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92 ORNE ST - BUILDING INSPECTION 1 - -- � - -----_���� fhr (��nnin�,n��r:�lth ul 11�s+arhu.rtu � � � ilt �� li�,�r� ��I liuil�i�i� Krgulauun, .in� 5i.�nJarJ, ' �II `It II' �I I I 1 �� l �y ; \l:i.s�chu.rtt+ ti�at� I�uilJing (1,J�. 'SU ('�1R. 7n� ��iti�m . I i �I I � ..�.' . . . I �. '. . 13uilJin,� i���„��� :��,�i��:���„�, r„ c�„�„u��.�. tt��:,��. iicnu��tr Ur I)rin�,li.h .i K� � �,� J h����„�, � illnr ��rTn��-l �in�ilt l)nrlliii� I l _,�r:,�' l�hu .1ri uun Fnr l)flii ial l Se l�htly �------_—_._._. • � � � I)wl�mg Prrnu� Vumh��r ----- f)ate .\pplirJ: _ ----- --. _ . ., --- - � � � �l � � ,�_,,.,���� __ -- /��_ _ -� ----- --- 9 �- - -- ,__� I HwWmf C��imm�.iunrii lin�x'. ur��l ISwlJing� Udir .� r st:crii�� i: �rrF: i�tu►e�t:� ru>:�-- ---- - - - � � Ll Prnperl�� \ddress. � _,� I 1�' .\.sr�surs �lap & Yarccl Vumbcr+p0� —��_pCZ./�!�__� ��_�-- s.� _ - -Z�-- _.. 3_ i - / \i.ip �;'�uinhrr P.u.il .\wiihri I.I,i (� Ihi�.ut .iirepltd >Uref7lr>_y n��_ _ —__� F--- i � 1.a Pro rr�y Dirornsiuns: I !.3_"Lan%�q lnfornw[ie�n:�s, d_ "�.�� — P ---- - - ��—�-—ai�-w-�.ti i IZ n nE Di ir �t Pr � .•d Uct �Y 1�'L I Lut Arc��+y �i� Prun�agc i li i � I i.5 Building Setbacks IfU � � ---I � � Fonl Y'�rd . SiJe Yards Rru Y:ud i . ' Rcyuucd i Pru��idrd Rcywrcd Fru�idcd RaywrrJ � Piu�iJrd ' �___—'— J _� I.ti ��'ater Supply: �M.QL r. 10, §51� 1.7 Flood Zone Informatfon: 1.8 Sewage Dispos�l�tiy�s[em: . ��. - Zune: Outside Fl�wd Zone'' �ti���ii�r�l ❑ On +ne IIIS�N�IJI tiy.��•m ❑� �Puhlic ❑ Prnate O -- Check if yes❑ - - . SECTION 2: PROPERTY OWNERSHIP� � i.i t:n �:r;ut9Fe�o:�: - �7 ; C9-��.�'—•-`.�L�C-s 2,.UE �?�e.� �-1��. Namc i Pnnn� $� '3 Addres� Yor Servic.� I �k'- '7�l—�zf-Q��=`j-L���u Siensture Tclephune LV � WC�R.�, 5ECTION 3: DESCRIPTION OF PROPOSFD WORK�(check all that upply) ,� Naw Cun�iructi�.ro ❑ Existing Bwld�ng O OwnerOccupied ❑ � Rep:urylsl ❑ Alteraw�nl,l ❑ :\JJun�n ❑ Demuliiiun ❑ Accessr�ry Bldg. O Number ul'Uni�s Otha Spruiy _� � Brier Descripu��n��Y PrupuseJ Wurk�: ��Tv��' a:,. rF Re� �� i' n a�-�- W Y�__. � — ---- — � r SECTION J: :5"TI`-1:�TED CONSTRUCTION CUSTS , E,tcmated Cu,ts: � � nem <)�cial Lsc Jnly � i i(.�hur anJ �iarcnab� .- ---,------ - -- -- � 1 I BinWui� -i I I. [3wW�ng Permit Fce: 'S Indir��e h��« fea i, �etcinuniJ�. � � ❑ Siandard Ci�yll���«n :\ppliraunn Fee ?. t{lecinral 5 ❑�futal Pm�ect Co�t' I Ircm GI t mulhpher - t - ----.- t. Plumhing � � _'. O�her Fees: 5 � I�1.�ktrr�ham.al iH�'AC� S Lut � —�--�-- --- . , 5 �fr� ih;inir:d �Fire j —_., , �------ - ---- . . ._ . � . I �uPprc.,inni � f�nal :111 Fet,: 5 _ . �� l�htrk N�� l�heiA .\m��unt _ _ _('.i•h \nnwnl . ; b �utal P�ujcct Cusl� � �Q OC�C7 ' i ❑ P.iiJ in Full ❑ l)ubLin�ing R_iLin.r I�u- ---. - _ - - � � �j;000 �� = ZS'o-+ s ; Z45 � . � -- -- - ---- ' , . (.—;_—. ,F:�' ric�v ;: a��r�rH� rrion� si�:H� �� Hs - - '.; - — --- ----- _ _ .. � S.1 i.icen.cd ('uustructiun tiuprn isur I1�51J-- - II.i�:n.a \niuh:� i.y�u.:i�„�n I�.tl: ' � � - i . __-. ._ "_ -__ "'___"____'_--_ - _- , ' . . � \.unr ,�l l'.I. II��Wri .. . .. � . . . .. I � � . I.i.l ('SI. f��x' �.ri h:lu��i _ � . __ ' _—__ '______ _— "'__'_ '._—''_—_ —.i \,I.:ir.. I�„r I)i..ii I;��n' _.___..-_ __ _ ._. ' . �L_ - ._l_____ ' �_l IIIi�.IniICJ �i1�l��_: INIU( u I'_"___"_ .._—_- _ - —• II _ __. _�" _ . _ _ ._ '_ ______ __-__ ' N K:.un�.:� I,�' F.muh 17 iliu; . 1i_u.nurc h --� —..� - -----. . . . -_.. i ' . , . . � \1 i \I.nonn �lnl� ' �� �._ — — _- -- __ -- "___'__—_.. _.. _' : ____—__"' __. ___._ � _..Hl-' H:.iJ:iniallt,�,�lincl',��.'i�nc . � ' ___'L. .__— ..�._ .__ . . . _— . . . ___,,. , �. I�rl:��h��nr '. ' .' ' —.� . . � �\1l� H i 1�nii.il N ����� . i I �. I ii_ ._ ' �', ' . l __ ._—� . _— _ — .. -"_ . _ ...__ _ . _ .. ' ' lF ��—Ri.i.l:nn.�ll,�li.l l �ir! 14�,uniii`\��il�.__i�r In_.i.dl.in,.i� � . I �� D I �<:.i�:wi.�l I).uinl .n�n .. ___.__' __.. _ —'__.' �I � 5._' NeKi��ered Ilome Impro�emrnt Cuntrnc�or illll'1 T � ��. I . i ill(�(���m�.m� \�inror I-IIC Rteulr�nl .Vame -- _'-_ -__�� . ____R�� i i�n��u \un�h•�'_ _ __ ._ I � � ' I I ' i i \d�n�. �. �. .___--___- - — ___--__._- I�.��u�wm-'l).i�r - . I .�. � ' �iKnawic !�rl:Phuur � , �. F—__ i I � SECTION 6: WORKERS' CO,�IPENSA"I'ION INSUR:�NCE :�,F'FID:��'IT�:�I.G.L. c IS:. § 'Sl'16�i � I L__ � � i SVur6n�,C��mpensauun lnsuranee�IiiJavi� inu�t hr r��inpleteJ ;mJ ,uhinintd ��ith tiu� .ipF,h�.m��n. F:ulurr i�� �,i���nl.� �. ih�s .{r�i,�cit �vi�� rtsult in the denial uf ihe I�suance rt the bwlJing prrmi[. j I----- - � -- -1 � I .. . . . ._ . . ' � , ���ni�r,i /i;f�,.i:�vn :11fached7 Yeti .......... No . ❑ SpR_. e�.-i�d. � ' �- ---._._-.__.. _— � j �ECk':<)td '>m: C?�W'NER :�UTHORIZATION TO BE COM1IPLETED �ti'HEN � �t)WNE.R'S A�ENT OR CONTRACTOR APPUES FOR NUILDING PER�11T ------ : !. -----�D�s1ei—�.�._��,p ---- __ , as i;«ner nt the >uh��xi prnperty hrrrby i � :.u;L,.r .r _____.�i2Lr..1!�n__GI�.��L'.�-_- .. h; �ct �.�n mv F.ch.,il !i� .:l; iu,�itcra . ' .. . _-_-_-..__ ._. . : , i .._tr.� �.::� �... .,, auth�v,zra by :!:is bu,lalir:g perr,iit ,ip��iir�i���in. .. . . ' „�� � �J17��+ i ._ _._._ _ _____. _ _-.- ._— _ _. ____ _ __ __ . i � I ln:nalur� ul �)�.nar - Da:t . . . . � �� __ SECTIOV 76: OW'tit�.R� OR :�UTIIORIZED AGF,NT UEC'L:�IG�'I'ION _—� � -- , �_. � I. �Q�R,�� �, ' J �� . .�< O�aner ur .\u�h�+ritcd .\�cN herehy JrrLirr� . I that the stuemeniti :mJ infircmaiiun �in the lure�uine applieauun ,iro Gue and a�cur:ue, tu tha Sest ��t nn I.n����!cJ�r .ind I ! hrhalf. � �- , I I _ �Zo�z--�—����------ ---- � ., ��-�„'��-��_ - - ------- ; tiicna�urc iif U��nrr ur AwhoriirJ :��cui Uatc . � iSi��ncJ undrr dte �uim �nd naltics ol prrjury�l � . --ti I . --- NOTES: � � . i 1. :\n(���ner ��hu ��Ma�ins a,bwlJing pennit dri�.i hi./her��wn ����rk. ��r :m,nvnar ��h�� hire+ .in unrc��i.ir�,J ��,mr:i�i,�r !� I ' uun rcgi�tcred in ihe Hume fmpnnement C��ntr:ici��r�(Hf(�) Prngr:iml. uill ren! h��r arre„ n� the .irhnr:iu�m . � j pr�,,•r.im ��r �u.�r�ntv fund under �1.Ci.l. c. 11'A. �hher irnpnrtan� inl�mn�nnn nn the !11(� Pr��,�r.�m .�n� � . � � (`��n�uuru��n 5uper�u,�r L�crn�inp �(�.tii.i r,in he f��unJ in 'RQ('\IR H�gulannn� I IOR6 ,in� 1 I11 K>. rc.�,e.u�cl� � --� _ " ��4'hen .uh.�iann.il �.urk i� {?lanned, pr,n i�e the inli�rm�w�n heiuw . . � -���tal tl���vs .�rra i.tiy. Fi.i _ imrluding e�r�ge. fim,he� hJ�CI11C111/Jfili�. .Ir.A. ,�r �„�rJv � ' (lri�,n hvin� .irr:i i Sy. R � _ - — H.ihrt,ihle n�nm :uunt - ----_ -- ---- - - - , \wnherrthrrpl.ires__,__ _ Viunhrr ��lhc�lnnnn. ---- -- _. __- -. _ .... ..... ... . � \'�inihar��Ih.iihirn�nt. `,'umher ��lh,il!�h.�ih. ---------'. .--- - . . _. . _ . i I\�,e ,�lhc.iiinss .�.irm ___ _ _._ _._ Vunihrr ,�tJr.A.: �n,�.hc, . . . I\�,r ��l <<i��lin,""irm . __._._. I�r:L�.r� � /��.:n .. — -- - .-_.____ —_-_.-_ ._ _._._ _' } ..I�,q:il Pnyeci Syuere F���,i.i�e me� hr .uh.n�u�eJ n,r -'���i.�l Pr��i��c c'�,.i.. ACORD � CERTIFICATE OF INSURANCE � �U 08ATE(MM/DD/YY) THIS CEHTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEHS NO PRODUCER RH3M5 UPON THE CERTIFICATE HOLDER.TNIS CEpTIFICATE DOES NOT AMEND, EXTEND OH ALTER THE COVERAQE AFFONDED BV THE POLICIES BELOW. FRENKEL 8 CO.,iNC. COMPANIES AFFORDING COVERAGE 350 Fiudson Stteet,4�'Floor " New York,NY 1 W74 �Pa+�' r �. �erren A American Home Assurance CompanY Phone No. 212-08&1858 Fax No. 212�88-0214 ��P� � LEffER B INSURED Bumham Assoclates Inc. ��P^N'� 26 Dearbom Street LEREF C Salem,MA01970 � ' . c�P� LERER D COMPANY lEffEN E . COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAlAED ABOVE FOR THE POLICV PENIOD INDICATED,NOTWRHSTANDIN(i ANY HE�UIPEMENf,TERM OR CONDITION OF ANY COH�RACT OR OTHER DOCUMEM WRH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR MAY PEHTAIN,THE INSURANCE AFFOflDED BY THE POLICIES DESCHIBED HEREIN IS SUBJECTTO ALL THE TERMS, E%CLUSIONS ANO CONDff10N5 OF SUCH POl1CIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CWMS. �p POl1CY POLICV LTR TYPEOFINSUPANCE POl1CYNUlu�EA EFFECTNE " EXPIMTqN lJ1RfS DATE lANDD DATE IAN00 „ GENERAL LIABILT' GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. COMMERCIAL GENERAL LIABIUTY PERSONAL 8 ADV.INJURV EACH OCCURRENCE ❑❑CLAIMS MADE OCCUR. FIRE DAMAGE (airy ore Fire) -' � ❑OWNER'S&CONTRACTOR'S MED.EXPENSE(Nrryoreperson) �hy 4� PROT. ❑ .F1 AUfOMOBILE LIABILITY COMBINED SINGLE ❑ANV AUTO � LIMIT � ❑ALL OWNED AUTQS BODILV INJURV ^ • ❑SCHEDULEDAUT0.5 (ParPerson)) _ '��'�� �HIREDAUTOS BODILYINJURV „� „� �NON-0WNED AUTOS (Per Acci�rrt) ❑GARAGE LIABII.ITV PROPERTV DAMAGE E7(CESS LIABILT' FACH OCCURRENCE . ❑UMBqELLAFORM AGGREGATE � � OTHEH TNAN UMBRELLA FOHM WONKEN'S COMPENSATION �STATUTORV LIMITS q AND Wp5g43g19 10l06/07 10/06/08 EACH ACqDENT $7,000,000 EMPLOYERS LIABILffY DISEASE-POLICV LIMIT $1.000,000 Including USL&H DISEASE-EACH EMPLOVEE $1 000,000 07HER DESCflIPiION OF OPERATIOI$ROCATiONSNENICLESSPECIAL REMS For work performed at Cabot Farm,92 Orne St.,Salem,MA 07 970 _ CEHTIFlCATE MOLDER - � � GWCELLATION SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO City of Salem MAIL 30 DAVS W RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 120 W ashington Street LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPPSE NO OBLIGATION OR Salem, MA 01970 LIABILITY OF ANV KIND UPON THE COMPANV, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESEMATIVE �� ACORD 25S /90 ACORD CORPORAiION 7990 � dcr : Massachuse#s Ir � Bumham Associates, Inc. May 16, 2008 14 Franklin Street Salem, MA 01970 PREQUALIFICATION CERTIFICATE • � N0. B-66-1 Dear Sir: In accordance with the Regulations Goveming ClassificaUon and Ratings of Prospective bidders, you are hereby notified that the foilowing ratings have been assigned to you as of the date of this letter. CLASS OF WORK: „ 9-Other-Dredging MAXIMUM CAPACITY RATING: $ 20,700,000 These ratings wiil continue in effect until April 30, 2009 unless, modified and rescinded in accordance with the Regulations or by Law: In order to be continuously eligible to bid on projects to be undertaken for this Agency, your next prequalification statement should be submitted at least 30 days prior to your expiration of these ratings. Your attention is directed to the "Rights of Contractors for a Hearing" as described in Regulations Govemin�Classification and Rating of Prospective Bidders, Regulations 7.5, Section 4. Availabie at this office are copies of standard "Request for Proposal Forms", for your use; and "Special Authorization for Work Involving Federai Funds", forms which are to be filled out if you intend to bid on work involving Federal Funds. If we can be of any assistance to you, please do not hesitate to call me at the Prequalification Office at 617 626-1347. Very truly yours, ��r� ���' �'�'-� Willie Brown Iil Acting Director Contract Administration and Procurement WBIILrg COMMONWEA�TH'OP MASSACHUSETTS • EXECUTIVE OPFICE OF ENERGV & ENVIRONMENTAL AFFF�IRS � Oepartmen[oF Conservation and Reu-cation j Deval L Patrick � �Ian A. Bowles, Secre[ary, Executive , 251 Causeway S[reet, Suite 600 ,, � Govemor � Office of Energy&Environmental Affairs _ Boston MA U211�-2119 � � � .� 6P-626d250 617-626-1351 Fax ��'4� Timothy P. Murray Richard K. Suliivan, ]c,Commissioner www.ma55.gOv/dcr Lt. Govcrnor Depart:ment of Conservation EL Recreation CITY OF S.�I.E.�1 PUBLIC PROPERTY DEPAR'TtiiENT ��ny���,y nawvv� �� I�W.mun[.�SnEcr�SUF�.Wwa�ort:stTs 019'0 � � 7�1:9'.�73S-9S93� F.vL 97L7�6961� � HOiHEOVWER LICENSE EXE.rIPTION Ptea� Priet � zz d� Job Location S- Home Ownes Address � S Home OamQ Telep6one — — Prmeat Mailins Addroas �3�,rtilz The current ezempdon of"FIomeownecs"wa� extended to include owner-0ccupied dweUing�ottwo Unib or le� and w allow such homeowners w engage an individual for hire who.doa not possws s licensa,provided that the ownar acts as superviaor. DF.FIIQTTION OF HOMEOWNEA penon(s) who owms a parcel of land on which hdshe resides or intends to resida. on whic6 there i0. or is intended to be. a one or two family dwelling. attached or detached structures accessory to such use and/or fazm structures. A peraon who coostructs more than one home in a two yesr period shall not be coruideced s homeownc. Such •�homeownd'shall submit to the Buitding 083cial, on s form acceptable w the Building OfTicial. that heJshe be responsible for all such work performod under the Huilding Petmit The undenigned "homeownd'a�suma responsibiliry for compliance with the State Building Code and other applicable by-lawa and regulations. The undersigned "homeownd'certifia that hdshe undentands the City of Salem Building Department minimum inspcetion procedura and requiremrnb and that hdshe will comply with said procodura and requiremrnts. HOytEOWYERS SIGNATt.'RE � APPROVAL OF BUILDI�TG CISPECTOR ��� See other side for state code �— � _ . 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NC�I� 1� �/�.� �1 �� ^�'�^ ��` 7 . , �, � . . _ 1 � ' � � i _ _ , � . . . .: �. , � - ��G^"1.=-/�i _�/6� . . r � ' � i ZS�-'�S �.AI�'� -- � _�--- � _ + . . J.� - v\ - -�1�(s �i,Gt?".' C .G M� � .. , . f � ..�.:^'�,C�,vr�f�� ,ti . � � 5a �f� I �. �_ . - __.�. � , . ,,p � � '.� �t�. � _�_ .. � z 1c C �i l„ . _{.�, .�.', -- �/ � .�,�a ,-'`� ,___ -- . _ .�-- I ALI.OJ ^^/v- . /.._._w_.._ __ PcPf� �1'r � i�' ' i _ _ ; 51 Q�C�G��Wi7� -' � , � , � �. ».,^r 1 I i �..���°�;�� �i _ �O� ��� Minl I.�Vr I.�II'p � �✓ _. __ _ _--. _ , _.__..__�._ tj 0. G Vq2f�ut - na ' _ —_ __.�_�.� REFERENJCES: � � ----- �---- - _ ' _ , , _.; � __ . __�� ' ! - _ _ I � � , ���Nl�. _f,/�, :=_=� �--- R:e ist of Deeds. /' - --� �I , ' � . Ci�_ �i' � JNl k�lCo Zci� M5 � 9 rY � l op �-i 4,o • _ ._ -- � � � --..:�.�: — � _._ �-- � 14.a �n!?`i.,.., � _.__ ,m„�, _ � - eed p . ��_ i � __._�"",.t..� . . . . . � . \ • w —_ _ _ _ ._ . . �. ___. . � ' �� � � / O . ����� �. �. ^ � i. 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