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3 PYBURN AVE - BUILDING INSPECTION
r + W, j4 The Commonwealth of Massachusetts Department of Public Safety Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building I'erniit Nuniber Date Applied: Building Official _ ON 1: LOCATION indicate Block N and Lot A for locations for which a street address is not available) or No.and SI t City/Town Zip Code Nanre of Building(if applicable) SECTION 2:PROPOSED WORK Edition of NIA State Code used" If New Construction chock here❑or check all that apply in the two rows below Existing Building❑ Repair❑ I Alteration ❑ 1 Addition❑ Demolition ❑ (Please fill out and submit Appendix I) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans dad/or anhstrthction documents being supplied as part of this permit application? Yes ❑ No ❑ [San Independent Structural Engineering Peer Review required? Yes ❑ No ❑ Brief Description of Proposed Work:_ i T f J I u--f. I r Z� SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosexl (See 780 CNIR 34) ❑ Existing Use Gruup(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floohs/Stories(include basentent levels)&Area Per Floor(sq. ft.) Total Area(Al.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-I ❑ A 2 ClNightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E.- Educational ❑ F: Facto F-I ❑ F2❑ H: Fli h Hazard H-1 ❑ H-2 Cl 1-1-3 ❑ 1-1-4❑ 14-5❑ 1: Institutional I-1 ❑ 1-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-1❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and_please describe below: Special Use SECTION 6:CONSTRUCTION'IYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ 11110 IIIA ❑ 1111113 1 IV ❑ 1 VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Chock if outside flood "Lone❑ Indicalc numicip,hl❑ :\ trench will not be Licensed Disposal Site❑ Private❑ or iudentifv Z"one: or an site sh'strm ❑ required ❑or trench or specih':__—_---- permit is enclosed❑ _ __ _ Railroad right-of-way: Hazards to Air Navigation: hn h,",a.. .�i.,i�n1. ,.,11: 1' .. ..-.-- N'ot Applicable❑ Is Structure hvilhin airport approach area? I., Cu review completed' or Consent to Build enclosed ❑ 1 11's❑ or No❑ Yos❑ No ❑ ST:C'1'ION N:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: L'sv Group(s): _ -_ I\'pe of Constriction: - _ Occup,utt Ladd per Floor: _. . Doe., the building conlain,uh Sprinkler Sh stem.': ---- " —_special Stipulations: -_-------- -- 06IJ Gj� SECTION 9: PROPERTY OWNER AUTHORIZA"IION I r Name and AdI Ness of Properly Owner Name(Print) No.and Slre,t City/Town Zip Property Owner Contact Information: Jest- !JM4f - I itle Telephone No. (business) Telephone No. (cell) .-mail address a plicabl - he properly owner hereby authorizes J ' Name S %�i�V, Street Address C\,ity/,TrOw�,i-i / State Zip - to act on the property owner's behalf, in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If budding is less than 35,00()cu.ft.of enclowd space and/or not under Construction Control then check here O and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control _zefN-, CIV L--� - 0631 ,37 Name(Re�i. rmt) 'telephone N . I e-mail ad � Regis=- %:=lion Numb._ r -2— Street Address city/Tuwt State Zip Discipline Expiration Date 10.2 General Contractor ksC&ra ley Company Name �, C'4R X--� e 6 �(/ Name of Person Respt nsible for Cot�structiun License Nt. and Typ.tf Ap livableys o t a ��y �y1 2 rc tdress)/ — City own State Zi rele phone No. business Telephone No. cell e-mail address SECTION 11:lcrnarrs't unmfNsA 110N IN<uI:A.�cr AI1111nvl r M.G.L.c.152. 25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be compleled and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this a lication? Yes 0 No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Ihm Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6)_$_ 1. Building $ DO Building Permit Fee=Total Construction Cost x_(Insert here 2. Electrical $ appropriate municipal factor)=S 3. Plmnbing $ 1. Mechanind (HVAC) S Note: Mininmm fee=$ (contact in ni 'palily) 3. \lechanical Other S E'llck)SC Check payable to 6.Total Cost $ ®,0, © _ (contact numicipahty).md write check number here SECTION 13:SIGNA' RE OF BUILDING PERMIT APPLICANT By entering my name below, I herebv attest under a pains and penalties of perjury that all of the information Contained in this application is true and accurate to the best of nw %ledge and understanding. Pl.ase pri t sign ame.__ Ftitie Tcleph me IN Date - - lei- / tilrcet Address City/Town _tale Zip y. Municipal Inspector to fill out this section upon application approval: _. �/ r/� Nat re Dal. Proposal AB CARNES,INC. Page 1 of 1 30 Arrowhead farm Rd Boxford,Ma.01921 978-887-1431 or781-599-9197 Mass,Builders License No.000230 Contractors Registration.No 100733 Proposal Submitted To: MR&MR$LIMA._ Dam August 22,2011 3 PYBURN AVE Project Name SAME SALEM,MA 01970 Address 978-745-7382 We propose to furnish material and LaW-in accordance with the specifications below: Fifty Four Hundred Dollars($5,400.00) Payment to be made as follows:$300.00 Deposit,Balance Upon Completion Nofire:All home Mprovemenicmhadors and subcontractors engaged in home Authorized improvennntcontraWng.unless spedfcally exempt from regisoatlon by provisions Signature of Chapter 142A of the General tans,must W registered wim the Commonwe ff, Note:This y be wimtlrawm by us if not accepted of Massadiuselts.Inquires about registration and status shouH be made tome Massgoolimses websile. days. ROOF PROPOSAL N STRIP ROOF OF ALL LAYERS OF ASPHALT SHINGLES,COVER ROOF DECK WITH 15 POUND FELT PAPER. COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP PR E ® INSTALL ICE 8 WATER SHIEL SIX EET EAT LEADING EDGE ONLY,'AND THREE FEET IN ALL VALLEYS AND ALL ROOF; PENETRATIONS.UNHEATED t ED. N COVER ALL PERIMETERS WITHEIGHTINCH ALUMINUM DRIP EDGE. N INSTALL RIDGE VENT ANDIOR OAS NEEDED ROOF LOUVERS FOR ADDED ATTIC VENTILATION, N COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS. N REPLACE WALL FLASHING(S)AS NEEDED WITH ALUMINUM OR LEAD AT THE ADDITIONAL COST OF$2S.00PLFT.WE MAY NEED TO REMOVE THE SIDING TO PERFORM THIS WORK.YOU MAY NEED TO HAVE CARPENTER REINSTALL THE REMOVED SIDING. N CHIMNEY FLASHING; CUT ALL EXISTING TAR AND LEAD FROM ONE CHIMNEY(S).CUT NEW REGLET WITH CARBIDE SAW AND SECURE NEW LEAD FLASHING IN PLACE WfLFAD ANCHORS. PROPERLY SEAL REGLET JOINT. PLEASE ADD$400.00 TO ABOVE PRICE. ❑ REBUILD CHIMNEY FROM ROOF DECK UP WITH NEW OR USED BRICK ABOVE PRICE. N COVER ROOF SURFACE WITH CERTAINTEED LANDMARK WOODSCA LIFETIME W RRANTY SHINGLES. N REPLACE DEFECTIVE ROOF DECKING WITH iXB SPRUCE BOARDS AT A L COST OF$4.50PLFT. N COVER ROOF DECK WITH COX PLYWOOD AS NEEDED TO REPLACE OR REPAIR DEFECTIVE DECKING,AT AN ADDITIONAL COST OF $4.00PSOFT. N SHINGLES ARE TO BE STORM NAILED,(USE SIX NAILS PER SHINGLE) ❑ INSTALL SKYLIGHTS PROVIDED BY CUSTOMER,FRAME ROOF DECK AS NEEDED,PROPERLY FLASH UNITS WITH FLASHING KIT(S)PROVIDED, CUSTOMER TO PERFORM ALL INTERIOR WORK. ADD TO ABOVE PRICE. ❑ REMOVE EXISTING GLITTERS ❑INSTALL NEW SEAMLESS.032 ALUMINUM GUTTERS USING THE POSITIVE LOCKING BAR HANGERSYSTEM. N REPLACE DEFECTIVE OR ROTTED TRIM BOARDS AS NEEDED WITH#2 PINE PRIMED,ADD$15.00 PER FOOT TO ABOVE PRICE. ❑ INSTALL NEW ALUMINUM DOWNSPOUTS, MECHANICALLY FASTEN ALL CONNECTIONS. CLEAN ALL PROJECT RELATED DEBRIS FROM OUTSIDE WORKAREA.OBTAIN ALL PERMITSAND CARRYALL NECESSARY INSURANCE AS REQUIRED BYLAW.WE T CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS FALLING INTO ATTIC AREAS.CUSTOMER SHOULD COVER VALUABLES.GREAT CARE WILL BE USED TO PROTECT THE STRUCTURE AND FOLIAGE.HONEVER,SONS MARRING AND OR MINOR DAMAGE COULD OCCUR. HAND NAIL ONLY,NO NAIL GUNS.TO BE USED. SPECIAL INSTRUCTIONS: THE ABOVE PROPOSAL INCLUDES ALL ROOF SECTIONS OF THE HOUSE COMPLETE. CHIMNEY FLASHING:THE EXISTING FLASHING IS TOO LOW AND SHOULD BE RAISED,IF THIS IS NOT DONE LEAKS COULD OCCUR WARRANTY-All work warranted to he has of installation defects for 5 years;This is limited to the installed item(s)and theirrepair only.Material warranted by mrg.boa free of defects for 50 years,see the manufacturers warranty for exactwaranty pedommrxe. Customer has legal fight under federal law to cancel this contract without penalty or obligation within four business days from the data of signing this agreement via Priority Mail Delivery Confirmation. Please we reverse side furcancelladon procedures. Once all items in this contract are completed as agreed,customer has 3 days to fNfill payment schedule.All parties agree that all disputes shall be settled by the dispute resolution process on the back of this agreement. Please see reverse side,Dispute Resolution. Signing this Proposal ,you aye accepted all the terms as stag on the front and back of this ag cement. Please sae reverse side. i gg Date of Acceptance Id /" Signature Sig fu PLEASE SEE REVERSE S[DE M Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 100733 Type: Private Corporation Expiration: 6123f2012 Tr# 298405 A. B. CARNES, INC. Barry Carnes 30 Arrowhead Famt Rd. Boxford, MA 01921 Update Address and return card.Mark reason for change. Q Address C] Renewal _ Employment Lost Card Uh<.acMosett�- Department of Pnhlic Safet% Board of 8tiildinL Rergdatiun% and St radar& Construction Supervisor License License: CS 68139 Restricted to: 00 KENNETH R CARNES 8 DORIS ST * GROVELAND, MA01834 1 ._�'� �' unwnhhc 3tnttc IN3UKANLt 1.UnrRMT UU)uoub-UU WC 002-50-2480 13102 ----- ----- - - 013-66-0311-10 A B CARNES INC CHARTIS RD BOXFORD,MA 019211-0000 A Chartis company EXECUTIVE OFFICES: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 17S Water Street New York, NY 10038 I.D# MA Ulf- PRODUCERS NANIE AND ADDRFSS JSALEAX. INSURANCE AGENCY INC WORKERS COMPENSATION AND EMPLOYERS 449 LIABILITY POLICY INFORMATION PAGE MA 01970-0449 INSURED IS pgEy101u POLICY NUMER CORPORATION RENEWAL 002 02480 OTH ER WORIU ACES NOT SHOWN ABOVE: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WCW0610 ITEM 2 POLICY PEROD 1201 AM itendard Hme at the irmured's mwano address fR= 03/31/11 TD 03/31/12 tear a A. Workers Compensation Msuranm Part One of the policy applies to the Workers Comperanian taw of the states listed hers: MA B. Employers Uabllfty Insurance: Part Two of the pansy applies to the work In each state listed in Item 3A The limits of our liability under Part Two are: Bodily Injury by Accident$ 1 ,000,000 each accident Somly Injury by Disease S 1 ,000,000 policy limit i"iy Injury by Disease S 1-000.000 each employes C. Other States Insurance: Part Throe of the policy applies to the atatm, H any, listed here: SEE ENDORSEMENT - WC200306A D. This policy includes these endorsements and schedutes: SEE EXTENSION OF ITEM 3.0. OF THE INFORMATION PAGE - WC990612 In314 The premium for this policy w1D be determined by our Manuals of Rules. Clossificatio s, Rates and Rating Plans. All informatlon required below is subjew to vadficlow and change by audit A adam Basis papa Par Estimated Ctan"Mmions Coda Humber Toe Re1nanbtian a100 OF R6 Premium © Mmni 3 nM aama a"on Armual ❑3 Tear SEE EXTENSION OF ITEM 4,OF THE INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $232 EXPENSE OO?WMT(E30M VINSMAPPLICABLB m'STAM MA taROaet PREMIUM SSDD MA IDTAL ESTMYWA1aRM PREMIUM ST 851 H indissb l Wbw.inbdm adlashtrnb of Prsmium aMt to made ❑ SomFMauatry ❑ Qoarbdv ❑ Nmtmty DEPOGfr PREURN 03/17/11 A41IGNED RISK 66 •�.� I vae IQubha alece A anafand RaPV8-d WG WC pro 00 01 A 300(Rand 04M) CITY OF SALE/ PUBLIC PROPRERTY DMf l Y',a14, 11 DEPARTMENT Nll,vt UC WA\tl0t;l la.\)I.,jL•1' a $•111•W. I'r.t.77111,713-•/iA e,:Ix ,M '1.\a.I II p I I1 J177: ► orkers' Cumpensallon Insurunce UOdavit: 1141Iders/Con tractors/Lice trlclwns/plumbers ► 1 )llcant InrorinatJo ,11 PI Int Le 'hi �i;llTit lUuvlwaLQraanvatin,vinJnnluull: �� - 111drus.v: �' City,Sr:uc,7.ip• .►re I )ou all v yer'!Cheek the appraprluu boa:l a umPluyur Wilk 4, ❑ I wna couux or an 1')M o/Prvt)uet(regalred): general ld anlPluyCc,(lull anWur Part•linte).0 huvo hirvd tho.suh•eontraclun /i. ❑New cunxtrucliun�•❑ 1,I111 a Basle pmpricas►ar partner• liswd on the anached..Aw 1 -ship and have no ampluycvx These subcontractors have V. Rem lition� working tilt Alto in any capacily, workers'comp• Insurunce, g Demolition I No wonted'cutup, insurance J. ❑ We art a calporstion and ita 9 Cl allowing addition ).❑ royuireJ.) ot"Cers have u,elcirwl Ihcir 1 ;nn a halnamwner dieing all work right orv.scm Lion 10'�Electrical repairs or additions myself.(NO%�arkera'comp, P pier bIQL I I_0 Plumbing repair,or additi,lna C. 152.41(4),and we hova no laurancu rcyuired.l r ClnPluyeet. (No workers' I2❑Ruul'repain •Any.,,phase IhW:McYa tea el mua alas lilt Lail OW wanes Lauw kaw1,YranW rlyalR'J.I I�•❑U111ef '11„ey„wry,n vhy r,am"1Iaie air it, I a Mir.rweue'cunlreeaetluw p„liey,nlurnvuiteL f.Mlrwn,n IAa1\Matt Ihle Let Inlaa manes nn aaainerl Jalna JI•avrY and IMt Ahp uWaide cuerna heal,Au,eirle Ihlt natM a/Iae a tort nwt'uhne a ne,e atnaavit inJia'allint�,aa, /om un vntpleyer/hrU lr Prupldlgr rvurArq'rurnprnrnNan Lrrunaner�wu ny ,rnd rher rvA,at'tattp.l,JKy Inhtnlativa in�urnrurlrara pl J et•4 9elury/s rAe pulley and/ul,ire In.luratme Ctinlpany .Varner Q� I'ulicy 4 or Selr•ins. tic.M: CiO2, . .. . EA iratio �J fJX�V�� ,� p n Date: lob Sity .�ddnsx: J T r Utach n Cully or idle workers'Culnpunr:tnan pallet' Jucltrallua page(she wlnp wins-the number p y, tNoO 4 Palluru w Icvuro Cuaerusw require)uuJar Sediun?JA ul'MU c. eau lead r0 the imposition oleriminal pentities t a 1pa' yr ht 1'IS4.1 Jay Idailul ill# Vr❑npri.rtic 3jv, ur cell ur civ penallics in•Ihe l'unn ura STOP WORK URGER and a Ent ai up rn i!lQ.170 a Jay Iguinal the nuLuor. Ile advrac•d Ihut i ' py orlhl-s,lmemcm may by turwarJeJ lie the ORDER ur Inl�all�,r,tuna ul';hu I)1,1 (9r nl,ur.n:ve:I�\cru�u \culiaaln /du/r• �.rrhy t.rli�y nnda'r the p,rinr�rnJ rrn / r rhul Nu in/banellon prvriJetl ubmy is vw and eonart d ��^ I r1j/lriul u+r only. /)u nnr iarin in Ihir urCu, lie he runt l• I v a rrd D y dry ur Inters,.//I�iul / ily ur I'nlYn: --_ PCnniuLlcanre 1 Lauing .\ulhurily (cirvie oav): I Ih,.uJ ,f IIr.JIl1 !. IIinL6n� Ila p.Inlnanl I. 1:ill.'fwan Clrrk J, l•IcalriC•II fie\)cc lur :, � L. 1)Iher I Plulbing Inspector 1 1•iI l.l�l 1'\nun: • .�� I'huna 1• - Information and Cnstructions lu " i-'Jclitted ae". every parson m the service of anoher un,ler•my cumnct of hire, �Lu;.,dlusetts liJnaral LawTchapter I i2 tcqulres all aulployers to provide workers when mulc„., tar rheir cntp hire. I'trr,uaatl IJ It 's s4luta, an e p tprass Jr unpI -d, Jral Jr wnuen•" or an two or inure lu cr or the to ctnplU)•ar t+delincd as"an individual,purtme Ilip, fills t hue,coryorauun ur other Iebal entity, ed to a lotnt enlerp tom vm lo)'tee• nt of r the nse,and includint{the legal tepfHe11110vCt JI a dee0a5ed inlp .�t the loreguutg engaged slmenh'p, asaoewtioo or other legal rndty,emp Y { � P Iccerver or uuale+of-In individuals, p employment be deemed to b+ an employer." Woos to do mainununc+,cunsuuclion or repair work on such dwelling huuaf owner of a dwellin{house Navin{not more rhea threro aparonenu and who resides therein,or the acupan o owner 01 huu;a of another who,employs p thereto shall lot because of such employ or )It the grounds Jr building appurtenant CSC 5 also slue that +wry slaw or Iota111tensln11 as+sey shag withhold the Issuance or >IIiL chapter I32. 0- O required." rrnfsvul of s Ilccnse or in the comilluaw permit le operate s Autlnfu or to cog Utriaee wltb the Insuranet ovfra{elrege say VD rndu'ed accept able bll eevide°her he ommonwcaltl►nor any of its political subdivisions-'hall ' Ilcanf Who has not p \Jdiliunully,`IGL ;I%uPtcr 15-, 1-3 corer into any contract for the perfomtan1C l Pu I the concradi {authantyr dance uFwntpliathca with the insurance requir+menu of this chupt+r have been p' illillilillillillllllIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllilillilillillillillilillllllllllllllllliiiiiiiiiilllmmod {VVIIcenU y checking the boats that apply to Your situation and,if ns+tion affidavit coin fete) hay heckin (th elon{with then eerliBeule(t)of P Please till Jut the workers' cumpe es)sad P LLP)with no employrxs other than the necessary,supply sub-contractor(s)n:uno(s),addreul have wired to carry workers' compensationsubrslitwd to the DepartmentD Of Industrial insurance. Limited Liability CoMnnpaniee(LLC)or Limited Liability Pa Insu rtrtolance. If an LLC bars or pumnen, at this ylildavii may avi6 The allidavit should mein advised that the uflld Be ad to sf a wad Jule t of In act.u policy u required. a, Also be sure t not the p,;paAmt:n •n1 vars aster, P Y yranco eo { i bain requ \ecldenu For confirmation of Ins application for Iho pannit or license s { uired to obtain s workers' he renamed to the city or town that the upD ueuioaf re Cardin{the law ur if you ors 1+4 Industrial Aaidentt. Should you have any 4 Induscomp neatiun policy,Vlease call the Department at the number listed below. Self•instued companies should enter their salf•irsurance license number on the a ro riute line. ('1ty or•rows Officials Department hw provided u spa+at the horrors the a li bottom please he+uro that the affidavit is cwtsplcte and printed Iof investigations nv. The Dep htant aft Of the affidavit fur you to 1i11 Jut in the oven the 0111te of ill be i dd as has to eunuch you re{a dditi PP ev, need onl submit ono afltdavit iudicatin{c`merkt or I'I:use be suro to rill in the parmiulicenso nwnbar which will be used as a reference numlwr. In addition,an aPD Oat m,ut submit multiple V4nnio"".." d applications in any given y Write to be rovidad to the policy information lie necessary)and tinder"lab Site AJ2mpcd or marked by ill*city Or'Own caliunP in.(city town)."A copy of the u111davit that has been officially sump' applicant as proof that a valid affidavit is on rile for tLlurf permits or licenses. A new alllduvit must m lordilled out each year. w'�are a home owner ur citiren is Jbminin{a license or Dennis not related to any business or commareial venture t i e. .I,lu{li A ho a permit to burn leaves Cie.)said Dar-'mt is VOt required to complete this affidavit. unuons, tinle 1 11G �yI II'V olh,,01,r tolg is us l coil a IJ dlank yea 1'I A"ltee fur your COJp+fatlJll alld shuulJ you hats.ray 4 plea,e do out 1 fhc UJparnncnt'e adds+s, mlephun+and rats number: ehusett3 The Commonwealth of Massa Deputment of indusuial Accidents 011 CS of lswadltadons 600 Washington Street Boston, MA 02111 611.121E�617 702 a7749" SSAfE www.mass.&ov/dis CITY OF S.VL&Ni, AASSACHUSETI'S BCILDLVG 0EPART1tE.NT 120 W.tsmLYGTON STREET, 340 FLOOR Tt?L (978) 745-9595 FAX(97>� 740-984 KII�ERLEY DR73COCL ,MAYOR no"ST.P1FRRs DIRECTOR OP Pt.'BUC PROPERTY/BCIIALYG COMUSSIONER Construction Debris Disposal Aft3davit (required for all demolition and renovation work) In accordance with the sixth edition of the State BuildingCode 18 0 Debris, and the Provisions CMR section I 1 I.S P ns of MGL c 40, 9 54 Building Permit Al is issued with the condition that the debris resulting from (his work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c l 11. S 150A. The debris will be transported by: (name of hauler) The debris will be disposed of in d � s (norm f facility) f I, (address of facility) eiynanrre p rmit applica �atC .nn vd Lw