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HomeMy WebLinkAboutMiscellaneous - 25 ADRIAN STREET 4/30/2018N O NCD > D 60 o -D z o cn o A o m o � 0 North AndGver Board of Assessors Public Access Page 1 of 1 North Andover Burd of Assessors S"z1"'S roperty Record Card Click Seal To Retum Parcel ID :210/098.C-0113-0000.0 FY:2013 Community: North Andover Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Location: 25 ADRIAN STREET Owner Name: AHEARN, ROBERT B CATHERINE A AHEARN Owner Address: 25 ADRIAN STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5 - 5 Land Area: 0.75 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2829 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 529,200 542,800 Building Value: 340,600 349,000 Land Value: 188,600 193,800 Market Land Value: 188,600 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=2256495&town=NandoverPubAcc 3/19/2013 T T T r b O' N N v oo'U�U a W (n a)p N a C W U, O I i M ! 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LECTRIC A L IN SPECTOR Or `13z-Z�'y This certifies that .�)............. - .&I . , ....................................................... has permission to perform.5 ...... e,�, . ...................... . .. . ... wiring in the building of........... . ................ * .................................................... at - ....... .- A...,....... f)�� North Andover, Mass. Fee!Z5 Lic. NoA.S� .................................................................................... ELECTRICAL INSPECTOR Check # 1511�A 13149-/ �OL J-7 oc, Date .73.� ... ................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that .�)............. - .&I . , ....................................................... has permission to perform.5 ...... e,�, . ...................... . .. . ... wiring in the building of........... . ................ * .................................................... at - ....... .- A...,....... f)�� North Andover, Mass. Fee!Z5 Lic. NoA.S� .................................................................................... ELECTRICAL INSPECTOR Check # 1511�A 13149-/ �OL J-7 oc, I .LJeparrFmen� o�.}ire �ervieed BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. I �) ILH --I Occupancy and Fee Checked Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR T)-PF.AL.L TXFOR419TION) Date: 2/3116 City or Town of: North Andover To the Inspector of Vires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 25 Adrian Street Owner or Tenant Cathy Ahearn Telephone No. 978-689-7555 Owner's Address 25 Adrian Street Is this permit in conjunction with a building permit? Yes Q No ❑ (Check Appropriate Box) Purpose of Building residential Utility Authorization No. Existing Service 200 Amps 120 /240 Volts Overhead ❑ Undgrd ❑ No. of Meters _ New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 6" to roof height. 45 total panels Install 11.7 kw solar panels on roof. Will not exceed roof panel but will add No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above [I In- ❑ o. o mergency Lighting rnd. grind.Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers eat Pump I No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of WaterKW No. of No. of Data Wiring: Heaters Si ns Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Airing: No. of Devices or E uivalent OTHER: Install 45 solar panels on roof Attach additional detaft ij desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $43,000 (When required by municipal policy.) Work to Start: TBD Inspections to be requested in accordance with NIEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless } the licensee provides proof of liability insurance including "completed operation', coverage or its substantial equivalent. The undersigned certifies that such cov age is in force, and has exhibited proof of same to the permit issuing office. ' CHECK ONE: INSURANCE M BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Newport Electric F 44 LIC. NO.: 20803A ' Licensee: David McMullen` Signature LIC. NO.: (lfapplicable, enter "exempt" in the license number line., Bus. Tel. No.: 617-908-4193 Address: 200 High Point Ave B5 Portsmouth, RI 02871 Alt. Tel. No.: *Per M.G.L. c. 1.47, s. 57-61. security work requires Department of Public Safety "S" License: Lie_ No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ n NEWP049 OP ID: GJ AC`[7RQ' CERTIFICATE OF LIABILITY INSURANCE DATE 01107/20Y6 01 /07!2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 401-683-3900 CONTACT NAME: Carey, Richmond & Viking Fax: 401 683-7329 Two Corporate Place PHONE FAX Arc No Exti: PJC No Middletown, RI 02842-6294 Peter J. O'Neill E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # EACH OCCURRENCE S 1,000,000 INSURER A: Selective Ins Co of America 12572 MED EXP (Any one person) S 5,000 INSURED Newport Electric Construction INSURER B; Beacon Mutual Insurance 24017 DBA/ Mister Sparky GEN'L AGGREGATE LIMIT APPLIES PER: POLICYFX PRO LOC 200 High Point B5 INSURER C: INSURER D: Portsmouth, RI 02871 INSURER E: INSURER F: 12130/2015 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY X COMMERGIALGENERALLIABILITY CLAIMS -MADE FK OCCUR X per loc aggr app! S 2139566 12130!2015 12!30!2016 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) S 5,000 PERSONAL &ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYFX PRO LOC PRODUCTS - COMP/OP AGG S 3,000,000 A AUTOMOBILE LIABILITY X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS S 2139568 12130/2015 12130/2016 COMBINED SINGLE LIMIT 1,000,000 Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE S Per accident $ A X UMBRELLA LIAR EXCESS LAB X OCCUR CLAIMS -MADE S 2139568 12/30/2015 12/30/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) IfYes, describe under DESCRIPTION OF OPERATIONS below NIA 68661 01118/2016 01/18/2017 X WCSTATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT S 500,000 E.L. DISEASE- EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION INSURED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Newport Electric Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. DBA/ Mister Sparky 200 High Point 135 AUTHORIZED REPRESENTATIVE Portsmouth, RI 02871 ACORD 26 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Off of Investigations 600 Washington Street Boston, MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatioagndividual): dew rt Electric Construction Cor Address: 200 High Point Ave B5 City/State/Zip: Portsmouth R102871 Phone #: 401-293-0527 Are you an employer? Check the appropriate box: Type of project (required): 1. M I am a employer with 25 4. M I am a general contractor and 1 6. ❑ New construction employees (full and/or part-time).* 2. Q I am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet : 7. r) Remodeling ship and have no employees These sub -contractors have 8. [3 Demolition working for mein any capacity. workers' comp. insurance. 9, Q Building addition ? [No workers' comp. insurance 5. [3 We are a corporation and its 10.�Electricai repairs or additions required.] officers have exercised their 3. [3 1 am a homeowner doing all work right of exemption per MGL 11.Q Plumbing repairs or additions myself. [No workers' comp. e. 152, § 1(4), and we have no 12.® Roof repairs insurance required.] t employees. [No workers' 1313 Other comp. insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. pol icy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information - Insurance Company Name: Beacon AAututal ur Policy # or Self -ins. Lie. #: 1 Expiration Date: 11/18117 25 Adrian StreetNorth Andover, MA 0184 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby epo under the pains and penal ' of perjury that the information provided above is true and correct. �c 1/20/16 Sinature:R�Date: Phone #: ' Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. 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E� �N z< ~p wQ a O ° Wwo = F "Pz L`�� a�aa O a a> �F 0 L�]�, m c1r) � � g w \§� gm j\° !■E {§ \ /k §\ \.;;■� IN- ;; 9y ) 2 !/r «wwa wu \ � / - }| : � � - -� § § ■ « ` � l•,.=,,� !!,� §§#|§«, y ; !� u!� ! z ��B - \ (•! \ g LLLLL± ,f/ ° ƒ z �ar\§®RQ�m�/ !)|! |§;r!(<4■ L�]�, m � � g w \§� gm j\° L�]�, !■E §\ \.;;■� IN- ;; 9y ) 2 !/r «wwa wu \ � / - ;■ : !!,� §§#|§«, y ; !� u!� ! z ��B - \ (•! \ g ,f/ �ar\§®RQ�m�/ � \ae|!eV° <� /\■�\§//N;�h / dJ //E2 �2/:\ 1' Location C5 No. '1 757 _ Check # � Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $�.� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector 4141 s TOWN OF NORTH ANDOVER µ°RTH APPLICATION FOR PLAN EXAMINATION 2 t Permit NO: / f/� �I Date Received �9SSA[Hus���y Date Issued: IMPORTANT: Applicant must complete all items on this Dave LOCATION 25 Adrian Street North Andover, MA 01845 Print PROPERTY OWNER Cathy Ahearn Print MAP NO.: O lC� F PARCEL:6 /�3 ZONING DISTRICT: TYPE ANn [ICF, OF RITILDINC t41fiTnRIC DUCkTRICT vFC n TYPE OF IMPROVEMENT PROPOSED USE Resjoential Non- Residential _J New Building Addition Alteration IfOne famil-'r U Two or more falnih- No. of units: LJ hidustrial _J Repair, replacement J Demolition L Assessory- Bldg LJ Commercial LJ Moving relocation t_I Other L Others: J Foundation only OLNUKIFIJUN Ol- WOKK'L'O BE PREFORMED install 11.7 kw solar panels on roof. will not exceed roof panel but will add 6" to roof height. 45 panels total Identification Please Tvl)e or Print Cleary) OWNER: Name: Cathy Ahearn Phone: 978-689-7555 Address: 25 Adrian Street CONTRACTOR Name: Gregg Lacasse Phone: 508-291-0007 Address: 20 Patterson Brook Road West Wareham, MA 02176 Supervisor's Construction License: 103631 Home Improvement License: 170355 Date: 8130117 Exp. Date: 10/12/17 ARCHITECT/ENGINEER Richard Gordon Name: Phone: 434-574-6138 Address: PO Box 264 Farmville, VA 23401 Reg. No. 49993 FEE SCHEDULE: BULDING PERVIT& S12.00 PER $1000.00 01' THE TOTAL ESTIU-1 TED COST RASED ON 1125.00 PER S F Total Project Cost :$ 46,000 x12.00=FEE:$ 552 Check No.: 52�� Receipt No.: 3m(P_ Pagelor4 r