Loading...
HomeMy WebLinkAboutMiscellaneous - 119 GRANVILLE LANE 4/30/2018 III GRANVILLE LANE / 210/106.0-0057-0000.0 - --- 3 74 Date. ./r.. . ..... .�...... HOaTM TOWN OF NORTH ANDOVER pf �.ao 32'y PERMIT FOR GAS INSTALLATION D �,SSACMUSES This certifies that'l. . .. .. ". .. .. .. . ..`. . . . . . . . .. . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . :. . . . ... . . . . . . : :. . . . . . . . . . . . . . . . . . . . . at . !: . . .. . . . . . . . .. . . . . ... ..�. . ., North Andover, Mass. Feed: . . ... . . Lic. No.. .. .. . . .. . . . . . . . . . .' ... . . . . . . . . . GAS INSPECTOR V WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) e27`M d1lE� , Mass. Date--/Q— 3/- ;�406) Permit # 3� Building Location, /!9 �iP/3R�V/LLF �/I� Owner's Name dSS ~" Type of Occu�Cy_ New Renovation ❑ Replamenu tans Submitted: Yes❑ No ❑ N � Y W cc N Z N U Q N 0C h cc N N Dh O tJl = tl J N ul LU cc W 0 z o W h 4 a CC z a h W cC O C m N h iJ W O d h N N tl V W = z h N O. > WW W dl J z Q S a W a W r- W t _ tl h z , h 2 W W tl > 0 W h V J }N. a < >. fA aq z O z W O �yyA z I 'x O tl x u=. a 3 c tl -j 0 ¢ y e a F O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR r� STH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Aaaress 55 MARSTON STREET DC7 Corporation 1862 LAWRENCE. MA 01840 ❑ Partnership Business Telephone .687-:1105 ❑ Firm/Co Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner s Owner❑ Agent ❑Agent , I hereby certify that all of the details and information 1 have submitted(or entered)in abo plication are true and accu�te to the best of my knowledge and that all plumbing work and Installations performed under the permit Iss i r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. U i Type of License: . Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 8697 City/Town 9Journeyman O FIC SE ONLY BELOW FOR OFFICE USE'ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO, APPLICATION FOR PERMIT TO DO GASFITTING NAME TYPE OF 13UILDING 3 . LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE „�19 GAS INSPECTOR Say State Gas Company GAS INSTALLATION MTHORIZATION D to Issued to Address For Installation of: BTU Input l5"a" o7-0-0 Restrictions In A If BSG Representative PERMIT ISSUED BY INSPECTOR This Portion of Authorization To Be Returned to BSG. Inspection Has Been Made of the Following Gas Equipment: ❑ Heating System (BTU Input ) ❑ Range ❑ Water Heater ❑ Clothes Dryer ❑ Room Heater Location All Work Has Been Done In Accordance With The Massachusetts State Gas Code And Is Ready For Use. INSPECTOR i, NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES BUSINESS REPLY CARD FIRST CLASS PERMIT NO.721 LAWRENCE,MA POSTAGE WILL BE PAID BY ADDRESSEE BAY STATE GAS COMPANY ATTN: SALES DEPT. 55 Marston Street Lawrence, MA 01840 Location /l ( c� rA,yur If C 4A-�— c,?3 O /1 a`l K No. Date f of „ORTq TOWN OF NORTH ANDOVER � 9 + ; : Certificate of Occupancy $ s�cNus t� Building/Frame Permit Fee $ D Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f7 f 4 Check # 3 17835 Aw (to - Building Inspector ` TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT WPAI&RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ZOWS-111111%r BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: 1411 Building CommissionerAnspector of Buildings Date SECTION 1-SITE INFORMATION / 1.1 Property Address: 1.2 Assessor;Map and Parcel Number: Numb" ZC-- _p-o5 - 000.0 Map NubParcel NumberN • p��aJ ( 1.3 Zoning Information: 1.4 Property Dimensions: v Zoning District Proposed Use Lot Area Franca ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Rapired Provided 1.5. Flood Zane Information: C 1.7 Water Supply M.G.L.C.40. 34) 1.8 Sewe►age Disposal System Public ❑ Private ❑ zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT ",, `-A 1 tf+ • =-> r1 2.1 Owner of Record Nam (Print) Address for Service: r, Signature Telephone \ 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES QI 3.1 Licensed Construction Supervisor: Not Applicable ❑ .� G N. n Licensed Construction Supervisor: O7'_!3 /1-3 License Number Address Expiration Date Signature Telephon 2 Registered Home Improvement tractor Not Applicable C � j) til Company Name 1 L M Registration Number r Address r PVl q E Z Si nature Telephone G) SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building it. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check an a ble New Construction 0 Existing Building ❑ Repair(s) 0 Alterations(s) Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: W i� 2 aZ 8CA SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building J (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 as Owner/Authorized Agent of subject property Hereby a thonze to act on My be f,in all er lath to -ork authorized by this building permit application. Si a of er Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief ZA >✓� Print Name J / Si a e f Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T NIBERS 181 2ND3KO SPAN DIMENSIONS OF SILLS t DIlvIENSIONS OF POSTS DRAENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Sep 272004 1 : 11PM RRR CARPET HARD SURFACE D 9786949463 p.2 ` D C ff]. z��� i Z 4�27- --1 t PDX z ZD77B 1` 1/9 48 " A�Rc�IN2'6GrGZl,1' r f '- f�8.73 4 ZAIVE A reukw of the Flood insurance Rate Map 77ds mmvape ftgxxaort pian is Ar="W M�t3Z't Mortgage ammanuy-pant NumbervWPOW j 9;rk:W�Fr 411 t it is�to it be no d w awe instwWwwa� Inspft-t on , �- 9ir�.Been f ate. ,etc,or to be used conducted for auy ptrrpaes other Hewn its ordgi»at i etes4t plan and to the beet of our interpmtWiion dw property broad within Me.Awd sone. thWftoT3�,as t. t�sri�E£ S.4G'itkss . DF /!� G,�' t/f'/GLE /E" that flee prlwipW bettk*W on this plan as approzftwft MA toa W 4m the gromad as shoton, area :t o riffi" s to the owl�ewtu0 � �,� and� taPoetareo � s.�I in. ,Sa�tt Date Qf.. 17704 flan Rsreenee when 04+0404!m the r���SlIR��{�� IMORTGAGE INSPECTIONS INC. 9UI 211.996 URDFQRDST.,901AERVILLM MARL iilo it 0045—,940 dnh a .. 508 651 0129 P.01 At+u�L lrtK � 1ri�+H� �.•tiwlf`I1141SL.1 S ■��wv..�. ..��..� PROD ER. (508)6S3-3131 FAX (508)651-0129 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fair & Yeager Insurance ONLY AND CONFERS NO FIGHTS UPON THE CERTIFICATE 10 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER T14E COVERAGE AFFORDED r3Y THE POLICIES BELOW. Natick, MA 01760 INSURERS AFFORDING COVERAGE NAIC 0 nJBURED Guild Construction Co. INSURERA: Zimmerman SpeciOlty Insurance DBA! Scott Guild INSURER B: 180 Bal Com Street INSURER c: Mansfield, MA 02048 INSURER D: INSURER E: OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN 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. rA TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICr E%PiRAT1ON LIMITS �mllrGENERAL LIABILITY PAC623965S 04/25/2004 04/25/2005 EACHOCCURRENCE s 1.000, COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S 50,0001 CLAIMS MADE I x t OCCUR MED EXP(Any ane person) $ S.0001 � PERSONAL S ADV INJURY S ] 00Q.00 -- GENERAL AGORrGATE S L s 000 00 GE"L AGGREGATE uMrr APPLES PER: PRODUCTS-COMP/OP AGG S 1 000.00 POLICY 17 PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Es ace,dent) S ALL OWNED AUTOS BODILY INJURY SCHFDULED AUTOS (Parperaon) S HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Peraccldent) $ PROPERTY DAMAGE S (Peraccidenl) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA AGG $ AUTO ONLY: AGG S EXCESS/UMORELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIOLE S RETENTION S S WORKERS COMPENSATION AND $rATU•,[7 OTH EMPLOYERS'LIABILITY E.L.EACH ACCIDENT ANY PROPRIETORIPARTNER/EXECUTIVE $ OFVICERrMEMBER EX.CLUDE04 E.L,DISEASE-EA EMPLOYEA S 11 yes.deWiN under SPECIAL PROVISIONS below E.L.DISEASE•POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS!40CATIONS!VEWCLES/EXCLUSIONS ADM BY ENDORSEMENT!SPECIAL PROVISIONS HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POUCIES W CANCELLED BEFORE THP EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Home Depot U.S.A., Inc. 10 DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, C/O Choi Cepoi nt BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 19 E. Alton Ave. #200 OF ANY MND UPON THE INSURER,ITS A0EWFS OR RE9REMNTATIVEB. Santa Ana , CA 92705 AUTHOR=REPRESENTATIVE 7udith Helmuth ACORD 25(2001108) OACORD CORPORATION 1988 ACORD + TltD,, 1; 1 WMill PROQUCER tCA lop A X3/ 4 R.. F. D'A os 1 JS 1 D AS A MATH OF INFORNkl g tine Insuranpg At ONLY AND CONFERS NO Ri(mI'S C1PUN TEE CER71FICATE 478 Torrey St `` } HOLDFR, T CERTIIICATE DOF,S NOT AMRND� EB�:ND OR Brockton. MA 02301 r r y r" �'1 TRF.COVERAGE AFFORDFA BY THE I'U ixw BELOW. COMPANIEb AFFORDM COVERAGE COMPANY l INSURED A Commerce Insurance Co � -----� Scott GuildCOMPANY -• B mea=ty Mutual Ina Co j dba Guild Construction Ce 180 Saloom St MANY I Mansfield, MA 02048 C _ 1 COMPANY THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISINDICATEN BELOW HAVE BEEN CONTRACT OR OTHER DOCUMENT WITH ,....-,•.::,.•.;.:.z;:.:.:.:. ISSUED TO THE INSURED NAMED ABOVE FOR THE POI ICY PERIOD TIO,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE ENSURANCE AFFORDED BY THE POIICIE$DESCRIBED HEREIN IS SUBJECT TO ALL THE FRMS, OCCLUSIONS AND CONDITION$OF SUCH POLICIES.LIMITS BROWN MAY HAVE BY REpUCED gY PAID CLAIM$. RESPECT TO WHICH THIS CO LTR TYPE OF INSURANCE POLICY MUMMER POLICY EFFEME POLICY EXPtRATTON DATE OATE(V VJ1 fj LIMITS j 7GENERAL LIABILITY ! I MMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ i CLAIMS MADE OCCUR' PRODUCTS-COMPIOP AGC Is OWNER'S&CONTRACTOR TROT I PERSONAL UL ADV INJURY_ i EACH gCCURRENCE ; FIRE DAMAGE(Tory are fire) S AUT'DIlOIfiLE LJABILtiY ' MED EXP Any P9rson) $ . A ' ANY AI)To VM4606 COMeIwEv sI► LIMIT ; Al L OWNED AUTOS 4/13/04 4/13/05 X SCHEDUI FD AUTOS I 9ODILY INJURY HIREDAUTLIS (per OMM) $ 100,000 ' ' O ' -0WNED ALROS ( BODILY IOW URY 300,000 GARAGE LIABtIm' PROPERTY DAMAGE $ 100,000 . ANY AUTO I - AUTO ONLY-CA ACCIDENT ; _ OTHER THAN AUTO ONLY: i FACt1 ACCIDENT,E EXCESS LIABILITY AGGREGATE S i I UU •tFLLA FORM EACH OCCURRENCE ; - OI'NERTHAN UMBREI I A FORM AGGREGATE E i I YVORKERS COMPENSATION AND 8 EMPLOYERV UASUTY t I TORY LlAMITS OPTIU- B THEPROPRIETORI INCA WC1-315-314361-019 ! EL EACHA(,(,IDENT $ 100,000 NARTNERSIEkkC�yE f 4/09/04 ASe-POLICY LIMIT S OFFICERS ARE. X tXCL; 4/09/05 ELDISE500,000 OTN9R I EL ry+SEASE-EA EMPL0YEE{$ 100 000 j DEWRIPTTON OF OPE—RATTONSIL.00ATpNSNEHICCAL REL6 I CABENTRY, DETACHED RESIDENCE Homo D®pat USA Inc. , Its Parents, Affiliates, and Subsicliarias are added as iadditional insurodB Home Depot Compliance Dept SHOULD ANY OF THE ABOVE DESCMED per- MS BE CANOE I EO BEFORE TW C/4 Choice point EXPRA71ON DATE THE„REOp, THE IBSIANG COMPANY IMLL ENDEAVOR TO MAS. 1901 East Alton Ave Suite 200 30 DAYS IMUMN NOTICE TO THE CERTMATE 14OLM NAM@D TIO THE LEFT, Santa Ana, CA 92705 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO CBLIGAAON OR LIABurI7 OF ANY VINO UPON THE G4MPANY LTV ENTS OR REPRESENTATIVE$ AUTHORUM REPRESENTATPA �ROG►RDtr ' 4. MARK 3 D rAOp3TIN0 "—� I 1. RESIDENTIAL CONTRACTING AGREEMENT Read this agreement and make sure you understand it before signing it. t This agreement has legal force and effect and binds those who sign it. , Notice: All home Improvement contractors and subcontractors engaged In homy Improvement contructing,unless-spec If ically exempt(rum registration by provisions orchapter 142a of the general laws,must be registered with the Commonwealth of Masisuchuselts. Inquiries about registration and status should be nude to the Director, Home Improvement Contruct Iteglstrutlon,One Ashburton Pluce,Room 1301,Huston,MA 02108. Designated Registrant's Ntune: S -cd\n S �- Itegisuation Number: Salesperson's ame: LMi h ` This agreement is mode on Z6 6between CO—* - ---- ( A11t) . 1 t,r1811 Sale-all eStreet _ -- M; XJ-D ss, Mansfield MA 0200meEm, hcrcin:Jter called"Contractor"endV 11 Lk of I l� �N`/7 G .�'',�� , ►"'�� � (5087139-7942 Fax/Phone :_ - tADDIUM) 011UNE NUM111N) hcrrnta(tcr called"Owner DETAILED DESCRIPTION OF WORK TO BE PERFORMED Conuyl:tor as gsrw ►2 uv S go end of ar?�¢ttlannb worls l ldpt iled below. Su worke fists of Ute fol ing:Iq IL tPIC W. RX AA A �. - --�— DETAIL1•.D DrSCR11'TION OF MATERIALS TO BE USED Ma ilk to 1be sed in rfurm_ ingtthe above described work consist ofdifol wi g: J FJ('f�•J - �• SK I , 11. PRICE Contractor agrees to do all work described in Section I for the total price of S 111. 11A1'MENT L C y1'aruu•n► will he nude As follows: � 11 1121%( )upon signing Conuacl; 90(S )upon a►tnplctiun of _%(S 3 �� )upon completion of 1 I and the remaining 60 %(S 66 )upon verification of the work by Owner ' T- "---•� and Contractor u having been satisfactorily compic".which varifscatign shal r1.1w '; place promptly after complotion. Notice: No ubret men t for home Improvement contracting work shall require a down payment(advance poslt)of more o one-third of the total contract price or the total amount or all deposits or payments which the o tractor must In advance,to order and/or otherwise obtain delivery of special order materials and equlpmeu L'ISit1St• �/ � -- I 1V, COMMENCEMENT AND COMPLETION OF WORK ' Contractor will not begin Uto work or order the materials befor ,the third day following the signing of this A anent.tudesslr<pecificdhere in writing. Conuactor will begin die work on or bout 0 Doering delay caused by circumstances beyond Contractor's conuol,the work will be completed by 2-V4-Q� (dale).T1_1eCVwncr hereby acknowledges and Qgrces that the scheduling dates are approximate and that such delays that arc not avoidable by die Conu actor shall not be considered as violations of this Agreement. ELLIIAii,;.. uF1'A1,1►li;�l , ►lUl'LSl ►tO11►i�� ALLOWLL) llhe Contractor may not require pahnatu to be made in advance of die rima slrecifiul in Sccdon UI(Psymenl)above for die reason that he deems himself 'or the payments to be insecure. If,however,lie deems himself to be insecure,lie may require,AS a prerequisite to continuing the work described herein; Jut die balance of the payments under tris contract tial arc in tie corurol of die Owner,shall be placed in a joint escrow account that requires the signature of buds die Contractor and the Owner for widid awal. V1. INSURANCE I Contractor will be icseble to Owner or any thud party for any property damage or bodily injury caused by himself,his employees kir his subcontractors ur the performance os a result Of,flue work under nils Agreement. Contractor agrees to carry insurance to cover such damage or injury. Vila SUUCOiTRACTING Contractor agrees that,notwidutaridin&any agreement form aLcr ials and/or labor between Contractor and a fluid parry.Contractor is responsible to Owner i for completion of all work described in a timely and workmanlike manner. n Vlll. CONSTRUCTION-RELATED PERMITS i llhe following construction-related permits will be necessary in order to complete die scope of work included in this Agreement: 'Ila Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction related permits.The Contractor shall not he deemed responsible for delays in the work described in this Agreement caused by regulatory,permit granting or inspectional agencies, authotitics or individuals. Notice: If the homeowner obtains his own construction-related permits for the work described under this agreement,lite homeowner Is hereby advlsed (lint In the event of a dispute,judgment and nonpayment of the contractor, the . homeowner will not be entitled to snake a claim to or collect from the guaranty fund established by Chapter 142A, f►i.G.L. IX. MODIFICATION phis Agieenhent,including tic provisions relating to price(Section 11)and payment schedule(Section i1I)cannot be changed except by a written statement ail;nccl by Will Contractor and Owner. I lowever,caiuelloUon by Owner is allukked in uccurdance with tic Nutice of Cancellation(annexed). LN b X. WARRANTIES 3 0 TIlcCuouactorwarrantsthatdiewoikfumishcdhereundershallbefreefrundefectsinmaicrialsarhdwoikmanshipfora iodof following cumpletion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials.or d age caused by tie Cams acini,Ibis subcontractors,employees or■genu,is discovered within one year after ahmplcdon of any job,including cleanup,the Contractor shall, .hh Ills awn expense,lutthwith remedy,repair,correct,replace,on cause to be remc d:ed,repaired,of replaced,such drurage or such defect in materials or wotkinaruhip. '(lie luteguing w•airanues shall survive any inspection performed in connection witli Lire agreed-upon work.. All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment,which shall pre and are hereby passed t iougli directly to the Owner. Under such manufactures'warranties,the Owner maybe required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such documcotation,which failure voids the manufactArer's warranty,shall not create any responsibility for the Contractor to warranty such equipment. phis warranty gives die owner specific legal rights,and owner may also have other rights which vary from state to state. Under Massachusetts law,sales of goods carry an implied warranty of merchantability and fitness for a particular pupose. X1. COMPI rTENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that lie should not sign this Agreement unless and until all blank sections have been filled in or marked as void,deleted or not applicable,PIIS!until all exhibits and related or referenced documents that are incorporated herein are attached hereto. 1 X11. COPY OF AGREEMENT TO BE GIVEN TO OWNER phis Agreement is governed by die Laws of Massachusetts. It must be executed in duplicate,and an original signed copy hereof given to die Owner at tie%line of execution. No work under die Agreement shall begin prior to the signing of die Agreement and transmittal to rte owner of a copy thereof. RIGHTS TO CANCEL The owner(nay cancel this agreement if.it has been signed by the owner at a place other titan an address of the contractor which may be his main office or branch thereof, provided that the owner notifies the contractor•in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not.later than midnight of the third business day following Lite signing of this agreement. See attached Notice of Cancellation. HOMEOWNER; DO NOT SIGN TIIIS CONTRACT Inv TIIER ' ARC Y B NK ACES. $�t,6 O„ ^r'•�: iattne Date Signed rd C<ntracto%'s Sigiiattuo Date Sigacd FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS TION SEC *********************** / APPLICANT (dl '1/I ar#t /J/�.S PHONE9'60 LOCATION: Assessor's Map Number e— PARCEL C� SUBDIVISION ( LOT (S) STREETST. NUMBER f 1 OFFICIAL USE ONLY ***** AT OF TO GENTS: CO ERVA ION ADMINISTRATOR DATE APPROVED DATE REJECTED J I COMMENTS JA 9(9 . C eV - TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED C9 -:t�) ATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED d(0(VL N S s (_'_ d� DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 7C ��- 0 � - o -a co �,,�r`c ti�`•�j�/I i • _ _. . .r,dry � y��x�;�� -� r�l`"�' 3,/r•� �yf�M 1 S� y +i■wwrw�rw�rr� Nig 18� ' EXISTING RETAINING WALL EDGE OF WETLANDS Bi O C:)EXISTING POOL 82 p - 83 CSI co - cf) DECK 1- co i a EXISTING FIVE BEDROOM HOUOS�E 20 A2 \�G / SILL _ELEV. _ 91 .94 / C F ELEV. EROSION Ne(/ CONTROL i� 1 00 GA ON EPTIC T K 000 1000 ALLON ,� ♦ N PUMP CHAMBER �♦ NO - 00 DISTRIBUTION 100' BU NO BOX )NE - --� , PT 1 / 8. LIMITVENT F A — 28.73' T �' o N47°18 58 W T YPT 1 P 2 VBENCHMARK: SPIKE IN 24" OAK ELEV. = 100.00 (assumed) R = 18 0.01 L = 21.27' ;RANVILLE LANE GRANVILLE IJANE aP #106C, PARCEL #57 .0 ACRES t IA of Mqs RICHARD C. TANGARD ti TEik !oNAI ENd� 1 NORTH Tovm of Andover No. A30 - o = LA d dover, Mass., I� COC MICKEWICK 7 ORATED PV 5 '9S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System At P's BUILDING INSPECTOR THIS CERTIFIES THAT......... . ............a ........................................ .......... ...................... Foundation has permission to erect... 6~ .1 .�` buildings on ...... . . .......r.........u........�..... ...... Rough to be occupied as 0 Cv I N S o Y r r N� �� Chimney o u r r .... ................... ............................................................................... .............................. ........ . . .. provided that the person accepting this permit shall in every respect conform to the terms of thea plication 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. C/ 5 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE j Smoke Det.