion Insurance affidavit must be completed and submitted with this applicatioa Failure to provide this affidavit will result in the denial of the Issuance of the building permit � Signed Affidavit Attached? Yes .......... No........... ❑ -�} ; �- � � � ��� SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED�WHEN�� . � � � �� � OWNER'S AGENT OR CONTRACTOR�APPLIES FOR BIDLDING PERMIT - i I,as Owner of the subjec[property,hereby authorize C�'��•S..a l a � o,�� ,-,_, �.d �—,,,� to act on my behalf, in all matters relative to work authorized by this building permit application. . i �M�C�10.e,� �0�•� C� �Gi.J�b � —�� — �� Print Owner's Name(Electronic S' ature) Date '� � ' ..'�'. SECTION�76:OWNER'�ORAUTHORIZEDAGENTDECLARATION By entering my name below,I hereby attes[under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. ✓ h v tia � —l�6 ��I Print Owner's or Authorized ent's Name(ElecVonic Signatu - - Date � �- � ���: NOTES: � 1. An Owner who obta.ins a building permit to do his/her own work,or an owner who hireg an unregistered contractor� (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranry fund under M.G.L.c. 142A.Other importan[information on the HIG Program can be found at www.mass.eov/oca Information on the Cons[mction Supervisor License can be found a[www.mass.eov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basemedUattics,decks or porch) Gross living azea(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 Squaze Footage"may be substituted for"Total Project CosP' � ' A���� CE�RTIFICATE OF LIABILITY INSURANCE ��2ii oi� THIS CERi1FICATE IS ISSUED AS A MAT7ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AITER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS777UTE A CONTRACT BEiWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATNE OR PRODUCER AND THE CERi1FlCATE.HOLDER IMPORTANT: If the cerfificate holder is an ADDITIONAI INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the ferms and conditions of the policy,ceRain policies may require an endorsemerrt. A statement on this certificafe does not coMer righfs to the certifieate hoider in lieu of such endoisemenys). PNODUCER CONTACT�ULBR GOSf3IDHll NAME: Cross Insurance-Peabody °Noxo , (978)532-5495 � �:f9'!8)532-221'! 139 Lynnfield StLeet noort�ess:lgoldman@crossagency.com PRODUCER p0078066 Pe3b MA 01960 INSUREIyS)AFFORDINGCOVERAGE NAICp iNsuneo INSURERA�'I31I3 Street America Assur. 9939 INSURER B COIDIDETC2 IIIS CO ESPINOLA CON57RUCTION S REMODELING LLC wsursEnc:Travelers Indemni o£ America 5666 7 SHALII2OCK ST INSURErtD: INSURER E: PEABODY MA 01960-1963 INSURERF: COVERAGES CERTIFICATE NUMBER:�L3163099623 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. NOIIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV 7HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CU11MS. INSR TypEOFINSURANCE L UBR POIICYEFF POLICTE%P V�� L1R N R WVU POIICYNUMBER MM/D MM/O GENERAL WIBILITY EqCH OCCURRENCE g S�OOO�OOO oaMA ET RErrrEo SOO,OOO X COMMERCIAL GENERAL LIABILIT/ PREMISES Ea ocairtence $ pr CLAIMS-MAOE �OCCUR 314644 /16/2011 /16/2012 MEDE%P(Anyoneperson) S 1�r�00 PERSONAL 8 ADV INJUftY E 1�OOO�OOO GENERAL AGGREGATE $ Z�OOO�OOO GEN'LAGGREGATELIMITAPPLIESPER' PRO�UCTS-CAMP/OPAGG $ Z.00O�OOO X POLICY PR6 LOC $ AUTOMOBILE WBILITY COMBMED SMGLE LIMIT E (Ea acdCent) ANY AIIrO BODILV INJURY(Per person) S '15���0� B ALLOwNEDAUT05 1lA1BCJRZG /8/2011 /8/2D12 BO�ILVINJURV(PeracciEenQ $ $QQ�QQQ X SCHEOULEDAUTOS PROPERTVDAMAGE X HIREDAl7�05 (pgrg¢�agM) $ ZOO�OOO X NON-0WNEDAlJr05 Uninsuro0motonstBispldlimil S 1���00� Medical paymems $ S�OOO UMBRELUILWB OCWR E�ICHOCCURRENCE $ EXCESSLINB CLAIMS-MADE AGGREGATE S OEDUCTIBLE $ RETENTION S $ L. WORKERSCOMPENSpT1pN �STpT�T� �Tµ AND EMPLOYERS'LIABNTY � � ANYPROPRIEfOR/PARTNER/EXECUTIVE� N�A ELEACHACCIDENT $ LOO OOO OFFlCER/MEMBEREXCLUDED? gpg9889Y81511 6/</2011 6/6/2012 E.LOISEASE-EAEMPLOVE $ 1�0 ��0 (ManCatory in NH) If yes,desvibe un0et DESCRIPTIONOFOPERATIONSbeJaw E.LDISEASE-POLICVLIMIT $ SOO OOO OESCW PTON OF OGERAIiONS I LOCATONS/VEHICLES (Atlach ACORD 101,AtltlRionel RemaMa Sc�etlule,H more spaee is requiretl) Refer to policy for e�ccluaionary endoraements and apecial provieions. Re job location: 13 Linden Ave, Salem,6A CERTIFICAiE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELJVERED IN ACCORDANCE WITH THE POLICV PROVISIONS. Clt] O£ S31EID Salem Town Hall Salem, MA 01970 AUTNORIZFDREPRESENTAi1VE Timothy Tramonte/DID1 �.��'°�' �"�� ' ACORD 25(2009/09) OO 1988-2009 ACORD CORPORATION. All righ4s reserved. , INS025�zoosos� The ACORD name and logo are registered marks of ACORD �w � Espinola Construction _ nnd Retnodeling Co. LLC . PROPOSAL AND 7 Shamroek Street - Peubody, MA 01960 � ACCEPTANCE 978-532-6492 - 978-979-4421 __,�_ - .,. weoPosr,�suerameoro Mr. Mike I�tigliano PH�E��g - ��-t�(-So4S oA� 7/16/11 �� 13 Linden Ave. 'N°a,E Media Room cirv, STATE, Salem, MA 01970 JOB LOfhTION S2RI0 . . . -�:OATEOF . . . . -. JOB. � tiRCNRECT � PWJS .. . .PHONE We hereby submit spedfications and eslimates for. Build Media Room in Basement approx. 486 sq. Ft. Materials to be used: 2"x4" Wall Framing around foundation. Insulate around foundation walls with R13 and Plastic Barrier on both sides and R25 between floors. Close in Washer & Dryer and install Bi-fold doors for access. Hang 'h" Blue Board to walls and Plaster. Install Steel Door from Bulk Head to Basement. Install Door between finished area and storage. Make costume Shelves under basement stairs. Supply & Install 2'�' Acoustic cei�ing tiles (Homeowners choice of style). Trim -2 '/z " Colonial casing around doors & 3 '/2"colonial wood Baseboard Electrical, Flooring, Painting & Staining not included on contract. Total $ 9,850.00 ,. , , , � dUQ PI'OPOS2 hereby to furnish ma[erial and labor complete in accordance with above specifications for the sum of: Nine Thousand Eight Hundred Fi 00/100 . Payment as follows dollars $9,850.00 Four Thousand To Start Three Thousand @ Plaster Stage Two Thousand when ceiling is installed&Eight Hundred 8 Fifty @ com le6on . All material is gua2nteed to be a5 specilietl. M work io be comp�d"m a woilmianlikeman�rarmNingmsta�Mabpr�q� ArryalMaationorAeviafion A�orized fiam above speafiratinns irnoK Signature � , � oiders.and xn11 hecome an ez��ms6 will be ezeculed onb Won wriftrn chargewerarMaOuvetherstimate. M • . .. agreemen�mntirigent upon strikes,aocidenk or de�ys beyoM wrcontrol. Note: This Pmposa�may be withdrawn by us i(not accep(yd I Owner fo piry fire.tomado.and ofher neoessary insurarke. Wrwo�kers a2 fulty �� covered b Workmen's ComPe�sation Insuranrx. within Acceptance of Proposal -me above prices, s 5 conditlons are satisfactory and are hereb ��0°s and . �to do the xrork as s �� � y�Pted. You a2 authorized pecified: Payment will tie made as oWiried a6ove. . Date of �._.Signahire-. A���ce: i/l�l i Signature `�/� _ _ _ . s � j1 »•t�husct[c Dc�xrtmcnt nfPubh� l:�f'ct� ._ . . 3 Bn ird ut BmW�n Rc,*uiatinm and �t tndarda _ t ' .:�e � +�+' - _. . - a2�€ L3L^. -_..c - ' Lfcense: CS 7996G ;� MANUEL S ESPINOLA ,7 SHAIUIROCK ST _ PEABODY, MA Ot960 � `` �-y � "�f'� - Expiration: 120/2p72 .?i�—('��mmi>i�mer° .. Tr—: 7110 . .._ . _ . ... ..__r.. ..—._._._... ,_. .._. _.. ,.-.. ...._... ..._._..,...�............ � - O��tlY , _..._._. ����`��Nl9fl�A License or registreHon valid for indmdul use only _ HOME�MPROVEMENT CONTRACTOR before the eapiration date. If found retum to: Registra6on 133842 Otiice of Consumer Affairs and Business Regulation Exp�ration 8/172071 7rd 288695 ]0 Park Plaza- . Type -DBq - Suite5170 � � _. 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