The URL can be used to link to this page

36 FORRESTER ST - BUILDING INSPECTION 1�t�eilinq w"is the Gunw t use of the Buit**? If dwallrq,tww et+It'WAS? MststW d Butldtrg9 /Asbestos? we to Bd ami COWW"la U04 smom to Ioomos P 1:04c71 Afire"and Phan �r Cedor si Wobuvrn �?32 30a Madu M S Na" Addrese ands 2�i O G O HIC RapMleaMon d I U(05 S 9 constu�fon � Ll"nes• Fadfnsiw Coat d Projaot i 5Uy 8 _ Pamo Fee CaalaiWlon w EslYnatad Coat X i71111000 Residential _- PemUl Fee i -- EaWnstad Coat X ii tlil000 Canwnsrda----— - An/AddNkwW sd.00 M added se an 11dmkd@& tivs A n Make sure that all ftW* we aoperly and Iepibly written to avoid "eye In mmmshl& The u 4wolgred does hereby apply for a Bulidnp Pema to build to the above stated spsdfleeftm signed wider Penally Of PwJufY Data I© v 3 � �t EI'I'�OF PUBLIC PROPERTY DEPARTME►�1T wMas 130.E snMr 0 sK1a6 WAUACNLM„s GIVM 71s:M7464 a•Fn:M74&q" ArPI.iCA'I'I IN FOR TRZ R ZAM RMQYAT UCj CANCTQit['nQ Dt.KOLP[' M OR C1t;ANGt O/tJ3t OR QGQMNCV, FOR •NY F]C&MG aTRUCTURt OR Blm.pm FLocadm INFORMATION NN MC `& FQl'Y c s l c r s-I --- 310 / OrrcSlGc S1 -- ProM 40 Ie kiea0ad ins;CaMwatlon AnM Y/N Hkdarb oiwm YM EI *&OW FJtSNIP INFORMATION of Land K 1 H H v p 1:n _ w &DCOMPLM THIS SECTION FOR WORK IN MUIMNQ BULDINGS ONLY Addidan Exlstlnp Renovatksn Number or SWWe Renovated lChance In Use NOW. Demoudon Existft Approximate year of Area per flow(of) Renovated construedon or renovation of existing building New Boa!Descripdon of Proposed Work: I+�StCll y rcP(gce✓)-)crnt WWICIOGOS- ir)tt) Opn�l�r�c1S NpizC e I� - I CITY OF SALKNq MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STR[[T, 3R0 FLOOR 3ALIEN. MASSACHUS9"{ 01970 STAML19V J. USOVICZ, JR. T[LtrNON[: 978-745-9898 ExT. 380 NATOR FAX: 978-7409446 Salem Building Deparhnent Debris Disposal Form In accordance with the provisions of MGL c40 S 54, a condition of your Building Permit is that the debris resultingfrom this work shall be disposed posed of in a properly licensed solid waste disposal facility as defined by MGL Chapter III, S 150 A. The debris will be disposed of in: do rnpsier (Location of Facility) �3 VJhre nq QVe W obClVr-) Signature of A plicant Date Aipe#can First 'Ins Agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTENDOR 121' 3uincy Shore Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Notch Quincy NA 02171 Aonei 617-770-9000 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Arbella Protection Ina. Co INSURER B: - NeEOwp_tppHro pppDerating LLC INSURER C: WOD11ox1 2 901801 INZU D: INSURER E: COVERAGES 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,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OFINSURANCE POLICY NUMBER GATEYTFFE MMIODIYY GATE MMIDmIVFY IDN LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000r000 A X COMMERCIAL GENERALUABILITY 050000010649 01/01/00 01/01/09 PREMISES(Eaotoweboa) 150,000 CLAIMS MADE ®OCCUR MED EXP(Any one person) $ 5 s 000 PERSONAL S ADV INJURY S 1,000,000 GENERAL AGGREGATE E2s 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGO S2,000T000 POLICY 7 PEA El LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E 1,000s000 ''A ANv avro 81037400001 12/31/07 12/31/08 (Ea eaddenl) ALLOWNEDAUTOS BODILYINJURY E (Per parson) X SCHEDULED AUTOS - X HIRED AUTOS BODILY INJURY E (Par acciaenl) X NON•OWNEO AUTOS PROPERTY DAMAGE E (Per eccidenl) GARAGELIABILITY AUTO ONLY-EA ACCIDENT -E ANY AUTO OTHERTHAN EA ACC S AUTO ONLY: AGO E EiCESSNMBRELLA LIABILITY - EACH OCCURRENCE E 5s0ODTOOD A X• OCCUR ❑CLAIMSMADE 4600010709 01/01/08 01/01/09 AGGREGATE $ 5,000,000 S DEDUCTIBLE - E RETENTION $ S ( 'WOflKER9 COMPENSATION AND X TORY LIMITS ER 7 EMPLOVERS'UABILITY 90967005 O$/Ol/08 O$/Ol/O9 E.L.EACHACCIDENT s500,000 A'1 OFFICE PRIETOR,EXCLUERAEI(ECUTIVE E.L.DISEASE-EA EMPLOYEE S 500,000 OfFICEPoMEMBER�E%CLUDEDT r if ssSdaacabeUnder E.L.DISEASE-POLICY LIMB E $00,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/.LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS OPERATIONS OF INSURED CERTIFICATE HOLDER CANCELLATION SPECINE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATIO DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO:SHALL y SPECIMEN IMPOSE NO OBLIGATION ORYAPILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ESENTA ES. If AUTHORIZEO R RESEW ATI J r ACORD 2$�(2001108) ®ACORD CORPORATION 198 ® = 4uallffed In all zones NEWPRO MANUFACTURING 2000 DOUBLE HUNG LRI Cellular PVC frame, Triple glazed, - NationalFeneslenon Low E coating (e=0.034, S2 &5). Radng counca® Krypton/alr.filled " _ ® C1F.V-K-20-00001 ENERGY PERFORMANCE RATINGS U-Factor(U:SkP) Solar Heat Gain Coefficient oull 0w27 . ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance .. -Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole phadud performance. NFRC.ratings are determined for a fixed set of environmental conditions and specific product size.NFRC does not recommend any product and does not warrant the suitability of any .V aduct for any specific use.Consult manufacturer's liferaWre for other product performance Information. www.nfrc.or I Board of BujCdEng�Regu1AE[otts And St&nndards t -' Can;tructign SUketvisor Ligsnse • I .. Li45 CS Z9490, - 1, /2Q09. Tr# 8131 ; I j THOMAS f-FOXC `� ;y 230 WAANUT ST - � READING MA,01867 Commissipner �. - - 7/. laorrvi»:antoea/lJi o�,/ aueclaaelAit Board of Building Regulations aad;Standards y.: HOMNIVIP!t VEMENTCONTRACTOR ) ReqlstE'd[�tSd j- 589 .. PF*EIC pit �{15 l009 em tl�� i leni rz �'`s� ent Card.: NEWPRO OPER6«T�`Ly' };I�LiG- r �. THOMAS FOXON� v ! 26 CEDAR ST WOBURN,MA 01801 Boston, MA 02111 www.mass.iov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): NEWPRO Address: 26 CEDAR STREET City/State/Zip: WOBURN,MA 61801 Phone#: 781-932-8300 Ext.251 Are you an employer? Check the appropriate box: Type of project(required): 1.X I am a employer with 50+ 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).• have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. �• X Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. nsurance. 9. ❑ Building addition No workers' comp.insurance 5. ❑ We are a corporation and its [ 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.]+ employees. [No workers'comp. 13.❑ Othet insurance required.]q "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. +Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating 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 am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information.. Insurance Company Name:_ ARBELLA PROTECTION INSURANCE Policy#or Self-ins.Lic.#- 90967005 Expiration Date: 05/01/2008 Job Site Address: City/State/Zip: 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 thepains andpenalties ofperjury that the information provided above is true and correct. Signature: - --FOR-NEWPRO—Date= — — Phone#: 781-953-8146 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' .Buildin De artmen 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: MA Re #146589 FmmdxHamateroar... 9 Federal ID#20.2625129 CT Reg#0605216 RI Reg#26463 Waidbmsianyandillm 56958 Corporate Headquarters,26 Cedar St,Woburn,MA,(P)800-342-2211 IF)781-933-9626,www.newpro.com THIS CONTRACT MADE THE day of Q 20 `f� between (Home Owners) (Home Phone) �— (BusrCell Phone) of C, J uY°,�.Lv S / (S L 01?7G (Address) (City) (state) (Zip) the"Owner"and NEWPRO Operating, LLC, "NEWPRO". The job address is a condominium. NEWPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary to install the following described work at the premises located at Job Address) (E-Mail) rproprietary use only TOTAL L Additional Model TOTAL Windows Purchased V NEWPRO Work Number Qty CASH Window Color In: Out: j' Sliding Glass Door PRICE 7 v Capping Color OC` `Gl Steel Security Door Door Color In: Out: DEPOSIT Model Name Model Numbers ?ty Sidelites WITH C Double Hung New Construction Unit ORDER 7 t% Picture Window Storm Door BALANCE Casement I Obscure Glass I TOP IBOTTOM DUE AT 2 Lite/3 Lite Slider IScreens I HAL FULL INSTALL Bay I Bow Frame Please Initial: Roof. ❑ soffit: ❑ customer understands that N W R0@ does not CASH Garden Window do any painting or staining. lie:when removing Balance pai at installation Awning or replacing Interior stops or trim) Hopper NEWPRO®is not responsible for conditions or Shaped circumstances beyond its control including corf FINANCE Other densation resulting from or due to pre,-existing Bank completion form signed at installation GRIDS SDL Euro conditions. DESCRIBE WORK: 17S 'f.l! % •- 'tit Ao i 4 a ' Est.Start Date: Customer understands this is an"estimated date" Est.Comp. Date: s Initials LlCustomer understands all steel security doors will have a 3/4"aluminum threshold installed over existing threshold. It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement,as the Owner's Agent. The Owners who secure their own construction-related permits,or deal with unregistered Contractors will be excluded from the guaranty fund provisions of MGLC,142A. All Home Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration,One Ashburton PI,Room 1301,Boston,MA 02108,(617)727-8598. If the Owner is obtaining financing by way of a Retail Installment Sales Agreement,such Agreement shall include a time schedule of payments to be made under said contract and the amount of each payment stated in dollars,including all finance charges. The Retail Installment Sales Agreement shall be incorporated - herein by reference. If the Owner is obtaining a revolving credit line to pay,in whole or in part,for the contract amount herein,the terms of the revolving line of credit including interest rate and payment terms,shall be clearly set out on the credit application. The portion of the credit application referencing a time schedule of payment,to be made under this contract,and the amount of each payment stated in dollars,including all finance charges,shall be incorporated herein by reference. NEWPRO represents that it caries Workmen's Compensation and Public Liability Insurance in the amount of$100,000-$300,000, If the Owner refuses to permit NEWPRO to proceed with the work herein,or in the event of any breach of the Owner of this agreement,for any reason whatsoever shall cause the owner to pay NEWPRO a sum of money equal to thirty-three and one-third percent of the price agreed to be paid,as fixed, liquidated and ascertained damages,and not as a penalty,without further proof of loss or damage. NEWPRO shall not be held liable in damages for delays in the performance of this contract due to causes beyond its reasonable control. Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners to enter into this agreement. This contract represents the entire agreement between Owner and NEWPRO and cannot be changed except in writing signed by both the Owner and NEWPRO. You are entitled to a copy of the Contract at the time you sign. Keep it to protect your legal rights. We,the aforesaid owners, certify that immediately after the signing of the aforesaid agreement,a copy was furnished to us. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office, or branch thereof, provided you notify seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. (Saturday is a legal business day). See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. The owner has seen"sample"warranties that will be provided by NEWPRO upon installation. Sample warrantiesprovided to Owner. IN WITNESS W REOF,_the parties have hereunto signed their names this j 3 day of v 20 Oi- 1 EIN# 4i3?4cY Signed Marketinq Rao4irnSative Printed Name 7 Owner Accepted: NEWPRO O prating,LLC By Signed Owner CORPORATE OFFICE SHREWSBURY BRANCH OFFICE WARWICK BRANCH OFFICE 26 Cedar St 161-153 Memorial Drive Business Pk 24 Minnesota Ave Woburn.MA 01801 5a5�(�y Suite B-C Warwick.RI 02888