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Miscellaneous - 42 LACY STREET 4/30/2018 (2)
42 LACY STREET f' 210/105.D-0051-0000.0 ` i J 179 Date.. �.°.�.i. / . . . .... . . MpRTH , TOWN OF NORTH ANDOVER n p? p PERMIT FOR MECHANICAL INSTALLATION t . 9 SSACeMUS This certifies that . :(? n�. �C� �'� :� � � I has permission for mechanical installation . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . .. �� �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . at .. . . . . . .. North Andover, Mass. Fee. . . . Lic. No 4 . . . . . io ,hpc �L GASINSPEoa' R WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Commonwealth of Massachusetts Date: �3 Sheet Metal Permit > � � � Permit# s1'! Estimated Job Cost: Permit Fee: $ Plans Submitted: YES NO X_ Plans Reviewed: YES NO X Business License# 5at. Applicant License# L{ 6 7 Business Information: Property Owner/Job Location Information: Name:S'en+-6L1 Cool i n 4+14 <„+�,Tnc Name: %r-a ti Street: q Ner a.ol ,$ ee Street: 'TZ City/Town: W urn, BVI A 01,K1 City/Town: Telephone: .--7 F-r-j 3,-3- 8 g Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES_ NO Staff initial &I-/ VI-1 unrestricted license 4-2+M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family L Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. >4 over 10,000 sq. ft. Number of Stories: Z Sheet metal work to be completed: New Work: >4 Renovation: HVAC X Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: Page I of 3 ntral PEABODY AREA (978)531-4422 CeCoolingO 0 WOBURN AREA Heating ( W-8288 Inc. 781)9NEWTON AREA (617)928-3366 0 9 NORTH MAPLE STREET WOBURN, IMA 01801 YOUR COMO" January 7, 2013 Sarah and Dan Tiber 42 Lacy Street N. Andover, Ma. 01845 C#617-504-8800 E-Mail: dantiber*gmail.com Project Manager: Ed Pollack Air Conditioning Proposal (single stage) Equipment: Bedrooms 1. Carrier 224ACC636-A003 34'on single speed condenser 1. Carrier FX4DNF037 High efficiency ficiency flan coil w/jecinmotor I Carrier TC-PAC Digital Programmable Thermostat Combined system efficiency: 15.5seer, 13cer ARM 3657160 Ductwork: • Install fan coil in the attic space within a sheet metal pan with an emergency wet switch • Install one ceiling supply in each of 3 bedrooms upstairs and one down stairs • Install 3 additional supplies to the 1St floor, kitchen, dining and living room • Install one return in each 2 nd floor bedroom per code and one main return in the hallway • All ductwork running in closets will be rectangular galvanized steel and uninsulald • All ductwork is fabricated of galvanized steel and insulated to an R8 in the attic-which is current code. All ductwork will be sealed with UL approved sealant and the duct system will be subsequently pressure tested as per code. • Each branch duct will include a manual balancing damper and each supply vent will include a manual damper Other Work Included: • Poured in place 5" concrete condenser pad • All refrigeration and drain work. All refrigeration piping will be enclosed in vinyl conduit as it runs down the side of the house. This comes in grey, white or beige and can be painted • All sheet metal permitting and electrical permitting • Upgrade the existing 100 amp service panel to 200 amps • All power and control wiring from the new service • Start, check and explain operation of system. Your Comfort is Our Priority... 42 Years Serving the Boston Area (781) 932-9017 fax w-w-w.centralcoolinV,.com b r� Page 2 of 3 Work Not Included: • Painting, atp chins or boxing of exposed ductwork. • Insulating ductwork running in conditioned space Guarantee: Central Cooling and Heating guarantees all material and labor for 2 complete years, including a preventive maintenance visit at the start of year 2. Carrier issues an additional 8 year parts only warranty on all other parts. Central Cooling and Heating, Inc. will return at the start of year 2 for preventive maintenance. To obtain the 10 year parts warranty the equipment must be registered on line with the manufacturer. Central Cooling and Heating will do this. We propose hereby to furnish material and labor - complete in accordance with the above specifications, for the sum $11,500. dollars. 1/3 deposit upon acceptance, progress bills to be submitted at the end of the month to be paid on the 10th of the following month, balance due to the service technician at the start up of the system. Past due balances will be charged 1 1/2% interest charged per month which is an annual percentage rate of 18% on past due amounts. REBATE: $11,500<$300 National Grid rebate> Your cost after mail in rebate $11,200.00 OPTION 3: Install Aprilaire 2200 series media type high efficiency air cleaner .......ADD $500.00 Authorized Signature: Date Payment terms, warranty information and home owners responsibility are listed below Note:*This proposal may be withdrawn by us if not accepted within 30 days. • Central Cooling and Heating,Inc. agrees to provide a Two(2)year warranty on parts and labor to repair or replace(at our option) any defective materials or equipment. Service agreements are available. • This agreement does not include improvements to your present system except as specifically outlined in your contract. If it is not stated in writing in the contract, than it is not included! • Central Cooling and Heating,Inc. will endeavor to render prompt and efficient service, but it is expressly agreed that the company shall in no event be liable for damage or loss arising out of the performance of this agreement • It is mutually agreed that this agreement does not cover any work required because of negligence, misuse of equipment, or because of fire,food,acts of God,shortage of electrical or water supply,sabotage, or damage caused by freezing. • The company and the customer agree that any alteration or deviation from the specifications set forth in the contract agreement, including extra costs will be executed only upon written orders, and will become extra charge over and above the contract price. All agreements contingent upon strikes, accidents, or delays beyond our control. • All cooling and heating warranty service to be performed during normal business hours M-F 7:30AM—4:OOPM. Emergency heating warranty service will be provided only if heat is off completely • The homeowner agrees to have the work areas free and clear of personal belongings, construction materials etc, if this is not the case when our crew appears onsite,you will be billed the necessary time needed to safely move the articles to make the work area accessible. • Owner to carryfire, tornado and other insurance. Central Cooling and Heating,Inc. workers are fully covered by Workmen's Compensation Insurance • Central Cooling and Heating,Inc. adheres to sound environmental practices relating to the procedures governing refrigerant recovery, recycling, and reclaiming stated in the Federal Clean Air Act. Buyers Rights Option 1: Notice:Any holder of this consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods and services obtained pursuant hereto or with the proceeds hereof. Recovery hereunder by the debtor shall not exceed amounts paid by the debtor hereunder. Buyers right to cancel:You may cancel this agreement or purchase by mailing a written notice to the seller postmarked not later than midnight the third business day after the date this agreement was signed. You may use this page as that written notice by writing"I HEREBY CANCEL" at the bottom and adding your name and address. The notice must be mailed to 9 North Maple Street,Woburn,MA 01801. Your Comfort is Our Priority... 42 Years Serving the Boston Area (781) 932-9017 fax ww-w.central coo Iing.com i J� Page 3 of 3 Option 2:Under the Mechanics lien law,any contractor,subcontractor, laborer,material man or other person who helps to improve your property and is not paid for his labor,service or materials,has a right to enforce his claim against your property. Under law you may protect yourself against such filings,before commencing such work of improvement,an original contract for the work of improvement thereof,in the office of the county recorder of the county where your property is situated and requiring that a contractor's payment bond be recorded in such office. Said bond shall be an amount not less than fifty percent(50%)of the contract price and shall,in addition to any conditions for the performance of the contract,be conditioned in full of the claims of all persons furnishing labor,services,equipment or materials for the work described in said contract. To expedite installation,I hereby waive my right to the 3-Day Recission Law. Payment Terms: Payment terms are agreed upon signing this contract to be 1/3 deposit upon acceptance,progress bills to be submitted at the end of the month to be paid on the 10`h ol'the following month.balance clue to the service technician at the start up ofthe system. Past due balances will be charged 1 I,12`%interest charged per month which is an annual percentage rate of'184i on past due amounts. In instances of Punch list incidentals will only be done after payment is made in full. No service. warrantee or otherwise will be rendered if'the customer has a past due balance. I acknowledge that this is a fair and reasonable charge for the above stated work. I undersigned understands the terms and conditions of payment,the Services to be performed as well as my responsibilities as far as having the work area ready and free and clear of personal property. The undersigned shall pay Central Cooling and 1 leating, Inc.one and one-half percent (I ',,,%)monthly rate of interest on any balances unpaid after 30 days after receipt of invoice plus any and all costs incurred in the collection of outstanding balances whether or not resulting in the initiation of litigation,including but not limited to reasonable attorney's fees. I understand and accept the terms and conditions of payment and 1 herby authorize Central Cooling;and Heating,Inc. to proceed with the work as described above and charge my credit card listed below with the payments as per the payment terms stated above. Customer signature Date Printed name as it appears on your credit card Print Card Holders Address Credit Card Information: MasterCard_ Card Number ____ -____-___ -____ Visa_ Expiration date Vcode__(last 3 digits on back of card) Your Comfort is Our Priority... 42 Years Serving the Boston Area (781) 932-9017 fax www.centralcooling.com 0 � Q }S I o W\ I � e i-. Central C:oolill- Load Short Form Job. & Heating Incl Date: Aug 16,2012 Entire House By: Central Cooling and Heating, Inc. 9 North Maple St.,Woburn,MA01801 Phone:(781)933-8288 Fax:(781)932-9017 Email:sales@centralcooling.com Web:www.centralcooling.com License:MA Master Sheetmeta... Project Information For: Sarah Tiber Design Information Htg Clg Infiltration Outside db(°F) 12 88 Method Simplified Inside db(°F) 70 75 Construction quality Average Design TD (°F) 58 13 Fireplaces 0 Daily range - L Inside humidity(%) 50 50 Moisture difference(gr/Ib) 47 28 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make Carrier Trade n/a Trade Model n/a Cond 24ABC736 AHRI ref non/a Coil FV4CNF005 AHRI ref no3636962 Efficiency n/a Efficiency 17.5 SEER Heating input 0 Btuh , Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 1400 cfm Air flow factor 0 cfm/Btuh Air flow factor 0.042 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.92 ROOM NAME Area Htg load Clg load Htg AVF ClgAVF (ft") (Btuh) (Btuh) (cfm) (cfm) first floor 936 29382 20037 0 845 Room7 936 19514 11369 0 479 Room10 156 5312 1801 0 76 Entire House d 2028 54209 33207 0 1400 Other equip loads 0 0 Equip. @ 0.93 RSM I 30750 Latent cooling I I I 3053 TOTALS 2028 54209 33803 0 1400 Calculations approved byACCA to meet all requirements of Manual J 8th Ed. t WI'1 IItSOft`° 2013-Jan-0710:00:59 ,y+/� 9 Right-Suite®Universal 2012 12.0.03 RSU15857 Page 1 HlilA P:\Sales\WrightSoftHVAC\Projed\6ber,sarah.rup Calc=MJ8 FrontDoorfaoes:S The Commonwealth of Massachusetts Department of Industrial Accidents QjTwe of Investigations Map# Lot# 600 Washington Street Address: Boston,MA 02111 Permit# www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Cet r} I (,7M/i na ., hOF 4�r-tG Address:_,) ,jar-fl, 6,1o,nl2 S6-er-� City/State/Zip: W A CA.rn d i brc 1 Phone M -M-933=r g8' Are you an employer?Check the appropriate box: general contractor and I Type of project(required): 1.IR I am a employer with .7 O 4. ❑ I am a g employees(fulland/or part-time).* have hired the sub-contractors 6. Q New construction 2.Q I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have 8. Q Demolition working for me in any capacity. employees and have workers' [No workers.'comp.insurance comp.insurance.# 9. Q Building addition required.] 5. Q We are a corporation and its 10.Q Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions myself. [No,workers'comp. right of exemption per MGL insurance required.]t c. 152,61(4),and we have no 12•❑Roof repairs employees.[No workers' 13.12 Other_} V comp.insurance required.] "Any applicant thatchecks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employee's. If the sub-cont metors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M F°,r 6 Q n -19 L2 Expiration Date: /(�3 d gt�a Job Site Address: 14 Z r, C-14 City/State/Zip: /A, Attach a copy of the workers'comensationPolTicY declaration page the number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of Investi¢ations of the DIA for insurance coverage verification. I do hereby cern er a pains and penalties of perjury that the information provided above is true and correct Si tore Date: L K-1 Phone#: $/— 4-33 Official use only. Do not write in this area,to be completed by city or town offuiaL City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building-Department 1 City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or©then legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C( )states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees oit►er than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the.Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to'obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address",the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Dqwtment of InndusWal Accidents office of Investigations 6W Washington Street Boston,MA 02111 Tel.#617-72*1-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 w.mass.gov/Elia y� :a�1u¢�h:.��sfsr:}•saw.�lr�r:aw:.r.;,r•••a�.m...�rursw.'rwv� •.u..x-, �r .•.,w..+�:a .f ✓,{: X't I i✓ Y. 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J •. } ..t S r �c�}+7'�kl•�'w"�tfti}t��/ 1"•• z ,,�"'{t ,'r y !' ° ' r.t�r',to to � 4�' t 45frk 4;tGtyliSfY .l�S'•°' {sVc,4nJI in + ilr:t. 't t, t { r � d X:,. ;. � t��,1� +i tt}j.n �iyc o Lt,t r�t Frt r• " } t- ver ,:. r 1 yyrl!'�f h Yl'' ,A'G ! r T c 1 - •t - r#1tytPspyr'pj'�I/i°�it�'Y' ,ii -` �>'Siik+a,iS�t`�hr{{.}�t•�4- r� .. il- S_ + ' r � ` + It at CT iii r j.d•.T1 s� t � it i }{It, , i .'Y fi •t r r 1tr•``t(I.0{ry}t P'.�r WB= � t .. •'. Tt'f yt1a 1'k�1F�RR/''r...tir4&v S .•t r t :t` J. Y ` ti 1 - 6 i r{•>L4iw� '; ti Ir��.}.h�tt tr, i „� t ', r - �� 1t .ti.�i 1 Sr.�y'�R it ` r •: r _ ' rr A� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Risk Strategies Company CONTACT NAME, 15 Pacella Park Drive Suite 240 PHONE (AIC,No): 781-963-4420 Randolph, MA 02368 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 risk-strategies.com INSURER A: Arbella Protection Ins.Co. INSURED INSURER B: Central Cooling&Heating,lnc 9 North Maple-St INSURER C: Woburn MA 01801 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 15194987 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INS RANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER IMMIDDNYYYI (MMIDDffYYY) LIMITS A GENERAL LIABILITY 8500045287 11/30/2012 11/30/2013 EACH OCCURRENCE $ _1000000 ✓ 100000 COMMERCIAL GENERAL LIABILITY PREMISES DAMAGE TO RENTED Ea occurrence $ CLAIMS-MADE. F✓ OCCUR MED EXP(Any one person $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY �/ ,CTPRO- LOC $ a AUTOMOBILE LIABILITY 15050400003 11/30/2012 11/30/2013acBoNdeD SINGLE LIMIT $ 1000000 ANY AUTO BODILY INJURY(Per person) $ ALLOWNED �/ SCHEDULED BODILY INJURY(Per accident) $ NON-OWNED PPerOa�ca Zt AMAGE $ ✓ HIRED AUTOS ✓ AUTOS $ A UMBRELLALWB OCCUR 4600029637 11/30/2012 11/30/2013 EACH OCCURRENCE $ 3000000 EXCESS LIAS CLAIMS-MADE AGGREGATE $ 3000000 DED Ll RETENTION$10000 $ A WORKERS COMPENSATION 00486811-12 11/30/2012 11/30/2013 1 wcSTu- IOU' AND EMPLOYERS'LIABILITY YIN TORY LIMATITS ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500000 N yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more apace Is required) Install of new ductwork with condenser and air handler. CERTIFICATE HOLDER CANCELLATION HVAC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sarah Tiber THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 42 Lacy Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover MA 01810 AUTHORIZED REPRESENTATIVE Bernard Gitlin ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 15194987 Brian Dixey 1/9/2013 6:38:40 AM Page 1 of 1 INSURANCE COVERAGE: I have a current Iia li ty insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes IN No❑ 9 you have checked Yes,indicate the type of coverage by checking the appropriate box below: 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 112 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 Owner's Agent By checking this box®,I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By ®Master Title ❑Master-Restricted City/Town ❑Joumeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted y 0 Fee$ License Number. Check at www.mass.aov/dol Inspector Signature of Permit Approval Date..10.-./P—e.7... NOR7►� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUSE� This certifies that ......4 b Fc G �E1Q IJt C r ............................................. ..... ........... ............... has permission to Perform .. . ..� ........................................ wiring in the building of PX.r....... �NT2C M,5,vT' ................................................................ ` L at.............'4Z-.......! CrY......sj'.................... North Andover,Mass. Fee... ..'" ... Lic. No........... �.. .....K.. .........�. 1X9 ELECTRICAL INSPECTOR / Check # 7707 / i � Safety Insurance Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch.' 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board-of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: DANIEL E TIBER and SARAH TIBER Property Address: 42 LACY STREET,NORTH ANDOVER, MA Policy Number: HMA 0342817 Claim Number: BOS00034633 Date of Loss: 12/27/2012 Company: Safety Property and Casualty.Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Thomas DiMarzio Claim Examiner 12/31/2012 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 5311 Fax: (617) 531-8864 Email: ThomasDiMarzio@Safetylnsurance.com �—� C�onsn►onwaallh a� aslacai Official Use Only C� c� Permit No. 707 - .l.JaParl`martf o�,.tira�arvicaJ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN IWK OR TYPE ALL INFORMATION) Date: City or Town of: O4,#) 4A)DO069 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) -5�ge Owner or Tenant JG/L �/lo /�lLt'O m�,��— Telephone No.97dl—9111-94 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps i Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: J-� �` 0.� t cy, a Gt✓ur rm 5 LJ5TPM Completion o the following table m be waived by the Inspector of Wires. ! Z No.ot Total No.of RecessedLuminaires No.of CeiI.-Susp.(Paddle)Fans Transformers KVA tl No.of Luminaire Outlets No.of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above n- o.o Emergency Lighting rnd. ❑ grnd. ❑ Batte Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.o Detection an No. of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers eat Pump umber ons_ o.oSelf-Contained p Totals: W - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Co nie P l ❑ Other Heating Appliances ecurity ystems:* No.of Dryers g pp KW No.oT Devices ollldEvalent No.of Water KW o.o o.o Data Wiring: Iie2ters Signs Ballasts No.of Devices or E uivalent No. Hydromassage Bathtubs No.of Motors Total HP a ecommunicat:ons inng: No.of Devices or Equivalent OTHER: �' �T c2 O l70 40 Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value ofElect 1 Work- _150 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® .BOND ❑ - OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete FIRM NAME: P,�_b7 S2C_UY`I"2ScrVtcles LIC.NO.: /533 Licensee: 1.1,76.4/7 7--¢Y/02- Signature (Ifapplicable,enter "exempt"in the license n(Ler e.) , / lits lJH �3a�9 Bus.Tel.No.: 59G Address: L/ J7l l f p AIt.:Tei.No.: *Per M.G.L.c. 147,s.57-61;security work requires Department of Public Safety"S"License: Lic.No. &S_ C Gr OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's agent. Owner/Agent SignaturTelephone No. PERMIT FEE: $ -�s, ; " fie ��rv;�o�Gv��C� • u/C�,l�a c�ude�i Department,of Public Safety One'Ashburton Place, Rm 01 Boston, Ma 02108-1618 License: SEC SYS CERT, CLEARMCE Birthdate: 12/23/1974 Number: SS CC 002577 Expires: 12/23/2007 - Restricted Tu: 00, WILLIAM M TAYLOR 1R 18 CLINTON DR ... . HOLLIS, NH 03019 Keep lop for receipt and change of address noliflcallon. ' DPS-CAI it soM•os/o8-PC8490 � p I a iDo���mo•�rvcal/�i o`✓LlawncJ(irdellJ I . DEPARTMENT OF PUBLIC SAFETY License: SEC SYS CERT.CLEAPAIVC:E Number: SS CC 002517 - - -• Dlrlltdalo; .12/23/1974 MASSACHUSETTS ' COMMONWEALTH OF Expires:'12/23/2007 7r.no: fi7.0 Restrlcled:' oo' STEM TECHNICIAN WILLIAM M TAY LOR.JR. . ':.. REGISTERED 18l'_il!TON DR ISSUES THIS LICENSE TO HOLLIS. NH 03049 ';..:':.=•. ---. DIG SAFE CALL CENTER: (888)344.723 WILLIAM M TAYLOR J R a Commissioner � a 27 STONEHENGE RO t APT 6 NH 03053-2437 LONDONDERRY ' 10099 U 07/31/10 291168 A`.� Y Location � IG`7 S No. ` Date NORTH TOWN OF NORTH ANDOVER 3? � a 0 1y t AL F 9 41 Certificate of Occupancy $ cMustt� Building/Frame Permit Fee $ �/ D Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1 1 G 1 1, 5 Building Inspecto TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO C'ONSTR[ICT REPAIR,RENOYATF OR DFMOLISH A ONE OR TWO FAMILY DWF.I.L[NC: BUILDTNG PERMIT NUMBER. DATE ISSUED: 3 / /3 - o X SIGNATURE: A Building Commissioner/Ins or of Buildings Date SECTION I-SITE INFORMATION Z 1.1 Pmpeety Addreae: 1.2 Assessors Map and Parcc[Number: 0 Map:Number Panx,I Number ZmM ig Taf'etmiatinn: N� t �►�1 1.4 Yropmty Dimensions: a MAA Loning llidnct Pr vsrd Use LA Area sf) t `D(X/T� Frontage ft) ( 0 I,6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Re uiled Pmvidc Rcquirod Pro 'ded Regltired . Provid;d rg I.Matcr 6 r'M.G.L.C.4Ci. 54) I.S, Fkad i-0fic Iafxmatioa I.R Sewerage r} posaE Syxeiarr• Yubtu Pmatt ❑ i�AY°° Gumidc-pbod Zoo. J Mmuid"I J ('m Sim Dkpnssl System SEC'T'ION 2- � e - fAI1TTt rE� EITr�GENT 2.1 Owner of Record s -q of L N..Ai Nam,(print] Address for Scrvice: Qui tk)Ai v L40 a Signature Telephone 2.2 Owner of"Record: Nnt tc Yrim — -- hddres�fnr Scrcjcc 3igena[ure Tele hone SECTION 3-CONSTRUCTIaN SEI�YICES 3.1 Lic:cnsed C;onsmetion Supervisor: Not Applicable ❑ �- AT �NG-►� 1 J,ccn--a(-nnvtruction Supervisca - �V � �.--- --- C �/I��'' 11 ,, `` rr t , `� Lixnsc Numts,r fy u ss 11 3 _ a 1 , � _ _ " Signature Telephone 3.2 Regisicrod Htmie Improvement Contractor Not Applicable ❑ l_v Wu 1PA-T&�S v& 3 Company Name pp����yy�� PWO Registfa�tbcr — rn drag 7 ol 63 — �J( 3 - __ z _...._ �;�� Fxpirxtioft mate j S12..11aturc T"ole�tione �J ..mac P. -j!3-C.F-f! iJ-,� z iJH SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit caval be completed and submitted with this application, ha]lurc to provide this affidavit will result in the denial orthe issuance of the h i ing permit. Si ncd affidavit Attached Ycs No.......0 SECTIONS Desert tion of P osed WorkcI■c'ckat!a licablc New Ccnl it.m:tion ❑ Existing Building ❑. Repair(s) n Alterations(s) I I Addition Acc:escu y 13ldg. ❑ Dc�ttoliticn fl Other r Specify Brief Description of Proposed Work: ;oq aux)/D) SECTION 6-ESTIMATED CONSTRUCTION COSTS ltcJn Estimau d Cost(D-ollar)to be &FiiCIAL USE ONLY Com feted by pctratit akanl 1. Building I I � (rt) i3ttilding Permit Iyer ( Multiplier 2 Electrical (b) Estimated Total.Cost of construction 3 Plu nbine Building permit fee t:)>: (h) O 4 Mwchanic:ttl(IIljAC 5 fire Protectiott 6 Total 1+2+3+4+5' Check Ntunb�r SECTION 7a OWNER AUTHOR ZATI€?N TO 13E COMPUTED WIEEN OWNERS AGENT ORnCONT,IRA(C:T�, PPI IS S Eebtt Y�CI I:IaCI�•cs €�EktiNur as�Vinr-i5ed h:nea of�uFlject proportv r Hereby uuthorrcc to act on My btllt!f,jri al)nlalttets relative to xurk outhunted by this building pcnnit upplictctipn. -- it area Signature of OlAiier Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION :Dw I° ,as C)vrner/. ori;.ed:�� f subject property i lelcbv dec:larc that.I.lie;trJter)te!)t5 and ink)nnution on the lbrugoing application are true&nJ uc:cuntte,to the bast of my ktxlv.]cdgc and belief Pr t lame- )5 - -e nt n1eF' etlt Date --- -- - 'T JJ:17!]1�L.:IV7 i)i'C-ll.F1U.. - siz);OF HAX)K 11Mtit RS SPAN D1I\4ENSIONS OF SILLS I)INU-NSIONS 01;1)05-[-S DiP'1FN'-'-10NS t)F"(ilkl)FRS 1IH17IT OF FOUNDATION TIUCKNESS S171 01'FOOTING X M:�Tr.i`tar,c)1�cl Ill\QN1�.Y IS BUILDING ON SOLM OR FILLED LAND f� 13UU D1JN(i C0NN]fCll(I)'I0 NATURAL GAS LINK, PLOT PLAN OF LAND 42 LACY STREET NORTH ANDOVER, MA. of PRBPdRFV FOR woe soafAt �� BBTTlsRLMNG SUNRODMS y PRBPARBD BY P. MORRisROBT'RT P. MORRIS 9E M #�Q� 21 CARTER STRBBT .�►3iEp� TAArSBORY, AYA 01878 _ SCILR• >= 60' DATX•NOWAOrMR 2A, 200,2 I CERTIFY THAT THE HOUSE IS LOCATED AS SHOWN AND CONFORMED TO THE ZONING BYLAWS OF 7HE TOWN OFN. ANDOVER, MA. WHEN C0NS7RUC7ED. 80.00' PROPOSED 12 x14' 3—SEASON SUNROOU ON EXIS77NG DECK 60' 14' 54' N 33' 39' 42 coo 150.00' LACY ,STWEET s I a�cc� sv v i\ t FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICA,(NT FILLS OUT THIS SECTION*********************** APPLICANT_1�-06egl* �044 �da PHONE '(08_683'q(0a LOCATION: Assessor's Map Number �(�`f PARCEL SUBDIVISION LOT(S) STREET L A C� S4— ST. NUMBER �{ 01 ************************************OFFICIAL USE ONLY*********************************** RECO ENDATIONS OF TQ N AGENTS: CONSERVATION ADMINISTRATO DATE APPROVED /a DATE REJECTED COMMENTS Tigod s i, 0+1"J s 7 /06 0r®,p r->S QA TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS SCQ P+LC 'Al 'em, b�— �n � PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR —DATE— Revised ATERevised 9\97 jm Nov U5 U2 U�3: UUa HetterLlving 5U83b 1e8b4 P. 1 EXISTING 6'POOR �. FROM HOUSE EXI5TNG PECK 12115' b"(APPROX). 1.2X8 Pf rRAME @ 16"O.C. 4 x4' 2.5/4"X 611 Pf PECKING LANLING 3,4"0 599 LALLY COLUMN P05f5(f0 KMFLACEn) 4.UNPETERMNEP F0011NG5(TO It REPLALEn) ! 5.2X8 Pf ENP BEAM(HiPPEN) (A 12 1" b:5fA)R5(fo 0E REPLACED) 7.J015f WNGER5 B.LACiVMT5 PROPO�En Up6MA 5 fO EX15fN6 PECK LANDING I I:fo AN(9) 12"0 X 48"LEEP FIGS W/ ANCHOK5 _I 2.fO APP 6X6 P05f5 W/KNEE IXAa5 1 3,fO APP 3/4"f&G PLY OVERLAY 4.f0 APP M 2X8 51PE JW5 f0 APP 5/4"X 61t Pf ITCXING •- t5' S" �-CUr OFF 17"Or 6.T AVV(2) 4X4 LANDIN65 W/ 5fA125 EX15fNG PECK 1.f0 REMOVE 17"OF PECK OFF"C"WALL -5%A50N PORCH -- f~ 12'X14'(AFF1Z0Y) SfUPIO 5fU ENCLOSURE \� 3"EP5+H ROOF 5Y5fEM (12'5PAN) i• I � ' I t NEW 6'POOR2 NEW 6'POOR— FROM PORCH c- PROM PORCH (NOf 5HOWN N flib VIEW) I� 4i"-I " 1=1I�Il_1—it11- �FI11 L—II�I I--li-1111 It i �Itt �II L- -_r W- 1 1 —II�J t;r,li=;I�� t1! ;LI—Il r�11 111--III d=11 III—ill=,ll=il, FlE91 F -11—j1 +�1-1{iLI-11=11—� tllEllf+l t I gin' ;ll�tl �I �V=9 � jj ti -film -LCTIlti111j t--;; E i�L_l I tit! 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Builder r. 6o hereby authorize$etterlivi tr as Own of the subject proDery n� Patio Room's (d.b.a. _Patio Rooms of ^,erica) to act on iry behalf, in all matters relative to work authorize for(address n job) d by this building pe�� it application v C/o V 4,Sre of vP4':per or$aild.er (as Agent of OVt'ner) -VtekSt Complete and Sig-in This Section. I Agent hereby declar that the T ; as Owner!?_ thou e s atements and irro_-oration on the foretr 7 i (ad.dress of job) p� ( ,ornv app_lcation for accurate; to the best ofm know edge be-lie, --— ------- _ are tnae and Y and be-lie,. 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ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. BOX 333 INSURERS AFFORDING COVERAGE Ann Arbor, MI 48106-0333 wsuaEnpatio Rooms of New Hampshire !NsuaERA: Hartford Betteriiving Sun Rooms of New Hampshire INSURE,d B: 1 Action Blvd#5&6 INSURER C: _ Londonberry, NH 03053 INSURER D: I 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 SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. G !NSR POUC =r a. If CUCY EXPIRATION 1 LIMITS LTR TYPE OF!NSU RANCE I POLICY NUMBER I DA7E!idhflD0/`(YI I DATE fMMIDDrrYI A GENERAL LIABILITY 35 SBVV KZ708/ 02/01/200202/01/2003 EACH OCCURRENCE I S 55,000 X COMMERCIAL GENERAL UAS(L!TY FIRE DAMAGE(Any one fire) S 300,000 I CLAIMS MADE =OCCUR MED EXP(Any one person) S 10,000 I PERSONAL&ADV INJURY �S 'x.000.000 ' GENERALAGGREGATE S 2,000,000 jj GEN'L AGGREGATE LIMITAPPLIES PER: I - I PRODUCTS-COMP!OP AGG I Z 2.000.000 I RG- � I POLICY JPr } - I LOC . AUTCMCSILE LIABILITY 35 UEG UH3916 02/01/2002 102101/2003 COMBINED SINGLE LIMIT I g 1,000,000. ANY AUTO I (Ea;acc;denq ALL OWNED AUTOS BODILY INJURY IS SCHEDULED AUTOS ; \/ Per person). I HIRED AUTOS 1 IODILY INJURY NON-0WNEDAUTOS I (Peracddent) PROPERTY DAMAGE !- �—i (Per acadeni) f a GARAGE LIABILITY I I AUTO ONLY-EA ACCIDENT I S I-1 ANY AUTO I I I OTHER THAN EA ACC($ r-11 I AUTO ONLY: ACG I S EXCESS LIABILITY I EACH OCCURRENCE- I S ! !OCCUR LJ CLAIMSMAOE AGGREGATE I$ IS HIi DEDUCTIBLE I S RETENTION S I I I S I - I ' WC STAT J- 0TH-� WORKERS COMPENSATION AND 35 WEG GJ7597 62101/2002 u2/0112003 1 TORY LIMITS I I ER a EMPLOYERS!UA21LITY ! E.L.EACH ACCIDENT - I S 100.000 E.L;DISFASE-EA EMPLOYEE;S _ 100,000 E.L.DISEASE-POLICY UMrr I S 500,000 OTHER DESCRIPTION OF OPERA.TIONSILOCATiONSIVEHICLESIEXCLU SONS ADDED BY ENDORSE^.1ENTISPECIAL PROVISIONS CERTIFICATE HOLDER I I ADDITIONAL INSURED;INSURER LETTER: CANCELLA l iON SHOULD ANY OF THEASOVE DESCRIBED POLICIES SECANCELLED BEFORE THE EXPIRATION DATE THERECF,THE ISSUING INSURER%PILL ENDEAVOR TO MAIL 30 DAYS WRITTEN INSURED COPY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIAEIL!TY OF ANY KIND UPCN THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZEDREPREScNTATIVE_ �l0 Hage Aova--" !able ACORD 25-S(7197) 0 ACORD CORPORATION 1988 ii BOARD OF BUILDING REGULATIONS 2 Ltcense -.CONSTRUCTION SUPERVISOR tiI Number CS 081580 ' 4 �� � Birthdate�02!1 g/1t950 (R � �5 Expires 02!19/,2006 Tr.no: 81605 PATRICK A STEVEMS - PO BOX 1068 STERLING, MA 0"15" `� Admtnistrat6r i G�fie -c�rao�+iiitore.cceall� o�../����na�uae�a . Board of Building 12egui�cions,and S.tandnids License or,registration valid for individul.use only' I r11�i before tbe;ex�iration date. If,found return to: j HOME IMPROVEM[N7,COidTRACTOR 1 . Board of Building Regulations and Standards .=' keuistration 134126Oue Asliburton Place Rm 1301 s Exp�rati'on 0 /27/2003 Boston;ivla.02108 1'y Individual PATRICK A STEVENS Iii.;' PATRICK STEVENS 5�NMUDDY POND RD. f( RL!.�,lG,Ma 01564 pdmunsli �toi Not valid without signdf:ure. 1 Action Blvd. Unit l Londonderry,NB 03053 phone: 603-537-9256 fax: 603-537-9258 AFFIDAVIT ' In accordance with Article 1 Section 114.1.3 of the Massachusetts State Building Code, I certify that all debris resulting from work associated with Permit # will be properly disposed of at Betterliving Sunrooms 1 Action Blvd. Londonderry, NIS 03053 licensed solid waste disposal facility as defined by MGL C11,S150A. Name&Address of Project: 'RO b� I�JUI�O Street Address Ll a ST City/State/Zip 0 V 'L Name of Permit Applicant 1A J) Jib (please print name) Signature of Permit Applicant IU �L�WtQ.�a (please sign name) l Date: Betterliving Sunrooms 1 Action Blvd.Unit 1 Londonderry,NPI 03053 , r SunrootnHome Improvement Contractor Reg. Home Improvement Contract Betterlivin No.125168 Expires 10/21/03 9S U N R O O M S Eastern Massachusetts Office Western Massachusetts Office New Hampshire Office 100 Otis Street - Northboro,MA 01532 317 Meadow Street - Chicopee,MA 01013 1 Action Blvd. - Londonderry,NH 03053 Phone:(508)393-0400 Phone:(413)420-0140 Phone:(603)537-9256 Fax:(508)393-0340 Fax:(413)420-0147 Fax:(603)537-9258 tl 99 /� Contract Date: t r- " .. r). Product Mgr:( 7� l I i 4 1 � , Homeowner("Owner'_'),Information .. Owner's Name(s):; '')[,,�.,,( Street Address: , City/Town:k„) '}l` t () State: ( Zip: Home Phone: ' qM DaytimeFme Phone: E-mail: Job Site Address(if different), Materials to be provided and work to be performed by Betterliving Sun Rooms("Contractor"): One unheated Betterliving@ Sun Room: Color: ❑ White E Sand ❑ Brown Style:5.1,Studio ❑"A"Frame ❑ Fill-In Size to be approximately: x I41 x A-Wall:,aTempered Door(s) &Screen(s) 4:Tempered Window(s)&Screen(s) Transom: ❑ Rapid ❑ Betterview Kneewall:._ 18" ❑ Other ❑ Solid .2,Glass B-Wall: ❑ Tempered Door(s) &Screen(s) N"Tempered Window(s)&Screen(s) Transom: ❑ Rapid ❑ Betterview Kneewall: 1:18" ❑ Other ❑Solid -.2Glass Gable: ❑ Glass w/transoms on A&C ❑ Glass w/6" fill block C-Wall: ❑ Tempered Door(s)&Screen(s) y❑=''Tempered Window(s)&Screen(s) Transom: ❑ Rapid ❑ Betterview Kneewall:,5018" ❑ Other ❑ Solid -Q Glass Roof: ,_41Foam . 1 Built-in Gutter System -.9,Thermal "H" Color: ❑ White/White ®°Sand/Sand Room to be built on: .R Owner's existing deck if properly footed and up to code - Contractor to add sub-floor NOTE: Additional deck reinforcement may be required by local building department to bring deck up to code. Any additional costs will be the responsibility of Owner. Contractor does not warrant Owner's existing deck. Room to be built on: ❑ Deck built by Contractor(includes sub-floor) ❑ Steps to grade off wall(s) Additional Deck/Additional Work(dormers,open deck description,etc.): j-, �y t (°fi`'J t�,fi(3 d f �) ft ! ',t ' t''d�t`�' iy jI t P-LA 0 " r- J`� 74ro I`-i1 4 {""t A s io-all t A P;'xr d'Q tf ffAj ia f t..) ( t too°/1f C� % t .. _ ... .. .. _ _ ... ..- .. _. ....r .. Work not to be`doAe p _ ~ad i 5y 1f), ININ 11 is t 1�� 1 �`t /`) �d I.,.. ..Y"xt�r 1 1�i`J 6 i I —/n (`1., Required Permits: A plot plan is required by all cities and towns to Warranty: Contractor guarantees the installation of the work for a period of issue a building permit. If Owner cannot nrovide Contractor with a one (1) year from the date of installation. Contractor will provide, free of NORTH E Town dover O c^ No. a �. °�A coc, \, dower, Mass., / - 3 — o BRAT E O P'p"' S u H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 1 �// BUILDING INSPECTOR THIS CERTIFIES THAT....�4....... ..T...¢ D r o-4* . ...y roti ................................................................................. Foundation has permission to erect... ... y `4GL . �A a 4— buildings on ................... ........ .........` ....... ......................................... Rough to be occupied as..a.. .....m.►j....E_1G[6��!!' .... L [............................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PO c f D/57/ �/ 8 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ......... ... .. . ..........0".....�....BUILDING..................INSPECTOR.......................... Service Ci�yI Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. R C� June 3, 2002 This is all the information regarding the original complaint by Ms. Fortin about real estate signs on Forest St and Lacy Street. The packet includes my a mail to Bill Buck and his response to comply with the Building Department's request to remove the signs he had posted on trees, telephone poles and town property along the road side. If you have any further questions please let me know. Jeannine May 20, 2002 Robert Niccetta Building Inspector/Director 27 Charles Street North Andover, Massachusetts 01845 Dear Mr.Nicetta, I wanted to express my sincere appreciativeness for the professional way Jeannine McEvoy handled a complaint I had lodged two weeks ago in regards to several illegal vendor signs marring the landscape. (Stonewall Real Estate) I was very impressed at her diligent manner of keeping a track on this complaint and keeping a heads up as well as informing me of the final outcome. I know that it took a few phone calls to this vendor to finally comply with the bylaws of signage laws. I am pleased to see that her dedication to do her job resulted in his compliance. I did not feel like my complaint was just another resident taking a position in a personal way by her professional and fair treatment with her business like manner. My objective was to begin to bring notice to the town Building Inspectors attention the overkill of many real estate vendors posting signs on trees and telephone post for the purpose of adverting their business at the expense of the esthetics' of this beautiful town. It has almost become a rite of passage to these vendors without the check and balance due to the rest of the town folks who love to see the beauty of a small town look without being inundated. My attention to this particular vendor I lodged my initial complaint against was brought to my awareness because of his campaign to be recognized and his desire to put forth his name in such a visible manner by his several signs all over this town. My fear was that if his signs were allowed it would give unwritten permission to others who assume this was just the thing to do. I close with this last thought and my sincere gratitude for being treated like a resident with a concern for the town and not like a person who seemed like just another complainer and for that I give my praises for the professional way Jeannine McEvoy took my complaint as serious as I felt the problem was. This is the first time as a North Andover resident that I addressed my concerns and I am pleased at the way your staff took my problem and did their job to bring to closure to what seemed like such a town eye sore. Thank you so much for restoring such beauty that is so important to this town. Sincerely, Dorothy R. Fortin RECEIVED MAY 2 1 2002 BUILDING DEPT. `�� ,s Ja9k STONE WALL Real Estate Professionals s TEL: (978)475-0077 X202 CELL: (978)815-1336 BILL BUCK FAX: (978)475-9131 Broker/Owner WEBSITE: www.stonewallre.com EMAIL: bbuck@stonewallre.com 21 Silsbee Road, North Andover $309,900 Style: Cape Cod Rooms: 5 Bedrooms: 3 Baths: 1 GLA: 1,255 s.f. Lot Size: 6,970 s.f. MLS: 30586327 Directions: Massachusetts Ave to Lyman Road to Silsbee f REMARKS: Bill Buck of Stone Wall Real Estate Professionals presents ... this charming Cape Cod style home in North Andover's Library area. From the moment you enter this home, you will enjoy the open living concept in the kitchen/dining room area. There are two (2) excellent sized bedrooms on the 1St floor and the second floor offers a spacious 3rd bedroom. This home also has a one car detached garage and an excellent backyard. STRUCTURE & :ROOMS APPLIANCES SERVICES FINANCIAL & EXTERIOR FEATURES : LEGAL Color: Beige Living Rm: Yes Range: Yes Heat: Steam/Elect Year Built: 1954 Ext.Siding: Clap/Wood Kitchen: Yes Dishwasher: Yes Fuel: Gas Taxes: $2,126.42 Roof: Asphalt Master BR: Yes Washer: Yes Heat Zones: Two(2) Tax Year: 2001 Basement: Full; Unfinished Bdrm#2: Yes Dryer: Yes Cooling: None Assessment: $161,300 Floors: Tile, Hdwd;W/W Bdrm#3: Yes Refrigerator: Yes Hot Water: Gas Zoning: Residential Garage: One (1) -Detached Electric: 100A/CB's Book: 80 Parking: Four(4)-Off Street Water: City/Town Page: 269 Sewage: City/Town Owner: Of Record SAC: 2.5% BAC: 2.5% r'p All room sizes are approximate. 4d MLS.. e 17 TO DATE TIME AM VI vi-- - -1 - I ,`7 P PFROM PHONE )._ - OF H CELL( )� �� O FAX ( )'i✓ /� b2. N M S -- ---- J vy - ----- _� E --- M O E E-MAILADDRESS - SIGNED PHONED CALL RETURNED WANTSTO WILL CALL WAS IN URGENT BACK CALL SEE YOU AGAIN S� o��T�en j6A�o r Telephone(978)688-9545 A912-V / �9SSACHUS FAX (978)688-9542 TOWN OF NORTH ANDOVER // OFFICE OF COMMUrIITY DEVELOPMENT AND SERVICES v(1) 27 Charles Street RECEIVE® Te COMPLAINT FOR INVESTIGATION MAY 9 2002 DATE aG� BUILDING DEPT. FROM: Y9 � . ADDRESS: G yq Tel#•� -Z 019 e S � Complaint Against: 0- x)z S =I LamT 11,t) ELECTRICAL: PLUMBING: Try / p f- GAS: BUILDING CONTRACTOR. 7 4;� PROPERTY OWNER: = yLs �/� sf u p,ip �o� � . OTHER: Ael% UZ �. Sig d: ! lC 7� L,7t-/ o� 1 STONE WALLr Real Estate Professionals etc : TEL: (978)475-0077 x202 CELL' 78)815-1336 BILL BUCK FAX: 8 4�> -131 Broker/Owner WEBSITE: www.stonewallre.com EMAIL: bbuck@stonewallre.com 805 Forest Street, North Andover $649,900 Style: Colonial Roor.is: 9 Bedrooms: 4 Baths: 21h GLA: 2,600 s.f. Lot Size: 43,560 s.f. MLS: 30599162 Directions: Boxford or Sharpener's Pond Road to Forest Street 8 �. � REMARKS: Bill Buck of The Stone Wall Real Estate Professionals presents this fabulous very young Contemporized Center Entrance Colonial. From the time you traverse the walkway and enter the two story open foyer with beautiful front door and lovely Palladian window, you will love the quality this home has to offer. As you enter the foyer there is an office to the right with French door and built-in bookcases, on the left you enter the formal living room and dining room with gleaming hardwood floors and a lovely archway with columns dividing the rooms. The dining room has a beveled tray ceiling and both rooms have beautiful trim work. Continued On back page »» DISCLOSURES:Subject to Title V Inspection. Central Vac and security roughed in. Family Room wired for surround sound. EXCLUSIONS: Speakers in Family Room for surround sound. STRUCTURE & ROOMS APPLIANCES SERVICES FINANCIAL & EXTERIOR FEATURES LEGAL Color: Jamestown Grey living Rm: 16X13 Range: Yes Heat: Forced Air Year Built: 2000 Ext.Siding: Clapboard;Wood Family Rm: 24X14 Dishwasher: Yes Central Taxes: $6,400.00 Roof: Asphalt/Fiberglas Dining Rm: 14X13 Microwave: Yes Fuel: Gas Tax Year: 2002 Basement: Full;Wall-Out Kitchen: 23X14 Heat Zones: Two (2) Assessment: $455,300 Attic: Yes-Walk-Up Master BR: 16X14 Cooling: Central Air Zoning: R-1 Floors: Tile;Hdwd;W/W Bdrm#2: 13X12 Cool Zones: Two (2) Book: 5664 Fireplace: One (1) Bdrm#3: 12X10 Hot Water: Propane Gas Page: 40 Garage: Two(2) -Under Bdrm#4: 1 1 X10 Leased Heater Owner: Of Record Parking: Four(4)-Off Street Study: 12X10 Electric: 100A/CB's Deck: Yes (36X12) Laundry: Yes Security Sys: Yes Water: City/Town Sewage: Private All room sizes are approximate. MLS e 805 .Forest Street, North Andover As you pass through the dining room, you enter the spacious kitchen with Center Island with bar counter and a generous sized dining area. The kitchen has light wood cabinets, granite countertops, a secretary area as well as lots of cabinets for storage. The kitchen opens to the great room with gas fireplaced, excellent built-in entertainment center and has a vaulted ceiling with ceiling fan. Adjacent to the kitchen is a half bath and laundry room with washer/dryer(Electric) hook-ups. One of the special features throughout this house are the terra-cotta tiled foyer, kitchen, half bath and laundry room as well as an abundance of recessed lighting. The `L' shaped staircase leads to the second floor with four bedrooms as well as two full baths with a pull down attic. As you get to the top of the second floor landing, there are two bedrooms on your left with one of the full baths in between them. On your right rear is the master bedroom with trayed ceiling with ceiling fan and a generous sized walk-in closet and a full master bathroom with double sink vanity. On the right front is the fourth bedroom with walk-in closet. The lower level has great potential to be finished with several windows and a walk-out to the yard. From here you access the 2-car garage. 805 Forest Street is serviced by Town Water and Private Sewerage (awaiting Title V inspection), 100 Amp Circuit Breaker Electric panel, Carrier Central Air conditioning, forced hot air heat, hot water are all fired by propane gas and is roughed for a central vacuum and security system. SPACIOUS FIREPLACED FAMILY ROOM ~� .... x, ; .d 77 !E < 7 CHARMING DINING ROOM i I SPACIOUS EAT--IN KITCHEN 7 'i jF BILL BUCK WOULD LIKE TO THANK YOU FOR TOURING 805 FOREST STREET IN NORTH ANDOVER. Bill Buck bbuck@stonewallre.com Pursuant to our conversation of this morning, I am sending you information regarding the Zoning By Law that addresses temporary signs. You can access the town's web page for the Zoning By Law. The Zoning By Law addresses the requirements for Real Estate State signs. www.townofnorthandover.com Zoning By Law Section 6 addressed temporary signs. No directional signs No signs on property other than the property for sale. Example on road way, trees,poles Allowed announcement signs for the day ex: open house. Allowed signs on the property within the property lines. If you have any further questions please call. Please come into the Building Department office at 27 Charles Street to fill complaints forms for further investigation of illegal signs 4/16/2001 to Bill Buck 978-475-0077 X202 ?J t I f The Zoning By Law addresses the requirements for Real Estate State signs. www.townofnorthandover.com Zoning By Law page 88 and 89. addressed temporary signs. No directional signs No signs on property other than the property for sale. Example on road way, trees,poles Allowed announcement signs for the day ex: open house. Allowed signs on the property within the property lines, you will be cited will impose daily fines. 4/15/2001 to Bill Buck 978-475-0077 X202 Left a message