HomeMy WebLinkAboutMiscellaneous - 27 SILSBEE ROAD 4/30/2018 (2)Location
No. L/ Date
TOWN OF NORTH ANDOVER
0
AL
Certificate of Occupancy $
SS Building/Frame Permit Fee $ �36 V
Foundation Permit Fee $
Other Permit Fee $
TOTAL s 36
Check #
17813 /o/ KAX.^-
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,
RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUELDING PERM[IT NUMBER:
DATE ISSUED:
SIGNATURE:
Building Commissioner"/12�2Etor of Buildings Date
SECTION I- SITE INFORMATION
1.1 Property Address:
1.2 Assem"s Map and Parcel Number:
20 3
47
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
Zoning Diii�c—t Proposed Use
Lot Area (sf) Frontage (ft)
1.6 BURDING SETBACKS (ft)
Front Yard
Side Yard
Rear Yard
Required Provide
ReqWred Provided
Reqw'red Provided
1.7 Water Supply M.GL.C.40. 54)
Public 0 Private 0 zone
1.5. Flood Zone Information:
Outside Flood Zone 0
1.8 Sewerage Disposal System
municipal 0 On Site Disposal System 0
-Tts
SECTION 2 - PROPERTY OWNERSEEIP/AUTHORIZED AGENT
t District, NO
2.1 Owner of Record
411 P iA
Name (Print)
Address for Service:
N04-�t
Signature
Telephone
2.2 Owner of Record:
Address for Service:
SignatU14
Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable D
C k0sk"r-
Licensed Constructi;n Supe
r"'so':
-73
Nq,
uytiv,
AL,, . M4 o(9,70
License Number
A ress,
A -341 14 IL4
'
Expiration Date
�ijnaturil' V V F
I
Telephone A04 �011 (V
�� V
3.2 ELgistered Home Improvement Contractor
Not Applicable 0
I Aq- 1+ (VI Em
, ( -
0
Company Name
IS kit*
N A- al i,? o
Reuistration Number
�-7(0
Expiration Date
e
r, ss
fignature
Telephone
M
M
X
z
0
0
z
M
90
0
M
G)
SECTION 4 - WORKERS COMPENSATION (KG.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 buildinR t)ermit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 Description o Proposed Work (check applicable)
New Construction 0 Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition 0
Accessory Bldg. 0 Demolition 0 Other 0 Specify
Brief Description of Proposed Work:
I--
U
" 7 1 . /' -L. "
I SRCTION 6 - PSTIMATRD CONSTRUCTION COSTS I
0
Item
Estimated Cost (Dollar) to be
OMCIAL USE ONLY
Completed by permit applicant
1. Building
(a) Building Permit Fee
0, 60
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
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 AUTHORIZATfON TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, W k— &YW , as Owner/Authorized Agent of subject property
Hereby authorize 0,�i V7 �&� 2,oyz::�j to act on
er ative to work authorized by this building Permit application
of 9�V6 Date
SECTION 7h-dWNER/AUTHORIZED AGENT DECLARATION
1, �Z- as Owner/Authorized Agent of subject
property V
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
OJAn�,hpbt-.�
IESIM96V D03 -1 -M -N
BASEMENT OR SLAB
SIZE OF FLOOR TINIBERS iST
SPAN
DIMENSIONS OF SULS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION
SIZE OF FOOTING
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
r IS BUILDING CONNECTED TO NATURAL GAS LINE
Date
SIZE
THICKNESS
X
3
A.1 Cp C)
"D �e c K_
FORM U - LOT RELEASE FORM
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 SECTION**********************
APPLICANT PHONE
LOCATION: Assessoes Map Number t 0 PARCEL—A
SUBDIVISION LOT (S)
STREET- ST. NUMBER_Z2_
I ATION ADMINISTRATOR
USE ONLY***************************
AGENTS:
DATE APPROVED
DATE REJECTED
TOWN PLANNER
COMMENTS
FOOD INSPECTOR -HEALTH
SEPTIC INSPECTOR -HEALTH
COMMENTS
DATE APPROVED,
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
PUBLIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT.
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
Name
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111 -
Workers' Compensation Insurance Affidavit
Please Print
CitV Phone 7
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
cibr: Phone cl I — () '4 1,c4
I zs-&
Company name:
Address
Cily: Phone *.
Insurance Co --- i Policv #
Failure to secure coverage as required under section 25A or MGL 152 can lead to the imposition of crirrdnal penalties d,a fine up to $1,500.00
andlor one years'iniprisorwnent-as.weg-as-civd�PeaWtiesinkefoEmda-STOP.W.ORK.ORDERand.a.fine of(.$100.W.)-ajft against.rne. I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DtA for coverage verification.
I do hereby certify under
Print
penalties, of peijury that the information provided above is true and correct.
1. rJ-0,kJ--Phone # 2-q
Official use only do not write in this area to be completed by city or town official'
City or Town PermlUlLicensing
Building Dept
OCheck if immediate response is required Licensing Board
Selectman's Office
Contact person: Phone #., Health Department
Other
Town of Nor. h Andover
Building Dc,partment
0
27 Charlei'�; Street %—uz-
Area
North Andoveil,,,, MA. 01845 CH
D. Robert Nicetta
Building Commissioner
(978) 688-9545
(978) 688-9542. Fax
HOMEOW EIR LICENSE EXEMPTION
Please print.
DATE
JOB LOCATION
Number SYzet Address Map / lot
"HOMEOWNER Name HoMe Phone Work Fh—one
PRESENT MAILING ADDRESS—
City I -own State Zip Code
The current exemption for "home6wners" was extendoi to include owner-oocupied dwellings
of two units or less and to allow such homeowners too. ogage an individual for hire who does
not possess a license, provided that the owner ads supervisor. (State Building Code Section 108.3.6. 1)
DEFINITION OF HOMEWOVINER: I
Person(s) who owns a parcel of land on which he/she.,esides or intends to reside, on which
there is, or is intended to be, a one or two family dwelli,ng, attached or detached structures ac-
cessory to such use andfor farm structures. A person who constructs mcre than one home in a
two-year period shall not be a:,nsIdered a homeowner.
The undersigned "homeowner' assumes responsibility for compliance with, the State Building Code and other
Applicable codes, by-laws, rules and regulations,
T I he undersigned "homeowner' certifies that he/she understands the Town of No. Andover
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requirements..
HOMEOWNER'S SIGNATURE_
APPROVAL OF BUILDING OFFICIAL
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 IVIGL
c 11, S 150 A.
The debris will be disposed of in:
.&W". '(r0-Vt--STe( Sta+M, 0UWd bl OVI&,�,w . o C,-4�
(Location bofaciliW
8ignatdre 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
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
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
Robeil J. Preboso, Deputy Director
Deleader-Contractor
CHRISTOPHER ZORZY
Eff. Date 12119/03
Exp. Date 12120/04
DC00044o
hbmbero(C.O.N.E.S.T. 4
80
WRENEW
BOSTO
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 057733
5/26/1958
Birthdate: 0
Expires: 05/26/2005
Tr. no: 12224
Restricted: 00
CHRISTOPHER ZORZY
115 NORTH ST CZoh
SALEM, MA 01970 Administrator
11/08/2004 11:45 97845904BB WILSON INSURANCE PAGE 01/02
T1jMMIDO"Y)
ACORD. CERTIFICATE OF LIABILITY INSURANCE 11/09/200.
P ucra- I -AA LVIGJ 09-0485 THIS CERTIIFICATE IS 1119BUED AS A MATTE INFORMATION
ROO (9704S9-0775 ONLY AND CONFERS NO RIGHTS UP014 THE CERTFICATE-
r*A L INSURANCE AGFNCY, INC- HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
__ _ -%, nai e%w
6 COURTHOUSE LANE SUITE 14
CHELMSFORD, MA 01824
A a A Z�ervl CUD. L"%, -
A A A services Deleading Co.
115 North Street
Salem, MA 01970
INSURERS AFFORDING COVERAGE NAIC 9
Zurich Awrican Insurance CO.
INSURER X
INSURER
INSURER
INSURER 0',
INSURER E
mmmll�m 6 THE INSURED NAMhu P--Vt rVF% I "c r%
THE -POLIC51ES OF INSURANCE LISTEO I)ELOW HAVE BEEN IS UEDTO ENT WITH RESPECT TO WHIC
ANy;tEouiREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEM
POLICIES, AGGREWE LIMITS SHOWrj MAY mAve BEEN REDUCED By PAID, CLAIMS.
IFOLW IEWIMMM
I IrL Typg OF INSURANCE POLICY NUMBER AXE (Midma= DATE W1119=1
GNERAL LIABILITY
COmMERCIALGENERALL-ABIL TV
D CLAW MADE [B OCCUR AA0 3920351-01 08/01/ZO04 OS/01/ZOOS
A Ind. lead mint
abatement Ops
GRIVIL AGOREGATE LIMIT APPLIES FORR:
n PRO
POLICY Loc
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AUTOMOBILE LIABOM
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ALL OWNED AUTOS
SCHEDULED AUTOS
HIRIED AUTOS
N01+0WNED AUTOS
I OARAGN ILLASILITV
0110 ANYAUTO
eXCIESS(UMBRELLA UADILITY
DOCCUR 1:1 CLAIMSMADE
HDEDUCTIBLE
RETENTION
wMERB COMPENSATION AND
EMPLOVERV LIAINLITY
ANY PR=0RtPARTNERfflXI!CUTIYE,
OFFICE R EXCtUDED?
if Ves. dow?4* UAM
VMFA
OPERATIONS / LOCATIONS I VVICLES I 9XCLUSIONS ADDED VIV ENDORSEMENT I
LICY PERIOD INDICATED. NOTWIT"STANDIN'
4 THIS CERTIFICATE MAY JBE ISSUED OR
IS, EXCLUSIONS AND CONDITIONS OF SUCH
LIMITS
EACH OCCURRENCE S 1 00010
-UA-mAGeTO RFNTEO 6 SO.00
PRICUMFS (FA Qr—�
MED EXP Ww we P6(—) S
PERSONAL & ADV INJURY S 11OW10
GENERAL AOGREQATE 6 :L' 000. 000,
PRODUCTS - COMPIOP AGG S 1,0001000
CONISIMCD SINCLE LIMIT
(Es aWdOM)
BODILY 94JURY
(per PO—)
9OO'LY IWURY
FpROnRTY DAMAGE
(Pef mcklerg)
AUTO ONLY - EA ACCIDENT 8
07HERTHM EA ACC S
AUTO ONLV� A043 S
EACH OCCURRENCE
AGGREGATE
DjMTM-
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G -L DISEASE - EA EMPLOYEE S
El- DISEASE - POLICY LIMIT 6
description: Sunroom & deck for Michael & Brittney Bono, 27 Silsbee Rd-, No Andover MA.
North Andover Building Department
400 Osgood St
No Andover, NA 0134-5
CAC;ORD26(2001108) FAX- (97A)SAA-9542
S"OULD ANY OF THE ABDIVE DESM261) POLICIES BE CANCELLED BEFORETHE
sXpIRAWN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS vvwffMr4 NOME TO THE CERTIFICATE HOLDER K"WO TO THE LEFT,
8UT FAILURE TO MAIL SUCH NOTICS SMALL IMPOSE NO OBLIGATION Oft L"LITY
OF ANY KIND UPON THE INSURIER ITS AGENTS OR REPRESONTATIVES-
AUTMORIND REPRESENTATWE
VACORD CORPORATION
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't,
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Inspector
1600 Osgood Street
North Andover, MA 01845
RE: Insured:
Property Address
Policy Number:
Date/Cause of Loss
File or Claim Number:
Michael and Brittney Bono
27 Silsbee Road
PT7870
3/15/2008, Mold Damage in Attic
18713-C
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS,
CHAPTER 139, SECTION 3B is appropriate, please direct it to the attention of the writer and
include a reference to the captioned insured, location, policy number, date of loss and claim or
file number.
Chris Town
On this date, I caused copies of this Notice to be sent to the persons named above at the
addresses indicated above by First Class Mail.
Z"—
Signature and Date
ANDERSON ADJUSTMENT CO., INC.
54 Stiles Road, C-106
Salem, NH 03079
Location7�)
N o. 40 Date 2—
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
ev,
Building/Frame Permit Fee $ 2
CHUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL
Check #
Building Inspectory
1559-r
0-- -
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAI$ RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
K,
_ I I setua ki
ON
MIA MM
BUELDING PERNIIT NUMBER Ll DATE ISSUED:
SIGNATURE:
Building Commissioner/Inspector of Buildings Date
SECTION 1- SITE INFORMATION
1. 1 Property Address:
1.2 Assessors Map and Parcel Number:
fit
-/ /
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
ZoningDi�-ftic—t Proposed Use
Lot Area (sf) Frontage (ft)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide 4equired Provided
Reg* Provided
1.7 Water Supply M.G.1-C.40. 54) 1.5. Flood Zone Information:
1.8 Sewerage Disposal System:
Public 0 Private 0 Zone — Outside Flood Zone 0
municipal D On Site Disposal System D
SECTION 2 - PROPERTY OWNERSEIIP/AUTHORIZED AGENT
2.1 Owner of Record
A4 /' e- He4-c—
Name (Print) Address for Service
Telephone
2.?,Owner of Record:
.jame Print
I Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES 1
3.1 Licensed Construction Supervisor:
Not Applicable 0
-< V 19 "-1 f kz-<3 'V AV g� 1�
Licensed Construction Supervisor:
r L
License Number
Address
ve
h
Expiration Date
Signature Telephone 'I,-
3.2 Registered Home Improvement Contractor
Not Applicable 0
Z-�4 44-11 0 eV
-7 V-7
Company Name
Z,5-- 1,
Registration Number
6
Address
Expiration Date
,1,��a ue Telephone
M
M
X
z
0
X.
M
1191
0
z
M
90
0
ic
M
z
G)
SECTION 4 - WORKERS COMPENSATION (NLG.L C 152 § 25c(6) I t
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 permit. e C /W
Signed affidavit Attached Yes ....... 0 No ....... 0
�ECTION 5 Description of Proposed Work (check all aqpUcable)
New Construction 0 1 Existing Building 0 1 Repair(s) 0 1 Alterations(s) 0 1 Addition
Accessory Bldg. 0 Demolition 0 1 Other 0 Specify
Brief Description of Proposed Work:
Ate 0 E-
��P gr, -e 7-
'05W3 e2e '- Alrt—,,— c-, ve�-."- C-/Vlr-�
I qF.CTTnN 6 - F.V.TYMATF.-n cnNqTRITCTION rn.qT.q I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
g:i
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
crallo-
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
-z5* e -'l 0
5 Fire Protection
'Z" o e'el
6 Total (1+2+3+4+5)
6 9�-/ 3? -NV .
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, 114, /'(� ee-.�'e ef2 I as Own orized Agent of subject property
-f- !�? '- -7., .*/
/') �6 - - - , - � -1 J F , rX
&i�
, akfi of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT
TION
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
of Owner
Date
NO. OF STORIES SIZE
BASENIENT OR SLAB
SIZE OF FLOOR TINMERS I IT 2 ND -1 3"
SPAN /2-
DINENSIONS OF SILLS
DINIFNSIONS OF POSTS
DJ-1vlFNSIONS OF GIRDERS
IIEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
NIATERLAL OF CHIIVINEY
'r ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
RNEIST:
A True COPY
P�6, 0.'43f04AA1---
Town Clark
RECEIVED
is to certify that twenty (20) day��
JOYCE BRADSHAW
ave elapsed from date of decision, fi.
MWN CLERK
-.fithout filing of an appeal.
Date2U�� a;X
NORTH ANDOVER
Joyce A. Bradahaus
Town Clerk
2001 OCT 25 P 1- 42
Any appeal shall be filed Notice of Decision
within (20) days after the Year 2001
date of filing of this notice
in the office of the Town Clerk. Property at: 27 Silsbee Road
NAME: Michael & Brittney Bono DATE: 10/17/01
ADDRESS: 27 Sibbee Road PETITION: 029-2001
North Andover, MA 01845 HEARING: 10/9/01& 10/16/01
The North Andover Board of Appeals held a public hearing at its regular meeting on
Tuesday, October 16, 2001 at 7:3 0 PM upon the application of Michael & Brittney
Bono, 27 Silsbee Road, North Andover, MA'01845 as to allow for a Variance from the
requirements of Section 7, Paragraph 7.3 for relief of front, and left side setback. They
are requesting a Special Permit from Section 9, Paragraph 9.1 & 9.2 to allow for a
proposed addition of a 2 nd floor with three bedrooms and a full bathroom on a pre-
4r-- ' I -
A "*
existmg structure on a nuL-.%;u v. - �'V 20 101 Pm 1'24
ING
The following members were present: William J. Sullivan, Walter F. Soule, Raymond
Vivenzio, Robert Ford, George Earley, Ellen McIntyre and John Pallone.
Upon a motion made by Walter Soule and 2 nd by John Pallone the Board voted to
GRANT the Special Permit and Variance to allow for a proposed addition of a 2 nd floor
with -three bedrooms and a full bathroom on a pre-existing structure on a non -conforming
lot'. Voting in favor: WJS/WFS/RV/JP/RF
The dimensional variances were granted of 9.1 feet front yard setback and .6 feet on the
east side setback per plan of land dated 8/29/01 by Coastal Survey 130 Centre Street,
Danvers, MA. The Special Per * mit was granted for 909 SF of additional residential space
as a 2nd floor to the existing structure. The footprint of structure to remain as is. Per plan
submitted by Charles Henry Goldstein dated 7/14/01, the Board finds that the applicant
has satisfied the provisions of Section 9, Paragraphs 9.1 & 9.2 of the zoning bylaw and
that such change, extension or alteration shall not be substantially more detrimental than
the existing structure to the neighborhood.
Furthermore, if the rights authorized by the Variance are not exercised within one (1)
year of the date of the grant, it shall lapse, and rinay be re-established only after notice,
and a new hearing. Furthermore, if a Sp ecial Permit granted under the provisions
contained herein shall be deemed to have lapsed after a two (2) year period from the date
on which the.Spedial Permit was granted unless substantial use or construction has
co mmenced, it shall lapse and may be re-established only after notice, and a new hearing.
Town of North Andover
Board of Appeals,
JAUL f. L11L
Willia� J. Sullivan
°
. Registry
northern District of Essex
�"—�^ '
Lawrence, MA 01840
11/28/O1
K Ell
0 93Rec: Toe PLol 1100
inst 44O81
C. P. 2100
# 94 ReCopies 2.50Tv:p
c:
',- NOTC 10.VO
[. P. 2O.00
Copies O.75
|otal
66.25
0 95_,___ Cash
67OO
ff 96 Change^
O.75
THANK YOU! Thomas l Burke
�
°
Registry of Deeds/M
Northern District of Essex Covritv
Lawrence, MA 01840
11/28/O1
KD`
# 93 Rec. Type PLAN
lrat 44O81
Copies
# 94 Rec: Type NOTC
Inst 44082 C. P.
Copies
# 95 Payment Cash
# 96 Change
'
THANK YOU! Thomas J,Register of Deeds
Borke
1�OO
DlOO
150
1O.00
2100
0.75
66.25
67.00
O.75
:SSEX NORTH F4E
LAWPE,NCE:, MASS.
SST
R. E Copy: *TT9
R"*'8?*0F DhW
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary aPprovals/per
Boards and Departments having jurisdiction have been obtained. This does nomt its from
relieve
the applicant and/or landowner from compliance with any applicable or requirements.
"""APPLICANT FILLS OUT THIS SECTION***********************
APPLICANT ��mv /14, zc-
LOCATION: Assessor's Map Number 'V)
SUBDIVISIO
7_7 0V
STREET—
I 111:�UVNIM414DATIONS OFAOWN AGFMT-q-
TOR DATE APPROVED
DATE REJECTED
COMME
TOWN PLANNER DATE APPROVED
DATE REJECTED—
COMMENTS
FOOD INSPECTOR -HEALTH DATE APPROVED
DATE REJECTED—
SEPTIC INSPECTOR -HEALTH DATE APPROVED
DATE REJECTED—
COMMENTS
PUBLIC WORKS - SEWER/WATER CONNECTIONS
IN
RE DEPARTMENT
RECEIVED BY BUILI
Revised 9\97 jm
PHONE
PARCEL—'4
LOT(S) '00. 376
ST. NUMBER "2-7
USE
M 0 R,T,G A 6 E I N S P E C T 1 0 N P L A N
ei ty/Towa_[\Jp state -----
oate:IA scale: ---- I 4o
Owner: N/1 A Buyer:
Deed Ref Plan No. I I
Drawn per City/Town of V.\ ------- Tax Assessors Map.
V)6bu-e G1r\0V'4 T>O,-)
.42"Z�A2 0
0�
I
\*'J coo
r -*a co 'VIJ I
4'z5*
Ise A le Ilue
Too. t-4 -0 C� V k�__ 11'�\ V
I hereby certify that the above Mortgage Inspection Plan v'_a_s_p_r__epa_r__ed --- fo-r--use-in-connection with a new Mortgage and is not
intended or represented to be a property line or land survey. It cannot be used for establishing fence, hedge , valls or building
lines. No responsibility is extended herein to -the land owner� or,�occupant.-- The locit-io'n of the original building(s) as shown
herein was in compliance with the local applicable zoning bylaws in effect when constructed, with respect to horizontal
dimensional requirements, or is exempt from violation enforcement action under Mass 6.L. Title VII, Chap. 40A, Sec. 7, unless
otherwise shown herein. Subject building(s) lies in a flood zone designated Zone: -------- C. and shown on FIRM map
Community -Panel# ;—> ,
----- 5 �_Z Dated: ecJ1
JCD ----------------- -_311--J-2 ?— 7
INCORPORATED, LAND USE & DEVELOPMENT CONSULTANTS 4 AUTUMN LANE, KEi5k. 7HR1844 508-683-9932
M 0 R,T,G 'A 6 E I N S P E C T 1 0 N P L A N
Ci ty/ToYn_W.0_.:_.R24D State
Date: Scale:
Owner: Ir�al A" o ----- Buyer: --- -,g-> I
Deed Ref.-I—C --- 7 0 4a ;T -_ Plan
Brawn per City/Tovn of W /.p -------- Tax Assessors Map.
Ilue
'>Fas ed 2==X
7, Or
4'1
V-4 co
Tat q L-�4 -0 C> V LE7
I btroby certify that the above Mortgage Inspection Plan was prepared for use in connection with a new Mortgage and is not
intended or represented to be a property line or land survey. It cannot be used for establishing fence, hedge , walls or building
lines. No responsibility is extended herein to -the land owner- or.�occupant-.-- -The location of the original building(s) as shown
heroin was in compliance with the local applicable zoning bylaws in effect when constructed, with respect to horizontal
dimensional requirements, or is exempt from violation enforcement action under Mass G.L. Title VIT, Chap. 40A, Sec. 71 unless
otherwise shown herein. Subject building(s) lies in a flood zone designated Zone: (2. ----------- and shown on FIRM map
Comaunity-PaneI11--Z? - ------- Dated:__!�?/_�� Job No. 7
---------- . .1.4_ _3 _L_
JCD, INCORPORATEDr LAND USE I DEVELOPMENT CONSULTANTS 4 AUTUMN LANE, METHUEN, "A 01844 508-6B3-9932
Madison Construction Co., Inc.
C�--�-- L6 Built Perfect"
BOARD OF 13UILDING REGUL"ONS
UGmSw
CONSTRUCTtON SUpERX4SOR
Num - CS W759
alromfg1s: 07M41190
Tr. nw. 374
EXpIrSS: 0711412002
Resbicted To- 00
SEAN C MINDES
41 DEVINE AVE
iOWELL, MA 01852 Adff&j*ator
Reg,81269m and Standards -
Board of B011MU'l
HOME IIAPROVEMCW CON-rRACTOR
R-91strWOn- 128i47
expitafion: o511112003
-rypw
pdvate C01POr3tiOn
CO
MADISON CONSTRUC-n,0t,4,--.,,.
SEAN MINDES-
41 DEVINE AVE
MA 0j 852 Ad-Wilirato"
LC -WELL,
4
9
Page I of 2
Construction Co., Inc.
C===_�__ --Built Perfect"
From: "Sean Mindes"
To: <mbonona@attbi.com>
Sent: Wednesday, April 24, 2002 4:31 PM
Subject: estimate
Hi Mike, thanks for the interest in Madison Construction Co. Inc. Here is
the estimate you requested.
2nd Floor Addition
(over existing 1 st floor)
ROUGH
31'x 27'approx. 837sqft new Iv space
prepare plans and obtain bIdg permit (variance to be customers
responsibility)
remove existing roof, eaves, soffit and facia
remove existing subfloor
install new floor joist to code, and new 3/4 t&g osb sub floor, glued and
nailed
2x4 walls 16"oc w/ 1/2 osb sheathing
gable roof w/ overhang for soffit, rafters and ceiling joists to code, 1/2
cdx fir roof sheathing
25yr asphalt shingle over #15 felt
alum gutters where needed
aluminum soffit and facia trim
dbl 4" vinyl siding on new and existing (mainstreet or equiv.)
7 Harvey vicon 2000 dbI hung vinyl windows
debris clean up and removal
seed disturbed grade
LABOR AND MATERIALS 837sqft @$49 per sqft $41,013
INTERIOR FINISH
trim 7 windows w/ 2 1/2 col csing (paint grade)
add wall outlets and switches to code
standard ceiling light fixtures (1 per room, fluorescent for closets)
remove existing chimney to floor level
extend fhw baseboard heat to new rooms
hardwire all smoke in house to code
insulate to code
1/2" gypsum board hung, taped and finished
3 1/2 col baseboard trim (pg)
7 prehung masonite 6 panel doors w/ lockset
2 6' bypass closet doors
2 coats paint 1 color walls, 1 color trim
2 1/2 oak flooring approx 775 sq ft installed filled, sanded and 3 coat poly
oak treads pine riser ansd stair skirt
vinyl coated wire shelving 1 each closet, wrap for mstr bedrm
LABOR AND MATERIALS FOR FINISH 837 sqft @ $22per sqft $18,414
FULL BATH
rough in plumbing for bath w/ copper supply and plastic waste to main stack
install builder grade white fixtures and standard faucets (allowance
applicable)
ceiling exhaust fan w/ light vented outside
GFI plugs to code
standard wall sconce over vanity
greenboard hung, taped and finished
builder grade 3' cabinet
standard mirror over vanity
wonder board sub floor (customer to supply tile or lino) install only
2 coat semigloss paint
LABOR AND MATERIALS FOR BATH 60sqft @ $140 per sqft $8,400
COST FOR COMPLETE PROJECT LABOR AND MATERIALS $67,827
If you would like to schedule or have any questions, please give us a call
or email. Thanks
Sean Mindes
Madison Construction Co. Inc.
Bedford, NH
(603) 488-9999 fx (603) 488-1353
http://builtperfect.com
f 0 1�2,;=--,P 0 'S r )4- e2 r 9 A/
Page 2 of 2
4/24/02
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TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ..............
has permission to per rM .. ......
plumbing in the buildings of ... .....................
/ ...........
at ... ........... North Andover, Mass.
Fee-�-�.... Lic. A .............
PLUMBINGANSPECTOR
Check # .//I '� /I
4 SO ' 9 9
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS Date
Building Location el/ownersName Ale Perrni-77�
-I Amount
of
New 1:1 Renovation 1-1 Replacement E] Plans Submitted Yes [3 /No E]
FiKT1RES
M1
(Print or type) �Dlheckone:
Installing Company Name ;��m'La/w5 W
F1 Corp.
ep Partner
Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy a Other type of indemnity rl Bond
Certificate
Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner El Agent El
I hereby certify that all of the details and information I have subirii (or entered) in a'bgve application are true and/c—qurate to the
I tio*04��
best of my knowledge and that all plumbing work and installati rmit Issued for th s applic n illbein
,,on
s
compliance with all pertinent provisions of the Massachuset ing Code and Chap the Gwra
I y -Zaws,
By:
71`gtaEE(j�ceTReu Flumucl
Type of P mbip� License
I U,
Title 14
— I /I —
City/Town ricense lNum5er Master Journeyman
APPROVED (OFFICE USE ONLY
/ I / ./ - /
Date.....................
0- �-.. , .
6
.% TOWN OF NORTH ANDOVER
0
PERMIT FOR GAS INSTALLATION
CH
This certifies that ... ... * ....... :'� ........... ..........
has permission for gas installation
in th e buildings of . . . ...........................
at North Andover, Mass.
Fee. Lic. No./-/ .. .. . .........
.......... ...........
GASINSPEdTOK
Check # / i," '/ �/ �
:1 111"
37.10
MASSACHUSEWS UNDDRM APPLICATON FDR PERNffr TO DO GAS FrrnNG
(Type or print) Date -,y
NORTH ANDOVER, MASSACHUSETrS
n
Building Locations I S Ij Lt�:> Permit # _LL / Lk
Amount$
Owner's Name
New Renovation Replacement Q Plans Submitted
(Print or type)
Name, one: Certificate Installing Company
Corp.
�ddress
Partner.
Business Telephone ? 7-71, Firm/Co
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes W No[]
If you have checked M, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Q Other type of indemnity 13 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:
Signature of Owner or Owner's Agent Owner Agent
—�.y %�,iuxy LuaL an vt LtiV UCLU11S ZjjjU Injorniallon I nave
best of my knowledge and that all plumbing work and insta
compliance with all pertinent provisions of the Massachusel
)wn
,OVED(OFFICE USE ONLY)
entered) in above application are true and accuratcAo the
u!Rq under wfiit Issued for this application w,44�
_t
Code an-d—Chapter 142
Signature of Licensed Plumber Or Gas Fitter
Plumber el
Gas Fitter e Number
13 Master
E] Journeyman
MMM
i3RD. FLOOR
(Print or type)
Name, one: Certificate Installing Company
Corp.
�ddress
Partner.
Business Telephone ? 7-71, Firm/Co
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes W No[]
If you have checked M, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Q Other type of indemnity 13 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:
Signature of Owner or Owner's Agent Owner Agent
—�.y %�,iuxy LuaL an vt LtiV UCLU11S ZjjjU Injorniallon I nave
best of my knowledge and that all plumbing work and insta
compliance with all pertinent provisions of the Massachusel
)wn
,OVED(OFFICE USE ONLY)
entered) in above application are true and accuratcAo the
u!Rq under wfiit Issued for this application w,44�
_t
Code an-d—Chapter 142
Signature of Licensed Plumber Or Gas Fitter
Plumber el
Gas Fitter e Number
13 Master
E] Journeyman
1
3 Z.,- 9, 1.,
Date ......................
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that . . X'11--1�'.':.-. A�l :11. ..........
has permission for gas installation ..............
in the buildings of ... � ................ -
'r �
at ... ................. I North Andover, Mass.
Fee ... Lic. No../
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
op
MASSACHUSETTS UNIFORM APPUCATION FOR PERMIT TO DO GASFrrTING'
(Print (Y Typql
j'" Miss. Date U('\.Y /D !W -do— Permit S --Lf
Building Lccatlon c�7 StL5 -11 E I Owner's Name
e-')
--a n Type of Occupan
-V
N ew C] Rerso-w2tion C] Replacement P -Wu Submitted: *i" No 0
�!s
InzWling Company Name Oo4 W) 10c"t Zhu Check one: C C rtifi c—, t C
Addres, r Z --corporation
To Pon h
0 Partnership
Busincs.s Tcf cphane -7 1 -�CR 0 Firm/Co.
Nzme of Ucensed Piumber cc G2 -s Fitter
INSURANCE C.310�XGE--, 0
ity � -tic
I have a curreM risurince P<Alcy or Is suhsurdW equiyalerd wt -h rrmets the requiremerits cf MGL Ch. I A2 -
yes No 0
tf you have checke�d yes, p( 'r�ate the typ-e coverage by checking the appropriate bay -
A liability insurance policy ;> Other type cf irldemnitY C Bond 0
OWNER'S INSURANCE WAIVER: I am aware that the ficensee does Mt-hlve the irisurance coverage reruired by
Chapter 142 of the Mx= General Laws. and eat my signaLture c.n 11 -as permit application waives Ujis requiremerit-
Chitck one:
ownerO Agent r-1
S'%MtUrG 01 0-nW CC Owntt*3 Aglint
I heraby exrtity that all of the det2R% and information I have subfffted (or entered) in abc" appr=tian am true and ac=Tzte to *l;he be4t 0 1 my
k=-i*dqe and that in plumbing wwk and k%zWtxtj.om perfom-wd under the permit I I or PG-RpYkc a ti on va b 4 in = m P V Lr = with a.3
pertir�nt;xovizionz of 9�he Ma-tslehusetts State Gas C4dt aM Chapter 142 of the Ge
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ity � -tic
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yes No 0
tf you have checke�d yes, p( 'r�ate the typ-e coverage by checking the appropriate bay -
A liability insurance policy ;> Other type cf irldemnitY C Bond 0
OWNER'S INSURANCE WAIVER: I am aware that the ficensee does Mt-hlve the irisurance coverage reruired by
Chapter 142 of the Mx= General Laws. and eat my signaLture c.n 11 -as permit application waives Ujis requiremerit-
Chitck one:
ownerO Agent r-1
S'%MtUrG 01 0-nW CC Owntt*3 Aglint
I heraby exrtity that all of the det2R% and information I have subfffted (or entered) in abc" appr=tian am true and ac=Tzte to *l;he be4t 0 1 my
k=-i*dqe and that in plumbing wwk and k%zWtxtj.om perfom-wd under the permit I I or PG-RpYkc a ti on va b 4 in = m P V Lr = with a.3
pertir�nt;xovizionz of 9�he Ma-tslehusetts State Gas C4dt aM Chapter 142 of the Ge
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TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
') '�� ..............
This certifies that J >14-� )I . -4 ... /. ?�. !
has permission to perform . . .,� . ..........................
plumbing in the buildings of 13, it- ce
........... . .. ....... ....
at ... . ............ N o rth Andover, Mass
7e, r
Feet!<,77. Uc. No .......... ........ ......... ..
PLUMBING INSPECTOR
2 ;"� /
Check # 3Z;9-7,��
WHITE: Applicant CANARY: Building Dept PINK: Treasurer
MASSACHUSETTS UNIFORM APPUCATION'FOR PERMIT To Do PLUMBINra.
(print or Type)
N 06"1 im.., mass. Date M& 0 Permit a- Y Y5,)
Building Location' Q `7 -S, iL-1 IRS fz. Q10ownees Name
Yn11e_AxIjQk_ JAQ -Type of Occup
New 0
P r
F
SUB-BSMT.'
BASEMENT
1ST' -FLOOR
2ND FLOOR
I 3RO FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR.
7TH FLOOR
STH FLOOR
RanovitIon 0 Replacement 0 Y43 0 No g�_
FIXTURES /Plan3Subm1tted:
Check ode:
Installing Company Name uxNVAIInST V-,+- VA 40 t4orporation
Address 0 Partnership
lob 0 FirrrdCo.
Buslna&3 Telephone
Name of Ucensed Plumber
Certificate
-4 � �_, - -
IIISURANCE COVERAGE-.
I have a currin1fiabillty policy or Its substantial equivalent which meets the requirements of MGL Ch. 142
Yes 01- No 0
'if you have-chackad yes, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy Other type of indemnity 0 Bond 0
ONYkER'S INSURA NCE WAIVER: I am aware that the licensea does not have the Insurance coverage required
by Chapter 142 of t1,4 Ma= GerAral Laws, and that my signatur a on this permit ap plication walves thl 3 requireff *xj
Check one:
Owner 0 Agent 0
Signature of Ow'ner or Ov�z Agent
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the bezi of My'knowledge and Mat all plumAgng work and Ins tions pedorTned undet " pwn-dt issued for tWz aPPl1aati0n will
ba in compliance with all pentrAnt provts� of the Ma= ts S to Code Chaptat 142 of the GerAwg LawL
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-4 � �_, - -
IIISURANCE COVERAGE-.
I have a currin1fiabillty policy or Its substantial equivalent which meets the requirements of MGL Ch. 142
Yes 01- No 0
'if you have-chackad yes, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy Other type of indemnity 0 Bond 0
ONYkER'S INSURA NCE WAIVER: I am aware that the licensea does not have the Insurance coverage required
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Name of Ucensed Plumber
Certificate
-4 � �_, - -
IIISURANCE COVERAGE-.
I have a currin1fiabillty policy or Its substantial equivalent which meets the requirements of MGL Ch. 142
Yes 01- No 0
'if you have-chackad yes, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy Other type of indemnity 0 Bond 0
ONYkER'S INSURA NCE WAIVER: I am aware that the licensea does not have the Insurance coverage required
by Chapter 142 of t1,4 Ma= GerAral Laws, and that my signatur a on this permit ap plication walves thl 3 requireff *xj
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Date ..... 0./. ....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
- 1,-c- /--le , ( -
This certifies that .......... 0 ....... ....... /:�::
... . ..... . .. . ... ........
Wr
has permission to perform ..... .......... / .........................................
wiring in the building of ..........
at ............ 7 ....... ..... ed ................ ,4,INorth Andover 4'2
Fee.,5�.'�O ... Lic. No.."V�C ....... ! .... ...... . . ..............
.. .... 4e��
ELE C. - L. - ZE;iE;�C�TOR
Check #
Official Use Only
Permit No. 3 1� C-93
Occupancy & Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00
(Please Print in ink or type all information) Date :2 Z -
To the Ifispector of Wires:
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number_ 2
1.
Owner or Tenant /)1/,,- 16,4 e-1 1-17�44/-V&61 -74 6,4 7 n
Owner's Address
Is this permit in conjunction with a building permit Yes 0 No 0 (Check Appropriate Box)
Purpose of
Existing
f
Numqer of Feeders and Ampacib
Location and Nature of Proposed
=Z�Voits Overhead -X,
)its Overhead 0
Authorization No.
Undgmd 0 No. of Meters 100
Undgmd 0 No. of Meters - /
OTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO
have submitted valid proof of same to the Office YES — No u have checked YES S[Zd,�te the type of coverage by checking the appropriate box
S
INSURANCE = BOND = OTHER (Please pecify) As .c
Estimated Value of Electrical Work$ 42 e,-, ;- I I — (Expiration Date)
Worktostart Inspection Date Resquested Rough.,&?� Final
Signed unde eMies perjury -
c LIC. NO.
FIRM NAM L
Lkensee '�6zalW —Signature LIC. NO.
Address Bus.TelNo.
/A Aft Tel. No. --F-zJ2:
1�
OWNER'S INSURANCE WAJVER: I am iwire that the Licens6s es not have the insurance 6ov-eFage7or- ifs substintial equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
(Signature of Owner or Agent) Telephone No. PERMITIFEE $-0
Total
No. of Lighting Outlets
No. of Hot fuse
No. of Transformers KVA
Above 0 In 0
No. of Lighting Fixtures
zy
Swimming Pool
gmd 0 gmd 0
Generators KVA
No. of Emergency Lighting
No. of Receptacles Outlets
0
No. of Oil Burners
Battery Units
No. of Switch Outlets
No of Gas Burners
FIREALARMS No.ofZone
No. of Detection and
Total
No. of Ranges
No of Air Cond
Tons
Initiating Devices
Heat Total Total
No. of Diposal
No.
Pumps Tons
KW
No. of Sounding Devices
No./ of Self Contained
No. of Dishwashers
Space/Area Heating
KW
Detection/Sounding Devices
0 Municipal 0 Other
1
No. of QWs
Heating Devices
KW
Local Connection
No. of
No. of
Low Voltage
No. of Vater Heaters KW
Signs
Bailases
Wiring
No. Hydro Massage Tuds
No. of Motors
Total HP
OTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO
have submitted valid proof of same to the Office YES — No u have checked YES S[Zd,�te the type of coverage by checking the appropriate box
S
INSURANCE = BOND = OTHER (Please pecify) As .c
Estimated Value of Electrical Work$ 42 e,-, ;- I I — (Expiration Date)
Worktostart Inspection Date Resquested Rough.,&?� Final
Signed unde eMies perjury -
c LIC. NO.
FIRM NAM L
Lkensee '�6zalW —Signature LIC. NO.
Address Bus.TelNo.
/A Aft Tel. No. --F-zJ2:
1�
OWNER'S INSURANCE WAJVER: I am iwire that the Licens6s es not have the insurance 6ov-eFage7or- ifs substintial equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
(Signature of Owner or Agent) Telephone No. PERMITIFEE $-0
Date.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that .....................
..................
has permission to perform
plumbing in the buildings of ........ 4.1 ....................
.......... North Andover, Mass.
...............
F e e ...... Lic. No..//j�/.
Lur I INSPECTOR
Check # /,:" '/' ;I-
5301
\4' 4
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
Al. 7 _ / S--:- 07� S3ol
, Mass. Date —,M—Permit# 0
Building Location Z�7 -5, 152 &,D,2� Owner's Name CAI— 77
New Renovation El ReplacemeAt El
FEATURES I \1
Type of Occupancy
Plans Submitted Yes 11 No El
Installing Company Name
Check one: Certificate
Address 0 Corporation
0 Partnership
Business Telephone Z- F-1 Firm/Co.
Name of Licensed Plumber V" vl-,oc- --� C) L-L� 11ca
INSURANCE COVERAGE:
I have a cur
, Tnt liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142.
Yes No F�
If you havAchecked yes, please, indicate the type of coverage by checking the appropriate box.
A liability insurance policy El Other type of indemnity El Bond F�
OWNERS 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:
SionaturA nf Ownar nr r)--'. A -f Owner [I Agent 0
I hereby certify that all of the details and inform
the best of my knowledge and that all plumbing
be in c�mpliance with all pertinent provisions ol
By
Title
City/Town
APPROVED OFFICE USE ONLY)
have submitted (or epfired) in above application are true and accurate to
,nd ingtallations peqqfied under the permit issued for this application will
issaTuset"te mbing Code and Chapter 142 of the General Laws.
Type of License: Master ?c Journeyman C1
License Number kl�� //1? 0 y
0
Installing Company Name
Check one: Certificate
Address 0 Corporation
0 Partnership
Business Telephone Z- F-1 Firm/Co.
Name of Licensed Plumber V" vl-,oc- --� C) L-L� 11ca
INSURANCE COVERAGE:
I have a cur
, Tnt liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142.
Yes No F�
If you havAchecked yes, please, indicate the type of coverage by checking the appropriate box.
A liability insurance policy El Other type of indemnity El Bond F�
OWNERS 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:
SionaturA nf Ownar nr r)--'. A -f Owner [I Agent 0
I hereby certify that all of the details and inform
the best of my knowledge and that all plumbing
be in c�mpliance with all pertinent provisions ol
By
Title
City/Town
APPROVED OFFICE USE ONLY)
have submitted (or epfired) in above application are true and accurate to
,nd ingtallations peqqfied under the permit issued for this application will
issaTuset"te mbing Code and Chapter 142 of the General Laws.
Type of License: Master ?c Journeyman C1
License Number kl�� //1? 0 y
COI�T-ROL 40B109767
IMPORTANT
If this license is lost or destroyed, notify your Board at the
Division of Registration, 100 Cambridge St., 15th Fl., Boston,
Mass. 02202.
If name or address shown hereon is changed notify your board
of correct name or address to insure proper mailing of next
Renewal Application. Always refer to you'ir license number.
License is subject to the provisions of the General Laws as
amended. It is a personal privilege, and must not be loaned
or assigned to any other person. Keep this license on your
person or posted as required by law.
Fold, Then Detach Along All Perforations
.............. . . . ...... ............ ..........
A
COMMONWEALTH OF MASSACHUISETT
DIVISION OF REGISTRATION
BOARD IN PLUMBERS AND GASFITT
J
PL LICENSED AS A MASTER PLUMBE�R
ISSUES THIS LICENSE TO
C`nl
TYPE MARK T BOHENKO
234 WELLMAN AVE
_A
CHELMSFORD MA 01863-136
621921 113.84 05/01/00 621921
Fold, Then Detach Along All Perforations
Rif
- --- -------
-A
CONTROL#,
IMPORTANT DIVISION OF REGISTRATION
this lice . nse is lost or destroyed, I . notiNy6u'ir Board at the 'BOARD ::�GASFIT S'_'
Nz'-PL. X5ERS.':'A D
A JOURNEYMAN PL EF
.ivision of Registration, 100 Cambridge St., 15th Fl., Boston, PL LICENSED
.. .... ISSUES THIS- LICENSE TO
lass. 02202.
name or address shown:hereqn.is changed-notif
y Your board
I l6o;rrect..nam6-*or address tcizihaury propqr-mailinqof -next
-BOHENKO,.
ber-, TYR E _HA.RK,.
#P0h6aii6rT.:.AM46 orl- onse- rn
icense-is subject to the provisioft-611 Ahe: eneral.IAW�.as....
-.234, WEL,
nd f.Pqs Zo-joaned
men 1M
,dad It'- pienso OL. t Acit.
7�
'___ A._4
Mk:
21547 ;2
z 7!'; N. N
Fold, Then Detach Along All Perforations
Fold. Then Detach Along All Perforations
P. I
Communication Result Report ( May -30. 2012 2:45PM
2)
//Time: May,30. 2012 2:43PM
i I e P a g e
N o. Mode D e s t � n a t i o n Pg (s) Resul t Not Sent
----------------------------------------------------------------------------------------------------
5430 Memory TX 814044240315 P. 5 OK
----------------------------------------------------------------------------------------------------
R e a s o n f o r e r r o r
E . 1 ) H a n g U P o r I i n e f a i I E. 2 ) B u s Y
E.3) N o a n sw e ' E.4) No facsimile connection
E.5) Exceeded max. E—mail size
Page I of2
t�on Construction Co- Im
--Built PerfencC
From: "Sow mindes"
T.: -rnbanana1WthL
Sent, Wednesday, AprN24,20024:31 PM
subject: estimate
Hi Mike, thanks for the interest in Madison Construction Co. Inc. Here is
the estimate you requested.
2nd Floor Addition
(over existing 1 at iloor)
ROUGH
31'x 27'approx. 837scift new Iv space
prepare plans and obtain bldil permit (variance to be customers
responsibility)
remove existing mdrF, saves, solift and facia
remove existing subiloor
Instal now goor joist to code. and new 314 I&g osb sub floor, glued and
nailed
2x4 walls 16'oc wl V2 osb sheathing
gable roof w/ overhang for soffit� raters and ceiling joists to code. 1r2
cdx fit mar sheathing
25yr &Vhalt shingle over #15 fialt
alum gutters where needed
aluminum soffit arid facia trim
dbl 4� vinyl slifing on new and codsting: (maInstreet or equiv.)
7 Harvey vioon 2000 dbl hung vinyl windows
debris clean up and removal
seed disturbed grade
LABOR AND MATERIALS 837sqft Q$49 per sqft $41,013
INTERIOR FINISH
trim 7windows w/2 1/2 gol osing (paintgrade)
add wall outlets and switches to code
standard ceiling lightfiftras (1 per room, fluorescent for closets)
remove existing chimney to floor level
e4and fhw baseboard heat to new rooms
hardwins, a I smoke In house to code
i's
insiulaks to code
1/2" gypsum board hung, taped and finished
3 112 Got baseboard trim (pg)
7 prehung masonile 6 panel doors wl lockeet
26'bypass closet doors
2 coats paint 1 color walls, 1 color trim
2 1/2 oak flooring approx 775 sq ft installed filled, sanded and 3 coal poly
oak treads pirie riser ansd stair skirt
vinyl coated wine shelving I each closet, wrap for mstr bedmn
Communicat�on Result Report ( May,30. 2012 3:02PM
2)
Date/Time: May,30, 2012 2:46PM
F i I e Page
N o, Mode D e s t � n a t i o n Pg (S) Resul t N o t S e n t
----------------------------------------------------------------------------------------------------
5431 Memory TX 814044240315 P. 2 OK
----------------------------------------------------------------------------------------------------
R e a s o n f o r e r r o r
E . 1 H a n g u i) o r 1 i n e f a i I E. 2 B u s Y
E. 3 N o a n s w e r E. 4 N o f a c s i m i 1 e c o n n e c t i o n
E.5) Exceeded max. E—mail size
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Communication Result Report ( May.30. 2012 3:OOPM
2)
Date/Time: May,30. 2012 2:52PM
F i I e P a g e
N o. Mode D e s t I n a t i o n Pg (s) Resu I t N o t S e n t
----------------------------------------------------------------------------------------------------
5432 Memory TX 814044240315 P. 2 OK
----------------------------------------------------------------------------------------------------
Reason f o r e r r o r
E 1 ) H a n g u i) o r 1 i n e f a i 1 E. 2 ) B u s Y
E 3) N o a n s w , r E. 4) No f a c s i m i 1 e c o n n e c t i o n
E.5) Exceeded max. E—mail size
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ANISPAff�==
INDUST 1ES' INC.I='."_.
in
Date ...... I .................
N2 3 11 6 ...........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ....................................... 1-:� �. �:. ! --& "� '/
.. '4 ?,; 7� - " ..........
has permission to perform ............................... : .......... !�:� .................................
wiring in the building of .'t ......... ...........................................................
at ...............................
................................................... . North Andover, Mass.
Fee..�� .... . ....... Lic. No.,.: .......... f'. A-- .................... I- , I I
.....................................
ELEcrmcAL INSPEcrOR
Check # /")
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Clnunonweahk ol MijaclLuielb
2 1padmenlol_'7j, Services
BOARD OF FIRE PREVENTION REGULATIONS
official Use Only
Permit No. jj/ 0
Occupancy and Fee Cliecked
�ev-,' "99) (Ica,, bl,nk)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK---'
All work to he perfornicd in accordance with the "Y13sSachusctts Electrical Code (NIEC) 527 CM11 12.00
1, 1/ 1,
(PLEASE PRhVThV INK OR TYPE, -ILL IVORM ITION) D _Ml2wal
City 01-1,01vil of: - xjjovc�r— TO the-hisl')ect"Or of I.P'ji-es:
BY this application the undersigned gives notice ofins or her interillon to perform the elcmical work described below.
Location (Street & Number)
Owner or Tenatit,
Owner's Address
)D90 Telephone No.
Is this perinit in conjunction vVith a building permit? Yes Nozg
PtirlMse of Building, F. (Clieck Appropriate Box)
Utility Authori7ation No.
Existing Service -40-
k2 /0 Allips 120 /�k(oVolts 0 v c r I i e a d Uiid-.rdE]
New Service Anips Volts OvcrhcadF� Undard
k, El
Number of Feeders and Anipacity
Location and Nature of Proposed Electrical Work:
15
r.... I.f; /'#I. /'JI
No. of Meters
No. of Meters
.4lia additional etail i(desired. orasi-cquii-ed by the Inspectorof Mi -es.
4 INS URANCE COVEI)LAG E: Unless walved by the owner, no permit forthe performance ofelectTical 'work niav issue unless
(tie licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuingu office.
CHECK ONE: INSURANCE4 'BONDE) 0-1-1-IER 0 (Specify:) Z,�4g. 1, '4 Yv �le-2
Estimated Value of Elect ICPI Work:'— (When required by municipa4-licy —) (E.\f)irat�ofn Date)—
Work to Start: 10 b?�, 0( Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I cet*tifj,, mider thtpialhis �falnlz pellaWc ofperjury /hat lh� information on this al.iplication is trzie and complete
F-1101 NAME:
Dk�llelt, 7_ e -/(. Le L I C. N 0.: ;��NKZY 11�7
Licensee: Signature
t) LIC. NO.:
(If applicable, CW51, in 111MUCC11 Te 11111er litte.)
Address: gorl/ 0 13 u s. T e 1. N o.: 61,7 !;7S V A?A1,_
Alt. Tel. No.:
OWNER'S INSURANCE WAIVER: I airi aware that the License:f does not haveThe —liability insurance coverage normally
required by law. 13% fily signature below, I hereby waive this requirement. I am the (check onc) 13 owncr
Owner/Ao'clit. 0\,,,iicr's auent.
Signature" Telephone No. -E- E: S
......... X
I I a v ve wai vect o v
L—C - I the 111SPCrt0l* of Wil -es.
No. of Recessed Fixtures
No. of Ceil.-Susp. Wnddlc) Falls
iz. Total
Transformers KVA
No. of Lialitint, Outlets
No. of I lot Tubs
Generators KNIA
No. of Lighting Fixtures
t, I
Swillinlilia Pool Above In- El
No. ol Emergency 0.11tilicr
- b ?�
—
t, Und. griid .
Battery Unit's'
No. of Receptacle Outlets lNo.
of Oil Burners
FIRE ALAIUMS
C
to. of Zones
No. of Switches
No. of Gas Zwmr-s Y�c
'JL
NO. of Detection and
I
t
Initiatina, Devices
j _ic
No. of Ranges
Total
No. of Air Cond. Tons +N
No. of Alertincy Devices
No. of Waste Disposers
flent Purnp
I
IKW
No. of Self-C—ontained
IDetection,/Alertin2
Totals:
I
Devices
No. of Dishwashers
Space/Area Heating KW
Local E I luilici
Tnu! I i C_ 1_�
Collne P3111 El Other
ctio
No. of Dryers
Heating Appliances KNV
3ecuritv 6vstcllls:
-
No. ot'NN15ter
No. of 0. of
No: of Devices or Equivalent
.1 . I — .
Ileatel's KW
Sivis Ballasts
Data wiring:
No. of Devices or Equivalent
No. Hydroninssage Batlitubs
No. of Motors Total HP
relecommunications W'irin
No. of Devices or Equivaalent
OTHER:
.4lia additional etail i(desired. orasi-cquii-ed by the Inspectorof Mi -es.
4 INS URANCE COVEI)LAG E: Unless walved by the owner, no permit forthe performance ofelectTical 'work niav issue unless
(tie licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuingu office.
CHECK ONE: INSURANCE4 'BONDE) 0-1-1-IER 0 (Specify:) Z,�4g. 1, '4 Yv �le-2
Estimated Value of Elect ICPI Work:'— (When required by municipa4-licy —) (E.\f)irat�ofn Date)—
Work to Start: 10 b?�, 0( Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I cet*tifj,, mider thtpialhis �falnlz pellaWc ofperjury /hat lh� information on this al.iplication is trzie and complete
F-1101 NAME:
Dk�llelt, 7_ e -/(. Le L I C. N 0.: ;��NKZY 11�7
Licensee: Signature
t) LIC. NO.:
(If applicable, CW51, in 111MUCC11 Te 11111er litte.)
Address: gorl/ 0 13 u s. T e 1. N o.: 61,7 !;7S V A?A1,_
Alt. Tel. No.:
OWNER'S INSURANCE WAIVER: I airi aware that the License:f does not haveThe —liability insurance coverage normally
required by law. 13% fily signature below, I hereby waive this requirement. I am the (check onc) 13 owncr
Owner/Ao'clit. 0\,,,iicr's auent.
Signature" Telephone No. -E- E: S