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Home My WebLink AboutMiscellaneous - 407 MASSACHUSETTS AVENUE 4/30/2018 L 407 MASSACHUSETTS AVENUE 210/045.A-0042-0000.0 I Date.. . i l�. 7557 . pf p 0RTk 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SACHUSE4t This certifies that . . . 4 . . . . . . .` n. . .1 . . . . . . . . . . . . . . . . has permission for gas installation . . in the buildings of . . .(!t . . �.s . . . . . . . . . . . . . . . . . . . . . . . . . . . . at L/ . :Lj!l�.s f. . /`�v-n . . . . . .. orth-Andover, Mass. Fee. . .�. Lic. No../ Fee.� 1.':` . . . . -�. . GA�INSPECTOR� Check# 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: t A n A v V L f,MA. Date: <)i Permit# Building Location: -7 ✓K 5 S A t/ 't- Owners Name: rh(--(L I c Type of Occupancy: Commercial❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted: Yes ❑ No ❑ FIXTURES rn to it W _ acQ ac N UO fes,• Z r O Z uJ W_J. } � Z N O 2 W W N W m OO fY > N V Z to �. C7 W U) Lu X O W _ ii W W Z � J.l l— H O Z —� V' U. F = W FW. W W v o o i i g 0 a > > > 3 0 SUB BSMT. BASEMENT I 1 _FLOOR 2 cLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR' 8 FLOOR Installing Company Name". � � J Check One Only Certificate# _ \ 15 oC� ��{o'�sM I� [ 310 Address:_�� oMo"- Q�K City/Town: 0-.-PA Corporation State: t`gym Q �� 5 - y � - 1-\1 p Partnership Business Tel: \1� -u�3 - J� � �Fax: ❑ Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: 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 0 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 Signature of Owner or Owners Agent Owner El Agent E] By checking this box ;1 hereby certify that all of the details and Information I have submitted for 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 Plu Code and Chapter 142 of the General Laws. Type of Ucense: By ❑Plumber Tine Gas Fitter aster Signature of Licensed Plumber/Gas Fitter M City/Town Lijourneyman G License Number: 4 q APPROVED OFFICE USE ONLY) 0 LP Installer •J I No 68 Date../4, o�vl � � t NpR7M 1 ?°.�;�`".:•�."�a� TOWN OF NORTH ANDOVER o PERMIT FOR WIRING SACMUS�� This certifies that �e `. 1— ( .. 2 Ck �.............. ' ..................... .�.............................. has permission to perform ........i c e w, c)c�. �. ............................................. ...... ..... wiring in the building of......` .�..�...�G ss � �e M t D� � M � f .p .......................................................... at............................/11 S.S..�}. .................e............. ,North Andover,. r Fee.... . ....(). Lic.No.121v6 LEMIC ALINSPE CTOR Ck M ► 57 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Date. . .. :.... ....... {� %ORTk o� TOWN OF NORTH ANDOVER I_� PERMIT FOR GAS INSTALLATION UCHUSE� This certifies that . . . . . . . . . . . . . . . . . . . . has permission for gas installation ��w. . . . . . . . . . . . . . . . . in the buildings of . . .'!: . :`� y<' . . . .. . . . . . . . . . . . . . . . . . . . . . . at . .�. . . . . . . . . . . . ., North Andover, Mass. Fee: .':". . Lic. No.?. . `-�. . . . . . . . . .... . .. . . . . . . GAS INSPECTOR� Check#, i 1 3 65 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print .or Type) NORTH ANDOVER Mass. Date building Location 'A01 Mass �lUe , Permit # ro Owners Name i a2 `Ry bd e5 -fd• New '-'1 Renovation �'] Replacement Plalis Submitted n FIXT(.IR=Ell/ d! +Uj N OS V Z • .� S l•- W W 0 t: O V s ts- a x o r a: d m N N W y�j O O 0. Q Ujj !W- e. N rt: N t3 V us 07 ` -K O�c 0 a y W W W07 j z < % a Cr a W F W i X 0 Cr Z d W I- 2 1.. W W O T U. f. V 1 W ac f- }- N a1 ' O Z w O N x .: O O uud. O c47 .fit V y Q C06, IW- O Sua—esttT, i BASEMEMT 1ST FLOOR ; 2ND FLOOR 3110 FLOOR , 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TK FLOOR �8TKFLOOR (Print or Type) Check one: Certificate Installing Company Name JA ndo-)e-,r Plba . e Vk-Lg• �:, enc.: Q Corp. 2iZ2 Address 20 Aerleotn `Dr, L�wIi zttlQ Q Partner. —_ �1P-�tnut?►-, /nog. C'714�N�i Q Firm/Co- Business Telephone: (91a) (oR5—£t�R3 Name of Licensed Plumber or Gas Fitter Gen=A j Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ff Other type of indemnity Q Bond Q i 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 coverages. Signature of owner/agent of property Owner Q Agent Q 1 hereby certify that aU of the details and InfosmAtion i have submitted (or cntc(cd)in above application are true and accusate to the best of my Icdge and that all plumbing wont and Installations performed under•?e(mit issecd for this apptieatioo wiu•be in plianos With all Pattnent P1, :ions of Cho Massachusetts State Cas Code and Ch&ptes 142 of tho Ceacsai Laws. r YPE LICENSE: Ltle Plumber Signa ure of License:. asfitter• ty/Town- Master Plumber or Gasfitter Journeyman qqS3 ?PROVED (OFFICE USE ONLY)F License Number O:Nee W on6 - - The Commonwealth of Massachusetts Permit b. -1 Department of Public: Safety _� - oec�panc)•S iee peeked 130ARD OF FIRE PREVENTION REGULATIONS S27 CMR 12-00 3/90 (leive bink) i APPLICATION FOR PERMIT TO PERFORM ELEGTRIGAL WORK All work to Ix performed In accordance with the Macsaehuscru Electrical Code. 527 CMR 12: J (PLEASE PRINT IN INK OR TYPE ALL INTORHATION) Date ! City or Tocm of �y 0 To the Inspector of Wires: The undersigned applies for a permit to perform the electrical Work described be Location (Street & Number) d MAP_.___ Oc.•ner or Tenant C [� Owner's Address _-S)kME Is this permit in conjunc ion with a building permit: Yes ❑ No (Check Appropriate Box) Purpose of Building�r Utility Authorization No. Existing Service Aops / Volts Overhead ❑ Undgrd❑ 1;o. of Feters Nev Seiyi,ce Arps / Volts' Overbead ❑ Undgrd ❑ 1i0, of F,-ter, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work t-0 4ECi Q(, L!ff 67.0 1 C51 t o vu No. of Lighting Outlets No. of Hot Tubs No. of Trans`orcers Total ' KV No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners INo, of Emergency Lighting Batter Units No. of Switch Outlets No. of Gas Burners FIRE ALAIL`IS iNo. of Zones A No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No. of Neat Total Total d 1 Puns Tons K+,' No, of Sounding Devices No. of DishwashersNo. of Self Contained Space/Area 1leating i:a Detection/So_nding Devices No. of Dryers ❑ K_,nicipal �-7 Y Heating Devices Kti Loca� Con lection lOther No No. of Water Heaters },'FI No, of No. o Low Voltage �Si ns Ballasts Wirin No. Hydro I•Iassage Tubs No. of Motors Total HP OTC-R: INiSURANiCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Covera,e e= its substantial equivalent. YES❑ NO ❑ I have submitted valid proof of sare to this office. 1%S❑ i•;0 ❑ If you have checked YES, please indicate the type of coverage by checking the appropria;e box. INSURANCE BOND ❑ OTIiER ❑ (Please Specify) Q Estimated Value of Electrical Work $ (Exp r tion Date) 1;o:-i: to Str:: t _ Inspecti.on Date K2gU^_ste6: Pough Si.;;ned under the penalti.eS OF perjury: 1 2 FI= NA`[? ?Ic V! CG� 1-1 �C �(,( C �G/-_Sign'turc :t. ti0. 13 cdrCss 1 � J1j)� S — '5,Q _ �(v711C� Bus. Tcl. j'��— 2 -a . lt. cv el. ,,. S •.,.,-R S IiiSUR1NCE WAIVER: I am aware that the Licensee does not have t1le insura.=.:e coverage 'or-its sub- stantial equivalent as required by N3SS1ChUSCttS General L;.ws and that Fly signZ-u:c on this perm applicatioll waives this requirement. O•w:jer Agent (Please chec'"'. one) Date.... N2 0 ....... ........ ........... t �1pRTM 1 /�t;�,;�`"-�•�."�0 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING Ss�cHus� Z This certifies that T-P �� r........ T r, ..... ......................... r................. ........... . . has permission to perform .....��. J c�.:... ...... .....Q `/°1`e ....................... wiring in the building of...... )�- i�.�..!?... s.................................................. t w at.......! 1,�... .... ...�'..�.�...... ..r�.�? North Andover,Mass. Fee...5.... U. Lic.No[—.].c0v.�.....��. r:-t....... .��.... .ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE09W01 WE4LTHOFMAMCFIUSET1S Office Use only _ DEPARTMFNTOFPUBLICS4FM Permit No. BOARDOFFIREPREVL MONRWMTIONS527CMR12:t71D ' Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) -11o7 5_ ( - Owner or Tenant 11W M<-- 27&�-4 /y qa 7— Owner's Address 4 7 nom'`Sy Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) l / Purpose of Building Wow �G io 3 (� rp g ,'� �i /- Utility Authorization No. �— Existing Service Amps /` Volts Overhead Underground 1:3 No.of Meters New Service 0 0 Amps&0 /,2?0Volts Overhead Underground No.of Meters 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 Below Generators KVA _ groundg1:3round NA.'f Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices r\ No.of Self Contained N Detection/Sounding Devices '.No.of Dryers Heating Devices KW Locala Municipal a Other Connections �No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER hw"=ComRx="1athemMlzmcnlsofMmwhB&G=sa1Lam Ihmeaama4Limtldyham=Pc yeiduditgCanpk a CmwdgeoritswbswUegivalarlt YES NO Iha%estlxr advalidprmfofsamelothe06m YES F1 NO WymhavedxciwdYESspkmitcethetAxCfWWdgebyduk%the NSURANUa BOND o GIFER o (Pk= ) D* akbSta¢t l D ' � �(–� % VahreofFlectrical Wodc$ W 1tq=m D eRW*d Ratgh /0 —Q� Final Signed utxlmPa'rtltics of, Y �� `--- FIRMNAME % X22 c' C �.f c� y e c a] 36 SignanBusiness Tel.Na cj7G:g—17 s 3 AkTdNa OWNER'SPWRANCEWAIV ;I.amawatetAftL m , mN theitsuan W=VoritSWUrAralqriydjffItasM*WbyMmadeselC Cmial Lam std fat my aeon ibis parrt6.tion wanes this regtmana>{. (Please check one) Owner 1:3 Agent M J 76 3 Telephone No. S79` 6 .PERMIT FEE$ s 0 Location A No. Date �a N��TM TOWN OF NORTH ANDOVER F: • O� # Certificate of Occupancy $ •', �'�s'""°'�t�' Building/Frame Permit Fee $ �0 sACHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 460100 Check # 1, 16091 At- frrr,'/C- Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING p roCl;C 091 .� rn BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: ` Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 40`'1 (Y)A-S,-,r Au E- 0,4e S G o k4 Map Number Parcel Number �0. �`tuc2..f• W 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone To tion: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY.OWNERSHIP/AUTHORIZED AGENT M 2.1-Owner of Record QrC,7r � dd e—S 4-017 I l ,kss. Name(Print) Q _ Address for Service GAJ 89 - 0 i S � Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ P,4 LA—1 Licensed Construction Supervisor: U 9 1714 L\ ® 3 O License Number 3 t4 �ta. �-1 m Dr�. �i OVIA • 'TI Address Expiration Date Z Signature Telephone r 3.2 Registered Home Impprovement Contractor Not Applicable ❑ v , I Company Name Registration Number r Address r Expiration Date z^ Signature Telephone Y♦ SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......11 No.......❑ SECTION 5 Description of Proposed Work check au ticable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: r \ M A t a .t�P.-n-��oc�r�, I �sr �l v o R. 1 �C.n[ yV 0.'X1.0►y � �`WQlo.CSZ. n l l SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee 7J .6, Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) _ 4 Mechanical HVAC g 5 Fire Protection 6 Total 1+2+3+4+5 75 1< L 5 Check Number r SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT E, I, Co i tr 4-.J".Le 7pam 710 C�e.S as Owner/Authorized Agent of subject property Hereby authorize �o.w,.e �i4-(Jt� to act on My b calf,in all matters relative to work authoriz d by this building permit application. X U ,r0._ " 0 l2- /8-2Oo2 Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject properly 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 Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS I-II-IGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE µ r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02919 Workers'Compensation Insurance Affidavit Name I CC n Please Print Name: ?1ad�S Location: !-01 m a S c City Phone # 01,�5 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City. Phone# Insurance.Co. Policv# Company name: 20&6 ISS rvw c� ` 'l 4 Address 3 6 -{- r11 o f Phone Insurance Co. o n Poligy# As S Failure to secure coverage as required under Section 25A or MGL 152 canlead to the imposition of criminal penalties of.a fine up to$1,Soo.00 and/or one years'imprisonment_as veep_as_avil.penattiesin-thelnun-faSTOP WORK ORDER.and_afrne.-cf_($11lo.DD)-a day.against_oe, I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing. Building Dept E]Check if immediate response is required I] Licensing Board E] Selectman's Office Contact person: Phone#: E3 Health Department Ei Other 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 a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: Vr -T--C;A-C --0 v,e-r (Location of Facility) a—P Signature of Pe Applicant / a//8) 12-PJ2- Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector E Papia Design/Remodeling 3 Adams Ave. Methuen, MA. 01844 1-800-851-4427 Massachusetts Home Improvement Contractors Registration # 124542 Mr.&Mrs Scott&Anne Rhodes November 16,2002 407 Mass Ave. No. Andover,MA 01845 Home(978)689-0125 The following is an estimate for work to be performed at 407 Mass Ave.No. Andover,MA 01845 DEMOLITION: Remove all the existing bathroom fixtures,cabinets,floor&wall covering as necessary. Strip wall covering down to studs,remove floor covering to subfloor. Remove Trash from job site. FIRST FLOOR BATHROOM REMODELING REMOVE CLOSET&MOVE TUB PDR will remove the existing interior wall between the bathroom and the bedroom closet area to expand the existing bathroom.Install a new 60"x 30"tub/shower unit. Run new water&drain lines to the new tub&shower stall. PLUMBING: Install 5'0" Sterling 2 piece tub unit. (Performer Right Hand RH21473 tub,21630 walls white) Install new Moan Anti-Scald single handle chrome tub&shower valve,tub spout,and shower head. (#4970) Install new copper water lines as necessary. Install new waste drain,&trip lever. Allowance for Tub&Shower Unit$290.00 Allowance for Mixer$139.00 Allowance for Trip&Waste$ 12.00 SHEET ROCK Hang''/2"gypsum board over the wall as necessary in the bathroom. Apply tape and two coats of joint compound, sand final coat,&prime area. Block up the Attic ceiling access hole in closet ceiling. CONSTRUCT A NEW 4'x 2' CLOSET IN THE SPARE BEDROOM INTERIOR WALL: Construct a 4' x 2' closet area in the extra bedroom. New walls constructed with 2"x 4"wood framed 16"o.c., Single top&bottom plate. Hang'/z"gypsum board over the wall as necessary in the bathroom. Apply tape and two coats of joint compound, sand final coat,&prime area. Reuse existing closet doors,&trim as necessary. as per plans. CONSTRUCT CLOSET AREA IN REMAINING SPACE NEXT TO THE TUB/SHOWER FRAMING: Frame closet walls in the remaining space next to the new shower stall area. Use 2"x 4"wood framing studs for new closet area. Frame closet wall to receive a 24"x 78"closet door. Use 2"x 4"wood framing studs for new closet area. 1 F ROCK/TAPE: Hang new 1/2"water gypsum board to the walls of the closet. Apply tape and two coats of joint compound,sand final coat,&prime area. SHELVING: Install five(5)%"x 12"White Laminate Shelves to closet area. DOOR: Install new 24"x 78"split jamb,Masonite 6 panel paint grade closet door. Finger jointed 2 1/2"Colonial casing and jambs to the closet door. INSTALL NEW SHEET ROCK TO THE BATHROOM WALLS&CEILING Hang'h"gypsum board over the wall as necessary in the bathroom. Apply tape and two coats of joint compound,sand final coat,&prime area. Hang 3/8"gypsum board over the existing ceiling in the bathroom. Apply tape and two coats of joint compound, sand final coat,&prime area. INSTALLATION OF A NEW BATHROOM VINYL FLOORING: REMOVAL: Remove existing bathroom toilet,prep area for new wax ring. Remove Lauan plywood subfloor. Remove any rotted underlayment flooring and replace as necessary. VINYL. Install 1/4 Lauan plywood subfloor directly over existing floor. Apply 1 t r pp y floor leveler ev o nail/screw ew heads&seams. Install 45 square feet of Vinyl,No Wax Flooring to entire bathroom floor glued to new subfloor. (6'x 9'-0")6 SQ.YARDS Install one(1)new Oak threshold to door opening. Allowance for threshold,flooring,mastic(adhesive)of$125.00 INSTALLATION OF A NEW CABINET REMOVAL: Remove existing bathroom lavatory,faucet,medicine cabinet&light. VANITY: Install one(1)new 30"x 21"vanity. (Estate White V26131) Allowance for Vanity of$198.00 MEDICINE CABINET: Install one(1)new 30"medician cabinet/minor over sink. (RSI 2doors,Pull Down 3`d,White 13130#111-660) Allowance for Mirror of$99.00 INSTALLATION OF A NEW SINK TOP SINK/COUNTERTOP: Install one(1)31"x 22"Swan stone Artic Granite custom square edge counter top,single smooth bowl under mount sink unit,with attached 4"back splash. (167-059) Allowance for counter top/sink unit$149.00 FAUCET: Install one(1)new Moan faucet two handle 4"whole spread to new sink.(160 H23) Allowance for faucet$129.00 PLUMBING: Install new 1 1/2"PVC drainpipes,&trap for new sink. 2 INSTALLATION OF A NEW BATHROOM TOILET REMOVAL: Remove existing 12"rough bathroom toilet,prep area for new 12"rough toilet. PLUMBING: Install one(1)New American Standard Cadet H Round Front 1.6 gallon, 12"rough,toilet,in White (28593 bowl,28591 tank) Install one(1)Matching Seat cover to the new toilet. Install one new stainless steel flex water line to the new,toilet. Allowance for fixture$99.00 Allowance for seat$15.00 INTERIOR TRIM WORK BASE BOARD: Install new 3 1/2" Colonial molding around the perimeter walls of the bathroom. WINDOW: Install new 2 1/2"Colonial molding to the inside of the bathroom window. CONSTRUCT OPEN FRONT CLOSET AREA IN REMAINING SPACE NEXT TO THE VANITY SHELVING: Install hooks rack with 6 pegs,approx. 50"off the floor Install two(2)%"x 12"White Laminate Shelves above the hook rack at 51"&64"off the floor. INSTALLATION OF A NEW BATHROOM ACCESSORIES Install new towel rings or towel bar, 1 toilet paper holder, & 1 soap holder to bathroom, 1 tooth brush holder,Glass Shelf etc. Customer to supply Accessories RADIATOR: Remove old radiator housing install new white radiator housing appropriate size. TOTAL LABOR& MATERIALS $ 81165.00 3 O 6/7— loan�reoauuea� Z?aoocu/ucaeUd 1 BOARD OF BUILDING REGULATIONS ` Licenser CONSTRUCTION SUPERVISOR Number: CS . 042063 i Birthdate: 03/07/1957 444 j Expires:03/07/2003 Tr.no: 7382 f 'Restricted To: 00 PAULM SOUCY ! 36-A BALTIMORE ST "'�'. / HAVERHILL, MA 01830 Administrator Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 111079 Expiration: `11/25/2002 jypei.-INDIVIDUAL PAUL M SOUCY PAUL SOUCY 36A BALTIMORE ST``'' S HAVERHILL,MA 01830 Administrator e AORTH e Town of ..: . Andover No.433/ -� o�A 4t-ocH,�� , dover, Mass., A? %p RATED A? .2 S u G H 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT....15.C.04...4 BUILDING INSPECTOR ..�,/V.vv..... ?.hgP.c 1�..&.............................. ..............,................. Foundation has permission to erect..... R!!'�o. M.�.. buildings on ...... ...D 9...m/.Q ss...... .V • ....................... Rough to be occupied as........... ........�3,14 .�1.......I.. ......,�L!v. .. ..... + 'CN. ............................ Chimney provided that the person accepting this permit shall in every res ct conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 41.5 141,Q X PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR e �� Rough .. Service BUILDING INSPECTOR...... Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. � w .L ► To I bolt tat' �� ,�+►'� �� Date. . . .9. :?�' . . . . . a NORTH 3i��,;��•'^;•'�coL TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� L This certifies that . . . . .� . . . . . . . .� ?. ` has permission to perform . : . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . at . �/�'. '�''' � :!-� . . . . . . . ., North Andover, Mass. FeeV1 . . . . . .Lic. No. 1. . . . .!. � . . . . . . . . . . . . / PLUMBING INSPECTOR Check # ldy 54 ; 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) Z NORTH ANDOVER,MASSACHUSETTS Date Building Location !{O ? S � Owners Name /%— 141/0,06-11& Permit#� Amount Type of Occupancy '' New Renovation Replacement 13 Pans Submi ted Yes 0 No FIXTURES Cr Cn sumq IC &A% T ISE Him H" 6'M FL" - ,M. (Print or type) �R �l.�+96 / _ ,Check one: Certificate Installing Company Name `? i-w� �w� El Corp. Address � �'�b��-- � r-- Partner. usmess Telephone Q 7 y ISO FirmlCo. f 1\1ame of Licensed Plumber: insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Riability insurance policyEl Other type of indemnity 0 Bond Insurance Waive : ndersigned,have been made aware that the licensee of this application does not have any one of the above three in uranc I re 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 best of my knowledge and that all plumbing work and installations performed under Perm' ssued for this application will be in compliance with all pertinent provisions of the Massachusetts State P Abin Code apter 142 of the General Laws. By: igna ure 7111-icerrsearJumber Title Type of Plumbing License 7SD� City/Town ricense NumSer MasterJourneyman APPROVED(OFFICE USE ONLY A4291 Date..//Z/O...... TOWN OF NORTH ANDOVER 4L PERMIT FOR WIRING This certifies that ........... ........ . ............................. has permission to perform ... ............................................. wiring in the building of d 9 P ............................................... 17161 -7 at............................................................7........... North Andover M �7' Fee... ....... L ICAL INSPIICiDR Check # Ir THF COMMOATWEALTHOFMASSACHUSETTS Office Use onI DEPARTNIEI V T OF PUBYC S9 FETY Permit No. BOARDOFFMEPREVFVHONRWUL4RONS527CMR12 00 Occupancy&Fees Checked APPLICA71ONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Alo,7 Owner or Tenant-.�L&4 Rhade 5 Owner's Address S��110- Is this permit in conjunction with a building permit: Yes EaNo (Check Appropriate Box) Purpose of Building //) ,,�Ie 'mjy Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work (Wl�Y1'I [�/)OyV41,✓P No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA . No.cf Lighting Fixtures Swimming Pool Above Below Generators KVA ground round No.oftReceptacle Outlets / No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices ....... � No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices _ No.of Dryers Heating Devices KW Local ^ Municipal Othe uConnections No.of Water Heaters KW No.of No.of Signs Bailasis No.Viydro Massage TubsNo.of Motors Total HP OTHEIR' kwranceCorrage,RrmttDdrmcgrimrMofMassadxisMC=aWL Aw IbaveaaiaailiahltyknrmmPblicyuichr7ngConp Cc)wr4perr,alsuvialegAvalfftt YES NO Ihaw&ftn&dvandptoofofswrtodkOffioe:YES IfyouhavedmkDdYES,pkaseirtcficatethetypeofcovaageby L. NCptiateE Bol`ID MIER -- ExptrafiMDate / E0nakd VahieofDxfiical Wotk$ Wolktostatt '� hispac MDa-RMUested Rough / �r3 lir" sigtrd underTe Penalties of FLRMNAME Iiemsee_I�C� /7�[ Jl /.� Si,nattue LKUMNo y� (� f `'f L cy BusinessTel.No. Adrhxc l �- 1 1f.� s �((�� J>l ex), GY G7 0)O�/ Ah.Tel No. OWNER'S INSURANCE WAIVER;I am aware that the Lim does nothave the UB alp oowtage Orits abstantial egtrivalent as iegtuted byMa%aclnlz Gewd Laws and that my signattue on this pemtit application waives this tegtmuffmt ;Please check one) Owner Agent Telephone No. PERMIT FEE$ - (/ tgna ure ot Uwner or Agent :e N The Commonwealth of Massachusetts d Department of Industrial Accidents .4 Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affrdavif Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name. Address City: Phone# Insurance.Co. Policv# Company name: , Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one years'imprisonment.as_well_as_civil,penattiesinshelorm-fa_STOP WORK ORD.ERand afine_of..($111o.DD)asiay.agakmt-me I t' understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains and penalties of perjury that the information provided above is bye and correct. Signature Date Print name Phone.# Official use only do not write in this area to be completed by city or town officiar City or Town Permit/licensincl I] Building Dept E]Check if immediate response is required I] LcensinS Board E] Selectman's Office Contact person: Phone# n Health Department I] Other