8 SUNSET RD - BUILDING INSPECTION (3) V"is the aum t use of the Sulam? k s s
Maww 0t Sulam? � � _ 9 dMro11Mq,haw many units4
Aabptos7
VW the 9uiWkj Conte+10 t ff*?
Amhb*Ws Name
Addraaa and Phone
Maohmdo's Name
Addrw and MWO _ HIC Rep ►a
Cenabuelfort SuPetviaWs Lkxwwo a
Esymatad Coat of Pr (9 PwO Fee Caladd M
Permit Fee= o o EstYnsted Coat X$71$1000 Residendd
-- _ -- — Esilmated Coat X$41l:1000 Camrnardal^--— --An Additlonsi=6.00 in added as an
Adminlalradve eh qIL
Make w v tha/al Bells are properly and ebb"dftn to avoid delays In proeesslnp.
The undamWwd doee hersby apply lbr a 9uUdinp Permit to build to the above statad
specrgadw& Signed under PWM*of Pd"
at®
a rl
0
Vr_ _ of
G�
PUBLIC PROPERTY
DEPARTM&NT
�wwarassanu �i
s�wn�o•:sr„so�+�o
"PLCATWN FOR THE RZPA_n- RENOVATION CQH fiTRL TIAl1i-
DILWH IWM OR CHANGE OF USE OR 0CCCIPAN1CY FOR ANY KNIUMG
STRUC rURZ OR JU RM
�.o�ITt INFORMATION
Location NUM 9u0dlrws
---
s �
A We lig Is located In a;Conswadon Am YM Hiebrla Mold YM_4 Z
7.0 OWNERSHIP INFORMATIONiw.o ed
2.1 Owner of Land
Nance
Address:
Tom: 77.7
3.0 COMPLETS THIS SECTION FOR WORK IN 9'=NQ 13UILIXNGS ONLY
Addition Existing /
Renovation Number of Stories Renovated
Change in Use New
Demolition meting
Approximate year of Area per floor NO Renovated
construction or renovation
of existing building New
9def Descripdon of Proposed Work:
'P00%.cam �/�cicr� co cs s mac%
(� r,✓�// .�.ow v�ct'i�Tirc,B' �lvi�/b-i5
C5 .add lvlvloov� 11OW71411 -A.' ��Tz ✓
----- ---Mail Permit W. e 0wrn e t-- --
CTTY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
AINar star ryY.Y r.
Mtwie t2C Ittsa�atnsrltaaR*SAUK Ili mos 1*130 lT!
fhL W&AS."" a F%x:9W4&W*
Workers' Compeasadw Insurance Aimavir BrlldorwcostractwwElectridstlu/ %mben
kani cant Information Please Met U211Mv,
Vame tatraioeaalOrgsrfiratroNtrrhvrctr�ll: �.•,ts, �o-n�rT_ � J r—
Add
city1sumZir. <p�3
Aro yea oaapbw Cuck the appropriste!op
1. a n a cmpbys r wits `S— 4. Q 1 am a Pound contractor and i �M�P�I�(rM Jt
emplayem(full errVa prrt-rites).• have hirqd the yubeutyrutor"
6. s
New conmuctie
2. t am a sole proprietor apartnerpartner, theroa
listed oa a aehed cheat t y ❑RatoodaWlg
Ship and Itava no awpbyoor These haw k Dantolitiae
waking for me a any capacity. workers'corm,inwunnoL 9 ❑
INO waeltets•eee p. fta eo s.uran ❑ We am■aotpmadon WW its
re
ynireal Means haw axoreiscel their 10.p Electrical repairs a addition
1.❑ 1 am a homeowner doing all wort right oroxe Wdm per MOL 11.0 Plumbing repairs or stiditiens
myself.(No workers'camp. a 152,/1(4).and we have no 12.0 Roof repair&
insurance tequind.i r ernplo� r•nsurancewrequirud.1 13.0 Ochs ZdW --
Any+Famed tar enseb sr of war ahe U w rag mama babe.ww rkair wrtae'awIrretir peivy iaarerrisa.
1WW%K*W1er.was Suisse rain amdark t.u.uy 16W are Ar4y atl wage aid sm kU sente earasrten attar.ek.rk•e.r.alnrr.il fretlaitfaa awi
on an the cksok rain ban WOarrcteoi doadditional01 chest`k•'•tss tY rams afar re►cestoncon atoll the r wrkere'ma►•policy iahnneaea
/aer on mnp/ayrr that 6 prov/eln9 reorAers'roiryewradew louaraacofor my areployrrs Below I:Ar pufiq ewd W s*
iy/irwWlsat►� -
In%orameCompanyName. �aucd
Nnlicy a a Sair-ins. Lie.*— Q�i✓r 6 �YS(t"� .--- Expiraton Dace: n
loo Site AdJnss:7 cfu�y.�,sy� g, ,,, c� CityrstawZrp:
Attach a copy of the wsfkars'compensation pulley declaration page(showing the policy number and expiration date).
Fai lure w.Wcute coverage as required under Station 25A of.IOL c. 152 can lead to the imposition of criminal penalties ors
rill.up en 51.5()0.00 artd/a orw•ysar irnprisnnmcnt,as well as civil pemdtira in the form of a STOP WORK ORDER and a fine
,'(up to S250.00 a Jay against the violator lie advie:d that a espy urthis slawasum may be forwarded to the of ice of
Lr%:.riyaunm of;hu DIA for in.urorce:uvcn�t:v.ri0ulwn.
/Jr hers by certify anJer the pniex e d prnrlflrs of per/ary Aar IA*InformWlon provided show is bat end c."reeL
<i••:r:u„ra 1
Dote, 7
I)/Jlrial eX eelx /as wW wr/Ii/w rA4 orrq a As erwpkrn/Aj dIp a/ewes o,Q4•/e(
Cry of Town: Permir/l.itunse s
Isouing Aulhurily (circle one): — _
I. hoard of licalth 2. Building Dcparuucat 5. Cityaoeo Clerk J. Electrical Inspector S. Plumbing Inspector
& Other
Gnttact Person: - _ Phone q:
Information and Instructions
huxem General Laws chapter 132 nequinra all empbyms eo provide "octets' eanpensatiae^orct del�bYeaa
itinia
puff—At to this>f:atue.as aNb»is defined as"...svaY persoe is the service of anaher under Y
eyrew of impu%A oral ar writtm,
aamdasiae.oorPaatioa at alter kpl entity.t1t asy tw0 or totes
Ao esaipflrlar is ddfeW mate idividral' k r sentstives of a deceased employer•at the
of the foregoina enaaltad in&Job��on'and iacbbft Ih� PI ePre However
the
receiver at aaaes of a iadivw"L Pa�"hw iY007a�or odw Wo milt.employma employees
a ditiefill"heist bevi eat mars rhea otter sporeatealt and wills,reside tbaseia r the ooeupam of Ibs
dwewliift ofltouso asorbr wits employs pe+soma a do maintenance.cm►iructiart at repe�v� hOOM
at on the Vmoa or builill+t fi aPP fit° mat leeeree of neap eepiaymeat
�dGL chapter
132.f 2SC(6)also stags diet"every aids sir bed Gast d•t aomwY shag wM16d/an Vsaaan or
evaswd of a Notate or prmdt so sporab a basdans r to toastrrat bt WbW IN Clog tettsme8w"Mb res MW
appeaswits bas set produced seeaptable wMaw of eampaswW w an lasarstaee Coveralls regebw
Additionally-MOI.chapter 132.;23Ci7)"IN-Pleidtsr the ootssnooe�trot.Italy of its polideal wbavieiose shall
enter i�any contrast fr the performance of public work until,teepaable evidenn of canplumcs w itb the itwraate
requitamens of ibis chorale hove been presented to the contracting suAodq'.-
AppYtsW
if
Pease fill out the workers' affidavit completely.by checking the boxes that apply to your"mum sod.
necessary,,A pjpa
mp*ntia,40 reoetoKs)manro(s),address(n)and Phone nu'nber(s)slo�wi vrtm etmployass)other than dw
insurarsce Limind Liability Companies(LLC)at Limiud Lkb7lty PatmecahiP$l
rtn
are net required to rutty worksn'ewrttpmnotiaa ntsuraaco If w LLC or LLP does lava
emplo�ma polley is m4°ire& Be advised that this affidavit may be submitted to the Deparunmtt of Iadustrid
Accidents for confimotion of irnsuraeste ooven{o' Abe be son fa sip and date ate 1611141Rvlt The affidavit should
be returned to the city Of town that the application far the permit or lieeam is being requested.sat the Depatanem of
the law or if you are required to obtain a worktre'
callipindustrial Au pleat DM ldMea l�you have an floeon&KP�^g ks should enter tbek
conpmwtiee policy. at the somber lined below. Self-issuned eompan
self inturance lkenss number on die
City or Town OQlelats
rented kpiby' Tbt Wpaanent has providod•spew at the bootee.
Please be sure that the affidavit is complete and p
of the affidavit for you to fill out in the event the Oftiw of Iltvestiaatitats has fo contact you regardin
ffid g tha applicant
tales-a- be sure to till in the pormitilicense number which will be used as a reference number. In addition,as applicant
ivlicense applications in any given year,need only submit one affidavit indicating current
that Must xubmit multiple pstm Site Address"the applicant
policy information(if necessary)and under"lob ts should write be provided [hit
he
town6"A copy of rho affidavit that has been of7kiaUy stamped of marked by the ry or town may
Applicant as proof that a valid affidavit is os file for future permits or licenses. A now affidavit must be filled oia each
r or citizen is o
year. Whore a horns ownebtaining a license or permit not related to any business or commercial venture
r i.e. a dog licenw or permit to burn leaves sm.)said parent it NOT requued to complain this at7ldsvit
l he Oniicc ai InvexliPtiuns would !ate to thank you in Advance for your cooperation and should you have Any questions.
Ileaae du not hesitate to give us A call.
The Dcpartmenl's address. telephone and fax number
The Conumoetwealth OfMatsachusetts
Department of Industrial Amidents
Mwe of In
600 WasAia0111111111 Street
Boston,MA 02111
TeL 0 617-7274900 eft 406 or 1-977-MASSAFE
Paz 0 617-727-7749
Z;vucJ j-1G-US www.num.gov/dia
CITY OF SALEM
PUBLIC PROPRERTY
DEPART-MENT
..vm'u.r aa.+n►
al.,•• t]c r.��1::JtssassT0iurr.11.vt�t:a.�.�..ar.
Tu;Ufa Aqu•F.%*9 0440 aN
Construction Debris Dbposst Atttdsvit
(required rot an danolidan and renovation work)
ln.=onhwA with the sixth edition oohs Suss Building Cods.7SO C161111 section 111.!
Debd4 wA the provisions of MtGL a 40.9 S,r,
gwlift pennk• _ is iswtad with the condidon that the debris rewlting hoes
this week Shan be disposed of in s property "caused waste disposal facility as defined by MOL c
The debris will be transported by:
_ laa�oe%V hawed
rho ck-bris will be disposed of in :
f u.me of fa.d�ty)
h e4�1 I�% �
..4W
4
FROM BONN CONST CO INC FAX NO. 97e5319202 May. 13 2007 10:46RM Plil
BONN CONSTRUCTION COWANY,INC.5/13/07
• ROORNO SPECIALIST-
100 FERNCROFT RD.LMT 208
DANVERS MASS.01923
OFFICE-978-750-8881-FAX#978-531-9202- EM.4978-490-0181
PROPOSAL
Submitted to: Howard Graves Phone#978-587-1235
8 Sunset Rd. Cell #
Salem Mass. 01960 ' Fax #
ATTN: Howard
Re:two sites: Same address-
Dear Sir,OR WHOM IT MAY CONCERN,
We hereby propose to fumish material and labor-complete in accordance with specifications
Below for the following sums:
>COVER ALL AREAS WITH TARPS FOR PROTECTION
>TAKE OFF EXISTING SHINGLES WITH DOWN TO BARE WOOD.
>REPLACE ANY ROTTED WOOD UP TO 50 FEET.
>INSTALL NEW FLANGES ON VENT PIPES.
>REPLACE FLASHING AS NEEDED.
>APPLY ICE AND WATER SHIELD ON EAVES-AND VALLEY,WALLS ETC.
>APPLY 30 LB.TAR PAPER TO ENTIRE ROOF AREA FOR A VAPOR BARRIER
>INSTALL 8 INCH ALUM.DRIP EDGE ON THE EAVES AND RAKES OF THE HOUSE.
>APPLY 30 YEAR ARCHITECT SHINGLES,OR THREE TAB SHINGLES(COLOR BY OWNER)
>CUT OPEN THE RIDGE OF THE HOUSE FOR PROPER VENTILATION.
>CLEAN ALL DEBRIS FROM GROUNDS INTO ON SITE DUMPSTERS..
>INSTALL NEW LEAD ON EXISTING CHIMNEYS AS NEEDED. COPPER IS EXTRA.
>BACK SHED TO MATCH NEW MAIN HOUSE_
>ALL WORK IS GUARANTEED ON LEAKS AND BLOW-OFFS FOR 10 YEARS.
COST FOR PROJECT IF ACCEPTED>.............................................$ 5,595.00
i. COST FOR COPPER CHIMNEYS-UPPER AND LOWER LEVEL.............................................. 5 495.00
ONE THIRD OF THE BALANCE WILL BE NEEDED IF PROJECT IS ACCEPTED.
THANK YOU
JAMES L CURRIER/OWNER
F.E.D.#04-3336347 MASS. REG. LIC.#140520
Our workers are full Workmen's Compensation Insurance and Liability Insurance.
Y cov by
Certificates of Insurance available Pon request.
Signature
Contractor
Signature
�3aNNcc zN �/9�G; AT >Icfk,v , 6c-e"
A o a.. CERTIFICATE OF LIABILITY INSURANCE GP10 OAT04/23/07
HONNC-1�09 J23 07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dan Hurley Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Chestnut Green, Suite 24 r MOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
seven Federal Street ALTER THE COVERAGE AFFOROED S'(THE POLICIES BELOW.
(Danvers MA 01923-3620
1 Phone: 978-777-9394 Sax:978-777-.3306 ' INSURERS AFFORDING COV=_RAGE - i NAIC IF
n sAtEr :1..1. Eh Ar_bella_ Protcetior ._
14 JUZER Guard-_ . .. ._ .. ......�
Bonn
James Cirriet n:.,._F- - '----
20 Krochmal F.oad '.wa;xcR
! Peabody VA 01960
L— -
COVERAOES
I '=rP-L!C;ES IF 'iSUmm LiL.cbF"e.•)\4HNIL'EL':i':IC.]:'. ;i ,b4HlCC%aWEV*11/E FJRFtiF.ax,i'rFSF.!GII iNLI}:s0.4f-'I dlONSTNA'.N•J
:I F ,j EUE I( I1L,i F.i Tll.) R]J CF Am f or, :`:1 G rt` 14f! r+ FA'�C/"lC. /6:H III.�TJ ECA R'IL:"L IS IFC CP
'IA _F c'.N, ;f¢II:VRNI6L•VfrfCEJ f+ .HE L OL.ICFL_. rl-AEd1 gH+fC !Al 'HCChiS :aJ'C A4�.Pey)AIEIL:J.i LP;.4U'
a:. ]'ES AOOEEG.°E UNPS^yghwl LlAi Ha.'L Ef'E':HE^Y..Eb c^cnFOCWI!s �'[�'� 1f(,�7�E� LMI
eOL1;T M/MBEN GL1F.((A.IOOR ' —__
I Lm INSQO TYPE OF R1tURANCE
VFR u
. GENERALLIAIL uT/
_:r.:1T✓ I A.i1.121 ram. . IFI FI'S L .�_. ___ __..
E2T _ T 1
LUTCMOSILE LlABRJN -- I 1[•1p11tl FJ c+f13LF tIL'(: _
^Alrc\qu 82926400002 �- 12/i.4/06 . 12/14/07
A
."HAIR! f,S50000
X SCHEGOL�f4Ye1 ._ . .
$ 100000
GARAGE LIAEC'f/
FACFF4NMRREL:A WR1!I!} EAC I.r C..QREVCF'_ If
Igf•:IIR �l!u1:5 Lu'J`F I
WORKERS^_OLIPPIAITCN ANL --
E,YR0fER8'UA6•IET iB^_l4/_E^e55ti 03/15/0"i � 03/15i/)9 E -..ra[ + 10J_ODO__ _
B A'N fF41T:' ] "cIts ill,. I ... . .
100000
I,f �M.._ - --- - -1
! :rE':AL I'N•'.�I;.RI:..PCV _- _ C:. -.L$E )mac'' ., 500000
—
cFreR I
I 1
�iE>C0.PTKN Of OPERAC�Jiie I LOG1T�.�i.VENICLEi:E1.0 W'6tUNtiD6F' ENLGPFEMEAi:¢PEGPL I+P.M':ipN6
— — — --
I
CERTIFICATE HOLDER �- +r_ CANCELLATVN
- --- -
I F'.:XIN!'O swulc An-D�THe!ec�e DEic)usEli�alxreF ae Ci1AYLLEII gE'GL 1Hl ULAM1bN
oA1H:IItRECF.1461toVYM MwREA KeE CNDG.TCM1 M 1WE 1O_ DAW". t:E+
For icforma.icn yurptses only. nGnas Eb nu,:ERnFICAYE HOLDER NAnCo)o THE LEFT.QCoTEAAVIR Tbob W SH"i
Please contact agency Per ILIPOSE NC OOLMATION OR LIIZU FOf ANY I(IMDUR3q TA MIME&IN AGENTS CA -
individual certificate.
MEPRESEN IAHJE 4.
AU1N0 . REP F.vE TA.O
LDaniel J Harlev
ACORD 25(2001103; ry ACORD CORPORATION 198e
twnm or mllam¢Rr¢amttoa,.ad smaa.rar
HOME IMPROVEMENT CONTRACTOR
Registmtto.:.140520
Eapimaon: 1923r2009 TrC 2W9TT
Type: PfMdb Co P dton
BONN CONSTRUCTION CO INC
JAMES CURRIER
i 1WFERNUKQFTRWDUNIT20e
OANVERS,MA01923 pdWafslrvtor
C o i mg Kegu1a0/bn s an an ar
not
BC u
r`.. A..t.1....f..« Plo _Rnnm 1101
Boston.Massachusetts 02108
Home Improvement Contractor Registration
i —. ---' Rwaetrwrinn 140520
( _ Type: Private Corpmbon
E%pimbon: 10/232009 TrIt 2w9n
BONN CONSTRUCTION CO INC
JAMES CURRIER
100 FERNCROF I RUAU UNI I ZUn
DANVERS,MA 01923
Update Address and retard Card Mark raason for<fia¢ge.
f1 Address f1 Renewal I1 EmploYraent Lort Card
1 nascn. a wMormr.Pmwo _. —
t
✓n�mo...-,xox.�ara gr.�n�..,n
soap ara.udl,rq R.gvlenoar.na smaa.M.es
1 HOMEIMPROVEMENTCONTRACTOR
R091atradcn; 140520
1 crc�y Expiration. 102YLW9 Tr¢ 260977
Type: Private Calwra¢m
BONN CONSTRUCTION CO INC .
JAMES CURRIER
i 1W hF.rlNr;r(UFI RUAU.UNI1:204 �J..p,.,GL...�,
DANVERS.MA 01923 Adinf.W.mr
` //Board o�4rtu 1ngRegWa0ons` �andds
One Ashburton Place-Room 1301
Boston.Massachusetts 02108
Home Improvement Contractor Registration
Registmfion: 140520
Type: Pmatewrp mml
Expiration: 1rr232009 TN 2609Tr -
BONN CONSTRUCTION CO INC
JAMES CURRIER
IUV r ERt4 0IIV1 T AV
DANVERS,MA 01923 -
Update Address Cod return nrd Mark reason for ehcoga
- 0 Address L3 Re¢ewal Q EMP1oY—t Lost CAM