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HomeMy WebLinkAboutBuilding Permit #390-14 - 171 CORTLAND DRIVE 10/25/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION qoPermit N0: � , Date Received Date Issued: - IMPORTANT: Applicant must complete all items on this page LOCATION A a4uae— 0(VK Print PROPERTY OWNER__ Print 100 Year Old Structure yes o MAP NO/ PARCEL: ZONING DISTRICT: Historic District yes o Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Resid tial Non- Residential ❑ New Building 8'6ne family ❑Addition ❑Two or more family ❑ Industrial 544t`eration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic D Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identifica ion lease Type or Print Clearly) ,,,/ OWNER: Name:_ ` �r4�re�mc�r�, Phone:em 7`T`�' QQZ Address: 01 eorporA Drug Ajax1 d ir(ys CONTRACTOR Name. Rcsax L rl� Phone: .ZSR Address: 7Z1 ALoeW 0 W5,3 Supervisor's Construction License: Cz --�- fQ ((o Exp. Date: ' f i7 Home Improvement License: A_/5�Z Exp. Date: 10127L614J_ ARCHITECT/ENGINEER /V 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. { Total Project Cost: $ S© 1 6ztp FEE: $ Check No.: �f-O L� Receipt No.: Q NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Slgnaturexof Agent/Qwner, ����,_, 66D„r,a�,� S�gature of contractor .- Plans Submitted LJ Plans Waived ❑ Certified Plot Plan 11 Stamped Plans ❑ Location /?/ ( oy2�/'f jl� No. l Date w • • TOWN OF NORTH ANDOVER En • Certificate of Occupancy $ _> l Building/Frame Permit Fee $_ _ Foundation Permit Fee Other Permit Fee TOTAL Check# Building Inspector 11 ............ r10NT1/ TOWN OF NORTH ANDOVER �s� p PERMIT FOR WIRING r • 88�+cHus� ,/� Thiscertifies that ...... ...........±:�........................................................................................... has permission to perform ....,..,,.. tit 5 C��-P t ..j.�......................... ............ .......................................... wiring in the building of„ t�,�2 2 'dv 4—.4....................................................... .......... ............. .......... at i V'�w�-- ,North Andover, S. F.......................... ..................... ................................. Fee..... .�........Lic.No. ...!.���'V..� n �1 ELECTRICAL INSPECTOR Gheck# 6 '"02— i Plans Submitted ❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ -n-TE-OF-SEWERAGEDISPDSAL- Public Sewer ❑ Tanning/Massage/Body-Art El .. 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 - ❑ 0 COMMENTS .CONSERVATION Reviewed on Signature I COMMENTS I I HEALTH Reviewed on Signature COMMENTS Zoring Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes anning Board Decision: Comments e Conservation Decision: Comments i Water & Sewer Connection/ Driveway Permit DPW Tow ]Engineer: Signature: Located 384 Osgood Street FIRE C3EF',gRTIVIEiVT -Tenp Dumpster on site yes no L6cated-at;124{Mair,Street , Fire Departmen signature/date' COMMENTS ;kLf 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-s1000.fine NOTES and DATA— (For department use El Notified for pickup - Date S S f Doc.Building Permit Revised 2010 Building Department `rhe fol;swing is-a list of the required forms to be filled out-for the appropriate.permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building pp 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 apo%-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm:tted with the building application Doc: Doc.Bui?ding permit Revised 2012 Official Use Only ••7�� Permit No, 1 �•' - �Unpar•Ineerrl n��i.rn�erviceJ Occupancy and 1"ee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev, 11/99) pcaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical ode(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town af: W(Gfd AND OV1--L-L-• To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. I Location(Street&Number) �1 o.'[lal P N l) D R yf ,f rPRr-( AY J0J /l (7-r M&, 0/J Y�_ Owner or Tenant N Telephone No. Owner's Address i 1 (OfZTCA4\JD DNV— , UJV;'M AtQi)yyig?-I MA r 009K Is this permit in conjunction with a building permit? Yes E�1' No ❑ (Check Appropriate Box) Purpose of Building ?1:fj::S10F 77A-L_ Utility Authorization No. 3 Existing Service Z00 Amps /Zy 120 Volts Overhead❑ Undgrd U?-' No.of Meters ,, New Service Amps Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �NPSft/�yC� 17ye- '9tf Completion of the following table nury be waived by the Inspector of lVires. �-- No.of Recessed Fixtures No.of Ceil: P Sus .(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above In No.of ' E mer enc Lighting g No.ofIi Lighting Fixtures Swimming Pool bTnd. gmd. ❑ Battery No.of Receptacle Outlets S No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. Detection and Inittiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump JYumber __Tans_ __jCYV _ No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW �7 Local❑ Municipal Other / Connection Security Systems: No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water No.of No.ofData ' nng Heaters KW signs Ballasts No.of Devices or Equivalent No,Hydromn sage Bathtubs, Telecommunicationstang:. No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the hrspectar of Wires. INSURANCE COVERAGE: Unless 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 sudh coverage is in force,and has ex •oof of same to the permit issuing office. hibite CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) o� v (Expiration Date) Estimated Value of Electrical Work: t (When required by municipal policy.) Work to Start: 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. z 1 certif,under the pains acrd penalties of perjun;that the information our this application is true and complete. _ FIRM NAME: 9l751VV (J9L r ti ✓� N LIC.NO.: �b8rrl� � 4 y� �/ Licensee: 77'1 YT )_,IU -ene�e Signature _ LIC.NO.: (lf applicable,cruor"ere rl"�in the license number "re.) ` Bus.Tel, No.: Address: c!/ 6,1d, '&u Alt.Tel.No.: C(/tit` ` OWNER'S INSURANCE WAIVER:I am aware that the Licensee does n t heave 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 i Owner/Agent '• Signature Telephone No. PERMIT FEE: $ ___ Enter construction cost for fee cal - North Andover Fe Calculation Fee Ca culat on Construction Cost $ 30,020.00 m $ - $ 360.24 Plumbing Fee $ 45.03 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 45.03 Total fees collected $ 550.30 171 Cortland Drive 390-14 on 10/25/2013 Basement tAORTH own of . sAndover O - 0 No. IL ripI ,� o�h , ver, Mass, I C; COCHIC149 WICK y1' S V BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ... �I.✓� ........ . . ?i!lri.� 1.�!�!............. ... Foundation % ............ BUILDING INSPECTOR has permission to erect .......................... buildings on ... ......CA ...... .. ...... . ................ ..! r Rough t0 be OCCUpled aS :n. ............................................................. Chimney provided that the person accepting 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. Rouen Final i . PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR • UNLESS CONSTRUCTI TS Rough Service ..............fST ............. ................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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 Official Use Only Canxrnnn.n,ecr.11�. n !11aJJaclru.fellJ c'� Permit No. ►� - .�L.Jehnrinxelxl o��i.rr�e!'vcCeJ Occupancy and l;ee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. I1/99) (teavebtank) .APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the MussachusettS Electricalode MEC' ( ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11 ISIU (3 City or Town of: �j►-►tet-� fENiJOVIrZ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) i��,�AN 7 Rif V£., 1y0R17-f hi�-Djcyz, M4-, 0/`j 4/�— Owner or Tenant 141AIZa 4-n/ Telephone No. Owner's Address III CJ R-1'1fi JJ2 i VE i UOOTH CDUyig?-, M(4 1 0 03 L15— Is this permit in conjunction with a building permit? Yes No [] (Check Appropriate Box) CJ Purpose of Building ?1 -1-gS1DFNTI A-(-- Utility Authorization No. Existing Service 7,0Q Amps /ZJ / Q0 Volts Overhead❑ Undgrd Q� 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/Nr S/�/A,- Completion of the foltorving table may be waived by the Inspector of Wires. No.of Recessed Fixtures No,of Ceil: Tra Susp.(Paddle)Fans of Total Transformers KVA No.of Lighting Outlets No.of Hot TVbs Generators KVA No.of Lighting Fixtures SwimAbove In No.of Emergency Lighting Swimming Pool gmd. gmd. Battery Units No.of Receptacle Outlets S' No.of Oil Burners FIRE ALARMS No.of Zones Betection an No.of Switches No.of Gas Burners NoInittiaadng D vi es 7-_ No.of Ranges No.of Air Cond. T ns No.of Alerting Devices r I' Heat Pump Number __T_o_n_s ]C _ No.of Self-Contained ' No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW y-� Local❑ Municipal❑ Other Connection No.of Dryers Security Systems: tY Heating Appliances KW No.of Devices or Equivalent No.of Water No.of No.of Data NYinng Heaters KW Signs Ballasts No.of Devices or Equivalent Telecommunications tang: No.Hydrom.gssage i Aa htubs. No.of Motors Total HPo of Dev N ices or Equivalent ,,.. . , ---- ---------------- - ---- - -------- ------ OTHER: --------- ----...-----------_..................... .... .. -AttucB addirioxraI detail if desired,or as required by the.Inspector of Wires. r INSURANCE COVERAGE: Unless 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 sudh coverage is in force,and has exhibite •oof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) /� N -moo V d (Expiration Date) Estimated Value of Electrical Work: t (When required by municipal policy.} Work to Start: �/ !Z 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. Z I certify, uncler the pains and penalties of peljuly,that the information on this application is true and complete. FIRM NAME: %Ll75121/ 6fl, -Q S5� �✓G ^/ LIC.No.: Licensee: 1 f ✓T LC�GCJj��f')(P Signature °�_ LIC.NO.: (If applicable,enter°ere u"ill Nu'license runnber••��jjine•) 7 Bus.Tel,No.. y(�S Address: �� 0<G� lou i� D t�oC Alt.Tel.Na.: ctll OWNER'S INSURANCE WAIVER:I am aware that the Licensee does r l have the liability insurance coverage normally required by law.By my signature below,i hereby waive this requirement.I ant the(check one) IJ owner ❑ owner's agent f Owner/Agent Si-nature Telephone No. FFRtIIIT FFE: $ i 3 ` � y s ' Fold,Then Detach Along All Perforations �II- COMMONWEALTH OF MASSACHUSETTS BOARD OF ELECTRICIANS . i ISSUES. THE FOLLOWING LICENSE AS' .A REG JOURNEYMAN _ELECTRICIA z ,Q ALBERT J LAWRENCE JR Au :N �W lU . PO •60x 603 � DUVER ':.NH 03821-0603 28128 E 01/31/16 68181 4.0 10fA I jeum flat 311111111111MIS"� " Fold,Then Detach Along All Perforations a COMMONWEALTH OF MASSACHUSETTS • • BID- • Lei g r-1 18 14 Levu BOARD OF ELECTRICIANS ISSUES THE FOLLOWING LICENSE ASA REGISTERED MASTER ELECTRICIAN ARTISAN ELECTRICAL ALBERT J LAWRENCE JR $° W Po.. BOX'603 aoVER NH 03821-o6O3 68182 408MR 07/3::1/16 I a_ A Y• i u r iV 11W s I le) wl�.v y HINZELMAN PROPOSAL FEATURES OCT013ER 9, 2013 BASEMENT CONVERSION OVERN JEW: TO INCLUDE: SELECTIVE DE'`9ULITION. ROUGH AND FINISH CARPENTRY. ROUGH AND FINISII ELECTRIC. I:N"TERIOR 'TRIM PACKAGE. DRYW17ALL, FLOORING :AND SUSPENDED CEILING. SIZED AND I..,OCA`I'I:D PER THE CONCEPTUAL AND/OR CONSTRUCTION DRAWINGS DATED OCTOBER.. 2013 OR"TMEREAI=._ITER. j ROi�Gti FRAMING 1. FRAMING FOR THE BASE vlEN"I_ CONVERSION TO BE CONNIPLET D UTILIZING KILN DRIED NO. 1 GRADE 2" X 4" WALL STUDS LOCATED AND SIZED PER"THE CONCEPTUAL ,'CONSTRUCTION DRAWINGS DARED OCTOI3ER. 2013. NOTE: A 2" AIR GAP IS REQUIRED BETWEEN FOUNDATION WALLS AND PROPOSED FRAMING \N,7ALLS. ALL FRAIMING TO BE 16" (INCI-IES) ON CENTER AS DETERN-IINED BY STATE BUILDING CODE. I4EATING 2. TO INCLUDE FOUR (4). --GRAINGER** SIX (6') FOOT. �VI-IITE I-1.1G.1 OU`I'PU"r ELECTRIC BASEBOARD IIEAT17R UNITS OPERATED IRO'\i A SINGLE WALL MOI.NTED "CADET** 7 DAY PROGRAMNIABI...I_ 'I'HERMOS'I'A'L NOTE: ANY ADDITIONAL CONFIGURATION SHALL BE QUOTED SEPARATELY UPON REQUEST. PLUMBING 3. EXTEND SPRINKLERS I-IEADS IN TETE PROPOSED CONVERSION AREA BEI.OW THE NEC'! DROP CEILING LINE. NOTE: ANY ADDITIONAL RI:CONI=IGURATION OF SPRINKLER 1-11: ADS .ANI:) OR SPRINKLER SYSTEM SHALL; BE QL. OTE D SEPARATELY UPON RE QUEST. ELECTRICAL, 4. INCLUDES: FOUR (4). 48" X 24" DROP IN FLORESCENT CEILING FIXTIIRI;S OPE'RAI-ED ON A (3) THREE WAY SWITC}iED CIRCUIT. ONE (I). 18" FLORESCENT CLOSET- I...IGITF FIXTURES OPERATED ON A SINGLE PULE SWITCHED CIRCUIT:SND OUTI EFTS 7"O CODE LOCATED AND SIZED PER -FHE CONCEPTt'AL i CONSTRL'C7'1UN DR.AWINGS DATED OCTOBER. 2013. INSULATION S. PROVIDE AND INSTAI_I.., NEW FIBERGLASS RI INSULAT}ON 1-0 TI IE NEW 2" X 4'' EXTERIOR KNEE CVALLS IN THE PROPOSED BASEMENT CONVERSION. NOTE: ANY ADDITIONAL INSULATION 1'0 BE QUOTED SEPARATELY UPON REQUEST. H1N'ZEL11AN PROPOSAL FEATURES OCT013ER 9, 2013 DRY«'ALL 6. PROVIDE AND INSTALL NEIN' 1/2" GYPSUM W'ALLBOARD (DRYWALL) ON THE INTERIOR 1VAI.I_S OF TI-I1: PROPOSED BASEMENT' CONVERSION. TO INCLUDE: TAPING. AND THREE (3). COATS OF DRYWALL .10I T CONI POLIND. SANDING AND PRINIING. �. I INITAU011 DOORS 7. PIZOVIDI AND IN:" ALL FOUR (=I). ",IELD-WEN" T'IZLPRIIIED INZ"ERI()R DOORS AND TWO( ). "JEI...D-NN.7 N" PREPRIMED INTERIOR BI-FOLD DOORS ONE OF 1VHICH WILL BE A LOUVERED DOOR I._OCA'I"ED AND SIZE_'D PER THE' CONCEPTUAL, r' CONSTRUCTION DRANVINGS AND SELECTION SCI IEDULE DATEID OCTOBER. 2013). MILLWORK 8. PROVIDE: AND INSTALL NEW PREPRIMED 2-I!2°' COLONIAL STYLE CASING AROt.T-ND DOORS AND WINDOWS. 3-1/2"PREPRIMED COLONIAL, STYLE BASEBOARD MOI..DINGS AND A PREPRIMED KNEE NVALL. WOOD SHEL. F CTP. I_OCATED AND SIZED PER THE CONCE.P'FUAI._ AND/OR THE CONSTRUCTION DRAWINGS DATED OCTOBER. 2013. STAIRS 9. EXISTING S'.1-AIRTREADS AND RISERS TO REMAIN .IN PLACE AND THE EXISTING HAND RAIL IS TO BE REMOVED AND REINSTALLED AFTER DRYWALL IS COMPLETE. i FLOORING 10. INCLUDES: "FLOORCRAFT" LVT. BRAND. 16'' X 16" VINYL FLOOR T11.1" (OR SIMILAR AS DETERMINE BYTHE COMPANY) IN THE PROPOSED BASEMENT CONVERSION LOCATED AND SIZED PER THE CONCEPTUAL AND,IOR *FHE CONST RUCTION I)I:.1N� 1\GS DATED OCTOBER. 2013. BUILDING PE1Z111TS 11. INCLUDES THE BUILDING PERNi IIT AND RESPECTIVE.. FEES AND APPI._ICATION THEREOF EXCEPT AS NOTED. NOTE: SURVEY AND/OR CERTIFIED PLOT PLANS. ZONING BOARD. AN'D/OR CONSERVATION COMMISSION APPLICATION(S) EFFORT TO BE QUOT-ED SEPARATELY UPON REQUEST, PAINTING 12. INCLUDES PRIMING OF NF..WI..,Y INSTALLED DRYWAI.I... (.EXCEPT AS PRE.VIOUSL.Y NOIED) AL.,L, PAINTING. STAINING AND/OR PREPARATION OF WOOD WORK TO BE COMPLETED BY TME CUSTOMER OR WILL. 1.3E QUOTED SEPARATELY UPON REQI'EST. 2 HIN7ELMAN PROPOSAL FEATURES OCTOBER 9, 2013 DEBRIS 13. INCLUDES REMOVAL OF ALL DEBRIS RESULTING FRONT THE CONSTRUCTION AND OR REA40DELING EFFORT AS DETF..RIINED BY TETE. C'OI\IPANY. NOTE: REMOVAL OF ANY ASBESTOS WILL BE QUOTED SFPARAT .I.Y UPON REQUEST. DEAD REMOVAL , 14. IN THE EVENI' TI-TE HOUSE WAS BUILT PRIOR TO 1978. THE CON-111ANY HAS INCLUDED IN ITS COST A PROVISION TO PERFOR'\I LEAD TESTFNI G IN ACCORDANCE WITH THE EPA GUIDELINES ADOPTED THIS YEAR BY THE EPA. THE COMPANY IS REGISTERED NVITII THE EPA AND HAD A CERTIFIED I..T: .HIN- ZEI,.NIAN PROPOSAL FEATURES OCTOBER 9, 2013 PROPOSAL FEATURES AGREEMENT TI fEAlORI--N,,11'.-',\']"IONED PROPOSAL I­'EATURES ARE FIERI BY AGREED TO BETSV'F.-'EN THE PARTIES AND AS SU.Cl I ARI__'. CONSIDERED TO Rt.'.PRESF,'NT 11 IE ENTIRE SCOPE OF WORK TO BE PERFORINVIED. AND FURl"I]ERVIORE THE PARTIES AGREE THAT SAID SCOPE OF WORK IS COVETED AND SUBJECT TO AL.LTHE TERMS AND CO'NDITIONS AND PROVISIONS SET IORTIJ WITHIN 'I"IIE Ilt.."RCHASE AGREENIENT DATED OCTOBER 9. 2013. NOTLTHE PARTIES FURTI IER A(JREE TI IAT TI IERE ARE FOUR (4). PAGES. (INCLUDING 'I-ITIS PAGE), REFERENCING ITEMS WS, 1-16, OFTHI- AFOREMENTIONED PROPOSAL FI-ATURES AND AS REPRESENTED WITHIN THIS AGREEMENT. AND AS DATED AND ENDORSED BETWlENTHE PARTIES. BELOW. THE "TOTAL COST OF THE PROJECT AS RI PRESEN"I"ED HEREIN IS: S48,936.00 CUST01MER'S SIGNATURE: �,N DATE CUSTOMER'S PRINTED NAME-: Cl,"STONIER'S SIGNATURE: DATE ("t.3STOMER'S PRINTED NAME: COMPANY REPRESENTATIVE: SIG D: DATE 'IllylzL /I PRINTED'NAME: Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement:,Contractor Registration Registration: 161542 e Type: Supplement Card rs DATA INDUSTRIES, INC. Expiration: 10/27/2014 BRIAN LESSARD �;= T 24 ORCHARD VIEW DR. LONDERRY, NH 0.3053 z. Update Address and return card.Mark eason for change. SCA 1 0 20M-05111 ❑ Address Renewal Employr ient Lost Card U/16 rf.'097r 977a72rr'eQ(f�4f��.'/l'�IXJJClC12 rr3e�J - � - ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation y egistration:_ 161542 Type: 10 Park Plaza-Suite 5170 Expiration: 10/27/2014 Supplement Card Boston,MA 02116 DATA INDUSTRIES, INC:, 1 BRIAN LESSARD 24 ORCHARD VIEW DR. --Bei LONDERRY, NH 03053 Undersecretary Not valid without signature 1 I , r A6�RvCERTIFICATE OF LIABILITY INSURANCEF6/ D IDD/YYYY) 24/24/2013 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 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 endorsement(s). PRODUCER CONTACT Judith George FIAI/Cross InsuranceP HIC.ONE (603)669-3218 AAX IC No;(603)695-4331 IA N1100 Elm Street ADE-MAIL DRE :7george@crossagency.com INSURERS AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURERA:Peerless Indemnity Ins Co 18333 INSURED INSURERB:The Netherlands 24171 Boardwalk North INSURERC:Peerless Insurance Company 24198 Data Industries, Inc. dba INSURER D: 24 Orchard View Drive INSURER E Londonderry NH 03053 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1362487849 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. INSR TYPE OF INSURANCE /+D L SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY A PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE X❑OCCUR CBP6454620 6/1/2013 6/1/2014 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaaccident $ 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BA6454614 6/1/2013 6/1/2014 BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Hired/borrowed $ 1, 00,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 `. EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,00C L8851229 6/1/2013 6/1/2014 $ B WORKERS COMPENSATION 7 I WC STATU- OTH- AND EMPLOYERS'LIABILITYTORY LIMIT S ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN06454616 3.A. NH S MA E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) Ed Stewart is excluded 6/1/2013 6/1/2014 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Issued as evidence of coverage on behalf of the named insured for residential building and remodeling work performed during the policy period. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FOR INFORMATION ONLY ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Judith George/JG7 �`-' ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25 r7mnmi n1 Tho A!(1Arl name and Innn aro rnniefornrl marke of Ar.rlPr1 P Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supenisor y License: CS-103316 BRIAN W ILESSA13D ' 701 RAYMOND RD ; � Chester NH 03036 I � Expiration Commissioner 03/14/2015 a DOVC R MODC� - N\�- �TNG� OUsE C-oN\MoJS � m HT41 HE Q graAP n� i�❑ - uu.l�C1 ❑u u❑ __ �J❑ f�Ci . ❑u DC1 . S"C Ct�ET �LEV�T 101 .1 f FTE- --u R t FAIR. (T` R) i it 1 - LEFT EL�VATtoN UWar —S INGHous i2 t GKkT C L.e v A-7 01� FAST F\.00R ?\-AO i Z- n.._..__ ci o ro ItIT<KFN r G z i lU M.%SSi-zR'3C-DRc4M T N 6" I� I N V AaNrtsG 2-8- 0 2.(,AR GAftA(7E 4 v o W tc J C)H DooR poRt►� T -7-0 �-� S o i $-0 — 22-0 2. o i SEGO 1JD 1 -on?, PL AW s r G W I c •AN Ll0 �' O r Io- o ST GL-k. 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JIM CLAW CELL 508-509-9598 NO.ANDOVER, MA P.O.# DATE ORD: 10/24/08 SHIP DATE: 12101108 PARADIGM WHITE VINYL WINDOWS STANDARD NEW CONSTRUCTION CONTOUR EXTERIOR ID. :QTY. MODEL l RO !GLASS GBG SCREEN WALE. TRIM J 4 1 SDI-12-3469 MULL 168 x 89 LOW-E 8/6 1 FULL 1 314 REC. 3.5 FLAT K 3 SDH3-3489 TRIPLE 10f 1/2 x 69 LOWE 8/8 FULL 314 REC. 3.5 FIAT - L 2 SOH2-3461 MULL 68 x 81 LOW-E 816 FULL 314 REC. 3.5 FLAT M 1 2G-4842 GLIDER 48 x 42 LOW-E 2W3H FULL 3/4 REC. 1 3.5 FLAT S 1 SDH1-3049 SGL 130114 x 48 1 LOW-E 8\8 1 FULL 314 REC. 3.5 FLAT P 2 A-3424 VENT 134 x 24 1 LCVd-E 3W2H I FULL 314 REC. 3.5 FLAT N 3 SDH1-3439 SGL 134114 x 39 1 LOW-E 616 FULL 3/4 REC. 3.5 FLAT D2 : 1 I CS262-9LT PVC 1381/2 X 83 LH I IG 9LT NA 6 a/8 3.5 FLAT 17 ALL UNITS WITH OFFSET FLAT CASING AND SILL NOSE DOVC- R N\ODEl - NM��-TNG� OOsE CONWV\ � S l I -r. Ili Ike 1 111 LA s. f l 7 ffld OU OCT 1:10 -- �u:l.�Cl ❑Cu❑ lit I I - I •ry R F-ARZ, (TYR) LIFT EL. 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MODEL RO !GLASS GBG SCREEN WALL TRIM J 4 SDI-12-3469 MULL 68 x 89 LOW-E 1 8/6 1 FULL 1 3/4 REC. 3.5 FLAT K 3 SDH3-3469 TRIPLE 101 1/2 x 69 LOW-E 6/6 FULL 3/4 REG. 1 3.5 FLAT L 2 SDH2-3461 MULL 168 x 61 LOW-E 816 FULL 3/4 REC. 3.5 FLAT M 1 2G-4842 GLIDER 148 x 42 1 LOW-E 2W3H FULL 3/4 REC. 1 3.5 FLAT ' S 1 SOHl-3049 SGL 301!4 x 48 LOW-E 818 1 FULL 3/4 REC. 1 3.5 FLAT P 2 A-3424 VENT 134 x 24 LOW-E I 3W2H t FULL 3/4 REC. 1 3.S FLAT N 3 SDH 1-3439 SGL 34114 x 39 -OW-E 6/8 FULL 1 3/4 REC. 3.5 FLAT ' 02 : 1 CS262-9LT PVC 1381/2 X 83 LH I IG 9LT NA 6 5/8 3.5 FLAT 17 ALL UNITS WITH OFFSET FLAT CASING AND SILL NOSE