HomeMy WebLinkAboutMiscellaneous - 100 ELM STREET 4/30/2018N
O
O
o
Q m ,
o �
� �
o �
o ^'
o �
0
0
22 �
PERMIT NO. :7,<-3
I
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAP NO. I
LOT NO.
12 RECORD OF OWNERSHIP iDATE
BOOK PAGE
ZONE
SUB DIV. LOT NO.
—
/1
��i•_
LOCATION /�°/j
V
PURPOSE OF BUILDINjj
OWNER'S NAME r
e 1
J/
NO. OF STORIES SIZE
OWNER'S ADDRESS
C'�"^- /
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FL 2ND
3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING
/S
DISTANCE FROM STREET
e
DIMENSIONS OF SILL
' �` J
POSTS V P y / � Q
/d'��+
Q
DISTANCE FROM LOT LINES - SIDES
i .� AR
'" GIRDERS
AREA OF LOT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIR MENTS OF CODE '��
IS BUILDING CONNECTED TO. TOWN WATER
BOARD OF APPEALS ACTION, IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED
AND APPROVE D•BY$UILDING INSPECTOR
DATE 1
SIGNATIAE OF OWNER OR AUYHORIZED AGENT
FEE ['d'"o
PERMIT GRANTED 19
/ f
3 PROPERTY INFORMATION
LAND COST e-:9
EST. BLDG. COST 1-46
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
BUILDING INSPECTOR
'NH -Id 10 -Id S30V'1dadf1
3H SIH1 '3SOWlH3dS '013 'S3`JVN
-V0 'S3HOLdOd H11M 'SONIa' me 30 SNOlSN3Wia O 1 1
lVX3 aNV S3N101
WONA 30NVJSIa aNV 1Of1
0-130SNOISN3WIa lVX3 MOHSiSW N01103S SIHl
1st
Z1 .IONVdn000 t
0110311 0N1a1ins
�JNIIV3H ON
I P'£
DIKD313
_
P"L 1.W,8
ll0
SWOOM dO 'ON L
SVJ
S831V3H 11Nn
0.i.H 1NVIOV4
9NINOI114NOJ 81M
80dVn 80 8.1.M lOH
_
S8313V8 400M
'S10J '8 'SW9 1331S
MRS
N8n3 81M lOH 43DdOd
_
_
'S10D F 'SW8 ?139W11
3JVN21n3 SS313d1d
1SIOf DOOM
ONIMIA Lt
II ONIW"d 9
OOVO 3111
210013 3111
S38n1XI3 N8340W
ON13008 11021
83MOHS 11V1S
ONI9Wnld ON
13AV80 V 8V1
31V1S
XNIS N3HD11X
S30NIHS DOOM
A801VAVl
S310NIHS 1lVHdSV
13SO1J 831VM
43HS1V13
08VSNVW
1389WVO
1'X13 Z) 'W8 131101
X13 £1 H1V8
dIH
318MO
ONI9Wnld Ol
d0021 5
�I 3
2OOd db dns
WHIM
—I 210013 8 'S81S DI11V
3WV83 NO 3NO1S
ABNOSVW NO 3NO1S
X19 834N1:) 210 'DNO:)
3WV83 NO XJI89
ABNOSVW NO XD188
—�
_E_
E
�—z
t
_
9
3111'HdSV
3WV NO O»n1S
ABNOSVW NO ODDn1S
ONIGIS '183A
WDWWOD
—
ONWIS SO1S39SV
Q,PnaBVH
ONIGIS 11VHdSV
H18V3
3138DN0D
S310NIHS QOOM
O8J
S48V09d
SHOOld 6
SllvM b
W008 dV3H
1.W.8 ON
'/c `/L /
lin3 V38V
N3HDlIX N8340W
S3JVld 3813
V38V DIiiV 'Nld
V38V .LWA 'N13
1N3W3SV9 E
—
£
L
—
—
Y
NIJNn
nVtA Ada
83iSVId
Sa3Id
O,M48VH
3NO1S 80 XOI88
3NId
'X.19 3138JNOJ
3138)NOD
HSINId
IICIH31NI 8
N011VONnOd Z
N0110f1 NISN00
S1N3W18MdV
s3D1330
A11wv3 wnw
S3180!S
A11WV3 3lJNIS
Z1 .IONVdn000 t
0110311 0N1a1ins
Date .,-12-. 7-
N2 4280
a',;�•� :�� TOWN OF NORTH ANDOVER
'• °0
PERMIT FOR PLUMBING
3.
This certifies that .� -�--�- .��-C'.? ............
has permission to perform : ��— .......
plumbing in the buildings of ...................
............ . . . North Andover, Mass.
Fee .... Lic. No. ... ..... ............
PLUMBING INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR
(Print or Type)
L�0 if Q4Li
,Mass. Date��
IN
PERMIT TO DO PLUMBING
Permit #
Building Location \O -O CL M %-r Owner's Name
-- f M Ja o t � 4s- Type of Occupancar 5 + D E
New p Renovation ❑ Replacement Plans Submitted: Yes ❑ No O
FIXTURES
Installing Company Name � t ke-r .0 - -S4 (r rn AT A 7 Check one: Certificate
Address ::c Co RC H mt4" Corporation
1Y) E % N I ' Fn YO A U 1 T VLI/ ❑ Partnership
Businbss Telephone _ Lg-f Z - icl7 1 9-A m/Co
Name of Licensed Plumber 'L -t r=ie? 7- fry 5,4 n�,vl,q tc41O
INSURANCE COVERAGE:
I have ayes currentfiability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
If you have checked yes, please indicate the
type coverage by checking the appropriate box.
A 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:
Owner ❑ Agent p
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 narformed under the permit issue0jor this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws.
Title
re o lJcensed Plum r
Type of License: Master % Journeymah p
CitylTown _ q
APPRaVED OFFICE U ONL License Number !33 `i
•
Y
•
V
•
•
■��tt�������������������NMI
■������������������INNINNIMEN11
Installing Company Name � t ke-r .0 - -S4 (r rn AT A 7 Check one: Certificate
Address ::c Co RC H mt4" Corporation
1Y) E % N I ' Fn YO A U 1 T VLI/ ❑ Partnership
Businbss Telephone _ Lg-f Z - icl7 1 9-A m/Co
Name of Licensed Plumber 'L -t r=ie? 7- fry 5,4 n�,vl,q tc41O
INSURANCE COVERAGE:
I have ayes currentfiability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
If you have checked yes, please indicate the
type coverage by checking the appropriate box.
A 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:
Owner ❑ Agent p
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 narformed under the permit issue0jor this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws.
Title
re o lJcensed Plum r
Type of License: Master % Journeymah p
CitylTown _ q
APPRaVED OFFICE U ONL License Number !33 `i
C
0
z
N
40
m
A
0
w
1
Z
O
�
m
.r
O
=
C
O
2
O
m
9
�
�
0
0
0
r
I
C
I
;
i
m
Q r
s
F
Location l[/ o
No. 6�)o � Date
NORTq TOWN OF NORTH ANDOVER
� 9
+ ; , Certificate of Occupancy $
9
CH
*'7s''•'tom Building/Frame /Frame Permit Fee $ 9
s�cMusE
' Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # a�
13565 ifl/�`lr
Building Inspector
r
d
4
W
OI-
y
S
O
C
O
W
W
C
W
W
=
y
y
Z
O
y
W
cn
I f%f
Z
O
V"
u.
C
C
W
O
O
O
V
.�
C
O
=VN
cn
w
z
W
Y�1
C
C
O
v
0
y
V
V
C7 W
U
CLau
y
y
O
W
is
?
H
H
H
O
y
p
Z
O
A
y
<
W
W
W
C
D U
o
z
d
LA
U
y
°'
V
Z.
U
-
y
Z
Z
Z
Z
FF
FH
F.
F= a
O
y
y
•H
is.
{r4.
U
2
O
O
O
"`'
m
=�
C
C
O
O
O
O
LU
O
U
U
U
W
W
W
W y
d
�
U
Z
a
�
�IC
F
Y
<
cc
W
:lI
a
4
W
OI-
y
S
O
C
O
W
W
C
W
W
=
y
y
Z
O
y
W
rn
Z
O
z
W16
I f%f
Z
O
V"
u.
C
C
W
O
O
O
V
O
C
O
=VN
W
Y�1
C
C
O
0
y
V
V
C7 W
CLau
y
y
W
C
W
is
?
H
H
H
O
y
p
Z
O
G
y
<
W
W
W
C
D U
o
,
U
y
°'
V
Z.
U
-
y
Z
Z
Z
Z
FF
FH
F.
F= a
O
y
y
•H
is.
{r4.
U
2
O
O
O
"`'
m
=�
C
C
O
O
O
O
LU
O
U
U
U
W
W
W
W y
Ey
1�1
4
W
OI-
y
S
O
C
O
W
W
C
W
W
=
y
y
Z
O
y
W
rn
Z
O
z
W16
I f%f
Z
O
V"
u.
C
C
W
c
S
V
V
V
V
Y�1
0
z
�
d
�
U
Z
a
�
F
Y
o
O
�
Z
<
O
O
W
V
F
_
�
W
C
Z
C
a
z
<
z
ti
�
E
a
Fr
�
011l
W
<
W
fW.
U
W
o
o
Z
W
W
W
z Z
2
Z
y
y
C
W
C
O
=
C
C
Z
i
T
O
.��
n
n
H
i^�l♦
r
C
�
C
y
y
y
Z
�
i
C
�I
i•
R
Z
x
�
11111111111111L._ — I
irlurMIL-W-M
Page of
Free Estimates i i Vl/1/M7Ri 105 Haverhill Street
Fully Insured Methuen, MA 01844
(978) 691-1355
THOMPSON'S ROOFING
Shingles - Tar and Gravel - Slate
Rubber Roof - Single Ply - Copper Work
PROPOSAL SUBMITTED TO
PHONE DATE
Bill Lee
11-6-99
STREET
JOB NAME
52 Walker Road
CITY, STATE and ZIP CODE
JOB LOCATION
Atkinson NH 03811
1nn Elm Street North Andover MA
ARCHITECT DATE OF PLANS
JOB PHONE
60-3 o
We hereby submit estimates for:
Strip off all roof shingles on building
Renail all loose boards
Replace crown molding on one side, replace facia and sofit boards above
flat roof and boards where small ledge is and if any roof boards that
need it. What the cost of the material is I will double it.**
Install aluminum drip edge white around roof line
Apply rubber ice and water shield 3 ft. up all along edges and in valleys
Apply 15 lb. felt paper on rest of roof area
Reshingle with a 25 year shingle your choice of color
Install new flanges around soil pipes
Waterproof chimney flashing
Cut in a ridge vent on both peaks
Remove all work related debris
**(Start date around the first
25 year warranty on material week of January, it will be
10 year guarantee on labor around a 3 (three) day job)
*********
Construction lic. #060112
Improvement #128612
We PrOPM hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
dollars (S5 9 0 0.0 0
Payment to be made as follows:
$2,000.00 start of job $3,900.00 on completion
Five thousand nine hundred dollars
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or Authorized
deviation from above specifications involvind extra costs will be executed Signature
only upon written orders, and will become an extra charge over and above the
estimate. All agreements contingent upon strikes, accidents or delays beyond
our control. Owner to carry fire, tornado and other necessary insurance. NOTE: This proposal may be
120
Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us If not accepted within days.
m re 0f ho�w — The above prices,
specifica ions and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified. Payment Signature
will be made as outlined above.
p
Date of Acceptance: _L/ �� �� ' /� Signature
BUILDING DEPARTNMTNT
DEBRIS DISPOSAL FORM
In accordance with the pwisions of MGL c 40 S 54, a condition of Building Permit Number
Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as
defined by MGL c 11, S 150A
The debris will be disposed of in:
UJ
tJ ? L v -m, e.
Location of Facility
D
Signature of Permit Applicant
Date
NOTE: Demolition pm=t from the Town of North Andover must be obtained for this project through the Office of
the Building Inspector
C E R T I F I C A T E O F L I A B I L I T
Y I N S U R A N C E
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
DATE 07/30/99 (MM/DD/YY)
PRODUCER
PELHAM INSURANCE SVCS INC
THIS CERTIFICATE IS ISSUED AS
UPON THE CERTIFICATE HOLDER.
THE COVERAGE AFFORDED BY THE
A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
POLICIES BELOW.
122 BRIDGE STREET
POLICY EXPIRATION
OR LIABILITY OF ANY KIND UPON THE INSURER, ITS .AGENTS OR
INSURERS
AFFORDING COVERA
GE
PELHAM NH 03076
INSURER A: Liberty Mutual
DATE (MM/DD/YY)
-
INSURED
INSURER B: The Maryland
Thomas Doyle DBA
INSURER C:
EACH OCCURRENCE
Thompsons Construction & Roofing
B
[X] COMMERCIAL GENERAL LIABILITY
INSURER D:
8 West St.
Salem NH 03079
$ 300,000
INSURER E:
SCP 34865353
04/15/99
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED
PO Box 504
POLICY EFFECTIVE
POLICY EXPIRATION
OR LIABILITY OF ANY KIND UPON THE INSURER, ITS .AGENTS OR
LTR
TYPE OF INSURANCE
POLICY NUMBER
DATE (MM/DD/YY)
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
B
[X] COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire)
$ 300,000
[ ] [ ] CLAIMS MADE [X] OCCUR
SCP 34865353
04/15/99
04/15/00
MED EXP (Any one person)
$ 10,000
[ ]PERSONAL
& ADV INJURY
$1,000,000
[ ]
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGG
$2,000,000
[ ]POLICY [ ]PROJECT [ ]LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
[ ] ANY AUTO
(Each accident)
$
[ ] ALL OWNED AUTOS
BODILY INJURY
[ ] SCHEDULED AUTOS
(Per person)
$
[ ] HIRED AUTOS
BODILY INJURY
[ ] NON -OWNED AUTOS
(Per accident)
$
[ ]
PROPERTY DAMAGE
[ ]
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
[ ] ANY AUTO
OTHER THAN EA ACC
$
[ ]
AUTO ONLY: AGG
$
EXCESS LIABILITY
EACH OCCURRENCE
$
[ ] OCCUR [ ] CLAIMS MADE
AGGREGATE
$
[ ] DEDUCTIBLE
$
[ ] RETENTION $
$
WORKER'S COMPENSATION AND
[ ] WC STATUTORY [ ] OTHER
A
EMPLOYER'S LIABILITY
WC2-31S-314995-019
04/21/99
04/21/00
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE -EA EMPLOYEE
$100,000
E.L. DISEASE -POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Garage Repair at 82 No. Policy St. Salem, NH
CERTIFICATE HOLDER [ ]ADDITIONAL INSURED; INSURED LETTER: CANCELLATION
(7/97) 4 Nage i OT Z
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR
Anthony Mottolo
TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED
PO Box 504
TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION
OR LIABILITY OF ANY KIND UPON THE INSURER, ITS .AGENTS OR
Andover; MA 01810
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
s
r,�
W
(7/97) 4 Nage i OT Z
• i RFEt1
i6BEPRRRENT4F).UBlYC�3Y '
CONSTRKTIONiSUPERVISOR LICENSE � 5
Nathel Expires. Birthdate:
ri
SAIEIt,, �#003079
i
.HOME IMOROYEMENT CONTRACTOR
Re$itration 128612
. •�. � ,.Tye°A�BA'.:.�*. ;,. ;,�i.
. . `'Expiration 44/28/01 . j .1
{ tHOMPSON'S ROOFING `
THOMAS T. DOYIE
r8+�4lESi ST
SALEM NH 03019
e
Vo
7al
a
a
a
�;m o
C-)oc
`
C N
'v
O
vV
a
z
•ate
ac
m ev
I
Mo
x
`oCc
z
U
a
Ea
w
a
CD CF
m o
q
:t v
:s
o a
z
y
z
A
C
v
e
L
Q
a
c
as
d
w
a
1�
v
p
u vi
OCL.. c
mi
E
Z
v
a:r
N !O
U
..
W
dco
p
o
a
G
p" Tc
W v is
O iv
C
c �
" i
w°
C/)w°
w°' U w
a°' w
� w
w�' w
m' , cin
U)
7al
s �.
a
C C
C.—
0O2
0
O
COD O O
•i m m
CD CD
0�
!O O d
Ca
Cc
O Cc
v �'v
C CD
0 CL
�..� N3
c C
C
■ C
_cc
d
y
O
0
CO
LU
U)
crw
W
IrW
U)
�;m o
C-)oc
`
C N
'v
O
vV
•ate
ac
m ev
c
Mo
`oCc
Ea
CD CF
m o
q
:t v
:s
o a
y
C
O
w m
:oma
1�
u vi
OCL.. c
mi
E
a:r
N !O
o
�' y
3
C
c �
a
z
c
CA CCU
O
y
m
E
Q
Q L `
m
C.
C y Q
'
•: dct
_o
2
m
V Z
O
C`O
d
cm
c
Q
�
� � m C
•O
3
N
Vi
H
ev Z m
m
W
a
O
'O C eco
y=,,
.r.
ac
•E
06
0 -0.-
o
C.3
a
2 cm
m� ��
5
_
= ` y �
O
A
=owa�m�
s �.
a
C C
C.—
0O2
0
O
COD O O
•i m m
CD CD
0�
!O O d
Ca
Cc
O Cc
v �'v
C CD
0 CL
�..� N3
c C
C
■ C
_cc
d
y
O
0
CO
LU
U)
crw
W
IrW
U)