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1 OUTLOOK AVENUE - BUILDING JACKET t tbs GK ( 00 5 'rhe Commonwealth of Massachusetts CITY OF Board of Building Regulations and Standards SALEM Massachusetts State Building Code, 780 CMR Revised.Nur 20/1 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Divelling This Section For Official Use Only ., T Building Permit Number: Date Ap iedr BuilJing Otticial(Print Name). Signature Date SECTION 1:SITE INFORMATION' 1.1 Property Address: 1.2 Assessors blap&Parcel Number Ma Number Parcel Number 1.In Is this an accepted street9 yes_ no P 1.3 Zoning Information: 1.4 Property Dimensions: z Zoning District Propose)Use Cot Arca-(sq tt) Frontage(It) r 0 1.5 Building Setbacks(R) Front Yard Side Yanis Rear Yard < Required Provided Required Provided Required Provided w r* Ln 1.6 Nater Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal O On site disposal system ❑ Public❑ Private❑ Check if yesC3 SECTION2: PROPERTYOWNERSHIP" 2.1 Owner'of Record: c 4 Lx, I e? -1 O R.'� L- P O.✓ 211 J . ihme(Print) City,State,ZIP I Ou�L ovK Avg lales� _ 4 -1'a-`t-33 9 '770 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Buildin wner-Occupie Repairs(s Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ I Other ❑ Specify: Brief Description of Proposed Work': S 7 fL b Rao S - Roo SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only Item Labor and Materials I. BuilJing S 1 �5D 4" I. Building Permit Fee:S Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical S ❑Total Project Cosh(Item 6)x multiplier x 3. Plumbing S P Qther Fees: S d.Slcchanical (tIVAC) S - List: S.Mechanical (Fire S Total All Fees:S Slip ressiun) pa Check No._Chlt eckAmotmt: Cash G.Total Project Cost: S 1(, 7 5 �' J C3 Paid in Full ❑Outstanding Balance Due: f�)r2o Lr�n "7 'Z 71_-�, CIO N T r SECTION 5: CONSTRUCTION SERVICES 5.1F Construction Supervisor License(CSL) L.,,p�✓ C� t icy+Z Y eo vT License Number Expiration Date Name of CSL Halder r List CSL'fype(see below) 7- 3 Type - - - . Description No.;rad Street -' � U Unrestricted(Buildings tip to 15,000 cu. 11.) �,A ba �y o V- ' 4 0 t 9 C-0 R Restricted 1&2 Family Dwelling City/Town,Slate,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 1 Insulation Telephone Email address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) p o r r 23 �' , G �t1sLi� C en,. -V- 11IC Registration Number Exp:mtion Date HIC Comp:in Nome or HIC Registrant Name nd Street Email address Yv1 a p p q�.9 7 F�'3 la-234_Ci /_Town State ZIP_ Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L:c.152.125.C(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 Isivance of the building permit. Signed Affidavit Attached? Yes ..........0 No........... M SECTION 7a:OWNER AUTHORIZATION:TO BE.COMPLETED WHEN.) OWNER'S AGENT OR CONTRACTOR APPLIES FOR 8111I0ING PEPAIIT' 1,as Owner of the subject property,hereby authorize t9 act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Dale SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. 7 S o —2� ' 1 S Print Owner's orouthorized i gent ame(Electronic Signature) o Dote 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 no have access to the arbitration program or guaranty fund under .G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.eov'oca Information on the Construction Supervisor License can be found at www.mass.eov! 2. When substantial work is planned,provide the information below: 'rota) 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 half/baths Type of heating systctn Number of decks/porches Typeofcoolingsystem Enclosed Open i. "Total Project Square Footage"may be substituted fur"'turd Project Cost" The Gdmmo>-weakh 0 Mgssgchuseetts Department oflndusrddAccidents Offlee oflnvessdgadons: . 1 Congrea's'Sl eel SuW 100' Boston,MA 02114-2017 ww►umassgov/diq Workers',Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Priest Le IN Name(BusineWQrgmization/Individual): Le, IL Ac T�l..v'd� Cp Address: 2 W -e 2 S-1— .: ,. . Ci /State/Zi : tom ,: o Phone#. q'1 $. Are you an employer?Check thi'appropriate box 1. I am a employer with / a 4: I am a general cooftuctor and I e of�rojec;(required);. employees(full and/or part-time).* have hired the sub=contractors 6• New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling ship and ha4e no employees' These sub-contractors:have., _. 8. ElDemolition working for me in any capacity: employees and have workers' [No workers' comp.insurance comp.insurance.$ 9. 0 Building addition required.] 5. .0.We area corporation and its 10,0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers lave exercised their 11. Plumb myself. mp• emption per MGL 0 reg repairs or additions Y [1Yo workers' co right of'eii insurance required,]t;.. c. 152,§Y(4),and we have no` 12.0 Roof repairs . .. employee's. [No workers''' 13.0 Other comp. 111"ce'required.] •Any applicant that oheclus box k1 must alae 611 out the erection below ' t Homeo showing their workers'compensation policy information. wraps wlib suborn this affidevn mdicating they are Ening all work andtheo hue outside confiactom must submit s new affidavit in ' 2Contractms that cli8ck this box must attached au additional sheetsho - dreating.such. employers. If the sub-contractors have em 10 y wia8 the name of the sub-comractoie'and state whether or not those entities hive . . .,.. P, yeas,the must.Pmnde thea workers comp:�oGry numtier: � :. . .:. . .. . . . I am an employer them is providing workers'compensation insurance for my employees. Below is the poUcy and job site information. ^ Insurance Company T'l/A Policy#or Self-ins. tic. #:'" V'(R/C —i D O 6 D 1 t'7 9 h 4'^`a[Y14AFxpi ation pate: Job Site Address: 'uTL tL '�� Ac-%c, (_. S Ci /State/Zr /'l i4 Attach a copy of the workers' compensation olic declaration a e Policy Y P g,,(showing the policy number and a:piratloq date). Failure to secure coverage ere requrred under Section 25A of MGL c. 152 can lead to.the imposition of criminal Penalties of a fore to$1 500.00 and/ up or one-year vi rmpr. Be a vi a well.ascivil ofthis Penalties the form of p STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a Investigations of the,I) for' copy of this statement may be forwarded to the Office of lA„ insurance coverage:verification.,;: Ido hereby certify under thepaius and penglAfes_ofperjury"the informadon provided above.lc trite and correct Simature- Phi#: Date )S 776.0ther y. Do not write in this area,to be completed by city or town of inial. Town: Permit/Ldcense# ity(circle one): lth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector . Contact Person: Phone M 1 AcoRH CERTIFICATE OF LIABILITYINSURANCE °"'�°""°°"F THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAII?tHOLDER+ ES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND,OR ALTER THE COVERAGE AFFORDED BY•TNE pf,NSCIES BELOW. THIS CERTIFICATEPROD CE INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN.THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. . . - >• „ ., IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,thepolicy(bs)"mot be endpaedN SUBROGATION IS WANED,subject to certificate holder inn lieu of such endorsamengs�. the terms and Bonof the pulley,certain polkles may requln an endorsement A sletemalt on 009 certlSeato does not confer rights to the lan PRODUCER 01634-OD7, . - . - - Edward F Sennott Insurance 1` 16 South Main Street. _ Topsfield,MA 01883 .. - 18gBEBl6�AOPDeowD��cowoeOB . jilliuSEI . A.I.M.Mutual Insurance Company 26168 INSURED Lan 0ibely Contracting Company Inc INSURER R 23 Winter Street Rear Peabody,MA O1S60S94t COVERAGES CERTIFICATE NUMBER: •�' REVISION-NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED'NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTMTHSTANDINO ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBFWp HEREIN_E 8VBJECT M ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.W$T88110NN MAY WAVE SEEN REDUCED BYPAIDCWMB. - I TYPE OFINSURANCE POIJDYfaMW - LMrm; GENERAL UANUTY : EACH OCCURRENCE i COWERCIAL GENERAL UABILDY CWMBNADE OCCUR. '� W MEDW(Anywepwon) i . PERSONAL a ADV INUURY f . If I 01143M AGGREGATE FN'L AGGREGATE UNIT APPLIES PER; - PRODUCTO-001AIOPAGG f . ICY Elm, Floc AUTONOBNELNBXITY COMM UNQU.9 -f > ANY AUTO .( „ ;.:. 6. SOOLY 94AM(Per pon," f AUTO AUr � BODILY e1JID1Y R'el eoddn6 f ED HIR®AVT09 AMANED f f . UM8RFLIA LIAB OCOXt EACH OCCURRENCE f . EXCESS LNB CLAIMSMAOE AOGREiATE - f 0E9 RETENTION f -4::: .. f a X '. A H1A "VWC1004,0108704014A 013/2014,' @/3/2018,^ Ft. f 600,000.00 (MandeWrybNp EL DISEASE.EA BAPLDM f . . 600,000.00 KAPERATIONS . E.L DISEASE.POUCY UMn f 600,000.00 DESCRIPTION OF OPBNT*NSI W"TPHDIVDNCLFB~ACM IO1.AOOM.W RNMrq WWdeb,a Wee epwb 1puW)• CERTIFICATE HOLDER - ''+ CANCE Tk)N ' - ` , SHOULD ANY DIMS ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . THE EXPIRATION DATE THEREOF NOTICE WILL se,OQP/ERED,IN. ACCORDANCE WITH THE POLJOY pROWloNS. . AVTHORR®REMBUMAYIVE ^,a•+•.r,� , . .l 888.2 D CORP rights reserved. ACORD 26(2010/05) The ACORD name and logo are registered maRl#of gQORD.,,,• ,,,,, . _ • ACORQ CERTIFICATE OF LIABILITY INSURANCE F 01/30/2015 PRODUCER 978,887,4900FAX 978.887.2404 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edward F. Sennott Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 16 South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 457 Topsfield, MA 01983 INSURERS AFFORDING COVERAGE NAIC# INSURED Len GT e y Contracting Co., Inc. INSURER A: First Mercury Insurance Co 23R Winter Street INSURER B: Safety Indemnity 33618 Peabody, MA 01960 INSURERC: INSURER D: INSURER E COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFFEC POLICY EXPIRATION LTR N TYPE OF INSURANCE PODGY NUMBER DATE MMIDD/YYYY DATE MM IODIYYYY LIMA GENERULU(BILm - - 14A-CGL-0000051263-01 01/29/2015 01/29/2016 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY PREMISES(Ee owvrrenca $ 100,00 CLAIMS MADE FRI OCCUR MED EXP(Any ane person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,00 17 POUCYF—j PRO- JECT El LOC AUTOMOBILE LIABILITY 6221693 COM 02 01/29/2015 01/29/2016 COMBINED SINGLE LIMR ANY AUTO (Ea accident) 1,000,000 1,000,00 ALLOWNEDAUTOS BODILY INJURY $ B X SCHEDULED AUTOS (Per person) X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per acadent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F_]CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNEWEXECUTWEO E.L.ETCH ACCIDENT $ OPFICERIMEMBER EXCLUDED? /1Mandatory In NH) - E.L.DISEASE-EA EMPLOYE $ ifyes,describe under SPECIAL PROVISIONS below E.L.DISEASE POLICY LIMIT 1$ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS roof of insurances. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Robert Sennott/RP ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD � LEN GIBELY CONTRACTING CO., INC. Page No. _01 PagesPROPOSAL 23R Winter Street PEABODY, MASSACHUSETTS 01960 4 All home improvement contractors and subcontractors (978)531-8234 Fax(978)531-9304 engaged In home Improvement contracting, unless www.lengibelycontracting.Com specifically exempt from registration by Provisions of Chapter 142A of the general laws, must be registered Submitted /1-24 -krt, / cD���� with the gCommonwealth of Massachusetts. Inquiries To: / -6 VVO� (� about registration and status should be made to the nn Director, Home Improvement Contract Registration, / pr One Ashburton Place, Room 1301, Boston, MA 02108 V 4-r OOK Ave W L4S'k (617) 727.8598. Owners who secure their own l x/70 construction related permits or deal with unregistered S.A�P M< /�� contractors will be excluded from the Guaranty Fund Provision of MGL C.142A. PqHONE OAT, REGISTRATION NO. rl3 _ q7?0 MA.REG. 100811 JOB NAMENO. f ( J JOB LOCATION 9-78 •- 7Y`/- 38r7.5- vc- we hereby submit specifications and estimates lot work to be performed and materials to be used -/cL� s�t� htti ,. . t tc2t- _ - 11NCd��(< . _/� Fro�� cKiS icr cs, -6 w � E� Sly o4 c c� hr .-L�,. J -. __ . �( , �J 10 j,'V'a%JS_ A ti Q 1 �.�u�.._R All u /Loa/t )vc't,i-v5'IUH1.. E-r~1_F{. "b.-. NSJe c'1 �^l l(. �A$�it bt4 /J'( ,(� 1/.vl��k</ J 'lor°4". SJ/ L:�- 2E' .1.us7v/!/L /V eq L�Nt�l�7�K_-. -Sh 'n/`'gl Cnnr7''. fill C_1J+ it \-j4 (/ 12-1-6." ,12 e l fi c 6 v� o.. j . L r _ o f __F43Sc 1 a <� ct G oiz vEL tfogol .. . T/2-<MYS' WORK SC DUl '` I`/ 1 Oo t' /�jwJ��I!!FF I y r�Il gpY r Uyr}gg I Indeed the IM1'tl it, II g In.signing f Ih Agreement.unless specJorf jq�_ Ipg�(1� II b g 11 ork un V u0 _J (0 ).as rrr g data,caused by C 1 beyond C t tocame, the ork w II be yamplal�tl by_]L t 1 TI o O C herCby acko 140yasand agrees lhallho whedul gdl appalmons old the]such delays that 1 vOtldl by the contractor$bell not be conitlomb as dddl rs Vl lhs Ay Ve no n. Hidden rot or handlionsnotruen altimeole, halo that are required to be repaired in order M complete Ns cantle[,will be completed at$__ _per man hour(MAN HOUR. WARRANTY �/ lh C t' I In'Ii kl ri afraid her"under shall be tree from cal I i and workmanship for Period 1 { Ilaviry sono 'f II pI h lha q' I of this Agreementl t0 t yd l I is workmanship armaterials,.1 ely caused by the Come.1.1 his bt I Ioa enoweeso -Ionic r.1J - u r y h completion- 1 yJ 4 dig p,the Contractor shall al h own expense forthwith remedy rep I,replace or cause to be I IOJ .,,,,.ad o r.pla.a4 such aemaye or such delect'r ter els or workmanship.The foregoing warranties shall survveany inspection pedarmed in[.'rection with mo ugreedo'en work. We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of. dollars($�[ d ). Payment to be made as lollo� l Remove all job bash. All guarantees on all productsfrom pull mrmit, carer. vo IS )upon signing common: Add permit cast If needed we pull permit, _%($ �/ )upon completion of Notice o ggreeme t for hem improvement contracting work shall require a down a ed(adv a of of more Than one lhitd of Ihq timet..,,Iraq %IS 1 upon completion of rice t total. t 1 of all posits or payments i 11 the contour.,must eke. enc.,m ttler a otherwise.burin tleliv.ry of special mum shall be matle(.raw,In upon Leri w eq. m 1,sttke pJ_ guectes (5 )completion of work under this contract. flue Thrs proposal ri wuTdruwn dy will nor accapled within tlbyz. Au e 6 ou Acceptance of Proposal I have read both sides of this document anoin h pri es,specifications and conditions staled.1 understand that upon signing,this proposal becomes a binding contract Vou are authorizeda ark as specified. Payment will be made as outlined above. You,the Buyer,may cancel this transaction at any time p idnight of the third business day after the date of this transaction.Cancellation must be done in carthisD �NTHISONTRACT IFTHERE ANY BLANK SPACES. 3ynalY✓-J�--t�'-. m "prose IMPORTANT INFORMATION ON BACK J1j _-- __...._............ • Massachusetts .Department of Public Safety Board of Building Regulations and Standards Cunstrucilun Supunlsor .E License: CS-09��pg, THOMAS R D01II4 +e ~•�r...440ji. +I ro Expiration Commissloner 06!144010 ......_.....-........ ........_...._-.._...,.. _.__.. _. _. .. die womm"w+oaak cy`QwaaaeaduoeAa �� ffice of Consumer Affairs&Business Reeulstloo License or registration valid for Individul_upe only OME IMPROV NT CONTRACTOR before the expiration do* It found return to: Re Istratl Offlce of Coosumer Affairs and Business Regulation 8 3! 1. Typer 10 Park Piaxa•.Suite$170 LEN GIBELY CO Explr Supplement Card Boston,MA 02116 ,INC. f r. THOMAS DOBBIN J 23 R WINTER ST PEABODY, MA 01880 Vadersscretary Not valid v't4hout signature r,.. f . . r t t L /1J/_1 -- 1 �n The Commonwealth of Massachusetts Vl it Board of Building Regulations and Standards CITY OF Massachusetts State Building Code 780 CN IR SALENI /trrr.rrd.I/,fir_'lll l Building Permit Application To Construct, Repair, Renovate Or Demo One-or Ttvu-Funtilt Du el/inp This Section For ficial Use Onl / Building Permit Number: Date Applied: Building OfEcial(Print N:une) Signature / p— SECTION I: SITE INFORNIATION 1.1 Prgpert d�re�s � r 1.2 Assessors Map& Pt cel Numbers I.la Is this an accepted street?yes_ no Map Numher Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Luning District Proposed Use Lot Area(sq Il) Frontage(Il) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.I.c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone?Check if yesEl Municipal❑ On site dispowl system C3 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owne � ( W r aC 11� Nam � Wine(Print) � Uq.�S�tate��. .I la -,c �`Fyy7 3 — Nu.and Street - Telephone Email Address SECTION J: DESCRIPTION OF PROPOSED WORK](check alit at apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Alterations) 13 Addition [3Demolition 13Accessory Bldg. E3Number of Units Other ❑ Specify: Brief Description of Proposed Work': > C SECTION 4: ESTIMATED CONS TION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) y I. Building S _ 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical S ❑Standard City7own Application Fee ❑Total Project Cosh(Item 6).x multiplier _ x _ 3. Plumbing S 1, Other Fees: S T q. \Icchanical tfll':\(') S List: 5. .Mechanical (FireSuppression) S Total :\II Fees: S i Check No. ('heckAnioum: Cash :\mount_ h. Total Project Cost S �a � -------- -__._-- 13 Paid in Full 0 Outstanding Bal:mce Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) I(.vpir lion I a c Name ol'CSL Holder � _ _ List CSI_1)Ixt Ucc helow)_.�__ iDl 'type Description U 14vtrictc ted 2 Family y u' el }5,0110 a1. Il.l R Reslrict¢d I&?Pamil � Dwellint,.'.IP _ M Masonry _ RC Rootin•Covering - �' W'S Window:md Siding f l I SF Solid Fucl BurningAppliances I htadution '1'elc hone [.mail address I D I Demolition 5.2 Registered Home Irvyµe ment ontractor(HIC) IIIC RAFT tion Number Ifxpir; ion ale I IIC' I wrl Cu1 e or I IIC tc :situ n Nom Street Email address Ci /Town,State, ZIP Tele hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. 4 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... !].� No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR/BUILDING PERMIT 1. as Owner of the subject property,hereby authorized to act on my behalf, in all matters relative to work authorized by this building permit applicati�n.l Print Owner's Name(Electronic Signature) / ate SECTION 7b:OWNERI OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurst to he best o iy knowledge and understanding. r Print Owner's or Authorized,\gent's Name(Flectrom•Signa ural to 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 Jnr 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 w%"% m:n,.;o ,j,c.l Information on the Construction Supervisor License can be found at I%I+�I.mas;zoo dp, '.-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 1 sq. fl.) _ _ Habitable room count Number of fireplaces \umber of bedrooms Number of hathroonu Number ofhalf haths l\pc of heating system Number of decks, porches. 1\pe of cooling ,s stent [:[[closed Open }. "folal Project Square Footage-may he substituted for"I'otal Project Cost" 07/19/2011 15:31 15087568823 THD AT HOME SERVICES PAGE 01/06 HOME IMPROV4dWO T CONTRACT PLEASE HEAD THIS d Sold, hed and THD ID AtAt-Homo Sat"'service Inc.by: dlbla The Home Depot At-Horne S r Beat" ��� wood Sum,Unit 2.Worcester,MA 016071 Branch Name 345A Gram 657-5182;Faa(509)756-8823 Toll Frea< ) F'dorsi ID#75-2698460.ME Lick C tYL4 aha t�ReB#126893 Brandt N®be<'3l CT #InCQ565522;MA 31"mlmFr°°`�` State tbn Address: ' cityitalmBa Cog Phava: work Plmrta: Hmte Pkom: _ state Zip Haat Adda ccity (If diftereat from installaU°a pddtels) _ E-maB Atldrats(to rec4ive Pm1�oomi emails Lrom The HDePot ) s m buy. I DO NOT wrsh m receiae any road<eting at the above insmllation address.a.vac by is U�etsigned(..CasmmaY�,me ow.aars of the P1OPmY Ham mange far tffi installauan CTn• ) I..YO1TaRan: Hama DepoY')agrees m finnisL,doh+ mm this Cortu'act by this vd�I o,naA H Sat�icas.ItK.C� Strs Shrxt(s).all e��heram er�yt�Changa Orders(co)lectively: t¢t the below aM on the refuearEd erd SnmrnarY area cedalond<mY aPFlicable Smte supp>m and Paym Sb ..Caottact-): s #: Pro sett Amount t Jab A:omw+>� Siding Windoxs Tawlatiw � �-U r ( $ ��ls�" "s Daara ❑ (52— .. pGaaysleweo ❑ S �"�� 1 ausns siding wrdo¢'s Ins+ladoa uU I6.ti— W Qhs!Cavva lesdarion $ 1 3 Siding 1V¢t10ws �C¢toasl Co+aa llEn"Doom $ oofing Siding Windows Ina,lation pm¢tenleovars ❑rwryDaau n - Jar dmireardi+� Tata?Contract Amount $ 4 d C-d--ammrarm+lotddd¢Camra3Ar'oant- letiao Certificate t7nmmar agrem td completion oMabe f the work for each PindoG.Custotnes wig execute�o�undo vhis met,immedia Y aeon, Shoot)and PAY any balance dm. As applicable, a defined by M mdiridual Spec- (nae Eor each Prpdat% and severally obligated and i dA.hrrmndar. s included bemire,ax Cormact agrees m beJoaalY Order or terminate this Contras ar any individual Product(s) reserves the right m issue a Change rtes that it cennafpe[form hs obligations due to a structural eider detmrd ober safety concerns,Priring earns ox be:,ause iTtt dH��a�Pyfo�Hama Daps of iu authodsd sar<'rce 4r° or lead paim. lam Wim tba home,mvuo"�'a"'a' �E4�as nWld,as6asms ragnired m caapim:the jab rPOS Tot iOd'�ed�the Contract- _ included as Pat of this Conlmct, sats forth Lhe total /i0 fie! Povesat Smnmmv: The Payment SnrnmerY# siu and final paymerus oY ptadm1(as applicable). regmredfrx rho deP° te(note: Coauart armimt and PaYar� riOTTCE TO CUSTOMER a Completion that Certlh co��tDkd-io rnpy of the C°°trarl at Ute dma you�- Do smt��)Dofore work an Product Cr for each fisted Product m ddhted by pdividital Spec Yon azo eatiUcd to a Warn Ls me Compktmn [erl labor,e*Yot ser b eomplem. - r m pray 7Te Home Depot We mats d rm aUoD, en plus any d Wis Contra@.ar AaWoriaad Sar+'ica R'o�ider Wm We date of terrain OLD AMOLOUT ��Vm���The Home Depot TS IyLADE, wCrHOUT vlded b7 Uweda reable law. THE RO DEPOT MAY't\TTHII Win,el forth g D T FR R Dy P ORCOVb.RY OF SUCH AMOL'MN'TS . LIMITUiG THE ROME DEYOT'S OTfII'+ rands Agreement is the entire agreeraant between Cuscorh wad A UmriaaliD: Cosmmu'agrees and°radars that tuts aB or diswssioas and agreements,either wrm mgard m the PmdueU and fasmtlatim services canmtnm asps a arae°dad excret by a Wenner s Cg thd Aad The Home Depot aaa inmttaion_this Agreea¢m�t Customer has read,nnderstands,voluNatllY accep _ by Cusm� Tho Ho Depra-CastoCastom¢r ackrwwledges and agrees terms of and Las rrrstved a copy of this ASaa'r'a°t Dare Date Snles Consultant's Ignamre �i�/ X D» F.�--_ Solas ConwliaMLi�No:—. _ - Lbaoma s 8 (as gpt�tai 'C NCELI.ATI4L: CUSTOMER MAY CANC67. TH7.9 AGREEMENT RTCHOUT PENALTY OR OBLIGATION )C'i���r� NOTICE TO THE HOME �)C'i17� G Kz l,! BY DELIVERING WRITTEN /) DEPOT By MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING TILS AGREEMENT,IENT HERETO STATE -A f• TO USE IF ONE IS CONTAINS By I,Aw DH SPECIFICAI y PRESCRIBED .' CUSTOMER'S STATE. ONS AxE STATED THE EE4'EHSE SNE AND ARE PART OF TIES CONTRACT ,,,nMADDMONAL TERMS AND CONDDT . OF11-11 GSC 'n t�Wlate-Branae FAe Yellow-Cuaromar t 1 E�a^�y �Y••{ !1VCEF,�r:f • U'[3GCf SC�2f N2 u3i^C:i�,G Li.�� !`0. . 3 2 1 6 A.DDMONALPERF..tiFIMATICERAT2NGS • � ptALLfAGtON H1PLptETfTAA14 CZ pE40M1�?RO . . • 0`:_52 : • .....:� - - - :'.. • is a '."W�+^a wa►�:rsx v? +a d.ena+a Itdl pry vc�t M�► +c•.. nldn'f"rfm0tlttads aadtl3aKPctairct d!7¢alst'' •'r tiI&W n1Ad uafS+RasnAc4+'n Ors►?kr ohr P'°!d ptiLmr'�' nfmsrdlavrf+tiSvaob�?Vd,n1'f�ri� �� _ ----• •�. ' —=m,du+aisdei mi Ct RaafTlcb h!7+!L pn wq 6ram7v i mxkrwt tw4d 6y itrts9i aaWi wl m msrrrr!�vu�n asys+ti�h d m,�1?'•arNRals puri ar.no dlaraint': - - rmin,sar,sd'>rD� p0.�J, is aY ivaclnd1c,sfo,pra ui up t;sscta Oman Z i4 Werra ataJ�Va! "r f :<Q: ,L1^bQi►d4a,Ytatlua pgY�l as t/1I0ta1D1vra+Qca9.:•= ti ::. .:•` '"Usti[ ip.al LCLiI Loc ,Nf0.CY 9tLR .,�, ngLenfa)- lle et6i cn, NoeCR •._ • -'� �'1' C•nt.al,•lo.ta CGAt.aL, So.thn.A.• -' . shVbar STAR •4s ,.n 16aQ arilflm,pa.a laftl.• . ee,<Lenl•�l OrtOT,]tM: Uaeta: Foctt Ctntcll. SAC ClAtcaL, 9+� lira LA- oQ/Chat � ,. . •... - •IHo: ti l.acao QQjY1d<Lo 1.3t kn/R 0.1S•• •,... [ —45 iu,a ta,p�enaaae 51.4� w R- 45 a-ca �'• • :1771124. ••• 44113• , RS � Y•offaan . E555Q9�fOL. LQ��n'strnr'lu .� �. ` ' - r,t,��+ro< a�nis�sor��tl��a,ma:tm�a�a� • __:= ..()free of Consumer Affairs&Business Regulatrno OMEIMPROVEMENTCONTRACTOR - - TYP4 Registration 126891 ,,.,Supplement . Ezptlaffosl...8t72f1(2.; The:Home DePoG'A1-}4meces RICHARD FALLONE 2690 CUMBERLANC)PARKWAYS _�_�_ CERTIFICATE OF LIABILITY INSURANCE °02/21/2011 ' 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). PROOVCER 1-404-995-7000 NNAMEACi --_-__ Marsh USA, Inc. PHONE AX -M 1I_ E RI homedepat.certreques t@marsh.eom ADDRESS Tvo Alliance Center, 3560 Lenox Road, Suite 2400 INSURERIS AFFORDING COVERAGE _ NAIC 4_ Atlanta, GA 30326 --- -- Fax (212) 948-0902 - _INSURERA: Steadfast Ins Co _ 26367___ INSURED INSURERS: Zurich American Ins- Cc 16535 The Home Depot, Inc. - INSURERC: New Hampshire Ins Co 23841_ Home Depot U.S.A., Inc. 2455 paces Ferry Road HW INSURERD: Illinois Natl Ins Co _ 23817 _ Buildin^ C-20pISURER E: NATIONAL UNION FIRE INS CO OF PITTS 19445 Atlanta. GA 77739 .__._—___......_--_.__... _......_...._. INIUIERF: Illinois Union Ins Co 27960 COVERAGES CERTIFICATE NUMBER: 19634662 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 - INOICATEO."NC.".,)1THSTANDING ANY.REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VATH 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, _._____—_____,"*I*,__ _ ___— AODL UDR POUR EFF POLICY EXP NSR LTR TYPE OF INSURANCE 1N. POLICY NUMBER �_ MMIOOIYYYY MMIDOKYYY LIMITS A GENERAL LIABILITY GL048B7714-01 07/01/1 03/01/12 EACH OCCURRENCE S 9,000,000 -% - - DAMAG TOR NTE17 f 1,000,000 COMMERCIAL GENERAL L,IABILITY PREMISES Ea Coco nee CLAIMS-MAGE.u OCCUR MED EXP(Any one Parson) S EXCLUDED _ X LIMITS OF POLICY IS - -PERSONAL 6 AOV INJURY S 9,000,000 X OF SIR: $1M PER OCC GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 59,000,000 -XI POLICY PRO: LOC .1 B AUTOMOBILE LIABILITY BAP. 2978667-Oa UJ/U111 OJ 01 12 COMBINED SINGLE LIMIT - Me d ent1,000,000 % ANY AUTO BODILY INJURY(Par person) I -,_-.. ALL OWNEDSCHEDULED - BODILY INJURY(Par addldenl) S AUTOS .AUTOS M - Par cidenl ---- - "" NON-0WNEO PROPERTY DAAGE S HIRED AUTOS AUTOS � --^-- - ' X SIR AUTO P Y S UMBRELLA UABOCCUR EACH OCCURRENCE S EICE SS LIAR CUIMS-MADE AGGREGATE S --_ _--..... DEO RETENTIONS S WORHEABCOMPENSATION WC061967352 (AOS) 03/01/1 03/01/12 % WC STATU- DTH- C AND EMPLOYERS-LIABILITY YIN 0 ANY PROPatETORIPARTNERIE%ECVTIYEN NIA WC0619673S4 (FL) 03/01/1 03/01/12 E.L.EACH ACCIOENT S 1,000,000 � -- OFFICERtWIM6ERExClADEO? WC091967353 (CA) 03/01/1 03/01/12 E (Mandotonr m NH) E.L.DISEASE-EA EMPLOYEd S 1.000,000 Ir Yyea,dmato onder 0 SCPIP710,OF OPERATIONS below E.L.DISEASE-POLICY OMIT S 1,000,000 C Workers Compensation WC061967755(KT;MO,H11WI, )33/01/1 03/01/12 - F TX Employers XS Indemnity - TNSC462441S1 (T)C) 03/01/1 03/01/12 Occurrence/SIR 30M/1H. E Workers Compensation WC1192378 (QSI) 03/01/1 03/01/12 SIR 1M DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORO Ia I,Additional Remarks Schedule,if more space is required) ` RE: EVIDENCE OF COVERAGE CERTIFICATE HOLDER - - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE' THE HOME DEPOT, INC. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HOME DEPOT U.S.A., INC. ACCORDANCE WITH THE POLICY PROVISIONS. 2455 PACES FERRY ROAD NW i AVTHORILED REPRESENTATIVE The Commonwealth of Massachusetts MERE'. Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 r< www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ® ,g t t Please Print Legibly Name (Business/Organization/Individual): �d/� �'Iu t1l Address: -a ��lr IuYYAa'S Ciry/St to/Zip: Gl 1 Phone #: (ifs 6251 Areu an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4. EJI am a general contractor and I 6. [] New construction employees(full and/or part-time).* have hired the sub-contractors Remodeling Listed on the attached sheet. ❑ g 2.❑ I am a sole proprietor or partner- These sub-contractors have g, Demolition ship ship and have no employees employees and have workers' working for me in any capacity. e 9. ❑Building addition (No workers: comp. insurances comp. insurance 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself. (No workers' comp. right of exemption per MGL 12.[]Roof repairs c. 152, §1(4), and we have no insurance required-] t employees. [No workers' 13. ther comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing thea workers'compensation policy information. t Homeowners who submit this affidavit indicating they aro doing all work and then hire outside contractors most submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state wbethef or not those entities have employees. If the sub-contractors have employees,they must provide thea workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site information. Insurance Company Name: Policy#or Self-ins.Lic.#: I t r� Expiration Date: Job Site Address: l L. City/State/Zip: 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine 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. �do herebycern un er the ins d enalties of er'ury that the in ormation provided above is true nd correct.eature: Phone#: FFOther . Do not write in this area, to be completed by city or town official Permit/License # ity (circle one): alth 2.Building Department 3. City/ own Clerk 4. Electrical Inspector 5. Plumbing Inspector CITY OF S.U.&M, A-1SS.-ICHUSETTS • BI;tLDLNG DEP.iijamENT 130 W.uHLVGTON STREET, )'O FLOOR TEL (978) 74S-9595 PAX(978) 7449846 Kl.%®E uZV DRISCOLL MAYOR THomu ST.Pmiaa DIREcroz OP PLBLtc PROPERTY/avainNG com assioN R 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 1 l 1.5 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: (name of hatiler) The debris will be disposed of in (name of facility) (address of facility) 4 C�3P. -ZA/ sibuiFe of permit applicant �' tC 1 I John vir i.w �I ofttlem, Cttsstttl�usetts / p Puxra of �} eal RECEIVED '85 WR 30 P 3 :03 DECISION ON THE PETITI__ON._OF JOHN JERMYN FOR A SPECIAL PERMIT FOR-1 OUTLOOK AVE. ,,\ SALEM CITY CLERK'S OFFICE SAI LEN MkSS. A hearing on, this petition was held April 17, 1985 with the following Board Members present: James Hacker, Chairman; Messrs. , Charnas, Gauthier, Luzinski and Associate Member Bencal. 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 premises, requests a Special Permit to allow him to build a passive solar addition to his house as shown in plans filed with the petition. As proposed, the addition in this R-1 district would violate front setback requirements. The provision of the Salem Zoning Ordinance which is applicable to this request for a Special Permit is Section V B 10, which provides as follows: Notwithstanding anything to the contrary appearing in this Ordinance, the Board of Appeal may, in accordance with the procedure and condition set forth in Section VIII F and IX D, grant Special Permits for alterations and reconstruction of nonconforming structures, and for changes, enlargement, extension or expansion of nonconforming lots, land, structures, and uses, provided, however, that such change, extension, enlargement or expansion shall not be substantially more detrimental than the existing nonconforming use to the neighborhood. In more general terms, this Board is, when reviewing Special Permit requests, guided by the rule that a Special Permit request may be granted upon a finding by the Board that the grant of the Special Permit will promote the public health, safety, convenience and welfare of the City's inhabitants. The Board of Appeal, after hearing the evidence presented at the hearing and after viewing the plans, makes the following findings of fact: 1 . No opposition to the plan was presented; 2. The proposed addition will have a negligible affect on the neighborhood. On the basis of the above findings of fact, and on the evidence presented at the hearing, the Board of Appeal concludes as follows: 1 . The proposal will not be substantially more detrimental to the public good than the existing nonconformity (i.e. the density of the lot) ; 2. This proposal does not derogate from the intent or purpose of the Ordinance. DECISION ON THE PETITION OF JOHN JERMYN FOR ` A SPECIAL PERMIT FOR 1 OUTLOOK AVE. , SALEM page two Therefore, the Zoning Board of Appeal voted unanimously 5-0 to grant the \ Special Permit requested. SPECIAL PERMIT GRANTED Scott E. Charnas, Secretary A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK r- FTI rr- � C7 3rn � .ncD ^` 'n—n W 'J —n . L7 � m w APPEAL FROM THIS DECISION, IF ANY, SHALL BE MADE PURSUANT TO SECTION 17 OF THE N ASS. GENERAL LAWS, CHAPTER 808, AND SHALL BE FILED WITHIN 20 DAYS AFTER THE DATE OF FILING OF THIS DECISION IN THE OFFICE OF THE CITY CLERK. PURSANT TO MASS. M-'ERA! I_AV!$ CHAPTER 808. SECTION 11, THE VARIANCE OR SPECIAL PER611T GRANTED HEREIN, SHALL ND. utt(E EFFECT UNTIL A COPY OF THEDEC!SION. BEARING THE CERT•. FICATION OF THE 0i i' CLERA T,iAi 2U DAYS HAVE ELAPSED AND 140 APPEAL HAS BEEN FILED, OR THAI. IF SU:.H Fdi !'.PPEA! H'.' P-EiJ RLE. THAI IT HAS BEEN DIS\i!SSED OR DENIED IS RECOFSED IN THE S-'UIH ESSE' P,EIISTRY DF 2E-DS AND INDEXED UPIDER THE NAME OF THE OWNER OF RECORD OR IS H:CC•RDED AND NOTED ON THE OWNER'S CERTIFICATE OF TITLE. BOARD OF APPEAL a