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Home My WebLink AboutMiscellaneous - 198 HIGH STREET 4/30/2018 198 HIGH STREET 2101052.0-0043-0000.0 =- - - _. T /, \ Date./ .Z ' HORT" •otic TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� This certifies that . . . e<:e X 'F :. . . . . . . . . . . . . . . . . . . . . . . has permission to perform . ..D.�. . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . .'r`. . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . .! Lic. No.. S. . .. . . . . . . . . .1." -c y... . . . . . 9PLUMBING INSPECTOR Check # 7 9 6696 \� rylA55AC ..� i HUSETTS UNIFORM APPLICATION FOR (Print or T pe) .PERMIT TO DO PLUMBING Mass. Date 200 _ Building Lo tion Permi # Owner' m Type of Occupancy New 0 Renovation ❑ Replacements Plans Submitted: Yes❑ No❑ FIXTURES B.P. # SEWER # SEPTIC # z z Ln Z z cn Z to < .u0 Fa— cn M > W w o z . ate m Lnn ¢ z z a N s� o: w O w a s r F :�: . 0 O 0 cn F- z a 0 z z w u_ u- � m v=i o o i ¢ � a o 0 U . SUB-BSMT m LOU 0 BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR a 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FL00 'stalling Company Name ddress Check one: Certificate ❑ Corporation asiness Telephone ❑ Partnership ,me of Licensed Plumber or Gas Fitter / � Firm/Co. NSURANCE COVERAGE: have a current Il blllty insurance policy or Its substantial equivalent, which meets the requirements of MGL Ch. 142. f you have checked Yes, please Indicate the type of coverage b checking the/ g y 8 appropriate box. liability insurance policy'0 Other type of indemnity ❑ Bond ❑ WNER'S INSURNACE WAIVER: 1 am aware that the licensee does not have the insurance coverage required 42 of the Mass.General Laws, and that my signature on this permit application waives this requirement. by Chapter gnat ire of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ eby certify that all al the details and information I have submitted (or entered)In shove application are true and accurate nowledge and that all plumbing work and mats n I has performed u r thermit Issued for thl a ertinent provisions of the Massachusetts State Plumbing Code and h to the best of L. ' f e G era,Lew Ilcatlon will be in compliance with 3y Title Signa re of Licensed Plum er :itylfown tPPROVED(OFFICE USE ONLY) Type of License ELrNWster DJourneyma:n License Number 3 7j BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS Poo"ESs INSPECTIONS VE! N0. APPLICATION Vogt PERMIT TO DO PLUMBING NAME i Type OF GURSING LOCATION OF•WLDINA PLUMIE11 PERINT GRANTED DATE � 1t FLOWING Nli►ECTO11 Location r� No. 4// Date NOATh TOWN OF NORTH ANDOVER- O? • "•• OOH � C w Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # -)eno 1 S J 6 IBuilding Inspece f - TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. 7 DATE ISSUED. �1, X 7 3 SIGNATURE: —4 Building Commissioned) for of Building Date Zi SECTION 1-SITE INFORMATION - O 1.1 Property Address: _ 1.2 Assessors Map and Parcel Number: l q s- Map Number Parcel Number I 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronto ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Reqwred Provide Required Provided Rcqtured Provided v 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: 1.7 Water Simply M.G.L.C.40. 54) ❑ Priv� ❑ Zone Outside Flood Zone ❑ Municipal ❑ On site Disposal System ❑ Public 'i: 1:Ui'It; �i,,5 �, SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT iSt('Ct: !O rn 2.1 Owner of Record Name(Print) Address for Service Z- Signatllce — Tele hone 2.2 Owner of Record: r 0 Nm a Print Address for Service: z M Signature Tele on 90 SECTION 3-CONSTRUCTION SERVICES i 3.1 Licensed Con ruction Supervisor: Not Applicable ❑ y /a- Licensed Construction Supervisor: 0 License Number Address rr ,�� 0 Expiration Date Signa r Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 L Company Name M Registration Number r I r Address Expiration Date l Signature Telephone G SECTION 4-WORKERS COMPENSATION(N.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 Workcheck a0 a bte New Construction ❑ Existing Building ❑ Repair(s). ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ov SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. 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 3— 4� 0 0 Check Number SECTION 7a OWNER AUTHORIZATiON TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION r 1, as Owner/Authorized Agent of subject r property Hereby declare that the statements and information on the foregoing application are L*ue and accurate,to the best of my knowledge and belief r/till Print Name Signature ofer A e ./-- Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS S7 2ND 3KD SPAN DIlvIENSIONS OF SQ.LS DINENSIONS OF POSTS DMNSIONS OF GMDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING _.._ X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Andover Building No 9 Department North Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, acn this of Building shall Number is that the debris resulting oswork disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facili 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 Y' Eon#5805034313 MA Reg.Hit#104131 a� tiG aon.�a MA Uc.#UCS 078130 r a Single-ply Lu.#17111932 C.. MEMBER 37 Stevens Street,Haverhill,MA 01832.978 374-9224 We are: ✓i.icensed ✓ Insured d Factory Trained ✓ Factory Certified Installers Date: H Consultant: IQ," — Estimate for rA Telephone: 928 Address:1141CAA. E City/Town: tate:. I.R.C. agrees to commence described work on/or abort and described work will be completed in about working days. L.R.C. shall not be held liable for delays due to circumstances beyond our control.L.R.C.shall not be liable for any damage to landscape,attics and/or fixtures due to circumstances beyond our control.I.R.C.shall not be held Gable for pre-existing conditions including but not limited to mold and/or wood rot.Defective,faulty,rotted or worn building counterports such as but not limited to siding,gutters,masonry,plumbing,and windows that jeopardize the watertight integrity of the building are not covered under the roofing warranty. The following work hrciudes all labor and materials seeded to complete your lob 1"o professional workownship Ike manner. 7Ne slope Quick•quote proposal to fur"and install the following: Approximate roof area 1(x00 aof ❑ Re-roof ❑ Gutter ❑ Repair ❑ Ventilation ❑ Re-sheathing of roof deck using —plywood. Pro re for re-roofing by ensuring all safety measures are taken in accordance to OSHA standard regulations and landscape is properly protected. li f Remove existing layers of roof material down to roof deck and inspect wood.If upon inspection we d-iscover any rotted wood replacement will be performed at S ` _s per SF.6f wood is sound we will re-nail any kwse wood to rafters,sweep deck and prepare for installation. Install B"Drip edge ❑ Install 5"Drip Edge ❑ Install Hug edge(Re-roofs only) -color WHXTIC Zly ice&water shield(UNDERLAYMENT)as per manufacturers'specifications arni✓a 3t�2 Anply 36 #fell paper(UNDERLAYMENT)to the balance of the exposed wood deck. ;'Reflash all stack pipes,tie-ins,chimneys and/or any roof penetrations as required and dictated by good roof practice to ensure water tightness. Zseal chimney base using cement&fabric. ❑ Re-lead&point chimney ❑ Re-build chimney S Install a new 30 — ijY'Ar Year ❑ Traditional chitectural style shingle roof system Color Manf.._._ 0'FFurnish and Install a new shingle over style ridge vent system Z) Soffit vent system S All debris generated by Lombert Roofing Co.,Inc.will be cleaned up and disposed of from the job site in a legal fashion.Under no circumstances Al the watertight integrity of the building be compromised. Spew Notes: Y=EA9. 514E D Mn i' r M c'Ly D Ek �® 6,6 OA) Sill— Iq TH�� Warren o twos: ❑ Standard LRC ❑ Manufacturers Upgrade Warranty P Pg UPON COMPLETION AND PAYMENT IN FULL ROOF SHALL NAVE A WORKMANSHIP GUARANTEE FOR A PERIOD OF TEN YEARS HONORED AND ISSUED BY THE LAMBERT ROOFING COMPANY AND YEARS HONORED AND ISSUED BY THE SHINGLE MANUFACTURER. rhls document cam serve as a contract,however d a more elaborate contract is desked we wAY Issue It at the owners regcrest. please sign and return one cola upon acceptance.NOTE:H this contract Is not accepted In 30 dors N may be withdrown by LRC. s NOTE:We accept major credit cards'3 financing is ovaifablel "Dare to m orchamt related costs More wAV be a 2.3%servke charge Total Estimate Price: S '56 , Date of Acceptance 00;' Payment to be mode as follows: (Home/Business owner).. _--_ ig e (LRC) "Our Proof is on Your Roof" Signature www1unbertiroofing.not 30 .2470 (Jj 14 Pr6 eDG E 1p I r: { 1 f� i �r 1-4 't i r �\ 431035 71004 +00•F00-?.00+00 001886 100.0311 PROK014310 7 '` I 1 1 4 +� ..5 �A Ir,14 6 1 ' , 431035< 8>IWi0 F OP 00.E.0 i10 0 001886f00.002 PROPHE14310 ' ' J 1 i J . .r �, Vii• �c Y.: 53.7054-2113 2118 7ZLrl /) 77 �� rcun. . ice:, `lGiiG 7 a �ira�over AlIK wa BANKNORTH MASSACHUSETTS 8 370 MAIN STREET e WORCESTER,MA 01608 m i� L3 7• 5 L. 5 I.9L L 9 0 2 5 4 4 4 TIN 2 L L 8 - -------- . 2L - _ r-- r Si Ein#51-05033313 MA Reg.Hir#104731 T �PSIfR"MAsIt • jambe i MA lic.#UCS 078130 2 N Single-ply Lic.#1711 Hoofing B , m w-1932 C N ■s y� o. 37 Stevens Street,Haverhill,MA 01832.978 374-9224 MEMBER We are: d r/Licensed Insured V Factory Trained V Factory Certified Installers Date: Consultant: Estimate for: i/i,� r yi A 7A Telephone: 97.A / P:'7-j Address:_]g?� .I� City/Town: 1 ( �.t( ,,�Fr._ . State: +r✓1 L.R.C. agrees to commence described work on/or about and described work will be completed in about working days. L.R.C. shall not be held liable for delays due to circumstances beyond our control.L.R.C.shall not be liable for any damage to landscape,attics and/or fixtures due to circumstances beyond our I control.L.R.C.shall not be held liable for pre-existing conditions including but not limited to mold and/or wood rot.Defective,faulty,rotted or worn building counterparts such ti as but not limited to siding,gutters,masonry,plumbing,and windows that jeapordize the watertight integrity of the building are not covered under the roofing warranty. The following work includes all labor and materials needed to complete your job in a professional workmanship like manner. iSteep slope Quick-quote proposal to furnish and install the following: Approximate roof area i C C� LI/New Roof ❑ Re-roof Ll Gutter Ll Repair ❑ Ventilation ❑ Re-sheathing of roof deck using plywood. a L3 Prepare for re-roofing by ensuring all safety measures are taken in accordance to OSHA standard regulations and landscape is properly protected.LJ j Remove existing layers of roof material down to roof deck and inspect wood.If upon inspection we discover any rotted wood replacement will be performed at $ ."3 per SF.If wood is sound we will re-nail any loose wood to rafters,sweep deck and prepare for installation. Ostall 8"Drip edge ❑ Install 5"Drip Edge ❑ Install Hug edge(Re-roofs only) Color W i-►, O pply ice&water shield(UNDERLAYMENT)as per manufacturers'specifications and/or 0 Apply 20 #felt paper(UNDERLAYMENT)to the balance of the exposed wood deck. � I ❑/Reflash all stack pipes,tie-ins,chimneys and/or any roof penetrations as required and dictated by good roof practice to ensure water tightness. ❑ Re-seal chimney base using cement&fabric. ❑ Re-Lead&point chimney ❑ Re-build chimney $ oInstall a new 2>0 Year ❑ Traditional C7�Architectural style shingle roof system Color Manf. ❑ Furnish and Install a new shingle over style ridge vent system ❑ Soffit vent system $ D All debris generated by lambert Roofing Co.,Inc.will be cleaned up and disposed of from the job site in a legal fashion.Under no circumstances will the watertight integrity of the building be compromised. Special Notes: lZ.F a C. '�7,1 c-s i Warranty options: ❑ Standard LRC ❑ Manufacturers Upgrade i UPON COMPLETION AND PAYMENT IN FULL ROOF SHALL HAVE A WORKMANSHIP GUARANTEE FOR A PERIOD OF TEN YEARS HONORED AND ISSUED BY THE LAMBERT ROOFING COMPANY AND YEARS HONORED AND ISSUED BY THE SHINGLE MANUFACTURER. This document can serve as a contract,however if a more elaborate contract is desired we will issue it at the owners request. Please sign and return one copy upon acceptance.NOTE:if this contract is not accepted in 30 days it may be withdrawn by LRC NOTE:We accept major credit cards*&financing is available! *Due to merchant related costs there will be a 2.3%service charge i ? Total Estimate Price: $ ,'56, 9n, „ Date of Acceptance f I Payment to be made as follows: (Home/Business owner) Signature (LRC) -'= 5 t�� Signature I "'Our Proof is on Your Roof" www.lambertroofing.net i A.M. FOR DATE/ /, TIME P.M. M l� J OF M PHONE/ G,2 7 7 FAX MOBILE MESSAC-E- - 644 41 6 ' TELEPHONED z (�(� i,' RETURNED YOUR CALL ® _ �PLEASE CALL ElWILL CALL AGAIN CAME TO SEE YOU SIGN D14 WANTS TO SEE YOU rµ 53-7054-2113 1943 -y r BAN KNORTH MASSACHUSETTg 370 MAIN STREET WORCE$TER, MA 1608 2ii3 ?0545 : /�, l 9�0 2 5 49 - --------�' 143 4 � W � r± � o o old-, � �,q , c� oo � np 41or,: 00 000 � � I � 0 00 0C.� u00 J Ot_,�.. 00 D C lh- a .,;s'� ,er.- -c�-• mac __ i. xN NORTH Town of --1- 4Andover o over Massa 4 COCKICHEWICy ' �C BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ �............... ...... ..... ............................. ... ..�..................... Foundation has permission to erect........................................ buildings on.. .... ....... ... .... .......... .... ..................... Rough to be occupied as rt chimney .... .... . . .. ....................................................................................... provided that the person accepti this permit shall in eve respect conform to the terms of the application on file in Final this office, and to the provision f the Codes and By-La relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough z ��b►.. ..... Service .................................4 ............ B IN INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. _ 671 die {a a�✓2�aaagraetld a BOARD OF BUILDING REGULATIONS 4. License: CONSTRUCTION SUPERVISOR s a. Number CSS 078130 'Y Birthdatg.t7 2/1972 tion,Cg � � .06/02/2-006 Tr.no: 26248 Restricted j RICHARD J DECOITO 95 MAPLE AVE ' ATKINSON, NH 039f'- c Commissioner I I I