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25 WILLSON ST - BUILDING INSPECTION The Commonwealth of Massachusetts FOR Board of Building Regulations and Standards MUNICIPALITY G Massachusetts State Building Code, 780 CMR, 7`ffi,editiop USE a / Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised January One-or Two-Family Dwelling 1, 2008 This Section For O Use Only Building Permit Number: ate A lied: Signature: _ Building Commissioner/Inspector uildings. Date SECTION t: SITE INFORMATION 1.1 Property Adddryss: 1.2 Assessors Map &Parcel Numbers 1.1 a Is this an accepted street?yes_ no_ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed b)seArea,sq ft) Frontage(ft) IS- Building 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: Zone: _ Outside Flood Zone? Municipal El On site disposal system El Public El Private❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP[ 2A ,,oQwner of Recopfy� W I ' SO 5F hCn /1 [J - Name�(Print) t� Address for Service: Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteranon(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ 1 Number of Units_ Other ❑ Specify: Brief Description of Proposed Work2: acJ C-e i fu --c� Ce-1 Ll C1¢y, � W v. Lt' SECTION4: ESTTMATED O STRUCTIONCOSTS Estimated Costs: Official Use Only Item (Labor and Materials I. Building Permit Fee'$ Indicate how fee is determined: Building $I g ❑Standard CiTy/fown Application Fee 2.Electrical $ ❑Total Project Cost' (Item 6)x multiplier x l 3.Plumbing $ 2. Other Fees: $ / � V 4. Mechanical (HVAC) $ List: 7 vvvv 5.Mechanical (Fire - $ . Total All Fees:$ Suppression) Check No. ' Check Amount: Cash Amount: 6.Total Project Cost: $ S Y00 0 Paid in Full 0 Outstanding Balance Due: SECTIONS: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) c>a7 ti License Number Expiration Date Name of CSL-Holder Rio W.1}- l j 4 3 ill'1M ��[yP��t. '0 List CSL Type(see below) Address g,lem rr A OT970 Type Description U Unrestricted(up to 35 000 Cu.Ft. Signature R Restricted 1&2 Family'Dwelling M Masomy Only RC Residential Roofing Covering Telephone WS Residential Window and Siding Y y — SF Residential Solid Fuel Burning Appliance histallation D i Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company 1Y5 Registration /Number Address O "��Mrsoll Avon Salem MA 01970 q)'� Expiration Date Signature Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. g 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 Issuanc f the building permit. Signed Affidavit Attached? Yes .......... W No ........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT O R CONTRACTOR APPLIES FOR BUILDING PERMIT 1, ""n L b-e-L as Owner of the subject property hereby .authorize no,. .r✓t - to act on my behalf;in all matters relative to work authorized by this building permit application. - Signature of Owner I Date SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION I, _�l. C I-�-/� ,a5'Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. F -. ` p0. ( Print Name Signature of Owner or Authorized Agent a Late (Signed under the pains and 2enaldes of a ru - 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(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 and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and I O.R5,respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq. Ft.) (including garage,finished basement/attics, 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"may be substituted for"Total Project Cost" The Common"' aealrh of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/individual): Attafil7C ) 61'R kfferson Avoue Address: Ono tk-ot970 City/State/Zip: Phone #: `6 7 y V " s i Y Are you an employer?Check the appropriate box: Type of project(required): 1.1tS y/Iam a employer with 4. [],1 am a general contractor and-I � 6. ❑ New construction employees(full and/or part` tune". , _ have.,hired She sib-contractors 2:Ell am a sole proprietor or partrier ' fisted on t`ir attaphtd sheet. 7. �] Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition (No workers' comp.insurance comp. insurance.t 1 am red.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12,El Roof repairs insurance required.]t c. 152, 1(4),and have no 13.❑ Other employees. [No workers' comp. insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy inforrnation. t Homeowners who submit this affidavit indicating they are doing all work and Lava hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached eo additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub•conttactors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and Job site ` information. /� Insurance Company Name �rrl'e-r T r t L-("t S C.o ! Policy#or Self-ins Lic.#: - -I PS U/ S�1Za h`i- Expiration Dete:3 10 43 Job Site Address:9,6 1,) 1 City/State/Zip: 5i the policy number and expiration date). Attach a copy of the workers compensation policy declaration page(showing p y P 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$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$250.00 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. I do hereby certify under the pains and penalties ofperjury that the information provided above is true correct. Sims re.- !//1%//// �p ,tz, Phone# 451 -7 0 1Y2 Official use only. Do not write in this area, to be completed by city or town ofjciat . City or Town: Permit/License# _. Issuing Authority(circle one)'. 1.Board of Health 2.Building'Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone it: - RightFax N1-2 3/21/2012 6 : 26 : 51 AM PAGE 3/003 Fax Server /�° ISSUE DATE Hr >v rsaC j l'.. x,. a z V.R: s.a^,% .v n 3/21/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ' CERTIFICATE DOES NOT AFFH TTVELY OR NEGATIVELY AMEND,EXTEND OR ALTER TINT 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 pollcy(les)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 hostler in lieu of such endorsement(s). PRODUCER CONTACT EASTERN INS GROUP LLC NAME: FAX 233 W CENTRAL SI, PHONE (MC NATICK. MA 01760 EMAIL ADDRESS: ' PRODUCER - CUSTOMER ID is INSURED INSURER(S)AFFORDING COVERAGE NAIL# ATLANTIC WEATHERIZATION LLC INSURER AMERICAN ZURICH INSURANCE 61 REAR JEFFERSON AVE COMPANY SALEM,MA 01970 INSURER B INSURER C INSURER INSURER E - - INSURER F. COVERAGES -CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTDFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NANIED ABOVE FOR THE POLICY PERIOD INDICATED. NOT'WITHSTANDINO ANY REQLiIItEhII?NT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WtIICH 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.LNITS SHOWN MAY HAVE BEEN REDUCED.BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR W VD (MM/DD D GENERAL LIABILITY EACHOCCURRENCE S ❑COMMERCDL GENERAJ,LIABILITY DAMAGETORENIED S PRE10SES(Each occurrence O CLARAS MADE 11 OCCUR MED.EXPENSE(A y en< S ❑ PERSONAL&ADV. S INJURY ❑ OENERAL AOOREOATE S OEN-L AOGREOATELEMITAPPLRSPER: - 0 POLICY 0 PROJECT ❑ LOC PAROO CTS�COb@/OY Y ODU AUTOMOBILE LIABILITY COMBINED SINGLE S Lihff � (Each accident) ❑ ANY AUTO BODILY INJURY S (Per Person) ❑ ALL OWNED AUTOS ✓ BODI.YINJURY S (Per Accident. ❑ SCHEDULED AUTOS PROPERTY DAMAGE 3 ,,accident ❑ HIRED AUTOS - S 0 NON OWNED AUTOS , S 0 1.R.BRELLA LV.B OOCCDR - - EACH OCCUI NCE S ❑ EXCESS LVB ❑CLAJMS.MADE AGGREGATE S ❑ DEDUCTIBLE S 0 R£rElmONE S WORHERS'COMPENSATION WC A AND EMPLOYERS LIABILITY N/A I STATUTORY YIN LDE S ANY PROP=OR/PARTNER/ EXECUTIVE OFFJCEwn¢l.-BER Y N/A 7PJUB-$B270121 03/20/12 03/20/13 E.L.EACH wccmElar s$U0,000 EXCUMED9 (MANDATORY IN NIT E.L. LOYUEDISEASE-EACH t500,000 EMPLOYEE Ifyes,desrnbe wrier DESCRIPTION OF EL DISEASE POLICYS500,000 OPERATIONS below LIST DESCRIPTION OF OPERATIONS/LOCATIONSATHICLES (APach ACORD 101,Additional Remarks Schedule,i(more space is required) THIS REPLACES ANY PRIOR CERTI'ICATE ISSUEI)TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE ' & W CITY OF SALEM 120 WASHINGTON ST SHOULD ANY THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN SALEM,MA 01970 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE '$YGGLYV T'l0.Gf.e0.w �yt xr z f -.. . . A� CERTIFICATE OF LIABILITY INSURANCE 3i�9i2o1Y2) 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; IA th% ''Lficate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condixtons 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 Construction NAME: Eastern Insurance Group LLC PHONE (508)651-7700 alc No: 233 West Central Street ADDRESS: PRODUCERCusTomEglp#00024397 Natick MA 01760 INSURERS AFFORDING COVERAGE NAICd INSURED INSURER AArbella Protection Ins. Co. 41360 INSURERS Arbella Indiaranity Ins Co. 10017 Atlantic Weatherization INSURER.C:Zurich—American Group 61 Rear Jefferson Avenue INSURERDBeacon Hill Associates Inc INSURER E: SaleID Mk 01970 1 INSURER F: COVERAGES CERTI6lORTENUMBERJMASTER"2012 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 ADDLSUSR POLICY EFF POLICY EXP. LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMID MMI GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ee cou ence $ 50,000 A CLAIMS-MADE OCCUR 8500042816 /20/2012 3/20/2013 MED EXP(Any one arson) S 5,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 POLICYFx-1 PRO LOG I I S AUTOMOBILE LIABILITY COM DINED SINGLE LIMIT S 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED AUTOS 938274b0003 /20/2012 /20/2013 BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIREDAUTOS (Per accident) r X NON-dWNEO AUTOS Uninsured motonst BI split limit $ Unde nsured motorist BI split $ X UMBRELLA DAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DEDUCTIBLE $ A RETENTION S 600047820 /20/2012 /20/2013 $ C WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY - Y I N ANY PROPRIETOWARTNER,EXECUTIVE❑OFFICERIM NIA E.L.EACH ACCIDENT S (Mandatory In H)ER EXCLUDEDi ERTIFICATES TO BE ISSUED - E.L.DISEASE-EA EMPLOYE E (Mandatary In NH) If Yes tlescd0e antler IRECTLY BY CARRIER E.L.DISEASE-POLICY LIMIT E DESCRIPTION OF OPERATIONS below D POLLUTION LIABILITY PL200378600 30/1/2011 10/1/2012 GENERAL AGGREGATE $1,000,000 EA POLLUTION CONDITION $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY. OF SALEM 93 WASHINGTON STREET AUTHORIZED REPRESENTATIVE SALEM, MA 01970 Rosemary Fulham/PMA ACORD.25(2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD i ''. T�,.e�.t .� hr }g}:'.:�' ��7; xl SI_ r�i:.i kr!•-" 3 z, ( .:ram. 'f. -f ",6 `� 'e .?y� t ACTION, INC mot-rift=Prr r aA ,KIN5 ( s h 47 Washington Street Gloucester, MA0193'0 x a �'R9gency� y .4 4 SJfk Mr -Im - ^.+E1/; ©GRAM �e's"���Fi'�)_1'� r � '4 dz+ , -s�"` o n c� 73 �ili2�t72 rr gyt°c I rrt`' .- �..� 10✓���� ,yi9,�+. k �p�4. ,�£y'st{�-r 4rrgy�±z h) 7:�H¢�7�., rP�n4ia rtdl is r;z 1 .tJ ''tsr' W' '�'*S $'(!:r`ai'y y�}J �Krv; 'I i_"1"v' .{gJ tfe:.i z rq.*' hsa < I ft ? � ti 7� .,. '6dal 'EfY ' 2�6. A "�nMkA. .9'rFf''^� W F.+S�si i s4 '� ; 'il 4 p@E ork Order# q 0 h ext yE S Cq performed I /No , .5.� I � �'7•'$ CM,1 fork Ondei'Date {� i 7h03/22/, 2 rr fr b „ t s #� yrPpmary"E.ontrac onJ f a,F At ,TZgLT=L'1U ''FSY" �vyll' �OtheiCtonracton ',,t��m NA.�,fi.I+ �» Pt a ��x, #Bolbs,mstalledrC,�_,.,,,. tte0,.+ x, x . r x Xr .J11 Nrtr� ,'e fi ,Gsa j,l r . t'a»g°rr . rut"RCost ofBulbs� ' R0.00 ' r?i I lvy, , L-4a: ^6 TxR—, S 1 it tl, 1, -.Yk�t ,, p r- 'Y�Chen I u ry '" `r 9 "Ctty'State�Z p Salem' MA� r �r�'„5, 01970f� lElectnc` aIVV✓ork`"". ' ,kit p,$0 QUO w.s � t., * wsx- rl „,Telehoney (9r7t8t)744'8085r. ,,, ?k w�, "*trzz•~ `� "a r$.'P mourn K'eySpan.,- w r%U OOt, ; »`a r-t r ,7a,, •`h-S'"a u; r'!i +' ;t�°" r es ax ' 1 n S I«£ R. � $U UU a h P' s / Blower Door Tyest< r w " t'es ; v r r 'tr�ri°i4. ..a ,OtherkTtt s $0 6() M -� �+ � y ar Tiotal' $12o'UU i+,l .wv hy;}` �,, "� >•y'F °a ��4 � za sn,'- Actu`a1�R'e aotaY111 ..e- r_ _ �t do a tH'geathertzafton'�"�.t� ,��1101 �,�i�C,' �_+c{ual°,y*I}'�6a€ ' Cost 'I_ `�tEstt�C;o'str `i" ._,_ __;� ,.Act,Cost�,�,ti 4M1 "P ,,'y'NI ,bt E•'.'„�A:1' z3+3' .a} {gc aj: (yP"r. 4 Ip -- a'�.�.+s: { �ynfi !i }�k! l�>§: 5 w, ON -�?=ma."I... 7" 'S�i - .. �$.LS,}BOOR mt. `�i>�a 3_ � .i V. .ffiff'.-RIV _,`u A'utomanc do'o".r±swee iI v 1 , r ""` isry >'ps ' 't'tr.*„_,e$22 k 01i(,rt w. !MIMl�„'�K G1 SUMM Atu`sealmg;2j.�artfoamt(rper houi) I .�"`.°?.d> .•s St.1'+sib,,sd,$7f5S00E'`�'.4 .L6.A':"3'.�r.?'�ht�'•�_-+." i.' 4Veatherstri wludow eis'd'e`t� '.a-. Fp 1 r a"'f 3r - ' ',a # ;"i." } `pn„r'�tuA Seal,ductsemasttc....'t,_ r:,.�=rJ'a"'1 I;i.^ '3 .k.,"`S•-evi'ia-. '+`_ ,., E'i $620,O,:n.`' G�n ..:"�''. .tt`. ' :�? �1aragnt. .s .sa..a c ;Rk fi'iJ P r .:,rFa! r" - =�'fir ..$62 OO,: tifi 3i°r-. ?_ �3 k 4Si.� rrl I, nt.�&"af S al`duct,mtums,„,mashc„�'u.,,A,„t,,.,, f. 3 r ' -r n n ,� -x.z i-.r.'`$30 00r: ` I`r�•9u ` r"-%MV,!^a'f`'xc rnsula[era[hc hatch Re36: r r , eai3: -"'yf, ' � x _ ,<�, <q,,; $000,-',Hyl'bt ' r? 7. $Oe.fl0x ""5-ttviae >,77 * ..�:%' *tF r„re.AY "ttw,s,.> ", e E < ..-And,. >c. gW;eatheraza�tt Total :'u ILf< ' `'� ':'�:` I u G `,.,�-y',t'oY� r I,`�c yfi f".7'e $.OrOq' &r err $Ok00rra� .. v't ` 'Z+'t:`uZ+'msrm..-' ",� i`'�E`t �` •`1F2ib¢?v 'w'I x h .::.;�!`t ''I' i *Estnriatedt WP.cEualf+'a�'' '-;. ; @ost'��'„k „zA, Est;Cosi'+`n*,sP,�,!14ActjQg, sM Ik7tU at`R38 o ER113-h y""_�n s.� a ,1ri „? «;.�"'trv<!rsF�,s rF e!"r a r 4O':9-11 INT-A�.._ut' ,t5"'9'F) 6 t Ism a�. -+:+,, $1C d: "� � �' � rd::try A't[ic°flaN12'3'QP lr� �, ` 't't a .w" _'_ �tf 'v l:, x' <$jl".3O s€r 'IM-IL ,i i"�', `: a v .xq usr-=+- -.w _• 3 r a u 3 i N t. '� ay rtR" 1.Sthc flooG R20�"r_e"s'tt°tcted�xl S ra,t.,�?�'.r�.�t..:.�."I"€. ti::x.P,��,�$1 35.eiax r f E._a=' +'dt �i(��': $�1t25.OQd' u�tLv _ � i e: rF^z r,�•a ,g'( x #? "„ry,t�,F ,r-�- rnP f9 ,xd{ 9titcFlrneewahB`1035 J .kit zt a�.3" "�> s ,9 � r� ..,,.;x $I�K235�(u,. UNIX. �e +at ,.,_. t• 'k r ; p 1: $3t65:ds« I,'w' E''d'rd�N: �.,e�r.' �t��.".+l ' ; Attic kneewall4'fl o}r.R3i0rie iced Ir x sa$I 4r`ls'Mel us�u..iv.iIM E'la T,M"�<�m+'I' ; i tsulate,at[ic;staiiss&walls_ �I �,t "<u "J , &a;. r w' -- 'j ' t 4f a i�. +' - t ;�."$rl 81�NIL, k+,3_�.' . .. ,.':� D"d' 'Insulah ontR Su&sealtseams,,... `W�",��,J1,t,t„ :,d' '. 1,k1-�M$2"`.9,St MRra rm `OORNA a�-'•:y ,SVE Y"]x-g n to +d A"S`'+ hrA � h � 9ry `d I , E• fT3:..dromcl I ennsuLtol IF 2$,xKit?u�. Pik,u-�� 34,-�r,.J,:;�r$� AMU¢ �"'-:�'$h1+9 001.,.,, ._r t�.F fit.? S'gir api "e in•u']to-,lk'2+5^rvRrS.'a 7,t r e���rsr - D?34Wr ,��,' 14} U�a�"$2+5,p7'' p°hx .$TIM.QQ� E 'Insulate door�`°iRl''sn dib''oardC.R7 's'"'�a 2r '�2 €3i C•s+wm¢"�r,,a r)�-�,$88rOQP,r T'nsirlattono�Tolal, ++fie.-t,`.l tc "a`. r 1 MINI 1 "OPAt K I—Q. ri I al MUM w $Z'N' 0 ` ';'A'4 S-09i, > '-4i Other,Measui•e s ,"nj3 ''Estimated t .Actital.� '. Costta,^ne.„ v ",-,I 1 Roof vent',smz111 i"'frt,'• S' 9 1>• ..^- vr: - d„r-. $7,600x I `a...ma M- Gablevent.,,rectan u]araAsz.. ' -r�- ?, 800,�s ,. "�',',�,.F�'a,k .u..,; a '_:,� cha-. P"M .,Yte p i+ .m45fp' - r 'ecessedceni cover„ aa� .a::;a�.,!"+.4. � a"�'e:, ,,� Cu#ifinJsheattrc/kneewallfaccess's�` ` ' 4 "u MM,a'Kv k' �i ' 'Ir q v htk _..an R,.� �;, aa. .� 4,ti I:vV tsa�$.L00 Q0,".!K..iFk�r. �`. J,a �ias r �� r5`s^e t� '�! "t ,t, +l 4 Test dnll side�J'alls 4,stdes,�,r, i� ,-;„"t wL xi�..s,:.�,��?.� t).kT�$60r00"k;�z'�@, „�qa.�.,.�',;M:y i������.�.,a ,k' h-44z_a.;S'ti= Pryl replacemep[ E 7- ;,,r ..t, N, �WBt aZratOlf.R'- vim^' 'E .l,+ l� $e4 w,f,; S I r -•s-I /C k 'A,$rlt$QIl E}?. s b!`+f Y"u5 jti i ty, K J0h i� .a.. _.,xs.�,.>F„ .. 5. �kc a rF.vc a T ,_s:c_ __in i>�..E�..-cb6�at''�' u� 0 'lL r t 1 g' `•a'e`el,',HJ. r £ e J v^c• # I+v«z "t&1 r _f w Ilow showerhead ,Yra�.l N�� .,:.�, c,'4 $2S 00 rum ME '_',� . t_.n-• as=k'r: ,cT 1��'.`.,.: b'_',Q k"�ue.'.�`w s,��: �s�-'.�T--ai $Q��©ia; p�� A1�"�S��1:.✓?s�K..R t;#1 Y�4t ^a x ,".,-J3 4 J•' :,, s ip. t,} y,v t" 7 r-�S-. a _m a 1�,t 5 kV*'pvx o , T:f+-2 _.," y. .. t i f ,k s r 3 a .I , r .nir�, ry ,..Ih-,`fir E` fFd1�.�Tc„sv�?Frw .S`,S`!:�s$Q OQ "r" �'§�4*. .Y ! }•x�vL ftlJ' �u�n"t'[rtwi ;r�..;,,..� +I�,�. ),..`c_ +`. F _ayv�q �-.ml>$ 4E`v_�+„I x3Nsr."4r/ .uT«% <��,Jf t-,'.0.a` .$O�Ow Eh' ... O;flier�'G4taltq t,"2 . 1" f.,.�r t ", ?4: a' M. ' z.-} r O 71M$1"O,S,O?O,Or.,'. I`',.'MArsOh00 t Energy,Copservattonjyr l ` ,M � ,: g r�°f' Sf, 71,757;- i ,' tEst,Co""st,;,v>T' +rF{Act�Cost A T3,k,'gtal'!(M?xw$1000000); .w, ' , ,' x, .:..,f '4 '�r. =` .'.-:'""t`;: yicSJyf tP>'�,L:�t• ri"�$,1,272''f0Ot .> 5 FJ '1" -a a fix+1P " 4 T Repairs ,f,�,;�,r, � , zk �g„f ,q b"•'.-,Estimated ern r, h� Actual,-�r` '=_'p,C�ost � .r.��.Est�Cost"a7f11�,.. A,gti Cost,,;i -e,c.e a c-.» Y!(R*,. Re au/refit dodr�'�3��x`.t...3:.;'�7�1#a. ,;:i , .-'s ,,.:"�='fiW r', .�m",$50'`OO�� rrAi�.ea'+rt;a'�r�u l' 'sd'+.t'�$t��:,c�a„'. aff?�k$20'O.Q!�;;'i�i iDD,obr c w t, rot r,: a ._, . ..r iRe au''door4ha e .re4 G . ;� ,$25 00. x 1Sz+3 "-.'' � ' '.Sfa�'S e 3 firS" i. Sl_deibolt Fhrek`. . ., " snn45'1 ;x :>.,z"_' e, •"'.4.`'riy. . . kta R '$20h00 ; i 1',i3t��wi 4"r�7S �.:%�S,Yji, �Y�a� z ' Sashd, s 5"+^3-` ;{ , ? z,,x 3' P'^ x%zr e t L .�a�'-'��#,'Rn¢ , ock,..Pu Y.,y� °�!�-� ?�+,k ».�..,+,.,�'r�"-�,�J E „.a.>,+$9 25,,,�� a..� ' ;Sfeelr re$un' d`oor w/Irte � ;" "u�'7 gtw GL 4�'§��:.$6}t0�00 MIM,W,r.�,p�n'y<f+� s�� �Ft C d cr..' �P r r ; I M 4 A S wmm, GRA!;{.1'Is R s SoFJd corerdoor�w/hazdwarer;�„�„�;. � ��� eT,.n,�:.;.tlLrv; �" ; 350 QO�,� �t°.tv-.9!.rvw;,,�,• '))Ss00" `S }�.�"m�'N M �"�`'" in_ z•A't ._.G34 '.rF f,. . y r L"' r P , t T P , ," ,Cleanr tters,'(:,erhour.)., .,,;y `r-a3'p7$4000,. '�„s$60.00 tiles.'$, mot,,>s'1X^.Ji;.F 'eai ist-1,00}bark pl,WAN: k,t IN° ` "s H'ealt6t&jSafe Uent+clo'hesd�iyer,toyexteioi ,{,(i jt`s�, ,,, I 31W iFog-z" �',$85 Fy a ,;;$?�. ry x, r „"„ 1 an'r„37�$20fi00 .�s'^' 't$60"00, " {,ea12+:a 4'Or' i�4"«1w R'pla m rwmdowl ad of,P.ratt,ctii„ Xn, ; s Re'arr/EI�&`S��o'_Pal: r ax't$25Q0'.OQ qt&f��na: �' NM "".w ril`'R r... ,t r. a 1t20500 1 rn+,su 'I-Mir _ , e(M_._ )£s :w �,�w' i: r.n ".�. u`i�5�`. twa�iJ'._L $,. _ d .a:, r.,$O�OOr k, ;r mi' 'tOO rder{SpbT[otal rr`•�a' .�':. ' Y., - G.h+`i�t�v, '` '�' `$1G392�;001 ' - "$Or00 r e m,,,.V. ,.... . ._>a, 'R" NYl^� ' 7 a es stxfi''�.rJ�b. pr: ti k N 're�'.% K r y� T t a,•., .>d Y 't -'yf'w e°m/ . � �i�t Ile i •yG� � t,"'`'tx'1� $':,�a+*€ i :5i �, e '`�"u� '� , ,_•ue..,,, ..,.31 ...rv�..*a_.. _+' k!n-�.�.��i �, s ,aa. ._.n.n„u,._ 7 x,N'a'4?'� q, M13. .� � i5k RIMFA, 'Other J .4`^" yC �$Il -IU, nu.,G y 1 Ril I'M ei `N4'l t 1**.Heahng`System Reparf u,'k,�:. .,,. 4 ,�. ...i.ad .'';; .; „1$.0'00 µ ,:i',t.�YR., 'w s'Fs Fr, $006 .yd.. nw__�-r Pkt , " xx Achon�approval onlyy ;.,,-V°'- x z , v x< L+v t,yds,' s'm k� sF.¥ "„ s rY' ]pt„ay.rT1-#, a-ri, r,.✓ 1"'`C2' Ks, i, a r"-+d yy. yam: , N '9 a 44f ., i 'sa1a ��� " .�e r,r x -u u C �;'/�`�o#• +° ',' :x..,;t¢ '.""'� ,z e�¢ k' s x �'S'vs.rk n s;� ,t�r.,4��,Sc+,�.�, i•* �-=',����r^`r> � t„�r r rtEst�rmat;d,JobTotal�r���..�tk�;c, �'$1 39�00 =ru�c�.���r�,r,'�a - �Job 75is�r�t> �'=�'��e���J`�'�'{° v ��'f.,•lg�,y.,� 'Jx Cvr���F•`„���� ����R �'a��}�' .�`a�• S�� �zpb"����'�9iN"v 'y '- - ) } ' -F ,'R':' f" im NSCAP , , t "# r ss 98 Main Street ' Kea PeabodY,MA 01960 Tax Eaem t# 042 385 280 f ���.t � , 5� «r• �iY ,w t+& ��r f`-'k�^, fS..a, $+AQenC)' hISC'RL ti t'wa K�k..•Gk°� 'ai."la ty�-r' ,l.e'e. ..F ria 15�+ a i{ t ;I K'�. 3hf` '*.:rs ;� fi}• `# i ,rR, v vL y.9r z ,4f}"1>. 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'`Y ;:"vt a" t>i ,17..n'a•i.�' ?.rd�i T trd54 17.fM$0!00,;k�'t' I TWIN e14k,, 1( nY:a K4 e �`ld :rehNB 5'€. �' ta �e 1 r 'I"c''1 v h s Actual TotalrCoes not Include$175 OOkK&�Tlcharge a " -,,7 (- $ * '' )'+ '$4 359 50�1. #Est,Total,s. �'�,' �.r w� �r v tF _, k i,�p `Fim4 ivy ♦ `n""#"Yt3��' t+�4'b�a" d-{^�`(�. ��?f` `` i;',• " :d'' a�� �}„ w�'t >� ,'r'�` � 3 k rY Mom. 01 JJJ s> d a r 'dY' N kh`' rryyI te a,, ryl�,tif"(µV.?a _a " Pitt&s� rd�b•'; �i .'.,3vrea'_. +da:oG: l 1f Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supenisor- '- Unrestricted-Buildings of any use group which License: CS-087977 _ . contain less than 35,000 cubic feet(991rn )of 71 „� enclosed space. ERIC W PALM- 3 IMTON ST" n :� SALEM MA-01970 J"c"" 'd' •tLt Expiration Failureto possessa currentedition of the Massachusetts Commissioner 04/23/2014 State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DP5 Office 50as m rere airs Au HOME IMPROVEMENT CONTRACTOR i License or registration valid for individul use only Registration: �142089 Type: I before the expiration date. If found return to: !� Expiration 3f1212014 Ltd Liability Corpor r Office of Consumer Affairs and Business Regulation WEATHERIZATION L L:C. 10 Park Plaza-Suite 5170 Boston,MA 02116 i ERIC PALM I i 61R JEFFERSON SALEM,MA 01970 Undersecretary I Not valid without sign ure