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178 WHALERS LN - BUILDING INSPECTION (3) The Commonwealth of Massachusetts • SPECTIONAL ERVi�f n W1,11; Board of Building Regulations and Standards... OF Massachusetts State Building Code; 780 CMR SALEM pp 11�, pp 3 e1jseV21or 2011 DBuilding Permit Application To Construct,Repair,Renovate dr emolis � MOne-or Two-Family Dwelling This Section For Official Use Only, •_ - _, .Building Permit Number Date pplied: - - r : "I h L Building Official(Print Name) :Signature _ Date SECTION 1: SITE INFORMATION 1.1 Pl operty Address: 1.2 Assessors Map &Parcel Numbers /� whALee.s �ye 1.Is 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 Budding Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.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 OWNERSIM" Owners of Rec rd: Name(Print) City,State, /7,F G4 a/'r Ls�e 9�� - SF yFbS No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WOW(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s)X I Alteration(,) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work'. Cv 0 QO/L UYl NV �7/L✓Gzd G 4n� _ APT SECTION 4:ESTIMATED CONSTRUCTION COSTS ' Item Estimated Costs: - Off vial Use Only Labor and Materials) - - 1.Building $ d9 — 1. Building Permit Fee: $V Z2 Indicate how,fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee+❑Total Project Costs(Item.6)x multiplier x 3.Plumbing $ .2. Other Fees: $ _ J., - 4. Mechanical (TIVAC) $ List 3 _ 5. Mechanical (Fire $ - Suppression) Total All Fees: $ " Check No. Check Amount Cash Amount 6. Total Project Cost: $ 9v9' ❑Paid in Full ^ ❑Outstanding Balance Due (AIC-G;YJ 0)P)t4m-Lto `SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) � �Al �s License-4o 3/ v Numbberer Expiration Date Name of CSL Holder U /a ���TO List CSL Type(see below) No.and Stree Ty c ` Description o) Unrestricted Buildin s u to 35,000 cu.ft. R Restricted 1&2 Family Dwelling ity/Town,State,ZIP M Masonry RC Roolin Coverin WS Window and Siding SF Solid Fuel Burning Appliances 97�r7Jy°63� y [C��Q(TjLrzQL/�� Lv I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) s G, /14AL4,rn /Oo6S% 6 1�• /6 HIC Registration Number Expiration Date HIIC;p—ndStr—eef Conrp Name or HIC ReeTTe��'�ttran[Name L Tvy aT' t7LLi ledQ &ALl�?ta�C ( _ N Email addregAwn State,ZIP - Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(NLG.L.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 Issuance of the building permit. Signed Affidavit Attached? Yes .......... No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR �APPLIES nFnOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize -/L/4 /t't A- to act on my behalf, in all matters relative to work authorized by this building permit application. �AM¢/ � , Print Owner's Name(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 contained in this applicationis true and accurate to the be, of my knowledge and understanding. / Print Owner's or Authorized Agent's ame(Electronic Signature) Date NOTES: 1. 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(HIC)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 www.mass.a}ov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics.decks or porch) Gross living area(sq. ft.) FIabitable 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"may be substituted for"Total Project Cost' CITY OF S�1I.E.�I, 1N'LxSSACHUSETTS BUIIDPIG DEPARTMENT • 120 WASHNGTON STREET,3tD FLOOR TEL. (978) 745-9595 FAx(978) 740-9846 KIN{BFRr FY DRISCOLL MAYOR T HomAs ST.PtERRR DIRECTOR OF PuaLiC PROPERTY/Bt;1LDING COMMISSIONER 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: -;�&A / Ab `0� name of hauler The debris will be disposed of in vyh �al/QM �9nJ eX r�r✓QY�- (name of facility) /l/�� v • ��ue.�s /Li,4 ��a-� (address of facility) signature of permit applicant 3.36 date debri.aft.dix ;. CITY OF SM E. 4 iNLXSSACHUSEM BUILDING DEPARTMENT • r d- 120 WASiiIA1GTON STREET,Ya FLOOR TEL (978) 74S-9S95 FAX(978) 740-9846 IQ,\iBERLF_Y DRISCOLL THOefAs ST.PtERRS MAYOR DIRECTOR OF PUBLIC PROPERTY/BLIIDING COMMSSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �J� Please Print Legibly Maple(Busim-ss�Organizationlindividmi): . Q� /,A40VK Address: /d ])Mors 971 City/State/Zip.AgI,ii S /LEA 61)5; ,? Phone 0: Are you an employer?Check the appropriate box: Type of project(required): LEI❑ 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).' have hired the sub-contactors �{ 2,K 1 am a sole proprietor or partner- listed on the attached sheet.t 7--t Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9- ❑Building addition [No worker:comp. insurance S. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I-El Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp. insurance required.] •Any applicant that ducks box#1 must also rill out the section below showing their workers'compensation policy information t Ilomeowncs who submit this affidavit indicating they arc doing all work and then hire outside contractors most submit a now affidavit indicating such. =Comrasmra that check this box must anached an additional sheer showing the name of the aub• mmctom and nheir workers'comp,policy information. /um an employer that L providing rvorlcers'compensation Insurance for my employees. Below is the polley and Job site information. Insurance Company Name: Policy it or Self-ins. Lic.#: �Pr//UQ��3'Z7O IF -y - If Expiration Date: Or' ss 7 �lJ Job Site Address: / 0' A LQ�S L4 ne City/State/Zip: SALe�at /Lira UJ 97 0 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cent wad r t pains and penaties of perjury that the information provided above is true and correct Siena ntre:yii% 1?arc• .3'� i �7 Phone#: 9-;),P • 2�7 • E3�� Official use only. Do not write in this area,to he completed by city or town oyTiciat City or Town: Permit/License# Issuing Authority(circle one): 1. Board of health 2.Building Department J.City/'fown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: ____ Phone M A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMmonrrr) 03/22/2016 'THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 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 ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to 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 holder in lieu of such endorsement(s). PRODUCER CONTACT NAME- Deb Decillis JOHN J WALSH INSURANCE AGENCY INC. PA"CO"N Exit- (978)745-3300 a Net; E-MAIL ADDRESS: ddecillis@walshinsumnee.com P.O.BOX 4407 INSURERS)AFFORDING COVERAGE NAICIr SALEM MA 01970 INSURER A: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B: MALKIN IRA G DBA MALKIN & SONS & N E INSTALLS INSURER C: INSURER D: 180 DAYTON STREET INSURER E: DANVERS MA 01923 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 38874 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OFINSURANCE ADOL SUER POLICYNUMBER MMIDD/TrY MPMLDDh`YYY LIMITS EXP LTRINSD Wyk COMMERCIALGENERALUABILT EACHOCCURRENCE $ DAM ORENTED CLAIMS-MADE1:1 OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PECT RO- ❑LOG PRODUCTS-COMPIOP AGO $ J OTHER. S AUTOMOSILELIABWTY COMBINED SINGLE LIMB $ Ea accident ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per amidenp $ AUTOS AUTO$ NON-0WNEO PROPERTY DAMAGE $ HIRED AUTOS AUTOS Perauidem UMBRELLA DAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ S WORKERS COMPENSATION AND EMPLOYERS'LIASIUTY X STATUTE EORH YIN ANYPROPRIEfORIPARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICERIMEMBER EXCLUDED? NIA NIA NIA 7PJUB2E32708015 08/31/2015 08/31/2016 (Mandatory in NH) E.L.DISEASE-E EEMPLOYEE $ 100,000 If yes,due cribs under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be absence R more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states otherlhan Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in farce on the date that this certificate was issued(unless the expiration dale on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwd/workems mpensaton/investigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sanctuary Condominium Trust ACCORDANCE WITH THE POLICY PROVISIONS. Crowninshield Mgmnt Corp 18 Crowninshield St AUTHORIZED REPRESENTATIVE Peabody MA 01960 tLs_�i_ Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD +� 9MALK01 OP ID: DP ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE �- 03/2212016 22/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 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 ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to 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 holder in lieu of such endorsement(s). PRODUCER CONTACT NAME John J Walsh Ins Agency,Inc John J.Walsh Ins.Agcy.,Inc. P O Box 4407 - ac No E.1:978-745-3300 FAX No): 978-745-9567 Salem,MA 01970-6407 EMAIL John J.Walsh Ins.Agcy.,Inc. ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# INSURER A:United States Llab Ins CO INSURED Ira G. Malkin INSURER B: DBA Malkin&Sons 180 Dayton Street INSURER C: Danvers, MA 01923 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. URR NSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDDIYYVY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMSMADE I—XI OCCUR CL1564366D 10/03/2015 10/03/2016 DANIAGII NHIIJ 1DD,88 PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY F7 PRO-JET LOC PRODUCTS-COMP/OP AGG $ Included OTHER $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Fa acoiden[ $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS I AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peraccident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS LIABILITY STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y�NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDEDs (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS bee. E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.AddNlonal Remarks Schedule,may W atlached d more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sanctus Condominium Trust THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sanctuary ACCORDANCE WITH THE POLICY PROVISIONS. Crowninshield Mgmnt Corp 18 Crowninshield Street Peabody, MA 01960 AUTHORIZED REPRESENTATIVE Y, John J.Walsh Ins.Agcy., Inc. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD '' 7 yl2e �Go��2�72da2cc��ccll �%G'GaJ acccccJ-�G - POMP,. ,' Office of Consumer Affairs and Business Regulation r, 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 100654 Type: Individual Expiration: 6/22/2016 Tr# 253484 IRA G. MALKIN .._ - Ira Malkin 180 Dayton St Danvers, MA 01923 —" - - Update Address and return card.Mark reason for change. Address i_ Renewal L Employment F7 Lost Card SCA 1 C, 201vi-03'11 Massachusetts Department of Public Safety ��- Board of Building Regulations and Standards License: CS-020014 Construction Supervisor IRA G MALKIN ^ 180 DAYTON ST DANVERS MA 01923 ^^� CA-- expiration: Commissioner 0713112017 g' SPECIAL SERVICES CUSTOMER INVOICE _ Page 1 of 5 NO. 2686-324579CD Store 2686 SALEM,MA Phone:(978)741-9299 _ 0% 50 TRADERS WAY Salesperson: HCK16X W SAL£M, MA 01970 Reviewer: riv tame Fkne PAme CD O OPPELT PAMELA _ (978)498-4M REPRINT T A tl 178 WHALERS LN WD1 Fnar �I m cm',Vane J - tb N SALEM 3116 NRTS INSTALL -� n 201 ti-03-21 11:23 -+ m sre'" MA Z" 01970 c0'"''' ESSEX _ o e INSTALLER DELIVERY #1 M_ ERCHANDISE AND SERVICE SUMMARY ad`tome custorsh olim the quantities of merchandise REF11101 STOCK MERCHANDISE TO BE DELIVERED: ' r REF# SKU OTY UM , DESCRIPTION _ _ PI TAXI PQKAgA EXTEN510---N---_ B02 0000.966-477 4.00 EA 9"X33-5/16"WINDOW&DOOR SEALING TAPE--__ ;A 1g.29 A $77,16' o R03 0000-163-613 . 4.00 EA 1X8-8FT PT WEATHERSHIELD _ _ _S7.27 $29.08 r R04 0000.715.499 12.00 RL MULTI-PURP 16"X48' ROLL INSUL 5.3SF Y $4.98 $59.76 CD t R05 ! 0000-617-326 28.00 _LF 1X4-RIL OAK BOARD _ A Y _ $2.11 59.08 v m R06 0000-746.322 8.00 EA 1 5/16X42" MILL FINISH ALUM DRIP CAP _ A Y _ 1.29 $10.321 o R07 0000-929-612 _12.00 PC 1X8-8FT SELECT PINE BOARD A Y 20.24 $242.88 R08 _ 0000-153-508 96.00 LF 11/16 X2-1/2 PINE WM351 CASING _ A Y S1.26 _ $720.96 R09 0000-154-687 _96.00 LF'11116 X3-1/2 PINE WM444 CASING A Y $1.76' $168.96. R10 0000-158.305 96.00_ LF 1.114 X2 PFJ WM18013RICK _ _ A Y 1.98 $190.08 y R1 i 0000-590-666 4.00 EA iX8-8FT PRIMED FJ BOAR _ A Y $14.951 859.80 R12 0000-560-638 4.001 EA QUIKRETE 10LB O CI G CEMENT_ _ _ A Y 1 $6.971 $27.88 m R14 1000-049-619 2.00 EA PS510L FRA ART ONLY A_ Y_ $795.00 5390.00 m TR15 1000-049-622 _ 2.00 EA PS510L EL WHT PART ONLY _ A Y S252.00, $504.00 R16 1000-049-621 2.00 EA T PANEL WHT PART ONLY A Y S252.001 $504.00 B17 1000-D49-623 2.00 DR FRAME WHT PART ONLY `- _ _ A Y $195,00 $390.00 ro R16 1000-049-625 PS510R OPER PANEL WHT PART ONLY A Y _ 52.00 $504.00 •"CONTINDED ON NEXT PAGE"" m n O o Check your current orderstatus online at w .homedepot.00mlorderstatvs N Page 1 of 5 No. 2686-324579 Customer Copy V SPECIAL SERVICES CUSTOMER INVOICE-Continued Last Name: OPPELT Page 2 of 5 NO. 2686-324579 0 INSTALLER DELIVERY .Coniin::ed) REF -- 0O3 o R19 1000.049-624 2.001 EA PS51OR STAT PANEL WHT PART ONLY _ A ' Y _ $252.00; $504.00 O0 R20 0000-321-257 4.001 EMSCREEN FOR 200 PS510 - DOOR WHITE_ _ A Y _ S115.00 460.00 _ R21 0000-570-469 4.00. EA;DOOR HARDWARE 200/400-GLIDING WHITE A Y $47.00 $188.00 po R23 0000-975.049 1.001 EA 3000/400045FAST EZ NICKEL HARDWARE _ A_ Y $50.00 $50.00 N R24 1000-710-767 1.001 EA 364000 EZ FULLVIEW WHITE RH A Y $277.00 $277.00' A N S/O-MDSE TO BE DELIVERED: _ REF# S25 ESTIMATED ARRIVAL DATE. 04/17/2016 P.O.#86531868 t REF k SKU QTY UM DESCRIPTION _ PI TAX! PRICE EACH EXTENSION m 82501 1000-012.809 4.00 EA PANEL 5.0 AW 200 SERIES DOOR 1200 SERIES PS PATIO DOORS 2 A Y — $18.89 $75.56 S2502 1000-012-809 _ 4.00 EA NA/(CONTINUED)/200 SERIES PS PATIO DOORS 2 PANEL A Y $0.00. _ $0.00 N S4.892.52 DELIVERY INFORMATION: JIDELIVERY DATE: INSTALLER WILL SCHEDULE10 INSTALLER WILL DELIVER MDSE TO: SITE OF INSTALLATION 001 AT TIME OF INSTALLATION. _ e NOTE: UPON RECEIPT OF ALL S/O MERCHANDISE -INSTALLER WILL CALL CUSTOMER TO SCHEDULE INSTALL r m DATE. o �INSTALLATION.#1 N w REF# 101 _ — — —-- v m 0 — ESTIMATED INSTALL BEGIN DATE: 03/20/2016 _ ESTIMATED INSTALL END DATE: 04/19/2016 MERCHANDISE TO BE INSTALLED: REF# SKU _ OTY r UM T DESCRIPTION _ R02 0000-966-471 4.00 EA', X33.5/16' WINDOW&DOOR SEALING TAPE R03_W 0000-163.613 4.00 ER 1X8-8FT PT WEATHERSHIELD _ R04 0000-715-499 12.00 RL MULTI-PURP 16"X48" ROLL INSUL 5.3SF R05 0000-617-326 _28.00 LF 1 X4-R/L OAK BOARD R06 0000.746.322 8.00 EA 1 5/16X42" MILL FINISH ALUM DRIP CAP N R07 0000-929-612 12.00 PC 1 X8-8FT SELECT PINE BOARD R08 0000-153-508 96.00 LF 11/16 X2-1/2 PINE WM351 CASING R09 0000-154-687 96.00 LF 11116 X3-1/2 PINE WM444 CASING -- — w coon NUED ON NEXT PAGE'"' m 0 u V W V Page 2 of 5 No. 2686-324579 Customer Copy SPECIAL SERVICES CUSTOMER INVOICE- Continued Last Name: OPPELT Page 3 o15 NO. 2686-324579 INSTALLATION:#1 W (Contir•catly . _ _ REF*101 -- - -- H O R10 0000_158-305 96.00 LF 1-1:`4 )(2 PFJ WM180 BRICK A11 0000-590-666 4.00 EA 1X8-8FT PRIMED FJ BOARD -� p n R12 OCOO-560-638 _ 4.00 EA QUIKRETE 10LB QUICK-SETTING CEMENT _ N j R14 1000-049-619 2.00 EA PS51 OL FRAME WHIT PART ONLY _ a R15 1000-049-622 2.00 EA PS51 OL OPER PANEL WHT PART ONLY a` R16 1000-049-521 ZOO. EA PS51 OL STAT PANEL WHT PART ONLY R17 1000-049-623 : 2,00 EAl PS51 OR FRAME WHT PART ONLY R18 1000-049-625 2.00 EA PS51 OR OPER PANEL WHT PART ONLY o _ R19 1000-049-624 2.00 EA PS51 OR STAT PANEL WHT PART ONLY R20 OOOD-321-257 4.00 EA SCREEN FOR 200 PS51C - DOOR WHITE _R21 0000-570-469 4.0_0 EA DOOR HARDWARE 200/400-GLIDING WHITE R23 0000-975-049 _ 1.00 EA 30004000 45FAST EZ NICKEL HARDWARE p R24 1000.710-767 1.00 EA'36 4000 EZ FULLVIEW WHITE RH S2501 1000.012-809 4.00, EAI NA SIO AW 200 SERIES DOORCD S2502 1000-012-809 4.00 EA {CONTiNUEQJ BASIC INSTALLATION LABOR: _ o c N SKU DESCRIPTION _ _ _ QTY U_M=NS4fiWOO CH EXTENSION m 0000-899 PATIO DOOR-NATSLIDING PATIO DR UP TO 72X96 1.00 S469.00 -854 -- - - --�- - OPTIONAL LABOR SELECTED INCLUDES: OPTION _ DESCRIPTION QTY UM TAX PRICE EACH EXTENSION —HAUL AWAY OF EXISTING DOORi _ 4.00 EAl N $35.00 $140.00 O1 14 MULTI DOOR DISC - PATIO DOOR UP TO 72X961 _ _ 3.00 EAi N S398.00 $1.1194.00 y 19 1INSTALL NEW STORUISECURITY DOOR` _ _ 1.00 EAl N 1 �$97.00 97.00 m CUSTOM LABOR SELECTED INCLUDES: " m OPTION DESCRIPTIONI QTY I UM ITAXI PRICE EACH L EXTENSION N 1 BUILD OUT JAMB OVER 10"ON ALL 4 PATIO DOORS ......... 4.00 EAl N I $110 OOF S440.00 _2 CUT BACK SIDING AND FLASH HEAD ON ALL 4 PATIO DOORS .......... _ �— 4 00 _ EA' N �_ $165.00 _ $660.00 -- - - _ —CONTINUED ON NEXT PAGE... m w m 0 V A Page 3 of 5 No. 2686-324579 Customer Copy V SPECIAL SERVICES CUSTOMER INVOICE- Continued _ Last Name: OPPELT Page 4 of 5 NO. 2686-324579 C> P INSTALLATION #1 N {can nuedt REF k101 _ _ O o 3 CUT BACK WOOD FLOOR ON 2ND FLOOR MASTER 2ND FLOOR GUEST ROOM AND FRONT 3.00 EA N $75.001 $225.00 :0 DECK RIGHT SIDE ........ 4 DIFFICULT ACCESS FOR 2ND FLOOR MASTER PATIO DOOR AND 2ND FLOOR GUEST 2.00 EA N $125.00 $250.00 ROOM PATIO DOOR o* m _5 DISPOSAL OF OLD STORM DOOR _ _ 1001 EAF N _315.00 $15.00 P o 6 CUST BACK WOOD AND TILE FLOOR ON LEFT SIDE DECK PATIO DOOR _ 1.00 EA. N $25O W 250.00 � m INSTALLATION SITE NAME: JOPPELT, PAMELA _ _ INSTALL LABOR CHARGE: $3,740.00 { ADDRESS: 178 01HAL£RS LN TRIP CHARGE: 0.00 h CITY: SALEM _ STATE: MA ZIP: 01970 CREDIT FOR DEPOSITIMEASURE: COUNTY: ESSEX SALES TAX RATE: 6.250 TAX: Merchandise- Y LABOR- N ' �$a7f 0.00 PHONE: 978)496-4885 ALTERNATE PHONE: (978)498-4885 _ INSTALLER SPECIAL INSTRUCTIONS: customer has door foot locks on order for each door BASIC INSTALLATION LABOR INCLUDES: V 'PRE-INSTALLATION JOBSI7E INSPECTION `INSTALL NEW CUSTOMER PROVIDED INTERIOR CASING AND 'DELIVERY WITHrN 30 MILE RAD WSOF STORE EXTERIORTRIMIBRICKMOLD OFTHE NEW DOOR WHEN THE REMOVAL OF EXISTING DOOR UNIT CASINGITRIM IS THE SAME SIZE OR WIDER 'INSTALL NEW PATIO DOOR UNIT 'INCLUDE NON-COLORED STUCCO PATCH UPTO 4'FROM J.WABAFTER 41 41 C7 'INSTALLERTO PROVIDE NECESSARY FASTENERS,SHIMS AND EXTERIOR MOULDING IS INSTALLED;WHEN APPLICABLE N rw* CAULKING 'FINALCLEAN UP OFALL DEBRIS RELATEDTO INSTALLA ON v V 'INSTALL.EXISTING OR NEW CUSTOMER PROVIDED DEADBOLT, •FINAL INSPECTION WITH CUSTOMER INCLUDING INSTRUCTIONS ON w I LOC KSET AND KICK PLATE(IF APPLICABLE)ON NE1N DOOR CARE AND/OR TEST PRODUCT TO ENSURE PROPER OPERATION ADJUSTDOOR TO ENSURE PROPER OPERATION r DRILL HOLE IN JAMB FOR ALARM WIRING IN SAME LOCATION AS N EXISTING DOOR UNLESS STATED ABOVE THIS INSTALLATION DOES NOT INCLUDE: INSTALL DOORS OVER 96X96 STUCCO PATCH GREATER THAN 4".PAINT AND STAINING INSTALL FIXED ARCH TRANSOM LITE IN EXISTING OPENING DISCONNECT AND RECONNECT OF SECURITY SYSTEMSVIIRING REPAIR CARPENTRYTO EXISTING OPENING WORK ON SUNDAYS OR HOLIDAYS m PLASTER,DRYWALL OR SIDING WORK y SPECIAL NOTES: 4 'ELECTRICITY MUST BEACCESSIBLE TO THE WORK AREA _ _ CUSTOMER MUST HIRE THErn OWN CONTRACTORTO MAKE THE REPAIRS- '—CONTINUED ON NEXT PAGE Ib N 'y Page 4 of 5 NO. 2686-324579 Customer copy SPECIAL SERVICES CUSTOMER INVOICE• Continued Last Name: OPPELT Page 5 of 5 No. 2656-324579 ro a INSTALLATION #1 N (CoMlnaed) REF i7101 _ — — _ -- �--- y •IT MAY BE NOISY DURING YOUR INSTALLA71ON `AN ADULT OVER 18 YEARS OF AGE WITH THE AUTHCP.ITY TO MAKE •THE INSTALLER WILL BROO:'d CLEAN THE IMMEDIATE WORK AREA DECISIONS ABOUT YOUR INSTALLATION MUST BE PRESENT DURING THE 0 �' BEFORE COMPLETING THE INSTALLATION-AIRBORNE DUST IN OTHER INSPECTION(WHEN APPLICABLE),DELIVERY AND INSTALLATION PARTS OF THE HOME IS A NATURAL OCCURRENCE AND IS THE 'ALL BREAKABLES AND.+OFI VALUABLE OBJECTS MUST BE REMOVED a RESPONSIBILITY OF THE CUSTOh4ER. FROM THE WORK AREA PRIOR TO INSTALLATION cc w 'CHILDREN AND PETS MUST BE KEPT AWAY FROM THE WORK AREA 'ADDITIONAL CHARGES AT THE JOBSITE MAY BE NECESSARY TO ,vP Lon .'CANCELLING APPOINTMENTS WITH INSTALLERS OR MISSING COMPLETE THEJCB AND(OR BRING THE INSTALL INTO COMPLIANCE { �' SCHEDULED APPOINTMENTS MAY LEAD TO ADDITIONAL CHARGES WITH LOCAL ANDIOR STATE CODES 'REFER TO PROOUCTMANUAL FOR SPECIFIC WARRANT'AND •THE INSTALLER MAY DECLINE TO INSTALL THE JOB IF IN THEIR I h MAINTENANCE INFORMATION. PROFESSIONAL OPINION ITSEEMS UNSAFE,IN VIOLATION OF STATE 'IF UNFORESEEN LABOR IS NEEDED TO REPAIR DAMAGE FROM WATER, OR LOCAL CODES ORCA.NNOT BE PERFORMED TO INDUSTRY STANDARDS F, TERMITES,ELECTRICAL OR PLUMBING PROBLEMS.THERE IS AN ADDED io CHARGE WHICH MAY NOTBE AVAILABLE FROM HOME DEPOT SOTHE 0 a END OF INSTALL#1 m TOTAL CHARGES OF ALL MERCHANDISE A SERVICES _ C> ° Policy Id (PI): ® ` , 8.602.52 o d SALES TAX 5305.78 N �* A:90 DAYS DEFAULT POLICY•».N.N.NN.WM.YNN.NN.N.M.M...N.NN.MM.MNN.NNy.N.N' m _ _ TOTAL _ $8.908.30 v " BALANCE DUE1 $0.000 v w 'The Nome Depot reserves the right to limit I denv returns. Please see the return policy sign in stores for details.' N END OF ORDER No.2686-324579 H w B m m e� v m w w m 0 rn V 01 ~ Page 5 of 5 No. 2686-324579 Customer CO py Sanctuary Condominium Trust c% Crowninshield Management Corp. 18 Crowninshield Street Peabody,MA 01960 (978)532-4800 March 10, 2016 Pun Oppelt 178 Whalers Lane. Salem, MA 01970 RE: Replacement Sliders Sanctuary Condominiums Ucar Ms. Oppelt: Thank you for your inquiry regarding slider replacements at your unit. Please he advised that the Board Or Trustees forthe Sanctuary Condominiums does not object to the replacement of these sliders providing that they match in appearance (no French doors)to the existing,they must fit in the existing opening,molding size and glass sire must remain the same and they will not allow grids etc. Storm door must be full glass but I'm not sure of the color. I think it must be white, but I will double check with the board. We also require the permits be pulled in advance,and that a copy of the final approved permit once completed.is also submitted to our office. We also require that you hire only a licensed contractor, with adequate insurance. You will most likely need to show a copy of this letter to the Building Department in order to obtain your permit. Should you have any questions or require additional inlormation,please feel free to call me directly at(978)532-4800 ext 4232, Sincerely, C/lDl,t-)/L Till Faina. CMCA Regional Property Manager Crowninshield Management Corp. Managing Agent Ibr the Sanctuary Condominiums cc: bile LiL d 0 << 2"LOLPL6 A1119992 20:60 62-£0-9602 LO ;eBed WY LZ;e .Bwtl 9T/TZ/Eo ;aqua 66Z6TtL8L6T ;mold TSSOUL8L61 :01