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Home My WebLink AboutMiscellaneous - 42 WESLEY STREET 4/30/2018Date,-..�/4/—`4 ........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 41 /,a /7'u, 77—twe e..' j This certifies that t.... ................................. ................................ has permission to perform .....6.-... ................ wiring in the building of !Wr. ................................... 4, at .......... .. . ................. . North Andover, Mass. Fee &�r..'.. Lic. No./4/77J� .............. i�i �...... INSPECTOR Check # 6561 THE COMMONWEALTH OF MASSACHUSETI S DFPAR7AIDVf OFPUBIICS4FEIY BOARD OFFIREPREVEMONRE1GULMONS527aIR12 AD Office Use only Permit No. to .5 ' 1 Occupancy & Fees Checked APPLICA71ONFOR PERMIT TO PERFORM ELECTRICAL WO 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 0 Town of North Andover To the Spector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street b Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes M NoP0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service AmpsVolts Overhead Underground M No. of Meters New Service Amps Volts Overhead Underground EZ3 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work� l scy ?Jo. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round 1:1round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal Othe No. of Dryers Heating Devices KW Connections a (No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• Ihavesihniiadvalidp[UofofSMlDftOliic- YES I dlSLRheappc box Lai INSURANCE W BONDJ OtIIIFR Q PS i, /-J U Sigratiae IbIt YES ?Z] NO If)uu have dled®d YES, please mk* the type of wmr, ge by (PleaseSP�Y) EViialimDaie EstimaMd Value ofi~]eclncal Wotk $ Rao I Final LicroseNo. _ Li�eNo ) �` 7`)A n 0 /b l J Alt Tel Na 97f 3 11a OWNER'SINSURANCEWANfi;IamawaredlattheLiowdoesinthavetheir>am=corsageoritsa*starialmmvalentastegtluadbyMassad>aseltsC eWLaws arylthatmysignahllecnthispem>d*plicationwa*r,mthism me mem (Please check one) Owner a Agent F1 Telephone No. PERMIT FEE $ signature of Owner or Agent THE COMMON Vim ALTH OF MASU CHUSET TS DF.PARTARMOFPUBIICS MY BOARDOFFIREPREVEMONRBGULA77ONS527CslR12.00 Office Use only Permit No. Occupancy & Fees Checked 0APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO 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 ! ao Town of North AndoverTo the Lpector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street B Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) Purpose of Building Utility Authorization No. _ Existing Service Amps�Volts Overhead 13 Underground No. of Meters LService Amps Volts Overhead M Underground No. of Meters ober of Feeders and Ampacity I ration and Nature of Proposed Electrical Work -TN 77777 7 ' w ;cayv , i C of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA . of Lighting Fixtures Swimming Pool Above Below Generators KVA round Rround . of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units D. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones o. of Ranges No. of Air Cond. Total # Tons No. of Detection and �o. of Disposals No. of Heat Total Total I Pumps Tons KW Initiating Devices No. of Sounding Devices +'o. of Dishwashers Space Area Heating KW I No. of Self Contained Detection/Sounding Devices Local Municipal Other lo. of Dryers Heating Devices KW Connections � I o. of Water Heaters KW No. of No. of 1 Signs Bailasis i to. Hydro Massage Tubs No. of Motors Total HP f i rHER- __ WM=C0Wrdge. Rmanttothe tegtme xn1sotMimchtNWsGalMLaws IhareaamatL+abt7iylrmua=PblLyinchrfmgCompiee CowWorgsmbsmrMgrmiaY YES ' NO Ihaveaft aedvalidpr000fmw0theOlficm YES j—T If)ouhawchad¢dYES, plErmil &&theNvcfcowraXby INSURANCE BOND r7 OU ER r7 (Plea9e Spe i1y) WodctoStatt Signed underai FIRMNAME }ice n Es&raa dValueofhelicalWbtk$ of h;ptxnonDateRequested Rao Fine! -�,�� Lica>9eNo _} ,.7 '7 L --.%� LloenseNO _ `- _ Bt.> nmTel No. &,:9_5 �1t1FR'SINSURANCEWAMIR lam aware dattheLio wdoesmthavethemwar=co oritsmbs�al ed by % `� Laws ll� r ,M drat my sigiMm on this pwnA appl corm waives this m4merna�t � � (Please check one) Owner ED Agent a Telephone No. PERMIT FEE $ signature of Owner or Agent Location"f� 669 Date Date No. _, NO ,, . TOWN OF NORTH ANDOVER Y f + ; . Certificate of Occupancy $ �'�b' •'��' Building/Frame /Frame Permit Fee $ ss�cNuse 9 Foundation Permit Fee $ y Other Permit Fee $ TOTAL $ v� Check # 184 10 Building Inspector i Y 6 BUILDING TOWN OF NORTH ANDOVER BUII.,DING DEPARTMENT DATE ISSUED: SECTION I- SITE INFORMATION 1.1 Prapedy Address: 1.2 Assessors Map and Parcel Number � �y�e,s\ev Si�e,�� ✓� j GG Map Plumber Parcel Number 1.7 Water 8applyMC}LC 40. `d 54) r. cwu roar iauua wsc 1.0 � aysum: Public 0 Pnvste 0 zooOohido Flood Tone 0 btwicipst 0 Oa 8be Diopassl 8ysoom 0 SECTION 2 - PROPERTY OWNERSIWIAUTHORUMD AGENT I-MVW Mc�rx�\� Aa V.K. t S% . Name (Print) Addresrfor Service ; �— Ws a-70 2.2 Owner of R000rd: Name Print Address for Service: Si tune Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supwhsw. Un, -6'Po d iNk Licensed Construction S gcb Address sign re Telephone Ligase Number Expiration Daft G Company Name ReSistratioa Number Address t /(./` c Expiratioi Daft SECTION 4 - WORKERS COMPENSATION (bLG.L C 152 j 25c(6) Workers Compensation Immace affidavit must be oomplod and submitter! with this application. Failure to provide this affidavit will mutt in tho denial of the issuance of the building it. Sisned affidavit Attached Yes.,...-X No.... ...0 SECTIONS Description of Fro ' ' Work ehectc.0 ble New Construction' 0 Existing Building 0 Repair(s) Alterations(s) '0 Addition '0 AccessoryBldg. 0 . Demolition 0 Other 0 Specify SECTION 6 -ESTIMATED CONSTRUCTION COSTS , Item Estimated Cost (Dollar) to be Completedby appficant ' 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Esfirneted Total Costof Construction 3 Plumabing Building Pettnit fee (•) x: m .4 -,MecbvAcal AC 5 Firefttection 6 Total (I+2+3+4+5-ZT9Z3Check Number SECTION 7a OWNER AUTHORIZATION TOUR COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT. I, as 0. ter/M.Oftrized Agent abject property Hereby authorize , to act on ' t My behalf; m' rnat , X�to work authorized by this building permit application. 742 Signature ffOwner Date T SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and infm7nation on the foregoing application are true and accurate, to the best of my knowledge and belief Print Nerve , -- -7 S' of Owner/ Date NO. OF"STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 151 2NU 3bw SPAN DIIvlENSIONS OF-SILLS DDAENSIONS OF POSTS DRAFNSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF Fo6nNG X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ERj_* W W Cd >, cf) o H w° a U w a /L N a .fit .1 JI LU O a f' z Q,L Q d o >, /L N .fit .1 JI LU O Q f' z Q,L Q a O z E _ y 0 G ra 7 cm m cm c 0o 0 CD c �QC IV ID 0 Z O cm ro U 0 0. y CD MA CD Q. O O CD cacc h CL CO2 c O C.3 O cc CO) 0 L tO s CD CLCO2 C CM C O C 0 CD m 3� LftCD � 0 9 — 0 CL cma c O .O CD O Z s CDCL CA C 0/ W rg W W Cc W U) 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 at: zr l c��' 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. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: (Location of Facility) g"' 1 lav)),4e. ko�� CV41 Signature of Permit Applicant Fire Department Sign off Dumpster Permit Date The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print City ASti\" mr-k Phone y ff F1 am a homeowner performing all work myself. F1I am a sole proprietor and have no one working in any capacity �<, am an employer providing workers' compensation for my employees working on this job. ComDanv name: U" V � pay CO3)Yf0v--\1 Address City: /� �I Phone #: Insurance Co. Acv —7/ Policv # Company name: Address City: Phone #: Insurance Co. Policv # 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 penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. , Sig v Print hCl �P name .�i� y Phone Official use only do not write in this area to be completed by city or town official' Building Dept C] Check if immediate response is required Building Dept p Licensing Board ❑ Selectman's Office Contact person: Phone #: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION 15* 113 JUN 06, 20015 "?-95 PAGE: 111 AcORM CERTIFICATE OF LIABILITY INSURANCE 0610610$D/WWI { PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1 Herlihy Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 55 Elm Street i ALTER THE COVERAGE AFFORDED BY THE POt.ICIES BELOW. Worcester, SAA 09609 508 756-5159 INSURED United Painting company, Inc. and United Painting Company, LLC. 200 Butterfield Druce, Unit I Ashland, MA 09729 INSURERS AFFORDING COVERAGE INSURER A: Acadia insurance ComK INSURERB: American International INSURER C: INSURER D: INSURER E: NAIC # COVERAGES THEPOLICIESOFR3SLiRANCELISTEDBELOW}iAUEBEENISSUEDTol"aIAI5UREDNAUMASfiVEPOR7"EFC/LIC`I �1 low'AT�•MITWMT S'TNS-Z%G ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY $E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY THEPOLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THETERMS, EXCLUSIONS AND GOND TIONS OF SUCH POLICIES_ AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IINLTR SR TYPE OF INSURANCE POLICY NUMSEli P ! Y CT1VE POLICY EXPIRATION DA DA TE t+Mrrs A GENERAL LIABILITY COMMERCIAL GENERALUA8ILITYcLntt�tgtaafle occ� ffx CPA011338710 04/951#5 � 04/15106 l EACH OCCURRENCE .000,00fl g�AGETORENTED t (10X js250 LASO YP CAI n d� oar�«t\ 000PERSONAL & ADV INJURY 000 000GENERAL AGC-REGATG PRODUCTS-COMPIOP MIG S2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ,COT I LOG A A4ITOMOBIIFLtABiLfrY MAA011338810 04H5105 04115106 CO`MBINEDSB GJ= ELRAIT (Ea aeadstt) s9,fl00,000 ANY AUTO �- ALL OWNED AUTOS BODILY INJURY (Per persrn:l S X SCHEDULED AUTOS X HARED AUTOS BODILY INJURY EFs<acdderttj g NON -OWNED AUTOS X Drive Other Car PROPERTY DAMAGE (Peratddent) S GARAGE LIABILITY AVSD ONLY -EA AZr nF1riIS1,0(00,000 5 ANY AUTO I { OTHERTHAN EA AA AUTO ONLY: A,S '-- a -- A EXCESSI INBRELLA UA6R86Y CUA091339911 04115105 .04115106 CLAIMS MADE EACH OCCURRENCE S9 Ii00 000XOCCUR AGGREGATE j I S s DEDVCTeLE X RETENTION -so * WORKERS ComPENSATION AND WC7756102 0$115104 _>_ 08115105 EMPLOYERS' LIABILITY - S 4L'C STATU- 19TH- £l.EACH ACCIDENT_ &900000 _ E.LDtSEASE-EAEMPLO E 5900,000 ANY PROPRIETCPJPARTtiER1EXECUTPlE OFFICER/MEMBEREXCLUDEW EI.DLSEASE-POLICY LIMIT 5500000 It ycs, desu1beunder SPECIAL PROVISIONS belovi_T OTHER I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BYENDORSEt1SEN7 l SPECIAL PROVISIONS CERTIFICATE HOLDER 4Mi\4CL6M i iVF� _ �� SHOULD A"y OF THF ASOvE OESCRaED POLtCtES aE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL __.I III DAYS WRITTEN NOTICE TO THE CERTIFcATE HOLDER NAMED TO THE LEFT, BUT cAkLURE TO DO SO SHALL Mpoee %ja 0SUGATt0N Ofd. LtA6tLrr r OF MW 1,3014 UPOH THE %% SURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATFVE�+ . .�, Arn�n rvieeant?eifAM 7RRR ACORD 25 (2001108) 1 of 2 X22876 erreec 81 q 2 st 0 CK sill's g a .jo ILMO S 7- '00 .062 *M ;E 0- tu 7- - �>- _Cal log - -cc CiOn — 9L ol 1 ul:z X=m --. o< -me7--= CA M, 49C 4 �\ The Commonwealth "assac, husetts" (J�' � FOR OFFICE USE ONLY/5-0 Permit No. Department of 'Public Safety Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 (leave blank) - h APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work will be performed in accordance with the Massachusetts General Code. 527 CW 1 : - (PLEASE PRINT IN INK O/R� TYPE ALL INFORMATION) Date ef City or Town of �� " f"r�J �-�� To the Inspector of Wires: The undersigned applies for a permit to perform � the electrical work escribed below: a Location (Street and Number) �— R L eye Map: Lot: Owner or Tenant__ �� 5 ®-t� n ` Zone: Owner's Address Z �� e _� - /V�, /t l ao Veep— Is this permit in conjunction with\a Buil ing permit? �Com Purpose of Building � S f '-M ,19' Existing Service Q Amps—L'/�, Volts New Service "— Amps — / ! Volts Yes ❑ No 191_" Utility Authorization No. Overhead F?" Underground ❑ (Check Appropriate Box) No. of Meters Overhead ❑ Underground ❑ . No. of Meters Number of Feeders and Ampacity t � Location and Nature of Proposed Electrical Work l�tiri2 %'RJ �s^ C3(�if No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above gmd. ❑ In-grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emerg. Lighting Battery Units No. of Switch Outlets .. No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection'and Initiating Devices . No. of Sounding Devices No. of Self -Contained Detection/Sounding Devices No. of Ranges No. of Air Cond. Total Tons No. of Disposals p No. of Total. Total Heat Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW No. of Signs . No. of Ballasts Local ❑ Muncipal Connection ❑ Other No. of Hydro Massage Tubs No. of Motors Total HP Low Voltage Wiring OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations. Coverage..or its. substantial equivalent -YES: ❑ NO 111 have submitted valid proof of same to this office. YES ❑ NNO/❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE.LIBOND ❑. QT, HER ❑ (Please'Specify)— — — — - (Expiration Date) Estimated Value of El tri W $ Work to Start Inspection Date Requested: Rough �' Final " Signed under the n es of perju FIRM NAME a 5 J PL c,C, Or LIC. NO. Z O � c3 3-- Licensee LLicensee 7WIP' Signa ure LIC NO. _ cf u �- Address a t R U0 ? — . Bus. Tel Nof 5Q Z Z Alt. Tel. No. OWNER'S INSURANCE WAIVER I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial, equivalent as required by Massachusetts General Laws and that my signature ori this permit application waives this requirement. Owner ❑ Agent ❑ (Please check one) Telephone No.:.. (Signature` of Owner or Agent) - INSPECTION RECORD Date Notes — Remarks � H Inspector ,_N0 `1 526 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ ? ' 04-s-I.tA.......... ............ ....... has permission to perform .......� ?-CL.&.t.M,. ................ wiring in the building of ......0 .A...... VY1C .. 0a.1A................................... at ..... LI....... j�?.l.....` .... � ......................... . North Andover, Mass. Fee...... t� Lic. No. A-X°2............................................................... ELECTRICAL INSPECTOR Ck-4 44110198 09:26 40. 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Location s Nirl Date o� &o oT ,M TOWN OF NORTH. ANDOVER ,z ., • e C `p ti. Certificate of Occupancy $ ,§ • _ Building/Frame Permit Fee $ M�S • Foundation Permit Feeore F> Other :Permit Fee Sewer: Connection Fee $ Water Connection Fee $ z .% TOTAL Buildirig Inspector 20 N2 12 Div.. Public. Works . 110 3 W z 0 _z O J m V) w W W to z 3 0 f - O 0 W u u W z z 0 u u z 0 J J m tl1 z 4 Z 0 u N J W L L 4 0 0 K < 0 mi z 0 0 a Z W L 0 m aj fn I 8'I m G W 0 L L F " 7 1 O +'IJr u 0 J U a. I L u � z C 1 bO � J (� z 1 O N Z I , t 1 J J ci \ N o o M N � I m N w tl I— W 'Z z tl N I 0 O F K f f. tl W < m W ] m � 1 O tl 7 < W O_ O O � C W I J_ w J J_ ] I LL F L 4 l O m N f L m O 10 0 W W y W W`�u' U' J_ w L U) L L M m G W 0 L L F " 7 K O +'IJr u J U a. L v\ � z C bO tY� J (� z O I , J J ci \ W 3 0 o o M K O u J W L z C J (� z O I , m W � I m W I— W N I K K 0 L L < � 1 O < K < O 0 � C W I J_ z I LL W 0 m L O m 0 W J_ w L F z W V L 0 r 01 0 u W W arc Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption 4'lease print). DATE 3)13 q JOB LOCATION Number Street Address Section of town "HOMEOWNER11_Chc,s1Ps rnol M -1-- DOVIC11.4 8 5- `T\ q0 Name Home Phone Work Phone PRESENT MAILING ADDRESS L4z L_) es lev S� • AhcicQ-erg Yet 1'U - / a.re r YEA i g (4,T - City Town State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code, Section 109.1.1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- ing, attached or detached structures accessory Lo such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Bulding Official, 1.hat he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and ,.•':�gulations. !e undersigned "homeowner" certifies that he/she understands the Town of ,"Lh Andover Building Department minimum inspection procedures and ..-quirements and that he/she will comply with said procedures.and requirements. '0MEOWNER' S SIGNATURE .PROVAL OF BUILDING OFFICIAL jte: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. to be made as All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica. tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. ( Our workers are fully covered by Workmen's. Compensation Insurance. c A xtr0mr of 11raposai —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. bate of Accentancr,• dollars ($ i• Authorized Signature . Note: This proposal may be withdrawn by us if not accepted within days. Signature FORM 118.3 Avallable f,. ee Inc. Grot on, Mass 01450 / Page No. 1 1 of 2 Pages � STAN SMITH - CARPENTER 2 Marion Road PEABODY, MASSACHUSETTS 01960 �8W) 535.5394 1'r PROPOSAL SUBMITTED TO jvd Chuck and Lorna McDonald STREET PHONE 978-685-9790 DATE March 4 1 998 _ 42 Wes1e Street JOB NAME 1 �,� CITY, STATE AND ZIP CODE North Andover MA 01845 JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE we hereby submit specifications and estimates for: Finish basement.. s area. Description....Est. Stock _Allowance Provide 2.' ..x .4 studding to exterior walls and parti-tion--as ........ ind.i.cated....in draw.ing..._.. Approx. total area- -936.....sq.uare ..feet .... 800 00 . , Provide 3111 Kraft -faced insulation in exterior walls- Install t tt _ _ blue board with skim coat plaster to all 25 00 wall areas 1,800 00,. Install one (1) exterior, ...... ...metal, insulated door leading to outside. Install 6 interior 6 -panel, hollow -core doorsin the 150.00 areas indicated on drawings. . .. . ................ YP_ Install two (2) b ass door units in closet areas as indicated on_ drawings These also to be 6 -panel, interior, hollow -core door .... un t30Q_00.. I.nstall two (2) Andersen Narrowline double-hun g windows. model_.. #28310 in cementwall areas forbath and bedroom. Provide cement cutting contractor for thi.....purpose. 50...0..00 ........ ...... Install drop ceiling throu,gh.o.ut.entire cellar .00.0 00_ ............. .._are.a 936 s..,ft..... q Provide al<l rnoldin s. and trial 7.0 0.0 0 ................ necessary ..to finish j.Qb .... in.cl.ud • .ng all shelving and closet rim. ......... ns all baseboard forced.h�t water ;.feat with._separ.ate.....zone.. ... _ 00_, 00 ......... __ Provide all electrical outlets and fixtures as indicated ... 1,800 . .00... ` '..... on drawings......... _ ....._.... _ .................. 2 200.00 Bit fropoor hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: to be made as All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica. tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. ( Our workers are fully covered by Workmen's. Compensation Insurance. c A xtr0mr of 11raposai —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. bate of Accentancr,• dollars ($ i• Authorized Signature . Note: This proposal may be withdrawn by us if not accepted within days. Signature ,t. Proposat STAN SMITH - CARPENTER 2 Marion Road PEABODY, MASSACHUSETTS 01960 (617) 535.5394 PROPOSAL SUBMITTED TO PHONE Chuck and Lorna McDonald 978-685-979 STREET JOB NAME 42 Wesley Street CITY, STATE AND ZIP CODE JOB LOCATION North Andover, MA 01845 ARCHITECT DATE OF PLANS Page No. 2 of 2 Pages DATE JOB PHONE 4, P FrOPOHP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: Sixteen thousand eight hundred ninety-fi,16 M yment to be made as follows: �rs($ ,895.00 ). One-third ($5,631.00) upon delivery of stock one-third ($5,631.00) upon completion of plumbing, final ($5,633.00) upon completion All material Is guaranteed to be as specified. All work to be completed in a workmanlike w '_4nanner according to standard practices. Any alteration or deviation from above specifica- Authorized ','tions Involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, accidents ' or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be Our workers are full covered b Workmen's Com • - Y Y Compensation Insurance. withdrawn by us if not accepted within days. j AUPAIMU Of 110;T ,15d —The above prices, specifications -and conditions are satisfactory and are hereby accepted. You are authorized Signature 10 do the work as specified. Payment will be made as outlined above. ,'bate of Acceptance: Signature n r- 0 m -4 C.7 a t m Llcojj 0 h c 0 O 0 W c S 3' -- - 27 e 510 G 64 24`3 ---_; r' N cet r 1, a w A L L18 0 94 R w � Z w° C2 U C2 cd w W 0 w � w a w a U w C2 (x w � a w w• V)cn A., 2 O E O � O v Z CD CL O y � C di O! CO) O o� O �O .co)F m m CD W = O.a IN 3.0 i.. Q CL o- �a C ca Z ts CD CD CL V VA � C s C s .s CL 0 ts C y � ' C M O v C.7 CL c M m C2 m Ea r m c" ;_, s m 3 yjy .oma D or 40. E a V� or YID m N Cl = C y y O C O m R :ma cm ' y O T t t O CD C O Q 'D dCt CD J2 co ci N Z O _ O p N N ,o d rA goof- m •fyA A ac 'E L= C = � ICD Z LLJ C.3 O p O C_ H CL m� 09 CD CD =2aIm� A., 2 O E O � O v Z CD CL O y � C di O! CO) O o� O �O .co)F m m CD W = O.a IN 3.0 i.. Q CL o- �a C ca Z ts CD CD CL V VA � C s C s .s CL 4z Location s Ito. c Date NORTH O: TOWN OF NORTH ANDOVER �t�ao ,a,�•pOA C? p Certificate of Occupancy $ Building/Frame. Permit Fee $. swcNUSE Four6tion Permit Fee $ Ver Permit Fee $ 16-DO-00 "wv Sewe nnection Fee 4 $ �..1 Ater Congerason Fee $ TO Q` % $ ` B�uiliding Inspectorfr _ �' Div. Public Works Location t Hp,eTM q T* O dW ' ANDOVER Certificate o D� c $ � > �--- # Building/Frame Permit , s�wUs t� Foundation Permit Fee � $T-��`"y ti Other Permit Fee Sewer Connection Fee. $ Water Connection Fee $ " TOTAL r $ 2-7 L --- �C Building Inspector Div. Public Works z as l� Location biLf 7Ty No. M Date A �f NO er .ti TOWN OF NORTH ANDOVER F p Certificate of Occupancy $ So + : Building/Frame Permit Fee Foundation Permit Fee $ 0 ° s4CHUSE Othrmit Fee $ MrClonnection Fee $ e Water Connection Fee $CIO „nle� Building Inspector / � / Z ( ( q 7- � /�— i�-, Div. Public Works -o+0- a CO d0 M Y i i 0 CO rw FW- M Q O- W � N 0 a a Q 3E N U� Ir O W a p� W 3 N a 0 P' z Z IL �:D o Q. 0 U :j 0 W_ o~c 0 U LL a. O 0 W Z W w 0 Q' Ct LL a 0 p N i Z In Q F mg W d � U U Z Z N H 0 rn:p r P N Z C/ - Q l pe- CL e C CL 0 CL IJ w a i Q > IP4 H F Z Cl E" �:D G 0 N cnG W . 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Omm S 2 z 0� 3 '- p m p r o 2 ti p y 2 0 4Ci F LbTj m 70 yn m.yZ-y tNn D ZNC ZO w DO S O ]O O O O �t O Qf N K n 3 m %-10700 ONx a Z F; y m '� '� m mCm- iiip �m N X 1 OO ? z mO IIAIIIIAI1 iIIIII1 1 1 W 1 i yymD DSIZ -D mwnn y;N ccp�ov00> A DO m ir) A00 mcZ D 0O� vm D NAnn N y_x 0 0 N N O A m m m m OOpONS�7o O'1w O C JOmm w ZD o3GZio��Oo 3 > O� N;3 z F z D N ~ Z n x nco Om O0mZ Z p O z�N -j nOAvDc+ m0 DC Z �Z` Z> D lop Z NN n p p D 7me Z Oo Z D D r >01 e ; C) N { NrRNI 1 k W ` g Cv3 { mc f y ..e D 0= y° :r ul m 3 m v fiS -�za 2 N f1 mN3 'DOz mW0 (A C NO r Oo0� -+C)r -0NO z�z =v 0 nz mm •.. • m O� 00 3 a ® 510 . i APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 19 ' -Appli'cation by the undersignedis hereby made to connect with the town sewer main in Street, subject to the rules and regulations of the Board of Public W rks. p, The premises,are known'as No. ' Street or subdivision lot no. I We �' -Owner' ,-: Address - Contractor Add s Applicant's ignature PERMIT TO CONNECT WITH SEWER MAIN The Board of Public Work's hereby'grants permission to fir. I Jrs Y - A to make a connection with the sewer main at 4— 6-4 Street subject to the rules and regulations of the Board of Public Works. Board of Public Works By Inspected by Date See back for rules and regulations RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES 11.. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any pub- lic sewer or appurtenance thereof without first obtaining a written permit from the Board of,Public Works. 2: All costs and expense incident to the installation and connections of the building,sewer, shall, be borne by the owner. The owner shall idemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation of the building sewer. �< R 3. A'separate and independent building sewer shall be provided for every building; except where one building stands at the rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an adjoining alley, court, yard, or driveway, the building sewer from the front building may.be extended to the rear building and'the whole considered as'one building sewer. , 4. Old building sewers may be used in corinection with new buildings only when they are found, on examination and test by the (Superintendent), to meet all requirements of this ordinance. 5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating, placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. Pipe shall be vitrified clay extra strength 5" diameter with type 3 wedgelock "0" ring joints. Minimum slope shall be 1/e" per foot. The minimum depth of sewer shall be four feet below finish grade. The trench shall be backfilled to the horizontal centerline of the pipe with suitable backfill material and then tamped either manually or with a me- chanical tamper. The remainder of the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift. 6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage car- ried by such building drain shall be lifted by an approved means and discharged to the building sewer. 7. No person shall make connection of roof downspouts, exterior foundation drains, areaway drains, or other sources of surface runoff or ground water to a building sewer or building drain which in turn is connected directly or indi- rectly to a public sanitary sewer. 8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for inspection and connection to the public sewer. The connection shall be made under the supervision of the (Super- intendent) or his representative. 9. All excavations for building "sewer installation 'shall be adequately guarded with barricades and lights so as to pro- tect the public from hazard. Streets, sidewalks, parkways, and other public property dis=turbed in the course of the -work shall be restored in a manner satisfactory to the (town). ` t l •t 1 • i r _ Q'� E.rc�4-� F Corti �vr�-- Lt �;tfl�iL e ok j4A Vs rAA e---7zr-A,% EOC G�- k(AA , C) v (�. A L L 1-=, r3 0 1 ��Lco 2 i L� ti Lam' 0/1 R r i FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: 4)4,cr,") SjV4i f o PhonCSZ; �-gl a k- _ LOCATION: Assessor's Map Number C= Parcel 3 F3 7 9q 76 Subdivision Lots) :292, Street W C-5 L6LI St. Number 4z - ************************Official Use Only************************ R�ECOMMENDATIONS OF TOWN AGENTS: Date Approvedl`�/� Z Conservation Administrator Date Rejected ' Comments j--� Date Approved 4-•q Town Planner Date Rejected Comments_ e A:A,g �-( Health Agent Comments Date Approved a �� Date Rejected 1Gc i Public Works - sewer. /water connections R1O-7ewQrDl6 Q tS - driveway permit �n.,��+ iu��fc�n7g,. ��t��s��/« Fire Department d`^" Received by Building Inspector Date CD c w wz o w y N LL a Q 4 0� W O N yj Nce o a z w 73 Q V• W 0 p LL w m U v (n uj LU o r• . r` 0 Q T z?LU J m O Cl) ujj • J w LU . 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August 7, 1992 Town of North Andover ROBERT NICETTA, BUILDING INSPECTOR 120 Main STreet North Andover, MA 01845 RE: 42 WESLEY STREET, NORTH ANDOVER, MA Dear Mr. Nicetta: Please be advised that S & S Builders, Inc. has neglected to install mechanical ventilation in the bathrooms at the above-cited premises according to Interior Environmental Requirements, 780 CMR - Fifth Edition, Section 706.1. We hereby certify that such ventilation fans will be installed -within a reasonable amount of time after closing scheduled for August 7, 1992, not to exceed thirty days. S & S/Bd ildits, Inc. by: Al d/Saraceno, Jr. Presi, ent & Treasurer V . fy\ __,_, aU' ' 'MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type Mass. Date 2` 19 Permit # (�� /" Buildin Location W Owner's Name Mc, .1/rmU o-(� 9 Type of Occupancy New ❑ Renovation Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES Name of Licensed Plumber Check one: Certificate ❑ Corporation ❑ Partnership ❑ hrm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes X, No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box A liability insurance policy ❑ 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 Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perfo ed under e t issued for is application will be in compliance with all pertinent provisions of the Massachusetts State Plumbin and ter laws. BY 9g -nature of Licensed Plumber Title Type of License: Master Journeyman ❑s��- PPP own APRO_ APVED (OFFICE USE ONLY)License Number r1 119 Y • • • • • Emus Name of Licensed Plumber Check one: Certificate ❑ Corporation ❑ Partnership ❑ hrm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes X, No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box A liability insurance policy ❑ 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 Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perfo ed under e t issued for is application will be in compliance with all pertinent provisions of the Massachusetts State Plumbin and ter laws. BY 9g -nature of Licensed Plumber Title Type of License: Master Journeyman ❑s��- PPP own APRO_ APVED (OFFICE USE ONLY)License Number r1 119 Date. /v . 3672 rG i ?... .a O Ile A0 OF NORTH ANDOVER 'PERMIT FOR PLUMBING �SSACMUS� This certifies that! .. " . has permission to perform. -I., -"d. plumbing in the buildings of '?"?.......... .......... . at. ! .. may ...... , North Andover, Mass. Feed ..... Lic. No.W9.909 . ................. .......... . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer K Location No. Date 7/1 E, w NORTH TOWN OF NORTH ANDOVER ` A �;�+O+,nn Certificate of Occupancy $ ;;••``' ;Ota Building/Frame Permit Fee $ 3v Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3L, Check # 7 , rRYJI: t.� p2 f 1 h4Pf 16540 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: 103 SIGNATURE: VC aA,-cl Building Commissioner/I to of Buildings Date SECTION I- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number �Li 2 �k J es 1 e\/ S+ 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Fronts Se Cf L) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Regaired Provided ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes NO 2.1 Owner of Record b arses Lorna Mchanald `12 Weslev St. No, Andcuer a) Address for Service r tgnature Telephone 2.2 Owner of Record: 1 Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.!;Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone I 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 .......❑ No ....... 0 SECTION 5 Description of Proposed Work check 811 applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of ed ProposWork: o o s �fae S SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to be Completed by permit applicant �. Or �I?FICIAL (a) Building Permit Fee Multiplier USErONLY� -. 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 . Total -(1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1> ( r I es I nV I G Dona Id s Owner/ thorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Si ature of Owner/Agent ent NO. OF STORIES Date SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2ND 3 SPAN DIMENSIONS OF SILLS llIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH EY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE f t '5 FORM U -LOT RELEASE FORM (9 INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. "'k*' "APPLICANT FILLS OUT THIS SECTION APPLICANT_` hD r t tS + Jaf r1PHON - �s5 '770 LOCATION: Assessor's Map Number—Ak C_ PARCEL SUBDIVISION LOT (S) STREET I� �. �✓ �jST. NUMBER. / OFFICIAL USE ONL ATION AGENTS: TOR DATE APPROVED DATE REJECTED COMMENTS s TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS. FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm TE Tel: 978-688-9545 Please print. DATE ��)��Q l 20 d� JOB LOCATION -12- Number 2 -Number Town of North Andover I s Building Department 27 Charles Street �CHUS£t�y North Andover MA 01845 HOMEOWNER LICENSE EXEMPTION Street Address Section of Town "HOMEOWNER 1 �� Number Home Phone Work Phone PRESENT MAILING ADDRESS ' City Town State The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1. 1) 5 Zip Code DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures HOMEOWNER'S SIGNATUR APPROVAL OF BUILDING OFFICI Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. z V CI 5 0 4100m► F; 9 I W x w u° O w cn Ow z z a w a2 U G W. O H z aa p u; G w O H w W a: cn C w U a W z C7 0 w C ii. 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