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HomeMy WebLinkAboutMiscellaneous - 16 BACON AVENUE 4/30/2018 16 BACON AVENUE -- - 210/045.G-0009-0000.0 i - 17--07 Date..... ......................... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING AT 0 ACHU This certifies that ..........avL... ....................................... has permission to perform wiring in the building of....... . . ......... . .. . ........................................ at....... j' North Andover,Mass. Fee..&-.' ......... . Lic.No). ............ ... ........ ......... LECrRICAL INSPECTOR Check 4 52 55? 7244 Safety Insurance Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B 1 Building Commissioner or Board of Health or 1 To: j Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER,MA 001845- NORTH ANDOVER, MA 001845- J .I� ...- +... _. _fir:... .l. RE: Insured: RAYMOND-J MARTINEAU and MARSHA J MARTINEAU Property Address: 16 BACON AVENUE,NORTH ANDOVER, MA Policy Number: HMA 0081428 Claim Number: BOS00045200 Date of Loss: 9/6/2014 Company: Safety Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which--may eithef exceed $1,000:00-or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please direct it to the.attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Lisa Monette Claim Examiner 9/10/2014 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (857) 233-8618 Fax: (617) 535-5833. Email: lisamonette@safetyinsurance.com Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 7 2=Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical CodeME ( C),527 CMR 12.00 PLEASE PRINT IN INK OR TYPE ALL L INFORMATION Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Q 6r(CU0 6' Owner or Tenant P4VwOmd Telephone No. ??,F- Owner's Address Q 4 (a `" Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building h-a j,5 e Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und rd ❑ No.of Meters g New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 5 tJ b Parr) - Completion of the followingtable ma be waived by the Inspector of Wires. No.of Recessed Luminaires _ o.of Total No.of Ceil. Sus .(Paddle)Fans P ) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.ot Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets /�j No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatin2 Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pum Number Tons K.W. No.of Self-Contained TotalsDetection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent 3 No.o Water KW No.of No.of Data Wiring: Heaters Si ns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1,5_0 Q When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE'T3— BOND ❑ OTHER ❑ (Specify:) I certify,under the3ains and penalties of perjury`_, that the information on this application is true and complete. FIRM NAIVE: , �If� /00 LIC.NO.:0 '0D Licensee:if'f j (1 = l �,Otl Signature & LIC.NO.: (If applicable, enter "exempt"in the license number line. ") Bus.Tel. No.- Address: �Zo1/Yi 0/Pf�s S"j` / ,�' /gCYd/�C"j�'i dyyCef Alt.Tel. No.: *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S" License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by, law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ -1y-07 r . 1 1 Date.,`/.? �,�/ ? f. pf•pOR7M",MO TOWN OF NORTH ANDOVER l0 PERMIT FOR PLUMBING • o� •'a 'fir '°,,,�,.�•``te ,SSACNUS� 1 j This certifies that . . �.G.�.J._S. . !. . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . .f. . . .t.f. . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of'. . . 1 .� . . . . .Y. . . . . . . . . G.+Y, . . . . .at. . . ./. '.; . . . . c".G,!1, . � .Q . . . . . , North Andover, Mass. Fee. '��,.�jt. . Lic. No. ��.` ` _'a. �1�j w . . . . . . . . . . . . PLUMBING INSPECTOR Check #' 7307 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) (/K/ Mass. Date: :3 / �/ - �-=— Permit # `il - --_ — _ — /& 4ae- Building LocationOwner's NameAatAlaLb-�a4t Type of Occupancy New Renovation Re IFement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES i z Z O � ~ to rn t/f U Z Z 9 Z O to i cc Z Z 4n W_ to N = to <<< �C d Z (.� Z 0. m < W C h ? Z O W W.O to c ..1 ;; < U ; d = < M� Z O 0 y Z Z < O U 3 Smha `5 :0, U. < 3o0cm0 SUB-BSMT. BASEMENT 1st FLOOR 2nd FLOOR 3rd FLOOR 4th FLOOR Sth FLOOR 6th FLOOR 7th FLOOR 8th FLOOR Installing Company Name Crane's Plumbing & Heating Check one: ertl Icate Address 70 Douglas Street ❑ Corporation Haverhill, MA 01830 ❑ Partnership Business Telephone 978.771115.5 ❑ Name of Licensed Plumber Peter Crane INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes® No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 6d 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: Owner❑ Agent O Signature of Owner or Owner's Agent 1 hereby certify that all of the details and information I have submitted(or entered)in the above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be ,complian a with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. �l•� By Signature of Licensed Plumber / Title Type of License:Masters❑ Journeyman l� 21805 City/Town License Number— APPROVED(OFFICE USE ONLY) FINAL INSPECTION SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS W . FEE .. NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED Date 19 U.G. Insp. Rough- .Insp. Final..Insp. .. .: _ t TOWN OF NORTH ANDOVER %iORTF/ APPLICATION FOR PLAN EXAMINATION *.A.("o 16,eg Permit NO: Date Received qqoATaO ec ..K P. ^ �9SSAC Date Issued: H�1`� IMPORTANT: Applicant must complete all items on this page LOCATION Qr C_ Print PROPERTY OWNER Print MAP NO.: CJ (5&PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building One family ❑ Addition ❑Two or more family ❑ Industrial I&lteration - -No. of units: - ❑ Repair,replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition h ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: 9 �—� CONTRACTOR Name: Phone: 33 Address: 01 Supervisor's Construction License: dJ5 0'M Exp. Date: t1-"N �D 7 Home Improvement License:_l D\ J/-1 L4, Exp. Date: X1.1 e _ ARCHITECT/ENGINEER Name: Phone: 6 5_1 5­2 Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER x1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ �)- a-S'rU I FEE:$ © � _ Check No.: - Receipt No.: Page I of 4 �. - - � _ - J i i i 1 - _ -- TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art' L] Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner A_ Signature of contractor Plans Submitted Plans Waived Certified Plot Plan ❑ Stamped P F1 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ - ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ _ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes —Planning Board Decision: — - - Comments— - 1 Conservation Decision: - Comments Water& Sewer connection/Signature& Date Driveway Permit I �` NORTi-� Town of 4Andover TA No. 2o :33 _ Y __-_ dower, Mass. O �+ LAKE > COCMICKE W ICK V ORATED P? "♦� `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System � BUILDING INSPECTOR THIS CERTIFIES THAT.... ....... .. �.�r.........# �!. ....... ................. Foundation has permission to erect........................................ buildings on .1.4.......... ..4.f!!/%.........Aic...................... Rough to be occupied as.... ......'Da.I..MA.C..:A!.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 Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPEC'T'OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUI T TS Rough Service . ... .. .. .......... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of>✓IGL c 40 S 54, a condition of Building Permit at: a.c.,►..j Av.2, is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by NIGL , 11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: 3 (Location of Facglity) C Signat a of ermit Applicant Fire Department Sign off: Dumpster Permit Date .,� The CO►hnroRWeallh of Massac/ttrseays 1 nib:8 Uepar/nteat of Industrial Accidents Office of investigations � 600 Washin on Street � gt ' Becton, MA 41111 �'' ttrww mass gov/dia Workers' Compensation Insurance Affidavit: Buildetrs/Contractors/Eketricians/Plumbers t f ti P ee Print L 1 Name ttttt�itxw�/thunirauiui>ltndivi�tuul): Address:_ City/Stale/Zip: ..-�--.- l_ u 1F'� ' Phonc #: `' Ar you an employer?Check the appropriate box: 1�i am a employer with, 4. ❑ I am a general contractor and I TyPt of Prot(required): employees(full and/or part-time),* have hired the sub-contractors [6- ❑ New construction2.(3 i am a sole proprietor or partaner- listed ort the attached sheet. : . ❑ Remodeling ship and have no employms These soft-contractors have S. El Demolition working forme in arty rapacity. workers'comp, irtsurance. (No workers'comp, insurance S- ❑ We area corporation and its 9' ❑ Building addition required.) officers have exerciser!their 10(� i;lectrical repairs or Additions �.(] t am a homeowner doing all work right ofexemption per MGL 1 I,Q Plumbing repairs or additions myself(No workers' comp, C. 152.§1(4),and we have no insurance required.] employees. (No workers' 12.C] Roof repairs COMP. insurance required.] 13-❑ }.Any npplicAnt that checks MM 0 t mast Also frit out the section below xht►winR their wmtctxs'aompensutiun q intb►mation. ^+__..._._____ "OrnewmiCrs who+atsntlt this ttrkhvk indicating dwy arc sluing all work end then him outside contrgetm,anent submit n ort add new utridavit indicating such. : ncion that t>lteck thio box sotto notched tlonal shM showi"S the Annie of the stdt-4wntrucwrs anti their workers'camp,polity information ami WK/Nd h prorl�a�w ars'comm 1 ronce for niy e y Brfow is the Policy atnel)ab srbor 1 Insurance Company Name: Policy Nor Self-ins. Lic. N: Expnation Date: Job Site Address: �c,- '��. C..G-1 Attack a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can load to the imposition of criminal penalties of a bete up to 51.500.00 and/or one-year imprisonmen(,as well as civil penalties in the fcx-m of a STOP WORK ORDER aml a tine of up to 5250.00 a clay against the violator. Be advised that a copy of this statement may he forwarded to the Office of investigations of the DIA for insurance coverage verification. 1 do r� ons earl Pen+It 3 0 'Pedro y that the inforawdoa Prov W above it tore and correct. ' )al Phnt�e tDlp-ird use only. no not write in Mit area,to be completed by city or tower official Cltv or Town: PermWLkcense N lssa ti AuthoNty leirele one): 1. Board of Health 2. BuiMWC Department 3.City/Town Clerk 4. Electrical Inspector S. Plumbing inspector 6.Utter coa tet Per%. ": fitoae N' FROM :M.P. Roberts Insurance FAX NO. :19786833147 Jul. 18 2006 11:10AM P1 ACDJBQw CERTIFICATE OF LIABILITY INSURANCE pauaAlen T -S CERTIFICATE 10 138WO At A MATT2R Of INFORNAT*N ROURTS INSURA= MUCT INC. ONLY AMD CONFERS NO RMTt UPON TBE CERTIFICATE M)LOM1060 O9dQOD STRUT ALTER ' ? C'S ERAOE"" DOU NOT AMM, CXTENO OR AlIfORb8t1 BY TWE POUCWA BELOW. NORTH ANDOOM MR 01845 978-013-8073 WIL9WU AFFORam covERAaE NAIc1N mix MURPHY BUILDING & R&HOD&LIM n sutf�f A V pRO�� _ �NRARII w: TS I1dRUR�NCE 169 SOXFORD STARRY IN6LM1@I c: __ NORTH ANDOVRR, MA 01845 aa►ufnDN n: �" `-�"---�`—'-i xlalagl6 6 COVERAOEB THE POLMO OF INSURANCE LWFD BELOW NAVE BEEN IBWUED TO THE 1NSUREO NAMED ABOVE FOR-1-46 t'OL+CY OMW WWAIZO,NOTINITNSTANWIM AAW ReOU1ROMM.T6RM On CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH R6SSCECT TO*WN TNI$CFRT1fIC41t MAV AE t88uED OR MAY PERTAIN.THE#SURANCE AFFORDED BY THE POU0 88 090Rt80 HEREIN 18 8UMOT TO ALL THE TERM&IW MONA ANOCONDIMNs Of surf+ POfdcies.AGOAEOATELIMITS$MOWN MAY HAVE SUN MOUCE08YP/uoCLAIMS, ' �OLIQY ARAl01 ..... htlUCY aFPlCfl1r6 �OUf'VbIM1U1 WATa OlN61ML LIAR�ITY �[ MAf"tmScuft a/falaA,.0 u.ry aAw occAlfeflf/ca f 1,000.,Q00. PaawaR6 ..�� f 0 000 � eu1MRW011 �oCa,A MCDma(Nlrv!b,enom + 51000 A CPPOOGDB68-01 11/22/05 11/22/06 mommLerw.vSaJow f 0 , .. OaRN6iUI, AOOR6CATR S O . Q,00 0 olio A6ol6o.Tl IJAaT iMruaa P61: V r'tmx"•Wmpm. P Aa0 .I f 2,9 9 Q.Q.r O OOLICY � IAC F z ALmoNoafo*Lu/n.m eoralx*n Amo t uw 1 AWAM aenoa+lwtf N 500,000 ALLOVOEOAL008 -------'^-, SOCOULOO A"$ 8 NRaDA�Ta 7AM0277013608 1/23/06 1/23/07 _ -- NONOWtKDAVr00 66000 f CRY f I + parc�grw; I�AAQI LN{x'RY - AIIfQ ON Y.EA ACGDahf f OrflR TWW MMCC f ♦�1K1Milr' AUS/ f 6710E$�IUNlIm1.A LVIOILtTV ' EACH OCCuARVdaa OCCUR OLANOVA06 AOOAIMTY f �- otwlleTreLa f RaTRNT10h t f i VOW M6R3001Ia0ATCKAND vuama _ "�`���44ACUM bllJpfCM339 7/01/06 7/01/07 A.L RACHAoclneNI f 5011,000 L. D n'aNwsaof exeLL.em & OMEAN•FA OMtLOYRF t_ _ 500.000 arasaelfaff>wax - _0 01/O NMOVINON6 ma/ 'P.L.adkAltE-ROMY LWVT f mh�R I xsapanoNor aVCrtATRa�orweArlara�vooeLaar6xRwaroNanaoeo6►IaroollsaNtMrrtpltaAL,raora�wa 4 , CERTIFICAtE CANCELLATION &CIAAAW OF"ASOW t)COOR ft pOLRWe a6 CANC,,&A0"Fong TNF..RxP1R0kT10N TOWN OF ANDOVXR, MA DATO r/OMM.TW IeetM MAM WCL 04WAVM r0 run. 10 n.ra f u TTch MRTLIITT 9TRENT Nor"TO ne OtmwCATO.Ia4OCn HANDY TO 1%6 taPT,our snA.UNe w .n,« ANDOV1alA, M71 01810 WOW NO 0K*A7%*0R LUOWW a ANY KkRf Uftm h tyl AWNTS 004 BUILDING DIPARTMENT REWIEO[NTA AuTNORIm r,vl 1 ACOR02f(=WN j OACORO CORPORATION IOU i f aI /� 169 Boxford Sleet `Mr vin. MWWphy • North Andover,MA 01845 • PH:978.68M35 Building Contractor FAX:9784WW7207 Proposal TO: Ray Martineau 16 Bacon Ave All Home impmvemert Cormlam and Sub�agors errgagad m horn a hr vmverrw carmft unless North Andover, Ma 01845 lly ftMnV*8bMbYPmwJwmorChwter 142A of the%-rm taws,must be registered with thte Commonweamt or Massackw ta.Irpulrles snout rogfslr8b-and Shames should be made to ft Diredor,Home Fray Kevin Murphy l�C«m�t Reg oofim,one Ashburton fes, rP Y Room 1301,Boston,but 02100-(617}727 69s6 CC: Date: 9/17/2006 Job: Dormer Date of 6/06 Steve Foster Location. same Section I-Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 10/1106. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 12/15106.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11--Warranty The Contractor warrants that the work fumished hereunder shah be free from defects in materials and workmanship for a period of 1 year fohowing completion and shall comply with the requirements of this Agreement. In the evert any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors,employees or agents, is discovered within one year after completion of any job, Including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair correct,replace,or cause to be remedied,repaired,or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shah survive any inspection on Pe rformed in connection with the agreed-upon work. Section III-Scope of Work .r 1Kevin Morphy Page 2 of 4 unfile"ag costttractotr 169 Bortord sheet North Andover,MA 01845 PW:978688,5335 FAX:978-686-)000( General Building permit will be provided by contractor. No allowance has been made to obtain a variance, board of health or conservation approval. Building All frame and roofing materials will be provided to build two dormers, on second floor of existing house, as shown on plans. All floor, wall, and roof sheathing will be plywood. Exterior walls will be 2x4, rafters and floor joists will be M. Ice&water sheiks will be installed at all roof edges. Roof shingles to match existing. Walls will be wrapped with Tyvek or equivalent f=ive Harvey window units will be supplied and installed as shown on plan. Ceiling on second floor will be framed and strapped. No allowances have been made for any addition to first floor, renovations to first floor, renovation of existing staircase, exterior siding, reroofing of existing house, interior petitions, plumbing,heating, or electrical work. Waste Removal All demolition/construction debris will be disposed of by contractor. I rP • • Kevin Masxphy Page 4 of 4 0b=UdbW Cottttwaatow 169 90 fiord street North Artdwer,MA 01 845 PH:9784188-5335 FAX 978{88-)0(X)( Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ...... ...... ... ... .......$ 27,500 Payment to be made as follows: Percents elfbem Description Amount 1 Permit obtained $3000 2 Roof complete $22,000 3 Job 100% complete $2500 Total 13 1 $27,500.00 el tice No agrearrent for Non»Im &mno t n8 work 010 require a down par-rd jadm—deposit)of more that-*4drd of the WW oo*W price of the Mt amount d an dep"or paymeras ,the cormector mud make,in advance,b artier WKMDr diWr obtain delivery Of Wecd oder mabenMs and eaiuipmerd.4i hmw IS greater Contractor: Kevin Murphy 169 Boxford Street No. Andover, MA 01845 Registration No: 101874 Section V—Acntce Acceptance of Proposal—1 have read this document and accept the prices, specifications,and conditions stated. I understand that upon signing,this proposal becomes a binding contract You are authorized to do the work as specified. Payment Wli be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in waiting "NOTSIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature U b Signature Date l / 1�-XI51IN6 ISN WI11I1" ................ 6 O' •::�•:•:•:•: }:•;•:•:•:... .............:1., - .�.•.•.•.•.•.•.•.•.•.•1•..... +I �A O51,01'x[7 ILWN'wr A C3M-,C)OM . ..................... ......... AWNING WIN70W � CL A A E 45TIN6 CHIMNf;Y O QN MA51�P 13M\OOM CL _ 0 F-X1511NG PH WINPOW M"FCR MARMAU V�5112MF 5FCONn FOR PLAN 16 BACON AVS, NORTH ANf7OW, MA SOLE '-1'-O" DATE:5/29/06 2N1 R,MV3 F-451TN612H WINDOW t0 MMAIN NM 5NI 12 POI1WEp NWI; 5HFP POIZWI: FM NFW FOYF-R FIN15H 2NP FLOOD ------ --___- / \ FM MMOVF� E 45T1N6 LLUa a / \ 10012 ANI7 5tAW5 (/ \ a � I `� OLYfLIN� OF EXISTING LLUGAPAGE� TO MMAIN FINISH IST FLOOD as F�L�V123 FpONf �VA110N PLANS FCF MAKMAU F,�51P%C� 16 LWON M. 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Total land area, sq. ft.: NOTES and DATA— For department use) I t Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 i it -Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. - Roofing, Siding, Interior Rehabilitation Permits - ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan - ❑ Workers Comp Affidavit o 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) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan _ ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) .❑ Copy of Contract ❑ Mass check Energy Compliance Report 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:BPFORM05 Page 4 of 4