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18 LAUREL ST - BUILDING INSPECTION Z- r -ftcCurnmonwealth promassuchuS'2M i liI. ii S, � �7- i-lIoI o -II W i id �',,.!......... ...i.- y ..- ..S. i epa", enl ;Dote Apphcd Building 411 ION A`-,a5 p ,e S se , Required Xril . A , M Y q' Zone EsIdif4poozancl n61ic3 j,Y f SECTION,2' OPE*TY"b.WNERSIHe-? j 2.10 eFd ` w N 7 . 7 - L, S1g . Nek`con- ' Efiolmr- nkBuildto V4 kR$M ' Wq mDWoii ixqepw90Numbero�i ❑COSPIVI - srri SI irCFM onoipipposiaydikA" ESTIMATED CONSTRUCTION p l'Sulldi 9WI feels determined. IAPPIICAUOMftc.x- , ...... g p i 'fi �F mounttC }h Amount cm 't k'. ; s 't.r,_s; tt"`9 nil wp "-l' -xtt, vv`nc�{. Tyr 3.E*�i •"-S 4at" r yql `"T'3r s `Te h. yea x va r s db:t srs,row cy.§� v v^ '...'� ' 3Xl, 4 t...iri w� 51€�CirensedCbnetructtanuup�"rt`+)wr{G'S4) 7�t+tg ,,x> ����' €�,�,� -�'� �,,,��✓ � � "'`, „-H z "h! f r T +^'Y ''�.`4°,I7 ',ryf la f£°`.rt iC +"v"'tKx"cv �a� .,p{ t-'�l. :rtb 9` —` i t �4y( y aay} .5't" 7rnt s '+'.5 e k.�- tf��rt N; -� + . ,Eit r�tTu DLit s �. '>�i -r'�-ys` >' I! , (�cTY �^ }61!" M„.'�.y '�4}SQ "i 4� �$ `4 r 3, F 'Fk t. �"}.� 7 .�. ivA} hl.Y x�.+� � � J•4 � .:.4Y} k. e `��..�y,X`\�r��+� � t +•, m" � a ,tth' i ktinresldlied{u to-3$ffwCILFY.)�'v 'r�,; r . ,, tr , `� ✓ #M_a Mnfo '.fJITI �,>< tea.., rcv'd�+'a�dsx .;y'�x�y is � ` , r _ Reslucrm l,R4v6n"'C-oven ! ' 4xa,f �" ''" =->�u�_;€ � � � rfti-� r ., �y.r.,,� � �'�'� z�r^SF,S�"xRc3idenitfllfS4tit1"iEn�l$Cirnln ��A' IWtttc;7nslLq�txin xt5�� - DCltltfhtiun3u2,' r 5 2 RegYsie d � Re tsYmdnot3bmber s J f - f x n i"X aSECTiOIV 6 tWOAIERS'GOMPENSATIONiINSURi1157CEsAFFIi?AVIT((M GIIi rSZ s$°25C{b)) ' '- AUb � x �.r:' .s< rn< w.. -rs -s�.; `�t z� x,Virorktsre t�ompensn�on Insdrancaaffdayrt,must,be c4mptot��i`nd Sut�ttted,with- h�s:appiicuti6n.+�wture nt pruvldr�r y < � ''� this�tffidteJtk�w711resuttinttte�de`riini+oftherls�iktncar��(he�bud�ing'�permi�` �� .�,�, � k, � „$ '+ '� ,� r ' �SECI YONi?n1AOWNERfAUTHORIZATION TO HE COMPLETEDMHENW � �OWNEB'3r�AA�EN1'-�1�}1�CON3'RAChTOR+SPY'DIES.'P'OR�BUIL'DING�'E�$M�1'u`'.> rvxry' 1.`^'r .+'c' '� !. VIM VI + t T'`, t- y, > � h r+, t7ivner of rtie su!)Ject property hereb} Tl ' , r authonzef yt { 'xz n R s k (o aei 4rt fiy behalf in all mnhers 3 c rc•*+ ply> x e.".- L x rM.. I s '" ? F"a y f ,-F r � ,.Nv� �relaa��td",w4rkauttoriudbyttiisbut(dtngpermftnppliration x a { 7 SECTION 76t OWNER10R AUTHORIZEDrAGENTflECY ARAiTION r• t i ' •s � {✓-.-*�* x �. K L• '"�r S���3�4 `��?� '� ?��2''� ns Ovmer or,t�uthoriard Agenf hereby declnre "' tfhe stbtements t ed information on the fomgotng application we tote andcctlrate ttl"the best of my tthowledge and s r +C Fs a„xs a - h' �A@.2� t �'. � tom' � '� r ✓ .+ �+1ty ( E €k7 .t v t amen -kkn� ,y�r'� ,x ti �` ' (S( edi'�ni}Grthe atnsandpea C h , tNOTn7 -i alb A40tiilner dotifans a titGhling permiCto do fiislher own C)-Ptwo ic �u anAwruwho hsres an unregistered�rontruitor , ' �(aoriis�'erect'i10 ineni Home iru� Co treg o'GL& t'HIiogmm�,will pt hn e.aceaLS to Chaurbtttatitm r , nw a p <pan ° on Snpq fm :i g C�5L} }fQiindn�$ itRguFntioiisl l O�R6 atdro R5tsppfrvely ,A, z2 When+§ifttantis)'Workisplanned„prowdathemfopzfatt6a ow ,( .vts Li TF 54Y ll '{Y.•Y f-V }y F1 .:d x F } L 1! } , rv`, Tatrai floors area(Sq Fk) n f :(mcludmggnrage finished basemeat7auics desks urpurt.tit f ga`NnbHU It'room ltltjnt ^ ;e� 'fir {r•„t, t + ,Numb�r4f;,firepinees � c ,rt €t,�> , Numtierofbedroortts�4'� 3 �. � �- -.S" y�:..NiiinbCr�OfSbSth rr401[48� >G -�•, a` d..y t _s.} ra r�Umbet�f haifPouthk� - � r'' V,r y"cw ? Y sawwtu '+try sY sew r C a -Y w t .+, a s t ��Typepufhen ng�s'em+` '��`"' �� x' r �s *t�iVumber4Yder:iuJponhas�' _ u , � ' �� 3 >°f,J Yt'4ft.44tin�SyStair�k>r ' w 3w PoW I'tojert SgarerFaotnNenaY Jai snbshtuted forfotaE+pro�eci Cdst' :}4 ru ' r f- d Sk + 3 y CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT e a.,safa,r iait9cott MAYOR 1JG a►A20crC0S"esr.sAura,MwUACttuaM017,o Tes;97L7O."" a FAX WW40.96% Workers' Compensadon Insurance AAidaAt Bnd&ryContraetors/Fketi{etanyplyy� Anoticant Information Ant L"Aly Name 1 y Q, n t� Qxtill is\�\ C Address• 9. Q�(sX q1) city/state/Zip: Rhone if- T7FS a2'l At*you"employer?Check the appropriateDb I.M4-am a employer with�_ 4. a S,Mersl contractor and I '�etproject(r'egdts4: 2.[31 c�(!hB anN«past-time).• have hired the & Q Now construction peoprieter a partner. d oa the atettehed shoat f 7. Q Remodel;ag ship and have no employees wb.eamaeteA haw 8. working for ono in a�capacity. ers'cooW isruaea� ❑Demolition [No workers'COMA inauance 3. pre a Corparstien and its 9' p addition ,re ga have eseeeiaed their 10.p E fttrical repairs er additions 3.❑ I a homeowner Joins ail wont otms par MOL 11.Qpiumbinp:�aha a additiona MY (NO Workers'Comp. .41(41 and we haw no12. uulurance t ❑Roofrs4ud] oyees(D►O w Orirms•momence 13.Qrequired]Nam.ow .;Any aqwWasma ho w6�is m bas atM�ivltt•o ton w�e..«uo. o den�at.a-=.cseq.a.,y,a yot�,tr'.ndne►itea,trt ebaak tA4 bmr,tere rerLd ie dobgdc lahnasdmL d 60 WOW cut"aoanrtaa moat robosk a w U 56vil�ayaa weft. 'tea sr atwe dt6a wbeaatraotpa and - !one dr wafter e+omy,pslty tdnasalm er that b aPby rovfdbe wor P t ken cow acradow !n/orwaakw ' %+►+y earp/oytes 9e/ar b the pa//ey wedj b aAtr Insurance Company Policy N Or Self-ins.tie.N wCi a 3l S-4$sl ( -058 Expiration Date: �lp0 ` Job Site Ad�eas Attack a copy at the workers'coon naadon CirylStatellip a �M{ ��\f1 ll� Pe Paih deelaradoa pago(skewing the policy number and esplrados dab). Failure to secure Coverage AS raryired under Section 23A of MOL c, 152 can lead to the 'fine up to 31,500.00 and/or One-yar imprisonment,as won as civil dOa otCsfinfiw Penallfa eta of up W 3250.00 a day apimt the vioyta. as advised that a Mies in die form of n STOP WORK ORDER and a fise Invatigadons of the DIA for insurance coverage verification. of this statement may be forwarded to the Office of !do kereby cork&ender&a pates and pene"M oJperjwry dw me in n /orwodow provldd chow b tree awd eomres 1 Phone#: �-7 g-L-1 $q! ,b I6 OfcW wu onlit Do not write in A&art;to beCowp/etW by CIO or town o,Qle/al City or Tows: g h(etrehe one): Issuia Authority Permlt2leense N 1. Board of Health 2.Building Department 3.Cltyfrown Clerk 4. Electrical Inspector S. Plumbing Inspector .Other Contact Persos: Phone N: r� Information and Instructionsemu fo<&e;t �tassaah sum Geneat Laws chapter s defined ed pawn 1° he Service°f another ucarropgrosander anY CO°°Ad Of" Purauaer to digs sntub,an e+rrPf�yee express or implied.ofal Oe wrtttes' _ association. ar tuber legal entity.or any or the An attpfa'yer is defined 25-as individual.pa and or more Rmcbtd�i legs "es of s deeeased employer. m a joint ++� employee. However the of the foregoing enisg� , . gating,at other legal et►nty. 1°g receiver a mutes of an md►wdual.phi: tied who sides the:eie.err the Qaup�of the owner of a dwelling bonne having not more thus throse to do WormoMaWom ea c O°a�Work an such daaitia{heOM of another who employs P of such employment be deemed m �pb . dwelling btatas Srounda or budding appurtenant ate ahs11 not beeattse of on tiro lft"SVIIIO AA withhow the Issuance or MGL chapter 152.$216)also status that ba�ustataa or s or a sstssal hbd>dis0�CO6umOnwet�fer a" resewel of a Bau+e er Permit °tea 1.e�Waeq of eotaprasta with tY Wnraw Cove"rageh'e�. shsn aPPpddiesn' 1 .M cyapmr mat� la 02.$23C(�armse"Neither the eommoawe dtb��of�h�am any of ift Pali, with the mataanae persornuum afrAlic watt am eater contract for dou - of this Chapter be"bin presented to dw conwwft suthafttY• requkeumms r Appas s" at�avil eoM,..IY by ehxiang the boos that apply to yaw and.if pleas fill out the assulnede (ea)good phone gi°(L� theirnecessary.supply suh4on" s ame(ab ad p other tsn the n insurance• LimijudLisbility Limited t Corrientes carry w camrpmssd°° of Iaduaaial msuran.& If an LLC or LLP does be" not required member eat �� Be advised that"a afdavit meY be wl��to the Depatt�nt Panay cot insurance Alan be sore m sign and dab the atfldaviL The afiidsvit the �" Accidents for asfitmation lieatios far the losere t at license is being to obtaina wofkaa' be returned to the City of tnwa that the app the law at of you are requited their lndut�al Aaidents. Should you have any queatio�mt listed below. self-assured compatm should enter compmau Pam•p thes"can don me li� Self-insurance UcOn"onomber an City or Tows OfAelab The��has provided a space at the bottom that the affidavit is Complete and printed legibly her to contact you regarding the applicant• Please be sure at m fill out in the event the ot$ce of Investigations of the affidavit fa Y ettee number which will be used as a reference number. In additio4 an applicant Please be Sure to fill m the Pam in anlicationsy given Year.need only submit ore at8dsvit indicating annual that must submit muluple permiN cCANG -Job Sue AdtheY"the applicant should write"all locations m��or information(d nQuastY)8°d tun the city a town may be provided to the policythat has been of abreiPed a marked by town)"A copy of the affidavit at licenses A mot afudrvir renal be Slled nut each applicant as pfoaf that a valid affidavit is on file for fattre pemntb not related to any business a comnlwctal vwertu Pp owner or titian is obtaining a bcessa at permit late this affideviG Yen.t I; or permit m burn leaves am.)said parson is NOT requited m comp your cooperation and should you bave any quea The Office of Investigations would like to thank You in advance for aons. please do not hesitats to give to a tail .s address.telephone and fax ammbm: The D`pareag t The CoMmMUM of Massachua= Mr- nned of ImhuttiW Accidents ofriea of twesdpduas 600 washMOM SUVd Bad^MA 02111 TeL #617-727-4900 Md 406 oc 1-&77-MSSAFg Fax 0 617-727-7749 Revised 5-26-05 WWwjm&s Vv/die F P A ACC N+'. iy^ti r ll � a�n x ar r +5 � - ,� Jte rd o�g�lat�iOn-s an tandar s� One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement=Contractor Registration Registration: 104352 Type: DBA Expiration: 7/13/2010 Trp 270077 GLENN BATTISTELLI CONSTRUCTION Glenn Battistelli PO BOX 496 — - - - - Beverly, MA 01915 Update Address and return card.Mark reason for change. J Address ❑ Renewal F Employment Lost Card PS-CA1 Q 50M-07/07-PCe490 (� ✓Te i/1M)Yn[OnU/ea�.hi (r�✓ ivarsC+liUdell4 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 104352 One Ashburton Place Rm 1301 lug Expiration: 11,13/2010 Tr# 270077 Boston,Ma.02108 Type: DBA GLENN BATTISTELLI CONSTRUCTION Glenn Battistelli ,. 11 BROAD WAY REAR /P.O.'BOX C.,d4.....` ��' `L"—� /-- oc Not valid without signature Eeverly,MA 01915 Administrator LMG 10/29/2008 9: 16 PAGE 002/002 LMG Liberty Mutual Group i ■.rbertX P.O. Box 9090 mutum. Dover, NH 0 3 82 1-9090 Telephone(800)653-7893 Fax(603)-245-5330 October 29, 2008 MiARY O'LEARY 18LAURELSTREET SALEM, MA 01970- B'.I;: Certificate of Workers Compensation Insurance Insured: GLENN BATTISTELLI GLENN BATTIST'ELLI PAINTING CO PO BOX 496 BEVERLY, MA 01915 Policy Number: WCI-31S-455968-058 Effective: 5/11/2008 Expiration: 5/I1/2009 Coverage afforded under Workers Compensation Law of the following state(s): MA EmnloveT, rs Liability(Limits Sole Proprietor/Partner Coverage Election: Bodily Tnjury By Accident: $ 100,000 Each Accident The workers'compensation policy does not provide Bodily Injury by Disease: $ 100,000 Each Person coverage for: Bodily Injury by Disease: $ 500.000 Policy Limits GLEN BATTISTELLI As of this date, the above-referenced policyholder is insured by Liberty Mutual Insurance Company under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions, and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is is sued as a matter of inforrrwtion only and confers no right upon you, the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date, Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP Ibis Catiasaie is c=s d by LIBERTY MUTUAL INSURANCE GROUP m=4 &smhimw- n is of i r ed try Qvse cm�riee. cc: Insured Producer of Record GLENN BATTISTELLI STERLING INSURANCE AGENCY INC GLENN BATTISTELLT PAINTING CO P O BOX 493 PO BOX 496 BEVERLY, MA 01915 BEVERLY, MA 01915 YYYY DD AC ORD CERTIFICATE OF LIABILITY INSURANCE 10/0 DATE 6//2008 21008) PRODUCER (978) 922-6600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SterlingInsurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 306 Cabot Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Sox 493 Beverly, MA 01915- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Commerce Insurance Co. COM Glenn Battistelli Painting INSURER B. Battistelli Painting Co. INSURER C. P O BOX 754 INSURER D. Bever/ MA 01915- 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/DD/YY) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY WV1751 02/26/2008 02/26/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED SO,000 PREMISES Ea occunenca $ CLAIMS MADE FRI OCCUR / / / / MED EXP(My one son) $ 5,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JECOT LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS / / / / BODILY INJURY SCHEDULED AUTOS (Per person) $ HIREDAUTOS / / / / BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE / / / / $ RETENTION S $ WORKERS COMPENSATION AND / / / / TORY LINITS OER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? / / / / E.L.DISEASE-EA EMPLOYEE$ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (979) 921-9202 Fax ( ) — 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 Mary O'Leary FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 18 Laurel Street INSURER,ITS AGENTS OR REPRESE VES. AUTHORIZED REPRESENTATIVE Salem MA 01970- ACORD 25(2001108) ©AC RD ORPORATION 1986 0"-INS025(0108)D5 ELECTRONIC LASER FORMS,INC.-(800)327-0545 Page 1 of 2 Glenn Battistelli Estimate Painting, Roofing, Siding & Carpentry DATE October 29, 2008 P.O.Bok 496 Quotation # 100 Beverly,MA. 01915 Customer ID (978) 927-8956 ( 617)-962 1235 fx ( 978) 921-9202 Bill To: Quotation valid until: june 3 2005 Prepared by.- Mrs. Danielle O'Leary 18 Laurel St Salem Ma 01970 978 774 2898 774 9346 For every job we : 1) If necessary, secure Building Permit from the City or Town. 2) A clean job site will be reasonably maintained at all times. 3) Contractor has all necessary Public Liability and Worker's Compensation. 4) All work will be done to code. Comments or special instructions: � f: .-i vN nr;ia " nys�. _ p . U'�.,:;. a -* I � a m fxDescri ton °w AMOUNT' Remove the existing front porch Build new front porch same size Porch to be framed with presure treated wood Porch frame to rest on presure treated posts attatched to existing concrete footings Deck to be correct deck flooring Install vinyl lattice around base of porch Install primed pine skirts, risers, and corners Install fir posts, railings and ballasters or plastic Remove trash $ 6,500.00 TOTAL If you have any questions contact Glenn Battistelli 978-927-8956 THANK YOU FOR YOUR BUSINESSI