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Miscellaneous - 40 HIGHLAND VIEW AVENUE 4/30/2018
40 HIGHLAND VIEW AVENUE 2101067.0-00140000.0 o • 169 Boxford Street � � — "— • North Andover, A 01845 PH:97"8M35 Building Contractor FAX:978-688-7207 Proposal TO, John Pierog/40-42 Highlandview Realty Trust 40-42 Highlandview Ave Al Home improverrmt Contractors arrd subcomractors er>gaged in horrie knprovertrent corrtracim,unless North Andover, Ma. 01845 scala exerro from regisvatrm by provistom of Chapter 142A of the general laws,must be registered with the Commmweallh of Massachusetts.Inqulrles about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton place, Frorm Kevin Murphy Room 1301,Boston,MA021t8.is1-1�-727&%8 CC: Date: 4/26/2010 Job: Complete restoration/Renovation/Addition Date of plans: 3/24/10 Architect J.D.Lagrasse 8r Associates Location: Same Section 1—Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement,unless specified here in writing contractor will begin work on or about 5/15/10. BarringDela caused b circumstances beyond Contactors control the work will be completed b 12/30/10.The owner he n Y Y Y p y hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair correct,replace,or cause to be remedied,repaired,or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Section 111-Scope of Work T Kevin Rfilmuphy Page 2 of BuUdInq Contractow 169 Boxford street Nath Andover,MA 01845 PH:9786885335 FAX 97868&X)00( General Proposal is to completely gut and renovate existing two family home, add two stall garage, and convert it to a single family. Certified plot plan and building plans to be provided by owner. Building permit will be provided by contractor. No allowances have been made for any variances/board approvals, if required by town. Demolition Existing garage and shed will be demolished and disposed of. Existing house will be completely gutted, inside and out,to the frame. Exterior of house will have asbestos siding removed and properly disposed of. Excavating Excavation required to install frost wall foundation for new garage, replace sewer line under proposed garage, and install new bulkhead, will be provided. Backfilling and rough grading will be provided. Any additional fill will be removed from site. No allowance has been made for any paving, landscaping, other underground utilities, or lawn installation. Foundation Poured concrete foundation for new garage will be provided as shown on plans. Footings will be 10x20",walls will be 10" thick, grade to be determined in field. New concrete bulkhead will be poured against existing foundation. Five inch thick concrete floor will be poured over crushed stone base, in new garage area. Existing feildstone foundation will be repaired in rear comer where bulkhead is to be added. Floor in existing basement area will be repaired. Building All frame, roof, and siding materials will be provided to add proposed garage and renovate existing house. Exterior walls will be 2x4, roof rafters will be 2x10, floor joists to match existing /meet code. All floor,wall and roof sheathing will be fir plywood ( 3/4 on floors, 1/2 on walls, 5/8 on roofs) . Roof edges and valleys will have ice& water sheild installed. Thirty year architectural roof shingles will be supplied / installed. Color to be determined. Exterior walls will be wrapped with Tyvek or equivalent.Vinyl siding will be Certainteed Mainstreet, double four inch, color to be determined. Therma-Tru or equivalent, insulated steel exterior doors will be provided as shown,on plans. Harvey vinyl windows will be supplied/installed as shown on plan. Two insulated steel, raised panel garage doors and operators will be installed. Exterior porches / landings / stairs will have composite decking and railings. Colors to be determined. Plumbing Plumbing required for kitchen, laundry, three fixture`masterbath, four fixture main bath, and three quarter, first floor bath,will be provided. An allowance of$4100 has been included for plumbing fixtures. ( $200 per shower valve, $150 per bath faucet, $200 per toilet, $500 per tub / shower, $500 for kitchen sink, $300 for kitchen faucet)A 50 gallon,gas fired hot water heater will be supplied/installed. Electrical Electrical work required to wire house /addition to meet code wil be provided. A new 200 amp service will be installed. Twenty five recessed lights have been included. Additional lights can be added at a cost of$75 per light. Plugs and switches to code. Bath fanAights will be supplied and installed. Phone/cable/computer lines will be installed. Surface mounted fixtures to be supplied by owner(ceiing fans vanity lights). General layout to be approved by owner, prior to rough. f Uevim Murphy Page 3 of BuDding Contractor 169 Bo)dord Street Nath Andover,MA 01845 PH:978-68M335 FAX 9780000( Heating/Air Conditioning A gas fired forced hot air heating system will be provided. System will have two zones ( one for each floor) . Two zone central air conditioning system will also be provided. Insulation House and addition will be insulated to meet code.Cellar ceiling will be R-19, exterior walls will be R-13, Second floor ceiling will be R-30. Plaster House and addition will be blueboarded and skimcoat plastered. Garage will be 5/8 firecode. Garage, closets, and ceilings will be textured.Walls will be smooth. Interior Trim/Doors Preprimed interior trim and doors will be supplied and installed.Window and door trim will be 31/2 inch colonial, basetrim will be 51/4 inch speed base,doors will be solid core,six panel units. Samples will be provided prior to any installation. An allowance of$500 has been included for stair handrail at first floor. Closets will have white wire shelving installed. Painting All interior painting will be provided. All surfaces will have one coat of primer and two coats of finish.applied. Colors to be determined. Flooring Oak hardwood flooring will be provided on entire first floor. Stair treads to second floor will be hardwood. Bedrooms on second floor will be carpet An allowance of$25 per square yard has been included to supply/ install carpet Bathrooms, laundry, entry area will be tiled.An allowance of$5 per square foot has been included for tile materials. (kitchen can be tiled at same cost as hardwood, if file material stays with in allowance). Other Allowances An allowance of$15,000 has been included for kitchen and bath cabinets and countertops. Waste Removal All demolition/construction debris will be disposed of by contractor. Items Not Included There have no allowances made for any appliances,paving, landscaping. 19evE n unwP ny Pager of Building Contractor 169 Boxford Street North Andover,MA 01845 PH:978-68MM5 FAX:978888-X)000 Section IV—Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ......... ...... ... ...... ... .......$ 250,000 Payment to be made as follows: Percents alItem Description Amount 1 Permit obtained $10,000 2 Garage demolished /foundation poured $25,000 3 Roof on main house installed $40,000 4 Roof on addition complete $20,000 5 Siding /windows installed $30,000 6 Rough plumbing / electric / heat complete $40,000 7 Plastering complete $20,000 8 Interior trim / painting complete $35,000 9 Flooring complete $20,000 10 Job 100% complete $10,000.00 Total 10 $250;000:00 -Notice:No agreement for Horne ingrovement contracting work shall require a down payment(advance deposit)of more that one-third of the total contract priw of the total er our t of all deposits or paymerft which tt>a=ftctor must make,in advance,to order and/or Oftwww obtain delivery of special order materials and equiprrmM whichever is greater Contractor: Kevin Murphy 169 Boxford Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document and accept the prices, specifications,and conditions stated. I understand that upon signing,this proposal becomes a binding contract You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing i DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature U Date Signature �� Date - S- l The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass:gov/dia Workers' Compensation Insurance Alr'idavit: Builders/Contractors/Electricians/Plumbers AppUcant Information fleagg Print Le 'bl Name (Business/organization/Individual): ,k AJ Address: � ,'►— City/State/Zip: V.J r, t.Ne .1N--a, Ln one#: (cO 16 b -531 r Are you an employer? Cheek the appropriate box: Type of project(required): 1 S I am a employer with , 4. ❑ I am a general contractor and 1 6 ❑ New construction employees(full and/or part-time)." have hired the sub-contractors ,2.❑ T am a sole proprietor or partner- listed on the attached sheet. 1 7. Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me m an aci workers' comp. insurance. Y capacity. 9. Badding addition (No workers' comp. insurance 5• ❑ We are a corporation and its 10.El Electrical repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work Tight of exemption per MGL 11.❑ Plumbing repairs or additions myself.f No workers' comp. c. 152,§1(4), and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp. insurance required.] Any applicant that checks box 01 moat also fill out the section below showing their workers`compensation policy Mlommtkm Homeownen wbo submit this affidavit inclicating they are doing all work and then hire outside contractors mast subrnit a new affidavit indicating such. :ontractors that check this box must attached an additional sheet showing the name of the subcontractors and their workms'om, policy infoy7notion. am are employer that is providing workers'compensateon.insurance for my employees. Below is the.poliey and job site Kformation. trsurance Company Name: ��•�,.. l �S. �1 'olicy#or Self-ins.Lia #: kn.,c- (10 bei 3 � _ Expiration Date:_ Tib Site Address:-_---4 0-�4 Z�� l_1� _ .,� 1��►.. City/stat zip: Mach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of mal penalties of a ine up to S 1,504.00=&or one-year imprisonment,as well as civil penalties m the form of a STOP WORK ORDER and a fine f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of uvestigations of the DIA for insurance coverage verification. do hereby,certify under the pains and penalties of perjury that the information provided above is true and correct ature: Date: SA-U-) k L D 'hone#: OVICial use only. Do not write in this area,to be completed by eity or town o ieiaL City or Town: PermMUcense# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person.. Phone M cOft CERTIFICATE CSF LIABILITY INSURANCE PROM" Ir. I;RTINCAT&1S SUED A8 A NIAT'fEFt OF INFORMATION M.F. 3tcbssnl:to lnsg� Agm ay AND CON R$ No Ft,OHT8 UPON THE CERYL WCATE 1060 Osgood 8 t HOLDER. 71 8 CERTIFICATE DOES Wff AMEN p EDMO OR THE COVERAGE AFFORD D DY INE POI,iC Roth Andover, m 01648 _,. IlRittAIERS AIipINQ COVERAGE 04 BEIM. Nq,O# _., . KmV= 14t%m rT+ 4I3. (NBUIvER II 1a9 Isn II10UIBRQ 19aM ANDOVER, MA 011343 rNetIRBR a "`�'� COWIRA TME QF AN1r �, $ �URJMJ {. ��HA 1 11881 TO M8NI83DWANRbA9Wlaf 'I PCILR.YPEIB INOM7ED.NO WIT187ANpING COMWRWT OR OTHER ODL'UIMId�R M1�H MAY 7C WHIOH THIS C�i7'P�:ATE;M4OR ��RT�1� AFI�7ROED 19YTIiEs F0.1QBB OE BED HE R19N S SUBJECT TO ALL THE T8%W E!A?I.UlO10N8 ANG OONDfC q A OFA POLCIM A�RA'fE IJWms KNOW N MAY fAW OM Rt BYRAIOC.L11143. POUCWWNM AlnerM LLOJPJN LNISTl3 ,A 13 a 1,00,000 s0 rrAmwkt* c[ 0=uR CPM060960 04 11/22/09 11/22/09 r�o41r aro' sr 5 0 - PNt80N�1L a ApV fNJURY 1 X113 r;�rsn,�iQl�IDATE I.Mpp tAlwg6rER a 80 0°ROCUCra-s7C�PA7P A80 : 000 mipy ° LOC Ntlo tUABIUTY WfAUTD g 500,000 ALLW*MDJ" •�—.-- H ANtlB 7AM027703.38081/23109 1/23/30 $ H MaAUlal1 NOWOWNDAUTOb P&"=AMIN g $00,000 + RAolrs W4m ANYAUIO 0 Y-ffn p�OINT MAOr v ��Warlttr 1400 w1RkeNCIB COMMA RIG ANA IMPtBY�RSr ra�NILIRY r A �, MISA T c I®WC006931 7/1/09 7/1/10 400 000,00 ours gp 0 >�so4svtleaas�orl�ONs r>,�r► watiaues rlBtc�loNSAIOITeaeYEtoansasrllTrr I�EOr10,}�p� AX! 978-606-7207 RMMMARi CAt10ELI.A N s9H0111A ANY sN+rrsggas� pal.l��GAMaN.Leo I, Tr eIfkltlf�IRgT,s5P1 dp' WW= Ai®gRl7M anTN 1TINS n isle prllWW VR"MOO=To IMAM _10 oAve wwTTW NIaT10lI TOTq�MwmncA1� 1800 OC3�d00D si 'C r+aMWOWTo im IaP1', 171f sQl?eHMLL KOM R, WA, 01845 ahs nro av rA rrlii A06"an AWP-WWo wpm %-AMU { �� 1 1ya sACOW nuliM anqACORb TiWM. Alf r fi WQ*W*prod nnarhR of f AC OFtO d. I 976 S. Date...... VtORTp 3:0e';r +�pL TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SgACkUSE� This certifies that ..................... ... .C 2.. .cT has permission to perform ...... wiring in the building of...... .(// ls.......`�l�.�s.T.......... r I// . � ..�.�!`?�.......5�:................... orth Andover,Mass. F .... ....,` 0..©''Lic.No.,24).,��. ................ .�W.. .. .. Fee...� ... ...... ELOCAICAL IWECTOR v Theck # .j .9696 Date. .................... ... .. ..... 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING UStw This certifies that ........................ ..... 7 7--4 r ... ... .... .............................................. has permission to perform ...... ................. wiring in the building of......... ........... at.... ..... North Andover,Mass. r/.................I....... r 00 �-.. Lic.No Fee..)k�......... b.�uS:?-R........ ELE R cr IcAL I99PEE R Check # �,s�rnrrea�aow��aneea am u-jaz saa,us¢a��dd� "--- //�//,,, Permit No. C�7�' ®��artm nt of Fire Services es Occupancy and Fee Gie BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank) 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 WINK OR TYPE ALL XNFORMATION) Date: City or Town of: NORTH ANDOVER To the kspe for Wires: By this application the undersigned Ives notice of his or e�,intention to perform the electrical work described below. Location(Street&Number) L /I /c 4C/ b f �G6�(/ r �✓ Telephone No. Owner or Tenant Owner's Address Is this permit in co 'unction with a building permit? yes © No 11 (Check Appropriate Box) P , �i Utility Authorization No. of Building 7 Purpose g i r�'3t<-� � � GdL� �1 Volts Overhead ❑ Undgrd❑ No.of Meters Existing ServiceAmps, - . Amps s I /v�ll(�Volts Overhead Undgrd ❑ No.of Meters New Service w S ..------ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:' f- S, Completion of the following table maybe waived by the Inspector of Wires. No.of Total No. of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency ig mg No.of Luminaires Swimming Pool ❑ rnd. ❑ rnd. Battery Units No.of Receptacle Outlets (010No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and dt No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges 1 No.of Air Cond. Z Tons Heat Pump Number Tons KW No.ofSelf-Contained q No. of Waste Disposers Totals: Detection/Alerting Devices 1 Municipal Other - No. of Dishwashers ( Space/Area Heating KW Local❑ Connection eatin Appliances KW Security Systems: H No. of Dryers g pp No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Si ns ceBallasts No.of Devis or E uivalent ` Total HP Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors No.of Devices or Equivalent OTHER: -Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 4 BOND ❑ OTHER ❑ (Specify:) 1,certify,under the ains andpenalties ofperjury,that the information on this application is true acid comptA,) LIC.NO.: bpSgIIC? FIRM NAME , V'c Licensee: 9`Li�CC. y ;::�Signatur LIC.NO.: (If applicable, enter ','exempt"i t licen�a^erg._) Bus.Tel.No.:we Address: d� /�°�� ,✓✓ '�' S01 Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License. Lic.No.• e not have the liability insurance coverage normally • Tam aware that the Licensee dos ty OWNER'S INSURANCE WAIVER: required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's Owner/Agent PERMIT FEE. $ Signature Telephone No. The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston,MA 02111 �., ,�•` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Iilectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): C C>rr,1, Address: City/State/Zip: SG v�'y M Iq- 0) 9IO4Phone#: 7 j^��r �3 �9 Are you an employer?Check the appropriate box: Type of project(required): 1.�4_I am a employer with 4. ❑ am 6. [-]I a general contractor and INew construction _ employees(full and/or part-time_).' have hired the sub-contractors me).* � 2.❑ I am a sole proprietor or partner- listed on the attached sheet.� These sub-contractors have 8. ❑Demolition ship and have no employees working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their right of exemption per MGL 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work g p p myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.] employees. [No workers' 13,0 Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. 1 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name,: CY►'� r� Z-15 Policy#or Self-ins.Lic.#:[n/X09!? a Ll 7� Expiration Date: CSC LlU_ 1,/a �"� ��i.�/f/t fir/ City/State/Zip: -4 4. 14�Ucle— Job Site Address: r Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of j` Investigations of the DIA.for insurance coverage verification. I do hereby certifv under the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: /0 > D i Phone#: Official use only. Do not write in this area,to be completed by city or town official ,.y City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: t f Date. . f � AORTM •'� TOWN OF NORTH AND-OVER ` PERMIT FOR PLUMBING •'SSACHUSE� This certifies that . . . C. . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . 4��7-:-- . . . . . . . . . plumbing in the buildings of . . . .,�.�. �. �. 1. . . . . . . . . . . . . . . . . at. . .U0 -(.? . #. tf'f./ 9./(sq�.'iE,i Y -- , North Andover, Mass. 1 S ' P_UfNBING INSPECfOR Check # ? 3 8698 IVDA SSA CEEUS TTS UNj[FORM APPLICATION ION FOR PERMIT TO)DO PLUM13I IG (Type or print) _ NORTH ANDOVER,MA.SS,A.CHUSETO Data t° Eazmit 0 " Building Location Fit wners Name Amount T aofOccupancy New Renovation Replacement flans Submitted Yes No ° � � U M a . a a a � 9 ..., W. O p., H +1 R' °O a H StBJ3g4'1C •ZDFWOV 41HHDM ' 5MH-OCR 61HROCR 'l HHJDR2 8II3FIi0C[t . Check one: Certificate (Print or type) i w C ld Corp. — Installing ColAanyNama f 5 ElPartner. Address � • �irm/Co. Business Telephone Name of.Lz.tensed Plumber: l J '�.e Insurance Coverage: Indicate e e of insurance coverage by checking the appropriate box: liability insurance policy Other type of indemnity ;Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature ' -. -�, Owner � Agent I hereby certify that all ofthe details and information I have submitted(or entered)in above application are.true and accurate to the best of mylmowledge and that alt plumbing work and installations erfo der Permit Issued for this application will be in compliance with all pertinent provisions oft he Mass ac s S�a Pl in C e hap X.42 ofpc General Laws. By. -61grxure,omicensw Numoor Type ofPlumbin License Title CitylTown icense um r Master Journeyman APPROVED(OFFICE USE ONLY - The Common . , w8czith ofHassachusetts �3epartment a f£ndust�•irxX-Accidents Office Of bivestigations ' 600 Washington Street -V OstOyz, -AM 0.2-11.7 xjww_xnczssgoUfdia Workers' CoMpensafion Insurance AE""a--lt:BRUders/Contractor-gMectic�aus/ �umbex s ,kri l icant Information Please Print I,e�ibly kaine(Business/ora Tiization/Individual); City/State/Zip; Phone - AreYOUemployer?Check the appropriate box: e to er with .4. Type of project(required): mp y ❑ I am a gegeml contactor and I yces(full and/or part time)*• have hired the sub-contactors 6. ❑Nev, cons�rtiojj sole proprietor orpartner- listed on the attached sheet.I �• ❑Remodeli dhaveno employees These sul}coutractors have 8. []Demolition g for me in any capacityT workers' comp,insurance, rkers'comp.insurance J. `9• ❑Building addition p [� We are a corporation and its d.] of"cers have exercised their 10 0 Electrical'repairs,or additions 3•[],I am a homeowner doing all work right of exemption per MGL 11,❑Plumbing repairs or additions myself:[No workers'comp, c. 152,§I(4),and we have no msurance required.] t employees. [No•workers' 12•❑Roofrepairs �.omp.Msurance.roquimd-] I3.[]Other 'e,=-1.r�rmF• ant f{°�^�.r.,lr. ..''-'WI Be,_ ^..*_+C kmr a Ov„n _ Humeownem whosuumiftiiis affidavit indica h a c s .0vrcrY�s coII Y s`on..,a.,.,• mer, tingf_e} zTr�c gaI1wu-r3ian(,= r� . .cr= 4Contmctcrs'that clh. 'x L:;b m._. tneu hireoutdde Q01Ltmctc:s 4&-t well- Yt a new ai'naavit indicafing such. t•'" nr `•�4 u'cii'a-7 d.QtlIilOIIaf Sheet showing thei - uame'ofthe sub-contractors and theu.workers'comp,policy information. lam an employer that is providing watkers'compensation",Tante for my employees B0161)is t`he policJ+and job site. itxfornzatzon, Insurance Compiny Name: Policy#or Self-ins.Tlic. : apiration Date: Job Site Address: Cit y/3tate/Zip: Attach a copy-of the workers,compensation policy declaration page(slao ;ng the policy humber•and expiration.date). Failure to secure coverage as required under Section 25A ofMGrL c. 152 can lead to the imposition of criminal penalties of a une up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER,�l a nne of up to 5250:00 a day against the violator. Be,advised that a copy Of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I rfo hereby cern ndrfth pains n eizalties o er' rJ'thur the information provided'above'is true and co � rrec Sirraature: � � ,._. � ___ Date• _ Phone�#; � • F[6. O ial use only. Do not write in this area, to be completed by cit,ar to>s;tz official r Town: P ermitucense# Issuing Authority(circle one): rd of$ealth 2.Buzldiug Department 3. CitylTown Clerk 4.Electrical Inspector S.Plumbing Inspector er ct Persalt: Phone'#: 7366 , Date... .�.:E! U.... NORTH Of '` �p TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �9SSACHUSEt This certifies that . . . . . . . . . . . . . . . .. . . . . . . . . . has permission for gas installation . . /?h r ":- 1-G!�' in the buildings of . .Yt ,5. / A C Z.`/. . . . . . . . . . . . . at . . �.'.`�.1. . . .I. �. `l �`-, North Andover, Mass. Fee. .�/� "` Lic. NoJ t GAS INSPEC � R� Check# -2 9 3 NIASSACHliSEM LTNMRVI APPUCATON FOR PER1tiIlT TO DO GAS FfMNG (Type or print) Date _�' �0 NORTH ANDOVER,MASSACHUSETTS Building Locations L .14 :r4 Permit# Amount$ Owner's Nametf f ��US• New® Renovation Replacement Plans Submitted U nH a H ° o " a z Z O H w p w F o o a z iw7 H z H ����d' 4 W C7 p w 'a U W H C4 �7 O ice+ A U' �a U x M p H 100 SUB -BASEMENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR . 4T II . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH. FLOOR e 8TH . FLOOR (Print or type) r / Check one: Certificate Installing Company Name CG l Corp. Address El Partner.. I3usaness Te ephonerm/Co: Name of Licensed Plumber or Gas Fitter t✓ l INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No o If you have checked�,please indicate the type coverage by checking the appropriate.box. Liability insurance policy Other type of indemnity Bond Owner's Insurance Waiver: Tarn 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 ® AgentEl 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 m} 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 Mass• rsetts We Gas C c e, ad a or 2 of the General Laws. By: Signature of Licensed Ph�Z2 Or Gas Fitter Title Plumber CityiTown Gras Fitter Eicense number er ® Master :APPROVED(OFFICF USE ONLY) r77 J xrrneyman L SEP-16-2010 04 :42 PM LARRY OGDEN 978 352 285$ P. 01 NIL PA 98 EOst I Aaln.$t. .. . .01833 - I ,_ . L.n1 -�ai .l. �..., I I T4 04.4 P QiC 9 y-1 Pfp y� ��F- , , I - b!l!�'C''..; ;.t4rrllE� .P_, 44 _..p�il�•91`f �L.c?C71�.. .�Q 1.�"S'" /�+ i ! FW. 1�x(STI AvG BIh, Arco b extcin M* LFI1K" HUi��, -11- /AriD 45%killv�; Tia" lAil e6 T19 F 11T i I Residential Property Record Card PARCEL ID:210/067.0-0014-0000.0 MAP:067.0 BLOCK:0014 LOT:0000.0 PARCEL ADDRESSAO HIGHLAND VIEW AVENU FY:2008 PARCEL INFORMATION Use-Code. 104 w Sale Pnce: 0` Book: 00668 Road Type. T Inspect Date 06/02/200.4 Tax Class T Sale Date 12/31/43 Page _ 0227 Rd Condition: P Meas Date 06/02/2004 Owner:JURKEWIC, NELLIE, EST Tot Fin Area 1768 y Sale Type CerUDoc 'Traffic:- M Entrance:` X JURIES R PIEROG, EXT J�� Tot Land Area: 0.26 Sale Valid N Water Collect Id RRC Address: _,w: w _ Grantor Sewer= _ _ Inspect Reas M 104 MIDDLESEX STREET p° o 0 0 0 NORTH ANDOVER MA 01845 Exempt-B/L/o / Resid-B/L/0 100/100 Comm-B/LP/o Indust-B/L/o / Open Sp-B/L/o / RESIDENCE INFORMATION LAND INFORMATION Style DK Tot Rooms _ 7 -,Main,Fn.Area:, 884 . Attic. .. , NBHD CODE: 5 NBHD CLASS 5 ZONE. R4 F Se T `e Code Method S Ft Aces Influ Y/N Value Class `} Sto Hei ht: 2.00 Bedrooms 4 U d Fn Area: Fn Bsm ry g p Fn Area 884 Bsmt Area 884 9 YP_ ., a y q= s. " ' " 1 P 104 S 11542 - 0.260 177,717 Roof: F� �FuII Baths. 2 "�Ad `� yt Area:;, Ext Wall: AB Half Baths Unfin Area Bsmt Grade DETACHED STRUCTURE INFORMATION Ma"- _w Masonry Trim_ : Ext Bath Pix"", 0 Tot Fin'Area 1768 _ .-- _ Foundation. ST Bath Qual T RCNLD: 88746 Str Unit >;Msr-1 >Msr-2 E YR-BIt Grade Coid oloGood P/F/E/R Cosy Class _..,, -- - _ G5 S 216 0.00 1988 A A 50///50 __ - 5,300 Kitch Qual T Eff Yr Built 1962 MktAdj SA S 128 0.00 2001 A A ///97 1,600 1 Heat type: HW" Ext Kitch: Year Built:" 1900 Sound Value: Fuel Type. G" Grade: FA"" "Cost Bldg. '" ``88;700 VALUATION INFORMATION Fireplace 0 Bsmt Gar Cap: Condition: F_ Att Str Val1: Current Total: 273,300 Bldg: 95,600 Land: 177,700 MktLnd: 177,700 Central AC N Bsmf Gar SF: Pct Complete Att Sir Val2 v_ Prior Total: 289,200 Bldg: 102,100 Land: 187,100 MktLnd: 187,100 Att Gar SF: %Good P/F/E/R: //70/48 Porch Type Porch Area Porch Grade Factor P 200 SKETCH PHOTO a 24 L4O �.Ft FIM tiA a ti{ 884 Sq.FfIII 1111I IIH A - : 36 36 f a a A,.> AIN t+ (( 7S 40 HIGHLAND VIEW AVENUE ' z 5 60 q:F Parcel ID:210/067.0-0014-0000.0 as of 12/11/08 Page 1 of 1 Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: Review Reasons for DenialA Bylaw Reference Form Item - y Reference a A-1, A Variance from 7.1 (Lot Area), 7.2 (Street Frontage), and 7.3 (Yard Setbacks) C-2 thru 5, &Table 2 of the Zoning Bylaw is required in order to construct the proposed F-1 new 2- family dwelling from the Zoning Board of Appeals. 8-4 A Special Permit from 9.2 of the Zoning Bylaw for the change, extension, or enlargement of a proposed non-conforming structure on a non-conforming lot is re uired through the Zoning Board of Appeals i i i" ` r I it Referred To: Fire Health Police X Zoning Board of Appeals Conservation Department of Public Works, Planning Historical Commission Other BUILDING DEPT Zoni ngBylawDeni a12000 NORTH Zoning Bylaw Review Form Town Of North Andover Building Department 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA. 01845 SSE �1CHU5 Phone 978-688-9545 Fax 978-688-9542 Street: 40-42 Highland View Avenue Map/Lot: 67/14 Applicant: Highland View Realty Trust Request: Raze existing 2-family dwelling with a new 2-family dwelling Date: December 11, 2008 Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning District: R-4 Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient X 1 Frontage Insufficient X 2 Lot Area Preexisting X 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage X 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area NA 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required X 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient X 2 Complies X 3 Left Side Insufficient X 3 Preexisting Height 4 Right Side Insufficient X 4 Insufficient Information 5 Rear Insufficient X I Building Coverage NA 6 Preexisting setback(s) I - Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed X 4 Insufficient Information 2 In Watershed j Sign NA 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required uired 2 Not in district X 2 Parking Complies X 3 Insufficient Information Remedyfor the above is checked below. Item# Special Permits Planning Board Item# Variance Site Plan Review Special Permit C-2-5 Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit A-1 Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit F-1 Frontage Variance Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Special Permit Use not Listed but Similar Permit Planned Residential Special Permit Special Permit for 2 Unit R-6 Density Special Permit B-4 Special Permit Pre-existing, Non- Conforming Watershed Special Permit Supply Additional Information The above review and attached explanation of such is based on the plans and information submitted. No definitive P review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled'Plan Review Narrative"shall be attached hereto nd incorporated herein by reference. The building department will retain all plans and documentation /6-t-h—e-aboye file.Y must f6f a new building permit application form and begin the permitting process. ding Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: