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Miscellaneous - 31 WOOD AVENUE 4/30/2018
I A Dateft//:7x ................... of �tio TO 0 SSAC Hu WN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that Hfl-12 z - `./''y ............................................................................................................................ has permission to perform lead 71 wiring in the b-uilding of............ at t .......... . ................... I ....................................................................... . North Andover, Mass. Fee./6.1157 ........ Lic. No#S�0 . ....... . . .. .... ...... . T PCTP T r A i IN J qPP rTO P Check I # 7 7)771 1 f2;.95-/ _ �n►nnwnruaadCii o� /i/a39acitua¢ Official Use Only Permit No, °Urapar�izan� o��ira Jaraica� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL' WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12;40 (PLEASE PRINT IN INK OR TYPE ALL INF=ONXr TION) Date: —l% `l � City or Town oh A)Df1 To the Inspector of Wires: By this application the undersigned gives notice of his orher ntention to perform the electrical work described below. Location (Street & Number)_ `) ( t orx-4 Owner or Teuant C5 en Oban_ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps 1 Volts Number of Feeders and Ampacity Yes ❑ No ❑ (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: Install Solar Electric- Photovoltaic (PV) system ['Zq1 panels rated ] kW a- STC Grid Tied. In conjunction with a Building Permit Completion of 1hefolloudnt2 table nmP be imived by the hispector of Vires. No. of Recessed Luminaires No, of Ceil,-Susp, (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators RVA No. of Luminaires Swimming Pool Above ❑ n- ❑ rnd. grnd. o. of Emergency Lighting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. orDetectionana Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No, of Waste Disposers Heat Punip Totals: nenbcr I 'fans 1C o. of Self—Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating IMI Local ❑ Connectiomumcln ElOther No. of Dryers Heating Appliances KW s ems: Security yyevices or Equivalent No. of ©a No. o Water K�V Heaters o. of a. o i Signs Ballasts DatWiring - No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: trach additional detail if desired, or as required by the Inspecior of (Vires. Estimated Value of Electrical Work: �1J, (When required by municipal policy.) Work to start: ASAP Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: 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. CI•IECK ONEINSURANCE 0 BOND ❑ OTHER ❑ (Specify:) 1 certifj; under the pains mrd penalties of perjat); that the iufortttation ots this application Is true and complete. FIRM NAME: SOIARCITY CORPORATION LIC, NO,:1136MR Licensee: MATTHEW T. MARKHAM Signatisre LIC. NO.:1136MR (f applicable, enter • exempr" in the heense number line) Bus. Tet. No.: 771-258.8180 Address: 24 ST MARTIN ORIVE (nUILDING 2- UNIT 11) MARLBOROUGH, MA 01752 Alt. TCI. N g,: 774-258-8505 -- *ler M.G.L. c. 147, s. 0-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: 1 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 ata the (check one) ❑ owner ❑ owner's a eat_ Owner/Agent Signature Telephone Nn. PERMIT FEE. $ �1111e' Glt' 0 1A(a"jj'a4r-1116(jeA Office ofConsurner Affait 4and Business Regulation 10 Park Plaza - Suite 5 170 1. Boston, Massachusetts 02116 Home Improvement Contractor Registration SOLAR CITY CORPORATION MATT MARKHAM 3055 CL EARVIEW WAY SAN MATED, CA 94402 4 , r 4, 4 -.At tA r,a d';f !. it Offite 01'Consumer A 11111 r% A W, iiro, 4 Rr?ulaflon 14 HOME IMPROVEMEN'r CONTRACTOR Roglatration: jqf157) Type: ExPifafii'W Supplement Card SOLARC,li( 114JRATIDN 24 ST NPTIN S*l RLLk 31-0 2UNI UNI-BbROUGH, MA 01757. llnalrrser"'t"s —F) Registration 168572 Type: Supplement Card Lxpirafion: 31812017 Update Address *ad return card. 41ark reason for change, Address Renewal Employment Lost (:ard I,icense or registration valid for imfividul use only before the expiration date. If found tolarn to: Office (if C'onsumer Affairs and Business Rtgulwtia* 10 Park P1979 - %Uite';l 71) Bc%ton,'VIA 02 116 Not valid without signature I 4)i7jl IIA(ij, Ilk,IV i I LWI" CLE CTR I C I AUS ISSUES Ti4r rott,l)"dIVIG LICENSE AS Ar\\'i. RECiSTERIF.D MASTER ELECTRICIAN SOLARCITY CORPGRAI ION MATTKW T 144P.I(HAM 24 SMUT MARTIN DR PLUG 2 U1417. I I AARI.nOROUG4 )1A 01152-3060 I 4AR 11 k a, ♦) The Commonwealth of Massacfl usetts Deperinient of IndustrialAccidenrs Ofee Of Investigations I Congresr.S`treetr Suite 100 Boston?, MA 0.21.14-2017 asiuw t;nassgov/ilia Workers' Compensation Insurance Affidavit, Builders/CeatracturdElectricians/Plurnbers Agplicant Cttformation Please Print La ibt Nanta(Bu:iaesslQrganizationlfnt3ividual): SolarCity Corp. Address: 3055 Clearview Way tty/Ntatelp: ban Mateo GA. 94402 phoned: tsists-ln5-�4uy Are you an employer? Check the appropriate box. Type of project (required): 1.0 anti a employer with 5,000 4. D 1 alit a general contractor and I D New construction empluyaes (full and/or part -tune).* 2. [] 1 am a sole proprietor or partner.- have hired the sub -contractors listed on the attached sheet_ 9. []Remodeling ship and have no employees These subcontractors have g ❑ Demolition working for me in any capacity. ernplvyecs attd have workers' 9- D Building addition [No workers comp. insurance required,) con P• insurance? 5. Cj We are a corporation and its 10.0 Electrical repairs or additions 3.0 I ata a homeowner doing all work officers have exercised their I LEI Plumbing repairs.or additioas m�el- [No workers' comp. -Tight* 0L excuYlrfion per MIG12.0 Roof repairs insurance requited.) t c. 152, §1(4), and we have no employees. [No workers' 13 Cher Sailor/PV comp. insurance required.] *Any applicant that checks box N t most also r0l out The section below showing their workcas' compcnaation pollcy information. } Homeowners who submit this affidavit indicating Mcy are doing all work and then hirsvutsittc contractors must submit a new affidavit ladkWingsuch. 3contractors that check this box must araAed on additional sheet showing lite none of the sub -contractors and state whether or not those entities have employees. If the sub -connectors have traployees, they must provide their workers' camp policy number. y � 1 am a>? gmpinyer that isproviding workers' compensation irrsurwreefor my emrployees. Below is Ihepolicy andjob site Wornrallon. Insurance Company Nmne. Zurich American Insurance Company Policy # or Self -ins. Liu. #: WC0182�0115,-�00 Expiration Dale; 9/1/2016 Job Site Address:�( UJ22gf Y f � City/stale/Zip: J,) ac _ Qlfi� Attach a copy of the workers' compensation policy declaration page (showing the polity number and expiration date). Fsilurs to secure coverage as required under ,"section 25A of MGL c. 152 can lead to the imposition ofcriminal penalties of a fine up to S1,500.00 andlor one-year imprisonment, as well as civil penalties in the farm of a STOP WORK ORDER and a fine of Up to $250.00-a Clay against the violator. Be advised that a copy of this statement inay'be forwarded to the Office of Investigations of the AIA for insurance coverage verification. I do hereby ce110 under rhe pail) and penalties afperjrrry that lire ht ornratlea provided abope is true at2d earrece Phone q: Of,rWint roe atrly. Do not writs: in this area, to be completed by city or town ufficial. City or Town: Permit/L. leetrse * -f 5_ Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4, Electrical Inspecter S. Plumbing Inspector 6, Other Contact Person: Phone 4 Q0 vrrY) A� CERTIFICATE �I" LIABILITY INSURANCE FDATE San Mateo, CA 99402 pg/1712045 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORISED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL, INSURED, the poticy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH RISK 8 INSURANCE SERVICES PHONE FAX 345 CALIFORNIA STREET, SUITE 1300 iAtc Hv.�tal .................._ ................ .. .........tiuc, Nol;.................................. CALIFORNIA LICENSE NO. 0437153 E-MAIL SAN FRANCISCO, CA 94104 _. .............................................T...................._ ... Attn:Sha[manScott415-7438334 ,___._._.INSURERIS]AFFORDINGCOVERAGE.. _.. _ „.,,,.__....+_.. MAIC#.__...._ 998301-STND-GAWUE-15.16 INSURER A z Zurich American Insurance Company 15535 INSURED INSURER B: NIA NIA SolarClty Corporation +.. .. ....... 3055 Olearvlew Way INSURER c.: _NIA !NIA _ San Mateo, CA 94402 .tNSURFR o -. American Zurich insurance Company 40142 3,000,ODD .. __..._......._. INSURERS.... _....... . ... . . ............... ............ .... _.................. .... GEN'LAGGREGAT_ELIMITAPPLIESPER INSURER F: COVERAGES CERTIFICATF NltIMRFR: SEA -002713836-08 REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAM CLAIMS. San Mateo, CA 99402 ACCORDANCE MTH TETE POLICY PROVISIONS. ...... Ap4L.Sl18R ............ _.._..................... T POLICY EFF POLICY EXe ...........TYPEOP AUTHORIZED REPRESENTATIVE IN LTR I POLICY NUMBER I MMIDDIM MMiDD1AYVY LIMITS Charles Marmolelo- ��-- A X cQMMERCiALGENERAL UAl91LITYGLDD18201600 09/01/2015 `0910112015 EAAtHOCCURRENCE $ 3,000,ODI} - X I DAMAGE TO RENTED 3,000,60D CEAIM5FMOE OCCUR PREIjAI$ES[EaaccugenceZ$„_ X SIR: $250,00 MED EXP (Any one person) $ 5,00D - .IR: ........................ ...... ....... j i PERSONAL & AOV INJURY $ .... ........ ...... .._.. .....r. ... .. ........ 3,000,ODD .. __..._......._. ... . . ............... ............ .... _.................. .... GEN'LAGGREGAT_ELIMITAPPLIESPER GENERAL AGGREGATE $ fi,000,000 rX ..... 1 .. POLICY F, 1 PRO- I JEC7 i.... LOC PRODUCTS - COMPIOP AGG ` $ 6,D00,00D i OTHER $ A ; AUTOMOBILE LIABILITY 'BAP0182017-00 :0910112015 09101/2016 COMBINED SINGLE LIMIT $ 5,000,000 r X ANY AUTO BODILY INJURY (Per person): $ AUTOSULEO . XALL AUTOSED I X BODILY INJURY (Per accident;;: y .- ,.. , _ X I X NON -OWNED' 4 - _. PROPERTY DAMAGE - ..�..$ . .. ... HIRED AUTOS AUTOS `fPer-cg0aet)..._ +.. ... _ COMPICOLL DED: $ $5.000 ;...... UMBRELLA LIAR _;.00CUR I _ .F EACH OCCURRENCE..... ....+.$....... .......... .... ... EXCESS LIAR -: '. CLAIMS -MARE ' .'a AGGREGATE $ DED RETENTION$ S D woRKERSCOMPENSATION !WC0182014-CO(AOS) :09101/2015 :0910112016 j X ': PER OTH- ; F_.....i_$TATUTE ER ; AND EMPLOYERS' LIABILITY A : YIN; WC0182015.00 MA .09101/2015 ;0910112016 MANY PROPRIETORIPARTNERIEXECUTIVE { . ,......i ...-. j .... ... ...... ' E.L EACH ACCIDENT ' S ............... 1,000,000 N OFPICERIMEMBEREXCLUDEDY NIAI WC {Mandatory In NH) r ..... DISEASE - EA EMPLOYEE+ S _._......._..... ..... ......... ....... ..... 1,OOD,000 ... .. If yes. describe under DESCRIPTION OF OPERATIONS belowE L DISEASE • POLICY LINiiT I $ 1,000,000 I I I I i DESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached lfnrorespace Isrequired) Evidence of insurance. rr_r7rIrhr1ATr Lint nFR f ANCFI 1 ATION SolarCity Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 Clearview Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DE=LIVERED IN San Mateo, CA 99402 ACCORDANCE MTH TETE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk &insurance Services I Charles Marmolelo- ��-- Cc) 1988-2014 AGOKi3 (;UKFUKAI IVN, All ngflis res erVeo. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 4 s (� IT! 75 K �2a LX n Ri z WU ¢ o W Q W L <�z o tE w o K d U w Q � a \ o f m£ k O U to to ti a d dO_U C 3 r �s d � r ,p w Q y - N LIJ in > W W a- N W�W z � p]d'O d> LU F- 0 zLO x 00 00 U o a 1-4 K W OLn r > z j OQ c0 M ` WQZ O nOQ M E>-U=gam QO?iM~ wo o o O m CD en 0OH O ES QL/i¢zN g L Lu mn O E -a ioo o�v�m�mmooa m z W s p a W Z ? 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'ISSACHUSEA h Date ..�3 �' . ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ..T. . ..... . has permission for gas installation ....4r-� .l' ................ in the buildings of ..�?%f��?.� ............................ at ... 3. .. 1��- U C> .. /�� �.' `...... North Andover, Mass. G` .2.4.x:3.? ....�`.! Fee.. .. Lic. No. C),"' XSINSPECTOR Check # �f A MASSACHUSEM UNIFORM APPLICATONFORPERMIT TO DO GAS FTI TING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations 31 00 1911-e Date 3—d- 3 J a Plans Submitted ❑ Permit # 3) - Amount $ Owner's Name New ❑ Renovation ❑ Replacement r ( Date 3—d- 3 J a Plans Submitted ❑ Permit # 3) - Amount $ (Print or type) Qpcc one: Certificate Installing Company Name T A-114 G L O 1,2 • ✓ jo, / 1 +[ Corp. Address . r' d l3 d x S 7A ❑ Farm. G4Wize,y!P Business Telephone 7 7 / to b'5'' 9 So Y ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter ?L/vrr als k,4 //d ejq rJ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No[:] Ifyoul have checked yes, please indicate the type coverage by checking the appropriate boa. Liability insurance policy ® Other type ofindemnity ❑ Bond ❑ 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 ❑ Agent ❑ I hereby certify that all ofthe details and mtormation 1 have suhmmea (or enterea) in above appucanon are true ana ac cura[e to ttte 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 Massachusetts State Gas Code an Chapter 142 ofthe General Laws. (OFFICE USE ONLY) Signature ofLicensed Plumber Or Gas Fitter ® Plumber a 33 Gas Fitter Licenseum er ❑ Master ❑ Journeyman r BASEMENT (Print or type) Qpcc one: Certificate Installing Company Name T A-114 G L O 1,2 • ✓ jo, / 1 +[ Corp. Address . r' d l3 d x S 7A ❑ Farm. G4Wize,y!P Business Telephone 7 7 / to b'5'' 9 So Y ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter ?L/vrr als k,4 //d ejq rJ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No[:] Ifyoul have checked yes, please indicate the type coverage by checking the appropriate boa. Liability insurance policy ® Other type ofindemnity ❑ Bond ❑ 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 ❑ Agent ❑ I hereby certify that all ofthe details and mtormation 1 have suhmmea (or enterea) in above appucanon are true ana ac cura[e to ttte 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 Massachusetts State Gas Code an Chapter 142 ofthe General Laws. (OFFICE USE ONLY) Signature ofLicensed Plumber Or Gas Fitter ® Plumber a 33 Gas Fitter Licenseum er ❑ Master ❑ Journeyman t Date ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING US This certifies that ................. : ...... 514 O;e "U .. 4...( ............................ I ....... has permission to perform ......... KfT. 41 ....... ..... ..... ........................ wiring in the building at ..... ....... . ............................. .North Andover, Mass. 7702 Fee..... Lic. No...� ....... . . ............ Check # 0 03/06,'2008 12:19 FAT �10m/(3003 The Commonwealth of Massachusetts FOR OFFICE IISE ONLY Deartrraerat oy`1'azbCisr Safety Permit No, Occ:rpaney ec Fee Checked BOARD OF FIRE PREVENTION RECiULATiONS 527 CMR 12:00 (leave btankt APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work will be performed to accordance with the Msasaehusrtta GeneraI Code. Si. �41t2:06 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of _ � r) t. To the Inspector o(Wtres: The undersigned applies for a permit to perform the electrical wort, described below: Location (Stree! and Number) _ ._.� ,(��� .AUC -�_- Map: Owner or Tenant - k t1 tr C .Q•. -�--�� 70ne: Owner's Address 2 V¢ S Par Lcv: Is this permit in compunction with a building, permit? Yes M' No D (Check Appropriate Boy Purpose of Building ____� ....,,.. ._ _ _ .- Utility authorization No. Existing Service. Am,* ti : r _ Volts Overhead CJ Underground © No. cf Meters New Service __Amps .a f1 _- Valla Overhead 1� 'Underground ❑ No. atM,eters R Number of reeders and Ampiacity Location and Nature of Proposed Electrical i t No. of Lighting pullets --�� x- No, trf Hut Tubs No. of Transformers. Total KVA No. of Lighting Fixtures _ Swimming Pool Above grnd. 0 In•Srnd.13 Generators n'A No. of Receptacle Outlets No. of Oil Burners No. of Emerg. Lighting Battery Units No. of switdroutlets No. of Gas Burners FIRE ALARMS No.. of Zones — No. of Detection'artd Initiating Devices _ t No• of Sounding Devices No. of Self -Contained Detection/Sounding Devices Local ® Muncipal Connection 0 Other :�io, of Ranges No, of Air Cond. Total Tons No. of Disposals o. cu— oral Total _ Heat PuMPa Tons kw No. of t ixhwashErs Space/Area Heating — KIN � No. of Dryers Heating Devices, KW No_ of Water Heaters KW No. of Signs No. of Ballasts Na.. of Hydro Massage Tubs No. of Motors Total HP Low Voltage Wiring v a caaav NSVRANCE COVERAGB: Pursuant to the requirements of Massachusetts General Lams I have a current Liability Insurance Policy _ ACW414 Completed Operstlo:is Coverage or its substantial equivalent. YES 0 NO O 1 have submitted valid proof of same to this Ofte. YES 0 NO 0 If you have checked YES; please indicate the type of coverage by Checking the appropriate box. NSU1:iMCE0 BOND C7 ODIER 0 (Please Specify) (Fsprraticn oat?) 'estimated Value of lectrfca Work S d Od- Mork to Start Inspection inspection Date Requested: Rough _ Final signed under the enaltles of erjury: - -- ItRW. NAMP. a n c --- LIC,. NO. censee r b -� 5i Metre a`Z +� 7 LICNO. G / tddre8s E •s ale _ -f� / �'�`$''v�6 o Eos. Tel. No: Alt, Tel. No. 229:_-- )W)'dER'S INSURANCE RIVER: l am aware that the Licensee DOES NOT HAVE the insurtance coverage or its substantial quivalent as required by Massachusetts General Laws, and that my signature on this permit application Waives this requirement. )wrer ® Agent 0 (Please check one) Telephone No. _ _ PERMIT FEE 5 ___—`-------_.---_..- Sigtnature O! Otsrtneir Or Rgent u - o z_ Date ..................... . ................ OF taORTH TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION 'f,SSAC NUSEt This certi lies that.�.a ..... ..r� .... .. ...... . has permission for gas installation . 6vr1 �r ftp z `— in the buildings of .. /)1 C r N A .� .�' . ..................... . at .........A �.� . , North Andover, Mass. Fee... ��.. Lic. No..`i �' ....3 /1!.�'.' ......... . GAS INSPECTOR Check # S 50 3-1-17 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type? Ins'`alling Company Name Address 100 (� DX S7 Z f .� c✓it o..� �2� 1161a1T� Mass. Date z C3 2 'Permit # Building Location Y f 33 W od t9 grr+c Owner's Name_�o�l�_ Type of OJcupan- cy e!'�Rs�rl/ice Newp Renovation ❑ Replacement Plans Submitted: Yes❑ Nog Check one: Certificate ❑ Corporation Partnership Business Telephone 9'7If ��� 9',So y� `i Firm/Co: _ Name of Ucensed Plumber or Gas Fitter7//Dr»-S % 111 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes k No C_! If you have checked ves. please indicate the type coverage by checking the appropriate box. A liability insurance policy L� Other type of indemnity, ❑ t Bond El 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: gnature of Owner or Owners Agent Owners Agent ❑ 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 mowiedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Dertinent provisions of the Massachusetts State Gas Cade and Chapter 142 of the General Laws. _y Tie of License: �_ e . . -die Plumber S+gnature of ucensed Plumber or Gas Fitter �' Gasfitter Master License Number nY�Townjoumeyman PPROVED f0 rIC US ONL L N N` LU W 7,n a pW S U 4—_CN p Ww W of .W <—— _W _ C W c NLu u. - 1< W > 3 � O c l> ' S u c—a5/inT• I I I I I 1 i i r, I I I I ) I I ( I � BASEMENT -- IST F L 0 a R I 1! I I I I L I I! I I 2ND FLOOR I I I I I I I I I I I I I I I I I ( I I I I I 3RD FLOOR 4TH FLOOR I I I I I l i I I 1 1 1 I r I l i 5TH FLOOR I I I I I I I I Ii J I I I I I I I I I I I 67H FLOOR 771 H FLOOR I I I I I I I I I I I I I I I I I I I 8TH FLOOR I I I I I I I I Check one: Certificate ❑ Corporation Partnership Business Telephone 9'7If ��� 9',So y� `i Firm/Co: _ Name of Ucensed Plumber or Gas Fitter7//Dr»-S % 111 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes k No C_! If you have checked ves. please indicate the type coverage by checking the appropriate box. A liability insurance policy L� Other type of indemnity, ❑ t Bond El 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: gnature of Owner or Owners Agent Owners Agent ❑ 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 mowiedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Dertinent provisions of the Massachusetts State Gas Cade and Chapter 142 of the General Laws. _y Tie of License: �_ e . . -die Plumber S+gnature of ucensed Plumber or Gas Fitter �' Gasfitter Master License Number nY�Townjoumeyman PPROVED f0 rIC US ONL °f HORTq 1M 'aD0 o z 'tSACMtJS� This certifies that TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING has permission to perform 779.A.)� ........ plumbing in the buildings of . Ti4!/!! hti-! ...... at e.� 3 .. t �? "� t� ..�.Ve ......... , North Andover, Mass. /"e.- F`:� ..-Lic. No 83 ........ PLUMBING INSPECT R Check # ��� 5122 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) 625 T NORTH ANDOVER, MASSACHUSETTS Date /h.3/0 Z -- Building Building Location ?/ /-3f WO -r 4v .ode Owners Name TIO I-11 . �f'l � �ivgv � Permit #__�I'/ y.L Amount Type of Occupancy New ❑ Renovation rl Replacement © Plans Submitted Yes No FIXTURES (Print or type) Check one: Certificate Installing Company Name_ le -1 Pzy nwV ❑ Corp. Address 572— Partner. tiCe— ire /�— Business Telephone y?y Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent 0 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 under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Cha r 2 of the General Laws. By: Signature ot LicenseclumeType of Plumbing License Title 2 yy 3' City/Townice nse um ear Master ElJourneymanj, APPROROVED (OFFICE usE ONLY1='J11 1 • g - MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) 1 NORTH ANDOVER Mass. Date building Location ���� Ifs ermit # Owners Name ? :F New '-&---Renovation Replacement Plans Submitte FIXTUR=S (Print or Type) Installing Company Name Address Business Telephone: rI Check one: Certificate CLQ.- Corp. Partner. Firm/Co. Name of Licensed Plumber or Insurance Coverage. Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [ja--6ther type of indemnity [-1 Bond Insuragce Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner F] Agent n 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and hnmiladons pesformcd under' Permit iuucd fo: this application will -be -in comphanca with all Pertinent provisions of tho Massachusetts State Car Code and C64pter 142 of tho General Laws. By TYPE LICENSE: Plumber Title Gasfitter Signature of Licensed City/Town: stet Plu/mbeJr or, GJ tter Journeyman // APPROVED (OFFICE USE ONLY) License Number iiiii�i�ii �iii ■�EEM iiii i (Print or Type) Installing Company Name Address Business Telephone: rI Check one: Certificate CLQ.- Corp. Partner. Firm/Co. Name of Licensed Plumber or Insurance Coverage. Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [ja--6ther type of indemnity [-1 Bond Insuragce Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner F] Agent n 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and hnmiladons pesformcd under' Permit iuucd fo: this application will -be -in comphanca with all Pertinent provisions of tho Massachusetts State Car Code and C64pter 142 of tho General Laws. By TYPE LICENSE: Plumber Title Gasfitter Signature of Licensed City/Town: stet Plu/mbeJr or, GJ tter Journeyman // APPROVED (OFFICE USE ONLY) License Number ?' 2408 NOFTM 0��..•o ,•1ti0 f �,SSACNUSEt Date ...... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 2 EE 8 This certifies that . ef' * .......................... has permission for gas installation .. �r �-: V.. 4.,-. ...... in the buildings of ... R l.�QA7. E ............... ...... . at .............. . North Andover, Masi Fee..?,. ' .. Lic. No..� Y.Y. !� .. ........................ � GAS INSPECTOR WHITE; Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File J 1 Location � % No. Date NQRTN TOWN OF NORTH ANDOVER 97 0 w Certificate of Occupancy $ "" t<� cNBuilding/Frame Permit Fee $ s�us Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '. Check # 4 BuildingInspeditor TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE:ZLZI Building Commissioner/I for of Buildings Date E7 ram ILIN 1.1 Property Address: -,3/ - 33 (-,Jo -,:,L 1.2 Assessors Map and Parcel Number: `/-� y Map Number Parcel Number (Al / -t ,,y 4=� Px,/f 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (sf) Fronta e fl 1.6 RUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required, I Provide Required Provided Re red Provided 3o 1 .3C 15- /S 3 D 3 0 1.7 Water Supply M.G.L.C.40, § 54) Public ❑ Private — ❑ Zone 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT I 2.10 r of Record (Print) Address for Service: Signature elephone 2.2 Owner of Record Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Signature 3.2 Reeis' Company Name Address Si&nature I Expiration Date Telephone Contractor I Not Annlicable ❑ Registration Number Expiration Date i SECTION 4 - WORKERS COMPENSATION (ML G.L C 152 § 25c(6) I Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work check ea applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 1A/,S 1--G— P % -L- S �► >D I SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed b t applicant f Or >v 1. Building 5GO o 0 (a) Building Permit Fee Multi lien 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) I � C> - �- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS GENT OR CONTRACTOR APPLIES FOR BUILDING PERK /C"lI /� SI-, as Owner/A thorized Agent of subject property to act on building permit application. of Owner ✓ Date J 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 w Y PFJ T L FORM U - LOT RELEASE FORM 91 IQ / 0 ( 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*********************** APPLICANT APPLICANT ) ° i cf �` PHONE 97� k7— r LOCATION: Assessor's Map Number PARCEL ___7 SUBDIVISION LOT (S) STREET0 L At—, ST. NUMBER `3/-33 *****************************************OFFICIAL USE ONLY*********************************** I We"PEIJOrIONS OF TOWN AGENTS: ZIWRVATION ADMINISTRATOR COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROV9D DATE REJECTED A �— !�C ?- PUBLIC WORKS - SEWERIWATER CONNE DRIVEWAY PERMIT FIRE DEPARTMENT DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm Q, "rrV vi ti(� w w Y_ uJ % O C) �QLN 1 Q ! Ce% ¢ -j ¢ U o N N N- o a v+ rn o� d v ° Lo � a o `Zi Q: 7 LL t- �' Q w O LO Z O ¢ 1 J J zo 0 c w y E o O ++ C llllll _ T v _ °- E. S N v vv x� a v o -- O. C V C ° m O v N 0 y v `oN�cvi v `o.c E°��co X .a V o C O o C v > `mooo. o i O �+ °i y C y u L N O C C O N N .. y 0 0 o fn N E N U QoO .«'O' CvaUpa E° v o 7 O ` U Ao = •L• 3—v v v N V NO vov Ec°Q d N° v N C° 0 13 t o N 'O N 00 wUCO m3owwO E oav OJ U O V) 0] -7 O N Z O p N C 41 d > E E ° � nO �.` _� rnE c 'O j¢ O V :c oN N Eo a W N LL. p r(j moE > p O" "- G-TO N n ° av 2 O v N y ft- o�oN- croo O.y ,Y N CL vv �•- CL C L G O NO a o"Q — v E zac) 70 o it In '-I a 000 >1N m '•> C°v k 11 a e ro N, G ° .m y �+ .+ C r h N C WddD 341 qA O! Ap -+ �O W s pis ` 1 �u 'f»® - 0 EM4 CD m w c F c � •`. W C N CL C 'oma LO m E a (� CF I m c E cSO �Ww/ m t -we . � N •:�mo U ntt m Cf) CC Q ♦:LO.,= o of W ccm o a - N W ►-� //�� � C m F�1 Ov H O ►� 'ccv"''>Z o:It c d J w 4L Q lo coo mCD go ice a] E Qo �•c cm% y a m 'm0 0 _ �omos 2` f- r 0 O. � m 0 a O O cap Z h � D C _ w O O W aG ^JVYns w V a c�i � w o w C U G w a p• c� G w a W W w v c%) C w" p z ^b a n: —co i�. A w 61 7 ro o z L cn v E cn CD m w c F c � •`. W C N CL C 'oma LO m E a (� CF I m c E cSO �Ww/ m t -we . � N •:�mo U ntt m Cf) CC Q ♦:LO.,= o of W ccm o a - N W ►-� //�� � C m F�1 Ov H O ►� 'ccv"''>Z o:It c d J w 4L Q lo coo mCD go ice a] E Qo �•c cm% y a m 'm0 0 _ �omos 2` f- r 0 O. � m 0 U) W CIO Ir w W W w o cap Z h � D C _ COD C 'd uh .� m m 0 CD � CD O CLS �3 _ a" a� 0 CD 0 L '-a m CL o a Q N C a C2 CD •TzlQ, C Z s O O. U O � C C CL CO) is 0 U) W CIO Ir w W W w TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ., oe, .m., BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1 -SITE INFORMATION 1.1 Property Address: [� Z/ wed A&4u f 1.2 Assessors Map and Parcel Number: ®1-5 a o Map Number Parcel Number W kr/-�,j 1.3 Zoning Information: Zoning District, Use 1.4 Property Dimensions: Lot Areas Frontage ft -Proposed 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. § 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ ,Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record A 'I 7e- b 77 fR�-3l 60 L / JQG� Glu ty l�J� L✓DL 4 U.e / lki- i -i 0,0kP- Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: ( D wl Q S 4 Licensed Construction Supervisor: Lo- 6r. � = Addr © gnature Telephone Not Applicable ❑ �3 �( License Number 0u�/ Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone Ma M z O z M 90 r ic r M r aa� z G) SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must he 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 ....... 11 No ....... ❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRITCTTON rncTc Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL JSE ONLY 1. Building (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) -7,90 .Cp C2 Check Number bJLUr1UIN -ia UWINER AU I.HUHIGA'FIUN TO HE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, I as Owner/Authorized Agent of subject property Hereby authorize ;/,�1 t° �d�tS n zg ' 'tel C, to act on My b half, inall matters relative to work authorized y this building permit application. moi• _/ r/ Si nature of 6vmer Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 Name Signature of Owner/A i ent Date NO, OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS Isr2 NU3KD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS 11FIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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************' APPLICANT ,�v�e_�jv(�'C✓UL � a4_�VS �rC- PHONE_ 0? LOCATION: Assessor's Map Number__ d___ PARCEL___dC SUBDIVISIION,_/,f_'[ LOT (S) STREET_3 1 I�Poo( /Ti/� Ue_ /VO �I O10(�1 ��� ST. NUMBER_ ------------------------- - ************************************OFFICIAL USE ONLY*********************************** RECOtS941lJENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRA,R DATE APPROVED DATE REJECTED__U _________ COMMENTS__ _eAQuta'cQ __�J"��— � i 1_ ��G1 ----- 9 � _ Cle-------------- TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMME DATE APPROVED DATE REJECTED_______________________ DATE APPROVED DATE REJECTED_______________________ DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm TE F4 Ni �1 O 0Z: O Z O naO' 0 � U cc) n° 7 1 S'�nm` �m� np�+ AAA l3'1 1 <o V �:0�'j. -DsOm 3D t: o0 °3r«p U a (� U).� D D -1T m 0Z 3 n a� ; D O on 03 A O IE fb rrl' J 1 G. �r 0 mr U O 0Z: O Z O naO' 0 W cc) n° 7 1 S'�nm` �m� np�+ 1 <o V' n O -DsOm I -A 11 o0 °3r«p U a (� U).� D D -1T m 0Z 3 n a� ; D O on 03 A O IE C rrl' 0 mr O O O OO(D07 _j 0� ►� .�� CI S 7 Y !A �� 0 N A 0 3 m (n (/) 7 a 0 r0+� -77- U V' v o rr*m 0 7O• ro CD m 0 O U a (� U).� D D -1T m 0Z DZ r North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: II p (Location of Facility) s�-I ignature of Permit Applicant ZA02 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector THOMAS A. DUBE CONSTRUCTION - PLUS, INC. Location: 10 Bricketts. Mill Rd., Suite "C", Hampstead, NH 03841 ACCEPTANCE / PROPOSAL LETTER April 27, 2003 Re: (2) Additions including excavation and concrete work Location of Job: 31 Wood Avenue — North Andover, MA Job Name: Mr. and Mrs. McNaught Dear Mr. and Mrs. McNaught, (603) 329-5077 FAX #: (603) 329-7026 We propose hereby to furnish labor and materials in accordance with the customer provided plans and specifications (as discussed), for the scope of work as follows: Excavation and concrete work 1. Excavate for new foundation and frost walls for (2) additions 2. Form for footings and frost walls 3. Provide and install concrete for footings, frost walls concrete floor 4. Provide and install foundation drain at additions (to be tied into existing) 5. Backfill foundation and grade for proper drainage 6. Note: blasting and / or ledge work not included in this estimate 7. Note: Permitting / fees not included Addition 1. Strip existing siding as necessary in order to secure new walls to existing house and prepare for sheet -rock finished walls (back and sides of furnace rooms and back wall of bathrooms) 2. Siding to be saved and re -used if possible 3. Construct (2) 15'-0" x 10'-0" additions to either side of Furnace rooms 4. Install sill seal and pressure treated mud sill 5. Frame exterior walls (2" x 6") at approx. 8'-0" in height (double top plate) 6. Frame for and install approximately (3) windows for each addition (see allowances below) 7. Frame for and install Atrium door units (1) for each addition (see allowances below) 8. Install exterior wall sheathing 9. Install 2" x 8" roof rafters following exact pitch. and length of existing Furnace room roofs 10. Install roof sheathing, rake, fascia and corner trim with standard overhangs - X_. 11. Install drip edge, ice and water shield and 3 -tab shingles at new roof (shingle type and color to be matched as close as possible) 12. Install "Tyvek" house wrap at exterior perimeter of both additions including backside of existing furnace rooms 13. Remove existing window units of existing back walls at kitchens 14. Remove existing back walls at kitchens (previously exterior walls) 15. Re-route where necessary, water and electric lines in same walls as mentioned above 16. Remove existing kitchen and bathroom floors (Formica) 17. Remove existing base molding at kitchens and bathrooms as necessary to prepare for new Formica floor 18. Frame main bearing beams at previous exterior wall location to bear weight of existing 2"d floor 19. Install insulation per code at new exterior walls 20. Install, tape, finish, and paint drywall at interior walls and ceilings at additions and new beams 21. Install new Formica floors at both sides (kitchens, bathrooms and new additions) (see allowances below) 22. Install and paint / stain new base molding at additions and at kitchens and bathrooms as necessary 23. Install new window and Atrium door casings at additions 24. Vinyl side additions and back of Furnace rooms and install vinyl soffits 25. Re -side at roof tie-in to main rear wall as necessary (Ice and water shield as well) 26. Wrap fascia and rake trim with aluminum Electrical 1. Electrical permit price not included in this estimate, cost to be established at a later date 2. Supply and install electrical outlets per code in additions 3. Supply and install electric switches and wiring for ((4) customer provided recessed lights per addition — (8) total) 4. Supply and install electric switches, wiring and paddle fan box for ceiling fans ((2) — customer supplied fans) 5. Note: external wiring done by Mass. Electric (excavation included.in this quote) Plumbing 1. Remove existing baseboard hot water heat units at existing back wall of kitchens 2. Run water lines to additions for new baseboard hot water heaters off existing zones 3. Provide and install hot water heater units for new additions 4. Remove bathroom toilets for floor removal and replacement 5. Re -install toilets after new floors are installed Miscellaneous Price of building permit and necessary drawings not included at this time and will be determined at later date) Xcw dye 2. Dumpster 0�L--fvSfcr i 1 � Specific material allowances tK_ - t��SG�l4 1. Allowance for (6) double hung windows to be located at later date is $ 225.00 per window (total of $ 1,350.00) 2. Allowance for (2) Atrium door units is $ 1,500.00 per door unit (total of $3,000.00) 3. Laminate flooring allowance is $ 900.00 per addition or $ 1,800.00 total 00, C26) s1 Estimate grand total including all materials, labor and allowances is $ 43,?00.00 (Forty Three thousand, erre-hundred and 00/100 cents) 5V� TERMS OF PAYMENT: Terms to be 35% to be paid at signing of this contract. 50% to be paid upon completion of the wall framing (including exterior sheathing. 15% balance to be paid upon completion of job. SERVICE CHARGE: A service charge on past due accounts will be computed at "Periodic Rate" of 2% per month, which is an "Annual Percentage Rate" of 24%. Customers shall be and are responsible for all costs of collection, including reasonable attorney's fees, arising from any breech of this agreement or failure to pay any amount due and owing. All work is to be completed in a workman like manner in accordance with standard practices. Changes to the above specifications will be accepted only if a written request is made. We will then complete a "Change Order" to supply you with the additional charges or credits. No work can be changed, altered, or cancelled without an authorized "Change Order". ACCEPTANCE: the price (s), specifications and conditions above are satisfactory and are hereby accepted: You are hereby authorized to proceed with the work as specified. I/We agree to make payment as detailed above. My/Our (the customer's signature below constitutes full agreement. 6'a", - 4, �1) 4r1J,1Z-e / ustoiner's i n ture �' J �7 l iC�� /,� • �! (tel z -� Stephen'M. Okun Dube Construction — Plus, Inc. Date -S ✓G' .3 ate c O N v w 0 c r N � N CY) V D r � Ce) O Lo 0 d O ` C R r ~ V cn d m � V a .2o O m 'L •' U co d m r-- 00 coo r a CO o a c m 00 r ! J UO xi,, =a, CD O .� (/) # v} W ,U. 4— N N M 0Q 0 fym O o m mo O °- w Ym zOD O 6, co o W Z o �D U) AZZ o cn Q�z U U Q Q 0 OW ax, `.4 v E H 4 J z PD. 00 g W cCL y �.0i`- E O °� Q m o m � O�1 O 1 N LL (!J U'o M ch C. p0 o ai a �9 0 ai u.) a + ao m E 2 a .W M .m Z o l u m_ 0 F" J )- J--- -a Z Z s Q Q Z O Q u� z O lt. a Y F- r Q Results Home Improvement Contractor Look Up Page 1 of 1 Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: O AND O ORearc Search Re.cultc Reg. No. Applicant I Street City State Zip NameI Title Expiration 119623 Dube Construction 10 Bricketts Mill Road, Hampstead NH 03841 DUBE, THOMAS PRESIDENT 8/6/2003 - Plus Inc. ' Suite"C" Total of'1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 5/15/2003 e 2'-0"kX-0' 5t -0"x 6'-8" 2t-O'x X -O" --------------- ih '6' -,v5t Room to be built C14 Fumace Room Funiace Room 2'-6"x 3'-6"x 6'-8- 2-0"x3-0" 5t -0"x6-8" T-TxX_0-O" A't i i ry CI Room to be built N. CN ob Bathroom o Bathroom Existing Kitchen Existing Kitchen throom 4 H�.,r ... ........ CV vkkie( -Old C-( A,01 �v4teze Wv-),n �e ren C -G4 h #-eo Xceo-o ew /f en Anm&-7 - --------- I Veen/)) . . . . . . . . . . . 6e, 2x,6 e"C �Ov ou f Date. .0-.3. NaR,,, TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING LOW no .A"49 SAC04USE� This certifies that .... !........... has permission to perform , � .. �-!—�-r- -..' . ."..... . plumbing in the buildings o'f� .... !?'r... ...... . at ...-21... fir . Wi '4--' ......:...... . North Andover, Mass. Feed!' . ... Lic. No. PLUMBI G SPECTOA Check # -�In -? 5699 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS � Date� � 0-S� Building Location 3 !it/ 00 /J x} l/� Owners Name SO 11eV /�%�Nl US//T Permit #-& -& Amount Type of Occupancy Ome I 1 i ,y S, New13 RenovationReplacement © Plans Submitted Yes No 1:1El FIXTURES (Print or type) Check one: Certificate �s Installing Company Name T VA N L L Corp. Address f` 7 D Partner. MA2_- Busmess Telephone cj 7 X 25 51-7 5-0 y El Firm/Co. Name of Licensed Plumber: 7 zk M o's Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnityD Bond D Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner D Agent El I ereby 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 under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State P bing Code and Chapter 142 of the General Laws_ By: Signa u—fure o�Elcensea FlumDer Type of Plumbing License Title L/ 33 City/TownicL ense Num er Master ❑ Joumeyman 1" APPROVED (OFFICE USE ONLY L� Date.. �. ,-/-. .� �� ...... 0 TOWN OF NORTH ANDOVER I - PERMIT FOR GAS INSTALLATION C NUSEt This certifies that/;,� .......... ,t4ias permission for gas installation . 7-� in the buildings of ...... ............. ......... ......... lat ................ North Andover, Mass. Fee'?-�). .1 .... Lic. No-,.-IJ-2,3 . .......... `GAS INSPECTOR Check # ) A-71 4424 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS F TIMING (Type or print) Date 9:49-03 NORTH ANDOVER, MASSACHUSETTS Building Locations 3l �uoo o 4ue Permit # Amount $ .fin V tj (M C 4�J A u Yl 7 Owner's Name New1:1Renovation ❑ Replacement ® Plans Submitted ❑ (Print or type) Check one: Certificate Installing Company •flame %% W4 L L O r/-1 r✓ /Cy U Corp Address /'- d • /3 o X S 7°Z ❑ Partner.. L4to1zPvvlP /;14 e7/d'�Z Business Telephone 9 -7Y ( b'S'' 9 So y E] Firm/Co. Name of Licensed Plumber or Gas Fitter 72-X),*1 Ys �.:} //� /t',q r✓ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Nwner'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 ElAgent [3 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 under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 ofthe General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ® Plumber �t Y � 33 ❑ Gas Fitter License Number ❑ Master © Journeyman 17TH. FLOOR (Print or type) Check one: Certificate Installing Company •flame %% W4 L L O r/-1 r✓ /Cy U Corp Address /'- d • /3 o X S 7°Z ❑ Partner.. L4to1zPvvlP /;14 e7/d'�Z Business Telephone 9 -7Y ( b'S'' 9 So y E] Firm/Co. Name of Licensed Plumber or Gas Fitter 72-X),*1 Ys �.:} //� /t',q r✓ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Nwner'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 ElAgent [3 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 under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 ofthe General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ® Plumber �t Y � 33 ❑ Gas Fitter License Number ❑ Master © Journeyman