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267 JEFFERSON AVE - BUILDING INSPECTION 11fRlSTIE f41A94AD APPROVED 8Y 744E WPACM9 PWR TD A PERMIT=NO GRAND 1� c\ CITY OF SALEM No.�A v J DeM / �/ �j J \ Wlyd \ Za" Dow Uil Home Dbidd? Y� M No ✓ ioeaeioa of _ amming d(07 J-e fL Is Pmpoty LonMd in ar Cawwwon Afft? Yam No Permit to: BUILDING PERMIT APPLICATION FOR: (Circle whichever apply) Roof, Remo Install Siding Constntct 00* Shed, Pool, RepaidReplam. PLEASE RLL OUT LEGIBLY A COMPLETELY TO AVOID DELAYS IN PROCESSM TO THE INSPECTOR OF BUILDINGS: '• The undom*W hereby applies for a permk to build aocortft.to the following specifications: Owner's Name4 Address d, Phan a 4 77 Architect's Name Address d, Phone ( I Mechanics Name Address 6 Phan ( 1q II WhW Is to purpow of b~ ��,��< „ F — °�� \/m . S Lumm of bussnp?_t Raft big,for how m"hmals? wa b Amv o ft" to low? AM~ Eamm colt g m mo 0-¢7 CIV Uc l WAs Uo l J O 5o hero. t Lie. ignahtre of llpplicant SIGNED UNDER THE PENALTY' OF PERJURY DESCRIPTION OFI WORK TO B'E DONE Yin 3(nil'NQ MAIL PERMIT 1 V. Ltd .t. No. APPLICATION FOR PEFUM TO LOCATION PERMIT GRANTED 19 INSPEC7 rOR .0Fr 0UILDINGS BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 080145 BI rthdate: 1012611963 Expires: 1 012 612 00 5 Tr. no: 80145 Restricted: 00 GEORGE VALILIADES 4 LAKE ST PEABODY, MA 01960 Administrator Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 124356 Expiration: 6/1212005 Type: Private Corporation Olympic Painting/George Co.,Inc George Vasiliado 515 Lowell sl. �_.��i�^•'` _ Peabody,MA 01960 Administrator' /28/2004 10:04 FAX 19785322217 B K MCCARTITY Q001/002 'l Client#:25567 NEWTO ACORD- CERTIFICATE OF LIABILITY INSURANCE 101ze1042 Y , • lo/ oa =RODUCEA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION B.K.McCarthy Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 10 Centennial Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Peabody ,MA 01960 973 532-5445 INSURERS AFFORDING COVERAGE NAIC 9 INSURED INSURER A: Western World Newton Property Services, LLC INsuRER e: The Travelers Ins urance.Company c/o Olympic Painting 8 Roofing INSUHERc: Granite Stale Insurance Co 300 Andover Street,Suite 39 1 INSURER D: Peabody ,MA 01960 - INSURER E: COVERAGES THE POUCIES 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 INSURANCC AFFORDED BY n4E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSION$AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, POLICY EFFECTNE POLICY EXPIRATION LT0. NSR TYPE OF INSURANCE POLICY NUMBER OATEJUMOOlYn DATE I-MIQDtTYI UNITS A GENERAL LABILITY NPP899939 06117/04 06/17/05 EACHOCCURRENCE 51000000 X LONJdC-RGAL GENERAL LMhILITY DAMAGE iO RENTED 81 5100000 CLAIMS MADE ❑X BECUR MED EXP(MY ORo=") 56000 X BI/PDDGd:500 PERSONAL A ADV INJURY S1000000 GENERAL AGGREGATE 52,000,000 GEIL AGGREGATE LIMIT APPLIES PER'. PRDDUCTS-COMPIOPAGG 51000000 POLICY EC LOC B AUTUMD6ILE LIABILITY 18104046AO371NDD4 10/15104 10/15/05 COMBINED SINGLE LIMIT ANY AUTO EAA Demo S500,000 ALL OWNED AUTOS BODILY INJURY S X SCHEOUIFO AUTOS IPRI p'+=wj X HIRED AUTOS - BODRYIRNHY S X NON-OWNED AUTOG (PRramRCll) PROPERTY OAMAGE 5 P amornq GARAGE LABILITY AUTO ONLY.EA ACCIDENT 5 ANY AUTO OTHERTHAN EAACC S AUTO ONLY: gGO 5 EXCESSIUMBRELLA 1-UWIUTY EACH OCCURRENCE .5 OCCUR CWMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION C WORKERS COMPENSATION AND WC4315629 04101104 Od101/05 Wcstnru- oTn- EMPLOYERS'UABILTTY ANY PHOPRIETORIPARTNERIE(ECUTNE EL.EACH ACCIDENT 5500090 OFFICERBAEMBER EXCLUDED? EL.DISEASE-EA EMPLOv 5500.000 lfy dr be raker SPECIAL PROVI510N5 ,I, EL OISEASE-POLICYUMIT 1 i500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.EECL051ONS AOOED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION !, SHOULD ANT OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL CNDEAYOR TO MAL 70_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOER NAMED TD THE LEFT,BUT FAILURE TO 00 50 SmnLL IMPOSE NO OBLIGATION OR LIABILITY OF ANY XNO UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUiHORLLEO REPRESENTATIVE i ACORD 25(20D1108) 1 Of 2 946256 DMN 0 ACORD CORPORATION 1988 Peter Strout _ Director of Public Properry td- Inspector of Buildings 1999 Zoning Enforcement Officer BUILDING PERNfl T PEES PERNET TYPE APPLICATION, FEES ��—vf FEES Solid Fuel Bmtting Appliance S 15.00 plus 55.00 application fee 520.00 Tart 515.00 plus 55.00 application fee 520.00 Demolitions or moving of a building 52.00 per 100 SQ FT gross area S 15.00 RESIDENTIAL.- 1 &:2 FAMILIES Altarations/Rzzpairs S6.00 PER S 1,000.00 of the esd=tcd 520.00 (-strnn Additions(Remodeling cost of the construction plus 53.00 application under 52,000) Pools/Signs/Decks f SitimglRoofing -' MULTI FAMILY&COMMERCIAL S 10.00 PER 51,000.00 of the stitnated 520.00(-st cost Al t=ationslRapairs cost of the construction plus 55.00 application under 52,000) AdditionsSmodcling fee Pools/SigasVccks Sidme,Jl2oofiug NEW CONSTRUCTION/R-sid-uml& Coaatcrcial - same as above, however,the cost of new wasnvcuan is based on a rnh a value of 550.00 per SQ FT CERTIFICATE OF OCCUPANCY S30.00fx Omtpaary fee is included in the pertmt fec for new construction of 1 &2 families SPECIAL.Pit to work on Sanudays.Sundays or Holidays-520.00 per letter STREET Permit to allow staging,dump=,cane,or other type egmpmrat which will block a sidewalk or sicet-120.00 Rcpiaorxt of ion puts ed Ccrtifieat=s of Occupancy-510.00 Raplaeement of iost Salet Buihiets Lieease-SS.00 AR CI II Vf5-530.00 per Lip to the archives,if a letter is requited as a result of a trip w archives,the 520.00 fee will be added to cast of the k= ZONING Lertas or kv=to determine teal estate use,toe-wnformitics and Wficr tclated zoning issues- 530.00 fec L==relative to code.courpliancc-530.00 f Zoning Book 510.00 Zoning ivlap S 5.00 CONTROL JOBS HOURLY INPECTION FEE $25.00 ruouc rworpeer vxmn}yOer 120 wAwwMMNmftMC4"' s~RAo11 • T26�1/9A�NN a" OTAMAVA • b<wad w!r r paWor dY�.�Ia�I te��met��ee�/liea d�y�It• i�rbdr:e�araerriallean/e� ��!►� Y M�oee!d�s popa<ir 1e�i�� • 4oerfat�rdedeil�I�.e�,�1le� . Aeleidrwrlbe G,or1� �°�,,, •� -T4�li(k kr i"I yaeeld� 85% n PAI Leeerefr a[�w�r . frier as=�}p�w� 73.�bow,e�er.,�.see aide��.aeoouu�a�,�o..eto�,i.er.r.ir • a:am�be aqua IN offimpatqbowd,oiii..r riiq►r der/b hm ei4#In&a./r bol ft pia w IIoaaw w�wl we*r fear a[r h t . 1/28/2004 10:04 FAX 19785322217 B K MCCARTHY 1p001/002 r al Client#:25567 NEWTO ACORQI CERTIFICATE OF LIABILITY INSURANCE DATE (M Dom' 1 PRDDucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION B.K.McCarthy Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 10 Centennial Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Peabody , MA 01960 978 532-5445 INSURERS AFFORDING COVERAGE NAIL 0 INSURED INSURER Western World Newton Property Services, LLC INsuRER B: The Travelers Insurance.Company Go Olympic Painting Reefing INSUNER c: Granite State Insurance Co 300 Andover Street.Suite ite 391 Peabody ,MA 01960 INSURER M- wSUHER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PC RICO INDICATED.NOT W ITHSTANDING 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.AGGREGATL LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAMS. PDUCY EFFECTNE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE rMM)QOt"1LIMITS A GENERAL UAeIUTY NPPS99939 05117/04 06/17/05 EACH OCCURRENCC s1000000 X COMIMCRCIALOENERAI_UANIUTY OAIAAGE TO RENTED 51 QO 000 CLAIMS MADE OCCUR MED EXP IMV OPP MA F-) 55000 X BUPODed:500 PERSONAL A ADV INJURY 51000000 GENERAL AGGREGATE S2 000 000 MEN-LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S1 OD0000 POLICY PE4 LOC B AUTOMOeRE LIABILITY 18104046AO37INDD4 10/15/04 10/15/05 COMBINED SINGLE UNIT ANYAUTO (EA ACCA.0 S$OO,ODO ALL OWNED AUTOS BODILY INJURY 5 X SCHEOULFO AUTOS IPm pm:anJ X HIREDAUi0.5 . 000ILYINJUHY S X NOR-o"EO Auros lPm a[uEMI) PROPERTY DAMAGE S (Pv][oBml) GARAGE EMIL" AUTOONLY.EAACCIOENY S ANYAuTO OTHER THAN EA ACC 5 AUTO ONLY. AGO S EXCESSIuMBRELLA LIABILITY EACH OCCURRENCE 5 OCCUR CVJMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION C WORKERS COMPENSATION AND WC4315629 04/01104 04101/05 WCSTATU- OTH- EMPLOYERS'LIABILITY PR ANY PHOPRIETOPJPARTHER/EXECUTNE EL.EACH ACCIDENT S500000 OPFICERIMEMBER EXCLUDED? EL OISEABE.EAEMPLGYE S500,000 II vc.decnbe I.M.r SPECIALPROVISIONF pnlma ELDISEASE'POLICYUMIT 5500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.EXC WBIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXVIHanoN DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _21 DAYS VIRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS URER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i ACORD 25(200tIDB) 1 Of 2 946256 OMN M ACORD CORPORATION 1968 • l..on►monau� of�a�achues�d - b 11.Pe.raaat.�1.1:.hf�tei�..b' 6M U/e LLO .SLd 1 c.a.ari 13.r cy "L .A.& OZ f/1 ce.a.e.a. . Workers' Compersadn Imoratum AlfWayft 1, Gee o �QSr (,oeC2 . . whilst princlpsl pblIa o/basimeas aL- QQ mdr. f t do hereby'cerdy under the pains and poniMw of perjasy, slop o/, I am an employer providtni workers' compemstlen coverage for my siaployses wwkhq o0 A- SLL Imamaatq Can*wW Po tip 1 am a sole proprietor and have me one working fir im in mW ealiadq. () 1 am a aok proprksoy general cormmmor or homeowner (drde one) and hove bind do contraetos listed below who-have the followbag workers' comrpensmalms po8dep Comvaetor Inturanu Company/Po Number Cosmsaaor Insurance Company/ Numnber Contractor Insurance Company/Policy Number O 1 am a homeowner perforrning all the work myself. • rsawwaa we a ccq of of avaaars we be for..aro" . " office Si Mwdeswas of ow MA ler ce.araw.wmcaien a"an 9*M a"n" co.arap w rcaarrs.saw Srciaa 21A of MGL 152 can km Y or iroenie of ori.icr agenda corwd" of a Ir of a 04 I.fCM aver am +cart':aaraor.ecar a ys a drr eiw in . a P WORK ORDER a.e a frr of s ifStJ 00 a an qiw er Sipncd this . day of 11316 Y , �►�La`f.�� :icerseciFcrmiuee omloln: Department jcensinl, Ecare Selectmen Office --;e.alth Gtpsrmer� _ . - —•ecGr je : : epa epe ape Tie