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HomeMy WebLinkAboutBuilding Permit #517-13 - 51 MOODY STREET 1/16/2016TOWN OF NORTH ANDOVER 0,c ,� i APPLICATION FOR PLAN EXAMINATION/ / Permit NO: Date Received 0 Date Issued: I I � i II WORTANT: Applicant must complete all items on this page :RR®R-- T,R i®WNER� i Pnnt� h 100jYeOld Stt u t red' yes nod / _ FARC:EL f Z® NIN030,MTRIC�:T , Hist9nc District yes; nod . I Machiiie,Shop�V'Riget yes) nod TYPE OF IMPROVEMENT PROPOSED USE Resi ntial Non- Residential ❑ New Building VOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ fflteration No. of units: ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other_ [7(Septic� q Well; i gPFloodplaiht ❑NYl ' land,5 0. WatOrshed)Qistriet? o►Water/Sewer, OWNER: Name: Address: 17 tic DESCRIPTION OF WORK TO BE PERFORMED: 0).4 a � ro�oT Ave- Y (Kje adC14 6', Identification Please Type or Print Clearly _ Jl„ C,. --k- 1A /- -44o.%_,_L D-- _ t► WA"AW 1 x181- dgi-7 S ; CONTiRACT®.R' Name : o . �At-gh.t/. w `t:ghl' CrU S .Rlione: t �Address:.4QS Supervisor s Construction►License S i 0, 6 Expo, i :Improvenaent�License.:. 1 .�� �-6 `1 _ _ _ - Expo. Date; 7>I;`//oz�ty. ARCHITECT/ENGINEER Phon Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COSTBASED ON $925.00 PER S.F. Total Project Cost: $ j ,000, 00 FEE: $ 1 a do - Check No.: I 116q Receipt No.: 2-4:P09 `f NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owr r Slgnature`of contractor _ Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ 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 COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decisionfreceipt submitted yes Planning Board Decision: Comm Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street . _.:.. . FIRE DEPARTf�IENT Temp:Duiiipster on site yes>.. no Located at=124 Mair 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 B Notified for pickup - Date 4 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 a 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 Li 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 VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application a Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products dOTE: 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 Doc: Doc.Building permit Revised 2012 Location 5/- 6 VGl S T - No. / _ Date �v Check# ' -S 26094 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $' Other Permit Fee $ jr' TOTAL $ Building Inspector e WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY W INFORMATION PAGE Issued by LM INSURANCE CORPORATION Policy Number WC5-31S-387187-012 NEW BUSINESS NEW Account Number 1-387187 1. Insured and Mailing Address SCOTT WRIGHT DBA WRIGHT GUTTERS 350 BERRY ST NORTH ANDOVER, MA 01845 27243 Liberty Mutual Group 175 Berkeley Street Boston, MA 02117 Issuing Office 181 Issue Date 10-03-12 Sub Account 0000 FEIN 015582666 RISK ID 164106 Status 01 — INDIVIDUAL Other workplaces not shown above: SEE ITEM 4. PREMIUM - EXTENSION OF INFORMATION PAGE 2. Policy Period: The policy period is from 09-30-2012 to 09-30-2013 12:01 A.M. standard time at the Insured's mailing address. 3. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE END WC 20 03 06A D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE 4. Premium: The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Code Premium Basis Total Rate per $100 Estimat6d Annual Classifications Number Estimated Annual Remuneration of Remuneration Premium - See Extension of Information Page Minimum Premium $ 500 (MA) Total Estimated Annual Premium $ 1,975 Premium will be billed ANNUAL Producer 0004-013810 T A SULLIVAN INSURANCE AGENCY INC 344 SOUTH UNION STREET LAWRENCE MA 01843 Sales Representative 3000 Sales Office Name WESTON ©1987 National Council on Compensation Insurance,lnc. WC 00 00 01 A - All Rights Reserved Ed. 07/ 01/ 2011 Insured Copy r Extension of Information Page WC 00 00 01 A Item 4. State of: MASSACHUSETTS Classification of Operations Premium Basis Rate Entries in this item, except as specifically provided elsewhere in this Code Estimated Total An- Per $100 Of Estimated Annual policy; do not modify any of the other provisions of this policy No. nual Remuneration Remuneration Premium . 0001-01 SCOTT WRIGHT DBA WRIGHT GUTTERS FEIN # 01-5582666 SIC CODE 1799 NAIC CODE 238390 350 BERRY ST NORTH ANDOVER MA 01845-0000 SHEET METAL WORK — SHOP AND 15538 I$ 27,333 I 5.72 I$ 1,563.00 OUTSIDE NOC — & DRIVERS TOTAL CLASS PREMIUM $ 1,563.00 MERIT RATING PLAN 1.00 9886 $ 0.00 STANDARD TOTAL $ 1,563.00 EXPENSE CONSTANT 0900 $ 338.00 TERRORISM RISK INS ACT 2002 .03 9740 $ 8.00 MACHWC (SURCHARGE) 1.042 0936 $ 66.00 FINAL TOTAL $ 1,975.00 POLICY TOTAL ESTIMATED COST $ 1,975.00 Experience Modification: RISK ID: 164106 Policy No. WC5-31S-387187-012 Page No. 1 GPO 2923 Insured Copy WC 00 00 01 A r NOTICE TO EMPLOYEES NOTICE TO EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, MA 02114-2017 617-727-4900 - http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21,22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: LM INSURANCE CORPORATION NAME OF INSURANCE COMPANY PO Box 9102 Weston, MA 02493-9102 1-800-762-5026 ADDRESS OF INSURANCE COMPANY WC5-31S-387187-012 09-30-2012 09-30-2013 POLICY NUMBER EFFECTIVE DATES T A SULLIVAN INSURANCE AGENCY INC (978)683-4700 NAME OF INSURANCE AGENT PHONE # 344 SOUTH UNION STREET LAWRENCE MA ADDRESS OF INSURANCE AGENT SCOTT WRIGHT DBA WRIGHT 350 BERRY ST EMPLOYER ADDRESS EMPLOYER'S WORKERS' COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Insured Copy WC5-31S-387187-012 FORM NUMBER Miscellaneous Forms Schedule FORM NAME WORKERS COMPENSATION FORMS AND ENDORSEMENTS GP04652 01-96 MA BROKER COVER LETTER GP04756 R4 01-09 PRIVACY PRACTICE DISCLOSURE NOTICE MACCR7 03-12 MA CONTRACT CLASS PREM ADJ PRG LTR GP04621 01-96 POLICYHOLDER INFO PACKET COVER PAGE GP04692 03-97 POLICY ENCLOSED LETTER GP04695 07-01 MA WC GUIDE LETTER GPO 4713 R4 - MA 05-12 CONTACT AT A GLANCE CNI 90 02 07-11 ANNUAL MEETING & LOSS PREVENTION NOTICE WLOGO 07-11 LIBERTY LOGO COVER PAGE GP04936 01-07 NOTICE TO EMPLOYEES WC 00 00 01 A 07-11 INFORMATION PAGE - WC 00 00 01 A GP02923 01-96 EXTENSION OF INFO PAGE WC 99 50 01 07-11 POLICY JACKET WC 00 00 00 B Insured Copy WRIGSC2 OP ID: AC CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/17/2013 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 Phone: 978-683-4700 T. A. Sullivan Ins. Agcy, Inc. 344 S. Union St. Fax: Lawrence„ MA 01843 Amy Cupeles CONTACT NAME: PHONE FAX AIC No): A/c No Ext): (AIC. E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Worcester Insurance Company INSURED Scott Wright 350 Berry St N.Andover, MA 01845 ' INSURERB: INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE DD UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR SPP0000004226L 12/01/2012 12/01/2013 DAMAGE TO RENTEDPREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 50,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LA GGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- RO LOC JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A ( TY/N Y LIMITS I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under \ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Commercial.Applica SPP0000004226L 12/01/2012 12/01/2013 A DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Installation of gutters TOWN OF NORTH ANDOVER NORTH ANDOVER, MA 01845 ACORD 25 (2010/05) TOWNOFN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 UV. www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): (p`f �� I G �'f b (g w r t k+ Address: 3 City/State/Zip: A ndp Ve'r. M A O18Y - Phone #: 973- 687- dUy7 Are yoplan employer? Check the appropriate box: LI am am a employer with __ 2 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. E] 1 am a sole proprietor or have hired the sub -contractors listed partner- on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] 3. ❑ 1 am a homeowner doing all work officers have exercised their right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] t employees. [No workers' comp. insurance reouired.l Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs L 13. Other �0 f „D — t'1L Y o f 'Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. P 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. am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site `nformation. :assurance Company Name: �, I 'olicy # or Self -ins. Lic. #:_(J '(l 3 / S - 387 / 8 7'Q / a v Expiration Date: gho i ob Site Address: Jam/ rnoogy Sf City/State/Zip: /� Ai do (�� 140f ©t?%S- Mach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 f up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of avestigations of the DIA for insurance coverage verification. do hereby certify Ander the pants and penalties o erjury that the information provided above is true and correct. L ./ r / 79 -6&? - Official 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: • Q LU LL p mO N 'a O LL v >-.2 N - it (n ix O O Z Z O ca C a C 7CU 0 LL h0 O Cr T OC C U LL cc Z Z m J d OD O W C LL ix O ? W J W bn :3Lj u > N C iz dz H Q l9 OA O L=- W Q CL W 0 W C LL N L O] 6 v i1 N N Y 0 N This form satisfies all basic requirements of the state's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard language to protect homeowners. Seek IegaI 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 Regulation's Consumer information Hotline at 617-973-8787 or 1-888-283-3157 or on our website. 1t Homeowner information Contractor Information OTOZ/ZZ/TT - T•ZUOts.TOA bTT£-b£G-£Ti� x0 8tlg -99L-809`008t,-Z59-809 neaxng ssauisng x014.0a 210/QLD' OOt S-LZL-LT9 rexaua0 SQU1o7.V aTJO 601X0 uopoaS;apTdWoo xaumsuoo :deo `ssoumaq u;sup& sjujuTdmoo Teuzxoj .To;sT2ax off. xo sa;.ndsrp �o uor�etpauT reuuo� Tp.Tm oome siss-e m j . sL•�sitaasuaoiL/:Iuauaaaox tutau�oiUsn•Luz•a�.e�.s•gp//:c �.tij :u014e4sTSag s,10101e4uoo;UO- aAozduq auzoH -9 Jo st4.731s GIR maTA off. augUO oD /xgt;oo/Aoz•ss-Buc•Avnm//: �.q p alisgoAk DIR OIR;.1sTA xo LSL£-£8Z-888 `L8L8-£L6-LT 9 9TTZO VISI `uo�soa `OLT S MOO -d `urtId3Txud OT uoptejaag ssamsng pine sxrejyV zaumsuoD go oOB40 uo.;v s120 -d 1010v4uoo �MMOAoxdurt =01190 xo;oa.TTC( qm4ma `AdieZ xojoe4uoZ);.uouiaaozdurt aucoH oiR jo;.uauodmoo uop•e:4sj2ox xojov.4aoo vq� ;nogo STFOUToads uo'.Pu 0jW Teuo14TppLe paau xo suopsanb aAeTT noSp xo xo;oe4uoo e go uoTa e:4sT2ax aTp rzaa o; ;ueAti noSj7L /.TgLoo/Ao ' ssL,-Lu -Av&vA //: 6 7.q �t al.TsgaA&XaVoo 0.9 #M xo L9L£-£8Z-888 `L8L8-£L6-LT9. 9TTZO VITT `uoIsoS `OLT S uMoog `rmeid 31xed OT uop e ag ssauTsng pie sxrejjV xaumsuoa go ooTo OUT og uoUuuo xaumsuoD :laeluoo JUautanozduq autoH off. app j To=is-ao0 s4asngp-ess7aW V,, go Adoo aaxg •e ure�go off. tjsyA -noAg xo `4-q2tz .Tomusuoo xaTpo zo meZ zoloezluoZ) �uauTaaozduq auToH age �noge -ao-.4B=qj=usanb Texu� aAei toS }Icpe ur tioWMAOSUI p;uoMppV •sated tp.oq jo somi;eu�is a-q� oxmbox pTnom jun000n pres moxg spur go TemexpTpi"�A. •}jxom palou4U00 OTR 2unlupuoo off. 011snlbaa0xd L, se;.un000e Aaozoso;uTof •e m poo -old oq attp joK;ou spung jo oouepq oiR pi. oxmbax S -em xo� e:4.uoo oiR `oxnoasut .KUujoueug oq off. rx�nTnrrmrrr nTrr--t •7 "%TnTTAA QnnTr01Q TT TTT 'Tn An AA OTT '' Ill nnQTTT X�TT Vp TTVMY d(1 M TTngTnTTRT= gmnn I .TnTTM()nTTTr)TT j Office-T�of mer"a�rs �isiness egu aiori"` HOME IMPROVEMENT CONTRACTOR 1 t :Registration: 138569 Type, Expiration: '4/14_/2013 DBA w TGUTTERS- d LIQ`.. SCOTT WRIGHT<<-- { 350 BERRY ST. .. ! 1�' �=. ��==' •' ' .. Gam, ,� i NO. ANDOVER, Undersecretary? Massachusetts - Department of Public Safety Board of BuildingfiRepilatitins and Standards Construction Supervisor License License: CS 102663 SCOTT WRIGHT j 350 BERRY ST 11) �z NORTH ANDOVER, MA 01845 i f I ;l �y Expiration: 8/1212013. Cunnuissioncr Tr#: 3384 FREE ESTIMATES PROPOSAL Construction Supervisor Lic. N C5102663 FULLY INSURED H.I.C. Reg, a 139569 WRIGHT GUTTERS AND CONSTRUCTION Specializing in Seamless • All Colors Available 350 BERRY STREET . NORTH ANDOVER, MA 01845 TELEPHONE: 978-687-2247 �Vttt--A!Ld UBMITTEDTO f � ttz �, �� �. PHONE I?,?/-- DATEyo Ll� STREET C JOB NAME I LOCATION/�/�/r /� �n//// `lr /�y// �w1}t %//�� y� / A All r /'� .00d L i f� v Va r CITY, STATE AND ffP CODE [4. 0V5— p 41&k aC,Ir r/O JOB START DATE f �(oo (;qNrs 5�rip d- /ayir- AxA/;l Me- roo� icfrmf C f rZar r �Ji"`�� Shy M G q, on �� a !l sJ 8S **J. U S.k e inCA w/ui-e- a iuw, dirt p-eded5e, -?o A 46 pcyt r- 3 c) Q V- cit `4-e- ct sal t r C -p -o veer S r N,4- 1"� r���`S A n rr eav, adA r arm Oka c kfp i3 Sq. ��• ((Se o tpe W �'.� c��Y�� Ct KA S'clV-'� a rd4e ct S'ht , C,. k,y on c •�{-��'� hoc�sp . Sze►�.(e sf clew. �t'�'1• rh�k o'� , l�c,�t and► 31rk ��te c�owv,sp�w aGj Gfui►�. ' l Work 710 .be- 02 i n S b^ w a i^rr �- teAk S amd t 1pt pl � ivq'i'�k� �v r ty, P � 1 ir�ess � J IcID+ �7oX�4 [[ov GAF y,N.b �I,ISL 5kl U1+y► HP �6 c� e� _ We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: $ 00, 0 Payment to be made as follows. o 0� + coo 011 r iv All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to specifications submitted. per standard practices. Any alteration or deviation from Authorized above specifications involving extra costs will be executed only upon written orders. and will become an Signature <6 extra charge over and above the estimate All agreements contingent upon strikes. accidents or delays beyond our control Owner to carry fire, tomado and other necessary n7u,3nce Our workers ere fully NOTE This proposal may be �ve'ed by Workmen's Compensabon Insurance Non payment by agreed party may result in litigation withdrawn by us if not accepted within days. with penalties including court cost and compensation both real and punitive Acceptance of Proposal - The above prices. specifications and conditions are satisfactory and are hereby accepted, making this a valid contract. Signature You are authorized to do the work as specified Payment will be made as outlined Date of Acceptance: ____ Signature