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HomeMy WebLinkAboutBuilding Permit #630 - 115 LACONIA CIRCLE 3/28/2013 f pORTH q BUILDING PERMIT 3�0�`P�`D6�6�� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION - Q N Permit NO: Date Received cATE D a,,; Date Issued: R Az SacHus PORTANT: Applicant must complete all items on this page ' k LOCATION I �, - co V\� t e .irint - F PROPERTY OWNER._ Y t�- i 'w t ovv-,40 e 1 Vt 0; Pirint MAP NO: � RCEL:1ONINGDISTRICT: Historic District yes f Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building POne family ❑Addition ❑ Two or more family ❑ Industrial VAlteration No. of units: ❑ Commercial WIRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other [],Septic' ❑Well a. .' ❑ Floodplain ~D Wetlands-, ❑ Watershed District Water/Sewer- Identification Please Type or Print Clearly) OWNER: Name: $ SIS c �U�( �I�'\�iSV Phone Address: I. �, ' F� -- I. CONTRACTOR Name ° Address: Ib .. xl- v. y •u '. - Supervisor's Construction License ' x Date: Home ImLicense-rovement pt . .F ,;" a � ►� 1 �-'" I' Exp A R CH IT E CT/ EN GINE ER Phone: on e.. 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: $_ FEE: $ ® PZ.-- CheG'�No.: �'� Receipt No.: - � NOTE: Persons c trach with n ' i tered co i 'actors do not have a cess to the ty-ran fund +� g Signature'of Agent/Own r Signature ofilicontractor �. - TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page r -- Rnntia- PROPERTY QWNER; Print, 100iYear,, iStrueture yes; no . - MAP"NO PARCEL: ZONI-NG'DISTRICT: Historic�District yes noa -- MachineShop,Village yes, no. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑We113 - 0 Floodplain- El Wetlandsj Watershed ©ist'r-icta . n W, ater/Sewer._ DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: r r i CQNTRAQ AOR'N,ame Y ._- - — Phone: Supervisory'saConstruction License: Exp: Date:. Homeflmprovement License;, - Exp Dater- ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. I Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund , 5ign6t EFOflAgent/®wner ._. Signature of=contractor �._� .. ° . Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ G Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art E] .. Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food n Packag iSales 11 � 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 I COMMENTS HEALTH Reviewed on Signature COMMENTS a Zoning Board of Appeals: Variance, Petition No: Zoning De asion/receipt submitted yes _ I _ I t Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit ` I DPW Tow 2 Engineer: Signature: Located 384 Os ood Street 1=IRE ®EPARTf@ ENT - Temp Dumpster on site ye no Located 6t'0- Main Street Fire Depa' meritsigriatu're/date ` COMMENTS r ,_. 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 El Notified for pickup - Date i Doc.Building Permit Revised 2010 Building Department f The following is a list of the required forms to be filled out for the appropriate permit to be obtained. 0 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 J ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract I ❑ 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 o 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 submAted with the building application Doc: Doc.Bui?ding Permit Revised 2012 Location �/i r�►�r /9 G,(1A,— Date J E. No. , o ,. TOWN OF NORTH ANDOVER e Certificate of Occupancy $ Building/Frame Permit Fee sac—)c' ' Foundation Permit Fee $ Other Permit Fee $ TOTAL Check# �T a 26237 N413uilding Inspector NOH RT own of 6Andover o �„.,. h ver, Mass, �G 0 COCNIC"IWICK �dS RATED J' C) U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THATBUILDING INSPECTOR ..............ks!�........Tis.r. :d................................................ Foundation has permission to erect .......................... buildings on .....� ....... .(4 C..O.Ah.A........ ....... Rough to be occupied as ............... .. .'.........T......... .!✓.:►v.�7..... Chimney provided that the person accepting this permit shall in every respect conforr 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 CONSTRUCTI S RTS Rough Service ............... ................................................................ Final BUILDING INSPECT-OR 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. SEE REVERSE SIDE Mr. & Mrs.Arthur Tomasino 115 Laconia Circle North Andover, MA 01845 November 8, 2012 Home Improvement Contract#131377 Dear Arthur& Robin, I am pleased to provide the following estimate for roofing replacement at your North Andover residence. This estimate is based on the following specifications: � • I Strip existing roof shingles and dispose of in an onsite dumpster the main house, garage, and front entry roofs complete. • Supply and install new 30 year architect series asphalt shingles over; New 8" drip edge, Grace ice and snow barrier at the roof edge up 36"and Tryflex roofing felt on the remainder of the roof. • Install vented drip edge at the garage if necessary. • Install ridge vent, asphalt caps, step flashing and new vent pipe flashing as necessary. • Provide permit (cost not included) • Leave area free and clear of all debris upon completion • Owner to select the shingle colors. • The rear bay window will not be shingled. Marchand &Sons proposes to supply material and labor as necessary for the estimated sum of Sixteen-Thousand-Eight-Hundred-Fifty-Nine-Dollars ($16,859). A$5000. Deposit is due at the start of the job and balance will be due upon completion. Marchand a chand &Sons Construction Company is Licensed, Insured and registered in the state of Massachusetts. Please do not hesitate to contact me with any questions you may have. Sincerely, William R. Marchand President WRM/am 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.$10041000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date it � � - Doc:.Building Permit Revised 20117une/mi 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 o 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 o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks o 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) ❑ 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 o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract a Mass check Energy Compliance Report o 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: Doc.Building Permit Revised 2008mi Location No. Date 1Pa �� MORTh TOWN OF NORTH ANDOVER ? �. • O f F � 9 • ��. Certificate of Occupancy $ Building/Frame(Frame Permit Fee $ .r s�cwusE 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # _ 24679 Building Inspector NORTIy own oAndover , o _ - : ,.. 10 No. �7a ►►(( x. 10 , dover, Mass., ��� �e�•• ry` O -- LAKE �• COCMICMEWICK 7.pS0RAT E D 77 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... 4 d i. .................... • Foundation has permission to er buildings on .... .. . ....... ���.�ir1� ............ .............. ough to be occupied as... ............ ........... ....... ...C.��.......{"r� �«If�►. ......4......... ..fh �ap06&n ..� .....�r n y m e provided that the person accepting this permit shall in every respect conform to the terms of 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. T UNLESS CONSTRUC , 1 S 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. 1 46 !11 -146 a f 77 PIZIOZ To Ise j �� �'7--",--•--t..__.., 1,�.. —_ '-/ i / / �,. p r r 4 ♦ Q# 111 �4` �—�• ''' � o / . �. � \ t..•� Y" �-'�LIQ�. •r j�♦\ �8`.. � / - \( ♦ p%[!� `� „,�I ~ LJO im : .��_ - � \ "s^'"'�w'+-.+`.�.s�tr^�r t � '�yam ._� ♦ PGS tai Fes,« ` .F 1t, Ar g Vf� LVE� y _ .. h - �. f, k c,.�...�,,y' S 8✓ •.r,:7a::i sjb'a• .It i -.i t^'+t M: '� il.r tk v i • - 1 Ftt ` ^p, ' • .. '.lei S 41 - } . • 1' J '$c � r it 7 / �""'�---+•—. \ � , /' - Wit ISIS"TQvGTiom , f l+ to t �. i i48 IL 41ti • `\ �,. . Its 1,�j1 - ...�4',,T'- .: - �� +.- +. _ .. f �!'�$ . 4.1 3 - E3 VA L VE S h tiv 11 � Ly- - .y;T".✓� ..� X,} �....'#, ,.��� t .mat. a ,3r - :!' Office of Consumer Affairs and 8usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C..olitr�actor Registration t•, `- Registration: 131377 Type: Private Corporation Expiration: 7/13/2012 Tru 200173 MARCHAND AND SONS CONSTRUCTION - WILLIAM MARCHAND —_- 33 TOZER RD. l ' BEVERLY, MA 01915 i Update Address and return card, Mark reason for change. ,-CAI �, 60M-Oa04-G1012I6 E] Address [] Renewal [] Employment f Lost Card ✓�ie �anvrrco�.uuea�c �✓G��r. Office of Consumer Affairs& Business Regulation License or registration valid for individul use only before the expiration date. If found'return to: HOME IMPROVEMENT CONTRACTOR P �I Registration: 131377 Type: Office of Consumer Affairs and Business Regulation iy Expiration: 7/13/2012 Privale Corporation 10 Park Plaza -Suite 5170 Boston, MA 02116 MARCHAND AND SONS CONSTRUCTION CO, INC. NILLIAM MARCHAND 33 TOZER RD _ BEVERLY, MA 01915 ——-- —4t'YZUndersecretary Nhoutnature -------J—�— �9ussachusetts- Department ot•Public Safet, +, ns and Standal'ds I Ott i o CITY OF SALEM X1957 Of Buil(lin;�,Rc„u B(tat d License BUILDING LICENSE Construction Supervisor License: CS 56233 s; a This is to certify That William Marchand Woodside Rd. St.,TopsfieldM•s:.; WILLIAM R MARCHAND 27 WOODSIDE RD Hes bbeen ra ed license 6 the Building Inspector •s • TOPSFIELD, MA 01983 Gen Cbntract�or Attest: Expiration: 1/10/2013 10/29/99 �t•e "'�- Tris: 9181 (issued) Building Inspector ( unmi..iuncr Th a Commonwealth of Massachusetts i I Department of Industrial Accidents Office of Investigations L sr�k14 � iiiisoil 600 Washington Street Boston, MA 02111 `{j• www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLribly l Name (Business/Organization/individual): rn 6(t_� 6.1%,d C C t i C_J !„a L Address: k_1 c'4 vim. S j City/State/Zip: e j e r Phone #: -7 ! I Are you an employer?Check the appropriate box: 1.❑ i am a employer with 4. ❑ I am a general contractor and I Type of project(required):6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.j I am a sole proprietor or partner- listed on the attached sheet.t 7• EZ Remodeling ship and.have no employees These sub-contractors have 8. [] Demolition. working for me in any capacity, workers' comp. insurance. [No workers' comp, insurance 5. [ ] We are a corporation and its 9• ❑ Building addition required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ 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 boz#t 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. ,Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: 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 a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains an penalties of perjury that the information provided above is true and correct Si nature: �J _. °�`" .d � s Date: S -— � 2- Phone — Phone#: Q (' - CU t Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): L6.O d of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector r Person: Phone#: •a'j i i I ; I • I �- ;—1 — i —I— �— 1 •j— � � . i— � � � j t� j i i �} —� � � j . j 1 _ _ 1 _I —�!! I�[�` I I i I 4 I ( I + I I i i } l I I i I , � i ; ! r I � i � I ( I f I I I ! j 1 I ! I � 1 1 i �" � • • ' - i- -i -- ---r- I--- �,---r-._-;__-i--� ---,- +- -- � ---•- -. ..i--.--;----l--- --I -'----- I'--I ' --j-- ---i-----;- -... �---'+--- -!__.- ,- - ! i'--+---•--;- i T . I t r I I '` 1 11Zv. ob ! - -; --t-- -' - -. �1 y-w��OC:Y _,QrC _l Co{�.a ---- ----- '— ;----� ---� . . - — - --'- -•—�— - �---- . _ _ _.. !--- - -- ----E-- - I I i �--- i-j -----I--j -:-- -;--f -- ------i- -- j-- -'. -i---i -- -- j -- i - ---1 -- - r-- -- r----. - - •---- '-- --- -- --5-;- __ fj j I I i I I I i 1 _ '-j----�-- I , I • I I I I '--! � I i I I I � i � � i j _I i II I ! j- j I. I MARCIUM-&SONS CONSTRUCTION CO: INC. BEVERLY,—MA 01915 ! 1 f 4 �eERTIFIED FOUNDAT/OA(PLAN f�OKTH At49 VF R e 'ata J DATE: 1 . .S1­6 R.L.S- . NORTf�ANDOVER L� 'y �. h d �•.. J � - rSJ' A� � �. � 5 u� . zz ti U. 411 i a _ .. r • ' .. -. �' �{ !rya.�. �. '1u_.i.►-- ,. s "t.� ' mo sty r L• �' .y fir, 'P .p � � / - `� �� x x'1540 1--12-`oto EQUE DR IS ! /<OERT/FY T.HAT THE OFFSETS SHOWN ARE.FOR THE USE OF OFFSE-T 5'HOW THE BUILDING D/NG INSPECTOR ONL Y 8 SUCH , GONFORM'TO THE " USE IS FOR DETERMINATION OFZON/NG ZONINGS Y L A W OF CONFORMITY OR NON CONFORM/T Y WHEN TAKEN. 3/s MARCHAND & SONS CONSTRUCTION COMPANY INC. 17 WC4&4AN sT Home Improvement Contract#131377 , BEVERLY, MA 01915 Phone 978-922-0115 or 978-922-4442 Fax 978-921-6675 Mr. & Mrs. Arthur Tomasino 115 Laconia Circle North Andover, MA 01845 Dear Mr. & Mrs.Tomasino, I am pleased to submit for approval the following estimate for work at your North Andover residence. This estimate is based on the followingspecifications- Rea p s ecifications- � I Rear Bay Window • Strip siding as necessary • Strip and dispose of roof, sheathing and insulation. • Frame a new 8" ±overhang with vented soffit. • Insulate, sheath flash and roof dormer as necessary. io Replace siding with existing or salvaged. I Front Entry,poor • Remove existing and dispose. • Supply and install (1)Thermatru Saratoga Fibre Classic mahogany FIm602 door with (2)therma-tru Saratoga smooth star S2G1SL sidelights with B-9 PVC dentil head casing and fluted columns for the exterior casing. -Smooth stock for under the sill. • Trim interior to match. I An allowance of$70.00..is included for the purchase of a lockset and dead bolt. There are many I upgrades at a reasonable price for the entrance locksets available. To change the smooth star sidelights to fibre classic sidelights please add $275:00. The manufacturer 1, recommends finishing both options with a paint or stain. 1 Entry Roof • Construct entrance roof on owner supplied steps and landing. • Strip siding as necessary . • Supply (2) 8" x 8" ±square fluted columns with the caps and bases. 0. Construct an entrance roof similar to the picture supplied and to include a roof approximately 48" x 120" withasphalt shingles and necessary flashing. • Trim entry roof With Azek or similar. 0 Entry ceiling will have a radius and be trimmed with a 1 x 4 beaded T&G PVC Siding&Venting • Strip existing siding on front main house and salvage for future use. • Supply and install newvinyl siding on front main house. • Wrap sills and casings on 10 windows. Install new dentil head casing on lower 4 windows. • Patch and match siding around bay window. } • ` Remove existing soffit material front and back. • Drill holes in soffit for ventilation. Install salvaged vinyl soffit as necessary. • r Secure Permit(Cost not included) • ^`Painting not included Marchand and Sons proposes to supply materials and labor as necessary for the above..listed work for . ,;; t the estimated.sum of.Eighteen-thousand-nine-hundred-twenty-five dollars($18,925.00)q Note:.,The vinyl siding contractor willbe paid directly from the client;the costs associated are included in this proposal. Payment Terms $500.00 due to bind this contract $5029.66 due at the start of this project. $5029.66 will be due at the half way point. $5029.66'will be due when the carpentry.work has reached substantial completion. 4 The final payment will be paid to.the vinyl siding contractor for$3336.00. Marchand and Sons is Licensed, Insured and.Registered in Massachusetts. Please do not hesitate to contact mew,th.any questions you may have.regarding this proposal; - Sincerely, William R. Marchand WRM/am F. ; /RCHAND & SONS CONSTRUCTION COMPANY INC, /-7 Home Improvement Contract# 131377 D, BEVERLY, MA 01915 Phone 978-922-0115 or 978-922-4442 Fax 978-921-6675 DO NOT SIGN THIS CONTRACT IF THERE PACES Identical copies of the contract should go to the homeowner BLAnd o NK or. omeowner's Sig ature C�intrac or's Signa ure Date You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the si ning of the agreement. See attached notice of cancellation for an explanation of this right. Note: Owners who secure their own permits or deal with unregistered contractors are excluded from .v the Guarani Fund provisions of M.G.L. c. 142A. f Note: All home improvement contractors and subcontractors shall be registered and any inquiries about a contractor subcontractor relating to a registration should be directed to: . or Director,Home Improvement Contractor Registration One Ashburton Place,Room 1301 Boston MA 02108 617-727-8598 The contractor and the homeowner hereby mutuall .agree in aTcOthat'in the event the contractor has Y g concerning this contract,the contractor may submit such.dispute to a private arbitration service which has been approved the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumers s a dispute sub to such ar in M.G.L. c. 142A. d to by hall be required to Home wner's Sign ure it a,5 2L) Contractor's ignature Date Date Notice: THE SIGNATURES OF THE°PARTIES ABOVE APPLY ONLY TO T HE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE INITIATE ALTERNATIVE DISPUTE RESOLUTION EVE OWNER MAY SIGNED BY THE PARTIES. N WHERE THIS SECTION IS NOT SEPARATELY i NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENTS EXECUTED.BY.YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY,IF YOU WISH,COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION,YOU MAY RETAIN OR DESPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER AND FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OF ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO: MARCHAND& SONS,CONSTRUCTION COMPANY,INC. 17 WELLMAN ST, BEVERLY MA 01915 NOT LATER THAN MIDNIGHT OF (DATE). I HEREBY CANCEL THIS TRANSACTION. DATE: BUYER'S SIGNATURE: 5� Deri J. f NORTp BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 4L I a Permit NO: Date Received2 �.f^� `""`"" ". Y� CH►15E� Date Issued: � IMPORTANT: Applicant must complete all items on this page a TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial '5'Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 9 DES •RIPTION OF WORK TO BE PREFORMED: Identificajign PleaseT� or Print Clearly) OWNER: Name: r�Q C 0 M-4SI, T e o Phone: 1�R -(ay/7 Address: IS L aCQ r\'� Ci' C k d d f w M ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$1200 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125.00 PER S.F. Total Project Cost: $ 3q0- 00 FEE: $ l Check No.: Receipt No.:S)() NOTE: Personl contracting unregistered contractors do not have access the guarantyfund 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Located at 384 Osgood Street r Rim MOM2 Dimension i 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 2007 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 ❑ 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location 1 (ac D n I 0C.-I No. Y Date —4- TOWN rTOWN OF NORTH ANDOVER F A / • ; : Certificate of Occupancy $ cHusEt Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # _ Building Inspector i renewal :.. BY ANDERSEN'Iwind- pl.— Customer Service 800-573-7606 104 Otis St.-Northborough,MA 01532-Main:(508)919-0900•Fax:(508)919-0903 J&L Windows,Inc.dba Renewal by Andersen•Contractor License#149601•Expiration Dale 0912312008 TWINDOW AGREEMENT SOLD T n l ,-Oic DATE: 1>z 0`1I ADDRESS: A PHONE-Home:O - to CITY: V\�oQt�y \)thnyEQ STATE:�ZIP: 01%(4rJ PHONE-Work: M) W7-'N JOB SITE ADDRESS(if different): E-mail: Approximate Start Date: Approximate Completion Date: SPECIFICATIONS Renewal by Andersen approved materials will be furnished and installed to these specifications 1. Install total of-2Z�--windows. 2. Quantity of windows: 2a Double Hung(DBMEqual sasheCottage sash(1/3 top,2/3 bottom) ❑Oriel sash(2/3 top,1/3 bottom) _Casement(CW) ❑Hinge right ❑Hinge left(as viewed from exterior):❑Standard handle ❑Metro handle Double Casement(CDW) ❑Standard handle []Metro handle Casement/Picture/Casement(CPW) ❑1:1:1 or ❑1:2:1❑Standard handle ❑Metro handle _2 Lite Gliding Window(GW) _Glider/Picture/Glider(GPW) ❑1:1:1 or ❑1:2:1 _Awning Window(AW) _Picture Window(PW) _Bay or Bow Window: 3XYes ❑No #Windows to be Custom Fit Replacement: 4. ❑Yes J;rNo #of sills to be replaced: 5. ❑Yes$No #Windows to be New Construction Full frame(includes new interior&exterior casings): Exterior casings: ❑Pine ❑Maintenance-free material ❑Factory applied 908 Fibrex brickmold 6. Glazing to be:.,0'High Performance ❑Other If other,please specify: 7. Exterior color to be:$White ❑Sand ❑Canvas ❑Terratone 8. Interior color to be:$White ❑Sand ❑Canvas ❑Terratone.OTWood 011,1 k-ITr,kEty WlMaov-ls omu i CZ 1b013t;-1iut Note:Interior color can only be white,wood or same color as exterior. Wood interiors need to be finished by cust. 9. Hardware: ❑White XStone ❑Canvas❑Brass Double Hung: Install lifts? ❑Yes 11\No 10. ❑Yes Z No Removal of metal frames or grilles #of Units: 11. ❑Yes,Td No Install new paint-ready or stain-ready casings. Inside or outside stops#of openings:_ Interior casing#of openings: Exterior casings#of openings: ❑Pine ❑Maintenance free material 12.Customer aware that RbA does not do any painting. Cust.initials 13.❑YesX No Wrap exterior casings with aluminum coil stock: color. Note:Required with storm window removal.Removal of storm windows will leave screw holes in cIng. 14.New windows to have: ❑Half orZ Full screens Screens to be;,8 Fiberglass ❑Aluminum !(yI'm-sce-4E old 15.Windows to have grilles:,E!Y Yes ❑No If Yes: KGrille Between Glass(GBG),LI'Removable In erior Wood(INTW)(WL j p� ❑Full Divided Light(FDL) Grille patterns: �1EtJ #:_ M. #:_ #:_ #: #: M DH DH DH DH CW/Picture Glider CPW or GPW use additional sheet if needed Customer approved(initials): 16,8 Yes ❑No Insulate,caulk and seal windows with three-point system to prevent water and air infiltration. 17._I:lYes ❑No Remove and dispose of existing windows and storm 18-'Yes 0 No Clean Up. All job related debris removed.Vacuum nightly. 19�ffYes ❑No Insurance. All workers compensation and liability insurance maintained. 20-91Yes ❑No Warranty.Given to cugtomer upon completion and receipt of full payment. 21.Additional information: Z\ i1,314\TE w%yrF T1 l01%Lc kuNG 1141 <;iG fitt to ES WITH THE SA4AE �ArTrzmw As extcT►u6,�1 4rc Ash crRcE�i� T"uE 7- wN%aoL,1.% %arc`Lg►.. (iiia, 41Ave FINE, tvcE�,c�- 11uZtrJ pt.�4E ��1t.t,E ("q-�YE.-SGeWE. SG"�C-ENy. 22.Regular Retail Price:$ I Qt4 W"Wt'X Ya AV-k CoT'PbE S�t4 23.Total Project Amount:$ Z6/'540 All available discounts have been appliecL:0"Yes ❑No 24. Is Project to be paid in.0`Cash ❑Financed ❑Combination of Cash and Finance 25..Cash Deposit(1/3):$ !JI7%0_ 1/3 of balance due at start of job and final 1/3 due at completion of job. If remaining 2/3 payment is made by credit cans,an additional fee of 3%will be added to cover fee charged by Credit Card 26. 0 YesONo Financed. If Yes,Amount Financed: (Account#: ) 27.A2[Yes ❑No Customer agrees to be present on the final day of Installation for final Inspection and to deliver final payment. 28.❑Yes .&No Homeowner gives RBA approval to place a yard sign on their lawn at the time of measure. 29.AErYes ❑No Building Permit-As a convenience the company will secure the building permit.The fee for the permit is not included in the agreement price and a separate check is required at the time of sale for this fee. 'RENEWAL BY ANDERSEN"IS NOT RESPONSIBLE FOR ANY EXISTING SECURITY SYSTEMS OR CONDITIONS THAT COULD NOT HAVE BEEN SEEN PRIOR TO OPENING THE WALLS. PLEASE REMOVE ALL SHADES,VERTICALS,BLINDS,CURTAINS,DRAPES OR WINDOW MOUNTED AIR CONDITIONERS,AND ANY FURNITURE AT LEAST SIX FEET AWAY FROM WINDOWS AND DOORS PRIOR TO THE INSTALLATION OF YOUR NEW WINDOWS. INSTALLERS ARE NOT RESPONSIBLE FOR THE REMOVAL OR INSTALLATION OF THESE TYPES OF ITEMS.*SALESMAN HAS NO AUTHORIZATION TO CHANGE ANY ITEMS OR MAKE ANY REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AND"OWNER'REPRESENTS THAT NONE HAVE BEEN MADE TO,OR RELIED UPON BY"OWNER.'YOU ARE ENTITLED TO A COMPLETELY FILLED IN DUPLICATE OF THIS AGREEMENT.*CONTRACT SUBJECT TO FINAL INSPECTION BY RENEWAL BY ANDERSEN CONSTRUCTION DEPARTMENT.*TERMS AND CONDITIONS THAT GOVERN THIS CONTRACT ARE PRINTED ON THE REVERSE SIDE.This contract Is a legal document.Your Renewal by Andersen products will be especially made-to-order for you.UNDER NO CIRCUMSTANCES WILL REVISIONS OR CANCELLATION BE POSSIBLE BEYOND THE THIRD BUSINESS DAY AFTER THE CONTRACT HAS BEEN SIGNED AND DEPOSIT PAID. SIGNING BELOW U ARE ACKNOWLEDGING THAT THE AB VE CFI A IONS FOR E PRODUCTS YOU ORDERING ARE CORRECT. RbA Rep.Signature: 77— Date: i Customer Signature: ' omerSignature: A�u�JCYK.[iJfn White–Renewa yAndemen Yellow–Installation Pink-Homeowner 02-02-07 The, Conimen*ealthof Massaehusetfs D.epar menf of Industrial Accidents Ojrlu:of Investigations: .. 600 Waihington"Streei Boston, MA.01111 •. .moss ovis , www gld • 't' Builders /C ontra.c(ors/Electric�ans/Plumbers ur ante AM a h e sati4n•Ins - .Workers Comp D , Applicant Information Please Priot Leeibly Name(Basi,essic:toruzation/indw►duai): -Address":- `h City/State/Zip: Pboae —, ox a of ro`ect required):• a r tiate bI. P 1 . ? �hec k�tDe o .. AT n e 1 .e r C P c ou a m o PP . Y. P .Y am a ctr>ployer with• 4. ❑ 1 am a general conti'acto.r and T 6• ❑ Ne . cotistruction 3 employees,(fit11 and/oz.part-limo).* have hired the sub-contractors • r a' a,solo proprietor or partacr- hsted•oathcatiachcd-sheet t ', 7. • cmodcling sbipi and hive no,amployces Thescsuti-•contractors bavc S• Dcrpofitioti woTlucing for me in any'capacity.. woikas' t;ortip-insurance_ 9. ❑ Buflding addition' o work'trs' c. uraricc S• ❑ .We.arc a corporation and i `i o[Q Blcctrica)r airs'oT'aiddititotss �. �s W. requiiCd,] officers have exercised tbeu • ri t o l czc tion cr MGL •• i 1:Q Pluatbing repairs or'additions ' ❑. T asst a bomcowncr.doipg all work. rM p myself, o Workers' co c. '152, §1(4),:and we baYe,zlo 12:0 Roof r7$. cpai im• insuza�cc toquirod.j t ioyPes. (No workers' 13.❑ Other. . :��r>tp:insurance requiYed.1-- r h in n` e eo 'cation irr�a o th cir iwrk n P'o Y `on bel M ah rrtpen e cti put th sc o �►tt- �so fill l ._ 1 t >t - n � ►cartt•t}�a checks box Xl irw l Y .PD uch. lorricowners t�1,o.iaa&Ptit lhii atl5davit i:►diutint thcq an:doing ill rorY'and t!>cb Lies outside oontnctors mart eubrPtit t oew:affiday�l indtutstr>t s , �nbaetort tbar,oAeek this boX'must.attio?<cd Nadditional shftt showbig the n�ttta of the rybcantmaori.and.their *tier.'=M..policy infott'nta��• T ,m an ensploycr that.is providiP+gw.orkerr'compensation in,rurancefor Pity tntploytcs. Below is thdpolicy ondjob silo wzacc OorapaayNaine, licy- or Sclf-Fins. Lie. #.� W f� �✓� C- o L BxpiratioD Date_ Si•teAdaress I� .. � G C)l� lea ,S a .Q�2 atyistat�z;p:. J ' acb a)copy:ort workers'compt:nsation policy dielAration•pige(sba.wing thepolicy.number aed expi at>�oo date): ,lure to secuie.coycragc as required Ander Section 2SA of MGL c.152 can lead Yo.t�cirnpositipt<of t rirriinal Dca�lties of ' up•to S 1,500.00 amd/oi one-year irrfprisonmcnt, as well.as civil penalties in the form Qf a'$TOP WORK ORDEg and a fine lytnS2-50.00. aday•againsttticviolator_ Bi:advisedthat a-copy.ofthisstatcmcnttn2ybcfozwardcdtotheOffice,- of cstigahons of'tbc DIA for insurance coverage Ycrification- _ r by ct u � r flit tti send penalties ojpirjµry that the informatioKprovidtd above is irke 4nd corr�� , nature: Date_- o l �A- Qiz6L 9fitCial 1•u$e•..o ily_.Do not ivrite'irr ihis arra)Yo:be completed bycity or tojur official "Information andIn 'truction"s ' Massecbusetts General Laws cbaptci 152 inquires all.itmployefs'm proYidcivoikcrs' coWrnsition for the•'ir.eai(oyea. Pursuant to.this statute, an-employee is defined as."...every. person in thes avicc'of another under any oontraCt of hire; oxprois•Or imlied,-oral.or written, An cmploye�is defined as "an individua'1,partnership, association, coipontion or other If-gal,entity, orally tyro,or tnorc' Of the foregoing eMgaged in.2 joint enterprise,and including the legal iepreswtativcs'of a-deceased eaployeii; or, the rccCiver ar ttrWtee of al individual;partnership,asspcidtion or.other legal estity,.emploYing eruployces.:However elle: owner of a dwdling hpuYc"having pot more thap thrte apartments and wbo nsidO..therein, oY the occupant of the dwelling h"ousc ofanothcr who tmploysprrso-as to do'maintenance, construction or rcpair,vvorkon such dwclimg hou n br on the grounds•or building appurtenant thereto shall.not beaausc of such employment be deemed rbc an crnployer.'.' MGL chapter 152, §25 C(6)also states that"tvery stab or local licensiog agency shall,*ithhold the issuance or -renewal of a Jic4ost"or permit.to operate.a business or to.construct buildings in,tbe commonwealth for.any applicant'wbo bas hotproduced acceptable evidence bf compliabce with tht insurance coveragerequired.'i' Additionally; MGL cbapter 152, §25C(7)states"Neither the commotiwcalth nor any of-its po iticalsubdivis{ons shall enter intoany coptract for the performance ofpublie yvork until aeccpbbJe evidenoe ofeompliance iwitL the m urance' rcgitircments of this chaptcr.bavc,been presantcd to.the contracting authority," Applicants Please fill out the.worktrs' comPensabon affidavit completely,by checking the.boxes that apply'to your situation and,,if necessary, supply sub-cbotractor(s)namc(s), addrtsi(es) and'p6pe number.(s)along with•their ccitificttc(s)of inslfiaiice: .Limitcd:Liability Cor�anics(LLC)or Limited Liability Partnerships (LLP)with no employees other tbaa elle membett or p artn.crs;sire tot rrquirod.to carry workers' compensation insurance. If ati LI C or LLP,docs have .employees;:a policy is required.. Be,advised that ibis affidaYit maybe submitted to the Dep arttnmto f;Tndustiial Accidcuts.foi coafumation ofinsuranac coverage: Also.b.e sure'io sign:and date tbe..aff idavit... The affidavit sDouJd- be returned to tht city QT town tbat•tb,c application foj-1he,rrriitOrliecnscis b"iring:icgvested, not theDcparo7'tcnt.of Industrial Aocidcnis,.'"Sho.uld.youbavcany4uestions regarding thOlaWOT 'ifyou arircquired to obtain 2�yoi)cers' . corngtcnsation policy;pJeRase call the Depu ent•at the number listed below Self-insured"corrpnies'should enter thei '. self:insu inie license numbei on the appropriate lint. City or 1ow4 OtTidals Please be Sure that the affidavitis eorriplete and'pruftsd lagi'bly. TheDepartthn W- as providcd•a space at the bottom tf the affidavit for•you too-fill'outin the cvenfthe Office ofhivestigations bas to contact you regarding the applicant ?lease bc.surc to ftin the"pg7TP liccnscnumbet wYQb will be-used as a refaenccnumber. 1n addition lieaui ba(.trtustsub&dt mul ' lc crmit/liccnse , au app- dp p applications:ia anygivcnycar,ilccd only one alfidayitindicating cunent ,olicy.i�Porion (inecess,ary)and under j,Job.Site Address"thcapplicant should,write "all locations fa (city or t � 7l`copyoMe afftdavitthat has bccn`officiall s y tamp cd or ut ai ked by tJic city or�wii may b c pro vid ed try the pPtica t as.pIoof that a.valid.affidavit is:'on file.for futuTopermib or licenses. A trey,affidavit must be,filled out-cad cat-,VVbcre.a.home owneTb'f tizen.is obtaining license orpermitnot related to'anybusiness of cvmaicrcial YGMturc._ e: a dog licenSc or pernutw'burp leaves etc-)said person is NOTtequiicd to eoznplete this affidavit be Office of Investigations would like to thank you in advaticc.foryourcooperation and S7hould u case donothtsifatcto givcus a.call: . .. ...yo have any questions e Vcparnncnt s.addTess. telephone and fax number:The Commonwealth of Massachusetts Department bf Industrial Accidents Office of hVesdgations 600-Washiilgton.S treet B ost6ii. 14A 0211.1. ` ' r V>� �OJP✓f19.t7?FA.(1?4�dj. pg;�,'tYLLi�I:iGi:Cif7dl.Qti���G' Board of Building Regulations and Standards Construction Supervisor License Licenser CS 74251 ?' Birthddte 319./1963 Expiration 3/9/2009 Tr# 11065 Restriction 00 JOHN K ESLER 104 OTIS ST NORTHBORO,MA 01532 Commissioner V YGV� t0✓itV.YbSJ�iPddiQCi•L�oL r�✓t/�r,BtS�irr�;! � a Board of Building Regulatiowand Standards ! f _ HOME IMPROVEMENT CONTRACTOR Registration::, 149601 Expiration- -,/24/2008 Type Supplement Card RENEWAL BY ANDERSQN ALVAH MAC DONALD 104 OTIS STREET .`.., NORTHBOROUGH, Mk'-., Administrator i Jan- 02 2007 15.-'26 JPBM•cKeone#Ins 734 662 8101 p '2 ARD„ .CERTIFICATE OF LIABILITY INSURANCE °"�'""'°°""'"' CO 0.9/1212006 °RODS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph McKeon ONLY AND CONFERS NO RIGHTS. UPON THE CERTIFICATE JP McKeon Insurance Agency, Inc, HOLDER. THIS CERTIFICATE DOES .NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. P.O. Box 333 Ann Arbor, MI 48106.0333 INSURERS AFFORDING COVERAGE NAIL 0 RenewelbyAnderson INSURER A; Hartford Insurance n J&L Windows,Inc. INSURER B: 104 Otis St INSURER C:. Northborough, MA 01532 04URER G: INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE.INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CON0I7ION 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 TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH. POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, POLICY MAWR POIICIrEFFECTA�E POLICYEXPWITION LIMTTS B ° W°vri HER8858850 •9/7106 EACH OCCURRENCE 1.000.000 COMMERCIAL GENERAL_IASIUTY PR s f TOO 000 CLAIMS MADE a OCCUR MEO EXP oM en f 10,0100 PERSONAL A ADV INJURY = 00,000 GENERAL AGGREGATE S 200.0m GENAGGREGATE LIMIT APPLIES PER PROOUCTS-COMPIOP AGO $ 2,000,000 POLICY LlPRQ. LOC A. AUTOMOOkEUAGILM 35 MCC XD 6388 10/1/05 10/1/07 coMeweostroLELILNT ANYAUTo (ES.oINED ! 1.000,000 AL4OWNEO AUTOS. BODILY INJURY SCHEOULEO AUTOS (Per Pe—) S HIRED AUToS BODILY INJURY. NON.OV4t*D AUTOS (Pr Atw6 ) S PROPERTY 61MAGE f (Per.edo.nq OARAOf IIABB tTY AUTO ONLY-EA ACCIDENT f ANY AUTO OTHER THAN EA ACC I AUTO ONLY. AGO S EXC2MVMenn L A LUIBILITY EACH OCCURRENCE S OCCUR Q CLAtAS MAGE AGGREGATE ; i RETENTION t f A. "f0R1ati001'*m10AT10Nk+o 35 WBGNC8861 111107 111108 X I wcsuru- OTH- EMPLcrBet LIABILITYER ANY PROPRIETOWPARTNEwEXELUTNE E.L.EACH ACCIDENT f SQ Q OFFICERlIMEMBER EXCLU EO? N •OnorOFupE.LDISEASE-EAEMPLOYEE f 50 IAL PRMSMIS ENw E.L DISEASE-POLICY f OTHER500,000 DESCRIPTIONORATIONS IOCATK�NS(VEHICLES/EXCtONt ADDED . . .. . BY ENDORSEMENT/SPECIAL PROVISK)Nt CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF M ABOVE DESCRIBED POLICIES DE CANCIUM BEFORE THE EXPWATION .INSURED COPY DAIR THEREOF,THE*SUING INSURER WLL ENDEAVOR PO MIL 10 :DAYS'WRrrTEN NOTICE'MTTE CERTUICATE HOLDER MANED TO THE LEFT,BUT FAILURE TO DO SO$HALL . IMP O OBLIGATION OR UAMUTY OF ANY KIND UPON THE NSUREA,ITS AGENTS DR • RfSlN TIVEB.. DAME REPRESENT VVE ACORD 215(2001/0.8) mACORD RATION 1988 ORTH T I,own of ii] N., Andover No. 44Z'o 0 over, Mass., 40 0 t� LAKE COCHIC 'CK Of?ATED C� IT BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • Ir BUILDING INSPECTOR ... ....... THIS CERTIFIES THAT.... .................... .... ...................................................................... Foundation has permission to erect........................................ buildings on.j.(..0 ........... (A ..................................... Rough 111111111t&- Chimney 0 .......... W%f2�4�W"iiall in every resp to be occupied as....all........16ifi .......................... V40W. provided that the person accepting permit r'm**'it",shall' . 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 3(j Final PERMIT EXPIRES INj L THS � IN,0��1, ELECTRICAL INSPECTOR UNLESS CONSTR T 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. i re al xcRIC— PIT ANIWAM N' NsIRalFenestratior, WoodNinyl Composite Frame RRtp>�Coti'x�c'. Dual. Argon Low Double Hung ENERGY PERFORMANCE RATINGS U-Factor(U,S)/I-P Solar Heat Gain Coefficient 33 0n32 ,- ■ ADDITIONAL PERFORMANCE RATINGS Visible Transmittance o : 54 Manufacturer stipulates drat Masa ratings conform to applicable NFRC procedoms for dotennining whole product porton•�ance.NFRC mbrrgs am determined for•flood set of enviam nontal conditions and a specific product fixe - NFRC does not recommard any product and does not warrant the suitability of any product for any specific use. Consult manufacturer's literature for o Mor product perforinance information, www.nlrc.org W.- DESIGN PRESSURE'(PSF) • Maarf w�alior, H L C 2 5 100-00270239-012 x 'I rwrcJ ur A.^Qt'MM.\'�ls'N'1)A 1UI:I.S.I 11 ruNA/':ill. MgnYfarxwrtl ai wlal swinfumwwlu lit.a . yep Neots or exceeds M.E.C..C.E.C,6I.E C.Q.Air Inglltration aqutremants WOMA Nalkpark Gnftiostlon Program.