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HomeMy WebLinkAboutMiscellaneous - 18 CABOT ROAD 4/30/2018N 3406 Date .f.. .`.�...... `'.... . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 9 This certifies that ... .: ... ? !q r.`. '-F has permission for eas installation ... t...�..€.................. . in the buildings of...........f................................ at . k et ...................... North Andover, Mass. L� Fee.. A !'". Lic. No.. ..................... GAS INSPECTOR r WHITE: Applicant CANARY: Building Dept. PINK: Treasurer W - MAP PARCEL I MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO or print) NORTH ANDOVER, MASSACHUSETTS Z -U 29e c� v Building Locations ``�. �� Permit # 3 v� Amount $ 1A Owner's Name New ❑ Renovation ❑ Replacement Ty/,'a-_7 Plans Submitted ❑ (Print or 444 4 --' /.O k one: Certificate Installing Company Corp. Address S-2) oo it 1� I ❑ Partner. Business Telephone U r2-0 11-Firm/Co. Name of Licensed Plumber or Gas Fitter / � d INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes � No[:] If y;ou have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ©1"- Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 nereoy CCnlly anal all OI UIC UCUtI►J anu UIlUCn►auun 1 nave suomlttea (Or entered) In above app►tcatlon are true and accurate to the best of my knowledge and that all plumbing work and installatiop erfo ed un r Permit Is ued for this pplication will be in compliance with all pertinent provisions of the 1Vlassachusetts.taYe C e an Chapter 2 of th eral Laws. City/Town Signature of Licensed Plumber Or Gas Fitter Plumber 07-1, 3 ❑ Gas Fitter License Number ©- Master ❑ Journeyman • (Print or 444 4 --' /.O k one: Certificate Installing Company Corp. Address S-2) oo it 1� I ❑ Partner. Business Telephone U r2-0 11-Firm/Co. Name of Licensed Plumber or Gas Fitter / � d INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes � No[:] If y;ou have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ©1"- Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 nereoy CCnlly anal all OI UIC UCUtI►J anu UIlUCn►auun 1 nave suomlttea (Or entered) In above app►tcatlon are true and accurate to the best of my knowledge and that all plumbing work and installatiop erfo ed un r Permit Is ued for this pplication will be in compliance with all pertinent provisions of the 1Vlassachusetts.taYe C e an Chapter 2 of th eral Laws. City/Town Signature of Licensed Plumber Or Gas Fitter Plumber 07-1, 3 ❑ Gas Fitter License Number ©- Master ❑ Journeyman Location � ,- a No. v` Date Check # 1-50 1n TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $1 Other Permit Fee $ TOTAL $ `?e 1 646 1 Building Inspecto .. .TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILYDWELLING BUILDING PERMIT NUMBER: DATE ISSUED: r SIGNATURE: Buildihg tommissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: ,( 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 7 , 1.3 Zoning Information:" 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage fl 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReTured Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private 0 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record JV�rrU5 5 �-- Name (Print) Address for Service Signature Telephone 5 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: y d-r� Licensed Construction Supervisor: Not Applicable ❑ o -s/p ,f/ L(2 )� �/�% -1 (✓yam License Number A ss Signature Telephone Expiration Date 3.2 Register/end Home Improvement Contractor t'C 4tq`r 1,(/L CdF ,/7 ( +�U r Not Applicable ❑ IQ C Company Name v ( n (A 2 21+-714- i-� Registration Number �Add®r Signature Telephone Expiration Date SECTION 4 - WORKERS COMPENSATION (NLG.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 all applicable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant 4, MCIAL ISE O1ILY 1. Building 03 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee (a) X (b) jn 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 BUH.DING PERMIT I, JC t G1�1% YT' /F- t� JC�� as Owner/Authorized Agent of subject property {� r Hereby authorize G co144� F-1)- U 0-7 to act on My behal ;in afters ativ o work authorized by this building permit application. iJ Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION UC 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 e Signature of Owner/AienY Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 s1r2ND 3 SPAN DIN ENSIONS OF SILLS DINIENSIONS OF POSTS DIN ENSIONS OF GIRDERS 1-lEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE a ` RICHARD FLU ET CONTRACTING INC. 102 Bridle Path Ln. . METHUEN, MASSACHUSETTS 01844 (978) 685.7010 TO Jeff & April Julius INSTALL 9 HARVEY WHITE CLASSIC MECHANICAL DOUBLE HUNG INSULATED TILT -IN VINYL REPLACMENT WINDOWS WITH LOW"E" GLASS. $240.00 EACH TOTAL $2160.00 ADD ARGON GAS $10.00/WINDOW CHANGE TO PROWELD WINDOWS ADD $10.00/WINDOW ADD INGLASS GRIDS $16.00/SASH r FULL SCREENS $9.00/WINDOW WORK TO INCLUDE;INSTALLING NEW WINDOWS,INSULATING WEIGHT POCKETS AND WINDOWS,CAULKING,PERMIT AND TRASH REMOVAL. WE LOOK FORWARD TO INSTALLING YOUR NEW WINDOWS FOR YOU!!! PRICES REFLECT ALL AVAILABLE DISCOUNTS. Extras or changes to be completed at a rate of is '` per hour, per man. Unpaid balances subject to 1'/z% finance charge per month. WE PROPOSE hereby to furnish material and labor — complete in accordance with the above specifications, for the sum of: Two Thousand One Hundred Sixty and 00/100 Dollars dollars 1$ 2,160.001. Payment to be made as follows: 1/2 WITH ACCEPTANCE, BALANCE UPON COMPLETION. All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica- tions involving 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 covered by Worker's Compensation Insurance. Authorized Signature . Note: This proposal may be withdrawn by us if not accepted within ACCEPTANCE OF PROPOSAL —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Signature Date of Acceptance: , 30 days. I i � ✓fie �anrinwreueea� af' /Ze�rf�zt \ j BOARD OF 9UILDING REGUTA O�NSF �k License: CONSTRWO ON S`UPERVI$OR Number: GS.. 050710 Tr. no: 9647 iBoard of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Reglstratio _1.06620 Expiration 7124/2004 P-Gte Corporation �. RICHARD FLUETZ NTRigCTING7 Itp 3 Ric 19hard Fluet , 102 Bridle Path 'L<an� GG»a Lf---?WtWdh, MA 0184 - Ad inistPator - Cl) m m C/) U) m S A .7 O O Cv CO) Cl) CD 0 Z y CL o =• r o CZ = CO) O C p CD CD o cr �G CD CCD O CSD C CD y CL. C2 y �• O CO CCDD C2 CO) O 'o Z CD .O G CD O O It., C 0 z O_ CD 0 to 0 JRc a m US O 7 O CL CA V! -Go O Q C. 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