452 LORING AVE - BUILDING INSPECTION (2) 102--7
The Commonwealth of Massachusetts
4 Board of Building Regulations and Standards R�11SPEejt O'SA EM
Massachusetts State Building Code, 780 CMR edgq
Revisedrl�tc�2�l;
Building Permit Application To Construct,Repair, Renovate Or Demolish. 35 A
One-or Two-Family Drh yelling
This Section For Official Use Only
Building Permit Number: Date Applied:
Building Official(Print Name) Signature D [e
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
452 LORING AVENUE
' 1.'1:a.Is-this:an:accepted:strect?.yes,_ no. Map Number, Parcel:Number,
1.3 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:
LESLIE BRENNAN 452 LORING AVENUE
Name(Print) City,State,ZIP
452 LORING AVENUE 978-790-3646 Ibparchick@aol.com
No,'and.Street Telephone. 'Email•AWress
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) la Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify:
Brief Description of Proposed Work': ON LEFT SIDE-Strip the rubber roof on the left side flat area, inspect roof
deck install 1/2-inch insulation , aluminum drip edge new rubber roof&seam tape at edges for clean cut.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
.(Labor andrMaterials: .
1.Building $ 2980.00 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $
❑Standard City/Town Application Fee
,
t7 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: $ 2,080.00 ❑Paid in Full ❑Outstanding Balance Due:
Ely D -fU ,
S'
SECTIONS: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
100452 1-27-2016
IOANNIS;MAKRIS, License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) R- RC -WS
8 YORKSHIRE ROAD
No. and Street Type Description
U Unrestricted(Buildings u to 35 000 cu.It.
MARBLEHEAD. MA 01945 R Restricted 1&2 Family Dwelling
Cityrrown,State,ZIP Ni Masonry
RC Roolmg Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
781-631-2742 JOHN@PRESTOCPR.COM I Insulation
Telephone Email address D Demolition
5.2 #R@gistereA.lE ui"Jjwpjroveme�t Co tracior( C),
153422 11-30-2014
PRESTO PAINTING&CONSTRUCTION HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
8 YORKSHIRE ROAD JOHN@PRESTOCPR:COM
No.and Street Email address
MARBLEHEAD, MA01945 781-631-2742
City/Town, State,ZIP Tele hone
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 .......... ® No........... ❑
Mkiffl '7a:OWARAUPI[61(&XPION FOIdECa l fLY)NHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize IOANNIS MAKRIS
to act on my behalf,in all matters relative to work authorized by this building permit application.
LESLIE BRENNAN 7-28-14
Print Owner's Name(Electronic Signature) Date
SECTION 71b:OWNEW OR AUTH10RIZED AGENT DECLARATION
By entering my name below,I hereby attest 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.
IOANNIS MAKRIS 28
Print Owner's or Authorized Agent's Name(Electronic Signature) ate
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(91C)Program),will-not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important infomtation on the HIC Program can be found at
www.massgov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
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"
3
r pmmairs&Bus!.,as
Regilationelll
_Office oiCouomrr ARain&Bosifiess Regulation
IJOME IMPROVEMENT CONTRACTOR
Registration: 153422 Type:
pirafion: 11/302014 Private Corporak
PRESTO PAINTING AND CONSTRUCTION COMPANY
IOANNIS MAKRIS
8 YORKSHIRE ROAD v..
c MARBLEHEAD,MA01945 Undersecretary
1
Massachusetts-Department Of Public Safety
a �TLI/ BOaM of Building Regulations and Standards
., Conctructirrn Super7isor Speriai,.
License:CSSL-10W2
``s.r.r t
IOANNIS MAIQtIO C•-
8 Yorkshire Road.
Marblehead MA al S Uj
'r
Expiration
Commissioner
01/27/2018
CITY OF S.u.E.N1, iNLkSSACHUSETrs
• BUUMLNG DEPnTNlJRNT
130 WASHINGTON STREET, 3' FLOOR
TEL (978) 745-9595
FAY(978)740-9846
KIMBERLEY DRISCOLL
MAYORTHoaus ST.PIERRB
DIRECTOR OF PUBLIC PROPERTY/BUUMING CONMUSSIONER
Construction Debris Disposal Affidavit
required•'for-all dmi)lition attd 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 workshall be,disposed of in'a pFroperly'Iicensed waste disposal facility as defined by MGL' c
111, S 150A.
The debris wi II be transported by:
10 On n. rs N
(name of hauler)
The debris will be disposed of in :
�
T 10 10 Srl7i� S
(name of fa lily),
ad e'ess of facility)
signature of permit applicant
JZ�l�f
date
dcbri.lffdac
The Commonwealth of Massachusetts
Department of IndustrialAccidents
Office of Investigations
1 Congress Street,Suite 106
Boston,MA 02114-2017
wwwanass,govidia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Presto Painting and Construction
Name (Business/Organization/Individual):
Address: 8 Yorkshire road
City/State/Zip: Marblehead, MA 01915 Phone#:781-631-2742
Are you an employer?Check the appropriate box: Type of project(required):
1.® I am a employer with 4. ® I am a general contractor and I 6. ®New construction
employees(full and/or part-time).* have hired the sub-contractors -
2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. ®Remodeling
ship and have no employees These sub-contractors have g_ ®Demolition
working for me in any capacity. employees and have workers' 9. ®Building addition
[No workers' comp. insurance comp.insurance.t
required.] 5. ® We are a corporation and its 10.®Electrical repairs or additions
3.® 1 am a homeowner doing all work officers have exercised their 11.®Plumbing repairs or additions
myself [No workers' comp. right of exemption per,MGL 122 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#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this af6dawtindicating they are doing all work and then hue outside contractors most submit a new affidavit indicating such.
*Contractors that check this box must attached an additionalsheetshowing the name of the sub-contreators and state whether or not those entities have
employees. tf the subcontractors have employees,they must provide their workers'comp.policy number.
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:Travelers Insurance Company
Policy#or Self-ins.Lic.. #: 513875379-14 Expiration Date: 0345.14
Job Site Address: yY 9 4DI7i n to Al P City/State/ZipS iAo m AL 01 q?D
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under 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 DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature Date
Phone#:
Official use only. Do not write in this area,to be completed by city or town oflic'ial.
City or Town: Permit/License#
`Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
RESTO
//1( 05.1422
Prides ;Va 01965-0140 CSSL 0100452
(975) 356-5419-- (860) PRESTO-
.......... .......
PROPOSAL AND ACCEPTANCE
PROPOSAL SUBMITTED TO. WORK TO T.BE PERF6kAYEDA
Leslie Brennan ;&_Loring A__venue
452 Loring Avenue Salem
Salem,MA DATE OF PROPOSAL:
(978)790-3646 L) rchickr(iaolxom May 13,2014
Having visited and examined the site of the proposed project and being familiar with the
conditions relating to the construction,including the availability of the materials and labor,
Presto Painting&Construction hereby proposes to fumish all materials, labor,equipment and
supervision required and to complete the work in accordance with this contract document.
ROOFING:Le_ft side of roof
I. Strip off existing rubber roof of the left side flat roof dispose of properly &legally.
2. Inspect existing roof deck; renai I and replace as needed.
Replace any rotted or damaged roof deck with CDX plywood @$3.50 per sq ft.
Ite-olactany roned-Wrdannaged-ledger-boards with,I.xg Rough.Spruce-boards @.$1.00.per linear,ft.
3. install V2- inch Poly-Iso insulation.
4. Install EPDM rubber roof.
5. Install aluminum drip edge flashing. (standard for flat roofs)
6. Install seam tape at edges for a clean cut. COST. $2,980.00
INSURANCES.
FULL;PROPERTY AND LIABILITY INSURANCE IS THE RESPONSIBILITY OF PRESTO
PAINTING&CONSTRUCTION INSURED UNDER NATIONAL GRANGE
MUTUAL INSURANCE policy#MP089900 expiration 11/15/14
FULL WORKERS COMPENSATION COVERAGE INSURED UNDER TRAVELERS
W9URANCE MWANY policy#WC5B368486 expirmftiouO712-1115
(insurance certificates are available upon request)
PAYMENT SCHEDULE.
Payments are to be made as follows:
One-half upon beginning and balance including any extras in full when work is complete.
OTHER COA141ENTS.
EPA<Environmental Protection Agency>certified for Renovator,Repair& Paint(RRP).
OSHA<Occupational Safety& Health Administration>certified.
Project will be performed under the state requirements&requirements of EPA.
BBB(Better Business Bureau)accredited business with an A+rating.
Presto may withdraw this proposal if not accepted within ninety(90)days.
iA
t
All materials are guaranteed to be as specified.
Care will be taken during the progress of the work,all surfaces needed,will be covered to prevent from any damage
or harm occurring during the work day.
Work area will receive a complete inspection at the end of each workday and will be swept and cleaned daily as
found.
All surfaces will be prepared and finished in a manner that meets professional standards.
Presto Painting&Construction will obtain any and all necessary construction related permits,any owner who secure
their own construction permits or deal with unregistered contractors shall be excluded from access to the Guarantee
Fund.
No work shall begin prior to acceptance of proposal.No verbal agreement is accepted
ACCEPTANCE OF PROPOSAL:
The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the
work as specified. Payments will be made as outlined above.
Authorized Signature
loan is Makris
Presto Painting&Construction
LlSignature
Le Brennan
452 Loring,Avenue, Salem
Date of Acceptance
"HIGHEST QUALITY AND CLEANLINESS—YOUR PRODUCT OUR BUSINESS"