HomeMy WebLinkAboutBuilding Permit # 9/19/2016 NORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
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Permit No#:L f D Date Received
Date Issued:
1 S3'9CH0
77
i II PORTA_iTT:A Iicant mast complete all items on this page
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LOCATION
Punt
PROPERTY OWNER �€� � ' �a�
'tpg3 xear itr�3cture -yes a
MAP "`� PARGEL � ZOtJINGBISTRICT � HtstoncDrstrrct � yes:��:.
TYPE OF IMPROVEMENT PROPOSED USE
Resi ntial i Non-Residential
New Building E One family
Addition ❑Two or more family ! ❑Industrial
Alteration No.of units: ❑Commercial
Repair,replacement G Assessory Bldg ❑ Others:
❑Demolition 0 Other
U Septic .D Well El Floodplain U Wetlands L Water shed'District
.,
D WaterlSewer` - `,
DESCRIPTION O WORK TO BE PERF,-OR ED: `_ �,
S)" La t.s::.L S-� S'e
c�le�<ler� Ct�Ca2 �' P='sem
Identification-Please Type or Print Clearly
OWNER: Name: 'rev r S tAJCj 5ZC7 Phone:q C °
Address: olL Pic:
Cohtractor Name: > C _ Phone: - 79- 8 -
Emarl Env cryit` l [ rsa
A-ddr�s
Superu�sor`s Construction Lice s Exp Date ;#_ r'r�
Home Irnprouemeht license: - '} Exa-
ARCHITECT/ENGINEER Phone:
Address: Reg.No.
FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED oN$125.00 PER S.F.
Total Project Cost:$ SBS-t? 0'0 FEE:$ f
Check No.: Receipt No.:
\TOTE: Persons contracting with unregistered cant ors do not have aecess to the guaranty fund-
Signature
fu -Signature of Agent/Owner Signature of contractor
f
T
Town of "al= .11
Andover
No.
o
h ver,Mass&*Aw
-"26
cJ
U BOARD OF HEALTH
Food/Kitchen
E R IT T ILD Septic System
BUILDING INSPECTOR
llt�VL6"jP. ..............
THIS CERTIFIES THAT.......... �\612......... %Akr�
Foundation
has permission to erect.........................buildings on 1�4..11. .. . . . r—
Rough
to be occupied as 64*'�..... ........... Chimney
provided that the person acdTfing this perfm shall fflf4lVery respect conform to the tents of the application Final
on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONST�' 10 Rough
Service
. ... ....
Final
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildin Rough
Display in a Conspicuous Place on the Premises-Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
ConstructionSupervisor
FREE ESTIMATES PROPOSAL Li.-#CS162663
�.
FULLY INSURED H.LC.Reg,u 138564
WRIGHT ROOFING-GUTTERS AND HOME MPROVEMENT
rift Types of Rooffmg&Gutters
354 BERRY STREET® NORTH ANDOVER,NIA 01845
TELEPHONE:979-687-2247
PROPOSAL SUUtBMITTE0TO PHONE DATE !
C 1-71-" 5 W,C,-�z C-c0 —Q,73-008-6-- 058 '31
STREET JOB NAME/LOCATION
/la.{,t w 7`_6 r n r? t I ic.
CITY.STATE ANO�P`iCODE JOBSTART DATE
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We Propose hereby to furnish material and tabor-complete in accordance with above specifications,for the sum of:$5 65 0.00
Payment to be made as fogaws;
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All matenal to guaranteed to be as spent d.Aft wed,to be mmpieted in a substanbai wade"""'
Authorized j
manneraecoro",;to spefcatronB submitted,Peatandard maebces Any aitBrallon Mderiatian tlam
abavespenFicatrons3matvmgextrawsfswt4 hseaecvted oniyvpon wfFttenaNers.andwiiF becemean Signal..bey
beys dour avee,.ow avethamfim e.naagreements tan8n aryuponance.Our,em0sko ordelays
eonndby control Ow nerioezlryontollmsdoandatnar necessary lndpodytuay resin isarerron fully NOTE;This proposal maybe
amd by Workmen's Gampencagan tneurance.Nan payment by agmed pally may reHuttm Ettiga(an '
with Ibex inoludtn It oest and corn bon both teat and tive. withtl2wn by us if not accepted withi days.
� pane gcau PenBa punt ��
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Acceptance of Proposal-The above prices,specifications and
csunill ms are satisfactoryand are herebyacoepted,making this a valid contract. Signature:
':ou are authorized to do the work s specified.Payment will be made as outlined.
DateofAcceptae: Z
nc3 %lr/ Signature j
-- 1+�tit 4wT RQQf fiNQr
Ylassachusefts Home Iin rovement Contract
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IanguagD toyrottct Lomeoavucrs.Stel<&gni ndstte tfnettssa,Any-crura gfeadin homelmpmvtmsuts should 9rstobta(uacopyo
JfassacLustH4 CocstmEr Gttide to tiomeisuFravemsnt`Uefaraagteingte a➢ywoxk an)'onc resideace.Yonmay abtatn a3eacnpyby
Si..cal!t.,t4a
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978-896.4580 S#?YA Ale do ex- ! A
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4ha Cmvt_,,Vagreaeatada the fallowingveorkfor the Homwwrex: J11 t f .} Gis Ovq„r
(Desusbaia detaili.aVcrk mcomptt:<d,=peityingthetyFt,b�+d,a'd Srzdeof mettda3!a ba//ese9,�v�',s'i, 1 1
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See -13,-,d ata rm C��T�rti k A-6 ce,4-fa"At"
Rtga7red Permits-Tnefa lasaing build!ngpennits act rt4sttred Proposed Slartaad Comy2etian Stryai a fo-W3schednta'-
ndcvillhaseturelhythe onttertotas+Le Loneawnefs agc➢t: be zdhtred to un less rhr nrssta.tes bsyaad ea caahzrbr>cc trat ansa 1
{)Wncra who secure thetr own permits will be
7/!0/(� Da'e tvi:rt<u➢tr,�.ctn:tvi!ibe�uc uhecte8 tvc:k.
excluded lYom the Gunranty'Fnnd provisions of -7
(\TGT.chapter 142A.} 0/6 Datauiaeccanttmtedxcrk w!0 ce substanda!3y-spitted.
Tota!CanWarrPr)ce and PnrmentSrhedu!e tho mtai smncla ts6 p$0•¢0
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Tra Ccaazctocageesio ytrfatsntha w•ark,firmshihama&dat and!ab➢r spsriEed above for7L
Pa}:nentswl7lUamede ectord`.g to thsfolle'a�gstieda.
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SA by tom/lb erup:n Fomp`et!oaof y� e+sY- ry0'Y
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,NOTES,() d::�yslfirusw char;xa{•�)iawcu,,be ttat znY Lcposit n:d°a•pesrceakrt m dbyc ii beta a;r 5eS:may
,.o,exceedthageasrof(a)c,^e-h.[dathetole.eontrxet prcow(b}thottw.iccskof,y spz.!aE eq�eFrc sG - em smdemz:erii
wh:rh rc,:siSes;,e;zt aderd in edva^cs!a-aet:he caTp;e:rca sche,>.
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SahcastaaUtrs-Tia mntraac:agrees to t:eso!a!yrespDpnbie tbrcomp!eden fdst d bd eg rdl s Fs.Fa t, of'ly du
n;a[y!tL e.Lac!ec utilizedby u:D cantrzctar,Tneconfractorfiutixcagee;:o bascie'ryresporstb?afac eltpa};revts to..^.tl s'_ e na-os^.c
s w 'a.o Ilya t r*t ,e .+
Cantras:tAaeptaact•Gpoaslgdag,ddsdmnuembecomes abinding ca➢tcsci under!aw,iJn.o ofathefo ,mgraane3lsnd=d-
curtracksha!i nbthuply that any l(:ue.otltec.ecariViutzrestLa,bee.placed ca tbare:ise:tca.Reetety the faLott ng cauUo-ns audreticts
czrsfuity befaxa signing this rents t.
cant bapressuettno 3n'r.3 dra waback Tvka timetareed mdlU!!)unins dit.Ask gntst3nns!fs ehdngis uactear.
�£txe s.aotao eml$ya14r!asaraid'-•`^^'^"^°nefoltrs tar Rtms atlan. ro law zx;n":ymesth maimFzove�aentco;azctcr>.nd
sthcoanackaratnbezagistetedwitht'aaDkecWrofXoma lmpwvtmentCaarrzctocfte�stratioa. eumaymq::tra about ce➢trxtiae
xegistrat!onbyvsiting totheD eztorat30ParkYIaza,Room 5179:Boston,gA02116 orby callingb17-97M7€7 or€€€-283-375-,.
Dees thacnntracterisaseinsexance7 Ask tLa Ccntrzttorforldi iaswasce companymunasden so dttt}ea cm"a""cot E
• seen casyofa"pcoefaf!nswaac:'daamta:
Know yonrngbis ltd tespcasibuities.Read thafmFartzot lnfonnsHor.crtthertversa side afl!ds fatst and get acopya 11eCo-i..t:
G std a to n:D Y.ase Sr."prnV t6t➢f CDntidClar I.aw.
tt�Yca may cxnce!Csisa,zemen[!firhw hew s!g➢ed ataplaceadur thand ca.hzctor'snosmety!acsafbusiaess,protddedyastaottfy ttt
tcuntr carte wriragatldsq:ermear ogiceor bsaach office by
teFegas➢seutor bydrisesy,nbkiattt tbasri t..yt+t o£d;�
ilil dbtamass dei fallo van clan ofilds agrtzmeat.$FD tLD attachedaor'eofeznee'is�!on Sorr for aaaxpla➢atiaa of this'girt
DO NOT St CONTRACT Xlf THERE ARE ANY BLA1\t{SPACES
a t:s9a4 bc3.0,+s:fl* ! ,IL, ..-d-
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t Ar_ N°fel 913116
;th8 commonwealth of-Mas`srcehuset/s
DePvtment offndwtraaIAcdd6n4s
1 congvessStreet,suue 100
-- .Bostoaa, 02X14 2017
wtvw.rraassgovfdia
' .g�� �o3kers'Cor,�pensation7nsurance.A�davit:Builders/CG��OsRTL'Z.�cianslklumbexs.
TO Bx kTLZ,.O WtI-ST kI� Please Print Uixibly.
A pficaetJhIOrMA't on
1\amu(BnsinessTO.g"�riza onl7ndividcel): ��`-)t 1 �""
Addxess: 3 SZ1 .��r r �f-
cjt�r/state/Zip: N. U O v A - D 1 SYS Phone#:
Pseya an empYoyer?Checkttie apgiopriaie baa:
Type o3 project(rp' bd):
1. ama�pinyez'gs7a �..= e;ngioye (gill dl'nrgartiise)• T []Now-onsanctloA
2,p leen a sole pmpddDTOrgarinersh#n and Haveno mplaye s working lurme in S. []Remo a73tig _
eny c"Wity. camp.insuaece regairaa.] 9• Q]?emolitian
3Qlamafianeow—XJde9awoxkm3seli.�Tav✓azkers'comp..irsecancemq¢'sed]i 10 Buloiag addtftea
4.QTamafiameoF,'nersn3willbehirng�n`aaccrzs�condwt wnrknnayproperty Twill 11 Q Foddeal xepairs ora-ddidOns
ensr*retfiat allrfln a�'ars eithwLa e taoiiexe,c.,p=aeaainsmmmee a*aze sole $ ,.
progr,"ietarswffincemoIay`ees. 12:[[Plumbing repairs or addigons
S.❑Zam aganeral enru'ar'.or�ndZha�ebuedrhe sub-contra`oxslisz'rdnntUe attacr.;dshers, 13:[�R aim
^ihm sib-rrn�sessriave employees fiaseTyvrkers'coup_�.sasmmc�y 0 OURq-
1�. 6thgr �
6.Q We areacezpera��'z�=di#sofve=*s7>zveeverciredifiesig�ofe�PBannerls4CuT c. _ �/
252,§l(4),anewefiarena§em�-glgya s.jl`<owor]cexs'ramg.iasisancere��.] .
AnY PPcanttnat rhee. fical est atso .outt'ue srrtrr�belovtsL+ax'+4geswo:sus'ecznp +'onpaicymi ;'iaa
�E(omeowrers Ba sub i3i'.I�`�:fida=tindicatmgtls;5'ase doing allworkendEncnhira onisidc co�aeiasm sa'bmitsnesvacflith dzcs±ing seals.
,. .
sC,onfractors;d�st chars:*�ab[�musca,.tache3madditional s'aeetshewggtfie name of4kescb-euvtr•ac�rs ands`vr�n'`•tether arnd:�i},m,eats'::es`rave
emglsryees.�tfie svb-cor l�.u'�•s2-.a�e emnIoyees,$ieymast prnvidefheic fUrimrs'corp.paLcyn�+bFs. .. '
T ain or evr ployer t i d ill t ovm&gwoYkers'Catr�ensa ro it s€rar cefot try emgToyees Belo s fhepolley unJjaT sti<e
rnyfotrnatiorz.
7.surance Companyll'ame:
110&oy4oxSelf-ins.MC;.". 5-387187"d/57 _ xpirafionDao: 36 �i
±� n �_uer✓h,q a
lob Site Address' �i fG w l��✓n� p j a c —qty/StateJZ p: 6� ^7 r
A-ttaeR acopy oftl� orBeers'campeia�onpoiicydeclaraaan page(showing the policynumtberandexpu'ationdate).
Failwo to seoare coverage as regn edunderMffl,c.152,§25A is a cxLuinal violationpuaishable by a fine ail is X1,500.00
andlox one ileac iu px3soanent as weL as civilpenaI44es inthe rDim of a STOP WORK ORDER and aEme of up to$250.00 a
day against the v olater-A,copy of+his st.,teme=nt may be fox warded to€he Oftca 0flnvestigafians ofthe DL4 fax insuTaace
coverage verification.
Xdohereby cerhfy', ex zaprltrsar�dpetznifiesofBexT T"yhiaCtheitzlarrtcAYortirrovldedabaveisErue�tz eaireet.
Dames/lib
sena-Cv�e __
QJ�iciaZ use orzly. J10 rsottgrite in thYs are¢,to be eorrzplete�l by euy-to WA offic&aL.
City or Town- - Permit(T,icense#
fssuiugAnthoxify(circle one):
I.BoardoiHeaitYx2.BnildiogDeparha a_t 5.CiWTown Clerk d..)Iectrical7uspeetor S.RhaubingIaspector
6.Other
Phone
CoxatactPerson:
Construction Supervisor -
Restricted to:
Unrestricted-Buildings of any use group which contain License or registration valid for individul use only
less than 35,000 cubic feet(891 cubic ureters)of enclosed _ before the expiration date.If found return to:
space. Office of Consumer Affairs and Business Regulation
10 Park Plaza-Suite 5170
Boston,MA 02116
Failure to possess a current edition of the Massachusetts �� -,f ��t -� - -------
State Building Code is cause for revocation of this license. Not valid without stgnature
OPS Licensing information visit:WW W.MASS.GOV/DPS_-
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