143 NORTH ST - BUILDING INSPECTION (2) The Commonwealth of Massachusetts CITY OF
¢ Board of Building Regulations and Standards
Massachusetts State Building Code, 780 CMR SALEM
\ Revised Mar 20/7
Building Permit Application To Construct,Repair,Renovate Or Demolish a
One-or Two-Family Dwelling
' This Section For Official Use Only
Building Permit Number: _ / 'Date Applied: `� F
�uswi LVTRZI tiJSIGi
1 Building Official(Punt Name) ig aNre
` I .y SECTION 1:SITE INFO_ TION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
\ 143 North Street,Unit 2,Salem MA
(u\ 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 it) Frontage(R)
1.5 Building Setbacks(it) .
Front Yard Side Yards Rear Yard
�RqwrolProvided 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 yesO
SECTION 2: PROPERTY OWNERSHIP'
2.1 Ownerrof Record:
Jessica Martineau 143 North Street Unit 2 Salem MA
Name(Print) City,State,ZIP
978 473 9504
No.and Street Telephone Email Address
SECTION S:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ 1 Accessory Bldg. ❑ 1 Number of Units Other ❑ Specify: Insulation
Brief Description of Proposed Work': Insulation-Walls RA,Attic 138,Door weatherstripping,other weatherizatio--
measures
SECTION'4:'ESTIMATED`CON STRIIGTION COSTS
Estimated Costs: Official:Use Only
Item (Labor and Materials }" �% - °
g
A. Building Permit Free $ i' Indicate how fee is determined:
1.Building $ 6224.80 ..
❑Standard,City/Town Application Fee
2.Electrical $ ❑Total Project Cose,'(Item 6)x multiplier, x
3.Plumbing $ 2 Other Pees $ r
4.Mechanical QfVAC) $ List:
is,x
5.Mechanical (Fire $ Total All Fees:
Suppression) - -
622480 Check No Check Amount. Cash Amount:
.
6.Total Project Cost: $ El Paid in Full ""$ b Outstanding Balance Due:
1'na(- A ock
rican Building Technologies
eriiation {
Contractor
t Management
uction Consultants
Romain Strecker
Managing Partner
—�
ItGeneral
tic Western Av.Lynn MAol904t ggjnain@AmericaW2iI "'9Technologies.com��
. .
Thank you for your patronage.
Please post your tes I timonial at
I
,, §ECTION SE`-CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 96385 10/08/2012
Romain Strecker License Number Expiration Date
Name of CSL Holder Unrestricted
10 Churchill Place, List CSL Type(see below)
Type e . Description
No.and Street
LYNN,MA 01902 U Unrestricted(Buildings up to 35,000 cu.ft.
R Restricted 1&2 Family Dwelling
City/To",State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
781 710 6637 romain@americanbuilgingtechnologies.com I Insulation
Telephone Email address - D Demolition
5.2 Registered Home Improvement Contractor(HIC) 169145 5/20/2013
Romain Strecker-American Building Technologies
HIC Registration Number Expiration Date
HIC Compan Name or HIC Registrant Name
2 Neptune�2d.#439 romain@americanbuildingtechnologies.com
No.and Street 7817106637 Email address
M Boston, A 02128
City/Town,State,ZIP Tele hone
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...........❑
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 Romain Strecker-American Building Technologies
to act on my behalf,in all matters relative to work authorized by this building permit application.
Jessica Martin eau ,-�P �g
Print Owner's Name(Ele Monte Signature) D t
SECTION11i:OWNERr'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 We and accurate to the best of in I and understanding.
Romain Strecker-American Building Technologies - I
Print Owner's or Authorized Agent's Name(Electronic Sig w
ES
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
www mass. og v/oca Information on the Construction Supervisor License can be found at www.mass.gov/dr)s
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"maybe substituted for"Total Project Cost"
The Commonwealth of Massachusetts DepartmentofIndustrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mi ss gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/orgmiiadonnndividua0: Romain Strecker - American Building Technologies
Address: 2 Neptune RD #439
Gity[State/Zip: -Boston MA 02128 . Phone#: 781 7106637
An you an employer?Check the appropriate box: Type of project(required):
I.X)I am a-employer with._ 4. ❑1:am a general contractor and l 6. ❑New construction
employees.(full and/or part-time)-* have hired the sub-contractors _
2.❑..I am a sole proprietor or partner- :listed on.the.attached sheet.t -.�Remodeling.
ship and have no employees. These sub-contractors have. 8. ❑Demolition
working for mean any capacity., workers'comp.insurance. 9. ❑Building addition
[No workers'comp.insurance 5: ❑.We are a corporation and its. 10.❑Electrical repairs:or additions
required.] officers have exercised their
3.Elf am a homeowner doing all work right of exemption per MGL I LEJ Plumbing repairs or additions
myself.[No workers'comp. c.152,§1(4),acid we have no 12.❑Roof repairs.
insurance required:]? employees.[No workers' 13:❑Other
comp.insurance required.]
•Any appiicam that checks box#1 most also fill act the section below sbowmg their workem'cofnpetuation policy t flimeanon.
t Homeowners who submit this affidavit indicating they arc doing all work and than biro outside contractors mast submit a new affidavit indicating:such
tContromas that check this box must attached an additional sheet showing the name of the sub commeters and their workers'comp.policy infmmstion.
/:ana an employer that is providing:workers'.compensadon insurance for my employees. Below is the policy apdjab site
information.
Insurance Company:Namer Liberty Mutual Group__
Policy#or Self-ins,laic.#: WC231 -S372122 Expiration Date: 3/10/12
Job Site Address: 143 North Street Unit 2 City/State/Zip: Salem,MA
Mtacb a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Sectiort 25A.of MGL c.152 can lead to the imposition of criminal penalties of a
lineup to$1,500:00 and/or one-year imprisonment;as well as civil penalties in the form of aSTOP 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 underAftepains;and penaties of perjury that the information provided:above'isque and Correct
Sy�grtature Dater x
phone, 781 7M 6637
Offrdal use only: Do not write in this area,to,be cumpleted_by city or town,of elal
City or Town: _Permittlalcense#;
Issuing Authority(circle one):
1.:Board of Health 2.Building Department 3.Cityfrown;Clerk 4.Electrical Inspector.S.Plumbing Inspector
6.Other
:Contact Person: Phone.#:
offic .71... t ot✓inv� n. rdt�'.' r`t. pt+'+aai+`+a 13it irtl uf`ItUutlnt s I zE- '� t i3:r rt1;'
'`'1-,, Ufct`d`Yis,`dnsumer, nits&B S�ncss r u nnoo
' y� Rc_91i rn+srl tux{k. 1 z t
HOMEtMPROVEMENT CONTRACTOR Canskxucdon Supervisor Li„erase
;._ Registration 169145 a Type
°
Expiration: g5/2 Licenser CS _96385
612ot3 - LLC "�
�
AMERICAN BUILDING TECHNOLOGIES LLC
ROMAIN STRECKER
A. .
t
10 CHURCHILL PLACE ROMAIN STRECKER gU. � :`Y r-, o-
�.2EPTUNE RD.#439 s: s. 3` LYNN,MA 01002 £
i BOSTON MA 02128 '� " Undersecretary;
Amgrican 6 'Idin Technologies
C.#aer'e ru•,vRczr�z..
Remain Strecka r
r 1 Es rxiids szes xP9ES:art hd'u%Sa8
Perna:•�+2ema s a3d ngTc4:.°i�ano-sxCcm
aCOK�7® CERTIFICATE OF LIABILITY INSURANCE 11/8/20 0
I
THIS CERTIFICATE LB ISSUED AS A MATTER OFMFORMATNRI ONLY AND CONFERS 90 RSWTS UPON THE CERTIFICATE HOLDER.TRAP
CERTIFICATE DOES NOT ARRNMATFE Y OR-NEGATNELY AMEND, ErENO,OR ALTER THE.CCVERAGE.AFFORDED SY WE POLICIES
'SELOW. W,C,YnFICATG OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETLVEEN WE ISSUING WSURER(S),AUWORDEO'
REPRSSEHTATNE OR PRODUCER,AND THE CERTIFICATE.HOLDER
IMPORTANT, N Me tcnnoN haIder IB an'ADDITIONAL WGURSDs Inc pcRWVe)IRmt Ee en cmuc:. N SUBROGATION IS WANED,S%",b
Ucc l mma end cmaNnm d Pa pWtq.conaln p ev"mu,mquim en enaorcement. A NLhmem an Wla ceNDae4 0iee nut cc A -Ayhtc w Nn
ReHMetlp holan M Ilea of Such.enNmsempn
•.AODUG£R _. .
Ambrose Insurance Agency:; :.Inc.. PAL; 781-592r8200. F 781-595-5820! .
56 Central Ave.
Lynn, mA 01901 e '
unaaulLl A,+uAww ceYVuuuc xuc,
auRev ipstmm n:Atlantic Casualt
American Building Technologies LLC INsuaER P:1L1' ella'prctegt&
2 Neptune Rd., 0439 IAbVRER berty Mutual
-Boston, MA 02128 INSURERO,wationai Union of Pittsburgh
' usGRPA e:
:OVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUCIESOF INSURANCE LISTEO:SELO'N HAVE SEEN ISSUED TO THE INSURED NAMED'ASOvE FOR THE POLICYPERIOD
-INDICATED. NOINYRHSTANDNG ANY REQUIREMENT;TERM OR CONOTDON OF ANY CONTRACT OR OTHER DOCUhENT YATN RESPECT TO NMICH THIS
CERTIFICATE MY BE ISELED OR MAY PERTAIN,THE.INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUMECT TO ALL THE TERMS:
"MUSIONSANDOONOMONS OFBUCH POUCES.LIMITS SHOM MAY HAVE BEEN REDUCED BY PAID CVdMS
TYPE OF pIaUNNDE DDtILY NWWQt - In96rMT LNS
GENOUL.LMRJTY _ EACH OCCURRENCE. S 1 000,000,
x COMNERDAL GENERAL LOSS" PBEMIS S 50,000
cAW.D.occuA NE9 EAP om oenaN S . 51000
A L035-008370 10/17/16 Igll/t1 PERBOrw.aADYw.NRT p 1,U V OI.0 VD
GENERAL AGGREGATE S 2+U0 r.
GEm.MOREDATI MIT APPLIES PER: PRODUCTS-COMPAIP AOB S...r OO.r.
$
PoLICY tDD
ADToxome tue6rcr (.uc cc6IN0LE UNIT a. 11000,000
.YBYAUTC BODILY MAIM Ira.1 S
ALL OWNEDAUfoB SODILYmu,YIParea 11 S
8 x SOmMULED AUT03 90593400003 3/9/10 3/9/11.
MOPORTY��n,WRACS
mRm nmm a
NONONN6o AUTOS S
a
UNBRau LNS occw EACH CuhAPNCE S 11000,000 .
A "CES9 LW "WINS-AN[IE MCREAnTE 6 ,00 , 00.
O DEDDDnne EBU401458042 10/17/LO 10/17/Ll- S.
Dx S
wDPEERB COMPeNStnoN wePTnTu. x I
ub POLDYPAT UAMtm EI GCH ACCIDENT b r. .
C •NY mprAmaLPmrtanlpncVRre r� xu; WC2318372122 B/SO/SO 3/1D/33 000;000
UWJA�.�E� IXtL1OFOt : E:L.DI6E166-FA F.LmI 3
Or
o a�`2R NP n useeee EL DISEASE.-Poucuwr d_ ,00 1000'
DSCRIPDDN OF OPDUnolBrwanoN9IVEFPCLEB UYNtth ACaro IDI,.YNtinlRmmeti 6BwAtli,nilim roeLRngwsO _
!axpentry a Insulati'osL:
:ER71FICATE HOLDER - CANCELLATION,
Alexander COnstrixotion CO.'I - - SHOULD ANY OF THE A90VE DESCRISED POLICES BE CANCELLED BEFORE
25 Bond St. THE EXPIRATION DATE THEREOF. NOTICE MILL BE DELNEREO IN
Reading, NA 01867 'ACCORDANCE WITH THE POLICY PROVISIONS.
.. AUIHORDED'flEPR nTMi
— '01938.2009 ACORD CORPORATION.All713 Tnemd
'..CORD25(200BM9) -:The ACORO name-SRO Togo are IegnmIed'.mance of ACORO
r ^xy'y'(2Y'Y .. 1�*rt. .'y.a x'�Iw _'S. w rraJG MOu.Try"• �. .�$" '� r
ACTION, INC �1 iq
P�
47 Washington Street
Gloucester MA 01930 � s,`
Tny
Fmpmt
Agency 41rr,r NSGAP N(}RiA AppltbaUon# ` �?r
. � dOB;NUMB ER,
°ate-`5,r € DO'F Work Order# t rn, 0 _ r `"' E S C perFormed> ' �
WorkOM4e bate
= Primary Contractor �A em nOanButlding Technologies' _' ,.. p
'� Other Conra tctor .�,': A�encmt Buildm Technolo tes F #Bulbs t "rnstalled'y"� 0
CostofBulbs ra4 am 40.,00 q
' ' z.4 s g`"Street.1#3 Jessica
Naith;Street Umt 2 r �y-.,• "`� ' SptOther'In K d N0 00 k
k C. )Smte Zi : alem Ma'"��p - 0, 970� 3 NWElectrical Work`!i x?t$000 ri = _
" - i
.r Telephone 978,w1739SO4i� x ' "`� is $A7pount,[CSpan $O OO,i,.�;
AmouattNahmal6nd'.
a R ~r� Blq er Door,Test ' No`� � "„ „ Other UtilttY X " +a$0 Oq s
t 1 Igspect Knob&Tube ;x No
° Iyate706Completed tr !"IN, "_�. EsnmatetlRep air Total; R `$27000}
t
.,Al •1,.. , . "':,»sm,'F a"..,>: _. fr Actual Repair l'otai`-
.. •z" > :`-:Estimated. JJ. :Actual = cost t, Mt Est Cos t- °,.fct"♦ ost A
$43 00 `*$86.00= ,? `•
,.,q .,.
Re lar-door $15 00 t"$30.00
Ajnojai@6 door swee v T
Alf;sealieg"2- art ,°$75 00
Asia ai.eeNmgfyM tuem(puno ) '}•;r'.r. ,.3, t't, s 'l > 1 $7500 "se =F$22500 ';q: _ ,r<;,i+�
Weathe¢tri 'window:�P aide) rs.ea „- � .` ✓ .'r`?a." a."?$�,00 ;3 := 6'�t'� �� � t�' z�n�
BeaGiliicts .mastic+„ r< n,i.. :$62:00 r'� .r.:ti't.,.o ,);,..-,�::
$eaI"da`cPs retuips-masnci� la 4 ,§a € `s'�3sP' . x 6200
Vl/S Br1A�.ulata all'i .Aetch R3 ':SS+�'.', . )"•�• . `1,.._y2r "t ''$3000 $3000
t )5
i+
+r xlr�' $ooiS a K
AV
y
MIR
<a a G, 777.7 r r1 _" _ $Q 00' -' .4
Weatlienzation T0t91 :,,q "`-'?^� t.+' t r t,, $4,46 00
,.$'w - n az?..--1
Insulation ." " -Estt[aated , . P:ctiml, "`Cost'T # .E'` Est'Cost '�` ;.'�.Act'Cost,Ws.
Attic t1afR38 0 '" ,a ,FF 444:;k`:E,': ' r ' "$1 40 $621`60`" i e'p:
Anio 0a R30 0
Attic slo R30'tosaieted , ll ," 4.OS�r fi
S`>$175,00 'u,e,
Attie'kneewal Rl3 FG!rt $1.25
.w�o�mvellRiscNNbiewM1nemb
%tickneei 105'orR30 restricted:` 1 !'"pi xi,. y�.� ,^'i Yc $14J
]nsnlatq;'dth'c sfau's;&,walls '4 t � �E 3ri2 .$130 1, ;x, a k,.,.• -`r ,1*_ 3x -
Sidewhl�ls-Woo"d;c] RIS Of.': 1@Q $170.. t `$2,SSO:OO r.
taierior;wl-ofaster Rl5 DP xr:=:, 4"�, .t ru,';ti
kw-ra@ets/kw -0,$627.
1 dronic 'i msulto_1.R5-.. " : ,' $3 2 -
Stca
In 9u1 ["e door uJsnEjd,tb0att7 R7sH Vt y ,��,.. r a, z'( s xos$44°00
Sd12:� tfoathw/3ES�f6ekt R19 "�"• �atgt"sw'T - .s , §-;,.ur;4 3 3- moo
;1 '� VI EI ::44,38480:'.
NSCAP
,�.�.. '98'Main Street
Peabody,MA 01960
a ChenfA
Agency *�+ N$CAP -» xw, , PPhcadon k W
'tom PROGRt1M Keyspan/201i
Job Ntunber
.Yr Work Order#
Work Ordar47ale 'w" 10/25/11 a &,w -dob>riIt,
Pnniary Contractor '"'Amencan Budding TechnologesPer Umt $4500.00
e Other A.erican Building Technologies'
= 3 wp *non CLent Jessica M 1er ,.,. R+TYes art
"`r •;s" „ tier,*.r ' 11
Street 143 North Street Umt 2 f F K&T 0 - -
�` ate;, p Salem'Ma.p
Telephone 975-473.9504s ''. '*;i ,e Stand Alone t i No r
r ss Fae code-
a- ? 2`i
pa "
X -" k� a BloweT.DoorT@st Now - `` " Yes 1 No=2
Insp ect Knob&-Tube.No" Elea Contractor.
Z—aclinsul;tion I Estimated •Actual„ Cast • Fst Crost'.' .,.: Act Cos[
Attic,flat R380 .<�. 1.40 E
Attic flat R30o n ex � :+� . 84�� h' -'=:$1.30
Attic flat R20o en' ro °p �- ^*$1,23
Aare"OatR lftd�en" �°
Attic fIWs10 `R30 restricted •'S1'#1 r^ + '
Attiaflat7s!0 eR20 restr
= Atflc'flatisl0 Rl0veatricted 1.24 -
Attic kocewall R13 , _ $1.25 6"a
Attickneewall floor R30 restricted, $1.41
AtdcFlmeewall flooi,tiMsitronDP ,,:i± da�,., . : ,. " -.4$240
Finished aide access ,- . .' ._ " .' $10000
Tiin o attic access "t$75.00 -
' Ghwls'ace'RY9w nl.v or b�nier> 'r+: k�.e$2S3`
Garageuilin !floor:R30- $200
Thennadomc., ".:¢r t '$f75.00.
r.
RbdF"vent .lot e. .r`� a - 1 ,,? '- ^.$9500
y Raof vent-Small ' .. .J'`� ;$7600
Tur6inevent - •" ^S,160 00
a 12"'slack vrnt-" TM� - sr$1',45 00 '"
Pro avcnt •.;. x' --$375
Gable vent all
Rid a vent er[in.-ft. $2200
r
ti pY
Atdcatr 2- foaw 2.hoors «
t<enF"d"'er F,kadi erdiabst fan _., 'i°-Y ....x-,.tea *G:1¢�y m x •$$SfMa „ „'`�ti c,n .'rn� �_. -
..
Pstnnatad ^•!+s _ _ aSsf - - st,Coet i�eict Cos( ,
WaRGrsolatlon "'°" 'o# " -
Sin le:ndiled asbesms!ns ha1tR15DP>^ 7 =`x"^ �.y •10 ;5 'r' s°��' "
Donhk'nailed a shesloslalmninumRlSQP c':
'dl well blow�'le$(er R65 DP��x%""'" § t.r$ S $}:81, .,r' •n-s., x ,+' <y_ _
CIa board IwMdshlo'le/vvi IR15 DA�• ;2S0 h. - $490 + !S}59.00 " "
Teatd(dl 4sides +"�, a !i =t"$6000I I
Sie le Family wf$lower Doo}-$4007777777777777 ,
- -�
All Others $200
Door kit. ,. .. a a> .> . ,2 $4300 '+ e '7
Re`ulazdaors
Aulsma0e door swe< rc '<". ,;$22.00
Air seat 2 artfOhm' $75.00 '. - +'
_ SasB lock`t $925
OlasarePlaceihai2. »e c . r =$42 00 -
BlorRerdoorsetu"x�" _777
ry r '$1 S2 e ..i
PBomete!w RS '
hr 3•C+"+`is77 .S
77 et
Total'Air Sealing Cost .d _.._. 'a iv e.. s — ."•.-- . 3 3 `;r=. i'
fleain Sstem Measures •C.--"- '� ::SM .: 77 a.
DuM'insulstion&seal
A dronic pipOnsu]atio'reYo 1"R5, r '1�� c.$3 25 •'+ "` s
/I•dmnic 13, e insulation 1.25 +R5 - ' :�^"$3
su=a, i e insulation to 1 25i RS G; »•�$5 25
S[eem`i einsuladon-1.3 2 R3 -� :, a4Q $605 :" 524200- 'i ""
tk F,fiwOwer lacemment ;r`,:v" -° '$000. •,
-
.S
E � = a$59900 FstTotal
Actual Totaldoesaot mcluds$17500K&0'charge r�X + x� +^" r 6
...."^3
O,tber`Measures,F Z4 - ' Estimated '%'"MaJalT
c .r „r sr '"$76.00 ,v
atvent small i=x'y?,!- *'"'3'6 ,r,. i 3,
b"kble:veni :recfan _•.,rk. $88.00 -
RecesSedpan 41,
Cutl'inish anic/tmCe#5 laccess"?�# .v $100.00�IO z
;CuVclose $75:00':.,.,:
Blower aco r tes x tt} e'" '' 77
Via IMIncement Iifi8ow
Faucetaeramr„ at ?s,— ,2 : r 15.00
a._._ -
' I:dw flbw showerhead�E,.
dY �fuk h..2,1K! , RAMP �l.r t$000 !iP .-.eki >n 2 -
trc'`t' sx...
OthuTotal ; z.'. ' .v'. ._ ,..? ;ni:,?`.. -., ':t '� .T.# era$525.00
F r7,�Im", -
EnergyConservationrw Act Cost-�:
Total:(IvIaX$10,000.00) > -€. .� .K ,? `rr �. :w o , $5,355.8o i . - $' 0,t1,0�_ ,
u'^N$T
Repairs Estimate& 'Actual fiCost. ' "= Est Costr>:; Act C6sE"=
s.
Ad' `";aoo[strikere laW 3; .4�[". =�:r ` $20.00: fPt -
DOOYeII $70.00A5
Repwrdoorbiii ' ."} _ ' s s' > t,,. ;: 9$2500 ii,.4,
Slide+((i^olts f.:." , .. C+a 'gx'ai5 „ $2000
Sash IOeIC r.f z:,a Fkf xi t s-s ,S9 25 `°7.
' f
$feel p ro hun *i 00ii Wlrte, ,rr:rr• s t,,,;,; {x
Gl3srt''lacemeai=to"64 uru,,. .t} '` ,. y'sr. . t . $426o -47
' %•,
fg•ymleul b IYb M difv G m6 "� dx ws.. k s tl
Biul " °te�it fee 4' :. z 's 1;""r -' x$140Ab`a r_ ¢ $10000 z`h
$IectricaFgititfee`s . $30,60, °1 .''"...$50.00
Health&'Safe[
Vent teledlead to or
Window icpl.Ieud safe mctices ,_=.,.1 ry„. fi:;=e,$20.00 1".` -.$20.00 '
BatlSeo xath,hght ,; , = r ; (,1 1 5 „.>. ci xt$450A0 ,°$450.60
Repav(H&8 iotal:'(m 52500Ao)' ` ,s^ 27.0 77
Ob` :�; 3Y :a .$A.09,:.
p,s " :" .<
[„ Work Order Sub Total , i zTM ' . . $5 625 80 $0 00 n
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2 Estimated Job Total 45 625 80
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