Loading...
HomeMy WebLinkAboutMiscellaneous - 234 BRIDGES LANE 4/30/2018 (3) 234 BRIDGES LANE 210/104.D-0088-0000.0 RICHARD �PATH LANE PROPOSAL INC PROPOSAL METHUEN, MA 01844 Date Estimate# 6/2/2009 42 Name/Address KEVIN&MAUREEN CALLAHAN 548 SHARPNER'S POND RD. N.ANDOVER,MA.01845 Description INSTALL 19 HARVEY WHITE CLASSIC DOUBLE HUNG VINYL REPLACEMENT WINDOWS WITH FULL SCREENS,LOW "E/ARGON GAS GLASS,FEDERAL PACKAGE TO MEET TAX INCENTIVES.$310.00 EACH REPLACE WINDOW ABOVE SINK WITH NEW TWO LTTE HAVEY VINYL CASEMENT WITH SAME GLASS SPECS.$725.00 OPTION TO EXTEND WINDOW OUTWARD WITH 1"X 12"PINE.ADD$400.00 REPLACE ROTTED SILLS$85.00/SILL REPLACE ROTTED 908 CASINGS ON WINDOWS$40.00/SIDE REPLACE 4 PCS.OF 908 AT SLIDER AND REAR DOOR.iNF1LL ROTT AT REAR DOOR WITH PLASTIC,REPLACE SIDING ON SIDE OF REAR DECK AND 2 SMALL PIECES FRONT OF HOUSE,REPLACE 2'SECTION OF 1"X 6" $300.00 WORK TO INCLUDEJNSTALLING,INSULATING,AND TRASH REMOVAL. REPLACE FRONT STORM DOOR WITH NEW HARVEY WHITE SOLID CORE DOOR UNIT.$425.00 PROPOSAL IS VALID FOR 30 DAYS. EXTRAS OR CHANGES TO BE COMPLETED AT A RATE OF$75.00/HR.MAN Finance Charges on Overdue Balance 1 1/2%/MONTH PRICES REFLECT AVAILABLE DISCOUNTS. Total $6,615.00 Signature Phone# Fax# E-mail 978-685-7010 978-685-7010 RFC102@C0MCAST.NET Date...6...... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that 66 Id,t- ZC- ........................................................... .... ........................ has permission to perform P W / - ................................................. wiring in the building of....' ........................................................................................................... at -4 ..�qe3./ .......3 ....., a.... ....�.< .... ........................./...... North Andover, ss. Fee../7�............Lic.No. ...... ..... ................ ........................ . .. ............. ... ELECTRICAL INSPECT Check A 7 f) -7V 16 Commonwealth of Massachusetts v,,,Utui vac vwy Department of Fire Services Permit No. s BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leav e blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK with the Massachusetts Electrical Code MEC), 7 C R 12.00 All work to be performed in accorwtt dance PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S //Y City or Town of: Al«y /4 Ag 1GVe& To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street &Number) 23 5!� AA i 4/49t Owner or Tenant C 6 ei L2-e Telephone No. Owner's Address —7—' Is this permit in conjunction with a building permit? Yes 5P-1*"No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service gj2ja Amps IdO / yO Volts Overhead [jK Undgrd ❑ No. of Meters 1 Amps s / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service p m Number of Feeders and A pacit y ti Location and Nature of Proposed Electrical Work: lC 1'4 9 p,�c -tom Completion o the following table mn be waived b the Inspector of t1%fires. No. of Total No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans Transformers KVA .9 No. of Lighting Outlets No. of Hot Tubs Generators KVA � �� Above n- o. of Emergency fig ing No. of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Battery Units i No. of Receptacle Outlets �' No. of Oil Burners FIRE ALARMS No. of Zones ; No. of Detection an No.of Gas Burners No. of Switches �P Initiating Devices t Total No. of Alerting Devices No. of Ranges No.of Air Cond. Tons g Heat Pump Number Tons K_ o.ofSelf-Contained No. of Waste Disposers Totals: _ Detection/Alertin Devices Municipal No. of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other Heating Appliances KW Security Systems: No. of Dryers No.of Devices or Equivalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No.of Devices or E uivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No.of Devices or Equivalent Attach addiliojeal detail y desired, or as required by the Inspector of Wires. 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 Covera e is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEND ElOTHER ❑ (Specify:) (Expiration are) Estimated Value of lectri I Work: 31. a2- (When required by municipal policy.) Work to Start:15—J Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 certify, under t e pains and penalties of perjury, that the information on this application is tri e and complete. :' '� LIC. NO.: FIRM NAME Licensee: U Signature LIC. NO.: (If applicable, enter "esenJip'�� ' in the license number fine.) Bus.Tel.No.: Address: NC !J a 5/ 104t-fr/e"-S Alt.Tel. No.: OWNER'S INSURANCE WA VER: 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 agent. Owner/Agent PERIVIIT FEE: $ Signature Telephone No. (A g %7o 21s-- s--r 9 v 1 Location AL-a—' ��� �_.-✓�-•-�—',�:� No. _111— Date NORTN TOWN OF NORTH ANDOVER 9 + y + ; , Certificate of Occupancy $ cMusE Building/Frame/Frame Permit Fee $ s� Foundation Permit Fee $ Other Permit Fee $ /L,<' TOTAL $ "0 Check # " 52 0 '-Building Inspect C i TOWN OF NORTH ANDOVER . BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: f DATE ISSUED: SIGNATURE: C� u— Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: .234 �nclqeg afve— /p D v d'?' Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Reqtured Provided D 0 o au 1 1.7 Water Supply M.G.I-C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Odtside Flood Zone �/ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT t 2.1 Owner of Record Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: r Signature Telephone SECWION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: n 10-310 License Number 0 Address 9 Expiration Date Signature Telephone P eH 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name 0 r 7,) Registration Number r Ad p L y3 D v 6�0 c 3 J Expiration Date Si na me Telephone 010330 FAMILY Pools & Patio Inc. CSL#HIC# 11182048204 � Sales • Service •Supplies (!� - WC# 156942897 70 So. Broadway•Lawrence, Massachusetts 01843 t 655'«t'JJJ��� �e If LIAB# C0164095968 Tel: ( }688-8307 Fax: ( ) 688-1949 NAME l-r� -t P11 uJ M �( \ 611.0 (id DATE _mac? 4, 0 a' 20 ADDRE S `- CITY STATE V a SS ZIP Q ,!r TELEPHONE 971 Res. CROSS STREET d ° �Gt�ltw_ Wk. EST. START DATE EST.COMPLETION DATE * PROPOSAL * We propose to furnish and install one Ll X lo le, CST S, 1�Cn swimming pool for the sum of GJ m. �,17 PC,It ;--T I l e-1 44.4 T prl a for normal installation consists of: Nine hours total machine time including two trips for excavation, backfilling, and rough grading around pool. A Use of one dump truck for six hours for removal of fill during excavation• Installation of pool with filter and wall skimmer. UJ�8' ' Th price does not include: s� Any machine time over nine hours, additional machine time to be billed at(/.a per hour•Any trucking over six hours, additional trucks to be billed at(7a ) per hour•Any dumping costs incurred for disposal of ledge or large rocks Re-seeding of grass around poo •Spreading of loam•Trucked in Water•Patio or fence around pool or any accessories, except as noted below•Additional fill, if necessary, for proper backfill or reshaping of hole•Disposal of large rocks Fuel Connections• Heater Venting• Fuel Storage Tanks• Permits• Damage done to sprinkler systems or any buried items(ex.dry well, electrical lines, cables, etc.)in the access and pool overdig areas. Stumping and removal will be subject to an extra charge. Water or soil condition (ex.clay, peat, live sand, excessive rock, etc.) requiring Min. Max. astone pack of the hole will be subject to an extra charge ofou �� Use of the above will be at the discretion of the job supervisor. Customer is to supply access for all trucks is the owner's responsibility to obtain the building permit or to assume the costs of necessary permits. • EXTRAS• •CONTRACT• Vacuum Cleaner 'zje'00 steps f W/ I � t�.i ) L" Ladder(s)(2,�) Filter// U0 ,fie s � �t�r 0 J Diving Board $ F(•��( �2 —.} va �� Withj?HP Pump Chemicals Liner _ \ Maintenance Kit Coping e c.,,,.�f, �(,e .n'/ ,v•n S a�' Lifeline Spa ✓`Y •` Main Drain Miscellaneous Solar Cover ( ) "' Miscellaneous ( ) Fibefoptic Light 3 nr� g if k ) Heater ( } TOTAL EXTRAS y so Slidp ( } BASIC POOL PRISE 1.3 9 W Caretaker 99 Pkg ! - E6vironpool plus Pkg�( 3 10 QS) -3 UU SUBTOTAL S 1 i� Tcy Environpool Pkg Polaris Vac Sweep '' 5%MA SALES TAX r Polaris-retrofit only r Inline Chlorinator TOTAL coo auk S $ 1 9 5 U ! ❑ Patio, Electrical,or fence,see attached LESS DEPOSIT 5%minimum S(� BALANCE OF CONTRACT $ PAYMENTS: 1/3 Excavation, 1/3 Backfill, 1/3 System Start-up v The buyer hereby agrees to pay in full, the total amount of this transaction upon start up of installed pool.You,the Buyer, may cancel this transaction at anytime prior to midnight of the thi usiness day aftor We date of this transaction. Credit card payments not accept tafriao BUYER SELLER CO-BUYER ;ATE JWMrao/YY; ACORDm CERTIFICATE OF LfA �ISU�AA�E U1Jzg�ZOOY ti ,t61t)846-5000 C61>>aa6-s1oe ONLY AND CONFERS NO R1aWTS UPON THE CERTIFICATE OtrwMlhittier,.,Hardy.& Roy HOLDER. TNISCERTWICAT•EOWNS NOTAMEND.EXTENDOR + ✓ } h f►>♦prEflfy'AganCy l 'Inc. ALTER THE COVERAGE AFFOIWED ISY TME P0610F.6 6lLOW. ST"PYt{ianl Street INSURERS AFFOitLyfNG COVERAGE Niffft op; MA 41152 pool Patio 0 nc, IN®uRla>► American Casualty Co. 70 South Broadway INSURER 81 PLAN--AwArrm ASSMWMENT Lwranca, KA 0 .843 I4SURERc INJURER D: INSURER E: THE POLICIEU OF IN8URA=L16TED BELOWA SSUVO TO THJ INSURELl NAMED AIMMR TKE POLICYI INCICAT113.NoTvwrriS ffmr- ANY ANUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT YWTi1 RESPECT TO WHICH PHIS CERTiPICAT6 WAY EE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORD90 OYTHE POLIGIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS,EXCLUSION$ANO CON",ON$OF SUCH POUCIEB.AdG IGATE LIMITS INOWN MAY HAVE 819N REDUCED BY PAID CLA1M8. s TYK OP INIUR,�NCi POLICY NUM4ER ) IF—RAW LIMITS 'f 404ML UAuuTT 1640 11/31/2001 11/31/2002 rLarw occvpmNaE o 5000001 T �r `+ s OOMMIRCIAL aENERAL UAAIL� 1 FIRE DAMAQ1(Ahj*A#vv) I k y } CLAIMSNQ MAPA.a DC�.UR P{A f M ED Exny oro P~) t 5 x I ! PIREONAL A W NJURY i s �tvK 3 ' adNdRAI AOORCOAT! { 100 'r rr�a if 4MAOORIOATI LUT APPLIES PAR PROOWB•CoMN10P AW t f,QpQ �wrrf 4 f +'OLICY J LDO o 2 C.y r AUIOMDEL/LIIEEU" 7$34449 12/32/2001 ( 12/31/2002 OOMB!NlONNGLCLMMT I tea aeowm A*AUTO p O00 " t ALLOWN60AU1OS (ODP!Vllly WN 1 Pyr �rw'p� t IOHIOULC7AUTOI T HrIwALnb3 soon v lacyRr e .N owN NCN. eD Aurae I tPet�OdtlMI) ��,� ! raoPtRTv oaNuca a r ova $ > MOE UAIIILttY AUTO ONLY.!!A ACCIDENT A�IYAUTO OTHIERT" FAA00 S AUTO OMY AGO i a �R 01"La►eAm eAo►+occuaaence s _ ODOUR C3 CWM$M46 AOOREOATS e DlOUCTep.E e `;; nrr6NTroN i s wORKoucoMPts"TIONANID 18X858802 01/09 2002 01/09/200 1 A YL=1 IMPLOYWWAI1LRY $1.tA:HA000INT a 10000_0 8 S.L.DISEAR-FA TiNPLOYA { 14000 e.L DISEASE•rouOYLIMM { }� D C • r=: S ,.. ADOMONALMUMV:INIURORLETTER, A LAT109— �rr k SHOULD ANY OF TWAt OYE D W o@O POWs*so CANGEII.I'D iiPORI THe �XPIMTION DAn TN71M16P.WE 1551.11140 COMPANY VILLAtOUVOR TO MAIL o +i11 DAY!WRITTeN NOrtA To THN CIRTWMATO NOLDER NAMID TO"Illilt"r I 0YY PN TO MAIL 89 N0=6,NAI dPOIe NO oeLI0J1T10N ORLIAOII.ITY F� OF t0 0 UPON TNI{ ,T; NTII IwATI4r6 ATIVE bf*mfttjon purgosas Only =3 Comm OR iify 4 + ir�„l_ sh''yry sxi'... t rr z pg 5 L 333 y, rV iE�y, r y e{�, :.Y.1 ., +;Si.air v i zti.V a • V.+r r P m a a J r V v a a r v v a�+a All— v . V v--A v r— t ' p i 1"A is }we'mif�s4 i }� 1 �f r � % f ':, �OonrmanfuealdG o`:&uAMA . .µ" Of Building Re;ulelions and Standards License or registration valid for individul use only �tpME IMP ROVIEMENT,:CONTRACTOR before the expiration date, if found return lot s L � Board of Building Ragalationa and Standards kMplatratlon p118204 k9 One Ashburton Place Rm 1301 j s prtpltatlon. 02/138003 Boston,Wa.02108 � `� Eilypi SupPiemenl Cud ilLx pOOLs&PATIOS INC wMINN 1 for V4RBNCBi MA 41843 ���•"�;; k Adrafsdetrator Not valid without ale l •c •, f � t 4 t✓� ^n�.Wk� 3 `�7] f 7 / ��,/ ✓��W/N)�OKIf+EY1C a. (lJ1d l BuUdinRt`ulattonsAndStandarda-. Licens goar�otgbeforolheexplratiotrAtkndate• Ifroundireturnto:vidal use y r •��' HOME tllflp5c) EENT CONTRACTOR Board of Buildin Regulations and Standards bit tlon"11820Ar° One Asbburton Clace Rm 1301 ReO y r I : r Ia,02108 �,,,�IratloDl QLI rJ1i00N h j Ir4 Bolen, t `r f Zh? 8u gkintCard'} s imit � ��� A��`` AMMILYrt�oolg 1w, ��f �, � . `titANOPQU1.03 " sggtOpiyWA�lr� E� ' fL«'�.-+f" 7-TVnt valid without alga �� `� . re. F�kM0�8g3a � ° �� xAdwtiahtntor �t ar ✓ s 3� ft �§� �+� � �'t`�ra t� `//lA�1M/t4fUlJCC�1/b C�4•�tladlQ�NdB+� tai t ,ti i B e ar4 otBuilding Re;aiatlona and Standards License or registration valid for indivfdul use on y xk ' :HOME 1(IfiPROVEiAfiNT CONTMCTOR before the expiration Batt. 1f found return lo: !f Board of Building Regulations and Standards Raplsitntlom.118204 One Ashburton Place Rot 1301 kRMtl0nt 02/1312003.,„*3 Boston,Ma.OE108 j zuw, 1 t P1112.9Corporation rFAMILYkROQLB'dyPAT1081NC ; �rf. IMLL1pk1i1GjJlNO r q8.,i3Rd1lONNAY �” ..r..`'r' valid without gnnture „, Not }�$N;NCfFMA01tl!13 r Adminittrntor L 7�y aYMM "i, T �.A �-s�'� au 7k3 I q t F Vii, S ,s C z'a 1 JJ�gY _.1 aa�C` ura� K uC •,S, - ��ryHe. Y'! ifl' 7`tft•�+''c .' I tr` e 4T' r 0 s 4 tr T `W4gi4t s'� 1 1 y x T'N4����t ��tf •l� .l T - - - r 1 i • - • . E I--- A Dt 8-8'Plain Panels(08009-5) L 3-4'Pfau Panels(08-016-5) 2-1'Plan Panels(OB-01 B-5) LE—c-- F G H J K J 4-r Rodan Corners(08-141) _. 17 Tumbu"Braces(08-214) SIZE A 6 C D E F G H J K L 1-Steel Hardware Kit(08-204) 1w:ff te• sr r rr r 1r. s•6- �'b- �•�- r �•r 8• 41 146x32 Straight Coping Set 6'Radius(10-001) ti' 32 ss- re- r it S'6' rb' rt' r 2T 1-2'Rodes Coping Corner Set(10.138) 144 Liner(see options below) BRACE g' 6'Step-Remove 1-(08-009-5)B'panel and zu�a.E 1-(08-016.5)4'panel Insert 1-(01-006)6'", 2-(08-017-5)T panels and 1-(08-214) * y turnbudde bnue- PANEL • 8'Step-Remove 1-(08-009-5)8'panel and ��� 1-{08-016.5)4'ponel [mart 1401-002)8'step, 2-(08-018-5)2'panels and 1-(08-214) tumbudde brace • 1 z- E 8 4 x Replace 4.8'Plain (08-009-5) k � cG�E X slcinuaer (08-011-5) f m7 fi 2-8'inlet panels(08-010-5) M �N 1-8'fight pmol(08-012-5) • CENi11 tai C a M> > e^. "All : .e > s r 7k iui r • ) I -, ."L:H 15 r '� n, a t i} .b f M' w�. G� k. Y j r'�,x 1. - i `"�^Y 6 a'd.�, '''"D u,�' ",.;sti y t.td, i# t 2 Giro€"�{ter r y i�x,. t ✓Y ,t # 3 NSPI TYPE 11 R s,, c.q'a, „F- s `� �r' `...# '” -`'� 77 �i ".,�", •u ,a.. x h - .-. .zu%^G'r''•_.,�-, 4. ,.A&..,,y,s^''^,.� r t w T '^.,, `�,� _ �.�"t �y,—•'" �...,� ��* Y � f�;r, +7+�L` 3��'�"1 Ya` ^+� - _. a �'Kry„.�~ '`s�� '• ",�`� ,�, ��y e" �"� � k �A'@}'sc �v"�1.5'9 p '' � I i cy _"�, 3^' w'r,+ .cam-' a r 1 a;`• - �` i'MM Rk FY y'44�s.i . ,4, L TOPAZ r STERLING 1 `,STONfRRE. �, , M a A BG :. '.-3 9.. ;.r,` f .., (03-R03•TJ (03-P03-1) (03-NO3-Z) w -- 't'..y�.. �s,�•; .-. °. NON DIVING iJNERS.., t��_ d;�Atwnti.n a..i.•:a�jw,r spawb7ey b..•loot it r•ary poe6og•vs+rLd tsp PNr r i•i.:.d as poaT a••r end rs it Y�� t-�z'<; H-b(03.840.2) UTI) �sr T x t ,....co,,. ' s.,�t..: M. st_wxWsk .• • btQRNi6 rt1VOSESO►R � laesMiT1E�00LS®'MCi1�SiBaelY� -- • • �y��_[�.,�,,_-:,y�.,���,. wsL'•.� +y�riii_.asL a_..adwlsww.. R 71 Yeo{ai►' J3bi77 IOWA " a' YftM cSg I W140 J yfidwig6asd.vfrd�O.bb..�r•driilirapeehyLsiRp•iedi�lV11►r•a�ie+il4rklrisdm+rnt�•.il:7h• P ,_� �. F _ mei dr s.�n.1s i.r.aau sd tA�P1aie/d Spots Mari-swOl�+�iob_i►�.w_ Lrr •40 .n=•w:r.'� b•a.4 . y �t 7 �a' a y Ya�e� F :" Wta•a's a�w.w�iL Fw* ,Of � iii." y r.arwul et 6'=66e.• „"" a.r'�, i ifsi�p .� sLd..ee ir.poor.(v.:ien.siaw 1�/I m:...in s"i '!q � monr� T+ �.��dePpvr+r IRAN - rodada,wi.0 treed Sps i Ioof i.�wee.2r 1) D1O� arirn�prewrd/�; .�- hww,•.Alrsk3-.VA.2231I• �r.�::a.�s�F. ,$•rloidiii' .�a+ibiiaiiryrl�aawraeert ww .; ;,. M� :., - ...-.� ...< ,�"g,,'•.., - _.vim }y i* r�,> ��*'��': ;''._ � -�� es» k .._�;,ss�,.s�c�.a,-..�o.�3nrhi,G.i�..�E1 -5'�� ..,. .;�. ;,:;:- _... .:: :i.,.:,. .,,,......r .,.w.:.: .,.:.: sci�."�'s�i�t.+�'�w��'iaix24�d45,�4�'za°`�C':,. _... ..... .,..m3,. .. . .5r_.k3?e °�.`a'+�r._:�Y. `•�,'�$i:«�Yr��'-""'"c��s_�c�+�'�!''u�n� '�,.: FORM - U - LOQ' RELEASE FORM . INSTRUCTIONS- This form is used to verify that all-necessary approval/permits from -Boards.and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT IIII ANN gownsman MEN a AN non boom Naumann a owns mom a am am a Put >— - (7z 1,fA C1 cSv�✓vi. PHONE l 6 9 2 y ;FP aly !�'1 �� LOT ER �� d ASSESSORS MAP NUMBER— � NUl1�i /�4 SUBDIVISION LOT NUMBER STRSIPEET �3 SassAsaass STa MegREET ANNNUMBE*SONRINS a3 OMCLAL USE ONLY ............................................................................ RECON R ENDATIONS OF TOWN AGENTS "goo t DATE APPROVED 1 b CONSERVATIONADN 0g1SOR DATE REJECTED COI✓flVlENIs DATE APPROVED !. J CD TO CANNER -- DATE REJECTED COs DATE APPROVID F IN R TH DATE REJECTED E DATE APPROVED ©�. SEPTIC INSPECTOR-HEALTH �j f� �j DATE REJECTED C OMNIENTS AA e PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPAR NI NT DATE REJECTED CONMWTS RECEIVED BY BUILDING INSPECTOR DATE i yam- The Commonwealth of ftitassachusetts == •. �� Department of Industria!Accidents OJlico 91IMS&Mfolns 600 Washington Slreet Boston, Mass. 02111 ~ Workers' Compensation Insurance Affidavit I V 1:C location: e13� EYJII'�U �f,�/ Q !I city �!tf'[U C] I am a homeowner performing all work myself. r7 I am a sole proprietor and have no one working in any capacity X—I am an employer providing workers' compensation for my employees working on this job.D coma lav rare: �� address- GO •.....�j✓D I policyis 0-2.10 x 4STJP' o7/.. C] I 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, addre=:- city: phone I: in,ut-t.My co. policy it comganv name, ` address: city-. phone#: Failure to secure coverage as required under Section 25A of itiIGL 152 can lead to the imposition of criminal penalties of a floe up to 51.500.00 madlor oae years'imprisonment as well as civil penalties in (he form of a STOP WORK ORDER and a fine of 5100.00 a day agaiost me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cervi under the pains and penalties of perjury that the information provided above is true and correct Signature Date t( k'� Print nameCU Phone# o fficially do not write in this area to be completed by city or town ufficial permit/license r1 Building Department CLicensing Board mediate response is required [jSelectmen'sOfficeCHealth Departmentn: phone n: hOther (rcvu'd 3195 V1A1 NORTH own of QEDAndover 0 '-�--- TIM 88/ �- 0 co': ;Ic dover, Mass., 0 DRAT E D pP�,t�S S` H G 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ' BUILDING INSPECTOR THIS CERTIFIES THAT... �40n.�t...*.,.......pa-dit.. ^4* a • t �ti ........................................................................... Foundation ........ buildingon ... . . . ...�....., N% _ .......... ......has permission to erect..p�* ►QN '&► Rough lo be occupied as... .#V.40 .vN P......11 vw....Aio.o.+ ....... 0�/ *APP /fir*400...t 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- ws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. ��9/ -�� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough NO I fi Vs f ft%grf '+d TtRMIT EXPIRES IN 6 MONTHS Final P r 0 pMpELECTRICAL INSPECTOR V.UpC ESS CONSTRUCTION STARTS y , y P,*WCC 44 Sol 9 01/14 C' • Rough .......... ...... ... .• .............................�.....�......................................... 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. LOCATION S 7058,55„w 234 BRIDGES LANE. 36.00, NORTH ANDOVER MA PREPARED FOR McGOVERN ► ►I ZONING DISTRICT R1 I► H ► I c-� ►I ► I LEGAL REFERENCES I► m ► ►►► SE� I E PLAN #8012 @N.E.R.D. ► ASSESSORS MAP 104D PARCEL 88 ► I DEED BOOK 4396, PAGE 187 i S . 36, B X i - -_ N k j SEPTIC 00 f I TANK O O DEC N 103511 8.73"E - BUILDING = -� PARCEL 89 MAP 104A , PARCEL 8 8 AREA = 4,131 SF 150.00' N 204225"E I I BRIDGFq Date/ 3851 O.NpRTM TOWN OF NORTH ANDOVER t��ac y,1• O? �_A. - •.'a ppm PERMIT FOR PLUMBINGCHU ! y�y This certifies that . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of 1047�. .C G A . . . . . . . . . . . . . . . at J 3.Y. .lip '� "C . .C A.t . . . . . . . . . . . . . . . . North Andover Mass. Fee. J.,. . . .Lie. No.5.3 T.L . . PLUMBING INSPECTOR j 1 i WHITE:Applicant CANARY: Building Dept. PINK:Treasurer i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type c _ Mass. Date � 19� Permit # �J Building Locationry, e �&WOwners Nam ` )Um 1�1J !/L'�!^. Type of Occupancy 2t5l -(I A(-- New (-_New ❑ Renovation ❑ Replacement 2 Plans Submitted: Yes ❑ No ❑ FIXTURES 2 N < N S Y N O = > UlH W Y J N } V < N O O C CC N 2 N Q 2 ¢ 2' ~ _Z O 2 N p 2 J H W_ N H W ¢ H W Z :. E. N H V Y < H a V ¢ m N W } < �. H Z a O Q < x = O O Q W ¢ < W p Q W Z .Q a 2 0 W < H N 2 J p p W S < 2 3 0Z S Y d i- < Y < W k Y W < ~ > t' O H H N �" Z O p0 y Z Z W F O Q Z 3 Y J m N p p J 3 Y 1- M li t7 p a < S ¢ m O Sue—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name T Pa Y Check one: Certificate Address ��r �'�RC H/Y1r�n) s-�) ❑ Corporation Q1 E TI-1 i' A l A ❑ Partnership Business Telephones Z-597 I 2-i5irm/co. . Name of Licensed Plumber f r3F,PT fry �iA,Nlrylr9 tr4�r"` INSURANCE COVERAGE: I have a current obiiity insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes El' No ❑ If you have checked ves, please /indicate the type coverage by checking the appropriate box. A liability Insurance policy ld" Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by "Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: •gnature of Owner or Owner's Agent Owner E3 Agent C3 I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permitissu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum e and apter ' g of the eral Laws. BY Title re of Licensed PlunILMI � City/Town Type of License: Master Journeymab C]_ APPROVED O FIC U E ONL License Number q_3�5 • Date............/� � ..... ... 4" 2804 NORTH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUS� i y t This certifies that has permission to perform j a Sx i r wiring in the building of V.16.c.. r C r �PS (,..41 ... North Andover Mass. Fee............. Lic.No..1 1��............... .................... E '� � ELECTRICAL INSPECTOR f ; a C '` / 2/ 14:52 35.0o PAID l WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File h t Office Use Only . O► ,,����. Permit No. 01� �> of :AMnoltC4u t to Occupancy&Fee Checked 1 30epartment of Public fk&tg 3190 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 ward Area n n APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00`` I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date �'1�46 o � p�-� �� �� M City or Town of lb l{ To the Inspector of Wires: m n The undersigned applies for a permit to perform the electrical work described below. o v Location Street & Numbers Owner or Tenant �/�U t— C (27-::rO V's J?_A/ _ IS Owner's Address z Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) I z Purpose of Building Utility Authorization No. m Existing Service Amps—I Volts Overhead ❑ Undgmd ❑ No. of Meters o New Service Amps_� Volts Overhead ❑ Undgrnd ❑ No. of Meters � 0 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Installation o f alarm system Total = No.of Lighting Outlets No. of Hot Tubs No.of Transformers KVA =� m No.of Lighting Fixtures Swimming Pool Above In- gmd. ❑ grnd. ❑ Generators KVA o No.of Emergency Lighting <D No.of Receptacle Outlets No.of Oil Burners Battery Units n O -v No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones < No. of Ranges No.of Air Cond. Total No.of Detection and tons Initiating Devices O 0 Heat Total Total No.of Disposals No. of r Pumps Tons KW No. of Sounding Devices I No.of Self Contained z No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices v M Municipal n No.of Dryers Heating Devices KW Local ❑Other -� ry g ❑ Connection O No.of No.of ow Volta 0 No.of Water Heaters KW Signs Ballasts Wir B lit✓ No. Hydro Massage Tubs No.of Motors Total HP t /K-� L G r� ,7 OTHER: CI Sm b t�e G-c, V iZ m z 1 INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy includ- r- ing Completed Operations Coverage or its substantial equivalent.YES NO 0 1 have submitted valid proof of same to the Office. n YES 0 NO 0 If you have checked YES, please indicate the type of coverage by checking the appropriate box. � INSURANCE= BOND 0 OTHER 0 (Please Specify) n Is$© 0d (Expiration Date) z Estimated Value of Ele ical Works t , 5 1995 C7 Work to Start `�' (9 Inspection Date Requested: Rough� � Final Signed under the Penalties of Perjury: - FIRM NAME LIC. NO. 12 31 C Licensee SignatureLIC.NO. Bus. Tel.No.617-431-5800 Address 60 William 8t./Wellesley, MA 02181 Alt.Tel.No.6 17— 7 OWNER'S INSURANCE WAIVER-1 am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement.Owner Agent (Please check one) � �q Telephone No. PERMIT FEE$ 13 (/ (Signature of Owner or Agent) Notify lnspector for rough and/or final inspection.Permit must be obtained before commencing any.and all work in compliance with G.L.C.141&all applica- 1 L' Sacuiky Systems Date:-- C2 60 William Street Wellesley MA 02181 Telephone 617 431 5800 Fax 617 431 5880 T0: Inspector of Wires City/Town of: Please find enclosed an application (with payment) to perform low voltage wiring work at the following address: a� Please notify Gen White at (61.7) .431-5800 extension 5837 if there are any questions pertaining to this application, or if the permit fee is incorrect. We have enclosed a business reply envelope for the return of the approved permit and/or receipt. Thank you for your attention in this matter. Sincerely, ADT SECURITY SYSTEMS, INC. Gen White Permit Coordinator FEB 1 51996 ; . Location , 3 / � Jcc L -e No. Date 3 °� 3 �ORTh TOWN OF NORTH ANDOVER O AL + , : Certificate of Occupancy $ E<� Building/Frame Permit Fee $ S-22 L scMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '-9 Q 0 `- Check # Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING . ;;SISHO!' ICIZIf13t`(} rn BUILDING PERMIT NUMBER. DATE ISSUED. SIGNATURE: /Vk Building Commissioner/In6pector of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: -8 �31�; �t LAj loqo Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: c~s0 Zoning strict Proposed Use Lot ea s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required I Provide Required Provided Required Provided Ilcoj- _ lo it 3o `f- 6 a 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Pu Water Supplyrivate C.40. 54)��• `Ae Outside RoM Zone ❑ Municipal ❑ On Site Disposal System ❑ Public ❑ Private ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name Pnnt) Address for Service;`. 7 Zol L gnature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z rn Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 70 3.1 Licensed Construction Supervisor: Not Applicable ❑ &C 0 P44-rA P,1A-2 jz Licensed Construction Supervisor: 7 O d 0 r A,() Ot f �� � License Number mn "7 f urs A t i, / h//,�;-, LJ .1 Addr s �,.. - p t)-3%.S d Expi on D e icic gnature Telephone r` 3.2 Registered Home Improvement Contractor Not Applicable ❑ I� 3 J?/1 v -e s / 7 /11 Company Namern Regi ration Nu r r Addres r -7ze Ivo Z Expiratio Date 7 %nature Telephone Q s r 04 i o)/ olxe �rvuslx3 i:)O 1�tO e�K orX� i North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM 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 disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: f �e � Lv4M ✓� p d So ti (Location of Facility) !J Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector jA0RT!y own of EAndover 0 0 No. q -39 COCMIC dover, Mass., V ADRATE D S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... a•• I rt 1 d V {e t ...............................!.................. ................................................. Foundation has permission to erect..LR/.!��.6%.�...... buildings on ...o4.3.y.......3. �t 4.S.•s LN . Rough to be occupied as..:.C. ,tom 1 ........r.. .aD N � �IL r.r` SuN 1% Mft 4P. Chimne .............................................................. y 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 anJ Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. a fir• 1 S 8 • Q 0 j1 PLUMBING INSPECTOR Cove VIOLATION of the Zoning or Building Regulations Voids this Permit. y g g SOW Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION JAART ELECTRICAL INSPECTOR C Rough ............................................................ Service BUILDING 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 4163 ?/ Date..f ... o� NORTp °ft 4, TOWN TOWN OF NORTH ANDOVER imam' s PERMIT FOR WIRING .04A o ITS tCNUSf This certifies that ,(?,-.�.............�7.4 i°✓P ..... ...... . ........ ................... has permission to perform ... ... .......... t lr-dv P/1 GL .wiring m the building of...... ..........,..../............................................................. at....pd........ ..... .... �,V j 3� ���.���..�................................... . North Andov M Fee. //. .C)0 Lic.N �. 3s !.......... ?�i` (O .... 3 ELECTRICALINSP R Check # L L V THECOMNIONWEALTHOFMASSACHUSETTS Tice Use onv DEPA r�N1'OFPUBIlC5AFElY BOARD OFFIREPREVEEMONR CuLAHONS527CM12.W Permit No. r Occupancy&Fees Checked APPUCARONFOR PERAff TO PERFORMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat 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) A ¢N Owner or Tenant Ga yr ,' �- C //-P✓r/ Owner's Address Is this permit in conjunction with a building permit: Yes[M—No r7 (Check Appropriate Box) Purpose of Building //-r-Sp"r C 4�;> Utility Authorization No. Existing Service Amp�/ Volts Overhead M Underground M No. of Meters New Service Amps / Volts Overhead M Undergiound EM No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W/re No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total No.of Lighting Fixtures Swimming Pool Above KVA Below Generators KVA round round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.ISwitch 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 No.of Dryers Heating Devices KW Local Municipal Othe—r '"�� Connections No.of Water Heaters KW No.of No.of ID Signs Bailasis No.HyNro Massage Tubs No.of Motors Total HP OTHER►• i M&MCowrdW-Rnurttttathe iegttiMUISof XmdusettsC>�alLaws .haw a cattent L11bk k"==POkYMc)t>fgt^0np COWW orils subSMUWvalnt YES NO harusulxrrittedvafidptoofofsame&DtheOfl YESr7p ffyouhawdrdodYES P]eW--IKk* etypeo(covWdWby hedangthe box L_..J VSURANCEE BOND r 011-ER may) Estimated VahleofF wtwai Wotk$ VcikloStatt kEpectimDateReque0d Rough ignedunderTiePenalties petjtay:. � Fel RMNANJE dd� PG7— e LioenseNo. oensee Limm1% 4._l L/ BusnmTel.No. JVNFR'SINSURANCE W Alt Tel No. ? 'Z AIVER,Iamawatethatthelimwdoesnothavetheins<rMMODmaWor>swbsfanliale#vabAasrapimdbyM%adRBetsGerletalUws 3that mysignahueonftpwrvtapp)�this regm,eni2ri lease check one) Owner Agent Telephone No. PERMIT FEE$ igna ure o caner or gen NORTiy Town of t RAndover . No. dover, Mass., 1 ' `) T O �- LAKE COC MIC HE WICK V 7, 00AT E 9S 1 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System y C 1�— Y11 BUILDING INSPECTOR THISCERTIFIES THAT...........................................................L........ ................................. ..............:................................. Foundation has permission to erect........................................ buildings on ....4R.i...kf...... ... 4. ..... . Rough \1� Chimney to be occupied as... .......... .......... ...............T........W.......�0.V4� ................................. ........... provided that the person accepting t is permit shall in every respect conform to the terms of the application on 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 CONSTRU ST TS Rough ........ ...... .................................. ...... ......... ...... .. . .......... 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. NI'assachusetts- Department of Public Safeh Board of Building; Reulatio►ns and Standards Construction Supervisor License License: CS 50710 Restricted.to: 00 RICHARD A FLUET 102 BRIDLEPATH LN METHUEN, MA 01844 J ' Expiration: 4/22/2011 ('ummissi"°Pr Tr#: 13093 'fie r�o�nmw�z� o� aaoac�ivaeb'a 1 t Board of Building Regulations.and Standards HOME IMPROVEMENT CONTRACTOR Registration,:,106620 Exptton-W 7/24/2010 Tr# 270996 r>, .....a Corporation RICHARD FLUETCO.NTRACTING°tINC. Richard Fluet 7fi t r _rfr 102 Bridle Path Lane Methuen,MA 01844 Administrator