Loading...
HomeMy WebLinkAboutBuilding Permit #679 - 38 ALCOTT WAY 5/6/2010BUILDING PERMIT o ;' TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ~ y r M t ^ Permit NO: Date Received 74�DMATED �SSACHUSEt Date Issued: IMPORTANT: Applicant must complete all items on this Daae LOCATION Print PROPERTY OWNER_�e `y Print MAP 210 y' ? PARCEL: ZONING DISTRICT: Historic District yesKno Machine Shop Viltaae ves 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 Water/Sewer DESCRIPTION OF WORK T.&$E PREFORMED: Iden ification P;�CZe or Print Clearly) OWNER: Name: �i�� v6" tlz Address: CONTR/ Address Supervisor's Construction License; o2eq'329 Exp. Date: Home W 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: $ eapa4��- FEE: $ ! �- Check No.: --�0�32- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to thVff4aranty_ nd Signature of contractor Location �/'� No. Date /d Check # 303 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ l 2 2 9 9 9 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: Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: t_ocatea :it54 us ooa Street FIRE DEPARTMENT r- Temp Dum;pster 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 E E Qj x O as v ti � V)Cd v) A w° U a°G w w � ed w w a (j a c� w ii oG rn cn Cl) i„r -Y d ry � W Q J Q V 0 /w �r 0 Q• ANG �v ca ** V 06 : m i m O z I o � C H O C cjV 1 � •dam nc � eo �= o • 0 L N Z" EQ m . y cc 0 `m 3 N i � m C C � 3 7 N C W .w N E� goo - y m m MID O CoC Q CZ CL. Q 00 m :ms3 � o ;a+•o uml.� C.3 .m p m co yd m g �= CL2 M C. � ._ I-- t s c $ m O F. V O O v Z O a O y D c CD CM I C C co Q mCD 0 CD� Z R� O CD L C O.= 0. CMQ C 00_-+ C O O CD O C c cc H Hpr 27 10 08:37p Rick Odorinell 6036474457 p.t HOME IMPROVEMENT CONTRACT PLEASE READ THIS Branch Name: Boston Date:�,Sold, Furnished and Installed by: C� THD At -Home Services, Inc. d/b/a The Home Depot At -Home Services 345A Greenwood Street, Unit 2, Worcester, MA 01607 Brandt Number: 31 Toll Free (800) 657-5182; Fax (508) 756-8823 Federal ID #75-2699460; ME Lic # C 02439; RI Cont. Lio# 16427 �/ Cr Lic #,5655222: MA Home Improvement Contractor Reg. # 126893 Installation Address: lc9/V 0 %b'l /1/ W', dov< � Dlir' k City State Zip Purchaser(s): Work Phone: Home Phone: Cell Phone: Home Address: (If different from Installation Address) City State Zip E-mail Address (to receive project communications and Home Depot updates): ❑ I DO NOT wish to receive any marketing entails from The Home Depot Project Information: Undersigned ("Customer"), the owners of the property located at the above installation address, agrees to buy, and THD At -Home Services, Inc. ("The Home Depot") agrees to furnish, deliver and arrange for the installation ("Installation") of all materials described on the below and on the referenced Spec Sheet(s), all of which are incorporated into this Contract by this reference, along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders (co tively, "Contract"): /a , Job #: (mummAet—) Prad—m- Stec Shed(s) #: Prroiieci Amount Customer agrees that, immediately upon completion of the work for each Product, Customer will execute a Completion Certificate (one for each Product as defined by an individual Spec Sheet) and pay any balance due. As applicable, each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s) included herein, at its discretion, if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home, environmental hazards such as mold, asbestos or lead paint, other safety concerns, pricing errors or because work required to complete the job was not included in the Contract. Payment Sumimp ry: The Payment Summary # 2 g 9 P.? 2 included as part of this Contract, sett forth the total Contract amount and payments required for the deposits and final payments by Product (as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate (note: there is one Completion Certificate for each Misted Product as defined by individual Spec Sheets) before work on that Product is complete. In the event of termination of this Contract, Customer agrees to pay The Home Depot the costs of materials, labor, expenses and services provided by The Horne Depot or Authorized Service Provider through the date or termination, plus any other amounts set forth to this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE„ WYMOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acc02 and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and supersedes all prior discussions and agreements, either oral or written, relating to said Products and Installation. This Agreement cannot be assigned or amended except by a writing signed by Customer and The Home Depot. Customer acknowledges and agrees that Customer,has read, understands, voluntarily accepts the terms of and has received a copy of this Agreement. Accepted by: e X Cust er's Signature Date Customer's Signature Date CANCELLATION: CUSTOMER MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE STATE SUPPLEMENT ATTACHED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE. NOTICE: ADDITIONAL TERM AND CONDITIONS ARE STAI Submitted b X _ = _ -' S-/ -,;Z /- /a Sales Consultant's Signature Date Telephone No. Zo --' �/%S^ - W r Sales Consultant License No. (as applicable) ED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT 11-90.09 GSC White–BranchFlla Yellow–Customer Pink–Sales Consultant []Roofing ❑Siding Windows Insulation $ C Z 5_6 > ❑Gutters / Covers ❑Entry Doors ❑ 30 ) 7 5 S- 3 Q � Roofing Osiding ❑ Windows ❑ Insulation $ ❑Gutters / Covers []Entry Doors Q Roofing Siding El Windows Insulation $ ❑Gutters /Covers ❑Entry Doors n []Roofing ClSiding 0 Windows ❑ Insulation []Gutters /Covers ❑EntryDoors [I$ Minimum 25% Deposit of Contract Amount due upon execution of" contract Total Contract Amount $ 3 Q S:– Maine Purchasers may not deposit more than one third or the ContractAmount. ,�2 Customer agrees that, immediately upon completion of the work for each Product, Customer will execute a Completion Certificate (one for each Product as defined by an individual Spec Sheet) and pay any balance due. As applicable, each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s) included herein, at its discretion, if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home, environmental hazards such as mold, asbestos or lead paint, other safety concerns, pricing errors or because work required to complete the job was not included in the Contract. Payment Sumimp ry: The Payment Summary # 2 g 9 P.? 2 included as part of this Contract, sett forth the total Contract amount and payments required for the deposits and final payments by Product (as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate (note: there is one Completion Certificate for each Misted Product as defined by individual Spec Sheets) before work on that Product is complete. In the event of termination of this Contract, Customer agrees to pay The Home Depot the costs of materials, labor, expenses and services provided by The Horne Depot or Authorized Service Provider through the date or termination, plus any other amounts set forth to this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE„ WYMOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acc02 and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and supersedes all prior discussions and agreements, either oral or written, relating to said Products and Installation. This Agreement cannot be assigned or amended except by a writing signed by Customer and The Home Depot. Customer acknowledges and agrees that Customer,has read, understands, voluntarily accepts the terms of and has received a copy of this Agreement. Accepted by: e X Cust er's Signature Date Customer's Signature Date CANCELLATION: CUSTOMER MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE STATE SUPPLEMENT ATTACHED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE. NOTICE: ADDITIONAL TERM AND CONDITIONS ARE STAI Submitted b X _ = _ -' S-/ -,;Z /- /a Sales Consultant's Signature Date Telephone No. Zo --' �/%S^ - W r Sales Consultant License No. (as applicable) ED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT 11-90.09 GSC White–BranchFlla Yellow–Customer Pink–Sales Consultant The Commonwealth of Massachusetts Department of Industrial Accidents u F office of rnvestigatiorts 600 Washington Street Boston, MA 02111 M www. in ass.govAlia Nl`orkers' Compensation Insurance Affidavit: Builders/Coati-actor-s/Elect►.-icians/Plumbers Applicant Information Please Print _Leaibly Name (Business/Organization/Indir•idual): Address- City/State/Zip: ++bA j ; �, �.' ' Phone #: �M LaC77 5i,914 -kre y an employer? Check the appropriate box: Type of project (required): 1. I am a employer with �_" .,J 4. ❑ I am a general contractor and I 6 El New constructionemployees (full and/or part-time).* 2. ❑ I am a sole proprietor or pager - have hired the sub -contractors listed on the attached sheet. 7. E]Remodeling ship and have no employees These sub -contractors have g• ❑ Demolition working for me in an capacity. Y P h'• employees and have workers' comp, insurance.$ 9. E] Building addition ` [No workers' comp. insurance required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. insurance required.] t right of exemption per MGL c. 152, §1(4), and we have no 12.❑Roo repairs employees. [No workers' 13.5,dther_� -- — 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 arc doing all work and then hire outside contactors must submit anew affidavit indicating such. tContractars that check this box must attached an additional sheet showing the name of the sub-contractcrs and state whether ar not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I ant an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. r Insurance Company _ .l Policy # or Self -ins. Lic. #: t? Expiration Date: "�� Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declara ion 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 WORTS 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 I do hereby certify und1r toe pans a ffd penalties of perjury that the information provided above is tree and correct: use only. Do not write in this area, to be completed by city or town official 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 #: CE -RTI 1CATE OF LIABILITY ITY INSURANCE � l4"s/la,rl ✓"' ((c CcFT1=iCi\TE IS ISSU�D AS NIATTER i Ery 01,1a !• %"i 1 -X34 -y95 -3C04 I L- -rJ, __1=iC_ _hiG RIGHTS ,PCl�i TH CE'?ririCA'c II rh•:;ruGEH �:D{LY AND r v. • DiJ T �n;tC - ICT_ Marsh USA, Inc. I I, 0`.-il _cJ �;C' - - N'JLu.R ' is AI .a�' IJP/`R a.G= Gli` 1 5 _ TER - j medoot.ce: __c.ic z>rsy.c^.' - _:o A1_ianca =a=, 356J _ C 3C-;;,. ,9�3--.._....- - ^ i -J::--- --- - _ - - 9La'1£3eianag nor y Ti ?3' i'._Lai o3- 3.,�.1 Hrea Depot L.S.A.C. _r__ -2:55 PacesFe_rY Road 1:415 C-24 INSURER D.PiTI ^_LtIO__IR _...._ � . Atlanta, GA 303392-� ;INSURER=:-lliaoia Unior. Ins Cc COVERAGES ANY REQUIREMENT, T RANCE M OR ICONDITION STED BELOtrOF ANY CONTRACT OR OTHER DOCUMENT W THORES ECT TOPWH CHTHIS CERTIFICATE NDI IONISSUED SUCH 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 H --- AVE BEEN REDUCED BY PAID CLA _ .__..__.._FPOUGY EFFECTIVE "POLICY EXPIRATION' LIMAS . i nn ,c , _nnfyyYY) t INSR(ADD'L rV�wr,...,w.,�.. TR .-•... .... 03/01/10 - - 03/01/11 EACH OCCURRENCE_ -RE -.1"D A GENERAL LIABILITY GL04887719-00 pAMAGE 6 S 1 000 000 PREMISES (Ea occurrenwL_i.-.___...; _.... _. .. I X COMMERCIAL GENERAL LIABILITY MED EXP (MY one w-- TL..S EXCLUDED_. _- CLAIMS MADE DOCCUR PERSONAL 3ADV INJURY $4,000,000_ -- 1 GENERAL AGGREGATE _ E 4,000,000__ PRODUCTS - COMPrOP AGG . S 4 , 0 0 0., 000 _ -� GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRT LOC SAP 2938863-07 03/01/10 03/01/11 COMBINED SINGLE LIMIT E 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) X ANY AUTO BODILY INJURY $ ALL OWNED AUTOS (Per person) SCHEDULED AUTOS -- :-' BODILY INJURY $ _ HIREDAUTOS (Per acciden0 _ - NON -OWNED AUTOS PROPER� GE $ X SELF INSURE AUTO (Peraw enl) (Per accident) PHYSICAL DAMAGE AUTO ONLY. ER'ACCIOENT GARAGE LIABILITY �ltEAAGC S THAN ANY AUTO OTHER -• AUTO ONLY: AGG $ GL04887714-00 03/01/10 03/01/11 EACH OCCURRENCE $ 5. 000000- A EXCESS lUMBRELLA LIAB0.1Tl AGGREGATE $ 5,000,000 0 CLAIMS MADE �- X OCCUR - S� __... DEDUCTIBLE __-.._.._.__.._.�._....._._.. S RETENTION - E � WORKERS COMPENSATION WCO203423 55 (AOS) •' 03/01/10 WG 57ATU- OTH- 03/01/11 X R`LLIMLTS_ _. -.ER _-.-__.--.-•____-.-- YIN C AND EMPLOYERS' LIABILITY-- (CA) 03/01/10 03/01/11 E.L.EACH ACCIDENT S 1,000,000 -�T — D ANY PROPRIETORIPARTNEWEXECUTIVE� OFFICERIMEMBEREXCLUOED7 WCO20342356 (FL) 03/01/10 03/01/11 E.L.01's se -EA EMPLOYE $_1_000, 000__ E (Mandatory in NH) WCO20342357 E.L.OISEASE- POLICY LIMIT $ 1_,000,000 If yes, describe under SPECIAL PROVISIONS below OTHER TNSC46242373 (TX)-- .03/01/10 03/01/11 Occurrence/SIR 30N/2M E TX Employers Excase WC091OS66 (QSI) 03/01/10 03/01/11 D Workers Compensation WCO203423581KY,M0,NY,Wi, ) 03/01/10 - 03/01/11 C Workers Compensation OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS DESCRIPTION RE: EVIDENCE OF COVERAGE CERTIFICATE HOLDER THE HOME DEPOT, INC. HOME DEPOT U.S.A., INC, . 2455 PACES FERRY ROAD NW BUILDING C-20 ATLANTA, GA 30339 ),A CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR I AUTHORIZED REPRESENTATIVE '�"�(`'�" ,,w�� USA �+ ©1988-2009 ACORD CORPORATION. All rights reserved 053-�-4�9 JS -d3 DK Via •L I.vvi:�i;a V171. y•_,'-..2 ".{ucl•j i �i is `.G] � SCD !2 ?u_�!��_al n � _ Nadoral=arosa[dcn 31,'3Z' =:l�j 2.35 xx V!dcla RaCJrg�vsxds No Larnl_sd C:.173 13:n vi1=!J L:x.:n.do MEMM No CsLJ ) 9! n rajiL' 19 ENERGY PERFORMANCE RATINGS eYA,ly{gCAN OE RE?J�IAAFMD QJEAGETICO ... . U-FaRcr Solar Heat Gain Coefficient Fw=r-4j CoeAdastts: Ganaru3e de. Enrgia star %0,32 1.6 0.29. ADOMONAL PERFORMANCE RATINGS EVAt11ACION SUPIMADaM{A DE RENOINENTO VisibleTransmittance Truvmhlon de UaVlsmlo 0.52 Srd tt+ae coins � t9 mom � praoeaase fa dtmm+t+�a � 7� pe1�a ►tcean�r+r idal�e derwmkwd lar t IEotd wet d ffW4 "(ft oarL dant end t sq** X&d sats- WX d=.wt cera rWW M VOW rt" ae the a,thblM d +*! R tor. �Y UK car" meatacUns l Ivan It)r oft ptodaci perthms>= and doa gat wtrtVR tdarttte0ort wveyU*tM nflerAa hltl dd Est. Wrtsetta eeaputt 4m a� ndorm am+pen cm be pwadIrrierdae 03blu do "C pert de0ermt'ar d�n pro Ul& tae wtry mdse Por "C w drtermtvdai par m ca*M V d �cbnee arDleruW y un *=a de pro*M UWAlal NMC no rt =* t *q m Xod= Y no Wwta Qu d Xmt cb 9K tdenadD Pn un uo spsJAra tbrttm son d _. theta dd NU tw Dere d um epopltd de alit pTodj:h WW.A1t1-4 ,. .' . . Unit cr.alifla. foc EN£RCY .SuA • ragion(f) Noctnaca, Nocttl . Cantcll, 90..th Caetcal, 4o.tna.n. cNEPW STM La unldad aaLlf1C4pa.a l3 (e) . rcgLan(ea) ENORCY.STA A: Nocti, Nocta Cantcal, 4ue Cantcal: Sue., IND: Rein CO/CLast Z Taittd Slat: 36' x 63' INO: & fuacro CO/VLdeio 2.31 xx/H-RA3 DP' 4-45 / - 4 5 TaxaAo pcobado: 91.1 CA x 160 cd X0773. KS Kofinan 2911150. Csep Ihd lobe( for pnss�h ENEfG( STbJt' ie6ata. To loam roan v61t ww.mergpstapay. Guarde silo elEawta Dm's po9bfes nernhabas ENER6Y SIIIC Para mrotet mos acertn dt ilio. `�tl w�rw.eaeiQystu[.ael �� �o•�no��•ealG4 0�,,/�i�aeaac��eel1' Board or Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR RepistralQr:, 126893 Ex�iaE�in—j 120lo Aja p ==S-4piement Card The Home Depot At pope`-Sery ce RICHARD FALLOf''_ i 3200 COBB GALLERIIA�fFJ^3.Y #20 �TLANTA. GA 30339 — C-xpiration: 9/11,12011 T 2273 [ILI De irtfm2nt m" Puhjjl ",:I rVix Sur, License: CS 29328 F,�es'fnrti�dl lo: 00 L KEYES !!I 16 ILAW-REEME RD S."-'ki—EM, NH 03079 C-xpiration: 9/11,12011 T 2273