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HomeMy WebLinkAboutMiscellaneous - 24 COVENTRY LANE 4/30/2018EW * 0 1 W s? oI co E O w v cn O w z o p w O a: a .0 U w O w p w C w a U W w p w G ir. a C1 p cx C w w a + C COO o $i C/)cn v O 0 0 0 2, 0 O C/) 0 O v 2 O O Z O D CO) h L 47 r O as Q ev CL H 0 CO) O V O C _Q CL CO) i O 0. CO C O CM C 0 CD C O c i o ` C h O C O w_ v CLC ev ev - ;z o p i m y Ea 0 0 o n N E E o �0 cm REm : y E mm o C � m _ m N LO 0 0 ac,,, COQ ac.c mom M r �� Z o C o a ~ m � H O c mCL. Z O w p COD W c Go R � 'O LL � •0 O A .Q dL0' c O cm N� 0Z 0 O C/) 0 O v 2 O O Z O D CO) h L 47 r O as Q ev CL H 0 CO) O V O C _Q CL CO) i O 0. CO C O CM 2006/FEB/10/FRI 01.03 PM B8 E MAINE LIC. NO. 001693 • NII LIG. NO, • MASSACHUSETTS LIC. NO. 120456 -VERMONT LIC. NO. RHODE ISLAND LIC. NO.13707 NEW YORK CITY DEPARTMENT OF CONSUMER AFFAIRS LIC. NO. 0730666 • NASSAU LIC. NO. H2704150000 •SUFFOLK LIC. NO. 21194HI • YONKERS 1397 • PUTNAM PC934 WESTCHESTER WC0613-1-187 • LONG BEACH GC2001 - NEW JERSEY LIC. NO. 9949269 - CONNECTICUT DEPARTMENT OF CONSUMER AFFAIRS LIC. NO. 00532774 F.I.D. No. 11.2320449 i i. SOLD, FURNISHED & INSTALLED BY Oil -Ray Aluminum Siding Corp. of Queens, Inc. 190 Cedar Hill Road • Marlboro, MA 01752 P. 004 Sales: 1-866-466-3853. Service/Repairs: 1-888-245-7294 JOB # .<7 y� r ._� d WINDOW CONTRACT SOLD TO ,4- DATE O ADDRESS 2Z4!�' (,rV CI �✓�L1 - STATE 441� ZIP—W4: J.. PHONE HOME (� 7� !J^� WORK ( ) EMAIL t JOB SITE ADDRESS (IF DIFFERENT) APPLIED VINYL WINDOW SYSTEMS General Description of Work at Above Address:, t-+irN 'go D Date which work is scheduled.to beoin: Type of House: FRAME ❑ MASONRY -"-7 c„ 4g!L-1.S Date which work Is scheduled to'be substantially completed: r Notice: It financed, any holder of this Consumer Credit Contract Is subject to all claims and defenses which'the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof. Recovery by the debtor shall not exceed amounts paid by debtor hereunder. "OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLICATE ORIGINAL OF THIS AGfiFEMENT AND TO BETHEAUTHORITED AGENT OF ALL "OWNERS" OFTHIS PA013EIITV UPON WHICH T116 WORT( OA THE MATEMALS ARE TO BE SUPPLIED. NOTICE YO Thi HOME OWNER(0), OUARANTOR(S), L@SSEE(S), 00-610NER(S)," Cootraetor, At the expanse of owner, shall prooure all permile required by law. 1, Do not sign We agreement before you read it or 11 It conlalns any blank Spaces or if it does not contain everything agreed upon. 2, Any person who shall have co-signed, guaranteed or signed any credit application or note relating to this agreement hereby accepts to be bound by this agreement, 3.Owner(s) mprosents•that the contents on the back of this agreement Is a true part hereof and has been read and accepted by Owner. 4JALL INSTALLATION LABOR GUARANTEED 1(ONE) YEAR. CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE A WARRANTY PROBLEM. SALESMAN HAS NO AUTHORITY TO CHANCE ANY ITEMS OR MAKE ANY REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AND "OWNER" REPRESENTS THAT NONE HAVE VEEN MADE TO OR RIELIED UPON BY "OWNER". YOU ARE ENTITLED TO A COMPLETELY FILLED IH DUPLICATE ORIGINAL OF THIS AGREEMENT. "YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY MIME PRIOR TO MIDNIGHT OF THETHIRD BUSINESS DAY AFTERTHE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ON ALL ORDERS CANCELED AFTER THE RECESSION PERIOD, CUSTOMERS WILL BE RESPONSIBLE FOR A 45% ADMINISTRATIVE AND RESTOCKING FEE." SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS, BY SIGNATURE BELOW, CUSTOMER GRF�i"STOTHETERMSOj1ILlNEP07E�IkVFRSEOFTHIS CONTRACT. � , A - /OJ � PATE Contractor'Acce `' —1Print , dlure Salesman's NameSignatur 71�41, r-- (ustamer sign i SAleman's License No. �� / Signatur czDoe Aait,yc,oup ANRgm:Reeenea 0904 (Customer sign t 1 Approved materials will be furnished and installed to these specifications. PLEASE READ CAREFULLY: ONLY ITEMS CHECKED "YES" ARE INCLUDED IN YOUR ORDER. NO C3REMOVE WINDOWS from openin ere they nowexlston: 1. C3 • 2. ❑ FIRST LEVEL # Openings # New Wlndow Units . :3. Q SECOND LEVEL # Openings # New Window WITS 4, 0 THIRD LEVEL # Openings # New Window Units 5. ❑ ❑ BASEMENT # Openings # New Window Units :6. ❑ ❑ OTHER # Openings # New Window Units 7. ❑ REMOVAL OF METAL or other units requiring modified installation #Openings #of Units 8. 34 Install new PRINTABLE MOULDINGS Inside Stops # of Openings Clamshell or Casing # of Openings ES 22YQ0SPECIALORDERWindows (in AddmontoAbove) 23.,aQ CLEANUP -,"Ail Job related debris will be removed from property on completion of work; REMOVE AND DISPOSE of existing windows 24 ❑ and/or storm windows INSURANCE- All workman's compensation and liability Is maintained 25, 11AWARRANTY-Mailedtocustomeruponcompletionandfullpaymentisreceived 26, PAYMENTS - (On non -financed orders) is payable to installer on day of installation _ �l r1� 1 Lg Adtltilonailnformatlon 9. ❑ X Install new MASTER FRAME # of Openings 10. J% O New window units to have FUSION WELDED SASH #17 T L 11. fA ❑ New window units to have FUSION WELDED FRAME # 1-0 7 12 ❑ New window units Include Insulated Glass 7/6" total thicknessi 2rQ with the following INSULATED GLASS OPTIONS: Q 12a.) Trlple Glaze Double Low E Krypton filled R-10 rating (Includesinjeciedloaminsulatedsashes&,fames) # of Units— �� ��s?9 �!i �o d Y 28.1 ❑ Work Netto Be Done Obi "1144, ❑ ❑ 12b.) Triple Glaze Single Low E Argon/Krypton filled R-6 rating (includeslnjectedloaminsulatedsashes& frames) # of Units C3 12c.) Double Glaze Single Low E Argon/Krypton filled (includes lnlectedloaminsula(odsaslies&frames) #Ofunits ❑ ❑ 12d,) Double Glaze Single Low E Argon filled # of Units C3 C3 12e. Sun Clean Glass do exteriot # Of Units Plew window units to have CAM LOCK (s).or LATCH LOCK s .14.y Q New window units to have NIGHTNENT LATCHES 15. ❑ New window units tohave OBSCURED GLASS .,Deposit # OFull Q1/2 .16.)§ ❑ New window units to have HALF (1/2) SCREEN (/unsaeen on casamen(bps window) 17. ,4 ❑ Windows to have GRIDS Colonial NITIOW Full 01/2 Additional info 18. ❑ Install PVC COATED LU INUMtO indowfram color-- # of Openings1 CAULKAND SEAL w' owe with3 polntsystem 19,;,.Cc—,] 20.COLOR OF WINDOWS to be Wite OTImberlone. QSandtone X21. Total # Double Hungs __ Total # Two Lite Sliders Total # Casements Total#Three Lite Sliders Total # Hoppers Total #Dead LI[e/Pletures PP Total # Awnings Total# Basement Sliders Standard or Equal.lending :r -•; i' ; rs: `"• , . s C . INDICATE raR�M Of Par ENT With, Or -� -'-�- Payment on Measure or Start lance Due on bstantial Completion al Amount of Balance to be Financed av$ •l If ?financed, balance pa able in _ monthly installments of a proximate) $ per month, pa able by "Owner" to contractor, but if financed by D r t n Owner will pay saki amount to the lending plus such interest and credit service charge of said lending instlWAlon payable directly to the lendin institution loaning such monies - g ; II:g( vpati::rAVj to "Owner" and will 'execute a Retail Installment obligation and any documents required by such :i, osiirrad .aymoin: Institution In connection with sold zi'�iG.. - •yi y.A::'°'',r�,�.; ,t. ,.ar....erxb,.:,ya:n.n: •.ra;a,•• ;xlf!•rWill *CONTRACTOR IS AOT•I4ESPdkii E ROR ` Y; EK1571HG 5E0URITY'S`Y. 1i1S . ?!Iu AS. ii hll�l�. A �'.$HADES;;VERT'�CALS, BLINDS, CURTAINS, DRAPES OR' WINbOW MOUNTED AIR -CON QIi16NERS;'PRIQRi TO. THE INSTAL:LATION:;0F>'YOuR NR WINDOWS, INSTALLERS ARE NOT RESPONSIBLE FOR THE REEMOVAL:Ot11NS7ALL'ATIO.t�.0 THrSE,T$PESOF:ITgMS. Notice: It financed, any holder of this Consumer Credit Contract Is subject to all claims and defenses which'the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof. Recovery by the debtor shall not exceed amounts paid by debtor hereunder. "OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLICATE ORIGINAL OF THIS AGfiFEMENT AND TO BETHEAUTHORITED AGENT OF ALL "OWNERS" OFTHIS PA013EIITV UPON WHICH T116 WORT( OA THE MATEMALS ARE TO BE SUPPLIED. NOTICE YO Thi HOME OWNER(0), OUARANTOR(S), L@SSEE(S), 00-610NER(S)," Cootraetor, At the expanse of owner, shall prooure all permile required by law. 1, Do not sign We agreement before you read it or 11 It conlalns any blank Spaces or if it does not contain everything agreed upon. 2, Any person who shall have co-signed, guaranteed or signed any credit application or note relating to this agreement hereby accepts to be bound by this agreement, 3.Owner(s) mprosents•that the contents on the back of this agreement Is a true part hereof and has been read and accepted by Owner. 4JALL INSTALLATION LABOR GUARANTEED 1(ONE) YEAR. CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE A WARRANTY PROBLEM. SALESMAN HAS NO AUTHORITY TO CHANCE ANY ITEMS OR MAKE ANY REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AND "OWNER" REPRESENTS THAT NONE HAVE VEEN MADE TO OR RIELIED UPON BY "OWNER". YOU ARE ENTITLED TO A COMPLETELY FILLED IH DUPLICATE ORIGINAL OF THIS AGREEMENT. "YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY MIME PRIOR TO MIDNIGHT OF THETHIRD BUSINESS DAY AFTERTHE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ON ALL ORDERS CANCELED AFTER THE RECESSION PERIOD, CUSTOMERS WILL BE RESPONSIBLE FOR A 45% ADMINISTRATIVE AND RESTOCKING FEE." SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS, BY SIGNATURE BELOW, CUSTOMER GRF�i"STOTHETERMSOj1ILlNEP07E�IkVFRSEOFTHIS CONTRACT. � , A - /OJ � PATE Contractor'Acce `' —1Print , dlure Salesman's NameSignatur 71�41, r-- (ustamer sign i SAleman's License No. �� / Signatur czDoe Aait,yc,oup ANRgm:Reeenea 0904 (Customer sign �LMASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) , NORTH ANDOVER, ,Mast OaWSe 10 Buildingr / /� Permit # ��n rLocation U� `7` rotjen - i pC Y Ownee T / 4LueIy' Name Vr New Q-" Renovailon 0 Replacement p Plans Submitted: Yes ❑ No ❑ FiXTUAES Check one: Certificate Installing Company Name d �Q Cl Corp. Address e' ❑ Partnership p'rrm/Co. Business Telephone ` C Name of Licensed Plumber INSURANCE COVERAGE: ecx one I have ■ current Ilabiity Insurance policy or Its substantla.1 equMaleni. Yes No ❑ If you have checked yn, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy f`7 Cther type of Indemnity 0 Bond ❑ OWNER'S INSURANCE WAIVER: 1 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 (his permit appllcatlon waives this requirement. Check one: Signatute of Ownim or Ovmer s /pent Owner 0 Agent C] I hereby certify that alt of the delaAs and Infamation I have submitted (tot entetedt happkatbn are true and accurate to the best of my lnowtedge and that as plumbing wok and InstaJlatlons performed under the permA lot this aapk4tlon wt7 in compliance vAth pertinent provisions of the Mausachusetts State Plumbing Cade and Glaptr 142 at By nnaturenet Tnl. nature oil Ucwd*dPkxn- License Number CRy/Town Type of Plumbing license: Master IU'f'TiOVED (OFFICE USE ONLYI Joutneyman 0 d as w sc s w /- w • sa } 0 u< sr h ZZ s w s � w W• s rs s s h r s o s s• o = < r • A. ° < < U = as o • e • • < " r• s slet < • _ — r to < = ar a • sr • e a 41 !S e h<rt � 06 a It s < I: r t. < aor s < O < . < s s s O < 1�- suS—SSYT, SASSasftHT IST FLOOR !HO FLOOT! sf10 FLOOR 4TH FLOOR I 9TH FLOOR 9TH FLOOR. JTHFLOOR 9TH FLOOR - Check one: Certificate Installing Company Name d �Q Cl Corp. Address e' ❑ Partnership p'rrm/Co. Business Telephone ` C Name of Licensed Plumber INSURANCE COVERAGE: ecx one I have ■ current Ilabiity Insurance policy or Its substantla.1 equMaleni. Yes No ❑ If you have checked yn, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy f`7 Cther type of Indemnity 0 Bond ❑ OWNER'S INSURANCE WAIVER: 1 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 (his permit appllcatlon waives this requirement. Check one: Signatute of Ownim or Ovmer s /pent Owner 0 Agent C] I hereby certify that alt of the delaAs and Infamation I have submitted (tot entetedt happkatbn are true and accurate to the best of my lnowtedge and that as plumbing wok and InstaJlatlons performed under the permA lot this aapk4tlon wt7 in compliance vAth pertinent provisions of the Mausachusetts State Plumbing Cade and Glaptr 142 at By nnaturenet Tnl. nature oil Ucwd*dPkxn- License Number CRy/Town Type of Plumbing license: Master IU'f'TiOVED (OFFICE USE ONLYI Joutneyman 0 r Date ............. A yrM�. LL TOWN OF NORTH ANDOVER S PERMIT FOR PLUMBING This certifies that.............:...................r ......... has permission to perform ... l ........... ! ................... plumbing in the buildings of ................................ N a at.....................................I North Andover, Mass. Fee......... Lic. No .......... .........................:...... PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File 336 - Date A . .,.;v .. � 1:1.. . HORTN TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that A ............ has permission for gas installation ......... in the buildings of ........................... at ....... North Andover, Mass. Feed ...... Lic. No........... 11:.....:,:.. �.r... �o ........... GAS INSP66TOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 41 RASSACHUSETr'S Ui (FORM APPLICATON FOR PERMIT TO DOG FITTING or print) ate r )13 1 19 1VUKItl AINUUViC/K, IVIAA63M,t1UJC.l 13 Building Locations 2-7 `- © V 64,1- Permit # Amount S...C" New ❑ Renovation ❑ Owner's Name -v" 4,4- C rl+c� Replacement E3—f Plans Submitted (Pri!it or type)fJ`�v� � � �� � Check one:Certificate Installing Company Name— %( y > ❑ Corp Address �S� i�yx y 'e ❑ Partner. Business Telephone (a x b D % -,-, -0 ` L= Firm/Co. Name of Licensed Plumber or Gas Fitter l/j�� C"'t INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Nom Ifvou have checked ves, please indicate the type coverage by checking the appropriate box. Liability insurance policy❑' Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: ❑ Signature of Owner or Owner's Agent Owner ❑ 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 ertbrmed under Permit Issued for this application will be in compliance with all pertinent provisions of the VlassachusettsrtWGa�,Ode and S1f�li pter 142_p the G Laws. s By: Title CityiTown APPROVED (OFFICE USE ONLY) Sioature of Licensed Iamb Gas Fitter 01�-Plurnber b ❑ Gras Fitter7-cense 77umDer �y vtaster t❑J Journeyman rot wo zo N a COD z ( F) f > z 3 aC5a a L-�'J ❑ Oz w W OyO �O> ¢ 0 .: c,:,V 00J ¢ w H ¢ O !'Y'r F __ W CoQ Y ccJ ¢ Wa aN z Fo O Q Ow0 UU Z Oa co 5 zz -i ave 00 - O ¢(O wO V_i �_ Q=J OSW �} Uj- ;.� W O 0 W W. O Cau0 ,.5. f-' .. LLI_ O j, t ¢ y W O COD WU / O O C* = Z� V F Q ZQ CL ❑ Qty ¢ t• p a z C7¢ ¢LL zw 7w aF aN0 z= 0 Iw-z F u¢jd O U) QU am ME aH ¢¢ d wp Vi WN UU ❑ Oa ao El ❑ W0� aLLQ Wo OZJ CL C - OW i. CL Er Z z yC= ¢¢0 CL fL JJ ,z Q¢Za WW _� y~SW zMM W¢ CL Q WWUJWF-S 1.� �.= W :5W U O LL S � Z , w gS or D: U W 00 Iii� _. W Z W w LL } OZ Q . w Wi F . Z t W .. z 0 w� 0 C* H X 0 0 W ❑ -�71 O U¢�I Z F .~� �d- F V W 0 O _J W W WO W m Q 2L 0 W W W El W W UU z O S O O Q ¢¢ J ¢ �F- frJ w a PL O C7 2 p Z O F ZfrZ O Q Q Z W OWO 2 O F2 Z� t¢ W S U. Or J UUU A 0 i O Q W Q c) LL. L7 w . CL C* LLI O W S. F J w W Z Z ¢ N H O O Q O U O N . 0 w cm LU H ir- CODO 0 W = O ~WCO) W S CO U W W w U) ..+....... LL Or LL. F + El W W m m V Z (Wj Z' v LL v O O W} O O Q = rt <Q a a �t. ¢ o` z a ❑ aw COO. Z W Z W Cm O Czi W QO -- mci Z. 3 W OJ V y ¢O Z W Z W W w Z cc O_ ¢ Q �V �•J w _j= Lij y o 2 S F wFW- 3 W W lr w� �z YOi y g0 i a a O aw �Om Wm ¢a wU �W UU W C4 CL CL O ww = I I H d y U UU O C I LLI¢ :w C) LL ¢W 0 L �! O 0 Ww rot t79t,9-Zs9-008- L HN 'H-LnOWSlaOd 31N 'aNVll»Od 'ONI `S3111111f1 Nli3HlliON (V3HV NOldWVHIHON) 8804 -799 -£Lt, NOISIAIO 0131d9NlHdS OOZ6-L8L-£Lt, NOISIAIO 0131dONIUdS Z8£9-989-805 NOISIAIO 30N3HMV1 Ot,60-869-008 OO LO -089-L L9 NOISIAIO NOl>1OOHB SVO 31V1S AVG llVO `NO 03Nun-L SVO 3Hl 1NVM (INV NOI11aN00 SIHI 031(13W3H 3AVH nOA N3HM tum milmommi A e cm 318VS11unNI 38V103a 18V )IH3 dvezi 1N39Nn un=i I6091V80£9Lf0U 3H `HWHLS01000 W3hO9dd3H 9 319VZIIIlf1NI 00VHV103a .03NMON00„ 'V183AOW3a VHVd VOVZIa01f1V VNOS83d VOINn Vl S3 S3Ilnin Na3HIHON/SVO 31VIS AV9 130 31NVIN3S3Hd3H 13 'V8f10V)JlJ30 Vl 31ndINVV4 ON OSiAW '3AIIV1N3S3Hd38 301AH3S S3111111f1 NH3H-LHON/SVO 31V1S AVG V AS 30VW 30 AINO I1VHS IVAOW38 '301A30 ONIN001 HIM H3dWVl ION 00 ONiNaVAR AVAAV samwH d33M J I N�adM 0 fflOF,s� Iy - 014t Tommunmralti 1f Mns#nsE1f.5 Permit No. l9epartment of Public —Aafetg Occupancy & Fee Checked Y �7' BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:100 C� i - (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (M* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for er 't to perform the electrical work described elow. Location (Street & Number4; Owner or Tenant U/1�✓1�-� t Owner's Address is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Puroose of Building ��� ��-� aci-e—C�� Utility Authorization No. Existing ServiceC�G0 Amps— oils Overhead a Undgrnd ,r�I No. of Meters New Service Amps Volts Overhead ❑ Undgrnd L. No. of Meters Number of Feeders and Ampacity /� /� Location and Nature of Proposed Electrical Work►` 0 ?Goo tC �T�O ,,267 No. of Lighting Outlets /'% No. of Lighting Fixtures No. of Receotacie Outlets p� v No. of Switch Outlets No. of Ranges No. of Disoosais No. of Dishwashers No. of Dryers No. of Water Heaters No. of Hot Tubs Swimming ?poi gr a e_. grnd. �_ No. of Oil Burners No. of Gas Burners No. of Air Cona. Total tons No.of Heat Total Totai Pumos Tons KW Soace/Area Heating KW Heating Devices KW No. of No. of Signs Sailasts Total No. of Transformers KVA Generators KVA No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones No. of Detection and Initiating Devices I j 1 No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local —; Municioai Other _: Connection L_ Low Voltage Wirina No. Hydro Massage Tubs i No of Motors Total HP I I OTHER Q-) 1-7_A/ /V/?X,i leQC--/J INSURANCE COVERAGE: Pursuant to the requirements of I.iassacnusetts general Laws _ I have a current Liability Insurance Polio inc(ucirc C_,vme!e,ed Operations Coverage or its substantial equivalent. YES NO _ I have suomitted valid proof of same to the Office. YE yt — VO = If you have checked YES. please indicate the type of average by checking the a r pnate box. ` INSURANCE BONO OTHER = (P`lease ec:ty) (Expiration Oatei Estimated Valu f Electrical ork 5 /s/ '�/ Work to Start Insoection Date Recuestea: Rough Final Signeaunaer he Pena ies f penury: FIRM NAME _ Licensee %) SignatturrJe !C. NO. Bus. Tel. No. Address 221 `�� : Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee aces not have the insurance coverage or its substantial equivalent as re- ouired by Massachusetts Gener Laws, a a ;hat my signature on this permit application waives this re�rement. Owner Agent e ck one) 22 Telephone No.�� PERMIT FEE S (Sign re of Owner or Agentl x-5565 Date .......`.-./.,/."'... 2523 NORTH 0 TOWN OF NORTH ANDOVER 0 s- PERMIT FOR WIRING 4L ,SSA cm This certifies that ....... ... .. .. r..,z . . .. ... ... .... .. . e . . .............. ... .............. ; . ................. has permission to perform ... 43.f ... ... .. ... ......... .. . .. . ... .... wiring in the building Of .. ..... 1. ........... at .. . .... ...... Nert=, Mass. Fee ..79/ ... . Lic. No . ...... . ... ......... VCTRICAL �INSrE0 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File Location 1 1 s No. Date f TOWN OF NORTH ANDOVER N12, x.2372 05/28!98 09:42 25.00 PAID Building Inspector Div. Public Works . n Certificate of Occupancy $ Building/Frame Permit Fee $ sAc 14 Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ N12, x.2372 05/28!98 09:42 25.00 PAID Building Inspector Div. Public Works i! O 5 y z z Y C.i C, N F X d c- F" z r rr � _ z _ z T� ti F- Z _ u V U w 7A LU Z z G Z - z w z % Z y LL,6W '✓1 VFX N Z '....i" N h C — %` fn L N N G O v J O � U _ o u V Z W s X z N LLJJ W z T1 c LL;z � � < t, N 4 z Uj QLU z z �d z ' ? N J7 �`U W L W L.1 X11 z� J Z Z Z C Z v < Z Z j u z z i! O 5 y z .i :r d&A, r AW dca� r® 4w 9�.&!.✓.t�rD 9JW1/f� cads VW T'bw =4ow Ad ooaV le / t AnMC a �. ibe PW ANPs� ,erg ��Ol�i®� � 7 `/ v aD 6 •t �� Pu Q4c,A ki i ?>P U. 15,A " F F s OI8I0 a0iv81swiwav aW 83AOGW 1S 83A00Na ztz NMO88 'a 183808 861ZZ/ZI uotje�tdz3 IVAGIAI0NI -. adXl £ ' 8013a81NO31N300' 801 1RON 01310 tlN '83h00Nd 1S d3h00Nd lGl NNO69 a 163808 00 :01,paIatilsa8 ,W/LOM OOOl/LO/VO EZ6800 SO :aaepul�tg :saitdz3 :IaglnN 3SN33I1 dOSIhd3dOS N0I1JANISN03 �IIJVS 3I180d 30 IGINdd30 aM711:�71M'U7jJ/'' 9D 1I�DA/I�2liD2LI/tIGO(j]-� FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvalslperrr is from Boards and ^Apartments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements, � a "*APPLICANT FILLS OUT THIS SECTION APPLICANT dib l�(�-� lti �v1� _� y-- PHONE 4 4s r95� LOCATION: Assessors Map Number Q PARCEL SUBDIVISION LOT (S) STREET—Aet 0,7 altI y L# ST. NUMBER "*"OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: ' CONSERVATION ADMINISTRATOR DATE APPROVED l DATE R€JECTED TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED 74 DATE REJECTED }' ' SEPTIC INSPECTOR -HEALTH DATE APPROVED Q3 DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT I, FIRE DEPARTMENT t' RECEIVED BY BUILDING INSPECTOR DATE 12% -PIZ 14) v ) 1, 'j �t- -ci I I I i II a a y IN 3 DEPARTMENT OF PUBLIC SAFETY CONSTW016N SUPERVISOR LICENSE Expires: Birthdate: CS 008913''04/01/2000 0110711942 R e ted' 0 r 00 R 0 8 E BROVN 46WVim 212 W64R'Sf ANDOVER, MA 01810 ✓7/. HOME IMPROVEMENT CONTRACTOR' Registration 123191 Type INDIVIDUAL Expiration 12127198 ROBERT A, BROWN 242 ANDOVER ST ADMINISTRATOR MA 01810 R d C — m y C') n Z yED R CLO 0• O ' tj CL CO) O o pCD d r cm CD �. 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O H � C CD CM CO) CDO o_ CO2 CD ff m m CD CD �3 O G O Cc O d cmQ coc ev Q .FL O CD CO2C Z 15 CD CL C.3 CO) c C C C c CLy Location Date 7 iz-bs:- 40RT#1 TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Sb Building/Frame Permit Fee $ y�b''•°'''<� Ss�cMusE Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 213.00 PAID Building Inspector Y� 86123. � •• Div. Public Works W I � a � a o o � m W 0 F- Z Q N - W N_ N vi a {A _ Q = i a II - a' N p� W W Z a Z Z U. 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This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone LOCATION: Assessor's Map Number Parcel Subdivision -�` Lot(s) Street St. Number RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Date Date Approved Rejected Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector -Health Date Rejected �1/L- "TUU � ✓� Date � .� Approved' Septic nspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date CE CE-2T/F/CqT/O�-/ PLQ�/ LOT 35 , COVENI-rRy LANE ,VOR 7 -,Ll A,v,D o VE Q , MASES: AREPAR&D FOr2 C.L.F. REAL-(V-j*kU5-r SCALE= 1'= 40�' Z)ATE : t - fo- 8i II 0 0 A,androver consultants Inc. r 213 Broadway , Rethuen , Mass. t� r AVSeEsY CE—r,"FY r11lA r THE e—ccA7 OF rNE S rRuf TUR E YAA� w,v OA-/ TU/S PG 4N WA S 1 0E77ERMIA/ED BY .4 C'/6L40 SZIRVEY 4,c/O CO.VFORMS1 c r�E RE4541c,47—/GNS , -JUD 15 NOT LdCA7-ED .,u A FLW HAZ4;?D 4ZE4. REG_ LAND cS�/.2l/E yDr2 A,androver consultants Inc. r 213 Broadway , Rethuen , Mass. t� d „owry OFFICES OF: Town of APPEALS � :�.� NORTH ANDOVER BUILDING CONSERVATION DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR 120 Main Street North Andover, Massachusetts 01845 In accordance with the provisions of ;LIGL c a!0, S S -t, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly Iicc -. sc solid waste disposal facility as defined by MGL c 111, S I50A. The debris will be disposed of in: (Location of Facility) ;TOTE: Demolition permit from the Town of .Forth Andover must be obtained for this project through the Office of the Building Inspector. The Commonwealth of 3fassachusetts Department of Industrial Accidents ai — A /t1�Cd dlerrc,�o(gstlias - 600 Washing on Street i.� Boston, Nass. 02111 Workers' Compensation Insurance Affidavit insurance co policy's I am a sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listed below who have the following workers'. compensation polices: company name C� �'lJ%iY/l/l2?�lC/Ltz address phone � lr�. ..nnliry# (/ Com% 7Y .... Failure to secure coverage as regi one years' imprisonment as w I copy of this statement m v b for I do hereb ce ify and th pc Signature Pont name under Section :.e.A of NIGL 15= can Ind to the imposition of criminal penalties of a fine up to 51.500.00 and/or A penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a ed to the Office of Investigations of the DLA for coverage verification. and penalties of perjury that the infornsadon provided above is true and correct official use only do not write in this area to be completed by city or tows oMcW city or town [] check if immediate response is required contact person: (f ri 31" PIA) permi"cense # riBuilding Department []Licensing Board []Selectmen's Office []Health Department phone #; r7 Other i Restricted To: 00 'BEPARiBE1T Of PUBLIC SAFETY COKiNCTI01 SOPERVISOR LICENSE 00 - None Nsskr: • Expires: 3irtbdate 1A - Basosry ally _ CS 000792 06/28/1996 06/Z3/1955 16 - 1 6 2 Wily Roses Restricted To: 00 -- -- - - -- PETER R 30UBE -A WT' � 13 ERNIFS OR � DUPLICATE -- LITTLETON, u O1e60 F HOME IMPROVEMENT CONTRACTOR. 1 Registration 100657 Type - PRIVATE CORPORATION I �iv Expiration 06/22/% P.R. Berube Construction, Inc Peter R. Berube ,urnie's OT. ADNI#AS.RAMR Littl8tOD MA 01160 _ JUL Q 1995 L 9iF I}SSACHUSETTS UNIFORM APPLICATION:FOR..PERMIT;-TO.DO:PLUM6IKG (Type or Print) NORTH ANDOVER ,Mass. 3.:. Date: �M Building Location Gyyx',wgrae x Ia Permit 1--26" :. Owners Name M, New D Renovation ] ' Replacement 0. Plans Sgbmitted " ! Fly, I_IRF (Print or Type) Check one: Certificate Installing Company Name .S'.AYffeOO&W Corp. Address_ 9*#AfX+0 fc�r' ED Partner. „AggR?",4 /4do0ablat� /'�e3l'r _ �I Firm/Co.. Business Telephone �► �� �%0 y� Name of Licensed Plumber: 4* 0. i a i Co- JV Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type ,of indemnity 0 Bond Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insuronce coverages. Signature of owner/agent of property Owner Agent N}0 I hereby certify tial all of Ure details and information 1 have subiniticd lot enlcrcd) in shu.c applialioa ate true aadiutate to the best of rey knowledge and that all plumbing work and installations Irctfarmcd undcr 1 etniit ksucd fat this apPliatiort will be in toiaptiance with all palineut pto•.4 visions of the Massachusetts State Plumbing Code and Claptct 112 of the (knual Laws, By Title. City/Town: APP -ROVED ZOFFICE USE ONLY) 46;x of L censed Plumber Signaturet Type of Plumbing License t -2 y7 0 % t-7 ttJiJpp�� License Number Q Master Journeyman Y Y • • • • (Print or Type) Check one: Certificate Installing Company Name .S'.AYffeOO&W Corp. Address_ 9*#AfX+0 fc�r' ED Partner. „AggR?",4 /4do0ablat� /'�e3l'r _ �I Firm/Co.. Business Telephone �► �� �%0 y� Name of Licensed Plumber: 4* 0. i a i Co- JV Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type ,of indemnity 0 Bond Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insuronce coverages. Signature of owner/agent of property Owner Agent N}0 I hereby certify tial all of Ure details and information 1 have subiniticd lot enlcrcd) in shu.c applialioa ate true aadiutate to the best of rey knowledge and that all plumbing work and installations Irctfarmcd undcr 1 etniit ksucd fat this apPliatiort will be in toiaptiance with all palineut pto•.4 visions of the Massachusetts State Plumbing Code and Claptct 112 of the (knual Laws, By Title. City/Town: APP -ROVED ZOFFICE USE ONLY) 46;x of L censed Plumber Signaturet Type of Plumbing License t -2 y7 0 % t-7 ttJiJpp�� License Number Q Master Journeyman I Date. ►'�' 306156 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ............ ......?"�--!��'". has permission to perform�..r! plumbing in the buildings of ...'� ' .......... . at. . .- .?-. ................ , North Andover, Mass Fqp;�Q........ Lie. Noy 7'a% . .............................. - PLUMBING INSPECTOR ro 0 0 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 3159 Date..`."...).:.. `.'` ........ A Q O a F „ORT4 TOWN OF NORTH ANDOVER o �` oPERMIT FOR GAS INSTALLATION � N P �'SSACHUSt M ..n Cry r This certifies that ....f i, ..� :..::...: .. -�. !.1:......... has permission for gas installation ........ ................... . in the buildings of ............... % ....................... at .. ? . `............ !.................. . North Andover, Mass. Fee../f-..-.. Lic. No...'....:`... ................ t ... ... . GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING —� (Print or Type) Mass. Date '— 19� Permit # � S Building Location C>9 C�Dr/��, Owner's Name Type of Occupancy �1 New ❑ Renovation ❑ Replacements Plans Submitted: Yes❑ No o Check one: ❑ Corporation ❑ . Partnership Certificate Business Telephone �%�;/J' J�10/� C///O (p , ❑ Firm/Co. Name of Licenses! Plumber or Gas Fitter INSURANCE COVERAGE: I have a curre,n, li ftY insurance policy or its.substantial equivalent which meets the requirements of MGL Ch. 142. Yes 2 No ❑ If you have checked ye, please Indicate the type coverage by checking the appropriate box. A liability insurance policy 141 - Other type of indemnify ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts Stale Gas Code and Chapter 142 of the ral ws. BY T cense: r Signature of Oce lumber or Gas Fitter Title rurney�man License NumGty/Town APf'F10M1IF.D l0 FICE US . ONL ■rrrrr�rrMENEM rrrrrrrrrrl ■rrrrrr_ lrrrrrrrrrrrrrrrrrrl 1ST FLOOR rrrrrrrr�rrrrrrrrrrrrrrrrrri .. • rrrrMESON rrrrrrrrrrrrrrrr■ • . FLOOR�STHFLrrrrrrrrrrrrrrrrrrrrrrrrr� ... ■rrrrrrrrrrrrrrrrrrrrrrrrr rrr .. ■rrrrrrrrrrrrrrrrnrr■ m • • • ■rrrrrrrrrrrrrrrrnrr■ ■rr .. - ■rrrrrrrrrrrrrrrrrrrrrrrr■ .. • ■rrrrrrrrrrrrrrrrrrrrrrrr■ Check one: ❑ Corporation ❑ . Partnership Certificate Business Telephone �%�;/J' J�10/� C///O (p , ❑ Firm/Co. Name of Licenses! Plumber or Gas Fitter INSURANCE COVERAGE: I have a curre,n, li ftY insurance policy or its.substantial equivalent which meets the requirements of MGL Ch. 142. Yes 2 No ❑ If you have checked ye, please Indicate the type coverage by checking the appropriate box. A liability insurance policy 141 - Other type of indemnify ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts Stale Gas Code and Chapter 142 of the ral ws. BY T cense: r Signature of Oce lumber or Gas Fitter Title rurney�man License NumGty/Town APf'F10M1IF.D l0 FICE US . ONL MI, s ii a 0 AE Qw S AO A a 0 wo z1:01 86-z0-:130 4009 � f NORTH Date !..2 -3 - TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING '/ This certifies that �%j,D, f. � .� .S lu.h./.9. !.... � ... ............ has permission to perform .... .H .......................... plumbing in the buildings of .. A4,4.< AA ./ .................. at. t/... eo. u. .......... ;� , .. , North Andover, Mass. Fee..f ?t....Lic. No..' PLUMBING INSPECTOR 04/27/99 13:32 15.44 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Typee)),,,. Mass. Date 19� Pe it # 00 q Building Locatlort�z � �1��{� L�Owner's Name _/ / 7 ���7� Type of Occupancy �/J'r New ❑ Renovation ❑ Replacemert#-A�r-- Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name Ai �S,10.7aY All 1 92 �i;�l- Check one: Certificate 7 Address C>✓L L- G / ❑ Corporation (/I z z ❑ Partnership Business Telephone / 7�� 7`�� %�CIo/ ❑ Fmz/Co. Name of Licensed ?lumber l -,?4 A INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes— No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability Insurance policy- Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ S+gnature of Owner or Owner's 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 perform under the permit issufor this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Cod nd apter 14 a neral laws. BY Signatu of Licensed PI r Title Type of License: Master [j-- Journeyman City/Town / �j �+ APPfiOVED (OFFICE USE ONLY) License Number /// =°Qui■■■■■■■■■►!1■■■■■■■■■■■■■■■■I .. ■ ■■■ �■■�■■■■W-filaWs- ■ ■■■■■■■■■■ all ..■■■■■■■■■■■■■■■■■■■MEMO■■■ no, Installing Company Name Ai �S,10.7aY All 1 92 �i;�l- Check one: Certificate 7 Address C>✓L L- G / ❑ Corporation (/I z z ❑ Partnership Business Telephone / 7�� 7`�� %�CIo/ ❑ Fmz/Co. Name of Licensed ?lumber l -,?4 A INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes— No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability Insurance policy- Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ S+gnature of Owner or Owner's 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 perform under the permit issufor this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Cod nd apter 14 a neral laws. BY Signatu of Licensed PI r Title Type of License: Master [j-- Journeyman City/Town / �j �+ APPfiOVED (OFFICE USE ONLY) License Number /// M o a ! dq i ;I A O N 0