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23 EAST COLLINS STREET - BUILDING JACKET��3 � � ` k �Tt� IIfttlPm, � tt�StttljusP#ts i 3 � $ PDttrb of Appeal JUL28 3 11 PH 87 DECISION,ON:THE PETITION OF JOAN MCCARTHY FOR A VARIANCE FELE# FOR�3 EAST COL TINS ST. ,�(R-1 ) CITY CLERK. SALDo, NAS S. A hearing on this petition was held July 15, 1987 with the following Board Members present: James Fleming, Vice Chairman; Messrs. , Bencal, Luzinski, Strout and Associate Member LaBrecque. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioner, owner of the property, is requesting a variance from side and rear setbacks to allow construction of a 12' x 16' shed in the rear of the property. Property is located in an R-1 district. The Variance which has been requested may be granted upon a finding of the Board that: a. special conditions and circumstances exist which especially affect the land, building or structure involved and which are not generally affecting other lands, buildings and structures in the same district; b. literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise, to the petitioner; c. desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. The Board of Appeal, after careful consideration of the evidence presented and after viewing the plans, makes the following findings of fact: 1 . There was no opposition; 2. Owners are faced with serious storage problem, as there is no attic or cellar; 3. House was built of a veru small lot. On the basis of the above findings of fact, and on the evidence presented, the Board of Appeal concludes as follows: 1 . Special conditions exist which especially affect the subject it property but not the district generally; ` 2. Literal enforcement of the Ordinance could involve substantial hardship to the petitioner; 3. The relief requested can be granted without substantial detriment to the public good and without nullifying or substantially derogating from the --- intent of the district or the purpose of the Ordinance. i I DECISION ON THE PETITION OF JOAN MCCARTHY FOR A VARIANCE FOR 23 EAST COLLINS STREET, SALEM page two Therefore, the Zoning Board of Appeal voted unanimously, 5-0, to grant the Variance requested, subject to the following conditions: 1 . The shed is not to exceed 12' x 161 , as per plans submitted; 2. Shed to be erected as per plans submitted; 3. Property comply with all requirements of the Salem Fire Dept. ; 4 . A building permit be obtained. VARIANCE GRANTED Peter Strout, Member, Board of Appeal V A COPY OF T:•3IS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK IKPPEAL FROM" THIS DKISION, IF ANY. SHALL BE MADE PURSUANT TO SECTION 17 OF THE MASS. GENERAL LAWS. CHAP-":R 5C3. A!+) SHALL BE FILED Y!17HIN 20 DAYS AFTER THE DATE OF FILING OF THIS DECISSOS IS THE OFFICE OF THE CITY CLERK. Pi'RS=Si TO fi-]S CH=PIER 573. SEC i!_i� 11. THE V'AEIAI:CE OP SFEGSL PER'.UT EFT- T l;&'.IL A CCr f' THS J - i' F; 1 OF 1� tLER - OR THAT. IF APPh,-c UFS-' F"'t TFF IT c.�r ccc_ it 'r,EL' IS KGcR'tD !4 iH_ 'iH ccS.a P,EC S R is DHT,, ..J � 'v_AEG UNDER iFE 1'ti',iE Ji THE OV idEP OF Rc DRD OR IS RcC_'fi DED AND NOTED ON' THE OVINEP.'S CERTIFICATE OF TITLE. BOAmRD OF APPEAL �° �fublic �rl�pPrfg �r P�arfinenf � S 7� AJ'��arxinc v°'�s~ �llil<111t(1 'P�tZtrftllPllf `` (L"Titu Of "'Mem, 4assar4ueetts (�nr ?calrm (�rrrn .t 7d5-11213 William H. Munroe Director of Public Property Maurice M. Martineau, Asst Inspector Inspector of Buildings Edgar J. Paquin, Ass't Inspector i Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp. April 28, 1987 Joan M. McCarthy x^23 East Collins Street Salem',MA 01970 RE: Building Permit Application Dear Ms. McCarthy, Due to Ordinance on shed construction we have denied your permit. We have voided your check and returned it along with a copy of the Ordinance, highlight- ing the section that refers to Section VII-H 3, o rthe Salem Zoning Ordinance. You can apply to the Board of Appeals to build a larger shed than it states in the Ordinance. If we can be of any further help, please feel free to contact us . ` Respectfully, % James D. Santo Assistant Building Inspector JDS/eaf Enc: Plans must be filed and approved by the Inspector before a permit will be granted. No.� City of Salem WarCk d `".`amrrtb Is Property Located in the Historical District? Yes_ NoA/— aR Home Phone 5069 /7� /Soa Is Property Located in a /_, G (' Conservation Area? Yes_ No—/— . •- Bus.Phone# 60 7 ✓g��� 7i1b um+s APPLICATION FO PERMIT TO CONSTRUCT OOL, ECKS AND SHEDS Salem, Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's name and address J 0,9W r�. /�C(244 N y d3 E. aIlel r $% .$�i/inw,IA;*. Architect's name Mechanic's name and address K-�,e-- ©W yk Q. V— Location of building, No. What is the purpose of building? GAJ •2 : .1� Material of building? W If a dwelling, for how many families? Will the building conform to the requirements of the law? Estimated cost Z. 00010 -7 ^Contractors Lie. No. Signature of applicant Signed Un the Penalty of Perjury REMARKS lekm'T Tv 11VJ7?9 -- A /S Fool 5` rel--r D?eD absue pd CP No.17� Ward APPLICATION FOR PERMIT TO CONSTRUCT SWIMMING POOL Location Z, 3 C 1 ,,5 5T { PERMITGRANTED 19 Approved /OG Buildin Inspector sJ � X c REDUCED SIZE DO NOT SCALE Y T.U•CS PG.4N iY/JJ P•PEP,4,PE0 U/UOEP G.E00- CEGY/.P/!G A/f/O TEryNKAG ST.4NOA•PG2SFo.2 /t/O.2TG.//6E GC34.V /.VSPEr'T/O.t.CS -414/Z7 USE FO,P .o.VY O71 /11.P FE'/•PFt2?E/S P.E�i.'/B/7S0• 2. P.EL7PE.PTY G/A/E.S LYE.PE A1,21- 77-- VOT727 T/TLE oe EAcST G'oLLTiYJ �^T,2EET C1fr/n/EES'c /P L/NEJ .LJNO QFTcSEr?lY/OG/GONOT BE GCSEO 7U L/ETE•P.�-//l/E i.YOPE.PTY G/NES. T/TLE.P.EF� EJTEX .P�+�'T.eY OF 0.66129) 60.00 -- OEEp: BOO.E6697 PgGE'JQ4 "SEO ew .v1Y ,f�VOir/LE06E BEUEF. .4/VO /NirdP/i1GT/ON, t f/E.PEBY CE.P7YFY Tf/•gT ,�; .✓• T,c/E PE.PNI.ONENTJT.P!/C'7Z/•PES f7•PE � 23 LOC4TE0 .-4J,S.:'Qlt/N f/E.PEO.V�.UO Tf/.OT nn((�� .4CCO.PO//UG 7L7 77'+'E FE./L1.4. 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AS Otit•. r'I 11„r-l',IIIII/1' /)❑t'/lII11' j - fI hi Section For Uttic ial I',e fill _---_---- j Budding Penns :N nher _—_ flare .\ppheJ 1i_I1d1ure' . L -__- _ it dim' olli 11 .umelt luy,ec r „I Bu,Wing, Date SEC'HON I: SITE INEORNI:\ PION 1.1 Property \ddress: -- -- - 1.2 \ssessors Nlop S. Parcel Numbers \la \tanhcr 1',i.cl \uwhci �I.la 1, ihu ,tit ..c,epinl wCri" ,es_✓ tit,_.__—_ p. ' 1.3 Zoning Information: 1.4 Property Dimensions: e•.nung Dulnrt IrI1.5 Building Setbacks (ft) ----- Fnmt Side Yards Rear Yard __ _ _.._J ..- R:yuneJ I Pro,;ded RcywreJ Prrr ided Rcyuu eJ Pi„,iJrJ , f —I 1.6 Water .`;apgay: I MG L c. 40. §>1r 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone'. _ Outside i'I;wJ Zone" Mumci❑ al On ,Ite Ju wsal ,,.Irm ❑ Public ❑ F;nata ❑ Check it ye+ P I SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: m e- v� a3 _E�c�II//vim 5-1— SQ�Pw _ cz� y'stir. ,1'nnl, 1Jdre,s for Ser„cc. _'._r.>lure _ Telephone SECTION 3: DESCRIPTION OF PROPOSED \VORK'(check all that applyl :`+cw C„nstrurtitrn ❑ Exuung Building ❑ (hs tier-OcCupled ❑ Rep:u rM,) ❑ :\Ilerati,;nl,) ❑ :Wdrn+n ❑ �------- Demo-InOrl ❑- \,_Cell,try BIJg. ❑ Numhrr of Units_ Other ❑ Spce,ry ---- --� I Bret D- err tiun tit Proposed P/urk2 —_ , i SECTION 4: ESTIMATED CONSTRUCTION COSTS EsumJled Cults: Bern Official Use Only I I.Jhur:md Matrn:Jsl ___ _ _ jiI IiwlJine 'S I. Building Permit Fee 'S _ Indlcale hu„ toe „ Jctri limcd: 1-- , ❑ Standard Cilyll u„n Apphcanun Fee 2. Electrical ) ❑ Total Pm)ect Cast' 1ltem 61 \ multiplier __ a ). Plumhutg 5 ], Other feel: j�'-7 J MechanlCJl 00- ACI F i Nltihamcal !Fire -- 4 G,tal :\II Fee, S ('heck No _ l'hecA \m,ntnt' _ _l',,h \tit„unl rI. folal Project Cost 5 � ! ❑ Paid lnFull ..� 0 ( u1.l,mJm,_1311,111,e1)I:c___ __ . SECTION 5: CONSTRUCrION SF.R%'ICES -- --- 5.1 licensed ('unslructiun Supervisor I('SL) _--- ---_--- _— —_ � Lis one Nu usher I.y+n.LL, m I).n: ' LnI( SI. I\I,c ,cc hi hitsi l 1 nii�ll,i lrJ u tin �`.INIII( u I'I 1,_:6tliue \I ' \latent Onl\ r:Irphone \\l— R:"J' Iti.J \\ nJ. .. J1. 11, - �Sf�rR:.,J.mi.il 10 I,J I nl IS I1IWI` 5.2 Registered Ilorne Impruvement Contractor UIICI lill,Conm.ury .Nance it IIIC RC_osiranl Name Reg UIl Jllull N'u,uher I \Jdress Fgmaoun Dane Signature relephune SECTION 6: WORKERS' CONIPENSATION INSURANCE AFFIDAVIT (NI.G.L. c. 152. § 25C(60 Workers Compensation Insurance affidavit must be completed andpubmitted with this :ipphcatimi F.ulure to pnivlde this affidavit will result in the denial of the Issuanceof the budding permit. ... Signed Atfidavit Attached? Yes .......... O No .._. _. . O SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subiect pniperty herebyI i ;tuthorize to act on my behalf. in all nt.tiers relative to wink authorized by this building permit application. i- Signature of Owner Date SECTION 7b: (OWNEW OR/AUTHORIZED AGENT DECLARATION I. V4� �/ /�/r �i / rit c// as Owner ur Authorized Agent hereby Jecl:ua that the statements and information on the foregoing application are true and accurate. to the best of my know ledge and -- - behalf Print Name � / . Ignature or Owner or Authonzcd Agent Date .. _.. (S ried under the Jiro and enalt—s NOTES: _ 1. An Owner who obtains a building permit to do his/her own work. or an owner who hires au) unII2�11telcJ cLIntr h nut (not registered in the Home Improvement Contractor (H1C1 Program), will nut have acres., it, Ine dil-IIIIall"n j - - program or guaranty fund under �LG.I, c. 11'A. Other Important Infirrmanon on the ill(' Prt,graun .ind Construction Supervisor Licemmg (CSL) c.m he found in 730 CNIR Regulations 110 R6 ,Ind 1 Ill 10, iespirn%eh —� When suhmannal work is planned, provide the inirrmahon hefty: Toral tloors area (Sq. Ft.I uncluding garage. finished ha.,einenUatnrs. Jerks or pi.nh, Gnm livm¢ area tSq. FL) Habitable root) c,Iunt _-- —_---- _ \umber of fireplaces— Number of hedroinns Numher ,t h.uhluoins Number ,J h.,IVbaih. I she It heafiog ssdem _-____-_ Numher nt de.ksi pi,i,hes 1\pe o t .,poling l 'Total Project Square Fnotagc' 11.1v he Lihshtwed t„r -5 tal Pngect Cost. The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF Massachusetts State Building Code, 780 CMR SALEM Revised Mar 2011 Building Permit Application To Construct, Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: Building Official(Print Name) SignatureJ o SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers �uS�' C.O\1iv,cj �} L 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(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 5k Private❑ Zone: Outside Flood Zone? Municipal ❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ��cIL\ u1t�.cs rV S cA\2 w\ Name(Print) City, State,ZIP moo.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Workz: SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1. Building $ C 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑ Total Project Cost' (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (I-IVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ ❑Paid in Full ❑ Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) S_,\o \,o-'i- \\ :�&c,yp" License Number Expiration Date Name of CSL Holder (� List CSL Type(see below) \No..and S Type - Description treet �� \Q\ U Unrestricted(Buildings u to 35,000 cu.ft. R Restricted 1&2 Family Dwelling City/Town, State,UI M Masonry \\ � RC Roofing Covering WS Window and Siding v!� SF Solid Fuel Burning Appliances 1 1'�1q —�lay la. I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) If[C-11egistration Number Expiration Date HIC Compan ame or HIC Registrant Name � s}acv '��rt,r �t�k`Q\n� \\ C,. C�Mn� Lam No.and Street Email a dress Ci /Town, S te,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.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 ..........A No........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize c CttiUv\C l ss to act on my behalf, in all matters relative to work authorized by t s building permit application. Prin ner's Name(Electronic Signature) Date SECTION 7b: OWNER R 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 application is true and accurate to the best of my knowledge and understanding. int wner's or Authorized Agent's—Name(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.a 142A. Other important information on the HIC Program can be found at w65 .mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dos 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.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of halfibaths 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" ACTION,INC 47 Washington Street - Gloucester,MA 01930 Agency: NSCAP NGRID Application N: ` PROGRAM: .4ARAWAP 0 JOB NUMBER: 0 DOE Work Order4 0 E.S.C.performed? No Work Order Date: 05/26/11 Primary Cmubacum .A it-Tight Weatherization Other Contractor: Manchester Electric,LLC k Bulb.installed 311.00 Cost of Bulbs S0.0O Cliem:Jo an MCarthy Inspt S175.00 Max S0.00 Street: 23 Gast cCollins Street Other In Kind S0.00 City;State;Zip: Salem,MA 0197 . Electrical Work S000 Telephone:(978)304-5243 S Amount KeySpan SOM0 $Amount National Grid $0.00 Blower Door Test Yes Omer Otility SIUm Inspect Knob&Tube: No Date Job Completed: Estimated Repair Total $1,372.00 Armal Repair TWO $0.00 Weatherization Est Act Cost Est Cast Act Cost Door Kit 3 $43.00 S129.00 Re alat D...r Sweep 3 $15.00 $45.00 .Automatic Dour Swap $22.00 Air Scaling 2-part Fnam(er hour) 4 S75.00 $300.00 stir a'r s..h.s zn.a r...no h..) S75.00 Weathermip Windto,tinr side) $5.00 Seal Ducts-'Mostic $62.00 W7S&Insulate Attic Hatch R30 $30.00 $0.00 $0.00 S0.00 $0.00 $0.00 $0.00 Weatherization Totals: $474.00 $0.00 Insulation Est Act Cost Est Cost Act Cost Anic Flat R38open - $1.40 Anic Flat R30open $1.30 Cmwls am OH lnsul� 'R30 rest. 864 $1.87 S1,615.68 Anic FlavSlopesR20 restricted $1.35 Anic Knmwal RU FG SI.25 Attie Kneewall R15 Cell wfMwb,w, - $1.65 Attic Kneewall Floor R30 restricted $1.41 Insulate Anic Stairs&Walls $130.00 Sidewalk-Vinvl RI5 DP $1.70 Interior Wall-Plaster RI5 DP 103 $1.81 $186.43 1"Rigid Foam Board 1 Crawls ace 864 $1.85 $1,598.40 Duct Insulation RS&Seal Seams 125 S2.95 S368.75 11 drook Pipe Insul to I"R5 $3.25 Steam Pie Insul to 1.25"R5 $5.25 DHW Pipe Insoation R5 6 $2.50 $15.00 Insulate Door 1 $44.00 S44.00 Sill 2-part r..,,/FG Ban R19 120 $2.00 $240.00 Insulation Totals: S4,068.26 $0.00 Joan McCarty Paget DOE 0 Other Measures Est Act Cost Est Cost Act Cost Roof Vent-small $76.00 Gable Vent-roman ular 588.00 Recessed Can Cover 530.00 Cut/Fimsh Anic/Knecwall Access $100.00 Test Drill Sidewalls-4 sides 560.00 Blower Door Test - 1 $45.00 $45.00 Vinyl Re lacemem Wiindow-101ui $350.00 Steel Pre-hungDoor wA.ite $610.00 Solid Coo,Door./Hordware $350.00 Faucol Aerator $15.00 Low Flow Showcrheud $25.00 $0.00 $0.00 $0.00 Other Totals: $45.00 50.00 Encrgy Conservation Est Cost Act Cast Totals:(Max 510,000.00) $4,587.26 $0.00 Repairs Est Act Cost Est Cost Act Cost R air/Refn Door 2 $50.00 $100.00 Adjust Door Striker Plate $20.00 Door Threshold $40.00 Rcp.i,Docr Hm c 1 $25.00 $25.00 Drywall-Li,ing Room Coiling 180 $3.75 $675.00 Glass Replacement-to 64 UI 1 $42.00 $42.00 Rc air/Rebuild Crawls am Accoss 3 $50.00 $150.00 Downspouts and Rumm s 70 $4.00 $280.00 Building Permit Fee 1 $100.00 $100.00 $0.00 Health&Safety Vent Clothes Dryer to Exterior $85.00 Vent Rath Fxhaust Fan to Exterior $85.00 Replace Dryer Hose $38.00 Knob&,Tribe Inspection $175.00 Bathroom Exhaust Fan $500.00 $0.00 Repair Tot: Max$2500.00) $1,372.00 $0.00 Work Order Sub Total: I I 1 $5,959.26 $0.00 t . Measures Est Act Cost Est Cost Act Cost Other $0.00 Oihor $0.00 '•Hemin SSstem Re it $0.00 •'Action approval only Estimated Job Total: $5,959.26 Job cannot exceed$10,000.00 Job minimum-$500.00 Job Grand Total: $0.00 AUDITOR: . Doug Cranford C/ .. NSCAP - 98 Main Street Peabody,MA 01960 Tax Exempt#:042-385-280 - - Agency: NSCAP PROGRAM: National Grid/2011 ,. JOB NUMBER: 0 NGRID Application#: -0 Work Order# 0 _ Work Order Date: 05/26/11 Job Limit: ' Primary Contractor: Air-Tight Weatherization Per Unit $4500.00 y , Other Contractor: Manchester Electric,LLC Client: Joan McCarthy K+T Yes=1 No= Street: 23 East Collins Street KS,T: 0 City;State;Zip: Salem,MA 01970 Telephone: (978)304-5243 Stand Alone: 0 - Fee Code: 0 Blower Door Test: Yes Stand Alone Yes,-1 No-0 a. Inspect Knob&Tube: No Elec.Contractor: Attic Insulation Est Act Cost Est Cost Act Cost Attic Flat R49 open $1.53 Attic Flat R38open $1.40 Attic Flat R30open $1.30 - -` Attic Flat R20 open $1.23 Attic Flat RIO open $1.15 " Attic Flat/Slope R30 restricted $1.41 Attic Flat/Slope R20 restricted $1.35 Attic Flat/Slope RIO restricted $1.24 Attic/KW Floor Transition DP-fin.ft. $2.40 Attic Kneewall R13 $1.25 Attic Kneewall Floor R30 restricted $1.41 Finished Attic Access $100.00 Temporary Attic Access $75.00 Crawls ace w/Poly Vapor Barrier $2.53 _ Garage Ceiling/Floor R30(w/approval) $2.00 Vent Dryer/Bath ExhaustFan 2 $85.00 $170.00 Thermadome $175.00 Roof Vent small - $76.00 Turbine Vent $160.00 12"Stack Vent - $145.00 Pro pa Vent $3.75 Gable Vent all sizes $88.00 Soffit Vent $26.00 Attic Air Seating 2-part Foam(2 hrs max) $75.00 Joan McCarthyPage 2 National Grid2011 Es( Act Cost Est Cost Act Cost Wall Insulation Single Nailed Asbestos/Asphalt R15 DP $2.10 Double Nailed Asbestos/Aluminum RI DP $2.20 Brick/Stucco R15 DP $2.75 Interior Wall Blow-Plaster RI DP $1.81 Clapboard/Wood Shingle/Vinyl R15 DP 900 $1.70 $1,530.00 Test Drill 4 sides $60.00 Air Sealing Limit: Single Family w/Blower Door=$400 All Others=$200 Door Kit $43.00 Regular Door Sweep $15.00 Automatic Door Sweep $22.00 Air Sealing 2-pan Foam(3 hours max) $75.00 Sash Lock $9.25 Glass Replacement $42.00 ' Blower Door Setup $45.00 Total Air Sealing Cost: Heating S stem Measures Duct Insulation&Seal Seams(sq ft) $2.95 H dronic Pipe Insulation to 1"R5 $3.25 H dronic Pipe Insulation 1.25"+R5 $3.50 Steam Pie Insulation to 1.25"R5 $5.25 Steam Pipe Insulation 1.5"-2"11,5 $6.05 Boiler/Fumace Replacement $0.00 •"Pro ram Repair '*Action approval needed:Max$500.00 - ""Actual Total does not include$175.00 K&T chg. $1,700.00 Est Total 50.00 Act Total - AUDITOR: Doug Cranford - v iw vvii v�ivvivw vwvviv r v � vwv�wvivwvvvw Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement `C,oIt ractor Registration _ ...w_,y c Registration: 165640 sr Type: LLC i `9� 7 Expiration: 3/15/2012 TAI 294587 AIR - TIGHT LLC. WEATHERAZAff -' JAMES FORTIN 10 PINE KNOLL DR. �=��� :.,����, —• ��i BEVERLY, MA 01915c �-1-'Z Update Address and return card.Mark reason for change. Address ❑ -Renewal 7 Employment ❑ Lost Card DPa-CA1 0 SOM-04104-G101216 �/ee �oomvmoou..ea!!/ o�✓�avoaa4uoe/4 `— - --_ _ _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 165640 10 Park Plaza-Suite 5170 Expiration 3/15/2012 Tr# 294587 Boston,MA 02116 Type. Li.C� AIR-TIGHT LL ION r._ DAMES FORTIN 10 PINE KNOLL BEVERLY, MA 01915'^'�i': Undersecretary Not valid without signature "Issas h,c.i•tis-;prl?a t. -.o . 1t'Pt;111': kft- Bn:.rd of B tildigg, Regulatinos and Standards Construa',ic.a S Ip»toisor Uc;?-;e License: CS 52576 , Restricted to: 00 JAMES E FORTIN 10 PINEKNOLL DR i BEVERLY, MA 01915 Ei:,irati +1: 1 0/312 01 1 ('unnnissiunel Tr#: 200 l 4 The Commonwealth of Massachusetts Department of industrial Accidents Office o.(Investigations 600 Washtngton Street Boston,MA 02111 I) www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A lice at Information Please Print Le ibl Name(Business/Organization/Individual): — G � Address: \ kQ Z t ✓) ""4,\Q \ City/State/Zip: e—v e-d'\ Phone#: "1 Z -9c) bt? Are you an employer?Cheek the app riate box: Type of project(required): 1.p I am a employer with a — 4. ❑ 1 am a general contractor and I 6. 0 New construction e art-time)to ees full and/or part-time).* 7. ❑RemodelinB have hired the sub-contractors mP Y ( listed on the attached sheet.t 2.❑ I am a sole proprietor or ptutner- These sub-contractors have 8. ❑ Demolition ship and have no employees working for mein any capacity. workers'comp.insurance. 9, []Building addition [No workers'comp,insurance 5. ❑ We are a corporation and its ME]Electrical repairs or additions required.] officers have exercised their of exemption per MGL 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work right P P. myself.[No workers'comp. c. 152,§1(4),and we havemo 12.0 Roof repairs insurance required.]t employees.[No workers' I g.Eg Other i>(mil comp.insurance required.] •Airy applicant sat checks box a!must aho ail out the section below showing their workma'compensation policy information. - t Homeowners who submit this affidavit indicating they are doing all work and then hire outside eontracton must submit a now elridavh indicating such. iContrecton that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'camp.policy ird'omreaon. I am an employer that Is providing workers'compensation Insurance for my emplayees. Below is the policy and job site Information. Insurance Company Name: C't"m Policy#or Self-ins.Lic.#: 1� 1\�l LExpiration L+ Job Site Address: City/State/Zip, >(� JJ� Attach a copy of the workero'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$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 peruddee ofperjury that the information provided above is trae and tarred: — — � i a# F use only. Do nor write in this area,to be completed by city or town offtetat Town: Petmtit/LicenseAuthority(circle one)-of Health 2.Building Departmout 3.City/rown Clerk 4.Electrical Inspector 5.Plumbing Inspector Contact person. Phone#'