44 BRITTANIA CIR - BUILDING INSPECTION (2) C ��
zz T S L
The Commonwealth of Massachusetts
Board of Building Regulations and Standards SALEM
Massachusetts State Building Code,780 CMR Revised Mar 2011
Building Permit Application To Construct,Repair,Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use se Only
�1 Building Permit Number: Date pplied: o '
60 _ ~
M
Building-Official(Print Name) Signature e o C",
!� SECTION 1:SITE INFORMATION O
U I 1.1 Property Address: �J J i 1.2 Assessors Map&Parcel Numbers D cn
�.�
r� I.Ia Is this an accepted street?yes no Map Number Parcel Number -,Q C
1.3 Zoning Information: 1.4 Property Dimensions: p- rn
N
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone? Municipal ❑ On site disposal system ❑
Public El Private❑ Check if yes❑ p p y
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'ofRe d:� I Met Al � SA '�� �y1 b1900
tl
Name(Prin City State Z q 653'IP 3V6
e
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(cheek all that apply)
E
onstmction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s Alterations) ❑ Addition ❑
tion ❑ Accessory Bldg.❑ N of Units ( I Other ❑ Specify:
Brief Description of Proposed Work' i
Wo
v Y/f AL hq .e
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials
1.Building $ 'd - 1. Building Permit Fee:$ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Five $ Total All Fees:$
Suppression)
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ a I S3 ❑Paid in Full ❑Outstanding Balance Due:
i^n 1% c� I Zv
SECTION 5: CONSTRUCTION SERVICES
5.1 CAynstruction Superv' or License
_(CSL) CM C W n�!
l\O 6- �2 `i ✓.0- Liimnsle N/ ar be1r7 Expiration Date
Name of CSL Holder
1`-]`� C�`��,5 L v, List CSL Type(see below)
No. Street rr\\ Type Description.
V : ..
11 7 o U I Unrestricted(Buildings up to 35,000 cu.ft.
R I Restricted 1&2 Family Dwelling
City/Town,State,ZIP M I Masonry
RC Roofm Coverin
WS Window and Sidin
t 'O ` r b l q q_ 4�� SF Solid Fuel Burning Appliances
�l / I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) /Q ki u
HIC Company Name orfLqgc rstrant a HIC Registration Number Expiration Date
n. �� ` ✓��i -ow-0 `1Q� bDS-I-Oh
N � J r'11101�'�2 � � tlr+!.N��byl`�° ➢✓ Y b i- O q- 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
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes .......... O No........... ❑
SECTION lac OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize 4,o o r
to act on my behalf,in all matters relative to work authorized by this building p mtit application.
Print Owner's Name(Electronic Signature) 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 applicat n is true and accurate to the bi;sof my knowledge and understanding.
Print Owner's or Authorized gent's a(Electr me Signa ) Date
. I 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
wtivw.mass.gov.'oca Information on the Construction Supervisor License can be found at www.mass.gov/d/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of 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"
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Name(RilSinesdOrganizatioar2ndividmd): gast-ei heao' rl •ar 1��.5
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Address:- log 8054 ju :&L-JUEiI /��(
City/StateI-zip: S J AC �d g- 7 L��,' - 6 9X2-
in S�yf'�, ®!SelS �holte�:
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Are yottanemnlorer?ibec&ffieappropr-2aFrhos: a o€
I-❑ I am a employer ttith 4. I am a general contractor and I Yl� ew cons(ructio enz
G. ❑New coluhvction
employees(full aricVor part-time)° have hired the sub-contractors ? ❑liemodelina
2.❑i I am a sole proprietor or partner- listed on the anached sheeL= .l
ship and have no employees These sub-contactors have U. ❑Demolition
working for mein am capacity. workers'comp-insurance. 9_ []Building addition
[No workers' comp_insurance d- ❑ Akre are a corporation and its
requited-] officers have exercised their I LEI Plumbing
Electrical repairs or additions
3-❑ I am a homeowner doing all work right of exemption per MGL
1l.❑Plumbitrgrepairs or additions
myself[No avorlters-comp. c 152._y 1(4),and we have no I?❑RooFtzpays
insurance required]_ employees.[No workers' t3 Other I kW
comp.insurance required_] in
'-Anl•applicant tlni checks box r 1 mm-t also fill mtthesection belawshowins theirnurbW wmplx19170n policy infratratioa
'rinmanvzicm nim ai Iimit this affidavit indieatingtheymedobtaaa twrkmtdtT=hits owsidecmaactom mstmbm2anewat5dnhiadicarmSsucb. -
=Cont=to>drat check this bar mvsaaached anadMomd shM showmE tMnameoft{msah-contvetors andtlu�aod;cis'wrap.policy infcrmaiioa
3 am an er_piorer&at is proridbze worirers'cosraeasadon insura zce,for M'.MWAYees Below is the poky aad;ab site
insurance Company Namec e1 �(y�� ty`h;-f, 2—�d`� g
Policy or Self-ins_Lic :_W G e / /y / 3 ! d ✓ �'piration Date: 31 , a 0l io
Job Site Address /' 1 { l v IO n�ea C i Ciylsmie r4r �aI Q� �l O q 7b
A ttaeh a copy of the workers'compensation policy declarafou page(showing:Ire policy aumbe-and exp4mdon dptsaf.
Failure to see=coverage as required under Section aA of MGL c 1:-w2 can lead to the imposition of criminal pennies of.
fine up to S IS00,00 andior one-year imprisonment_as well as ciehl penalties in the form ofa STOP WORK ORDER and a fine
or ap to M- O.00 a day againstthe violator. $o advised that a copy of this statement may he forwarded to the Office of
Investigations of the DIA for insurance coverage verification-
7eo Ize?eby c r ' der ffie a peae#ies ofperju'7°ila+£i;e h?fs,-zetmz p;avMed above is aerie cud cur.•ecS
Simtature: t
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€ity of Fowa: Per arit/l Cease#
lssning Autiaarity(circle one):
1.Board ofhealM-- Z.Building Department 3.P:.ttyroctn t ern 9.Tsiectriw Inspector S. Plumbing los .r:t.r
S.Dozer
Contact Person: Phone
1
CERTIFOCATE OF LIABaLBTY INSURANCE °M4a"a�°nYY.'
THiS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ND RiQHTS UPON THE CMMpICA7E HOLDER THIS
CL'RTIFlCATE DOES NOT A1�IRMpTIV13Y OR NEGATIVELY AMEMD EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE 130ES NOT CONSTITUTE A CONTRACT BET111EM THE ISSUING BUBURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER
IMPORTANT_ If the certificate holder T5 an ADDITIONAL INSURED,the POIRCV�m' l must be eadnmed. If SUBROGATION 15 059m.subject to
the ISMS and conditions OTthe PORON certma1 PoGass may regime an ellduman aL A"SIffiHnelrtOn this eerfificaledees not conTer rights to the
Certificate holder in(Tau of such endoI IUeeng4
PRODUCER CONTACT
MARSH USA Iteffob
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COVERAGES cmznRCATENUWM3t ATL-OD3242SI& 9 REVISIONNUMBER:r
TH is TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED- NOTTMTHSTANDING ANY REQUIRE MEIff.TERM OR CONDITION OF ANY CONTRACTOR OTHER pTir,m„v.nr Inena RF.wEiR TawAuo»yy�
CERTIFICATE TRAY BE IMEUED OR MPY PERTAWL THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE IEMAS,
E)iCLUStONS AND CONDITIONS OFSUCHPOUCIES LIMITS SHOIMAMAYHAVE BEENREDUCED BY PAID CLAM-
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DBATMEHOMEDFPUTALHOMESBNMES THE t-7P. (RATION DATE THEREOF, NOTICE WILL RE OELRIERW W
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(DIM- 010 ACORD CORPORATION, All Wilm msme&
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®ffice of Consuni'er Affairs and Business Regulation
Yf
10 Park Plaza - Suite 5170
Boston, MAPsachusetts 02116
Horne lanprovem.gnt,Contractor Registration
Registration: 126893
;r-
',•::,::F'i;i:.r. .. �•::::vi-:...:•,;;., Type: Supplement Card
Expiration: 8/3/2016
THD AT HOME SERVICES, INC..
MARK NIADNA
2690 CUMBERLAND PARKWAY SUITS"30,0 ';''r:' - ---•-••--_--
ATLANTA, GA 30339
Update Address and return card.Marls reason for change.
scn I t; 2eM•05 n Address r Renewal Employment Lost Card
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=-OfOce of Consumer Affairs t4 Dusiness Regulndon License or registration valid for individul use only
ME IMPRogmENT C6NTRACTOR before the expiration date. If found return to:
ReglstratI9n:.'1Q6gp3.: T pe: OfficeofConsumerAffaireandBusinessRegulation
y 10 Park Plaza-Suite S170
ExplraUah ;'8j /201.6. Supplement Card Boston,MA 02116
THD AT HOME Sq2 ..4'k$;,1�197•,
THE HOME DEPt)r AT 6ERVICES
€„ .r
MARK NIADNA
2690 CUMEI ND PAE K1fU 'Y S
AtjAN4A,GA30339 Undersecreto
rY t valid withou signature
r j
i
tit Massachusetts-Department of Public Safety
�J Board of Building Regulations and Standards
Construction Supervisor Specialty
License:CSS 4199999
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ROBERTPOCZO.O TI ---
Sal m A 019 1L I
Salem MA 01970 i
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Commissioner OVOI1WIG -
�� CITY OF SALEK MASSAMUSE'I'IS
BulLmNGDEFAM ENr
120 WASHNGTONSMmET,3'mFLOoR
7kL(978)745-9595
FAX(978)740-9846
KAMERLEYDRISCOLL
MAYOR Txomm STAERRE
DmEcroR OF PUBLICPROPERTY/BuRDjNG OJMM[ss70NER
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 c40, 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 deposit facility as defined by MGL c 111, S 150A.
The debris will be transported by: C) L) e
(name of hauler)
The debris will be disposed of in:
(name of facility)
(address of facility)
Signa, ure of ap licant
Date
"
Simonton Windows
fFR%C —
6500 VantagePointe
Casement Vinyl 1/8"Glass-Argon Lo'a-E Na La_urinated Glass No
;k - Grids
Ventana batente VINIQ.3.18 mm Vidno Argon-Lo;-E Sin vidrio
laminado Sin rejillas
CPD:SBP-A-61-10832-00001 08&09 CS
ENERGY PERFORMANCE RATINGS
EVALUACION DE RENDIMIENTO ENERGETICO
U-Factor Solar Heat Gain CoeTtclent
."''r-V i COeidarca: L^^z.^.Ca d2 E.G 'erga:icsar
0.26 1 .48 i 0.23
ADDITIONAL PERFORMANCE RATINGS
EVALUACION SUPLEMENTARIA DE RENDIMIENTO
Visible Transmittance
ran>ves,on da Luz visible I
0.44
taanufactu er s6pWaes mat Lies?ratings contoem to dFptitebta^L=RC zedurei`.or grien:^�rJn ripde
PlFRC rains zra daertninad fOr e Fsa pr g pra],et pertfinnafev.
0 Set Of e: ron:n rn ::an6l ons a O a SO:I!,,prG1u:[SCe.t�R•:aae5 nL:fx�runen any pfOOUf(aM1]u'.a fMI w2:a N,Y15 SWi2C8"N 01 any PICVISI to,aLy SpKifiL USv.ConSUS rnaufact,ees fiterAye i:r Omer
Estee fablicrmte as5PWa Tea Cump!en COr.4X PrxeSmiery;s apticmes ea lFRC Para de;antina!&rrd:mlanm:Cta!dE1
ONduCtO.Los valares usa]ps Fur nFRC eon CH-monad,L,r un dc.-p"q,da O:uF]iciones a..Wentei-5 y un Ln!a,.e.Ye
P">]wt eepatifico.tX-RC no recomenda rung,,pn;.d,ct y no garaNiza We 61 product sea edecusdo pare W.use especi6Po.
CunsW'.e con el ivieto Gel:abnca'!-Para el use apnipiedo Ce-s;a prW,U.�wsvnhc.wa
i
Unit qualifies for ENERGY
STAR®region(s):Northern, -
�dr_- » North Central,South C
Southentral,
Southern.
L
~P z• a STC.29 -
auffiffed
IND'Rein 0- 0 /Glass Pros olar/C-R 55
DP:+55/-55 Tested Size:36"x72"
Florida Product Approval:FL107
Applicable Test Standard(s): ANSI/AAMAAJWWDA 101A.S.2-97,AAMAM/DMA/CSA
101A.S.2/A440.05.AAMAANDMA/CSA 101A.S.21A440-08,
A440S1-09 Canadian Suppl
` 9664606/04-1 J0049 BABOFS THD Shrewsbury 8842340
Keep this label for possible ENERGY STARe rebates.To team more visit www.emargystu.gov.
Guarde esta etiqueta posibles reembolsos ENERGY STAR&Para conoeer mis aearca de esto,via
de
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2015-08-15 07:47 EXPDTR 9787390618 >> Home Depot AHS P 2/8
HOME EWPRUVEMENTC NI'KACT
PLEASE READ TA S
Sold.Furnished and Installed by:
Branch Name=Rost a North A tiaum Dat-_-&51 ! 7 T111)At-Heanc SeyireS,Inc.
dAVa The Home Depot At-Lome Services
Branch Numlear:31 and 33 - 908 Boston Turipile.Unit 1,Shrewxhury,MA 01545
'Poll Free 877-903-3768
Foil ID#75-269WW,,My,Lie#C 07439;Rl C'pnt.Lic#16427
- C Y IJa ft 0565522;MA Home,hnprnvem L Cuntraaar Rag.#1126893
raml��� �-�
Installation Address: `-1 ;)I—t-.-t r .-1-�-"n/1A 0tq, `70
City State Zip
1'urchaser(sY- Work libmic: llopw Plane: Cell Phac.
I� NI e�► � �rc�_3i �sv b [ IF
Hume Address:
(If ditfeent front hustallatinnAddress) City State Zip
E-mail Address(to re ocive project communications and dome%po upda s):
❑ I DO NOT wish to receive any marketing smalls from The Home Depot
Prn'ect lynformatlon; Undersigned("Customer").the owne'S of the pope N hotel in the above installation address, es agrees to hay,
End TT-1D Home Seniec"'Inc.("The Hams,Depot")agrees to hrmish, eliver and arrtmge for the installation(`Installation")of
all mataints described on the,below and on the referenced Spec Sheet(s) all of which are incorporated into this Counsel,by this
reference,along with my applicable State Supplement and Paymcml Sunni ary attached hereto and any Change Orders(collectively,
"Ctudract"):
Job#: uxar.x x.a.rxsl Pro ume Spee Sheetto#: 1'rniee Amount_
^t Remtng Siding1hiiindows ❑insulation Cl,/ ( !r 9
3Lf-7 ❑t;uttan i Covers ❑Eia yDwr: Q_. O I $ C�575_
Rod,1,G EFSidirig 0 Windows insulation 1 $ �I
❑Ciuncn/Covers ❑ WfUom ❑-.
Rntrtmg Sicf"S ❑Windows ❑Inaulmiw $
1 �(iulhuR l('.rnccs �P.mry Uarnx❑ —
t— Rooting SYding Windows Inculatiou $
0(pmrrs/Cv,.u, ❑E ny Dnrnx Q
Mmimeun244,Ueprm dCEmnhct Arhuwotduc spar era:Wie}r rtPoix tmhrrL Tatu mmnl I Contract Ao $ �.5 35`
Marne Wrrlmsers myv na depadt sum than nm�iWnl rBdC f:amaaNUWhu-
Customer agrexn that,iuunedaatcly upon completion of the work for each Product,Cusunner will exccum a Completion Certificate
(one for each FYoduet as dulimid by an individual Spec Shccl)and pay su y balaaere due- As appli"bic,each Customer under this
Contract afire c,m be jointly and severally Itiligated and liable hereunder_
'ITe home Ih:pnt reserves the right 10 issue a Change Ordar m urmiaam ths Contract or any individuud Product(s)incl mhd herein,a
its doxretcm,if The Hume Depot Cr its authcmizel service provider determi ies that it cannot perform its obligations din:to a structural
problem with die home,cnviroameatal haianls such as mold,asbestos do ad paint.other safety ccmccris,pficiag rn(Ws e[because
work rrquimd io complcm Ihc.job.wes not.included in the Ctnivact.
payment Supreme, 'Ihc Payment.Summary N /p5 /S , included as part of thin Contract, set. forth the cNal
CAmmact amount and payments required for die d cliosits and final Payments by Precluet(as applicable).
NOTICE TO CUS'f/ MER
You•are entitled to u completely filled-in copy of the Contract at the tip e you sign. Do not sign a Completion Certificate(note:
there is one Completion Certificate for each listed Product as defined ty individual Spec Shorts)before wore on that product
is complete.
In the event of termination of this Contract,Customer agrees to pay a Home Depot the costs of materials,labor,expenses
and services provided by The Hamm Depot or Authorized Service Pr ivider through the date of termination,phis any other
amounts set forth in this Agreement or allowed under applicable law. THE ROM R DEPOT MAY WI'I9H 0l,D AMOUNTS
OWED 'vO THE HOME DEPOT FROM THE DEPOSI'f PAY .NT OR OTHER PAYMENTS MADE, WfFH(1171'
LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECU VERY OF SUCH AMOUNTS.
Acceolanee and Authorisation: Cusmmea agrees and undctxlea leads that is Agreement is the c tire agreement between Cusumler
anJ'lite Home Dcpa wish regnrcl to the products and lost servio ui slid st[persxak's all prior<fiswssiots and alpex:mhents,either
and or written,relating to said Products and Installation.This Agueem`nt nn of be assigned of amended except by a writing signed
by Customer and The Home r)cpot.Customer acknowledges and agrcea d at Customer has read,umdetstands,voltmmrily accepts the
terms of and has receivai a coyly of this Ainecme t.
Accepted .' ubmi
X /GAS tl
t t`
Customers Signal a Date. S tanCc,ignamre Dut
X _ Telcpho teNo. _
Customer's Signature Date Sales C nsultam License No. _
CANCE A A'TON: CUSTOMER MAY CANCEL THIS
AGREEMENT WITIfOUT PENALTY OR OBLIGATION kJ l.J M�.�'fU✓I'',k fJC.���A,j'Pc.l
BY DELIVERING WIHTTE.N NOTICE TO THE HOME CUM
DEPOT BY MIDNIGHT ON 'FILE TIMD BUSINESS
DAY AFTER SICNING THIS AGREEMENT. THE
STATE SUPPLEMENT ATTACHED HERETOI
CONTAINS A FORM 1'0 USE IF ONE IS
SPECIFICALLY PRESCRIBED BY LAW IN l
Cl1STOMER'S STATE.
N(r17tlE:ADD1'1110NAL TERMS AND CONDIIIONS ARK n`I'Alan ONT 'ise, RSENinR AND ARF PAWr0V 1111S CONTRAUr
08-07-14 Whtle-ararch Fde Yeuvw customer
Marcia Kirkpatrick
From: MIKE_W-BEDARD@homedepot.com
Sent: Thursday, August 20, 2015 9:20 AM
To: Marcia Kirkpatrick
Subject: FW: Mariner Village/Window Replacement
Attachments: Window and door replacement letter 44 Brittania.doc; ATT00001.htm
From: Rodolosi, Christian W
Sent: Wednesday, August 19, 2015 4:08 PM
To: Bedard, Mike W
Subject: Fwd: Mariner Village/Window Replacement
This is for 8482690 and 8478578
Sent from my iPad
Begin forwarded message:
From: "Philip S. Mehall" <pmehall a)mehall-law.com>
Date: August 18, 2015 at 10:07:56 AM EDT
To: "Rodolosi, Christian W" <CHRISTIAN W RODOLOSI(ahomedepot.com>
Subject: Fwd: Mariner Village/Window Replacement
Christian - Letter from Condo Association is attached.
Begin forwarded message:
From: "Jill Fama" <jfamancrowninshield.com>
Subject: RE: Mariner Village/Window Replacement
Date: August 17, 2015 at 11:38:36 AM EDT
To: "'Philip S. Mehall"' <pmehaIl@mehall-law.com>
Good Morning,
Here is a letter that we send to owners that will be replacing the windows. So long as it falls within
these guidelines, you are all set. Since the form you sent me does not give the old vs. new dimensions,
trim size, etc., I am not comfortable signing the forms. You will likely need the attached letter when
your contractor pulls the permit (the building dept. has been requiring this).
I am mailing a this letter to your and Mr. & Mrs. Munro as well.
Thanks for your inquiry.
Jill
t
From: Philip S. Mehall [maIIto'.omehall@mehall-law.coml
Sent: Monday, August 17, 2015 9:42 AM
To: Jill Fama
Subject: Mariner Village/Window Replacement
Jill - Attached are two forms for approval of replacement windows (1 for our Unit at 44 Brittania
Circle and the other for our neighbors at 42 Brittania Circle). These are exactly the same
windows as recently installed on 51 Brittania Circle (same supplier and installer) and, I am told,
have been installed on several other units in Mariner Village.
If you could sign and send back to me (fax or email is fine) I will pass on to the installer. Any
questions please call.
Thanks.
RPhilip S. Mehall
HE Mehall Law
978.594.5891 ; pmehall�rneholl-Iaw.carn www.mehall_
aw.corn 127 Congress Street, Suite 205-6, Salem. MA 01970
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