37 OAKLAND ST - BUILDING INSPECTION 7, � I I he C'ummunwcahh of Massachuscus
Board of Building Regulations and Standards CI'I'1' OF
Massachusatts State Building Cute, 780 C'NIR SALEXI
Building Pcrtnit vocation "ro construct, Repair, Renovate Or Demolish a
One-or Ttvn-Fwnilr Divellin,tr
This Section For 0 c I Use Only
Building Permit Nunnbcr to 4 pplic
Building 01)ieial(Print Nmne) talure Date
SECTI N 1:SI INFORNIATION
11.1 Pr Ad a /o 1.2 Assessors Alap& Parcel Numbers
I.la Is th s an acce ted street? es no Map Nunther Purccl Number
1.3 Zoning Information: I.4 Property Dimensions:
Zuning District I'n+puscd Use Lot Area(s4 II) Frontage 111)
1.3 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
...Water Supply:IM.G.b.c. 40.§sa) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
public❑ Pri%ate❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal s)stem ❑
Checkir ycs❑
SECTION2: PROPERTY OWNERSHIP'
N;wte( riot) t.Hy.State,ZIP
No.and Street f clephune Email AJdrcss
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s)kOA Alleration(s) ❑ Addition ❑
Demolition ❑ .accessory Bldg. ❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed \Vork':
00
P
SECTION 4: ESTO ATED CONSTRUCTION COSTS
Item Estimated Costs: 0111cIal Use Only
I Labor and.\hteriais) y
I. Building S I. Building Permit Fee: S Indicate how lee is determined:
2. Flccirical S ❑Standard City,Tosvn Application Fee
❑Tutal Project Cost l Item O x multiplier
1, I'IumM°g S '. Other Fees: S_
J. \kdnanieal ill\'.\('1 $ List:__ -----
<. \Iech.mie;J iFire
tiu++nssionl S Tuts .\it Fees:
('heck %o. _('heck Anunnn: C.uh \m++unc
n Total Project Cost: S ❑ Pail in Full Outstanding ilal:ulcc Due:
/
CCI'Y OF S:U.E.%I, NWSACHUsETTS
UCILDING DEPART>(ENT
i+'t 120 WAil-INGTON STREET, 3'a FLOOR
T EL (978) 745-9595
F.+x(978) 7 i0.9844
�t_1aERLEY DRISCOLL
INLAY0 Z T Hc.%L%s ST.Pmus
DIRECTOR OF PC3LIC PROPERTY/13Un D(NG CON6IISSIONEa
Workers' Compensation rnsurance AtTrdavit: Builders/ContractorVElectriclans/Plumbers
A t tlleant Informatinn Plewi Print Le?ihl
.NII111C IHmirxv.r Urgsroraii, ndividual
Address: G°
City/State/Zip: _/�C�J�i�l S 'honaN:
\re you an employer?Check the Appropriate Oat Type of project(required):
1.0 1 am a employer with 4. 1 am a general contractor and 1 6. Cl New conslraation
employees(flail and/or part-time).* have hind the sub-con ractaa
2.0 lama sole proprietor or partner- listed an the uttached.ahecL t �• ❑ Remodeling
..hip and have nu employees These subcontractors have g. 0 Demolition
working lilt me in any capacity. workers'comp. insurance. 1). Cl building addition
(No workers'.comp.insurance S. 0 We are a corporation and its 10 Electrical repair or additions rcquirud.J officers have exercised their
).❑ 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing rcpoirs or additions
myself.(No workers'comp. C. I32,41(4),and we have no I2.VRoof repair$
insurance required.) t umpluyees. (No workers'
comp,insurance required.) 13.0
Other
•.toy uppikwn dot al'ueks bet At must Aw fill our he esulium bclew showing their"ken,compen ialun policy mM1vmidon.
'I hvneuwnme wl o,uhmll this Atrilavin indlening they sr$doing ill+writ and than hire uauide eanrnaele mall arhtnir a new alildavil indicating wch
t'um'ncWn that Check'his but mull auachud un additiunul.heel vhuwing the nwna of the mb.umruWn and that$worken'Bump,pulley inrurmadoa.
I um an'onpluyer that/s providing nvorkrra'rumprararlun Lesarallee/or my empluyees: Bdaw/s the polley and job rinr
inforaratfon.
In.wmnce Company Name:
i
Policy J or Self•ins. Lie. 4: Expiration Date:—
'lob Site Address:
Attach a Copy of the workers'compensation pulley deciaratlan page(showing the policy number and espiralloa data).
1-giluru to secure cuverago as required under Section 25A ot'%IGL c. 152 can Iced to the impositian of criminal penalties of a
tire rip to i 1,500.00 onrl/ur one-year imprisanmen4 as well as civil penalties in the torte of o STOP WORK ORDER and a lira
of up to 5150.(10 a Jay against ilia violater. Ile advi.rcd that a copy of'his alatumant may be furwarded to ilia Office of
MA lur insurance coverage vcriticatiun.
/da/rrreby certify uudrr the paint mtd praa/t/e.r of periury r/rur rho Ltfannm/mr provided above iv true uud earrece
U//icru!r�,e'ruly, n.,nor writt is t1tiv area,to At cuntyleted by riry ur town.,fciai
City fir I'u+nc I'crmiulAcceae i
I„uing.\uilwrily (eircla unc):
I, lfuard ul Mulih 2. Iluilding Ih•parhncnt I. ('ilyi fawn C'Ierk f. P:Icctrlc,il lo,pcvtnr i. Plumbing Intpectar
G. Other
l'unl.i.t P:nno:
CITY of Sm-Ems, t1 LISS,WHL:SETrrs
tat;LLDLVG DEP.1RTlF.V
T
I ia 12
0 vv.uHGTON
TUBT
N
S
r 1rhZOOR
T1?f. 97 7
� � s9s
KI%CHte.RLBY OVWOU FAX(978) 7 i4.984d
MAYOII Moxs ST.PtEus
DIRECTOR OP PL 8L1C PROPEETY/ataZLNG CO101tShcON EJt
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
rn accordance with the sixth edition oPthe State Building Coder 780 CUR section III.J
Debris, and the provisions of MGL c 40, S 54;
11 Building Permit M is issued with the condition that the debris resulting from
work shell be disposed of in a proper
1 11. S I JOA. ly licemed waste disposal facility as defined by NIGL c
The debris will be transported by:
4110CUnCIOU121r)
The debris will be disposed orin :
-A- -C
/ - �
4-Me
or ac+h-1ly) ,
)0
Iiddrers or rja+luy
C�
+iyn�nua arpermit �pplic,nt
�'f�+a
�n�o�a� �i�acQa
Office of C Affairs and
Reguisfim
10 ParkP1am-Sujjr,5170
Bow 02116
Home improvmatCoa °r R4mrafion
-- ROOMONOW IBM
Sul
A.C.CASTLE CONSTRUMON C t
YT
BRIAN LEBLANC
9 TIBBETTS AVE
-DANVERS, PAA 01923
}
Cl AMM, -p smtwA pMMOMment ❑ �atC�rru
3CR1 0 011Md+NOGt"06
s re111111111111a.�..m�
tKMHwqtGVEMWrCGMUtRCyM oWweqfC=w=wAffwm=dRwmmRmWAaum
famumewc.-Apam > laratrkrbm-sm'e511
adz comomma
A. . STLE
r?-=_-
9T(BBErfSAVE - �„� o { aaGdwitlmnt
pA(aVERS,MA DA9P3.,,:<,;; :. Qwla�y
%lassachusetts- Department of Public Safeq - -
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 54882
BRIAN A LEBLANC
9 TIBBETTS AVE
DANVERS, AAA 01923
Expiration: 9/17/2013
('o nun issiune�. Tr#: 1288
11-0026W46
Tftwm amtt,mreCpodt=eutcwskmy a
lotmffo=upwiwwsdewardHeamTmgm in
Construction Sammy and Health
Brian LeBlanc
"Ralphnel.d 25782 4i2o/z011
(Tmhw name-print or typ)) (course end dare)
Data, 11110 ,IWA4 -
ACORLL
CERTIFICATE OF LIABILITY INSURANCE 11/1V2011
THIS CERTIFICATE IS ISSUED ASA MATTER OF WORNATIOM ONLY AND CONFERS ND RICIOS UPON THE CERT11'HOLDER THE
.rEDMp=AFFIROMMMyCftkMAWayAkMe EXTEND OR ALTER THE COVERAGE AFFORDED SYTW POLICIES
BBRFOWMRS CERTIFICATEOF NSPM40E DOESNOTCONSTITUIEACONTRACT BETWEENTHE * S AUTHORZED
REPRESENTATIVE OR PRODUCER,ANDTHE CERTIFICATE HOLDER.
IMPORTANT: Ntl¢ ahoHc'saoADDR10NA1.0491R®.16eP Ims .,dnrxd. NSUBRONOWIIISWANFD.Sdjdim
matama am amu mmclue pa".sedan pdd-aw re�e a a rmduse�_ ASfate�m aea63r�eoec eLL mderd�smeie
amllicate INHer in im1 of save midmsmnmd(s).
PRODUCER xt� FA774.3581
Tarpey Insurance Grata RIc 978.774.8090 a 978.
491 Maple St (Rt 62)-Suite 304 Aorae�s:
PO Box 193 0 00006340
Danvers, RA 01923-0393MIMI)
alvmaeA: Nm+tillrs Insurance Co
A.C. Castle Construction Cc-, Inc. eNwaee: Arbella Protection 41360
9 Tibbets Ave msllalc: Continental Casualty
Danvers. NA 01923
A�LF:
COVERAGES CERTMATE Numom 2OU-12 REVISION NUMBER:
THIS tSTO CERTIFYTIV)TTHE POLMES OF INSURANCE LISTED BELOW HAVE R® �TOTHEN91tEDNAYEOABCVE FOR THE POLICY PERIOD
INDICATED. NowniSTANDRIG ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEDTTOVBIOI THIS
CERTIFICATE uAy&E Is%=OR uky ParrAIN.THE U*RMAHrE AFFORDED Sy THE POLICIES DESCRIBED T®tBVl IS S11BJECT70ALLTlE7HtMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-UNITS SHOM MAY BEEN REDUCED BY PAID CLADLSam
�m
TYK(IFINSUPANCE enn YIVD �cemm- UMIM
000.001
r ENStAL ABINT NN14881 07/2012011 O7FLW2D12 Fsn+ocaaaa3N[E s 1,
' a S0,
X I NaarCwL GElERAL UNmnY P�5 omnemm
aAaaawg X❑omR. PErAMM L a am Pa RY S 5
A FeasaauaAOYvuRY a 1,000,
saamAGc;;Ew7E a 2,OD0,
rs)LAsdEw>E LBAroFPLES Pvt tammcls-mwmPacs a 1.000,0 _
rcuCY M Loc f
mnamaEun�nr 1091 0T12B/m71 07JRBPlD72 CQkiaNBDSIES MMMM f
ANYANO BOOLY aaanrlP«+t ) s 25O,
ALLOYMa3Aum GODLY WRY OW N=d ) a
PROPEalY DAUPZE
B X saEw).®tyros IFa,�mo f 200,
toEO tyros f
rulowr¢aanos s .
Ulu iiMAUa8 OfAR EACHOCGOIRSCE f
Etta UN! QAP,GfMDE Ib(aEwlE a
3
DEmA:f®LE
a
rETFRraaa f W� tea.+s X
�fommmwveHOILIT 65591E%38L4161O- T1/1SQM1 77I13P21172 -
AIIDE)&LwtoaPABLIIY YIN ElFAt]IACCa]EiNI i -500.000
OFFca B+eER�CUfiVE ❑NIA FL DISEASE-EAMPLOM a 500
,000
1ry�yMqtlmyFNif
1OE9QePrImV OF�OPErrA)IONS aNwr ELF-PQJLY Laar f 500.
BEBnBPn 5j0T AXI0Im ILBCA=WIVG=W PftI&A=Wtm.Addlbn110am•dmadMie.amomapa[eYrtaieq
CERTIFICATE HOLDER CANCELLATION
FAX: 978.777.7750 - SHOULD AIRS OF THE ABOVE DESCRIBED POUF BE CANCEL.®BEFORE
THE EIRRATEN ORTE THEREOF. NOTICE MALL BE DELIVERED N
11111t THE POLICY PROVE -
A)ILIIOB®I✓i�PRBIfAYNE.
01ACORDCORPORATION. All rights reserved.
ACORD 25(2008T08) The ACORD name and logo are registered marks.of ACORD
Vropoal
ncD
BBB F y� A.C. CASTLE CONSTRUCTION CO. INC. u J
T: l
.• MSER�. ` 9 Tibbetts Avenue rME
✓�/ '��l Pr 1 / 1y ' Danvers, MA 01923
Telephone (978) 740-5140 • Fax (978) 777-7750
Brian LeBlanc, President
Unrestricted Mass Builders License No. 054882 Contractors Registration No. 117846
PROPOSAL MITTED TO ° PHON o f7 .2 /b DATE
STREET JOB NAME
t
CITY,STATE ANDe21Pcb0E JOB LOCATION
1 �
ARCHITECT DATE OF PLANS JOB PHONE v
P(J�C�Opn05e here o furnish material an �a�b/p/f//I coompplettee in a ordance rth speci ca for the sum of:
/�r \l\'>'`0 �� 50W Mill(41 r ° v��f�li —_ dollars($
Payment to be as follows: L
o � � 7i
NOTICE: All home improvement contractors and subcontractors engaged in home uthorized
improvement contracting unless specifically exempt from registration by Signature:
provisions of Chapter 142A of the General Laws,must be registered with
the Commonwealth of Massachusetts. Inquiries about registration and 'Ag
status should be made to the Director, Home Improvement Contract Note:This proposal may be
Registration,One Ashburton Place,Room 1301,Boston,MA 0210& withdrawn by us if not accepted within
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
A ROOF STRIP
We will cover the siding, bushes, and grass with Blue Tarps in order to protect the property during stripping.
We will strip all of the layers of roofing and remove all protruding nails, screws, or staples.The ice and water shield will then be it
at the bottom of all edges, under all step flashings,around all chimneys, skylights,and into all valleys.
We will install 15 pound felt paper onto all other areas of the roofdeck.The 8"aluminum dripedge will then beiggalled 11 r
Any existing pipes will be covered with ne rubber fla S. 7 Al V`� ��
The roofing material to be used will be �J�0 7n <���C P �/ /
All the detins will-be cleaned and-dumped dn'a-dailybasis.-Magnetic-b o swill be used to extract all nails fr n f z poPe+t1�
We will protect your property as best we can however some foilage matting, breakage, or marring could occur. We cannot aceep
responsibility for possessions inside of the house,or debris falling into attic areas. Customer should protect personal belongings.r
EXTRA WORK IN WHICH A COST IL BE A DED TO THE ABOVE PRICE.
Replace Rotted Roofboards�17 Install Aluminum Gutters
Relead Chimney(s) � Install Aluminum Downspouts
Replace Facia Boards Install Skylight(s)
J
Install Ridgevent ,f��. y Rotted Roof To Wall Flashings
Install Roof Louvers _ Gutter Repairs
NOTES:
�P 1(v) 14 1— l o
l -of v T PLIVfC i
6 J
61IF- fJqup
We ran y manufactur to be free of defects fdO t ' �ars,se anufactureii warranty for exact warranty performance
All la pert r under is contract shall be of good quality and free from defects not inherent in the quality required or perm
a pe lod of year his warranty excludes remedy for damage or defect caused by abuse, modification, improper or ins
main Hance, impro operation,or normal wear and tear under normal usage.This warranty shall be limited to the work perfoi
A.C. C ruction Co., Inc. and limited to either repair or replacement by A.C. Castle Construction Co., Inc. at its'sole di
and election. Any and all claims are waived unless made in writing to A.C. Castle Construction Co., Inc. within 21 days
occurrence of the event giving rise to such claim.This warranty shall not extend beyond any limits imposed by applicable law.
Payment and Penalties- Upon substantial completion of all work under this contract, customer shall within 3 days make final
payment of the contract price. Any and all unpaid balances shall accrue with interest at 5% interest per month. You agree tc
court costs and collection expenses incurred by A.C. Castle Construction Co., Inc. in the collection of any amount you owe ur
contract, including without limitation reasonable attorney's fees.
Arbitration -Any controversy or claim arising out of or related to this contract, or the breach thereof, shall be settled by arbitral
the American Arbitration Association or a mutually agreed upon third-party. Any judgment upon an award entered in arbitration
entered in any court having jurisdiction thereof. This section shall not apply to claims of A.C. Castle Construction Co., Inc. for a
of past due accounts owed by the customer.
ZItteptante of 3Pr0po9;a1 -Signing this proposal means you have accepted all the terms as stated.
Date of Acceptance Signature
Oct 01 11 07: 25a Brian LeBlanc 978 777-7750 P. 1
03/19/2012 14:10 9786833147 PAGE U1/U1
ACCORH CERTIFICATE OF LIABILITY INSURANCE
to d 11
TMS CER SIMONE IS ISSUED AS A MATTER OF INFOFMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFOWATIVELY OR NEGATAKLY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERRRCAT'E OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING MURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
;mPORTANr I the comOFate holder Is an ADDIIKKAL INSUREDF the POECKtS)must be aWOreed. M SURROSATION IS WAIVED6 subject to
the!arms and condl6ons ofthe poBcy,certain policies may mquln an endoreennnt. A tfMftmeef on tma ee tffiMo dnea not cmfor Aghl&to Bhe
cortU6oaft holder In 0eu of such endorsenentl •
PROBICm
Ape:
M.P. Roberta Ineurenca Agency PMDeQ
2060 Osgood Street
North Andover, MA 01845 PW.UQER 3061
-qUs20mEaEOI:_ ----
INSUIlRI&IAFFORDIlGCOVBTAGE .._._ .—..RUIR:e
IN&IIIEO 1 Ran:AElantic_Casual _Insurance_
-
=REX COUTURE Rae:Hartford ItlmauTIIIC®
47 BELLEVUE AVENUE
f1AVERHILL, NA 01830 IFauncR,b: ... .. .. .
JIB mE:
I 0. I
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER;
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BE LOW HAVE BEEN ISSUED TO THE INSI.REO NAMED ABOVE FOR THE POLICY PERIOD
INDICAT®. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WRH RESPECT TO WHICH THIS
CERTIFICATE WAV BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICES.LNrT8 SHOTMV MAY HAVE BEEN REDUCED BY PAID CLANS.
ysR . .. . . .. ASS..y� Cum MikY FF "cll ..tm . . ....__LIMT.
.....
Tq TYPEEIi INSURNWE
OENaAL UAsurr FAONoccu s Sa00D.000 ..
X COLnIERCMI GEtVEWLL1eanITY PRFi A= ,,, S 500_000
A CU.NSAIAM UOCCUR L118000620 3/6/12 3/6/13 MICRO Nhe..Poem) _ a 15,.000
_ I PERSONAL&ACV Iwumr S 1 000,000
GENERAL ACCREGNTE ! 2,000 009 _
'GEN'LAGGRECAW.LMTd LIES PER I PRODUCTS-COWOP AGO a 2.D O 000
POLICY M MET
" LOC e
WTONONLE WDIIIY I COM1HMEDSMGI,ELIMR &
(ErealmNl
MYAUID •— _•
eODXr RUURr IPer wam] 8
ALLOMREDAUT09 -
9eHE°UI.EDA=S BRp INNb LPN eeNtlenll i
vROPERrr afnaGe s
I•rRFD Al1T09 ',PerxrbwnR
NANO WINED AUTDB . �
--t
VOED
AMW wwe OCCUR EACNOCCURRENcEMESS UAa aAFJ_Ix
UCMLE
ETENTION F
B xe DRFN�vI�L�UA�I'm EAL
YlN GS60UB071SN130 5/5/11 5/5/12 f CET OTH-
ANYPROPRIETORlPlnnanEXECUTNE .EKHACGLEM 1C0,000
O ICV A6M ER EOLCOEDr NIA
awmawl In NNJ E.L.DI&FASE-EA EWLOYEE & 100,000
MYYGG.CAPbP VM9'
DE9cRIPTIDN OF PE TWNB 0LOIS EASE-POUOVLIMR & 500,000
IESCE&PTON OF DPERA7rDN81 LDC/LIONS/VEMCtYJ (AlmnI ACORp TeI,pAAeeAJ Renwae SeMJW,tt Taw ePwlengJPM1
F-07B-177-7750 -- A C CASTLE CONSTRUOl'ION CO. ,INC.IS LISTED AS AN ADDITIONAL INSu RED
GINNER IS NOT IN=DED UMER THE TOORPIDRS COMENSATION COVERAGE
HOAXERS COi�EIVSATTON CERTIFICATE WILL BE TSSUED BY THE INSURANCE CONpANI
CERTIFICATE HOLDER CANCELLATION
SHOULDAW OF ME A90VE BESCROMB PO JCEB rat CµC¢LLED BaFpgE
A C CASTLE CONSTRUCTION CO.INC TRr EXPIRATION DATE THEREOF, NOVICS WILL BE DELIVERED N
ACCORDANCE VATN RIF POLICY PROVISIDLN.
9 TIBBETTS AVENUE
DANVE�RS, MA 02923 AtrtNORdW RIPIa:&ENTATVE f
019119300E ACORD CORPORATION. All rights reserved.
ACORD 2$(2009109) The ACORD Raffia and logo an reglatered mart of ACORD