HomeMy WebLinkAboutBuilding Permit #760-14 - 1818 SALEM STREET 3/28/2014Q
BUILDING PERMIT 3r ��::,. • ».
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
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Permit NO: Date Received
TYPE OF IMPROVEMENT
PROPOSED USE
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Residential
Non- Residential
❑ New Building
P -One family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
o'Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
Ci Septic Mall Floodplain Wetlands . # Watersher! District
a er
A
Identification Please Type or Print Clearly)
OWNER: Name: kv;,.l ^.1 t e r .l Phoned :7 L-
Address:
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: $ , �� S�ocl FEE: $ -S 0
Check No.: :)2A Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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A
Identification Please Type or Print Clearly)
OWNER: Name: kv;,.l ^.1 t e r .l Phoned :7 L-
Address:
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: $ , �� S�ocl FEE: $ -S 0
Check No.: :)2A Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
. L
Plans -Submitted ❑ -Plans W. -aived-❑
.Certified Plot Plan ❑ Stamped Plans ❑
-TYPE OF.,SEWERAGED3SP.OSAL"
Public Sewer ❑
Tanning/Massage/Body Art ❑ ..
.Swimming Pools ❑
Well ❑
Tobacco.Sales 0
Food Packaging/Sales ❑
Private" (septic tank,,etc ❑. -•- ;
Permanent Dempster on Site El
=THE -.FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF'- U FORM
.--.-,,.-DATE REJECTED DATE.APPR:OVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH
COMMENTS
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes_..
Planning Board Decision:
Comments
Conservation Decision: Comments
Water & Sewer Connectiowsignature & Date Driveway Permit
DPW 'Todv.! Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMI.EAt `Tempi "Dumpster on site yes no
Located -at 124 Mair, Street
--Fire Departmeritsignatu"re/date ` _
'COMMENTS
. -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.Z®NE LITERATURE: Yes No
MGL -Chapter 166.Section 21A -F and G min.$100=$1000:fine
NOTES and DA I A — (I -or clepartment use
® Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
:_:-rhe fo= -awing is'a=list of the required.forms to be filled out forAhe appropriate:permit to .be obtained.
R.00firag, Siding, Interior Rehabilitation Permits
u Building Permit Application
❑ Workers Comp -Affidavit
o Photo Copy Of H.I.C. And/Or C.S:L: Licenses
a 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
o Certified Surveyed Plot Plan
Li Workers Comp Affidavit
a Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ 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)
o Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
o 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
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cas<s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the apodal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subWted with the building application
Doc: Doc.Building permit Revised 2012
Location (A—�?—<:;I (1,..t_ 15-7—
Date
No. / - l
Check #�) 7
TOWN OF NORTH AN60VER
IF
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Building Inspector
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The Commonwealth ofMassachusetts , -
Department o f In dusk ial Accidents
Office of Investigations
600 Washington. Street
.;Boston, MA 02111
www.mass.gov/dia
Workers' Compensation basurance Affidavit: Builders/Conti°actors/EIectricians/P , " ' era
A lieant information Please Pr nt Legibly
Name (Business/Organizationftdividual):�e V-0'5 - CO Y15
Address: 7 O G `
City/State/Zip: y-P� of q-�1 Phone #: 6 /7 — -7 f 7 r
Are you an employer? Check the appropriate box:
Type of project (required.):
I am a y emp to er with
4. ElI am a general contractor and I
6. [] New construction
employees (full and/or pari time). �
2111 am a sola proprietor or partner -listed
have hired, the sub -contractors
on the attached sheet.
7. ❑Remodeling
ship and`have no.employees
These sub -contractors have
8. )k-Demolitzon
working forme in any capacity.
workers' comp. insurance.
9. ElBuilding addition
[No workers' comp. insurance
5. ElWe are a corporation. and its
10.❑ Electrical repairs or additions
required.]
3. ❑ I am a homeowner doing all work
officers have exercised.their
right of exemption per MGL
11.❑ Plumbing repairs or additions
myself. [Wb workers' comp.
c.152, §1(4), and we have no
12,QRoofrepairs �
insurance re ed
�' . ] i
employees. [No workers'
13.❑ other
comp. insurance required.]
x,!Any applicant that checks box#1 must also fill out the section bel6w showing their workers' compensation policy information.
7 -Homeowners who submit this affidavit fndicatingtho tie doing all work and then hire outside contractors must submit a new affidavit indicating such.
lContractors that checkthis box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information.
X am an employer that isproviding workers' compensation insurance for my efnployees Below is the policy anct jot site
information. ��
Insurance Company Name:. 5 ]� ?X \ y VyLe-
Policy ## or Self ins. Lic. ff: Expiration Date:
Job Site Address: 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 requ4 dunder Section 25A ofMGL o.152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a time
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.
Ido liereby eerrtt uiuiider ilae pains and p h;e6jperF ry that the informationprovided abbove zs true and co)r(reect.�1\ bllafP• 7 �'— / T
official use only..Do not write in tliis area, to be completed by city or town official.
City or Town: Permit/License 0
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person Phone
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an errtployee is dofmod as "...every, person tri. the service of another under any contract ofhire,
express orimplied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or my two or moxa
Of the foregoing engaged in a joint enterprise, and including the legal representatives of a•deceased employer, or the
receiver or ttustce of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be, deemed to bean employer "
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth. for any
applicant who has not produced.acceptable evidence of compliance with the insurance coverage required.,,
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance
requirements of this chapter have, beenpresented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation, and, if
necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. 1f an LLC or LLP does have
employees, apolicyisrequired. Do advised that thisaffidavit maybe submitted tothe Department of Iudustrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the, permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please tail the Department at the number listed below. Self-insured companies should enter their
self insurance Incense number on the appropriate line.
City or Town Officials
Please be sure thatthe affidavit is complete and printedlegibly. The Department has provided a space at the bottom
of the affidavit fox you to 0 out in the event
please be luxe to fill in the permit/Iicense nuthe Office of Investigations has to contact you regarding the applicant.
that mber which will be used as a reference number. In addition, an applicant
must submit multiple permit/license applications in anygivenyear, need only submit one affidavit indicating current
Policy information (if necessary) and under "Job Site Address" the applicant shouldwrite "all locations in (city or
town)" A copy of the affidavit that has b 0011 officially stamped or marked by the city or town. may b e provided to the
appiicaut as proof that a valid affidavitis on file for fixture permits or licenses. Anew affidavit must be filled out each
year. Whero a homeowner or citizen is obtaining a license ox permit not related to any business or commercial venture
(i.e. ad og license orpermit to burn leaves etc.) said person is NOTxequired to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any ciirestions,
please do nothesitaie to give us a call.
The Department's address, telephone and fax number.
`rho CQm
mollwe�ajthofA4assafihv.:sPts -
Deparimout d1ndustxial Accxdentst
Of oe offAwstigat[Q,ns.
6.0 Wm*gton Sfre�,t
Boston, 02111
TQL # 61.7-72'x,4900 W 406 ox 1-877,
Revised 5-26-05 Fay, # 617"727-7749
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ExMtE IMPROVEMENT CONTRACTOR '
gistration: 108292 TY
piratiop: 8/14/?O14 Private Coy xom0l.
PERRY B40THERS CONSTRUCTION, INC.
Wil!Wn Perry
20 SEAVIEW LANE
NEWBURY, MA 01951
Undersecretary
Massachusetts - Department of Pubic Safe-tj
Board of Building regulations and
Standards
ConAitruct-Ion SEtG°rFFa�S'
License: CS -022831
p.
WELLIAM J pFjw
20 SEAVIEW LN—'s 4
NewburyportMA 01*1
w
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Exoiratior,
bearnEs�aare=
08/0912015
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Please Print
Name: ✓1 c l -- i✓+, 1 6 e3
Location: ! i -,,\ S ry-c-t,(
City �'E! i�J✓� (JL✓�i✓( �'L d `» 1 �'7 Phone
aam a homeowner performing all work myself.
F -1I am a sole proprietor and have no one working in any capacity
0 I am an employer providing workers' compensation for my employees working on this job.
Company name: ��- W �'� C Cl W
Address Ac - 0 /�� L
City: �vtr✓�}�v'� . I1 ayri h4i ) (Ji `ISG/ Phone #: Y1'��3`)t�1�Z617- 7lf'.c��/.
Insurance Co. f� I� Policy #
Company name: 1e. VY" -X `', -v�- r
Address P• t) , ()V -LLL /V
City: M., 6y� 'yx, Phone #: � j`l '�-'�, �sL>r7� 7C�i�
Insurance Co. ��� ti s Policy # V - b �- `7 a 1., fy'-- 13
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00
and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do herby certify urnder t p d penalties ofkerrjury that the information provided above is true and correct.
J V
Signature I JJ,1 Date
Print name W I U I A 1�
Official use only do not write in this area to be completed by city or town official'
❑Check if immediate response is required Building Dept
Contact person: Phone
FORM WORKMAN'S COMPENSATION
❑ Building Dept
❑ Licensing Board
❑ Selectman's Office
❑ Health Department
❑ Other
L -f
Proposal Pagel of3
Perry Brothers Construction
P.0 Box 646 Newburyporf, MA 01950 —P; (781) 233-7511 F: (978) 46"929 www.perrjfbrothersconstruction.com
PROPOSAL SUBMrrrED TO:
PHONE
DATE
Ann Marie Errico
978-689-3230
413/20/4
STREET
JOB NAME
ESTIMATE NUMBER
1818 Salem Street
2991
CIY, STATE AND ZIP CODE
JOB LOCATION
North Andover, MA 01845
SIDING AND MISC. REPAIRS
- Remove existing clapboard on following areas :
- Front, right,ieft, and rear excluding front of rear addition right side
- Replace up to 50 sq/ft of sheathing
- Replacement of damaged sheathing to be billed at $5.00 per square foot
/- Apply Tyvek vapor barrier paper over existing sheathing
- Fabricate and install white aluminum flashing on all windows and doors
- Use PVC trim boards for rear corner boards
- Use clear preprimed non fingered jointed cedar clapboard siding secured with stainless ring nails
- Removal and replacement of damaged trim to billed at $60.00 per hour plus materials
ALUMINUM GUTTERS APPROX. 160'
- Remove all existing aluminum gutters and downspouts
- Cover wood fascia board with white aluminum coil stock
We propose hereby to furnish material and tabor - complete in accordance with above specifications, for the sum of:
Twentv Seven Thousand Five Hundred and 0/100 Dollars ($ 27,500.00 }
Payment to be made as follows:
IST PAYM'T $11,000.00 2ND PAYM'T $11,000.00 3RD PAYM'T $5500.00
All material Is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard praoti es. Any alteration or
deviations from above specifications involving extra casts VAI be executed only
upon written oaiers, and will become an extra urge over and above the
estimate. All agreements contingent upon strikes, accidents, or delays beyond
our control. Owner to carry fire, wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Acceptance of Proposal - The above prices,
specifications, and conditions are satisfactory and are hereby accepted.
You are autohor¢ed to do the work as spearied. Payment will be made
as outlined above.
Authorized
Signature:
NOTE: This proposal may be withdrawn by us if not accepted within ---dM.
Signatrrre:
Date ofAemptance: I Signature:
L, f a
Proposal Page2of3
Perry Brothers Construction
P.O Box 646 Newburypor#, MA 01950 —P. (781) 233-7511 F: (976) 4654929 www.perrybroihersconstuction.com
PROPOSAL SUBMrrTED TO:
PHONE
DATE
Ann Marie Errico
978-689-3230
4/3/2014
STREET
JOB NAME
ESTIMATE NUMBER
1818 Salem Street
2991
CfY, STATE AND ZIP CODE
JOB LOCATION
North Andover, MA 01845
- Supply and install new white ,032 gauge aluminum gutters secured with aluminum bar hangers
screwed into roof rafters
- Screw between bar hangers and caulk top of gutter with Geo Seal caulking
- Install new white downspouts with hidden hangers
GENERAL SPECS
- Removal and replacement of damaged trim to billed at $60.00 per hour plus materials
- Remove and reinstall all electrical devices
- Install PVC blocks for light fixtures, sill cocks, and electric meter
- Paint by owner
- Contractor to provide all permits and inspections as needed
- Certificate of insurance to be issued to owner
- All warrantiies on products used on construction to be provided to owner
We pr000se hereby to furnish material and labor- complete In aocardanoe with above specifications, for the sum of:
Twenty Seven Thousand Five Hundred and 0/100 Dollars ($ 27,500.00 }
Payment to be made as faitows:
IST PAYM`T $11,000.00 2ND PAYM"r $11,000.00 3RD PAYM`T $5500.00
All material is guaranteed to be as specified. AN work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only
upon written orders, and will become an extra charge over and above the
estimate. All agreements contingent upon strikes, accidents, or delays beyond
our control Owner to carry fire, wind damage and outer necessary amsurance.
Our workers are fully covered by Workman's Compensation Insurance_
Acceptance of Proposal - The above prices,
specifications, and conditions are satisfactory and are hereby accepted.
You are autohortmd to do the work as specified. Payment %V be made
as outlined above.
Authorized
Signature:
NOTE This proposal may be withdrawn by us if not accented within mays_
Signature:
Date of Acceptance: I Signature:
Proposal Page3ot3
Perry Brothers Construction
P.0 Box 646 Newburyport, MA 01950 —P: (781) 233-7511 R (978) 4654929 www.perrybrotmrsconstructton.com
PROPOSAL SUBMITTED TO:
PHONE
DATE
Ann Marie Errico
978-6$9-3230
4/312094
STREET
JOB NAME
ESTIMATE NUMBER
1818 Salem Street
2994
CIY, STATE AND ZIP CODE
JOB LOCATION
North Andover, MA 01845
- One year guarantee on workmanship
- Remove all debris
TOTAL STOCK AND LABOR - $27,300.00
We 1} romse hereby to famish material and labor - complete in accordance with above specifications, for the sum of
Twenty Seven Thousand Five Hundred and 01100 Dollars { $ 27,500.00 �
Payment to be made as follows-
IST
ollows1ST PAYM'T $11,000.00 2ND PAYM'T $49,000.00 3RD PAYM'T $5500.00
All material is guaranteed to be as specified. Ali work to be completed in a
workmanlike manner according to standard practices. Arty alteration or
deviations from above specifications involving extra costs will be executed only
upon written orders, and will become an wdra charge over and above the
estimate. All agreements contingent upon strikes, accidents, or delays beyond
our control. Owner to carry ire, wind damage and other necessary insurance.
Our workers are fu6y covered by Workman's Compensation insurance.
Authar¢ed/4
Signature: ,(/L�
NOTE: This proposal may be withdrawrV. If not4Zpted within ._ Sys.
/d1CC@Df nee of Proposal - The above prices,
specifications, and eonddlons are satisfactory and are hereby accepted. Sigrsatura:
You are autohorized to do the work as specified. Payment will be made
as outlined above.
Date of Acceptance: 41 /�o
Signature:
W4 Proposal Paae 1 of 3
Perry Brothers Construction
P.0 Box 646 Newburyport, MA 01950 —P: (781) 233-7511 F: (978) 465-0929 www.perrybrothersconstruction.com
PROPOSAL SUBMITTED TO:
PHONE
DATE
Ann Marie Errico
978-689-3230
4/3/2014
STREET
JOB NAME
ESTIMATE NUMBER
1818 Salem Street
2991
CIY, STATE AND ZIP CODE
JOB LOCATION
North Andover, MA 01845
SIDING AND MISC. REPAIRS
- Remove existing clapboard on following areas:
- Front, right,left, and rear excluding front of rear addition right side
- Replace up to 50 sq/ft of sheathing
- Replacement of damaged sheathing to be billed at $5.00 per square foot
- Apply Tyvek vapor barrier paper over existing sheathing
- Fabricate and install white aluminum flashing on all windows and doors
- Use PVC trim boards for rear comer boards
- Use clear preprimed non fingered jointed cedar clapboard siding secured with stainless ring nails
- Removal and replacement of damaged trim to billed at $60.00 per hour plus materials
ALUMINUM GUTTERS APPROX. 160'
- Remove all existing aluminum gutters and downspouts
- Cover wood fascia board with white aluminum coil stock
We r)roDose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
#Error Dollars $
Payment to be made as follows:
1 ST PAYM'T 2ND PAYM*T 3RD PAYM*T
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only
upon written orders, and will become an extra charge over and above the
estimate. All agreements contingent upon strikes, accidents, or delays beyond
our control. Owner to carry fire, wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Acceotance of Promsal - The above prices,
specifications, and conditions are satisfactory and are hereby accepted.
You are autohorized to do the work as specified. Payment will be made
as outlined above.
Authorized
Signature:
NOTE: This proposal may be withdrawn by us if not accepted within days.
Signature:
Date of Acceptance: I Signature:
R Proposal Page2of3
Perry Brothers Construction
P.O Box 646 Newburyport, MA 01950 —P: (781) 233-7511 F: (978) 465-0929 www.perrybrothersconstruction.com
PROPOSAL SUBMITTED TO:
PHONE
DATE
Ann Marie Errico
978-689-3230
4/3/2014
STREET
JOB NAME
ESTIMATE NUMBER
1818 Salem Street
2991
CIY, STATE AND ZIP CODE
JOB LOCATION
North Andover, MA 01845
- Supply and install new white .032 gauge seamless aluminum gutters secured with aluminum bar
screwed into roof rafters
- Screw between bar hangers and caulk top of gutter with Geo Seal caulking
- Install new white downspouts with hidden hangers
GENERAL SPECS
- Removal and replacement of damaged trim to billed at $60.00 per hour plus materials
- Remove and reinstall all electrical devices
- Install PVC blocks for light fixtures, sill cocks, and electric meter
- Paint by owner
- Contractor to provide all permits and inspections as needed
- Certificate of insurance to be issued to owner
- All warrantiies on products used on construction to be provided to owner
We mo aose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
#Error Dollars ( $ )
Payment to be made as follows:
1ST PAYWT 2ND PAYWT 3RD PAYWT
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only
upon written orders, and will become an extra charge over and above the
estimate. All agreements contingent upon strikes, accidents, or delays beyond
our control. Owner to carry fire, wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Acceotance of Proposal - The above prices,
specifications, and conditions are satisfactory and are hereby accepted.
You are autohorized to do the work as specified. Payment will be made
as outlined above.
Authorized
Signature:
NOTE: This proposal may be withdrawn by us if not accepted within __&ys.
Signature:
Date of Acceptance: I Signature:
A Proposal Page 3 of 3
Perry Brothers Construction
P.O Box 646 Newburyport, MA 01950 —P: (781) 233-7511 F: (978) 465-0929 www.perrybrothersconstruction.com
PROPOSAL SUBMITTED TO:
PHONE
DATE
Ann Marie Errico
978-689-3230
4/3/2014
STREET
JOB NAME
ESTIMATE NUMBER
1818 Salem Street
2991
CIY, STATE AND ZIP CODE
JOB LOCATION
North Andover, MA 01845
- One year guarantee on workmanship
- Remove all debris
TOTAL STOCK AND LABOR -
We propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
#Error Dollars ( $ )
Payment to be made as follows:
1ST PAYM'T 2ND PAYM'T 3RD PAYM'T
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or
deviations from above specifications involving extra costs will be executed only
upon written orders, and will become an extra charge over and above the
estimate. All agreements contingent upon strikes, accidents, or delays beyond
our control. Owner to carry fire, wind damage and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Authorized
Signature:
NOTE: This proposal may be withdrawn by us if not accepted within days.
ACceotance of ProDOs1I - The above prices,
specifications, and conditions are satisfactory and are hereby accepted. Signature:
You are autohorized to do the work as specified. Payment will be made
as outlined above.
Date of Acceptance: I Signature: