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22 LEMON ST - BUILDING INSPECTION (2) 1 n �! The Commonwealth of Massachusetts 1� 4 Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR,7°edition USE LITY Building Permit Application To Co t,Repair,Renovate Or Demolish a Revised January One-or T o-Fa ily Dwelling 1,2008 This eption qcnLOfficial Us Only Building Permit Num et: ate A ted: Signature: Building Commissio lnspectorof Bu gs Date SECT 1: SITE INFORMATION 1.1 ry L er[y Address: 1.2 Assessors Map&Parcel Numbers � L'yYLOy� 5 �- Ll a Is this an accepted street?yes_ no Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Pmvided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yesC3 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Recpprd: Os'C`GuvO �JGS �JQ,Z. .s2� Lt°vnnnS S � - Name q(Ant) r Address for Service: Signatute Telephone SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other specify: a or Brief DFscr1prion of Proposed W9rk2: OtPi (Jai ( J a rd SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1.Building $ 1. Building Permit Fee:$_ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: VU -3—Mechanical (Fire $ Suppression) Total All Fees:$ 00 00 Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 815 0 Paid in Full 13 Outstanding Balance Due: I Specialty Contractors • Asbestos&Lead Paint Removal • Hazardous Coatings Removal • 40,000 PSI Waterblasting • Coatings Application • Weatherization Ryan Atherton Business Development 49 DANTON DRIVE METHUEN,MA 01844 The Aulson Company, Inc. Cell:978-518-2621 Fax:978-975-0101 978-975-4500 ryana@aulson.com s SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) 1 7_ 2a 7 Z /J r License Number Expiration Date NameofCSL�n1-Hold�er/ g_ / "l 7 /r /V LG✓, s k, gel ,J List CSL Type(see below) t c 7 2 n Address L�,.y w Type Description U Unrestricted(up to 35,000 Cu.Ft. R Restricted 1&2 Family Dwelling Si nature' q M Mason Only 7Y, ! 7S 5/S'0O RC Residential Roofing Covering Telephone WS Residential Window and Sidiniz SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Re isterey�H9Jme Inigovement Contractor(HIC) 5 6,.z t 1�¢�. T/i0'h if d ss�..-sue t3" �h HIC Company Name r HIC Regis t Name '� Registration Number `!5 �." Hof/ Address;9 45 '21, W66 73-V-5-dU Expiration Date S,i aurae Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 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...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, !yl6w!Cr.....e VG SQd i,/EZ , as Owner of the subject property hereby authorize an a to act on my behalf,in all matters relative to work authorized by this building permit applicatio . i Si Sigruilme of Owner Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION I, S/M- C.7/r ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. Print Name Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of 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 IQ have access to the arbitration program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.R6 and 110.115,respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq.Ft.) (including garage,finished basement/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 of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" i ��lfice o onsumer a�ancduls- ess e u""7a ion F - g 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration :: r Registration: 156224 Type: Private Corporation Expiration: 6/15/2011 Tr# 286188 THE AULSON COMPANY INC t 1- � ALAN AULSON JR. 49 DANTON DR. r 4 METHUEN, MA 01844 � r Update Address and return card.Mark reason for change. Address ❑ Renewal Employment Lost Card DPS-CA1 060M-08/08-D�B/SIIFOpRMCA108212008 _p "'n�T dff-ed' '61 (� SBc` srfA4S �ffEioo License or registration valid for individul use only j HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Reglstra6oh 15822q Office of Consumer Affairs and Business Regulation 28618g Expiration 6/15/2011 - Tyl ]0 Park Plaza-Suite 5170 �- - —� Boston,MA 02116 Type Pnvate Corporation H 1 d THE AULSON(C1,�MPANY IIJCf 49 DANTON DR METHUEN, MA�01844�.r�i ,,, Undersecretary Not valid without signature The Commonwealth of Massachusetts � { a � Department of Industrial Accidents Office of Investigations UW 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): THE AULSON COMPANY,INC. Address: 49 DANTON DRIVE City/State/Zip: METHUEN, MA 01844 Phone#: (978)975-4500 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 100 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers 9. ❑ Building addition [No workers' comp. insurance comp. insurance.' required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]' c. 152, §1(4),and we have no 13.❑� Other weatherization employees. [No workers' comp. insurance required.] 'My applicant that checks box H I 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 hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must 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. Insurance Company Name: ACE Property&Casualty Insurance Company Policy#or Self-ins.Lic.#: C:45863293 Expiration Date: 10/31/11 Job Site Address: 2 .Z ce) 'T s T City/State/Zip: S�}lkm y+?4 Attach a copy of the workers'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 under the pains and penalties qfpgPiuiy that the information provided above is true and correct Signature: i Date: �2 -_2 o I/ Phone#: 29 — Cf 7S q SO U Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DID DATE(MIYDD/YYYY) AULSO-1 11 02 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DeSanctis Insurance Agcy, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 36 Cummings Park ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Woburn MA 01801 Phone: 781-935-8480 Fax:781-933-5645 - INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: The conmarce insurance company INSURERS: Star Surplus Lines Ins CO The Aulson Company, Inc. INSURER C: ACE ProPorty c casualty Ins co 49 Danton Drive INSURER D. Methuen MA 01844 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 15 SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMDDM)CTIVE POLICY MMPDDl TION LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 B X COMMERCIAL GENERAL LIABILITY SISLEIL72010010 10/31/10 10/31/11 PREMISES(Eaoccurence) $50,000 CLAIMS MADE LK OCCUR MED EXP(My one Person) S 5,000 X Lead & Asb Liab. (W/ POLLUTION & MOLD) PERSONAL&ADV INJURY $ 1,000,000 X XCU & ContracLiab GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO- JECT LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO 11MMCHHJ739 10/31/10 10/31/11 (Eeaccident) $ 1,000,000 X ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ X MCS90 PROPERTY DAMAGE X Broad Form Poll (Per accident $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 3,000,000 B X OCCUR 1__1C1AIMSMADE SISLXNV73010010 10/31/10 10/31/11 AGGREGATE s3,000,000 GL/POLL/ $ DEDUCTIBLE & EL $ X RETENTION $10 D00 $ WORKERS COMPENSATION AND X ITORY LIMITS I ER EMPLOYERS'LIABILITY C ANY PROPRIETOWPARTNEWEXECUTIVE WCC45863293 W, DC, FL,HA 10/31/10 10/31/11 El.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NH, ME, VT, RI ,CT,W E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below E L DISEASE-POLICY LIMIT $ 1,000 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Illustration of Coverage CERTIFICATE HOLDER CANCELLATION TOWHO-1 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 CERTIFICATEFH � ER NAMED TO T E LEFT,BUT FAILURE TO DO SO SHALL TO WHOM IT MAY CONCERN IMPOSE N OBLIGATION OR LI OF ANY KIND PON THE INSURER,ITS AGENTS OR REPRESE TATIVES. AUTHORI REPRESENTATIV ACORD 25(2001/08) r ACORD CORPORATION 1988 NSCAP 98 Main Street Peabody,MA 01960 Tax Exem t#:042-385-280 _ Agency: NSCAP PROGRAM: National Grid/2011 JOB NUMBER:,0 NGRID Application#: 0- Work Order#0 - Work Order Date: 05/05/11 ,. Jab Li - - - Primary Contractor: The Aulson Company Per Uoit $4500.00 Other Contractor: Manchester Electric,LLC - Client: Mariano Vasquez K+T Yes=1 Street: 22 Lemon Street,2nd Flom - K&T: 0 - City;State;Zip: S ilem;MA 01970 Telephone: (978)985-1515 - - Stand Alone: No Fee Code: 0 Blower Door Test No - Stand Alone Yes=1 Now- - Inspect Knob&Tube: No Elec.Contractor: - - Attic Insulation Est Act cost, Est Cost Act Cost Attic Flat R49 0 $1.53- Attic Flat R38 open - $1.40 Attic Flat R30 open $1.30 - Attic Flat R20open - $1.23 Attic Flat RIO open. - $1.15 Attic Flat/Slope R30 restricted $1.41. Attic Flat/Slope R20 restricted - $1.35 - Attic Flat/Slope RIO restricted - - $1.24 Attic/KW Floor Transition DP-In ft. -- $2.40 Attic Kneewall R13 $1.25 .. Attic Kneewall Floor R30 restricted SL41 Finished Attic Access- $100.00 - Temporary Attic Access $75.00- Crawl Space w/Poly Vapor Barrier $2.53r - Garage Ceilin loor R30(w/approval) $2.00 VentDryer/Bath ExhaustFan - $85.00 Thermadome ' $175.00 Roof Vent small $76.00 Turbine Vent - - $160.00 - 12"Stack Vent $145.00 Pros Vent - $3.75 Gable Vent(all sizes) $88.00 Soffit Vent $26.00 Attic Air Sealing 2- urt Foam(2 hrs max) $75.00 - Mariano Vasquez Vasquezi Page 2 National Grid/2011 Est Act Cost Est Cost Act Cost Wall Insulation - Single Nailed Asbestos/As halt RIS DP $2.10 Double NeiW Asbestos/,M.m.R1S DP $2.20 Brick/Stucco R15 DP •$2_79 Interior Wall Blow-Plaster R15 DP. $1.8 1 - Clapboard/Wood Shingle/Vinyl R15 DP 1765 $1.70 1 $3,000.50 Test Drill sides - - '/ $60.00' " Air Sealing Limit: - Single Family w%Blower Door=$400 - All Others=$200 - Door Kit - $43.00, Re lar Door Sweep - $15.O0 - Automatic Door Sweep $22.00 Air Sealing 2- art Foam(3 hours max) $75.00 Sash Lock - $9.25 Glass Re lacement $42.00 - Blower Door Setu $45.00 Total Air Sealin Cost: Heatin S stem Measures _ Duct Insulation&Seal Seams s ft $2.95 H dronic Pie Insulation to 1"R5 $3.25 H. dronic Pie Insulation C25"+R5 $3.50. Steam Pipe Insulation to 1.25"R5 •$515 - Steam Pie Insulation 1.5"-2"R5 $6.05 Boiler/Furnace Replacement $0.00. ""Pro ram Repair $0.00 "Action approval needed;Max$500.00. - - Actual Total does not include$175.00 K&T chg. - .. . $3,000.50 Est Total $0.00 1 lActTotal AUDITOR:.Doug Cranford - 1 ACTION, INC 47 Washington Street Gloucester, MA 01930 Agency: NSCAP NGRID Application#: PROGRAM: AARAWAP p JOB NUMBER: 0 DOE Work Order# 0 E.S.C.performed? No Work Order Date: 05/05/11 Primary Contractor: The Aulson Company Other Contractor: Manchester Electric,LLC #Bulbs installed S0.00 Cost of Bulbs $0.00 Client: Mariano Vasquez.: Inspt$175.00 Max $0.00 Street: 22 Lemon Street,2nd Floor - Other In Kind $0.00 City;State;Zip: Salem,MA 01970 Electrical Work S0,00 Telephone: (978)985-1515 $Amount KeySpan $0.00 $Amount National Grid $0.00 Blower Door Test: No Other Utility S0.00 Inspect Knob&Tube: N0 Date Job Completed: Estimated Repair Total $430.00 Actual Repair Total $0.00 Weatherization Est Act Cost Est Cost Act Cost Door Kit 2 $43.00 $86.00 Regular Door Sweep 2 - $15.00 $30.00 Automatic Door Sweep $22.00 Air Sealing 2-pan.Foam(per hour) .-r• $75.00 " Auto A r Sealing 2-part Foare(per hour) 2 $75.00 $150.00 Weatherstrip Window(per side) $5.00 eal Ducts-Mastic $62.00 - W/S& Insulae AtticHatch R30 - $30.00 _. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Weatherization Totals: - . $266.00 $0.00 Insulation Est Act Cost Est Cost Act Cost Attic Flat R49 open 304 $1.53 $465.12 Attic Flat R30 open $1.30 Attic Flat/Slopes R30 restricted $1.41 Attic Slopes R20 restricted 618 $1.35 - $834.30 Attic Kneewal R13 FG 284 $1.25 $355.00 Attic Kneewall R15 Cell w/Membrane $1.65 Attic Kneewall-Floor R49 open 246 $1.53 $376.38 Insulate Attic Stairs&Walls $130.00 Sidewalls-Vinyl R15 DP $1.70 Interior Wall-Plaster R15 DP 210 $1.81 $380.10 V Rigid Foam Board at Knee Wall 284 $1.85 $525.40 Duct Insulation R5&-Seal Seams $2.95 Steam Pie Insul 1.5"-2 R5 80 $6.05 $484.00 Steam Pipe Insul to 1.25"R5 70 $5.25 $367.50 DHW Pie Insuation R5 6 $2.50 $15.00 Insulate Door $44.00 Sill 2-part Foam w/FG Batt RI9 $2.00 Insulation Totals: $3,802.80 $ 100 Mariano Vasquez Page 2 DOE 0 Otlfer easures Est Act Cost Est Cost Act Cost Roof Vent-small $76.00 i;able Vent-rectan afar 4 $88.00 $352.00 Rectan afar Sotfi[Vent 12 $26.00 $312.00 CuUPinish Attic/Kneewall Access 4 - $100.00 $400.00 Test Drill Sidewalls-4 sides $60.00 Blower Door Test $45.00 Vinyl Replacement Window- IOlui $350100 Steel Pre-hun Door w/Lite $6I0.00 Solid Coor Door w/Hardware $350.00 Faucet Aerator $15.00 Low Flow Showerhead - Pro aVent 36 $3.75 $135.00 $0.00 $0.00 Other Totals: $1,199:00 $0.00 Energy Conservation - Est Cost Act Cost Totals:(Max $I0,000.00) $5,267.80 $0.00 Repairs Est Act Cost - Est Cost Act Cost R aid lefit Door $50.00 Ad'ust Door Striker Plate 2 $20.00 $40.00 Door Threshold $40.00 R air Door Hin $25.00 Slide Bolt $20.00 Sash Lock - $9.25 Glass Re lacement-to 64 ui Siwbuilt tit.Bulkhead Door w/Jambs Buildin Permit Fee l $100.00 $100.00 $0.00 Health & Safe Vent ClothesD- er to Exterior 1 $85.00.� Vent Bath Exhaust Fan to Exterior I $85.00 Re lace D er Hose $38.00 Knob&Tube Ins ection $175.00 Bathroom Exhaust Fan $500.00 Labor to Remove FG in Attic 2 $60.00 $120.00 Repair Tot:(Max$2500.00 $430.00 $0.00 Work Order Sub Total: $5,697.80 $0.00 Measures Est Act Cost Est Cost Act Cost ffe $0.00 $0.00 "'Heating epair Action approval only . Job cannot exceed $10,000.00 Estimated Job Total: $5,697.80 Job minimum =$5o0.00 Job Grand Total: _$0.00 AUDITOR: Doug Cranford ~' ACTION, INC 47 Washington Street Gloucester, MA 01930 Agency: NSCAP NGRID Application#: PROGRAM: AARAWAP 0 JOB NUMBER] 0 DOE Work Order# - 0 E.S.C.performed" No Work Order Date: 05/05/11 Primary Contractor: The Aulson Company - Other Contractor: Manchester Electric, LLC #Bulbs installed $0.00 Cost of Bulbs .50.00 Client: Rosa Vasquez-Martinez ' . Inspt$175.00 Max $0.00 Street: 22 Lemon Street, Ist Floor Other In Kind City;State;Zip:iSalem,MA 01970 Electrical Work %00 Telephone: (978) 821-8724 J,$Amount KeySpan $0.00 $Amount National Grid $0.00 Blower Door Test: No Other Utility S0.00 Inspect Knob&Tube: No Date Job Completed: Estimated Repair Total $337.00 .Actual Repair Total $0.00 Weatherization Est Act Cost Est Cost Act Cost Door Kit 5 $43.00 $215.00 Re ular Door Swee 5 $15.00 $75.00 Automatic Door Swee $22.00 Air Sealing 2- art Foam( er hour) 3 $75.00 $225.00 Anic Air Sealing 2-part Fo=(per hour) $75.00 Weatherstrip Window( erside) $5.00 Seal Ducts-Mastic $62.00 W/S&Insulate Attic Hatch R30 $30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Weatherization Totals: $515.00 Insulation Est Act Cost Est Cost Act Cost Attic Flat R38 o en $1 40 Attic Flat R30 o en $1.30 Attic FIaVSIo s R30 restricted $1 41 Attic Flat/Slos R20 restricted $1.35 Attic Kneewal R13 FG $1 25 Attic Kneewall R15 Cell w/Membrane $1.65 Attic Kneewall Floor R30 restricted $1 41 Insulate Attic Stairs&Walls $130.00 Sidewalis-Vin IR15DP 1400 $1.70 $2,380.00 Interior Wall-Plaster R 15 DP 1 210 $L81 $380.10 1"Ri id Foam Board $I.85 Duct Insulation RS&Seal Seams $2.95 Steam Pi a Insul LS"-2"RS 120 $6.05 $726.00 Steam Pi a Insul to 1.25"RS 1 10 $5.25 $577.50 DHW Pie Insuation R5 6 $2.50 $15.00 Insulate Door 1 $44.00 $44.00 Sill 2-part Foam w/FG Batt R 19 160 $2.00 $320.00 Insulation Totals: $4,442.60 $0.00 Rosa,}/asquez-Martinez Page 2 DOE 0 a Oehet Measures Est Act Cost Est Cost Act Cost Root'Vent-small $76.00 Gable Vent-rectan lar $88 00 Recessed Can Cover $30.00 Cut/Finish Attic/Kneewall Access $100.00 Test Drill.Sidewalls-4 sides $60.00 Blower Door Test $45.00 Vinyl Replacement Wiindow-101ui $350.00 Steel Pre.hun Door ne I 1 $610.00 Solid Coor Door w/Hardware $350.00 Faucet Aerator ' $15.00 Low Flow Showerhead $25.00 $0.00 $0.00 $0.00 Other Totals: $0.00 $0.00 Energy Conservation Est Cost Act Cos[ Totals: (Max$10,000.00) $4,957.60 $0,00 Repairs Est - Act Cost Est Cost Act Cost Repair/Refit Door 1 $50.00 $50.00. Acfi Door Striker Plate 2 $20.00 $40.00 Door Threshold $40.00 Re air Door Hin a $25.00 - Slide Bolt 1 $20.00 $20.00 Sash Lock $9.25 Glass Re lacement-to 64 ui I $42.00 $42.00 Sito-bailt fat.Bulkhead Door wdarabs $415.00 11 Buildim Permit Fee 1 $100.00 $1o0.00 $0.00 Health&Safe VenLClothes D er to Exterior 1 $85.00 - $85.00 Vent Bath Exhaust Fan to Exterior $85.00 Re lace D er Hose $38.00 - Knob&Tube Ins ection $175.00 Bathroom Exhaust Fan $500.00 $0.00 !Repair Tot: Max$2500.00 - - $337.00 Work Order Sub Total: $5,294.60 Measures Est Ac[ Cost. Est Cost Act Cost Other $0.00 Other $0.00 - "Heating System Repair $0.00 $0.00 "Action approval only Estimated Job Total: $5,294.60 Job cannot exceed$10,000.00 - Job minimum=$500.00 Job Grand Total: $0.00 AUDITOR: Doug Cranford 1 ! Massachusetts- Department of u Board of Building Regulati P blic sal-et, ons and Standards Construction_Super 'sor License License: cs 31612 Restricted to: Op JAMES A GAIESKI ' 57A NEW BOSTON RD KINGSTON, NH 03848 t'numiw•��� Expiration: 5/7/2012 � ner Trp: 25762