HomeMy WebLinkAboutMiscellaneous - 754 FOREST STREET 4/30/2018 (2)91 17
Date . .......`.... .
TOWN OF NORTH ANDOVER
O
PERMIT FOR PLUMBING
/�,t3elC
This certifies that ... �? ..... .. .
has permission to perform
plumbing in the buildings of . sv�.............. .
at ... ... ........ .,,,North Andover, Mass.
Fee !Gl .. Lic. No�! 3 /7!C�`!.... ,rar 4 ......
PLUMBING INSPECTOR
Check #
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
City/Town: 10 MA. Date: 7 �� Permit#
Building Location: /�ii3/(���� J� Owners Name:
Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential
New: ❑ Alteration: ❑ Renovation: ❑ Replacement: VPlans Submitted: Yes ❑ No ❑
FIXTURES \Ql
INSURANCE COVERAGE:
1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes Q"No ❑
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
i
A liability insurance policy [� Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) regarding thi ication are tr, a and accurate to the best of my
Knowledge and that all plumbing work and installations performed under the permit issue r this ap lica n will be in compliance with all
Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the nerals
� By Type of License:
Title lld' l mber Signatur of s r
[aster
City/Town License Number:
APPROVED (OFFICE USE ONLY) ❑Journeyman
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DEDICATED
SYSTEMS
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Check One Only
Certificate #
Installing Company
Name:
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Address:
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V&Town:
State:
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Business Tel
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Fax:
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Name of Licensed
Plumber:
INSURANCE COVERAGE:
1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes Q"No ❑
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
i
A liability insurance policy [� Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) regarding thi ication are tr, a and accurate to the best of my
Knowledge and that all plumbing work and installations performed under the permit issue r this ap lica n will be in compliance with all
Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the nerals
� By Type of License:
Title lld' l mber Signatur of s r
[aster
City/Town License Number:
APPROVED (OFFICE USE ONLY) ❑Journeyman
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Location 7s4 �•�� 1 r i
itt: -'2--7 G Date
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TOWN OF NORTH ANDOVER
Certificate of Occupancy $ SQ
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
" rr;�W��ater Connection Fee $
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ON 27 Building Irispector
, 4ndover CoRector
Div. Public Works
IrERIAHT NO*
-'w " con
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �dI1l�' Y PAGE 1
MAP dJO.
ZONE
LOT NO.
I SUB DIV. LOT NO.
RECORD OF OWNERSHIP IDATE
�I
•
BO
PAGE
LOCATION +LCiieS G�
PURPOSE OF BUILDING .-_ G,
„_`
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PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
OWNER'S NAME N✓1 a^
s.� d.rte
NO. OF STORIES SIZE
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OWNER'S ADDRESS 75+ Fooz4as*
T
BASEMENT OR SLAB
ARCHITECT'S NAME
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SIZE OF FLOOR TIMBERS IST )c,Q 2ND
3RD
BUILDER'S NAME
SPAN
DIMENSIONS OF SILLS
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
"' POSTS 4X ¢ (X I
DISTANCE FROM LOT LINES - SIDES REAR
" " GIRDERS A
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION P,� THICKNESS
i J
IS BUILDING NEW �47
7
SIZE OF FOOTING Xo
.
IS BUILDING ADDITION YP�
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION
c+
IS BUILDING ON SOLID OR FILLED LAND
Q, y
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YDS
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
I
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED Jt
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CONTR. TEL o G Ij639 grl o
CONTR. LIC.
SIGNATURE OF OWNER OR AUTHORIZED A ..r
F - \`\�
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PERMIT GRANTED M /h
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3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST +-S-,600
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
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A DESIGN -BUILD CONSTRUCTION COMPANY
John J. Fedas
617-639-0820
Seventeen Essex St. ' Marblehead MA 01945
4>4 c
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SUBDIVISION
ASSESSORS MAP /0-5-z)
SUBDIVISION LOT(S) 4
PERMANENT ADDRESS
VIIIS"TREET -.I<r.— ., e C
FORM U.
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
ASSIGNED BY D.P.W.
,/APPLICANT "C—A �►'L# CVa� C,,4� ��HONE 606396�za
KATE OF APPLICATION G J2.o 19
TOWN USE BELOW THIS LINE
PLANNING BOARD
DATE APPROVED
TOWN PLANNER DATE REJECTED
CO�NSERVATION.COP ISSION
CONSERVATION ADMIN.
BOARD OF HEALTH
i
HEALTH ANITARIAN
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER SCONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
This form shall be signed by the agents of the Planning and Health Boards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
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N2 2722 Date.......,/,/- GCJ
TOWN
ate......//,/-
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..... P)!�AA41 ........ .......................
has permission to perform ........ .......... .................
i wiring in the building of ...... ri. . ..............................................
at . .... ........ ....................,-North Andover. Mass?
.... Lic. No.
3�ELECTRICAL
INSPECTOR
#
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
_ �ommorrweatllz o� l�/aa3acjiae�¢EEe Official Use Oil Y o� D
c� �]
e1.JeparEnnenE al.}ire �ervices Permit No.
vi,
,( [R
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
ev: 11/99] (]cave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO
RI�C
All work to be perl'ornied in accordance with the Massachusetts Electrical Code (iNfEC), 527 CMR 12.00
(PL Ell SEPRINT LVINK ORTYPE.4LLINT'ORALITIOi) llatc: /I
City or Town of: &10 4-00nU,t k, To the Ltsj'ector of 1Y71 -es:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number)_
Owner or Tenant �G%/I (,✓ S �� Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No 11-1/ (Clieck Appropriate Box)
1'w ]lose of 13uildirig_ 0WA. j f (n 'e- Utility Authorization No.
Existing Service Amps
Nei:• Service Anips
Volts
/ Volts
Number of Feeders and Anipacity
Location and Nature of Proposed Electrical Work:.
Overhead __1Undgrd ❑
Overhead ❑ Undard ❑
No. of Meters
No. of Meters-
Cvnrnletior vfthe /ollurvin� rnhla »,»„ h� „•„;,.,,,r 1,.. ,r.,, a ...:........ ..� rv:...._
No. of Recessed. Fixtures
No. of Ceil.-Susp. (Paddle) Fans
No. of "Total
Transformers KVA
No: of Lighting Outlets _
No. of Riot Tubs
Generators KVA
. of Lighthig Fixtures
Sivirnming Pool a bove ❑ lrr- ❑
rnd. rnd.
t o. o mergericv ig ttnig
Batte • Units
[No.of Receptacle Outlets
No. of Oil Burners
FIRE ALARINIS
No. of Zones
. of Switches
No. of Gas Burners
No, of lletection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alertina Devices
a
No. of Waste Disposers
Heat Puni
Totals
Iti`un)ber Tons
` " "� —"
KW
`--"""""
No. of Self -Contained
Detection/Alertina Devices
No. of Dislnvasliers
S ace/Area Heating KW
p g
Local itilunicipal
Connection Other
No. of Dryers
Hen Appliances Ii1V
Security Systems:
No. of Devices or Equivalent
No. of Nater
Heaters. Ks
No. of No. of
-
Signs Ballasts
Data ,Viring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. ol'Motors Total I1P r
1'elecommunications Wiring:
No. of Devices or E uivalent
OTHER:
llttach additional detail if desired, or as re mired by the Inspector of Wires.
INSURANCE COVERAGE: Unless.waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE:. INSURANCE ET BOND ❑ 0'I HER ❑ (Specify:)
Estimated Value of Electrical Work:
(Expiration Date)
(When required by municipal policy.)
Work to Start: Inspections to be requested in accordance «zth MEC Rule 10, and upon completion.
I cer•tif},, under the pains atm penalties of perjury, that the hiformation on this application is trite and complete.
FIRIMNAME: Buddy Electric Inc. LIC.N0.:12017_A
Licensee: Uir..cen.t B. Landers JR Signature LIC.No.: 23684 E_
(If applicable, enter "ercnrpl " in the license nunnber line-) 13 us. Tel. No. 9 -4455
Address: 24 Colgate Dr N ltndnyer, Mg 01845Alt. Tel. No.:
OWNER'S INSURANCE WAIVER:. I am aware that the License- does not have the liability insurance coverage normally
required by law. 13)'111V signature below, I hereby waive this requirement., I am the (check one) ❑ owner ❑ owner's ajvent.
Owner/Agent
Signature 1'elcphotie No. P1 -RJ IIT FEE: &
,���
Location 7
I
No. Date ZZ' % 1
rt
,40R7p TOWN OF NORTH
ANDOVER
Certificate of Occupancy
$
• �' Building/Frame Permit Fee
$
�ssA SEZ Foundation Permit Fee
$
OtheFPermit Fee
$ A 0 <j
ewer Connection Fee
$
!jConnection Fee
$ --------
Building Inspector
Div. Public Works
Location �- L/ 1X' • .�•=
•c1Jo. J Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy, , $
Building/Frame Permit
Foundation Permit Fee
Other Permit Fee $
RECEIVED PA"Wonnection Fee $ —
'AUG 2 4 19ter Connection Fee $
AL $ R�
No. Andover Collector
Building Inspector
.c
Div. Public Works
PE&JiIT NO. "" 42
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS/j���y� ,2 9 -?PAGL-i-
MAP 4J0.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK iPAGE
ZONE
I SUB DIV. LOT NO.
jk-L-l-I: i^<S 4174�-,Zly¢�t Ce!
]
LOCATION_?64F �=ok'c^S`i _ -.57.)L
i v.,.s y s. 9e -c.
OWNER'S NAME cvzd-c-vs
NO. OF STORIES 2 SIZE `
OWNER'S ADDRESS 4��
cC
BASEMENT OR SLAB
ARCHITECT'S NAME
4 C-- Q��`nG7�� c
va
SIZE OF FLOOR TIMBERS IST SLA3 2ND 2xiID 3RD
J
BUILDER'S NAME c— 4 V i✓`��KJS
SPAN 14.1
DISTANCE TO NEAREST BUILDING 300
DIMENSIONS OF SILLS Z -
DISTANCE FROM STREET %
Ir•�J
+ /'. POSTS
Gid
DISTANCE FROM LOT LINES — SIDES /i REAR /®0
`7 i
GIRDERS P*40,46'
AREA OF LOT A s IQ A�+ FRONTAGE 22
cr �J
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING 10"x 06 X
IS BUILDING ADDITION YE
JJ
MATERIAL OF CHIMNEY N'®N6
IS BUILDING ALTERATION
IS BUILDING ON SOLID e" P"M.GI3LAND YES
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
J
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY
IS BUILDING CONNECTED TO TOWN SEWER O
IS BUILDING CONNECTED TO NATURAL GAS LINE &/0
INSTRUCTIONS
L SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
j ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
l
1 PLANS MUST BE FILED AND APPROVED BY BUILDING _INSPECTClk
DATE FILED / Z�
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE IC7?,, 0 U
PERMIT GRANTED r a ��-
19
OWNER TEL. # i 93 - 035&
CONTR. TEL. # y38 -�7SZ
CONTR. LIC. # l Q 7 z? ¢�„'�
%►7 �� - GflAc $ iP_. Sem r®pT.,$
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST dv/.20, L`n '
87 ,o
EST. BLDG. COST PER SQ. FT. `0
EST. BLDG. COST PER ROOM ,61
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
6
BUILDIrm INSPECTOR
cam..... ,
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES
MULTI. FAMILY OfFICES
__
APARTMENTS
CONSTRUCTION
2 FOUNDATION g INTERIOR FINISH
CONCRETE B il 2 I3
CONCRETE ECK. PINE BRICK OR STONE HARD -D_ PIERS PLASTERDRY
WALL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B M AREA
y:,
1/1 1/1 '/.
FIN. ATTIC AREA
_
N_O BM'T
FIRE PLACES
_
_
HEAD ROOM
MODERN KITCHEN
4 WALLS
I 9 FLOORS
CLAPBOARDS
CONCRETE
EARTH
HARDVJ'D
COMMON
ASPH. TILE
B
_
1
2
_
J_
3
_
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
_
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR _
CONC. OR CINDER BLK.
WIRING
STONE ON -MASONRY
STONE ON FRAME
SUPERIOR I� POOR
ADENONE
QUATE
5 ROOF
10 PLUMBING
GABLE
GAMBRELMANSARD
I
I
HIP
BATH (3 FIX.)
TOILET RM. 12 FIX.)
_
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 DADO
6 ' r FRAMING
11 HEATING
WOOD JOIST
PIPE LESS.: FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd _
1st I.3rd I
ELECTRIC
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA.
RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
y:,
PLOT PLAN
EST STREET
754 FOR MA .
N. ANDOVER,
KCAL.. I "■ SEPTEMBERS IiiBA
50
WILLIAM Q. TROY
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SOUNQARY INFO
RA/ATION YAKEN M�1tOM
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law, -
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: V.44&0AJT C�3-ajc Phone 438-,675Z
LOCATION: Assessor's Map Number Parcel
Subdivision
Lots)
Streetf o - S`i St. Number -76 4 -
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Conservation Administrator
Comments
Date Approved
Date Rejected
Date Approvedy
Planner Date Rejected
Comments
�,� �•�� Date Approved
•-w Health Agent Date Rejected
cs°�a Comments
M ihf,�
Public Works sewer/water connection
3Sf - driveway permit P
Fire Department
Received by Buildin Inspector Date
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A C & C BUILDERS
75 Franklin Street
Stoneham, MA 02180
617-438-8752
PROPOSAL SUBMITTED T�harles and Susan Foster
PHON`K508) 683-0356
DATE 8/18/92
STREET
754 Forest Street
JOB NAME Addition
CITY. STATE AND ZIP COI E O , Andover, MA 01845
JOB LOCATION same
DATE X19
JOB PHONE
0/22
/1
same
We hereby submit specifications and estimates for: Provide the necessary labor, •r^ and materials
to construct a two level addition Doff the rear of your house located at
754 Forest Street, North Andover, Mass.
The addition will be constructed in accordance with C & C Builders' plans
A-1 thru A-4 and dated October 19, 1991.
Contractor insibi 1 it ies_incl_ide_the_following:
• Provide a certificate of insurance to owner before work begins.
• Provide a construction container on site at all times and remove all
construction debris off site.
• Demo existing area(s) as required.
• Excavate, construct and finish the proposed addition, decks and
parches as indicated on plans by C & C Builders.
• Provide and install all exterior windows and doors, make and style
of doors and windows to match existing.
• Provide and install all interior millwork such as doors, mouldings,
shelving and stairs as required. All interior doors and millwork. to
match existing. i
• Landscape all disturbed areas as necessary including sodding and
replanting all shrubs salvaged during the excavation phase.
• All plumbing, heating, electrical and mechanical work including
related fixtures.
. Painting and/or staining.
Page 1 of 2
1
&1XPta =C 0£ Jr0p0$al - The above prices, specifications Signature `- ,
and conditions are satisfactory and are hereby accepted. You are au-
thorized to do the work as specified. Payment will be made as
outlined above.
x/ Signature L
Date of Acceptance:
�ropoga�Y -
C & C BUILDERS
75 Franklin Street
Stoneham, MA 02180
617-438-8752
PROPOSAL SUBMITTEDRaries and Susan Foster
(;
PHONR50S) 683-03561DATE
8/18/92
STREET
754 Forest Street
JOB NAME Addition
CITY. STATE AND ZIP CORD . Andover, MA 01845
1V
JOB LOCATION same
DATE OF PLANS
JOB PHONE
LO 22 91
same
We hereby submit specifications and estimates for: Proposal continued:
Estimated time of completion eight (e) weeks.
All work will conform to local building cedes and is subject t• � inspect io
by the appropriate officials.
A 1 1 materials and workmanship is guaranteed for �r one year from completion.
Change Orders: Any changes to this proposal after work starts will result
in a change order. Change orders will describe the nature of the change,
indicate the cost (or credit), length of time necessary to implement the
change and will require signed approval by both the owner and the
contractor. Work on change orders will begin only after signing. Payment
(or credits) for changes will be made within five (5) days of completion
of each change order.
Total _j2b_cost_for _work _outlined above:
ONE HUNDRED TWENTY THOUSAND FIVE HUNDRED DOLLARS
($120,500.00)
Payment terms: $5,000.00 upon acceptance of proposal.
$20,000.00 upon completion of concrete slab.
$40,000.00 upon complet ion of ;rough frame.
$20,000.00 upon completion of exterior siding.
$15,000.00 upon corn pletion of rough plumb. , heatg. & elect
$15,000.00 upon corn plet ion of plastering.
Balance upon completion of job.
Thank you for selecting C & C Builders as your general contractor.
We look forward to providing you with a quality job, professionally
managed and reasonably priced.
C& C Builders i s a Massachusetts registered home improvement contractor.
Registration No. 107343
Page 2 of 2
i�tlii� OirOOS�Y -The above prices, specifications Signature
and conditions are satisfactory and are hereby accepted. You are au-
thorized to do the work as specified. Payment will be made as
outlined above.
/ / t'j I Q L_ Signature
Date of Acceptance: (/ c 1
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