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15 OAK VIEW AVE - BUILDING INSPECTION (2)
The Cotmnonwe:tltlt of Massach usetts i Board of Building Regulations and ds CITY OF Massachusetts State Building Code, IR SALRevised LEv11U/! Building Permit Application To Construct, Repair, Or Demolish a One-or Two-Family Dwellin'this SectionFbrOfficial U Building Permit Number 0 te,Applisp Building [flcial(PrMRNaina) $tgnatura p ate SECTION 1:SITE INFORALATION 1.1 Property Addres : 1.E Assessors bfap& Parcel Numbers �V l.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions- Zoning D(suict Proposed Use Lot Area(sq R) Frontage(R) 1.3 Building Setbadn(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided ' 1.6 Water Supply:(MO.L c.40,§54) 1.7 Flood Zone Informations 1.3 Sewage Disposal System: Public❑ Private❑' Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if es0 S$GTIONZq' PROPERTId'OW(VERSHIP!' 2.1 OwnertofRe rd ' ' �� ^ Name Print >7C�` � I ( ) City,State,ZIP No,and Street elephane Email Address SECTION J: DESCRIPTION OF PROPOSED WORK]'(cheek all th apply) New Construction❑ Existing Building❑ Owner-Occupied CI Repairs(s) Alteration(s) ❑ Addition ❑ Demolition ❑ Accessary Bldg. ❑ Number of Units other 0 Specify: Brief Description of Proposed 1Vork : SECTION4: ES I,*LAMCONSTRUCTIONCOSTS item Estimated Cl OfRdal Use Only.. Labor and Materials Y'' 1. Building S 1 I. Building Permit Fee-S xt7ldicdta how fee is determined: ]. Electrical y El Standard.CiVrownApplication Fee ❑Totat Project Cost](Item 6)x multiplier x t. i lumbI . S ]- Gther Foes: $ I. \facltanical (11VAC) i List: i. \lech.mic.11 (Pin: liltl1r C59iull�__. S ___ -_ (JL11 All ('l'e 9:5 -'hack No. Check Auwnllt: C,i:;h :\unnnit I'ntal -- ' --- . r SECTION 5: co gs,rnc 'ION MIMES 5.1 Cunstruclil 'upervisur License(CSL) 6 License Number E.epir time .Ite -- Llme of CSL I ,:r List CSL typo(ice beluw) l l l v 93 — rype Description No. and Street U Unrestricted(Buildings ue to 15.000 Cu. tt. R Rcsuicted 112 Family UM11111111 City/ruwn,$late, L P - - _ . . �I Masonry RC Rootin Coverin INS window and 310111 SF Solid Fuel Elurning Appliances rx/ I Insulation sN{� 7- Email uddrass U Uamolitiun I%Jd hung 5.2 Registered Hume Int vement Contnc r(H[C) �J fIIC Registration Number Expi atio at III m N 1 r I Rcgu arna Email address No.an t et Ci /Town State ' 1P rele hone SECTION 6: WORKERS'COhIPENSATION INSURANCE AFFIDAVIT(M.G.L. e. 152.1 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 Issuanop4if the building'permit. Signed Affidavit Attached? Yes.......... No...........13 SECTION 70: OWNER AUTHORIZATIONTO DE COhIPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR �BUILDIING�PEANUT I, as Owner of the subject property,hereby authorize ng to act on Iny behalf, in all matters relative to work authorized by this building permit application. Unto Print Owner's Nnme(Electronic Signature) SECTION 7h: OWNERt OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contai in this IN,ition is true and ate rat tot bast of my knowledge and understanding, _ ne I`rint Owner's u,\udwrimd:\galt's Nan a Glectruni Signatur, NOTES: I. :\n Owner who Obnins a building ponnit to do hivher uvvn work,or an Owner who hires an unregistered contractor (nut registered in the Hume Improvement Contractor(HIC) Program), will nn have access to the arbitration pr1) - I or guaranty, timd under M.O.L.c. I42A. Other important information on the HIC Program can be found at w w nru+ cuv%ore Information on the Construction Supervisor I.icense can be round at w ww.utaya.�v_,ILI 3 1Vhen substantial vvurk is planned,provide the information below: I'utalIluur.lrca(tt It.) _____. —(includingg:lr:lge, tinisliedtmsemant>attic.t,decks orporch) tiroiilivin';:uc:t(iq R.) Nimitabluruumeount — �Illlllb�f 11t til'ip LlCCi --__ ---- `lumberufbrdrmmns _..--- — unnd,cr of h.IIE'balfu `lOulhcr of Imthrnlnus - ------ - - - ---- --- 1%1)c ,lt 11..111111{ :11111IJif Ilt IrCli.v I't)I'l lr9 .. -_.— __— Ivicil ___. Imly Ile ;nb,hnd,,l t.a I.•r.11 I'nq,��t l' .t,. 20134070198 (1) 13:36 C16TLEwin FAX : 8562319518 P. 002 �MA$SACHUSETTS ier. PURCHASE AGREEMENT !�+ t w &RECE T °°i'1w V1=&-W people" CARDO WINDOWS INC. ��e 109 GAITHER DRIVE REP- d n CZUt'yl SUITE 309 _ MT.LAUREL,NJ 06054 PC/REF 800-360-4400-SALES•88&227-8536-INSTALIATI0N wwwmastlewiindowe.00m THIS AGREEMENT is made this� _�Y 2 _bet".Cardo Windows Inc.D13A CASTLE"THE WMDOW PEOPLE°CSelleej and the buys Buyer information Irrfortna4on >R G O 1 Af` Company Name Yt r rIC C�nrdn Windom?nc,dtb/a Cagae,iOI'heGVindowPeople Sacet do us Pact Sax SRI" mewesantgt ' tZip Code Bumn t m et indtde a oddfeso /G "T A 189 Ga4Mer Drive. V&309 klren P a Cityfro n State ZJp Gods Mount Laurel, NJ 08054 Mallmg Ad Of mahme) � BuQ'nasa Phone Federal Employsr ID 1-800-360-4400 25-1665690 /� , HomelmprwememCanVagrn'Rsg.ido. Exv, ./ © T4 15"23 _ - Law requires drat mast home Improvement coml6olors not a ll f' Ce- number. Sellar ewes sell,mid"er agteesto buy,all those metatals and labor Uged below and ofhannlse necwm ry m instan the products Bated in ' this Agreertrent as set forth in the tolloWing Specilioad"and in accordance,shih theTemm and Condit"below and on the strbsegJent pages of this Agreement All products listed In this Agreement am covered by Wer s Lifetime TransfeMbls Warranty,a copy of which Is provided to Buyer with this Agreement. 5=90tions + Remove a total of( !; WC lrl2taVothar windows and any etttached storms/screens. Prepare the openings for atotal of( 5 ) new custom made Castle Windows to be installed within the'ewshng Jambs, header and sills(unless otherw}$e stated). Color of inside window: WL;4,. Color of ourstde window: + Exterior trim package to be in the color of a +AIL Super Energy Saver urlts include: + 100%x4ron vinyl + Welded sash and masterframes + Metal reinforced sash meeting rwls . + Insulated Internal foam insertH + Low E glass +AtHon gaa filed dual pane double strength glass + Stainless steel intercept spacer + Full perimeter fibs lass insulation wrap + Compression fit expanders + SiRCone caulidng + STYLES: Q �l d° u L9 U 1 V!, +Canptete dean Lip aril hew away of a8 job relateddedebris. 201347111H (t) 13:36 WUWINXWS FAXF: 8562319518 P. 001 Castle the Window People Pinance Report Job# Sale — „ Sa1�s�Ren 1 ---- Sales Reg 119101 7/13/2013 . RAVEN, DAVID IIII `Cu Comer I formation I� �_ )3afances � Heather&Anthony Impeartrice ' I sale Amount 5,281.00 15 oak view ave I i Adjustments Salem,MA01970 NetAmount 5,281-00 Home phone (907)654-9783 i Cell Phone (907)654-9784 Payments 0.00 Mr.Work ext. ------------- Mrs.Work ext. Balance 5,281.00 pates Approve: Pr�,ot ¢d Cancel Saved Reject i Bank Terms Amount Financed FINANCE Nogg 07/15/2013 09:38 DGA INSTALL 5 WINDOWS& 1 DOOR, INSTALL 5+ 1 Se< 00A S PeC.1 WHITE WINDOWS/WHITE CAPPING 5 DH, 1 ENTRY NO GRIDS HOUSE BUILT 1954 EST START 9/9/13 EST COMP 919/13 CUSTOMER MUST SIGN RENOVATE RIGHTS PAMPHLET "°"`CUSTOMER MUST SIGN CHANGE ORDER"""" hUSS tAhusetts -Departlne'lleo# Public S�fr<?'d :3ctacri a€ Suit��ng R+x�{ut�tiic�ns and S,.ans«rr�s t_raens�.: CS-092929 v RoNALtD C:CRA.m( - °° r � . aPO BdDX 292. n�4 xUN W;TIC NKA + { r,:raimrrsst� nrr 07120/2015. -: Otcc of Consumer;lffairs& Susldess Regulation i 4 MOME IMPROVEMENT CONTRACTOR Type: .[tegisuati on: 161373 DBA „ltr, xpiration: 10/142014 --- CRAIG WINDOWS RONALD CRAIG B PARK RIDGE DR. _�— " HUNTINCTON, MA 01050 Undersecretary I CSiRiHICA r S. C i azail ASAHATTRROFMm4MOONON,W LWC3& -IZC MTAMRMZE&.TRM [�'^a4.'d2�Df)FE NI1T Ae�ll6T1FXLY'OttidiCl27Y)7,Y A34e�a,EY^2�E DB#L2F8 L•]YCL�AaLAF'Fdii DPA BYlIig:OL1C1F3 't.�€.I,QR.YF]IIbiS'CF7.1R1YckNC.1�P5^Yi7G '�.'.3SA��10,:.,:CI9ET+ffiKi�SBLTnC7�i'R�LTEC°j.3L3aQIi^,w� RRPbs'SLR[AIIYS®Ai'dODUCER Atm YNBCl7iTDICAREaOLnffs. ' ;PAa3HTANT:U�s¢CrsURea'a Daldail9 artADDITtOidAL Bi9t.YO.the pYLayfiea}alusia +rd.iPa'i3&90G:7t..^N iB Lk&.StE•^...u�je��rhe letms and eon151fm of tfla poky..certain P7licics rmy require an c9durmarnont.A atatammi.an this car-Mc a dons net eerzfar 710a to the cartifieate holder BI lieu of such anclarsa11 d'O. tLe-v AVIm.URANCLIAGINCY1NC OHe cm z Y07 PAM AV �m Na.Est WLB'I'9P I1•IOL•'II7ll,MA UM5 9.HAA URSa' L`76 ZD Q MA7'QP.DRKCCQP£RAGE )?filCk _ RON AU LP.AU!I-AC A1GWLMIYOWU !NSEA 'eaA UmVELF.R E .am. --SU1.L PI)".292 - MYLVAINY O-g A@4E) CA HUN'I.Idrg ION,MA UIC50 INB€ilt R _ lNA'4lRP:RC . ' IP)GYffiERD - UYBP1tH.RE INNUIMM F CERTIFICATE NUMIIHM RI=UtAION NUMEERT IMAX'W'CMTrY 7RAT ll-;S .C' 7bq CF DM RAi m LI.B[jI)BELOWFA%M R-..WM5V® MM DIIIMM MIAM AHD49 FOR ISM POUCY?3RYOD MfOATM WTUI I]04-MAY NUTAnYI V_si t)Prtac�`v'MK.33k1.0RCOhUl57fL`S�A?)Y tYai Yt.CIAO!pffi,.DCC7> LYr1BaRP:1'8C10FL®E33 iH78 Ci&N3D17CFt'A011l1(m BB aF Mx Pff femM=--SS;iv'7WyMArMv22zz3:§@ffi%�D9YPPI�H32)P,G. -R.82 IYPt-Ok:fh'6URAtdCR AlL`L s6'13E PDHSa}:KY)R c`8 POI$:Y'15Y M]7C.zw L=5 . LYP 7ATIAD wm RIMiT.DIM SIIXNDIIAI.UAl1SIJTY] atCAYYYSUME q C merve f.3+'QI.V.[IAPl�N � L.4ALa.UC7u RU 4 PBkT41gRR(!C enrlCAtle 1] ^,.Jfa6,gvG�aR C' GC:C. eRA t'NPN•StiWC I PF)IRAALdAUV. 4 CKIJ Y � UI@aRiLAWJIrJ.R1e { . r:i�:1 vixblY_6W 31QllI Jt�PPY' 7 Pa[IR CPH0IHCY 0LK PP�ma�sessslt�A7Y g MU 6L+YDMOm48+•.wrr— raltltllA§U®)rtLLE g DT na«d&M I MYMA:1 - RUULLT n!lUKY q - nmv I ATinK`JFAAVIUS - WVRTa11UKY - 4 ' I Rrxxlsnm7.Allms �eaTosweL s I MMAIMA a 1 >,rrsaelKAn nl:ma g .10 1 IMRREIJ+t I.IAA t nt}C[nl PA(JIIIIead)StAl3-- j I f1O82TiraR - j I R1aF.YIitII:A j WORK=COMPFdK4A7W1c 4 AND MIdDYIDie LVi]1II)7Y X au)uDCnc YM - lJMtfR - A.Yr7'8walr)wA•Ax1aRx: msc)mYSumcvea71Ra4RA E EY VA 4=77428 OIRL't) a)r13lla 'PAa)ACJYIICKT S10OA00 c.r+IJ1RW @L11RD.1Ta�WtPlID ❑aL'a.C•-FAL•B S10R1Ma �u+.unc a1rPe¢a tIPJA.81PnIKCP 1NtT .tQ..Pm:m' MUM aYeL91Pi)Un aTUNYYAi'IURmLI➢tA)L1Yevruv.,a'WvcL.V:UtlUN1AdCiv+relRm.'mn8imb C®oep,vc i,mquii¢n CliR7'1F.ICATEHOL)LR _ G#NC8f.41YAON . 91OSILDANY OG YM6660V60@A^ IB®FOt-NCNB®E CP•NL'(iIID BI�� THE EBPIRATIOH DATE TMZRWP.MDiIQIBLLL 1ISEMAI MN . tt MAHCE WITH THE POLICY Pftvmlat(s. u<mu�mmmmcvnre 8/faw�fGCt.laC11, . ACCORDLtMDa 07M-m ACORD CORPORATION.AD hf.reuwd. i �! CITY OF S.1I E;�I, U-1SSACHUSETTS BUILDING DEPART-40NT 3 m 120 WASHLNGTON STREET. 3'FLOOR TFL (978)745-9595 Fix(978)740-9846 KI.NfBERi RY DRISCOLL I1 omsST.Pilam MAYOR DIRECTOR OF PCBUC PROPERTY/BUILDING CO1L\IISStONER Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Leeibiv Name(nusiix'si Orginizaliamindividual Address: City/State/Zip: hone tl: Are yo a employer?Check t _ propitiate bon Type of project(required): i. 1 am a employer with 09 4, ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time)." have hired the subcontractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t Z ❑Remodeling ship and have no employees These subcontractors have g. ❑ Demolition working,for me in any capacity. workers'comp.insurance. 9, ❑ Building addition (No workers'comp.insurance 5.'0 We are a corpomtion,and its required.] , officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 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 12.0 R repairs insurance required.]t employees.(No workers'. cumIL insurance required.], 13. Other 'r 'Any apPllcum Thal ch=ka bmt of must also fill wg tha aCrtiao helowsbsiwiny their worker'compenwlen polluy infurmatlot� t 1 fanuown n+who submit this aradsvit indicating shay am doing all work and thcu hW obuidecantmrrsirs Merl Submit a new amdavil indiaine such. ;C•,nimown that chock this box most anaehod an addidunni shay showing IN noose of tho sub4onti actera and theb'workma'comp.policy Information. f am an employer that is pravldlttg)vorkers'compensation iilsarancefor my employees Below/s the policy andfob site irrferoratfoni, �— Insurance Company Name: Q Policy 4 or Self-ins.Lic.ti: Expiration Dote: i Job Site Address: City/Statrdzilr ,%ttach a copy alike workers'compensation policy declaration page(showing the policy number and expiration date). Failure to wcurc coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a line up to S 1,500,00 und/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line of up to S250.00 a day against the violator. 13e advised that a copy of this statement may be forwarded to the Office of Investigutions of the DIA fur insurance coverage verification. I do hereby certify ua r t/e p as rd pe allies of per/ary that t/re hiformallon provided above is t ue aad correct. ,I; Data, lhonclb OJJlcial use ady. Do not write in this area,to be completed by city or town 0JJ1du1 city or'rown: _ Permful.1cense4 Issuing Autltnrily(circle one): I. Bourd of health 2. Building;Department 3.City/town Clerk 4. Electrical inspector 5. Plumbing inspector 6.Other Contact Person: - ,. -_ Phone li: i i C(rYo,: S.UZM, I.bL1SSACHUSETTS i G(AOt.YC DEP-utT-%LE,VT { \ �+ I:'0 1'U13HGVGTO,Y STIiF&T, 3 O FLOOa ' I'M (973) 7 S.9595 f<lJLOE4LEY Dft1SCOLL Pk-I(973) 740-9344 hr L�YO R •i}tOSGIi ST Ft&'31t8 DIASCTOROFPCOUCPitope y/sELLDvaCaxaflssfaiEa Construction Debris Disposal Aff7davit (required for ell dcma""on and rurtuvation work) rn accordance with the sixth edition afthe State Building section 1 L3 Coda, 730 CLblIt l Debris, uhd the provisiuns of tb(OL a 40, S 34; ©u%vurl Permit Y is issued with the condition that the dubris resulting from this wur!<shall be disposed at'in a properly licensed waste disposal facility as defined by ttig Cr e l l I, S 150A. The debris will be tmnsspp+a�rtcd by; (n�ms ut liaulur—T�' The debris will be disposed ut'in ; --- (name ui faml I/) I - (hiI ui ra,iluy) •pumrenipermit pit, wic.