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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 x AUTOMOBILE LIABOM ANYAVTO 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- E,L EACH ACCIMNT $ 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 rl 6 z �11 ON rA W 0 C/5 0 X u r. �r. do c ts 8 Cl UW CL �o 0 LLJ om C/) z 0 C/) P-4 C/) z 0 u C/) C/) tw 4 I* 4-J ,..a CD E CD z co co co CD CO2 CL CO2 C.3 cc ts (D CL. COD CD rm CL cm< cc —910 C2 CD z ts a) CL COD c LLI LU to 19 w w I% LU LLI U) do c ts Cl CL CL 4D co CE ts .2 E.. CD 0 ts cm CD I:i GO cm cm Cq E 0 �co CLCJ I.; tm CD cm C2 CM ca 0 CL. co CD Il Am S CL -10 ca CD coo =0 'm CDs 0 :: =C:S 4-0 0 C!.s Cox z CS ci 4D Q cbor= c CL. 0 21. C43 cc m 0 Go= 0 L- :a = CD = 4- 064- = F. 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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 9 6.Z co v dn 0-0 LLLiLL 6.9 � - I C6 ill I. �L tV\ I. �L Cl) m m m m m M U) m Cl) 0 m cp col cc cr co) .0 0 acm, -0 C,* 2F CD C.) n CL m CA CCD7 '. C) a z rl. -.4 ca 06 C= CO 1. '. = 0 F -n ar Ir 0 0 cD cl) c3DE Fro cD C=, R) ?l CW on) Qj CA CM) UP COD 10 0 Q Er = -a CD 41b 4va, 0 Z co) co= P-0 0 = 06 — 5 CD to 0 =r CD 0. CD C&D, w C. =r mal i cr C., C-) < 0 CD COE (AP X V) CD 0 ca cr =r US cm -1 cz=:C : CD 'IR) 1* CCO, =r ;; CD C C2 CD CD Cc, CA lb ft 4v (P i to CD CA CD its CD ID CD 0 :;,o CL Cl) 0 CD 0 = t ca 0 CD C2 CD:, (A 0 (1) z 0 ITI 4 m W) Poo g tz rA EL rl tz m 2L n :7, CL 0 z V) CA -p rD :J 0 0 9 )Nq 0 9 0 4e, CD *-N Date 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 Ptumbof ruture 0 U T(tS4 G C*/'Tc�ri 4n U CC V3 I = lu V? = 0 a u 0 a UA ra In CC I '.. -C )- = M CC AM o 4u Clan ul > U x 'K UA C >- = 0 C 0 0 0 = U 10 0 'A N M U. 3C 0 0 -8 U > SUB—BSIAT. BASEMENT IST FLOOR 2.40 FLOOR 3RO FLOOR ATK FLOOR I A -j 1 1 1 1 1 1 1 1 1 1 5-,h FLOOR Fl I I I 1 1 1 6TH FLOOR .7TK F LOOR aTK FLOOR 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 Ptumbof ruture 0 U T(tS4 G C*/'Tc�ri al as rg 6 rm rm "V 0 > tn -4 6 rm '/j N2 4-4-05 0 7- " - C & Date. . Z �� .... 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 I tW4bY Carllty that all of U%e d4taM " InIOM%allOn I have sub(Wttod (of WUUDQ In above application IUD Uwe and accurate to 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 T4W. Sig"Itmg o(Ucensed Number Typ4 of i.3cens&_ Master Journeyman 0 Cttr7c,wn APPROVED (OFFICE USE ONL'n License Hum0er L.-_ 0 C4 0 LU Lu 0 0 Uj ca I,. - M us CA en bc LU Uj f2 co 5 Uj C4 Uj Cn 22 a U. U. 15d —1 be M o C5 .- z 9;: _j f U. a Zia!< !� 0 3: cc < Colo CA Cn 522 Z ailflj U) I 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 I tW4bY Carllty that all of U%e d4taM " InIOM%allOn I have sub(Wttod (of WUUDQ In above application IUD Uwe and accurate to 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 T4W. Sig"Itmg o(Ucensed Number Typ4 of i.3cens&_ Master Journeyman 0 Cttr7c,wn APPROVED (OFFICE USE ONL'n License Hum0er L.-_ Q W LU 0 0 CC M Cr 1 x Uj U. U. 15d cc LU o C5 .- z 9;: _j f U. a Zia!< !� 0 3: cc < Colo 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 I tW4bY Carllty that all of U%e d4taM " InIOM%allOn I have sub(Wttod (of WUUDQ In above application IUD Uwe and accurate to 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 T4W. Sig"Itmg o(Ucensed Number Typ4 of i.3cens&_ Master Journeyman 0 Cttr7c,wn APPROVED (OFFICE USE ONL'n License Hum0er L.-_ v m Ic V r r- 0 z 0 C z 0 C: r, tj z 0 )w 0 z m m X 0 a 0 C r z p ,n V m 9 0 z T m 0 (A w rfl r 0 0 0 0 m 0 c (A I m 0 z Q '33 0/ 2 IS 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 A ­31or tA � I> rnm M OEn �;C3 1Z A0 U A P q A�j qf E A INDUSTR115,.I,�Cj 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 g G n A �Ti Elm 3�w RIM 7 rn vi O(n 0 r p '15 -1 gig PIP 1i F I I Ike IN 30 11 4_6 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