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Home My WebLink AboutMiscellaneous - 125 BARKER STREET 4/30/2018 r ' 125 BARKER STREET 210/035.0.0100-0000.0 J' ,1 I I i i I Location No. Date Date NORTol TOWN OF NORTH ANDOVER 3?O�t•`1O '•,hO , O 0 R A Certificate of Occupancy $ Building/Frame Permit Fee $ SACHUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ��• Check # .� 1 O 1 4 Building inspego'r' • T f � I f TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT RLP RENOVATEOR DEMOLISH A ONE OR TWO FAMILY DWELLING �i■ BUILDING PERMIT NUMBER: DATE ISSUED: u t � v SIGNATURE: 'Wa4A061- Building Commissionerfl or of Buildings Date O SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: C 5- 6,gtz he S—/ �`3�,0 U 1 0 0 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: i Zarin Di*id Proposed Use Lot Area Franca A 1.6 BUILDING SETBACKS tt Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7Waw SoQp1yM.G.L.C.40. 34) 1.5. Flood Zane Infouns ion: 1.8 Sewerage Dispml System Public ❑ Private 0 Zone Outside Flood Zone 0 mw icw 0 On Site Disposd System 0 SECTION 2-PROPERTY OWNERSIiIP/AUTHORIZED AGENT _ Ct: Y,23 - 2.1 Owner of Record / RAIV AzVl kAte Name(Print) Address for Service: 61V Cion,r1z4 e, 97e- GP - PLZ Signature Telephone 2.2 '11 BUNROEUN CHHOUY N HOME DEPOT Address for Service: 4 COPURN RD. , TYNGSBORO,NIA. 01879 Si arum .-le hone SECTION 3-CONSTRUCTION SERVICES ] 3.1 Licensed Construction Supervisor: Not Applicable ❑ �) Licensed Construction Supervisor: License Number �rtf Addressi Expiration Date tSignature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ /40M Ae Cr o �Q Company Name l 7 IT Registration Number ORCf�19� Addres _ G 7� SG •57 6 6 E*ration 3 z Si nature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 132 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 it. Signed affidavit Attached Yes......B' No.......0 SECTION S Description of Proposed Work check,•a bk New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify S Brief Description of Proposed Work: tivows SECTION 6-ESTIMATED CONSTRUCTION COSTS Item . Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building n (a) Building Permit Fee 7 Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC a 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CO CTOR 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 I, ^J OQ U 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 ture of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2' 3 SPAN DEK ENSIONS OF SILLS DIN ENSIONS OF POSTS DMNSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH vINEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE V40R Town of Andover 0 No. Cc% o - - LA over, Mass.,- %J COCHICHEWICK CK 4 OA?ATED PA, WARD OF HEALTH Food/Kitchen PER Septic System THIS CERTIFIES THAT.......... BUILDING INSPECTOR ............................................................ .......... ........................................................... IT T D A, Foundation has permission to erect........................................ buildings on ..��W.....a�� —.0000!............ Rough to be occupied as... Chimney -i 0 ................................................ provided that the person ac: pting this permit shall in every respect conform to the terms of the appllcatfiein provi s of t Final Ir this office, and to the provi ons 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 CONSTRUCMON J �y ELECTRICAL INSPECTOR- Rough ................................................................................................................. Service BUILDING INSPECTOR 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 Street No. SEE REVERSE SIDE Smoke Det. a North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM Ina cord v' accordance with the provision of MGL c 40 S 54, a condition of Building Permit � Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) /ec--, Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i i AT-HOME installed Siding and Windows Board of-13r.11 *g Regalatloas and Standards HOME IIYiIRROVEMENT CONTRACTOR License or registration valid for Individul use only R*91191 sFt t Ig8893 before the expiration date. if found return lo: Board of Building Regulations and Standards One Ashburton Place Rm 1301 � $ element Carel Boston,Ms.02108 THE Home Depot ..'__ $&,VIC OTJNROEUN CHH iIxY-=.,. 3200 COBB GALLEl21R PKWY*20 ALTANTA.GA 30339 AdusInistrator Not valid NitImut signatur i i ' I f " ' Rpr 20 05 04: 09p Michael Bedard 1 -401 -246-2668 p. 3 FROlL KI[•ML'y FAX NO. 6033629679 P.�r. 08 2005 00:1:' iAM P5 F1U�11':1M1'RUVY'h1F.N'f(:0\?'121C"! Sold,Irurninhed and installed by! ' THD M-HOTne Services,lac. Date: Lj 5 dmhk The I Wile Depot At.1,10111v Services (, Branch game: V'ureester,ItdA01607 ggjA(irccnwocd Strut, D J 'Poll Free(900)65 i-5182; Fax'5(1&756-2559 job.#. ��-- ,:c yery111kr 7s,j698yh11 ML,i 1c h(:02439 1!f Con;.Litri 16 27 Arancb VumbaY: C-1. iJt 565.4M, \1A1lomolrnpravtmcntConrruaarxog.il126t;5 i / zip r Installation Address: _. City 1 llaSnr Phone. ' •r /� '� Pere hasertc: 1)river't T1c.MFc� E G, 6� 0 r L I Y - Home Address: City State 71P (If different hum Installation Address) brive installation P o'c t rr n nio�n)e tit�U 5��ino("Hs�re'the owner,., rnSslL.he iieli er Rd arrange for he; nstallaTit"I of all Inateriafsrsso COetract with:T o f qq G ansa poratoc'he:'ein by reference and made apart hereof, desc hcd on the atta6M Spec Sheet s'; ! � this contrast if,upon re-hispection of tile Ior because work required late the Job }lame Depot reserves We right to cancel rhe job,Tlorne,Depot determines that It cannot perform its obligations dLte to a St uctural problem with the leme ulred to complete was act Included in tile.contract DEI'nSIT 7:'AY3viF.V"C UI"Tf4N8 tsnbjeet Sn furle veriiivoiant and(or credit.amirr-J.) (`'�/(��7 Cl>~ett,Co�hicr.Chaek yr CS Postal Scrviue Money(xdur CON'I'IZAt77ANIOUNT f I (Mede rayahle to'fhe F{eme Depotl. Credit Card'andlnr nlhot pymeat optom,Circe one!!clow *LESS °-'` Visa MasterCard Disrcvcr Amettcatt EYpTs. 3AhANCF,DUE L T6sltomcUcpotl{omeimprovemrntLwnI'hc'{otaelJcpotJIM`Car, ON COMPIXTION x b� AvailableCredleS,_:�LQQO .(1IIL�HIICf.O\'Ll') a\tinlmnm 250 of Contrlet Amount(lac upon Mcutitin JAS{ ?} ��cG?,j1/J MCO- �—.- of this orttrerL RlLT tAy nK�� rt�.sti�� A�amc as ft appears 01:ard:-MM •�` indicate Payniettt Method For -By ntylew s;p.natur'notuw,ilwc tgrco to al3ow llotnc i)epot to charge the tbovc BALANCE DGE ON C.OMPLE"I.10N_ rernrcnc� dit rah 'posit trdtcucd. dMd u'c i Hoare Dale Rocc H!L or I15('C Authorization Codes Dcpos t TFinal Payment s thtu,ittfinediately upon SatisfaetoN rn:npletion of the work,Purchaser will execute Purchaser agreea Completion Certificate and pay any hatantz dtte. putpk et also agrees to Fse joint)'s�d sev al lvv obliV0, et'i!liabi el lsr/e X„P C—) re,>h j/jj It e ) t�'- �c ve �+f ro -p p revA r em nt.-T1c�rgne berm dad attaCor od,tLed�icssan�rcitif in fta a ral't�eagreem siptted�bot�iparties agreement (Cweett' a}ru..l /N :7-'[ /N /t�cr NOTICU TO PIMCHAR / Do not Sign this tarstrnct Wore you road it. You aro entitled to a completaly filied-in copy at the contract at the time a sign. Keep ng it to prth epro your �gc. et Do o oLxl»rpro6f C hiclmeon Certwirate e[ors from rsq ueahtlog o aac.apting a Completit you Are wisifitt; on C.erdlioute sig ed by the owner prior to the actual cotnplatcan of the worCto be performed under. the contract You may cental U is transoctivn at any time prior to reidei�htot the third bus i�c"saal day o Z5%Rfter hof the coo ate of this act Amount iftheNotice ob is Cancellation for an explanation eif this right There will a service¢hsrg eq eaneelit:d by PurcLater AFTER tba third business day,' IIP bf5';OI1R SiC1NA'I't11tE BELOW,awl:AGREE TO 3F BOUND BY ME TERMS OF THIS CON'.'RACT. 1N,'E ACKN0WLMGE BY UY A COPY OF TBE OW.CONTRACT/ ANN)TWO COMPLr.7ItD t:()pIES OF Txr;N yr10E OF CA`CMLLAI'ION. 8Y,Vy,'Ol1R SI(iNATUR: BELOW, VVE UNDERSTAND`CHAT THA A(ittl:EMSNT 1S SI.'111F.C-t TO REVILF-W OF MY10TJR CRkDIT HISTORY AND i'WE AU7110111%f{ROME DEPU'1'AUTHORIZED CONTRACTOR,TO vBxiFY AND IFv1l;W MY``)GR CILDTT RT L:f7RD W'i i'ti A. TN • ;ND C R16YOl2TPNG AGF.AC.`Y AWD RELP.ASF'NTEM FROM ALD.1AAFi UTY rts. INCURDPROM N SUBMITTED BY: Date' t f — Sales Date:ACCFP*rED BY: 1 F tloto r i nate: -- p,,,cowncr TERMS.LUVrtt'ftlriti AA'D WMakN ILS ARV,STATED ON TttE REYRRSESIDE AND ASCE Met Of Tiffs,CV?nRAC7 NOTICE;♦nnYr7OV.>,i, „.. „�.�.4L;t. v,.ttm,_fusu+merl';nk-RataeConsrltant Date./<// 21 . (-'.?. ... . . HORTM pf -to ,°1'L-O 3j �' TOWN OF NORTH ANDOVER O p - PERMIT FOR GAS INSTALLATION o _ i ,SSACMUSEt This certifies that . . y)�. .{. .�. .� . . �... . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . t!: . ' . . . . . . . . . . . . . . . . . . in the buildings of . !F.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at .>.: ./,.;�'�. .'.. . .r. . . . . . . . . . . . . .. North Andover, Mass. Fee.1. . . Lic. No.. ?: . . . . . . . . . . .: . . .L . . . . . ,.. �:. . . . GAS INSPECTOR Check# 1 4473 MASSACHUSETTS UNIFORM APPLICATON FOR PERAUr TO DO GAS FITTIlVG (Type or print) Date 3D 03 NORTH ANDOVER,MASSACHUSETTS Building Locations 12.5 'box Kew F Permit# Amount$ Owner's Name �n1 �oom 1-1 c V f k�txc New❑ Renovation ❑ Replacement Plans Submitted ❑ � w � U d a ° U a Gz a o ww Q 0H e a o g ° 6 0 SUB-BASEMENT BASEMENT 1ST. FLOOR ND. FLOOR 3RD. FLOOR :[4TH. FLOOR s,TH. FLOOR TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) h one: Certificate Installing Company Name Arndoue- 90cn . : 1 r, • CO•, =nC . Corp. 2122 Address 2O A "'D71L*- Qh��-**- 10o ❑ Partner. tY)e-t1,-,9 Vri MA o0414 Business Telephone (q-7M Cpas-82 8-Z� ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check e: I have a current liability Insurance policy or it's substantial equivalent. Yes [ • ) No❑ If you have checked yes,please indicate the type coverage by checking the appropriate boy- liability oxLiability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code and Chapter 142 of the General Laws. By: /Signature o icensed Plumber Or Gas Fitter Title '_ lumber qa&�) City/Town ❑ as Fitter License Number Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date.&.2 . .G.' 01 ,ORT" 14, TOWN OF NORTH ANDOVER R PERMIT FOR PLUMBING ,SSACMUS� This certifies that '"... . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . .1 . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of �.r. ." i r\ . . . . . . . . . . . . . . . . . . . . at . . P')-. . . . �'.:'.l. . . . . . . . . . . . . . . . . . North Andover, Mass. Fee 3 G. . . . . .Lic. . . . . . . .` r .. . . . . . . . PLUMBING INSPECTOR Check # a ' 576 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS p Date / O Building Location U5 t rY er Owners Namel,m NV, OS Permit# L Amount ,$� —`� ?6 Type of Occupancy New Renovation Replacement Plans Submitted Yes No El FIXTURES O Cn z a W W w � U x a O d a gg A � W ri A z A 0.4 A O H z Cs, E z W U W O p 3 a as A 3 H .4 w -letBASEVENr A � � �1 ' 1ST HJDM M>f 1D 41HHJ0CR s1xHADOR 611 MOOR 71H HAOOR gmHfm (Print or type) Check one: Certificate Installing Company Namey S i c . Corp. 212 , Address 20 Igtg-a., Dri ue Vr�► t l o Partner. 1)1A 01 Business Te ep one q�p,� (e 85-�3F33 Finn/Co. Name of Licensed Plumber: 1 Q 2 rc Q_ �DCQ. Insurance Coverage: Indicate the type f'nsurance coverage by checking the appropriate box: Liability insurance policy 121Othertype of indemnity El . Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent 13 I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perfo ed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State P bing Code an C�te 2 he General Laws. By igna ure o 77e717e er Type of Plumbing License TitleC�q 03 City/ icense um er Master Journeyman APPROVED(OFFICE USE ONLY Date.... . . ... . . . .. .... .. NORTH o� TOWN OF NORTH ANDOVER r ~ � p ` PERMIT FOR GAS INSTALLATION s _ a t ';1'O'•no•'�t<h i SSACHU5E f ` ^ This certifies that has permission for gas installation ' �. . . . . . . . . .�. .�.ems . . in the buildings of . . . . . .. . ... at .. . North Andover, Mass. `.Fee.:, . . . .7. Lic. No.. . . ,. " GAS INSPEC 0; i I Check# 3 � f 1v2ASSA IAPP CATON FOR PfRNUT TO DO GAS FMI NG ype or print) PARCEL Date--- NORTH ateNORTH ANDD Building Locations � ��//1 Pr �1, Permit# L7 Amount S �� Owner's Name New❑ Renovation ❑ Replacement ❑ Plans Submitted ❑ m cnCA y C z n C w trl C v Cr _ n W Z z z C rn QE- z r z Lr .J v V z -t w %t n z C z C in -t w a` w z C �+ SUB -SASENI ENT BASE ,M ENT 1 IST. FLOOR 1N D . FLOGR 3R D . FLOG R 1T I1 . FLOOR IT II . F L O O R ,.T II . F 1, O O R 7T 11 . FLOOR TT5 . FLOG R (Print or type) Chec• one: Certificate Installing Company Name Anddl)P_e Plba• lAtq. (n., T'Cc • Corp. 2122 Address 20 Aeaee,-, 'Dr. I hn;t -4iF-ln _ ❑ Partner. me -kt�e f') Ma c)195 G 4 a Business elephonelg78� �eRS-R3� ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter . CzeorAe- Le, INSURANCE COVERAGE Check on •/ I have a current liability Insurance po icy or it's substantial equivalent. Yes 'M No❑ If you have checked yes,please in care the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ 'AOwner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 1=42 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: ❑ Sienature of Owner or Owner's Agent Owner ❑ Agent ( hereby certify that all of the details and information I have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Vlassachusetu State G Code and Chap te 42 General Laws. Bv: S' ature o icensed Plumber Or Gas Fitter Tide Plumber CitviTown ❑ Gas Fitter 77rise i7rnoer Taster APPROVED(OFFICE USE ONLY) ❑ Journeyman