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3 LEMON STREET CT - BUILDING INSPECTION (3) } to The Commonwealth of Massachusetts CITY Board of Building Regulations and Standards �'•1 Massachusetts State Building Code, 780 CMR, 7'"edition Revvisis SALEM u ed Jumrurr —� Building Permit Application To Construct, Rcpai4,,I{t<(lop�at5-,q Demolish a �. 1o16Y I One-or Twu-Family Dwelling_.., This Section For Official Use Onl • Building Permit N m r. Date Applied: • - D Signature: Buildin Commissioner/Inspector of Buildings - Date SECTION 1:SITE INFORMATION 1.1 PropeaA.ddress: f a-r 1 2 Assessors Map dt Parcel Numbers " 'Ma Nuriiber '" Parcel Number I.la Is this, ece ted,street. yes no P 1.3 Zoning Ioformatlgn:, 1 4 !/iip' DlmenilI!a •II• . Zoning District Pmpowd Use Lot Area(sq R) Frontage(11) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Requircd Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Public❑ Private❑ Check if yesO Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: lc9 lGOk"?l /I?ec(; QroS 3 ( �mi✓/�'1 Sf C am (APrin1t3 Address for Service: ' Signatorc Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction:❑ Existing Building❑ Owner-Occupied O Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ I Other O Specify: Brief Description of Proposed Work': Ww"t /q Ni Add 2 /o Nea L P /25� ,Z GDfa P e :i - n rS t 1 a- L5 fI Ean; lJr�e/� SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: 011lclaf Use:Only Labor and Materials . I. Building S _ 1. Building Permit Fee:S, Indicate how.fee is determined: 2. Electrical S ❑Standard City/Town Application Fee - ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4. Mechanical (IIVAC) S List: - 5. Mechanical (Fire S suppression) Total All Fees:S Check No. Check Amount: Cash Amount: 6.Total Project Cost: S �.700_ 0,Paid in Full 0 Outstanding Balance Due: t SECTIONS: CONSTRUCTION SERVICES 5.1 Licensed Construction Superrbor(CSL) ) 1 �/ 'X3 Cry I.icenseNumber Expiration Date Name of CSI.-i lolder aiCW,_P* I.isi C'SL'type(sce below) CAI - f Description Address- Salem MA Ol 97O ll I unrestricted(up to 35,000 Cu.Ft. R Restricted 1&2 Family Dwelling Signature /J M R Only G/ RC Residential Roolin Coverin I'dephone WS Residential Window and Siding 7Y y _ /�t3 SF Residential Solid Furl Burin Appliance Installation 7 D Residential Demolition 5.2 Registered Home improvement Contractor(HIC) 2 p$q I I IC Company Name orf l _ on, Registration P'r Address _ Sal 01970 Q E:tpirattk)fy�p�4-g�43 Signature Telephone - - SECTION 6:WORKERS' COMPENSATION INSURANCEAFFIDAVIT(M.G.L c. 152. 1 2SC(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 IssuancSpfffe building permit. Signed Affidavit AttachFd? Yes No.....:.....0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT W i ,a 197 �, as Owner of the subject prop"hereby authorize t a/nn to act on my behalf, in all matter relative to work authorized by this-building:permit.application. Date Sianaturc of DWnef T SECTION 7b:OWNER!OR AUTHORIZED_AGENT DECLARATION "..as Owner or Authorized Agent hereby declare that the statements and information on the foregoing applicatiop arrtrue and accurate,,-to the best of.my knowledge and behalf. Print Name .Q-t s /� Signature of Owner or Authorrz .Agent .�\ Date J. Si ed on,,-,the aina and'"'nnities bfper'u- - - - NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program).will W have access to the arbitration program or guaranty fund under M.G.L.c.`I,N2A.Otherimportant information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and Ii0.R5, respectively. 2 When substantial work is planned,provide the information below; Total noon area(Sq. Ft.) (including garage, finished basementlattics,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 of system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" CITY OF S.U.&M AxsSACHUSE-M 9LQDLYG DEPAMIENT 120 W.%3HjNGTON STREiT. 1'e ttOOR T1:9. (978) 743.9599 11.%t(978) 74498" Kl.'.®EX"y DRISCOLL TV110"UST.PQRRs .%"YOIL DIRECTOR OP R kILIC PR0P2RTV/sCi1DLVC CO-%L%nSS10'%EA Workers' Compenaatlen Insurance Anldevih OuildersiContractorWElectrielantiPlumbers alwnllcant InforMA1110011 Please Print Legibly Valne Iavune+rOraansrranavtnJv.dnull: rl r �a-�. �•� �C�- t-�a� , "7_c. t,,,�. Address- Cily/State/Zip 5iL-zn zZk7 Phone*F :rP k 7 y y- P/y F,INO mpkiyer!Check the appreprlab beat Type orproloes(raq�c% mployer with_� b. ❑ 1 are a pnww aysatraCwr and 1 a ❑New eaasmaeoon tee(fWl aad/ar pat*dmrb• have hired the at►eortraeoes ub pdesssarorw porno` F000n e.'r abaalyd shwnt6= 7. Retrkadalins have nno anpbyee heir cabsonrressare here N. ❑fbmourion farms in her eapatiry. nvarkars'soonµ irtataasteakers'comp` insurance f. ❑ We we a corpasadast and is r vdlval otlkas haw emniiad their 10.❑Blseericel repairs or additions ).❑ 1 am a hors wOw Joins ad work right ores erogrion per MG. 1 I.Q Phtmbins repairs or addWom myself(Ne wortera'comp. a I3Z f 1(I).and we haw no 12.0 Raorsepairs insurance required.)► :Mpkycw&We warkera' 13.0 Odr Carp inoswrreo regrisa/.1 71g aPra.W this shoo bs of WAN aka an WA b sou a MIN . . look wbw'awtrponsd.w DNM IdMwnMw r I Lwrsrewaa who rebwe pals srerein irtelsny the an down sa sunk t d Asa No ernnib awwrewn away warm a nN 31Ihbwtk idlsiq err l..rrwgw sod Awk lbb bah nnse antwba as Will"all ohm Avwlly An nr of*0 w&,gornnwa sW,h*wow.rater!.solks iMattwels /are ew awpMre►rAet b/revl//nR wwAM'cewPrwarMn/trswrnorJir q sypleyeea oeArre 4 tAe/eltey ew//Ia1 slay in�iferanslera n Insurance Company Name: 19e 6,=t (0. Policy 1 or Se f ina Lie.M: q M),0 3 Expiration Date Job Sire;Address: .3 L em9?a 1 Sl, City/SlatwZitc .\clash ra cep of the+eack3rtt'•caerpeoatba prclkpRtttua`tli page(ibewb%the peM r anmbr sod espirakho deb), F'aiturs to secan coverage L required under Section 2JA 0(.%I L e. 132 cast Iced to the imposition of criminal ponaldce are line up to 31.500.00 and/or one-year imprisonment.as wed as civil peaakW is an form of a STOP WORK ORDER and a Aos .)f up to S230.00 A day ssainst the violator. 14 adviwd that tl,wpy of this statarranrlt may be rurwarderd to the 001ce of I nvcvrt yatiurna.ref the nlA for insurance coverage verirkito" 1,10 hereby cerribMajor rheoeiws and era/ors elper/rtq rAw rAe iatferwedom provided ulew is irw wed verreea :.,•n nurse ��%/ � - quNr - OJJIcid wear//c De met write its/Ark dreg to t$e v alayletd 6y City of to Woo„//4•iaL City orfuwn: eermit/l.leensel__. Paint \wbsnty Itircle une1: 1. Iluard of lleallb 1. RuddlnY Department k. Citytrowa Clerk t. Electrical l.npsctor S. Plumbing Impeetor 6. 01 her : - l..atacl rcnon - __ - :F Iran!s: ACTION, INC 47 Washington Street Gloucester MA 01930Ift NRM 4,y Y,�if.`'�Ft Y r, -etk"rvPltti e'��1 mkt ,�'� 5''�� +a7.St`1�a"a�sa� i ty ,`i,e It m�. -;L��` fe� A i✓�F, i a��� gencyNSCAPt' F "d y NGRIDVAPPhcation¢#: ,"'t h w, u t rb up +gym �1�PROGRAM^ [t- gaJOB+NUIVIBER' dja7'a7t , 'Y,O .Y,. r r ' `"��'u;m}.'c - „irx 2 rt� w.:1 7�wE?kFx' t v Jz a1/,uYk�r $ Sn �r r 4 .Y4 F :'-'T,s r , ,}• ° Y{",p �1 -k y� t 4c ' V I '4 �'rr„k, .�'! ka it " r iazw 9 3r'.s mat, �' u t y ar � � ` ,wq f $ rT b .ic" Y .y' WOrki©d of# 5 [ m�Fbk:#; tiro0 f, s "a'tlri ��} }u , tiR �CJPe'Ay rtned�T y'. i�lo1lq ,1 t Wok OrderDate r 08/04/10 r , �fr � s y � e r i� ° zP�,,nmary Contractor � r'Atlanhc eatFier¢atiorn � ?� a ' £ r � I I 0'th@rekCOntrjactOf t NAH f �r 'yi"w" i h r g7t`sdrty r4 ,. k ,3 �.�„k„M � #Bulbs mstalleda., S0�it4Gr 1�+�'_,, �Suw L r. "' ..s " ±r'x' Y�c` t �COSt Ot MM {OOc :q Joarine,Porter' y tYa.d d„ nr ' � t �f' ' q 1 U Y i +l !F k �t°77 "' dino s �,6 �2��idi, spt$12500,Max, x4 BtNeet 3emon Strteet Apt 2/Floor 2 apa ,r,,Otherih Ktnd, aoo i Ciry�State Ztp Salem ,Ma t'Electncal Workh �5�'y $o voG ` tc rt ^r° iP:., Z snl t trN\ ,yti 3 . Ptt� i r , a -..,:C, s=n�r1 Is T`elepho�Ye 9r78304 9615r r �k r ,D5 12Smount� xeyspen� 5o, o© w'hM '#�„51. aR �t', 9'*_q 3� ,$ ARloun Ns7tional'��G�,id�r' $0 00 ' , 1 'l'dr l f ,m} j�`S itx�' k tzl ,Blowel 66i.1TxeSt i s NO Via.. p a.,¢'v $aa Y w, Y�'-� ,OtherP,utifilfyty Q $G 0"G-G k{'T" 4RrStY)JY{ #r ,+.!Y IW Y ice. 5 i w �� + �t IDate JObt ompleted 01J00/00 11 Estimate%Kepair Total #µi $25000. t ��3"n3 $0,00 UVeatheciiatiS6Mr- 0 Y-MR0Est11 ,.r ;ftd ,Cost,S� � -,Est Cost+„Ai4 A-"Act_Cost a"' r � D'o2, n? q ..�-� � owe Door4Swee #=is �' �� as.2,,y, a f xI � F _ _ Yt � t.,,,<�$15500•f; y �r$3i7'i.00. •�._ Autornaiics©oo�Swee *n `P7W.';- kao "'. P- - fa 1 �x k FAIT'',.Seallflrt."ef,'t1014f..s u , 'M r'3M...+',txvtbsi�e iAdtc Atr Se ah h x2, artfoam; er;"houc $75M:'; `:".`,".$150'OO Yt,' rt, Weathe�stri SUVmdow e`stde ka ; ;� t`.`' r$5 00:!w Fromm ' Q n rg 's1"8 §t, ;Seal,Duds;,`°astlC`.> �... `, f! �v.'��', "5'3„ M -r '{xI�v j t Yvt '! 2. x ,a �Y�ak,, W%S& I'nSul:SttiC'Flatcl f230ru .'CNN r ' la z ' d y$30.OQ k a��$30?DOt���S�: � 3 k,9��� .'3''LCK": �c*� n.Pr+- '�,�gp r, y ' _a..�._ ".a+; ra _ ., r3 _$0.00�;['ems, :n: ®{ .4 <n i; `�t -'",;:;rAT °..-`a I". mWAR 'I' do k`�". mri"'s "f ,.mv'.�a .; £ i'�' 'r �--�,'i,ifi COW`u`akb'�*'�� MFp� ,,� !rJ/ " , d i YE'4 i$ � G,� °tltd,t§r �rg.....J,h r�{ � f.Fi!�a5��-$0.00..:�, , d."�.., r�7.1'di7`'lw��'S", "3'u.'4$0,00P114.1,Pw6F,l.r) {Y' 10....cwrrvf�` ,�t9".:' � N$ s `�' ._ 0.00;e:.�r;, P b9 W,eatheri afion'Totals � a % �:F?a" t 1 w= ��, 5 ,,'V la�w$296x0,0� Irlsulattoo �; j Est; z , _,"4ct , , Cost "tl Esri,C`ost ! Act�Cost A1tie.F15t;R1Vr eni i�9,,ME^.885 0 'Sill PartrFoam3w/.FGaB'att ,' a +r"' �139,-'', "� �':`t��$2?00? �.� i '$2Z8•:00�=�R�;:u;F1: Attic Flat%51o'es R3Vd§tricted a`Z AP V A;N`,.Ii r. ,A'FlaUSlo`ee 20,res ti.1 a : 'a 7 w A " ^ a " 1`A r=takes li7�ii't^.F�zr Attie,Kneewai:'Ft13[FG", x-'a,ir:,w-'s=_` x, ,'St 5 z,ri# ",r' + 81ta rAttictKWaIIwR1f3+Cell�w%Nlembrane2:�'.'. a „ °.,t;�r:'" 1?.65t Nk P;$ic^Kneewall€Fl00rrR30fest.<, . i;t�'k., .. �r£��: }:. tI'nsiilate AtticQStatrss&Wall"s 5. u�..*;F j. k :, 40 ';i$1'30w !tA a�' '-i'6-4 + a= Sftlewalls Vn°'IaR13DP, ,ft `. I'otenor+Nall,Rli3?Plaster R13 DP,' .., Y £ rs u :<'V::81;. 24" cA R $2 95 .568lqsuaI" e H''iirontc cSteamlPt eilnsul,to„1.25'�FtS_...M, ,�.:�.k , >.a . �:n : ?%.,4. $5.25'• "�r � s;.a,x r,. G q i.'�,�>r y�a�;a1�:?„'$e .DHNhPi 'eCtns&ahonRS' ei 4rt. =' 6F ° +`x $2.50 et.f"$:19OOa, e� y ""• nisi; losul6te0666 ,a r,. . ;:;m a 1 , _:- y i; t, ,".$44.00" t t .,e' S)'• " T-0`dy"i 5'Sft ..tir�, q k" F;,`J.r '4 :. iI.4 t '' .. ., s. 'e.'< ''_'+ ,.s ..�,.?� k:e'i'.. ?+�,rs .k`�,"r...vs.d,� »:; �_-:r $0.00.., r.,+i't. _99.4 Insulation Totals ��lM � Yg ?a$ ;" '.3s ($0 OOt; ^?$Y vxq ,'."I 311 ✓j- V ,^ ,94"Y" L'T 4 e Joanne Porters 7� 3 Page'2 <r DOE I 0 r g i OtOer�Measues '., ' 'tEst, t x a9ct ; Cost �, Est Gost ' +' ` Act Costa Roof Ventsrrtall°s� + + I :>, r . 'r "' � ,< Gable;uerit�'Rectan it""snY fir,<<:,' r '?rb t V n 1 MAP lac rm nt.W+ndow 73 w4 5-41.1 i c ' w�r''4 F�ri. 0.MA V< h 'Sk'n, t'r e< ,n +".. nA t-3425:00 b F..r- ^, *..z a"�-` �.'.` v d#'it' 6A:P, V m RAW l?•eBsrnEiA66V Wui ow.,l; v� � .."'.z':"�,.,m ,`f" s„ �" +n'E�,' V.$325 00 , ,.c3,.z a a t b isteeLF?re.Hun',d�oWWI-ri ,r. . r rl WWII, Solid lL'oawl'1C FeClEo.oAwree SfeDlatoOooLwi�cewr7h/�ke7la.as�did'ia'wa r,r�e �.t. ;+ 5P'���♦,sfa."�,.'i;_'va."s5J€9,."�„d,xL�r b�.F+ k�'e� 3 '660 x;, r1:'i"..�m'-Z ' �1 '*�S S. t'°;;' $45400 - :"rw 3�,: z i,`: �e , h rt iBlower r�,Test _ I�,Imo+ 'sax. x ;�_ a 4_,, „°„ „ a „ - V�/h6v Gnd'sF- ersash:` e .,%�-aN .aa Build+n 2P,eirtiit Fees as'1a bt. us i'a-y 1'%4` ,n� OttierwiTotalS � vyzm q , a l`T I l$0%OO , ;a !,v :�V$O+'AO� xiiY�.3T.aa_, ',,.". r_f, ' -a We.'� �u Y�.�+6Yrw:�e't}n^�.k -,:r: S,ti. '"S�^ix„�4k'gKv'} tnw,,,, _b.5• '9. -:i�n"^d`.,n,4±��,3 Ever` Ctiriservat+on e4 MAct Cost] ' Totals_=MaX$1,0;000li00 ice'°;�i� #r '� ��1�`r " ��,5>Y«�F�' �� _ • ar'�at z�F:�,,$2;_03:57r5�., ', :i�ed$0 00,�s!�=': i« ..A.',il��'��x.t4���5.'�iRITi'<"✓gfk,'�i� � Ca�t-3••,#^.a'„+a`a�' �i�Yr=.�...;ter ar>�:�,icf* kvi" �,`��•;'{ Fte airs. ' ml� , Este s a x fi" 'Act x G' ;Y-Cost,& i' O Y EstCost'"A Go sArctGod-W, FG, `$60.00, ,''>q r;$60':OOr '""+ „�'�c� `+ , c s.•s ! W .Door">.T,Firesholdt�•a? a�� ,y�,7:::. ""•.�->:ila:�e �.'''"c�.$40.'00!e?�, ;� �r?'�it,,!r „1.�:,1?;� `i' , ,'b(3ti#u:�,`� ,+sli9r eotk MUM e {eq a"' Far v'a. Eit ..$$2205..0O02 eDo Of is fk[ +. �_ik^r,a' ..a✓ R A%§6 fi)r,'',",.< q, ISaShI LOCI(,J:mS; .� 'L+ . ,w-rP"I ,..«r [,c �G t� N` :: t i:.;�'1^ „"r9'p9'Prtfi'1"'r ),.. f1t $9.25:E ,iA Glass Re lacement,`=to 64 ur s3,'=y. .: ; _ $42.00^;G k { Y 40 ;susr _a 43a- MIV%AV`r.`�I,,A-y�-I Yt ' ° =tea .•N-IRM i". 'cqqy� t ° $Of00: ' ir' +t _AMK PFiui=iT��.t^ 9+,;EF4.1 _111 10i- a9_,+1. .1;,".Lv;`'`s,6¢ �_" c$O OO:.:i'f' �°J'�"y."°ai 9E2gl .s [ VAT,-� �y�c:15'ut �as<..nvi'`t4 r..rt�:et 1Y3 '� -.�'.'6w ra' :a5:•��PP; <:: $O OW,� F.S»N��i�tfi,t Y��= tM E:.�°•s, i Al g„ F:_'^`=i. re:-r.n•r�..£.... "-p.` ;, M _ Fleal• Y r, 5 ;s.,s' c +i'{<y, t"'s1' '' #^" , C£r 4r,,<' }�' `.4"" th,&.:Safe �,��,�; _ -,...�; _ , . ., .�,.�,,^ I� ,..:, �� ,:,re. __. w�_... .. WntClothessD, eF�to�SEic�e'nor�� ���"}�1r-<?y.� '• i, Meit.eatiEifaustFan o=�xtenor4 1� ' >, *r$85.00 l'�ft,$W 00^. :S 0 ;,O OTj�3��j-as�y�.+•, .c,,�{:y. r.-e.j.ua�.. .,�. F _�y. w.am.,.—d4i � y� +a� x '.;:aw'-a, •y�'s, ,�s,s ,�,,y��,,ty" j ' ,`Y„ `4t7'-,,....�"•:..r. �.,a ^a=r,. �:.-. a..,+,tn•.. E�vr.3�w..x�t. E-%. "' �,!n:;'�±`"�q$O.00<i 5�`%...``4a.�;�r.�'a��I� u1:m [.I'.:�e+Y&"._P42�. .T,'t; r.� .xx9}x'".. �'.�>"�F"9�,'�.+• .,�,a� ?g,l"4,- "a,�•t�'i.u,.k..+a:'s'.' � �4 '`4.;NA$O�,OO� h�:i1 #"�'.v� 4� {A E 9,.:•;: ;.f...aa+�v.hW.,>>.ta. f+Ei'^�' 12e'al 6f.'.i�(mg)e$2500?.00 vt °°��r; 3-.xAv y_7 -WWI "'ru.: �(�, "s `i�rt�•., s:utsY t° �Ff.Y4�,r�,3 `"hJ &. W ,..21' 'WI nTu��m,�,� .Y:�� Ts'.".,?,"�f���, F hW �4'�. LIP��,Fy^� 1Wo[k Orde Sali'rTotal }' � .44 ,t,v t , ,.,' a f � :w rr$2;2-85W75 €n y$05100Kt V �� ' " ��'�� �,?�'s'.: �,-w��?�� '� ' Ike'.' _�tk�;�� �k"f� .,�a#•Ja?��', Measures a- " <_ iEsta IrA'ct, t ,n! tl Cost+ ! E`stCost,� ,'t " �n6tccosi} ¢$O.00..``-.E=q'�51�d"+.rn..1,"< +'�i..v=x's�?a.eN�:",�'1+���W;". $0.00. Acton apprgvatkonlIrk y.`�`�4r'�N � � �' '. i•+^ `;�''na � r '' ., "�" '`�Y�". aA �ac<$ .�,.+c , '"' ?�`�1"� ��.-3.n l '� r s -xt .j�, •,1<-a„k` `I�^. k"'f. `' Y Ti •,,r<s"._.F c13r '"` "& l , "k'`� .a '� i'P 4 ,f�` t�T z ("" -r slob cannnd ot exceed Joblmmtmurn =$200 00 Job Grand Total . *r �$0 00 ' "mots" 'A w 7, 98 Main Street � fiP � ��$ ,�u:,;01 �WAIN, Peabody, MA 01960 E Tax Frpmnt# n 1951 4 a"ate i" tla r:, �t -:} r. '�^.'y>t' ea'•�L91 r`"i'.Hx i `4 n— r t- ^A �"sY3Y u- is e3a cs �` " A>N Sao-i�`kv^�, v.✓ wAi t fh +� i�,�.y �R rxw. +Gr�s .r 1'VZr :m.L'sT.,p�g"'',E�'�' '+ 7y�N'.}sw�aa Y v t ,C P x Y3f k k4-NSGa � ; 4 ,ri §sClentgPP�iC2t�Onv# MSGj , w { RPROGRAM t;a. Keys an/2010 f X tG� �4 ,a� , 23,`680 � 4 s _, -FhJ {As' r�t,,� rp_1J .k pn". Pyc. ,r F,L 'Ew.l�$NLT[MBER 111F, ^tY' - F.J,.y, v+ ,t( �� 1rY. t >. + 7 }. t �:c.� ��a�� f #. ✓-+ � rc�.`w� 4 W ' :W t j l�fli "' y'�Wl� yis wOr1C.OEdei $t ;logo ,- >. Work Order Date t y08/04%10yGI JobLtmrt r � iS"fix '4'01 'SP�bs..s ? , ,Pt Atimary`Cdntractor �Atlanttc Weathenzattoq rPer,`Un�t $4500'00' ° ." i , "s ' 1p n. OtherGontractoritS �� K�NA i Client Joanne'Porter * 4fi Sa I� F ` t M 5 I{+TxYes is Np 0' y., �' �, r r wC.^�^4,,,�+'t� ,>•i`nk °�m�:s s,�,+at+' el-,d' s� �?�'+ ,� " ns'. w � E � Street 3,L'emon StreeYApt 2/Floor 2e `} t ,Whist ' I` kr �r`}�i,:ak+sr'�,�r 1w r`Yt ,k'-'any nrx+z«. ��zl �MTelephone 97.8 r 304 9615M ax StandtAlone tf ' No Ffi wok : 4 sst GYa ��� Fee Codke4 2 r$low r DOOr Tie3t Ft^ "NO``�; l+ v -e 'x�pa� YY}� t Y�-s.i v I`,t'�' wi a tc ' is, JC k +!k}a1 a r `N ntu e 'b Inspect Knob 8t T,ube Nb' ' Elea Coffin-rtra'ctor ;e 'Svk, "5 ,.., `� `- 1a�L'�'W. e,e'1 AttciIusolation = k""� � .rr # . tEst'' Ill,Ce:i; s6w " wW' §QKN# t V ZC7 AYtc Flat R3B o enYs .„ ,, t?$1 ,40. xd its., Y!k 4. �w.um AtttcTFlat;R30o enala� �> k ' $Ilr3ti 0ce y �st�eka aUt.4 Altic,FlatR206o enk Se a fi_ �' t �' w LAW, ro A ,, :xw $1 23$:: .:l,sX.;..a .t:� cc' r .- LS�,.w�'. , 3�_"a'I Attic FI3t RI0u en F � � ,� ` .ri} � �u a$1 5 y �.. 3 4 r `'s?F i 4'- •fm 1. 1,bt l tom' b M Fh,3A:yNiE A .,J.Y"v"V.'Y i4ti/'r 3 c-'a Atttc Flat/Sio a R20fiestrtcted L AtttcnFlatlSlo ez�R10R'fri'`OCWo ; qAA Ad' # °tticIfriee`,wa11R]34ukI #J �n;, � ot�, ,, Kneewall,F:lpor]t30 re""stctcted ' ';u'N+�,,,�'��,tt ,:�,�.. �.- i. 'Einrshed'Attic:A`ccesS+ ;'k.1' 'f'ti's�. >�. iat9wF.aM °" ,.;r� t„ .#1 !",sagrT:$10000'a = ka.` a OWN �.<M� '`�',r's ;Ci aw,1 S 'aceR2 L`9 wo1` �airaritP 3 r w ua r M 3 S" r r �'� Hall' � Gaza e Ceil;n loor R311 wtth a royal , � .�# `t�Z-14 Hk` sA 4 "wr. -,ak y�n` $2 00}' , v t v.S a � f i<C-^i.-:a '..r�+{.;pn ;':�? ;' . ,.T'''i'��C'�$95a00'}, 1 'd' � '.u�i#. :: ';c �&, ',`%"'� see`•`"w'`'i Tnrbme,Yent'_: f 451,,t so_ o, ��J. pf=OQ. r. 3 e�'' r�aa'�,�g�o �"� ' t: t wa tpry��, � '�� ,, �*��;.. xa ..>,, �'.$145.00h �}: PLO ai�CRt A; "{ziSY#'ri�iS' e '»y"E'•',.'. :ak�. z. t ,3 :'p $3175s #* G'abl`eVenia all,s zes _sa ` � lh4`.a wry, '$1Off1en4'V',�^Fwi�"TMr.k"r',w `'b t �'> >s, t,'; A3 }2i' 1 .Ei'a 4 Zb�.^ .�'. L. l %(y F \�a: } i Y^'C R3 e,CTent.; erin ft. Wi" 9N "p . s .$2200,, ab et, T# og,f Atti� ?wAi�Sealin' 2� art'foamr 2tbours mac '„a ,I .k' V'entDeri�%BarttMh..FanF�'' r'��' saa;. '���� .c� � _'l�.s._ ,,a ,r�s;$8500`•, �] `�k;+�x?",fi�'��:f,�-F�: `� a�`.�:s ''�! e? '"> .''Fak' ' ,',;.^ts..#-; .'n,Srie9� vn `x�',''r't,t'",,:�A., '„ M ubeWtui Ii's` echon .i l i,. e, Joaruie.Poster a,:4�1 tfii�r,.wm,x„ }r}=a .'•�ti�'+�'fi- 3 ..ti;S '�1,yx(}w ,s4d'r,?`.� bvY Y-_� . e ,jy'kEryW °9.e k`a;-Mk— Actr Cost r Est.Cost, Cost; ' , a� v ,..•Y3`AS'a'ohalt'� zw � ,ty S'ui 1cNaz1`edeAsbestos•(1. �$ ._.� 7..K ti�: r ,Do,ubleaN'ail'e"d'Asbestos/�1lumuium4DP,s ^'� �;;k�',�„�u� Bribk/jSY11cGo ,y4b. ,r'. < -W 4 r:;,; x Cl'a= board 0 ,. $,Ib70., .G. ,au3,slriF " ,r3:,sj57u Test,I)rlll¢$rSiCdeso-�m4,.:xr'h'F2. .CC�,o-„6bu�,-.?Fr<i eke r ," kr". .'^w> ..+ia fiaa:$60 00 .'.' 1.4 t,.2�3 s_.Ba,Cw w.ri✓`h� ,�.+'�� Ff e's I0, • Gt+,tN, r,iW.{Ij Y'•r^ L t 3 In �'• •' 1(t } FI` '� Y x �, : `y` S R`iF, ti tf hxV 1 ,±. ,}a•i 4'�7 �L�l.:l�ii f.:-.t;n._ 1_? !�.:+�'� , ,,, Ar iR .lSMV "Y R N i }. A ic,�Sealin2-L�7md k'a, +."+ ,+ , 1ttsir` '..�'�, e_ . ...,: _ T.. . Si"a Ie1,Famil ,w/Blowr PIP;t i,x.3,�r!� A' ? Y,1 0 'wM•�i ,l. 5...-rx.., r -:.r 5 ! �I� tt J V - _1 Al_I�Other,S=,'$20Uu '�Fure�A i%lX1H 4' 9l 4 ^1 $ JIG4�N+x :[`11.4.FUY (,�V1�^ifl`M 4iTM' k t w ' �x+- N,�N,f ? ns.y�`�+.y.>•- f":f++`"`'i'e M �,r Ey'..q � ct< ,� � "*it�i 4-tiF ,�� 7}`.," y'y t N" n� i j A77tOIDatrC.I�00rkSWCC t ] a+l€ .Y,:�w.0 �' ,.or. �z,a;$22 �() ,;� �e.F�.-t�.�:%,1 0, .$•x 7 %'Y.f�: v Air_Seahn 5(3,houTSFinax S'a_shLock, '^ a ! xe a ixy4"i'' ' "'iYe�',"' r Y b a pl '4: i .1^ 4r j , 3, kh ' 3fi.#�f=:9Fr' G1asS'R'0 IHCement;,�,,»rb ' nv '#,-i.tir1 . :+ ,tax. .4^ r�,:;V'$42 00 {a,,:' ^� LL?1 -..r_N=; •a- u,g '" 7d ` �n r 3' rN rMs:: • s r k.' v B x :i �,5M L o- f2 rr,,w�'.,;e MS Y,;' ,Yn.+e Ytj&�5'M 'r y i < y, .�+- � ?^ ft`��'.F � �. 4`Y... .:�'� y �• P«:46E�4��S'�I.q i'.HYt n i4ty,y.�,'lo-'�4 '� ,d` # .,1j'i" ,'�' YtGkK f r>k 9 ds'rW " ..,C:t # sc 4e ,d, xJ lnj' , '+n Yp�e,i�?7-`r ' S s.�.�f n ry8�'nfl.*✓. t�:°Usp' r'�w' 5„'�"�'•'tr t.r'� y -u--> + zu,r_:q, " S ,e ,v"`-$i5 t t .� ti r a ,+n:_ s .zyr`F �nr.a, Total Air Sealm Costl' Z, zsx . �r, w +r i :' rah,I+c<.":k. s $2251)0,r„ r�:er . '.? yu ea .sn..s u�xs ,,x.'.tni' 1 '.t,,,., by-. :. ir- !S'`1 ,�y; '. {5!i 'l� -,d�' H`@atln S ,steni�Measures hr�Y* 'r. ,+ ,,, tt ,u 5r? �., fi wv i'ks ,.:�,. ,a' DucUIns laton��`& Seal�'S'eams;Es"?}�8) '��l'�'t s' �=.�Y .r .,$ 1 ;i i;, 2195, 3 ��•`,r'�'a`?.R': �,�r� � ���"Ij �^ . .0 ?... 'k,> xr�r^i- .> s6.. a`�, � $ ,.S'.Ler be✓v. YF, ldv.- . t ,, b'� - ,A drozuc i`:e Insulafio tb k'a,R 14 ar:_ 3 25t i�sr4 ,�� �z�sz�a r $ rr R ,r •7'-'N-5: , W s 4 d4 u'�._ ;Steam�P� a 7nsulahon:to1 25 IFS, t= ,L , ? _ ,. MAP ,ik 6't05;1`fa..- r$ . uivace Re°lacement � a D-1 x Boles a u`-P, «i s, n $0 _ .0 �.?.�v'$Oi()Q, rsy_,,�'C°e�Ort r'r3T >{."', ,te*• a,K Fy„ .�Actwa r`���''�,�x�R �Actual�Total'does_`not rv. �' L '$� � F�"`rY#t �' ' {'•' '' � 3',5 1t0.'Ar,7 ,d,"'"P �Ya-fin '} �br`v �e'i9170. �Je ?.f' t art fwTlj$ kf ,a� w.W:w,'�.v+ts RWII NSCAP ��'' 98 Main StreetRe- Peabody, MA 01960 g�" a -a a� FYI i13N -nr +,N+k Wt xiMeh' s 2Jy yt, tmod: F r , r inn , ;. Agency r NSCAE kClientJApplicatwn# �..� "k�`'� "� �Z�, � sa r t a �.. �' i'�Y3 �" n ?n r '" •vs �u -�" r i rc'k � ' 'lr9rdmrlt"S ; m ta ale 4/IOk 4rgmaryCna0r tantic We V, :2 r �, t X�a ' hOther Contractor "a , S 4 3 NA k 1` Sr 2`��_�,� ? A � t�' aA >L '"P ( .�� r .'!krt `ss"Rd f7JtWrs lChent ,aRre l 'kT kStreet 3-Lemon Street Agt 1/Floor l,�r� � +lp�.� A �Rr: K&T �. N �, �`- .x i �.i "3rAw'Cr S't�te Zr Salem M'aw; � �.w. ,,k:�, a ' �4 •k-"z , F a'��,d?�, � n ,XA F0e ryx* o, +i z 2z 5 es 1; . OOde ,F r ' ., YrNo 2 (+4! A :' C�.:'.�'.a.,u,�+Ihs ectKhob•&�TubR <N�o�, � ' ,.,.-'�'uv_�( * . ,:.,.. �. � ..r�, ,'tom r . k 1r^¢m 'Altrc.�Itisdlahonw ._,a i ," ,,, iFEst , =x ActsCost lj y1^ Est'Cost°s Act'.CoslltiS ' T f .t'- w fi Ai ..:`� .AJZ —3 i it,_T �,,gg 'a:_L.'fii� stvp ,y ridxy gip, F4 �=So-Y' ft�A ml y j �e far X " �ahba9t�A y tics �"t� a '3.R .{'"'.v'f' S' a?a _."6.t?L (°�' 'S'�::. ! }'s a vas;N+V:9$'. I' y t�'n Attic Flat R3;$o en r »dG_ °* r _a $1 40 4 fi s u-. ,SY !'!^F r i. �AWtt>c,Flat R3Gt en, , 4 �F, s ,. >b, .,.�e.. ,{n$1 30 Ci�ttlCrFlat�Rp20 O eny',i•_�` .� . ? ;,� .�., '% ', n.;.: d_"�,r `'. $1 23 + iKu�i�.'xj'* ,t; �iT-V#t ?: 2 thc�ElaY y I:O.Q seSW c} w a IAZ �Ir u� Pi N 5 i w RL: y vsi�Y; 1'a-9t' _ ,a six..'rs. ,".,$1 > x$Yi. At �s F.`� 7's'' r d -i '"' 3"'9 �� d A ' YY fiajawy 1tiCFla1/,SI'9 a*$30 re`"strreteds rr, r . .._ C �e, $1 4La: kw. , : nk F... �s. P ttrc Flat/Slo a R20,r_estr�ctedr x £ 1 `. i ' IT 'Pis #" h 5 I a "6x,d '»9 rz Gt. Z a �.i.:>-ry !, i 11 , 2'ttrcFElat/S'Po e,Rl'Oriestncted ... o- ,. 3i $1.24a . y. AtuC KneeWallkRl3 � . p r=h, 4 . '.:' r c v ,.:, Y K ! s , ;..9a1 Hwy >a x § , ,r- , x t $X uS as T cr ,. .l a r a"�'�P`+,Y, � ,;g-,� F hashed Attie lcc6 14 ^n # " F _'k.° Ter ; :.xm ora, >s' L"r.^•, .� r a C�k`�;c;x # y. ..:.: .i$7$ 00;°.es'a s ,l µt 8 x<,�y;' yk w-.o'�.Aff+`Lfi ". Crawl S 'aset$19hw RoL �Ua oi_Barner $` _ $2 53„4 = �efir(fg�+U 3 qg Cara'e Cbilin` ,l00%R3o wrthaa roual' " x oof Beni`small' h 2t s a a "'"'.��ent a�:r '� '7 I x 5£k'., t r '.'.`E'� hG c. ,,dx;W Turbme.,, a,. .�s. ", i ,E'"N'�'. ri "u `' ,"4`�u7�' ,�.,».:,,� . ..- Evs.- 60 00 ,. , P, 1i2 °Stack Dent u s v .. ° i> ` g,r45 0Q ,ak ¢ P ? e 'r wa '; Ea u e,„`-d,�# yiSs pi`; r. +,u m. ^.' ..' LO aVent ,y._�p�- ,.�8 �k s�Lr a:�„ h,'+ur r.,b $88.Ob �$Ot�ltVent..'u;.��i�`�,� x 2 � .ait .a`r.� ;`-? Rr%a >•? � F ;i. ff$26.00 '� .s� iSY,,' m, ,� *€_';"s., ..>P :t�. Rid " $22.00 h'y, t n. z$ , ' red : ? 3✓a;: x _ . {.r• .c M_rx. ,Y x a x r t+ a ,y c 9, - ,•> b 3 ':. A a�'ris�y.,k'?L9• Att�c�AiroSealm 2 ar[Ioam 2.liours,max aii� ,t ��'�_ „�. N $85 00 .n $85.00 r.52t i l kX'fe' e $'>il Pent{D�erlBathFan Via,a k r 1 n e x a& x#�si✓ Ate v.."_ i ,E_ ..i.'Y t.ee S P>M rt'Y".,.o .w;. T+,a�..Y-.. r. .g � I`s_^ 'Y a : Ikiob eW _&'1e1blrin",Ins'eCtlOnv :-0ir sr $1t25 00 ' ,t v • .,p i ;t` 'lt: t "�£•PM�" -.' JY f. 1 �� .a1 KS:r. ,•H,A'.?^�41 t 4:,'r� w fk y* ',, 'k*'''•dP tP tF,f Jam, 1 hlc �''C`xM ytT.:Y'f.. ��x � 14o���*?�ai$rouenoher A'�` c-r4+�.. *4'`R"5•q "C4, ErEst'" G _ '},OSt ;'+ x;;E§t,Cost ;t k <raACt4COSt6,'�:. ., `;`ba'r:t �, !'Lw .a'I�e ''ll(b"1,t L+; rt t •4 6 .. d �rRw�Kt�d Tl E�y;''+{Yly;,�ksa.�:� '�i�o n-:.+!r� ,,u X�� � }Y¢,1k fi• an � Sri, .i�•,„`'kr ±.,o .K cYS 'a��S . Wa11�Tnsulahonzt-"",Ev�,�, �`�r 'r 't ram. '4 rsol'�n.r,le NazleCl 'Atsbesto3/- s 11a1t�D�?'�si r,-.!Au:�.,. fi ' �$2T�1t0�TM.e'rrlI "ta ,.�.aT:a•� 4" tik=? v5:5Xagr�; ;,:. Double 1Ia1Ye'dFAsliesto'sAlumin'um DP a ; x ' $2 �q� p 1 N '-I ay. d eA�F.: �"t. BE1CK'%E'STI1CC01„f5,�,.��t"a�p'�h ��F ��¢..,,,���. xY+��.'•�,c•#,.i 5 .. I?1rter10TyW8lltB10W'„t�las'ter DP" ?:..uw ,-A '",``rz'k, a ,' ER 6 C1'a board/Wood�Snm le/um 1hDP �,k>. t Y s '�-'! x 4d I�L-ts ,4 �a W rGar'" W{� xy.t n �r a'c$xi:$60'00' t Pt 3 aidg ' , its`3iF'i''°'tA`} i 3 T@St Dr111,4 SlideS , P4 4R"�+�d r '' �� ,.,e n,7.;Ytd ;�,apn ,i 5t �oF r r,rt r,F t r t. _`�' 4 i�t is b' v AS`'"isk +# s E a qua/,.�'• . %:c{F�;�i'-s � .�?�L.:a'�e�l,�Tt 4 Y ��" ^D..[ rfY:,, llnx+cuir],,.✓„'+,'�r ,�'.yA: yrr'-��. '17,'#e$G -Y. 5 qY, o; S4 UrWr '�,.�. 1 „� a;Y 1.NS'1F. .,r,_. A Y±.,aG,n w v , d �'� .�F�,SI F '4' 4 :.'vp.•c.fiu.' � ! � Fq���a ��r�-,.r�,:".11,.!'��'"^�.3.3u.:3 f'"U.r c 'Ga-,s`tq`rs�t ,:�f;f"s A•ic.SeahneT:lmlt..�, ,Y°.a,�. s:«�vi�+r,., ,..,, >2.. -�t1 ,. ,w 4 "O lvli '*4�.waahya+f cy 9't e`a4[,�t�",All ii k<rv.4ya� '4, PE: `'�,u":$ '..i,YIf ,•....- 2- R i N , F r sfi 4 + vi. ry ry 2'� J AoorSwee , � a ]1' , I.. u 3 1 } u $IfS 001a° kf1$1*50.OE q •• !t C/ i$ ` t ' -. ',; '3 4i2 : € risY ':.: �Y' "� CMDt' r-t yk a a'y-+•'r-";.% AI1tOmatlC�D000p.S WCC E+ _,' ;m a�+ b t Ib e,. 42K00, GlasstRe'lacement ` ^r''Cs "r . 5"s 9Z�!•',d'" z '•q::$-w` fb•. *tcr� ,�;e'.�'aytY` l+ r Z nfi a5 c a s i� `Y't2' !• r y,+ n . ,We .i�#. �;..<a�^. . r.,+_. � �., �� �_�$45 00v,�, ,,&. _� �� Y�7, r ,[• � . '�,4� oMi''rs`4'K,;;` iXtvk'.'a: � ,did ,tqr 4,k5"��'� rx " . "". r x, x,,� - F,,�% +�C'�2,y {' ,rn' sin,"s 9 3 Y,±,�1 �t ( Tr£• �; -r x ? t.t kY'r njk. 4v'�i`"'{ 3: ". � !i rr Total,Alr,;Seahn ;Cost •;'�"P`� w.' �` �er'.'.'�,rrF�,� r, ;�� �a�: t 4 ! �'� ��l3'*'_ a ,. � �' �>�-- ax..raswq..4a-w :c�c,aw.n,-u ,y xr ..N.Y, ws i -an M1 t- .b7f k71"_ ern. f $a+ ! .x.�. .' o- ,;y;in •e. FI`eatm�.«�¢Svstem'Measures ,vfiY.;r$ -,�b h� : v°�fi+(r_t_ �.as i 111 6 '• rvem z r v4r#`J. 'RI`e,.. ;'�". ,. .mes 2 95 U i � :xwe a Duct, sulahon�&,SeaP'Seamsl`s ft 1 � t',�t-,r$ a �� + a"�+: ..� ry Li drom�'c Pi`eTn'si7tationeto Fk RS ll -airs. d o-.^vr 'r " ? < •34r-''s r Y4' - a V <' t°z' `t S,UM PI e,'In"sulatlonlos 1 25 RS( . ., 6 . q, !q;K fir' `{F ''8 4 i .'h, 113_ SteazrT�I'i elnsulahon4£ :. x RS „G $6 05t + ',r '�`� Pro ram`Ite ark}rr*> � t .F_.' '$ 1 5t ..asA-.,Er3X. T'"4r 0 00 W .� : •�x a sai ]onappro�,al'neede Max$500 f. x sy, :t"s� �;r6 � o- n �� � '� A ual TotaljdoesnoYiude$125 OOxK&,aI chg z�� �` ��� „ bsttrTotal � 3. 's# � xv.�' ?`sue ,� i T +Ys i� �1 ✓- �i�, v`•p,tFO gy,u av :"4fi'd3�1'�r v - tq7 �a• c.. 'S.-' ��. t`q.+�•, �� .`. .,a.:;&�.�vsa. '"' gr'F��am�.'L'��3 �o Hgx'4n... 00�,. ' ACTION, INC ��� w o s +' ' ' yy 47 Washington Street e a Gloucester, MA 01930 eTny Fy mnt ,,WE, w a+�Y s15�5 Y'A �f�' E.+ e4",t `€` t 3 r {E>'w>(Lr,g -Tf^Y'�. '� H I ��y.��2p i� T' C�$,1�M. ! n �,, z;I Th �YTf i�Y t:1�'i�4S1nY.� 1Yt .. 341ai`5` �1LL➢L'��t�a3r...,i- T9 i En`H1?,..LFlw.A f:'; Agen U" NSCAP ', �t s r 'NGRID Ap'phb6tidm Q'I) ,« ! � ws r ri .�"ts� Na' +:y t .qr yc t ., i7y��a g uPROGRAM .r�AARAWAP € -BE lit' r O {q 3 a € x � u� .4� "Y•E tF� ,lfi �I✓y� ,{' �1�Y '� ^fie +['� rder, perfo`rrned? 5F'ti I +e¢ s'4�s .y N Ihs IL,r I'Fk� .kj 'G.rA 'tC <x s �, p , fit n„ '�E ,,�•�i �,�t .. r �4 er.1 Date Ostl e ? � primary Contractor � ���A41antEo,Weathenzatlon.m }"'.x�Y1dzY F,h "° a.`t"5`+, , #Bullis Installed $ t00ty 't, ',: a , ©ther ContractorJa NA. +� qa. _ 3 , �.'a , St Of`B IUbSY,�O� OU,ttJ ; r �y°g Cllenit CIEff{Prfouencher,( I )ah ", �+�§ nspt$12 OO Ma tB w So A) . �� Streetl3l{`eman"S�reet'Apt1/ FloorYi, OtheylnKmd *� k,$oot `a + ! ! �` 9A r^€59w,^r -: a iRl' ?4 g k ,c :t t" - 1 ^''z^J',", 4 � i � * IN' State Zlp Salem tMa tt eau rs =a` 01�J70td, Electtical Work x} �o, oo , ix Tele KOrde I ' 'Ke Spa�n., �.^"�.. $0`100 rt' ' p'� � r,r�' r�`t� �� � fp .'�� x �.r":r�, Rt trf rc -.$ Amou1'1t National+t GYXdt^ r $0 00 a 1N,1 0, un ,,r�kn. .t T '+h vrv.y, i , er. < :s d" `� r t'�''1'r'S ar H.a SN 1 -" + J' �I owes Door, est sf E No G, i� " +`�'-w ir# „a+'�-''� y gOther„j�utlllty Y I to � r �_ Date Job'�CUOMPle ec3 i'= a'R 7otal� "yx 4 x So oo' "„t!,>l>c >fi:QetualrRepelr T_oWl �et4 $,0_Opr� VF/eathen anon „* ,E"l. 1 Z ,Est,: Vk,; Act y Costd7 ,"-0EstiGost; 3 t Act'Go'st t6&Kit>?`-�',t�'�,,MM'1.!5"y',!�,�>,'; "R� ^'.. „i,a 'D`oor Swee-''i .' 2" ; _`:" '" r- , ' =:�: i:`n _ ,$1i5' Mca'"3�t4�s X v * +. AutomatiE'DoorSwee ' d3b�Ms; rr .* $22.00}', t "i? _ 3' 'Alf Sea11f1 [`a.er houri"Sc�3,:. :Au'1W_ey°�'§i.5 al-mr^r..vc .n .i7 'r',. i$75:OOx't.1 � 'l;—1 'x,c �.R' `;.a 1 Weathersfrlo Window":'er s,de..`�.'ii: ... ..-,_ :;` -:- •:'; $5.,00" r 3 'a ��r,.. ':i ,,-� '1 s $62�bkt4h'sE a' t T,xL ;V.ill.SBJnslilP,ttlC?H�atcFitR30,"d� '.' art. `c$30,'Mldam3t.;i'. ,4a. $0fOW Will Ift- R,r �rMx' "y„�;,*+.' s H „�.'7u � •-a A t ^ t w€: '°M-' +0 te9n.$x =1mv f 1L1, �Wti: .T$�QQ:. -mill.b . ( Jmsutatlon5� Est $T.. Acts" ' r Cost,: # Est;:Cost ,,/tAct',C`gst? �P.;ttic.Flat23$Ko E ���..,�"�� "' ir,"x � ::.::; 4;k v,..$1 40i">,.^ul` .ii aaf -4t°:`� ''>$k.� !AttiaFlatLSlo es.R30er,estddd&,,!1 MO ;� A"M w � '�$if _ , Attl&F.latLSle es.R20restncted..:s ai. .rY?$,1!35. °F,r s ,.Ras S . a ; Q" M '§t �y..�a# e £ Yat>13'_O! r'. i s yam,. 4ttic,Kneewal,R13.FG$� i z, $11:25 " .. r : Aftic,KWaIlR13tCellw/Membrarie'i .t- ". :+' �- ', �' $1s..65' cAkftA RWi73?`w''LL ' Att,cTKneewa114Ffoor;R3'O rest.* A''AU m ti1: , 01 .4] w . I`n'sulafes"P;ttciStalles"B Walls; 114-14M, InteriorWall)R13�T,";PlastertRll3'DP',fc,*0"', . 7 �`.ut$;I�-8A5 D'uct.IbsulafiomRSa&S`eal'Seamsa '.F4 „' a m I $295* ` `lx ? . 1, ,+ FI'dronicPi'eInsul,toG1 R5r {` %' ..1,00 , : $3:25:t ,'. .t .$325 00N� Yndv,a c -.w , �,r: „t, f5teamiPl`eslnsultto 1:25. RS ,:au.Y��'�r+� DHWFI eI`n"suatlonsRS " _6?.s tr $2'50; ° '"$a1500r4,�iE :«;+g r,«. G na x t > i.•s S " - Y-.1Pa'^`1 ..f, ,If.1SUlate Dods�`a'�'�1 r'�'�x-L" ifs t�n�. '+ �.��`"�*b�i5 $44 00?_�ztk 1 c �i� a eo c et + $D DOr;: In ulattotiM:T;otals , -?0':�� Iiff Prpvenche-r CO)k Pa e 2 rDOE � t"' Ara *v � s � u � g1a' - , k s L. "k.,-O >• v.4s S JA'I 3.4 R 4y. OtherMea`sures rC: ,EStfa Fx' Kr'<Act .f>' Costy ., S ti E"st Cost a "^Act Cost 'Roof Venr?''small tj r�',5, i $760.0^"gal*'Ks;a ,i,s,�. GableUenf Rectan' ular" 'r t n $88 0,0 ?%in 12Re la ement W nd0,11 3tuiY"llA , �='-� ax } $390b,Q0 m n< "`$'400 00+, prr ` 'tJy +s� ; nWRe lacer°nerit Wmdoav ' , 1i0t00,r 1' }'o" O.�i"� �r .•v' r'�, aa? `tcc. Vm l Re lacement'eWindow !MA HfIIVJA } # t + $425.00r Vin ItRe IE°�Bsm,4Ho er'Window >r °:-€''� ` d$325"0,0'. ; tW3.ro,h ,i 'S cr,re Hr�n Door w/Cite vs" ' , $81;Or00�' '� YI`y ' ; xiR(e: tc3 $350 Solld'Core Dooww/F�"ardwareT q r t r r 00 d faudeu/NeratOr 9"� "'" - ', x'%�^''� ,' '� $1f5 OO ' "'r Low Flovv h- 00,t, ,Blower DoorTest VVmdowtGnds &V! = tidyrr5, Bwldm tPefmlt`Fees�r `sr ^r'hnima �7� � O�tvher Total"s' uwa «r r , + 4 $Iw,"Ao�tv L>$,t? i xr� pSO.00w x7`�� $0-.QO �:�X!-id 5WIF4fi�iiT'rF� 'ui���'�4w�f.k� fdr ti'IWSc"t1 R' F�@W�rW��-• `4`�.3f5r:.�i,?*w� S95+t-' �16.6c�F�. � yY�.�-'�"µb.:�3 Ener COnsenratlon � � ;yam r ' > s u, t. Est:Cost f "tAct Cost Totals9Maz$1,000Oe06 ' i �, *, a „ � $34'O.00y $0:00, : -�m,�' Re airs, k a� w �ctEst a -`fActrM rCost: r v EsttCost ?j t` ?Mt,Cosf Re air/Reft D00& §��4 ra t s .$50-.00'aM, � nIWI • IAd USt3DOOf Strlker;P,late'��+ r," `. `� +:y , p $200L ilJoorThreshofil $40 00,E s " i,,t,(d F6 IWWAW ,,..g Slide BOIt $2040. Sash LOCku xN+a3m 5 d 4 6 9 p .. $9 25` n r° Yn' a 61assR`e lacement to64 ur a h ' 4 a� sA� � 00= ea4s"�,' $0�00 aC,, sbet. ` ` 'S '4' '�awi55se{:9ut Healfhi awA*o-' �' VentClothes'D er�tdExteOord ` �r r i,a !p €$85'00 Sir a�L !�'�r<, :43�v�m�t��R nriBath EzhaUSt Fan=fo�Extenor *'A nra-`*, $38 00': >'7a°��'ae��� ����i��� av ;•: "A NA '.'.�O 4:ss.' �" £r+". '? , .r"3..' iT� i "..L"1 §i� �''c- [ u�l7i', � 7 ° '� `" x$0 Re alrTiOf rf=,Max$2500 00 "P 13,z t g< v e t$0".'00a $O+OO '£✓-w:w K: "� '�`�rt�._`.�.Xw_s"`�rak�,�itmt�4- . ��Sr+�'�i''i�� u'i��s. � WOrk.'OrderYSuti�Total ��ar G P " '3`' s�. r Y za+.C" � c , 3` a rt m ,, ra�. ay, �,�+ �� � y,��• �' Measures` i^ 32N4 4aq tES�'t °A t / f �OSt �E$t'( OStkAGt°COst4Fpp' lc"'Y t Ny d�'i. c . -k b a v c? t& r :- $O OO rt� 2°`,ap'7a7�r1? 4Heatin S she Re' n ny c ; P,chon approval only "T�"4"""ha ",may"�''"`T�r' , ` V , >w qxwy t4yg,, ^" ' r f��ta�k yA .r. F :'g d:hb- 'C q,. "a, b 3.$°a `»hi�.jsvf'4�i "' 3" .S t °r n" }A'¢M1p i ,+ . r c>~s' iq}, x§yJF.x i k a" A ,1+3'` �.�, ",�skv*'ti• `� �' t , Estimate QbV otal J F�¢ �w rT fl E§�� �Ob'CanflOt,eXCeed`$A;O OOO 00" >' o h bl' I'Mmu xW3'•t.4�i r+3 a i', �{ - c F .q rrk�*' 9� * +r<�+�*Y''-'^ "`t4 Job minimum $200 00 ' Syr q r .IobrGrantl a•s v °.. d� s�i� CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT %1 .1.-a I-rl:W/:74.10PA t P construction Debris Disposal A171davit (ruyuircd for all demolition iuxl rertovutiun work) In accurdalx:e with the siuh edition of the Slate Building Code, 730 CMR section 111.3 Debris,and the provisions of MGL c A0, S s4; Permit N . _ is issued with the condition that the debris resulting from P be disposed of in a properly licensed waste disposal facility as defined by MGL c this wu� shall era I 11. S'150A. The debris will be transported by: 17-T � ilia of hauter) '1•he debris will be disposed of in (nyrr of xl sty IaJ�lrteaul xl6lyl, _ .'Itnalun, f iminlit applkant / I( `/l Lr daft nmfamuiwaldc o�.iGlaeeac/ume!!a _. �1ie Pt3oo -- office of Coasamw AtAun b Business Regulation ! - ^� HOME NdF EMENT COU RACTOR Ru01/Ua 068 , 1, , `se or registration valid for individ"ul use only. Ex - 2 Trtl 292174 'i before the,eapiratum date. if found return to: r, — 11 Office of Consumer Affai sand Business.Regailation Type F-=" -a �� or 10 Park Plaza-Suite 5170 ATLAIurIC �. Boston,MA 02,t16 . ERIC PALM 6tR JEFfERB � SALEM;MA Ot870 �..Cad%� Vadereecreury Not valid-withoutsl'guature Massachusetts.- Department of Public Safetc 9 Board of Building Regulations and Standards - Construction Supetvisor License - License: CS 87977 Restricted to: W x Restricted to: 00 ERIC W PALM 00- Unrestricted 3 HILTON ST 1G-1 2 Family Homes SALEM. MA 01970 o— Failure to possess a current edition of the Expiration: 4/23/2012 Massachusetts State Building Code (lnnmissioncr Tr#: 22214 is cause for revocation of this license. i Refer to: WWW.Mass.Gov/DPS �` { I ATLANTIC WEATHERIZATION, LLC 61R JEFFERSON AVENUE SALEM, MA 01970 .. 11 May 14, 2010 To Whom It Ma y Concern: I, Eric Palm, o ��,�er of Atlantic Weatherization, LLC authorize my employee, Damian Ankete 1, to pull permits for my company. Sincerely, Eric Palm Atlantic Weathe ization, LLC 1 i I III j � I I i I II I I� II