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HomeMy WebLinkAboutMiscellaneous - 29 PADDOCK LANE 4/30/2018N J Q 0 v b �'. . ........ % .............. ; ........ ............................. L Vee ... .......... Lic. No. theck # ,.�i ztfll.� Date.... ................. . ............ F NORTH ANDOVER IIT FOR WIRING .. .... ..... .................... / ............. h A -4- Aff ........................ ........ ....... ....................... L4C&AL ilNSP� MR�' ASUA�DVFFIW, MWITIONA Q -EG LAT16 A L 6& Ir I. '.. .:. . �. ' ,:, r I. . .. : r r - - I.'-.: :., - �­­jffi. ft ' �]M' )IMMELECM, AL. ''CWe (110,10MI S27C�: 12 00 Dcunt sterns, VIVO out edw ikd ��,Jescribi�dbelow.: C _6j - k7 A p 1416 Bk) POO Cy grd', . N 0 '0 14 e ers. ®rdW�,'O I Ue . r e . SS� A n - OwhWAO e-� Ae'"4 Wj Tioul i-: V C A je Alt. T-491� �N m qftepC .OW i:eS, 0 0 0"01-* U- lxea tilt aft. er Dcunt sterns, VIVO out t C _6j - k7 r -Mr �k, Cy R. 10' d t Mp e ton. ®rdW�,'O I Ue . r e . SS� A n - LLC r r'. N.0, 4�. latig: Tel '.N Alt. T-491� �N 0"01-* U- lxea P I P, AwMal kv, I IT, klifil =F -,l I= La "Ei!�Krrlf6 o"n r LEZU I Cl A N.;S:,:::;:::::.. N is fSSUES THE.:,F:OL DWI G tCAS.,:::::::. REGI; ul TERED MASTER ELECTRIC.IAW.,.:. .:.::NO.RM.A-ND D MICHkUD 13 S I MR.SON:.:* RD HAM 2 2:15 N -:H 03087 l5bW..��'. :J�P F 07/3.)./*��%-'�� 16166 ..... ... ... m , er Date .............. 5� ...... 011 ,40RTN TOWN OF NORTH AND R 0 L Tj PERMIT FOR GAS IN LLATION This certifies that ... .................... ...... C ................ has permission for gas installation in the buildings of ................ at North Andover, Mass. Fee'. . ...... Lic. No.. . 7 .... . �114 ......... GAS INSP66TOR Check e- r 6664 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) N ANDOVER Mass. Date 12/29 Building Location 29 PADDOCK LNE Owner Tel# 978-794-9657 NewFv—(] RenovationF-1 2008 Permit # 6 �, 6 �/ Owner's Name MIKE ARNOST Type of Occupancy RESIDENTIAL Replacement 1:1 Plan Submitted: Ye[j No[:] FIXTURES Installing Company Name Eastern Propane & Oil, Inc Address 131 Water Street Danvers, MA 01923 Business Telephone # 800-322-6628 by Name of Licensed Plumber or Gas Fitter CHRIS AYLES LIC 3932 Check one: Certificate VCorporation F]Partnership F]Firm/Co. INSURANCE COVERAGE: have a liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. No o haverO cu Yes �f you ave c ecked ygs, please indicate the type coverage by checking the appropriate box. A liability insurance policy F1 Other type of indemnity o 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 Ei Agent o I hereby certify that all of the details and information I have submitted (or entered) in above a I _ pi� knowledge and that all plumbing work and installations performed under the permit issue4 g )ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the G;,d6 1-40 B Type of License: - glumber Title 14Gas fifter -Master License Number City/Town -Journeyman APPROVED (OFFICE USE ONLY) are true and accurate to the best of my -atjoi%ill be in compliance with all Plupitter or Gas Fitter Date r TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that �44je 112 has permission for gas installation . ........... in the buildings of . !�� ... ............. at yl?e�l .................... I North Andover, Mass. FeP�b 77-7... Lic. No. ?� qP r ...................... 6 Check # GASINSPECTOR 6668 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes... No If you have checked Yes. please Indicate the type of coverage by checking the appropriate box below. A liability insurance policy X Other type of indemnity 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. Ch ' eck One Only Owner. Agent Sianature of Owner or Owners Agent By checking this box []; I hereby certify that all of the details and Informa ion I have submitted (or entered) regarding this application are true and accurate to the best of my KnOWlOdg9 ana tnat aii PIUMDing worK ano instaiiations punwmeo un"ur L1112 F411111K lb�UVU NUF Lill& Opp UOU— -9 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. A Vrype of License: By Plumber / �Ab� tle Gas Fitter Signatbre of ensed Plumber/Gas Fitter Master rCityfrown Journeyman License Number: C LP Installer APPROVED (OFFICE USE ONLY) I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING U.1 City/Town: Date: Permit# Building Locatic Sol—& Owners Name: co 0 UjUjL) 3: 1-- 0 Type of Occupancy: Commercial E ducational Industrial Institutional ResidentiaLk (n I-- New: Alteration: Renovation: ReplacementX, Plans Submitted: Yes No. in FlYTllRFA INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes... No If you have checked Yes. please Indicate the type of coverage by checking the appropriate box below. A liability insurance policy X Other type of indemnity 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. Ch ' eck One Only Owner. Agent Sianature of Owner or Owners Agent By checking this box []; I hereby certify that all of the details and Informa ion I have submitted (or entered) regarding this application are true and accurate to the best of my KnOWlOdg9 ana tnat aii PIUMDing worK ano instaiiations punwmeo un"ur L1112 F411111K lb�UVU NUF Lill& Opp UOU— -9 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. A Vrype of License: By Plumber / �Ab� tle Gas Fitter Signatbre of ensed Plumber/Gas Fitter Master rCityfrown Journeyman License Number: C LP Installer APPROVED (OFFICE USE ONLY) I LU z U.1 co 0 UjUjL) 3: 1-- 0 0 cn 0: (n I-- u) cr. wmijuwaw in U.1 z 0 �- g z z U) W W -.1 >- 5 W W 0 Ui < z D CL W 0 W 4 1-- W in 0 -j Z ro W Uj Z > & 0 0 W W W 0 LLI U) X Cn W 0 cc < 'X LU 0 X UJ Ir L) Ix - CL >1L'-)WW'z<0-j1.-i._Oz_j0u_�- z Ul < W W 0 z 0 Pl.UWLUW Z < < - X < 0 00CILLOOMM W W > 0 00. 0 1XP5>3'-3:3'-0 UWj Z ui SUB BSMT. BASEMENT -i"FLOOR 2Nu FLOOR 3R'y-F-LOOR 4 THIFLOOR 6THIFLOOR -0i'm FLOOR F �LO 0 �R �FR LOO Installing Company Name: d)f;t-rj Ile K," Ali Check One Only Certificate # Corporation .4 Z' State: MA Address:. - 'Ayr�j;y,) Ir// C ity/Town: iloiz� Partnership Business Tel:-/ Fax: F7&1 -6a:? -3-�) 7r Name of Licensed Plumber/Gas Fitter: z -ell Firm/Company INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes... No If you have checked Yes. please Indicate the type of coverage by checking the appropriate box below. A liability insurance policy X Other type of indemnity 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. Ch ' eck One Only Owner. Agent Sianature of Owner or Owners Agent By checking this box []; I hereby certify that all of the details and Informa ion I have submitted (or entered) regarding this application are true and accurate to the best of my KnOWlOdg9 ana tnat aii PIUMDing worK ano instaiiations punwmeo un"ur L1112 F411111K lb�UVU NUF Lill& Opp UOU— -9 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. A Vrype of License: By Plumber / �Ab� tle Gas Fitter Signatbre of ensed Plumber/Gas Fitter Master rCityfrown Journeyman License Number: C LP Installer APPROVED (OFFICE USE ONLY) I Uj LL. Lr. F- 59 ce. LL. z 0 F- U 2i u z LLI u z 0� od LLI z w Qn z w u .j v M 0 -2 - ? Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ................. ............................ has permission to perform . . . . . . . . . . . . . . plumbing in,the buildings of ..................................... at ............... .. ......... , North Andover, Mass. Fee Lic. No. ........ PLUMB ING,iNSPECTOR Check # 7323 1 0 SA US -2 - ? Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ................. ............................ has permission to perform . . . . . . . . . . . . . . plumbing in,the buildings of ..................................... at ............... .. ......... , North Andover, Mass. Fee Lic. No. ........ PLUMB ING,iNSPECTOR Check # 7323 Date. �.- ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING I nis certifies that ........... ............................. has permission to perform ... ........................................ wiring in the building of ... -... ................................................... ........................ . at .. . .... / ........ ......... . North Andover, Mass. Fee ....... Lic. No ..................... .............. ELEmicAL NsPEcToR A Check # Z 7262 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leavblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (�EQ, 527 CMR 12.00 "I /A 1/0 3 (PLEASE PRINT IN INK OR TYPE ALL INFORMA TION) Date: - City or Town of: NORTH ANDOVER To the kis'plctor if Wires: By this application the undersigned/giv s notice of his or her intention to perf�rtn the electrical work described below. Location (Street & Number) Owner or Tenant Ai Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes No 0 ( - (Check Appropriate Box) Purpose of Building D A� P3 FQ Utility Authorization No. Existing Service Amps kolts Overhead Undgrd New Service Amps Volts Overhead Undgrd No. of Meters No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: NO EM- M78 flulopjgL rn letion nf the I -At, —, A- --N-1 1- 1. - No. of Recessed Lunu*naires No. of Ceil.-Susp. (Paddle) Fans No. o lr-&Y' 'lo' Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above E] In- -- ' grnd. grnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS INo. of Zones No. of Switches No. of Gas Burners No. of Detectioll nd Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number 1 .1 - � I . Tons . I KW I ... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local El Municipal 0 Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Felecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail �f desired, or as required by the Inspector of Wires. Estimated Valu o -Elecftical Work: (When required by municipal policy.) Work to Starlt. Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C, OVARAGE: Unless waived by the owner, no permit for the performance of electrical work may issue u I s the 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 issuing office. 11-� CHECK ONE: rNSURANCE W BONDE] OTHERE] (Specify:) I certify, under the pafns anqpenald �� rur P y th it the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: Signature LIC. NO.: (If applicable, r "exempt in the license number line.) Bus. Tel. A - ;� , 0 ddress: �f /?/ a5 1� Alt. Tel. No.: *Per M.G.L c-. 147, s. 57-61, seculity work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) F� owner 0 owner's agent. Owner/Agent Signature Telephone No. FPERMIT FEE. $ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date /2'7 Building Location Owners Name L/2-L-7.� Permit Amount 41 _7 A-0 Type of Occupancy ze)� 0_14, r New Renovation rl Replacement d PlansSubmitted Yes No (Print or type) heck one: Installing Company Name V10A z"J", clor,441i Corp. Address/" Partner.' Business Telephone .Z Finn/Co. Name of Licensed Plumber- W )'� Insurance Coveran: Indicate the type Liability insurance policy 1/)o ance coverage by checking the appropriate boy.: Other type of indemnity 1-1 Bond Certificate Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does noi have any one of the above three insurance Signature Owner El Agent I hereby certify that all of the details and inkrmation I have submitted (or entered) 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 ]=etts S�!Pjlng�C!ia�n 2Chapterl.42oftheGen6ral Laws. By: Signalureol.Licenseariumoer Type of Plumbing License Title PLIO---> *,-? City/Town ricense Numoer Master Journeyman Er", APPROVED (OFFICE USE ONLY N OMMMMMMMMEW-IrArdpa mmmmmm M 7, W mr (Print or type) heck one: Installing Company Name V10A z"J", clor,441i Corp. Address/" Partner.' Business Telephone .Z Finn/Co. Name of Licensed Plumber- W )'� Insurance Coveran: Indicate the type Liability insurance policy 1/)o ance coverage by checking the appropriate boy.: Other type of indemnity 1-1 Bond Certificate Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does noi have any one of the above three insurance Signature Owner El Agent I hereby certify that all of the details and inkrmation I have submitted (or entered) 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 ]=etts S�!Pjlng�C!ia�n 2Chapterl.42oftheGen6ral Laws. By: Signalureol.Licenseariumoer Type of Plumbing License Title PLIO---> *,-? City/Town ricense Numoer Master Journeyman Er", APPROVED (OFFICE USE ONLY Date. . ey., TOWN OF NO ZHANDOVER PERMIT FOR PLUMBING. .. . . . . . . . . . This certifies that has permission to perform plumbing in the -buildings of .......... at ....... North Andover, Mass. .......... Fee Y/ .... Lic. No�1907 PLUMBiNG114SPECTOR Check # 1-9 7 1) 4 9 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS —) ::::? ate Building Location C>Z- Owners Na -YZ3 Permit # ';70 Y 9 Type of Occupancy Amount QSIV New 1:1 Renovation 1:1 Replacement Ell"' Plans Submitted Yes 1:1 No 11 (Print or type) Check one: Certificate Installing Company Name Address Corp. Partner. Business Jelephone 3,737 -77 7) Firm/Co. Name of Licensed Plumber: .Insurance Coverage: Indicate; tKe t nce coveraje by checking the appropriate box: ,ype of insura Liability insurance policy Other type of indemnity El Bond ri .Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application (toes not have any one of the above three insurance Signature Owner 11 Agent F-1 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all Plumbing work and installations performed dir �Plt Issue^r this application will be in compliance with all pertinent provisions of the Mass le PlUmFbicno' a -hap�td/4.2�-jral Laws. By: TignalaW,01 LICenSeci I luillucol Title Type of Plumbing License City/Town APPROVED (OFFICE USE ONLY License NumDer rvIaster Journeyman I _I- WFINEVAIMMMMIMMM IN MIKV DO 001 IMMIM IN NO! irfil, I IN IN IN ��Mm INN MIM IMM IN IMM MIMMIM! IN INN IN IMM IN INN IMIMM WRIMIMM MIMM IMIMM IMMIM IN NO! IN IN IN MIMM 11MIMMIM IMIMM WN ON 11 immmmmm IN M. 111010-4-'Z�M=Mmmmm IMMIMMMOMMIMIMININIMIMIi (Print or type) Check one: Certificate Installing Company Name Address Corp. Partner. Business Jelephone 3,737 -77 7) Firm/Co. Name of Licensed Plumber: .Insurance Coverage: Indicate; tKe t nce coveraje by checking the appropriate box: ,ype of insura Liability insurance policy Other type of indemnity El Bond ri .Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application (toes not have any one of the above three insurance Signature Owner 11 Agent F-1 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all Plumbing work and installations performed dir �Plt Issue^r this application will be in compliance with all pertinent provisions of the Mass le PlUmFbicno' a -hap�td/4.2�-jral Laws. By: TignalaW,01 LICenSeci I luillucol Title Type of Plumbing License City/Town APPROVED (OFFICE USE ONLY License NumDer rvIaster Journeyman I _I- .2 <?- / t- 0 C, Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ ....... A-.. *0-./ .... ...... ... ..... ..... ............. .. has permission to perform ...... ....... ................. .................. ....... .... wiring in the building of ... ....... . . .................. ... ..... ...... ............. . ....... . ....... ........ .......... . North Andover, Mass. Fee .... Lic. No!��.�7!*�I ......... Check # ELEcrw&L INspEcrOR 6 If , 5 .5 1// Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 6F-5—:3 Occupancy and Fee Checked [Rev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cod (PEC) 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:M/0/106 City or Town of: A/01Z 11 MIWF7� To the Insfiectoj of Wires: By this application the undersignK;ives no�kct-of hi§ or her intentionTo perform the electrical work described below. Location (Street & Number) Owner or Tenant MIKB- GUIP51 Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps I Volts New Service Amps I Volts Telephone No. Yes �N No 1:1 (Check Appropriate Box) Utility Authorization No. OverheadEl Undgrd 0 No. of Meters Overhead [:] Undgrd 0 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: . BA-THQoM ksunon;L Completion of the followine table n7av be waived bv the InSDector of Wires. No. of Recessed Luminaires No. of Ceill.-Susp. (Paddle) Fans No. of' Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above E] In grnd. ar-nd. El ITO—.-OTFM--ergency Lighting Battery Units No. of Receptacle Outlets J No. of Oil Burners FIRE ALARMS INo. of Zones No. of Switches My sn No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heatpump Totals: Number Tons No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW 11 Local E] Mun*"P�l El Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. Or— Signs Ballasts —Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP --Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Valu4eof Eleet�cal Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE V Aft: Unless waived by the owner, no permit for the performance of electrical work may issue unless the 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 issuing office. CHECK ONE: INSURANCEA BOND OTHER F1 (Specify:) I certify, under tippams �nf�enalties o t the information on this application is true and complete. fperlu'y tha FIRM IS UBWAR LIC. NO.: Licensee: 1� A AA'P Signature /_-//MJ/MPP LIC. NO.:r� . 3J K3 (If applicable t t the license fliv.) Bus. Tel. No.: 7�7/- Address: q6K2 I . Alt. Tel. No.: *Security System Contractor eicense required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) 0 owner 0 owner's agent. Owner/Agent r I. -N Signature Telephone No. FPERMIT FEE. $ yu.on P,f �,, 6 i, r"t�� lo -Al- -e- [4 2- 7- o i *IN if ,.Location No. Date 40RTN TOWN OF NORTH ANDOVER 6 6 0- + -.IL Certificate of Occupancy $ Building/Frame Permit Fee $ ,qCMU Foundation Permit Fee $ Other Permit Fee $ Y TOTAL s &2 Check # 4-1 /1,7 1544.1 Building Inspecto 61 TOWN OF NORTH ANDOVER I BUILDING DEPARTMENT I AONEOR BUMDING PERNIIT NUMBER: DATE ISSUED: Date a z�- I SECTION 1- SITE MFORMATFnN 1. 1 Property Address: ,:99 1.2 Assessors Map and Parcel Map Number Number: Pared Number/ 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (st) Frontage (ft) 1.6 WELDING SETBACKS (ft) Front Yard Side Yard Rear Yard Re�red Provide Regaired Provided ReWired Provided 1.7 Water Suppty M.G.LC.40. 54) 1.5. Flood Zone Information: Public 0 private Zone - outside Flood Zone 0 1.9 Municipal Sewerage Disposal Syste= 0 On Site Disposal Systent 0 Or,%- A ALW11 A - X'RL'UJrJMn A 31 %JW1'4J&2EbXUr1AU 111UHILAD AuEAT 2.1 Owner of Record A 2)u0cs- J9 P'149jworj� ou Name (Print) Addre�s for Service ,-�A J4 Ngnatu- �,79— re 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 H-10 �Iqc 2aaDwacx Licensed Construction Supervisor: 06 0/ 9t-3 . /_/X C7j,( 5,qLA5P1, License Number ddre /— I/— � Epiraton Date S, re Telephone 3.2 Registered Home Improvement Contractor N�t Applicable 0 Company Name /00 sp�c—m AV,06rVz!5K Hiq Registration Number Address Expiration Date ,ignature Telephone SECTION 4 - WORKERS COMPENSATION (MG.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 building permit. Signed affidavit Attached Yes ....... 0 No ....... 0 SECTION 5 DescriiDtion of ProiDosed Work (check all applicable) New Construction 0 Accessory Bldg. 0 Existing Building El I Repair(s) 0 1 Alterations(s) Rr' I Addition 0 Demolition 0 1 Other 0 Specify Brief Description of Proposed Work: 7VIJ5-,V 01q&,QQi5-Z-S V67k) 667i5k- 121Z P&0&�MACU 6X 0 ONC7 1,V7-(5AJ01Z 0106WJAJ(- ,,, IV L_ &90, 0�V,,C,4Mj(_V 40,yn W)Itil/ JX)S-7;4L WOW 84agLW�- PQ RM I SECTION 6 - ESTIMATF.D CONSTRITCTIrON rOST.q I Item Estimated Cost (Dollar) to be Completed by permit applicant 1. Building 0 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) Mechanical (HVAC) .4 15 Fire Protection .6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO HE COMYLETED WBEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUELDING PERNUT as Owner/Authorized Agent of subject property Hereby authorize I CV4 19 &t— 14dlS [i--VV-'1;*1— to act on MY matte to work authorized by this building permit application. reWive � ORA11/11�— Signature of Owner , I Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 9::�r A71101041�� as 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 of -,/-/ 6 Date NO. OF STORIES 41 SIZE BASENENT OR SLAB IST No SIZE OF FLOOR TRvlBERS 2 3RD SPAN DlIvENSIONS OF SILLS DINENSIONS OF POSTS Dll\�IENSIONS OF GIRDERS MGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFMVINEY IS BUILDING ON SOLD) OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE to E 0 ui u) CR LE �2 u x C2 x to C2 C/) Cd x Ll� ZW M 6 z C/) 0 V) ui 1%o 4 Cf) 2 C/) z 0 u cf) C/) I R, 0 �2 E co CL 0 CO) co Cm CO) CM co co) CD -F co ca CD 0 CD L- I.— = CL CD CD CL C3 CL CL cm< ca ca CJ "FL cl CD ca 2c ts CD CL CO) cc cc CL CO3 is w 0 U) w U) (r w w cr w w U) Q 4D = cl C=2 C3 CL. c C, c c 0 c=:, Cc ca CF CL to t; cm mi &.S 'we E Ma Lp% CO) CD ca cm to Q zip 2 L c C.3 CD c CD C to C3 t cc C-1 C-2 —0 C.3 4D r-4 0 C2 C3 CD CD COD CA -0 ui cc I-- C=L:s z LU E &- ca o C432 U CD CA 0 CD le C2 -0 t� COD CL 10,210 cl, Go CIO cc .0 CD a- Ml C3 = a CUE 1%o 4 Cf) 2 C/) z 0 u cf) C/) I R, 0 �2 E co CL 0 CO) co Cm CO) CM co co) CD -F co ca CD 0 CD L- I.— = CL CD CD CL C3 CL CL cm< ca ca CJ "FL cl CD ca 2c ts CD CL CO) cc cc CL CO3 is w 0 U) w U) (r w w cr w w U) BOISE CASCADE - BC CALCTm 2001 a DESIGN REPORT - US Tuesday, April 16, 2002 14:16 File 0*4 Double - 1 3/4" x 9 1/2" V -L SP 2900 Name: Untitled Job Name - ARNOST RESIDENCE Customer - MOYNIHAN LUMBER Address - Specifier - Designer - City, State, Zip - NANDOVER, MA Company- - Code Reports - ICBO 5512, BOCA 98-52, SBCCI 9852 Misc: - BEAM @ADDITION Standard Load - 35 PSF 115 PSF Tributary 01-03-15 BO B1 1213 lbs LL 1213 lbs LL 63� lbs DIL 637 lbs �L (ieneral L)ata 8295 ft -lbs Version: US Imperial Member Type: - Roof Beam Number of Spans - 1 Left Cantilever - No Right Cantilever - No Slope 0/12 Tributary 01-03-15 Repetitive n/a Construction Type n/a Live Load 35 PSF Dead Load 15 PSF Part Load 0 PSF Duration 115 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning product installation. Total Horizontal Length - 10-00-00 IL ,,oad Summary r Description 1S Standard 1 ROOF BEAM Controls Summary Control Type Value Load Type Ref. Start End Live Dead Trib. Dur. UnfArea Load Left 00-00-00 10-00-00 35 PSF 15 PSF 01-03-15 115 Conc.Pt. Load Left 05-00-00 05-00-00 1960 lbs 980 lbs n/a 115 Moment 8295 ft -lbs End Shear 1789 lbs Total Deflection U488 (0.246") Live Deflection U740 (0.162") Max. Defl. 0.246" (Limit: 1") Span/Depth 12.6 % Allowable Duration Loadcase Span Location 55.2% @ 115% 2 1 - Internal 24.2% @ 115% 2 1 - Left 36.9% 2 1 32.4% 2 1 24.6% 2 1 1 NOTES: Design meets Code minimum (Ul 80) Total load deflection criteria. Design meets Code minimum (L/240) Live load deflection criteria. Design meets arbitrary (1 ") Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". Minimum bearing length for B1 is 1-1/2". Member Slope = 0, consider drainage. Page 1 of 1 BCI8 and Versa -Lam@ are registered trademarks of Boise Cascade Corp. n gAe Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 107835 Expiration: 08/07/2002 Type: DBA '6LASSIC CONSTRUCTION CO. Micha�l Robidoux Salem St. Andovdr, MA 0 1810 Administrator BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS 050193 Birthdate: 01/04/1960 Expires: 01/0412003 Tr. no: 6040 Restricted To: I G MICHAEL R ROBIDOUX 180 SALEM ST ANDOVER, MA 018`10 Administrator tl r a p a s a I 'a r C..I.ASSIC CONSTRUCTION ANDOVER, NIA (978) 475-5033 Page No. of Pages i, �, PROOO-S-AL SUBMIT7ED TO P�H;O N 7E S 71 DATE ,/*w/ / k-, involving extra costs will be executed only upon written orders, and will become an extra z2 charge over and above the estimate. All agreements contingent upon strikes, accidents JOBNAME or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. withdrawn by us if not accepted within days. CIW,-STAtE and ZIP (AG. IIE JOB LOCATION Arreptattre of PrOIJIM11— The above prices, specifications ARCHITECT DATE OF PLANS -tQ-,d-o the work as specified. Payment will be made as outlined above. JOBPHONE We hereby submit specifications and estimates for: '7� _7 (1ACS -1A11t101,1 Oq �ZV 7- L (��4qv7?iC -7-1,1-15- /-/Cv� a"aw/mc, 12,el-!�I;Vl 1,144 tl- aa -r -r - -v ��7/�f 675<1j-71 0,1�1/2 C�601A,17— I-INZ-d-0-�7 M We propDOC hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars ($ Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike from Authorized manner according to standard practices. Any alteration or deviation above specifications Signature involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents Note: This proposal may . be or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. withdrawn by us if not accepted within days. Our workers are fully covered by Workman's Compensation Insurance. Arreptattre of PrOIJIM11— The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature �Y 4, -tQ-,d-o the work as specified. Payment will be made as outlined above. Signature A - *Iliclj�p - �-- 90! @jnleu6iS :9ouejd9ooV;o als(] 'E)Aoqe pauillno se @pew @q ll!m juawAed -paipoads se Miom aqj op ol ainieubiS pazijoqlne aje no), 'pajdaooe Aqajaq aje pue Ajoloelsiles we suoil!puoo PUB suoi;mpoods 'saoud @Aoqe aqi -SAUP uiql!m poldeme jou j! sn Aq umLjpql!m UU!4U�UUUWL)j ti.ULUJjJ0M Aq POJUAQZ) Alinj aie siaNiom ino aq Aew lesodoid siq-L:GION 'Emeinsui u jeqio PUB opsujoi 'aj!l fujuo ol jeumo 'joijum ino puoAaq sAujap jo 'sa�pjs -9jeUJ!jSe sluappou uodn jUO6UljUO3 SjUOUJ8EU68 11V 9qj aAoqu PUB JOAO 9bJeq3 ejlxe uL awooeq ll!m puu -sia-pio ueu!jm uodn Aluo pelnoexe aq lj!M SIS03 BJjXa 6UlAjOAU! is a3gloods -soopoeid P:jnleu n su OAoqL, UJOJJ UO!IB!A9p JO uopialle AuV piepuels ol 6up000L lquuuw zljoql v oqL amilumNiom u ui polaidwo3 eq ol �jom 11V 'pailioads se aq ol pealuejen6* sl lupajuw 11V :smollol se apuw eq ol juawAud s) Sjullop :10 wns eql A01 'Suolje3lj!3ads9AoqTa ql!m aouepiwou ui 9191dwo3 joqul pue jupolew qsiujnl ol Aqajeq joLldiold Jim Q.5 z r-717 7 t,-1 7�'� -I' tazV �Y -711�51�A7� 7T . . ........... ... elavq?l ��g 7777. 7 /7/ U, r '7764014 xoff,�/ 7 l �, 7e ,f t/t) I -Z' 7 Pa -�,�/7 -Y /y/ :jOj saieuu!iso pue suopeo!poeds I!wqns Aqojoq 9AA 3NOHd 110r SNV-ld =10 3-LV(l N011V001 sor 3aO3 dlZ PUB 31VIS'A110 3V4VN eor 31V(l 3NOHd 01 (131 -Mons IVSOdOHd_ VC09-SA, W6) VA '83AOUNV CO 'OD NOU.-DTINIS'NO"') Dis rA Location— 'A M110 Q&T.- .01, Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ J7, Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit -Fee $ Sewer Cbnr)edtio,,Fee $ Water Conned TOTAL e(el 'IT (9 _709. 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M 0 0 0 0 Z 0 z 3: a w 0 z -0 z m OA 0 0 x pill I I f I I I 1 0 0 Z M c 0 --0 z m 0;;->z>zo () 2 c 11 9 > -1 on- ; lA 0 Z x 0 < > > 'm > > �O > m . 0 . Z W 0 Z! T - z M. T z C: Z xi> ;2 > 21 Z, m ;� -1 > r)* :! a > m 0 3: -2 n F., > z -1Z 0 > 0 0 Z,3. c 0 m (-I > m Z 0 m z > � 0 3: M f 0 0 00 0 x m 2 9 x '. ri > -1 0 z 0 m Z < > z > c C) m -1 7t re Q. > Ls > V 0 z H - -LL1 -LL i m r -i >01 &) -1 ii m W C . ZM MMO U) Z Cox *0 C: MMO LUX -1 > U) 0 40 U) a m - Pxm m x -4 z > :r (A 0 ii 6 ;a z m (A "U n M ��z 0 0 m Co 0 to S z -a r W r!2 0 0 Zq -16) r goo r - z 0 m > 0 z 10 m m 00 0 n n c z z 0 10 m e% 0 OFFICES OF:. APPEAUS BUILDING CONSERVA110N HEALI'H PLANNING Town of NORTH ANDOVER DIVISION (W PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON. DIRECYOR 12() main -street North Alidover. N1i1SS;1(*ht1SCt1S () IfWl (6 17) GHS -4775 ) In accordance w tl I 1? 1 1 �Ic Provisions of MGL C 40, S 54, 1 condition of Building Permit Number (" C _'� �_ is that the dcbris resulting from this work shall be disposc-d of in a properly liccascd solid waste disposal facility as dcf-incd by MGL c III, S 150A. The debris will be disposed of in: � - -?C V -A -I\ (Location of Facility) _W,�% Signature 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. 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: Phone �qq J�u LOCATION: Assessor's Map Number Parcel Subdivision S 4,A -A-1 Lot(s) A - Street St. Number .401 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments ve MR i6wn Plann6r- Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Date Approved 2wq?-S Date Rejected Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspector Date M M mox gm, g cn zm 04 x (1) —4 ft, > zo z r Z..b (no 0 2,1 A m Lq c 0 co -%Io x L -n T (0) x 1% �o 0000 G) x 0 C . �0,� 0 :-� Q x;ZC fli C3 ,Z�r 00 CL z 3NII DNOIV (n0l CA —A C— (:) m w 8 c 0 rr 0% n n (A 8 T r m z 0 mrz L#4 0 cr, z 0 0 z < m 0 z CZ T 0 T cl I M., z C) L'q M 70 cnr.i " C: rm TZ rr, w c m c M MM -�Jm z rn cr c, 0 Z NJ 0 C.) m a !R 0, cn p 0 z %.n 0 z z A 4 m 'm'n 3NII nNolv Clol cl) 0 m --4 rm 0 z z 0 r— Z > 0 r m m m 0 -n CD m m m z 0 > 0 z a 0 x 0 --I M m m M m m 0 m C/) m m 0 > 0 S 10 < z -< " > M 0 M % M w m C r- 0 Z Z 0 > a) m C --f 0 z > Cn '40 M 0 0 m m c m m 00 m cn -< m 1.0 3w > 0 C (A V) -n z --i m m m m Cb (D 0 0 �'v 0 cr m 0 (D 0 3. oz m 3 m -4 CL� 0 M CT 0.0 2 =r -4 (D 0 CD < m M 0 CL 3 cr 0 0 -0 0 =r CL u—, I 0 0 M 0 > m z 'D C m ;q cn cn 5 z I m 0 r r w m 0 :n 0 m 0 m :1) --4 m 0 T - n M Wmmlln—i —4 X. Z. �11 CUSTOMER COPY z M ::E U) I z C) I CD z x 9 0 z m 0 m a m m 00 Agreement made this day of March 1993, by and between John Dozibrin, d/b/a Dozibrin Builders, Inc. (the "Contractor"), and Michael J. Arnost and Judy M. Arnost (collectively, the "Owners"). WHEREAS, the Owners desire to retain the Contractor to construct a 14 x 16 summer room and deck located at 29 Paddock Lane No. Andover, Massachusetts (the "Property") and to build an addition on the residential dwelling on the Property (together, the "Project"). NOW THEREFORE, the parties intending to be legally bound, hereby agree as follows: 1. Scope of Work. The scope of work or Project shall consist of the demolition of the existing structure on the Property and the construction of a new 16 x 14 three season room plus deck on the Property in accordance with the plans prepared by Keith Belair and Design dated December 10, 1992, Invoice No. 92:022 (the "Plans"). The Project shall not include the painting of the new residence, or landscaping around the new residence other than rough grading of the Property. 2. Owners responsibilities. 2.1 The Owners shall provide to Contractor full information regarding their requirements for the Project. The Owners hereby designate Michael J. Arnost as the person who shall I be fully acquainted with the scope of the work, and who has authority to approve changes in the scope of the work, render decisions promptly, furnish information expeditiously, and execute all necessary documents on behalf of the Owners to complete the Project, including requests for payment and all necessary applications to governmental authorities. 2.2 If the Owners become aware of any fault or defect in the Project or non-conformance with the Plans, they shall give prompt written notice thereof to the Contractor. 2.3 The Owners shall provide and pay for the builders risk insurance required for the Project. 2.4 The Owners shall be solely responsible to retrieve all property, real or personal, from the existing structure on the Property and, within 48 hours of written notice from the Contractor, shall turn over the existing structure to the Contractor for demolition. The Owners agree that the Contractor shall assume no risk for loss of any contents (real or personal) within the existing structure on the Property. 3. Contractor's Responsibilities. 3.1 The Contractor shall be responsible for obtaining the completed Plans and for obtaining all necessary permits required by governmental authorities in order to complete the Project. The Owner agrees to pay for or reimburse the Contractor for the cost of the Plans and all necessary permits or application fees incurred to construct the Project in addition to ("guaranteed maximum price"). 3.2 The Contractor agrees to use his best efforts to complete the Project (scope of work). 3.3 The Contractor shall be free to retain any subcontractor or agent whom the Contractor desires to employ in order to complete the Project. 4. Cost of the Project; Contractor's Fee. The parties agree that the Contractor shall construct the Project for cost plus a fee of 15% of the total cost of the Project, such costs not to exceed $15,000 (the "guaranteed maximum price") without the consent of the Owners. The Contractor shall be paid his 15% fee with each progress payment received and the balance, if any, shall be paid at the time of final payment. 5. Changes in the Work. 5.1 The owner may make changes in the work provided that the Contractor shall agree to such changes. The Contractor shall be paid 15% fee on all changes which increase the cost of the work. The estimated value of each change in the work shall be added to or deducted from the guaranteed maximum price. 5.2 If changes in the work are required to comply with local, state or federal laws, rules, regulations or requirements which are not applicable at the time of the execution of this Agree- ment, the guaranteed maximum price shall be adjusted to reflect the cost of such changes. Such changes shall include, by 'Way of illustra- tion and not limitation, compliance with the Environmental Protection Agency rules and regulations, air and water pollution control or wet lands regulations and other agencies and authorities. 6. Payment for the Project. On behalf of the Owners, the Contractor shall submit requests for progress payments. As indicates in Paragraph 4, each progress payment shall include the Contractor's fee for that proportionate cost of the Project. 7. Hazardous Waste. The Contractor shall have no responsibility with respect to any hazardous waste discovered on the Property. If the Contractor encounters hazardous waste at any time during the Project, the Contractor shall notify the Owners, who shall have the sole responsibility to remove said hazardous waste at their sole expense. The Contractor shall be entitled to suspend all work on the Project until said hazardous waste is removed to the satisfaction of all necessary federal, state or local governmental authorities. If the Project is suspended due to hazardous waste on the Property, the Contractor shall be entitled to payment of his fee proportionate to the cost of the Project up to that time. 8. Termination of the Contract. If the Owners terminate this Agreement for any reason, the Owners shall reimburse the Contractor for any unpaid costs of the work due Contractor plus the unpaid balance of Contractor's fee computed upon the cost of the work to the date of termination at Contractor's 15% rate. 9. Miscellaneous Provisions. This Agreement shall constitute the full and complete Agreement of the parties. Any modifications or amendments to this Agreement shall be in writing and signed by all of the parties hereto. This Agreement shall be binding upon the heirs and executors of the parties, and shall be governed by the laws of the Commonwealth of Massachusetts. V WHEREFORE, parties execute this Agreement as of the date and year first written above. Wi tness John Dozi-br-in Witness Michael J. A-rno'st Witness i4d K.Jkrnost 6 $04 0 rA M Cd 0 0 >1 u CL 0 E--( u w 00 - _cz "o -a r - u cd x R u w C/) z 0 P4 cz x 0 E-4 u w uC: 0-4 0 > w 4) 0 UW 0 cz H 6 0-4 w :J CQ 6 8 V) o C/) ui CL Cc 4D CA E CL 4i qg E C', CA CD co 0 CD CD :1. C=M 0 cm CD CD 4D. - COD s 4;:s LL. CD 50i = 'g C:.3, CS LU L- Q CO cm ci CD 0-0= = CL CD -F. O:a = C� C) 5*- C/) 0 C/) z 0 �D C/) 71 0 0 In �J� u �k,o t; 124 C3 E C13 ts CD CL cm CO2 E CD cm 0 CO) CO M E co cc CD 0 CD CD Q .m C) CL CM< CO2 E -1--f C Cc c CD CO3 t5 a) Q LD CO) CO2 LU C/) C) L) n, C -D 2m 2-7 2m CL - PE� cr- LU F— LL C-) LL a LL F- ci