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Building Permit #456-13 - 34 WEST WOODBRIDGE ROAD 12/10/2012
BUILDING-PERMIT :� 'F µoRrk TOWN OF NORTH ANDOVER 4`-.`?�E� 6` 0 y o i APPLICATION F _ O r— RPLA N EXAMINATION . :a ' * - e" Permit NO: � # Date Received jam' QA �• Date Issued: f ' SACHLIS f-r IMPORTANT Applicant must complete all items on this page s "•,'K t + �'�`-' t � t` X 1 3' ... —i`� a S r � �a n,U�Z. '•.+ � s3 c. r- '-� '7-,- JY - �.r-. fSz,: Y a zt tl 1 yf� c e-TJ � L r;• - i���". � . tx y t eE� a �LtI^i���� .3 �f- y i- � \ � r 3• f nreay r;r �l -r A��r�i.� r -w r_ �a� 4 ray"�"3cx'.�M+j�'-5��h Y'c d{r.=1F.+';� a �� -.r ,-�tFy�x45;i.. '7 6''` i�'-s v `�,'• Fc'S`��, -�+�:k.£�+r�''�">r✓"`�ykf. _� ''$�'c'}J,��1�-rY�.�r Cm E�i }"'fin:',�Irl' •rstnf�'c'.i�.y a-#`Z r'4+rc'3+�- �� � F't. L 5.� i�Sa`�i s ��z y� s�y,� �ti a. n fpr �n''L�ce��--�� t d i �i t. r -1 ..1.� r_5�71 t`''�'SnGc�-l�'Z��:q�"" f�F'� �,� `t"'�S -�.-"'I•. fiti ,t,�1i, -,}tL�, '.e,,. �"`-.��I �� ,di� ��"L..I' � t r- e n I t e n zvy�•�' r� t_ � -`" �+`17`'gr3� �'SS� +br' Ng�({ ta ��-'F` ��atJ�33��r. ���.>¢r>�a'A l�r-���',,�+,., r w,�-.ate, -"� r'�.s 1•rz�,.y k� ri- u y. r.-. ! t t ��-tc-s�-mac x'�,�7 z � i Y �rti,.K,.'.3n'' a.tL 7a`11-� it � al ,.�,r,5�„�,�� '`r�t ryrr� ✓,�t�Yz-*}� ,�,S�' i-'4'i�,.ice`. .,rim J`" }ti--rv� y yt`,�-y> '9.S -4:1 �A s " rI TYPE OF IMPROVEMENT PROPOSED USE Resident' Non- Residential New Building _ _ _ ne fa 'I Addition or more family Industrial r ti No. of units: Commercial -- Repair, replacement- Assessory Bldg Others: Demolition Other ' z:�2,�- 'k'" '��,�n z'f� a.---�5`"vfi`. 1£5���„!�`It'r,•�Tj`�:.i Ffri�'�f�5�-s Yi!'s`� t^� n4 ('-L�_'��J,,ar�.. `�u�.. :l���a�.'C'1Jaal.1L'11�,�.�pJ'.x'Y`3``-�a�s r . , ,. SCRIPTION O WORK TO BE PREFO MED. Identification PIease Type or Print Clearly) S �( OWNER: Name: Phone: 6/7, ?ter7, 76 2- Address: Address: 3 (.0 es r ae `,,,t ..'ec"rNIM ,{..$¢.K-,.,�� 00(a 8-An. - +1 �tr,.,.<Fie'fCi '+y' R•.rn sL / `t.. F k 4c,.r ..�•�_rx= `SrLsl ¢'"+'t "� `t -"r4.�-r',= ring• y. t 4ir'.`�" -r. - f c-�s--�1,^'rn ^d� 4.7f -; "'' "`•i ''�',-� `i i v rl t 5rtd; _ u r z Y rf as : •. ` 7 -t. - '4•,95 .lid f� �a `� h Q ��tfi+a •'4r",,�r�si+y' t, tc� ," W.' y,4' >:- <>r '�v-'.'j- r-.�.r' + ' sf+Y:wa'r31sr 't --.. v �r. rte. k j�`; ''.il„r-�>.sg �aw• esyf t, ir�r`` r Hh vl,� i'��r.s:. ..- +m w -;,y1,�'�' r' �,!t t m� f'Y1 ..S u..Y_ '•ate �` }fl ,r +�'4;ou. 1e r ,'S�. �rrr^ ', tu* � cam. �•��,i ,e ,t,.k''r `4T..L. !;`1r �,�, .r,.t �v f p.- fi�--,�'„s„a^v'',r``-. a^-°• r it +ryl .� �� i '�'r �"�Ld- ..' ,7 µA s inl ��1. T`'a�{,�t-X_�+y� '� y } "•„2t R.k�.F us'.,.c=�J' `yy✓,' _�5��fJ ..I m-.111rabbt ru:1 .7151 AY.1G's7;�i.' - e-- ;t�s��i.''�”-3'�. �,.�r� ��` x�'tlh�A'��Cs?-:x-+1� c ,t `� :-r'��un.!.��#�.,;� i �' ��..�.n�F4y,t� �e,¢ ,✓Err• �;;�%s�. :i'r :� f kUi ;r� r.�?M l- r, xt .�-7'-a �y ti-Y -.t .a:l.�� N '•t i ��6*•�.i.�.�:;�;�;=�tiF l�:r w.�`''hlSY 2„4 T..�4="�' c '�'�.�aT�' <a r•A..•y,�y. t 's� 5.r- .`'--y X ';�¢'� .ia¢ ,�,..;3 "-fie ���'�.• �i` 11�1VnGc'�'Pi1:J5} � At� ��'��"�t t ��ixi �� 1sr !.�� Ti !:.-i'i .3 5. 't f�F j - ' :: a:r�.�.a� $ ���-+�.'�� �{ ,?5:,�" t .r-r��� I.�i'�4.��r•.�n.3 �r-�r"r.'� 7+s- t 3�` -�g •.r- F` p � � � = j , ARCHITECT/ENGINEER _ Phone: ' �r• I Address: Reg. No. �'-- FEE SCHEDULE:BULD/NG PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125. 0 PER S.F. I Total Project Cost: $ — FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have ac ss o the gu ranty fund Snatiire A en, nal✓er nature e t ..,. .._.�. "�Sa9 ... Plans Submitted Plans Waived Certified Plot.Plan Stamped Plans i 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 l DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT - -y COMMENTS : CONSERVATION Reviewed on Signature i'viLiV i 5 HEALTH Reviewed on Signature COMMENTS - Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes 4 Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Sig_ nature: Located 384 Osgood Street Fs13EEjP ► '�ME�Ai ' erx �Dar�pstrr� �te esu; 'x.: : K �F9T.e'�e��'3aT�[a1en�s� T3a'�iT3�'•e/.date ' ,:.... � � -. �, _ : ,�. x, I t� 4 1 I 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 foricku - Date P P i 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- u 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 1 ❑ Copy Of Contract - o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic'Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to-issuance of Bldg Permit ---i -New Construction (Single and Two Family) ❑ Building Permit Application ❑ Ceified Proposed Plot Pian ❑ 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 No. Date • ' TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ n Other Permit Fee $ TOTAL Check#( � 26024 Building Inspector i Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 6,000.00 m $ - $ 72.00 Plumbing Fee $ 9.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 9.00 Total fees collected $ 190.00 34 West Woodbridge RD 456-13 on 12/10/2012 Kitchen Renovation i NORT1y Town , of � � K. Andover O - 0 No. h ver, Mass, 10 2o1 COC NICNl WICK V - s � BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System RTHIS CERTIFIES THAT .. „ i � ra.............. BUILDING INSPECTOR ................. ...............0.... .. ................ ......r .. ...... N... 11 Foundation has permission to erect .......... ..... ....... buildin on 3�..� .. ..5- E Rough t0 be occupied as ............. ......... ........ ..........:. .. ............................................... Chimney p provided that the person accepting this permit shall in every 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 THS ELECTRICAL INSPECTOR UNLESS CONSTRUCTN A S Rough Service .............. ........ ................................................. Final BUILDING 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. SEE REVERSE SIDE Massachusetts Rome Improvement Samipfle Contract This form satisfies all basic requirements ofthe state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard Ianguage to protect homeowners. Seek Iegal advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. ]homeowner ormaltion ContraeforInfformation i i•. Nam Company Name Street Address(do not use aPost Office Box address) Contractor/Salesperson/OwnerName z)a zl e City/Town If IState Zip Code Business Address(must include.a street address) -0 c Daytime Phone Evening Phone tty/•)'own StateZip Code Mailing Address(It different from above) Bus' ess Phone Federal 1;mpIoyer ID or S.S.Number Home ImprovementContmcteriteg:Number Expiration date Law requires that most home improvement contractors have a valid registration number The Contractor agrees to do the following work for the Homeowner: (Describe in detail the workto completed,specifyingthe type,brand,and grade of materials to be used,use additional sheetsif necessary.) Required Permits-The following building permits are required Proposed Start and Completion Schedule-'The following schedule will and will be secured by the contractor as-the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of z _,z>, ate when contractor will begin contracted work. MGL chapter 142A.) when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform,the work,furnish the material and labor specified above for the total sum of: > Payments will be made according to the following schedule: $_Zf_ ® upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $ cc cc 0 by � / / or upon completion of $ by ZZ-1 Z or upon completion of_ i, $ upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) . The following material/equipment must be special $ to be paid for ordered before the contracted woilc begins in order to meet the completion schedule.(**) $ to be paid for NOTES:(*)Including all finance charges(**)Law requires that any deposit or down payment required by the contractor before workbegins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express Warranty-Is an express warranty being provided by the contractors El No Yes(all forms of the warranty must be nttnched to the contract) Subcontractors The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor fut'ther agrees to be solely responsible for all payments to all subcontractors for materials and labor under this-agr6ement Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. o Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something isunclear mprovement Contractor Registration. T , • Malce sure the contractor has a valid Home Ihe law requires most home improvement contractors and subcontractors to be registered with the Director ofI-Iome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 ParlcPlaza,Room 5170,Boston,MA.02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance'document. o Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight ofthe third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation anation xp o£this right DO NO7C'S1CG1®] 7C7[S CONT RACY'IF 7CJ8ERE ARE ANY 13IL.AM<SPACES 11 r Two identical copies of the contract must be completed and signed. One copy should go to the homeowner. The other copy shottldbe]sept by the contractor. Homeowner's Signature ontractor's Signa e / Date Z Conntracior Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an 'alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner.in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract;the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consiuner shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A.. Homeowner's Signature Contractor's Signature NOTICE:The signatures of the parties above apply only-to the agreement of the parties to alternative dispute resolution initiated by the contractor: The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under.tb.e Home Improvement Contractor Law(MGL.chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way, even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fimd provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and worlananlilce manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold-in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not-restrict a homeowner's basic consumer rights. If you.have questions about your consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank,sections have been filled in or malted as void,deleted, or not applicable. One original signed copy of the contract with attacbm6nts is to be given to the owner and theother kept by the contractor. Any modification to the.original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the.payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself, to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a j oint escrow account as a prerequisite to continuing the contracted work. Withdrawal of fiends from said-account would require the signatures of both parties. :Additional Information � If you.have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the OCABRwebsite at 11ttp /l vvvvtiv.rnass.gov/ocabr/ If you.want to verify the registration of a contractor or ifyou have questions or need additional information specifically about the contractor registration component of the Horne Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at bttp://www.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: . hthr//dU state ma us/loineimproveivent/Jicemeelist.= For assistance with informal mediation of disputes or to register formal complaints against a business, calx: Consumer Complaint Section . Office of the Attorney General 617-727-8400 AND/OR. Better Business Bureau 508-652-4.800, 508-755-2548 or 4.13-734-3114• Version 2.1-11/22/2010 Required Contract Terms Page 1 of 2 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation Home>Consumer>Home Improvement Contracting> I Required Contract Terms Contracts-all contracts over$1,000(One Thousand Dollars)must be in writing. NEWS&UPDATES The law requires the following FOURTEEN items to be included in any contract between a homeowner and a i registered home improvement contractor for home improvement work subject to MGL c.142A: OCA Survey Finds One in Five t Home Improvement Contractor 1. The complete agreement between the contractor and the owner and a clear description of any other documents ` Advertisements Placed by which are part of the agreement. Unregistered Entity i 2. The full names,federal I.D.number(if applicable),addresses(NOT P.O.Box numbers),of the parties,the i More... contractors registration number;the name(s)of the salesperson(s)involved,if any and the date the contract was executed by the-parties. Subscribe I Leann more 3. The date on which the work is scheduled to begin and the date the work is scheduled to be substantially completed. RELATED LINKS 4. A detailed description of the work to be done and the materials to be used. You Gid Konsomat6 S. The total amount agreed to be paid for the work to be performed under the contract. Massachusetts you Reparasyon 6. A time schedule of payments to'be inade under the contract and the amount of eachPaYm ent stated,in•dollars, nan Kay c. ... including any finance charges.Any deposit required to be`paid in advance of the start of the work SHALL NOT w exceed one=third of the total;ontra'ct price or the.actual cost of any material or equipment of a§pecial order or custom made nature',Which must be ordered4n advance of the start of the work to assure that the project will proceed Guia para el Consurnidor de on schedule. No final paymentshall be demanded until the contract is completed to the satisfaction of all parties. Massachusetts para Mejoras en 7. All parties must sign the contract. el Hogar r i 8. A clear and conspicuous notice stating: Guia para el Consumidor deMassachusetts para Mejoras en-, a.That all home improvement contractors and subcontractors shall be registered and that any inquiries about a el Hogar contractor or subcontractor relating to a registration should be directed to: 4 Office of Consumer Affairs and Business Regulation Ten Park Plaza,Suite 5170 Boston,MA 02116 Phone:(617)973-8700 f b.The contractor's registration'number must be on the first page of the contract. c.The homeowner's three day cancellation rights under MGL c 93 s 48, MGL c 140D s 10 or MGL c 255D s 14 as may be applicable. d.Ail warranties on the owner's rights under the provisions of and MGL c.142A. e.In ten point bold type or larger,directly above the space provided for the signature,the following statement: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. £ Whether any lien or security interest is on the residence as a consequence of the contract. 9..An enumeration of such other matters upon which the owner and contractor may lawfully agree. 10. Anyother provisions otherwise required by the applicable laws of the Commonwealth. 11. Permit Notice:Every contract shall contain a clause informing the owner of the following: a.any and all necessary construction-related permits; i b.that it shall be the obligation of the contractor to obtain such permits. c.that owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access-to the Guarantee Fund. 12. Acceleration of payment: No contract shall contain an acceleration clause under which any part or all of the http://www:mass.gov/?pageID=ocatenninal&L=3&LO=Home&L1=Consumer&L2=Home+... 9/1/2011 Required Contract Terms Page 2 of 2 balance not yet due may be declared due and payable because the holder deems himself to be insecure. However, where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the'contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. 13. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. 14. Arbitration: If the contractor determines that in the event of a dispute,the contractor wishes the dispute to be settled by arbitration,this fact must be signified on the contract and both the contractor and owner shall sign this clause separately. The following format is acceptable(in 10 point type or larger); "The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration:as provided in MGL c 142.4. Owner: Contractor: NOTICE.- The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties." ©2011 Commonwealth of Massachusetts http://www.mass.gov/?pageID=ocaterminal&L=3&LO=Home&L 1=Consumer&L2=Home+... 9/1/2011 ze: avrvrrco�u ,�,�� c�c,�icc✓ ' ;l.;! Oftice ofConsume Af:�� d:Rlfs,`ie§s Regul�ho�e „`. HONSE.IMPRO EMENT+CONTRACTOR Registration: Ak6893 Type: �Expiratiort DBA CONTRAC ItTG` ��F ' � Ag- -DI ANIEL V� IRTH f 1, I 11 WAGON TRAIL RDS I CHELEJiSFORD;NlA 01824., Undersecretary` A Massachusetts -Department of Public Safety Board of Building Regulations ulations and Standards Construction Supervisor License: CS-004021 DANIEL R WIRT 11 WAGONTRAIL RD ; Chelmsford MA 01824 4 r 1 Expiration Commissioner 06/10/2014 j f, t r COOLIDGE BUILDERS PROPOSAL NO. j and ASSOCIATES SHEErNO• 978-204-3881 DATE PROPOSAL SU fTTED TO: WORK TO BE PERFORMED AT NAME ADDRESS ADDRESS DATE OF PLANS PHONE NO. ARCHITECT We hfflAl propose to furnish the materials and perform the labor necessary for the completion of C� J / /I42 ' Q f I All material is guaranteed to be as specified,and the above wor be p rmed' e vrtth the win d spec ons ub fo ove k and completed in a substantial workmanlike manner f the sum of Dollars {$ y with payments to be made as follows. -�i� �,r•/'a'v' � /yL2t'�. � /fit /'/��y/�'' _ Any alteration or deviation from above specificationsinvolving a costs will be executed only upon written order,and will become an extra charge Respectfully over and above the estimate. All agreements contingent upon strikes, submitted accidents,or delays beyond our control. Per Note—this proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices,specifications,and conditions are satisfactory and are hereby accepted. You are aultiorized to do the work as specified. Payments will be made as outlined above. Signature / / i' Date L Signature i COOLIDGE BUILDERS esoposALNo. l and ASSOCIATES - TIi1°• 978-204-3881 ` DATE PROPOSASUBMff TED T0: WORK TO BE PMRMED A7` L ADDRESS '01 ` � ADDRESS DATE OF PLANS PHONE NO. � ' A We he y propose t4 furnish the materials and perform the labor nec for the co, on of ^l ( 1 J 7 I J 7 + F 6-r/ Z17 G/ J All material is guaranteed to be as specified,and the above work to be performed in accordance " the drawings and specifications submitted for above wo and completed in a substantial workmanlike manner for the sum of Dollars ($ )with payments to be made as follows. Any aftamton or oadafion from above specifications imolvM extra costs v Jibe mmmdedonly uponwrMenorderandWMbecomeaneftdarge Respeclfully over and above Me esfiniate. Ag agreements contingent upon stns, submitted accidents,ordetays beyond ourconbaL Note—this praposal may be wdhdrawn by us U not accepted wt »n days ACCEPTANCE OF PROPOSAL The above prices,specifications,and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Signature �� Signahire Date. —T�-.,. COOLIDGE BUILDERS No and % ASSOCIATES SHMTW. 978-204-3881 DAA PROPOSAL SUBMITTED TO: WORKTO BE PERFORMED AT PPHOMEM01 ADDRESS DAI AR0OF PLANS We hereby pro to furnish m pals and perform the labor necessary for the completion of 1j/ J J i . li l / � fr All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substardial workmanlike mannerforthe sum of Dollars ($ )with payments to be made as follows. 1 o�F Any alteration or deviation from above specifications imwinng extra costs wiubemm ed"ulmwftnwdaandvAbe=neane*acharge fiespectfully over and above the estimate. AA agreements t:enbMeM upon st BMS- subm acctdem%orditsbeyondcaw, & Nate osal ma vim by of acceprl days. ACCEPTANCE OF PROPOSAL F%med ve prices,specificafions,and condrdons are satisfactory and are hereby accepted.You are auft&ed to do the work as specified. Payments wt11 be made as above. Signature � Signahrte 7-77, COOLIDGE BUILDERS PWP0$ LN0. and ASSOCIATES _ SHMTND• / 7- �� /� $7`8-204-3881 PROPOSAL SUBMITTED TO: �� d WORK TO BE PERFORMED AT NAME/ ADDRESS 5;7 1-11 1 �)/_//JI-0 ADDRESS ' DATE OF PLANS PHONE NO. ARGMECT We hereby P!qpDq to famish m rials and perform the labor necessary for the completion of ` , -" 7l� I i � J �t d Z / All material is guaranteed to bees specified,and the above work to be performed in accordance with the drawings and specifications subrritted for above work and completed in a substm iai workmanlike mannerforthe sum of Dollars ($ )with payments to be made as follows. Myaiterationordeviationirom abovespep6gtionsa�whnng extracosrs win be mmod only wm wd trn mder,,and wMbemme an w*a cnatye RespeCtfuily over and above the eamale. A9 agreements M09M upon strdA subm acaden%ordelays beyond cwha ;Nate vu byataccepf$ i days ACCEPTANCE OF PROPOSAL The above prices,specifications,and conditions are satisfactory and are hereby accepted.You are authorized to do the Work as specified. Payments will be made as outlined above. • Signature Si r _ 1 oe»a I COOLIDGE BUILDERS MoPosALNo. j and ASSOCIATES - &W Na 978-204-3881 WE PROPOSAL SUMMED TO: waRxAF, BE PERFORMED A // FADD�FIESES ADDRESS DATE MPLANS PHONE N0. We he y propose to famish the materials and perform/the labor n for the com on of _xx ✓ c ' I l e C n 04 4 zzz, e All material is guaranteed to be as specfied,and the above work to be performed in accordance the drawings and specifications submitted for above wok and completed in a substantial workmanlike manner forthe sum of I Dollars ($ )with payments to be made as follows. Anyaiterabon ordmbontmmabovespec gcationsimowm e*aant WH be executed only upon man order,and will become an extra charge Respectfully over and above the estimate. M agreements contingent upon smites, submitted accidents,erdeWs beyond curcwha / Nate this praposal maybe withdrawn by us'd not accepted wltltin days ACCEPTANCE OF PROPOSAL The above prices,specifications,and conditions are satisfactory and-are hereby accepted.You are authorized to do the work as specified. Payments wilt be made as outlined above. —� Srgtiafiue Signahire a?ladams Barra 3 72 COOLIDGE BUILDERS PROPOSAL NO. ` and ASSOCIATES SHEET No. 978-204-3881 ` DAA PROPOSAL SU ITTED T0: WORKTO BE PERFORMED AT NAME ADDRESS ADDRESS DATE OF PLANS PHONE N0. 01 We he _.. propose to fumish the materials and perform the labor necessary for the completion of - n t l 7p/' Oy' r,• 1 a J ✓' %� All material is guaranteed to be as specified,and the above wo be p rmed in ace with the t+uin d spec ons ubp fo 71 e k and . completed in a substantial workmanlike manner f the sum of�-r, - Dollars (v� a// )with payments to be made as follows. Any alteration or deviation from above specifications involving a costs will be executed only upon written order,and will become an extra charge Respectfully over and above the estimate. All agreements contingent upon strikes, submitted accidents,or delays beyond our control. Per Note this proposal may be withdrawn by us"d not accepted within days. ACCEPTANCE OF PROPOSAL The above prices,specifications,and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments_will be made as outlined above. Signature /C Date Signature ?adams D81 18 3-12 NORTH Qi Town. of: s E . 1, ndover O No. 45v I Owl - �` h ver Mass e . 10. 201 4 o L.,1.. 1, > Mass, 41, V S u BOARD OF HEALTH PERMIT T LD Food/Kitchen - Septic System THIS CERTIFIES THAT .............................1.....0.x...................... 'a. . i ., .a.......ND.............. BUILDING INSPECTOR Foundation has permission to erect .......... ...... ....... buildI n&k..� .ftabii I.•••1�lw% Rough to be occupied as ............. ........... ....... ........?�o ........... . .: ............................................... Chimney provided that the person accepting this permit shall in every 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 6qN THS ELECTRICAL IN UNLESS CONSTRUCT A S Rough Service ................................................. Final BUILDING 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. SEE REVERSE SIDE _:t NORTy own Of s ndover No. •• t - 6"h ver, Mass, D C . 10. 2o12, A-O COCMIC!WICK y1 r'PPS S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System Aft THIS CERTIFIES THAT 0 D BUILDING INSPECTOR ................. ............. ......r ..a ...!v:....... .. .... ......... ... ...... . Foundation has permission to erect .....K., .k"111", buildin on.3 tZ .. .... ... ... • Rough to be occupied as ............. ... ...........f. .. ............................................... chimney provided that the person accepting this permit shall in every 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 THS ELECTRICAL INSPECTOR UNLESS CONSTRUCT N A S Rough Service .............. ........ ...........................:..................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final Lathing athing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE CERTIFICATE OF LIABILITY INSURANCE DATE(122/03/2/03/201122 i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT&'UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AEFORDED-;,B.Y THE POLICIES BELOW. THIS CERTIFICATE OF 'AUT INSURANCE DOES HOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(6) ;AOTHORLZEDAEPRESENTATIVEOR 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 CONIAC} .. T A Sullivan Ins Agcy Inc NAME:ONE FA: 344 South Union St (A/C. No. Ext): E- EL Lawrence, MA 01843 ADDRESS: PRODUCER CUSTOMER IDA. i INSURED INSURED(S),AFFORDING COVERAGE NAIC A Calvin K Coolidge - INSURER A:A.I.M. Mutual Insurance Cc 33758 Cal INSURER B: dba Coolidge Builders & Associates INSURER C: 102 South Shore Rd INSURER D: Salem, NH 03079 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE DAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE;TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Lr�.cPOLICY NUMBER POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE n1/pp/TTTT rlD:/pp/TRTI GENERAL LIAR ILITY EACH OCCURANCE E COMMERCIAL GENERAL LIABILITY DAMAGE ID RERTW PAEHISEE'(Ea:�o��ruence) [:][:]CLAIMB MADE ❑OCCUR KED EXP'-(Anyone pe pen) E El _ -, .. .. PERSOyAL AADV INJURY S -GE M'L AGGREGATE liIMIT APPLIES ER: GENERAL,AGGREGATE... .. _,.. .. ... .. .._ .. .. ... ....;'..,. POLICY r-II.OJECT❑LOC PRODUCTS-,CGKP/OP AGO E R AUTOMOBILE LIAB ZLTTY CDye LIED SINGLE LLAT ANY AUTO (ei aeetdent) $ BODILY IRTURY (Mer peeper) S GALL OWNED AUTOS • . FISCNEOULCU AUTOS': NODILY INJURY(W,Id—t) E F-1IAED AUTOS - PROPERTY DAMAGE (Pet Awl'.t) E ❑NON-OWNED AUTOS E 6 [:]UMBRELLA LIAB ❑ OCCUR - EACH OCCURRENCE E �E%C¢SS LIAB ❑ CLAIMS MADE ADGREGATE 6 ❑DEDUCTIBLE E ❑RETERTION I - E WORKERS COMPENSATION - ® tX Sr— AND r -AND EMPLOYEES LIABILITY TDR LIYITi LR THE PROPRIETOR/PARTNERS/ E.L. EACH ACCIDENT E 100000 A EXECUTIVE OFFICERS ARE , ) ❑ incl ® excl 7024789012012 09/09/2012 09/09/2013 E.L. DISEASE -POLICT LIMIT ! E 500,000 ! L-L- DISYau.- u Z1wi4812 s 10a7�OG r COHHENTS /DESCRIPTION OF OPERATIONS OR LOCATIONS: t CALVIN K COOLIDGE IS NOT. COVERED BY THE wORKERS'COMPENSATION POLICY. i CERTIFICATE HOLDER CANCELLATION DARRELL TEMPLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOI&THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 4 BUXTON COURT POLICY PROVISIONS. ANDOVER, MA 01610 AIHORIzzD REPRESENTATIVE 7042 06/11/2012 09:47 16038826137 FRENCH INSURANCE PAGE 02/EI - B >KM COPY ' I'Po-fiat Cntuccllation Ev=ad prcmium>,s y=resnor=b ne 1171850s * RENEWAL CERTIFICATE �"�'�` Whteicf or not oollooted firm the it Renewal of Number POLICY DECLARATIONS Unite=d States Liability Insurance Company .11,90 Devon Park Drive,Wayzlle,Pennsylvania 1.9057 No. CL 1171650C A Member Company of United States Liability Insurance Group The company issuing this policy has not been licensed by the (/ NAMED INSURED AND ADDRESS: state of New Hampshire and the rates charged have not been approved by the Commissioner of Insurance. If the CALVIN COOLIDGE company issuing this policy becomes insolvent, the New DSA: COOLIDGE BUILDERS Hampshire Insurance Guaranty Fund shall not be liable for 102 SOUTH SHORE RD any claims made against the policy, SALEM, NH 03079 POLICY PERIOD: (MO. DAY YR,) From: 08/1012011 To: 08/10/2012 12:01 A,M,STANDARDTIMF_ATYOUR MAILING ADDRESS ShIOWN ABOVE FORM OF BUSINESS: Individual BUSINESS DESCRIPTION: Doors and Windows-lnstallatlon NH Tax ID 02-6011591 THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. PREMIUM Commercial Liability Coverage Part $1,096.00 Wholesaler Broker Fee Surplus Lines TOx $32,88 TOTAL DUE: $10178,88 Coverage Form(s)and Endarsement(s)made a part of this policy at time of issue See Endorsement EOD (1195) Agent SURPLUS LINE MANAGERS,INC.(460) Issued; 8/11/Z011 P,O,Box 480 Goffstown;NH 03045-0490 Broker, French Insurance Agency By; � ��°� ""... Authorized Repr'ese atl pe THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE PART DECLARATIONS,COVERAGE PART COVERAGE UPC(08-07) FORM(S)AND FORMS AND ENDORSEMENTS,IF ANY,ISSUED TO FORM A PART THEREOF,COMPLETE THE ABOVE NUMBERED POLICY.