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HomeMy WebLinkAboutMiscellaneous - 136 RALEIGH TAVERN LANE 4/30/2018 136 RALEIGH TAVERN LANE �- 210/107.A-0018-0000.0 r 9061 Date. � .:� �� . .f�. TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ± a ,SSACMUSEt /�j � f This certifies that . . .r -.QL4. . . . S.tn.�'►'��r`.�o �:�� `, has permission to perform . P.:.s.ku -A plumbingin the buildings of . . .�C-r°.7. . . . j .. ... . . . . . . . . . at .) If-).�k . . ., North Andover, Mass. Fee.33•civ. .Lic. No..�33. . . . . .!.� . . w PLUMBING INSPECTOR Check # Wi 32 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: , MA. Date: �lPermit# Building Location:L5(0 I /wtiers Name:Ak' Type of Occupancy: Commercial ❑ Educational❑ Industrial ❑ Institutional ❑ Residential New:❑ Alteration:❑ Renovation:❑ Replacement: [I]� Plans Submitted: Yes❑ No❑ FIXTURES DEDICATED W Z SYSTEMS z W Y 0 =O W 4A (nZ > 3! 'n Lii C C LLA Z 4 W Z Z v► Z Q Q H Z Q aC W q 3 g v, o iiLU Q Q = Q Q QY =Q +QQ W gaW QzD UQ WQah J C LL = H0 W _ = Z 2W= aQ jaZ H H O 0 O O Z =W �a W 3 3 3 o a 3 SUB BSMT. BASEMENT 1 FLOOR 2N"FLOOR 3"FLOOR 4T"FLOOR S FLOOR 6T"FLOOR 7 FLOOR 8 FLOOR L r. Installing Company Name: G Check One Only Certificate# T C rporation Address City/Town: State: ❑Partnership Business Tel010� " a37' Fax: ElFirm/Company Name of Licensed Plumber: A be-r�- INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes VAIIO�❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner ❑ Agent E] 1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Cha ter 142 of the General La By Type of License: Title ❑Plumber S6ifature of LicensedMumber City/Town ®�IOlaster �1 APPROVED OFFICE USE ONLY) ❑iourneyman License Number: Location /36— No. 36—No. /4 'S Date Y A< Z NORTN TOWN OF NORTH ANDOVER F A Certificate of Occupaw $ �e Building/Frame Permiree cHusEs Foundation Permit Feep- $ 10— O Other Permit Fee m Sewer Connection Fee o $ Water Connection Fee -$ tr TOTAL �$ Building Inspector Div. Public Works 1 { PERJtrI NO. 1; APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP "DATE BOOK "PAGE ZONE I SUB DIV. LOT NO. OCATION f"� -�_� - _ nom PURPOSE OF BUILDING E•/�00\- ,WC`LIV�- (DV�Y(� -/�gi��'jZ vOWNER'S NAME NO. OF STORIES SIZE _,OWNER'S ADDRESS BASEMENT OR SLAB 414 ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD ,,BUILDER'S NAME 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 IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS s PROPERTY INFORMATION LAND COST SEE BOTH SIDES -'-bLEST. BLDG. COST PAGE 1 FILL OUT SECTIONS i - 3 EST. BLDG. COST PER 94. 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 FILED AND APPROVED BY BUILDING INSPECTOR "/DATE FILE - / BOARD OF HEALTH SIGNAT E OF NER OR AUT ORI D AGENT — F E E OWNER TEL.# s / / PLANNING BOARD PERMIT GRANTED CONTR.TEL. 19 y CONTR.LIC.# BOARD OF SELECTMEN MP 15 1992 BUILDING INSPfiCTOR 7. f!` F -I(. F r--1 SIS^f^0 �I � n BUILDING RECORD 1 OCCUPANCY _ 12 SINGLE FAMILY STORIES ✓ r , ` A 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 ` t 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 AREA FULL FIN. B M AREA _ Y. '/i 1/1 FIN. ATTIC AREA _ NO B-M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS II 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDY-/'D _ ASBESTOS SIDING COMLACN VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY �— STUCCO ON FRAME BRICK ON MASONRY l \ ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I--1 POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBFEL MANSARD TOILET RM. (2 FIX.( _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK r 1 SLATE NO PLUMBING _ \ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES - TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPE LESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM 1 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 t 1st 13rd I NO HEATING �1 �t 0 i ANDOVER CHIMNEYS 640 South Union Street LAWRENCE, MASSACHUSETTS 01843 September 10, 1992 Brooks Ferguson 136 Raleigh Tavern North Andover, MA 01845 682-6851 Roof Contract Install a new roof with GAF 25 year Fiberglass Shingles Install 5" aluminum drip edge on horizontal and vertical perimeters Silicone chimney with materials provided by Mr. Ferguson $2100.00 Deposit required - half Balance upon completion Andover Chimneys is fully insured for Workers Compensation by Liberty Mutual Ins. Co. Agency: Howe Agency Andover Limited Warranty enclosed vid AHawk ns 1 G.B. Ferguson 136 Raleigh Tavern Ln. N. Andover, MA 01845 (508) 683-5139 Sept. 10, 199Z ENTER DATE OF TRANSACnON G NOTICE OF CANCELLATION You may cancel this transaction,without any penalty or obligation,within three business days from the above date. If you cancel,any property traded in,any payments made by you under the agreement,and any negotiable instrument executed by you will be returned within ten business days following receipt by the Contractor of your cancellation notice. And any security interest arising out of the transaction will be cancelled. 1 the Contractor at our residence in substantially as good condition as when If you cancel you must make available to y Y Y �Y received,any goods delivered to you under this agreement;or you may,if you wish,comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make goods available to the Contractor,or if you agree to return the goods to the Contractor and fail to do so, then you remain liable for performance of all obligations under the agreement. To cancel this transaction,mail or deliver a signed and dated copy of this Notice of Cancellation or any other written notice,or send a telegram to Andover Chimneys (NAME OF CONTRACTOR) at 640 South Union Street Lawrence, MA 01843 (ADDRESS OF CONTRACT'OR'S PLACB OF BUSINESS) NOT LATER THAN MIDNIGHT OF . (DATE) I HEREBY CANCEL THIS TRANSACTION. (DATE) (OWNER'S SIGNATURE) (OWNER'S ADDRESS) [Two copies of this form to be attached to the Residential Contracting Agreement] H-GG 25M 6/92 4 LIMITED WARRANTY ` Andover Chimneys warrants , for a period of five ( 5) years , that its labor has been done in a reasonable and workmanlike manner relative to the installation of roofing materials . Andover Chimneys is not responsible for any pre-existing conditions of the premises including , but not limited to , rotting , insect infestation , general deterioration , improper venting, flashing or any other conditions which were not directly caused by Andover Chimneys . Andover Chimneys shall not be responsible for any damage done to the roofing shingles as a result of excessive winds , storms , excessive rains , ice backup , tornadoes , hurricanes , or other weather or acts of God which is excessive, unusual or unanticipated. Andover Chimneys shall not be responsible to repair any conditions relative to the premises worked upon other than the installation of roofing materials or other labor and materials specifically referred to in the contract entered into between the parties . The materials provided by Andover Chimneys shall only be subject to. the manufacturer ' s warranty . No warranty either expressed or implied has been made by Andover Chimneys . LANNtNIG ANAL . N ERVATION y_: 4�° 1NA�. SEWER/WATER , FINAL own of ndover `0 Na fr �+ 415 DRIVEWAY ENTRY PERMIT to 1999 - DRIVEWAY Mass., 19 0/F ld I BOARD OF HEALTH PERMI 1 LD THIS CERTIFIES THAT........... ` 1�t�Zf .. ......... ................................. Cs•...IV BUILDING INSPECTOR has permission to R .. `ft... ........ buildings on ` Rough �! 0"Dw ,a / IN. �� / Chimney tobe occupied as... ............�............ ....... ..... .....�.`.!� ............. 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 STA TS Service Final ....... .. ... .. .. . .......... ..... ..... ........ BUILDING INSPECTOR 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 Xe HOME IMPROVEMENT CONTRACTOR Registration 101752 Type - DBA Expiration 06/29/94 t Andover Chimneys David A. Hawkins 640 South Union St ADMINISTRATOR Lawrence MA 01843 II Suggested Affidavit for Home Improvement Contractor Permit Application For Office Use Only NAME OF CITY/I'OWN Permit No. 4 1 S tV o E'vy;c Pv%a-t,.0 1_ Date 4• I —9� 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: Est.�ac>t� 1)t�C��aCv� Est. Cost 1 r� Address of Work____L Owner Name: Date of Permit Application: 0' — 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 per a e agent of e own `��6-9y io i 76,2, Date 7- Co?� actor Mafne Registration No. OR: Notwithstanding the above notice, I herebyapply for a permit as the owner of the above property: Date Owner Name