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Building Permit #171-2012 - 80 LACONIA CIRCLE 8/30/2011
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 2 Permit N0: 1.7/® aal Date Received Date Issued: 3o�f IMPORTANT: Applicant must complete all items on this page LOCATION .�-- Print PROPERTY OWNER Unit# Prmt MAP NO: PARCEL: 90 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes 1' TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family PrAddition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D Septic 0 Well ❑Floodplain ❑ Wetland's ❑ 'Watershed District ❑ Water/Sewer DES RIPTION OF WORK TO BE PERFORMED: (Identification Please Type or Print Clearly) OWNER: Name: 121e Phone: Address: -�ccn�� CONTRACTOR Name: %t 66S Phone: Address: Geoye_ A)4 Supervisor's Construction License: Exp. Date: 9-6 -d o 11 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PE MIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cot: C��9C)p� FEE: l 7.�0 1 rr $ —7 a� Check No.: 7`s r Receipt No.: 295 ;22 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund :Cinnati tra of Anant/(l�nmar - .4innati ira of rnn+rar+nr _ 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 Reviewed on '%/� / Signature COMMENTS � t HEALTH Reviewed on / / Signature Zl/ COMMENTS Y' z ` =�/ `�v►"-`' `^�- . Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes r 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 - Date Doc:.Building Permit Revised 2011 June/mi 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 a Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o 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/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 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 Location,Fd ler-ewto 0i,11cle r No. I�� �O/z Date NORTH TOWN. OF NORTH ANDOVER a? •.• o 0 P i Certificate of Occupancy $ usE<�' Building/Frame Permit Fee $ / Foundation Permit Fee $ , Other Permit Fee $ TOTAL $ Check # 24522 uilding Inspector TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: 71 Date Received Date Issued: top, IMPORTANT:Applicant must complete all items on this page LOCATION ,� ! �GdyJr` ar-lt-,_ Print PROPERTY OWNER a94- 764t'-� Unit# /frint MAP N0: MPARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family PI'Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Ifl'Septic D Well ❑'FToodplaitn D Wetland`s D Watershed�District El Water/Sewer r, DEWRIPTION OF WORK TO BE PERFORMED: (Identification Please Type or Print Clearly) OWNER: Name: O—C " Phone: Address: -, cGn� `t2 CONTRACTOR Name: J24 ` Phone: TZK— 7 72—ISS?_r Address: In G eovt- 1Vfc��1.� ! Supervisor's Construction License: j ` �� Exp. Date: 9-6 -A0 �l Home Improvement License: Exp.. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PEMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: � FEE: $ Check No.: 7,K? " Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund „ Signature of Adent/Owner' =-� _Signature Qfqbnttactor � - IAORTH TO"- Of �. Andover ., No. , -71 - aold,7- r 0 , �` d.over, Mass., d'��.s z)l /�.O COCHIC EWICK �t �DRATE D aD ` BOARD OF HEALTH Food/Kitchen RM Septic System P E IT, T D BUILDING INSPECTOR THISCERTIFIES THAT......... ......��'.. .k! ....................................................................................................... Foundation has permission to erect........................................ buildings on ....................... ...................................................................... Rough tobe occupied as.................X� .Y ......�:....�r..�`•'l �'` '.. .`'�'"�I.......... ................................................. Chimney provided that the person accepting thiermit shall in efrery respect conform to 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 PERMIT EXPIRES IN 6 MONTHS T7 SV g ELECTRICAL INSPECTOR. UNLESS�1 LESS CONCTIO STARTS Rough - .................. l.�:: ..... ......... ............................................................... 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 FIR_ E-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. OP ID:MH CERTIFICATE OF LIABILITY INSURANCE °ATE(MMIDDIYYY+r) ter- 08/08!11 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlficate holder is an ADDITIONAL INSURED,the policy(its)must be endorsed. if SUBROGATION IS WAIVED,Subject to the terns 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 en(lorsemen s. PRODUCER 978-975-1300 N°a"�T Segreve A Hall Irsur.Assoc.lnc 978-975-7596 V"MOc N ); (r10%Ne: 306 North Main St Andover,MA 01810 ADDRE98: Lawrence J.Hall P6RS-01 MERIDA; INSUREM81 AFFORDING COVERAGE NAICIt INSURED Andrew S. Parsons INSURER A:Arballa Protection Ins.CO. 41360 DBA Parsons Construction INSURERB:A.I.M.Mutual Ins.Co. 334 Ferry Road INSURERC; Ward Hill,MA 01835 INSURER 0: INSURER E: INSURER • COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLINES 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 WrTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MNY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SL CH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INOR TYPE OF INSURANCE POLICY NUMBER MMiDD uMn's LIR GENERAL LIAMUTYFACM OCCURRENCE S 1,000,00 A X COMMERCIAL GENERAL LIABILITY 500015922 12!01/10 12101111 PREMISES Ee o , nee $ 1�'0 CLAIMSAWE a OCCUR MED EXP(Any ana WSW) S 6,0 PERSONAL&ACV INJURY 4 1,000,00 GENERAL AGGREGATE f 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPtOP AGO S 2,000,00 riPOLICY PRO• f7 LOC S AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT S (Ea aeeiLenl) ANYAUTO BODILY INJURY(Pew perran) 8 ALL OWNED AUTOS BODILY INJURY(Par atddenl) S SCMEOLILEO AUTOS PROPERTY DAMAGE 8 HIRED AUTOS (Por aeeiaen!) S NON-OWNED AUTOS S UMBRELLA LIAR OCCUR EACH OCCURRENCE d EXCESS UAB CLAIMS MADE AGGREGATE4 S S DEDUCTIBLE s RETENTION WORKERS COMPENSATION X Y`'C 9TATU• OrR TH- AND EMPLOYERS LIABILITY .i0& B ANY PROPRIETORIPARTNERIEXECVnVE( NIA 0600575401 05110111 05!10112 F.LEACHACCIDENT s 100,00 OFPICERIMEMBER EXCLUDED? L EL DISEASE•EA EMPLOYE S 100100 (Mandatory In NMI Myoa•dmr?e under EL DISEASE-POLICY LIMB S 600,00 OFESCIYETION OF OPERATIONS W-w— DESCF11p"oN OF OPERATION9I LOCATIONS I IIENICLES(AtMeh ACORD IQI,Addl$"RF RenIfAR SChg".Ir mom/Apaae le leRulreal Sole Proprietor has not elected coverage under Workers Comp. CERTIFICATE HOLDER CANCELLATION SHOULO ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE TNT Construction THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10 Grove Street Middleton,MA 01949 AIITIIORU:ED REPRESENTATIVE AAQI&L" ®1988-2009 ACORD CORPORATION. All rights reserved. ACORO 25(2009109) The ACORD name and logo are registered marks of ACORD AUG-8-2011 15:40 FROM:SULLIVAN INSURANCE A 9788514848 TO:19787779887 P.1 DATE(MMIDDNYYY) ACDJW- CERTIFICATE OF LIABILITY INSURANCE 8/8/2011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Tewksbury Inaurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 885 Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Tewksbury, MA 01876 978-8519600 INSURERS AFFORDING COVERAGE NAICO INSUREQ MCDEVITT INSURER A VERMONT MtITTIAL INSURANCE Edward McDevitt INSURER 8 md—t"...0 r.....,.,..ec.Nk mwi.aaa P.O. Box 157 INSURER C: Vermont Mutual Insurance Kingston, NN 03648 INSURER a INDURER E _ COVERAGES THE POLICIES OF INSURANCIS 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 [WARLf LTR NeRO POLICY NUMBER D T MMSWIVE P -IMX I BMIT 1 N LS GENERAL LuWILITy EACH OCCURRENCE f 1 000 000 X COMMERCIALOENf•RAL LIABILITY PREMISES trip occuranco f 50,000 ICLAIMSMADE ❑X OCCUR MED EXP(Anyone person) s 5'000 AIX BP17011113 08/25/10 08/25/11 PERSONAL&ADV INJURY e 1 000 000 PY-MWAL 08/25/11 08/25/12 GENERAL AGOREGATE s 2,000,000 OEN'L AGGREGATE LIMIT APPLIES PERPRODUCTS-COMPIOPAGG s 2,000,000 POLICY PR� PER AUTOMOBILELIAEILIY COMBINED SINGLE LIMIT S 1 000,000 ANYAUTO (Ee acmeIH) ALL OWNED AUT08 BODILYINJURY I X BCHEOULED AUTOS (Per parson) C HIREOALITOS CA16001056 10/03/10 10/03/11 BODILYINJURY s NON-OWNEOAUTOS IPareaclaeru) PROPERTY DAMAGE S (Pef eeGOeM) GARAGE LIABILITY AUTO ONLY-CAACCIOCNT I ANYAUTO BAACC ,I F1 DTHER1hAN AUTO ONLY- AGO I EXCE891uA RRELIA LIABILITY EACH OCCURRENCE I OCCUR C!CLAIMSMAD6 AGOREOATE 7 I DEDUCTIBLE _ RETENTION I I WORKERSCOMPCHOATION AND x EMPLOYERV LIABILITY ANY PROPRINTORPARTNC6.L CACIIACCIOCNT 0 OItIXOWPNE 0 000 E opwCBAMIBMm 4CWDS07 WMZ8005933022009 10/16/10 10/16/11 EL DISEASE•E-A EMPLOYEE S 100,000 S �tAL PUNVVISIONS IbMew E L DISEASE-POLICY LIMIT S 500,000 OTHER DEBCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The workers comp policy includes Edward McDevitt. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO TNT Building and Consultant and DATE THEREOF.THE ISSUING INSURFR WILI F,NQF..AVQR TO MAIL 9,_Q_ DAYS WRITTEN Design NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$0 SHALL 10 Grove Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURGR,ITS AGENTS OR Middleton, MA 01949 REPA000NTATWO (Z0AUTMO D REP E E A ••�� 978-777-9887 ACORD2501108) 0ACORD CORPORATION 1088 I ACORD,. CERTIFICATE OF LIABILITY INSURANCE os%ii%iii' PRODUCER (781)942-222S FAX (781)942-2226 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gilbert Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 137 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Reading, MA 01867-3922 INSURERS AFFORDING COVERAGE NAIC# INSURED Thomas Cassidy INSURERA: Scottsdale Insurance Company 10 Grove Street INSURER B: Travelers Middleton, MA 01949 INSURER C: INSURER D: INSURER E: 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. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INqRGENERAL LIABILITY CPS1400060 08/1S/2011 08/1S/2012 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,00( CLAIMS MADE rXj OCCUR MED EXP(Any one person) $ S,00( Aff PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00( X POLICY J ROT LOC AUTOMOBILE LIABILITY BA-418111156S1 12/05/2010 12/05/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ 100,000 B X HIREDAUTOS BODILY INJURY X NON-OWNEDAUTOS (Per accident) $ 300,00 PROPERTY DAMAGE $ (Per accident) 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F1 CLAIMS MADE AGGREGATE $ $ I DEDUCTIBLE $ RETENTION $ $ TATUWORKERS COMPENSATION AND WC SLIMIT O R EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE H CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of North Andover BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Town Hall OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. North Andover, MA [AUTHORIZED REPRESENTATIVE ACORD 25(2001108) ©ACORD CORPORATION 1988 V,icv,11 LUD Lq.JV rAA IOL Gdl LVLL ALIRALOAX IS-1, AbLNL,Y iIUU1 DATE(MMIDD(YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 07/26/2011 PRODUCER (781) 231-2020 THIS CERTIFICATE IS ISSUED .4S A MATTER OF INFORMATION Richard A. KoTaals Insurance en ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ky Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 544 Lincoln Avenue ALTER THE COVERAGE AFFORI)ED BY THE POLICIES BELOW. P.O. Box 999 S2L s MA 01906- INSURERS AFFORDING COVERAGE NAIC II) INSURED INSURER A:The Commerce Insurance CO East Coast Builders INSURERB:ACe PrCIPettY & Casualty East Coast Builders INSURER C: 25 Greystone Road INSURER P- SaUCFUS MA 01906- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISS UEO 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 DESCRIBE 0 HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY _DATTc MMMDIYY) DATE(MMITIMMN LIMITS LTR INSR A GENERAL LIABILITY YZ3560 11/21/2010 11/21/2011 EACf10CCVRRENCE s 1,000,000 X COMMERCIAL GENERAL LIABILITY DAM.L�E S(RENTED 100,000 "AM'JE RENTED S CLAIMS MADE p OCCUR / / / / MED EXP LAm one son) E 5,000 PER:+ONAL&AOV INJURY S 1,000,000 GENI-RALAGGREGATE S 2,000,000 GfiN'L AGGREGATE LIMIT APPLIES PER: PRO)UCTS-COMP/OP AGG S 2,000,000 POLICY JEC'T 7 LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMB 3 (Ea r,ccidml) ANY AUTO ALL OWNED AUTOS / / / / BODILY INJURY S (Per aerson) SCHEDULED AUTOS HIRED AUTO$ / / / / BODILY INJURY S (Per sceidenU NON-OWNED AUTOS PROPERTYDAMAGE S (Por awide nt) GARAGE LIABILITY AUT]ONLY-EA ACCIDENT $ ANY AUTO / / / / 0TH ER THAN EA ACC 3 AUTO ONLY: AGG 3 EACESSfUMBRELLA LIABILITY / / / / E H OCCURRENCE S OCCUR CLAIMS MADE AGEREGATE 8 5 DEDUCTIBLE RETENTION fS 11/22/2010 11/22/2011 O STATU H- $ WORKTO ERS COMPENSATION AND 04587137 RYLIMTTS .R EMPLOYERS'LIABILITY E.L.EACH ACCIDENT Is 100,000 ANY PROPRIETORIPARTNERIEXECUTTVE OFFICERIMEMBER EXCLUDED? / / / / E.L DISEASE-EA EMPLOYE S 100,000 If yes.dc=fte under E.L.DISEASE-POLICY LIMB I S 500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CARPENTRY CERTIFICATE HOLDER CANCELLATION (978) 777-9887 ( ) — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 9E CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE t.ERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE TNT CONSULTING & DESIGN INSURE9LITS AGENTSORREPRESENTATIVES. 10 GROVE ST AUTH D RESEN AT V MMDLETON MA 01949- ACORD 25(2001106) 0ACORD CORPORATION 1988 INS025[0108).06 Page 1 of 2 CREScheck Software Version 4.4.1 NJ Compliance Certificate Project Title: Jenkins Energy Code: 2009 IECC Location: North Andover,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6322 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 80 Laconia Circle. Dale&Tiffany Jenkins Tom Cassidy North andover,MA 01845 North Andover,MA 01845 TNT Biuld/Consulatant/Designer 10 Grove Street Middleton,MA 01949 978-777-9887 tntbuilder@comcast.net Compliance: Compliance:35.2%Better Than Code Maximum UA:219 Your UA:142 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimunrcbde home. AssemblyGross Cavity Cont. Glazing UA or or D•• Perimeter • Ceiling 1:Flat Ceiling or Scissor Truss 36 38.0 0.0 1 Ceiling 2:Flat Ceiling or Scissor Truss 36 38.0 0.0 1 Ceiling 3:Flat Ceiling or Scissor Truss 67 38.0 0.0 2 Ceiling 4:Flat Ceiling or Scissor Truss 67 38.0 0.0 2 Ceiling 5:Flat Ceiling or Scissor Truss 165 38.0 0.0 4 Skylight:Velux FS M04:Wood Frame,Double Pane with Low-E 32 0.440 14 Ceiling 6:Flat Ceiling or Scissor Truss 48 38.0 0.0 1 Ceiling 7:Flat Ceiling or Scissor Truss 64 38.0 0.0 2 Wall 1:Wood Frame,16"o.c. 592 21.0 0.0 34 Wall 2:Wood Frame,16"o.c. 552 21.0 0.0 11 Window:TW2442:Wood Frame,Double Pane with Low-E 33 0.280 9 Window:TW45-3042-18:Wood Frame,Double Pane with Low-E 43 0.280 12 Entr.Doors:Solid 20 0.280 6 Door:Andersen FWG 6068:Glass 40 0.280 11 Garage Door Ser 194 1280:Solid 96 0.078 7 Garage Door Ser 194 1680:Solid 128 0.078 10 Floor 1:Other,Over Unconditioned Space -- — — -- — Exemption:Framing cavity not exposed. Floor 2:All-Wood Joist/Truss,Over Unconditioned Space 450 30.0 0.0 15 Crawl 1:Solid Concrete or Masonry — -- — — — Exemption:Framing cavity not exposed. Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Jenkins Report date: 08/29/11 Data filename: E:\TNT\2011 Customers\Jenkins\Jen.rck Page 1 of 5 - L CREScheck Software Version 4.4.1 NJ( Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments:Second Floor Slop ❑ Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments:Second Floor Slop ❑ Ceiling 3:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments:Second Floor Slop ❑ Ceiling 4:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments:Second Floor Slop ❑ Ceiling 5:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments:Second Floor Tray ❑ Ceiling 6:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 7:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments:Garage Walls ❑ Wall 2:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments:Second Floor Windows: ❑ Window:TW2442:Wood Frame,Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window:TW45-3042-18:Wood Frame,Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Skylights: ❑ Skylight:Velux FS M04:Wood Frame,Double Pane with Low-E,U-factor:0.440 #Panes Frame Type Thermal Break? Yes—No Comments: Doors: ❑ Entr.Doors:Solid,U-factor:0.280 Comments: ❑ Door:Andersen FWG 6068:Glass,U-factor:0.280 Comments: ❑ Garage Door Ser 194 1280:Solid,U-factor:0.078 Comments: Project Title:Jenkins Report date: 08/29/11 Data filename: E:\TNT\2011 Customers\Jenkins\Jen.rck Page 2 of 5 ❑ Garage Door Ser 194 1680:Solid,U-factor:0.078 Comments: Floors: ❑ Floor 1:Other,Over Unconditioned Space Exemption:Framing cavity not exposed. Comments:Basement Ceiling/Garage Floor ❑ Floor 2:All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments:Garage Ceiling/2nd Fir Box Floor insulation is installed in permanent contact with the underside of the subfloor decking. Crawl Space Walls: ❑ Crawl 1:Solid Concrete or Masonry Exemption:Framing cavity not exposed. Comments: Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are dearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: ❑ Building framing cavities are not used as supply ducts. Project Title: Jenkins Report date: 08/29/11 Data filename: E:\TNT\2011 Customers\Jenkins\Jen.rck Page 3 of 5 ❑, All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). All ducts and air handlers are located within conditioned space. Temperature Controls: At least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heating and Cooling Equipment Sizing: (] Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: ❑ Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Lj Pool heaters operating on natural gas or LPG have an electronic pilot light. Cl Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. ❑ Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: Lj A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage—15 (d)50 lumens per watt for lamp wattage>15 and—40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: ❑ Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: LI A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title:Jenkins Report date: 08/29/11 Data filename: E:\TNT\2011 Customers\Jenkins\Jen.rck Page 4 of 5 Project Title: Jenkins Report date: 08/29/11 Data filename: E:\TNT\2011 Customers\Jenkins\Jen.rck Page 5 of 5 • - 20091ECC Energy Efficiency Certificate Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.28 0.43 Skylight 0.44 0.26 Door 0.08 0.42 Heating System: Cooling System: Water Heater: Name: Date: Comments: t The Commonwealth of Massachusetts ,t I Department of Industrial Accidents Mt, Office of Investigations s : 1 600 Washington Street Boston, MA 02111 i www.mass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractorsxlectricians/Plumbers Annlicant Information Please Print Legibly Name(Business/Organization/Individual); 16 Address:_ 16 �Sl City/State/Zip: WL?1 14l/Q Phone #: ??e— "777-96497 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity. workers' comp.insurance. g, fouilding addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10. Electrical repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 11F Other *Any applicant that checks boz#l 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 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 the DIA for insurance coverage verification. I do hereby certify under the p ' s and penalties of er. ry that the information provided above is true and correct Signature: 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 S. Plumbing Inspector 6.Other Contact Person: Phone#: 1las.achusetts- Depar'tr»ent of Pttttli:, `+atet. Guard of Buiidin, Regulations xnd Standanl Construction Supervisor License License: CS 14911 Restricted to: 00 >•, THOMAS J CASSIDY SR 10 GROVE ST / MIDDLETON, MA 01949 « Expiration: 9/6/2011 ( rnmi..i. Tr#: 9612 Office of Consumer Affairs Busi ess Regulation' i('hJ {OME IMPROVEMENT CONTRACTOR E. I egistration: 169747 Type: xpi ration: 7/29/2013 Individual THO..-M J.CASSIDY SR. THOMAS CASSIDY SR. 10 GROVE ST MIDDLEBORO,MA 01949 Undersecretary TNT Builder/ Consultant/Designer 10 Grove Street Middleton,Ma 01949 Tel: 978-777-9887 Fax: 978-777-9887 July 29, 2011 Tiff Dale& any Jenkins 80 Laconia Circle North Andover,MA 01845 Re:Proposal for 2 Story Addition at above address. Dear Mr. & Mrs. Jenkins: It is a pleasure to have the opportunity to submit a proposal for the above referenced project. 1.0 — Terms of Proposal: This proposal, once signed, will be considered a notice to proceed with the work described in Section 2.0 Scope of Services, in part or in whole, unless you or an authorized agent working for you; hereinafter the "Client"; specifies otherwise. Hereinafter the "Builder"; with all necessary Labor and Material will build a two story addition to the specification noted in the Scoop of Services. (See below) The addition will be built according to the plans dated 8/23/2011 by TNT Build/ Consultant/ Designer. Scope of Services: 1) Demolition Operation: a) Remove back yard railing, decking, and stair that inter fear with new addition. Retro fix deck after addition is completed on exterior sides. Remove Existing Siding at location of Addition. b) Relocate central air pumps to a temporary location. 2) Excavation Operation: (By Owner) 3) Foundation Operation: a) 20x10 inch 3000 psi poured concrete footing with 3/4" stone b) 10" 3000 psi poured foundation wall will be constructed according to plans. c) Foundation water proof with foundation coating. d) Cut door opening in existing foundation wall. (See plans dated 8/23/2011 by TNT Build/ Consultant/ Designer) . e) Note, if concrete pump truck is not needed then credit home owner $2000.00 dollar. 4) Framing Operation: a) Frame addition according to the plans dated (See plans dated 8/23/2011 by TNT Build/ Consultant/ Designer) . b) All Exterior Sliding doors will be Andersen 400 Series units. Exterior window installed in addition will be Andersen 400 Series TW DH units. (See Window & Door Schedule plan Dated 8/23/2011) c) Garage doors are Series 194 steel insulated metal doors with remote opener. d) All exterior decks and exterior stair will be constructed of SYP PT material. 5) Roofing: (will include the following material) Match existing roof shingle as close as possible. (Does not include existing roof, does include addition and tying into existing roof.) a) Apply 2 Rows 3' Ice and Water Shield along front edge and valleys b) 15# Felt c) 8" Drip edge d) Continuous ridge vent 6) Exterior Siding & Trim: a) Match existing siding exposure with primed finger jointed clapboard. b) Exterior corner boards will be prime pine. c) Soffits will be prime pine with continuous soffit venting. d) Fascia, Rakes, Window Casing and Door Casing will be wrapped in primed pine. e) Gutter supplied by builder. (New addition only) 7) Heating/ Air Conditioning Operation: a) A/C pump will moved to temporary location in working order. After framing of addition A/C pump will be relocate under stairs to addition in working order. b) Extend existing duct work for heating and air conditioning to second floor. Use existing 2 floor zone. c) A budget of for heating and a/c contractor is $4500.00 dollar. If cost of heating /ac is less than budget then a credit will be issued to home owner. If cost go's over budget the then customer will pickup extra cost. 8) Electrical Operation: Wiring for Great room/ Garage addition 2 Phone outlets 2 Cable tv outlets, 10 Recessed lights, 2 Closet lights 2 single pole switches for closet lights. 1-4 Way switch. 4-3 Way switches great room. 4 Single pole switches outside lights. I Fan box great room. Switch location for fan. 12 Outlets great room Wiring for gas log fire place 2 Garage door opener outlets, 2 Gfci outlets garage 2-3 Ways garage 4 Keyless lamp holder fixtures garage 3 Switches exterior 1 Exterior light boxes I Gfci protected outlet Basement. I Light switch basement. 4 Keyless lamp holders basement, Add 100A sub panel for new circuits. Rewire A1C condensers. Rework Existing wiring for openings. 8 Hours Allotted. This may change depending on unseen conditions in walls. 9) Gas Operation: a) Run bigger underground line if needed to central area of garage. If not a credit will be giving to customer of $750.00 dollars. b) Modine Hot Dawg gas heater for garage will be installed by Gas fitter c) Gas Operation budget for 3 gas appliance hookups. d) If only two gas appliance hookups are needed, credit home owner $700.00. 10) Insulation to comply with 2009 IRC Codes: a) Exterior walls will be R21 w/poly. b) Ceilings will be HD38 Insulation w/proper vents. c) 2nd floor, floor R30 Insulation 11) Interior Walls & Ceiling: a) All walls and ceiling will be 14" Plaster Board with 1/8" skim coated plaster. 12) Interior Standing Finish: a) All standing interior trim will be 2 ;,,2" clear colonial casing for window and door trim. 3 1h" clear ranch base. 13) Flooring allotment: (By Owner) 14) Interior/ Exterior Painting/ Staining: (By Owner) 15) Landscaping: (By Owner) 3.0 - Schedule of Services: The Builder will be available to begin work within two weeks of receipt of building permit and authorization. 4.0 - Fee for Services: TNT Builder/Consultant/Designer will complete the phase of the scope of services as follows: Phase: I - Services will be provided for a lump sum fee of $140,000.00.This lump sum fee has been established based on time and material required to complete the proposed scope of services. Lumber and Mill prices are subjected to change due to the unstable market place. There for any price increase is the responsibility of the Client. 5.0 - Dispute Resolution: In an effort to resolve conflicts that may arise during the Project or following the completion of the Project, the parties to this Proposal agree that all disputes between them arising out of or relating to issues of performance shall be submitted to non- binding mediation unless the parties mutually agree otherwise. 6.0 - Payment Terms: Payment will be done in three stages. • 1St Payment $51,518.00 will be due at signing of Contract. 2nd payment $57,438.00 at beginning of framing operation. • 3rd Payment $21,530.00 at completion mechanical operation. • 4th Payment $9,625.00 at completion of project. By the signing of this proposal, you indicate your acceptance of the terms and conditions contained herein and you will give us authorization to proceed with the scope of work indicated. TNT Builder/Consultant/Design looks forward to working with you. Please execute this document in the space provided below and return it to TNT Builder/Designer. Unless executed within 60 calendar days of the above date, this proposal, including all of its terms and conditions will not be considered valid. Should you have any questions or comments please do not hesitate to contact me. Regards, TNT Builder/Consultant/Designer CSL# 14911 HIC# 169747 JlEamaca/ -C'wai47/12/2011 f Alutgoizati Trusting that this proposal satisfies your requirements, please return one signed original along with a retainer fee of $5,000.00 as receipt of authorization to proceed and retain a copy for your records. Name: �1-"'u — <— -= Title: 1 oync- Date: The Commonwealth of Massachusetts Department-of Fire Services Office of the State Fire Marshal P.0.Box 102d Stats Road,-Stow,MA 01775 PERMIT Date: North Andover ]Permit No (City of Town) (If Applicable) Dig SafJe/Ntun er In accordance.with the provisions of i/VLGL 14 8 Chapter as provided in section 5?7 f MR 34 Start Date This Permit is granted to:. /�O�y Full name of person,Firm or CorVoratioa Pennissionto locate dumpster - for construction/renovation/demolition of building. Comments:' dumpster. must be . 25 ' from structure if unable to place with required Restrictions:clearance dumps-ter must be covered with plywo. od or tarp end of 'work -day at (Give location by street an4no.,or descni-b uch manner as to rovied adequate identification.of Cocatioa) FechidS 50 .00 Fire Chief / F This Permit will expire. A/ (S LCOZe Of4 granting permit) Offical granting pcmut (Title) AORTH TO" Of No. -7 - ;2o �. LAKEdover, Mass.. COCHIC HEWICK op? TE'RTED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR r THIS CERTIFIES THAT......... ............................ � a............................................................. .......................................... Foundation has permission to erect....................... g za r e"'�' Cif��< ................. buildings on ....................... ... ... ............................................................ Rough to be occupied as ��'Y �j'a✓C',�.4�.. �'G'. �c��/ Chimney ................ .............. . ........................ provided that the person accepting thipermit shall in every respect conform to 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough c:s. -Q..... 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.