The URL can be used to link to this page

22 PRINCE ST - BUILDING INSPECTION EI'T'�QF� PUBLIC PROPERTY DEPARTbIENT KCINamu sy DRISCOLL MAYM 120 WA"NC.UW SIREhT•� SAL.Ex SL&AncstLst-rls 01970 Tr7:970.715.959E•Fex:97&740-9s46 APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: jC-144 L' Building: Property Address: ,2. QRiA)c F ST s Property is located in a; Conservation Area Y/N Historic District Y/N 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land ' Name: ftCHPEL WtAUGALjAl Address: ).2 Telephone: I —r 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition f3ACR Existing Approximate year of Area per Floor (sf) Renovated construction or renovation of existing building New BrW Description of Proposed Work: TNRe-e _c i rst/ Y5 ;F-,v VZ-gT1e eJ ,A IvD Nit✓ DDIsf3L� �ourZ IArnyl_ W,LL 13,e Z15r,14Z& d/✓J,,Re �vUSE , Go;L Mail Permit to: Ct✓ - - What is the current use of the Building? If dwelling.how many units? Material of Building? Asbestos? Will the Building Conform to Law? r'A0 ja AEI L Architect's Name Address and Phone Mechanids Name A"JS r� Address and Phone a &9 S 3 Construction Supervisors License f< oQo 3a HIC Registration 0 ! Estimated Cost of j $ P L1_ o o PertnI Fee Calculation Permit Fee$ ZZ Estimated Cost X$71$1000 Residential Estimated Cost X$11/51000 Commercial An Additional $6.0o is added as an Administrative charge. Make sure that all fields are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to build to the above stated specifications. Signed under penalty of perjury /` Date —� N 3 os '° a a 0 L L a � s �a96a -- - w -- 9ka 2008-08-07 18:03 FAUSTINO 19785353984 >> P 2/2 MEWS CONSTRUCTION «C 34 Jennings Circle '-'-- Peabody, MA 01960 978-531-0811 PROPOSAL PROPOSAL SUBMITTED TO:/ JOB LOCATION: Michael IA4eGleugh /fc Lq:)6 1,N/ 22 Prince Street 22 Prince Street Salem,MA 01970 Salcm6 MA 01970 508-9624800 Fax:979-745-1611 WE HERE BY SUBMIT SPECIFICATIONS AND ESTDdATES FOR: Three-eighths(3/8)insulation and new Double Four Market Square 044 vinyl siding will be installed pm the entire house.The trim color will be white and vinyl siding color will be chosen by the owner.Jay janel will be installed around the windows. Also;all faeerboards will be covered with soffits and aluminum coil.The existing gutters located on the fl•ont of the house will remain;however,new gutters will be installed on the beck of the house. Lastly,all window dim will be completely covered with aluminum coil. S14,o00.00 •Insbdlatlen of Payments: Payments will be paid in thirds.The first third will be paid before the job begins.The second payment will be given in the middle of the job.The last payment will be given once the job is completed. *Permit fees are included in this proposal. •Mdo's Construction is responsible for cleaning and removing the debris at the job site. "Labor warranty for S years. •Melo's Construction will present evidence of Insurance prior to the work start date. WE PROPOSED hereby to materials and labor-complete in accordance with above specifications,for the sum of FOURTEEN THOUSAND($14,000.00)DObJ ARS Signature: �Zv✓`'7dCPP FAUSTINO MELO DATE:MOS-08 ACCEPTANCE OF PROPOSAL: The above prices,specocatinns and conditions are.ratisjactory and are hereby accepted You are authorized to do she work as specified,payment will be made as outlined below. Payments are to be made as per requisition and or invoice. 7 The proposal may be withdrawn within 15 days. SignDuur. iz o Liberty Mutual Group Liberty P.O.Box 9090 Mutual. Dover,NH 03821-9090 Telephone(800)653-7893 Fax (603)-245-5330 December 7. 2007 FAL STIN O MELO 34 JENNINGS CIRCLE PE--',BODY, 2\U 01960- RE: Certificate of Workers Compensation Insurance 4 Y "j Insured: MELOS CONSTRUCTION LLC 34 JENNINGS CIRCLE 3 PEABODY, MA 01960 Polic:\un,.e r: NN C'_-31S-338762-017 Effective: 12/4 /2007 Expiration: 12/4 /2008 i Coverage 2fforded tinder Workers Compensation Law of the follo wing state(s): I\U Emnlo:ers Liabu (Lnn tsl: Sole Proprietor/Partner Coverage Election: Bodily Injury By Accident S 100,000 Each Accident Bodily Injury by Disease: S 100,000 Each Person Bodily Injury by Disease: S 500,000 Policy Limits i As of this date,the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions, and is not altered by any requirement, term or condition of any or other documents with respect to which this certificate may be issued. Tl-_< cer_=cr:tc is i ,'d as a matter of information only: and confers no right upon you, the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date, Liberty Mutual will endeavor to notify you of ` such cancellation. 7 AUTHORIZED REPRESENTATIVE 7 LIBERTY MUTUAL INSURANCE GROUP t This Certificate is executed by LIBERTY MUTUAL MSL'R.4\CE GROUP as respects such insurance as is afforded by(hose companies. 1 cc: Insured: Producer of Record: AIELOS CONSTRUCTION LLC B K MCCARTHY i 34 JENNINGS CIRCLE 10 CENTENNIAL DRIVE PEABODY, IL-1 01960 PEABODY, MA 01960 i'-l�Ict)07 - r Client#: 13844 MELOS ACORD- CERTIFICATE OF LIABILITY INSURANCE 03105108DATE VWY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION B.K.McCarthy Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C=_niennial Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. -aabody , MA 01960 C7-5 532.5445 INSURERS AFFORDING COVERAGE NAIC# Melos Construction LLC INSURER A: NGM Insurance Company 14788 INSURER B: c/o Faustino Melo, 34 Jennings Circle INSURER C: NSURER D: Peabody, MA 01960 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .4INSIR ADD'LTR INSRN TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATIONDATE DDIYY DATE MM DD LIMITS A GENERAL LIABILITY MPB23862 11/26/07 11/26/08 EACH OCCURRENCE s500 000 X COMMERCIAL GENERAL LIABILITY OAMAGEMSE TO fE RENTED $SOO OOO CLAIMS MADE O OCCUR MED EXP(Anyone person) $10 o00 PERSONAL&ADV INJURY $500 000 GENERAL AGGREGATE S11,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ( PRODUCTS-COMPIOPAGG S1 OOO 1 OOO POLICY PRO- LOD A AUTOMOBILE LIABILITY M9H43926 109/21/07 109/21/OS COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X AUTOMOBILE AUTOS 1 (Per person) $100,000 X HIRED AUTOS 1 ii BODILY INJURY $300,000 {X (NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $100,000 Y) (Per accitlenp + C-RAGE LIABILITY AUTO ONLY-EA ACCIDENT S -,TO OTHERTHAN EAACC $ I I AUTO ONLY: AGO $ ?c13M?RELLA LIABILITY EACH OCCURRENCE S _ ii.LAL:$.,:A} j I AGGREGATE $ _ $ RETENTION S $ k OTH- i WORKERS COM?ENSA,TION AND WC STATU- I EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ R yes, a under SPECIALAL PROVISIONS E.L.DISEASE-POLICY LIMIT I S OTHER OESCRL NCN OF OE=H--TICSS t LOCATIONS I VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT t SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION For Insured's Purposes DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _11L_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 Of 2 #56435 RBU © ACORD CORPORATION 1988