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HomeMy WebLinkAboutMiscellaneous - 408 BOSTON STREET 4/30/2018 408 BOSTON STREET 210/107.D-0027-0000.0 i Date.................................. Of NOR71� + 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING r SS us 2 This certifies that ..;.:::4/n-...�. '� ............................................................ has permission to perform .. . ..... ............................................................... wiring in the building of...... ..... ....... . ....................................... at ......VArZ. ..........U.... ..) North Andover,Mass. Fee.n�..`- ....... Lic No.10`344 z.... ELECTRICAIL*iNSPEcrOR Check # 5b69 Commonwealth of Massachusetts Oificiat use Only Department of lire Services Permit x°' X64 9 . .w. . Occupancy and Fee Checked tea. BOARD OF FIRE PREVENTION REGULATIONS ev. 11/991 0.,blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 120 (PLE4SE PRINT IN INK OR E ALLIN ORAM770N) Date: p City or Town of: 0. be ue 0-P, To the Inspector bf Wires: By this application the undersigned gives n of his or her intention to perform the electrical work described below. Location(Street&Number) D 0S-/'v A/ 57— Owner or Tenant Telephone No. Owner's Address O 9 1 " Is this permit in conjuncti;71g� 5 ith a bug permit? Yes ❑ No (Check Appropriate Boa) Purpose of Building / 'l ce— Utili Authorization No. ExistingService —� � Amps /07 p7 Volts Overhead Undgrd❑ No.of Meters New Service Amps ! Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -c-ompletion of the ollowrn table 2za X be waived by the Ins error of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans o.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA A ove - o.o mergency Lighting No.of Lighting Fixtures. Swimming Pool red ❑ and ❑ gattery Units No..of Receptacle Outlets No.of Oil Burners FIRE ALARMS T No.of Zones ' o.o eec man No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No. of Waste Disposers eat p um r ons o.of ontain Totals: I I Detection/Alertino Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection Heating Appliances Security Systems: No.of Dryers' >; pp �t No.of Devices or Equivalent o.o stet KW o.o o.o Data Wiring: " Heaters Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications wirtng: No.of Devices or Equivalent " OTHER: Attach additional detail irdesired,or as required by the Inspector of Wires. 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 cover ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) :) Pe (Expiration Date) Estimated Value of Electri Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and compk V49/:, FIRM NA'ME/: �1/�� / ,� (,, zCrA2 T t�C'. LIC.NO.:Licensee: I//i(/C�iU7� �ry�u ,�4 Signature - 4. - -• LIC.NO.: � (If applicable, er"ezenrpt in ensenumberline.) �/J Bus.Tel.No. -6 86-38�C Address: 1D— US �'� 57''" /U, �D7/glC k4`0:zPIXO1L Tel.No.: 5 OWNER'S INSURANCE WAIVER 1 am aware that the Licensee does not have the°liability;ncrrrance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent Owner/Agent Signature Telephone No. PERMIT FEE:S I L TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IM ORTANT:Applicant must complete all items on this page LOCATION - Print. -. PROPERTY OWNER V-Abja-441 1K VA DCL Print 100 Year Old Structure yes Qno ,, MAP NO: ARCEL: ONING DISTRICT: Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building j(One family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 77�7] ❑ Septic' Well ❑ Floodplain ❑Wetlands ❑ Watershed District' Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: ct/ gooSt �✓ Identification Please Typ orPrint Clearly) �• ��g-7.�� OWNER: Name: ��e/i�•� Phone: Address: CONTRACTOR Name: Phone: 47 Address: IWA "A, A�• M' Supervisor's Construction License:G� d��(p 21 Exp. Date: 10h 3��7 Home Improvement License: d Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project $ � �FEE: $ �ect Cost: , f Check No.: N o.: NOTE. Persons contracting with unregistered contractors do not have access to� guarantYfa nd ��Signature of Agent/Owrier Sig nature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ ktaed P ant Location No. v Dateli mbTOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL $ a Check# 1%j 26557 Building Inspector r 7NORTH - 1, : :. .c . : ve: 'o No. o h , ver, Mass, C CICNIC Nl WICK y1' S U BOARD OF HEALTH Food/KitchenPERMIT T LD . Septic System - THIS CERTIFIES THATIN /�� BUILDING INSPECTOR ................ ........... .......... ..I6 i..... .... ..... ............................. . ........ ..... ....... . .... /� Foundation has permission to erect.......................... buildings on ..4..4r. .....:... . . In ti .... ........ ....... Rough tobe occupied as ................................................................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN ON ELECTRICAL INSPECTOR UNLESS CONSTRU I T S Rough Service .. ... .:.. .. .................. ....... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 110988 Type: Partnership Expiration: 11/18/2014 Tr# 234108 WHIPPLE BROTHERS CONTRACTING `". 3 rl EVERETT WHIPPLE 455 MAIN STREET N. ANDOVER, MA 01845 Update Address and return card.Mark reason for change. Address E] Renewal E] Employment E] Lost Card - - SCA 1 20M-05/11 � jpryy pru[uea/C 119/ adac/ccaet% License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: U'U"Oegistration: ME IMPROVEMENT CONTRACTOR Type. Office of Consumer Affairs and Business Regulation .,110988 10 Park Plaza-Suite 5170 xpiration: ;=4;1%18%2014 Partnership Boston,MA 02116 WHIPPLE BROTHERS CONTRgCTING EVERETT WHIPPLE { 455 MAIN STREET N.ANDOVER,MA 01845 Undersecretary Not valid wit -u signatu e „ A bLOZ/£Z/O6 Jauolssiwwo� u01}ejidx3 ....�,�.,� - S6SIO V-H.ranopub gjjoN I ZS NIt�yQ SSb M'I.LXaH9A3 OZ9 L S0-SO :as uaor-I .ros!:uadns uo!t-1n-1tsuo,D spaepue;S PUL. suoljeInBea Fu!pline 10 pje08 1 Q A191eS o!Ignd to uaw eda - suasnyoesseW Everett L. Whipple III Remodeling and Home Repairs 455 Main Street North Andover, MA 01845 Tel/Fax: 978-794-3979 Proposal Date: May 29, 2013 Proposal Submitted To: Job Location: Ken & Paula Murphy Same 408 Boston Street North Andover, MA 01845 We herebysubmit specifications and estimates for work to be performed at the P described location. Replace existing siding, trim and sash on two sides of residence. -Remove existing siding and trim. -Apply house wrap to existing sheathing. -Install new primed Hardie-Plank Fiber Cement siding and Azek trim board. -Install new Harvey `Classic' , vinyl, double hung sash with built in vinyl Brick-mould casings, low E glass, Argon Gas and built in mullions. -Replace two storm door units with Harvey Industries Full Lite doors. -Hang eight (8) pair new 14" wide Polypropylene shutters. -Re-hang existing gutters and downspouts. -Install new interior pre-primed wood colonial casings and window sills. No finish painting is included with quote. -No porch work is included with quote. -All related debris will be removed and work area swept clean. Total of estimated materials and labor: $18,515.00 Estimate includes all materials and labor unless otherwise stated. This proposal is valid for 30 days. A deposit of $6, 000.00 is required upon the acceptance of this proposal. $6,000.00 will be due upon delivery of new sash units. Balance of $6,515.00 will be due in full upon completion of job. Please sign one copy and return with acceptance deposit payable to Everett Whipple. Authorized Signature: Date- 3l All material is guaranteed to be as pecified. All work is to e completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above this estimate. Acceptance of Proposal-- The above prices, specifications and conditions are satisfactory and re hereby accepted. You are authorized to do the work as specified. nts will be made as outlined. Signature: Date of Acceptance: A 3 Thank you for the opportunity to quote on this project! Everett L. Whipple I I I Remodeling and Home Repairs 455 Main Street North Andover, MA 01845 Tel/Fax: 978-794-3979 Proposal Date: May 29, 2013 Proposal Submitted To: Job Location: Ken & Paula Murphy Same 408 Boston Street North Andover, MA 01845 We hereby submit specifications and estimates for work to be performed at the described location. Replace existing roof and install ridge vent on entire residence. -Strip existing roofing material to sheathing. -Install 3' Ice and Water Shield to all lower edges. -Cover remaining area to peak with Typar weather barrier underlayment. -Over lap Water Shield onto house to create weather tight seal. -Re-roof with 30 year architectural roofing. -All related debris will be removed and work area swept clean. Total of estimated materials and labor: $13,090.00 Estimate includes all materials and labor unless otherwise stated. This proposal is valid for 30 days. A deposit of $6,000.00 is required upon the acceptance of this proposal. Balance of $7,090.00 will be due in full upon completion of job. Please sign one copy and return with acceptance deposit payable to Everett Whipple. Authorized Signature: Date: All material is guaranteed to be. as ecified. All work is to be completed in a workmanlike manner according too0tandard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. Acceptance of Proposal-- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Pa ents will be made as outlined. Signature: Date of Acceptance: Thank you for the opportunity to quote on this project! 06/24/2013 16:19 FAX 1 978 688 5350 MacDonald & Pangione IAOO1/001 WHIPP-1 OP ID:OUJA CERTIFICATE OF LIABILITY INSURANCE DAT 06125D/YYYY) 06/25/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). CONTACT PRODUCER Phone:976-688-6921 NAME; Macdonald&Pangione Insurance Fax:978-688 350 PHONE P.O.Box 428 c o 104 Main Street ADDRESS: North Andover,MA 01845 Michael Panglone INSURER S'.AFFORDING COVERAGE NAIC 0 INSURER A:Preferred Mutual Ins Co 15024 INSURED Whipple Remodeling INSURER B: P O Box 823 Andover,MA 01810 INSURER c INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IIJSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EXP R POLICY NUMBER WDDIYYYY MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 X X COMMERCIAL GENERAL LIABILITY CPP 0105058 10/06/12 10/04U13 DAMAGE PREMISES R cTED' ce S 100,00 CLAIMS.MADE r-1 OCCUR MEO EXP(Any one person) S 5,00 PERSONAL&ADV INJURY s 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AGG S 2,000,00 POLICY FlipAcot- LOC S AUTOMOBILE LIABILITY COMBINED SINGLE L a acddenl ANYAUTO BODILY INJURY(Per person) S ALL AUTOS AUTOS LED ODDLY INJURY(Per aocNenl) S q S — NON-OWNED PROP RTYDAMAGE HIRED AUTOSAUTOS peraachlarn $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DEO I I RETENTIONS S WORKERS COMPENSATION WC STATU- I OTH. AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORMARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA EL EACH ACCIDENT S (Mandatory In NH) EL DISEASE-EA EMPLOYE $ Byes dIPTIONow1be OF er O E.L.DISEASE-POLICY LIMIT S DESCRIPTION un OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addidenel Remarks Schoftle,M more apace Is ragwred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ken Murphy THE EXPIRATION DATE: THEREOF, NOTICE WILL BE OELIVHRED IN P y ACCORDANCE:WITH THE POLICY PROVISIONS. 408 Boston Street North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/06) The ACORD name and logo are registered marks of ACORD Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF.SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑. . Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY J INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on - Signature COMMENTS A HEARTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature� Date Driveway Permit ® IVoti IDPH'7Covv.:� (Engineer: signature: Located 384 Osgood Street FIRE D&ARTMENT - Temp Dumpster on site yes no Located at-124 Mair'Street Doc.Building Permit, Fire Depai-tinerit-signature/date t. COMMENTS S4ec'a�..e '0 s S a�aCi oa�s o�eb�,aio$a@@tic i%%% Y isea rn�s�b I OocBuil�vg DOC- a Plans Submitted ❑ Plans Waived-[] Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE.DISPOSAL' Public Sewer ❑ Tanning/Massage/Body Art ❑. . Swimming'Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED - DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS p HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 1 Conservation Decision: Comments Water & Sewer Connection/Signature Date Driveway Permit DPW Tow; Engineer: Signature: Located 384 Osgood Street FIRE:DEP ARTME=NT - Temp Dumpster on site yes no j Located at 24 Mair'Street- Fire Departinent-signature/date COMMENTS Building Department The foliewing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit { ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the app,-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building Permit Revised 2012