HomeMy WebLinkAboutMiscellaneous - 30 MABLIN AVENUE 4/30/2018C0-11.
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Location o X
No. 6"( 3 D a t e
r-0 I 16 10 -� �-,
Aidill,illak
Check #
6496
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
1401" Building lns�ector
OGI
N
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO (Y_)NSTR(JcT REPAjR, RENOVATF2 OR DFMOLISH A ONE OR TWO FAMILI'DWELLINC7.
..... ......
I.K . . ..
BUILDING PERMIT NUMBE R:
DATE ISSUED:
SIGNATURE: /O/m 6"
Building CommissiL�edljs�r of Buildir!gs Date
LITIM T%Tv^nvlz I
1.1 PropEtty Addte&-,:
1.2 Amcssom Map and Par=[ Numbm
<A..J_U_A:t�4�j AtfE .
........
"A OtAgs
Map Number
Paron] Nismber
1.3 Zrgl�lg Toffw-matim:
1.4 PvopcnyDirncnrions:
Not Applicablo
6)100 15
bomw; Number
0
LA Area (.It) /0, pzp�
(ft)
1,6B.UILDING SETBACKS ft
Front Ya!`P�� Si a
dey
Rear- Yard
RequiTed Prwidc
_T
Prov aegiured
-d
Provide
Expirat,'on Date
w/.,F Ta A7/ --j
1.7 Wartctplym.G.L.C.40, § 14) 1A Fkod Zow Infvwmbo a; I I'R
S g� sri�
?�Ihtiu 11.ivew 0 Z4dkl ch"Ac MW Zmc�
T' 0n:;it.Dkpm4jxytmm rl
2-1 Owncrof Record
-')A pAj�,j kuC-,
AddreNs for Service
S 05 _10mvt�Q_ b M-Eb 3 -0 3
Owner of'Rewrd:
Addrcns fbrScr-6cC:
Signaturr Telephone
CTION 3 - CONSTRUCTION SERVICES
Licensed Construction Supervisor:
(' ;m4trur-tion S'uperLr,
Address
Signature Telephone
3.2 Rogistercd Kcny�e Impro.vement Contrnctor
C-ornpmm '., Name
/Wdre
k,3637 q615�p
Tvllevhone
Sign, urc
13
m
M
Z
z
0
91j
Not Applicablo
6)100 15
bomw; Number
0
"n
No�t Applicable D
Registration Nurnbcr
Expirat,'on Date
G)
SECTION 4 - WORKERS COMPENSATION (M.G. L C 152 06)
Worken Compensation Insurance affidavit must. completcd andsubmitied with this application, Failurc to provide this affidavit will result
in the dcniat ofthe issuance ol'ille. U] inpr5crmit.
SiLUDdAfficiavit A=chod Yes ....... A No ....... 0
SRCTION Iq rlo-ttvinriAh Af PIA—.1111 W-11, 1-- .. .1
r- � Ue-
New ('(M.qtr�wtion 0
Existing, Building 0,
Rcpair�s)
'n
Allffatiom4s.) 77T-�Ii�1011
I
Ac,cemry Dldg. 0
DmIolition n
n Sr.,, -If,
Bricf Di-scription of Proposcd work:
POR -M
4 �DODR- - 11'sio�tl
31KI, 1 dAtE 10al
6165 -NLAqV5.,4 bCM-S
SECTION 6 - ESTIMATED CONSTRUC-rION COSTS
Reirl
Estimated Cost (Do[lar) to im
OFFICIALUSE Y
ComVicted by wradt applicant
I. Building
(a) DWIding Pcrrrdt Fet:
Multiplier
2 �];ctrMi
-
(b 1, E'�,Iiinatcd Total Cost of
-
Conxtiuction
L3 PlUrr�lbinp.
Buililiq Pemit fee (b)
14
5 f�im- Protecdc)JI
---' -- ' - --" -- � I '�-Ykv R',y DK, t-k-JW1rLX,1 ED WIMIN
OWNERS AGENT OR CONTRACTOR APPLWES FOk RUILWNG' Pp-hm,,,r
as Owner/Aiithori7.ed Apeiit of �,u�ject prolyzrtv
llercb), authorize to act ort
My b0lklff� iTi g1l MltlelS TtliitiVe to Vjurk authorized by tlii.� building �r-Tudt applit:'ation.
Signature oft),wricr Date
L�ECTION 7b OWNER/AUTHORIZED AGENT OF-CLARATION
L V" as Owme
propaty subject
Heich * v decla�e that fbe aild inl�mn"IIJQTI vit the lbruguing applivatioll are tTlic �Lnj �jcc.[jrjzic, to 11W QfITI�- UQWIC(Iy(�.
mid b
clicf
m
:7 7
DjN'11;111��JONS OF UIRDERS
111:1(111 F01,' FOUNTF)ATIoN
S17Y 01'FOOTD4G
MATTRJAT, 0FCJ INNEY
IS rWTLDTNG (--)NT SOLID OR F LED LAND
1-iUa.DLNG CONNI:CTED -1-0 NATUPAL GAS LINF,
S.(96
X
PLOT PLAN OF LAND
30 MABLIN AVENUE
MAP11PARCEL38
NORTH ANDOVER MASS
Scale 1 inch = 20 feet May 26, 2003
Robert P. Morris P.L.S.
21 Carter Street
Tewksbury, Mass.
I certify that the Dwelling is located 'as shown
And that it confonned to the zoning bylaws
Of North Andover when Constru
Robert P. Morris P.L.S.
OF
ROBERT
P.
MORRIS
No. 22159
ItG�11
S T
!,A'4t Lt%'ZI!
.100,00,
Map 11 Parcel 38
to 10,000 S.E +
39.6 43.4
Proposed 17' x 9' > Existing Concrete
3 Season Patio Room Deck Patio
House # 30
0 0
C; 6
0 0
100.00,
MARUN AVENUE
ma!j 14 UJ ub:ji�a betterliving bU8U*/Ub*lbb P.1
NFW
F PON
(Nof
1115 �
Fyj5Tlw6 61 Poo�
fFOMHOU5�
'00;
FX15W RC� 9'X21'(APPPDX)
1. 2K6 @ 161, O'c.
2. F'X6' 50 LOOVAV 1"0` �TCKIN6
15,7110-1/ 21, rfm
4.12"0 FOONN65
!�- 4''0 L&I,Y COLUMN F05T5
PPOP05W UPOUR5 fO ftl5flN6 PeCK
1. fO AP19 WW 5TV5
Z fO IVP 9 / -4 '' Y6 " Ff M CKlN(,, fO �-fAP5
lom FOV(
m
Befterliving P0115PT5MNC� Prawiq:
SUNROOMS �O Mfit IN AVY- A-1
A,�,�%&L)R-d,Wer MA01581 WO011 AWOVU, MA 0184�
C 8 0 go rr
7 (508) 870 5756
14/ O�
4
mmow, rxl5flw,
5CM�N WWOW5 POOr.
"m &1, 2055 & E96�
OF PECK VKH ALUMINUM
COIL 5fOCK,
INNAL� %a� F" 5AFETY
CiA55 WINVOW5 & 120OF UNIT5
�Mfl 5M�N5.
lom FOV(
m
Befterliving P0115PT5MNC� Prawiq:
SUNROOMS �O Mfit IN AVY- A-1
A,�,�%&L)R-d,Wer MA01581 WO011 AWOVU, MA 0184�
C 8 0 go rr
7 (508) 870 5756
14/ O�
Property Owner Must Complete and Sign This Section If Using A Builder
225
ubject property
I, as Owner of the s
hereby authAize Betterliving Patio Rooms (d.b.a. — Patio Rooms of America) to act on
my behalf, in all matters relative to work authorized by this building permit application
for (address of job)
L3 0 M17
Signature of Owner
D ate
7' J
Owner or Builder (as Agent of Owner) Must Complete and Sian This Section
�n "n
L Im
Agent hereby declare that the statements and infc
(address of job) 11hJ
accurate, to the best of my knowledge and belief�
Signed under the pains and penalties of perjury.
Print Name
.i553�
Sianature of Owner(Agen
_,t)
1 , as Owner/A< �orized
ion on the foregoing application for.
Z -I>
are true and
S ell-)
otf-63
Date
L
2n
P
T M, 7c
C
'The Nfassachus�t—
LLS .-Statp B11ildilig Code r780 C�Vjj�)
17,1c]-Lidies b-. LO -rlsu-r-- 'Ll at hoLis-�
riouse, additions rn--t- C)Yls'Olis fi arid
p I _y tfl-)Ci- L - aTd 711;s SUD, emtz
-ncy stand
ntapl, CON�U.v -p
P1
F -M-1 i S t 0 b -- I-- I e d . a D art o f "
' 1,ijjd*j).Cr
D I
PlIca"011 --li a bu i 1 d tz-/ L
Or home-,L,7,mtr,
cons thm, c'Lip _c,/ nstallinz' a nouse addi.-tion witli vtry llaro D,-T--enta:�,, 0 If, C!ras . s to
a� 1 1:1 s5eks to utilizt a
3:neclal tntrgy Corservaf:n" t1-IMpt, - I
Ion 0I)floll for 11 .-
sunroorn" additions to an eXisr-i'lic, ho -use '(780
ADDtn*d:
Cux J, St --tion j1.f.2-3.J)- This F(DIM Is r10 -L flIfend-ed t prev, 'L a homieo-��, tr-
LO -P1
su,-'.:-Oc;m " 0 f a,,-iy size, con Ll s-, It-oting a
`017" Occonsf7-Jct:011, al' Ptrot-rit glazing, *L)jit ra
i�lttridtd to assist hornto-wntl-s inl btCOMilig 2Wal-t of soln- 0- is Only
L H-
- I llar)ortant --.rlerc,
I L 1 7- L I .. 7� =y ri ar)d yeaT-L
0-00-11111,50 C-Ofisid--' ation1s: involved in and I,,-]: * s; a "
u -UnFoorri addition.
T'he Conf)-ection of
17, D t; s..UnT'00`n," sf-uctures to residential buildii7c*,'s may creatt cc) -,7
�On 113SLIC-S ClUt to j-f0A L and entiE-y
uncontrolled solar- -Crain Or' Uncor U-011td rad:ation cool,
L:01' La rnahi. lbous��, In
tlht 3--ltction, anci const.- UCM --/j-rjSf flati6l
bejow is a non-,-t-qujr-,j,. optn-tnd—, list
Droduct and desic-, considCratioris th,
=n L
a honcowrlt�. may bef(Dl-
w sh to Cons.
Const:-Ictln actually
g/inst2alling a s,,,,nT-oo m.- it i, - rt-COT-41111--nded t, m t
s '12 t corisu -s'ca!-:-1llY 1 -view thtse
r L
he o'
jr 7- Contractor, - M 07?j--r "In Optiors wlt_�
Lo in nal. --,"2p-r-y
UM IZ-' Dot --n ,
discornfb-L issu, 8 c-7--slIM-Ption amdJor hoLst
I es. In addlition, the qualiff5citions a --,)d rt-D-uf"ation Ofthe cornijany o-, irid;-,;�irjluals to b.-
ar-, impor-Lant. consideratiors. A I . I
PRODUCT AND DESIGN. CONS1
-DER_,TIDNS REL-A.TED TO
Solar Orientt2tiou and Nntunul Sit-tdill,
Type.of Gl-�zinor
. xnsulptLng -vallic
. Solar heat
Fraint materi-ais
r
fo fj7arne SCaj-ZZ7 2,
1.et;,)C7 nja4
as I-- Lerials/ seal dur2blli-Ly arld/or
-pi,eather tigh tricss offfielsunrpom
AdeQi1ate yentflatio,
L P - Openible windlo-ws,and f2 r
A p b 11 i e d S.h2ding Systems
T- I
, , 'on in I'l 0,01-S, Wallis, and ccilin-
J--sulaLl -1
's
Possible Sunroo.in -;sol'atiori froul the niain Louse v.,:a a and/or, doo�r or slider
Methads: u
I i g. an' 'outrols
--Owaer Ackno-M ed crm cz t
Thc� Massachusetts State
d, n,7 codt, S-Iction re:quires that the act7ual DloDe—,;v O -.Am.
0'1)�'Dler'S az--�Cllt Or 2CT- .,not tlie
0 W C T' -C
1PL' 0 his CONSUMER
D�0,
Rm-,� I !ON F-OP-Tyf Prior to
-0j=, ad "tions to all t,,�;stinc,
Iss"danct 0, a Pel -1 -nit Di !),L I r ozn' 0 1 L
en,
T
(a accorda-, v
lv-
T --,'I Ij Z 7, t 7 1
LJ -1 , Con'll'Or-, 21)d tntrTy coris--T-�,atl*011.
MIU, 31111T
S:1
I , T1 at 1-7 lr e 0 FA ctu a j 3 u i: 1 d jr) r, 0 -,7,,
Ojf t C
Dat��
0 v",
vo�
Jan ;22 UJ Ub:UUp better -Living bLIUJbI28�34 10.2
Wj vvj
01,122/03 WED 16:11 FAX 734 407 8922 Personal & Confidential,
ACOR9. CERTIFICATE OF LIABILII
'RODUrER
Joseph McKeone
JP McKeone Insurance Agency, Inc.
P.O. Box 333
AnnArbor,101 46106-0333
patio Rooms of New Hampshire
5etterliving Sun Rooms of NcW
1 Action Blvd Units 5&6
LQndonbe". NH 03053
COVERACES
- , I bemimminolvy)
Y INSUIRANCE 1 0112212003
I$ ERTiric . ATE is 1 UED AS A NIA OF INFORMATION
ONLY AND CONFERS NO RIGHTS IjPON THE CERTIFICATE
HOLDER, THISI CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE CI�VFRAGE ArFORDF0 BY THE POLICIES BELOW.
iNSURERS AFFORDING COVERAGE
INSURER A- Hadford
INSURER 0:
I , s u
INSURER E: i — — - -
rg*[An INnICAY90. N01WITHSTANDING �
THE
POLICIES OF INSURANCE LISTED BELOW HAVE tittN lZiOLICLI IV
OTHER DOCUMENT WITH RESPECT TO WHICH
THIS CERTIFICATE MAY
ft t!DbUtT m
ANY
N OF ANY CONTRACT OR
REQUIREMFNT. TERM OR CONDITIO TERMS,EXCLU
THE POLICIES DESCRIBED HEREIN IS SUBJECT TO �LL THE
SIONA AND CONDITIONS
OF SUCH
MAY
PERTA E. INSURANCE AFFORDED BY I
'N�TH
SHO WN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICI
S . I REGATE LIMITS
E A, VEF
ULI FEC119E'7 outTEIMUMMIT
—INSUP-Nci POUCY NUMark I DA?P (MMIDDIYYI I OAVELMMIGDNV�
—;yn
LIMITS
or
35 SBVV K�7087 10210112003 1 021bl/2004
35 SBVV K77087
EIC'OCCURRENCE
2,000,090
A
-
FIRE DAMAGE (A�Y ons"
2m J�,
000
Y
X COMMERCIAL GjN6RAL LIABILITY
L G .1��LIAW L'T�
F71 OCCUR
Mq Exp t�ny we 96faan)-
10,090
7-71 CIA)MS MACIE 1
PEkSONAI, & ArVV uJvA Y
v
2000,000
N EG&TE
"'T
2,QQ0,00
G
TS'C P P*�
RCDUCTS - COMPIOPAGG.
I —...2,0001.000
�P��NFRALAG
GEN'LAGGREUATFLIMIIAPI'LIFSr".:�
POUCY jr—] 71,1-
T
.. . ..
1EC 0210V2003 102AP112004
'G UH3915
OwTOMOBILF LIABILITY '35 UEG UH3915
e -1-T
COMOIrICC 3LNC-LE jM31'
S 1,000,000
ANYAUTO
-DAUTOS
ALL QVINE
BODILY INJURY
pemon)
X SC;-(rDULEC AUTOS
X
X AUYOS
BODILY INJURY
(Pe, "Cade -f")
NON.OWNFI.) AUTOS
FROPERTY GAMACE
S
(Pat acclooni)
AUTO ONLY - PA ACCIQE!NT 5
GAP-A,Gr UARIL)TV
CA ACC
ANYAUTC,
OTmERTHAN
AUTO ONLY AQG
EACK OCCURRE14CE
ExCuSLwAlUTY
JOCCUR CLAIMS MADE
Lj
Ac;rReGATE
F
Rr:TENTION 6
WORKERS COMPENSATION AND 135
0210112003
02TI12004 �-.J 'ropy 4;MITS
A
WEG GJ7597
ACCIDENT
EMPLOYERS'UABILITY
E L EACH
-- I -
FEk, DISFASE - EA EMPLOYFF! S 1 OP -0 00
DISEASE -POLICY LIK41T 13
OTHER
DESCRIPTION OF; O� Un�O?ISILUCA�nONWVERICLESlEXCLUSIOW3 ADDFD BY ENDORSEM2NrSPECIAL PROVIVONS I
Insured Copy
17/971
SWOULOANYOFT14C QoVC6ZSCRj2ED POLICIES UFCANCELLUD BEFORE T14E . F-XPIRATION
1 � WR
DATE. THeftaOF. T14E ISSUING INSURER WILL ENDEAVOR 'rQ MAIL 30 DAY 'TTEM
NOTICE 10 TME CI;VLTI [CATr HOLOPq NAMFO 70 TMC LrFT, SLIT FAILURE TO 00 60 SMALL
IM903E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER- ITS AGENTS 0
------------- 111. 1
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-'6'UILDlNQ,REGULA-TIONS
BOAD,OF
O�j�,,UPERVISOR
icense:
��CONSTRUCTI
081,580
Nurhb6f:�,tS\
M 1,
.-Nd Birth- a-fte.,t V
-,U
4:� A,' 9 5'0
-, I W -Tv �l
2i/:.1916�ZO'06 Tr. no: 81605
_,pre,
R
e�
PATRICK A STEVEMS��..�5�E
PO BOVIM,
STERLING, MA 015&47t� Admin mt, r at' or
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AFFIDAVIT
In accordance with Article I Section 114.1.3 of the Massachusetts State Building Code, 1
certify that all debris resulting from work associated with Permit 9
will be properly disposed of at Betterliving Sunroo - ms I Action, Blvd. Londonderry, NH
03053 licensed solid waste disposal facility as defined by MGL -C11, S150A.
Name & Address of Project: OJWQS-
Street Address --UkAA-8(J 0
City/State/Zip Am m&v- 1"A7 Ole
Name of Permit Applicant k(DIMIA. U'bmbb
(please print name)
Signature of Permit Applicant
(please sign name)
Date: n3
Betterliving Sunrooms
1 Action Blvd. Unit I
Londonderry, NH 03053
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