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108 LINDEN ST - BUILDING INSPECTION (2) $ i75 �° [90-70 The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF Massachusetts State Building Code,780 CMR SALEM Revised Mar 2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official U e Only Building Permit Number: Date AP lied: Building Official(Print Name) Signature Date ( SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 108 Linden St 1 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) IL 1.5 Building Setbacks(B) 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: Elizabeth Parker Walter Suydam Salem, MA 01970 Name(Print) City,State,ZIP 108 Linden St 781-631-8878 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ❑ Existing Building CX Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed WorO: Remove existing roof, Install new roof, SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor`and Materials 1.Building $ Z / 19 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost'(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: $ Z5 !F " ❑Paid in Full ❑Outstanding Balance Due: (Y)ix t,t-cf-1) —1 l SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-054528 1 1/�(1/9n15 David J Benson License Number Expiration Date Name of CSL Holder U List CSL Type(see below) 1 Donegal Lane No.and Street Type Description Danvers MA 01923 U Unrestricted(Buildings u to 35,000 cu.ft. R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding ' SF Solid Fuel Burning Appliances 978-531-7663 David@aspenroofing.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Aspen Roofing Services Inc 118825 a/2F/�15 HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 58R Pulaski St No.and Street Email address Peabody MA 01960 978 531 7663 City/Town,State,ZIP 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 .......... dC No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner the subject property,h y a horize o , n y beha ,in all matter ti work auth rued y this building permit application. / rim 's N ectronic Signatur D to SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my nam low, I hereby attest under the pains and penalties of perjury that all of the information contained in plic on is true and accurate to the best of my knowledge and understanding. 7 sif� Print Owner's or uthorized Agent's Name(Electronic Signature) Date NOTES: 1. 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 can be found at yvww,ttiass:gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,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" CITY OF S U ENI, iNvL-1SSACHUSETTS BUILDING DEPARTNIENT • ` 130 WASHINGTON STREET, 3'"FLOOR T EL (978) 745-9595 Fnx(978) 740-9846 KINSBE u_FY MUSCOLL MAYOR T Ho?.w ST.Pmum DIRECTOR OF PUBLIC PROPERTY/BUILDING CONL\fISSIONER 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 will be transported by: Miller Waste Disposal (name of hauler) The debris will be disposed of in Md[er!s- a far_SfaSipri-._ —T_ (name of facility) —Route 114 Miririlatnn (address of facility) signature of permit applicant wd'ate a�nr�,Jir�x tASPEN ROOFING 58R Pulaski Street Page No. 1 of 2 pages. SERVICES, INC. Peabody, MA 31-7663 PROPOSAL ' Fax 978-531-7667 REVISED TO: Liz Parker V J�a� PHONE: 781-631-8878 - CELL 617-851-4887 Marblehead,MA DATE: 10/22/14 lizoarkernamail.com JOB NAME/LOCATION: 108 Linden St. Salem, MA. liz@bnmc.net We the undersigned agree to furnish material and labor to do the following specified work, suNect to terms and conditions on reverse side hereof. If work is accepted, please sign one copy and return with deposit to our office. We do not schedule any work until a signed copy is on file. SHINGLE ROOF: 1. Rip existing 2 layer shingle roof system down to wood decking on main roof 1 roof on the side entry 2 on the front and another at the rear. 2. Furnish and install ice and water protection for approximately 6'ft wide at eaves and 3'ft around all penetrations. 3. Furnish and install new F 8"white aluminum drip edge at all edges. 4. Furnish and install a new CertainTeed limited life time architectural shingled roof system complete with roof paper. 5. Furnish and install new ridge cap with matching shingles. 6. Make proper flashing connections to all roof projections. Cut out and remove existing chimney flashing. Fabricate and install all new chimney flashings let into chimney with new apron, steps and counter flashings install 2 new vent pipe flashings. 7. Furnish and install new 5"white K gutters with new 2"x3" downspouts. COST $10,809.00 3 , TRIM WORK: 8. Remove existing gutters. 9. Demo soffit and fascia main roof only. 10. Reframe rafter tails (usually we need to). 11. Replace soffit and fascia with new Azek. 12. Replace crown molding with a square shadow board on rakes only. COST $14,760.00 NOTES: 13. Furnish material warranty. 14. Furnish two year labor guarantee. 15. All work to be done in a professional and timely manner. All job related debris to be removed from roof and properly disposed. All grounds to be left in a neat and orderly appearance. 16. For your convenience, please see enclosed Certificate of Insurance. 17. Furnish roof work permit as per local building department. 18. Check for rotten or damaged roof decking. If found, there will be an additional cost in addition to the base price of$3.75 per foot. Exclusions: Please note: Materials and work listed below are not included in base price. • Abatement of roof material • Custom metal colors • Police detail or special permitting • Winter conditions This proposal is valid for thirty 30 days. The undersigned property owner agrees to pay for the work specified, the sum of($25,569.00) dollars Twenty Five Thousand Five Hundred Sixty Nine Dollars Deposit Installment Balance $ 2,556.00 On Signing $ 40,228.50 @ start $ 2,556.00 $ 10,228.00 Half completed to be paid upon completion Due upon 1/2 job completion Aspen Roofing Services, Inc. I h r d the�vetr st nd hereby pt the same. Approved by: George M. Van Hillo q / 1 a g `S kF^'$30�>:•uyL' dc. fr s��:s a�w E<""' �LtM1L'' } T' r'y'�t��'i'nY�}Ep tea'"�'�';`*i o`c n:• '" ' +IgSf{0 fkt� g ,1r1Q 'A J yY �" "ISSUES TFEABQE LICENSE TOWa 1 1YY 1 . i - - DAVIT) J BENSON P 1 ] z ASPEN ` ptl1 3t `: Si .12VICES iNG g 58R 3PllLASKI ST i ` c PEAB©DY MA 01915 O'IyQO i , . a ,ft .. ea9a3 ; 313 1119 4. . t ark;s� p a• r Massachusetts -Department of Public Safety �vovoerr/Board of Building Regulations and Standards COL � Office of Consumer Affairs&Business Regsistioo Construction Supen•isor CONTRACTOR��- 1fFj,aYN'f License:'CS-054528��. `gis6atron i18825 � � Type. DAVIDJBENS01!.-` e xprral3on 15. Private Corporatior 1 DONEGAL LN '�9 � ASPEN ROOFING S$RV1d fiEK DANVERS-MA ff 9237°N' DAVID BENSON - '�� T �� 58 RPULASKI ST Expiration -PEABODY,MA 01960 �— - Commissioner -14/20/.015 Undersecretary C@NTftm # iJ 112 1.Z 1 CONTROL# H fJ 4 U 1 2,3` IMPORTANT IMPORTANT f your license is bst,dam If this license is lost or destroyed, notify your Board at the: aged:ordestroyed;:is..inaccurate;or Division of Professional LicensWe, 70W Washington St., reeds to be corrected,tR t�ota}r site at.riaase,awt/dpl for nstrupbons tca ensure tfte pro,,Rer�rtta+fotg.of,your Renewal Suite 710,Boston,Mk 02118-6100. 1ppiicetten and sm:ottier oorresporydehde. If your name or address shown is changed, notif y fy your board tun UcenSe is suty�t to MassadnSysetts General�vs and of correct name or address to insure proper mailing of next agulasoua:Youa'dGemse�s apnwlege and•canrio#tIe lent or Renewal Application. Always refer to your license number. ' ignsd'to arty.,persontr entity urider'penaky:of law.Keep this This license is subject to the provisions of the General Laws cense.on your porno»or posted as required-iiy law anC/or as,amended.it is a personal privilege,and must not be loaned aquYa#ions. or assigned to any other person. Keep this license on your - person or posted as required by law. nrestricted -Buildings of any use group which License or Jntain-less than 35,000 cubic feet (991ms)of registration vatic]for f idividul use only l before the expiration date. If found return to: tclosed space. Office of Consumer Affairs and Butsiness Regulation - i 10 Park Plaza-Suite 5170 Boston,MA 02116 ilure to possess a current edition of the Massachusetts ate Building Code is cause for revocation of this license. NNN JJ°° Not alid without signature r DPS Ucensing information visit: www.Mass.Gov/DPS ; 7 ® -DATE(MM1DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 12/31/2014 THIS rCERTIFICATE 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 confer rights to the certificate holder in lieu of such endorsement(s). CONTA CT Norwell Construct South PRODUCER NAM HONE Eastern Insurance Group LLC P FX e' 77 Accord Park Drive E-MAIL Unit BI INSURE B AFFORDING COVERAGE NAIC9 Norwell MA 02061 INSURERAAcadia Insurance Company 1325 INSURED INSURER B: Aspen Roofing Services, Inc. INSURER C: 58R Pulaski Street INSURER D: INSURER E: Peabod MA 01960 INSURER F: COVERAGES CERTIFICATE NUMBER34aster 2014 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. AD BR POLICY EFF POLICYE%P ILTR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDO LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A D 250,000 X COMMERCIAL GENERAL LIABILITY PREMISES Eaoccunence E A CLAIMS-MADE QOCCUR PA0362034 2/31/2014 2/31/2015 MEDEXP(Anyoneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO LOC w $ COMBINED SINGLE LIMIT 1,000,00 0 AUTOMOBILE LIABILITY Ea ardd.rA X ANY AUTO BODILY INJURY(Per parson) $ A ALL OMED X SCHEDULED 0368197 2/31/2014 2/31/2015 BODILY INJURY(Per accident) $ NUT OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Peraccident Uninsured motonst 81S lit limit $ 100,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE E 2,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 LIED I X I RETENTIONS L368198 2/31/2014 2/31/2015 g WORKERS COMPENSATION I WC$TATU- DTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR'PARTNEIVEXECUTIVE❑ NIA E.L.EACH ACCIDENT E OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE It Ryes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Operations usual to Insured 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. For Informational Purposes Only AUTHORIZED REPRESENTATIVE John Roegel/BC4 ACORD 25(2010/06) 01988-2010 ACORD CORPORATION. All rights reserved. INS025oamnm nt Thu Annon name and Inn^au raniefurud make^f Annion