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Building Permit #204-11 - 11 WALKER ROAD 9/7/2010
µoRTy BUILDING-PERMIT 0 I-IED ,6�4+ TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION '- Permit NO: r Date Received �SSACHUS�( Date Issued: IMPORTANT:Applicant must complete all items on this page al- -' _GiArrr.r:M1.u:. - .r- - .+ ;kf•r..?.-qe.y._: ....�, t.�^:1:. _ .^.':•rti. _ •_is:•_. "lam' .:,°=' .:'.i.. i:L�'xr:;�l=" - s., _ .x�. _ ,Jt•. -.•3.,:L j�-.3.. :;rt'fl.�t'•+I' fir_ - �:z,r Y�i•' .•I.-.... -•.::, � ,...�.,.F:. � ^� ter, Mo - "=. - el_• ;. T.�:F hi _ y,. - _ - _ r--fes•-, - - _ R'.r .•.'_'•l-=. �{ - n.?.t, •i. -t:�i;" :iVdy; "� ih`t':i�i, � _ - .:-17a.:...:Sn. ,?u.-!h:i .,<_.. -^�,.„ r,..• :r•.n:,_�• J ren .ASU�� �a ���•rly '.'�fi•'�•-1"vra�• _.:j•- }r�E� _..'!�-`_ry e� -r::�•-�,,->-i�-T,+.' �:J._�;-.air_.,. t..,ac'r'�.-•-r=r.�r.c,,:-..,;., a-. _ _ a,:.`.a. 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TYPE OF IMPROVEMENT P USE esidm Non- Residential New Building One fa Addition " o or more famil Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other -a�'::,..-�r,a-�-yam-- - - - --�-.�- -....�,• - -��`"- �.:���•� - -�,t�- - - -_ - -:-]l-•'r �,+:<--a.. _�.s� •1-=:b: „:A..�f,.�A: •x 5`':P`:': aY`.v- :..�3.'_:"`:+0' �1...>. ':GJ:.::.`afM e`- �F.sF"._... rs:o7��-..�: -r:r.:�..,w-'-�!' /-5 ;�_' L �"`--.,-._..-,'.. r«...�I,_� -r ..r'`r*�'"„�-_.:s-., _ °`^h.. .'.;':.>��r� - Y sr`J�',c:+a�y��'-I _ z'i'1� -..Y..cj�,.,•?yS";�''�:�. .!-�a.,L;s.. 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DESCRIPTION OF WORK TO BE PREFORMED., e wty v e o f /yew Identification PIease Type or Print CLearIy) OWNER: Name: V'A P Y14 r; Phone: 509- 265;-3Y51 Address: �/ Gv a4 ���e,e )Pali N© �e /1 �N 0�0v e t? .•h+ - ,'','J_�•= -4 ti:., - +'m:t�'.o ^.'i=: -'':�.1•SL�s:,.:: ::� ;'•'- -- _•,rW m _1c:lY-�.- _ -�-,'. +_�Y: ,a-17.._s.._�.T_' _ �.l•f.;ee.*`+r.' l - - .._.rr,,,,•.r7•� „�•::z:_ lM_�.,,c-r4,�„' - ,^•,_'�-„+. - -�T.�•e �.",dF :L`.•.�•'S..e .1.: �_-r`..Au-,:...F.:.�bc '� 5..�,'•..r'�e' :'fZ�r-1-...--IJ`/. `�.'t - _ _ ,�v _,,,CL,it.•�+,:i:' . '-•+:x S, �h` _5!rti•_,lt - rh F _',_-=a .�r, r ` .x ��r �„ u irF: �'•�`�' zj�• '� �s�_ "a' �s c<%° u. '�h •�.•y�r,yw� _ arx +F7; .'4s"-,3�a5 � �':;x.5a�.^c�r' r.�r,?� :"';{'•:'._''._a�- ✓ r,�.t" a:ic� S--^b..r �-v:.1'x div�•r' '" ..a , �r-��-.:t:-T,:: 1 i Ems.. ^.w T•+ �zr' '. iL.� .fa.:2=_ �. 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ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �f� 72f , /3 FEE: Check No.: c'� / Receipt No.: ' NOTE: Persons contf-acting with unregistered contractors do not have access to the bacsara y fund] »ti=: ":-^•= '^_'*�"`�-.�.-=. �-ar-r- y�: Ys.:^ tts ._•:.�- _ =� P .. - �.a'�-.'"[_.- ,•meg` _..:::Y•,`...- J l.+rr ure< fgco �rafDr'. r .. "` }� . 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 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED- PLANNING DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature w►viiviE►v i S HEALTH Reviewed on Signature COMMENTS c Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments . I -Conservation Decision: Comments Water $ Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: ' Located 384 Osgood Street �.,ri:, _ :hti.'..`�.-'<�-- •--car. .:.�:- ,-�"!.:`` -dot`>..:_;•..-;;:.... - t`7*t Z .�..'" _ .Yn�E+<• 1'aver`"�:(i. — _ ;EjP1���I3ME�T.�::�•:��e•: .-�- i� ;"��fer . .�...�= - --.-:.ti:.. - „:+t•. �:>-._ ,.�' ,�. _ 'W"',ri+=, y:—J+'.�7P�:l Z--ric�F_'•- -i fA�: _ — _' ••-f:�� Y::T: � }*t_+r o. ' r _ ''I'-x`'�=':.•_' 3.,. ."� �sr;""..ter - e� r.":J_ "•tet. - - - .n { 4� - F ..7 1 = — ^ate-'.._ �s:f'•c .c.r-' -- - - c-4 <<�rte_:c r.r'.�.� ^'•_%r. :.ri-:kd_.:. — - - :rr- - - - -r : (-+ ..L•j. I:V9' d1�,! - - Vit.-=• _ i 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.s100-$1000 fine NOTES and DATA— (For department use) i ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department _13 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 ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ° ❑ IVI "'ass 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 'Cg. _.C! -1 �r1 �"1�'y se-4 +.v i rlTii i ❑ e. i1 ed f 1 opoaSvd 1 11VL 1 1x11-. -. ❑ 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 Doc:Building Permit Revised 2008 Location 1w t Na d Date v r, NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ CMUBuilding/Frame Permit Fee $ sASE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # i 234 . ; Building Inspector i NORrH 0t,14eo TOWN OF NORTH ANDOVER 216 ANO , ti �� OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 Ay'SSgc►,usE` North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERNUT APPLICATION Please vrint DATE: JOB LOCATION: Q /� �LO Number Street Address Map/Lot HOMEOWNER ju q tv 14. Sig- 2 60 3 8?,f209Y Name Home Phone Work Phone PRESENT MAILING ADDRESS 41 City Town g+�+w Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. r .- HOMEOWNERS SIGNATURE - 4e6r,-zd. ozx APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 1 The CommOnWeQlth of Massachusetts Department o f rJ2dustrial Accidents Office of rn vestio ations 600 Washington Street Bostorz, MIQ 02111 Workers' Compensation b &a p on )ins urance Aff davit: Builder 4n licant Information s/Contractors/Electricians/Plumbers J rint Legibly Name (Business/Organization/Individual); Please PlJ � Address: of �' City/State/Zip: > Phone Are you an employer? Check the appropriate boz: 1•❑ I am a employer with 4. I Type of project❑ am a P 1 (required): --__ =eneral contractor employees(full and/or part-time).* have hired for and I the sub-contractors 6. ❑Nein construction 2 ❑ I am a sole proprietor orpartner_ shi and hav listed on the attached sheet 1 7. [�'Remodelin P e no employees These sub- g working for me in an capacity. contractors have 8. Demolition Y p rty. workers' comp. ❑ [No workers'comp, insurance 5. P insurance. 9. Building ,required] ❑ We are a corporation and its ❑ mpg addition officers have exercised their 10•❑Electrical repairs 3• .I am a homeowner doing all work right of ex or additions Myself. [No workers'comp, right ht 1 exemption per MGL 11.7Plumbing repairs or additions insurance required.] t c. ' (4),and we have no employees. 12•❑Roof repairs [No workers comp.insurance required] 13 ❑ Other A'zv 2'pFicant that ch—Inq box Must also,nu out the sem homeowners w' ^-eeraw th IIQ Submit thlS affldaVIt indrea g ••'A•CI ,..'S'CQ2L i:....r.:.:. ��the}' do g aL'work and , r_=ca 'Contractors that checi;this box.must a=ched an additional sheet showing ��hire outside Q°nttactor L� c.ssbrr iC a new Affidavit indicating such, the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for nzy employees. Below is the oli , information. p cy and job site Insurance Company Name: Policy#or Self-ins.Lc.#: .Expiration Date: Job Site Address: Attach a copy of the workers, compensation policy declaration pane sho ,City/State/Zip: Failure to secure coverage as required under Section 25A of M a ( wing,the policy number.and expiration date). fine up to$1,500.00 and/or one-year imprisonment,as well as Glc. 152 can lead to the imposition of criminal Of up to $250.00 a day against the violator. Be advised that a co Penalties of i penalties in the form of a STOP WOE{O�j��a fine Investigations of the DIA for insurance coverage verification. PY of Cement may be forwarded to the Office of I do hereby certify under the pains and penaldes o.fP ler �th4rt the information provided above is Signature: true and correct _-... Date:.- � _ .•-._�..-_ ��' Phone#: Official use only. Do not write in this area, to be completed by city or to►vn. official City or Town: PermitUcense# Issuing,Authority(circle one): 1. Board of Health 2.Euilding,Department 3. City/Tgwn Clerk 4.Electrical Inspector 5. 6. Other P Plumbinn „ Inspector Contact Person: Phone r: Information an- d Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute-,an employee is deed as"...every peon in the service of another under any contract of hire, express or mmlied,oral or written." An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing eagaged in a joint enterprise;and including tie legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association oa-other legal entity,employing employees. However the owner of a dwelling house having not more than three apartnz ents and who resides therein,or the occupant of the dweIIing house of another who employs persons to do mainte mmce,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not b--cause of such.employment be&=ed to be an employer." MGL chapter 152, §25C(6)also states that"every state or lo.cai licensing agency shall withhold the issuance or renewal of it license or permit to operate a business or to c anstruct buildings in the commonwealth for any applicant who has not produced acceptable evidence of colsupliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall entcr into any contract for the.pmfonnance of public work unit acceptable evidence of compliance with the insurance requirements of this chapter have been presented toAhe contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors) name(s), address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'comp enation insurance. If an LLC or LLP does have employees,a policy is require& Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the affidavit. The affidavit should be returned to the city or umm that the application for the p=Ziait or l:c"22s'LS being r:'gl2eStzd,d112t the Department Of Industrial Accidents. Should you have any questions regards a the lav;Qr if yeu arev r�q ired to obtain a work=' compensation policy,please call the Department at the number=listed below. Self-insured companies should enter their self-insurance license number an the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the pemiit(license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each . year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would Ifice to than you in advance for your cooperation and should you have any questions, Please do not hesitate to give us a calL The Department's'address,telephone and.,fammumber.... The Commcnwwlth of Massachusefts Department of Industrial Accidents Office of lurestibations 600 washing-bn Street Boston,MA 021.11. Tel. ## 617-727-4900 ext 40.6 or 1-977-NvLkSS_A.FE Revised 5-36-05 Fax #617-72.7--77'49 vrvT ,.masE. a'ov/dia ORTH TO" of 0 . No. _ o 0 _ - overMass. —1 Q = LAKE O 1 COCMIC ME WICK V ADRATED SS ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.......... . ........ . v Iti................................................................................................................ ......... Foundation has permission to erec ..................................... buildings on ....a.........�C�.�..�! �..�.............., Rough ............... tobe occupied as................ ... ...... �... .................C.�4 ... !......................................................... Chimney 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 CONSTRU TARTS Rough ... . ..............................................................................:.......................... 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. ORTFI T0VM of 11% No. l ��. W. ;a. _ - - h o L A K E o dower, Mass., COCHICHEwICK I. %AERATED PP"L,��C� SS BOARD OF HEALTH P-ERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... ................................................................................................................. ......... Foundation has permission to erec ......................... buildings on ....a.........(,�,?c�.��--.....#� .............. Rough to be occupied as................ ... ......��. .......C.�r ....1.......................................................... Chimney 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 UNLESS CONSTRU STARTS ELECTRICAL INSPECTOR Rough ... . ......................................................................................................... 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 Until Inspected and Approved by the Building Inspector. Burner' Street No. SEE REVERSE SIDE Smoke Det. I_77m� 11HIJackson Material Receipt wal,, KITCHEN DESIGNS Transaction # Customer Copy 7 1093 Osgood Street, North Andover,MA 01845 Phone: (978)685-7770 ' Date / Time Fax: (978)685-7771 A/0 09/07/2010 7:27 am Location RAYMOND 587764 Sales Representative LUCY ROSS JESSIE CASHINS SAME **CASH ACCOUNT ** **CASH ACCOUNT ** 11 WALKER RD UNIT B 11 WALKER RD UNIT B(617)910-6790 NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 omer� • . OrderDa0pOrder 41145 201616 06/05/2010 169 DELIVERY ��Orderedpped Description UM Price/Unit Extension�'— Please deliver between 2pm 4pm has to be after 330 SIGNATURE: Special order and manufactured merchandise is . - • . • 4,450.00 non-returnable. 278.13 Customer agrees that any amount not paid within 30 days of invoice date will carry interest at the rate of 1.5`o per ' Total: 4,728.13 month and further agrees to pay all costs incurred inPaid:' • 4,728.13 collection, including reasonable attorney's fees. D 0.00 Page 1 of 3 Check i IJackson Material Receipt 1UHRI( ITCHEN DESIGNS Customer Copy Transaction 1093 Osgood Street, North Andover,MA 01845 Phone: (978)685-7770 • Date / Time 191 Fax: (978)685-7771 I�A/0 09/07/2010 7:27 am Location RAYMOND 587764 Sales Representative �1� LUCY ROSS • • JESSIE CASHINS SAME **CASH ACCOUNT ** *' CASH ACCOUNT ** 11 WALKER RD UNIT B 11 WALKER RD UNIT B(617)910-6790 NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RCU0o_mer# Order# Order Date Oper_,� -Purchase Order Ship Via 41145 201616 06/05/2010 169 DELIVERY Ordered ShippedUM Price/Unit Extension Please deliver between 2pm 4pm has to be after 330 1 SOSCHROCK 1 1 SCHROCK KITCHEN EA 4,450.00 4450.00 SCHROCK CABINETS PER PLAN PRINCETON DOOR STYLE MAPLE WITH BRIERWOOD FINISH SQUARE RAISED PANEL TRADITIONAL OVERLAY 4 SOSCHROCK 1 1 W3015 EA 0.00 0.00 5 SOSCHROCK 1 1 W1 530L EA 0.00 0.00 6 SOSCHROCK 1 1 W3015 EA 0.00 0.00 7 SOSCHROCK 1 1 WNR3015 EA 0.00 0.00 8 SOSCHROCK 1 1 W361224 EA 0.00 0.00 9 SOSCHROCK 1 1 W1 530R EA 0.00 0.00 10 SOSCHROCK 1 1 W3030 EA 0.00 0.00 11 SOSCHROCK 1 1 4DB15 EA 0.00 0.00 12 SOSCHROCK 1 1 SB30ST EA 0.00 0.00 13 SOSCHROCK 1 1 B21SSR EA 0.00 0.00 14 SOSCHROCK 1 1 TEP2484WD EA 0.00 0.00 15 SOSCHROCK 1 1 TEP2484WD EA 0.00 0.00 16 SOSCHROCK 3 3 SWLCRM8 EA 0.00 0.00 17 SOSCHROCK 1 1 TB8WD14 EA 0.00 0.00 SIGNATURE: Special order and manufactured merchandise is • - - • • 4,450.00 non-returnable. 278.13 Customer agrees that any amount not paid within 30 days of 4,728.13 invoice date will carry interest at the rate of 1.5€ per Total; month and further agrees to pay all costs incurred inPaid:' 4,728.13 collection, including reasonable attorney's fees. t 0.00 Page 2 of 3 Check MOM Jackson Material Receipt WHI[ KITCHEN DESIGNS Customer Copy7 1093 Osgood Street, North Andover,MA 01845 Phone: (978)685-7770 Date Fax: (978)685-7771 A/0 09/07/2010 7:27 am Location RAYMOND 587764 Sales Representative LUCY ROSS • Ship JESSIE CASHINS SAME **CASH ACCOUNT ** ** CASH ACCOUNT ** 11 WALKER RD UNIT B 11 WALKER RD UNIT B(617)910-6790 NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 *�r# Order# Order Date Oper Purchase Order Ship Via 41145 201616 06/05/2010 169 DELIVERY NurnbW Ordered Please deliver between 2pm 4pm has to be after 330 18 SOSCHROCK 3 3 SFM8 EA 0.00 0.00 19 SOSCHROCK 2 2 F330 EA 0.00 0.00 20 SOSCHROCK 1 1 TUK EA 0.00 0.00 21 SOSCHROCK 1 1 WEP1230F3FPE EA 0.00 0.00 22 SOSCHROCK 2 2 LRM EA 0.00 0.00 SIGNATURE: Special order and manufactured merchandise is . - • • • 4,450.00 non-returnable. 278.13 Customer agrees that any amount not paid within 30 days of 4,728.13 invoice date will carry interest at the rate of 1.5% per • • ' month and further agrees to pay all costs incurred in • • 4,728.13 collection, including reasonable attorney's fees. � 0,00 Page 3 of 3 Check �„-• '- Nlassachusetts- Department of Public$4fet} Board of Building Regulations and Standlaedll Construction Supervisor License License: CS 87201 _ ! Restricted to: 00 ISMAEL SANABRIA d 28 NESMITH ST 1 LAWRENCE, MA 01.841 s Expiration: 2/13/2012 Tr#: 18708 � ('unmissiuner.. _ i 1251_„ 30" 1�, 30"--+-1,r",—,/ 30" 63' 6 =" Ccq�3 .30" 15, 30" 24" 21 2' W3015 W15301 1,^J3 01 001 Wl 530R W3030 n� N - 30-RANGE 4'DB15 S8 ST 24.DISHW B21SSR WPdR3015 c> w - o N O ' C: P u. N N N O _ TE P2484-WD 'v = N - - - TEP2484-WD i 1255 30" 15" .i0„ 1G"� i0 2' 63'- -61 _11 F 30" 1 G 30 24" 21" 2 VV3015 W1530L x,1/3015 Q IN1530 VV3030 _ N _ ~ 30-RANG 3 4D815 24.DISHW 821 SSR -- --- WNR3015 2Q aia � I o n� o TEP2484-WD C N c _ N TEP2484-WD