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HomeMy WebLinkAboutMiscellaneous - 14 BUCKLIN ROAD 4/30/2018 14 BUCKLIN ROAD 2101025.0-0110-0000.0 SPECIAL SERVICES CUSTOMER INVOICE -Continued Last Name: REPPUCCI Page 10 of IJYo. 2685-15;361 o � W STi?1ATit�.... N 'I�::: REF d186 0 0 m REPPUCCI, CARL& ELISA INSTALL LABOR CHARGE s5,195.4 ^• ADDRESS: 14 BUCKL.IN RD TRIP CHANGE: 80.0 CITY: NORTH ANDOVER STATE: MA IJP: 01845 CREDIT FOR OEPOSITIMEASURE:. 80.4 -- COUNTY:ESSEX- SALES TAX RATE: 5.000 TAX:Merchandise• N LABOR- N t 84,875.9 PHONE: (978) 204-4192 INSTALLER SPECIAL INSTRUCTIONS:THIS PC HAS 2 DIFFERENT COLORS AND 2 DIFFERENT ORAININGS.PLEASE CHECK FAX.TOTAL OF 8 PA(;E$. BASIC INSTALLATION LABOR INCLUDES: is t. h home inspection to verity the layout,measurements, 7. Finished exposed ends(fiat finish no edge detaiq. special installation requirements and templating. example:next to range or refrigerator 2. Delivery and normal installation of countertop. 8. Eased polished edge on backsplash(ail exposed edges). 3. Includes faucet hole drilling lup to 4 holes), 9. Subtop or support strips. 4. Includes 1 sink or 1 cooktop cutout funpolIshed top 10.Standard eased edge included(Edge#10-2cm or mount)Pei project. Edge#24-3cm)from group A Edges. S. Wall support cleats as needed at corner cabinets. 11.Final clean up of installation related debris and 6. Eased or radius corners up to 3/4"max. jobsite. UNLESS STATED ABOVE THIS INSTALLATION DOES NOT INCLUDE: THE FOLLOWING OPTIONS ARE AVAILABLE BY ESTIMATE ONLY Cut around posts or odd shapes Support materiel for overhang frequired for overhangs of Custom edges on backsplash + b"or more) Disconnect or reconnect of plumbing or eleciriscai Window sillst garden windows&pass throughs Repair or atterations to existing cabinetry A Cabinet bump out s N SPECIAL NOTES: • No work will be done on the weekends or holidays. cancedolon fees and for any missed scheduled appointments 'An adult must be present at the time of install. with she installer. •The installer will contact the customer within XX business •Customer should be prepared to be without full use of sink -4 days after receiving the paid purchase order to schedule the and appliances during installation. v template/measure appointment. ' Existing Countertops must be removed prior to templating. o ' Customer is responsible for payment of the appointment 0 C3, END OF-INSTALL 03 :.' .`: - T• m Page 10 of 16 No. 2685-153652 " Indicates item markdown Store Coov The Home Depot Special Services/Home Improvement Agreement Page i 2 of 1 eNO. 285-7 536 co PLEASE READ THIS Important additional infoinnotion regardfng your rights may be contained in an attached State Supplement which is an Integral part of this Agreement. o 0 REPPUCCI CARL& ELISA 153652 2685 Customer's Full Name{Last Name,First Name) Order No. Store No. N 14 BUICKLIN RD NORTH ANDOVER BilrmglMailing Address 1For Delivery/Service Addresslesl See Aitachad Invoice.) City rMA 01845 iilingMailing Address(For a ivery/Service Addressles)See Attached Invoice.) State Zip (978)204-4192 Customer's Daytime Tel.No. Customer's Evening Tel.No. Payment Schedule:Youagree Yon paymerds will became due Do Ike dales indrxtedbetow arA I You are paying other than by check or nwney order.maybe automatically charged ordelAmd(os applicable)IsYaw clasignaieda000unl(s)wheo due. Payment $ 22,731.13 Due In full immediately. � SaInTax: S 505. 7 9applfabfe TotalAmount of Sale: S 23,236.80 Includes all appScable discounts,rebates,and taxes.Excludes Rnance,charges.• Please initial here if You wish to pay the total amount of thesafe now.You have the option of peyng less as furlha specified in the State Supppternent to this Agreernent. 'Any intereal payments or other finance charges Oil be determined by your separate cardholder or loan agreement,to which Home Depots NOT a party.Please see life Agreement's general Terns and Conditions for more delails as to oche charegs Ifmt may Mock Anticipated Delivery I Installation Schedule Please note:KWhej The Horne Depot nor Iasialla6on Professional are sespanst:le forstari/finish delays reselling from events beyond their control including,bud not limited%Change Orders,ads of nature,governmental scare,manufaclurinodedvrery delays or damage to mechsndse causedby third parties,labor sirikes/unrsrst, DeSvery Date: WA Your crediUfinancing,say eroonecl information You provide•legal encumbrarsces on Your property,Your property's noneonfarmiaaee with zoning requirerrerds or Start Dane: OSf22/20D8 building oode rewirements,hiddeNunfoseseen physicabbme dous concision(including,but not Wiled to.emAronmenlal hazards such as mood,asbestos and had paint)at Your service address,or Your noncompliancewilh lh'sAgleement. The Horne Depot reserves the tight tolerrninate this Agreement aredror teWire Installation FlWsh Date: OW2112008 Professional to disaordinue InsbArlion gkw any of The foregoing conditions. Dallialtio •"Your7your means thocustomer Emitted ove,Ornstaillailloor means the Installation servIcess s Agreem-wL olavWlifflon nor or'Froftsialonar means an independent comallor awl1offtE by Home Depot piceased and Insured as required by Home Depot and applicable la,4 and Bre contractor's smrpleyeas,agerds and subewrtracters.'Agreemem"means 11r1s Special ServrcesRtome Improvement Agreement bellsim You and Home Depot U.SA,Inc.Qrtterchangeabfy referred to as'the Horne Depot","Home Depot",or"EM Deslgn Canton,which Includes this page,the General Terms and Conditions following this page,the Slab m SapplemicK the invoice or Specifications and say after documents oWnessly made a part of Bds Agreement Please see this Agreement's General Terms and Conditions for additional dellnitlons. .o Acryiphim and Auftittatlan:By signing below.You autl eft Home Depot to(a)arrange for Installation Professional to perlbmr Instal lotion andlor(b)order and arrange for The delivery of apodal order merchandise.Including m special order merchandise that may be custom made,as speelffed In this Agreement You understand this Agreement constitutes fire entire understanding bstvtsan You acrd Home Depot aed may only be amended by a Changs A Ordersigned by Home DWI(or by Insfallaaen Professional or Its arthor red representative on Horne Papers behaB)and You,Thls Agreement expressly supersedes all prior written or verbal agreements or representations mock N by Home Depot,Irmtallauon Refesdonal,You,or anyone else.Except as set forth In this Agreement,You agree there we ne oral Of vaptsn reprosenlatfons or Inducemetrts,express or Implied,In any way conditioning this — Agreement,and You expraslydisdalm their existence.Do not sign If blank or incomplete Qnstallation Protess)onal'slpertnAGng Information may need to be provided to You later.)By signing,You admowledge that You have read understand andaccept this Agreement in Its end".You further acknoarledge,receiving a complete copy.Keep it to protect Yore legal rights. CANCELLATION:YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY APTEF SIGNING,THE STATE SUPPLEMENT CONTAINS A FORM TO USE 1F ONE IS SPECBICALLY PRESCRIBED BY LAW IN YOUR STATE.Your paymenl(s)will be returned within ten(10)businm days after Harm Depors recelpt of Your notice.You must make available for pickup by Hare Depot or Professional at Yom service addess,In subslandatly the sane condition as Mien delivered,any merchanifise or materials del(verec 14 to You.Or YbIliontilly oaritaet Home Depot for instructions regarding return shlpnent at Home Depors expense. m o, cepted Professional's Full Business/Trade Name,Address and License No.or Hos.as ApplicableVo Z" o Customer's �� ate Customer Initials: BY INITIALING,YOU AUTHORIZE DELIVERY OF MERCHANDISE TO o 0 SERVICE ADDRESS PROVIDED ABOVE WITHOUT OBTAINING DELIVERY AGENT'S SIGNATURE AND AGREE TO IDEMNIFY AND HOLD HOME DEPOT HARMLESS FROM ANY RESULTING CLAIMS. Submitted By: '1%7,r�.,ome Depot Associate Professional's Tel.No- .1' I Professional/Authodzed Representative on Home Depot's Behalf m • Associate'slProfessional'slAuthorized Representative Full Signature Date Associate fRepsesenttattive:Print Your Full Name and Check Applicable Box Above Associate/Representative:Please Print Your Salesperson's License Mo.it Applicable Page 12 of 16 NO. 2685-153552 StHOME DEPOT'S LICENSURE INFO:SEE GENERAL TERMSf+CONDITIONS Store Copy BUYER'S RIGHT TO CANCEL:SEE GENERAL TERMSICONDITtr1NC SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: RE'PPUCCI Page 2 of 16 .VEN3.OR:DIRECT SHIPli . TO:CUSTOMER .o 910-MERCHANDISE TO SE SHIPPED: S10 AMERICAN WOODMARKREF#302 ESTIMATED AI RIVAL DATE 001101M '� '. .....Y 40":r:.-..:::•::: ._::.__.. ...F..:..i::.i•wabf•.:.;:.:c:✓' ..wG.iw:{.:r.3 9::: .4\..,...N'3:!/0:::.f:: Y:x:^. �•Y:.^..,!•Y.z < :::,:. :F.f::.;,r.-r...•--II a x. .,...,:,,-_ 3,..''33r 3 .... :ter.;.•,�.._ .rRrCac 3i3'R_ x✓!V/.:1.':l/ 2 i.•'.'G-•^r. -fl'•r.ri.r "f,'.",'Xi:e:'3>^� •»r..w:^' % i::S.3� �R " • _r> a>:• � „,.;!.> xKa.c<.,<::w,.x ;,,.,. r.3.- .max, .ter x k>F r;Sr„;Vic, :T >r `� � •. ,-4�'rif: .'::�-.:: ..,•a..4cii:7.:u.:'RK. ..,..y �»:,�. .r,•.:` �},"r�.a. .r.:....�. a.: :F-> - LL !.. _. rF• ...<...............r.8ti. .. :.. ..b :;.-......:::...rzc. _ y - :.r.;, >x'.:;r�7; i i' F. S0210 212.515 1 EA DMDB (L) /DMDB(L) DECORATOR MATCHING DOOR(BASE)/0MD6(L) ` FSIDES:B N o S0211 1 212-515 2.00 EA DMDB (R) /DMDB(R) DECORATOR MATCHING DOOR(BASE) /DMDB {R) • d FSIDES:B m 50212 212-515 1.00 EA DB15 4DWR /DB15 4DWR 4 DRAWER BASE D815 4DWR /D815 4DWR ' IL FSIDES:B S0213 1 212-515 1.00 EA CDK15 /CDK15 CUTLERY DIVIDER KIT CDK15 /A7T:DB15 4DWR ` CDK15 FSIDES:8 S0214 212.515 1.00 EA S636 STO /SB36 STO SINK/RANGE Wl F/i SS TO TRAY SB/S836 STO ` FSIDES:B HINGES:B m 50215 212-515 1 1.00 1 EA STB /STS SLIDING TOWEL BAR STB /ATT:SB36 STO ` .a STB FSIDES:B ;• S0216 212-515 1 1.00 1 EA UF3 JUF3 UNIVERSAL FILLER(BASE) UF3 /UF3 S0217 212-515 1 1.00 1 EA BSS36L WD IESS36L WD BASE SUPER SUSAN (WOOD SPIN SHIBSS36L WD FSIDES:B HINGES:B S0218 212-515 1.00 EA B24 2FWT BUTT /B24 2FWT BUTT BASE CABINET W/2 DEEP ROLL1824 2FWT BUTT FSIDES:B MNGES:B S0219 212.515 1.00 EA BEP34 WD(R) /BEP34 WD(R)RIGHT WOOD VENEER BASE END/ATT:B24 2FWT BUTT BEP34 WD (R) FSIDES:B 50220 212-615 1 1.00 EA DMDB(R) /DMDB (R) DECORATOR MATCHING DOOR(BASE)/DMD8(R) FSIDES:R .., S0221 212-515 1 1.00 1 EA 612 FIOTD L /812 ROTD L BASE W/ROLLOUT TRAY DIVIDER/B12 ROTD L m F FSIDES:B HINGES:L S0222 212-515 1.00 EA BEP34 WD(L) /BEP34 WD(L)LEFT WOOD VENEER BASE END P/ATT:612 ROTD o L BEP34 WD(L) S0223 212-515 1.00 EA 818 2FWT KSCC R/B18 2FWT KSCC R 2FWT BASE W/Fll KSCCK B/B18 2FWT KSCC R FSIDES:B HINGES:R- S0224 212-515 1.00 EA BWBTIS-2 /BWBTIB-2 WASTEBASKET CABINET SWBT18-2 IBWBTI8-2 a, FSIDES:B HINGES:R S0226 212-515 1.00 EA BEP34 WD(R) /BEP34 WD (R) RIGHT WOOD VENEER BASE END/ATT:BWBT18-2 ' .a BEP34 WD(R) FSIDES:B N 1 M N f0 o ge 2 of 16 NO. 2685-153652 Store Copy SPECIAL SERVICES CUSTOMER INVOICE-Continued Lest Name: RI PPUCCI Page 4 of 16 No. 2686-1536! . TO:CVSTOMER - o 510-MERCHANDISE TO BE SNIPPED: S10 AMERICAN WOODhMABKREF A04 ESTIMATED ARRIVAL DATE:060912008 . •...�:r.J..w•b.:..i..snT.•,♦ :.:.''-+...: :.�yx:rr..♦rfi:9.^"`t.vx.. -- ;:-9. ".rr.<...:::a.v.. - -,s- :,v :.:::-..:<�:xo::'a�... rx. _ .: : . ...._:.. .v cn_...T.....1'la..•-.� F..v. .._. •. rAI�.....K _ Sll":�+:,9A.'.Y.:.4�%(rr .:•?:.{_S. •::r�w;�Ili ��'n' .:i!N' �}-.: MOM" .4.-.WNNi }:1•. e(.:.:..... r. ,.w. l .....Al,x �.. .rn .Y.. Fh. - �r''•`•�-:.7♦. wl.Y..HFT.:vrr . _�. • ..... r:. : �.ri .....v.r n...v.- miilY �� vire .....}..'::...., "� ♦ r Y::• ..}.:..ff 4.:!�'A.-:�_•iW:Yv' �i_:t+?...>J_SWv.♦.:.. .v (i '.:�.nJ>••:daY :i:('�%}:.rJ. .L:.... :'w'-'M% :W,'." -r.r.f. .n I.. .- . ..SJ..._lx-.:... .Vw ...:.... Y..Y: - n ^ il.. �i♦.. -•%Y v. ,:r',ry.Y.i✓:i:h. �': SO403 827-523 2.00 EA CCM8VNR /CCMSVNR CLASSIC CROWN MOLDING CCMSVNR /CCM8VNR Y $67.95 $135.E SO404 827.623 2.00 EA RM8WD /RMBWD ROPE MOLDING RM8WD /RM8WD Y $48.38 $96.7 50406 827-523 1.00 EA TLR8 ITLRS TRADITIONAL LIGHT RAIL MOLDING TLRS/TLR8 Y 573.10 $73.1 -n SO406 827-523 3.00 EAJ TLR8 /TLRS TRADITIONAL LIGHT RAIL MOLDING TLRS/TLRBY $73.10 $219.3 2 SO407 827-523 1,00 EAJ UF3 /UF3 UNIVERSAL FILLER (BASE) UF3 /UF3 Y $14.76 $14.7 SO4DS 827-523 2.00 EA D830 ID830 3 DRAWER BASE D830 IDB30 FSIDES:B Y $3713.17 $756.3 M SO409 627-523 2.00 EA FBF3 /FBF3 FLUTED BEADED FILLER FBF3 /FBF3 ig Y $33.97 $87.9 N cm SO410 1327-523 1.00 EA 836 2FWT /030 2FWT BASE CABINET W/2 DEEP ROLL-OUT/B36 2FWT Y $392.25 $392.2 w FSIDES:B HINGES:B SO411 827-523 1.00 EA 836 2FWT /636 2FWT BASE CABINET W/2 DEEP ROLL-OUT /336 2FWT Y 4392.25 $392.2 FSIDES:B HINGES:B SO412 627-523 1 1.00 1 EA CDK18 /CDK18 CUTLERY DIVIDER KIT CDK1S IATT:B36 2FWT Y 518.19 $18.1 CDK 18 FSIDES:B SO413 827-523 1 1.00 1 EA UF3 /UF3 UNIVERSAL FILLER{BASE} UF3 /UF3 Y $14.76 514.71 SO414 827-623 1 2.OD EA WFC31560 FLUTED/WFC31560 FLUTED WALL COLUMN FILLER IFLUTIWFC31560 Y 5177,07 $354.1, FLUTED FSIDES:B HINGES:LMODS:W=3"W2=3" H=48" D=12" SO415827-523 1 1.00 EA W1830L /W1830LWALL CABINET W1830L IW1830L Y $117.02 5117.0. FSIDES:B HINGES:L m 0 SO418 827-523 1 1.00 EA 10FDAFT0N30 /1OFDAFTON30 ONE OFD AFTON 30" 10FDAFTON3/ATT:W183OL Y $267.67 5267.6' g I GFDAFTON30 FSIDES:B <n A SO417 1127-523 1.00 EA WRC3615 /WRC3616 WINE RACK CABINET WRC3615 ANRC3615 Y $228.20 $228.2( FSIDES:R SO410627-523 1 1.00 EA SGH36U /SG1436U STEM GLASS HOLDER SGH36U /ATT:WRC3615 Y $97.60 397.8( SGH36U FSIDES;B SO419 627-523 1 1.00 1 EA W3615 lW3615 WALL CABINET W3516 1W3615 Y $124.57 $124.51 FSIDES:B HINGES:B SO420 827-523 1 2.00 1 EA 20FDAFTON15 120FDAFTON15 TWO OFD AFTON 15" 20FOAFTONI/ATT:W3615 Y $267.67 $535.34 0 20FDAFTONI6 FSIDES:B SO421827.523 1 1.00 EA W1830A IW183GR WALL CABINET W1830R IW1830RY S1 17.)2 $117-029 FSIDES:B HINGES:R •••CdHTIHDED ONlXT PAGE•"•:.: : ; o. Page 4 of 16 No. 2685-153652 Store conv SPECIAL SERVICES CUSTOMER INVOICE -Continued Last Name: REPPUCCI Page 3 of 16 No. 2685-1536! . VENDC3R!,:DIRECT-Wp':.#;7: r w <.. TO:CUSTOMER �► 0 - o SID-MERCRANDISETO BE SHIPPED: 810 AMERICAN WOODMARKBEF#902 ESTIMATED ARIBYAL DATE:OBJIS12008 :•rs fr..si. .o..•ov.b' S0226 212-515 1.00 EA UF3 /UF3 UNIVERSAL FELLER{WALL-30 1/S" H} /UF3 Y $14.76 $14.7 0 S0227 212-515 1.00 EA W3012 NV3612 WALL CABINET W3612 NV3612 Y $164.38 8164,E FSIDES:B HINGES:B S0228 212-515 1.00 EA W3930 /13930 WALL CABINET W3930 NV3930 Y $259.43 $269.4 FSIDES:B HINGESA S0229 212-515 1.00 I EA WEP30 WD{R} /WEP30 WD{R}RIGHT WOOD VENEER WALL END/ATT:W3930 Y 1 $15-44 $15.4 F, WEP30 WD(R} FSIDES:B N 50230 212-516 2,00 EA DMDW30{R} fDMDW30(R)DECORATOR MATCHOVG DOOR{WALLlDMDW30{R} Y 851.82 $103.6 °, FSIDES:R S0231 1 212-515 1,00 EA DMDW30{L} /DMDW30(L) DECORATOR MATCHING DOOR(WAUJDMDW30(L) Y 551.82 $51.6 FSIDES:L S0232 212-515 1 1.00 1 EA W1230R /W1230R WALL CABINET Wi 230Ft 1W123OR Y $142.07 $142.0 FSIDES:B HINGES:R S0233 212.515 1,00 EA WEP30 WD {L} NVEP30 WD (L} LEFT WOOD VENEER WALL END P/ATT;W1230A Y $15-44--f-__ $15.4 WEP30 WD(L) FSIDES:B S0234 212-515 1.00 EA CW2430L ICW2430L CORNER WALL CW2430L /CW2430L Y $258.07 $258.0 FSIDES:B HINGES:L S0235 212-515 1.00 EA W1230L /W1230L WALL CABINET W1230L /W1230L Y S142.07 $142.0 0 FSIDES:B HINGES:L m S0236 1 212-515 1.00 EA W3012 IW3012 WALL CABINET W3012 /W3012 Y $157.18 $157.1 N FSIDES:B HINGES:B 50237 212-515 1 1.00 EA W2430 BUTT /W2430 BUTT WALL CABINET W2430 BUTT IW2430 BUTT Y $195.61 $195.6 FSIDES:B HINGES:B 50238 212-515 1.00 EA WEP30 WD (R) /WEP30 WD{R} RIGHT WOOD VENEER WALL END IATT:W2430 Y $15.44 $15.4- BUTT WEP30 WD(R} FSIDES:B m m S0239 212-515 1.00EA OCM8 /OCMB OUTSIDE CORNER MOLDING OCM8 /OCM8 FSIDES:B Y $16.87 S18.8' m S02FR 506-658 1.00 TKITCHEN CABINET FREIGHT IN 5150.00 $150,017 VENDOR-SPECIAL INSTRUCTIONS: LINE:AWCHOICE DSTYLEALE%ANDRIA MAPLE 30 USTYLE:32MRS DWRSTYLE:000 FINISH:COGNAC MAPLE FINISH:COGNAC MAPLE OSON11:016AC 0 510-MERCHANDISE TO BE SHIPPED: SID AMERICAN WOO DMARKREF#304 ESTIMATED ARRIVAL DATE:0611912000 A SO401 827-523 10.00 EIA CCO ICCO CUSHIONCLOSE GLIDE OPTION CCO /CCO FSIDES:B Y $19.91 5199.11 „ SO402 1 827-523 2.00 1 EA I BTKSPRT /BTKBPRT BASE TOE KICK{96" L PRINT}BTKS/BTKBPRT Y $13.04 $26.01 m .: '""::C01ifE11iTU�D.4N AiEXT RAGE.+••::::�:. Page 3 of 16 No. 2685.153652 Store Com Last Name: REPPUCCI Page 2 of 16 NO. 2685-'1 5Jibt3 SPECIAL SERVICES CUSTOMER INVOICE-Continued..77777 77 � # T CUSTOMER V MOOR-'' ESTIMATED ARRIVAL DATE:a6118i2008 r: E#SOZ r:: AMERICAN WOO >.�.H�� "� � lSE TO 8E SNIPPED. . :._ r ::,.:_<�. ::;::` a�:: ,Y.,r _>.:.r SfD- .. .ti:<{: :...�M1',�-.��iri:x .J. uN.<Avs":.J i:F��y G,3�)�v?%Y'%�+Si•Yt;.-�f".�3'::> x Kk.: �'�:.mss z:.z w; ING DOOR{BASE} 1DMD8 Y S $ JDMDB{t} DECORATOR MATCH S4210 212•515 FSIOES:B Y $60.30 $184.5 IDMDS{Rj DECORATOR MATCHING DOOR(BASE} 1DMD13 {R} 50211 212-516 2 00 EA DMDB{R} $333.9 FSIDES:B Y 5333.90 EA DB15 4DWR 1DB15 4DWR 4 DRAWER BASE DB15 4DWR 19815 4DWR AAt 1,00 50212 212-515 y $16.19 $18.1 � FSIDES:B � 1.00 EA CDK15 1CDK15 CUTLERY DIVIDER KIT CDK16 IATT;DB16 4DW cm 50213 212-615 y $394.85 $394. COK15 FSIDES:B S0214 212-615 1.00 EA 5836 STO 15836 STD SINKIRANGE W/FJI SS TO TRAY 5615836 STO Y $28.14 $28• FSIDES:B I4INGES:0 IATT.SB36 STO EA STB 1STS SLIDING TOWEL BAR STB 50215 212-515 1,00 y $14.7 6 $14. STB FSIDES:B $531. 50216 212515 1.00 EA UF3 !UF3 UNIVERSAL FILLER{BASE}UF3 fUF3 y $531.57 217 212-515 1.0c) EA 65536E WD 165536E WD BASE SUPER SUSAN {WOOD SPIN SHlBSS38L WD $332 S0 FSIDES:B HINGES:B Y 5332.19 212-515 1.00 EA 024 2FWT BUTT tB24 2FWT BUTT BASE CABINET W!2 DEEP ROLUB24 2F1N T BUTT $29.85 $29 54218 Y FSIDES:B HINGE'S:B 1.00 EA BEP34 WD (R} /BEP34 WD {Rj RIGHT WOOD VENEER BASE END lATT:B24 2FWT 50219 212-515 BUTT BEP34 WD (R} FSIDES:B Y 860.30 SBC e /DMDB(R}DECORATOR MATCHING DOOR{BASE}!DMDB{R} N 50224 212-515 1.00 EA DMDB (Rj y $260.47 $26( FS1D ES:R 50221 212 515 1.00 EA 512 ROTD L 1012 R0-FD L BASE W!ROLL OUT TRAY DIVIDERlB12 ROTO Y ;29.85 S2� FSIDES.B HINGES:L BEP34 WO {U lBEP34 WD{tl LEFT WOOD VENEER SASE END PfATT:612 ROTO � 22 212-515 1.00 EA $40 Za S02 C Y $406.97 cm L BEP34 WD{Lf 1 00 EA BIB 2FWT KSCC RIB18 2FWT KSCC R 2FWT BASE Wt FA KSCCK BfB16 2FWT KS o 50223 212-515 y $369:9-4=$31E 0 R FSIDES:B HINGES,R 0 224 212-515 1.00 EA BWBT18-2 1BW6T18-2 WASTEBASKET CABINET SW6T16-2 f0WBT18- $` N FSIDES:B HINGESA Y $29.85 1 00 EA BEP34 WD {R} ISEP34 WD{R}RIGHT WOOD VENEER BASE END IATT:BWBT1 B 2 S0225 212-515jNyEO!!(�.t�ERT PAGE':'.'- SEP34 WD {R}FSIDES:B �" Page 1 of 16 No. 2685-1536%r- SPECIAL 685-1536% SPECIAL SERVICES CUSTOMER INVOICE - - - o Store 2685 METHUEN Phone: (978 ) 98D-9025 i W 72 PLEASANT VALLEY ST Salesperson: BD16A0k162 t o METHUEN, MA 01844 Reviewer: t N I O ° STORE COPY N� CARL & ELISA {978)204-4192 EPFUCCI yr wmn. 0 Atld°14 BUCKLIN RD o - Comrlaaly None ; tit J°bDescrIPWn 04-12 KITCHEN �"'' NORTH ANDOVER MA 01845 ESSEX i N sial. �' ao -------------------------------- ------------------- 5 -------- = MERCHANDISE AND SERVICE SUMMARY me cRen�ise sor�o c°us�o"'r`Ttters. quantlires o ... :. .:. .. .: 1�IENDt?R;DjR TO:CUSTOMER SIO AMERICAN WOODMA8II�IEF PS02 ESTIMATED ARBNAL DATE"06I18�Z .,:. PED: _ .,...:<,.. . x: NESE TO BE SHIP �,-. y -� 1 0 IVIERCIIA F =rax 'Y S_ ._SF{:f ar %-[ �::'c::i. if.o '. R y d... .,...:..' . :.-,�?F.:x:xfe +.Qywr.?•'t: :'y?.- .�.a.Y ua;.wa�-ru�r L! .?r,.Sn it %x. .19kr.F'v`.• `.• •'•: .. ^ .r...l. Y 619.91 -V S0201 212 516 r 8.00 EA CCO _ /CCO CUSHIONCLOSE GLIDE OPTION CCO ICC Y 813.04 513, 50202 212-515 1.00 EA BTKSWD /BTKSWD SASE TOE KICK{96" L WOOD) BTK8WD/B Y 613.04 $26 S0203 212-615 2.00 EA BTKBWD IBTKBWD BASE TOE KICK {96" L WOOD}BTK CMBVNR Y $67.95 5203 n 50204 212-515 3,00 EA CCM SVNR lCCMSVNR CLASSIC CROWN MOLOI 6/OVSF686 Y 458.00 5174 S0206 212-516 3.00 EA OVSF696 /OVSF696UNIVERSAL FILLE 2' jRM8WD Y $46.38 $145en S0208 212-515 3.00 EA RMBWD /RMBWD ROPE MOLDIN LRBWD ILR8WD Y $74.47 874 = S0207 212-515 1.00 EA LRBWD ILR8WD LIGHT PANELING (WOOD) FP4834/FP4634WD Y $66.23 $66 50206 212-515 1.00 EA FP4834WD /FP48 FSIDES:B Y 580.30 $8C {L) DECORATOR MATCHING DOOR (BASE) /DMDB{L} S0209 212-616 1.00 EA DMD � m S' •::CDHTIHUED.OII NEXTME 7— _ V o o 0 o N ca N Check your current ovder status onf+ne at www hamedeaot com/orderstatus w�.. 7rtaF_1 A,1RR2 Q*nro f*nnv SPECIAL SERVICES CUSTOI R INVOICE-Continued Least Name: REPPUCCI Page 5 of 16 NO, 2685-15361%1 0 vim T0:CUSTOMER CM S -MEACHANDISETOIIESHIPPED: SID AMERICAN WOODMARKREF 0504 ESTIMATED ARRIVAL DATE:061191 2808 t 3:.>»K: - -:YY i>'$f:'".Y:Y.':.:(:= ::Y•.-;:•'{y;' ?u<� .ZW'ryr .vlvr , .. ., .. .. .. � TMTM30FS1DES:9 I..:.:...,F ,., N._..:.:Jxn,7",. 1 -.y..Y.---»�:-:mow,..rj.�. r..yff_iv:i'':i'�:. ..,.50422 g27-523EA IOFDAFTON30 JI OFDAFTON30 ONE OFD AFTON 30" 10FDAFTON31ATi W1830R Y $267.67 5267.E IOFDAFTON30 FSIDPS:g YEIIOQR-SpFCIAt INST109T101IS: LINE-.AWCHOIC2 DSTYLE:NEWPDRT 1NHITE SO USTriE-DSW DWRSTVLE C CO FINISH:WHITE DSGN11:8018A0 REPPUCCI, CARL & ELISA ADDRESS:14 EIUCKLIN RD CITY:NORTH ANDOVER STATE: MA ZIP: 01845 COUNTY:ESSEX SALES TAX RATE: 5.000 i $10,26, PHONE: (978) 204-4192 N m �NSTAL:tA►T�ON' 1:;; BASIC INSTALLATION LABOR: > . ...:...-, ... :.. .....:,., q� M .. .,.:,•_:>.:..-: r.,: 8-., s J- a.:,5.•'•; ate :.:, :rr.. a ... .. .-. - ... >•:..r. n ..w,.»yrw:. :ev,. '!:.:.u::S'.� XQ: .-.hY )rld ��i .f4X•..<:_r e/1. .,. - XYi,]r<:..•�.> ......r../.iF-...,Y,. ...... ....:.Y.. .{CF:�<..:,..• r14: :i%{.'{>:.. t.rq.v ]»...:r2-0 ?Fi..._.... T/->Q•'{.. f(•.£....- r.T..j:.>. +>LV'....:t... ry eorr Yrs 1- �< ..x...• .--.... .`.�.!. b, Ke_...:;- ,:.2�-1c� 572 020 KITCHEN POINT(NATIONAL)EXCEPTION 0.00 EA N 60.01 $01 OPTIONAL LABOR SELECTED INCLUDES: ,.-.. -;rlKo:iMR ':::�;.- d:.v n•:.. >�4ob;.-.....Y��.Ylr.:r'"':r•..r,J.l-:.. f;G^" .,:}'..•::6>r_..•,-'.5<:.rc�^>-vr_ _ _ - v.:Y.rY;r 01 ...Utilize the kitchen point worksheet to obtain total number of 210.10 EA N $29.00 66,092: ; Scope of services available points required to complete installation. m m 0 varies by market ..Potts/ EA N 91.00 $350. 02 _. >,,.. REPPUCCI, CARL & ELISA INSTALL LABOR CHANGE;. $6,442. TRIP CNARGE $0,4 ADDIESS: 14 BUCKLIN RD CITY: NORTH ANDOVER STATE: MA IIP: 01845 CREDiTFOA><EPOSITn41FASURE: -$100.1 COUNTY:ESSEX SALES TAX RATE: 5.000 TAI(:Merchandise- Y tABDR• N � a 96,342. 71 PHONE: (978) 204-4192 ALTERNATE PHONE:(978) 204-4176 CONTlNUED'OliI#r1[T PkGE":': co -O 0 0 0 0 m No. 2685-153652 Store Coov . SPECIAL SERVICES CUSTOMER INVOICE-Continued Last slams: REI?PUCCI Page 6 of 16 No. 2685-1536 .IColatirlped}� - - o BASIC INSTALLATION LABOR INCLUDES: N '—MeasuremeniXonsultation fee is NON-REFUNDABLE ...An In-home measure and consultation is required to verify ^► • if customer purchases labor from the Home Depot the proper fit of kitchen cabinetry and other prod ucls to be ' ' Installed.During this oonsultatfon the Installer will measure/consultation fee is applied to the purchase. check for unusual situations which may require additional THE FINAL KITCHEN ESTIMATE WORKSHEET MUST SIGNED BY BOTH C> labor. THE CUSTOMER AND ASSOCIATE AND THEN IT MUST BE MANUALLY Dedly cleanup of job site. FAXED TO TE INSTALLER.A COPY OF THE FINAL KITCHEN ESTIMATE I WORKSHEET MUST ALSO BE GIVEN TO THE CUSTOMER. ...NOTE. Cn UNLESS STATED ABOVETHIS INSTALLATION DOES NOT INCLUDE ...Patch and repair wall behing existing cabinetry ...Major Structural Work Including ...Haut away cabinets andlor installation related debris Moving Walls I Altering Walls ...Haul away cardboard only Adjusting Openings or any work involving oad Bearing ...Complex appliance instatlatlons Idown•drafts, Walls professional appliances,etc.} ...Installing Skylights ...Construction labor 1Mlnor wall construction or removal ...Cutting of Sawing Concrete Floors sofiitt constuction or removal,arc) ...Relocating or Installing now Plumbing or Gas lines ,.,Electrical work ...R®locating or Installing now Vent Stack ...Drywall Work Relocating or installing now Ductwork for Appliance or + ..Plumbing Work o HVAC o a"a Patch and repair well(from life backslash demo) A SPECIAL NOTES: cm en A Installation phases to be completed The installer will ^� _.Custorrt�must be present during installation(must be an r adult over the age of 18 present.No work will be done natily the customer when these items will be unusuable with unsupervised underaged minors present). &for what length of time. Customer is responsible for disarming any security alarms ..Customer IS asked to designate parking,entrance and exit No work will be done on Sundays or Legal Holidays, access preferences for the installer tinctuding restroom CD eccessi. C' ...All work will be done with proper permits and up to local ...Customer is responsible tar securing pets away from the � codes and ordinances. work area throughout the installation proce .All water Rt gas supply lines must have independentss. 0 ...No work will be done if existing jobsite conditions do 0 Shutt-off valves. 's not meat local codes&ordinances. ..The jobsite must be secure and completed,including all m Nn. 2685-153652 Stare Coov re Date. !1. .. .... .. i w NORTH .+�i. o '` TOWN OF NORTH ANDOVER r PERMIT FOR GAS INSTALLATION >: M 9SSACHUSEt R This certifies that . . . . . . . . . . . . . . has permission for gas installation . Y. (!,. . . . . . . . . . . . . . . w in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 at . . . . . . . . . . . . . . . . .. North Andover Mass. Fee. 1. . . . . . Lic. No.a3 ?. . . . . . . . GAS INSPECTOR Check# ��1 is 548 1V% "- ft-wiz-®r' "Aw wv,� AW 1 JF 117 I,, s■��w��r��w�rr��+��s�s��r�lw�t :: :�, .�l�a'!"'�r,�■�rarrr��s�rs�ari�r� BELOW 1011 O►►ICE YSL ONLY ANAL INSPIMM"S pit y s110s11Ess IIM/ECTIONs N0. AM SCATOON FOR PUIMIT TO 00 PLUMBING w►re a nM o►.�e +� LOUTIOM M PUNA N. Kff11M I I pawl"Awns, MT2 1• I N4111S�tCT011 • J Date...Z-.�? . r1/ k j d „ORTM °f aj TOWN OF NORTH ANDOVER 1 ' PERMIT FOR GAS INSTALLATION SAC'HUSEt {� � 1 This certifies that: �., _: . . .'{�'�`� �-- -. . -. . has permission for gas installation . '�L .- � 'L'Y:-: . . . . . . . . . in the buildings of .gat . . '��. :4. . . �''. .� �: .�. . - -�` ., North Andover, Mass. 'A eel Lic. No..'./, .'. . . .i. . . . . . . r GAS INS&/ ,7/ Check# ,2 .3 30'65 MASSACHUSEYIS UNDDRMAPPUCATONFOR PIIMrTO DO GAS FrTrING (Type or print) Date�� �, (Z)\ NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# ' � Amount$ Owner's Name C New Renovation Replacement Plans Submitted a� x U H a o x EA F 09 z `a &W W�W W�W O O ] p w F W C x96. WWWWFZ rWWZ Z F.G z F U O 1-4 fx x O x A C7 a a > A a H O SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR -81T H . FLOOR (Print or typ \ Gas S �\ `S �� eck one: Certificate Installing Company Name Corp. Address Cz` Partner. Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter C V '� ^S l. \�+g INSURANCE COVERAGE Chec one: I have a current liability In urance policy or it's substantial equivalent. Yes No If you have checked Les,pl se indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity13 Bond ❑ �Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the ,Iass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Gas C de aqd Chapter 142 of the General Laws. BY: Signature of used\Ahnber Or Gas Fitter Title Plumber 3-13S City/Town Gas FitterIcense um er Master APPROVED(OFFICE USE ONLY) 0 Journeyman N2 3 4 'U' 7 Date.... Z .......................... + 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACow This certifies that ..........j .............................. .................. . ............... . has permission to perform ..... .......... .......................... wiring in the building of... ...................................... .............. . h............................... North Andover,Mass. Feed .......... Lic.Nc ).( . ,1 ................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer I m W1V11V1U1VWrAL.1"U1'1VIf1J,]f�-M-13CI 13 v�ucc UW uwy i DEPARTMENTOFPVBLIC&*M Permit No. OVAPPUCATIONFOR BOARD OFFIREPREVEW0NRWa4TI0AS527CMR12:GID Occupancy&Fees Checked PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 /_I �C / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date bq Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Iq Owner or Tenant rAig L i Owner's Address f y �'trGdt L+ nt Is this permit in conjunction with a building permit: Yes® No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service ` u n Amps /� 0 volts Overhead Underground ® No.of Meters r New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work E,1'S/j C A4 /,"74-0 6-/ 4 M No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA i No.of Lighting Fixtures Swimming Pool Above Below Generators KVA and ground No.of Receptacle Outlets p No.of Oil Burners No.of Emergency Lighting Battery Units O No.of Switch Outlets No.of Gas Burners ' No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons i No.of Disposals No.of Heat Total Total No.of Detection and r Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained y Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections M II No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER I[MWXCU�traga RrtstrantiDthereq MIUISoflvmodlus&CtnaalLaws ltmeao urtLmbkhtstr&=Pbbrye CorrpW C vwdEparitsskstrdde4mvalat YFS ED NO IYES NO. IfjuuhmedvdWYFS,pkmeirdi*theNxofoote bydrekrgthe � box =NSLJRANCE Z BOND a OTI1i m 0 (►'ems) ASSU �p P o.- ©F�eyt C"4 61161o.2 _ i Die f j Estirn&dvaht dEkd W Walk$ �oo�`"� WakbStlgt i9/ /6 /0 I hq)eaiMDatePzpc*d RD* _(,,p t I C,411 Fmal Signed uncle fie Pt nAks of i�j�r• ^ FIRM NAME 7A 11,- ._.. Licaisae Sime . C Lic=l b – i BtressTdNaq— As OWNER'SINSURAI�WAIV ;I.anmmthatdrLia,se A�Te1Na dome,�t�etheitnlraneo�eor�s> rtialec�ate>tas cegtmad try Gata�al Lam aadthatmysigtrattaernthis pent ttwai�this tom. (Please check one) Owner Agent Telephone No. PERMIT FEE$ _ Location 2UC �/J�'� � 1 No. Date �aRTM TOWN OF NORTH ANDOVER + Certificate of Occupancy $ Building/Frame Permit Fee $ s�►CHUSt Foundation Permit Fee $ Other Permit Fee $ TOTAL $ `� Check # 0 I� f 1514 7Building Inspector o BUILDING DEPARTMENT IPPLICATIONTO CQNSTRUGT.REPAIR,RENOVATE, 012 DEMOLISH:A ONE;OR.T.W.O FAMILY DWELLING DATE ISSUED: - 3UILDING PERMIT NUMBER: (� 3IGNATURE: COX Building Commissioner/lortor of Buildings Date 3ECTION. 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: . Map Number Parcel Number 14 1.3 Zoning lnformation: 1.4 PropertyDitnEnsibhs:s r� roning District Use Lat.Area;s '` ):_gonia ,;ft . 1.6 BUILDING SETBACKS 00 Front Yard' Side Yard Rear Yard Required Provide reci Prdvided Reqtlired Provided F 1:5. Flood Zone 16 mration: ' 1.8 Sewerege`Disposal'System 7.7 Water Supply M:G..LC 40 S4) r; r0 rF, lone Outside Flood Zone 0 Municipal 0 On Site•Disposal Iublic 0 Private SECTION 2-PROPERTY OWNERSHWJAUMORMP AGIrNT r 12.1 wner of Record . ame(Print) IAddress for service: Signature Telephone ' t Q , 2.2 Owner of Record: e a g Name Print Address for Service: C i Signature Tele;hpne SECTION.3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 v Licensed Construction Supervisor: C License Number Address Expiration Date ®_ Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 CO Company Name Registration Number r Address r Expiration Date 99 Signature Telephone SECTION 4-WORIK RS COMPENSATION a (I1LG L. C 152 § ZSc(6) Workers Compensation Insurance affidavit must be completed and sil6mittea with fhis•applicmion. Failufe.TO provide this affidavit will result in the denial of issuance of the building permit. Si ed affidavit Attached Yes.......,0 . ,.:No:......0. . SECTION 5 `Descri`tion:rif.Pro sed Work'check ail;a lacaple _ ._. New Construction 0 Existing Building 0 Repa r(sj ., q. Alteratiorks) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: r a ! US U _. SECTION 6-ESTIMATED CONSTRUCTION COSTS ' Item Estimated Cost(Dollar)to be Com leted:b . rniit a licant r 1. Buildinga .- . ... La' O (`) Building Peruut Foe Multi tier i 2 Electrical b: Estimated Total'Gost aif O Consfructlon 3 Plumbm Budding Isermit fee(a x (b) 4. Mechanical,,HVAC)- S Fire Protection 6 Total, 1+2+3+4+5 _ Check; i�rlibet. SECTION 72i OWNER AUTHORIZATION TO BE COMPLETED WHEN j OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I I'- Asa- 6 e g V C c i s Owner/ ithorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Si nature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I' ,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 Print Name Signature of Owner/Agent Date Ell 11 NC`. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2 ND 3RD fDDINIENSIONS PAN IIvIENSIONS.OF SILLS MIENSIONS OF POSTS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIvfNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE North Andover Building Department artment ti Tel: 978-688-9545 l DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: -4 (6o VCZAurk- T I (Location of Facility) C Signatur4of riApplicant l 101 ! Date 1 PP f NOTE: Demolition permit from the Town of North Andover must be obtained for 1 this project through the Office of the Building Inspector 1 I i i E P f r 7 t NORTH Town of North Andover Building Department p 27 Charles Street *^ X North Andover, MA. 01845 '-,~~--- D. Robert Nicetta Building Commissioner (978) 688-9545 .:(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print// DATE I I J-1 /c/ JOB LOCATION 1. ! C]� /`// s0 C Number Street Address Map/lot "HOMEOWNER C_ 0�_ a.urc i Name Home Phone Work Phone PRESENT MAILING ADDRESS P-PI City Town State Zip Code I The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire ew who,does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) .DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other Applicable codes, bylaws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL i FORM U LOT RELEASE FORM o 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 SECTION *********************;-*-I ,7 APPLICANT I C L)Cc PHONE- Jq5-?0cl LOCATION: Assessor's Map Number PARCEL SUBDIVISION .1(d J ouico 0� LOT(S) STREET 20 C 01,10 (lY ST. NUMBER OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS -------------- FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9\97 jm I i I bg a oj Sjd) vljv is 7a � C� S I 0 1 a 4� I I i \°1 t.10RTIy E Town of Andover O No. - ;*-T-Qi7 T C" ) ��� 0�� COCHICCIC\ V dower, Mass., �� DRATED PI? C, W 4 BOARD OF HEALTH PERMIT T D � Food/Kitchen Septic System / ` S j� BUILDING INSPECTOR l /L � THISCERTIFIES THAT.............. ................................�..P. V...... ................................................................................. Foundation /� s /�{ �v C k Lc ro c,Q has permission to erect........................................ buildings on ........................................................�............................... Rough to be occupied as....... / �1eL ho! `y / S A'A-/t 0 XC' Chimney ........ /...................................................................... provided that the person accepting this permit 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. D4�7—///0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. T Rough PERMIT EX 1RES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ... ....... ........................... .C.......................................... 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 3 Street No. SEE REVERSE SIDE Smoke Det. Location l Y No. Date NORT„ TOWN OF NORTH ANDOVER �?jaimiaAft `p Certificate of Occupancy $ # a Building/Frame Permit Fee $ Foundation Pe it Fee $ Sw6NUSE Other Permi Fee ZCZ7 ewer Connection Fee $ Water Connection Fee $ CCS TOTAL $ a. Building Inspector T `G 7337 Div. Public Works. Loc at 10n No. 0 7 ti Date -- of NO oT:,, TOWN OF NORTH AN DOVE * c? �.`, .. ., oo� ,. „ Certificate of Occupancy $ f41 _---- Building/Frame Permit Fee $ -- f ♦ ' '' cFounda 'on P rmit Fee $. S�ICMUSE Othek ere a�p/ $ 02 . Sewer Connection Fee $ Water Connection Fee TOTAL �p Building Inspector ' 732'9 Div. Public Works 'Location No: Date �f' TOWN OF NORTH ANDOVER Fjamwdlkp Certificate of Occupancy $ • Building/Frame Permit Fee $ �� a '` .,'SSACMUSEt� Foundation Permit Fee $ - Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �0 a Building Inspector 04/11/94 16:27 862°00 PAID i" '71'29 Div. Public Works L-6cation �r�-c- s IVB. /�� Date NORTH TOWN OF. NORTH ANDOVER . O? •' 'a 0 Certificate of Occupancy $ Q, Building/Frame Permit Fee $ .�_..... ,. "'°'�<�' Foundationr,Permit Fee $ ACK 1� USE Other Permit Fee r Connection Fee $ Oc Water Connection Fee $ TOTAL j $ O'kzBuilding Inspector 12 7096. Div. Public Works Location-- 14-.. ?a,k/?,�- l� 3 No. Date . 1 40RT. TOWN OF NORTH ANDOVER R� A Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ sACHuae Other Permit Fee $ Sewer Connection Fee t $ ko Water Connection Fee $ /02 1 4 TOTAL $ '21)/1") ' l Pr r 4 1994`t,) _�j� �r4j'� .,, .• R .r Build'ng inspector IJ `PERAllf NO. O �_,� APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. ��( �3S� PAGE 1 MAP 44-0-� LOT NO. „fw„n 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE — ZONE I SUB DIV. LOT NO. -� J �) i LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES — Site OWNER'S ADDRESS SEMENT OR SLAB O� 74 X ARCHITECT'S NAM + •r SIZE OF FLOOR TIMBERS 1ST 2ND /I 3RD BUILDER'S NAME ! SPAN /- (� DISTANCE TO NEAR ST BUILDING ii\ j DIMENSIONS OF SILLS DISTANCE FROM STREET POSTSz ti-7 -[,`✓a� DISTANCE FROM LOT LINES-SIDES REAR "" GIRDERS ` AREA OF LOT FRONTAGE fir_ HEIGHT OF FOUNDATION v THICKNESS IS BUILDING NEW lqlplb SIZE OF FOOTING In li X IS BUILDING ADDITI N MATERIAL OF CHI Y IS BUILDING ALTERATIONnc) IS BUILDING O SOLID FIL ED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF ODE IS BUILDING C0)04fieTfD TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY 114FORMATION SEE BOTH SIDES 6j RIX•MEMO F _9L2, /2, I O LAND COST EST. BLDG. COS ' PAGE 1 FILL OUT SECTIONS 1 - 3 LM FM FEE 42 U O 4/7 �/���"+ ��pp EST. BLDG. COST R fQ. FT. } 1 WE FR1 KRIAIT$���.,r�� EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILE AND APPROVED BY BUILDING INSPECTOR DA�ILED - �.J< cei /�� s�-e„ !. / BOARD OF HEALTH _SIGNATURE OF OWNER OR AUTHORIZE6 AGENT FEE © C) �(_ PLANNING BOARD PERMIT GRANTED OWNER TEL.# ti t (i CONTR.TEL.# _ t9 -�� CONTR�LIC. r«_ BOARD OF 61 IEN r L L.. r k 1 ! € M 3 E BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S DRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. ;WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION '8 INTERIOR FINISH CONCRETE B 11 2 13 CONCRETE 81.K. PINE BRICK OR STONE PIERS PLASTER _ DRY WALL _ _ - UNFIN. 3 BASEMENT t._ AREA FULL FIN. B'M'TAREA _ '/, '/p .°/, FIN. ATTIC AREA .. �• NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN" 4 ALLSI 9 FLOORS CLAPBOARDS 1 2 3 - DROP SIDING CONCRETE �_ WOOD SHINGLES 'EARTH ASPHALT SIDING _ HARD\!t D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME ll�— ry � $ BRICK N MASONRY ATTIC STRS. & FLOOR _ 4. BRICK ON FRAME - I ! CONC. OR CINDER BLK. STONE ON MASONRY WIRING : / STONE ON FRAME' f SUPERIOR OOR _ ADEQUATE NONE 5 OOF 11 10 PLU GING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ RN TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. t . TIMBER BMS. &COLS. STEAM STEEL BMS. &COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G It UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC rr� 1st 13rd I NO HEATING -:F+•"*;< ` f f P FORM U - LOT REIJ:ASB FORK 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: AP Z 1,YV G)- Phone _,i,9 LOCATION: Assessor's Map Number Parcel Subdivision _ruv Atj Lea/ Lots) Street St. Number ************************Official Use Only************************ RECO TIONS OF TOWN AGENTS: Date Approved ! Conservation Administrator Date Rejected Comments Date Approved , 44, Town Planner Date Rejected Comments [A Date Approved Health Agen Date Rejected Comments Public Works - sewer/water connections - driveway permit - -�� Fire Department Received by Building Inspector P , 1 { (� ^ i � t;,�_:�,.�.,.�.. _ ,.�. =-�; y Date ti Y 67.44 / — n• q'1� `t , IC I' I EWI_ONNI a DEBARrIMENT . /VU7'�,� /fJ"Y)�ivp•GT/U.ti! LOLA T�/O:tJ �ie0/Yj 2 f/EREBY GE.t'T/FY TO Tye T/TLE /pL or RL 41V 717 T/+/E B.4N.t'T.S/gT T.yEOwELL/.v6 rs' LOC'ATEO OAA Ti�/E LoT AS StiGArN AND T/G4T/TOAFS eaA1lw42eAf !Y/T// Ti/E�v"v OF�/7//Lb✓E.L ZON/NG ,�E6�/LATifJ,(/S ' ,4Ltdr0.Q0/.viG SETBACit'S FEO�1 ST�PEETS 1 LOT U•vE3:"' �• � �E,Z �AS$'.� . S fU.�THE.0 LE.PT/FY TW f7-7WI-f OA►'ELL/N6 /S NOT N�� LOG4TE0/N T.S/E;+' dC�L FCAoO .,'.4Zd.�0 A.PE.4. O.P/q�Y/V fOiP S.ydIVN O EY yu,. pv7EIJ /s�Ba �a�',e? /494- ✓ F _ O; P.L.S. DATE V.v:;f 1 iVOT FD.P Bovvo.PS/G�'TE•PiH/if/i4T/off/ BOUNOA.E'Y/,�/FO.P01- �E�•P/rtf.4Gt'E',vG�.s�EE.P/.�/6 SE.P/�/G'ES AT/O.f/ TA.rE.y F,cO,y/ Exrsri,!/c .eE-co,Pvs. 64 f'q.P�•sT�EET A.t/OOYE.� /17.4S,S.4Lf/!/SE7TS O/8/O RTF� T0VM Of oar over � Tn L , Aln dower Mass., I*L ! 199SI COCHICHEWICK ,d C�f?'qTEgD 7 BOARD OF HEALTH PERMIT T D Food/Kitchen i Septic System THIS CERTIFIES THAT............ ..C. ....! 1� ... .T ... .Q... .�"..� � BUILDING INSPECTOR " '• Foundation ' has permission to erect..W.0. !0059AW9 buildings on1#.P. 4&.ek1.+ #W.. P...40.+x.3..... Rough to be occupiedas.�'..1...A...►��..��..,��.A.!!���•, ..AP&A&z.� .....: .... .. .:��!i�1.�. ��.. , Chimney provided that the person accepting this permit 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 lnspect0RAFFFftT8AfiANWftof Buildings in the Town of North Andover. REGULATED BY PARA. 114.8-S. B.C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough D `y FEE PAID/ ,6 U Final PERMIT EXPIRES IN 6 MOH 0-017a, a c, /� ELECTRICAL INSPECTOR PERMIT FOR FRAME/13011IDIN.SS CONSTRUCTION START � ;� Rough . ..... ........... d DATE: -FEE PAI U ......•••..••••• Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises Do Not Remove Rough P Y P Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT f N O R T!y 3 o �� Andover a._ Oto O 3 �� _'� fry No. � -_� _ - �? LAK ori dover, Mass., 19ft cocHIcHEW11 K 7 ADRATED '9S BOARD OF HEALTH I Food/Kitchen I .,, ,. , PERMIT Septic System i BUILDING INSPECTOR t THIS CERTIFIES THAT.... ,, e..ANOWrI10.49400...'F...P AFoundation p g '•f.. O•t��� .�....4•r.� Rou h ? has permission to erectr� �buildin son g F` t0 be occupied as:�.�ilr�.��, ►. .�/r1Ae '� .� Chimney x:a h , provided that the person accepting this permit 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 InspectPMN TjMj4iFgU$jRmI0j$0"of i Buildings in the Town of North Andover. REGULATED BY PARA. 114.8,x. B.C. PLUMBING INSPECTOR r VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough DATE LZ FEE PAI q/�'(2. 6: t Final PERMIT EXPIRES IN 6 MONTHS 0 0 UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR s Rough PERMIT FOR FRAMUBUILDING edo ............. Service BUILDING SPECTOR t rbT�-' Final DATE: FEEermit Re Required to Occu Buildin q g GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough i Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. t Burner 4 f PLANNING FINAL CONSERVATION FINAL Street No. ' Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT CERTIFICATE OF USE & OCCUPANCY Town of North Aridover Building Permit Number 073 Date JUNE 10, 1994 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1f BUCKLIN ROAD (Lot #3) - lype D MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/1 CAR GARAGE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. MOTH a 1 CERTIFICATE ISSUED TO Hillside Realty Corp. do �a •''�` " 722 Turnpike St. ADDRESS &e Z, 3A US Building Inspector NORTiq Town of ;UAndover 0 No. LA` Tort over, Mass., 19 ► i' eap AC.00 NIC PIE WICK �. �4 r � D'S'A T E D P'P 41'�� 1 L BOARD OF HEALTH PERMIT T Food/Kitchen Septic System ' BUILDING INSPECTOR THIS CERTIFIES THAT.... ��� .. T �... � Foundation I has permission to erecter&FAW~.buildings on/.f.4#1*JQ*0W.�....&!lWJ Rough,�%4 Gv-C- -r—le' to be occupied asIX0.4i.4 .� ` �� .� Chimney provided that the person accepting this permit 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 InspectR0NUTjMIV* tM0MN(Wof 1011! Buildings in the Town of North Andover. REGULATED BY PARA 114.8 B.C. OrPLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �. s y DATE — FEE PAIG PERMIT EXPIRES IN 6 MONTHS 0 0 ELECT CAL INSPECTOR UNLESS CONSTRUCTION STARTS "h PERMIT FOR FRAME/BUILDING .... ce BUILDING SPECTi*OR � _ , C3 Fi DATE.�4 FEE e�-7nit O d t Required cca-c )y Building q y BGAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Roughn No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspec or.� q Burner s�e��KQK 6 I i �\ Street No. j PLANNING _`FINAL CONSERVATIO I � �� Smoke Det. SEWER/WATER, FINAL DRIVEWAY ENTRY PERM I4-