Loading...
9 LARCH AVE - BUILDING INSPECTION ., I e 4 � n The Commonwealth of Massachusetts I Board of Building Regulations and Standards CITY OF Massachusetts State Building Code, 780 CMR SALEM �y Revised Mar 2011 p(\b Building Permit Application To Construct, Repair, Renovate Or Demolish a I`V One-or Two-Family Dwelling This ction For Official Use Only Building Permit Num er: Date Applied: ;Building ame) Signature Date ECTION 1: SITE INFORMATION 4Lar Ad resss: 1.2 Assessors Map&Parcel Numbers Lla Is this an accepted street?yes _ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq a) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yesO SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: �Sa bg, M A d I�i o Name(Print) /f�_A �,. �ity,State,ZIP Larrin �WeYu A- '18- �0 N and Street Telephone Email Address SECTION 3:DESCRIPT N OF PROPOSED ORKZ(check all that apply) New Construction❑ Existing Building Z I Owner-Occupied Er Repairs(s) ❑ 1 Alteration(s) Addition ❑ Demolition 01 Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': - i Oc�'f0 r-Q2 6y, i�-e a t_�� i M i 1 I n r W 06( i M j,�.nt/k SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1.Building $ 01 30o 0 3 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ 3 003.oJ ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 0, 7;SI.0 J 2. Other Fees: 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ '^ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ Z col (p �c7.00 ❑Paid in Full ❑ Outstanding Balance Due: A SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 5 j30LI � s _�r� f1 LI S IV 1 C l.!)I�l�I l �V• License Number Expiration Date Name of CSL Holder List CSL Type(see below) o. Serenti �P✓t'Ace�No.and Street Type Description 19 (A- O D O U Unrestricted(Buildings u to 35,000 cu.ft. eR Restricted I&2 Famil Dwellin City/Town,Star M Masonry RC Roofing Covering WS Window and Siding ✓�,p SF Solid Fuel Burning Appliances I Insulation Tele hone Email address D Demolition 5.2 Registered Home Improvement Contrjctor(HIC) NMGCU(NIfCK PJUiIACCl�flGn Llrc ln,'1/,ifIVICt,(yoCL Jr / 3l �L� 6 Z ( HIC Registration Number Expiration Date H C C pany Name o C Registrant ame �`ercna tYrilce Mr-t, d Gaol Ca AI N .and St ct Email address &M;i . AAA olgloo 791-A3l-g7,oy City/Town, State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(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 Issuan5pof the building permit. Signed Affidavit Attached? Yes .......... V No........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize �(� o c 161 0C lid !tA. -Tv. to act on my behalf,in all matters relative to work authorized by this building permit application. a 6 z8 20� Prins Name(Electronic Signature) Date SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name , I hereby attest under the pains and penalties of perjury that all of the information contained.in this a pl' a is true and accurate to the best of my knowledge and understanding. Print Owner's or AuthT A [ Name(Electronic Signature) �r n u M&J- Date NOTES: L An Owner who ob ins a buillding permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass. ovg /dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics, decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" CITY OF S UX.-Nis iNLkSSACHUSE= • BUILDLNG DEPARTMENT ` 120 WASHINGTON STREET,3'D FLOOR TEL. (978)745-9595 FAx(978) 740-9846 iUMBERLEY DRISCOLL MAYOR THONCAS ST.PMRRB DIRECTOR OF PUBLIC PROPERTY/BUILDLNG CO3L%flSSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Anplicant Information e`! Please Print Legibly Name (Busirws OrganizatioNlndividuaq: M G IiC/M M (JG ) I ( 7 (NL (1 Address: l V-b " W p ` / City/State/Zip: 1'I (P v Phone #: ,, /7 rJ ( — d 3 t_-/ 2 UU Are ypu an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with_ I� — 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.t 7• ]4emodeling ship and have no employees These sub-contractors have g. demolition working for me in any capacity. workers'comp.insurance. 9, ❑ Building addition (No workers'comp, insurance 5. ❑ We are a corporation and its required.) officers have exercised their 10.E lectrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.E34lumbing repairs or additions myself.[No workers'comp. C. 152, §1(4),and we have no 12.❑Roof repairs insurance required.)t employees. [No workers' COMP. insurance required.] 13.❑Other 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 'I Inma>wrsas who submit this affidavit indicating they an;doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractor,that check this box most attached an additional sheet showing the name of the sub�curaractors and their workers'comp.Nli y infemution. I am an employer that is providing workers'eampensadon Insurance for my employees. Below Is the policy and lab site information.Insurance Company Nam /�e: l/ \1&16r,/ 5 Policy#or Self-ins. Lic.#: -L- E U C�i— 3­74_� 3 36 Expiration Date:r- n ^ /Z Job Site Address: -I t z y-M T l b " City/State/Zip: J(i(6/14 r /"/� n I �4 76 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a da against the violator. Be advised that a copy of this statement may be forwarded to the Office of Invesligations of IA for insurance coverage verification. I do hereby er fy er the pains and penaldes ofperjury that the information provided above is true and correcit car t tr • Date: Phone Official use a dy. Do not write in this area,Io be courpleted by city or town aJJiclaL City or Town: Permit/1.1cense# _ Issuing Authority(circle one): 1. Board of Ilealth 2.Building Department 3.Cilyffown Clerk 4. Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: __ Phone#: CITY OF S.ALE.1, 1LxsSACHUSETTS BuILDLIIG DEP,,RTNE&NT P 130 W.AsHLNGTON STREET, 3'D FLOOR -01 TEL (978) 745-9595 FAX(978) 740-9846 KimBERLEY DRISCOLL MAYOR THomAs ST.P[ERxs DIRECTOR OF PUBLIC PROPERTY/BUELDLNG CONMSSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: (name of hauler) The debris will be disposed of in MO �_ (/Zjr/�^flA (name of facility) E1/erg (add less of facility) signatur r appl ant �0 20 2i date dcbri.tIrtlw ® CERTIFICATE OF LIABILITY INSURANCE °° ,28 ) ACORO /11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT NAME: COCCa Insurance Associates Inc PHONE 781 245-0888 FA% N : (781) 246-3926 dba Water Street Insurance Age ADMSS: carmen@getinsurancehere.com 27 Water Street P DucER sTpmeRl m u. 3 G 7 8 Wakefield, MA 01680 _ _ _ INSURE R(S AFFORDING COVERAGE NAIL# INSURED INSURER A:Travelers McCormick Ktchens INSURER a: _ 1161 Broadway INSURER C: Saugus, MA 01906 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A_S TYPE OF INSURANCE AM SUBR POLICY EFF POLICY EXP LTT POU CY NUMBER IMMICIDIYYM (MMIDDYYYY1 LIMITS GENERALLLBILIT' EACH OCCURRENCE S 1 00-00 OOO_ A n�� DAMAGE TO RENTED COMMERCIAL GE NE RALLIABILITY I68041A872077 7/8/11 7/8/12� LEA E 300,000 CIAIMSMADE I—XI OCCUR MED EXP(Ary ore prim) $ 5,000__ PERSONALS ADVIWURV E 1,000,000 J GENERAL AGGREGATE S 2 000 OQO__ ' GEN'LAGGREGATEUMITAPPLIESPER PRODUCTS-CDMROP AGO $ 2,000,000 X POLICY PRO- L� $ -- AUTOMOBILE LLBIUTY COMBINED SINGLE LIMIT (EaacdG q) $ ANY AUTO —-- BOOILVINJURY(Perparson) $ II— ALLOWNEDAUTOS BODILY INJURY(Per accitlmO E SCHEDULED AUTOS - _ PROPERTY DAMAGE E HIREDNOWO UTOS I (Per acdtlenL) - -- 1 $ _ I NONOWNED AUTOS E UMBRELLA LLB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE E DEDUCTIBLE $ RETENTION S $ ti WORKERS COMPENSATION 7�8�11 7�8�12 WC STATU- OTH- ANDEMPLOYERS'LIABILITY IEUB-3727T336 T A AM'PROPRIETOWPARTNERIEXEGUmVE YIN IN/A E.L.EACH ACOfEM S ZOO,OOO. OFFICE FUME MEIER EXCLUDED? (MaMalory In NH) E.L.DIS EASE-EA EMPLOY El E 5QQ QQQ M yes, N under DESCRIPTION OF OPERATIONS DBIOW E.L.DISEASE-POLICY LIMIT S SOO QQQ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (IANach ACORD 101,A&I Monal Re nR Arm ScheMle,K mom apaw Is mgdratl) CERTIFICATE HOLDER CANCELLATION S HOULD ANY OF THE ABOVE DESCRIBED POUC IES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For bidding purposes only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Carmen Cocca © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009109) The ACORD name and logo are registered marks of ACORD 0 fill ce 4k.kamyntwwvt1(6111tS5 HOME IMPROVEMENT CONTRACTOR 191 Registration: 131725 Type' Expiration: 9/6/2012 Private Corporaliol 1 M'dCORMICK BUILDERS GROUP, INC. FRANCIS McCORMICK JR. 6 SERENA TERRACE � _- PEABODY, MA 01960 UnJcrsecrerary 51304 FRANCIS MCCORMICK JR 6 SERENA TER PEABODY, MA 01960 1/5/2013 8349 McCormick Kitchens 135 Broadway Saugus, MA 01906 (781) 231-4200 Fax (781) 231-4270 I' www.mccormick-kitchens.com pl+OrvE GATE TO: BOB & JUDY ST. PIERRE 5/3/2012 9 LARCH AVENUE Joe NAME/LOCATION SALEM MA 01970 (H) 978. 795. 0990 (C) 978. 505. 5712 - BOB JOB NUMBER JOB PHONE herebyWe .• PAGE 1/3 JOB START DATE: 07.02. 12 1 JOB COMPLETION DATE: 08.29 . 12* *INSPECTIONS/PERMIT SIGN OFFS MAY EFFECT COMPLETION DATE* MCCORMICK KITCHENS IS FULLY LICENSED AND INSURED: COMMONWEALTH OF MASSACHUSETTS HOME IMPROVEMENT CONTRACTOR REGISTRATION #: 131725 MASSACHUSETTS DEPARTMENT OF PUBLIC SAFETY LICENSE NUMBER: 51304 MCCORMICK KITCHENS TO DEMO CURRENT KITCHEN CABINETS, COUNTERTOPS & BACKSPLASH AND PREP FOR NEW. MCCORMICK KITCHENS TO DEMO EXISTING FLOOR TO SUB AND PREP FOR TILE. MCCORMICK KITCHENS TO REMOVE EXISTING PANELING FROM (2) WALLS AND PATCH AS NECESSARY. IF NECESSARY, DUCT WORK IN CEILING FOR CENTRAL A/C TO BE MODIFIED, VENT IN FLOOR - IS NOT ACTIVE AND CAN BE BLOCKED OFF. MCCORMICK KITCHENS TO CREATE A BEADED HEADER LEADING INTO THE DINING ROOM AS SHOWN ON PRINTS (HEIGHT OF HEADER TO BE REVIEWED WITH CLIENT) . MCCORMICK KITCHENS TO "GO OVER" EXISTING CEILING IN KITCHEN WITH BLUE BOARD/PLASTER (PLASTER TO BE SMOOTH FINISH) , NEW SMOOTH CEILING TO END NEW WHERE HEADER WAS CREATED. MCCORMICK KITCHENS TO REMOVE ALL DEBRIS FROM SITE. MCCORMICK KITCHENS TO PURCHASE, DELIVER AND INSTALL MEDALLION SILVERLINE KITCHEN CABINETS AS DESCRIBED BELOW AND SHOWN ON PRINTS. MCCORMICK KITCHENS TO PURCHASE AND INSTALL A GROUP 1 GRANITE COUNTER TOP WITH A PENCIL EDGE. (IF GRANITE OR EDGE IS UPGRADED, ADDITIONAL CHARGES WILL APPLY) . Cult. Oliicc I'M Cult. Office PM 4AKE SEE PnGE 3 O = DOOR -_— Pace 3_ 0 [�j L VOOD " STAIN____ 4LDGS. t' O 0 L� ACCESS WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: dollars($ ). Payment to be made as follows: SEE PAGE 3 FOR PAYMENT SCHEDULE All rndlenal is guaranteed to be as specified. m work 10 be completed in a prolessiwal manner atxprdrg to sandaN practices.Any alteration or deviation horn above specifications Authorized lnvvwng acre msts will be executed only upon written orders, and will become an extra Signature — chage over and above dro estimate.AN agreements contingent upon strikes,accidents or delays beyond our mntid.Owner to carry fire.tornado,are other necessary insurance.Our Note:This proposal may w hl are huffy 00.vred by Workers Conpensaeon lnwrance. withdrawn by us it not accepted wilhi days. ACCEPTANCE OF PROPOSAL - The above prices. 2- specilieations and conditions are satisfactory and are hereby accepted you are Signature._ authorized to do the work as specified.Payment will be made as outlined above. Signature Date of Acceptance: McCormick Kitchens I_ —m'i E, 135 Broadway Saugus, MA 01906 (781) 231-4200 Fax (781) 231-4270 www.mccormick-kitchens.com TO: PRONE GATE BOB & JUDY ST. PIERRE 5/3/2012 9 LARCH AVENUE JOB NAME/LOCATION SALEM MA 01970 (H) 978. 745. 0940 (C) 978 . 505. 5712 - BOB JOB NUMBER JOB PHONE We hereby submit specifications andesurnates for: PAGE 2/3 MCCORMICK KITCHENS TO INSTALL TILE BACKSPLASH. TILE BACKSPLASH MATERIALS TO BE PROVIDED BY CLIENT AND ARE TO BE ON SITE WHEN COUNTERTOP IS INSTALLED. FLOORING: MCCORMICK KITCHENS TO PURCHASE AND INSTALL TILE BASED ON A $3.00/SF ALLOWANCE. TILE TO BE INSTALLED UNDER APPLIANCES, AND BUTT UP TO TOE KICK ON BASE CABINETS. (IF TILE IS UPGRADED, ADDITIONAL CHARGES WILL APPLY) . MCCORMICK KITCHENS TO PURCHASE/INSTALL BASEBOARD TRIM ONCE FLOORS ARE COMPLETE. PLUMBING: MCCORMICK KITCHENS TO DISCONNECT/RECONNECT/RELOCATE SINK, FAUCET, DISPOSAL, RUN WATER LINE TO REFRIGERATOR (IF APPLICABLE) , AND REMOVE BASEBOARD HEATER AS SHOWN ON PRINTS. MCCORMICK KITCHENS TO PURCHASE AND INSTALL (1) TOE KICK HEATER. MCCORMICK KITCHENS TO RUN WATER TO NEW DISHWASHER, AND RUN GAS TO NEW RANGE FROM EXISTING GAS LINE IN HOUSE. ELECTRICAL: MCCORMICK KITCHENS TO WIRE KITCHEN TO CODE. MCCORMICK KITCHENS TO PURCHASE AND INSTALL (8) RECESS LIGHTS, INSTALL (4) UNDER CABINET LIGHTS & (1) PENDANT LIGHT, WIRE TOE KICK HEATER, AND INSTALL ALL APPLIANCES. MCCORMICK KITCHENS TO PROVIDE FREE STAINLESS STEEL UNDERMOUNT AMERISINK BDOWL SINK, & FREE BRUSH NICKEL STOCK KNOBS. IF CLIENT OPTS FOR DIFFERENT SINK OR. KNOBS, ADDITIONAL CHARGES TO APPLY. Cusl. 011lce PM Cuss. Office PM RAKE Sic PJatarcc 3 DOOR ___'S�- Pr -3 O VOOD � STAIN e, O U-__1 = 4LDGS. a O �i C� ACCESS_ _ O � WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: dollars(s ). Payment to be made as follows: SEE PAGE 3 FOR PAYMENT SCHEDULE All material is guaranteed to be as Specified. Ad work to be Completed in a prolesslonat manner acoorl to standard pracfice5.Any aherabon or deviation frOrn above specifications Authorized b 3 ' (Z unoNn+g extra costs will be executed only upon when orders, and will become an extra Signature charge over and above die esar ate.An agreements contingent upon strikes.accidents or - -- delays bel O d out oontl owner to carry fire,tornado,and pine,necessary msurane,Our Note: This proposal m y be wprkes are fupy poered by NHMe/s Oompensaoon insuranc°. withdrawn by us it not accepted thin days. ACCEPTANCE OF PROPOSAL - The aoove prices. specifications and conditions are satisfactory and are hereby accepted ynu are Signature autnonzed to do the work as specified.Payment will be made as outlined above. Signature Date of Acceptance: o n® McCormick Kitchens } ,—'RMI 135 Broadway Saugus, MA 01906 (781) 231-4200 Fax (781) 231-4270 www.mccormlck-kitch ens.com TO: [HO OATEBOB & JUDY ST. PIERRE 3/2012 9 LARCH AVENUE E i LOCATION SALEM MA 01970 H) 978 .745. 0940 C) 978 . 505. 5712 - BOB JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: PAGE 3/3 MCCORMICK KITCHENS IS NOT RESPONSIBLE FOR: PURCHASING OF APPLIANCES, PURCHASING OF SPECIALTY LIGHTS, SWITCHES, OR UNDER CABINET LIGHTS, REMOVING OF WALLPAPER, PAINTING, PURCHASING OF BACKSPLASH, PURCHASING OR FAUCET, REMOVAL QFGLO APP- , OR PERMIT FEES. *** ALL PAYMENTS MUST BE RECEIVED IN THE ORDER LISTED BELOW. *** 4/-76 S/3/rZ 46 000 pEPOSIT $6, 000 DUE IN 5 WEEKS/UPON DELIVERY OF CABINETRY TO MCCORMICK KITCHENS, $3, 000 DUE UPON START, $3, 000 DUE UPON ROUGH ELECTRICAL/PLUMBING, $3, 500 DUE UPON COUNTER TOP TEMPLATE, $3, 500 DUE UPON COUNTER TOP INSTALL, $1, 650 DUE UPON COMPLETION Cusl 011i(e I' Cusl. Office Fral 4AKE fu-i)Ai,L iciA1 DOOR _W tNSrury �5 PfEc e VOOD_ STAIN Pr tta�l ILDGS. -fK , P551 I�XCR� �� Fvu Crt3 uE onur. ACCESS cwsGSn'A>,GTa'r, WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: Twenty Six Thousand Six Hundred Fifty and 00/100 Dollars____ dollars(b 26, 650. 00 I Payment to be made as follows' All hat.nal is guaranteed to be as specified. All work to be Completed in a professional manner according to standard practices.Arty alteration or deviation from above speciecations Authorized S 3 I t Z lnvoiwng eara costs w e be executed only upon written orders, and will become an extra Signature charge over and above one eamale.As agreements contingent upon strikes.accidents or -- _- - - delays b"Who our Conti Owner to tarty Are.tornado.and other necessary insurance.Our Note:This propos4with .orkers are Nryoweredq Warkels CamOerssation inwrarce, withdrawn by us it not accep days. ACCEPTANCE OF PROPOSAL - The above prices. authorizations and conditions are satisfactory and are hereby accepted. gnu are Signature �✓C � aulndnze0lo do the work as specified.Payment will be made d5 outlined above. Signature _ Date of Acceptance --- 'MAKE 111QAWA0N SILVtR2LIn� DOOR L�JIN$ vJ �S PI r=1r V—�� WOOD C�2,/ rr1� � STAM Ism/I FUu VN V aunc. .r"„o�`+� � Scar C:w, s OVE.Ccr'nN v, MLDGS.-rV , PSSF,�XCa r\; ® [71 ACCESS.ni �o� Q �y V 2 I 131;6' V25 4',-s' 162-" 30" -11221" 43,5„ 63,„ ;6 ,tr,20,6 31,63 3r 1 —, 24 1 6" 3 n'v ; +.m"+i 3 1830 W30126 �V1830- N N R M 9 N N N MSS y�,i it try"`�" 4Iii- M O �' ,y,, 618 L 24 bISH1EF �C O'GAS RANGE B1-�3F yJr �r' >, } 4 - - J r F4�unCw�:r��i L�xM vJ fs rFr NCl- m N o i � M 1 Co N 6321 w N --------------� V mi- WLn (O N iTRN EGA ya � � J 2UCS 4846- ._W3 306 2UCS2484 N ;� 51, '— ---36" 24" ,6 16 79" 36" 24" I 139" All dimensions size designations This is an original design and must Designed:5/2/2012 given are subject to verification on recn"o,om20;�es�° not be released or copied unless Printed:5/3/2012 job site and adjustment to fit job applicable fee has been paid or job Ordered by conditions. order placed. Ackn. Ckd by Final cY.by FM stpierre_design_silverline All 'Drawing e: 1 I No Scale_ li O � I I I I i i Note: This drawing is an artistic 20 ®S Designed: 5/2/2012 interpretation of the general iECNNOlOG1E5 Printed: 5/3/2012 appearance of the design. It is not meant to be an exact rendition. stpierre_design_silverline All Drawing#!: 1 3(a wtoE 12 T�--74-�D�"FP --- 3to tvtoE I ��X(lUb j IJ�I I r o E<- -�..� 74- 71 R> pclz✓ Note: This drawing is an artistic 20 20 Designed: 5/2/2012 Since interpretation of the general TECHNOtOGIES� Printed: 5/3/2012 appearance of the design. It is not meant to be an exact rendition. stpierre_design_silverline All Drawing #: cr wI t.nvy Sc,<��T.1 �µ� Srt 3o"-rnt,� 3o w;As; 16%t W ,DE 2,4`'w;o� `rw�� LID FL.M 5 H F�N1S F5 T,.-TAoWn! mo I wo I, �4 --2 D�vJ 0 L � 34-° 15, Puw I S �51 NY R) Note: This drawing is an artistic 20201 Designed: 5/2/2012 interpretation of the general TECHNOLOGIES Printed: 5/3/2012 appearance of the design. It is not meant to be an exact rendition. stpierre_design_silverline All Drawing #: I 36" wt o� 3v ti x[(-'I Gtlt 0 E s� a 7ti1''LC— �• w� Sr+eLV x� tviDE wr StfELv�S 0 � 00 Fius H FL"5H F^ S t 3� "w�JE Note: This drawing is an artistic 2O `1'("y Designed: 5/2/2012 interpretation of the general TECHNOtOGIvvES Printed: 5/3/2012 appearance of the design. It is not meant to be an exact rendition. stpierre_design_silverline All Drawing #: 1 o i i j �J,grV Note: This drawing is general artistic 2O 2(" 1 Designed: 5/2/2012 JI /1J11''V/ interpretation the a sign. I TECHNOLOGIES Printed: 5/3/2012 appearance of the design. It is not meant to be an exact rendition. stpierrc_design_silverline All Drawing#: 1