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HomeMy WebLinkAboutMiscellaneous - 230 FARNUM STREET 4/30/2018 (2) 230 FARNUM STREET 210/107.A-0101-0000.0 I/ 1 i f { 8 7 c� �p Date 7ald5 i TOWN OF NORTH ANDOVER low PERMIT FOR PLUMBING ,S$AGNUSE� ,��- I This certifies that . .t,. �� . . . . /v � . . . �?V,t �. .-.L/?C- has permission to perform . . �? {. . . .t,41 � . . �L. . . . . . . . plumbing in the buildings of q? .9. ! . . . . at . .c� .YJ . . . . . .4-!? S f. . . . ., North,Andover„Mass. Fee.?ULic. No.. �07. . . ! PLUMBING INSPECTOR Check tt f MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING CitylTown: t1 szok Q.r ,MA. Date:-S\1 %1 Permit# 1 �' r c @,\1 C! 1 Building Location-. � 01 AN1h1 S 1 C+wnersN ame�� �a1 ���► W �.� Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residentiai g] New: ❑ Alteration:❑ Renovation:❑ Replacement: (R Plans Submitted: Yes❑ No[K C�� '•or�• " 1� `O� 3$6�' FIXTURES Z A O YiJ W Tin ILI z at Q vQ N U' Z 3: w = W ~ W Z a~l1 Y 09 M O0 a- K O M Q W ~ Z z W Z a Y = 3 0 0 3 = °z U. 3 Y a = uj w w m y > > O O O z z ac a s ° o = Q a a a a M M a a W o = Y g g v, v, 1- 3 3 00 SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3mu FLOOR --- -4._-FLOOR. - 6T"-FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name:�s-�.���j�u►�+c►���� �.ry�L�S \he ®Corporation Z �1a1 Address. c�'�aca Q C CIty/Town:�,c"t"\�n State• 0 Partnership BusinessTei:%AQ\ £t3'01 6 '�s4\ Fax: ❑Firm/Company Name of Licensed Plumber: �r 9.a cv.%C- ax�ntom INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 Yes Z) No❑ If you have checked Yes.please indicate the type of coverage by checking the appropriate box below. A liability insurance policy IQ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:i am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and Installation performed under the permit issued for this application will be In compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title ❑Plumber Signature of Licensed Plumber City/Town ❑Master Q (' ^� APPROVED OFFICE USE ONLY) ❑Journeyman License Number: t`O G, FINAL INSPF�I:I()N III L-dW'i;Ow()FFICE USE ONLY.,,. RIiSS INSI'I(:'�1( N.LSt t FlF.:'S 1'C.RMIT# APPLICATION FOR PERMIT 1.0 DO I'LUMI.�IN'(ti:; I.00ATjC)N of nun.r�iNr SKETCH P!.uMnEli LICENSE NUMBER PERMIT GRANTED j7ATii` .. r• PLUMBING INSPE,CTIOR 6L-,J Date.. :y V 'ACRTh TOWN OF NORTH ANDOVER p 9 - PERMIT FOR GAS INSTALLATION �1SSACHUSES This certifies that . . . . J . . . . .f�/��cy�jr✓aG . . . has permission for gas installation . . .G in the buildings of . . . CoAe /.'.0 . . . . . . . . at .J.3o. . . . . . . .. North Andover, lMass. FeJt 3t.).(.)e-.>. Lic. No..56 d�. . . . . . ./. GAS INSPECTOR Check# 91 MASSACHUSETTS UNIFORM APPUCATION FOR PERIM17 TO CO GAS FITTING � ll`` 11 CitytTowr��ftyk % J\h 4 csV P.4" .MA. Date: Per.nit;t Eulldirg Lacation:23Q T AV1 y*%k W% Si Cwners Name 1 C6 ,0,l Ck1A V W IC� Ty;e of Cccuparcf: Ccmrne tial❑ Educational Q . Irdust:�al Q Irstituticral Q Res:derffai New:Q Alteration:❑ Rencvatfcn:Q Repiacernent: 21 Plans Submitted: Yes Q No C� •@�oti� FIXTURES 40 Z rr Cj _ = a D Lu ti] Ul U en 0 _ it W a Q f tZu y U f Q GD'i O �t�'.' 1� Q O a F- I t Q a W x V3I ` lu 1-- W T Z W Q i � rn U W � � L a T S G W� � a U. W F- a W W Z C 0 A. W W z Ir,t C W > to Z J UJ i= 0 Z J a U. W F- u1 W z UJF F- 0 o c < C�9 . = LU 0 a 0 w z i tau i 0 a . c > > > 3 0 SUB BSMT. BASEMENT 141 FLOOR I 2' FLOOR i 3 FLOOR { 4 FLOOR 5' FLOOR { f { I 7 FLOOR I I I I I I II f 8 FLOOR { y Check Cne Cniy Cerificate 4 Installing.Ccmpany Name--( r ttc -9'iCor-oration z�` Address\\Z"-\� ��,c,'T.�, F.� Cfi/kart-, z:1\n State:lt�,—)�- �. Partnership Business Tai:,�--,< <c3S �cS�i Fax Q FirniCcmpany Name of Licansed Plurnber,'Gas Fifer 7- r 2� r c C, INSURANCE COVERAGE: I have a cur. liatilihr insurance policy or its substantial equivalent Nhich meets the raruiremerts of NGL.Ch.142 Yes No❑ ii you ha re c e.xzd Y3g•please Indica`.e e ty;,e of ccvsra,e 57 check:rg the arcrcpr ate tscx 6eicw. A liahilit:j insurance policy Ct.`:er type of indernitj ❑ Band ❑ OWNER'S INSURANCE WAP/=R:i am rNwa that"te licensee does nct hav4;he insurance coverage recuirzd by Chapter 142 of the Massachusetts General Lays,and that my Signature on this per nit application wiiv4s this requirement Check One Only C Neer ❑ Agent ❑ Si ratLrs ct 0-wrer cr CWrees Agent ay checking this bcz K;I hereby camtj that all of the details and inrcr,naticn i have submitted for anteraa)regarding this application are true and accurate to t**best of my Knawtedge and that all plumbing work and Installations per!crmed under the permit issued to this application will he in compliance wrh all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General taws. Type of License: BY CR Plumber rife C] Gas Fitter Signature of Licensad PSumber:Gas Fitter Master Cie/rcwn []Journeyman License Number: �. APPROVS:)ICF?ICE USE CNLY C]L?Installer Mir1l.INSPECTION BELOW FOR OFFICE USE ONLY ('RO(iRGSS INSrGC'(tONIS} l FB['.: $ PLR.Ally N APPLICATION FOR PERMIT TO DO OAS Fill IMG s T A *A TYPE Piz BUIL11ING U&AT ION Or j1LI LLL Iii {. SKETCIi ' vy' _ PLUAIBEI `.- LICGNSE NUMBER: ' w PERK41T GRANTED❑ �1�1�: ' z - 6a ' •� GAS TITTMG lKSPEC110K E' Location No. �1 C-3 Date NORT" TOWN OF NORTH ANDOVER Ott*`1O ' ,t�0 „ Certificate of Occupancy $ Building/Frame Permit Fee $ �cMus SS Foundation Permit Fee $ � sE�c Other Permit Fee cw ' a ^- Sewer Connection Fee $ Water Connection Fee $ � 1 4 1(,'UiTOTAL $ Buildinb•lnspector Div. Public Works PERMIT NO '�L-S� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. v PAGE 1 MAP INO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE I SUB DIV. LOT NO. �I ✓LOCATION O /� ��,) ,/ �i �T PURPOSE OF BUILDING 4/`�Epx 2i'0 4goV6/��/JO aoL OWNER'S NAME zf I4 j Av'�"L G �D 1�A/'/1/ NO. OF STORIES SIZE 7" /-I Y ✓OWNER'S ADDRESS C5Z 3V�!'I '!rJ �AA Crflv�Y�-+\ BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME -::�Ame A,$ 4,�o l/ SPAN DISTANCE TO NEAREST BUILDING r/ DIMENSIONS OF SILLS DISTANCE FROM STREET „ POSTS DISTANCE FROM LOT LINES-SIDES 50leo REAR �C�/�'y�.� „ GIRDERS AREA OF LOT /FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND vll9-,LL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER W -DOARD OF APPEALS ACTION. IF ANY �NL IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES 0/ EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR T 1L D Iq BOARD OF HEALTH '1131 ATURE F OWNER OR AUTHORIZED AGENT F E E S CONTR.TEL.q CONTR.LIC.9 PLANNING BOARD PERMIT GRANTED J4- >Is - BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 11 STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HA DW D PIERS PLASTER _ _ DRY WALL UNFIN. 3 BASEMENT I h AREA F FIN. B TAREA _ '/. FIN. ATTIC AREA _ NO 8M' FIRE PLACES _ HEAD RO M MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI ' POOR _ ADEQUATE NONE rj ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) _ FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I i l HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS _ 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING CONSERVATION _ FINAL` ®PLAI114II�C � FINAL tEVV R/ ATER_ _ _�I� AL F N Town 6 OL Over No. 253 9TVEWAY ENTRY PERMIT -----�- cr M`EW� er, Mass., J&'eoje / 19y/ A ,� OR P fi SS BOARD OF HEALTH T 0 • Z THIS CERTIFIES THAT.........PERMIT . .... .. ................. BUILDING INSPECTOR has permission to erect ....................... s on ? P Rough .. ....... .. ....... ... ... f .'.'. .....� �. ......... ...../�.,. j Chimney to be occupied as.. .... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRU ST Service Final .............. ................t . ... . BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit .Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove T►B�'�48No. No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Insolector Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE 114 Al JOB LOCATION o�3C� SCJ �J Number Street` Address Section of town "HOMEOWNER" �f• ��l j�l t�ti� tc�rG,� �3 3��� /7 144-EL 0 Name Home Phone Work Phone PRESENT MAILING ADDRESS30 6Lfal,--4 42VD0v4!52_ City Town State Zip code The current exemption for "homeowners" was extended to include owner , -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided ,that the owner acts as supervisor. (State Building Code, Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: ' Person(s ) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be, a one to six family dwell- ing, attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit . to the Building Official , on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the `'building permit . (Section 109 . 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and 'regulations . The undersigned "homeowner" certifies that he/she understands the Town of .., North Andover Building Department minimum inspection procedures and requirements and that he "s e will comply with said proce ures and requirements . -HOMEOWNER' S SIGNATURE ( Az,6&6 APPROVAL OF BUILDING 0 IC AL 'Note : Three family dwellings 35 ,000 cubic feet , or larger , will be required to comply with State Building Code Section 127 . 0, Construction Control . x i O� �G� �szo�a5�o x n1 4,2AO ok 4 � yq-`"'° foo 4-2 i nfzNil //� I Location a�b No.-ff o Date ?p < NORTIy TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ • i , i Building/Frame/Frame Permit Fee $ s�cMust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # r 18799 _ /duilding Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCTREP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING 77 BUILDING PERMIT NUMBER DATE ISSUED. rn SIGNATURE: Building Commissioner/I r of B 'ldin Date -SECTION 1-SITE INFORMATION I O1.1 Property Address: 1.2 Assessors Map and Parcel Number: a 30ruff /40 U iAlto. /u. D�� ` Map Number Parcel Number ti J 1.3 Zoning Information: r VlJ 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronto ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Regaired Provide ReqWred Provided RegWred Provided 1.7 water Supply MG.1-C.40.11 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Pablic 0 Private 0 Zone outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No rn 2.1 Owner of Record l�/I 1P� G 1��1G1f a36 Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: j`"`V<., O Name Print Address for Service: z rn Signg2re Telephone SE ON 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construgtion Supervisor. i�S O l�7 License Number on Address / 7 JC�' 1��/�� �j .iri Expiration Date S a Telephone r Registered Home Improvement Contractor Not Applicable ❑ v iC4rl r,q� j?e,,,j�7 - -6�3 Company Name (� rn IU(4))/� Registration Number Ad ress 0,64 7 Expiration Date (/V Si Tel hone a SECTION 4-WORKERS COMPENSATION(bLG.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the b loing permit.loin Signed affidavit Attached Yes......Ar No.......❑ SECTION 5 Description of Proposed Work cher all a liable New Construction ❑ Existing Building Pf Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: r-vi 411 ��15 r ����� �a�� -� 7-0 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be UFZ'ICIAti USE f?NLY Completed by permit aDDlicat � 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost ofo J Construction 7 •ld s- 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection �-7.2, 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize 1iPi >r 'moi Y 444-'jib to act on My behalf,in all matters relative to work authorized by this building permit application. it&uk 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 Signature of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvBERS Isr2ND 3Ru SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ' Liberty Mutual Group Liberty PO Box 7202 Mutual„. Portsmouth,NH 03802-7202 Telephone(800)653-7893 Fax(603)431-5693 July 13,2004- RE: 3,2001RE: Certificate of Workers Compensation Insurance Insured: JEFF MARKLIS DBA AMERICAN EAGLE 47 MAIN ST NORTH ANDOVER,MA 01845 Policy Number: WC5-31S-351431-014 Effective: 4/26/2004 Expiration: 4/26/2006 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability: r Bodily Injury By Accident: $ 100,000 Each Accident Bodily-Injury by Disease: $ 100,000 Each Person Bodin Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by LM Insurance Corporation under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions,and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend,extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP Ibis Certificate is cucuted by LIBERTY.N1171rU LL NSUI ANCE GROUP as mpeets such insurnce as is W onied by those companies. cc: Insured: Producer of Record: JEFF MARKLIS DBA AMERICAN EAGLE GULDECOOK INSURANCE 47 MAIN ST 173 CAMBRIDGE STREET NORTH ANDOVER, MA 01845 BURLINGTON,MA 0130 3 71 _'dpi ACORD,. CERTIFICATE OF- LIABILITY INSURANCE °04130/200° 4 PRopucEP781-270-6824 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I AL MARA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GULDE-COOK INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 173 CAMBRIDGE ST BURLINGTON,MA 01803 I INSURERS AFFORDING COVERAGE INSUREDINsuRER A: PENN AMERICA INSURANCE COMPANY JEFF MARKLIS 45-47 MAIN ST INSURER B: NORTH ANDOVER,MA 01845 INSURER C: INSURER D: 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 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 j POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. {INSR TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ,TRLIMITS 1 GENERALLMU?UM EACH OCCURRENCE $ $1,000,000 i COMMERCIAL GENERAL LIABILITY TBD 041+26/04 04/26/06: FIRE DAMAGE(Any one fire) S $100,000 X I CLAIMS MADE OCCUR MED EXP(Arty one person) $ $5,000 PERSONAL&ADV INJURY $ $1,000,000 GENERAL AGGREGATE $ $1,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP)OPAGG Is $1,000,000 POLICY LOC AUTOMOBILE L'tABIUTY COMBINED SINGLE LIMB $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ 'SCHEDULED AUTOS i (Per person) I r_� y HIRED AUTOS BODILY INJURY '$ I NON-OWNED AUTOS (Peracciderd) PROPERTY DAMAGE I (Perarddent) $ I(GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT S I LANY AUTO OTHER THAN ° $ { I AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE I AGGREGATE $ S DEDUCTIBLE 1 I I —�i$ RETENTION S I I S WORKERS COMPENSATION AND TORY LIMITS ER j EMPLOYERS'LIABILITY I E.L.EACH ACCIDENT I S E.L.DISEASE-EA EMPLOYEE $ I I E.L DISEASE-POLICY LIMIT $ i OTHER } I � , j 1 i DESCRIPTION OF OPERATIONSA.00ATIONSIVEMCLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIRL PROVISIONS RESIDENTIAL ROOFING I � I I i CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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. AUTHORED REPRESENTATIVE ACORD 25-S(7/97) O ACORD CORPORATION 1988 135 6 �3 * �, Cit}Aff ? BUltC�i1� t3UN5 , ' � License',;CC7NSTRUCTIgM��pi*RVISQr�'' Birthdate; 03128/1978 p„ ��,kr �. P 26/2447 Tr iao� $�r9'14' Restrieted, 00 ` JE FR ' 47 naArnt 9TRE `�' NO ANC�OV�R MA 49845 x ' Adrrsinistraft�r EAGIE ROOFING R O. Box 444 North Andover, SIA 01845 (978) 258-7866 ::I PROPOSALSUBMITTEDTU PHONE _ DATE 't TIN STREET JOB NAME s; CITY,STATE AND ZIP CODE JOB LOCATION ARCHITECT :fLDATEOFPLANS JOB PHONE We hereby submit specificaWm and estirnates for. � . rTo rV L" 3F`T S e. 'a')ie, \ 'y i C �1�Tc c���� ��� ';�"�},aA �•Cr r�v�-tra}r� t?�,.�.t'.d sex �it� _� �� ���":�.>., • ��1�:2 -�•�,�i�<i��.�f'��,�e � ,� e. ���,r,�-,c� jl:�:.f�l(..J� .� �-�.:- :�,sf`• ' Ckr •" L �Y�� �`vj wT,,{i�'E a'I`-,.i3 {.---",� � V4� °F `� Lit.�.l�1' 4 �� " by r ! [ WPI0iD9e hereby to furnisp material and labor- complete in accordance with above specifications, for the sum of: � � Payment o be made as follows: �G d dollars ($1�� A: ) { k _ e 'CS'=\• `4 \I`Li 1 f 14 L4 1 •' }� {{` - 5�/ jfj f ".' t t ¢i r y i y � �.1��r� �1�rx, �` f'v � f=�� Vii•% �3 Alf material is guaranteed to be as specified.All work to be completed in workmanlike manner Authorized according to standard practices.Any afleration or deviation from above speciation involving Signature 4/1 fVV g I A a r extra Costswill be executed only upon written orders,and will become an extra change over and - above the estimate.All agreements Contingent upon strikes,accidents or delays beyond our e: i roposal may be control.Owner to Carry fire,tornado and other necessary insurance.Our workers are fully cov- withdrawn if n t accepted within { days. erect by workmen's Compensation Insurance. +f Zttmptance of jkopgd The above prices,specifications and con- 4 ditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. Signature '- Date of acceptance: This contract is not transferable NORTH TOMM Of RAndover No. .3 AOAA 00P _ �— _ e ► dover, Mass., T O LA _ COCHICHEWICK y 7,p RATED 7`S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... V. ..... .t�i►. .. non .... . �► a o has permission to erect........................................ buildings on ......jr. ....... .0:..... ... ugh 0 0 Chimneyto be occupied as.... . isProthat the e Zxx permit all in ev rspect conform' erms pplic ion file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Constr ion of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTTOTS Rough .... ..... . . ... ...... ........... Service low BUIL ING INS . Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.