14 WHALERS LN - BUILDING INSPECTION idosreEf L if PROVED BY T*IE
UtIS+PF.CJL ,�IIDA TP A.P T B,ENG GRANTED
CITY OF SALEM
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No. - 2-0 O 1 ye` �� �: te zo
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Is Properly Located In Location of the Historic District? Yes_N Building tel) /o (r"/',7✓���
Is Property Located In
the Conservation Area? Yes /No� ^
BUILDING PERMIT APPLICATION FOR: cL (o
Permit to:
(Circle whichever apply) oo Bern Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, er:
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications: //
Owner's Name g h C 7re-V
Address & Phone
c
Architect's Name
Address & Phone ( )
Mechanics Name I-e
Address & Phone / G / ,�/
What Is the purpose of building? J C
Material of building? I-A /iI Q If a dwelling, for how many families?
Will building conform to law? X-e Asbestos?
Estimated costli ' O C ty Ucerue# N p' Stato license # Q C�
Boma Imp ovement
I Lie. /
gna ure of AppIie
4-0 5�6S(}I 5 SIGNED UND 'R THE P L
OF PERJURY
DESCRIPTION OF WORK TO BE DONE �
:
"n
.x
MAIL PERMIT TO:
a �
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
O ?
APP VfD
INSPECTOR OF BUILDING'
JUN-30-2003 MON 10:43 AM AMERICAN PROPERTIES FAX NO. P. 01
American Properties Team, I ic.
TO: Salem Bldg. Dt partment
FROM: Jill DeSantis, Property Manage
RE: Decks--Sanctuary Condomini ms
DATE: June 30,2003
Please be advised, Deck d Out Design has been hired to replace the upper decks at 14
Whalers Lane and 49 Aurora Lane. following this page you will find the signature page
of the contract with two Trustee's signature.
Should you have any qu rstions please feel free to call me directly
500 WEST CUMMINGS PARK • SUITE 6050 • WOBURN • MA • 01801 • 781-935-4200 • FAX 781-935.4289
JUN-30-2003 MON 10:43 AM AMERICAN PROPERTIES FAX NO. P. 02
Sanctuary Condominium A 9sociation
Deck Contract—Decked 01 it Design
Each Accident: $500,000A0
Contractor prior to commencement of any work hereunder, shall famish to the Trust Certificates
or copies of policies showing that such insurance is in force and the premiums due thereunder
have been paid. Certificates or policies shall specify that the Trust shall receive 30 days prior
notice of cancellation or mati rial change.
In the event of the failure of Contractor to famish and maintain such insurance,the Trust shall
have the right at its option to terminate this Agreement or to take out and maintain the said
insurance for any in the name of the Contractor and Contractor agrees to pay the cost thereof
through the deduction of fun s due him, and to furnish all necessary information to permit the
Trust to take out and maintaii i such insurance for the account of the Contractor.
DISCRIMINATION: The ontractor will not discriminate against any employee because of
race,sex,creed, color or national origin. The Contractor agrees to comply with all Equal
Employment Opportunity Laws,regulations, and directives,as required by any governmental
body or authority.
PERFORMANCE OF THECOVENANTS: The parties hereto for themselves,their heirs,
executors, administrators, legal representatives,successors,do hereby execute the full and
complete performance of the covenants as required.
NOTICE: Any and all notic es served pursuant to or with respect to this Agreement shall be
return receipt,w respect to the Trust;t with res
delivered by hand or by certified t p
Sanctuary Condominium T t With respect to the Contractor
c/o APT, Inc. Decked Out Design
500 West Cummings Park, Suite#6050 87 Martin Street
Wobum,MA 01801 Essex,MA 01929
(978)768-3858
Any notice regarding default under this Agreement shall be confirmed in writing,but in order to
expedite corrective action a I elephone call shall be deemed notice of default,and after receipt by
the defaulting party, said def aulting party shall correct the default or otherwise respond within
four(4)hours.
Witness: Whereof the parties have duly executed this Agreement the day and year above
written.
Contractor: Pete Rutherford
By:
Title:
Trust: Sanctuary Condomi i uni Trust
By:
09ing a anctu
i�
JUN-30-2003 MON 10:43 AM AMERICAN PROPERTIES FAX NO, P. 03
0015 2003 15;58 97e76039 8 RUTHERFORD ME 02
purr 4-cvua my ui.ai rn WMWI rlfurl!XIIL. rm Nu, P. 10
Sapt:t M Candemb ton Anaoin =
Deck Contract—Dad Wd Out Design
each dent: S100.0W.00
Contractor prior to oommsucement of any work hereunder,shad furnish to the Trust Ceruflu es
or Copies of policies aboWing thin such insurance is in force and This ptemitmts&A thereunder
have boon paid. Cerdlestes or policies shall specify that the Trust shaU rweivo 30 days prior
notice of eaaceAatim or material change.
In the event of the of Contractor to fi sWsh and maintain such insurance,the Tpat shall
have the right at its op on to terminate this Agreement or to take out and maintain the said
insurance far any in th morn of dw Contractor and CoMnator agrees to pay the cost thereof
dwush the deduction funds due bin end to finish sU necessary Inibrmation to permit the
Thar to take out and a sintala stub irm=oe for the account.of the Contraotor,
D�y[�tlnZiNATIIY The Contmcw wit!not discriminate against any employee beam of
race,sex.Mad,solar national origin, The Contractor asmas to comply with all Equal
Employment Oppormn ty Laws,regulations,and directives,as required by any goveapmenW
body or authority.
CO NAMS: The parties hereto for thernWvm.their heirs,
erterattors,administramrs,legal rWmmdv4K sueeessora,do hereby acectstc the full and
complete petPormance f the covenants as required.
NOTICE: Any and Of noriom saved purstut to or with respect to This Agreement shall be
delivered by hand orb certified return receipt,with respect to the That;
Sanctuary Condorniniu it Trust With respect to the Contractor
clo APT,Inc. Decked Out Dadgn
500 West Curnmiugs P k,Suite#6050 87 Martin Street
Wohum,MA 01801 Essex,MA 01929
(978)7t;8 W8
Any notice regarding d&ulx undar tMA Agreement shall be confirmed in writing,but in order to
expedite oowwuve acd u a telephone call sball be deemed notice of defh %and after receipt by
the defaulting party,said defaulting party shall eon=the default or otherwise respQw within
four(4)hours.
Wes; Whereof the parties have duly executed this Agreomentt a day and year above
wxittetn.
Cottttxctnr. Pax r
Title:
Trw:Simetuery Cond minium Trust
By:
As maoaging Agcu for The Sanctuary
•I7i Commanws=& o/ / w6acktdeLLB
r t}*
�L.Jepaelrnant o/.7na�ilrinf.i cctafanCa
600 wm�iia9loa-3ir-al
James J.Camooes &A., ///dssaeLaalt! 02111
Cornmrssmrier
I'
Workers' Compensation Insurance Affidavit
with-2 principal place of business at:
40
(cart/saar.aa47
do hereby certify under the pains and penalties of perjury, that:
() 1 am an employer providing workers' compensation coverage for my employees working on
this job.
Insurance Company Policy )Dumber
/ \ 1 am a'sale proprietor and have no one working for me in any capacity.
() 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the
contractors listed below who have the following workers' compensation policies:
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
O I am a homeowner performing all the work myself.
I unocntano that a cony of chic satement wal be iorwaroed to the Once or Irnestitaoons of the DIA for co.erate verW"don and that faiure to secure
coverate as rcoucea unaer Section 2SA of MGL 1 S 2 can lead to the inoovdon of crvmac oenndes corssdnt of a rnt of w w4 I.50000 and/or one
Yeari inwoonmpt.,x.tea as 6A "Wades in the loan of a FOP W K ORDER a/o..a�fne of S .00 a day aPitst me.
Signed thi of
License ermitcee Building DeDepirtrment
Licensing Board
Seleamens Office
Health Department
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
OF SALEM,- MASSACl:5ETT5
}{
PUBLIC PROPERTY DEPARTMENT
3 e 120 WASHINGTON STREET, 3RD FLOOR
� 9 SALEM, MA O1970
TEL. (978)745-9595 EXT. 380
FAx (978) 740-9846
STANLEY J. USOVICZ, JR. -
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, S34,I aclmowledge that as a condition
of Building Permit# , all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility, as defined by MGL c III, S15500A.
The debris will be disposed of at: Qf'/ '
Location of Facility �� I
C -3c)lo
'SfgWafure of Permit Applic Date
FULLY complete the following' omiation:
(PLEASE PRINT CLEARLY)
ame of Permit Applicant
Firm Name,if any
ddress, City &State
The above statute requires that debris from the demolition,renovation,rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cIII, S 150A, and the building permits or licenses are to
indicate the location of the facility.