4 COUSINS STREET - BUILDING JACKET P
II`
�BUILDING DEPT
07 P 3fiirt 3�rpartment ?3txd uarters
RECEIVED
�RrentirATY OF SALE.E~d,R'tASS:
( QIhie(
Date June 15, 1977'
" NamtIStefania. Zbyszynski Rer Real' Estate
Addressr 4 Cousins Street, Salem, Mass. at .4 , Cousins StrPpt
As a result of an inspection. this date of the premises, structure ,,
open land area or vehicle owned, occupied or otherwise under yourcontrol, the following recommendations are submitted and shall serve
as a notice of violation of fire laws. These recommendations are, .
made, in the interest of fire prevention and to correct conditionsl;;
A� `
that--are or may become dangerous as a fire hazard or are- in violation
; of. law.
You ' are hereby notified to remedy said violations named below
within ---•- seven days
of the above date.
Such f r u
u th r a
ctio w'
n all be taken as the law requires. for or fa
ilure a
to comply with the above .requirements within the stipulated time.
(Reference: General Laws of Commonwealth of Massachusetts, Chapter 14'
Section 30f and the Salem Fire Code Article 1. )
1. Threefamily structure appears to be vacant and is suK3ect to
vandalism because of broken windows and disrepair.
2. Overgrowth of brush in the rear of the structure leaves
this structure subject to conditions which may become dangerous
as a fire hazard.
Notify this office of actions taken to correct the above items.
ecr Building Inspector
Health Department
(, Peter Homan
D4�
David J. Goggin, alema Marshal
Inspe,^ r*)r, Salem Fire zrevent.ion Bureau
r
lea
� 1
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
9 North Street
ROBERT E. BLENKHORN Salem, Massachusetts 01970
HEALTH AGENT
508-741-1800
September 1, 1992
Advantage Bank For Savings
Donald Jacobs,Real Estate Asset Manager
25 Bartlett Road
Winthrop,MA. 02152
Dear Mr.Jacobs:
In accordance with Chapter 111,Sections 127A and 127B,of the Massachusetts General Laws, 105 CMR 400.00: State
Sanitary Code,Chapter I: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code,Chapter II:
Minimum Standards of Fitness for Human Habitation,a re-inspection was conducted of your property located at
4 Cousins cupied by Cheryl Zachary conducted by Virginia Moustakis,Sanitarian of the Salem Health
Department, on August 26,1992 at 2:30 p.m.
Notice: If this rental unit is occupied by a child or children under the age of 6 years,it is the property owner's
responsibility to ensure that this unit complies fully with 105 CMR 460.000: Regulations for Lead Poisoning Prevention
mid Control.For further information or to request an inspection, contact the Salem Health Department at 741-1800.
You are hereby ORDERED to make a good-faith effort to correct these violations in accordance with the enclosed report.
Failure on your part to comply within the specified time will result in a complaint being sought against you in Salem
District Court.
Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for
said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said
hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this
Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have
the right to inspect and obtain copies of all relevant inspection or investigation reports,orders and other documentary
information in the possession of this Board,and that any adverse party has the right to be present at the hearing.
Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory remedies
available to them as outlined in the enclosed inspection report form.
For the Board of Heeaaaltthh/h Reply to:
Robektk E. Blenkhom,C.H.O. Virginia Moustakis
Health Agent Sanitarian
Certified Mail P 147 031 107
cc: Tenant
Building Inspector
Fire Prevention
Page 1 of �
, SALEM HEALTH DEPARTMENT,
9:North Street
e4rn Salem.MA 01970
State Sanitary CQdq, Chapter 11 105..CMR 410.00
Minimum Standai&s 4itnuman-Habitation
Occupant: /CyG Z cICK Phone: `I�=
Address: : i l/ ( "�/r/ S/A),S St ( ,��/L E'o Apt.�j Z Floor
Owner...L�/�[�/rlA/I/I�� 9/{NK AaR JlgV1 S Address: �� 17,4R rz-lz 7-7-
ate✓ D0N,4LD Vco%'S l MI- ESrRf27
ET /WAN AGS
Inspection Date: 4:"-Q, Time
Conducted By: . -vS rAKIS Accompanied By: tZ&a/V r- -
Anticipated Reinspection Date:
Specified Reg # Violation
Time . 410: . :.
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One or more of the above violations may endanger or materially impair
the health, safety and well-being or the occupants(s).
O
Code nfor'cement Inspector
Este es un documento legal importante. Puede que afecte sus derechos.
Puede adquiriruna traduccion de esta forma.
i yv Page of
SALEM HEALTH DEPARTMENT
3i 9 North Street Date:
Salem, MA 01970
,�1�4ca
Name: ( -� R�1l% Address: r !)cl711yd �J f
Specified Reg # Violation
Time 410. . . .
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Gordon &yd & Company, 9nc.
Multiple Line Adjusters & ,Surveyors Established 1926
ADDRESS REPLY TO:
Salem, Mass
Office
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec. 3B
To: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Town Hall
Salem,—Mass . addresses Same
1 1
Re: Insured:- Corporal Realty Trust
Property address: 4Cousins .Street ,
Policy No. 250522
Loss of Mav 13 19 83
File or Claim No. 70366
Claim has been made involving loss, damage or destruction of the above captioned property, which
may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable.
If any notice under Mass Gen. Laws, Ch. 139 Sec. 3B is appropriate please direct it to the attention
of the writer and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number.
Adjuster
Title:
11: "
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
indicated above by first class mail.
���--���^ 6/30/83
Signature and date
MASSACHUSETTS CONNECTICUT NEW HAMPSHIRE VERMONT MAINE RHODE ISLAND
/ I Boston Gloucester Bridgeport Claremont Brattleboro Augusta Pawtucket ir
CLAIMS SERVICE OF Barnstable Lawrence New London Gorham Burlington LewistoneEw EncLnxn,IMc. Brockton Pittsfield No.Haven Manchester S.PortlandFall River Salem Waterbury Portsmouth
Falmouth Springfield W.Hartford
Worcester
SALEM FIRE DEPARTMENT COMPLAINT FORM 7
FIRE PREVENTION BUREAU DATE.. /!2 ........19... [ME....I...... ...M.
' 11
Location of Complaint or Hazard{ `/" U I
Complaint by l):7fJ , Address O?y�rn�C4�"s01 � ,s ?4 a/
LI-441
Nature of Complaint r I
Inot.-7 kg4w,,' - ei / hfineu�c.
c:� � ✓ x �. .& i/ a l .✓ood r �Pw/
Received by Q.,p
,,,//�
Investigated by 1 V / DATE ......2/?/4.19....... TIME?OOOhrg.
ActionTaken _ low ndJoc/N - rte, -Cv 'f01^, bad fh ht/�1u✓ td
CR 4�o./h e -
r -X�. ozr-a l"ie
/aa / ZyA IV L2.1 t✓✓e_f9
_Apparent egress problems requireing investigation by other department-
Other Department Notified Building Inspector & Health Dept.
Owner of record: John Keane Jr. 11 Cressey Street Marblehead, Ma--
FORM #59
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SALEM FIRE DEPARTMENT COMPLAINT FORM
FIRE PREVENTION BUREAU DATE....../^ 7 '
...............18.... .TIME ..../......�...M. i
Location of Complaint or Hazard `u �S f h�S �y� �1eit-
P y � J�N d Address +{ r a e131 bS �4 0
Com taint b rJ . �/ mm
Nature of Complaint e7+.
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d'c SIJ^ ental ry.7t Oi,m - Jot *A- . �OOJ? a, lTlwa Ak toed .w�rTmrN/
nmrr Od a d.4 m 4
Received by
Investigatedby ./ 0 / DATE ...., ll.
. Srs TIME20004rg.
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Action Taken 04fji0/ naol Lo/N ^ Year -exo I ciaoP- �ad .6 eeh hi/alowGd .
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Apparent egress problems requireing investigation by other departments
Other Department Notified Building Inspector & Health Dept.
Owner of record: John Keane Jr. 11 Cressey Street Marblehead , Macs-
FORM #50
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P� The Commonwealth ofnMassUS
Department of PublMassachusetts State Building Building Permit Application for any Building other milt'Dwelling
(Mis Section For Official Use Only)
Building Permit Number: Date Applied: Buil g Of
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address i of available)
y Co u S t r, S St 6 M r�� Cx
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK
y:• Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below
',' .. •. .
Existing Budding❑ Repai4& Alteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ Other Qls Specify: W
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No Zj_
- Wlan Independent Structural Engineering Peer Review required? Yes ❑ Now
Brief Description of Proposed Work: P'eW%ntl-e -i- YlPta _tlt tyxtn(,pt„nRc
\vx�Y.n40 ild \mi-.es 1c�e �P. -tnw-. A-a`ouu�
siton C_ jdtl 0 sNC41n
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed (See 780 CMR 34) ❑
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Factory F-1❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional 1-1 ❑ I-2❑ 1-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑
S: Storage 5-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below.,
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑
Private❑ or urdentify Zone: or on site system❑ required❑or trench or specify:
permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: NIA Historic Commission Review Process:
Not Applicable B-- Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ Yes❑ or No$ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations-:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
R6!> Av,�0n10 L-I6' Usln-5 s-V 6dew, ftlt�- 01 70
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
Name Street Address City/Town State Zip
to act on the property owner's behalf,in all matters relative to work authorized by this building permit ap2lication.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 11 and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
��'es� �saln�r,�. � C'et11S�R,c�-117fl1
Company Name X P
koeo� \,z. m��ng css �. - looy �2 , a7-,y
Name of Person Responsible for Construction License No. and Type if Applicable
Street Address City/Town State Zip
M-13j Q1 2 '-s 1 a8310 \cktNYN` r"A-ocnc r>rv,
Telephone No.(business) Telephone No.(cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? YeA No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ 00
Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical $ appropriate municipal factor)=$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ p`2S CO Qa (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true and accurate to the bes "knoge andunderstanding.
I000ryrwS l(1A,��.sW� " Dres�clpv 81 JON- a7t4 z -1
Please pripnt and sig\n�n•ame Telephtonne�pNo.� Date
'SZ VXOIJt Svx�N`� 'C�ft-iL e\YAk YN��YIxN�C\ 1�Street Address Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval:
Name Date
Appendix 1
For the demolition of structures the building permit applicant shall attest that utility and other
service connections are properly addressed to ensure for public safety.
Please fill in the information below and submit this appendix with the building permit
application. The building permit applicant attests under the pains and penalties of perjury that
the following is true and accurate.
Property Location (Please indicate Block#and Lot#for locations for which a street address is not
available) M
No. and Street City /Town Zip Name of Building(if applicable)
For,the above described property the following action was taken:
Water Shut Off? Yes ❑ No)J Provider notified and Release obtained? Yes ❑ No ❑
Gas Shut Off? Yes ❑ NoZ� Provider notified and Release obtained? Yes ❑ No ❑
Electricity Shut Off? Yes ❑ NoZr Provider notified and Release obtained? Yes ❑ No ❑
Yes ❑ No,& Provider notified and Release obtained? Yes ❑ No ❑
Other (if applicable)
Yes ❑ No.F!r Provider notified and Release obtained? Yes ❑ No ❑
Other (if applicable)
Appendix 2
Construction Documents are required for structures that must comply with 780 CMR 107. The
checklist below is a compilation of the documents that may be required for this. The applicant
shall fill out the checklist and provide the contact information of the registered professionals
responsible for the documents. This appendix is to be submitted with the building permit
application.
Checklist for Construction Documents"
Mark"x"where a livable
No. Item - Submitted Incom lete Not Required
1 Architectural
2 Foundation
3 Structural
4 Fire Suppression '
5 Fire Alarm(may require repeaters)
6 HVAC N
7 Electrical
8 Plumbing include local connections
. 9 Gas Natural,Propane,Medical or other
10 Surveyed Site Plan Utilities,Wetland,etc. ,x
11 Specifications ,x
12 Structural Peer Review �(
13 Structural Tests&Inspections Program
14 Fire Protection Narrative Report
15 Existing Building Survey/Investigation
16 Energy Conservation Report aX
17 Architectural Access Review(521 CMR)
18 Workers Compensation Insurance
19 Hazardous Material Mitigation Documentation ly
20 Other(Spec' )
21 Other S eci
22 Other(Specify)
*Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work
so identified must not be commenced until this application has been amended and the proposed construction document amendment
has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to triple the original permit
fee.
Registered Professional Contact Information
ristration Numbe
Name(Registrant) Telephone No. e-mail address Reg ,
Street Address City/Town State Zip
Discipline Expiration Date
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zi
Discipline Expiration Date
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
CITY OF S U EMI iNLkSSACHUSETTS
BUILDLNG DEPARTJIENT
130 WASHINGTON STREET,3'o FLooa i
T EL (978) 745-9595
FAX(978) 740-9846
KI,,tBERLEY DRISCOLL
MAYOR T1 oNw ST.PtERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDLNG CONMSSIONER
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:
toQ'r.nts IT)Ak2IS
(name of hauler)
The debris will be disposed of in
_M (name of faci ity)
�e r�uor�n m�
(address of facility)
C
signature of permit applicant -
date
Jc6riwlr Jiu:
CITY OF S�Uxams iNLxSSACHLSETTS
BI:B.DING DEPAR'IIIENT
' 120 WASHLNGTON STREET,3w FLOOR
T ET- (978) 745-9595
FAX(978) 740.9846
KimBERIEY DRISCOLL
MAYOR THo& S ST.PIERRE
D)REcroR OF PuBLIc PROPERTY/BUHDMIG CON11MISSIONER
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information ` A• { Please Print Le ibly
Name(Busiiu5sOrganizatiowindividual):�f QsA—c 2a\VN Y\m -t- l(�nlf\c.T RJ _Yc
Address: R �Of^�S�n�ite �AclGod
City/State/Zip: ffie,�� OMSSPhone #:
Are on an employer?Check the appropriate box: Type of project(required):
m a employer with_4_ 4. ElI am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet 7• ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers'comp.insurance, q• ❑Building addition
[No workers'comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.0 Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL I L❑Plumbing repairs or additions
myself.[No workers'comp. c. 152,§](4),and we have no 12.❑Roof repairs
insurance required.]t employees. [No workers' 13.�Other 1441
comp. insurance required.]
*Any applicant that checks box#I Tons'also fill out the section below showing their workers'compensation policy information.
f I to neowners who submit this affidavit indicating they arc doing all work and then hire outside contractors most submit a new amdavit indicating such
'Contrucon that check this box must anoehed an additional sheet showing the name of the aabaontradors and their worken'wmp.policy informaion.
I am an employer rhat is providing workers'compensation insurance for my employees. Below Is the policy and jab site
information. l
Insurance Company Name: ,Q`DC&V�� lT5 S�t D 1 h t^ sn ue
Policy#or Self-ins. Lic.#: n fl a'L.2C 0 q,2 7 Expiration Date;-7 I OL t I In,
'
Job Site Address: 11 Gu S i n s f&(eA City/State/Zip:a 1e inq My. Q M?D
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 penultics 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.
I do hereby ce hhify under the pains ot d enaldes of perjury that the information provided above is true and correct.
Sibn,mlre �aJ�Yl/�� C Dole t I b44I I -2
Phone
OJjcdal use only. Do not write in this area,to be completed by city or Iowa ofpa'ia1
City or Town: _ PermittLicense
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#:
1 s
ofliccod.+`5' '�f`Q�rrriYt s"n ode.
%S#C)
HOME IMPROVEMENT CONTRACTOR Type.
Registmtton: 153422 private Corporatio
Expiration: 11f3012012
PAINTING AND CONSTRUCTION COMPANY
y
LOANNIS MAKRIS ••
5 YORKSHIRE ROAD
MARBLEHEAD.MA 01945 ❑nJvseuemry
MaS5aCha5ette-Department of PubliC Safety
Board of Build)ng Regulations and Standaa�Id$
C••nq License-CS SrL-10 0ti4l5uu2
IOA"'S MAIMS rry .
' 8 YORKSHIEM ROAD,`
MARBLEHfAD MA 01945
Expiration
Ccammisstonel 03/2/12014
4✓
i
PRESTO
-ARPFNTRY - PAINTING • ROOFING
8 Yorkshire Road HIC#153422 - CSSL #100452
Marblehead, Ma 01945 FID #2 0-5 7948 8 9
(978)356-5419-- (866) PRESTO-7 www.PrestoCPR.com
PROPOSAL AND ACCEPTANCE
PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT.-
Aris Antoniou 4 Cousins Street
4 Cousins Street Salem
Salem, Ma April 19, 2012
Having visited and examined the site of the proposed project and being familiar with the
conditions relating to the construction, including the availability of the materials and labor,
Presto Painting Company hereby proposes to furnish all materials, labor, equipment and
supervision required and to complete the work in accordance with this contract document.
CARPENTR Y.-
<windows&siding>
1. Remove 39 windows and dispose.
2. Supply& install 39 new Vinyl replacement windows
3. Install Ice& Water shield around the new windows.
4. Install GreenGuard fanfold insulation.
5. Trim around new windows with AZEK trimboards.
6. Install Certainteed Cedar Impressions vinyl siding T5 (triple 5" straight edge perfection shingles).
COST for windows: $7,900.00
COST for siding: $17,400.00
COST FOR PROJECT: $25,300.00
OTHER COMMENTS:
EPA<Environmental Protection Agency>certified for Renovator,Repair&Paint(RRP).
OSHA<Occupational Safety&Health Administration>certified.
Project will be performed under the state requirements& new regulations of the EPA.
BBB (Better Business Bureau) accredited business with an A+ rating.
Stainless steel nails will be used to prevent rusting.
Care will be taken during the progress of the work; greenery, walkways and all other surfaces needed will be
covered with suitable drop cloths to prevent from any damage or harm occurring during the workday.
Presto Painting&Construction will obtain any and all necessary construction related permits, any owner who secures
their own construction permits or deal with unregistered contractors shall be excluded from access to the
Guarantee Fund.
No work shall begin prior to acceptance of proposal.No verbal agreement is accepted.
INSURANCES:
FULL PROPERTY AND LIABILITY INSURANCE IS THE RESPONSIBILITY OF PRESTO
PAINTING&CONSTRUCTION INSURED UNDER NATIONAL GRANGE
MUTUAL INSURANCE policy#MP089800 expiration 11/15/12
FULL WORKERS COMPENSATION COVERAGE INSURED UNDER GRANITE STATE
INSURANCE COMPANY policy#WC004326922 expiration 07/21/12
(insurance certificates are available upon request)
PAYMENT SCHEDULE:
Payments are to be made as follows:
One-half upon beginning of work,and balance including any extras in full when work is complete.
ACCEPTANCE OF PROPOSAL:
The above prices, specifications,and conditions are satisfactory and are hereby accepted. You are authorized to do the
work as specified. Payments will be made as outlined above.
i
Authorized Signature ' �2
Presto Painting&Construction.
Signature jio
Aris onion
4 Cousins Street, Salem,Ma
Date of Acceptance 2.
"HIGHEST QUALITY AND CLEANLINESS--YOUR PRODUCT OUR BUSINESS"