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HomeMy WebLinkAboutBuilding Permit #118-11 - 33 ELM STREET 8/10/2010 BUILDING PERMIT pORTH o` TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION j - PROPERTY OWNER int 1 2 Print MAP 210 Q - PARCEL: 3 ZONING DISTRICT- Historic District yes t nom Machine Shop Village es no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District ater/Sewer /1J o ;-v DESCRIPTION OF WORK TO BE PREFORMED: �F(-©„I it P Jr'tt, ai& V. Identification Please Type or Print Clearly) OWNER: Name: C h c t S 2-1 o w Phone Address: I ,rte S r.Jd�.rcr 1� OL$ CONTRACTOR Name:-Tc-5--VA 1,x% �,14• Phone: 977- G.G - cr- Address: 8212 1` . N-v ej / o( r� THIN QJ V ro Supervisor's Construction License: CS 5-9-) ) qT Exp. Date: 1 . Home Improvement License: . b of (7 Exp. Date: t l9 t 1 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ lo z,- Check No.: '� Receipt No.: ' a 3ok-- NOTE:: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/OwnerSignature of contractor Location�3 EX-17 <7— No. Date NORTH TOWN OF NORTH ANDOVER • O F R 9 � Certificate of Occupancy $ ,SJACMUS t� Building/Frame Permit Fee $ ! U Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2J :� � Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature "COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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 ORTH TO" of Andove 1;LJ,/,P /�) Q LAKE o dover, Mass., Ap COCMICMEWICK �d � AERATE D p'Pp,` 7`SS BOARD OF HEALTH P,ERM IT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT &.fi� . .........44 .. ....... ndation ' ' ou ' has permission to erect . ....... ......................... buildings on .....32.......t�...... ......-0 h to be occupied as.... ............. , ...�..... ..... 1a'.. ..✓....... . him ey provided that the person accepting this permit shall in every respect conform to the to of the application on file in ma 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 CONSTRUC T TS Rough ............ .......................................................... .......................... Service BUILDIN PECTOR 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. e MONTH Of t4au e�ti0 0�' Town of North Andover Machine Shop Village Neighborhood Conservation District Commission 1600 Osgood Street North Andover, MA 01845 SSACHUSE Certificate to Alter Date: '9C9 ";�00 Contact Name&Address: 33 �m Sf-ree� Project Address: Project Description (attach additional pages,if needed): a Commission Vote: Voted Y to D to 6 deny Certificate to Alter on a Q Gf f Comments (attach additional pages,if needed): ACu -,'S tine L/J ,'CI.Q I v-).(4, 1! ►k tO Match -0 1 Signed:64 Machine Shop Village Neighborhood Conservation District Commission MSV NCDC Page 1 45/8' io v 0 bo aD N 5 5/8" STOCK NUMBER: #44040 QUANITY: - C PRODUCT MATERIAL: - OTHER: - Awovcd by: Datc: Drawn By: CAI,JLC poll 1015 Bnm"e Blvd Date: _ Round PermaCast Column P.O.Box 569 RCVLKA. p Troy,Alabama 36081 Scale: Not to Scale 6"XSa Plain 334.566.5000 Checked by: Fax 334.566.4626 sheet 1 of 1 Building Products www.hbecolamos.eom DERMA Capitals and Bases TuscAN Cap AND BAsEs Tuscan Cap and Base dimensions are located on:page 10 for Round PermsCast'; page 12 for SquarePermsCas&;page 22 for Permahte Columns. DORIC CAP AND BASE DIMENSIONS F Column Size C D E F J K L R DORIC CAP 8' 103/A I7/R 15/R 7/R" 1" Ph- 10" 47/16" _�—L 10" 1215/16" 2318" 21h6 1'/8" 15/16 1"/16" 12'/2' 59116" K 1 1 12" 15'/2" 27/x" 2'/2 OR" 19/16" 2" 15" 6"h6" 14" 187/8" 3'Sh6" 2718" I'h6" 1"h6" 23/8" 171/2' 7"h6" 16" 201/8 3'/4" 3" 2114" 19h6 23/4 201/2" 9 I 18" 23'h" 4" 3'/2" 2'/2' 1'/; 3" 23'/R" 10" DORIC BASE 20" 27 4114" 3518" 2518" 21/; 4 25 6114" E IR 22' 2971; $83/465///188" 2718" 3 4318 27118" 6'14" D 24" 32'12" 31/1 3'h 4'12" 293/4" 7'/i• 26" 35 3'/2" 342" 5'/8" 32'12" 848" 28" 38 35/8" 37/8" 5'/2" 34518" 8'/R' 30" 40'/i 4 4'l R" 5718 37 91IR" 36" 4831; 4718" 1 5 7 44'/R" 11'14' COLONIAL CAP L I COIANIAL CAP AND BASE DaffNSIONS K Col.Size C D E F J K I L R 6" Th" 1'18" 144" '/4" 1" 144" 7" 2 7/R" COLONIAL BASE 8" 94s" 1'/2" 15116" '/4" V/16" 13/89 9" 3" =F 10" 113/16" 1'/1 11/4" 1/4" 1416 11/s" 109//6" 3" E R D 12" 13'ls" 1112" 1114" I/4" 11116" 13/s" 12" 3" �--C� PERMALITE COLONY CAP I L 7 PswAlm COLONY CAP AND BASE DmENSIONS t 1K ii Col.Size C D E I L K J 6" 7114" VA" 142" 7114" 1" h" PERMALITE COLONY BASE 8" 9'/2" 144" 1112" 101/4" 142" 1'h" . E 10" 111/2" VA" 1'12" 1244" 1'12" 1'12" JD' C PERMALITE PHWAJJMFLGMMX FLATSTOCK BASE BASE MMIENSIONS Base Column Size Wi4hh Height D C D 8" 9'14" 8" 10" 11'/4" 8" C 23 Page 1 of 2 33 E),'w CTiiwEch _J� Less Work.More We. RADIANCE RAIL quiet,clean sophistication RadianceRail,TimberTech's most popular composite railing system,is easy to install while offering the most color combinations for your composite deck.Hidden hardware creates sleek,smooth lines along the deck railings,while the sturdy architectural design eliminates rattles and s eaks. F 1. .P- r ca Features Colors:Coastal White,Classic Black,Mountain Cedar,RiverRock and SandRidge Rail Kit conveniently includes material for one straight or stair rail section(available in 6'or 8'sections in 36"or 42"rail heights) Post Covers in 42"and 12'lengths,Post Caps and Post Skirts sold separately Bulk Items: 8'Top,Bottom and Support Rails,12'Solid Square Balusters and Hardware Mounting Kits 25-year limited warranty for residential applications Profile Y ►� bo a.✓c(S 1 http://www.timbertech.com/products/railing-and-lighting/radiance-rail/default.aspx?print—true 10/21/09 Page 1 of 1 �J M. r i J http://www.timbertech.com/files/products/product-radianceRail-2 jpg 10/21/09 Page 1 of 2 T0 son pq 'tech tg Less Work.More Life. XLMO industry leader in fire resistance TimberTech XLM is engineered from PVC to provide unparalleled scratch,mildew and stain resistance placing it in a class of its own.This extreme low-maintenance product also offers the added benefit of a Class A Flame Spread Rating.TimberTech XLM is the decking of choice for ultimate low-maintenance and peace of mind. 5 : ... #., e4» Features Colors:Mountain Cedar,RiverRock,SandRidge and Desert Bronze Two surface pattern options on one plank for Mountain Cedar,RiverRock and SandRidge colors—VertiCrainTM and Flat Grain Desert Bronze color has a one-sided finished surface with a Flat Grain pattern Class A Flame Spread Rating Mountain Cedar,RiverRock and SandRidge meet the California State Fire Marshal and San Diego County requirements for use in Wildland Urban Interface(WUI)areas No pre-drilling required No visible screws when installed with CONCEALoc®hidden fasteners Spans a maximum 16'on-center Available in 12',16'and 20'lengths 25-year limited warranty for residential applications TimberTech Tip: TimberTech does not recommend the use of vinyl or rubber products on any XLM deck planks.Items such as http://www.timbertech.com/products/decking-planks/xlm/default.aspx?print=true 10/21/09 Page 2 of 2 • rubber-backed welcome mats,vinyl plastic swimming pools,garden hoses,planters,etc.may have a reaction that commonly occurs with PVC decking,creating a discoloration on the deck.Please refrain from leaving items with a rubber or vinyl composition stationary on XLM decking. Profile Square edge Two surface pattern options on one plank for Mountain Cedar,SandRidge and RiverRock colors only—VertiGrainTM and Flat Grain Desert Bronze color has a one-sided finished surface with a Flat Grain pattern Grooved or Solid profile Actual dimensions:1"x 5-7/16" Options&Accesories TimberTech trim and accessories are designed to provide a professional-quality finishing touch to your deck. XLM,Fascia to trim your deck Matching RadianeeRail®in Mountain Cedar,RiverRock and SandRidge CONCEALoeg hidden fasteners to install a fastener-free surface DrySpaceTM revolutionary deck drainage solution XLM StairRiser Get the in-depth details for all your available options and accessories. http://www.timbertech.com/products/decking-planks/Xlm/default.aspx?print=true 10/21/09 fA25 Fill 11 It IF 11 11 11 11 IF 11 11 11 11 11 ll � IF '' Irill 4'-0" t.I25 il IF I 1111 11 1111 11 IF 11 [111 11 IF 11 11 IF IF I-I IIIIIITT 11 11 1111 IF 11 11 11 11 11 IF IF I I IF 11 1111 11 11 1 IF 11 Itil 11 1111 11 11 11 11 11 SEE DETAIL B PATTERN: 1" RECTANGULAR 1"x1" SQUARE 1" 1 2" 1/4" DETAIL A N.T.S. 1/4„ DETAIL B DETAIL C N.T.S. N.T.S. NOTE: PATTER14 ALSO AVAILABLE IN 4'x6' SHEETS REVISIONS: PERMALATT PRODUCTS, INC. SCALE: N.T.S. APPROVED BY: 3462 US 6E, BREMEN, IN 46506 DATE: 6/16/04 PROJECT N0: MODEL:1" RECTANGULAR ¶TLE. DuraShella VINYL LATTICE DRAWN BY: DRAWING N0: TREARBOt DuralShell &Decorator Vinyl Lattice by Permalatt I DuraShell®Vinyl Lattice- 1" Squar... Page 1 of 1 Traditional Diagonal and Square Lattice. Home Products Info Center Image GallerX News Products DuraShell® Vinyl Lattice 1" Square Opening Durable Vinyl Lattice at 1/2" thick with 1" wide strips and 1" square opening. DuraShell® Vinyl Lattice is fade resistant in both the color and white lattice, and is resistant to insects, mold and mildew. With a 3-D and solid core construction, this lattice product is much stronger than plastic lattice and will not splinter when cut like hollow PVC can, therefore giving you the promise of long lasting beauty! 1" Square Opening —1 N—j M—j W-1 M--j 1" Wide Strips & 1/2" Thick Click-here for specifications for this product. (pdf) http://www.permalatt.com/styles.php?product=linchsquare 10/21/09 �lassachusctts - Dclrurtmcnt of Public S.r-- N fct Board of Buil(lin.- Regulations and Standards Construction Supervisor License License: CS 54718 JAMES M TESTA " r 5 APPLETON ST >.. N ANDOVER, MA 01845 I Expiration: 6/8/2012 ('ununissi1O1�' Tr#: 29825 fee �a�n�w,zcuea� ���aaac�uaete~6• i Office of Consumer Affairs&Business Regulation = HOME IMPROVEMENT CONTRACTOR i - Registrations 120296 Expiration:-- 11/1:9/2011 j Tr# 290924 ' M ,.. Type z,r�IndiXidual i ! TESTA BUILDING&.RE.MODE--! ING JAMES TESTA " 5 APPLETON STREET N.ANDOVER, MA 01845=" a Undersecretary • i The COmmOnwe¢Ith of Massachusetts Department o f Industrial Accidents Office of•£nvesti,ations ..600 ff"ashingWn Street Boston, A" 02111 , / Workers' Compensation 1t4M-rn[dSS-gOV/&a Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information lumbers Name(Business/Organization/Individual): PIease Print Legibly Address:-. 0 _✓ © -, City/State/Zip: / , m D-02,� Are you an employer?Check the appropriate box: I-❑ I am a employer with 4. ❑ 1 am a o Type of project(required): general contractor and I loyees(full and/or part-time).* have hired the sub-contractors 6. ❑Neu,construction 2.5211—a.a.sole proprietor or partner_ listed on the attached sheet 1 7. [<emodeling ship and have no employees These su�oon��have working forme in any capacity, workers' 8• ❑Demolition [No workers'camp. ' come•insurance. ' re aired P insurance 5. ❑ We are a corporation and its 9• Building addition ] officers have exercised their IO•❑Electrical repainn 3.❑ I am a homeowner doing all work right of ex or additions Myself. [No workers'comp. c. I52tiOIl Per MGL 11.❑Plumbing repairs or additions insurance required] t ,§I(4),and we-have no I employees. [No workers' ❑Roof repairs comp,msurmce required.] 13.[]Other :AM' A M''-._^-:JIt--nt that che--L-bo•.:.'#.1 must'I3U7 1UUt t}:C seciza_�Q~tOP.'ahOY,�. Y.i. ' Fromeovrur.ts who submit this affidavit indicating they,a�dem at.'wort _ —s walk--s'CDMP-.c—� —....t:..,. +Contractors that check this box must attached-additional sheetshowino and tam'hire outside con r . ,the name of the sub c^a�•• d thecmuf�wnarkets comaffip. indicating such. lam an employer that ic•Pr�ing workers'coin enation �''p° information. information. P insurance for my employees. Below is thepolicy P cy and job site Insurance Company Name: Policy#or Self-ins.Lic.# Sob Site Address: Expiration Date: Attach R copy of the workers'compensation policy declaration age sho CRry/State/Zip: 1 P = ( MY Failure to secure coverage as required under Section 25A ofM win'the Poficy number and expiration date). ' fine up to$1,500.00 and/or one-year imprisonment,as well as G penalties rll ad too he,of a ST on of criminal " •.r Of up to$250.00 a da aPenalties of a y gainst the violator. Be advised that a co OP WORK ORDER and a fine Investigations of the DIA for' coverage verification PY of this statement may be forwarded to the Office of I do hereby cerfi er the pains and penaltSies o.fPerjury Sie: them the information provided above is true and correct. snatur _... Phone#: Date._ $�._ . cl . Q �� -a, -� Official use only. Do not write in th&area, to be completed bJ'citj,or toxin official City or Town: Issuing Authorz 1 ermit/License# ty(circle one): I. Board of Health 2.Buildiind Department 3. Ci /Town p 6. Other ty Clerk 4.Electric ai Inspector S.Plumbinb Inspector Contact Person: Phone#r Information an- d Instructions Massachusetts General Laws chapter 152 requires all employe75 to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every pt✓rson 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 g gJ tarp � � g the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association cr other legal entity,employing employees. However the owner of a dwelling house having not more than three apartX13L cuts 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 be:c--ause of such,employment be deemed to be an employer." MGL chapter 152,§35C(6)also states that"every state or Io.cal 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"Nmtb-r the commonwealth nor any of its political subdivisions shall e=nter into any contract for the performance of public work iuuZVil 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 numbers)along with their certificate(s)of insurance. Limited Liability Companies aJ-C) or Limited Li.abrfity partnerships(LLP)with no employees other than the membeis or partners,.are_not required to carry work='comp enation 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 Indu=strial Accidents'for confirmation of insurance coverage. .Also be ci u-e to sign and date the affidavit The affidavit should be returned to the city or town that the application for the perzmit or license LLs being req=sted.,not the.Deonnt.of Industrial Accidents. Should you have any questions regardia v the law or if you ar: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 BE in the permittlicense member 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 stampe=d or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future per7mits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office oflnvestigations would like to than 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 Commonweahk eaf Massachusetts Department Of IndustrialAcccidmts Office gf InvestjeatYous 601 Washington Street Basten,hLA 02111. Tel. # 617-72.7-49.00 ext 406 or 1-977-MASSAFE Reprised 5-26-05 Fan 4 617-72,7-7749 VMrW-Mass._Dov/dia. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: 01vix S )- is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: (Location of Facility) Sigiature of Permit Applicant Date 4 t T. ESTA Building and Remodeling 5 APPLETON STRET NORTH ANDOVER ,MA 01845 (978)682 2023 PHONE/ FAX ] r posal August 9, 2010 Proposal Submitted To: Chris Bowe Home Phone: (978) 975-5458 33 Elm Street North Andover, MA 01845 JOB : Front porch Obtain building permit Complete removal of all demolition and construction materials generated by Testa Building and Remodeling and its subcontractors. CONSTRUCTION: Rebuild the front porch using the material approved by the Machine shop district committee. Remove decking and handrails with the columns. Rebuild any rotted frame and re deck the deck with Timber Tech X L M decking. Install new 8"fiberglass columns and Timber Tech railings. A finance charge of V/2%per month(18%per year)will apply to all accounts over 30 days past due. In the event collection activity is required the customer shall be responsible for all costs associated with collection,including reasonable attorney's fees. I propose hereby to furnish material and labor complete in accordance with above specifications,for the sum of: $8522 Eight Thousand Five Hundred Twenty Two Dollars One third to start, one third after Decking ,final third at completion . Authorized signature O I reserve the right to cancel this contract if of pted in 30_days Signat e Signature