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Miscellaneous - 210 WINTER STREET 4/30/2018
Date. o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .... ............. .......... has permission to perform-.-,,-. ............ plumbing in the buildings of . �"4 . . .................... ......... North Andover, Mass. Fee!7!?.-O' . Lic. No-P/c�c/ .... ..... . . ........ �L 6UIX 9 -1 'N �G� CT.R Check # 5387 Lam. E� �+ a 0 U 5 0 <, y =�m c c � pCA o� v cd 0 � a U f t W C7 m w o v � G O O aai w cn p w a; U w p 1:04 O G w cn cn cf) 0 Cl) m Cl L V Z a3 CL O CO) � C W cm i O co M Eco0 co m m CL. H CD CD co Q cyy o �- a ca �Q Q = C ev C2 'L7 C Z CD Cl CL :.3 V3 M C .0 C _R CL Cos 5 0 =�m c c � o i C H O v v CL Ck o Rm C :.0 C • cc CD N O CID Z m a L. y g SES® , —e o c E CA cc o C H t ED N C �E o 2: :yCD oCcm D O Of • i C.3 O ego '� z i o r1 ''coo CL. CD c C h N m co W o$~ CD � C � O ._N ��••, eo c r.. a ZC.3 2 CD � ti x a CD m a`ti•� o. 1— r $ a=m i cf) 0 Cl) m Cl L V Z a3 CL O CO) � C W cm i O co M Eco0 co m m CL. H CD CD co Q cyy o �- a ca �Q Q = C ev C2 'L7 C Z CD Cl CL :.3 V3 M C .0 C _R CL Cos 4129 Date./. TOWN OF NORTH ANDOVER PERMIT FOR WIRING I - This certifies that . S C, - 46) t? M f �&17 7�( Aas;A� .......................................................................... has permission to perform ........ ........................................... wiring in the building of ..... /Z fc C) .................................... ............................... XI/' at ..... ;�-M ....... (1,1J. 217 .. ............North ass. 'd '6 Lic. NA.110"-:3 ........... ...... 1 ELECrRIcL NSPECTOR Check # L amnsocura(tfc o f 7l/amu 0 1 sc Only EOARD OF FIRE PREVEN1't tON REGJL-.TIONS OItrf and c' -k APPLICA T ION FOR PERMIT TO PERFOPW ELECTRICAL 1� All arum to be perrornx:i in �rd:nc-with the.v_ RI C�;L Y'�0 R Czrr C:, Cal (1'LL'f#SE 1PFJN7IN INK OR 777 AL IV�FOR,1nl •ITFOt� DWc- City arTown af_ NN cc) 10 the 1/uneC?� of BY this acciiction tine unde:sisnea a2 aC12 orhn: .. ' .:on to;dorm the Lee:cr-rci tivar;,�=c-:cc` below. Lection (Sheet S Number) (:.�C' Owner or T==t Otivna_-'s Addr= Is this Permit in conjunCio th z bu ermit? Yi= Purpose of BtuIding Y0 (CIi?;.',7propr'cte Buc) ULM.? Antheri=tiou c io. Existing Scnicr 1'R Amus 2 1 v Vafts Oti•cr?Ie:d Undgni ❑ No. oC3icic.-s . iti ear Scrricc °a.Dq Amus ' 1 I Z'oit5 Qrc: It=d Und,rti ❑ iJo. afyIei_rs' i`(uzabe.- aC F�•ders zlld :amnacir z Laotian snd iraturc a Fropascd Eic••'r•.� warrti v Cumn/parr oitlu �aifrnrritt. facie mal be zri:�s ov ;/rr Gr_�-�; �r or ; t:rr aCRect:sse•I Fixlures : a oss f CCR. -Su. �tyo, of Tac -i of Liallting Quticls LNG- OfLigitting Faturt: `Ia- of Receptrc?e OutIels No. of S�vitcses No. ofZ.zngs 5 No. OrNvzre Dismnse:-s a. aCDfsitss.sllers Ya. ofDrrers Na. of 1� Ler HcLc.-s Na_ Irrdr`Qm =Cr Batiliubs OT_=FZ: 'Ya. or Iiat Tuffs ISsnma:uz; I'coI a.;av e �_ I Iiia. of Oii Buren 'iia of G=s Sure.; i "a. of air Chad. ac_: Tars i �~=.• Y� taD :`i umr: c- i ons ^: i Totais:I i ISxr-_;Ar= Heating 1C,-1 I`=dIIr AitPtianc= I� :� iia. of Mators IGarcr_tarr liv•z (111 at rine-7e--c: 1.:°5tIt:IIe j Brtterr LTnf{s INC. of Za^c_- IrNn. of Det -:aa rnd �^iiiatilsq Dct-ic� INo- of ,ale. -zing Dezic— :rtamcart -; L:an�e='son Qthe.^ i1 a. of fro. ai Dos err or Eauiti --lent In -•V i a of Desk-� ar Lauiti �Ieut Tot_i HP I c-"ummuai�tioas lti firing: I Ya. of Der;cur or Eauiz--ent Iii S dllacs ^^^ivarrc! ;� ;; j f�;r ar as r�irrri by tfre fitrFrt�r qi T Puz_ ilA.as�iCE COVER,, - .CZ: Unless %tom by the on -car, as permit far tf r pcformaa� of ,,:cl the Iicz== pmvi� proof of U=bEity ins+* - in r rume: n=y issue unl� e d'M3 crrapie�� aperzian' cavcs4_ or its:ui;ssatial =uiz-I=L -C,,. e undessiped ce�ifles tl=t suers cove r_e is :a force, rad hs caioited ao , of Cr= CYO; (E: Ii\tSUIL\NC-z ,,E�.,,ss BOND r..tae to the aclait iso oCtic:. Fstir=tgrd Value of Eicc:riri Wat7- ' v (F --.;r 'cn Cs^, aic a"..i Cafir;.) Wark, to S=-= - Ci -30 "DZ I=c: icm to be tec-;umte is zcz rdw.r- ,.;djj1vjE.0 ?��ue 10 " I cr.•zif- -pcn C::=Ie�an. + lllr ^' /lit 1+r:i n..+r�rlti.•e. nr nrnn+-!• _lftrrr tflY lrIJU!^.rrC1:012 Qlt :.rtt$ ?J71711L"-Ip7t 7S,Ir• a�u . r• II�� t = �csc_ . _ t �7artrgru� LIG I';O.: � ��_ Liczasz i�ScnInC. ~.om�coe �IRn-2urt f1lapFlicai- - �. LIG i'iQ ::P -Q: b�6 _Acocba� MAL423 V C:c Address: ° -:. - =: Bus. TeL `io — — 3 O«t{ERIS IiYSiTR%,NCE WAIVER: I �r� that the Lim doesrrctlreve AXTei. iYo • —Z--�4t7oZ 0 r the � Y �- ccv=ze naraatlly Jc required by Izn. By my si�ture be -oar, I �Y arrive this ra?ui- cxt. I .m the (chi acc) [J oartser onztcr's rrrnt. � Otisru � eat ❑ - Sig= Telephone \a. Pt?1i�1 FL•E: S Jack Licensed in MA • NH • ME � ELECTRICAL born &Son Inc. CONTRACTORS INDUSTRIAL e COMMERCIAL -RESIDENTIAL PO Box 676 Amesbury, MA 01913 Jack Sanborn, Pres. Tel: (978) 388-9453 Mobile: (978) 815-6582 Fax: (978) 388-4902 Pager: (978) 545-2056 www.sanbomelectric.com STt�TE OFTEW HANIPSIIRB }j£ i IF'. �YF Ck .�' � 'fit• �+' - E1.�ECS BC1R 4 l ' CERTZF`IESfTT�f NAME IS LICENSED=AS X:, M43',TER'LEICTRICIAN PER RSA 319-C r LIC., 5704 ExPiREsx QS/3:0 r Tips CARD iVIUST BE PRESENTED TO T}3E ELECT$ICIANS BOARD' t INSPECTOR UEON REQLYEST 1 Maasach6wta6'M3 INSPECTION 'r DEPARTMENT JACK SANBORN 50645 16TTO&F FMASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE OF ELECTRICIANS REGISTERER MASTER -ELECTRICIAN ISSUES THIS LICENSE TO .( JACK SANBORN & SON INC m' JACK V SANBORN IN, PO BOX 676 ` A-MESBURY MA 01913-0015_ 11833 A 07i31iO4 327447 0 Fold, Then Detach Along All Perforations STATE'OF MAINE DEPT OF PROFESSIONAL & FINANCIAL REGULATIOl14 ELECTRICIANS EXAMINING BOARD LICENSE # MS60004528 �A918� JACK V SANBORN LICENSED MASTER ELECTRICIAN ISSUED JUN 03, 2002 EXPIRES JUN 30, 2004 ~05-0645 05-06-05 M 6'00- DMJ • S21420862 Date of Birth Expires Sex He** Class Number B Resbict SANBORN JACK V• o 4 BIRCH LN °C AMESBURY, MA 01913 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ((lint or Type) )) Mass, DateX2 0 09)-- Permit Building Location ld/fd '? -e y- Owner's Name 0, %e Pr -A Type of Occupancy=_ New Renovation ❑ Replacement❑ Plans Submitted: C1Yes No ❑ FIXTURES .. -j- a J1Urn ,61 n 9 Address f/a f//LAnc -- S S S i' 41>�D Business Telephone ,`7 - Name of Licensed Plumber Eire - k=.. a.. y m 2 O Q y x H ¢ m 3 x _¢ m Hin < e a U2 <. S 3 N O C J vi C �- < Y C C. gid. LL 91. Q p Nd V C19 Z o SUB -SS MT. BASEMENT IST. FLOOR -4:H 2ND FLOOR 1R0FLOOR 4TH FLOOR STH FLOOR r , 6TH FLOOR TTK,FLOOFl— STH FLOOR STH'FLOOR Installing Com pan ' Name_ /)9 -j- a J1Urn ,61 n 9 Address f/a f//LAnc -- S S S i' 41>�D Business Telephone ,`7 - Name of Licensed Plumber Eire Check cne Certificate ❑ Corporation rtnership Firrn/co.','.�- INSURANCE COVERAGE: 1 have aY ent I!Wlity Noun ce policy or its substantia) equivalent which meets the requirements of MGL Ch. 142. If you have checked Yes, please indicate the type coverage by checking the appropriate -box.' A liability insurance policy ` Other type of indemnity. . ❑ Band 71 h 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 Aaent Owner C] Agent I hereby certify that all of the details and informi knowledge and that all plumbing work and insta pertinent provisions of the Massachusetts State ey y Title Cit To" APPROVED ICUSONL`O Fns 1 ha mined (or Type of License: MasterJourneyn License Number .tion are true and jaccurart t!}e�best of my application will in c =test all V N2 4557 4 Date "cv "oar TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING This certifies that "101.1: . J.... 4 ...................... has permission to perform ... ........... plumbing in the buildings of C d n ........................ at {c.... ............. North Andover, Mass. Fee.,�:>.^. Lic. No .......... ....... - ......... PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 2 10 w of fJ E Date �% " �. - D O Permit #-6 Amount �) New M Renovation El Replacement rl '-•1?Tans Submitted Yes F1 No FIXT#RES • (Print or type) � / Check one: Installing Company Name A' 9k l 11 Corp. _ ❑ Partner. Firm/Co Name of.Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 11Bond F1 Certificate Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance ignature Owner r-1 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 State Plumbing qC�ode �and Cha ter 14 of a Genera Laws. By: Signatureot icens um 5r Type of Plumbing Lice%se Title,, / City/Town License INUM er Master D- JOumeyman ❑ APPROVED (OFFICE USE ONLY June 1 'A'96EIVED Ms. Julie'Parrino, Administrator. North Andover Conservation Commission JUN 2 '0 2002 27 Charles Street= : North Andover', MA 01845 NORTH ANDOVER CONSERVATION COMMISSION . Ae ;210 inter Street, site re -ort re aiding Conservation'rCommission.�unsdctiori W. � ri p g_ Dear Ms. Parrino: This letter is in response to your request for additional information -regarding the jurisdictional status of the above named parcel. I,visited the site on June 13, 2002!J was.. met on -site -by Mr. Kevin Della Penna (Building Contractor) and Mrs. Diana Curro. (owner)' The lot is bordered on two sides by a small patch of remnant forest. This forested area is home to a mixture of Facultative, Facultative Wetland and Upland species. The plant communitrincludes red maple (Acer rubrum), Arrowwood (Viburnum dentatum); poison ivy (Toxicodendron radicans); hickory (Carya sp.); black cherry (Prunus serotina), hazelnut ((7orylus sp.) and red and white oaks (Quercus rubra and Quercus alba respectively) Since there is a mixture of wetland and .upland vegetation on this site I investigated the soil conditions for the .presence .of.hydnc soil. The- following two soil profiles were logged in what I .would, consider the lowest areas of the parcel. All of the soils looked at had a loamy texture. Soil pit 1 was, dug approximately 25 feet into. the forested area half way back on the north. side and soil pit 2 was dug about 20 feet -into the woods in the center rear of the parcel. Pit Horizon depth color value/chroma redox. ` l A 0"-12" 10 Y/R 3/1. none B 12"-20'4 10 Y/R` 5/6 -none- 2 A 0"44" 10 Y/R 2/11 none" B 14"-20"+ ' `10 Y/R - 5/4 10 Y/R 5/6 The above soils are not classified as hydric according to the Field Indicators for Identifying Hydric Soils in New England Version 2 and there are no other signs of hydrology. It is our opinion that there are no areas on or within 100 feet of this parcel that meet the criteria of a jurisdictional wetland. If you have any questions or require additional information please do not hesitate to call. Sincerely Seekamp Environmental Consulting, Inc. Michael Seekamp Senior Wetland Scientist C.C. Kevin Della Penna Diana & Frank Curro Location M C;2 / c) ('Ul A'E /2 SA -- b9-3 Date 6 _a y-0 a NORTH TOWN OF NORTH ANDOVER 10- y � Certificate of Occupancy $ C ��. ; CNU CHU E<�' Building/Frame Permit Fee $ sAS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /0 //a (6>,- 5 6 5 :' Building Inspector 14 -ANDOVER TOWN OF NORT BUILDING DEPA, TMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 010 71,1111,10 i — BTI n!:R � �.*Y,�5,�IL-I--i-" BUILDING PERMIT NUMBER: DATE ISSUED - SIGNATURE Building Commissioi SECTION I- SITE INFORMATION LI Property Address: ?-10 bjunu- S.T ben 4 A u�,ovr (L 1.3 Zoning Information: 5�- 19S Date 1.2 Assessors Map and Parcel Number: I nq C - Map Number Parcel Number Property Dimensions: Zoning District Proposed Use I Lot Area (sf) 1.6 BUILDING SETBACKS 00 Front Yard . I Side Yard Reanired. I Provide I Required Provided Rear Yard Provided 1.7 Water Supply M.G.LC.40. § 54) 1.5. Flood Zone Information: /\ 1.8 Sewerage Disposal System: Public0 Private 0 Zone Outside Flood Zone 0 Municipal !3 On Site Disposal System D , SECTION 2 - PROPERTY OWNERSHONAUTHORIZED AGENT 2.1 Owner of Record FP,Atj,t- -+ NA&krJA Csx- 4L 0 -2-1 e WTNTF-0- 15"r, Name (Print) Address for Service: -7� 4�' 10,0,e. tq 4VO4 2.2 Owner of Record: Name Print Address for SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 STf-,Uf— hWFLL —0(&S7 -3Z ri 076,7-1 Z Licensed Construction Supervisor: 0 76 79 z License Number tfLq Address I*ATelephone Expiration Date L Signat7u 3.2 Registered flome Imj5rovement Contractor 3 z 3 7 A�V140 WAA Company Name Not Applicable 0 3/0 Registration Number Address S— zy 0?— �ellyo Expiration Date SECTION 4 - WORKERS COMPENSATION (NLG.L. C 152 § 25c(.5) 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 permit. Signed affidavit Attached Yes ...... X No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition Other ❑ Specify I SECTTON 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to beE Completed b permit a licant gmgwiidi "IJSR ,t OEM 0�, fi Y s s ; „ 1. Building Z 1000 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing ONO Building Permit fee (a) x (b) '- 4 Mechanical AC 5 Fire Protection Z 000 6 Tota] 1+2+3+4+5 1 o Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner 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 Print Name of Date NO. OF STORIES - SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvMERS 1 2 ND 3 RD PAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHINTNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ruhilVl U LOT RELEASE FORM -0-0te. INSTRUCTIONS: This form. is used to verify' that all necessary approvals/permits Boards and Departments having jurisdiction f rave been obtained. This does not rl� rOr the applicant and/or landowner from compliance with an a licable or requirements.VE p Y pP *****************************APPLICANT FILLS OUT THIS SECTION APPLICANJ OVA �t0ui� f ZG�C1 � PHONE C9 %6 < 9 9 V9'0 LOCATION: Assessor's Map Number -- PARCEL SUBDIVISION STREET 2/0 wspi r e sr, LOT (S) p pv #%A- ST. NUMBER______ USE ONLY*********************************** REC MMENDA 1. �S x CONSERVATION � %Rlas- COMMENTS No X OF TOWN AGENTS: STRATOR . DATE APPROV91) o2 DATE REJECTED lc�s w,`, lb/I �•,s c�pord I✓1'c� -VtA fe-e sti DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIO DRIVEWAY PERMIT FIRE DEPARTMENT--�-A-e- . W, F_,e, RECEIVED BY BUILDING INSPECTOR 4 Revised 9197 jm JUN n 2002 BUILDING DEPT. Seekamp Environmental Consulting, Inc. 29 So, Main Street, Newton, NH 03858 Ms. Heidi Griffin Town of North Andover Planning Board North Andover, MA 01845 Tel. 603-382-3896 June 21, 2002 `Re: Frank & Diana Curro, 210 Winter Street, North Andover Dear Ms. Griffin: FAX 603-382-9459 I have inspected the above referenced property for the presence of wetland resource areas and found none. A review of the surrounding area has revealed no wetlands within 400 feet of this property. With regard to surface water runoff associated with this project we recommend the use of drywells to catch rooftop runoff. The drywells will perform the function of infiltrating the clean rooftop rainwater back into the ground. Attached to this letter please find a copy of my correspondence with Julie Parrino regarding my evaluation of the soil conditions on this property. If you have any questions or require additional information please do not hesitate to call., Sincerely Seekamp Environmental Consulting, Inc. Michael Seekamp Senior Wetland Scientist Seekamp Environmental Consulting, Inc. 29 So, Main Street, Newton, NH 03858 Ms. Julie Parrino, Administrator North Andover Conservation Commission 27 Charles Street North Andover, MA. 01845 Tel, 603-382-3896 FAX 603-382-9459 June 19, 2002 J Re: 210 Winter Street, site report regarding Conservation Commission jurisdiction. Dear Ms. Parti nO: This letter is in response to your request for additional information regarding the jurisdictional status of the above named paurceL I visited the site on June 13, 2002.1 was met on-site by Mr. Devin Della Penna (Building Contractor) and Mrs. Diana Curro (owner). The lot is bordered on two sides by a small patch of remnant forest. This forested area is home to a mixture of Facultative, Facultative Wetland and Upland species. The plant community includes red maple (Acer rubrum)a Arrow ood (Viburnum dentatum), poison ivy (Toxicodendron radicans), hickory ( ary p.), kcherry (Prunus serotina), hazelnut (Corylus sp.) and red and white Oaks (Quercus rubra and Quercus alba respectively) Since there is a mixture of wetland and upland vegetation on this site I investigated the soil conditions for the presence of hydric soil. The following two soil profiles were logged in what 1 would consider the lowest areas of the parcel. All of the soils looked at lead a loamy texture. Soil, pit 1 was dug approximately 25 feet into the forested area half way back on the north side and soil pit 2 was dug about 20 feet into the woods in the center rear of the parcel. Fit Horizon depth . F color value/chrome redox. 1 A 0"-12" 10 Y/R 3/1 none B 12"-20"+ 10 Y/R 5/6 none 2 A, 0"-14" 10 Y/R 2/1 none B 14"-20"+ 10 X/R 5/4 10 Y/R 5/6 The above soils are not classified as hydric according to the Field Indicators for Identifying ,hydric Soils in New England Version 2 and there are no other signs of hydrology. It is our opinion that there are no areas on, or within 100 feet of this parcel that meet the criteria of a jurisdictional wetland. If you have any questions or require additional information please do not hesitate to call. Sincerely Seelcamp Environmental Consulting, Inc. Michael Seekamp Senior Wetland Scientist C.C. Kevin Della Penna Diana & Frank Curro ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J (effective 3/1/98) Ap-.Pl1 it. tame .•_•__. I Imo buo R<tie'A Applicant Address: yumur-- OdtrN An+40aDE , ®1 g� Applicant Phone: 970, ` 9 eq - Site Address: Z10 &J-T-�U.O Sr City/Town: M06 14 A v&)JJ9P. Use Group: 2e 5 J ��- / S�wGc�uu i secs Date of Application: (p --/6' 0Z_Applicant Signature: A� „ ,4�� Imo` CompIiance Path (check one): Prescriptive Package (Limited to 1- or 2 -family wood frame buildings heated with fossil fuels only) Package (A through KK from Table J5.2.1b): Heating Degree Days (HDDfiS) from Table J5.2.1a: (For items d. through i., fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft b. Glazing Areal sq.ft. c. Glazing % (100 x b = a) % d. Glazing U -value U_ e. Ceiling R -value R- f. . Wall R -value R - g. Floor R -value R- h. Basement wall R - i. Slab Perimeter R - j. Heating AFUE 7 Component Performance: "Manual Trade -Off' (Limited to wood or metal framed buildings only) Climate Zone (from Figure J6.2.2) [J Zone 12 Zone 13 E] Zone 14 Attach Trade -Off Worksheet from Appendix J, [and HVAC.Trade-O ff'Worksheet, if applicable] .MAScheck Software r l sa edS I Gsctieml, 4 Attach Compliance Report and Inspection Checklist printouts. Systems Analysis OR Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall + Ceiling Area t5q 7 sq.ft. b. Glazing Area i 37,S' sq.ft. c. Glazing % (100 x b < a)ELI ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: 1 2 3 MAXIMUM U -value MINIMUM R -Values Fenestration= Ceiling' Wall Floor Basement Wall Slab Perimeter, Depth 0.39 R-37 R-13 R-19 R-10 R-1 0, 4 ft Glazing Area may be either Rough Opening or Unit dimensions. Based on NFRC listing. Applies either to every unit, or to area -weighted average of all units. R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R -value over the entire ceiling area (i.e.- not compressed over exterior walls, and including any access openings.) [] "SUNROOM" addition (greater than 40% glazing -to -wall and ceiling gross area) Attach "Consumer Information Form" from 780 CMR Appendix B. Official's Name: Official's Sianature: Application Approved F� Denied [_� Date of Approval/Denial: Reason(s) for Denial: (provide additional details as.needed on back side) The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02911 Workers` Compensation Insurance Affidavit Print Name: F1 olt 4 - Location: Location: 21b (A) i1Ti.11 � i oy /Uo k 1-1 A tvowkk . ti . b ( PIS -Phony (-� am a homeowner performing all work myself. 01 am a.sole, proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. Address a."Oeo xLA. - /l( Insurance co.- F1 -AQ -T�� D INS uc �p � Poticv # WC A D 0 ! Z 7 Cy An,r THr- MeAtTv4, Address P C) • . gax 5 y 0` C tv:.�Ar,il i �vt i� 02 g4y - NO Phone #- ( 7 2 1) -1 S DBS6A � $ Failure to secure covorage as required under Section 25A or MGL 152 can lead to the ir1'lpw Won d crimin4 penaltles.d a fine up to $1; 50p.00 and/or one years' imprisonment as well as dvil penalties in the form of a STOP WORK OADM and a fine of ($100.00) a day against rr►e. I understand that a copy of this statement m9► be forwarded to the Office of Investigations of the DIA for coverage verification. / do herby certify u946J the p)j(1Sfs a,/ ,gyp les of penury Urat the information provided aboveis true and correct Print name. ./6yzx) 06G6Aq �� � &DX_-J7t0yJ 01W46,fi,9 Phone* q7L M 9L/ `t' o Official use only do not write in this area to be completed by city or town official' Building .Dept ©Greek if immediate response is required building Dept p •Licensing Board [r Selectnian's ofce Ca�tact person: Phone # El Health Department Other WORKMAN'S aN's co�P&JSAnow. MG. JGAGE 1NSPECTIGi. n BAY STATE SURVEYING ASSOCIATES 234 CABOT ST., BEVERLY MA )CATION • 'ALE • I" O FT. DATE- _.... EFERENCE =l Joe: e location of the building(s) as shown, either complied with the :al zoning set backs at the time of construction or is exempt m violation enforcement action under Mass. G.L. Title VII iapter 40A Section T BEV' :F i ING 5I(LUC,TAL 1 W11\J7E NOTES: • This is a Mortgage Inspection survey and not an instrument survey, therefore this plot plan is for mortgage inspection purposes only. • This survey is based on survey marks of others. • Bushes, shrubs, fences and tree lines do not necessarily indicate property lines. • In my professional opinion the building(s) are not located in the special flood hazard zone, as defined by H.U.D. • Whenever an offset is 1'± or less, an instrument survey is recommended to determine prop. lines. • Offsets shown are approximate by tape survey. wH1T7lE,2 /9,0,33 /6/,7(c UU' Ao- 0 1AK(- of s ST �Jr ifaf\� ROBERT JAMES Date: 6/10/02 04:02 PM Sender's Fax ID: 9789880038 Page 2 of'2 AC ORD CERTIFICATE -OF LIABILITY INSURANCE OP ID CL DATE(MMIDDIYY) 1 HOWEL 1 06/10/02 PRODUCER Brenton Tyler/Ralph Rubin Ins. The McCarthy Companies THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O . Box 540169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Waltham MA 02454-0169 LIMITS Phone: 781-893-4808 Fax: 781-893-6679 INSURERS AFFORDING COVERAGE INSURED INSURER Hartford Insurance INSURER. B: MISC . INS. CO - Howell Design & Build,Inc 44 Beechwood Dr. North Andover MA 01845 INSURER C: Safety Insurance Company INSURER D. Atlantic Charter INSURERS ~- 06/01/03 UUVIhMAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMID NY POLICY EXPIRATION DATE MMIDDry LIMITS GENERAL LIABILITY EACH OCCLRRENCE $ 1,000,000 A B COMMERCIAL GENERAL LABILFFY 08SBAGH6835 06/01/02 06/01/03 FIRE DAMACE (Any one fire) $ 300,000 CI. AIMS -1 �$ OCCUR MFF) FXP (Arty nne parson) $ 10,000 PERSONAL 3 ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 "- - - "' POLICY PECT LOC AUTOMOBILE LIABILITY COMC 'INGLE LIMIT $ ANY AUTO 1500162 04/17/02 04/17/03 ccidentINED Ea accident) ALL OWNED AUTOS H SCHEDULED AUTOS BODILY INJURY $ 250000 Inc, P__) S HIREUAUIOS NONOWNEDAUTOS BODILY INJURY $ 500000 (Per accident) PROPERTY DAMAGE $ 250000 (Per accident) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO FA ACC $ OTHER THAN AUTO ONLY. AGG $ EXCESS LIABILITY EACH OCCLRPENCE $ 1,000,000 AGGREGATE $ 1,000.000 B OCCUR CLAMS MADE QUOT 07/10/01 07/10/02 DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION ANDIA WC SIAIU OII+ D EMPLOYERS' LBILITY TORY LIMITS ER E.L. EACH ACCIDENT $ 100000 WCA0012701 06/01/02 06/01/03 E.L. DISEASE - EA EMPLOYEE $ 100000 . E.L. DISEASE -POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS EVIDE 02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL Evidence of Coverage IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AU7HOR2ED RE SENTATIVE ACORD 25s (7197) `0 CORD CORPORATION 1988 ✓iie �arru�reoou�sea:� a� /%/faaaar/ucaP,l� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR R!�Jisir atton ; 4;31044 Exp V at'On: 5/24/04 ,T!, ,e:_:.-i:,a,,;A,,moi BOARD OF BUILDING REGULATIONS License: .GONSTRUCTION SUPERVISOR Number. -=CS 076792 Bi rth d ate::'12/12/ 1963 Ei Aires: a,2/12- 12003 Tr. no: 76792 Restricted To, 10 KEVIN M DELLA RENNA _ 71 CALUMET ROAD METHUEN, MA 01844 Administrator .i �M ^ BOARD OF BUILDING REGULATIONS it License: CONSTRUCTION SUPERVISOR r= Number::...CS 068232 Birthdate: A2/14/1962 E-xpires::02/14/2004 Tr. no: 17808 Restricted:' '00 STEPHEN D 1-104LL 15 MT VERNON RDS, . BOXFORD, MA 01921 Administrator _ - ✓/ze "t�anvnwauueaus2 o�✓�aauc��.uae�b!i Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 123237 Expiration: 01/10/2003 Type: DBA HOWELL DESIGN & BUILD STEPHEN HOWELL 44 BEECHWCCD DRIVE GSL -�✓ N ANDOVER, MA 01845 Administrator 0 ` North Andover .Building Department I DEBRIS DISPOSAL FORM Tel: 978-688_9; 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 iri a properly licensed solid. waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: q 3 0 YAQ 0 Bu Pw-&Om ChNTAti4VE(Z - Z r2vy.T ST. cOWAVOEk- Sv/'PI-3Fn FIELb MA . 019zZ (Location of Facility) 97 g yes _ 3lo y 9 nature of PermitApp)icant 7- 157 Date NOTE: Demolition permit from tf a Town of North Andover must be obtained for this project through the Office of the Building Inspector `y O z ►5 x c� o x x C s � o ` C N Jac 0 U. cY C7 w° w2 R w a a2 c� w H z w�' w w w' cn cn •A Nil LM 2 O CD O co Z O G CA y .co CL co C O a� CO) O R) .y c 0 C-) m 0 U) LLJ Cc LLJ w U) c� o C s o ` C N Jac 0 OC-) R L o •�� _`• Nom"' L €sO o �o 0: t; Hs E �y N b N = x m�� y C� C 4::cm OO E m 4 2�x:Nm0 c : flo Cf C cm- Q: :�o L (l m .�yac ) o Q' rl c C2 a� o H N m " m L LI _ AA N E CL= v - N _ o LLI V O d CM V O _y A m� O� i 0 = Cl� = =�a:4a-m� •A Nil LM 2 O CD O co Z O G CA y .co CL co C O a� CO) O R) .y c 0 C-) m 0 U) LLJ Cc LLJ w U) Location! j No. Date -© TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # EDF `f7141 Building Inspector TOWN OF NORTH ANDOVER BUILDINNG DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUELDING PERMIT NUMBER: DATE ISSUED: ? `7 O C SIGNATURE: ht Buildin Comrnissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 210 j„ wTEk S-Kee—T 1.2 Assessors Map and Parol Number: /0y C Map Number Parcel Number ��j Mom �AWVVM M ^ O I ��� 1.3 Zoning Information: 51/v-bLe (MICA 4-13LOWPAL Zoning District Emsed Use 1.4 Property Dimensions: 1.4 Y$j 797 IF Z63.,65-' Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 30 S° S 7.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information Public Private ❑ Zone -- Outside Flood Zone ❑ 1.8 Sewerage Disposal System: madcipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSIIIP/AUTIIORIUD AGENT 2.1 Owner of Record re'?Avx 4 0,itUA Cumg 210 Uvtsz— S zyzeer Name (Print) Address for Service : 35W Ai g X07 VOL Signature Telephone 2.2 Owner of Record: Na e Print Address for Service: .Si^ 1e Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: p rj /IT V o� ori , kFo�p MA ©NZf Address:p"fi�/ZV6 / t� 7 Signature Telej3hone Not Applicable ❑ C5 G�t23Z License Number � _ Expiration Dafe 1.2 Registered Home Improvement,Contractor - r 1 Y�/ILD Not Applicable ❑ 123237 zany Name i y �jl�&Hwq � DR I �� �'CfTf ALV:7Va 'MA Registration Number 111O2005- _ Addre < , 11;` Expiration Date Signature Telephone SECTION 4 - WORKERS C6M-PENSAT1-0N (M.G.1- C 152 8 25c(6) Workers Compensation his6—ance 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'permit. Signedaffidavit Attached Yes No...'. -.-,D SECTION 5 Description of Proposed Work (check all applicable) New Construction 0 Existin. g -Building D Repair(s) 0 Alterationlqs) 'D Addition U Accessory.Bldg. 0 Demolition 0 Other Specify f:Twistj �xjsnv6 -SfAcc Brief Description of Proposed Work: NiSN 01� 9T7NC�, knie CAAAGC SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL 1 ISE ONLY 1. Building I (a) Building Permit Fee Multiplier 2 Electrical(b) 96700 Estimated Total Cost of Construction 3 Plumbing Coco- Building Permit fee (a) x (b) 4 Mechanical (HVAC) 750 5 Fire Protection 6 Total (1+2+3+4+5) --.W) ao 0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONT CTOR APPLIES FOR BUILDING PERMIT as Owner/authorized Agejif)3f subject property Hereby authorize 4006L DF-Oba) ft &),Lo '�' to act on My behalf, in all -matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHOR1ZED AGENT DECLARATION lasOwnerCZ�orizedAge ofsubject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief 'T-Voiar') 0 If J�LJ CLL Ofs I -J oulto TZZC, Print N 3 Z2 04- Si&2atureof Owner/Agent Date' I -M NO. OF STORIES, SIZE BASEMENT OR SLAB SIZE OF FLOOR MMERS I 2ND 31T SPAN DlIvIENSIONS OF SILLS MIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL, OF CH NMEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 3 Name -f /)114VA The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Location: 210 V au- 'Swev- Please Print City MOO, I�A 013K Phone # I am a homeowner performing all work myself. E:1 I am a sole proprietor. and have no one working in any capacity' I am an employer providing workers' compensation for my employees working on, this job. Company name: �6wftc Address excs.,DtENT CW,�6-wce- X,4 Phone, Co_InsurancePogg # VC.A 00 12701 Company name: HAKWV4-,0 Official use only-wea addregs . PO &Y-- do not write in this c to be completed by city OZ q5il- 0/ Phon9*7 KAPrrcoeo. --PvsLA4AxjE Insurance Co. b/i-stiiTy TwvsvxAvre-- Poligy # 085 6A GH K35- Paikweto secw0c;overage as reqtiredunderSeelion 2-1A or MGL 152 canleWtothe ln*m anaor me years' Wvdsamvwt-w-we9-as.. --Ibolimm-cta-SMPJ&ODFW.,DRDER.,m"fm-a-(SlQomi.8 AW_-gajrWMV. understand that a copy of this statement may b6fawwded to the Office of Imestigabom ct the DIA for cmsmge vwffimMon. do hereby cwW ogler ",Jps and P,4m&ies of perjury that Me kfiWmdw provided above is &w and correct Signature. Print name— excs.,DtENT PSE Official use only-wea do not write in this c to be completed by city cr town dficiar c4Y Pt TO" agang LX% [107eck Y #ftmedWe response is requked El Selectman's 1 C&7taCt Phone #. M Health Depar E] Other rJ North Andover Building Department Tel: 978-688-9545 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: PEA A S3 A) aV'T'A,Ne9_ (Location of Facility) J Si nature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector c- I Board of Building Regula ions and Standards One Ashburton Place - Room 1301, Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 123237 Type: Public Corporation Expiration: 1/10/2005 HOWELL DESIGN & BUILD STEPHEN HOWELL 44 BEECHWOOD DRIVE N. ANDOVER, MA 01845 �� ✓1ae �ah��wnus. o�✓%/�,czaaac�zuael�a Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 123237 Expiration: 1/10/2005 Type: Public Corporation HOWELL DESIGN & BUILD STEPHEN HOWELL 44 BEECHWOOD DRIVE �! N. ANDOVER, MA 01845 Administrator Update Address and return card. Mark reason for change. Address ❑ Renewal ❑ Employment [] Lost Card License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston, Ma. 02108 Not valid without signature Board of Building�epulations One Ashburton Place m 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 02/14/1962 Number: CS 068232 Expires: 02/14/2006 Restricted To: 00 STEPHEN D HOWELL 15 MT VERNON RD BOXFORD, MA 01921 Tr. no: 16114 Keep top for receipt and change of address notification. ✓fie 'tDarrYr�zoouaer�.�av o�✓l�ac�Y..c�v/.. BOARD OF BUILDING REGULATIONS N License: CONSTRUCTION SUPERVISOR Number: CS 068232 } Birthdate: 02/14/1962 Expires: 02/14/2006 Tr. no: 16114 Restricted: 00 STEPHEN D HOWELL 15 MT VERNON RD i BOXFORD, MA 01921 Acting Ca mis oner 0�-18-2004 11:34 From -THE MCCARTHY COMPANIES +f-781-883-6679 T-316 P 001/001 F-570 /tya//1t! vu—rvi ivm#m i G Vr LIHDILI I T IN,"JUKANUtvnOPID � ne/4n1nw ♦ YRUUIJ,.SR Brenton Tyler/Ralph Rubin Ins. The McCarthy Companies P.O.Box 540169 Waltham MA 02454-0169 Phone: 781-'893-4808 Fax: 781-893-6679 INSURED Howell Design & Build, Inc 360 Merrimack 3t Suite 5 Lawrence MA 01843 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND t ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Insurance 22357 INSURER o: 8 a fe t Insurance Coettpany INSURER C: Atlantic Charter _ INSURER D: ^ . INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI: 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. LTR IN$Rt TYPE OF INSURANCE POLICY NUMBER DATE�MMfF pp1YIY�E DATE MMfDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 000,000 A X COMMERCIAL GENERAL LIABILITY 08SBACH6835 06/01/03 06/01/04 PREMIASES�renoe 5 300,000 CLAIMS MADE I X I OCCUR MED EXP (Anyone Porron) $ 10 X EPL -$5000 PI?RSONALB ADV INJURY _000 S 1, 000 , 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS - COMP/OP AGG s2,000,000 POLICV PRO- JECT l0C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO 1500162 04/17/03 04/17/04 ae" E "O $ ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY (Per person) $ 250000 X HIRED AUTOS X NON-OWNEDAVTOS ' B()DILYINJURY (Pereccidenq $500000 PROPERTY DAMAGE (Pet aocidenp $ 250000 •— GARAGE LIABILITY ALITOONLY •EAACCIDENT S ANY AUTO Ol HER THAN EA ACC S S ALrrOONLY: AGG EXCE6,91UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F7 CLAIMS MADE AC•:GRECtATE S DEDUCTIBLE _ S RETENTION S _ WORKERS COMPENSATION AND X 70RY LIMITS JUTW ER C EMPLOYERS'LIABILITY ANY PROPROPRIE70RIPARTNER/EXECVTiVE WCA00120702 06/01/03 06/01/04 E.I. EACH ACCIDENT _ $ 100000 OFFICERIMEMBER EXCLUDED? - F-1 . DISEASE • EA EMPLOYE S 10 0000 if ye_s, describe unser E.I. DISEASE • POLICY LIMIT S 500000 IS AL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS aontactar ticR I Is- ra.rAt G nVL.L;r rtt GANGt=LLAI I0N CJY�RBOXJ SHOULD ANY OP THE ABOVE DESCRJBFD POLICIES BE CANCELLED BEFORE THE EXPIRATI( DATE THEREOF, THE 193VING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Chris Noren NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 39 Adams Rd IMP06E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THF INSURER. ITS AGENTS OR Boxford WA 01921 REPRESENTATIVES. AUTHORIZED WRESENTATiVE 2 y - d - 4 — �� 41?_ ACORD 25 (2001/08) r_nan fnPDnPATIAK MO. TGAGE INSPECTIO`s., BAY STATE SURVEYING ASSOCIATES 234 CABOT ST., BEVERLY MA LOCATION . _o�Tf SCALE • I" =y0 FT --DATE REFERENCE------ To�- rhe location of the building(s) as shown, either complied with the ccal zoning set backs at the time of construction or is exempt rom violation enforcement action under Mass. G.L. Title VII ;hapter 40A Section 7. 4'. .. NOTES: • This is a Mortoage Inspection survey and not an instrument survey, therefore this plot plan is for mortgage inspection purposes only. • This survey is based on survey marks of others. • Bushes, shrubs, fences and tree lines do not necessarily indicate property lines. • in my professional opinion the building(s) are not located in the special flood hazard zone, as defined by H.U.D. • Whenever an offset is 1'± or less, an instrument survey is recommended to determine prop. lines. • Offsets shown are approximate by tape survey. wH1TTIEr� /U,7( ` (14--= /.I Z "O'cgr-S) or- ♦< S /4,33 oi N c>'6,72 " - 10i �2�35 ST o7' 15 ROBERT JAMES ;rV"Mnc ti room i BBLB-Z4Z-L19 'Xi 9299-Z4Z-L19 Nd bzizo Vw uoqsog aaa.)}c, adds gl GfiQ10 bW .)anopuV H4uoN aaln5 Luoojpog JOIGOW uo goo N I " S 1 7 3 1 1 H 7 ?1 daau5 �'au!M OI Z o Id I� SMLVIDOSS`F N salaW nID Q vJ' Q 1 F- LU ks) v lei o � O v � w d N LU V v Q Q =� Q w w O LU CLU Q� C) i Q un O z :Z: ~ Q � CLLIY Imo— J Fn / V OLSL = Q= vLnLU LL 0 J —1 J �LU lSl Q 1 F- LU ks) v CONSTRUCTION SERVICES AGREEMENT Contractor: Owner: Date: Howell Design & Build, Inc. Frank & Diana Curro March 19, 2004 360 Merrimack St. Bldg 5 210 Winter Street Lawrence, MA 01843 North Andover, MA 01840 Phone: 978-989-9440 Protect: C.S.L. #068232 Master Bedroom Suite H.I.C. #123237 I. PARTIES & DATE OF AGREEMENT This contract (hereinafter referred to as "Agreement") is made and entered into on this 19th day of March, 2004, by and between Frank & Diana Curro, (hereinafter referred to as "Owner"),- and Howell Design & Build, Inc., (hereinafter referred to as "Contractor"). In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: II. SCOPE OF WORK DESCRIl'TION & CONTRACT SUM The Contractor shall perform the "Work" as described in this Agreement and the following Attachments, which are incorporated into this Agreement by reference below: A. ATTACHMENTS 1) 2 sheets of Plans titled "Curro Residence" by Abeles & Associates Architects, Inc., all sheets dated 7/2/02 2) 6 page Scope of Work Description & Specifications dated March 19,2004. 3) 2 page List of Contract Allotments dated March 19, 2004. 4) 2 page Schedule of Values dated March 19, 2004 5) 2 page Substantial Completion Agreement dated March 19, 2004 6) 2 page Limited Warranty dated March 19, 2004. B. CONTRACT DOCUMENTS The "Contract Documents" consist of this Agreement, the Attachments listed above, and Modifications issued after execution of the Contract. There are three (3) types of modifications: 1) FCO "Field Change Order" is a written directive from the Owner for the Contractor to proceed with a change in the work prior to the final cost of the change being known, the exact amount of extra time required for performance of the change, and/or prior to a "Contract Change Order" being executed. 2) CCO "Contract Change Order" is a written agreement between the parties to change the Work including the cost, or estimated cost, of the change, and the change in days to the Date of Substantial Completion specified in this Agreement. The cost or estimated cost of the Change Order is then incorporated into the Schedule of Values and becomes payable according to the payment terms discussed below in the Agreement. 3) A written amendment to the Contract signed by both parties. C. CONFLICT OF DOCUMENTS If any conflict should arise between the Contract Documents, then the following order of precedence will be followed in determining the terms and conditions that shall be controlling and binding upon the parties to this Agreement: A0111,214 Page: 1 of 8 Initials: er"I 1) this Agreement 2) Substantial Completion Agreement 3) Limited Warranty 4) Schedule of Values 5) List of Contract Allotments 6) Scope of Work Description & Specifications 7) Plans D. CONTRACT SUM (price for all work described above): E. TOTAL ALLOTMENTS (included in Contract Sum): (See attached "List of Contract Allotments") III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE $ 47,046 $ 8,307 111W�' -.. A. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL COMPLETION Commence work on or about March 29, 2004. Contractor to achieve substantial completion of all work in this Agreement on or about May 24, 2004 not including delays and adjustments for delays caused by: inclement weather, accidents, additional time required for performance of Change Order work (as specified in each Change Order), delays caused by Owner, and other delays unavoidable or beyond the control of the Contractor. B. EXCLUSIONS Unless specifically included in the Scope of Work described above, this Agreement does not include labor or materials for the following work: 1. Fees for design or engineering work including any additional D&E work required by building inspectors. 2. Surveying that may be required to establish accurate property boundaries for setback purposes 3. Temporary sanitation, power, or fencing 4. Moving Owner's property around the site 5. Repair or replacement of Owner -supplied materials 6. Public or private utility connection fees 7. Repair of unforeseen and concealed conditions including, but not limited to, repair of concealed underground utilities not located on prints or physically staked out by Owner which are damaged during construction 8. Testing, removal and disposal of any materials containing asbestos (or any other hazardous material as defined by the EPA) 9. Removal of filled ground or rock or any other materials not removable by ordinary hand tools or other heavy equipment already on-site 10. Any digging or excavation below the grades shown on the plans in the event that soils unsuitable for supporting the specified footings are discovered 11. De -watering of excavations 12. Frost protection for open excavations 13. Cold weather additives to concrete or insulation of concrete forms if required due to cold weather conditions 14. Correction of existing out -of -plumb or out -of -level conditions in existing structure 15. Correction of concealed substandard framing. Page: 2 of 8 Initials: i 16. Removal and replacement of existing rot or insect infestation 17. Re-routing/removal of vents, pipes, ducts, wiring, conduits, structural members, or steel mesh which may be discovered in the removal or cutting of openings in the existing structure. 18. Failure of surrounding part of existing structure, despite Contractor's good faith efforts to minimize damage such as plaster or drywall cracking and popped nails in adjacent rooms. 19. Repair of damage to existing roadways, driveways, sidewalks, or grass areas that could occur when construction equipment and vehicles are being used in the normal course of construction 20. Exact matching of existing finishes. Where Contractor's work involves the "matching of existing finishes or materials," Contractor will use his best efforts to match existing finishes and materials. However, an exact match is not guaranteed due to such factors as discoloration due to the aging process, difference in dye lots, and difficulty of exactly matching certain finishes, colors, and planes. 21. Final construction cleaning (Contractor will leave site in "broom swept" condition) 22. Landscaping and irrigation work of any kind. 23. Any item on the Plans marked "Not in the Contract" or "MIC". C. CHANGE ORDERS 1. CONCEALED CONDITIONS: If conditions are encountered at the site which are (1) subsurface or otherwise concealed physical conditions which differ from those indicated in the Contract Documents or (2) unknown physical conditions which differ from those ordinarily found to exist and generally recognized as inherent in construction activities of the character provided for in the Contract Documents, then the contract price shall be equitably adjusted in accordance with the change order provisions set forth herein for such concealed or unknown conditions upon claim by the Contractor. 2. CHANGES IN WORK: Any change from the Scope of Work referred to in the Contract Documents involving extra costs of materials or labor will be performed upon a written FCO (Field Change Order) and/or a written CCO (Contract Change Order) issued by Contractor and signed by Contractor and Owner prior to the commencement of Additional Work by the Contractor. Owner may issue a verbal FCO to Contractor for a change in the work, and may direct Contractor to commence with the change prior to signing a written change order. In this case, Contractor shall commence with the change in work and Owner shall be obligated to pay for additional costs incurred as a result of the change in work. Contractor shall follow-up with a written FCO and/or CCO to be signed by Contractor and Owner, as soon as is reasonably possible. 3. CHANGE ORDER PRICE CALCULATION: The adjustment to the Contract Sum for change order work that results in an increase in the contract price shall be calculated as follows: 1) costs of labor, including all applicable taxes and insurances; plus 2) costs of materials, supplies and equipment, including cost of transportation; plus 3) costs of additional dumpster space and/or hauling and removal of construction debris directly attributable to the change; plus 4) rental costs of machinery and equipment, exclusive of hand tools, whether rented from Contractor or others; plus 5) costs of premiums of all bonds and insurance, permit fees, and sales, use or similar taxes related to the work; plus Page: 3 of 8 Initials: % i" 6) additional costs of supervision, and field and office personnel directly attributable to the change. The price of the change order work shall be the total cost of the work divided by 0. 75, which compensates the Contractor 15% of the price for overhead and 10% of the price for net profit. . 4. EXAMPLE PRICE CALCULATION: Breakdown of Costs: 75% Cost of Labor: $ 100 Cost of Materials: $ 100 Cost of Supervision Labor: $ 50 Cost of Equipment Rental: $ 50 Total Costs: $ 300 Divide Total Costs by 0.75 = Total Price: $ 400 Breakdown of Price: Total Costs $ 300 75% Overhead $ 60 15% Net Profit $ 40 10% Total Price $ 400 100% 5. DEDUCTIVE CHANGE ORDERS: Contractor's profit and overhead, and any supervisory labor will not be credited back to Owner with any deductive Change Orders (work deleted from Agreement by Owner). D. PAYMENTS AND COMPLETION 1. CONTRACT SUM: The Contract Sum is stated in the Agreement and, including authorized adjustments, is the total amount payable by the Owner to the Contractor for performance of the Work under the Contract Documents. 2. SCHEDULE OF VALUES: The Schedule of Values (attached to this agreement) allocates the Contract Sum to the various portions of the Work and project milestones. This schedule shall be used as a basis for Contractor's Applications for Payment. The Schedule of Values shall not be used as a basis for the value of Work added to or deleted from the Agreement. 3. APPLICATION FOR PAYMENT: Applications for Payment (Invoices) shall be prepared by the Contractor every two (2) weeks and submitted to the Owner. The Application for Payment shall itemize the amounts due for completion or partial completion of the Work and/or project milestones thru the Invoice Date. The Owner shall receive the Application for Payment three (3) days prior to the Invoice Date and shall have three (3) days to review the application and respond to Contractor with any comments. During these three (3) days, Contractor and Owner shall agree on the amounts due. If Owner does not respond within three (3) days, the application is deemed accepted as submitted. 4. PROGRESS PAYMENTS: The Owner shall make payment within five (5) days of the Invoice Date. Page: 4 of 8 Initials:����-�'' J 5. FAILURE OF PAYMENT: If the Owner does not pay the Contractor within five (5) days of the Invoice Date, then the Contractor may, upon seven (7) additional days' written notice to the Owner, stop the Work until payment of the amount owing has been received. The Contract Time shall be extended appropriately and the Contract Sum shall be increased by the amount of the Contractor's reasonable costs of shutdown, delay and start-up, plus interest as provided for in the Contract Documents. 6. DEFINITION OF SUBSTANTIAL COMPLETION: Substantial Completion is the stage in the progress of the Work when the Building/Work or Improvement or designated portion thereof is sufficiently complete in accordance with the Contract Documents so that the Owner can occupy or utilize the Building/Work of Improvement for its intended use. The Work under this Agreement may not contain all work required for the issuance of a "Certificate of Occupancy", and further, issuance of a "Certificate of Occupancy" may be beyond the control of the Contractor, therefore issuance of a Certificate of Occupancy shall not be a condition of Substantial Completion. 7. PUNCH LIST WALK-THRU: When the Contractor considers the Work, or portion thereof; which the Owner agrees to accept separately, is substantially complete, the Contractor and Owner shall perform the Punch List Walk-thru and agree on the list of work remaining for the Contractor to achieve "Final Completion" of the Work. This list of work shall be referred to as "The Final Punch List". The Contractor and Owner will then place a fair and reasonable value on each item on the Final Punch List. 8. SUBSTANTIAL COMPLETION AGREEMENT: The Contractor shall prepare and submit to the Owner the Substantial Completion Agreement. The Substantial Completion Agreement shall contain the Final Punch List along with the value of each punch list item. By signing and dating Part I of the Substantial Completion Agreement, Contractor and Owner agree that: a. the Work is Substantially Complete on the date noted on the agreement, b. that Warranties required by the Contract Documents shall commence on the date of Substantial Completion, c. that the Contractor is entitled to the Final Payment as shown on the Schedule of Values, less the Holdback for Punch List Work as described in Subparagraph 9. 9. FINAL PAYMENT AND HOLDBACK FOR PUNCH LIST WORK: The final contract payment is due and payable upon Substantial Completion (not Final Completion) of the work under contract. At the time of making the final contract payment, Owner may hold back the value of the Punch List Work times two, or $ 500, whichever is greater. This hold back for Punch List work assures Owner that Contractor will complete all Punch List work in a timely manner. 10. FINAL COMPLETION AND PAYMENT OF HOLDBACK: Upon receipt of written notice from the Contractor that the Work is ready for final inspection and acceptance and upon receipt of a final Application for Payment, the Owner will promptly make such inspection and, when the Owner finds the Work acceptable under the Contract Documents and the Contract fully performed, the Owner shall sign Part 11 of the Substantial Completion Agreement acknowledging that the Work has been completed in accordance with terms and conditions of the Contract documents and that the remaining unpaid amounts as shown on the final invoice are due and payable to Contractor. 11. PARTIAL PAYMENT OF HOLDBACK AMOUNT: If, after Substantial Completion of the Work, final completion thereof is materially delayed through no fault of the Contractor or by j Page: 5 of 8 Initials: /ovizz, U issuance of Change Orders affecting final completion, the Owner shall upon application by the Contractor, and without terminating the Contract, make payment of the balance due for that portion of the Work fully completed and accepted. 12. PAYMENTS/CREDITS FOR ALLOTMENT OVERAGES/UNDERAGES: Payment for items designated in the Agreement as Allotments has been initially factored into the Contract Sum and Schedule of Values. If the actual cost of an item exceeds the Allotment amount, the difference between the actual cost including taxes and delivery charges and the Allotment amount will be added to the Contract Sum via Change Order. Contractor overhead and profit will not be added to material only Allotment overages as long as the scope of work to receive, handle, install, and warrant such materials has not increased. For Allotment items that include materials and installation labor, overhead and profit will be added to the labor portion of an Allotment overage. If the actual cost of an item is less than the Allotment amount, a credit will be issued to Owner after all billings related to this particular Allotment have been received by Contractor. This credit will be issued via Change Order prior to calculating the final payment owing under the Agreement. The amount of the credit will be the difference between the Allotment and the actual cost of the item including taxes and delivery charges. Contractor overhead and profit will not be credited back to owner on Allotment underages. 13. INTEREST ON OVERDUE PAYMENTS: Payments due and unpaid under the Contract Documents shall bear interest from the date payment is due at the rate of one percent (1 %) per month. 14. ATTORNEY'S FEES: The Owner shall be responsible for reasonable attorney's fees incurred by Contractor in collecting any sums due hereunder. E. INSURANCES Contractor shall carry General Liability insurance as well as MA Worker's Compensation Insurance for it's employees throughout the course of the project. Owner shall carry Homeowner's Insurance including a "builder's risk" rider. F. WARRANTY Contractor provides a limited warranty for all Work included in this Agreement for a period of two (2) years following the date of substantial completion . (See attached Limited Warranty) G. OWNER'S SEPARATE SUBCONTRACTORS Owner shall not hire separate Subcontractors to work on the site at same time as Contractor without prior written consent from Contractor. Contractor reserves the right to not allow uninsured, unlicensed or unqualified subcontractors to work on the site at the same time as Contractor. Owner may hire separate Subcontractors to work on the site either before Contractor's date of work commencement or after final completion of the work. H. WORD STOPPAGE, TERMINATION OF CONTRACT BY CONTRACTOR Contractor shall have the right to stop all work on the project and keep the job idle if (1) payments are not made to Contractor in accordance with the Payment Terms in this Agreement, or if (2) Owner repeatedly fails or refuses to furnish Contractor with access to the job site and /or product selections or information necessary for the advancement of Contractor's work. Seven (7) days prior to stopping work on the project, the Contractor must give Owner written notice of the nature of Owner's default and must also give the Page: 6 of 8 Initials: r Owner a fourteen (14) day period in which to cure this default. If work is stopped due to any of the above reasons (or for any other material breach of contract by Owner) for a period of 14 days, and the Owner has failed to take significant steps to cure his default, then Contractor may, without prejudicing any other remedies Contractor may have, give written notice of termination of the Agreement to Owner and demand payment for all completed work and materials ordered through the date of work stoppage, and any other loss sustained by Contractor, including Contractor's overhead and profit at the rate of 25% on the balance of the incomplete work under the Agreement. Payment for this final invoice is due within 7 days of submittal of invoice by Contractor. Thereafter, Contractor is relieved from all other contractual duties, including all Punch List and warranty work. If the contract is terminated and Owner pays all outstanding balances owed to Contractor, then materials ordered through the date of work stoppage become the property of Owner. I. TERMINATION OF CONTRACT BY OWNER The Owner shall have the right to initiate termination this Agreement if (1) the job remains idle for longer than fourteen (14) consecutive days after the work has been started without reasonable written notification of the cause of the work stoppage by Contractor to Owner, or if (2) the Contractor repeatedly fails to perform the work according to the Contract Documents. The Owner must give the Contractor written notice of the nature of the Contractor's default and must also give the Contractor a 14 -day period in which to cure this default. If the Contractor fails to take significant steps to cure his default within the 14 -day period, the Owner may give written notice to Contractor of Owner's desire to terminate this Agreement. Upon receipt of the Owner's written notice of desire to terminate this Agreement, the Contractor has 14 days to respond with an invoice for payment for all work completed and materials ordered through the date of work stoppage. Payment for this final invoice is due within 7 days of submittal of invoice by Contractor. After payment of final invoice Owner may terminate this Agreement and Contractor is relieved from all other contractual duties, including all Punch List and warranty work. If the contract is terminated and Owner pays all outstanding balances owed to Contractor, then materials ordered through the date of work stoppage become the property of Owner. The Contractor shall not be responsible for any incidental or consequential damages incurred by Owner as a result of such termination. J. DISPUTE RESOLUTION The parties agree that Massachusetts law shall control this Agreement and jurisdiction is proper in the Massachusetts Superior Court. Any controversy or claim arising out of or related to this Agreement involving an amount of less than the maximum limit of the small claims court must be heard in the Small Claims Division of the district where the Contractor's office is located. Any controversy or claim arising out of or related to this Agreement which is over the dollar limit of the Small Claims Court shall be settled by binding arbitration administered by the American Arbitration Association in accordance with the Construction Industry Arbitration Rules. The parties agree that mediation administered by the American Arbitration Association in accordance with the Construction Industry Arbitration Rules shall be a condition precedent to arbitration. Judgment upon the award maybe entered in any Court having jurisdiction thereof. K. ENTIRE AGREEMENT, SEVERABILITY, AND MODIFICATION This Agreement represents and contains the entire agreement between the parties. Prior discussions or verbal representations by the parties that are not contained in this Agreement are not a part of this Agreement. In the event that any provision of this Agreement is at any time held by a Court to be invalid or unenforceable, the parties agree that all other provisions of this Agreement will remain in full force and effect. Any future modification of this Agreement must be executed in writing in order to be valid and binding upon the parties. L. TRANSFERENCE This Agreement is between Owner and Contractor and is not transferable to other parties without the prior Page: 7 of 8 Initials:1 / -A;— written consent of both Owner and Contractor which shall not be unreasonably delayed or withheld. M. EXPIRATION OF THIS AGREEMENT This Agreement will expire 30 days after the date at the top of page one of this Agreement if not accepted in writing by Owner and returned to Contractor within that time. O. OWNER'S 3 -DAY RIGHT OF RECISION The Owner may cancel this agreement with no further obligations by notifying the Contractor in writing that they wish to cancel the agreement within 3 business days of the date they signed the agreement. I have read and understood, and I agree to, all the terms and conditions contained in the Agreement above. ate Thomas L. Heffernan Project Manager Howell Design & Build, Inc. ate UWner Date Owner` Page: 8 of 8 Initials: O FM4 c o CIS c=, a c H O = O C.3 v o p� C • �p A C • � .00 O lb : O A 1 t: N E 413 Ou Z®O0 C, O . O S � CL N A CD m w_ CA c �' m J N CIO o Em— m�o a L ark Q• ? : CD =rA W y'CL oo� 0 -7A: •4 O 06 O N = •_ ®o CDL m W m y0. Z .. H = r0 .0 UJL —0 F-- •N d C Z CM LU •E ,N o z� Q� � O O CD CD CL O y ® C cm i W •� y(D O .E as m 0 CDi co 03 CD ® Q cc o CL M: cmQ c CO2 c cc Q �v C CD CL C.� CO) O C C COD ® O 0 vA x o O w v a v cn cz p LE O u: c U C W. �' p rz �, C w W O ri: c� '� C w ` O as C w w A w c cA a~+ cn o cn c o CIS c=, a c H O = O C.3 v o p� C • �p A C • � .00 O lb : O A 1 t: N E 413 Ou Z®O0 C, O . O S � CL N A CD m w_ CA c �' m J N CIO o Em— m�o a L ark Q• ? : CD =rA W y'CL oo� 0 -7A: •4 O 06 O N = •_ ®o CDL m W m y0. Z .. H = r0 .0 UJL —0 F-- •N d C Z CM LU •E ,N o z� Q� � O O CD CD CL O y ® C cm i W •� y(D O .E as m 0 CDi co 03 CD ® Q cc o CL M: cmQ c CO2 c cc Q �v C CD CL C.� CO) O C C COD Date....: 3"..`5... X40 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING Thiscertifies that ..........v ,...... �.......................,.............................................. has permission to perform .......... -''. �! .!!............................................. wiring in the building of ....:....�-%J.�.J..�.............................................. r at...,.,:,2/!� ...... ..... , North Andover, Mass. O Fee.. Lic. No.............. ................................... '-ELECTRICAL INSPECTOR Check # � �`5� 5130 - 'j%!rwrarl ed �ar6lle Sa6ctry BOARD OF FIRE PREVtENTION REGULATIONS'5V R'12:00 Official Use Only Permit No. -:r' �-' ` O Occupancy;& Fee Checked APPLICATION. FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance' with`the Massachuu tts' Electrical Code 527 CMR 2:00 x: (Please Print in ink or type all Information)_ , Town of. Norm Anuoyer, The undersigned applies for a permit to perform the electrical work descri N below. Location (Street & Number I N Owner or Tenant 1 O, N Q'.. � G.0 � Owner's Address Is this permit in conjunction with a building permit Yes 0 No 0 (Check Appropriate Box) Purpose of Building ®W�� 11 N �"1 Utility Authorization No. Existing Service c0 Amps Voits ` Overhead Undgmd 0 No. of Meters New Service Amps Voits Overhead 0 Undgrnd 0 No. of Meters Number of Feeders and Ampacity �,.-_(.� ' �'' r' Location and Nature of Proposed Electricdl Wo Date To the Inso6ctorbf wires:. C OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES NO valid proof of same to the Office YES - NO - If you have checked TIES please indicate the type ofge by checking the appropriate box. INSURANCE BOND OTHER - (Please Specify) C_QJni 8&E CA &5k I.0 &M f s. c",Q x 'ration ate) Estimated Work to Start Inspection of. Electrical Works 5 IRA �pection Date Resquested SILO h ELECTRIC Final Signed under the Penalties of perjury: i Lic. #A 16095 / 36388ELIC. No. FIRM NAME a onant Street Licensee Signature BEVERLY, MA 01915 LIC. NO. Bus. Tel No. Address Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Ucenses does not have the Insurance coverage or its substantial, equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No: of Transformers •- .._. � XI ik IS.WWIiFRhI{�- 31t y�. l�Y y r. :...�•wK.IY'&rf+.`.,+w.imTl" .`?I.mrL,K+w�11%al;�_. �K�V�A� p.r'Q^>,wssm'.:._—•-. No. of Lighting Fixtures- . �:. ;....��� .. Swimeti Pool ^ and U ' and fl ' ' Generators ' KVA• • - No. of Emergency Lighting. No. of Receptacles Outlets No. of Oil Burners Battery Units No. c. Switch Outlets / No of Gas Burners (. FIRE ALARMS No. of Zone of Detection and.. .._....4 .... .. Total _. ... ..,No, No. of�an es No of Air Cond Tons Initiating Devices /l > .•.; : Heat Total TotalNo. of 1posal No. a r.::..:, Pum - , .. -Tons ,. KW ..:.....: _ No. of Sounding Devices - li NoJ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ""ll Municipal>,...p Other, .. ::....s No. of Dryers Heating -Devices. .KW_ . .. .Local : Connection .. .. No. of .. • No. of. ® Low Voltage { 0 0 No. of Water Heaters KW ® Signs , 0 Bailases Wiring 0 i No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES NO valid proof of same to the Office YES - NO - If you have checked TIES please indicate the type ofge by checking the appropriate box. INSURANCE BOND OTHER - (Please Specify) C_QJni 8&E CA &5k I.0 &M f s. c",Q x 'ration ate) Estimated Work to Start Inspection of. Electrical Works 5 IRA �pection Date Resquested SILO h ELECTRIC Final Signed under the Penalties of perjury: i Lic. #A 16095 / 36388ELIC. No. FIRM NAME a onant Street Licensee Signature BEVERLY, MA 01915 LIC. NO. Bus. Tel No. Address Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Ucenses does not have the Insurance coverage or its substantial, equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Date. 4NORT TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING S CHUS /Jf f i This certifies that ... . ............ ........ has permission to perform .......................... plumbing in the b sOf ....... .................. at... . . —North Andover, Mass. Fee./., L i c. No. ............. ............... PLUMBING INSPECTOR Check # 5981 MASSACHUSETTS UNIFORM APPLI (Type or print) NORTH ANDOVER, M"A"SSACHUSETTS Building Location 2,/o (eil h I er a 0 Owners N of FOR PERMIT TO DO PLUMBING Date 4 "-/3 - G 14 Permit # ,6 Amount New Renovation ® Replacement Plans Submitted Yes No I (Print or type) Check one: Certificate Installing Company Name rn `� P `V rb c Corp. Address ` - s Partner. G �e 0 / . 0 Business Telephone 7 Ej , -;L,'i s- , (2 2 d � Firm/Co. Name of Licensed Plumber: /r Pviz &-t i H P Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner F1 Agent E] 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 Massac usetts State Plumb'n Code and Chapter 142 of the General Laws. By:Signafure 1-icensea Piumoer Type of Plumbing License Title/Town I . 6 7 G Y icense RumDer Master Cit Journeyman ❑ APPROVED (OFFICE USE ONLY r i (Print or type) Check one: Certificate Installing Company Name rn `� P `V rb c Corp. Address ` - s Partner. G �e 0 / . 0 Business Telephone 7 Ej , -;L,'i s- , (2 2 d � Firm/Co. Name of Licensed Plumber: /r Pviz &-t i H P Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner F1 Agent E] 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 Massac usetts State Plumb'n Code and Chapter 142 of the General Laws. By:Signafure 1-icensea Piumoer Type of Plumbing License Title/Town I . 6 7 G Y icense RumDer Master Cit Journeyman ❑ APPROVED (OFFICE USE ONLY Location Sf- No. Date_ I _. N� TOWN OF NORTH ANDOVER 3 . 0 a Certificate of Occupancy $ �ss�cNusE< Building/Frame Permit Fee $ C) Foundation Permit Fee $ Other Permit Fee $ TOTAL $Lj() C)� Q f Check # ~ Q, " 6 r(� 17587 Pw Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRU,,Cr REPAIR, RENOVATE. OR DEMOLISH A ONE OR TWO FAMILY DWELLING •:'+ .yk1'r q_` .'t��'.�+'eT`3.9h,.. mow. F Y� ry i �'�7"'.9i''.`�$y-. Y ^F. 1� � � ••; BUII.,DING PERMIT NUMBER: / � � DATE ISSUED: t' - SIGNATURE: Building Commissioner of Buildings Date -�aaG u.r V[1lilA 11V1� 1.1 Property Address: 1.2 Assessors MV and Parcel Number: a►o W%WTT-9 STIZs 10 `1c 4 1Qyoy E IQ l rn r4 0) s 15 Map Nuaber Pared Niumber 1.3 "Zoning Information: 1.4 Property Dimensions: � S;a�L€ ��LL� �>:slpEisil✓�L �8l r}S$ sF 21�3I�5 Zoning 5i iiid Pr Use I Lot Arca Fronts R 1.6 BUILDING SETBACKS (ft) Required I Provide Required Prmided R ed Provided �rs 30 ` 15 30 ` 11s, I.S. Flood 2mo h&aution: 1.7 water srrppty :�.G 1..e.ao. sad t.s sewer nisi syr: pnbGc prises p Zone Onside Flood Tone 0 mookipd on sire Disposal System 0 SECTION 2 - PROPERTY OWNERSIMAUTHORIM AGENT 2.1 Owner of Record F�2►'l1JiC ¢ Q1W�tYi C�1��0 0110 Wluy'r-iz Name (Print) Address for Service : `1i8 -w-3510 1409 %Z tnA 01945 Signnhrre i—� � : —� Tnl..nhn„P r 2.2 Print Address for Service: SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Sryv1z Licensed Construction Supervisor: iS MT• VERS D 6,fi=0D rA t cD1121 Add r�' �-- ld CM31,31-14 o Signature %V Tekphone. 3.2 Registered Home Improvement Contractor , —1 kow ELL Dl:S1()� J a - ALP Company Name PNW.,V>2 rA A Address Not Applicable Q C5 6(Poo Wa License Number ,;41' Z66 Expiration Date Not Applicable u 1Z3a3T Registration Number 1 10 Z6a5 Expiration Date T M X z SECTION 4 - WORKERS COMPENSATION (M.G.L C 1152 § 25c(6) Workers Compensation insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit v,ill in the denial of the issuance of the burldin permit- Signed it_Si ned affidavit Attached Yes ......& No...... D SECTION 5 Desc ' tion of Proposed Work: ddheckail ble New Construction Q Existing Building G Repair(s) Q Alteratious(s) P Addition D Accessory Bldg. 0 Demolition ❑ 1 Other 0 Spm* Brief Description of:Proposed Work: e,move-an`j refAR(C eXOsti'A 5u, ih cis. WC 11 AS Cl3) W�'KD4u.IS e V1'Ce1 S;erv,(,e To Ferner a kOUSe I SECTION 6 - FSTTMATM rnNQTRiTr-nniv rnerc Item Estimated Cost (Dollar) to be Completed t 11CaItt 9 OiC"IIS bNL7�'i - _+� .,4_<-";�`'*i': d u.�r��Ca c�i,;,:#::"'"`ri- ....,,c.-.'��"u'•`v�•x"�a I . Building 36, q % 5 (a) Building Permit Fee Multiplier 2 Electrical 560 (b) Estimated Total Cost of Construction 3 Plumbing Bitilding Permit fee (a) & (b) ._--. 7 L 4 Mechanical (IiyAC )/�/�-.•_ 5 Fire Protection 6 Total 1+2+3+4-5 012 Cbeck Number ws.-.,..a v.r �.. a,n Ka�iuva�.s� ylivSr 1 DE I.VNMA,' Ir" WMA OWNERSAGENT OR CONTRACTOR APPLIES FOR BUILDING PERS UT I, t V}N Vi CV�)eb as(Oum Authorized Agent of subject property Hereby atuhorize_ ou r �o_ D �s 1G �I �� ► t >7 l 1.f G -'� to act on Lbture ehalf 'itll-rrtatt relative to vvrorl authorized by this building permit application of Owner Date SECTION 7b OWNER/AU-THORIZED AGENT DECLARATION I, S QPµ F-, D �owCLL: as Owner/ utharized of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my kno%Qedge and belief St's Kl✓� D , {11oW�i.L }�oW�l.L AVS1(rl,((3�,)L.D I�f C t N ..: ehm o`i S ture o Owner(een� Date NO. OF STORIES SIZE BASENENf OR SLAB SIZE OF FLOOR TIMBERS I 2` �. I)MENSIONS OF SILLS DI dENSIONS 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 The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: FIZI4 uK 4-0 DI ffv\tM 6V9)e. o Location: ale W l w mg ! %Mc E I City 140r2.r H AWPOVF-12 01A 01,54S Phone �3$• � � � 3S9 0. am a homeowner performing all work ;myself. aI am a sole proprietor and have no one working in any capacity (�R `I am an employer;, providing workers! compensation for my employees working on this job. Company name: oWI U J)CS16J F HVILD a J W C Address ;Go Me grzirn 11L S[j�aT t9vlij)W� # city: LAwyzCA crr, � Mlq o19,413 Phone#: 1-ffl' 9fl-g9Y0 Insurance Co. H A -o- Fjsor2 o 14cuR>gd c r, Policy # I I w pv4Ncc - RC M`( Address f2d 6 0)( Sgol y l City: Int'qLT1A Gln, rrd 029sq- 0*9 Phone #: Kl�oan WsUIZI ce 3S Insurance Co, wl�tallArl 14Su9l�c� Policv# 0gse46,� �ao Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition ofcriminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil 'penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may forwarded to the Office of investigations of the DIA for coverage verification. Ido herby certify under the pains . nd penaNeifofpedurX t t the information provided above is true and correct Signature Date zy o`i Print name SiEN,VW .9' Vc,,JIF,L _ NCs%yr,, l ROF8 144 Phone # 9-W-1'39 - 1110 Official use only do not write in this area to be completed by city or town officiar ❑ Building Dept ❑Check if immediate response is required Building Dept p Licensing Board p Selectman's Office Contact person: Phone #: I] Health Department 0 Other FORM WORKMAN'S COMPENSATION North Andover 'Building Department Tei: 978-588-9545 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: (Location of Facility) -,& X Signatu'rb of Pe it Applicant 8/zq/0y Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector AOORD CERTIFICATE OF LIABILITY INSURANCE OP ID L DATE(MMIDD/YYYY) HOWEL-1 06/02/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brenton Tyler/Ralph Rubin ins. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The McCarthy Companies HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . 0. Box 540169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ltham MA 02454-0169 ,one:781-893-4808 Fax:781-893-6679 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Hartford Insurance 22357 INSURER B: Safety Insurance Company Howell Design & Build, Inc INSURER C: Atlantic Charter 360 Merrimack Street, Bldg #5 INSURER D: Lawrence MA 01843 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DDIYY E POLICYON MM/DD/YY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR X EPL -$5000 08SBAGH6835 06/01/04 06/01/05 EACH OCCURRENCE $ 1,000,000 PREMISES(Eaoccurence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS 1500162 04/17/04 04/17/05 COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ 250000 (Per person) X X BODILY INJURY $ 500000 (Per accident) X PROPERTY DAMAGE $ 250000 (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR EICLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WCAO O 12 0 7 0 3 06/01/04 06/01/05 TORY LIMITS ER -- E.L. EACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYEE $ 100000 E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS contactor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZEDRESENTATIVE /� /I — �. `/ / ACORD 25 (2001/08) ` "^C/ _@ ACORD CORPORATION 1988 _ � ��i ���r����€ii!�'�c,���iY:�/��i�'fi �����`✓t���t E��2�F/,�f�U(%� Board of Buildin eg ulations One Ashburton Pace, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 02/14/1962 Number: CS '068232 Expires: 02/14/2006 Restricted To: 00 STEPHEN D HOWELL 15 MT VERNON RD BOXFORD, MA 01921 Tr. no: 16114 Keep top for receipt and change of address notification. +< ✓fze �anan�aoea�l a�✓1/faaaa���uF/ BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR J Number: CS 068232 Birthdate: 02/14/1962 Expires: 02/14/2006 Tr. no: 16114 Restricted: 00 STEPHEN D HOWELL — 15 MT VERNON RD BOXFORD, MA 01921 Acting C mis oner 0 �� Board of Building Regula ions One Ashburton Place - Room 1301. Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 123237 Type: Public Corporation Expiration: 1/10/2005 HOWELL DESIGN & BUILD STEPHEN HOWELL 44 BEECHWOOD DRIVE N. ANDOVER, MA 01845 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 123237 Expiration: 1/10/2005 Type: Public Corporation HOWELL DESIGN & BUILD STEPHEN HOWELL 44 BEECHWOOD DRIVE N. ANDOVER, MA 01845 Administrator Update Address and return card. Mark reason for change. Address [—] Renewal R Employment E] Lost Card License or registration valid for individull use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston, Ma. 02108 Not valid without signature G�C*j4TR&TaA cc CONSTRUCTION SERVICES AGREEMENT Contractor: Owner: Date: Howell Design & Build, Inc. Frank and Diana Curro August 1.3"', 2004 360 Merrimack St. Bldg 5 210 Winter Street Lawrence, MA 01843 North Andover, MA 01845 Phone: 978-989-9440 Project: C.S.L. #068232 Exterior Renovations_ H.I.C. #123237 I. PARTIES & DATE OF AGREEMENT This contract (hereinafter referred to as "Agreement") is made and entered into on this 13th day of August, 2004, by and between Frank and Diana Curro, (hereinafter referred to as "Owner"); and Howell Design & Build, Inc., (hereinafter referred to as "Contractor"). In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: II. SCOPE OF WORK DESCRIPTION & CONTRACT SUM The Contractor shall perform the "Work" as described in this Agreement and the following Attachments, which are incorporated into this Agreement by reference below: A. ATTACffi1ENTS 1) 4 page Scope of Work Description & Specifications dated August 13`h, 2004. 2) 1 page List of Contract Allotments dated August 13"', 2004 3) 1 page Schedule of Values dated August 13"', 2004 4) 2 page Substantial Completion Agreement dated August 13" 2004 5) 2 page Limited Warranty dated August 13"', 2004 B. CONTRACT DOCUMENTS The "Contract Documents' consist of this Agreement, the Attachments listed above, and Modifications issued after execution of the Contract There are three (3) types of modifications: 1) FCO "Field Change Order" is a written directive from the Owner for the Contractor to proceed with a change in the work prior to the final cost of the change being known, the exact amount of extra tune required for performance of the change, and/or prior to a "Contract Change Order'' being executed. 2) CCO "Contract Change Order" is a written agreement between the parties to change the Work including the cost, or estimated cost, of the change, and the change in days to the Date of Substantial Completion specified in this Agreement The cost or estimated cost. of the Change Order is then incorporated into the Schedule of Values and becomes payable according to the payment terns discussed below in the Agreement. 3) A written amendment to the Contract signed by both parties. C. CONFLICT OF DOCUMENTS If any conflict should arise between the Contract Documents, then the following order of precedence will be followed in determining the terms and conditions that shall be controlling and binding upon the parties to this Agreement: 1) This Agreement 2) Substantial Completion Agreement Page: 1 of 8 Initials:/ cl� C� Nq 3) Limited Warranty 4) Schedule of Values 5) List of Contract Allotments 6) Scope of Work Description & Specifications D. CONTRACT SUM (price for all work described above): $40,275 E. TOTAL ALLOTMENTS included in Contract Sum): $ 6,190 (See attached "List of Contract Allotments") F. TOTAL OPTIONS (not included in Contract Sum): $ 0 (See attached "List of Contract Options") III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE A. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL COMPLETION Commence work on or about September 1, 2004. Contractor to achieve substantial completion of all work in this Agreement on or about September 30th, 2004 not including delays and adjustments for delays caused by: inclement weather, accidents, additional time required for performance of Change Order work (as specified in each Change Order), delays caused by Owner, and other delays unavoidable or beyond the control of the Contractor. B. EXCLUSIONS Unless specifically included in the Scope of Work described above, this Agreement does not include labor or materials for the following work: 1. Fees for design or engineering work including any additional D&E work required by building inspectors. 2. Surveying that may be required to establish accurate property boundaries for setback purposes 3. Temporary sanitation, power, or fencing. 4. Moving Owner's property around the site. 5. Repair or replacement of Owner -supplied materials. 6. Public or private utility connection and relocation fees. 7. Relocation and reconnection of phone and cable services. 8. Repair of unforeseen and concealed conditions including, but not limited to, repair of concealed underground utilities not located on prints or physically staked out by Owner which are damaged during construction. 9. Testing, removal and disposal of any materials containing asbestos (or any other hazardous material as defined by the EPA). 10. Removal of filled ground or rock or any other materials not removable by ordinary hand tools or other heavy equipment already on-site. 11. Any digging or excavation below the grades shown on the plans in the event that soils unsuitable for supporting the specified footings are discovered. 12. De -watering of excavations. 13. Frost protection for open excavations. 14. Cold weather additives to concrete or insulation of concrete fornis if required due to cold weather conditions. 15. Correction of existing out -of -plumb or out -of -level conditions in existing structure. Page: 2 of 8 Initials: // �` ,. binding upon the parties. L. TRANSFERENCE This Agreement is between Owner and Contractor and is not transferable to other parties without the prior written consent of both Owner and Contractor which shall notbe unreasonably delayed or withheld. M. EXPIRATION OF THIS AGREEMENT This Agreement will exTire 30 days after the date at the top of page one of this Agreement if not accepted in writing by Owner and returned to Contractor within that time. O. OWNER'S 3 -DAY RIGHT OF RECISION The Owner may cancel this agreement with no further obligations by notifying the Contractor in writing that they wish to cancel the agreement «rithin 3 business days of the date they signed the agreement. I have read and understood, and I agree to, all the terms and conditions contained in the Agreement above. �� �o ft`�' C•Ytct✓f Date owell Design & Build Inc. - D6 Date0� Date Owner i✓VIr Page: 8 of 8 Initials: d �;c� Mo. i jTGAGE INSPECTIU1 BAY STATE SURVEYING ASSOCIATES 234 CABOT ST., BEVERLY MA -)CATION • ,?T _ f AJC V ' _ ;CALE • ! = q0 F- DATE ------------ To �e location of the building(s) as shown, either complied with the cal zoning set backs at the time of construction or is exempt ;m violation enforcement action under Mass. G.L. Title VII ',apter 40A Section 7.• C u, NOTES: • This is a Morioage Inspection survey and not an instrument survey, therefore this plot pian is for morigaoe inspection purposes only. • This survey is based on survey marks of others. • Bushes, shrubs, fences and tree fines do not necessarily indicate properly lines. • In my professional opinion the building(s) are not located in the special flood hazard zone, as defined by N.U.D. • Whenever an offset is 1'± or less, an instrument survey is recommended to determine prop. lines. • Offsets shown are approximate by tape survey. R)H1TT1ER X W, 7 + (14--= /.) Z AcAES) H0'77 /�/,�, 33 N6J2- N Lid'+ JOS ROBERT JAMES ;r;m;�nQ F4 IX W 0 o a a H w a x a v U w a�' w a°4 w O a°' w cA o cn C/O) - n c o �0_ ' C y o C 0 vv, �Q� C t�� m � O t o D o a 3�r= O"� ` is $ ?:Atom:m c, E m 3 = .- c m atomm Go N ro m A m o o► �Mmm s 2�100CD A,=_ 'on mor m •wv,o r. 'r. w �Z o a mftcm `mc c CO3 m t LU z O CM H a m � O s _ a oM.� O z 8 asm > O w P-4 C/) rH a .T CIO CDh IE O y.r c O C3 ME GO O CL CO) c v O C _O d Cos 3 H Z zip` 3� C3 i �a O d ca � C O 'C O Z CLC40 c LLI U) W W oc W U) ,A Date ....... �/�/ NORTH ANDOVER FOR WIRING .......': <... ....... .................... ,1 ,� _ .......... , North Andover, Mass. Fee.�..... ...•.... Lic. No!Mk,16 .................................................... 00, ELECTRICAL INSPECTOR Check # 5459,t TUE COMMONWFAUHOFMASSACHUSETIS Office Use only DEPIRTA1EW0FPVBUCSAFETY permit No. BOAROOFFMPREVF1MONRE1GUTAHONS5VO R12i10 ao Occupancy & Fees Checked APPLICATION FOR PERMIT TO PEWqORMELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date , Zrq 4e Town of North Andover ` To the Inspector of Wires: The undersigned applies for a permit to perform the electrical won , de9cribed below. Location (Street & Number) (�4 10 W t "^ V, t - Owner or Tenant Owner's Address lziplylfl� Is this permit in conjunction with a building permit: Purpose of Building jo VJ Existing Service Amps 2�0 / �- New Service s�.� Amps DO / Yes 1:3 No (Check Appropriate Box) 11r Utility Authorization No. 1-5101 t b Holts Overhead ® Underground M No. of Meters Volts Overhead Underground l:3 No. of Meters = Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work MOVC, 61-T 07 _771,11 0�r'vt Ck., No. of Lighting Outlets No. of Hot Tubs E4trnWdValueofE7eC W Wade $ No. of Transformers kq)ecf mD&Rec�d Total Final Slgledurlder Renalbesaf FIRMNAME LteaseN0. r KVA No. of Lighting Fixtures Swimming Pool Above 171 Below �� N &'A Generators �� 010\ 1 5 KVA n q^ r c n round ground OW,E SrMRANCEWANER,IammvmthattheLi=wdoesnothavedieinumwoDvaageorisstiatdegr4fftasmpWbyMas'Y husM(3etl =Laws ,r anddratmysi rhnc lthispemlffbcabmwai%Mdismw't No. of Receptacle Outlets No. of Oil Burners (Please check one) Owner No. of Emergency Lighting Battery Units No. of Switch Outlets Telephone No. PERMIT FEE $ Signature or Owner or Agent No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal r ---J Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydra Massage Tubs No. of Motors Total HP OTHER• A I�aaneCa�$age Plits��antbtlletegtstanalsaFM�t>setlsGerlalall.aws IlihreawuaYliabtlityhmaatoeR�ticyinduclalgColrlp)�e>,a.Covfr�eorilsaai>�rialeglrivalai YFS NO Ihmesubrni&dva5dploofofswwsDdrOfBre. YES ' ' If)mWmdrelodYO pleasem&*dretypecfo nw4p box 14SURANCE F ---A BOND OTHER a (� ) Cc. L., U 16,,.1 k c E4trnWdValueofE7eC W Wade $ WbiktoSlad kq)ecf mD&Rec�d Rough Final Slgledurlder Renalbesaf FIRMNAME LteaseN0. r LkMW�', i� I, < Sigllahae J v �' 1ioawNo �� N &'A S) a �/ �� 010\ 1 5 BtnirrssTel No. n q^ r c n A1tTeINa OW,E SrMRANCEWANER,IammvmthattheLi=wdoesnothavedieinumwoDvaageorisstiatdegr4fftasmpWbyMas'Y husM(3etl =Laws ,r anddratmysi rhnc lthispemlffbcabmwai%Mdismw't mat (Please check one) Owner Agent Telephone No. PERMIT FEE $ Signature or Owner or Agent o m m o X o m I BOARD OF HEALTH 27 CHARLES STREET NORTH ANDOVER, MA 01845 TELEPHONE# (978) 688-9540 APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) Pursuant to Section 310 CMR 15.354 of the State Environmental Code, Title V Name_ ,h H , _�� v 0 _ Phone 2el-1. Address `2,1.6 Id e 're S7, �- Contractor hired for work: Name Address Phone G S L - s -s °Y f - Date for scheduled abandonment AY t/,, The, septic system at the above address has been abandoned according to Title V specifications. Signature of Contractor Method of septic tank abandonment (check one). () removal () sandfill (O'c rush ( ) other Name of Offal Hauler , This form must be returned to the North Andover Board of Health. PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH REPRESENTATIVE'S USE ONLY. Inspecting Agent Date APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Z Application by the undersigned is hereby made to connect with the town sewer main in Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No: 7/ o V`� C �� Street or subdivi ion lot o. r C'r,, Owner Contractor eo A/-5 9: P -V A 1 l o ` Address % -2,50 Address pplicant's ignature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date By See back for rules and regulations Street Division of Public Works