24 HANSON ST - BUILDING INSPECTION (2) /t�✓ olf 8/6,'Ml, 1:52 v -,FOM: __...�... OF CO2
CERTIFICATE OF Ll ABILITY INSURAN%�r_
FAX {S].a;As:_9830 E 08J06J2007 j
1 F. igisk2y InstsrancQ dajenCy. inc. ' ONLY AND TE'.S�'.S'r':AS,FA ATTER.0,- FOP.f9AT N 1
i O#tF£32S NO RIGHTS UPON THE CERTF--ATE T F. .gain SPiz- HOLDER.THSS CERTSiCATE DD£;NOT AMEME),EXTE il)OR
i F. D. $o7c 42; ALTER THE COVERAGE AFFORDED PY THE POL+'R�3 B OW s
;ifa?-6, Yca o17s? !6"MUR£RS AFFORMG COVERAGE F
�MAX 4 i
i
EJCTERIOR REt�➢ELERS OF NE INf � - ��= ST€ScrR72
€ 38 $40tTVALE AVENUE
STUNEMAM, MA 02180 r --- .._�........_
j €s•swaeRc:
{eASLs+Eae
i
BSA ?tom Wii(J£5 OF U 51-F iA4 .L1F 7 3 HAVE 7" ISSUED T07t?E FNSRA3EO Kkkcc✓I WAY "T 0 DDN.TRrG i OF All CONTRACT OR CT4ER DCCtFGtENT Ai�>ff FORPraUCY P
j RANCE AFFORDED 8Y THE F'OUCr, 0£SC Y9:F3;FMB, T 7C W4 4 T WS CF TrFDO�tDiCATEL•.NOT'+s'>TF`.S7ANORd.^.. i
OM)CES.Azs:-R WIE LFMr--8HO'JY".i°+'AY K4Vf�H PF�TM-JCL^RBED HERON LS SL°-e'=c^T TO ALL THE TEARIS. rA E AAAY 5E LMIEO OR
By PoD C4,&.-5. SONS AND COm�FTKY.�DF SUGi
TMOFECWAAME flDSKY RFLvmER
;
uwm
U{.[348➢.NY
i F it caa> utw�r.Y CP5291541 U8J3i/2t;Jy ( p&/07J2Gi,8 i eaaaoccE
} i s Z
I 3 � ,auoE `00cacj ..-. I ,oMXAGE roRexrEn t ,p
.4 �
f >
I iPERsoNuabvRRNRr Is Y,f;#}, g
iPec.i GE�wuAcr�EE s
-u U'
i LtiLOVP�AL't05 � U�Kd.F�T+rT jJ
i I F
t
I `'i MI}'PS i 2�Y biiTm!' jp•
f j sTcbAlsQS
Lj
GL_armor) i b
E;A=DF,, 14
1
—I F ntYi j i ,
IE-'� l._)CL* K'fC`- CS:i"+rSL4NCZ 5
S i D6la^f�cE j t ;AGG",n"-t n<.TE4—
� s4T10Y AND 7 is
t VTM :rt
i°s `E«aLxxu E:� -
e 'C?T�+ � €Et fY.SErd'•,Z.i EiegtGtFe$�---'
€
t I
F i i
1 OfDPERAT�t[MA"L
SFY�'vt AdJV1910te8 _ __�_
1
j t
1
� r -
i
€ i...c.vsrS THE ABpuE.R�:
? �1TIM'JATE �2E�L�>'II 6EmPg
i i Tomes TF;-esce�=�4sTx�n;�;.EXJEA�DR TcavF. 1
� ..T_oa wo-;Y�a no:,r'-f+s.e�.Tm,..t.��..,�•re.,.:-�'�r..-�tu, k�..:z��s.E�m�."suex xoT�E sauL,;�osE rro om,s.rcv.cw• i rg do4'Vc'. :is
.W TYOR2�9P g£YTdTM r'+�'NFFMREPRE%iNTATryf.ySy
AreFii gy F0 ('R51?73-2i S&o
�����t✓�4Y1/R�i:N1�lye,
EXTERIOR REMODELERS OF NEW ENGLAND,INC.
` �0✓J, DISTRIBUTORS OF VINYL &ALUMINUM PRODUCTS
z/Z-qg b/ 38 MONTVALE AVENUE,SUITE 255 a STONEHAM,MA 02180
781.27&0211 1-800-645-5788 • FAX 781-279-2558 MASS.REGISTRATION N152066
I/We the Owoer(s)of me premises ow,hereby contract with and authorize 9MRIOR REMODELERa OF NEW ENGLAND,INC
(hereinafter)referred to as the"Contractor')to furnish all necessary materials,labor and workmanship,to install,construct and place the
improvements according to the following specifications,terms nd conditions on premises below described with reference to which I/we
warrant that I/we are he record holders of title: O/-7
Owner's Name /z�l/Yh - .� _ Tel.
� _
Job Address 'L - / City State
SP IFICATIONS
lino
l �?
In consideration of the labor and materials furnished by the Contractor,the Owner(s)agree(s)to pay the Contractor the sum of
$ Deposit 11M to exceed 33 1/3%$ �' Balance Due$ �
Est. Slart—,� L2 Est.Comp. --Security Interest Yes CI No
It shall be the obligation of the Home Improvement Contractor to obtain such permits as the Owner's Agent.The Owners who secure
142A,wn construction-retaledpermits,or deal with unregistered Contractors will be excluded from the guaranty find provisions of MGLC.
142A.
All Home Improvement Contractors and Subcontractors shall be registered by the Director and that any quiries about a Contractor
or Subcontractor relaling to a registration should be directed to
A /��� ���i, I f S Ci N
Director �G/
Home Improvement Contractor Registration /f
One Ashburton Place,Room 1301 � Qel
Boston,MA 02108
(617)727.3200
THE OWNER SHALL PAY FOR THE WORK BY THE FOLLOWING MFTH-OD:
CASH UPON COMPLETION( ) BY MODERNIZATION LOAN(�
Notwithstanding acceptance of this contract by Contractor,this contract shall be cancellable b)(Ihe Contractor if the homeowner
is unable to finance the payment of this work through an established bank or other financial institution or within fifteen(15)days.
All work performed by the Contractor is fully covered by insurance.
NOTICE TO THE OWNER(S):If it will be necessary for you to obtain a bank Modernization Loan in order to enable you to pay for
said improvements.
1.Do 0g1 sign this Agreement before you read it
2.You will be given a completely filled-in copy of this Agreement.
This Agreement constitutes the entire agreement of the parties and no other agreements, representations and/or warranties.
expressed or implied,shall be bindin�on either party hereto unless in writing and signed by both parties.Any alteration or deviation
on thespecifications listed above invoving extra costs of materials or labor wil lie furnished and pe.o•med only upon written order and
will be in addition to the cost price of this contract.
The Owner(s)hereby certify(ies)that he has(they have)read this Agreement.that the terms and conditions and the meaning thereof
have been explained to him(them)and he(they)fully understands)them.
The Owner(s)acknowledge(s)the receipt of an executed copy of this Agreemen!at the time of execution hereof.
If any provisions of this agreement are in conflict with any statute,regulation,ordinance or rule of law,then such provisions shall
be deemed null and void to the extent that they may conflict therewith,but without i vale t g the remaining provisions hereof.
COMPANY'S GUARANTEE: The Company guarantees its workmanship for 7/7 years. It will replace
detective material within the period of guarantee free of charge.All requests for service must be in writing!
This agreement may be cancelled by an officer of the Contractor,but only within three(3)business days from the date o1 execution
and In a similar manner of the Owner(s)'right of cancellation.
You may cancel this Agreement without any liability to you,provided that you send a written notice to the Contractor by midnight of
the third business day following your signing
'of this Agreement,by ordinary
mail,posted,by telegram,or sent by delivery.
WITNESS our hands and seals this ////,V day of O 200_--,�
EETERIOR REMO ER8 OF NEW ENGLAND,INC !SUBJECT TO HOME OFFICE APPRAVAL, /
(Representative)^ J (Owner) �
Accepted By: ✓
(Owner)
(Authorized Officer) (Owner)
09-09-07 11:49Em Frw-Alu b973 331 9599 T-T59 P-001/002 F-971
CERTIFICATE OF-INSURANC
PRODUCER THIS CERTIFICATE IS ISSUED AS A MAT TER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1 :F Hickey insurance Agency 1n; HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Po Box 427 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
343 Main St I
MtT`ard,MA GI757-0427 COMPANIES AFFORDING INSURANCE.
COMPANY A GRANITE STATE INSURANCE COMPANY ;
INSURED )
i
EXTERIOR REPWDF1EItS OF NE INC
38 IMONTVALE AVENUE
5704ENAF4, KA 02180
1
1
I
COVERAGES I
T`ftS M TO CERTIFY TKAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURER NAND ABOVE 9OR
! THE POLICY PERIOD4NOICATEO,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONOITION OF ANY CONTRACT OR OTHER �
DQPU f,-?NT WiTh RESPEC?TOWHICH THIS CERTIFICATE MAYBE MULL OR MAY PERTAIN,THE INWRANCEAFFORDED THE
POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.I-Wr S SHOWN
J MAY HRVE SEEN REDUCED BY PAID CLAIMS,
i
i&" `YS&OF iNAh.^E aOMxr relslrBeM Poucv ;are rOurrvE wTrox;aTB
IA
rf'OR.KE.RS CC9EwSArow ; .
s OYeas Lus sm ! i I LIMITS
3A,atnten>y�e=_e�rn�
oi--• 0 VIOL❑ ( 2409176 I 8/30/2007 { 6i30f2008 �TATUTORYLpuTa
ro mMAO n=Omr.
t i FLU_ A"C;DENT $ 100 am
�=SE POLICY LGUT S 500:000
i i J�SEA3cehCH @�PLOYEE S 12129
F&CRPTION OF OFE-R-Afl0N$NEHICLEWSPFCIAL ITEMS
i � 1
i CERTIFICATE HOLDER CANCELLATION
.. � SHOULD ANY OF THE ABOVE DESCRIBED POLICES 8E CANCEL'EP @FFCYiE:vfE
ew%ATKIN DATE THEREOF,THEM-ANKS COL4WINY>Y,U ENOFWOR TO MAL L -
"DAYS INKMEN NOTICE TO THE CERTI=I:Are HOtY'2 Nt1R5 D TO.TIRE!E 8V•
I FAILM TO NAIL BW,+.NDT ICE SHALL IMPOSE NO OBU9ATVQN CA UABiL.m OF I
I ANY KPM UPON THE CM-RANC_IYB AGENTS OR REPREZENTA'fvES. i
AUTHORIZED REPRESENTATIVE
1 ��
CTrY OF SALEM
PUBLIC PROPRERTY
DEPARTNOM
..v:.r a.t• ,u,w�
aL�1•� 1 C W.%e sw::O1jf WV*LLLHM.14v►1A:w a t131%4.
To; 9 &M"
Construcdos Debris Di:posst Affidavit
(reyOmd lbr au dsewlidan ad oanovadca wadi)
la xconlsttes with the d uft oidas o[dw Sots SuddhM Code&7W CAIR sactiaa 111.!
pebis.sod dw provisions of M. GL c 44 S 54
13Wkgn4 Pon tit 0 _ _ isiswmd with dw amdttiaa drat dw debris cesultitt4 ftm
shall this watt bs diaposcd ot'in s pmpwty lieansd wasts disposal facility as darted by WIL a
111.S 13"
The dAds will be transported by:
_ taoma al MAO
rhadcbds will be disposed of in :
,a5,ecg
t narna;,r rktt,ay)-
.,.,kWj9m Oi f':w:l.ty)
..arr
/. C OL' �L1L1✓,N _-
r PUBLIC PROPERTY
DEPARTMEINT
KING&EA sr ORMC v
MAYM 120 WALUNc1LIN!kMWr•S"LLK MAStAO&ShTIS 01970
TEL'976-74i95" •PAX 976-740.96"
APPLICATION FOR THE REPAIR. RENOVATION. CONSTRUCTION
DEMOLITION, OR CHANGE OF USE OR OCCUPANCY FOR ANY EMSTINGI
STRUCTURE OR BUII.DING
1.0 SITE INFORMATION
Locadw Name: g N S d 57— Building:
Property Address:
Property Is bested in a; Conservation Area Y/N Historic Oistrkx YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name:
Address: MA 14, (n. /
Telephone: ?G
3.0 COMPLETE THIS SECTION FOR WORK IN EIUSIING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use Now
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:
j� Sfi LL, IV
Mail Permit to:
What is the current use of the Building? -
Material of Building? If dwelling.how many units?
�Will the Building Conform to Law?�`""����
Asbestos?
Zij l(��Ly�N- ams .�JG) Ic-E "w _
14-C-e—✓a-u
Address and Phone
Mechanic a Name
Address and Phone
Construction Supervisors License# 9 HIC Registration#
Estimated Cost off PNrcolrect 7• ° Permit Fee Calculation
Permit Fee $ Estimated Cost X$7/$1000 Residential
Estimated Cost X 911/51000 Commerclat An Additional $5.00 is added as an
Administrative Charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Buildin Penn' to build to the above led
specifications. Signed under penalty of perjury
Date
a
0
Oe
c � s a,