HomeMy WebLinkAboutBuilding Permit #283 - 387 MASSACHUSETTS AVENUE 10/11/2006 TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION o`t,�o ,6gtio
o
Permit NO:
Date Received
Date Issued: A SSACHUS�t��
/�I,MPORTANT: Applicant must complete all items on this age
LOCATION JM G G l�(Le
Print
PROPERTY OWNER Vti1 I t U
,� Q Print
MAP NO.: 46. PARCEL: �J 1 ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Building AOne family
❑ Addition ❑Two or more family ❑ Industrial
XAlteration —� No. of units:
XRepair, lacement ❑Assessory Bldg ❑ Commercial
❑Demolition
❑Moving(relocation) ❑ Other ❑ Others:
❑Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
&5;r, 1jr- 5 0 L7� 11q
Identification Please Type or int Clearly)
OWNER: Name: Pe- �' , vt X Phone: 97 -
Address: 7:32 0\-mx-
CONTRACTOR Name: ��I��tm�_(� a'i' Phone:
Address: ,; (�,U� 5 }� (d 5 4-e--
Supervisor's Construction License: Exp. Date:
Home Improvement License: ( to cl Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ ,7-2 -7 FEE:$_ e-
�'
Check No.: Receipt No.:
Page W4
TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑
F1 Tobacco
Art E]Public Sewer
Tobacco Sales ❑ Food Packaging/Sales ❑
Well ❑
Permanent Dumpster on Site ❑
Private(septic tank,etc. ❑ Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
FIRE DEPARTMENT - Temp Dumpster on site yes_ -no
Fire Department signature/date
COMMENTS
Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer connection/Si2nature&Date Driveway Permit
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
Dimension
Number of Stories: Total square feet of floor area,based on Exterior dimensions.
Total land area, sq. ft.:
NOTES and DATA— For department use
Page 3 of 4
Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created IMC.Jan.2006
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
Addition Or Decks
❑ Building Permit Application
❑ 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)
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
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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Page 4 of 4
Location
No. Date l0
NORTFTOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame/Frame Permit Fee $
swcNusa 9
Foundation Permit Fee $
Other Permit Fee $
) yTOTAL $
Check # y 4� /O
19675 ---
Building Inspector
NORTH
Town of 4Andover
?,o L E dover, Mass.,J� "� • 0 �s
COCMIC EWICK
RATE D jo �y
`S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT..........O.. ........ o.... ...t.. x.............................................................................
Foundation
has permission to erect........................................ buildings on .j.1A.......WA.10....�f . .......�............. Rough
to be occupied as..{�..... ..1.......�!! � � . �............... � `. ��. .... .. r
I Vimn y
e
provided that the person acce ing this permit shall in every respect conform tot terms of the application on fileFinal
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction
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 CONSTRTS Rough
...... ................ .................................. Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
ATL-000915907-11
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA.INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
ATTN:BRENDA BOOKER (404)995-2594 POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
MAYA MCCLURE(404)995-3206 OR AFFORDED BY THE POLICIES DESCRIBED HEREIN.
TAMI ROUSE(404)995-3430 FAX(404)760-5663 COMPANIES AFFORDING COVERAGE
3475 PIEDMONT ROAD.SUITE 1200
ATLANTA,GA 30305 COMPANY
100492-IPUSA-GWA-03/04 A STEADFAST INSURANCE COMPANY
INSURED COMPANY
THD AT-HOME SERVICES INC. B ZURICH AMERICAN INSURANCE COMPANY
DBA THE HOME DEPOTAT-HOME SERVICES,INC.
HOME DEPOT USA.INC. COMPANY
2455 PACES FERRY ROAD NW C NEW HAMPSHIRE INS COMPANY
BUILDING C-8
ATLANTA.GA 30339 COMPANY
D AMERICAN HOME ASSURANCE COMPANY
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 3
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDIYY) DATE(MMIDD/YY) LIMITS
A GENERAL LIABILITY IPR 3757608-01 03/01/06 03/01/07
GENERAL AGGREGATE $ 4,000.000
X COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS' PRODUCTS-COMP/OP AGG $ 4.000.000
CLAIMS MADE a OCCUR 'OF SIR:$1.000.000 PER OCC' PERSONAL&ADV INJURY $ 4.000.000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 4,000,000
-FIRE DAMAGE(Anyone fire) $ 1.000,000
MED EXP(Any oneperson) $ EXCLUDED
B AUTOMOBILE LIABILITY BAP 2938863-03 AOS 03/01/06 03/01/07
COMBINED SINGLE LIMIT $ 1,000,000
X ANYAUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NCN-OWNED AUTOS (Per accident)
X ELF-INSURED AUTO
HYSICAL DAMAGE PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
EXCESS LIABILITY AGGREGATE $
EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
G WORKERS COMPENSATION AND 6610998(AZ.ID.MD.VA) 03/01/06 03/01/07 X we ATU-
EMPLOYERS'LIABILITY TORY LIMITSI ER
C 6610995(AOS) 03/01106 03/01/07 EL EACH ACCIDENT $ 1,000.000
G THE PROPRIETOR/ X INCL 6611326(OR) 03101/06 03/01/07 EL DISEASE-POLICY LIMIT $ 1.()00.000
PARTNERSIEXECUTNE
E OFFICERS ARE: EXOL6610999(NY,WI) 03/01106 03/01/07 EL DISEASE-EACH EMPLOYEE $ 1.000.000
WORKERS
E COMPENSATION CONTINUED 6610997(FL) 03/01/06 03/01/07
D 16610996(CA) 03101/06 103/01/07
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAL_g0.DAYS WRITTEN NOTICE TO THE
FOR INSURANCE PURPOSES ONLY CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LWBLRY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES,OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Walter Gilstrap A,1611( A;.ri,.(r 46W
MMI(3/02) VALID AS OF: 02/27/06
I
I
AT-HOME gnstalled
Siding and Windows
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 126893 Board of Building Regulations and Standards
Expiration: 8/3/2008 One Ashburton Place Rm 1301
Type: Supplement Card
Boston,Ma.02108
THE Home Depot At-Home Servic
9UNROEUN CHHOUY
3200 COBB GALLERIA PKWY#20
FAtIANTA,GA 30339
Administrator Not valid without signature
Proudly sold,furnished and installed by RMA Home Services,Inc.a Home Depot authorized contractor.
,;45 Greenwood St.Unit 2•Worcester,MA 01607 •508-156-6686•Fax 508-756-2859•Toll Free 800-(357-5182
Wednesday,October 04,2006 8:38 PM Craig Smith 803594-5973 p.04
HOME IM_PROVEMENT CONTRACT
Sold,Furnished and Installed by:
e:. THD AtServices,Inc.
Branch Name: Datd/b/a The Home Depotot At-Home Services ,
345A Greenwood Street,Worcester,MA 01607
job#:a�r 3 o g3 V Toll Free(800)657-5182; Fax:508-756-2859
J
Branch Number: Fedeml ID#75-2698460 ME Lic#C 02439 RI Cont.Lic#16427
C1 Lic#565522; MA Homc Improvement Contractor Reg.#126893
�iaUS�ity� 1_t�rlr t(` mo, IP
Installation Address: State ZIP —
Last 4 Di iia of Driver's Lic.#&Exp.NoNr: Work Phone: Home Phone: �.
ellherctiase s
Home Address: City State Zip
(If different from Installation Address)
E-mail Address(to receive updates and promotions from The Home Depot):
Proiect Information: UWe/You("Purchaser"),the owners of the property located at the above installation address,offer to
s as
contract with Home Depot U.S.A.,Inc.("Home a e t�ish,de iver crated here n by reference for the
Home
made ation of la part hereof.
described on the attached Spec Sheet# it
Home Depot reserves the right to cancel this contract if,upon re-i nspection cthe job,Hoodetermines
<r
Home Depot dete_
rro
r because
equired to
t
cannot perform its obligations due to a structural problem with the home,pricing ng
complete the job was not included in the Spec Sheet or Contract- DEPOSIT PAYMENT OPTIONS
(subject to tlind verification and/or credit approval.)
'' �o I. Chec Cashiers Check or US Postal Service Money Order
�l
CONTRACT AMOUNT S s payable to The Home Depot).
00
2. Credit::ard•and/or other payment options-Circle One Below
-LESS DEPOSIT 5 !
Vi:a MasterCard Discover American Express
BALANCE DUE The i-tom:Depot Home Improvement Loan The Home Depot Credit Card
ON COMPLETION $
❑New Acc)nnt ❑Existing Account (HIL&HDCC ONLY)
*Minimum 25%of Contract Amount due upon Available Credit:S (HIL&HDCC ONLY)
execution of this contract Accdt: Exp.Date:
Name as it ippears on card:
Indicate Payment Method For *By my/our signature below,I/We agree to allow Home Depot to
BALANCE DUE ON COMPLETION: charge tf c above referenced credit card for the deposit indicated.
f( C�'�j�j1'"\ Cardholdw'sSignature Date
YYY \ HIL or HDCC Authorization Codes
Deposit Final Payment
ffO— #
H�
Purchaser agrees that,immediately upon completion of the work,Pu-chaser will execute a Completion Certificate and pay any
balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder.
Entire Agreement:This agreement and its attachments,including any financing agreement,contain the complete agreement
between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties.
NOTICE TO PURCHASER
Do not sign this contract before you read it. You are entitled U.a completely filled-in copy of the contract at the time
you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law
prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to
the actual completion of the work to be performed under the con tract.
You may cancel this transaction at any time prior to midnight r if the third business day after the date of this contract.
See Notice of Cancellation for an explanation of this right. The-e will be a service charge equal to 25%of the contract
amount if the job is cancelled by Purchaser AFTER the third business day.
BY MOUR S OF THIS CONTRACT. I/WE
ACKNOWLEDGE RECEIPT F OA COPY OF THIS CONTTRAC AND TWO COMP I/WE AGREE TO BE BOUND 13Y THE ETED COPIES O THE NOTICE
OF CANCELLATION.
BY MY/OUR SIGNATURE BELOW,I/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF
MY/OUR CREDIT HISTORY AND I/WE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT
RECORD W LTH AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY
INCURRED FROM INADV SS OR ERRORS.
SUBMITTED BY: Date:
1
ACCEPTED BY:.• Date:
Ilomcowncr
_ Date:
Homeowner
NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDE
AND ARE PART OF TIIIS CONTRACT
�� whap—Branch File Yellow—Cu itomer Pink—Sales Consultant
SaiVay,October 07,2006 6:33 PM Craig Smith 6035945973 p.06
HOME IMPROVEMENT CONTRACT
e7, f'�,,�1f{, Sold,Furnished and Installed by:
Branch Name
. O Date: �6THD At-Home Services,Inc.
----TTTT 6666 d/b/a The Home Depot At-Home Services
345A Greenwood Street,Worcester,MA 01607
Branch Number: ,Job# Free a � Toll F (800)657-5182; Fax:508-756-2859
Fedcml ID#7ree 460 ME Lic#C 02439 RI Cont.Lic#16427
CT Lic#565522; MA Home Improvement Contractor Reg.#126893
Ju
Installation Address: LS -_ e� `firm w. �
C ity State Zip
h Last 4 Di to orDriver's Lic.N&Er .NOW: Work Phone: Rome Phone:
Home Address:
(If different from installation Address) city State Zip
E-mail Address(to receive updates and promotions from The Home Depot):
Pro'eM Information: I/We/You("Purchaser"),the owners of the pro)erty located at the above installation address,offer to
contract with Home Depot U.S.A.,Inc.("Home De of")to furnish,de iver and arrange for the installation of all materials as
described on the attached Spec Sheet a r ,it cotporated herein by reference and made a part hereof.
Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it
cannot perform its obligations due to a structural problem with the home,pricing errors or because work required to
complete the job was not included in the Spec Sheet or Contract.
DEPOSIT PAYMENT OPTIONS
(Subject to fund verification and/or credit approval.)
j� Ch:d '
hiers Check or US Postal Service Money Order
CONTRACT AMOUNT $�{X13- (J (Mble to The Home Depot).
"LESS DEPOSIT $ IT0 2. Credit yard•and/or other payment options-Circle ne Below
is r MasterCard Discover Arm' Express
BALANCE DUE � The Honx t Home Improvement Loan The Home Depot Credit Card
ON COMPLETION $� 1y f r
❑New Acro unt ❑Existing Accoun (HIL&HDCC ONLY)
'Minimum 25%of Contract Amount due upon Availa Ae Credit: (HIL&HDCC ONLY)
execution of this contract
Acctit: Exp.Dare:
Name as it a spears on card:
Indicate Payment Method For *By my/o it sign below,I/We ee to allow Home Depot to
BALANCE DUE ON COMPLETION: charge thr abov eferenced credit car r the deposit indicated.
Cardhotdcr ignature am
��wVVV NIL or HDCC Authorization Codes
Deposit Final Payment
Purchaser agrees that,immediately upon completion of die work,Purchaser will execute a Completion Certificate and pay any
balance due. Purchaser also agrees to be jointly and severally obligate]and liable hereunder.
Entire Agreement:This agreement and its attachments,including a1,y financing agreement,contain the complete agreement
between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties.
NOTICE TO PURCHASER
Do not sign this contract before you read it You are entitled to a completely tilled-in copy of the contract at the time
you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law
prohibits home repair contractors from requesting or accepting t.Completion Certificate signed by the owner prior to
the actual completion of the work to be performed under the contract.
You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract.
See Notice of Cancellation for an explanation of this right. Thert will be a service charge equal to 25%of the contract
amount if the job is cancelled by Purchaser AFTER the third business day.
BY MY/OUR SIGNATURE BELOW,I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. I/WE
ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE
OF CANCELLATION.
BY MY/OUR SIGNATURE BELOW, UWE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF
MY/OUR CREDIT HISTORY AND I/WE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT
RECORD WITH AN INDEP NyMWT CRAIT REPORTING AGE NCY AND RELEASE THEM FROM ALL LIABILITY
INCURRED FROM I E T O AIS.9& ORS.
SUBMITTED BY Date:
ale nt ,/
ACCEPTED BY: fig-7� _ Date. lBf��4 C
HomicefAff
Date:
Homeowner
NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDE
AND ARE PART OF THl S CONTRACT
,o nc er whao—Rmnnh File Yellow—Cushrcner Pink—Sales Consultant
le 11 lZurday,October 07,2006 6:33 PM Craig Smith 603-594-5973 P.01
Branch Office. .41�1 SIDING SPEC SHEET Spec Sheet#: 5536
Branch#: DESCRIPTION OF WORK Job&2 17%k`7 q im
WNW
Customer Name: i1,-_+feX Lin-ml e,1A Home Phone#:
Work/Cell Phone#:
AN$J114
Installation Addres 3- A 1 ria` s OL C�t k 11�. 1:100 Siding Drop Location:
Dumpster Location:
crysincer,Cd.
R
AREAS to be SIDED PRODUCTS PROFILES COLOR
VOL Siding
Front Select Solid Wall 137"Shingles Outride Comers
Left Cedar Premium Triple 5"Shin
V"_
sac Cedar Distinction 10" d Split CORNERS 3/w. V4- NIA
Triple 1 u ul.bo
ni 14-Rounds Insulatio
R' t Beaded 6114"Rounds ;ndard
lut
Yes
No
therOther a White Only House Wrap
, ,I-
AREA OVER NEW GUTTERS&DOWN SPOUTS
Front Left
to b: E7D 8 Ic R' IrCOLOR* OTHER AREA
Fc
Soffit&Fascia Yes N
Frieze Board2 f In
Soffit Only
Fascia Oni Color:
Tuck Fasciii
Dentil Mouldinc WHITE ONLY No utters&Down Spouts to
nstalled in existing locations,
'Cover Frieze Board with; PVC Alum.Coil or Vert.Soffit= unless noted below.
Qty *COLOR*
Windows I Doors !"rit Storm Wiridovs Awnings up to 8'
Garage I Patio Door Storm Do)rs Awnings Over 8'
Double Garage Do., Burglar Bats* Existing Shutters
Build Out Frame 'In certain market;,Burglar Bars can be removed,but noireinstalled.
Yes= Now If"as: Vinyl/Wood Aluminum
4 Only where new siding is to be installed. Home Depot will NOT remove asbestos materia l-
77
GABLE VENTS
YIN Qt *COLOR* 44dow Window Mantel Door S Key
p
Y"" Cit *COLOR
Fron Recta Man-01-%._ wl De Ill Trim 5. ed'itittents Stone'
Left Octagon S 4 V D 44--88-
Back Front
Back
#of Pairs *COLOR*
XRi Loft
Louvered 13.
P I I
Raised Panel Right
Triple 3"Soffit Color: 0 44 If—Pr_
Beaded Soffit Location: hl YIN
YIN %COLOR* Triang
Knee
G
Wrap Porch Beams I V 034A
Wrap Porch Posts
Specify toe locations:
CLeeil-A ttl OXMIDIll ack^r--
I have reviewed and agree with the job specifications described above,and I have reviewed and agree with the
Special Terms and Conditions listed an the reverse side of they([low(Customer)copy of this Spec Sheet.
If rotted wood is discovered AFTER removing the existing siding,or if it could not be identified at the time of sale,
there will bean additional charge of$4.00 per Sq.Ft for Plywood ard$5.00 per Lin.Ft.for Dimensional Lumber.
Customer Signature: L
Azplo
Date:
White-Home Depot Yellow-Customer Pink-Sales Consultant
44-06SFC-S-VS-AC