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11 GLOVER ST - BUILDING INSPECTION i APPLICATION FOR LOCATION PERrr o wsPEcro of eu�oorc3s *WMIAWINNAW No APPROM sY IM MF==Pa TO A.Peerrr BANS GRAWkD CITY OF SALEM No. Do w.b zw"is Awall ow�a b lowjw ow of r.. %"aim in smostim No � iw Aw:► . yet.. va 'ok OtNLONO FfIMNr AM%MTM FOft Pannk 10: 00b whioNarar ap*) Oq�ar Sh,d. 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Pr �P (�2ar A Oak 1, f at Of �peCk - � , , VLO zo„�! � „ ctxb N�Z�•� woa � iaM.0 I UXy End,,F4,A E.: 1 tlL + I � 5;7'CD c ecuti Plat r � nM Air �J�SR� Si11�, o n s 6A(�S oat, � d�pAyL Z`W\Ppec: tftw, of r'A44n. r oof- "ef ���° Secv�eb JlQ /r-�phUFAc7urf� `j�PJ I Cp ro^ 1 '7A • �x'•'`s�i� �,ear � �� dirt � � � F� o� dQ�/�' /IZ-OA eleck Rearcan-MRo0 �,ig'Fn� 3�yx6 cleckl I I � FIJo. �e�k � I I i i In A 1 BOARD OF BUILDING REGULATIONS f 1 _ License: CONSTRUCTION SUPERVISOR . Number, _C;S. 002876 € - �,.:° Birtliifgte 017'1971:957 -: } .._ Expires 01/1V/2006 Tr.no: 25247 i - ; Reshic : 00 ! '• JOSEPH F ODONNEL-L + [ PO BOX 372 £ - W NEWBURY, MA 01985 C Commissioner ' A °TA &~�M \ Board of Building Regulations and Standards _HOME IMPROVEMENT CONTRACTOR = ---Registration 138627 s. .Eisptration:..4M472007 - Type:'Ltl Liability Corportjtion -- JOSEPH F.O'DONNELL&COMPANY LLC. - . -- JOSEPH ODONNELESR. - — 386 MAIN ST./P.O.BOX 372 -WESTNEWBURY,MA 01985 Administrator I ACORD - CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 08/09/2005 PRODUCER (978) 363-5285 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION West Newbury Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 322 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 150 West Newbury MA 01985- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:National Grange Mutual Joseph F O'donnell & CO. , LLC I INSURER B:Liberty Mutual PO BOX 372 INSURERC: INSURER D: W Newbury MA 01985— 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. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICYNUMBER DATE(MMIDD/YY) DATE(MMIDDNY) LIMITS GENERAL LIABILITY / / / / EACH OCCURRENCE $ 1,000,000 x COMMERCIAL GENERAL LIABILITY DR EAM MISAGE TO RENTED ESaocc urrance $ 500,000 P E A CLAIMS MADE ZOCCUR MPB60454 06/16/2005 06/16/2006 MED EXP(Any one person) S 10,000 PERSONAL&ADV INJURY S 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER. PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS / / / / BODILY INJURY $ SCHEDULED AUTOS (Per person) HIREDAUTOS / / / / BODILY INJURY NON-OWNEDAUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHERTHAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY / / / / EACH OCCURRENCE S OCCUR F—ICLAIMS MADE AGGREGATE $ I $ DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND WC231S343647025 05/06/2065 05/06/2006 TOR LIMITS OT EMPLOYERS'LIABILITY ER ANY PROPRIETOWPARTNER/EXEOUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? / / / / E.L.DISEASE-EA EMPLOYEE$ 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE POLICY LIMIT Is 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT JEAN & LINDA BOUDREAU FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 11 GLOVER ST INSURE IT AGE10 OR REPRESENTATIVES. AUTHOR ED R TIVE SALEM MA 01970- 1 ACORD 25(2001108) ©ACORD CORPORATION 1988 �, INS025(010e).05 ELECTRONIC LASER FORMS,INC.-(800 J 2 -0545 Page 1 of 2 u&parrnwenr 02/naaauW etcta&nra U,Q?at ojlave fl*, "Am" 600 WasUnjton Sired Bostok MA 02111 v , Ivwmm ensowdk WorkeW Compensatim Innnnce AfNavit: BWMeniCautrador&Metbidanalltumben AppOcaet Infomatku MAN!Pitt Ld taft Name oS�� Aftaw 'is 6 &x ST V V cjtY/ P* We�,-r 4A Pbowf. 918- 96y- 3067 Are 1 you '," +•mck .3 sm..amoral ooeascsor Md t ampbyes,(m an&=part.dme 0 have bated se sub4ombumn 2.01 sm a tote pwimietor or puma- listed on the sttmb d abed 1 y a Remodding ship and bm m empbym These mb-o mracion bm" IL ❑ D=oW= wodcing bIr me in may capoft 'com*h m moo 9• 13 Bmum admon workom•omqpL imamava S. ❑ We am a emparadom acid its 1&0 Eteetiieat or addki m o8foam brave ewerdaed dkeir > 3.❑ I li meoaiaer doing A v k TA*of ammb pa MOL l l.O Pbn6bg mpakv c s•addM m TRYWIL(No •COS, e. 15%il(1j amd webmva mo 130'Rootrepa6a imbaooe rawer ed.]t COPbyoa•Pb wudrem• 13.0 Olha 0=*immunce mquivd.] •Any oppHwW dWAKb Gas al�Wa Most r b da As oliosow away**wwd- po&ybh=IdW tHomowesswaoalineadss®desa> asywdole4o2wG*andasshiscWWaomsolosmadsohmkaawAS&*eaeaingseck tCoorsebs as short Gib hm mom mumbod a ddWood ohm dsw*its NOW ofao osboamsolss ad art%cries•amp,policy udb n edaa ma de ompJaydr LW is porM{,w*epxl a mp=Lidpm bswwws fsr mW Bdvw Ar,kepWl7 dnd j*&AV* Inamaooe Ca®pmyNsmx �i u Policy 0 or Self ina.l io I� w 3 Ewpitadon Dale: 6—0 6 Job site Aadrem // 0 d Pi- bT City/Statdlip:__S ��� Adach a copy of tie wortere compasulom policy deehwmfos papa(showing the pdky mmaber and cWbutlos date). Fame 10 tart aovmv m fequued onda Secuom 25A of MGL o. 152 can lead Ia Ilia impotidos ofahvhd penaldes of a tfse uP 10 311.S00:00 AWOf onpyear impriraomcA m well AS Civil pammm in dw ARM of a STOP WORK ORDER and m fine of up to$250.00 a day aaaimt Ibe viohaor. Be advised that a copy ofdtb tows"may be fofwuded fo the OfMm of Invadaadam of Ilia DIA Im iomr aovasp vaiAcadom. I M kereky cjr mAw 77and No aJpalmq dw the 6 fwwddm POW"&bow b rnw and earrves FBwd me writr As tbb are4 to be eawphod by etp or Ara%o ldd m lamwuce a M orky(chain on): $eekh L BWh tma Depanm et 3.Cityfrows Clark L Ekcb kai Inspector I Plambimt ingmwtor coated Paws: Pbome N: Maswo buSM Gecerai Laws cbape r 132 requires afi empkyerS a pmvidc worker' eamPenaatica ax Unn ` "a'--,-- Pnrtuast a thin shoe, an ewpIlayea it defined as"...every paws in 1k0 MAN of Mother under ay conuact of bi"N' espress or implied,oral or walla.' _ ��_y�� pmma t,w aSoeiadoo:copra a two o:mere . a/"a IOdlVldeii.parmashtpl es Oilier hgsl esttq� � n jesp@eQ isf a jobel m prpstte.sed iechdaK ter IVi a da datxsrad cm IHow the ' tb receiver or VON of as mdiv►dua pwmaSw association at other lea co*empbAl cmPby� owner of a dwetlletbu"havhat error more mesa dreg apartments ad who tesides dwein.or the ocenpat o<o w dot haste of audwr who aapktys peas=Is do mablemaoe,cooahactioa of npair woes#on a &dwellingb.o�ns err on me ptmmda arbs I&S appaate m s&mesa*aD trot becmm of So&a gbymMbo deemed a bs as c mPUYWW o MGL cluster l5Z 12506)aka surer that"every Stale err keel seeffift area d"wwb ld the"Ferrara a err basso"or renewal d•seem or a bulasos to eoaale d beWho IN the"msaswallb tar aq appated wM bon sat pSedsead aeeeplable evHesen d"atpgaser Willa the taaaatsee eacrap cegtirs�. Addidonlly.MQ.ctsptst.JA 125M O&M"Nei&er die Commonweal&nor ay*file poHdal abdividow shall amad 1hr the pa�eeoe dpd a woSk mall acceptable evidence dmotpHaat"w�the iesnranse ���of d&rypw lave been l eseled in dfa ooetraot5t aodsodb pleats fin out as wodww compensation affidavit oompld*,by checlslet due bout that ap*a Yess tilusdoa sad.if neeaSay.aarppiy mb-c�a)rmme(slr a &OKes)and pbosa asmbe*)akmgwi&dwk mddcale(s)of isarasea. Limited LirbS3q�Compmles(��or Limited Liabi W Parmaahipo(id.P)wide no employees Odwr the the mrmbera a parsers.am�te4�ad a�9 VjGd4 'compeswdos maeeoe If a LLC or LLP does have employees.a poHry is requited. ]se sdvited mat this affidavit neY lea submitsed a the DRaf�d hdostsial Accident&Fcasltrmadom of iennace oovasga Ala be arise b rip sad date tM aflkdavlt. The alfidrrvit should of awn mot the appliades ter the permit or Hoaa i befall requested,act the Departrmat of lndaatrial Aaideats- Should you love sty quedass repadiarg the law Of if yens arts requaed to abbia a woakas' w�dmpoNW,pkms afi me Depastmam ss coo-Imes listed below sei4msned eompraiaa sbooW Colortbdr self-imutaa license smabor on the fisss City or Town OMdsk Plea th t be sae at me agldavit is aomplea ad prated lebly. The Deparhnem bon provided a Wm rat the bottom of the affidavit far You a fill out it&e even&a Ofee of Invewpdom bss so contact you ntaadint&e appHCast Please be sae a air is the PemNlleecaba whirl will be used a a whrem comber. Ice addi M so applicant mat mist Submit multiple P appfiod M in any give yew,need ooly submit one affidavit indicating current pobey mf (ifnoccany)ad under"Job site Address"cos appticam dosid write"all loations is—(city or tower A Copy of me d5dwit that hes boa of k'ft swamped of makes&by to dW or awes any be provided to this Muceet a pagan n valid affidavit it en foe IN Mhaae permits or licases. A new affidavit moabe filled out each year.Where s boms owaa g1 ddsen is obtsaioat s lioenro of permit not rdsted a ay business of co>maoiml MISSe (ice a dot Homes cc permit a bun laves ere.)said paws i NOT ragtri vd a complete this affidavit. The Oflioe of lavertipt om would lfke in dak you is advance for year cooperation ad Should you beve any questions, Please do cotbedm a give era a Car The Department's addrem tckpboss ad fin amber The Commonwealth of Massachnsetb Depart of Industrial Accidab Offs Of Invedtadm 600 Washington Street BO"MA 02111 TeL #617-7274900 ext 406 or 1-877-MASSAFE Fax/1617-727-7749 Revised 5-2&03 www.mass.gov/dia Y LF155-04 CONTRACT AGREEMENT THIS AGREEMENT made the day of B-30-05 (year) by and between Joseph F. O'Donnell and Company LLC hereinafter called the Contractor and Jean and Linda Boudreau , hereinafter called the Owner. Witnesseth that the Contractor and the Owner for the considerations named agree as follows: Article 1. Scope of the Work The Contractor shall furnish all of the materials and perform all of the work shown on the Drawings and/or described in the Specifications entitled Exhibit A, as annexed hereto as it pertains to work to be performed on property at Article 2. Time of Completion The work to be performed under this Contract shall be commenced on or before 9-10-05, (year) and shall be substantially completed on or beforelO-10-05, (year). Time is of the essence. The following constitutes substantial completion of work pursuant to this proposal and contract: (specify) Article 3. The Contract Price The Owner shall pay the Contractor for the material and labor to be performed under the Contract the sum of Six-thousand seven-hundred thirteen--------------- Dollars ($6,713.00 subject to additions and deductions pursuant to authorized change orders. Article 4. Progress Payments Payments of the Contract Price shall be paid in the manner following: (Specify) 1. )$3356.50 includes special order material 2. ) $1, 678.25 rubber roof is installed 3. )$1, 678.25ob is complete Article 5. General Provisions Any alteration or deviation from the above specifications, including but not limited to any such alteration or deviation involving additional material and/or labor costs, will be executed only upon a written order for same, signed by Owner and Contractor, and if there is any charge for such alteration or deviation, the additional charge will be added to the contract price of this contract. If payment is not made when due, Contractor may suspend work on the job until such time as all payments due have been made. A failure to make payment for a period in excess of days from the due date of the payment shall be deemed a material breach of this contract. In addition, the following general provisions apply: 1. All work shall be completed in a workman-like manner and in compliance with all building codes and other applicable laws. 2. The Contractor shall furnish a plan and scale drawing showing the shape, size dimensions, and construction and equipment specifications for home improvements, a description of the work to be done and description of the materials to be used and the equipment to be used or installed, and the agreed consideration for the work 3. To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 9. Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractors and in all instances remain responsible for the proper completion of this Contract. 5. Contractor shall furnish Owner appropriate releases or waivers of lien for all work performed or materials provided at the time the next periodic payment shall be due. 6. All change orders shall be in writing and signed both by Owner and Contractor, and shall be incorporated in, and become a part of the contract. 7. Contractor shall at its own expense obtain all permits necessary for the work to be performed. 8. Contractor agrees to remove all debris and leave the premises in broom clean condition. 9. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 10. All disputes hereunder shall be resolved by binding arbitration in accordance with rules of the American Arbitration Association. 11. Contractor shall not be liable for any delay due to circumstances beyond its control including strikes, casualty or general unavailability of materials. 12. Contractor warrants all work for a period of months following completion. Article 6. Indemnification To the fullest extent permitted by law, the Contractor shall indemnify, defend and hold harmless and its agents and employees, from and against claims, damages, losses and expenses, including but not limited to attorney's fees arising out of or resulting from performance of the work or providing of materials to the extent caused in whole or in part by negligent or wrongful acts or omissions of, or a breach of this agreement by, the contractor, a subcontractor, anyone directly or indirectly employed by them or anyone whose acts they are legally responsible. Article 7. Insurance The Contractor represents that it has purchased and agrees that it will keep in force for the duration of the performance of the work or for such longer term as may be required by this agreement, in a company or companies lawfully authorized to do business in the State of Ma such insurance as will protect Jean and Linda Boudreau and the owner of the site, if the site is not owned by from claims for loss or injury which might arise out of or result from the Contractor's operations under this project, whether such operations be by the Contractor or by a subcontractor or its subcontractors. The Contractor represents and agrees that said insurance is written for and shall be maintained in an amount not less than the limits of the liability specified below or required by law, whichever coverage is greater. The Contractor shall file Certificates of Insurance, naming the owner/person hiring the contractor as additional insured, in duplicate, acceptable to all parties with prior to commencement of work, which shall contain a provision that coverages under the policies shall not be canceled or allowed to expire or permit material changes until at least ( ) days written notice has been given to additional insured. Article 8: Required Permits The following building permits are required. It is the obligation of the contractor to secure such permits as the homeowner's agent: NOTE: Owners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Raid provisions of MGL c 142A. Article 9: Express Warranty Is an EXPRESS WARRANTY being provided by the contractor? NO ** Ail terms of the warranty must be attached to the contract** Article 10: Registration NOTE: All home improvement contractors and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 617-727-8598 Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the residence. Article 11: Arbitration The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as proYGV�URES i c.142A. t,� 3400 ContractoHomeowner ,Date: 6[ Date: Ift' S UNOTICE: OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. Article 12: Acceleration of Payment Homeowner's Financial Insecurity - 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. Contractor's Financial Insecurity - In instances where a Contractor deems him/herself to be financially insecure, the contractor may require the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal from said account would require the signature of both parties. Article 13: Contract Completeness The contract Must Also Contain: 1. A Complete Description of any other documents which are part of the agreement 2. A List and Description of other matters upon which the contractor and homeowner lawfully agree 3. Any Other Provisions otherwise required by applicable laws of the Commonwealth. Remember, the Contract must be the Complete Agreement between the contractor and the homeowner. Article 14: General Questions If you have general questions or need additional information about The Home Improvement Contractor Law, contact Consumer Information Hotline Commonwealth of Massachusetts r Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170 Boston, MA 02116 617-973-8787 If you have questions about Contractor Registration, contact Director of Home Improvement Contractor Registration Board of Building Regulations and Standards One Ashburton Place, Room 1301 Boston, MA 02108 617-727-3200, x 25205 Do not sign this contract if there are any blank spaces. Signed this Jolt—L day of (year) 0?00J Signed in the presence of: Witr hess Witness � - Joseph F O'Donnell 6 Company LLC Nam of Owner Name of Contr Signature Signature _ 11 St 386 Main 8tree Street Street Address caiem Ma West Newbury, MA 01985 Town City/State/Zip 978-744-9686 (office) 978-363-2369 Home Phone (Mobile) 978-764-3007 Telephone same Day Phone Contractor's State License No. Same cs002876 Night Phone hic138627 508-954-3185 Cell Phone same Mailing Address (if different from above) L Joseph F.O'Donnell and Company LLC 8-18-05 PO Box 372/386 Main St. West Newbury,Mass.01985 Cell: 978-764-3007 Office:978-363-2369 Mr,and Mrs.Jean Beaudreu I I Glover St. Salem,Mat Home:978-744-2686 Estimate:3`tl floor rear roof and deck replacement -remove existing deck on 3rO floor level -install''/:"asp insulation board over existing roof using plates and screws -install.060 plain black epdm rubber roofing over insulation board with bonding adhesive -mbber will extend up the back of the main house where the deck meets the back door for water tight fit -install white.032 dripedge along the edges with 5"wide epdm strips with necessary adhesives -over rubber roof install a sleeper system of naturewood,to accept the frame of the new deck with naturewood approx. 16'x4'9"x6" -install over frame 5/4"x6"moist shield decking with deck screws -install all necessary 4"x4"naturewood comer posts(with all necessary bolts and anchors -installjoist hangers on all 2x6joists -install white post trim an caps/install all vinyl railings -----Price includes all necessary insurances. -----Price includes rubbish removal from site. Total material and labor: $6,713.00 -$3,356.50deposit/$1,678.25 when roof and deck are complete/$1,678.25 on completion Article 15: Notice of Cancellation You may cancel this transaction, without penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under contract or sale and any negotiable instruments executed by you will be returned within ten business days following receipt by the Contractor of your cancellation notice, and any security interest arising out of the transaction will be canceled. If you cancel, you meet make available to the Contractor at your residence in substantially as good condition as when received, any goods delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty days of the date of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the Contractor, or if you agree to return the goods to the Contractor and fail to do so, than you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any written notice, or send a telegram to [wane of sane i at [xddreae of seise=-e puce of wetness] not later than midnight of (dace) . I HEREBY CANCEL THIS TRANSACTION Date: Buyer's Signature: 00/042804/WCS