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0072 FLINT STREET - BPA-13-749 72 FLINT STREET 749-1 3 - 1280 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM �C> 3 l of1 00--- ----- 91 C 1tc olY_-- IDEMO Pe,;ml 749_IZ ►. ' BUILDING PERMIT - �P1olcct r! iS 2011 002446 - III __ ----- - I st Cost: S40,000 00 - .— .1 co C hatged - S0.00 __.-� I3a1.,nce Due 3.00 - � PERMISSION IS HEREBY GRANTED TO: .c onsP.Class . - Cond motor: License: Expires: ,llsc Group: John W W11h 11fF COAS'IRIJGTIO SUPERVISOR -79P00 li of S1ic(sq It) 11007_' 9644 Y0 1 ,. - I-- --- — - Owner: Riveiview Place LLC BP 1111115 Gained: -�_ — !/1PPlzcant: .join W Whmff Unifs Lost: -- AT. 72 FLINT S1RErT Dt Sulc #: _.---- ---.- -_ ISSUED ON: 16-Ah1-201 AMENDED ON: EXPIRES ON: 16-Sep-2013 TO PERFORM THE FOLLOWING WORK: PLEASE SI;F PERNI[T# 891-12 FOR.DESCRIPTION OF WORK (NEW CONTRACTOR WILL BE DOING THE WORK.l L-IAVE ATTACHED A COPY OF (891-12IF NFEDED) jbh(IGhL WAS WAS PAID ON PERMIT# 891-12) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Building IlnJ crgrn inul: Ihulcrgrou nA: l.iud crgrou ml: T-xcava ti... ,Service: Meter. FooIingS: Kuuglr Rough: Rough: Fountlal'ian: Final: Final: Final: Rm;gh Frame Fireplace/Chimn Fire Hen I th / Inculatiun: IpT etcr: Oil: hlousc.N Smoke Final- Wale,: Alarm: ASS&9tinr See-cr: Spri nldersr Final: THIS PERMIT MAY BE REVOKED 13Y THE CITY OF S.ALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Simiature� Fec Type: Receipt No: Daln P;JJ: ., t°6c'iGNnd.�' 16 T l —� BUILDING RF�—C- I Oo2fi47 1G-Apr-I $0.00 I, 7r MT.PVT: O%PfN ROR f7C`v ., �,CO.. , : .c..,T .., '6-6 f&5641 TO SCI DULE A{j i tv PE CilON Go,I NIS;O+ 2013 De,I.mnricrs DTunicipal Solutions, Inc. to ( 0h Try c�U✓ ( O � a @/, ,gok5 Ferlu,- - Sws„/O S cO 0 7 2 FLINT STREET 891-12 IS# �zso- r COMMONWEALTH OF MASSACHUSETTS aP 26 loox: CITY OF SALEM Lot 0091. Category:' DEMO pert# , 891-12 BUILDING PERMIT Project# JS 2012-002514:�� _I Est. Cost: $40,000.00, Fee Charged: ' $445.00 Balance Due: .$.00 PERMISSION IS HEREBY GRANTED TO: �Const. Class: Contractor: License: Expires: :Use Group: T&W Excavating/Glen Thompson CONSTRUCTIO SUPERVISOR-49168 ,Lot Size(sq. ft.): 160735.9644 .lZomng.. BP Owner: Riverview Place LLC Units Gained: - Applicant: T&W Excavating/Glen Thompson Units Lost: AT: 72 FLINT STREET Dlg Safe#: ISSUED ON: 07-May-2012 AMENDED ON: EXPIRES ON: 07-Sep-2012 TO PERFORM THE FOLLOWING WORK: DEMOLITION OF SLAB AND FOOTINGS TO ACCESS CONTAMINATED SOIL AND PREPARE FOR SITE WORK BUILDNG GONE 80,000 SF FLOOR& SLAB REMAIN jbh POST THIS CARD SO IT IS VISIBLE FROM THE STREET -' Electric Gas Plumbing Building . Underground: Underground: Underground: Excavation: Service: Meter: Footings: .Rough: Rough: Rough: - - - Foundation: Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Health Insulation: .Meter: Oil: Final: House# Smoke: , Water. Alarm: Assessor Treasury: Sewer: Sprinklers: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPOPtWQLATION OF ANY OF ITS RULES AND REGULATIONS. Signat Fee Type: - Receipt No:- Date Paid: Chec No: Amount: W OAT:OWNER OR CONTRACTRHUMUILT002746 07-May-12 - 023730 - $445.00 ARRANGE FOR PERIODiC INSPECTIONS DURING, CONSTRUCTION.SEE CURRENT BUILDING CODE ,. CHAPTER 1 FOR LIST OF REQUIRED INSPECTIONS. - - CALL 978-619-5641 TO SCHEDULE AN INSPECTION y. G:.oTMS@2012 Des Lauriers Municipal Solutions,Inc. A �® CERTIFICATE OF LIABILITY INSURANCE 4/12/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Donna ZZNicholson, CISR NAME: Farquhar 6 Black Insurance Agency, Inc. PHONE Extr (781)599-2200 _ L.No),(7e1)5e1-3940 85 Exchange Street - Suite 101 ADDRESS:Donna@ FandBInsurance.com PRODUCER MER ID X 00030010 yt$TO _ Lynn M.D. 01901-1475 _INSURER(S)AFFORDING COVERAGE _ NAIC# _ INSURED INSURERA:Essex Insurance INSURERB:Commerce Insurance Company134754 Bay Shore Demolition, Corp. INSURER CAsso_ciated Employers Insurance �140959 P.O. Box 556 INSURER D: INSURERE: Swampscott MA 01907 1 INSURER F: COVERAGES CERTIFICATE NUMBER:Salem 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. ILTR TYPE OF INSURANCE NSR WVD SUB POLICY NUMBER MMNDY/YYYY MMYDDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED ZOO,OOO _ COMMERCIAL GENERAL LIABILITY I� PREMISES(Ea occurrence) $ A _ CLAIMS-MADE OCCUR 3DL7634 e/10/2012 'e/10/2013 ME PExD (Any one perann) $ 5,000 I,XI Broad Form CGL PERSONALSADV INJURV $ 1,000,000 GENERAL AGGREGATE 'i $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1 $ 2,000,000 X POLICY PRO- 1-1 LOC is AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) Is 1,000,000 ANY AUTO I BODILY INJURY(Per person) i $ B I ALL OWNED AUTOS BDGVYH I14/5/2013 I4/5/2014 X � BODILY INJURY(Per accident)I$ _--- _ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS j $ Is UMBRELLA LIAB OCCUR EACH OCCURRENCE is IIL-7 EXCESS UAB CLAIMS-MADEI AGGREGATE $ I--j DEDUCTIBLE RETENTION $ $ C WORKERS COMPENSATION WC STATU- OTH- 'AND EMPLOYERS'LIABILITY ITOR ANY PROPRIETO-PARTNER/E%ECUTIVE YIN❑ NIA E.L.EACH ACCIDENT $ 500,000 OFFICERRAEMBER EXCLUDED? ((Mandatory in NH) �C5010865012013 /30/2013 3/30/2014 E.L.DISEASE-EA EMPLOYE id 500,000 1(yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,B 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 City of Salem ACCORDANCE WITH THE POLICY PROVISIONS. 83 Washington Street Salem, MA 01970 AUTHORIZED REPRESENTATIVE C Kennedy/CPK /f — ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD