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38 LAWRENCE ST - BUILDING INSPECTION �LiINSiNli6fi�£flLfi}4*0 APPROVED By T44E JdSPR=C10 PH" TD.A.PERMIT BEING GRANTED CITY OF SALEM / No. Date is is Property Located in Location of aw Historic District? Yes No duildiag 'W L°`JoZNcc is Property Located in aw commission Area? Yes No BUILDING PERMIT APPUCA71ON FOR: Permit to: (Circle whichever apply) Roof, Reroof Install Siding, Construct Deck, Shed, Pool, epaidReplace, Other: PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: // Owner's Name D��4+4 #A0cf4 Address & Phone 3S 6/' rW F,)Jc4C- 5-1— L2�� 7y��2.55 Architect's Name Address & Phone L Mechanics Name 4-- 12 Address & Phone 1 13 C . DMZ ST IVIJ-Faeo /—nf B i7s7 (906) 712-777) what to an wrpose a buNdirq? 02 F Material or buk"? n a dwaiikV, for how many tam6n7 WIN b Ading comorm to law?�yF� Asbestos? Estlmawd coat 16,000,P0 Coy U010M a N A stow Lkmm a Lit' j_QQ14,;--6 Signature of Appilcobt SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE JAl iTi4CG I f� V1 � C �� /r b//,UDOLJS• 41JI714 -- a10 MAIL PERMIT TO:j3���Roe l/3 r-FIPAic sT- A/zrojm /CAA 6PI7,5-7 No. 4, APPLICATION FOR Q� PERMIT TO // LOCATION 38 LAru�.�M�e sT PERMIT GRANTED AT 9, APPR VfD OR OF OUILDINGS i r _ - ✓�e �o�nnnanueaf�/ a ./�aeaacluuel BoardafBrdldiag Begala6ons and Standards. License or registration valid for individdl use only p F HOME IMPROVEMENT CONTRACTOR before the expiration date, If found return to: Board of Building Revelations and Standards � — 1_ Reni 'T^d 9O on Plg56 One Ashburtacem A1301 �- ,m;T-�212008 i � � � Boston, 02108 ttl mwp pplement Card SlL^RAYP33IM' - 40 ,> s 241thQ�utsig /nDELMCN1�p �'3 �s .-��r�✓ELMONT�IY'1Y-003 3+itAt�alid_ . .,:�idmmistrator _ ° he Commonwealth of Massachusetts i Department.of Industrial Accidents Office of Investigations h 600 Washington Street -- cy Boston, MA 02III www.mass.gov/dig Workers' Compensation insurance AMdavit: Builders/Contr,,actors/Electricians/nlumbers Annlicaut Information Tease arint Le--ibiv _Name (B=ess/Organization/Indiviimi)): ': _—IRi` C I A co F r � Address: City/State/Zip: J //� r �- Izl t 1(t / e rr i Sre you an employer?-Check-the appropriate box:- `- Type of project(required): - 1. I am a employer with aO d. ❑ I am a general contractor and I 6 Ntw IFonsuumon employees (full and/or part-rime).* have hired the sub-contractors R modeling 2- I am a sole proprietor or pamper- listed on the attached sheer. # ` 0 ship and have no employees These sub-contractors have S. ❑ n Demolitio working for me in any capacity. workers' comp.insurance. g. Building addition o workers' cam insurance 5. ❑ We are a corporation and its p. to Electrical repairs or additions req tired] officers have exercised their . 3.❑ I as a homeowner doing all work exemption p 11. Phmmbma repairs or additions rig of ex non per NiGL p myself. [No workers' comp.. c. 152,§1(4), and we have no 12.1::] Roof e�nairs ji,srtran,e required.] t employees- [No workers' l: Other comp t n eq nsr race ruired] `Any znnlicant inert checl6'oex;'.-i mas.also f l out the section below showing their workers'compensation oo5cy information riemeownets who submit this zn,davit indicating they are doing all work and then hire outside conm=m Tout sunmit a new zndavit indicating such. 'Conmcior tbat check this oox must attached au additional sheet showing the name of the subcontractors and their workers'comp.policy information. I am an emplover that is providing workers'compensation insurance far my employees. Below is-the policy and job sue information. / lnstzrance Company Name: &e1_1 / r1 i4 Policy'or Self-ins.Lic__ o C_ / o Expiration Date: Job Site Address? 4.ffW 9ZX0eF ST City/State/Zip: (l 7D Attach a copy of the workers' compensation policy declaration page(showing the policy number)and expiration date). railure to secure coverage as required under Seca on 25A of MGL c. 152 can lead to the imposition oflcriminal penalties of a fine up to S 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 ro 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of le DlA for insurance coverage verification. I do hereby certify under the pains and penaties ofperjury that the in formation provided above is true and correct Si�atrn e: c 2 Date: 9- Phone Official use only. Do not write in this area, to be completed by troy or Town officiaL - City or Town: : PermLicense#. IssBoard g Authority(circle one): 1. of Health 2. Budding Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. er Contact Person: Phone#;=< ' 9!`i4/2095 16:2q 51682°5957 SIZE PAGE 02 �®�+p � f+ DATE INMRIDrY1^'Y) • __ INSIrDI�ANGM OP tD + Qn t1</f75 E IFILA i E aF LI�:3II-Ii1` �✓ �"'C THIS C='RTIFIDA7c 75155U�D AS A A1AT^n DF 1NFORMATIDN CONP-RS ND RIGHTS UFON TH E CcRTIFICA i E FRDDunER ONLY AND =`TEND OR SCS A4an=P• =aD, HOLDER.THIS C-cRTIMATE DO°5 NDT AM=NO�-� p.0. 3Ds: 220�93 AL'fcR THE COVERAGE AFFORDED eY IH=PDLIClE58cLOW. 11 G=aDe AveelDe - ' suits 300 NASC19 G-eat Neck S1° 11022-0493 INSURERS AFFORDING GOVERAGE �hoaacHl6_-5fi-5007 ??Eu::516-529-5557 INSllfaelA! wmiceae snauxva-^" �"'Y INSURED INBURSR H: INBURE'P C: v+_LvL.>a+tv'a xa.uv.se. as. 3{_, Ray ,D,i,= giaing Co=Q- INsuR�to- 4D Zj=n; +R7p03 INSURERS: ;'.1moIIt SSi DRTHE POLICYRI➢➢ NOSCATGD.NDTYfITHSTANDING COV2RAu=5 OW HAN=R�N------------ ISSUEDTO THE IN$UHED NAMED A9015-r v ICATE MAY BE MSUEO DR yAn{R-3pSCTTD WHICHTHL GERf1P ND➢ONDTIDN80f SUCH THE ILL--IES OF INSURAI:CE LI87x0 P2 YL➢NTAACT OROTHERDOCUM:NT .�ERMS,E CWEIONEA :.NYi.6-DJGi'TIEN T�T�MORCONDR10N OF ANY GESCRIeED HER. G3U612�'��LN` MAYFJci AIN.THEINSURANOEAfFO-nOEO eYTH' I IA1T6 rvL;Oi=.A:,GREGATE WIRS SHOWN MAY HAl1E er=NF�U`So BY CLAIMS _ _ _ nF.r,MNmaYn Ie�,D°a,DDD yy POLCY NUMBER DATEllAwo�nMl- BACK OCCUR CURRSNCE �nINSRD TYP?DF INSURAhDE - - '�' I$ }.DD•QDD G-NERAl Lusu.m, OB/25/OS °g/25/06 PR5MI9c5(Ea eEvrence 5,000 CI)UN:RUM-16SEPALLU1814try 8GL-89479-D5 MED Gcp[Anv oRa PAN �5 A }. OCCUR FLRBOHALS AWfNJURY $ i3ODODDO C:AIhiS 41Ap= " GENE RALAGGItEGAYE ;3 r D°D,a D D FRODUCtB-CDM1IPIOP AGG 52rODDrD00 I G@D-AGEM-CATELIMITAFFLIE5 PER: I . 17 PDLICY 1 I JEG7 j �' n LOG I DDM01N�9INGLE LIMIT S IE¢addErt) Au-,OMOSILE UA81L17 r2y INJURYLiNY AUTO 60D A p-rem) S ALLOWNMAUTDS { BCCY RULE-O AUSOS (Pt➢realtlC11I I S HIF.-lO AUT06 - NON•OWNSOW= PRDFEAN DAMAGE S Ipw (AUTO ONLY-EA ACDR)EHT 5 I E.4 Aug S GARAGE LNEILRT AU=THAN DN Y: AGG 16 n ANY AIVTO S EACH D:CLMRBN a AGGASMAT. 5 EXC`_69NMBRELLA LIAEPITY � ; OCCUR �=aq MADE 5 6 DE'DUOTIME '^• 1 TORY LIMITS ER ,W.R_ NSOA 5 rrDRtt�camFEA:+DN AIID 09/2d/05I 09/2a/D6 EACHA s I EErlT DD66° EMPLOYFFS LIABILRY WC9305913 E.L DLSEASE•Efl SMPLDY - ODODO 3 I ATV PRDPRIERei?AfREXECUTNE D EL➢IacA6E•FDUC1'unir SDDDDO FFtC?PIMc-Meet ExCUIOF�T 11 .LA ICE Slo 9F--.�.IAL pRD'/ISIONS helve oT11ER I lD/n./05 C DiDaLility 1794038 D-c9GRIF i ION➢�DPERAT7OHE 1 LO^.A'TIONS l V'-HICLEG7IXGLUEIDNS A➢OED 8Y ENDOR4gAENT 1 C+PECIW-FROVISION6 CANCELLATION CEpM-,t--AT-.HOLDER TOWNO%l SHOULD ANTOFTHE ABOVE D li NSDRBRa 6L ENpEI,,RTnMMA`L 30 �OAY$�FWRTN OATETHEREOFi THE ISSUING 1N$UR6R WILL ENDER DA TIGETD THE GERI7FlOATE HDLDERNAMEDTOTH'_LEFT,6U i FNLUPETO 00 5D SHALL IIpOSE NO OEIJGATION OR LL;SJUT+ OF AllyK=LWON THE INSURER,nZ AGENT$OR gwryESEATAI'NIm JJJ aUR1OHIZEL REPREDEN(ATt����/ GORPORATIDN 1888 0. J ACORD 25(20011651 f • Id {luY.P?.APop-nnAN��WIA[➢Olh'&D7PR aYET_MS - .e�C. -. +:.An=hAmon=oPMPAM . sigh I j3 n lTimyl DE)OLP RIM-9 - — - p32GDN rl11-J�1N� _- 9�ng�ouaeil nergysavmgs will�ipead_13n yqur�p e di..wliipair,�ouseandl_-rie�yle - - Cs.we6sdw.af -e Fn[mnn�ntannanon, . - . -� 1.1HIIIIY' II Y.I1111 e . ' Lodlar Heatua; > 7ransmrtance . Imo^- lams a wersbnu ass iGa file r�npsmma,Mt apo�ca61 envmnmera vipol° i L2nBmypTtrmsnc..h'FHGrzfng aretleemmedipraic condtpmidsp 'dicnroeafts=— s " i i 5I wu i .. v SOLD, FURNISHED & INSTALLED BY " Sales: 1-866-466-3853 FH oo Ril-Ray Aluminum Siding Corp. Service/Repairs: Q of queens, Inc. 1-888-245-7294 F.I.D. No. „-232o44s 190 Cedar Hill Road • Marlboro. MA 01752 JOB# 5 �o (27924 MAPIE LIC.N0.DD1893 • NH LIC.N0. •MASSACIIUSETTS LIC.NO.120456•VEDMONT LIC.N0. •RHODE ISLAND LIC.N0,13707 NDN YORK CITY DEPARTMENT OF CONSUMER AFFAIRS LIC.NO 0730686 • NASSAU LIC.rm.112704150000 • SUFFOLK LIC.NO.21194HI •YONKERS 1397 • PUTNAM PC934 WESTCHESTIEERRR WWC0613-H87, • LONG BEACH GC20���njjjl���• NEW JJERRSSEEY/LICC ENO. 9949269 • CONNNECCTTIICpU�TT DEPARTMENT OFCONSUMER AFFAIRS LIC: N0, 00532774 SOLD ,,� �"�IBY +W VVw/Vr®�tl ■ �'fAtY ■ TO //i4S'0ji- �I�r . n t/11-1,/n9_✓,LLB/i DATEa-7 ADDRESSC 5 r CITY c5' -'7C=�� / STATE 'L ZIP Cj�T <© PHONE HOME� �i_/'7� G1� J woaK(7(j� �� / -6 `l+-3 EMAIL JOB SITE ADDRESS (IF DIFFERENT) APPLIED VJNVL WINDOW S ,STEMS 1(76Z-Z40- General Description of Work at Above Address: V/i L/'t .L�iyo4l ✓' 72LA> Type of TONS jjfRAME ❑MASONRY Date which work is scheduled to begin: Date which work is scheduled to be substantially completed: Z 1 + Approved materials will be furnished and installed to these specifications. _ PLEASE READ CAREFULLY:ONLY ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER. YES NO YES NO 1. EMOVEWINDOWS from openin ethey now exist an: 22. ❑ PECIAL ORDER Windows(in Addition to Above) 2, FIRST LEVEL #Openings#New Window Units Openings 3. SECOND LEVEL # #New Window Units 4. THIRD LEVEL #Opening �� #New Window Units 5 BASEMENT #Openings #New Window Units 23. U6 CLEANUP-All job related debris will be removed from property 6 ❑LBAMER #Openings #NewWindow Units on completion of work.REMOVE AND DISPOSE of existing windows ws 7. REMOVAL OF METAL or other units re iring modified installatio rrdURANrmwind or �' 24. INSURANCE-Allworkman's compensation and liabiliryismaintained #Openings 1� #of Units Dx/L� 25. hi�fWpARANTY-Mailed to customer upon compleron and lull payment is received 8. ❑ nstall new PAINTABLEMOULDINGS 26. ❑ AYMENTS-(Onnon-financed orders)is payable to installer onI Inside Sups #of Openings day of installation Cl shelf or Casing #of Openings_ 27. Additional Information �1 7L`il�i✓ S 9. gew stall new MASTER FRAME #of Openings A NCs Ciy{�t i�/�r I �i`✓^ems j� 10ewwindowunitstohaveFUSIONWELDEDSASH #11. / windowUnitstohaveFUSIONWELDEDFRAME #� 12. 31-0 New window units include Insulated Glass 7/8"total thickness - wu efollowingINSULATEDGLASSOPTIONS:' ❑ a.) Triple Glaze Double Law E Krypton filled R-10 rating 28. 0 Lj do Not to Be Done "lilt/� 6/2- (includesinjecledfoaminsulatedsashes&frames) #of Units ❑ _r26.) Triple Glaze Single Low E Argon/Krypton filled R-6 rating (incladesinjectedfoarninsulatedsashes&6aniesJ #Of Units - �cuble Glaze Single Low E Argon/Krypton filled /^v (includes injectedloam insulatedsashes&/tames) #of Units I ❑ 2 ouble Glaze Single Low E Argon filled #of Units ❑ e.) Sun Clean Glass(on exterior) #of Units r ` 13. New window units to have CAM LOCK(s)or LATCH LOCKS) Total Sale Price-, 14. ew N inflow unitsto have NIGHTNENTLATCHES,ILYJr!V90,/u45 NO1CAiE FORM 1.OiPAYMENT 15. ❑ + ewwindOwunitslohaveOBSCUREDGLASS ?_ �� ZOO /# ❑Full Dv2 Deposit With Order 1-L 16. ❑'❑ New window unhsto have HALF(((1)SCREEN Payment On (fullscreen On casement type windmv, �/ Measure Or Start - 17. ❑ ndOws to have GRIDS Colonial Diamond m Z�` alance DHB on �� ❑FUII01/2 Additionalinfo Substantial Completion r 18. Install PVC COATED ALU NUMfowindowframes i-� Total Amount of !�� ANC 1 f L Color t-H C n.. #of openings Balance to be Finance 7�7G 19. AULK AND SEAL windows with 33 tsystem If financed, balanc� able in _� monthly Installments of 20. COLOR OF WINDOWS to be L�Whire ❑Timbertone Sandtone K�pph� per month, payable b Owner" to contractor, Q approximately y Owl e hen O p y 21 Tot al#DouhleHungs_� Total#Two Lite Sliders ��. but if financed by OwitteUUhen Owner will pay said amount to the lending plus such Total#Casements��� `TTT' Total#Three Lite Sliders .�xf. interest and credit service charge of said lending institution payable Tore l#Hoppers Total#Dead Lite/Pictures isNY. directly to the lending'institution loaning such monies pII oscoums xave 8 Total#Awnings Total#Basement Sliders _ __. to "Owner" and will executes Retail Installment eegnpppyed Standard or E ual obligation and any documents required by suc mieieilBWPlipacc,ue; lending institution in connection with said loan _. 16e *CONTRACTOR IS NOT RESPONSIBLE FOR ANY'ExISTiNG SEO11.16- SYSTEMS.PLEASE REMOVE ALL�SFIADES;VERTICALS;' BLINDS, CURTAINS, DRAPES OR WINDOW MOUNTED AIR CONDITIONERS, PRIOR TO THE INSTALLATION OF YOUR NEW WINDOWS, INSTALLERS ARE NOT RESPONSIBLE FOR THE REMOVAL OR INSTALLATION OF THESE TYPES OF ITEMS. Notice:11 financed,any holder of this Consumer Credit Contract is suhieci to all CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE A WARRANTY PROBLEM. claims and defenses which the debtor could assert against the seller diggings or services obtained pursuant hereto or with the proceeds hereof. Recovery by the SALESMAN HAS NO AUTHORITY TO CHANGE ANY ITEMS OR MAKE ANY debtor shall not exceed antxun[s paid by debtor hereunder. REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AND "OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLICATE ORIGINAL OF "OWNER" REPRESENTS THAT NONE HAVE BEEN MADE TO OR RELIED UPON THIS AGREEMENT AND TO BE THE AUTHORIZED AGENT OF ALL"OWNERS" OFTHIS BY "OWNER".YOU ARE ENTITLED TO A COMPLETELY FILLED IN DUPLICATE PROPERTY UPON WHICH THE WORK OR THE MATERIALS ARE TO BE SUPPLIED. ORIGINAL OF THIS AGREEMENT. NOTICE TOTHE HOME OWNER(S),GUARANTOn(S),LESSEE(S),CO-SIGNER(S):' ^YOU,711E BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO 1.Contractor,siat gn this sent before your,shall it 11 permits flion airs n by lank MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. or not sign this agreement before you read it or if it contains airy blank spaces SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS or y if does not contain everything agreed upon. RIGHT.ON ALL ORDERS CANCELED AFTER THE RECESSION PERIOD,CUSTOMERS 2.Anypersonwhoslthisagrell eemsignedebyacceptdohebondned ythisagrplment.n WILL BE RESPONSIBLE FOR A 45%ADMINISTRATIVE AND RESTOCKING FEE." or note relating to this agreement hereby accepts to he bound by this agreement 3. Owner(s)represents that the contents on the back of this agreement is a true SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS.BY SIGNATURE part hereof and has been read and accepted by Owner. BELOW,CUSTOMER AGREES TO THE TERMS OUTLINED ON THE REVERSE OFTHIS 4.ALL INSTALLATION LAB l!1R/G,U,ARANTEED 1 (ONE)YEAR. CONTRACT. DATE - u`� Contractor Accepted - (Sgnalu AJ Print C t�..�//// ''//,�� n /' p Salesman's Name_ Z✓� �� Slgnaturd/� `LJ(122uy-X � 1� ta,ZuI 4.L 777777 (Customer Sign Her"(1 Saleman's License No. Signature _ �2004 Bd Fay croup All 519INS Rneved 0904 - (Customer Sign Here)