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40 CEDAR ST - BUILDING INSPECTION (2) The Commonwealth of Massachusetts %FOR Board of Building Regulations and Standards MUNICIPALITY Massachusetts State Building Code, 780 CMR T",edition USE Building Permit Application To Construct Repair,Renovate Or Demolish a Revised Januo v One-or Two-Family Dwell I, 2008 is Section For Off muse my Building Permit Number: D eAppli Signature: Building Commissioner/inspector of Budd' SECTION 1: I ORMATION 1.1 Property,Qad�FL ( C. 1. Assessors Map& Parcel Numbers '•f O tlpil l.l a Is this an accepted street?yes no_ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: _ Zoning District Proposed idse '. Lot Area(sq R) Frontage(R) 1.5 Building Setbacks(ft) FrontYard 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❑ Private El Zone: if yes❑ SECTION 2: PROPERTY OWNERSHIP[ 2.1 Owner'of Record: L/ Name riot) Address for Service: 9y� z �-& - Signa[ur Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction"IExisting Building❑ Owner-Occupied ❑ Repatrs(s) ❑ Alteration(s) ❑ Addition ❑ - Demolitidn ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief Description of Proposed Work': Or­ d-V+ t .CQL ce- .�.. f1 \ QP 5 / 30 n✓/ow C� (n LcS e i� SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only Item Labor and Materials - 1.Building $ I. Building Permit Fee:$ -Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees:$ Su ression) Check No. Check Amount Cash Amount:_ 6.Total Project Cost: $ ❑Paid in Full ❑Outstanding Balance Due: J SECTION 5: CONSTRUCTION SERVICES 7Addre.ssgalem on Supervisor(CSL) �75 `�3 License Number Expiration Date - List CSL Type(see below) 1i 2 3 Fiilttaf➢ StMet MA'( 7Q Type Description U Unrestricted(up to 35.000 Cu.Ft. SignatureR Restricted 1&2 FamilyDwelling M Masonry Only RC Residential Roofing Covering Telephone (' 'I WS Residential Window and Siding tq r 3 b 7 `1 y —SJ /s/3 SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company C ��a7t�, t > Registration Number Address 461 iR 'tSoff Ay,i" 3 )I 1// / Salem MA 01970 e3 -7 v I S%Y 3 — ion Date Signature Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE A17FIDAVIT(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 lssuanc f 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 ram^ r U A'���` as Owner of the subject property hereby authorize C /'. c.- Rk�� to act on my behalf,in all matters elative to work authorized by this building permit application. �''')/// - //r7Ll S "natuf Ou r Date r o � SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION 1, Ci c— ��- ,aSOwner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. C/. ` 100. f Print Name —� Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of a ou NOTES: 1. 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 and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.R6 and 110.R5,respectively. 2. When substantial work is planned,provide the information below: Total floors 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" The Commonwealth-of Massachusetts -- Department oflndustrial Accidents Office of Investigations - - d 600 Washington Street Boston, MA 02111 P www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contras`,t�ars/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organiiadon/Individual): Address: $l: Jett Avextue. City/State/Zip: Phone #: 9 ? 7 / l/` y-J Are yoy an•employer? Check the appropriate box: Type of project(required): 1. I am a employer with. .7 S. 4. ❑ I am a general contractor and I. 6. ❑ New construction employees (full and/or part tiro �k :> have hired the sub-contractors 2.❑.I am a sole proprietor or partner- listed on the attached-sheet:t y• ❑ Remodeling" ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp.insurance. 9.. ❑ Building addition o workers' comp. insurance 5, ❑ We are a corporation and its [N P• 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp insurance required.] *Any'applicant that checks box#1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and-then hire outside contractors must submit a new of idavifindicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I antan employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self--ins.Lic. #: 5 �o Expiration Date: Job Site Address: Ce S r City/State/Zip: Attach a copy of the workers'. compensation policy declaration page(stowing 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 an'd7br 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. 11% I do hereby ce q6VIGder the pains and e I aliies of perjury that the information provided ove is rue and correct / 7 Date: �7L Sienature r/ Phone#: Official use only. Do not write in this area, to he completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 1. Board of Health 2. Building Department 3. 6. Other Phone#: Contact Person: CERTIFICATE OF LIABILITY INSURANCE s�i9/zoi2' 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: IX th%iWicate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condixiosis 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 CONTACT Construction NAME: Eastern Insurance Group LLC PHONE (SOB)651-7700 FAX No: _ 233 West Central Street ADDRIESS: PRODUCERCUSTOMER to 00024397 Natick MA 01760 INSURERS AFFORDING COVERAGE NAICN INSURED _ INSURER AArbella Protection Ins. Co. 41360 - INSURER aArbella Incleatinity Ins Co. 10017 Atlantic Weatherization INsuRER.C:Zurich—American Group 61 Rear Jefferson Avenue INSURERDBeacon Hill Associates Inc INSURER E: Salem MA 01970 1 INSURER F: COVERAGES CERTnF;IbATE'N6MBER34AST9R'2012 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES AF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO 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 ADDLSUBR TYPE OF INSURANCE POLICY NUMBER IMMLDICYEFF MMID YEXP LTR LIMITS GENERAL LIABILITY EACH OCCURRENCE E 11000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) E 50,000 A CLAIMS-MADE rz OCCUR 8500042816 /20/2012 3/20/2013 MED EXP(Any oneperson) E 5,000 PERSONAL&AOV INJURY E 1,000,000 GENERAL AGGREGATE E 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMP/OP AGO E 2,000,000 POLICY X PRO LOC E JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E 11000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) E H ALL OWNED AUTOS 938274b0003 /20/2012 3/20/2013 BODILY INJURY(Pet accident) E X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS - (Per accident) E r r X NONOMED AUTOS Uninsured motorist Bl split limit E Underinsured motorst BI split E X UMBRELLA UAB X OCCUR EACH OCCURRENCE E 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DEDUCTIBLE $ A RETENTION $ 600047820 /20/2012 /20/2013 E L. WORKERS COMPENSATION - WC STATU- OTH- LIM AND EMPLOYERS'UABILITY - YIN ANY PROPRIETORIPARTNER/ EOUTIVE❑ NIA (Mandator,In NH)H) E.L.EACH ACCIDENT E OFFICEWM In EXCLUDED? ERTIFICATES TO BE ISSUED E.L.DISEASE-EA EMPLOYE $ If YeS,tlesalbe under D E SCRIPTION OF OPERATIONS below DIRECTLY 8Y CARRIER E.L.DISEASE-POLICY LIMIT E D POLLUTION LIABILITY CPL200378600 0/1/2011 0/1/2012 GENERAL AGGREGATE $1,000,000 EA POLLUTION CONDITION $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Scandals,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF RAT M 93 WASHINGTON STREET AUTHORIZED REPRESENTATIVE SALEM, MA 01970 Rosemary Fulham/PMA ACORD.25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD 7 ACTION, INC t 47 Washington Street "N4 T U, Gloucester, MA 01930 Tax Fxpmnt it n42-3Rq-332 It q A- A gency: V 4,Pf- -T` PR M."Z'p"VV 5- NTM PROGRAM . W7 : A JOB'NUMBER IRmY m aDOE p 4r k�Or&v# 0 1 1 - -A-1 . . ery 5. w(Wk.Or IN er Lra Other L qntaptor: 't", t*C IR, Client jacquiO arqikgaO�X& -;=,,N� TN k t1nsptj,$V7,-5.M;Max! X%' '4' -4,.-,,5qeet: 40, �d S Othff linwind 0,4 UAR)i c.-U� `,�Mm h'1CCTT1CaEW,0rUEr k:M-F'4 1P. a 14L Salem MA r,14�ir Sri, J�plffit K; $0()Qjh-�.. '61jep ':4 N....... R MA ,111 -1. -li 1 tv, Blower Door - �test: �Y4 W t T4 ;- s e 1-,Mai fJispectKnpp& ue Aj " r ,s - Date Jbb.Completed ;0WT66 - p8 e 0 Wegh-e"rl-z-afio"n-+--"'e",',�Nw' a yr MEst;,Cost,, � Co VV --KJ5. 4f"4 $4 D�oo"kiO-, 5� tff '8 AUto'61tc:dQ64SWC P- x Ur N�,ttic r ling artfo�(�tr�hoiir)��.�-4�7 N,0.�W�,�� 5 0' '5 A PRI-�V� U erstri M S8al,ductgt-*LrfiaAfc�,- m,*1-1417Z� -41flzwWw,40 Tr =14 1,11MAT r0i A S� UM,eal ductiretuffis:--rnmud' .00,ti M20,10 7�. insu E. 41,Wq I-4"t 5w,Mf -J, "MI 5 m A7 kw 1-57�-el"Irnw 1142 fr"*05 -T WILMO- ��o to: i'm%1M 4 M RR M A.,A Jv-ke-`VR- Ahln' &U. Mrt"',2AN I A, 09METV 'i.qgo -r'A 11�1-11-A F %1�1� ,- j 1, �, Mk Insulation Estimated 5 P f VvCbcv� NW,., MUs 4 0 iNIs37' EV 3`Vlfflw"MNNUI 14�,V`16NWLAAA�li -All Atttc;flaUsld T A 0 N'Stde'w !allsIu -� ll U-1 ®ru .3 M1d1Urifk--,f8-6 , I— in-sula,telatti; 4T- T 4V 'MA: 51-NMA 44 3-Mfi est s s ZJ 'glM zilmOv ;j 4A Ai I �%ec dh tt tv i, ;.k,1C:6�,eN'6j11,flo`orm,R,30 r,e,Mri�t� tz'. Vi AR14-11T4 14-i� 4 j;�j EW -' All 01 a Interior w I R15LE? ftydr6W ipe 0. kS& L 56= Insulate door_f"ji- 63% t- Y� A 08369mm _.ttk !dsuliftioh Tpt4l'.6 A Z4,-, -Lzi �v-} 1 x,y..,".,• !„t —, '�.�.r+,w��r £Ta .a'',d*DOE m '..a,� Other'1�'C,ea'sures � `�' F Eshtnaled ,"�, Acutal,4l , RpofrVent,:,Small <0 AOsfl�va r 4;�.*,�'� � z 10 W.&O;.,,,, 00". �s NOW* Va�:o ll Soffit Vent.-,'-,Rest°<0 20sfl t T 419 1P,?ems'„8,d� ��;iI $27 ?4"��j'A ,'7��,: 4'! 5-1 _ fi � d 9I_ . 00 .�+ ?gy m Gable vent�;reetan lar xs--.,.�.�. ,a... $92 00':,_ _�z, c s, �T .41, I`aF�a„ r—r- m+ -=r.= CuUfsh,atpc/kneewall`accessr,�2i -, Test dnll=sidewalls'04bsidcs F. :#,f� " aka' "` A'. A 1,yx . ...- a.y..,..y ", ;4,,.. r g- 7.9 ! 00:,- �vp .a `.'3sa'Blower d`o`or test t,. t i"r Ymyfreplacement wundow,"Volult rssi Faucet aeiato " , Eow flow�sfitiwerhead ;: •„`,-.w K", Mtn x;�*i'1 .�`ZT, r',` 325',OO 1.+ ?bra$_ @ ",' "s. q IMM A:_ ,r$O,,OO:r Vf =$p,00„I, ' _'�!� -�i l ,MWi,CS�,,,r_k�.3_ - $" V > k4° Y.rFtiT;rT§' 1 s¢x�' ik s . :..�«. ^' T$0 OOi IN- 'Iep t t k, A�:° ."..-e�� s.yy ?;9111,, .'�ytin�_t»�'s"�i6,�' �,^,->.�;,,,,rk" F4K�1. '`>. Energy Conseruatron;xs: r ."r,; p' a : , h F;t.' r v,d.a�-. NW F Act:CosY_�-"�6 u:'i ;Total (M3k,$10,000'00;), `''. §+�i M M1 M r".--'ax �, x t a" > „ r rq$3;456 24t;3r E C•;vcY ,z- �,t<,( A li .. ° ,+tu' `", . „ ' !.`.i. *_ At ra .zm3.� n,Actual,,rt RmvlR 1 dro ed c l'n`g tile's/ r hr ' -„ ., dim VR'r.' $60.0Qtr'�-�"tu..,".M$ e„t`t !14sov'��;,'"'''9s :S&OT ck ia'_m +N coat'++ �+ "r'-"�( - g�. ) +�'&.U .,w r ® 4*� , e r� e "� Y;t:•; �. t„_s..c� � � - ra @. , ... -.� v Re aii dooi':hinge ;:;s( 2 q -'�z - , -•1 N t $2500z'L7-(.°rr �r. Y .. h14R_Sr `, l'9,y s� ` 15 ill-a't',x Steel r6tungdSbi.w/hies ; lr Sold core'dc%r'. dwai"e s� '` �:��`$367,50; 'N,''�k "�. ,; �� taw,,.;: �`_ 61ms,relacement'�to 69,m ", ,�,,;" , l' "' $44.00;;. .,j, tk M,,;; "g1 p..r r sx'f; i> AN [r A �r � ['fl y 1 by 1 T r'3`s, �' I?i :Clean guiteis;( er hour) :~'...,>e ,sw,.2, o-,hr- ;:1?t ,$60.00r;:;;!„wa3$12Oi00,,.,,;�.,,.t'^,x_ ,-�i_:,'d., Bulldmg,pemilt fee~.',. r",- �''�1 ."` _ ,..l.a,.:i ` r aa. ,'2,14. .$].00 00:1 ._`�'_.. $l OQ`.'.00'r""aaros' ,��. ..F, ; :Health&,S_a_fet Ventr 'e' `-, ? '* ., �r a,F. .<r`a>n ;_- ..? ;.,",-+*.�s.si� .rp -ka""•." � ` - 4 `clothes-dry erl` ` `- ""6 ' 1 ,=a '; , 'i� ::.;'�'w$89 00t3 u ?`'�'u$8,A`O,O r';`v ,.'a:i�'.`w"��,`�."=Tr€a -- .V6nt bath bz'f st fan,to ex[enor,o ;A;!;. a i, A placement windo d a fe pr ct ces,j' Repau/H&S]'o[al (Max:$2500 00)_ ?� .;:�.n', p t ",� `.r` „J „X$4,78�00„�, ,;," �$0i00 kx„vtT L n,,r:: yt^,. 1^.r;:x.� "' wyxT [ r_:*'"'>n3rpd,.� „`--:?StlT,3srr + »3j r; .ip, !• ,�spAv t3)'a.^ O a�12 ;Work Order-Sub Total •4 ..'�t+j;�p'a'2edS„'N O_ ,l n xa a � nkr` Measures "GO st;rx;� ��,Est�Costy,.�'�'}.IV- F` 33 . =". $0,OOsa g`` ..ram ay u r"'°ariu_u� �f` M23 '�kx 'G 3Jy t lsw`3 Y`. Mk A"lVAIr,,'1I&I -e= t Y S, r ee...y " �+ 1T ..»Z q. � F :is` z ,z: r Other_ *,:: r -:- ,..,,Y. t . $000, !r::Ar> e. . tiF'_ :. .:.s 4 '...p' g rP :yA;� -rg i M'a. ,rv, w` Heating Sys[em Repa+r ;>fi _n; ,:..&., _ +}`# ;,1p„y�$O isrAct+on approval only :. z� s Frs Fk+a z j___ .. 't„^ r"x�'� �aE ' `Estf rI, I Job Total, K't ,° $3 934 24 4s oy a.+r w si : 4� g.��i.'x,v x f °r t.`.a; F "'y t+� , t. =. 4� 'Job cannotexceed$10,000 C00 n,-a r r+ 3 4d T votal Job mfnfmu"m $500 00 , 9 �.. .fxGran AUDITOR �t xtt '. ..>B NSCAP g r 98 Main Street 2 Peabody, MA 01960 r £ sk 3 ^g %d.a+� "`�j• T !' � *'€ _:.fi?'1 x�' .'d..?,�°',^3r F" PSY` "y�' - '�iu. .,'f' i�a Ana n aef' .' i'te'�'d L`1� n �.. t M "W s r ,. Age'ncy, � NSCAPt T. x R-11 rApphcatt n# r� ' x is'& ,t r pi �s ?ia .} e r`.I•;,_ '*n' 'f'rt $ +`Tp, 'x' 3: :t PROGRAM Tm*,�>~KeySpaD/2012 � .� ` �t�120249 , e°na�-a" x�. r pY,A{ y� y > 2♦♦ ca t3 2' IObrN UTRbCI _',n '' 'S� +.'a}eAs. 1 :�ySY"�s �i-i s., ,{� e�, .q'-�,`• .5p -{, ,pF�?:., �* ... 3i A �� 5 biT )' n 4: �- �_ ; h � V1WoikOrder# 5r �W,ork'Or�de�r 4 Primary Contractor f a Atlantic Weathenzhon : a PereUntt $4500 00 s 9 �,0,11her Contractor raa 3?' ssManchester'Electrtq ,j`�r� , , j�,�to+µ . .err-17x"r ri Client Jcgme Palatka o- * , n G� r4IC+T'Ysesl �o ��treet 40 C edar Streets rs w t yr vK&Tt4w3Ma 0 z� r u }City Sy ate p SaleM�A $ a �aMr 019+70 r` No�. t+�"� gTelephone (A�78)�7�45 9442j�� ��•fi fit-r�.�,�,y r'-m,r� ��# � � ` t� t+�- Stand Alonea 4' - '� . s:! ��'r $s "1 a ,- r •k G,a q'� •} , B'f werD�oor Test r ) 44. �d_v i i' I 4 . s .? :.1`a �l��a.,,_.....i4R,t S.•X:HsiAx!'GNS'. #1 .... _ Y+ ai�e.'la�_.. F euer.. l- II„ 1 6AF, 9 r,u t� ?i wf't•J' :' � W f3_ f ect>!Knob,&,Tube,�;No ; ,.riElec-3Cop;tractor } ';' r a.t-ry 3 Estimated' cti t',_Actual `._; }Cost; r EszCostrN '( r¢ct,,Co$'ta Attic In`sul'at�on, ., Athc,flat.R3,8 OW EW,. a ' ', �i.` E �.,z.�t' ;$1 47�= '"#"�. k ''?." �k' $, .a` yy 'fi. $ 3 ,"' , N C 4+4� .>#�9s r Srh&"'o ,�" �M.`.� ::><3{:f= =E:r. .n�.. .. r a. �71 37r7 +nw ..,-k �✓i_'� -�_�r r '�-�..�. `Q.ttro�flat'R20o en {.y��','�;��s.F,,,.,;il; t4 ."`.kit±rx .�-�-~m.s,a"� 5j z•�y_xn.$12.9.:i k r ;: 'F.t"tw?flat/slope R30 restttcted.ri .„ .- .!.t t cu I R n , i1r 'yy,,L Attfoi , /slope R20 rest;tctedts �,:_> Z t7�, §„ `P' -. . , -�:Y�-. t„r$1.42_�'�,,_,Z„ ,,,�"2 AtttctflaUslope R1,0 restncied,' s '-- "a&.g?'"� r �.}`s . t+x. ?^,� _. d 'n $1.3. �,,�,� w ais€ ? i� w" t,tu ,nat''�` :rt : w l w C 'fi 1_s -:Attte,kneewa11 R13 a.":4. i+,.x `F r a: .,.k 'i,-* ; i'..�.. ..»�s _k.. _,shi .,.".1..� ' ak 0.tz MIA ;Attw kneewall floor R'3.0 restricted'; , .;:. c k c Attt / neewal]floorrtaiistt7 on�DPi+'i ,r -,"I`; ,,?'�-".%",r•� . .. ... F hishe•d:attic access+.ua,j.R c,"i L".t.,.> ,.1_ r: v r; ; .:;.1 #*1; :)::"-. $1{OS,OOa co TRA p 'ary .� a� -d} �M� 7n S'..�.,i ' r,Tem or ;attic r. '- , $78 7,5 g„ ��. w&c*,.z + ,{ >Y + • 1Y R--ep ' y41*3 Crawl spaceRl9,w/pglyva orfbarr{er ,;,r sF., �F,�-�:. 5 ,�a:, ., ;:,_`; $2 535 s _n.Y NVA Gaza e�ceilin floor,R3;0 -c�,i,x r ° m�y� -'= '' 't' M'� - •= :,�' $2+1;0_�7�e �a =s �'` �T�. y g ...._€/. ....z £u._. :?L a..n :.;�';�... i- :�`si is Lr3. - _ 1 _ '._ '�, ,�" 4ill�:���3R Therinaddme ; '` Roof vent-'I'arge ice". ; ..r.` x�x ��;'.rs �v 7 - }, '=*' 1 iv''.�$95 00; . , a°' `✓".P 4 +s=x 1?. Roof vent,-,,small' M ". �.. . .x u r .$80 O,Q� ;rcv. AEU" x. s.. Turbine venf,. x .� .. .,.`.ro :;_tax rs ,t, � •` sx� , ";'"'�' ':7 $7168 00',;' G -7vm-,ir'::"p. st'. .as 12 stack vent t-'-e'-`, u� d.# sa.' T` ' •� i+ 5:a.x mt_xa+ro.hi t�. .�" mv. Zvi" "�M'at, t,.:,.—x ;g.;,,y x,s '�! ,,r^'�. -}r, wx Y ',F5 x7w cc X't Gableyent(allsrzes)`r..:... .�°�`..,`. ..,.r ?rFR$` 3. ���„ "'9t$ .,xss Wt. ,�$9200s.' ' `I;t ''�s, 'i �a_ g_. ; r@JX$27 OOKx p a3,.''.i�RR�.r�. Rtdge,vent{lm ft`) x:� ="a .... .; `0, r.,M1 :av; _�.^ i r Atticta{i sealing,2part�:foamy. Ue '? ' ; ' ' 4 {-...: . �� " ZS_00- i Ventdryes/Bath.e�chaust'fan � , " 'F�' $89"00`rZ `ms "''r,�:a'R I% �V ,wq W -4Est!Cost Act Costa- -nsuILifdiM 4—^ j I�n"Ce'g nailed as IjAToW6sp 1"5:bP- V WNW" Doubletnailed E; /,a'[ SP B�Fick/sfu,cco, Itttertor wall blow, KO:DP-J- shi-Q �,�fa'pooa'rd/,iW bgM ihy,.I,RI,5bP I'l A T- d-e Z='%0 y MU"O"WO IV '2 E 70 10,51 1 IT �4 �Si A-M Penmter ft n- �1.� 7 11 M-C RE V, tilt JrKM A L1,411f I-VA J F -%A AA . --t! 14-"Tg oIPfui 1ti I IM ZNV - ; I i f " , Z I Arrliia k, 'J"m 4 rI I , N- Ie 5 I T34NR"M -MVIW W1 dN, ' ", ' y.A .rsweep p E %a m 0 iedc&usWpeg� Sash lock". t jir 1.9 5,9x A71Ibl V1M - -Axr 11V Al 0 5 UMM P0 0 44 V.-11*111,4V NvYhl R rl jr,�*., I C I ot VMWT., Wmtff V, d A NII.AR �v Mk4 ��PGi �o F511 -14 u1x B 1 1--. �*" 1,14i 1041 eT IMMS Total A' S' n ot emufg,.�,ost:-- ug g,t A i t i itt. Duct-irisulattbn jyd-ro�nic;.'pip,gi'n§' idiatn'o" R5!,�-r hu 11yjro'lf itr 31 M'! IJ "Wr 'Steam,pi& • I - - - - m W, n1sti�tion.IL .-iljl fff Al k ,`M9 Ai 14UMMIN" 17SM II P� 5-M 1.Tqta!-does n9pinclucle, 1,75.00 k"qy 4- -r vZ,,ZF osv 4 IN— A Owner Atlantic RightFax C2-2 r+ 33//t266/20122 7 : 26 : 52 AA7M � �PAGE 6/027 Fax Server ISSUEDATE 3R6✓7012 THIS CERTIFICATE IS ISSUED AS A hTATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFUUdATIVBLY OR NEGATIVELY AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT EASTEF.7V INS GROUP LLC NAME: PHONE A% 233 T?v C=RAL.ST AG N0.Fd: Aq Nu EMAIL NATICF_MPI 01760 ADDRESS: PRODUCER CUSTOMER IOC: INSURED INS S AFFORDING COVERAGE NAIC# ATL.A.NTIC 4VEATHERIZATION LLC: INSURER A AMMCAN ZURICH INSUPLkNCE COMPANY 61 REAR JEFFERSON AVE. INSURERB S A LEItiI,Iv'IA 01970 INSURER C INSURER D INSURER E INSURER F 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.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCULIENT WITH RESPECT TO WIECH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, FKCLUSIONS A14D CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSSR TYPE OF INSURANCE AIIDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR \WD D.V. (MILIDD GENERAL LIABILITY CCCII I $ ➢RLIAGE SOOB FE'AIID $ O+CCPASFECIALGPIIFBALLIABBStY PEFF]dieEe(EUL EdFD.FXPE$8F(Ay om $ O CLP.➢dYLBATra ❑ OCCII& PF89]➢AL W AIri/. $ ❑ IIr/UEY GEBFEAL AGGYPGhIF $ GIDTL ACC-BFGAIF ta➢I APPLIES PFL PBLTDIICILCOLSPAP $ ❑POUCY ❑YELJFI:I ❑ ux Ft:G AUTOMOBILE LIABILITY L TIM IDMBGtF $ G8I EacLeccDe HJD8.Y8II0&Y $ ❑ P.1r7f.II1G Ax Ano IiODII.Y INJII&Y $ ❑ PSZ(ARMED A9t0H AxAcciL PEGYFRIYLNEEAi'+E $ ❑ fCIDDIIIFD hIItOY AxacciL ❑ HIBFD AIIIDB ❑ HCN-OWEEFD AIIIOS EPLH CCCeJY3F18CE $ 0 1n.SFd.FL1.A LIPS DOCC18x - ❑ EECE88LU.8 D CLP.IDS&vern AGGBEGhIE $ p DIDIIC[IffiF ❑ 8FtF8SI0UH we \VORICERS' COhTPENSATION Nm SIAEII[OT.Y A AND EldPLOYERS LIABILITY LIISIEB YIN YSIYYEilPEJE[OL'F'A&IDPE/, EL.EACB ACCIDFEEf E:cCotrvE OEEE:FzLst�Ea N NIA 7PJUB-5B270121 U3f20l12 03720713 $500,000 E\CLLIDPDi EL.DESEASFy-EACH S500❑❑O (I.SMDATOHY M RIK) I2iPIAYFE 1[yar,mrx�. =nExE.rPlroH oa - FLuu[�i°`.Fa�.NY $500,000 DF'E%AIF]1n lobes DESCFEPffOH OP OPIItATI0f1SlLOCATIOPSIVffiCI.TS (AmcLACOBDlO1,AddamlLmexk fctadcb,£mem rpoceimq®d) - THE B2YLACES AHY PHIOE CTETIMCATT ISSIBID TO T8C C38TIPI C,A*TTTT$�pO{LDER AP32MMCTIHG WOP%IIr8 COLIY COVPRAGL CITY!IF'3ALEIVI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 03 WA$HINGTON ST BEFORE THE EAPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED - ALF1v1,NIA 7' IN ACCORDANCE WITH THE POLICY PROVISIONS. x A➢T80AAD�'. rnA1l V8 $e'LLLW 4(LU�I.Pi.T.{N .. RightFax C2-2 3/26/2012 7 : 26 : 52 AM PAGE 6/027 Fax Server ISSUEDATE 3aii=12 THIS CERTIFICATE IS ISSUED AS A MTTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO T AFFERATATWELY 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(ics)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 COP TACT EASTERN INS GROUP LLC PHONE FAX 233 W CENTRAL ST (AG Na,EIP: Al-N.). EMAIL NATICK-1-AA 01760 ADDRESS' PRODUCER CUSTOMER INS LED INSURERS AFFORDING COVERAGE NIAIC# ATLANTIC WTATI-IFRIZATION L.LC INSURED`A AAMUCAN ZMCH INSURALNICE COMPANY 61 REAF,JEFFERSON AVE INSURER SALERI,MA 01970 INSURER C INSURER INSURER E INSURER F O�',IE ES CERTIFICATE NUMBER REVISION NUMBER: ` LI C%S QJF I"s TCE LISTED T Op i ME 117 YPERTAIN, E7=7T SUR T�' THE POLICIES POLICIES. ItF AN L"E AFFOF'DID BY THE POLICES UESCRIBID fINkElii IS SUBJECT TO ALL THE TF❑2bd5, U'a T� 0 C CE"T`S`� BELOW HAVE SFgiISSUID TO THE INSURE➢LIAb.SED HBOVE FOR THE POLICY PERIOD CERTIFICATE � M�D CONDITION OF ANY CONTRACT OR OTHER DOCUiufE[7T WITH RESPECT TO 4hIICH THIS 'i'�T OT��"TH T AT,�y BE S 30_LCS"_.US C 0 SUCH P L _IE3 Lma S SHOWN E CONDITIONS OF -iris—n TYPE OF INSURANCE AIM SUER POLICY NUMBER POLICY EFF POLICY EXP LU.UTS LTR D GENERAL LIABILITY INSR 'LwD --(IkH�Dr�YM (M3ffJDNYYY) EACHOCCIIBxFHCR $ DAMPZEIO=ED $ &Co=acU3.GENPBALLIAEHIIy D mc11& PEBAWPY& 0 DIIIIBy $ QP=y (]PECMl OLOC AGG AUTOIAOBILE LIABILITY GO=tUED QNGLE $T nm FwLeccile ❑ pail'kulo Pex Fenn $ D KLLO�3R=RMO3 Pox AccBe D SXOITaunSEnAUTOS ❑ 0 EXCESILIpx LI CLM&HARE NVORICERS' COIAPENSATION A AND ETAFLOYERS LIABILITY 747 7 Pn Is YIN ­ --y FN N/A 7PJUB-5B270121 03f20112 OmofI3 $500,000 $500,000 (LSAHDATORY M BE) rvrnvac CYFBAID]EIf Lebo 101. BI ccl AHY PRIOR CTRTSPICAIT.3tTED TO ITT CC11= 711101 DCR P=Cnao YMR S C OLYP CONTRACT ............. T4 :1 I CITY OF.---*.ALENI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 93 WASHINGTON ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED SALENI,MA 01970 IN ACCOROA146S WITH THE POLICY PROVISIO14S