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
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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 „
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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
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DOC-
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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