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Miscellaneous - 144 WAVERLY ROAD 4/30/2018 (4)
N J O O g A � Q o m r O � O 'n O D o v 6139 Date ... ZP.— /3-05' ........................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......... 0 6 0 Arl, & ER ......... 54P.Uke- has permission to perform ....... 6v. /'V ....... 1711.017.7e.11C ........................ wiring in the building of ...... /4 .......... / 4�g at ... y ...... Rt� ........ . North Andover, Mass. Fee ....... Lic.No..6�.5�Iz ....... IN*S'P'ECMR Check# 1-1790 T 'c�i�E �I7S':�'nl7ztk E It I7 �S$SiiCi lXSEx B Urrll;t UJt UfNLY Department of Public Safety Permit No. Utility Authorization No. '�w I BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM EL All work to be performed In acoordanoe with the Massachusetts Electrical Cd plsasi pilot In Ink or type ll Intormauon City or Town of: Qi�8: Ihu% To the Inspector of Wires, The undersigned applies for a permit to Location (Street & Nu ber): / -7 :7—'`XJ Owner or Tenant: Owner's Address: Is this permit In conjunction with a building permit? X Yes Purpose of Building: r72— CTRICAL WORK 527 CMR 12:00 Date: 0 the electrical work described below. Phone: 0 No (check appropriate box) V, 12EM. # -4k, 6( Existing Service: Amps /F Volts Overhead 0 Undgrd ❑ No. of Meters. New Service; A90— Amps/0QQ/ &10 Volts Overhead A- Undgrd 0 No. of Meters: Number of Feeders and Ampacltyi OEMLocation and Nature of Proposed Electrical Work: No. Lighting Outlets No. of Hot Tubs No. of Transformers KvA No. Lighting Fixtures Swimming Pool And e [] Id ❑ Generators KVA No. Receptacle Outlets No. Oil Burners its ncy Lighting Batter E ry Units No. Switch Outlets No, Gas Burners 1 No. of Zones No. of Dstsctlon and Initlatln Devlces No. of Sounding Devices No. or Self Contained Detectlon/S_ou... ndlnq Devices Local ❑Municipal❑ OTHER: Connection No. Ran es g No. Alr Cond Total Tons No, Dis 03a1s p N0. Of Heat Total Total Pumps Tons KW No. Dishwashers Space/Area He KW No. Dryers Heating Devices KW No, Water Heaters KW si . of sail sft, Low Voltage Wiring No, Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusettg General Laws I have a current Liability Insurance Policy Including Completed Operations Coverage or Its substantial equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES ❑. NO ❑ It you have checked 'YES', please Indicate the type of coverage by checking the appropriate box. / INSURANCE Q BOND ❑ OTHER 0 (please specify): (q �� L Estimated Value of Electrical Work: $zc2m (expiration date) Work to Start: Inspection Date Requested: Rough Final Signed Under the Penalties of Perjury: FIRM NAME: Parker Electric Service, Inc. Lic. No: A15392 Licensee: David Barker Signature: C' LIc. No: E24156 Address: 50 Lake Shore Road, Rdx o (J. MA 01921_ Phone: 978.352.9188 All #: 978.352.9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this 'requirement. OWNER AGENT (please circle one) Signed: Telephone No. Permit Fee: WHITE • OFFICE COPY • YELLOW • CONTRACTOR'S COPY • PINK • POSTED COPY 6140 Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ ......... ..... has permission to perform 7,75 .................... ; ................. wiring in the building of ..... ........ 4.��6 ....... ...................................... :..:::% North Andover, Mass. 4 ........... ............ ..... ........ Wee.1.7 Lic. No.&57P .1� ........... / ....... :r ... — ELECTRICAL INSPECTbR V Check # b?71U) OFFICE %USE �ONLY Department of Public Safety Permit No. Utility Authorization No, U0 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELE TRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Cod 527 CMR 12:00 s plesm print In !akar typ all lnlormadon Date: City or Town of: ®yaHy� To the Inspector of Wires: The undersigned �plilies„for a permit to perform the electrical work described below. Location (Street & Number): Owner or Tenant: vLL-L Rb L LC. Owner's Address: Phone: Is this permit In conjunction with a building permit? I11 Yes ❑ No (check appropriate box) Purpose of Building: 'R' C CT1��t la --S Existing Service: Amps / Volts Overhead 0 Undgrd ❑ No. of Meters. New Service; Amps I Volts Overhead ❑ Undgrd ❑ No. of Meters: Number of Feeders and Ampacity- Location and Nature of Proposed Electrical Work -Aft (a. v, LAJ at No. Lighting Outlets No. of Hot Tubs Total No. of Transformers KVA KVA No. Lighting Fixtures Swimming Pool Aloe ❑ gr In- ❑ Generators KVA No. Receptacle Outlets �,� No. 011 Burners Batter EUniti ency Lighting No. Switch Outlets No. Gas Burners No. of zones No. ti Detection and Init... Devices.... No. of sounding Devices ----------- No. c self Contained DetetloI...... Devices Loca13K Municipal❑ OTHER: Connection No. Ranges g No. Air Cond Total Tons No. Disposals No. of punts Ton l Tkw l No. Dishwashers Space/Area Heating KW S P 9 No. Dryers Heating Devices KW No. Water Heaters KW Sig of Signs No. of Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: � � �yn tTS INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES ❑ NO Q I have submitted valid proof of same to this office, YES ®. NO ❑ If you have checked 'YES', please Indicate the type of coverage by checking the appropriatebox. INSURANCE Q El/ BOND OTHER ❑ (please specify): I Q 'r0 6 (expiration date) Estimated Value of Electrical Work: $ Work to Start: Inspection Date Requested: Rough Final Signed Under the Penalties of Perjury: FIRM NAME: Parker Electric Service, inc. Lic. NO: A15392 Licensee: David Barker Signature: Lic. No: E24156 r Address: 50 Lake Shore Road, Rdxford, MA 01921Phone: 978.352.9188 Alt#: 978.352.9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. OWNER AGENT (please circle one) Signed: Telephone No. Permit Fee: WHITE . OFFICE COPY • YELLOW • CONTRACTOR'S COPY • PINK • POSTED COPY '4� 1.1 Date..4�.:: TOWN OF NORTH ANDOVER 0, PERMIT FOR WIRING This certifies that ............. ..... ........................................................................ has permission to perform .2_114 ...... ................. wiring in the building of ............................................................. at .... �YY�./ ................. . (44� . ...... I North AAdover, Mass. Fee /As Lic. No. ..................... ............... Check # 5675 � E (fVM VnWe41t4 V# Aassar4usetts OFFICE USE ONLY Department of Public Safety Permit No. Utility Authorization No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 please print In Ink or typ all Information Date: r City or Town of: To the Inspector of Wires: The undersi ned applies for a permit to perform the ele f'cal work described below. Location (Street & Number): (� Owner or Tenant: )L)oa � S3L8 fF Owner's Address: 8 M_ Phone: Is this permit in conjunction with a building permit? iW Yes ❑ No (check appropriate box) Purpose of Building: Existing Service: Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters: New Service: Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters: Number of Feeders and Ampacity- Location and Nature of Proposed Electrical Work: bi I lilt Le No. Lighting Outlets No. of Hot Tubs No. of Transformers KVAI No. Lighting Fixtures Swimming Pool Above ❑ gmd. gmd. [3 Generators KVA No. Receptacle Outlets No. Oil Burners Emer Batter Un is ency Lighting —12 No. Switch Outlets 07 No. Gas Burners I • T No. of Zones ------------------------� No. of Detection and Initiating Devices ------------------------ No. of Sounding Devices ------------------------- c Self Contained Detection_/Sounding Devices Det Local ❑ cMunicipal ❑ OTHER: No. Ranges g No. Air Cond Total Tons No. Disposals No. Of Peat s Tons Pus I No. Dishwashers ace/Area Heating KW S p 9 No. Dryers Heating Devices KW No. Water Heaters KW Signsf Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability IV Insurance Policy Including Completed Operations Coverage or Its substantial equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES ®. NO ❑ 4 If you have checked 'YES', please Indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (please specify): (1/� Estimated Value of Electrical Work: $ A a010d (expiration date) Work to Start: Inspection Date Requested: Rough Final Signed Under the Penalties of Perjury: FIRM NAME: Parker Electric Service, Inc. XI Lic. No: A15392 Licensee: David Barker Signature: Lic. No: E24156 Address: 50 Lake Shore Road, Boxford, MA 01921 Phone: 978.352.9188 Alt #: 978.352.9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. OWNER AGENT (please circle one) w� Signed: Telephone No. Permit Fee;�� WHITE - OFFICE COPY • YELLOW - CONTRACTOR'S COPY - PINK - POSTED COPY Location / � �, 1-ZoL X No. —6 �� y Date q f7 40RT#q TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL 33 -5 - Building Inspector 3 4 9 6 Div. Public Works z z k x s ❑ r > � � a Ny w O of O z O V o fel n q W` C < W z C a .� �W„ u W lull W W O Cj p (j p w ° ❑ a n .w�. a F a O w O w O w o Z O O U z FO U w O Z O Z O U Z O U Z O U A C .a v~i w V) w H A p w ° w a O p {., Z p w Cf) Z O V) Z O In Z W w O °w o < Z o z A ❑ ❑, w C O o a w O O c W < p z 4 z w G z w L z w � U W oo W W M i < A q A n A .=-. A 5 N O. Z q h h 4 41 M O Wk 9 �� o T �"1 a O z Aj 1� o U F i-. < o L o W w v _ O u < O c. O w Fr -i _ wW' Z G z G C W ❑ ..� U 4 fn w z U U U w Z O c w 175o i �S FORM U - LOT 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 or requirements. ************ APPLICANT FILLS OUT THIS SECTION APPLICANT Rv. ca+ fVA4,4R%'ay. -z-A, J PHONE LOCATION: Assessor's Map Number 14 ARCEL y & SUBDIVISION --,� LOT (S) STREET WV4VCRL_� ST. NUMBER �yto r� USE RECOMMENDATIONS OF TOWN AGENTS: Sway t�_ P ►,�N� (.0kn CONSERVATION ADMINISTRATOR DATE APPROVED 1� _J r DATE REJECTED COMMENTS - 146/ TOWN PLANNER . COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER;CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm T J 2- - 1 q 9 9 2,19: '; 'L z::. -2 28/99 FORMATIO CEJMFICAT Box A MEND IA 82LO0 NASHUA N14 03051-6001 ING rMVVbAd%-C (603) 882-5362 COMPANY A LI HERTY MUTUAL INSURANCE G E 0 DEVELOPMENT INC. COB COMPANY CITY 0 209 MAMMOTH RD. 1 COtdPANY 0 WFIVED PELHAM NH 03076 - (603) 635-7290 COMPANY L I -w-1 L"'Offilm" TSM 16 TO CERTIFY 7H/1T THIE POLICIES Of INSURANCE 'WPENEFOODD LISTED OF -LOW HAVE BEEN t"M YO THE fN&UFqFD NAMOvr 90 As FOR TM pp INOICATEO, NOTWITHSTANDING ANY REOWFIEMENT, TERM OA CONDITION Of AW CONTRACT OR OTHER DOCUMENT CEATIFICATE MAY BE ISSUED OR MAY pERTAIN. ENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED SY THE POLICIES DESCMSED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT$ SHOWN MAY mAvaaEFNFj UCED BY PAID CLAIMS, cc LTA TYPE Of t"Bulk"ce • Floucy NumSfA POLICY EFFECTIVE POLICY OFFIRATIO4 DATE ($d"OfM OATJ (XMfg*tjt) umrm I GENERAL LIABILITY 117-J00SWEPCIAL CIE -NERAL UAWXY GENERAL -1 , * "7 CLAMS M =vn com"co ZG I,-_, P&lr.S'dNAL&A0VWJUWf Owmasws'& CONTRACT 0" VAOT i I!SM C�" ANYAIJTO / / / COMBINED SINGLE LIMIT S w. !� I i INJURY SCHEIZILILSO AUTOS (OW person) S RPM AUTCe NON -OWNED AUTOS !LY 'wD'=lNjuAY rIdqft0 ANY AUTO UMBRELLA FOft CrTHMTHAN UU0M4.A FORM A PPCPEA IV DAMAGE 1-64TO ONLY - I!A AOOMNT I EACHAMIE)VT Pt.5-41JUR AND 1� x f 1151111106010U'MAWTV 281562898133101530 05/09/99 05/09/00111EACH ?ME PADIPRETOW INCL FIARTNETiSl9CECUrrK I i EL Xwpunm OF $l0QQQ0 $500000 $100000 ShOULID ANY OF THE AlOVr BES&AIM ImaijiMes ge CANCELLED gFFOqr- THE 1EXPIKATTOK DATE YMIEREOf, THE ISSUINO to TO MAIL DAYS WMMM f4QTtC6 TO TMCCUMF(CUPAMY WM;' 600EAVOR ATE k=Rlk NAMEO To THE LEFT, C -71 7y OF LOWELL BUT FAJLIJAC NOTICE SHAIMPOSE mo airu"Mst an mazw-ry 375 MERRIMACK ST. T! "yi�" Ll L OF An� K12 41V TME COMPA41r. TS CA RIEPACSIENTATIVU 11OWELL MA 01852 1 AUTHOh1=0 RFVfjQ9MVk*n-jr -I) *Ww - JUL-12-1999 09:174 men., TOTAL P. 02' w The Commonwealth of Massachusetts w Department of Industrial Accidents V Office of Investigations Boston, Mass. 02111 ,. Workers' Compensation Insurance Affidavit I Name Please Print I Location: City Phone # F7I am a homeowner performing all work myself. F7I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. Comoanv name: rirP55 City Phone #: Insurance Co. Policv # II Company name: Address Citv: Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a rine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Print name Phone # Official use only do not write in this area to be completed by city cr town official City or Town Permit/Licensing ❑ Building Dept ❑Check d immediate response is required E] Licensing Board ❑ Selectman's Office Contact person: Phone #. ❑ Health Department ❑ Other BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: L Location of Facility 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 Tel: 978-688-9545 DEBRIS DISPOSAL FORM In 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: \ 14T v�-t L rev T N wPt 6 EE- _ 12C rvV-WL- C s� J - (Location of Facility) 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 �1�,� w,�k� wY•i ►�E��ssra�•1 lzE'}'��ai�s 0 LL fir- i3n VL13� �L,4 c t d i ur�., +-f, rz �400s� a � + � 2:.r G •,•ve4 - - - fel - - ._ - JOS- Cy lam- Cx --'— S� wt � rt5 t1 � � �, � X \ to 3l.ack 'pi c l� S I BOARD Lice OF BUILDING nse: CONS7RUC7IO REGULATIONS Num�r CS N SUPERVISOR k = 014669- - ... Birthdefe t X09716719$4 - A► r 09/1001 TK no, 5210tes fi DANIEL M- 00 M PSOINOS ; 207 MAMMOTH Fj LHAM NH 03076 r` µ *� i L ? + { H /e N 0 ° AA h ol ri rA 4" c� 0 �;C O O O J' r.. O� v C CLd C mm •: O C C R CD E Q _ c a. m �a 4w4va,: �E' oC.).0 % CM m C �9 .cm CDm �-0 E m Ai:E CLv .: ® 1 rCD CD .00 . 4L: V y Z C O m N C H Uiyr.+ At LLI c r _ LL c o c 'y - LU �E c3 .0 vCL .y V m C.2 m C Vi d m .- O :a= N = > y =O F- t $ a, -m fil ill O E y CD .y L CD .Ci C 0 0� V CO) O V .CL O V m L _O V CD CL y C O CM C C o- p 'fl m cc 3� CD O L L o a Q. cma -C C � O 00 Z Q COCL C w O � cz 00a 1% O t u '�to a a. Z z W w v C b C/)cn o c� 0 �;C O O O J' r.. O� v C CLd C mm •: O C C R CD E Q _ c a. m �a 4w4va,: �E' oC.).0 % CM m C �9 .cm CDm �-0 E m Ai:E CLv .: ® 1 rCD CD .00 . 4L: V y Z C O m N C H Uiyr.+ At LLI c r _ LL c o c 'y - LU �E c3 .0 vCL .y V m C.2 m C Vi d m .- O :a= N = > y =O F- t $ a, -m fil ill O E y CD .y L CD .Ci C 0 0� V CO) O V .CL O V m L _O V CD CL y C O CM C C o- p 'fl m cc 3� CD O L L o a Q. cma -C C � O 00 Z Q COCL C ANTH014Y 15LANCIAE L A3 - R-Doixo-roqy 14 s*&; o 10 WILI-IA,M DPqA TAYL-OR it i I 4r irp CA MPIO il E! )ALVA'rorze go �NG�LIo, iN �� SCIRa 41 of •lo f 4'V.OS' IVA I A, SHowlr.rG j c) 5 F.rhn �i n m"""r I I A - mw& Date; ....... ,ORT11 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SSACHU56 This certifies that. 014 ee�AI.114 .. ....................... has permission for gas installation . . . f J3 !i t�. �.-7 ........... in the buildings of ..... . ..................... at North Andover, Mass. Fee.a.).--... Lic. No..'3A.'( .... ... . ..... GAS INSPECTOR Check # '16 c / 5567 Town of North Andover Office of the Zoning. Board of Appeals Community Development and Services Division c nify that twenty. (20) days alapsed from date of dedsloa, filed ,:ithout filing of an appeal Date Joyce i4. Bra Robert Nicetta Town Clerk Building Commissioner 27 Charles Street North Andover, Massachusetts 01845 Telephone (978) 68&9541 Fax (978) 688-9542 N C) W • N Any appeal shall be filed Notice of Decisionco within (20) days after the Year 2003 date of filing of this notice w in the office of the Town Clerk. Property at: 144-146 & 148:150 Waverly Road NAME: Kevin Murphy HEARING(S): 4-16 & 5-15-03 co ADDRESS: 144-146 & 148-150 Waverly Road PETITION: 2003-003 North Andover, MA 01845 TYPING DATE: 05-28-03 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, at 7:30 PM upon the application of Kevin Murphy, 169 Boxford Street for premises at: 144-146 & 148-150 Waverly Road, North Andover requesting a Variance from Section 7, Paragraphs 7.2, 7.3, and Table 2 for relief of street frontage and front and side setbacks on two existing lots and a Variance from Section 7, Paragraph 7.3 and Table 2 for relief of the rear setback on a proposed third lot; and a Special Permit from Section 9, Paragraph 9.2 in order to create a third lot from two pre-existing, non -conforming lots in order to construct a new dwelling. The said premise affected is property with frontage on the North side of Waverley Road within the R4 zoning district. The following voting members were present: Walter F. Soule, John M. Pallone, Ellen P. McIntyre, George M. Earley, 'and Joseph D. LaGrasse. Upon a motion by George M, Earley and 2nd by Joseph D. LaGrasse the Board voted to GRANT dimensional Variances for relief from Section, 7.1 lot area and table 2 for 144-146 Waverley Road of 4,797.4 sq. ft., for 148-150 Waverley Road for 5,570.3 sq. ft., and the proposed lot on Morris Street of 2,526 sq. ft. in order to construct the proposed 50'x 28' 1 family dwelling; and upoh a•motion by George M. Earley and 2°d by Joseph D. LaGrasse the Board voted to GRANT the Special Permit from Section 9, Paragraph 9.2 in order to create a third lot from two pre-existing, non -conforming lots in order to construct a new dwelling according to Plan of Land location North Andover, MA prepared for Kevin W. and Elizabeth Murphy by Scott L. Giles, #13972, Registered Professional Land Surveyor, Scott L. Giles, Frank S. Giles Surveying, 50 Deermeadow Road, No. Andover, MA 01845, Date: December 10, 2002, Revisions: 5/12/03 and on the following conditions. 1. Anew Mylar will be provided to reflect the above Plan of Land dated December 10, 2002 and revised 5/12/2003; 2. The foundation will stay within the 50 x 28' footprint outlined on the above plan; 3. The dwelling will be one family, only, 4. The 48" weeping willow on the northeast Morris Street frontage will be removed, branch, trunk and stump. Voting in favor: Walter F. Soule, John M..Pailone, Ellen P. McIntyre, George M. Earley, and Joseph D. LaGrasse. ATTEST: A True Copy Page 1 of 2 Town Clerk Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978.688-9540 Planning 978-688-9535 � n � z_ �.:;, c� rn c7 ::K T 7-)/ •Y Town of North Andover M' Office of the Zoning Board of Appeals Community Development and Services Division V 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta HU Building Building Commissioner Telephone (978) 688-9541 Fax (978) 688-9542 The -Board finds that the applicant has satisfied the provisions of Section 9, Paragraph. 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood and finds that the applicant has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Furthermore, if the rights authorized by the Variance are not exercised within one 1 grant, it shall lapse, and may be re-established only after notice, and a new hearing. () y� r the date of the Special Permit granted under the provisiotis contained herein shall be deemedve lapsed after a two 2 Furthermore if a year period from the date on which the Special Permit was gran ted unless substantial use se instruction( ) has commenced, it shall lapse and may be re-established only after notice, and a new hearing. Decision 2003-003, Page 2 of 2 Town of North Andover Board of Appeals, cl 4—j, Walter F. Vi Chairman Board of Appeals 978-688-9341 auilding 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 SW a Essex +rthCounty Registry / Deeds 31 Common Street Lawrence, Massachusetts 01+0 07/»/03 C m+# D # ± 2 y/ mom[} +,m DOC. 2800 G K 2100 RE &00 Total «.G # y Payment Check 75. 1) THANK YOU! Thomas j. Burke Register of Reds Date. T h i s c e r t i fi e s t h a t .................. has permission to perform ................ 4—piumbing in the buildings 0 ........................... at /7V- IV6� North Andover, Mass. A�4 Fee. Lic. No.—, .... I ... ... .......... ............... PLUM81111 , INSPECTOR Check # /'� �7 6564 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING CHUS T h i s c e r t i fi e s t h a t .................. has permission to perform ................ 4—piumbing in the buildings 0 ........................... at /7V- IV6� North Andover, Mass. A�4 Fee. Lic. No.—, .... I ... ... .......... ............... PLUM81111 , INSPECTOR Check # /'� �7 6564 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS C" � f ,/ Date Building Location 7 '�J' (%��� Owners Name ' C Permit # Amount Type of Occupancy New Renovation r" Replacement Plans Submitted Yes -- No FIXTURES (Print or type) jj Check one: Certificate Installing Company YI pName /,l %l SLB /eC Nf�/,Gi4 r Corp. Address 0, J 0 I -K ?/s Partner. W too-t-t-�)Cm IIJH- 030fs--'7 Business Telephone Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy TGI Other type of indemnity 11 Bond ❑ i 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 I hereby certify that all of the details and information I have ubmitted (or entered) in above application are true and accurate to the. best of my knowledge and that all plumbing work and instadations performed-undc Permit Issued for this application will be in compliance with all pertinent provisions of the Massa ses �State Plumbiod,,a\ r 142 of the General Laws. D (OFFICE USE ONLY 1 Type of Plumbing License �f" L Mcense TNum5erMaster Journeyman Er 'Tate... S�A - TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... ............ . ............. �Pas permission for gas installation 4n the buildings of ............................ North Andover, Mass, Fee3;. Lic. No ........... A2, .......... S * INS,,,TR Check # 52L1 MA,SSACHUSErIS UNIFORM APPUCATON FOR PERNIlT TO DO GAS F rnNG (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations Date /) - / -6 Permit # Amount $ Owner's Name New ❑ Renovation Replacement ® Plans Submitted H : x c H a c] a H go H o w a G0a wa 4z N O Oz WO o a c� a w H o SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR STH. FLOOR Ve (Print or type) C ec one: Certificate Installing Company Name (/CJ ef 5,f O i', I (f /—A 19 Corp. Z Address a ❑ Partner. LfJin � t-rn /Nf/ 0 d 7 Tu-s-1ess TTe ep onerm/Co. us Name of Licensed Plumber or Gas Fitter k�rkq n e W INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked yes, pleaseindic3[eAbe type coverage by checking the appropriate box. ❑ 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 Mass. General Laws, and that my signature on this permit application waives this requirement. _ Check one: E-1Signature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details ana mrormauon i nave suunnueu kul I" -,,.,.- -FF------ — --- --- ��- - -- _ _.._ best of my knowledge and that all plumbing work and installatio s performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusett ate Gas Code andC Y ' pter�i4 f the General Laws. IAPPROVED (OFFICE USE ONLY) Si�;ature of Licensed Plumber Or Gas iter Plumber Gas Fitter 777ense Number Journeyman Tel: 978-688-9545 Fax: 978-688-9542 COMPLAINT FOR INVESTIGATION DATE: Tel #: ' `-�� FROM: _ ADDRESS: A� , Complaint Against: LECTRICAL PLUMBING: GAS: BUILDING CONTRACTOR: BUILDING CONTRACTOR: PROPERTY OWNER: OTHER: v K.. Signed: RECEIVED Complaint form 4.03 MAY 3 1 2005 BUILDING DEPT. & 101-I(I& UIAVWZY^P�' Location No. Date "ORTp# OWN OF NORTH ANDOV R MAO Certificate Occupancy $ of Mu Building/Frame Permit Fee $ 7410 Foundation Permit Fee $ Other Permit Fee $ TOTAL s 7XI ACheck # 6 1 AU L2 -- Building Inspector l� r `._.- S TOWN OF NORTH ANDOVER - BUILDING DEPARTMENT APPLICATIOI -,O CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERNIIT NUMBER: DATE ISSUED: --- 6-�-os SIGNATURE: Building Commis9i'oner/Ingedor of 130dings Date, SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number:. . Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zminz Dislrid Proposed Use Lot Area Fronto 8 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Rcqaired Provide red Provided red Provided 1 1.7 Wats Supply M.CxL.C.40. 34) 1.3. Flood Zone Infmns ioa: Zew Outside Flood Zone 0 1.8 Sewerage Disposal System: M -lops! 0 On Site Disposal System ❑ Public ❑ Private ❑ SECTION 2-PROPERTYOWNERSHIP/AUTHORIZEDAGENT iL% Y?3 NO 2.1 Owner of Record .�ANt is LA-. 141 V COULD" C (Print) Address for Service : $pyo-pn11 MA b a� Sign Telephone 2.2 Owner: of Record: Name Print Address for Service: �SiRnature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 'Licensed Construction Supervisor r GS • umber License Number 1 , / try 07 �( �5 �mN � ay Address - J 6 - Expiratio'n'llate Signatu Telephone 3.2 Re ered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone 00 M X 3 a. z Q aaaE r r r_ z 10 SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 6 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 it. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Descri tion of Proposed Work check at a bk New Construction ❑ Existing Building 0 . Repair(s) D Alterations(s) D Addition A3 Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Work: MANS �F�fDV_!sem 2.10 Plea - —�' SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be OFFICIAL USE ONLY Completed bpermit applicant 1. Building �f D D 00. 0• (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of 000 • Construction 3 Plumbing 0 ' Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection f ,0 6 Total 1+2+3+4+5 `"' Check Number SECTION 7a OWNER AUTHORIZATI TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT wk as er uthorized Agent of subject property ~ A i IleebyJimize T IyJy�,u�� � � • .to act onMy bell tt )aLive to work onzed building permit application. Yja Si nater erU 112 Date SECTI 7b OWNER/AUTHORIZED AGENT DECLARATION ,as Owner/Authorized Agent of subject property 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 Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB • 3` SIZE OF FLOOR TNMERS 1ST2• 3RD SPAN DIMENSIONS OF SILLS DMNSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRANEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 722 (611/2005) Date: Janugy 6, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 114-146 Waverly Road -- MAY BE OCCUPIED AS Three Family Residence IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH, OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: jan�Dall 141 West Concord St Unit #2 -Boston MA 02118 Badding Inspector 4w r1 0 �• uj �r o � z o ,rLdCIO eA Z Z t N cn a CA CLC W ° l o �4 ciC 3` y .E CQ cn r1 0 �• uj �r o � z 0 eA N �p M ii V CA CLC �4 ciC 3` y .E m s r f Ea ® C 19 o CD Lm ® E a� ■� � Z3 m an z .. c4"* �•�c CD � 0 y c .O m imo CM 4T. CL Q1 �J� v�Z o C LY O C O c d.0 E O"Iy Z o C.2 aCD 5 _ � aoq' O a z $a$o 0 U) U) w w 1 d" ® CA CD y .E m s r CD CL ® C 19 CD Lm ® E a� ■� CD Cc CL a� U) U) w w 1 d" G'a b co o o D o w o o w k S CD a to O O O O p O JQ O O ACo O O c k S CD a O � O c c k O� � d0 C7 d j O J k k 'O tf � a rn a z y wm o C o 7 7 0 0 < y � d C) o zrrim a � � d � o a c < d � � O CD0 R° D w m < N rTl CD N m C 0' m ITI O f9 m N A O d O O o O m a o O 4l a N 0 � O x O r.j n x z n CTS' �� � Mo�rN o � k 11 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 722 (6/1/2005) Date: January 62006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 114-146 Waverly Road MAY BE OCCUPIED AS Three Family Residence IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: James ball 141 West Concord St Unit #2 Boston MA 02118 Building Inspector FORM U - LOT RELEASE FORM moommeno 111101111111111 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 or requirements. APPLICANT FILLS OUT THIS SECTIO APPLICANT_ -:X�m g& ak, LOCATION: Assessar's Map Number SUBDIVISION r� STREET V D. _- PHONE -jL7(� fG'% PARCEL V,9 LOT (S) __ ST. NUMBER OFFICIAL USE ONL RECOMMENDATIONS OF TOWN AGENTS: TOWN FOOD C CSToA ••�• • ... •,�•�•^., .�., vR DATE APPROVED DATE REJECTED uATE APPROVED DATE REJECTED n DATE APPROVED DATE REJECTED 111Qvrcv i WK -nn DATE APPROVED 7 DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT /) AFIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE__ ReOW W Jm The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name:�We" T .Sc,(1.1WAN- Location: 31 ,5kt5 iPAtq ; npgp. City M+. 01$$7 Phone aI am a homeowner performing all work myself. a sole f. 0 I am an employer providing workers' compensation for my employees working on this job. Company name: Address City Phone # Insurance Co. POIICV # Company name: Address Cfir Phone # Insurance Co. P0UCv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a tine up to $1,500.00 andlor one years' imprisonment -as i 4-88 _dvil..penaltles in The form ofe.STOP VYDRK ORDER.and..a fine of.($100.00)-allay agairmt.meL I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. I do hereby certify under the pains and penalt/es of perjury that the information provided above is true and correct. Signature ` g Date 0 01 1246. Print name T Phone # 7A. 65�. �• Official use only do not write in this area to be completed by city or town official' City or Town PermiUUcensi � []Checkif immediate response is required Building Dept 0 Licensing Board C] Selectman's Office Contact person: Phone #. r-, Health Department Other ION SUPERVISOR ►3130 're. no: 1419.0 Commissioner Forth Andover Building Department Tel: 978-688-9545 IDEBRIS DISPOSAL FORM In 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: ©F (Location Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector CA m x m m x m y m y d .ee�s - o CD St Z y C36 C2. 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'.'q a O cc)) IT 0 Nq 46 0 cD E -t CSD y ; W - n3 O CD: co 03: cl) ca 0 Com: C-37 CD m m m . LW cn 9 0 77, cn - M \ d c: (rQ "z cl) cn M 11c c: OQ ::r m t� y p7j 0 c cro ::r, z m n T cm �:r T :3 rL rtC 0' � cn cn (D F c< M 'T 0 o > d z 0 cri MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO d0 GASFITTINGc�t�'z (Print or Type) - ( NORTH ANDOVER Mass. Datel Permit. #)3,)-,,;, 1,14uildingLocation IVY 1�- .� Owners Name O g AL2 il A % 4,--' • New -7 Renovation D Replacement Plans Submitted D FIXT ►PH (Print or Type) Check one: Certificate Installing Company Name Corp. Address ;? Partner. ��/�'r/°S�cA D AJ- O ahrm/Co• Business Telephone: ly>yg Name of Licensed Plumber or Gas Fitter '15'��CE Insurance Coverage_: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 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 coverages. Signature of owner/agent of property Owner ❑ Agent 0 1 hereby certify that ail of the deeds and information 1 have submitted (or entered) in above appiication are tt and accurate to the best of my knowledge and that aU phumbing work and installations petfotmed under Permit iuLed fo: this application will compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. �. By Title City/Town: APPROVED (OFFICE USE ONLY) TYPE LICENSE: Plumber Gasfitter Master Journeyman r / U e"I A �Sighaturet%f Licensed Plumber or Gasfitter 1�9 9�l License IJumber Y • ME MEMO■ tH»MtM»■ MM■..MME..EM.5■. ■■M.MMI M� .. - ■MOSEEN ONE tsonsmosommus (Print or Type) Check one: Certificate Installing Company Name Corp. Address ;? Partner. ��/�'r/°S�cA D AJ- O ahrm/Co• Business Telephone: ly>yg Name of Licensed Plumber or Gas Fitter '15'��CE Insurance Coverage_: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 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 coverages. Signature of owner/agent of property Owner ❑ Agent 0 1 hereby certify that ail of the deeds and information 1 have submitted (or entered) in above appiication are tt and accurate to the best of my knowledge and that aU phumbing work and installations petfotmed under Permit iuLed fo: this application will compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. �. By Title City/Town: APPROVED (OFFICE USE ONLY) TYPE LICENSE: Plumber Gasfitter Master Journeyman r / U e"I A �Sighaturet%f Licensed Plumber or Gasfitter 1�9 9�l License IJumber Date./ ....... 1356 '14, TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALATION JV0 V This certifies that 993 ..... has permission for gas installation ................. in the buildings of Ae� ............................ at Y-. /M ............ I North Andover, Mass. Fee. Zf ..... Lic. No.Q.c�--7 f< . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File Location bvA V -t fz L Y No. Date 0 TOWN OF NORTH ANDOVER Certificate of Occupancy $ -Building/Frame Permit Fee $ CHUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # C2(0 15851 /MM ('e- - Building inspector a ✓i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING - .w. "'TAP"" .. '.H„�.�"z BUILDING PERMIT NUMBER: DATE ISSUED: �u..0 k w SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R 'redProvided R red Provided 1.7 Water Supply M.GLC.40. 54) 1.5. Flood Zone Information: Public ❑ Private 0 Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHW/AUTHORIZED AGENT 2.1 Owner of Record k71:fv( k'l, )wcf,.,Ld 4n,�- Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address •� L �( C % Signature Telephone Not Applicable ❑ License Number Expiration bate 3.2 Registered Home Improvement Contractor r Ji�0 S' 01-t f t) a. r t k� Not Applicable ❑ Company Name A S It • Reg si hon Number J` `> Address _ Expiration Date Si n�re Tele hone ou M z O 0 m M 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 au 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 Completed by permit applicant `OFCIAL;JSE�ONL�t I . Building (a) Building Permit Fee Multiplier 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 OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 7/�E8, as Owner/Authorized Agent of subject property Hereby authorize to act on My be J all matters relive to work authorized by this building permit application. , 6 U 4,:; — O Z Signature of Owner Date SECTION 7b 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 Signature of Owner/A 9ent Date 4 NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2 ND3PT SPAN DIMENSIONS OF SILLS DMIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHMINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ,r 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 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: 16)a5llt-Ue)de,� LCl/ (Location of Facility) Signature of Permit Applicant IF — f Z — c) -2- .. .. Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Page of , D ...Free Estimates 105 Haverhill Street , Fully Insured Methuen, MA 01844 THOWSON'S ROOFING (978) 691-1355 Shingles — Slate — Rubber Roof Single Ply — Copper Work PROPOSAL SUBMITTED TO PHONE DATE Kevin Murphy 1 9-11-02 STREET JOB NAME 169 Boxford Street CITY, STATE AND ZIP CODE JOB LOCATION North Andover MA 01845 144-146 Waverly Road North Andover MA ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Strip off all roof shingles on house Renail all loose boards Install 8 inch aluminum drip edge Apply ice and water shield 3 ft. up all along edges and in valleys Apply 151b. felt paper on rest of roof area Reshingle with Architect shingle Install new flanges around soil pipe Cut in 3 roof vents Remove all work related debris 30 year warranty on material 10 year guarantee on labor Construction Lic.#060112 Home Improvement #128612 We VropogC hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Eight thousand four hundred -------- dollars($ 8,400.00 Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner Authon according to standard practices. Any alteration or deviation from above specifications involving Signature extra costs will be executed only 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. Our workers are fully Note: This proposal may be ; -.....J l.. r` ------- 4inn Inn.-- wi}}flirolun illi „c if —f --f-4 —i}},in Zicceptance of propont - 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. Signature Date of Acceptance: Signature .J a CERTIFICATE OF L I A B I L I T Y INSURANCE DATE 08.08.02 (MM/DD/Y PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER PELHAM INSURANCE SVCS INC THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 960 122 BRIDGE STREET INSURERS AFFORDING COVERAGE PELHAM NH 03076 INSURER A: Western World INSURED INSURER B: Liberty Mutual Thomas Doyle dba Thompsons Con INSURER C: & Roofing 8 West St INSURER D: Salem NH 03079 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR BY TO ALL CERTIFICATE EXCLUSBIONSSANDDCONDIiTIONSROFISUCHTHE POLICIES. LIMITSHSHOWNIMAYSHAVECRIEBEENDREDUCEDNBYSPAIDJECT CLAIMS. AGGREGATTED INSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) EACH OCCURRENCE 81.000,000 GENERAL LIABILITY [x] COMMERCIAL GENERAL LIABILITY 04-17-02 04-17-03 FIRE DAMAGE (Any one fire) MED EXP (Any one person) $ 300,000 $ 5,000 A [ ] [ ] CLAIMS MADE [x] OCCUR NPP770609 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 [X]POLICY [ ]PROJECT [ ]LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY A (Each accident) $ [ ] ANY AUTO BODILY INJURY � [ ] ALL OWNED AUTOS (Per pe UURRY $ [ ] SCHEDULED AUTOS INJURY BODILY INJ [ ] HIRED AUTOS (Per accident) $ [ ] NON -OWNED AUTOS PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY OTHER THAN EA ACC $ [ ] ANY AUTO AUTO ONLY: AGG $ [ ] EACH OCCURRENCE $ EXCESS LIABILITY AGGREGATE $ [ ] OCCUR [ ] CLAIMS MADE $ [ ] DEDUCTIBLE $ [ ] RETENTION $ [x] WC STATUTORY [ ]OTHER WORKER'S COMPENSATION AND E.L. EACH ACCIDENT $ 100,000 EMPLOYER'S LIABILITY B WC2-31$-314995-012 04.21-02 04.21-03 DISEASE-POLICE.L. DISEASE -EA Y 000 $ 500.000 E.L. OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job: Roofing rTTrn. rAAI!'CI 1 ATTMI CERTIFICATE HOLDER L 1AUU11iUNAL IMUKW: 111,)U U) L[IIL. Ron Charette Clover Hill Realty 151 Berkley Ma 01842 Lawrence fax: 978 692-8588 (7/97) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. 1 '_�7 AUTHORIZE0y,IP";A1IVE /rte Page 1 of 2 Cl) m m Cl) 0 m CO) 10 CD CD O ar d � CZ �. a� .p o p CL cr CD o CO) 10 CD 0 .12 H d d 0 z st CD C CD C rOr ca,o = 2 -• N o C Vl n EL ` W y o a m C) �CA cCD l)no m Z =r.0 y _I = •�-► m y T „* o W -40 COD C CO) y o i=o'+m a > > y m o cm) ii o o y' C9 4v: c CO) �- r t� CL q o a,�'•.� rr^^ o ? m W:0 CD ul C G O : �. n 0 y t f y O. Q 1-� c c a '� /tea 1�1 C y m CD c P,y m m CD C) Z isr 0 ga. CA Z m o :� =r:CD 6� cn U, w y CD O C CA co o O SCD: iiw V-/ C7 fD I 0 W G � �� � O G1 l C/)7i O1 n 114 O � n CD OQ :JO CL w O c7C < 00 . n rb O T • 00 1.. Zke Q[VV_111CVrnf=114 i7# OFFICE USE ONLY Department of Public Safety Permit No. 9 i BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12;00 Utility Authorization No. APPLICATIONFORPERMIT TO PERFORM ELECTRICAL WORK All work to eed p In accordanoe with the Massachusetts Electrical Code, 527 CMR 12:00 plsu" print in Ink or typ• If /afOMMUon — /�,,.,,.� �� Date: City or Town of: � J� To the Inspector of Wires; The undersigned applies for a permit to perform the electrical work described below. Location (Street & Nu ber);��— Owner or Tenant; L i.,_ Owner's Address: Phone: Is this permit In conjunction with a building permit? X Yes Purpose of Building:_ 3— .-FZ:AYl 11 ,ii,/ Existing Service: Amps / r New Service; / Amps 1<R(9/ fqq_Ci Number of Feeders and Ampacityi Location and Nature of Proposed Electrical Work; No. Lighting Outlets No. Lighting Fixtures No. Receptacle Outlets No. Switch Outlets No. Ranges No. Disposals No. Dishwashers No. Dryers No. Water Heaters KW No, of Hot Tubs ❑ No (check appropriate box) Volts Overhead ❑ Undgrd ❑ No. of Meters: Volts Overhead A- Undgrd ❑ No. of Meters: c No. of Transformers Total KVA Swimming Pool ado [] No. 011 Burners No. Gas Burners md. I Generators KVA No: of Emergency Lighting No. Air Cond Total Tons No, of Heat Total Pumps Total Tons KW Space/Area Heating KW Heating Devices KW No. of No. of Signs Ballasts No. of Zones -a, --------- No, of Delectlon nd Initiating Devices .............. No. of sounding Devices 'No, of Self Contained Detection/_SQ _oundln Devices ------------ Local[]Municipal �-- Connectlon OTHER: Low Voltage Wlring No. Hydro Massage Tubs No, of Motors Total HP OTHER: INSURANCE COVERAGE; Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy Including Completed Operations Coverage or Its substantial equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES ❑. NO ❑ It you have checked 'YES', please Indicate the type of coverage by checking the appropriate box. INSURANCE Q BOND ❑ OTHER ❑ (please specify): Estimated Value of Electrical Work: $ (expiration date) Work to Start; Inspection Date Requested; Rough Final Signed Under the Penalties -of Perjury: FIRM NAME: Parker Electric Service, Inc. Lic. No: A15392 Licensee; David Barker Signature; Address: 50 LakeShnrc Lic. No: E24156 Road Bdxforr� MA 01921 Phone; 978.352-9188 All #: 978, 352 . 9 1L 89 OWNER'S INSURANCE WAIVER; I am aware that the Licensee DOES NOT HAVE the insurance coverage or. is substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit appiicalion waives this requirement. OWNER AGENT (please circle one) Signed: Telephone No. Permit Fee: _ WHITE • OFFICE COPY , YELLOW - CONTRACTOR'S COPY - PINK • POSTED COPY LUtlllt�yAuthorlzaltlon uti ac E L71TizYi.t7xi E tX 17 �S S g M E li S E SL� Department of Public Safety / No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 11 Date: pleas+ pNnt In Ink or fyy ill InformsUon R, City or Town of: LaAbOVES/L To the Inspector of Wires: The undersigned applleis,for a permit to perform the electrical work described below. Location (Street &Number): r % ~` (dL )� I, / 1' ' `� ^"' "7•'" Owner or Tenant: T Owner's Address: Is this permit In conjunction with a building permit? Purpose of Building: 1--l!1, Phone: Yes 0 No (check appropriate box) Existing Service: Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters: New Service: Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters: Number of Feeders and Ampacity- Location and Nature of Proposed Electrical Work:UJI(p I j TE't: LU N11 No. Lighting Outlets No. of Hot Tubs No, of Transformers Total K VA No. Lighting Fixtures L36 Swimming Pool A ride ❑ 9md; ❑ Generators KVA No. Receptacle Outlets .� p No. 011 Burners No. of Emergency Lighting Battery Units No. Switch Outlets No. Gas Burners :: No. of zones No. of Detection and Initiating Devices _e� No. of sounding Devices o• c o Contained `Detetlon/Sou... ndin Devices Local Municipal0 OTHER: Connection No. Ranges g No, Air Cond Total Tons No. Disposals No. Of HHuat s otal TrnpnsTootal No. Dishwashers S ace/Area Heating KW p No. Dryers Heating Devices KW No. Water Heaters KW of SI ns Signs No. of Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: S�fz,DC'� U�11 INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy Including Completed Operations Coverage or Its substantial equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES ❑. NO ❑ If you have checked 'YES', please Indicate the type of coverage by checking the appropriate/box. ` INSURANCE E� BOND [I OTHER 11 (please specify): ! O ^�� 1. (expiration date) Estimated Value of Electrical Work: $ Work to Start: Inspection Date Requested: Rough Final Signed Under the Penalties of Perjury: ' FIRM NAME: arker Electric Service, Inc. Llc. No: A15392 Licensee: David Barker Signature: ! / Lic. No: E24156 Address: 50 Lake Shore Road, Rdxford, MA 01921 Phone: 978,352.9188 Alt #: 978.352.9189 j OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. OWNER AGENT (please circle one) Signed: Telephone No, Permit Fee: WHITE - OFFICE COPY , YELLOW - CONTRACTOR'S COPY , PINK - POSTED COPY ✓1/� �f uc� 2 l`a - �-)- pxl�- cp- 9- CD� �� Eo � P (90mxYCDr21<wealfh of OFFICE USE ONLY_ Department of Public Safety Permit No.� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Utility Authorization No, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 ��� please print 1n Ink or Najf4 l Information Date: �_ City or Town of:l�ll�� To the Inspector of Wires; The undersi ned applies for a permit to perform the ele tal work described below. Location (Street & Number): — ,n Py&1 � Owner or Tenant: 6T1� _ —3-N Owner's Address: Ime— Phone: Is this permit in conjunction with a building permit? Yes ❑ No (check appropriate box) , Purpose of Building: Existing Service: Amps / Volts Overhead ❑ Undgrd ❑ No., of Meters: New Service: Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters: Number of Feeders and Ampacity, Location and Nature of Proposed Electrical Work: No. Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. Lighting Fixtures Swimming Pool Amo e [30 md ❑ Generators KVA No. Receptacle Outlets p No. Oil Burners No. of Emergency Lighting Battery Units No. Switch Outlets No. Gas Burners 1112110FAIM No. of Zones ------------------------� No. of Detection and Initia-tin Devices ---Q------------------ No, of Sounding Devices -- ------------- No. of Self Contained DetectloNS_ounding Devices ......---------__ Local❑ Municipal❑ OTHER: Connectlon No. Ranges g No. Air Cond Total Tons DIS ls No. osa Disposals N0. Of Heat Total Total Pumps Tons KW No. Dishwashers S ace/Area Heating KW p g No. Dryers Heating Devices KW No. Water Heaters KW si . of Ballasts No. of Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: EG9ILA- .C:� �I-S C_ � � o i ilu 0 6 1 L�� L� INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES ®. NO ❑ If you have checked 'YES', please Indicate the type of coverage by checking the appropriate box. / r INSURANCE [@ BOND ❑ OTHER ❑ (please specify): illlG 0 i .010 -- (expiration date) Estimated Value of Electrical Work: $_ V 1 Work to Start: Inspection Date Requested: Rough Final Signed Under the Penalties of Perjury: FIRM NAME: Parker Electric Service, Inc. Lic. No: A15392 Licensee: David Barker Signature: ILI Lic. No: 824156 Address: 50 Lake Shore Road, Boxford, MA 01921 Phone: 978.352.9188 Alt #: 978.352.9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial 'equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. OWNER AGENT (please circle one) �i Signed: Telephone No. Permit Fee: WHITE - OFFICE COPY • YELLOW - CONTRACTOR'S COPY • PINK - POSTED COPY 157-2.,p flld�474 /�aee 5&,e v wFIFIO y� y.rt�C, 1zi�:tio MEAMA&g �rPee-2 M, 0