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0037 MARCH STREET - BPA-15-1383 . <f7-S<on �vt---L' � II'loo The Commonwealth of Massachusetts t Board of Building Regulations and Standards CITY EO W I Massachusetts State BuildingCode, 780 CMR Rev)SALErr 1011 Building �O Permit Application To Construct, Repair, Renovate Or Demolish a One-or Avo-Family Dwelling This Section Far Official Use 0n Building Permit Numb Date:A plied 1 -DuilJing OtTicial(Print Name) Dale SECTION 1 SITE INFORMATION, 1.1 Property Address' �� 1.2 Assessors Map&Parcel Numbers i 37 �G 1.I a Is this an accepted street?yes no 1&IapNwnber Pawl Number 1.3 'Zoning information: 1.4 Property Dimerftionsa - 1 "Luning District Proposed Use "Lof Arca(sq it) !77 1.-,.I•Fra gull)if) - - 1.5 Building Setbacks(R) . Front Yard Side Yam' - Rear Yard " Required ProvidedRequired Provided-- . RequiredProvided 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 O Private a " — Municipal 0 On site disposal system O .• fhecklf esO. .- }, / SECTIONS.PROPER'I'lt OWNERSFIfPc '�/ 2 t J2Y hers of Re!�rd Cu _54 5 N IG 7 f r'l�y t�hme(Print) � City,State,ZIP - - 37 arr r 1 , No.runt Street - - Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply)` New Construction O Existing Building O Owner-Occupied O 1 •Repairs(s) ❑ 1 Alteration(s) 13 Addition Cl Demolition O Accessory.Bldg.17. Number of Units_ I Other O Specify: Brief Description of Proposed 1VoW: e+ die_ SECTION 4:ESTIMATED CONSTRUCTION COSTS" Item Estimated Costs: Official Use Only Labor and Materials) 1. Building Is i 1. Building Permit Fee:$ Indicate how fee is determined: 2. Electrical S ❑Standard Cityll'ownApplication Fee 17 Total Project Cost'(item 6)x multiplier x 3. Plumbing is 170 Qlher Fees: S 4.Mechanical (FIVAC) S List: 5.Dlechanical (Fire S Suppression) Total All Fees:S Check No.l l?&Cher:k Amount: Cash Amount: G.Total Project Cost: $��O, ❑Paid in Full ❑Outstanding Balance Due: (vtra t two ITS 5J�SSM FZI I-T SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 55717 ? y 23 s License Number Expiration Date- Name of CSL Holder List CSL'rype(see below) Eric W.Palm TYp6'.... - , .,. . Description No.and Street 1 R beet ' Salem MA 01910 U RWtr Unrestricted 2 Family u el in 000 cu.il. R Restricted I&2Fami1 welling Citylrown,State,ZIP M Main RC Roots Coverin WS Window and Siding SF Solid Fuel Burning Appliances (� 1 Insulation Telc hune Emoil address D Demolition 5.2 Registered,tlome improvement Contractor(HIC) 111201'9 �Z AtWtie WeatheriY-4a .-nr I 1 0 HIC Registration Number Expiration Date IUC company Nameet'J(C�g tt NAT6nue No.mid Street SMMA 01970 Email address Ci /town State ZIP Tel horn SECTION 6:WORKERS'.CONIMNSATION INSURANCE AFFIDAVIT`(NLG.L cc 15Z i 23C(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 Isitaincof the building permit Signed Affidavit Attached? Yes.......... No...........D SECTION 9a:OWNERAUTHORIZATIOMTOBE.COMPLETED.WHEN' OWNER'S AGENT OR CONTRACTOR APPL1ESc FOR BUILDING.PERM1'C'' 1,as Owner of the subject property,hereby authorize Cr r G Pa lm t9 act on my behalf,in all matters relative to work authorized by this building permit application. Print O+vn— ees Name(EleeUvn Signature) _ _ Date SECTION 7b:OWNEW ORAUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of pepury that all'of the information contai in phis np icatioygtryg area accurate to the best of my knowledge and understanding /vw/�,f)M—, z Print O+vuer's or Authorized Agent's Name(Electronic Signature) _ Date NOTES, 1. An ownenvho obtains a building permit to do his/her own+vork,or an owner who hires an unregistered contractor knot registered in the Home.improvement Contractor(HIC)Program);will LLoj have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other tmp6—rI mf6rmafion on Ote HIC-Program can belo`unr# [t w+v+v mass.cov'oca Information on the Construction Supervisor License can be Found at taw+v.masssov;dgs 2. When substantial work is planned,provide the information below: 'total floor area(sq. ft.) N (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 system Number of decks/porches Type of cooling system Enclosed Open J. "Total Project Square Footage"may be substituted I'or"'fatal Project Cost" ldiassacltnset9s Iff, aBe roThis ton, ve�neat Sana le Contract lougaVe to proslics allbot'bomeow�aa� �P+avammtcanaaGarLan• � CmsumaCuidetoaomuhuqu.txifn�y.Anrpe•sanmy plannm (MCL lam•but dors anfmdodestea C�mamneo er]nfp ass m°i�'�mHatlme YO6 r��YY0°mynbmma, �dara .,/ rotation -7135787 m-1888-283-3757wcaoorwdnite. glbI Nie ContrnCtorrnfonoaticm CompanyNMee 1Adr®(dontvse2PaDllmel7A{�t)e e heri�t�,u3 Avenue �,)(.L"/-e/y7 `// i1 aumea Addns(onvt" Dari Phone l ,,• Eoeniog Phone _ - C(ty/foom Mailing Addrern(hdiff4eot8mn�nre) ���- Stam ZrpCode Fedvel EmNa➢cID ar SS"NumyQ rw�rmie"o-�mn� /� ^//J�pmma�aamrac � The Cootractorageees m dome (D €oll es r,i6e in demi 7 dK uvdr m romo� p g work for me Homemyner 'PsilYing the type,lvnnd,mtd®adeaE!�eiffistoheused,¢�S gddri Jsh�— rr//tiIc /8 s�d Als t Required pennit, jbcrall adwabe bm /i t � e'P�!/r� eiCtcoemd�otimJ�'�S,;-dbnn�xjlpidep�-Th�efa��g1 a/up5e -/.f (® rsecenhacorasmehomeomebe eredmndC iroRnpuitirysepuded om The Guam® Fn sgoe PnPo�Shut equied aosuaet6e MGLebapter142A.) d Panrlsioars of Datewhm conmomrra begs contracted work Total Coaha'Pti-and DNe when MtMud tw av01 besubffiadagy cemplttert The Cona 'or Paym®tSffiedNe mPe<fmas the wnrp fmnisy me'mazerial mdlabvr Payments svdt be made spc5edabovefmtketoWsmn of (/h accoNing to mefo8awingschedNr. S Upon signing cmtraq(aotm S exceed 113 ofinetmal oonaoctpsice or mecoaz of spetaal arde'item;wbicbeverisgr�tq) by/ / or upon completimof S by Groom comp)ebm of S2%L(ll�apm rompletim afineeaittat � dh� CIHH n/ 7hefoVmtingrnateieU Qawfvmids demaodiag:fng Pa en[mtr7 eoa °nl�brfinetha eawPmeocrmet trcspecel tract is e(mPletedmbompany'ssatidoolion To meet the compl w e�.bq,nm m order S gym be dfor ) P10TL+S:(%mclodin;all fmmoce S `- v . nm exceed thegrprereF(n)®°cthL--4w-of ano ro5'arpovit ar —�— whirL mivt� ordered iv adsaarc mmar roa�Rlmeem(byaotawm�colwed by the raotrecmr6efinewvrk hegios may Es rets Sya �ro�tmms°hedge �tP`�e9uiPme+e nraslamnu!demalvial Sobcoatracrors_ r s �n .v X80°an''xar aga;stobe solei charo n ONn�'re ml ert6e., Party/subcontractnrutdssd by me coo Y�Po�blefarnnm m 6e mm mthe .,no atenals and la trod misty na4ar. The conaannarfmmer Plebon ofine wo+kdesarbedeesy pgdrea<a ControctA t agrra tc hesddYmpo¢mbleforail rcepmvre-Upon signing,this dotammt6 Pay'mmmtoag m'i.��third -- for cmhact shall mtimplymaz my Ben roomer ecemes abindin carefully before agoing y>;scma...cL gcm!m4 mdalaw.Unless rswisen Don't he stYrmeresthaske®plaeedon merendm_e Rewewmefogawmg�p Ink the Pta59ued into si o Make sure me contr- 8az 2�er�tracL Taketimemrey and firll g rembc am nobynritiv staved wim me l)hcoborofUMMfmptoa�eot ConnzetarThe lawrequhesmost�ooeju m�m�cenyaazors and Does mecmlractorhavenrsmD oavr�tb C,,o lan.gegLoom oon 5170.8asto4 hfA 02tIR on' You maymquheahmtm nuqu, amPY ofa`pmopofimmancen da�en��mforh(ennnrankcem kD2l]6coloag nallmg6f7A73-8787ar8g82S3-3757. Knowynurrights Md mV -bdities. quoy m so thayou ran eonfom eoverage,or ask to a GuidetomeHamehapmvomentC Read my�Ao+tant lcmrmatioam mem mnactorlaw. ve+sesiin"'is fmmandgetacopyofmc Consmer You may cancel this agleam®[ifitbasbe® thirdc0obmorin xsi>mg a[hism-r M000m abnmch�lie,by therlbammecontiaetats third business day followin mesi office by nomaz senceafbusiness,gd2.dy-nS=11e DO ®� gmngafthisagreemepf Scemnraealle�nafbY�tdegram 5eotorbytWiverylatermanceaatianfmnforao lm ftbis Rom //Lw / ��m. o:mpyrh�w me„ERE ARE ANYBLA14K�SPACESrrr � nin.re°auQ AA• �r Can7aeter'a Signature / Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the comttactoo:( ay�ttbr.�.d�Ute dispute to a private arbitration firm which has been approved by the Secretaryof the Exccu&c-O ce of oUncr Affairs and Business Regulation and the consumer shall be required m submit to such ar?,.-I -1- -1 G#��`r +Md.Ssachusetts General Laws,eba er 142A. rr�. ` ;6 ..:. �Y .ilk.-, Homeovmet�ignanue Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement However,homeowners may be excluded from certain rights ifthe contractor they choose is not properly registered as prescribed by law, Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract most be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fidly executed copy of the contract,and the three day rescission period has expired! Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financially insecure,the contractormay require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Mrithrhawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation - 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the OCABR website at htm:/hvww.mass.eov/ocabr/ If you wantto verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the HIC website at htm://u%vwamass.uov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: huv://db.state.ma.us/hameimprovement/licenseelisLasr) For assistance with informal mediation of disputes or to register formal complaints against a business,call: .�, onsu[ner plaint Section ' ffr coney General - ""`..v 617-727-8400 AND/OR Better Business Bureau 508-652.4800.508-755-2548 or 413-734-3114 vavov 2.1-❑2]2010 'fze Coinmointreaf£fi of171,jtssaciaifsetts Department of xttriusitialAcclde>zts I Congress str-•eet,.ciifte 100 (� 20stoiz,Irk? OZ,ld-_Zfl-77 IvpJwv.raasseov/LIia - Rrorkers'Compensation insurance Aftidavit:..Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERtbIITTPIG 1 UTHORIi I'. Aaolicant infortaat[on Pie i'riat Le •biv Name(Business/Organization/individuap: ��latic ie?• �?e-s=-,:"4fi i R c �_ddre ,• Indss: =1 ..� �st'n iIcrrLLFw City/State/Zip: Phone n: 7 Arc you a9 employer?Check the appropriate box: T yae of prq{ect(required): am a employer adth 5 -employees(full and/or part-time):' ?.❑I am 2 sole proprietor or pannershio and have no employees �- New constructionqui p oyees working forme in On capacity.IND workers'comp.insurance required.] Remodeling homeowner doing all work myself[No tvodsrs comp_insurance required]t 9. ❑Demolition LVa omeowner and«all be hiring contractors to conduct all work on my property- 1 will 10 0 Building addition that all contractors either have warketz compensation insurance or are sole 11-0 Electrical repairs or additions tors with no employees. eneral contractor and f have hired thesub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions ub-contractors have employees and have workers comp.insurances 13.❑Roo-repairs f t corpomtionand irs officers nave exercised their right ofesemption per MGL c. 14.t Other�,�fJl (!fi I ) 4),and tte IMVe no employees_[No workers'comp.insurance required.] 'Ary applicant that ehecl,,box--I must also fill out the section below showing their wmrkem'compensation policy information. T Homeonmers who submit this affidavit indicating they are doing all uark and then hire outside eonemaots must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contmctors and state whether or not those entities have employees. If the sub-contmctots have employees,they must provide their workers'comp,policy number. i anz an eazployer that isprovidizzg ivorkers'coarpeizsatiolz irrse lice 0 all'entplovees E61011'is tltepolict andjob site Inforntation- Insurance Company\'ame:_ zu l!'%ct, Policy=or Self-ins.Lie.T:_ -5—8 'fg (a it ExpirationDate: 3 6111— Job f f Job Site Address: . 3 7 1)lar-cA City/State/Zip- =S-4 le- — Attach a copyof the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under L1GL c_ 152,ys25A is a criminal violation punishable by a fine up to SI,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$350.00 a day against the violator.A copy ofthis statement may be forwarded to the Office of Investigations of theDIA for insurance coverage verification. _ rlo bereb}t certifjr aztder tlzegai a qndpeiralties oyer rrp drat the 11 jatrnation provided above 1s trae and correct. Si_enature: 1 �Z f Date / Phone-- CSA- 7W1_5z FIF, e olzly. Do not zvrite 1""'is area,to be completed by city,or tonin ojzc]a1. ivn: Permita--cense f .. thority(circle one): f Health 2.Building Department 3.City/Toswn Cier i; g_Electi%cal inspecicr 5.pintubing inspector erson: ??cone#: CERTUFM /: TE 00 uUA o uf=� tl '1( �UC9�3UN 11 'v BA7E(F4f'''°°"YY� 1SSUE[�i;S A ILRAf iER p,e INFORINAT!ON CERTIFICATE DOES NOT AFF!P.MA T!V= 3f3/20Z5 ONLY AND CONFERS ER RIGH IS UPON THE:CERTIFICATE WOLDER. TH1S BELONl. TI-I18 GEP,T!' 'LY OP, iVEGATIVEL?' AB.r1END, EXTEND OR P.LI�R THE COVERAGE AFFORDED By TFIE POLICIES RCPRE r1GAIc OF IWSURANCE DOES NOT CONSTITUTE A CONTRACT SET!irEE r TH SEn!7ATP/E OR PRODUCER,AND THE CERTIFICA(�HpIJEti !� E ISSUING LNSURER(SJ, 'tUT�:OP.icED I(!dPOP.TANT: !;the Gel'dr'rcate;holder is an ADDITIONAL lidSURED,i!IE eplicy(ies)rtusi 3e epdored. F SUBROGATION !S t4fA1VF➢, subject to eitie ifi ns and coP.OFipls or"he policy,C07`w'In I7p!ICIES i?2y i2GUii2 an EndOrSERenf. A SL2IEDIBni On flllS CETII'SCat$dOES lOf COTIie7 sights to the cert holder in lieu Of such endoremenf(sJ. PRODUCER '--S2SLE__ -�SL-2iCE C- CONTACT COIIS- Croup T.Ic NASn2 uUot II 233 Ives c CEL;._-z7 St i LAIC e --d. (800)333-7234 I FAX iapDRe_ WC 1 Na- -'aL A� 9' I,IEURy 0-�60 I.SURERIS)AFFORDL`dGCOUrPJ!GE r.•ac; INEURERA 3•>e, 2 a_oteacaop- Til$_ Co. !' _ '*za i.i.on INSURER B.DSZLi],],L•S Co U _Ea Ue =oi;5G3 P r la INSURER C: ' _'vt:i 73Z t INSURER D 1INSURERS. 029-10 I CGVERAGES nsuRERF: I OEF,TIF!C_a7FNUMl3rR 20.5 THIS IS TO CERTIFY THAT THE POLICIES OF ID!SURANCE LIS IIJOICATEO. NO-R'14T ST.Aid tREV!afON LUMBER: 1 DING AN`!RE 4T TEO BEL0IAP HAVE SEEN ISSUED TO THE INSURED @FtiJED ABOVE FOR THE POLICY PERIOD CERTIFICATE MAY BE tSSUEO OR FRAY PERTAIi`L �'W OR COADITION OF ANY COi7TRACT OR OTHER DOCUfi3Ef�WITH RESPECT i0 !/ EXCLUSfONS AND COA THE IiQSUP,gNCE AFFORDED BY THE POLICIES DESCRIBED HEREfN!S SUBJECT TO ALL THE TERMS. INSF. 7DITIONS QFSUCH POLICIES.LIMITS SHOVJAI iv tPHICH THIS LTR I T YPE OFINEUR"'E IADOL 9U6 IAY HAVE BEEN REDUCED BY PAID CLAIMS. G ERA1 r95RI LIDlPI POUCYNUId6ER POLICY I PODCYEPF EifP UAEIUv fPGAVD01YY1ylI PAPd/OOKYYp LIS ' ' �� CE is ?,000,000 C�OP:II.IERCLZ C- :EPAL UA31LITt EACH OCCURRENCE CLAIliS.'s_gOE f= 1 OCCUR. I PRESAGE Tp P•ENTEp u SSOOOu2816 PREM1SISES Ea e:., 5 50 20/20-16 .000 /20f2013 / S!l-- NAEP EXP(Any anec=.an) IS 5,000 I C-EN'L AGGREGATEL.. APPLIES PER PFaiSONALAA0VINNRY is 1r Ooo,000 r�PRO- GEWERgf_AGGRS-GA7-S I S 21000,000 I I Paom I I I i�Lac PRODUCTS-COPA /OPAGG I S 21000,000 AUTOixi0EILEE UAEIUr: AP:Y AUTO COi�RINEO SWCLE S I "'L O W,EO r actlena CLE Lliili S IAU70S SCHEDULED , IS _.oDo.Doo I _ 4 -'0S 0200-15$7-1 8001LY WJURY(Pxo:�a HIRED AUTOS i AUTOSNNcD I C/-01,20:3 /20/2016 BODILY WJURY Px 3 5 5 PROPERTYDAS:SgC-E J ULiEREL A Uqg Per a tiCanll I S I_t OCCUR I PIP-92s!e I S I EKCESS UA'o I - i I DLnI SlIApE EACH OCCURRENCE Is ---'000'000 DED I E!'-tlO02 I !PIORI(E.,S WRSPENSATIO:i 1600056ESd_ AGGREC-ATE I S ?,000,000 AnD ELiPLOYERG'UAE/LI„ I '/20/2051`3/20/2016 !POIl.^'ir:E.OyF-:Jxe'a-Y_nsG1C.tl=:Ra.E;,RIuetP?aO../l^nJaPJ,i0R£ehit;niaO,d12NuLp`=niHPPtlFI.JC-P�PF_ErCTRLAUh`TDc�tiEOJO-N"4S(ba; �I I II II INIC SATU-I I�P III S_OEUT.c- tA Y ICI EL EACH ACCIDENT S ELDISEASE- EA BGPLO.Eq S - PL2D037e523 EL DISEASE FOUCYUMR I S 0/1/201. �y0/I/2p±3 GENERALAGGREGATE S1,000,000 .RIFIOh10 F DPERAlOidS/LCCAAOD!S/`EEA POLLUTION CONDITION nucLEs(AttaEn gcDRD]Ot,Atl $2,000,000 NGaml Ramv:.rs Senedvly,Envr-spaE�is rzquirzu) 7t'F'�ATG'_i�l I Ct'1VCLL.S T ICN I CITY OF 5'3= SHOULD Aim.,OF THE ASOVE DESGRIBEDPOLIC!ESSECAFICELLED..FORE 1'=y THE E=PIRATION DATE -• ��_ ' THEP9' frS"_^G a 'OF, dOTtCE 10111.1- reIVACCOPDANTrE POLICY PPOVSIORIS. 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E33'r' r j must he endorser) 7f SLBI�OGaT10N IS!IdlaiY(: adoTse7A6nYs). ! egJce and entlo;ser.Elrc O,Subjectlo fhe P"enucER >:afaAeni w�ibis e2:2incBte Boas not eenia_-1'ryls fo the i t EAS i'COPhGC7 za7 r.p\'�r C �F!ArsE: 2.i' lii CEII\7,r- i r MA 01-760 ,Loft,loj: lliv"L.gr 's1A1L --e� �fiDDAE55: INIZ -UREC `-, t M '' IN =.•'L�:!_C CJ$._;^pcR �=l01!i[„C i11iJ5UREP.A Aa iCgy 1- it NAIC ZORiCH77+5ORANCE corp pr, RER -_—'— ---�-�`[ i IBEU6: !t • 1 I. ,-R::AR-TEV-^ 2SOn 4VE P sJPEPC j 01970 j(Ii"SURER D: COIrERd�CEE INSURER F: iI 1: 17 EiCUisieER: 1 +Vc'i.iEn -"---'R'iH_POL(LC$OF DEMUR UIRE;_rr iGii OR CC:'!OInOiJ OF:L4yRANG:4T_1' SEr DilY.A, !i I f P?01 CL>SS',n=PCLICicS DESCRI3cDY.' COn:r)+,RLT DCUpsfd,Vn,0r0 THE 1'3 UF, RiiY1510W 7pUitgBEA: t .:,:u Ct:Ui:SE. eREIl iSSU2J ORO:1E=c OCu7.ie,.'LN^yggTIE ?C S•©iil �740VE FOATHE _ -r ECTTD_Lt iH_7EF.i;S.�;CL fritLH7,ySG=ATG:CATEE3YSEISSUc�,IOA _z e. Un'IO834210 CO@OP,JOI OF aJCH POLIC7F�. 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AU;lanz,:z,zD:"^j_^- Massachusetts -Department of Public Safety cy �•=' Board of Building Regulations and Standards _ !' a fCnnuuoxrr ea(/�o�'C-311'n�.tar/...relh ConStructioh Supen isor ` Office of Consumer Affain&Business Regulation - License: CS-087977 - _ MEIMPROVEMENT CONTRACTOR - g i st on: 142089 Type- ERIC W PALM �' piration: 3112/2016 Ltd Lability Corpo`_ 3 ffiLTON ST Salem MA 019707 t,(7 ATLANTIC WEATHERIZATION LLC- . _ - ERIC PALM xpiration 61R JEFFERSON AVE ��:-y-T.Q-•� Commissioner 04123/2016 �, SALEM.MA 01970 Undersecretary I Unrestricted-Buildings of any use group which License or registration valid for mdividul use only contain less than 35,000 cubic feet(991m')Of enclosed space. i before the expiration date. If found return to: ' Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Ucensing information visit: www.Mass.Gov/DPS N- ut valid without signature ^ -Y t