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HomeMy WebLinkAboutMiscellaneous - 72 FARRWOOD AVENUE 4/30/2018y 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: Property Address: Policy Number: Claim Number: Date of Loss: Company: HEATHER ROSSETTI 72 FARRWOOD AVE UNIT 3, NORTH ANDOVER, MA HMA 0298383 BOS00044570 6/15/2014 Safety 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. Lisa Monette Claim Examiner Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (857) 233-8618 Fax: (617) 535-5833 Email: LisaMonette@Safetylnsurance.com 8/1/2014 Date.'... . ................. NpRTTOWN OF NORTH ANDOVER pf 4 1ti PERMIT FOR GAS INSTALLATION A This certifies that .............. f .... . `..................... . has permission for gas installation ........................... . in the buildings of .......................................... at .. X ? .. f : .! :. '........ ' ............ North Andover, Mass. Fee......:... Lic. No..!........ .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION7Date T TO DO GASFITTING (Print or Type) �J Me i) �Vrp Mass. ��' ) $� City, Town Permit # Building �� ��� �� �� Owner's �'�ASKE AT: Location Name Type of Occupancy: GNew ❑ Renovation ❑ Replacement ®� Plans Submitted Yes[] No ❑ (Print or Type) Installing Company Name P Address 411,;, 6� bzt) v Maee/ roex , NM o:�v Check One: F-1 Corp. ❑ Partnership ( irm/ Company Certificate Business Telephone 9 Nameof L* nsed Plumber Of asfitter z L.L-1Ar4 A2,20) s I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General taws. 1 have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/Agent 1 have a current liability insurance policy to include completed operations coverage. By _ Title City, Town APPROVED (OFFICE USE ONL F()QM 17th HnQAC a WataocN SNI: 1QRQ TYPE LICENSE: Plumber ❑ Gasfitter ❑ Master Journeyman Signature of Licensed Plumber or Gasfitter License Number i ............................ �oonnnn�nn�nnnnu ��o�non���nnu�nmu� �n�nunnn�nnu�nnu� ��nnnnnnnnnmm�n �nnnnun��nnnnmm (Print or Type) Installing Company Name P Address 411,;, 6� bzt) v Maee/ roex , NM o:�v Check One: F-1 Corp. ❑ Partnership ( irm/ Company Certificate Business Telephone 9 Nameof L* nsed Plumber Of asfitter z L.L-1Ar4 A2,20) s I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General taws. 1 have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/Agent 1 have a current liability insurance policy to include completed operations coverage. By _ Title City, Town APPROVED (OFFICE USE ONL F()QM 17th HnQAC a WataocN SNI: 1QRQ TYPE LICENSE: Plumber ❑ Gasfitter ❑ Master Journeyman Signature of Licensed Plumber or Gasfitter License Number E A kA c 3 -A 0 0 z 0 0 n c z cp m z 0 Z 2 I ( I I a 1-, Location ��% �� ►' r w og �r ,� �,-� �,,_ ► GZ No. 3 Date ORT" TOWN OF NORTH ANDOVER O: N,.•n :•,1.00 • L 9 Certificate of Occupancy $ us Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 4/ / Building Inspector 1.1 Property Address: 72F.4�wOQ6 Ave- Telephone 1.2 Assessors Map and Parcel tom-- Map Number q (o �'. Number: Parcel Number o©7 - Uv 0 Expiration Date 3.2 Registered Home Improvement Contractor 4-7-- E-j>d T 1.3 Zoning Information: Zoning District Proposed Use Not Applicable ❑ 3 1.4 Property Dimensions: I Lot Area Frontageft 1.6 BUILDING SETBACKS M Ad Front Yard Side Yard Rear Yard Required Provide RegWred Provided R red Provided 1 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: Public 0 Private ❑ Zone Outside Flood Zone ❑ QWPI MV 9 _ DD/ OIDID . 1.8 Municipal Sewerage Disposal System: 0 On Site Disposal System 0 2.1 Owner of Record Name (Print) oN CoArrrz e C,/ 7 - - 9 3 Signature Telephone d 2.2 Owner of Record: Name Print I CF.C'TTtnN 3 . 4MKQT2TT!'TTAN CUOUTI- c Address for Service : Address for Service: 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor 4-7-- E-j>d T Not Applicable ❑ 3 Ugmpany Name /� y S (f ���/V wOof S — ReNu gistrati 2mber 7 D � Ad Expiration Date Si nature Tel hone SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) ` I 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 ....... C SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) 0 Alterations(s) Addition ❑ Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Wor oho 16 a w - /�� s1wucnul-2c I cFCTInN 6 - FSTIMATF.D CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building 5, b (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x tb> -- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZA ION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTQR APPLIES FOR BUILDING PERMIT I as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relati%e to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 6aje�/ u as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and be ' Print N /uqp Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 NO3 FD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ;==—F 7N Rn lirMR L1FJ.AiD i Ml p •fB1 MlW SMLL1/11a�awMiOfINDYfl.10�Wi?•01011!'►Ilfiwe Ml�Ofl Ow�/w• n i/7 A L•M1• 10 gLLYJ1 01' iPN 1NK ]ialO1Nim 11x10! ]1/71111 NM WVi1 O]w7N Wax. awb."►a ]U Ol 1Wc" wW LA WD �- Vw Dl 70w/AOfl lli4 37•►iAM Immo," N?WRM 'OA[a"! ]l wo Ig11V "I 341 1iONf Ot ltD"3 i i w.Ali! 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J * � Toll Free (800) 657-5182; Fax: 508-756-2859 Federal ID# 15.2699460 MC 1.1c # C 02439 RI Cont. Lich 16427 CT I.0 565522; MA Ilome Improvement Contractor Rcg. 4126893 Installation Address:Qr v �L W11 A/--'O'f...O`� Crit State Zip CID// Home Address: -- - (If different from Installation Address) Ciry State Zip Prosect Information: I/WJYou (" Purchaser" j, the owltcrs of the property located at the above installation address, offer to contract with Home Depot U.S.A., Inc. ("I otne lh o ") to furnish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet 4: �SS � > incorporated herein by reference and made apart hereof. Home Depot reserves the right to cancel this contract if, upon re -inspection of the job, Home Depot determines that it cannot perform its obligations due to a structural problem with the home or because work required to complete the job was not included in the contract. CONTRACT AMOUNT S *LESS DEPOSIT $ 155 f7 BALANCE DUE - ON COMPLETIONI� ._ *Minimum 256/6 of Contract Amount due upon execution. of this contract _ ^ Indicate Payment Method For BALANCE DUE ON COMPLETION: Qin-C'4 DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval) 1. Check, Cashiers Check of US Postal Service Money Order (Made payable to The I lomc Depot). 2. Credit Card* and/or other payment options - Circle One Below Vila MasterCard Discover American Express The Home Depot Home improvement Loan The Home Depot Credit Card Avallable/Credit $ ( IDl.. & HDCC 9NI,Vp Aacttt Ilo�Hlalclp'7 � Esp.Date: 1I � Nome as It appears on rnrd:_,fiHAj;4ft44'&A A16- R6V` t n •py my/ou tgtalhtrc helow, IlwC agree flow Home Depot to Charge the above refcronce .r d it card fur the deposit i ted. der's Signalare Date r HIL Cr IIDCC Authorization Codes Deposit Final Payment # # Purchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire A gement: This agreement and its attachments, including any financing agreement, contain the complete agreement etwecn t e parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCi1ASER Do not sign this contract before yon read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete. Law profubits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this. right. There will be a' service. charge equal to 25% of the contract amount if the job is cancelled by Purchaser AFTER the third business day. . BY MY/OUR SIGNATURE BELOW, WE AGREl TO BE BOUND BY THE 'PERMS OF'CHTS CONTRACT, I/WE ACKNOWLEDGE RECEIPT OF A COI'Y OF THIS CONTRACT AND TWO COMPLETRD COPIES OF 714E NOTJC'F OF CANCELLATION. BY MY/OUR SIGNATURE BELOW, 1/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR CRL'.DIT' IITSTORY AND [/WE AUTI IORIZE HOME:: DEPOT AUTHORIZED CCINTRA(7TOR, TO VL;RTFY AND REVIEW MY/OUR CRliDi'f' RECORD WI'I'fT AN NJ..)ia'ENDENT C DIT REPORTING AGENCY AND RELEASE: '1 HEM FROM ALL LIABILITY INCIJRIiED FROMA :NISSTO S �RERRORS. SUBMITTED BYDate: nsuluml ACCI3PTED BY:meowner Date: ITomeowner NOTICE: ADDITIONAL TEti1115, CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT White -Branch File Yellow -Customer Pink- Snlcs Coreadtant FROM : KIMBLY FAX NO. : 6033629679 C ri Oct. 26 2004 09:13AM P1 c ISrD s g E m J r r m Vm E o�r OC S C, O y �m an _ O D lL a, a a �y P c o� rk !e m e m m a 0., LL m In a J zZ 8 s L a �w ■.IIG�i� A C ri Oct. 26 2004 09:13AM P1 c ISrD s g E m J r r m Vm E o�r OC S C, O y �m an _ O D lL a, a a �y P c o� rk !e m e m m a 0., LL m In a J zZ 8 s L a �w r� 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 c 11, S 150 A. The debris will be disposed of in: S7 / �oZeEs�,�, 'K 4 (Location of Facility) � I cklg�� Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector A 0 s? 0 E=4 Q `NooL�Q'ts 3 o w m c E cm m y a 'Cap :z CO QCCo O _O E Go CD !►IQL .0 A ym� y�: o CR _c qu coC Z0 m v y o �j Od C I E yeC TQC = m 3 06— O � Q Wes H to.. t m r=... Lu O LZ a A% C =4D .� F- .y C zui 1=E C5.0 w e Z .y O r H 20 dr m Zip z O U R �ff LLI LLI to V9 W 0 W 0) o a a� a p h v .1: V CL :M m C a chi w° ao' x U ca w y a4 w w W ao' u ` w ao4 w �� rA cn o cn Q `NooL�Q'ts 3 o w m c E cm m y a 'Cap :z CO QCCo O _O E Go CD !►IQL .0 A ym� y�: o CR _c qu coC Z0 m v y o �j Od C I E yeC TQC = m 3 06— O � Q Wes H to.. t m r=... Lu O LZ a A% C =4D .� F- .y C zui 1=E C5.0 w e Z .y O r H 20 dr m Zip z O U R �ff LLI LLI to V9 W 0 W 0) a� p h v .1: V CL :M m C o m y � 0 Eca 3 O o I s ML Q `NooL�Q'ts 3 o w m c E cm m y a 'Cap :z CO QCCo O _O E Go CD !►IQL .0 A ym� y�: o CR _c qu coC Z0 m v y o �j Od C I E yeC TQC = m 3 06— O � Q Wes H to.. t m r=... Lu O LZ a A% C =4D .� F- .y C zui 1=E C5.0 w e Z .y O r H 20 dr m Zip z O U R �ff LLI LLI to V9 W 0 W 0) TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use OnflIANEENEMENESSIMEM BUILDING PERMIT NUMBER:^ �, DATE ISSUED- 1. A(/ SIGNA "'I su' L;Ommi%122er/ r of Buildings Date - - 1.1 Property 1.2 Assessors Map and Parcel Number: �42,713 o Mw Number Parcel Number 1.3 Zoning Wormation: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Area Fronts ft 1.6 BURRING SETBACKS (ft) Front Yazd Side Yard Rear Yard Required Provide Required Provided RaIdred Provided 1.7 water Supply hLGL.C.40. 54) 1.5. Flood zone hfomnr ou: 1.: sewerage Disposal System Public ❑ Private ❑ zeso Outside blood zom ❑ M-kipal as Site Disposal System ❑ 2.1 f Record>> Name (Print) Jame Pit ,ignature C/ _3 Addr&s for Service : 111, Telephone Address for Service: Telephone iA Licensed /Construd(io�nSupatvisor Not Applicable ❑ Wdress 3 / License Number / sin I var.J Jceased Con G7onpervisor Z �`" 2��' G/ -� 5 3 12 Bxpirfi n Date 'i Tal Red.H°me Iprovrent Cantrac Not Applicable ❑ 514- „j�� t ;ompaflyName ignature / Registration Number E*ratioo Date Telephone J 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. , SS g ed affidavit Attached Yea .......0 No ....... ❑ 11 1�1 ;1111i!14 Ki 5.1 Registered Architect: Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name: Address: Signature Total Not applicable 0 Registration Number Expiration Date Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Company Name: Responsible in Charge of Construction Not Applicable ❑ t. 7,;t�.''.�.�':"�`�`,~'c s�,a :simian x a S a"a�, ._. ... New Construction 0 ._. _...... ...., Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed U ooc: USE GROUP Check as a licabfe CONSTRUCTION TYPE -A Assembly 0 A-1 0 All 0 A-2 A-5 ❑ 0 A-3 0 1A 1B ❑ ❑ B'Business 0 2A 2B 2C 0 ❑ 0 C Educational 0 F Facto 0 F-1 0 F-2 0 H High Hazard ❑ 3A 3B 0 ❑ IInstitutional 0 I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile 0 4 0 R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ 0 S Storage 0 S-1 0 S-2 0 U utility 0 Specify: M Mixed Use ❑ Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area pff Floor s Total Area Total Height ft Independent Structural Engmecring Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OJt CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1 as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner 0 c W-vw-e7 as Owner/Authorized lori 7ed -.V' f �W I /,.7/ �7 " �j A-r'lzi�"s "" -1 _ "• 1: 1✓1' 111 11Lol11. 11 1" foegoingapplication dacu,ohebesof my knowledge and belief. Signed under the pains and penalties of pe�ury �1. Of • ¢!"9 •. Estimated Cost (Dollars) t�o be Completed by pennit applicant •� -- Building • •1Multiplier 1 1EstimatedTotal Cost Construction 1 5 Fire Protection � � �'d w ''� � €� ?�� � $. � !� t�, 1YYi',�t u 1 n d��}� f � • ,ea ' ' ' r wt ��� • � '�," � �, ( ,��1 t � y � �+ � � � t n . C-•g�`• • �. . .rl.�s�'`�� ,r����`.i� :i�i`�P�nu �»nR�a . �s, ,� y � BASENIENT OR SLAB SIZE OF • • ' TINMERS 2 `' 4 DENENSIONS OF t DENIENSIONS OF POSTS DRAENSIONS OF r t► BEIGHT OF • D• •TIUCKNESS SIZE OF •• t MATERIAL OF nt IS BUILDING ON SOLID OR FILLED LAND -NATURAL IS tBUILDING•NNECTED TO GAS Lt 1 � P.'. 4i ,Y'tT� 1 1 .�'��/T -j �). � Y:!Y�. ��#,� d�^ �%' I`_.-. � ly��" � +h' '�i:Y.`;� `f M1:,�� iy � +^N•'T". .Yv.i _ 'Ya DC +`.Yffi'�hh.'4'�d R:",CL��U;" �, a:: '�i.•�s�R�,s .l r. P m w S� D �1 O FM4 O z v � a w Aa 1� a m` a w ypp C a a '— O a � = c Go W c CL o a o v y a C cn Uw" G a p c�G � w m W 0 w � � w" S a: C w C� G cA O z � cn [a � cn D �1 O FM4 O z a- ir MISZ w to y cm M c" C 7 m 0 cm c c m r O Z O U 2 a 6 0 O E O L CD Z Q O y o c � c tm O■� CACD Q _� 'm m m Z O� 3� CD CD Q O cc oa Ic tmQ c .3cc .0 O C Z CD V 0 CLy O C c V3 Q N LLI U) W 0 W U) co Wim. 4 1� a m` Og11 ypp C m J '— O � = c Go W c CL o a o m Eo a- ir MISZ w to y cm M c" C 7 m 0 cm c c m r O Z O U 2 a 6 0 O E O L CD Z Q O y o c � c tm O■� CACD Q _� 'm m m Z O� 3� CD CD Q O cc oa Ic tmQ c .3cc .0 O C Z CD V 0 CLy O C c V3 Q N LLI U) W 0 W U) Wim. 4 �Mo C OQ y O '— O C c CL o a o .C:,r3 o COD W w Z • C .2 �+•pt C ++ CL=C .y er- W .E v CL h d IES rc to me mE=3 �=aawm a- ir MISZ w to y cm M c" C 7 m 0 cm c c m r O Z O U 2 a 6 0 O E O L CD Z Q O y o c � c tm O■� CACD Q _� 'm m m Z O� 3� CD CD Q O cc oa Ic tmQ c .3cc .0 O C Z CD V 0 CLy O C c V3 Q N LLI U) W 0 W U) 09/28/2004 12:55 5088656809 LEO TURNER PAGE 02/04 iWAA'�IiiiY /NdiJ$TR/E� Ek _ TEST RESULTS Harvey Manufactured Windows and Doors • U•Factor in accordance with NERC -100-97, + Air infiltration in accordance with based on whop window value ASTM E 283 0 1.57 PSF (25mph) Harvey vinyl windows and standard sire Harvey vinyl patio doors with Low-E/Argon qualify for the ENERGY STARO program throughout the United States. -,ur v"i vAnw s void LOtNWArgon quallfy for the ENERGY STAR program throapdout the U.S. The use of tempered Low.E glass may ead eN RGY STAR gAlffiication in your region. All voluee are "sot 10 change without notice due to periodic re -ting. Clear Insulated Low -E Low-ElArpn Air -Foebr R-Vdae V.Fdw R -V U.Fod. R -Value IIIINU 01611 dMV YLNyL WNQQM Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .10 Classic Double Hur►y (VMded Bash & Frame) 0.49 2.04 0.36 2.70 0.33 3.03 .14 Classic AGoustiical Double Hung ST040 0.33 3.03 0.25 4.00 0.24 4.17 .17 Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .04, Stimline Double Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Slimfine Single Hung (1lVelded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23 .04 Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17 .04 Vinyl Designer Shapes 0.49 2.04 0.33 3.03 0.29 3.45 -- Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13 .03 Vinyl Picture Window 0.47 2.13 0.32 3.13 0.28 3.57 .01 Vinyl Holler - 2 Lite and 3 lite 0.50 2.00 0.36 2.78 0.33 3.03 .09 (2 -lice) ' Too msuks are bese0 on aorruneiW sba Attu T89 mmol f8 !br Oiber YIl1y/ NOM'S ai%We upon mqueg Tempered Tempered 'Iienmpened DbL Temp. Air Clear Low -h Low E/Argon Low E/Arg Wderation _ U-Fedw R-Vahn V-Faclor R -Valor U-Fudor R -Value U -Fonar R-Vploe chull? `atr'wy► kt`1lriy�l !:►aha i7onr 0.50 2.00 0.41 7.44 A.,t 2.94 0.35 2.88 .09 -,ur v"i vAnw s void LOtNWArgon quallfy for the ENERGY STAR program throapdout the U.S. The use of tempered Low.E glass may ead eN RGY STAR gAlffiication in your region. All voluee are "sot 10 change without notice due to periodic re -ting. 09/28/2004 12:55 5088656809 LEO TURNER PAGE 03/04 .-Al "Jft�� ARCMUCTURAL ANW PRODUMASNIMM Vinyl PalJo Door Mood: vinyl Pao Door APpBcadons: ResidentiWi Llght*xpmerdal DlsMngufshlM Features Custom Manufactured to Site Welded 8abh Comers Reinforced Sash Panels Size Untltatlons Standard Sizes. 5088, 6(166, 8068 Custom Size—Max. Opening: 24ke Wilk 88" Height82' Max UI 180 3 -ft Oft 144' Height 02" Max UI 228 4-41te Wldih 192' Height tit" Max UI 276 ARCHITECTURAL SPECIFICATIONS General: ManuNctured by Harvey Industries, Inc. Option: Operating panel shag glide on tandem nylon adjuotublu sheets. Wheels shall glide on a bond ang4tod aluminum mbrwreil. Sbalonary panel shag be fond at head and sill with an aluminum angle_ Parcels shall have pos*4e Warlock at the meefsng rail when in the de"d pos"• Materials: France extrusion shag be 100% vagkc PVC. Jamb frame shall have a minimum of 8 hollows, and have a nominal well thlokness of 0.100". Frarne ConstruMm: Comers shall be Mist! with a closed eel foam sealing pad, butt -joined and mechanically fastened with four stainless steel screws per comer, anohcrrd into in1lagrel exbusion somw bots". Semen track and nall fin are kftWW to The frame. The heed and Oft wdruekon shall have a mkr&num of 8 hollows, and have a nominal wail thickness of 0.100'. The silt shag have six tubular hollows and a nominal wall thickness of 0.100". A vinyl carer shall be snapped onto the fixed jamb inside leg to give jamb a finished appearance, Sash Cortsbucltorr: Sash panels shall have mitered and Amon wekled comers. Sash profiles shall have a nominal wall ihickneea of 0.109'. Sash frame shall have five tubular hollows and shall be reinforced with a 0.080" thick extruded aluminum channel in the meeting rads and loCidrep stiles. A unique pocket perimeter on the door panel shall dose the door around the Jamb frame adding addiponal xecw ty and tightness. The sash shell have a rernavaWe interior snap -in glazing bead, which wig allow replacement of glass without taking the entire sash apart. A vinyl snap on Interlock cover shag be applied to each of the meeling rail styles. Sole" Const uatlgn: The door screen frame shag be of heavy tubular aluminum, reinforced at the corners with extruded corner keys for maximum strength. In."cl xroening shall be 18 x 16 non -glare fiberglass mesh held in plane with a vinyl screen spline, Aviltisble FWshes: Shag be solid vinyl throughout in whits and almond. We®ttrer*WppIN. vveathersUlpping oil lune inahi riame perimeter shall be silicone treated woolpde with a polypropylene fin in Q* Center. Each sash meeting rail shag contain one course of fin -type woalhemtrlpping and a positive krct dwk for a triple seal. Hardware: A variety of hardware and looking systems are available. See options. Glazing: insulating glass shall have an overall thickness of 7/F with a minimum W air space. Insulating glass sandwich shall use a one-pieCs steel Uchannel design glass spacer, and shall have a desiccant matrix extruded Into the base of the U -channel. A butyl sealant shall ha wrtruded around the entire perimeter of the spacer to achieve a seal. AU glass shall be tempered type B domestic float type. A dual durometer snap In glazing bead shall mcure the glass in place Wong the inside Perimeter. options: Gruels - Colonial contoured aluminum Irngtass. C#azkcg - Low -E, Argon -filled Low -E, and beveled glass. 3 Ube Units, 4 Lite Units are available. Hardware - White, almond or bright braes fuiieh handisevt with dual -pant locking system and kWWk, standard. Optional multi- point loclang system also evadable. Flush mount dendboR. Corrosion resistant stainless steel rollers are avallable. Instaktion: Installation shall be in accordance with the marlutacwrert ported instructions. Warranty Infonmatlon: Available upon request ReAar to Hwvey lndrrstrles actual warranty farcompMe douche. REV 07iV4 09/28/2004 12:55 4 9/16' REV. 1104 5088656809 LEO TURNER Harvey Industries, Inc. Vinyl Patio Door (ill tee) PAGE 04/04 r•d c>>c oco one 7 ., 9 W Q 4 UN EWt, twoC7 � �''\cW7 � xw Z o AE -.w PA ar a 3 � o �[ - 0 w ` w zu �F-" waa3V0 o��WAuu z"�vV cln >4cnUIO i� tvW mwH0 0 4� ro0O i o szlc�oaE a.o �waaaaN�aw��`�w N Cl 4 vi T -d SZG6 9SB 809 1 add AIN 8 13IWUa ROE;BO 10 bz daS 10/04/2004 07:19 5088bbb8b'3 LtU I UMIYCR -W. r- 'lipBOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 065281 Birthdate: 09/28/1961 Expires: 09/28/2005 Tr. no: 6728.0 • I Restricted: 00 i PAUL BRUNO 184 1/2 SUMNER ST E BOSTON, MA 02128 Administrator DATE (MMlDD1YYYln rAl qB , CERTIFICATE OF LIABILITY INSURANCE 10/2S/2004 PRODU E 617)472-3000 1 FAX (617)472-7248 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Burgin, Platner, Hurley Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14 Franklin St. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Quincy, MA 02169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Joanne Pilling INSURERS AFFORDING COVERAGE NAIC # INSURED B & M Restoration & Contracting, Inc. INSURERA: Employer's Fire Ins Co 20648 107 Orleans St INSURER & One Beacon Insurance 20621 East Boston, MA 02128 INSURER C: AIG INSURER D, INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' fim TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE LIMITS 03/17/2005 GENERAL LIABILITY FBR4409S5 03/17/2004 EACH OCCURRENCE s 1,000,0 00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED = 100 00 CLAIMS MADE Q OCCUR CMED A EXP (Any one person) E S'000 PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY JECT LOC AUTOMOBILE LIABILITY QBXB26 S 10 12/13/2003 12/13/2004 ANY AUTO COMBINED SINGLE LIMB (Ea accident) $ ALL OWNED AUTOS 1, 000 , 00 BODILY INJURY (Per person) $ B SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) b X NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY OCCUR D CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE b RETENTION $ — -- WORKERS COMPENSATION AND WC7687928 V 06/10/2004 06/10/2005 EMPLOYERS, LIABILITY X wC STATU- NTH - S C ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $ 100,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ 100,00C OTHER L T i EJ-. DISEASE - POLICY LIMIT $ S00,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS OB: HERITAGE GREEN CONOMINIUMS, N ANDOVER, MA CERTIFICATE HOLDER returc� r A'r.,.k AFFINITY REALTY & PROPERTY MANAGEMENT LLC 63 ATLANTIC AVENUE BOSTON, MA 02110 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael Prendergast/DFM -qey 2dA?-� ©ACORD CORPORATION 1988 A TOWN OF NORTH ANDOVER WELDING DEPARTMENT -WUcATION TO CONSTRUCT REPAIR, RENOVATE, GRANGE THE USE OR OCCUPANCY OF, OR DEMOLLm ANY WELDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use Onl BUILDING PERMIT NUMBER: DATE ISSUED- Al A A a 0" 1 7/ •3-z) C/ — SIGNATURE: 04azw �fLla� -Buildings Budding Commissioner r 9 Date MENNIENNEEM 1.1 1.2 Aseasors Map and Parcel Number: Map Number Parcel Number 968, cf , o©'Jc,? 3, o 7' 1.3 Zoning Information: Zonin District Proposed Use 1.4 Property Dimensions: Lel Area Fanta S 1.6 BUILDING SETBACKS (it) Front Yard Side Yazd Rear Yazd Rewired Provide Required Provided Required Provided 1.7 Wdw Sopply M(kLC.4o. 54) 1.3. Flood Zane I-b®.tiaa 1.9 Sewerage D4.9 System: hblie o Private o zeae outside Flood zea. ❑ monkipal oa Su. D4osd System o 2.1 of Rocord>> 6.4(_ 3 sone (Print)� --" for service: Telephone z. ent IVZ4,� r `U ,Jame Pftt Addreat; for Service: iignadure Telephone 1.1 Licenaed/Conouction Supervisor z � GlWdrew Not Applicable ❑ 9 �'a A I At.-Cth 0 License Number Z �— .k4nsed nate ;ignaum V Tel 2 Rogistered,Home bat0° t1 jC% C,L -i cd-[ — Not Applicable ❑ :ompapy Na Nam � \ . Registration Number i8 Telepho.w Expiration We Z 0 v n M O M X Z O Z M go O 3 r v M r r z G) F 77!i. a5,7 .'.aZ � .,,5T;'4z�,$eS�%.. _L�ed�nc.uY Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the isS`6ance of the building it. Signed affidavit Attached Yea ...:...0 No ....... 0 MIM'41 f 1 Registered Architect: Name: Address Signature Telephone Area of Responsibility Name: Registration Number Address: Expitation Date Signature Total Not applicable ❑ Name: ' Registration Number .dress Expiration Date Signature Telephone Area of Responsibility Registration Number Expiration Date " Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Not Applicable 0 .npany Name: Responsible in Charge of Construction A, New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 r .xssory Bldg. ❑ Demolition 0 Other 0 Specify Brief Description of Proposed Work: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels USE GROUP Check as a licabfe CONSTRUCTION TYPE A Assembly ❑ A-1 0 A4 ❑ A-2 ❑ A-3 A-5 ❑ 0 IA 1 B ❑ 0 B Business 0 2A 2B 2C 0 0 0 C Educational 0 F Factory ❑ F-1 ❑ F-2 0 H High Hazard ❑ 3A 3B 0 ❑ IInstitutional ❑ I-1 ❑ I-2 0 I-3 ❑ M Mercantile 0 4 0 R residential ❑ R-1 0 R-2 0 R-3 ❑ 5A 5B ❑ ❑ S Storage 0 S-1 0 S-2 ❑ U utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: MPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor Total Area Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Omer Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property Hereby authorize to act on My behalf in all matters relative two work authorized by this building permit application Signature of Owner 0 11 1 f 1