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18 LINDEN ST - BUILDING INSPECTION T6 — Iq —,S e o ! I 1 �- 1 CK � ee,� 25�' The Commonwealth of Massachusetts RECEIVED Board of Building Regulations and StandOMPECTIONAL SE VICESFOR 44 MUNICIPALITY Y� Massachusetts State Building Code,780 CMR, 7 edition , , , USE Building Permit Application To Construct,Repair,Renovatenr mdih A bRelbed January One-or Two-Family Dwelling h,?,.' , 1, 2008 This-Section For Official Use.Only, Building Permit Number. Date Applied: Signature Jrl�, Building Commissionir/l&becwSbtBuildings , '• Date— SECTIONI:SITE INFORMATION' , 1.1 Prope y A�dd�ess: �+ 1.2 Assessors Map`l#:Pa'Ae" Numtias f 8 rt(.yre eGeM J� U Al t -r ( ,o"a,I iuu-1-4 i !� t 1.I a Is this an accepted street?yes no Map Number .0,k i i s „p;PirWipiumber 1.3 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 Provided 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 yesO •'SECTION 2:rPROPERTY OWNERSHIP[ 2.1 Owner of ,. . :.. T� RecordL: _. J ttn-�IJI 6Vyl Yh d1'�� ' g �(/�(f�fi✓r J�'� ''y"'•r�st,7 ,r{� Name(Print) '. ll Address for Service: m,1ru inaix.t,J q 7 L 239-t7yy� Signature V Telephone SECTION 3:DESCRIPTION OF PROPOSED WORK'(check aB that apply) ' New Construction❑ Existing Building❑ 1 Owner-Occupied ❑ Repairs(s) ❑ tcration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ INumberofUnits_ Other Specify: Brief Description of Proposed Work : fya,Q� • 1 : C - SECTION 4:ESTIMATED C STRUCTION COSTS Item Estimated Costs: Official,Use Only Labor and Materials 1.Building $ /oo, 1. Building Permit Fee:$ Indicate how fee is determined:.. 2.Electrical $ ❑Standard CityiTown Application Fee ❑Total Project Costa(Item 6)x multiplier ' 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List 5.Mechanical (Fire $ Su ression Total All Fees:$ Check No. Check Amount: Cash Amount: fl 6.Total Project Cost: $ a I Q ❑Paid in Full ❑Outstanding Balance Due: q lZS 1 I , SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction)§upervisor"(CSL) `.1JIr31-12 .;Ad01T33gNfi E7V? Z3 / lFlCw.NIM License Number Expiration Date Name of CSL-Holder . r�� -� , ,181 •d 3-Hilft S9C t List CSL Type(see below) LA Address Salem MV919TY Type -`Descri bon U Unrestricted(up to 35,000 Cu.Ft. R Restricted 1&2 Family Dwellin . Signa • n M Masonry Only IVM RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation I D Residential Demolition G 5.2 Registered Ho hII rgYemgueniat,on�rLl C) HIC Company Name or W R WW eCaBIIfB1 Avenue Registration Number Addre • - 3/1 Z /`16 - Expiration Date Signature Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.IG.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 Issuanc 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 =. as Owner of the subject property hereby authorize of r e, 47-1 to act on my behalf,in all matters relative to work authorized by this building permit application. Si gnat of Uwner Date c. SECTION 76:OWNEW-OR AUTHORIZED AGENT DECLARATION 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. , (, a Print IM2 ry �� Signature of Owner or Authorized Agent Date Si ned 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#9t 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 I I0.R6 and 110.R5,respectively. _ 2. When substantial work is planned,provide the information below: Total floors area(Sq.Ft.) (including garage,finished basemenUattics,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" u'+3 am ss65e5 z3 badorsgm&nee's ar4e stdey SEme . ' x ��teetbomeosraeca,SeebTegladvienff e�'tCmttzY„cr�y(��tetia7A�batauasmraa¢aomn ' ' 08eac �ercvtdama®¢i�aa¢¢mde"aeb�e `ytYPx°°nTem{osa¢ms��¢y.¢ma[aatnyd3a:x ob2aa¢a � 's�aBo_•meaB¢aa}atim's[:msamaz tomYYrmi;m1�+'sdsneeYbamayabt�aafin PYai slat FoaeowaerTnfoxasaifon —"""'--"ia°cmaessirsiaa9s7e:i-ssaas3a7s�or COPrbruasgse _ CbatrzcLorT�ifomxatoa mm¢mb;ita E � a�y..��"' I�7✓ht1Yt��` � laa- � 7�r—ACC GEC 0-- sxz.�sa) IC*�^ttsP.a�en I ws d 11 t f _ a arson Avenue _ fy r�txa_ 3._ ,. -• of 970 97 a3g-oyys rac¢ __ ..SAecce Tae(7mimCjregmsm dotbefnIIm:' s: _.- C ZP-Qo e-/S �{( . ite�PamdPernuts-7lean'_�j�3,�se.-e?erea sr¢eos¢3�m-eraaF cowitebs s¢c¢Ofte �054aeiS BtlO sesa;Zi*es OTrli '�i+y�i42yZ NE_�'Tdb3Ttu��c.L�b:+ed+ia �pY'Q•ule,Ti p9cludedfro. -t. 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The con'-amandthehomeov-wha;abymiatnallyWminadv cefl iniheevont ecor6a hasa comae ins contact the conhactormaysabmitthe d.spotxto aprivata arbibationiawhWahas been approvedby theSeerataryo€thaBxecutiveOfficeofConsamarAf ftsandBushmsRegulaitoaandthaconsomershailbareq�ed t0seb3tto nrrtubatiGonacprovidedShc�Asact�saiEsGaeeclIaws,che/atrj�Q tlom rv±e_es Signature — caatactces Sigoatsa tOILTMI:The ignasasofthe parties above apply mlytotitaaP ativadkuute resolutioniaitiatedbytheoonhador. ThehomeovaerreayistiatealtamativedispdersoluffonevenwhLetbb section isnotse eat ysignedbytheparde3. =omearrnai'SZi hi Ahomaownes rig tsondataHomaZm ocvcmantaagrec t c cLavr(I(3 chaptarla.2A)an,do thin,consmar Protection.lam(i.e.MMchaptcr93A)may uotbevaivedia mywaq,evenbyagreemeat Howave,homeowners maybaaxclnded cmtce�eianahaifthecontracWrfoeychoose sna sapa3y egistxrxdas prescribed bylsw Homeomers,Ao secure fiat owabu;IdiAgpermits ate atdasetiealty excluded dim s1 Gausn�yEvndXovhioas of ihaLromalma-ammentCommotorIaw. The counictorisras-ponsible£aroomaletingthewodras described,Ina timeilY andw;dmaolfioemamar. Homeovmm-mapbeeniidedtootherspecifrol%dvghtsiftbeconfractor . 8na2otees or provides an express warran-Lyforwor? neaship ormatesials.Ta additimto guarantees arwarr"anties pmvidedby the cow'-actor,all goods sold aMissachuseCscarryanimpliedwaasatyofinerclutotabilityandfitaessfor apartienlarpurpose.AnemmeeraHaneoihermatt-sonwhicltthehomeowaermdconhwtorlawWyagreemaybe eddedto the teous of the contract as long as theydonotrestrictahomeumees basic coommer:40b.Nyouhave q rest ors aboutpur co-� a*s ov��rrigbia,coma,tt1te Consume ln`anm_tioriHotlsz(hstedbelow). 1•,xecatian of Conuaet I T'aa contract mustbe executedindua�and shouldnotbed pedumii a copy off all exhibits audrehrenced docr o=t Nava beanafmched Pardes am also advised sotto sigsihe doamentmhl all lobAsectionshavebean Medinorma�zdasvoid,deleted,ornotappliabl% Oneori&dsiguedconyofthacontradwi&attacbmentsisto be given to the ownerandtheoiherlaptby the,contractor. An-ymodi5rafioato the original corfmctmadbaiawriting and aereedto by bothparties.Contrzatedv vm&maynotbegiamh7 bothpardwhavatecei ed a fullyexzouied copy o: the contract,andihethrw day-mscissimpedodbas exoirad. • I Acee:ars,ad Payments A contractor may not demand payments to advance ofthe dates specified on&a payment schedule in.oases where the homeowner deems himlheselftobe financially mseeuree.However,ininstauces where a contractor desmshim/hmself to be`unaaciaily insecure,the contractor may reqairethatthebalance,of5mdsnotyet duaheplzcediaajoint escrow aceousiasaptereges tetoantimagthecontractedwort SrTY3dawaoffimdsfromsaidaecouniwovldrequsxtira I si�ai�:zs ofbothpe-ties. 1 I Additicnat�Formatiaa IfyouhavagznoralgeestioosoraeedadditimaliammtafioaabouEtheHomelmprovementCot>imcBorLavrurotha i consrmerrightr,orifym vnshtoobt&&U,eacopyof"AMassacimsatts Consumer GUMS toHome7mproverued' contact: i Consumerinformationlrotline Office of ConsumerAfnus eadBosinessRegalation. t 10 Pa&Plaz%Room517O,Bostoa,M&02116 . I 617-973.8787,885 283 3757 orvisitthe OCABRwebsita athttuJhnvwmassaov/ocabd Ifyouwzntto vedythemgishafm of acodractor or ifyouhave questions orneed additionalinfom:stioa speeiffally ab out too conhzetor egtshationcompoaentof&aHomeImptovementCordractorLOGcontact Director Of ROM Tmpmvement ContractorRegtshadm Offica of Consumer A andBusmassRegalation 10 Pa&P-Im,Room 5170,Boston,MA 02116 617A73-8787,88g 283-3757orvidtfoaffiCwebsitemhxuJ/vnvwsuass.aav/oabd Go ouke toviewthest-�of aHomalmpmvemeerttCmtmeboem Registtxtim hG,p://rib statemaysFhennaimmovemeaMiceoseetist.ass Formateacecvi3rinfamalmedie'uanofdsputesortoregisterfoaaleomplamEsagainstabosinecs,call: �- Consamar Complaint Section ' Office oftaeAftomey Gmeral 617-727-8a00 AIMIOR Better Business Bureau 508-6524800,508-755-2545 or 413-734-3114 v�tma.t-ttr�twio The=`OMInoxrvedth of Ylassachusetts t7epart`�rt�zt of radustriatccidems d. - Dffie,eflxvcr' 6tKojza tiGG 7ashIrvolt S�sei BOSiOit,M4 021-1 . Workers,Coil eM tj,,, a, r'�ymynassgou/dia A >a]'Cant�, r _ p �s�rance�dav?c:B .sidlers/Co:l' n ZOtSe7a On -actors/hlect'1cIaLS/-In—m;,ere . Na�ie(3 4inzss/Orgalo Eitionrindividaal): _ 'lease it ,e fly 1_L1CL'ab :Y C bL Lll!!, -Ad , J _ 61 K Jefferson Awnile City/%ie/Zip: Sateen lvi"01970 � Ate Y u as amployer2 Check the a phones: PPFOPFlaie bOF7 I?ma employerwitli generalconuactorandI 'Ypeofprojeet(re'�- e,"Voyew(fall and/or a..-tom. �. ❑hz�a (required): 2• I am a-sole P ) hued ale 6. (�_New construction shi pe eto: oZ Part_ - lsed on t'_e-attached sheet paadhavenoemployees These sub- 7 []Remodels contractors have wgrking for meismay caaac-Y. employees and have workers' & E]DemoLton alb' corkers'coma.insure CGOD iosuranoe. 9. [] ud�a B ; dditiM 3•❑ Iamahomeowaerdoia ° CI a:£-:corporation and,; 14.[1Elechicz?r so raddnons g all wow oficen have exercisedtheir nwelf[No workers'Como. right dfexemption per b1GL 1S'0 Phmbiagrenaus or additions ins!aance required]t .c.152, §1(a).and we have no 12.0 Rao Wairs - . . et�loyees.[No workers' 13. � Other Comm.insurance regtiir ] C�Y appticantdtatchecks box#1 mnstako fill out the section betowsho _ ameownertwhosubn*this showing - . eradevitmdiealingtheyaredom allmW w0 '�patsationpo6cyeMPIm{� - *Cantractan;tfiateheck this bc't g work and then MMoly outsidewn =sUb _ I and Mthesub-conb-mtorshaveeyployas� ��gthenamaofthesubKYonn�t�botamdstatew�ffieronettho:e�L�gsuch. ir work= comp.p0, entitieah w e F1oye+ t&at is provfdiHgY�orgers'compensation&sarancefor my am T !o ees Dedo y ,he o txl`armatroti. meurence C p y P y and�ob site. . ompanyName: Policy rorSelf-ins.Lic. 7_8 Expirati Job SiteAddress: OIID Attach a copy of the war&ers'ce41znePsa4ou antic dY�State/Zio' Failure.to se Y eclaration page(shovr(rtg tie policyattmbet and expiration data). Cure coverage as required render Section 25A of tlsGL a 152 caniead to the Sue up to",500.00 and/or oae- ofup to 5250.00 a day Yea ��ODment as well as civil �posititten of criminal Penalties and of z y against the violator. Be advised that a copyof this stateme °�°r a STOP FORK OgIjR a�e Investieanons of e D trrance covet ve ' c maybe forwarded to the Office of 'rdo hereby cerV�' gdera PaaFt�i49anaMs r atioa1yr4u+7 znarrltetnformatipnSi tom; fi p above is trae mad correca Date- O rcial Roe 0111Y. Do not Wr a ut tilts area,it be camp d by dV Or fDWa 0 `Qj City or=own: YssuingAntho " Permit/ieense' ray(circle one): Chard of health 2. 77 6. Building ue-Var€ment 3.Citywa/To Clerk e.Electrical Vector S.Plumbfn ©Cher g-nsoector COIItact Persoa; All `-� CERTIFICATE OF LIABILITY INSURANCE DATE,MM°°^ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCAT3 HOLDER ITHI3 CERTIFICATE DOES NOT AFFlRNWTNELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED TE THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREORDER BY AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder is an ADDITIONAL INSURED,the li the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights po cy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to certificate holder in lieu of such endorsema t(s). PRODUCER 9 t0 the Eastern Ins ur CO TA once Group LLC NA E: Construction 233 West Central Street PHONE • (508)651-7700 FAx E IL C Natick MA 01760 INSURERS AFFORDING COVERAGE INSURED INSURERA ArbeIla Protection Ins. Co. 1360 NAlca Atlantic Weatherization INSURER 9:Arbella Indeall Ins Co. 0017 0017 61 Rear Jefferson Avenue wsuRERcNautilus Insurance Co INSURER D: Salem MA 01970 INSURER E: COVERAGES INSURER F: THIS IS TO CERTIFY THAT THE POL C ES OFICATE NSURANNCIEBL STIED 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 DOEC MIEN)T WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT E ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IwsR TYPE OFINSURANCE GENERAL UABJUTY INUMBER MPUUCYEFF PO EXP Lams X COMMERCIAL GENERAL LABILITY EACH OCCURRENCE S 21000,000 A CLAIMS-MADE a OCCUR PRE I S 5 50,000 500042816 /20/2014 /20/2015 MED EXP(Arty one person $ 51000 PERSONAL S ADV INJURY S 1,000,000 GENL AGGREGATE LIMY APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY X PRO- LOC PRODUCTS-COMP/OPAGG g 2,000,000 AUTOMOBILE LIABILITY S B ANY AUTO COMBINED IN LE LIMIT Ea a aCPm AUTOS TIED X SSCCHaDULED BODILY INJURY Per 020015871 /20/2016 I PAN 5 1 000 000 X HIRED AUTOS X ,OWNED /20/2015 BODILY INJURY IF,accident) $ AUTOS PROPERTY DAMAGE ExcFss Peramd t S XEXCESS UMBRELLAuAe UU3 X OCCUR PIP-Basic $ A 8 000 CLAIM$-MADE EACH OCCURRENCE S 1,000,000 DIED RETENTION 600058654 /20/201A AGGREGATE S 1,000,000 WORKERS COMPENSATION /20/2015 AND EMPLOYERS,LIABILITY $ ANY PROPRIETOR/PARTNERIEXECUTIVE YIN WC STATU- OTH- FIFICEN(Mai E ER EXCUJDEW ❑ N/A H yes,del antler E.L EACH ACCIDENT g DESCRIPTION OF OPERATIONS Celow EL DISEASE-EA EMPLOYE S C POLLTJTION LIABILITY EL DISEASE-POLICY LIMIT S L200378602 0/1/2013 O/1/2014 GENERALAGGREGA7E $1,000,000 EA POLLUTION CONDmON $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES IARad6 ACpep dpi,AddNPnel Remerlm Schetlule,Hmore apace Is requl red) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SALEM THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. B3 WASHINGTON STREET SALEM, MA 01970 AUTHORMED REPRESENTATIVE Ronald Cleaves/SME � ACORD 25(2070/05) INS025 mlnnsl The A(Irill aarhe and Inan aro ronietaned O.Ira M2Arnan0�CORPORATION. All rights reserved. ---a --"•• .•" .., Ic, w1Y T :cT ::)r HL9 PAIL 00/Ubb tax server A�v CERTIFICATE OF LIABILITY INSURANCE 0372-28,4 Epiect CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE DED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN SUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. TANT: If the IS holder is an ADDITIONAL INSURED,the policypes)must be endorsed. 0 SUBROGATION IS WAIVED, to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does fer rights to the certificate holder in lieu of such endGrsement(s). PRODUCER CONTACT EASTERN INS GROUP LLC NI1ME: 233 WEST CENTRAL ST PNHL�No al: FAX Ne NATICK,MA 01760 EMAIL URER(S)AFFORDWG COVERAGE NAIC9 ITM RICANPORICH INSURANCE COMPANY INSURED INSURER coy r,913IIElCATENUMBER, ATLANTIC WEATHERIZATION LLC 61 REAR JEFFERSON AVE SALEM,MA 01970 REVISION THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ri NSURANCE ADO SUB POLICY EFF POLICY EW NSR TWO POUCYNUMBER MMNDIYYW) MMNG/YYYY LIMITS TTY EACH OCCURRENCE § L GENERALLNBILIry DAMAGE TO RENTEO S ADE❑ OCMJR MEDEXP(Ary pne M.) S PERSONALAADVINJURY S GENERAL AGGREGATE § TE LIM "PUPUES PER: PRODUCTS-COMPAP AGG § PRO- JECT LOC § AUTOMOBR.ELIABLITY MTLNEO SWGLE UMIT § ANY AUTO a eccaem !LIED SLHEDULEO BODILY IWURY IPer perwn) S AUTOS AUTOS BODILVIWURY(Per arciiem) § HIRED AUTOS NOY-0WNEO AUTOS FAO�P&WPAMAGE § S UMBRELLA LIAR OCCUR EACHOCCURRENCE § EXCESS UAB CLAIMS-MAOE AGGREGATE S DIED L RE TENiION§ § WORKERS COMPENSATION VlLSTATU- ANDEMPLOYERSLIABILITY X ER- ANY PROPRIETORRARTNERIEXECUTN�YN TORV LA11T5 OFFICEAal1EMBER EXCLUOEOT L':J N/A 6ZZUB 03-20-2014 03-20-2015 EL.EALH ACCIDENT $500,DOD IMamvmyin NH) 53270121 EL.06EASE-EA ELIPLOVEE p500,0600 I Yey Ee5pib2 uIMGr y DESCRIPTION OF OPERATIONS beWv E.L.DISEASE-POLICY UMIT 1$500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VENICLES(AAaeh ACORO 1M.AEtl"bnal Remarks Sehetlub,"mere apace is regPirea) ERBEICATE HOLDER CITY OF SALEM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 93WASHINGTONST CANCELLED BEFORE THE EXPIRATION DATE THEREOF, SALEM,MA01970 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1 AUTHORIZED REPRESENTATIVE If a _ I ACORD 25(2010/05) The ACORD name and logo are registered marks tof ACORD All rights reserved. ?�Q Massachusetts-Department of Public Safety Board of Building Regulations and Standards - funstruction Supenistir License: CS-087977 j BRICWPAL➢''- 7jr 3 EXTON Sf` SALBM MA-_01970 _ r COn3Tissioner MxPirl ion 04/23/2014 (glee�enne1),anr�A/s oIP11liruac/rruelG trice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: istration: 142089 Type: Office of Consumer Affairs and Business Regulation iration: 311ZI2016- Lid Liability Corpo- 10 Park Plaza-Suite 5170 oil i 0 `-_ Boston,MA 02116 ATLANTIC WEATHERIZATION-L.L.C. �yt PALM SIR 61R JEFFERSON AVE SALEM,MA 01970 - �ry Undersecretary Not valid without signature J