Loading...
HomeMy WebLinkAboutMiscellaneous - 212 ANDOVER STREET 4/30/2018N J v Q 0 0 w �P 0 b North Ando: er Bogrd of Assessors Public Access E NOtiiM � � s a • t e ,ii ,sswCHuset Click Seal To Return Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial I' f Page 1 of 1 North Andover Board of Assessors roperty Record Card Parcel ID :210/047.0-0039-0000.0 FY:2013 Community: North Andover SKETCH Click on Sketch to Enlarge PHOTO Click on Photo to ANDOVER STREET Location: 21.2 ANDOVER STREET Owner Name: MCGRATH, JAMES J MARY MCGRATH Owner Address: 212 ANDOVER STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5 - 5 Land Area: 0.48 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1861 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 385,100 371,900 Building Value: 206,800 185,900 Land Value: 178,300 186,000 Market Land Value: 178,300 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=2253366&town=NandoverPubAce 3/26/2013 I O O O O. W) Lf) N N J gt I a3 � m a) m co i as a p � �?C: 0 N C O. ml -g? N V) a)' C . O N 0 S2wOS O M Z O cz O 9 Q N LL C ! Cl O a W ci.. O .. U Q' �()� CD tryIco F-�� Q� �Q W > Z = o N010 Z ON Low V) a)0 �NO Q N 00, r N U O o Q a COO vi: NW 0coa) U� mn!U -o p oQ 00 ` W UJ U o sit O CL Q O'Ot Z CL D Z.� fo O ,U d i 0 >CD � N NIN Q) C: -0 O ZM; O O� U) U) I0) f O J Q -a -o t 00 M O 000 �? O O cuO O as 0 N5 < m O f0 c c yUiiC, O N m 0 O UOiio Z) F -'F- F- O a Q LL Z V :V M ca 00 0) Z co L J m CO CE C 0 U —I .I 0 O Cm Z O O O O 9 Q N a 00 O Cl O Z W M O JW W = ~ W M F- CO) CD V Q� �Q J Z = o N010 U Low V) a)0 �NO Q + ?cm C4 LL o Q L O N co a Cl) N c') 0 cn a) 0 0 0 0 O m co 0 O 0 v 0 o_ N N co a FN- O O N N • m C7 O 056 :.: 1- 00 o N010 + L6 22 00 ` W Cl) O 0(O sit • $l t >- a Z.� 7 00 0 a� ZM; O O� fr LL (e C:) Q -a -o t Z Lf) WE.y0 O JJoQ !• .. N UOiio om v - LL Z V :V M ca 00 0) Z co L t �LL..0 .�.Q N - ZU) 'a� fj = Q ; M r LU o LLI;Q: ou J m m ,. cc N V x'wC > mm t cd H°o fLij m4�U Z W; 00 tij - 0) d 0,0 o 0 00r -- M ` 04 LO O , Q..Wcu 3�, w. W U � � O D t U) c a F - x Z N `� CO) U a f %j C I � ca a 1004 � 7 SIN Q' N Q �C9 p.oa'm �i� Udim Z,Q c';(nlfn�. U.Y 0O'i N Q,m,wM af2cnUQ,Qi�E 1 WC kc j i. •o Z w i o n�0 O 00 00 O 0)Q � Q { N as � a) w COM cn `" LL Z c Q c co OJE a LCL CC LL a� CO :E 0 O N W C- LL ma`'0ca a`))�'O;t�; N m LL LU i6 X (n y L LL a5 0 U i� u' cu U W 74 0� w t co' 0 0 0``6 o 5cy0.2J 00 - 0aC310co,-U m �Y4 .g��U O a) r 0 m , N .— SC tB cn F-Coi I:wcoyuj• M'M< Zo. mZ� :g:,` OVU� m ��.t9W1ON Z • a) a) o a ai2 T�UiQ 2 aS c 0 F- CO i c6 Z ac U o�;OO 0 0 �'co�o lay a.�'�a) W Y cncn(rw2w; z.ww;U cn O N co a Cl) N c') 0 cn a) 0 0 0 0 O m co 0 O 0 v 0 o_ N N co a Permit Date Issued: LOCATION:- PROP­-RTTY TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION — L LJ Date Received ANT: Applicant must complete all items on this MAP NQ: 4-- ;PARCEL ZONING N$AICT7stbbi§t�C maftoeIShop Villa TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building A One family 0 Addition 0 Two or more family El Industrial El Alteration No. of units: 11 Commercial %Repair, replacement QtoF El Assessory Bldg 0 Others: 0 Demolition11 Other 0 Septic 11 Weli Eiflobdpl6in pWetlands 0 Wate rs hed:D i strict D'Watef/$,ewer DESCRIPTION OF WORK TO BE PERFORMED: I P + p6N)OiF Identification Please Type or Print Clearly) T'7-9- I6,9S­- WPe";- Geo � -Tda,,-TOWNER: Name:(156L 1H + Id1gy AlAlc 6R'P'11+ Phone: o n e: ­TO'S - Address: to 19 4/1< CCONTRACTORName- Phone: -9-1 0151- -'2 Address:. 0 (� Supervisors -.Con$tructi-o n- L ice n- s -e: Exp-. 06t6:­�A'2-'5d2-0k)n! Horne Improvement LicensO:.­ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 00 FEE: $ Check No.: 2 Receipt No.: NOTE: Persons contracting wit unregistered contractors do not have access to the guaranty fund 7 Si atbre of Ag6nt/Owner' Siqi.ature.bf contractor Ml--- F-1 Pinric Wniwinri F1 (',-rtifipd Plot Plan [I Stamr)ed Plans 11 Location No. Date Check # 3 2 7 4 - cl, 2 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fev. $ j Foundation Permit Fee., $ Other Permit Fee TOTAL $ "Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ .-TY-PE OF',SEWERAGE-DiSP.OSAL Public Sewer ❑ Tanning/Massage/BodyArt ❑ ... Swimming Pools ❑ Well ❑ Tobacco. Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc- ❑ - Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS DATE REJECTED: DATEAPPR.OVED ❑ ❑ CONSERVATION Reviewed on Signature COMMENTS HEALTH COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Planning Board Decision: Conservation Decision: Comm Comm Zoning Decision/receipt submitted yes Water & Sewer Connection/Signature & Date Driveway Permit DPW Tow` s Engineer: Signature: Locama 6M USgood Street FIRE D'EPAOTMENT -'Temp Dumpster on site yesno Located'at 124 Mair, Street Fire Departmentsignatu're/date` COMMENTS contract - �-� pY rel O (9 8)Tom 1nn 957-1200.QUINNS-CONSTRUCTION �G E1271639 4 C: 61? 939-1353 ( ) 868 Mammoth Road Dracut, MA 01826 tom@quinnsconstruction.com www.quinnsconsftwtion.com Page l of 3 Property Owner Information Name -,-- e;'7/� Street Address (Not Post Offiq. ox) City/Town State Zip Code Home Phone/ ( Cell Phone Email Mailing Address (If Different From Above) c. ff .J/ Date —-- 04f r20C,11`" Job Name Job Location Salesperson(s): JLQZ�- 0/ (//riiijLJ Contractor Registration #: CS -039732 Ex. Date: -3 L -//Z - REQUIRED PERMITS The following building permits are required. It is the obligation of the contractor to secure such permits as the homeowner's agent: List any and all necessary construction -related permits. Note: Owners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c. 142A. �--N Is an EXPRESS WARRANTY being provided by the contractor? NO YES "All terms of the warranty must be attacked to the contract" NOTE: All home improvement contractors and subcontractors shall be registered and any inquires about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 617-727-8598 Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the residence. ARBITRATION The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L. c.142A. 1 s , Homeowner: �) 6 _ Contractor: Date: � ` V /,/A 7 r% Date: NOTICE: THE SIGNATURES OF THE PARTIES ABOVE1,APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. ACCELERATION OF PAYMENT Homeowner's Financial Insecurity - A Contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure.. Contractor's Financial Insecurity - In instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal from said account would require the signatures of both parties. THE CONTRACT MUST ALSO CONTAIN: A Complete Description of any other documents which are part of the agreement; A List and Description of other matters upon which the contractor and homeowner lawfully agree; Any Other Provisions otherwise required by applicable laws of the Commonwealth. Remember, the Contract must be the Comrplete Agreement Between the contractor and the homeowner. Contract Tom O: (978)1957-1200 QUINN'S CONSTRUCTION E 27-1639714 C: (617) 939-1353 868 Mammoth Road • Dracut, MA 01826 tom@quinnsconstructiomcom www.quinnscons&wtion.com Page 2 of 3 Modifications There shall be no modification, amendment, or change order made relative to this Construction Contract, Contractor's Work, or the Plans and Specifications without the express mutual modification signed by Owner and Contractor. a. Required Change Orders: The Specifications represent Contractor's best effort to be complete in detailing the scope of work to be performed. However, this contract is based solely on observable conditions of the structure in its status at time of Contract preparation. If additional concealed unknown conditions are discovered in the course of construction, Contractor shall point out these conditions to Owner so Owner and Contractor can execute a signed Change Order for any additional work. Such orders shall specify additional fees, materials, labor and services, and become part of this contract. Additional costs, if any, shall be paid for by Owner in advance of execution of work specified in said Change Order. Failure of Contractor to request such payments in advance shall not be deemed a waiver of payments due. Any delays in Contractor's Work caused by required change orders shall not be deemed the responsibility of Contractor, and shall automatically extend the time of completion. Additional time required shall be stipulated within the Change Order. b. Additional Work Authorizations: In the event that required work cannot be priced in advance of completion of such work, (i.e. discovery of rot needing repair), an Additional Work Authorization shall be executed. Such orders shall describe work to be completed, and shall specify method of calculating additional fees, materials, labor and services to be charged upon completion, and become part of this contract. Payment shall be due upon presentation of Contractor invoice. Any delays in Contractor's Work caused by required change orders shall not be deemed the responsibility of Contractor, and shall automatically extend the time of completion. Additional time required shall be estimated and stated within the Additional Work Authorization. I, the Homeowner have read and understand the above mentioned modification section and agree to the terms Owner's izhature Contractor's Signature Aq Date Date The following schedule will be tered to unless circumstances beyond the contractor's control arise: Work Scheduled To Begin://�` Expected Date Of Completion: 4/ (Date Contractor will begin contracted work) (Date'when contracted work will be substantially completed) TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE r The Contractor agrees to perform the work, furnish the material and labor specified above for the SUM of: $ (*Include all finance charges in this amount*) Pa,�ments vyallyE made according to the following SCHEDULE: �C✓ $ `7 upon signing contract (*Not to exceed 113 of the total contract price OR the cost of special order items, whichever is greater*). $ by /. / or upon completion of $� y / / or upon completion of $ %i J9 -C -r k! upon completion of the contract (*Law forbids demanding full payment until contract is completed to both parties' satisfaction *) In order to meet the completion schedule, the following material/equipment must be special ordered before the contracted work begins (*Law requires that any deposit or down payment required by the contractor before work begins may not. exceed the greater of (a) one-third of the total contract price or (b) the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule*): $ to be paid for DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Identical copies of the contract should go to the homeowner and the contractor. Owner's Sig4ature I Contractor's Signature % Date ( f Date You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of the agreement. See attached notice of cancellation for an explanation of this right. Contract 0: (981706-6000 QUINN'S CONSTRUCTION Employer 27,1639714 C: (617) 939-1353 868 Mammoth Road - Dracut, MA 01826 tom@quinnscons&uction.com q.Uww.quinnsconstruction.com Page 3 of 3 WORK TO BE PERFORMED AND MATERIALS TO BE USED Contractor agrees to do the following work for owners Contractors agrees install a premium Owens coming duration lifetime shingle roof systems (scope of work) Contractor to obtain building and other permits as,needed. Customer to pay for permits at cost. 1 Schedule the delivery of all materials, dumpster,;c'leanup. roper protection of property. 4_ Proper removal and disposal of,§ layer of roofing, additional layers removed for 500 a Square Foot per Layer. Run Magnets at end of day. nailing of roof decking as needed Replacement of up to 100 square or lineal feef'ef�roof decking above this replaced for $2.80 a foot. Installation of F8 Mill, white or brown Drip edge on all roof edges. ❑ (Optional) Installation of custom Heavy Duty F8 color of choice single and double drip edge. ®'nstallation of Owens Coming Weather Lock Flex High Temperature Ice and water barrier 3,6;9 Feet wide and as needed in critical areas of roof. Installation of Owens Corning Deck Defense for shingle underlayment. Installation of vent pipe boots, step, base and counter flashings as needed. W!installation of a Owens Comings Duration Lifetime Shingle Roof using 6 nails per Shingle Exceeding the Manu- facturers Specifications.` ❑ (Optional) Installation of Owens Comings Duration Designer Shingles. ❑' (Optional) Installation of Owens Comings Energy StarDuration Shasta White Shingles::, r Installation of Owens Comings Ventsure strip ridge vent with wind baffles and caps on ridges. enstallation of 12 inch lead flashings on the chimneys #. / installation of continuous circular, rectangle, or Facia Vents for Eave Ventilation as needed. lock off Gable Vents as needed. .. r/Roof System'to be covered by Owens Comings System Advantage Preferred Non -Prorated Lifetime 50 year material Warranty and 10 year workmanship protection. ❑ Installation of PVC Trim, Facia & Rake Boards $20.00 a Lineal foot. Other Specifications and Conditions �/S/ X-�/s OP ID: LH ACORL7' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) F 01/10/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 978-975-1300 Se 01reve 8, Hall InSUr.AsSOC.InC 978 305 North Main St -975-7596 Andover, MA 01810 Edward Ramirez ACT NAME: PHONE FAX A/c No EI: Arc No): E-MAIL ADDRESS: PRODUCER THOMA-3 CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC # INSURED Thomas Quinn dba Quinn's Construction 868 Mammoth Road Dracut, MA 01826 INSURER A: Atlantic Casualty Insurance 42846 INSURERS: Hartford Ins Co. INSURER C:Arbella Protection Ins. Co. 41360 INSURER 0: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTEU_ PREMISES Ea occurrence $ 100.00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR M021000227 01/15/14 01/15!15 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,00.0,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 (Ea accident) ANY AUTO BODILY INJURY (Per person) $ C X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS 1020002331 05/07/13 05/07/14 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) X NON-OWNEDAUTOS Underinsured $ 100/30 11 Uninsured $ 100/30 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXEcunvE Y l❑YN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 116P704 01/15/14 01115/15 X WC STATU- OTH- T RY LIMIT, E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Snow Plow coverage included under Commercial Auto Liability and Commercial General Liabilityp City of Lowell is listed as additional insured 09' Silverado 1GCHK49K99E122216 09' Silverado 1GCHK49K79E103425 12' Ford F250 1FT7X2B610EA00541 CERTIFICATE HOLDFR CANCFI I ATION ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 Print Form www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 111,1 4) Address: Fb"Z k%mnow &014 G City/State/Zips% �'if4C�.t� /L4k b In & Phone #: %%$ " Are you an employer? Checkhe appropriate box: 1. ❑ I am a empto er with 4. ❑ I am a general contractor and I employees and/or part-time).* have hired the sub -contractors 2. E] I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working forme in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] fi c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] -aao 00!�6c,c% Type of project (required): 6. ❑ New construction 7. [] Remodeling 8. 0 Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.[Y Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. T 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. i, Insurance Company Name: g/�7e�65P_A Policy # or Self -ins. Lic. #: Yl%b P 1%I! Expiration Date: s - Job Site Address: �;)Iod �}�.l�yvl City/State/Zip:&/_VM S'Yl(1 O I� S— Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). 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 under the pains an4 penalties of perjury that the information provided above is true and correct Phone #: 2g r !-�r%'� �(J(%�O �/ �GC�& 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 #• TTwwn 'V'w1 V1 i•r H = LL O m O v \ O LL E T N u CL N Z J m '2 7 LL L w N C E U f0 LL � CL z c7 Z_ m J t K @ LL O z a u_ F-0 u J W t 0bD K N u (n LL oc a z Q t LL z 2 a � W a. LL i m p Z O (% Q) O Ln UJ w/ O R O _moo LU d CL U) +_O+ Z O B CD C Z O J E RD � i H m � C N 0 Q E a, _ O O (i L � C " 3 = C CD CL E O a a >CcCc � �_ oE�o c �H'^ • d� _ O > V+ c t V U) a' Z CA °' a c LJJ O ..0 i E a HV QNZ � v! U) c o CO r LLj >o c W J c F- CL Z as ) m tcwo = o � H r H O yCL v m Cl) LU - o o .� LL .y d N C O F— in .� 0 Z E " W � i V N O F. V Q 0-0Cl) d, y = o" c _O 2 m O L= O F- t . am 0 0 > �v V 0 �1 'Nv 14% Nib. w N E O Z � O O .- U) 0 "0 '= .� in m O` �+ W Vcc O QA Q- CL c Q O .a .QO4) U) Z v V � 0 Q064& J Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration _ - - Registration: 121604 Tvpe: DBA ,.^ Expiration: 5/24/2016 Tr# 250393 QUINN'S CONSTRUCTION a THOMAS QUINN 868 MAMMOTH RD. Y DRACUT, MA 01826'-` Update Address and return card. Mark reason for change. scn i 0 20nn osr» Address Renewal r] Employment E] Lost Card C-Jleeanmea�auleull! o�'c��%cruc/uaelt Office of Consumer Affairs 8c Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration• -121804 Type: Office of Consumer Affairs and Business Regulation - , xpiration:" 5!2412016 DSA 10 Park Plaza - Suite 5174 Boston, MA 02116 QUINN'S CONSTRUCTION - - THOMAS QUINN t.. 868 MAMMOTH RD. DRACUT, MA 01826 Undersecretary Not valid withou signature AW .^f2 `'� �:4..:����iG.-. �:L�� >:�e•.i Ski._: Cc••�., LG?'�L•t`•EEi: Sale_: siSU l.k;a-:s_. CS039732 868 MAKKOTHIW DRACUT ASA 01426 . . "r a Quinn, Thomas 868 Mammoth Rd Dracut, MA 01826 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter I®cation, roast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL -Chapter- 166. Section 21A -F and G min.$100-$1000.fine NU I 1=5 anca LSA 1 A — (dor aepartment use 13 Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department - The foEswing is'a-list of the required.forms to be filled out for the appropriate. permit to' be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all casts if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the aprn-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must bp submAted with the building application Doc: Doc.Building Permit Revised 2012 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....................... ...... il�..' ... has permission to ------- ................................................... wiring in the building of� .... ........ .............................................................. .................................................... i North Andover, Mass. Fee-7?2-5� . ........ Lic. Nd�'. I)"/ . ........... LECTRIi;;ANSP ". R Check 8 5 1 4 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Offic' Use Only Permit No.� l Occupancy and Fee Checked [Rev. 1/07] P.AVP h—1A APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date: f Z g,d y WORK City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of s or her intention to perform the electrical work described below. Location (Street & Number) 2 -1Z - Owner tZOwner or Tenant Owner's Address p Tele hone No. S G c.� � Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 1 Utility Authorization No. E -sting Service ) V 6 Amps / Z61 l j y0 Volts Overhead New Service Amps / Volts Overhead ❑ Number of Feeders and Ampacity and Nature Proposed Electrical W ^' Y -,4Q/ � h . No. of Recessed Luminaires of Luminaire Outlets No. of Luminaires No. of Receptacle Outlets No. of Switches No. of Ranges No. of Waste Disposers Ili Completion of the No. of CeiL-Susp. (Paddle) Fans No. of Hot Tubs Swimming Poold "Ebe ❑ t No. of Oil Burners No. of Gas Burners No. of Air Cond. Tota1 No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Appliances KW No. of Watero. of Heaters KW No. of Signs Ballasts . No. Hydromassage Bathtubs OTHER: o. of Motors Total HP Undgrd ❑ No. of Meters Undgrd ❑ No. of Meters vin table maybe waived by the InsLector of Wires. No. of Total Transformers KVA Generators KVA ❑IM. 01 rmergency.Lightmg R. +--, TT—U- ME ALARMS INo. of Zones o. of Detection and Initiating Devices o. of Alerting Devices o. ofSe -Contained etectiou/Alerting Devices I)cal ❑ Municipal ❑ Other ,curity Systems:* No. of Devices or Equivalent ata Wiring: No. of Devices or Equivalent decommunications icing: No. of Devices or Eauivalent Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value o Electrical Work: Q d (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 L9 BOND ❑ OTHER ❑ (Spec I certify, fy, under the pains and penalties of perjury, that the to ormation on this application is true and complete. FIRM NAME/: V/j ,r i C S.rz 1/ LLC• LIC. NO.: %� a Odd ? Licensee: G 4G � � S �) � �/ a,� Signature � ?87 (If applicable, enter " e " in the lice a numb r line.) , LIC. NO.: Address: c's �, - 4h r L { Bus. Tel. No.:1-7i- c3 767 7 *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Alt.L cl. No. �� ��, n 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) ❑o Owner/Awner ❑owner's agent gent Signature Telephone No. PERMIT FEE: $ e The Commonwealth of Massachusetts k� ! Department of Industrial Accidents •- Office of Investigations 600 Washington Street i Boston, MA 02111 www.inass gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Nanie (Business/Organization/individual): Address: /(p Ci �Jv ki ey Lr 14 -fg "i. City/state/Zip: 1\('Lr k L Atm d' u,'1' 4 M Phone #: q ) 8 46y -7a '�-7 Are you an employer? Check the appropriate box: i • ❑ 1 am a employer with 4. ❑ i am a general contractor and I employees (full and/or part-time).* 2. I am.asole or have hired the sub -contractors Iisted proprietor partner_ on the attached sheet ship and have no employees These suit -contractors have working for mein any capacity, workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] 3. ❑ 1 am a homeowner doing all work officers have exercised their right of exemption per MGL myself. [No -workers' comp. c.. 152, § 1(4), and we have no insurance required.] t employees, [No workers' YA- tet__ comp. insurance required.] Type -of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. Q Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other rr••- ••• .d..». o ��x 7 must also nu out me section below showing their workers' compansation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractori must submit a new affidavit indicating such. ;Contractors that check this box merstattached an additional sheashowing the name of the sub -contractors and their workers' comp, policy inrDmwion. 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. Lie. #: 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). Failure to secure coverage as required under Section 25A of MGL c. 152 can Iead 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. Ido hereby cert fyund, the /I pains and penalties of perjury that the information provided above is true and correct 1-17 Date: 1,2-13 ALT Phone #: d O Offload use only. Do not write in this area, to be completed by city or town official City or Town: PermWLieense # 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 #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the'foregoing engaged in a.joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. 'however the owner,of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation• affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificates) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit.may be submitted to the Department of industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should, be returned to the cityor town that the application for the permit or license is being requested, nofthe Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self. -insured companies should enter their self insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. in addition, an applicant that.must submit multiple permit/license applications in any given year, need only submit one affidavit indicating•current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of investiptions would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Lavestiigations 600 Washington Street Boston, MA €I2111 Tel. # 6I7-7274900 ext 406 or 1-8.77-MASSAFE Fax # 617-727-7744 Revised 5 -26 -US www.mass.gov/dia A Location Na. (2,7 Date -4f Tof TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL js---L�s -Ef zz BN-ffl—ng inspector 6 2 3 11116197 10.-16 58.00 Pam Div. Public Works W N 40 N p rc p z N r N 10 m W m f r a 0 J 4 LL 0 W N N Z < IL N 0 z w° J m r N W W a W z z 0 N w it u W z O F< - N m 0 N cr N o C a � r w W K r N I 0 z LL W u z < r 1/1 a K W C N 0 W z x u I r z O_ r a 0 z D O LL LL 0 r I 2 W I W Q r z 0 K LL r 0 J LL 0 < W rc o '__ 0 uz z z O a� -•0 r 6D p qu O I = O 0 m LL ° N W oo Z IyJ d' W 0 N 0 0 K W D N C IL z p rc p z N r N 10 m W m f r a 0 J 4 LL 0 W N N Z < IL N 0 z w° J m r N W W a W z z 0 N w it u W z O F< - N m 0 N cr N o C a � r w W K r N I 0 z LL W u z < r 1/1 a K W C N 0 W z x u I r z O_ r a 0 z D O LL LL 0 r I 2 W I W Q r z 0 K LL r 0 J LL 0 < W rc o '__ uz z a� -•0 r 6D pJ qu O v z IL 9rqri) O 0 00 C( W IA C O 0° � N QO W 0 IL d z o W 0 Q Ja Jo � O u mIL u U f IX d ,� J J V L o c o d< uj _+ 1 W O u J m z J m F J m u W F Z 3 o o v 0 W F W m � Z J W O :i Ci 2 W z I I Z u 0 0 LL Q LL O W W N f r uz z pJ 4 v z IL < 0 W 0 O � O w J IfQ Q m W Z z O N m 0 W 00 Z W H N CK p p E W rc O W G z Y1I LL 6 a+ O w< M N 0° d z LL z z d o - ^ ^ O °u < r z N N W p Z 0 z z m N z , O r O O r < < u i p u p t LLO z0 0 Wrp r N m N ' W W u w J a 0 LL p J W W 7 W m z a < z a p O O r < 0Z Z p < m J J IW m p .J LLI LL LL u W J p O r0 J m OO ^ N r u N LL m W W u M m m J Q q FF W N < d G J W F < J d < p r z W < 0 W N � O IfQ W Z z 0 W w Z < W CK 7 0 t - W rc O W Y1I LL 6 a+ N O O T �E7WC8€ m D DO n mIZ - D v m n n D 3 N A m O 0 n A D O_ O W 0 0 N D c z ~ y D 0 v O m D N m m JO O N O n "0 0~ x o p 0 C p T m T N Z �0000 � sN"m � in;3 Z ~ " H 0 Z n v O> A 0 0 A Z Z Z A D D Z MO N 3 Z aT. yAm ro D 0 Fm Z Zv xmn� �Oj { LI I I I O Z D D III Ia Ll I I I II LI_L1 I_L I Iti IIIIII- I I I I IIIII" II SON N NrN Zm nNo DO NZZ "°c MX1 D n 0�0 w D :E mim mX -4 z > S ul 0 a0o �z_ rn . 'a�Z oa C N m°p NCN �- v F BOO OZ.q- z -+G)r O U00 z o 0vN. 4 „ v nz xn mm to m 00 M 0 rA h O a a a z z x a a a a `� z w a �j ^ u -v N V) a o c`i c wL3. G U CZ w 7 a. co ii W O r�4 G c� C w aG w w W 4 m' cin v c o m c • ? oL CL c cc ev Q Mo.= o = m : * 1i E a V a CF :... t+ o s L' H E S .i a 0 i` t; o; N � d O h : ; 3 W. r_ C m p a G' fqcct_ : I - CD -o E 5 m 0 40 O.c •mo;� o0 C.) y Z m o CM c d O 1. F� y m c _ a« C PJ ~ « to m «� m CO2 co Z m ;,! •y. memto C36= o c W E C=,8 .m CS C.3 m p m « C ti a m � o a� H c S 16. a Cc :a 0 m O O CL) Z co CL O CO) O C I C CO) O •L1C— O � CA O O .7 m m O G O v 16. a O O_ o- ora C O •C C .V EL a C Z as V CO)CL O C C CA ---- v.vsrvntvs ^rrus.wsovsv C%jn rrm"Mis su uv INInt or Type) NORTH ANDOVER, . Maes, [)ate Building 2/ Z ,y�•� od�,p,, S i Location Permlt *t3.2 CJ J Owner's Name MC 4Ya. "— New ❑ Renovation p-- Replacement ❑ Pians Submitted: Yes ❑ No. ❑ �iXTUAEB •• Installing Company Name .s �CdtiiSit� 4 w44: ,I-r,�� Address i<Av A.�>. AwA Business Telephone 2 S(o - 9¢6 Name of Ucensed Plumber _ / iti 4.,-, T Check one: ❑ Corp. ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: C-hecX one I have a current liability Insurance policy or No substantial equivalent, Yes Er No ❑ It you have checked y I, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy ®'- Other type of Indemnity ❑ Bond ❑ Certificate OWNER'S INSURANCE WAIVER: I am aware that the Ilcensee does not have the Insurance coverage required by Chapter 112 of the Mass. General Laws, and that my elgnature on this permit application waives this requirement. Check one: Signatuts of Owner of Owner's ACent Owner ❑ Agent ❑ I hereby certify that all of the distals and information I have submitted for entered) In above apocallon are trw accurate to the best of my knowledge and that as plumbing wak and Installations performed under the p mtitl Issued to this appNcatbn be pNa4ce with all perilnen provisions of the Massachusetts Slate Plumbing Cade end Chapter 1j2 of tM (3sneai Laws. Ar'PRWED (OFFICE USE ONLY) na ure of Lkensed Plumber License Numbec Q 7S� Type of Plumbing Uanse: Master EY Journeyman i ������■111111111111111111111/ ��������■1NONE 1111111111111111111 Installing Company Name .s �CdtiiSit� 4 w44: ,I-r,�� Address i<Av A.�>. AwA Business Telephone 2 S(o - 9¢6 Name of Ucensed Plumber _ / iti 4.,-, T Check one: ❑ Corp. ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: C-hecX one I have a current liability Insurance policy or No substantial equivalent, Yes Er No ❑ It you have checked y I, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy ®'- Other type of Indemnity ❑ Bond ❑ Certificate OWNER'S INSURANCE WAIVER: I am aware that the Ilcensee does not have the Insurance coverage required by Chapter 112 of the Mass. General Laws, and that my elgnature on this permit application waives this requirement. Check one: Signatuts of Owner of Owner's ACent Owner ❑ Agent ❑ I hereby certify that all of the distals and information I have submitted for entered) In above apocallon are trw accurate to the best of my knowledge and that as plumbing wak and Installations performed under the p mtitl Issued to this appNcatbn be pNa4ce with all perilnen provisions of the Massachusetts Slate Plumbing Cade end Chapter 1j2 of tM (3sneai Laws. Ar'PRWED (OFFICE USE ONLY) na ure of Lkensed Plumber License Numbec Q 7S� Type of Plumbing Uanse: Master EY Journeyman Date.. 3205 ..40 TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING ACHU This certifies that has permission to perform plumbing in the buildings of ..... ........... at ..... .. ......... North Andover, Mass.D; Fee..Yo.... Lic. No.. ............ ................ PLUMBING INSPECTOR _�7 1 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer