23 MARION ROAD - BUILDING INSPECTION The Commonwealth of Massachusetts
RECEIVED CITY of
U
Board of Building Regulations and Stan ftECTIONAL SE VICESfi4LEM
Massachusetts State Building Code,780 Revised Mar 2011
Building Permit Application To Construct, Repair,RenovaiaAc.Aem Jsh e� 58
One-or Two-Family Dwelling 11�8�IVV f�1l1JJYY
This Section For Official Use Only
Building Perini[Number: Date Applied:
cj' li 3 t
Building Official(Print Name) Signature k Date
SECTION 1:SITE INFORMATION
l.l�roperty�p ess: //�� CL 1.2 Assessors Map&Parcel Numbers
c !�� ✓I Il</i S /
L la 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 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❑
WSECTION 2: Y OWNERSHIP[
2. Own rn of Rpecord:
P OPERT
13
Tune(Prnt) City,State,ZIP
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) Addition ❑
Demolition ❑ I Accessory Bldg. ❑ 1 Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work2:
1 .2
/ 0 '
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 0 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 $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
/ (� Check No. Check Amount: Cash Amount:
6. Total Project Cost: $/Vi v�� ❑Paid in Full ❑Outstanding Balance Due:
IWpc1 L.e-T.) qt-D C-0N
SECTION 5: 4QONSTRUCTION SERVICES
5.1 Conyt on Superviso se(CSL) 0 Ir
r��rn 77 ) License Number ExpiraU ate /
N of CSlder+�'
Q f., List CSL Type(see below)
No.and et Type Description
U Unrestricted(Buildingsto 35,000 cu.ft.
R Restricted 1&2 FamilyDwelling
GI
Ci (I`Wn,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
p SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5. Reg' Hg L ImprovementlContractor(HIP
U' t ►" /�•Jt1'rU�t)7/7N 1BC Registration Number Expi ion ate
C any Name or HIC a 'strap Name /4 5 n
7-k_jqt . 2ta Email address
Ci own,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.......... O No....... ...
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize hm
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNEW 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 accurate to the best of my knowledge and understanding.
Print er's or Auth6rized Agent's Nalue 1 nic 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(HIP 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
www.mass. og v/oca Information on the Construction Supervisor License can be found at www.mass.eov/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"
.. CS-075985 ;
M ILLIAM A AIANGLASI
13 GI'6SON CIRCLE _
MEDFORD MA 02155
-... _._. .- 07/17/201F
OCT-23-2014 10:02 FROM: TO:17815692657 P.1/1
40,(Ror Myetie livenaiz
(Init 36t9 t"o uad#
Madford.Mli. 02155
781.396.5420 (Fax)781-3%-5450
We Are: @Licensed INInsured INFa tory Trained @Factory Certified Installers
Proposal Submitted To; Pickman Park Cando Assoc Phone b%
Date: 10/2311014 H: W:
Street::3 Marion Street Job Name
City,State,Zip Code Solem,Mu Job Location
Proposal to furnish and install the following;
Now Roof I Strip Oft
Complete Roof Preparations—Services provided to help you avoid hassles and to protect year home
Home exterior to be protected by tarps and plywood
Shrubs,landscaping,trees to be protected from damage
Entire existing roofing material to be removed to existing decking.
Site to be cleaned everyday,debris removed at project completion
Deteriorated existing decking replaced at a cost of:$4.50 Per Lineal.Ft.
8"Metal drip edge Installed at eaves ❑8" Metal drip edge installed at rake edges
New metal step flashing will be installed where necessary
Now plumbing vent flashing will be installed and flashed
Shingle valleys will be installed
Contractor will pick up building permit _
6' Ice and Water shield installed at all eaves to protect from ice dams(and meet codes in the north)
-Provides the best protection I'Or your home
Ylce and Water shield installed in all valleys,around penetrations,and chimneys to protect critical areas
-Protects the most vulnerable areas on the roof
SYNTHGTICm reinforced underla ymcnt installed over entire decking
-Serves as a second line of defense '
GAF Ridge vent System will he installed
-Ensures that your roof system will last,your utility bills will be lower,and your warranty will be valid
Clean up and cart away all debris.
Quality Shingles:
CAFTimberlino r@series LIFETIME
GAF Hip and Ridge that matches shingle warranty will be installed
Color-Shakewood
Warranty:
d Roof to carry manufacturers(Lifetime)limited standard warranty and
Thor's(2)year labor warranty.
Total Contract Price: $16,000.00
With payment to be made as follows: 5%Deposit 11/3 Start of Work/ 13 Midway Thru/ 1/3 Completion
Date of Acceptance: ��1 l Contractor: Thor Construction Company
,!opc -3wnerVSignature: I,Wdl erms Attached
J
American Properties Team, Inc. i
TO: Salem Building Inspector
FROM: Jennifer Pappas, Property Manager
RE: Roof Replacement — 23Marion Road
DATE: October 23, 2014
Please be advised i that the Board of Trustees for Pickman Park have
approved a roof replacement project at the above referenced building.
This work will be completed by Thor Roofing & Construction.
Should you have any questions or require additional information, please
feel free to call me directly at (781) 569-2675.
BOO WEST CUMMINGS PARK-SUITE 6050- WOBURN •MA -01801-781-932-9229 -FAX 781-935-4289