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Miscellaneous - 109 HERRICK ROAD 4/30/2018
109 HERRICK ROAD 2101020.0-0039-0000.0 r' NORT1� °fs"`° '•1"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACMUS� This certifies that ............. ��J.... ................................ has permission to perform ......... .................................................... wiring in the building of........... ..................................... at..... .c. ll= ��!. .,/(.........................../ ,North Andover,Mass. Fee... .s.. .. Lic.No.�y �3 ....... ; . ?.!l.. -< �.,il.............. g / ELEC MCAL INSPEMi Check # i 9314 ConMtQM1W1aWn of ma�aace Official Use Only 2cc:// cc77 Permit No._ 4 ap,a'rtm d o`Jire�ervicee Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev, I/07) leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be'performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK ORTYPEALLINFORMATION) Date: Lf- 2—/0 City or Town of: A1,42N 4XAaaete To the Inspeclor of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) '010 6) � Qi Owner or Tenant .�ffc/ �,vccgr�oe�— Telephone No. . Owner's Address Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No,of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion o the following able ma be waived by the Inspector o Wires. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle) Fans Transform o ota ens KVA No. of Luminalre Outlets 'L No.of Hot Tubs Generators KVA No. of Luminafres SwimmingAbove n- o, o Emergency Lighting Pool rnd. ❑ rnd, LJ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No,of Switches 2 No,of Cas burners No.-of e ect on an Initiating Devices No.of Ranges No.of Air Cond, Total Tons No, of Alerting Devices No, of Waste Disposers eat Pump um er" Tons o,oSelf-Contained Totals: '""'""'"""" Detection/Alerting Devices No.of Dishwashers Space/Areo Heating KW Local❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security ystems: No.of Devices or Equivalent No. o aterKN, o. o o.o Data Wiring: Heaters Sf ns Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunication No,of DeofDes r ng: _1 Nvices or E uivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Stan: Z//o Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND (] .OTHER ❑ (Specify:) I certify, under the pains and Pena/lies of perjury,that the Information on th ap lieatlon is true and complete, FIRMNAME: pAgty CILI:C-TRtcAL Coa4'Ra6TtNG f-L LIC. NO,: Ig90A Licensee: 'D 4Vt v NA64Aoe Signature _ LIC.NO.: (If applicable.enter "exempt"in the license number line,) Bus,TelNo,: -682-419?- Address: 8 7 6ELt^oMT ST N OR•rN AlofD0V8 R &A 011 .Alt,Tel.No.: 7 • 3 • S •Per M.G.L. c. 147,s.'57-61,security work requires Department of Public Safety"S"License: Lic. No. OWNER'S INSURANCE WAIVER. I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the(check one)D owner ❑owner's agent. Owner/Agent SignatureTelephone No. PERMIT FEE; $ e9 '`�`Z Date. . . . . . . . . . . . . AMRt NORTH TOWN OF NORTH ANDOVER �? �•w ...._.,• OL { to- PERMIT FOR PLUMBING ,SSACows This certifies that has permission to perform . . .�. . c. "7/1'O.` plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at 1.0.'?. f/.x.,47.1..1./C. . . . . . . . . . . . . . .— North Andover, Mass. 171 Fee. .'/?. . .. . .Lic. No.. . . . . . . . . . . . ?. . . . . . ,PLUMBING INSPECTOR Check # 8552) MASSACHUSETTS UNIFORM APPLICATION FOR.PERMIT TO DO PLUMBING (Print or Type) WL , Mass. Date- 1 Zp p0 Permit# 1 in Building Location_��.A1 �-1 pR dZ1[ J t Owner's Name Type of Occupancy_ NewZ__"'Re nova tio n 0 Replacement 0 Pians Submitted: Yes 0 No•0 FIXTURES B.P. # SEWER # SEPTIC # . • z � cry (nz ¢ r 8 H tn = to � w LU to g O Z Ou w O m w Q .w cn¢ to Z Q a z a < p �- W H- ya p 0 = N• Q Cl w I— <C = n. Z (n a 0 Z Z f� Y w S m o o i ¢ o01 U- � v Q i m o o SUB-BSMT BASEMENT 1ST FLOOR s' 2ND FLOOR ML 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR ?TH FLOOR 8TH FLOOR I I stalling Company Name1-401 .£ �1X� Check one: Certificate idress m 1=1`1 Y, S-A— corporation16,23 tsiness Telephone 1__j8_ bblk — 6:9� 0 Partnership ime of Licensed Plumber or Gas Fitter K1 m <c,pe"V&V ` 0 Firm/Co. NSURANCE COVERAGE: have a current ability Insurance policy or Its substantial equivalent, which meets the requirements of MGLCh. 142. Yes No .0 f you have checked Yes, please indicate the type of coverage by checking the appropriate box. liability insurance policy ❑ Other type of indemnity ❑ Bond 0 )WNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter G ` 42 of the Mass.General Laws, and that my signature on this permit application waives this requirement. signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ sreby certify that all of the details and-information t have submitted (or entired)1 0 appiic fon are true and accurate to the best of knowledge and that all plumbing work and Installations performed��, e mit Lr is application will be in compliance with pertinent provisions of the Massachusetts State Plumbing Code an2 f t ws. By Tide Signature of Licensed Plumber ' City/Town APRType of License: ❑`%ster APPROVED(OFFICE USE ONLY) 0 Journeyman Date...... NORTIi TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ... ... ......... ... fz ..................... z. .. has permission to perform ....... wiring in the building of.......... ......................................................................... at...... ......................North Andover,Mass. Fee. ..... Lic. ........... . .. ELECTRICALINSPEC�R-'- � Check # 8275 (f monwealiih of Ma99acLetta Official Use Only Permit No. cc�� A. o(Jepartmznt of-7ire Serviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MBC),527 R 12.00 (PLEASE PRINT I K OR TYPE ALL INFORMATION) Date: a C0 City oown f: LTJ igpdoV� To the Inspe for of fres: By this applicatio dersigned gives notice of his or her intention to perform the electrical work described below.. Location(Street&N ber) ' ,Qi�/ 1 Owner or Tenant + fl Telephone No. -b w Owner's Address- Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 5 Can letiai of die followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TransTotal Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El o-Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ."".... Detection/Alerting Devices ! No.of Dishwashers Space/Area Heating KW L Municipal Other Securi S No.of Dryers Heating Appliances Key hystems:No.of Devices or Equivalent No.of Water No.of No.of irin : Heaters KW Signs Ballasts No.of Devices or 4ouivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of 61lii•es. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE )Q BOND F1 OTHER El (Specify:) 1 certifjy,under die pains and p nalties of perjury,that the information on this application is true and complete. FIRM NAME: rInK,S I,�urn� ,�QLU( t �-V LIC. NO.: ? Lt Q G Licensee:sIQhn �-1D 11'rl�S Signatures 9< �,c,�i,,,.,_ LIC. NO.: ss c t t 4 3 (Ifapplicable,enter "aempt"in the license number line. Bus.Tel. No._? S7��`�� Address: $ �S�" i h-1 It {� (� ii Alt.Tel.No.: _ *Per M.G.L.c. 147,s.57-61,security work requs Department of Public Safety"S"License: Lic.No.jS CC (�(a► ' ► 3 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Date... .... ... 3......... NORTI{ TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SS�cNusE� Thiscertifies that .. .. ....................................................................... has permission to perform .:...: .. �. wiring in the building of ........! r' ................................................ ." . ...... ,North Andover,Mass. �N Fee..`........%....... Lic.No! G \:..:.,............. rt t.. ........................... ELECTRICAL INSPECTOR Check # 4 , J( Commonwealth of Massachusetts Official Use Only y � Department of Fire Services Permit No. , Occupancy and Fee Checked _ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 52 CMR 1 .00 (PLEASE PRINT IN INK O E A INF RMATION) Date: � 1 _ City or Town of: IT7 IrOA To the Inspector of res: By this application the undersigned&ives no' e of his or er inten ' n o perform the electrical work descn ed below. Location(Street& ber) , Owner or Tenant di L Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd[:1 No.of Meters b New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the ollowin table may be waived by the Inspector of Wires. No. of Recessed Fixtures No.of CeilSusp.(Paddle)Fans No.of Total : Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o cy Lighting x rnd. rnd. BatteryUnits - r No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers . Heat Pump Number Tons KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or E uivalen No. of Water Kms, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total HP Telecommunications Wiring:No.of Devices or Equivalent ~ OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless * ed by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of E ectrical Work: �. (When required by municipal policy.) Work to Start: hispections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 1 53-1C Licensee: John S* Bassett Signature LIC.NO.: 1533C (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 603 594 5928 Address: Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Lic, see does not have the liability insurance coverage normally required bylaw. By my signature below,I hereby waive this requirement. I am the(check one)El owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ation No. r Date i pORTH TOWN OF NORTH ANDOVER Ott � n ,�1ti0 ? • O p Certificate of Occupancy $ �d Building/Frame Permit Fee $ Ablation Permit Fee $ VERCOLLr Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ T JAN 3 ,WFIRfAL Building Inspector rr Div. Public Works PERaiMN0. oQ ,6 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER MASS. /PAGE 1 MAP +40. LOT NO. 2 RECORD OF OWNERSHIP '.DATE BOOK '.PAGE — ZONESUB DIV. LOT NO. I lifie No. ?S'9"> ��3`>r� I6.7 39 LOCATION PURPOSE OF BUILDING �d `�' lfer���k R New t3�dfi-coo„ OWNER'S NAME 1. i11"am PI d cAe ja / �� � NO. OF STORIES SIZE OWNER'S ADDRESS 'OG Af�tl / �� - BASEMENT OR SLAB /BUILDER'S X /ARCHITECT'S NAME // SIZE OF FLOOR TIMBERS IST 2ND .2Q 3RD BUILDER'S NAME ���19?nen SPAN l'O �/ Gi j• T DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS - DISTANCE FROM LOT LINES—SIDES ! REAR 3 Y " " GIRDERS )e/z 3 ! SP,. AREA OF LOT sr FRONTAGE 3. HEIGHT OF FOUNDATION 7� THICKNESS IS BUILDING NEW OO NO SIZE OF FOOTING X IS BUILDING ADDITION Xn MATER:AL OF CHIMNEY IS BUILDING ALTERATION VICS IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ��.'s 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 s PROPERTY INFORMATION LAND COST w SEE BOTH SIDES EST. BLDG. COST 4f JQ!00,0 —� PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS t - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. _ ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED / / 3 ., BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGEN FEE T,a70 ' �Q! Al 2_12G PLANNING BOARD OWNER TEL. PERMIT GRANTED �-�--� /392n- 19 CONTR.LIC.# BOARD OF SELECTMEN .i !AN l 0 1993 0 INSrECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES —:�jTHIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE E 1 2 I3 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER ✓ _ _ DRY WALL ✓ _ UNFIN. ✓ 3 BASEMENT 11 AREA FULL ✓ FIN. B MJ AREA _ '/ 1/1 '/ FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 22 f 3 DROP SIDING CONCRETE ✓ I_ WOOD SHINGLES EARTH ASPHALT SIDING HARDI!✓'D ✓ _ ASBESTOS SIDING COMMON ✓ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME ' SUPERIOR I� POOR � ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I r/ HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. )2 FIX.) 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 6 FRAMING 11 HEATING h � L WOOD JOIST PIPELESS FURNACE �,,� FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM kol STEEL BMS. S COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T — 2nd _ ELECTRIC 1st r ( 3rd I NO HEATING t JAN I I lSo3 i . ' 82 . 02 ' LOT NOS. I a 19A O Q 0 Q: Bulkhead parch - N 15 5 7 3 d. / N /��Pos•d N0 10,9 'r'. O al �Wask N 21.9. t0 � 23.1 O ~ 3` ; 0 2 W o � W ; to -co _ - � o 104 . 55 v) m Rp AD HERR�cK MORTGAGE SURVEY PLAN SCALE: I 20 , DATE: 3/ 16 /87 PLAN REFERENCE: BEING LOT I a19AON A PLAN BY SMITH a McCRACKEN DATED MAR. 25, 1929 RECORDED IN ESSEX NORTH REGISTRYOF DEEDS BOOK 24 PAGE 165 SPL.NO. 8813B.8913 ' I HEREBY CERTIFYTHATTHE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE R U D AS SHOWN. AND CONFORMS TO THE ZONING LAWS OF THE TOWN OF NORTH ANDOVER %MO I CERTIFY THAT THIS LOCUS DOES NOT LIE REIS ENGINEERING INC. � N � �! JOHN �G j WITHIN THE FLOOD HAZARD ZONE AS 15 COLBERT STREET a J. DELINIATED ON MAP 0005 BREIS WEST ROXBURY, MA 02132 u No574 so 'COMMUNITY 250098 THIS PLAN IS NOT MADE FROM AN INSTRUMENT SURVEY, NOT TO BE USED t FOR FENCES, ETC.. FOR BANK USE ONLY. G Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE JOB LOCATION_ /07 !=lc gel Number Street Address Section of town "HOMEOWNER" �e'J/,'a,r., �'I. f7�c�l�.�� i°�'. 5-03'-682 aE9 r 61) Name Home Phone Work Phone PRESENT MAILING ADDRESS IDS hlc",�1� City Town State. Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor. (State Building Code , Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be, a one to six family dwell- ing , attached or detached structures accessory to such use acid/or farm structures . A person who' constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit . to the Building Official, on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the buildinglpermit . (Section 109 . 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements . . .HOMEOWNER' S SIGNATURE���� APPROVAL "OF BUILDING OFFICIAL Note : Three family dwellings 35 ,000 cubic feet , or larger , will be requiredito comply with State Building Code Section 127 .0 , Construction Control . f } I � .��Ni 1993 t i ' 1 wOR,y OFFICES OR . ;r' °°; Town Of I20 Main Street O API'EALs • . -" NORTH ANDOVER North An(1Over. 1'i1111.171NCi "; :,e' MiISS;lChUSCUS 1845 CONSERVA'IIUN DIVISION UI' ((i 17)4i85-4775 HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON. DIRECI'011 i In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number _ � is that the dcbris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 15,OA. The debris will be disposed of in: (Location of Facility) 1 Signature of Permit Applicant JAS! 11 je93 5 � Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Y � NORTIy Town of 0r �./E—•'. 1. � Andover No. 006 -19 OC = o��;� dover, Mass., ORATED PC BOARD OF HEALTH Food/Kitchen PERMIT T . D Septic System THIS CERTIFIES THAT 1IW.s.*.ti. .. !q .e NX • •• ............••••••• ......••• BUILDING INSPECTOR Foundationhas permission to erect or 0. ..AD buildings on .•••••• Rough to be occupied as..J.1/. 1160... ...... .. .�i. .. ......................................... Chimn y e provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and onstruction of Buildings in the Town of North Andover. J T/ oPLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids.this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough Service BUILDIN INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal -No Lathing or Dry Wall To Be Done - - - - - - Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT. Burner PLANNING FINAL 441Y/f CONSERVATION FINAL Street No. Smoke Det. CMAIC0 /lAIAT�:R FIKIAI o2 DRIVftY ENTRY PERMIT Ne to b eC31`o orr, , To cMa.� " 1 y r A�. � -� AN I (T rP)W/ � ap He le'r Km (c- `b A .�� wR NEW Plywood (7yp) 4h, f f�-3D 2 X8 �� OG• Tt'P� s0* arra � ss k No4c X111 walls a+J Gei l�"ng lo be I _ IJ bit i I S� 7 �., H -- ok Y, I C7 �---�- y �" fl �Po � I Ex gg Fo � � E i f t { i t v I v 6 �EE y E ? 1 3 h t E p� F t F tr t i F f _ - _..a_.. _.,,_.�._._ m..wc:.�.+.w.er•ae..r.-sssnrc:�'Sc�..a:.es:.+...e:+ss+�swt..rt=.a��zr-s:F.:nrws�.se=+.x�z 91 Location No. rDate 1 �` NORT" TOWN OF NORTH ANDOVER F p Certificate of Occupancy $ • �C ; # Building/Frame Permit Fee $ s" "''nth Foundation Permit Fee $ sAcmusE Other Permit Fee $ W-110 BY 'CHECK Sewer Connection Fee $ IORTH MMOVER COLLECTOR _ Water Connection Fee $ TOTAL $ 5 1993 Building Inspector �rq N� Div. Public Works PF-a3f=NO' `d APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ✓AGE I MAP 4,40. LOT NO. 2 RECORD OF OWNERSHIP JDATE BOO,, `PAGE ZONE I SUB DIV. LOT NO. TI+Al& pO. ��'t�f� y13�8' I&J" I 393 LOCATION 'o C! Hett�c k �� PURPOSE OF BUILDING RCP _/Ch� OWNER'S NAME J!�/ !'+ a /Q�n NO. OF STORIES A CSIIZE OWNER'S ADDRESSY/Vv�! 7�Crr'C L ^/C` AA1410utr. BASEMENT OR SLAB $Q,5C_MG/'b'(' ARCHITECT'S NAME/ /7 {� L ,+ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET /8� " POSTS DISTANCE FROM LOT LINES-SIDES !.�' 4� REAR 3 y' GIRDERS d J AREA OF LOT 6-900 5F FRONTAGE loY ss HEIGHT OF FOUNDATION � � THICKNESS tell. IS BUILDING NEW V .w/�+ I SIZE OF FOOTING X IS BUILDING ADDITION Np MATERIAL OF CHIMNEY .,�i fi IS BUILDING ALTERATION NV IS BUILDING ON SOLID OR FILLED LAND so WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 'Vee IS BUILDING CONNECTED TO TOWN WATER YC-5 BOARD OF APPEALS ACTION. IF ANY ! a IS BUILDING CONNECTED TO TOWN SEWER yez IS BUILDING CONNECTED TO NATURAL GAS LINE G-3 INSTRUCTIONS s PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST �'D t] (> PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER fQ. FT. PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 1 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED J A(l� '42 BOARD OF HEALTH SIGNATURE OF OWNER OR 1AUTHORIZED AGENT F'E E PLANNING BOARD PERMIT GRANTED OWNER TEL.#_._.!7-, _ 4. a7 CONTR. TEL.# / (5 CONTR.LIC.# BOARD OF SELECTMEN �/ '7 fU1LDINQ INfPECTOR o r. BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I V STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d t 2 I3 CONCRETE BL K. -PINE- BRICK INEBRICK OR STONE HARDW D PIERS PLASTER ✓ T_ _ DRY WAIL Y _ UNFIN. 3 BASEMENT AREA FULL FIN._B M'T' AREA _ '/. 1/2 '/. FIN. ATTIC AREA _ NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW D ✓ _ ASBESTOS SIDING COMMC:N t� VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR 0 ADEQUAATE I� ONE 5 ROOF 10 PLUMBING , GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES If LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING I MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 1 2nd A _ ELECTRIC 1st S' 13rd I NO HEATING +� T I Town of North Andover f BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE Ja n JOB LOCATION Number Street Address Section of town "HOMEOWNER" IJ "I//a,, M• 11ci- G 8S-C/ Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor. (State Building Code, Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be, a one to six family dwell- ing , attached or detached structures accessory to such use and/or farm structures . A person who' constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit , to the Building Official , on a form .acceptable to the Bulding Official , that he/'she shall be responsible for all such work performed under the .-building' permit . (Section 109 . 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and ,requirements . HOMEOWNER' S SIGNATURE . �o� APPROVAL OF BUILDING OFFICIAL Note : Three family dwellings 35 , 000 cubic feet , or larger , will be required to comply with State Building Code Section 127 . 0 , Construction Control . Q •1,L OFFICES OF: . Town Of Iz(t Main Street � q APPEALS :i .uK: NORTH ANDOVER North Andover, fit111.11INt, •- ':;%r Massachus(ais 0184!; CONSLIiVA'I'I0N ""'" I)IVISIMOW (61 7)GHS-4775 HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON. DIRECTOR I l ' I In accordance will, the provisions of MGL c 40, S 54, a condition of Building Permit dNumber is that the debris resulting from this work shall be isposed of in a properly licensed solid waste disposal facility as defined ,by MGL c 111, S 150A. ne debris will be disposed of in: (Location of Facility) i Signature of Permit Applicant y 49.92 Date I NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. NORTIy � o of � ` � R a over Dot o N y � � •:o dower, Mass. 19 it) T O LAEI. 1 COCHICHEwICK �A�RATED C qS BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT.1i .. x40 4f BUILDING CTO.. ►�IR. .. FoundationDING INSPE R has permission to erect.1fi61100...... buildings on .. �9....... Rough to be occupied as..... .,r�1,�.,�. ........ ,�....4.. .��' �.. ...... tmn y Ch' e provided that the person accepting this permit shall in every re spe conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. - s rot #09v A!"W x 0 0 sw PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONS ARTELECTRICAL INSPECTOR Rough es; . ........................................ Service LDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fria h -No -Lathing or Dry Wall To BeDone . FIRE DEPARTMENT Until Inspected and Approved by the Building -inspector.- - - - - - _ Burner PLANNING FINAL CONSERVATION FINAL Street No. SEWER/WATER FI NAL v/ DRIVEWAY ENTRY PERMIT Smoke Det. Location No. Date �aRTh TOWN OF NORTH ANDOVER / .�? ° - _• OCL 0. � • i Certificate of Occupancy $ s'•^°•E Building/Frame Permit Fee $ �CMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �Q 18659 f/ Building Inspecto r t TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENO VAT OR E, DE1I�YlOLIISSH A ONEORTWO FAMILY DWELLING 1 { '2;. ?(1 iT00 BUILDING PERMIT NUMBER: DATE ISSUED: I` SIGNATURE: JN Buil n Commission for of Buildin s Date SECTION 1-SITE INFORMATION �! 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number, © Vag Parcel Number 11.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard. — Side Yard Rear Yard Required ProvideRequired Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54 1.5. Flood Zone Information: � 1.8 Sewerage Disposal System: >Public 0 Private 0 Zone Outside Flood Zone 0 Muaicipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Sal k� 'j C�r1 i more, ( U Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Si natz(e Tele hone m SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: '• License Number Address SignatureTelephone I Expiration Date ic •. r 3.2 Registered Home Improvement Contractor. Not Applicable ❑DAVIP y�•� Company Name R.1o Nl'��G * ��v��, m)�� Registration-Number (s' 2. rnfJ 23 _- r L Expiration Date Si nature Tele one SECTION 4-WORIMRS COMPENSATION(M.G.L. C 152 § 25c(6) r 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 permit. Signed affidavit Attached Yes.......❑ No....... SECTION 5 Description of Proposed Work(check_all a u'cable New Construction ❑ Existing Building Repairs) ❑ Alterations(s), ❑ Addition ❑ v Accessory Bldg. ❑;y.1�.y' "Dea"itoliton ❑ Other ❑ Specify Brief Description of Proposed Work: and re'a houl-. SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be r' OF' IAL'USE ONLY Completed by permit applicant 1. Buildinga Op ( ) Building Permit Fee � Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 _Plumbing Building Permit fee(a) X (b) 4 Mechanical(HVAC) D,�,► 5 Fire Protection t7or 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION �ti 0 7) S 7—R 1 Cb/y E as Owner/Authorized Agent 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 � s Print S Si rah Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2N. 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE The Commonwealth of Massachusetts Department of Industrial Accidents 4 Office of Investigations 600 Washington Street t Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Sox Address: 1 o q McK R City/State/Zip: ,, A(4Qvu tilA 61K- Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1. El I am a employer with 4. ❑ I am a general contractor and I .employee's (full and/or part-time).* have hued the sub-contractors 6. New construction 2.ElI am a sole proprietor or partner- listed on the attached sheet; I ? ❑ Remodeling ship and have no employees These sub-contractors have 8. [] Demolition Working for me in any capacity. workers' comp. insurance. 9• ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doingall work right of exemption per MGL 11. mp p ❑ Plumbingrepairs or additions ep myself. [No workers' comp. c. 152, §1(4),and we have no 12.El Roof repairs insurance required.]t employees. (No workers' comp. insurance required.] 13 Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their worker;'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: .1• _t ' t. Policy#or Self-ins.Lic. #: Y VY C &66 /T 6 OO I � Expiration Date:____q-- 23 -6 Job Site Address:_ City/State/Zip: g0AadAqtKPAdVo 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 penalties of a tine 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 of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce nder the ains and enalties of perjury that the information provided above is true and correct � r Si atwe: / Date: lz4_/n Phone#: Oficial use only. Do not write in this area,to be completed by city or town ofciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of all individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number.listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Ile to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia DAVID CASTRICONE ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS. ". HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 _ ' - 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 ` } 7 HILLSIDE ROAD,BOXFORD,MA 01921 ;,•: In North Andover 978-683-3420 In Boxford 978-887-6147 In Haverhi11978-374-7314 Uwe the owner(s)of the premises mentioned below,hereby contract with and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions,on premises below de�scribed Owner's Name.............aD cw G.t..1IEn-4 ...... 1..Yylv*---k-'.......c:.............................Telephone#... Job Address....o...[......�7.A!`N!LC N.......+ t........................City... �/J ' 1�-.......... .J..►.o.a..�n,�.Q..U?G.c1.... .....State....fM..4........... Specifications: y5trip existing shingles. ✓Apply new drip edge to all edges. ►Apply�_feet ice and water shield membrane to bottom edges of house. 3 feet ice and water shield membrane In valleys and bottom edges of any unheated areas of house. YApply felt paper untie 1yment. Nlnstall ridge vent to shingles with a year warranty.using ....... .................................. i .......................................... ....r. .. •Counterflash chimney. ...... .... . ...flashing.............. . .. .egal......disP.. ..osal.....of... ... ........... .. ... .....................................................................eco vent p1pe ..�.... ..all..debris ..................................................../���..r .....................................................L.............................................................. Area(s)to be worked on:. Q 4.1...E a .....YR l<J•d>,r,.. ... .� ...,�. � ,.... .�.1 ...... .°°... .......................... .................................................................................................................................................................................................. ..................................................................................................................................................................................................................... One Year Workmanship War + Not Transferable) Manufacturer's WarraqWas specified anufacturer/ Materials and Labor to c t$.s`14..0...... ............. Payable.....-Y-CAP.........on ... Payable............................. .............................. veBalance payable on completion of job Owner or Owners are not responsible for Property Damage or Liability while job is in operation. Contractor is not responsible for any damage to the interior of property,including preexisting conditions(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials specified above(i.e.objects coming loose from walls,crumbling plaster,exposed nails,dust in attic or other living spaces,water stains when roofing shingles have not had adequate time to cure). Upon completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation as requested by contractor.Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. it is agreed that,if permitted by law,contractor shall be paid by the owner(s)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid, that shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith. It is further agreed that this contract may be assigned by contractor,and also that the obligations hereof shall bind and apply to their heirs,successors or estates. The undersigned warrant(s)that he is(they are)the owners(s)of the above mentioned premises and that legal title thereto stands of record in his(their)names(s). There are no representations,guaranties or warranties,except such as may be herein incorporated,if any,nor any agreements collateral hereto nor is the con "dependent upon or subject to any conditions not herein stated.An subsequent a y all parties. Y q agreement in reference hereto shall be binding only if in writing and signed by all All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration One Ashburton Place Room 1301,Boston,MA 02108 Tel:617-727-8598 Any and all necessary construction-related permits shall be obtained by the Contractor.Any Owner who secures his own construction-related permit or deals with unregistered contractors shall be excluded from access to the Guarantee Fund 4 Approximate starting date of work...... ...�?. r '........ Completion date.............................................................. Receipt of a copy of this contract is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Owner has three business days to cancel this contract and incur no penalty. IN WITNESS WHEREOF,the parties have hereunto signed their names this ..............2?.........day of .......,20�2E.... Accepted: Sign ......... ....... .. . .. ........................................:............Owner Signed..... .... . ............... ......7......,,,,,.a..............................Owner Per...................................................................... Representative I ✓2 el.. la Board of Building Regulations and Standard's ' HOME IMPROVEMENT CONTRACTOR Registration: 104569 ' 4xpiration:,7114/2006 � ;Type: Private Corporation } ,t t DAVID CASTRICON�ROOFING,'SIDING& David Castricone I '' 7 Hillside Road ` Bo)dord,MA 01921 Administrator j i I 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 at: is that the debris resulting from this work shall be s disposed of m a property licensed solid waste disposal facility a defined by MGL c 11, S 150 A.- Also,,note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: L- 5 AIC Sh-tEm (161 N,6k& 1 k-P, (Location of Facility) Signature of Permit Applicant Fire Department Sign off: Dumpster Permit Date NORTH Town . of _: Andover No. ,+ X C o dover, Mass.,- Jge? 412 �. -co CHICHEWICK V 0RATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ..... ......:............ Foundation has permission to erect........................................ buildings on Rough to be occupied as.. Chimney . .....: ...................................................................................................................................... provided that the erson accept! this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T T 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.