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HomeMy WebLinkAboutBuilding Permit #755-11 - 146 CHESTNUT STREET 5/9/2011 I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION III Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNERl��i= l� "� t` Print MAP NO: ( PARCEL:_ ZONING DISTRICT: Historic District yes no Machine Shop 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 Well floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: o,��e"-� /yb/1;�ra0"-)1 Phone: Address: CONTRACTOR Name: ; �vtv id Q(\/ Phone Address: KLo CL-25—f-5,4- ry �6 Supervisor's Construction License: S?Q Exp. Date:_ e Home Improvement License: � ��►1.�� Exp. Date: ARCHITECT/ENGINEER Phone: y 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: $ ' (42 , oC.) FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner �� � � Signature of contractor�.� -� -. Plans Submitted Plans Waived Certified Plot Plan Stamped Plans Date......0......... NORTH 4, TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACNUSEt This certifies that ..... ........... . ......... has permission to perform ... ....114" wiring in the building of.........M.Pke(w. ..1........................................... at... . ........5 .. .. . ......... .... .jNorth Andover,Mass. 7277- Fee.d ................ Lic.No. q��x............... E EcriticAL MpEcToit� Check # 8853 Location ��f No. :2 Date MORTq TOWN OF NORTH-ANDOVER 9 • • Certificate of Occupancy $ J�CM Building/Frame Permit Fee $ /19 Foundation Permit Fee $ Other Permit Fee $ �J lTOTAL $ Check # 241 '9 guiiding inspector 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 COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments F Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 1 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.$100-$1000 fine NOTES and DATA– (For department use ❑ Notified for pickup - Date .........................................................................................._..._._...__.......................................................................................................__—............---..._....._.......----............_...............................................- ..................._------------._.............................................................. Doc:.Building Permit Revised 2008 f 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 Comip Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 o Certified Surveyed Plot Plan L3 Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses L3 Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) L3 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 o 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 2008 1 ORTI.1 , To" of 6And over No. dower, Mass., A_ COC M ICMEWICK f 7�A0RATEO P`? C7 `s J BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR goTHIS CERTIFIES THAT......... ............................................................................ ................................................................. Foundation has permission to erect........................................ buildings on/ 6 �...�S��G.�..:5 .................. Rough ............... ...................... ................... �/� ......... o ctJ Chimney 1 ..... ... to be occupied as........................:........... .... . .. ................................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough _ Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION T�S ELECTRICAL INSPECTOR Rough Service LD SPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry lull To Be Done - FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SODE Smoke Det. 104 Otis St.,Northborough,MA 01532 �, J&L WINDOWS,INC.,D/B/A MA Home Improvement Contractor (508)919-0900•Fax:(774)987-3013 Renewal License#149601 (Expires 1/24/2012) byAndersen. c Federal Tax ID#83-0404201 WINDOW REVLACERIERT mMdmcnCompury CUSTOM WINDOW AND DOOR REMODELING AGREEMENT . Buyer(s)Name Date of Agreement 2 AX4 Y-PI 3 f/o,) Buyer(s)Street Address,City,State,and Zip Code 1y(0 C1p5�_,�✓ 5q' ni gt�S— E-Mail Address Home Telephone Number Work Telephone Number S herMc,r6P,J'i 6 OmPr-A. 6 S-D- 1 -�?$ M-3 i-ld-: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of J&L Windows,Inc.d/b/a Renewal by Andersen ("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s) (collectively,this"Agreement').Buyer(s).hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Method of Payment:❑C�etcl�❑Credit Card ❑Cash Total Job Amount: Estimated Starting Date: p€ , tnanced Deposit Received(33%):-E—JJ ' Balance at Start of Job(33%): Estimated Completion Date: If payment is by Credit Card, please fill out Balance on Substantial t�{j� the Credit Card Receipt of Deposit Form Completion of Job(33%): By signing this agreement,you acknowledge that the Balance at Start of Job and the Balance on Substantial Completion of Job cannot be made by credit card and must be made by personal check,bank check,or cash. Buyer(s) agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alteration to or deviation from this Agreement will be valid without the signed,written consent of both Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. J&L Windows,Inc.d/b/a Renewal by Andersen $ es(s) Buyer(s) By: RZLt 4-— gS' atu7rc of Prod t onager SignatureSign ure Print Name of Product Manager Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. — — — — — — — — — — — — — — —g,<- — — — — — — — — --- — — — — -X— — — — — — — — — — — — — — —2� NOTICE OF-CAN TION X N071 O CANCELLATION Date of Transaction . You may cancel I Date of Transaction .You may cancel this transaction,without any penalty or obligation,within this transaction,withou any penalty or obligation,within three business days from the above date.If you cancel,any I three business days from the above date.If you cancel,any property traded in,any payments made by you under the I property traded in,any payments made by you under the Contract of Sale,and any negotiable instrument executed I Contract of Sale,and any negotiable instrument executed by you will be returned within 10 days following receipt I by you will be returned within 10 days following receipt by the Contractor ("Seller") of your cancellation notice, I by the Contractor ("Seller") of your cancellation notice, and any security interest arising out of the transaction will I and any security interest arising out of the transaction will be canceled.If you cancel,you must make available to the be canceled.If you cancel,you must make available to the Seller at your residence,in substantially as good condition I Seller at your residence,in substantially as good condition as when received, any goods delivered to you under as when received,any goods delivered to you under this this Contract or Sale; or you may, if you wish, comply Contract or Sale;or you may,if You wish,comply with the with the instructions of the Seller regarding the return instructions of the Seller regarding the return shipment of shipment of the goods at the Seller's expense and risk. i the goods at the Seller's expense and risk.If you do make If you do make the goods available to the Seller and the I the goods available to the Seller and the Seller does not Seller does not pick them up within 20 days of the date I pick them up within 20 days of the date of Your Notice of your Notice of Cancellation,you may retain or dispose of Cancellation,you may retain or dispose of the goods of the goods without any further obligation.If you fail to without any further obligation. If you fail to make the make the goods available to the Seller, or if u agree goods available to the Seller;or if you agree to return the to return the goods to the Seller and fail to do so,then I goods to the Seller and fail to do so,then You remain liable you remain liable for performance of all obligation under far performance of all obligations under the Contract. the Contract.To cancel this transaction,mail or deliver a I To cancel this transaction, mail or deliver a signed and s.gned and dated copy of this cancellation notice or any I dated copy of this cancellation notice or any other written other written notice,or send a telegram to Contractor.J I notice,or send a telegram to Contractor:J&L Windows, &L Windows,Inc.d/b/a Renewal by Andersen, 104 Otis I Inc. d/b/a Renewal by Andersen, 104 Otis Street, Street, Northborouqhl 01532, BY NOT LATER THAN No 01532,BY NOT LATER THAN MIDNIGHT MIDNIGHT OF .(Date) OF /l .(Date) I HEREBY CANCEL THIS TRANSACTION. I Hfe EBY CANCEL THIS TRANSACTION. Buyer's Signature Print Name Date Buyer's Signature Print Name - Date RbA Copy- White Buyer Copy-Yellow Buyer Copy-Pink 104 Offs Street,Northborough,MA 01532 J&L Windows,Inc.d/b/a ������■ � MA HIC License#149601(expires 1/24/12) Phone 508.919.0900•Fax 774.987.3013 Il Federal Tax ID# 83-0404201 �%moi bAndersen. WINDOW REPLACEMENT -Andersen Company - OF GmTER MAssACFIUsrrrs AND NEw HAMPStm WINDOW SPECIFICATION SHEET 3uyeer(s)Name Date of Agreement c-v The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT, of which this Specification Sheet is a part. WINDOW DETAILS 1. Contractor will Install a total of windows in Owner's home,using the following individual quantities: Double Hung(DB) ❑ Equal sash ❑ Cottage sash(1/3 top,2/3 bottom) ❑ Oriel sash(2/3 top.1/3 bottom) i' 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 E] 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) ay or Bow Window Patio Doors(see separate Door Specification Sheet) 2.. Yes ❑ N ty of Windows to be Custom Fit Replacement: 3. ❑ Y No Qty of Sills to be replaced by Contractor: C 4. Yes ❑ No Qty of Windows to ew Construction lull frame(includes new interior&exterior casings)and actual f Exterior casings: ❑ Pine H Maintenance-free material ❑ Factory applied 908 Fibrex brickmold lei 5. Glazingto be: ❑ HP Lo -E-4 TM O/they If other, leasespecify: �/y (�>+i✓� LN' ,p S vl,.F✓><5 6. Exterior color to be: 9 to ❑ Sand ❑ Canvas ❑ Terratone ❑ Cocoa Bean 7. Interior color to be: White 0 Sand ❑ Canvas ❑Terratone ❑ Pine ❑ Maple ❑ Oak Note: Intecolor caStn only be white,wood or same color as exterior. Wood interiors need to finished by Owner. 8. Hardware: to ❑ one ❑ Canvas ❑ Brass ❑ Estate Hardware: Style: 9. ❑ Yes o Install Lifts with Double Hung ows 10. Screens: windows to have: ❑ Half or Full screens Screens to be: Fiberglass ❑ Aluminum ❑ Tru.Scene GRILLE DETAIIS 11.Windows have grilles: ❑ Yes aZ No If yes:❑ Grille Between Glass(GBG)❑ Removable Interior Wood(wm❑ Full Divided Light(FDL) Qty: Qty: Qty; Qty; Qty; Qty. Qty: DH DH DH DH CW/PicNre Glider CFNJ orG Draw grille patterns above 'Use additional sheet if needed Owner approved(initials):( 1 ADDITIONAL WORK DETAILS 12. s ❑ No Contractor tract•r will remove.metal frames of windows. Qty of Units: 13.114 Yes No Contractor will install new paint-ready or stain-ready casings. nterior casing qty of openings: Exterior casings qty of openings: ❑ Pine aintenance-free material 14. Yes ❑ No Contractor will install n w paint-ready or stain-re inside or outside stops qty of open' : Interior stops qty of openings:_ Exterior sto s ty enin ❑ Pine Q Maintenance-free material 15. Owner is ave that Contractor does not do any painting. Owner Initials 16.❑ Yes Y No Contractor will wrap exterior casings with aluminum coil stock of color. ,.,Note: Wrapping may be required with storm window removal;removal of storm windows will leave screw holes in casing. 17. ❑ No Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration. 18.�❑No Cleanup all job related debris including old windows will be removed.Vacuum nightly. 19. No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 20. �E_] o Buil ' Permit—Contractor will secure any and all necessary permits. The fee for the permit(s)is not in the Contract Price and a separate check is required at the time of sale for this fee. 21. . Yo All discounts have been applied to this agreement price. 22. Additional job details: 23. Yes ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. No final payment shall be demanded until the contract is completed to the satisfaction of all parties It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms This Specification Sheet may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both the Buyer(s)and Contractor. Buyer(s)hereby acknowledge that r(s)has read this Specification Sheet. Renewal r et1 of Greater MA and Buyer Z�_Buyyer By. Lt/�t-i r S' ture of Product ger ture ""Z S' tore Print Name of Product Manager Print Name Print Name ' —,MA license#149601(expires 1/24/12) RenewalRENEWAL BY ANDERSEN Fed-1 Tax 1D#e3-0404201 bvAndersen. VF GREATER MASSACHUSETTS AND NEW HAMPSHIRt WINDOW REPLACEMENT —.6—C—r 104 Otis Street•Northborough,Massachusetts 01532 Phone 508.919.0900•Fax 774.987.3013 Cotrl4AcrAt1¢rroavxr - This Amendment(`Amendment')is to the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT("Agreement")by and between J&L Windows,Inc.dba Renewal by Andersen of Greater Massachusetts and New Hampshire and SHIM MAROONI("buyers").Contractor and Buyer(s)hereby agree to amend and modify the Agreement as indicated below.Other than as specifically indicated below,all the terms and con- ditions of the Agreement will remain in full force and effect This Amendment is subject to the terms and conditions of the Agreement.The fol- lowing additions,alterations,or deletions to the products and services Buyer(s)ordered are being made: ADD(2)WINDOW UNITS TO EXISTING CONTRACT $2564 As a insult of these changes,the following terms of the Agreement are also changing(if there is no change,an item will be left blank or marked as"NIA",indicating that no change applies: NEW Total Job Amount: $9036.00 New Estimated Method of ❑ Cash ❑ Check ❑Mastercard Starting Date: Payment: New Deposit Received (33%): $4518.00 RECEIVED ❑Visa ❑Discover f Financed New Balance at Start of Job (33%): N/A New Estimated Completion Date: P Name on Credit Card: New Balance on Substantial Credit Card#: Completion of Job(33%): $4518.00 FINANCE CC Exp.Date: CC Security Code: i By signing this contract amendment,you acknowledge that the Balance at Start of Job and the Balance on Substantial Completion cf Job cannot be made by credit card and must be made by personal check,bank check,or cash. It is agreed and understood by and between the patties that this Amendment and the original Agreement constitute the emirs urderstandigg between the parties,and there are no verbal understandings ebarWng or modifying eery,of the terms of this Amendment Bayer(s)hereby acknowledges that Buyer(a)bas read this Amendment and has received a completed,s{goed,and dated copy of this Amendment on the date writer.below. Renewal by Andersen of Greater MA and NH Buyer(s) . By: _3/25/2011 E-Signed,r 3J2512011.8i59:10 AM 6T Signature of Product Manager Sherry A.Marconi:. Date iheimbn:anit?tamEait.net JM BROOKS IN 24.147230J9 :DatID:2a11a32414a111177' Print Name of Product Manager Signature Date Doc ID:20110324143121377 S,U,se—M.519"et"re The �ontrrtot�weatth of M=sacl=cttr DeP arkrterd of l dmstial�4ccidsafs Dfftce of�rtpestigatiorts 60C Fcslz!ROA Etreet Bas�o�h�i 02111 wi�►�,asassga�Idia '. Rt'arlcerc' Colapeassfian fnsIIrsaee��� Siders/Carziractar�l�Iectrici.a�slP��uabers ' gh - bcsnnt IaforrMdOn Please_ 'riot Le x�(�nsiaesr�orsenizefiaalfndividnen, �'�' en ►��� /�� Anders e n• G`itylStatelZig: /V d fo�o�, r d 1.�✓�� Phone Ars you zn earployw?Cheek the appropriate bay Type of project (regniredj; L E-I am a employer V?h V�Q 4. Q•I am a g= mal rontrartor and I r" Gtmstructima employaea($ilI nadiorpa -time),*: Isave hind s sab-eenlxacfica 7� dzFiag a sole ' tr¢or arincr- Iistsd oa the mttncbed shoot t 2 Q I mn pro* p g ship=6 'Pees:.-=b-coatzaat= have �+'�t'bad have IID GIIIp1Dy I 1 , romp. a R. Q Building a d3i worLZIIg fnr mein any Gfl�teCI.ty. �i►e Bre b eda7�lnn (NO ' Gamp.IL<6IIffiISCC $' Q rmrpondiom ar d ItH ZQ.❑IIGCtIIC81 sopaia at 4E j of care evearcised t rG � .' � - - •tight of etempfidn per Ie�iCs`L, I L.0 Plumhiag rCpairs or addifione 3,Q I am n o ¢doing m p:tiaa�rk x.152,x.1(4},+sad we hm no ' IZ.[]Rmofa pmin ugos°z�l t COQ. emloyeML Ro I3.0 Offer comp.ias¢raare re4uirod.] . 'their wet}.ar'comp�oa P�'�'� `A7 np l=mt tbeehme brit#1 ant IUD an cod the ream 61er ohea�n� zpete sfads��inamaim�mcg . t ffem=m=who eahmit brit emdn tm iesfine they eat aIlteoit m+d�m has aside ebhactr�amts Foloait 'e nli infr oa o¢ihnetots fief ohdE thio hoz moi at�ebed n edditi®al Fheetimft a�of the=64=b==emd tl�rs amP P .e9 I am anr fiat is raridff ma-firs'caarpearefiaa irts=artce for ary employees BelaW.ia the pofsry a ad jab szfa rrcfarra�;a1'eP Inmm=:Company h�ame; c �n n S r� rs c : --� �r s��.Imo,.#. '�.3�� •r'� �ira�r?gtC ; � ( I��l� Policy# -�" a1kvi��l I� TnE;site A.aaress, g � • Attach a espy of the workers' roarpeasgfianpnliry deckmtfon pa.p (showing the PDr=y uimsber ad erpirgfiaa dste�. as ro d mid=i;r tG m 251 of leOL c.L52 can lmad to the imposi6m of crimiasl p�elfics of a FaI�IILL to sCG[YL CDVHraPC QTumfto ime up-in sl's .00 Ruvor one-year irgm onmeat,1s WcIl as civrl pcnLbm m fie faan of a 5I1�P WQRtb,D ffrz and e -of Up to MCLOD a&Yagainst fie Vinlatnr. Bt advised$set a ropy of this statement may bo:braPardod to f�C}f ice of j vesfigsfinna.of fie DIA for iasuranre rov=gr,=ifma- I da herelry ce r tit pazria axdPtrtcltiea eTjury that fie warm �ian prv-id d abmve is tr=-a rtd carred Deter; /4/ Phone# _ f 40 F LIFO O{}zcial use onE. Da YWt wrist in this area,to be eampleted 69 city or tvtt7t a fricial City or Totem PermitlL�irease# jgM�ng A-Uffiarty(Mlr�DM): ectar-&Pltmh' Q ectnr L Bard of Health L DmOing Depgrtment 3,C iylTaern Qerlc 4,IIectrical yssp P Ofher Phar Caatact Persons • . Ma!Uachasetts - Department of Public Safety -Board of Stiilding- Regulations and Stajadard.s Construction Supervisor License License: CS 95777 BRIAN DENNISON . 86 CREST CIRCLE WORCESTER, MA C1603 . - Expiration: 9/ O12 C'amcni�sioner Tr#: 2522 Ofnee ar Ca miner A ffzln&Soames•Refal=fia1 ME UVROVEM EMT CONTRACTOR ' • Regisfrafiat� D1 Fspira •�2 Card RENS tk-L BY BRIAN DENNS I D4=S SIRE NomisoROUGH, Linderseerel3ry , ,4c R CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DO/YYYY) 02/09/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING'INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Joseph McKeone P of FAX JP McKeone insurance Agency, Inc. E-MAIL F-vti: 734 662-8100 A/c No: ADDRESS' P.O. BOX 333 INSURERS AFFORDING COVERAGE NAIC# Ann Arbor, MI 48106-0333 INSURER A: Hartford Insurance Company INSURED AL Windows, Inc. Renewal by Andersen INSURER e:Nautilus 104 Otis St INSURER C: Northborough,MA 01532 INSURER D INSURER E: ' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IkTq 'TYPE OF INSURANCE A L UB R POLICY EFF POLICY EXP LIMITS POLICY NUMBER MM/DDKYYY MM/DD/YY B GENERAL LIABILITY _ EACH OCCURRENCE $ 1.000 LIDO DAMAGE RE COMMERCIAL GENERAL LIABILITY NC958461 10/01/2010 10/01/2()11 PREMISES Ea occurrence S 100,000 CLAIMS-MADE ©OCCUR MED EXP(Anyone person) $ 5,000 I PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2-OOO OOO . GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG s 2,0Q0,000 POLICY PRO- LJECT -Foc $ A AUTOMOBILE LIABILITY 35MDCXD6390 - 10/01/2010 10/01/2011 .1.)eBIINdED SINGLE LIMIT 1 ODD 000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED j BODILY INJURY(Per accldent) $ X AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS accidenh I s UMBRELLA UAB OCCUR EACH OCCURRENCE s EXCESS LIABCLAIMS-MADE AGGREGATE $ DED RETENTION s $ . WORKERS COMPENSATION 35 WECPP1444 02/17/2011 02/17/2012 WC STATU- OTH- A AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE " N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 500,000 It yes,describe under DESCRIPTION OF OPERATIONS below 1 E.L.DISEASE-POLICY LIMIT S 5DO 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION INSURED COPY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE / C—I<f ©1968-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Do not remove until final code inspection. Save label for future reference.Qualified for area indicated. . 12 szA , Canada 7 energyslarnra cn- g Q' l rncan c.ca r c (V C is LIU . t a i -�+ - ILI Q) D U.S.t LU. N r>tgystargov QuatifiedJAdmissihle Renewal byAndersen. .:,. ' �tP!D4W--AEV!4CEM.EA3_.un.Ar.GunenC:�iu}mny i .. AND-N-34 WoodNin I Composite IF .................--••••--••• Dual Argon Low-E4 SmartSun Product Type:, Glider ENERGY PERFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient V.L7 5 U.S.A-P Metric/Sl ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.43 Manufacturer stipulates ma[mass ratings co nfdrM to appllpolE NFRC procedure-}df OatafmlNng YRIOIe productperformance.NFRC ratings are determined for a fared set of environmental conoltlone and a specific product eve. NFRC odes not recommend any product and does not warrant me suitaollity of arry product for any specific use. ycareroe llx-raturotef-=er• --csrporrom.anee•infdWlodsR:__.._._... www.nM.org Window 3nd'Oddr ■ \► Menutaclufere Andersen Co oration: RbA Glidin Window Manufacturer_pu ares conformance a Followng n ar s Standard Rating NAFS-oz orAAMAMONJAIMA tote S2A44M5 DP psf HS-C35 .(,�"y Green Sears (�. > environmental standards W .,governing energy efficiency.neavy metals in me frame and seen r ` material,pacinging,and mareririalalsreducaaone 100-00511408-012 Meets or exceeas M.E.C.,C.E.C.S I.E.C.C.Air Irrfl&ad)n requirements WDM1V.NallmarK Certification Program. Do not remove until final code inspection. Save label for future reference. J Qualified for hiqltlighted R6pond aux exigences pour les r6gions bidiqic6o*,,. m Canada 1 800 387-2000 r anergyetar.9c.oa CD G 14, C +=' Ol Q 'LU U W E U.S.1 E.U. 1 888 782-7937 C energyster-gov 0) d' Renewal byAndersenn LA WINDOW REPLACEMENT wAndersr.aO,inp3ny AND-N-102 Wood/Vinyl Composite ........ ......•••... Dual Argon Low-E4 Product Type: Casement ENERGY PERFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient 0.29 1 . 65 0 . 28 U.S./I-P Metric/SI ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0 . 48 - Manufacturer stipulates that these ratings conform to applicable NERC procedures for determining whole product performance.NFRC ratings are tleterminetl for a fixed set of environmental conditions and a specific product e. NFRC does not recommend any product antl so: do warrant the suitability of any product for any specific use. Consult manufacturer's literature for other product performance information. www.nfrc.org Manuhewnn NOU.mn Andersen Cor ora ion: RIJA Casement now Manufacturer s pu a es conformance to me following standards Standard Rating NAFS-02 ofAAMAWDMNCSA 101A.S.2/A440-05 DP psf DP35 �C• ( This product meets " fk 1 Green Seal's enNronmental standard! C? r governing energy efficiency,heavy metals -�In the frame and sash material,packaging,an consumer educational 4 matedais. 100-00513972-001 Meets or exceeds M.E.C.,C.E.C,81.E.C.C.Air Inniltration requirements wDMA Hallmark Certification Program. 1 i //�z . . . ... .. Date. . .�. . ... .. NpRTM 3jpy`„to ,n',�OL TOWN OF NORTH ANDOVER • . PERMIT FOR GAS INSTALLATION h 'S,gSSA USES( '§�' This certifies that . .�?'� . . . . . . . . . . . . . . . . . � /� r�- Mfr has permission for gas installation . . . . . . . �/�. �. . . . . in the buildings of / �C©!1J at . 14 17 �:�"� , No h �idover,<Mass. -k Fee. �'��'!a0. Lic. No.; t7� . '. . .�. . . . GAS INSPECTOR Check# 8,198 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFiTTING (Print or Type) ` MO TH ANOOKC Mass. Date Z Permit # Building Location 14& CmTroar ST. Owner's NameS(LUY 11A9Cu1 Lym MIME, 0A Type of Occupancy�[(a(.iti, New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ y w ui I N N V z CC w I y iC Vf ¢ O N f„ CW7 J N W O V xo r W a � a m �n ►- u W O a. c I �" w a f- (1)N C7 = Z cc O. > W W W N W Z V S ¢ W Q W I— W h' S 0 r. Z J F- Z W Wtl O > L- 1— V J ��. W Z G W � C ~ >- 0 m Z O z WO tr S a w > w M¢ z, Q ¢ < a ¢ = O t7 S u. M 3 C tl J U Y p a O SUB—BSMT. BASEMENT 7STFLOOR lull I N 2ND FLOOR �-� 3RD FLOOR _ M4TH FLOOR 1'^ STH FLOOR xvJ 6TH FLOOR 00 7TH FLOOR STH FLOOR Installing Company Name COLUMBIA G�,S GF MASSACHUSETTS Check one: Certificate # Address 55 MARSTON STREET DC7 Corporation 1862 ' LAWRENCE, MA 01841 - 2312- ❑ Partnership Business Telephone 9 7 8-691- 64a 6F1Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No If you have checked rimes, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in abowlpplication are true and accur,4te to the best of my knowledge and that all plumbing work and installations performed under the permit iss f r this application will n Ompliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene �j r T e of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 3745 City/Town Journeyman APPROVED O FICE SE ONLY BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION I FEE N0. .' APPLICATION FOR PERMIT TO;DO GASFITTING ' f 4 NAME TI< TYPE OF BUILDING • LOCATION OF BUILDING PLUMBER OR GASFITTER 4 LIC. NO. i PERMIT GRANTED _ I DATE X19 w GASINSPECTOR I J (.omnaonweal o� assachude Official Use Only eUePartme►sE o�.Jfire�eruicee Permit No. fls Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Gita-er Town of: ��s,2� &� To the Inspector o By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 01 Owner or Tenant rlrobee PIA�_/j l�C��2��` n Telephone No. Y 4 34--D.,-2 Owner's Address "On!2 & Is this permit in conjunction with a buildin permit? Yes ❑ No (Check Appropriate Box) Purpose of Building ,qUtility Authorization No. Existing Service Amps 1 Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 • Completion of the followin table may be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency ig mg rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection an Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: .......... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal (IcipOther Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kms, No.of o.of Data Wiring: Heaters Si s Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications irmg: No.of Devices or E uivalent OTHER: 4 G'• /P wtqa4ep Otd V Attach additional detm-7 if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:�o Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: nless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete- FIRM ompleteFIRM NAME: LIC.NO.: Licensee: 2 Signature LIC.NO.: (Ifapplicable,enter "exempt"in the license number line) Bus.Tel.No.• Address: IJ x::p Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $