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Home My WebLink AboutMiscellaneous - 140 PRESCOTT STREET 4/30/2018 140 PRESCOTT STREET 210/092.0-0008-0000.0 r I LocationT� �SC� No. 3II Date J� o N°"'" TOWN OF NORTH ANDOVER .R Certificate of Occupancy $VOW Building/Frame Permit Fee $ a ,, 'TACHU;<� Foundation Permit Fee $ I Other Pern (('F.a er— $ N Sewer Connection Fee $ '" Water Connection Fee $ o TOTAL $ f it Building Inspector �{ 1 1 8681 Div. Public Works Location, No. Date °"T" TOWN OF NORTH ANDOVER Oma*•" '�1�0 p Certificate of Occupancy $ * = • Building/Frame Permit Fee $ r,S1ACNUSt� Fours ation Permit Fee $ _ t- ' �QiaEr Oergit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 3 S -'a �'� t/�C" uibi g nspector WWI 10:45 39.00 PAID `11 Div. Public Works owlw- PER'Mrr NO. v APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP K4O.g�F,2',o- I LOT NO. GOt) g 2 RECORD OF OWNERSHIP JDATE BOOK "PAGE ZONE SUB DIV. LOT NO. LOCATION V er PURPOSE OF BUILDING ' D OWNER'S NAME Q CO'rT' NO. OF STORIES SIZE L. e Ac OWNER'S ADDRESS Q BASEMENT OR SLAB 43 4 to 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 D SIZE OF FOOTING X IS BUILDING ADDITION /VFL) MATERIAL OF CHIMNEY IS BUILDING ALTERATION _ F on IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REO IREMENTS OF CODE 1 V IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 1 v IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS S•T121��i QG.Rt..r tAitl�r�1S*^%) 3 PROPERTY INFORMATION LAND COST SEk BOTH SIDES J ST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PEft SQ. FT. ` EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPRO I ED BY BUILDING INSPECTOR DATEIL f , . e�� tU1LDING INSPECTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E id/ S9 V OWNER TEL.# vu70 PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# H.I.C.# Il��n G BUILDING RECORD' I 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 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 _ ORY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ FIN. ATTIC AREA _ N_O B 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 HARD%WD ASBESTOS SIDING COMIACN _ VERT. SIDING ASPH.TILE - STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING • STONE ON FRAME SUPERIOR POOR ADEO ATE I-i NONE 5 ROOF 11 10 PLUMBING GABLEHIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.I 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. & 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 ( 3rd11 NO HEATING NORTH Town of 0 L ove O No. q10 fort .`� dower, Mass., "4tA' ok 1974 cOc-cr ICK % ADRATED 5 BOARD OF HEALTH Food/Kitchen PERMIT ..T Septic System • BUILDING INSPECTOR ! '.....� .... ..` .......................... 'THIS CERTIFIES THAT Z ul� �lp! eFoundation has permission to ................. buildings on ....14 ... PP -�MorL0............ Rough � j/4 u S.tip.S............................ Chimney to be occupied as...l..!*'R'17t9 -...'S��'l�-i•f°••• •••• " �!P rte.. provided Viat 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONTARTS ELECTRICAL INSPECTOR • Rough 4>,00a ct 'p�rr�c' c' r N 1� ...��.................................. 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. Smoke Det. I /P!2M 42 92�-- c 1 ' • 1 r_ .5.51 gawa sty Z)wwr, X4 01 S26 Daae 7 sem, Pwaee 508-459-6898 Proposal Proposal Submitted To: The ADS Group Phone: 508-749-7020 Date: 6/17/96 Street: 300 Brickstone Square Job name: Prescott House Nursing Home City,State and zip code: Andover, MA 01810 Job Location: North Andover Architect: Date of Plans: Job Phone: 685-8086 We hereby submit specifications and estimates for: 18 squares of roofing stripped off Mansard roof 18 squares of roof singles with felt paper including all necessary flashing. 8" Drip Edge Ice and Water Shield All Trash Removed. Price (complete with material and labor): ................................................$5,400.00 Additional: 1/2" plywood replaced ...................................................................$35.00 per sheet One Year Warranty On Workmanship c. Comr•:cn-aeaft6 of?rassactiusetts LICENSE C 034468270 06-04-99SIVA - 06-04-57 M 'MlEf l d:�•:ti:a I::s.YA �D 3-10 SMITH DANIEL T 33 LIBERTY DR ILLERICA MA 1862-3219 ✓�:e V�amrrzanuiea��t a��ae�r.uJetCt . DEPARTMENT OF PUBLIC SAFETY ; CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: CS 823940 e6/94/1998 06/0411957 �T,Ee o... laG o�.tfaooao4 Restricted To: 00 # _ HOME IMPROVEMENT CONTRACTOR' Registration 106114 DANIEL T SMITH Type - DBA ' PO BOX 21 Uv Expiration 07/22/96 BILLERICA, MA 01821 NEW ENKGLAN0 TRIM MASTER I DANIEL T. SMITH to'T32 BOUDOIR ST A°M MSiRAMR LONELL MA 01850 _ _.'.M..�. -__.- �.�Y'• - - -ra.Y+*" _ _ _ n.. - .._.... .fey.-i1N- yuwi`-.ii:few•-_ V OFFICES OF: _ == —_wTOwn of _ __ r = _., �..; _ ..-. ._ :� 120 Main Street `'`EEE' ;may: NORTH ANDOVER Horth Mdover, BUILDING `.�;e Massa'chi efts O i 844 CONSERVATION DMISION OF HEALTH PI-A-NNING PLANNING & COMMUNITY DEVELOPMENT KAKE.V H.P.itiELSOtN,DIRECTOR . - i - _ . In ac:,^r"",nce with the 7rc:41sic�s ,, aG:. c _;,_ S 3 cor.ditien of Building Pe it Number 4 !a s^ chef - �..,is resultin-C reri this work shall be dispose-' C=, ,n a prcneri: - �a - :._a:. ;ctid ;;ase. s^asz. . c:ii: as :: by MOL c II', S T ne debris will be disposed cf in: ct� —4s ,� of Permit Applicant O Date :TOTE: Demolition permit fro= the To« of :forth Andover must be obtained for this project through the Office of the Building Inspector. yy PER-MIT NO. L l APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP h40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE - I SUB DIV. LOT NO. I : LOCATION �` Q PURPOSE OF BUILDING OWNER'S NAME ' NO. OF STORIES S E UD OWNER'S ADDRESS BASEMENT OR SLAB - •A CHITECT'S NAME �.. SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME DDrX ) P. L..,...lnI.v 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 p MATERIAL OF CHIMNEY t: 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 LAND COST / SEE BOTH SIDES �i _ _ „�.�, EST. BLDG. COST '"72- PAGE 1 FILL OUT SECTIONS 1 3EST. BLDG. COST PER SQ. TrT. �O PAGE 2 FILL OUT SECTIONS t - 12 O' )L 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 �} r FILED (,.L. / .G/ 1 BUILDING INSPECTOR 8 ATURE OF OWNER OR AUTHORIZED AGENT /'M/\ 600" �/ F E E r OWNER TEL.# 6Y/w6 PERMIT GRANTED CONTR.TEL.#60 I9 CONTR.LIC.# / H.I.C.# 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 - ' ' RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ B l 2 (3 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW'D PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 1/2 1/ FIN. ATTIC AREA _ NO B 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 HARDVJ'D ASBESTOS SIDING _ COMIACN VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING' _ TAR 8 GRAVEL STALL SHOWER _ ROLL R OFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING s WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 70I.S. STEAM STEEL BMS. S COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL 8 'WT 2nd _ ELECTRIC 1st 13rd NO HEATING NORTFI Town of 4 LAndoverNq 311 C,p Q LAKE dover, Mass.,.J u � Cc 19°m COC MIC KE WICK �� ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT?e SGC.�- T..... %?% . .............................. BUILDING INSPECTOR, ............................................................... Foundation has permission to w�ri....lQ ............. buildings on ...�.AO...?00 ....... 44�'� ST' Rough ........ ................................... to be occupied as.. ... .. ... .z'' A. W X. v 52�......tl� . � .... .......... �'........ Chimney . . .. .... . . .. . . provided that the person accepting this permit shall in every respect nform 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 EXP 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS T Rough ..................... .... ........... . .............. Service BUILDING PECTOR 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 Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. a SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT ROBERTO BROS. ROOFING 65 Spring Street, Stoneham, Ma. 02180 Tel. (617) 438-2809 Tar& Gravel Roofing Specialists Certified Rubber Roofing Applicator CONTRACT AND AGREEMENT Uwe the Owner(s)of the premises mentioned below,hereby contract with and authorize Roberto Bros. Roofing,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions. Owner's Name: Prescott House Date: June 13, 1995 Job Address: 140 Prescott Street City: North Andover State: Ma. SPECIFICATIONS: For labor and material to power vacuum all excess gravel from the roof surface.To install pressure treated wood nailers to the outside roof perimeter.To apply 1/2"wood fibered Firestone insulation to roof surface, mechanically fastening each sheet using treated metal plates and screws.To apply a one ply fully adhered .060 Firestone rubber roofing system.To install.032 aluminum flashing to the outside roof perimeter. Perimeter flashings and flashings around all vents,skylights or other miscellaneous roof protrusions to be done with uncured rubber flashing using the longest pieces practical.All flashings,penetrations and terminations are to be done in accordance to the manufacturer's standard details. TEN YEAR GUARANTEE Guarantee to be provided by Firestone Building Products Company. Materials and labor to cost: $ 72,500.00 Representative: Signed: (Owner) Signed: (Owner) See reverse side for terms and guarantees. If the terms of this contract are acceptable,please sign and return one copy in the enclosed envelope. The Commonwealth of Massachusetts Department of IndumW&Accidents AV=StIMS&AW&W 600 Washing on Street �! Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: • location_ city phone i ❑ I am a homeowner performing all work myself. C3 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my empiovees working on this job. companvnamer:... .�.�.r1GC`) address: phone : ��17) J3 insrance co: rhe u [] I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workerscompensation polices: company name: address: city: phone#:..... .. insurance co. policy#t companv name: ......:. :.. ... . .. Address- :...::...... ... . :.. city: _ phone#l;.::,..: ..... ..... .. .:.... :. ...........::::::.: insurance co. ,' pow '�elraOna ee necessary Failure to secure coverage as required under Section:5A of NIGL 15-2 cam lead to the imposition of eriminaf penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as Civil penalties in the form of s STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Invesdgatioms of the DU for coverage verification. I do herebv certify under the pas and a les o perjury thin the inforrr�on provided above is true and correct �,-J� Signature c J / Date !� Print name Z91-)old e /v Phone 44/7) aQ0m official use only do not write in this area to be completed by city or town official city or town: permMieeax lf rIBuilding Department C]Licensing Board C3 city if immediate response is required QSeieettnen's Office oHealth Department contact person: pbooe R; rtOther (ee.nea IM PIA)