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Building Permit #760 - 103 BARKER STREET 6/20/2008
BUILDING PERMIT "°oTN qti TOWN OF NORTH ANDOVER o� b*° o APPLICATION FOR PLAN EXAMINATION 70 Permit NO: -1b Date p Received �J 4°q�reo►rp`�(5 �SSACH�15�� Date Issued: (. z� o d IMPORTANT: Applicant must complete all items on this page LOCATION t 5Qr4 e r b C ka ..PROPERTY OWNER o �� Print MAP NO: --`e3� 'PARCELJO ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Re ' Non- Residential New Building Q2Le fa Addition Two or more family Industrial Alteratio No. of units: Commercial e air re lacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: luc� S, ,�y Identification Please Tvne or P int Clearly) OWNER: Name: �z� ►,' g1�,Q- Phone: Address: N��h er s VGef�ce exper' V h� cY ' CONTRACTOR Name: Phone: }`U� Address: 0 -0 ,6 5, f { r .,tT-k. . cs f Supervisor's Construction License: ? Exp. Date: Home Improvement Licenser ,a Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ oZy, d d 6 FEE: $ a ya Check No.: `107 Receipt No.: 55�712,C 3 NOTE: Persons contracting with unregistered contractors do not have access to the guarant 1j,fund Si nature of A ent/Owner g g Signatummre of contractor r Location No. 7hU Date �oRTN TOWN OF NORTH ANDOVER f s Certificate of Occupancy $ �,SACNUS t� Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 110- . 2 1 2 6 3 Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL. Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site I i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use I i ❑ Notified for pickup - Date ..........._......._._._ _...._..._.........................................._.............._............_....................._............................_. __.._..---.......................................__...........__.......,._......._..............................----......_............._...........................----........................ Doc.Building Permit Revised 2008 i J Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application t Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 i Revised 2.2008 1— THE HOME DEPOT` 268.5 72 PLEASANT VALLEY STREET METHUEN, MA 01844 (978)989-9025 2685 00023 26460 05/101 08 SALE 22 MTC722 03:10 PM 41� + On, CUSTOMER AGREEMENT 0 154529 RECALL AMOUNT 3424.54 SALES TAX 171.23 TOTAL $3595.77 XXXXXXXXXXXX3568 VISA 3595.77 AUTH CODE 03932C/0232488 TA' I III�III II III III I I I I I I I I I I I I f I I I I I I I ILII 2685 23 26460 05/10/2008 1047 THE HOME DEPOT RESERVES THE RIGHT TO LIMIT / DENY RETURNS. PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR DETAILS. NOBODY BEATS OUR PRICES. . .GUARANTEED. SEE STORE FOR 10% PRICE GUARANTEE DETAILS. ENTER FOR A CHANCE TO WIN A $5 , 000 HOME DEPOT GIFT CARD ! Your Opinion Counts! Complete the brief survey about your store visit and enter for a chance to win at: www.homedepotopinion.com 1PARTICIPE EN UNA OPORTUNIDAD DE GANAR UNA TARJETA DE REGALO DE THD DE $5 , 0001 iSu Opinion Cuental Complete la breve encuesta sobre su visita a la tienda y tenga la oportunidad de ganar en: www.homedepotopinion.com User ID : 5589-4 53232 Password : 8260 53209 Entries must be entered by 06/09/2008. Entrants must be 18 or older to enter. See complete rules on website. No purchase necessary. SPECIAL SERVICES CUSTOMER INVOICE Page 1 of 8 NO. 2685-154529 Store 2685 METHUEN Phone: (978 ) 989-9025 VALIDATION AREA 72 PLEASANT VALLEY ST Salesperson: MDY1 JW © 2685 00023 264617 05J10l08 METHUEN, MA 01844 Reviewer: NEIL SALE 22 MTC722 03:10 PM This is only afQUOTE for the merchandise and services printed below. This becomes an Agreement upon payment CUSTOMER AGREEMENT 4 154529 and an endorsement by a Home Depot register validation. RECALL AMOUNT .3424.54 jAd me Home Phone SALES TAX 171.23 OOD GARY (s7s) 687-ss5o TOTAXXXXXXXXXXXX3568 VIISAL 3595.77dress468 WOOD LANE Work Phone 0 - AUTH CODE 03432C/0232488 TA Company Name y NORTH ANDOVER Job Description SHED ate MA Zip 01845 c°""ty ESSEX QUOTE is valid for this date: 0511012008 MERCHANDISE AND SERVICE SUMMARY merc�iand'ise so�c�9totcustomerse quantities of INSTALLATION #1 . .. . REF#101 \ ...................... .....................................__. BASIC INSTALLATION LABOR: SKU> : > >:>:>::>::>:»:>:»>:>:>:>::>::>:>:::>:::>:::>:>:::>:::>:>::<:<;>:>:>:::>:>::>::>:>:::<:::>:....1QIIPTIf3 #............................ MICE.E�4CH......EXTEIS1.4# ... 934-954 SHEDS USA VINYL 7' WALL SHED00 EA Y $0.01 $0.01 OPTIONAL LABOR SELECTED INCLUDES: QPT1 .4t ........................... .....:................................................ ..........DIASCttl?1.[Dl�t.....................: : . 02 7' VINYL CLASSIC/10X12 1.00 EA Y $3,399.00 $3,399.00 04 VINYL SHEDS ONLY - SELECT VINYL COLOR CHOICE - *REQUIRED/TA \ 1.00 EA Y $0.01 $0.01 09 ROOF STYLE CHOICE- REQUIRED - CHOOSE 1 (NOTE - 6' WI \ E IN PEAK 1.00 EA Y $0.01 $0.01 ONLY.)/EXTENDED FRONT PEAK 1 \ 10 ROOF SHINGLE COLOR CHOICE- REQUIRED - 1 CK 1.00 EA Y $0.01 $0.01 13 FLOOR UPGRADE - TOUGH FLOOR SP P OLNWOOD - ALL SIZES/ 1.00 EA Y $149.00 $149.00 14 DOOR UPGRADE - EXCHANG A40" WIDE DOUBLE DOOR/66" DOUBLE DOOR 1.00 EA Y $169.00 $169.00 17 GABLE VENTS (PAIR \ \ 1.00 EA Y $29.00 $29.00 *�*CONTINUED ON NEXTPAGE"" \Nj� ..... . Check your current order status online at www.homedepot.com/orderstatus Page 1 of 8 NO. 2685-154529 Customer Copy (9801) 0100256870 SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: WOOD Page 2 of 8 No. 2685-154529 NST .O.C.N ., j LLATI A REF#101 OPTIONAL LABOR SELECTED INCLUDES: ............................................................................................X........ ....................... ....................................................................... .. .................................................. .... ..... SR Iff:1 Q :.:.............. ............................... v.......................... .. A...... ..4...." .. -HPbbN. 18 RAMP/4' LONG RAMP ..... 1.00 EA Y $59.00 $59.00 25 DELIVERY - REQUIRED FOR ALL SHEDS/0-25 MILES 1.00 EA Y $0.01 $0.01 �ISq: .. . .. .... .......... T_OOD, GARY INSTALL LABOR CHARGE: $3,805.05* ................. ........ ADDRESS: 136 OLD VILLAGE LN TRIP CHARGE: $0.0 CITY: NORTH ANDOVER STATE: MA ZIP: 01845 CREDIT FOR DEPOSIT/MEASURE: $0.00 COUNTY: ESSEX SALES TAX RATE: 5.000 TAX:Merchandise- Y LABOR- Y $3,424.54 PHONE: (978) 687-8850 BASIC INSTALLATION LABOR INCLUDES: DELIVERY AND ASSEMBLY OF SHED ON CUSTOMER'S ACCESSIBLE SHED BUILT WITH CONSTRUCTION GRADE MATERIAL BUILT 2X4 $ 2X6 LOCATION WITHIN 25 MILES OF STORE 25 YEAR MANUFACTURERS WARRANTY ON SELF SEALING SHINGLES 6' AND 8' WIDE SHED FLOORS COME WITH 2"X4" PRESSURE TREATED 40" DOUBLE DOOR (EXCEPT 6X6 WHICH COMES WITH A 26" SINGLE FLOOR JOISTS, 16" ON CENTER CONSTRUCTION DOOR) WITH KEYED LOCK ENTRY 10' AND 12' WIDE SHED FLOORS COME WITH 2"X6" PRESSURE FIXED SASH WINDOW(S) WITH FREE WINDOW BOX AND SHUTTERS TREATED FLOOR JOISTS, 16" ON CENTER CONSTRUCTION BACKED BY SHEDS USA LIFETIME WARRANTY VINYL SIDING DELIVERY OF SHED IS USUALLY WITHIN 2-4 WEEKS UNLESS STATED ABOVE THIS INSTALLATION DOES NOT INCLUDE: DELIVERY OVER 101 MILES - CALL SHEDS USA 866-616-2685 FOR ESTIMATE SPECIAL NOTES: -PLEASE PROVIDE CUSTOMERS EMAIL ADDRESS IN 'INSTALLER -ADDITIONAL DELIVERY CHARGE FOR ALL ISLAND DELIVERIES, SPECIAL INSTRUCTIONS' AS SHEDS USA WILL BE CONFIRMING ORDER CONTACT SHEDS USA TOLL FREE @ 1-866-616-2685. VIA EMAIL. -CUSTOMER IS RESPONSIBLE TO ENSURE SHED BUILDING LOCATION -CUSTOMER'S EMAIL: HAS 3 FEET CLEARANCE AROUND ENTIRE PERIMETER. -SHEDS USA WILL CALL OR EMAIL THE CUSTOMER WITHIN 3-5 -CUSTOMER IS RESPONSIBLE TO ENSURE SHED BUILDING SITE IS BUSINESS DAYS TO REVIEW AND/OR SCHEDULE ORDER. (LAND GRADE) LEVEL WITHIN 6 INCHES FROM ALL CORNERS. -IF REQUIRED, PERMITS MUST BE OBTAINED BY THE CUSTOMER AND -CUSTOMER IS RESPONSIBLE TO CLEAR ACCESS TO SITE. MUST BE AVAILABLE UPON PROVIDING AN INSTALLATION DATE. -ADDITIONAL FEES MAY OCCUR FOR DIFFICULT SITE ACCESS. -SHECS USA CAN BE CONTACTED IF ADDITIONAL INFORMATION IS -THERE IS A 15% RESTOCKING FEE FOR A CANCELLED ORDER AFTER NEEDED TO OBTAIN A CUSTOMERS PERMIT. INSTALLATION DATE IS SET. INSTALLED SHEDS ARE NON-RETURNABLE . ...... ......... .. . ... . .. ... ... .. ..... . .... Indicates item markdown Page 2 of 8 No. 2685-154529 Customer Copy SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: WOOD Page 3 of 8 No. 2685-154529 TOTAL CHARGES OF ALL ME;RGHANDISE & SERVICES ' $3,424.54 SALES TAX $171.23 TOTAL $3,595.77 BALANCE DUE $3,595.77 END OF ORDER No. 26$5-164529 i Page 3 of 8 NO. 2685-154529 Customer Copy The Home Depot Special Services/Home Improvement Agreement Page 4 of 8 NO. 2685-154529 PLEASE READ THIS Important additional information regarding your rights may be contained in an attached State Supplement which is an integral part of this Agreement. WOOD GARY I F154529 2685 C'ustomer's Full Name (Last Name, First Name) Order No. Store No. 468 WOOD LANE NORTH ANDOVER Billing/Mailing Address (For Delivery/Service Address(es) See Attached Invoice.) City MA 01845 Billing/Mailing Address (For Delivery/Service Address(es) See Attached Invoice.) State Zip () - 1 1 (978) 687-8850 Customer's Daytime Tel. No. Customer's Evening Tel. No. Payment Schedule:You agree Your payments will become due on the dates indicated below and,if You are paying other than by check or money order,may be automatically charged or debited(as applicable)to Your designated account(s)when due. Payment: $ 3,424.54 Due in full immediately. Sales Tax: $ 171.23 If applicable. Total Amount of Sale: $ 3,595.77 Includes all applicable discounts,rebates,and taxes.Excludes finance charges.* Please initial here if You wish to pay the total amount of the sale now.You have the option of paying less as further specified in the State Supplement to this Agreement. 'Any interest payments or other finance charges will be determined by your separate cardholder or loan agreement,to which Home Depot is NOT a party. Please see this Agreement's General Terms and Conditions for more details as to other char es that mav apply. Anticipated Delivery/Installation Schedule Please note:Neither The Home Depot nor Installation Professional are responsible for start/finish delays resulting from events beyond their control including,but not limited to,Change Orders,acts of nature,governmental actions,manufacturing/delivery delays or damage to merchandise caused by third parties,labor strikes/unrest, Delivery Date: N/A Your credit/financing,any incorrect information You provide,legal encumbrances on Your property,Your property's nonconformance with zoning requirements or Start Date: 05/10/2008 building code requirements,hidden/unforeseen physical/hazardous conditions(including,but not limited to,environmental hazards such as mold,asbestos and lead paint)at Your service address,or Your noncompliance with this Agreement. The Home Depot reserves the right to terminate this Agreement and/or require Installation Finish Date: 06/09/2008 Professional to discontinue Installation given any of the foregoing conditions. Definitions: ou ou means the customer identified above.-installation"means the installation services specified in this Agreement."Installation Professional"or"Professional"means an independent contractor auth onze by Home Depot(licensed and insured as required by Home Depot and applicable law)and the contractor's employees,agents and subcontractors."Agreement"means this Special Services/Home Improvement Agreement between You and Home Depot U.S.A., Inc. (interchangeably referred to as "The Home Depot", "Home Depot", or "EXPO Design Center"),which includes this page, the General Terms and Conditions following this page, the State Supplement,the Invoice or Specifications and any other documents expressly made a part of this Agreement.Please see this Agreement's General Terms and Conditions for additional definitions. Acceptance and Authorization:By signing below,You authorize Home Depot to(a)arrange for Installation Professional to perform Installation and/or(b)order and arrange for the delivery of special order merchandise,including special order merchandise that may be custom made,as specified in this Agreement.You understand this Agreement constitutes the entire understanding between You and Home Depot and may only be amended by a Change Order signed by Home Depot(or by Installation Professional or its authorized representative on Home Depot's behalf)and You.This Agreement expressly supersedes all prior written or verbal agreements or representations made by Home Depot, Installation Professional,You,or anyone else. Except as set forth in this Agreement,You agree there are no oral or written representations or inducements, express or implied,in any way conditioning this Agreement,and You expressly disclaim their existence.Do not sign if blank or incomplete.(Installation Professional's/permitting information may need to be provided to You later.)By signing,You acknowledge that You have read, understand,and accept this Agreement in its entirety.You further acknowledge receiving a complete copy.Keep it to protect Your legal rights. CANCELLATION:YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING.THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.Your payment(s)will be returned within ten(10)business days after Home Depot's receipt of Your notice.You must make available for pickup by Home Depot or Professional at Your service address,in substantially the same condition as when delivered,any merchandise or materials delivered to You.Or You may contact Home Depot for instructions regarding return shipment at Home Depot's expense. Accepted by: Professional's Full Business/Trade Name, Address and License No. or Nos. as Applicable: X Customer's Signature Date Customer Initials : BY INITIALING, YOU AUTHORIZE DELIVERY OF MERCHANDISE TO SERVICE ADDRESS PROVIDED ABOVE WITHOUT OBTAINING DELIVERY AGENT'S SIGNATURE AND AGREE TO IDEMNIFY AND HOLD HOME DEPOT HARMLESS FROM ANY RESULTING CLAIMS. Submitted By: [ I Home Depot Associate Professional's Tel. No [ I Professional/Authorized Representative on Home Depot's Behalf X Associate's/Professional's/Authorized Representative Full Signature Date Associate/Representative: Print Your Full Name and Check Applicable Box Above Associate/Representative: Please Print Your Salesperson's License No. if Applicable Page 4 of 8 No. 2685-154529 HOME DEPOT'S LICENSURE INFO: SEE GENERAL TERMS/CONDITIONS Customer Copy BUYER'S RIGHT TO CANCEL: SEE GENERAL TERMS/CONDITIONS The Home Depot Special Services/Home Improvement Agreement - General Terms and Conditions Page 5 of 8 No. 2685-154529 ' Scope:This Agreement is between You and Home Depot. Under this Agreement, Home Depot does not perform Installation, but arranges for Professional to do so directly or through Professional's specialty subcontractors. Home Depot does not provide,or arrange for,architectural/engineering services or structural changes to dwellings.You will not pay anything to Professional,although Professional may present this Agreement to You for Your review and signature and/or collect Your payment(s)to Home Depot on Home Depot's behalf. Installation will,subject to any Change Order, be completed in substantial conformance with the attached Invoice or Specifications. The State Supplement, if any,contains important additional terms,conditions,and information specific to Your state. Special Order and Custom Made Merchandise:A description of any special order or custom made merchandise You have purchased appears in the Invoice or Specifications. The anticipated delivery date appears on the preceding page.This Agreement's provisions relating to Installation or Professional shall NOT apply to Your purchase of special order or custom made merchandise unless Home Depot will be arranging for its installation. Professional's Responsibilities: Professional will complete Installation in a workmanlike manner. Professional will not start, perform, alter, or finish Installation except in accordance with applicable law. Professional will either not start, or will immediately discontinue, Installation upon discovery of unforeseen hazardous conditions at Your service address. Neither Home Depot nor Professional will attempt to remediate such conditions. Neither Home Depot nor Professional are responsible for identifying property lines, easements, covenants, or other legal encumbrances Your service address is subject to and shall be entitled to rely on Your representations. Neither Home Depot nor Professional will modify security systems to accommodate Installation. Professional will obtain required permits and provide permit numbers if required. Your Responsibilities: You agree to pay Home Depot according to the terms and conditions of this Agreement. If Your service address is subject to any easements, covenants, or other legal encumbrances that could affect Installation, You agree to let Home Depot or Professional know about them before Installation. You agree to facilitate the location of utility lines. You are responsible for identifying property lines. You agree to ensure that work areas are free of preexisting physical or environmental hazards, and building/zoning code violations. You agree to provide Professional access to work areas during working hours and provide access to sanitary facilities or pay the facilities' rental costs. You agree to ensure any security system You have will not interfere with Installation. You agree to provide power to, and, as applicable, climate control in, work areas.You agree not to allow unattended minors at Your service address while Professional is present. You agree to control and keep pets away from work areas.You agree to keep posted permits on display at all times.You agree that if You or anyone You control interferes with or delays Installation,You may be subject to transportation/storage charges or other resulting charges. You agree not to assign or transfer this Agreement. You agree any claims against Home Depot or Professional under this Agreement should be made to Home Depot within thirty(30) calendar days of the date You first become aware of a problem. (Home Depot will attempt resolution of any claim(s)within sixty(60) calendar days of receiving Your notice.)YOU ASSUME THE RISK AND THE FULL LIABILITY OF PHYSICALLY ASSISTING WITH DELIVERY OF MATERIALS OR WITH INSTALLATION. Changes and Change Orders: Home Depot, at Your request, may arrange for Professional to perform additional work, subject to a Change Order and additional charges payable by You to Home Depot.Any changes to Installation, i.e., a substitution of materials or an expansion of the scope of the work, will require You and Professional (on Home Depot's behalf)to sign a Change Order that will become part of this Agreement. Change Orders must be clear in scope and specify any additional payment(s) and/or changes in anticipated starttfinish dates. Following discovery of previously undisclosed/unidentified legal encumbrances on Your premises, building/zoning code violations, or hidden/unforeseen physical or environmental hazards such as the presence of underground or overhead utility lines, rocks, roots, buried debris, mold, asbestos, lead paint, or any conditions differing from what You represented, Home Depot may immediately ask fora Change Order, discontinue Installation, or terminate this Agreement without further obligation to You. Credit Card/Financed Transactions:Your separate cardholder agreement(to which Home Depot is NOT a party)will determine the total cost of Your purchase if by credit card, including any initial payment/deposit You may make and all interest charges and fees.You will be further subject to Your cardholder agreement's terms and conditions. If You are financing this transaction in whole or in part,Your separate loan agreement(to which Home Depot is NOT a party)will determine:(i)the amount financed(the amount of credit provided to You); (ii)the associated finance charges(the dollar amount the loan will cost You); and(iii)the total payment(the amount You will have paid when You have made all scheduled payments).You will be further subject to Your loan agreement's terms and conditions. Liens: Security Interests: If You make all payments as required under this Agreement, no security interest will be placed against Your property by Home Depot If a security interest is placed against Your property, it creates a lien, mortgage, or other claim against Your property to secure payment and may cause a loss of Your property if You fail to pay as requested.After paying on any completed phase of Installation and before making any further payments,You should request from Professional a signed, unconditional release from, or waiver of,any right to place any claim against Your property applicable to the work then completed.You may ask an attorney about Your rights to discharge security interests. LIMITED WARRANTY: HOME DEPOT WARRANTS THE WORKMANSHIP OF THE INSTALLATION FOR A PERIOD OF ONE(1)YEAR FROM ITS COMPLETION DATE. PROVIDED YOU MAKE A CLAIM OF DEFECT TO HOME DEPOT DURING THE WARRANTY PERIOD, HOME DEPOT WILL ARRANGE FOR REPAIR AT NO CHARGE TO YOU OF ANY DEFECTS DUE TO FAULTY WORKMANSHIP. HOME DEPOT'S WARRANTY DOES NOT COVER DAMAGE CAUSED BY ABUSE, MISUSE, NEGLECT, OR IMPROPER CARE/CLEANING. MERCHANDISE AND MATERIALS ARE COVERED EXCLUSIVELY BY THE MANUFACTURE'S WARRANTY, IF ANY.(HOME DEPOT WILL ASSIST YOU WITH WARRANTY CLAIMS AGAINST MANUFACTURERS). SOME STATES DO NOT ALLOW LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY LASTS, SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU. THIS WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS,AND YOU MAY ALSO HAVE OTHER RIGHTS WHICH VARY FROM STATE TO STATE. HOME DEPOT U.S.A. INC., 2455 Paces Ferry Road, NW, BLDG B.5,Atlanta, Georgia, 30339 Page 5 of 8 No. 2685-154529 Customer Copy The Home Depot Special Services/Home Improvement Agreement - General Terms and Conditions Page 6 of 8 No. 2685-154529 WAIVER OF CERTAIN DAMAGES: YOU AND HOME DEPOT HEREBY WAIVE ANY CLAIM AGAINST EACH OTHER FOR LOST USE, LOST PROFIT, LOST REVENUE, INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES RELATING TO THE INSTALLATION,THE MATERIALS OR SERVICES OF HOME DEPOT OR OF PROFESSIONAL, OR THIS AGREEMENT (BUT EXCLUDING WAIVER OF CLAIMS FOR INJURY TO PERSONS). SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES, SO THE ABOVE LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU. Mediation (EXPO Design Centers Only): If the total amount of the sale equals or exceeds $7,500.00, You agree before taking legal action to participate, if requested, in non-binding mediation (typically taking about half a business day)using a professional mediation service acceptable to You and EXPO. EXPO will pay for the mediation service. Termination: You may terminate this Agreement at any time after providing Home Depot with ten (10) or more business days' advance written notice. If You breach this Agreement or decline a reasonable Change Order request, Home Depot may immediately terminate the Agreement without further obligation to You. In either event,You agree to pay Home Depot the costs of merchandise, materials,labor,and other services provided by Home Depot and/or Professional through the date/time of termination, plus any other amounts allowed under applicable law. Returns:A 15%restocking fee applies to the return of regular special orders, i.e., special order merchandise that is not custom made. Special orders that are custom made, i.e., uniquely altered, color-matched,shaped, sized,or otherwise uniquely designed or fitted to accommodate the requirements of a particular space or environment(some examples are cabinetry,countertops,floor and wall coverings,and window treatments)are non-returnable. Exceptions: Cancellations made by midnight on the third business day after the date of Your purchase;merchandise incorrectly ordered by Home Depot or by Professional;or merchandise damaged beyond repair in delivery or by Professional. Unless otherwise specified in this Agreement,all returns must be made within Home Depot's posted time frame. Questions or Concerns? You should be communicating with Professional and/or Your store regarding routine matters such as scheduling, changes to Your order or Installation, or any initial concerns about Your order or the service You are receiving. If this Agreement covers an Installation, first call Professional at the telephone number on the preceding page.Your store should be able to assist if You have any difficulty contacting Professional. If Professional and Your store are unable to answer Your questions or You still have concerns, Home Depot Customer Care stands ready to assist You at 1-800-553-3199 and may also be contacted at the address below. License Number(s)held by or on behalf of Home Depot U.S.A., Inc.and/or EXPO Design Center* Services provided by The Home Depot authorized independent installation professionals.:AK#25084,ANCHORAGE#1745;AL#11253(HB),#3010(HVAC),BALDWIN #23728 EAST BREWTON #2326(CL)AL#17306(G/Cy AZ#R00092581(B-03), CA#602331(B-HOME DEPOT), #785444 (B-EXPO ); CT#533772; DC#50002899; DE #1997116469(331), BETHANY BEACH#06301 (BL), REHOBOTH BEACH#15514 (BL) ; FL CGC1506093, CGC1506911 (HOME DEPOT), CGC035846(EXPO) CGC1509909 (EXPO), EC0000109, CAC042609, CAC1813767 CFC1425636, CFC1426021, #6083, #0408240 G/C, #04-04861, #3001-0076396, #180-0005573, #160001242,#1130001243,#1130001250,#QB0008009,#QB29610,AELPG#22640;HI#C-22120(C68LA)C-23378; IA#91302-04; ID#RCE 19683(CR); IL#058-169244 LEXINGTON/LAFAYETTE, KY #11517; LA #LMP-2977(MSTR) CCL# 43960 ; MA #112785; MD #42144(5), OCEAN CITY #32682; MI #2102-119069, DETROIT #LIC2001-07767; MN#BC-20147263; MS#R-00304; MT#37730; NE#26085; ND#29073(A); NM#86302(GB98, MM01, MM02, MM03, MM04); NV#0038686 C12- 03993-K 106743; NY-NASSAU #H1771050000, NYC #900457, #900458, #900456, #1152032, #1003822, #920734, #910621, #910622, #1152040, #922474, #1026224,#1003830,#1003828,#1152039,#968605,#1003833,#1003823,#1133444,#1003825,#1152038,#1152036,#1133445,#1152035,#1129617,#1129557, #1129556, #1129562, #1154293, #1129555, #1129564, #1129559, #1129562, #1178447, #1186042, PUTNAM #PC-689-A, SUFFOLK#21,818-H, ROCKLAND #H- 6464, EAST HAMPTON#4499, LONG BEACH#4917,YONKERS#1987,NIAGARA FALLS#971, BUFFALO#524355, SOUTH HAMPTON#002056-0,TONAWANDA #10258, NORTH TONAWADA #368-04, TONAWANDA TOWN CN2324, WESTCHESTER #WC-1848414 H06; OH--CLEVELAND HEIGHTS #3897, SHAKER HEIGHTS#7223;OK#91910;OR#95843,OR#8558(LC); PA-PHILA#842, LANCASTER#2779, PLUMSTEAD#3399; RI#9480; SC#CB000019(COA),#008151, #019654, #017285, #20035, #M-104779(PB5); TN #00047781(BC-2/4/6), 4149; TX- #M-36192, #M-16451, #TACLA001574C,# EC24447, #ME 137170, #TACLB00014980C, #TACLB00016712C, #3481 (RB) DALLAS #20951, #20950, #21389, #23818, #22088, #22090, #22091; UT #286936-5501(B-100 LRF); VA #2710019977(HIC, HVA);WA#HOMED**088RH(2719);WI#1046796;WV#WV036104,#63802;WY-CHEYENNE#04-09550,#04-13313. *An enterprise of Home Depot U.S.A., Inc. HOME DEPOT U.S.A. INC., 2455 Paces Ferry Road, NW, BLDG B.5, Atlanta, Georgia, 30339 Page 6 of 8 No. 2685-154529 Customer Copy Page 7 of 8 No. 2685-154529 The Home Depot Special Services/Home Improvement Agreement: MASSACHUSETTS SUPPLEMENT WOOD, GARY 154529 2685 Customer's Full Name (Last Name, First Name) Order No. Store No. The terms and conditions of this Massachusetts Supplement apply to, and are expressly made a part of, the attached Agreement between You and Home Depot U.S.A., Inc. (interchangeably referred to as "The Home Depot", "Home Depot", or "Expo Design Center"). NOTICE TO BUYER TAX IDENTIFICATION NUMBER FOR HOME DEPOT U.S.A., INC.: 58-1853319 NO WAIVER OF RIGHTS:Your rights under the Home Improvement Contractor Law (MGL chapter 142A) and other consumer protection laws (i.e., MGL chapter 93A) may not be waived in any way, even by this Agreement. However, You may be excluded from certain rights if the service provider You choose is not properly registered as prescribed by law. REQUIRED PERMITS: Home Depot U.S.A., Inc. and/or Installation Professional is/are obligated to inform You of any and all permits necessary to complete the work contemplated by this Agreement, and it is the obligation of Home Depot U.S.A., Inc. and/or Installation Professional to obtain said permits. If You secure their building permits, You are automatically excluded from any Guaranty Fund provisions of the Home Improvement Contractor Law. WARRANTIES: Home Depot U.S.A., Inc. may guarantee or provide an express warranty for workmanship or materials. Apart from any guarantees or warranties that may be provided by Home Depot U.S.A., Inc., all goods sold in Massachusetts carry no implied warranty of merchantability and fitness for a particular purpose. Any enumeration of these matters on which You and Home Depot U.S.A., Inc. lawfully agree may be added to the terms of this Agreement as long as they do not restrict Your basic consumers rights. REGISTRATION: All contractors or subcontractors that will perform the work under this Agreement must be registered. If You want to verify the registration of Home Depot U.S.A., Inc. and/or Installation Professional or if You have additional questions or need additional information specifically about the registration component of the Home Improvement Contractor Law, contact the Director of Home Improvement Contractor Registration at: Bureau of Building Regulations and Standards, One Ashburton Place, Room 1301, Boston, MA 02108, (617) 727-3200. PAYMENTS: Any deposit made prior to the commencement of the work must not exceed the greater of: (i) one-third of the total contract price or (ii) the purchase price of any materials or equipment of a special order or custom-made nature that must be ordered in advance. Though You may choose to pay the total contract price prior to the completion of the work to be performed under this Agreement, Home Depot U.S.A., Inc. may not require that You do so. ACCELERATED PAYMENTS: Home Depot U.S.A., Inc. may not demand payments in advance of the dates specified on the payment i Page 7 of 8 No. 2685-154529 Customer Copy • Page 8 of 8 No. 2685-154529 • The Home Depot Special Services/Home Improvement Agreement: MASSACHUSETTS SUPPLEMENT P p p 9 f WOOD, GARY 1 1 154529 1 2685 Lustomer's Full Name (Last Name, First Name) Order No. Store No. schedule in cases where You deem Yourself to be financially insecure. However, in instances where Home Depot U.S.A., Inc. deems itself to be financially insecure, Home Depot U.S.A., Inc. may require the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. ARBITRATION: The Home Improvement Contractor Law provides You with the right to initiate an arbitration action (as an alternative to court action) if You have a dispute with Home Depot U.S.A., Inc. and/or Installation Professional. ADDITIONAL INFORMATION: If You have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if You wish to obtain a free copy of A Consumer Guide to Home Improvement Contractor Law, contact the Office of Consumer Affairs and Business Regulation, 10 Park Plaza, Suite 5170, Boston, MA 02116 (617) 973-8787. For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Division, Office of the Attorney General, (617)727-8400. I Page 8 of 8 No. 2685-154529 Customer Copy ..4 BOARD OF BUILDING REGULATIONS, License: CONSTRUCTION SUPERVISOR .. `` Number: CS 093790 I ? Birthdate 08_/40/1976 I S Expires: 08110/2009 Tr.no: 93790_ k''Rests 466. 00 - - JOHN C DUDLEY;:: 200 BUTTERFIELD I)R#1 ASHLAND,•MA .01721 -'" i --- Commissioner i � Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Registration: 130101 Board of Building Regulations and Standards Expiration: 1/6/2010 Tr# 261702 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 UNITED PAINTING COMPANY INC. JOHN DUDLEY '} 200 BUTTERFIELD DR STE I ASHLAND,MA 01721Ad � -- —--- ministrator Not valid without signature 'I 4 The Commonwealth of Massachusetts / Department of Industrial Accidents Office of Investigations 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): �! hvi?ci f�'�1t �s (/1j'�t<< �ltlt nit C[' Address: City/State/Zip: k (a,� ��'� �l l Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.�9 I am a employer with q_— 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. * 7. 1Z Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.F1 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#1 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 sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for ny,employees. Below is the policy and job site information. Insurance Company Name: Z Policy#or Self-ins. Lic.#: �'Vr C, (r, 7 ���� 7 Expiration Date: Job Site Address: �' flov' i tr` City/State/Zip: 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 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 cern and he pains and peva ies of perju>7+that thre information provided above is true and correct. Signature: Date: Phone#: 3� Official use only. Do not write in this area,to be completed by cit,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#: Client#:27859 ACORDT. UNITE PRODUCER CERTIFICATE OF LIABILITY INSURANCE DATE(MM/Dp/y YYy) Herlihy Insurance Agency, Inc. THIS04/14/08 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 51 Pullman Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Worcester, MA 01606 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 508 756-5159 INSURED INSURERS AFFORDING COVERAGE United Painting Company, Inc. INSURERA. Acadia Insurance Company NAIC# d/b/a/United Home Experts INSURER B: American International Group 200 Butterfield Drive, Unit I INSURER C Ashland, MA 01721 INSURER D. COVERAGES NSURER E. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION A GENERAL LIABILITY DATE MM/DD/YY DATE MM/DD/YY CPA011338713 04/15/08 LIMITS X COMMERCIAL GENERAL LIABILITY - _ 04/15/09 EACH OCCURRENCE CLAIMS MADE OCCUR DAMAGE TO RENTED $$11OOO OOO $250000 MED EXP(Any one person) $5000 PERSONAL B ADV INJURY $1 000 000 GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 OOO OOO A POLICY PRO' PRODUCTS-COMP/O T LOC AUTOMOBILE LIABILITY P AGG $2 000 000 MAA011338813 ANY AUTO 04/15/08 04/15/09 T ALL OWNED AUTOS COMBINED SINGLE LIMI (Ea accident) $1,000,000 X SCHEDULED AUTOS BODILY INJURY X HIRED AUTOS (Per person) $ NON-OWNED AUTOS BODILY INJURY X Drive Other Car (Per accident) $ PROPERTY DAMAGE CARACE LIABILITY (Per accident) $ ANY AUTO AUTO ONLY EAACCIDENT 6 AOTHER THAN EA ACC $ EXCESS/UMBRELLA LIABILITYCUA011339113 AUTO ONLY. 15/08 AGG $ 04/ X OCCUR ❑CLAIMS MADE 04/15/09 EACH OCCURRENCE $4 000 000 AGGREGATE $4 000 000 DEDUCTIBLE X RETENTION $0 , B WORKERS COMPENSATION AND $ EMPLOYERS'LIABILITY WC6875557 08/15/07 08/15/08 WC STATU- 0TH- $ ANY PROPRIETOR/PARTNER/EXECUTIVE Y I,IMITS FR OFFICER/MEMBER EXCLUDED? I(yes,describe under E.L.EACH ACCIDENT $500,000 SPECIAL PROVISIONS below E.L.DISEASE-EA EMPLOYEE $500,000 OTHER E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS ""Supplemental Name" United Painting Company, Inc. United Painting Company, Inc.dba United Home Experts CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION United Painting Company, Inc. 200 Butterfield Drive, Unit 1 DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN Ashland, MA 01721 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R,�EPRESENTATNE ACORD 2`5-(2,0-0-111/108 1 of2 #34117 .4 t / ,,, ,•Pim 4.7"x^Ir;;�Mr'' DAF 0 ACORD CORPORATION 1988 A r, 30. 2008 4: 02PM f/�i, 3 - (L0�' - 4(� No. 5330 P. 1 � I T JE United Home E x�erts & � United Painting Co., Inc. 200 Butterfield Dr. Suite I Full Worker's CompMsation Coverage Ashland,MAO]721 $4,000,000+Liability Insurance Coverage M-4 HICLiccjoe#130101 Warranteed work 508-881-8,555 FAX 508-881-5584 M"C:onctr.SuPevisorsLiceme Excellent Financing Plans available WWW.UWtedHomeFXpert$.com RI k'C#22948 Family Owned and Operated PROPOSAL PAGE I-Z Project: Exterior siding and paintingwork Bid bate: 4-30-08 Attn: Bob Cupka Phone#:cell 978-764.3889 Company; Home#: 978-683-6099 Address: 111 Darker St. Fax#: City, St.Zip; North Andover, MA Email: r.cu ka u)comcasi.net Beard of us by: website $ase proposal as per attached scope of work: selected trite Original Hardiplank quote with $26885 Add all window frames and door frames to be pvc 1360 Add soffits to be PVC;with 2"strip vents $ Gutters and downspouts $72200 Exterior painting work $1826 I titc•PvQl r nJ M Ale oo/Zs vt— $6340 Upgrade all paint to Duration(2 coats) Install 2 customer supplied doors,includes labor and fasteners $460 $750 Alternates: Any additional customer reyuested carpentry Total $38,341 48 er hour+materials, arP tr work will be billed at If project is booked by Prices good for 14 days S/1/08 $37,050 PAYMENT:Anon-refundable d amount of$ deposit of 1/3 of ALL ACCEPTED PROJECTS is due upon authorization in the with ofand the balance of EACH PROJECT duelupon coA pletion of EACH PROJECT along PROJECT due upon half Ofmwith an a EACH PROJECT, requested by customer, g ith any additional work DISCLQSURE: State law requires us to inform you of contract liens. Any contractor,supplier,or subcontractor may lien your real property if you or the general contractor fail to pay for goods or services delivered or installed al _ the work location. Some contractors and suppliers automatically send letters of notification similar to O` At.your request,we will provide original n lien release documents from anyone wvidialnotice. s _.. service. Please call if you have any questions regarding liens. ho proes said mater ACCEPTANCE: The signature on this proposal reflects acceptance of the proposal as per the attached scope of work,authorizes commencement of the work,and herebyI paid within thirty days of invoice are subject to service charges of I payment/ emnntlz(1 g/°�pR)cAil c ostsoo is not 1 collection,including reasonable attorney fees are to be paid by the customer.You may cancel this transaction at an time prior to midnight of the third business day after the date of this contract.United reserves the ' y service charge equal to 25%of th ontra.et amount if the job,' cancelled customer AFTER three business to assess a business days. Contractorsignature Date / /'JC1ee's _ Customer sig ature Date BBB; Great People, Quality Service, Fair Prices, That's United! V4ORTI, 0" oAndover No. 76o _ dover, Mass.0 LAKE , COC MIC KEwICK � 5 RATED AP BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR ' >. ........................................................................................... THIS CERTIFIES THAT.......... �.. ..... Foundation has permission to erect........................................ buildings on ....../// r.. %....5 ...................................... Rough �' i` .� �'c•' /�� �. 1` C�'�S���' Chimney to be occupied as.............. .... ................... ..:... ................. ....................��'.........:................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 CONSTRUCTIQN STARTS Rough ...........1/.:yr -r-st............................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.