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HomeMy WebLinkAboutBuilding Permit #558 - 24 SKYVIEW TERRACE 3/19/2010 BUILDING PERMITo� "°RTH q `�t�eo ,6• �'O TOWN OF NORTH ANDOVER fir`" ''- ` °p APPLICATION FOR PLAN EXAMINATION Permit N0: 7 Date Received A R 1• SSSS�� Date Issued: /l �� ACHU IMPORTANT:Applicant must complete all items on this page LOCATION �4y 1tw KeA;I ' qPrint PROPERTY OWNER , �,,,)t 1 Print MAP 210 t " PARCEL: . . 7e_ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial ion No. of units: Commercial QeRepair, replacement Assessory Bldg Others: molition Other Sep-t-,C --Wc111 " Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: KOX4,Tr� Kew,-, Please Type or Print Clearly) OWNER: Name: Kew,-, Phone: Address: 1/[4?t.J -e- ✓N� C_Q_ CONTRACTOR Name: f ttr v�2,,� V,�-/\Vt Phone: Address:_ y `t` v+ a 1 Z Supervisor's Construction License: O. Exp. Date: S _2 c�3—1 Home Improvement License: 1 (olS-3LA Exp. Date: j 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: $ 'E 53 • L43 FEE: $ 371- Check 71- Check No.: 192� Receipt No.: 2 2 F6J NOTE: Persons contracting with unregistered contractors do not have access to he g aranty fund Signature ofiAgent/Owner w Signature of contractor i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING &.DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Ili Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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) ❑ Notified for pickup - Date ........_..._......_.........................._..._...._................_................_..._._....-_...........................................................-------..__.................................................-_.-----._..__........................................... .............- -._..............................................._.._........._......_.............._............................. Doc.Building Permit Revised 2010 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 ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the 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 2008 Location SS v al*&a) No. Date �� d TN TOWN OF NORTH ANDOVER Certificate of Occupancy $ a+usE`� Building/Frame Permit Fee $ 271 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 22kb5 V Building Inspector The Commonwealth of Massachusetts Department of 1-industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www•mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaibl Name(Business/Organization/IndiVidual): (, A(Av\v\ ✓�iTo�``� q Address: 1 ,� (��,• City/State/Zip: y !`\yha­` 1 Phone#:_9 Are you anemployer?Check the appropriate box: 1.❑ I am a employer with 4. ❑ I am a general contractorF7. pe of project(required):ployees(fulland/or parttlm )e * have hired the sub- ❑Nein construction 2 I am a sole proprietor or partner- listed on theattache ❑Remodeling ship and have no employees These sub-contractors have working for me in any capacity. workers' comp.insurance. g' E]Demolition [No workers' comp. insurance 5. ❑ We are a corporation and its 9. ❑Building addition 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 insurance required.] t employees_ [No workers 12.❑Roof repairs 13comp.insurance required.] c Q4�w• * Any applicant that checks box#1 must also fill out the section helot:sho„W=W Homeowners who submit this affidavit indicating they are doing all work and thea]sire outside ontractors mast.submit a new affidavit indicating such. p..ns.,............., Edon $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insu information. rance for my employees Below is the policy and job site Insurance Company Name: Policy#or Self-ins.Lic.#: ( e Expiration Date: Job Site Address: ��\ V V J o�,��� Attach a copy of the workers'compensation policy declaration age(showing e policy e City/State/Zip: . f. Failure to secure coverage as required under Section 25A of MGL c.. 152 can lead to imposition expiration date of criminal penalties of a a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby cerci and the pains andpenalties ofperjury that the information provided above is true and correct Si ature: ` rr Phone#: N •- Official use only. Do not write in this area, to be completed by city or town official City or Town: Issuing Authority(circle one): Permit/License# L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing 6. Other C Inspector 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 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 peraut 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 permitllicense 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 bum 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 Invesfigations 600 Washington Street Boston,MA 02111 Tel. # 617-72.7-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-72.7-7749 wvm7.mass.gov/dia Board of Buildin;Itc-,ulations and'-al.aards HOME IMPROVEMENT CONTRACTOR Registration 161534 ration =�"x/21/2010 Tr3t 2767G.0. «.Type :f7I3�i s ° HANDY MANN INSTALLS t MICHAEL MANNt t A� - 91 HADLEY RD =ro.- ;�d,niu:su;rtot• MERRIMAC,P/,A 018602 3o�d o B—A ng Regu'&,soman tan ar � `d Construction Supervisor License License: CS 90800 Exprratj.on °3728/2010 Tr# 20351 .; rRestriction: 00 " MICHAEL J MANN € 93 HADLEY RD MERRIMAC, MA 0186' Commissioner _03`17/2010 16:02 FAX 978 640 0611 WOODWARD WILKENS FOY INS Z003 IIATE Ate' P. CERTIFICATE OF LIABILITY INSURANCE __ 03/17/20101 PRODUCER 978.851,8'770 FAX 978.640.0611 THIS CERTIFICATE IS!ISSLJEl0 AS A MA*rrER OF INFORMATION Woodward, Wilkens & Fay Insurance LLC ONLY AND CONFERS:NO RIGHTS UPON TKE CERTIFICATE HOLDER.THIS CER71FICAI-E DOES NOT AMEND,EXTEND OR , 170 Main St Suite 103 ALTER THE COVERAGE AFFORDED 0Y THE POLICIES BELOW, Tewksbury, MA 0I876 ' INSURERS AFFORDING COVERAGE NAIL# INSURED Mike Man— DBA tand—y Wann Tn� staTTs (HNT) :,IHSURER A: fountain V41 1 ey_ i 91 Hadley Rd INSURER BI Liberty Ku!tual Merrimac, MA 01860IN51 RERC: -- —�— INSUREk D: NS'JR_ E: COVERAGES THE POLICIES C1F INSURANCE LISTED BELOW HAVE BEEN ISSUED 1-0 THE INSURED NAMED ABOL'E FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION CP ANY CONTRACT OR O'CHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DO' TYPGOFlNS'URANCE POLtCYNUM9ER TPC I�Y .IIFEGFI POLJCYEXPiRAT10N L1M1T3_ GENFkALLIABILITf 620-3162062-031'000 06/21/2009 06/21/2010 EACHOOCURRENCE B 500,000 D MASGF.TO RENTED X CpPAMERCIAL ;ENL•IgPLTLIABILITY , $ CLAPAS IMDE OCCUR MED EXP(Any one nereen) 5 10,000 A PERSONAL 3 ADV;NJURY I $ 500,00D GENERAL AGGREGATE s 1,000,00 OEN'L AC-4REGATE UMIT APFLIES PER: PRODUCTS-COMPIOP AGO S 1,000,()00 X POLICY X dEl TLOC -� AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (EascCidenl) $ ALL OWNED AUTOS BODCLY INJURY $ M SCHEDULED AUTOS (Fe.,persOr) HCRED ALITOS BODILY INJURY 3 MOI�•OVJNEOAUTOS (Per ac idem) PROPLRTY DAMAGE (Par acclden;p GAIiANYAUTO LIABILITY _ A,ITOf ONLY,EAACCiDENT S SiJTOTHERTHAN EA ACC $ AUTO ONLY: AGG S EXCESSiUMBRELL4,LMILITY v EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE g RETENTION S $ WORKE0 COMPENSATION AND WCZ-31S-369416-019 10/03/2009 10,/03/2010 FR EMPLOYERS'LIABILITY EL EACH ACCIDENT $ SCO,bOb B ANY PROPRIETORIPARTNERIEKECUTIVE OFPICERIMEMBER EXC_UDED7 E.L.DISEASE-EA EMPLOYEE s S001000 If yc,;,dMerize undCY SPECIAL PROVISIONS below E.L.018EASE-POLICY LIMIT $ 550,001 DITHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - ichael Mann,Owner/Sale Proprietor,is exempt from coverage on Workers Compensation WC2-31S-369416-019 ob Site: 24 Skyview Terrace N Andover, MA 01845 1'E HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIE,S DE CANCCLLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING IN5URF.RYPSLL ENDEAVOR TO MA16 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of North Andover s' UCH NOTICE SHALL IMPOSE NC OBLIGATION OR LIABILITY Building Inspector oPANY K(N PON IN ER.IT OENTS OR REI)gglaATIVES. V Andover, MIA 01845 A EN TIVE ACORD 26(2001108) �� OACORD CORPORATION 1588 STORE COPY INSTALLATION SERVICES CUSTOMER CONTRACT- KITCH - CABINETS • • LOWE'S OF HAVERHILL, MA,STORE# STORE PHONE:(978)241-1861 387 SALESPERSON: ELIZABETH MIELKE 25 COMPUTER DRIVE SALESPERSON ID:865696 HAVERHILL, MA 01832-0000 Document Print Date : 12/23/2009 This is only a Quote for the merchandise and services printed below. This becomes an agreement upon payment and an endorsement b a Lowe's register validation. Upon such payment and endorsement,the entire agreement, including Y 9 P PY 9 the specifically completed pages of this document,the Terms and Conditions included with this document and any other addenda or attachments hereto, shall be referred to herein as this"Contract.' PLEASE READ THIS ENTIRE DOCUMENT INCLUDING THE"TERMS AND CONDITIONS.- BEFORE SIGNING Lowe's Registration or Contractor License Number/Lowe's Contractor Name Lowe's Home Centers, Inc.'s MA HIC NO.: 148688 Lowe's Home Centers, Inc.'s FEIN: 6-0748358 Customer Name Home Phone S KEVIN WILLOE br Ft c.i=. 978-258-6602 O Customer Address Other Phone 24 SKYVIEW TERRACE c.c w 617-510-7313 L City State/Province Zip/Postal Code D NORTH ANDOVER MA 01845 Installation Address T 24 SKYVIEW TERRACE Installation City Installation.State/Province Installation Zip/Postal O Code NORTH ANDOVER MA 01845 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 31563 : 1 : SOS : CONSUMER-DIRECT FREIGHT CHARGE : CONSUMER DIRECT FREIGHT SCHULER CABINETRY, 1 -QTY 1 152402 : PSSE396 : SOS : SOS MEDALLION/SCHULER : PROFILE SOLID STOCK{VERTICAL} PS SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT}VERONA CHERRY-QTY 5 152402 : PSSE396 : SOS : SOS MEDALLION/SCHULER : MOD:PROFILE SOLID STOCK{VERTICAL SCHULER CABINETRY, (WIDTH = 96"WIDTH2 = 96" HEIGHT= 3" DEPTH =0 3/4" -QTY 5 152402 : ACBHM8 : SOS : SOS MEDALLION/SCHULER : ARTS &CRAFTS BASE HUTCH MOLDING SCHULER CABINETRY, I GINGER SNAP{CHERRY} Store 2387 Project No. 277375755 for KEVIN WILLOE Page 1 of 12 STORE COPY VERONA CHERRY{GT} VERONA CHERRY- QTY 8 152402 : ACBHM8 : SOS : SOS MEDALLION/SCHULER : MOD:ARTS&CRAFTS BASE HUTCH MOLD SCHULER CABINETRY, IWIDTH = 96"WIDTH2= 96" HEIGHT=4 1/2" DEPTH=0 3/8" -QTY 8 152402 : WCRN8P : SOS : SOS MEDALLION/SCHULER : PILLOWED LARGE CROWN WCRN8P SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT} VERONA CHERRY - QTY 5 152402 : WCRN8P : SOS :SOS MEDALLION/SCHULER : MOD:PILLOWED LARGE CROWN WCRN8P SCHULER CABINETRY, IWIDTH;= 96" WIDTH2= 96" HEIGHT=2 3/4" DEPTH=2 1/4" -QTY 5 152402 : DLV8 : SOS : SOS MEDALLION/SCHULER : DECOR LIGHT VALANCE DLV8 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT} VERONA CHERRY - QTY 4 152402 : DLV8 : SOS : SOS MEDALLION/SCHULER : MOD:DECOR LIGHT VALANCE DLV8 SCHULER CABINETRY, [WIDTH = 96" WIDTH2=96" HEIGHT =2 1/4" DEPTH =0 3/4" -QTY 4 152402 : SOSB306 : SOS : SOS MEDALLION/SCHULER : SLIDE-OUT SHELF B. SOSB30B SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT} VERONA CHERRY-QTY 1 152402 : 4DB18 : SOS : SOS MEDALLION/SCHULER : 4-DRAWER BASE 4DB18 SCHULER CABINETRY, I GINGER SNAP{CHERRY}VERONA CHERRY GTTVEHQNA CFfEFtRYZQTY 152402 : BFHI8WB : SOS : SOS MEDALLION/SCHULER : BASE W/WASTEBASKET{FHD} BFHI8WB SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT} VERONA CHERRY -QTY 1 152402 : SB36B : SOS : SOS MEDALLION/SCHULER : SINK BASE SB36B SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT} VERONA CHERRY-QTY 1 152402 : PNL149634 : SOS : SOS MEDALLION/SCHULER : XGRAIN 96X34.5 PNL149634 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT}VERONA CHERRY - QTY 1 152402 : PNL149634 : SOS : SOS MEDALLION/SCHULER : MOD:XGRAIN 96X34.5 PNL149634 SCHULER CABINETRY, IWIDTH =84"WIDTH2 =0" HEIGHT=30" DEPTH =0 1/4" -QTY 1 152402 : ASSCB36L33R-L: SOS : SOS MEDALLION/SCHULER : ASYMMETRICAL SQ CNR SUPER SUSAN A SCHULER CABINETRY, I GINGER SNAP {CHERRY} VERONA CHERRY {GT} VERONA CHERRY-QTY 1 152402 : DEP1W : SOS : SOS MEDALLION/SCHULER : WOOD DISHW END PANEL{R} DEPiW SCHULER CABINETRY, I GINGER SNAP {CHERRY}VER- ONA CHERRY{GT} VERONA CHERRY- QTY 1 152402 : DEP1 W : SOS : SOS MEDALLION/SCHULER : MOD:WOOD DISHW END PANEL{R} DEP1 SCHULER CABINETRY, IWIDTH = 1 1/2" WIDTH2 =0" HEIGHT=30" DEPTH =24" - QTY 1 152402 : DEP1 W : SOS : SOS MEDALLION/SCHULER : WOOD DISHW END PANEL{L} DEP1 W SCHULER CABINETRY, I GINGER SNAP{CHERRY} VER- ONA CHERRY{GT} VERONA CHERRY - QTY 1 152402 : DEP1 W : SOS : SOS MEDALLION/SCHULER : MOD:WOOD DISHW END PANEL{L} DEP SCHULER CABINETRY, IWIDTH= 1 1/2"WIDTH2 =0" HEIGHT=30" DEPTH =24" - QTY 1 152402 : SR12 : SOS : SOS MEDALLION/SCHULER : SPICE RACK CABINET SR12 SCHULER CABINETRY, I GINGER SNAP{CHERRY}VERONA CHERRY{GT} VERONA CHERRY - QTY 1 152402 : BOCFTS33 : SOS : SOS MEDALLION/SCHULER : BASE OVEN CABINET FLUSH TOE BOCFT SCHULER CABINETRY, I GINGER SNAP {CHERRY} VERONA CHERRY{GT} VERONA CHERRY -QTY 1 152402 : BFER : SOS : SOS MEDALLION/SCHULER : ATT:BASE FLUSH FIN END R BFER SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : RSP2490 : SOS : SOS MEDALLION/SCHULER : REFER SIDE PANEL 3/4" RSP2490 SCHULER CABINETRY, I GINGER SNAP {CHERRY}VER- Store 2387 Project No. 277375755 for KEVIN WILLOE Page 2 of 12 STORE COPY ONA CHERRY {GT}VERONA CHERRY-QTY 1 152402 : RSP2490 : SOS : SOS MEDALLION/SCHULER : REFER SIDE PANEL 3/4" RSP2490 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VER- ONA CHERRY{GT}VERONA CHERRY -QTY 1 152402 : BF330: SOS : SOS MEDALLION/SCHULER : BASE FILLER BF330 SCHULER CABINETRY, I GINGER SNAP {CHERRY}VERONA CHERRY{GT} VERONA CHERRY-QTY 1 152402 : BF330 : SOS : SOS MEDALLION/SCHULER : MOD:BASE FILLER BF330 SCHULER CABINETRY, IWIDTH = 1 1/2" WIDTH2= 1 1/2" HEIGHT=28 1/2" DEPTH =24" -QTY 1 152402 : 24DDOB18-L : SOS : SOS MEDALLION/SCHULER : DRAWER/DOOR BASE 24DDOB18-L SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT}VERONA CHERRY-QTY 1 152402 : BF330 : SOS : SOS MEDALLION/SCHULER : BASE FILLER BF330 SCHULER CABINETRY, I GINGER SNAP {CHERRY}VERONA CHERRY{GT} VERONA CHERRY-QTY 1 152402 : BF330 : SOS : SOS MEDALLION/SCHULER : MOD:BASE FILLER BF330 SCHULER CABINETRY, (WIDTH =0 11/16"WIDTH2=011/16" HEIGHT =28 1/2" DEPTH =24" - QTY 1 152402 : 24DDOB18-R : SOS : SOS MEDALLION/SCHULER : DRAWER/DOOR BASE 24DDOB18-R SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT) VERONA CHERRY-QTY 1 152402 : BFEB : SOS : SOS MEDALLION/SCHULER :ATT:BASE FLUSH FIN BOTH BFEB SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : PNL124834 : SOS : SOS MEDALLION/SCHULER : XGRAIN 48X34.5 PNL124834 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT}VERONA CHERRY-QTY 1 152402 : PNL124834 : SOS : SOS MEDALLION/SCHULER : MOD:XGRAIN 48X34.5 PNL124834 SCHULER CABINETRY, (WIDTH =30"WIDTH2=0" HEIGHT=23 1/2" DEPTH =0 1/2" -QTY 1 152402 : 24KHDD30: SOS : SOS MEDALLION/SCHULER : KNEE DESK DRAWER 24KHDD30 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VER- ONA CHERRY{GT}VERONA CHERRY - QTY 1 152402 : 24DDOB15-R : SOS : SOS MEDALLION/SCHULER : DRAWER/DOOR BASE 24DDOB15-R SCHULER CABINETRY, I GINGER SNAP {CHERRY} VERONA CHERRY{GT}VERONA CHERRY- QTY 1 152402 : BFEL: SOS : SOS MEDALLION/SCHULER : ATT:BASE FLUSH FIN END L BFEL SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : BF330: SOS : SOS MEDALLION/SCHULER : BASE FILLER BF330 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT} VERONA CHERRY-QTY 1 152402 : BF330 : SOS : SOS MEDALLION/SCHULER : MOD:BASE FILLER BF330 SCHULER CABINETRY, (WIDTH = 0 11/16"WIDTH2=011/16" HEIGHT = 28 1/2" DEPTH =24" -QTY 1 152402 : 24DFDB21 : SOS : SOS MEDALLION/SCHULER : DESK-HT FILE CAB 24DFDB21 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT}VERONA CHERRY -QTY 1 152402 : BFER : SOS : SOS MEDALLION/SCHULER : ATT:BASE FLUSH FIN END R BFER SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : DEP3W : SOS : SOS MEDALLION/SCHULER : WOOD DISHW.END PANEL{L} DEP3W SCHULER CABINETRY, I GINGER SNAP{CHERRY} VER- ONA CHERRY{GT} VERONA CHERRY - QTY 1 152402 : DEP3W : SOS : SOS MEDALLION/SCHULER : MOD:WOOD DISHW END PANEL{L} DEP SCHULER CABINETRY, IWIDTH =2 3/4" WIDTH2=0" HEIGHT=30" DEPTH = 24" - QTY 1 152402 : SOSB27B : SOS : SOS MEDALLION/SCHULER : SLIDE-OUT SHELF B. SOSB27B SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT} VERONA CHERRY -QTY 1 152402 : BFEL : SOS : SOS MEDALLION/SCHULER : ATT:BASE FLUSH FIN END L BFEL SCHULER CABINETRY, I VERONA CHERRY- QTY 1 Store 2387 Project No. 277375755 for KEVIN WILLOE Page 3 of 12 STORE COPY SP : SOS : SOS MEDALLION/SCHULER : ATT:B. TOE SPACE BACK PENIN BTSSP SCHULER CABINETRY, I VERONA CHERRY - QTY 1 SL : SOS : SOS MEDALLION/SCHULER : ATT:B. TOE SPACE SIDE-L BTSSL SCHULER CABINETRY, I VERONA CHERRY - QTY 1 3034 : SOS : SOS MEDALLION/SCHULER : 2-DRAWER BASE 2DB3034 SCHULER CABINETRY, I GINGER SNAP{CHERRY}VERONA } VERONA CHERRY -QTY 1 SP : SOS : SOS MEDALLION/SCHULER :ATT:B. TOE SPACE BACK PENIN BTSSP SCHULER CABINETRY, I VERONA CHERRY -QTY 1 1306 : SOS : SOS MEDALLION/SCHULER : ATT:PEG DRAWER BOTTOM INSTALLED ( SCHULER CABINETRY, I VERONA CHERRY-QTY 1 a30T : SOS.: SOS MEDALLION/SCHULER ATT:PEG DRAWER BOTTOM INSTALLED( SCHULER CABINETRY, I VERONA CHERRY-QTY 1 SMHDG : SOS : SOS MEDALLION/SCHULER : ATT:HVY DUTY SM FX DRAWER GUIDE U SCHULER CABINETRY, I VERONA CHERRY- 15-R : SOS : SOS MEDALLION/SCHULER : TRAY DIVIDER CAB TDC15-R SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA }VERONA CHERRY -QTY 1 SP : SOS : SOS MEDALLION/SCHULER ATT:B. TOE SPACE BACK PENIN BTSSP SCHULER CABINETRY, I VERONA CHERRY - QTY 1 (B2434 : SOS : SOS MEDALLION/SCHULER : BASE BOOKCASE 12BKB2434 SCHULER CABINETRY, I GINGER SNAP{CHERRY}VERONA )VERONA CHERRY-QTS/ i RSTD- : SOS : SOS MEDALLION/SCHULER : ATT:CHG TO STD TOP RAIL{NO CHAR SCHULER CABINETRY, I VERONA CHERRY-QTY 1 MEL : SOS : SOS MEDALLION/SCHULER : ATT:BASE FHD MATCH END-L BFHMEL SCHULER CABINETRY, i VERONA CHERRY-QTY 1 SB : SOS : SOS MEDALLION/SCHULER : ATT:B.TOE SPACE SIDE BOTH BTSSB SCHULER CABINETRY, I VERONA CHERRY- QTY 1 36-L : SOS : SOS MEDALLION/SCHULER : WALL CABINET W2136-L SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA }VERONA CHERRY -QTY 1 713 : SOS : SOS MEDALLION/SCHULER : ATT:WALL FLUSH FIN BOTH WFEB SCHULER CABINETRY, I VERONA CHERRY - QTY 1 36-R : SOS : SOS MEDALLION/SCHULER : WALL CABINET W2136-R SCHULER CABINETRY, I GINGER SNAP{CHERRY}VERONA }VERONA CHERRY -QTY 1 :13 : SOS : SOS MEDALLION/SCHULER : ATT:WALL FLUSH FIN BOTH WFEB SCHULER CABINETRY, I VERONA CHERRY-QTY 1 1241_21 R36-R :SOS : SOS MEDALLION/SCHULER : ASYMMETRICAL SQUARE CORNER WALL A SCHULER CABINETRY, I GINGERSNAP TRONA CHERRY{GT} VERONA CHERRY-QTY 1 36-L : SOS : SOS MEDALLION/SCHULER :WALL CABINET W1236-L SCHULER CABINETRY, I GINGER SNAP{CHERRY}VERONA } VERONA CHERRY -QTY 1 :13 : SOS : SOS MEDALLION/SCHULER : ATT:WALL FLUSH FIN BOTH WFEB SCHULER CABINETRY, I VERONA CHERRY-QTY 1 36-R : SOS : SOS MEDALLION/SCHULER :WALL CABINET W1236-R SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA }VERONA CHERRY -QTY 1 'B : SOS : SOS MEDALLION/SCHULER : ATT:WALL FLUSH FIN BOTH WFEB SCHULER CABINETRY, I VERONA CHERRY- QTY 1 36 : SOS : SOS MEDALLION/SCHULER :WALL FILLER 36"H WF336 SCHULER CABINETRY, I GINGER SNAP{CHERRY}VERONA I VERONA CHERRY-QTY 1 36 : SOS : SOS MEDALLION/SCHULER : MOD:WALL FILLER 36"H WF3 SCHULER CABINETRY, (WIDTH = 1 3/8"WIDTH2 = 1 3/8" HEIGHT= 12" -QTY 1 AWD305413 : SOS : SOS MEDALLION/SCHULER : BUILT-IN MICRO W/DRW 18BMWD3054B SCHULER CABINETRY, I GINGER SNAP TRONA CHERRY{GT}VERONA CHERRY -QTY 1 36188 : SOS : SOS MEDALLION/SCHULER : REFER WALL 24"D 24W3618B SCHULER CABINETRY, I GINGER SNAP {CHERRY} VERONA ;t No. 277375755 for KEVIN WILLOE Page 4 of 12 STORE COPY CHERRY{GT} VERONA CHERRY-QTY 1 152402 : WF360 : SOS : SOS MEDALLION/SCHULER : WALL FILLER 60"H WF360 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT}VERONA CHERRY-QTY 1 152402 : WF360 : SOS : SOS MEDALLION/SCHULER : MOD:WALL FILLER 60"H WF3 SCHULER CABINETRY, IWIDTH = 1 1/2" WIDTH2= 1 1/2" HEIGHT= 60" DEPTH = 12" -QTY 1 152402 : BK2124 : SOS : SOS MEDALLION/SCHULER : BOOKCASE 24"H BK2124 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY {GT} VERONA CHERRY - QTY 1 152402 : CVTRSTD- : SOS : SOS MEDALLION/SCHULER : ATT:CHG TO STD TOP RAIL{NO CHAR SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : WFEB : SOS : SOS MEDALLION/SCHULER : ATT:WALL FLUSH FIN BOTH.WFEB SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : W2136-L : SOS : SOS MEDALLION/SCHULER : WALL CABINET W2136-L SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY {GT}VERONA CHERRY-QTY 1 152402 : WF336 : SOS : SOS MEDALLION/SCHULER : WALL FILLER 36"H WF336 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT} VERONA CHERRY-QTY 2 1-52402 - WF336 - SOS SOS MEDAI I IONISCHI 11 ER - MOD'WAI I Ell I ER 36"H WF3 SCHI 11 ER CABINEETRY IWIDTH - a 11.116" WIDTH2-0 HEIGHT=36" DEPTH= 12" -QTY 2 152402 : W1536-L : SOS : SOS MEDALLION/SCHULER : WALL CABINET W1536-L SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT} VERONA CHERRY -QTY 1 152402 : WFEB : SOS : SOS MEDALLION/SCHULER : ATT:WALL FLUSH FIN BOTH WFEB SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : FI : SOS : SOS MEDALLION/SCHULER : ATT:FINISHED INTERIOR {+%} FI SCHULER CABINETRY, I VERONA CHERRY- QTY 1 152402 : IDG042 : SOS : SOS MEDALLION/SCHULER : ATT:WATERGLASS IDG042 SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : W303OB : SOS : SOS MEDALLION/SCHULER : WALL CABINET W3030B SCHULER CABINETRY, I GINGER SNAP{CHERRY}VERONA CHERRY {GT} VERONA CHERRY - QTY 1 152402 : WGH30 : SOS : SOS MEDALLION/SCHULER : ATT:WINE GLASS HOLDER WGH30 SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : W1536-R : SOS : SOS MEDALLION/SCHULER : WALL CABINET W1536-R SCHULER CABINETRY, I GINGER SNAP{CHERRY}VERONA CHERRY{GT}VERONA CHERRY-QTY 1 152402 : WFEB : SOS : SOS MEDALLION/SCHULER : ATT:WALL FLUSH FIN BOTH WFEB SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : FI : SOS : SOS MEDALLION/SCHULER : ATT:FINISHED INTERIOR{+%} FI SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : IDG042 : SOS : SOS MEDALLION/SCHULER : ATT:WATERGLASS IDG042 SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : BK2124 : SOS : SOS MEDALLION/SCHULER : BOOKCASE 24"H BK2124 SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY {GT}VERONA CHERRY- QTY 1 152402 : CVTRSTD- : SOS : SOS MEDALLION/SCHULER : ATT:CHG TO STD TOP RAIL{NO CHAR SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : WFEL : SOS : SOS MEDALLION/SCHULER : ATT:WALL FLUSH FIN END L WFEL SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : W1536-R : SOS : SOS MEDALLION/SCHULER : WALL CABINET W1536-R SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT}VERONA CHERRY-QTY 1 152402 : WFEL : SOS : SOS MEDALLION/SCHULER :ATT:WALL FLUSH FIN END L WFEL SCHULER CABINETRY, I VERONA CHERRY-QTY 1 152402 : W2136-L : SOS : SOS MEDALLION/SCHULER : WALL CABINET W2136-L SCHULER CABINETRY, I GINGER SNAP{CHERRY} VERONA CHERRY{GT}VERONA CHERRY-QTY 1 152402 : MCO2142 : SOS : SOS MEDALLION/SCHULER : ATTWESSAGE CENTER ORGANIZER 30.2 SCHULER CABINETRY, I VERONA CHERRY-QTY Store 2387 Project No. 277375755 for KEVIN WILLOE Page 5 of 12 1 STORE COPY 1 152402 : CMD8 : SOS : SOS MEDALLION/SCHULER : CORNER MOULDING CMD8 SCHULER CABINETRY, I GINGER SNAP (CHERRY) VERONA CHERRY- QTY 1 152402 : PNL141260 : SOS : SOS MEDALLION/SCHULER : PLY SKIN 11.25X60 PNL141260 SCHULER CABINETRY, I GINGER SNAP (CHERRY) VERONA CHERRY-QTY 1 152402 : MLD8 : SOS : SOS MEDALLION/SCHULER : SCRIBE MOULDING MLD8 SCHULER CABINETRY, I GINGER SNAP(CHERRY)VERONA CHERRY -QTY 9 Materials Price $25203.84 INSTALLATION DESCRIPTION Job Type : Replacement Room : Kitchen Points to Gemplete Demolition 13.86 Remove Se'ect Debris 1 iaul away of cardboard, installed deb,is, a,ld cabil IWIZ,. (No Appliances) Points to Install Cabinets : 139.7 Points to Install Plumbing : None/Not Available this Installer Points to Install Appliances : None/Not Available this Installer Any Additional Other Work Points : None/Not Applicable Customer Understands Scope of the Project : Yes Permit Required : No Additional Miles Traveled over 20 : 0 Bring up to Code Description : None Local Disposal Fees : None Describe Other Work Needed : None Comments : Customer will be using his own plumber and electricians, therefor he will pull his own permits as needed. Leclair will remove Granite Tops but as- sumes no responsibility if tops crack from previous glue down install. Labor Charges $ 5724.6 Detail Deduction -$ 75.0 Additional Specifications: Notation: Lowe's,will no ke structural modifications, upgrade electrical service, change electrical panels/outlets, upgrade plumbing, or paint. Customer has approved design Customer must initial. Additional Specif cats n : The Environmental Protection Agency (EPA) has requested that Lowe's notify installation customers that a lead based paint hazard may exist in dwellings built prior to 1978. See pamphlet EPA 747-K-99-001 for details. TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES [where applicable labor is taxable,check local tax restrictions. Store 2387 Project No. 277375755 for KEVIN WILLOE Page 6 of 12 STORE COPY SUB-TOTAL $30853.4 *SALES TAX $ 0.0 DELIVERY $ 0.0 ORDER TOTAL $30853 4 BALANCE DUE Work is to commence upon reasonable availablity of Contractor which is anticipated to be g [fill in date]. Estimated completion date is ::T� [fill in date]. NOTIC-E TO CA ISTORMER All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing on this contract form. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material incident to installation ne- cessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to customer. IF THE CONTRACT TOTAL IS$1.000.00 OR LESS Customer must pay in full. C!DMPLETE THIS SECTION NLY WHEN THE CONTRACT TOTALE EE 1 0 Customer to Pay in Full; OR [] Customer to use the following payment schedule: (1) Deposit$ to be paid upon signing contract. Deposit should be 1/3 the total contract price; and (2) Payment of$ to be paid anytime after this Contract is signed and before commencement of installation, I/We authorize Lowe's to do one of the following (check appropriate box below): [J Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contract is signed; or [j Deposit my/our check for the amount of the payment indicated above anytime after the date this Contract is signed; and (3) Final payment of$100.00 to.be paid upon completion of the installation and both parties' satisfaction. DO.NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED IN THIS CONTRACT AND WHICH FOLLOW THE SIGNATURE PAGE(s). BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH IN THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CON- TRACT AT THE TIME OF SIGNATURE. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M.G.L. c.142A Store 2387 Project No. 277375755 for KEVIN WILLOE Page 7 of 12 STORE COPY LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CONTRACT, THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH AR- BITRATION AS PROVIDED IN M.G.L. c.142A. By: Date: i a, a 3 uq Lowe's Home Centers,,`�lr� B `�_,4 'IJ P Y Date: I�id 3/'o w r By: Date: Spouse UERNATIVE DISPUTE RESOLUTION INI- TIATED BY LOWE'S PURSUANT TO M.G.L. c.142A. THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPERATELY SIGNED BY THE PARTIES. WITNESS OUR HAND(S) AND SEAL(S) BELOW THIS a3 DAY OFDLce_f-n io Lowe's Home Centers, Inc. By: (Seal) Print Name: V. !Yl► 1 Ic o ,�, /,�'�' _ nvP Address owner (Seal) kU,A city State/Province Zip/Postal Code Print Name Spouse (Seal) Print Name Customer acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this transaction Store 2387 Project No. 277375755 for KEVIN WILLOE Page 8 of 12 tAORT#q Tovm Of AndoverSS . 0qt.✓YI L- No. LAKE dover, Mass.,. I.J72 lil" COCMIC NE WICK ORATED P? C7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR Y......0_� ©�............... ...............THIS CERTIFIES THAT................ ... ... Foundation has permission to erect........................................ buildings on .A.zz�.... ................... ............ ... ...................... Rough '/ . A4 Chimney to be occupied as..........................4�"' ....e..C1.7.5�.41. 1 *"*'******....***­­*­­­­'­­­...'... "*"­*...- provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION 5T ARTS Rough ......................... ......................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.