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HomeMy WebLinkAboutBuilding Permit #918-12 - 42 CROSSBOW LANE 6/21/2012BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: .�.Y )PERTY ®WNNRRL- L N© 'pARCE t v s rf. dicant must complete all items on this page "NZ x- te ZV P. iP,nna E r JING DIST, CT lrHistonc D ict� E 0 n Jim •=��0 , en~ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building v ---One family Addition Two or more family Industrial %/Alteration No. of units: Commercial ✓'Repair, replacement Assessory Bldg Others: Demolition Other +�- ak [, ''��.. SETANWell " ;�' � [fiiF;�B 1+• r Y•,EF � Floodplain �y{ hWetlands F '. x �5 y qtr, f �jT '7x l��� Watershed Dist ict�, i �(•{ 4. 1t y 'M1. s 4 `ter ?*�'kfi SR. tr �; r � �� F i' M �k � � \ �, `".,.,� c . DESGKIPTIUN UI- VVUKM I U tit rrccrUM1VJ =u: C �` �F��Q Re/ O,Alof� �?C%ST%N4 ra'nas 3 segraN,flor� �9' ie4i" 0 6u�s'e. , size W�`r NciJ ve/ux. 2je/hove exJsT�N9 ri�J/�// cellPriN9-rfr t2ei°/qce wirLi N la%%�ee?roe�C �'TYiin,C�14Nye- de4T-T� 3a o� 64s�6�4r��N ouTicpeWA///, !i r�ov2 Kfs Tiu�c Cep /�N\y Ii y �r r�' 7�i d�i/jtm e p�rc1� ee�/%�� w� d� sryrao�i Pl;v;s4'prirl�le. Identification Please Type or Print Clearly) OWNER: Name: &-Z f kgrZ Rf r Phone:(9�7,P) 4c� ¢ - ., p Y *'Y/Ah-^., �}T x +t.�t iy ,�ai.►i`Faa, N `.�i {,; r F jii }>•-�t: +.+9'�!Y`�y..a••r+c ; r; � "4f, 3 l i `tea q01 t r�� � � ,t �rY . � e a.-aa=�w .' Dry.-. 1"`�t'$�' '3 -ccc l 1 �r� `r. .+t ar a r 7 .+�'•' t CONTR�ArCT®RN;yam✓e G`!I?."�}>^.r'crTPhone av,fTf1's?t f: \ r� arra �r R ti� ec7 {rc X s p [r.+n ` J,YAK7 P f x v`"'"."�"." s , s..�- ,3.� '7 ; •�•'•'T' '`e k JM 7. �t�\, _fir a�,rd :Y Ty E K J Supervisor s ConstructionLicense " Exp iDate _ Fx�+4'f `�� , � • � '�`T`� ft'yzr"� � r��� rt cl.t�. 5Yr'�`f�,i'�s tiar rt� � i h � r1.r r�'ywa KY�� +.r� ���, �,F '.:; .Y�. � . � �iR: �����'r.i° �,} � ..rp `."�.�"�e•'hr JSr y}: �t. f:' 1C Y'ti •k �,�'.� + ! - _.� 'E'`,tt. • �'`i`'-�'sOCr�1 V� omelmproyementjLicense.:r% .o..i�.r.� �..� ,{Exp. •jDate ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE: BULD/NG PERRMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST` BASED ON $925,00 PER S.F. Total Project Cost: $ /,17 FEE: $ I Check No.: ,1 C Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fug signature. of _Agent/Owner. ; .:Sigriature :of contractor Location No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL Check 41 25442 Bui0i4lnspector 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 Privat (septic to , etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING'& DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decisi Comments Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp.Dumpste on site yes ono Locatedsat124rNIam�Street ;., r ;•° ,rte �•', �t-. 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 21 A —F and G min.$100-$l 000 fine NUTES and DATA — (For department use I I El Notified for pickup - Date Doc.Building Permit Revised 2008 F 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 ol Building Permit Application a Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract u Floor Plan Or Proposed Interior Work u. Engineering Affidavits for En ' gineered products NOTE: All-dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks a Building'Permit Application Ej Certified Surveyed Plot Plan Li . 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 N OTE: All dumpster permits requiresign 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 • rwo Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And . Hydraulic Calculations (If Applicable) Li Copy of Contract • Mass check Energy Compliance Report • Engineering Affidavits for Engineered products 40TE: All d.urnpster 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 iinust be submitted with the building application Doe: INSPECTIONAL SERVICES DEPARTMIENT:BPFORM07 Revised 2.2008 pp-: id 4=4 C ll�v LLI x LL 0 a 0 ca -0 0 0 U. 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IE)w.Tgd uo4dwexop jrgg 3110A 1p V%Op JQTMOOt9Oq u ma I *g SU04 �qglg POSIO.TQXO GARq SIDOW.0 SA PIM UORVIO6,00 9 On o1w El *9 lw4nbox GOUT31=9 'dUrO3,MQ-4XOA&0jd uOl RIPP16 NPfmff El '6 'GOUBMSUE IMOO =3[10M UOT MOMO OA'eT[ 9101 Ole4ma-ps mu MSOjdMG OU OA'eT[ PU8 CTI .q9 * '490u.9 POTUR1113 GIU TIO PQjsTf -joupd.To jopycloid oio �O-non*rrqjmom [] *9 sioloaquoc-qng IDTR POE ff OAgq **(am4-Mdxq/ptm In) sooSol I PUB J01ORWOO lelauo� 9 tm I JOSOI(Two u mg :(Va, ilnf*-t) Infoidlo e cISI :xoq olupdoddia eip 4aaTla S.IaSogtaa ug noS oxV Quou -;;II!A ry e, -.(rm/Qll4s/xTa —fe—.ssOjppv ,rrv6 7 s--/ ar,,7 —'(P'IPjAVuVO4njmUlO/ssowsng) gra-eg UOT :jjAVpMV OOUVMMI uopsa;admO3 c9-l;a)l-XOA4, frito VH "UO/90.T lagils UOIFwqsvji 1009 SUOYVgqsgltulfo 9400 s7qa-p!3jvA"s"purfO luauqjvdga suasnq-lvsnHfo vilvaguou"UO3 01/1 06/21/2012 09:38,FAX 603 382 3387 JOSEPH HILLS AGENCY INC Q002 POWDBAl OP ID: ST DATE IMM/DDNYrq CERTIFICATE OF LIABILITY INSURANCE 06/21/12 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 PollcY(188) must be endorsed. If SUBROGATION 13 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 andorsement(s). PRODUCER THE JOSEPH S. HILLS AGENCY INC 603-382-9211 129 MAIN STREET, PO BOX 300 603-382-3387 PLAISTOW, NH 03865-0300 INSURED Bradley Powers, Jr. dba Brad Powers iConstruction 22 Wyman's Landing Danville, NH 03819 COVERAGES CONTACT NAME: PHONE -nmr— �- ADDRESS! INSURER(S) AFFORDING COVERAGE NAIC 11 INSURER A;Main Street America Assurance INSURERS: 29939 INSURER C; A INSURER D: - INSURER E: 02104112 INSURER F! EACH OCCURRENCE $ 1,000,00 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 LTR - TYPE OF INSURANCE ADDL =J=__ bUOR POLICYNUMOER POLICY EFF (MMIDDNYYYI POLIEV-Or 1=01YYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7x OCCUR MPB0290S 02104112 02J04113 EACH OCCURRENCE $ 1,000,00 IIAMAGE TO RENTED PREMISES (Es o=urrancal $ 600,001 MED EXP (Any ona parson) 6 10,000 PERSONAL & ADV INJURY $ 1,000,00C GENERALAGGREGATE S 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [K] P'O_ LOC JEGI F PRODUCTS - COMPtOP AGG $ 2,000,00( AUTOMOBILE LIABILITY C OM BTNED-91-N G _LEL I M IT (Ea eocidmnt) ANYAUTO ALLQWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per pereon) BODILY INJURY (Per at4darlt) $ $ UMBRELLA LIAS EXCESS LIAB — 1OCCUR �LAIMS-MADE EACH OCCURRENCE $ AGGREGATE DED F RETENTION$ 7— WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/riXECUTIVE YIN OFFICER/MFMBER EXCLUD&DI (Mandatory In NH) If yes e er Endescrib und D RIPTION OF OPERATION',; bolow &y8TAT.0 -757,—, LIMI :a 1 7 1 ER NIA I E.L. EACH ACCIDENT E.I., DISEASE - EA EMPLoYr=E1 s E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF;OPERA-noNs/LOCA7�ONSIVEHICLOS (Attach ACORD 10I.AddItional Remarks Schodulo. Ifm9respac'. Is required) Campentry residential , Job: 42 Cross Bow Lane, NOANDVII Town of North Andover 1600 Osgood Street Bldg #20 Suite 2-36 No. Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WIT14 THE POLICY PROVISIONS. AUTMORIZED REPRESENTATivr; W -1 V00.AU - i U A6UKU VILIKPIUKATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts Home Improvem n lk Contract This form satisfies all basic requirements of the siate's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard language to protect homeowners. Seek legal 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 Regulationis Consumer Information Hotline at 617-973-8787 or 1-888-283-3157 or on our w6bsite. numeowner mormauon Contractor Information Z. 1'7- 4- N 1-2- R -e -rl )?f,47-) Pnj,,,) p5 - Name 4c2 C ro5j � o,�,j Z,9,,v e- CompanyName '9RAblFYZ polliery Street Address (do not use a Post Office Box address) Contractor/ Salesperson/ Owner Name City/Town State Zip Code Business AddKss (muq include a stj addres 7f) � 7�' (9 7, )f �9, 5 D —1,N V;11, e 19 Daytime Phone Evening Phone City/Town State Zip Code Mailing Address Ut different from above) Business Phone Federal Employer ID or S.S. Number �nw requires that most hom- e improvement contractors have . Home Improvement contractor Res.'Number 19R 7762 Expiration.date 1,011610?01,; a valid registration number The Contractor agrees to do thie following work for the Homeowner: (Describe in detail the work to completed, specifying the type, brand, and grade of materials to be used, use additional sheets if necess=.) 1?eiwo �j 0 /,j J—o 6 IK 9 97 C)� "S "—�' 1pfPlq C le - 3 e X i -s 7-1�v rl eM,0Vje CA) *9 11,C O'Ve f ;^)o _q S X .1 �Vj, R ,��47-r kvir� A)CIt, Velvy volu - YeAJ7'1 _ e WS r" /1.) -e_pl q C e- w /J le i1v Shee V'0C-,k � 7-r; M . /;Cg 7- ro -3e' aVh 1;Xeb-0qr-X Ae--) 77' reM,jV,-- elf'.s PreCe� 7;-,�V 41, re,� // J AWS 'j1,jr7--F11 S' 4 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 7- 14 Date when contractor will begin contracted work. MGL chapter 142A.) 7— G2 /OtDate when contracted work will be substantially completed. Total Contract Price and Payment Schedule Iril- f, -1 .1 . . . .. . - I I - - - �O Q -7 auu iauui bjjt;L;LLiuu jjL;()Vt; jUj- Lae LoTal SUM Or: M Payments will be made according to the following schedule: 04% upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) s3000, by I or upon completion of 1VeCA90V;C-i $ by or upon compl�tion of C aM P11- el -r 15-hlll,�4r-r F' lopAs ?-,-r $ 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 $ tobepaidfor SAYA' h7 ordered before the contracted work begins in order to meet the completion s'chedule.(**) $ to be paid for NOTES: (*) Jhcluding all finance charges (**) Law requires that any deposit or down -payment required by the contractor before work begins may not exceed the greater of (a) one-third of the total contract price or (b) the actual cost of my special equipment or custom made material which must be special ordered in advance to meet the completion schedule. ---rExpress Warranty - is an express wRrranly being provided by the contractor? 0 No El'Yes (all terms of the warranty must be attached io 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 further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this- a-s-zre*ement 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 • Don't be pressured into signing the contract. Take time to read and faliy understand it Ask questions if something is unclear, • Make sure the contractor ' has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director ofHome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza, 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. • 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 of the third business day following the signing of this agreement See the attached notice of cancellation form for an explanation of this right I OJL%-T'N kuk') t -VIN RAU W 1'HERE ARE ANY BLANK SPACES 111 of 0 must be completed and signed. One copy should go to the lionneofter. The other copy should be kept by the contractor. ; -7,110 �?� /. �-r Homeowifer's Signature Contractor's Signature 6 — �Z(Al /Z-- ijaie Date Contractor Arbitrition The Home Impirovement Contractof"JMes 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 aAorded 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 consumer shall be required to submit 0 ided In Massachusetts General Laws, chapter 142A.. P r 7,� M. -1 . Homeowfie-r's Signa6re ContractodSignature NOTICE: The signatures of the pal des above apply only -to the agreement of the parties to alternative dispute resolution initiated by the contracton The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Riglits A homeowner's rights under the 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 Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and worlmanlae 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 tlfe 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 sip the document until all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other 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 -tintil 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 thepayment 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 aj oint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information .If you have general qiiestions or need additional information about the Home ln�provement 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 OCABR website at hM://www.mass.,gov/oc,-:tb��/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 16 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the BIC website at bttp://www.mass.izov/ocab��*/ Go online to view the status of a Home Improvement Contractor's Registration: !=://db.state.ma.us/tiomei=rovement/licenseelist.= For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 Version 2.1 - 11/22/2010 To Reorder I -MO -226-6380 or w.. .0orn PRODUCT 218 N =0 muf 22 Wymans Lar.dinc DANVILLE, NH 03819 C,Kj, '27 F. -, Pages 1091 PROPOSAL SUBMITTED TO Z iZ I!'- K9 F/ PHONE DATE�, 6 _14;�_ No. of F. -, Pages 1091 PROPOSAL SUBMITTED TO Z iZ I!'- K9 F/ PHONE DATE�, 6 _14;�_ � STREET �(,� Z­"Ve, JOB NAME � j CITY, STATE and ZIP CODE N, 4Z �P,Abver /03- , JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE lug PrIDPOR h'.ereby to furnish material and labor complete in accordance with specifications below, for the sum of: 7AI r 7"y /i / - X -e, -3 -dollars ($ /Z PaymentAo be made as follows: Y.4 <.2 'y -epos'. C'041ild :5 C �; " r 07 /1 P,41 o 1C j�,Vl - ( "4 -) 9 -�4 All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from s Authorized pecitications be- Signature low involving extra costs will be executed only upon written orders, and will become an j extra charge over and above the estimate. All agreements contingent upon strikes, acci- dents or delays beyond our control, Owner to carry fire, tornado and other necessary Note: This proposal may be insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: r <pl,).e- 0 + /,) C14-1 1.1ew D N11J<9 /41// _:rk S T-9 i'7�- /I // ,-f &10t� // 7- AJ 5ITe re - 19 /00,- /4/4 ),14J 7-6 e -A.1 �j 7- e A:?/ya (_-, 7— de 6 r /,s 4-lapr_�� U /D 1"t'll IP e r A, / 77S P 7 S7 -or -411 �_,74oz:, t­ �vlljela it) o vt! r,4:�� //__411 IAI r5�1,1W>7- re> Ck /,u Y_ ck- ; 4y- //Jj eO 3 7- 11'jl"A"d-e S (f e- Nhk- r /6-/00 Ve- 71 - roe �; c e_ �, e -37e- t- b 4&A�-4e-rs�l*lk )!5 A0, C -rrl i'q �j C*4 4; TC146U ,Ze�d C-. 7w P r ( - 4 / / � < ; A -) , � � lbe, 4 7 71W /; �7 - W , 1"ATePrIlyl.; Pfrl"i7- CQJ 7_--��l _T --s" 0 X7 I_Aj C U 711�y 7,>5,rk S 4C/M - .04 'Arreptattre of Pro—posil- I The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: 1 11,4 / —C —� k 7 — Signature