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4B SPRUANCE WAY - BUILDING INSPECTION B What is the current use of the Building? Q4e � //_ If dwelling.how many units? � --71 7�; 1 M-ti Material of Building? / ��m Will the Building Conform to Law? ti -S Asbestos? AIQ - -� Architect's Name Address and Phone _ ( ) Mechanles Name Address and Phone Constriction Supervisors License it HIC Registration# / Estimated Cost of Projed S ° Permit BeF Calculation Permit Fee i Estimated Cost X$7/$1000 Residential - --- - . . --__- -- _ - - - Estimated CostX i41/51000 Commercial' An Additional$5.00 is added as an Administrative charge. Make sure that all tlekts are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Pe to build to j e stated specftations. Signed under penalty of perjury Date I q N q a O >b al A V e� A � •�� � O .Q t v OOi1002 ACO-RD, AT CERTIFICATE OF LIABILITY INSURANCE DE(MWDD7TYIY) It'RODUCER (5UB)651-7700 FAX THIS CERTIFICATE IS ISSUED 02/22/2007 Lumber..Insurance Management Services ONLY AND CONFERS NO RIGHTS UPON E OF CE INFORMATION an Eastern Insurance Group co. HOLD ER.THIS CERTIFICATE DOES NOT gMENDRE FICATE 233 West Cyntral Street ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. Nati&, MA 01760 INSURERS AFFORDING COVERAGE INSURED Emlay Rea ty Trust Etal NAIC# INSURERA: Acadia Insurance Company ---- 164 Chestnut Street NSURER B: North Reading, MA 01864 INSURER : INSURER D'. INSURER E: !2VEPAQFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH5TANDIN ANY REQUIREMENT,TERM OR CONDITIDN OF ANY CONTRACTOR OTHER DOCUMENT MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S WITH RESPECT 70 WHICH THIS CERTIFICATE MAYBE ISSUED OR UBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN6R ➢D' TYPE OF INSURANCE ' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRAT N GENERAL LIABILITY LIMITS CPA008411214 10/15/2006 10/1S/2007 EACH OCCURRENCE s )( COMMERCIAL GENERAL LIABILITY 1 ODO,DDCDAMAGE TO RENTED CLAIMS MADE OCCUR 6 2SO,OOC A MED ExF(Any P Q PemPn) S 5 DDD PERSONAL 6 ADV INJURY S 1,DOD,DDD GEN'L AGGREGATE LIMT APPLIES PER GENERAL AGGREGATE 5 2 ODD,OOO POLICY JECY LOD PRODUCTS-COMP/OP AGG S 2 000,000 AUTOMOBILE LIABILITY ANY AUTO - ICOMBINED II SINGLE LIMIT S ALL OWNED AUTOS SCHEOULED AUTOS BODILY INJURY (Per S HIRED AUTOS Person) NON-OWNED AUTOS BODILY INJURY S (Par-.d eni) PROPERTY DAMAGE S(Pare¢Iden� GARAGE LIABILITY ANYAUTO AVID ONLY-EA ACCIDENT $ OTHER THAN EA ACC S : AGG 3 EXCESS/UMBRELLA LIABILITY AUTO ONLY EACH OCCURRENCE OCCUR �CLAIMS MADE S AGGREGATE g DEDUCTIBLE - 5 --. RETENTION $ S WORKERS COMPENSATION AND S EMPLOYERS'LIABILITY WC STATU• OTH. ANY PROPRIETORIPARTNER/FXECUTIVE OFFICER/MEMSER EXCLUDED? 121,EACH ACCIDENT II - It ydAL-ribs under EIAL - •SPEC PROVISIONS pelPw E.LDISEASE EAEMPLOYE S OTHER EL DISEASE.POLICY LIMIT E DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - EERTI7LDE=EEULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE RATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRnTEN NOTICETD THE CERTIFICATE HOLDER NAL LEFT,FAILURE TO MAIL SUCK NOTICE SHALL IMPOSE NO OBLIGATIOILITYNY KIND UPON THE INSURER.nS AGENTS OR REPRESENTATIV71D REPRESENTATIVEar Fulham/DMM1 ACORD 25(2001108) ©ACORD CORPORATION 7gBe 077 Boar� oi >ng egulalCons an an , One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration R e41 i stra tion: 136860 Type: Private Corporation MOYNIHAN NORTH READING LUMBER, IN Expiration: 9/6/2008 JOHN MILLER JR. PO BOX 128 ---- -------- N. READING, MA 01864 Update Address and return card.Mark reason for change.DPS-CAI p 50M05/Ofi.PCa490 ❑ Address L1 Renewal L_1 Employment I Lost Card Boari�of�w Ong eg-�u'�tjoen tan arils-'" - --- ---- License or registration valid for indieu use only HOME IMPROVEMENT CONTRACTOR return before the expiration date. It found returr n to: Registration: 136860 Board of Building Regulations and Standards Expiration: 9/6/2008 One Ashburton Place Ran 1301 Type: Private Corporation - Boston,Ma.02108 - MOYNIHAN NORTH READING LUMBER, INC. - JOHN MILLER JR. - 164 CHESTNUT ST• N. READING,MA 01864: Deputy Administrator -- valid will ut signa ure �k t A CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT aa16r N1.F.t!+Kix:�+I 1. \l.uti K I10 WAil ItVt�:J,%S:REET #$.ttl°N,1f.Ki.\<::a ua li J:97: To.:978.745-9395 *FAX:978.74G9846 Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit # _ is issued with the condition that the debris resulting from this work shall be disposed of in-a properly licensed waste disposal facility as defined by MGL c 111.S 150A. The debris will be transported by: _ ���(name of haultr) Hie debris will be disposed of in (name of facility) . . .-- Iaddres. o1'laeildy� �i Latuld JI 7� Ill{I ]i)JCa,II _-____ V Irmy-O` r _ PUBLIC PROPERTY t DEPARTNI&NT KINOIF,EV DRLSUXL SN.IM.YtisU[HL.stTM 01970 I%L' 7L74-95"•FAN¢M740.9M APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION DEMOLITION.OR CAANGE OF USE OR OC ZANCY FOR ANY EXISTIr1G STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: S �� Building: Prop"Address ------- ---------- ---- ------- - - - - — - - . '7 S JaV U S Property Is located in a:COnSGIValIon Area YIN Historic DW4 YIN 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land S Name: Address: iY 13 S i'Uri nCe w 3.0 COMPLETE THIS SECTION FOR WORK IN EXISIINQ BUILDINGS ONLY Addition *ExlsfingRenovation Number of StoriesChange in Use Demolition xsting Approximate year of Area per floor(sf) Renovated construction or renovation of existing building New Brief Description of Proposed Work: Ynov2 Ol& �,o aooc IR-e(face l�v vly` rv6w ,A-A-'r'S-42'A r c> &or>,C' ---- -----Mail Permit to: _ eo,�, )a4 V,)—