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Building Permit # 11/8/2016
BUILDING PERMIT �,,vD Q��,;..LEORTII/g f,�sCY TOWN OF NORTH ANDOVER ate,��:;' .� "� APPLICATION FOR PLAN EXAMINATION _ Permit No#: �- ®i Date Received aATED cHus�� � Date Issued: _ / �' ! IMPOR`I'A.NT. Applicant must complete all items on this p age % , , , v /,.rr ,,,. .-c i..../ /. i ,, / .. / .,r/,. ,ani. /i / r � ✓. , //r/r//, .. , r�� ,,..,,: �,,, r �;r„ a /, � //,e ./1/ //ii „i�'�7".// 6�///,�i„'„'���r..�/�,,.r/DO////./ r,//i��/, .r„iO ,,i�� ,/i„✓�//. ...... /r./,,, // % � / -./ /l//// // �.: r o%„o... r /:✓i o / rr/i /i / /,...r r / r / //r r r,,/ i' ---- ---' ---- -- -- -- ---- ---- ._.. ----- TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential__________ ❑ New Building ❑ One family ❑Ad ition ❑ Two or more family ❑ Industrial ❑ eration No. of units: ❑ Commercial � epair, replacement El Assessory Bldg C.] Others: 11 Demolition ❑ Other i Septi c; i Well ❑ Floodplain C7 Wetlands /r/ l Wate�shed l rsfr�ct r n r r/%jri / %/ „��,✓/ p%, r % % a,r / ///�i r //r/� �/r% / ri%- DESCRIPTION OF WORK TO BE PERFORMED: k l Identification- lease Type or Print Clearly , � ,. C OWNER: Name: Phone: Address Phone E,r11a11 Address , �!!, /� ”" r e sons C+ nstructo License //r ,,,, yup nti y,.,lmpro�/ementr "icer / ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDIMG PERMIT.,$92.00 PER$1000.00 of THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. t- w , Total Project Oast: $ w , FEE: $ Check No.: a C1 I Receipt No.: Tei rOTE: Persons contracting with unregistered contractors do not have access to the guaranty f and ,. , Signature of contractor ,Signotur of Agent/(�wrtor, � � .:' �� � �� � �yORTI�[ own of �_ Andover o o Koh , ver, Mass, Ila fe—VOL6 - COCAIC"twrcm U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT A f f.....: TSE 4c . ' BUILDING INSPECTOR has permission to erect.......................... buildings on ...vao...... ........... Foundation Rough to be occupied as ......ew........R: ! .�: 1 N �! . .................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTM S Rough Service .. ........ ....... ............................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy.Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner . Street No. Smoke Det. ® Window.World of Boston, LLQ MA IMC Registration Offices & Showrooms Number: ❑15A Cummings Park ❑.295 Old Oast Street 166025 Woburn, MA 01801 Pembroke, MA 02359 Federal ID# (781) 932-4805 (781) 826-6281 27-1461665 "Simply the Best for Less" www.WindowWorldofBostorr,com Customer: e'�E €� Prone (h) Install Address: ` Phone (w) City: State: MAZip,?A.4 Ogy�� `E-mail WINDOW WORLD GLASS OPTIONS 1000 Series Single-hung All Weld $189 SolarZone Elite $99t 2000 Series DH MechMelded Sash $195 Triple Glazed TG2* $175 4000 Series DH All Weld $2053�ffio (*Series 6000 Only) 6000 Series DH All Weld $240 WINDOW OPTIONS 2 Lite Slider $334 Glass Breakage Warranty $15 INCLUDED 3 Lite Slider (1I3,163.113) (114,112,114) $525 1/2 Screens $9 INCLUDED Picture/Fixed Lite $334 r=oam Insulation on Jambs and Head $11 INCLUDED Awning $260 Double Strength Glass $15 INCLUDED Casement $290 Double Locks (> 26") $5 INCLUDED $22e Full Screens 2 Lite Casement $575Fu -.'`-""""�, 3 Lite Casement p1s,tla,a (114 112.114) $860 �Colonral Grid (Contoured/Flat) $45 Basement Hopper $334 Prairie Grids $51 Diamond Grids $69 Bay Window-Soffit Mount:/INS Seat $2660 Simulated Divided Lite $182- Bow Window--Soffit Mount/INS Seat$2785 Tempered DH Sash (BSO) (TSO) $65 Garden Window $1880 Obscure Glass (1350) (TSO) $35 Specialty Window $ Oriel Style (40/60 or 60140) $30 Beige/Almond $40 Foam Enhanced Frame $35 Wood Grain Interior(Series 4000/6000 only)$100 ORS 1978 BUILT BIOMES (Federal Lead Containment Law) (Light Oak1 Dark Oak/Cherry j Fox Wood �C) Lead Safe Practices Required $25___ Rich Maple} MY HOME WAS BUILT IN THE YEAR Initial Exterior(Arch,Bronze/American Terra)$100 Designer Color Exterior $155 : MISCELLANEOUS t� Custom Exterior Aluminum Cladding Window Color ❑Textured$75 1Gmo Soth G-8 $75 $J 5 Facing Color k� inside outside Metal Window Removal $50 NON CUSTOM DOORS Now Construction Vinyl Removal $175 Vinyl Rolling Patio Door 5ft.or Eft. $995 Specialty Window Exterior Trim $ Vinyl Rolling Patio Door Oft. $1095 Mull to Form Multi Unit $30 Add to base price for Custom Rolling Patio Door $1150 Install interior/Exterior Stops $50 French Rail Sliding Patio Door 5ft.or Eft. $1295 Install Interior Casing Starts At $95 French Rail Sliding Patio Door 8ft. $1395 Insulate Weight Boxes $20 French Rail Sliding Patio poor 91t. $1495 Roof for Bay/Bow Windows $500 Custom Exterior Cladding $150 Existing New Const, Ext, Retro Fit $150 5olarZone Elite or ETC Glass $175 Removal of Existing Bay/Bow $250 Grids Patio Door $128 E Repair Sill,Jamb or replace sill nosing $50_ , Woodgrain Interiors $295 l Full Sub-Sill (Single) replacement $150} 0 Exterior Designer Colors $395 Interior Casing 2112 311P $175 Mullion Removal $30 Handleset Options $ Bay/Bow Conversion Ext, Retro Fit $350 $ (New Siding Will Not Match) Building Permit $150 tS0 Door Color / .. ROU1,44 NP FQR.WI."D9.✓II WORLD CARES Inside Outside _,_._.,..,._.._. .-. .. -�. ..__._..... _.._._.-_. ._..._.- _m.... ,�. E. "��'- i Customer declines eacterior wrap and understands painting and/or repair may be rewired initial Customer declines grids on ' windows/doors Initial RIMRIMER:Customer is responsible for the following in connection with this contract:Painting,Staining,Alarm System disconnecVreconneot Building Permit fees in excess of$25.80,Homeowner and or Condo Association App(oval,Historic district Approval.City of Boston parking&sidewalk Permit fees In connection with installation. NO EXTRA RA WQRK IF NOT IN WRITING! Customer agrees to the terms of payment:as follows, Extra Labor&Materials $ OQ CV, 0 `j C Site Set Up, Disposal &Delivery Fee $ $195.00 a Total Amount $ �-f , C)() Custom Order Deposit 50% $ Ck#, Balance Paid to Installer upon Completion $ Amount Financed $ Window World of Boston anticipates starting this work on V" 3 and being substantially completed ir+�lays.Security Interest:Yes No Yr Any deposit required in advance of the start of the work SHALL NOT exceed 33113%of the total contract price or the actual cost of any material or equipment of a special order or custom made nature,which must be ordered In advance of the start of the work to assure that the project will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction of both parties. All home Improvement contractors and subcontractors shall be registered and that any Inquires about a contract or subcontractor relating to a registration should be directed to:office of Consumer Affairs and Business Regulation,Ter Park Plaza,Suite 5170 Boston,NIA 02116.Phone:(617)973-8700 No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of.such contract. Window Wo rid of Boston under provision of Chapter 142A of the general laws Is required to apply for and obtain all construction related permits.Window World of Boston shall not be deemed responsible for delays In the work described in this agreement caused by regulatory,permit granting agencies,authorities or individuals. Notice:If the PURCHASER($)obtains his awn construction related permits for the work described under this agreement or deals with unregistered contractors, the PURCHASERS) Is hereby advised that in the event of a dispute,judgement and nonpayment,the PURCHASER(S)will not be entitled to matte a claim or- collection from the guaranty fund established by chapter 142A,NI.G.L, You tate buyer may cancel this transactlon at any time prior 16 K&ight of the third business day after the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. THIS IS A CUSTOM QRDERN T FQH RE LE! This Window World0l Franchise Is independently owned and operated by Window World of Boston,LLQjnder license from Window World,Ino, ' 9w er:Do not sign if there are any blank spaces. Date Salesman:Do not sign if there are any blank spaces. Date Owner:Do not sign if there are any blank spaces. Date swton 07-15 White Copy-Original Yellow Copy-File Pink Copy-Customer Hayes Pfinting 996-667-1116 5, i B i MI Windows And Doors 650 West Market St NERC Gratz,PA 17030 1650 pHNINYLIGrids NatinnalF6nes#talion Pane[1&2:Lite-1:(3132",Ctear,LOE,Annealed);Lite-2: Rating Fane ncil� (3132",Clear,NONE,Annealed);Argon;35 314 X 41 114 B MEI•A-111-04220 00002 Indlvidusl products may be subject to variation In performance ENERGY PERFORMANCE RATINGS U-Factor(U.S.II-P) Solar Heat Gain Coefficient e B 26 ADDITIONAL PERFORMANCE RATINGS Visible 'Transmittance a Manufacturer Sup sites that these ranngt mntarm to appVcaore VFPC praeedures lar deterM3nug!Mob,01nduC1 oedormanCe '4FaC Raen95 are determined for a riled set of irweonmantal cuneltions and a sneartr prudutt MR .Ir RC Yoas not recommend any product and apes notnanantma sunaorty ej any oroduct:or any spacdic use Cons•;:t manufacturers cleraturo for Mar product aarfermance nrarmaeon umv rdre.org Perf Grade +DP(ASD) -DP(ASCI) Water R-00 50,13 55.14 6,06 Max Test Size Report# Florida 1D - 36,00 X 60.00 87982.09 12234 f Ratings are for Individual Ondows and doors only. For information regarding mulled or stacked units,please contact your sales representative.Pas and Neg OP limited by unit test size.Tested to AAMAANDMAICSA 10111.S.21A440-05 Glass According to ASTM E1300. an 2647 12d a1a2 4r*81201311:44:62 PM u - 3 -I,'-I., _'k..t..._t a•, �3-:•,' r7o-;-.-o eJrr T...:." 'Jt."`t: f' ��`Pi �.1J 1�/`-' fP�^...4.'/,.:s F`,. 7`u'_ 4 J- '�' .LL_.. �r f 0 ^" tr3Y-2r" Ca c�.th>� -prrpcsiti �rs: Tye�fproJeci<ruq*xirwdj; i fir.: ,a an. i �! I a� 3 cn zl,oatacror aad I ' �'3t�3.+ .[2.':C. 7, _,'•'�--'o�C.`iLi"I.� ,r d on.,a,: �L v� 1=3 37 u Dr er1P_ -G OT 73i`�7,'. r3Ca�- u-C OI 3C ori 11%'. ?i. I !} L]t77i v1 =,a a r-o �rmlJja 'f';c Mt .._.`.'y::�. t'•. 7 r u, _ w 1 y J ,7.-> �/r w f`7 rM'_ 6' ,g u _( '?..=,`3 'i: .y C:a .,r j I y -r T v ..r7'L:--''.- � ,,.•_., -?"'^�0i^ ��'•! 0 y"t..�l'"'= �',a � 3 c:L7, t'3 �"' 3.. Qtri3 3.4i t)iA 3,''..J.t..3'l. {✓ony 3 rQG a%C CC �Qx 3 a�D u 31 3LI&-donal?7a'r 3 s a`hC-,3L d•71: t _'.LTD1Q""�. i;:u'�p`^'�`'�GALS;T3"/�':fil(3�.7;!:us"r.gist.must]r J'F?t�,'.'=heti' wor�L:tSr COMD.DGUCY aM"—bcr. / P- Z atrc apt ernplayer ehsr s pra dirtb warlrer s'comp naariarrc fns�rr arcs for my employees Berow is the polite and job sse irzfar•rr:aron, /,/ -e5 Co Lasuran.ca CoMDa: ;)iv e: GtJfrJ f ' AL13. ra -'on Dat,-: 06 .y Avg Y ( iw,-J3:U/7ry: Attach a COPY of the workar'x' co'rapensatioa policy dreiaaradoa page.(5hr.w tht polioitiDnumber rxi °lpenalti serosa V ailur:to ;cctxe co r;za�:as rc��ir�d ander Section 25A ofMCr1—c. 152 can lead to c mn szticn of crinin l pW " mac to 1,x 0.00 azxd'�r one--year i apr� orrnent,a� cd a cis u�,n2tties in r`a iar of a STOP��if��K 4JRD��i of up to $250.00 ar„day ager for the violator. Be advi3cd&3-t a.cop f of�h'�7 3 ' raen.t may b�Ek-warded to t�� It vvSfi2-ati'Jw of t ,-DLk Lox inJTu-)ncv ovwr. e'liedzdcation. Ido hereby certifjr rind the ants and p es of that thtt informationpr=ovided above is true and correct 5i:�atare, Perone.= � ,-• `7 o""`c al use otily. Do not ivrUe in this area, to be.complyted by city or town ojTcc1 City or Town: r suing_ athotity(circl4 oaa): '(�( T. L'll✓l..l.L 4...2.1. 4.l 6 5. L�1t1 �_ b r �r F .nyC . tr ]av 3 Ci—Town Ct-r�- )one {I c WINDO-2 OP ID: HI rl AC�R� CERTIFICATE OF LIABILITY INSURANCE TE(MMIDDlYYYY) 1/0312016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME OT Carli Witcher CISR,CBIA, CIC Senn Dunn-GSO PHONE 336-272-7169 FPAc,No: 336-346-1397 3625 N.Elm St, AIC No EM: Greensboro,NC 27455 DRES&cwitcher@senndunn.com C.Timothy Ward,CPCU,CIC INSURER(S)AFFORDING COVERAGE NAIC tF INSURER A:Citizens Ins Co of America 31534 INSURED Window World of Boston, LLC INSURER a:Allmerica Financial Benefit 118 Shaver Street INSURER C:Hartford Fire Insurance Co. 19682 North Wilkesboro, NC 28659 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. _....-. !NSR "' ''_ ._._ — ._ TYPE OF INSURANCE ADDL SUER _ POLICY EFF POLICY EXP LIMITS LTR !NSD WVD POLICY NUMBER MMfDD1YYYY MNVDDfYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1+000,000 0136790252707 04/01/2016 04/01/2017 DAMAGE TO RENTED " 500 000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ + Business Owners MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 .......................... ...........-..._,......_..,_,._ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JFCT FILOC PRODUCTS-COM PIOP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE UWT $ 1,000,000 Ea accident) B X __..,..,_._......, ANYAuro W68757615 06/16/2016 06/16/2017 BODILY INJURY(Perwson) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accldenf) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peraccldent X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A mm EXCESS LIAB CLAIMS-MADE OB6790252707 04/0112016 04101/2017 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION XPER OTH- AND EMPLOYERS'LIABILITY _,,,,_,,, ,STATUTE ER C ANY PROPRIETORfPARTNERIEXECUTIVE YIN N 22WECLJ2635 01/27/2016 01/2712017 F,L,EACH ACCII)ENT $ 500,000 OFFICERIMEMBER EXCLUDED? ❑ NIA ---- -- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 500,000 it yes,describe under UESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS f VEHICLES (ACORD 10t,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANOELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS, 120 Main Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 1 3 i a �-'_:a:',:""-'-'" C"72772 JEFF C STEELE 24 SHERWOOD AVE DANVERS NIA 01923 04/07f2018 - —Office of Consumer affairs Business RcBuiation - -- HOME IMPROVEMENT COMTRACTOR Registration: 166025 Type: Expiration: 4/12/2018 LLC WINDOW WORLD OF BOSTON,LLC. JEFF STEELE 24 CUMMINGS PARK SUITE 15-A WOBURN,MA 01801 Undersecretary License or registration valid for individual use only before the expiration date, 1f found return to; Office of Consumer Affairs and Business Reguiation to Park Plaza-Suite 5170 Boston,MA 02116 t � Y Jay .Not valid without signature