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Miscellaneous - 175 SALEM STREET 4/30/2018
TOWN OF NORTH ANDOVER PERMIT FOR iPLUMBiNG .t ass'4CHU � This certifies that-P).Q(..... ........ . has permission to perform .. (1 ! ..+ . � ? .� ...y�'.-/j �.... . plumbing in the buildings of .t...n E k ........... at ... Tr. ,;5�Y1 .... -f t .. - .........,NorAth Andover, Mass. Fee. (��� :)l.. Lic. No.... ` PLUMBING INSPECTOR Check # /y ` t d MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING n (Print or Type) V v J A AJ 00 ,i Mass. DateCC'f i � 20 /6 Permit # Building Location/ 7��vm Owner's Name f & D7 V L/1y Owner Tel# Type of Occupancy V\e S New ❑ Renovation :, Replacement ❑ Plan Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name U Y L t° S S ��%� y,�,yQ ; n 5 >i1 { f f f Check one: Certificate Address L / Cj k� c f' 9 I L ye MCorporation TZ -vi .) S a c f Ct ❑ Partnership Business Telephone # rj % % 7 — 3 % ❑ Firm/Co. Name of Licensed Plumber `% �s t' v" e S C INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 'al No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Cd- 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. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ --j --y —a, at, — u- uuwu, a,w nuunnauun , nave suomtuea for enterea) to above 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 provisions of the Massachusetts State Plumbing Code and Chapter 1422 of the General Laws. 11,0v Y,0 y e�— Signature of Licensed Plumber City/Town APPROVED (OFFICE USE ONLY) Type of License: Master &— Journeyman ❑ License Number 1, .�-��� GASF�ttpN P►-�MBE� � . �... • ® g A URNEYM t `1cENSED A Hs AB0,j ucEN i issue PELL JR MB p (44 7C)LIA Mp p1g5 791802 *LOWELL 05/01/12 � ZG2aq o o - l CONTROL IMpORiAyT our Board at the. ed n01000 Washington St., license is lost or destroy roensure, . If this professlonal L MA 02 our board 1 pivision of ton 118. notity y of next 1 7th Floor, Bos shown is cheap per. mailingnumber. 1 If your name oTa ddress ess insu our license I taws e or ad Alway o reter to Y the Genefaloaned of correct na lication. the provisionssnd must not be wa1 App nvrtege, license on your Renelicense is subject to This It is a personale son. Keep this as amended. to aother p 1 or assr9ne ostedny required by Iaw' ' e or p as person 4�..,,-��• MIM TOWN OF Date. /�?.../ �- . w . . DOVER PERMIT FOR GAS IKSTALLATION This certifies that ...g-? �' �'� .. .................. � has permission for gas installation .......':7 ................... in the buildings.of ... at �.i r " r `' F .. , North A d0' 11?Iass:' Fee.v c. 1 �.. GAS INSPECTOR Check #./ &'�- F7- F94 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING b City/Town: /1) t&0 ,4 , MA. Date: 0 C /5 ' a Permit# Building Location: 1-25 6 ftA L-�)T Owners Name: Ao f�< ,L J L V 6) to Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ®- Replacement: ❑ Plans Submitted: Yes ❑ No ❑ FIYTI IRFR OS LU M Uj to Ui jr 0 QQ Z Z 1z O fQ- Q Z w Z g 0 w a W 4 0 0= K N 0 U.W H W Z LL D D fY J 0 0 W oJ p 810. 2 9 0~ r 3 .p V W t9 Z Z 2 1- >>> O SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6'" FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate # Installing Company Name: 8'j�S e S S 1�%v'� �. �1 s g �� j�S� Ca.Gorporation 0111- s= Address:_ 6 b /i� ki r//City/Town: T y`' S s I'f b v ° State: 1�41 Partnership Business Tel: % _ `� S 'a ��� Fax: % Y� - SS a Business ❑ Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: 1 have a current liabilily insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ja No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 19! Other type of indemnity [I 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 Aaent Owner ❑ Agent ❑ By checking this box I]; 1 hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and awu.aae 1W L11e ueac v, my MIUMeage ana mai au piumomg wom ano mmanations penormea unser the permit issued for this application will be In compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Number Title ❑lNGlast@rter Signature of Licensed Plumber/Gas Fitter �� cityrrown ❑Journeyman License Number: / S �' c). S APPROVED (OFFICE USE ONLYi 0 LP Installer -30 9708 APO TOWN OF NORTH ANDOVER PERMIT FOR WIRING This. certifies that.... G7,?!y A-aA> ..... llnz.: 7.As7 ............................. has permission to perform 10J/ ,.4n ...... ..t. ........... wiring in the building of A�4.4 ... I'laln?e ..... .................................... At./ ............................ .............. -tlorth Andover, Mass. Fee ..— Lic. No... .. . ....... ............... ELECTRICAL INSPE Check # L4U111f11V11VVCa1L11 Uff 1W #a --- - - --- -- Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leaveblank) � M APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) D ate:/Q '�o. City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & mber) 17 ,4 Z.�"5?i2 Owner or Tenant a L. L�►✓2!5 --j/Z n .� Telephone No. Owner's Address M Is this permit in conjunction with a building ermit? Yes No ❑ (Check Appropriate Box) Purpose of Building �, iez-Z-0, ' -- Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Loc 'on and Nature -Df Proposed Electrical Work: / l Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. grnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No, of Waste Disposers Heat Pump Totals: Number ....................................................... Tons KW No. of Self-Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or E uivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: -Attach additional detail if desired, or as regzdred by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in'force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under thepains andpenalties o perjury, that tl information on this application is true and completes FIRM NAME: �` L/i�P /� rLIC. NO.: ��b�� Licensee:9�� E`� Signature LIC. NO.: (Ifapplicable, enter "exe t" i t e licensemb li Bus. Tel. No.: Address: / L/ l Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requirei0epartme t of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's Owner/Agent PERMIT FEE.-'$ Signature Telephone No. pa-t,� ,e& /,0, 21 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 �'� sY• • www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: �� t0 & (S IA) (�C City/State/Zip: Phone #: �) c ` j�� �� ✓ %� Are you an employer? CUck the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I ployees (full and/or part-time).* have hired the sub -contractors 2.I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t workers' comp. insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13. ❑ Other *Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information. i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. ,- Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under / nder the pains a d pens ties -of perjury that the information provided above is true and correct. Signature: 5 2z�) ---�' Date: / 0 - l/ 2 —✓% ,v) Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Teal 1� NORTH ANDOVER, . Masa. B sitio Locallon r YT Date Parma rte .2 L;� �- 0 New Q Renovation ❑ Replacement FIXTURES Name eI_JD//l AW16111a 2 Plana Submitted: Yea p No Q Installing Company Name Address__ 5713 a- L:3v' l%,Wle / chi = Name of Licensed Plumber) Check one: 01601 rF• ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE:eC a 1 have a current tiablilty Insurance polity or Its substantial equWent. Yea [0' No 0 It you have checked yam, pleaseIndicatethe type coverage by checking the appropriate box. A liability Insurance policy t� Other type of indemnity ❑ Bond ❑ Certificate 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 Chia permit application waives this requirement. Check one: S;gnOwner ❑ Agent Q slurs o Owner a Owner: enl I hereby certity that al of the details and Information I have submitted We entered) In above application ars true and accurate to the best of my knowledge snd that sA plumbing work and InsiallMlons performed under the permit Issued far We appileatlon Mn7 be in compliance with LA pertinent provisions of the A, Iassachusetts,State Pkimbtnq Code and Chapter 142 of tlw 90mal Linn By turs TRte � n I 1 04 Ucens*d Plumber 1996 License Number ,%/�� Ctty/Town Type of Plumbing License: Masser [ice APFTKNTD !OFFICE USE ONLY)'- ,F � Journeyman 0 » =K s r r K s `r w r 44 Vt F, ore O O « s a e»i Is- w F U s tet t . 16 :� U r O s M i' ~y w O s at et O .+ L F V Y p Y,« J s sf It1 s` »o IL K r sj a w u It orfs 1 w o 0 3 s is i a o s 1 s i o sua-11401T. aASKkKHT taT fAL0011 !NO FLOOR 380 FL0011 4TH FLOOR aTH PL0011 eTH FLOOR, ITH FLOOR eTH FLOOR - Installing Company Name Address__ 5713 a- L:3v' l%,Wle / chi = Name of Licensed Plumber) Check one: 01601 rF• ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE:eC a 1 have a current tiablilty Insurance polity or Its substantial equWent. Yea [0' No 0 It you have checked yam, pleaseIndicatethe type coverage by checking the appropriate box. A liability Insurance policy t� Other type of indemnity ❑ Bond ❑ Certificate 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 Chia permit application waives this requirement. Check one: S;gnOwner ❑ Agent Q slurs o Owner a Owner: enl I hereby certity that al of the details and Information I have submitted We entered) In above application ars true and accurate to the best of my knowledge snd that sA plumbing work and InsiallMlons performed under the permit Issued far We appileatlon Mn7 be in compliance with LA pertinent provisions of the A, Iassachusetts,State Pkimbtnq Code and Chapter 142 of tlw 90mal Linn By turs TRte � n I 1 04 Ucens*d Plumber 1996 License Number ,%/�� Ctty/Town Type of Plumbing License: Masser [ice APFTKNTD !OFFICE USE ONLY)'- ,F � Journeyman 0 „. '"'/"'i�1"0.mrjlfiCk 't7tyyZJ�+�'-”. ,�,. •.-�.--� -. y...'yY._. y _..- .. � ,,. ,: _ �. Date. 4{-.� a TO 2'880, ottNc °T :1tia TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING CHUS This certifies that .. I. ....(. . /?.......... .. . has permission to perform:— ... plumbing in the buildings of at ... i A ....North Andover; Mass. Fee. Lic. No.G'%.� PLUMBING INR 04/16196 13e27 25.00 pAII) r WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File �.-:ter`". -, ;... •..-:. ,�„a,,� 50 Locationt'""` No.2� Date 5 0 o. TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Perit Fee $ Other Permit Fe $�� Sewer Connection Fee $ PERMIT NO. .32G APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP i-40. I LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK :PAGE ZONE SUB DIV. LOT NO. LOCATION7 [� t1J /p p^ /47 PURPOSE OF BUILDING Jn�p t , (/ G OWNER'S NAME JJ'®�in i/�`G�jr' l/�/�7,Q/-� 7/ 'U NO. OF STORIES SIZE PWNER'S ADDRESS i/J� � BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD .�+ BUILDER'S NAME / [� �/ /7 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 SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REG LA � q U TIONS fe f t PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR FIE E R -n PERMIT GRANTED l _19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST / D� EST. BLDG. COST PER SQ. FT. T. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY OWNER TEL. # CONTR. TEL. # � 979- CONTR. LIC. # H.I.C. 0 /D® o? ry BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS __ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH d 1 2 13 PINE HARDW D PLASTER CONCRETE CONCRETE BL K. BRICK OR STONE PIERS _ DRY WALL UNFIN. 3 BASEMENT AREA FULL 1/1 1/2 1/1 FIN, B'M'TAREA FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH B _ 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY _ HARDW D COMMCN ASPH. TILE STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER ELK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBRELMANSARD A TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NOtPLUMBING 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 _ 1st 13rd ELECTRIC NO HEATING s THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. F i y N a C) M ri o v 1 O LE E v C/)w w p -' o p O w >bco cu C U C x w r� to p w C w" AG a W g2: U) C w o w G w A r.0 PQ cn cn ui om 2 Cf) O co L O O v Z °L Q O y C C CD cm C ca CDMA0 E m m CD C2 CD CLI.- O co L CD R O d CL Ca ca C O *" C O R vJ .O c Z CD v vs C c .0 cc CO2 D J Q Z LL- Z-7 L Z O Q W Z O U C I CD Z Z Z c c m c CD C �• O y � C O V V ' p•'C C O R Lm C O O ME l : y,Lm+ EQ m �mo ts,. oa E c r�y : w C3 1JJ: c CD c r a �m C.* CA cm y �: �/� •— •_ — m Co L LC Coo O i C R y O O av m y m LL.. O pm 4�cma y• � aCL � m d: m G l= .y v • Z O C O CL C=MC F" H m C •C = m r p N 01-- w m y m L_ W G .0'r L :5.a. c .2%= •y O oc O.L •ELU •y z o LD CD �32_ co a m- m Oar y •O O S eyv H L s =,- cm i 2 Cf) O co L O O v Z °L Q O y C C CD cm C ca CDMA0 E m m CD C2 CD CLI.- O co L CD R O d CL Ca ca C O *" C O R vJ .O c Z CD v vs C c .0 cc CO2 D J Q Z LL- Z-7 L Z O Q W Z O U C I CD Z Z Z The Commonwealth of Massachusetts "`e Use Only � Y— Perrit Department of Public Safety S' Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 heave blank) 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 TYPE ALL INFORMATION) Date 7— / / ` 7,— City or Town of f, 4a,,oa vel 32 To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. c Loation (Street & Number) 17L.6 A�`�ii � ) / Owner or Tenanti Y Owner's Address .04 YN VP Is this permit in conjunction with 'b 'lding permit: Yes ❑ No El(Check Appropriate Box) Purpose of Building /4/ (J L ) Utility Authorization NO. 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 Propos( No. of Lighting OutletsNo, of Hot Tubs No. of Transformers Total KvA No. of Lighting Fixtures g g 3 Above Swimming Pool grnd. In- 11grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local Municipal 11 ❑ Other Connection No. of RangesNo. of Air Cond. Total tons No. of Disposals Heat Total Total No. of Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW Signs No. of Ballasts Ballasts Wirioltage n No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Lia ility Insurance Policy including Completed Operations Coverage or 1 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 appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work $ ExpirationDate � tl Work to Start 7— Z /— 9� Inspection Date Requested: Rough inal W/ / `.J IJ Signed under the pe alties of FIRM NAMEf' Licensee Address Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. Signature of Owner or Agent a n PERMIT FEE S I 0 0 Q LL. REMARKS BY ELECTRICIAN: 6 101 Date....? / .. ..... ...... 2402 NORTH �j Of TOWN OF NORTH ANDOVER �5 'Po Ln PERMIT FOR WIRING 4L S • ,SSACMUS Q Ar Thiscertifies that .. .................................................................................. 4 has permission to perform ....... �j ......... ..................... . wiring in the building of ....... A. ............................................ at ..... .. ........ .................................... . North Andover, Mass. -4 ..... Lic. No'4'. .............................................................. ELECTRICAL INSPECTOR r WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File I f llf-W"W1 ArrLIUA1IUN FUR PERMIT TO DO QASFITTINQ (Print or Typo) NORTH ANDOVER , Mass. Date 19 9,1 Building .��� Permft #_ Locatlo'n ,, t 1?� S-7, Owner's Name _ Its✓ vc New Renovation CJ Replacement C) Plans Submitted: Yea D No p .y Installing Company Name ,0i%C�f�/��' Address 7t /J /fir Business Tele Name of Licensed Plumber or Gas Fitter __ p�✓+✓� 'd / .7t.- Check one: P,Corp. El Partnership B-6m/Co. INSURANCE COVERAGE: : Check orae I have a current liability Insurance policy or Its substantial equhrelent. ; Yea COY No 0 If you have checked ,yes, please Indicate the type coverage by checking the epproprlate box. A liability Insurance policy DJ/. Other type of Indemnity C1 Bond O Certificate 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: Signatute of Owner or Owner's en Owner EJ Agent O .A1.11, atu, all V, ma veraru ani inrormauon I have submitted (or entered) M above application are Trus and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this tionappar true will be In compliance with all pwUnont provisions oI the Massachusetts Stale Gas Code and Chapter 142 of the General Type of License:/ lC'� f "/, umber TitleGasfltter nature of ucenaed Plumber or as -sr— CIty/Tow Master Ucense Number / % 7� Ci umeyman __ APNIO°VED (OFFICE USE ONLY) wwwwwwwwwwwwwwlwwwINN IN wwwwwwNOUN www MEN wwwww■ wwww � ' wwwwwwwwwwwwwwwwwwww wwwwwww■ wwwww ' wwwwwwwwwwwwwwwwNINE wwwwwwwww . , '.- wwwwwwwwwww wwwwwwwwwwwwwwwww � wwwwwwww �.. ONE ■.w�rwwwwwrwwwwwwwwwwww■ wwwwwwwwwwwwwww " ■wwwwwwwwwww1MIwwNNININ wwwwww■ ■ '. wwwwwwwwwwwwgwwMIN Non NINE M■wwwwwwwwwwww,wwwINMENO SEEN .y Installing Company Name ,0i%C�f�/��' Address 7t /J /fir Business Tele Name of Licensed Plumber or Gas Fitter __ p�✓+✓� 'd / .7t.- Check one: P,Corp. El Partnership B-6m/Co. INSURANCE COVERAGE: : Check orae I have a current liability Insurance policy or Its substantial equhrelent. ; Yea COY No 0 If you have checked ,yes, please Indicate the type coverage by checking the epproprlate box. A liability Insurance policy DJ/. Other type of Indemnity C1 Bond O Certificate 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: Signatute of Owner or Owner's en Owner EJ Agent O .A1.11, atu, all V, ma veraru ani inrormauon I have submitted (or entered) M above application are Trus and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this tionappar true will be In compliance with all pwUnont provisions oI the Massachusetts Stale Gas Code and Chapter 142 of the General Type of License:/ lC'� f "/, umber TitleGasfltter nature of ucenaed Plumber or as -sr— CIty/Tow Master Ucense Number / % 7� Ci umeyman __ APNIO°VED (OFFICE USE ONLY) Date . /04 t 40R°T "Ati _-:TOWN�OF!!,gRTN. _ANDOVER O . - r� N2 a Evr PERMIT POR GAS INSTALLATION QOj+�rm nP"yq9 A �9SSACHUS This certifies that .... �'/,. has permission for gas_ installation :: f .. . . in the buildings,of . �'rf. :- ,�..'e. at .7: �... North �ndover, Mass. Fee. F� Lic. No./ j -? �,i( GAS INSPECTOR " WHITE: Applican ( CANARY: Building Dept. V PINK:.Treasurer GOLD: File FlVocation o. A Date - �✓ TOWN OF NORTH AN.DOVEFF p Certificate of Occupancy $ * ; Building/Frame Permit Fee �ss�cM�sEt� Foundation Permit Fee $ Other Permit Fee` a"` $ Sewer Connection Fee $ Water. Connection Fee $ TOTAL $ t Building Inspector 7370 `�" Div. Public Works PERNITT ATO. t91 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. (,/PAGE1� MAP 4.40. LOT NO. I 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. F LOCATION� / 75 s'�L�� S� , PURPOSE OF BUILDING _ OWNER'S NAME iT®,/_/ ,I,/J 1 yJn/h/�../� NO. OF STORIES SIZE OWNER'S ADDRESS f V BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1STd Vl® 41M2 3RD /� Gi BUILDER'S NAME TO Sej°l,/ '7 �i d;rre ,` ,/ // SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET F^� /._ " x POSTS DISTANCE FROM LOT LINES-4iSIDES REAR "/ / GIRDERS AREA OF LOTs/s J !�? (-/ FRONTAGE //0/ Ga 7` O` v HEIGHT OF FOUNDATION THICKNESS y /&/IS BUILDING NEW SIZE OF FOOTING f� f� X IS BUILDING ADDITION �f A LLQ`(► MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE le f J p IS BUILDING CONNECTED TO TOWN WATER yes G BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE Ives INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS T PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILEDN//5&2e'/ C25, 197P-/ SIGN tOWURE qJFOWNER OK -AUTHORIZED AGENT FEE Al�i PERMIT GRANTED C 19 OWNER TEL. # CONTR. TEL. # 4pfS - RFS CONTR. LIC. # -aa V 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST - 61,?0 EST. BLDG. COST PIERSQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN //'� el"'71 �' BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. i OFFICES APARTMENTS __ CONSTRUCTION 2 FOUNDATION S INTERIOR FINISH CONCRETE PINE 3 1 2 13 CONCRETE BL'K. BRICK OR STONE HARDW D _ PIERS PIASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. 8'M'TAREA _ 1/1 1/2 1/. FIN. ATTIC AREA NO 8 M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES B _ 1 2 3 _ _ _ CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING HARDNWD COM/,ACN VERT. SIDING _ ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I�POOR ADEQUATE NONE 10 PLUMBING 5 ROOF GABLE HIP BATH Q FIX.) _ GAMBREL MANSARD TOILET RM. (2 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 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 _I 1st 13rd ELECTRIC I NO HEATING i 0— LOT 2 43, 560 S.F. PLOT PLAN LOT 2, SALEM STI?EIrT NORTH AN DOVER, MA55. PREPARED FOR JOHN MANNING SCALE I"= 40' DATE / PQOP05ED DECK ell \�X I dover Ll .onsu I to nts Ma`` Inc. pA0lESs�4"'` Quo suave' 1 EAST RIVER PLACE , METHUEN , MASS. I x N Z ; t WQ U) ucnl a J Z W ;L cp i Co a Fr Q D Z x *;'z Fn x V> P. U CC r C = us fA rA �¢ w a aG O w cnami v C/)w FO w 24 A zIn 00 z p to O w -C U co C x w Ow to p n: C w pG O a x U w0 p rz y cn C w U 12 p 1:4 cu C w W A rl�l O sv. cn a c� o CO c o :cam o � :�C H C O V p. C tac ;t O V :O� as d1 eQ co CE :.. S a CO) O L CDE ca 0 c... N cc L H` �3 os • m � h Ca fA as CD y m m WED. oQ H CD Cc Z • c � o a Q °o vi o c = m m� 3 C2 'CL m 0' O co co J Q z O U- co L O O O v W H Z a0 C. O 0 y s — m c z o a c� co— .OLLJ cc CO2 O Co m � z CD CL COD U .0 O � O i C D 0coO L _R O d cmQ CO2 O *-0 C CIOO z v J� O CL U O c m c CA Z co z_ V CL y ~J_ !d C — CD J2y C— C = m + O W H Oi s m c c a a COD ,".., mi Lij z O CL U 4D CL c m c LU ~J_ ca CD J2y C W I t .�.. CL*- m =0a. U) Location/ S No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ , _5 - 1) 0 Building/Frame Permit Fee $ / YJ;• SO Foundation Permit Fee $ '-Other Permit Fee 4$ewer Connection Fee AP'Q Water Connection Fee TOTAL $ ss� �4 �iG4 � Building, Inspector Div. Public Works PERMIT NO! Ri�. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. /-PAGE 1 MAP 4-40. 32 ,e- LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. I i LOCATION / 7S S�GG./pm SrPURPOSE J�^,,' JJO OF BUILDING OWNER'S NAME �/A� NO. OF STORIES SIZE) OWNER'S ADDRESS p BASEMENT OR SLAB (flg)�I/C 1��7� , J2ND `v ARCHITECT'S NAME J'Q y�/,pG /��S /„ X01 /� SIZE OF FLOOR TIMBERS IST 2ND 3RD li BUILDER'S NAME Tr7'DYIcloloyv y��I'!/TT,p f!� /,fie 702 SPAN sOFJSILLS DISTANCE TO NEAREST BUILDING /y� DIMENSIONS /04� �l DISTANCE FROM STREET PO " POSTS�'L DISTANCE FROM LOT LINES - SIDES P'� REAR A/� J " GIRDERS FRONTAGEi/ /` �� AREA OF LOT 7r� �/O 7 ((QQ /(O (v HEIGHT OF FOUNDATION // THICKNESS i IS BUILDING NEW SIZE OF FOOTING �� X as IS BUILDING ADDITION ,7/J0 !/q` !/ 'r 16W MATERIAL OF CHIMNEY 9 ✓ IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /J ye ! IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER N�V IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PALE 1 FILL OUT SECTIONS 1 - 3 PAG-7� FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND AAPPPR�OVVEED BY BUILDING INSPECTOR DATE FILED �E'Ie%GCS / J SIGNATURE OF OWNER OR,*UTHOR ZED AGENT FEE , PERMIT GRANTED �, ®� !` ' `� OWNER TEL. # CONTR. TEL. #zf/�igP" 8�,3 4 1 9 CONTR. LIC. L�1CH LL71E�>•11r�Frs d 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I I STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE d t 2 13 _ _ CONCRETE 81. K. BRICK OR STONE HARDW D PIERS PLASTER DRY VJALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B MJ AREA _ '/. 1/7 1/. FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES B I 2 �_ 3 _ _ CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDVVD COMMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STIRS. 8 FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY _ STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 10 PLUMBING 5 ROOF GABLE GAMBREL I HIP BATH (3 FIX.) 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 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 L B'M'T 2nd _ to 13rd ECTRIC �NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. j✓ I m L,:,T lqj PPop e o odo ivfs BeeN �ewaoeo 'MORTGAGE INSPECTION PLAN BUYER. I'll c-, 3-40 CYNT41A 1A, LOCA TP IN To THE /A W UTE- /N\0 FU"121 \�Jo P- T -i --H R AND ITS TITLE INSURERS, MASSACHUSETTS I CERTIFY THAT I HAVE EXAMINED THE PREMISES AND TTIE BUILDINGS SHOWN DO i CONFORM TO THE ZONING LAWS AND AMENDMENTS. ko.(FRONT. SIDE, At BEAR YARD SEIDACK ONLY OF 1-loF-74 /Ntj"DcJ(Z- PIL�� MEN CONSTRUCTED. I FURTHER CERTIFY THAT 'IHIS PROPERTY IS LOCAIFI) IN THE ESTPDuswo rLoco DEED HAZARD AREA. COMMUNITY PANEL NO.: 2i5009,5 - — lo 5 DATE: 6--,- 1 G BOOK Z� 7 1 EXAMINATION OF THE RECORDS IS MADE ONLY SUBSEQUENT TO T14E RECORDED DATE Or IIIE PACE Z4 3 LATEST DEED AND DOES NOT INCLUDE VERIFYING THE ACCURACY OF 'RiE DEED DESCRIP11014 PREVIOUS TO In DATE OF RECORD. CERT. NO. THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUE14T TO THE RECORDED DATE OF THE LATEST DEED OF RECORDED, WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS ADVISED PLAN 8K. PACE THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS.':� 71 (o %,a�44 PLAN i DATED NOTE: THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY MARKEJ2S OF OTHERS, AND DOES NOT REPRESENT A PROPERTY SURVEY. 19,)l THIS CERTIFICATION TO BE USED FOR MORTGAGE PURPOSES ONLY. OFFSETS�A$Q,ARE NOT TO BE USED FOR THE 6 T OF PROPERTY LINES o F n rl, t) BRADFORD W. 6 CITANI., III 19759 { ENGINEERING CO. P.O. BOX 124-4 FRED W. '55 14AVERHILL MA. 01831 TEL (508) 373-2306 I 1 (ah. �,'°i�+•ra',m,«H, rNn+.r{; rv-w......'tr+.'p""r'ti+.�P+r�rtracl•�:•ME#c#:,`+E, T 3 � x I �+ c s I • r J«s ,' 1 .rt l �? . . DEPAUMENT OF PUBLIC SAFETY J &r I 1 y . COMMONWEALTH �r 3 ' �" � �� � - � � � �' 1 � � �.+ _ I'.OP r�11u"i.�, i { 1010 COMMONWEALTH AVE., • Y t I� i xr+° -rte ks •i� W ? �, 'BOSTON, MASS. 02215 G i MASSACHUSETTS ,_ ENCLOSE CHECK, OR MONEY ORDER .. � LICENSE ' r FOR REQUIRED FEE I j3 EXPIRATION DATE f C O N S T.R . S U P E R V I S 0 F I_ MADE PA LE TO (• Ob/ 3011993 4 ^ ` Y . i, RESTRICTIONS o EFFECTIVE DATE LIC NO. E t' NONE, x Ob130i11 01 t12�4 k "C.OMMIS9I�F BLIC SAFETY '!.� JOSEPH FY RATTEv j (DONOTS N SH)i V 342 MT VERNON �� SS � 019-38-7494 I 'LAWRENCE MA 011843 �;Pt.kAS;E NOTE-' FEE sI NCRE�ASE ,I , wy I� F PHOZQ _LA✓?TtVr OPFjONIYI FEE: t ' `. +C 10,� 100.00 } a EIFEC'TIVE 8°.1ar) "HEIGHT:''"t NOT VALID UNTIL SIGNED 13Y LICENSEE AND OFFICIALLY i A'" Ori i STAMPED OR - SIGNATURE ,OF THE COMMISSIONER �t� a t DOB: I <`�;i� , 0$127/195$x ..� RIOT DETACH :L°ICENSElj STUD �e`k \ tj'.'Z 1 ,THIS DOCUMCNT MUST B "-�-ri!{.+'� ' I' ? .CARRICD-0N THE PERSON O SIG NATUH['. OI' LICENSEE IP+ '.SIGN NAME IN FULL•ABOVE SIGNATURE LINE I 1HE HOLDER IkHEN ENGAG 'RIOHt1.. �FjGPRINT - ED IN' THIS OCCUPATIOI ,1,j 'l 200M 2 471429 � a L - t ,1..-:s a'I* !-iR"• .f t, 1I' a 1' i r nm j nw : e Irr :- �. .,..• .. .,,_...,r ..�,. ,« _ ,... i..,. � .,..gib,.. atr..., ,», .�.., ., ��.+ t�p..w. 1.-t•n.,. � .i �y ��� n, 'l/JnaJt ltin9i[UC+all� 6I .J/�.ndiOGll lydrt'i�d •1 : Fff. I j 3 rt j: �t ,,{. as \\ G IC"ZN rff{{ _— —_ NOME IMPROVEMENT CONTRACTOR.. I t"z0A _ Registration ,.110024-,���'� q— ft I'4 a T 31,., I Ts A t,yin# ger ' rit kTYPe PRIVATE CORPORATION'1,Ez iration 06/15/9 } 1 JW'•k riri�! t;' t - Roger J. Ratte, Inc. T �B�IRTIFAt + F� C I � I Joseph R. Ratte T„,xt F K rid _ 342 Mt. Vernon St, ti►R� sIkat fi z iM�+ ��t{I�r)k� ADMINISTRATOR Lawrence MA 01843* "A1 ' n''#ais+Fa13 I ' I a' 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 local or state law, regulations or requirements. ******-**********Applicant frills out this section***************** A ,e APPLICANT: ©s2d�� M-6 Phone 6 p,,�7" 9p.),q LOCATION: Assessor's Map Number Parcel 11 Subdivision Lot (s) Street S' ISL e M � %/ St. Number 1 2S_ ************************Official Use Only************************ REC MMENDATIONS OF TOWN AGENTS: -F` DN�. Conservation Administrator Comments walm an Town Planner Comments Food Inspector -Health Septic Inspector-He4tth Comments Public Works - sewer/w,4er connections - driv way permit Fire Department / �L _-- Received by Building Inspector Date Approved �D Date Rejected Date Approved L41 q Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date fl Ir �a, Residential & CommercialButlding I �; • ) { .r 1 ��, ru�,,,� Remodeling •'Addtttoriti 4 Rogor J. Rath, Inc, Est. 1954 ' General Budding Contractors !fir zr '-- - ItESlDI NTIAI, CONTRACTING iidQ.' ,A (;ltl E11'lEN"f t. ,!y I I I ( I Read this agrietnent and tnal(E sure -you trndcr stand it beforeIsining TBis.agreeinent h"as�le�,.li force and effect and hinds'thow iO' o sign it sk s I ;f Notice: All florae improvement confl,tclrtrs ))nd subecsmr<ietl)i'; evt,,: tved in Borate. improvement cton'tract= inl;,unlc�specific, c.enlptfruu+relistr:lti;rnbyi)rotiisiuncO1''Ital,Ccrl4:?aofthe general law5, ( 1 niust.be registered with the. Cornmonwe:stth of Niassaci{;rselts. Inquiries at registration and ; status should be nude to t1s1e Director, I ionic lrnl,ro vi, siieitr Contract Regsstrati(ti t. 0hae Ashbitrtpn 1,1ce, R000r 1301, Briton, NIA 02168. ' Design. (t Ilr.,� c Ro er J. Ratt.� Inc. -�,ietfant C laze: 9_ �. --- 17. to Registra[lOn NUltibcr:"_ 1��12 `� ail a _ I t t t) ( r � � .,. erThiS agreement is tedui_.�� r _ll -4.__�L .Roa._,�5 (DATE) 1R--a:-t t Q-�-__I n c .^�-- - , ! sEp ;•: r, (Cct,IRncroEE) Jas' ,f 342 Mt. Vernon Street Lawrence, MA 01843 ' j (508)-688-8839,,!_ a # (rIM NUMBER) i 1N'1 jj _ i Ai 1, hereinaftercalicd;"Contractor and t Zo John �i Cynthia Mdnnlnq` , t. f 175 Sa _ . 'I 0 1 m ' ,. e Str e'e , t North ;. th A� �tdov .�.-_..._ _er, Mit 01845 , 5�i$) -68_2-_2655 . � �t (ADDRESS) - (r1iONBNUMB Ui) heie►rnif!er called "Owner". I 1. DETAILS' D MSCRUTION OF Wt)lGtK TO i'j:;; (T',It,t`(;?1•'. P,'t@qj eP 1 1' 9 ti Colrtl.lCtOr abTiCCS i0 T { 1 r P Ix r.onn tri a l,00c, and wortcrn .,nliKr., nr.?ll�t�rt ti, �.��tk_ ([c!s{ill'( x^lPzw i� '.di Tr u:F_ c:: nsists:of tisP� fo9lowing "' See' clans and''s eclflCations. gg .. , ,. - ....a. tM j i y • i $ 1` 1 DETAILED DESCRIPTION 0 F NIS. f E RALS C', } 1 1 .JSA.II Materials to be t!sed in fxrl;�'lilt;'..1 t►� attov`e cicscitrx`(l �4or:i; c tt�sist o ° {,t �- See fans ands _ eclfiCations I j = °342 Mt: Vernon=Street'- Lawrence, MA 01843 • (508) 688-8839 I IrZ,'' I.., .� l? , q ' 11. PRICE; Contractor agrees to do all work described'in Section I for the total price. of 222900.90' € cc Twenty two thousand nine hundred dollars • i f I 4 {. P, t, a ��at ra I1I._'PAYMi N'C' Payment will be made as follows. ) /Oi(Julx)n stl;ntnl; Contract; 25 %'(S 5,725.00 ) ulxan completion of framing } a 25 5,725.00 725.00 o exterio %,( completion ICt101t Of n ,•' ztq, �t . y _)•itl?On i 1 '201— $4:580.00 u_ oricamp l et i _f D I er i ng f and (lie remaining _ 5 ulx)n verification of N 3t the wc)rk by Owncr anti Cnwract(ir as having been satisfactorily conn pletcd,'which Vcrification shall mice place promptly ,after compiction, j 1 1 i t Notice: No agreement for borne improvement contracting work shall require a down payment (a&ance ati . deposit) of more than one-third of the Mal contract price Or ttre total amUfint of all deposits or r all xis payments which the contractor must make, in advance. to carrier and/or other!Evisc obtain delivery j of special order materials and equipment, ' i •rte: IV.;C011'IhTENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified here in writing. Contractor will begin the work on oratx>ut l April 19, 15'93 (date). Marring delay caused by t circumstances beyond Contractor's conuol,,the work will Ix, completed by jun(-_] J, 1993_ (elate). The Owner it reby "D j acknowledges and agrees that the scheduling dates arc,;pprc;ximalr ,anti ihx ;,ach delays that .ire notavoidable by the Contractor shall not be considered as violations of this.Agreernent. t, j , 4 1 V. NO ACCELERATION OF PAYMENTS BUI' l SCROWING A.I.iSAVED 17he Contractor ulay not require payments to be made in advance of LbetimesspeCified inSectiod III (Payment) above for the r6son that he deems himself or the payments to be insecure. If,tiowe%,cr,lic(leciii,.31iiiii:;ClfLo! be insec tire, lie may require, as a prcreqliisit,, ' F' fto continuing the work described herein, that the balance of the payments under this contract that are fm the control of the O iwner t shall be placed in a point escrow account that requires the siLpiature of Wilt the Contractor acid the Owner for withdrawal. j t VI. INSURANCE v t a Contractor will be reslx)nsiblc to Owner or'any [laird party for any iuupraty damage or beKiily injury caused by himself, has ' L.: employees or his subcontractors in the perf6mianceof, orasa result of, the work under Haas Agri anent. Contractor agrees to carry it insurance to cover such damage or injury-jfr t i` ` ` t I- "t! �'" a f': i•x VIP44 ? V17. SUBCON'i'RACTING T Contractoragreesthat,notwithstandingany agreement for tnalerialsand/orlalxrnc(dween(_.ontractorandathird party, Contractor �t i is responsible to Owner for completion of all work described in ,I t itncly and worknianllke. manner. V►ll. CONS'1'121JCTlON-RI?i.,A'1'1?I) PERMITS ]'he following construction relatcAl permits will be necessai y in orc(er to conijil;: tc the scope of work included in this Agreement: : Build�nq p�rt�i� ---. x . ElectrIcal��perro7it - ----- - _- -- — -- ---- --a— --- The Contractor under provisions of Chapter 142A of the General Laws is I equircd to apply for and, obtain all cons 'on permits. 'l lie Contractorshall not be deemed responsible for delays in the work described in this Agreement caused by regulatory, t7 Permit granting or inspectional aNIT gencies, authorities or individuals; ` I Notice: If the honicowner obtains his own construction-re,I:Ited Per-ntits fur the work dcscrilaed under this t agreement, the homeowner is 'hereby advised that in the event of a dispute, judgment and i nonpayment of (lie contractor,tlehonteownerii ill no( beentitledtomake aclaimtoorcollect from ° the guaranty fund established by Chapter 142A, Nl.(d.1,. ;rt IX. NIOUIhICA PION This Agreement; including the provisions relaung to price (Section 11) and payment schedule'(s'ection 111) cannot be changed I except by a wnttcn statement signed by both Contractor and Owner. 1 lowever, cancellation by Owner is allowed in accordance f.,r with Uie Notice of Cancellation (annexed). X. WARRANTIES 71ie Contractor warrants, that the work furnishCd heremidershall be free horn defects it materials and workmanship for a period of 1 year fallowing completion and shall comply wilh the requirements of this AgreemenL In Ute event ,; any defect in workmanship or materials,'or�dan►age caiiscd by the Contractor, his subcontractors, employees or agents, is discovered widiin one ycar after completion of any job, including cleanup, die Contractor shall; at his own expense, forthwith .q remedy, repair, correct, replace, or cause to be remedied, repaired, or iepl aced, such darnagc'or such defect in materials or t '{ workmanship. The foregoing warranties sh Ill Survive any inSpcetion perfc,rnu:(J in connection with the agreed-upon work. i Itt All wair:uttics forieyuipment supplied byeUtc ConUiictor under this %�grccment shall be those I by the I � ter,'.'. gLvcn manufacturers of such `= equipment, which shall be and arc hereby passed through directly to Ute Owner. Undcr such mamtf tcturers' warranties, theOwnIer may be requirod to register or mail in a..warranty card or odier evidence of ownersh i p and use of such equipment in order to activate such warranties. The Owner's failure to'maiI in or register sucII dOcuiIIell laI (.)I I, vv 1)1cII failure voids the manufacturer's warranty, .4 q Shall not create any, r4sfxnisibilityFfor the Contractor to warranty such cyuiplocitt. • t � � t 9 t tars This w u7al?ty f;tves the owner speAific legal rights, and owner nlay ,aso have, other rights which vary from state to state. Under Massachusetts law, sales of goods cant' an implied warranty of mcrchant,;bility and fitnessfor is p:if (icular purpose. l I i ;t::. 1.. lig X'1. COMPLETENE„ S O A(alZF l�MI lel"!' 1 !)lt t; \l.;('(t'('!t.?i? t I11cOwner ishereby advised that lic should not sign this Agrecinent unlcss awd u til all blank scc�tions hnvc lx cn filled itt'or Marked as void, deleted or not applicable, �t until all exhibits and relsttr.tl ('n r, f ;cnc.cd dcx uinents that are iuearporatcd herein are. � attached hercto.:,. 7 I `ill. COPY OF AG921:1 NIENT TO 11 E, G1VF,N'1'O 01VI Il?!:Z ` bis Agreement is governed by lite. laws of Nlassacllusctts. It «lust he-' czrc"�.itr l in tlltplicate, and an Oflg,lllal agncd Copy herecrC given to the Owner at the time of execution, No work under the Agnxment shall begin prior to ttic signing of the Agreement and k . transmittal to the owner of a copy thereof.' ti a� The owner rna cancel this agreement if it has beclt sil,rtc(I by the owner at a place other than an address of the contractor which tn;ay be hisn�ain"clfrCe ortranch thereof, ;provided that the owner notid-les the contractor in `t•riling at his main c,ffice or branch ,- t J: by ordinary mail posted, by telegram sF nt or by dcliver N. not later than midnight. of the i third business day following the sil"16111; of this mw'; ri meat. See attached Notice of 4# Cancellation. ; t, II DO NOT SIGN Ti-jis CON'F'I8A(;'F' 1>' '1.' F i"f'; , It . ANY B1,A.NK SPACES. i � t a, � r � J,(//�,- r�.�✓ �i--`st. �1L�'K.11� �. .. ,. :t ',8'i �'c Date Signed , (i ncr, s Signature y � + t ,� /� J�j n l ;Corart)xt(>I S .,,f4 Date Signed Wit' H - GG 25M 6/92 I a Residential & Commercial Building'` Remodeling • Additions',�t. S Y Roger J. riata6, Inc. Est. 1954 I , General Builin Contrecfo +. i Mr. & Mrs. John Manning 1, ° 1175 Salem Street I i Norah Andover, MA 418451 April 14,- 1993 � r ____ __-_-__ -------------------- Specifications and allowances for r. onst.rt,.l,ction of new 14 "X 20' family room addition,as per stain;,->e�d �'�la.n d=ated March, 1993. PRELIMINARY:�Submit' plans and Specifications and ob' j-ain all ! a{Y construction related permits . (Does' not. include sits plan) EXTERIOR DEMOLITION:; Remove exist.ino columns and roof assembly, and dispose',of;all debris.,nemolish concrete slab and.st.one foundation to !below finished grade:::. SITE WORK/FOUNDATION: Excavate arca in preparation for foundation Pour footings and foundation to form a 14' X 20' bat6e for family f;Y room. All.footings to be a minimum of 4' below finish grade"to, ensure proper frost protectaon''Backfil.l foundation as needed using material. fb} 'on site Remove approximately 8 cubic yards of excess material from, ,Site. Additional cost for 3" concrlc-�t:e sl -:h in crawl space: $285.00 ;NOTE: All concrete shall have a 3,000 lh. rating ;Access to site shall be ifromr:a,mY�t:r ry ��,-I'-1P0l-t,y . Wall . shall be rebuilt .to'original condition. Additional. cost to relocate existing gas main 'shall be' approximately s550.0o - $750.00 ;FRAMING:, Frame addition'as per plan, and specifications. All walls to be framed'"conventionally using 2." X 6"s,. t' loor,'to be framed with 12" X 10"s spanning to meet existing I.-fra me. Rc>of to be framed a n a ; gable style, allowing for light shaft for once Velux'VS4 roof windowe r. 'Subfloor* shall be 3/4" T&G plywood, wall sheathing shall be 1/2" 1' ,Plywood, and roof sheathing shall be 5/8" r) lywood . i ROOFING:Yt Install "Bird Windaeal 20 year roof shingles on new ;addition. .Shingle color to match existin<i as close as possible. 'WINDOWS:; Install one Brosco triple mullion unit -and `one Brosco .double (mullion unit as per, window schedule; i' 1s ;Additional cost for 5'storm windows: T,290,00 i L. ,` EXTERIORS DOORS: Install .one Morgan M-1'�Q E�' 4' X 6-8"' inswing �.. extI e'' riorqdo1do}.,r "`unit ak 6, Y7 plan .. ` 1per , pie i" try a 4 !SIDING/TRIM Wrap °entire addition with Tyvek air barrier .- Install pinefascia,<< rake, 'and :' rel ea boards to matcht`exist ng on house.. jf Install #1` R&R Western Red Cedar shingles on exterior walls.. Install panels below double mullion window to match ex'istincr 342 Mt. Vernon Street a Lawrence, NAA 01843 • (508) 688-8839 , "303« l I ! 4:3. I f, i • j III i. ,i. EXTERIOR PAINTING: Prime all now woodwo,_i; and apply one finish coat of Benjamin Moore paint;. REAR STEPS: Construct with pressure t re'at.::f stock. now 7' wide stairs , leading to yard, INTERIOR DEMOLITION: Remove two existing r.ia.ndow unit:. Enlarge one opening to accommodate new French door... ELECTRICAL: Install receptacles, swit.chos and lights as per plan. All light fixtures to be:supplied by own r a HEATING: Extend new steam line into E�ropc):ed addition. Connect i ! "Sun -Rad" radiator, sized properly,, to accommodate'new room. VENTILATION/INSULATION:; Install proper vont s in all. rafter bays, 28' of continuous vent' in soffit, and 1.4' of ridge vent, to ensure necessary air circulation above ceiling. Ml exterior walls to be insulated with 6" fiberglass insula+ ion, floor with 10" fiberglass', X41 (1R insulation,'and ceiling"with 12" fibergi-ass insulation. SKIM COAT PLASTER: Install 1/2" blueboard on all now wall and ceiling }; ,.y, .: areas. Apply base coat !plaster to all corners, and!seams, then apply 1/8" skim ..coat -plaster °to .all surfaces .All. walls and ceiling shall : be f troweled smooth. INTERIOR TRIM: Install 'new Morgan rl -'.391.1 French doors in opening # between dining room and new family roam as per plans. ; All window, door, and baseboard trim, shall. match existing trim in ✓:is. house. All trim shall .be clear #1 pine. oE: Frame opening and install new Brosco "Imperial" folding attic stair. ! INTERIOR PAINTING: Prime all new plaster and woodwork, and apply two }l;, Coats of Benjamin Moore Paint. FLOOR COVERING: Install carpeting as, si-I- ct:.ed by owner . Allowance for carpeting, pad, and instal.Jation: $800.00 ; Complete clean up and removal of all del:aris. We are licensed, registered, and fully insured. License #015004 Registration #100294 Completed cost as described above:;$22,900.00 .y iohn„Manni g ! fi i Gnthia Manning e:'Joseph R. Ratte , Pr e�.3 . ! FNITR DALE OFIRANSACEEON I r= NOTICE OIC (:ANC'U"L.L.A`17.0N !---- You may cancel this transaction, without any penalty or obligation. within three business clays from the above date. If you cancel, any property traded in, any payrncrrts ruadc by you u►la(Icr the agreement, and any negotiable inslrunuent executed by you will be returned within ten business days followiiig receipt by tic Contractor of your cancellation notice. And any security interest arising out of [lie transaclioll will be Cancelled. If you cancel, you must make availablc to the Contractor al your residence, in substanti,illy as good condition as when received, any goods delivered to you under this agivement', or you nwy, i f you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at the C'ontractor's cxpcnsc and risk. If you do make tic goods available to the Contractor and the Contractor docs not pick them up within twenty (lays of the date of your notice of cancellation, you nuay retain or dispose of tic t!,00ds without any further obligation. If you fail to make goods available to the Contractor, or if you ,)f,rcc to Mill 11 the goods to tie Contractor and fail to do so, then you remain liable for performance of all obligations under the a rcellient. To cancel this transaction, mail or deliver a signed and dated copy of this Notice of Cancellation or any otier wrincn police, or send a telegram to Roger_ J. _ Ratte,__ (NAMI'' OF CON-IRACI011) i i at 342 Mt. Vernon Street I-awrence MA 0184.3 (ADDRF.SSOHMNIItA(:DIN'S PLA ('01: IllIclhH';S) . NO'I'LA'I'ER'I'IIAN1Nlli.)Ni6;11'1'()I. .... _April 19, 1993 _. (DA'I F) I IIERE'RY CANCEL THIS 'TRANSACTION. (DATE) . (OWNER'S SIONAWRG) (OWNER'S ADDR)'.SS) I [Two copies of this form to be attached to the. Residential Contracting Agreement) 11 • GG 25M 6/92 NOTICE (DIS C.ANCEI.,I.A 1 MN FN I IiR DATE OF IHANSACIION You may cancel this transaction, witltout any penalty or obligation, within three business (lays 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. If you cancel, you must make available to the Contractor at your residcnce, in substantially as good condition as when received, any goods delivered to you under this agreement; or you n)ay, if you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at. (he Contractor's expense and risk. If you do make the goods available to the Contractor and the Cowraclor does not Dick their up within twenty (lays of the date ol' your notice of cancellation, you may retain or dispose ot' the hoods without any further obligation. 11' you fail to make goods available to the Contractor, or if you agree to rclm if life goods to the Contactor and fail to do so, then you remain liable for performance of all obligations under the a.g,Icenrcnt. To cancel this transaction, mail or deliver a sT,,,m'd and dated copy of this Notice of Cancellation or any ollrcr written no(ice., or send a telegram to Roger- J__Ra-ttc.,.-, nc ^_ (NAME Or CON IRMA Olt) at 342 Mt. Verrion Street I_awr,ence, MA 01843 (ADORGSS OF CONI RACI'OR'S I'I _AU; Of: M V:11; ESS) NOT LATER THAN M I DNIGI I'1' (}1 _ Apr- i 1 19, 1993 -_--- o,A,l�) I IIERI's1IY CANCEL THIS TRANSACTION. (DATE) (OWNER'S SIGNATURE) (OWNER'S ADDRIiSS) y I [Two copies of this form to be attached to Ilse Residential Contracting Agreement] 11 • GG 25M 0192 C) A O LE uu )to aai C/)w o z z d o p O w v U G w O U to p u; iw O w w p c� v cn C w a � `� �. 0 c� C w w w w x w c0 C/)cn—M o O c o c :r 0 Opo C.3� = o Cc � c CIO C" �o m� 0 CD CDN :Eck W as ca a.sc E m co m 3 s N m N OI n : e c . y O O E N m o Ott�ac�i m y m 6i �= O Cf C O Qc '� act m m O � �Z `o a C2 c Q �m c o = m m .. 3 N 0 Z W CO F:. .y az`�5 Z 'ff V1 O O m • COD a m `r :2 O :0 Z y 'C O H t 05 aim J o z E CD F- o � LLJ Z C O C H� Co z z w O = > 'a Q CD y — O �O U W M m z > i O O OU 0 co i O O O O Q H � -a o ca civ CJ J� z .Q O C J E -L ZCL C O z V y w C R C � LL Q c CO) C3Ll 5 G z z z � LL d C/.