HomeMy WebLinkAboutMiscellaneous - 2201 SALEM STREET 4/30/2018 Q3 2201 SALEM STREET
210I090.B-0045-0000.0
.i
Location 'S a/e`n S
No. 3 Date �5 ,
NaRT� TOWN OF NORTH ANDOVER
O? • •• O.
n Certificate of Occupancy $ _
Building/Frame Permit Fee $ —
;�5''•°'
MuE<� Foundation Permit Fee $
s�cs
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
13 5022/99 13:30 25.00 PAIL}
Div. Public Works
f
•x
PERMIT NO. � �� APPLICATION FOR PERMIT TO BUILD NORTH ANDOVER, MA
NIAP NO. �.� LOT No. 2. RECORD OF OWNERSHIP DATE BOOK V PAGE ;
•LONE Still DIV. LOT NO.
LOCATION a�� S PURPOSE OF BUILDING JX s-
��
' NO.OF STORIES SIZE
OWNER
S iNANI'E /
O\\'LAIR'S AD111RESS RASENENTOR SLAB ND
ARCIIITEC'I'SNANIE o`4G• SIZE OF FLOOR TIMBERS 1 2 3R
mill,DER'SNAMb: �� SPAN
DISTANCE TO NEARESTBUILDING t DIMENSIONS OF SILLS
DISTANCE FROM STREET 30 \ DIMENSIONS OF POSTS
DISTANCE FROM LOT LINES-SIDES 27,C9 11 EAR Q DIMENSIONS OF GIRDERS
AREA OFLOT FRONTAGE I IIEIGIIT OF FOUNDATION THICKNESS „! .
ISIIUILDINGNG\V 7 ,, SIZE OF FOOTING 1
L.
IS BUILDING ADDITION - MATERIAL OF CHIMNEY I 1
It
IS BUILDING ALTERATIONIS BUILDING ON SOLID OR FILLED LAND E .
WILL BUILDING CONFORNI•1'O REQUIRENIENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
r'F4 g
BOARD OF APPEALS ACTION, 1F ANYIS BUILDING CONNECTED TO TOWN SE\VER ( #la{ I
{xEis1i� '
b IS BUILDING CONNECTED TO NATURAL GAS LINE
ea
INS'FIIC'I'IONs 3. PROPERTY INFORMATION LAND COST I "
-- --- EST.BLDG.COST coo.
i�
1'\GF.I FILL"OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT.
EST.BLDG.COST PER ROOM
ELECTRIC METERS MAST BE ON OUTSIDE OF BUILDING, SEPTIC PERNIITNO.,i.'•
ATI'ACIIF.D GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4.; APPROVED BY:
PLA%S NIIIST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR .
DATZ-
TELH
OWNERS
IF I p . CONTR.TEL#
CONTR I-IC# ..
SIGNATURE OF-O\VNER OR AUTHORIZED AGENT ! a
FEE a b
PERMITGRANTF.D n cy
�5 19 /
Revised 5/5/99 JN,l
1.
_�� _ - ...-- - -- _ f"' .•mom....-.-2ar,a�p•ngV..
FORM U - LOT RELEASE;FORM �T
_ _ _.__
4
INSTRUCTIONS: This form is used to verify that-all necessary approvals/permits from
-Boards and Departments having.jurisdiction have been obtained. This does not relieve
the.applicant and/or landowner from compliance with any applicable or requirements: a
*************APPLICANT FILLS OUT THIS SECTION*********
APPLICANT / �, J�� rt PHONE -3—sk
LOCATION: Assessor's Map Number 010 _ PARCEL00
.
SUBDIVISION LOT (S)
STREET �� S�9 1` ST. NUMBER -�I
* **************** * *************O F F IC IAL USE ONLY*********************** ***** ***
iaxi8 5 �mr 6 tiP
RECOMMEND%` 'IONS OFT N AGENTS:
NOLJJ�
CONSERVATION DMINISTRAT R DATE APPROVED = lQ
A
DATE REJECTED ( ` l
COMMENTS--'--` J
_ —
d-A)
dam:
TOWN PLANNER- DATE'APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
- DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED o2
DATE REJECTED
COMMENTS
PUBLIC WORKS -SEWERIWATER CONNECTIONS
. DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
n•'�JJ 11.J i.�0•h1,Ju/Y� � �ink`;. SNvtili.�C) ',i :,.:F.::-
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A.
AS BUILT PLAN
OF
ACE DISPOSAL.•
SUBSURFACE SYS1” • • • '• �`�,<���_��;�..
LOCATED IN :`:: �I•..
AS PREPARED FOR
DATE: OGTosE:z. 1(.. 1481a`:
SCALE: t">t;p `
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a I MERRIMACK ENGINEERING SERVICES; INC
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PROFESSIONAL ENGINEERS • LAND SURVEYORS• • PLANNERS•':•'
�,, ea PAkc Ax(XwE4,MASSACHVS(T11 OICl OTCI.1x17)47S-JSS3:
The Commonwealth of Massachusetts
Department of Industrial A-.cidents .
w Office of Investigations
�\ y`
-Boston, Mass. 02111
� ., Workers' Compensation Insurance Affidavit
Name Please Print
`fes Name: Cr C1.1r3r f✓��
Location:
Phone
&—I
am a homeowner performing all worm myself.
aI am a sole proprietor and have no one working in any capacity
� 1
aI am an employer providing workers' compensation for my employees working on this job.
Comoanv name:
Address —
City: Phone T
Insurance Co. Policv M
ii
Comoanv name:
Address
City: Phone
Insurance Co. Policv T
Failure to secure coverage as required under section 25A or MGL 152 can lead to the impcsifion or criminal penalties of a fine up. to 31,500.00
and/or one years' imprisonment as we!i.as civil penalties in the form cf a STOP WORK ORDER and a 5ne cf(3100.00)a day against me. I
understand that a copy of this statement may be forwarded to the CfSce cr Inve=_ti
igaticns of the DIA for coverage verification.
1 do hereby ceriiry un,Zth pains and penalties of perjury that the infcrmaticn provided above is true and correct.
Signature Date
Print name �"�" Of- v � 1-, Phone
Offical use only do not write in this area to be completed by city or town c iciaf
City or Town \ Permit/Llcensinc
Building Dept
QC`eck d immediate response is required ❑ Licensing Ecard
Selectman's Office
Contact persona Phone m: ❑ Health Department
Other
NORT,
Town of dover
O
30
- �
t dower, Mass //sw101el
coc., E .,
� A
DRATED pS
S 5`
7 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
+ ^�O Ju BUILDING INSPECTOR
THISCERTIFIES THAT.......... .......... .... ................................................................................... ................................. .... Foundation
has permission to erect..Y.Q..,*.... . ...... bulldin s on ...... ...�......�..A. .. .........�..�. Rough
to be occupied as.. r, ......J ....... �V� w� Chimney
p ................... . ...........� ..........y.........................................
provided that the person acceptingis 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
PERMIT EXPIRES IN 6 MONTHS Final
MAP ELECTRICAL INSPECTOR
A4 LESS CONSTRUCTION ST TS
PARCEL "/ `I Rough
............................... 100
....... ..... Service
C � 3 a s` BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina,
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
NOV-26-98 07 : 18 PM E K SURVEY 5086880485 P. 01`
IRA-
19
Iff ;4
I
"ORTGAGE PLOT PLAN
EK SURVEY INC,
MORTGAGOR DEED REF. PC.
ADDRES OF' PRINCIPLE BUILDING PLAN REF.
DA'rt OF INSPEC110N .— JV ?M /M —
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NOTA: TMs mortgage InsPectlon Seas pnperW ,��? I FURTHER SATE THAT IN NY PRQFESSIONAL
ePIclflcdly far mortgage purposes and h not to T' OPINION the prtnclple rtruo•ture/s and accessory
be refiled u of a surrey. FSC fl1RVEY occept, outbuCdln®s, /bw� �f'iM
AUDEI
no raapo 1ny ror dam�yyea No, 34860 frith the Setback reaulnments of the local
rellonk^a by �y�to older thon the sold mortgoyoe f � tvnIng o�Inonoea, and that no enohroacfime�
and its esti s In cxartnerd rt vfthrig ike ProDosoa cisi a of major. knprowm®nts either wey oc ocs
moPt9ogo flnonolnq to Wald mortgagor. 'r7'oN ado prop y I1ne9 •xcep! as sfa�a�,
CERTIFICATION TO: Q LAN
11211. P roP eft y is not M a Flood Hazard Arca.
This cert)n=0on Is based on the locailon of gemy markersL propwt)' to In a Flood Hazard Ar.a6
of others, old does not r*preaont d propetty survey, therefore B3- Intotmotlor, IN b1suffld4int .tz .de*rn1mv Flood HQzard.
oHs,ts 0otirn ort not to be JPsod for the satabllafirnont of Flood °� dotvtTnihed 1Focp f tsilsst Pederd Flood
property Ilriea Insurance Rote Map Ponelf
rip
Location=,,'-,"10/ --1-�^^-�'
No. �` lv Date
i
i
� HORT1y 1
TOWN OF NORTH ANDOVER
i F 9
} ° s Certificate of Occupancy $
Building/Frame/Frame Permit Fee $
cM
s�► ust 9
Foundation Permit Fee $
y Other Permit Fee $
TOTAL $ �
Check #
i
318
U Building inspector �`�
t a
. TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE,
OR DEMOLISH A ONE OR TWO FAMILY DWELLING
�.t
BUILDING PERMIT NUMBER. / DATE ISSUED. �-
SIGNATURE:
Building Commissioner/InEeEtor of Buildings Date Z
SECTION 1-SITE INFORMATION IO
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
d a01 5af-e yo, 9013
A/0- ^ 0 1 V/6-
/ Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: N
Zoning District Proposed Use Lot Area Fronts ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide RequiredProvided R red Provided
4— v
1.7 Water Supply M.GLC.40, 54) 1.5. Flood Zone Infunin ion: 1.8 Sewerage Disposal System:
Public ❑ Private 0 Zona Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 J
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT histurt District, YeS No
rn
2.1 Owner of Record
Gf,uA 4- c 'a r4-D*A 2 1 Sate to 6t �
Name ftk)t) Address for Service:
Suture Telephone QAJ
2.2 Owner of Record:
Na Pri t Address for Service:
C rn
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES 90
3.1 Licensed Construction Supervisor: Not Applicable ❑
Chir, s
Licensed Construction S pervisor: 'Q SJ _1 33 O
O�7 h 6t4 5a t-( G 1.q '7 0 License Number
Addre�
D
5-a6_0-7�' " -
— 'Id' Expiration Date C
xp —
Signature Telephone r
3.2 Registered Home Improvement Contractor Not Applicable 0 0
bic—
Company Name t 6140 O7 rn
Registration Number r
Addres r
—0(o Z
Expiration Date /1
ature Tele hone V I
SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 2546) 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 it.
Signed affidavit Attached Yes.......❑ No.......❑
SECTION 5 Description of Proposed Work check all applicable)
New Construction 0 Existing Building 0 Repair(s) ❑ Alterations(s) Addition 0
Accessory Bldg. ❑ Demolition ❑ Other 0 Specify
Brief Description of Proposed Work:
�� � KI� `
-5.e a'CO',, S u el r 00r,7
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY
Completed by permit applicant
1. Building (a) Building Permit Fee
(p -70
1, 00 Multiplier
2 Electrical (b) Estimated Total Cost of
Construction f /
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
1, 6 ✓t c 4- _ P Lky 3 CA✓4o✓� ,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
1, C h✓ _S 2c�,r ti 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 ff � I� "
r 't—n a tom(!-✓ 2.,
Prin am
44
r ature of OwneAAgent Date
NO.OF STORIES SIZE r
BASEMENT OR SLAB r
SIZE OF FLOOR TIMBERS 1 2 3
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
t ..
The Commonwealth of Massachusetts
Department of Industrial Accidents
s 0///CBO/%YQSd/8t/O�S
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city phone#
n I am a homeowner performing all work myself.
am a sole proprietor and have no one working in any capacity
1 am an employer providing workers'compensation for my employees working on this job.
'v n.• .IFS.: ,:r,..
Company-name: A & , A:^Services , Inc. `,X,.; ,S:,;,i•; ; $+, ,
address: 115 North Street
city: Salem' ''��MA 01970 phone#:.978-741=9424 •° ik
The Travelers policy# WC939X1256
insurance co. Th •';''�'-'��,7`:,a,r�.:,S:;i: ti.;,.
1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
the following workers'compensation polices:
company name:
address: -kill `;' to' `.
city:, �. ..n. hone#: err .
insurance co'. policy#
company nxl;l :
address':•
<< N
city: 16hone#:
insurance co. oli' # r •r::..�kaTs3o�:.
Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
/do hereby certljy u t r the pains and penalties of perjury that the Information provided above Is true and correct. / �✓
Signature Date
Printname Christopher Zorzy, President Phone# 978-741-0424
official use only do not write In this area to be completed by city or town official
city or town: permit/license# nBuilding Department
❑Ucensing Board
O check If Immediate response is required Qselectmen's 011iee
❑Health Department
contact person: phone#; (—IOther
-TIM ea o� ;t
A BOARD OF BUILDING REGULATIONS a
License: CONSTRUCTION SUPERVISOR
Numbe 057733 . }
f ( Bi _ _=05t26G 958 I r '
Tr.no: 12633 `
# �Re
CHRISTOPHER
i' 115 NORTH ST /
k, SALEM, MA 01970
t Commissioner
`
77
71.
Board of Building Regulations and Standards
_ HOME IMPROVEMENT CONTRACTOR
3 Registration: 101609
Expiration: 6/26/2006
Type: Private Corporation-
A&A SERVICES,INC
Christopher Zorzy
115 North Street
Salem,MA 01970 Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Robert J.Prezioso,Commissioner
Deleader-Contractor
CHRISTOPHER ZORZY v'
Eff.Date 01 A 4/05
Exp.Date 01/13106
'DC000440 0
Memberot C.O.N.E.S.T.
BO
I��IIII��I�III��III���I���I���IIIIIII BOSTON-RENEW
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LII7T III �ZjjrjII, 4.' -' zjEszjr1T1I5F-tt5
a 3911hi t P=:Pz=ll a•IliriZII�Ii
��- tsuil�inII a�r�;=n�
(*tit &alr_i rortrn -
�II$-e-3�-$�$� is:. 33D
DIS?OSAL 0: DS33I5 AFFIDAVIT
o Lith the provisions of �?GL c 40, S54, acirno::led,e that as a
In accordant_ all debris resulting from the
condition of Building ?e2�it __
verned by t,i s Building ?er.t shall be disposed o: i
construction activi - ,o _ as defined by MCL c III,
a prDverly licensed solid Last diSDOSa_ Facility,
S 150A. Salem Transfer Station owned by:
• The debris LiNorthside Carting
Lill be d=sposed of at: _ .
location of facility
$ re - k:Pp iicant Date
Signature of L.-:.
llY ::
Tully complete the folloing information:
(?lease print clearly)
ChkiAt6pheieZopiye.
Name of ?ermic ADD__cant
A & A Services , Inc'.
Firm tia_e, if any
115 North Street , Salem, MA 01970
Address, city State
,ro -a ;res that debris -►ro�.1 the demo-2-- tion. renovatiDn. r�ha�
The above statue_ . _?u_. o o dispose'd of in z properly
ldin� or structure b�
r n of bu_ � f'
GL other
?-Iteration 150A and the'
licensed solid _asta disposal facility as defined by f'GL cII_. S
building L+piL:t5 or l'CenseS are t0 in rl a iOCdL1Dn of the facility at
A
& A i
Sery ces In _
c.
1'15.NORTH STREET'
SALEM, MA 01970
f.
TELEPHONE:' 978-741-0424
www,a-aservlces.com
May_14; 2005 Page 1 of 3 x:
PROPOSAL FOR.WORK TO BE DONE'FOR ;
Mr.:& Mrs:.Greg Barton :
2201:Salem Street'
North Andover, MA.01845
FARMERS PORCH. :.:
1. Pour three (3) new concrete footings to code.
2. Install 6' x 16' structure using 2X pressure treated lumber; structure
includes step down going from home to porch.
Install .1" x 4 Mahogany decking to new frame; stairs are to be.granite and
will be provided by landscaper..
4., Install four,(4) eight inch (8") crown fiberglass columns to.porch; install
new Fir railing system with square balusters and beveled handrail'
5. Install new HIP roof over new structure;with•2X KD lumber; cover:roof
structure with 5/8"plywood, tar:paper,.and-`asphalt shingles to match
existing shingles on home;.flash•roof to home with ice add.water shield
6. Install new upper porch trim with 1X.pre=primed'lumber, install
aluminum seamless gutters and.downspouts to fascia
7. Install new 2". Pin bead board'ceiling to"roof frame:with three,J�S')round
cut-outs.for recessed lighting fixtures;.trim inside edges'of ceiling-with
band molding.; . :
B. Install 2X pressure-treated frame and'maintenance'free.
1X Azek to lower trim.of.
9. OPTIONAL: Remove and dispose.of existing front-brick stairs.
s
THREE:SEASON SUNROOM
1 Remove and dispose of.existing 5/4 pressure treated-decking:and railing y u
system-on rear deck..
2. Pour six (6) new.concrete footings to installtwo.(2) new strgng,back.
support-beams .
ams usin 2 . .
pp X and.4 x.6 pressure treated lumber::
9 p
3, Install new 4 5/8" two.pound.ThermaDeck Floor.Padels,to"existing floor
joist;.install 3/":Tongue and Groove plywood to,ThermaDeck'for,,sub-floor
1 5 �
t t
r• v- '4
PAINTING • DELEADING • CARPENTRY.•`SIDING.-•WINDOW REPLACEMENT• SONRbbMS .
May 14, 2005 .
Page 2 of 3.
Barton
THREE SEASON SUNROOM (cont.).
4. Install 12' x.18' two inch (2") P.G.T. NatureScape wall system with ten inch
(10") high,solid SolarKote..wall kick plates, including,,Eze-Breeze,vertical
four track window system with full fiberglass.screens wall system'includes
vinyl electric chase way for'six'(6) outlets along base of kick plate
5. Install.four (4")two pound .030 aluminum'white stucco roof panels,,i=oof., ': t
system includes Y2 "plywood sheathing, tar paper; and asphalt shinglesao
match existing house shingles; flash roof to home with ice..and water
shield, including complete gutter system and rake trim. Roof Style:
Gable. .;.
6. Install one (1) double 1 1/" Cabana doors stem to deck side of room
Y ,
including Eze-Breeze window,systemi . Cabana Door.Series 100. .'
7. Caulk all interior and exterior edges..
8. Install 2X pressure treated frame and maintenance_free vinyl lattice'with
1 X Azek to. lower trim of new sunroom and deck:
MAINTENANCE FREE DECK ;
1. Pour two (2) new concrete footings to code.'
2. Half of new 12' X.1 2' deck structure will:utilize an existing 6' x 12' area of
2X pressure treaed-structure;join new 6' x,12' 2X pressure treated
structure to existing with %' carriage bolts.
3. Install new 5/4" x 6"Weather.Best maintenance free decking to 12' X,12';
structure; install approximately twenty feet (20') of Weather.Best t
maintenance free railing system,to match decking;.railing system 'includes
posts, caps, square balusters, and 2" x4 handrail. 'Color to be
determined b homeowner.''
4. Install two (2) new maintenance free steps with concrete pad to new;deck;
remoVe`and dispose of.existing deck steps'and pad
5. All miscellaneous hardware such-as joist hangers; deck screws and bolts;
and railing bracket system,.ect.. is included .in this'proposal
6. NOTE: Permit and clean up is included'ins this.proposal.;;. f
` r
7. NOTE: Flooring and electrical are not included in this proposal
Fir ` ,;
, ..
May 14, 2005
Page 3 of 3
Barton
A & A Services, Inc. hereby proposes'to furnish the materials and perform:: '.
the labor necessary.for.the,completion of farmers porch, three'season sunroom; .;
and deck.
All.material is guaranteed to be as specified, and the.above work to be
performed in accordance with the specifications submitted'for the above work,
and completed in a substantial workmanlike manner for the total price of
o .
47 608.00 less 3/o discount of 1 429.00 tot i
$ $ al n $46,179.00.
,
9
,
Payment schedule as follows: .
Y ,
1. Deposit to order sunroom and deck materials $11,545.00.
2. Second installment upon starting job $11,545.00.
3. Third installment upon completion of porch or sunroom$11,545.00
4. Last installment upon completion $11,544.00.
Any alteration or deviation from above.specifications 'involving extra costs,
will be executed only upon written orders, and will become an.extra' charge over
and above the estimate. Any unforeseen wiring that does,not conform to the :
local code ordinance will be subject to fees proposed by alicensed electrician.
Any unforeseen construction costs that arise beyond the scope of the proposed: ..:,.
work will be billed at $64.00 per hour per man. All agreements are contingent
upon strikes, accidents or delays beyond our control. Owner is to carry fire and
other necessary insurance upon above work.. A &A Services; Inc. carries a
$1,000,000 General Liability Insurance Policy and Workman's Compensation::A'
Certificate of Insurance is available upon request.: .
RESPECTIVELY SUBMITTED Date 5/14/05..
Ed Burge, Sales Associate
NOTE: This proposal maybe withdrawn by us if not accepted within (90) 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 Payment will;be`made'
as outlined above.
MrGr arton Date
Mrs. Becky Barton Date
•You may cancel this transaction, without any penalty or obligation, within-three . .`
business days from the signing of this proposal. 'A contract that is.cancelled
after three business days from its signing is subject o a,-service
/ "%C16' Iia n MVM i""110-C-Ar
l a ,."�/8 -7 S•aZSoN Poe,,, h
FORM U - LOT RELEASE FORM /a /mom
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
APPLICANT FILLS OUT THIS SECTIO
APPLICANT. ��� y PHONE 978-X83-5(,I l
LOCATION: Assessors Map Number PARCEL
SUBOMSION LOT(s)
STREET__ �5 � ST. NUMBER 7-20/
OFFICIAL USE ONL
ZIC
OM D S OF T AGENTS:
SERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS
00 A
TOWN PLANNER DATE APPROVED
DATE REJECTED '
COMMENTS
s
FOODINSPECTOR-H VH1 DATE APPROVED
DATE REJECTED
SEP I�INSPECTOR-HEALTH/ DATE APPROVED
DATE REJECTED . � �
COMMENTS � �
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PUBLIC WORKS-SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR
DATE
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RVEYORS
%' I P�q[ 17GfET • ANDOVER,MASSACM
. VSE TTS 01610 • TEl IIT)47S,i11;,�1'J
�.1ORTH
Town of Andover
No. 7AI '_ `'0•
�
Pr,
-- t/6 d O _+_ lover, Mass.,
COCHICHEWICK
�d RATED P"' �y
S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
................ ..... ..........� ......A.4..#ft s v.N..............................at.?..
� �`� � BUILDING INSPECTOR
THIS CERTIFIES THAT.......
.... .. . .......
"""""" Foundation
,Sl.�has permission to erect....6.k�`..~ ... uildings on .. ....... 5.. ........ Rough
/ �• •� CovM y /J
to be occupied as 3 els ION b �C Ie 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 La s relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. Sop Y/yJ00, t PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI N S ART Rough
.. .. ......... .... ............ .... Service
..... . ... . .... .. ...
BUILDING INSPECTOR
Final
Occupancy Permit Required to Omipy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
NORTH
Town of 19Andover .
741A -
_ ybd
dover, Mass., _31
-11COC MIC ME WICK
7 A0RATE1) P' �y
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.......6�I 46rC�� 14 I" v N..........................................
.. ........ .......... .. .................... Foundation
110.10
has permission to erect...6 k��,.................... buildings on..� .0 ....... 1 ........5..�........ Rough
to be occupied as S'V� &ry 00* ....�� � Chimney.........
r............................................ ...
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-La s relating to the Inspection, Alteration and Construction of
Buildings In the Town of North Andover. �� y� it PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
UNLESS CONSTRUCTI N S ART ELECTRICAL INSPECTOR
C Rough
M�� .... Service
.... . ... . .... . .......... ......
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous ,Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.