2 LOCUST ST - BUILDING INSPECTION '$Zo 6t:�. 05 r
-ILI The Commonwealth of Massachusetts RECEIVED CITY OF
Board of Building Regulations and StaICTIONAL SERVI:E3 SALEM
Massachusetts State Building Code,780 CMR
Revised Mar 2011
Building Permit Application To Construct,Repair,Ren emyDf?oliph
One-or Two-Family Dwelling H 4
This Section For Official Use Only
Building Permit Number: Date Applied:
1
✓rx
Building Official(Print Name) Signad5fe Dalif
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
Z Loc-Li,— ' `* .
1.1 a Is this an accepted street?yes no Map Number Parcel Number
13 Zoning Information: 1.4 Property Dimensions: N Z
'O
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) s M _
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1.5 Building Setbacks(ft) at 1m
On i
Front Yard Side Yards Rear Yard Z m
D—
Required Provided Required Provided Required Provide rim
mC3
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? Cf
Municipal[d On site disposal system ►'1
- Check if yes❑ to -
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
cJoncthan n MOV-11L CAloS cY�m. MO, 0Lct-1U
Name(Print) City,State,ZIP
2 Locust - 14
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ Existing Building 56 Owner-Occupied 69 Repairs(s) ❑ 1 Alteration(s) Ed I Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work: K&ft A .L 2nd Riiir 6r:LV,rivrr.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials
1.Building $ DU 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3.Plumbing $ q0-0 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $':52 p Paid in Full ❑Outstanding Balance Due:
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ZTl d 4 I DD` All dimensions size designations Browns Kitchen Bath This is an originate ign and must Designed:3/I0/201,
given are subject to verification on 15 Elm St. not he released or ied unless Printed:4/2/2014
job site and adjustment to fit job Danvers,MA.01923 applicable fee has ti n paid or job
conditions. 978-774-3333 order placed.
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BROYYN'S KITCHEN & BATH CENTER
72 Hohen Street Danvers,MA 01923
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} Telephone(978),774 3333_* Fax(978) 774 8709
_ Home Improvement Ltcense#103611 * Mass Bui[ders'Ltcehse#073375
CONTRACT
;This connect dated bq ow,for matenals,E ni /or labor[g be supplied,by Brg%Tn Kitchen&Bath Center
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(Hereinafter,ref to as the ntractlir),at the sole'request and�order of: '
NAME: Michelle Ofilos PHONE: 1-978-778-8142 DATE: April 2,2014
'ADDRESS: 2 Loeust5t Salem;MA 01070
`--v, (Hereinafter ieferted to as Ih'e"owner ot'buyer)to-be supplied/perfortned at premises set forth,above,subject to all of the terms.and :f -
1' conditions set forth on'both sides of the Agreement,as follows: ,- -
Brown's Kttehen annd BathrCenter u happy to jurn h you with a quote on your Bat ro m pro a
Isi, boor bath
Carpeutrv: We will demo shower alcove only
Ttie shower walls will,have waterproof backer-board with Owner supplied,Brown's installed the
We will replace base molding around the rgotn '
We wdl patcN'walls where necessary. - a
Above the pedestal will be a mirror'' r'
onti :.Thefloorwillbeprepared"for'Owner'su IiedandBrown's'install'edtile, t• , •Q>
F oPP E
Plumbma We will disconnect all fixtures ;
We will supply and install a Svae+isteae Base ' - tuahshonp W HCl a ar , u v i y t i g
We will_suppl`y and install a Syintnous shower valve Model#S-4701(chrome)) t"
We will supply and msta'll`a Pedestal sink
We`wtll supply and'install a Kohler 8' Forte lave faucet(Iehfome)
We will supply and install'a Highlme'Comfort,height todefw/elongated seat(white) '
All woikid be connected to existingphnnbing:-lf any upgrades are needed a"quote will=be provided.a: r
Shower Door: We will supply and install-a 'shower door: allowance-of S750.00 is included in this quote:(Some
shower'Hem-tin-
take 4-6 weeks for delivery)
. .
• Hu¢:•u_We.-will rap, lat:e section of baseboard heat s„ h: 'n'i""a'2'
Ventilation: We will vent fan out
Electrical: See electric quote: attached
- .. ' ..
oor ty a AGREED PRICE:$1Q 120.00` t
Handle/Puns
z:.Ar Floor 1/3 DEPOSIT: S 3.Go .
'1 Counter
BALANCE DUE:'
"fir" "fihis'quote isood for 30 Thi Da s from date above: The owner re resents.and',w9rrants that, erof aforesaid•premises and r
that he/she has read this agreement set forth on.both sides.
IT IS EXPRESSLY AGREED THAT NO STATEMENT,ARRANGEMENT OR UNDERSTANDING,ORAL OR WRITTEN,
EXRESSED:OR:IMPLIED NOT CONTAINED.HEREIN,WILL BERECOGNIZED AND TIES CONTRACT CONSTITUTES THE
. ENTIRE AGREEMENT..
It is further,agreedthat this"contract is not subject tocancellation except bywritten consentof both parties: i.
SALESPERSON: ACCEPTED:
ACCEPTED'BYi a:
atoMe « r
(SUBJECT TO ALL CONDITIONS ON THE REVERSE SIDE)
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All dimensions size designations Browns Kitchen Bath This is an original design and must Designed:3/11/2014
given are subject to verification on 15 Elm St. not be released or copied unless Printed:3/11/2014
job site and adjustment to fitjob Danvers,MA.01923 applicable fee has been paid or job
conditions. 978-774-3333 order placed.