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Miscellaneous - 10 BRIDLE PATH 4/30/2018 (2)
N O I � � W 77 I � O m o n o '{ o = o tp f m 0 0 N 0 _AD M N M O O N a o w O Ep o— z z OC 0 o - O E Q) O z w I— o 0 0 LL— O E E E Z w aui o oO oco O co L) O C O C) � L O -0 Q o o o z cu •'. w o Q C'm c N c -0 n- WLo O Yds U � Q c c ClM CO O Z clq~ • F- ..0 L 3� _o U (O J W v .� O O N N C W f0 a) Q N U O co V) O N N 0 o u (a tU ,t - 22 M NN cc X02 L) Z OW o0 O V a7 LL a) M m t O M t L IL LO N O F- O a f c i c f c Ic c c c c r c C fr f0 O O_ N U c0 CL .� C f0 a) Q N U O m '� � 3O O:OO C7N Y Y;f 0 NN - 22 '.a. . N 0 a) wa)coy C CL ,> N Ln Z OW o0 _ �.W U'SN O N Q N tt } . 0. Z co N Z 0 O O� 5 0 00) f. 00 a o a Z ,o : m G C 00 < ui �W y UJ 'o cu N °�� �O �o� 04 a. Q 41 o0 LL H o o m -o LL Z V 'C O L UE Rm .1 '0 Z LL� � m Z Sao �Q O C Q� I�� VNM QU).w 0 IL J Q Q.co m on in � co Q ~ m Z N uJ ti O 00 CD F- Q H O co N p W 'O m 'CS�r V O C:, LrO (DN LO O O O m Q E oo ` cuCD UX mdU Cj p m O 0 00 , aW Y o =, _o 0 a L J j .. Q r m� CD � lL .m O Q 0 0. LL.: C:, r N U �a , i @ OL O 0 .A t6i. C O b H> O m eyf �t et :2 0 N a) fU. a) c S .- fn O 'a' �.. � O c�Q� co o) CD N 0Lo co E:m E 10 ZQ O rF-Ne-, o Iio rn C m Qm4Lm: UY O O�+wO (0:000 Y U iu o 0 O IIi iri Q Z m' PO..r ; D taco f~. m 0 . f0 C O fl- 1- U V •- - m a OCD x� fnmoo x H F- F- m aiw W m : ID m a) tL IR a LL L- cQ �_ m S Ea Q Z C C.LL LL '0 i m 4) =. 0 O '0'U O W V M�QC.H co C W�:C7Ua(D O p OTr Z Q N ��NNOF-F-Go O C Q M tf) 00 ui Q X LL E m u)LL- m UUW E O O 0 E O -�L 7 3-:� fp:tp.(n �_ ommm��Y �� c0 Q M ? 2 O a) 7 tp V O) C J y f6 ;: x fn u1 � F-mLL2W.mYW ,mmQ N Q a0 G L)C4C'){q` U 20NZ Q � a -� W C= F- p m U U L: -i �mQ, = c6 c a3 �T0Q 0 )LLLL0 < m�{YW1LL O V a7 LL a) M m t O M t L IL LO N O F- O a f c i c f c Ic c c c c r c C fr f0 O O_ N U c0 CL co 0 0 N W 2 Q IL w J 0 m U) U) W w 0 �0 U Q J O W �U a� T d a) CL p 26 �o 0 0 1-- O J Lo r O Y U O J m 0 ri 0 r CL Q O 0 00 O CM M W N U 0- 0 V N N N N m o C C <C N a) m CL 4)LO L Y Y 22 � U �.:w' (n a7 N N(n N y N cl C > 00 M U) N p N S�WUS a 00 B O z vv z N N O z N F- O� Q o 0 Qz JJ _ 0 4) 0. o m � O V O -:z O N 'a U. 00 c z OtlLL:z mU� a) 3 O.v cmc m w U) co „o O F -stn Q QN (aM Q J oL >mm 00 v� M r 'c O o m z CD M OO 0 m O ON E co U� N °omw o ;W W M .a U ;2 U Q a A p 22 w N o> c = C p m 0 p co J m c O a 2 n ¢ o zN� a e- O J iL :� r 0 cc ao�>� m a) CCU mmmm" a� M' R rr:H Or � co ' co � C C- U U ii Q. E D>MlF- —mH W z O Q Un co co � O _ o LL Z H L J W Q � <= V a ao Q' d 0 u, z CL w G= 2 Y iii f- U L -J H 3: !c z Y r 0 07 m CL owl N a� 00 sE� cN Ct C'a C of M tn ,Pa �Ci I C i ;.7 w IP 41162 rP'�'4 'yrQ -6Z V- T"I u !� (R1 MetLife Auto & Home® Homeowner Operations Field Claim Office Attention: Claims P.O. Box 6040 Scranton, PA 18505 (800)854-6011 letLo'ki"' April 1, 2015 North Andover Building Inspection 1600 Osgood St, Suite 2035 North Andover, MA 01845 Our Customer: James and Margaret Walker Claim Number: JDF02454 OG Date of Loss: March 4, 2015 Dear North Andover Building Inspection: _ Pursuant to M.G.L. 139 § 313, please be advised that a property loss at the address referenced below has been estimated to have damage to the dwelling or other structures that will exceed one thousand dollars. Please let us know within ten (10) days if there is a pending or existing lien against the property as provided by M.G.L. 139 § 313, or if there is an intent to initiate proceedings to perfect such a lien. Loss Location: 10 Bridle Path, North Andover, MA Sincerely, Home Ops CAT Team Sarah Lackey =_ Metropolitan Property and Casualty Insurance Company =- Claim Adjuster =_ (800) 854-6011 Ext. 7440 =_ Fax: (855) 411-6689 Email: MetLi.feCatTeam@metlife.com MetLife Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates, Warwick, RI. Printed in U.S.A 0698 MPL MA-REGDEPT 2012 Massachusetts Electrical Code Amendments 527 CMR12.00 § Rule 8: in accordance -with the provisions of M.Cr.L. c. 143, . §. 3L, the Permit application form to provide notice of installation of wiring sh . all be- uniforin throughout -the Commonwealth, and applications shall be filed' bn the prescribed form. After a permit application has been accepted by an Inspector of Wires ' appointed pursuant to M. 01 c. 166, § 32, an electrical permit shall be issued to the person, fir�n or corporation stated on the permit application. Such entity shall be responsible for the notification ' of completion of the work as required in UCTI. o. 143, § 3L. Permits shalLbe limited as to the time of ongoing construction activity, and may bedeemed.bytheJnspector-of-W.ires abandoned-and-invalid-ifhe— or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Uponwritten application, an extension of time for completion of -work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the. Permit application. El The Permit Extension Act was created by Section 173 of Cliapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 23 8 of the Acts of 2012, The purpose, of this act is to promotejob,-growth and long-term economic recovery and the Permit Extension Act furthers ft.'s purpose by establishing an automatic four-year extension to certairrpermits and licenses concerning the'use or development of real property. With limited exceptions, the Act automatically dxtends, for four years beyond its otherwise applicable expiration date, any permit or approval thzit 'was "in effect or existence' during the qualifying period beginning on August 15, 20 . 08.and extend-ing'through August 15,2012. -Z-- Note: Reapply for new permit �kule 8 — Permit/Date Closed: 11 Permit Extension Act — Permit/Date Closed: f 10201 0 9 7- F-6 - / e ---- Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thks certifies that ............................................... ...................... has permission to perform ....... �7 C- 0 / -S C. ............ wiring in the building of .......... W.i��.ktk .......................................... at ......... D, ��h . .......... . ............................ . dover, s. An Ma. s N;_ 8,1�1 7e Fee ... VA .......... Lic. No . ............. ....... ....... ELECTRICAL INSPECTOR Check # Y NT l.oinmon�vealth o�/�j/ l Emil cc�� rr/aa�achuseif� Official U Only Alarhnerd o` w,, services FPermito. BOARD OF FIRE PREVENTION REGULATIONSy and Fee Checked APPLICATION FOR PERMIT TO C � e°• 1/07 (leave blank)—�— All work to be performed in accordance with the MassachElecusetts ELECTRICAL WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATI N) Date: ) 527 CMR 12.00 City or Town of: 0 e , r,Z — �� By this application the undersigned gives notice of his or herintention eTo to perform the el�ctric�� of Wires: Location (Street & Number) Q Owner or Tenant :ji 11 e al work described below. Owner's Address Telephone No. Is this permit in conjunction 'th a building permit? / 9 Purpose of Building Yes ❑ No ❑ (Check Appropriate C Utility Authorization No. Box) Existing Service _ Amps / ________Volts Overhead ❑ Und rd E] Amps / g ❑ No. of Meters _ Number of Feeders and Am Amps Volts Overhead ❑ Undgrd ❑ No. of Meters _ Location and Nature of Proposed Electrical Work: V $14 . "/I � T� � e a No. of Recessed Luminaires NCom letion o the ollowir o. of Ceil: Susp. (Paddle) Fans No. of Luminaire Outlets No. of Hot Tubs No. of Luminaires Swimming Pool Above No. of Receptacle Outlets rnd. ❑ Irnd. ❑ No. of Switches No. of Oil Burners No. of Gas BUrnere Of Ranges Of Waste Disposers Of Dishwashers of Dryers of Water Heaters KW No. Hydromassage Bathtubs Air Cond. Space/Area Heating Imo' Heating Appliances KW No. of No. of Signs Ballasts Vo. of Motors Total HP table Ma—be waived by the No. of Generators ALARMS INo. of Zones of Alerting Devices ❑ municipal Connection ❑ Other city Systems: o. of Devices or E uivalent Wiring: �. of Devices or E uivalent 3mmunications Wiring: ►, of Devices or Ir . i. ego. a Estimated Value of Electrical Work: �Q*7j Attach ad7111, ,ditional detail if desired, or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVE GE: Unless waived by the owner, no permit for the performance of electrical the licensee provides proof of liability insurance including "completed operations coverage or its undersigned certifies that such cover ctbs al work may issue unless CHECK ONE: INSURANCE force, and has exhibited proof of same to the permit is uinn officetial Uwalent. The I certify, under the pains and penaltiesOOND ❑ OTHER ❑ (Specify:) �Y�C FIRM NAME: f perjury, that the information on this a �� A( &� PP ' anon is true and complete. Licensee: LIC. NO.: "' (Ifapplicable, enter " empt" in th license num Signature Address: 1-ne.) J� LIC. NO.: *Per M.G.L. c. 147, s. 57-61, security work requires De �PK (�/��Bus. Tel. No.: OWNER'S INSURANCE WAFER: I Department of Public Safe Alt• Tel. No.: 7S'_ , 1 am aware that the Licensee does not have the liability Lin. No. required g law. By my signature below, I hereby waive this requirement. I am the (check one Owner/Agent insurance coverage normally "ignature ❑ owner 0 owner's a ent. Telephone No. PERMIT FEE. $ i/ I 0179 Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .................... . Z -- has Permission to perform ..... .......................... wiring in the building of ......... )).- 7../'-( .......................................................... at ...... A&D/ North Andover, Mass. Fee .... .... L i c. N o. 7V e1eq ....... Check # LIS— Commonwealth of MassachusettsF official Use Only Department of Fire Services o. I ± �� ' BOARD OF FIRE PREVENTION REGULATIONS cy and Fee Checked ' ]APPLICA�'ION FOR PERIVIII' C�/peaveblank All work to be performed in accordance with the®�PG����Ca PERFORM L�CE4�It�Lr�L Vii®RK (PLEASE PRINT.ININK OR TYPE ALL INFO (MEC), s27 CMR 12.00 RMATIOl� Date: •_ � ��/% City or Town of NORTH ANDOVER BY this application the undersigned gith ves notice of his or her intention to perform the P tri al worklescribed below. Location (Street & Number) Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes� Purpose of Building❑ No � y (Check Appropriate Boz) Existing Service Amps Utility Authorization No. / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps __ / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and.Ampacity ti Location and Nature of Proposed Electrical Work: No. of Recessed Luminaires No. Com letion of the followin table may be waived by the Ins a -tor of Wires. of Ceil: Sus No. of p. (Paddle) Fans Total No. of Luminaire OutletsTransformersrA No. of Hot Tubs Generators KVA No. of Luminaires Swimming pool Above ❑ In- o. o mergen1 J tg - d' nd• �� Babe Units g No. of Receptacle Outlets f No. of Oil Burners No. of Switches FM'-ALAR..MS No. 'ofZones No. of Gas Burners No. of Detection and No. of Ranges Initiatin Devices . No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pip Number Tons KW - No. of Self Contained Totals: __......__ ....................__............. No. of DishwashersDetection/Alertin Devices Space/Area Heating KW Local ❑ Mun.cipal No. of Dryers Connection ED other I ; �' Heating Appliances, Security Systems:* No. of Water Heaters KWNo of No. of No. of Devices or E uivalent Data f 5i s Ballasts. Wiring:�Total HP No. of Devices or E uivaIent , No. Hydromassage Bathtubs No. of Motors Telecommunications Wiring: �- OTHER: No. of Devices or E uivalent Estimated Value of E ectri al Work: Attach additional detail if desired, or as required by the Inspector of Wires Work to Start: 7 (When required by municipal policy.) %Z Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C RAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee proof of liability insurance including "completed operation" coverage or its substantial equivalent The undersigned certifies that such cove s in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANC BOND ❑ pTR I certify p ❑ .(Specify:) . under the pains and penalties ofperjury, that the informaiio on this a ¢tion is true and complete. FIRM NAME: , �,� Licensee:U/Z T � Si LIC. NO.:�j� (Ifapplicable, nter 1'natur, LIC. NO g �x�mpt ' in the licen a number line.) Address: /� A . Bus. Tel. No.: v *Per M.G.L c. 147, s. 57-61, security work�requires Department of publicSaf "S" License: Alt'Tel. No.: OWNER'S INSURANCE WAIVER: I amaware that the Licensee does not have the liabili Lic. No. required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner coverage a no. as Illy Owner/Agent Signature Telephone No. [PERMITFEE�$' di The Commonwealth of Massachusetts • Department of Industrial Accidents Office ofInvestigations ..400 Washington Street . UV Boston, MA 02111 Workers' Compensation Insurance Affidavit: Bugde s/C®ntrae'Lors/I♦JIe A licant Informa#ion ctricians/Plumbers Please Print Le ibh Dame (Business/Organization/Individual): Address: 1 a J6 _ 1� .1\,-; —lx-,) 7-7 City/State/Zip:�o , �" 61 Phone Are you an employer? Che k th - • c e appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I ei'oyees (full and/or part-time).* have hired the sub -contractors 2. d 1 am a sole proprietor or partner- listed on the attached sheet slip and have no employees These sub=contractors have workin f workers' com . ' p insurance. ❑ We are a corporation and its officers have exercised their right of exemption per MGL C. 152, § 1(4), and Nve have no employees. No workers, comp incur g or me m any capacity. [No workers' comp. insurance 5. required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t Type of project (required): 6. New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 1 l.❑ Plumbing repairs or additions 12.0 Roofrepairs ance required ] I 13 0 Other "`•'•j'=YpIicaat that checks box #I must at »sU it UcF the section be?o••, sho:V t Homeowners who submit this affidavit indicating they are doingall work and .heir wc-k�• coin easat u. t P U.. posey ::.rorWafica. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy isatin information. then hire outside contractors must submit a new affidavit indicating such. I am an employer that is providi on. orkers co, m ensatron i information. surance for my employees Below is the policy and job site Insurance Company Name Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: 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 ) fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine penalties of a of up to $250.00 a day against the violator. Be advised that a co Investigations of the DIA for insurance coverage verification copy of statement may be forwarded to the Office of Ta— z_ _c_ ••�• y ujy unser the pains and penalties of perjury that the information provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): L Board of Health 2. Building Department 3. City/Town Clerk 4. 6. Other Electrical Inspector 5. PIumbing Inspector Contact Person• -------------- Phone #: 0 c J'r. ;phi l✓►! I � �':K f tPwWto. y 3 Fen Checked APPLICATTONFOR PERMITTO PERFORM FT- c KCAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WfM THE MASSACHUSSTS ELECTRICAL CODE, 527 CMA 12:00 (PLEASE PRINT IN INK OR TYPE ALL iPiPORMATION) D Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to pedo!m. the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Purpose of Building Existing Service Ampqj2e.Vq0 Volts New Service Amps. Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W [ 21 n � 4 Zo rim of Lighting Outlet / No. of He Tube No. of Transavo sa Total KVA Na of Lighting Ruses Swimming Pool Above Belem, �� KVA No. of Recepack Outlet No. of OE Burman ground Na of EMWM Ugfidng Barmy Units Na of SwitchZZ Outlet No. of ad Burners FIRE ALARMS Na of Zags Na of Range No, of Air Cond. Tat Tons No. of Detection and No. of Dispossls Na of Hest Tots! Tot PUMIS Ton KW , Initiating Devices No. of Sounding Devices No. of Dishwashers . Space Ara Haft KW Na of Self Conain i Lod Municod Odw No. of Dryma Heating Devices KW D Cis D No. of Walser Hemors KW No. of Na of Sion Bsilsds No. Hydro Mawye Tubs Na of Mo1as Total HP lntiserneomw Ar®rettbtzgMMz*dlYlere *v tltClarm LW4 lhmeacLm tLiebtTtyim==Pc L.ykduftCmo_o crlssf dowegiiWhit ygg rp Ihmes�hm�ledvuidpioddsrrrebhe� Y$4 ayouhmecftededYEItAail�e tYRofwmWby Bli dmDAe EdmWbikbSw SA ttApa D�Rq;Wd � �,�, Q 24, L �leafHecla wadcMANS s A�eYdafpe�layc . LioerWNa /.�ol�r�? A Lioet�e�Or►..MLD w rlLl,aT t _ �I2 St�npe LialteNoDo P7,4 Bu"mmTd% — f AdJ= f��E� !61i¢. ALTeL t7WNER'S IIVSURAi�wA1VFR;IaaawaedlatlheLiasaQleinR><anaecaa,�aria sub®ar�titla}ivalmtasrar�sadbyMaehl6,01C,rlailLalw ardthetrrp�s�ltisemdispemt�appk�aaiwtiitregdtentrat (Please check one) Owner Agent Telephone No.PHIMITFEE s �, Date.. N 4. r 0 4, TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING This certifies that ....... ................ I ............... has permission to perform ......... I ............................ plumbing in the buildings of ................... at . /I.. ... .................... North Andover, Mass. Fee. Lic. No.. . ....... .......... �11-LIMBING/44SP-fCTOR // 1 1;/ 6� Check # 61 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) d tet%Mass. Date Q — Permit # Building Location / 0 4clize pLk )�A Owner's Name�L aws a 4M Type of Occupancy Residential New ❑ Renovation O Replacement LN \ Plans Submitted: —Yes -0 No O FIXTURES �.— Installing Company Name tier itage Htg . &Plg . Co. Inc. Check one: Address {;- Eleasant Street IX Corporation Stoneham, Ma 02180 L.i Partnership Business Telephone _781-4 3 $ - fl Firm/Co. Name of Licensed Plumber Gordon Switzer Certificate 714 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No 1-1 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy IN Other type of indemnity O Bond L7 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 0 Agent O or 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 under the permit issued for this application wili be in compirance with ali pertinent provisions of the Massachusetts Stale Plumbing Code and Chapter 142 ofdhe General Laws. By _— —� Si nature of Licensor f um er Title -- -- Type of Liconse: Master [X Journeyman O City/Town $ 3 2 2 APPROWD (OF E—IISE ONLY) License Number_____ = ZC11 °' m O Y w Y J (n { F z o z c� N N P -n 2 N W n ¢ N 2 1 Q 2 V w cn x a Q 4 C OCr 2 (D a N >. '1 r.. N ''.• Q 2 i, S N xi N x N x (U r"I 2 ru U) J. u>► O i- J f- w p •( z N o a 2 O yr Q j N UJ J X N O p ~ (n J Q x Y z p w p u O LL () riYy r f t~ ¢ ¢ z N N ¢ a p ¢ J J d ¢¢ a a q a 4, l r 1(�1 3 Y J W in O O J '} F 0 IL C7 'J Q l: N Ri ? 1j V' i y l Sura—BSMT. BASEMENT 1STFLOOn 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR i 9TH FLOOR Installing Company Name tier itage Htg . &Plg . Co. Inc. Check one: Address {;- Eleasant Street IX Corporation Stoneham, Ma 02180 L.i Partnership Business Telephone _781-4 3 $ - fl Firm/Co. Name of Licensed Plumber Gordon Switzer Certificate 714 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No 1-1 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy IN Other type of indemnity O Bond L7 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 0 Agent O or 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 under the permit issued for this application wili be in compirance with ali pertinent provisions of the Massachusetts Stale Plumbing Code and Chapter 142 ofdhe General Laws. By _— —� Si nature of Licensor f um er Title -- -- Type of Liconse: Master [X Journeyman O City/Town $ 3 2 2 APPROWD (OF E—IISE ONLY) License Number_____ Location No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 0 18 21 1/'- 9 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / DATE ISSUED: �— (. SIGNATURE: Building Cornmissioner/12ELWor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: , /© BRI04z 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning Diaiid Proposed Use 1.4 Property Dimensions: Lot Area s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zane Information: Public Private 0 Zane Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record p /� TI WA MUC- IZ � V �rz��� 19AV4 Na Print) Address for Service: Si re Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: `+ aDD/ Jcy � Address Proe Telephone Not Applicable ❑ aGj fp 3 Y� License Number SDa-te Expiration 3.2 Registered Home Improvement Contractor DARgE� Not Applicable ❑ Company Name / J q D,91tJ �j(-1 r� „ f�'� _ •— ^ ' IY)& rWOE"Q Registration Number • Address 9�v 7 v Z J Si na a Telephone Expiration Date �� L V M z O 0 W M \I 0 z M 90 O ic M Z 0 R SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 S 25cM 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 unit. Signed affidavit Attached Yes ...... No ....... ❑ SECTION 5 Description of Proposed Work(check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: dF �} /6, X SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE`QNI,� ; .,a 1. Building s` o6)x u, CEJ (a) Building Permit Fee Multiplier 2 Electrical fpF //�O ? (b) Estimated Total Cost of Construction / D V 3 Plumbing O Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 I Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERSAGENTOR CONTRACTOR APPLIES FOR BUH.DING PERMIT 1, /'1 ��ii.8 as Owne uthorized A e f subject property Hereby authorizeDWAE—Af MMI -16_k, to act on My afters ive to work authorized by this building permit application. Q� Si e offZr Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1,_QA,9ff&1J —/ ori ed A ,as Owner/ 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 DggeEN MAV-1luo e y zo-oma Si e of Owner/gent Date OF TORIES SIZE 14 -'XlrA 14 1- BASEME R SLAB SIZE OF FLOOR TI1VMERS 1 2.X{0 210-C. 23RD SPAN Z616Af DMIENSIONS OF SILLS M DM ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS Q SIZE OF FOOTING ' 4 a X MATERIAL OF CHIMNEY IS BUILDING O S LID R FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE s 0 I It 11 ! L .� FORM - U - LOT RELEASE FORM z 'R:'�t" INSTRUCTIONS: This form is used to verify that ail necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. .\iii■■i\fiiiiif-i ■'ff■■■fii■n-oniii-iiiJiii\\liiiii■fiiiiiai■mf■■i 0■■00f■■i\i if APPLICANT DA rZ wA)/Y��j-jL� %/V (� PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET �L C �-�- STREET NUMBER /O WOMB Non wanness iii■f\\\ii■t■iiiiiiiimiliail was ii\■iifii i\■ OFFICIAL USE ONLY ■iiiiii\\i,if-if\iii\■ilii\■ii■i.\iiifi.fi■iiiiii\iii\.■ii.■i■■■\if i i'■ii■\i\■■ 0 RECOMMENDATIONS OF TOWN AGENTS .ii■FVAUJ iii\\■ DATEAPPROVEDCON ON ADNIiNISTRATOR DATE APPROVED �p/►/Q DATE REJECTED COMMENTS %► _ .� s� ,®.. ,� �A` lis A c. i t? ,w` DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORDS — SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED w FIRE DEPARTMENT' DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR I FROM ; ANDOVER CONSULTANTS,INC. PHONE NO. : 978 666 5100 Apr. 25 2005 12:43PM P1 ,andover 1 East River Place consultants Methuen, Massachusetts 01844 Inc. Tef. (978) 687-3828 Fax (978) 686-5100 U March 24, 2005 Ms.Heidi Griffin North Andover Planning Board 400 -Osgood Street No. Andover, Mass. 01845 RE: 10 Bridle Path- Lot 1 North Andover; Mass. Dear Ms. Griffin, - ul- This office has prepared a plot plan showing a proposed addition to the dwelling on the above referenced lot. That plan, dated March 24, 2005, shows the existing dwelling, topography and adjacent wetlands. The lot was created in 1977. The existing dwelling is connected to the Town sewer system in Bridle Path. The owner and his builder have stated that the addition to the dwelling will not have any gutters or downspouts. The addition is over 200 feet from wetlands. - 4 A V� 'W �nn V �00 Based on the above facts, it is my opinion that no new surface or subsurface discharges are proposed with the construction shown on our plan. if you need any additional information, feel free to contact me at any time Sincerely, ANDOVER CONSULTANT INC. p W11" S. CIVIL William S. MacLeod, P.E., P.L.S. No. 31478 President . A�,�,'�FGrst 1 cc- Lincoln Daley James Walker C/BillkettersrH.Griffln BridlefttQ Civil Engineers 9 Land Surveyors - Land Planners I OCT -28-2004 06:27 Pm LINCOLNWOOD COMPANY 978 6886699 P.01 r Rate Map. dAntCs & "Walker c 10 Bridle Path Nts& Andover, MA 01845 00 %oft,� '��DEV"eKi as provided in a note of even date, and also to xcure the performance of all agreements and conditions herein contained. The land in North Andover, Essex County, Massachusetts, being shown as Lot 1 Bridle Path on*a plan entitled, 'Definitive Plan of Land of Great Pond Woodland, located in North Andover, Massachusetts,, dated August 23, 1976, Frank C. Gelinas and Associates, Engineers, which plan is recorded with Essex North District Registry of Deeds as Plan # 7548 , bounded and described as follows: NORTHERLY by the line of Abandoned Winter Street and a stone wall in three lines, 146.55 feet, 209.37 feet, and 42.98 feet; EASTERLY by a stone wall and land now or formerly of Santo Messina, 113.95 feet; SOUTHEASTERLY by a stone wall and land now or formerly of Santo Messina, 153.06: SOUTHWESTERLY by Lot 34 as shown on said plan, 259.03 feet; WESTERLY by the line of Bridle Path, 215.01 feet; Containing 1.69 acres of land more or less according to said plan or however otherwise said premises may be bounded, measured, or described. Excepting and excluding from this conveyance the fee in Bridle Path and -Abandoned Winter Street oppositd's$id lot''but there'Is hereby - granted to the grantees and their successors in title the right to use Bridle Path out to Great Pond Road in common with all others entitled thereto. Being the same.premises conveyed to us by deed of Landsail, Inc., recorded herewith. Name: IDA Z&M lfi4er//ilto Location: /b 8/Z/Dt City A]. /'7AJ00 V IL I / 1 t- Phone am a homeowner performing all work myself. X11"am a sole proprietor and have no one working in any capacity I am an employer providing. workers' compensation for my employees working on this job. Company name: Address City: Phone #: Insurance Co. POU4 # Company name: Address City: Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby cert' under the pains and penalties of perjurye information provided above is true and correct. Date 124'6S� Print nares l��ilZ �iAIZT/%lel Phone # Q 7 6 2-97360 Official use only do not write in this area to be completed by city or town official' n Building Dept ❑Check if immediate response is required Building Dept p Licensing Board E] Selectman's Office Contact person: Phone #. Health Department Other FORM WORKMAN'S COMPENSATION i • North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM 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 ,r disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: noc (Location of Facility) of Permit Applicant 72,-& Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 0 Board of Building Regulati ns and Standards -- HOME IMPROVEMENT CONTRACTOR Registration: 124961 Expiration: 9/17/2005 Type: Individual DARREN MARTINO Darren MARTINO p �� 44 ADDISON AVE. EXT. METHUEN, MA 01844 Administrator ✓tae -�L---�--�,"_`.�,.�^--^-�_ omvnzo�ue� o�✓��a��u�.ia, BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 066342 Birthdate: 08/15/1971 Expires: 08/15/2005 Tr. no: 1770 Restricted: 00 DARREN MARTINO 44 ADDISON AVE EXT METHUEN, MA 01844 Administrator �Id:`Dr Cagy DMConstrucdon Building with the QUALITY and Character of yesteryear. 44 Addison Ave Em. Methuen, MA 01844 (978) 685-3037 Estimate Submitted To: Jim and Meg Walker 10 Bridle Path N. Andover, MA 01841 We hereby purpose to furnish the materials indicated and perform the labor necessary for the completion of Sunroom addition(See specification sheet.) All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completion in a substantial workmanlike manner in the sum of. Sixty-eight thousand two hundred twenty dollars - $68220.00 Payments to be made as follows: $10000.00 when work begins. Remaining payments as work progresses. Respectfully submitted: Darren Martino / Ga, Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon accidents, or delays beyond our control. Note -This proposal may be withdrawn if not accepted within 10 days. Proposal Date 1/20/05 ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. i Date: 1 z_ , Lss— Signature: _ :...-. WALKER SUNROOM ADDITION Specifications Sheet Scope of work: Construction of a sunroom addition approximately 16'x 19 Permitr-The price of thefollowingpermits required are included in this estimate: Building, electrical, and plumbing. The cost of obtaining any special permits including conservation or planning are not included in this estimate. Demolition Existing slider will be removed Existing door to storage area will be removed. Existing bathroom window to be removed. Strip siding as deemed necessary. Remove small roof line as necessary. Removal of structure for storage of garbage barrels. Demolition and removal of all poured concrete slabs and stairs at rear of house. To insure a clean work site a container will be placed on site. DM Construction is responsible for the removal of all debris generated. Excavation -The site will be excavated for 4' frost walls only(crawl space) under the sunroom addition. The foundation will be backfilled with material from the site. This estimate does not include any landscaping including spreading of loam, seeded, mulching, plantings, or removal of existing plantings. Foundation -A poured concrete foundation will be provided according to submitted drawings. A poured concrete vapor barrier will be provided in the crawl space. Framing -Framing of the sunroom and any other alterations shall take place according to submitted drawings. A soft(2' +/) will be framed around the interior perimeter of the sunroom. A cricket will be installed to allow water to shed away from the house. Roof -Ice and water shield will be installed on all new surfaces requiring roofing. The sunroom addition will have black double coverage roll roofing or an equivalent installed on top of the ice and water shield. Siding -The addition will be sided to match existing conditions. Siding will be stepped back as deemed necessary. Insulation -The sunroom will receive the following insulation. R-19 Walls R-19 Floor R-30 Ceiling Drywall -All areas disturbed will receive new %Z " blue board with a plaster skim coat. Ceilings may be smooth or random swirl finish. Finish -Baseboard, window, and door trim to match existing conditions. Crown molding will be installed around perimeter of room. Crown molding will be installed around perimeter of recessed area formed by soffit. WALKER SUNROOM ADDITION Specifications Sheet Exterior painting -The exterior of the addition will be painted or stained to match existing conditions. Body and trim to be primed and receive 2 coats offinish. Interior painting All new trim and walls to receive a primer and 2 coats of finish. Benjamin Moore paints will be used unless otherwise requested. Plumbing -The oilfill ill and vent lines will be relocated to left of the sunroom as seen from the rear. Heating -New baseboard heat will be installed as deemed necessary. The heat for the sunroom will be tied into an existing future zone. Provide and install new t -stat. Electrical -Demolition of all wiring and fixtures deemed necessary. Installation of I phone and I cable jack Install 2 coach lights. Replace and relocate spot light. Install paddle fan with speed control and dimmer. Install 1 exterior GFIC outlet. Installation of recess lighting. Relocation of existing meter socket and refeed as necessary. Make necessary changes to existing panel to allow for meter relocation. (All lighting fixtures are covered under an allowance.) Miscellaneous Extend existing central air duct work to serve new sunroom on existing zone. Hardwood flooring will be installed The flooring will be provided by the homeowner and its cost is not included in this contract. The existing barrel shedlstorage area will be removed entirely. Reconstruction is not included in this estimate. The bathroom window will be blocked off. This area will be prepared to receive paint. However no painting inside the bathroom is included. The upper area of the existing window will have installed an agreed upon material(ex glass block) to allow light into the bathroom. This estimate does not include any work associated with requirements of the conservation commission, planning board or any other agency. If there are special requirements(ex. gutters, infiltration systems, hay bales, silt fence, etc)these will incur extra costs. � 4 � WALKER SUNROOM ADDITION ALLOWANCES The following allowances are included in this estimate. The allowances exist to cover the purchase of materials only, unless otherwise specified Any amount in excess of an allowance will incur extra cost. Any amount less than the allowance will warrant a credit. Upon completion of the project any extra cost or credits will be issued. Lighting fixtures -$1500.00 This allowance covers the cost of all light fixtures, specialty switches(dimmer, timer, low voltage, etc.) and recess lighting. The cost of the installation of recess lighting is covered under this allowance. 5" Recess light w/standard white baffle and trim, halogen lamp, and dimmer switch. New construction -$125.00 each Old work -Starting at $150 each Windows/Exterior Doors -$7000.00 This allowance covers the cost of windows(included: screens, grills, hardware, ext. Jambs, or any other specialty trim needed.) This allowance also includes any exterior door units and their associated hardware. Rear Landing -$1000.00 This allowance covers the cost of all materials and labor for a landing or stairs leading from the french doors to the rear yard. ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDE NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J (effective 3/1/98) Applicant Name: Applicant Address: Applicant Phone: _Y1 �90D I SON Alk /I2a- 97�' Compliance Path (check one): Site Address: City/Town: Use Group: Date of Application: -OS`- Applicant Signature: F] Prescriptive Package (Limited to 1- or 2 -family wood frame buildings heated with fossil fuels only) Package.(A through KK from Table J5.2.1b): Heating Degree Days (HDD) from Table J5.2.1a: _ (For items d. through i., fill in all values that apply from Table J5.21b:) a. Gross Wall Area sq.ft b. Glazing Area' sq.ft. c. Glazing % (100 x b _ a) % d. Glazing U -value U_ e. Ceiling R -value R - f. . Wall R -value R - g. Floor R -value R- h, Basement wall R - i. Slab Perimeters j. Heating AFUE Component Performancei "Manual Trade -Off" (Limited to wood or metal framed buildings only) Climate Zone (from Figure 16.2.2) Zone 12 .Zone 13 [1 Zone 14 Attach Trade -Off Worksheet from Appendix J, (and ,YVAC Trade -Of 'Worksheet, if applicable] MAScheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis OR 7 Renewable Energy Sources Attach Mass Registered Architect of Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall + Ceiling Area L sq.ft. b. Glazing Area' I sq.ft. c. Glazing % (100 x b _ a) 20 ADDITION with Glazing % (c.) up to 40% m -.:y use 780 CMR Table 11.1.2.3.1 below: 1 3 MAXIMUM U -value 'ININDtiJM R -values Fenestration Ceilinm Wall Floor Basement WaII Slab Perimeter, Depth 039 R-37 R-13 R-19 R-10 R-10, 4 ft Glazing Area may be either Rough Opening or Unit dimensions. Based on NFRC listing. Applies either to every unit, or to area -weighted average of all units. R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R -value over the entire ceiling area (i.e.- not compressed over exterior walls, and including any access openings.) "SUNROOM" addition (greater than 40% glazing -to -wall and ceiling grass area) Attach "Consumer Information Form" from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved [] Denied E] Date of Approval/Denial: Reason(s) for Denial: (provide additional details as.needed on back side) 0� CD cm O■� y O 'C CD■_ CA U mm CD 0 CD CD O� �3 .0 O CD O O CCc o a 2L vmQ c EL CD Cos ev Z 15 CD V y O C �v _(A LLI U) LLI 99 W LO W o m a O p C _c m = O � m �mo : fl. y E� w � O 4c" ts m 7i1� mi m e a all = m Z. 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