HomeMy WebLinkAboutMiscellaneous - 209 WEBSTER WOODS 4/30/20183797
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TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
('7
This certifies thai7?-A2 ........... , . ......
J has permission to perform . ................... ................................
wiring in the building of..(, ....................................................
.................... .. orth Andover, Mass.
at ... ... )zz
Fee . ...... Lic. ............... ,
.. ..... ................................................
VELECTRICAL INSPECTOR
# /� "
Official Use Only
Permit No.
vo a -t PaBlla Said Occupancy & Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 1 :00
(Please Print in ink or type all information)
Date 1
To the Inspecto of Wir :
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number 6309 Lt"S, -
Owner or Tenant(Fir1 t `�L' Cnszy
Owners Address S k C- CA -)C-)-> S
Is this permit in conjunction with a building if Yes No ❑ (Check Appropriate Box) 1 a v
Purpose of Building �i �• DCT \ Utility Authorization No
Existing Service r:�b Amps ac
H 0 Voits Overhead ❑ Undgmd
New Service Amps Voits
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
Overhead ❑ Undgmd ❑
No. of Meters
No. of Meters
l�Tl.lCD• �'t/\�r� wee IJ`�I Poo
1 v
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO =
14.1ve submitted valid proof of same to the Office YES = NO = if you have checked YES please indicate the type of coverage by checking the appropriate box
INSURANCE = BOND = OTHER=.(Please/S�pe,.ciiffy)) (Expiration Date)
Estimated Value of EI ctrl- al Work$ CD ` 0C� w'
Work to Start ZD " d� 3 • (D o3 -Inspection Date Resquested 5 eA It Rough Final
Signed under the Penalties of perjury:
FIRM NAME ``� A +1 `t` LIC. NO.
t1, it 0 Sinnxtum- i- I /l LIC. NO. " �y
eN eC 4iI (ABusr Tel
r I D .�V '� Alt Tel. N0.
does not have the insurance coverage or its substantial equivalent as required by Massachusetts
n waives this requirement. Owner Agent (PleaseCheckone)
Telephone N 79 J ✓[PERMIT' /'$ O
OWNER'S
W aware t
;si datuthspermitGrlLa.pn that
of Owner or
Total
No. of Lighting Outlets
No. of Hot fuse
No. of Transformers KVA
Above ❑
In ❑
No. of Lighting Fixtures
Swimming Pool grnd ❑ grnd ❑
Generators KVA
No. of Emergency Lighting
No. of Receptacles Outlets
No. of Oil Burners
Battery Units
No. of Switch Outlets
No of Gas Burners
FIRE ALARMS No. of Zone
No. of Detection and
'
Total
No. of Ranges
No of Air Cond
Tons
Initiating Devices
Heat Total Total
No. of Di sal
No. Pumps
Tons
KW
No. of Sounding Devices
No./ of Self Contained
No. of Dishwashers
Space/Area Heating
KW
Detection/Sounding Devices
❑ Municipal ❑ Other
No. of Dryers
Heating Devices
KW
Local Connection
No. of
No. of
Low Voltage
No. of Water Heaters KW
I Signs
Bailases
Wide
No. Hydro Massage Tuds _ _
No. of Motors
Total HP
l�Tl.lCD• �'t/\�r� wee IJ`�I Poo
1 v
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO =
14.1ve submitted valid proof of same to the Office YES = NO = if you have checked YES please indicate the type of coverage by checking the appropriate box
INSURANCE = BOND = OTHER=.(Please/S�pe,.ciiffy)) (Expiration Date)
Estimated Value of EI ctrl- al Work$ CD ` 0C� w'
Work to Start ZD " d� 3 • (D o3 -Inspection Date Resquested 5 eA It Rough Final
Signed under the Penalties of perjury:
FIRM NAME ``� A +1 `t` LIC. NO.
t1, it 0 Sinnxtum- i- I /l LIC. NO. " �y
eN eC 4iI (ABusr Tel
r I D .�V '� Alt Tel. N0.
does not have the insurance coverage or its substantial equivalent as required by Massachusetts
n waives this requirement. Owner Agent (PleaseCheckone)
Telephone N 79 J ✓[PERMIT' /'$ O
OWNER'S
W aware t
;si datuthspermitGrlLa.pn that
of Owner or
Date . ?- J, .." . L
TOWN OF NORTH ANDOVER
.a
} p PERMIT FOR PLUMBING
'SSACMUS�
This certifies that ....................
has permission to perform ..... P.0 v 4. n. I ..........
plumbing
ggiin the buildings of ..................................
at .... C.. .�-. F'. -/ .................... . North Andover, Mass.
Fee .Ja. Lic. No....Q 7.... ........
LUMBING INSPECTOR
Check #
5338
t
MASSACHUSETTS UNIFORM APPLICATON FOR PERMfr TO DO GAS FTrn NG
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS
Building Locations 1 �
Owner's Name
New a Renovation E] Replacement
Permit# 13-J3.k
Amount $ J ;
S� V --
Plans Submitted 0
(Print or type)/ ��_ �� one: Certificate Installing Company
Name—��Gu. r'a` Corp.
Address S v 13' K Ed ✓L 0 Partner.
`—',k U- P//- ttee± f ✓-Q./L— ✓Lti��.
Business Telephone %/; �j IEFFinwco. .
Name of Licensed Plumber or Gas Fitter
OVED (OFFICE USE ONLY)
�, Signature of Licensed Pl1f ber Or Gas Fitter
t ; f Plumber 1-2 1
rl Gas Fitter License um
L.W. J ter
0 Journeyman.
Location
No.
If
Check # f
130' 8
Date 6 --lc -6c-)
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Building Inspector
CERT/F/ED N Q T PLAN
S.E. CUMM/NGS & ASS0C/A TES
P.O. BOX 1337 PLA/STOW, N.H. 03885
TELEPHONE (803)-382-5085 PAX (803)-382-5216
S 0824'50" E
S 29'18'37" 9.71 1�
16.56'
S 0 '52'39 " W
14.45
EDGE OF FLAGGED
WETLANDS
s g
\ '�0 .7 F
� •oma.
F
1 LOT 12\�F� so
62,486 S.F.
orso��j�Y / •���� ��
SCALE 1 " = 60'
l HEREBY CSR 77FY TO TOWN OF NORTH
ANDOVER, MA SU/LD/NG DEPARTMENT
THA T THE EXIST/NG FOUNDA 770N DRAWN
ON THIS PLAN IS L OCA TED AS SHOWN
AND THA T /T DOES COMPLY TO THE
MINIMUM BUILDING SETBACKS TO
PROPERTY LINES.
11
N 37-001
-07 0'00 W
175.00'
OF MAS�gCti
ALBERT
C) TR EL
No. 36869 0
a
\FJ o �EGISTER``� J�
DA 7F• APRIL 28, 2000
MINIMUM SETBACKS- FRONT - 30 FEET
SIDE - 30 FEET
REAR - 30 FEET
754-CPP12 .DWG
Location,:-,20�
No. 611 Date<' z—
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
�9 s''•'°' E<�' Building/Frame Permit Fee $
�CHUS
Foundation Permit Fee $
Other Permit Fee
TOTAL
17
Check # , �as/
1556)
$
%/ Building Inspec
Location a 2 (� Spier W oo cps tAa'-
No. .5 Q6 Date S 3
NORTN
TOWN OF NORTH ANDOVER
3j • . OL
y
Occupancy
$
Certificate of
1. �'�s'••'°'''t�'
s,►cMU
Building/Frame Permit Fee
$ 3�
f
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$ c23 0
Check # a I C1 4,
1
6349 xv A( L',, -
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIJ RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
.z ..... -
BUILDING PERMIT NUMBER: /� ? /_ DATE ISSUED: �r 5,,c,.2 O D`j
SIGNATURE:
Building Commissioner/1ctor of Buildings Date
SECTION 1- SITE INFORMATION.
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
zd_q u' 5-6 s JeA Ukad5 LN
l Qa 16
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
Zoning District Proposed Use
Lot Area (so Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required Provided
1.7 Water Supply M.G.L.C.40. 5 54) 1.5. Flood Zone Information:
1.8 Sewerage Disposal System:
Public 0 Private 0 Zone , Outside Flood Zone 0
Municipal 0 On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
�?;Aa c ✓C AIS E Z �}`' E hS �'�r>_ �Q�Oo c�S 6J
Name (Print) Address for Service
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable 0
0 N
—6
Licensed Constr_ustion Supervisor:
License Number
Address
L� - z y -
, A /,4'jgfa,.
S -5
Expiration Date
re Telephone
3.2 Registered Home Improvement Contractor
Not Applicable ❑
1<.CE� Co�Sf2Jci-��,J
/o S34
/
Name
Company
Registration Number
`
Address_
X ' 6 l -, j 7J0
Expiration at
re Telephone
M
M
z
0
Q
a
M
1�
G
IRIJW
0
z
M
90
0
on
r
Q
M
_r
z
0
SECTION 4 - WORKERS COMPF,N.SATTON A4 r T. r IS1 P
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 ....... 0
SECTION 5 Descri tion of Proposed Work check all
applicable)
New Construction ❑
Existing Building. 0
Repair(s) ❑
Alterations(s) .
Addition ❑
Accessory Bldg. ❑
Demolition ❑
Other ❑ Specify
Brief Description of Proposed Work:
Z
k2rro nm w / /z
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Coit (Dollar) to be
Completed b permit a licant
I C'
9 -0� V1
, r�,�,;
(a) Building Permit Fee
Multiplier
(� F
til k0 2 �.�` �eT '
1
1. Building
7i /
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) X (b)
a �0
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
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
,aeAAuthorized 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.
A,' b JN 5-t� Z
M
�5 `S
Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 2 ND3
SPAN _
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIIMFNSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERLAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
0
The Commonwealth of Massachusetts
Department of Industrial Accidents
officeof/mres#921/ons
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
g q s"
M I am a homeowner performing all work myself.
J;�l am a sole proprietor and have no one working in
6—
I do hereby cern under the int a penalties o perjury that the information provided above is true and correct.
Signature '/ Date
'1
Print name ti l� E w . _ ._.-. Phone #
t�official use only do not write m this area to be completed by city or town official ,.., ...._
city or town: permitAicense #
ri
Building Department
check if immediate response is required pLicensingBdard'C]Selectmen's Office
[]Health Department
contact person: phone #; -Other
(revised 3/95 PIA)
I - ✓�-�'an����l �'�, Flu ` I
�P. BOARD OF BUILDING REGULATIONS j
License:-.CONSTRUCTIONSUPERVISOR
C�
r Number: -CS 05824'5,.`
w
Birthdate. 03/24/1943
yExpires:,03/24/2004 Tr no: 20021
Restricted: 00
KENNETH -B KEEN
21 HEWITT AVE I.
i N ANDOVER, sMA 01845 Administrator.
I
34.
. Board of Building Regulations. and Standards
HOME IMPROVEMENT CONTRACTOR
Registration 108383
Exp ration 8/1.812004 i
Type DBA
KEEN CONSTRUCTI0WCO.
Kenneth Keen
21 Hewitt Ave GG��
No. Andover, MA 01845
I Administrator
KEEN CONSTRUCTION CO.
21 HEWITT AVE.
N. ANDOVER, MA 01845
(978) 691-5201
QUOTE
Casey, Steve & Diane
209 Webster Woods Ln.
N. Andover, MA 01845
(978) 794-9490
Contract #1604: Appendix A Date:1/13/03
Damage in garage/ basement from vehicle:
• Remove & rebuild 12' of wall between garage & basement and 40" of closet wall
• Replace 3'0" x 6'8" 6 -panel steel door
• Replace 2'6" x 6'8" 6 -panel hollow core 6 -panel door
• Replace two passage sets on doors
• Remove & re -install electrical wires & fixtures in effected walls
• Skim coat plaster effected walls to match existing
• Supply & install 3 %2" Jalco casing on doors
• Supply & install 5 '/4" Speedbase on effected walls
• Paint walls, doors & trim to match existing
This quote is for damage created by runaway vehicle only and does not include
hidden damage other than described. Other electrical wires not pertaining to visible
fixtures that must be moved to complete work will be done so with an additional
charge.
Total cost:$5950.00 (five thousand nine hundred fifty dollars)
Customer
Date
Kenneth B. Keen
Date
KEEN CONSTRUCTION CO.
21 HEWITT AVE.
N. ANDOVER, MA 01845
(978) 691-5201
Total Price: $22,710.00 (twenty two thousand seven hundred ten dollars)
Price does not include cost of permits, hidden damage to garage & hallway (including
electrical wires not pertaining to damaged area), smoothening of existing textured walls,
or carpeting on stairway.
Payment schedule:$ 1000.00 due when contract is signed
$7500.00 due first day of work
$4500.00 due when framing is complete
$3500.00 due when rough electric and plumbing is installed
$3500.00 due when blueboard is hung
$2710.00 due when contracted work is complete
Customer
Date
Kenneth B. Keen
Date
2
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Date.-)--. -).t : ` 3. .
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that .. R . A'...S'e ....................... .
has permission to perform ....` ...............
plumbing in the buildings of ..e../,I.S., c .Y ................... .
at .. �.D..R.. 4� G. �.t. �.t�.. �-� c. �.� ...r, , North Andover, Mass.
Fee. ,s.� f..... Lic. No.. Y r. 2. (. ........
PL IVIBING INSPECTOR
Check # 0 C)
5609
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location ZU
L �✓° (9 k,5
C(/%✓� �'/ S I ,E� Owners Nat
CPermit # s 9
�
��.� . Amount
` 3J�
Type of Occupancy ( �-2
New ❑ Renovation Replacement ❑ Plans Submitted Yes No
FIXTURES
(Print'or type)
Installing Con
Address
Check one:
Name Ui •--1 f li%�_ �' �- o Corp. -
W U �- v ` 11 Partner.
0-Firm/Co
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy 0-- Other type of indemnity 11 Bond
Certificate
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed un�jer Permit for this ap Ijcation will be in
compliance with all pertinent provisions of the Massach j State tubing ode and Ch der 142 o��eral Laws.
;D (OFFICE USE ONLY
Type of Plumbing License
3�
rce► a Number MasterEr Journeyman 0 -
T
03
.......................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ........... / ....... ..
.......................... I ..................................
has permission to perform ...... ....................................
wiring in the building of ....... . . ..... ;' ........................................................
at ...... :. ........
.......................................................... ;North Andover, Mass.
Lic. N .......... 4 ................
ELECTRICAL INSPECTOR
.� .....
Fee�-.6 ............. o
Check # '
4 1; -) n
COrlfJliplrwea� o` l �c�ac%u��
For offige Use only
(Rev. 11/98)
..UsPar�nwrf o�„ti�t �ervicad Permit Number:
BOARD OF FIRE PREVENTION REGULATIONS occupancy Fee
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
(ALL WORK TO BE PERFORMED wrrH THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:00)
PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: 5— ZZ -0
City or Town of: JV a 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)_ BS J �' �n �r9U ow,
Owner or Tenant: ► Chp t- � '� e IF _ G SPG, f
Owner's Add
C
Is this permit in conjunction with a Building Permit? Yes � No ❑ (Check Appropriate Box)
Purpose of Building: Utility Authorization #:
Existing Service: 2 Amps i ZO/ ,2YWolts Overhead ❑ Underground. # of Meters
New Servicer Amps / Volts Overhead ❑ Underground.❑ # of Meters:
Number of Feeders and Ampacity:,
Location and Nature of Proposed Electrical Work: t hf-5-u5
iNburtANUL COVERAGE: Unless waived by the owner, no penult for the performance of electrical work may issue unless the licensee provides proof of liability insurance
including "completed operation' coverage or its substantial eq lent. The undersigned certifies that such coverage is in force, an h� ex ibited proof of same to the permit /
issuing office. CHECK ONE: INSURANCE _tom BOND ❑ OTHER ❑ Pleases eci G
Estimated Value of Electrical Work $ (When required by municipal policy)
Work to
r erury, under the pains
%aT d penalties,opfl
Finn Name:_ k 6 er' a � I3Gl� 1.
Licensee: Signature:
(If applicable, enter
Address:. Ave 5CL (&: , , 4 % AY
Inspections to be requested in accordance with MEC Rule 10, and upon completion.
the Information on this application is true and complete.
LIC. # ,ct,1 7 2
#
t" in the license numha, 1Inu1 LIG. �2,
Tel. #,f7 7/-1/14�
Alt. Tel. #
1wr%AFM" VVAIvtK: 1 am aware that the Licensee does not have the liability insurance coverage normally required bylaw. By my signature below, I
waive this requirement. I am the (check one) Owner o OR Agent o
Signature of Owner/Agent: Telephone # /
PERNIIT FEE: S.