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Miscellaneous - 510 REA STREET 4/30/2018 (2)
510 REA STREET 210/038.0-0316-0000.0 I� Claim # 1948859 Advantage Claim Services Adjuster Assigned: G Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building _ Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner Board of Health or Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA Re: Insured: James Hajjar Property address: 510 Rea St. North Andover, MA 01845 Policy #: 1948859 Loss of: 2014/04/18 File or Claim No. AD 9967 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,_Ch._139_Sec._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 or file number. G Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 04-23-14 Oign-dal--oure and date Date......... :.. .- .. ' yORTI� °ft"`°:•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACMUs� This certifies ,/�1.sJ ........ that ....... �.............. has permission to perform ..... wiring in the building of ./..t ! l / ....!Ya-,7,M at........ .................. ........... rth Andover,Mass. Fee.....y ....... Lic.No..j�� �{.j.D ..... . �.. .. f ELECTRICAL INSPECTOR Check # OODS� 7506 �74/7 Lorninonwaa o�Masaac"tb Official Use Only Pa U9 . ermit No. No. .�d(� LJaPartmerc2`o/}ire�arvicad Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK . All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYP ALL INFORMATION) Date: City or Town of: f�,P�` ��jE ' 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) 10 1 a T" Owner or Tenant �-'�WP-A,1�14 Mab i'(41,gAJ 1 _ 94 TA Z- Telephone No. 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 / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �J0.-�t ati, 0 CC,t.tr t rr, 14 La rrr S LJ s-rem Completion o the followingtable m be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA A oven- o.o Emergency Lighting No.of Luminaires Swimming Pool rnd. El d. 11Batte Units No.of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of DetectE-n—and Initiating Devices Tonnss No.of Ranges No.of Air Cond. TotalNo.of AlertingDevices No.of Waste Disposers eat umppsympeE Ions o.oSelf-Contained Totals: .........._......... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ unicipal ❑ Other Connection No.of Dryers Heating Appliances Key Security.Systems:* No.of Devices or Equivalent (J No.o iter KW o.o o.o Data Wiring: Heaters Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications NofDevices or Equivalent No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (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 t 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 of perjury,that the information on this application is true and complete. FIRM NAME: `C SrV(CPS LIC.NO.: x.533 Licensee: Signatur LIC.NO.:/-3 Z 1� (Ifopplicable,enter "exempt"in the license number line.) , Bus.Tel.No.: 3 59' Address: 19 t'?L/>UTA M be_ lt/ /�(S , Alt.Tel. No.: *Per M.G.L.c. 147,S.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: .I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's aaen . Owner/Agent Signature Telephone No. PERMIT FEE: $ c� P t . ��t:GZ.;'-�,:cn 5'f 5'P F;t`i 'i'Cc;laFj,�t"c :•} - ARTHUR W PIERCE 1 UPHAM ST 1024 D 07/31/07 mm rm- v �/ftp' '{'JU/Ni111nN,II?r'I�CJ!•(••G,.•Y-/Odf?�./(r6:E1,�� DEPARTMENT OF PUBLIC SAFETY lT Licortae: SEC SYS CER'',CLEARANCE W Nurnbsr: SS CC 000517l'W:� alrtr.dsta; 08/90/194! 0ypireD; 06/35C/2006 Tr.no. 57.0 Restricted! 00 P%R.7 iUn v, P;Er?CE t UPHAM ST Sid 2l.4 k-*.A 0191Q 4onim;ialoner i Zd WdTI:90 2-00Z 20 'uEl 889Sb2- 82-6 'ON XUA 80N318 iNU W0Z� : 4r a � f /� Office Use arty ` ' U, l:. LfammOnwEatth of _74Zns lS'1ff5 Permit No- 1c cnt iLblir - IJP of � #afciq occupancy 3 Fe.at.ek.d BOARD OF FIRE PREVENTION REGULATIONS 527 CA 12:00 3f90 peave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to e performed In accordance with the Massacnusetts Electrical Code, 527 CMR 12:00 (PLPA81t PRINT IN INK OR TYPE ALL INFORMATION) Oate OCilii or town of-NORTH ANDOVER To the In pector of wires: ` fihe uderti�hed applies for a permit to perform the electrical work described below. ',. ( ) � �, LoC�Itton Street & Number .. owner or Tenant, ' Owner's Address �f Is this permit in conjunction with a building permit. Yes No (_ (Check Appr lata 8ox) purpose of Building Utility Autnanzation No. Existing Sarvitrt3 Amos �� Vcvernad Unama its Od _ �.". // S r' No. of Meters a'- New $eriice 2��Amps/�J2 w Molts Cverr,eae Unc grrtd r No. of Meters _.' Numoer at Fedaers and Ampacity Lct:ahbn aria Nature of ?rceosed Elec:r:cal :vcrK _ ojr 01 4+ ! Nb. fit L: ntin Ouilira Toot � 0 I No. c! Hct '%-Cs i No. of Transrormera KVA { 'r ' i Above.— :n- I No. at lioriting Axturfls Swimming ?cot ;4 ,� Brno. _ grnc. _ t Generators KVA f` I No. of Emergency lighting No. 4f Potomac..S cutlet I No. w Cil =_umers 3arery Umta r No. at Swtte*i Outlets No. cr Gas 3;:rners I FIRE ALARMS No. of Zones *1' No. of partgayI ,Va. c! Air Coro. Tocol No. at detection ono ',y..�� "• tons Initiating vevlcas No. 61 Gis06lttts I No.--i !seat Total Talar «, Pu-cs Tons KW No. ct Sounding Oevtces No. of Sett Contained No. bf Oianwaaners - I SoacerAroa Heatingfiv Oetec::orvSounotng Oevlces :4 0. of Oryers I Heaztng Cevices KW Lccal —' Muntciow —Other . Connec::on No. ^-t No. at Low voltage "t Ne. of vVatsr Wit�Fera KVJ Signs 3adas;s wirng ,r cl No.'sivaro Massage ubs I No. of 1Aotcrs Total HP �1`PIEA: • Y` INSURANCE CWVEAACac: Pursuant :o the redutrements it :aassacn%u39rs ;eneral Laws 1 have i m current liaoliity Insurance Policy inctucing Cccmiea Oeeraticns Coverage or as suostannai eauivaient. YES NO = I ' Have auomtetro valid proof of same to Me Office. YES g, NO = If yeti nave cnecxed YES, please tndlcate Me type of coverage ey Cttet:xmq the approortate call. INSURANCE :P BONO _ OTHER = tP'ease Scec:.yf E3ntnateiy V>ilue of Eric:neat Work $ r---- tExotration Oatw Work to Start lnsoecnon Owe Facues;ec: Rougn �--' Final \ 9ign6o under the ate aures of penury: #IRM NAME L �G=%'�Z/ � UC. NO. n 4Cenlp -- J -Signature UC. NO. 1 :TL ,�//�G KGf /II'-fit./ ��C/✓� 3ua. Tel. No. �4cdresa alt. Tel. to. OWNEA'S 1NSURANCc WAIVER: I am aware trial the Licensee cross not nave the insurance coverage or its auostantlai edulvelont as re- otrtted by Meaaachusetq General Laws. ano %nat my signature on *.?I:s :ermn aopucation waives this regwrement. r Agent IP!ease checx ones LP cr t. Teteonone No. P' AMIT FEc S ISignatura of Owner or ageno §d Date.........>........ 14-2 H22 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... ................................. ................ ......... has permission to perform ........ ...... Ln wiring in the building of....... .................................... at.......Ed)..... ...... ................... North Andover, ass. Fef(2.1.2 O.A. Lic.No.A L..... I4�CTOR.......................... ELECTRICA(0- PINK:Treasurer WHITE: Applicant CANARY: Building Dept. Location No. �� Date i ,.ORT" TOWN OF NORTH ANDOVER 1+ o� � p Certificate of Occupancy $ } Building/Frame Permit Fee $ ,SSACMUSE� Foundation Permit, i i; Other Permit Fel- $ Sewer Connection Fee $ '.; Water Connection Fee $ TOTAL $ <00 i '�inginspector I' i -2 o 9 5T/97 09:08 150.oo Div. Public Works Location � e� f 3a—I }" No. 2 72, Date I � t NORTiy TOWN OF .NORTH ANDOVElf 6. OL Certificate of Occupancy $ Building/Frame Permit Fee $ --: Foundation Permit Fee $ SACHUSE ! Other Permit Fee $ fSewer Connection Fee $ lea. 72-/ Water Connection Fee $ z• TOTAL $ GL Buil , in to 9 fit Div. u is Works ` If IT NO. APPLICATION FOR PERMIT TO BUILD- NORTH ANDOVER, MASS. PAGE MAP 4-40. r� LOT NO. (� Z RECORD OF OWNERSHIP JDATE BOOK PAGE ZONE SUB DIV. LOT NO. I LOCATION PURPOSE OF BUILDING T�,, I� OWNER'S NAME34Z AbtJ - el- NO. OF STORIES SIZE OWNER'3 ADDRESS.. + T BASEMENT OR SLAB B G• ARCHITECT'S NAME' �rT ke-jae ,2 f12E OF FLOOR TIMBERS 1ST �O 2ND !J _ BUILDER'S NAMEr� rr�h{ �n SPAN ,jl DISTANCE TO NEAREST BUILDING /��/ DIMENSIONS OF BILLS k/6 DISTANCE FROM STREET 3�/ ' POSTS / DISTANCE FROM LOT LINES —SIDES 30 /' REAR r]f'�74 ' GIRDERSVM `j AREA OF LOT `` „ , FRONTAGE V HEIGHT OF FOUNDATION - V Yf f"">" 'Fl- THICKNESS IS BUILDING NEW 1ce'sI SIZE OF FOOTING O xy IS BUILDING ADDITION MATERIAL OF CHIMNEY rr IS BUILDING ALTERATION - IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 7CJ/• IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER NO li BUILDING CONNECTED TO NATURAL GAS LINE �+ INSTRUCTIONS 3 PROPERTY INFORMATION SEE BOTH SIDES yr LAND COST /In &A0 EST. BLDG. CO PAGE 1 FILL OUT SEC710NS 1 - S EST. BLDG. COST PER SQ. FT. ROOM COST Pan R OM /t•--�1/S 6 PAGE 2 FILL OUT SECTIONS 1 - 12 EST. J moi/ SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SUILDING INSPZCTOR SIGNATURE OF OWNER OR AUTHORIZE AGENT F E E iltm OWNER TEL I PERMIT GRANTED �7J— X-7SZ OIG. "`FFF// CONTR.TEL r f ` 19 W G. PERMlT� ` F�w._�. CONTR.LIC.Mg ) �O SRAM£ PERMIT$ H.I.C./ 7 �Z3 BUILDING RECORD i OCCUPANCY 12 SINGLE FAMILY sroRlEs MULTI. THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM APARTMEENTSNTS OfFICES�_ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION E1 INTERIOR FINIS" CONCRETE CONCRETE BUK. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WAIL _ UNf IN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA 1/1 // FIN. ATTIC AREA N0 B M'T FIRE PLACES HEAD ROOM _ MODERN KITCHEN - 4 WALLS ( g FLOORS CLAPBOARDS B 1 2 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'D - crJ ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME + BRICK ON N9W5lR9—_ ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC.OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR ( POOR _ ADEQUATE I NONE 3 ROOF 10 PLUMBING GABLE IHIP BATH IJ FIX.1 GAMBREL MANSARD TOILET RM. IZ FIX.1 FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DA00 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL M. &COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING Ift RADIANT H'T'G UNIT.HEATERS 7 NO. OF ROOMS CES OIL 4 TCA lot I2nd _ ELECTRIC SEd I NO HEATING NpRT- fi 0 Of _ -_ over No. Z7Z. * Z=- LAXEdover, Mass., 199'? �O9 CO=NICNEWICK S Lr E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ................... 1......A-6A...• .N..�....:'•-'....•................... Foundation ........................ ................ fias permission to erect....................................... buildings on ...........�i 0.............It-EW ..............S..;`......... trough t0 be Occupied as.... ................................................... ../.. ..�'�LI..46.......... f��I�t�... ..................................... Chimney provided that the pe*son accepting this permit shall in every respect conform to the terms oie application on file in Final this office, and to thq$provisions of the Codes and By-Laws relating to the-Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. trough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START Rough ......................................... ..... Service INSPECTOR Final Occupancy Permit Required to OCCu uilding GAS INSPECTOR Display in a Conspicuous. Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Untillnspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Growth Management Bylaw Exemption Statement Town of North Andover Building Department r This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Appy ant on Buildi g Permit(below) Address of Property for Permit(below) Map and Parcel : Purpose of Application (check below) Pho e Number of Applicant: Single Family _Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in existtezhelot(s) of the effective date of this by-law,provided that no additional residential unit is created. ! were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the c,Pecking off of an above item which does not comply,whether done to my knowledge or not, is ground r ref y the Building Department to issue a Building Permit. Signature oT Owner or Aut prized Agent who signed the Attached Building Permit Date This form must be attached to the Building Permit upon application for such permit rMIEAFi 1 — __ — `i rr� outvoL rhap�L 11� �, �� StAtiF5S, To �i G ►Joo0e� STAKM Nny Ulp ' Mo 'w✓ P S-m m Ce uWA g^+cts �r�srrtX S t'�'x.� I lnwncCS 7 ce r,►) I G"bF_ ' t1':/G Cirjlw VA , J,1GCfr�T �IY_ C 5 S'� b fin i IOC. L - l '7 — _ 168 F- �7/�, 2, 170 -- - -- -- — SF_�- 174 o, r7jCRAly. LL Tic X / i a ' I8o Li&IL 10 i l EXISTING EDGE OF PAVEMENT ' S T �- T FORM U - VER IFICAT IOV FORM INSTRUCTIONS: This form is used toverifythat 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 local or state law, regulations or requirements. ****************Applicant fills out this section******A********** // U�,T7S Z APPLICANT: Phone G ""� BSL'P6 CO44&C7-,-,a7 i'tG LOCATION: Assessor' s Map Number Parcel Subdivision Lot(s) 3 Street �� St. Number LD Use Only************************ RECOMMEN ATIO` OF WN AGENTS: `� Date Approved Conservation Administrator Date Rejected Comments Date Approved G�- Town Planner Date Rejected Comments L(yw d cas C�cn�,��� FNZM✓-i n n 4pr Date Approved Food InspectoHealth Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections 11�_W -5-2-qZ - driveway permit Imo]_ 5-Z-'�7 Fire Department Received by Building Inspector Date CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date— THIS ate THIS CERTIFIES THAT THE BUILDING LOCATED ON 510 R04 +S�-• MAY BE OCCUPIED AS S'i ,il C g..Vr --Sl IN ACCORDANCE WITH.THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY: " ,t,",°"'; CERTIFICATE ISSUED TO -F:>-E 'i ADDRESS ��'"""'` ing Inspector TOVM -' O t g over No. Z7 dover, Mass., 19 �COCKICMEW - ICK S BOARD OF HEALTH Food/Kitchen "',6, /// 9, PERMIT T Septic System / / BUILDING INSPECTOR THIS CERTIFIES THAT..................................... ...?.. .1. .��. .f.. ..................... .. ............ oundation has permission to erect..................../................... buildings on ............51.0........... . Fbvr.�4............5.?-...... ough to be occupied as /� '1,� ;C#740( Chimney S/... .... . ...E................. ........ .... ................................................... provided that the person accepting this permit shall in every respect conform to the rms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of na Buildings in the Town of North Andover. PLUMBWG�INSPECTOp,-� VIOLATION of the Zoning or Building Regulations Voids this Permit. p�(k �9 PERMIT EXPIRES IN 6 MONTH ELECTRIC IN P UNLESS CONSTRUCTION T o � �7 .................... .......... ... Service DING INSPECTOR Final G OccupancyPermit Re �cired to -� � � `� q` Occupy Building GAS RI SPECJFOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing. or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT }' Burner �Q Street No. ill/ e!✓ \ Smoke Det. �SEIIYING MASSACIIUSETTS UNIFORM APPLICATION. roR PERMIT TO DO G 01tint or lypr) 4h1t/-t—, Mass. Date 19 t/ refillit # V Building Location Owner's Name SINGLE rAMILY 0 Type of Occupancy New Renovation U Replacement 0 Plans Submitted: Yes UJ No E-1 FIXTURES in rX W G VA to VA OC u so 1A z 0 0 0 Vj W In z X IA W. z W u I z rX C) 00 X 10" Q X D 0 u Of BASEMENT 1st FLOOR 2nd FLOOR 3rd FLOOR 411h FLOOR 31h FLOOR Glh FLOOR 711h FLOOR Oth F1.0011t Installing Company Name CALINSKY I'LUIVING & HEATING INC. Check one: ceffifible Address --- I'-U.BOX 1701 NJ Corporation 1906 HAVERHILL, fiA 01831 L) Partnership Business Telephone 508-374-1743 (J Firm/co. -- Name of Licensed Plumber or Gas Fitter STEPHEN C. GALINSKY INSURANCE COVIERAGE! I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yet)e No u If Itnt,have checked Yes, please Indicate flip type coverage by checking the appropriate box. A liability insurance pollryR Other lvlv of Indemnify U Bond U OWNER'S INSURANCE WAIVER!I am aware llot filr licensee does not have the insurance coverage required by Charter W of Ille Maas. I awc, and that my %ignalkne on this permit application walveq this requirement. check one: owner U Agent L' cir,lolmll of (11wrivt ni Owilct'% April I fr'01I that All Of It,,'I'laill and Inf,y-afln.I hp,p snh,niartl Im eme"t,in thr ab—f oPvlkal;—a,f our r ami x(cmAte In ill,r t,"t of my k.n-lf*e Ilml doi all plu.binj—A t—h,,-4 A—l",11'r I.,this Aprl;,m6m w111 I.in tmnrl—cr with all mmi--I pm,isim. %of ttr I'lassact-u"tts Stale CA Code 0.4(11113elet 142 01110 Ge-TIAI 18- 4p,r S-AnAlu'l,01 ur tied hlum)rr m Gat liner (/ tke— - `r' 6 ! Date.! ,!`. .. ....... f NORTH TOWN OF NORTH ANDOVER A PERMIT FOR GAS INSTALLATION 7SgACMUSEt i 1 . 1�� �� This certifies that �:�!h f�. `Y. . . . . . . . . . • • • • • • • '" has permission for gas installation . . • • • . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . g at ?.�_�. .�? . . . �. . . . . . . . . . . . •, North Andover, Mass. Fee. Lic. No.) . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) �44 Mass. Date 1�' 19 •S 7 Permit # AAC 1 Building Location �� �-L s tOwner's Name Type of Occupancy 4 New c,,,� Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES z Z N r- , ,C- t" S Z ,, Z 2 z Z Z r W V v� u � ocin . 29r V b °� p � at < fnza 20 O 42A083381t`- 0 o < 0 SUB•BSMT. BASEMENT 1st FLOOR t t 2nd FLOOR ?' N 3rd FLOOR 4th FLOOR Sth FLOOR 6th FLOOR 7th FLOOR 8th FLOOR '� ��wl - l.9 ax`. Check one: Certificate installing Company Name ✓ ��� Address m CLQ6rporation ❑ Partnership lusiness Telephone 31 ❑ -Jame of Licensed Plumber IIS'"tURANCE COVERAGE: I h vve a curren>Ihai insurance policy or its substantial equivalent whKh nw�N the requirements of MGL Ch. 142. I Yes No O If you have checked yes, please i ' ate the type coverage by Lheirktng Ow AWnprlate Itox. A liability insurance policy ET Other type of indemnity❑ Ihtnd f; OWNER'S INSURANCE WAIVER:I am aware that the licensee does not haw*ow'iI,urance coverage required by Chapter 142 till Ow Mass General Laws, and that my signature on this permit application waives this rrq o--W1 Check one, Owner Fj ARlnt Signature of Owner oraOwner's Agent I her.hy cemh that all ra dr details and mlonnalron I have subrmned for entetedl In the Jilt"al>Dlr arwm are and art.rale to rhe heti d mi,Yno iedw and Ow aM r...�a�•�«•� and—tallaiiont peAorrned under the pe.mn issued for thin,OWKalbn will be m c0 pltante vrrr NI Iw•nrrww sex ht assa[husests$tate qumbrne Code and(fir' 'a 1 a ow Br Si`nalure oflLicivsuid Plumb+►'// Tdie Type of Lireme•MNIM t7 "umevw+^'� ( rrTnrn Llrtnsr Number _ evvarry E)10FK1 usf ONLY1 Date.I /?AP 04 40R �T ,�O TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ,SSAc us A p4This certifies that .$ /f. J1. . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . '. . . . . . . . . . . . . . . � plumbing in the buildings of . . . . . . � nA.-. . 8 q.r, 9 . . . . . . . . . . . . . .. North Andover, Mass. ' Fee,3 . . .Lic. No. Y.k. PLUMBING INSPECTOR Vi WHITE: Applicant CANARY: Building Dept. PINK:Treasurer g i 4� 7-is f NORT1h BUILDING PERMIT " ` or be�t``oso� TOWN OF NORTH ANDOVER ,o APPLICATION FOR PLAN EXAMINATION - - `� + -� Permit NO: }� Date Received �,,�a��. .`r +' Argo Date Issued: CHU IMPORTANT:Applicant must complete all items on this page LOCATION 510 REA STREET NORTH ANDOVER, MA 01845 Print PROPERTY OWNER JIM HAJJAR Print MAP NO: 038.0 PARCEL: 316.0 ZONING DISTRICT: R2 Historic District yeno Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building SAne family ❑Addition ❑ Two or more family ❑ Industrial []Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer REPLACE 18 WINDOWS AND 1 DOOR- NO STRUCTURAL CHANGE Identification Please Type or Print Clearly) OWNER: Name: JIM HAJJAR Phone: 508-878-8266 Address: 510 REA STREET NORTH ANDOVER, MA 01845 CONTRACTOR Name: Phone: 508-351-2214 RENEWAL BY ANDERSEN Address: 30 FORBES ROAD NORTHBOROUGH, MA 01532 Supervisor's Construction License: 90125 Exp. Date: 10-06-16 Home Improvement License: Exp. Date: 170810 12-23-15 «ti ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project ost: $ 31,711.00 FEE: $ Check No.: Receipt No.: Z9-1Cp NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner 6e Q-1 Signature of contractor BUILDING PERMIT 0�Na DT b�ti TOWN OF NORTH ANDOVER 02 y6.',t ' 9a APPLICATION FOR PLAN EXAMINATION 70 �0 Permit No#: Date Received Ic gSSiCH�1`����� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT- Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial 0 Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic 0 Weff ❑ Floodplain. ❑Wetlands ❑ Watershed District ❑Water/Sewer_. DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: _ Phone: Email: _ _ Address: Supervisor's Construction License: _ _ _ Exp. Date: G Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the gu..ran-t fund ,Signature of Agentr- w,s cr Signature of contractor i Plans Submitted ❑ . Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ PrivateseP tic tank etc. ❑ Permanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp pump ter on.site located at 1,24,Main Street Fire Departmpnt.signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 1. Location No. - (— 2D�SO Date r • • TOWN OF NORTH ANDOVER • S -LED 76 • d Certificate of Occupancy $ Building/Frame Permit Fee $ �zo Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#01(Gog)_ Q 1 2 i} 7 V 4 Building Inspector NORTH own of ..;: to No. h ver, Mas � 611R o�alrj COC NIC Nl WOCK �' �ies RA7E0 aP�`�,(5 Ll BOARD OF HEALTH Food/Kitchen PERMIT L' D Septic System • THIS CERTIFIES THAT .......................' in....... ..�) .................................................... BUILDING INSPECTOR ' �� $�... e. Foundation has permission to erect .......................... buildings on ...�.... ......... .... �.A .. _` Rough to be occupied as .. .... . .... .. .. . ...�1.!1 .�ms ..'....JAW........................ Chimney provided that the person accepting this permit shall in eve� respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MHS ELECTRICAL INSPECTOR UNLESS CONSTRU RTS Rough Service 00 ........... ..... ........................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. mE'hewaMA Home Improvement Contractor #170810(Expires 12/23/2015 �Alndersen. �' Renewal by Andersen Corporation License WINDOW Federal Tax ID#41-1918413 RE►kA CEMENT ui MkhaaG�y.n, 30 Forbes Rd, Northborough,MA 01532 (508)351-2200 Fax(508)-986-7072 CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date: JIM HAJJAR - NOVEMBER 12, 2015 Buyer(s)Street Address city State Zip Code r I 510 REA ST NORTH ANDOVER MA 01845 (Email Address Home Telephone Number Work/Cell Telephone Number F- J IM.HAJJAR@I NTE L-.COM 508-878-8266 lBuyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor"),in accordance with lthe terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s)(collectively,this"Agreement"). �Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount S 31,711 kmountFinatltxd$ 31,711 Est.Start Date Method of Payment Deposit Received(33%)S 0.00 DOPOM at sig ag$ 15.855.50 CheckiCash I !0-l2 weeks Balance Stan of Job(33%)S 0.00 Check g i Balance on Substantial Est.Install Time Completion of Job 33% S 0.00 AicamOm cal Credit Card ( } cAmpaetim$ 15,855.50 final slmd (rat are�xeed 5-t days If credit card is selected,please No see credit Card payment font I Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No afteration to or deviation from this Agreement will be valid without the signed,written consent ;received both Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has i ;received a completed,signed and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was totally informed of Buyer's right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. i Renewal by Andersen Corporatiioon' /' Buyer(s) Buyers) By. �j7/Z�fH"!/ Llll(,L1k,.S a,.,— Signature ^'t,L.ySignature of Consultant Signature' Signature x GREGORY TAUTKUS JIM HAJJAR Printed Name d Consultant Printed Name Prated Name 1 YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE GATE.OF THIS TRANSACTION. SEE THE ATTACHED NOTICE Of CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. ---------- ------------------- -------------------------------------------- 1 NOTICE OF CANCELLATION I NOTICE OF CANCELLATION 1 1 1 Date of Travancdon 11112/15 Tan may cancel this I Hate of Transaction W112115 .You may caned this transaction,without any penalty or obligation,within three bustnes.s days from the i transaction,without anv peaalty or obligation,within three business days from the afmtr date.If you cancel,any property traded in,any payments made by you under above date.If yon caner;,nay property traded in,any payments made by you under the Contract of Sale,and any negotiable instrument executed by youwill be 1 the Contract of Sale,and any negotiable instrument executed by you vrnl be returned within 10 days following receipt by the Contractor("Setter")of%roar 1 returned within 10 days following receipt by the Contractor("Seller")of%rear 4cancellation notices and any security Interest arising out of the transactias will be cancellation notice,and any security Interest arising out of the transaction will be canceled. If you cancel,you ansa main available to the Seller at your residence,in I canceled, if you cancel,you must make available to the Seller at your residence,in ' (substantially as good condition as when received,any goods Adhered to you under 1 substantially as good condition as when received,any goods delivered to you under ((this Contract or Sate,or yma);a}5 if yon wish,comply with the instructions of the I this Contract or Sale;or you may if you wish,comply with the insnnctioas of the 1 Seiler regarding the return shipment of the goods at the Seller's expense and risk. I Seller regarding the return shipment of the goods at the Seller's expense and risk. IR yrou do make due goods available to the Seller and the Seller does not pick them up 1 If you do make the goods available to the Seller and the Seller,does not pick them up cahin 20 days of the date of your Notice of Cancellation,you may retain or dispose within 20 days of the date of your Notice of Cancellation,you may retaln or disease of the goods without any further obligation. If you tan to make the goods available of the goods without any further obligation. If you fail to make the goods available to the Seller,or if you agree to return the goods to the Seller and fail to do so,then to the seller,or if you agree to return the goods to the Seller and fail to do so,then +� YOU remain liable for performance of all obligations under the ContraeL To cancel I you remain Gabte for performance of all obligations under the Contract.To cancel rPtransaction,mail or dell—a signed and dated copy of this caace]lation notice 1 tlris transaction,mail or dciyvr a signed and dated cony of this cancellation notice or any other written notice,or lead a telegram to Contractor.Renewal by Andersen,1 or any other written notice,or send a telegram to Contractor. Renewal by Andersen, !30 Forbes Rd. Northborough,HA01532. 1 30 Forbes Rd.Northborough,MA 01532. 11 HERESY CANCEL THL4 TRANSACTION. I HERESY CANCEL THIS TPLAMNSACTION, 1 &"e.e(my N@t Nov Omle I aura"S Sf{rore Pall Ns— LLte I 1 � i RenewalRenewal by Andersen Corporation MA Home Improvement Contractor byAndersen.=XIM-N 30 Forbes rd Northborough,MA 01532 License#170810 (Expires 12/23/2015) wrgoow REPLACEMENT .nnkk+mc<,mwMn. (508)351.2200 Fax:(508)-986-7072 Federal ID#41.1918413 Window Specification Sheet IBuycr(s)Name Date of Agreement. JIM HAJJAR THU, Nov 12, 2015 The buyers)listed above.hereby jointly and severally agree to putrhase the goods and/or services listed below,in accordance with the prices and terms described on the Specification Sheet and the fir)nt and the reverse,of the accompanying C:USTO\Q\17NDOW AND DOOR REMODELING AGREEMENT.of which fthe Specification Sheet is part. i WINDOW&DOOR DETAILS Room is wiau, 7aPx wirWow/Door Style Detail Ext Casingsrior Mort HardwareGrille Glass HaWero Lawliti/I GillScreens Smartaun GrilWs Saahllr3 Sash2 U11s Options Office 201 32 61 93 DB raft al Insert sloped sill Ext.MF Flat HNM White Standard FAL artsu GBG 32 3/2 No No 202 32 61 93 DB rail al insert sloped sill Ext.MF Flat HN1H White Standard FAL ensu GBG 32 32 No No Bed 1 20.3 32 61 93 DB q rail equal insert sloped sill Ext.MF Flat NHIWH White Standard FAL 3mansur Gag 32 3/2 No No 20-4 32 61 93 08 rail equal insert sloped sill Ext.MF Flat mHAvH White Standard 1 FAL SmartSur Geo 3/2 3/2 No No Den 206 1 32 61 93 DB sq rail equal Insert sloped sill Ext.MF Flat NHIWH White Standard FAL artSu GBG 3/2 3/2 No No 207 32 61 93 DB raiz equal Insert sloped sill Ext.MF Flat HNlH White Standard FAL artSu GBG 3/2 312 No No Dining 101 32 61 93 DB rail equal insert slopedsill Ext.MF Flat HfWH White Standard FAL anSu GBG 3/2 3/2 No No 1.02 32 61 93 DB rail-equal Insert sloped sill Ext.MF Flat NdH White Standard FAL martsu GGG 32 3/2 No No Family103 32 fh 1 93 DB rail ual insert sloped sill Ext.MF Flat HNiH White Standard FAL artSu Gee 312 3/2 No No 104 32 61 93 DB rall equal insert sloped sill Ext.MF Flat HNOH White Standard FAL martSu GBG 3/2 3/2 No No 105 32 61 93 DB sq rail equal Insert sloped sill Ext.MF Flat HNIH White Standard FAL ansa GeG 32 32 No No 106 32 61 93 DB rall equal Insert sl ed sill Ext.MF Flat HN/H White Standard FAL anSu GBG 3/2 312 No No 107 32 61 93 DB tail ai insert sloped sill Ext.MF Flat HNIH White Standard FAL artSu GBG 312 32 No No 108 32 61 93 DB rail equal Insert sloped sill Ext.MF Flat HMH White Standard FAL martSu Gag 32 32 No No Kitchen 109 69 79 148 ND C rafo Ext.MF Flat wH/PN Sat.Nickl NewburyFFG Su GBG 3/5 No Tem per Office 111 32 61 93 DB rail equal insert slopedsill Ext.MF Flat H/WH White Standard FAL art Sur GBG 312 32 No No Parlor 112 32 61 93 DB sq rail equal insert sloped sill Ext.MF Flat HNIH White Standard FAL 3rnartsur GeG 312 3/2 No No 113 32 61 93 DB sq rail equal insert sloped sill Ext.MF Flat HNVH White Standard FAL artaGeG 3/2 32 No No 114 32 fit _93 DB,call equal inserts! sill Ext.MF Flat HIWH White Standard FAL martsu GeG 3/2 32 No No Total 19 BAY BOW&BUILD OUT DETAILS Style Detai! th Approx. Number Frame 1Mnttow End Center LowE/ Roof/ Hardware Room Count S e Rankers t Cast b IJtoe Interior Ext/Int Color Grilbs sashes sashes Screens Smartsun Soffit Color SPECIALTY WINDOW DETAILS Fua! Aplxox. trn�7 Specialty BAY/BOW ADDITIONAL WORK NOTES Room Count Style Insert U.i. SmartSun Gdllos Grilles le ExVtnt CAhr Ovii vier k.m.m•th.,,t M h hay/Ixip srint4 nw mxlor 72 ineh,, thrrtr sill lx-si tilu:mt 4isv lnr. ADDITIONAL WORK DETAILS: Customer aril!be installing in the month o March DO NOT TOUCH INTERIOR CASINGS I No Contractor will wrap exterior casings with coil stock color of Owner is aware that Contractor does not do any painting/staining or removal installation of alarm system or window treatmentslhardware,it is the responsibility of the homeowner to have the alarm system and window treatmenta/hardware removed prior to installation. We make no guarantee as to whether alarms or window 2 ✓ treatmentsfhardwam will Bt after replacement. Customer is also aware in some cases there will be glass loss. It there is,the amount will be dependent on the type of existing windows,type of Installation and window style.We make no guarantee as to the amount of glass foss.Customer is aware and understands any and all unseen rot is not included in this contract.Should any rot be found there will be an additional charge for time and materials unless so stated in this contract. 3 Yes Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration.Removal and disposal of all job related debris, windows,doors,storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. f Yes BuildingPermit--Contractor will secure an and all necessary y permits, The fee for the permit(s)is included in the total contract price, 5 Yes All discounts have been applied to this agreement. i 6 ✓ l'cs Nn Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s), Ili is agn-td aruf undenaxxi hy:md brnrty n the,part cy that this Sperifu ation Shrel'along widt the CUN IUNI 11'INDO)V ANI)DOOR 1tl lfUU1:F,F\{;AGRI,'I"NIF.NT ruustinnts,the endo• iundenumdinp,brnvirn the panles;red them are no verbal untimu ndigt,changing or moelifving ant•of ihr terms. Thi.,Specification Sheet may tint lx•changed or its terms mtxlified or,tried iu Jany way unless such rlunip,an•in writing and signrst by both the Btymrt)and Contractor. Binrrin;hCrnby aeknmsterlgr that liuw,r(s1 has n•ad this Spe6fication Nhevt. Renewal by Andersen Corporation 13ulrijsl Buhmr(s1 i Signature of Consultant Signature Signature GREGORY TAUTKUS JIM HAJJAR Print Name of Consultant Print Name Print Name Renewal byAndersena W-Oun WINDOW• REPLACEMENT anAndenraGompin!; WoodNinyi Composite IF W.r1D�►,c':� Dual Argon Low E4 SmartSun Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient Oa29 0 . 19 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0 ,342 h1anufasturar mipufatas that these mtkV conform to appf.:able NFRC procoduros for datamHning whota product pedormartce.NFRC ratings era datonnined fora(bred set of environmental conditions and a specific product see. NFRC does not reeomn»rw any product and does not ttaimat the wrlabaiy of any product for any specifw use. Consuh manufacturer's karatum for other product podormaneo itfomtation. 4AlNl.IIfl4.big This product moats Green .I .. �.. ' Sears environmental 3 standards governing energy efficiency,heavy metals in - +� ( • The frame and sash wt'1C fl,. ,material packaging,and •µ`, t '�Tf, C"'(3 X consumer educational DESIGN PRESSURE(PSS whooll,am Door` r I r a htl11VQCNR1Sh50 pltM -- 1�'�{' /�a�5 VANVedmo.S 'kr.1'I l-t/`'fir/` RbA DB Sloped Sill DH IN Toskd tallAfS02arAAEIATALdti'C&1701.1SrANQBi h12Mea ra al Uta ootQormu"to W applicabla swmaras. Neets or oxceeds C.E.C.&LE.C.C.Air InMration requeaments WCRIA Haihnark CenTration Progmm. I i 1 i I I PRODUCT PERFORMANCE Andersen'NRC Cef#8eied Total UotE Performance (CeAudnDaDed) in-0 en'Ptadact Glass Type G_Factor' SHGC' VP `= 200 Series - ClearDua(Pane 0.45 0.60 0.63 - Gear Dual Pane__Grilles0::5 0.54 0.56 _ Tilt-Wasb lmv-E 0.30 032 0.55 Tr Double-Hung Window -..,Grilles 0.30 029 0.49 _ M,low-E4 SmanSun 030 021 0.49 = y' HP lmv-E4 smar,5un x/Galles 0.31 0.19 0.43 .- _ Clear Oval Pane 0.45 0.61 0.64 Narmfine' C':.1 Dual Pane ram Gnues 0.45 0.54 0.57 Double-Hung Window Low{ 030 032 M6 '1 _ Lrm:-E•rdthGrilles 0,31 029 0.50 Clear Dual Pane 0.44 0.63 0.66 - Narmllne* CIe3rDual Pane wrthGdBes 0.44 037 0.59 Transom Window -- - LarrE 027 034 0.58 Lav-EwIthGnlles 027 030 052 Clear Dual Pane 0.45 0.60 0.63 _ Clear Oual Pane^�i1D Grilles 0.45 054 0.56 - Gilding Modow, LQW-E 0.30 03^. 055 - Low-E with adiles 0.30 029 0.49 Low-E SmartSun 030 021 0.49 Lav{SrrmnSun soler Galles 031 0.19 0.43 t Clear Dual Pane 0.43 0.61 0.65 _ Clear Dual Pane wdh Grilles; 0.43 0.55 ' 0.58 _ Fixed,Transom, Low-E Circle Top'Window 0.26 033 0.56 _'.' -tmm Gri0e5 0.:S 030 0,50 l w E SmanSun 027 022 0.51 Low-E SmanSun with Grilles 027 020 0.45 Clear Dual Pane 0.44 0.61 0.64 Gear Duai Pane with Grilles 0.45 0.53 0.56 _ Low-E 029 032 0.56 _ Narroline- Low-EwbGrilles 0,30 0.29 0.49 Gliding Patio Doors Law-E Sun 0,29 020 031 Imv-E Sun with Gnlies 0.31 0.18 0-27 '•'T Lmv'E SmartSun 0.28 021 0.50 -1 Lmr_E SmartSun with Gdllus 030 0.19 0.44 L Clear Dual Pane 0.43 0.61 0.64 Ciear_Dual Pane rrith Galles 0.43 0,54 0.56 - Lmv-E 0,28 032 0.56 Perma-Shield' Lou E•rrith Galles 0.30 029 0.49 Gliding Patio Doors Low{Sun 029 --. 0.19 0.30 Low-E Sun with GAies 0.30 0.17 Low-E SmartSun 027 022 0.50 Lmv-E SmartSun wdh Galles 029 0.19 0.44 Gear Dual Pane 0.43 0.45 0.47 _ Gear Oual Pane wdD_Gnlles 0,43 029 0.40 _ Low{ 0.32 024 0.41 :] si }forged Inswing Lmv-E with Grilles033 0.21 0.35 Patio Beats law{Sun 0.32 0.15 023 -'^a, - Lau•-E Sun with Grilles 034 0.13 0.19 - i Low-E SmartSun 0.32 0.16 0.37 _] Lmv{SmanSun witlt Gnll� 0.33 014 0.31 _ r S�l The C.'ommonWAUh Oftrf49aCh#S0 s .Depworat of IndalrW Acridenh QrXe ofInvestiga ons 600 Flaskington Stred Bourton,MA 0,211.1 w ww.mwftgev/die Workers' w ompen:ration Insurance Affidavit:Builders/Contractom/Electricia dplumbers Agipfican,UformationL1Iilsr - Name(Busine.-dOrganizatirnvindividual): RENEWAL BY ANDERSEN AddrBgg: 30 FORBES ROAD City/State/Zip: NORTHBORO,MA 01532 phone 4. 508-351-2200 Arejou an employer?Check the appropriate bore: Type of project(required): l.'9I ain a ca iployer with 30_ 4. ❑ I am a general eonvactor and I 6. ❑•')New wnstructimt_ employees(full a:l(/or part-tiune).* have hired the qtb-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet,# 7•itRemodeling ship and have no employees ,These sub-c:ontraciors have 13. ❑.Demolition working forme in any capneity. workers'comp,insurance. 9, ❑Bo3tding addition [No workers'comp,irtqurance 5. ❑ We are a corporation and its 10.[]1?lerlric`al repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of onemption per MuI. I I.EJ Plumbing repairs or additions myself[Nil workers'comp. c. I52,§1(4),and we have no 12. ❑Roof repairs insurance required.]t employees.[No workers' 13❑Other comp.insurance required,) -- "_ ny applicant that checks brut#I must ais(N fill out the section nelow showing their workers-compensation policy information, t Homeowners who sulanit this affidavit indicakiag die,are doing all work and then hue outstde cAtraezars nwst sitlnni`a he'w Affiidavit jadbating such Contraotom that=4 this box must etta heti an additional gneet showing the name of the sub*Mtraewr�and)one workers`conte.policy ittiiamation. Pam an emlployer that is providing workers'compensation insurance for mp etmrpl VwL Below is the policy Geri,job site information. Insurance Company Name: OLD REPUBLIC INS. CO.. Policv#or Self-ins.Lic.#: MWC 3054S3YQ0_____ _ _— lAphationDate:,10-01-16 Job Site Address: 510 REA STREET - _—city/State,"Zip: N.ANDOVER, MA 01845 Attach a copy of the workers'comprusation policy declaration page(showing the poNey 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 fine up to$1,500.00 and/or one-year imprisonment,as well as ch 11 penalties in the form of a STOP WORK OROTIC and a Pine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be'forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do herby tjjy u»d the pains and penalties of perjury tkat the t nforanation provided above is treed and correct. ture: Phong t#: -351-2200 Official use only. Do not write in this area.,to be completed by clue or town off 7cfaL City or Town: PerutitlL1cense# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical lnspector &Plumbing Inspector 6.Other Contact Person: Phone#• ANDECOR-01 YADAVYO C� � „ FDA�TEJMMIDDN" CSR"i' , .CA�'� OF LI�► �LITi Y INSURANCE 10/112015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 lights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT Willis of Minnesota Inc. NAME: Willis Certificate Center c/o 26 CenturyBhvr� Parc°N o E ;(877)945-7378 AIC Nra: 8881 467-2378 P.O.Box 305 AwRm,CertifTCB illis.com Nashville,TN 377 230-5191 INSUREIRIS)AFFORDING COVERAGE NAIC# INSURED INSURER A:Old Republic Insurance Company 24147 INSURER a Renewal by Andersen LLC INSURER C: 30 Forbes Road INSURER D: Northborough,MA 01532 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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. TR TYPE OF INSURANCE NSDSURRPOLICY NUMBER MMS Y PNYYY) M pCp LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMSAWE ®OCCUR �-MWZY 305440 10/01/2015 10/01/2016 PRENUSEs Esoccurrenos $ 600,000 MED EXP(Any one Person) $ 10,00 PERSONAL&ADV INJURY l; 1,000,000 MOTHEFL- LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 4,000,POLICY JECT F—]LOC PRODUCTS-COMPKIP AGG $ 4,000,00 $ AUTOMOBILE LIABILITY EaMao dentSINU LIMIT $ $1000,000 A X ANY AUTO MWTB 305438 10/01/2015 10/01/2016 BODILY INJURY(Per person) $ ALLOSWNED SCHEDULED UTOS [ AUTOS HIRED A BODILY INJURY(Per accident) $ NON-OWNED AUTOS PeraerJdent � a UMBRELLA UAB �OCCUREACH OCCURRENCE $ EXCESS LIAR DED RETENTIONS - TAGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERS UABILITY X ER 0 H- A ANY o FF ICE�WMEIMBEREXCLUDED?ECUTrvE IY;N NIA MWC30543700 10/01/2015 1010112016 E.L.EACHA ACCIDENT ER $ 100 (Mandatory in NH) �`J K describe under E.L.DISEASE-EA EMPLOYE $DESCRIPTION OF OPERATIONS belowE.LDISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORO lot,AddlUonal Remarks 8ebadure,may be attached M more space is squired) 1 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I ACCORDANCE WITH THE POLICY PROVISIONS I AUTHORIZED REPRESENTATIVE Evidence of InsuranceGr/� ACORD 252014101 ©1988-2014 ACORD CORPORATION. Ail rights reserved. ( ) The ACORD name and logo are registered marks of ACORD t +s Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License:CS-M125 1 IS JAIIVIf$L 86 GARDUM S LYNN MA 01905% r 92,,. ""�'a Expiration Commissioner 10108/2016 is rt L'onsum4r AllFsirs A 13usgaeeA i�oga3oi�on A. , Wftvwo NT Cowpj�C'i'p_R i• ' Type:: 7 45 Supplemanm r}' RENEWAL BY AN TION _ s 104 OTIS STREET NORThiBpI OL�H,MA 01532 U�dsnscrthry . •, f