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Building Permit #1032-15 - 209 VEST WAY 6/10/2015
BUILDING PERMIT NoRsy 4. "6 +�t, ,+y.,y TOWN OF NORTH,ANDOVER 0 - x OtI_�.I �l ,y (;� APPLICATION FOR PLAN EXAMINATION / �o Permit No#: / Date Received � �gssgcHus���y Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION O'? VtS�- &Jall �rint • PROPERTY OWNER 4 L110 . . 1,407�� Print 1 100 Year Structure yes no MAP I� PARCEL092) ZONING DISTRICT: Historic District yes o Machine Shop Village yes. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ,One family El Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial KRepair, replacement _ ❑Assessory Bldg 1 ❑ Others: ❑ Demolition Mther Al 11121 Sept c WelliB _a_ 'FI tloo plana' ai t ands ❑a E1Natershed�®strict _ terlSeW_era � DESCRIPTION OF WORKTO BE PERFORMED: i C2 cW �Je CL e z Identification- Pleas Tyke ori Print Clearly OWNER: Name: Sq]c/L & 7-4a Z-Z i i Phone: g, p al r Address: q SOL r Name: Phone: Email: / Address: Supervisor's Construction License: � �(� JExp. Date: 0Z5 L,,. 4 Home Improvement License: � _ Ex,p. Date: a2 d ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ k 43c) - M Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 ❑ ll Private(septic tank,etc. permanent Dumpster on Site ❑ I, 7.p)34 1J a.. '1." t \ .\�'` 4 �'�t.L.3�h.«' • €ia a �/ .'�.r THE FOLLOWIN,G`SEGTI N$r FOR OF: UtE ONLY ' INTERDEPARTl�r=N rAt SIdk-®FF ---u 9 PLANNING & DEVELOPMENT Reviewed On /5 Signature COMMENT'S ••i CONSERVATION Reviewed on (o lCs Signature( COMMENTS \�- �� cr �q C---c, (�"I _h1EALTH a Reviewed on .Si.mature. COMMENTS I C •a•�� rf�. • t w•�YS l 6 � s1 'i � .f _ ,l , `' 4 � �3�'. '. ' ��a4 •A' \ .f.rt • �1 tti I ^•la , �. ...� f f•. S T �.i`} .Zoning q&rd-otpppea .*Variance, Petition No: +_ Zonir44-Decision/receipt submitted yes • r Planning Board'Decision: Comments 7 \ Conservation Decision: Comments i Water& Sewer Connection/Signature� Date Driveway Permit DPW Torn Engineer: Signature: Located ;384 Osgood Street FIRE DEP RT�MEIVT Th-npjDurripste��ontsite 'es , . �. " ` :': ' PL,__ �+ y Lr aced at"12'4 Main St eet, ,_ *fix¢ �� ;�t ► }3w.Ci{ a,,x, rlr at` erDepamen _ a,t3 Y �i•+*�j� t , ,._.� •� �1�T} ;a=,t �•a,, --Y rci `- '•' E's• .�A�iti ii + ,Q ,. H� �f" [♦1 Y( !'i{i�}' ,,4..��}V{13y�t3A."�,{ r3/ ( .', ■ R ' 6-®MMENTaS4�} . rY� .M �h .�L La�� �� � .S `yR3, `! }q1Y �[ YS►J �t#7 �A A tSY e _ - .a �' 7 ..�a.,i.�:f t�.•`�6..f'a� 4�r�«. s..-.l�J:....-....,......_....._®..�..a......a.-. 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 ease) ZS �h � �1 (�cin•T' ��� �--� �...�. ❑ Notified for pickup Call Email Date Time Contact Name Doc.Buildin,;Permit Revised 2014 i Building Department I 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 I 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 Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit I Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Liicenses Copy Of Contract Plan And Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products IS OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 1 i 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 46 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 i NO R T!•/ own o �. t EAndover 0 :, . - No. w3,2—®6ver ZT : - ® G S h L I o7 Mass coc Nlc Kl WICK �1. p�RATEO S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System •• • THIS CERTIFIES THAT .......... �v�. ....2 ..... BUILDING INSPECTOR y... ....� .................... 01. .rsjr•••op Foundation has permission to erect .......................... buil ings on .. ..... ••••• ••••••••••••••••••• 1 Rough to be occupied as .... � .�.. ...... ,t...............w ... � .... ........................ Chimney provided that the person accepting this permit shall in ev ry 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STA TS Rough WBUILDI�G Service ....................... ..... . .. .................... Final INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. • ���"res: �4 CONSERVATION DEPARTMENT Community Development Division June 2, 2015 Sylvia Zawadzki 209 Vest Way North Andover, MA 01845 209 Vest Way, North Andover Construction of a deck and stairs on sono-tube supports Conservation Conditions of Approval,NACC #146 Pursuant to section 4.4.2 (A) of the North Andover Wetlands Protection Regulations, Sylvia Zawadzki, owner, filed for a small project for work proposed at 209 Vest Way,North Andover.The .proposed work includes the construction of a 12'N 18' deck with a 4'x 18' staircase (-288 s.f. total) on sono-tube supports. The proposed deck is approximately 65 feet from the edge of Bordering Vegetated Wetland (BVW) as shown on the herein referenced plan. During the May 27, 2015 public meeting, the NACC voted unanimously to approve this project.All work shall conform to the following: RECORD DOCUMENTS: Small Project Filing Including: Application Checklist; Plan Titled: "As-Built"with hand edits Original Date: 11/22/94; Hand Edits Dated: 5/20/15 Filing received: May 18,2015 �I The following conditions are hereby mandated: CONDITIONS: 1. Prior to the start of construction the site contractor shall review the small protect permit and be aware of the wetland resource area and the limits of the proposed work. 2. Prior to the start of construction a silt sock (or other erosion controls as approved by the Conservation Department) shall be placed along the existing fence between the work area and the wetlands and the Conservation Department shall be contacted for a pre-construction site inspection. 1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web www.http://www.townofnorthandover.com/conservel.htm I 3. Excess construction material shall be properly disposed of offsite and accepted engineering and construction standards and procedures shall be followed in the completion of the project. 4. Upon completion of the approved project and site stabilization,please contact the Conservation Department for a final inspection. 5. This permit shall expire six months from the date of issuance. Should you have any question or comments regarding the contents of this letter,please do not hesitate to contact the undersigned at 978.688.9530 at your earliest convenience. Thanking you in advance for your anticipated cooperation with this matter. �I Respectfully, NORTH ANDOVER CONSERVATION DEPARTMENT Heidi Gaffney Conservation Field Inspector i i i i 1600 Osgood Street,Building 20,Suite 2-36,Forth Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web www.http://www.townofnorthandover.com/conservel.htm I I BUILDING PERMIT "°R`F` 04 4Ep f "��✓ TOWN OF N014TH ANDOVER o APPLICATION FOR PLAN EXAMINATION '- a Permit No#: Date Received A 7 °Rit TEG 9SSRCidtis�� Date Issued: 11APORTANT:Applicant must complete all items on this page LOCATION ol Qq t le & oa 2t +2,11ot1rr ringPROPERTY OWNER Print (� y 900 Year Structure yes no . MAP PARCEL: ZONING DISTRICT- P�"t_ Historic District yes o Machine Shop Village yes. TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential O New Building PLOne family Q Addition ❑Two or more family 0 Industrial )kAlteration No. of units: D Commercial KRepair, replacement ( ❑Assessor Bldg Y 9 i7 Others: ( D Demolition Mther n, 17 Septic Q Wel! D°Floodplain '0 Wetlands d: Watershed District ( O.Water/Sewer j. DESCRIPTION OF WORK TO BE PERFORMED. l v e�� ' OWNER: Name: Identification cPleas Type or Print Clearly �2 ��lltfc CL 7a(� �/lI Phone. 7 2 Address: �oL r Name: G! Phone: ,3 Email / Address: i k Supervisor's Construction License: /1� 1� �� Exp. Date: Home Improvement License: Exp. Date- c�©/ _ ARCHITECT/ENGINEER Phone: Address: Reg. No. i FEE SCHEDULE:BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: FEE: $ Check No.: Receipt No.: NOTE: Pelson contracting with wzregistered contractors do not have access to therirri�nd ,Sigr titre of Aa�nfLO�n+ne S gnattu�_nf rant I it Plans Submitted Plans VVaived ;---' Certified Plot Plan Stamped Plans 7 --TTPr,OF SEM-FRLGr 13,,dvArt W;dl I Tobacn)S'alez' 1'1'ix ate(wPlic tank.c-w. 1-ood llackagiiit,Sale.,, 1'erinaneni Dunnp>tor o!i Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTALSIGN OFF-U FORM DATE,REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMENTS; L)A I E REJEC I ED DA[—E—A77RZMr7— CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS _ Zoning Board of Appeals:Variance. Petition Noy Zoning Decision/receipt submitted ves Planning Board Decision: Comments Conservation Decision: COMments Water& Sewer Connectiori/ CrivevIlay Permit Located at 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes_ no Located at 124 Main Street Fire Department signature/date COMMENTS I CONTRACT#0585456' SERVICES SOLUTIONS INSTALLED SALES CONTRACT LOwF'S AUTHORIZED REPRESENTATI'JE CNW,1 ER I TOF,,lER'� �S7REcTAOpRE55 STREET ADDR�SS STORE NO RI � r''�� (�...+ �ate' _ •{�„r t��,.` G.'.,J`-'i 4�;�..t .,-�.� Gi STATE ZtP ---- GjTy - STA_e Z 1p 'l f lt3a+ttiJi lU1� Coa,-,C) I I IQ C, c-j 1ELEPHONE ^ _ ^f I TELEPHO..F CAT£ LO':V'c s COrdTRi+.cTOP,UCENS_NUt.;BER G;sr 5•:K fir;, 1 t---- L lhs,only a qua._I,,,the omctend=,r ar,sen°._c pr•^,:ed be'aa Th:s becomes an J n parr,:.^:.Upa^payroenf t;e erS•n.zgreemrrl. ar,ap-eted Peres of Lh_ dovnwrt.the Tema.and Cora&0"s Kr;WJ d x:h dccu•ami and any other adoeMa aha at?,chiient,`rr9n,s:a'a:-rerenec to herex ac the s ctt:�Tc..' PLEASE READ ALL TER:.'.S AND CONDITIOVE ON THE REVERSE SIDE OF THIS PAGE A`:D F01._04';t43 PAGES BEFORE SIGMAS. 1 1NSTALIATIOh:STREET ADDRESS CITY' rt STATE ZtY ��;'►�- _ ,..� i ' 1,,,„)5 �{' ,tom �•�" � � t��4-..,D -��}t...' .:� �..� ��..- . I , t � icam4(-t r� i� C'+C �J I r _ NOTICE TO CUSTOMER-PRICE CALCULATIONS:in order to properly perform the t Enstallation of certain Goods,the Contract Price may include more Goods tharl actually ;VIII be installed based on the measured square footage of the Project Area As'a result, the parties agree that the lump-sum Price stated in this Contract is calculated upon both the value of estimated Goods required to fulfill the Contract(including waste),which may exceed the actual square footage of the Project Area. and the labor whiehlmay be estimated based on the amount of Goods required to fulfill the Contract (ihciuding waste).By signing this Contract below:Customer acknowledges receipt of this notice + Contract Total tf}7 !! and agrees and understands that the Price includes these costs which map not be refunded taxes included t� refunded once the instatation Services are performed. NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamphlet Renovate Right.By signing this Contract,Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. i NOTE: If rotted wood is discovered during installation additional charges will pply.You will be given a quote and a change order must be completed and signed by the customer for any additional charges. '^'Customer must initial. _'Any work or material not specified is not lnewded In this corntract.Any cnanges or�ddificns e.,lt be at an'acttional chane for the material and labor. • J PHOTO RELEASE:Customer grants to Lorte's end Lowe's emal.oyees and independent contractor the right to take photographs of the Premises where Installation Services will be performed and all work performed at the Premise.'related to this Contract,and irrevocabiv grants to Lowe's all right,?;Ile and interest in and to the photographs for use in all markets and media,worldwide.in perpetuity.Customer authorizes Lowe's to copyright,use and pub!sh the photographs in print and/or electronically,and agrees that Lowe's may use SUCH photographs for any lawful purpo ,in;iudina,but not limited to.marketing. _adver isinq'publicity.illustration.training and Web content.5y initialing here,CSIs?omer agrees to the foregoing.I- ��'y ustotner to initiai to the left]. bVark is to c mm ryce upon reasonable availability of Contractor andfor pny special orde o-eus� r made Gnnd(s)which is anticipated to be — �f —_ (fill in date].Estimated compfetiorl date is� jfill in date]. Said estimated SJCstaritial completicir+Mate Is not of the essence A Sta';ernenj of any comirgenc;Ls that Would maten0fl:y o ll-ar je Said eS ln'nied substantial l completion date is as follo:'Js: f� -- -- ---�— --_-------�� if a.pp!icable.insert a staternen;of such cortfnge 0i0,). This Contract provides that at!claims by Customer or Lowe's will be resolved by BiNDING ARBITRATION.Customer and Lowe's GIVE LIP THE RiGHT TO GO TO COURT to enforce this Contract(EXCEPT for matters that may lbe taken to SMALL CLASH$COURT).Lowe's and Custorner's rights wilt be determined by a NEUTRAL. ARBITRATOR and NOT ca judge or jury. Lowe's and Customer are entitled to it FAIR HEARING. But the arbitration. procedures are SIMPLER AND MORE LIMITED TNAN RULES APP'L:CABL5 iN COURT.Arbitrator decisions,re nferc. p as an; cou-t ordor and i are subject to VERY LIMITED REVIEW BY A COURT.FOR 161ORE DETAILS:Review the sectiol:titied ARBITRATION AGREEMENT,WAIVER OF JURY T PJAL AND WAIVER.OF CLASS ACTION ADJUDICATION found in the Terins and Conditions of this Contract. DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON ALL PAGES OF THIS CONTRACT.BY SIGNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ,UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON ALL PAGES OF THIS CONTRACT.YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. ! WITNESS OUR HAND(S)AND SEALS)t3ELUtA+THIS DAYOF I i I Dimension Number of Stories: Total square feet!of floor area, based on Exterior dimensions. Total land area, sq. ft.: _ I ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes Nc M,GL Cnacter 1$6 Section 21A—F and G min_S'iGo-sl GO fir: NOTES and DATA–(For department use) f I — - - --J l ! i - _ 1 l 4 ' I r I i I Y f { t I Y I II J Notifies{ for pickup --bate f 1 Doc_f3iiilding Permit Key ised 201 I I I i I I ' I I I I I are subject to VERY LIMITED REVIEW BY A COURT.FOP MORE DET 'ILS: Revkv�the section titleJ,ARI fTRA"!04 AGREEMENT,WAIVER OF JURY TRIAL AND WAIVER OF CLASS ACTION ADJUDICATION found in the Terms and Conditions of this Contract. i DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON ALL - PAGES OF THIS CONTRACT, BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON ALL PAGES OF THIS CONTRACT. YOU ARE ENTITLED TO A t COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE, I VVITNESS OUR HAND(S)AND�EAL(S)BELOW THIS /--:Z, DAY OF' r 'N LZwe' ", ome CenterLLC Owner ' l Lowe's Author! Represen auve Co-owner or Witness Customer cknowle es receipt of a true copy of this contract which was completely filled in prior to Customer's execution hereof.You,the buyer,may cancel is_t[ansardion at any time prior to midnight of the third businessl day after the date of this transaction.See the attached notice of cancellation form for an explanation of this right. I 55094 REV. 32/13 - 9 2004 by Lowe's.6 Lowe's and the gable desion are registered trademarks of LF Corporation. I II i I I I I I TERNIS AND CONDITIONS i '*L.OWE'S"DEFINED. Within this Contract(as defined on the front rfage.of the Contract),the term `Lowe's' shall refer to Low s Home Centers. I-C.a North Carolina limited liability comoany. 2. GENERAL DESCRIPTION. By executing this Contract.Customer and Love's agree that 1)Lowe's shall provide Customer the goods andlor materials ;the-Goods').2)Lowes shall procure on Customer's behalf.the services io install the Goods(the -installation Services)in or on the premises identified 3n the face of this Contract(the "Premises")and 3)Customer shall pay Lowe's the lump-sum Contract Total stated on the face of this Contract(the rice"t and according to the provisions of the 'Contract Documents',T hq installation Services shall be performed n time specific rooms or areas of the °remises identified on the face of this Contract("Proiect Area').The'Con ract Documents-shall consist of(i)the face of this Contract,(2j:hese Terms aria Conditions,(3)the applicable portions(s)of Lowe's receipt and fel)airy a!'ached sketches, materials lisle, floor plans,and/or specification sheet, ng other addenda d.attachments hereto.The Contract Documents do not include any correspondence,advertisements,estimates or other documents lief are not attached. 3. INSTALLATION SERVICES. Customer authorizes Lowe's or CustoM,a,*s behalf to(a)arrange for the Installation Services to be per ormed by an ,idependent contractor(,the"Installer)(licensed when legally required),(b)issue a work order to the Installer to perform,tie i;sta!lation S2nlices.(c)have Installer's work inspected.should Lowe'sin is discretion choose to,do so f!being agreed that Lc,ve's has no obligation to de so),and(d)pay the Installer after comnletiotm of Inc wore;and after receipt of ace if,Cate,signed toll CaZ by Customer.that the work has been sat- io .'t Ocniplet(Ort j.CJSfOme(UimdeFStandS That LOi9e'S\Sift rely' ,on thn faCiOrily completed(the"Certificate u _Ce�rtifoate of Compietlon in paying the Installer for the Installation Services.Customer 3arees that the InstMatior,Services do not include architectuallengmeering services Q,structural changes to the Prenz,ses OF arty other services beyond ',t 6 ordinary and routine installation of the Goads as spce'rficeliy p;ovAed in this Contract.Customer is responsible,at Custniner's cost.for providing any e essary arChlfeCtt3(allengineefing services or strurturat changes to the Prdmises or any other sevices not specifically of .1.;`led in the Contract. 4, GOODS. Love's will arrange fo,delivery of time Goods to the?remises.Customer agrees that title to goods does not pass to Customer uritis installed Customers home.building,or on Customer's property.Customer agrees Contractis aetng offered ror the feta!Prce(per befctv). Customer further sgree,s any surplus materials upon completion,of the Installation Services are not the property of customer and,if instructed by:owe'S.such surplus natena's shall be returned to Lot+se's by the Installer.Upon request frorr.Customer at 4he time of job completion,Lc;✓a's.in its dtscration,w,(t alio.:all or part of unused, receipted surplus materials to he reta red by the Custorher. 5. PRICE. The Price covers the Goods, installa0cri Services, and applicable taxes.The Price assurmes sound existing substructures,Superstruciure and points of attachments. The Price shall be increased by the cost and,reasonable profit to Lowes of having to provide additional Goods andlor Installation Services as a result of defective substructures.superstructures,or points of attachments or the existence of any other Undise used Condition (per below). In the event of an Undisclosed Condition or the foregoing, Customer will execute a change order or a new replacerrent contract upon Lowe's request. 6. PAYMENT. Payment of the Price by Customer to Lowe's is due in full upon execution of this Contract. Payment for any change order or new replacement contract is due at the time of that change order or repiaeemeht contract-Lowe's will send to Customer by U.S.ivlail a receipt evidencing Customers purchase after payment is processed. 7. LICENSES, PERMITS, SAFETY RULES, BUILDING CODES, ZONING ORDINANCES, AND OTHER LAWS. The installer shall be solely responsible!o Customer for obtaining any and all licenses,registrations,certifications,and permits which are legally required to perform the Installation Services.The Installer shall also be solely responsible to Customer for the ilmstailation Services being pe formed in compliance with all applicable safety rules and all existing building codes, zoning ordinances and other laws. Neither the Installer nor Loive's shall be responsible for any pre-existing violations of safety rules,building codes,zoning ordinances or other latus and shall not be required to address or correct same. If prior to the completion of work a change occurs to any applicable safety rule,building cede,zoning ordinance or other law which requires additional Goods and/or Installation Services to perform this Contract,Customer agrees to pay Lowe's the cost and reasonable profit for such additional Goods and Installation Services and to execute a resulting change order or new replacement contract as requested by Lowe's.No additional work will be performed under this Contract due to any change to any applicable safety rule,building code,zoning ordinance lor other law that occurs after the completion of work. 8. CUSTOMER'S WARRANTY AGAINST VIOLATIONS OF EASEMENTS; COVENANTS, AND THiRD PARTY RIGHTS. Customer warrants that perormance of the Installation Services will not violate any existing real propbrty easements,covenants,homeowners'association rules or rights of third parties holding an interest in the real property being improved. 9. UNDISCLOSED CONDITIONS IN PREMISES. if any defect,weakness or dangerous condition inc'uding,but in no way limited to,mold,mildew,rot, asbestos or infestation ('Undisclosed Condition") is discovered or identified in the Premises' structure, substructure, superstructure or points of attachment at any time prior to commencement or completion of the installation Services, Customer must remedy the Undisclosed Condition at Customer's sole cost and expense and to Lowe's sate satisfaction. If Custornier refuses to permit inspection of the Premises as set forth below.Lowe's may terminate or rescind this Contract without remedy or recourse by, or'further obligation to. Customer, except as expressly provided below. if Customer and Lowe's disagree as to whether an Undisclosed Condition exisiis, Lowe's may in its sole discretion obtain the services of an inspector to inspect the Premises at Lowe's sole cost and expense,and if Lowe's chooses to do so, such inspector's report shall be final and Conclusive as to whether an Undisclosed Condition exists.In the event of any Undisclosed Condition that Customer does not remedy to Lowes sole satisfaction,or any failure by Customer to perform any other obligation of Customer under this IContract,then at Lowe's option (i) Loaves may rescind this Contract and •etum the Price to Customer without further cost or obligation by either Customer or Lowe's if Love's notifies Customer of its election to rescind this Contract orior to the earlier of delivery of the Goods and the installer beginning performance of the Installation Services,or(ii) Lowe's may tetminate !his Contract without remedy or recourse by,or further obligation to Customer, except as expressly provided below if Lowe's notifies Customer of its erection to terminate this Contract after the earlier of delivery of the Goods and the Installer beginning performance of the Installation Services. In the event that Lowe's terminates this Contract as provided in this Section,then Customer may return the Goods(other than Goods that have been'custommade') n their original, unopened condition, to Lowe's for a refund or credit. Any such return must be made within thirty (30) days after Lowes terminates this Contract. Customer will be charged a 15°b restocking fee ori any such returns. Goods not in their original. unopened condition, and custom-made goods,may not be returned. "Custom-made"goods include goods that have been uniquely altered.color-matched,shaped,sized,cut or otherwise designed or fitted to accommodate the requirements of a particular 1.space or environment. Examples of custom-made goods include:but are not limited to. cabinets, countertops, floor and wail coverings, and window treatments_ If Lowe's terminates This Con'tract as provided herein. Lowe's Shall have no obligation to refund any portion of the Price(except as expressly provided herein)and shall have no obligation to restore the Premises to .heir original condition. Notwithstanding the foregoing, and alternative to resciliding or terminating this Contract as described above. upon discovery or dentificalion of any Undisclosed Condition in the Premises, Lowe's may in limited circumstances and markets,and in Lowe's sole discretion,authorize the commencement or continuation of Installation Services upon Love's redeipt of Customer's written agreement (to be furnished to Customer by Lowe's)t0 release and hold harmless Lowe's and Ins'aifer from any and all lialiility arising out of or related to the Undisclosed Condition and Custaner`s •emedy of Undisclosed Condition. 14. CUSTOMER'S RESPONSIBILITIES. Customer agrees to pay Lowe's acord=ng to these Terms and Conditions.Customer agrees to faci'i€ate the location of utility nines. Customer is responsible for identifying property lines. ustorner agrees to ensure,hat work areas are free of venin and pre- existing physical or environrnentai hazards, and buildinglrtoning code violatroAs. Customer agrees to provide the Instaifer with access to work areas during working hour,and to provide access to sanitary facilities o,to pay the rdntal costs for such facilities.Customer agrees to ensure that any security system at the Premises.viii not Interfere%vith performance of the installation Services.Customer agrees to provide po,.ver to•and. as applicable,climate control;n, the work areas.Customer agrees not to aliow unattended mirars at the Premises\vhi'e tete installer,s present C sto .er 3grees to control ono keep Nets away from %vara areas Cu tomer agrees to keep posiea oerm is on dispiay a:ail time,. Custorne4 as , , ^u .roller gr anyone Cd;tgr„er controls turfe-s e h o c;Frays perfornrrance of th In twfaCon Serv�Ces Castu,ler play be subject to transpo.tat,owstorage charges or of^er rC�301fing charges. Cuss rcl ogre ,ng .o ass,911 or tranzter ts Contrac,..C.- rcilmer agrees that any c!atmb agaves' Lou a s e-1 ns til and this ontract sr 3U'J tk gra'e to L C.Vva s wit) - t :ty (30, Cat-Jar Cale of the mate Custom. r.it c orno� Ft c of a Pi'obi m L owe s I I �.ilt rpt sotutio of Fry ' \ i, sxry (30) caer ar gayi o c'ivil•a Ciso.ilei s ra,ue. CU r.. OE4 ASST%'.ES THE P,iSK AND THE r iLL !ABiLl11 OF PNYaCr•__Y ASS1ST;l,G WITH DELIVERY OF THE GOODS O( VVITH PERF61PM NCE OF r.-IE i%S7A,_AT'3N SERVICES. 19. MANUFACTURER WARRANTY FOR GOODS. Custo^ler Iti to pled tcd"`y ✓dr-aprovidedr f by a :ndr!ura fur r Of i Ga c s sold under els Contract Th ':nstai)er wit; provide Customer with?m manufact;re'corsamer t•:arrarrr i c rrdlior accompanying:he .,uS. .-, ,. CLSio!~:or xray neo ortatr,s r h ,:c' aft ^by eortacting Luwe's,'ai.,'s does oat warrant Iha Goads AND EXPRESSLY DISCLAIMS ALL WARRANTIES,EXPRESS OR rxnnr Ion rAr,^i irn4T.1!_ anrlTLlr,iiT 1 IddrTATIAk1 T4C IF-501 Wry UJA4RAAITI�.:Wj� }.dC4r':.FG UTA RiI IT\f Q�J�GITNG S6 fr"!i7 J� t?�tiTir'.t tt G12 k f�k 4Sf�(In 47Y{ rnuN' til 4 57 �° Wor✓'M'• k6"" d�n q; � ::n ,k ���,¢,�;{��d7�t� rr,lv'j� Irl���� '�'" .,,fib}I� �rA yM,. 1 {T ��'`^� t r ,Cy'r ql�� �'7 �.. IP t�*.✓x t t f.:J ;°> t f r Fi , /14¢.J'a e''L vf, -!;..)�a"';�_ a,t�.r�: �k:� I •,fa� ^r,'h r7'I11C"�� 1f u ta: ck ,•4�"' r :� J+S .3)��N .,�:.:??` ;sky: '�,�... ^o:�,.� pA 1 .�MY.�l ✓`�ft;�L4�4 ph�!f'i r �b!�lf 1(, n e,��,' dt,r.. �.. �;?1, h y �° }4 �,' �' ,�.,;.' r„ (U„t,}- tx N .�. �S'It� 1`�s ���vri4 � � nk,�.r),�t.�rn`J�,$'q�r�Za,� � � T ;':<�r��> f• ' �/� ,y .� i 14}'w � ;�,r��%�r! �:7:�a(4;.fl�d�. ;l�Jpyr y�o.v y.(hr�lJ1r rf,TiIyg4rc 40rrJ1 rdY7[,r,; P „dr z+ c. 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Cdr 4'' �/ ', , r } t v11' r„ 7,kf mq P,F I du d�au • �-- .•- • • • • • .• :• • - - •• ,� Ir;rl,! T��'�p�><`'x`s��I {� � I��xJ�r ;✓dr AS ,Y? S� � � ,; _ � a�� _y��-'`�5� 'fix � rj r� si y"�'s`? �t�, } .Jr,PF� rt� .�I J7�5(t��''� rt, .n�j� II `�'�� .t.it �.. � r �'".`'. '., :. `�.�:,+.. ;.. .) ��� rt g... hx,'Ya�•f3 j�?s 9x r�fu" ,T1J .1,"„�:ig"{''��t���t ��J`F J irrri`�m����• 1 , s�^ `�,��'��7 � �+,� . r�i r'� �: r,� sJ�,r, .� , ,;�� � t�; ��i�.' i � n t +� �l'l•Ytp yr�� r?.z��oy � J T xPf x' 'fi''�,y ,µ � :-"..: ,,.,.xr. .,' � ..: '�' `"�. l ii�j � �, jrit[�� v kt�J8`+f� °, °.J;x' Uss'i;w Urf,L��a�l �,C�a7t'"�'�� � ,( M v �'r 1>•� M r,,� � 'Y 3..... ':,J" ,::,v„'R: i Y_i��ssk>'X`.» S.S "1�iiY fM :�i: •,�:{..etµ�f'`''rte}m•J�`:'"�7u�r'rr"i�d�7���x��. ���i�yrti�,�{:� fo�����,�� 7r1�i�',�,. h�?�I'S�' " .:n', "�f ,. .. ,� ,x' r Ya��"}#� y�� 4 :lir %�'�iy(��1a�������r��ad t:��'.U3���>r.dftRr�#N�.i�� 'ri�yil✓Y,l,����+.:Hr�� .ae& r','� -;. 'n�' C'��ti�w'»h1 ��� � .i ,^J }>}y��Ur TR „'a"v ,'`�R �)�P•fri" '�' a:`.f '�i �,;;p�:�",t� cr� �ti�r.. � ugh - ;,A: l�"� �.7 ,.�f f1 ;„», " �:� !:h. •'6 ,,. IE ..f ,✓ G. (��'�fi � t Jg�, �M x.. M � �° r s t .. � a � Ir�� r�1n rr 1 , 1�tt �':JS u n ,r:��/ r r�:,ti'.,Mt,3, r � n r.,:H� r .t�r W��t�,J.,,,r�>�_��ur".rm�� a:� �u '•"h r �rtn 1 r y� @��: `,���J"JII})r�;};55;((fS J:NW,.7,r �F„".,vr� �'. %,.• '.�"f,7.•/•f''/�9{{f�'r x..� rr l��,Eft b.�p �Yj HfcJr liF�`"rP�y�a'T f�l��!{�(,�,/'9'r'�1;! f � f'i � �'#`,���''I�;n`Tx,s4*:d>•;�. ,� rNLsn *- rK%..s..:x•f.•. ,tet...'} .%tY���' t..: .�,:. � r.: CONTRACT# 03703375 SERVICES SOLUTIONS INSTALLED SALES CONTRACT LOwE'S AUTHORIZED REPRESENTATIVE. NUMBER: ,_,CUSTOMER �► ��c II, L f1 '' ._ a� l ► w ri t STORE NO. STREET ADDRESS 11 STREET ADDRESS fit^ 14L.r..J it ZIP � __..m. ITY OITY STATE zip 1 �tt �I t ;tt ( t � oti= TELEPHONE r ,.,- , TELEPHONE ��°U� sc73- t"t t afw`� DATnE_ LOWE'S CONTRACTOR LICENSE NUMBER M arr�x icc RECi t , } : —1 1 37 Ct.RO f�HgR4E This Is only a quote for the merchandise and services printed below,This becomes an agreement upon payment.Upon payment,the entire agreement,including the specifically completed pages of this document,the Terms and Conditions Included Milt this document and any other addenda and attachments hereto,shall be referred to herein as this'Contract.' PLEASE READ ALL TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS PAGE AND FOLLOWING PAGES BEFORE SIGNING. INSTALLATION STREET ADDRESS CITy {, STATE Zip i t r _ PHOTO RELEASE:Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photographs of the Premises where Installation Services will be performed and all work performed at the Premises related to this Contract, and irrevocably grants to Lowe's all night,title and interest in and to the photographs for use inI a I markets and media, worldwide, in perpetuity. Customer authorizes Lowe's t r, to + r t , '-- copyright,use and publish the photographs in print and/or electronically,and agrees that J y r Lowe's may use such photographs for any lawful purpose,including,but not limited to, marketing,advertising;publicity,illustration,training and Web content.By initialing here, Contract Total Customer agrees to the foregoing. - [Customer to initial to the left). � - applicable taxes inclttded ll , NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamphlet Renovate Right.By signing this Contract,Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. NOTE: If rotted wood is discovered during installation additional charges will apply.You will be given a quote and a change order must be completed and signed by the customer for any additional charges:» = Customer must initial. Any work or material not specified Is not included in this contract.Any chances or additions will be at on.additional charge for the material and tabor. WAIVER OF LIEN and ONE YEAR WARRANTY(TO BE SIGNED 8Y INSTALLER) 1,the undersigned Installerlfndependent Contractor,having been employed by the Customer who signed the Certificate of Completion below do hereby certify that the work for this project will be or has been completed in a workmanlike manner and to the Customer's satisfaction,In consideration of the receipt of one dollar and other good and valuable consideration,and to the extent permitted by applicable law,I hereby waive and relinquish all liens and all rights and claims.of liens which 1,the undersigned,now have or may hereafter have for labor or materials furnished,and further certify that all work performed and materiats furnished,i;any,by any tither party or parties upon the order of the undersigned,have been fully paid for.Further,I the undersigned,agree to cause the prompt release of any mechanic's lien(s)which may be filed against the Customer's premises by any subcontractor,'laborer,mechanic or material supplier claiming the right to file such a lien through work related to the Customei s Contract with Lowes,in addition Ic any warranties provided by law or specified elsewhere,including the Customer's Contract with Lowe's,the undersigned,further warrants that all work furnished for this project shall be free from defects either in material or workmanship.If any defects in material or workmanship shall be discovered in the work furnished or material used during the course of the work or within one year from the date of the Certificate of Completion,the undersigned agrees to replace or correct such defective work or material,free from all expense to Lowe's and the Customer in a manner satisfactory to the Customer. I further represent that I have given Customer the option of relaining some or all of the Zu"Plus materials or having some or all of such surplus materials removed from the Customer's premises. If applicable to the performance of the work required for this project,1,the undersigned insiatteriindepecden Contractor,do hereby certify that f have complied with all requirements of the Lead.Renovation,Repair,and Painting Program Rule(`LRRPP Rule'),40 C.F,R.sec.745,80 et seq.,or ally apptcab.e state taws or program regulating lead-based paint safe work practices„ including compliance with all information distribul on,notice requirwaS.111s and wort;practice standards in perfuming the work rprtuired for this project.I certify that I have provided the Cuslomer ivilh all docuntenlation required to be suWundweule or stale pror,� 2m,Shalt r6^��t?i all 7R:Ger'S IeC'1 .'I s n9 J u re4 t� lavr,and havv alta�hed to th'sthe records requ red to ba retained by the LRRPProaram_ 1 s doccumeni capias of alt or Signed and delivered thisday of To: Maura Deems Page 7 of 13 2015-05-01 18:47:02(GMT) 16032186803 From: Peter Playdon n. IN s,. isrhr' ..:1lr".t,tij�fZf`.t?. EYi.{(; - r -u -• .----- , SKt'k•i'r�riV t��,yr+.;+pt _"",.._ ` 4 3 r - anr�:;.:�::: 3+ • '1 -•• ThT,, yLi:fi' i FF IF l ..E : i1 t •. '.(,OUriL•.•.rt-t., --, c.tisµ 1..� ....•�,,; ...<..'w �..„ _.._�.'-`e:;t�'""" _ _ �2 "knr :W.1b1PQtll1,;oui?ite for':`it?;fi:?itfB,i$;•=n at'I U�cytha iS1 vvt tc rz xn>• e• `,rV' r I' 'f.�� ..!,•.�r. tv'1;!ai:'-in r-3y .A J '.I[ia 1)E,rr„the cmhrc-r,,wamc iaaru�+' ttw- �cr;,7 ,'r•clud_&d r.b t.,:5 _ s J '�;<•• e 6 y d�ri 1a rn h a<rr; rz z t tf a'rs F,.'t:xz, }�.F.A,.i`J?...,R„t.1 T�t,RF, r •�,” s z.-(7,T a,i t.•,5 'r'�;r��c i t.r:,,, . S'liP+R`fir3NC?Y.1C1iV;i�N1 .r'• 'a ik :jl as',�,'a:i:;,nc.l,` ,1 tf'J3 'vE,',SE;:tGL t{r7Yai.z i}Af r.latah f:OLL7S'atti 9 'ly,�GE.5 �FG1,R�t '[i;��,rr t , _ t 5 'S jp PHOTRi EA,S��us#gittr r ytants rca Lowy � T' � -` .Sartdt-QVdf'�S„P�t51t;,}.<�s?(tdandut3Andent _ .� -.-.,._..:.-.�...-_ .. . <:vairactorti.rhe.high##o J.atca photo.gcaphs.of th+ t?ar nines. vh..np to ..E.Eation Servit es will t1G pr tigfnlr t1 (idIl W.pr}t P�tOt[pGd al.11)8 lrCft1oSE rr tcerl i( tftis 'f t'tlrac#, rid'' i 7tteSruusabiy i ra>7t5#o LCSV,Q 5 uli right l ilk anti antur�st its Intl to the. pliotggrspn;rot use � ,n ata markets arld r'7or)id wordzt\ridc an pr kwuy :CUsltnicer8%tLOtv£''� ,a copy itjnt MOO a.iut f7LIMS11 alae�anotsagra�ths Tn:r�nni ar}i?q,elfuCtrbntcalJy,.7ric,�gr�Fs.Y}t?t ' • r s , tndwe"�ma tt�,sc,th W r_-�-,_.,.�:_�_-___ -`t -:,:..,r,•�--�.,..;__;. Y e pYY to raptYs;`orany l Ul PUTO$e mcf0dinl but ria,Grriitea#tt ~� rttark ting adVt:/ilsgYtF (7uf}{){,ily,illustra(lrrr t:rai�rint#and f uetk nnter4 Uv2n,t1�7(tng#t'tc, ct,atcmer&grES to atYe fcir�cpiny,, H CUflife�(f Tcta! lCuslornc rta,nstiat En[ata tt,. s uppE#r;dale taxes.inclt•ideci NC3T,IQC 7[3 C:t75TpM1 R: federal taw requires to ue s to roV[de YO.0 Witht the pa7ttp.hilt ficrrprate Right.By signing.Eht�Contrast,.C.ctsto:n�.r. i ocktaovflr�#ge5ttavutq recetrred a:oony at'MIS pTrtmphlet.:before w.Qu.,T)v:gtrn'-iniorming'Gtst.otnera#thr.l�olet7fial:erslf'#:he{ce�ct tYazardexpnS.lk.r8-'�� from nnovanco -activity to ba performed to c.Ubt9nter s d+N8litltg ltnit ftf�}T P t-0t2Cf WoRa'ls C'JSCp,VI-2 [0(�.Ur.j"g InStall St401]�CfC11t.141t 1 charges.+t✓i!1 apnfy.1'r�u viEl be ivcit a _- must be comtilef d at?d �tgnad by ftsP clJskar.ji&for an�r aciditfcanral cttarr es g Bunte tinct a'cf7ar%ge.orc#e E r1riS iAv4rh�ra7at�t tl i t5t upf"tfie 'IS n t7a+rt.de J rat ths, r7i.rat.- —• _CLJStCf 3C'r i1TkA t rnit{ai -,•... ...,......--- «,r}c I;I;aUr!s<n•,<,z.,d its yti t l:s Fit an :lu,+1. 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G”It 3 ')ryc: flri k7Nl.r ft:ria#tat:Y;it;s i•'a Vert tll'C+t1�11;\' x- r:r��:r v'i� 'r S: t f t iu, t t`s � .. int s3cf 3��rr f t{kid , .1t is's .t`i;'.`,G'. I rJrr,-r,rs s n[:.fl t t z i i.U(t,#r'i i.J. r5 `E,7.ra4i@;Ctik7('oAet r..r fhiiruxxi5 Cr?at nil+'K.:$�t"Ur a.:.: ii..: (t t 4',3;... _, t .t .a } t 1s i�r e.iG [ :.t!t+q a.e t:.tsai,7T .r•;-i . E':57 Z, to 1. t r rf'. .a Y,Y r tr.:.IS 'S h':.[Ir'••.,..r Gi .. 4t ff dt,x q r-:2 ,,; e ry l ( r 3Y a P,tlUc. t4R f 3(t7 k)., 5 t r t + ;, - i tc:. .,_i.:'a rv,:,.:1:,..U::urC,furC• F G' Nry v , :r , �k 7t , t'!�I q on e, pa r. w ol ,J ii t i 7 tY:r i ra ft iifli!Ctt?t.It`s 1 'tr�-'Y.kiti'8,rtJ 4]t y .[,- 1 i J. ,. 't € Ca k r-11V Wo, Er �s 10 a !Ii5.hir r Ear" pn , r rvl i T. .. 45.71k1 IY1 t�� f s..f7 rr '•t .;It's , \ ,. Jl, Lt?[tl a( r ,`': :Y.: 1 t r is[ (-'Fj¢ r arw ,vt7Y. i., c•1 , w sit rJ .1 `'he aY;)J;atiY,`,if: G(}}„ U.:,tcrEt,�t}{1 :;?C..h.r' 7;J r ,_,;L, k.. .r'• 7 ...:.;.li Y�.:?4CJtis iLy% ri ,a.al3ac, r stG,:._ ih. n _ .. .. l ,..! ;dill" .t, •.] a i To: Maura Deems Page 13 of 13 2015-05-01 18:47:02(GMT) 16032186803 From: Peter Playdon The Lontlnonwealth.01V(assacl�.Ltsetts f - Department.of111dustrial Accidents W 1 Congress Street,Steite 1.00 Boston.,.MA 02114-201.7 Y W'W.14?n10SS.gO.V/IILC� 11 orkers'Com,p.ensation Insurance Affidavit::Builders/C;ontractors/Eleetrecizans/I'lum.b.ea s. TO BE FILED WITH THE PERMITTING AUTHORITY. Ape>licantrnformation Please Print 1. aibly Name (B.usiness/Organization/Individual).. ^lam Y)_C. 'G.k ij(uc fill, L Address,- ash �- k ka- Z(A Uni� IA4 City/tate/'Zap: Lcy�LA On a 0 rd), if Phone#: -4�3 ' -2 Ar you all employer?Check the appropriate box.-7`--)- 1, Iamaemployer.with \,5_'Te,nployees(full.and/or part-time),x Type of project(required) 7. ❑New oonstruction 2.f 1 am.a sole:piuprietor or'partnership.and.have no.employees working.forn.iP i.n any capacity.[No workers`comp,insurance required.] 8• .�Remodeling 3.Ej l am.41lomeowner,doing all work myself..[No.workers'`comp:insurance required.)t 9• ❑Demolition 4.E]Lam a hnmeowner,and_will be.hiring contractors to conduct all work:onam°property,{[will I O®Building.addition ensure that all cpraractors.e.ither.have"workers'comPengation:insurance.or are sole 11.[]Electriral:repairs:or additions prnprietors.with.no employees. ]2:Q.Plumh.ingxepairs:or additions 5:®1 am a.gcneral contractor and.t have hired the sob-contractors listed on the attached.sheet.. Thcse'sub-contractors have.employees:and.have.workers'comp,insttrance.4 I3>FjRoof repairs 6.E:]We are a corporation and its.otlkers have exercised their right.of exemption.per MCiL c. 14•❑Other 152,§t(4),and we have no employees.[No workers'comp:.insurance required,l *Any applieani that checks.box.#1.must.also fill out the section helowshowing their workers':compensation policy information:. t,Hmn.owners wvho submtit this.affidavit indicatingthey.are doing all work and,then hire outside contractorsvnust submira new.affidavit indicating such. *Contractors thatcheck,this box must attached an additional sheet.showingthe.riame of the subr.contractors andstate whether or notthose entities have employees. Ifthe.sub-contractors have employees,they must provide their workers'eom.p,policy number. Lntaz all employer thgt-fs.providing workers'compensation.itasurtmee for nay.employees. Below is.the policy antl job site infornzation.. Insurance Company Name:..... �r ..,.. Q . _1- <li,culy Policy.#orSelf.-ins.Lic.'#: Expiration.Date: . ! 7ob'S,i[e.Address: 2-Ll City/State/Zip: N., And( �_.7 Attach.'a Copy of the.workers'connpen it policy declaration page:(sh.owing.the..p.olicy number and expiration.date), Fail.ure.to secure coverage as.required under MGL c. 152.:§25A.is a criminal violation punishableby.a_.fine up.to.:$I,500.00 arid/ur o.rle.-y.,ear.imprisonrnent,as.we]1.as ci�:i].penalties in the form.ofa STOP'WO.RK OR 'R.-and a fine of up to$250.00 a day-against,the.violato.r.A copy of this statement may be forwarded to the Office of Investigations of the DIA:.for insurance coverage verification. Y fy _ I.da faereb .cerli under the I aLad petaalties ofperjury.tltat the itafornaativta provided above is trite andcarrnrl. Sitznature: ' ` ,�J -----....,:..,.-•-..Date: `��j f� Phone#: r//✓ - -'�•,��� _...._ 0ffL.cial use.'o�y. -Popot write;in this.zarea,Po:be.completed,by,ciry or toevtz.ofJicictL ..... City or Town.- -1 own: Pe.rmit/License.#` Xssuing.Authority(circle one): 1.,Buard..ofHealth 2-Building Department 3.CityfCown Clerk 4..Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person; Phone#: To: Maura Deems Page 12 of 13 2015-05-01 18:47:02(GMT) 16032186803 From: Peter Playdon R®© CERTIFICATE OF LIABILITYINSURANCE. 4/30/2015YY) THIS CERTIFICATE: IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. 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 amondorsemenL A statement on this certificate'does not confer rights to the certificate holder in licu.of s.uch,cndorsoment(a). PRODUCER CONTACT Cathy Merrifield Coze 'Benefits Group 'Inc PHONE , (603,),329-4.933 FX No:(6.03)329-4924 2 Village Green. Road aoLiREss:cmerrifieldQmycoreinsurance.com $ud. to A-1 INSURERS AFFORDING COVERAGE MAIC# Hampstead NH 03841 INSURER AMerchants Mutual Insurance 23329 INSURED INSURER Et: Peter Playdon Construction INSURER c: LLCINSURER D ----------.._.. ........--- : 25 Nashua Road INSURER E: Londonderry NH 03053-3446 INSURER r: COVERAGES CERTIFICATE NUMBER:CL153900725 REVISION NUMBER.- THIS UMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN.ISSUED TO.THE INSURED NAMED ABOV.,E FO,R THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,-TERM OR':CO-NDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER.TIFICATEWAY BE JsSUED:.O.R MAY PERTAIN; THE IN.SU.RANCE.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 ADDL SUBR POLICY EFF POLICY ERP LTR POLICY NUMBER MM/IJD/YYY MMIDDIVYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,400,000 IfICLAWS-MADE MERCIAL GENERAL UABILtTY DAMAGE TO RENTE PREMISES(Eaoccurrence S S00,'000 A ®'OCCUR OPI078503 /7./.2015 /1/2016 MFn EXP(Any one person) S 15,000 t PERSONAL A ADV INJURY $ Included GENERAL AGGREGATE $ 2,000,000 _GEN'L,AGGREGATE LIMI.TAPPLIESPER PRODUCTS-COMP_IOP_AGG $ 2,000,000 X POLICY r PRO LUC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ :ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS. AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident uMOREu A.uA6 iOCCUR EACH OCCURRENCE $ EXCESS LIAB i CLAIMS-MADE AGGRF-GATF S DED I I RETENTION$ S WORKERS COMPENSATION WC:STATII- "IT H- AND EMPLOYERS'LIABILITY YIN I DRY LIMIT ,B_ ANY,PROPRIETOR/PARTNER/EXECUTIVE[7 E.L.EACH ACCIDENT _ '$ OFFICER/MEMBER E$CLUDFO? NIA (Mandatory.in NH)' -.... EL DISEASE-EA EMPLOYE $ if yes,descriGe under — DESCRIPTION OF OPERATIONS bctow E. DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCR[BED POLICIES BE CANCEL LEE.0 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Peter Playdon Cpnst recti qn r LLC ACCORDANCE WITH THE POLICY PROVISIONS. ..25 Nashua Road, Unit A4 Londonderry, 'NH 03053 AUTHORIZED REPRESENTATIVE C Merrifield/CATHY /�_........... ACO.RD.25(201.0105) ©1988-2010.ACORD CORPORATION. All rights reserved. INSD2S19ninna n' YF o 6!`(1RIl n�m�.-ared Innn pro renictorort-i-of aropil To: Maura Deems Page 11 of 13 2015-05-01 18:47:02 (GMT) 16032186803 From: Peter Playdon ACV CERTIFICATE OF LIABILITY-INSU ANCE DATE(MM/DD/YYYY) 04/30/2015 THIS CERTIFICATE IS.JSSUED 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 NAM ' PAY.CHEX IN.$URANCE.AGENCY INC PH NE PAX 150 SAWGRASS DR (A/c, o,Ext):(8771362-6785 _ 1Alc,No: Brr s77:oaay E-MAIL ROCHESTER,NY'14620 ADDRESS:paycnexatravelers com (877)362-6785 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:THE PHOENIX INSURANCE COMPANY INSURED PETER PLAYDON.C.O.NS.TRU.CTION LLC INSURER 13,: 25.NASHUA RD INSURER C: UNIT A4 INSURER D: LONDONDERRY;NH.03053 wsuRERE: INSURER F; COVERAGES CERTIFICATE NUMBER: 092402913231.021 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 i INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY. CONTRACT QR..QTHER'DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE.MAY BE ISSUED OR MAY PERTAIN, THE IIVSURAN.CE AFFORDED BY THE POLICIES DESCRIBED HEREIN Is SUBJECT TO. AdL.,THE'TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID.CLAIMS. INSR ADDE SUER POLICY EFF POLICY EXP \ LTR TYPE OF INSURANCE MD�WVD POLICY NUMBER POLIC E MMID Y EXP LIMITS COMMERCIAL, NERAL LIABILITY EACHOCCURRENCE $ DAMAGE T. RENTED CLAIMS-MADE r—]OCCUR PREMIStB Ea occurrence $ ' MED EXP WY one erson $ PFRSONAL&ADV INJURY $ GEN'L AGGREGATE L1141T APPLIES PER: POLICY EPRO LOC GENERAL AGEREGATE $ OTHER: JECT PRODLICTR'-COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED.SINGLE LIMIT S (Ea accitlent) . ANY.AUTO BODILY INJURY(Per person) $ ALL OWNED, SCHEDULED AUTOS. AUTOS BODILY INJURY(Pcr'accidenl) $ HIRED AUTOS NON-OWNED AU I US PROPERTY DAMAGE (Peraccldent) $ UMBRELLA LM OCCUR EACH OCCURRENCE EXCESS LIAR, CLAIMS-MADE $ DED"RETENTION$ , AGGREGATE $ $ A WORKERS COMPENSATION NIA UB-4068T293-15 03/29/2015 03/29/2016 x PER OTH- AND EMPLOYERS'.LIABILITY Y/N STATUTE ER ANY,PROPRIETORIPARTNER/EXEGU'I IVE❑ If ycs,dc3cribe.unE.L.EACH ACGDENI $100,000 OFFICERIMCMDER.EXCLUDED? (Mandatory.In.unger E.L.DISEASE-EA EMPLOYEEI$100,000. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 25 ER NASPLAYUON CONSTRU..CTI9N.l LC SHOULD ANY'QF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 25 NASHUA'ROA.D'#A9 HE EXPIRATION D L0NDONDERRY,NH 0.305,3 ACCO)2DANCE WITH THETPO ICY PROVISIONSICE. WILL BE .D.ELIVERED. IN ................ AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD:25(2014/01) The ACORD nine and logo are registered marks of ACORD To, Maura Deems Page 10 of 13 2015-05-01 18-.47-.02 (GMT) 16032186803 From: Peter Playdon JC' Office of Consumer -fairs and.8iisiness:Regulation -�A t. 10 6 Affairs 10 Park Plaza.- Su ite 5170 Boston, Massachusetts 0211.6 Home Improvement.ContractorRegistration �Reg jstratian: 179874 Type:. LLC Expiration: 9/1 712 01 6 Tr4 257957 PETER PLAYDON CONSTRUCTION LLC.. PETER PLAYDON 25 NAsHUA R.D.QNJT A4 LONQQNQERRY, NH.03-053 Update Address and return card.Alarkreason fpr.change.. SC A 1 0 20V'4ros�fl I ;7 Address Kmwal -E inp.l.oyment ,:c ;Office of Consumer Affairs&Busj License r registratjor, nj��s Regulation valid for individul use only HOME IM PROVEM ENT:CONTRACTOR beforelhe.expiratibndate. If found.return to: .,e strati n; 7 74 Type; Office of-Cons.prner Affairs and Business Regul2tion ,A� 9i Expiration-- . 911712016 LLC 10 Park.Plaza.-Suite,.5.170 Boston,AIA 02116 PETER PLAYDON CONSTRUCTION-LLC. PETER PLAYDON 25 NASHUA RD UNIT A4 LONDONDERRY,NH 03053 .................. . .........I..... ................ ...Not vq1it1w. .iTho.ut.si gn:a.ture ...........—.... .............................. 4� CS7107548 PETER.PLAYDON :16 WEST MEET Londonderry AH 03.053..... 05/03/2017 To: Maura Deems Page 8 of 13 2015-05-01 18:47:02(GMT) 16032186803 From: Peter Playdon 1 M:S.Aird[} CONDITIONS. 1: ,,1,.O.U4rE�S•,:C7.EFINEt):. Within:this CanTr;3ct'{�s defnati.pni.hu:ir.ont.tZage.of#.he Gotttf�c},..'thp tK+[m "�ci;v:�'�°.s�ali.rr;tef .-' ,, th Carplina{rmitsrJ. iabffity com(aan , to.Lta ve S Houle G;enfe.rs 2; GEl$LRA! D SCRtPTtQN. !3y ex�cuttng this.Gonlract„Guelonio aad_Wave's agree that.l).Lowe'y llalt prey%Kle Custc3rnar the is (fits Goods'),2)Lowe ,batt Procure on Custa tier's behalf 0lE ^�rwce�to:install the.:Goods(the'°festa{fation,$Ersnrps :iia pr on.ihe premisgs tdettttfie7 ot}the atiO of this C.cfnt:ih {€..dip PFemtses)rind 3) Customiif sliail pay.LDWe's the:lurn -surra Contrirf 7nlai-sfakf3q ort the fi irs.ot Edits Commct the 'Price")and:accorciingts3.thetiravttpnsofthe"Gwtlr Cf DO ttn}>riEs -The lastatlatior,.Services.shagbn.perfor^lCitrr'the.speciticapoms.ar. [eaiaffhe. Pr8fnr5eS tdenhfed'ort the ince t?f tats Cpntt�ct("Protect lea) The Contwt DocumenEs"shalt consist:rif(1 the face €':Et7tS. onttdct:{2k,ff esE Terms and Conditions,{$).:tfte applicable p f,040; .,h ci:Losve's..receipt:a.nd f�+)any ettacheci$iSt tthes,nla:teriais f its._firac3r plans, anal/or'�p eieaaCityn ssFteetS. and oilier.adtlgnta:ora##acilnienis herCtra:1'he Gpntr ct 00CUnionis ao i,.nt`inClt d :a.Ry.etsFresposdenCe,.arlvnr sem@rst ,,i�trrn�trS:of-�,thtr:l90'CGiYieilt5: thtiE,err:'nQl:atttichLd.- , 3. tN51ALLATl4td 3ERVIGEs Ctislonler aulharrles Leave's on Gu,fomrs 6e frdif to.{e)aRar,gp foe the InS:talfatian Srvrct s ta;bt performed b;y:an. trldepehtletl[Contractor{the irt.&falter).{licen$�d v✓hen reyalfy required, issYo a syorFt order to ihr. ln.stafW:tolnlsf?t.rfargt:ttie_irtstdrfatiort S�ti<icas .(c ;h ue.. after r:t n of(lie cif d,sfmutd t on e'1 in EEi iti�t reiFcxa.:hoose fp eta�Ci!t) i:lg,l�re�d(h?t L.ov✓ s.has no ocrt{c�atton Ic.dn$q} and:td} .-. .thtrin t�ltef t. after Gt7rttpft lien sst the. trork.arrd.after ter*.rpt of a cer�tfi etc,:;iclned antr si�tft d; C uS . S 5 of Comrailrlri"),Lusttsilier urtdrs#atids Ifiat 1 otvr's t1iU rety upt r,the£ert;(icate ef.t;ampleitoh tnixr i,t e�lns Mier For thet�ily c€impletod(the`Cerl'ffet§#a_. gres4#11ht:.. In ta({anon Scrv9ces do ho inci,j4 archrlectur,af`tn;}fneerim}servicers of.striictur�l elEan ;s la:fh f'r tntses Ut any SC a!S_Cuatvrttef fh?pfdlr'ary and routirio rrs,t�tif�t#rat of tare CCaEiS_ 3 s cciiic lE k rvice5 tie rrzild. p pro✓aFied its ibis Gun:ract Cf[ telt e r t5 tCSpof151#11rw,.rat rAls o:iners.costs fhr.p( VtCkifSC�3t1.Y nec:ts�aFy a chfiectutltengtripo;tt7q Sr�it;€S or sf#t.totiaral r}1,.ngas tra..th�f�reatiis4 .Ji.s7F)y other,seC+iccs 7ql tiraecifcaify Etfntiticci:jE. this Qufttrac+.. ✓!, ..GCitJUS, Ln1ve s w+Il�rrenete far dCfivgry of tate Goarls,ta the T'aemtse, G.usir�nter�c7rees tftctt.i..ttl 10,9q clasps not p,a5 ttr:Ctisionter rtntil in Gustomt r"t,htsne,t7iaiiditiy.tat in Cu$tonitar ,rirnl,er'ty.:r us,cnler agrees Qonfraci,is fir -offercec tar Nlr toter frrcc (per b indE GusiCrrn rnft�it�d agrpEg any surplusi 111,81 saes up .1 con,}:Frtion..uf.thr IFlstatlaitott.Srrtic &ari tlrft rate. ru tart pf bus *.tsr- ). urtp.r r. matenal;Shaft krc rs turned tv lc>we b.y. the: Installer..t:p 1n rCYtris:5t fresl�t C.uyto,+iFr.a+il,o#It.Fls .0'}05 r aml.tet of .LnvJ tn� 4 y Lowe's,5tieh SUrpru Yr Pari of unuse.t rece,ptEd curpfus m,a prials.:to.b'e retained by.the:.Cr tfarner.. e.S.,t.t_ts�iscrativn,.i'il{of{ctv.au. a, PRICE Thi, Pne4 ca erg the Goods, lfi5ti}rr3tlOn rj(rVkPeq..anrj op trctabte faxes- he Frice aSsual s srJlan r.4'Ztstat.ag.aUhs;Tt:Rttlrus, StrtrerSlrit ttdfe. Etnct f f�Flts.fit altar htrirnt5 7tse r�frc� 'shalt h6 :rcr d y cf ray the Cos, �t„tf teaScnrti7le 15tra{n tc.Laur 's rj,,e�ir7g.to pC'avic+ arfctit onat rapds.�t17r�fr3r. ttStJft8trt7n'Adrt+iCaL1S x"r raMSUft:4YrileiCCtf1£'Stikst'rt.1!~tUft;,;,uttpersttu>;itrre s,rr,pp:rls'rsf a,tschfrtr:nis w'ti1w-}x trance of.�'raV::Ctf1Ur E1Ytd#sc#rz,...,.Grrr7Citiar IpoC bgltnr},.tn tfiG e:rertt..of an 1J 1KfiScfascel GnRtriiiQtt'4r{hc foreSsJrn, �^,t;rstfafrter avrtf exemltta a cliarige t rrlirr:or a .r,.Ei;ri ref,tac n.tCnt co.ntraKt. IJ.faQ[t C 05✓�S react[L'SE 6. PAYh'(ENT ppyntt nt Of Me-Price by r,v tomer tfa I avJf is.dus n Jell:upon eaacuttcrtl of!his Contrast. Payment for any:chstnge ypri r Pr new rGpl�rCr~gtenl Cbrltr,r r is cfu�aE i?rC tlr,le of that change-ortre[ or r'tpiamill bill crnuact..!aw,r:'s.:vFlf cerld:ier Gustprrrer t3v�i:�, t�irsii a:rLcelpt.e:yiKlt*Etcin Cusiorner s purchaw'sftu payment is pnocesseo. Z. ,LIG1 hlSf S pcRNrtTS, $rkF£iY. RULES .5UI1—DING CQDES,. ZONiNG ORDINANCES, .AND 0"rliEfi: >AVl(S. The InStarter' strait he Ssie:iy ?>s(✓rFnPIble f t,ustrinir lett�1tJE 1tn nr� any incl oil IFs t'n5 s,, rt frf�tratlonb,ceriirrG�itons,and permits;vfrich:are dt cFafiy rettuF d tri pa rftsrrn it,o be I.a.W a5'{trlllre;$ '1"h0.In,taf{f3f Sh 131 r?ll.tr.t)C a}r}ty C'S,�'1Uns;it,Ie:.tCt.�it1�tC'11c.f fortttt<-rn,S-tof'£Ytion:a�rrfG�.S.�.�E1}fa.rl4'tj#7ntYc[r.ifT.Ct;1Ert�"il:�inGC' vrfl1. it t"i f[C'E�.t2• S. 1 fu# s anU vlt..exa FEr1g buiuflnf� e�al�r, .onanJ ca.Fiir?ali ant# of f to s tyF:rlttrr tk}e rust Sf1ar: alar r t,ve's staffbe re"apttrsitzte for any SIRIs2lre t$pf s:afK,ty rt11;;s tx[tic7tng „zt#nrny trrti.ret<�nces'ar tali'r�.r fa f -riK1.slt,t[f rub,:'7f;,r„rtuirE?EJ rt.i arti!tt:t.$s.t?r ccrruc:t (''r�=-cxis, U Of YJGif} Cft.artge CGCQrs to 3t1} 3SF�Ir(nibfi+$0.eeIX Furs f.t l011tg COIff 20firng Ct 4linaltC�:Of illftef 18K!.yl,icli requires cnt+CSrtfoi!-aoadsrandlar t�st�let�art. SENii a$to.perfurn,.ttlas. 4nlrcCt Qtt ft}rner 3grr�es to pay.:tc vis ttte.cp4trrtttreasrsnafria profit.#a St,iCti'addltfCrrlat[',orals.:old I17staff1tiQY!'SetttiC.eS ale t4 eXt'CUtB rESUftIE,g change order or rteio>rapiacernKnt pan Fcact as it,ia,t Stud.by.Lt1LV£'S. iVc7 af)d+IEC'tf5f.i/{ryf�r .r)@;fFd rmwf(ij}LtgF f}?i5 i:f5r3ll'3Gt �. tp any change to any:ap,�lr ably,,a(ety ,[[ building.codf onirt�Gr f nt,rtt C.r3i:otlir r fatfi'rt1'lit oc urs after the cotnbe tear e':,f,c�rk. g. 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L�tG tsF15 U1T}Cr Ili t f)E(Far7te?5 ii NJ Yre Ut : pr�fr?Cr 4h rt nwafler r-io Wr(C,rtt(',ra Deems, Maura From: Deems, Maura Sent: Monday, May 04, 2015 9:13 AM To: 'Peter Playdon' Subject: RE: FW: 209 Vest Way Peter, The map is 104 and the parcel is 0093. The contract you faxed over does not have the homeowners and contractors signatures which is required. In addition planning and conservation has to sign off on the permit before it can be issued. The other item that must be done is the land surveyor must draw in the proposed deck on the certified plot plan. Permits are issued at the office M-F after 8-10 am and M-Th 1-2 pm. Thank you, Maura Deems Building Department Assistant Town of North Andover From: Peter Playdon [mailto:playdonconstllc@gmail.com] Sent: Friday, May 01, 2015 1:43 PM To: Deems, Maura Subject: Re: FW: 209 Vest Way Can I have the Map # and Parcel #to 209 Vest Way please? Peter Playdon Construction LLC On Thu, Apr 30, 2015 at 4:05 PM, Deems, Maura<mdeemsgtownofnorthandover.com> wrote: -----Original Message----- From: Deems, Maura Sent: Thursday, April 30, 2015 4:05 PM To: 'plgyconstllcggmail.com' Subject: 209 Vest Way Please see attached as requested. Thank you, Maura Deems Building Department Assistant Town of North Andover -----Original Message----- From: noreplygtownofnorthanfover.com [mailto:noreplygtownofnorthanfover.coml Sent: Thursday, April 30, 2015 4:08 PM To: Deems, Maura Subject: Message from "CommDev-Ricoh" This E-mail was sent from "CommDev-Ricoh" (Aficio MP C4502). Scan Date: 04.30.2015 16:08:03 (-0400) AS-BUILT Plan of Land in --�� NORTH ANDOVER MASS. 3q Scale I In. ; 20 f t. November 22, 1994 ^ Robert P. Morris P.L.S, 21 Carter Street Tewksbury, Moss, o 10 20 40 -�� Graphic Scale /48 � 411 Vp wo '-3 - C I ;H OF ROBERT G n MORSI s H . No. 22.159 OWE OF ALM Location No. 1d 3J— PS Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ ��•�� M1. J . t Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ~ Check# A) �' . L •1 t Building Inspector