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82 WEBB ST - BUILDING INSPECTION 2g aKti2? � rrr � C The Commonwealth of MassachusettINSPECT{tONkL SERVICES 4 Board of Building Regulations and Standards CITY OF ALEM 0 � Massachusetts State Building Code,780 C 15 $EP 2 P 2RD4dMar2011 Building Permit Application To Construct,Repair, Renovate Or Demolish a One-or Two-Family Dwelling •This Section For Official Use Only - - - t •^ Building PermitNumber: D - Applied: 1 Building Official(Print Name) Signature - Date SECTION is SITE INFORMATION I 1.1 Proper�2dM � C / 2-1 I 1.2 Assessors Map&Parcel Numbers 1.l a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(11) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L a 40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owne 'of Record: IrGC� �an Name(Print) City,State,ZIP 'R,J VVe gL Si . R 78: 24(-4 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORle(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg.❑ Number of Units_ Other Specify: Brief Description of Proposed Work : SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) - 1.Building $t730 _ 1. Building Permit Fee:$ - - -.Indicate how fee is determined:. 2.Electrical $ ❑Standard City/Town Application Fee - , ❑Total Project Costr(Item 6)x multiplier - x - - 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ /,/�q/,'pp'' Check No.�1 l)1 Check Amount: - Cash Amount: 6.Total Project Cost: $ Vr 7�V ❑Paid in Full ❑Outstanding Balance Due: - SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Y7 G� Z1 Z 3 License N7umber Expiration Date Name of CSL Holder ,' '� Eric W.Palm List CSL Type(see below) No.and Street 3 Hilton Street Type - Description U Unrestricted(Buildings u to 35,000 cu.ft. Salem MA 01970 Dwelling R Restricted i&2 Family D e Cityfrown,State,ZIP M Masonry RC Roofing,Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(MC) N 2(J Q .5 /Z Atlantic lantic Weatherization LLC HIC Registration Number Expiration Date [31C CompbyjkJO011eISlH1 atgfr L FAV Name No.and Stme&IeM Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT('M.G.I.c.152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance9fAe building permit. Signed Affidavit Attached? Yes .......... No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize L/Y l 1, r4 l VN to act on my behalf,in all matters relative to work authorized by this building permit application. �. 7hg Print Owner's Tflme(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contain�is f, at� a and accurate to the best of my knowledge and understanding. / Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: i. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(RIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at ww,w.mass.eov/oca Information on the Construction Supervisor License can be found at www.masssov/dns 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basementlattics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost" Marcia Kirkpatrick From: Liz Babbitt <lizbabbitt@gmail.com> Sent: Monday, September 28, 2015 7:50 AM To: Marcia Kirkpatrick;Tracy Kierstead; Hannah Bascom; giraffe9038@yahoo.com Subject: Window Replacement for 82 Webb St. Good morning, This email is to confirm that the owners of all four units of Collins Cove Condos located at 82 Webb St in Salem agree to cover the costs of window replacement/installation in the common area. Please let me know if you need additional information, Elizabeth P. Babbitt Association Manager r vemojg go • mwbaacreyabemmfsofrhestate'sxomeL�+mv¢meot C &z Seelilegdadr}cerfn C®aartariav([dcL 1142A),bOtdnasnathiciI G&ceofCmsr�erA �ro �enPbefine�agnm�tQ� 8h®e�Foe�eotsshmnLwy, ouldf�CobtamawpyOf" egdation'sConnma WmmctianHoNmeazb77�73-8787 -pyby the gtInIWWIIP.r1DfW'1DIIti0II ' Nnnr� p^\ n I' C'ODQ9CPOFFDP01'61aGOD Street Add—(do wt aPnttor AtIea11C �! (O, addi7 Ca» eatherlZdiliili j ,_,�_ am�raxr, b ,-7�-,. �a,'°° Avenue S=g . _Cate-::__ Dremea Addres(mmf Daytime PHone =' •`• ' ' 7k,.... Eveangpeeoe CYfima 73 - 3y Mailing Adaress(OdiEmmrtfmm 9',Si- T.+pCode alwis) yy- 8/y Bnshrms Phoae Fei EmplvyerID ar S$Nmnber el Tie Coneacta_ (Decm'tre in deed dmtvora l%dc�eFollmvlp8 war6lortbe Aomaawner Plmal?pai[ymg the Hl Mead mrd FP'vkaf wing Regutrad secs itdbyti, o1(owia8hadd(o gleMi and wi➢besemoad bythowatmi'b s, hehr®mwnetsa�ge� Pr Ptrud SmeenOd CompretianSdr¢date-ILefo➢ (®whets who seed[heir awn pemus will ht: ..dherad m®1 cesb_ d the ttwm8mbedWe wdl excluded ess from the Qsutusatq Fnad �° emaaatpt's�tml grim AfM c➢aapter142A.) P�a+lisions of /G Z Dafe ndr®wnbacmra:•rll begin mnbanted work Total ControttPdceoed /J 1lateadaeotmtractrd avod;w➢l besabstantialtycempleted The Conoamw t Ym®tftednle ob'rtsmPmFmmrhexvmlS+'m+.;hlbemNedal andie6or Payments wi➢he mzd¢ "ffedabonef�the to>P)sa®of i aeconlinBto Utefo➢owingschedye: 3 upon mg®g=onmact(not toexcced 7f3 ofdte rotat sontrxct cmtoF S by oration completion of .I Pace or the sueunl orderirom,whiehevQisgmdQ) by coupon cianka ion of Qh�, compleffm ofthecona (tawfodddsdemaa t^rHti n/ �e eeePsmaerieP cot®a7 eonhact iseumolemdrobotb )crd='ed pr b-&'e leted heap¢id � Pat(y's9tis6a0on m matthecomPlti®srAy�ye ° vsm nNa 'ed sat nm fVGTiS:(°)nmelemg agfivmrmeceg�(°e)Iawr gw-dvtcd rhegt�reof(a)®edbird ofWtaetm-7dtelem:tcrd=xa-paymmta9ebnd P.c ahicL•mt¢[le=R"dataNaNio b3' mntr¢crarbefmcami:treg�may •. advm¢tomce WemmPtaam Sell¢final can afmrpzpshi e9uiPmmrvmmammademaledat Szn wnr,:m Subcontractors-Tbe n "dm teems n � PmtY/suhenno-,yyorahlizCOIId mot,rerob¢snlelyreyponeb]eforrompletion oftheworkn -°rroe,° . mmttre na.•h ehemny.°itl materials and labor d hiss aneier: Tbecmbauorfoaye tiesrntadm8ardic sofnc� all coutrae[tA� P=n 9lPdn°,ethis do a��mbc�lefyrespm�•,y(eforallpaymentsroall�bcnpha�mfiy pmace-U cmeFWl beFomo9 g s�v+..asotorothmsenaimty6rat g63sbemPlaced as W¢rm m ��mwimoo[ed willr�tbisdocomentthe Y . x Reaewthefo➢mriogragpons aadaotirzs° DonY he Pizismed into sij�Sthepn ° Maim themntrsgc ttut TaSx t�emitzrl and full svbcoabagats to agil axe (dHtm¢ tCantrxmrP.Y �adit AsL-4aesttaasifsomethiogisimelezr. rapsnm byna6n9 eat IDhetrorafHomehoproygnem Conazcntoiihe lawtagtd•-s mosthomeimp�.�cet ° Does the ee't"orhaec- ParkPtam,Room 517L;Bos(o Re dos- Yau mayor a'n�mo*smd seeamPYofa'hhmefofincmaod- A1kr�eo Cmtrac[muforbisiasnrmgo mAmM 11 �bym%9617-9A-B787a888.ZS3_37r Knaw}vtrri�its�d t. Y aaaa0tm so fbatYoo eao iwtfnmw Guide to the Ham¢ �1Opmb➢ides RaadtheLoPmtaot Isfnrmaaonmdtc _ �ta8a.oraill ��m[tC�baaorLaw. reemmsideafthisimm Youm and 8etatwpyoflhe Consumer aYr�cein l thisnge.°m®2ifitlms bey con baAael rmffiagatidPubrmainolHceor�ed maPlaceoih¢W�Wetan third busipess d°Fi4�j�*�a We sigainBofWisa�ge�atce5mm[adtedno0eceoameC4' Imert6nn the r`.O��mc eraeee a gag�`,C® C'�,�e a-llalim fa��rao m.Tlavalinn ofibb ght of the m n��am �el Q-elw'b ARE APISI� SBaA�9per I. n H J O Cannac[Ges SiBaamtc o (� _ I Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an ` alternative to courtaction)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor bas a dispute concerning this contract,the wapact3 _uiay�stlbll�l[t°the dispute to a private arbitration tuna which bas been approved by the Secretary of the Executive Office of oasgmer Affairs and Business Regulation and the consumer shall be required to submit to such arhittrottpp,a63pYb'i tKf•I$s'�achusetts General Laws,eba er 142A. Homeowner's - Con6aittor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement However,bomeowners may be excluded from certain rights if the contractor they choose is not properly registered as presented by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for worimmewhip or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the term of die contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumedhomeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties_Contracted work may not begin until both parties have received a fully executed copy of the contmeS and the three day rescission period has expired) Accelerated Payments A contractor may not demand payments in advance of the dates specified on the paymentschedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or ifyou wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Informatim Hotline Office of Consumer Affabs and Business Regulation - 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888 283-3757 or visit the OCABR website at htm://wrknv.mass."ov/ocabr/ If you want to verify the registration of a contractor or ifyou have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact . Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888 283-3757 or visit the HIC website at hun://i%nv v.mass.2ov/ocabr/ Go online to view the status of a Home Improvement Contractors Registration: - hup://db.state.ma.us/homeimnrovementtlicenseelistaso For assistance with informal mediation of disputes or to register formal complaints against a business,call: , ' onsumeri plaint Section ` IJ�ecA orney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800.508-755-2548 or 413-734-3I14 vv9on 2.1-1 M 212010 Tile COrrlP/tOldWeaJtJJ of Massacl?lisetts Department oflndii trpalAccidents 1 Cbltaress.Street,.quite 100 'Bosto",Jif4 02114--2017 wWw-rzz4 it Workers'Compensation Insurance Affidavit:Ru ders/Contractors/Etectricianslp(umbers. TO BE FILED WITH THE PERi61ITTIlYG AUTHO�y. A licantdaformation Name(Business/Olgmization/lndividual): AdaliC 'JL'. gp:-rz please Qrint L, "blv Address: '11RJettm>*i;,an ivc-ltti City/Stator/ ip: �4" Phone tJ: C 7 MhE au a employer?Check the appropriate box: 1 am a employer with-- ,S employees(full and/or art_- Type of project(required): p ttme).=am a sole proprietor or partnership and have no employees working for:•he in y- 0 New constru m•capacity. chon [No nrod:ers'comp.insutance required.) ��tr am a homeonmer doing all work m self o- 0 RemodelingY [No workers'comp.insurance required_)t 9. ❑Demolition am a homconmerand:vill be hiring contractors to conduct all work on my property. I tripsure that all contractors either have workers'compensation insurance or are sole IQ©Bmlding additionoprietors with no employees. - 1"0 Electrical repairs or additions m a general contractor and I have hired the sub-eonuactors listed on the ataehed sheetese sub-contractors have era to ees and have:vorkmrs 'Or'cOl i 12"❑Plumbing repairs or additionsP Yp. nsurance- 13.❑Roo-repairs are a corporation and its officers have exercised their right of exemption per MG6 e.'.§1(4),and we have no era io ees. 14- OtherP Y [No wrorkem°comp.insurencerequired.) 6 (,c_eot that checks box g1 must also fill out the section below shmving their workers°compensationpolicy information.- .Ieth who submit this mostaffidavit indicating they are doing all work and then hire outside rnntractors must submit a new affidavit indicating Cmuractors that check this box must attached an additional sheet shoudne the name of the sub-con . employees. Ifthe sub-contractors have employees,theymustsuch traetors and smte uhetheror not those entities have provide their workers'comp,polity number. i or an employer drat is providing workers,compensation fnstt.azcefor nrJ'entplopees. Belozv is the policy mzdjob site i anza all el ir. Insurance Company Name:_ _2Ub^j C,k Policy#or Self-ins.Lic.#: ,�' 'j 7d J a l Expiration Date: 3 6 414 Job Site Address: . VV S Attach a copy of the workers'compensation policy declaration page(showing the policy numberr and expiration date) Failure to secure coverage as required under IV1GL C. I52,§25A is a criminal violation punishable n a fine ex to ation at and/or one-year imprisonment,as well as civil penalties)n the form of a STOP WORD ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office ofInvestigations of the DIA for insurance coverage verification. I rlo/rereb r J cert#JJ.milder the n%•r d„e,,,,lr:Oe��,p". C N that t/fe izzfOrazatron prof ided above is true mzd correct Sianature- Phone#: _ 7 Date 9// Offciat«se onlp. Do not sprite in this area,to be cmnpleted by city or tolplz official. City or Town Issuing Authority(circle one); Permit/I,icense# %.Board of Health 2.Buildin 6.Other g Department 3.CitylFotvn Cleric 4.Electrical Inspector 5.plumbing Inspector Contact Person: Phone#- CERTIFICATE OF LIABILITY INSURANCE T. PIFICATE IS ISSUED AS A MATTER OF INFORBtAnON ONLY AND CONFERS NO RI DATE MIll DOJYYYY) CERTIFICATE DOES NOT AFFlRMATIY GHTS U AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE CO UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE OF INSURANCE DOES NOT CO VERAGE AFFORDED OR PR D CONSTITUTE A CONTR BY THE POLICIES NT PRO DU R ND E CERTIFlC 7 OLDER. ACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE IMPORTANT:jr the certlffCaW holder is an ADDITIONAL INSURED,the pollay(les)must be endorsed- If SUBROGATION IS WAIVED,subject to the terms and holder I conditions of the policy,certain Policies may require and endOmemertt A statement on this certificate does not confer rights to the certificateCE holder In lieu of such endorsemen s. PRODUCER CONTACT EASTERN INS GROUP LLC NAME: 233 W CENTRAL STREET PHONE IFFAX (AIC,No,Ext): - [El No): NATICK,MA Ot760 E-MAIL 22MLW ADDgE55: INSURED INSURERS)AFFORDING COVERAGE INBURFRA: AMERICAN NAICN ATLANTIC WEATHERIZATION LLC ZORICHINSURAIrC6COMPANY INSURER B: INSURER C: 61 REAR JEFFERSON AVE INSURER D: SALEM,MA 01970 INSURER E: COVERAGES INSURER F: CERTIFICATE NUMBER: DC Ill OR PODITIOOFDISURANCE DSTEDBEI.OW VEB I REVISION NUMBER: ANY FF REQUIREMENT,TERMORCONDITION OF 4NVCONTRACr ORUTmOOCUnENrwnHREBPB T�WI��RT®CEfiTFICpTE MAY BE COiBU ME; M2116NAYPERf NOTWITfiSTANMG TXE NSURANCE AFFORDED By THE POLIgESOESCgRFED HEREIN 6gUgdECTT0A1,1,THE TEgptS,IXCLUWONB AND CONDITIONS OF SUCH POLIOEB,LBg SSUEDO MAYPEEg NSURMCE PAID CLAIMS. MAYRAV WEIR LTA TYPE OF LVSURANCE ADD SUB POLICY L A EFF GATE PoLCY EXP GATE PoLN:Y NUneEp (n11+ pDlyVVY GENERAL LIABILITY ) EMLMIDDFYYYY) LIMITS COMMERCIAL GENERAL LIABILITY ACH OCCURRENCE CLAIMS MADE ® S OCCUR. AMAGE TO RENTED S PREMISES(Ea occurrence) ED EXP(AAycne penan) S GENT.AGGREGATE LIMIT APPLIES PER: POLICY ®PROJECT ERSONAL a ADV INJURY g ®LOC ENERAL AGGREGATE S AUTOMOBILE LIABILITY RODUCTS-COMP/OPAGG S ANYAUTO . ALL OW COMBINED SINGLE S OWNED AUTOS LIMIT(Ee accident) ' SCHEDULE AUTOS BODILYIWURY S HIRED AUTOS (Per Person) NON-OWNED AUTOS BODILY INJURY S [Per accident) PROPERTY DAMAGE S (Per accident) UMBRELLA LIAR OCCUR EXCESS LI CLAIMS.MADE EACH OCCURRENCE S DEDUCTIBLE AGGREGATE S RETENTION S S A WORKER'S COMPENBA71ON qND S EMPLOYER'S LIABILITY UB5827072F45 WIwRrrow M OTHER aNY PROPER RORPARTNERIrJECUTIVE YrN 09IZOMOIS O3/2O/2016 OFFICERNEMBER EXCLUDED? M—I WA (Mandatory Er NH) E.L F1lCH ACCIDINT IYes,desal roper S 500,000 DE SCRIPTICN OF OPERATiDNS beInw E.L DISEASE-FAEMPLOYEE S SDO,OOD DESCRIPTION OF OPERATONS/LOCAT1O 8`1ICLESIRESTRICTIONS El.DISEASE-POLICY UMR S 500.000 THIS REPLACES ANYPRIOR CETtTIFTCATE ESS(7ED q.O. WECIAL ITEMS CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGEL - CERTIFICATE HOLDER _ CITY OF SALEM CANCELLATION 93 WASHINGTON ST SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN BEFORE THE EXPIRATION DATE THEREOF,NOTICE WI CELLED LL BE DELIVERED IN ACCORDANCE WTIH THE POLICY PROVISIONS, SALEM,MA 01970 AUTHORIZED RE PRACO - .... ..: :... (2010/05) The ACORD name and 1090 are registered marks of ACORD ':. 19II6'30/0 ACORD CORPORATION. All rights reserved- 11�®/�®® �- CERTIFICATE OF LIABILITY INSURANCE /3f2O15 THIS CERTIFCATE IS ISSUED AS A MATTER OF tNFORtNA nON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYFINSURANCE E NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE THIS BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADO1T10NAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject m the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate hold in lieu of such endorsement(s). PRODUCER CONTACT Eastern Insurance Group LLC PHONECOnstructic,n 233 West Central St IcNL . f800)333-7234 FAX No ADDRESS: Natick NA 01760 INSu AFFOROWGCOVERAGE Nacp INSURED INSUR172AZZbella Protection Ins. CO. _1360 Atlantic Weatherizatlon INsuREReNaut:lus Insurance Co 61 Rear Se€€erson Avenue INSURERC: INSURER D• Salem BdA 01970 INSURERS: COVERAGES CERTIFICATE NUMBERa�aASTsx 21015 INSURER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMREVISIOD JUMBERR THE POLICY PERIOD INDICATED. NOT WITHSTgNDiNG ANY REQUIRF�AENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WN'H RESPECT 70 WHICH THIS CERTIFICATE MAY O ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMN'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INsft A LTR TYPE OFINBURANCE S XP GENERAL UABWTY POLICY NUMBER POLICYEFF POUCYE MN/DO D UMRS Y COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMSIMMDE a OCCUR 500042816 /20/2015 /20/2016 PREMIS Eaopgmenee S 50,000 MED EXP Any weper;pn) S 51000 PERSONALS ADV INJURY S 1,000,000 GEN'L AGGREGATE UMITAPPUES PER GENERHLAGGREGATE S 2,000,000 POLICY X PRO- LAC PRODUCTS-COMPIOPAGG S 2,000,000 AUTOMOBILE LIABILITY S ANY AurD Co, WED SW IMIT Eam m S 1 000 000 AUTOISNNeD g SCHEDULED 020015871 BODILY WJURY(Perp=,n) S v AUTOS HIRED AUTOS ON-0WNED /20/2015 /20/2016 BODILYURY(Peremm)de S v " INJgUT05 PROPERTY GE Mr dent S X UMBRELLA LIAR a CC Pl--Saab 5 EXCESS UAS CLANgSNWDIF EACH OCCURRENCE S 1,000,000 DED REIENTTONS 600058654 AGGREGATE S 1,000,000 WORKERS COMPENSATION /20/2015 /20/2016 AND EMPLOYERS'LIA91UTy S ANY PROPRIETORIPARTNIRIEXECUINE Y/N IN 5rATU- OTH. OFFICEWh.1EMBER EXCLUDED, NIA (Myyaaandatory in NH) EL EACH ACCIDENT S DESCRIPTION OF OPERATIONS belw EL DISEASE-EA EMPLO $ POLLUTION LIABILITY EL DISEASE-POLICY UMR S L200378613 O/1/2014 0/1/202S GENERALAGGREGATE $1,000,000 EA POLLUTION CONOmON $1,000,000 iCRiP'OON OF OPERADONS/LO CATIONS IVElOCLES(A1tarJI ACORD'101 AdINVonal Remad¢Schedule,Rmpre spare is n;qu)Rd) ZTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEp BEFORE CITY OF SALI.ar THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 93 WASHINGTON STREET ACCORDANCE WITH THE POLICY PROVISIONS. Ste, Nail 01970 AUTHORIZEpREPRESTBrTATVE John Aoegel/PAig RO 26(2090/05) 25oninwnt The Ar•�RD mmu��q irurn ara renicEnrerl 4w lu(T JND CORPORATION. All rights reserved. evurLc r r? sac rasa z-!ape .ne:,=o`?_bifc5 a 3o_r�c. =:lifeirc?agui_ and. :..,_._�o ��^ 3iGlords , s^ e: C$A87977 z RMCVPAIM 313I1.TON ST Salem MA OWe (f} - .y -- --- 5.2 URresti?t:Oed-fB.O,dh p D£any uw agwup Whkb ` COMWU less flan 35,000 cubic het(991d)o - . enclosed spaee- Aim Wlurew passes a current eMon of the MassachuseM State Building Code iscauseforrevocationa this license. For nPS Uamsinginformatonvnie ive:aLDAB AGuMPS dt,, �v,,,,�,,,��trl, .. ^��---Office oFCons-�er Si-mirs�BvssnessRegntaiioo " -_ AMEIMPROVEMENTCOITMCTOR Iistration: 149089 Type: it 3i1212016 Ltd Uabmty Corpo: ATLANTIC WEATHEPJZATION LLG- ERIC PALM _ JEFFERSONAVE D SALEM,MA 01970 Underseeret;y ' Uceose or registration valid for h3dmdot use only be€orethe expiration date. Erfound ret n a to: - - OMaceosCons-mverAffmrseadBumnmReguteizon . 10 park iaioxa-suite 5170 3astoa,MA 92116 Notvatidtvithout Ognatrue