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HomeMy WebLinkAboutBuilding Permit #698-14 - 91 WAVERLY ROAD 5/1/2018 BUILDING PERMIT ° <lf. "o E q TOWN OF NORTH ANDOVER F 4 ;� APPLICATION FOR PLAN EXAMINATION o44 a Permit NO: Date Received 'ts 4p�R4T rPP`y�� �SSACHUS�� Date Issued IMPORTANT Applicant must complete all items on this page -;A, 581 " ,`�` '� "''�'� r y.: as ° ✓ X s y fin k �X.� r;:.1;..,_,s' %.x X�yy.:.^.6 �xX u 7 x", 5lv�f.R,. ayi' ' -'- ".:.. Ca {Xe, .Lac p l'I �'k c R.�� {,F.�... �, `^ .rr .�e.'a�"r'""s'-t.� �a �� �s�' a�•`r'r�����.?..��ifK'v'<•� �r" i 2�x`^' ��s'. ^'�+�= "�+fy n,cu a. � ,+�X`" a*s•. �x '� i3':x -�,'•- �v .f`' ',�.,"�;���,�,`,-� A. "" *'� ; r L � aA� �� ^"�rk� s a..� �t F �s � k`�' .nk PRPERY OWNER , � c �r kt E � y > �'fPARCEL Y :Z®NINGDIS)TR1CT Histot�cDt � Y �� , : 0..%, N s"ka «rcu. f . Vlachtrte�Shc�pl/�llage ro TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family [I Addition ❑Two or more family . ❑ Industrial 0 Alteration No. of units: Q Commercial NAepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r �'.„a..:-_. yr.. � g k° s V Y �erSh�,�id''D��17� �r aondplaO We�tlands r ,+.���ry�y`° `� ''Yc4��•1�;' �...����a«s s''�i. �%so� �o<ys��`..}kt.�r,.� 3a x %. .."��' *�U 3",� i x �`�� &�<P??�`�' Ma-S�x�'�".�s..:: .5�-�,`� �eu,.LJ"�V�at�_ ���7PiW�iry+ ��"y�.i�``'µ >. .'�.� .,''2'°u.���.Y.��'.w��`�_..�. '�r-.;.�.r r>y;.�+�r;`i,���'�•'r:'��.�� '�-.,s� � i.�:..�...,*w�',,x DESCRIPTION OF WORK TO BE PREFORMED: o- II �t J hch s ew G- Qr O nuc✓ s N �e—rrw.n , te-1 t Jr—LAh 61,rJ l..,e>e.d -- R f o o rn a Sapd. Re»m d VA a-ve-r;s Identification Please Type or Print Clearly) OWNER: Name: e r � lgl t�3¢S A0�� I n�►�� Phone: °/7� Address: P 0 gox Z L-aw re.vtce 018 Yl a�a r L r. q.s• '� s- a z? 1 -RT2�i� ti €a � ,c i�., u' . � wt 4�4•� tir as � r prX PhoneA '8 �►�u, r CC3;NTRAC 'ORNarne kF ,rte W'r3 ra ; '�:.afr S r'uc' ,r r- r` -A .# +� `s,tt ,,,i�" �as �xs �+ a. ,.,•-' "spaG k '-a r• x"�`a�`ir 1a '�a� t-<-+• `ve5ry�-:r 3 { 1 - i' '." „t`p ^,� r w s Acaressroa "d sM a,-_$ r . � .» r�K.`-�`.'s^s.x3.. ., r�n�:�t2.:+5�y g`�'se,-f"� 5a-g;,s�n�"4" sa-;:N �.,,.t �y•3a'�Yi"�'�yi 'MS�w-�"� L� M^a-;' '��,"��;'.d `NTry T.. ;,est v r xz��� a���K.sm.F t"° :1Y s�r�::• �#et'-� �rZ'�ik:t 3,�� ee,.s, j �:,*' v.' a �..' x.d .'' ?� x ' .Y'CL Supervtsr'fs CanstnactianL�eensea� ri ExpDat � {'�" #� � 'Yu...'�'g ttH..v-•.3x eR.�'"k"-.• '� $ x tia.'a' z� S f' .x,.y� 34'.�^�i 'k � x � Vit' x irs'ac"r t, v t .m w r�'� � � " t � r�. .,,,„. t.y "'#sem• ��.�� o s e,�-# �4��.`. �.�z..�r,;� �,Y:�r � 5 � i i". Ya, r° ��-'�ii� "��..-,r� Q� I'c � ..+w".�,` ,°f ''s'`:�.. I ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 3d,O G a FEE: $ Check No.: f � Receipt No.: � *CD NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si `ynature ofxA ent/Owner nature of�'contr-actor E r�Y' 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ _ A14- COMMENTS {� DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Located at 384 Osgood Street F�REbEPARTMENT,7 Tem� Dum sterorixsite = {' `A 'r''WAN Located"at124Main Str'�et � .t2+v.v:� ...:.'�<•-�t�.�:. �:"s"�.-i_, s,<r,?a :c �. "��� `�,; xx.��+� .�-Y:r^� m-x .� ,� y:{'_ s �`a � a s" �; 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 No Electrical Inspector Yes pp DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.s100-s1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 I Building Department i 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 a Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract a 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) u Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 I Location No. Date a o - TOWN OF NORTH ANDOVER Appe • '� �, Certificate of Occupancy $ Building/Frame Permit Fee o'$`,�b"",2 r t✓ =.o. J Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 27431 7451 Building Inspector Enter construction cost for fee cal- North Andover Fee Cakulatlon Construction Cost $ 303000.00 m $ - $ 360.00 Plumbing Fee $ 45.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 45.00 Total fees collected $ 550.00 91 Waverly Road 698-14 on 4/10/2014 ReRoof and Interior and Exterior Fixup North Andover MIMAP 91 Waverly Rd April 10, 2014 - • � w i h � Y� 1 d f 7; , et k Y. P / ? L^ Interstates —1 —SR Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Roads Meters Data Sources:The data for this map was produced by Merrimack NORTH Valley Planning Commission(MVPC)using data provided by the Town of a Easements Gf, r��� North Andover.Additional data provided by the Executive Office of O MVPC Boundary _. �� a�0 Environmental Affairs/MassGIS.The information depicted on this map is ❑Parcels L for planning purposes only.It may not be adequate for legal boundary F — to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING # # THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY # t ,± # OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF #'b*�,Io xq;' g THIS INFORMATION ,SSACMIlSEt 1"=36 ft w-� LEVIS-1 OP ID: KM ACORO` DATE(MM/DD/YYYY) �., CERTIFICATE OF LIABILITY INSURANCE 04/07/14 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). CONTACT PRODUCER Phone: 978 688 8829 NAME: Michaud,Rowe And Ruscak Ins. Fax:978 557 2130 PHONE FAX P.O.Box 188 (A/C, A/c No Ext): A/C No North Andover,MA 01845 E-MAIL Lawrence R.Michaud,CIC ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Preferred Mutual Insurance Co. 15024 INSURED Levis Companies Inc. INSURER B:Safety Insurance Company 12808 Joseph Levis INSURER C:Guard Insurance Group 154 Pleasant Street North Andover, MA 01845 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. INSR LTR TYPE OF INSURANCE INqR ADDL SUER OLICY EFF POLICY EXP POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPP0160589059 10/26/13 10/26/14 DAMAGEPREMISESS( RENTED 100 000 Ea occurrence $ , CLAIMS-MADE X OCCUR MED EXP(Any one person) $ EXC PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X1 POLICY JECT PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 000 Ea accident $ 1,000,000 B ANY AUTO 821254 01/01/14 01/01/15 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOSrx AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X WC STATU- I JOTH- AND EMPLOYERS'LIABILITY TORY LIMITS I ER C ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N LEWC538379 02/27/14 02/27/15 E.L.EACH ACCIDENT $ 100,000 D? OFFICER/MEMBER EXCLUDEN/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS be E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 384 Osgood Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE I Z�aWZ;Zli� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts , Departmint oflndustriglAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov1dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ,bly Name(Business/Organization&dividual): G' 6:q ki /R S T Y1 C Address: i,� 4 plea-sa-- a� City/State/Zip:fill d G e r Phone#: 2z( t2 Are you an employer?Check the appropriate box: —i�� Type of project(required): 1.Ltd'1 am a employer with 2 4• F1I am a general contractor and 1 6. []New construction employees(frill and/or part-time).* have hied the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.t 7• modeling ship and'have no employees These sub-contractors have 8. ❑Demolition worldng for mein any capacity. workers'comp.insurance. 9• ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its officers have exercised their 10.E1 Electrical repairs or additions required.] o£ 3.El 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' 13J]Other comp.insurance required.] I Any applicant that checks box#1 must also fill outthe section below showingtheir workers'compensation policy information. T'Homeowners who submit this affidavit indicating they ke doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that cheAthis box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that isproviding workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name% G Policy#or Self-ins.Lic.#: P W C Jr 3`� 7 q Expiration Date: 02 _a-7 Job Site Address; g( U 0,(\ City/State/Zip: K - v?dcJ V C', Al , Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as r uiredunder Section 25A of MGL o. 152 can lead to the imposition of criminal penalties of a tine 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 ATA-for insurance coverage verification. I do hereby cert&under the pains and persalt' of perjury that the information provided above is true and correct - Si afore• Date: L{ _/ l Phone#• t 3 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#: Information and InstrnCtions 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 apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employes." 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." Additionally,MGL chapter 152,§25C(7)states"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-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Comp anies(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 LL C or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents fo;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 permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)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. .A.new 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 burn 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 ctuestions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Co OUwoalt�of l-a ssa hwvutts Depattment offdu*ial Accidents Qf oe of Investigations. 600 Wasb hgi on Street Boston}MA 021 if TQJ.#617-7-274900 ext 406 or-1-877-MASS.AFB Revised 5-26-05 `ay,0 617-727-7749 www.Ma8s,gov1d1a Town NORTH f. ndover . _ . COLANEh _ ver, Mass, COC NIC Nl WICK V� ADRITED `S U BOARD OF HEALTH Food/Kitchen Septic System PERMIT T • BUILDING INSPECTOR THIS CERTIFIES THAT ....... a ., �1. ............. j ........ .. .1� !! . ............................. ................. Foundation ql, ................has permission to erect .......................... buildings on ... .......weVA04% Rough Q� • jr Chimney to be occupied as ..!!•V..� ..�..:.: .1.!4.�..�...�.���. ..../.... ....... h v e provided that the person ac pting this pe it shall In every respect conform to the terms i the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR 3 . UNLESS CONSTRUCTIONA Rough Service ...................... ................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. 302035 LEVIS COMPANIES, INC. General Contracting Residential & Commercial 160 Pleasant Street North Andover, MA 01845 978-687-2783, FAX--978-687-3042 , PHONE DATE' TO: Bread And Roses 978-685-1823. 3/28/2014 JOB NAME/LOCATION P.O. Box 7 91 Waverly Road Lawrence, MA 01842 C/o Mary Marra North Andover, MA 01845 JOB NUMBER JOB PHONE 302 We hereby submit specifications and estimates for: Single family home renovation. Levis Companies Inc. to supply all necessary material, labor, liability, worker's comp and insurance to complete the necessary repairs .and improvements as follows: 1. Repair all damaged ceilings with 1/2" blueboard and skim coat plaster. 2. Repair and paint existing kitchen cabinets. 3. Repair water seepage into basement area under kitchen area. 4. Install finish coat of paving to driveway and walkway. Install new walkway from front door to sidewalk. 5. Replace existing sump pump in basement. 6. Install new..gutters and downspouts as needed. 7.- Strip garage roof and install new shingles to match house. 8. Strip wall paper on 2nd floor and patch, prime and paint walls. 9. Remove and dispose of all carpet and refinish hardwood floors. 10. Install new locks for house and garage. 11. Remove and dispose of all overgrown shrubs, trees, and stumps around the house. Re-grade yard, loam and seed. 12. Remove existing wood fence. Install black 4' chainlink with gates and 6' white vinyl with gate as specified. 13. Paint interrior of house complete. We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: Thi rt-v Thrnlsancf an1j 00/100 Dollars dollars($ 30,000.00 Payment fo be made as follows: A deposit of $10,000 due now and the balance due upon completion. All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifications Authorized invoMng extra costs will be executed only upon written orders,and will become an extra Signature Charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.owner to carry fire,tornado,and other necessary insurance.Our Udeep.eThis proposal may be workers are fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within 14 days. Acceptance Of Proposal—The above prices,specifications and con- ditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. Signature Date of Acceptance: Z—�� Signature PRODUCT 13128G USE WITH 771 C ENVELOPE Deluxe For Business 1-800-225-6380 Or www.nebs.com PRINTED IN U.S.A. A i A Mz=sxhusc t�;-D--P'27tm0nt of Public Satctyr �!1 Board of Building Regtdcf.'ons and Standard& Cun`truetion Sullen icor E License: C"3O651 ! JOSEPH G I.EVVLS;` 254 Ptmsont St hr� North Andover WA0 , 11 �T/mo i ti IH�d Expirction Carratrssoner 01/07/2016 "� Ufiisr of C'oa�umrr:lCfatrx cf 13a�i�css Itt�al9lian .+y+ HOME IMPROVEMENT CONTRACTOR i (Registration: 103772 itxpiration: 7/9M14_ Type: Individual JOSEPH G. LEVIS JOSEPH LEVIS 150 PLEASANT STREET NORTH ANDOVER,NIA 0184$ l.�ederxrcredary