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
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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
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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
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TOWN OF NORTH ANDOVER
F A
MOO
PERMIT FOR GAS INSTALLATION
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�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
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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
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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:
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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
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APPROVED (OFFICE USE ONLY) D Journeyman
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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
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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
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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
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