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HomeMy WebLinkAboutBuilding Permit #242 - 171 KARA DRIVE 9/21/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: F 1A ORT ANT: Applicant must complete all items on this page LOCATION P?! KA r A Or Print PROPERTY OWNER C h 15 S 4 1-4-/r/d Unit# Print MAP NOq PARCEL: 1b VzONING DISTRICT: Historic District yes no Machine Shop Village ye no 100 year-old structure ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building e family ❑Aci El Two or more family El Industrial mi Iteration No. of units: ❑ Commercial j ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ti p' ®w 11 � ®Floodplain ®Wetfands f atersNovi-n to 0 Se tick ( k1 �OWater/Sewers _ �� ,� DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) Y) OWNER: Name: C �" S �L- Iy�/V Phone: 9 Address: CONTRACTOR Name: I C 19 !r D J x'114 &5 ©/1/ Phone: �G 5- S� 3 Address: y 3 i Supervisor's Construction License: 6 3 o7z-V Exp. Date: Home Improvement License: I S D Exp. Date: Il ARCHITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ QLlj ?-W- t/ Z FEE: $,qi Check No.: Receipt No.: Z i NOTE: Persons contracting with unregistered contractors do not have acc s e u a unci e'x.-;::', .1 a +a..t.;,Y.;:•'r -. S-.h- . v t-'k It :F 't_.r..:: K Cirrnatarc nfe�ricnt/Clnmar_=. . s Ctnnati irc nf,`rnntrar--turf z : Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C..And/Or C.S.L. Licenses ❑ Copy of Contract ❑ .Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks ❑ Building Permit Application tf 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) Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign offrom Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi 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 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 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 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 ' i MGL Chapter 166 section'21A—F and G min.$100-$1000 fine NOTES and DATA— For department use I II I I ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi Location > J No. _ Date ��` N�RTM TOWN OF NORTH ANDOVER 0- 16. A Certificate of Occupancy $ g. Building/Frame/Frame Permit Fee $ J�CHusa 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24624 Building Inspector NORT11 TONM Of Andover , 0 .. No. ,2�� - G o- i y� 0f o over, Mass., T O �— LAKE coAb C HIC KE WICK S0RATE'a IP"?P 77 BOARD OF HEALTH Food/Kitchen EliM. IT T Septic System �1 BUILDING INSPECTOR THIS CERTIFIES THAT................... 15........ .......................................... Foundation haspermission to erect...........:............................ buildings on ..................(.......... . .. ....... .................... ........................ Rough to be occupied as.......... 6,. "+.......... .. .......AM ::..... .. .:: ......... ................ Chimney provided that the perso 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 6jNT*S ELECTRICAL INSPECTOR • UNLESS CONSTRUC Rough .................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legiblv Name (Business/Organization/Individual): I C N ,t h Q J Address: Cit /State/Zi 6_,T�6 Y P �r'�G��L /f/V Phone #: � � ���3 Are you an employer?Check the appropriate box: Type of project(required): 1. am a employer with 1 4. ❑ I am a general contractor and I 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. t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12,❑Roof repairs insurance required.] t employees. [No workers' 13.0 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 sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �/7� /�/�✓ % �(J� Policy#or Self-ins.Lic.#: (���r/�`� U /l In Expiration Date: Job Site Address: P21 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 criminalp enalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Iq I do hereby certif nde lepal and enalties of perjury that the information provided above is true and correct. Sign re: c Date: Phone#: D �p� 3 �^ 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#: ACORV CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDfYM) 9/20/11 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 NAME: A. & K Fowler Insurance LLC PHONE FAX x'00 dark Street E-MAIL (978) 664-0366 No: (978) 664-2209 ADDRESS: kort;h Reading, MA 01864 PRODUCER 1261 INSURERS)AFFORDING COVERAGE NAIC# INSURED INSURERA:Hartford Insurance Company �ichard J. Madison d/b/a INSURER B: J Construction INSURER C: "Madison Ave. INSURER D: Groveland, MA 01834 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. LXR TYPE OF INSURANCE ADDL SUBR POUCY NUMBER PM DCDy1A MMIUDa1YYY LIMITS GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 08SBANF7078 5/28/11 5/28/12 DAMAGE TO RENTED $ 300,000 CLAIMS-MADE a OCCUR MED EXP(Anyone person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 GEN'LAGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY 7 JE CPRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALL 0 WNED AUTOS BODILY INJURY(Per accident) $ A SCHEDULEDAUTOS 08SBANF7078 5/28/11 5/28/12 PROPERTY DAMAGE $ X HIREDAUTOS (Peraccident) X NON-OWNED AUTOS $ UMB FIE LLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY OBWECGQOI6O 5/30/11 5/30/12 WC STATU- Y/N OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACG DENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ '5500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance verification CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, Ma AUTHORIZED REPRESENTATIVE Sheila M. Williams ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 2009/09 The ACORD name and logo are registered marks of ACORD 'fir I Massachusetts- Department of Public Safet% Board of Building- Regulations unci Standards Construction Supervisor License License: CS 30000 RICHARD J MADISON - , 3 MADISON AVE GROVELAND, MA 01834 Expiration: 7/21/2013 ( oinmisiuni r Tr#: 18274 r p �?aoarrrto�, Office of Consumer Affai�no� Regulation `r SOME IMPROVEMENT CONT Registration: 118509 CONTRACTOR " Expiration: <3/29/2013 Type' DBA " ONS TRUCTIO: F '==_." N_ ' RICHARD MADISO_ MADISON AVE GROV r, ELAND, MA 01'83. ..: Undersecretary D � SPECIAL SERVICES CUSTOMER INVOICE Page 1 of 9 No. 2614-153199 wa Store 2614 READING,MA Phone: (781) 944-6423 VALIDATION 60 WALKERS BROOK DRIVE Salesperson: JMB468 Date: 07/31/2011 06:10 PM READING, MA 01867 Reviewer: Transaction: 2614 12 59407 Name Home Phone SULLIVAN CHRIS (978) 681-5188 Order Total: $24,881.44 jAdd,ess Amount Paid: $18,695.19 171 KARA DR Work PhoneCompany Name Pay Type: VISA ih NORTH ANDOVER Joh Description RTS 7/31/11 INSTALL KITCHEN stateMA Zip 01845-4834 County ESSEX VENDOR DIRECT SHIP 41 MERCHANDISE AND SERVICE SUMMARY. odto� stomershttolimitthequantitiesofine andise TO: CUSTOMER S/O -MERCHANDISE TO BE SHIPPED: S/O THOMASVILLE REF# S02 REF# SKU QTY UM DESCRIPTION TAX ACH EXTENSION S0201 502-649 1.00 EA APC/APC ALL-PLYWOOD BOX 20% /APC $751.35 $751.35* S0202 502-649 1.00 EA PALOMINO-DS/PALOMINO-DS PALOMINO DISTRESSED f% / PALOMINO $0.00 $0.00 S0203 502-649 5.00 EA SFM8/SFM8 SOFFIT FLR MLDG CLEAT/SFM8 MODS: W=96"W2= ' 6" —0 N $130.86 $654.30* 3/4" S0204 502-649 5.00 EA SWLCRM8/SWLCRM8 SOLID WOOD LARGE CROWN M RM8 N $72.91 $364.55* MODS: W=96"W2=96" H=2 5/16" D=2" S0205 502-649 5.00 EA INSERTCELT/INSERTCELT CELTIC INSERT/ LT MODS: W=96" N $240.78 $1,203.90* W2=96" H=2 1/4" D=0 1/2" S0206 502-649 4.00 EA TB8-WD14/TB8-WD14 TOE BOAR . /TB8-WD14 MODS: W=96" N $29.91 $119.64* W2=96" H=4 1/2" D=0 3/8" S0207 502-649 2.00 EA SBS/SBS SNACK BARS SBS FSIDES:B N $57.95 $115.90* S0208 502-649 1.00 EA 4DB18/4DB18 4 PRNO,6S '18/4DB18 FSIDES:B HINGES:B N $539.89 $539.89* S0209 502-649 1.00 EA BEPVG/B '&k END PNL V GROOVE/BEPVG FSIDES:B N $118.89 $118.89* S0210 502-649 1.00 EA TEP9QVQ/ P90VG TALL END PNL VG 90H L /TEP90VG FSIDES:B N $274.43 $274.43* ***CONTINUED ON NEXT PAGE*** D O� i i Indicates Page 1 of 9 No. 2614-153199 * Store markdown Page Copy SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: SULLIVAN Page 2 of 9 No. 2614-153199 VENDOR DIRECT SHIP #1 (Continued) TO: CUSTOMER S0211 502-649 1.00 EA 4DB15/4DB15 4 DRW BASE 15/4DB15 FSIDES:B HINGES:B N $514.46 $514.46* S0212 502-649 1.00 EA BP4834.5VG/BP4834.5VG BACK PNL 48W 34.5H VG/BP4834.5VG FSIDES:B N $149.17 $149.17* MODS: W=48" H=34 1/2" D=0 1/4" S0213 502-649 1.00 EA BBM8/BBM8 BASEBOARD MLDG/BBM8 FSIDES:B MODS: W=66 9/16" H=4 1/2" N $68.42 $68.42* D=0 1/4" S0214 502-649 1.00 EA 3DB12/3DB12 3 DRW BASE 12/3DB12 FSIDES:B HINGES:B N $417.63 $417.63* S0215 502-649 1.00 EA SB36/SB36 SINK BASE 36/SB36 FSIDES:B HINGES:B N $430.34 $430.34* S0216 502-649 1.00 EA BP4834.5VG/BP4834.5VG BACK PNL 48W 34.5H VG/BP4834.5VG FSIDES:B N $149.17 $149.17* MODS: W=18" H=34 1/2" D=0 1/4" S0217 502-649 1.00 EA B30SS/B30SS SLIDING SHF BASE 30/B30SS FSIDES:B HINGES:B N $702.89 $702.89* S0218 502-649 1.00 EA DW362424L/DW362424L DIAG 36H 24W 12D LH/DW362424L FSIDES:B N $381.73 $381.73* HINGES:L S0219 502-649 1.00 EA MIP/MIP MATCHING INTERIOR % /ATT:DW362424L MIP FSIDES:B N $95.43 $95.43* S0220 502-649 1.00, EA AVONDL-36/AVONDL-36 AVONDALE GLASS 36"H /ATT:DW362424L AVONDL- N $255.74 $2:55.74* 36 FSIDES:B S0221 502-649 1.00 EA CG/CG PREP FOR GLASS 36"H/EA/ATT:DW362424L CG FSIDES:B N $31.78 $31.78* S0222 502-649 1.00 EA GSKDW24/GSKDW24 GLASS SHF KIT 2 DIAG WALL 24W{T/ATT:DW362424L N $86.74 $86.74* GSKDW24 FSIDES:B S0223 502-649 1.00 EA WEP36VG/WEP36VG WALL END PNL VG 36H R /WEP36VG FSIDES:B N $92.35 $92.35* S0224 502-649 1.00 EA DW362424R/DW362424R DIAG 36H 24W 12D RH/ DW362424R FSIDES:B N $381.73 $381.73* HINGES:R S0225 502-649 1.00 EA MIP/MIP MATCHING INTERIOR %/ATT:DW362424R MIP FSIDES:B N $95.43 $95.43* S0226 502-649 1.00 EA AVONDL-36/AVONDL-36 AVONDALE GLASS 36"H /ATT:DW362424R AVONDL- N $255.74 $255.74* 36 FSIDES:B S0227 502-649 1.00 EA CG/CG PREP FOR GLASS 36"H/EA/ATT:DW362424R CG FSIDES:B N $31.78 $31.78* S0228 502-649 1.00 EA GSKDW24/GSKDW24 GLASS SHF KIT 2 DIAG WALL 24W{T/ATT:DW362424R N $86.74 $86.74* GSKDW24 FSIDES:B S0229 502-649 1.00 EA W2136R/W2136R WALL 21W 36H RH/W2136R FSIDES:B HINGES:R N $320.04 $320.04* S0230 502-649 1.00 EA W2436/W2436 WALL 24W 36H 2DR/W2436 FSIDES:B HINGES:B N $407.16 $407.16* S0231 502-649 1.00 EA FPEB-W/FPEB-W FLUSH FURNITURE PLYWOOD ENDS/ATT:W2436 FPEB-W N $54.21 $54.21* FSIDES:B S0232 502-649 1.00 EA W2736/W2736 WALL 27W 36H/W2736 FSIDES:B HINGES:B N $424.35 $424.35* S0233 502-649 1.00 EA FPEB-W/FPEB-W FLUSH FURNITURE PLYWOOD ENDS/ATT:W2736 FPEB-W N $54.21 $54.21* FSIDES:B Indica Page 2 of 9 No. 2614-153199 * Store markdown Copy t SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: SULLIVAN Page 3 of 9 No. 2614-153199 VENDOR DIRECT SHIP #1 (Continued) TO: CUSTOMER VENDOR-SPECIAL INSTRUCTIONS: LIN E:THMASVIL DSTYLE:CAMDEN CHERRY USTYLE:CAM DEN-CHY LSTYLE:CAMDEN-CHY WOOD: APC FINISH: PALOMINO-DS DSGNR:JMB468 S/O-MERCHANDISE TO BE SHIPPED: S/O THOMASVILLE REF# S03 ESTIMATED ARRIVAL DATE: 08/28/2011 REF# SKU QTY UM DESCRIPTION TAX PRICE EACH EXTENSION S0301 502-649 1.00 EA PALOMINO-DS/PALOMINO-DS PALOMINO DISTRESSED f%I/PALOMINO-DS N $0.00 $0.00 S0302 502-649 1.00 EA OCD339024/OCD339024 DBL OVEN 33W 90H 24D/OCD339024 FSIDES:B N $1,271.19 $1,271.19* S0303 502-649 1.00 EA SLS3336L/SLS3336L SUPER SUS ASYMETRIC L33 R36 LH/SLS3336L N $996.39 $996.39* HINGES:L S0304 502-649 1.00 EA F630/F630 FLR 6W 30H/F630 FSIDES:B MODS: W=4" H=34 1/2" D=24" N $22.43 $22.43* S0305 502-649 1.00 EA F330/ F330 FLR 3W 30H/F330 FSIDES:B MODS: W=1 1/4" H=34 1/2" D=24" N $14.58 $14.58* S0306 502-649 1.00 EA SLS36R/SLS36R SUPER SUS 36 RH/SLS36R FSIDES:B HINGES:R N $996.40 $996.40* S0307 502-649 2.00 EA F330/F330 FLR 3W 30H /F330 FSIDES:B N $14.58 $29.16* S0308 502-649 1.00 EA SB36/SB36 SINK BASE 36/SB36 FSIDES:B HINGES:B N $0.00 $0.00 S0309 502-649 1.00 EA U249024/ U249024 UTILITY 24W 90H 24D 2DR/U249024 FSIDES:B N $930.97 $930.97* S0310 502-649 1.00 EA TF390/TF390 TALL FLR 3W 85.5H/TF390 FSIDES:B N $38.13 $38.13* S0311 502-649 1.00 EA W3336/W3336 WALL 33W 36H/W3336 FSIDES:B HINGES:B N $455.38 $455.38* S0312 502-649 1.00 EA W361824/W361824 WALL 36W 18H 24D/W361824 FSIDES:B HINGES:B N $354.81 $354.81* S0313 502-649 1.00 EA BP4896VG/BP4896VG BACK PNL 48H 96W VG/BP4896VG N $337.62 $337.62* S0314 502-649 1.00 EA OL330/OL330 OVERLAY FLR 3W 29.5H/OL330 N $18.32 $18.32* S0315 502-649 1.00 EA PALOMINO-DS/PALOMINO-DS PALOMINO DISTRESSED f% /PALOMINO-DS N $0.00 $0.00 VENDOR-SPECIAL INSTRUCTIONS: LINE:THMASVL2 DSTYLE:CAMDEN CHERRY USTYLE:CAMDEN-CHY LSTYLE:CAMDEN-CHY WOOD: CLS FINISH: PALOMINO-DS DSGNR:JMB468 VENDOR WILL SHIP MDSE TO: ISULLIVAN, CHRIS ADDRESS: 171 KARA DR CITY: NORTH ANDOVER STATE: MA ZIP: 0184548 COUNTY: ESSEX SALES TAX RATE: 6.250 • $15,095.47 34 PHONE: 978 681-5188 ALTERNATE PHONE: PAGER: "**CONTINUED ON NEXT PAGE*** Indica Page 3 of 9 No. 2614-153199 * Indicates Copy SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: SULLIVAN Page 4 of 9 NO. 2614-153199 VENDOR DIRECT SHIP #1 (Continued) TO: CUSTOMER END OF VENDOR DIRECT SHIP INSTALLATION #1 REF# 101 ESTIMATED INSTALL BEGIN DATE: 07/31/2011 ESTIMATED INSTALL END DATE: 08/30/2011 BASIC INSTALLATION LABOR: SKU I DESCRIPTION I QTY I UM ITAXI PRICE EACH I EXTENSION 282-627 1 KITCHEN POINT-NAT/ 1 0.001 EAI N 1 $0.011 $0.00 OPTIONAL LABOR SELECTED INCLUDES: OPTION DESCRIPTION QTY UM TAXI PRICE EACH EXTENSION 1 KITCHEN CABINETS WORKSHEET POINTS FOR DEMOLITION, DEBRIS REMOVAL, 141.50 EA N $29.00 $4,103.50 ELECTRICAL, PLUMBING AND APPLIANCES (UTILIZE THE KITCHEN POINT WORKSHEET TO OBTAIN TOTAL NUMBER OF POINTS)/ 2 PER CABINET INSTALLATION (INCLUDES WALL, BASE, PANTRY, PENINSULA OVEN & 27.00 EA N $69.00 $1,863.00 APPLIANCE CABINETS. INCLUDES SHELVES, FILLERS, SCRIBE, TOE KICK, HANDLES & KNOBS.) KEY THE NUMBER OF CABINETS TO BE INSTALLED IN THE QUANTITY SECTION./ 3 IPERMIT AND ADMINISTRATIVE FEE QTY X$1.00)/ 675.001 EA N 1 $1.00 $675.00 5 1 PER POINT- PLUMBING AND ELECTRICAL ONLY/ 115.001 EAI N 1 $20.00 $2,300.00 INSTALLATION SITE NAME: ISULLIVAN, CHRIS INSTALL LABOR CHARGE: $8,941.50 ADDRESS: 171 KARA DR TRIP CHARGE: $0.00 CITY: NORTH ANDOVER STATE: MA ZIP: 01845 CREDIT FOR DEPOSIT/MEASURE: $99.00 COUNTY: ESSEX SALES TAX RATE: 6.250 TAX: Merchandise- Y LABOR- N ® $8,842.50 PHONE: 978 681-5188 ALTERNATE PHONE: BASIC INSTALLATION LABOR INCLUDES: •AN INSTALLER SITE ANALYSIS IS REQUIRED FOR PROPER FIT SITE ANALYSIS FEE IS APPLIED TO THE PURCHASE. OF KITCHEN CABINETRY AND OTHER PRODUCTS TO BE INSTALLED. `THE FINAL KITCHEN POINT WORKSHEET MUST BE SIGNED BY BOTH DURING THIS CONSULTATION THE INSTALLER WILL CHECK FOR THE CUSTOMER AND STORE ASSOCIATE.A COPY OF THE FINAL UNUSUAL SITUATIONS WHICH MAY REQUIRE ADDITIONAL LABOR. SIGNED KITCHEN POINT WORKSHEET MUST BE GIVEN TO THE ***CONTINUED ON NEXT PAGE*** a Page 4 of 9 NO. 2614-153199 Store Copy SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: SULLIVAN Page 5 of 9 NO. 2614-153199 INSTALLATION #1 (Continued) REF#101 *DAILY CLEAN UP OF JOB SITE CUSTOMER AND INSTALLER. *THE SITE ANALYSIS FEE IS NON-REFUNDABLE *IF CUSTOMER PURCHASES LABOR FROM THE HOME DEPOT,THE UNLESS STATED ABOVE THIS INSTALLATION DOES NOT INCLUDE: ADJUSTING OPENINGS OR ANY WORK INVOLVING LOAD BEARING WALLS ALTERATIONS TO EXTERIOR OF HOME REMOVE,ALTER OR BUILD LOAD BEARING WALLS(OTHER THAN STUD WALL REMOVAL OF VINYL FLOORING FRAMING) INSTALLING SKYLIGHTS STRUCTURAL WORK SPECIAL NOTES: *AN ADULT OVER 18 YEARS OF AGE WITH THE AUTHORITY TO MAKE CHANGE FURNACE FILTER BEFORE,DURING AND AFTER INSTALLATION. DECISIONS ABOUT YOUR INSTALLATION MUST BE PRESENT DURING THE *WATER,GAS AND SEWER SERVICE MAY BE TEMPORARILY TURNED OFF INSPECTION(WHEN APPLICABLE),DELIVERY AND INSTALLATION DURING THE INSTALLATION PROCESS. THE INSTALLER WILL NOTIFY *NO WORK TO BE DONE ON SUNDAYS OR HOLIDAYS THE CUSTOMER OF AN ESTIMATED LENGTH OF TIME FOR THE SERVICE "ALL WORK WILL BE DONE TO LOCAL CODES AND ORDINANCES TO BE UNAVAILABLE. *ALL WATER AND GAS SUPPLY LINES MUST HAVE INDEPENDENT *CUSTOMER IS ASKED TO DESIGNATE PARKING,ENTRANCE AND EXIT SHUT-OFF VALVES. ACCESS PREFERENCES FOR THE INSTALLER(INCLUDING RESTROOM *JOBSITE MUST BE COMPLETELY ENCLOSED WITH ALL WINDOWS, ACCESS). DOORS,INTERIOR WALLS,ROUGH PLUMBING AND ELECTRICAL WORK *CHILDREN AND PETS MUST BE KEPT AWAY FROM THE WORK AREA COMPLETED PRIOR TO THE INSTALLATION *CUSTOMER IS RESPONSIBLE FOR ANY UNFORESEEN CONDITIONS *THE WORK AREA MUST BE CLEAR AND ALL VALUABLES AND WHICH MAY ARISE DURING INSTALLATION. BREAKABLES MUST BE REMOVED FROM THE WORKSITE PRIOR TO WORK *THE FINAL KITCHEN POINT WORKSHEET MUST BE SIGNED BY BOTH BEGINNING THE CUSTOMER AND STORE ASSOCIATE.A COPY OF THE FINAL, *CUSTOMER MUST UNDERSTAND THERE WILL BE A PERIOD DURING SIGNED KITCHEN POINT WORKSHEET MUST BE GIVEN TO THE CUSTOMER THE INSTALLATION WHEN THE JOBSITE AREA WILL BE COMPLETELY AND INSTALLER. UNUSABLE. *NOTE:THE HOME DEPOT DOES NOT PROVIDE THE FOLLOWING *CUSTOMER MUST UNDERSTAND THERE WILL BE A PERIOD DURING SERVICES(AS PART OF KITCHEN INSTALLATION PROGRAM) THE START OF THE JOB.OTHER ARRANGEMENTS MUST BE MADE BY *ADJUSTING OPENINGS OR WORK INVOLVING LOAD BEARING WALLS CUSTOMER DURING THIS TIME FOR ACTIVITIES USUALLY HELD IN *REMOVE,ALTER OR BUILD LOAD BEARING WALLS(OTHER THAN THE JOBSITE AREA. STUD WALL FRAMING). *`*CONTINUED ON NEXT PAGE*** Page 5 of 9 NO. 2614-153199 Store Copy SPECIAL SERVICES CUSTOMER INVOICE -Continued Last Name: SULLIVAN Page 6 of 9 NO. 2614-153199 INSTALLATION #1 (Continued) REF#101 *THE WORK AREA WILL BE CLEANED UP DAILY,BUT DUST AND *INSTALLING SKYLIGHTS CONSTRUCTION RELATED DEBRIS AND NOISE WILL BE INEVITABLE *STRUCTURAL ALTERATIONS OR REPAIRS THROUGHOUT THE INSTALLATION. *ALTERATIONS TO EXTERIOR OF HOME *ALL POSSIBLE STEPS WILL BE TAKEN TO MINIMIZE SPREAD OF *REMOVAL OF VINYL FLOORING WORK AREA DUST TO OTHER PARTS OF THE HOME.CUSTOMER SHOULD END OF INSTALL#1 TOTAL CHARGES OF ALL MERCHANDISE & SERVICES PAYMENT TERMS: • ' • $23,937.97 Refer to the Home Improvement Agreement for payment terms. SALES TAX $943.47 TOTAL $24,881.44 BALANCE DUE $0.00 END OF ORDER No. 2614-153199 L Page 6 of 9 NO. 2614-153199 Store Copy Page 7 of 9 No. 2614-153199 The Home Depot Special Services Will Call/Direct Ship/Delivery Returns: Except where prohibited by law, all returned Special Order Merchandise is subject to a fifteen percent(15%) restocking fee. Custom made goods are not returnable. Will Call: The Home Depot Store will call,the number provided on the Invoice when Order is available. A Will Call held at the Store for over thirty(30) days shall be subject to the abandoned property laws in your state. Direct Ship: Direct Ship merchandise will be sent by the vendor and/or manufacturer to the address on the Invoice. Delivery: Home Depot shall arrange for its Delivery Agent to deliver the Order to the address identified on the Invoice pursuant to the following terms and conditions: Roads Notice: The delivery address must be accessible by vehicle over roads and bridges rated to handle up to and including (40)forty ton loads. If any portion of Delivery Agent's route must traverse a section of road that is not rated to handle a forty ton load or heavier, Customer will be responsible for seeking a waiver, at Customers expense, from the appropriate governmental authority. If Customer is unable to obtain a waiver, delivery service will not be available to the delivery address. Unattended Drop: If Customer will not be present to accept the delivery, and the delivery can be left unattended, Please indicate by initialing below: By initialing here, I authorize Delivery Agent to leave the merchandise unattended following delivery and accept full responsibility for any resulting loss of, or damage to, the merchandise. Curbside Deliveries Only: You are purchasing merchandise that has been designated by Home Depot for curbside deliveryonl . Your purchase does not include delivery ry beyond curbside, on - premise premise or in-house ( Additional Services ) or the installation/hook-upof merchandise ("Non- included ( included Installation Services"), and Home Depot has not authorized its Home Depot Delivery Agent("Delivery Agent") to perform such Additional Services or Non-included Installation Services. In the event you request, and Delivery Agent agrees to perform, Additional Services and/or Non-included Installation Services, YOU ASSUME THE RISK OF, AND FULL LIABILITY FOR, ANY RESULTING PERSONAL INJURY, DAMAGE TO PROPERTY, OR DAMAGE TO MERCHANDISE. Also, any Non-included Installation Services shall void any express or implied warranty provided by Home Depot and may void the manufacturer's warranty on the merchandise so installed. By signing below, you acknowledge that you have read and fully understand the terms of this waiver and release, and you intend it to be a complete and unconditional release of all liability in regard to any requested Additional Services and/or Non-included Installation Services. Accepted by: X n7/'A1/9n11 i I Customer's Signature Date Page 7 of 9 No. 2614-153199 Store Copy I Page 8 of 9 No. 2614-153199 Home Improvement Agreement PLEASE READ THIS Important additional information regarding Customer's rights may be contained in an attached State Supplement. Scope: This "Agreement" consists of this page, the following General Terms and Conditions, the Invoice, the State Supplement if applicable, and any drawings or Change Orders expressly made a part of this Agreement. The Agreement is between the Customer identified on the Invoice and The Home Depot. Any installation services provided under this Agreement shall be performed by a licensed and insured third party Authorized Service Provider. The Home Depot does not perform architectural or engineering services, nor does it make structural changes to dwellings or other structures.The Home Depot and its Authorized Service Provider will perform installation services in accordance with applicable law. Payment Schedule: Payment is required in accordance with the below schedule. Down Payment: $ Due in full immediately. Customer down payment 18695.19 is NOT an installment payment under this Agreement Final Payment: $ Due upon completion of installation. Sales Tax: $ 6186.25 If applicable. Total Amount of Sale: $ A4*1 47 Includes all applicable discounts,rebates,and 24881.44 taxes.Excludes finance charges.' *Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement,to which The Home Depot is NOT a party,and will be in addition to Customers payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement,as applicable. No funds should be made payable to Authorized Service Provider; however,Authorized Service Provider may collect Customers payment(s)made payable to The Home Depot. Anticipated Delivery/Installation Schedule Delivery Date: RR Start Date: �1 n Finish Date: �� / Acceptance anO Authorization: Customer authorizes The H1ome Depot to order and arrange for eOd li ery of all goods and services included on the Invoice. Customer further agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to said goods and services and supersedes all prior discussions and agreements, either oral or written relating to said goods and services. This Agreement can not be assigned or amended except by a writing signed by Customer and The Home Depot. Customer acknowledges and agrees that Customer has read, understands, voluntarily accepts the terms of and is entitled to and has received a complete copy of this Agreement at the time Customer signs the Agreement. Do not sign if blank or incomplete. Electronic Signature: The parties to the Agreement agree that the digital signatures of the parties included in this Agreement are intended to authenticate this writing and to have the same force and effect as the use of manual signatures. Customer acknowledges that he or she is the person named on The Home Depot contract number identified on the point of sale device. CANCELLATION: CUSTOMER MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT O ID IGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE STATE SUPPLEMENT ATTACHED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE. Under such circumstances, Customer's payment(s)will be returned within ten (10) business days__after The Home Depot's receipt of Customer's notice. Accepted b 07/31/2011 x Customers Signature Date Authorized Service Providers Full Businessrrrade Name,Address and x License No. or No(s).,as applicable: Associate's/Authorized Service Provider's Full Signature Date Associate: Please print your salesperson's license number,if applicable. License No(s). Authorized Service Provider's Tel.No. Questions? If The Home Depot store and Authorized Service Provider are unable to answer Customer's questions, Customer may contact The Home Depot Customer Care Department at 1-800-553-3199 or use the address below. Home Depot U.S.A.Inc.,2455 Paces Ferry Road,N.W.,Bldg B.3,Atlanta,Georgia 30339 3/2011 Page 8 of 9 No. 2614-153199 Store Copy Page 9 of 9 No. 2614-153199 Home Improvement Agreement General Terms and Conditions Responsibilities: The Home Depot:will provide the products identified on the Invoice and make arrangements to have the Authorized Service Provider perform the installation services in a professional and workmanlike manner. Unless otherwise expressly provided for herein,Authorized Service Provider will obtain required permits and provide permit numbers if required. Customer: will identify any property lines, easements, covenants, underground or overhead utility lines, pre-existing physical or environmental hazards, building code violations or other legal encumbrances that could affect the installation services prior to the installation. Customer shall keep posted permits on display at all times. Customer is responsible for any delays or interference caused to installation by Customer or third party under Customer's direction or control. Changes and Change Orders: Any changes to the installation, including but not limited to changes necessitated by undisclosed, unidentified or unforeseen conditions on the site,are subject to a written Change Order signed by Customer and The Home Depot and any additional products or services included in such Change Order will be paid for in full before any ! such change is made. The Home Depot or Authorized Service Provider has no obligation to attempt to remediate any such E conditions and may immediately discontinue the installation or ask for a Change Order. Please note, The Home Depot or Authorized Service Provider will not remediate any mold, asbestos and lead-based paint. Neither The Home Depot nor the Authorized Service Provider is responsible for delays caused by events beyond either party's control including but not limited to acts of nature, governmental actions, delivery delays or damages caused by third parties, labor strikes, Customer's credit or financing, or any incorrect information or non-compliance with this Agreement by Customer. Liens: Security Interests: If Customer makes all payments as required under this Agreement, no security interest will be placed against Customer's property by The Home Depot. After paying on any completed distinct phase of the installation, Customer may request from Authorized Service Provider a signed lien release and waiver of any right to place any claim against Customer's property applicable to the work then completed. Customer should also refer to the State Supplement for specific State requirements, if any. LIMITED WARRANTY: TO THE EXTENT PERMISSIBLE UNDER APPLICABLE LAW, THE HOME DEPOT WARRANTS THE WORKMANSHIP OF THE INSTALLATION FOR ONE (1) YEAR FROM ITS COMPLETION DATE. PROVIDED CUSTOMER NOTIFIES THE HOME DEPOT DURING THE WARRANTY PERIOD, THE HOME DEPOT WILL ARRANGE FOR REPAIR AT NO CHARGE TO CUSTOMER FOR ANY DEFECTS DUE TO FAULTY WORKMANSHIP. THE HOME DEPOT'S WARRANTY DOES NOT COVER DAMAGE CAUSED BY ACTS OF GOD, INSTALLATION OR REPAIRS MADE BY PERSONS OTHER THAN THE HOME DEPOT OR AUTHORIZED SERVICE PROVIDER, ABUSE, MISUSE, NEGLECT, OR NORMAL WEAR AND TEAR. MERCHANDISE AND MATERIALS ARE COVERED EXCLUSIVELY BY THE MANUFACTURER'S WARRANTY, IF ANY. THIS LIMITED WARRANTY GIVES CUSTOMER SPECIFIC LEGAL RIGHTS AND CUSTOMER MAY ALSO HAVE OTHER RIGHTS THAT MAY VARY FROM STATE TO STATE. WAIVER OF CERTAIN DAMAGES: EACH OF CUSTOMER AND THE HOME DEPOT HEREBY WAIVES ANY CLAIMS AGAINST THE OTHER FOR LOST USE, LOST PROFIT, LOST REVENUE, INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES RELATING TO THE INSTALLATION, THE MATERIALS OR SERVICES OF THE HOME j DEPOT OR OF AUTHORIZED SERVICE PROVIDER OR THIS AGREEMENT. TO THE EXTENT CUSTOMER'S STATE DOES NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES, THIS SECTION MAY NOT APPLY. Termination: If Customer breaches this Agreement or declines a reasonable Change Order request, The Home Depot may immediately terminate the Agreement without further obligation. In the event of such termination, Customer agrees to pay The Home Depot the costs of materials, labor, expenses and services provided by The Home Depot or Authorized.Service Provider through the date of termination, plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DOWN PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acknowledgment: If Customer's purchase includes Countertop installation, Customer acknowledges and agrees that Customer has received and understands the following additional documentation: (a)Countertop installation:What to Expect; and (b) Product Specification Sheet. The Home Depot, via third party, offers Extended Protection Plans on some products. Customer may receive marketing materials on The Home Depot's behalf concerning such Extended Protection Plans. Home Depot U.S.A.Inc.,2455 Paces Ferry Road,N.W.,Bldg B.3,Atlanta,Georgia 30339 3/2011 Page 9 of 9 NO. 2614-153199 Store Copy 59," Mr NOTES N 1-Ceiling Height is 98" - s Cabinet height is 90" Nw3336wE svc i�s See detail for crown molding to clg. co 4D615 3RD � M . .Q O ��.Q•�s m 8a T M O N ' Thomasville Camden Cherry �-4 Palomino Distressed finish eo a , . 00 Designed by H.D. <h O 3 Measured by H.D. ', F.; } v=i Approved �s a: �C ^ ry Date fl I 11F_ IV 6L 3DB1 OCD339024 y DW362424L W2136R Y 40 6.. 78-41" e , -g 126A16" All dimensions_size designations This is an original design and must Designed: 7/31/2011 given are subject to verification on not be released or copied unless Printed: 7/31/2011 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. �721ODCID.KIT All Drawing#: 1 i �59-,'" � xc NOTES N 0 1-Ceilin Height is 98" 9 9 4-3" tall filler s Cabinet height is 90" CM W3336 See detail for crown molding to clg. 5- 1/4" thick grooved end panel. o Trim as req'd. use as a skin. 4DB15 3� J 0 �� 2-filler, trim as req'd. Apply scbibe molding as req'd. `. 0 0 � s > 3-Apply filler overlay 6- 1/4" thick grooved tall end panel, �I �2 O 09' ass 6 trim as req'd, used as a skin. Apply ;---------- --- scribe molding as req'd. ai Oe 00 0 z 7-Install cutlery divider in 18" wide Thomasville Camden her A drawer base cabinet. Palomino Distressed finish �i< O iia N Designed by H.D. 0) �O O Measured by H.D. 00 } M A t = Approved Note: Tall filler next to refrigerator. o Date %1 e'- n t0 N . ,, r LL 2 3 CnW SIN - • N 6L 3DB1 OCD339024 4r r; � f DW362424L W2136R 78;.. 40 a.. x-52" ,s 126 s" All dimensions_size designations This is an original design and must Designed: 8/2/2011 given are subject to verification on not be released or copied unless Printed: 8/2/2011 job site and adjustment to fit job applicable fee has been paid or job conditions. orderlaced. � 7 h q6 .. . -i- 73100D18.KIT All Drawing#: 1 Note: This drawing is an artistic Designed: 7/31/2011 interpretation of the general Printed: 7/31/2011 appearance of the design. It is not meant to be an exact rendition. 73100D18XIT All Drawing#: 1 d ff�-M-0 -gaE=t Note: This drawing is an artistic Designed: 7/31/2011 interpretation of the general Printed: 7/31/2011 appearance of the design. It is not meant to be an exact rendition. 73100D18XIT All Drawing#: 1 59391 4 27 24" 33" _ r a _ C� = DW362424R W3336WEP36VG C� M C� 00 SLS36R 4DB15 31SB36 M M JI, 36" 15" 3 �� 59$ „ 8 All dimensions_size designations This is an original design and must Designed: 7/31/2011 given are subject to verification on not be released or copied unless Printed: 7/31/2011 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. 7210DC 1 D.KIT El 4 Drawing#: 1 674 " -241f--T-24" 6 8 4" 2 7" 24" SIN M �IN DW362424L W2436 W2736 DW362424R M 00 at V—I f d7 1 '^ } �Y � d- SLS3336L F6 y 24 DISH1/V ` SB36 B30SS SLS36R M R f N 4.l z £ 36" 2 " -31'311- 30" 4 36" 52" 29$" 854" All dimensions_size designations This is an original design and must Designed: 7/31/2011 given are subject to verification on not be released or copied unless Printed: 7/31/2011 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. 7210DC1D.KIT EI 3 Drawing#: 1 1266" 81 6" 21 24" r MW2136R DW362424L '_IN U') Y J �M 00 OCD339024 00 d' �I04 3DB12 SLS3336L M 48; " "3312" 33" 27 4 9816" All dimensions_size designations This is an original design and must Designed: 7/31/2011 given are subject to verification on not be released or copied unless Printed: 7/31/2011 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. 721 ODC 1 D.KIT El 2 Drawing#: 1 -675 f-6 28 -6 36" O , _ CO W361824 � N . r ^� se y K Y _ TEP U249024 TF390 N qRF1` r r p Ff � NK v ' 24" 9" 164 46-6 21 " All dimensions_size designations This is an original design and must Designed: 7/31/2011 given are subject to verification on not be released or copied unless Printed: 7/31/2011 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. 7210DC1D.KIT JEl 1 Drawing#: 1