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HomeMy WebLinkAboutBuilding Permit #332 - 14 ALCOTT WAY 10/30/2007 BUILDING PERMIT o� Noerh qti TOWN OF NORTH ANDOVER F L . APPLICATION FOR PLAN EXAMINATION Permit NO3 5 Z Date Received 79p0AA7ED PPy �SSgCHU`�Et Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION ""f - 4 � n E� Pnn# z, �PROPERT�'� OWNER. 1 � , ". <MAP NO 1?ARC L Z0 71NG D STRICT Histo JCtDistnct yes no r t l efi ac �n' hop�.Village ,`Ye., 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 100,616 V1Yetlds Watsrsfietl D/strict fUater/Swex � ` DESCRIPTION OF WORK TO BE PREFORMED: Q_O o�^e s COL) NQS Identificayra n Please Type or Print Clearly) OWNER: Name: lNl � _A2a,rno Phone: Address: CA� LUGS ��OU ev— Ma• 01$ _5 CONTRACTOR flame hOm 1S€� 4 ; a AA >AddreSs. z p S,upervasor.i Construction Licen se Exp Date �;Horrae lmpravement License r _ �� Exp `bate -- ARCHITECT/ENGINEER Phone: Y Address: Reg. No. FEE SCHEDULE:BULD/NG PE M :$12.00 PER$1000.00 OF THE TOTAL EST/MATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: 13 �S Receipt No.: L/ NOTE: Persons contracting th unregistered contractors do not have access to the u and Si nature of A ent%Owne ' �- ° Sa nature of contra{ctor.�:- g . 9___ «J , utv .!: _ _ / "'' i Location - 2, Date r NaRTM TOWN OF NORTH ANDOVER o� � .°oma Certificate of Occupancy $ �'�s''•° E�� Building/Frame Permit Fee $ sAC Mus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 3 20742 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 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 / FIRE DfIPARTaVIENT' TerxprDtampstorbn safe des m ° 1 no Located at 121 Mein Stree< �r+e Departrx>lePgnatedate .CON1MEiV1S - 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 ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 i 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 o 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 ❑ 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) i ❑ 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 Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 NORTH ;. - Town of R over over, Mass. x'6? d � o COCKICMEWICK V ADRATED PPfi� G> BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. ........... .. ......V' !! `'Z MA........... ...................................................... .. Foundation has permission to erect. ..................... .............. buildings on....t.y.....A..(..cz.. . 01. .......................... Rough t0 be occupied 8S.ICS...................... .1�.!I.A..71.. .h..�!.................. ............. 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 CONSTRUCTI S T Rough .. .. .... ................................... w. 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. ACORD CERTIFICATE OF LIABILITY INSURANCE OP IDL DATE(MMIODNYYY) YAN0-2 1 09/10/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DeSanctis Insurance Agcyr Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 36 Cummings Park ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Woburn MA 01801 Phone:781-935-8480 Fax:781-933-5645 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: AIG _Environmental INSURER B: The Commerce Insurance Company Yankee Environmental Services, INSURER C: Commerce s Industry Ins_ Co. P.O.BOX 1058 -INSURER D: Harleysville Worcester Ins Co Newburyport MA 01950 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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY DAVE BEEN REDUCED BY PAID CLAIMS. EFFECTIVE OLCY EXPIRATIONLTR INQ TYPE OF INSURANCE POLICY NUMBER DATE DATE(MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 5 r OOO,OOO A X COMMERCIAL GENERAL LIABILITY PROP1126748 06/26/07 I 06/26/08 PREMISES(Ea occurence) $300,000 CLAIMS MADE FX1 OCCUR MED EXP(Any one person) $10,000 A X ASBESTOS/LEAD PERSONAL 8 ADV INJURY s5,000,000 POLLUTION LIAB GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $5,000,000 POLICY X PRO LOC JECT AUTOMOBILE LIABILITY B ANY AUTO 07MMVNI385 05/05/07 05/05/08 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ALL OWNED AUTOS BODILY INJURY .$ X SCHEOULEDAUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR F1 CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION S S WORKERS COMPENSATION AND I X TORY LIMITS ER EMPLOYERS'LIABILITY C WC8978422 MA, NH 12/01/06 �2/OZ/O7 'E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE S'1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER D PROPERTY CF5J5901 09/25/07 09/25/08 $1,000 Deduct DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Illustration of Coverage CERTIFICATE HOLDER CANCELLATION TOWHO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTE TO Whom It May Concern NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHA For Illustration Purposes Only IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REP RES TIVES. AUT REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION V The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 b www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Hanle(Business/Organization/Individual): Address: City/State/Zip: Phone Are you an employer?Check the appropriate box: Type of project(required):_, . I am a general contractor and I 1.El I am a employer with 4 � '. � 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' coin insurance.$ 9. E]Building addition , [No workers comp.insurance p. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.E]Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required,] *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 subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. 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.Li c.#:'\)\) C ������ Expiration Date: Job Site Address: �A 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 covers e verification. Ido hereby certify under the ins p nal' of perjury that the information provided above is true and correct. i Signature- c - Date: Phone#: 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,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 engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to,operate-a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25CM states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the 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-contractor(s)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'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may 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 town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on 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 permit/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 like to thank 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 fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. 4 617-727-4900 ext.406 or 1-877-MASSAFE Revised 11.22-06 Fax#617-727-7749 www.mass.gov/dia THE HOME DEPOT 3404 240 LAFAYETTE RD SEABROOK, NH 03874 (603)474-0150 3404 00018 27880 08/26/07 SALE 22 JCL975 01:51 PM 6968 , CUSTOMER AGREEMENT # 99449 RECALL AMOUNT 5574.93 SALES TAX 271.25 TOTAL $5846.18 XXXXXXXXXXXX9731 HOME DEPOT 5846.18 RUTH CODE 026116/8185825 TA II II��III IIIIIIIIII 1 �IIII�III�III1 I II���III��I�I I I 3404 18 27880 08/26/2007 6968 THE HOME DEPOT RESERVES THE RIGHT TO LIMIT / DENY RETURNS, PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR DETAILS. GET SPECIAL DEFERRED FINANCING ON PURCHASES OF $299 OR MORE WITH THE HONE DEPOT CONSUMER CREDIT CARD - EVERY TIME? 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 $5,000: ;Su noiniAn r.—+-t r---1— ,_ .7r-i.olAL OtnVIL.C.7 %oUO I VIVItM IIYVUILit Page 1 of 7 IVU. a3'rFV4-'" ?9•}f_ Store 3404 SEABROOK Phone: (603 ) 474-0150 VALIDATION AREA 240 LAFAYETTE RD Salesperson: EWS020 SEABROOK, NH 03874 Reviewer: This is only alaUOTE for the merchandise and services printed below. This becomes an Agreement upon payment and an endorsement by a Home Depot register validation. Name Home Phone EENEY KEVIN (603)235-0206 Address 24 AUSTIN WAY work Phone (603) 474-7315 Company Name p A 15x6 restocking fee will be charged on retulrl SEABROOK City Job Description ALEX CHRY BORDEAUX or canceled Special Order Merchandise. Cust �refundable. state NH Zip 03874 County ROCKINGHAM Orders are no QUOTE is valid for this date: 08126120( er s O O t these. quantities ofMERCHANDISE AND ERVICESUMMARY mercr en�.ese oototctousr #4 TO:CUSTOMER SIO--MERCHANDISE TO BE SHIPPED: SIO AMERICAN WOODMARKREF#Sol ESTIMATED ARRIVAL DATE:0912312007 I� S0101 211-524 2.00 EABTK8WD /BTK8WD BASE TOE KICK (96" L WOOD) BTK8WD/BTK8WD Y $12.62 $25.2 S0102 211-524 1.00 EA BTK8WD /BTK8WD BASE TOE KICK {96" L WOOD) BTK8WD/B Y $12.62 $12.6 S0103 211-524 1 5.00 EA CM8WD /CM8WD CROWN MOLDING CM8WD Y $40.19 $200.° S0104 211-524 1 1.00 EA B12L /B12L BASE CABINET B12L / Y $195.64 $195.6 HINGES:L S0105 211-524 1.00 EA UF3 /UF3 UNIVERSAL FILLER /UF3 Y $14.28 $14.2 S0106 211-524 1.00 EA UF3 1UF3 UNIVERSA F3 /UF3 FSIDES:R Y $14.28 $14.2 S0107 211-524 1.00 EA B18L /B18L BA 8L /B18L FSIDES:B Y $214.90 $214.3 HINGES:L S0108 211-524 1.00 EA SB36INK/RANGE BASE SB36 /SB36 FSIDES:B Y $272.02 $272.0 S S0109 211-524 1 /UF3 UNIVERSAL FILLER {BASE) UF3 /UF3 FSIDES:R Y $14.28 $14.2 Check your current order status online at www.homedecot.com/orderstatus _ Page 1 of 7 NO.. 3404-99449 customer Cop,, (9801) 0100142195 -.HL SERVICES CUSTOMER INVOICE - Continued Last Name: FEENEY Page 2 of 7 NO. 3404=99449 1t :.:. iComlimredl <: :... .....:.<:. T0.CUSTOMER 310-MERCHANDISE TO BE SHIPPED: S10 AMERICAN WOODMARKREF#SOI ESTIMATED ARRIVAL DATE:0912312007 {{ ...: .LY;;r:L:�: L::}Ly.:�:.::.... :•::::::•.�,•:::.s•YrY>:•YY;<r:rY.�•::v:•i.+;;:... ... �q �+�..'. .R::.v:::.:. •:i}}}•rL::.;.v::::::::.n .. ...:::::..•v:;ti ........r...... ............. .:vfw•;•:...:....:...:.::r •: ........... . ;Y4 ...r.... .............J...} .. ...r... ..... ........f.. .......::. }.Y......... r ..n.r. .. .. •:.. i'. i':::�'ris:iy}:.'•.. S0110 211-524 1.00 EA DWR3(L) /DWR3(L) DISHWASHER RETURN (LEFT) DWR3(L)/DWR3(L) Y $42.85 $42.85 FSIDES:L MODS:W=1 1/2" H=34 1/2" D=24" S0111 1 211-524 1 1.00 1 EA B12R /B12R BASE CABINET B12R /13128 FSIDES:B Y $195.64 $195.64 HINGES:R 50112 211-524 1.O0 1 EA B21 /1321L BASE CABINET B21 /B21L FSIDES:B Y $224.53 $224.53 HINGES:L S0113 211-524 2.00 EA UF3 /UF3 UNIVERSAL FILLER (BASE) UF3 /UF3 Y $14.28 $28.56 S0114 211-524 1.00 EA OVSF3 /OVSF3 UNIVERSAL FILLER (TALL 80"H) OVSF3/OVSF3 Y $29.22 $29.22 S0115 211-524 1.00 EA UT1824 X 84L AS/UT1824 X 84L AS UTILITY CABINET (WITH SH/UT1824 X_ 84L Y $540.41 $540.41 AS FSIDES:B HINGES:B 50116 211-524 1.00 EA UT1824 X 84R AS/UT1824 X 84R AS UTILITY CABINET (WITH SH/UT1824 X 84R Y $540.41 $540.41 AS FSIDES:B HINGES:B S0117 211-524 3.00 EA UF3 /UF3 UNIVERSAL FILLER (BASE) UF3 /UF3 Y $14.28 $42.84 S0118 211-524 1.00 1 EA B33 2FWT /633 2FWT BASE CABINET W/2 DEEP ROLL-OUT /1333 2FWT Y $400.24 $400.24 FSIDES:B HINGES:B 50119 211-524 1 1.00 EA DB18 /DB18 3 DRAWER BASE DB18 /D618 FSIDES:B Y $315.87 $315.87 50120 1 211-524 1.00 EA B18R /618R BASE CABINET Bl 8R /B18R FSIDES:B Y $214.90 $214.90 HINGES:R 50121 1 211-524 1.00 EA W 1530L /W1530L WALL CABINET W 1530L /W 1530L Y $155.78 $155.78 FSIDES:B HINGES:L 50122 1 211-524 1 2.00 EA UF3 /UF3 UNIVERSAL FILLER (WALL-30 1/8" H} /UF3 FSIDES:L Y $14.28 $28.56 30123 211-524 1 1.00 EA W1530R JW1530R WALL CABINET W1530R /W1530R Y $155.78 $155.78 FSIDES:B HINGES:R 30124 211-524 1 1.00 1 EA UF3 /UF3 UNIVERSAL FILLER (WALL- 30 1/8" H) /UF3 FSIDES:R Y $14.28 $14.28 50126 211-524 1 3.00 1 EA W3330 /W3330 WALL CABINET W3330 /W3330 Y $245.79 $737.37 FSIDES:B HINGES:B 30126 211-524 1 1.00 1 EA DMDW30 (L) /DMDW30 (L) DECORATOR MATCHING DOOR (WALL/DMDW30 (L} Y $54.47 $54.47 FSIDES:B 30127 211-524 1 1.00 1 EA W3612 /W3612 WALL CABINET W3612 /W3612 Y $171.72 $171.72 FSIDES:B HINGES:B 30128 211-524 1 1.00 1 EA UF3 /UF3 UNIVERSAL FILLER (WALL - 30 1/8" H) /UF3 Y $14.28 $14.28 2 2 of 7 NO. 3404-99449 customer Copy -,AL SERVICES CUSTOMER INVOICE - Continued Last Name: FEENEY - Page 3 of 7 NO. 3404-99449 T0.CUSTOMER 310-MERCHANDISE TO BE SHIPPED: $IO AMERICAN WOODMARKREF#S01 ESTIMATED ARRIVAL DATE:0812312007 . :�C..97 ......:. .:....:,. ..:y:•.:::..:::.;:a`: ...... ..... ....:.. .:fii`:ii;`.;$;y;395:'/,?:R<'' ?::5.�::;.::�.•y. •:S`S' S0129 211-524 1 1.001 EA W3012 /W3012 WALL CABINET W3012 /W3012 Y $164.74 $164.74 FSIDES:B HINGES:B S0130 211-5241.00 EA W3630 /W3630 WALL CABINET W3630 /W3630 Y 5258.74 $258.74 FSIDES:B HINGES:B S0131 1 211-524 1 1.00 EA UF3 /UF3 UNIVERSAL FILLER (WALL- 30 1/8" H) /UF3Y $14.28 $14.28 S0132 1 211-524 2.00 EA PUTTY STIK X18 /PUTTY STIK X18 PUTTY STIK X18 PUTTY STIK/PUTTY STIK Y $3.32 $6.64 X18 FSIDES:B S0133 211-524 1.00 EA TU MARKER #PM-1/TU MARKER #PM-10 TU MARKER #PM-10 TU MAR/TU MARKER Y $5.98 $5.98 #PM-10 FSIDES:B S0134 211-524 1 2.00 1 EA BEP34WD /BEP34WD WOOD VENEER BASE END,PANEL BEP34/BEP34WD Y $28,89 $57.78 FSIDES:B S0135 211-524 3.00 EA WEP30 WD /WEP30 WD WOOD VENEER WALL END PANEL WEP3/WEP30 WD Y $14.95 $44.85 FSIDES:B S01 FR 506-658 1.00 KITCHEN CABINET FREIGHT N L $150.00 1 $150.00 'ENDOR•SPECIAL INSTRUCTIONS: LINE:AWCHOICE DSTYLE:ALEXANORIA CHERRY SO USTYLE:32CSS FINISH:BORDEAUX CHY FINISH:BORDEAUX CHY OSONR:EWS020 MIKE PROVENZANO ADDRESS:14 ALCOTT WAY CITY:NORTH ANDOVER TATE: MA ZIP: 01845 COUNTY:ESSEX SALES TAX RATE: 5.000 i $5,574.93 ROSS STREET#1: RRTE 125 'HONE: (978) 758-1592 ALTERNATE PHONE: (603) 474-7315 $5,574.93 SALES TAX $271.25 TOTAL $5,846.18 BALANCE DUE $5,846.18 ! 3of 7. No. 3404-99449 „stoma. r.nnL Yankee Environmental Services, Inc. E Asbestos Removal, Lead Paint, Demolition, Mold, Etc. P. O. Box 1058 • Newburyport, MA 01950 (800) 846-6254 Fax (978) 463-2864 September 1,X2007 Revised on Oct.4 2007 Mike Provenzano 14 Alcott Way North Andover Ma. Yankee a kee Environmental Services. Scope of work. $1,100 Install only: Install kitchen cabinets & crown molding. $5,846.18 Cabinets purchased by homeowner. $4,160 granite counter tops $250.00 reinstall sink, dish washer, gas stove Savvas Plumbing & Heating $200.00 electricical Waddington electric. Demo, paint, trash removal to be done by homeowner. Total Project price $11,556.18 Mike venzano a Hill ORDER SIDE MOUNT DW iA\ 2" 7 color matched skinsL /� �\ t- AMERICAN WOODMARK 333 W333 ALEXANDRIA SQUARE BORDEAUXFULL OVERLAY DOOR W! 24.13 B:1 11gHW SOLID WOOD RAISED PANEL j, FULL ACCESS HIDDEN GLIDES o / REQUIRES DECORATIVE G \ HARDWARE OF 3 @ cut to fit \ color matched ` \�\ /!- skin ,V F3 cut to fit POST MEASURE CHANGES \'UF 3 cut to fit OVSF cut to fit BOTH OF 3'S cut to fit �. --------------------------- C) ---- --- W3630 W333 i 180" �i 1 All dimensions size designations given are This is an original design and must not be Designed:8/25/200 sy subject to verification on job site and ;3 released or copied unless applicable fee has Printed:8/25/2007 adjustment to fit job conditiobeen paid or job order placed. . 81509a3d.kit Fp I I Drawing#: