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Home My WebLink AboutMiscellaneous - 21 MAGNOLIA DRIVE 4/30/20189 -Tj C -1-a Date .... ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... . !� .... . ....... ?........ .......................... �A has permission to perform .... .......................................................... wiring in the building of ...................................................... I ...................... atz;,�X ....... ..... . No A�, over, Mass. ................. North k • over, Fee ..................... Lic. Nc'�Zw .............. . I JNsp� NSPE EiLE�CTRICAL Check # 7600 a4 N 7 f 7.� Commonwealth of Massachusetts r Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Permit No. % aU Occupancy and Fee Checked tev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE AL INFORMATION) Date: 112 '�,e�)7 City or Town of: /V AV a.-/ el, 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 & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes L No La/ (Check Appropriate Box) Purpose of Building e Utility OLuthorization No. -fix-.22:0Existing Service !a'o Amps 126 / 2 Volts Overhead Undgrd ❑ No. of Meters l New Service 00 Amps 120 / 2 Y Volts Overhead�Undgrd ❑ No. of Meters Number of Feeders and Ampacity -_?d4 /5/0 !2n Location and Nature of Proposed Electrical Work: _9 Do Completion of the ollowin table m be waived by the Inspector of Wires. �13 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 rnd. rnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of OR Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of netectton an Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers eat um Totalsp ym er ........... .....................'... ons .. ... o. oSelf-Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local 0 Municipal❑ Other Connection No. of Dryers Heating Appliances KW SecuritySystems:* No. of Devices or Equivalent No. o afar KW Heaters o. o o. o signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications icesor in a - No. of Devices or E uivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: a Q 00-tV (When required by municipal policy.) Work to Start: 9 4 q- 6, 7_ 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 cove a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [T BOND Q OTHER ❑ (Specify:) C 0 C7 / 771 SSI I certify, under th!�pains and penaMec of perjury, that the information on this application is true and complete _ FIRM NAME: Djo eS,/I�Iz Pcr`iC% LIC. NO.:�E' Licensee: .Jefv/�?e .5, Signature Signature - _ LIC. NO.: (If applicable, enter ex�m� t" in the h nse in er line.) —Bus. Tel. No. 6 Address: a61 G� ec Ji�� V �`l�oyP/ / a .D� � Ait. Tel. No. *Security System Contractor License required for this work-, if applicable, enter the license number here: 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 went. Owner/Agent PERMIT FEE: Signature Telephone No. 1:, r` 4 Location 2�% �'� ��•+-U� .? p3 =� "a i No. Date `� NORT" TOWN OF NORTH ANDOVER • ; ; Certificate of Occupancy $ �'� s''•'° Eta �C14US Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ " TOTAL $ f Check # 17419 Q) 2, , �Building Inspv TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING s .aOH8i' iCi�e <: BUILDING PERMIT NUMBER: DATE ISSUED: 4/1— SIGNATURE: Building Commissioner/I RvEtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: h4A � 1/1(A1 �7t� D V I 1.2 Assessors Map and Parcel Number: 3 d d� 0� Map Number Par&l Num All N=MA 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard ReqWred Provide Rapired Provided R red Provided 1.7 Water Simply M.G.L.C.40. 54) Public 0 Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 1110 iU 1 l t� u i 5 u ILA. res i v v 2.1 Owner of Rd 1 rlt6o N m (Pnnt) Address for Service t14n Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ mpany Name ::#— f (J v 1 R gnstra ' n Number Add L,44 I-Aj C Expiration Date Signature-Q,el hone T rn X z O v rn z rn O e rM v r r zz V/ 0 SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) 1 4 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 it. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work (check all aoolicable I New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ 1 Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ 1 Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: k I I I t I SECTION 6 - F.STIMATFD r0NCTR1TCT1nN r,n.QTc I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY I . Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 6, 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+5)Check Number SECTION 7a OWNER AUTHURIZATIUN TO BE COMPLETED WHEN OWNERS AGENTI OkCONTRACTOR 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. , L./ Si `atu e of Owner Date SECTION 7b OWNERIAUTHORIZED AGENT DECLARATION 1, 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 P Print Name of Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvlBERS 1 ST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH VINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 0 11 0 i North Andover Building Department DEBRIS DISPOSAL FORM Tel: 978-688-9545 In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be s 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 Facility) Signature of Permit Applicant d Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I 0 5 a Dimitrios General Contracting 91 High Street Lawrence, MA 01841 1(978) 685-7573 (978)618-8085 MA Contractor Registration ID: 136105 June 23, 2004 Proposal To: For work to be performed: Dean Dillon -j- P Same 21 Magnolia Drive North Andover, MA 01845 (978)314-1668 (617)913-1999 We hereby propose to furnish materials and labor for the completion for the following work. Specifications • 25 squares of roof will be stripped. • Roof will be prepared with 6 feet of ice and water shield on eves and vallies. • 30 pound felt paper will be applied to remaining roof. • 8" aluminum white dripedge will be installed • 35 year Organic Architectural IKO shingles will be installed. • Roof ridge vent will be installed. • Chimney flashing will be replaced. Contractor will dispose of all debris. Customer will choose color of shingles. Customer is responsible for protecting any items in the attic from fallen dust and debris as roof is stripped. This contract is based on a two layer roof. If there are any additional layers, there will be a charge of $40 per square per layer. If roof deck needs to be prepared with plywood it will cost an additional $45 per sheet of plywood. This is not included in the original contract price. Dean Dillon Roof doc Page 1 of 2 Dimitrios General Contracting 91 High Street Lawrence, MA 01841 1(978) 685-7573 (978) 618-8085 All material is guaranteed to be as specified. All workmanship is guaranteed to be for a period of 5 years from date of completion. All work areas are to be kept clean by contractor. All insurances are to be carried by contractor. Contractor is responsible for obtaining necessary permits. Cost of all materials and labor is $ 7,640. $1,000 is due upon signed contract. $3, 000 is due upon starting. Balance is due upon completion of the roof Respectfully Submitted, Dimitrios Karagiorgos Acceptance of Proposal The above prices, specifications, and conditions are satisfactory and are accepted. Dimitrios General Contracting is authorized to do work as specified. Payment terms are accepted and will be made as outlined ab P. Signature Date Customer r Signature Date"' imitrios General ontracting Dean Dillon Roof doc Page 2 of 2 U) m x m m m CA y v m CA CO) CM) CD azo CD 0 06 'o.• O C. S. y icc '=O OCD d o p CD o Q �dCD CDo CD ao v a C CD y FL, v y -• o cc C a v y O CD z o � CD CD r+ C 0 0 Z O.w .. m O m O S.FE, F m CO USC 0 0 GoO CL ca N c c a$ O m _CA0cr 00 m SL mac m • .. c 3 �l N m d = O O -4O O 0 O O y O O y' C07 . 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