HomeMy WebLinkAboutMiscellaneous - 28 CHESTNUT COURT 4/30/2018rQ
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Location--,�
No. -4�el Date
TOWN OF NORTH ANDOVER
r;,�00,�000�
U'� ,
1 .41"0
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Check # 1/0
Other Permit Fee $
TOTAL $
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APKkATION TO CONSTRuer !&M RENOVATf DEMOLISH A ONE OR TWO FAMILY DWELLING
OR
WELDING PERMIT NUMBEIL. DA1tESjjF.T)@
c3
SIGNATURE:
But g Commissioner/IR!tigjrr of Bui1q!a6_,L— a�te
1. 1 Property Address: V L 2 Assessors Map and Parcel Number:
2-F C#,FSTA)O-F CT
V C, u**
ALAP OKER /vi /-9-- o Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area (sf) Frontage (ft)
1.6 BIJUDING SETBACKS (ft)
Front Yard Side Yard Rear Yard
LeTEred — I Provide Required I Provided Required Provided
1.7 Water Supply UG.L.C.40. Sl 54) 1.5. Flood Zone Information: 1.9 Sewerage Disposal Systenr
Public 0 Private 0 1 Zone — Outside Flood Zone 0 Municipal 0 On Site Disposal Systm 0
SECTION 2 - PROPERTY OWNERS1IIP/AUTHORIZED AGENT Historic District: Yes No
2.1 Owner of Record
fDF# 1-3-e'Rti 9/ 00
Name (Print) - Address for Service:
2- q 7 S-ot - e ('� T
1 2.2 Owner of Record:
Name Print
allplakulu
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Address
Signature
3.2 RgWstered Home Improvement Contractor
-----------
Company Name
?-,Q
Address . /-\ A [ N
Telephone
Address for Service:
%N Q�Q%
Not Applicable 0
License Number
Expiration Date
Not Applicable 0
Regisbation Number
� \
Expiration Date
I SECTION 4 - WORKERS COMPENSATION MG.L. C 152 4 2506) 1
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 buil*rg permit.
Signed affidavit Attached Yes . . LA No ....... 0
SECTION 5 Description o Proposed Work (chec
applicable
New Construction 0
Existing BuildinV
Repair(s) 11
Alterations(s) 0 1
Addition 0
Accessory Bldg, 0
Demolition 0
Other 0 Specify
Brief Description of Proposed Work:
rw�- ae,
SECTION 6 - ESTIMATED CONSTRUCTION
COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE OnY
I . 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)
CJ -V-6-
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT T
I, � & I as Owner/Authorized Agent of subject property
/ -- U
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
/9 - P 7- do
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, as Owner/Authorized Agent of subject
properfy
Herebv declare that the statements and inforniation. on the foregoin'o application are true and accurate, to the best of my knowledge
and belief
Print'
Signatuif of Owner/Agent Date
C—
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS t ST 2 ND 3 KI)
SPAN
DINIENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHPYfNFY
IS BUILDING ON SOLD) OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
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07-1
ld�gul At q -s/ n tandar s
Board of 11 %dingg Regul on an s
One Ashburton Place - Room 1301
Boston. Massp
;phusetts 02108
Home hnprovement"Q
�5ftactOr Registration
Reftation: lo5804
Type:
Private Corporation
I Expiration: mimw
CaPitol Siding co., Inc.
Moses Sarkisian
30 Auburn St.
Auburn, MA 01501
Update Address and return card. Mark reizon fok- �kg.
OMCAI 0 SOM-OM-G101216
0
T1.
Board orBUilding Replmlogs &ad Standards
HOME IMPROVE11111ENT CONTRACTOR
R"btWtPP. 105804
!-r9j. � � Z .
j: -M-142112006
Pd*e Corporatim
Capftol SIdIng Co.�,-Jrjp.
M05ft Sarkisian
30 Auburn St.,
Auburn, MA 01501
E] Address [] Renewal E] Employmeit El Lost Card
License or registration valid for individul use only
before tke expiration date. If found returm to:
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Boston, Ms. 02108
Adminbtrator No�t �v*Ud w t lgmtrae
Y)
DATE (MMIDDhY
02/0 /201
ACORD, CERTIFICATE OF LIABILITY INSURANCE 02/03/2005
mtqnucrut (508)832-9896 FAX (508)832-9151 THISCERTIFICAT iISSU DAS MATTER 01- INFORMATION
Winchester 'Ins. Agcy.,*Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
101 Auburn Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Auburn� MA OlSol ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSUR Ca tol Siding Co., Inc INSURERS AFFORDING COVERAGE
30 Auburn St INSURER & dull[Us ins.Co.
Auburn, MA 01501 INSURER B: Hanover insurance Companies
INSURER r, [InITPn 'Ital-es- Liability Ins.Co
INSURER D:
COVERAGES E,
THE
ANY
POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR
MAY
POLICIES.
OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
PERTAIN. THE INSURANCE AFFORDED BY THE -POLICIES DESCRiBffb HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND
AGGREGATE LIMITS SHOWN MAY
-SR
HAVE BEEN REDUCED BY PAID CLAIMS. CONDITIONS OF SUCH
TN
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE OLICY EXPIRATION -
DATE MMIDD[YY DATE M IDDN
LTR
LIMITS
GENERAL LIABILITY NC393661 01/08/2005 01/08/2006
EACH OCCURRENCE $ 11000.
COMMERCIAL GENERAL LIABILITY _Ll 1000
FIRE DAMAGE (Any one fire) $
CLAIMS MADE M OCCUR 50,000
A
MED EYP (Any one person) $ rl 000
PERSONAL & ADV INJURY $ 11000.000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
PRO. PRODUCTS
PO �CT DC - COMP/OP AGG $
CY JECT LOC 2,000.000
RO, �Lj
AUTOMOBILE LIABILITY FN6857934 01/01/2005 01/01/2006
ANY AUTO COMBINED SINGLE LIMIT
ALL OWNED AUTOS (Ea accident) 11000,000
B
SCHEDULED AUTOS BODILY INJURY
(Per person) $
HIRED AUTOS
NON -OWNED AUTOS BOD!LY INJURY
$
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY (Per accident) $
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
_3=_
AUTO ONLY: AGG $ -
EXCESS LIABILITY CUP1005787B 01/08/2005 01/08/200 EACH
)CCURRENCE $ 1.000.000
OCCUR 0 CLAIMS MADE
C
AGGREGATE
$
jDEDUCTIBLE
RZN $ $
2ON
$
WORKERS COMPENSATION AND WCS 0
-
EMPLOYERS' LIABILITY TORY LIMITS
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT $
OF OPERATIONSILOCATIONSfVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
HOLDER DDITIONAL INSURED; INSURER LETTER CANCELLATION
17
DESCRIPTION
CERTIFICATE
SHOULD AN Y OF THE AB VE DESCRI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE �HE
TH S
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE To T
10 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 UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Scot t Wj C S t r
ACORD 2FF-(7/97) Scott Winchester
@A��ORD CORPORATION 1988
CSPROI $hung coal Inc.
30 Allburn Street. Anburn, Ma- 01501
(508) 832-5981 Fax (508) 832-0464
CUSTONMR TEL 978-697-6420 -TAJ A IV / I --DATE 10-&05
Mr. and Mm f %+� MR1 P'E'll herewith mquest
that you deliver aud instal) on our premises at -number 28 Chemut Ct. N. Andova- Ma.0 1845
Mastic vinyl siding over exterior wall area including dormer area already sided using 3 )/8"' Dow
P
insulation board underneath. To cover the trim around the window & door casings. To cover the
soffit & fascia areas. To Temove guttex in bacL pad out -fascia &reinstall gatter. To cover 2..
imtry way ceiling areas. To install the following white Harvey Comfbrt Plus windows; 30
double hungs withl2/12 grids, I double cascrnent & 1 picture window. All with 7/9" low e
glass, 1/2 screens & locks.To iustall 18 foot Harvey sliding glass door with kwak & screen. Clean
trash. Fully insured. Lifetime warranty.
Total Cash Selling Price$25,000
Deposit 0.00
O/To be paid upon completion of aid work. Balance $25,000
All wod=en covaed by wMimaWs Compasabon and Public Laability 1n%=Qc-
Coatwtor agrm to complete the work In a good and sibminial =mar within a reassonable timc after date hereof
Customer aVrozs to M Jepl expenscs of colleelOn, if unm of payment as specified in this cunUact arr, not mainWnel
if dLL- amwad is c=ccW by c%um= for any re=n wh=Qcm, mst=er 8W= to Pay tO cGVU=" 05'rDwA U"%d� w4i-
asamUmed dartagcs %vtdh)d firthcr proofth=K a sum of m=cy equal'DD ft in� by owuramr until time of
encelladon, -as cvkleaced by ape= figu= upon coctr=��s book5 2nd =ords.
-you aW cawxjrw agromew tywrivazwdcadirecta to thi� seller at his offlce by regivered1dw, nQ1 later &In
tni&nght of the third buinm dWfollowin the signing of this agreemeW
Th,sconV= consda= dkc tnti= UndffUjdV8 of dw p2jfics 2nd no Od= =&Mt=djnS, OollatmW or offierwisc, shalt bc binding
upon the parties unless in wrifin& siscd by both Parties -
IN WnWM WHSF". the =krsjPC4 bVC here sub= thcj, nm= ft (uW od v it
wo *ed fim above writ n.
Capitol Siding Co, 11ac.
YAV�O �Ie
B. a,� tz
� Customer
BY
C=o"Ier
Td WdTt?:90 SOOZ FT T : 'ON MJ
. W08J
Date .... ..... .. ......
40 or
IAORTH NORTH ANDOVER
0 6 0 1- IRDPERMIT FOR GAS INSTALLATION
This certifies that
cj�
has permission for gas installation
in the buildin ...................
gs of ...
-7'
at 2,:f .�. /., � "�
............... North Andover, Mass.
Fee........ ..........................
GASINSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
MAC:SSAUHUSETTS UNIFORM APPLICATION F 0- R PERMI T -T-6-D0 -G XSFITTINQ
nint or Type)
-NORTH ANDOVER mass. Date P, -,I d L?
Building Permit #—ogv 7
(f3o
Cmner 8
New Renovation Replacement D Plans Submitted:. Yes D No
C ck one: Certificate
Installing Company Name 611v*'A orp. 19 ell?
--- 0-- -z
/' z:s/ `1
Address '7 El Partnership
C 0/ 7 11 Firm/Co.
Business Telephone C\
Name of Licensed Plumber or Gas Fitter k -k CA k 01� ic
INSURANCE COVERAGE: : Check- one
I have a current llablfty Insurance policy or Its substantial equivalent. ' Yes Er No D
If you have checked "e , please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy Ul/ Other type of Indemnity
11 ! Bond 0
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 11 Agent El
'= cerilly that all of the details and Information I have submitted (or entered) In above application are true and accurate to the best of my
It g;,and,that snl�lumblnq work and Installations performed under the permill Issued for this application will be In compliance with all
pertinent - ovis on& of Massachusetts State Gas Code and Chaptef 142 of the Gerveral Laws.
Ttoy!
I License: Lai j �0-u/u -1
umber Signitut of Licensed,_Plumbbt or\Gas Filter
Ga
Title
City/Town aster Lkens@Ndmber-9 I
Journeyman
m"iovEo(orFICE USE ONLY)
Ron
11-1,114T-141
mom
NNONNNNNO
N
N
mom
CnT=NNNN
NNNNNNNN
NNN
UNNNOMEN
C3=MEM
MORON
1001101010001MONNO
mom
0001MONNION
NOMMENNON
0
RIM
mono
NOMMIN
C ck one: Certificate
Installing Company Name 611v*'A orp. 19 ell?
--- 0-- -z
/' z:s/ `1
Address '7 El Partnership
C 0/ 7 11 Firm/Co.
Business Telephone C\
Name of Licensed Plumber or Gas Fitter k -k CA k 01� ic
INSURANCE COVERAGE: : Check- one
I have a current llablfty Insurance policy or Its substantial equivalent. ' Yes Er No D
If you have checked "e , please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy Ul/ Other type of Indemnity
11 ! Bond 0
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 11 Agent El
'= cerilly that all of the details and Information I have submitted (or entered) In above application are true and accurate to the best of my
It g;,and,that snl�lumblnq work and Installations performed under the permill Issued for this application will be In compliance with all
pertinent - ovis on& of Massachusetts State Gas Code and Chaptef 142 of the Gerveral Laws.
Ttoy!
I License: Lai j �0-u/u -1
umber Signitut of Licensed,_Plumbbt or\Gas Filter
Ga
Title
City/Town aster Lkens@Ndmber-9 I
Journeyman
m"iovEo(orFICE USE ONLY)
I ..
v
IN
m
La
v
m
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(A
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0
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C4
(A
0
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Location
I
No. Date (0) �-4
I
40RTR
TOWN OF NORTH ANDOVER
f A
Certificate of Occupancy $
Building/Frame Permit Fee $
1� 4.
Foundation Permit Fee $
CH
Other Permit Feerj�� s 332!!
Sewer Connection Fee $
Water Connection Fee $
TOTAL 41�
'Building Inspector
33.00 D21D
75 4 10'1'� 01-23 Div. Public Works
PER311T NO.
11MAP 4-40.
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE I
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
9
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED LO
,w 09
SIGtoXRE OF,��R Op AUTHORIZ? AG
*r E E
PERMIT GRANTED
19
0
5
'T
*sov'o - o 0 .1
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INGPECTOR
-/ '9' �—
OWNERTELJ aZ
CONTR. TEL. # P�3
CO NTR. LI C. # "P f
H.I.C.#
vjA-
ow W-- -7S`+
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK :PAGE
ZONE
SUB DIV. ECIT—NO.
LOCATION
PURPOSE OF BUILDING
OWNER'S NAME)jj
NO. OF STORIES bIZE
OWNER'S ADDRESS
+ L�r5
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
4,) L
SPAN
DIMENSIONS OF SILLS
POSTS
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
9
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED LO
,w 09
SIGtoXRE OF,��R Op AUTHORIZ? AG
*r E E
PERMIT GRANTED
19
0
5
'T
*sov'o - o 0 .1
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INGPECTOR
-/ '9' �—
OWNERTELJ aZ
CONTR. TEL. # P�3
CO NTR. LI C. # "P f
H.I.C.#
vjA-
ow W-- -7S`+
BUILDING RECORD
I OCCUPANCY 12
�INGLE FAMILY
S'OkIES
MULTI. FAMILY:::::�—!�FFICES
APARTMENTS
I
CONSTRUCTION
2 FOUNDATION
—11
8 INTERIOR
FINISH
CONCRETE
---
PINE
3
1
2 13
CONCRETE BL K.
BRICK OR STONE
�
HARDW D
PIERS
PLASTER
DRY WALL
-jNFIN
3 BASEMENT
AREA FULL
FI . 8 M T AREA
/4 1/7 1/1
�LO 8 M T
FIN. ATTIC AREA
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS
9 FLOORS
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
ASPHALT SIDINE
ASBESTOS SIDING
B
1
2
3
CONCRETE
EARTH
HARDVl D
COMMCN
ASPH. TILE
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I I POOR
ADEQUATE I I NONE
5 ROOF
10 PLUMBING
GABLE
I
11 P
BATH (3 FIX.)
GAMBRELI
I
-�H
MANSARD
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W T'R OR VAPOR_
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd
1�t I 3,d
ELECTRIC
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA-
RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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