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315 LAFAYETTE ST - BUILDING INSPECTION (2) _ J The C'ommunwealth of Massachusetts l /ykSignaturc: Board ofBuildapg Regulations and Standards I CITY Massachusetts State Building(:ode, 780 CMR Zh Fdt ion OFSALEM q i i RevisedJanrrurvBuilding Permit Application To Construct, Repair, Renpy:a►�ur,R� 1ish.a 1. ?nox One--or Two-Family Dwelling ,`This Section For Official Use Old g Permit Number: Date Applied:J o`er Building Commissioner/Inspector of Bulidings Date SECTION 1:SITE INFORMATION/ 1.1 Pr a ddres,: 1.1 Assessors Map dr Parcel Numbers 1" 10 ac 5f ? ; L I a Is this an accepted tree!?yes no Map Number P,an•,f N tuber 1.3 Zoning Information: 1.4 Property DimensIsl t ,%'V •, _ . Zoning,District Proposed Use Lot Arta(sg ll). Frontage(11) 1.5 Building Setbacks(ft) Front Yord- � 'Si 4e Yard, Rear Yard Required Provided Required Provided Required Provided - 1.6 Water Supply:(M.G.L c.40,§54) 1.7 EloodcZone Information: 1.8 Sewage Disposal System: Zone: Outride Flood Zone? Public❑ Private❑ — Municipal❑ On site disposal system ❑ Check if es❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Ownerl of R ord ry►o�blc t c� 0� ,ci C t_ 3 ) 5, c�2�� S� Name(Print) _r_ .Address for Service: fib, , ru l� ��v✓��,� �r - Q-(, �k Telephone, SECTION 3: DESCRIPTION OF PROPOSED'.),,, all that sip ply,), New Construction O Existing Building❑ Owner-Occupied ❑ Repatrs(s)~O Alteration(s) O Addition ❑ Demolition< [3 t Accessory Bldg.❑ sNumberof.Units i0lher O Specify: Br1ief,Description o6Proposed Work': 'TYb - T <s SECTION 4 ESTIMATED CONSTRUCTIONe(OSTS' x Estimated Cosb.` Item 011lgial Use=Only I. Building s I. Building PermifFee S. " '. `Indfcatehow tee pis determined: ❑Standard City?own Appitca_fion Fee ?. Electrical .- s ❑Total Project Cose- Item 6)x multiplier x 3. Plumbing S 2.. Other Fees•. S 4. Mechanical (HVAC) S List: ' l�ol- 5. Mechanical (Fire S Suppression) Total All Fees: $ Check No. _Check Amount: Cash Amount: 6. Total Project Cost: S 0 Paid in Full 0 Outstanding Balance Due: SECTIONS: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) F-)q I —I t- ;! -3 /Z �r1'.r1@; License Number litpi /liJon Dale Name of CSI.-I Io1Jcr 3 Vi S#W--- - List CSL Type tsee below) r C JDescri ionAddress - - tnreslricteJ u to 15Donestricted IB2 Famil Uwellin Signawrc j' /l y� Mason (MIesidemial Roulin CovennTelephone esidential Window and;Sidin 9eiidential Solid FuetBtimin fiance Inxtallatiun esidemial Demolition:. r5.2Regered Home Improvement Cootrsctor(HlC) ` yX0Sci A egistrntion Number t Compapy� -Reess 93 siejp8 MA 01970 tion te y-jf I V'� E!tpirumtion Date Signature: ' Telephone " SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152. 1 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the=issuance.of the building permit. Signed Affidavit Attached? Yes ........... No...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S.AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, (C h ll as Owner of the subject property hereby authorize n, to act on my behalf, in all matters relative to work authorized by,this building permit,application. - Siurtature-of Owner SECTION W,OWNEIV OR AUTHORIZED AGENT DECLARATION as Owner or Authorized=Agent hereby declare that the statements and inforrnattotrorrthe`foiegoing application are true and accurate,to the best of my knowledge and behalf Print Nmnc//'' ���� 1. Signalum of honer or Authonzed Agent. Dale . Si ed under the ainsan& nalties of 'u-. . - - NOTES: I. An Owner who obtains a building permit o do his/hcrcwn work,or an owner who him.an unregistered contractor (not registered in the Homeimprovement Contractor(AX)Program),will&d have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be.found in 780 CMR Regulations I IO.R6 and 110.R5, respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq. Ft.) (including garage,.finished basemenl/attics,decks or porch) Gross living area(Sq. Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating:system" Number of decks/porches Type.ofcooling system Enclosed Open 3. "Total Project Square Footage-may be substiluleJ for"Total Project Cost" v The Common'iaeakh of Massachusetts = -- � - Department of Industrial Accidents d � Yl Office of Investigations I4 3y 600 Washington Street E/h3 Boston,MA 02111 Y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly ]Name (Business/organization/Individual): Matto )MEBtbC&4'Q%L l C 6 f R Id ffersen Avgttm Address: city/state/zip: Phone #: Are you an employer? Check the appropriate boa: Type of project(required): 1.Ltd l am a employer with 2 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or pxtt'tttne * ,—, have hired the sdb-contractors listed oit hib attachi;d sheet. 7. [] Remodeling 2:❑ I aW a sale proprietor or partner-' These sub-contractors'have g, ❑ Demolition ship and have no employees working for me in any capacity, employees and have workers' 9 ❑ Building addition (No workers' comp. insurance comp. insurance.t 5. ❑ We are a corporation and its 1.0.❑ Electrical repairs or additions required.) officers have exercised their 11.❑ Plumbing repairs or additions 3.❑ I a homeowner doing all work right of exemption per MGL myself [No workers' comp. 12.❑ Roof repairs t C. 152, 1(4),and have no insurance required.] employees. [No workers 13.0 Other comp.,insurance required.] •Any applicant that checks box#1 must also fill out the.section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then him outside contractors must submit a new affidavit indicating such. 1Coneactom that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contmeton have employees,they most provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 4 insurance Company Name:_-¢!1_L____ _ Policy#or Self-ins.Uc.#: �- ` L' ` (sp O;-) - Expiration Dzte: 3 zv ` Job Site Address: �J ) } � L Ste ' City/State/Zip: f Attach a copy of the wtiikers' 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 un r the pains and penalties of perjury that the information provided ab ve is rue and correct � Date: /G r/ Sienature' /J% ,�z, Phone# �� -7y //'' . Official use only. Do not write in this area, to be completed by city or town offteiaL City or Town: Permit/License# -- Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Phone#: Contact Person: 1 ACOPQ CERTIFICATE OF LIABILITY INSURANCE 3/16/20 0 1 3/16/2011 PRODUCER 508.651.7700 FAX 508.655.8853 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC - Main ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 233 West Central Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Natick, MA 01760 INSURERS AFFORDING COVERAGE NAIC# INSURED Atlantic Weatherization LLC INSURERA: Arbella Protection Ins. Co. 41360 61 Rear Jefferson Avenue iNSuRERB: Arbella Indemnity Ins Co. 10017 Salem, MA 01970 INSURERG' Chards INSURERD: Nautilus Insurance Company 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. LTA S TYPE OF IN POLICY NUMBER DATECMMI�O�Y DATE MWDDATION UNITS GENERAL LWBILm $500042816 ,03/20/2011 03/20/2012 EACH OCCURRENCE $ 1,000,00 X1 COMMERCIAL GENERAL LIABILITY PREMISESEeosunence $ 50,000 CLAIMS MADE OCCUR MED FXP(My we Person) $ 5,000 A PERSONAL S ADV INJURY $ 1,000,00C GENERAL AGGREGATE $ 2,000 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ 2,000,00 POLICY X 5®RT LOC AUTOMOBILE LIABILITY 93827400003 03/20/2011 03/20/2012 COMBINED SINGLE LIMIT ANYAUTO (Ea accident) E 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B X HIRED AUTOS BODILY accident) $ X NON-OWNED AUTOS (Per accbeM) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC E OTHER THAN AUTO ONLY: AGO f EXCESS/UMBRELLALIARILTTY 4600047820 03/20/2011 03/20/2012 EACHOCCURRENCE $ 1,000,000 X OCCUR CLAIMSMADE AGGREGATE $ 1,000,000 A $ DEDUCTIBLE E RETENTION $ $ WORKERS COMPENSATION WC1616071 03/20/2011777E.L. X AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANYCE11MEPROPRIETOR/PARTNER/EXECUTIVE❑ E.L EAOHACCIDENT E 5QQ QQQ C OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L DISEASE-EA EMPLOYE $ 500,00 Ilyes,descriWMMer SQ0 0QD SPECIAL PROVISIONS Wm DISEASE-POLICY LIMIT f I OTHER OLLUTION LAIBILITY CPLO152189210 10/01/2010 10/01/2011 General Aggregate - $1,000,000 D Each Pollution Condition - $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$O SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIBD UPON THE INSURER,ITS AGENTS OR CITY OF SALEM REPRESENTATIVES 93 WASHINGTON STREET AUTHORIMD REPRESENTATIVE SALEM, MA 01970 Rosema Fulham/PMA `�01a` ACORD 25(2009/01) ©1988-wiJu ACORD-CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r ACTION; !NC /II M J r rt 47 Washington Streetp � �� Gloucester, J Y 4 t iY p� iI Y't T 1Tax FxPm 16� C 11 r1�1^i t r tAgency, �� ISCAP v1 a' " K L ' tNGRkID.ApplJcatron PROGRAM iib AA°R�iWAP It !'�i xt ,y f r`- J a`� t'� �, "11 r`ma}£.seer µ .fi 4 ie, a ti lii s'.te- £ �-�' f , 46 ,Jr ,.4 dyd WIN' .0 DOE Work Ordec,#{ �rG* S .'0em Work Order=Date �2 a6 Ol/09/12 r1 a 4#ra t it w3- 4 "''' qlt ate* i e9a IF b 'Y -I5` Pnmary contractor AtlanticaWeathenzatlon Other Contractor f ' Manoheater Electric i.� § &r, m k p Cost"ofBu[bsw�,;^ f0 00 Cent Ryan Colhnss xl.r+`` ,`w. ssn'i� ,r° `�I. ' Stteet: 315 Lafayette Street 2nd`F7r k� yNtt ,h F Other In Kmd $0 00 r,m>r City,, State ,Zip: Salem MA c x f 3''r it 01970 ' k v Electrical Work, I€4, $(1 OU';'.�r>F'9 Telephone ('I81) 864 2288 fn;'rt s, „�,.,wwtN r 1!:,r J$Amoun„KeySpanI' x0 0)`�:', . xat `' ry . fa $ iJ+ �rNOther U'tCirlr4d� "h$Olt) Sk Blower Door Test No * - x a io-s Inspect Knob'&Tube Yes , t �' c`r ^-r a r 6 tY Date lob Com ' "- p EsumaYed Repam Total ,1 $160'!00 Actual Reparr -Weathers ation' ,i:'`i. L't"'r.�"` ,�`Eshmated ,. ,aYActualy.,c? , -kCost'�i�, ,a.,rEsE<Cost' ` �';�'ActCost;" Door kit 4, .,, 3 : 'uC �'$43'O:OF r U ;$.129r00 Regular door sweep 3 k';,� ,ec ,r ''"+L' $I SQQi s,"i'„1$45 00' ;r:"yC,w. rr'a�.ia rF=q Automatic door sweep [..t .a•'iw a tt "�,> r"$22 0.0 '� ;: w 'Air sealing 2-part foam.(per.hour) 2Y�.:: h£ �, t'r $7S;OO;I y° ;$d%S000F+ F, F+'±r''y'ji'JJf(.OVA-.; Attic air scal'ng 2-pan foam(per hour) ' -' 1" $75)O ' yx r rP' .. Weatherstrip er side - M, }1 ,+ ,a6A,�.Ruy,+ys; P (R. ) ` $ $5=.00::. pr.�.a C + i':nr 7dY " Seal ducts-mastic s�' cq" $62:00.. Seal duct returns-masti6- $62 00 '' ��';, ,$62 00, "H a++' u W/S&insulate attic hatch R30 m, ',p.$30;OCp . ' r a- weari,aF r c'vJ yQa:� ,aft ;Itt M'.[ r.y�dvY£k ' .�, v; t} .4 r� d1 $ r*1 ,-$MPS` S� atl �r .w.! g"°"G F:STaµ'! ; . ' r #. x.a y::d Jkx a. WeatherizationTotal;:n � ;'s' ^ „ .,r..,.:io' y,,,:, ,. r., j,'� xu ,s. .`' ' "�.r't. .i.� "Yta,x''.' ' ,.'.�. t�""� dnsulation 7t ;''',x: yS Estimatedr'. '"'sActual L c;; Attic flat R38o en "^' f�'M7',,;' : ".,t w_ ' ''$1�:40'i> " ,,,e`I«Y' N .L, _ - y��6tI�'+'ryra- iE - `Attic flat...R3'0o en � '� .o-... r ryx,." `'f,. ak'r $J,3ot " }n..h,+,.# .(kv h rrrx Attic Flatrslo eR30 restricted ,`�s 54 ,z1 '4!1.< 7,6:14' t u, Thermodome. n -,:";rrs ,-sa.,r:.+:.is�+.*n,ad ,.i� ti�`$L7S.00•ii x+n ��t7:�r*z,.,:=it:Ff�.�.l'"artA�wxt•.�%u: .Attic kneewall R13 FG.�''= ee +."`. ` 'la`tk.` `r ' . . ,. . . ,., '.+-$ilr 2�3d.: s: i,`�8.. ..,`st,; _ n47 .r 9 m=3�,'`rf raga f z" d .r4? rr 1 ♦♦I?ivR J �aa !?''�m-�p��'-rw5lrn ti= 'z p�( €, 1• 'Att k ¢¢well R'115 Be11 lose /membra a yy.,ji$1 GJ] 'Attie kneewsll;floor_'R30 resVicted 'y, `ra' '.`r.-...'{ s':k .-. �,-.,`+r.-�ari$1 4;11�"' ,, ,�,;w, .r, '9,58"u�,G, � r'L. p,6-_i, ;i''� Insulate-attic„stairs&walls"_ 7r# :'x¢'`ttLa '$130a 00r'kri�Y, �, ,s4� C_ �U z Sidewalk viny1R15DPsrin roc' ti't'1037 ,#" i .,r,$IlE70ro"' $ll'276290 ! 4 1; .u- � .. Interior wall!'-plaster Rl:StiDP"ux,�e,,R 4.,`s; ,Irer383�*°:"� ++• ...t'1 1 n Id.foain,board '< g Duct ms'ulanbn RS`&seahseams' `,g° ,:`"�' �393 '�'''' " `_ ', ��$2.95''-'1 '� , $1.,1.5.9 3S,dg, Hydronic pjperjnslnj to 1`?' SMj'iz(!'�i,`Y; ,. ..'.-,'s,?'.r " ''' ',I`, ,yc r$3 25' m ?'�Y �("S,sy-P'INM3,e 'd,���`♦y Steam pipe:insul �'I %rk' ....;` ,. ,. 3 .,r$2 SOr i a7 tv .�$1.S.00a .n=..�"-L.9�•P +ds:tia I nsulate door:.,] ngicl board R7°. - SJI2 part foaen,,q/EG batt Rt9s1J"g ,as? Insulation'Total ,a� r'`-r,;n .;�i','rRrl,u,'?°,`. 5''i�' ' `" ., a .7;._ e 3;70662v V.s"ac" ' "`s,'; J n A. rr s� v�«.+"f. E} ,. Other Measures ',`.,I "��,'"tily,r'_; Estimated n cutal+ ,a "tgGost �`a fEstCost"` �I I t',` Act.,Cost"; Roof vent small y , A .ta Cable,vent ec¢angulaz ,idi"..�i r iy,, .�r'?`a+u!.u'??'"cv r .. ;r . .... i+M $88_OO4 , t#F,s�� #A'l.�/ n'�41`�„1..'�� 0101 MH.3 "vd�. e lrn7'.15 e ;-Cut/f inish attic�/kneewall acess';,,�+�` 3,_ x''.J •: �4"1 f6bt0 ',0 ;Teat drill stdewalls '4'stdes` °',.�. P. VA i 4s, tP r'_5�;''' ... Blower door r {'a t„yeai�tg'a � ,'t sw, f 1 r W �' zs Vmvl replacement wundow'-±101w l r `�TM ' �'-'3's' �'"' ,$350 009_';,"a its `'r'f , gy"or , - - 'Eaucetaerator. 'll'�4 �ar Low flow ea showerhdn(?}, if ur u...1L<yFSu'�'u_3't.LCi'k ,="_'1"Vr �. y .F'l °..+•.fi b+ rf 3 y.,y° r`.. r $0.90,,1 L 1."f.. st''...,sr '��++�a`-$0'!00: .-�?`I "�,000 .' - :`1 rs.6,.,c uz Energy Conservation '?:=,nt�' }r „,{i,,pk-,. s'^ rsa±t� vy: '+ y•,�"`; r - rI:-'�' k ', 7 .a. r _- EstGost"� l t;_ ActP�Costi" Total: (Mo'.$10 000 04); ,6';,,»; ? ,'�; .,� ,.ref ',.'x., ;:«t ss k _Repairs, ::;:i, "* ": Estimated 'Cost @ost Act Cost"-�1H Repair/refit door a ,$50.00' - Adjust door sinker plate 7 '+, t' ` 1204 :; Door entry lockset „$70 00':: Repair door hinge x..*BC,. 3 �2JYp uc'-1i'�4�n� 9P rml Slide bolt f<:.�Mxs.�,�`:.,.tiNl + $2000,+?5A. r Sash lock $9:25�' '' .Steel re,hun`door w/hte � , r " :- $610 .k.Wc,a �.ssct Solid core door w/hardw'are. MOM:- Glass replacement-to 84161 '$42 60.�,".+ Saebudt interior bulkhead door w/janobs. Clean gutters( er hour) ° .. L„:-:.,. ,' $60004 ,,"$60:`00 , F`,Crc . .. ( ' Building permit fee $100;00icYn'rl'�43�.^.C* fie alth &Safety !! Tot,, ♦ ' 's °ti i � r'.'eviki Vent clothes dryer to exterior '"'"" or �� .r Y.r,;l. „n Vent bath.exiiaust fan;' ro exterior ,s"s,,. ;$85700- a' Rep l emwnAo_wi zd szre pra<tiies*y �5 »,�.u. ✓L'+.'N"`;'rn m ... -.a ..-,. Repa+r/H&S Toal (Max$2500 00) rt `$.,; 4, -- +,-'k s?,t z�'0•.r.,': s>'r k,�� r:s+,rta fr ,a1&i,'8 rr $?:,��""'e 1u ux:said° .�^-�.kruNa ar�k";:G�>-.�rh�r, ; Work Order'Sub,Total At y l u >i 5 yK ,d $A`tti <J" ']' " £• � y,r� ,'PI - j f �t\Lk M }y- P )'.} W < > 11 v Measures - Estimated `+ ,'' Actual ,Cost ,r ,i: ;Y„_Est Cost �., ActFCost),' % OtherRP Other .'.,='x5 +:Heating System Repair r.r . "r�,A.» ,s r" °4 k,Y.a`� ,y e,t $000, h5tu-`+r-S"` a�4.." - as Action a royal PP i&ub-Wiri��' +,rnyt k- u Jf s # 'tla t * T ,ft Fa m`yt.t1 2 Q, trLolt mat drJob,Toyt�al a `r"hW$�4j2�32�62 i<Err Job cannot exceedt$ +Fo,000 001, ,� - - ' 1 r >i r dp,dk �Sf arCMic i tW " ' J b mi nimunir $SOOt00 ��; g1lhrd, , ,,,Job3GranduTotalr=' � yM �$0'DOr; � 't ,� �'rv: I...%r .�kF ,s�-., �.T i''#�._. ,.i„F7,.."A3;rk' ' - e.y , Fsyr"It- ' yJ4I ACTION INC 7k aµ 'in �� K { Pa �,±nk 17 4r 47 Washington Street k w "Ftl� x, Gloucester MA 01930 "} rql 'u n rl r°ira'a, i "'FP'i( tr'y )- I4i, Av 'ragr,� n ,�, i 'u;r* a v. et hMyl 1 a 'f yr„ a,F '"3wtl i r' +'t " uu "�`' F>1 �G#fm �[ �I�S " Js .V )'cl+✓�'��.s 'u' "* 5 ' ` 1 , ;• Agencys j r. NSCAP -,lr'`(. r"F.� �� i�r w' ti•aa r#N1 '�dKl hcati"�ro�n#,.!,+�' t"- z axPx PP 1 I— ILLM"' c PROGRAM StiASAR[�,W �'t tty„r;♦"a `'" (v '.teal`" t^iy fr3wBull' Mvs.m�.�L JOB Ni;UIvER I, 1 I - ,fi,� v,� s—i l , 'tlSf41k dY LLf r V ttc�ti,t Viii, „`DOE Work.-Ortler-�# 't.r` w, z`p.> ?q0; �;.�� "=1'�4x'L�j ',E S C'pedformedx z„t��al�]ol 1 i - - - WorkOr'ilerDate at r'as r r k" x r r x " ,� cr +k 0]/ 9/32z�1�� �e I 9 "n PrOther Coitra�c'tor �: t merwaan°D,�°orc Wnow q „ .'Manche§tet�Electnc i, q,,,�t. air #Bulbs installed t 0 I �:« '�Q' 2 ,�. ' 1) ^ fr ,, Cosf 9'fBulbs�r,ayl;�C v( $D't00r% 'k';, '�spt{$175,100 nStri ee ts"31�5 Lafayette Streetlstlooi ter' - rrl: r ryry S'ttegZp Salern$hMA�' , rx � ,"rµ 'y,I OF970 xti'` I EI"ct`nea�lAoikl� � an$0001i'1�•'! _ A. rr,�xr r x r s k 1f I r '}d.vim- 4,4:C1 nA t ''irkM1 ter' v. ':.c c i Telephone (978)1744 2465 ,�, ,r,`u E.xr ;,a, 1 1 t$rAmountSKeySpan 3 ,a",qqY $0 00 jft _ k I „ b`� �' r}-A sunlr rArs- aY A bl �t d¢'' arNM1 0 00r . +_!` Blowerpoor�.Tcest mr Inspect Knob& Dube eroYeisxrtl!`1�-1 '`it"�i"?� ayd# r+l l ` wwl tt s 1 a rCi ,.1`h m,te.�,+t^'t"!F+ rYsYrJrJti e it�tlXff" r� - Date Job Completedr i_ y 1 "J2 r+ 'ti E ,may. y ,EsnmVlat�erd Repair Totel't r y � $Oz00f -Weatheriz4_t_ion v�'r � „ ; -:rEsttmatedr ,;, _. '�,+�Aotual�„ �Cost4,'�,�,,, � � st•{Costs Door kit' 3.00 'va 12egular-door:sweep .`.':""i .'"•,'�' : 3 `: + "b'�'"'?$15 00; -a ' -«f$4500.",-j"x', �.E gi`„'p4rJaRI�y"s(g Automancdo ro swee ';;;i; ._ s.:.g L„ :':� : . ">Fr '' Air scab❑ 2 rh g (par,Ft-.:2art foam our) 2_ ' Attic arsea1ing2-R4foam0erho.6, 4, .. 'i• r `.��`" ,.:, �;$751.00d t1�f ',`. 9#'�'r�' a fil, Weatherstrip window(p'er side),, Seal,ducts rt asuc a. a;e-a ,ate fi . s -�rat, s, "w;:apr, ' . :1-' ., `: : '+ 9 $62 00.,. ""d r"o-MA Ell Seal duct returns mashc;F' ;d"�"sl t !"'t1 4 t1 1' 1< 1, .d0$62.'00 '"1l a"„'„$62_OO s'"'�"" � 'ar '..�3- VJ/S&insulate ,atttc hatch R=3,0#o-r`.�+ ea :m'= �� •,°:,#., - >_�d$3000.H!� s•,��.y�� .,�,ri. ,afd�y� I x � M " i`+t'1 sspr i i ;N �t r $I� �.«x`t�A $OOOr'""J; .. „Yd:arirs5niY "rrr ..vr �` ib..or4:lf 1'nsulahon;.-: z r r x. t,;'�"`m Esttmated,IjF r-= ,i, Actual ,e,,,,t ' ,,Cost # . '� Esf Cost;"• f1 :Ac$Costi = Attic flat'R38oPen't` v•.-_+'s'"p f.,ri`�lt'I:z.� s + tFs r �t'. ..r�,fi$140 `it>„t,v,'Ailn'll .�h�"' �i. Tt'7: l, - to#i{W f E w ii '2 $1.30 ;;i, .,,.x ,.a�daat .n-^+ ,,.;1_3 a .;,,'?4 - .. ^> x r Mr st ,r,,, eAN 'Anic flaVslope R30 restrr'ofedr ' -z..+,r ` [[ k.,.$, ` Thermodome, - _Attic kneewallR13-FG.+.^ Aii k eewvllRlrS o II lose w/membi S'�r,fi. q:K Fy t ��s•..vyP��[' # '�`i+-`r..-,� � �s ' '!S s +�� t l�"- -� 'A'mc kneewall�floor R30 res-ric[ed' � .fr w/d-; ,,, �'„` ,r ,$d 4]"kr=,r t.S9i•;Ip� rP'P#,`h., „'� , Insulate attic'stalrs_&well's")r, �y ls-s,,,,,;�"wr- µ°'�„,,„ ,, , .. y: ' `$130 00:,; / jly`„ . a �' � .., -r Y� -sxy* ]kG: d -' i4"a tx -C•: ,. ... �, Sidewalk vinylRlSDPa io-�.as.I+J,td, g� I;1037,a,:as .°J',r, Interior wall":,�'Iaster R l S:DPyi 't.,.F rewY 3833 +�„( .. :: .. .... .:.:.a,2$L.8r1,o�j; u$693'23 ;xt�ti r?�} il ,�,.' ;,, rd foamiboard �� i. "�I`{: _ $` a �s185,s1.t[ir �.V3�,^ ' �il�I aI,F.�,�, - ; s � p,$ Duct tnsulatlonlYSi&geal,'seainsw'4'1�.'1,r '�391 Hi dromc ie_'vrsul,to L,:RS'f;� MIMI -,ifµ .,.,,gin;r��s , bJ MOO .. -. .µ, ^. rlia:.r Ir+ 5'r li; r,�.I `Sieam t etmsufto;�l 25 4R5.a tJe mow.. tX y,,,�$5,25,�'.;„;,,.,g,,.- DHW r e"uisuanon Insulate doorf'.Jn Id'bPazil„RZ• ,itF'�`ai= xx1 :a'"'�`.rar. ., ... �d $4,4_'�OQ ;, r $44t�©0"I. .; �he;" '�. � _ Insulation Total ,„_�,svt°irn�n �� "`tu'E=�wr+la4�r, 9's�d��s`" "�,�`�'�§.a{�!j% W, i�i�i�r,�a$3.�r4.�8:.�$fteY:.��$? H$,0?00•�f: y - * y . €, r.J`±"=n rk'n 1"ri'FrT,w•;r ,DOE xrP'r3'h-��$ W5��""'wl,A�xaul�u�'� mm• tnm ,t n+rF •I nv�'7� d�.e s.� Other Measures rF ,�N,yu i`ksY ifs"EsUmaYdd Y 4 '��,AcuYal;,yr 'FE u Cost y.d "` ,Est#9,',§t a,i ',AcirrC,ost . .Roof�uent small 1 o'a',7:-ftYi 1,'a , `- r+v+ r }x a "M'rya"iwla. .. ..,.,... rinse;-s.+��I n t ?< s•a r €i y 9r n Gable vent-Tecf 1� .. I'.)i�`>�l��t.^`I,gr�l! ap8u �1 ,fk :. r 3# �k.'t!'z 1r' n �rv:Li "q " R F. I "°lk JAr iiW '' ecessed can cover r , ' a d .<r ��fa- -`� x $30 QO a . �b ,iyrµ 1 r+ q R .a ...Iu aMn u,,F,' W ^as�; �, , '+r <� .a..,.. ......, ` aU$`1�OO;PP�' let�'l iJ j ,,r;'1`lh is�r a ,�c,���� �2u� CuUfimsh tttc/Icneewall aecesg " ' ,�. �T Test drillsdewals 4Mi i { f M'i< ee. Blower doortest i",p ,u'" ""$ir : .�.lr n'{iT• 9't ' . ui;!'Frt$4'S!OO�a .,x. f,ir l5?'�'I d�,,;:'' 'F 7 .;l:sl. - Vinylreplacement wundow}�:bO]utT`-' rtfr<t" �..`K`I. �r,;l.' $350g00.; .{''�y,lk' Nnf +"y ''3 °��'� r"'. Faucet �k�:$1T5,OO�na�1i� -�!Ir�'1.��L �'`vrylan a s 4 , l.ow flow showerhead .� rard +T"n$25.00 �u.•. • ? •u sad 5wl'.: 9 r�' s -J'-:: .1 J `rs v i ' d ,., ..: +, '�,$0"OQ.v�! ,�v"- w r r 1 I � orn"'m _R ar"s �r t.� g, : - s M 41 '"'d $0 00 Zj,4 '-,"(9t -, f +"' w "r„1 s. .^p Neil, t •HI $Q 009:+ir J T�„"sx'�j irt *.�Y to 'f'ta A,fa,:?ia . a>pt,rt`$O.00 Ir` .atr,•`�3e.k: _ 4,r."'"z, ���,�- - QtherTotal::'' ,_ .ie�#3+�• 17 )j;' ! x, JI, %.�". �i .�a�'.,•li v.� 3k''�x r� -4.,C'six' b,`;��'..a"��u.'�,.$0+'00'.w,' J mut, $Q OO.S.:-a ' �?.1.�_ tJ . 'to���:.��_ "1,�G;.s,fPJ '.,.�'*.9.'�w..hrt �.x._...r•...�.L�.+"..,.f�'_i��@,'ter uh-s3.J.�11•'.3ia R;i_Inr'�4 :Energy Conservation r .. -,, . . " `„ ' xl�R"a, >s ."f;i'><"t.,' it l . ,'w'Est Total SF0,00piE 000.00)` , '? ,(I'°'.fa, 1 .rrat' rK ah,i 'cy}sia'r na;er�y-ka Isi`P f�`$4 13g 58;'`t>3r ., MC pq .. a aC.. a5»f metl.�k. -yw,.Ena{Fa rIt Reparrs. '1 . 11AM4W V V211 osYh�: Repatr/refit door ;_s w Al .. ,lt. ,a" •'r��:'�-ai.. ;','zza`$50 00,y. ka a2� :�. rt o- Z`li7J, . 3� NLI11;i0i f. Adjust door striker late '�_ "'q` .: �''= u„f 'u'�•:a.,wk i1''�;$20 OOM C.x' +.`4:Y'��+k,3' a 1 'v", Lboor entry lockset rk e + T''as r_- ' �c o- ,"a 'I$7J0b,3 12e au door hin e _x""` ->., .,,- .�r �u_".'y Ott sn$25�"OOj=C'r. c. 'Slide bolt '` ' K +h <e r.F °':tm. ,z »��$200� ;�sw..drl3��rJ,� •Ei�14j�' WcYf wy," @ ++;x1,y' - $aSh IOck « t x �t�x^;.-bur s. 'V tam. .+sls , vs;.#7r r.J'.rag,ds 3 :Steel pre-hung door w/life' a ; ": t."'-'-: v fi -" ,,, ":'.;` $610�00�:."� ,c;'' 9kaj'„ 'a4' Solid core door w/hazdware °„�- k ' '°t'$35.0`00;d!�rlix, !. ° rr� 9` ,`"'.,A04 4l_�f Glass reolk6ment to 64:`.tii . ; �;-a `•� ..,!"6." MIj $,42 OQj, y ,,' a,`:a" �,r i{.k -'y ha a .:: d ne''4v$415 00.'t.m, + .i"-'cyy v .r_,ry Si, bull-ntcrior bulkhead door wjambs�, F n 8 _ Clean gutters'(per hour) ;V,ir: xI,-,i,u ""j r. �h w Budding-permit fee F,:i .r "';"ei ,r_.r'.r3''�.ry ? , . .. uY:` $100.001 ,Tt,Y(5 a ,""i,'.i; yr MIA g p'p y—111,t 'i-Iealth 8c Safe[ e ,7,? gum Vent clothes d er to exterior �'"t 'a - +'? !'$85:00"j ,Vent batheichaust fan to exteraor_ t .' Repl ement w ndow d sate P acttc > ,, i M "4 'x ti: r •$20.��' �' ,.M,F.S`l+.5)s j!� Repa{r/H&STotal.,(Max$230000);%r;e'.� ,tt,"'� ."•: ' [-1 , {`iennr3, fays.4t:vNy ' "as ,u;�$0;`,00.{r,k,--""..k,'.p „r;,F$O OO�gy" jlk }`e 4 .R-4 r,•�- A T^ IJ"�le �qi'•' I uf' _ ,+ �5r,�'1a,,,Y.e•'.'�r *, rrt: ! 'fr'f Y r+JiU t - "�.,i ,.p ro�'s� w y �' 3 •� { t P dF"#�5:k�j;t r`�*" `H.�M�lnrr rpr�£� °� � Ge��1z ��, es w a i� S fi 9 c o N,pt�,z!'>'o-`-z� - ia`i+l r+f 11 JB,�-t+u • deRrvtr ,�. ^k e=m e $,L- d 5'� �`$� * �. cs' n `' Ih' q_1,- ra ✓1 IF . ''.+r t1. ,'a,�i--�i,c ?''r .+ m y .,.c'�.'r,l•wrr €c. tLx�gi--e•W .. a� e .'<�w:u"6. ?'d =,Yya.et°.ekt Measures +' >��, ':r ;-. Esfimafe'd ;, Qctual.gj, '•;,•q.�Cost'> :%1k ";Este yCfiosjt y"w^�. ,'_Act Cost rrx' Other v..s,,t rJr?1+ d„+.xr''s"; .1 ' 'rg ` li` 'T.3' .;!'r�k$OOO,s,a'',ljrvt,` r „'_k' 'A"'c��!'.".�'•.3 d2;":1 ,tl�...Py ,r�.F. _:..'. "1 ."t, +t7 r� r+:a�`rh ^n•a, - 'x:7A�A.rlx# a +x Other 1 ar`a t-.t`tr.. +++ g Y. P `tl+';'J 'tv'tt cep a ,nl x'�c'$,OY00. 4.`a, Y t,,q'at q! i s WNW 1 ji# Heahn S stgm Re air '', ' xf,QF$0 OOq k s�+ w•-r nz '�''-' t"Pra` "�1 , f'Yvr, ' , yyyl.,rs.=x Y ,may Ht,xi oN,p,i [ t`r:.+''"'4 r;'in. rMP•rc *'T° `i '"r'#irfj i - t•,1Ac[tomapprovalao^�nly"!4`„ Fa` r+:_ n' ,aq+, Ic4.f' ii„ `p ru t° l fo s`h �Ih WWI aaY,d runs. �N °N�,r-wt ,iJE IJ �"+*• Fl _ - ,`.�-.1 KF 1 I:.�Y'��F '4� t »! 'tv„'• fii 1'6(t ''.�" a, iJ � ,++.tea � ft" �+fin�r,' P:,,d-'s+yp .''��f13�dn,'t hJob cannot exceed$10 000 00 ' lr, `Y,�,c 's #1' z' u '"xr� �"�' n�>,r a'J°kv"'� a j r n ate f-r,} 4r aq�w rc 'ta`dr n E rj + rtrN, Din tet` j, -flr w J l r 'l +v saw'-[y 71f� '�x'q-�• A,L1 „ty � Y t � t i g, t vY�, + 5 aFiw IKg t '.1�lnthYa,,. {..�.. r yYy� `e•+yr".y '?^ s*' �aa�5t0{�u� �.! f�'f� f�`-� �* bi � r y 41y;�I�A,TF'��'Y^ t k4i •"' Office of Consumer Affairs&Business Regulation �=('l10ME IMPROVEMENT CONTRACTOR TYD®. Registratlon 142089, Supplement EXPiratlpnr 3112/20.j12r ATLANTIC WEATHERIIZ,�iT10N L L�:C �1 : r 1y.. DARREN. PALM� •,2e ��.- 61RJEFFERSON AVE ' Undersicretau SALEM,MA.01970 _BUILDING PERFORMANCE INSTITUTE, INC., 107 Hermes Road,suite 110 Malta, Mf'120 2Q (877) 274427 , www.bpi.Arg..A-4' - It.i 0 . p DARREN PALM BP1 BVF IDif:SOIs518 CEBTIF:IED PRo ES5IONAL rsuwnxnxmrrexvmvwnom�xvmrwnox nxre� *-* �:VI ttsachuse[ts Department ot•Public Safety .' Board of Buildmt,Regul thous anti St ndart . Constructiorf,Supervisor Specialty License . License: CS SL 102962'r, -: w- -.rr• Restricted.to:. IC ' , ..,t fit., e J DARREN PALM ; 6,WYMAN TERRANCE SALEM, MA 01970' Expiration: 12113/2012 CuriunisAmwr� Tr#: 102952