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HomeMy WebLinkAboutMiscellaneous - 24 MEADOWOOD ROAD 4/30/2018 (2)I W `n � I�AVI� Vla(��v�e A CIO o © Location L No. L a Date 11-a0,Dd �aR,h TOWN OF NORTH ANDOVER o*-,. F Certificate Occupancy $ of Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #� 7 C 14352 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / C;C 6:;, DATE ISSUED: // av (D 0 i.Q SIGNATURE: A C Building Co missiond/Inspector of Buildings Date SECTION 1- SITE INFORMATION ' 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 0-7 Imp K Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area sl] Frontage ft 1.6 BUILDING SETBACKS (ft)�— Front Yard Side Yard Rear Yard Required Provide RegWred Provided Required Provided 1.7 Water Sty M.G.L.C.40. 54) 1.5. Flood Zone Information: / 1.8 Sew Disposal System: Public Private ❑ Zone Outside Flood Zone (yY Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record };6 P415 s D is /7716—P Name (Print) Address for Service : Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Ir Not Applicable ❑ o 3 6-&T Licensed Construction Supervisor: V License Number AdAress rL Expiration Date ignature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ 6k;?a- r;;-. B1i1 LW &-�6 -�I,?oaz Ca `/ 2�:: ) / Company Name Registration Number ,q f , 1 /)v/,c�i U� `/' Py Address J�,./��J Expiration Date Si na re - Tele h ne SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) 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 buildin rmit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Descrt tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: r 16 A) SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar) to be Completed b permit a licantr� vy wa'$ � 91 ; zJ 1. Building(a) 1Z / d (a) Building Permit Fee Multiplier 2 Electrical PiTO (b) Estimated Total Cost of Construction 3 Plumbin Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) D Check Number SECTION 7a OWNER AUTHORIZATI N TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, 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 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 Print Name Si a ure of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 s 2 3 RD SPAN DIMENSIONS OF SILLS DIlvMNSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS o SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND dL l�ll IS BUILDING CONNECTED TO NATURAL GAS LINE i J Robert C. Bailey Building & 119M2deling_, 499 Waverly Road North Andover, MA 01845 Telephone (978) 682-7087 TO Finish Work a Specialty Quality Workmanship Free Estimates Builders License #025620 Home Improvement Contractor #100239 Mr. & Mrs. David Means .24 Meadowood Road North Andover), Mass. 01845 L I L DATE DATE COMPLETED I TERMS CONTRACT PROPOSAL JOB LOCATION same 7 N BILLING PAGE NO. __L__ OF __3__ PAGES JOB DESCRIPTION: Basement Remodeling All parts of this quote are based upon physical inspection of the basement cellar and preliminary discussion with the homeowners. The attached floor plan outlines the location of components within this quote. All exterior and interior walls shall be framed with 2x4 stock at 161° on center, All bottom wall plates shall be pressure treated 2x4 stock secured to the concrete flooring surface by the use of masonry anchors (pneumatic or tapcons). There is no provision in this quote for levelling the flooring surface or the waterproofing of the same. All walls shall be approximately 81 in overall height with a double top plating assembly. Walls shall be secured to basement ceiling floor joists at 24" intervals in order for greater rigidity. All interior door units shall be Masonite solid core six panel units with 61-811 heights typical. Overall opening sizes are contained on the attache floor plan outlines. All door casings shall match those of the existing house (21h" colonial). All door jambs shall be split and made of preprimed pine stock. The contractor shall supply standard Schlage passage sets to the three interior) inswining door units. Bifold door units shall come with standard solid jambs and all appurtenant bifold door hardware. With the exception of the two closets adjacent to the furnace area and stairway as well as the larger storage area to the rear of the basements, all other storage areas (those immediately adjacent to the furnace and the two on the front wall of the basement area) shall remain unfinished on the inter- ior portions in order to gain access to plumbing), waters, and other mechan- -ical features. All exterior walls that are studded shall have R-13 fiberglass insulation installed. All insulation shall be in batt or roll form and unfaced. Upon completion of the insulation installationf, the contractor shall install a 4 mil polyethelene vapor barrier over the insulation. In unfinished areas!, polyethelene will be applied to the interior walls to prevent accidental disturance of the material and the accumulation of f i bers i, etc.. There is no.provision in this quote for electrical work and/or fixtures!, any plumbing work and/or fixtures, and any sprinkler work. The contractor shall install 2" PVC venting stock to adequately provide makeup gasemenikarefor the furnace which presently draws makeup air from the 499 Waverly Road Builders License #025620 + North Andover, MA 0I845 Home Improvement Telephone (978) 682-7087 Contractor #100239 TO JOB LOCATION r Mr. & Mrs. David Means 24 Meadowood Road North Andover,, Mass. 01845 same 0 I L DATE DATE COMPLETED TERMS CONTRACT PROPOSAL BILLING PAGE N0. 2 - OF _3- PAGES JOB DESCRIPTION: Basement Remodeling The lower surface of all wall areas within the main basement room and excluding finished closet and storage areas shall be covered with 1x10 rough sawn pine shiplapped boards applied in the vertical fashion. All rough sawn pine boards shall be secured to wall surfaces with the use of galvanized finished nailing materials. All walls shall have a blocking plate midway in order to get additional nailing between the flooring and 48" overall height of the boards. All boards shall stop at the 48" height. From 48" to the top of wall surfaces,, the contractor shall install %" gypsum drywall nanels. All panels shall be fiberglass taped at butt and tapered edges. Three coats of drywall compound shall be applied,, with a final sanding of the last coat. The contractor shall then apply a latex primer/sealer to the drywailed surfaces. In the two closet and storage (rear) areas,, the contractor shall install drywall on all wall surfaces. A Governor Francis chairrail molding shall be installed at 48°1 to make the transition between the 1x10 pine boards and drywalled areas. There is no provision in this quote for the painting and/or wallpapering of interior walls. Only the priming of wall surfaces is covered in this quote. All carpeting,, paddingP, installation,, etc. is not part of this quote. All interior baseboard trim shall be 3%" O.G. base to match that of the existing house. The contractor shall install 1x12 skirtboards on either side of the stairway leading to the basement area.. The existing handrail assembly shall remain undisturbed. Basement stair treads and risers shall also remain undisturbed. All wall construction shall be based on the concrete wall profile. Malls shall not be jogged in to match the wood kneewall assembly. Thusl, all window areas shall have wider extensionjambs in order to accommodate the deeper well openings. Boxed soffit areas shall be constructed around windows to accommodate the suspended ceiling which shall be below the overall top height of the window units. Such boxed soffit areas around the windows and ceiling surfaces shall be approximately 14". All acoustical ceilings in the main cellar area,, the rear storage areal, and 14eov��a�1g1JjhtmT?d10�fi�CiAgjgJyn�1to the furnace area shall maintain Finish Work a Specialty Aobert Ce B61ey Quality Workmanship _ . .. .,. 1 _ 110— _ Fm Wmates Builders License #025620 499,Waverly Road North Andover, MA 01845 Home Improvement Telephone (978) 682-7087 Contractor #100239 TO Mr. & Mrs. David Means 24 Meadowood Road North Andover, Mass. 01845 L I L same 7 I BILLING DATE DATE COMPLETED TERMS CONTRACT PROPOSAL DOFF Ej-1 PAGES 22/00 XXX JOB DESCRIPTION: Basement Remodeling The contractor shall install white Armstrong acoustical wall angles, main grids and ceiling adwired tofloor joists at4811 intervals for ertdeimgrids shall be Tagagg integrity. All ceiling tiles shall be 24° x 24" in the Armstrong random textured series. If either the Pebb]ebraok se addghton either1les $480x40, oro$192iO4place respectiv�lyrtodthe om textured series, plea quoted price of the overall contract. All construction debris generated by this project shall be disposed of by an on site dumpster. All necessary permits for the contractor's phase of the project shall be obtained hallpriorbe them responsibility ofltheectrica appropria11 teucontractorand other permits shall involved. I hereby Propose to furnish labor and materials complete in accordance with the above specifications for the sum of g 372 90 (Twelve Thousand Three Hl�n re - -- t2�, W ith payment to be made as follows: $4r —..�nart5401 t i n n_i12o ° $1500 compigtion of insulation work as outlined; $3500 upon complotinn of drywall work and installation of 1x10 pine boarding; $2000 upon completion of All mat;iai is guaranteed to be as spkifled, All work is to be compiet®o in a woncmannrce Authoriz!d manner according to standard practices. Any alteration or deviation from above specifications Involving extra costs will be executed only upon written orders and will Signatura . become an extra charge over and above the estimate. All agreements contingent upon Note: This proposal m be withdrawn by us if not strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other P P 4 necessary insurance, accepted within days. Acceptance of Proposal - The above prices, specifications and / ,l/ conditions are satisfactory and are hereby accepted. You are Signature . -=- authorized to do the work as specified. Payment will be made 9 as outlined above. Signature Date Accepted _ f�e �ts�nmzamu�ea�l� �_i��cr�czc�utael�d BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 025620 Birth date: 03110(1947 Expires: 03/10/2002 Tr. no: 17749 Restricted To: 00 ROBERT C BAILEY i 499 WAVERLY RD N ANDOVER, MA 01845 (.cn G'%� Administrator �� �nmmonueviiil,4 a�:� z'�vuuc%ut�lf HOME INPROVENENT CONTRACTOR Registration: 100239 Expiration: 06/15/2002 Type: OBA ROBERT C. BAILEY/ BLDG, 8 Robert Bailey 4" Yaverly Rd HDMINIS7RHTOR i N. Andover MA 01845 Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax(978)688 -9542 DEBRIS DISPOSAL FORM f t►ORTH O �t�ao !� •Y 0� h CIO ^o. <O[KK W wK M AC�IU5���� In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, sl 50a. The debris will be disposed of in /at: �5 r A�7-6' 1 Facility 1 cation Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. r. •rry vvrr.rrr vrr rrv4r�rr yr r�ruvvu V//UVlrl Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Location: a2 7 % � JA) I@'. Citykp . Phone am a homeowner perfom4ing A work myself. F/--],Iam a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for mfy�employees /working on this job. ,y Comaanv name: Aalf Address City: Phone # Insurance Co._ Policy.# Company name: Address City: Phone # L16!I Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 andlor one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct Print nameI%,e7 Phone # 71 Official use only do not write in this area to be completed by city or town official Building Dept []Check if immediate response is required Building Dept p Licensing Board F1 Selectman's Office Contact person:_ Phone #.• M Health Department Other FORM WORKMAN'S COMPENSATION O z W W 4 J o soA%. l o s C i . O N O V V �' •o'er CL C O ea 3 m= co =o 01 m.e .s a� N E c m ; cm a E ZNS o �3 s N � 4+ CA m y y O C O Efl :CDC m 0 O) Q = k : a) CD mom � Vy O O z cm _ y �o CZ O C C _ ®O , F- o y m 0 �. m j._ •N Cit O C Z O m 6N O ui •m o m c v� a• ®� o-0 0 m y'� O F- *- CL.�--. Cim :T i' O O O z O CO2 CDCO2 CD L coCL O co 0 cc r-Im m P-4 _cc d CO3 Q CD co 0 Q L CL O S *"c C CO ca Z CD CO)CL C G o u°. U) a E/)w° 0 H W o w°' v U ro w o W Ra a0 a U W a w x O a°' � w z kr G cq cn Q o cn o soA%. l o s C i . O N O V V �' •o'er CL C O ea 3 m= co =o 01 m.e .s a� N E c m ; cm a E ZNS o �3 s N � 4+ CA m y y O C O Efl :CDC m 0 O) Q = k : a) CD mom � Vy O O z cm _ y �o CZ O C C _ ®O , F- o y m 0 �. m j._ •N Cit O C Z O m 6N O ui •m o m c v� a• ®� o-0 0 m y'� O F- *- CL.�--. Cim :T i' O O O z O CO2 CDCO2 CD L coCL O co 0 cc r-Im m P-4 _cc d CO3 Q CD co 0 Q L CL O S *"c C CO ca Z CD CO)CL C t 1 wap , Ar o . G,07Iq N 3 goovvooo " J JiWJlx'PY MlVr !n M MW MUMM ASID riN Lor A8 Mi►Jlt AM =711' DOA'$ rAm"m WDW rJltt MW OP sv, NOW MOMATMW scam ,WD offmcm Pwm $rwm * for ims.' " 1 ipumm G'8AMY m r rms DMI/11iO 18 NOW IaM A=0 zsoogg OO©Cod C,Z VMS PFPJJIOM sif - Nor r eoumnuuau4r �Xpamurmar TAM asus, go, 40 PLOT PLAN IJV Nora ry �i,✓�oc� vin � rr��.s . DRAWN MR G le 19 v109 /107w, "_w, OC7, �)Zooz YARN MACK R1UMNINNC SSR17CRO Sd PARK STUNT AlVDOYRA 1WRACXUS'I&S 01010 N° 2739 Date. ` ...... ....... E ,,,CRT) 1 "�,� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .:::.:...::. ............................................................................. has permission to perform .....::�..:�...`.�" ` `' . ` ' J ......................:.. .g.......................... �.. wiring in the building of ; :�? - -dam ..................................................................... atc.'1....... ` �: f....................`^ `� ........ ,North Andover, Mass. ...........:...... Fee" .............. Lic. No j..k. n ?% ...... .................................. —ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer icier —T— r ri � 11 vZ tii[J1.�X.,AA4/ULl I —4y DEPARTM9VT0FPUBLICS4FM Permit No. p� BOARD OFMEPREVEMONREGUATIOAN527CM I OID Occupancy & Fees Checked APPUCARAONFOR PERW TO PWORMaE=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) Datg1��"� S/•-�m�� Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street � Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a bu Purpose of Building Existing Service ZOO Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work jOY Yes ® No (Check Appropriate Box) ✓ Utility Authorization No. Overhead Underground No. of Meters Overhead [:3 Underground No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA • ground Elground No. of Receptacle Outlets / No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Btimers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local M Municipal Connections Other No. of Dryers Heating Devices� W �a�� �(( No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP • - ' �• 1 :• - c •' ate.• :i: • r• fir, /I t C•:•1.• •. ' :•, .rr.• ' • ._� / I OWNER'S WSURANCEWAIVER, Iamawaethithe Li ease a nddutmyssg>aUr-ont%pam#Wphcmm dmmv'mnc t (Please check one) Owner Agent / a0 Na x/3697 _ Lioa�eNo x',3356 3 BustnessTel. Na /�f —��' S'�o� Alt. Tel Na rec} W bye Caiod laws Telephone No. PERMIT FEE A LIS Location_ No. Q24 Date ✓t ,._ TOWN OF NORTH ANDOVER r 7872 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ t70(b .TOTAL $ —1 ''� Building Inspector 01/20/95 03:30 7 n Div. Pubic Works Location ?4l4 No. OZ+ Date i ��•—' TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 01120195 09:34 a' 7871 ad Building Inspector 150.00 PAID Div. Public Works Nod © Date vo11TIy TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ Building/Frame Permit Fee )$ ss�cMU Foundation Permit Fee $ Other Permit Fee $ 7? Sewer Connection Fee $ 3 Water Connection Fee $ Io% TOTAL � $ G01120/95 uild'itgIns ctor 09:29 1, 000-00 PAID7 "-,; A/ �IA 4 8 p A p Dieu is Works `� O PERMIT NO. (3Z4+ 4-'t- (/V/11)/n/t /.M ) 24cZZ 00k42IA%44_ APPLICATION FOR PERMIT TO BUILD -'NORTH ANDOVER, MASS. PAGE 1 MAP d40. Zs ZONE I LOT NO. ZZ Z SUB DIV. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE LOCATION 7U,{1 L% `r PURPOSE OF BUILDING 1� rim+ `�/ /A/l` /SIZE JWNER'S NAM �7 � NO. OF STORIES Ws� Let LoCr- OW.� ';IER'S ADDRESS / /0 S��/►i p, BASEMENT OR SLAB g� ARCHITECT'SARCHITECT'S NAME`A_-/ SIZE OF FLOOR TIMBERS IST /Jh / � 2ND �3RD ��^^ BUILDER'S NAME SPAN q 7 DIMENSIONS OF SILLS =1i POSTS �i�ti\j �b DISTANCE TO NEAREST BUILDING /,Q DISTANCE FROM STREET O DISTANCE FROM LOT LINES - SIDES •yam REAR v GIRDERS V AREA OF LOTy � FRONTAGE 1' J HEIGHT OF FOUNDATION v THICKNESS Q IS BUILDING NEW �Jj SIZE OF FOOTING / X IS BUILDING ADDITION 1 MATERIAL OF CHIMNEY IS BUILDING ALTERATION'J 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 e_1 IS BUILDING CONNECTED TO NATURAL GAS LINE .� f INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 PERMIT FOR FOUNDATION ONLY 3 PROPERTY INFORMATION REGULATED BY PARA. 114.8-S. B.C. LAND COST ,G J� /�) EST. BLDG. COST j �a ` `sm j�/(J "' EST. BLDG. COST PER SQ. FTI. DATE t FEE PAID T. BLDG. COST PER ROOM ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING PERMIT FOR FRAMUBUILD ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BU IINNG INSUSPP• FEE PAID DATE FILED I 4 • SIGNATURE OF OWNER OR AQYHOR FEE PERMIT GRANTE 19 CK7_ YY SEPTIC PERMIT NO. 4 APPROVED BY id-✓ -� BUILDING INGPECT01 OWNER TEL. # CONTR. TEL. # CONTR. LIC. N � ,�� 1 �,� I"IST � • - - � • • �m¶� �*ILII; �'_�-W � • • BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - 1 1 ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. " +rt APARTMENTS CONSTRUCTION 2 FOUNDATION CONCRETE8 CONCRETE BL K. BRICK OR STONE PIERS _ 8 INTERIOR FINISH 1 PINE HARDW D PLASTER DRY WALL UNFIN. 2 I3 3 BASEMENT AREA FULL FIN. B'M'T AREA _ 1/1 '/p 1/1 FIN. ATTIC AREA NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WAILS CLAPBOARDS DROP SIDING I 9 FLOORS 8 1 2 3 �_ _ CONCRETE WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING _ EARTH HARD"1'D COMrnCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY ATTIC STIRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. WIRING. STONE ON MASONRY STONE ON FRAME SUPERIOR 00R ADEQUATE ONE 5 ROOF 10 PLUMBING GABLE IP BATH 13 FIX. GAMBRELMANSARD FLAT TOILET RM. 12 FIX.) _ SHED WATER CLOSET ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 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. 8 COLS. _ STEAM STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS IR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS OIL ELECTRIC NO HEATING 7 NO. OF ROOMS B'M' 2nd 3rd 11 1 sr I I i R 1fY� a w O T CN ri tz 9 ti ♦ 0 a R v a 0 w a w x � w ° - A z w a C v E p u T W o 4 0.Coll U ' a o Q U -C O O O u0 �v om Cu' cz OO v Eo w C/) w a U ir. a: X cG ii rz w -u- co cn cn ti ♦ ui op ti ♦ m ccVo–N o0 / m .�•� c .•r 4 0.Coll a fr a a y CO CD t� CL N -'' o cm CL. ev no - GO cm m y C m := C N N O CCD o cm C. 1>0� N t = O Of •- = C*a c 'a 'act o m 6m7 O ••y V�Z3 O000 c = m m 3o N .sm-. V i a Z � NJ p •CA � � C yL.. O •� dZ C v � v •N Z O LU ci a C* :s CO2 CD CDM O F- .0 CD ... O..=.. m NO o� G� 0 C • L O O v bLi Z co Q.. O y C C CD CM CA y O .O v 'E m m O n � �O — B, o i � CL)O o _m O Q CL Q y C ell O O O R !C -R� Z O 0. O C.3 C —_ C R CA 0 It J z LL z 0 Q W z O U ►i W cc z W Q W cc 0 E oro r 00 W Q cc W L _p 0 ' • 1 • S • e TNSTRlIcTIONS : This form is used to verify that all necessary approvals/permits troy► Boards and Departments having jurisdiction have been obtained. Thais does not relieve the applicant and/or landowner Prot' cotpliance with any applicable local or state law, regulations or r6quirements. ****************Applicant fills out this section***************** APPLIC..A.NT. SCO -s3- Cu h .I S' ,L�s Phone 3 7 f o 0 3 LOCATION: Assessor's Map Dumber C Parcel c;Cc;, Subdivision )')/Q �,� -T—di Lot (s) %+ Street'-�- cis St. Number Z ************************Official Use Only************************ RECOMME.NDATIO: F TOWN AGENTS: Con .rvation Admi_n.istrator Comments Town Planner Comments Food Inspector -Health Septic Inspector -health Comments Public Works - sewer/water connect -ions Date Approved Date Rejected Date Approved.... Date Rejected Date Approved Date Rejected Date Approved �17 ZLAy Date Rejected -------_-._-. 1-(ic� 10 _l8 gcG - driveway permit — _-_�ct�----- n Fire Department, ,r telived by I3u t _ding if Spector Date c<� ' O OTS X32 j5 r1%4hi99,tfY7 I - / e'�ws 1 r w, SMH #1 CH Q } ' ' 23%6 " / s\ OUL ESI f �w � � � � .. � - SH 239,:1 kin ;1 iLOT/•� #2 i }� SOC T 1 pay' i OT V d I 9g. 1 o L0� ` t 3 / MH ��af= LOT 5M. ti h ROM,^`'�a �� pit{� "w `� /•ter � �V�� �,.� i ,M1e J< r .• !~ ;`� ���� V '�' ' i i1 �` .„•`mow. � 1.. � € �'` rts..�Jy� 40 PW N i 4wr hk r+ Igo 11 F l 1 e a 3 a �� 1 +, 244 x•11 /, �` ice— .• �. h� b td LOT 15 78.2' 84 1• LOT 13 ?23• 14 .. __.... S.F.' FOUNDATION LOCATION PLAN CLIENT: SCOTT CONSTR. THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. LOCATION: LOT 14 N NADINE LN.NNO.ANDOVER,MA. SCALE: 1"=20' DATE: 3/27/95 CHRISTIANSEN,SERGI PROFND SURVEYORS 160 SUMMER Sr. HAVERHILL,MA. 01830 TEL 508-375-0310 © 1995 BY CHRISTIANSEN & SERGI INC. I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REOUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS WETLANDS, EASEMENTS, ORDERS OF CONDITIONSETC.) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN d SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHIBITED. CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- MATION CONTAINED HEREON. o���LZ4t OF A S G1 L No. 1 � a ca o sal �fG DWG. NO.: 94015014 ,�-oz.4- 1gf" 45, so 4 '-g 11 'vYA' gA iv, Jlli % .7 -Pt 4W, 's 6AF WOARYMENT OF �U'6'Ll Ji -,i AgHj�()RtOH PLACE totJ. 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TOWN OF NORTH ANDOVER PERMIT FOR WIRING $ d N This certifies that c ...... . "`...{.'. /............U...!. / ....................................... Y; has permission to perform ......iris'.~ .:.......: ...........&% ................. �rt, 1�a1 _ r F t/t < <� wiring in the building of ............. �............:...,.:�..t...........................::...�........� at .'..,I :..... i l r t ..E . r l....." �.... �. .......... , North Andover, Mass,, ......... .... Fe/ /t�. Lic. No. f Yi ........................................................... ELECTRICAL INSPECTOR C �3j WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File 011e &MMUnwfultll of &0=4usetto u,p levartment of Public 11%fetq BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only1� Permit No. ` \\ Occupancy & Fee Checked 3/90 (leave blank) ` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 C R 12:0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (M* or Town of NORTH ANDOVER To the (/Spect6r of Wires: The udersigned applies for a permit to p rform the e c ical work es abed below. Location (Street & Number) r Li /11 Owner or Tenant Owner's Address Is this permit in conjungkion wi a b ildin permit: Yes Ind No ❑ (Check Appr riatg Box) Purpose of Building T s+ : A-_ `- Utility Authorization No. Existing ServiceAmps Volts Overhead ❑ Undgrnd El No. of Meters New Service /0) Amps A, Volts Overhead P-*** Undgrnd ❑ 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 KVA No. of Lighting Fixtures j 40 Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local Municipal ❑ Other ❑ Connection No. of Ranges No. of Air Cond. Total tons No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers ry Heating Devices KW g No. of Water Heaters KW No. of No. of Signs Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP r OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES O NO r- I have submitted valid proof of same to the Office. YES ` NO G If you have checked YES, please indicate the type of coverage by checking the appro iate box. INSURANCE V BOND 0 OTHER ❑ (Please Specify) Expiration Date) Rough Final Estimated Value of flectriciiii Work $ Work to Start 14 107 CA, Jf 9 Ir Inspection Date Requested: Signed under th altis p ry: FIRM NAME Licensee Signature LIC. NO. _ LIC. NO. 2 3� � nI / jf . Tel. No. Address O 4 � S /ri!1 1/ Alt. Tel. No. OWNER'S INSURANC AIVER: I 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) 6/() -do Telephone No. PERMITFEE $ (Signature of Owner or Agent) x-6565 N UA Date... . OZ ..... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... .......... has permission for gas installation in the buildings of ...................................... at North Andover, Mass. FeeL i c. N o. .......... -GAS INSPE, OR Check # 4436 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFiTTING (Print or Type) A „ -G1 - , Mass. Date 7- CO3 _ Permit # Bulding Lova ' n Owners Namg�� / l t1 ra Av i A /b W,0'-0 1-1� Type of Occupanry, Rest New ❑ Renovation p Replacement Plans Submitted: Yes❑ No ❑ Installing Company Name '-A r --,Ac= (Z T A .:,,#-1M MA T A r Q Check one: Certificate Address 0 00A C H m A ry 4 -KI, ❑ Corporation Al E 7 H U E fJ M ra U (k y p Partnership Business Telephone /o 92 -7 (j -7 f 2-Firm/Co. game of Licensed Plumber or Gas Fitter - I) jJE P. T A- '5 A M m ►9 A Pi D INSURANCE COVERAGE: I Nrive a curre�nt pf bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Ce' No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy 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: Owner❑ Agent ❑ Signature of Owner or Owner's 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 my knowledge and that all plumbing work and installations performed under the pe i ed for this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ner laws. By T of license: L �3 Plumber rt ure of Licensedu or Itter roue Iter 9333 er License Number City/Town Journeyman O IC ONL V Installing Company Name '-A r --,Ac= (Z T A .:,,#-1M MA T A r Q Check one: Certificate Address 0 00A C H m A ry 4 -KI, ❑ Corporation Al E 7 H U E fJ M ra U (k y p Partnership Business Telephone /o 92 -7 (j -7 f 2-Firm/Co. game of Licensed Plumber or Gas Fitter - I) jJE P. T A- '5 A M m ►9 A Pi D INSURANCE COVERAGE: I Nrive a curre�nt pf bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Ce' No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy 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: Owner❑ Agent ❑ Signature of Owner or Owner's 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 my knowledge and that all plumbing work and installations performed under the pe i ed for this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ner laws. By T of license: L �3 Plumber rt ure of Licensedu or Itter roue Iter 9333 er License Number City/Town Journeyman O IC ONL LLi CJ Z 1- O N � 1- a - J t7 V O W O p W ` N O r N V � N L6 W O W O ¢ Z d d p O W LL � Z G 6 � LLi CJ Z 1- N � a - J t7 Z O O p W N O r V � L6 O W O Z d p O W LL � Z G � J t. W Q m V J IL A a W W LL LLi %r Date .......... 1.... #4 f2 389 11 t HORTy 1 ?°•,:�``° 0 TOWN OF NORTH ANDOVER o ' PERMIT FOR WIRING ,SSACMus - This certifies that ...... ..:...... .....!.:...............J.y.s K, Hyl..... has permission to perform ....... A.-A.c&.a.v........ �..Xl..�.� e.�: �................... wiring in the building of .......P'.L.V. m�...S.5.............................................. bk..: � at ....... ..` ....... .. t% Vc? ......bk..:......... . North Andover, Mass. Fed .a . Lic. No. � ��L . ..... ............. ............. .................. ................... ................... ECTRICALINSPECTOR vWk /AkIJJ ffi CAN3ftI f3uiI9WDept. PINK: Treasurer r . 0 t (gamnuinwadO of mandpetts l-0evartmettt of public: Eraftty BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 Offico Uso Only l Permit No. 3J Occupancy b Fee Checked42 3190 (leave blank) Ward Area APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 C 1 (PLEASE PRINT IN INK PRTYPE ALL INFORMATION) Date City or Town of d � ��V L rr C To the Inspector of Wires: The undersigned applies f mit r a per_ to Location (Street & Nu Ker to owner or Tenant t e Owner's Address logI Is this permit in conjunction with a building permit purpose of Building Existing Service Amps _J Volts work described below. Yes ❑ ' No ❑ (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgmd ❑ No. of Meters New Service Amps _ J vott� p—rhead ❑ Undgrnd [:]No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work I n s t a 113 t i on of a 1.is m S y S t em No. of Lighting Outlets No. of Hol Tubs No. of Transformers Total KVA Generators KVA Above In - No. of Lighting Fixtures Swimming Pool gmd. ❑ gmd. ❑ No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones No. of Detection and (nitrating Devices No. of Switch Outlets No. of Gas Bumers No. of Ranges Total No. of Air Con tons No. of Oisposa►s No. of Sounding Devices Heat Total Total No. ofHeat.mss KW No. of Sell Contained No. of Dishwashers Space/Area Heating KW Deteclrort/Sounding Devices No. of Dryers Mnicipal nection ❑Other Loc�Volta�ge� Heating Devices KW No. of Water Heaters KW No. of No. of Signs Ballasts Low Wrong No. Hydro Massage Tubs No. of Motors Total HP OTHER: If' frf INSURANCE COVERAGE: Pursuant to the requirements of Massact_"tts General Laws I have a current Liability Insurance PottcYinclud- ing Completed Operations Coverage Or Its substantial equivalent. YES 0, No 'O 1 have submitted valid proof of same to the Otrice. YES O NO O If you have checked YES. please indicate the type of coverage by checking Ute appropriate box. INSURANCE XX BOND O OTHER�]0 /r(Please Specify) (Expiration Date) Estimated Value of ectr cal work S &,D 0 Work to Start - .24 Inspection Date Requested: Rough Final Signed under the Penalties of Periury: LIC. No. 12 FIRM NAME Licensee Signature UC. NO. Bus. Tel. No. 617-431-5800 Address 60 William St /We1lesLey A n?tRi AIL Tei. No. �'%�155-47 OWNER'S WISURANCE WMVM I are aware that the Licenses does not have application imwanoe ��e « its substantial equivalent as ro- .. y � General laws. and Well my on � PemtN appRt:atiat t+varves this rsquirernenL Or"? r� PERMIT FEE $ 3 _ ..�,t 1!.r��'%N..itie'i�'�r~•aylti'f ,.r�'iiilW:oTST%'S')t�.4.TeltphOrle• IdQ. 1 .1 . . . . . . . . . . - - - - - . . . . . 0 0 r. 4. 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