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Home My WebLink AboutMiscellaneous - 28 BRADSTREET ROAD 4/30/20180, 'rrnn AM LEMEAT CONTROL SER1110ES, INC. ENVIRONMENTAUDEMOLITION CONTRACTORS JULY 11, 2002 NORTH ANDOVER BOARD OF HEALTH '17 Charles Street North Andover, MA. 0 1845 DEAR SIR/MADAM ENCLOSED PLEASE FIND A COPY OF NOTIFICATION SENT TO THE STATE FOR AN ASBESTOS ABATEMENT PROJECT. THE JOB WILL TAKE PLACE ON: THURSDAY, AUGUST 11, 2002 LOCATION: 28 BRADSTREET ROAD, NORTH ANDOVER, MA. ANY QUESTIONS CONCERNIG THIS MATTER SHOULD BE DIRECTED TO MY ATTENTION. SINCERLY, z* FRANK BALOGH PRESIDENT 2 INDUSTRIAL WAY - SALEM, NH 03079 - NH (603) 898-9472 - MA (888) 870-9292 - FAX (603) 898-1846 1. flow wo" 44RT qCHN�ER--� 'NOIRTH ANDOVER, MA- 01815 . 78-68q-86L4— L AN HMO Of 04 wam"of .. — BASEMENT' --------------- &mm mom ad 2. U On wWomomo? Yes C3 No memo" 3, Abs" QmWlGM,, SVC#INC- 2 INDUSTRIAL WAY 03079 603�;Wt$-9472 SALZMI NH Written FAV iww-,r af CHRISTOPHER DEMONACO AS33137 ft=Ta; c ashmallomol" of PA& 2969.0.0 MENTAL CONSULTANTS, INC. AA000162 .AMERICAN ENVIRON 3.7" Yom mw I* AAW. wo Aw mtwo me --N—s�iaaaaaa SAME covAw" 40 =C40 ASM -Sun 7. ftjoggW do. spcck vak hwa (Mon. -Fri.) (SaL IL WW tm G(PMJW 16 OW 'bWat" JeAw AMVAW ASBESTOS REMOVAL AWAV vvwi (41 a* C3 of Ag)wm emminim matai& (AO4) to be huded an pipa Or dw= Ow it) 1 9 Q Or TOW WWA Of Sam DEMO o" (SWC ft) tq be npWW, oldg5ed or empsulated: —I&AL-- Saumv fogt all dW"Af*WmWW- — rho.4 llwllll —120 $I -m Alw"W6 MI. aW4 mom"t Trawo 4ONg mr Awo FULL CONTAINMENT RADqTRRRT RQA mediga tD c w#y with 310 CMR 71S and 4S3 04R 6.14(2)(g): Wet rcmovgl into 6 mil Poly Asbestos Laticled Bags.' 14. FWVMWq ft I)Ep oLl offid& who evaluaWd Me Ww"W: 74W W**W 0 W&WO IL Do pvvWkq wap rAm as W M.G.L C. 149# 26,27, Or 27A*F tD Yes No ACV. ox . . ; 0. e 3. Qgr"Wpw��irww'- RESIDENCE 2. Uftr r@gow" with 4 UNtS Or 1666? 12 YC6 C3 No 28 BRADSTREET ROAD P'j�Rl' Sj�HNIRR -Ag~ —AiW 978-689-8614 N. ANDOVER,' MA 01845 OW70W 'L - ftdwv% oww% 00-90 "Now. zo awe zo 2 1"00' 2 6. 41 WNW fflat" hm site to temporiwy MW Site (if r0000"V) 0 w "p"w Ste? ABATEMENT CONTROL sERVICES#INC. 2 INDUSTRIAL WP,y Afiw ;� , A"ea 693-898-9472 =&Xf IA. KH 03079 aw"a zo oat 2. T asbeskosm"rG WAM ffaw" (W remavwmporwy "Ne 5199 to " dQQ6w sile: lwwow .F''. d. p vw WAgTE MGMT OF NH.- --TURNKEY LANDFILL ROCHESTI:iNECK RD Ad~ 03067 603-332-2386 ROCHESTER# '!'.NH W70W ok,coitwWwealth of Mas9dwse" PAwadw%6 swwo wxw die p9wou Of w1jry, that W -'to h" r, t the Infwwtion containo in p6U60M Of A5be", 4S3 04R 6.00 arid 310 CKR 7.1S# WW Ow for ft pbq" colokwomt or EMI kwwledge am belief. namlown Is ma aid, wag 90 ft bM Of hWhw 7/11/02 H FRANX UALOG 98-9472 VC,INC. 603-8 -;E NTo' M NT CONTROLL SvCINC ABA PRESIDENT 03079 SALEM# NH .2 INDUSTRIAL WAY mgdmtw or ftw units or W4? 10 Us C3 NO fo WOW COW, lramr� ds" ff"NOW h.." "Cloty.owro'Go"W p7. room" .F''. d. p vw WAgTE MGMT OF NH.- --TURNKEY LANDFILL ROCHESTI:iNECK RD Ad~ 03067 603-332-2386 ROCHESTER# '!'.NH W70W ok,coitwWwealth of Mas9dwse" PAwadw%6 swwo wxw die p9wou Of w1jry, that W -'to h" r, t the Infwwtion containo in p6U60M Of A5be", 4S3 04R 6.00 arid 310 CKR 7.1S# WW Ow for ft pbq" colokwomt or EMI kwwledge am belief. namlown Is ma aid, wag 90 ft bM Of hWhw 7/11/02 H FRANX UALOG 98-9472 VC,INC. 603-8 -;E NTo' M NT CONTROLL SvCINC ABA PRESIDENT 03079 SALEM# NH .2 INDUSTRIAL WAY mgdmtw or ftw units or W4? 10 Us C3 NO fo WOW COW, lramr� ds" ff"NOW h.." "Cloty.owro'Go"W p7. Date. . ///." - ..... TOWN OF NORT OVER H OD( 101. PERMIT FOR GAS IATALLATION This certifies that ... 4.01... ................... has permission for gas installation .......... in the buildings of ............................. at J� PA 7/ ......... North Andover, Mass. Lic. No.. Vkc-! ... ..... - — ------ Fee., GASINS E TOR Check # 3 5808 fn a 0 3, 777,,; MASSACHUSETTS UNI.FCiR�'�,�:��,LICATION�FOR'PERMIT TO DO GASFITTING Mrintor Type) h,0,00a67 /Z— -,maINI'14"�Dat611,11i A)" W44Permit# ------------- Building Location '.Owner'sNanie:AcF/Z/z1 'Sr- k-tvli'�KL (cZZ Of Occupan�6c- N-rl 0 - Owner TeN New 0 Renovation D-�Replacen�t 13 PlanSubmitted: Yes 0 Noa," FIXTURES W LU 0 CD x a Mol 8? Installing Company Name' to Check one: Certificate Address So v7 -P lY7j9l'N ST 0 Corporation /?�IDD667—vr,� oiW 11 Partnership Business Telephonee 7 a3�3 - /So )(Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes�-kv No 0 If you have d*cked M, please Indicate the type coverage by checking the appropriate box. A liability Insutrance policy * Other type of Indemnity 13 . Bond o 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 Owners Agent Owner 0 Agent 13 I hereby oe" that all of the details and information I have submitted (or entei knowledge and that all plumbing work and Installations performed under the pe Dertinent provisions of the Massachusetts SUte Gas Code and Chapter 142 of BY— Type of Ucense: -Plumber Title -Gas fitter -Master Cirlyffown -Journeyman APPROVED (OFFICE USE ONLY) L -j n soove appncatlon are Sue and accurate to the best of my W�su�edfbr.t�hisappli�wni�k22me�a,noewfthafl Uoense Number q C) I 0 0 Aipleby-j-pynam Insurance Agency Inc. 1S24comant St. Beverly, KA 01915 Susan Rabin INSURED Michael A. Bryson NSA: c/o TTS, Inc. 140 S. Main St. Kiddltos, NA 01949 r'nV=PAr-FQ 64ci-k4b,60,NFERS NO RIGHTS UPON THE CE HOLDEW THIS CERTIFICATE DOES NOT AMEND AL-tER-;ME,COVERAGE AFFORDED BY. THE POI INSURERSAFFORDING COVERAGE, INSURER A., National Grange Insurance Ce INSURER B: INSURER C: INSURER D' LM :UR EE R E., li, 0 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIING ANY REQUIREMENT, TERM OR CONDrrION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN.IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. ASR im L hm TYPE OF INSURANCE . POLICY NUMBER �� P�� LIMITS GENERAL LIABILITY TID 11/01/2006 11/01/2007 EACH OCCURRENCE X COMMERML GENERAL LIABILITY DAMAGE TO RENTED s W— MAIMS MADE FZ 1 OCCUR MED EXP V'm — P—) $ 5, A PERSONAL A ADV INJURY S GENERAL AGGREGATE 2,0"j, GEN -L AGGREGATE LIMIT APPL" PER: PRODUCTS - COMPIOP AGO S Fj POLICY f--� PROI- JECT f-1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AMY AUTO (Em madde" ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Pw pemon) HIRED AUTOS ODDLY INJURY NON-OWNEDAUTOS (PeracciclenQ PROPERTY DAMAGE S (P--ddem) GE LIABILITY AUTO ONLY - EA ACCIDENT 3 N A AN AUTO OTHER THAN EA ACC 3 AUTO ONLY: AGG S fEXCES31UMBRELLA LIABnJITY EACH OCCURRENCE S OCCUR r 0 CLAIMS MADE AGGREGATE S DEDUCTIBLE R E, ETENTION S WORKERS COMPENSATICOM AND I 0& EMPLOYERS' LIABILITY TWCYIILT-A-171 OR IMITS E.L. EACH ACCIDENT ANY P OFFIC=10EMA ER EXMECUITIVE E.L. DISEASE - FA EMPLOYEE S M. desaft ur4w E.L DISEASE -POLICY LIMIT S SPECIAL PROVISIONS below OTHER )ESCRIPT)ON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS MOULD ANY OF THE ABOVE DESCRIBED POLICIES Of! CANCELLED . BERM THE EXPIRATION, DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR To MAL DAYS WRITTEN NOTICE TO THE CERTIFICATE "OLDER NAMED TO THE LEIrr. BUT FALURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OWQATM Opt LIABILITY -OPANY KNOMPON THE INSURER. ITS A0EMT3 OR REPROSENTATNIES. lKarc Slarsky/sDeju For Information only AMHORCMDARPREIENTATM ZORD 25 (2001/08) IN GACORD coRpoRATt6m im DF created vAth pdfFactory Pro trial version www..r)dffactory.com Location No. Date TOWN OF NORTH ANDOVER 07 'A Certificate of Occupancy $ Building/Frame Permit Fee $ 0 CHUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 0 Check # lj(-fe- e V 16099 M /� I �a-� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPA15 RENOVAT� OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUELDING PERMI C) �3 SIGNATURE: Building Com ssioner'-A2�eEtor of Buildings Date SECTION I- SITE INFORMATION I 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 2'a 72o,6 q3 Map Numb- Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Dis_Uic_t Proposed Use Area (sf) Frontage (ft) 1.6 BUIELDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Provided 1- —Required 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHEPI/AUTHORIZED AGENT 2.1 Owner of Record a& 4�,,Veg 5- 7X5,6-6-77 Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 AblyR11<1 zl!�9zz_ Licensed Construction Supervisor: O'� 4 0 7-5 j ,26',6 --,? License Number Address A��_ W 9/06167 9 70 66y--1-6'�6' Expiration "Date gignafture Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 /I &_ & lql— e_ C Company Name Registration Number Address e ,&,( .ea',a Expiration Date gigrfattrir Telephone T M X ic __4 z 0 0 z M 90 0 ic M z G) I SECTION 4 - WORKERS COMPENSATION (MLG.L C 152 & 25c(6) I 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 buildinE permit. Signed affidavit Attached Yes ....... V No ....... 0 SECTION5 Descriptiono Proposed Work (check applicable) New Construction 0 Existing Building 0 Repair(s) [I Alterations(s) I on 0 Accessory Bldg. 0 Demolition 0 Other R1 Specify Brief Description of Proposed Work: P-I!E6�z OZ) 67, SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit Eplicant F-'FIC-L"kL`VSV. ow 1. Building (a) Building Permit Fee 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 AUTHORIZATION TO BE COMPLETED WBEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT T as Owner/Authorized Agent of subject property Hereby authorize Al-, C- - &44 '�c rTnvdl 2-214 72;,Q -y Z'C�' to act on ehalf in all Vnirs relative to work authorized by this building permit application. -4 Vg'n�ature 6f o��er- Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 11 AzlegooAl, 42 Z-XO!!!2 / L as Owner/Authorized Agent of subject properiv Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Pr nt t Si at eofOwnd�A�ehft Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T11VIBERS 2 ND 3RD SPAN DIWNSIONS OF SILLS DIWNSIONS OF POSTS DWIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FIILED LAND -IS BUILDING CONNECTED TO NATURAL GAS LINE v . 0 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR I i 1, Reg lstratloriv,l 00804 ,,Expiration: 6/2.3/2004 —Type: '..Private Corporation M.G. HALL CONTRACTORS,* INC'., , Mark Hall 286 PARK STREET, NORTH READING, MA 01864 Administrator BOARD OF BUILDING REGULATIONS 3 License: CONSTRUCTION SUPERVISOR Number' :-CS, 040752 '09/28/1960 Birthdabi: �09�28/2003 Tr. no: 8678 R itricted--,-'00 e MARK G HALL 286 PARK ST N READING, MA 0 1 Administrator 0 ACORD 'OF LIABILITY INSURANCE ,. CERTIFICATE DATE [MM/DD1YY) I 06/04/2002 'RODUCER (508)655-OS22 FAX (S08)65S-8853 Carlin Insurance 233 West Central Street Natick, MA 01760 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NSURED M.G. Hall Inc. 286 Park Street North Reading, MA 01864 INSURER A: American Employers' Insurance (One Beacon) INSURER B: Commercial Union Insurance Co. (One Beacon) INSURER C: General Accident Ins Co of America (One B) INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR JR TYPE OF INSURANCE POLICY NUMBER EFFE TIVE MfW C PDOALNEY D D ITYY) POLICY EXPIRATION DATE (MM/DDfYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS MADE FKOCCUR ABRS57102 04/27/2002 04/27/2003 EACH OCCURRENCE $ 1,000,00 FIRE DAMAGE (Any one fire) $ 100,00 MED EXP (Any one person) $ S.00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1 POLICYF—] J`ERCO� F_� LOC PRODUCTS - COMP/OP AGG s 2,000,000 B AUTOMOBILE — — X T X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CBXBW�P6_1 04/27/2002 04/27/2003 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 BODILY INJURY $ (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS LIABILITY _K OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ CBDW43282 04/27/2002 04/27/2003 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY QBH164498 04/27/2002 04/27/2003 wc _1" ' Y_ 1 TORYSTA11TIVEST ER E.L. EACH ACCIDENT $ S00,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER 8 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTiFiGATE HuLuER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAJL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY I OF ANY KIND UPO52t$ COMPANY, ITS TO WHOM IT MAY CONCERN I AUTHORIZED REPREANTAJIVE §_ 25-S(7/97) T @ACORD CORPORATION 1988 pipe) -54 SIN do r r. it jr NVI 77 g ILE , vs 2/2:d MUHSW : 01 dl -1 slaul"D 9 '8 G:WON-� dSO:tO 2002-6T-nON Page No. I of 3 Pages Proposal M.G. HALL CONTRACTORS, INC. Custom Building and Remodeling 286 Park Street North Reading, MA 01864 (978) 664-1656 FAX (978) 664-2363 PROPOSAL SUBMITTED TO: PHONE: DA E: Ann Gleason & Perri Schnier 978-689-8614 October 23, 2002 STREET: Work — 978-664-6888 28 Bradstreet Road Cell — 978-204-0159 CITY, STATE AND ZIP CODE: North Andover, MA 01845 KITCHEN REMODEL We hereby submit specifications and estimates for: Kitchen Remodel per 9125102 B&G Plan and per MGH Sketch dated approximately 10121102 Obtain permit. Complete removal of all demolition and construction materials generated by M.G. Hail and their subcontractors. Demo Owners to remove asbestos and basement ceiling. M.G. Hall to gut kitchen down to studs, strapping and subfloor, removing china cabinet. Remove porch wall to square off kitchen and frame. New exterior walls and floor system per drawing. Note: No guarantees on flatness or level on kitchen floor. Screw down existing subfloor. No guarantees it won't squeak. Remove chimney to just below kitchen floor. Framing for roof and floors. Blend in exterior trim with primed pine and roof shingles. A finance charge of 1 1/2% per month ((18% per year) will apply to all accounts over 30 days past due. In the event collection activity is required, the customer shall be responsible for all costs assodated with collection, including reasonable attorney's fees. We Proposehereby to furnish material and labor = complete in accordance with above specifications, for the sum of: Fifty-five thousand nine hundred ----- — ---------------------------------------------------------- Dollars ($55,goo.00) Payment to be made as follows: One third to start; one third when half complete; partial payments as work progresses; final payment upon completion. Extras will be billed as incurred or when MGH is billed by subcontractor. All material is guaranteed to be a specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above Authorized and will be paid for upon completion. All agreements contingent upon strikes, a Signature: specifications involving extra costs will become an extra charge over and above the estimate ccidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our Note: This proposal may be withdrawn by us if not accepted within Thirty (30) days. workers are fully covered by Workman's Compensation Insurance. Acceptance of Proposal - The above prices, specifications and conditions are satisfactorl and are hereby accepted. You are authorized to do the work, as specified. Payment will be made as outlined above. Signature: Date of Acceptance: Signature: SPECIFICATIONS Page No. 2 of 3 pages Windows Per MGH I plan to be white Anderson Tiltwash with screens, grilles and exterior trim to match existing with ban moldings. Applicable siding to match existing over Tyvec home wrap. Three pairs wood shutters on front bath window and two side windows. Boxed out window approximately 8" out with single sloped roof, shingles to match existing trimmed with primed pine. Partitions New interior partitions as per B&G plan. Electrical Rough and finish electrical asfollows off existing panel: Wire customer supplied appliances. One wall outlet for small fan near TV room door jamb. Allowance for eight 6" white recessed lights. Install customer supplied paddle fan/light. One standard undercabinet light behind sink. Standard receptacles to code. One exhaust fan/light in bath. Install one customer supplied vanity light. Remove and replace fixtures and smoke detectors in up and downstairs hallways. No allowance for unforeseen code violations in existing structure. Plumbing Rough and finish plumbing and heat off existing hot water tank, feed and waste lines as follows: Install customer supplied gas stove piping Install customer supplied shower stall and valve Install customer supplied toilet and vanity/pedestal sink Install customer supplied kitchen sink and faucet Re -plumb second floor bath from below to eliminate exposed pipe in kitchen area. No allowance to replace second floor fixtures. Cast base heat off existing stem boiler. Insulation To code with R-1 3 walls, R-1 9 basement ceiling. Plaster Smooth walls and ceilings with new 3/8 board hung over both �all ceilings. Blend plaster where chimney was removed. Expect some hairline cracking where new and old meet or from minor movement. Oak Flooring Install and sand 3 coats strip oak flooring at kitchen ^nd Weave, patch and spot blend urethane. z floor where chimney came out. Sand and urethane new oak stair treads to be repaired. SPECIFICATIONS Page No. 3 . of 3 pages Tile r Install customer supplied tile over Y2" Durock at bath floor. Install customer supplied bath wall tile up approximately 4' over plaster Install customer supplied kitchen backsplash over plaster Finish Install customer supplied cabinets, tops by others Install customer supplied appliances and vent hood 1x5 primed fingerjointed flat casing with 1 5/8+ standard Ban molding at header and base blocks to match as close as possible Install approximately 1 5'flat astrical at 1st floor hall ceiling at plaster edge Remove and replace three stir winders glued, screwed, sanded and polyurethaned. Replace approximately 8' cellar stair rail, leaving treads. Door schedule: 1 - remove and leave off door — slab at kitchen/hall 2 - cellar door, plane down and adjust glass knob, new trim kitchen side. 3 - bath door new to match existing. 2 piece base to match existing. Note: Kitchen window trim over the counter areas may be slightly narrower than existing. To receive a properly sized window (hardly noticeable) Notes: Insulated double water bottle box to be discussed, and is not included. Any excessive rot or floor reconstruction to be extra based on time and materials. No allowances for painting, staining, carpet or anything not specified in this proposal. Tile price is carried for basic tile work as described. There may be extra costs resulting from owner's selection of special patterns, feature tiles, angle patterns, special or thick adhesive, etc. Final payments cannot be withheld for delays in delivery of owner's selections of plumbing, lighting fixtures or tile. M. G. Hall will allow $100 holdback per fixture not available upon completion of project, but may be force to charge for return visits for installation. Please forward a copy of the plot plan as soon as possible in order to apply for permit. Due to fluctuating costs, M.G. Hall will notify owner should a price increase affect this project. Fully licensed and insured. Neatness assured. All work guaranteed. M.G. HALL CONTRACTORS, INC Submitted by_ 0 0' Date - (INITIALS) _M 4,120A�7 THIS PAGE BECOMES PART OF AND IN CONFORMANCE WITH PROPOSAL FOR: Job Name The Gleason-Schnier Job Accepted by: Atarl-1 Date ALS) 20 Accepted U Date 20 (INITIALS) C/) m m m m m :X) C/) m C/) 0 m C3 CO) CO) CD cl Z CO2 P-* CD CL C7 ra CL C2 cu CD CD 4c 0 CS CL cr =r CD CD 0 CD S CD — CD CL = CO) CD CD E cm CO2 10 CD CD CD a Cl CD =r CA %a cr CA CL 0 dc. a CO2 CL 0 1�0 o CD C.J 0 -% m 0 CL z co -0 =r -C ca CD z =r CL CL m =r CD =r Cj) CO2 CD CA 'COD a CD -1 -% CA CD 0- C7 co ot 0 z S. CIS CD lu COD g CL Er L CD C,* cn A 0 CD n cs 0 0 z a G cn E ca Gi go. 444044� CD C42 0 AD A O\ V CS Oap CD CD C=,r -C=D q . - AA CD CD CL.'s .4ft :A% NO C3 . . . C* S CD 0 Z rZ U) oil CD c) A Ix 0 C: to z n g- CD PO or - OQ 171 0 C: :j CL w 0 rL (D 0 > oil M 4 1 2) - in rZ U) 0 CD Locatioi 4 Ago. Date No. Y400TH, TOWN OF NORTH.ANDOVER',, 0 0 Certificate of "Occupancy s B uilding/Frame Permit Fee: $ I F undation Permit Fee CHU o Other Permit Fee . S ewer Connection Fee Water Connection- Fed TOTAL. "AT TQ Building Inspector. 42.00 MID Div. Public: VVorks w < 0 0 IL 0 w w 0 z w w 0 6 w L Z 0 z 2 -( u 0 Z Z' z 0 W u w Z z 0 z 0 IA 4A X U) .1 z 0 mi mi > M w Z w w %K 0 0 0 M., w W z z 0 ac 0 0 W Z o w 0. 0 0 z u W m w w bw) 0 w z L 5 -C j IL J z ILIm 10 w 0 0 a 0 10 0 I-. w w M ir o< t o 0 Ul 0 0 P q 6 CA-) tj J x Z FL 0 IL —10 J %r 6 z 0 w .w I-- 0 J M b) L L 0 0 IL 0 w w 0 z w z 0 6 w L Z 0 z 2 -( u 0 Z Z' z u W u W u w Z z 0 z 0 W WM .1 z 0 2 2 �- 0 u 'Z w w %K M., w W 0 u z 0 0 W Z 0 Z L 0 m IL w m w w 0 A u z z L 5 -C j IL J z U z U z w 0 0 0 a 0 x z w w M ir o< 0 0 IL 0 w J L 0 0 z 2 Lq z z w -C I L I 0 Z Ir 0 W 0 < 0 0 z 0 LL LL 0 x xi N w a w z 0 0 z 0 0 IL IL 0 w ji o 0 u 0 z w w 0 z w z 0 6 w L Z 0 z 2 -( u 0 Z Z' z u W u J L 0 0 z 2 Lq z z w -C I L I 0 Z Ir 0 W 0 < 0 0 z 0 LL LL 0 x xi N w a w z 0 0 z 0 0 IL IL 0 w ji o 0 u 0 z w z 0 0 h z r w IL 0 m IL Ilk) 0 0 z 71 or W L 0 u 9 J w 0 z z 0 FA W u w Z z 0 z 0 W WM .1 z 0 2 2 �- 0 u 'Z w 0 i %K M., w W 0 u Id z 0 0 W Z 0 Z L 0 m IL w m w w 0 A 0 z z z L 5 -C j IL J z U z U z w 0 a 0 a 0 < < w w M ir o< o 0 z 0 0 h z r w IL 0 m IL Ilk) 0 0 z 71 or W L 0 u 9 J 0 z 0 u z z 2 2 u u w w Ul 0 0 q -j J J x c FL 0 W w .w b) L L WL 6 z o !: U L d w L LU ui 0 L u LU z z w 2 w 0 o 0 z 0 u z z 2 2 u u w w Ul 0 0 q -j J J x c FL 0 W w .w b) L L 0 u L ZO A�3 V, Z J z w io > 0 f L L< z w w z W 0 L w J w z w J Id L L L FORM U "LOT RELEASE FORM NS,TRUCTIONS: This form is 4sed to verity that all necessary approvals/perrtts frony 3oards and 2--partments having jurisdiction have been obtained. This does. not relieve ,he applicant and1or landowner from compliance with any applicable or requirements. 'APPLICANT FILLS OUT THIS SECTION'" ----- -- kPPUCANT"ji OCATION: Asseswes Map Number. SUBDIVISION - STREET *� �� 6� � �fw mv0*0*00� � �.- OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: ADMINISTRATOR DATE APPROVED PATE R�JECTED. PHONE 68 1 No 4 PARCEL LOT (5) 16 ST. NUMBER 1)d __477V TOWN PLANNER DATBAPPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERfWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR MAY 2 --I-QcA IN'STRUCTIONS HOW TO OBTAIN PERMIT' FOR ADDITIONS/DECKS, r/ IP" /�o 1. Fill out Building Permit application completely, and sign. 2. A copy of the plot plan with the existing building and additions proposed drawn to scale. 3. A complete set of plans drawn to scale. 4. A copy of the contractors State Builders Lic. And Home Improvement Reg.'Number. If homeowner is doing the work then he must sign homeowner exempt affidavit. 5. A form'!U- Verification form must be signed by Conservation, Board of Health and Town Planner if in the Water Shed District. 6. Assessors map and parcel must be on permit application and on Form -U Form. 9-7 MAY 21 �oW I Appeals wy, rat -.,, d 3t) 1 ho K �a (�, T14ir LAJ to, j 4-c�) a 77? 6�ff,-fdly - : -- MAY 2 1 1998 V) V, ---------- i ------ ,.r 6iF/zc- or c C'e rl'a "' 71" ll'JVvlaH Sav/,Vcz 04AO'I< s-uc_^C--.ssat?-r '0^'OA/Z ASS10111.5 AA.110 2- IVI!5eC,6)- 7C7 7W6- 7-174,6- IWS6�M-r,4,VO o r r1le .4,, 4Z *0,47W 11-:�r I -,1,41V .4710.11 TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units ... or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work: 417_4z��-iO o 0i,,.U0-e4 -Est. Cost &,00 Address of Work Owner Name: Date of Permit Application: !!�L I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Pemit No. Job under $1,000 Date Building not owner -occupied v- Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND LINER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name I CA CD a z CA CD 0 "o = u CL CO) CD 0 CD CL cr =r "C CD Sr CD 0 CD t" t= a. CD rA CD CL CA to CD S- CO) 10 CD z CD CD mc co -0,0 —11 =r =r 0 0 C—A* cr COP) 0 So CO2 CL 3.0 CD C-) E co Cl) m CA 0 CL C.) M Z a- Im go LOP. =r CL CL m =r =r Im CA M. C41 0 =r a C., 0 0 Z oc a) C-3 0 C) M -a - CA EL a' 0 =r M cn M cn M I= - 0 CD CO) 0 CO) CR C7 z tq a - - C/) CL. CA CL cz, IE (A C/) CO) 0 CA c CA CD C=O 0 0 =r CD 0 0 C2 C., 5 = M 0 CD M Fr M W CL= 0 W: no 2 9 o 0 S': (1) 0 C/) z w r r C) 0 r 23 0 A zr co n :r ;v ro =r, 0 CL a �:! . E (V 9.3 0 0=3 0 9 0 41� CD 4 2, �4 7 P Location -4 z07 No. Date 40*T" 0 + TOWN -OF NORTH ANDOVER 0 6 0 iL 1daw 0 Certificate of Occupancy $ +.---AL Building/Frame Permit Fee $ Foundation Permit Fee $ CHU Other Permit Fee $ Sewer Connection Fee Water Connection Fee $ TOTAL 10" ilding InspectoK 10035 Div. Public Works w < CL 0 lo w 61 1 - lw a. z Z < 0 :J e 0 w w 0 W w u u u I Z Z z (n 0 x 2 0 < z a 0 _j u Z Z IL 0 a 0 j 2 W z 0 u fq 0 0 u u w 0 0 j -1 J J < 0 L L W z 0 7 0 < w I u z < < Z w U 0 7 03 w > < w H 0 IL Z 0 0 m L L < M 0 u a '41 z i LL. wz z < cc 3: 0 IL .4 0 u < a z L w IL L z 3 r L 0, u u 0 t LL Vk UA uj F- It z j a a u LU z z 3' o 0 u W z 0 u fq 0 0 u u w 0 0 j -1 J J < 0 L L W z 0 7 0 < w I u z < Z w U 0 7 03 w > < w H 0 IL Z 0 0 m L L < M 0 u a '41 z < wz z < cc 3: 0 IL .4 0 u < a z < IL CNI z w t I W lK w IL L 0 0 cl c > z a I > x z 0 - I a > Z' ?S' 0 > 3: T > V C 0 > La rn 0 0 N > z z > n UR Z Z o 'a 0 0000 9 Z 006- y 2 z z z z 0 r > < z 1 > z > z a 3: Z 0 a 0 �6 C, z z z n o 0 z n (A n I LLLL LLi c > 0 3: Z! M M C[ -li M :2: M 0 -a � � . !! Z C Z 0 > 0;; < i! i -0 n z Z 3- 3: OZ-P� Z 0 g 6 3 =" el -� 0 -4 - 3: M ?! . , � z ==3:- M;:E6; C: 0 > 0 0- 0 z > a' t A A 0 I I 117 z 0 bo ii Zi 0 a AA. M f- -4 > 0 1 1 C) -i � M Z M n o Z z C; I C rrt M (D > 0 0 Ul 0:� M - p M rn M X —i z > �� T (110 z M 0 M I z Msz u r W roo 0 Z 11 C, r ul 0 Z�> z 0 M > z n rn M 00 4 TOWN of NORTH ANDOVER oil- IIIS, 4,111, F oT .1 M' —Iz—F i 1 1-0 3 �7- —.11-, 1 M - __ — - -r— - 92-1160- eal a* QW-MiZe-vare iWaZ$ *'0-:10 IIbIk*_:IIz4 qkzlfo"��: 10171"Is I "Mosms, Iffa* 070-18 a3vere smo- W-_ v Mosi—are'surair. PAP 4 ZI.Ii so- 0 Its, - go-.@ to is. $I go Be I a- I a I 10 Zin AM IoN MWOM M, fe'll'a'a 4* - 0 9 0 1 Z; Ze ---Type of Work: '1�eQLc-e 6-'selkel zalerle Est. cosO/20.0 ,,,",'Address of Work V -a d's 'i V -e-4 -/ t-� Owner Name: / Date of Permit Application: -a 117 If(! �. I hereby certify tbat: Registration is not required for the following rea (s): For office Use Only Work excluded by law Fa7dt ND. --Job under $1,000 loate . ed ,�'Iding not owner-occupi. =amer pul-Ling own permit Other (specify) Notice is hereby given that: Signed urler pa-alties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the abo owner of the above ��,,"p_ 6 / / Date , I hei;pby apply for a permit as the 4ner Name Ja f 4- 'X HERC-Ole CEWTYr-Y 7r) /P,5VV/C" SAVI"G,-', CAA/Al rrz Sue oc-'JSOA�s AIVOIOI-'e ASSIO,-1-5 A"11-,) CeMIcY 7V 7;V6- 7-174-l' 6,4,Vlr 7,4147- 7�v-- /-- 0,V Z07 -4S -VAVVW.4AIO 7;V,47-1r,,;IOCS AYIrW 7-A1&-tOVJf13 42/-NOP-'rVA ,M,r�f,WIMS -ZOW e ee7- 7WW7- 7WI-f /4/ r1le -e4;L-A-44 ,,We -440 .4-S47,4- %-WOAV Al 0,V oc-,er,4�oi - 441 /UAlel- POL' -- S'0098 000a C -- VA7-FG--2-cy;3) PKI -Ak.�f el .10-d , %� ,5", 1 6 00IG E N I . ............ . ......... ........ 90/190 Rl- o r 4 DIE 12PMU Tikaft k,'� 4V- ,11� f -Zi" Bad 71�-& s O -T C) AA eck m �ilp 13 C14 r- to. Llc iz 771� Z, -1 Alf k--rvD lie 0 15;,o 9?KOUI,,v F60 7)'A/,Cl jq pc, f -Zi" Bad 71�-& s O -T C) AA eck m �ilp 13 IWN �,pi�a 'PY, AA D CC' -77 0 Al ----------------- /:),c A/ 76 140 A19 r1ZS 7v/:) Le 5 A/D Ab -57 20 folk -Al rl R -rvD s T AT Typ -FYI K U U/v /F 67 OT). IWN �,pi�a 'PY, AA D CC' -77 0 Al M.." WOOD COLUMNS Specifications I NORMANS# Round Wood Columns Calculated Squ re Columns Outside Inside Outside Inside Length Maximum Thickness --Size Diameter Diameter Diameter Diameter of Safe -Load Column Column at Top of at Top of at Bottom at Bottom Column Capacity Diameter Length Column Column of Column of Column Shaft Lbs. 1-1/2" 101, A B C D E 2,095 1-1/2" W-01. 4-1/4" 1 1-3/4" 5-5/8" 3" T -T' 3,258 8" 8'-0" 6-1/4" 3-1/2" 7-5/8" 5" — T -T' V-2" 2-3/16" lo. -011 6-1/4" 3-1/2" 7-5/8" 5" 9'-7" 4,268 101. 8'-0" 8-1/4" 5-1/2" 9-5/8" 7--1/8' 7'-7" V-6 1/2", 3-1/8" 101-01. 8-1/4" 5-1/2" 9-5/8" 7-1/8" 9'-7" 1"-8 1'/2"f 3-- "/;�_j 12'-0" 8-1/4" 5-1/2" 9-5/8" 7-1/8" 1 l'-7" 5,173 12" 8'-0" 10-1/4" 7-1/2" 11 -5/8l' _9" 7'-7" lo. -011 10-1/4" 7-1/2" 11 -5/8" 91, 9'-7" 12'-0" 10-1/4" 7-1/2" 11-5/8" 91, ll' -7" 16'-0" 10-1/4" 7-1/2" 11-5/8" 91. 15'-7" 6,808 �14" 8'-0" __�_-3/4' —1--1 5/8" 10-3/4" T-5" 101-01, 7-3/4" V-1 5/8" 10-3/4" 9'-5" 12'-0" 7-3/4" l'-1 5/8" 10-3/4"' 1 l'-5" 16'-0" ill, 7-3/4" l'-1 5/8" 10-3/4" 16-5" 18'-0" ill. 7-3/4" V-1 5/8" 10-3/4" 17'-5" 8,61 16" 12'-0" to.. V-3 5/8" 11-1.1 1 V-5" 160-0" 101, V-3 5/8" 11-11, 15'-5" 181-01, V. 1 1. 101, V-3 5/8" 11-11, 17'-5" 20'-0" _' 11-1.1 10.1 V-3 5/8" 11-1.1 19'-5" 10,624 18" f27 0 1'-3" V-0" V-5 5/8" V-2 3/4" 1 V-5" le -o" V-3" 1.4. V-5 5/8" V-2 3/4" 15'-5" 18'-0" l'-3" 11-01, V-5 5/8" V-2 3/4" 17'-5" 20* -0" l' -Y V-0" V-55/8" 11-9.q/All 19'-5" 20" 16'-0" V-5", V-2" V-7 5/8" V-4 7/8" 15'-5" 1 1. 01 A (0 k' D C 18-0 V-5" V-2" V-7 5/8" V-4 7/8:�� 2 -0. 1. 1 1 9�-5 L_.... L 1 0' V-5" V-2" 1 '-7 5/8" V-4 7/8 _5" Stress Data: These column capacities are calculated values. Sample columns tested supported loads at least 4 times greater than calculated capacity values prior to failure. The load is assumed to be applied concentrically through the axis of the column. Design loads valid only if uniform contact is made between the full area of the column ends and the cap and base units. These values are estimated and provided for your convenience, but are not exact values. If more accurate information is needed, please consult a structural engineer. Capitals and Bases Caps and Bases for Round Columns are available in high-density polyurethane (primed) or wood (unprimed). Capitals Bases ROUND SQUARE ROUND SQUARE &J L K K SQUARE COLUMNS ARE SHIPPED UNASSEMBLED. SQUARE COLUMNS DO NOT OFFER STRUCTURAL SUPPORT. Squ re Columns —Dia. Thickness Size Thickness Dia. Thickness --Size Thickness G I IF H 83/16" L K M 5-1/8" 1-1/4" 6-3/4" 1-1/4" -1/ 1-1/2" 1-1/2" 6-3/4" 1-1/4" 8-3/8" 1 - 1 /4" 81, 1-1/2" 101, 1-1/2" 8-7/8" 1-1/21, 10-3/8" 1-1/2" 101, 1-1/2" V-0", 1-1/2" 10-3/8" 1-1/2" 11-011 —1 � 1 /2" — V-0" -7- -1/2- --F2" 1 V-0" 2-3/16" V-2" 2-3/16" V-2" 2-3/16" V-4 1/2" 2-3/16" V-1 3/4" 2-1/4" l'-4" 2-1/4" V-4 3/8" 2-1/4" V-6 3/4" 2-1/4" IV -3 3/4" 3" * l',6 3/4" 3-1/8" V-6 1/2", 3-1/8" V-10" 3-1/8" jl'-55/8±j:+2*-_8_3_/4_" 3-1'/8,, 1"-8 1'/2"f 3-- "/;�_j _2'0" 1 3" SQUARE COLUMNS ARE SHIPPED UNASSEMBLED. SQUARE COLUMNS DO NOT OFFER STRUCTURAL SUPPORT. I . 1 16 OCTOBER 1995 Brockway -Smith Company Squ re Columns SIZE Actual Width Shaft Height Cap a d Base Width Height 6" x 8'-0" 51/4" T-1 0'1/16" 63/16" 15/16"' 8" x 8'-0" 71/4 T-1011/16" 83/16" 15/16,, 8" x 10'-0" 1 71/4" 9'- 10 11/ 6" 83/ 15/16,, I . 1 16 OCTOBER 1995 Brockway -Smith Company " E g OS -�i Wo M n� 1� lo At vl� eta., Mo Q�l 4%3 ZIP T -4- AN -i", Ne jt: ol 17"ER M, P19 i tK3 A0% . .... I.. f"IM wO K� Lf Vt UAI Qj FS -1 b WE" OF X.J 1W.; 'A 41! - 77r.., 4j "wN g� 23 RM I t BI CA CD cop) CD CIO CO) cz CD CD CD CL V.r %< CID 0-4. —0 =r 111 CD 0 CD CD cn* CD ch CO CD S- cn -0 CD CD CD FEL: C/) C/) n n �d 0 z cn C3 z cc CD CD C2 C42 CD m m ma CA 0 X, rD CA ca cr CO) 1110 0 o co -0 =t 0 CD C-0 CO C3 c') CL C.) Pi 0 aq :r c J m m ;z a aq 00 cn m n ;-:1 0 00 T C: :1 (n Fn CD CD CO) cn gg C) CD WC, c) CD CA �co CL CD o CD CL C13 CO) CL = : Q3 Cr CD .c Ca CA C3 CA cm C-3 C3 CD 0 C42 CD C13 C13 CD M3 Cm CD M3 CU m m ma CA 0 X, rD CA 1110 0 m Pi 0 aq :r cn m ;z a aq 00 cn m n ;-:1 0 00 T C: :1 (n W ez -M fl :r 0 0 _�C\ MASSACHt)SETTS UNIFORM APPLICATION F TOWN MAP —TOWN LOT --- (Print or Type) OR PERMIT TO DO GASFITTING A616 ass. Date ; "M 19 490 Permit Building Location �,F /4., izAOwner's Name Type of Occupancy New Renovation do,�N I al/� Replacement Plans Submitted:- Yes[] NO[-] SUB-8SMT. BASEMENT I ST FLOOR 2ND FLOOR 3RD FLOOR 4THFLOOR STH FLOOR GTH FLOOR 7TH FLOOR STH FLOOR Installing Company 12 /7 Business Telephone. 11,509) tt Name of Licensed Plumber or Gas Fitter heck one: M11-cpOrPoration 0 Partnership 0 Firm/co. Certfflcate # _Qzai�3 INSURANCE COV RAGE: I have a curr Ifty Insurance Policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No 0 If you have checked Yes, please Indicate the type coverage by checking the appropriate box A liability Insurance policy Clv� Other tvr%,u -f m VNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by apter 142 of the Mass. General Laws. and that my Signature on this permit application waives this requirement. Check one: iature of Owner or Owner's Anent OwnerD Agent 0 i I hereby certify that all of the details and information I have submitted (or entered) in above kPPlication are In dge and that all plumbing work and Installations Performed Under the PerTit Issue �or this applicat owi"� P t ertinen Provisions of the Massachusetts State Gas Code and Chapter 142 of tjhe Gener MY. T. Ale of UcPse: ritle __4 Plugefer ignature of cense 71 GAfitter :3 /Town aster Ucense Number KJourneyman d accurate to the best of my be7 compliance with all or Gas Fitfpr— W o z 4c cc W 0 z W < W r = fn z W > 0 W j *j E a cc IM z W U. W = W UJ M* W �_ 4 *_ 0 W �11 .= a cc Cr Z W a 0 < 0 (A 0 0 qc Cr 0 W < _j Ix UJ in z 0 0 Cr. W > z 0 0 z M 0. 01 0 W 0; o 0 r_ a W . t- W a: —0 Cr 0 0 IL #4 cc W 0 12 /7 Business Telephone. 11,509) tt Name of Licensed Plumber or Gas Fitter heck one: M11-cpOrPoration 0 Partnership 0 Firm/co. Certfflcate # _Qzai�3 INSURANCE COV RAGE: I have a curr Ifty Insurance Policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No 0 If you have checked Yes, please Indicate the type coverage by checking the appropriate box A liability Insurance policy Clv� Other tvr%,u -f m VNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by apter 142 of the Mass. General Laws. and that my Signature on this permit application waives this requirement. Check one: iature of Owner or Owner's Anent OwnerD Agent 0 i I hereby certify that all of the details and information I have submitted (or entered) in above kPPlication are In dge and that all plumbing work and Installations Performed Under the PerTit Issue �or this applicat owi"� P t ertinen Provisions of the Massachusetts State Gas Code and Chapter 142 of tjhe Gener MY. T. Ale of UcPse: ritle __4 Plugefer ignature of cense 71 GAfitter :3 /Town aster Ucense Number KJourneyman d accurate to the best of my be7 compliance with all or Gas Fitfpr— Date.4 ........ 14 02 0* "ORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that IA . . z� ..................... has permission for gas installation ... R /� � � �" . � ............... in the buildings of .......................... at .......... ............... North Andover, Mass. Fee. . J?' Lic. No. . 12116/93 08:37 6AONSPIE&OR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File TOWN OF NORTH ANDOVER 10 PERMIT FOR GAS INSTALLATION This certifies that ... f ... .................. has permission for gas installation ... P .1-7 ;711� ............... in the buildings of Z-:r:'r'q.j ................................ at 1) 7-� 5:-. North Andover, Mass. Fee..? Lic. No.././ J'. 5 (1 .. .... ........ ,,GAS INSPECTOR Check # 2 3 4306 MASSACHUSEM UNIMRM APPLICATON FORPERM TO DO GAS FMING Qype or print) Datez— Y 0 a NORTH ANDOVER, "SACHUSETTS A jC I Building Locations M, _1L 7 Permit # __Y 0 (2 Amount$ Owner's Name 7ya L-A 31 NewFj Renovation Replacement [] Plans Submitted [] (Print or type) 19 UV, ef Y Name el(l L^, ;?; Addr �O 0 /01 k e I d 9 // W d// F/t, 5 F (9 C) V 0 O -L C/ Y Rvicinp.e-. Td-.Ipnhnnp q J — C, 1 19, / D Ch-e—ckone: Certificate Installing Company Li Corp. Partner. B—F�;VCO. Name of Licensed Plumber or Gas Fitter K S e -r-j INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. YesEl No[—] Ifyou have checked M please indicate the type coverage by checking the appropriate box. liability insurance policy El Other type of indemnity Bond r] 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 [I Agent 0 -- -j �1 1.7 IaL a. ju Lallb 411U HILMMULIOU ' Have SuDrmuea tor enterea) m aDove appiwation are tnie and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuset tate IsS Gas Code and Chapter 142 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter []—Plumber Gas Fitter License Number er Journeyman �7TH. FLOOR (Print or type) 19 UV, ef Y Name el(l L^, ;?; Addr �O 0 /01 k e I d 9 // W d// F/t, 5 F (9 C) V 0 O -L C/ Y Rvicinp.e-. Td-.Ipnhnnp q J — C, 1 19, / D Ch-e—ckone: Certificate Installing Company Li Corp. Partner. B—F�;VCO. Name of Licensed Plumber or Gas Fitter K S e -r-j INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. YesEl No[—] Ifyou have checked M please indicate the type coverage by checking the appropriate box. liability insurance policy El Other type of indemnity Bond r] 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 [I Agent 0 -- -j �1 1.7 IaL a. ju Lallb 411U HILMMULIOU ' Have SuDrmuea tor enterea) m aDove appiwation are tnie and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuset tate IsS Gas Code and Chapter 142 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter []—Plumber Gas Fitter License Number er Journeyman 4 Date TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ...... j ............ : ......................................................................... hai'permission to performl-.--'Iis:�� .................................. wiring in the building of...;- . ............. at.,.:�..2 ..... North Andover, Mass. ................. Fee..�� ................ Lic. No . ........ ----ELEcrRicAL INSPECTOR Check # 4365 HTC0A1M0ArWEALTH0FM4SS4CHUSEM Office Use only -------- DEPARTAfiM0FPUXJTCS4FE7Y Permit No. BOAMOFFD?EPREVEVHONREGUIAHONS527CM12W ccupancy & Fees Checked APPLICA 77oN FoR PERmrr To PERFoRm EuciwcAL woRK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACH11SSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date �-Z/ .7, Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street � Owner or Tenant Owner's Address Is this permit in conjunction with a building pen -nit: Yes ��O F-1 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 1419 Amps IM IC -c;6 Volts Overhead r—Q--Underground No. of Meters New Service Amps Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location' and Nature of Proposed Electrical Work Taa44 5,77,127 77��;--C, 7 OW e,�76-leq 1; — ,4 - 71 No. of Li6ting Outlets No. of Hot- Tubs No. of Transformers — — — — Tot--, rs No. of Lioting Fixtures Swi ming Pool Above Below Generators KV;�' ground ID ground . of m r No. . of Receptacle Outlets 117 No. of Oil Burners No Fof Emergfency Ughting Battery Units No. of Switch Outlets Total No. of Ranges FIRE ALARMS I No. ofDisposals No. of Dishwashers No. of Dryer�ip No. of Water Heaters No. Hydro Myssage Tubs KW �THER- No. of Gas Burners No. of Air Cond. Total FIRE ALARMS I No. of Zones Tons No. of Heat Total Total No. of Detection and — Pumps Tons KW` Initiating Devices Space Area Heating K , W No. of Sounding Devices No. of Self Contained Detection/Sounding; Devices Heating Devices KW Local Muni ipal M Connecctions Other No. of No. of .Signs Dailasis No. of Motors Total HP ism R111111 1:11 ............. "NER'SNSURANCEWANfp,jarnaw�effaffeLio=does�)tb., that my &�glature on this pwnit licaft aW on watves this WqWM=L —1 A-ent ase check one) Owner F 1� .'�iunature ot Uwner orAgent I 1� I a UCEiwNo. L..N. BusiimTel.No- Alt. Tel. 1% Telephone No. PERMIT FEE $ The Commonwealth of Massachusetts Department of Industfial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: city Phone #. F� I am a homeowner performing all work myself I am a sole proprietor and have no one working in any capacity F-1 I am an employer providing workers' compensation for nTy employees working on this job. Address 6L ci!y: (J19 Phone #7 Insurance. Go. PolicV. # Company name: f Address ch: Phone Failure to secure coverage as required under Section 25A or MGL 152 can lead to -the imposition of criminal penalties of.a fine up to $1,55W.00 and/or one yeam'imprisorwnent-as-weU-as.cMi.penafties-inAbe-hm-da-STOP.W-ORK-ORDEP-and-af.mxf-($I.ODM)-ajda.yagainst.me- I understand that a copy of this statement may be forwarded to the Office of Investigations of the MA for coverage verification. /do hereby certify under the pains and penalties of pW' that the irikrnmtion provided above is trueand cWect. Signature. Date Print name A9 Pbme.# Official use only do not write in this area to be completed by city or town dficiar City or Town Permit/Licensing El Building Dept (:]Check I immediate response is required E] Licensing Board r-1 Selectman's Office Contact person: -Phone F, Health Department Other Date_.�-. /-/. — 4!� ? TOWN OF NORTH ANDOVER PERMITFOR PLUMBING This certifies that q-rz7. i .... )f ......... 11 ......... has permission to perform ... f ... �%.. PCA -L (t! plumbing in the buildings of . '!� �P.- ..................... at : .,.? ,? ... -4 .5.- 11-2 r. n tl .......... North Andover, Mass. Fee.,5J- Lic. No..// J. 51. .11-a ....... Check # 3' �,CUMBING INSPECT& 5529 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS -7 61 t�' Date Building Location Y?Vqd-oree'l Jec/owners Name (f 7 f (1 0 P , ermit # Amount 4) Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES (Print or type) Installing Company Name 'j V, jp/k/ Address 7 —7/7 C/9 T t/k ,Check one: Certificate Corp. 13 Partner. 91-Hrin/co. Name of Licensed Plumber: Ar 5j Insurance Coverage: Indicate the t Liability insurance policy ,, ype of insurance coverage by checking the appropriate box: Other type of indemnity Bond IN -1 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 Agent I hereby certify that all of the details and information I have submitted (or en . tered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuset!;"te Plum�ing Code and Chapter 142 of the General Laws. VED (OFFICE USE ONLY )T e of Plumbing License 7F � y — License Number Master Eq--- Journeyman L --j