4 LOWELL ST - BUILDING INSPECTION (2) The Commonwealth of Massachusetts
' Board of Building Regulations and Standards CITY OF
Massachusetts State Building Code, 780 CMR SALEM
QW) ,�• Revised Mar 2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number:: - Da Applied:
Building Official(Pent Name) .Signatures Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
tj L.a t./o b1 S;,
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)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Providcd 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 OWNERSBJP`
2.1 r ofRecord-
H. 3> we , Ol5 �ah
Name(Print) City,State,ZIP
N Lo %✓c.14 S; �i� Y37Y �l�iti
No and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) El Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work : I IU' rVY Vc-1J K✓✓"ri GV C.41/3 r h/e,T S
1Ra o,Jvir/� 7.w� 10:J v .v d �✓ -S r e-oti a
1'riterJf> rOn Se✓wGG wf 1Sr d,.o J`/vr J D/
Nh
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Ouly,
(Labor and Materials
1. Building $ I I SDI) I.,Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $ �'U 0 !/' ❑Total Project Cose,(Item 6)x multiplier x -
3. Plumbing $ S-0 0 U' 2.' Other Fees: $
4.Mechanical (HVAC) $ List:
a
5. Mechanical (Fire $
Su cession Total All Fees $
Check No. Check Amount: Cash Amount
6. Total Project Cost: 0 Paid in Full 0 Outstanding Balance Due.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Superviso�r/,[).tcense(CSL) 'I 101 G / 3
VJv 11 1 A- V &"I/ License NumberExpiration Date
Name of CSL Holder
n K!a List CSL Type(see below) y
,�0 S C A LA f�
No.and Street Type Description -
qt Vy�� ' rr-yyl.j� 0 U Unrestricted(Buildings up to 35,000 cu.ft.
V� �J R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
y uu WS Window mid Siding
�^t l n e✓ / W SF Solid Fuel Burning Appliances
I" 6 ~24 / - CVn I Insulation
Telephone Email address D Demolition
5.2 �lyjegistered Home Imprrovement Contractor(HIC) - .lanc - -
t�'1°yyt( 6✓rh r a k-)i HIC Registration Number Expiration Date
HI Comp Name m HIC Registrant Name
D aS" L4 C t,J ]A t✓t ►��n/y b vo rues Gv,6 ruc flo,--�
No.and Street
1V g-V,13 ,n , / I a>"� //t�j�l 7 '� 3 3'7.i 1/ tj,44/E. address
Ci /Town, Stat ,ZIP Telephone 6
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 .......... C)' No........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACT RR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize )e it 1 6vv-�, 64-40r
to act on my behalf,in all matters relative to work authorized by this building permit application.
Owner's Name(Electronic Signature) ate
SECTION 7b: OWNER'OR AUTHORIZED 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.
WAX,) Av � /v Y/n'el ✓vy rn RL-4 4 o �f L7 //1
Print Owner's or Authorized ge is Name(Elbctronic Signature) Date
NOTES:
I. 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 MG.L. c. 142A. Other important information on the HIC Program can be found at
www.mass.aov/oca Information on the Construction Supervisor License can be found at www.mass.cov/dos
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) (including garage,finished basementlattics,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"maybe substituted for"Total Project Cost"
i CITY OF &U.MvI, NvLA SSACHUSETTS
• BuILDLNiG DEPARTNE&NT
p 120 WASHINGTON STREET,3"'FLOOR
dj TM (978) 745-9595
FAX(978)740-9846
)q.\IBEPi FY DRISCOLL
,MAYOR THOALIS ST.P[ERRH
DIRECTOR OF PUBLIC PROPERTY/BU DLNiG COSMaSSIONER
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Anplicant Information �c Vp ib1 Please Print Le
Name(Busiix-ss:Organization/Individual):
Address: '10 S-e n l i ;ti✓ J A /L
City/State/Zip: Ne W6v . O)fd/ Phone If: 2! t 3 3 — 7 f//
Are you an employer?Check the appropriate box: Type of project(required):
1.Ef I am a employer with 2 4. ❑ I am a general contractor and 1 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
shipand have no employees These subcontractors have S. Demolition
❑
working far me in any capacity. workers' comp. insurance. 9. ❑ Building addition
[No workers'comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
required.) officers have exercised their
3.❑ I am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions
myself. [No workers'comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.)t employees.[No workers'
comp.insurance required. 33.❑Other
PI
•Any applicant that checks box 91 most also fill out the section below showing thew workeri compensation policy information.
'14tmeowners who submit this affidavit indicating they are doing all work and then hire outside contractors man submit a new affidavit indicting such
=Contractors that cheek this box must attached an additional sheet showing the,tame*(the sub-contractors and thew workers'comp.policy information.
l am an employer that is providing workers'compensation Insurance for my employees. Below Is the policy and Job site
information.
insurance Company Name:
Policy#or Self-ins.Lic.#:7 Ll r U Expiration Date: 9ll 39l 1-3
Job Site Address: ` Lai /e,q City/Stete/Zip�hkj. 4/i574
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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250.00 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 c rt/j fur or th pai and penalties ojperfury that the information provided above is truet and correct
5 m tt re (r�n Date:
Phone
Ofch d use only. Do not write in this area,to be completed by city or town offitchot
City or Town: Permit/License# _
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Ofher
Contact Person: Phone#:
CITY OF SMENI, NLkSSACHUSETTS
&:ILDL\G DEPARTMEINT
120 WASHIINGTON STREET, Yo FLOOR
Tom- (978) 745-9595
FAX(978) 740-9846
(I.NigFRt RY DRISCOLL
MAYOR T Hont,&s ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BC'II.DLNG coNWISSIONER
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 It 1.5
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
l 11, S 150A.
The debris will be transported by:
(name of hauler)
The debris will be disposed of in
1 t tri �to KLww Ww�r
(name of facility)
iL-1 y S-n/v% �`� o GA4V3 4e
�� � t
(address of facility)
signature of errrrrt applicant
date
dcbri��t7J�:
ACORQ" CERTIFICATE OF LIABILITY:.INSURANCE GATE IMMUDDMTYY)
N 12A7/2012 .-
` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERSTO—RIGHTS-GP—ON THE CERTIFICATE HOLDER.:THIS
CERTIFICATE.DOES NOT AFFIRMATIVELY.OR NEGATIVELY AMEND;MEND OR ALTER THE:COVERAGE_AFFORDED BY THE POLICIES -
BELOW. THIS CERTIFICATE OF INSURANCE,DOES NOT CONSTITUTE A CONTRACT BETWEEN'THE ISSUING INSURER($),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: H dte certl r Is an ADDITIONAL INSURED,the pohDy(ies)musC6e endorsed. If SUBROGATION 113 WAF I VED,su ie-0Ito
the terms and conditions of the policy,certain pOlictas Inay require an endorsement. A statement on this certificate does
.not confer lights to the
cert fiCeisholder in lieu of such enddrsemengs).... ., - '
PRODUCER, - NO - NEWTON PRESS
Press, „Bateumn & Turner ——
(781)890-1198 AnDN.:{781)890-0050
460 Totten Pond Rd,suite 630 akE„y.
ADDRESS:
Waltham, MA 024514965 -- —
''. . ..INSURERM AFFORDING COVERAGE NAICU
INSURER A: Western World .-- I
INSURED'Perry BeOtherS Construction, -Inc. -= —
P OSox 646 INSURERS: ' Safety
Newburyport'.' NA 01950.,' INSuma; ' Travelers _
_. ^ �IISURER D:
_ - INSUReRE:
INSURER F:
COVERAGES-,._ CERTIFICATENUMBER: City ofCharlestown -REVISION NUMBER:
THIS IS TO C RTIFYT H POLICI : F I URANCE TE W L HAVE BEEN ISSUEDTO THE INSURED ASOVE FOR THEPOLICY PE, ID
INDICATED. NOTWITHSTANDMIGANYREQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER'DOCUMENT WITH RESPECT TO WHICH.THIS
-CERTIFICATE MAY HE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES;DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS;
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS, -
.. LTR TTPE Oi INSURANCE AM v
INSR YM POUCYNUMaER r ,. MMIDONY " 'MMN �` :UA1R5 r
cERER"Lu"sN"Tr EACHocaWRENDE 3 1,000,Op
X COMMERCWL GENERAL LABILITY- •: OAMAGE`TYIRENIEO _
PREMISES' oocamance. S
-cLAmu-MnaE r�occuR NPP11851s o9Hoi20f2 D9Ha2o17 MEDEtwin�ra+eP�snni s 5 00
A __ :°-„_�._��_ x PERSONALSADVINJURY
_ - GENERAL AGGREGATE 3 2 000,0
GEN'LAGGREGATE UNIT APPLIES PER PRODUCTS-COMP/OP AGG S . 1.,000,000
X POLICY & LOC -_ S
AUTOMOBILEL1LWUTY 300359 05112f2012 OSl1212013 IEa'ocritlenl $ 1,000,00 '
ANY AUTO. BODILY INJURY(Fm Por'cpp i
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CERTIFICATE HOLDER CANCELLATION ..
I
: .. .� . SHOULD ANY OF THE ABOVeOEBCRIBED POLICIES BE CANCELLED BEFORE !
: THE EXPIRATION DATE THEREOF,.NOnCEWILL BE DELIVERE IN 1
- - - ACCORDANCE NTH THE POLICY PROVISIONS. )
city of,i`Char?estown AUTNURrCED RE ENTATME
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P ro posa I Page 1 of 6
Perry Brothers Construction
P.O Box 646 Newburyport,MA 01950—P:(781)233-7511 F:(978)46"929 www.perrybrothersconstruction.com
PROPOSAL SUBMITTED TO: PHONE DATE
Rose Bane/bogan 978-578-8199 2125/2013
STREET JOB NAME ESTIMATE NUMBER
4 Lowell Street 2380
CIY,STATE AND ZIP CODE JOB LOCATION
Salem, MA 01970
KITCHEN CABINETS
-Install GFI recepticles on kitchen backlash per code
Run electrical feeds and hookup all appliances
- Remove wall section to install new frigerator, patch and plaster wall ready for paint
Install kitchen base and wall cabinets supplied by owner
Plumbing to include hookup of all appiances using existing drains, vents, and water feeds
Note : Install new water shutoffs
-Apply ceramic tile on wall splash supplied by owner
TOTAL STOCK AND LABOR -$4660.00
1ST FLOOR BATHROOM
- Remove and install new bathroom sink using existing plumbing
Note : Existing may have to be repaired due to new sink size
- Install one GFI recepticle
We nroaose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of:
Twentv Seven Thousand Five Hundred and 0/100 Dollars ( $ 27.500.00 )
Payment to be made as follows:
1ST PAYM'T $10,00.00 2ND PAYM'T $10,00.00 3RD APTM'T $7,500.00
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only Authorized
upon written orders,and will become an extra charge over and above the Signature:
estimate. All agreements contingent upon strikes,accidents,or delays beyond
our control. Owner to carry fire,wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance. - NOTE:This proposal may be withdrawn by us if not accepted within it ys.
Acceptance of Pr000sai - The above prices,
specifications,and conditions are satisfactory and are hereby accepted. Signature:
You are autohorized to do the work as specified. Payment will be made
as outlined above.
Date of Acceptance: Signature:
Proposal Page 2 of 6
Perry Brothers Construction
P.O Box 646 Newburyport,MA 01950—P:(781)233-7511 F:(978)465-0929 wvvw.perrybrothemeonstruction.com
PROPOSAL SUBMITTED TO: PHONE DATE
Rose Bane/bogan 978-578-8199 2/25/2013
STREET JOB NAME ESTIMATE NUMBER
4 Lowell Street 2380
CIY,STATE AND ZIP CODE JOB LOCATION
Salem, MA 01970
- Supply and install Panosonic light fan combination switched separately and vented to outside
- Patch and plaster wall and ceiling ready for paint
TOTAL STOCK AND LABOR - $1800.00
2ND FLOOR BATHROOM
- Electrical to include the following
- Relocate existing GFI's recepticles as needed
- Use Decora brand for switches and recepticles
-All new circuits tied into existing electrical panel
-Connect all fixtures
- Plumbing to include the following
-Supply Wedi shower pan and wall system
- Install new shower valve supplied by owner
- Install new shutoffs for hot and cold shutoffs
- Relocate drains, vents, hot and cold water feeds per plans
- Install all bathroom fixtures
- Insulate walls with fiberglass insulation
- Install new plywood sub floor
We propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of:
Twentv Seven Thousand Five Hundred and 0/100 Dollars ($ 27,500.00 )
Payment to be made as follows:
1ST PAYM'T $10,00.00 2ND PAYM'T $10,00.00 3RD APTM'T $7,500.00
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only Authorized
upon written orders,and will become an extra charge over and above the Signature:
estimate. All agreements contingent upon strikes,accidents,or delays beyond
our control. Owner to carry fire,wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance. NOTE:This proposal may be withdrawn by us if not accepted within _days.
Acceptance of ProDosal - The above prices,
specifications,and conditions are satisfactory and are hereby accepted. Signature:
You are autohorized to do the work as specified. Payment will be made
as outlined above.
Date of Acceptance: Signature:
P ro posa I Page 3 of 6
Perry Brothers Construction
P.O Box 646 Newburyport,MA 01950—P:(781)233-7511 F:(978)465-0929 www.perrybmdlemconstmction.com
PROPOSAL SUBMITTED TO: PHONE DATE
Rose Bane/bogan 978-578-8199 2/25/2013
STREET JOB NAME ESTIMATE NUMBER
4 Lowell Street 2380
CIY,STATE AND ZIP CODE JOB LOCATION
Salem, MA 01970
-Apply 1/2" blueboard on walls and ceiling and skim coat plaster smooth finish
-Install ceramic tile and grout bathroom floor
- Install new tub and enclosure, hopper, vanity, medicine cabinet, and bathroom accessories supplied by
owner
TOTAL STOCK AND LABOR -$8500.00
PAINTING
- Ist floor to include the folowing
- Hallway walls and trim
- Stairs treads, ballast, and poly handrail
- Kitchen walls and trim
- Dining room walls and trim
- Bathroom walls, ceiling,trim and ceramic tile
Note : sand ceramic tile prior to painting
- 2nd floor to include the folowing :
-All bedrooms walls and trim
- Hallway walls and trim
- Bathroom walls, ceiling and trim
We DroDose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of:
Twentv Seven Thousand Five Hundred and 0/100 Dollars ( $ 27,500.00 )
Payment to be made as follows:
1ST PAYM'T $10,00.00 2ND PAYM'T $10,00.00 3RD APTM'T $7,500.00
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only Authorized
upon written orders,and will become an extra charge over and above the Signature:
estimate. All agreements contingent upon strikes,accidents,or delays beyond
our control. Owner to carry fire,wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance. NOTE:This proposal may be withdrawn by us if not accepted within mays.
Acceotallce of Proposal - The above prices,
specifications,and conditions are satisfactory and are hereby accepted. Signature:
You are autohorized to do the work as specified. Payment will be made
as outlined above.
Date of Acceptance: Signature:
Proposal Page=
Perry Brothers Construction
P.O Box 646 Newburyport,MA 01950—P:(781)233-7511 F:(978)465-0929 www.perrybmthems struction.com
PROPOSAL SUBMITTED TO: PHONE DATE
Rose Bane/bogan 978-578-8199 2/25/2013
STREET JOB NAME ESTIMATE NUMBER
4 Lowell Street 2380
CIY,STATE AND ZIP CODE JOB LOCATION
Salem, MA 01970
- Paint three ceilings
Painting specs as folows
-Caulk, sand, and patch nail holes and voids
-Two coats of finish paint on all walls and trim
- Benjamin Moore semi gloss for trim and eggshell for walls
-All paint and materials included in quote
TOTAL STOCK AND LABOR -$6950.00
FLOORS
-Sand and apply three coats of poly on all floors
Note : Type of finish poly TBD
- Fill all voids and holes
-Any floor areas needing replacement will be costed beyond quote given floors are covered
TOTAL STOCK AND LABOR -$2950.00
ELECTRICAL WORK
- Remove and replace existing with new electric panel with 200 Amp service to code
We ormose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of:
Twentv Seven Thousand Five Hundred and 0/100 Dollars ($ 27.500.00 )
Payment to be made as follows:
1ST PAYM'T $10,00.00 2ND PAYM'T $10,00.00 3RD APTM'T $7,500.00
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only Authorized
upon written orders,and will become an extra charge over and above the Signature:
estimate. All agreements contingent upon strikes,accidents,or delays beyond
our control. Owner to carry fire,wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance. NOTE:This proposal may be withdrawn by us if not accepted within Sys.
ACceDtance Of Promsai - The above prices,
specifications,and conditions are satisfactory and are hereby accepted. Signature:
You are autohorized to do the work as specified. Payment will be made
as outlined above.
Date of Acceptance: Signature:
Proposal Pagesof6
Perry Brothers Construction
P.O Box 646 Newburyport,MA 01950—P:(781)233-7511 F:(978)465-0929 www.perrybrothersconstruction.aom
PROPOSAL SUBMITTED TO: PHONE DATE
Rose Bane/bogan 978-578-8199 2/25/2013
STREET JOB NAME ESTIMATE NUMBER
4 Lowell Street 2380
CIY,STATE AND ZIP CODE JOB LOCATION
Salem, MA 01970
- Existing condition of electrical devices in cellar to be inspected by electrical inspector then cost of
repairs will given
- Condition of existing recepticles thru out house TBD
- Outside electrical piping for service to remain
TOTAL STOCK AND LABOR -$2660.00
GENERAL SPECS
-All kitchen cabinets and appliances supplied by owner
-All bathroom fixtures, tile, grout, and accessories supplied by owner
-All permits and inspections performed by contractor
-Certificate of insurance to be issued to owner
- One year gaurantee on workmanship
-Warranties on products to be provided by contractor
We propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of:
Twentv Seven Thousand Five Hundred and 0/100 Dollars ( $ 27,500.00 )
Payment to be made as follows:
1ST PAYM'T $10,00.00 2ND PAYM'T $10,00.00 3RD APTM'T $7,500.00
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only Authorized
upon written orders,and will become an extra charge over and above the Signature:
estimate. All agreements contingent upon strikes,accidents,or delays beyond
our control. Owner to carry fire,wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance. NOTE:This proposal may be withdrawn by us if not accepted within mays.
ACceDtance of ProDosal - The above prices,
specifications,and conditions are satisfactory and are hereby accepted. Signature:
You are autohodzed to do the work as specified. Payment will be made
as outlined above.
Date of Acceptance: Signature:
Proposal Page6of6
Perry Brothers Construction
P.O Box 646 Newburyport,MA 01950—P:(781)233-7511 F:(978)465-0929 www.perrybrothersconstmction.com
PROPOSAL SUBMITTED TO: PHONE DATE
Rose Bane/bogan 978-578-8199 2/26/2013
STREET JOB NAME ESTIMATE NUMBER
4 Lowell Street 2380
CIY,STATE AND ZIP CODE JOB LOCATION
Salem, MA 01970
- Remove all debris
We propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of:
Twentv Seven Thousand Five Hundred and 0/100 Dollars ( $ 27 500.00
Payment to be made as follows:
1ST PAYM'T $10,00.00 2ND PAYM'T $10,00.00 3RD APTM'T $7,500.00
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only Authorized
upon written orders,and will become an extra charge over and above the Signature:
estimate. All agreements contingent upon strikes,accidents,or delays beyond
our control. Owner to carry fire,wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance. NOTE:This proposal may be withdrawn by us If not accepted within _d ys.
Alcceotance of Proposal - The above prices,
specifications,and conditions are satisfactory and are hereby accepted. Signature: ,
You are autohorized to do the w rk as sp cified. Payment will be made
as outlined above.
Date of Acceptance: J U Signature: