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HomeMy WebLinkAboutMiscellaneous - 31 INGLEWOOD STREET 4/30/2018 (2) 31 INGLEWOOD STREET 2101011.0-0008-0000.0 j TOWN OFNORTH AN-DON;"ER ,%ORT4 Off-ice of the Building Departmerit Conin-tunity Development and Services 27 ChAp-les Sti-eci North,&ndovei-, Mis .ichvwtts 01845 D. Rc)bcrt Niceltd., Building Commissioner "V/' 7,S) April 2, 2003 David & Vinney Kalemba 31 Inglewood Street North Andover, MA 01845 Dear Mr. & Mrs. Kalemba: Please be advised that upon an inspection on April I and review of the permit application and associated paperwork for the remodeling of your home, I have the following observations of the project, 1) The permit was obtained on 10/16/98 by Cote & Foster Contracting and was broken down into several phases such as addition for a bedroom and bath, side porch and basement entry, kitchen remodel, strip and reroof, vinyl siding, masonry repairs. 2) Please be advised that the states building code is a minimum requirement for life safety and structural integrity, 3) This department cannot enforce your complaint about the quality of materials, as the contract does not spell out what type of materials were to be used. 4) Due to the current work ongoing by yourself it can not be ascertained as to what was suppose to be done by the contractor and what you have taken upon yourself. 5) You have no documentation as to written correspondence to the contractor in a timely fashion asking that they return to correct and or repair work. 6) The length of time that has expired since the project was started and your request for this most recent inspection resulted in the observation of work, which has had time for normal wear and tear to occur. In conclusion I can only request that you contact the contractor and give them an opportunity to respond to your concerns. Respectfully, Michael McGuire Local Building Inspector Cc: D.Robert Nicetta, Building Commissioner Ray Santilli, Acting Director CD&S File Cote & Foster contracting 4�O& & 7061111012C. r a3 CONTRACTING �� I � g BUILDING • REMODELING This agreement made this twenty-third day of September,year Nineteen hundred and ninety eight by and between Cate and f=oster Contracting, Inc. hereinafter called the Contractor and David and Vinney Kelembe hereinafter called the Owners,witnesses that the Owners intend to add a 18'x28'addition,changed from a 14'x28'addition. Side porch and basement entry area; remodel the kitchen,garage and house re-roofed,vinyl siding and gutters on existing house; additional basement windows and point up masonry. To be done at the address of 31 Inglewood Street,North Andover,MA. Now,therefore,the Contractor and the Owners,for consideration hereinafter named, agree as follows: ARTICLE 1 The Contractor agrees to provide all the labor and materials to do all things necessary for the proper construction and completion of the work shown and described on drawings. The drawings and specifications are the basis of the contract. ARTICLE 2 in consideration of the performance of the contract,the Owner agrees to pay the Contractor,in current funds as compensation for his services hereunder$114,925.00 to be paid as follows: Payment 1:$3.000.00 at the signing of the contract. Payment 2:$16,945.00 at the start of excavation. p� _.......__........_.._.___..... ...w... ..Payment 3..$16.945.00 at the start of construction, Payment 4:$10,000.00 at the completion of roofing. Payment 5:$13,200.00 at the completion of vinyl siding. Payment 8:$18,945.00 at the completion of rough mechanical(electrical/plumbing). Payment 7:$16,945.00 at the completion of insulation and wall board. Payment 8:$16,945.00 at the completion of floor covering and pAinting. Payment 9:$4,000.00 at the completion of project. ARTICLE 3 ' n Final payment on contract amourd'as agreed above to be paid within ten(10)days of project completion or occupancy. If final payment has not been made within this time a 10% charge per month on the balance due will be charged. All minor punchlist items will be complete as part of the one year warranty on the finish product. Failure to pay balance within ninety(90) days:may:result in legal anion.' Initial' 0 v : ARTICLE 4 Additional work above and beyond the contract agreement. All additional work done to be quoted at the time the rdient requests the work. The work will be done and billable at its completion. The client has ten(10)days to pay,the additional cost aper he or she has been billed for it 20 Aegean Doj.,q •Unit 15 •_'"cthaen; MA 01844 • Tel: .978-682.6518 • Fax: 978-682.1221 BUILDING Y REMODELING Addition bedroom and full bath 16'-0"x 26'-0" Frame upstairs closet,reframe head for Permit-Building, plumbing and electrical permits excluding any special permits. Debris-Remove existing addition and remove all debris from said addition. Excavation-Dig hole for foundation, back fill to grade readd for landscape. Foundation-1011x20"poured concrete footing, 10"x6'-0"poured concrete wall. Framing-Two 2"x6"sills bottom P.T., floor joist 2"x10"16"O.C., 3/4"T&G fir ply glued and nailed. 1/2"CDX fir on walls and ceiling. Walls 2"x4", 16"O.C. Rafters and ceiling joist 2"x8" 16"O.C. Roofing-8" alve drip a ice and w " 9 P � afar for 3-0 30and felt throughout three tab fiberglass Po 9 roof shingle with ridge vent. Insulation- R-13 31/2" in walls. R-30 9"in ceilings. Walls- 1/2"dry wall with three coats compound on joints and screws. Siding-Vinyl siding aluminum facies. Windows-Six doublehung vinyl windows made by Harvey. Painting-Two coats of latex paint on walls and ceilings. Floor covering-Carpet flooring in bedroom,tile flooring in bathroom. ' Plumbing-New full bathroom,tub, toilet and single bowl sink. Electrical- Itemized list enclosed. I ; Interior finish-Doors to be six panel pine doors,21/2"colonial casing,31/2"colonial baseboard. Total materials and labors-$50,665.00 20 Aegean Dirive - .Unit 1S • Methuen, MA 01844 •.Tel: 978-682-6518 • Fax: 9,78-682-1221 BUILDING • REMODELING Side Porch and Basement Entry Debris-Remove side porch area, remove side basement entry. Foundation- 12"x48"poured concrete footings. Framing-Floor joist 2"x10"16"O.C., 3/4"T&G fir plywood glued and nailed, 1/2"CDX fir plywood on walls and roof. Walls 2"0"16"O.C„ rafters and ceiling joist 2"x8" 16"O.C. Roofing-8"galve drip edge ice and water for 3'-0", 30 pound felt throughout three tab fiberglass roof shingles with ridge vent. Insulation-R-13 31/2"in walls, R-30 9"in floor two ceilings. Walls-1/2"dry wall with three coats of compound on joints and screws. Siding-Vinyl siding aluminum facing. Windows-Use existing back addition windows. Doors-Three 3'-0"x 6'-8"9 lite glass entry door unit steel, two harvey storm door units. Electrical-Itemized list enclosed. Paint-Two coats of latex paint on walls and ceiling. Floor-Linolium on porch area. Interior-Finish trim to match interior new trim 21/2"colonial casing with 31/2 colonial baseboard. Total material$14,890.00 . 20 Aegean 3rive l;ilt 15 Methuen, MA 01844 • 10: 978-682.6518 Pax: 978-682.1221 lr•,r Irl• J p' v ..• J' r .. BUILDING REMODELING July 17, 1998 Proposal submitted to David and vnny Kalemba of 31 Inglewood Street. North Andover, MA for remodeling as follows: Kitchen Remodel Permit-Building plumbing and electrical for renovation. Debris-Gutt existing kitchen and remove all debris. Insulation-Walls to be R-13 3 1/2",stuff around windows and doors. Plumbing-Relocate sink and dishwasher and install new stainless steel sink and faucet. Plumbing in the existing basement that may need to be brought to code are not included. Electrical-Itemized listing enclosed. F=looring- Install underlayment for sub floor and a linoleum floor. Allowance$920.00. Cabinet and counters allownace$5,000.00. Point-Walls and ceiling with two coats of latex paint with stained of painted wood work. Total material and labors-$21,810.00 20 A,cgean Drive - Unit 15 Methuen, MAO)844 • TO.: 978.682.65 IS Fax: 978-682-1221 W , BUILDING REMODELING Roof Price Strip existing house and garage roof. Debris- Removal of roof shingles by dumpster. Permit-permit for re-roof project. Electrical- Install one roof exhaust fan. Stock-Three sheets of 3J4"CDX plywood to be replaced in needed areas. New 8"galve drip edge, ice and water belt for bottom 3'-0",30 Pund felt paper throughout 25 year roof shingles with ridge vent. Special works- Cut access to attic area to push down existing insulation. Total materials and labor-$9,740.00 Install tyvek house wrap on existing house, vinyl side and new aluminum trim. Install new seamless gutters and down spouts. Total materials and labors-$13,200.00 Paint existing chimney. Replace damaged foundation and block with existing blocks on site. Remove existing concrete sidewalk. Replace five existing basement windows with Harvey basement units. Total materials and labors-$4,820.00 . 20 Aegean Drive • Unit 15 Methuen, MA 01844 • Tel; 978-682.6518 • Fax: 978.682.1221 CONTRACTING BUILDING • REMODELING Page 2 Kalemba Contract Initia in witness whereof they have executed this agreement the day and year first above written. David I a emba Venerina Kalembe r J leve"M.We William T. Foster DBA Cote&Fuer DBA Cote&Foster r : u.S i..:..q, ':r. rcSfi. i 20 Aegean D=ive • UWt 15 • Methuen, MA 01844 • Tel: 978.682-6518 - Fax: 978.682.1221 Location 3 ) No. 6 Date M0RTh TOWN OF NORTH ANDOVER �:C.i« ° ••,how _-•-- p Certificate of Occupancy $ . . � �?f� + VBuilding/Frame Permit Fee $ �-�_—� Foundation Permit Fee $ tACH Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL , $ � f Building Inspector 12 4 3 10/22/98 15:07 370_no PA I D Div. Public Works 001cla-tion Mo. ��•� � Date f �oRT� TOWN OF NORTH ANDOVER D Certificate of Occupancy $ 41 Building/Frame Permit Fee $ . 'SSACHUSE`� Foundation Permit Fee $ Other Permit Fee $ _--- Sewer Connection Fee $ Water Connection Fee $ 4 TOTAL $ ' f Building Inspector `!•. `r' _, 14!22/98 15:07 370.0 1 '. : •4 *j Div. Public Works I ERMIT NO. t� AI'l'I,ICATION FOR R PEMIT TO IIU11_t)******* PNORTH ANDOVER, MA AI U'NO. VOLNO. 2. RE(OHU OFO\VNIRSI111' DATE BOOK PACE !()M1E a SIIBmV. 1()INo . f1 �I 4i)CykO I.()(:.AII()N f ,� ' - I PuRK)SE()F BUII[)IN(; �-)/ Y)') �`2 Y� Q`}- ��!(UC �r O X C� \-�•"-"\ ((( / SIZE /6 19 O\VNER'S NAIML NO.OF STO♦tIES ()\VNER'S ADDHL SS 2 --LA " BASEMENT OR SLAB 5 � ARl'I I11 EC1'S NAME ✓ RD SIZE Of FLOOR TIMBERS 1 � �� /2!(U!C/2 3 SPAN P lit ll DEN'S NAME DISI ANC1,10NEAREST BUILDING DIMENSIONS OF SILLS DIS IANCL FROM S FREET DIMENSIONS 01: 'I S 1( DISI'ANCE FROM LOT LINES-SIDES REAR 0 DIMENSIONS OF GIRDERS AREA OF I OT / 000 FRONTAGE 160 IIEIGI IT OF FOUNDATION THICKNESS IS BUILDING NEW �`JJ 3 SIZE OF FOGFHNG 16,21 / a j� X IS BUII.DING ADDITION ��®"` i (Ob� �l�l� C{lb* MATERIAL.OF CIIIMNEY IS BU11 DING ALTERATION IS BUILDING ON SOLID OR FILLED LAND S� WILL BUILDING CONFORM TORFOUIREMENTSOF CODE IS BUILDING CONNECTED 10 TOWN WATER e .BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER �s IS BUILDING CONNECTED TO NATURAL.GAS LIWE INS'I'IiC'TIONS 3. PROPERTI'INFORMATION LAND COST EST.BLDG.COST PAGE I FI1.1.O1IF SECTIONS 1-3 EST, BI.IX;.COSI PER SQ.FT- ES L T.ESI'. BLDG.COST PER R(IOM EI ECTRIC METERS MUST BE ON OU'l SIDE OF BUILDING SEPTIC PERMIT NO. AI'LACI(EDGARAGESMUSTCc)NFORMTOSTATEFIRERE(;UI.AfI(RJS $. APPROVED BY: PLANS MUST BE FILED AND APPROVE=D BY Bl11LDING INSPLCFOR BUILDING INSPECTOR DAII:FB.ED OWNERS'YEI.)'1 CONI'RAH41 - ��crxNTR-Lu�J �gp l(;N:\I l IHI:(N i)\\'NI:It Ult All l Ml/1 1);AGIiN'I 1 r 1'I HMII GIL.ANI1'1) 19 70 1 q Town of North Andover NaRTN OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 �+,'�•:;;; :••th; W1I.LIAM J. SCOTT 'SSAcMUSp� Director In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number _tk�9 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 1 11, S 150A. The debris will be disposed of iii: I (Location of Facility) Signature of Permit Applicant cv Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Once of the Building Inspector. BOARD OF APPEALS 688-9541 BLIII.DING 688-9545 CONSERVATION 688-9530 HEALTH 688-93408-9535 PLANNING 68 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 or requirements. *****APPLICANT FILLS OUT THIS SECTION" APPLICANTIflyi if �tu��d�1 PHONE� �U� LOCATION: Assessors Map Number*_0 C� -o�/PARCEL I SUBDIVISION LOT (S),' �"`� 0Do STREET / �lf'c. �� - S ST. NUMBER .,, .*,.,* USE ONLY************,r***,. RECOM DATIONS OF TOWN AGENTS: V VA ION ADMINISTRATOR DATE APPROVED l _ �f EONSER DATE REJECTED r COMMENTS ��� TOWN PLANNER DATE APPROVED DATE REJECTED r COMMENTS FOOD INSPECTOR HEALTH DATE APPROVEDDATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE `,4� nfi s '�`;i 3:/ilGd%sJL69�1?)EQ�1t� DEP.ARTNENT OF PUBLIC CONSTRUCTION`SUPERVISOR LICENSE Number, Expires, Birthdate; C5 050494 11/16(1998 11/16/1964 Restricted To;, 01 i STEVEN H COTE �,� �,✓ 20 AEGEAN DR 415 HETHUEN, NA 01844 The Commonwealth of Massachusetts " - Department of Industrial Accidents X — Mee o/IareSMIZ NS _ 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit I i location: city phone# C] I am a homeowner performing all work myself. rl I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. comoary rase. (�� �� 1�/ v` CZ�l address. � JPo,r°✓�,ri eity� / (t 711 kzr4ln N/a c'1/k::2 T phone#•J` ►��� �.T 0 I am a-sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: comnanw name• address I city:. phone#. ;:. .:. ;..:: comnanx name• .:. .. address, __. etty: phone#: m�arance>co: ooLicy# :. .. , Failure to secure coverage as required under Section 25A of MG L 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name Phone# I E official use only do not write in this area to be completed by city or town official city or town: permit/license# rlBuilding Department C]Licensing Board 0 check if immediate response is required OSelectmen's Office OHealth Department contact person: phone#; nOther `. (revmd 3N5 P1A) MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 ,yl�t e CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-8-1998 DATE OF PLANS: OCTOBER 1998 TITLE: KOLUMBA RESIDENCE PROJECT INFORMATION: BATHROOM LIVINGROOM ADDITION ONE STORY WITH FULL BASEMENT COMPANY INFORMATION: COTE AND FOSTER CONTRACTING INC. 20 AEGEAN DRIVE UNIT 15 METHUEN MASS 01844 COMPLIANCE: PASSES Required UA = 128 Your Home = 116 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA --------------------------------------------------------=---------------------- CEILINGS : Raised Truss 512 38 .0 0 . 0 13 WALLS : Wood Frame, 16" O.C. 464 13 .0 0 . 0 38 GLAZING: Windows or Doors 12 0 .560 7 DOORS 19 0 .360 7 FLOORS : Over Unconditioned Space 416 19 .0 20 BSMT: 8 .0 ' ht/6 . 0 ' bg/8 . 0 ' insul . 464 10 . 0 31 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 KOLUMBA RESIDENCE DATE: 10-8-1998 Bldg. Dept . Use CEILINGS: [ ] 1 . Raised Truss, R-38 Comments/Location Insulation must achieve full height over the exterior wall . WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-13 Comments/Location WINDOWS AND GLASS DOORS : [ ] 1 . U-value: 0 .56 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS : [ ] 1 . U-value: 0 .36 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location BASEMENT WALLS: [ ] 1 . 8 . 0 ' ht/6 . 0 ' bg/8 .0 ' insul . , R-10 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . DUCT INSULATION: ( ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : � [ ] Refer to 780 CMR Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- 31 Inglewood St. North Andover, Mass. 01845 1 October 1998 Cote & Foster, Inc. 20 Aegean Drive Unit #15 Methuen, Mass. 01844 Dear Sirs : We, David A. and Venerina S. (Venie) Kalemba being the home- owners at, 31 Inglewood Street, in North Andover, Mass. , do hereby give our written consent to have your contracting co. , being Steven M. Cote/William T. Foster (Cote & Foster) build an addition and remodel our home at the above residence. Yours truly, i v i d A -_ 4Nalemba (�0)/ (f g Art o�^- Venerina S. Kalemba do/d & v kalemba 0ORTjy Town of over 0 m No. mss-, 741 4-- * _ dover, Mass., 0 ` 19 0 '94_s LA COCHICME W ICK T ' S E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �' N '� � '� � BUILDING INSPECTOR THIS CERTIFIES THAT.. .A. . .. .. '... .Q.. ................. ........................6.W90.01 ................ .. .................. Foundation has permission to erect....�..�iR. .p�.�ir..... buildings on-143.)......,�..N... . •••....a..... Rough c g to be occupied as....�,?.. �.I'C...... !�. . . ..... .!�.�c .......C....i.M11. ....Rwl� chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. A 1 SO 0 tV%p L1+ ON of 809 PLUMBING INSPECTOR ' VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTPN S T Q �'' Rough ZQc 1a 8 4 3 Ujiov Service B LDING SPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. 1,&" IS. V �!� 't �►• �►��` 1"• �, h Street No. STwV��1.i w� Welt y! a* f% `v! p66. 4o be SO C Smoke Det. i CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE.1"=20' DATE.7/21/98 Scott L. Giles R.P.L.S. Frank. S. Giles 50 Deer Meadow Road North Andover, Mass. THE ZONING DIST. IS R-4. O' pp o lig V� •��°��Ca' Q o° o cp ry� as C3• Quo �.4v o C. �P o0 0q7 p A 'V a o i I CERTIFY THAT THE OFFSETS COW OFFSETS SHOWN ARE FOR THE USE SHOWN COMPLY : OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE WITH THE ZONING 13M crstERt� BYLAWS OF DETERMINATION OF ZONING �w,� � NORTH ANDOVER ��� CONFORMITY OR NON-CONFORMITY WHEN BUILT WHEN CONSTRUCTED. 4 � N° 2238 Date..:G' .K... C ....... Ci Q NORT1� TOWN OF NORTH ANDOVER o �' a PERMIT FOR WIRING ,SSACMUS� UCM This certifies that,_-............... .x �- �-ate.............. .... .......: ' .............. has permission to perform .�.- m ....... ... '... .....................o wiring in the building of..:..... '............................................` at...�::h 4"r,--a _ ...... %:.:................ .North Andover,Mass. ,�' r Fee .. ..... Lic.No ��. /.`� ................. �' .......................�...... --,EL cr IcAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer The Commonwealth of Massachusetts Office Use Only Department of Public Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy&Fee Checked ..� 3i90 (leave blank) APPLICATION FOR PERMIT TO PERFO ELECTRICAL WORK All work to be performed in accordance with Massachusetts Electrical Code,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date January 27, 1999 City or Town of No.Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street&Number) 31 Inglewood Street Owner or Tenant Mrs.Kalemba Owner's Address Same Is this permit in conjunction with a building permit: Yes X No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization NO. 809059 Existing Service 100 Amps 1101240 Volts Overhead Undgrd� No.of Meters ONE New Service 200 Amps 110/240 Volts Overhead Undgrd❑ No.of Meters ONE Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Remodel Kitchen &Bedr000m/Bathroom Addition No.of Lighting Outlets No.of Hot Tubs No.of Transformers No.of Lighting Fixtures 10 Swimming Pool Generators No.of Receptacle Outlets 15 No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switches 10 No.of Gas Burners FIRE ALARMS No.of Ranges I No.of Air Cond. Tons No.of Detection No.of 15isposals I No.of Heat Pumps kw No.of Sounding No.of Dishwashers 1 Space/Area Heating kw No.of Self Contained No.of bryers Heating Devices kw Local No.of Water Heaters No.of Signs Municipal No.of Hydro Massage Tubs No.of Motors Low Voltage Wiring Other: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilitv Insurance Policy including Completed Operations Coverage or its substantial equivalent YES [X NO n I have submitted valid proof of the same to this office. YES FX NO❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE X❑ BOND ❑ OTHER F] (please specify) 2/2/99 Estimated Value of Electrical Work (Expiration Date) Work to Start 1/27/99 Inspection Date Requested: Rough Upon Request Signed under penalties of perjury: Final Upon Request FIRM NAME DUMAIS ELECTRIC INC. LIC.NO. 12170A Licensee Mark A.Dumais Signature LIC.NO. 26665E Address 8 Newport Street Bus. Tel.No. 978-683-9438 Methuen,MA 01841 Alt. Tel.No. 978-685-4553 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner Agent (please check one) Telephone No. Permit Fee