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HomeMy WebLinkAboutMiscellaneous - 356 APPLETON STREET 4/30/2018Date ....... TOWN OF NORTH ANDOVER 0 0 PERMIT FOR WIRING SAC14US This certifies ......................... has permission to perform ..... ..... .. .................... wiring in the building of ......... ......................... ........................... .. ........... (.. .... ,North Andover,.M...as. Fee c...... ic. No4Nf.. .......... ..�sK.. ELECTRICAL s Check # 8382 t} Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 93 4F .A, Occupancy and Fee Checked [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 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: T _. L & --4 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her mit ti to perform the electrical work described below. Location (Street & Number) 3,S` '40,11,11/1. Owner or Tenant 'n- �. �® Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes u No ❑ (Check Appropriate Box) Purpose of Building i — , Utility Authorization No. Existing Service Z4 -7D ps jay /.7-4/0 Volts Overhead ❑ Undgrd Q� No. of Meters New Service Amps / Volts . Overhead ❑ Und rd g ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: F Cmmnletinn of th,, fnllnu» — mm, ho --;--4 A„ r&„ t. . „tr cv:-, No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No, of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. 'n -d. o. o Emergency Lighting BatteryUnits No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones , No. of Switches No. of .Gas Burners No. of Detection and InitiatingDevices No. of Ranges No. of Air Cond. Totem Tons No. of Alerting Devices g No. of Waste Disposers H Totals: . - I KW ..... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers No. of Water KW Heaters Heating Appliances KW of o. of Si ns Ballasts Signs Security Systems:* No. of Devices or Equivalent Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of E ectrical Work: 2S—Zfp (When required by municipal policy.) Work to Start: e7l.2 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C VERAGE: 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 cove a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, und�erhe p ins and penalties of perjury, that the information on this application is true and complete. FIRM NAM�y �J -. { Z LIC. NO.:_1�a,2g�Licensee: �� Signature LIC. NO.: 2s Y -Z;t E (If applicableter "exempt" in the license number line.) Bus. Tel. No.: Address: is^t_ `� �,, / Alt, Tel. No.: *Per M.G.L c. 147, s 57-61,security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner E] owner's agent. Owner/Agent Signature Telephone No.PERMIT FEE. $.R:S 1 F TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 9s +O++no ✓`ty ,SSACMU5. This certifies tha�...:........... " ... . has permission to perform--- L-'-- ................ plumbing in the- buildings of ....... .... ........... . North Andover; -.Mass. Fee Lic. No..... ........... . PLUMBING INSPECTOR Check # Q>20 -:S-/ 7855 FIXTURES MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: &-, ll�1l/i�P,lr , MA. Date: 7 "2� 01 Permit# Building Location: ,moi SIO 1Dp �74VP Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential [ - - New: ❑ Alteration: ❑ Renovation: ❑ Replacement: 21' Pians Submitted: Yes ❑ No ❑ FIXTURES I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ["No ❑ If you have checked Yes. please indicate the type of coverage by checking the appropriate box below. A liability insurance policy E3 Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: i am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only ze6 , Owner ❑ Agent ❑ I hereby certify that all of the details and Information I have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts state Plumbing Code and Chapter 142 of the General Laws. By Type of License: !, Z Title ❑ Plumber Signature of Lic ns- C� Plumber Cityrrown ❑ Master Z APPROVED OFFICE USE ONLY) []journeyman Number: I'Journeyman y Z Z N Y Z J V = H W a W a F- rn gI CO Z O M 1-- Q p a W 0 a w O o w Z = p I- 3 x °z a LL$ a a z re W W W SUB BSMT. BASEMENT —f FLOOR �i ✓ 2 FLOOR 3HO FLOOR 4 FLOOR 5 FLOOR -i 'FLOOR 7 FLOOR 8 FLOOR `lL Ad Check One Only Certificate # Installing Company Name: 0j a f❑ �t (� l � Address: ZOBOo�Wy� W City/Town: M State: Corporation CQA-0 C1 Partnership Business Tel: '(00r3 `� `1 S� Z Fax: ❑ Finn/Company Name of Licensed Plumber: 30'3.2 I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ["No ❑ If you have checked Yes. please indicate the type of coverage by checking the appropriate box below. A liability insurance policy E3 Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: i am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only ze6 , Owner ❑ Agent ❑ I hereby certify that all of the details and Information I have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts state Plumbing Code and Chapter 142 of the General Laws. By Type of License: !, Z Title ❑ Plumber Signature of Lic ns- C� Plumber Cityrrown ❑ Master Z APPROVED OFFICE USE ONLY) []journeyman Number: I'Journeyman y s w COMMONWEALTH OF MASSACHUSETTS D 0 O • 0 I PLUMBER LICENSED ASA 'OURNEYMAN PLUM ISSUES THIS.LICENSE TO E N2' 2873 DateC��- ........ . ...... / ......... 9 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4 This certifies that 422 -210 . ............ / ............................................................. hAs permission to perform ....... � . ................................... wiring in the building of .... �.)' ......... '. at ...... ......... . North Andover, Mass. Fee....... ............. Lic. No. ....... z ............................................ ELECTRICAL INSPECTOR Check WHITE: Applicant CANARY: Building Dept. PINK: Treasurer a Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [Rev, 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance %%ith the Massachusetts Electrical Code (h ECI 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:�"9 City or Town of:�� To the Inspector of Wires: By this application the undersigted gives notice of his or her intention to perform the electrical Avork described below. Location (Street & Number) 4 r) nI p --�rrn Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps I Volts Number of Feeders and Ampacity Location.and Nature of Proposed Electrical Work: Telephone Yes ❑ No J'av-] (Check Appropriate Boa) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑" No. of Mciers No. of Recessed Fixtures INo. --... - ... , ... .. of Ceil-Susp. (Paddle) Fans (Transformers uv" n lveu w the i sped r o/ n•ires. N0. of KVA No. of Lighting, Outlets INo. of Hot Tubs Generators KVA 'No. of Lighting FixturesSnimming Pool Above ❑ In- o. o mergency tg ting b grnd. -rnd. Batters Units No. of Receptacle OutletsNo. of Oil Burners - FIRE ALARMS INo. of Zones No. of Snitches INo, of Gas Burners. INo. of Detection and Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices e No. of Waste Disposers (Heat Pump Number Tons I KW INo. of Self -Contained Totals: Detection/Alerting Devices _il No. of Dishwashers ISpace/AreaHeating KW . `Local ❑ Municipal 11 Other Connection No. of Drvers HeatingAppliancesk'W securitySystems: No. of Devices or E uivalent No: o !� ater Ir'W No. o o. o Sites Ballasts (Data Wiring: No. of Devices or Eouivalent No. Hydromassage Bathtubs INo. of Motors Total iiP Telecommunications Wiring: No. of Devices or Equivalent OTHER nuucn uaawonaaerau y acsirea, or as regutrea btu the Inspector of II••ires. 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 undersimed ceniffes that such coverag,e is in force, and has exhibited proof of same to the permit issuing, office. CHECK 0NE: INSURANCE 0 - BOND- 0. OTHER ❑ (Specify:) Valu Est(Expirauon Date) imated of Electrical W6r1: (When required,by municipal policy.) Work to-StarC y Inspections iobe requested in accordance «ittt'MEC Rule 10, and upon completion. I certifi, under the pains and penalties of perjury; that the information on th' is application is true and.complete. FIRM NAME: ADT Security Services 111 Morse Street, Non4oMA 02062 LIC. NO.: 1533C Licensee: John S. Bassett Signatur LIC. NO.: 1333C (lfopplicable• ewer "csentpl"in the license nuntberlinc.) / Bus. Tel. No.: — 1 Address: Alt Tel. No.: 128 resi OW'NER'S INSURANCE WAIVER: I atm aware that the Lixensee does not have the liability insurance coverage normally ONLY required b}lacy. B}• my signature bclow, I hereby waive this requirement. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/A-ent Si�naturc Trl—o,r—P Nn PERMIT FFF- -� 355 ab I 1 C� 3446 Date.. C.G.. . TOWN OF NORTH ANDOVER " PERMIT FOR GAS INSTALLATION r This certifies that .... PIJ.... R., �? �./ ,./ ... !7l ........ has permission for gas installation .. f ! !1.1. j �/ I I- .. / /- / '- in the buildings of ..... /, . ............................ o at... ? >..� ..f'� ?�.4 .:........... I North Andover, Mass. Fee.....,.... Lic. No.. GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING • (Print/orr Type) T �% Mass. Date r' /31'Permit # 16 ti Nil- Building Location .35&i /lee f72S%, Owner's Name 0Nl New (B--' Renovation ❑ Replacement ❑ Type of Occ�ry Submitted: Yes❑ No� Installing Company Name Address t�01-447/A/6?VrY Zip code ('492 ) Business Telephoned Name of Licensed Plumber or Gas Fitter L _,l 11CW1__1C1_ ,,,54eck one: Corporation ❑ Partnership ❑ Firm/Co. Certificate INSURANCE COVERAGE: I have a current liar. insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ILIs'' No ❑ If you have checked►Les. please Ind the type coverage by checking the appropriate box. A liability insurance polity 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: Signature of Owner or Owner's Agent Owner❑ Agent ❑ I hereby oertiy that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my krtoMAedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all wtinent provisions of the Massachusetts State Gas Code and ChaDter 142 of the Gener ws. Permit fee: $T cense: um gnat re of umber or Gas Fitter er Receipt #er License Number�� Journeyman Date permit granted: Gas Inspector id EiiEmm�i moMENiINN Installing Company Name Address t�01-447/A/6?VrY Zip code ('492 ) Business Telephoned Name of Licensed Plumber or Gas Fitter L _,l 11CW1__1C1_ ,,,54eck one: Corporation ❑ Partnership ❑ Firm/Co. Certificate INSURANCE COVERAGE: I have a current liar. insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ILIs'' No ❑ If you have checked►Les. please Ind the type coverage by checking the appropriate box. A liability insurance polity 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: Signature of Owner or Owner's Agent Owner❑ Agent ❑ I hereby oertiy that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my krtoMAedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all wtinent provisions of the Massachusetts State Gas Code and ChaDter 142 of the Gener ws. Permit fee: $T cense: um gnat re of umber or Gas Fitter er Receipt #er License Number�� Journeyman Date permit granted: Gas Inspector Date.... ./... f . t/ ...... . j A i t _ "ORT1y � O�Oh•�..,o ,•,�y0 Al TOWN OF NORTH ANDOVER F A MOO PERMIT FOR GAS INSTALLATION �9 . 9 �9SSAC MUSES., This certifies that ............. ....... .. .... . has permission for gas installation _. ifi . .. ......... in the buildings of ... at S0. / ?! . ... ; North Andover, Mass. .� 'R-3 Q _ GASINSPECTOR Check 4772 MASSACHUSETTS -UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass City, Town Building AT: Location 0\-)e 1-11V [k�_iuv l I I New ❑ Renovation ❑ � Plans Submitted Yes ❑ No ❑ Date 6 Z�- 6 y 19 i� Permit # 47 7 M Owner's} Name ��`t Type of Occupancy: _RAS, Replacement (Print or Type) __� Installing Company Name �ICIox 1-j 'C. (Vic Business Telephone S®l? 4('�� Check One: -RiKcorp. —� ❑ Partnership /e C ❑ Firm/ Company Name of Licepsed. Plumberor Gasfitter Certificate 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 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operation; Signature of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. 01— .By 1—.By TYPE LICENSE: Title Number City/Town ❑ Gasfitter ~'►' APPROVED (OFFICE USE ONLY) Eg-laaster ❑ Journeyman FORM 1243 HOBBs d WARREN. INC. 1989 License Number -7- N W to Y Z g: C'! I� I N S OC fA 6C O to S W J N W O V Cr a f- g. Z Z O F^ BC Z O W Qt rY O O= W 1— 0: OD 0F' W W_ a X W a ' to W O Z V W W N W F. O e In W H Z W W N Z d, F' a X Z fx W W tC O O W .� a W H N U J F W XC7 F F• y. N Z 4 Z cc O N Z Q Ul j OC W O 2 Q tc Q a O O W O W F - Ac x o O Y W M 3 in Cti J v cc a o a a- o SUB-BSMT, BASEMENT 1 1STFLOOR 2ND FLOOR 3RDFL0ORh r 5TH FLOOR 6THFLOOR .7TH FLOOR STH FLOOR (Print or Type) __� Installing Company Name �ICIox 1-j 'C. (Vic Business Telephone S®l? 4('�� Check One: -RiKcorp. —� ❑ Partnership /e C ❑ Firm/ Company Name of Licepsed. Plumberor Gasfitter Certificate 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 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operation; Signature of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. 01— .By 1—.By TYPE LICENSE: Title Number City/Town ❑ Gasfitter ~'►' APPROVED (OFFICE USE ONLY) Eg-laaster ❑ Journeyman FORM 1243 HOBBs d WARREN. INC. 1989 License Number v m r_ �y m � C m z � o rp m r c� m m m a r � m r O Z � m m 0 0 c O N m v o o z G7 r z c� -1 Date. ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that has permission for gas installation ...... ................ in the buildings of ............................. at ........... . ...... North Andover, Mass. FeIei7K ...... Liic J No2'5�� y ... Check # 2-- 4491 MASSACHUSETTS UNIFORM APPLICATION FOR P (Print or Type) AT: P—(' mass. City, Town Building 3S�/4Location'E5 T New ❑ Renovation ❑ Plans Submitted Yes ❑ No ❑ TO DO GASFITTING Date(b)1H CEJ 19 Permit #- Owner's Name - Type of Occupancy: TZIP s, Replacement Sigmture of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. IN -6— -B-Y- TYPE LICENSE: Title -e-?rumber ❑Gasfitter City/Town 4��aster APPROVED (OFFICE USE ONLY) D Journeyman 9 <ZQ1 41 License Number W CC cn I= rn W cc W cu, fn cc 1= 0 0 :3 Cd cn = W 0 -1 0 CC W k < c) Z M. 0 C) Z tY MOW M W N -.4= W LU U) W O ZF- N cc 0. 0 W W WW cc F, Z W 2 Ld U1 0 0 > = LL 0 H z L) LL, -j 0 in W 0 c7 W :C u. Z M 3 >- cc 0 Cd Q 0 L) 0 a: W > o 0 a W r 0, SUB—BSMT. BASEMENT I. IST FLOOR 2ND FLOOR t' s r ? 3RD "FLOOR p 4TH FLOOR 5TH FLOOR 6TH FLOOR I t 7TH FLOOR 8TH FLOOR Li Check One: Certificate (Print or Type) 4-f r4 A-, Q- [Corp. F C Installing Company NameAQ P(, - Address 115 1A 01 40A �7— El Partnership hem 'bi 9L El Firm/Company tt Business Telephone Name fL*. daPrIpber or Gas f i • r `2 \j t za n,r) 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 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations covePT'. Sigmture of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. IN -6— -B-Y- TYPE LICENSE: Title -e-?rumber ❑Gasfitter City/Town 4��aster APPROVED (OFFICE USE ONLY) D Journeyman 9 <ZQ1 41 License Number z D r z m 0 z m n x m c n D m f� z n, m > A O m _i v �' m O x z -� r -.1 m m O N o m v i O a O Z � � Z � N Cl) to m -a I _ O O z _ z O G1 m - N N Z m O z Location No. Date HORTh TOWN OF NORTH ANDOVER _ _ • OL A Certificate of Occupancy $ ACMUSEta Building/Frame Permit Fee $ Foundation Permit Fee $ 1 Other Permit Fee $ TOTAL $ Check # U1 19147 11w0.6rng Inspector OORTM Of t.�o 1ti0 ,SSACHUSE� Permit NO: (� Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received: q- 2 IMPORTANT: Applicant must complete all items on this page LOCATION 'S6 App H�m PROPERTY OWNER Ji9,-n b MAP NO.: S PARCEL -rvnc A Nn rrcr, nu rnrirr nnvC- Pint Me I I j-& I— Print I L43 ZONING DISTRICT: FrrCTnQFC nrCTRIC T VFR n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition X. Alteration 4­0ne family ❑ Two or more family No. of units: ❑ Industrial E. Repair, replacement n Demolition ❑ Assessory Bldg ❑ Commercial C. Moving (relocation) ❑ Other ❑ Others: Foundation only DESCRIPTION OF WOKK 10 BE FKU'UK-Mh1J ent kation .Please j pe or Print Clearly) OWNER: Name: f j� T �r Phone: l �� 68?-IJ8(3 _ na Sigre Address: �S ion CONTRACTOR Name:�T-Cf�tK ___ _---- --_ Phond-------- Address: `i 9S �t.1 Supervisor's Construction License: Exp. Date: Home Improvement License: I CDG a-3� Exp. Date: aRCHITECTiENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE: BOLDING P MIT: $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S. F. Total Project Costi_ x1b,:00=FEE:$_ FJ. 0* r Check No.: 0 ->� Receipt No.:191/w_ Page I off Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses V ❑ Copy Of Contract I ❑ Floor/Crossection/Elevation Plan Of.Proposed Work With Sprinkler Plan And Hydrauli Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers -Comp Affidavit ❑ Two Sets of Building Plans (One To. Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SEANAC ES DEI'.%R'I'NIEN'1':131'1-'OR'41115 Paige 4 of 4 Building Setback Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided 1 / DIMENSION Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NO I ES and DA 1 A — ( I -or Page 3 oro 0-t,d JMC. Jan.=Jury TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Ail 1_7: Swimming Pools J PublicVf— Sewer — Tobacco Sales --- Food PackagingiSales Well— Private (septic tank, etc. ❑ Permanent Dumpster on Site Electric Meter location to project NOTE: Persons contracting wit unre s rtra s rlo not nave access to rite gna � nry./taro Signature of A 7ent/Owner Signature of Contractor V Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED Fl - []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other ATE REJECTED DATE APPROVED COMMENTSCONSERVATfl�Q�� \ • bN1 A _ 'f1 HEALTH z COMMENTS Zoning Board of Appeals: Variance, Petition N Zoning Decision/receipt submitted yes Plannin- Board Decision: Conservation Decision: DATE REJECTED rl Comments Gonne Water & Sewer connection signature & date Temp Dumpster on site yes no,>6 Fire Department signature:'date Building Permit Approved and Issued by: Page 2 of ❑ DATE APPROVED h W s� x U Cf) o w° rL U w w d w w a4 ci) co w v� ; a�4 —co w w x CO cn o cn o � C H V V ACL p, C A O C O o y �Ea c CDm Q. co `om s cm mi ..1 � voi I E +cmo cr. o ; 3 N r m J � C �, E m ro S mo 75 CLC cm cmor CSCC b- — O y ti O m l m v O V: W'SZ o 0 CL a Q CD - 3 nt � o $ vi 4D m COD z W c 2 CLS1° C O W'E ca .0 CO3 �h o N� cm 4D 0 a m� o� Z w = G E— t .o., 1 iz CD F. r O W cm CO2 O .CO2 O CD g m m co cl CD C I-.0-0 t O� 3� Ci Cl O i cc O d CL ora c ev CL 0 4DV C Z tsO CL v y O C — C- -� C c COD Board of Building Regulations and Standards . HOME IMPROVEMENT CONTRACTOR Registration: 100239 Expiration: 6/15/2006 Type.: DBA ROBERT C. BAILEY/ BLDG. & REMODEL. Robert Bailey 499 Waverly Rd v� N. Andover, MA 01845 Administrator License or registration „-valid °for jindiv.idul use only before the'expiration date If found return:to: Board of Building Regplations.and Standards OneAshb4rtQR PkagRm BustaaM� Not valid without signature/ `�Lze �ar�:-nu-rzcuenC� a�'.1'G��;1ac�u�6eCtb BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR i Number: CS 025620 Birthdate: 03/10/1947 Expires: 03/10/2008 Tr. no: 13375 ��. • Restricted: 00 ROBER —C BAILEY 499 WAVERLY RD N ANDOVER, MA 01845 Commissioner yr^wK..�.+r-«.•,.r:•.v..n.�r.���..•-�M..n...... .�«rr.. ,r.. .._.M_. -...... , ww.s*-.-�....�+c..r„s^"'�te-�a.. r..+.�.�-�..-.�.�.nT{{Y..ww•H.r<rok�.r ..y��r,.»...s�......+nn�l,,,..�.+i.-^r-r^..-...^ii^w-�.,'�+r..,v,�R*NJ'^+s'�w'�+•i.,."w+h...•..., j'j� ®1I,., �ft C. Bailey ey Finish Work a Specialty 1j0 �,y y� JL Quality Workmanship Building & Remodeling Free Estimates 499 Waverly Road Builders License #025620 North Andover, MA 01845 Home Improvement Telephone (978) 682-7087 Contractor #100239 TO JOB LOCATION Mr. & Mrs. James ICY lolar 356 Appleton Street North Andover, Mass. 01845 L DATE, 'DATE COMPLETED TERMS CONTRACT e -4/22:%0 same I L I PROPOSAL I BILLING PAGE NO. --I ~ X X X �OF --2— PAGES JOB DESCRIPTION: Rear Deck Construction All parts of this proposal are based upon actual examination of the proposed construction site and reference being made to submitted sketches and overall site plan conditions. The contractor shall excavattonine.(9) 48” ddep holes approximately 24" in diameter to accommodate "Big Foot" bases accompanied by the installation of,12" sonotbbes. Once installed,these assemblies shall be filled with 2500 psi concretteand be even with or slightly abbve existing grade. All nine locations shall match those of the submitted plans. The contractor shall rough grade and backfill the area immediately adjacent to the excavation holes upon completion of inspection. 6x6 Pressure treated posts shall extend from the base of these footings to the underside of the G -2x12 Pressure treated carrying timber at outlined on the plan,.. --Metal fasteners, (decking) shall be ased to ;httech the 6x6 posts to the main carrying,ibeams. All floor joists shall bedpressure treated 2x8 construction at 1611 -on center. These floc joists shall run perpendicuthe to the rear of the main house and existing enclosed porch. There is no provision in this quote for the removal of the existing Lally columns which support the enclosed porch. Additional support for the rear porchi,and framing members of it,, shall be supplied by cantilevering decking floor joists under al,l enclosed b porch f loor- joist locations -r at -1-6-" ,interv:al=$-, -t-hus revenly -d-1st--f=_but-in-g the loat of the porch framing onto the reinfor ed decking assembllo There will be a 71' step down frodimthe enclosed porch floor level to that of newly proposed decking structure. All framing stock for the deck shall be pressure treated. All fastening materials shall be stainless steel construction. A perimeter bathing joists will be required w6hre is deck adjoins the main house structure to the right of the enclosed porch. Throughout this 16n foot wide section, the conttactor shall use an ineeaeddwater membrane followed by the installation of the badtbgg joist. The joist shall be secure -to the house by the use of stainless st1 screws (311). Existing clapboard shall be stripped up hiih encough so hat the balding joists tan be secured to the house framing directly. The contractor shall make Use of metal joist hangers to secure floor joists to the banding member. The deck feRming shall be dbagonal at the point where the proposed stair sectio Is to be installed. 4. A1,1 perimeter floor joist badding around the new deck shall be by the use of T double 2x8 construction. DATE ' DATE COMPLETED TERMS CONTRACT PROPOSAL BILLING PAGE NO. 2 4/,22 XXX OF 2 PAGES JOB DESCRIPTION: Rear Deck Construction All finish grading,, lanscaping,, and irrigation controls shall be completed by.. others and are not part of.this ppoposale The deck stttr construction shall consist of 2,12 stra6ggrs at 16" intervals . to accommodate the three steps as illustrated on the submitted pain.. The bobttaactor shall use 5/4 x 6 "TimberTech" decking� secured to the deck joists w6th the use of stainless steel deck sb`rews. Deck color sekbction and finish shall be by owner. Around the perimt6er of the d6ek framing structure,, the contractor shall install "TimberTech" twin fascia boards to cover over the pressure treated stock and in the color to match decking material. All r', ailing sections shall be "TimberTech" Radiance Rail System. Rail sections `s,hal i be 61.-,ar less,, have post covers to cover over 4x4 support posts (pfessurelreated),;,post caps and post skirtsd Rail height shall be ' 36' ywl,ess otherwise specified by wner� Al „,ba-�l.,u•ste�r--s. shall square tain spacing of 4" or less b`etwe ti' lusters to,,meet'"'code qe- '1 _ r' •q u ttemaen t s .,,..H Ra,i-lings and posts, etc. on ,the stairs shall -match those -bf the remaining deck. 'Construction deb�riskshall be If/' of by the use of an on-site dumpster supplied by,-,pumpster Dbpoti, Derry, NH. • Hereby Propose to furnish labor„and materials complete in accordance with the above specifications for the sum of $ 92122448 (Ninety-two Hundred twelveaedd---------------48/100) Witpaymenttobemade-as'follows: one third due upon installation of big foot are4s nd pow�r�i d of concrete; one third due upon completion of, carrying b ams deck framing superstnecture; one third due upon comple-t-lorf of work as outlined. All material is guaranteed to be as specified. All work is to be completed in a workmanlike 4 manner according to standard practices. Any alteration or deviation from above Authorize' sp6cificat'lons involving extra costs will be -executed only upon written orders and will Signature become an extra charge over and above the estimate. All agreements contingent upon strikes, adcidents or delays beyond our control. Owner to carry fire, tornado and other Note: This proposal may be withdrawn by not necessary insurance. b accepted within 'Accep 'ante of Proposal- The above prices, specifications and- . t�r►ditions are satisfactory and are hereby accepted. You are Signature �- Authorized to do the work 9sspecified. Payment will b made r as outli ed above: qtrL Signature Date Accepted ✓. Vomnwruuecal� o�`/v aaclivael76 . Board of Building Regulations and Standards y HOME IMPROVEMENT CONTRACTW11 Registration: 104908 Expiration: 7/15/2006 Type: Individual +'`+ MARK S. BUNKER BUILDING AND REMOLD Mark Bunker X. 6 Glendale Street Haverhill, MA 01832 Administrator. License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston, Ma. 02108 4,ptvalid without signature p G4L4:W�"' TIO REGVI A 1BU11,01NG SUPE 1301"?ONSTRUC0 S ,erase. p54228 Number: CS 4j1g64 14549 i3irthdate- 0112 008 tr no Expires: 0112412 e� Restricted p0Mp, Kr, - iNK� Co,Y,missw^er HAVO -EVA - MA 01832 APR-20-2006(THU) 10:29 W.C. Sullivan Insurance Agency (FAX)9783732281 P.001/003 ACOR-Q, CERTIFICATE OF LIABILITY INSURANCE °oat 0/20°006 �RODOCER (978)372-2790 FAX (978)373-2281 Sullivan Insurance Agency, Inc. 487 Groveland Street Haverhill, NA 01830 THIS CER71FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE MAIC # N9RED Bunker Building & Remodel, Mark 6 Glendale Street Haverhill, NA 01830 INS'JRERA. CDmmierce Insurance 34754 INS'URERB. INSURER C INSURER D INSURER E: COVERAGES 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 VIMICH 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSItMSRM TYI'EOFNSURANIf POLICYNUFBHt IN POLICYEFFECIIYE POLICYEXPRATION LIMITS GENERAL LIABILITY XT7153 11/01/2005 11/01/2006 EACH OCCURRENCE $ 300,0041 X COMMERCIAL GENERAL UABILITY DAMAGETOII ITED $ 50,00 CLAMS MADE T OCCUR MED EXP (Any ane person) $ 5,00( A PERSONAL &ADVINJ'JRY $ 300,00 GENERAL AGGREGATE $ 300,00 GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOPAGG $ 300,00 POLICY jE 7 LOC AMONOBI.E LIABILITY COMBI NED SI NGLE LI MIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Parperson) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ALTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCI I A L0lRl17Y EACH OCCURRENCE $ OCCUR FICLAMSMADE AGGREGATE $ $ DEDJ CTI BLE $ RETENTION $ ■ORKHISCOMPENSATION AND WCSTA TIIJ DTI+ O R IMS R EMPLOYERS' �' E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIE}ECJTIVE E.L. DISEASE - EAEMPLOY $ OFR CERIMEMBER EXCLUDED? If yes. describe under E.L. DISEASE. POLICY LIMIT $ SPECIAL PROVISIONS below OTHER CRIPTITO� 0PERA71ONSIL0CATI0NS1Y911T1E51EXCLUSI0NS ADDED BYEND0RSiN—MT1SPECIAL PR.0Y190NS CARPE COMMONWEALTH MOTORS LAWRENCE, NA 01841 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE 11EtE0F, THE IS'UNS N9IREIT WLL ENDEAVOR TO NAIL DAYS WRR7ENNOTICE TOTHE CIRMCATEHOLDERNA ED TO THE LEFT, BUr FAILURE TO NAL SUCH ND710E SHALL IMPOSE NO OBLIGATION OR LIABIIFY OF ANY KIND UPON7FE INISUREIII FIS AGENTS ORRH'ESENTATIYES NORAD REPRESENTATIVE ry Derby/NTD `d ACORD 2S (2801108) FAX: (978)685-6019 ®ACORD CORPORATION 1988 APR-20-2006(THU) 10:29 W.C. Sullivan Insurance Agency (FAX)9783732281 P,003/003 Additional Coverages and Factors 04/20/2006 Line of Business Coverages for General Liability Coverage Limits Bed/bed Type Rate Premium Factor General Aggregate 300,000 Products/Completed Ops 300,000 Aggregate Personal & Advertising 300,00.0 Injury Each Occurrence 300,000 Fire Damage 50,000 Medical Expense 5,000 � °o - 7t w Y• v U l O _ �D <Z d S%) 0 Fil C'1 Ix v W