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HomeMy WebLinkAboutMiscellaneous - 120 OLD FARM ROAD 4/30/2018 120 OLD FARM ROAD 210/035.0-00540000.0 l F J , RIVERLICENSE . ARY E LIES 13 STONEWALL TERRACE`` 1 ATRINSON NH '- C ASS/ENOORSWENTS 03 OPR-MC -`LICENSE NUMBER.:{, LICENSE Erip1RES'. 03LSGS7301 03-30-97 ,"gOC1AL sEC.No. BIRTH 024-48-2837 .03-3*0*; 57�,,rk1 RESTRICTIONS HT. Wf. 6-01,,,2.20 .I ICENSEE' ✓��'A�T�IIjN�E., `7� l 1 u.le� ��' � HOME IMPROVtMENI �ONIRACTOR ��..' ' � , k, Registration 112595 IYP.z'' �'DIVIDJAL z ExPl�ation 04/13/95 " GARY E LISS GARY E. LISS 13 STONEWALL gpMINISTRATOR AT lmo NH 03t'11 07. TJ6mt�IJtOOtu/eILLU O�✓!�(QQdp�Jtl[be�if ; ' I DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nasber: Expires: Birthdate CS 053506 03/30/1991 03/30/1951 Restricted To: 00 w GARY E LISS 13 STONEVALL TERR ATKINSON, NH 03811 Afti NT OF PUBLIC SAF TH OE10 CoMl IONWEALTH AVE. sa COMMONWEAL 5050 OK MA 02215 CAUTION OF BST MASSACHUSETTS 1 . .I IF'F.I'` FOR PROTECTION AGAINST 1 THEFT.PUT RIGHT THUMB ) 07 LIC-NO• AppFkopFktpE EXPIRATION DATE EFFfCTNE PATE I PRIBOX ON LICENSE? i l'= �'=' . RESTRICTIONS F BLASTING OPERATORS MUST INCLUDE PHOTO. . .. 1# ci1.�—;-�..?"�.. .. v�.ME09�LiGENSEEN�O/.C✓..• G CPR ONIn FEE: CO.*--" of 14 CO.r " p,1pT0 / �..yil. �. w✓.n .•` 'Q':��� H q HEIGHT* ,,�,,E yGN TUBE LINE OF THIS DOCUMENT W5 /� �RIED( � _ • ;j//�� J�\o\ �� OgGEOINTHISOGC�• �F'F•Fl PFtINT OTH¢ER� .• o m :0, m o D cv y � t' .��p��•,. .••'�f :.111�. ' � � /' W O. 1••.I � CID a m a r to t� ca° w _Z • o „ a o � � �'� ���P C[lK9iR�7tlrrvrYlCrf r+�.-�C[e,J,faC✓zu:.�f� { OEPARTII NT OF PUBLIC SAFETY CONSTRUCTION SUFERVISOR LICENSE Number: Expires: BirtQdete: .o FkeCS 0818 Q4tIf31�BR1 @41931#956 s ..�. Restricted To. CO JOHN R LANZAFANE 39 TEMPLE OR �+ OV WETHUEN, VA 91844 a' ti i pp pa. Aw TJomiiizonwea` �,/I aoaalz i BOARD OF BUILDING REGULATI©NS I License CONSTRUCTION SUPERVISOF Num089839 Bifi72 _W 008 Tr no 89889 SCCiTT P HOUS 3/I 8643ROADNVAY '�✓ -- t1AVirRH1Lt; MA 01;$ 2' Commlasiof�er . !: r de -C�t � o�:�aaaac�usaeda Board.of Building Regulations and Standards HOME iMPROVEMENT CONTRACTOR Rogistraiiora 129774 Expiration-A-121 661 PELLA WIN©OWS NiB i700RSV SCOTT HOUSE ':45 FON0.1 RD. HAVERHILL,MA 01832 Administrator ;,� �/lze Coamvmoortiuea,�� `�"'l'�aaa�e�.uae�a Board of Building Regulations and Standards. - HOME IMPROVEMENT CONTRACTOR Registration: 108450 Expiration: 8/18/2006 Type: DBA R.S.HEBERT BUILDING&REMODELING Ronald Hebert 102 Adams Ave. ,, r+y= No.Andover,MA 01845 Administrat<:r i ✓�ie iaa��zinwretu�l�t a�,��rauxc/z-usel�i BOARD OF BUILDING REGULATIONS t License: CONSTRUCTION SUPERVISOR Number: CS 058241 Birthdate: 01/08/1955 Expires: 01/08/2006 Tr,no: 14973 Restricted: 00 RONALD S HEBERT 102 ADAMS AVE N ANDOVER, MA 01845 Acting o miss' ner I FR TIER JUS TERS® r Adjusting and Third Party Administration J Logan Claims Supervisor 1-800-966-9748 MA/NH/RI Nationwide Home Office 5 Market Square Suite B3 P.O.Box 937 Amesbury,MA 01913 July 28, 2005 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDEFFMASS. GEN WS CH. 139. SEC. 38 TO: Building Commissioner/ TO: oard of Health/ TO: Fire Department/ Inspector of Buildings Board of selectmen Arson Squad No. Andover Town Hall No Andover Town Hall 120 Main Street 120 Main Street No Andover, MA 01845 No Andover, MA 01845' RE: INSURED` Jane'&Christine Comoglio t. PROPERTY ADDRESS: 120 Old.Farm Road No Andover MA POLICY NO: 0721819 LOSS OF 2/23/2005 FILE NO: Adjuster's File No. 315338 �l 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 an 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 and policy number, date&loss and claim or file number. I Justin M. Logan Claims Supervisor On this date, I caused copies of this notice to be sent to the persons named above��t the addresses indicated on the above by first class mail. Justin M. Logan Claims Supervisor 6/28/2005 1 1 i Town of N- No. 438 ` North, Mass.,nc 19��- h ,A ' BOARD OF HEALTH PERMIT TO BUILD Food/Kitchen I Septic System BUILDING INSPECTOR THIS CERTIFIES THATurD .. .:......................................................................... Foundation has permission to erect..AW. .�........... buildings on .....(.26...... ...... ................ Rough to be occupied as...(101CAO....St . . ��.Ot � F.... OOVR 1 ......................... Chimney provided that the person accepting this permit hall 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 d E ELECTRICAL INSPECTOR Rough I ................ Service BUILDING INSPECTOR Final � GAS INSPECTOR j Display Conspicuous Place on the Premises — Do Not Remove Rough p Y �in a � Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. � Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Town of N lNo. 438 North Andover, Mass.,O)C _ 61 19�'4- FM �6C. 2K -- 6i(_ t d `L:�.'� BOARD OF HEALTH Food/Kitchen Septic System PERMIT TO BUILD �• r� ECTOR THIS CERTIFIES THAT...,�.l,,� .. . . r CX��gt/ - �i, •_� Foundation has permission to erect-A40.x.t�K)........... buildings on ..... ._��......0. -. ... 1...... .................... Y Rough l(I ZZ to be occupied as...( ' ,. .... > i', s` ;. < ..-'..���LYIRf�..... ? . 3: T.... 75.... C.4..`"I'...0 'C.:",....................... Chim ��l �1Z3 provided that the person accepting this permit srF�inna/lhall in every respect conform to the terms of the application on file inI\A,, � ' Lthis 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 ELECTRICAL INSPECTO ��� --. ''. ..,�:...... ...;�.....,.., `....`...`......... R Service BUILDING INSPECTOR GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Location 12 Q LD 14- zm leo. A38 Date � NORTH TOWN OF NORTH ANDOVER } „ Certificate of Occupancy $ + ; } Building/Frame Permit Fee $ ( 5 0 sLP� _ �,�• a ,SSAf USES Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ �r TOTAL $ Building Inspector - � /94 09:44 154.04 PAID Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE.1 ` MAP 4d0. La-, NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE y I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING r ZD �l�J "5d-jiJ 2®av►1 LG�� P pW�ER'S NAME -!"� .�•f 1^�� �tZ-Z NO. OF STORIES SIZE J �/' )/ ^ I O1 NER'S ADDRESS h !'� P� BASEMENT OR SLAB ! JV!l9 Ftgn iw.. 2 d P 11 /Z5 e�1-:�—CM ITECT'S NAME SIZE OF FLOOR TIMBERS IST.2 x�,� 2f1� '+Do BIgIILDER-S NAME / j SPAN Oc �LE�� �dd�J ILi9L o.-J l --- DISTANCE TO NEAREST BUILDING a t DIMENSIONS OF SILLS DISTANCE FROM STREET /3�"' �� POSTS DISTANCE FROM LOT LINES-SIDES REAR C7 GIRDERS AREA OF LOT �?J` FRONTAGE #01 HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW /7 SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ~ WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �/fC IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 7 J IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES � EST. BLDG. COST y O (�� ) EST. BLDG. COST PER SQ. FTC.. PAGE 1 FILL OUT SECTIONS 1 - 3 (l y„ PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 41 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 () 11f !!! BOARD OF HEALTH SIGNATURE F OWN ED AGENT y F E E f PLANNING BOARD Pf.RMIT GRANTED R 19 OWNER TEL. &11V-"_� 7 7 BOARD OF SELECTMEN CONTR,TEL. CONTR.LIC. BUILDING INSPECTOR BUILDING RECORD ' 1 OCCUPANCY 12 SINGLE FAMILY I 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. l� APARTMENTS I I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. i G CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH ` CONCRETE 3 1 2 13 CONCRETE BL K. —{ PINE BRICK OR STONE HARDW D PIERS — PLASTER — — DRY WALL UNFIN. 3 BASEMENT AREA FULL I FIN. B M AREA _ V. 1/2 '/ IN. ATTIC AREA _ NO 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS y CLAPBOARDS B 1 2 3 - DROP SIDING CONCFETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"J D _ ASBESTOS SIDING _ COMInCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I__� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL I 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 I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM s 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 2nd _ ELECTRIC 1st 13rd NO HEATING _ I ' � f 4 KEEN CONSTRUCTION CO. Lr�JMar a 21 HEWITT AVENUE ®� PROPOSAL NORTH ANDOVER, MA 01845 Tel: (508)691-5201 N A R I All home improvement contractors and subcontractors M E M B E R engaged in home improvement contracting, unless Fax: (508) 682-3231 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with Submitted -t--,", y ,/ the Commonwealth of Massachusetts. Inquiries about To: . .C_ ..►_ _ ...........i-Irl►..�l....1_C1-....._.. .....r .f_L_.jq_f.'.`...................._..._..._................ registration and status should be made to the Director, Home Improvement Contract Registration,One Ashburton _.. _ ......_ __.�..4�......._. .t:Z.jk .. ....... ................................. Place, Room 1301, Boston, MA 02108 (617) 727-8598. Owners who secure their own construction related t permits or deal with unregistered contractors will .....i� ............ ..3-..r.............. .../ ...................._........_................____......__.. be excluded from the Guaranty Fund Provision of MGL c. 142A. j PHONE DATE REGISTRATION NO. MA. H.I.C. 108383 JOB NAME/NO. JOB LOCATION j > l I We hereby submit specifications and estimates for work to be performed and materials to be used: u. c..._ +.....t .,. ..f �a.,5. _..__..c .._...C�...L�`......... - r .� _. ..... .�._�..c.t L_ ....._tic o_r2-t....._........................... ................ ..................................... kill 1.r�.a.. ...... T .... - ��.4....c�...........�..........c _ •......_o.... ......: _I ... :... t-..... ... ............ ° .._Q.l?_ _t......... :.. .......... ._!._L...........1.....f.. ..1.._N_�S........a ........................................ ..._............................................................ ._..... ._............._... ,}...1.. .1"._ �SJ l_..... .. :_4.._�r+`> ....._��...14—L-E-1h_�.! ..l._cf... ... .. _�_f1C..... ��...I JZ._.._ .. �4r ......................... ............. .... .. n ............. l...k, ..S..._f_........ ..7 ...................... -7 x...!-. ........_..4.c.i f _ r.:.....{?...1Wks.. ..•_......._.................................._..............................._....._...................................... r ...................... ............. t - ........... s _i.._►"!.. ..._ ���. '...i...C?..................................... ..._ ........_.._. .................................................. ...... .................................... .................................................... .... . ............,....... ...._%..................._ �.. ...........1.�r'.. _ .. .._+...._ _ _{.L..a......._ .... ...i.............f�...t... ..D._v...�.... .{.. .._.. "1JK .........L........� (/t. .....__.i............................................ I 1...1.... . ... .. � 1 7, 1. l�r �...... .. ...1...__.j.........................._ ...1.1......._r'�.............._........_i..,....lt.............................. `" r l ► c S 1:� ............................. ..........i...r . - ................ > Construction related permits: _..............__........._,.,...,...__... Cr.b}... 'Ta it, . ........... .� a. .l ...._ C.. _ .,...........,......................................................................................................................._. WORK SCHEDULE _........... Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified here in writin . Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by d (date). The Owner hereby }acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. ;WARRANTY 'The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by the Contractor,t is subcontractors,employees or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied, repaired,or replaced,such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sua of o -.. �? N C +�� -4 C dollars($ g U ). Payment to`i4e made as folio Esr, ° �t t KENNETH B. KEEN ($.�����'f upon signing Contract;C� ��} Name of Contractor/Designated Registrant %t C✓° ($ 72 iC)upon completion of12 m t)1[ 4 d` + 21 HEW ITT AVE. Qia upon pon completion of Street Address -;L % ( � jj NO. ANDOVER, MA 01845 ) w '7Z')G�� � . , City/State O o °/o, ''�hall be made forthwith upon F'rL�fi ' 508.691.5201 508.682.3231 rj N($ Phone Fax Notice: No agreement for home improvement contracting work shall require a >down payment(advance deposit)of more than one-third of the total contract price Name of Salesman or the total amount of all deposits or payments which the contractor must make, in 1 advance, to order and/or otherwise obtain delivery of special order materials and Aut riz ignetnr :equipment,whichever amount is greater. Note: This proposal may be withdrawn by us if not accepted within days. Acceptance Of Proposal -I have read both sides of this document and all attached documents and accept the prices,specifications and conditions stated. I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. i Signature Date y Signature Date j IMPORTANT INFORMATION ON BACK MO- �s 11!10/94 1 :26 A lJIJOb STRUCTURES A N0. 502 PEI02!002 t s i Job Truss Truss Type ay Ph 51386 T01 SCISSORTRUSS 7 1 JACKSON P634599 j'WOr)TTS'M ES'It 000 a Jun e n ane , nc, un av UB'TT:0779 19S4 Faget; I � 7-9-8 15-7.0 ��..__. �6.1.� 0.6.0 7-9-8 7-9-8 0-6-0 4x4= 2 5.6327 4x4= N 2.816 biz 3 3x4 x4 7-9-8 15-7-0 7-9.B �-— 7.9-8 LOADING(psf) SPACING 2.0.0 CSf ^DEFL (in) (loc) I/deli PLATES GRIP TCLL 40.0 Plates Increase 1.15 TC 1.00 Vert(LL) 0.18 413 999 M20(20ga) 199/146 TCDL 7.0 Lumber Increase 1.15 BC 0.50 Vert(TL) 026 413 717 BCLL 0.0 Rep Stress Incr YES WB 0.45 Horz(TL) 0.12 3 n/a -- — BCDL 10.0 Code — TPI — Min Length!LL dell=240 Weight:47(Ibs) BRACING LUMBER TOP CHORD 2 X 4 SYP SS TOP CHORD Sheathed or 2-9.8 on center purl!-spacing. BOT CHORD 2 X 4 SYP No.1 BOT CHORD Rigid ceiling directly applied,or 10-00-00 on center bracing, WEBS 2 X 4 SPF Stud REACTIONS (lbs/size) 1=919/0-3.8,3=919/0-3-8 t FORCES TOP CHORD 1.2=-19211,2-3=-1921 I` BOT CHORD 34=1774,14=1774 WELYS 2.4=964 II LOAD CASE(S) Standard l 6k ti F r-A ' PW I IBM iwa7 i iA ®WNI ARNG-Verify design parssrneterc and READ NOTES ON 77119 AND REVERSE SIDE BEFORE USE, ttrrsear• sign valid to, use only with Wert conneclors.This deslgn is based only upon parameters shown,and is tot on Individual building component to be lnsiwN d and boded vettloally. Applicability of design parameters and propel Incotpotatlon of component Is tesponslbBity of building designer-not truss J deslpnei.Braclnq shown a for ioleral support n In t tic ai web members only.Additional temporary itybracingo the to buildinsureng stability during general lona the tesponsiblWy of the eieclor. Additional peimanenl btdcing of the overall shuciure k the responsibility of the bulkling deslggnert general guidance MITek Industries,Inc. lega�ding IobiboHan,quality conboi,storage,delivery,erection and biocing,consult OST-65 Quality Standard,DSB•89 Bracln S Illcation,and NIB-91 on ovolWble ham Truss Plata Institute,563 D'Onolrb Drive,Madison,W 153719. Handling Installlna and Bracing Becommendall _ \ NICIV- 10-94 THIJ 11 : 38 2`072822423 P ♦ 0'' x 11/10/94 10:24 A IJOOU1 STRUCTURES A NO. 502 P001/01102 r i -R wase LIEUTER I0�/F U � EtOCTUL STRUCTURES CATSi �G gas INC. MD7— Box 347; Alfred Road Business Park, Biddeford, ME 04005 Tel: 207-282-7556 FAX: 207-282-2423 ATTENT M ' 'ATS: 800-482-0716 Out-Of-State: 800-341-9612 RE. TO U/7) P2 d. � z � cin_ f • RF SENDING YOU C Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ Binder ❑ Literature _._ COPIES DATE_ NO. DESCRIPTION — - ------ ----- J (' - --- — _-� THESE ARE TRANSMITTED as checked below: C7 For approval ❑ Approved as submitted ❑ Resubmit copies for approval For your use ❑ Approved as noted ❑ Submit--copies for distribution As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment U - ❑ FOR BIDS DUE_ 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS — -- ---- COPY TO SIGNED to A.nntuf 4MA1y nntifv uA At encs. NOV- 10-94 THU 1 1 : 37 2072822423 P . 01 Location �Jo. ?'1,�--- Date NORTh TOWN OF NORTH ANDOVER 0 p a Certificate of Occupancy $ �'�s'••°•'<�' Building/Frame/Frame Permit Fee $ sncmust, 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ - Check #14004 Building InsEector TOWN OF NORTH ANDOVER BUILDII®1G DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING <.• .,,: s, :'�"i' �f�••, �� `y�y'SR �^"�rr w �,�1� BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE:,� u G1� Buildin Commissioner/In for of Buildin Date ,5ECTION 1-SITE INFORMATION LI Property Address: 1.2 Assessors Map and Parcel Number: tf 6,q J Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: r V Zoning Distrid Proposed Use Lot Area sf) Frontage(11) `(NNS 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required - Provided Reqwred Provided 1.7 Water Supply M.G.1-C.40. 54) 1.5. Flood Zone Infomration: 1.8 Sewerage Disposal System Public ❑ Private ❑ Zone Outside Flood Zone . ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSEEIP/AUTHORIZEID AGENT 2.1 Owner of Record ,.IL V��� J� 4�e'zf z�, Name(Print) Address for Service: �1L'C <sYZTLQ Signature Telephone C 2.2 Owner of Record: Name Print Address for Service: M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 6Cn9 / ZC) Licensed Construction Supervisor: (�(cs f 2 + _ License Number LALL- V,10-C4 (ji4f Address Expiration Date Sign11V V Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ A Company NameCj Registration Number Address Expiration Date Signature Tele hone SECTION 4-WORKERS 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 rmit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all a Iicable New Construction 0 Existing Building 0 Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USI+;ONLY Completed by permit applicant 1. Building rr,� (a) Building Permit Fee Multiplier .77 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN _T OWNERS AGENT OR CONTRACTOR APPLIES FOR BUII.DING PERMIT I, ,as Owner/Authorized Agent of subject property Hereby au orize to act on My behalf,in all iatt rel ve to work authorized by this building permit application. rl � Signature Owner Date SECTION-lb OWNER(AUTHORIZED AGENT DECLARATION I, 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 Print Name Si ature of Owner/Agent Date MEN NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2 ND 3po ' SPAN DM ENSIONS OF SILLS DM ENSIONS OF POSTS MIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDI NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH . a TAnd ov.m of 6 over No. 372 �. - a � 'A o dover, Mass., 7• ��•d O COCMICMEWICK y1. ' oRATED P' �5 vv BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System. • A BUILDING INSPECTOR THIS CERTIFIES THAT........... .....tthis R ....... . ........ .............................. .... Foundation has permission to ere ............ buildings on .� .0........: Rough to be occupied as... ... Chimney ............................................................................... provided that the rson acceptipermit 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 UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR 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. �//rR 6nn1)7,o,aum/,'/l t .F��rsiri�u3tflJ DEPARTMENT OF FRUG SAFETY L • GONSTRUGTION SUFEBVISOR UCUSF ItVabetc Expires: Birthdate: f de?ttic#td,Ta:, • 99 30}IN fl tAk1AFAUE , i i • i t1a� gzomn?eftia� Licensed&ins ®©1% Propozatured o • Roof Leak Experts • . I (978)794-3883 • 1-800-WAIT-4-US Yr- /,-*'i ...r(�.c Proposal aubrititted"fo _ S` Thane =DateCTl'�'TD a 6�jC!1 6, J - �J �i a i5treet Job Nance City,State&.Zip Code Job Location �Jobph�one �� !3ti'O W��i'C ��, 01,04 s We Propose hereby to furnish and labor in accordance with specifications below, for the sum of: 00 ZsP3 Ca� ( 'D Dollars ($ y--6o� 3 7—A 6 All material is guaranteed to be as specified.All work to be completed in a workmanlikeAutt10I1Z.ed 3 ,) 777z 7F r t IL manner according to standard practices.Any alteration or deviation from specifications be• Signature: low involving cme costs will be executed ouly 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 propo—JMay be Our workers arc fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within 91-- days. We hereby submit specifications and estimates for: Shingle over existing Roof ►. Install 3 feet special Eave seal ice & water shield along all bottom edge & top to bottom in vallies. 2 Install new Alum Drip edge on all g bottom edges & Rakes. 3 Replace all 2i2e boots where applicable. 4 Apply 25 year IKO premium asphault shingles throught, 5 seal all chimmney & flashing with clear geo, seal caulk. 6 Remove all work Related Desire. 7 Contractor warr`nLs Roof d Ainst leak clue to defect in his wtarkmanship for 12 years under normal circumstances. _ I Local current Reffrences and proof or workman's comp Insurance Glddly given i I Additional: i L) GK Acceptance of Proposal-The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified,Payment Signature: l will be made as outlined a e. Date of Acceptance: Signature: ,, J c Location -//.119 041 No. Date �aRTM TOWN OF NORTH ANDOVER yS vicate of Occupancy $ t� Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1 , 18776 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE. OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED. SIGNATURE: Bfiddifig Commissi ner/I rof uildin Date SECTION 1-SITE INFORMATION Z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O %G o old )P5�411�1 )2d Map 14=—b—. Parcel Nunibw 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronto ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Regifired Provide Required Provided R red Provided 1.7 water supply M.CLLC.40. 54) 1.5. Flood Zone Information: 1.9 sewerage Disposal system: pubes ❑ Private ❑ zona outside Flood Zone ❑ Municipal ❑ On site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes_ No_ M 2.1 Owner of Record GO o lei /t o '� Name(Print) Address for Service: CU �/YJ Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES A I Licensed Construction Supervisor: Not Applicable ❑ Li sed ConstructionSupervisor: S g C// License Number Address Expiration Date Signa Telephone r 3.2 Registered Hgme Improvement Contractor Not Applicable ❑ Company NaTe Ill Registration Number '••. r Addre a je/ G Expiration Date Si nature Telephone V/ SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) 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 applicable) New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � _�� OIMCIA3,USE Completed by permit applicant ; 1. Building (a) Building Permit Fee p ©UO Multiplier_ 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing a v d o Building Permit fee(a)X(b) 4 Mechanical HVAC o00- /� lj7� 5 Fire Protection Z 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 L/—ZGNA 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 Print N ,✓� P, Signature of Owner/Agent Date NO.OF STORIES Z SIZE ' BASEMENT OR SLAB SIZE OF FLOOR TMMERS 1ST2ND 3RD SPAN DIN ENSIONS OF SILLS DIMENSIONS OF POSTS DRvIENSIONS 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 1112212005 Tue 15:45 Roberts&Associates 781=829-8035 ID:#2120 Page 2 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE D"�11=05 TM. PRODUCER Phone:17M)628-8033 Fa 7SIM"35 THIS CERTMATE 15 ISSUED AS A MATTER OF INFORMATION ROBERTS&ASSOCIATES KWRANCE AGY IINC ONLY AND CONFERS NO,RIIGHT5 UPON THE CERTIFICATE 51 MLL STREET UNIT JA HOLDER TIES CERTIFICATE DOES NOT AMEND, EXTEND OR HANOVER MA 0338 ALTEP,THE COVERAGE AFFORDED BY THE POLK= BEI INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Granite State les Company INSURER 8. R S HEBERT CONSTRUCTION AND REMODELING INC 102 ADAMS AVE INSURER C: NORTH ANDOVER MA 01845 INSURER Or INSURER E: COVERAGES THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCYPER IOD 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 POLICES DESCRIBED HEREIN IS SUBJECT To ALL-THE TERM%EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. 116R ADD'L TYPE OF INSURANCE POLICY NU IM POLICYEFFECTNE POLICY EIIFIRATION IMTe DATE PNIFOOM ORTE GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY LAMA ETORENTED S PROH6E5 6 CLAM MADE❑ OCCUR MED.EXP(Any one Perwn) S PERSONAL&ADV INJURY S GENERALAGGREGATE $ GEN'L AGGREGATE LAfT APPUES PER: PRODUCTSCOMPIOP AGG. S POLICY PRO LOC JECT AUTOMOBILE UA5LfT'f COMBINED SINGLE LIMIT ANY AUTO - (Es ecoderM S ALL OWNED AUTOS BODILY INJURY SCHEDULED ALTOS (Per Pawn) S HIRED AUTOS BODLYINJURY S NON-OWNED AUTOS (Pel acvdent) PROPERTY DAMAGE S (Per aoc der O GARAGE UAIN TY AUTO ONLY-FA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGC S EXCESS I UMBRELLA LIABKJTY EACH OCCURRENCE $ OCCUR FI CLAM MADE AGGREGATE i S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND 2922401 i Vl1105 1 U21108 X I TORYmmp. 1 10-- EMPLOYERW UAELTTY PROPRETOwmnw8bmm`C rtwE EL EACH ACCIDENT f 1002000 A OFFCER1113IIL90RU101107 ELDISEASE-EA ENIPLOYEE S 100,000 R y..,sora.—d. ILPECIRL PRO WMIMM hilar EL DISEASE-POLICYLIMIT S S ftW OTHER: DESCRIPTION OF OPERATIONS&=TK*MIEHICLESIEXCLUSKM ADDED BY ENDORSEMENT)SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO NULL 10 DAYS WRITTEN NOTICE TO THE CFRT1FIC TE HOLDER NAMED TO THE LEFT,BUTFAILURETO TOWN OF NORTH ANDOVER DO SO SHALL IMPOSE NO OBLIGATION OR UAIWTY OF ANY KI D UPON THE!SURER,ITS OSGOOD ST AGENTS OR REPRFSE TATTVES. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATNE mention: Clayton H Roberts ACORD 25 001" C ffcate 8 1027 0 ACORD CORPORATION 1988 AC0RD CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDD/Y0 11/23/2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Matthews Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 182 Parker Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lawrence, MA 01843 978-681-1112 INSURERS AFFORDING COVERAGE NAIC# INSURED R S Hebert Construction And INSURER A: Lloyd's Remodeling Inc. INSURER B: 102 Adams Street INSURER C: No. Andover, MA 01845 INSURER D: INSURER E: 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 ADDL POLICY EFFECTIVE POLICYEXPIRATION LTR raRo TYPEOFINSURANQF POLICY NUMBER DATE MWDD DAT MMIDO LIMITS GENERAL LIABILITY EACH OCCURRENCE $500, 0 X COMMERCIAL GENERAL LIABILITY $500, 000 DAMAGE TO RENTEIT_ PREMISES Ea ocarence CLAIMSMADE F—C]OCCUR MED EXP(Anyone person) s5, 000 NACO259/05 08/09/05 08/09/06 PERSONAL&ADV INJURY $500, 000 GENERAL AGGREGATE $1, 000, 000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $5 0 0, O O O POLICY PRO- JECT RO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO (Ea accident) ALL OW NED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILYINJURY $ NON-OWNEDAUTOS (Peraccident) PROPERTY DAMAGE $ (Peraccident) 7AN E LIABILITY AUTO ONLY-EA ACCIDENT $YAUTO OTHERTHAN EAACC $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WOWERSCOMPENSATIONAND WCSTATU- OTH- EMPLOYERS LIABILITY ANY PROPRIETORRARTNERIEXECUTME E.L.EACH ACCIDENT $ OFFICER/A£A10ER EXCLUDED? K desaibeunder E.L.DISEASE-EA EMPLOYEE $ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIJ�BEFORE THE EXPIRATION Town Of North Andover DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WWTEN Osgood Street NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT,BUT FAILURE To DO SO SHALL North Andover IMPOSE NO OBLIGATION OR LIABILITY OF ANY 1UND UPON THE INSURER,ITS AGENTS OR I REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Y4!1�_ ACORD25(2001/08) ©ACORD CORPORATION 1988 I i r., ✓lze toonrmzoncueal�i a���L'aa�ac�auaec"t6 Board of Building Regulations and Standards.' . -- - HOME IMPROVEMENT CONTRACTOR Registration, 108450 Expiration: 8/18/2006 Type: DBA a R.S.HEBERT BUILDING&REMODELING Ronald Hebert Administmtc.-r. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS. 058241 Expires: 01/08/2006 Tr, no: 14973 Restricted:.00- RONALD 0-RONALD S HEBERT ' Acting CoMmissioner R.S. HEBERT CONSTRUCTION & REMODELING INC. 102 ADAMS AVE . NO. ANDOVER MA. 01845 PHONE: 978-6860786 _ FAX: 978-6860786 LIC #: 058241 REG. # 108450 10/20/05 OWNER' S NAME: Christine Comoglio ADDRESS: 120 Old . farm Rd, North Andover Mass. 01845 I . PARTIES This contract (hereinafter referred to as "Agreement") is made and entered into on thist20th day of October 2005 ' , by and between Christine Comoglio , (hereinafter referred to as "Owner") ; and R. S. HEBERT Construction & Remodeling Inc, (hereinafter referred to as "Contractor") . In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: Repair water damage. IT. GENERAL SCOPE OF WORK DESCRIPTION Supply all material and_ .labor required to do the following. 2nd floor Master bath Renail subfloor Insulate exterior walls where removed Repair blueboard & plaster walls Replace door casing & baseboard Replace 3' vanity and simulated marble sink top Remove and reset bath accessories Replace medicine cabinet Wallpaper walls with border Replace toilet & seat Replace baseboard heat Reinstall mirrors Paint trim and ceiling Tile floor Master Bedroom Renail subfloor Insulate walls where removed Repair blueboard & plaster Replace door casing and baseboard Z S Master Bedroom cont. Remove and replace wallpaper with border Paint three walls and trim Replace wall to wall carpet with pad Replace baseboard heat Walk in closet Renail subfloor Insulate walls where removed Repair blueboard & plaster Replace door casing and baseboard Reinstall closet shelving Stain and seal trim Replace wall to wall carpet & pad 2" Floor Hall Bath Renail subfloor Insulate walls where removed Repair blueboard & plaster Replace door casing and baseboard Remove and reset bath accessories Tile floor Replace wallpaper & border Replace vanity and laminate top Reset sinks and faucets Replace toilet & seat Replace wall mirror Replace fiberglass tub unit Replace baseboard heat Paint trim 2nd floor Hall Renail subfloor Repair blueboard & plaster Replace door casing and baseboard Paint walls Replace wall to wall carpet & pad 2nd floor Hall Closet 3 Renail subfloor Repair blueboard & plaster Replace door casing and baseboard Replace wall to wall carpet & pad Paint walls , stain and seal trim Replace wall shelving and trim 2" floor Right Rear Bedroom & Closet Stain and seal baseboard Replace wall to wall carpet & pad Paint baseboard heat 2nd floor Right Front Bedroom & Closet Stain and seal baseboard Replace wall to wall carpet & pad Paint baseboard heat 2nd floor Center Bedroom & Closet Stain and seal baseboard Replace wall to wall carpet & pad Paint baseboard heat 1" floor Family Room Seal exposed framing Replace half of plywood subfloor Renail ceiling strapping Insulate walls where removed Blueboard & plaster ceiling and two walls Replace cased opening Replace door casing and baseboard Stain and seal new trim Replace oak flooring Paint walls and ceiling Front Foyer & Closet Remove and replace tile floor Replace door casing 5l Stain and seal trim and staircase Paint walls Replace stair carpet runner Living Room Seal exposed framing Renail subfloor Renail strapping Replace blueboard & plaster ceiling Replace oak flooring Paint ceiling ,walls and trim Dining Room Renail subfloor Replace oak flooring g Paint ceiling , walls and trim Sun Room Renail subfloor Replace oak flooring Paint ceiling,, walls and trim Replace baseboard heat Kitchen Replace plywood subfloor Replace wall insulation Renail strapping Blueboard & plaster ceiling and walls Replace door and window trim Replace baseboard Replace panel bifold door unit Replace cherry wood wall and base cabinets Replace granite Countertops Replace wall tile back splash Reinstall Maytag dishwasher, GE Profile countertop stove and oven, microwave & exhaust Replace Samsung side by side refrigerator Replace stainless steel sink and disposal Replace oak flooring Replace 8 recessed lights Replace pantry wall shelving and trim Stain and seal trim Paint walls and ceiling Replace 8 low voltage cabinet lights Replace brass chandelier lst floor Half Bath Seal exposed framing Replace subfloor Replace wall insulation Replace blueboard & plaster ceiling and walls Replace baseboard, door and window trim Replace six panel pine door unit Replace vanity , sink and top Replace oak flooring Replace toilet & seat Replace bath accessories and mirror Replace baseboard heat Paint walls and ceiling Stain and seal trim Rear Entry & Laundry Seal exposed framing Replace subfloor Replace wall insulation Replace blueboard & plaster walls and ceiling Replace cased opening, door and window trim and baseboard Replace panel bifold door unit Replace oak flooring �o Replace wire shelving Replace dryer vent Paint walls and ceiling Stain and seal trim Garage Stain kill walls and ceiling Paint walls and ceiling Paint garage doors both sides Paint stairs Stairwell to Basement Seal exposed framing Replace blueboard & plaster walls and ceiling Replace poplar treads and pine risers Replace handrail and brackets Paint walls and ceiling Stain and seal trim Basement Insulate knee wall and ceiling Seal floor joist and wall framing Seal concrete floor and walls Replace wall shelving, wood base shop cabinet and top Replace solid door unit Replace 200 amp service panel Replace fiberglass duct work in basement Basement cont. Replace Utica hot water boiler package Replace Therma Flood hot water maker Repair alarm system General Supply all permits Remove all trash from site �^^u S_-^9 'PRT r'r FOR ,ALL WORK ABOVE• $125 . 176. 76 kr"n*'FTRAT, ^C'"KIDTT-TONS FOR THE AGREEMENT ABOVE 2 . STANDARD EXCLUSIONS: Unless specifically included in the "General Scope of Work" section above, this Agreement does not include labor or materials for the following work: Plans, engineering fees, or governmental. Failure of surrounding part of existing structure, despite Contractor' s good faith efforts to minimize damage, such as plaster or drywall cracking and popped nails in adjacent rooms or blockage of pipes or plumbing fixtures caused by loosened rust within pipes; construction of a continuously level foundation around structure (if lot is sloped more than 6 inches from front to back or side to side, Contractor will step the foundation in accordance with the slope of the lot) . Exact matching of existing finishes. Public or private utility permits and fees of any kind Custom milling of any wood for use in project. . Labor or materials required to repair or replace any Owner-supplied materials. Repair of concealed underground utilities not located on prints or physically staked out by Owner which are damaged during construction. Surveying that may be required to establish accurate property boundaries for setback purposes (fences and old stakes may not be located on actual property lines) . Final construction cleaning (Contractor will leave site in "broom swept" condition) . Landscaping and irrigation work of any kind. Temporary sanitation, power, or fencing. Removal of soils under house in order to obtain 18 inches (or code-required height) of clear space between bottom of joists and soil. Removal of filled ground or rock or any other materials not removable by ordinary hand tools (unless heavy equipment is specified in Scope of Work section above) , correction of existing out-of-plumb or out-of-level conditions in existing structure. Correction of concealed substandard framing. Rerouting/removal of vents, pipes, ducts, structural members, wiring or conduits, steel mesh which may be discovered in the removal of walls or the cutting of openings in walls. Removal and replacement of existing rot or insect infestation fees. Repair of damage to roadways, driveways, or sidewalks that could occur when construction equipment and vehicles are being used in the normal course of construction. B. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL COMPLETION Commence work within 5 days of receiving building permit. Construction time through substantial completion: Approximately 12 weeks, not including delays and adjustments for delays caused by: inclement weather, additional time 8 required for Change Order work, and other delays unavoidable or beyond the control of the Contractor. C. CHANGE ORDERS: CONCEALED CONDITIONS AND ADDITIONAL WORK 1. CONCEALED CONDITIONS: This Agreement is based solely on the observations Contractor was able to make with the structure in its current condition at the time this Agreement was bid. If additional concealed conditions are discovered once work has commenced which were not visible at the time this proposal was bid, Contractor will stop work and point out these unforeseen concealed conditions to Owner so that Owner and Contractor can execute a Change Order for any Additional Work. 2 . DEVIATION FROM SCOPE OF WORK: Any alteration or deviation from the Scope of Work referred to in this g Agreement involving extra costs of materials or labor g (including any overage on ALLOWANCE work and any changes in the Scope of Work required by governmental plan checkers or field building inspectors) will be executed upon a written Change Order issued by Contractor and should be signed by Contractor and Owner prior to the commencement of Additional Work by the Contractor. Contractor to supervise, coordinate, and charge 20% profit and overhead on Owner' s separate Subcontractors who are working on site at same time as Contractor. Contractor' s profit and overhead, and any supervisory labor will not be credited back to Owner with any deductive Change Orders (work deleted from Agreement by Owner) . D. PAYMENT SCHEDULE AND PAYMENT TERMS 1. PAYMENT SCHEDULE: *First Payment 1/3 prior to starting work $41725. 58 Progress payments. All rough inspections are passed $27817 . 06 11 Blueboard & plaster ,hardwood floors are installed $27817 . 06 * Final Payment: Balance of contract amount due upon Substantial Completion of all work under contract: $27817 . 06 q 2 . PAYMENT OF CHANGE ORDERS: Payment for each Change Order is due upon completion of Change Order work and submittal of invoice by Contractor. 3. ADDITIONAL PAYMENTS FOR ALLOWANCE WORK AND RELATED CREDITS: Payment for work designated in the Agreement as ALLOWANCE work has been initially factored into the Lump Sum Price and Payment Schedule set forth in this Agreement. If the actual cost of the ALLOWANCE work exceeds the line item ALLOWANCE amount in the Agreement, the difference between the cost and the line item ALLOWANCE amount stated in the Agreement will be written up by Contractor as a Change Order subject to Contractor' s profit and overhead at the rate of 20%. If the cost of the ALLOWANCE work is less than the ALLOWANCE line item amount listed in the Agreement, a credit will be issued to Owner after all billings related to this particular line item ALLOWANCE work have been received by Contractor. This credit will be applied toward the final payment owing under the Agreement. Contractor profit and overhead and any supervisory labor will not be credited back to Owner for ALLOWANCE work. E. WARRANTY Contractor provides a limited warranty on all Contractor- and Subcontractor-supplied labor and materials used in this project for a period of one year following substantial completion of all work. No warranty is provided by Contractor on any materials furnished by the Owner for installation. No warranty is provided on any existing materials that are moved and/or reinstalled by the Contractor within the dwelling (including any warranty that existing/used materials will not be damaged during the removal and reinstallation process) . One year after substantial completion of the project, the Owner' s sole remedy (for materials and labor) on all materials that are covered by a manufacturer' s warranty is strictly with the manufacturer, not with the Contractor. Repair of the following items is specifically excluded from Contractor' s warranty: Damages resulting from lack of Owner maintenance; damages resulting from Owner abuse or ordinary wear and tear; deviations that arise such as the minor cracking of concrete, stucco and plaster; minor stress fractures in drywall due to the curing of lumber; warping and 1® deflection of wood; shrinking/cracking of grouts and caulking; fading of paints and finishes exposed to sunlight. THE EXPRESS WARRANTIES CONTAINED HEREIN ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, HABITABILITY, OR FITNESS FOR A PARTICULAR USE OR PURPOSE. THIS LIMITED WARRANTY EXCLUDES CONSEQUENTIAL AND INCIDENTAL DAMAGES AND LIMITS THE DURATION OF IMPLIED WARRANTIES TO THE FULLEST EXTENT PERMISSIBLE UNDER STATE AND FEDERAL LAW. F. WORK STOPPAGE, TERMINATION OF CONTRACT FOR DEFAULT, AND INTEREST Contractor shall have the right to stop all work on the project and keep the job idle if payments are not made to Contractor in accordance with the Payment Schedule in this Agreement, or if Owner repeatedly fails or refuses to furnish Contractor with access to the job site and/or product selections or information necessary for the advancement of Contractor' s work. Simultaneous with stopping work on the project, the Contractor must give Owner written notice of the nature of Owner' s default and must also give the Owner a 14- day period in which to cure this default. If work is stopped due to any of the above reasons (or for any other material breach of contract by Owner) for a period of 14 days, and the Owner has failed to take significant steps to cure his default, then Contractor may, without prejudicing any other remedies Contractor may have, give written notice of termination of the Agreement to Owner and demand payment for all completed work and materials ordered through the date of work stoppage, and any other loss sustained by Contractor, including Contractor' s Profit and Overhead at the rate of 200 on the balance of the incomplete work under the Agreement. Thereafter, Contractor is relieved from all other contractual duties, including all Punch List and warranty work. G. DISPUTE RESOLUTION AND ATTORNEY'S FEES Any controversy or claim arising out of or related to this Agreement involving an amount of less than $5, 000 (or the maximum limit of the court) must be heard in the Small Claims Division of the Municipal Court in the county where the Contractor' s office is located. Any controversy or claim arising out of or related to this Agreement which is over the dollar limit of the Small Claims Court must be settled by binding arbitration administered by the American Arbitration , Association in accordance with the Construction Industry Arbitration Rules . Judgment upon the award may be entered in any Court having jurisdiction thereof. The prevailing party in any legal proceeding related to this Agreement shall be entitled to payment of reasonable attorney' s fees, costs, and expenses. H. EXPIRATION OF THIS AGREEMENT This Agreement will expire 10 days after the date at the top of page one of this Agreement if not first accepted in writing by Owner. I. ENTIRE AGREEMENT This Agreement represents and contains the entire agreement between the parties. Prior discussions or verbal representations by the parties that are not contained in this Agreement are not a part of this Agreement. I have read and understood, and I agree to, all the terms and condit ' ons contained in the Agreement above. Date CO TRACTOR' S SIGNATURE Date C&NERIS SIGNAT&fRE Date OWNER' S SIGNATURE 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: 0-0 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: �us►7,�, s�w2. � (Location of Facility) 1��24g- I Signature of Permit Applicant Fire Department Sign off: % Dumpster Permit llbrlo Date 6232 Date..... f NORTH 4, , "J 9r TOWN OF NORTH ANDOVER PERMIT FOR WIRING ut, This certifies that .......... . lC .................................... ............................... &/I r,:) -,t has permission to perform ...................................... ................f............... P wiring in the building of. Anibryi.......... .............................. at........(.,Z.o....a..Q... .......................... .North Andover,Mass. ��e. . ...r.-7 .. Lic.NoA 537-. ......... Check # 2 (f1mmonwaa19 a/Maddac%uealls official Use only cc77 Permit No. 1JePar1nwn1 of}ire Sarvicad I BOARD OF FIRE PREVENTION REGULATIONS Revc 11/99y and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wurk to be per('ormed in accordance with the Massachusens Electrical Code(,XIEC),527 CNIR 12.00 (PLEASE PRINT 1N INK OR TYPE-ALL I ORAL•l7'ION) Diter City or Town of: No &o 1>0 U x-7L To the Inspector of 1•Y7res: By this application the widersigned gives notice of his or her intention to perform the electrical work described below. Location (Street S Number) / O L Owner or Tenant !FAILS dr,..f a 6 L/U Telephone No. 6V6-d-(,/- $396 Owner's Address ( Car. FA-&&4 /L0 . �U A�u pavvt HAI 0/8 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) 1'urpuse of Building Cii c L L / Ali(-, Utility Authorization No. Existing Scrvice 9-06 Amps I hN/ ,f-yo Volts Overhead ❑ Undgrd ❑' No.of Meters New Service Anips / Volts Overhead ❑ Uudord ❑ No.of Meters. Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ��/hgw (a r— LZC T72/ems( P41-Vv-L-.- M l S C 6-L CZ P'L/C C.() OU l ti U P ' M 6-0� 13 Y ccs r�I��z P n3"c am R V N - Z -- Xe-Gu t rt F N ( LU 3 Ot L Cunr lelion oLNe folluiving table ntay be x-aived by the Ins'cctor of I Vires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans N o'o Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Sivimniurg Pool Above [I In- El No.o mergency ig rung rnd. grud. jBatteryUnits No.of Receptacle Outlets No.of Oil Burners FIRE ALARZINISNo.of Zones a No.of Switches No.of Gas Burners No.oetection nInitiating Devices No.of Ranges No.of Air Cond. Tonal No..Of Alerting Devices Heat Pump .L_umber Pons o.o e - ontained No.of Waste Disposers -- — -•• 41..•-.....[—•••••_ Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local ❑ MunicipalOther Connection El J-A Healing Appliances Security Systems: No.of Dryers R PP K1V No.of Devices or Equivalent 1 No. of ater KNV o.o t o.of Data Wiring: Heaters Sins Ballasts No.of Devices or Equivalent No.HN•dronrassage Bathtubs No.of Motors Total IIP Ideco mmunications wiring: , No.of De vii or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVE1tAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee peovides proof of liability insurance including"coniPleted 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: INSUIR.rWCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) 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. I certify, mi der the pains and penallies of peijitry,that the dnfornmatd this appldca1don 11, nl complete. o h1(L1I NAAIIi: r t. �cc� c / LIC.NO.: Licensee: 4N1-({oluV /,1 04 CvLe Sibnatur LIC.NO.: R/537 5 (If applicable, enter -evernp!••in the license number lime.) Bus.Tel.No.: 27L IZLS'B77 Address: Alt.Tel,No.: OWNER'S INSURANCE 1VAIVER: I am attiare that the Licensee does not have the liability insurance coverage normally required by law. B\- .nv signature below, l hercbywaivc this requirement. 1 ani the(check onc)❑owner (3 o%vncr's agent. Oiviier/Agent Telephone Nu.Sitinatuc PI;R111IT FLE: S r: NORTH TOWN OF NORTH ANDOVER '• O ' PERMIT FOR PLUMBING ± r a ,SS�CNUSE� This certifies thatl . . . . . ... .-'4.... . . . . . . . . . . . . . . . . . . . . has permission to perform{ �. . _:A.- . : { . . . . . . . . . . . . . . . . . . plumbing in the buildings of . ! "? .^�* . . . . ... . . . . . . . . . . . . . . at/? . . . ... .--.... :- - .-.. . . . . ....1, North Andover, Mass. Fee/./n. Lic. No !- ?�. . �:?:w '`.r"� % . . . . . . . . . . . . PLUMBING INSPECTOR Check #r- < 67z8 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Alte 6:2�? Building Location o '2 Owners Name , /iC) Permit 1# Amount Type of Occupancy New rl Renovation Replacement CaPlans Submitted Yes No FIXTURES F E" z w O W x z z z a w 3 x o W w H h 3 w A a a a z A A w H x x x x a Z w x w Nz Q s�EL%E BAW"M 1ST.FLOC R 1 TJ n FL0(1(t 3M Hf= 41H FLOOR 51H FLOOR 6IH FLOOR 71H MOOR 8111 MOOR (Print or type) Check one: Certificate Installing Company P `t� ❑ Corp. s Addressn9t—" Ls T ci+Gra11s _S'> Partner. Irl Q ° Business Te ep on Firm/Co. Name of Licensed Plumber: j 4e- ago C� )7&rn n C' Insurance Coverage: Indicate the typeof insurance coverage b checking the appropriate box: Liability insurance policy El Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or ent ed)in above application are true and accurate to the best of my knowledge and that all plumbing work a installations performe nder Permit Issued for this application will be in compliance with all pertinent provisions of the assac usetts State Plumbi ode and Chapter 142 of the General Laws. By: igna ure o e mer Type of Plumbing License Title r �Iw City/Town icense um er Master ❑ Journeyman__ - APPROVED(OFFICE USE ONLY I I�� _� l .-� Location No. 4 Date i NaRTM TOWN OF NORTH ANDOVER Certificate of Occupancylop a t .;; Building/Frame Permit Fee $ 39 00 � Foundation Permit Fee $ s+cMuee � Other Permit Fee $ Sewer Connection Fee $ -Water Connection Fee $ Z TOTAL A aBuilding Inspector ,� _ 6682 V O 2 Div. Public Works PERX NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 114AGM 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. I LOCATION Q /j� L -� PURPOSE OF 13UILDING Pea OWNER'S NAME4 V 1� eta rizf►� NO. OF STORIES c cSIZE GI 1 ' — OWNER'S ADDRESS / iLp o J4 !" 1'..2m a,( BASEMENT OR SLAB ARCHITECT'S NAME ,I y /� ` SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME l�EFN CDfJS..L_QC;+ p._ ) SPAN DISTANCE TO NEAREST BUILDING ATL T /'�/ DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR 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 1 (' ;n jaD IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODES 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 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST v ` PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. CJ PAGE 2 FILL OUT SECTIONS 1 - 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 ! I ' l s ! 3 BOARD OF HEALTH SIGNATURE OF W ER OR H RIZED AGENT FEE d (� 6z`f" PLANNING BOARD PERMIT GRANTED" OWNER TEL.#��Sr' 9oLy y CONTR.TEL. 19 CONTR.LIC.#g S, .9 VS- BOARD OF SELECTMEN BUILDING INSPECTOR I BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ SIOkIES 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 1 2 13 CONCRETE 81.K. PINE PIERS PLASTER BRICK OR STONE HARDW D _ DRY FINWALL UN . 3 BASEMENT AREA FULL 11 FIN. BMT AREA _ '14 '/t �/, FIN. ATTIC AREA _ N_O 8 M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD1'2'D ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO.ON FRAME BRI N'MAS NRY ATTIC STRS. d FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I- I POOR _ ADEQUATE NONE S ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES - TILE FLOOR TILE DADO 6 FRAMING 11 HEATING + WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 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 2nd _ ELECTRIC 1st 13rd NO HEATING r oix, of Andover �7 r\ p No• 5 O V - - E rt dover, Mass., /V0 0 / 19 COCMICME WICK �� ADRATED D`P�� �C5 S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT �.... .. . . ................................ tl..�/.T .. `..�.I . ....• Foundation has permission to erect.-JAP./R�01..... buildings on ...101A...#AW..jV4VA.. ��............... Rough to be occupied as..si.l0.0,P.0#4A.t It., 0AN�!l... .. AM...s AW. ..r#....RXA..O&r-4- A Chimney thprovided that the person accepting this permit shall in every respect conform to the terms of the application on file in - 3 is office, and to the provisions of the odes and By-Laws relating to the Inspection, Alteration and Construction of Final �G�d �l Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INECTOR UNLESS CONSTRUCTION STARTS Rough v< .......� .. ..... Service BUWD -. INSPECTOR / - Final � � r Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE E'P Until Inspected and Approved by the Building Inspector. Burner n ^ \1 PLANNING FINAL CONSERVATION FINAL Street No. V ►�� t: Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT FORM U - IAT 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 local or state law, regulations or requirements. ****************Applicant fills out this section*******c�********** APPLICANT: i I L `` t t� pD�4U i Q F(rL zar, Phone L� bS LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street 1 D n 1d t-a/Ltx QK St. Number a D ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Vire Department C r �� ✓ � / �' Received by Building Inspector Date U -�� 2M�NTOF PUBLIC SAFETY . , 1H pE ► OMMONWEALTH AVE- 9 Com MA 10T MA 02215 CAUTION y OF 1 - Irr t vI' SIF; lug MASSACHUSETTS r I►,. IF'Eh FOR PROTECTION AGAINST THEFT.PUT RIGHT THUMB I LIC-NO. I PRINT IN APPROPRIATE EXPIRATION DATE EF�ECTTA DATE BOX ON LICENSE. R 0 BLASTING OPERATORS 00 F-F RESTRICTIONS p MUST INCLUDE PHOTO. rry 1 .+a...•..y,,NEO By IiCE NSEE wA OOF0 FEE: of 1.4f cow"" PHOTO S G OPR ONLY1 ✓ `.yas. �. a�yMt WE v RE LINE AaaA Sif, • III I X2d'. �q THIS pOCUMENT�St OF • �� ... R}ri OgRRIE N EPE EN• HOLDER W;,N..••w t .. .. I GAGEOIN THISO� PRINTAPF.Ht,IV -AI��N---•-" .� OTH s 65 r z- H "i• O •, fD K N C CD • A .fir S w a m a �' wc- v, co 0 r w z a a n � � o - ! I i Q 1 I ! . } I � . I ' I vy1 4:�-5 i ; I - - 0 CIoSET I i AMERICA is REMODELING d With Q=tr-act-/ Proposal. NATIONAL ASSOCIATION of KEEN CONSTRUCTION CO. - Mw REMODELING INDUSTRY 21 HEWITT AVE. NORTH ANDOVER, MA 01845 Date l 0 _ a _ TEL. (508) 691-5201 N'2 1220 t Submitted To Work To Be Performed At Name ����cl I I �, ��t/ �� cI �A 2 Zf� Street Street od r4a_rn Rcl City State City/State P) • A N O Oy(/'7 M Fl Date for Work to Begin Tel. No. •C/S=Customer Supplied • S&1=Supply & Install MATERIALS LABOR SUB-TOTAL r is vr ) c �;� ' hr� {NC' 2S o g/ ? t,v JrL. / 191 148 j��rL112-I�JT L�O . �� ' tc e- 1 Li! n J4 I" 2 . d (-Cl A I L.. 7 s- Lu ZA y f hfo37 7 °v ��10E L��C� � 1 =NCIVcI �C�LY7�t � — CCS ( Aj+I �� // EEco - - N S r ✓�-S . DOTAL S b !o C �C n Payment to be made as follows: �O _ `�J IT ) e S All material & labor is guaranteed to be the quality specified above. Removal of all debris generated from above work is the responsibility of the customer, unless specified in this contract. Any alteration from above specifications will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, weather conditions, material availablity, or del.Ws beyond our control. MA Reg.No. /(`� 3 Respectfully submitted ,/ Note—This contract/proposal maybe withdrawn by us if not accepted within -30 days. ACCEPTANCE OF CONTRACT I PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. / 7 Date 0121 h� Signature G�_('3_� Town of � Andover 0 NO- 508 fY' art dover, Mass., 19lei COCHICHEwICK RA7E0 !-I BOARD OF HEALTH r_ PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. ....��••��•��..�..�.�.�0.�:.4#480040................................ Foundation has permission to erect A.A..1.1.R6+.0,Y.... buildings on ...1J.0...0A*..JOAVA.. ............... Rough to be occupied �. ..... .� .� ... . .. ....� .. r.. A Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in P P P 9 P 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .... Service BUILD G 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 CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FI NAL DRIVEWAY ENTRY PERMIT CERTIFICATE OF USE & OCCUPANCY Town Of North Andover Building Permit Number qu Date nF(-,FMRFR 21� 1943 THIS CERTIFIES THAT THE BUILDING LOCATED ON 120 OLD . FARM ROAD MAY BE OCCUPIED AS SPIRAL STAIRS, 2nd TO 3rd f l o o r IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Judith & David Farzan o: ' 120 Old Farm Rod ADDRESS • /J °JAC14 Bui ding Inspector f� N i I �L t i No. Date L�j /92— N°RT" TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ # Building/Frame Permit Fee $ ` Foundation Permit Fee $ swCHUs t Other Permit Fee r/ $ Sewer Connection Fee $ 4 Water Connection Fee $ UG n .r TOTAL $ MO q naps, ,,� .. 1!• : ,�, ' Ore.,O/ZeCt Building Inspector Or Div. Public Works PE&11IT NO. �? cS�7 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAR 4-40. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK PAGE ZONE I SUB DIV. LOT NO. I ; tog LOCATION 120 old Farm Rd PURPOSE a�-mm""m I/CA0V�" Ck �C // OWNER'S NAME DAA/I.D R- F "� NO. OF STORIES SIZE //OWNER'S ADDRESS I Zo Old Farm QJ BASEMENT OR SLAB ARCHITECT'S NAME a �'W SIZE OF FLOOR TIMBERS IST 2ND 3RD IIBUILDER'S NAME M`eA &Aaj t p N Rcmcdcl ing) SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS (/IS BUILDING NEW NOSIZE OF FOOTING X IS BUILDING ADDITION 140 MATERIAL OF CHIMNEY IS BUILDING ALTERATION Yes IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YEs IS BUILDING CONNECTED TO TOWN WATER `BOARD OF APPEALS ACTION, IF ANY none a IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST SEE BOTH SIDESEST. BLDG. COST iz/V1.ry� V1 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. W PAGE 2 FILL OUT SECTIONS 1 - 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 �ISI9Z BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE OWNER TEL.# 625P§5 882 PLANNING BOARD PERMIT GRANTED CONTR.TEL.#�.l 19 _ CONTR.LIC.# BOARD OF SELECTMEN Zee-1 j IAAlf t L OUIMING INBPECTOR L� I BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 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 I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ _ 3 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER __ _ DRY WALL _ _ _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ '/, 1/2 1/1 FIN. ATTIC AREA _ N_O 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 HARDN✓'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUADEQUATPERIORE (� POOR _ NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. )2 FIX.) _ E FLAT SHED WATER CLOSET _ I 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 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 2nd _ ELECTRIC 1st ( 3rd NO HEATING C7 SlW .�IWATEt� I-i�.�.� — ---- m CONSE VATI®N FINAL �Rl'g.1 own of �� -0 6 , n ®ver ® .:. NO E W ver, Mass., 19 . ,RIVEWAY ENTRY PERMIT ' A , 1 ' •�l.'�n ORF PFt I BOARD OF HEALTH PERMIT .T '*� LD THIS CERTIFIES THAT...400'.rl. ...Ot .. ... •••••••••1•••••• BUILDING INSPECTOR has permission t��. �� •• i�1,i1� :....... �• on if.4#�• 49160��••� Rough r� Chimney to 6 occupied as...,1 .Q...�.A. ...0*40.V..*4t.40....................... """ Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION STARTS Service Final -BILDIN SPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector r Suggested Affidavit for Home Improvement Contractor Permit Application For office Use only NAME OF CITY/TOWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c.142A requires that the"reconstruction,alteration,renovation,repair,modernization,conversion,inprovement,removal,demolition or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: PlaCG �J Mr' 0-nd w nd Ws t r! aOiG Est. Cost 1200 X00 Address of Work 120 Old Farm Feel Nfor+h AndoYe.r, mh pity$ Owner Name: D N i P R . F4-R"Z_m-,) Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under $1,000 _Building not owner-occupied _Owner pulling own permit _Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: ��2_ gZai d RWU� Date Owner Name i I I - 1 I Oh IiN ii t � ` r 1 n -7 V CY) !SID 0 rvIM (v3w-9s -0 ?l QJ c)N1r-do Cn 3(N _ a . ) i „t .1 MoCrvirn .Lrgw33VD �sa-4 c)N10 M3ry , FLoo a LA`/0o► FO( ATTIC- S To2fi GF- AREA ALL J`OI _S -r /9RE BLoc1< )NC, 7-0 S T FFr--N T 01S i S 4 0 E H ) 6Lq L t 6 H TE Z) F L-0 G ►2 A i2 F A c,J 1 L.L >3 F Ll '( " L O N C, X /3 (a " W r L�E. D2o 13 (0 ! i S ► �i2S ; ?. I y3l oil MORTGAGE INSPECDD TIOII NNN CYR & CURRANs INC. cac 23411M fIM■T IAWIM ,MAIL40LOM CHU* sa.4s4a�s4 6064W74M MORTGAGOR 1=0444R' � ADDRESS OF PRINCIPAL BUILDING ado01 NOTE: THIS MORTGAGE INSPECTION was prepared specifically for mortgage purposes and is not to be relied upon as a survey. Cyr & Curran accepts no responsibility for damages resulting from said reliance by anyone other than the said mortgagee and its G assigns in connection with its .proposed mortgage - financing to said mortgagor. The information on this mortgage inspection is the exclusive property of Cyr&Curran.Unauthorized use, reproduction or modification of this material is strictly prohibited,and may be subject to legal action unless prior written consent from Cyr&Curran is obtained. CERTIFICATION TO: This mortgage inspection was prepared in accordance with the Technical Standards for Mortgage Loan In- spections as adopted by the Massachusetts Association of Land Surveyors and Civil Engineers,Inc. I STATE THAT IN MY PROFESSIONAL OPINION the principal st/ructure/s and accessory structure/s with the dimensional setback requirements of the zoning ordinances,and that there are no encroachments of major improvements either way across property lines 2 except as shown. Notes: Dwelling is not located within a Flood Hazard Zone ❑ Dwelling is located within Flood Hazard Zone ❑ Information is insufficient to determine Flood Hazard. Flood Hazard determined from F.E.M.A.Flood insurance rate map. p.v wcz 2 soagQ poo S D Scale IIt yo t r" Date of Inspection Date of Plan y' 29-4/ %A RT#j Town of 4Andover No. � GQ _y A dover, Mass.,__�4 C OCHICHEWICK ��. _ ORATED `S BOARD OF HEALTH PER T T Food/Kitchen Septic System ' BUILDING INSPECTOR THIS CERTIFIES THAT........ .....d. . ..0.....orovo..M..10 ... .0................ ............ .......... ..................... oundation has permission to erect.............. ... ................. buildings on.... j�j 0.... �d.. ... - Jr....� Rough • to be occupied as.................... � � Chimney provided that the person acce in t i erm' ha I in ev respect onform tot rm f pTicat o�fi�e in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and C struction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough I Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTT N STAXT 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. a eIlk � h G 4�1 i LQ?" 1 � C i � S Y / 1 b D \ '! IZ4 D 1 ' t � � G I 6 v of..OID��•�,t7_.. 3 50.Oi0 Deed Reference: Bk.2 IZ Pg. Ze Cert No. Plan, AA an,Reference: PI.No. �24Z a ( ommonweald of MadJacItuielfa Official Use Only cc�� cc77 Permit No. 62-32- .C l eparinteni oI}ire Servieee BOARD OF FIRE PREVENTION UW REGULATIONS Occupancy and Fee Checked (Rev. 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance will,the Massachusetts Electrical Code( ,IEC),527 CNIR 12.00 (PLEASE PRINT IN INK OR TYPE:ILL INFORMATION) Matc; City or Town of: Nc /1N 0 u E_�z To the In pct `t of iY'It es = By this application the utidersigned gives notice of his or her intention to perform the elec Ica k scrib below. Location (Street & Number) l � O L I� 1= 1 Owner or 1'enaitt tin Telephone No. 696 3 i 6. Owner's Address /J0 (�LiD FA-km 2t� . I40 AjuboVe"t Is this permit in conjunction with n building permit? Yes ❑ No ❑ (Check Appropriate Box) 1'tn•posc of Building 1) Utility Authorization No. ExistingService C L) .\tops //U/ VC)Volts Overhead ❑ Undgrd ❑ , No.of Meters . / New Service Antps / Volts Overhead ❑ Undgrd ❑ No.of Nletcrs Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C/¢X,Iii E L z�2 T7Z r"/Vt p//�t/ L ' /q�vl� M. I S C• r;2 CZ t e.tI- w c rL t iu � 7: � rt-�; c-z� ,/3 •'. t� �,3r w i (t. l C LU3 Ur L t-7-L Cora etior u/t�e ullurvine ruble may be n•aived by the Ins'ccto•of I Vires. No. of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans N No.oTotal Transformers KVA No.of Lighting Outlets No.or Ilot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ Iii- ❑ o.o merge icyLighting. rntd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARIJIS No.of Zones No.of Switches No.of Gas Burners No.of Detection an Total Initiating Devices No.of Ranges No.of Air Cond. Tons No..of Alerting Devices f eat Pump t u—mb []Tons -- — o.oSelf- ontainedNo.of Waste Disposers Totals: Detection/Alerting Devices No. of Disinvashers Space/Area Heating KW Local ❑ unncnpa I Other Connection No.of Dryers Heating Appliances It\y Security ystems: No.of Devices or Equivalent No.of ea K1V o.o t al of Data Wiring: Heaters Sins Ballasts No.of Devices or Equivalent No:Hydromassage Bathtubs No.of Motors Total I-IP Ie ecommunnca(ions Wiring. . No.of Devices or Equivalent OTHER: Attach additional detail if desired•or as required by the Inspector of Wires. 1NSUR.-kNCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee peovides 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 ❑ 0.1'I-IER ❑ (Specify:) j Estimated Value of Electrical Work:' I (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested ui accordance with MEC Rule 10,and upon completion. t cer•tij•, rrtrdcr the pains acrd penalties ofpetjur7•,that the infurnrati .tt tit{this aplVicativtr i bite. till coutplete. I hIIL0I NA11IL: n 1.C7 EcE2 h e 1 LIC.NO.: OLicensee: 4N r"0o lu y 4 ''I 01-a Sibnatur LIC.NO.• A/5 3�7 5 (If applicable, enter• •'cr:nrpt"in the license number line.) G• 1 Bus.Tel.No.: 97k-37x-S-877 Address Alt. Tel,1�i U.' J O1VtVCR S 1�iSUh:\NCE 1VAIVJ;I2: I am aware tha t the License,.n docs nothave the • ltabilil insurance coverage normally I y g Y required by la��. By my signature below, I hereby wai%-c this requiremcnl: I am the(check onc)❑owner ❑ o mgr's agent. l Owner/Agent Signature 'Telephone No. P1iRtl1IT FEI:: S oke �-f- it ZJ//�� (\�r��{ji (�f.�'Q�� [[�/■/[��� Location em No. 3Z-Z- Date 11,,,ORTiy TOWN OF NORTH ANDOVER Certificate of Occupancy $ 41 Building/Frame Permit Fee $ °'; Foundation Permit Fee $ s�cMus t Other Permit Fee $ � Sewer Connection Fee $ Water Connection Fee $ TOTAL k- $ "' 14 Building Inspector 07/11/95 15:00 15.00 PAID r T" /� c33 Div. Public Works PERMIT NO. 2-2-^ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP i-40. LOT NO. 2 RECORD OF OWNERSHIP jDATE BOOK :PAGE ZONE SUB DIV. LOT NO. f�`7 i LOCATION 12-6 t� 0 L' N/'�.AA PURPOSE OF BUILDING p fell �/(j"S/#/I OWNER'S NAME nC/J�o)-16f 2,01w 1 f'�1���\ ,- NO. OF STORIES SIZE OWNER'S ADDRESS 12O O/` Fol^ Lel .BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME /d,et, g�4 fs SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR 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 REQUIREMENTS OF CODE Yc5 IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 1 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST Lr-^A9 J'S PAGE 1 FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 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 FIL/E,D� AND APPROVED BY BUILDING INSPECTOR teATE FILED auaDlNa INSPZCTO* SIGNATURE OF 5WNIfft OR AUTHORIZED AGENT F E E ` � OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# H.I.C.# y BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY 0410ES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA. APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLO_ T PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HAROW D __ PIERS PLASTER _ _ DRY VJAII _ _ _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/1 1/ FIN. ATTIC AREA _ N_O B MT 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 _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR (- BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) A _ 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 I 11 HEATING ` WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS �EE S B'M'T 2nd CTRIC lst 13rd 11 NO HEATING ORT Town o s over No. 3 2 ass. t C� 19ccc- CS dover, Mass , 0 LAKE COCHICHEWICK %AQRA T E D P? BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System ��( -ZA BUILDING INSPECTOR THIS CERTIFIES THAT.�14\m................41............H................................................................................................ Foundation has permission to erect..A.P....................... buildings on.A.Zo........Ou - e T ................. Rough to be occupied as.jzx.o-I�......ko.pkbO ..... ........wmwv�............................................*­ I Chimney 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 Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPHTrS11T16,MONTHS ELECTRICAL INSPECTOR UNLESS CONS Rough ...... ........... ... .......... ........ ............. ...... Service BUILDING INSP OR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEW-ER/WATER FINAL DRIVEWAY ENTRY PERMIT �r CECT/F/ED PLOT PL�/�,/ .► v ` - .SCALE: !"�/cv �0,�lTE.• 7. Me -• /�jCl�ie/ST/QN,SEN ENG/NE ' E,eiivcl .. //4 'kE1102'.4 .d VE., A14V,,ceA//L U, i s c r, 1-4 v � �3•�3 ��; LQ i LoT Q�'1• r'n6'bd dee '� ARtr. = i4'1. 519 S.F•i ! .. _ -�Y•: :43 10 b4 � G FU AZ 1 U LoTo aP, 0 C -CT/FY .47- 7WE OFFS ETS 5 f/ONN .d eF FOS 7;W 5 /-OT i L-YlL OlNG SNOwN ON T�//5 ZONING DETE�is�J/ND T/ON /5 II.Q T. /N <'L -IN CONFD,eA-15 TO 2-,1E ONI-Y ,4ND <f eE NOT TO BE ,4 FL OOD _ ON/NG BY-L4W5 OF TWE F USED TO E57-431-i5N P,CO - gdadeD PEeTY L/.NES. ZONE VNEN CONST�(/OTED. Iry RIVERtl ENS E' .f ARY E LIs's s CLASSXNOORSEMENTS OPR'MC' �LIGENSFWMABEQ - LICENSE 1�IRES'.R I -SOCIAL SEC.NO. 81RTN DATE. ., I pES7RIC710N WT' ti , LIGENS�E' TIME. _ t HDME 1t1PR0VEilENT �DNTRACTDR ,t Registration 112595 ;: + `�i�DIVID'JAL �- IyP?t" Expiration GARY E LISS ; GARY E. LISS ADMINISTRATOR ✓lie �anvnzanureall/ o�✓�aaaac�uteelt DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nniber: Expires: Birthdate: ; Restricted To: 00 y GARY E LISS /T Location t + No. k ,r -' .� Date J NORTq TOWN OF NORTH ANDOVER O:t`an ,a,•yG Certificate of Occupancy $ s ,' Building/Frame Permit Fee $ ,ssACMUSE� Foundation Permit Fee $ . ,-j-- -1 TT r l /- ,-i f h •' Other Permit Fee .. J— $ ` • r' Sewer Connection Fee $ S�Q Water-Connection Fee $ f.4 ��yy �a`N ,-3 -Connection $ Building Inspector Div. Public Works PEWAOT NO. ` in APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ✓ PAGE 1 MAP 4.40. I LOT NO. 2 RECORD OF OWNERSHIP (DATE (BOOK "PAGE — ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING Wall + i 1 -C OWNER'S NAME NO. OF STORIES SIZ OWNER'S ADDRESS I ZQ of k F0.rM Rock, BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN 13,16 If/ DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW ,V,!O SIZE OF FOOTING X IS BUILDING ADDITION Ale MATERIAL OF CHIMNEY IS BUILDING ALTERATION Yaz IS BUILDING ON SOLID OR FILLED LAND °6 .�V el1Q WILL BUILDING CONFORM TO REQUIREMENTS OF CODE QS IS BUILDING CONNECTED TO TOWN WATERly y�S BOARD OF APPEALS ACTION. IF ANYM ✓� IS BUILDING CONNECTED TO TOWN SEWER f Y,QS 'T IS BUILDING CONNECTED TO NATURAL GAS LINE /VQ INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST 1 _ A'� o PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. .A �'7 yl 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 BOARD OF HEALTH SIGNATURE OE OWNER OR AUTHORIZED AGENT FEE • © Q OWNER TEL. PLANNING BOARD PERMIT GRANTEDIo CONTR.TEL. �9 CONTR.LIC. # BOARD OF SELECTMEN BUILDI NSPECTOR i I BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I 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 I 8 INTERIOR FINISH CONCRETE �rl� d 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 'J, 1/1 1/, FIN. ATTIC AREA _ NO B M T FIRE PLACES 1 HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 !� DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ASBESTOS SIDING _ COMMGN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME i SUPERIOR I� Poo R _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.) , FLAT A 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 I 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 2nd _ ELECTRIC 1st 13rd NO HEATING