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359 ESSEX STREET - BUILDING JACKET 1, _ 359 ESSEX STREET O Commonwealth of Massachusetts ltx / 3. City of Salem 119 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595x5641 Return card to Building Division for Certificate of Occupancy k1j, Permit No. B-15-1398 PERMIT TO BUILD FEE PAID: $1,190.00 DATE ISSUED: 12/28/2015 This certifies that LEO KRAUNELIS has permission to erect, alter, or demolish a-building_359-btdg2_ESSEX_STREET Map/Lot: 250231-0 as follows: Renovation NEW KITCHENS, BATHROOMS, UPDATE HEATING, ELECTRICAL, HOTWATER FOR OWNERS, PARENTS & CHILDREN I Contractor Name: DBA: Contractor License No: { 12/28/2015 r - Building Official Date P This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. f All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any,building and structures shall be in compliance with the local zoning by-laws and codes. , 1 1 1 This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. r , t The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials-are provided on this permit. H IC#: "Persons contracting with unregistered contractors do not have access to the guarantyfund"(as set forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. Commonwealth of Massachusetts SOON➢I},� i City of Salem -' 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595x5641 ,�'_'r�, PERMIT REPORT BY ADDRESS Address: 359 ESSEX STREET PIN Permit For Parcel ID Occupancy Type Building Type Work Description Construct. Fee Paid Cost B-15-1398 Renovation 25-0231 Residential Multi Homes CREATE FIRST FLOOR UNIT 170000 1190 AND SECOND FLOOR UNIT (TOWNHOUSE) B-16-1466 Renovation-1&2 Family 25-0231 Residential Multi Homes RENOVATE CARRIAGE HOUSE 76000 532 UPDATE PLUMBING, ELECTRICAL,HEATING, BATHROOM,KITCHEN,GREAT ROOM,BEDROOM ON 2ND FLOOR AND ADD BEDROOM& BATH ON 1ST FLOOR B-16-844 Other Building Permit 25-0231 Residential Multi Homes ATTIC BASED INSTALLATION OF 11668 132 FURNACE,COIL,DUCT WORK& CONDENSER B-16-845 Other Building Permit 25-0231 Residential Multi Homes SHEET METAL PERMIT: 12971 143 BUILD ATTIC BASED INSTALLATION OF FURNACE, COIL,DUCT&CONDENSER B-17-1 Sheet Metal 25-0231 Residential Multi Hames ADD DUCT WORK IN ATTIC 3200 33 B-17-383 Sheet Metal 25-0231 Residential Multi Homes RUN SUPPLY FOURTEEN(14) 0 0 DUCT TO NEW PART OF HOUSE B-2005-0497 REPAIR/REPLACE 25-0231 505-05 RE ROOF TJS 8500 53 B-2006-0536 REPAIR/REPLACE 25-0231 558-06 REROOF OK BY 7900 53 HISTORIC COMMITTEE TJS BT-17-15 Oil Burner Installation 25-0231 Residential One Family Dwelling New Oil Bumer 0 50 E-16-973 New Construction or Renovation-Electrical 25-0231 Residential Multi Homes MODIFICATION AND REPAIR TO 0 580 EXISTING 2 FAMILY DWELLING/ADD SMOKE DETECTORS E-17-97 Other 25-0231 Residential Multi Homes MODIFICATION AND REPAIR TO 0 560 EXISTING DWELLING 1&2 FLOOR NATIONAL GRID WAS NOTIFIED 05/25/17 JOHN GIARDI 1 of 2 Commonwealth of Massachusetts f { - City of Salem E g { 3T 120W ash!ngton St,3rd Floor Salem,MA 01970(978)745-9595 x5641 , PERMIT REPORT BY ADDRESS PIN Permit For Parcel ID Occupancy Type Building Type Work Description Construct. Fee Paid Cost G-16-204 Furnace 25-0231 Residential Multi Homes BSMT: 1 FURNACE, 1 WATER 0 180 HEATER,1ST FL: 1 COOK STOVE,2ND FLI 1 COOK STOVE, 3RD FL: 1 COK STOVE, 1 FURNACE, 1 WATER HEATER, 4TH FL: 1 FURNACE P-16-233 Remodel Kitchen or Bath 25-0231 Residential Multi Homes BSMT: 1 WATER HEATER, 1ST 0 150 FL:1 DISHWASHER, 1 KITCHEN SINK,2 LAVATORIES,2 SHOWER STALLS,2 TOILETS, 1 WASH MACH CONNECTION, 2ND FL: 1 DISHWASHER, 1 KITCHEN SINK,2 LAVATORIES,2 SHOWER STALLS,2 TOILETS, 1 WASH MACH CONNECTION, 3RD FL: 1 DISHWASHER, 1 KITCHEN SINK,2 LAVATORIES,2 SHOWER STALLS,2 TOILETS, 1 WASH MACH CONNECTION, 1 WATER HEATER P-17-76 Remodel Kitchen or Bath 25-0231 Residential Multi Homes 1ST FL: 1 LAVATORY, 1 0 50 SHOWER STALL,1 TOILET,2ND FL: 1 BATHTUB, 1 KITCHEN SINK, 1 TOILET Total Permits: 14 290239 3706 2oft City of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 l REV I SIZED Return card to Building Division for Certificate of Occupancy Permit No. B.15_139$ PERMIT TO BUILD FEEPERPAID: $1,190.00 DATE ISSUED: 12/28/2015 This certifies that LEO KRAUNELIS has permission to erect, alter, or demolish la.building_—359-ESSEX STREET Map/Lot: 250231-0 as follows: Renovation CREATE FIRST FLOOR UNIT AND SECOND FLOOR UNIT (TOWNHOUSE) 1 Contractor Name: DBA: Contractor License No: I 12/28/2015 Building OfficialDate �. This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. I r The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials,are provided on this permit. HIC#: Persons contracting with unregistered contractors do not have access to the guaranty fund'(as set forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. Commonwealth of Massachusetts 3 City of Salem � q 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595x5641 Return card to Building Division for Certificate of Occupancy - Structure CITY OF SALEM BUILDING PERMIT ° Excavation PERMIT TO BE POSTED IN THE WINDOW Footing INSPECTION RECORD Foundation Framing Mechanical Insulation INSPECTION: i BY DATE Chimney/Smoke Chamber j Final , ,PI Plumbing/Gas Rough:Plumbing �J Rough:Gas Final 1 ✓� Electrical i U r t Service Rough Final Fire Department Preliminary /r Final 1 Health Department Preliminary Final Commonwealth of Massachusetts Citv of Salem � 120 Washington St,3rd Floor Salem,tv1A 01970(978)745-9595x5641 ea nc` Return card to Building Division for Certificate of Occupancy Permit No. B-15-1398 BUILD EE PAID: $1,190.00 PERMIT TO DATE ISSUED: 12/28/2015 This certifies that LEO KRAUNELIS has permission to erect, alter, or demolish a building _ 359-bldg2.ESSEX STREET Map/Lot: 250231-0 r as follows: Renovation NEW KITCHENS, BATHROOMS, UPDATE HEATING, ELECTRICAL, HOTWATER FOR OWNERS, PARENTS & CHILDREN Contractor Name: DBA: Contractor License No: 12/28/2015 Building Official Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may grant one or more extensions not in exceed six months each upon written request:; , All work authorized by this permit shall conform to the approved application and the approvee cod constst ruction documents for which this permit has been granted. i All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. a This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. H IC #: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(asset forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. i o nT„N -- commor7weartn-orlvlassacnusens- -° nt\ City of Salem 4 120 Washington St,3rd Floor Salem,MA 09970(978)745-9595 x5647 Return card to Building Division for Certificate of Occupancy Structure CITY OF SALEM BUILDING PERMIT Excavation PERMIT TO BE POSTED IN THE WINDOW s S Footing INSPECTION RECORD Foundation Framing Mechanical Insulation INSPECTION: BY DATE Chimney/Smoke Chamber Final Plumbing/Gas Rough: Plumbing Rough:Gas - Final Electrical Service Rough Final I Fire Department Preliminary Final Health Department Preliminary Final y wgi-a ? co—C , a K z�Q ���0 IZc t,r.) I2A lr 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) Signature Date 1 SECTION 1: SITE INFORMATION 1.1 Pro ert�Address: 1.2 Assessors Map&Parcel Numbers 35� �h5�x Std a5 a5- 0a31-0 I.l a Is this an accepted street?yes Yno Map Number Parcel Number 1.3 Zoning Information: - 1.4 Pro erty Dimensions: 91a1 2- -E% � 3� ac"A:, 66 , Zoning District Proposed Use I 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: ,,/ Zone: _ Outside Flood Zone? Public,ip. Private❑ Check if yes Municipal 9 O site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owne 'of Record: Lem k�a�h�1 sojle M M q o two Name(Print) City,State,ZIP K�ra�V\JZ I'S 11�W•I 359 °t-7$-33a_3-73'6 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) tC' New Construction❑ Existing Building ❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition 0 G Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': C-5 tR SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1. Building $ d O 0 1. Building Permit Fee: S Indicate how fee is determined: b 0�� ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost(Item 6)x multiplier x 3.Plumbing $ (2 0i3 2. Other Fees: S 4. Mechanical (HVAC) $ 3p vv® List: 5. Mechanical (Fire $Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: S 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date ' Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address Ci /Town, State,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 j 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 FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this,building permit application. Print Owner's Name(Electronic Signature) - Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby a st u der the a' nd penalties of perjury that all of the information contained in this application is true an ccu to t of my knowledge and understanding. LeoK \jne\�s Print Owner's or Authorized Agent's Nam (Ele t me Signature) Date 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 can be found at www.mass. ov/oca Information on the Construction Supervisor License can be found at www.mass.�ov/dns 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 i 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" 359 Description of Work Enhance heating system, plumbing,electrical, hot water system, closets,storage area, bathrooms, kitchens and dining areas to provide healthful, independent and comfortable living accommodations for the owners and their parents and children. 25-�23 2 \ , 1 2% 251 395a r , 2513986' i l —.i CITY OF SALEM, MASSACHUSE TTS BUILDING DEPARTIvMNT _ F 120 WASHINGTON STREET,3"0 FLOOR { TEL. (978)745-9595 FAX(978)740-9846 KIMBERI.EY DRIS�I.L MAYOR THomAS STY ERRE DIRECTOR OF PUBLICPROPERTY/BUILDING 0DI&0SIONER HOMEOWNER- LICENSE EXEMPTION PLEASE PRINT: Date )Z C q (ter Job Location 4?0 Home Owner Address 3 � .[ vee_ Present Mailing Address The current exemption of"Homeowners"was extended to"include owner-occupied dwellings of two Units or less and to allow such homeowners to engage an individual for hire that does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one=or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she be responsible for all such work performed under the Building Permit. The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable by-laws and regulations. The undersigned "homeowner"certifi s that Wshe understand the City of Salem Building Department minimum inspection procedures and quir m nts and that he/she will comply with such procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING INSPECTO CITY OF S�UZAI, i%LXSSACHUSETrS BUILDING DEPARTMENT \ �1 120 WASH ,NGTON STREET, 3w FLOOR TEL (978) 745-9595 FAX(978) 740-9846 KmBERLEY DRISCOLL MAYOR THONtAs ST.PiERRE DIRECTOR OF PUBLIC PROPERTY/BUILDIING CONMUSSIONER 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: lhz _ (n me of hauler) The debris will be disposed of in (name of facility) (address of facility) ognof mit applicant 1alla[ (�r — � date dcbriulTAuc PORCH ' I Y ENTR _ sENx I Pantry Closet - 9'-6^x 6'4' Kitchen Great Room - 20•-T x 26,-1„ BATH � A DINING13'-4"x12'-11" 3 l BATH'Ir ` 5'2"x 23'-0" 41x " IL CLOSETHALL Side Entry •-t 1"x 9'-1 �—5' � - LAUNDRY 5'-2"x2'-11" i UP LIVING $ 16-5^x 15-1Front Entry s T-11'x 15-1' Library 164"x 16'-1" FIRST FLOOR LIVING AREA . 1959 sq R 3SI5ex� h'��_} M 7 ,�.w i, ' ®- BATH. 74',0"x T a `KITCHEN 8'-0„xe'-8” 8., 20'-Vx16-1o' -�'.,_ - BEDROOM + _ J 12.4"BEDROOM 10" i UNDR X2'1 L '47L E ' Side Entry ^-! - BATH ., g 6'-6'x 9'-1. 4'— '8'-4'x 8,_0 0 UP- up P it E ry 17'- 0'x 21'-3" UP OFFICE 16-10"x 15'.0" @ BEDROOM 16'-11"x 16'-1" SECOND FLOOR LIVING AREA 1345 sq ft )c 5fi�eF o�! BATH , 7Effeciency 6 0' xs•-s•• BEDROOM s. ] 16'-1 T'x 12'-10" J IZ2I I � HALL a- "k—r1 ;Ne UP sex Mme I, p�� aOSE9� a ._._ AT'TIC L Sident HALL — BATH W 6•-6" 9•-1'i B'x 9'-1 4 f 9 LOSE I� a' -4"x 3.1 -1 e I Front Entry 6.0"x 21•-6" i I a BEDROOM BEDROOM 15'-6"x 15'0" 16 1"x 161 I � � IL THIRD FLOOR LIVINGAREA 1267 sq n Unofficial Property Record Card Page 1 of 1 Unofficial Property Record Card - Salem, MA -15LpC� 1 General Property Data Parcel ID 25-0231-0 Account Number Prior Parce11D 31-- Property Owner JESSIE A ERRION R.E.TR OF 1994 Property Location 359 ESSEX STREET WELCH ROBERT W TR Property Use Multi-House Mailing Address 359 ESSEX STREET Most Recent Sale Date 414/2007 Legal Reference 26713-185 City SALEM Grantor JESSIE A ERRION R.E.TR OF 1994, Mailing State MA Zip 01970 Sale Price 0 ParcelZoning R2 Land Area 0.320 acres Current Property Assessment Card 1 Value Building 637,800 Xtra Features Value Value 600 Land Value 135,800 Total Value 774,200 Total Parcel Building 744 700 Xtra Features Value Value Value 600 Land Value 135,800 Total Value 881,100 Building Description Building Style Federalist Foundation Type Brick/Stone Flooring Type Softwood #of Living Units 1 Frame Type Wood Basement Floor Concrete Year Built 1789 Roof Structure Hip Heating Type Steam Building Grade Very Good Roof Cover Asphalt Shgl Heating Fuel Oil Building Condition Average Siding Clapboard Air Conditioning 0% Finished Area(SF)5596 Interior Walls Plaster #of Bsmt Garages 0 Number Rooms 12 #of Bedrooms 6 #of Full Baths 1 #of 314 Baths 1 #of 112 Baths 1 #of Other Fixtures 2 Legal Description Narrative Description of Property This property contains 0.320 acres of land mainly classified as Multi-House with a(n)Federalist style building,built about 1789,having Clapboard exterior and Asphalt Shgl roof cover,with 1 unit(s),12 room(s),6 bedroom(s),1 bath(s),1 half bath(s). Property Images Disclaimer:This information is believed to be correct but is subject to change and is not warranteed. http://salem.patriotproperties.com/RecordCard.asp 5/5/2016 b NWAO OrMdd9in Y No_ ld7�laa J/ e e J1 Is PIWN4 L000rod In ar Oonorlo 0a AM? Y"_No YINLOM POW APPLICATION Mft Permit to: (Groh whioherer sp*) Roo fto U so SWk & C.OflwbW D" Mod, PWL opai i ONW. PLEASE F"OYT LEOIYLY a COYPLEMY TO AVOID OELAYff W PFAXXSMMRi TO THE INSPECTOR OF SWLDWU' The urdarsoW hereby appft br a permit to build aoowft to the fobwkp Owners Name A*km& fie 3 5G F S a. x 'C" ' Arohitsat's Name Address d Phone j, 1 Modw*a Nom cc o r p c��rQ r� m C�a Who&It to P PM Cr g jkW kuk"of odldYip9 r al ar now wmr toy"?� 1 Wo t aft oor A b lord/ 4 Eam"Dorf uomro r N ', a"Igim a c DfW TM PENALTY r DBSCRIprm of WON TO U DONE a MmL PERMIT ,n 1 ) Q�f S APPLICATION FOR PE l TO Pro 9 - LOCATION �U PERMIT GRANTED OF BIJa.DN�lt 3 s�1 r Commonwealth of Massachusetts Sheet Nletal Permit Date: �a91 lb Permit # Estimated Job Cost S Permit Fee: S .t} a Ck Plans Submitted: YES _ NO Plans Reviewed: YES NO I3usiness License# ar--7� Applicant License # �88� 1 _ Business Informatio(n::, 1 l Property Owner/Job Location Information: Name: 4A 1 C Name: e0 G1< c a u Vie, 1 Street: 1 ©^ OL Street: Q g 33 City/Town` N City/Town: S e Telephone: Telephone: Q 70- Photo I.D. required/ Copy of Photo I.D. attached: YES NO Staff Initial J-1 / M-1-unrestricted license J-2 / NI-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. / 2-stories or less Residential: 1-2 family_ Multi-family Condo/ Townhouses Other Commercial: Office— Retail_ Industrial— Educational Institutional Other_ Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. — Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC ✓— Metal Watershed Rooting— Kitchen Exhaust System Metal Chinmey/ Vents_ Air Balancing Provide detailed d scription if or to be done: KT CO enS�f _- INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes❑ No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxE1,I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES_ NO Progress Inspections Date Continents Final Inspection Date Comments Type of License: By 3-blaster Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licens Permit# ❑Journeyperson-Restricted License Number: _�3 Fee$ ❑ Check at www.mass.dovldpl / r v1; -�„ Inspector Signature of Permit Approval 7W Ikj.ld ;. • U.S.POSTAGE)>PITNEYBOWES CITY OF SALEM, MASSACHUSETTS `''— BUILDING INSPECTOR 03 AUG '16 A 120 WASHINGTON STREET, 3RD FLOOR f `l '7 02 01970 $ 000.465 IVY SALEM, MASSACHUSETTS 01970 •. 0001392928AUG. 03. 2016 Sys I NIXIE 01S SE 1 0009/13/16 � I - I RETURN TO SENDER NO SUCH NUMBER UNABLE TO FORWARD SC: 01970352303 *1821-05830-03-46 :��'f:�0-03��s ill'�'�IIIIIIiiIII�'INIII�Ijil���lllllll'i'll,'IIIII��I�Illal�i f k 4 if i A 4 % _ v tel: YW. J o ACO 0 DATE IMMIDDIV CERTIFICATE OF LIABILITY INSURANCE 2/29/2016 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 N NTACT Maureen Stephany Integrated Insurance Solutions, LLC PHDNE (508)370-0002 FAC NoIS08)370-0]SB 1881 Worcester Road Aoorie :mstephany@iisagency.com Suite 101 INSURERS AFFORDING COVERAGE NAIC0 Framingham MA 01701 INSURERAArbella Insurance Group INSURED INSURERBArbella Protection Insurance 41360 Berry Mechanical Services, Inc. , BHJ LLC INSURERCNew Ham shire Employers Ins Co 3 Milton Way INSURER D: INSURER E: Georgetown MA 01833 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1622 92 7 15 6 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 OF INSURANCE 0 L SUBR POLICY NUMBER MNOVDOY EFY MMIDOfTYXYY LIMITS LT0. GENERAL LIABILITY EACH OCCURRENCE S 1,000,GOO X COMMERCIAL GENERAL LIABILITY PREMISES a En 5 300,000 A CLNMS-MADE OCCUR 8500058241 /21/2016 /21/2017 NED EXP(Any one Pereon) S 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AGG S 2,000,000 JECT X POLICY PRO LOC $ COM0INED SINGLE LIMIT ROMOBILE LIABILITY Ea acatl nt S 1 000 000 BANY AUTO BODILY INJURY(Per person) S ALL OS ED X SCHEDULED 1020018783 /21/2016 /21/2017 BODILY INJURY(Per accident) S NON-OWNED PROPERTv DAMAGE $ HIRED AUTOS X AUTOS Peraccldent Uninsured motonsl Blsln limit $100000 300000 UMBRELLA LIAS OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S DED I RETErvTIONS S C WORKERS COMPENSATION X WC STATUS OTH- AND EMPLOYERS'UABILITY ANY PROPRIETOR/PARTNMEXECUTIVE Y� NIA E.L.EACH ACCIDENT S SOO 000 OFFICERIMEMBER EXCLUDED] C-600-4000464-2015A /1/2016 /1/2017 (Mandatory In NH) E L DISEASE-EA EMPLOYE $ 500,000 f yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 500,000 N / ATIONS I VEHICLES Attach ACORD 101.Additional Ramaras Schedule.if more Space ie required) DESCRIPTION OF OPERATIO S LOC I 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. Town of Salem Attn: Town Hall AUTHORIZED REPRESENTATIVE 120 Washington Street Salem, MA 01970 Dawn Nogueira/NMR ACORD 25(2010/05) 9)1988-2010 ACORD CORPORATION. All rights reserved. IN507Er>pmns+m The ArnQn nem-PnA Innn are reni-F-ro-d meek-of ArV1Gn BERRY S779> raw/LQiLR[FFd�L MECHANICAL SERVICES,INC. MffSUBISHI 3 Milton Way•Georgetown, MA 01833 0®®®ELECTRIC 978-352-5500.978-352-4004 lox• COOLING & HEATING HEATING & AIR www.be mechankat.com CONDITIONING - LrVP aPfff/ Where Your Con{fort is Our Business Name: Leo Kraunells Consultant JAMIE BECKWITH Site Address: 359 Essex St— - Date: t/6/2016 Billing Address City: Salem 'Proposal#: R50106201694751 City: _ State. MA Phone:978-339-3738Zip: -_ 01970 AMERICAN STANDARD GOLD System Investment ZM FURNACE ' - -:Base System:, _ _ _ $13,184.70 ' Optional items Total _ _. $0.00 BERRY MECHANICAL DISCOUNT <$1,516,24> <$0.00> Sales Tax - $0.00 System Total: $1.1,668A6 .I Initial Investment _ $0.00 yq� Balance �$11,668.46 f - � Term ;M Rate _I% 'Est. Payment: $_0.00 u Investment Type i Check Net Investment After Credit&Rebates, $11,668.46 'OPTIONAL Model No:-APRIL4IRE MODEL 2410 I Description APR ILAIRE�MODEL 2410 �.f MEDIA AIR FILTRATION DEVICE WITH $26568tR ^� ,MERV 13 PERFORMANCE 16x25x5 e Model No:•4A7A6030H1000A Description SILVER 16 SERIES 2.5 V �' TON 16 SEER 208/230 VOLT $681.72:1 CONDENSER USING R-410a By signing this agreement I acknowledge that I have read and ',Representative Date understand each page, including the terms and conditions, Customer .Date Approved by .Date _ �.... Page'1 - . BERRY MECHANICAL SERVICES,INC. MITSUBISHI SiZOdWd 3 Milton Way•Georgetown, MA 01833 Z7t ELECTRIC HEATING & A10. 978-352-5500.978-352-4004 fax• COOLING & HSATING CONDITIONING www.berrymechanical.com - Live Better 4Y7zere Your Comfort is Our Business Name Leo Kraunelis Proposal Number R5010620169475-1 Date. 1/6/2016 Components in Base System Investment Tax Credits and Rebates • m ..........- . ..-. .. . - . — Qty Model# Description _ 1 4A7A303OG1000A SILVER 13 SERIES2.5 TON 13 SEER 208/230 VOLT AC P{AMERICAN STANDARD LIFETIME LIMITED CONDENSER USING R 410a HEAT EXCHANGER WARRANTY ON AMERICAN STANDARD GOLD ZM COMFORT-R 2 STAGE I�"CONDENSING GAS FURNACES 1 AUH2BO6OA9V3VB :HEAT VARIABLE SPEED 60000 BTU/97.0-AFUE DIRECT I!I`AMERICAN STANDARD WARRANTY 10 VENT FU _ — E _ i4 YEARS MANUFACTURER ON ALL PARTS AMERICAN STANDARD LARGE SCREEN HEAT COOL U Clean up work area before leaving worksite 1 ACONT602AF22MA , HEAT PUMP PROGRAMABLE 5/1/1 DAY 2 COOL 2 HEAT j COMPLETE SYSTEM START UP AND CHECK THERMOSTAT ._ I"'COPPER REFRIGERANT LINES 1 4TXC6003CC3HCB 2 TON AM.STAND, R-410A ULTRA HIGH EFFICIENCY 1 ENERGY SAVING PROGRAMABLE SET ,. CONVERTIBLE CASED COIL COOLINGMEAT PUMP 1,1 BACK THERMOSTAT 4 R8-7-PLASTER 7 SUPPLY IN ATTIC WITH R8 FLEX 15FT !. ENSURE PROPER CONDENSATE 1 20X20 LINED BOX INSTALL 20X20 LINED BOX ON NEW SYSTEM""` -'t EQUIPMENT PAD FOR OUTDOOR UNIT (EVACUATE REFRIGERANT SYSTEM 1 3/4-3/8 SOFT 3/4 3/8 50 FT LINESET WITH DRAIN FROM ATTIC TO -j INSTALL NEW THERMOSTAT LINESET/DRAIN _ CONDENSER QUOTED PRICING IN THIS PROPOSAL IS 1 DRAIN PAN-WET INSTALL DRAIN PAN AN IS WET SWITCH,UNDER NEW }GOOD FOR 30 DAYS AFTER RECEIPT .. ,, _ _ SEALED DUCTWORK CONNECTIONS FOR MAIINDUCT-TCH _ '— I SYSTEM l (MAXIMUM EFFICIENCY 1 ROUND-25- 1 MAIN SUPPLY 25 FT.WITH R-8INSULATION-SEALED iil VIBRATION ELIMINATORS UNDER INDOOR 1200CFM tyI UNIT - -' r WARRANTY 1 YEAR PARTS&LABOR FROM 1 BLOW ND RETURN ' RB 121NCH RETURN IN ATTIC WITH RETURN BOX AND i j BERRY MECHANICAL INSULATION GRILLExclusions 3 R8-5-PLASTER 5 SUPPLY IN ATTIC WITH R8 r 5 - s...x 2 R8-6-PLASTER ' 6 SUPPLY IN ATTIC WITH RS FLEX 15FT 'ELECTRICAL PERMIT - FLEX 15FT ii ELECTRICAL POWER WIRNG INSTALL NEW PLENUM ON FURNACE SEALED AND :; 1 NEW PLENUM I. I„LOW VOLTAGE WIRING WRAPPED ,NATURAL GAS OR PROPANE GAS PERMIT 1 UNISTRUT-6-ROD I UNISTRT AND 6-ROD TO HANG UNIT FROM CEILING 1s3 NATURAL GAS OR PROPANE GAS PIPING 41 Installation Instructions ai -...�.....awwn�+.r..r+.•..+.rmru�.,wwnr....�.n.n ..+-ec:�w.•.e+r.++.-nese.v,.s....r,n�a�t��YnVd:JM1 +S1av y�:>-nr.. • _•e^.'",.: . «.. _ _... .._. ._ _. .—___.. _...._.. Bt .......-_.-.. _._..__.___...._.__.._.___—_ . . ._. "ATTIC BASED INSTALLATION OF AMERICAN STANDARD 60K Btu 97%AFUE GAS FURNACE WITH CASED A/C COIL TIED INTO 2.5 TON SILVER 13 CONDENSER &HIGH EFF. SEALED&WRAPPED DUCT SYSTEM *HANG FURNACE W/CASED COIL USING DRIP PAN/WET SWITCH ASSEMBLY BENEATH & BUILD AIRTIGHT SHEETMETAL SUPPLY TRUNKLINE W/R-8 WRAP TO FEED FOLLOWING SUPPLIES: KITCHEN-BATHRM 1-13EDRM 1-BEDRM 2-SITTING RM-BATHRM 2-2 IN FAMILY RM "BUILD 5FT SECTION OF RETURN TRUNK OFF LINED BOX WITH MASTER RETURN IN HALL BETWEEN KITCHEN &FAM RM. THEN ADD A RM RETURN IN EACH BEDRM *BUILD REFRIGERANT PIPING&PVC GAVITY DRAINLINE DOWN INTERIOR CHASE OF HOUSE TO BASEMENT THEN OUT THRU SILL TO GROUND LOC'N OF By signing this agreement I acknowledge that I have read and ::Representative .Date understand each page, including the terms and conditions. Customer ;Date .Approved by Date i Page 2 BERRY MECHANICAL SERVICES,INC. AIM MITSUBISHI 3 Milton Way•Georgetown, MA 01833 ELECTRIC 97&-352-5500.978-352-4004 fax HEATING & A10. COOLING & HEATING CONDITIONING www.berrymechanical.com — Love Better Where Your Comfort is Our Baseness Name Leo Kraunelis Proposal Numberi R5010620169475-1 Date':1/612016 .�.r,r-w ::.� vam.sxu-eo=nww' - a u a:...� w;il�m.s•>�II: '=�.� .:,rorsa ...�-:i_�.sFa a .;--'.: a;.P>�,. -.' .. _. Components in Base System Investment Cont. Inclusions Cont. Qty '--_..._Model # j Description EXTEND LINESET UP TO 318 INCH AND 7/8 INCH AExclusions Cont. EXTENDPIPINGUPTO3/8-. PIPE UP TO 25 FEET. CUT THRU SILL IN � - - --------- - - -- 1 7/8 25FEET UNFINISHED BASEMENT OR SOFFET IN ATTIC- BRAZE INTO CONDENSER OR EXIST LINESET tt;PROVIDING AND MOUNTING BATTERY - - —..=:_ - !p POWERED CO DETECTORS IN THE LIVING 2 R8-6-PIPE .6 INCH PIPED R8 WRAPPED/SEALED 5FT _ AREA FOR CODE �-` i!'PROVIDING AND MOUNTING HARD WIRED 2 R8.7-PIPE Y 71NCH PIPED R8 WRAPPED/SEALED 5FT _ 1C0 DETECTOR FOR NEW POWER VENTED Condensate Drain FROM ATTIC FURNACE TO APPLIANCE 1 CON DRAIN GRAVITY IN ',INTERNAL DRAIN ON FLOOR BELOW-WILL 4iPROVIDING INSIDE DRAIN FOR REQUIRE CORING CEILING/WALL .:CONDENSATE..,..._ __ _.,.._ .. .. UC36X40 CONDENSER 1 PAD .36X40 ULTRALITE EQUIPMENT PAD 1 PURE-PRO ;1PUREPRO REFILLABLE NEUTRALIZATION KIT FOR NEUTRALIZER-- ACIDIC FURNACE — i 19-2PIPE 3PVC-15FT :INSTALL 2-PIPE 15 FT PVC SYSTEM TO 90°/a FURNACE _ 2 44-4-ADD ATTIC ;ADD 8" RETURN TO ATTIC. INCLUDES BOX 672 I RETURN 8 PLASTER REGISTER 25FT FLEX COLLAR LABOR '! 1 4 ADD-IPIPE-5FT- WRAPPED ADD 14 PIPE WRAPPED TO MAIN DUCT LABOR WRA 20LBBAG 3 20 POUND BAG OF CRUSHED STONE CRUSHEDSTONE 1 FLASHCONCENTRIC !FLASH THE CONCENTRIC KIT THROUGH THE KITTHRUROOF ROOF _ DUCT BLAST TESTING 1 PERFORMING DUCT BLAST TESTING OF NEW 1 OF 2ND SYSTEM DUCTWORK FOR 2ND SYSTEM IF REQUIRED BY ,I( STRETCH CODE BY-LAWS IN LOCAL CITY/rOWN it SHEET METAL PERMIT WHEN BUILDING OR 1 SHEET METAL PERMIT AMENDING DUCTWORK_ _ 2.5 ADDLABOR MISCELLANEOUS LABOR ~~ .__ »•. t..�.nw. ..�,aw:wte...su�,:«, �.-;�,-��. :..-,....-.•,> a,.�.�.e."...:.._..._.... .,gym,.-::_ Installation Instructions Cont. CONDENSER - `SET 2.5 TON CONDENSER OVER LEVEL PRE-CAST PAD W/CRUSHED STONE BENEATH&TIE IN PIPING AS NEEDED 'BACK IN ATTIC>BUILD 2-PIPE PVC VENTING TO GO UP THROUGH ROOF&FLASH AS NEEDED 'INSTALL CONDENSATE MANAGEMENT OFF OF FURNACE W/ACID NEUTRALIZING TUBE& 3/4"PVC DRAIN TO INSIDE DRAIN PROVIDED BY PLUMBER ON 3RD FLOOR BELOW INSTALL DIG.PROG.T-STAT ON WALL NEAR MAIN RETURN 'PERFORM DUCT BLAST TESTING AS REQUIRED BY CODE IN STATE OF MASSACHUSETTS `ONCE POWER WIRING-LOW VOLTAGE WIRNG-AND GAS PIPING AS BEEN INSTALLED BY OTHERS>PERFORM FULL START-UP& TEST OF HEAT TO ENSURE PROPER OPERATION.SCHED SPRING START FOR A/C Customer Date Approved by Date Page 3 Commonwealth of Massachusetts Ln Sheet Metal Permit 3 Date: 11.1 Ib 20Ib JUL 29 A 52 Permit # f>O Estimated Job Cost: S ��l Rol, PermitFee: S� 1 Plans Submitted: YES — NO _ Plans Reviewed: YES NO 1 Business License# �O Applicant License# 4ee7 Business friformation: 1 Property Owner/Job Location Information: k�PiP Nance: 1\1 kZrjc v\% r-g.l ��5 Name: _L-.;eo krC4 U L�,,e i Street: ti Street: 35Cf City/Town: Sicr, .Qw— City/Town: lx�, Telephone: Q7g ��� ^_riSOd Telephone: 33q — �-33G Photo I.D. required/Copy of Photo I.D. attached: YES NO slarr oua:d J-1 / iM-1-unrestricted license J-2 / DI-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. / 2-stories or less Residential: 1-2 family_ Multi-family 4/"'— Condo/ Townhouses Other Commercial: Office_ Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. — Number of Stories: Sheet metal work to be completed: New Work: Renovation: 1I VAC Metal Watershed Rooting_ Kitchen Exhaust System Metal Chimney / Vents_ Air Balancing Provide``detailed description of work o be done: J CG7 aoN B m ra-v LE5'D -03 C r�tJ— t3 Ylk :2 _— INSURANCE.COVERAGE: 1 have a current,liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes❑ No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this b0%0,1 hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit Issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress inspections Date Comments Final Inspection Date Continents Type of License: By ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Pennit# ❑Journeyperson-Restricted License Number: q&7 Fee$ ❑ Check at www.mass.clov/dpl Inspector Signature of Permit Approval BERRY MECHANICAL SERVICES,INC. MrWBISHI sAwdwd 3 Milton Way•Georgetown,MA 01833 Z71M ELECTRIC HEATIN878-352-5500.978-352-4004 fax COND TGIONING www.be COOLING 8 HEATING rrymechaMcat.com — Live at,rto, w R9iere Yore•Comfort is Our Business Name: - Leo Kraunells Consultant IJAMIE BECKWITH _ . Site Address: 359 Essex St 'Date 11/9/2015 �Bllhng Address � - City: Salem Proposal#: ,R511092015145621-1 City: State: MA .n-.... ... State:. Phone:978-339-3738ZIp 01970 Phone I Zip: er....ozP'..y , I I� Base System _ - $14,412.36 { I I Optional Items Total ., $0.00 BERRY MECHANICAL DISCOUNT <$1,441.00> ELIGIBLE FOR$625 MAIL-IN. -REBATE <$0.00> Sales Tax $0.00 'i III System Total: $12 971,36. Initial Investment $0.00 e; Il �Balance - $12,971.36_. .. . .� w .:.. I' j I� ef",'.,.f - —=-� Rate: $0.00 Investment Type_ Check ,� a rIvestment After Credit& Rebates $12,971.36 OPTIONAL ITEMS --D Model No APRILAIRE600-FR90 r _ Description. MODEL 600 APRILAIRE y +;� •BYPASS HUMIDIFIER INTO EXISTING d (,CONDENSATE PUMP OR INTERNAL !$608.S8{ ;DRAIN.CUTTING IN HOT WATER ;t P 'FEED W1 VALVE NOT INCL. By signing this agreement I acknowledge that I have read and ,:Representative V i Date understand each page, including the terms and conditions. Customer Date ;:Approved by Date Page 1 BERRY � MECHANICAL SERVICES,INC. MITSUBISHI d"GG 3 Milton Way•Georgetown, MA 01833 ®®®®®® ELECTRIC HEATING 8 AIR 878-352-5500.978-352-4004 fax• COOLING & HEATING CONDITIONING www.berrymechanicaLcom — LIVc' 8?!tE! Where Your Comfort is Our Business Name Leo Kraunells + Proposal Number R511092015145621 1 Dale.11/9/2015 _..._ -..,,+'Yn-':!e•i-.SN�'^!�Plw'HAM=- ..!mu43.' �llilf"iMIS�Rti1yl1�. 3v!tiiwti:3"u _...n:-..r u.-::. Components in Base System Investment Tax Credits and Rebates Qty I Model# " 3 Descrippon - 1 4A7A3036G1000 SILVER 13 SERIES 3 TON 13 SEER 208/230 VOLT CONDENSER USING R 41,0a AMERICAN STANDARD LIFETIME LIMITED ... .. _ .. ` _ AMERICAN STANDARD GOLD ZM COMFORT-13 2 STAGE "i HEAT EXCHANGER WARRANTY ON 1 AUH2B080A9V3VB I HEAT VARIABLE SPEED 80000 BTU DIRECT VENT I CONDENSING GAS FURNACES AMERICAN STANDARD REGISTERED FURNACE 3 TON DRIVE WARRANTY 10 YEARS MANUFACTURER ON YLN&�� � 1 XC8036AC3 CA ,3 TON R-410A HIGH EFFICIENCY CONVERTIBLE CASED -f I�ALL PARTS - COIL COOLING/HEAT PUMP Clean up work area before leaving worksite T _„ �S, AMERICAN STANDARD LARGE SCREEN HEAT COOL , }COMPLETE SYSTEM START UP AND CHECK - 1 ACONT602AF22MA I.HEAT PUMP PROGRAMABLE 511/1 DAY 2 COOL 2 HEAT Ixl COPPER REFRIGERANT LINES _ THERMOSTAT _ ` )ENERGY SAVING PROGRAMABLE SET I _-._ , ... _. ...". . "-: - - - I BACK THERMOSTAT 1 PURE-PRO PUREPRO REFILLABLE NEUTRALIZATION KIT FOR I1 ENSURE PROPER AMOUNT OF NEUTRALIZER ,ACIDIC FURNACE _ �ii 1. - z I`k.E REFRIGERANT FOR AC OR HP 1 24X14 LINED BOX INSTALL 24X14 LINED BOX ON NEW FURNACE h ENSURE PROPER CONDENSATE 1 RISER RETURN INSTALLS NEW 24X8 RETURN DUCT RISER TAPED AND 'ji EQUIPMENT PAD FOR OUTDOOR UNIT _ _._ II EVACUATE REFRIGERANT SYSTEM 4-FURNACE RISER SET OF 4 FURNACE RISER BLOCKS TO RAISE UP OFF Ii INSTALL NEW THERMOSTAT 1 BLOCKS i FLOOR i )QUOTED PRICING IN THIS PROPOSAL IS 2 INCHES ,. _. . __ _ F,GOOD FOR 30 DAYS AFTER RECEIPT 1 CONDENSATE INSTALL CONDENSATE PUMP UP TO 50FT TO 1= SEALED DUCTWORK CONNECTIONS FOR PUMP-50FT BASEMENT DRAIN Iq MAXIMUM EFFICIENCY "- "-' — p$9 WARRANTY: 1 YEAR PARTS&LABOR FROM 1 DRAIN PAN/WET INSTALL DRIAN PAN WITH WET SWITCH FOR SAFETY I BERRY MECHANICAL SWITCH (UNDER NEW FURNACE 1 NEW PLENUM i.INSTALL NEW PLENUM ON FURNACE SEALED ANDExclusions WRAPPED � t ._ _ _.ilIELECTRICAL PERMIT 1 31NCHSNORKLE- 2-3 INCH PIPE'SNORKLED UP ON THE OUTSIDE WITH Ri ELECTRICAL POWER WIRNG INJOB ARMORFLEX PER CODE WHILE ON JOB D. .. -.-..-.e,._ , LOW VOLTAGE WIRING 1 21-2-PIPE 3PVC- INSTALL 2 PIPE 30 FT. PVC SYSTEM TO 90% FURNACE '� NATURAL GAS OR PROPANE GAS PERMIT 30FT NATURAL GAS OR PROPANE GAS PIPING Installation Instructions 'THE INSTALLATION OF A BASEMENT LOCATED HI EF GAS FURNACE W/A/C FROM AMERICAN STANDARD AS WELL AS THE GH F. FULL COMPLIMENT OF DUCTWORK TO SERVE THE MAIN FLOOR 'ONCE THE FURNACE LOCATION HAS BEEN SET BUILD THE SUPPLY TRUNK TO MANEUVER AROUND DISJOINTED BASEMENT& BUILD SHORT RETURN TRUNK TO TRAVEL BETWEEN TWO CHIMNEY FOUNDATIONS `SET 80K Btu GOLD 95v FURNACE W/3 TON CASED COIL OVER CORNER BLOCKS&DRIP/WET SWITCH ASSEMBLY.THEN ADD SUPPLY PLENUM-RETURN SIDE BOX&RETURN RISER BEFORE TIE IN TO SUPPLY&RETURN TRUNKS `FOR SUPPLIES TO IST FLOOR THRU HARDWOOD OR TILE INSTALL THE FOLLOWING: BEDROOM LEFT-2 IN BEDROOM RT- COMMON ENTRY-SITTING RM-BACK BEDRM-2 IN LONG BATH-3 IN KITCHEN/LIVING RM COMBO USING SECTIONS OF HARD PIPE TO REACH ACROSS CRAWL SPACE-SMALL By signing this agreement I acknowledge that I have read and -Representative ,Date understand each page, including the terms and conditions. Customer Date !Approved by ,Date t - Page 2 BERRY MECHANICAL SERVICES,INC. MnWBISHI SAwdWid 3 Milton Way•Georgetown,MA 01833 ELECTRIC HEATING & AIR 978-352-5500.978-352-4004 fax• COOLING & HEATING CONDITIONING www.berrymechanical.com --Live Better Where Your Cor!t ort is Our Business Name Leo Kraunelis Proposal Number 1R511092015145621 1 Date 11/9/2015 —...>�: i !�..,- axMwmw.rru.:>rn.,. Components in Base System Investment Cont. Inclusions Cont. Qty. Model # r, ' Description P '� �li 1 WRAPPED FITExclusions Cont. WRAPPED TING R6- 12x8 FITTING SEALED AND R6-WRAPPED _ .. _. ._. . . _. 61-ADD MAIN 1 RETURN 24X8-15FT (ADD MAIN RETURN TO SYSTEM UP TO 15FT LABOR ' 29-3-ADD 7-PIPE 4 ADDITIONAL 7 PIPE WRAPPED&INSTALLED 5FT iI SFT WRAPPED I 2 WRAPPED 6-PIPE 5FT .ADDITIONAL 6"PIPE WRAPPED& INSTALLED 5FT 5FT WRAPPED - d ETURIN-I-BAY- !;PAN 1 BAY FOR RETURN BACK TO MAIN RETURN 1 RETURN-HARDWOOD !;INCLUDES PANNING 1010 265 REGISTER LABOR 2 ADD 6 RM RETURN IADD 6 INCH ROOM RETURN TO EXISTING FLOOR W/ FLOOR 1421.GRILLE I - 5 ADD-6-SUPPLY- ADD 6 SUPPLY TO FIRST FLOOR IN HARDWOOD 15FT HARDWOOD I , 5 ADD-7-SUPPLY- i HARDWOOD iADD 7 SUPPLY TO FIRST FLOOR IN HARDWOOD 15FT ! ' _ 2 .ADD-7-SUPPLY- �?ADD UP TO A 7 INCH SUPPLY TO FIRST FLOOR TILE iTHROUGH TILE 15FT ADD8INCH ADD 8 INCH FLEX RETURN OFF OF DROP TO HARD 1 1 WOOD FLOOR ABOVE. INCLUDES BOX GRILL FLEX RETURNBASEHARD'{LABOR _u .INSTALL 1A 3/8 .INSTALL 3/4-3/8 LINESET ICNLUDES TIE IN NITROGEN + ' 1 COPPER LINESET 50 'TEST EVACUATION .p 1 MAINDUCT/RECT- :1200CFM-35FT -INSTALL MAINDUCT/PLENUM/REWRAP/LABOR 1 36X36 ULTRALITE zICLADLITE PRE CAST PAD FOR CONDENSERS HEAVY PAD DUTY POUR OVER RESISTS CRACKING 36x36 DUCT BLAST j�PERFORMING DUCT BLAST TESTING OF NEW _ I 1 TESTING 1ST (DUCTWORK FOR 1ST SYSTEM IF REQUIRED BY SYSTEM ISTRETCH CODE BY-LAWS IN LOCAL CITYgOWN -- _ _ _ 1 SHEET METAL ijSHEET METAL PERMIT WHEN BUILDING OR AMENDING PERMIT ,(DUCTWORK ;� 20LBBAG- 3 CRUSHEDSTONE QO POUND BAG OF CRUSHED STONE i L ; 2.5 ADDLAB-O-RR MISCELLANEOUS LABOR Installation Instructions Cont. BATHRM .. - ---_-.__.-..._---------------_._..---- - --- -- . 'FOR RETURN DUCT INSTALL MAIN RETURN INTAKE IN HALL FLOOR NEAR KITCHEN THEN ADD A ROOM RETURN TO EACH OF THREE BEDROOMS `BACK AT FURNACE BUILD DUAL PIPE PVC VENTING TO GO UP&OVER TO SILL AT SIDE OF HOUSE>WHICHEVER AFFORDS BEST CODE CLEARANCE&AESTHETICS INSTALL CONDENSATE MANAGEMENT SYSTEM W/ACID NEUTRALIZING TUBE&FLOOR PUMP THEN RUN POLYTUBE DRAINLINE TO EXISTING BASEMENT DRAIN INSTALL REFRIGERANT LINES UP&OUT THRU SILL TO GROUND LOC'N OF CONDENSER AT BACK OF HOUSE THEN SET 3 TON GOLD 13 CONDENSER OVER A LEVEL PRE-CAST PAD W/CRUSHED STONE. MAKE PIPING CONNECTIONS AS NEEDED INSTALL NEW 2-STAGE CAPABLE DIG.PROG.THERMOSTAT ON 1 ST FLOOR INTERIOR HALLWAY WALL NEAR SITTING RM 'ONCE POWER WIRE-GAS PIPING-LOW VOLTAGE WIRING COMPLETED BY OTHERS>PERFORM FULL START-UP&TEST OF NEW FURNACE MAKING BLOWER ADJUSTMENTS AS NEEDED. SCHED SPRING START-UP OF A/C The Commonwephh ofMnssachtts'eds Deparbiient oflndnstritil.9axdents 1 CongressSftr4 Sufte I00 Boston,M.4 02114-2017 www.mas.gov/dia WWorkers'Compensation Insurance Affidavit Bailders/Contractora/Eledricians/Plumbera. TO BE FH.SD WITH THE PERWTrING AUTHORITY. Anil an Phaserdat Name(BusinessADIVnirapondr dividuel): o `. G Address: City/State/Zip: 1 Y\ Phone#: �f.?� Are you an empbyerr iLeca the ppproprlte boz: Type of projecl traynh-ed):- 1. emeioye`vAffi_A.�� nkne?( /mom- )'- 7. 0N.eWconstnulon 2plam a.sok peopciebrapanaaship apd Lave no empbygm�worimg formero B: :p RemOdefiag soy capacity [hlo wottws''e�.LWaooee iequuedl .. 3.p 1am a homeowner dams all conic myself,[No workers'eomP.iasmaocemgoimd..l t - 9. ❑Demolition 4.[3 1 am a homeown m and MR be hiring cmnactms toopev dl candaaell amk w mypty. I w 10 p Buildirig'sddi6ou. enure that all condactws eide hL workers'mmp®aauon insurance M sole 11.p Electrical repairs or additions FUFk rswithnomployae. 12:0plamtiing tepeis or additions 5.0 iamagenaw ccatmda mad l heva hfiM me subionowtms listed cam suic&d.beet: 13,. Roof . . 7Leaesub-= Icrooue haveamploym and have wod=!.eomR mumaml - .p repass. 6.pweareacorpTabmaodit ofi'mbLave=aciwddiek VofesampObnpcMGLe. 14.p�fber 15Z§1(Z=Tdex.tiavemempkYee IND wwkm'&MWL uvanmregMkCd.) ' _... •Am appliuot Poet chodw io rwyt oleo tier om$e Seecaubdowshowlogth*t _'-leas eo mpohey to on. - . - t Homeowners who sidmdt Poo affidar`h ihbiradog tf�'ate doing all.iaorF and theiilive oubtde eodkama nmet'salidi6 a sew atadavit i�imlmg eue6: tConttscmiathat chuJitbis tim<neaO.M hedm-wklt7onW ahcdA6wmg ate a®te:oMe sob s aadsoft Wheamw nor nose enumee have employ— Iftbe wbsmpacgmalawe®ploy-4lboy must povidogea-w.in?,,eon*poTiey.muqiba ; . Iamah IPloyerthariapropidingwor 'comps+Merjoninsfanaceformyeerylpypes Below is thepokcyondJo6aite inforniadom Insurance Company Name: el.Ct II 1 Policy#or Self-ins.Lie.# C ^�{©�V 6 Y' Expiration Date: 1 1 l ��q /Q Job Site Address: �Y�7ip: s-4 ry� r°t/7 ��4 7U Attack a copy of the workers'compensation policy declaration page(showing the policy number and aspiration date). Failure to secure coverage as required under MGL c. 152,§25A is a ainrinal violative punishable by a fine up to E1,500.00 and/or ono-year bq,Asonmmt,as well as civil penalties in the form of s STOP WORK ORDffit sod a furs of tip to 50.00 a day against the violator.A copy of this statement may be forwarded to$e Office of Investigations of the DIA for insurance coverage veificatitin. I do hereby -a nd.,lh atar d pen ' ofperjwy that the information provided one and corned f Q I / Phone#, - tpicial use only. Do not write in this area,to he eompided by city or town OJOR&i City or Town: PermitUcense# Issuing Authority(Circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or writtep." An employer is defined as"an individuals partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or irustce of an individual,partnership,association err other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting amh rity." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addresses)and phone number(s)along with their certifiade(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Departmeat of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retained to the city or town that the application for the permit or license is being requested,not the Departnent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured'comrpar ies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Depmtn nt has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that most submit multiple pernutticense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dqg license or pernrit to bum leaves ate.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number.The Commonwealth of Massachusetts Department of Industrial Accidents l Congress Street,Suite 100 Boston,MA 02114-2017 Tel.#617-727A900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia Accela Citizen Access Page 1 of 1 Announcements I Register for an Account I Login Need Help? For technical assistance in using this web application, please call the ePLACE Help Desk Team at(844)733-75220 or(844)73-ePLAC between the search... I P wi hours of 7:30 AM-5:00 PM Monday-Friday, with the exception of all Commonwealth and Federally observed holidays. If you prefer, you can also e-mail us at ePLACE helodesk(Wstate.ma.us. For assistance with non-technical, please contact the issuing Agency directly using the links below. Contact Alcoholic Beverages Control Commission Contact Division of Capital Asset Management and Maintenance Contact Division of Professional Licensure Translation Information-Click Here Document Attachment: In order to upload required documents,this system requires Microsoft Silverlight which can be downloaded for free here. Convenience Fee: Please note there may be a convenience fee for all online credit card transactions.There is no fee for online payment by check. Home Manage Licenses,Permits&Certificates File&Track Complaints Please refer to the Licensing Entity's website for additional information regarding the status and discipline information shown below. For DPL information,please visit the DPL website. For ABCC information,please visit the ABCC website. Information Pertaining To: Master Plumber 13552 Licensee Detail License Number: 13552 Licensing Entity: Board of State Examiners of Plumbers and Gas Fitters License Type: Master Plumber Type Class: M License Issue Date: 09/30/2003 License Expiration Date: 05/01/2018 Status: Current Current Discipline: Other Discipline: Name: WILLIAM V K FLETCHER Business Name: DBA Name: https://elicensing.state.ma.us/CitizenAccess/GeneralProperty/LicenseeDetail.aspx?License... 7/29/2016 lL��tlN'�Ef�Ml9 AlPIIONAO aY ZiIE ORANTkD CITY OF SALEM Hard s.a �q pry ft"Oft DkWAP 0 Yos�No_ amnia �351 kssE,1- Sf. ft 0009FAMae Am? Yf�Ib WIAM10 �APPNCAT= POft Pemlk tw (Cleft Mhl ftw&") RoA6;; W Oft CW4W of Dook. 801d Pool. . OMMr PL uu PLLL OYT L IMLY a OOMPLEf LY TO AVM OM AYi N PII0mlBBN0 M THE INMECTOR OF BLa DIN( - The und-,m-1, d hMeby eppla to a pemik to bukd a000aditfa ".toko .1 Ow wo Name mf. r-� C)n A*wu a Phone 3 5 q t-x H►--I - 5? 6-- Arol bWs Name Add e a Phone j 1 Medft,lc. Name 0(4h Ad*m a Phone x1i I q 7 7 -3S5 I to ww r er p.no..d a�rar� mdow d Valwrq,for Aow w ►IeIIM4�,_ w/4/fq mftm b Wo a� lopmmomt tea. 2 of APOWW IMO�1 Tm PW"TY, OR I "Um DUCRtP110N OF WCMK TO N DOfE z ' n.ri .v :n'J� .�•ui..... f � I is'� � (,,,oauno(t►((e� maysauhuu�d eon w..l:.�1...S1.e.1 • ism" :..m � M.a.A.6 02111 c. 1� Worken' Cam 1 YAM ON AlfMawk . . wkb•a pad ploce of boskws a0 - do herebr'c?ft under In Pabtr and pewaldes a# • tinO () i am an employer Providing workers' comPemadon cowp/s ter MY daolerees working m dlb 1� Inswan" Cemp w P , umber 1 an a sole proprkew and haw ao ono working fdr me in aW opadq. 1 am a sole proprksw, seneral comromor or homeowner (ckds eras) and hove bleed the coasractora Ihsed below who-how ski following workers' cvnspsnwsfoe OeYdm C moc or Inwwests CADIRIVINWIPOW7=70 Conasaer Insurance Compary/►o N Coruraolor Inswance CAmwasyMoft Number 0 1 am a homeowner performing all this work myself. •I wswm �e a a pq of of assess we k k -oo ■ ow O►ass M Mmknow sd ON OIA IV s~aea.a►au.ee a"saw min a swum ie.wsp at j.vn~Seed"ZSA d WA 151 sa kae r er bwin s(wbs►.r eseeie sueedstr e1 a ant ai m W41.1O saver vas rent :.r..wn.e1 a 0 s d4 wwia in dw kne a(s STOP WORK ORDER aes t far d 1100A0. 60 aadecne. Signed�thhh ._ kJVA dsr of iccnscei crnlittee 6u►Id1n( Gepartrt,ent licensing Ecart Seiectmem Office =eslth Gepsrmer: 10/26/2004 14:51 9787457386 ROSE INS AGENCY PAGE 01 44COW CERTIFICATE OF LIABILITY INSURANCE 10/26/IMM/2004 FRpmro9R (978) 746-6464 OONLY AANNDCONFERS SNo DRIGNTB UPTONRTHEE (CERTIFICATE Rose Insnranoe - ALTER�THTHIS ICOVERAC GE AGE AAFFOI DDED`I TINE POSES BEELOW.� 66 Loring Avenue P.O. Box 938 WgIE NAIL9 Sal® Nh 01970- IN3mA AFFORDING COYE nlsuRERANantilne Ins Co. maim North shore Roofing IRWIIR9iBBartford 281 Andover Street INSURERC IN ERO Danvese �► 01923- M9IRER COVERAGESalt pir;POLICY PERIOD THE POLICIES OF INSURANCE LISTED BELOW IBLVE BEEN ISS�D TO R�IW9{lRED A D VJM SP i}4S CERTIFICATE �F � r Be ISSUED MAY AY PERTAIN, REMENT,TETRA OR CONDITION OF APAr CONTRACT OR ORTRR DOCUMENT Tw OASURANCE AFFORDED BY THE POUCIET: DESCRIBED NBREB4 IS SUBECT TO ALL THE TERNS, E7O.1A1510N5 AND CONMIOIJS OF SUCH POLICIES. AGGREGATE LIMITS SHOYMJ MAY HAVE BEEN REDUCED BY PAIOClA9A3. ICY Pol 7q LOUTS TYPE OF MSURANCE ppLICY NIIBEN DATE DATE LTR N 1 CCUPRENCE 500000 E li A oB�BRAL auaLFTY / / RENT s 300,000 X Caoff GALG NERALLMeam' 4,500 CLAIMS NUDE ❑OCCUR 1=63271 05/19/2004 OS/19/2005 A®O� eTe s FeGONALsaovnuum, s 500,000 GENSMAGGREGATE L 1,000,000 PRODUCTS-COAAPIOP AGG A 1,000,000 GENT AOGR6GATELIMR ARR1E9 PEP: POLICY WT Fl LoC AUTOMOBILE UABBITT / / / / Cd�1BIN®BUGLE LIMY s IFP AwMeAO ANY AUTO ALL OINKED ALRos / / / / EDdLYIIuuRr y tom,IHnon) SCHEDULED AUTOS BDOILYI HIREDAUTOS em y IPm alMen3 NOIWOMED AURO$ RROPERTYDAMACE A 6'IA Pa+aeAO AUTO ONLY-GA ACCIDENT s GARAGELUIBLITY ANY ALTO / / / / OTHERTHAN EA ACC 4 AUTOONLY: A06 3 PRCpSAMBRELLALMBLRY OCCUR QNMSNVDE AGGREOATF• s s DEDUCTIBLE A RETENTION " B INORHBISOGMPEMAATIONAND 807N699 11/03/2003 11/03/2004 X To uinrca O BMOYER..LIAEPRY EL EACH ACCIDENT s 100,000 ANY PRORDETORPNITNERIEWCLTN/E 1DO O00 ommRINENBEREACLUDEOT EL OL9�ARE-61 pAPLOYEE! 11 yIN.unPMw� 6 EL DISEASE-PMXY LIMY IS 500,000 SPECMLM'ASIONSee"W pE9CRIPTNTN OF OPeUTN1N9ADun8NSNEMOLEEIEACLUSHM AVOW BY B OORSEMENTISPECAL PRON510N4 CERTIFICATE HOILDER CANCELLATION (978) 762-4667 ( ) - SHOULD ANY OF THE AWA DESCRIBED POLICIES M CP.NOELLEO BEFORE THE EIIPIRATIM OATS "OM . THE ISSU M: INsuRBA WILL ENDEAVOR TO NAIL 30 oArs TMBTTTCF NDTICE To TAIE CERTNNHME Hm091 MINED TO THE LEFT.BUT Mr. $rrion FAILURE TO 00 SD SHALL ANIO>x NO OBLIGATION OR LABILITY OF ART NPAD UPON THE 359 Yesex Street NsuR BB OB " Salem, IIA 01970 AU es£ara A(�CORD 25(200TA0) 9 ACORD CORPORATION T800 (1WINS026mioI.s ELECrRONICLASERCOMS.INC.-IEo OV-050 Puce T of ruoLm rwommff OWARTMOfT 120 VAM41N M VMMT arrfs FLOOR ffALfM.MA Oi�l0 TSL.FM (NM gNAf 7a0 STAlfi.fir MAWM DISPOM OF IMMS MMAVV 12 aooaedma WO tb pevvidooe a(MM o 4%SK I ackwwia*that•a modhioa dHaild6eS Pa®It .d ddxb rfadit S+om the omaheetioa aodit pwaaWb.v&bBW3ftPmvmhdmAbodqmWatkapmpatlamMoN mom dbpood haft.as dodoW by MM a Iq 315ft w 1 1 (� Mo debda M be alepoaad dab U-A l a C I_o r>1 . Locatiea dPaduw dP�emitApplioaet DRt � ' FULLY oamplet the bitowhis kftmsd a: MZASB PXW CLUMT) PhmNm%if=W 2-<x I Av\GL),Rf + - Con 1 o rS Add<err.Oily A Stti1e Mw above amuse►ego thet debris Sam the dowhom reomadcm6 mhab or other aloRatiaa otbOft or mmon be difpm d in a popab%Homaed ao soo to d 9mw balky m dodoW by UM cBL SISK and the burIMS permit or lieamw m to i acdo do baidoa dabs&Mo. -4� B✓oard of Building Regulations and Standards r CONTRACTOR = 1 NOME IMPROVEMENT CONTRA - J Registration: 128691 Expiration: 51512005 Type: DBA if pETE MILLER PETER MILLER Af iDOVER ST GL-' `S, eR t,1A 01923