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HomeMy WebLinkAboutBuilding Permit #326-11 - 51 SURREY DRIVE 10/19/2010 NO R T,1 BUILDING PERMIT oF�tLEo �/ TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Qp Permit NO: 2�_l J Date Received °RArgo^P¢ gSSACHLY Date Issued: — —t LNIPORTANT:Applicant must complete all items on this page LOCATION : :. P.rintj PRQRERTY.OWNER.: :..__., ... . Print MAP 210•. . PARCEL: ZONING DISTRICT:_ Htsto�ic,Distract.' yes.•(nono Machine Shop.Village yes TYPE OF IMPROVEMENT Re ROPOS USE si tial Non- Residential ❑ New Building ne family ❑Additio ❑Two or more family ❑ Industrial Nepair, ration No. of units: ❑ Commercial replacement ❑Assessory Bldg El Others: ❑ Demolition ❑ Other O.7Septic p Well D Floodplain 11 Wetlands 111/ate'r8fied District. ❑•Water/Sewer. DESCRIPTION WORK B E OfEL: L4 I r ^ 1 1 n ^ lPj4ification Type or Print Clearly) OWNER: Name: Phone: ` Address: CONTRACTOR Name: Phone: . Address. Supervisor`s.Construction License: � ��`�1' Exp: Date:..:::. .... . .. .. � - : .. . Exp. Date:: -. Home Improvement License: 1-7 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT;$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ ( FEE: $ C�c7� ��•( Check No.: Receipt No.: I NOTE: Persons contracting with unregistered contractors do not have access to the ua nAfu ` Signature of Agent/OwneSignature of contract r � ��if�, s Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DIS7OSAL Public Sewer n ing84assage/Body ArtSwunming PoolsWell acco Sales ❑ Food Packaging/Sales ❑Private(septic tank,etc. anent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF a 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/receiptsubmitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit D-PW Town Engineer: Signature: Located 384 Osgood Street [FIRE DEPARTMENT - Temp Dumpster on site yes nocated at 124 Main" Streetire Department signature/elateOMMENTS. Dimension Number of Stories:__Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of deter 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 2010/0ct0ber 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/Crossectlon/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Reportlicable If Applicable) pp ) ❑ Engineering Affidavits for Engineered products MOTE: 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 o 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 ®TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit I!_n all cases if a variance or special permit was required thethe peals that the appeal period is over. The applicant mut then get this recorded at the Res istr of Deeds. co sion m and proof of reoard of cording Must be submitted with the building application Registry copy p Doc:Building Permit Revised 2008 Location = v No.3Date �aRTh TOWN OF NORTH ANDOVER f s n a �° Certificate of Occupancy $ MuBuilding/Frame Permit Fee $ s�cse Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # -S ' O G 235% 4 Building Inspector I ELM" 96194 MARK FREEMAN . 11 DAYLILY DRIVE 4 } NASHUA. NH 03062 7:14m2012 28530 1 NORTH To of Andover 3 - - No. lot/ LAKE .o dover, Mass., COCMICMEWICK DRATED P?9. C) S 7 V BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System Imo► BUILDING INSPECTOR THIS CERTIFIES THAT ,,��Gb ........... ................ ..........................f�..��............................................................................................ Foundation �......................... Rough permission t0 erect........................................ buildings on .... I....... v -- ...... c to be occupied as.........f�.?............ ........."!S'...... ...........1 -�... . .............. �.. .....� Chimney provided that the person accepting this permit shall in every r ect conform t the terms of the application on file in Final 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 C Dd- _ PERMIT EXPIRES IN 6 M THS TS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI Rough ..................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the- Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT' Until Inspected and Approved by the Building Inspector. Burner. I - Street No. SEE REVERSES' IDE Smoke Det. s� f a The Commonwealth of Massachusetts Department of Ltdustrial Accidents Office of Investigations ' 600 Washington Street Boston,M4 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): I ti•t' s —` ���r Address: � �-( �.t 1�? � VKlj City/State/Zip: e,4Phone.#: f)f� Are y an employer? Check the appropriate box: Type of project(required): I. I am a employer with 1 4. [] I am a general contractor and I r .-V have hired the sub-contractors 6. E]New construction employees(full and/or pa -time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.# 9. ❑Building addition required.] 5. We are a-corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Pluykfug repairs or additions myself. [No workers'comp. right of exemption per MGL 12.[Xof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other 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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site. information. Insurance Company Name: UM Policy#or Self-ins. Lic. MOcaq Expiration Date: p / Job Site Address: �i 15 4 City/State/Zip: 0 Attach a copy of the workers' compensation p y declaration page(showing the policy number and expiration date). r I 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 WORK 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 Investigations of theLqA for insurance Covera e verification. I do hereby certify nder l:eain nd p nalties of perjury that the information provided above is true d correct. Si nature: Date: Phone#: 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person:— Phone#: ,..+� �'!e '(oa�irmzovuvecr�l�i o�-L�aaiacluaella \ Office of Consumer Affairs&Business Regulation =j OME IMPROVEMENT CONTRACTOR i Registration:.=126893 TypF Expiration; g/3/2012_ Supplement] The Home Depo.CAt-Home Services i. RICHARD FALLONE=- 2690 CUMBERLAND.PARKWAY S GA 30339` Undersecretary I i i I �1 ,�coRa CERTIFICATE OF LIABILITY INSURANCE 02/19/D0 PRODUCER � _ _ 2/19/l0 PRODUCER 1-404-995-3000 THIS CERTIFICATE IS ISSUED AS A. MATTEROF INFORMATION Marah USA, Inc, ONLY AND. CONFERS NO RIGHTS L'0;\f THE CERTIF!CATE NCLCER THIS CERTiFIC DC=S NCT A..'i Pi0: EXTEND J ^/� t: _ ' C,:DI hcmede-et.cert_e�:.. t� arsh.com �=_T_ 'c �;=R__ �.F- =---�--�— =-.i_S Tlx: Aliiacc_ Can ' 3:50 Lenox Road, Suite 2400 `j at_an=a. r1% 30:26 _ ! _ -- - F3X ('1••� 5.�.�_�•• . — .S AFF'-RJINGC: T e Home Deoct, I�C. :;: .S.A., in:. r.,,1 American I3 acme D'-_JOt L 1 - 2435 Faces Ferry Road NW :NSURERC:New• Hampshire Ins Ce _ 23841 _ Building GA 3 Atlanta, GA 30339 jINSURERO:NATIONAL UNION FIRE INS CO OF PITTS 19445 _---- ---..._..._:..__..... ;INSURER E:Illinois Union Ins Co 27060 COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ IRSR DD'L POLICY EFFECTIVE POLICY EXPIRATION(� TR POLICY NUMBER MMf IYYW T MM/D rYYYYI LIMITS A GENERAL LIABILITY GL04887714-00 03/01/10 03/01/11 EACH OCCURRENCE $ 4,000,000 DAMAGE iO"w" IGENI COMMERCIAL GENERAL LIABILITY PREMISES(Eaoccurrence $ 1,000,000 CLAIMS MADE a OCCUR MED EXP(Anyone person) __ $_EXCLUDED — PERSONAL&ADV INJURY s4,000,000 GENERAL AGGREGATE $ 4,000,000 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 X POLICY PRO-JECT F1 LOC -'--i— B AUTOMOBILE LIABILITY BAP 2938863-07 03/01/10 03/01/11 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S . NON-OWNED AUTOS (Per accident) X SELF INSURED AUTO PROPERTY DAMAGE $ PHYSICAL DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO _ OTHER THAN EA ACC _$ -- AUTO ONLY: AGG $ A EXCESS I UMBRELLA LIABILITY GL04887714-00 .03/01/10 03/01/11 EACH OCCURRENCE $ 5,000,000 X OCCUR FICLAIMSMADE AGGREGATE - S 5,000,000 $ DEDUCTIBLE $ RETENTION $ $ C WORKERS COMPENSATIONWCO20342355 (AOS) 03/01/10 03/01/11 X WCSTATU DTH. AND EMPLOYERS'LIABILITY Y/N _ - ----_---- TORY LIMITS I D ANY PROPRIETORIPARTNER/EXECUTIVEa WCO20342356 (CA) 03/01/10 03/01/11 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDE07 ---- E (Mar,dalory in NH) WCO20342357 (FL) 03/01/10 03/01/11 E.L.DISEASE-EAEMPLOY_E_ 51,000,00.0_____ If yes,describe under I SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,,000 OTHER E TX Employere Excess TNSC46242373 (TX) 03/01./10 03/01/11 Occurrence/SIR 30M/2M D Workers Compensation WC0910566 (QSI) 0.3/01/10 03/01/11 C Workers Compensation WC 020342358(KY,MO,NY,WI, ) 03/01/10 03/01/11 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: EVIDENCE OF COVERAGE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE HOME DEPOT, INC. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN HOME DEPOT U.S.A., INC. 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 - 2455 PACES FERRY ROAD NW BUILDING C-20 REPRESENTATIVES. ATLANTA, GA 30339AUTHORIZEO REPRESENTATIVE USA ACORD 25(2009101)Jthornton—hd ©1988-2009 ACORD CORPORATION. All rights reserved. 1dda1000 'rk— Ar-`nDn ,,o Arrnon Job Contacts Link Leads Tuesday,October 05,2010 Comments Lead: 5268738 _ Ga'< Advanced Search 5:35 PM g t -lnfolUpda#es _ Homeowner lnforma#aon Job.lnformation X ra Homeowner Mr.George Festa Sale Amount $8,496.00 Balance Due: $8,496.00 Commissions Homeowner2 Mrs.Cathy Festa Product Shingles-Peace of Mind Craftsman Warrant Job Issues Job Site Address 51 Surrey Drive Status Sale/Released to Production North Andover,MA 01845 Branch Boston Order Detail - . Permits County Essex '. _ Commission Rate PO Billing Address 51 Surrey Drive Consultant Name Term Date Spllt Comp Plan North Andover,MA 01845 .ChadBooth 1.00:00%Straight Commission ; Result Combo Services Home Phone (978)683-0466 B-Back: No Cross Ref# 1-1208839708 Siebel Ord... 411122 Work Phone Ext. TouchPoints Cell Phone (978)204-1462 -%A m Key Dates` Work Phone 2 Sale Date 9/30/2010 FU'P Date Update Job Cell Phone 2 Credit Date 9/30/2010 FPD-Customer Work Orders Email RTP Date 10/5/2010 Post Install Date Cross Street Sutton Start Date 10/15/2010 FPD-Home Depot - - – Inspection Nlarketang,; . Referral Store 3480-SALEM,NH JobfndicatoIs, - Base Store 2685-METHUEN Lead Paint:No Test/No LSWP Lead Source 0035 Display/Signs User D'ateA Tame Statics 'Corr: Appt Date Appt Time Consultant 1 — 1 ,. � 5 April Mcbride 10/5/2010 3:29 PM Released to Production No 9/30/2010 10:00 AM Chad Booth Heather Peloquin 10/5/2010 3:07 PM Order Entry No 9/30/2010 10:00 AM Chad Booth Robert C Booth 9/30/2010 11:21 PM Credit Pending No 9/30/2010 10:00 AM Chad Booth Robert C Booth 9/30/2010 11:21 PM Sale Pending No 9/30/2010 10:00 AM Chad Booth Dayend Dayend 9/29/2010 9:00 PM Sent to the Field No 9/30/2010 10:00 AM Chad Booth Convergysl 11 Con 9/28/2010 9:53 AM Confirmed-Customer No I 9/30/2010 10:00 AM Chad Booth Convergysl 11 Con I 9/28/2010 9:53 AMIPre-Book No 9/30/2010 10:00 AM Chad Booth Convergysl 11 Con 9/28/2010 9:52 AM Lead Entered No II dose Prang 3 HOMT?'(M.PROVEMItN'(.()N- AC"r PLEAST,'REAll'rHiti Suld,f-amrehcA and lnstalkd by: Brandt Na»x>: Itor,ivn 1.3"(wg.130/ { THD At•1lume SCrvit�,.Inc. d/h/n fix How Dnpot At-Elbmc SCry t;y 3d1A t}r(Y.nwtXxl Slt1 e1,Unit 2,Wnirmier.MA 016(1'/ rrralich Number! if Toll I�w(8W)657-5 1%2: Fax(508)75(1-1(323 rYAxttl ur 4.175 269MM;Mli!i,,N C(}24;g.fU C'unL I.idt Iri42? CI'Lm 8 511552!;MA Hume impMvtnl;at Carlaarlpr Re'.,q ln,1;illatjon Addr+eav: S i _.� C_c .G .. �+?.40V er .M•P _..U{_$t(5 Pity r State Zip !'urc)uanr(x): Work Phone: atom.Yhune: Cdr PLnnc Gevr�e Fef TA IRT�.I 6S3- .jC q-)o}r*61 6� (jr dtffrrlrnt frow IustaH:uion Addrtsa) City Slate 7p E-Infill Addn-ss(to receive project dlmmunicatit)Irs:tial I fume Nput ulalafrs): ❑1(10 NOT wish to rucr:ivr-;toy marketing ertnils from Th.Huai,I)rpry )5)l hon: thn.t,74,T. •.p 1"l:uatOmer"),tlx:uwoem of ttw In, u:TIY located at:a t tibvvc.installalltm:rddrr.�S =%a ,ng; ,Wy, sad I ill)Al f l(tmr$Services,loc.(-11ir flume Depot")agmm--to furnish,dehwr and arlunilc lir the insialialion(`I»s4tllntioa`)of all wateiials desrribmi on the below and an(11C rcfercriLL-d 51x•(:Shtxx(a),all of wbielt are inewfairalcd into this Con(I,u t by this mretrncc.,ilnng wi111 auy applicahic State Supplement and Paystwni Summary anaclh-s)hem-to a(xl:try Change Ordms(volltx:tively, "Contract'): JoU ii: u.w w s.m..r i t nr)»SYe: !Shtetto$: Project A rnopN _ ling 5idinE W;uduws-F1111101 S b 7 3 Y 0 Cutin I to.t4x QEntry l3nom El--.. tttwling I_SidinP Wnrduws�Jlnsn(atign I .. .. I_ .... ❑Liuuus/C.oven,Qr,(nlyDams �L. -. .— _.. .___... r ((L. .. . [�{kanttnf: Siding.[7 Wirtdnws Irtavlatiun I . . .—_._... l[7Ciuuerx/(:evn'a ❑Entry Donn[�.._. __. $ . ... --- l2(wlil• 3idin Weurf4Ws Irate}at(rw .-- -._ . Otiurcrx/rnvrrz❑>:,nuy Lt(xrrs C:l - - _ MmimutR�47NtkW76iluf('tmLsKAtttptmlduCUpmececntinepP(It(yCoutttti Total Citutrurt Amount M•,8ne lNLnJn T%'may nrq dept(route than anrAldltT Uf'the!_onbr d A.mrux_ f; t:uatomcr agrees that,iminedintrly upon t-impleliinl 5)l N>r Work for cath i•nAtld.CUS10111C9 Will M;C-Q tC a Cumpletiun 0.,xii6cau (one R,r each I)nAtio as deflmd by an trxl vidmd Spee Sheol)and pay anv batanec due. As applicah(c.each l:UStCmei under 1110; C'tan(aet asurrs to fvjolnily drnil wverally obligated tad habrc Ix;rr:lmdCC_ Thr,.Home DCPw m4ci ons the rirhl to 19suc a C.'lum!e ORle.•r yr ternihiate Urs C iii1r ct W'ttety ntttivldvnl PrOd1Ct(s)1110,141ml hCrYni.ul itg discretion,i('rhe livor..(}Spot of iia aULhorirfsl urrvke provider delrnninr*that it cauuul perform i;S nbbgaluws(lilt:to o"Ubcnlral pndrlen;Willi ih.home,euvironntrraal hazania such as aurid,mom los or lead paint,whcr safely conccm,,:priting error: of 11,:owse work rcqulfed to crauplede tlar.ivh WAS nut uwlutled in ih.COIAMCL F9y1�Summary: ')'he 1}a}m.nt Summary a-3 11I l aY .. .. , included u. Imo of Ihi;C'unvucL .cu; lint(the.total (_»able(amount and payoumvi r(•iliurccl for ltM delitmis aur}mol payment.,uy VniAlvrl tas:npphcatrlc 1. NOTT('F;TO Cl ik'I1)M ER Yna an:unlilhtd ry 71 rolfiplewly ttllce)•in ropy of the Contrari;it the lime yore sign. 1)a aro ,'n.i:wapktivn/,'.rtilieaic fume: there is one('.n»gdctiob Certificate for cat](listed 1'coduct as detismd by individtu,l Spet•Sheth}before work on thu(Product iv romplete. in the ovent or terminatirm or(bis Contra-.L Cu.Ntulmr sgrLTS IO pay The:flume Depot the crisis 1rr mplrtigl5,lsl'mr,Lxpellwus and s.rvices provided by Tile 04imir;kpot or Aul1Xr4'i tksf Srrvkc Provider thn)ngh f le dutc of ternanalitiv,plus any outer awttu»ts%k.t(orifi in t116 A;ryemenl orallowed under upptla'hirir.I:rvr. THE i'IOi1 F li4:l'CY!'MAY WITH1101M A;v1t)U^d1 owcl) -f-C) Tpist [WRIE DFPOT FROM TPIE PEPOSTT PAYMENT OR OTHEV t•A'rn EVI'S NIA'f)F_ WITHOUT llim-11'111%r rill•.:1-10MI?PEP(yd"S 0CHER Rt•:16tEVICS ri)H RlKCd)Vt?,RV(.WN(It:rt AMOUN FS. Acceptance and A1dtiriyA inn: Custom:, ;Irm ;i;Ilnl vrLderstands that ll:n; (ysocn,`nt 1s thn::rnirr.agvemicw betw:<(aa t:us;art)er and The HOnte lhlatl(.villi rt:gard to(hC P(AducLI:nut ln9wlladon Seivi Cs;uul surnn?odec all phut discussions and ui:irx muls,eilhrr and di wnitren.rclamlr tp said.Products am(1nntalkloon This Agrecnlud cann»t be.essigacd ur annmXl,:d CxeepL by a wnune Agned liy Customer slid The hurtle 1.)epol.C'0al0nt(:1 aChnnWlydPeA and agrocN that f i.sipmer has ivad.ulnlrr:lnvdx V'oluluar ily occ:ept$the ternu�l ford has fcCeivi!d n ropy of this Agrecuumi. Accu ed by, Submitted by: C.Uslunrr.r'S, naUtre. Data SiguaWre flake X _. _ _...--- Telephone.No. . _.— Customer's Sipnalum Date Sa3pe Consultant Licrnse No. L._A,NC:CI.LATION: (A)STOMER MAY CANCri, '1'IIIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY OYLIV RING WRf 1"I'FN NOTI(:E TO THE HOMR DEPOT RY MIDNIGHT ON THE •t't IRI) IfUSINSSS DAY AVITR SIGNING 7111S AGRE.EWNT_ 1'kitit STATF SUIIVI&MF•NT ATTACHFA) HERETO CON'YAUNS A Fpr,'(.[ 1'0 C)LtE IF ONF. If; SPEC1k'it_;ALLY PROSCRIBED AV LAW IN { Cl I t't)M11 ER IN STAM � NOTU :,AMAMMA 1,TPR,5)t:,tNI)1U0NnrrivNSARE KrAW)t)h'Tnt'.RFVERSVMOV ANnAni::PAWrOP A6tx(NTDACT 11.30-05)f;.9r, tNtnM-wRwrinle YeMw-Cminmar Mr*-SalusConsutl,nt 9A d SHV jodea 9WOH << 2LOUZZ£09 L081ZZ£09 X358 £ X0: 2 �O-U-OLOZ G RGOFING MEASURE-SHEET job>k Sab 8 73 cens�Rm eG �r SNINGI.E , .... `., FiaslYrgrGut4lrhA'arerrrlirgyy 2� •:. + c bpi OounDa of diT3R P16m� FlmId YAWLD A4LmAW a llaaa gtjmi .. Ouner Oow� '- col) Lo.mort Length VAdth 5r}Nt. 111-mmor 84•� Factur �q Pt C.F LF... EA !S� .LF. �- " ct: � - O s CL- (D . , c E ° 4 O -- A F F a A E8lnyte Wlndvrrpvretere XSo sq.ft, -n" O . co l L.rf Tegl Aed N 4., strceat 1 G �T�1rs► .. Tn4tG�juawb4awluptoOtWartreorxae} ��/:. r1DCFTIONALLAVER REMOVAL ,1�FTFUITION hNBC�` INAMrTaI Add Oq,flat ..Teed .FlrhtYail� - YtCaNa i.:- . i t.owst,pl�lFLAr - oorrgo�flon LF BA' SFA eA LF Fw— N Flich owed 80Anole 6eaion loCatlan iart Ylldlh gm H, tlultb4er mawW=lQFWpC AdJuaged FL �— Tlly _ Tar a OMNI p X Tctd 3tBPraOwndtolwRWtolelgwrol Tga1. foe w In rear snuaroa JRa.ld to lrharr.8a1 � - WASMFACTOR M 0-2 U 7+ FAp .. o PrrcH AIUL•T puERTA4LE e . 13rftleFactor .1Ab 1.10 1.14 1A4 1.18 13ieh t2A2 2112 3M2 012 SMZ 6M2 -102 8112 8112• '16N2 1182 -52112 '131`12 t4t12 19142 19M2 1TA2 I& O Tlk Factor t.10 4.;4 1.1s 1.18 • tlalltlpeer 4Ao 1.a2 1.0q Im 1At9 '1.12 '1.SQ 1.21 125 1911 7M -A-A2 1.48 1,51 I 1.70'1 tZr 114 18 Q N ' C:> w 61!1Cf aFGA r O