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16 GLOVER ST - BUILDING INSPECTION (2)f lgAMM T7EfAdD4 MAfPROVEDsr me pWR m A-FEE r A 0 ORAWkD CITY OF SALEM Dm Ns Mroib OYYla19h Ya�_�� / Is PfGWQV Lmftd In ft OWWWWOMANO PMmk to BUNAMq PEMW APPUCAIM PM Oft wfMowm"*) Roof. InatsM Bl ftr 7 Dsok l�had. Pool �Iflaf: Cb cLt Qy r tM �n;� r�Ot u PUM PLL OUR LILY a COYPL MY TO AVOW DE AU N PROCWWW To THE INBpwm Cr BUNLDM&- undarsipnd hereby apple a fora parmk to build s000r ft to the loNo— mamoomm om wa mme &ockrea o ove,, 5sa' aver-, Ad*m a Phone Address a Phan. f Maolmios Morn. 0) conn-J/F/Ca. ac, Ad*m a Phone (�C1 6ca b7� l3€G�r;� c9xc1 7(o y 3o0 ws+Mr.p.va.areur�sq►3- FArvwi�� r�e�Twl v Mrmw a tsar tn�oaf N adrwV forhm air kwacn VM bA*V mMdm b im? �(� Atdtti dm9 ADD sarw.d oat aea`Ol�q ar Uk d�aw.Uo d CS ooa 87b of Apobr UIlD■R TW MALTY, OF WORK TO EA OONE C�ia�t Pare -= Rerntooe �iSJ ��, � - r�c�J� Fret Pr- Floo�_ u, T� q MAIL PEFAE \re a o I ,I 4 S` �WW �O a wwo iwALgd 2ay� �al s� NOL V= �00 OL J� uod NOLLr9f7rdr VN CITY OR S;ALSMI, MASSACMUSLTTS PUMUC PIIO►OW DVAtITMENT I aO lA M I - n 114 9W,aea►s.00ll lALs11,IIA OI�70 TEL(Will 719-a n RIFT. 340 PAR l974174046" STAmucv ,L U& Jw. MAVOIN DISPOM O!DBs M MP UM b eeoaedaaea�tbs ploviataat a[1/Q.a Ia�I ee�oariedst that r a amditios anka is ft Refit i 1p l by his > a brras d r>Sl dwam w1r dSaala a mtiwts aoo afe Ndlule dnoad aMeWNiig rm bdkpmdSmrdmdndb! QL Slift 7%4slbda wM be dlepred otatl q t-4.jz7Ow ti 1AA (8 c6 NM12i EQ� fi 0�04h1 �' �in�paM L tc pr r owac.� Fiesd+iam � Sri ,�A- Aesbeel�Oy All Sett lb.am salmon r>tlNirea that debris Sos 66 demolitfm rMovalm rehab of odw alter 0 dbm'l ft or eo wom ba dirponed!-A 6td�g►r dewed by 11I(8,alq s1so,� and t5a PMpffh6&4wed eo"M>wa ditpoeai mdso tst Wad=dust&Why. p°m>ti ar ljeeaer�m ACARD DATE(MM/DD/YYYY) l/ /l CERTIFICATE OF LIABILITY INSURANCE 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 INSURERA:National Grange Mutual Joseph F O'donnell S CO. , LLC INSURER B:Liberty Mutual PO BOX 372 INSURER C: 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 POLICY NUMBER DATE(MM/DDMO DATE(MMIDD(YY) LIMITS GENERAL LIABILITY / / / / EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED SOD,OOO PREMISES Ea occurrence $ A CLAIMS MADE OCCUR MPB60454 06/16/2005 06/16/2006 MED EXP(Any one person) S 10,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 1-1 POLICY JEC°T F1 LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS / / / / BODILY INJURY $ SCHEDULEDAUTOS (Per person) HIREDAUTOS / / / / BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHERTHAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE RETENTION $ Is B WORKERS COMPENSATION AND WC231S343647025 05/06/2005 05/06/2006 1 TORylTATUS TY EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? / / / / E.L.DISEASE-EA EMPLOYEE$ 1,000,000 If yes,describe under 1,000,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PROJECT 16 GLOVER ST f 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 6 LINDA BOUDREAU FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 11 GLOVER ST INSUR T ENTS OR REPRESENTATIVES. AUT PR NTATIVE SALEM MA 01970- - ACORD 25(2001108) ©ACORD CORPORATION 1988 INS025 plu)m ELECTRONIC LASER FORMS,IN ,-(B00 27-0545 Page 1 of 2 ueparrmem o2 jnausrnm Acamnas pfflat of latvesdsa*aa 6M WeshhWoa S&ed Bohan,MA 02111 tuwtsanaas.jot✓is Women'Compensadoe Inannce A®daft DWHenfContradon/EleeIrkbin lambels AppUcantlahmatIMS IdW pbsu FM LA �/ Name r' O O 222 0i . (/Lc Aftest: P., o. dye yyea /l� �oM /� Pbooet6: �g- 76 30d7 Are yes as esphtyart Cheek thr( appraprtatep ma 1 an s lima i aoetrsctor.ea I Ty"dw�C��: 1.;'I sm a aepbya wish, a have lied 3e W! ooahfaon 6. ❑New eomaeedott ewfi0yees AnE aad/ar PaR'dme} lined a the attached sheaf t 7. ❑ Remodeling 2.❑ i am a sob pntpriator of partner-aip and hre no anpbyes That hw ❑ Demoadus imemang woddng Ar ate is any apadgr.1 1 11 n s. ❑ ww d a�I'm 9. D Bu�7dteB addition [ mau>eoe ofilem beve aacilad r la❑ Ebeoial tepaia or additiasa 3.❑ I homeorvae doing an wak figu efuemp a pa maL 11.13 Piimbiog npais cur additions mywx[No watims.camp e. 15Z 11(41 and we have no 12.13 Roofnpaus imaaaooe.agnrrad l t emp1oyea'040 W' 13.❑ Otb: oo*issuance tegaied.l •Any.pPtkatartabttbtm/Imod.ba®ass..ak.btlotr+orI artr eaarmn"perb6mdw ttfoosoraoaba�.aatr.�eaabiiadlaearr..�•a rrdradAvbinodtiataomaagtuddmft&aamaguesiedhrtEnavet art abet aieban me mde"a ddhivr AM d owhe to m of At m&aa6rdm rdsak WOMW omq,pony idb .MM raw an aarptgw"b p aarkara'eaalpatsaffoa hWW=aJar aq aarptgeaa ddaw h a sped w earjad ifte horwaNra Inawasee coup"l4moe:--LQZ Jj Policy t3 or SeiEioa.Lie.tk W C aI ifi 3� )i)„1rC Espiadoa paw. 6- Ioh sue Addram: Q^ S7 S )4e 44 City : Attach a copy of dw wo tompamatloa polity deebratlea papa(alowlag the pulley nsmher and ewiratios date). Fatlme b secure aove W m ralsired mda&xdoa 25A ofMGL a 152 can lead to the imporitim ofaimind penalties of e Sae up to$1,500.00 mWer one-year impriraomaK m well as dv0 penahka in do Arm of a STOP WORK ORDER and a fine of up to 3210.00 a dry against tie violator. Be advised that a copy ofd&Memem maybe forwadad d the Of&m of Imratiptiam of the MA A:issuance oovagp vaifiadon. I L A mty coo antler fAadoe Araia bftMadINPWMM dbuw b true muf ewna a -30- o,Qktef asr� De b fAd arry err ba coayJeArJb r+b'a►aws a,Qtelal Chy or Tom rerami eaaa 0 losing AMlorlty(drde oaa)s 1. Board of Health 2. Building Depadmeet 3.City/Tows Clark 4.Electrical inspector J.Plumbing laapeetor 6.Odw comet Patem Phone Ih I � to IOCY v..yr�,rw ��L,awa ehapw 152 require all empkiyw to provide woitaa oompenaatiaa �lo w statutei an gopww is defends"...waY Pe�oo is me�avioe of�oott�er user a� tract ofLna� cWW or implied,otal of wrbm' An eaybYr►is deem,as as individual.pwmasbip,sadgiu%ooipaasos it odw kW raft a eny taw or more is a joist R !and imc tic kpl es of a McCaw raiployef.of the oraeivc i�dividwli Pmmasl ip.aswe'a Os of Odw kpi aaty,aopbYins t� owner of a dwe>Neg too > me snore eha three apastmesn as t wto raids d�a tte ocow"of tho bom dwcftg louse of saothef wbo coop**mom a ds msmtesasee,aomse�tioa or teps�Q�aamewd to�be:�toyQ YY Car as as t a to tag aPportems&am sha>t not beasts of soot empbymat chapw 1st j23CX61 ahto states do"every dale Car teal ftwdse aav aW wkhho w Isaeasea er MM root"of a ,teem or Ower t a oP�a a bsdsua Car to aspgrset�to w eemarsw Ibr a4 MMdkfiot wbe to I"petaled evldoa 1 ww w hneraaa eo+vap rsgdsei" Additioaaily.MM ch,pmfS'f1 .I3m sues"Neigm tte�onwe"mr sy of in pON"ssbdi'isimss shall jf the pafo®aeoe o(pbHe walk=0 aoapt*k evidaaee otaompliaos wid eta ieatraeos of ads dwpW bmbeen psaeted m ft cue aetieL aadod4►' Pksa An an the,,*, s'congou n dfido*oomph.by d�ttt boa tear apply to yow situation=4 if =Gamy,suppty )aamn(sb addtaKas)and pbow uwbg*)abMwA dmir cesuAWKS)of immaoaa. Limited Lnbft Cow aM or Limited Lkbltlty Psmathip( 1P)with no empbyea odtaf kiss the memben or parmas. are not to e„y wad=,oompansdoa imoraeoe If a LLC a LLP don 3sve agpkw l6 a Policy is raquirm Be advised wr this Of idwit may be subsided to the Deparmimt of Ld sorW Aeckeaes itr oogrmanon othwn ore eoverape. Alea bo are to dp ad dare the aMdavlt 'Ibe ataid rA oboold be nmmod to stye city a Iowa go&c WMatim tbf the pamk or Neenee b berm segeuted,art the Departmau of ieurial Aeeidea0. Shoats yoe bave nay q� tic Uw a dyoe are ngpsad to obtains worker- lnden roans itspotley,pkm all*A DepsmW a<>bo mmba liamd bdm Self-immad a m paow aboeld amef tear selgimorssa wino number a w lb a CVy or Town Ofitdsk Pksc be sate d W tho dgdavh is aomplese and printed lq*IY Teo DopunMbm ptvided s space at the boteom of tlo affidavit for you to fM out in the event the Offiee of Isvesdptiom bs to comsat you reguding w VPHCRM Pkase be sun to 5II in the pamwHcc so»a>ttbQ whet will be used as a r ama number- In addbk%M applkast &a cart submit mokple app&ad m n any given year,need ouly submit one affidavit indicating emram policy IDtibrmstiO4(if aaasary)nod under"Job Site AddrW the applicant shoold write"all ltatitna m (may a mwo}"A copy of the nAidsvit test ha bets ofikW y stamped or mosked by the cily or tows mW be provided to the applies!as proof dogs valid&Mdlsvh is as Me 58e lhoao pamisi a licaaa. A new affidavit must be®led oat eseh ye=Whets s borne owsa 9l eithm i afth g a wm0 of pamk"r Wed to soy bosioess as commercial veomte (i.a a dog Boeate of pemat to beta lava eke.)aaid pasts is NOT required to complete this BAN" The Offoe of lnvcsdgmk m would life to thank you in advatce tilt yen 000paa W ad abteld yoe blue any geadons6 place do not beshO to give m a MR The Dopsomaes address6 tekphoae sad Its sombtr The Cotmmonweaft of Mamchnsew De wmi at of Inditsi rid Awdeab O®oe adlaved%WM 600 wa"glofl street Bo>f ^MA 02111 TeL #617-7274900 ext 406 a 1-877-MASSAFE Fait#617-727-7749 Revised 5-2ti-os WWWMass.gov/dia .f ✓�Z/JM2AtIYAf//E(LG/L BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR = . 1 r+� Number, _C'S. 002876 t ' BirttfifaXe*69A1957 i t' Expir$s 01N9J2006 Tr.no: 25247 ; ` Restricted 00 , 4 JOSEPH F ODONNELL_ P PO BOX 372 W NEWBURY, MA 01985 C � -?, Commissioner / TIM Irr¢m:oaeruealbi o�✓�,aeear/u�aalla "i Board of Building Regulations and Standards - HOME IMPROVEMENT CONTRACTOR Registration:., 138627 Expiration: -12412007 Type: -Ltd Liability Corporition JOSEPH F.O'DONNELL&COMPANY LLC. 's JOSEPH O'DONNELL SR. - 386 MAIN ST.f P.O.BOX 372 i! W ESTNEWBURY,MA 01985 Administrator