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22 GREEN ST - BUILDING INSPECTION cr-�sF-1 I�Ec.'T'� 5z�z�-lam The Commonwealth of Massachusetts j Board of Building Regulations and Standards un" Massachusetts State Building Code, 780 CMR j, evtseJ Star 2011 g ((�� Building Permit Application To Construct, Repair, Renovate OrDe1molisR, One-or Tivo-Family Dwelling t This Section For Official Use Only Building Permit Number: Date Applied: 1 13uilding Official(Print Name). Signature- '_ . . - Date SECTION 1:SITE INFORNIATION' I 1.1 Property Address: 1.1 Assessors tNlap&Parcel Numbers fi I.I a Is this an accepted street?yes-1z no Map Number Parcel Number 1.3 'Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use La—Area(sq tl) Frontage(It) 1.5 Building Setbacks(D) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal 13 On site disposal system E3Public❑ Private❑ Check if ycsC3 SECTION 2: PROPERTY OWNERSHIP, 2.1 Owner of Record: / c r%t 1 vl Ljh Eh Gt rf1/L/- e'9-1 �me(Print) City,Stote,ZIP a a ('rte- e � g` -&W -221 No. and Street Telephone Email AJJresg SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ I Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:�w.i<r y jj i Brief Description of Proposed Work-: �I ri -Z q /)C-U/ SECTION a: ESTINIATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials I. Building $ I. Building Permit Fee:S Indicate how fee is determined-. ❑Standard City/Town Application Fee 2. Electrical S ❑Total Project Cose(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: S I.Mechanical (FIVAC) S List: J ' 5. %lech:mical (Fire S Total All Fees:S Stippressiun) Check No._Check Amount: Cash Amount: 6.Total Project Cost: S / y )t7 r�� ❑paid in Full 13 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Inc36 7 ��7 L License Number Es irulion Uate Name of CSL//Holder List CSL Type(see below) 7 J�g-a U4_ul Y-4 Type Description No. Street G U Unrestricted(Buildings u to 35,000 cu. it. (/.t5-atl C5�7 �� R Restricted 1&2 FamilyDwelling Cilyfrown,State, IP Masonry Roofing Covering Window and Siding ,7 / Solid Fuel Burning Appliances /Iv 07,4 co en e /9/�G � 1 Insulation Telephone EmailaddressUL, Q7leaD Demolition 5.2 Registered dome Improvement Contractor(HIC) f JI&rJa ofK AT . (20Z�- fir- 1­11C �C11C Registration Number spout on Date/ 711C Company Name or HIC Re strunt Name/ /0067 Finn n C+n-rs f' Q U' . Ur.(r� Nu alnd Street ,,,,AA O/C/a� �� � / Email address �J/V 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 this affidavit will result in the denial of the Istuance of the building permit. Signed Affidavit Attached? Yes .......... No...........O SECTION 7a:OWNER AUTHORIZATION:TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PEM11T' I,as Owner of the subject property,hereby authorize T�? S (�,vra *1, t9 act on my behalf,in all tt atters relative to work authorized by this building permit fipplication. r � Print Own�r'SNm"e •lectmni S' alure) Date 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 accurateto best of my knowledge and understanding. 'T"466 /1 � V"466 l.rvrFlaH /� w• VII-012 Print Owner's or Authorized A •nt' amc(Electronic Signature) Dote NOTES: I. A n 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 nor have access to the arbitration program or guaranty fund under INI.G.L.c. I42A.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 ww�'dos 2. When substantial work is planned,provide the information below: Total Iloor area(sq. R.) (including garage, finished basement/attics,decks or porch) Cross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclose) Open i. "notal Project square Footage"may be substituted fur"rocl Project Cost, \ The Commonwealth of Massachusetts Department of Industrial Accidents a 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information /� Please Print Letaibly Business/Organization Name: &,V l a61- ( 6 ;;;e ; Address: /6,�DGnof2 A& C t/rt t7- cAC, f City/State/Zip: 5 /f4 &&2(?Phone#: 9j1,17' X�—dA81 Are you an employer?Check the appropriate box: Business Type(required): 1.�am a employer with employees(full and/ 5. ❑Retail or part-time).* 6. ❑RestaurantBar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7_ ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.E] Manufacturing no employees. [No workers' comp. insurance required]* 11.❑ Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.❑ Other B-fl ft: >- *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **lfthe corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurancefor my employees. Below is the policy information. Insurance Company Name: A r-6— AMA 4 L/JQ Insurer's Address: a a `1- ^aa-vt '5`r- City/State/Zip: r/"L ,.� cP L 9 7� Policy#or Self-ins.Lic.# 4,K( a u _ 39.1 Expiration Date: L/hd atm 7 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 fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify,under the p 'ns and penalties of perjury that the information provided above is true and correct. Si natur 94 A 4 Date: Z41AY Phone#: 1 7 $ q10 -49/2' Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia 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 written." An employer is defined as"an individual,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 trustee of an individual,partnership,association or 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 authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply your insurance company's name,address and phone number along with a certificate 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 Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department 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 companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department 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 must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that 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 dog license or permit to bum leaves etc.)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 1 Congress Street Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSA-FE Fax# 617-727-7749 www.mass.gov/dia Fonn Revised 02-23-15 aIYOFSALEK MASSAa"E77,, BEUZMDarAa>Evr 120WA2DVXKSWWvrROCR 7745-9599. S1 AIM,D I FAX 7149846 MAYM 7Ysurr,�sST.P�rss D=crmcrFU l XffXk 7'/BiAl?A GMfiaWCMM Construction Debris Disposa/Affidavit (required forall demolition and,.renovation work) In accordance with the sha edition of the State Building Code, 7W MR,, Sects 111.5 Debris; and the provisions of MGL c40,S S4; Bulldbrg Permit A! is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste deposit facility as defined by MGL c 111,S 150A. The debris will be transported by. (name of hauler) The debris will be disposed of in: (n me of facility) l�0A eel„ „ (address of facility) ignature of applicant /& Date Acc)IR& CERTIFICATE OF LIABILITY INSURANCE = THIS CERTIFICATE 6 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIOS BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SEMEN THE ISSUING INSURERM AUTHOR12ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: H the Ca If cote homer is an ADDITIONAL INSURED,the poYcy(lea)must be endorsed. R SUBROGATION IS WAIVED, subject tothe tams®Id canditlons of the pok%certain policies may require an endarsabent. A statement on this card tate does not confer rights to the certificate holder in fiar of such endarsemerd(s). PRODUCat CONTACT NAME PARENT INS AGENCY INC PHONE 94 94 LYNN STREET E PEABODY,MA 01960 EhNUL INSUREHIS)AFFORDING COYEAKNE "ICs INSUHEHA:ACEAMEAICAN INSURANCE COMPANY INLVRED INSURERS: BONN CONSTRUCTION CO INC INSURER c 100 FERNCROFT RD IwsugER° UNIT 204 INSURER E DANVERS,MA 01923 INSUi�fl F: ' COVERAGES CERTIF RMASION 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. LLin I Pa10YE TYPE OF INSURANCE POLICY�gI W POuCYYYDLICYEIO' Lam Gt3EBALUAeanY EACH OCCURRENCE a COm/l3JCMLGBIBiN.LMaLRY DAAIAGETOq@lTED a I!5{AADE❑ OCLLq MEGE(PVkW.epeaon) PERSONALAADVBNURY a GEHERALAGGRf3NATE a OENLAGGgEOATE gqLpWp..RAPPLIES PER: PROOVCTS-COWJOPADG 8 POLICY JECT LOC a M°BILEU/�BLnY EDSVLEUMR a ANYAUTD B0TXLYLNJuRY1Pm PN-4 a ALLONNED SCIEDGLED AUTOS AUTOS aooDS lwumrleeramdeml- a wwm Auros AN UTOS; D MAGE a s UBBRELLkLU OCCUR EACHOCCUNRSNCE 8 (DLCO UAB jcIAINSwoff AGGREGATE 8 jowl JnETEHnioNs E W°N®UCOBPENBATION _ x P(CSTATIF OTH- ANDEBRDYERS'WBLnY y� IOHY IB/RS FA ANYPROPRETORRARRNEAIEXECUrNB�.N/A SLIMIIACCNENT $10D,DDO OFFCER,MEMSER EXCLUDED? N 6S62UB 04.10-2016 04.10.2017 d�Yb 5B32195A 61,OMISU-EAEMPLOYEF $100.000 DESCgIPnCN OF OPEAATpla belol. el.Dsr-wSE-Pa.Icr uMR 1$500.060 OMCWnONOFOPERAUOKB/LOCAtiWA!VEHICLES@thdlADMDtH,ADQ nelP kBStlMdub,ammapmbmgLamD) CERTIFICATE HOLDER FLLAMON JAMES L CURRIER O SHOULD OWNER PRESIDENT BONN ANY OF THE ABOVE DESCRIBED POLICIES BE CONSTRUCTION CO INC CANCELLED BEFORE THE EXPIRATION DATE THEREOF, 100 FERNCROFT RD UNIT 204 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE DANVERS,MA 01923 POLICY PROVISION& AUINDf®REFFIRIgIrATYE ACORD 25(2010105) The ACORD Raine and ®1966&2010 ACORD CORPORATION.AN rights reserved. i°9o are registered marks of ACORD l ® DATE(MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 6/29/2016 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Stephen Tarpey, CPCD,CIC,VB Tarpey Insurance Group PHON sX...EXU (781)233-9050 p/C No; (791)231-8151 38 Main Street ADDRESS:steve@tarpeyinsurance.coal PO BOX 990 INSURERS AFFORDING COVERAGE NAIC N Saugus MA 01906 INSURERA:Sa£et Insurance INSURED INSURERB:Safety IndIalinnity 33618 Bonn Construction Inc INSURERC: 20 Rrochmal Road INSURER D: INSURER E Peabody MA 01960 1 INSURER F: COVERAGES CERTIFICATE NUMBER:2016-2017 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 POLICY NUMBER MMIDDITYYCY MNVDDYEJ(P LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DA A E ORENTED100,000 A 4II CLAIMS-MADE n OCCUR PREMISES Ea occurrence $ l—J _ BHA022200 7/11/2016 7/11/2017 MED UP(Any one person) $ 10,000 i._A _ PERSONAL&ADV INJURY $ 1,000,000 j GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X] POLICY PRO- ❑LOC PRODUCTS-COMPIOP AGO $ 2,000,000 ECT OTHER: $ PUTOMOBILE LIABILITY EOa.c eeDISINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ 250,000 B ALL OWNED SC AUTOS HEDULED X AUTOS 6221231 12/14/2015 12/14/2016 BODILY INJURY(Per accident) $ 500,000 PROPERTY DAMAGE X X NON-OWNED Per accident $ 250,000 HIRED AUTOS AUTOS $ 5,000 PIP-Basic UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUT YE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? " (Mandatory In NH) E.L.DISEASE-EA EMPLOYE E N yes.desmins under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is requlhed) Residential Carpentry CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TO Be Furnished Upon, Request THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE S Tarpey, CPCU,CIC,VP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD IN 5025 omen,, Bonn Construction Co. Inc. Roofing Specialists 100 Ferncroll ltd. Unit 204 Danvers, MA 01923 7/12/2616 Office 0 (978)750-8981 Fax# (978)531-9202 Ent4 (978A90-0191 PROPOSAL Submitted to: Edward Shehaj Phone # 978-500-9203 22 Green Street Fax # Marblehead Ma 01945 Cell nun.: Re: Two Sites: Project being done—same as above Dear Sir. Or -1o Whom It Concern-----------------Shingles Tear—off—Install new shingles . We hereby propose to furnish materials and labor-complete accordance with specifications. Below for the following sums: All porch or deck items will be removed or protected with great care. Along with bushes .landscape and walkways as well Rcitwvc the existing wood shingles down to bare wood.replace any rutted wood up l0 50 1111 feet.Nail any loose sheathing,deckine Fascia and rake boards etc.. 2.Apph ice and wrier shield along the eaves,valleys,walls etc.of the house.(6 feel of ice& water shield)all around Into cave up_ Apply 30Ib. felt paper to the rest of the roof deck for a vapor barrier.Clean all existing gutters and down spouts. a Install 8 inch aluminum drip edge to the eaves and the rakes of the house.The color Brown or While can be used. 5.Cul open the ridge of the house for proper ventilation.Install new Corbra Roll vent Then cap with asphalt cap. h. Install new pipe flanges to all vent pipes.check all wall flashing,Check all.Check all other vents replace as needed... 7. Install new copper or lead to the existing chimney(copper flashing will be higher and more affective) Grind out all existing lead , Fabrlcale/Cut in new copper cut size and apply mason pins and then apply mortar caulk aunt spread 8 Install New Due time Certain'I-eed LandMark Architect Asphalt style shingles----Color choose by the home owner All lower roofs are included—Install new Granule surface—Black roofing materials—Does not car,last forever. 3 Lower tools will have Roll Roofing Materials—Rubber with a shingle surface_..I lower roof right side will he shingles. Q.Clean all debris into on site dumpster provided by Bonn Co. Inc. All permits pulled by Bonn Co.Inc 10, All workers will have safely harnesses and ropes for fall protection,other safety devices will be used. I I.All workmanship is guaranteed for 5 years on leaks and blow-ofTs etc. rhe warranty is transferable to the new owners if the home Is sold or hued _._...........Install new fascia and rake boards as needed. 12. Bonn Co.Inc. reserves the right to add(in any extra cost for changes that are made by others as the project Progresses forward---- Cost for materials and labor ....................... ...................... ..........$ 7, 495.00 One third of the balance will be needed prior to the project start .................................. Thank YOU F.I.D.4 04-3336347-FI.I.C.tI 140520-Construction Supervisors Lic.9 99357 A0 n r workers at covered by Workers Compensation Insurance &General Liability Insurance / 1 C'enil 'ucsof lnnur �arcavailablc upon request . .la Currier/ JwnerI President I donut Shelhai talelonin vner Ma 14� C'onstrucuou Co. Inc. 22 Green Street Salem Ma 01970 wnncin)glc9996�ivtlgw.con, - ` -' ,y} „� ��c•�nuirrromnen�(�a/CYlrlr.:rne�nte(T •����� �aglrra®�h�- Office ofCommmer Affairs&Business Regulation r psi// -t` �•f - ;?HOME IMPROVEMENT CONTRACTOR Certificate bf Technical Proficiency 4D Registration: 140520 Tse: y �1 Expiration 10l23t2077 Private Corporation JAMBS L. CURRIER -A. BONN CONSTRUCTION CO INC- has-successfully completed a two-day Sama iM introductory "rraihing Course for Samatii installers under the supervision �;- JAMES CURRIER of a Samafil instructor. 100 FERNCROFT ROAD UNIT 204 During the training session,the bearer showed a proficiency in 't - __ heat welding and demonstrated practical application proce- - DANVERS,MA 0.1923 Undersecretary - dtresusing Samailmaterials insimulated job site conditions. µ L Date---:f r--J —luswdor Atfi]B 1 r1' til - 9 9®, MardachusettsDepartmentofPublic�\ OSHA 002330883 3 Board of Building Regulations and Standards `• License: CSSL-099357 11 Construction Supervisor Specialty { U.S.Department of tabor Re: JAMES L CURRIER Occupational Safety and Health Adm nistratwn urflUr 20 KROCHMAL ROAD - _ James Cl� JA PEABODY MA 0198012 1 t 20y + has successfully completed a 10awur Occupational Safety and Heafth Trdmmg Course m PE .. Construction Safety 8 Health Expiration: Witham Kershaw-NE01009 09/09/09Commissioner 12/17/2017 . (Trainer) (Date) ( „null i"i,mer - - Tr: 99357 -....,......_..........._..,_.....,..._......._......_�_.....`..•___�_.- _. BBB Accredited Business Member in Good Standing of the Referral Card BUILDING TRADES ASSOCIATION For free information on services from Accredited Businesses in For Additional Information and Verification your area Call Toll Free 1-800-326-7800 BONN CONSTRUCTION,INC. BBB Check Out a Business at: From 11/00 To 10/01 bbb.org SAFETY EQUIPPED, INC. �_ OSHA 10 � • :E. ;.ICY OF.SALEM #1834 Aerialift BUILDING LICENSE Training&Consulting Services Authorized OSHA �C11 Tfainer ForkliftThis is to certify That JAMES L. CURRIER Bill Kershaw TeL: 508-332-8959 276 NEWBITBY STREU St., vEABODY ,Mass. 43 Safety Consultant 61 Eisenhower FRAC e0 MA7 2777 ull Axl �m�d (las been ranted a license by the Building Inspector as M�1be1•ofASSE HOME SPECIAL'I'4 ZR0OF1xG=ST-nT1>,t --- - - `e W-safetSWrdpped.com MIN01j/REPAIBS, ... Attest: ' •r���C- - OCTOBER 23, 1998 - - - (Issued) 8uu g Inspµ chi' r