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HomeMy WebLinkAboutMiscellaneous - 22 RALEIGH TAVERN LANE 4/30/2018 22 RALEIGH TAVERN LANE J 210/107.A-01040000.0 9 0 k 8 Date h:� 7-!/. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . .. . c. U has permission to perform . . . . . . . . . . . . . . . . plumbing in the buildings of .'k t ..... . . . . . . . . . at .+ ... .�Z't.�.e+ ►T�yeYr�' �,i�.'. . . . . . , ort Andover, Mass. �Fe� U�. .Lic. No.. . . . . . . . . . . . ...'. . . . . . . . . . PLUMBING INSPECTOR Check # J 8-�Zz" MASSACHUSETTS UNgORM APPLICATION FOR PERMIT TO Y}O PLUAOI NG (Type or print) OER,MS�SAeCHUSETTNORTHAND � "• Date Permit# Building Location j OwnersNmv _ Amount T e o£Occupancy New El Renovation [j Replacement Plans Submitted Yes No FIXTURES P� H all H r3n�tvr . ]S`I:P7COOR 21 DFWCtt 3m aPIb ' 5MFLOCR sIBtHDM 7IB[MMI SIS PItOCR Check e: Ceztificate (Print•or type) 0 G Corp. Installing Company Name [ Address Gt,)K .4 -e D Partner. Firm/Co. A 9k��,�� �� [] Business Telephone '- Name ofLicensed Plumber: Insurance Coverage: Indicate the of insurance coverage by checking the appropriate box:Bond Liability insurance policy Other type of indemnity D ;Insurance waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one o£the above three insurance -'Signature Na Owner E] 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 mylmowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Lunt Code Chapter 142 of the General Laws. By, rgna um er Type ofPlumbing License Title Joume an City/Town nse um er Master ym APPROVED(OFFICE USE ONLY - The ComnZonwerrith of fassachusetts ' Department o f Iradus�iaX�ccidents - - Office mfhivesti-ationE UV 600 Wash ington,Street BO&Orz, JIL4 02111 ww.mccssgoUfdia Workers' Compensation ksurance Affiffallt:]builders/Contractorsleciriciaztsl 'lumbers n icant Information Please Print Leqbiy Name(Business/Oro nization/Individual): Address: City/State/Zip: Phone#:employer?Cheek the appropriate box: 'A6 employerwith 4. ❑ I am a o . Type of project(required); beneral contractor]andlyees(full and/orpart time).* have hired-the sub-contra5' ❑Neur construction sole proprietor or partner- •listed on the attiched she7. ❑Remodeling nd have no employees These sul}contractors ha $. []I3emoliiion ng for me inany capacity. workers' camp,insurance orkers'com . in�tranCe 5, 9, L]Building addition p ❑ We are a corporation and its qed j officers have exercised their 10•❑Blectricalrepairs or additions 3.❑-I am a homeowner doing all work right of exemption per MGL 11.n Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4)'and we have no insurance; uired 12.[]Roofrepairs • q ] t employees. [moo•yirorkers' comp.ins,,,aac�required.] 13.[]Other -------------- ie.=-:1Jr�TmFir�.,t•F.1?:^ �Yc v�7 ear.mgt a�U L I . C'�:'tce Ee..^L:`^_(.-r^i:�8.^.Qssnn '-••-^.=u ` to eOwn=WR 0=if iffis affidavit Indica �� - �'� •CO Tl--""^ �`nn i.n_.. ,. .ir. A ha L ting fey are dc.�g all w�-rii and when hireoutside cQn +o s kt Edbruit n w a2naavii indicating such. . +CQIltiEcfors'f,•-,L C..Pl�,f,r^ nr mn�.s�attached. b-•-- uz-tatt ued-addiuonaisheetshowingthe�mebfthe sub-contractorssndtheirworkm,cQ o'• comp.policy informafioIl, x t am an employer that is providing wor'kerscornpensaiion insurance for my emptayees bet©H�is tFze pafic�f and jab site informdiavn. - - - Insurance Company Name: Policy#or Self-jag.Lic.#: Expiration Date: Job Site Address: City/5t wzip: Attach a copy-of the workers'compensation policy declaration page(saow;ng tae policy h •aumber -- expiration date). Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal penalties of a nine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties is the fom�of a STOP WORK ORDER and a fine of ap to 5250:00 a day against the violator. Be advised that a copy of this statement mayOf forwarded to the Office a Investigations of tha DIA for insurance coverage verification _ I do hereby certify under the pains and pciw Iyos offerjur�s th -the information.provided dbove'is true and correct. Sin-aature; _ Phone#: Official use only. Da not write in this area to he completed h,city or townLe, City or Town: P ermit/Lz�ense Issuing Autboriiy(circle orie);I.Board of Health 2.Building Department 3. GtylTown Clerk. 4.EIectspector 5.Plunzb%ag Inspector6. OtherContact:Per-SUR: Date..... NORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING &S CHUS This certifies that ...... ........ ............. ..... . ....................................... �as permission toperform ... — I.................................................................. wiring in the building of....4�✓....... .......................... at............................... ...... ...I.... . . ... North Andover,Mass. .4 .................. - ... ..... ....... Fee .................. Lic.No.............. ... ............ili ALINSP.INSPECTOR ................. J, Check DEPARTMFVT0FPUBLICS4FE1'Y permit No. yUJ BOARD OFFIREPREVEM70NREGUL 770ASS27CNR 12.00 Occupancy&Fees Checked F(PLEASE PPLICATION FOR PERMIT TO PERFORM ELaMcAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 RINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) r a Lr`G(1 b Lim r) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes f No M (Check Appropriate Box) Purpose of Building �.�`� t ,,,, ( �;�s� r _i L , Utility Authorization No. --� �� v v Existing Service .. Amps / Volts Overhead 1:3 Underground No.of Meters New Service Amps / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total 'r KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices Vy No.of Dryers _ Heating Devices KW Local Municipal Other No.of Water Heaters KW No.of No.of Connections Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP hlsuMnwCmaage R="JD heraglienM1SdMwmduftGa=4Laws IimeaomettLiabtkk rmmPbLyttrdtdargCargi* C wagecrgsabstFWealt YES NO I1me%hmkedvdidptocfof=neiothe06m YES �t>ivalIfjcuha�edw*adYESspI®eirrdic�thetAxcfcmWbydnkirgthe 1� a BOND r7 GT-M a EVi aimDrale EsalnraledVahvdE1maxalWak$ WctkiDShat hspecfimD*Rtsqxs1ad FrW Signadunder'& ofpajtey. FIRMNAME L bmNo. IJO Lio lsb Bu*=Td lNh .� AltTd.Na OWNER'SINSURANCEWAIVER;IamawatethattheLimwdotanat�l ethertsuaroeoo�eagettdss It aia�tasrte edbyMa�adtit> Cateallaws ancithatrrrysig�r&=cnthispamitTplacMmVAiusthsraTai mot (Please check one) Owner Agent a a-✓` Telephone No. PERMIT FEE$ �rS Location� cx No. Date i NORT1TOWN OF NORTH ANDOVER 3?o: ..ao ,a 1�•C Certificate of Occupancy $ + ; ; Building/Frame Permit Fee $ `v� �SSACHUSEt�' Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL ori i i�� as:a� :Js/ Building"hspector .aPA.,1 ! 7r8 Div. Public Works Location ., No. Date b NORTh TOWN OF NORTH ANDOVER 3?O�44'so ,•,+ `9 Certificate of Occupancy $ ti Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHU Other Permit Fee $ Sewer Connection Fee $ t Water Connection Fee $ t• TOTAL $ Building Inspector Div. Public Works i PERMIT NO. APPLICATION FOR PIrtiRMITTO BUILD**** 'NOR'T11 ANDOVER, MA R1APNO. I.OI.NO. Z. HECONDOFON'NLHSIIII' DATE BOOK PAGE I ZONE SUB DIV. LD'I'NO. / 1ION �2Z C p nvr,2N "-e- 1'l1Kl(>SLOF13(111DING v I f _0 c. VNER'S NAt`IE S (J�� / /� NO.01 S TORIES SIZE. )WNER'SADDRESS ��n� V�GN CWin• BASEMENIORSLAB ARCI III E(-I'S NAME 1` SIZE Of FI(Xxt TIMBERS (ST 2 ND 3 RD 131 III DER'S NAME SPAN DIS I'ANCF.Tl)NEARES I BUILDING DIMENSIONS OF SILLS DIS I ANCL-'I ROM STREET. DIMENSIONS OF I'os.I S DIS LANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF L (N or FRJI AGE iucilr(N=FO(1NDAr11NJ THICKNESS IS BUILDING NEW SIZEO( I(XJIING X IS BUILDING ADDI IION MATERIAL.OF CIIIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO RE"11REMENTS OF CODE IS 1301LDING CONNECTE=D TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING C(NJNECI ED TO'I OWN SEWLR IS BUILDING CONNECTED TO NATURAL_GAS LINE SNS rll('TIONS 3. PROPER'rV INFOR111A UION LANDCOSI' l'. dLIX;.COST 7 , AGE I FII I.OI Ir SECTIONS 1-3 EST. BLD(;. COS I'PER SO. FT. EST. BI.D i.COS l PER R( OM EI ECTRIC ME"KERS M(1S'F BE ON O(1"ISIDE OF BUILDING SEPi'IC PERMIT NO. AI-IACIIEDGARA(iESMI)STC(NJF(>KMTOSTAI'EFIRERE(;III.A"LIONS 4. API'ROYED r PLANS MIDST 13E FILED AND APPROVED BY BUILDING INSPECTOR B1111.DIN �J 2 DAI It:FILED � ' OWNERS'IF:I.P � -6 6S3 { / C(NJTR.I-lila t C(N`FIR.I.ICP 11.C;NA IK .OF t)ti'NLI(()R Al1II1LN( I:1 A�GII:N' ILLCA 1'LRAIII GRAN I11) j i (/ 19 -- PROPOSAL PROPOSAL.N0. j SHEET NO. DATE (�_r. Ci WOR+C TO BE PERFORMED AT: i PROPOSAL SUBMITTED T0: _ ADDRESS NAME ADDRESS �--- Gp 'f T7ta r DATE OF PLANS I' NE N ARCHITECT L PHO I` "As I We hereby propose to furnish the materials and perform the labor necessary for the completion r'. c � n c la t-1 f 1. U-a •F Gc, i` 0f ryr/' t l5 i r -e o-" iny�l r��' o A/ a u T All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifi- cations submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($ with payments,to?beynade as follows. e ( �� ,�, r w hF, �?05r�- i �(J ytp ((O(7,i n l Respectfully submitted r � Any alteration or deviation from above specifications involving extra costs will be executed only upon written order,and will become an extra charge ' Per over and above the estimate.All agreements contingent upon strikes,ac- cidents,or delays beyond our control. Note—This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date Signature ,r,Ada—NC 3818-50 Proposal MADE IN USA NORT Town of Cl �_ _ e over No. � L �3 9 - - - - M dover, Mass., 19 s LAKE •iti: �0 T 9 CO C"ICME W ICK '�• q�TED BOARD OF HEALTH PERMIT T Food/Kitchen Septic System i BUILDING INSPECTOR THIS CERTIFIES THAT.......V....�t ..............V .a ................................................................................................. Foundation has permission to erect......S1... . ..t........ ...... buildings on ........ �.......P.C4.�.'�.t... ... ...... t .. Rough tobe occupied as.........st,.... `t................. .f.. ...................................................................................... Chimney provided that the person accept�g this permit shall in every respect conform to the terms 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 CONSTRUCTIO TS Rough ............................. .... ... ...... ......... ............ Service B DING INSPECTOR Final OccupancyPermit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. *iA I �� Smoke Det. Location 60. Date fti o NORT1y TOWN OF NORTH ANDOVER O� t�ao ,•.,�0 p Certificate of Occupancy $ + Building/Frame Permit Fee $ cHuttFoundation Permit Fee $ s� s eso Ot ��r��,��rmit Fee _ Sewer Connection Fee $ Water Connection Fee $ - TOTAL rZed-7 wilding Inspector 7593 Div. Public Works PERJflTvNO. 40 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 'NO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE I SUB DIV. LOT NO. LOCATION �1- a1 a PeL!? Ta It.�rI c, PURPOSE OF BUILDING OWNER'S NAME T� NO. OF STORIES SIZE OWNER'S ADDRESS Q- C� BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 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 X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 1 IS B G CONNECTED TO NATURAL GAS LINE IN TRUCT�NS v c nYL 3 PROPERTY INFORMATION /��\\JJ� rrT �l �Z GNJ�� LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST P SQ. FT. O PAGE 2 FILL OUT SECTIONS I - 12 PERMIT FOR FRAME/BUILDING EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING pp 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE Re441 TIONS I� FEE PAID. PLANS MUST BE FILE ^AND APPROVED BY BUILDING INSPECTOR DATE FILED G P UILDINa INSPECTOR Jr SIGNATURE OF OWN OR AUTHORIZE A N F E E OWNER TEL.# �✓��r. "'v� PERMIT GRANTED Q' CONTR.TELJ ( � 19 I CONTRAICJ H.I.C.k l BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY -TORIES I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDw D PIERS PLASTER _ DRY WALL _ UNFIN 3 BASEMENT AREA FULL FIN. B M T AREA _ '/. 1/1 3/. 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 HARD"✓D _ ASBESTOS SIDING COMMC:N — VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR 1 11 ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) _ FLAT I 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 11 HEATING - WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING 0VM Of orin over z ���' " n No. 46 w/ �, Nort Andover, Mass., l a Z4 194 g- is �C>,: nQ�d •�-. U LD BOARD OF HEALTH Food/Kitchen Septic System PERMIT T I BUILDING INSPECTOR THIS CERTIFIES THAT Foundation has permission to e�eet-..... 4'I' �R.,. g � 6 "7%.E � Rough ............ buildings on4. tobe occupied as... .......wt d!�.......................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms 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. PERMIT FOR FRAME/BUILDING PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. G Rough DATE: Z EE PAID: .. Final PERMIT EXPIRES 11\1 ( MONIJ IS ELECTRICAL INSPECTOR UNLESS CONS 1�, �J�. 1 'i\1 " `�1_ I S Rough ......................... Service BUILDIN INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT rKuryWAL c�Cn ko 6 t a rd 51 c��nq �f�, //emir �rn p ro ven7 'e I ` ra cLiToof1*1 SHEEN NO. x Mc T hupert ell, ofIy� � / DA zTE _e 9 PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: NAME rADDRESS O 6� 01 ADDRESS DATE OF PLANS PHONE N0. ' � i' � ,` ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for the completion of Za- /7C l= r L Te d- e (5 '- r IF T Z-c r_ i All material is guaranteed to be as,specified, and the above work to be performed in accordance with the drawings and specifi- cations submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($ �' SSS e^C, with payments to be made as follows. Z-1-7 /Cal l/ L!/i7 C' �! Ce(71/tel /e (I C/7 r Respectfully submitted 7� P Y Any alteration or deviation from above specifications involving extra costs will be executed only upon written order,and will become an extra charge Per over and above the estimate. All agreements contingent upon strikes.ac- cidents.or delays beyond our control. Note—This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. (� Signature a;R�;Ax Date Signature �Z `Adams NC 3818-50 Pr0(10S`a' MADE IN USA r HOME IMPROVEMENT CONTRACSOR Re9istratio" 100833 TYPe Tat jou DIVI06A24i96 . ExP l Th omas Robillard Siding R o ill a r d T h ore as A . a . S t 'lber t _ � � �.• �I 01844 ao A ethuen M � ppMINISTRAT�R