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Miscellaneous - 78 LACY STREET 4/30/2018
Samuel F. McCormack Co. Inc. Insurance Adjusters and Appraisers Samuel F. McCormack Co., Inc. ADJUSTERS AND APPRAISERS October 24, 2014 Town of North Andover 1600 Osgood Street , Building 20 Suite 2035 North Andover, MA 01845 RE ASSURED: Henry & Deborah Picard LOSS LOCATION: 79 Lacy Street, North Andover, MA 01845 POLICY NO: 1730182 TYPE OF LOSS: Water DATE OF LOSS: 10/20/2014 OUR FILE NO: 14-03434 Gentlemen: Claim has been made involving loss, damage or destruction of the above -captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 313 is appropriate, please direct it to the attention of this writer and include a reference to the above - captioned insured, location, policy number, date of loss and claim or file number. Thank you for your anticipated cooperation. Very truly yours, Andrew Sarsfield Adjuster as @ mccormackadjuster.com cc: Board of Health 42 Holbrook Avenue, Braintree, MA 021841-800-972-5399 (781) 843-1222 Fax (781) 849-8191 One Jonathan Bourne Drive, Suite 7, Pocasset, MA 02559 (508) 403-2600 Fax (508) 403-2602 www.mccortnackadjuster.com Date.//) -�41 !�...... 3? TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . !` ``' `.` ..C( ........................ has permission for gas installation .... .............. in the buildings of ... c ' .`................................ . L �9 F G at ....?.�... .. l .................` North Andover, Mass. Fee...Y.q .... Lic. No..� PAS INSPECTOR Check # ) 1 5424 t Date.... ?�.l ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that c_ .... 9h tr D.GlE1Z T �,l,Crir �� has permission to perform .......... .......^.-.................:... ............. ................... / I wiring in the building of ............[:.U.TQ............................................. at � � c. ..... T' , North Andover, Mass. ............................................................. Fee ..................... Lic. No. kl.L 4? .. �14P� E crxtc Check3� R 'aUsenCommonwealth of Massachusetts y Department of Fire Services Permit No. 19 1�6 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 9/05] 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 TYPE ALL INFORMATION) Date: S— I& - & City or Town of: A Lria-- To the Inspector of Wires: By this application the undersignea ivnotice of is or her intention to perform the electrical work described below. Location (Street & Number) 0 (Iacl-v 87 Owner or Tenant Owner's Address Is this permit in conjunction with affbuilding permit? Yes L1 - Purpose of Building Ow -1 14to Telephone No. No ❑ (Check Appropriate Box) Utility Authorization No. Existing Service QQi Amps /;tj10 Volts Overhead ©� Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i 1. 1 D n No. of Meters No. of Meters Completion of the following table maybe waived by the Inspector of Wires No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires® Swimming Pool Above ❑ In- ❑ o. o Emergency Lighting rnd. rnd. Battery Units No. of Receptacle Outlets !357 No. of Oil Burners FIRE ALARMS No. of Zones No. of SwitchesNo. ieNInitiating of Gas Burners No. of Detection and Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pum Number Tons KW ... No. oSelf-Contained Totals Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ unicipal ❑ Other Connection No. of Dryers Heating Appliances g pp Kms' Security Systems: No. of Devices or E uivalent No. of Water Kms, No. o No. of Data Wiring: Heaters Signs Ballasts No, of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP TelecommunicationsWiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 41006 (When required by municipal policy.) Work to Start: F -tS O Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such covera a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE gr BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: •(/1��Lfj�{ /UC LIC. NO.:4(7--2yo Licensee: %J ®`jq,( /'. Signature LIC. NO.: &:r3[(g7 (If applicable, enter "exempt" in the license nu ber line.) Bus. Tel. No.: Address: Alt. Tel. No. t *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 not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent [PERMIT FEE. $ SignatureturaTelephone No. .-A 5`56 r -V - Date ,/ ..... --2. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... .. . ..... ............ ............ has permission to perform ............................................ wiring in the building of..., ............................................. ....... .... at ... .............................. , North Andover, Mass. Fee'*7. Lic.N 'J� ..... ................... .... .. .. ......... ,, ELECTRICAL INSPtCTr Check # It DEPARTI1 EYTOFPUBLICSAFRY Permit No. 7 �� BDARDOFF7REPRE'VFNIITUNRDGUTAnW527adRjzi Occupancy S: Fees Checked APPLICATTONFOR PERMITTO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 t� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector Wires: The undersigned applies for a permit to perform the electrical work described below.��� Location (Street 8t. Number) �' 31 Owner or Tenant Owner's Address �S m is this permit in conjunction with a building permit: Yes No l:3 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps/Z-Q olts Overhead Underground C] No. of Meters New Service '2-0 0 Amps/ i� olts Overheadr© Underground CM No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work C h (A`) CO <- 7 No. of Lighting Outlets 10 No. of Hot Tubs No. of Transformers Told KVA No. of Lighting FixturesSwinuning L1. Pool Above 1:1and Below 173 Generators KVA , ground No. of Receptacle Outlets J2 (D No. of Oil Burners No. of Emergency lighting Battery Units No. of switch Outlets 2i No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cow. Total Tons No. of Detection and No. of Disposals No. of Hest Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwasher Space Area Heating KW / No. of Self Contained Detection/Sounding Devices Local Municipal O -� No. of Dryers Heating Devices KW Connections No. of Water Heater KW No. of No. of signs Bailasis No. Hydro Massage Tuba No. of Motors Total HP OTHER* POMM1to I1xwx ANcdmMpwafafs=lD#ZOtB= YM >C ❑ GUM 0 WadcbStart vwurderlhelbmftcfpmlj , FONNAME l L C arm EstimebdVakl dEbcWcd Wade $ ?h Find ens �i%✓ �: SQu(J U OWT�HCSPWRANMWAM3kIamawndxtftLmwdmmtha�d e xxidlatrrysignaeuendits. Iappicmm%sh adli m**mnmt (Please check one) Owner Agent LiomlgeNa 3S162C-) Liasst:No _ BusnagTa.NcL79 - 2.3 3 777 67 Ak.TdNaL c� Telephone No.PERMIT FEE t o� R q--8 - 0 �, 0/3'Ll. 1 )- � o - o 6 pyt-, h v c C DO v 1 ! I ► I I' iyel I X01 d JN t AV VC LPer1WWtN.oFees Checked A.PPUCATTON FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMA 12:00 �Lo— Town (PLEASE PRINT IN INK OR TYPE ALT- INFORMATION) Da �2 of North Andover 'Tire undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address ' LAG To the Inspector of Wires: Is this permit in conjunction with a building permit: YeS[ZT No Q (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps_'JVOlts Overhead Underground No. of Meters New Service Amps / z�'��9olts Overhead Underground Q No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work haq (P C- e— w r rr— r7 e - No. R Lighting OutletsC 7 No. of Hot Tubs No. of Tr wdoreers Total KVA No. of Lighting Fixtures) Swimming Pool Above B Ciabntas KVA arou No. of Receptacle Outlaw ; j No. of Oil Burners No. of Emergency Lighting Battery Units No. of switch Outlaw Z.� No. of Oss Borten FIRE ALARMS No. of Zones No. of Ranges No. of Air Cad. Total Tau No. of Detection and No. of Disposals No. of Had Total Total Puny@ Ton KW Initiating Devices Na of Sounding Devices No. of Dishwasher Space Arca Heating KW / No. of Self Cmwinwl Detection/Sounft Devices Local C3Municipal Connection Others No. of Dryer Heating Devices KW No. of Water Heaters KW Na of No. of Sign Bsilssis No. Hydro Massage Tubs No. of Motors Total HP I m=weCov=P RzRut1Dftw sanmb fllbwnd=0Ckarrml1m 1t eaasotLi* tyhnaiaelbicyirzhftChw�crumb odWa0valo YES No ID IhavesthnWdvdidpoafdsaneahe0ar-YM rycuh�wdr*WYES,pk=i I leer tXzcf=wVby �J>ft Egk aVarreefflec"Wade $ 2-J 0 WokctaSmR kip Stgnedunder FbIdit cfpajW- FWMNAME r ioeyta�e /(C oWI,WSWSURkNMWAMP,IanawaetudrLimm r� xsr a rddAnry9gtleaaeonAtieparr>I i " aimd6lfegi I (Please check one) Owner rl Agent a Signalure or Owner or pEgIng Anel Lkafficm Busi>me'Ib1Na �! - 3 '- c U v AILTdNa glhe'«na�cr��berouel8givakntasd�eeabyMesa�>se�ceraalT.aWB Telephone No. PERMIT FEE ,' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO CO GASFITTING (Print or Type) f 1 J�(.,rh►aJJr, tr Date Receipt# Permit# BuildingLocation79 Lgcx.SI _ Owner`sName Lt�J Map: Lot: Zone: Type of Occupancy S IC New Qi Renovation Q Replacement Q Plans Submitted: Yea Q No Q Installing Company Name TpwNqFNn on. comPANY, TNrr_ Checkone: Certificate Address__ 77 �HRRRY STgF.F.T, nANVFgS,, MA 01 923 Cl Corporation EstlmateValubofWork: Q Partnership BusinessTeiephone 978-777-0700 U Firm/Co. Name of Licensed Plumber orGas Fitter JOSEPH GURRY INSURANCE COVERAGE: I have a ourre t liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YeNo Q If you have cited y„gs, please indicate the type coverage by checking the appropriate box. al A liability insurance policy a Other type of indemnity Q Bond Q OWNER'S INSURANCEW IVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Cheokone: owner Q Agent Signature of owner or ownsr's Agent 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 underthepermit issued forapplication will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General jcavr . _ A By Ty e of License: !_ lumber 7Signaf License r o as Fitter Title Gasfifter Master mber City/Town Journeyman APPROVED (OFFICE USE ONLY) Rw *d 05/17/00 a(o1 Oman Installing Company Name TpwNqFNn on. comPANY, TNrr_ Checkone: Certificate Address__ 77 �HRRRY STgF.F.T, nANVFgS,, MA 01 923 Cl Corporation EstlmateValubofWork: Q Partnership BusinessTeiephone 978-777-0700 U Firm/Co. Name of Licensed Plumber orGas Fitter JOSEPH GURRY INSURANCE COVERAGE: I have a ourre t liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YeNo Q If you have cited y„gs, please indicate the type coverage by checking the appropriate box. al A liability insurance policy a Other type of indemnity Q Bond Q OWNER'S INSURANCEW IVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Cheokone: owner Q Agent Signature of owner or ownsr's Agent 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 underthepermit issued forapplication will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General jcavr . _ A By Ty e of License: !_ lumber 7Signaf License r o as Fitter Title Gasfifter Master mber City/Town Journeyman APPROVED (OFFICE USE ONLY) Rw *d 05/17/00 a(o1 NORT1y �.,� •�;._'�,aL TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING This certifies that .................... has permission to perform .... ....................... plumbing in the buildings of . at ... ?k C?`............ North Andover, Mass. Fee. '� f . 7. Lic. No..? .6. y?. 5. ..... . . PLUMBING INSPECTOR Check # 6574 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 7'? 44 Date Permit # '� y Amount Type of Occupancy New 1:3 Renovation Replacement 1:1 Plans Submitted Yes ❑ No ❑ FIXTURES (Print or type) CV N �I Installing Company Name cJ Address Check one: Certificate Corp. Partner. Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy IT Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner E Agent 11 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 Pgrformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa setts u apter 142 of the General Laws. By: ign u of ucensea Flu Type of Plumbing License TitleG ey City/Town is n u r Master El Journeyman APPROVED [OFFICE USE ONLY D. Robert Nicetta Town of North Andover Building Inspector Re: 78 Lacy Street There is currently a significant addition to a home being constructed at 78 Lacy Street. As a concerned citizen, I would like to bring these items to your attention and hope you take appropriate action. 1) There is no building permit displayed for the work. 2) Construction starts before 6:30 AM and is distracting the neighbors. 3) The result of the construction will be an additional bedroom(s) and/or bathroom, without an upgrade to the septic system. 4) The area is not fenced off to protect young children and pets from the hazards of a construction site. 2VC Pro VLA -� _ P (C -624A .4. Date ... ��/ /) - r�� el TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............. ... ...... ........................................... has permission to perform ......... wiring in the building of ...... ............................................................. / ...... 5-7- 1 at ...... 7k' t(-/ , North Andover. Mass.z .7 .......... 0 . ..... ...... . ............... ... Fee..2 .... ......... Lic. Nod ........ ............. ' ELECTRICAL INSPECTORCheck # 45 1 1 r �� �.omrnoxwsa�l�i o f r%��asearieu�slfi Official Usc Only .[lspartnunt o�.}irs ..7srv%a1 Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev, 111993 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR All work to be performed in accordance with the Massachusetts Electrical Code (MEC). 527 CMR 12.00 K 0"LCASC PRINT 1jV INK 012 TYI>L- : tLL INFORtLI 17014) D te: City or Town of: d. � '� ? '� �� Ar 0 cJ �i To the Inspector of fVires: By this application the undersigned gives notice of hes or her intention to perform the electricni work described below, Location (Street & Nwnber),•%R f�9Ce� 15-(1, Owner or Tenant �y Telephone No. ' Owner's Address Is this permit in con}unctioni with a building permit,' Yes C3 No 2 (Check Avorooriate Boil I urpose of uuikieng Existing Service Anips I Volts New 5enice Amps /Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical'Vork: Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of deters No. of Meters.- Of eters. No. of Recessed Fixtures of rue 101101vil. table may be na. -I b t/,e his' ec-or a/ iVores. No. of Ceil. Susp. (Paddle) Fans 0.0 oto No. of Lighting Outlets No. of Hot Tubs Transformers KVA Generators XVA No: of Lighting Fixtures Swimming Pool A)°�:�o. o mergency iaidBatte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARe1IS No. of Zones No. of Switches No. of Gas Burners No. of Detection an Initiatin Devices � No. of Ranges No. of Air Cond. TTotal s No. of Alerting Devices No. Of'Vaste Disposers eat Pump i um er lona _ Totals: - o. o c - onto ne cl- Detection/AlertingDevices . No. of Disli*nshers Space/Area Heating _XNVLocal uilec pa Connection Other No. of Dryers Heating Appliances KN Security stents: of -Devices Equivalent. No. of Water--rNo. Heatersaters I{'V °• °i o Sitnts Ball lasts or Data Wiring; No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP c ecommun cat ons ring: No. of Devices or Ed uivalent OTHER: ascuco a"uaw,ru, reran ,y desired, or as required by the Lespector 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. G� CHECK ONE: INSURANCE §d BOND ❑ OT1-ifi11 ❑ (Specify:) Estimated Value of Electrical work-: �a`-C"(Wlien required by municipal policy.) (Expiration Date) Work to Start:tj = C Inspections to be' requested in accordance with MEC Rule 10, and upon completion. I certif}•, under the pains and penalties of perjury; that the Lrfornration on is RM fit application rs true and complete. i� FINAME: d /l0 LIC. NO.: �r +,,/. 49l✓ Licensee: *,6 Signature. LIC. NO.. tom" —� tI0 7iZ (/f nllpllCable, eater "erre„:pt " in the license nrrn,ber fine.) �--�-„-- Address•1�•y • 6s K .y3 e?►— • B � PA % �tA " or r �s Bus. Tel: No.•.�/ yrs 4� -7$b% O'VNER'S INSUR.�rC)r'VAI VER: I am aware U t e Licensee doe not have the liability insurance coverage normally required by law. 13x niy signature below, I hereby waive this requirement. I am the (check one) ❑owner [] owner's a vent. Owner/Agent A Signature '1'cicphone No. PiR11tIT FEE; ,� S � " .� Location 7f4 No. Gln Date �oRTM TOWN OF NORTH ANDOVER � 9 Certificate Occupancy $ of s�E cNus Building/Frame /Frame Permit Fee $ a Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /�7n r✓ Check # 19 2 (7�) 17 L/- 7C/ / 1!, /rte I✓/ �—Building Inspectof5," 3 F TOWN OF NORTH ANDOVER ° BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, A ONE TWO FAMILY DWELLING (OR..DEMOLISH JOR . ,.. .. .z .'., ie BUILDING PERMIT NUMBER: / DATE ISSUED: / OZ SIGNATURE: Building Comrrifisioner/Inspector of Buildings Date SECTION 1 -SITE INFORMATION'+'�` `e j 6 •`+ ti= �s i,� , ti' N,;, -z I , 1.1 Property Address: 78 LAr-y sr 1.2 Assessors Map and Parcel Number: / /) C)04 Map N mber Parcel Number 1.3 Zoning Information: Zoning Dis—Uic—t Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Re re4. "I Provided M, n' 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Infomntion: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 116,1:C;11C; _� „* rict: Y^ �i tC!o 2.1 Owner of Record i PAUL. 30'm R(A-0�j -1g lAG`4 ST. ame (Print) Address for Service c _,nature Telephone Y 2;P Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES NY 3.1 Licensed Construction Supervisor: RO-D RWERA 1-, ensed Construction Supervisor: �/ (C) 6.H I C 4449 0 SIN HT L 6 5S Id ss Signature Telephone Not Applicable ❑ Q �aa7 3 License Number Expiration Date 3.2 Registered Home Improvement Contractor UtAU -11,34 AWS " ►'C Z'rrf�LeN�llaT Not Applicable 0 �� � �3 Company Name w Registration Number Addres 7 14--4 Expiration Date Signature Telephone e 00 rn z O o O' 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 .......0 No ....... 0 SECTION 5 Description of Proposed Work check aII applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) 7p -Addition J/ Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: I SECTION 6 - F.STiMATRn r.0N.STR1irT7nN rncTc I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY <: 1. Building (a) Building Permit Fee Multiplier 2 Electrical 9690 V (b) Estimated Total Cost of Construction �7 G 61 ' /a 3 Plumbing v Building Permit fee (a) x (b) / �/ / (/ 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 /e, 4 Check Number 0MUIlull is VW11EXAU1nVIULAIWIN I BE UUMPLEl"ED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. as Owner/Authorized Agent of subject property Hereby authorize N44 Z",*O-N,e.d 47U k to act on My behalf, in all matters relative to work authorized by this building permit application. q� t Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DF.Ci.ARATTON I4 1, 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 belief Print Name �` ;: , : ; _'� , : r, j Signature of Owner/A ent Date . NO. OF STORIES Z SIZEIQ BASEMENT OR SLAB /� V►1t �I i- _ �, + r , +. SIZE OF FLOOR TIMBERS 2-V (O Or TRII 3 SPAN } DIMENSIONS OF SILLS Z o P+ - .DIMENSIONS OF POSTS L A U DIMENSIONS OF GIRDERS �,/�, �/ .. " �� `• ,s. . HEIGHT OF FOUNDATION'- '7—& THICKNESS 0 SIZE OF FOOTING o O X MATERIAL OF CHININEY o 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ** ******APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT_at 7ytip PHONE_ LOCATION: Assessors Map Number l PARCEL. DCS SUBDIVISION LOT (S) rSTREET-- ST. NUMBER OFFICIAL USE ONLY NTS: 'CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTSWMI(AMC1,t /AWXr , IArAIA lff 121A1'111A TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FO D INSPECTOR -H TH DATE APPROVED f �� �� n DATE REJECTED DATE APPROVED ' DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revlsed 9197 jm Jan 12 05 10:09a North Andover Building Department DEBRIS DISPOSAL FORM P.9 • Tel: 978-688-9545 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: CA,Vp s — (04M047a2) d,AA lowwoet S T W (Location of Facility) 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 14) Jan 12 05 10:09a The CommonweaJlh of Massachusetts Deparhnent of industrial Accidents omes of I-Vostfga>titons Boston, Mass. 02111 Workers' Compwmtbn Inst mhos Affidavit Name Please Print Name: tt Wet A t.oc—n: . Iq 6416D ST. M Lt NN MASS } Dlyo ,1, Phate 0 I am a hmr wrier performing all work myself. I am a sole prgxietor anti have no one wm k g in any capacity P. a I am an employer proviclirtg v"kenf compensagon for r y employees working an this A. Com—M rlatme: b cam. �.,�A N N Tt�t E l-�1n.-�v>ti Polka► s nn cin► k� i2 tom` �'{ _ _� o , mom* Fd m to sodas coverspe as re**Sd under Sacdm 2M or MOL 1552 can lead to tho IrrQo-0- d rdmmd Pwwxft d.a *W uP tD $I.Sm acid►orpnsyeas'irriprbarrrreot.as�see�.as�ull�eoaRieslnlbssoma,do8'r�P'lMpFt1c�R.and,.rr lnsd.(i4ln.r00us:digrapaiaetmrt. 1 understand that a copy d arts st demerd miry be fawsded to the Offs d Irnestly N -1 or the DIA fbr covereps verwcation. 1 do herebyoe W errs er> �� that rhe k*mwmm provided abmv is ho an d oor ax Sigrrature� �- _ Date � I%L f D j Print name 4o P. am # -o d ) Olfldd us* only do rod verde in this ares to be completed by city or town aftidal City or Town -- PermNA icenefno ©Check if knmadisb raspanae kr rogwred ❑ LbwxskV Btu ❑ Se/ed�?W's office Contact pa►son: Pinna srt ❑ HOSO DsPartrrw* 0 Other 01/12/2005 14:10 6173810334 OTICE TO PLOYEES PAGE 02 NOTICE TO EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 — http://www.mass.gov/dis As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: HARTFORD UNDERWRITERS INSURANCE COMPANY NAME. OF INSURANCE COMPANY ONE TOWER SQUARE HARTFORD, CT 06183 ADDRESS OF INSURANCE COMPANY (GS60VB-3791684-6-04) 10-16-04 TO 10 -16 -Os POLICY NUMBER EFFEC'nVE DATES FARQUHAR & BLACK 86 EXCHANGE STREET LYNN MA 01907 NAME OF INSURANCE AGENT ADDRESS PHONE # RIVERA RODERICK DBA ROD'S HOME 19 EAST HIGHLAND ST IMPROVEMENT LYNN _ MA 01902 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE o MEDICAL TREATMENT The above named insurer is required in c&set of personal injuries arising out of and in the course of Jm employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation ,Act. A copy of the First Report of Injury must be given to the injured employee_ The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably ' connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 021725 W2QPIG@2 TO BE POSTED BY EMPLOYER. 01/12/2005 14:10 6173810334 09/22/2004 IED 16:15 FA PAGE 05 10003/003 ACOM CERTIFICATE OF LIABILITY INSURANCE BN mEem (110599-2200 FAIL (tel Sal•99A0 FarquMr a Much TlpS clR7 MAYS 0 RW" WA MATTER OF WOMATON ONLY ANO OONMM NO MGM UPON TM CO to wicAT¢ HOLDER. TN18 CERTNICATE 00E5 NOT AMEND. EXTUM OR IS Exchange Street ALTER JUC GCMAGE AIrPORD HE . ES BE WDURERS AFFORDM COVOMW NAIL0 5w4te 101 Lynn, NA 01901-1475 .elflreo Itaftria livera NaJRiRA. Penn- Ca Easuramo Co. ROUNaa 19 Fest Highland Street PAG639Zsea Lynn, M 01902 MPIN101 P. ammo GWifEM s 1 om t/S'UI®1 E: ��a�ovrw. s 1000 AffibcKKOMM 9 TME POLICIES OF MBURANCE LISTED aEIOW IMYro"MMSUEO TO TN! MNBIIINED NA ED ABOVE FOR TM POLMY MRIDO MNDIQATED. WtWin—OTANIM ANT REQUIRE N'r. TERM OR 00MA ION OF ANY QONTPAGT OR OTHER OiON MENT WITH RESPECT TO WHICH TWO 911M 9CATE MAY M SMOOR MAY PERTAIN. THE IAUMA M APPORDED UY TME VOLIM CRON1 W HEREIN {a EISJM TO ALL THE TERM. L CI UME AND DWNDMM OF SM POMM. AMMOXTR L11073 SHOWN MAY HAVE BEEN LUDED OY PAD CLAPA 7M OP MVIARM PMV MINIM W W A GBEBNAI.U/atm X GQMM naALce6P�AL.��rrY WDE 111OC" � -- ■■ PAG639Zsea 06 ;/ 06/23/2005 ammo GWifEM s 1 om rTo A57 o s S0� MN11N:iI�(M/Mppgl t ��a�ovrw. s 1000 p0RA0VWo8ATEUWrAFPJNlMR r LyVrl a rlLoc. G9iAAf,AQoaIom a LaWn o• cf8.oa/YOPA6G s WWI A111800BNIENAMN./r+'Epgt ANYAUM ALLOWNROALrM SCNBDUI.EO AUMS NRAAM t/ortONIEO AUT04 ' gamy MAW : IPRO MAW GAAAOiNA81UIY Afn MrtD AUtOON.r-lAArcma E p�r� EAAOC s AIt/ppar.A A04 aMWtAowwn�Ao�t/r often ❑ a "w Oft DowcTIM aETIE/nloN s . 191GN000tINl0il7ii 1 ABe1NB0ATE i t s f wow�wscar�aeAtafIAIO Eafta"pwo,"�Buff oyaeet��oHVME�yy A��, aPlByl�l�l4bNrMlea _ e1 FAtiTIAonoaNr s tL 0 JMM-PAMftQMs E1.BNI5A¢-p'OLfOYlxai � OtiMiR OfICA•TION OR OAiNM/ON! f �dCA1I10MN )VWM{aN /O(O!/IBI011NABBlB aY bbpx�pAlr/aAl�L7ALRi0YNM01Nl Acorn u ammap al01NOAlryBr TMlABBYt BEaCI�taLiMietaAMfAY.ttPBW�01egf E�ATbaaNllTlalBBF,Tial IINaMa1MN!]t Bil eeaie10a�e TIAL ,,,�„�OAYB IIIBr1811 M011N TeT1N: BOlIBIOA7a M01a�t MAMmTO M larT, aurrm="W1lfI wIw.laraMLLxlo�rpOM{q pNpR1MOL11Y 1f� *AOM CONIOM" Ion 01/12/2005 14:10 6173810334 Wad BOARD OF 90,00 L ase. &j4MUCUTIOM its OW3 J om yr. VW 82273'' 14 RODERICK 21 REA04 MA 01902 1a0 Ike 19 LY qvKd SFE.WW89 R%"'!' awom PAGE 03 01/12/2005 14:10 6173810334 Direct Assignment Operations P.O. Box 4903 Orlando. FL 32802 customer Service 1.800-483.9843 Fax Number 1.407.849-2918 Claims ReparBng 1.800832.7839 PAGE 04 November 3, 2004 Insurer; Hartford Underwriters Insurance Company RIVERA RODERICK DBA ROD'S HOME IMPROVENMNT 19 EAST HIGHLAND ST LYNN MA 01902 Re: Workers Compensation Policy Number: 6S60UB 3791BB4604 Effective Date: 10/16/04 :. Rcspeose Re esw $y: 12f04/p4 Dear Customer: Our records indicate that you operate a contracting business. The scope of code(s) listed on your policy anticipates the exposure of other jobs directly related to the business. Please complete the enclosed questionnaire and return to the by the date indicated above. Please note that the payroll for uninsured sub -contractors will be included in your premium basis at audit unless you can provide evidence that the sub -contractor is not subject to the state workers compensation statutes and that all appropriate fortes have been completed and filed with the state and with our office. If you have any questions, please contact me at 1-800.453-9843, extension 3591. Sincerely, LAURA ALLINDEIt/KLL Account Manager Underwriter Direct Assigiunent Division Orlando Service Center _..._. 1 -8010 -453 -MQ, -.... ... .. _.� _ — _ cc; FARQUHAR & BLACK 85 EXCHANGE STREET LYNN MA 01907 L E VA- i 7'tit.VY -G u 7 � � �• Q X1.3-- �_ / � 3 ,S �1/ m m f�• ✓ .q � ;n ,�.�'�' U .� ✓ /Yf�� l 1,j • .� of oy s� p�9l�o /\� /V -Eo •, s�~/ Lore /-Gl t1 lova - - 49,51,- - - Ir Paul and Jane Hurton 78 Lacy St. North Andover, MA 01846 978 686-4639 SARNO' S CONTRACTING 9 HANCOCK ROAD WAKEFIELD, MA 01880 781-316-4612 Fax 781-587-0089 Proposal Addition GENERAL • Supply and install 24x22 ft foundation (kitchen) designated on plans • Supply and install 8x22 ft foundation (laundry -mud -bath) designated on plans • Supply and install 14x16 ft foundation (porch) designated on plans • Cut new access in existing garage 36x80 to new mud room • Supply and install framing for future stairs (kitchen area) • Construct using 2x6 & 2x4 16oc, • Supply and install all lumber and materials needed for framing • Supply and install LVL -beams in areas designated (looking into steal beam) • Supply and install new wall and restoration as per plans • Supply and install tyvek to entire addition • Supply and install all materials for renovation as per plans • All tools and construction to be kept in clean and safe area • All other general notes • Contractor will conform to all plans and details. Any changes will be discussed and agreed upon before work is started ROOFING/ADDITION • Supply and install Grace ice and water shield on all roof perimeters and valley • Supply and install 8 -inch white drip edge on all roof perimeters • Supply and install 30 Lb. felt paper on entire roof • Supply and install shingle vent II for ridge • Supply and install 30 -year shingles color to match as close to existing I ROOFING/HOUSE • Supply and install Grace ice and water shield on all roof perimeters and valley • Supply and install 8 -inch white drip edge on all roof perimeters • Supply and install 30 Lb. felt paper on entire roof • Supply and install shingle vent H for ridge • Supply and install 30 -year shingles color to match as close to existing ROOFING FLAT SECOND FLOOR • Supply and install EPDM .060 rubber • Supply and install all proper flashing and ball cleat WINDOWS/ADDITION • Supply and install windows with clad exterior, with six over six lights (Anderson) • All windows and sizes based on plans 5/24/04 WINDOWS/HOUSE • Supply and install 12 Anderson new construction windows with 1x4 trim and sill EXTERIOR DOORS • Supply and install one 48x80 Anderson French door with clad exterior wood interior and no lights(first floor porch) • Supply and install one Stanley steal garage door, no lights • Supply and install one Stanley steal six light mud room door EXTERIOR TRIM • Supply and install 1 x4 pre primed • Supply and install 1x8 and 1x3 pre primed trim to gable ends and eaves • Supply and install 1x6 and 1x5 pre primed (corner trim boards) • Supply and install 1 x10 pre primed CEDAR CLAP BOARD SIDING Supply and install A/B pre- primed cedar siding to all new work G GUTTERS/DOWNSPOUTS • Supply and install white seamless gutters on all new work • All gutters will be fastened with screws and have a slight pitch • Supply and install 4 inch white downspouts • Supply and install proper elbows and brackets to downspouts PLUMBING FIRST FLOOR • Install all new plumbing for I/2 bath (toilet -vanity from existing bath) credit $600.00 • Supply and install all new plumbing for one American standard white toilet and one 30 inch vanity with sink (standard fixtures) • Supply and install new plumbing for washing machine • Supply and install one washing machine over flow pan • Supply and install all new plumbing for under mount kitchen sink, garbage disposal and dishwasher • Supply and install water line for refrigerator/freezer • Supply and install all proper venting PLUMBING FOR SECOND FLOOR • Supply and install new plumbing for one American standard white toilet • Supply and install new plumbing for double sinks • Supply and install new plumbing for one shower stall with copper pan, standard shower glass door included • Supply and install new plumbing for Jacuzzi tub • Supply and install all proper venting A/C • All A/C flex duct work will be run on new work (finish vents will be installed) HEATING • Supply and install all proper forced hot water baseboard • Supply and install extra zone off unit if needed ELECTRIAL PHONE CABLE • Supply and install new sub panel to accommodate new additional areas • Supply and install wiring for washer and dryer (first floor) • Supply and install wiring for all kitchen appliances (cook top- refrigerator, dishwasher, disposal, oven) • Supply and install GFI outlets in all bathrooms and kitchen • Supply and install one phone jack in laundry room • Supply and install dryer vent exhaust • Supply and install all GFI outside outlets per code • Supply and install three hall lights with two-way dimmer switch (mud room) • Supply and install closets with interior lights and switch • Supply and install one center light with switch (laundry room) • Supply and install TV cable in master bedroom and kitchen • Supply and install one standard ceiling fan in master bedroom • Supply and install nutone ceiling fan and light in the first floor and master bathroom • Supply and install one strip light over bathroom vanity with switch • Supply and install 15 recess lights in kitchen area with dimmer (will go over location with owner) • Supply and install phone one jack in the kitchen and one in the mud room • Install all outlets as per code INSULATION • Supply and install on all interior and exterior walls R-19 • Supply and install R-30 to ceiling • Supply and install R-30 to floors • All exterior walls will have a vapor barrier BLUE BOARD/PLASTERING • Supply and install '/2 inch blue board to all walls • Supply and install skim coat of plaster to all walls • Apply smooth finish to walls, ceilings (smooth -sand -texture) • Supply all materials for any patch work FLOORING • Supply and install 2 1/4 Bruce hard wood flooring in entire kitchen & keeping room and porch area all other a butting wood floors will be waved and sanded • Supply and install one coat sanding sealer and two coats of oil base urethane • Recommended not to be home when urethane is being applied E TILE • Supply and install first floor bathroom, mud room and laundry floor only, 170 sq. ft of 12x12 (allowance $4.50 sq. ft) • Supply and install second floor master bathroom floor 72 sq. ft of 12x12 (allowance $7.50 sq. ft) • Supply and install second floor Master bathroom walls including Jacuzzi/shower area 125 sq. ft of 4x8 wall This is based on 40 inches from the floor up(allowance $7.50 sq. ft) INTERIOR DOORS • Supply and install all doors as specified in plans.(six panel pre -primed) DOOR KNOBS/LOCKS • Supply and install standard locks for all doors • Will confirm hardware fmish prior to ordering INTERIOR TRIM • Supply and install 4 '/2 pre -primed white baseboard • Supply and install 2 %2 pre -primed casing to all windows and doors EXTERIOR BACK POURCH • Supply and install 4x4 -mahogany post • Supply and install 2x2 -mahogany ballast • Supply and install 1x4 mahogany decking • Supply and install stairs and railings mahogany FRONT PORCH 704 • Supply and install all framing for porch and build out foyer • Supply and install (8) 12 inch concrete footings located on plan • Supply and install 4x4 -pt post and raped with per -primed pine • Supply and install 2x2 -mahogany ballast or fir • Supply and install 1 x4 mahogany decking or fir • Supply and install stairs and railings mahogany or fir • Waiting for final word on this part EXTERIOR PAINTING • Supply all labor two coats to new work only (will try to match existing color) • Scrape entire existing house, prime with two coats of paint (any rotted wood will be given an estimate at that time, small repairs are no problem) LANDSCAPE Supply and install loam and hydro seeding for final grade ASPHALT DRIVEWAY/WALKAY • Repair of drive way if damage • Time schedule approximately 90 to 120 days starting from date of signature of contract from both parties • Contractor to supply building permit • Correct any problems related to inspection failure at no cost to the homeowner • All materials will be up to code • Owner will be notified and must agree upon any changes prior to modification • To provide a safe and clean work area at all times • All materials, dumpster and erosion fence will be removed- at completion Owners Responsibilities Finish painting interior Tub vanity in master bathroom Kitchen cabinets TOTAL CONTRACT PRICE AS WRITTEN $166,728.00 ONE HUNDRED SIXTY SIX THOUSAND SEVEN HUNDRED TWENTY EIGHT DOLLARS Payment schedule: Due at contract signing $41,450.00 Foundation wall $15,400.00 Rough framing $17,000.00 Foundation floor $8,100.00 Roofing completed $11,900.00 Windows installed $14,200.00 Rough electrical $9,900.00 Rough plumbing $9,700.00 Exterior siding and trim $11,800.00 Insulation & Blue board $9,200.00 Tile -hard wood flooring $5,700.00 Interior finish work $6,000.00 Due on completion $6,378.00 Customer's Signature Contractor's Signature References David & Carol Martin John &Annie Iannarone Pat &Aida Giallongo Andrew Crawford Nancy Hogan Anna DellaCroce Mary Winstanly O'Connor Jack & Lisa Erban Contract void 12/7/04 978 687-3665 978 681-6146 781935-0484 617 899-5557 781483-3009 781521-2937 781641-2967 781246-3008 0 0.5 1 Miles See County Index Maps to locate adjacent quadrangles SOUTH GROVELAND QUAD /41 L ,� ,,, i, -I- C � xc(t, � / J_ December 30, 2004 Mr. Dale Sarno Sarno Construction 9 Hancock Road Wakefield, MA 01880 Re: Preliminary Site Review 78 Lacy Street North Andover, MA Dear Mr. Sarno: On December 29, 2004, Wetlands Preservation, Inc. (WPI) performed a preliminary site review of'78 Lacy Street in North Andover, Massachusetts. WPI reviewed the site for wetland resource areas in proximity to proposed work that will be conducted on the site. The wetlands located on the site are approximately 175 feet from the proposed house addition that is currently staked in the field. The construction of the addition will take place on an existing house in an area of nearly level lawn. The proposed work is within an area of Natural Heritage Estimated Habitat of Rare Species and Vernal Pools, but the work is not within the 100 -foot buffer to a Bordering Vegetated Wetland (BVW) and takes place on an existing house and surrounding lawn. Under these conditions notification to Natural Heritage for the proposed work is not required by current regulations within the Massachusetts Wetlands Protection Act (MWPA). Please contact me should you have any further questions or need additional information. Sincerely, (� R Jennifer D. Vicich Associate Wetland Scientist JDV:bsg 3152.0 PSR 78 Lacy St. 12.30.04 475 Ipswich Road E-mail: info@wetlandwpi.com 47 Newton Road Boxford, MA 01921 Fax: (603) 382-3492 Plaistow, NH 03865 (978) 352-7903 (603) 382-3435 E T L A N 0 S ,RESERVATION yr✓ INC I December 30, 2004 Mr. Dale Sarno Sarno Construction 9 Hancock Road Wakefield, MA 01880 Re: Preliminary Site Review 78 Lacy Street North Andover, MA Dear Mr. Sarno: On December 29, 2004, Wetlands Preservation, Inc. (WPI) performed a preliminary site review of'78 Lacy Street in North Andover, Massachusetts. WPI reviewed the site for wetland resource areas in proximity to proposed work that will be conducted on the site. The wetlands located on the site are approximately 175 feet from the proposed house addition that is currently staked in the field. The construction of the addition will take place on an existing house in an area of nearly level lawn. The proposed work is within an area of Natural Heritage Estimated Habitat of Rare Species and Vernal Pools, but the work is not within the 100 -foot buffer to a Bordering Vegetated Wetland (BVW) and takes place on an existing house and surrounding lawn. Under these conditions notification to Natural Heritage for the proposed work is not required by current regulations within the Massachusetts Wetlands Protection Act (MWPA). Please contact me should you have any further questions or need additional information. Sincerely, (� R Jennifer D. Vicich Associate Wetland Scientist JDV:bsg 3152.0 PSR 78 Lacy St. 12.30.04 475 Ipswich Road E-mail: info@wetlandwpi.com 47 Newton Road Boxford, MA 01921 Fax: (603) 382-3492 Plaistow, NH 03865 (978) 352-7903 (603) 382-3435 6� PROFESSIONAL SERVICES AGREEMENT JOB #3152.0 This agreement stipulates the environmental consulting services to be performed by Wetlands Preservation, Inc. (hereinafter referred to as CONSULTANT). WETLANDS PRESERVATION, INC. 475 Ipswich Road 47 Newton Road Boxford, MA 01921 Phone: (978) 352-7903 Plaistow, NH 03865 Phone: (603) 382-3435 Fax: (603) 382-3492 E-mail: info@wetlandwpi.com CLIENT NAME(S): Dale Sarno CLIENT COMPANY: Sarno Construction CLIENT ADDRESS: 9 Hancock Road, Wakefield, MA, 01880 BILLING ADDRESS: 9 Hancock Road, Wakefield, MA, 01880 CLIENT PHONE: OFFICE: RESIDENCE: CLIENT FAX, etc.: FAX: 781 587-0089 CELL: 781 316-4612 PAGER: E-MAIL: OWNER OF LAND: Unknown LOCATION: 78 Lacey Street, North Andover, Massachusetts SCOPE OF SERVICES (Indicated at right): Preliminary Site Review. Subsequent services to be provided as mutually greed TERMS Fee: The fee for above-described services will be one or more of the following: `n �trJ r' ® Fixed Fee $300 ❑ Labor plus expenses G ❑ Cost Control Cap $ ❑ Retainer $300 ❑ Other: i CONDITIONS v„ COMPLETION: In the event that the CONSULTANT is obstructed or delayed in the completion of said services by any act of the CLIENT or the CLIENT's agents or by any act beyond the control of the CONSULTANT including, but not limited to, inclement weather, failure of equipment, unanticipated degr e of difficulty encountered in performing said services, or delay created -15-y" approving agencies then the time herein fixed for the com tenon of th SERVICES AS INDICATED WITH (X) CONSULTING SERVICES X PRELIMINARY SITE REVIEW WETLAND DELINEATION DELINEATION DATA SHEETS SOILS SURVEY SITE SURVEY REPORT WETLAND IMPACT MITIGATION PLAN WILDLIFE HABITAT EVALUATION PROJECT DESIGN CONSULTING PERMIT SUPPORT CONSTRUCTION MONITORING TEST PIT EVALUATION PLANT STOCK PLANTING SERVICES p e services shall be extended for a period of time equivalent of the time lost by reason of any or all of the aforementioned causes. CLIENT understands that perceived negative results or those that do not meet with predetermined or preconceived expectations are not basis for non-payment of services rendered. TERMINATION: This Agreement may be terminated by either party upon one (1) business day's written notice received at the address listed on page one herein. The CONSULTANT shall then be paid for the services completed up to the time of the termination date. OWNERSHIP OF DOCUMENTS: All documents, including original drawings, estimates, specifications, field notes and data are and shall remain the sole and exclusive property of the CONSULTANT as instruments of service. LIMITS OF LIABILITY: CLIENT's sole and exclusive remedy for any and all claims, losses, or damages resulting from any cause whatsoever arising out of or in connection with the Agreement shall be for actual damages suffered only. CLIENT agrees that CONSULTANT's liability shall in no event exceed the fee paid pursuant to the Agreement. Due to the nature of wetland replication areas, plant survival is not guaranteed. 2— AMENDMENT OF AGREEMENT: This Agreement may be amended only in writing signed by the CLIENT and CONSULTANT. BILLING PROCEDURES: Consultant will provide detailed bills on a regular cycle, usually every two weeks and/or at the completion of the project or significant phases of the project. In an effort to communicate better with clients and to keep clients informed and abreast of the scope of activity surrounding Consultant's efforts, we typically include the date, task description and total cost of efforts with your invoice. Should you require additional information, please let us know. These invoices are due within 15 days of presentation. CLIENT waives the right to contest bills after 30 days from issuance. A FINANCE CHARGE of 1.5% PER MONTH WILL BE ADDED TO ALL OVERDUE ACCOUNTS. The CONSULTANT reserves the right to terminate work in progress in the event payment is not received in accordance with the payment provisions or if the outstanding balance due exceeds $N/A. COLLECTION: The CLIENT agrees to pay all costs of collection, including reasonable attorney's fees. *SPECIAL INSTRUCTIONS AND/OR PROVISIONS: CLIENT AUTHORIZATION: The person(s) signing this proposal warrants that he/she has full authority to act for the Client. This agreement is null andv le, execute ' y the Client and returned to the Consultant . it 'n thirty (30) days. Client Signature: DATE: / Dale Sarno Individually and as duly authorifed agent of. Sarno Construction CONSULTANT AUTHORIZATION: DATE: Job #3152.0 12/14/04 12:18 PM , a National Grid Company 01/01 To: SARNO CONTRACTING Attn: DALE SARNO Voice: 781-316-4612 Fax: 781-587-0089 Re: Locating facilities in the area of your excavation This is an important Safety Message from a National Grid Company. We are replying to your request to locate our underground facilities in an area where you are planning excavation work. The following is the current status of our facility marking in the area specified in your notification. Ticket number 20045102589 is: This response is from Massachusetts Electric. There are NO known Massachusetts Electric underground facilities in the proposed excavation area. Please check for any Municipal and/or Customer Owned underground electric facilities in the excavation area. County: Place : NORTH ANDOVER Street: 78 LACY ST If you have any questions about these responses to your excavation notification, please call one of the following numbers: In NY 1 -800 -NIAGARA, In RI 401-784-7267, In MA 800-322-3223. w rA tv ui am W Al C1 C O CLC A Q0go z E a • _ mcp` p vim-=QCD ty I ccm E E 3 0 y 3 co 0 CD CS in- lbts CM y Q E p Ag CD AL C2 tv -m z L d CL +� Z. o w �. y75 . cm Cf) _ �' civ �i h = '..,moo cm "- c t3 d O +p+ 0 ..woo: X y a w •cy y z v p 0. CO) :oo� co O p C � T c aL E- CD co :o.—c C ~ S y a, w c w� c o wcc C 10 0. H •y at CCU 5 Z H W •E w y o C� C.3 m c m c F - y a s 0 U) W W 1% W U) w chi O w° a° U w a cl' w" a a°' w a c4 w I m zCO cn cn , ui am W Al C1 C O CLC A Q0go z E a • _ mcp` p vim-=QCD ty I ccm E E 3 0 y 3 co 0 CD CS in- lbts CM y Q E p Ag CD AL C2 tv -m z L d CL +� Z. o w �. y75 . cm Cf) _ �' civ �i h = '..,moo cm "- c t3 d O +p+ 0 ..woo: X y a w •cy y z v p 0. CO) :oo� co O p C � T c aL E- CD co :o.—c C ~ S y a, w c w� c o wcc C 10 0. H •y at CCU 5 Z H W •E w y o C� C.3 m c m c F - y a s 0 U) W W 1% W U) u � ie �arivnwouue� o�✓�/�rarac�uGe� . �� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 082273 Birthdab 0628/1964 k a 6fpirssr OH1 S/21106 Tr. no: 82273 Restricted: 00 I *' RODERICK RIVERA { ii 21 BEACH RD APT 14 C i.... LYNN, MA 01902 �`' nistra Admitor' ✓,. �� - Board of Building Regulations and Standards # HOME IMPROVEMENT CONTRACTOR ! =' t R"Israti": i — (23893 Expiration: 4111/2005 TyPW individual ' Roderick Rivera j Roderick Rivera j 19 E. Highland St. _ Lynn, MA 01902 V �� _ Administrator i