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HomeMy WebLinkAboutMiscellaneous - 14 DEVON COURT 4/30/2018 of •: lMA DATE JOBSnADDK,% LD k in A Paw#ductL• OWNMS NOMWENEW.F1 � l Ta fJ • El RENO-- PLPM GUBmrnm YES NO ■ i i ,' i 4• .. rrriiiiiiriii ! i , .• iiriiii ii !: ! ' • • - « _, ° iiiiiiii iii • . ` , , iiiiiiii�iiirri "• t !• iriiiii ii «_• •• :• •• iiiiiiiiiiiiii _1, the MGL � V �_ Mo ROPRIATEBOXBELOW :i UW ` • = i. TYPE OF MEWNITY 0 BOND 0 , i mssachus � - and he , urdm "�e d = r, . r,• -v >:-f � t the OFOWNMORAGENTCHECKOHEOWYowmER ■ AMff ■ � �`.��, t .fir►. J��� �. M ne Commonwealth of Massachusetts , ` Depotn nt of iradwh4l.A.ccidints • . Q,ffice ofT.ftve*ations 600 WaskbWon Street Boston,MA 02111 www v=sgov/dia Workers'Compensatixonhwance Affidavit:Bmilders/ContractorWElectxiiciamffllmnbers Alieant Xnformation Please Priv L Name(Budnwdorpnbo%UW'WOWk'bmgAAeabng--. A&txy) t t I 6 Ruth Circle Address: Haverhiw M - - City/State/Zip: Phone#• Are you an employer?Checkthe appropriate box: Type orproject(required): 1.[1 I am a eanployerwith 4. ❑I am a general contractor and 6, Q New cbnsfruction /employees(f Wl andlorpart time).* have likedthe sub-contractors- I am a sole proprietor or partner listed on the attached sheet.t 7• [(Remodeling ship and have no employees These sub-contractors have 8. ❑Demolifim working forme in any capacity. workers'comp.insurance. 9. []Building addition V90 workers'coin pasurauce S. ❑We are a corporation and its [N P• 1.0.[] ectdcalrepairsoradditions reed.] officers have exercised their 3.❑I am a homeowner doing allwork right of exemption per MGI. 11. Plumbing repairs or additions myself[No woxk W comp. c.152,§1(4),and wehave no 12, ]koofrepahs f employees.Ego workers' msaran�xequ$red j comp,insurance required.] X3.0()der taisplicant$ratdmedmbox#1mmtalsofMoutihesecHoubeldwshowingtheirwtidnecompensationpolicyi ffMad0n. 1 Homeowners who mbmkft sffidavIb&oafmgth j sie doing allvorkandihenbiwoutsido contractors mustsubmit anew affidaeitindiratmg suck tCod mdors tbatdmeckft bamast atwIM aaadditimdshcetsbnwingffiename ofthe sub-conhactm mdfaekvio n'comp.policy information. I arra art a WItyar that fs provMfPtg H•.orkas'compensation insurance,for xray erttployeM Below fs the policy antijob site fit,formmatio�a. Insurance CompanyName•. Policy#or Self-iris.Uc.#: R;iphmfion Date: Job Site Address- Attach a copy of the workers'compensation-policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requireduader Section 25A of MGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisoznnent;as well as civil penalties in the form of a STOP-WORK ORDER and a fine ofup to$250.00 a day against the violater. Be advised that a copy of this statement maybe forwarded to the Ofticaof investigations ofthe DIA for insurance coverage ve[fflw ion. for • e *eprsdSaft, effrcarrect.1do hereby aaMra donprovMd ab ae Date: Phone#: Official use only. Do not write in this=14 to he completed by CI or town official City or Town: PermitlLzcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrowu Clerk 4.Electrical inspector 5.Plumbinginspectox 6.Other - y r y: Location No. /SO Date "OR, TOWN OF NORTH ANDOVER p Certificate of Occupancy $ s -Mr -------, -... 44l �, ; , Building/Frame Permit Fee $ ass'4cHuBE� Foundation�ermit $ i. Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ` �4 c Building Inspector c� 05/45/94 14:29 15.00 {AID ' � G Div. Public Works PER111T NO. /6,10 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. (/PAGE 1 �rMAP-S 440. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE _ ZON9 SUB DIV. LOT NO. �— OCATION PURPOSE OF BUILDING y J i goo O NER'S NAME l'�el+J NO. OF STORIES iIE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME 1/ L SIZE OF FLOOR TIMBERS IST 2ND 3RD I►CIILDER'S NAME ��p SPAN (/DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS ' ISTANCE FROM LOT LINES-SIDES / t/ REyFR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING % 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 3 PROPERTY INFORMATION L NO COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. (JJ PAGE 2 FILL OUT SECTIONS i 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 D TE FILED �Q /v{A) 1g9 !/ BOARD OF HEALTH SIGIGATURE OF OWNER OR AUTHORIZED AGENT FEE S , C) d) OWNER TEL.# a /OS PLANNING BOARD PERMIT GRANTED CONTR.TEL # 693-1.5•-95- _ JC9 u 19 BOARD OF SELECTMEN / BUILDING INSPECTOR x Y BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I I S ORIES 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 I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS — PLASTER — — DRY WAIL UNFIN. 3 BASEMENT AREA FULL IN. B'M'TAREA _ '/. 1/2 1/1 FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WAILS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE I�_ WOOD SHINGLES EARTH _ l ASPHALT SIDING HARD"J D _ R_ ASBESTOS SIDING _ COMMON � VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 M. () — 7 GAMBREL MANSARD TOILET RM. 12 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 HVAPOR TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OWOOD RAFTERS AIR CONDITIRADIANT H'TUNIT HEATER 7 NO. OF ROOMS GAS OIL B'M'T 2hd _ ELECTRIC 1st 13rd NO HEATING Y May 4, 1994 TO WHOM IT MAY CONCERN: I have read and understand the booklet regarding the "Home Improvement Contractor Law" . I, also, understand that Mr. Daniel Crevier is exempt from said law. arol A. O'Neil 14 Devon Court North Andover, MA. 01845 (508) 683-2132 Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE Li M�� 1��tj JOB LOCATION 114 I'V00 Cu(cP-7- Number Street Address Section of town "HO'lEOWNER" (}( � e,i L _50k- &�2 -j/e5' 3 - �,eo .�pL% ��' o2r3a- Name Home Phone Work Phone PRESENT MAILING ADDRESS _/W _7)P� 7- City/Town State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellinzs of six units or less and to allow such homeowners- to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor . (State Building Code , Section 109 . 1 . 1 ) DEF_NITION OF HOMEOWNER: Person(s ) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be , a one to six family dwell- ing , attached or detached structures accessory to such use acid/or farm struc-ures . A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work. performed under the building permit . (Section 109 . 1 . 1 ) The undersigned "homeowner" assumes responsibility for compliance with the Stat` 31uilding Code and other applicabie codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of ,worth Andover Building Department minimum inspection procedures and recuirements and that he/she will comply with said procedures and �eq rement . :?PP?OVAL OF BUTLJI:vG OFFICIAL `lo -= . 71 ree fam` V dwell' n2s 35 . 0U0 cubic feet , or larSer , will be cu-_ c^ %O %with State Building Code Section 127 . 0ConstCuC _ , _On {.7Fv,�t<.�S M�t�{.i�{�,,�1.J; t t "`'�,ti aa'kY •s �1 ,'..'�(� 1�.: ('TZC a Sf'Ii/•> d.-�h 2 'D�C..%.� t. 7 2 yi� xt� r sips -� �- 1 � �•'-<-k- (mac,-�-fzr;.� -/a s � �ter;;y,- ;,•. 4 i 1 � x6u ppoRT • ' y ' .F`4• { _ lig' i 2 / d. _.......... _......_..._.. ,._...,..... 1 JZ � lz I-7 A 9t• '- su�P©R"r qx Hou-sc f _ .'�'^�'+ nvw:.w«`.raew,.,we.wrara.•annw:r•yp.r �_ _... �. 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W y f51 �� V I i PAC >r3 i Wood Ridge 10 Wood Ridge Drive North Andover, Massachusetts 01845 Telephone 682-7093 TDD Line 1-800-545-1833 Ext. 143 May 2, 1994 . Carol O'Neil 14 Devon Court No. Andover, MA 01845 Dear- Ms. O'Neil: Please accept this letter as your approval to build a deck ac- cording to, the plans you submitted to this office and the specifications of Wood Ridge Homes which are enclosed. Once you have obtained the required building permit from the Town of North Andover, please forward a copy of it to this office along with any receipts for the materials/labor in order for us to consider the deck an improvement. Thank you for your cooperation, enjoy your new deck! Sincerely, BARKAN MANAGEMENT COMPANY (� 0" Linda U. Feeney Property Manager SORT► ToVM Of "oove r )L 0 No. 15 0 o LA EO - dover, Mass.,_ IVOY 19�'f/ COC iCNEwiCn ORATED �1.1' � BOARD OF HEALTH PERMIT T D Food/Kitchen !' Septic System 0 BUILDING INSPECTOR ' THIS CERTIFIES THAT...............C#.X.0.4......0...00 0 Foundation has permission to erect..#.f O g 1. ..A � .....e. . buildings on ..... .. ...................... Rough t to be occupied as:.., , .T/ �i.�r.... i... 14004VOMA..to.40.A WV.......... Chimney provided that the r�son accepting this permit shall in ever respect conform to the terms of the plication on file in p p p g p y p 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ............�.. .. ........... .... . ...... .......,......... ........................ Service BUILDING INSPECTOR Final Occupancy Permit Required t0 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. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT ,. ..,,..- FBF• �...:.F-';,�; sX�., .�-rt 2515 Date 2. .. .... / a HpR*M TOWN OF; NORTH ANDOVER PERMIT FOR GAS INSTALLATION > SSAcmuSEtSh This certifies that has permission for gas installation YZ. . . . . . . . . . . . . . . . . in the buildings of . . .i�.'A� L. . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . `.�_ ��{`' ' . .G°L. . . . . . . . . . . .No../ . . North Andr,;Mass. Fee.�tJ4�/�i9197 15c No..`.� �. ?. . . . . . : . C�J.00 INS PAID AS PECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Pri of Type) Mass. Permit # Building Locatlon - f Owner's Nam_ i Type of Occupancy , New pRenovation ❑ Replacement a,/ Plans Submitted: Yes❑ ' No.p .n N rc x W u1 NN U X tC N N fc N M 0 W W a cs v F x v J N W 1, � x o W k •c CC X �' .o r_ W < m N N 14 cc W 0 O IL C w W n j v•c z a CC v w0►- w !- i N � W '.� a C H N ),- ,� O � IL F� W J � W < W YC W q 2. < cc j t O O W Ck: O h Y. a # A .tl J U tt Y q 6 O SUB—BSMT, BASEMENT 1ST FLOOR • 2140 FLOOR 3RD FLOOR 4TI1 FLOOR STN FLOOR ` eTH FLOOR d 7TH FLOOR 8TH FLOOR Installing Company Name OLDONNELL'S PLUMMNa Check one: Certificate Address_____ 8JL Fu aJn . . ❑ Corporation ❑ Partnership Business Telephone - d �,�r i fB' Firm//Co. NaName _ e of Licensed Plumber or Gas Filter_ / 1�AM,4,Q 0 d/11/V C 4 INSURANCE COVE AGE: I have a curre t 118y Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes. please Indicate the type coverage by checking the appropriate box. A liability Insurance policy QY 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 knowiedge and that an plumbing work and Installations performed under Ilia Permit Issued for this application will be In compliance With all Pertinent provisions of the Ma33achU3etI3 Slate Gas Code and Chaplet 142 of the Ge I Laws. T e of License: Title Plumber na ure o ce um of of as titer T Gast ` erer License Number (e v'f'tx71vrn i6rM Journeyman APR 2 3 1997 13ELOW FOR OFFICE JSE ONLY FINAL I14SPEC1710N- SKETCHES PROGRESS INSPECTION. FEE' . _ NO. APPLICATION FOR PERMITTO DO GASFITTING } NAME A TYPE OF BUILDING 5 LOCATION OF BUILDING PLUMBER OR GASFITTER PERMIT GRANTED i DATE OAS INSPECTOR } 4 i ' S i e