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HomeMy WebLinkAboutBuilding Permit #236-15 - 40 JOHNSON CIRCLE 9/4/2014 NORT11 BUILDING PERMIT 32OytreD :°q1•0 TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION 1• Permit No • Date Received 'ls 4gDRATED "`y(`� SS US Date Issued:q1�/// 'IMPORTANT: Applicant must complete all items on this page LOCATION 410 �/m�04-<a G'i�c lep Print PROPERTY OWNER �`e I� �- .,e*A/ OeI44 Print 100 Year Structure yes no MAP�'� PARCEL: ZONING DISTRICT:Historic District y s no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Ld One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial X Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 7:// .2 7 nePQ,i< Ise- S jay Identification- Please Type or Print Clearly OWNER: Name: /1%c/t 7�'- 4?RAY/3<-f4i t/, TVail-'H Phone: Q ?7- X9J- Address: ,? c;'A-Cle .N very Contractor Name: w, n Phone: �y 9 77- `/ 7 7 - ,1174F Address: ,2 p' .¢ �w�v�ov� �,�� ,44ef41ell Supervisor's Construction License: c 945'-f'/ Exp. Date: Home Improvement License: Exp. Date: 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. I ^ Total Project Cost: $ oe&S FEE: $ Check No.: (� Receipt No.: 01-4� NOTE: Persons contracting with unregistered contractors do not have acc ss to the guaranty fund Signature of Agent/Owner Signature of contractor 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS I HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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/Cross Section/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 Li 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 Li 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 2014 Location 0 C 4 pis 0 No. � Date U . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# J Building Inspector r -1 NORTH w: '. . : : _ S EA- ic . - ve: � O . .......... No. 277 (9-15 soh " ver, Mass, 'J'^ coc.uc«ew.cw S U BOARD OF HEALTH PERMI-T T L D Food/Kitchen Septic System h � THIS CERTIFIES THAT ......... `+ .�.� BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .............. ..b�....,��..o�n S !..... ..... Rough to be occupied as . ..,1... �y`�•� � .,�••���.�. •••• •� � Chimney provided that the person accepting this permit shall in every respect conform t e 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 OAS . PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T,tot 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. The Commonweal&o f ffassachusefls , be�ap�ient o,f.�ic��,st�itcl.Acczc�en� 6#0 WashzngtonStreet -Roston,MA 02111 vow.rnassgovfiiirz Qrc ex 'tCompeWatxonbmwanceAffidavit:Sui der dCo)&actor§.;IBlectre P-1anslPl* axg .A wRgan orcuta oxo 'Z ase rein �ixy Namo(Bnsinossforgauization6divid,,d): ' Cady/,5�a��I /LIe7thPhono 9 7£ y 7,v Ara you anemploYex?C&P- theappx'opxiatebox: Type of px0lect(required): �, D Z am.a general colaitxactox and x f am a employer with. ______. 6. �New cbnstri7.ctZon, empXoyees(ill and( ax ax time)T have 73.ix'edthe sub-conixactoxs 2.[l S am.a sole prorletor or partn.ex listed on tha attached sheet: 7• �] emodeling The ship and`haveno.employees sesub-contrctoxshave S.aDemalztzon working iox m e in.any capacity, workers'comp.iasuxance, 9, ❑Building addition [No workers'comp.insurance 5• ❑we axe a corporation and its 10 r]Eleetricalxep*s ox additions xeggirad•] offlcers have exeredsedtherr 3. X am a homeowner doing allwork xzght ofexemptionpermeL 11..�(Plumbingrepairs ox additions mys Orr.Ego wQrkeyq 2 comp. c.152,§1(4),andwehaveno 12.Q&ofxepairs insaranc�zerluixed.�t employees.[N'oworkexs' 13.0 Other �/,"n•ldc✓S S, 1 comp.insuxancaroqudred.] e.Atryapplicanttllat cheoksbox�imustalso�llouitheseetionbeldwshox�ingtheirworkers'compensationpolicyinforrnation. '' • i Homeowners txrho submififiis afEidavitindicafingihey gra doing Aworl£andtheahire outside contractors mustsubmit anew afddavitindieating such. xConhacforsibatcheokfhisbotimustaftachedanadditionalsheetshoxingthenameo£thesuh-contraetorsandtheirvtorkers'eomp.policyinfomlation, a]Yz a Elftl�OyEF'trZtc iS� ovicZi�tg H�O�rteYv?corraUeyisaflon ansuran fo�Y�,y ear Y e - $eZo}i�1 tree policy tt72l�job site l'F2,fD;7'f?Za�Lo72. . Lnsumnce CompmyN-ame:. b Rolicy ox e vls. c.#' W��' 3!�`-3 g 3 d o 2 l'o'b Bite.A.ddxess: e ratio otic declaration page showin ,the Re manhex and eTkatioa date). .Aftach,a copy oftlieworkers conte ns n•p y p g ( g p yojime to securo covexage as xagwed.under Section 25.A.of MOL o.152 cm lead to the imposition of exhAaTP mltzes of a fine to$1,500.00 andlox one�yeax impxisoxnnent,as well as civilpenaraos inthe forte ofa STOP WORK ORDFR and a time ofup to$250.00 a dap'against the-wolatox: Be advised that a copy ofthis statementmay be for waxdedt0 the Office-Of investigations ofthe DxA.for»ansa coverage ve004110n. rZo Iie�eby ee tfy undo,,tizeyaim ancipenatlieg of perjary triat Ate infarmation ypovidedabove is tue and eorreet Sranatare �� � Date• �� y /4( o acial nese 09y, .Do not wI'ite in triis allec�,to rte cowleted by city or totem official .ff' City or Town: Rerznz�lLzcezzs f8suing.�•atlxority(cix•cle one: 1.Board of fealtlr.?.BuildiuPepartmee' 3.Cityl9Cowaa Clerk4.Electrical Inspector 5.BZumliingSnspecto • f,Other - - information a�d rnstru���� Massachusetts Creneral Laws chapter 152 requires all employers to provide workers'compensation f0-took employees, Pursuarit to this statute,an employee is deemed as",.,every person id.the service of another under any contract oXhire; • express onimplied,oral orw.dtten:, An enTloye 1p defined as"an lndividual,partnership,assoclaflon,corporation or otherlegal entity,or anytwo ormoxe' . of the toxegoing engaged in anoint enfexpxise,and including the legal 1. Ives ofa•deceased empipyez•,.ox the receiver o trustee ofan individual pazfxtexship,association or other legal ou ty,employing employees, oWevex the owner of a dweaghousekavingnotxaorethmftee,apartments audwho xesides therein,or the,occupant ofthe dwelling house of another who employs poisons to do maintenance,constraevoaz orxepak work on such dwelting house or onthegrouuds oxbu ding apptrxtenanttTiexefo sliallnotbecause of such employm,eutbe deemedto be as exaployor." MQL chapter 152,§25C(6)also states that"every state or to cal�Zcensing agency shall wztttb old elle issuance or renewal of a license or permit to operate a business or to coustrilet buildings in the commonwealth for any applicab t who leas notproduced.acceptable evidence of compliance with the insurance coverage recluirad;' .Addifionalt,MGL chapter 152,§25C(7)states'Mither the commonwealth nor any of its political subdivisions shall enter into a s . y confractfox�hepexfoxmance of ublicworkun' ac. p until pfable evidence of compliance with the insuxan:ce rogwremeufs ofthis cha toxhavebeen xese z " nted�a t e ca p p h -nfracfingauthorzty. . .Applicants . Please tilt out the Workers'comp eusaVon affidavit completely,by checking the boxes that apply to your situation ano;if necessary,sgplysub_contxactox(s)namo(s),addresses)andphonenumbex(s)alongwitIl their eertmeate(s)of insrarauce, Limited Liability Companies(LLC)or Limited Liability partnerships(LM')with no employees other than,the mambers orpartaers,arenotrequiredto canyworkexs'compensationinsurance, Ti anti C orLLp doeshave employees,a PoRcyzs required. Be advisedthafthi afffdavitmay be subniittedto theDepartment of Industrial Accidents fox co»fixmation of insurance coverage. .Aho be sure to sign,and date the affidaviir Ile affidavit should bexeturuedtothecityortow-ft thattheapplicationfoxthepeamitorlicemoisbeingxeque ted,xtottheJ]e�partmentox 1'ndustr al-Acoldents. Shouldyou have any questionsregaxding the law orifi you are xeq.*cd fo abtak a*oxkers' comp ensaiien policy,please call the T epartment at the number listed belov�: Self insured companies should enter their self insurance license number on the appropriate line. City or TOTM Officials �'leasebesuxe�iftattbeazfidavztiscomplefeandpxintedlegibly. TheDepartmenfbasprovidedaspaceattlie6otLo�rt Offho affidaviti'oryouto ill out in the event the Office of l'nvestigationshas to contactyouxegardingihe appl%caut. Please be-sure to in'ihe permit/3zcense xtumbex wbicb Witt b e used as a reference number, I-ct addition,an,applicant t7aatnzust subraitntulfi le ezmif/license a licafions 'p p p pnzan y S even year need only submit one afla vitindicag cuenpaioy infoxmation(nnecessa�)and Sb Site Ad r ss„the a licants o pp h uldwxife alllocatiox;sin. ,(city ax toWlx)”A copyo tlieaffidavitthathasVeOnof Glallys�ampadormarkedbytocityortovrnznaybepxovidedtothe applicant asptbot`flhat avalid aftzdavitisonftte#oxi�tuxepermitsarlicenses. Anew aftzdavitmustbefilledouteach year.Where a h- one o ex or citizen is obtanung a license oxp ermiz not related to any business or commercial venture (I.e.a dog lzcemse orpermit to burn leaves etc,)said p erson is N'OT required to complete tids a£f[davit. The Office 6f Jnvest gations would Mato thank you in advance for your cooperation and should you have anyviesfions, please do ztothesitate to give us a call. . The Department's address,telephone aitd faxmmber. One 600 Wa"&a TO-,#617-74,4900 P9406 Qr 1-87-7- Revised 5 26-05 ��� ���"��M749 r 1 NORTH ve W' ' A. .. d . 0 No. 23 (P.- 115 . 4 �o h ver, Mass, COC NICNl WICH �1• A�4Areo S U BOARD OF HEALTH PERMI-T T LD Food/Kitchen Septic System THIS CERTIFIES THAT ......... 4.G...IL...........N.�..f�. .4.A...��...�....................... ...... BUILDING INSPECTOR J has permission to erect buildings on ..Q1�1►�S OM. Foundation . Rough i to be occupied as . ... ... ��,��.ir............ .... ...... . . ... .., ..��4!!4. ►.... I.�It � Chimney provided that the person accepting this permit shall in every respect conform t e 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 T S Rough Service .................. ..... ... ..................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinj 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. t Smoke Det. 4/25/2014 8:15:06 AM PST (GMT-8) FROM: 100005-TO: 19782081356 Page: 2 of 2 A�O CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 4/25/2014 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(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 BARRY J KITTREDGE INSURANCE NAME, T 81 S MAIN ST PHONE FAX BRADFORD, MA 01835Arc No: EdNAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC If INSURED -INSURER A: LM Insurance Corporation 33600 HI TECH WINDOW& SIDING INSTALLATIONS INC NSURERB: 29 ARROWWOOD STREET NSURERC: METHUEN MA 01844 NSURERD: NSURERE: NSURERF: COVERAGES CERTIFICATE NUMBER: 19954990 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 MAY 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. INSR TYPE OF INSURANCE DDL SUBREXP LTR POLICY NUMBER M�CDY EFF MMIDDY/YYYY LIMITS COMMERCIAL GENERAL UABLITY EACH OCCURRENCE $ CLAIMS-MADE F]OCCUR $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ POLICY❑TECT D LOC PRODUCTS COMPlOPAGG $ OTHER. $ AUTOMOBILE LIABLnY 1 $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Par accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION WC5-31 S-383602-013 11/29/2013 11/29/2014 PEFRER AND EMPLOYERS'L IABIUTY Y/N STATUTE ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? NI N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100000 If as.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers compensation insurance Coverage applies only to the workers compensation laws of the state MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING INSPECTOR THE EXPIRATION DATE THEREOF, NOTICE MALL BE DELIVERED IN 1UIL DING INS STREET ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE LM Insurance Co oration ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ERT No.: 19954990 Anne Chandler 4/25/2017 6:13:57 AH (FOT) Paye 1 of 1 Hi-Tech Window & Siding, Inc. a0 1 Windows P.O.Box 8234,Ward Hill,MA 01835 :P MA Reg.#118836 29 Arrowwood St.Methuen,MA 01844 :8 MA Lic#016201 1-800-851-0900 �® (f� www.hitechcorp.biz MEMBER Date:_U / 6 _/ Consultant: Bill U ase Job Name: i�_Qd 4 Telepho e q V3 D Job Address: gpkt // __ ___ Town: d Contractor agrees to start described work on or about -6weeks after final fittings,and complete described work in about working days.Con- tractor shall not be held liable for delays due to cause beyond our control.Hi-Tech shall not be held liable for any damage to lawns or plants.Contractor shall not be liable for any damage to painting or stain during installation of windows or doors,Hi-Tech does not do any painting or staining.In the event that a punch lislshould accrue at the end of the job,a maximum of 2%is the allowable amount to be held back. The following work includes all labor and materials needed to complete your lob in a workmanlike manner. Job Includes _ T` Window Color To Be Used ❑ Combination Joh-Windows With Other Work ❑White Inside/White Outside Building Permit if Required ❑Bcige Inside/Beige Outside Preparation Package XWoodgrain Imide/White Outside Deluxe Installation-(its used on Nit.Washington) 8 Point Guarantee Program 1 Class Breakage Guarantee Glass OptiorWTo Be Use Removing Debris In A Legal Manner Caudated Class Double Strenth Glass Double Glazed ❑Triple Glazed ❑ Apex R5 Glass Package Window Model Ultra f' Windows To Mcet'rax Credit Requirements ❑ Other Windows To Mect Energy Star Requirements Grids Options To Be Used fdanuYacturer t ❑ NO GRIDSWindows To l Hare Grids IYPG Modeljunu�L WY in IStyle on � onloured ❑Flat /y, Nu r of Windows To Be Scre n Opti Mon To Be Used L V1 Wattle Amounts 1 Screen []Other ►1 " 2 Lite Sliders Fiberglass ❑Other 3 Lite Sliders ❑ 1/3.113-1/3 ❑ 25-5e•is Window Trim Options To Be Installed Picture Windows No.Unite Being Covered Color Basement Hoppers Full Custom Formed Blind Stn Capping PP ❑ ❑ P PP R Awnings ❑ P.V.C.Coated Alum. ❑Aluminum Casements S A --hMt'140CM ❑ NO'1'RIA91H?tNC COVI?RF•.0 ❑ I Lite V2 Lite 3 Litcj Special Notes Bay Windows ❑Double Hung Vents ❑C'a%erten(Vents Bow Windmys ❑4 Lite ❑ 5 Lite ❑ 6 Lit, ❑Hip Roof ❑Shed Roof ❑ Copper Patio Sliding(Mors ❑5'Door ❑6'Door ❑ 8'Door Payment Policy Inside&Outside Woodwork To Be Included Bank Financing ❑Owner To Arrtmg, ❑ Hi-Tech To Arrange ❑None-Any Woodwork Needed Will De Isxtra ❑Cash Or Check ❑ Master Card ❑Inside Stops ❑ Inside Casings 4 M 6 if Or V ❑Inside sin "total Investment t '579n� ❑Outside Stops ❑ Outside Casings 25%Deposit ❑Outside Stone 25%Payment at Check Measure Other 50%Balance Day of Completion U�• You may cancel this agreement if It has been signed by a party thereto at a place other than the address of the seller,which may be his main office or branch thereto,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent,or by delivery,not later than midnight the third business day following the signing of this agreement.See the attacf ed notice of cancellation form for an explanation of this right. Date of Acceptance An interest charge of 1.5%per month(18%per year)will be added to any amount unpaid after 30 days from invoice data. Homeowner Signatur, In the evont of default of this order or any pan thereof and the account is referred to an attorney for collection,the purchaser agrees to pay reasonable anorney fees Hi-Tech Signature Hi-Tech Window & Siding, Inc. SIDING P.O. Box 8234, Ward Hill, MA 01835 � g. MA Reg. # 118836 29 Arrowwood St. Methuen, MA 01844 1-800-851-0900 s " MA Lic # 016201 ° Gwww.hitechcorp.biztrnnBrf� Date: 1 I onsultant: ,I Job Name: k�Teleph 0: _ - Job Address: f --- Town:III _ 1 CONTRACTOR agrees to start described work on/or about weeks after final fillings and comp) to described Work irabout working days. CONTRACTOR shall not be held liable`or delays due to causes beyond our contro ('r The following work includes all labor and materials needed to complete your Job in a woarthi lik2 n Job Includes Trim C]Combinatior Jcb-Siding with Other Work ❑ P C Coa:ec Alum ❑ Aluminum ❑Budding and Elec Permit Fascia Trim Fascia Treatment g.c,ng Ramoval Sofa T im Fascia Cole. Pr=;:ambo Pad:age Window 8 Door Tnm 1:1 Full Custom ❑ None zessory Package ❑ Shutters Location dera 'er':`� ,' ❑Gutter` Soffit Treatment 1,.,_ ❑ Downscouts S_,ifa G�o Ra—�:e Cap•,; ❑t_::ck. Elei t.fetar ❑ _ ❑Center/en; ElFully Vented Non-Vented Prep ration Includes LXalipn Repia_a .r"='e?ot ❑Vented as Needed Window And Door Casing Treatment ❑Energy Savings Bug Guard Sailer Window And Door Casing Color ❑ Full Custom Formed J-Less ❑ Full Custom Formed Accessory Package Includes ❑ Blind Stop Capping ❑ None Color Location ❑Vinyl Light Blocks ❑Vinyl Dryer Blocks Gutter& Downspouts ❑Vinyl Electric Outlet Blocks ❑ inyl Exhaust Vents Gutter Color Downspouts Color ❑Vinyl Faucets Blocks Vinyl Gable Vents t.ocabon Underlayment Insulation To Be Us d Special Notes � Elc Hi-Tech 3,8 Other Location Area To Be Sided d p ❑Complete Ho se ❑ Garage q Ungu (S Siding To Be Used Payment Policy Color / Bank Financing Owner To Arrange ❑ Hi-Tech To Arrange Brand r rofile Cash Or Check Master Card NII 7- O Corner Post To Be Used Total Investment Corner Post Color: ❑Wide Insulated ❑Wide Non-Insulated 113 Deposit ❑ 113 Payment I, Regular Insulated ❑ Regular Non-Insulated 113 Balance of Day Completion You may cancel this agreement if it has been signed by a party thereto at a place other than the address of the seller,which may be his main office or branch thereto, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent, or by delivery, not later than midnight of the third business day following the signing of this agreem t. See the attached notice of cancellation form for an explanation of this right. An interest charge of 1.5%per month(182/per year)will be Date of A ceptance added to any amount unpaid after 30 days from invoice date to the event of default cf payment of this order or any part thereof and the account is referred Signature` to ar attorney for collection.the purchaser agrees to pay reasonable attorney fees. )Homeowner)) I 1 We give Hi-Tech permission to obtain all necessary permits. Signature /y Signature Hi-tech, —-_ i - 7. �CivGa�ccc�Er�efls y -_ -- fSce of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR I / Registration:- 118836 Type:! Expiration: .I 4/26/2015', Supplement ! HI TECH WINDOW&SIDING INSTALL INC TIM WICKS r i 29 ARRO WWOOD ST METHUEN, MA 01844 Undersecretary i I Massachusetts -Department of Public Safety Board of Build' . �n9 Regulations and Standards Construction SuperVisor License: CS-096516 ```.1. TIMOTHY W WI0(s 3 ELLIS ST Methuen MA 01144 u; r Expiration Commissioner 09/09/2016