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HomeMy WebLinkAboutBuilding Permit #717-13 - 37 OLD VILLAGE LANE 5/1/2018 , TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: ` Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 3 G L-0 r/,\L�g� LGA Print 1 PROPERTY OWNER IhDetl#.r Print 100 Year Old Structure yes no ! MAP NO: PARCEL: U� ONING DISTRICT:: . Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE a Residential Non- Residential ❑ New Building 160ne family ❑Addition ❑ Two or more family ❑ Industrial iAAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District y�Nater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: \ 1.al�':;.. Ike pL._, Phone` S.)-1;E; U Address: fLi l orr,.s 't- Supervisor's Construction License: U 5-3 Vtl) Exp. Date: _ �SIA l l Home Improvement License: \o \ "1`{ Exp. Date: 6 1A L L3 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: $ k q, vy v FEE: $ 2A f Check No.: 1166,2 Receipt No.: `2 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner ignatute.of contractor Plans Submitted ❑ Plans Waived 11 Certified Plot Plan ❑ Stamped Plans Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Swimming Pools El Art ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales 11 Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS f fMF ATION Reviewed on / Si nature41,24�� I ALA-- TS - HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 6 l S ConservationDecision: Comments Water & Sewer ConnectioniSignature& Date Driveway Permit DPW Tow, Engineer: Signature: Located 384 bsaoo Street FIRE DEPARTMENT - Temp Dumpster onsite yes no Located at 124 Main Street: Fire Departinent-signature/date OMIVI E NTS — s 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 El Notified for pickup - Date Doc.Building Permit Revised 2010 i Building Department artment 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 j ❑ 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 submAted with the building application f 4 Doc: Doc.Building Permit Revised 2012 J �W C 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and may be.deemed.by the.Inspector_of_Wires abandoned.and.invalid_if he___.. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entitystated on the permit application. ❑ The Permit Extension Act was created by Section 173 of 173 of Chapter 240 of the Acts of2010240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses tonceming the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15, 8 and extending through August 15,2012. ule 8—Permit/Date Closed: �� ***Note:Reapply for new per 0 Permit Extension Act—Permit/Date Closed: k t 4 a�MSr�O The Commonwealth of Massach etts Office Use Only ' In� Department of Public Safety-�- Permit No5146�2'—_ 5 ;=� BOARD OF FIRE PREVENTION REGULATIONS 52 CMR 12:00 /:/ Occupancy & Fee'Check ed 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM E All o w be performed in accord ce with t L 1 A L WORK Massachusetts Elec:ncal Code,527 CMR 12 2OuW (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date----/���y-' City or Town of -IN) The undersigned applies for a permit to perform the electrical wor d scribed below. -- --To the Inspector of Wires: Location (Street & Number,)--*jTo 164- -V"'I, L Owner or Tenant Owner's Address__ S�4 _ Is this permit in conjun-tion with e, building permit — yes * no ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No._ Existing Service TUU Amps 1ZLi/ �yW — olts Overhead ❑ Undgrd J No. of Meters___ New Service Amps / Volts Overhead 11Undgrd ElNo. of Meters Number of Feeders and Ampacity yy Location and Nature of Proposed Electrical Work ni l�C"'41 �ln j, L �✓ kela C.-�LiN vGl1�� No. of li htin I Outlets / No. of Hot Tubs 7— TOTAL No. of Lighting Fixtures Above In SwimmingPool rnd.❑ rnd❑ No. of Transformers KVA Generators 0No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting KVA Battery Units IN o. of Switch Outlets lZ No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Conditioners TOTAL No. of Detection and ` TONS Initiating Devices No. of Disposals HEAT TOTAL TOTAL No. of Sounding Devices �U No. of Pumps TONS KW No. of Self Contained No. of Dishwashers S ace/Area Heatin Detection/Sounding Devices KW No. of Dryers Heatin Devices Municipal KW Local ❑ Connection Other No. of Water Heaters KVy No. of No. of Low Voltage Si ns Ballasts Wiring No. of Hydro Massae Tubs No. of Motors Total HP I OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ANO i I haave submitted valid proof of same to this office. YES ANO F If you have checked YES, please indicate the type of coverage by checking the appropriate box. ' INSURANCE �BOND ❑ OTHER ❑ (Please Specify)__ — tExpiratior• Date) Estimated Value of Electrical Work $ Work to Start-V-6-05 r Inspection Date Requested: Rough LU( [ C� w Signed under the penalties of perjury: g Final 60. n-4' FIRM NAM t � t" ^� LIC. NO. 2Z32tl icensee Signature4,07., Address (? A,� may LIC. rNO.%T/ Bus. tel. No. ��O�Y-U3s OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this application waives this requirement. Owner Agent (Please check one) i —. Telephone No , J dor- G v s — ��yyk&L C'o vL-ce 5 /Vv T' ,w? Alf-77 AIL yoc z-s 0 it l � NORTH own -oAndover O 0 No. * - ,� o4.9*.. h ver, Mass, S_//11-3 CoCNICNl WICK y1. X1,95 R�rEo ►`PP,`'�5 U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System f � //(O' ..,; BUILDING INSPECTOR THIS CERTIFIES THATV.......... ' :........................................... ............................................................ + / has permission to erect ...... buildings on ...-3z... .�j..�.F...FIl ef................ Foundation Rough to be occupied as ...................................................Y ��v 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TARTS 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 MORTGAGE PLOT PLAN SCALE: 1" = 40+ 37 OLD VILLAGE LANE JUNE 8, 1984 NORTH ANDOVER, MASSACHUSETTS OWNER: BARBARA DILLON 12 � o G r j/ ° mil �•' Citi \•,/ 6 2 1 vj e QJ V 40 k QD �' v4 .4c NOTE: THIS IS NOT A SURVEY AND IS TO BE USED FOR MORTGAGE PURPOSES ONLY. N.B.- DO NOT USE OFFSETS FOR ESTABLISHING LOT LINES FOR THE ERECTION f OF FENCES, WALLS; HEDGES, ETC.. No.17lY :; I HEREBY CERTIFY THAT THE BUILDINGS ON THIS PROPERTY IS LOCATED SHOWN ON PLAN AND DOES NOT COMPLY W-'fTH THE LOCAL ZONING SET BACK EQUTREMENTS. '* NOTE: DWELLING 9 SHED- SIDE YARD REQUIREMENT IS 20' . CYR ENGINEERING SERVICES, 1NC :.: ' 300 CANAL STREET I TURTH£R, CERTIFY THAT THE ABOVE DWELLING IS NOT LAWRENCE, MASSACHU..• ; ,� LOCATED TNA FLOOD HAZARD ZONE. CE'l i�' (D � 7 RE 37 Lly 4i. Z-67 O /��00 �i S�i17e/C/ Qs�ooa/ 4• UP '�r s ss=ii:rd•i Js m '+deo• (D '`•"rte •'� 'o Z7o S40,-'s 0 h A ��• tea•• ♦ G ''•'�.�' �,,�1�' ms's,; '-'/y� Uri �. Daus. A .�►` ,v , toy f �r � `�!o�' \ � �o�ol' '�:': ice: • • /7J.Od' . . ..� � 0 .y /� �oo�•+aasi' Al a k 20 The Commonwealth of Massachusetts Department of Industrial Accidents fa Office of Investigations 600 Washington Street Boston,MA 02111 UT. www massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): •� Address: 1�-16 lire l-)7- 5-)- City/State/Zip: �tv�- I�,. �.�w M•-. o\-I`-ts- Phone#: e'1 Are you an employer?Check the appropriate box: Type of project(required): 1.Z I am a employer with k— 4. ❑ I am a general contractor and I 6. n New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.t ? emodeling _ ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required] officers have exercised their right of exemption per MGL ILEI Plumbing repairs or additions er doing all workp P 3.0 I am a homeown g myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance r t employees.[No workers' 13. Other ms required.]l ❑ comp.insurance required.] *Any applicant that-checks•box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. Y ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Ck Insurance Company Name: Policy#or Self-ins.Lic.#: l<-C �^-�C- �^1 YJ b Expiration Date: \ l3 Job Site Address: 31 u`-V ��� City/State/Zip: 0,4 Attach Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration.date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pen yes of perjury that the information provided above is true and correct Sip-nature: Date: Phone# Official use only. Do not write in this area,to be completed by city or town offkiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• d CERTIFICATE OF LIABILITY INSURANCE 12/4/ 12 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON;THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed, Tf SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement Astatement on this certificate does not confer rights to the certificate holder In fieu of such endorsemeM(s] PRODUCER CONTACT NAME M P ROBERTS INS AGCY INC PHONNo_�_ (978) 683-8073 (ate,No):(978)6B3-3147 1060 Osgood Streetr-rJUMLsandi@mprobertsinsurance.com North Andover, MA 01845 mss) AffORDING a)urRAGE N=# INSURER A: PROVIDENCE MUTUAL INSURED KEVIN MURPHY BUILDING & REMODELING INSURER B: MERCHANTS INSURANCE 98 FOREST STREET imuR R c: GUARD INSURANCE INSURER D: NORTH ANDOVER, MA 01845 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST® BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTABJ, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1L'm TYPEOFINSURANCE ADM SUSK AY 0 (MMOONYYY) LTR Yyyp POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 X COMMERCIAL GENERAL uAB'L'ry PREMISES(Ea o=ne=) $ 500,000 CLAIMS-MADE FXI OCCUR MED EXP(AM onepersm) $ 15,000 A BOPI068945 1/22/12 1/22/13 PERSONAL aADVINJURY $ 1,000,000 GENERAL AGGREGATE s 2,000,000 GEMLAGGREGATE LIMIT APPLIES PHt - PRODUCTS-COMP/OPAGG s 2,000,000 POLICYFIM PRO- LOC $ AUTOMoaILE LIABILITY W98114M nowt $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ A1J-OWNED SCHEDULED MCA7013608 1/23/12 1/23/13 B AUTOS R AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ HIRED AAUTOSED AUTOS (Per acddad) $ UMBRELLA UABOCCUR EACH OCCURRENCE $ 1,000,000 B EXCESS UAB HCLAIMS ME AGGREGATE $ 1,000,000 DED RETENTION$ CUP9145304 1/22/12 1/22/13 $ WORKERS COMPENSATION TO LIMITS PER AND EMPLOYERS LIABILITY YIN C � �Ej ❑ NIA EL EACH ACCIDENT $ 500,000 (Mandatory in NH) REWC317800 7/01/12 7/01/13 EL DISEASE-EAEMPLOYEE $ 500,000 Ifyes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES ACORD 101 (Aitadt ,AddfiordRemmksSd>emle,dmorepaoeisn3quredJ CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NORTH ANDOVER MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED T(VE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD25(2010105) The ACORD name and logo are registered marks of ACORD ■ OF o ��q� �� 98 Forest Street evi 1.�!"1 q a` `l l North Andover,MA 01845 �� PH:978-688-5335 Building Contractor 0FAX:978-688-7207 Proposal To: Jack&Amy Moeller 37 Old Villlage lane All Home improvement Contractors and subcontractors engaged in home improvemerd contracting,unless North Andover, Ma 01845 cb exempt from registration by Prowsions of Chapter 142A of the general laws,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and Status should be made to the Director,Home Improvement ContrW Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-727 8598 cQ Date: 5/1/2013 Job: Deck Date of plans: None Architect: None Location: Same Section 1-Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 5/1/13. Baring Delay caused by circumstances beyond Contactors control,the work will be completed by 5/30/13.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup,the Contractor shall,at his own expense,forthwith remedy, repair correct, replace,or cause to be remedied,repaired, or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Section III-Scope of Work Page 1 of 4 Kevin Murphy Page 2 of 4 Building contractor 98 Forest Street North Aridover,MA 01845 PH:978688-5335 FAX:978586.7207 General Proposal is to build new deck off rear of existing house. Deck will be approximatley 14'x26', with an additional 10'x14 section. Building permit will be provided by contractor. Conservation approvals / requirements to be provided by owner. Excavating Exisitng concrete patio will be removed.Crushed stone will be spread under new deck area. Foundation Poured concrete footings will be provided for deck. Footings will be 10"x48". Building All frame, decking, and railing materials will be provided. Floor joists will be pressure treated 2x10. Decking will be 5/4x6 Azek ( grey color ). Railings will be white, Radiance brand. Sample of railing and decking will be provided prior to installation. Stairs will be approximately twelve feet wide. Square lattice will be provided around bottom of deck. Waste Removal All demolition/construction debris will be disposed of by contractor. i I Kevin Murphy Page 4 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:971368&5335 FAX:978£8&7207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ........................ .......$ 18,000 Payment to be made as follows: Percentage/item Description Amount 1 Permit obtained $2000 2 Framing complete $8000 3 Job 100% complete $8000 Total 3 $18,000.00 "Notice:No agreement for Home improvement contracting work shall require a down payment(advance deposit)of more that one-third of the total contract price of to told amount of all deposits or payments which the contractor must make,in advance,to order ardlor otherwise own delivery of special order materials and equipment,whichever is greater Contractor. Kevin Murphy 98 Forest Street No.Andover,MA 01845 Registration No: 101874 Section V-Acceptance Acceptance of Proposal—I have read this document and accept the prices, specifications,and conditions stated. I understand that upon signing,this proposal becomes a bindingcontract.You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature Date 3 n t Signature Date Location ���� /.%/ /x 4* i ! /V/1 No. !`�� Date a . TOWN OF NORTH ANDOVER O �`TLITI°Zh, < • Certificate of Occupancy $ Building/Frame Permit Fee $ /z — r � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 26339 BGilding Inspector