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HomeMy WebLinkAboutMiscellaneous - 324 BRADFORD STREET 4/30/2018/ 324 BRADFORD STREET 2101061.0-0019-0000.0 Date H 'r;:,'�ooL TOWN OF NORTH ANDOVE PERMIT FOR PLUMBI ,SSACMus� . c-T This certifies that . . . . . . . S . . . . . . .1. �.qm&v. . . . . . . has permission to perform . . . . �. . .� �� �> . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . �. !? H6" v at . . . 3 .Y. . . �!? .? . . . . . . . , North Andover, Mass. Fee3t?�p".---Lic. No..79 7 . . . . . . . PP . . . . . . . . . . . . . . F�LUMBING INSPECTOR Check # j t l� 7943 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) N ANDOVER Mass. Date 12/6 2008 Permit#�� 5/_� r Building Location 324 BRADFORD ST Owner's Name TONI MANGANO Owner Tel# 978-686-0814 OR 978-682-7203 Type of Occupancy RESIDENTIAL New W1 RenovationF] Replacement Fl Plan Submitted: YesE]NoE] FIXTURES � w x z < $30.50 w w w o Uo Nx x P b is S u z z o �" w a ° m W Q x w F ~n a > d w w to w z ¢ x a w w W H wx a s z w w p > w F v a H w a z Q W Q 0.', F �"' GC z O z O Cn W = O = w 3 A G a ov a > A a Lu O w SUB-BSMT BASEMENT 1 ST FLOOR 1 2"D FLOOR 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7T"FLOOR 8T"FLOOR Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131 Water Street Corporation Danvers, MA 01923 F]Partnership Business Telephone# 800-322-6628 FFirm/Co. Name of Licensed Plumber or Gas Fitter KEN BARON LIC#993 INSURANCE COVERAGE: I have a cur liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ✓ No 11If you have c ecked yts,please indicate the type coverage by checking the appropriate box. A liability insurance policy ✓] 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 Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 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 the permit ig ued for this application will be in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the 9Vneral Law . By Type of License: Plumber gnature of Licensed Plumber or Gas Fitter Title Nhas fitter Master License Number City/Town •-Journeyman APPROVED(OFFICE USE ONLY) Location No. � t� Date NaRTM TOWN OF NORTH ANDOVER � 9 Certificate of Occupancy $ Eck' Building/Frame Permit Fee $ swCNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �! 7 fli6.s--r- �- 14 2 ; Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .,�. b : €'� ,� 3� .,..;: .�- f�: .c�"��t,�v e�„R�i� ��31f`az3C.��� ���1,� 2r,a'��.'»,�: ��'ms� �' '� .a•"*';',�';� ,i,��:,Yr �„a '.�wxr..�s.�' BUILDING PERMIT NUMBER: DATE ISSUED: . � SIGNATURE: OL4icic Building Commissioner/I rtor of uildin Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning DistrictProposed Use Lot Area Frontage fl 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Required Provided 1.7 Water Supply M.G.1-C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service t Signature Telephone 2.2 Owner of Record: \ Name Print Address for Service: z M Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ I� � GGtwv� tT �� ��� fy OW �� Licensed Construction Supervisor: CS License Number A�djr-essj., Expiration Date Signa re Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0Y7 l -ompany Name 7 3 / M yn� j J p Q r) Registravo umberIBM kddress 5—F- J - / � 3 tyL7/t/--c 5� ' / /(�� Expiration Date ;i nature 4 4 Tele hone f SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) 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 unit. Signed affidavit Attached Yes.......0 No.......0 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 CONSTRUCTION COSTS Item Estimated Cost(Dollar)to bea ddb SEONY o leted by permit applicant 1. Building / C—D (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I> as OwneF/Authorized Agent o subject property Hereby declare that the statements and information on the foregoing application are true and accurate, est of my knowledge and belief R Print Name �. Signature of O vner/A ent Date 4 101111111 NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMMERS 1 2ND 3PD SPAN DIMENSIONS OF SILLS DEVIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING �{ MATERIAL OF CH110NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Town ®t .North Andover & t40FR?TH Building Department -x'� y �- x° o o 27 Charles Street North Andover, Massachusetts 01845 1 (978) 688-9545 Fax.(978) 688-9542 ��SSgc�us���5 i . i i DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit"# the debris resulting from the work shall.be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 1, sI50a: The debris will be disposed of in/at: Facility location Si ature of Ap cant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. I Lambert Roofing Co., Inc. 37 Stevens St. Haverhill, MA.01832 (978)174-9234 1 or Toll free O 1-888-SOS-ROOF In Bush1ess rove 1932 Dear Homeowner, Lambert Roofing Co, Inc. is proud to have the opportunity to bid on the following; Residential Roof Construction. We are a quality-contracting firm and enclosed is proof of our professional status. The following enclosed documents are: Overview of our Company Contractors License Liability insurance Workers Compensation and emplovers' liability insurance We are Members of the Better Business Bureau and many other quality assurance programs and would love to make you & your family another one of our happy and satisfied customers. .- T Vanager ., Inc. Fi "QualityWorkmanship You Can Trust" Our proof is on your roof. f 6777e _1 •- �=, �1.�_,:I;; -Uamm>yrc- Board of Building Re ulations J` I•y, •i� g One Ashburton Place Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 01/17/1942 f Number: CS 026791 Expires:01/17/2002 Restricted To: 00 I-. I RONALD G LAMBERT 37 STEVENS ST HAVERHILL, MA 01832 Tr.no: 13715 Keep top for receipt and change of address notification. ��ie '�ammo�uve.�zl�>< o�✓llcraur�c�i�r�:sP>fC t�,-,-,, �J :.� �?I., i l%�i I I`I i','., n I 1 ,r ; n I-,. ,:;n,a �..t.-�n��.,i' I•:> P1 :i�.f M.-1t tr)P, I i nl, lnlr(, .,,,:{'•I;I III I";,I;t I :,, I P! 'I i•':t I :fit i r)n 0 I :(� � �"'I I` t •. ( I •, I I `a�\ ✓hr C'(./N NI4N4iQIII(/• /�/✓,. i HOME IAFROVNINI EON1Ppf101 I t If9tJl I'' I I� 17 [I•I�i I: I) [I•II a Registration: 101731 I II t t I.,.Init'�', r: t► ;; Expiration: :t , "_'tv% lrpe: Private forporll LAMBER1 ROOTING f0 Itif 7;' Ronald laabert ADMINISTHATOH 31 Sttvens Street Haverhill np Otiili BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 078130 Birthdate: 06/02/1972 Expires: 06/02/2004 Tr.no: 78130 Restricted To: 00 RICHARD J DECOITO _ 50 WHITE STREET (.•�..•. �i!� HAVERHILL, MA 01832 Administrator I i I A.0CERTIFICATE CF LIABILITY INSURANCE. DAT/01 / 0 • o6/oli �� l PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BOYLE INS AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4 4 5 MAIN STREET — COMPANIES AFFORDING COVERAGE WOBURN MA 01801 COMPANY ! A C N A INSURED COMPANY ------- - LAMBERT ROOFING CO INC I B TRANSCONTINENTAL INSURANCE MERRIMAC VALLEY ROOFING CO INC I COMPANY 37 STEVENS ST C TRANSPORTATION INSURANCE CO HAVERHILL MA 01830 I COMPANY D COY ::;.�.•:.•.•:.•:::.•.•.•:.......•...•.•..,..,.•.•.•.•:::.-.•:.•.•:.•.•::: . -.•:.•.-:::......,...•..................:•.•.•.•:.•.•...•:•.•:.:•.•.•:::•.•::.•.•::.•.•.•.•.•.•::.•.•.•.•.•::::.•::.•.•.•:.•..•:.•.•.•.•.•.•.•.•...•.•.•.•:.•:::.•:.:•:.•:.•.:•::.•.•:............._.... 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 PAID CLAIMS. LTA TYPE OF INSURANCE POLICY NUMBER (POLICY EFFECTIVE (POLICY EXPIRATIONi LIMITS DATE(MMIDDiYV) DATE(MMiDDIYY) . GENERAL LIABILITY C 10 7 4 0 2 9 9 5 8 05/28/011 5/28/02 1 GENERAL AGGREGATE _'s2, 000, 000 X COMMERCIAL GENERAL LIABILITY I PRODUCTS•COMP/OP AGGI$1 O O 0 0 0 0 ---' CLAIMS MAGE _�( ,OCCUR I PERSONAL&ADV INJURY $1T 0 0 0 r O 0 0 OWNER'S A CONTRACTOR'S PROTI -_ I FFACH OENCE i� O O O OO O E DAMAGE(Any one fin) S 5 Q ZQ Q O- 1 I IM-ED EXP(Any one potion) I S 5 r 0 0 0 AUTOMOBILE LIABILITY 9981934 1 5/28/01 1 5/28/02 1 —ANY AUTO COMBINED SINGLE LIMIT i — ALL OWNED AUTOS i I BODILY INJURY j X SCHEDULED AUTOS I (Por person) _ _ 500, 000 X HIRED AUTOS I i I IPOaINJURY _X-NON-OWNED AUTOS 001wrt) S 1� 000, 000_Irj — 1 I PROPERTY DAMAGE I j 500 , 000 GARAGE LIABILITY I I AUTO ONLY-EA ACCIDENTS —ANY AUTO I I rOTHER THAN AUTO ONLY: I i I —__—. EACH ACCIDENT I I — AGGREGATE TS EXCESS LIABILITY i I EACH_OCCUR_RE_NCE is - I UMBRELLA FORM I I � AGGREGATE_ OTHER THAN UMBRELLA FORM I I S WORKERS COMPENSATION AND WC 17 9 4 0 6 2 5 0105/28/01 5/28/ 02 X TORY LIMITS ER EMPLOYERS'LIABILITY I I LEL EACH ACCIDENT $ 10 PARTNERS/EXECUTNE THE PROPRIETOR/ l i WCL I I I EL DISEASE-POLICY LIMIT I s 500, 000 , OFFICERS ARE: I I EXCL I I EL DISEASE-EA EMPLOYEE I S 100, 000 OTHER I DESCRIPTION OF OPERATIONSA.00ATK)NS;VENICLESrSPECIAL ITEMS T :.•. ..•.•.•.•::......•:.• ........•.:•.:. .:.•.•.•:.•.•.•.:•.•.•::...... ... C£R fFPCATB .kf04AEH CAHC£t IATIQN: > ':< > :; :. :.:<: ::..... `:: .. `.. .. ........ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE j LAMBERT ROOFING CO INC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL � MERRIMAC VALLEY ROOFING CO INC �0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 37 STEVENS ST BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIOATION OR LIABILITY HAVERHILL MA 01530 OF ANY KIND UPON THE CO PANYl ITS AGENTS OR REPRESENTATIVES. AUTHORRfD REPRESENTATIVE �+�!' - --- // NORTH TONM of over 0win No. 1VL C�_GG over, Mass. -S� COCHI E ORATED K BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...........D..4.10V...........�A. 4e A..) ..... ............................................................. .... • Foundation has permission to em0a.....ZI.R1...P.... buildings an.....Y-Q..q........BPAC/. .......44�.. Rough to be occupied as......!*....... Chimney ......................................................... ..... ....... ......* provided that the person accepting this permit shall in every respectconform to the terms of the appl0tn....onfilein Final this office, and to the provisions of the Codes and By-Laws relating to the In pection, Alteration and Construction of Buildings in the Town of North Andover. AJSO,- PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .... .. ................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No.. SEE REVERSE SIDE Smoke Det.