HomeMy WebLinkAboutMiscellaneous - 29 HAMILTON ROAD 4/30/2018I
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This certifies that ...
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Date ..... .. . .....
.... ......
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
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has permission for gas installationJ ..... Ci./X�....
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in the buildings of ............
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FeAe(� ...... Lic.
Check # � � 7�—� q
...............................................................
.............. : ..... . North Andover, Mass.
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GASINSPECTOR
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY I Nofth Andover MA DATEF PERMIT #
�/24/2014 _
JOBSITE ADDRESS La &����>NER'S NAME I
GOWNER ADDRESS I Same 1 TE�— FAXF—_ _ j
TYPE OR OCCUPANCYTYPE COMMERCIAL[j EDUCATIONAL RESIDENTIALS6
PRINT
CLEARLY NEW:E] RENOVATION: Ej REPLACEMENT:E] PLANS SUBMITTED: YES[j NOE]
I
APPLIANCES -1 FLOORS- BSM 1 2 3 4 5 6— 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS F- I
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM / SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHERI
............
Replace 6 3s Meter
...........
and-Pioinci as Nee-ded---- IjF---j==='.' 1=
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES E] NO 0
1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY [Z] OTHER TYPE INDEMNITY [j BOND
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER F_] AGENT[--]
I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in c pliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
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PLUM BER-GASFITTER NAME I Joseph Marino LICENSE # 8736 –SMATURE
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mPF–j MGF[--] JP[J JGFE] LPG1n CORPORATION [:]# _ PART SHIPEI# LLC 0#
COMPANY NAMEI RH White Construction Co ADDRESS E41 Central St
CITY I -Auburn STATE�ZIP1015011 ITEL[—
(5708) 832-3295
FAX 1508-926-4347 CELLI 508-832-4614 !EMAILI JMarin RRHWhite.com —
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CERTIFICATE OF LIABILIW INSURANCEP... 08/29/2013
THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND CONFERS NO RIC HTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATR/ELY AMEND, EXTEND ORALTER THE COVE RAGE AFFORDED RYTHE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
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IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the POIiCY(i@s)mur-t be endorsed. if SU13ROGATION IS WAIVED, subject to
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR COND17ION OF ANY CONTRACT OF), OTHER OOCUMENT WITH RESPECT TQ WHICH THIS
CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
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Date. . ........
It r-11—" TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
'Is SACH S
This certifies that I.` ...................
has permission for gas installation ....................
in the buildings of .4,�.q �-f ................................
at -�r North Andover, Mass.
Fee. ..... Lic. No.J. 2. k/ . . . . . . . . +
. . . . . . . . . . . . .
GASINSPECTOR
Check#
A
MASSACHUSETrS UNEFORMAPPUCATON FDRPERNUrTO DO GAS FTrnNG
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS
Building Locations 2— /5 e�l Permit
Owner's Name Amount $
New Renovation Replacement /FT Plans Submitted
(Print or type)
Name—
Name of Licensed Plumber or Gas Fitter
Che k one: Certificate Installing Company
Corp. �!!Z�
Partner.
Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance, policy or it's substantial equivalent. Yes NoO
x.
If you have checked yes, please indicate the type coverage by checking the appropriate bo W
Liability insurance policy M2 Other type of indemnity 13 Bond 0
Owner's Insurance Wai Ver 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 appli7c—ation waives this requirement.
Signature of Owner or Owner's Agent Check one:
Owner 13 Agent 13
I hereby certify that all of the details and informat have submitted (or entered; in above application are true and accurate to the
best of my knowledge and that all plumbing work and insta
,�A�erfbrrned under Permit Issued for this application will be in
e
compliance with all pertinent provisions of the Massa se 6 aqC2!pDde tri e
�hapter 142 of the Gen*ral Laws.
Title
City/Town
JAPPROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Mibr
Tlumber
C as Fitter License Number
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(Print or type)
Name—
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Corp. �!!Z�
Partner.
Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance, policy or it's substantial equivalent. Yes NoO
x.
If you have checked yes, please indicate the type coverage by checking the appropriate bo W
Liability insurance policy M2 Other type of indemnity 13 Bond 0
Owner's Insurance Wai Ver 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 appli7c—ation waives this requirement.
Signature of Owner or Owner's Agent Check one:
Owner 13 Agent 13
I hereby certify that all of the details and informat have submitted (or entered; in above application are true and accurate to the
best of my knowledge and that all plumbing work and insta
,�A�erfbrrned under Permit Issued for this application will be in
e
compliance with all pertinent provisions of the Massa se 6 aqC2!pDde tri e
�hapter 142 of the Gen*ral Laws.
Title
City/Town
JAPPROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Mibr
Tlumber
C as Fitter License Number
F aster
joumeyman
87b4
Date.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING ,
7
T h i s c e r t i fi e s t h a t
has permission to perform .... t/ r r ...............
plumbing in the buildings of
at .......... North Andover, Mass.
lal��Zct_
Fee Lic. No. ....... .'.z ...............
'2 �LUIVIEIING INSPECTOR
Check #
Ilk
,MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date
Building Owners Name Permit #
Amount
Type of Occupancy
New Renovation Replacemeng Plans Submitted Yes 1:3 No
(Print or type) Check one: Certificate
Installing Company Name
Corp.
Address Partner.
P'UsmessTelephone 4;�� Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy M- Other type of indemnity [3 Bond
L -J
Insurance Waive : 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 n
I hereby certify that all of the details and information I have
best of my knowledge and that all plumbing work and inst'll
compliance with all pertinent provisions of the Ma 24
y:
IAPPROVED (OFFICE USE ONLY
Agent 0
atered) in above application are true and accurate to the
d under Permit Issued for this application will be in
g �ode and ha te General Laws.
C>I/
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Type of Plumbi License
lr�
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m3er Master Ef Journeyman
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MMMMOMMOM
(Print or type) Check one: Certificate
Installing Company Name
Corp.
Address Partner.
P'UsmessTelephone 4;�� Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy M- Other type of indemnity [3 Bond
L -J
Insurance Waive : 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 n
I hereby certify that all of the details and information I have
best of my knowledge and that all plumbing work and inst'll
compliance with all pertinent provisions of the Ma 24
y:
IAPPROVED (OFFICE USE ONLY
Agent 0
atered) in above application are true and accurate to the
d under Permit Issued for this application will be in
g �ode and ha te General Laws.
C>I/
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Type of Plumbi License
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m3er Master Ef Journeyman
!,bcation
I
No. Date
-11�
,40RT
TOWN OF NORTH ANDOVER
'6
Certificate of Occupancy s
Build ing/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
voli
Sewer Connection Fee $
ater Connection Fee $
�0'
fA
TOTAL $ 17
Building inspector
6u24
Div. Public Works
MR311T i1Z :t APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
�-/PAGE I
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK ;PAGE
ZON E
SUB DIV. LOT NO.
LOCATION
,;tl H*R1L-7Z)/V P -b
PURPOSE OF SUILDINGy
OWNER'S NAME P#fiaoRle:� 06&
'40. OF STORIES SIZE
OWNER'S ADDRESS
')'� HWHI L-mv
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME Hem
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
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 AN
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS I - 3
PAGE 2 FILL OUT SECTIONS t - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY 13UILDING INSPECTOR
DATEjFILED 9— 9-3
SIGNATURE OF OWNiR OR AUTHORIZED AGENT
F E E 12 42, &7 0
PERMIT GRANTED OWNER TEL. # 647-1-1
_5:y3
CONTR. TEL, # 35a - (b /jI
_3
19 CONTR. LIC.
4e 64�0,25-J-
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST 7
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMIEN
MulLipan4a lNurzCTOR
BUILDING RECORD
I OCCUPANCY 12
�INGLE FAMILY I— I — THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY ..... �_JSTORIES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA -
APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
/ f-, C-
CONSTRUCTION
2 FOUNDATION
8 INTERIOR
a
INE
HARDW D
PLASTER
-6-R-Y _VJA L L
UNFIN.
FINISH
2 13
CONCRETE
CONCRETE BL*K.
BRICK OR STONE
PIERS
3 BASEMENT
AREA FULL
FIN. B M*T AREA
1/1 1/2 l/.
FIN. ATTIC AREA
NO B M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS
9 FLOORS
CLAPBOARDS
B
1
2
3
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
CONCRETE
_iARTH
4-A-RDWD
COMMCN
ASPH. TILE
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 j__j POOR
ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLE
P
_�MIANSARD
BATH 13 FIX.)
TOILET RM. (2 FIX.)
GAMBRE ]L
FLAT
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
IOIL
I ELECTRIC
B'M'T 2nd
10 3rd
................
11 NO HEATING
/ f-, C-
OFFiCF-S OF:.
APPEAUS
BUILDING
CONSLERVATION
HEALI'H
PLANNING
Town of
NORTH ANDOVER
DIVISION ()I-
PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
120 MainSireet
North A11(i0vCr.
MassmIluscits
(6 17) GH54775
In accordancc wiEll the provisions of MGL c 4o, s 54, a condition of Building Permit
Number 1. [ I is that the dcbris resulting from this work shall be
disposcd 01 in a propuly liccascd solid waste disposal facility as dcClncd by MGL c ill, S
150A.
71e dcbris will be disposed of in:
(Ucztion of Facility)
zu"A\C&�QIC
Signature of Pcrinit. Appfictnt
3
Date
NOTE: Demolition permit from the To,. -n of North Andover must be obtained for
this project through the Office of the Building Inspector.
d
a
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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: 1,�Izt/f 7-o P
hone
LOCATION: Assessor's Map Number Parcel
subdivision
Street
Lot (s)
St. Number
************************Official Use only************************
RECOMMENDATIONS OF TOWN AGENTS:
conservation Administrator
Comments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permit
Vire Department -62z-, -,;?�
Received by Building Inspector
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date
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All dimensions & size designations This Is an original design and must Scale: maximum Date 04101/93
given are subject to vedficatioh on not be released or copied unless MARJORIE WOLFENDEN
job site and adjustment to fit job applicable fee has been paid or job 29 HAMILTON ROAD
conditions. order placed. NO ANDOVER, MA ol 845 Designer
MARYANN HEBB
0
RESIDENTIAL CONTRACTING A REEMENT
Read this agreement and make sure you understand it before signing it. This agreement
has legal force and effect and binds those who sign it.
Notice: All home improvement contractors and subcontractors engaged in home improvement
contracting, unless specifically exempt from registration by provisions of Chapter 142A of the
general laws, must be registered with the Commonwealth of Massachusetts. Inquires about
registration and status should be made to the Director, Home Improvement Contract Registration,
One Ashburton Place, Room 1301, Boston, MA 02108.
Designated Registrant's Name: FRANCIS A. HEBB d/b/a HEBB CONSTRUCTION
Registration Number: 107916
This agreement is made on April 3, 1993 (date) between HEBB CONSTRUCTION of P.O.
BOX 379, LAKE SHORE ROAD, WEST BOXFORD, MA 01885 (508) 352-6123 hereinafter
called "Contractor" and Margorie Wolfenden (Owner) of 29 Hamilton Road, North Andover, MA
hereinafter called "Owner".
1. DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such
work consists of the following: Install new kitchen cabinets, ceiling and 5 recessed lights, and
floor. Redo face of china cabinet, with exception of glass doors.
DETAILED DESCRIPTION OF MATERIALS TO BE USED
Materials to be used in perfornfing the above described work consist of the following: 2 -
Anderson windows, other related construction materials.
H. PRICE
Contractor agrees to do all work described in Section I for the total price $7,664.00.
defect in materials or workmanship. The foregoing warranties shall survive any inspection
performed in connection with the agreed upon work.
All warranties for equipment supplied by the Contractor under this Agreement shall be those
given by the manufacturers of such equipment, which shall be and are hereby passed through
directly to the Owner. Under such manufacturers' warranties, the Owner may be required to
register or mail in a warranty card or other evidence of workmanship and use of such equipment
in order to activate such warranties. The Owner's failure to mail in or register such
documentation, which failure voids the manufacturer's warranty, shall not create any responsibility
for the Contractor to warranty such equipment.
This warranty gives the Owner specific legal rights, and Owner may also have other rights which
vary from state to state. Under Massachusetts law, sales of goods carry an implied warranty of
mechantability and fitness for a particular purpose.
X11L COMPLETENESS OF AGREEMENT FOR EXECUTION
The Owner is hereby advised that he should not sign this Agreement unless and until all blank
sections have been filled in or marked as void, deleted or not applicable, and until all exhibits and
related or referenced documents that are incorporated herein are attached hereto.
XIH. COPY OF AGREEMENT TO BE GIVEN TO OWNER
This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate, and
an original signed copy hereof given to the Owner at the time of execution. No work under this
Agreement shall begin prior to the signing of the Agreement and transmittal to the Owner of a
copy thereof
RIGHTS TO CANCEL
The owner may cancel this agreement if it has been signed by the Owner at a place other
than an address of the contractor which may be his main office or branch thereof, provided that
the Owner notifies the Contractor in writing at this main office or branch by ordinary mail posted,
by telegram sent or by delivery, not later than midnight of the third business day following the
signing of this agreement. See attached Notice of Cancellation.
HOMEOWNER:
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
-219-113
(Ov��e �Iignature) Date Signed
(Contractor's Signature) Date Signed
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