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HomeMy WebLinkAboutBuilding Permit #353-13 - 198 MASSACHUSETTS AVENUE 10/31/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION I Permit NO:,;D..-,? Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page ; LQCATION I M Print _ I PROPERTY OWNER ' ASS O ap2. Print LL`f 1:OO+Year Old Structure eyes, rto. ` j — MAPsNO. I sPARCELONING;DISSTRICT �HistoneDistrrct ye no .. :_. ,Mac op Village yes rio hjne h TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family j ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: Xcommercial •Repair, replacement ❑Assessory Bldg ❑ Others: ❑•Demolition ❑ Other r ❑ Septic ❑�1NeII�F, o�Flootlplaln; ❑1Netlards, ,❑ Watershed �,Water%Sewer•_ - , DESCRIPTION OF WORI4 O E PERFORMED: j Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: A CONTRACTOR' Name i ��s�� _ QC� ��J a ,Phoneg7 ''-97 ys0 *$ a _ Address r o1s -4�A+ilc�r,/ J�1 � Supervlso 's Goristru't' _-1,cense � _� Exp ®ate — _ elf! ARCH License ,Exp 'l 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: $ /6 Wo FEE: $ Check No.: Receipt No.: 1.®— i NOTE: Persons contracting with unregistered contractors do not have acces o thu tv fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Swimming Pools ❑ Tanning/MassageBody Art ❑ g Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY j INTERDEPARTMENTAL SIGN! OFF - U FORM DATE REJECTED DATE APPROVED ` PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature Ii COMMENTS HEALTH Reviewed on Signature ia I COMMENTS i 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'gown Engineer: Signature: Located 384 Osgood Street FIRE DEPARTM, L.NT =,Temp Dumpster on site yes. .no Located at;124sMain Street. .. Fire ®epai-tinenf=signatu"reldate'" _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 ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use i I ® Notified for pickup - Date Doc.Building Permit Revised 2010 I I i i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o 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 4 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 j New Construction (Single and Two Family) ❑ Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses { ❑ Workers Comp Affidavit a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And s 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 1 that the appal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submated with the building application Doc: Doc.Building Permit Revised 2012 i Location No. '' Date/99 '—J - IL—TOWN OF NORTH ANDOVER k .g e k Certificate of Occupancy $ . a � . . ^ Building/Frame Permit Fee $ _ Foundation Permit Fee „ n Other Permit Fee $ x TOTAL $ Check# � 25892 Building Inspector f NORTH 1 O S"�o 86 �. - »•.•e O� ti M1 � A �4SS/1CilU5Et�h 16000sgood Street Building 20, 2035 North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 COMPLAINT FOR INVESTIGATION DATE: /6/�,`/ Z_ Tel -62- 72 �1 FROM: ADDRESS: Complaint Against: ELECTRICAL: PLUMBING: GAS: UILDING CONTRACTOR: PROPERTY OWNER: OTHER: (P ASS . X00 Sig ned: ��PrJ1In The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 S� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address:y 2 ��q�IC�� �3 k J � Ci /State/Zi 7�- �S- �.S O U City/State/Zip:p: I' �'�t U e�✓ M 61�qY Phone#: Are-you an employer?Check the appropriate box: Type of project(required): 1I am a employer with 4. [1I 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 1 Roof repairs insurance required.]i employees. [No workers' comp.insurance required.] 13. Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. 121 Insurance Company Name: 17 11w L �f o Policy#or Self-ins.Liic.#: Expiration Date: Job Site Address: `` o`f`f v 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 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 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 rage verification. I do he cer fy under pa' and penalties of perjury that the information provided a7bo is t lie and correct. Si nature: Date: ���/z Phone#: �l_5__ /,/,? 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Y� Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee 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 be an 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 of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented 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-contractor(s)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. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial 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 call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of:Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street -- -- Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www,mass.gov/dia OP ID:MB CERTIFICATE OF °"TE(MMIOD""'m LIABILITY INSURANCE 10130112 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{iesj must be endorsed ff SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 781-935-8480 CONTACT NAME: DeSanctis Insurance Agcy,Inc. 781-933-5645 PHONE Fax 100 Unicom D Park Drive No): Woburn,MA 01801 ADDRESS: CUSTOMER ID#.AULSO-2 INSURER AFFORDING COVERAGE MAIC# INSURED Auison Roofing,Inc INSURER A.Star Surplus Lines Ins Co Aulson Industrial Services Inc INSURER B:The Commerce Insurance Company 49 DantoDrive INsUREt c:Star insurance Company 012245 MethuenChuen,,MA 01844 INSURER D INSURER E; INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE B POLICY NUMBER Pfl!OLICY EFF POLICY EXP YYM (MUM= Lams GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY SLSLEIL72000611 10,31112 10131113 PREMISES cRENTEcmurenoa $ 50,00 CWMSdNADEXI OCCUR MED EXP(Any one person) $ 5,0 X Lead&Asbestos W1 POLLUTION&MOLD PERSONAL&ADV[NARY $ 1,00D,00( AbatementLiab. GENERAL AGGREGATE $ 2,000,00 GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 2,000100 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 B ANYAUTO 11MMCYY1459 10,31112 10131113 (Eat) ALL OWNED AUTOS BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per acadent) $ X NON-OWNEDAUTOS $ $ UMBRELLAIIAB X I OCCUR EACH OCCURRENCE $ 9,000,0 EXCESS LUU3 A DEDUCTIBLE Cta�s-nrADE LSLXNV73000311 GLdCPL 10/31112 10/31/13 AGGREGATE $ 9,000,000 L1CPL X RETENTION $ 10,000 &EL $ wORKERs coMPENSAnoN IoTII- AND EMPLOYERS LIABILITY X C ANY PROPRIETORIP,ARTNEROMCUTIW YIN WCN8632301 10,31/12 10131113 EL EACH ACCIDENT $ 1,000,0 OFFICERIMEMBER EXCLUDED? ® N I A (Mandatory In NH) MA,ME,NH EL DISEASE-EA EMPLOYEE $ 11000100 If yes,descnbe wider DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 1$ 11000,00 DESCRIPnON OF OPERATIONS!LOCATIONS i VEHICLES(Attach ACORD 101,AddWonal Remarks Schedule,It mare space Is reWred) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION ILLUS4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ILLUSTRATION OF COVERAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ESENTA r ©1988.2009 ACffD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD AID NORTH -,mover tolvn Aima O R► No. #3 603 j t h L�K. h over, Mass, �� �� • Q Coc"Ic MlwtcK S U BOARD OF HEALTH PERM Food/Kitchen Septic System • THIS CERTIFIES THAT % rL �,,,,,,,,,,,,, BUILDING INSPECTOR ................................... ......... ..... ... ........ ....... ...... ... Foundation has permission to erect .. ...................... buildings on ...... .. ........... .... ....... .. �, .. Rough to be occupied as ....... .� i.......... . ../ ................................................ y provided that the person accepting this permit shall in every respect confo to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relatin o the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. L D �A �/ p Final PERMIT EXPIRES IN 6 MO THS ELECTRICAL INSPECTOR 74/0 UNLESS CONSTR RTS Rough Service ......... .... .... ............................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Ruiddin 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. [F_ Smoke Det. SEE REVS SE SIDE Aulson Roofing, Inc. 01$44 (978)977-5-450 Fav M1S)684--0`,;3 Proposal BY E-MAIL ON LY cr27AcomCaSt_jet !Massic Mlix"Frust f978, 671-1­OCi June 1 L,ssachuLits Ax ennue 1L lChar"ie Randone iNo, An{ox 0 184 5 198 Massachuseus A�e.- No. Andlo-, r specifications lin thefvlloivhg manner. This estimate co\e,-;z the fc)ljj-),%Ing area entire lower roof(approximatch 10.400 sq. ft I wth vvails). Mnim c-The exisfing E.P.D.M.rv*fdiov�n to Ite.b�t1ji? ul rt., ) �,appro\,111 Tel 16 I iL , i I - I a 2") sq. !L i. Rezmntweihle existing roofdo"kil to The Woo I deck I Ll KMi;�n� wei iapproximatelix 1000 sq. A. x deck FClig %Nill be an additiona, cos, to 'c It voniract. M-Char"Calk fasten 12 Nnh'�cl'­ w "arale MjtWn ,.%i1i1 31' insuialioin coated scre%\S The .660 FPD M membr-ane ,N Al adfie red 03 the insula-fi(M. 11 scams %vi-111 be p-rinee and <L-arn tape an-pNe*4 TAe elxistiml ed Te&I-il xv;j l-e%, S.tj and re­tiecure(i H IN' A C to alts to K�-fla-shed v.Ith E PDNJ flushing mernbyanl-, Raise HN..�\.0 ur,;zz and ins i' nent pre�ssue treated Sleepers, ripes t') fl-at e rexx pr-;,nrrned -psi c hooi li-ghts to flashed \%ah EFIDN' 1 ing, mcmbrane_ St %%ilh EfID.N! ml. nbrane. Lt 4perl% PlaNh all A' i ' IMini tO he �e7-kicall\ flashed and proper!% temiinated. lie eXISIRM.? sIdin­ ',Vitl be cut to j rroner 'a-shing, heiu'hl� EPWAI flashim'-, installe' - Z7 I.' I . 1 14 1- U. vildl P'r-10rerl', Tel-minated. Pr6%ide standard;; Aul-son Roo',ng t«o veiai ittqt--r.anh "hip L Reillox­ a]' ouz�ide iolv related J,- till requlire space for a dunlvSt,,,r. e prop,Ne hereb.1 tofarnith maierjuh and jaht;r,et)#npleie in accartiance for the sum of.- S48,9_ f cpm Eight Thousand 'dine Hundred Fifty Dollars and.no cents. ' Terms wird nd Conditions: Pd.,men, temis are:jti ftllcltt w —1. S Hut Page I 4 Aulson Roofincr. Ing. Methtucn. M assachusens 0I X-11.4 (478 9-75,4500 Fax: (97 8)68-5-0153 Proposal BYE-NIAIL ONLY c r 2 7 LQa c o m cast jn e t ReaqN ITrnsi 1:)7 un muc tie Randone ►fie' -\nJovcr. IA 018-1 S Nlass4ichusotts A, No. Azil-Iciver We Propose tolfurnish and install a new ERAIL roofin�g.�vstetn to R.P.L1GvnFje.v manilfacturers specification,in the following manner: This estirr.a-zec,"ers the ftiflowing areas: tar gra%ef addition I approx. 2500 sq. ft. I - e. 1)'�Ientue the ex;��.finii rooftO install the ne�% r0of"=at mi-, owriib-, rimwi . o lk, gra%cl it ne.�de j. i plat,-s and Coated s m6w-atio, 1,1111 .060 LPDN1 -,NiH be Ifull, adhered to Inc- 'risulat' 1 1 1 . Ali scam s ill I �e primed and _�mal, Wup,�lied I . The c\-"tirug edge jewil will be re--eci-red�tr4d us a7; a I ok S" I 1P. Vfn? p6 r,;�s to ha-,c i wv- prefomned p;pe hoot instal I ed up, w (I H01C711- fill all ldrajil.s ania, properi., Pro...1-C Slat-id'ard Au6on Rooling *v..o;,�Lir x®rrkmnan.�;'- Rthnkve all owside ;ovb relawd jebrir. lsrfrcm, oie herebY tea furnish materials and labnr.el-imptile i;j with aboveveviiication.for ihe.vum qj- 510.56t),00 ;Ten Thlousund Five Hundred Sixt% Dollars and no cents. Terms and Conditions: i. Pavnient - Pa%rnew, terms are Lis fii-Al"11%S' + it monies due, aind pai,,abie Shall accrae inters-St fr i om. the date such payrnew ma% bL,dui at 0 rate I-qual to 1 1 21',o per nikinth. illiZ PerrIl"',311010,thcr pet—miu.-. Thle nd; No-iicc� - %ukon '%'11 NL Astomer iS re.spon,;-jbie jor till t:Ost of Naid bui ding rernntUS and othe-! permits. as Ivelj a1.,1t:o'%emn-,cn,ial fees. llccmseand 1,iqpectiars. 4. 13.'C!' it T h-cusionjer h, -d* be respcm 'Or propar�a,;- M"I 2110 ;`C l^,ita- meror 11 cc;;"kalllv 0-10 Lau�: a-� -�Mall 1' Y9 k'�Ili 0 the uild;m�. sp a,, * 1* the-.111C trom the roo Page Also RoOfingl! LTIC. til D a mto r. D r i%-, Methuer. Massachusetts ()18441 Phone; {9 8)975-4500 Fax: (978)685-f)753 Proposal BY UNLAIL ONLY g27�vomcastntt I(Aas5ic Reah, Trust tt178i62 1-i 20(i June 5. '20(12 148 Ma"achLens A,tnive Charlie Randcvc i 1�8 Mas,,achsuenzA%e.. NoAmR,%-,r IN,,. Ando%er! NIA OIS45 We tire P�Osed it;quole jvtt tin thellowing: I Tlni��stirnwe co\eNst-he follo%xinL arca!s: searns on upper rubber roof(approximalel,- 800 Lf.) Clcaand rarer`a]i seatli-s\%ith E.P.D.M.cle---nm; Mitic all se-jins x%ith E'..P.D.M. primier. of 5" CO-\er zzape int'Sean-'s, auik all cut kgm, 13T.o%Yde stai:dard ROQIIMizl! ONL yCX SO c of mside PA trhmd MG. Cjr4, all necessay insurance. ;�;-,Inpvndiwrf ani" H r nTmd herehyuqurnAlt materiahi and laborcomphte in accordance with ti&;ve y,7cij;ca,#,wt.for the%UM ojj- S3.9000 IThree housand Nine Hundred Dollars and no cents. Terms aind Conditions: ft 1 t 0�-p kinie!t due and pa�atbtc shall accrue intees-z fron) the date such paynnient iiia` 1 e due a�:3ie tqua; to 1 1 21i,per mor-th. Ptm,Jits, i ets. and Aulso-il \\ill Nt�cure building, pcmnivs and other pertnits. The custknw is responsillfe !-;>r the co!�I ofsaij l"uiidins permit,and other permits. Is vt:11 d�! X11,�,mnrncnial licenses and inspec.iii),rit,, prepratiin - rine customer shah bt:respLlnNible tor preparaiion and 6eaning, (ofinter ior ot,tHe building. -speciticalll tile attic -1--- sn'311i particles ria-• fall into the attii: firorn tile Itthereis a My at any time in pwges ,?t .lie%kf.;7k t--i nciitc,o! the CAnwrm convacm chanyc ordc. cawhics. Are.lwamow by ohm unwoklable th, o'-.1mPle"on OMC SAI he ewndj Or a PAY CqUA U) the Anle lost b� s Aulso l Roofing, Inc. (976) 975.4500 Classic R�altv A tti: C hIrlie Raiikne RE- 148 Mas achuseas e.. No, Rea:iirig (dear C h- lic: ADDENDUM � i con,l� ned wi l 1' r:a i Drz?1't sales U `mitted t: : PLIN4i erit�enn, arc as tc�l lltR�: tPlease }7:tlal here indicated li-, each. an-.hunt-) S_10.0itail ali,;l X11- aisle o1.j.Ih j)00. O Cllj�`t tj�.1 t 1 initial Month lnttlal4 .'' \3gtZ} h C 1 -l1`-'•1 E trilteall)- '` �1+3's 1 l'1; s': lil 1? ltxli 3g-Tetlt '_'iii elle wtay1??t71i ttr7?l l..-s:e f abet\e, ' A A _iuIst a R' Bruce 1 i'nkfi."'_na Vice pr-6;A ?a �// �• flf � �♦ Dale: �.+ ✓ �Y�5.9��f ff a[1.-.._�...... __... .. iryx � � rr` 1"f -113§�iyh�Zi NO I t, t tee first r dj mera w���0.4 tis nsutine'the stats of the da% of the Ilii) ih on\%hich ec'.ch mi:riltl"tib pad 11CC a 6�1-71Ue. MIT: � Job Can w tit:r 'an% la-,-r ffia : Cleti_}ter 1, "ill�. / ? NOTE; :lob "Al be completed within_0 days of start. barring any weather interruptions. � � ,NOTE: 11t is agreed that under Terms and Conditions: No. 10 Waver of Claims is deleted. 4 f _ i i 1 - 3 f i 3 3 Z t f ` 1 i r _ f • i s h - i 1 I fi ita,•:Ychu+ctis-Dc;)artmcnt�� Public S.itetN Brit r(I f)f B.Hdin4,i Re;111i:itinnsland Standard icy}r, UCense:�CS SL.SOW }test"emd to. RF WS.1C BRUCE -nNKfAM p ; 2D BALD1IIN STREETPEABWY.MA . i Expiration: 811317913 � Tr=: 4M 11{ 3 . }f _ 1 _ i } G I { } f I I 1 I } I - I I I 3 _�� A �le �arrr�no9zcved� �✓�fa�va��� Office of Consumer A$airs&Bns►ness Regnlafion -- IOME IMPROVEMENT CONTRACTOR y' Registration a 1'1969 Type - - Expiratiott_.2lTf2ft3... Supplement AULSON ROOEINi:klkd Bruce Tmkham 49 DANTON DRIVE: METHUEN,MA 01844'=`- _` Undersecretary License or registration valid for individul use only before the expiration dateIf found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Card Boston,MA 02116 i Not valid without signature