HomeMy WebLinkAboutBuilding Permit #194-11 - 970 FOREST STREET 9/4/2010 BUILDING-PERMIT DFSµ°DTH
TOWN OF NORTH ANDOVER o
APPLICATION FOR PLAN EXAMINATION
LJ
/ e
Permit NO: Date Received
- Arm 5
�1SSACHU5���
Date Issued: '��
IMPORTANT:Applicant must complete all items on this page
r %.1:f,•,°!' :::1'� =k"41-Y-u_ _:n:,�r.
i-ZL::.�^...._ .. .t- ,.. _^.�..:_:+�`tR.
1• - `1=� ter•„:
•v..,•az,.e '%'Y 'may) _ t"v.\-. v.r•...r.: !itis .rt,
- -uq1- _ _.!i' - - .�"`?i..F. t.r•a�...-.dn...l:'.Ji,�.-��'1;n.:i.^�C^'�=.`` 4'e'c' ._.3'�.^r^
.rc.e.i��•,.t�y`-e-'
- .>•._. - ._ice :,i!_�..r..Jy.,. 4ti ^I t,-t,`ib ,=:�-..._ :,1,.,..,:r .:e-- _ ..�'-sr�-w.:.^..ms,5'-'
."'+`,= - - - _ i'^4.-G'•-'"-OtF]�'-'- _:y_.Li..,,.y.t�_;..: Li"c .n-t'r�eRr�••'''"'.5t�:'c:..iti:5 9 eta'
mo..
-
.=:y'!.
R
-+.-tom,. 3t��r,. - �•L.)^� +,•-:iii - _.bi'r' .:lei �'I �?• .}r• .u.C.^ _ _ _ qtr:.=�','.'•:,s,o-�_.:.e
�S<FiL,� zF.a'.i v'ryk• 'f_, K'3-' r i.�.. „t'-^ - v�J�:Z�_ r�`�:�.�1:v:=':a4•E'i2.'..� -
'-F1`t.T.'�'k_sal^�_ u;�:,i.•�';J:.: ��+ i`Y_'i:�.ei ^s�•{:� - '�rU s(. krrv::_:�-:���)•. _ ..r ..:v?;;::Ff•.- a.'.�,r...-� ___ _ ='::'1"'
�,s'••-�'� ,..1�=xTt�T.::,K: •.•�"r:l;i�ta: "1^. oc��rN L�,•'Tn �J.n�L:r,. =Y.E:�•��,.�_.,.�;:•..h„r��".^2;=:� .4...:a�.:�x•G=*:ikl_.�.v. 7:c-:.-?.-��cs -_ =is"'�rrt�a,!,�tiF!:1
�:=_..,r!wacda«w,-�5_. --= - -_-_Y.:;s�`,'�,�..v+: - t:- -�-"ar�S .x• ��u�r'`sr,._:..J: _ .r=��. v:�„"t'�g�-t�'-,,.sr-,.t:-, _ dx::,m=,a•";<.f-.y::i.�"`'1s,�'~`r'''sds.�r,_._y>.v.,•,.��r.
1 � .�i�+e�' - - .,tt-�e'7�treX rst' .tom. c• �`✓z Si'a=.�_�c_=u._.-�-�.. _ r�Nr^'-..:t=,
��i' "�`�ryx'/�����g1' -4����_. -w•�.5 _ :-qr.��:_i � .:,�``"'- ,,i, u.s��.�•••--•_.��r��h4''l�'.-pr_c:. ..�r.�rr�.�,�:�„:=�=.....
"-�'�'Ir;%�- xi51:a•1�.51('Jla- _ :,,c a -'r�. ,..y,.. .-.F.•.' 4�'`.)'•: ,'tj-cl!."r::-E:^ :3 'l�'.., n,t ,•-w.-+ya.,�- T,`.:g?^,5:?'
, 2
.S.L r - - L 3.. �..•.
'x'r _+:^�,',.-_ - __ - - '3•..vk'r'S,.r�c �:i:�� _:.'.zas•.-�`I�.7h
i';;Y •,-r���Y_,..s �cc'.�Ei%3'��}Ci;::: nF .:=r_'4� .r.,i��`r.^.a�.r,-:t.."„.�i��'iSha�:=.ut�?�r_,Y`�•yr r}',�7�a.
�.�. __.,,.-„�!.. ;.c!!U^ rk..,7.a ,�. �4., r,•,ti•ld. ..y,.nl. t a.. .c:�'=+t _.s,., ,a .«.�'.� .e.
.'+>, - i ,,x:a -1.'�. .,r... ..-T._.ya,w.;.. ..ss;-,;a'H,..- ,Jr•,�,av �lw. ��,,,-'�::snmtr,.r. - - - ,a
�'_� '-'n 3t �m-J,.!. '�- _r, ,�_'._- fid �h_ ��%�': .p.l ..�%�I:SrSrr.' .-�.'1• JJ,>'
, ,9."4v _'.1�. ,.�-(iev:i�' J,�-Y:•. ..1 _�,r.P{t. _�' P��.��.r 4�•.T." rotNS a*r5x_ _ :,�_�,�'S _ V�=A�Lr%�'�:.�1�Y ..i.,
�.6=•;,�'. r' - F :s�_ x, :I,k't=s14.5.. .� .,�a �R�;�'... 'i2� .I.r..�f' Errc`-;.res, ..�i;•' .�f�s'..�1.7:..i r, �•!n•.•;' - -�, �.:,.?
.. u," � ,:. ..,,,� ..,� ,. .:n.•^-ti�:,Y': i4 - .:'c.e .�rd£-^�;r_Sr•K�'-r�r,:-�=- � ai �..-rrri� � 5•'z:'�,r.;.. _ $,Tn�:r._j-.
fi `P 1[; 4� I��'" r'r `.iJ,'i,t 9'1� ''ff _ T>1ty�5�'.•.r'1;.',••ac.,."-Y:F,' - t
..i I J 1,_.4�3?n^3!..,' rr^'�-�.•r.:�• .,--.�,i
p. .ut, «;.*ic^':�ct,,:: ' �.q,:'m4 v. hvr-•-..'"1'G'✓+^' vh'�' i..i:.' .'[h...:
:,!
�.-�y�j�r`a� rTJt�.'••tr vYn'.- :�iP:;•.. �.�.',-�.",h i-.•v:z:r' �f-�-:... __..�,"..".' u,,:'1",-
Zi. L':,'`5_J.,ud�•'I>"'^'il !, L .,^-• - - _�",a-'+ v A�::e-x �,�.�: ✓,.0"3 1�..pyt e,. - rr tt'_-rr�,.rr-Rl', r,.L•nr�'y,5.. _ �:i`.;
5`i�- "•- _�a:-, si`1'.._.. y_Jr ...$.-, �:tt��`'w=.E�=`i'�'";.<k':k�,L"��? t:4e,.,�; *' :J _ _ •,..>•;ah-� ••,.,'�_,.�.1 !.1t- -f.y�s_r`
n',��;,:��„a-w.7s51�.� ,.�>~3.:.11_-'_-.+,,.,.,t�..3, ;;e;,rtalx��;i)...�I .r,J`a:- �•�,•r:r�'12.�';x.,_u,... :'a.,7r,'�"�' �s".•.a::x,t4.._ or,:k�.it•,•m,:� ./+ _°�?�J•'1` :�;"L_.('�•rt�r. :1- --
r"-9t'T'ri�-_'�ii�i;�-�,��%�:drr..-�'..f'•r"Jn=r")".R5".':r.St_lu\':,��-Y`:f"^ce•-d "�.t:�c�ry s:".�ta'�q�: s T 1„'�['. �.:l�ili'v� }. ,: ii �� �I:� 7irl.4 y. �r t�'7:,ano�-
-
TYPE OF IMPROVEMENT PROPOSED USE
Reside
j2JLaI Non- Residential
New Building One family
Addition family Industrial
Atte No. of units: Commercial
Repair, replacement Assessory Bldg Others:
e on Other
nr=�';-'.'',`t_`?�r:�=1',-�,� _- - _";t�c�•,.> :�'>t$� .s L_: _�c a:-. ..>•,n,...t:,: ,_.r".w�e- _
f r -;Ij a� �:bh. = `�" ,.,��r== � 71e2J:'� :•,y.�y.."
�'���...��kir����t��.������ :.R "����p�al�� � /�t1��:� x��-.,y��4:.: _����t�•,'�e�. �trr�t����.,�$���ry
."' _ �� :.i .cf eEm E F"b�' �''iT' 4� -f.T.r;.••.:�'1['L �t tYY ,'V_.'T, 1'' �" ��' F'r. ,
•1 � -�''rr.`4r'�''�a�r,-?,�''r-r` � �,n:4�.�"'i��<.. ,ti: '�s.sr: '�,�i .s•,'.r,'i:-,.,:,rgcr,�'�,.�=,�;yi�-.� �,tkJ:,. �'�`�' :�-:�.ad�".:,t l" �:ti '�`1r'' ,.F,.�.,.,.
�zr•-:-•N•-• 5��ti7.1`rlYdl•Qi s. .l`.�*� :sr.,T�::2`�-'[j�• ��'?nr=r�'�i-:.'�:rv;S-_ �'+-tc4 `�- r.-2:�9 �.li..; -�� :r..:-. T.4^ � rr^s>`,�.'1!u.�':ti 1-_:,-...-,
.,'Yi''r ,�'' _1�'�",C`'4 se;;�;Pi� .r:l�e! i.,;-::•r•:t M1r'f:;r-�°`: -l�?�,.,
._ ... �.�. .�'r-,�.,...�•'.:1�...:t�s_.r kk,-�a..�.:,:rc..y;;�.7?:'e'�".m-_'..:$�<::`?i. ?.�:,4:rxdy_Sa'tny _ _ 'w`t.`�i';4�v�YY �`-
DESCRIPTION OF WORK TO BE PREFORMED:
�WlU(Q_ VT_k,\ tS 11S �Njcki YCJ fQJ CC)V-"-NezS
Identification PIease Type or Print CI.early)
OWNER: Name: Phone:
Address:
t�-2 •.s�-i~ - ._ v:.�y.,��....;.:'.. .•.w �:rrr k l'L,:.::'a-::.L..2.� - �_ a,•t•`-i"^"y- - _
,:vEia�•-�, :sem ___ ,�'.S'� '�•t�-."-.r4 -s '}>i'..'�tii",2I.�'-�';'.l•S:i'+-d�1i'r:7•�,tr�!;+':- _ -
�
• 9H' .LS`'a"?a, r 4•:va P /'S4t` .rm'61�--' a .;�: �; 7ru :�,-• 1r �P Fi _tr, ,�7 .�-t.Tu• l."ah!,-,r„+.t.•:':..S.nLS=iT:iS;s'. 't
mh�.�5'`r" �'� � - 1..J .nya,c�x., -Sl- � � j vim" `aaw.'�` a. Ir!';,: F=�•: �..
�c'�x -N s; :'�-r<i zw.a." "�•."riu .0 a - <..r.' --'f"I �.� }"ft.r ,y`,r' {r Wim_ �7e -s+ q-1'"` i�,r f'-.ay.7:�`-!'�`s�-�J__ ��• !' .�.�� 't* e�.vt,,^s..i •�`'�w.� �r,rt. �
`T�. b -.• l •-�a- e`�' .,W. •=< s,� r ° T s-r.xt•` e,�Et,s-•rw.'«•s•+s,�i -, 1f•axr
y�S;"' ��H ':�-".'�`t ?�„tt�F"r'�.-r �,r-,ct7-, m t�.n�.,.�n,4«t�-�"��. ��5, �' h�!¢'a iY' "err3"_,•t�.•a:.,y.. _
�����, 4� ��� k, �'i-'b. -�;_i'�uf;' •TM- �� •2M^- �il�+,J� Vit;,. �"a my fir,k..,^ '��,^_T��� �.1`rr��`_a�`��,�'.�+i-,1
:� �.�•�� t r' •iz'' .r7' �" }- fes• ,r,,."�J+�... 5,- td
•� b s s�e�a
�,L�. "s �, �^"�•*'.. ���"� �` TI .. '_ a S� r�,r iM?m--s' tib
�f a o* a. €€ �e F aH xS:rk �l tLr s r •9 z �zzIaB� H�-: ., 7f �, ( 4
�JFry. � cin i .a7eh� k'�c.• � :'i3=
i •
;.�".�s��-. T�-:.$.,. rnK"a'. _ -r ztr+.�•.-; .r.y.�,� _ _`_3`h.�"L•..i�f�i.•,t-�.•icfiur-�� y2
<�-cr - � z o yl;, �... ly PY•-•s - �.Ir_s - .. - - -
n moi- r�.!� r.rYe�-,�wk,Tr�',�.e:'.:J�.�Yr .''M a �J:v ,Z,.I- yi- `zi't egFNG'*i,+L"�nrr•r-,�:: r+:s•''_a'�r 3irv?^'�r`: � y:,.�r,.::-._ �E
-�;; a�:•e" ';gcy.�. S�stt�,`.�n?'baa��7,:e a`;tx:�, �.r _;4�•^r 1;,�'.�'i;i"�f'''�,.�y-i,,5•.�:.,,,'i-_-•.'3 a.'�'`�ti�' -^f.7�,���-'�'.r {- .,3,ilr"".•"�"'Er•';e_�'.�...zr.L�.r. - "sL"�
?y�',,,;,"?s- i�-�'��� ..Sar:- .,;�; .T�t&4"+a� :�i'�•�.�'''�i4��sg,;'."�,����.�_'i:' '. � c..l�! 43t rr.'k�,�;�3;�1,�,�;�:::�y7�e{:zs���f. Ys'��rr-,.,-'^:•;r; � ..1� `?�,:i!- ..+ ;�1�'..�j,.L��:q
i sS �,�t .1Preeu.rS'';. � sA`yy.1wM+,y, •4 M zea! -..tom, I• ¢'1 ary G'y�•.'a�.`!,�'f L %'A��71F1-+iE'J`•]i,TM4• .uur"!J c.5 4�4i� d.: l`'�i:,'-%`f• -'•,-'�:s
qz -�i}I�n Ao'�k��I"�, `mil __ '_^.�•�'�`. ;; -.r:,-L: +1•q�' ".�n if =:,; f ',�"•'�'a -r.' ,v➢" vrT y��71',,:'',Itlr:.v�r:Y:•�:�.
`�J�E" �'?i�r'piy� t!C IY,�7r�a�j.: ..1^�.a4ea -.t}�' "rS'''^4.�'�'y"}'.�J;�r'��; ='.4-rf r ��yi; k;,_;_ ••,..;r. z ,.;.f:-°.y'.�rz+x?.'', :•._ '_,.,..r,W
._ ?.� .!`•!!1!151 .S. 1SJ!.�i .i.;J a';4E�i::.e.l:_•:tiCWS LLi •),•€'^kynA(U6'7.,1,:C.S:IT. .. _ �i.21p,.'Y
0-
-
: -; nC: l..-.��a:tt� .•.:v, r` :t ;ewt-L�yr,�rl �`-z.�,.,-,',^-'.�'>LLF.,�:..,�)i.
,�7�_,{,": h, i. urt,?•.i:,'zk.,.:�`L".'�S:'• r��-{'�':?
.! ;"f,l:•� - `3a. ..�, x�e�.3:'S;�r-�';r:..�.,o.ti;,•_�l•':i yy u:::.;r '�+i>s fi3n. >.,. - _
�• 7r. ,.r,+,•,. c-'• a-( ,.r.^yT<.;:`a 1. r�-:< .`4JFF. .�'�irSyt�++'+;a:.�,�.r.. - _
,� _ �.m "9e rr.3' tiz, �,,' _ ,.�7•�..� (�v,`rA'i.A. I�
•''ti..'i2:n3'�as�.Jn�t�*�•w�r.��.r.�:�u,.: .�• �r. -'.�. tc ry-. .usi�t,.•!rl...,� -.."�u':,�_::iyc-�,,r::1..z '', .�'1-__�`,`�;.-"r"�''t�-.' ,`raY'•in.'.
=�r -�' -rx'_,.:.-r-�,.. V _,s_ �, �.;o ,'Y .u"r....: '^�.. �:,.rr;.: •Yc. 'r,. ,._E�.-T:�:•Ft.,i,�.n-�•.,.-!-. __g. sl+�•- F t'x.'c4;�-;'•'o�>fifi�`� '.
r' y -..."�f'nrr+� >'v__ •J'-�.. .s..fz:cc9'-Yr_;r�Ki"t� •E.c. .�.. "•�.'c.: `'i �',�t1 .ri-: r 6c,:,'s- mr "�,.,...n"�^',.:r 9y� •2.._. _.1�
�•.. rY�•=at's'�":ri.y^ .;a;"z'k,;;tL,�;,,._i'! .x�,-��!'-� •,+nd,.�rt=;r.TM•,� .^I .,;t; 'y'�s_;..�:Fic'' ,:="_kis,c:;e'-r-�"-'�'.!'.n-.r.''�..�F�.z.��^^qif'-f'`F`r3- ___ �..r�c.«a�:l .F,,.•.,F.w�c+;.a•�
, ��;s_'�5�,-�4���� ,��, �r.-2:wa a���a?`°�'�=;:•-d-e�'�t� _ .�ti,�'s C-`�r ,e �. T3�cr,�,.e,,�;ns'`•r'R�,�'d,$!,•iry
,
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ ( 9 q 0 FEE: $
Check No.: � (p Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the fund
�r..����ur�e��._,.��.,v��u_=t�..�erg•-' _ - ,�-_..5:g'na,pure�of��o�: -._ � t';. .J�.:.....
Location �/ �` ���
N
No. '� Date �
NORT1y TOWN OF NORTH ANDOVER
f �
O
f
A
* i ,
Certificate of Occupancy $
CNUs<� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
r
2 � �:
Building Inspector
Date. ��!�!` `/c... .. ..
NORTF/
pf."aD ,°,ti0
TOWN OF NORTH ANDOVER
- PERMIT FOR Go INSTALLATION
,SSACHU5Et J
This certifies that . ./-. �' .��r/'. .� . .`.�. ��. . . . . . . . . . . . . . .
has permission for gas installation . . . . . .
in the buildings of . . .n, c
at /? . . . . . . . . . . . ... North Andover, Mass.
Fee.3!� ..... . Lic. No.. .7`.. . . . . . . . . .. . . . . . . . . . . . . . .
,GAS INSPECTOR
Check# b l/
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanuing/Massage/Body Art Swimming Pools
Well Tobacco Sales
Food Packaging/Sales
Private(septic tank,etc. Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED'
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Signature
VlJIV1MENTS
HEALTH Reviewed on Signature
COMMENTS
fl •
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
-Conservation Decision: Comments
Water& Sewer Connection/Signature Date Driveway Permit
DPW Town Engineer: Signafiire:
1+ r. y_:i`e•::ter=:..-s.-u:i•o-�.:.�.v.4`.::+:o-:.a:u.y _.
_ Located 384 Os ood Street
x:9 k t - +>r.;,.i..•c.: `.'Fa: ,_•�.w+._,;.. �•:a_.,:!: ';=-5 9
nal' 'p�T' :1 r c.... '�'Si�:rtt =.rya ,4:.: _
�a�}l-, 'It17Aa ti � - - -.�. .7. .1-,o-a'rsA,• -_ -:-,.;�_.
.��• - _4:�- .t`,.: to - _:.�r:•1...... -1 i�.v�r•,"`_:•
• �M�1p�ryy�� Zrn
.�• ac�. - - '�+4+-J''
[ivl•''�yef.:_'c^,e�` - �_ _ Yra.+ -ihJJ•lo.
-
d.
-
-
.,,�.1,�'••.•
r 1.:
{-�
-�: - - ,.-L•y:-".'.°-.:.:.'.ice(�
�y..
., .-..',rte-••• ,r3.:ti.:r-,.._.-:;:: ..� .z•-•==- '.:T: _ �
- _ ......i. ..... �..._.J_..�.. ..;..1. .1•v._- 11..::x4_..: n:".....-..,?......:::��r'•{-y-��Y.
,:. _� ._...._...,,.._.,,.._r_x..,,...::r_.._..-..,,-,.tom•,..,...._•.,.,•-•.,. --- - `
('� is-i:• - -
�i
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
❑ Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or.-Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check.Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
-,--:.New Construction (Single and Two Family)
❑ Building Permit Application
❑ Ceiified Proposed Piot Plan.
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc:Building Permit Revised 2008
Office of Cons mer ABdsine�
'VHOME IMPROVEMENT CONTRACTOR
Registration: 160921 Type:
Expiration: 9/1012012 DBA
MORMAN PROPERTIES&DEVELOPMENT
MICHAEL NORMAN
10 KELLEHER AVE.
PLAISTOW,NH 03865 ��
. Undersecretary
:Massachusetts- Department of Public SafetN
Board of Building;Re�mlations and Standards
Construction Supervisor License
License: CS 87851
Restricted to: 00
MICHAEL R NORMAN
10 KELLEHER AVE
PLAISTOW, NH 03865
Expiration: 9/23/2011
(ommissiuncr Tr#: 4777
11 N ECJ RMAN
; RRC3PERTI ES
&
DEVELOPMENT [
POW -9a
MA CS License#:87851
MA HIC#: 160921 e
t
Project Address: Thomas&Jane Gunn
970 Forest Street
North Andover,MA 01845
Home Remodeling Contract
r
We hereby propose to famish the permits,insurance,labor,and materials to complete the following i
home remodeling project as described below:
f
Remove,Replace,&Paint Exterior Trim Boards i
1. Remove 66'of 1x8"rake boards and 1x3"reveal boards
2. Remove 32'of 1x6"corner boards and custom skirt boards j
a. Customer to supply one 16'piece of shirt board r
b. Contractor to supply additional skirt boards
3. Replace rakes,corners,and skirts with pre-primed pine to restore to new condition
a. Paint all replace boards with Benjamin Moore paint to match existing
4. Removal of debris included j
5. Work to be completed over 4 day period weather permitting. E
6. Any additional lengths replaced beyond what is described above will be billed to the
customer for time and materials. i
a. $65 per hour for a two man crew or$520 per eight hour workday
b. Shed repair to be billed for time and materials
We hereby propose to furnish the permits,insurance,labor,and materials in accordance with the
specifications above for the sum of: ($1,940.00)
Start Date Payment: $1000
Finish Date Payment:$940
All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to
specifications submitted,per standard practices. Any alteration or deviation from above specifications involving extra costs
will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements j
contingent upon ctriY ,amidontc or delays beyond our C011110L Owner to cam'fire and other necessary insurance. Our
workers are fully covered by Workmen's Compensation insurance. if either party Commences legal action to enforce its rights
pursuant to this agreement the prevailing party in said legal action shall be entitled to recover its reasonable attorney's fees and
costs of litigation relating to said legal action,! by a court of competent jurisdiction. All ledge and other
unsuitable excavated material to be removed atL cost over the contract price. r
Authorized Signature � '�` 07/19/2010
I authorize the work to proceed as stated in the above specifications.
i
07/19/2010
Customer Signature
. * �,' 3",`" .� •,. -its ��' .a^ F �.
t u_
f�
ORTH
own o _ Andover
0
No.- Polo
over, Mass., • 3810
Q L LAKE
/� COCHICMEWICK �
%p AD RATED PPp��C�
SS BOARD OF HEALTH
PE , , MIT T D Food/Kitchen
Septic System
%W t BUILDING INSPECTOR
THIS CERTIFIES THAT................I ..b.... Foundation
has permission to erect builoin gson ............... .... ........... Rough
to be occupied asId6�
T
. AAP-!-W- ..... . A ... .................................................. Chimney
provided that the person accbpting this permit shall in eve spec conform to the terms of theapplication on file in
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration aConstruction of Final
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations:Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS \ ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI T TS
Rough
............. ...........................................................................................
Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
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.
SEE REVERSE SIDE
Smoke Det.
FEB-17-2010 12:31 P.001/001
,440oR& CERTIFICATE OF LIABILITY INSURANCE
BATE(MMIgD/YYY1f)
2/17/2010
PRODUCER INSURANCE SOLUTIONS CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
60 WESTVILLE ROAD ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PLAISTOW, NH 03865 HOLDER. THIS CERTIFICATE DOES NOT AMI:Np, EXTEND OR
(603)382.4600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURED DALE NORMAN INSURERS AFFORDING COVERAGE NAIC#
9 QUAKER STREET INSURER
NEWTON NH 03858 INSURERS:
INSURER C.
INSURER D:
COVERAGES INsuRLaR E'
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INp1CATED.
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER NOTWITHSTANDINGDOREIN 15 SUCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEBJECT TOALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
5a
POLICYNUSYIBER POLICY EFFECTIVE POLICY EXPtRAnaN
GENERAL LIABILITY IJMtTS
COMMERCIAL GENERAL L IABIL?Y EACH OCTO RENIED
NCE S
CLAIMS MADE 0OCCUR ims aoe rfancal S
MED FJ(P An one rtm) S
PERSONALS ACV INJURY S
GEN'L AGGREGATE LIMB APPLIES PER. GENERAL AGGREGATE S
ARO- PRODUCTS.COMP/OP AGO E
PtLOC
roAMNLYAU:TO
ILIABILTIY
COMBINED SINGLE EMIT
$
(Ea eaideni)
ALL OWNED AUTOS
SCHEOULEDAUTOS BODILY INJURY S
(Par Perms)
HIRED AUTOS
NON-CIMEDAUTOS BODIILLYoINJURY S
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABII.(ry
ANY AUTO T
AUTO ONLY-EA ACCIDENT =
OTHER THAN FA ACC §
AUTO ONLY. AGO S
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE s
OCCUR CLAIMS MAGE AGGREGATE
f
DEDUCTIBLE
S
RETENTION S S
A w 8 AnoN
ANDEIIIPLOYERS'tIBlLnv WC2-31S.375921.010 1/19!2010 1/192011 S
1 WC STATII• OTE.
ANY PROPRIETOMPARTNER,EXECUTNE YIN
OFFICERIMFMBEREXCLUDED? a E.LEACH ACCDENT $ 1 ()
Qdanda"in NH)
If yyea,dnb
eece under E.L.DISEASE-EA EMPLOY $ 100000
SPECIAL PROVISb, baby
OTHER E1 DISEASE-POLICY LIMIT is 500000
DESCRIPTION OF OPERATiONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECWL PROVISIONS
THE WORKERS COMPENSATION POLICY DOES NOT PROVfDE COVERAGE FOR DALE NORMAN
Workers Compensation insurance:Part One of the polity applies only to the Workers Compensation Law of the State of MA.
CERTI ICATE H2LQE&
CEL i0
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
NORMAN PROPERTIES&DEVELOPMENT DATE THEREOF.THE ISSUING INSURM WILL ENDEAVOR TO MAL 10 DAYS WRITTEN
10 KELLEHER AVENUE NOTICE TO THE CERTIFICATE HOLDERNAME0 TO THE LEFT.BUT FAILURE TO DO SO SHALL
PLAI STOW NH 03865 IMPOSE No OBLfGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REP_ 131TATIVES.
AUTHORIZED REPRESENTATIVE
.teff Eldridcm "/ - MA�L
ACORD 25(2009109}
CEAr ®1568-2009 ACORD CORPORATION. All rights reserved,
no._ 6862691 Deb Dezoehenont 2/17/20-10 6:37:00 J,, page t o`_ t
TOTAL P.001
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
�— NO. ANDOVER ,Mass. Date OCT. 27 2009 Permit#
Building Location 970 FOREST ST. Owner's Name THOMAS AND JANE GUNN
Owner Tel# 978-794-9502 Type of Occupancy RESIDENCE
New Renovation❑ Replacement❑ Plan Submitted: Ye[]No[:]
FIXTURES
x
x w
U W
W W O O F x x h
z0 w F a z z o w
m ¢ w w ° ° a a w
x Q z
C7 `�" z Lu Z z F W w 0 > o F a F-
w a
z Q w Q x F h ra z 0 z O 53 x w
= 0 0 2 w 3 A a LU < �U a > A a FW- O w
SUB-BSMT
0 BASEMENT
1ST FLOOR
2"D FLOOR
3RD FLOOR
4T"FLOOR
5T"FLOOR
6T"FLOOR
7TH FLOOR
8T"FLOOR
Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate
Address 131 Water Street ZCorporation
Danvers, MA 01923 Partnership
Business Telephone# 800-322-6628 Firm/Co.
Name of Licensed Plumber or Gas Fitter ERIC PELLETIER
INSURANCE COVERAGE:
I have a cures liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ✓ I No F1If you have c ecked y2s,please indicate the type coverage by checking the appropriate box.
A liability insurance policyFl 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
Mass.General Laws,and that my signature on this permit application waives this requirement.
Check one:
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accu ate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for this application will b in mpliance with all
ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Genep�Laws.
By Type of License: C_
•Kmber Signature of Licensed Plumber orbal Fitter
Title -Gas fitter
•-Master License Number
City/Town •-Journeyman
APPROVED(OFFICE USE ONLY)