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HomeMy WebLinkAboutMiscellaneous - 10 COPLEY CIRCLE 4/30/2018N O O CD Q O O O T 88 O O BUTTERWORTH & O'TOOLE, INC. ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY P.O. BOX 8294 SALEM, MA 01971-8294 TEL. (978) 741-5731 FAX (978) 740-9109 claims@butterworthotoole.com 08/11/2016 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen City/Town Hall ADDRESSES North Andover, MA 01845 RE: Insured: James Groleau Address: 10 Copley Circle City/Town Hall North Andover, MA 01845 North Andover, MA 01845 Policy No.: 2521633 Loss of: 08/10/2016 C011aiDse File or Claim No.: 65-0733 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Vicki Gardner Adjuster Member of National Association of Independent Insurance Adjusters Location - No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee $ z Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTd' $ & Building Inspector Div. Public Works 19 LJ'c- at i o n. Old 11,5:,�e— No. Date ORTPI TOWN OF NORTH ANDOVER Certificate of Occupancy $ 41 Building/Frame Permit Fee $ 4r,* A CH Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ Building Inspector Div. Public Works Location 49 No. �e(,q z 'I Date A-5 V. TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ T JAL $ r� r, -Ir Building Ir)spec tor Div. Public Works �F.RlIIr--. NO. Q T 1 8 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �,( AJIV (/ PAGE 1 MAP KV O. I LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK :PAGE — ZONE �?� 3 SUB DIV. LOT NO. LOCATION —1L PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES / r SIZE9691,9- wy OWNER'S ADDRESS '' (. BASEMENT TOR SLAB W/2 ae, OS O✓ ARCHITECT'S NAME ,N�/!. /.�` ' ^ SIZE OF FLOOR TIMBERS IST r Z 2ND 16 OOOF 3R6 BUILDER'S NAME _ v•(Yl:�� W f'cJ`^y _SPAN _/t(y/Gkd--A ^ . 0 -lam DISTANCE TO NEAREST BUILDING U DIMENSIONS OF SILLY r DISTANCE FROM STREET o or POSTS yk-` A 'y DISTANCE FROM LOT LINES - SIDES t r� REAR GIRDERS' / Z r AREA OF LOT / �. S'11�1 f FRONTAGE % HEIGHT OF FOUNDATION Q, p THICKNESS �� !C IS BUILDING NEW (d ,/v�V(+ SIZE OF FOOTING �.•yv7�a-r-r X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION ,,Kc) IS BUILDING ON SOLID OR FILLED LAND Sa ) WILL BUILDING CONFORM TO REQUIREMENTS OF CODE p IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY JJ IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS IfINE INSTRUCTIONS SEE BOTH SIDES ^ n��ss►►�'` PAGE I FILL OUT SECTIONS I - 3�r M� I J PAGE 2 FILL OUT SECTIONS I - 12 1 .� ' e .4. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATF,/ FJLED_/ RE OF OWNER OR AUTHORIZED AGENT FEE �t�,% r/f/c 64 6�S i� 23 PERMIT GRANTED -ry OWNER TEL. # 19 G,. 2 CONTR. TEL .Z—� CONTR. LIC. 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM/ ZZ C 1 SEPTIC PERMIT NO. C J 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR INSTRUCTIONS SEE BOTH SIDES ^ n��ss►►�'` PAGE I FILL OUT SECTIONS I - 3�r M� I J PAGE 2 FILL OUT SECTIONS I - 12 1 .� ' e .4. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATF,/ FJLED_/ RE OF OWNER OR AUTHORIZED AGENT FEE �t�,% r/f/c 64 6�S i� 23 PERMIT GRANTED -ry OWNER TEL. # 19 G,. 2 CONTR. TEL .Z—� CONTR. LIC. 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM/ ZZ C 1 SEPTIC PERMIT NO. C J 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B I 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 114 '/t t/, FIN. ATTIC AREA _ NO B MT HEAD ROOM FIRE PLACES MODERN KITCHEN / 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH HARDtr✓'D _ COMMON ASPH. TILE B 1 2 3 �_ _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME BRICK N MASONRY BRICK ON FRAME CONC. OR CINDER BILK. ATTIC STRS. & FLOOR I_ WIRING _ [_SUPERIORPOOR ADEQUATE NONE 10 PLUMBING STONE ON MASONRY STONE ON FRAME 5 ROOF GABLE lef HIP BATH 13 FIX.) Z GAMBREL MANSARD TOILET RM. 12TOILET RM. 12 FIXE T FLAT SHED WATER CLOSET _ _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO Hl 1 6 FRAMING i l HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. 7STEAM STEEL BMS. d COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'MIrd 2nd I t.• n 3 ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. jll FORM U - LOT RELEASE FORK INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: cgo we S,� �a/� Phone SW.��i.11Z� LOCATION: Assessor's Map Number Parcel Subdivision s,� LrrorsS� ►-� Lot (s) ll Street St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: <. Lmi�jk Conservation Administrator Comments I Comments .� �It4-j Health Agent Comments Public Works - sewer/water connections - driveway permit i U , A ' >% A Fire Department Received by Building Inspector Date Approved l.�v Date Rejected Date Approved / Date Rejected Date Approved Date Rejected Date ;Z- 502 n1.'1'Ia�l a I it 111.1)IN( (7:ON I :I t ATION I Ilii\I: i'I I i'I .i\NNW ATE )CATION LINER'S JILDER'S NAME:— SON IS AME:"SON'S NAME: %SON'S ADDRESS: ISON' S TELEPHONE: \TERIAL OF CHIMNEY: IFERIOR CHIMNEY: NORTH ANDOVE It 111\'1: cll IN 1 1V 1'l.��IVN1Nt;. i� (;t)filf►il!Nl'1'1' l)l:��lsl.Ul't1I1N'1' 11.11. NI:1. ON. 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"' S F!/.�T,S'E.P GE.CT/FY 7W..47- 7WI-f OIYee--IA-a /S LVOT LOG4TE0 /iS/ 7114' FELae.-AG FLODO f/.4Z•4,W APER. Syewn! O/V FEMA' �'OM ��//rY /°.►.vGG '� 2500 98 OGb3 C s E' sc'i .Pe. s �•</ �i</ST.2tin6•vT SuCxCy �L O T /N O.PAN�iV FO/P �oB,9LE"sTcts/E G..@OS.f/.✓B OE✓�t.OP�nENT �O.P.P �6 /99„3 � p,1J3�if}9 BOVNo,P /o t! BOUNOA•PY /if/FOiPAf- �E.P.P/rY11�lc E.o,e AT/O.v TAS ErrsT�vc eE-co,Pvs. 66 PA•P� .ST.PEET IAo,OI�E.� �1ASS.4G,fU/SETTS O/8/O T -v 7 -f Di � z -M C� G z � m O C aGa r °= � o�n r y Q1 C T -v od O D n Z T CCD O z ar r d = � Q. a� .a �v CD CL CD O :10 C) z C/) m D m CD �, v M z E5 CO CD z CD � o C7 �i -v 7 -f Di 'T1 rrn -M 00 N111VC d a q T O w SL - M3 C) CD O �F CD �V 3 y. CD CA 0 IN, I dO S �.0 CA � m �CD Cl) o y"Ca. 3 m Z =•Op CA —I ? CL. -•►a 0m CD �O w y O NO ��� w x > >CD oC co O H CCD ftp � C y w n� c 0 C w Im O N H d C =� S. s CA CCDco w H HN w W d N CD 0 O O oCD� o � N n•� CD CD S c �: .rt H a. �cmcm � ICU f}'0 c o C,- SA N VA X. z 7 -f Di 071rD w d a q T iz7 w aGa r °= � o�n r 7 O o. Q1 C n C ;It o x a- rD od O WJPJW,tWapfjf y 0 0 c ip y 0 0 c CERTIFICATE OF USE & OCCUPANCY ti Town of North Andover Building Permit Number 409 Date NOVEMBER 30, 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON 10 COPLEY CIRCLE (Lot #11) - Type B MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR GARAGE IN ACCORDANCE BONUS ROOM & DECK WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. °"T" CERTIFICATE ISSUED TO Cobblestone Crossing Realty Trust •' 733 Turnpike S t . ADDRESS North And er MA ':s,CHUS Building In ector Date. . . . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .................. has permission to perform plumbing in the buildings of .%. at ............ No h Andover, Mass. F A-. Lic. ........... ee 40. PLUMjfNG INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date 4LZ49 C Building Location Permit # 6, cf y y Amount �zd Owner — s New Renovation 0 Replacement ® Plans Submitted Yes No (Print or type) Check one: Certificate Installing Company Name Aw ❑ Corp. Address % E] Partner. Business Telephone Firm/Co. Name of Licensed Plumber: %lo,•h,� J `�ig `!O/r✓f�/"� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 1�3 Other type of indemnity D Bond D Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner El Agent D 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Signature 01 Licenseaum er Title Type of Plumbing License City/Town icense INUMDer Master D Journeyman j APPROVED (OFFICE USE ONLY ALJ Date... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION IJ This certifies that ................... ...... .... has permission for gas iinstallation ...... f I.f , in the buildings o ........................ at .......... North Andover, Mass. Fee. Lic. Na—�41.;. . GAS INSPECTOR Check # �IASSACH1,SKM L�iTF'OR- A UCATON FOR PER'MIT TO DO GAS FTITING (Type or print) Date �/�Z SAc NORTH ANDOVER, MASSACHUSETTS Building Lccations / Permit it Amount S 'Pei a." �iwy 6�iC1//� Owner's Name New Renovation11Replacement Plans Submitted ICJ ❑ (Print or type) C]le&k one: Certificate Installing Company :Name /7 4,0— &i/M /f•'w � Corp. Address % '3�x .f—%Z Partner. Busin a ep one 7 7 X (S 0 Firm/Co. Name of Licensed Plumber or Gas Fitter 721,, -,4 LNSURANCE COVERAGE• Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes® NoD . If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® 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: Signature of Owner or Owner's Agent Owner Agent i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that .dl plumbing .vork and installations performed under Permit Issued for this application will be in :rrnpGance with ,ill pertinent provi_,ions of the ;Massachusetts State Gas Gude and Chapter 142 of the General Laws. By: 'r:tie Citv;Tcwn APPROVED ('FF(CE r'SE Ch1_Y; Signature of Licensed Plumber Or Gas Fitter Plumber ayY33 Gas Fitter License Number er Master Juumeyman vl Jr. ,3RD. FLOOR (Print or type) C]le&k one: Certificate Installing Company :Name /7 4,0— &i/M /f•'w � Corp. Address % '3�x .f—%Z Partner. Busin a ep one 7 7 X (S 0 Firm/Co. Name of Licensed Plumber or Gas Fitter 721,, -,4 LNSURANCE COVERAGE• Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes® NoD . If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® 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: Signature of Owner or Owner's Agent Owner Agent i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that .dl plumbing .vork and installations performed under Permit Issued for this application will be in :rrnpGance with ,ill pertinent provi_,ions of the ;Massachusetts State Gas Gude and Chapter 142 of the General Laws. By: 'r:tie Citv;Tcwn APPROVED ('FF(CE r'SE Ch1_Y; Signature of Licensed Plumber Or Gas Fitter Plumber ayY33 Gas Fitter License Number er Master Juumeyman vl Jr. Location 11�1 / J I No. Date TOWN OF NORTH ANDOVER 0 41 Certificate of Occupancy $ Building/Frame Permit Fee $ C" Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # lo 13 /1% 2 Building Inspector The Commonwealth of Massachusetts Not Applicable Q State Board of Badding Regulations and TOWN OF NORM ANDOVER Standards BUILDING DEPARTMENT Massachusetts State Building code 1 A Fmpaty Dia> 780 CMR qi I1sf 2T IP use lL(� APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OF OCCUPANCY OF, ORDEMOLi3H ANY BUR DING OTHER THAN A ON E ORTWO FAMILY DWELLING riwldmg Yermtt Number / / 1 I ! IAW a� " , O 2 SIE.110N i-SIIEII�FEIdtMA'IION Not Applicable Q o e Circle Isn slup=dF*WN=be.' Address 14 Bearse Ave. Methuen MA 01844 MapNrtrda Parra Number 1.3 Zw* Ibis¢ 1 A Fmpaty Dia> ZndngD qi I1sf 2T IP use lL(� 1.6 Building Setback tt Registration Number 102658 Front Yard Side Yard Rea Yard Rcq*W Provided ReWked Provides Rewired Provided 107 Wa4r Svppdy9T.iOI_C40A § 54 Pdb. Q Private 13. Pbod18Disposal System: Zone Q oe 13 0uft HwdZaMomcwd 13 On SiteDopoW SysOe 2.1 Owner of Reca+d Ma di Bichay 10 Copley Circle Name (Print) Address_ 978 683-0989 Signature Telephone 2.2 Authorized Agent Mike Antoon Construction 14 Bearse Ave. Methuen New (Print Michael J. Antoon Address S*Mtare Tetephme 978 688-6272 3.1 Licensed Constnxxion Supervise Not Applicable Q Licensed Conamctiat Supervisor. Michael J. Antoon License Number CS 026645 Address 14 Bearse Ave. Methuen MA 01844 Expiration Date 11/25/2003 Signature Tetephor978 688-627 3.2 Registered Home Improvement ContreeW. Michael J. Antoon Not Awfi-bre Q Company Name Mike Antoon Construction Registration Number 102658 Address 14 Bearse Ave. thuen MA 01844 Expiration Date 07/02/2002 Sigoatme i!�� Telephone 978 688 272 uvLYW 1Tl/ JMI. �/� North Andover.max SECTION 10b - OWNEWAUTHORiZED AGENT DECLARATION Michael J. Antoon i, as Owner/Authorized Agent hereby declare Oat the statements and information on the foregoing application are true and accurate, to the best of my knnwledge and belief. Signed under the pains and penalties of perjury. Michael J. Antoon Print Name Item Estunated Cost (Dollars) to be completed b permit applicant 1. Building 2. Electrical 3. Plumbing 4. Mechanical (HVAC) 5. Fire Protection b. Total= (1+2+3-+4+5) $20,916.00 03/29/2002 Date Official Use Only (a) Building Permit Fee Multiplier (b) Estimated Total Cost of Construction from (6) Building Permit Fee (a)x(b) North Andover.max P • SECTION 6 - DESCRIPTION OF PROPOSED WORK check allapplicable) New Construction (3 Rqms p Alteration(s) Addition p Accessory Bldg . Q Demolition Other D Specify Brief Description of Proposed : Modify e)dsfinq screen porch to a new 4 season room. Will super insulate floor & close with exterior Plvwood. Install windows and doors consistant with eAsfing stucttlre. Wire insulate and plaster as re fired. Remove comon wall. See engineedng sheet a ach nsta I flbodng and finish trim to match existin . SECTION 7 - USE GROUP AND CONSTRUCTION TYPE USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly A -I A-2 A-3 IA Q A-4 A-5 IB Q B Business Q 2A Q E Educational Q 2B p F Factory p F -I F-2 2C Q H High Hazard D 3A Q I Institutional Q 1-1 1-2 1-3 3B Q M Mercantile Q 4 Q R Residential 19 ' R 1 R-2 R 3 5A p S Storage p S-1 S-2 5B 13 U Utility D Specify: M Mixed use p Specify: S Special Q Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS. ADDITIONS AND/OR CHANGE IN USE EXisting Use Group: Proposed Use Group: Existing Hazard Index (780 CMR 34) Proposed Hazard Index (780 CMR 34) SECTION 8 - Building Height and Area BUILDING AREA Existing (If applicable) 1950sf Pwposed 120sf Number of Floors or stories include basement levels 3 Floor Area per Floor (sf) 850sf 850sf 250sf Total Anes (sf) 2,070sf Total Height (ft) 28' SECTION 9 - STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes D No Q SECTION 10a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN — C OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT As Owner of subject > J property ,hereby authoriA author' to act on j r beh It in matters relative odc by this building permit application. f S of ate revised bldg form/sIde JM , North Andover. max S6(7TON4woRUWCOMPENSATTONRV9URANCEAFFIDAVITPJP-I-zIS § 2W46)] workas Compensation lnstaance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denialofthe mace oftbe building permit Signed Affidavit AVen El Nn SECTION S - PROFBFMONAL DESIGNAND GONSTRUCt10N S RVKM-FM XUBJING AND SIRUCMMn SURIE(T TO CONSTRUCTION CONIROLTURSUANTT079DIM U CONUMINGNK= THAN MLOSEDSPAM 5.1 Atehited No Applicable Name (Registrant): Address RegishationNmnber Si T Expiration Date 52 RqOacrcd Professional s Name Francis H. Collopy Area ofResponstbility Steel beam at wall Address 65 Aver St. Metheun MA Regishalion Number 20172 Signature 'j � ���� 978 685-8069 FapirstionDate Name): Area ofRespousibility Address Registration Number Signature Telephone Expiration Date Name Area of ResponsibUity Address Registration Number Sigmatme Telephone Expiration Date Name Area of Responsibility Address Registration Number SIV -U a Telephone . Expiration Date SJ GeaadCaatrador Not Applicable E Company Name: Mike Antoon Consiuction Responsible in Charge of Construction Michael J. Antoon Address 14 Bearse Ave. Methuen, MA 01844 978 688-627 Signature Telephone North Andover. max FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECT APPLICANT Magdi Bichat' PHONE 978 683-0989 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) 11A STREET CoMev Circle ST. NUMBER 10 OFFICIAL USE ONL RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY 1PERMIT /, / (� FIRE DEPARTMENTyp_C �T-0 -PXTPi� So�,I�II�%r Cv�/t r/yc;t ro P�cAxe� w31 ,/OZ RECEIVED BY BUILDING INSPECTOR DATE Revised 997 IM North Andover.max The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Michael J. Antoon Location' 10 Copley Circle 978 688-6272 am a homeowner pertomring all work myself. F-11 am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. Company name. MikeAntoon Constrution Address 14 Bearse Ave. City Methuen MA phone #:c 978 688-6272 Insurance Co. Zurich Policy # TC8 0095785466 Company name: Address Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to thein position of afthial penalties of a fire up to $1,500.00 andlor one years' Imprisonment as well as civil penalWs in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. 1 understand that a copy of this statement maybe forwarded to Ole Ortice of Investigations of the DIA for coverage verification. i do Mat the bdWmabon provided above is title sad correct- Print orrect Print name Mich0i J. Antoon Phone # 978 688-6272 official use only do not write in this area to be completed ny city or town officiar 0 Building Dept ❑check if immediate response is reyused Budding Dept 0 licensing Board 0 Selectman's Office Contact person Phone 41, 0 Health Department 0 Outer FORM woarOMWS COMFE IM North Andover. max 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 disposed of in a property licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Nmmi Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector North Andover.max A", 7ftll 14 Bearse Ave. Methuen, MA 01844-3409 PHONE/FAX: (978) 688-6272 e-mail. Mike a,MikeAntoonConstruction.com "FINISH CARPENTRY AT ITS FINEST" i3�J�J�►1� ���!iJ�i��� Contractor: Michael J. Antoon, d/b/a Mike Antoon Construction 14 Bearse Avenue Methuen, MA 01844-3409 Phone/FAX: (978)-688-6272 Federal Tax ID Number: 04-3093244 Board of Buildings Regulation and Standards Registration No.: 1 2658 Customer: Name: Mr. & Mrs. Magdi Bichay Address: 10 Copley Circl er, 1845 Telephone No Fax No.: N/A File No.: #473 (BICHAY_01_02) Date of Contract: January 26, 2002 Subject: Modifications to existing sunroom, to make a year round extension of your existing living space. (See Scope of Work Exhibit A, Plans (provided to town) Exhibit B) Date of Execution of Contract: February 1, 2002 Commencement Date of Work: Mid March, 2002 (Weather permitting) Date of Substantial Completion of Project: Mid April, 2002 (Weather permitting) Total Contract Price: $20.916.00 Time Schedule of Payments as follows: $916 00 deposit $2,000.00 to order doors and windows. $6, 000.00 start payment $5,000.00 upon start of rough mechanical trades. $5, 000.00 upon start of interior trim. $2,000.00 upon day of completion. (Any deposit under this contract shall not exceed one-third (1/3) of the total contract price of the actual cost of any materials or equipment of a special order or custom made nature, which must be ordered in advance of the commence of work:, in order to assure that the project will proceed on schedule.) IAP f i6f.^'`M MAV,214 [! a �LCS1Or.6ux�! ttOifE IrikDOErE31 CONTRACTOR f� Registration: 101650 Expiratia.: 7/1/01 } I Type: O21 BIKE Allcorn CUSTRCCTIOR (iichael Ant00n 454 --to/ 14 Searse Ave �o�r rw-roR pethea ra 0194! I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 02 Birthdate: 11/25/1957 A 6645 _ Expres: 11/25x2003 Restricted: 00 Tr, W 14558 MICHAEL J ANTOON 14 BEARSE AVE METHUEN, MA 01844— Administrator 13 � Cl) 7) m Cl) 0 m Z CD o O Co CD CO) 10 CD 0 y d O CA c� C O C CA C7 CD 0 CD CD H� CD CA 0 0 CD CD C C .Oo 110 2:O D _ vi 0 Q 4m d0�o 10 y 6= n m n C y eiaC 3 m = m CL. am = y m O m y p N O ?m CD = > CD CA m �o =A O C y c09 CAW O rij = a + Will cn � mmy�t ;r p Cn r^, m . \ J O y = : d y C _ c y CD 1/ +=C d y :e CD Cn H CD oh 0 O g n = cn cn ` O y Oq ? C« 0 0 11.0 r: C d t c o CD �C/) X- o �w O x to � - " r Ix PO x ��., Ixn�o � x CL 0 � r (o 9 H 0 �w O C to � 0 From: Mike Antoon To: Mike McGuire Date: 3/2912002 Time: 3:52:20 PM Page 2 of 3 93/2612002 18:17 978-6853069 ODLLJPY ENGINEERIWo PAGE ei -lic COLLGPY ENGINEERING CONSULTANTS 65 AYER STREET FRANCS H. ClLLOPY Mr. Mike Antoon Antoon {Construction 14 Searse Avenue Methuen, MA 01844 Dear Mr Antoon: METHUEN, MA 01844 March 27, 2002 Rcftwime: MID 66&&9 *"xv rAx. (970 6A5 OM I am writing in regards to the proposed renovation to the Bichay Residence at 10 Copley Circle in No. Andover, MA, namely the conversion of a porch area to a four season area. As part of your plans you have proposed removing a 12 foot long section Of wall 00.a8 to have a better flow Letween an existing living area and the new living space, i.e. the four season room. I visited the residence yesterday and took the necessary measurements of spans and room widths so as to determine the loading on the 12 foot long header which I have designed for the new proposed wall opening. I am enclosing Engineering Design Sheet D-1 which provides you with the beam size and location. I have provided you with both a steel beam size and a versalam beam size in case you choose to use an engineered wood product. If you have any questions earseerning tl'.ln ,tatter, please do not hesitate to call this office. Sincerely, COLLOPY ENGINEERING CONSULTANTS ,A- - /-/ 6-As":� Francis A. Collopy, P.S. Structural Engineer Enclosure: Sheet D-1 From: Mike Antoon To: Mike McGuire Date: 3/29/2002 Time: 3:52:20 PM Page 3 of 3 03/26/2002 18:17 978-6858069 COLLOPY ENGINEERING PAGE 02 - T COLLOPY roe �rG y'�� ,Q�ylD�tiGE ENGINEERING CONSULTANTS swat as ,of r 65 Ayer Street CaCULAM BY flol�C DATE METHUEN, MASSACHUSETTS 01844 TEL/FAX (979) "S-8069 CMECKEDBY Datt w E QST/N.G wfi c- e. 157- 2 ti D yi I, , '#p'C'F- vFf/oNS : 4- 2. NMe,ErC ct i/tr.43 rlfl ✓ sst�i 1/rrsc.. r aw/f -+ l M, 0 rd 5 !'U f*- j t i 1 � OF- g-I:k7vrV Cr-- fes/ I 20' Date ........ : ............. '0\ TOWN OF NORTH ANDOVER F." PERMIT FOR GAS INSTALLATION This certifies that ............................................. has permission for gas installation . . . .� ........................ in the buildings of ............................................ at ..: ................................. North Andover, Mass. Fee. . � ...... Lic. No ........... Check # .......................... GASINSPECTOR 1 MASSACHUSETTS UNIMRM APPUCATON FOR PERN ffr TO DO GAS FITTING (Type or print) Date V\ ':�CN °��'"� '�3 NORTH ANDOVER, MASSACHUSETTS Building Locations __ \O C,01\=C ;C � — Permit # 3 e) ^ � Amount $ (�1 J Owner's Name New ❑ Renovation El Replacement Plans Submitted S A '' (Pent or type) �` ate,, �� Name.\` cc�� v Address '1'1 *-k — Cor19one: Cert8c�tg Installing Company p. `� ❑ Partner. 03 O ❑ Firm/Co. Name of Licensed Plumber or Gas FitterC INSURANCE COVERAGE Check ne: I have a current liability Insurance policy or it's substantial equivalent. Ye IM No[] If you have checked yes, plcAqe indicate the type coverage by checking the appropriate box. Liability insurance policy 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: Signature of Owner or Owner's Agent Owner ElAgent ❑ 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massacht.r S Gas C and C,apter 142 of the General Laws. VED (OFFICE USE ONLY) Signature of 1 Plumber Gas Fitter Master ❑ Joumeyman >ed Plumber Or Gas Fitter 3135 License Number 2 7 , � ) J Date ..... 1�1 .......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................................................ 1.� .................................... has permission to perform ........ ............................................................. wiring in the building of ................ .. ;,�. . , - 4 � /7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at../ .................. / ................. ..................................... . North Andover, Mass. Fee ............. Lic. No...'...-.. ........... ELECTRICAL INSPECTOR Check # nm a�M�aNwFaL�xoFss�;s�rrs DZ'ARTM ATOFPUBLIC,WFEPy BOARDOFFIREPREZ'FMONREGU WO'KSS27aMlZo EOffice Use only Occuqpancy s Checked APPUCATIONFOR PD MI►TTo PMFORMaECTRICAL ALL WORK BE PERFORMED IN ACCORDANCE WrrH THE MASSAa-lus TS II.E MCAL WORD O (PLEASE PRINT IN IMC OR TYPE ALL INFORMATION) �, 527 cz� 12:00 y Town of North Andover Date %� LO The undersigned applies foraTo the Inspector of Wires: permit to perform the electrical work described below. Location (Street & Number) %� �' ;, /_ , Owner or Tenant 7 -) Owner's Address . S s this permit in conjunction with a building permit: 'urpose ofBuilding :xisting Service • o O . AmpsVohs u �a M3 Service �� Amps= volts umber of Feeders and Ampacity )cation and Nature of --- Proposed Electrical Work ' E to. 7 Yes L!= No Lj (Check Appropriate Box) Utility Authorization No. _ Overhead Underground No. of Meters Overhead Q Undue Q No. ofMeters Dg Fixtures - TOW — swrmmin3Pod Above : BetoriK.vA: . scle Outlets groundKVA Na oFOr7 Burners Outlets Na ofY Lighting Battery Units -- No. of Air Cond. Total FIRE ALARMS ofrDisposals Tom " No. of ZaoEs No. of Heal UFAM Total Tots TOW IVa ofDeft tion -and of ishwashers Space Ara Heating ) VV i itiatt peviees - Na ofSogadia*:Devices No: ofsarcoetoinea of Dryers Hesting.Dovices Kw f Devices )fWater Heaters KW � Logi Muaicrpal Other Connections No. ofNa of iydro Massage Tubs Si No. ormolas Bailasis Total HP CCOMMOW2PlsslatbiFle�t}Ii Ia�lsaH► ,sdlsC',aleali bmineid�a5dpoofdsanebthe0iae YES NO FWDl dndoottYES� M3ifebm 0 �E Bf7lVD Oda'tYiePtstaHlesd'paanr, VIE - 1,]L�1SL'Nl) BttsitmsTd No Q 7 3 7S , y iII`6URANCEWANFR;Iama►�metflatthelioer�edc�eynot $te A1tTe1Na �' 75 3'ey-D rnlhspemtdePFtlnis� c0►$'�ori�s�alera�,.,,.,:e.►r...�.�____� ..., -- teck one) Owner Agent ED Telephone No. PERMIT FEE $ 7 TOWN OF NORTH ANDOVER 00 PERMIT FOR WIRING This certifies that .......... ........... ..................... ....... has permission to perform ......... .... ................................... wiring in the building of ........... / . ..... ...... . ... ... ........ ,at ........ 11r /- .................. �4 ........ / ............... . ............... North Andov ,pr;'Mass. Fee3' 0 Lic. No . ............. ................ . ... ...................... ............... � .. ...... z ELECTRICAL INspEcTOR Check # '4 Commonwealth of Massachusetts tidal vs< only q Department of F/re. Services Permit No. I BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Foe Checked IR -61 11M) fleave black APPLICATION -FOR PERMIT TO PERFORM ELECTRICAL WORK A:: work to be pafw-4 In wcaeda> = WM lbs btauacbtuute tilOMW cone Q=L(PLEASE PRINT IN INK OR PE ALL 1Np0jUUZyo.N) Date:- S21 c, ?y°a 1x00 City or Town of: DOh Andover /��/t,i� Q. � By this application the undergigae gives nouca o s a neea,aat to To flu lnipador of Wira: Location (Street & Number) ((__ mom the cloarioal work described below. 1 lX t I A (P_�3 • if Owner or -Tenant Owner's Address Ver Is this permit In mjunetion with Is bt sit per° Yes 1Z Purpose of BuildingRPSVIPr Existing SmIce Amps / Volts New Service Amps Number of Feeden and Am' paeity Location and Nature of Proposed Electrical Work: Telephone NoM9693 0 No D (C*reck App, vprig ( e Be t ) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead❑ U*dM ❑.. Ne.•of Meters I rt 59n 0f ,� (w /Jetjt�1S UK4- r rm s� sr2 No, of Recessed Fisttums ---.. ._.• .. .... .wwwvn No. of Ctll.-Susp. (Paddle) Faas IQaIe De 1N01MW b tht Ins ecior of H'ry °• oca No. of Lighting Outlet: No. of Hot Tubs KVA Geaeraton KVA i rency g ng No. of Lighting Fixtures swimming Pool ovrmd,e 1313no. No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Defectlos, an InId aftr Devices No. of Ranges No. of Air Coad. tal Ton No. of Alerting Devices No, of Waste Disposen eat mp Totals: , Number Tow KW No. o outs ne DOeetiott/Alertin Devices of Dlshwashen Space/Area Heating KW munNo. Loal ❑ ©OIhc15+4 Counation i�, No. of Dryers Heating Appliances KWNo 3 No. o Water Beaten KW o. o o. o St Ballasts o e. or uivaleDt Dab WinesN6, 'vices of or ulvaleDt No. Hydromassage Bathtubs No. of Moton Total HP comas ca onsng: . of Devices or uj19D9 I V I IMM ""A u1 d"d dual! t/lrs!n , or a t mut. n/ br 11.r Ic�p�.,u. 01;,"n INSURANCE COVERAGE: Unless waived by the owner, no permit for tho paflkmana of electrical work may issue un)css the liccnsoc provides proof of liability insurarsce including ucompkted opaatba» 00%wge a lu substantial cquivalcnt. Tbc undersigned cerci fits that such coverage is in fora, and bas exbibited proof of to tbo permit issuing office. CHECK ONE: INSURANCE I) BOND ❑ OTHER ❑ (Spccii'y:) Estinsatcd Value of£lcccuial WorL- ,wtV1►bcn rogttirod by municipal poli p170an D'tc) policy.) Work to Start: �/0 l0 Inspoctiora to be requested In aocordaaoa with MEC Rule 10, and upon camplction. I cern, under thepalocs,wnd pencidda ofpsrjurx that theInformatlox on WhiSapplfeadox k trate anal eowpleit FIRM NAME: Wayne Alarm Systems. nc. LIC. NO.; C 1 1 1 t Licensee: _ Ralph W. Sevinor St�oaturt LIC. NO.: pjapplteaNe, enter "exempt "in she lteensenumberllne� Bus. TCL No`781-595-000C' Address: Alt. Tel. No. • c. OWNER'S INSURANCE WAIVE I am aware that the ocnsoe a not y$ e ty insurance covcragc norma 11 r req net/ by law. By my signature below, I hereby waive this requirernent. I am the (check one ❑ owner Q o4,nu's a ecni Owner/Agent Signature Telephone No. PERMIT FEE: 53-5, 11190