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HomeMy WebLinkAboutMiscellaneous - 20 CARTY CIRCLE 4/30/2018 (2) 20 CCIRCLE V G� 210/047.0-000-00 33-0000.0 / t i _ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§,3L,the pemmit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed- on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.01 c.166,§32,an 1� electrical permit shall be issued to the person,firm or corporation stated on the permit application.Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall be limited as to the time of ongoing construction.activity,and maybe deemed-by-thelnspector_of_Wires abandoned•and_invalidHhe_ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written " application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the.permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job;growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certaiwpermits and licenses concerning the use or development ofreal property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008-and extending'through August 15,2012. fule 8—Permit/Date Closed: **N.ote:Reapply for new permit ❑Permit Extension Act—Permit/Date Closed; Date...... Z_ .......................... 40PT" TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING -ACHU ACHU .............A ... This certifies that "4 ... ............................................................... has permission to perform ........../P.../C.Lt-)........G'� .. .. .... ...... ......... .......... . ...... ........... wiring in the building of.......46 .............................................................. at.J.P.4T `V... .......................... North Andover,Mass. -Fee... Lic.No../.&1Ii? ................... icdrRICAL INSPECTOR 'Check 0745 i orachd use 01dy "Permit i�t� � ocavan and Fee Checked BOARD OF FIRE PREVENTION REGULAMONS �* APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Auvuaakrnbe:verfatmedia—ral I finmasechuseusEecutwt:A&oa moo (PL&4SEPR fFMBff ORTYPEAUJAW08,MAMA9 Datc ,-5 ��• City or Town of- YA,9-A-) Um CU OLP- . To the.actor q IT S. By this applicadion the undetamed s ivm Dake o€his ar her 10 perf+oam the elemcd work descn-W below Uwafiioa{Street&Nqmber) -7 Owner orTenant TaTham No. ' () Owner's Address Is this permit in tronjandio`n with a buffdh�g permit? Yes Yes ❑ No v� (Cha*Apprup�f►x) Purpose of fid' Q t o m—`-t c1. 0 Ut •Anthofrration No. Esistin;Service Gimps / volts Ovid Pudgid Q No.of Matters New Service Amps Volts Ovwhesa❑ g�❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Prapased Elegy W0rJ < comp"M the table 1wwaftvd the metres ffiL of Totm No.of Recessed Lumbialres No.ofcea-%sp.{Paddle)Few rmers INA No.of A[MiMine Ondets No.ofHotTubs G�erators 1 C3 IMAS Rand AUove ❑ �- WIfift ❑ o_ ilnits mergengy No,of Luminaires No.of Receptade 0atiets NG.0f0ffBarSGVS IFIRRAIARM o."of Zees No.of Gas Bmrrers o- n aad No.of Switches - � � hKidating Devi No.of Raugm, No.of"Cand. Tom o.ofAlertiog Devices .., No,ofWt�eWsposers ToTerns of _ No.of Dishwashers SpacdArea Hesbag KW Low❑Co ❑Ott w No.of Dryers eatipgAppliames XW ofDevtoesor Data o.of Herg IOW o,of Bal�Ls t+ No.gym gibs Sim o_of Molars Total HP No. Devices or OTHER Am*adaftWdetm7ifdesae4oras>egni>edbydwI rofWitrs. Estimated Value ofM cartcal Wculc (When xeqmffed by==cqW Pobty) Work to Start Inspections m be requested in w ardance with MEC Rale 10,and upon eomplefim INSURANCE COVSSAGE: Unless vnived by the owner,no permit forthe perfinmance of els oWmal Wak may issue unless the licensee provides pWOfof tiabftiacl¢�g-complmdor its a loWeat. The �sigoed Gerd estba such coverage is in furcr,and has exb'bioed pt�fafsame m the permit b offoe. cs BOND ❑ O� ❑ tsl�►) C.IIFCIC t)NE: IINSURAN ❑ I cafify,wider thepmwsaadpeaaWesefptlury,tltaithe'wfwMaftjA, this� ' is true and campy FIRM NAME: �� % 7 � � LIG NQ:l� " 1&V _ Licensee: �/cytl.�f LIG NOS afaPPJicaw enter earempt"fn die licem nw1ber�) Btm TeL No.* Address: } T c — .20, ` AIt Td.Na� f1Sr �laZ 'f5�� *Per M_G.L c.147,s.57-61,security vmk requires ofPabhe softy-r License: OWNER'S H URAWE WAIVER: I asr mmie#ha lbe does not havetl-l�blTity coverage normally by law..By my simmm below,I haft waive r I am the(c tc one)❑.ovvn��owreea's ed. y ownermgent - _ T one*%a PER WT PE-?-$.� Signature - tJ " po b N.Ila.. ' d1k x rl s' t 3. k f' � � � •' ( � � .jT Y] »tea,: } , µ9 r 1 a. TA ■ r s. c 4 i I\ Ul 13 T'i fte'A `d t • �¢ - , Fr .. t a a' �w 2 : n d. 'i v "4 < w k c f y tis� y /�!'"'^^ �ro. ��/j{^ .. �. f�.,.t /�• NI dN'^ +fie 1 ^ y _a f a«. I y +�' - �y t �', '� y�•._ 1 a''''�; ail �� cq'°�' �*�:. �. ` a e � a- a� -oaf v' r. a �1+ Z W a a I y tl f} ,t. v 6' { F. ry • t hr -01 p r8 , t c - t I F Date. r l�!. . . . .... . . NORTIy TOWN OF NORTH ANDOVER t - PERMIT FOR GAS INSTALLATION y,SSACMU5EtS - This certifies that . . . . . . .r! .S. .� 7!. .S . . . . . . . . . . . . h� has permission for gas installation . . s >� . . .�. . . . . . . . . . . . . . . . in the buildings of . .! � !` . . . . . . . . . . . . . . . . . . . . . . . at . . . . .7Q . .a� Fee:-;?:,r ? Lic. No.. /.9'494 . . . . . . . GAS INSPECTOR Check# / /Z- 81 05 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY _ ..._. . MA DATE PERMIT# G ADDRESS �l C) OWNER'S NAME OWNER ADDRESS FAX I TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL 0 RESIDENTIAL PRINT CLEARLY NEW:EX RENOVATION:Ej REPLACEMENT:Q PLANS SUBMITTED: YESQ NOE -' APPLIANCES 7 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE . _........ . FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE I have a current liabilft nsurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES EjyNO E] I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [Ej/ OTHER TYPE INDEMNITY BONDE:] 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 thisrequirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER Ej AGENT El I hereby certify that all of the details and information I have submitted or entered regarding this application are tru d accurate to the bes m novmA e and that all plumbing work and installations performed under the permit issued for this application will be in com i ce vuith all -ent rovi ' n of Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME AVO LICENSE# ��J=6 S1`' URE MP MGF JP I JGF LPGI❑ CORPORATION[ # PARTNERSHIP®# LLC E] COMPANY NAME: fj - /,� ADDRESS 16 ,,�5�. �%7EE.T. CITY f�!J_, Q.d'o _.._. STATEZIP[QQ1?�) TEL .3LcF' JI/ FAX „3! `- � CELL D -]EMAIL ? I ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ - � �� FEE: $ PERMIT# PLAN REVIEW NOTES Date.� 3 /0 NONTq �, .'� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s r SA MUS This certifies that . . . (4�e�G. . ./. . � . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . n .�.�! . . . at .�. . .C. .(. .(.`. . . . . . . . . . , North Andover, Mass. Fee. 3 . . . . . .Lic. No../- G C . . . . . . . . . . PLUMBING INSPECfOR Check # © ? 8663 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date 2010 Permit# c y�•� Building Location Owner's Name ur i Owner's Tel# — Type of Occupency 3/— New Renovation Replacement Plan Submitted: Yes No z i U) O Z � > to W J to r V Q N ZW Lu O Z WU) co ~ W N U �Z fA 0 Z Z Z a H W 0 m W Q W Q W Z a to Z d li W x Q = O Z x Y a 0 Q Y a w W Y w 1— O > I- O x a D Z O O to Z Z W F- O u x Q ~ a x co �' a Q o a J J a it it a o a t- 3 .141 g m fn o o J x to LL O D 0 Q w m o SUB-BSMT BASEMENT 1st FLOOR 2nd FLOOR 3rd FLOOR } 4th FLOOR w 5th FLOOR 6th FLOOR 7th FLOOR 8th FLOOR Installing Company Name Addario Inc. Check one : Certificate Address 20 Cooper Street x Corporation 3102 Lynn, MA. 01905 Y Partnership Business Telephone 339-440-8100 Firm/Co. Name of Licensed Plumber or Gas Fitter Steven J.Addario Jr. insurance Coverage I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes ❑x No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 0 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: Owner Agent Signature of Owner or Owner's Agent I hearby certify that all of the details and information I have submitted(or entered)in 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 MV3sachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Title x Plumber 4L City/Town Gasfitter ignature of Licensed Plumber or Gas Fitter Approved(OFFICE USE ONLY) x Master Journeyman License Number 13106 BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS FINAL INSPECTIONS SKETCHES FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE ,2010 PLUMBING INSPECTOR • 7354 Date./, ��.���...... Of HOFT1y 1.�. F? '' °A TOWN OF NORTH ANDOVER..' o a PERMIT FOR GAS INSTALLATION ,S CH This certifies that !. . . . . .l. .L f. . . . . . . . . . . . . . . has permission for gas installation . . . . u. . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . , N�oh Andover, Mass. Fee. �. . . . Lic. No..f ��G G. . : S-', .^. �i�� ,, . . . . . . GAS INSPECTOR` Check# Q MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Date ate e 2010 Permit# J Building Location C2D I wner's Name Owner's Tel# '—( Type of Occupency � r New 0 Renovation 1-1 Replacement Plan Submitted: Yes 0 No 0 Y z a w to v W w LU Z j Cn W O Cn to 11: O Z Z CO O W CD (1) W W W O O Z I- N O W x Z p > W _ w WLLJ I— Lu0 U' H Z -j F- Z W W (7 O > LL h- V J U) W W > w W j Z Q � Q m Z O 5 O N = x 0 (7 x LL M a O J U IY W> o a W O SUB-BSMT BASEMENT 1st FLOOR 2nd FLOOR 3rd FLOOR 4th FLOOR 5th FLOOR 6th FLOOR 7th FLOOR 8th FLOOR Installing Company Name Addario Inc. Check one : Certificate Address 20 Cooper Street x Corporation 3102 Lynn, MA. 01905 Partnership Business Telephone 339-440-8100 Firm/Co. Name of Licensed Plumber or Gas Fitter Steven J.Addario Jr. Insurance Coverage I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes ❑x No M If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 11 Other type of indemnity ED 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: Owner Agent Signature of Owner or Owner's Agent I hearby certify that all of the details and information I have submitted(or entered)in 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 Gas Code and Chapter 142 of the General Laws. By Type of License: ,h`���� !. Title X Plumber �,,... City/Town Gasfitter "Si ature of Licensed tuber or Gas Fitter` Approved(OFFICE USE ONLY) x Master Journeyman License Number 13106 �V BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS FINAL INSPECTIONS SKETCHES FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE ,2009 GASINSPECTOR V I i 96 1 3 Date.. / /a...... f pOR7h, ' TOWN OF NORTH ANDOVER O 9 PERMIT FOR WIRING ��SSACHUS This certifies that ................. . ..... ...................... has permission to perform ..,C.9."..45....... f?� ................................ wiring in the building of............ .................................. at.. �J.. !? .r'�... // ................................ .North Andover,M s. o Fee.o?04...... Lic. ........ .�. . . � ,...... ..... LCTRICAL INSPECTO t Check # QY/b a.cunmcuiwcan,ir vi Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEPASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9- 30—e . 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&Number) ay CC}o� Owner or Tenant -A L/ R l7 u.r Ao) Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building S:i _t to ";c-,.., 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 Proposed Electrical Work: (�f u A S (�Q r/✓ C f-- 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- ❑ o.Of mergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Dis osers Heat Pump Number Tons KW_ No.of Self-Contained p Totals: ......... Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other p g Connection No.of Dryers Heating Appliances KW Sectio.urito Devils:or Equivalent No.of Water Noof No.of Data Wiring: . Heaters KW Signs Ballasts 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 required 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 the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: C'p a j- 2 o LIC.NO.: Licensee: Signature LIC.NO.: (If applicable, enter "exempt"in the license number line) C� Bus.Tel.No.:4t7- S! ?-Y(3,F 9 Address: r5_/f 6/t y A 0--e—. e2, ver f AA,4 Alt.Tel.No.: �� *Per M.G.L cc. 147,x. 57-61,security work requires Department 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. _ 1� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 4 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lelzibly Name(Business/Organization/Individual): �}✓ ,� <<7 /�J Z� Address: C ✓�-C_ City/State/Zip: Phone#: 7 Are you an employer?Check the appropriate box: Type of project(required): 1.01 a employer with 4. El am a general contractor and I 6. ❑New construction mployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. E]Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself [No workers'comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f 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). i 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 un pains and penalties of perjury that the information provided above is true and correct. Signature: Date: U '�-o Phone#: a — 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#: Date.. 71 NORTH 0." * I. TOWN OF NORTH ANDOVER 10 12 PERMIT FOR GAS INSTALLATION CHUS Et This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... at . . . . . -h Andover, Mass. . . . . . . . . . . . North . . . . . . . . . . . . Feed, . . LZ'No.. Ow GAS�INSEO OR Check# Z �41V 6341 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date 2007 Permit# Building-Location'p !/ L- ' + lf` � -ner's Name Owner's Tel# � �� ac;ybl Type of Occupency S(°"� le New 1:1 Renovation Replacement Plan Submitted: Yes No IY U) Y Z Q FW- tn N V W W Q W W w O OU M H 2 W � 0 J to W F- } m Z O W Z m U) F- W W O O Z u) W to (9 V W = to Z ~ W O O > w _ w F- W (9 F- Z J F- Z w W O O > LL I.W.. V J to W Z < Lu > lY W 7 Z Q Q in Z O Z O W 2 = O 10 1 2 u- n C7 J OU W > 0 (L w O SUB-BS MT BASEMENT 1st FLOOR 2nd FLOOR 3rd FLOOR 4th FLOOR 5th FLOOR 6th FLOOR 7th FLOOR 8th FLOOR Installing Company Name Addario's Plumbing&Heating LLC. Check one : Certificate Address 20 Cooper Street x Corporation 2720 Lynn, MA. 01905 Partnership Business Telephone 339-440-8100 Firm/Co. Name of Licensed Plumber or Gas Fitter Steven J.Addario Jr. Insurance Coverage : I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes ❑x No M If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy FX 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 : Owner Agent Signature of Owner or Owner's Agent I hearby certify that all of the details and information I have submitted(or entered)in 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 wiH'6e'in compiihnce with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Title x Plumber - r City/Town Gasfitter Signature of Licensed Plumber or Gas Fitter Approved(OFFICE USE ONLY) x Master Journeyman License Number 13106 BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS FINAL INSPECTIONS SKETCHES FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER f PERMIT GRANTED DATE ,2007 GASINSPECTOR Date ? �. ... OE NORTH 3? �` TOWN OF NORTH- DOVER O ...;. D • PERMIT FOR GAS INSTALLATION a i r 1 • o� a �9S SACNUSE�S t / This certifies that . . /171 ��'' .s, . �.. . .. . . . . . . . . . . . . . . . . . . . . has permission for gas installation . .#.'00. . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . ., North Andover, Mass. Fee. ) Lic. No.—U.0.. . . . . . . . . . . . G61S INSPECTOR Check# f 3 S Z ) 6168 i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) /' K)Of,-T 1 ,�K)DNC-(L , Mass. Date 16,1011-2067 6 Permit# Building Location 30 CA Ell Y L I k— Owner's Name JO H O L_E W M O `� N012TN A N DDU6Type of Occupancy k P—S 1 OEM7 i i t, -S►UGLE j New ❑ Renovation ❑ Replacements Plans Submitted: Yes❑ No ❑ N SC W Uf z s � Na aNc o cc 0N = x tl s z o umi ~ a Z O }" Cr a m N h y W O O 4. G pi ►' , W 6 x F- fn N tl W Z O. W W ymj 0 J Z a x x a W ¢ W ~ W ►' Y H Cr H Z J h Z W W O > 4. f- V J W H Z a W < C � Y1 N op Z O Z W a: O � Y a W > W O 2. a Cr a ¢ '.x O tl Y U. 3 c tl � tOi r y a Oa r o SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR _ 4TH FLOOR STH FLOOR I 6TH FLOOR 7TH FLOOR 8TH•FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET X7 Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone q 7!B—6 8,7—' l 10 5 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have acu nto ❑ rent liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of indemnity❑ Bond ❑ i 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 El I hereby certify that all of the details and information I have submitted(or entered)in above-application are true and accu�te to the best of my knowledge and that all plumbing work and installations performed under the permit iss f r this application will n mpliance with all' pertinent provisions of the Massachusetts State Gas Code and-Chapter 142 of the Gene S. By T e of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter City/Town Master License Number_374"5 Journeyman APPROVE O FIC SF ON Y I• BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING �r•, NAME & TYPE OF BUILDING G _LDIN LOCATION OF BUILDING - PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE X19 GAS INSPECTOR TOWN OF NORTH ANDOVER PERMIT FOR -WIRING "S'A'CU"H'*S 7> This certifies that .............. ..................................................... has permission to perform ...... wiring in the building of .......................... ..... ......... ...... ....... . .... ................. .North Andover,Mass. Fee-4 ....... Lic.No./3. . ............ ....... ..... ELECTRICAL INSPECTOR Check # zliW7 6929 1 Commonwealth of Massachusetts Off ial Use Only Department of Fire Services Permit No. 9 � Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code MEGC),527 CMR 12.00 (PLEASE PRINT IN INK OR TY�PEI AL INFORMATION) Date: / 13— 6 City or Town of: ,/V 111&y-ed To the Inspector of Wires: By this application the undersigned ives notice of his or her intention to perform the electrical work described below. Location(Street& Number) Cj �� C%RCl Owner or Tenant !.'� "✓�r Telephone No. Owner's Address sCAWr Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service CJ Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Pro osed Electrical Work: &j//Z(> Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Tota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detection an Initiating Devices Tons g No.of Ranges No.of Air Cond. Total No.of Alerting Devices r hs No.of Waste Disposers Heat Pump Number I Tons KW No.of Sel Contained Totals: -Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent Heaters No.of Water KW No.of o.o Data Wiring: Signs Ballasts No.of Devices or E uivalent ' No. Hydromassage Bathtubs No.of Motors Total HP elecommunications Wiring: No.of Devices or Equivalent OTHER: l i Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 36» (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 the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: ,�� Signatur LIC. NO.: (If applicable, enter "exempt"/n the license number Bus.Tel. No.: Address: cl 12� C e J/-C� GI'�QZ' Alt.Tel. No.�l�3=/V *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the(check one)[] owner ❑ owner's agent. Owner/Agent Signature Telephone No. P ERMIT FEE. $rJM i �� �� � � y �' � � ��� �, 10/04/06 WED 15:05 FAX 1 781 395 8702 DF VAIDUE ARCH 0 001 D. F. VALENTE % RCHITf. 0 t & PLANNER )71 MAIN STREET a REAR S O U T H M E. D F 0 R D ,1EDFORD, MASSACHUSrM 02155-6552 D��/TIF V/ fEIIrH09E 781 - 395- 0120 ACSINILE 781 - 395 - 8707 DOMENIC F. VALENTE, A.I.A. OCTOBER 3, 2006 FAXED 978-688-9542&MAILED MR.BRIAN LEATHE,INSPECTOR NORTH ANDOVER BUILDING DEPARTMENT 1600 OSGOOD STREET NORTH ANDOVER,MA 01845 RD 'O ION E E 2020CARTY CIRCLE ,MA 01845 PROJECT NO, 06-R DEAR MR. LEATHE, WITH REFERANCE TO THE ABOVE MENTIONED PROJECT GARAGE BEAM ARE THE FOLLOWTNG COMMENTS: DESIGN LOAD ON BEAM: LIVE LOAD 30#/SF DEAD LOAD 20#/SF TOTAL LOAD 50#/SF SPAN 24' -0" SPACEING 13' 0" BEAM DESIGN 50#X 13'- 0"EQUALS 650#TOTAL LOAD. BEAM INSTALLED IS Al 8"X 7"LVL BEAM WITH A DESIGN CAPACITY OF 942#/LF @ L/360 FOR TOTAL LOAD. 1 THE BEAM INSTALLED EXCEEDS THE DESIGN LOAD. \SZtpEDQcy f.VA4 orf a0N , 1 VERY TRULY YOURS, a D.F.VALENTE, CHITECT&PLANNERT. y - OF M���o DO NIC F.VALENTE,AIA STAMP CC: DAVID NEWHOUSE DFV/jv /�/.�/3 .... Date... .. .... �aORTN Of�«ao aa1ti TOWN OF NORTH ANDOVER PERMIT FOR WIRING SAC MUS� t - /I ....... ...........:..:..... This certifies that ......./�..�.......:............... ..... .,l.............. has permission to perform A :!� .� "s, „. ..� wiring in the building,off. f. .. /�� : .. ....�;!�., .:f4 � at...... :....... ..............1.............................. .North Andover,Mass. Fee.../L!� f.... Li c.No. ......�.. ... .......... . ��*�-r�................ / ELECTRICAL INSPECTOR Check it 4851 Commonwealth of Massachustts Official Use Only Department of Fire Servic S Permit No. Occupancy and Fee Checked& kvVVY BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99 leave blank APPLICATION FOR PERMIT T PERFORM ELECTRICAL WORK All work to be performed in accordance withdhe Massachusetts Electrical Code(MEC),527 CMR Q..0 (PLEASE PRINT IN INK OR T PE AL FO ATION) Date: City or Town of: , To the Inspector fWires: By this application the undersigned ives tice of is or her intention to perform the electrical work described below. Location(Street&Nu er) Q Owner or Tenant 4 41Telephone No.?A Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 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 1 6-1 — Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the ollowin table may be waived by the Inspector of Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA AboveIn- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection and No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers . Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kit Security Systems: No.of Devices or Equivalent No.of WaterKms, No.of No. o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Hydromassage B a....t r Tot--! P Telecommunications Wiring: da... �aclitubs 1l0.of P.;otars ota H- No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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:) (Expiration Date) t Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: l 16,3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pail s and penalties of perjury, that the information on this application is true and complete. FIRM NAME: ce-sLIC.NO.: Licensee: John S. Bassett Signature Ig LIC.NO.: 1533C (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: 603 594 5928 Address: U Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Lic see 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Location ; No. Date - ACRT" TOWN OF NORTH ANDOVER A Certificate of Occupancy $ • ; + Building/Frame Permit Fee $ �ss�cHusEt _ .Foundation-Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL a 07/29/96 dg:IS Buildinglnspector -r 57.27 PAID ' 10079 Div. Public Works PER.117 NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE SUB DIV. LOT NO. FI '. L--LOCATION 20 CARTY CIRCLE / PURPOSElYP-8V-tU0?NG WINDOW REPLACEMENT L-3W NER'S NAMESTANLEY & SHIRLEY FUNC� V NO. OF STORIES SIZE \`OWNER'S ADDRESS SAME BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD �14GILDER'S NAME DEC-TAM CORPORATION 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 % IS BUILDING ADDITION MATERIAL OF CHIMNEY `/I613UILDING ALTERATION YES IS BUILDING ON SOLID OR FILLED LAND ILL BUILDING CONFORM TO REQUIREMENTS OF CODE YES IS BUILDING CONNECTED TO TOWN WATER ,BOARD OF APPEALS ACTION. IF ANY NO IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES T. BLDG. COST $8 ,811 O O PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INS CTOR DATE FILED 7/19/96 ` BUILDING INBPKCTOR �� SIGNATURE OF OWNER OR AUTH ZED AGENT F E E OWNERTEL.#(508) 686-4887 PERMIT GRANTED 508) 470-2860 CO NTR.TEL.11 CONTR.LIC.# XXXI§X 4X c _ H.I.C.# 114014 i 2 21996 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY offlCEs LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH. PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL _LIN. BM'TAREA '/ 1/2 '/ FIN. ATTIC AREA NO B M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARD11e'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME v CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 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 I 11 HEATING WOODJOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. S COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL E'M'T 2nd _ ELECTRIC lst 13rd NO HEATING NORTFI Town of 4Andover 3 yI - `r o - o dover, Mass., 19 COCHICHEWICK �ADRATEDPPa\ '9S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................................... .e ....... u. .Q�............................................. Foundation has permission to ..,K�1�7- $..77.A.n/.. buildings on .......Z...0.......... /2 ..' .......�..t. .... Rough tobe occupied as........................................ ................ >..N.C49.......... ............................................. Chimney provided that the person accepting this permit shall in every respect conform to the ms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F Rounal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. rrl.lnr•r7cJr' J Restricted To: 00 a DEPARTMENT OF PUBLIC SAFETY 50055 CONSTRUCTION SUPERVISOR LICENSE 00 - None Number: Expires: Birthdate: lA - Masonry only CS 066714 09/241999 09/24/1939 16 - 1 & 2 Family Homes Restricted To: 00 Failure to possess a current edition of the Massachusetts State Buiilding Code LEROY SNODGRASS is cause for revocation of this license. 10 LOWELL JUNCTION RD ANDOVER, MA 01810 c _P 1_ — f. 2219% j t4tC � � t' �� i 4 a. Ir, JUL 1996 This proposal is submitted in accordance with your invitation to provide a quotation for lead abatement and decontamination. The undersigned, having carefully examined the site upon which the work is to be performed and having become familiar, by the investigation with the various existing conditions which may affect the project, agrees to furnish all materials, to perform all labor, to furnish all equipment unless specified, and otherwise to do all the things necessary to complete, in a professional workmanlike manner, the contracted work, in strict accordance with all EPA, OSHA, state, federal, and local regulations. SCOPE OF WORK Based on lead inspection/surface assesment form prepared by: Make intact all loose and flaking paint on the following components: • All exterior siding • All exterior trim(upper and lower) • Baseboard faces and associated molding • Interior walls(including closet walls where required) • Interior ceilings Misc l: Misc 2: Misc 3: Misc 4: Misc 5: Scrape to bare wood the following components: I • Door jambs to header level (does not include header) • Door casings to header level if flat in contour(does not include header) • Window casings to header level if flat in contour(does not include header) • Window aprons if flat in contour • Baseboard outside corners back to 4" regulatory standard • Door slabs to compliance (i.e. to regulatory 5'level vertically and back regulatory 4" (horizontally) on strike edges • All exterior mouthable surfaces below regulatory 5' level to compliance (including but not limited to casings, sills and thresholds) • Window jamb areas • Stairway stringer to regulatory 5'level • Stairway treads and risers to compliance (i.e. back regulatory 4") F �i��.l� 4cfttL A` • i 221996 • Stairway treads and risers complete Misc 1: Misc 2: Misc 3: Misc 4: Misc 5: Remove, chemically strip off site and reinstall the following components: • Door slabs complete • Door casings to header level if detailed in contour(does not include header) • Window casings to header level if detailed in contour(does not include header) • Window aprons if detailed in contour • Interior window stops • Cabinet doors • Stairway balusters • Existing window sashes Misc 1: Misc 2: Misc 3: Misc 4: Misc 5: Remove, dispose of and install the following new components: • Interior window stops • Existing positive window sashes to be replaced with white vinyl double hung replacement window with insulated glass, half screen and tilt feature for easy cleaning Manufacturer: Configurate: • Existing positive window sashes to be replaced with wood double hung replacement window with vinyl balances, insulated glass, half screen and tilt feature for easy cleaning Manufacturer: Configurate: • Stairway balusters • Stairs handrail • Exterior " " side porch railing system to be replaced with basic handrail, balusters (2" x 2") and lower rail • Basement windows to be replaced with new white vinyl replacement units Misc l: Misc 2: Misc 3: Misc 4: jj -TUN-173-'�'r MGN 15 :50.. E TAR ENV I F;t7haMENTAL: INC. l Star Environmental Services,Inc. • P.O.3ox 1027 Melrose.MA 0711176 (617)662-_22-0 Fax:(617)9%9-+')060 Lead cdonl S=ace A.ssessmen.c Forte :11=eC.0rj agency �ddresS DL City C:iid's Name L ut :irsL IniL) Birthdate i WDM, Sex Porcnt/Guardians Lsst Name Parent!Guardian's First44Narne Cwners Name: Owners ACUless: ;;k ' 0� 1 p o v�o ,CEY: .aP �aosa Remarxst Catlhrawrt: VA -lel nEG �«ia� I ' ':>c»rd0a1;amsm�sat2tut a4t5 Oror•a s..s Swrn Yrwl+ls ra.r+rll t•.ItTl.ara•alwrl iwaer llr.v+ P E!./ r��? rt1WiCM1>•Ill roe r" Yw/anwr.r I•<U1f a+.a laualll }a.rtlff�IMwrt EJ rMIW /:GA:iAri YAI»l�llr I.aNf�.n l�.+r trNf 7wtliM =2040 la oils SAN*" Flo" i Flow s2: LJ' 1 � � 1 1 1 1 f 1 1 1 1 •1 1 1• l I I 1 1 1 il 1 � -�- ` - _.. rr_r _r- ..TAT+ +T+ +r+ r+r' 'r-r- +•rr - - -r_r-r+ ?+ -T• -r.r r r- r- T -T-T-' ++_ _ 1 •• •t i 1 1 1 1 1 ~t 1 1 1 )f1 1 1 I 1 .. _ _r_Tr�P -r +TAT+*�� -7 r+ +r•+�+ /r r - -�- +T� � - ++tet.. �♦+ -1-- rl...rr r III r�T^ +y-. / 'L�-}^ +L+a�_s +.a+ �1.- +r L- ..-�-�++� +�+ •tet •'f 1 1 t 1 I 1 I 1 1 1 ! 1 1 1 l 1 ( t 1 1 1 1 1 1 1 1 1 1 I 1 1 _L_L-.>-_}_LrL+`+Lr♦+ice}- .+_J+ -L.rL+L�LrL+L-}+l+♦- -++L.+i+1. • � 1 t 1 f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 l 1 1 ' A(str>aet side) A(=eet side) Pb (toad) more than I.2 mgfcm2 with x-cay fluoiescance or positive with NarS is nlegaL -- INSP.OATS Mr+) wa RQNSR GATE t...wt..l•lr �• <` REINSP_GATE L..e+ REINSP.DAIM t.rwnl�ta .. //•• 11+�M It1+1Ll I I I—Ell L Awr�.• REINS?.OATS srr�..�... Date! ` I� ! F1i..�.a` ' y Mon, Jul 01, 1896 09: 43 AM EDT From: Harvey Industries Page 2 HARVEY INDUSTRIES, INC. 1-lar�vEv - 4sEMEF�SONAI�AD/WALINAM,MA 02154 (bl�ssaMANUFACTURING ACKNOWLEDGEMENT Quality Building Products for the Professional Contractor sDEC-TAM CORPORATION sDEC-TAM CORPORATION �cK.a 03-03888 010 LOWELL JUNCTION RD HID LOWELL JUNCTION RD DATE 7/01/96 D P PAGE x 1 TANOOVER MA 01810-5906 TANDOVER MA (508) 470L-2860 o O JOB SALES CHARGE ORDE WAE CARTY CIR REP 0306-NANCY LEMONT CUSTOMER ORDERED SHIP PHONE NUMBER 00065080 P.O.9! BY JOHN VIA 03- ORDER I NO QUANTITY COLOR PRODUCT DESCRIPTION 0002 WHITE CLASSIC DOUBLE HUNG [ 20 ] [ 53 1/2 ]✓OPENING INS REPLACEMEN HALF SCREEN SCREEN WIRE-ALUMINUM GRID INFO: MODEL: IN-GLASS STYLE-COLONIAL 94/04 0001 WHITE CLASSIC DOUBLE HUNG [ 31 7/8 ] [ 49 5/8 ] OPENING INS REPLACEMENT HALF SCREEN SCREEN WIRE-ALUMINUM DOUBLE LOCKS GRID INFO: MODEL: IN-GLASS STYLE-COLONIAL /06/06 0001 WHITE CLASSIC DOUBLE HUNG [ 35 7/8 ] [ 49 5/8 ] OPENING INS REPLACEMENT HALF SCREEN SCREEN WIRE-ALUMINUM DOUBLE LOCKS GRID INFO: MODEL: IN-GLASS STYLE-COLONIAL A08/08 0001 WHITE CLASSIC DOUBLE HUNG [ 35 7/8 ] [ 49 1/2 ] OPENING INS REPLACEMENT HALF SCREEN SCREEN WIRE-ALUMINUM DOUBLE LOCKS GRID INFO: MODEL: IN-GLASS STYLE-COLONIAL ,-08/08 0001 WHITE C/CASSIC DOUB E HUNG [ 35 3/4 ] [ 45 1/2 ] OPENING INS REPLACEMENT Cz'� �ztb � HALF SCREEN SCREEN WIRE-ALUMINUM DOUBLE LOCKS GRID INFO: MOOEL: IN-GLASS STYLE-COLONIAL 08/08 0001 WHITE CL�_SSIC DOUBLE HUNG [ 35 3/4 ] [ 45 3/4--] OPENING INS REPLACEMENT HALF SCREEN SCREEN WIRE-ALUMINUM DOUBLE LOCKS GRID INFO: MOOEL: IN-GLASS STYLE-COLONIAL 08/08 0001 WHITE CL SSIC DOUBLE HUNG [ 32 ] [ 45 1/2 'j OPENING INS REPLACEMENT iS5U-Vit-UV h'1 l[1 HALF SCREEN SCREEN WIRE-ALUMINUM ll DOUBLE LOCKS GRID INFO: MOOEL: IN-GLASS STYLE-COLONIAL 06/06 ss*e CONTINUED ineackm,+!rngcmcra e,a uirnurp grcmtre M:wccn tnr.scttrr 1•af(v�'r iNnusTnlFs INC anatec nuyer mr.r,cncr nn 7 ieyWnw7ln for trninula(i+ey)Ihn uUVYn rVYlutn Womx1f to Uw Unl�lal yFc('IIIcalwns IIs1nU nn Um agiafnnul I I+n t r I j� 1� � !t( I L Myere,rr.,rm,IMr,tomm.wAnaappmrcINXr.f 1, 11V'ntPcnnclrccryrRtne•atmrnwcagmxtr;torffWrTc:N,notay tnC-,c&;rM.nycr ..,mange',,or(rr,IrNOK,IniNv,t Wt-01 VW1 ;and to a�rr:MACNrtty Ntht.-,curt—pr,"Ulr. - r 1'Y llwluleN UWt'•NII IICSIIUII VI('(flt+lellnn. 221996 1 J r non, Jul 01, 1991; 09: 43 AM EDT From: Harvey Industries Page 4 HARVEY INDUSTRIES, INC. MANUFACTURING 43 EMERSION ROADI WALTHAM,MA 02134 (61,9 899-9300 G a a ACKNOWLEDGEMENT Quality Building Products for the Prafessional Contractor SDEC-TAM CORPORATION SOEC-TAM CORPORATION ACK.a 03-03888 010 LOWELL JUNCTION RD H10 LOWELL JUNCTION RD DATE 7/01/96 D P PAGE t 3 TANDOVER MA 01810-5906 TANDOVER MA (508) 1470`2860 ��gg 0 0 DAME SALES CHARGE ORDE CARTY CIR REP. 0306-NANCY LEMONT CUSTOMER al.'rrv. ORDERED SHIP PHONE NUMBER 00065080 Ras BY JOHN VIA 03- ORDER I NO QUANTITY COLOR PRODUCT DESCRIPTION 0001 WHITE CLASSIC DOUBLE HUNG [ 28 ] [ 41 1/2 ] OPENING INS REPLACEMENT HALF SCREEN SCREEN WIRE-ALUMINUM DOUBLE LOCKS GRID INFO: MODEL: IN-GLASS STYLE-COLONIAL 06/06 0001 WHITE CLASSIC DOUBLE HUNG [ 28 ] [ 41-"' ] OPENING INS REPLACEMENT HALF SCREEN SCREEN WIRE-ALUMINUM DOUBLE LOCKS GRID INFO: MODEL: IN-GLASS STYLE-COLONIAL 06/06 Ttd•. cktnxvleArlcxMr,!tr.:hinMrr,aprcr.!Ymrd Mween tha ecll;:r HIAWF!IWA II T@I R I r F NC a,d the huy,:r Tnr reOcr IY te7yyitYllMN lnt li\tnVlt!lVivl{l llfe:lUt+Try1VI11 lMOhVCl7ln Ux lltl::tAPU f�llllll"aW11Y itY1W 911I117:171 tllYIINIIL 111 �4 I�� 1S � ':1 Mr+Y IS rct�+nSMN to mvkw ar,tl aprrovc lh,er.n�,v.MF•afler,r.Igen AJlvay tfL',IxndnewlMh✓n:rA;LS trvnrdWteN n<difjI�' C IDC.kr"M Arrr/m. 7,,,fjw,gC,,,rr wninnl ,,In tnmc rryvOGwt4xr,mm to Acuriicily gy coma domwi promxin rnne I,y uxu iwu;:;:alron N k—plok'n, 2 2 �G�, Location No. Date MORTol TOWN OF NORTH ANDOVER f � • OOL Certificate of Occupancy $ Building/Frame Permit Fee $ sACNUS Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 13697 `! 1/ Building Inector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI&RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. / D/`j DATE ISSUED: SIGNATURE: C3 / oZ rD BZommissioner/I for of Buildings Date SECTION 1-SITE INFORMATION LI Property Address: 1.2 Assessors Map and Parcel Number: C9 V 04 rl Nn ^b JOA KM A9-S J C Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: O Zoning Distrid Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Re 'red Provide Required— Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Infomratioo: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 OwnYr of Record LDgjI'�J t��2� ��lZ� � c eln�-� � 114 Name(Print) Address for Service: n )C.1 Signature Telephone 2.2 Owner of Record: ^d V Name Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES Zi.I Licensed LConstructio�n Supervisor: ` Not Applicable C1b("1� t7 f—W Z/q�a� (J' Licensed ConstWction Supervisor: OG l Z d O © �3 DSL LC- �jQ t'U(� License Number Address / J 12 . / TR 00 k.,K/'r S-S Expiration Date Signature Telephone L—,/ 3.2 Reis red Home Improvement Contractor Not Applicable ❑ AL- J/.)6(_--A ERIC:' 12-6t l I q36 Company Name M () L�I�G�'�"LS�� ✓ Registration Number Address 9'1 HExpiration Date � Si na –Telephone G) 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.......0 No.......0 SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 1 r 12 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL U,SE ONLY Completed by permit applicant : s I. Building (a) Building Permit Fee S, 9 oc) 6 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, 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. t 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 J Print Name Signature of Owner/Agent Date NEWT NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvMERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS 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 - ..1., r , + *,.,. .r..'r J.ix'fi,-rhr•':r....-v , ..r .d; _ 4: � k • II & Commercial 0 �e Licensed& Insured • Roof Leak Experts • -L� ;j"��. (978) 794-3883 • 1-800-WAIT-4-USEM V�l z ­" p MOM Proposal Submitted To Phone Date Street Job Name C14YZ C ,j2cLc= City,State&Zip Code Job Location 56/ Job Phone 23f��� oma.. 2 tz^'+t✓� a5 We Propose hereby to furnish and labor in accordance with specifications below, for the sum of: C14 t-wu.+ Ola o Dollars ($ ,,5, ao ao JL-u /` p6 ilk All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices.Any alteration or deviation from specifications be- Signature: low 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 NOTE:This proposal may be or delays beyond our control, Owner to carry fire,tornado and other necessary insurance. Our workers-are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. t r' We,hereby submit specifications and estimates for: i T�• �t �;JG7�L �aM,.. �,�.J aJs c=` -I GA-gq CS-L-:- 094L)- sl.=dlr>. )- l:-I-j - 0G4L: S 1r--VL.T S +ri­�k-(.ts3 -17-heZeu&/4- I L L -a� U)t' 0 T--f/L (g!J M f4,J -1,$Ll- C.T1 E/1 ��. �S`LS 04--W1T -a/L Ui---i1 CA-r,,o/1 i I S o /,t a= /Dua C' Lldn.1T i c V s Cc,�P.4/r S-/nJ 4 t- V S I, Ali 'J4 Acceptance of Proposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment Signature: will be made as outlined above. S , Date of Acceptance: Signature: F p g f i 4 - ��~� -�'- � �rS CInAl�t,rn-� (�f� r - � �� _ _ 3- � "