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HomeMy WebLinkAboutMiscellaneous - 37 LINCOLN STREET 4/30/2018r_ Date .. 7-,/.P/.).7 e!Y2 ...... 14` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION a This certifies that ... !` .. P- . . has permission for gas installation���v� ..-.--:1...-�..'-�tt:�........ . in the buildings of ., ..�. ... ................. at `a..�........ North Andover, Mass. Fee ; ... Lic. No........... .... .................... GASINSPECTOR Check # =00 >< MASSACHUSETTS UN FORM APPUCATON FOR PERMIT TO DO GAS F rnNG (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations Owner's Name New Renovation ❑ Replacement Datee Permit # 91 d Amount $ 7 Plans Submitted ❑ SU B-BASEM ENT BASEMENT 1ST. FLOOR 2N D. 3RD. FLO O R FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. 9TH. Z F O a U F w d G -z Z w F d x > dF a o d > W a H SU B-BASEM ENT BASEMENT 1ST. FLOOR 2N D. 3RD. FLO O R FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. 9TH. FLOOR FLOOR (Print or type) j C Name .1 O ,�- /-7�- Check one: Certificate Installing Company ❑ Corp. Name of Licensed Plumber'or Gas Fitter Ale UPartner. aFirm/Co. INSURANCE COVERAGE I have a current liability Insurance, policy or it's substantial equivalent. Yesck one: If you have checked es please indicate the type coverage by checking the appropriate box. No❑ Liability insurance policy ❑ - Other type of indemnity D 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. Signature of Owner or Owner's Agent Check one: Owner ❑ 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 13 best of my knowledge and that all plumbing work and install Io s perfor dun r P rmit Is�suo for application will be in compliance with all pertinent provisions of the Massachu tate Gas oded Chpter 14f thperal Laws. BYnature of Licensed Plumber Or Gas Fitter Title Plumber ❑ , 3� City/Town:, Gas Fitter License wumoer .Master APPROVED (OFFICE USE ONLY) 0 Journeyman U w vI F O a U F Z x > dF a o W Check one: Certificate Installing Company ❑ Corp. Name of Licensed Plumber'or Gas Fitter Ale UPartner. aFirm/Co. INSURANCE COVERAGE I have a current liability Insurance, policy or it's substantial equivalent. Yesck one: If you have checked es please indicate the type coverage by checking the appropriate box. No❑ Liability insurance policy ❑ - Other type of indemnity D 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. Signature of Owner or Owner's Agent Check one: Owner ❑ 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 13 best of my knowledge and that all plumbing work and install Io s perfor dun r P rmit Is�suo for application will be in compliance with all pertinent provisions of the Massachu tate Gas oded Chpter 14f thperal Laws. BYnature of Licensed Plumber Or Gas Fitter Title Plumber ❑ , 3� City/Town:, Gas Fitter License wumoer .Master APPROVED (OFFICE USE ONLY) 0 Journeyman Date....l`:'� ..��. . . 3? °• TOWN OF NORTH ANDOVER O D o, PERMIT FOR GAS INSTALLATION 3 '�•,.,, .••';qty SA US This certifies that ...15t . has permission for gas ms�llllation .. ....... . in the buildings of ..... at ..... y/ �� .. ; .......................... . , North Andover, Mass. Fee'....... Lic. No.�'..... • ...:.... . C IN C • R Check # v� s �( 6448 - Location -P ". No. ��� Date ��- -03 i "�,_ TOWN OF NORTH ANDOVER � A Certificate of Occupancy $ � 07 w�iir4 rev <� Building/Frame Permit Fee $ /-/II MU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # A,� 18721 Butldinginspliktor T®WN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT 5VAI& RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING ✓7 7 y BUILDING PERMIT NUMBER: � So DATE ISSUED: A)as � SIGNATURE: kt Building Commissioner/I r of Buildings Date /p D 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 District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard ReqWrW Provide Reqltired Provided red Provided 1.7 Water SuPPIy M G I C.40. 54) 1.5. Flood Zone Infomution: 1.8 Sewerage Disposal System: Public 0 Private %- I zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPER' -Y (XWWERSHWIAUTHORIZED AGENT Historic District: Yes _ No _ 2.1 Owner of Record meert, Covfyre 37431 Gt-ocohl S�- Name (Print) Address for Service: Signature Telephone 2a2 Owner of Record: 7 Mame Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ _marc, Caw4Ute-- Licensed Construction Supervisor: ` f � LCr �i G'Ft� •'>cr %{c� �c� L yY, os-� a �j �/ License Number Address RX /r 603 -Fr rS-ao Expiration Date �—� Telephones /7 0 0 t. 3.2 Registered Home Improvement Contractor Not Ap Gcable 0 PgU.1 COV+car-, t / G Cl y Company Name ll t4 6, Q q I1 � 2C7 �d l Od Registration Number Address / f �Q 07 Expirahon St nature Telephone 00 M X Z O O z M go 0 r M r Z 0 SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 2506) 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 permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all a Ucable New Construction Existing Building ❑ Repair(s) ❑ Alterations(s)' ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify, Brief Description of Proposed Work: O /Y w1101)01��[, s Lov, lyes Vy'ng J-Ows' SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to ber Completed b permit applicant / 130, o ® ` OFFICIAL ;�°_'� (a) µBuilding Permit Fee Multi lier USEpNLY� , 2 Electrical (b) Estimated Total Cost of `Construction 3 Plumbing Building Permit fee (a) x lel a 4 Mechanical HVAC 5 Fire Protection f 6 Total 1+2+3+4+5 / �}r 00 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRAC R APPLIES FOR BUILDING PERMIT as 06 er/Authorized Agent of subject property Hereby authorize V to act on My behalf, in all matters relative to work authorized by this building permit application.,,, .-� is os Signature of Owner l5ate 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 Owner/A ent Date RIES SIZE OR SLAB OOR TIMBERS 1 2 3S I OF SILLS NS OF POSTS NS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE N M O z LLI am ra CD ' C O :AM m C O � C � : O y C U V d� CL. C A W m C :oma Ea o m o o a, N EE �m �o~ �c$ m c CA iv E m :m3Go t C :I. _m 9 —° -0 Go = c c �W o •t".+ y :av` m H '09 C O L m C3 o 0 Z coo cm yCL c O C c a o "mom~ z CLI c v� W O Obi C ••t O� CL= Z., O a..., m M I 41 O E CDL CD Z h O C I CD Ccm O•— � p� 'E cc m CD Z O.0 O O O evv o a � o�Q O y.r C O co C CL o CD zts CD V y O C — h 0 LLI ch LLI U) W W o a a E LLI am ra CD ' C O :AM m C O � C � : O y C U V d� CL. C A W m C :oma Ea o m o o a, N EE �m �o~ �c$ m c CA iv E m :m3Go t C :I. _m 9 —° -0 Go = c c �W o •t".+ y :av` m H '09 C O L m C3 o 0 Z coo cm yCL c O C c a o "mom~ z CLI c v� W O Obi C ••t O� CL= Z., O a..., m M I 41 O E CDL CD Z h O C I CD Ccm O•— � p� 'E cc m CD Z O.0 O O O evv o a � o�Q O y.r C O co C CL o CD zts CD V y O C — h 0 LLI ch LLI U) W W ./�11F' (_0(J Y1ZJ/K7G(UP,C!•%/! (J/,.1'(IIJJ(LClI-Cl9P.tld BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 092194 Birthdate: 07/17/1980 T Expires: 07/17/2009 Tr. no: 92194 Restricted: 00 MARC W COUTURE 114 LANGFORD RD 4 RAYMOND, NH 03077 Commissioner ✓�ie ,m—o—eczCC� _ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR registration: 146964 Expiration: 6/2/2007 Type: Ltd Liability Partnership MORGAN EXTERIORS LLC PAUL COUTURE JR 4 ORCHARD ST. _ RAYMOND, NH 03077 Administrator Morgan Exteriors #58 Route 27 Raymond N.H. 03077 October 1, 2005 Linda Curran 3739 Lincoln St. North Andover Ma.01845 (978) 685-3387 Dear Linda, Thank you for taking the time to meet with me and discuss ideas to remodel your home. I would briefly like to tell you about Morgan Exteriors, LLC and why you should choose us for your remodeling project. Morgan Exteriors protects your property by covering you with $2,000,000.00 of liability insurance. Workers Compensation Insurance covers all of our employees so you are not exposed to any Liability and we are licensed and registered in Massachusetts. Home Improvement Contractors Registration # 146964. Construction Supervisor License # 092035 We are members of the Better Business Bureau (BBB), New Hampshire. Home builders and Remodelers, and the National Association of Remodelers. Our crews have been building Sunrooms for over 12 years and have installed hundreds of Sunrooms. I personally have been involved in design and completion of well over 500 Sunrooms. As a legitimate and dependable remodeling company it is our responsibility to select the right products for our customers, which is why we have chosen to be a Dreamspace Sunroom dealer, as we truly believe it to be best quality Four Season Sunroom in the marketplace today. All of our sunroom installers and estimators are Sunroom installation experts, and attend pre -approved on-going training to keep them up to date on the latest technological advances in sunrooms including the local building codes and sunroom installation specifications. With a permanent place of business and over 15 years in the remodeling industry, we take pride in our quality workmanship and specialty services offered to our clients. Very Truly Yours, Marc Couture Dorgan Exteriors LLC Tel: (603) 895-2092 Fax: (603) 895-1140 Email morganexteriors@yahoo.co.m., This project has been specified in accordance with local building codes, industry standards and the manufacturer's specification requirements. Certified craftsman will install all work, to insure qualification for the manufacturer's lifetime warranty. Window Specifications: Remeasure order, inspect and Install (30) Alside Excalibur Double hung windows with 6/0 grids, and Hopper Windows • Solid Vinyl Construction No maintenance • Fusion -Welded Frame & Sashes Maximum strength and efficiency • Multi Chambered sash and main frame Provides increased strength, durability and structural integrity • Dedicated Pocket Header Provides a clean interior appearance and prevents air infiltration • 48 % Stronger Sill Weld Provides structural integrity and is stronger than a comparable cut and notch style window. • Double Woolpile Seal at Meeting Rail Provides a thermal blanket around sashes Climatech Insulating glass package • PPG Intercept® Warm Edge Technology Reduces condensation and seal failure • Extruded Integral Vinyl Interlocks Draws sashes tight to form weather barrier • Slide -Lock Zinc Tilt Pins • Squares jam during installation and prevents accidental sash removal during windo71> cleaning • Beefy Lock • Security and peace of mind • Lifetime warranty on all window components. Morgan Exteriors LLC Tel: (603) 895-2092 Fax: (603) 895-1140 Email morganexteriors@yahoo.com General scope of work: • Remove interior trim stops from the sides and top of the windows. • Care is taken to cut the paint line to minimize chipping of the interior finish. • Expect paint to chip at the joints. Touch up of the interior trim is not included. • Remove the existing wood sash top and bottom. • Remove the parting bead if existing at the sides and top. • Apply Silicone sealant to the interior of the exterior stops. • Insulate the base/sill of the wood openings. • Insulate the head expander of the new window system. • Install the new replacement windows plumb and square. • Screw the new windows to the original wood frame. • Adjust the expander on both sides to remove any bow in the master frame. • Insulate both sides of the new windows with fiberglass insulation. This will prevent air movement at the perimeter of the window and reduce any drafts. The insulation also reduces noise infiltration. Interior Finish: • Reinstall the original interior trim. • Caulk the perimeter of the interior with paintable Silicone sealant. • Clean all windows upon completion and vacuum work area when done. • Canvases are used during installation when needed. • Replace any rotted sills or framing lumber at $5.00 per foot. Exterior Finish: • Blind stop capping, cover exterior stops with white coil stock. Morgan Exteriors LLC Tel: (603) 895-2092 Fax: (603) 895-1140 Email morganexteriors@yahoo.com General Details: 1. Dispose of old windows and scrap material. 2. Work area shall be kept neat and clean on a daily basis and returned to normal upon completion of the project. 3. All work shall have a ten-year workmanship warranty. 4. A written materials warranty shall be provided upon receipt of final payment. 5. All work follows existing OSHA regulations as mandated by 29 CFR 1926 for the construction industries. 6. All work will follow local building code requirements and any permits required will be obtained by Morgan Exteriors, LLC 7. We maintain a current General Liability and Workman's Compensation Insurance Policy. A copy is available upon request to verify coverage. Morgans Exteriors LLC Tel: (603) 895-2092 Fax: (603) 895-1140 Email morgassexteriors@yahoo.com Certifications & Affiliations "CertainTeed Vinyl Carpentry Master Craftsman "Advanced Alside Siding Product Specialist "Advanced Alside Window Specialist "New Hampshire Better Business Bureau (BBB)" "Energy Star Retail Partner" Dreamspace@ Sunroom Dealer Thermal Industries Authorized Dealer INVESTMENT TOTAL FOR SPECIFIED WINDOWS We hereby propose to furnish all labor and materials in accordance with the above specifications for the sum of: $14,130.00 Price includes all coupon upgrades and discounts. 40% due at acceptance of proposal 30% due at start 30% due at completion This proposal may be withdrawn or subject to change if not accepted within 10 days. Authorized Signature Date �% J Authorized Signature Acceptance of Proposal Terms & Conditions Date Since this contract is for made-to—order goods, it is not subject to cancellation other than the inability to obtain financing or proper permits. If you cancel this contract any time subsequent to the third business day after the date of the contract and prior to the start of work. You agree to pay us the difference between our estimate of the cost of material and labor and the amount of the total sale. (Our lost profit) You agree to pay according to the above schedule of payments. If you fail to pay according to the terms above then you must pay a collection cost equal to our actual costs of collection up to 15% of the total amount you owe. Plus attorney's fees and court costs. Any unpaid balances will incur interest charges of 18% annual or 1.5% monthly. Morgan Exteriors LLC Tel: (603) 895-2092 Fax: (603) 895-1140 Email morganexteriors@yahoo.com Right of Rescission I have the right to terminate this contract within three (3) business days of signing this agreement. If I choose to terminate this contract, I will contact Morgan Exteriors, LLC office on or before 10 � ' os` . In the event I terminate this agreement there will be no penalties, and any creposits of mine will be promptly returned. If the customer is a corporation or limited partnership, the undersigned, jointly, severally or individually hereby unconditionally guarantees the obligations stated herein. Signatu Signature Date /D y Date Morgan Exteriors LLC Tel: (603) 895-2092 Fax: (603) 895-1140 Email morganexteriors@yahoo.com ' Location 39-3? ky (o jA) No. % q3Date C9 8 413 ^T� TOWN OF NORTH ANDOVER 3?o�•t`'O •• O O y 9 Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # '16658 (CX Building Inspector 3 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ON BUILDING PERMIT NUMBER: '13 DATE ISSUED: SIGNATURE: jM J* 'LAOO�A� Building Comnuissi222ELEQ2for of Buildings Date, SECTION 1- SITE INFORMATION 21.,11 Property Address: l / 1 LJv?ec)1q 1.2 Assessors Map and Parcel Number: ?—b Map Number Parcel Number 1.3 Zoning Information: Zoning Diaiic—t Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 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. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 'ice 2.1 Owner of Record wj�6 f'� " 37 Cf�c�1n Name (Print) > Address for Service: Signature Telephone 2.2 Owner of Record: .Name Print Address for Service: s Signature Telephone ACTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Con!truction Survisor: 'bau i � G.I�z v Licensed Construction Su rvisor: Address . Telephone Not Applicable ❑ 0 License Number o !—UoatSignature Expiration De 3.2 Registered Home"Improvement Ciontractor A 'Nutb 6JILo wall Not Applicable ❑ Company Name Registration Number ) © % Address ` � � I� Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M G.L. C 152 6 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 permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description_ of Proposed Work(check all applicable New Constructio ❑, L ve �] sting Bi ilding ❑ S^ Repair(s) Alteration s)� Addition ❑ Accessory Bldg. ❑ ,Demolition `''E] Other ❑ Specify y� di Brief Description of Proposed Work: " _ V � V A11) kfhvvAa�f5 me, ciiPet fh7: � vv �Ge, ( I ly � �A�e SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to be Completed by permit a licant o� ` t)FFIC IALVSt"ONL-YW.e (a) Building Permit Fee Multiplier x 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing © 0 , O Building Permit fee tel X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTRORIZATfOfq 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> bottY 1d, 64°LZ Am ,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 d Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3 SPAN DEVIENSIONS OF SILLS DIMENSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE L AGORD BY SHOULD ANY OF TNS AGOVE OESCRIE90 POLICLES, iM CANCELLEDSEFDRE THE EXPARATION DAYS TNER60F, THE SSUINO INSURER WILL ENOEAVOR TO MAIL - O DAYS WRITTEN TOWN OF NORTH ANDOVER., MA NOTICE TO THE CERTIFICATE MOLD€R NAMED TO 746 LEFT, MUT FAILURE TO 00 SO SMALL 8lliL1)1N i1V '�irT�7R WPM NO -08LISATIM OR:IiAetti V-DP*My -Xl4a•UADN 1"tl t WtMinAUX- �rR. NORTH ANDOVER, NIA 01845 tagPREs>:NT J,i ' ACORD CORPORATION 1908 -07. 1-f J2003 08-aG 197-6327&517 WILLOWS PAGE 02 AC -ORA. CERTIFICATE OF LIABILITY INSURANCE DA""ITIONY" PRODUCER *07/16/2003 IM LOM INSURANCE AGENCY, INC 974--7 344 N "'RTfiCAT'E1S MUED A'S A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 522 CHECKERING ROAD HOLDER. THIS CERTIFICATE DOESNOT AMEND EXTEND OR "t� T-H:AMDV�RNA -31-545 LT ME VERA AmoR�-n DY Tt•}E -#>Otte.— -91=L-ow' t T..... �INSURERS AFFORDING COVERAGE ...e .. INSURERA: �1�$>;I.LA PROTECTION =u_ l j� D -G, CONTRACTING, INC. k—" _ NSURERB: NORFtOLK & DEDHAM 42$ P1EAN;1T STREET �-INS!l9ER$;.1RR��LGTEGTION NORTH ANDOVER, MA oie4S — — llmveEi-ts AIG j S1.1RANCE THE POLICIES 0;= INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATE ANY REOUIREMENT• TERM OR CONDITION OF.ANY CONT• T.OR QTHER-t)OCL ENTWTH 4OT I i1.-1�D75N17FiSTAAiD!!V{; `AYPER?AIN, THE -INSvLRANCE:AFFORDE-DBYT"E'P l'i fE3t}E C#t'I DIiERE1N18SUBJECTRESPECTT(j lI1CHTttES ER7iP1G717€ igSA fl -GR POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE 9EE18 R£DLICEG $� $iti�i CLAIMS. O ALL THE TERM.,, ExCLUS1f�N&AND EMAilECONDITIONS Of &UGH He,.aoL'__...� _.�. -- -- . _._.. 1 �— .. 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RETfNTIOA S Il WOffiR1K0EYREStFCSO'LM'I PENiLTSiAY7lON.Jw,NO KTATl y D3"O"". T- ' Cb93-2i_74 31ANrPROPRIETORrPARiNEREXECUTiVf {S 1�DOOPFICERIMEMSEREYCL%imo? ,EAGHAWDENT .Q...O,..... � � - I__Pyy�FaBideeGitiexmdar' .S.L..AiSE.AGE-,EAEMFLCvEE 9 _ OTHER E.l.DISEASE,POLICY LIMIT t 4M1MV1 AGORD BY SHOULD ANY OF TNS AGOVE OESCRIE90 POLICLES, iM CANCELLEDSEFDRE THE EXPARATION DAYS TNER60F, THE SSUINO INSURER WILL ENOEAVOR TO MAIL - O DAYS WRITTEN TOWN OF NORTH ANDOVER., MA NOTICE TO THE CERTIFICATE MOLD€R NAMED TO 746 LEFT, MUT FAILURE TO 00 SO SMALL 8lliL1)1N i1V '�irT�7R WPM NO -08LISATIM OR:IiAetti V-DP*My -Xl4a•UADN 1"tl t WtMinAUX- �rR. NORTH ANDOVER, NIA 01845 tagPREs>:NT J,i ' ACORD CORPORATION 1908 1 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 properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: (Location of Facility) ignature of Permit Applicant ayy 9�d3 Date '-' NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector w o Oat ?� x u o w° v � a V)w° o z A c PO4U w pq � 04 w a w a U W �° v cn w a o a z d C7 rz° cow w z w �, w A c� w�. o Cf)cn v Q LJLJ z o cp C c 5 o L C y 0�-„ CCD v V C3 0 • L CF r _O V 0 Q CL " CO E= c sem` :yam CM0 ti CD E : CAD ' o Nm +, V _ �S's In •m mc o —� y C C O O ; o;. Em av m �: h m m :5 =c* c mom m v y O C Z '° Or- Cf t c CD O H c �C 2 m m 3 N d O y0.. N mrO..H m Vi eo = m C=L:5 cc LO Z O m cmLl V .m O m CD O. m F-- y - O - _ R aoy•� O !- .0 $ a r m co O E co O Z O COD coy L CL CD y.r O co 0 O r�7 y O V .Q CA C O u O V co CL CA C 0 U) IrW w w U) N2 1792 Date...... .:....... 0 T" TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... ....... has permission to perform ........... .. v..� .1 .. . C ... !�A-4 ................ z wiring in the building of ............................ at ... ....... .............................. . Piorth Andover, Miss ....... Lic. No. _3 ........... - o!.... .... .. ............ WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 01 4t (ELIMMIIriUt 310 of ffiss#ustfts Bevartmeat of Pultlit iaafetg BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only 1.7 Permit No. Occupancy &Fee CheckedAt � 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMIJI 12: (PLEASE PRINT IN INK OR TYPYLL INFORMATION Date City or Town of �4/� �U'7 d cel __ 04 ,mithe Inspector of Wires: The udersigned applies for a permit to perform Location (Street & Number) _ N' Owner or Tenant Owner's Address MAP O �r(p Is this permit in conjunction wito wit.bUlIdl g permit: Yes ❑ No L1 (Check Appropriate Box) Purpose of Building t Utility Authorization No. X10.5" ZOZ Existing Service M Amps } h� Volts Overhead U Undgrnd ❑ No. of Meters New Service 2-61) Amps 124)1 'f Volts Overhead Undgrnd ❑ No. of Meters Z Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- �- grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained No. of Ranges No. of Air Cond. Total tons No. of Disposals I No.of Heat Total Total Pumps Tons KW No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices LocalMunicipal [IOther ❑ Connection No. of Dryers Heating Devices KW No. of Water Heaters KW No. of No. of Signs Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES X NO V I have submitted valid proof of same to the Office. YES K NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE X BOND Cl OTHER ❑ (Please Specify) Estimated Value of Electric al W k $ (Expiration Date) or _ Work to Start Signed under the Penalties of pedury: FIRM NAME Licensee _ Inspection Date Requested: Rough 1-4 I Final LIC. NO. A5f-33 LIC. NO. df,9 3 .3 _ % Cilie r��2,�y� �c iJ �/n �r/� �� s• Tel. No. — ?�'�l �7 Address / 1r18�. It. Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General taws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. _ PERMIT FEE $ r?U (Signature of Owner or Agent) x-6565 Date...�ald3 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �o Z This certifies that a1�'v ShAw... y.4 1 .................. . has permission to perform .. RP.t�t.� cl-e 1 plumbing in the buildings of .�? r f\.&> ..................... at ... Q L 1 to c o , North Andover, Mass. #Fee. ��f .. Lic. No!. 4. ,�.: �tJ2z /Q. I.«'.'".. . ( ���0 PLUMBING INSPECTOR 'Check # 5701 ,A MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT- TO DO PLUMB (Type or print) NORTH ANDOVER, MASSACHUSETTS / g Date Building Location 3 / L ` `yc u L r� Owners Name U Permit # Amount Type of Occupancy New ❑ Renovation E3---�— Replacement ® Plans Submitted Yes ® No El FIXTURES (Print or type) Check one: Certificate Installing Company Name 19A. —7.4 A N S W -f--' I0- ® Corp. Address G p 1 PK" S r ✓Z = Partner. kvt e_T"V�-✓ v✓7i/rf Business Telephone aj j �' (, 2 I f 3Y C°• _ Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E/ Other type of indemnity 11 Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the abc three insurance Signature Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to tt 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 Massac tate Plu de and Chapter 142 of the General Laws. By:igna o icens um er Type of Plumbing License Title A -U S'J— City/Town icense TIMM Master ® Journeyman APPROVED (OFFICE USE ONLY