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HomeMy WebLinkAboutBuilding Permit #333-15 - 157 BERKELEY ROAD 10/2/2014 BUILDING PERMIT o� tIORTy *1'LED ,6' TOWN OF NORTH ANDOVER 02 APPLICATION FOR PLAN EXAMINATION Permit No#:P,; Date ReceivedArED 4q "" �9SSgC14US���� Date Issued: p1sW I P RTANT:Applicant must complete all items on this page LOCATION V. PROPERTY OWNER -' V_ Print 100 Yeas Structure yes n MAPPARCEL: �C2 ZONING DISTRICT: Historic District y n Machine Shop Village y .no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building , One family ❑Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial k'Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain F1 Wetlands ❑ Watershed District ❑Water/Sewer � DESCRIPTION OF WORK TO BE PERFORMED: Vteri Ac l cf Gv :fk t U-VA6! J0 Identification- Please Type or Print Clearly OWNER: Name: c '; CA;JI-C grcl,- Phone: 9'7F - ;�) Address: '�7 eerklc ICGj, -e- Contractor Name l`�1y � "-t -'~P.hone: �, - 6 l 3 r_ Address: PG ��c_ r S' j� �r. �'t'�� 0Pi 7(4 Supervisors Construction License: CT-Q(,,oQ7__ _ Exp. Date _ _ �S Home Improvement License:-...._ /_�Y�_-7 S Exp. Date: .._ _A) ;'z7 1Y ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $_ ci'C12 FEE: $INIA � J Check No.: ((T1 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner r' - Signature of contractor_ ____ . Location No. Date F . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $� M Fee Foundation Permit $ -. Other Permit Fee $ TOTAL $ t Check# / f, 28095 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinuning Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Du npster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ 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 y 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 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 i ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 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 o Building Permit Application u Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) D 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) o Building Permit Application a 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 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:Building Permit Revised 2014 ., DENMARC EXTERIORS 32 IRIS AVE. 53-7054/1113: SALEM,NH 03079 r 1 145 v Pate, 1VGAGiJ�,/ afi- ®`-,Bank America's Most Convenient Bank® 1: 2113705451: 8248848422wi 99 � NORTI-� Town of t n over 3 � y ver, Mass, �. A_4 tOC NIC NlwKN 1' 7,45 RATED U BOARD OF HEALTH Food/Kitchen PERIT T D Septic System THIS CERTIFIES THAT ......... ..... Oimfl.... O� BUILDING INSPECTOR Foundation has permission to erect ......... ............... buildings on ....IT::�..... K :...... I . .. ...... . .. AM . .-. ... .�-�. ......... Rough to be occupied as ... ..... ....... .... ....... Chimney provided that the pers acc g this permit shall in every respect conform to 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 MO THS ELECTRICAL INSPECTOR l UNLESS CONSTR 0 ARTS Rough Service ..... .... ..................................................... Final BUILDING INSPECTOR 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. �� - 4 < t's .Departmenttof cs¥@y » R)o mg- sand? %\ 2\ . Lk;en m: CS-066m7 `^ MARC aSYLAIN _ ^ k MS AVE. / SALEM NH OM" \ ,\ mm m« 06%12015 . a > Office of Consumer Affairs&Mistiness Regulation license or registration valid for individui use only r -tbefore the expiration date, If found return to; HOME IMPROVEMENT CONTRACTOR {� . } Registration 144679 Type: Office of Consumer Affairs and Business Regulation Expiration 1012712014 Ltd Liability Corpor 10 Park 1'lnre-Suite 5170 Boston,MA 02116 MOME CONTRICT7NG LlC DONALD LUCCIMA 128 KLONDIKE AVE i HAVERHILL,MA01832 Undersecretary Not valid without signature c� A� CERTIFICATE OF LIABILITY INSURANCE °A�'�°'D°"""' 8/15/14 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: 9 the certificate holder Is an ADDITIONAL INSURED,the policy(es)must be endorsed. If SUBROGATION IS WAIVED,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 endorsemen s. PRODUCER CONTACT NAME: Eric Jansen Hasbany Insurance Agency PHONEFA685-3188 (AIFAX NO: (978) 685-9460 236 Pleasant Street E-MAIL ADDRESS: eric@hasbany.com Methuen, MA 01844 INSURE S AFFORDING COVERAGE NAICI3 INSURER A:Tudor Insurance Co an INSURED INSURE:B:Travelers Insurance Company MY HOME CONTRACTING, LLC INSURER C: C/O Don Lucciano INSUREtD: 14 Coffeetown Road INSUREtE: Deerfield, NH 03037 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE USTED 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 OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EV LTR TYPEOFINSURANCE NSR POLICY NUMBER MIDDIY hM1DD/YYYY LIMITS A GENERAL LIABILITY NPP8179166 1/26/14 1/26/15 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAM4GE (UomED S 100,000 CLAIMS-MADE EIOCCUR MED EXP(Anyone person) $ 5 000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LUT APPLIES PER PRODUCTS-OOMIPIOPAGG $ 2,000,000 X1 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMB �S[NGLEL IT $ ANY AU70 BODILY INJURY(Per person) S ALLOWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROs DAMAGE $ HIRED AUTOS _AUTOS ant) S UMBIELLALL* OCCUR EACH OCCURRENCE S EXCESSLIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ S 8 =RKE S COMPENSATION 6KUB-4904P77-0-14 1/1/14 1/1/15 g I wC STAIu oTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YINN/A EL_EACH ACODENIT S 100,000 OFFICE RIMEMBB2 EXCLUDED? (Mandatory in NH) EL.DISEASE-EA EMPLOY S 100,000 If yes,describe under DESCRIPTION OF OPERATIONS Mew EL.DISEASE-POLICY LIMIT I S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,U more space Is required) SIDING, WINDOWS, DOORS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FOR PERMIT PURPOSES ACCORDANCE WITH 7HE POLICY PROVISIONS. AUTHOR®REPRESENTATIVE Eric Jansen ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: �19 BURSEMENT PERMIT- REIM 0 1 - - J� Contracting, LLC J0D Date Name �� ��h e. rau-,, Address 15- 7 e-,r e ,P- k � 1 rhone(l-J) 6 �A� �?e & S 7_-7(o J, ThanL< ou fortal<ingthetime tomeetwithmeanddiscuss windowsforyour home.Iwoulclbriefly like to tellyoua6outMV Nome Contracting,a ndwk�pushoulcichooseusforyourremode ling project. M9 home Contracting protects your Property 6y covering you with $2,000,000.00 ofliahility insurance. Worl<men's Compensation Insurance covers all of our employees so you are not exposed to any liability. We are proud members of the 15etter business bureau (555).We maintain this affiliation to provide you with the highest level of confidence and customer service.All of our employees attend pre- approved on-going training to keep them up to date on the latest technological advances in replacement windows. `jhould you elect to make your home improvement investmentwith JUjy home,we shall strivefor 100% customersatisfaction r trulyyours, ona . Lucciano Owner myHOME CONTRACTING,LLC Registered In Massachusetts &New Hampshire 4� P.O. Box 969 Methuen, MA * 01844 * Tel. (978)682-9052 P.O.Box 144 * Deerfield.NH * 03037 * Tel. (603)463-8898Ann ,u t Toll Free Telephone: (800)921-9052 * Fax(603)463-8911 r° y E www.niyhomecontracting.com 1 � Job# This project has been specified in accordance with local building codes, industry standards and manufacturers'specification requirements.All work will be installed by certified craftsman to assure qualifications for the long-term window warranty. GENERAL SCOPE OF WORK s--Remove existing storm windows. :5—Remove interior stops from the sides and top of windows. (Care is taken to cut the paint line to minimize chipping of the interior finish.) Expect paint to chip at joints. Touch up paint of the interior trim is not included. Remove the existing sashes. 9 Remove the parting bead if existing at the sides and top. 9 Remove the existing balance systems and fill with fiberglass insulation as required Apply caulk sealant to the interior of the exterior stops. Install the new double hung replacement windows plumb and square. Screw the new window to the original wood frame. Adjust the expander on both sides to remove any bow in the master frame. Caulk both sides of the new windows. This will prevent air movement at the perimeter of the windows and reduce any drafts. INTERIOR FINISH Are we,installing new interior trim?_ 0 ::i—Caulk the perimeter of the interior with paintable caulk sealant. ➢Clean all windows upon completion and vacuum work area when done. Canvases are used during installation when needed. 9Any painting or staining is not included in this proposal. EXTERIOR TRIM DETAILS Are we wrapping window casings? 1 S �5—Fabricate PVC coated alumin2ZI-e, stock to cover the wind'owcasings,join ingthe corners with 45- degree angles. Color Qty 'Use#900 SOLAR SEAL for caulk around all window trim.This advanced caulking is based on terpolymer technology,which offers an alternative to silicone and urethane sealants. Its high performance terpolymers impart exceptional weather-resistance, adhesion,elongation and color fade resistance.Color to be matched to exterior trim color. myHOME CONTRACTING,LLC Registered In Massachusetts &New Hampshire w a r w P.O.Box 969 * Methuen, MA * 01844* Tel. (978)682-9052 . a p" P.O. Box 144 * Deerfield,NH * 03037 * Tel. (603)463-8898 M Toll Free (800)921-9052 * Fax(603)463-8911 11�lNYt'.inyhorneconlracting.Coin 2 I � Job# GENERAL DETAILS ➢ Drop cloths will be used for areas of installation. ➢ Dispose of all debris and scrap materials. Work area shall be kept neat and clean on a daily basis and returned to normal upon completion of the project. ➢ A written materials warranty shall be provided upon receipt of fi al payment. ➢ We maintain a current General Liability and Workmen's' Compe sation Insurance Policy. A copy is available upon request to verify coverage. ➢ Also followed are special considerations set forth by the manufacturer for the application of the specific product line. Local and National Affiliations Certifications — Massachusetts Better Business Bureau (BBB) — A l thorized Alside Window Dealer — Energy Star Retail Partner — Authorized Thermal Industries Dealer Advanced Alside Installation Certification Your investment with My Home Contracting includes the following - ➢ Estimate includes all permits,fees and applicable taxes ➢ Double strength glass is standard on all windows ➢ Limited Lifetime Warranty on windows ➢ All windows priced with double low-E glass and argon gas with warm edge spacer unless otherwise noted Glass Breakage Warranty on qualifying windows myHOME CONTRACTING,LLC �W.gAGH3152P�,• r.K.j, �; SJ.k. ,. Registered In Massachusetts &New Hampshire P.O:Box 969 * Methuen, MA * 01844 * Tel. (978)682-9052 �j ' 2 k_17 P.O. Box 144 * Deerfield,NH * 03037 * Tel. (603)463 -8898 IIItE0i1l Toll Free(800)921-9052 Fax(603)463-8911 wives.myhomecontracting.com 3 Job# INVESTMENT TOTAL FOR SPECIFIED PROJECT WE HEREBY PROPOSE TO FURNISH ALL LABORAND MATERIALS IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS FOR THE SUM OF Deposit Payment Options Deposit .— Cash Visa MasterCard Deposit Due on Re-measure $ 51e�o Acct. #: Balance Due On Completion $ E R� :ode: 1� R , Indicate payment method for ►` .drd: p Y 1 p ., our si nature below lNe agree to allow M Home Contracting,LLC to Balance Due On Completion 1 - 9 g Y g� p charge the above referenced credit card for the amount indicated above. Check Credit Card Finance ardholder's Signature Date Signature of My Ho. e C r .-fi epr tive: uthorized Signature' Date: uthorized Signatur 4 Date: A" myHOME CONTRACTING,LLC Registered In Massachusetts &New Hampshire P.O. Box 969 * Methuen, MA * 01844 * Tel. (978)6K-9052 x b +3 P.O. Box 144 * Deerfield,NH * 03037 * Tel. (603)463-8898 rte . A MEQ Toll Free(800)921-9052 * Fax(603)463-8911 WWW.rnyhornecontr•acting.corn 4 i Job# IN HOME SALE OR SERVICE NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS OF THE DATE OF THE CONTRACT.IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 BUSINESS DAYS FOLLOWING RECEIPT BY SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELED.THERE WILL BE A SERVICE CHARGE EQUAL TO TWENTY-FIVE PERCENT(25%)OF THE CONTRACT AMOUNT IF YOU CANCEL THIS TRANSACTION AFTER THE THIRD BUSINESS DAY FOLLOWING THE DATE OF THE SALE. 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 THE CONTRACT,OR YOU MAY COMPLY WITH THE INSTRUCTIONS OF SELLER REGARDING THE RETURN OF THE GOODS AT SELLER'S EXPENSE AND RISK. IF YOU MAKE THE GOODS AVAILABLE TO THE SELLER BUT THE SELLER DOES NOT PICK THEM UP WITHIN 20 DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION,YOU MAY RETAIN THE RIGHT OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION.IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER,OR IF YOU AGREE TO RETURN OF THE GOODS TO SELLER AND FAIL TO DO SO,YOU WILL REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION,MAIL A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE TO MY HOME CONTRACTING,LLC AT 14 COFFEETOWN ROAD,DEERFIELD, NH 03037,NO LATER THAN MIDNIGHT OF Acknowledgement of Receipt of Notice of Cancellation IIWe hereby acknowledge receipt of Notice Canc ion set forth above 2nd that Seller has orally informed melus of our right I. Date Customer's Signature Date Customer s Signature I HEREBY CANCEL THIS TRANSACTION Date Signature I HEREBY CANCEL THIS TRANSACTION Date Signatur elk), myHOME CONTRACTING,LLC '�. Registered In Massachusetts &New HampshireVia, � 14 Coffeetown Road * Deerfield,NH * 03037 �"'°' `4 MEIiiY�lt Toll Free: (800)921-9052 * Fax: (603)463-8911 6 Z -Z-0AX� 1ob# W NDOW SPECIFICATIONS Total Windows Purchased Qty P44- 10 I L D'e�/ Qty Double Hung Bow Window 4 Lite / 5 Lite Picture Window Garden Window 2 Lite Slider Patio Door5 ft. / 6 ft. / 8 ft. / 9 / 12 ft. 3 Lite Slider Entry Door Traditional / Equal Single Casement Storm Door 2 Lite Casement Window Capping 3 Lite Casement Mullion Removal Awning Screens PaIDFull Basement Hopper Wood / Steel Colonial Grids Bay Window 30-Degree / 45-Degree Metal Window Conversion ADDITIONAL NOTES //Z eowners' Initials My Home Representative's Initials myHOME CONTRACTING, LLC M Registered In Massachusetts&New Hampshire P.O.Box 969 * Methuen,MA * 01844 * Tel. (978)682-9052 �y Str 7, . P.O.Box 144 * Deerfield,NH * 03037 * Tel.(603)463-8898 Toll Free Telephone: (800)921-9052 * Fax(603)463-8911 www.myhomecontracting.com 7 Job# My Home's Guarantee (Installed Products Only) 1. TEN YEAR WORKMANSHIP WARRANTY All workmanship is guaranteed for ten (10)full years from the date of the installation of windows. There will be no charge labor or materials due to faulty workmanship in that 10-year period. 2. THREE YEAR INSPECTION WARRANTY My Home also guarantees that for a period of three years, My Home will make an annual inspection of the products they have installed to ensure you, the customer, the product is in proper working order. Customer's obligation is to call My Home to set the inspection appointment, and My Home will make the inspection within fifteen (15)working days. 3. MANUFACTURER'S WARRANTY My Home also guarantees that it will provide upon receipt of final payment, all manufacturer's warranties for the type of product purchased from My Home Contracting, LLC and also guarantees that each type of product purchased will carry a manufacturer's warranty. 4. GLASS BREAKAGE WARRANTY (ON QUALIFYING WINDOWS) All windows include a Limited Lifetime Warranty for cov ge on accidental glass breakage. GLASS BREAKAGE WARRANTY INCLUDED YES NO My Home Authorized Signature Approximate Installation Date myHOME CONTRACTING,LLC Registered In Massachusetts &New Hampshire w P.O.Box 969 * Methuen, MA * 01844 * Tel. (978)682-9052 �®j °,'" P.O. Box 144 * Deerfield,NH * 03037 * Tel. (603)463-8898 '9" MToll Free(800) 921-9052 * Fax(603)463-8911 " f iv W w.t22).,j20/22G e022tY62et2t2g.cot22 I Job# lam■yome Contracting, LLC AFFIDAVIT I, tfie undersigned, the owner of the roe located at .,� 7 9 property rtY Hereby verify that I have authorized my ome Contracting, LLC to ply to the Building Department in the city/town of 9- a e1 To act as my agent in obtaining a building permit and/or zoning requirements to obtain permits. r An er Date myHOME CONTRACTING,LLC Registered In Massachusetts &New Hampshire P.O. Box 969 * Methuen,MA * 01844 * Tel. (978)682-9052 v ,. P.O. Box 144 * Deerfield,NH 03037 * 'rel. (603)463-8898 Toll Free(800)921-9052 * Fax (603)463-8911 t4%}UN%./9YVj10171E'C012/.1"ClC'111Yf,7.CUY77 9