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HomeMy WebLinkAboutBuilding Permit #370 - 567 SALEM STREET 10/26/2011 �I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: J.� L/IMPOR ANT: A plicant must complete all items on this page LOCATION U T_ 5ok_�vn S t Print r PROPERTY OWNER)o�� J Sd hi e 3-kCq�-�U,y,� S Unit# Print MAP NO: _3PARCEL:33-5 ZONING DISTRICT: Historic District yes8no Machine Shop Village yes t 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential No , Residential ❑ New Building ❑ One family / ,Addition ❑Two or more farriily� ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg / El Others: ❑ Demolition ❑ Other 0(Septic I®We11 (]Floodplain �'Wetlauds ' {p 1WatershedlDistnct i 1Water/Sewer ` DESCRIPTION OF WO TO BE PERFk D: A-, (Identification Please Type or Print Clearly) �� OWNER: Name: �on (31SS� fc4lhke k Phone: q?y,,- T7 J Address: le � CONTRACTOR Name: C Phon Address: Supervisor's Construction License: C-' 5 -5 &5 l xp. Date: Home Improvement License: I 4 76 Exp. Date: ARCH ITECT/ENGINEER41L4LF1rw• / c,�I huf 7_1qe, Phone: Address:. ISrePi,, Reg. No. FEE SCHEDULE.BULDING PERMIT.$92.00 PER$1000.00 OF T E TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 00 FEE: $ • nD _ •per Check No.: f� y Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature;ofrQgentlOwner w ,? ,� . . ..._idea. Signafure- :f.contract',', ` ` t � ,v 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 Perml Addition or Decks w� ilding Permit Application L rtified Surveyed Plot Plan orkers Comp Affidavit �fcpopy hoto Copy of H.I.C. And C.S.L. Licenses Of Contract ❑ F o eva i -llropuszd-Work o rt (If Applicable) ❑ En nglneere p 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 ❑ 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 ❑ 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: Doc.Building Permit Revised 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ `I 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 ❑ i I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ J " COMMENTS ����� CONSERVATION Reviewed on I Signature;-- COMMENTS—__Jjn U10 HEALTH Reviewed on S' ur i 4 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: FIRE DEPARTMENT - Temp Dumpster on site yes Locatedno384 Osgood Street Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Totals square are 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 i I ❑ Notified for - Date Doc:.Building Permit Revised 2011 June/mi Location { No. r Date t t TOWN OF NORTH ANDOVER 3?O�t„1O _•,hO a F G� Certificate of Occupancy $ E Building/Frame Permit Fee $ s�CMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ j Check # 24760 Building Inspector NORTH TOANM Of - : ; rn No. �( C% LAKE � � - Torg � clover, Mass.,ss., � • CC Cl NICMEWICN V 7�S RATED PPS U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR Mti � THIS CERTIFIES THAT..................ZAN^ ............. � s s L... �i......'r........... .. ,e. ............................ ...a Foundation i has permission to erect..........:.::...................... buildings onRough to be occupied asr.l4.... .....���!4!.........�'...... �...... ..11. .... ..... ......... Chimneyi ...�,«,,,,^S rovided that the �is�&ncce tin this ermit s II ineve res act conform to the terms of thea lication on file inP P g P ry P PP 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 j VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ' ELECTRICAL INSPECTOR 1 UNLESS CONSTRUCTITS -- 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 Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartinents and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or re air p work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employee, MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required," g uired. Ad « 9 Additionally,MGL chapter . . . t r 152 25C 7 state Y p , § O s Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers',compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy;please call the Department at the number listed below. Self-insured companies should enter their ,self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which Will be used as a reference number. In addition,an applicant that must submit multiple permithicense applications in any given year,need only submit one affidavit indicating current policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been*officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to,any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: TuE Conumomweal'uh. o Arlassachusetfs j Department of Industrial Accidents Office of InvestigatioiRs 600 Washington Stroet Boston}.MA 02111 TO. 617.727,4900 ext 4406 ox 1-877-MASWE Fax#61,7,727-774.9 Revised 5-26-OS ' www.mass.gov/dia .The Commonwealth of Massachusetts Department oflndustrial.Accidents Office of Investigations, 600 Washington Street Boston,MA 02111 www.massgovldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LE bly Name(Business/Organization/Individual): 0��— �IC� • Address: r, City/State/Zip: 9 Phone#: c -L- 3 '?J— Are J— • Z� [E] l n employer?Check the appropriate box: _ a em to er with 4. Type of project(required): emplP Y ❑ I am a genexal contractor and I oyees(full and/or part-time).* have hired the sub-contractors6 ❑New construction a sole proprietor or partner- listed on the attached sheet.x 7• ❑Remodeling and have no employees These sub-contractors have 8. 5liemblition ing for me in any capacity, workers'comp.insurance. orkers' comp.insurance 5. ❑ We are a corporation and its 9. $Wuilding addition red.] .officers have exercised their 10•[�Electrical repairs or additions homeowner doing all work right of exemption per MGL11. Plumbigrepairs oradditions f. [No workers'comp. c.152,§1(4),and we have no12,❑Roofrepairs nce required.]t employees.[No workers' comp,insurance required.] 13•❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. Jr am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Nam Policy#or Self .Lic.#: Expiration Date: Job Site Ad dr ss: City/State/Zip: Attach a copy of the workers'compensation policy declara • n page(showing the policy number and expiration date). Failure to secure coverage as required uinder Section 25A ofMGL C. 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 of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpe Ifies of perjury Mat the information provided a ove is true and correct. Signature: � -�-� Date: pl �✓( ?hone 5r -32-6 C f Official use only. Do not wrife an this area,to be completed by city or town official. • City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/To"CIerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person: Phone#: } MAP 38 LOT 288 MAP 38 LOT 289 N F CAVANAUGH NBURKE S 73'22'05" E S 78'2 ' 5' E / - 69.68 - 56.25' 16.62' N 65'30 49 E 21.38' s.> 28.30' N 72'35 41 E '0. N 73'5310 E PROP. M SCREEN PROP. + CO PORCH GEc DECK ►M 38 8' i N #567 ul EMS71NG 1 HOUSE ?83, PROP. COVERED PORCH MAP 38 LOT 5 MAP 38 LOT 86 FUN/F N� LGIONE REARDON N p 0 in N N LOT 1 . 32,126± S.F. i LO N 95.00' NBO'03'47"W SALEM ZONING: R3 STREET MINIMUM SETBACKS: 1965 COUNTY LAYOUT FRONT - 30' VARIABLE WIDTH SIDE - 20' REAR - 30' P OWNER OF RECORD: JOHN P. BISSONNETTE & KATHLEEN A. BASS 567 SALEM STREET SN OF,yq NORTH ANDOVER, MA 01845 z�� gCj 1 CERTIFY THAT THE STRUCTURE SHOWN ABOVE CONFORMS ENDRD BK. 10175 PG. 17 � UG TO THE ZONING DIMENSIONAL REQUIREMENTS OF THE TOWN LE OF NORTH ANDOVER AND IS NOT WITHIN THE FLOOD HAZARD No AREA AS SHOWN OF THE FEMA FLOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER 250098 0006 C, DATED GRAPHIC SCALE �jO�P� JUNE 2, JW a xo a eD NO SURD /]� > QrcH- 40 FTT,L.11 �`IC��//[LL`.7 DOUGLAS E. LEES P.L.S. #48094 DATE PROPOSED PLOT PLAN 4011NPREP JOB# 27201 --+— PREPARED Y lR 567 SALEM STREET land En SHEET 1 OF 1 NORTH ANDOVER, MASSACHUSETTS 9 ,,� c$ MAP 38 - LOT 335 Envlhonm®ntal J9rYIcos, Inc.. 130 Middlesex Road, Tyngsboro, Moesachusetts 01879 SCALE 1-40' SEPTEMBER 2, 2011 Telephone 978 849-4642 Gmail- eye candy https:Hmail.google.com/mail/?ui=2&ik--0026f491d8&view=pt&sear... �w , � i a 3Ni%e 'fy"�" 7 •„3` _ ,fig 1 d $g tf 1 1. r I 1' -up New Porch �hj New 4'xG 00 ww, N Exist Exist Remove existing slider- Replace with French Door Rough in for vent Exist in existing RO " `'' from hood Z Floor W LXX (���u�1 Wendy Welton, RA `� �J www.ArtformHomePlans.com 5 of 6 8/18/20116:07 PM Exisling roof to remain - '...`.F-xisl Roof _Exist Roof - ����'7�''�r'���r�'���� Exist xf - - 1�1 Existing roof to remain - ... .. ... - _ _Skylights,Typ of(Z). . .New roof L _• - New Pergola xist Existing to remain-Windows not surveyed and not shown .. .. - - Exist . New Porch Outdoor Exist window beyond - . 1 Interchangeable panels- New Screen Porch,Deck New Front Porch Rear Elevation Screen&"Storm"for,four and outdoor shower Scale:1/8"=1'- season use(Unheated) Left Elevation Scale:1/8"=1'-0" Existing roofs to remai Existing roof ew window in gable end - - - kylight _ Existing to remain-Windows not surveyed and not shown - - - Insulate porch roof, -.. - ... : wood underside Interchangeable panels Screen&'Stone"for,f season use(Unheated' tdoor shower TO Form Architecture, Inc. Blssonette&Bass sedondd dad,eraP°d—M,NN MOI coa.ces.srss 587 Salem Street we,dy L°W—,Uc W.NY,AE,W North Andover,MA New Front Porch Right Elevation - New Rear Addition SCHEMATIC DESIGN n 1 1 n New Screen Porch,Deck Scale:1�8"=1'-t)" S D•2 Scale:1 B = -0 and outdoor shower SCALE:1/8°=1'-D"UNLESS NOTED Curren"Print 8116=11 0 9:02:28 AM Artform HomePlans nn uu 000 r- M MIA �- Hog - _ r :, BrickHouse Construction 19 Downfall Road Byfield, MA 01922 978-375-3264 John Bissonette Kathleen Bass 567 Salem Street North Andover,MA 01845 Dear John and Kathleen, Thank you for giving BrickHouse Construction the opportunity to appraise your construction needs. I enjoyed learning what some of your needs and desires are. Please review the following material at your earliest convenience. If you have any questions, please do not hesitate to call me. BrickHouse Construction will perform the following work for JP Bissonette and Kathleen Bass (hereby referred to as the customer) @ the residence at 567 Salem Street, N. Andover,MA Meet with customer and define scope of work to be done. Obtain permit(permit fee not included in this price) Remove old deck Install new footing for new porch and deck Strip siding on house to prep for porches and deck Frame deck as per supplied plans Frame shower and pergola as per supplied plans Frame front farmers porch as per supplied plans Frame 3-season porch as per supplied plans Supply and Install windows: Silverline vinyl gliding white Supply and install new Andersen French wood swing set in kitchen opening. In place of old slider Install exterior PVC trim as per plans and discussions Install interior PVC trim as per plans and discussions Install siding as per plans: Vinyl to match house Rough plumb out door shower: fixtures not included in this price Finish plumb out door shower Electrical work to be done to code: Wire for 2 ceiling fans (fans not included) Allowance for 6 recessed cans(basic trims) included Wiring for 2 audio speakers included(speakers owner supplied) Supply and install bead board to new walls and ceilings (Style yet to be determined) Supply and install 2 new Velux venting skylights with roller shades and pole Power open/close option would add$ 1950.00 to project price Replace siding removed at beginning of job Supply and install roof shingles to match existing house Ice and watersheild to be used at roof/wall intersections, valleys and first 3' of all roofs, drip edge to be installed on eves and rakes Supply and install privacy lattice and trim around out edge of deck Including access door near driveway side Clear coat new decking: 2 coats Trash to be removed by contractor Clean up All work to be done in a workman like and timely manner EXCLUSIONS No plumbing fixtures included in this estimate No electrical fixtures (except recessed cans) included in this estimate No heating or air conditioning is included in this estimate No landscaping included in this estimate -------------------------------------------------------------------------------------------------- Phase one: 3 season porch and deck w/outdoor shower: $ 66,145.00 Phase two: Front farmers porch (price yet to be finalized. This number is an allowance for permitting purposes only. A signed change order with agreed upon final price will be needed to start farmers porch phase of project)) $ 15,500.00 Total Project Cost: $ 81,645.00 BrickHouse Construction Payment schedule 1/8 due at contract signing $ 10,000.00 1/8 due at frame completion $ 10,000.00 1/4 due at frame inspection $ 20,000.00 1/4 due at weather tight $ 20,000.00 1/8 due at interior trim completion $ 10,000.00 1/8 due upon final inspection $ 11,645.00 TOTAL PAYMENTS: $ 81,645.00 BrickHouse Construction will make every effort possible to contain the dust and debris that occur due to the work being undertaken; however some material will inevitably get into protected areas. For this reason we suggest that any dust sensitive belongings be removed from the premises. BrickHouse Construction will not be held responsible for any dust related damages. BrickHouse Construction will also make every effort reasonable to keep water and moister out of the structure being renovated. However due to the nature of some types of projects, some water damage may occur. BrickHouse Construction assumes no responsibility for water damage. Brickhouse Construction will make reasonable efforts to protect the existing driveway from damage. However; due to the nature of the delivery vehicles used by our suppliers we cannot guarantee that no damage will occur. We will not be held responsible for any damage to the existing driveway All work done by BrickHouse Construction is guaranteed for one year from the date of completion. This contract may be withdrawn by BrickHouse Construction if not accepted within 15 days. Any alteration from the above specifications involving extra cost will result in additional charges over and above the original contract price. Additional labor to be billed out at$ 55.00 per man hour. BrickHouse Construction company terms are as follows,and will be adhered to for the duration of the project. Deviation from the stated terms may result in project delays.BrickHouse Construction will not be held responsible for such delays. 1.Initial consultation and estimate are free of charge unless otherwise stated. 2.Plans, sketches and/or other design work is not considered part of the free estimate. Design work will be billed out at$50.00 per hour. Phone consultations and subsequent meetings are considered design time. 3. Office hours are 7:00 a.m.to 5:00 p.m. Monday through Friday. Every effort will be made to return your calls in a timely manner. Most questions;however, can and should be addressed at the job site. This helps to reduce the confusion that can occur over the phone. 4.All materials will be new and supplied by BrickHouse Construction unless otherwise specified. 5. All project labor will be insured to state requirements. Labor will be supplied by BrickHouse Construction unless otherwise specified. 6.Project schedule is based on a 40 hour work week. 7.Conditions that affect the work schedule: A:inclement weather. B: delays caused by local building department. C: special order items. D: work change orders. E: deviation from payment schedule. F: delays caused by customers own subcontractors. 8.Change orders. If change orders are required,work will not proceed until a written change order(provided by BrickHouse Construction)is signed by both parties. 9.Project payment terms to be specified in contract. Payments must be made on schedule. 10.Work will proceed as specked in the contract. You have the right to terminate this contract for up to three days after signing. References will be supplied upon req es . Respectfully submitted: Date: Iction . A ery,p oodwortl Owner BrickHouse4Cos The above prices and specifications are satisfactory and hereby accepted. BrickHouse Construction is hereby authorized to begin work as described above. Payments will be made as outlined above. y / Customer Signature: Date: ��i�` THESE SCHEMATIC DRAWINGS ARE INTENDED AS AN AID TO REVIEWING THE BUDGET AND FINALIZING THE SCOPE OF WORK.THESE DRAWINGS ARE NOT INTENDED TO BE SUFFICIENT FOR PERMITTING OR - - - - ---- -- :- - - -.---- CONSTRUCTION WITHOUT FURTHER DRAWINGS.A THOROUGH REVIEW OF THE EXISTING CONDITIONS - - -- - - _ --- AND DISCUSSIONS WITH THE HOMEOWNERS ABOUT FINISHES AND THE VARIABLES IS RECOMMENDED. "- -.- - Edstirg roofs to remain. PLANS AND ELEVATIONS CAN BE SCALED FOR THE PURPOSES OF BUDGET LEVEL ESTIMATING,BUT NOTFOR PROVIDING FIRM PRICING. - - New 5'x V Shower .. Up Exlstfrg roofs to remain - Exist a - Etdst Ezlst >usi _ -: New PorchNew roof -- - -New roof New roof _. _ ._. p - - . . - ..Assume clad or prefabricated f: § - - .of _ columns w/some moldings or New Deck st 6dst upgraded profile m — - 6dq Exist Exist prefabricated,low Rider- eplsting _ _ Assume (,J slider-Replace = maimenence balusters with French Door �� E,d� In erdsting RO TIP I o �--- Jew front porch Front Elevation g Scale:1/8"=11-0" a � r T \ �/ Z .sdrg to remain(Interior walls and doors not shown) Adjustable shelves Q approx.12" z dstlrg to remain? 0 Plate shelf&apron-See detail Plate Shelf Detail / Panels,similar to �! cabintet on oppostle side w/center panel to gracefully hold E)dst light swftches,etc. F7fln a Bench on New builti New bkilt4n Exist Door brackets Etdst Exist Exist Endst 1..-1 _ Exist 5 - New Built-Ins @ �Exist grill infloor New�`� Front Door Scale:1/4"=V-0" P Art Form Architecture, Inc. Bissonette&Bass First Floor Plan sem.—Wda49e�.V"vn"uT k s,ss 567 Salem Street Scale:1/8"=1k-0" wmcykaw"yon.kxrm.rrv,rs,ea North Andover,MA New Front Porch SCHEMATIC DESIGN D" Scale:None SCALE:1/8"=V-0"UNLESS NOTED CLMM Print 6272011 0 10.23:47 AM , c.�.{lk1 '-. ( ow Office of Consumer. 8c Bdsiness Regulation DEPARTMENT OF PUBLIC'SAFETY 4HOME IMPROVEMENT CONTRACTORhoisting Engineer License Registradon: y 114496 Typei Number: hE W414 Expiration: 9120/2013 DBA Expires:03126/201'3. Tr.no: 1463? Construclidti #g. I Restricted- 2A § # AVERY WOODWORTIi 19 DOWNFALL RD t AVERY K WOODWORTH 3 r r� 19 DOWNFALL:RD BYFIELD,MA 01922 C !, i "' Undersecretary I BYFIELD, MA 01922 : Commlcaloner 'N'lasslachusetts- DepRai-inw4 t of Pub! Safety° EPA>RP+Certified Renovator Board of Buntlinekezllxt ows anti;Standards Construction Supervisor License Training:, 41233/2Qt{I Test: 4/23/2Q10 I License: C5 58651 RRF Initial Cattrs nglish) V Awry WotAworth 19'DownW'l Rd. AVERY K WOODWORTN k + 19 DOWNFALL f2D k I ,Byfield,NAA 02922 Ex ices•�1231y1}15 BYFIELD,'MA 01922 Dim. 8692-10-00625 --�- -� -� Exlriration: 3/2612012 t a o I Co"lRnistion" Tr#: 27'14 1 6wsd-Edu o 28 Nute Rd n a ury,