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HomeMy WebLinkAboutMiscellaneous - 61 JOHNSON CIRCLE 4/30/2018 61 JOHNSON CIRCLE f 210/037.D-0031-0000.0 J r N- 9 5 8 8 Date. ..�2.`. . . . N2 NORTH _ •�"o TOWN OF NORTH ANDOVER o� v • . - • PERMIT FOR PLUMBING • s _ + r SSAC14US� This certifies that . ^? ?2 y. � V` ��. o. . . . • • . • . . . . has permission to perform . . . . . . . . . . . . . . . . . . plumb in in the buildings of . � . . . .. .4!?... . . . . . . . . . . . . . . . . at• • . . . • Snt `- ort Andov ss. Fee.J� . . . . . . . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ire MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE( IZ.__,. PERMfT# JOBSITE ADDRESS OWNER'S NAMEI --�r c�, r N OWNER ADDRESS TEL TYPE OR OCCUPANCY TYPE COMMERCIAL r EDUCATIONAL f RESIDENTIAL PRINT - CLEARLY NEW: RENOVATION:h_ REPLACEMENT - PLANS SUBMITTED: YES'__ NO! FIXTURES Z FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB ------- CRQS:S_GQNNEC-TI.ON-DEVICE------.._.._,—_ s' 3 DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIC)IUSAND SYSTEM i—� a DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM `" i`--=�=" ! �- t ._ ' - DEDICATED WATER RECYCLE SYSTEM 4 DISHWASHER - DRINKING FOUNTAIN fiz FOOD DISPOSER — t---,, FLOOR/AREA DRAIN I i �" ---- INTERCEPTOR(INTERIOR) i KITCHEN SINK LAVATORY I- ROOF DRAINSHOWERSTALL SERVICE!MOP SINK TOILET URINAL WASHING MACHINE CONNECTION si ; I I L .i _ C�- .I •. WATER HEATER ALL TYPES WATER PIPING OTHER 1 - — . J INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY7, , ":. j OTHER TYPE OF INDEMNITY ; BOND L .: OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance Co vera ere required by Chapter 142 of theMassachusetts GeneralLaws and that m signature on this permit application waives this requirement. I CHECK ONE ONLY: OWNER i. AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and Installations performed under the permit issued for this application will be in c pliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME LICENSE# SIGN RE MPS JP CORPORATION # r I I�.,�__,�.�_�PARTNERSHIP, #i C' #' - _ L COMPANY NAME -ADDRESS!� -� ��,_..,.�� � � .� y � � CITY - --- -- ------ .. STATE d� ZIP? I.< �... a @` S TEL EMAIL FAX ! CELL, -- G,,�-� �� Q�/� 1 R�� ,_ �� _ s ;�. The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations `} 4 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leyibly Name (Business/Organization/individual): 'rt`y��B 1:Y 7 �GY� • �1A M RIA _ Address: �t � ' X3 City/State/Zip: N'�N ;t`�< S ��-Lt d Phone #: t '' D 4,73 r Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with ID_ ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' insurance., 9. ❑ Building addition [No workers comcomp.insurance p• required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions officers have exercised their l 1. Plumbing repairs or additions 3.❑ i am a homeowner doing all work � b p myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] 'f c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 91 must also till out the section below showing their workers'compensation policy information. 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 sub-contractors and state whether or not those entities have. employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance•for mV emplovees. Below is the policy anx1,job site fllrormation. Insurance Company Name: �� c C�"h;tin S. C6 Policy 4 or Self-ins. Lic. #: �"' �"� O 4 'k 5 '� Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy 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 I 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 tine 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 filo hereby cern v under the 4412s and enalties o er'ury that the information provided above is true and correct. Si nature: (1'`"� Date: Phone#: Of use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License## Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone##: COMMONWEALTH OF MASSACHUSETTS PLUMB:RS AV') GASFITTERS. LICENSED AS A VASTER PLUMBER ISSUES THE ABOVE LICENSE TO: BRIAN G P IWDERLY PO BOX 436 � N �i NUTTING LAhL MA 01865-0436 12026 •15/01/14 152766 ' LICENSE NO. EXPIRATION DATE SERIAL • Fold.Then Detach Along All Perforations COMMONWEALTH OF MASSACHUSETTS 'DIVISION OF PROFESSIONAL LICENSURE-BOARD OF :-LUMBERS AND GASFITTERS LICEdSED AS A JOURNEYMAN PLUMBER ISSUES THE ABOVE LICENSE TO: i BRIAN G POWDERLY PO BOY 436 PUTTINt; LAKE MA 01865-0436 2351: 05/01/14 152765 1r LICENSE • EXPIRATION DATE SERIAL NO. Fold,Then Detach Along All Perforations COMMONWEALTH OF MASSACHUSETTS I'I_UMBERS AND GASFITTERS REr.1STERED AS A PLUMBING CORP ISSUES THE ABOVE LICENSE TO: BRIAN POWDERLY POWDEIiLY & SONS PLUMBING & HEATI 10 OLL7 HILLSIDE EILLERICA MA 01821-1715 3121., 05/01/14 152518 Date.................................. f pORTN, 3r;•_`�``' °_'"�O� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �Ss�cMusE� This certifies that ...... ...'':........... "= has permission to perform - �- ? �f ` wiring in thf buildi g of —. . ..... at.... ....�. ....................:::'`.'''... .......... ......,North Andover,Mass. Fee" ..'................ Lic.Noc f�. .. ............ . LECTRICALINSPECTO Check # 843 Commonewealth of Massachusetts Official use only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 ("leve blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed m accordancewith the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 8/5/09 City or Town of: North Andover 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) 61 Johnson Circle Owner or Tenant Nicholas and Nancy Leonardi Telephone No. 978-685-3002 Owner's Address same Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Bos) Purpose of Building Single Family 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: Sunroom Addition Com kation of the ollowini table mm%be waived by the Ins ector of[i fres. 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 No.of Luminaires 2 Swimming Pool Above ❑ - ❑ . o.oEmergencyLighting d. d. Batter-Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches 2 No.of Gas Burners o.oDetection an Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Deices Tons t eat Pumpum er ons o.o e If-Contained No.of Waste Disposers Totals: _ --------------------I...................--- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Otber Connection No.of Driers Heating Appliances KW e-curity stems:* No.of be-*ices or Equivalent No-.Of ater KW o.o o.o Data Wiring: Heaters Signs Ballasts No.of Devices or E 'valent No.Hedromassage Bathtubs No.of Motors Total HP a ecommumcationsWiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required ht%the Inspector of[Vires. Estimated Value of Electrical Work: $950.00 (When required by municipal policy.) Work to Start: 8/18/09 Inspections to be requested in accordance with NEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical Avork 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: Folsetter Electric,Inc. 27 LIC.NO.: 20421A Licensee: Robert Folster Signature - LIC.NO.: (Ifopplicable, enter"exempt"in the license mn»ber line.[ Bus.TeL No.: 978-658-9975 Address: 30 Parker Avenue.Tewksbun,.MA 01876 Alt.Tel.No.: 978-387-9709 *Security System Contractor License required for this work:if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does riot hm,e 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 a eat. Owner/Agent Signature Telephone No. PERMIT FEE: $35.00 �R„ { is i,•. ,a�: S: . .. s ). , j:. R.i R71: .. . Y _ .. :.._�_• ... •. .. t SFJ' , � . st., ' ''i'3' , .. - i_. . `1 n4 .. v ',:•�.'' .[j. `ii'�..17 , I•�', •t .t�' .. .' •� r \ d a ..'. !.` •,.. - Y `•. 4 1 7 � i it NORTH 3j Oe`,r'�.�+.'+e�0 TOWN OF NORTH ANDOVER O :. - 9 PERMIT FOR WIRING ,SSACMUSE� This certifies that .......... . �...... ...... -s -.-. ' .................................................... a - � has permission to perform .f.......rC.:.,rt.�f.�-,��.F.;�;-:::...... --. wiringin the building of.......r.... ....................................................................... at. J�'.......... �- �2� ...... ,forth Andover,Mass. t Fee ' Lic.No �. 5�!/........................�ec<<- ......... ....................................... -ELECTRICALINSPECPOR 22 ,-V Check # ;x 5190 TIECOA [MOATREALTHOFALASS4CHUSE7,TS Office Use only r DEPARTMENTOFPUBLICSAFETY rPermit No. �!� BOARD OFFIREPREVEN170NREGNAH0N,�627CMR12:00 Occupancy&Fees Checked APPLICATIONFOR PERMIT TO PERORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASS C4 SSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Ca 11'1 A 7 c��t5� Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical wor described below. ,I.cation (Street&Number) 1 C Owner`or'Tenant I)Ai'-,,VN ip s C 9-1 1� - MS'S' ISOQQI 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 1 0 Amps1 1�2oVolts Overhead ® Underground No. of Meters ®N New Service Amps / Volts Overhead Underground F-1 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 141TC A C Sy 0`eila,lpeU sA G I No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total -- — I KVA No.of Lighting Fixtures Swimming Pool Above Below r7 Generators KVA round ground No.of Receptacle Outlets 4q No.of Oil Burners No.of Emergency Lighting Battery Units . No.of S4 itch Outlets �h 1 No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW Ng,pf Sounding Devices No'of Self Contained De[oction/Sounding Devices No.of Dryers Heating Devices KW Local � Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP )THE • ti ,y saran Coverage.Ptns=to the iegmffljfsofMa%arhujqetts CenecalLaws iaveaamentLiabflityhiaw mPbhginckxbgComplete Coveageoritsaibs 6a a#valart YES ' ® NO iavea bmitied validpioof ofsameto die 0ffm YES ffyou hawcheded YES,pkaseindir&the typeofcoverage by CddDg(hebox 11��11 rSURANCEE BOND O'IIIER (Please Specify) EvtraftcnDateL 1 Fstirr9edValueofF $ � y z oiktoSbit MA-02`f InspectionDateRMuestcd Rough ,Y� ��Y 7L�4 Final WI)1 CMI) li 7Ied undff7 e PCT&eS ofp#11y. ZiVINAME Lic TNO. eaTeIG(��`�21 � Signahm Lic=No -E {�' n Buwvss Tel No. .cline.Stb5 L n rl V -�U �–Y IN 1 U l At Tel No. S 1 5 2 VNER'S INSURANCE WAIVER;I am aware that die l icense does nothave the instiraiice coverage orits atstantial apvalent as t>?gtlned byMassachusetls Cane Laws that my signaluie on this pemlit apitcation waives this iegLm i)mL ease check one) Owner ® Agent ® � �i Telephone No. PERMIT FEE$ 3S ignature ol Owner or 7gent U The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation insurance Affidavit M 5 Name Please Print Name: Location: CitY Phone # (—� I am a homeowner performing all work myself. U I am a sole proprietor and have no one working in any capacity aI am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance.Co. Poiicv# Company name: Address City: Phone#: Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one years'imprisonment-as_well_as_civil..penaitiesinfhe form of-aSTOP WORK_ORDER..and_a fine of_(.$1.00.00)._a day against.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept ❑Check if immediate response is required Licensing Board Selectman's Office Contact person: Phone#: Health Department Other Location x No. b Gate c� �oRTN TOWN OF NORTH ANDOVER ro s Certificate of Occupancy $ R ,SSACNUSEt� Building/Frame Permit Fee $ Foundation Permit Fee $ M Other Permit Fee $ TOTAL $ a.3 0 t� 4 7 Check # ` t 172504 �i M Building Inspector j TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: //[ � ic Building Commissioner/I or of Buildings Date z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number �\ 1.3 Zoning Information: 1.4 Property Dimensions: ((� Zoning District Proposed Use Lot Areas Frontage ft �1 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System ❑ J Public 0 Private ❑ —1 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic !Strict: Yes NO M 2.1 Owner of Record Cid Ji?h N-1v a0 0 Name(Printy Address for Service Sig Telephone -2.2 Owner of Record: dame Print Address for Service: S nature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address (14j!/ _ Expiration Date = Signa r 1 hone 3.2 Registered Home Improvement Con�tm&or Not Applicable ❑ Crampany Name l L� Z10 Registration Number Address AJCExptrat ate �'1 Signature Telephone Oi/ SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check alt a licable New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be V, 'MCIAL USE ONLY Completed by permit applicant 5 i " 1'sy 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(8)X (b) 4 Mechanical HVAC pZ 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT - i I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION c. 1, as Owner/Authorized Agent of subject a property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Pri dt S, ature of wner/A ent e NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X 4- MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i NATIONAL C _ RANGE MUTUAL U AL INSURED •INSUk2A.NCE COMPANY 55 west Street, Keene, NH 03431 Telephone: 1-888-646-7736 CONTRACTORS POLICY DECLARATION Named Insured and Mailing Address EDWARD E VIEL DBA GENERAL CONTRACTING SERVICES Policy Number: MP166885 55 A PORTLAND ST Account Number: CACI66885 LAWRENCE, MA 01843 Agent: CHAS F HARTSHORNE & SON INC AGENT PHONE : 781 245 4300 Producer Code: 200167 POLICYHOLDER INFORMATION Named Insureds Business: CARPENTRY INTERIOR Entity: INDIVIDUAL Policy Term: 12,. Effective: 09/20/03 (12:01 A.M. Standard Time at the address Expiration: 09/20/04 of the Named Insured stated above) In return for the payment of the premium and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. See the attached schedules for Description of Premises, Property Coverage, Optional Coverages, Forms and Endorsements applying to this=policy and Mortgagee Schedule if applicable. i BUSINESSOWNERS LIABILITY COVERAGE Liability & Medical Expenses - each occurrence LIMITS OF INSURANCE Personal and Advertising Injury Limit $ 300 , 000 Products-Completed Operations A3001000 ggregate Limit General Aggregate Limit $ 60 0 , 0 0 0 Fire Legal Liability - any one Fire or explosion $ 6 0 0, Q 0 0 Medical Expense Limit- per person $ 500, 000 Business Liability and Medical Expense: Except for Fire Legal Liability, each paid claim for thea ove0cover- ages reduces the amount of insurance we provide during the applicable annual period. Please refer to section DA. of the Businessowners Liability Coverage Form. For policies subject to premium audit: Annual Audit Applies. Estimated Annual Premium: $ 592 TOTAL PREMIUM AND CHARGES $ 592 :ountersigned: 4-5470 9/00 By: 07/30/03 RENEWAL K13 GENERAL CONTRACTING SE]k VICES VILLAGE KITCHEN & BATH 56 Main Street North Andover, MA 01845 1-978-423-7105 CONTRACT This Agreement is made between Nancy Leonardi, hereinafter called Customer of 61 Johnson Circle in the town of North Andover, in the state of Mass. and General Contracting Services this 2nd day of March in the year 2004. Description: See Estimate as attached document Job Total: $ 23,193.87 ev Deposit: $�� Payment: As needed Balance Based on allowances I. It is understood by the Customer and by General Contracting Services, that the above Job Total includes material and labor as per attached proposal only. Any additional, costs to the above Job Total, whether by necessity or by the request of Customer will be considered an extra charge and therefore governed by paragraph(VI). It is also understood by Customer and by General Contracting Services that the management and general contracting fee included in this contract is subject to change in accordance to extra time and management involved in extra work carried out by necessity or by the request of the Customer. II. All jobs accepted by General Contracting Services are subject, however, to strikes, accidents, or details occasioned beyond the control of General Contracting Services. III. All sketches furnished by General Contracting Services shall remain the property of General Contracting Services and no use of same shall be made, nor any idea obtained therefrom be used, except upon compensation to be determined by General Contracting Services. IV. By signing the acceptance, the customer(or his/her representative) agrees to all terms and conditions as outlined, and binds him/herself to accept the contract in its entirety. V. The customer also promises to pay any and all attorneys fees and/or cost(s) associated with the collection of the amount stated herein this contract. VI. All materials are guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alteration or deviation from specifications involving extra cost will be executed only upon written orders signed by the Customer known as a Change Order and will become an extra charge over and above the original contract price. VII. General Contracting Services works from a positive cash flow wherein work will not be carried out and materials will not be furnished if it would cause the Customer balance to 1 become negative. If any amount of money is withheld by the Custome. that exceeds the balance ,of work or material to be furnished to the job, the highest amount of interest allowed by the state of Massachusetts will be charged. VIII. All fixtures and hardware, excluding cabinet order, purchased for this job must be paid for by the Customer, in full when picked up/delivered. IX. The terms of the contract are not to be varied, except in writing, signed by a duly authorized officer or agent of General Contracting Services. X. This contract covers all of the agreements between the two parties hereto, and is governed by the uniform Commercial Code and other applicable state laws. XI. Any request for a delay of said delivery of goods, merchandise, and site labor by the customer which exceeds a ten(10) day period shall cause customer to be liable to General Contracting Services for any damages caused by such delay, including but not limited to, storage charges on goods or merchandise, and General Contracting Services shall have the option to invoice customer and receive payment within ten(10) days. XII. General Contracting Services guarantees its products for a period of one (1) year from the date of delivery against defects in workmanship or materials. XIII. General Contracting Services cannot be held responsible for damage to work after delivery to the delivery site. XIV. In any event, General Contracting Services' liability is limited to the repair or replacement at the option of General Contracting Services of such work that is defective in either workmanship or material. General Contracting Services ^ � By: Date: — Edward E. Viel, r. Customer By: Date:�2 1,LA Z LOOIJ Nan Leon i a , 2 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: Ukase;— olty-- (Location of Facility) Signature of Permit Applicant /C Vo Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector NORT1y own ® Andr ove No. `S.0 - ��, O -LAKE- V(_ dover, Mass., COCKICHEW . y •,hod SRATED AP�`�.(5 U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • THIS CERTIFIES THAT.. ' .........4e.O~~ 4 BUILDING INSPECTOR ......... .......... ............... """""" Foundation �� has permission to �.. �'��....... buildin s on...... .. • Rough 4 $0 t)8 occupied as........ �!... ... .........�~........... .. .`1. ............................. { Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in i Final this office, and to the provisions of the Codes and -Laws relating to Inspection; Alteration and Construction of Buildings in the Town of North Andover. 2407 it I PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR TS Rough ......... . ....................................:...: Service U.1000LA BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F nal No Lathing or Dry (Nall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.