No preview available
HomeMy WebLinkAboutMiscellaneous - 44 ANDOVER STREET 4/30/2018 44 ANDOVER ST 2101059.000.0 I I 4 4 <5T North Andover Board of Assessors Public Access Page 1 of 1 e + North Andover Board of Assessors • SSS"eMOS�` roperty Record Card Click Seal To Retum Parcel ID:2101059.0-0025-0000.0 FY:2013 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to tzlare Search for Parcels Search for Sales Summary Residence Detached Structure Condo 44 AXWM ON ET " Commercial Location: 44 ANDOVER STREET Owner Name: APPLEGATE,LETA&WILLIAM Owner Address: 44 ANDOVER STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 1.24 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 4245 sgft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 781,600 719,700 Building Value: 571,200 511,000 Land Value: 210,400 208,700 Market and Value: 210,400 Chapter an Value: LATEST SALE Sale Price: 835,000 Sale Date: 08/16/2004 Arms Length Sale Code: Y-YES-VALID Grantor: WERNER,JONATHAN Cert Doc: Book: 8993 Page: 239 http://csc-ma.us/PROPAPP/display.do?linkId=2253841&town=NandoverPubAcc 3/26/2013 !I Residential Property Record Card PARCEL_ID:210/059.0-0025-0000.0 MAP:059.0 BLOCK:0025 LOT:0000.0 PARCEL ADDRESSA4 ANDOVER STREET FY:2013 PARCEL INFORMATION Use-Code: 101 Sale Price: 835,000 Book: 8993 Road Type: T Inspect Date: 05/05/2011 Tax Owner: - - YP 9. - - - -. ---.... 512011 APPLEGATE,LETA&WILLIAM Tot Fin Area: 4245 Sale Tss' T Sale ate' P8l16/04 Certll7oc: 239 TrafficRd ndition M Entrance: C5/0 Address: Tot Land Area: 1.24 Sale Valid: Y Water: Collect Id: RRC 44 ANDOVER STREET Grantor" WERNER,JONATHAN Sewer. Inspect Reas: C NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% ! RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 11 Main Fn Area: 1935 Attic: Y NBHD CODE: 6 NBHD CLASS: 6 ZONE: R3 Story Height: 2.35 Bedrooms: 6 Up Fn Area: 2310 Bsmt Area`. 1320 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value 'Class Roof: H Full Baths: 4 Add Fn Area: Fn Bsmt Area: 1 P 101 S 43560 1.000 208,621 Ext Wall: FB Half_Baths: Unfin Area: 180 Bsmt Grade: 2 R 101 A 0 0.240 1,824 Masonry Trim: Ext Bath Fix: 0 Tot Fin Area:- 4245 DETACHED STRUCTURE INFORMATION Foundation: ST Bath Qual: M RCNLD: 549562 - Str Unit Msr-1 Mir-2 E-YR-Blt Grade Cond%Good P/FJE/R Cost Class' Kitch Qua 1: M Eff Yr Built: 1980 Mkt Adj: B5 S 1452 0.00 1957 A A 50///50 20,400 i Heat Type: FA Ext Kitch: Year Built: 1827 Sound Value: PT S 210 0.00 1988 A A !/!85 1,200 Fuel Type: G Grade: VE Cost Bldg: 549,600 Fireplace: 3 Bsmt Gar Cap: Condition: G Aft Str Val1: VALUATION INFORMATION Central AC: _Y Bsmt Gar SF: Pct Complete: 4 Att Str Va12: Current Total: 781,600 Bldg: 571,200 Land: 210,400 MktLnd: 210,400 Aft Gar SF: %Good P/F/E/R: /100/185 Prior Total: 719,700 Bldg: 511,000 Land: 208,700 MktLnd: 208,700 ' Porch Type Porch Area Porch Grade Factor S 392 E 16 SKETCH PHOTO 3 i I 432 q.Ft i 36 36 4 1V Sq.F 4 14- FU-M75/FU/FM/ S 1320 Sq.Ft 392 5 q.Ft 30 Be 28 0 44 ANDOVER STREET 44 Parcel ID:210/059.0-0025-0000.0 as of 3/26113 Page 1 of 1 GIJILll U a Gas® of Massachusetts A NiSource Company 995 Belmont Street Brockton,MA 02301 February 28,2013 Ms. Leta Applegate 44 Andover Street North Andover, MA 01845 Dear Ms. Applegate: During a recent visit, our service technician detected a safety problem with your gas heating system at 44 Andover St.,North Andover,MA 01845—burn off from flue going raight back into basement. Accordingly,we have issued a Warning Tag because of this situation. Under the circumstances,we strongly urge you to correct the code violation. In addition, the Massachusetts code pertaining to the installation of gas appliances and gas piping, established under Chapter 737,Acts of 1960, requires that the condition be remedied. I If you have any questions,please call our Service Department at 1-800-677-5052 and ask to speak with the Service Supervisor. Please disregard this notice if the condition has been corrected. Sincerely, Customer Service Department Columbia Gas of Massachusetts I i Date V�.,.�. . . . . .- � b�1'1LTsD •. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ` This certifies that . .Se. has permission for gas installation . . �AvQ- J.A't-C_. ?�? � f { in the buildings of. � . , 4c . . . . . . . . . . . . . . . . . . . . at . . . .�.�. . ..A,�CDNA-A. . ,North Andover, Mass. Fee .- . . Lic. No. 1�aa GASINSPECTOR Check#_2-6P5 8593 J MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY Q( An,c�nw�r- _ _ MA DATE PERMIT# f JOBSITE ADDRESS ! OWNER'S NAME L QT GOWNER ADDRESS sp. TELr __,IFAX[ _ � TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL® RESIDENTIAL49 PRINT CLEARLY NEW:J RENOVATION:© REPLACEMENT:NJ PLANS SUBMITTED: YES Q NOE] APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER �J CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE �_j i !L- _- -- GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT _. _ I Il— .�_. ., L �I. G — -- - I OVEN - POOL HEATER ROOM/SPACE HEATER _ I ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES JER NO E 1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Pg OTHER TYPE INDEMNITY ® BOND El 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: OWNER _i AGENT SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and Information I have submitted or 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 compl' nce with all ertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER-GASFITTER NAME( LICENSE# ice? _ SIGNATURE 5r( MP N MGF[ JP [ J� JGF LPGI CORPORATION Q# PARTNERSHIP # LLC[ k# I COMPANY NAME: Scor-. 1I�, I ADDRESS IO L-A _----__-_�.____ CITYac.e �j;( --- -- - _ STATE /x'1,4 ZIP FAX __�T4 I CELLr----- =--- I EMAIL kIVS C-U` n•-T--- -._... - - --- ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# L' 2��� PLAN REVIEW NOTES The Commonwealth of Massachusetts Department of IndustrialAccidiints Office of Investigations 600 Washington Street Boston,MA 02111 UV www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant InformationII', Please Print Ledbly Name(Business/Organization/Individual): r t1 ry )-fin 4.� • i Address: /o c vim. L Aix i City/State/Zip: Mezw,�,'U Phone#: 977 F94 004 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.N I am a sole proprietor or partner- listed on the attached sheet.t �• E]Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill outthe section below showingtheir workers'compensation policy information. i Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. i Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. _ I I do hereby cert un derfiik epains andpenalties ofperjury that the inform ation pro vided above is true and correct Si ature: Date: 13 , Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,• express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL cbapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any ciuestions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The COMM011weatthofMassachusetts Department of Industrial Accidents Office ofIavestigatim, 600 Washington Street Boston,MA 02111 Tel,#61.7-727-4900 at.406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www-mass,govfdia �4 I I a" OF MASSAC ustz I'LttIIIBEC;S AtV.0 MFITT.ERS i( ENS D .AS 4.4NIASTERIPLUMBEC� a =: ISSUES THE'�A80VE LICENSE TO- , �.. MA tIAVERH;Ij_L_ y018;:, 72:0 _ f 0 /01/14 1725-05 r w ,._. . Fold,Then Detach Along All Perforations Date.................................. NORTH 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ............................................................................................. has permission to perform .... L................................................................ j�qA)DLE 6:�47Z�7— wiringin the building of................................................................................... at....................................................... North Andover,Mass. A ..............d2i� Fee.... ........ Lic.No.............. ................................................ .......Q... ELECTRICAL INSPECTOR Check # 7912 Commonwealth of Massachusetts Official Use Only HELMDepartment of Fire Services Permit N°. ��1� r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I Z I Z TO City or Town of: NORTH ANDOVER To the Inspector of Wires By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4-jcl &L dOLLe f' S } Owner or Tenant _`•t;•f� �Qp I ECS�c Telephone No. Owner's Address •5 or M c-- Is Is this permit in conjunction with a building permit? Yes L] NoF Zzy— (Check Appropriate Box) Purpose of Building r 4"44.0 p•P0 cQ a Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd❑ No.of Meters New Service 2 Amps /20 /zy0 Volts Overhead❑ Und rd g No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: E— FEE E E p DEL Se-ryj ,r.e- t� ' Completion 4rth,followingtable may be waived hy the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El Emergency Lighting rnd. rnd. BatteoUnits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and InitiatingTo—taDevices No.of Ranges No.of Air Cond. Tons l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Total "" " - _._....._..__._............ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal El El Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of KW Data Wiring: " Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER GLC e/V Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: . Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: fNSURANCF6P1--BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application R true and complete. FIRi14 NAME: Va r`O�Oh�' �l�I)-/c a f' G°c1r17` LIC.NO.: I I (o ce Licensee: _6tf—p11.iPy\ -:Y Ncg Signature k%J, � p LIC.NO.•�- kS( (If applicable,enter"exempt"in the license numb r line.) � — c N 7 us.Tel.No.- � Address: _10 a W r r,,rin-p S'Ae/6 <! kIk Alt.Tel.No.: *Per M.G,L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance 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:$ 5 j S Date. Of 41 MORTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUSE� /L This certifies that . . . has permission to perform . . . . . . . . . . . . . . . plumbing in the buildings of . a . . . . at . . . . . . . .:'- orth Andover, Mass. Fee a' . . . .Lic. No.�4 ,,a�J, �,' fcn C �PLUM81NG-IvSPECTOR Check # 6923 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS IZ�v�Q C� Date Building Location /7 � U(/l- 'T/�2T Permit Amount Owner^�> [LL i New Renovation Replacement ❑ Plans Submitted Yes No FIXTURES i SLSBM. / RWNM la HAOM 2ND FUM 4M KfM 5MFLOCR 6M» 7M F10M 9MFLO(R (Print or type) Check one: Certificate Installing Company Name / kl i (j ❑ Corp. Address E Partner. Business Telephone y _�,y �Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate h type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity D Bond ❑ Insura aiv : 1,the undersigned,have been made aware that the licensee of this application does not have any one of the above thr i re Owner D Agent D I hereby certify that all of the details and information I 2ha submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbingwork an latio performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas s ate lu��Code and Chapter 142 of the General Laws. BY19 ig re o icense um er Type of Plumbing License Title 7 City/Town L License Master � Journeyman D APPROVED(OFFICE USE ONLY v Date. .` : .� ..0�?.... . N°RTM pF .ao ,°1ti0 of TOWN OF NORTH ANDOVER F .� P • PERMIT FOR GAS INSTALLATION • ° a SACMUSE�Sy This certifies that !. . . . . ��. . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . in the buildings of . . . �J. . . . '/f. . . . � . . . . . . . . . . . . . . . . . . . at . �?'� . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee:3P,`�. Lic. No i? / ,.�.. . . . . . . . . Cl GAS IN5EC R Check# 5525 VIASSACHL SETTS LiNIFOMI APPUCATON FOR AMU TO DO GAS FT NG (Type or print) Date �Z NORTH ANDOVER,MASSACHUSETTS Building Locations wAf4fUer 5� Permit ff Amount$ Owner's Name .A �T CC 6AT125/ NeW( Renovation Replacement ❑ Plans Submitted U > F I F � G1 3 4 0 1 0 SUB •BASEM ENT BASEM ENT 1ST. FLOOR 2ND . FLOOR - 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR rF-F-I (Print or typea/,� ,�L�`�� � v����I � � , �r`� C one: Certificate Installing Company Name (�(/ /, i Corp. Address T ❑ Partner. Business a ep one y •gip -07- Finn/Co. Name of Licensed Plumber or Gas Fitter 1NSLRANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy Of-- 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: Signature of Owner or Owner's Agent Owner 13—Agent ❑ t 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 installati s erfo d under Permit I tied for this application will be in cc:mpliance with all pertinent provisions of the Ntassachusett State Gas ode 4 d Chapter 2 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber City/Town Gas Fitter 'License Number . Iaster Journeyman APPROVED iCt•FICE[;SE 0,NLY, Date......7. ..7..,&P-4 NORIH TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS US This certifies that ....... .......1'f ���' ���`G o has permission to perform �,bD�l 1 U� .......... .......... ................................................... f�pL G�%� E wiring in the building of..�........................�.............................................. j at...... t � ..........5.� . ..............., North Andover Mass. Fee...��.......... Lic.No. f 2 32,4 .......... . ... I.......... . j ELECTRICAL INSPECTOR . .• ` {Check # ` - 6776 IS\ Commonwealth of Massachusetts Official Use only _ Department of Fire Services Permit No. -7 74:� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.11/991 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: '7-,19-06 City or Town of: IV* 8wr)aV&A� To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4 -A),0191167L 37 Owner or Tenant W/ J/j/ A ,64k!D L,5TA jgP,01EGQ V Telephone No. Owner's Address S�AA4 0 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building IRC-5JAt5k1jA L Utility Authorization No. Existing Service Amps / 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: 00•/,7'-1,61�/ r � L;-y--6K //OU A,1 S 0"eAd- j4*0 gw e I�5 T l-'alDor Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets g' No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ e; ❑ ato.o Units Emergency Lighting � rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches / No.of Gas Burners No.of Detection and (i� Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pum Number Tons KW No.of Self-Contained Totals " ' ... ................... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kir Security Systems: No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Ter Wiring: / No.of Devices o or E uivalent OTHER: , �—x N AUS-" r'Aw s ��7r/ 2G� 1 Attach additional detail ifdesi ,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 cove age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: '7- 9 Q 4, Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the airs and penalties of perjutny,that the information on this application is true antfcomplete FIRM NAME: Q (,J r Iq)AlIC 14L16IC.NO.:*fj�/3� Licensee: SignatuIIC. NO.: (1fapplicable,enter"exempt"in the license number line.) Bus. l"el.No. 79-f 5-1- Address: /-Address: Alt.Tei 1.No.:"7kI-$Z0-971Ag OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hme the liability insuranhe coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner owners ent. Owner/Agent Signature Telephone No. PERMIT FEk-- $ ��Q� Pp-zt, Location �y R No. �"oDate t MopT:�h TOWN OF NORTH ANDOVER o N41 9 Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /y3 18 68 Building Inspec TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED. 26 X SIGNATURE: Building Commissionerfing=Wr of BmIdings Date Z SECTION 1-SITE INFORMA'T'ION 1.1 Property Address: 1.2 Assessors Map and Panel Number: O q� A.IU�DV�� 5i��ET+ Map Number Parcel Number 1.3 Zoning Information: 1.4 Propety Dimensions: A- Re—it dr yuh AL-- D/'1 , Aod ' Zoning District Proposed Use Lot Fronto ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Reqtired Provide RMjirW Provided ReqWred Provided Ia 0 30 1.7 water Supply MGd..C.40. 54) 1.5. Flood Zone Information: _ 1.8 sewerage Disposal system: Public Private 0 Zone Outside Flood Zone ❑ Municipal On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes L---No M 2.1 Owner of Record SII (14M4 A no�e�ai�e 44 ANboyE2 STREF-T- Name(Print) Address for Service: e Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Z M Signature eepone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ W1 H Iw M PO&OYL Ge e9 L C0WtA0dlW&,5Qa(,G C S 6 9 3 q r7 Licensed Construction Supervisor: O O tent A WQ ,/� License Number Yv[J V ddress lj�/" Eviration ETaic i ignature Telephone r j 3.2 Registered Home Improvement Contractor Not Applicable ❑ v W1111om Pu b Gr we. c.Cy Kri r2AM►��, Company Name 0?70/ m / Registration Number r 2turme ssE Telephone Y I i i s • L SECTION 4-WORKERS COMPENSATION(1VLG.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result y in the denial of the issuance of the building it. Signed affidavit Attached Yes......Nit No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building A Repair(s) Alterations(s) ❑ Addition X Accessory Bldg. ❑ Demolition `, Other ❑ Specify Brief Description of Proposed Work: 5� kl-Jl' IM44yr kLd-s ' scLi�d1l L-.S 0 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be UFFIGIAti ISE(}NIY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(n) 4 Mechanical HVAC DA Da 5 Fire Protection .500 6 Total 1+2+3+4+5 azo Check Number SECTION 7a OWNER AUTHORIZATI N TO BE COMPLETED WHEN __T OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, I U 1 N't ���li� W�Q ''1--f-*t er/Authorized Agent of subject property Hereby authorize ( � (t/+Wt Q�{qy� to act on My behalf,in all matters rela,}ve to work autho 2pad by this building permit application. Signature of Owner Date SECTION 7b OWNERJAUTHORIZED AGENT DECLARATION 1, W1/(144K TG0f4Z.6&► 1: (d!J 6VC,1-6-4C 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 Id bd belief (t I 0 t�1y P Nanr \J /�(2� e b '�' a e O Ler/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TBMERS Isr2ND 3RD SPAN DIMENSIONS OF S1I.LS DR ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHI1VMEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE �AORTH Town of : 4 over0 - No. _ LA E dover, Mass., - ° ,q� COCHICKEWICK 7,9 A�'�A rE o APS` •(� S E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System / BUILDING INSPECTOR THIS CERTIFIES THAT................................4b......*Ig ..... ....................... .............................................................. Foundation has permission to erect...................................... ...... ..... ...... ................. Rough Aaw mow to be occupied ................7MlMi� Chimney ...... ................ ............... . provided that the person accepting this permit shall in every respect conf o the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to th nspection, 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 6 MONTHS UNLESS CONSTRUCTIO STARTS ELECTRICAL INSPECTOR Rough ............. � ... .. .... ... Service .. ... .. .. . . ...... ......... BUIL ECTOR Final Occupancy Permit Required to 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. Bumer Street No. SEE REVERSE SIDE Smoke Det. a Building Dept North Andover,Massachusetts Friday,January 27,2006 Building Dept; Attached Is the proposed plot plan for 44 Andover Street the building Inspector requested as of our meeting at 1:00pm 1/27/06.He has one copy of the Architectural and structural drawing along with another accepted Building secretary along with the permit and historical society sign off and all other documents required to date by the Building Inspector. Please call me to handle any question or requests. If you could provide a receipt for the Mr. Godin I would appreciate It. Cordi William Po eneral Contracting Services,LLC 10 Lacy Stre North Andover,Massachusetts CC:applegate 4 I I f t i CER77FIED PLOT PLAN �jN OF MASS PREPARED FOR: WILLIAM & LETA APPLEGA TE *IS AT R NO. 35773 44 ANDOVER STREET ��/ s SAL LAS NORTH ANDOVER, MA. NORTH ESSEX REGISTRY OF DEEDS: BK. 8993 PG. 239 ASSESSOR'S MAP: 59, LOT 25 ZONING.• RES 3 i SCALE-1"=50' DA 7E. DECEMBER 28, 2005 NOTE. SETBACKS TAKEN TO CORNERBOARD. CAPPED IRON ROD FN D. 'I 300.00' N05°32'30„E J b ()tcp O � (Jt LOT 1 r 0 54, 755 SF. 1.26 AC. SCRLEN PORCH 22.6' rh EXISTING o "1 DWELLIN y N0. 44� p �y _ POSED J 21,6'y G4 0-10 BARN ILm y CSO J O i J.— S13°29'52"W 133.20' VC' S12-52'15"W�A 155.88' PREPARED BY.• JOHN ABAGIS & ASSOCIATES, PROFESSIONAL LAND SURVEYORS 9 BARTLETT STREET, NO. 252, ANDOVER, MA. (978)-688-4899 JOB NO. 5383 CER77F/ED PLOT LLAAAA PLAN PREPARED FOR. OF WILL/AM & LETA APPLEGA TES All S Enr AT o N0. 35773 44 ANDOVER STREET ���a1VpLLAW NORTH ANDOVER, MA. NORTH ESSEX REGISTRY OF DEEDS: BK. 8993 PG. 239 ASSESSOR'S MAP: 59, LOT 25 ZONING. RES 3 SCALE. 1 x=50' DA 7E. DECEMBER 28, 2005 NOTE: SE78ACKS TAKEN TO CORNERBOARD. CAPPED IRON ROD FND. ' 300.00 t405-3f 30„E J cncn O Z v! J N U LOT 1 Fli 0 54,755 SF. `{ 1.26 AG. SCREEN PORCH 22.6' r� EXISTING 0o "1 b LLIN y N0. 44� O J 21.6'+ W J v BARN ca L4 L4 !— Sl 3-29'52"W 133.20' M -512'52'15"W” 155.88' PREPARED BY JOHN ABAGIS & ASSOCIATES, PROFESSIONAL LAND SURVEYORS 9 BARTLETT STREET, NO. 252, ANDOVER, MA. (978)-688-4899 JOB NO. 5383 i ' ACQn~ CERTIFICATE OF LIABILITY INSURANCE DATE(MM 1 237 20/YY"06 PRODUCER THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION Circle Business Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 247 Newbury St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Danvers, MA 01923 978-777-7030 INSURERS AFFORDING COVERAGE NAIC# INSURED William Pogor General Contracting INSURER A ESSEX INSURANCE CO Services, LLC INSURER B: 10 Lacy St INSURER C: North Andover, MA 01845 INSURER D: 978-685-2425 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTEDBELOWHAVE BEEN ISSUED TO THE INSURED 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 MAYPERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY! DATE MWOD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 OOO OOO luHtNItU X COMMERCIAL GENERAL LIABILITY PREMISES(Ea ocanence) $ 50 000 CLAIMS MADE 1 X 1 OCCUR MED EXP(Any oneperson) $ excluded A 3CS2317 8/19/2005 8/19/2006 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 OOO OOO I GEMLAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 1,000,000 PRO- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ I ALLOWNED ALTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE j (Per amdent) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ ` IOCCUR CI CLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ i i RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS'LIABILITY ANY PROPRIELORMARTNER/EMCt1TNE T.B.D. 1-13-06 1-13-07 E.L.EACH ACCIDENT $ 100,000 B OFFICERIMEMBER ExCLI-DED? E.L.DISEASE-EAEMPLOYEE $ 100,000 Ifyes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BYENDORSEMENT I SPECIAL PROVISIONS PROJECT: 44 ANDOVER ST. NO. ANDOVER MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF NORTH ANDOVER DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 400 OSGOOD STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL BUILDING DEPARTMENT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR TOWN HALL REPRESENTATIVES. NORTH ANDOVER MA 01845 AUTHORIZED REPRES AT AXED 9-685-2425 ACORD25(2001108) ACORD CORPORATION 1988 SENT 81::.NORTH ANDOVER & FOSTER INSURANCE;9786866410; DEC-6-05 1 :54PM; PAGE 1/i S• MOW,. CERTIFICATE OF LIABIUTY'I,. ' URANCE ITE oos PRODOCER TMIS.• FICA •IS ISS,UED AS A MATTETION NORTH ANDOVER INSURANCE AGENCY, ZNC ONL11i.` D CONFERS NO RIGHTS UPONCATE MOII) THIS FrERTIFICA?E DpES NOT AOR .9 WAVIERLY ROAD :Al CO E AFFORDED BY TM PW. :NORTH ANDOVER NA 01845-2415S15URERS AFFORDING COVE ' I INSURt p SURER Il: 1`ZONXX: GRANGE NIIJ?UAL iSmall Electric iMFIER 9 Waverly Road dYBRIRER North Andover MA 01845- R COVERAGfS`� THE POLICIES OF INSURANCELtSTEO BELOW HAVE BEEN ISSUED TO THE INSUI NAM dV'E FOR:1rIiE POLICY PERIOD INDICATED,NOTWITM ANI IING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH R TO WHICH THIS CERTIFICATE MAY BE ISSUED OR AAY ERTAIN, THE INSURANCE AFFORDED;SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A- E TERMS; EXCLUSIONS AND CONDITIONS OF S H OLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MMI TYPEOF INSURANCE POLICY NUMEER PONCY VIDUUOY'i PIRATt011 LIMITS LTR QENERALLIABILITY / / / / EAr.HODCURRENCE t 1,P00,000 K COMMEJtCUIL GENERAL'IAEILrrY FIRE DAMAGE M 0"Ift) 000,000 A CLARAsMADE X occuR N"41596 09y13/2•. 5 :0911-'j/2006 MED EAP LAM are t 10,000 PERSONAL 6 ADV INJURY t 1' )00'000 GENERALAcc,REOATE t 2, )00,000 OENL AGGREGATE LIMITAPPLIES PER. PRODUCTS-COMP/OP AGG t 2, )00,000 FD POICv PR : LOC / uTCM05U UANIUTY COMBINED SINGLE LIMIT ANY AUTO IES ecciJallJ i A ALLOMEDAUTOS MGT41596 05125/2,• 5 05/95/2006 BODILY INJURY X 6CHEDULEDAUT06 (Papereml LOO,000 X MIRED AUTOS BODILY INJURY DD 000 B NONdNMED AUTOS (PeT A0C10eM) _ ,• I / / PROPERTYOAMAOE - (Pn.eecteent t 00,000 OAl1A0B LUUItLITY AUTO ONLY-FA ACCIDENT f ANY AUTO I I '•` / / OTHER TWIN EA ACC i AUTO ONLY: AGG t QIICME LIABILITY ! ! / / CURB f OCCUR FICLAVAS MADE AGGREGATE f LN:DLICTIBLE - RETENTIONf WOOKM AM E.L.EAC"ACCIT t 100,000 DEN M2T41596 60/13/;' 09/13/2006 E.L.DISEASE•EA EMPLOYEE! 100,000 E.L.DISEASE•POLICY LIMrt t 500,000 OTHER i DESCRIPTION OF OPGRATIO11131LOCATIONS"NICLMUCLUS10NG ADDED BY 01I1ORdaLI{tI1TiOPECUI N6 FJULR 970-695-2425 CERTIFICATE MOLDER AwwmL INGUREa INSURER LETT : :CJI N aNitU1 C�; :OF TIM! ABDWE DENRIM P'DLICIES EE OA! THi tNPtRA DA7i T11BI12010. Wit156ulum INSURER WALL 8110 VMR TO MAIL 10IMdTTEI{%Vr"TO"M CEWWWATE HOLDER NAMED TH "",,BUT WILLIAM POOR GENERAL CONTRACTOR -. .FAIWWP. 60 Eo am%"MIroQB ND OBuoA11DN OR upAOL• UPON THE 10 LACEY STREET IMRQrAQ Arnna ' :lNlTTtD,. R6FIIBBi►t�AIiYB No ANDOVER HA 01845- A4CORD 264(7197) IDACORD COR TION 1986 K.. Page 1 a z INSO255(Bf101.o1 ELECTRONIC LASER FORM,INC.? pt7-050 • I .DEC-G-,2005 02:37P FROM: TO:9786852425 P.2 ACORD• CERTIFICATE OF LIABILITY INSURANCE 6/2/06/20' PRODUCER FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DeAngelis Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 283 Merrimack Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Metkuen, MA 01844 INSURERS AFFORDING COVERAGE NAIC III INSURED David Wilson INSURERA: Nautilus Ins CO 627 Lake Street • INSURERS: Mass. Assigned workers' Compensation (WCRIB; Haverhill, MA 01832 INSURER C: INSURER 0: INSURER E: OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 POLrGIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR kDD`L TYPEOFINBURANCE POLICY NUMBER FOUCYEFFECTR/E POLICY EXPIRATION mmmarfin LIMITS GENERAL LIABILITY NC447824 04/16/2005 04/16/2006 unPC4ce s 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAT S 5Q QQQ CLAIMS MADE ❑X OCCUR E)(P(' S 5.0 A POWNAL&ADV€NJ RY s 1,000,000 OEN AGOREOATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AOG S 2,0 000 POLICY JECT 7LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMB S ANY AUTO (Ea.Ment) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per parson) HIRED AUTOS BODILY INJURY E NOWOWNEOAUTOS (Per am ident) PROPERTY DAMAGE S (Per Aeddent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5 ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCE88RIMBRELLAI LABIL ITY EACHOCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION $ S WORKERS COMPENSATION AND CE TIFICATE TO BE ISSUED 09/OS/2005 09/OS/200S WD T 0TH- EMPLOYERs'LIARILRY DIRECTLY BY CARRIER E.L.EACH ACCIDENT 6 B OFFICERIMEMBANY EREXCLUDED?ECUTIVE TO FOLLOW E.L.DISEASE-EA EMPL2YEF4 S II yes,describe under SPECIAL PROVISIONS below E.L.DISEASE•POLICY LIMB I S OTHER DESCRIPTION OF 9PERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: 7 Harris Street, Wilmington, NA 01886 ertificate is issued in the interest of the named insured and Certificate holder listed below. ertificate is subject to company conditions and exclusions. EIRTIFICATE HOLDER CANCELLATION I ; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, William Pogor General Contracting Svcs LLC BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 10 Lacy Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. No. Andover, MA 01845 AUTHORIZED REPREBENTATNE A+ David SegalMCe ACORD 25(2001108) FAX: (978)6$S-242S OACORD CORPORATION 1988 Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release la Data filename:C:1Program Files\Check\REScheck\44Andoverst.rck TITLE: 44 Andover Street CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE: 12/06/05 DATE OF PLANS: 12/5/05 PROJECT INFORMATION: Addition/Remodel COMPANY INFORMATION: William Pogor General Contracting Services,LLC COMPLIANCE:Passes Maximum UA=264 Your Home UA=255 3.4%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 841 30.0 0.0 29 Wall 1: Wood Frame, 16"o.c. 400 19.0 0.0 21 Window 1:Vinyl Frame:Double Pane with Low-E 8 0.350 3 Window 2:Vinyl Frame:Double Pane with Low-E 8 0.350 3 Window 3:Vinyl Framc:Doublc Pane with Low-E 8 0.350 3 Window 4:Vinyl Frame:Double Pane with Low-E 8 0.350 3 Window 5:Vinyl Frame:Double Pane with Low-E 5 0.350 2 Door 2: Solid 20 0.490 10 Wall 2: Wood Frame, 16"o.c. 128 19.0 0.0 6 Door 1: Solid 20 0.490 10 Wall 3: Wood Frame, 16"o.c. 128 19.0 0.0 6 Door 3: Solid 20 0.490 10 Wall 4: Wood Frame, 16"o.c. 436 19.0 0.0 20 Window 6:Vinyl Framc:Double Pane with Low-E 8 0.350 3 Window 7:Vinyl Frame:Double Pane with Low-E 14 0.350 5 Window 7 copy 1:Vinyl Frame:Double Pane with Low-E 14 0.350 5 Window 7 copy 1:Vinyl Frame:Double Pane with Low-E 14 0.350 5 Window 7 copy 1:Vinyl Frame:Double Pane with Low-E 14 0.350 5 Window 7 copy 1:Vinyl Frame:Double Pane with Low-E 14 0.350 5 1 Window 6 copy l: Vinyl Frame:Double Pane with Low-E 8 0.350 3 Door 4: Solid 20 0.490 10 Basement Wall 1: Solid Concrete or Masonry 400 0.0 14.4 18 Wall height: 8.0' Depth below grade:7.2' Insulation depth: 8.0' Basement Wall 1 copy 1: Solid Concrete or Masonry 128 0.0 14.4 6 Wall height: 8.0' Depth below grade: 7.2' Insulation depth:8.0' Basement Wall 1 copy 1: Solid Concrete or Masonry 436 0.0 14.4 20 Wall height:8.0' Depth below grade:7.2' Insulation depth: 8.0' Basement Wall 1 copy 2: Solid Concrete or Masonry 128 0.0 14.4 6 Wall height: 8.0' Depth below grade: 7.2' Insulation depth:8.0' Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 800 19.0 0.0 38 Furnace 1:Forced Hot Air,78 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with thepermit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release la (formerly MECchecl and to comply with the mandatory requirements listed in the REScheckInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design F Conditions found in the The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as spe ified i S ons 780CMR 1310 and J4.4. Builder/Designer A Date I L f �I I { I i NORTH ANDOVER OLDE CENTER HISTORIC DISTRICT COMMISSION Certificate of Appropriateness I This Certificate of Appropriateness is issued this Fifth day of January 2006 to Leta and William Applegate for 44 Andover Street in accordance with Chapter 40C of the General Laws of the Commonwealth of Massachusetts as amended and the by-laws of the North Andover Olde Center Historic District Commission. This will allow the renovation of the outbuilding between the main house and barn with the plans and n ative ap rov at this meeting. G e H. Schr kr,Jr. Chairman thleen S a 0 ieus Martha arson Leslie Hopki H Aznotit ichard Michae raly Jo eph Piotte r i Kathy Brown i The Commonwealth of Massachusetts Department of Industrial Accidents ".,. Office of Investigations 9' 600 Washington Street Boston MA 02111 ~�r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information l, , Please Print Legibly Name (Business/Organization/Individual): W 1 ( P06.026_cGgX Address: (0 L ray ST- City/State/Zip: TCity/State/Zip: r Wb (/ Phone#: T78 37616 7,5 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. 9 1 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.10 I am a sole proprietor or partner- listed on the attached sheet.1 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. Demolition working for the in any capacity. workers' comp.insurance. 9. Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.54 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL i LIZ Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 131-1 Other comp. insurance required.] *Any applicant that checks box#I must also till out the section below showing their workers"compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: ``'' Expiration Date: Job Site Address: A-WOOV&t- 'g�;/ City/State/Zip: 041d Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebyertify it the pains and penalties of perjury that the information provided above is true and correct. Sip-nature: Date: br Phone#: 64 Q Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confinnation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www.mass.gov/dia i Ik s I I 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:44 KVVDOVE2 5T. is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL 11, S 150 A. Also, note Permits are required under Fire.Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: (Location of Fa ility) Sijrbke of Permit Applicant I i Fire Department Sign off: Dumpster Permit //2- L04C T ate G i I DEC-6-2005 03:46P FROM: 70:9786852425 P.2 bEC. 6. 2005 3.32PM ASSOCIATED INSURANCE NO. 4735_,..P. 2/3 CERTIFICATE OF INSURANCE :DATS(Mwowm WOQNONLYAND PRODUCER CONFERS NO RICHT9 UPON THE CWAng AbStTI 702 HOLDER T1D TE DeAngelis]nsutance Agency Inc DOES NOT AMEND,UTEND OR ALTER a M COVMUM Asim. ERAGE AF1rC»�ao uT 283 Merrimack Street Methuen. nu 01844 C4MPANm AMRDI NG COVERAGE INSURED David WilsoD Plumbing&Heating 1 COMANY A AIM.Mutual IDsurance Co 6Z7 Lake 5t Haverhill,MA 01832 COVERAGES •THIS TO CERTWYTHAT THB POCK SOP INSURANCE LISTED BELOW HAVE DMMN ISSUED TO TIm2auRBD NAMED ABOVE POR THB POLICY PIRIOD INDICATED,NOTWITTISTANDING ANYNT,TERIM OR CONDMN OP ANY CONTRACT OROTHBR DOCUMENT WITH RBSRECTTO WHICH WS CERTW_ATE MAY BM ISSUED OR[NAY P AIN.THE INMMMCB APPORDED BY THD POLIC>BT DESCRMZD RMMW M SUBIBCT TO ALL T1C!TERMS. EXCLUSIONS AND CONDMONS OF SUCH POUCIRS. LWI TS SHOWN MAY RAYS BEEN RMDUCSD BY PAID CLAIMS. CO TyM0rU4URA= POMICYKNIER w"cwxff=M POLMEXPMAT19pITs LTA UATI MMr IEVVYI 11JAMM410OlYYI L U�T1I7YY SNSRAL AQORBOATW i COMMI NMAL OWNSRAL LUTEA" ROOUCTSCOMPAV MOO. S lms MADIC:10=111 AL&ADVANIURY f N11R e A COIITRACTOW'S rROT. 10D181 eCUWRBNC@ i MAGE IAar Me Ant / L14ILM NY AUTOLLOWNEDWrOS INJURYWULWAU'I'09HIRBOAUT08 IMUIIYGARAREUA9Mre rnu armyDam"FOAM OATS THAN UMpRWLLA FONM WOWKSR'S GOMP6N9AT1ON AND iiam EM►LOYiRB'LUUMLI7Y r 9013974014005 09105/2005 09ro512006 A TIMPRO►DICTORI - 1 PARTN9R MOCUTIVS INCL ]QO000 DPIVI�t9 PX i I I�TIONOPOrISRAt1ONB�I.00ArIONBlY6tlICLRi/iPiCG1.raw PROJECT:44 Andover Sheet,North Andover.MA. CIRTIRCATE HOLDER. CANCEUATION SHOULD ANY OP THS ABOVE DSSCst>eED POLICIES BB CANC M=sMM THE W1Wam Pogar WIRATION DATE THEREOF, THS IMV MG COMPANY WILL ENDEAVOR TO "L_10 DAYS WRTTTMN NOTICE TO THS CRRT MCATS HOLDER NAMED TO THB LL G mrsd CoiAMC S SetTICes C LBPr�,BUT FAILURB TO MAIL SUCH NO'=SHALL WM NO OBUOAMON OR 10 IrA q Street UABUM OF ANY KND UPON THE COMPANY, rr5 AGENTS OR AUIHOAI7E0IIEPNx98N'PA'I7VB N Andover,MA 01845 ` f ' t ' i rVKm U - LV 1 KCLCA7C rymm r 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. APPLICANT FILLS OUT THIS SECTION APPLICANTW l I &yVt�D(�0a &JARJ9, C Au Lh �k«CpHONE V 07� 087-5 LOCATION: Assessors Map NumberPARCEL�� SUBDIVISION LOT(S) STREET 444WDOV�'l� S'T�,E E� ST. NUMBER OFFICIAL USE ONL RECO DATIOJkS OF JOWN AG WNSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS .� TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS i FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS 1N PUBLIC WORKS-SEWERIWATER CONNECTIONS I DRIVEWAY PERMIT FIRE DEPARTMENT 7ECEIVED BY BUILDING INSPECTOR DATE Rovhwd 9%97Im j r 4 YU ✓Xe BOARD OF BUiCbIidG� S License: Number: CS 083917 Birthdate: 06128/1957 Expires:06/28/2006 Tr.no: 83917 _ B Restricted: 00 — WILLIAM H POGOR _ 79 JOHNSON ST NO ANDOVER, MA 01845 Administrator t h � _— Q-►�SI°lurpt+ PV StWO Vw U3AOGNV H12lON., NOSNH6L i9�T��y^k Y { �:1FtI,t'i.ZA4 3tk Caa4Cl:tSt�2 7 tF 24�bwd WVIlliAm r en j* r r LOOVS1P10aftea" t026£ rl ? JNQ3XN3 3A0 13WOH `ryq fj(! �.�tIt1EESCl"BFRC` ' i it i WILLIAM POGOR GENERAL CONTRACTING 10 Lacy Street North Andover,MA 01845 MA Home Improvement Contractor License No.083917 MA Construction Supervisors License No.139701 I Inquiries may be made to: Director of Home Improvement Contractor Registration One Ashburton Place Boston,MA 02108 (617)727-8598 CONTRACT Customer: Friday,November 04,2005 Will&Leta Applegate 44 Andover Street North Andover,Massachusetts Project Location: Same as above Nature of Work: O Design/Layout/Concept Services X General Contracting Services This Contract relates to the above checked services that William Pogor General Contracting,LLC shall provide to Customer. The services being provided are spelled out in the next section. The Customer's Payment Schedule is provided for in the section following that. This is a written binding contract. Do not sign if there are any sections or spaces remaining blank. If the contract is not understood, please have it reviewed by an attorney of your own choice. 1 1 C omen Initials Con ctor Initials i v Services to be performed: I. General Description of Work 1. PERMITS 1.1. Building Permit. `f 1.2. Electrical Permit. 1.3. Plumbing Permit. 1.4. Gas Permit. k 1.5. Waste Removal Permit. 1.6. Occupation Certificate. 1.7. Fire Safety Certificate. 1.8. Notifications 1.8.1. As required by North Andover Massachusetts Building Department I Form U. 1.8.2. Dig Safe. 2. DEMOLITION 2.1. Demolish existing structure according to plans. 2.2. Temporary Supports for remaining structures(barn&house). 3. WASTE&DEBRI REMOVAL 3.1. Remove all extra debris associated with the building process,all extra fill (soil). 4. FOUNDATION 4.1. Excavation 4.2. Footings,walls(any wall pining),terraced support for existing barn structure(see structural plans). 4.3. Drainage 4.3.1. Install foundation perimeter drain line and terminate to appropriate locations(dry well or city storm drains). 4.4. Backfill 4.4.1. %crushed stone to fill lower level surrounding drainage area,remainder of the fill area to be filled with bank sand material within 4"of final grade. Remainder to be filled with loam. 5. CARPENTRY 5.1. Framing 5.1.1. Exterior Wall Frame(2X6 KD spruce dimensional lumber). 5.1.2. Tyvek Home wrap or comparable material. 5.1.3. Interior Wall Frame(2X4 KD spruce dimensional lumber). 5.1.4. Floor frame(as specified by structural engineering diagrams). 5.1.5. Roof Frame(as specified by structural engineering diagrams). 5.1.6. Structural Steel(as specified by structural engineering diagrams). 5.1.7. Plywood Sheathing exterior wall(1/2"CDX Fir). f 5.1.8. Plywood Roof Sheathing (5/8" CDX Fir). 5.2. General Carpentry ` 5.2.1. Siding(to match existing residence,pre-primed). 5.2.2. Soffits(Soffits vented with 2 1/4"white screen). 5.2.3. Facia (to match existing residence,pre-primed). 2 C041- Cm;m' Initials 6ntictor Initials 5.2.4. Exterior Trim(to match existing residence,pre-primed). 5.3. Finish Carpentry 5.3.1. Hardwood Flooring(customary red oak,or maple.All grades select or better). 5.3.2. Door&Window Casing(popular paint grade). 5.3.3. Closet Shelving(paint grade). 5.3.4. Baseboard molding(paint grade). 5.3.5. Two vanities. 5.3.6. Built in cabinetry as agreed upon through interior elevation drafting for mudroom. 6. INSULATION 6.1. Wall,ceiling and foundation insulation as specified energy efficiency certificate found in building permit documentation. 6.2. Proper-vent all roof areas MGL. 7. ELECTRICAL 7.1. Rough Electrical 7.1.1. Sub Panel(100 Amp). 7.1.2. Rough Wiring 7.1.2.1.Switches(as appropriate for lighting needs). 7.1.2.2.Outlets including GFI as required by MGL. 7.1.2.3.Lights (total ten recessed lights). 7.1.2.4.Exhaust fans as required by MGL(one for each bathroom). 7.1.2.5.Exterior lighting(Three fixtures,two door lights,one set of floods). 7.1.2.6.One doorbell. 7.1.2.7.Wire HVAC electrical. 7.2. Finish Electrical 7.2.1. Switches(single pole,dual pole,three-way switches). Dimmer switches if requested(extra). 7.2.2. Light Trims(white Baffles all recessed). 7.2.3. Outlet and switch covers(white or Ivory). 8. PLUMBING 8.1. Plumbing Specifications 8.1.1. Plumbing Fixtures are based on medium grade Kohler series suite. 8.1.1.1. Series suite incorporate(toilet,sink,fixtures). 8.2. Rough Plumbing(two bathrooms one full, %i half). 8.2.1. Sanitary Lines. 8.2.2. Water Lines. 8.2.3. Gas Furnace Lines. 8.2.4. All necessary mixing valves. 8.2.5. Install all vents&roof caps(asphalt roof shingles (aluminum)Cedar roof shingles (copper)). 8.3. Finish Plumbing 8.3.1. Install all Porcelain Fixtures. 8.3.2. Install all Finish trims for mixing valves. � I 3 Cus mer Initials Con ctor Initials i r 9. HVAC(HEATING,VENTILATION,&AIR CONDITIONING) 9.1. Install 2.5 Ton Hydro-air pack(provides independent heating and air conditioning. 9.2. Install all duck work and return air venting. 9.3. Install all gas hookups. 9.4. Install two thermostats. 9.5. Install two heating and cooling zones using electrical damper. 9.6. Install all HVAC vent covers(White or Brown). 10. HARDWARE 10.1.Finish Door Hardware 10.1.1. Interior finish hardware is based upon medium grade Baldwin Lock sets (Passage and privacy lock sets). 10.1.2. Exterior Door hardware Baldwin medium grade(deadbolt,doorknob). 10.1.3. Bathroom hardware(two sets). 10.1.3.1. One two-foot towel bar. 10.1.3.2. One 30"vanity. 10.1.3.3. One toilet roll holder. 10.1.3.4. One 24"mirror/medicine cabinet combination. 10.1.3.5. One bathroom glass water barrier(shower door). 11. WALL FINISHES 11.1.Blue Board&Plaster(all walls&ceilings smooth coat). 11.2.Kerdi waterproof barrier for any wall tile affected areas. 12.FLOOR FINISHES 12.1.Hardwood flooring(sanded flush,one coat sand sealer,one coat of high gloss, one coat of client's choice for finish(high gloss, semi-gloss, or satin). 12.2.Ditra waterproof barrier for any affected floor tile areas. 12.3.Mudroom floor tile(as required by client not to exceed$7.00/ft). ; 13. SIDING 13.1. Clapboards(grade A cedar,pre-stained to match existing house color). 14. WINDOWS 14.1.Pella windows(to match existing home double hung). _ 14.2. Exterior Doors(to match existing home). 15. ROOFING 15.1.Asphalt shingles to match existing home. 15.2. Bay window roof standing seam copper or soldered seamed flat copper squares. 15.3. *Extra(Cedar roof shingles would be considered an extra would add to the contract price). 16. GUTTERS 16.1. '/i round copper gutter&down spouts front and back. 17.PAINTING 17.1. Paint specifications(Based on Sherwin-Williams colors and products). 17.2.Exterior(one coat of paint will be applied to all exterior services). 17.3.Interior(one coat of oil based primer sealer all surfaces,two coats of color customer choice. 4 4 Cul r Initials t;o`nWactor Initials - ' 18.LANSCAPING 18.1. Rough grade affected soil areas. 19. MASONARY 19.1. Apply granite veneer to all visibly affected areas of foundation. 19.2.Reuse or replace front and rear granite entrance steps(reuse existing if possible). 20. FINAL TOUCH UP AND PUNCH LIST 20.1.Upon substantial completion a punch list will be generated signed by both the contractor and home owner for finish Items. II. Dates of Performance (If Itemized Schedule, attach and refer to it here): Commencement Date: As Soon As Permitted Substantial Completion Date: 6 months from commencement Other Particularly Agreed Dates(if any):No workweeks, Thanksgiving and Christmas. III.Work Changes Any changes to this contract must be mutually agreeable and put in writing under a Change Order Form. A blank Change Order Form is attached after the signature lines below and shall be the form used for any changes to this contract. It shall be the obligation of both parties to adhere to this provision. 5 Cu s er Initials Co ctor Initials ♦ • IV. Contractor's Conditions of Performance All dates of performance are subject to reasonable extension(s), at the Contractor's request, if request is made due to inclement weather, labor disputes, issues involving acquisition of materials or permits from appropriate authorities, mutual dissolution of contract by the parties, stop work order(s) by state or local municipalities, or act(s) of God. Approval of such request(s) shall not be unreasonably withheld. No acceptance of liability is expressed, assumed or implied due to any of these circumstances. Work may be stopped, interrupted or ceased at the sole discretion of Contractor if payment(s) under the terms of this contract, or any written amendment thereto, is not made by Customer as agreed herein. Work shall be performed in an ordinary standard. It is understood that certain portions of Contractor's consulting and drafting work is deemed artistic and/or subjective in nature,and therefore, disputes related to subjective portions of Contractor's work shall never be grounds for non-payment by the Customer. Permits for Work The type(s) of permits that will be required for the Contractor's work herein shall include: As stipulated in previous work specifications. Unless otherwise requested by the Customer, the Contractor shall obtain all necessary permits required to undertake and complete the project. If the Customer undertakes to obtain their own permit(s) the Customer will be excluded from the guaranty fund provisions of M.G.L. c. 142A. Special Conditions of Services: (If this section is intended to be left blank, state"none"): I None 6 Customer Initials tractor Initials s • Customer Payment Schedule: This Contract is: X Agreed Fee 0 Time and Materials Invoiced El Combination Agreed,Fee and Time and Materials Invoiced i Agreed Fee(If applicable): Deposit(Ten(10%)Percent): _$15,000.00_ This sum is due at the signing of the contract (Subject to Customer Consumer Rescission Rights) First Installment(Twenty-three(24%)Percent): _$36,000.00_ This sum is due upon notification that the building Permit has been obtained. Second Installment(Thirty-three(33%)Percent: _$49,500.00_ This sum is due upon Contractor's notification of 50%completion of work Third Installment(Twenty-eight(28%): _$42,000.00_ This sum is due upon Contractor's notification of Substantial Completion of work Final Payment(Five(5%)Percent)Final Balance: _$7500.00_ This sum is due no later than seven(7)days After final completion of work by Contractor T Total Contract Payment: _$150,000.00 Time and Materials/Labor Invoiced(If Applicable): Initial Deposit: N/A G Contractor shall be paid at a rate of $_135.00 per hour, plus all materials and out of pocket expenses, including, but not limited to invoiced subcontractors, consultants and materials suppliers. Contractor shall provide an itemized entry of his time billed as part of his invoice together with copies of expense invoices. Invoices shall be issued weekly. Payments due under invoice shall be made within seven 7 Cu m r Initials ctor Initials I III (7) days of receipt of invoice. Receipt shall be upon delivery to Customer's address. Contractor may suspend or cease work under this contract if payment is more than seven (7)days overdue. Special materials,or materials of a special order or custom made nature,shall be separately invoiced and require advance payment by Customer prior to order. i Description of Combination Agreed Fee and Time and Materials: As specified by any extra work orders. I I Payment terms may not be altered Unless expressly agreed by the parties in writing. Deposit Terms If there is an initial deposit, it shall be non-refundable. The Customer acknowledges and agrees that the Contractor shall commence work in good faith upon receipt of said deposit,utilize his time and that of contractors and/or consultants he may work with, and that the Contractor shall be fairly compensated for such commencement of work and dedication of time to this Customer that might otherwise be devoted to other projects. The parties agree there is valid consideration for the non-refundable deposit. j DEFAULT OF CUSTOMER If the Customer defaults for any reason, the Contractor shall be entitled to immediate payment of all monies owed as of the date the Contractor notifies the Customer in writing that he deems the Customer to be in default. The Contractor's Notification shall state all sums deemed to be owed and due from the Customer. Said sums shall be due and payable within seven (7) days of delivery of said notice. Any sums due after such notice of default shall be assessed an interest charge of 1 '/z%per month, or 18%per year until all sums are paid in full. If the Customer defaults, and does not tender payment of all sums due within said seven (7) days, the Contractor may record this contract in the j registry of deeds and seek a lien on the property for the enforcement of payment. The Customer shall be responsible and owe the Contractor all costs and expenses incurred in the collection of monies owed under this contract, including,but not limited to reasonable attorney fees. 1 8 tomer Initials Coni6ctor Initials h I e ALTERNATIVE DISPUTE RESOLUTION The Customer and the Contractor mutually agree that in the event the Contractor has a dispute with the Customer, the Contractor may submit such dispute to a private arbitration service, of the Contractor's sole choosing; provided however, such private arbitration service shall have been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and which shall have been in business for more than five (5) years, and shall be staffed with at least one retired justice of the Massachusetts Court System. This provision is an election at the sole discretion of the Contractor. This provision is in addition to any rights afforded the Customer under M.G.L. c. 142A. The arbitration, if elected by the Contractor, shall follow the rules and regulations of the American Arbitration Association. Nothing in this provision shall prohibit the Contractor from initiating a civil action for any such defaults. The Contractor may have the right to institute a civil action to obtain and enforce any statutory liens rights the Contractor may have, while contemporaneously seeking arbitration of the underlying disputed claims, which determination shall be conclusive as to the amount, if any the Contractor may enforce through such civil action lien. CUSTOMER RIGHT OF CANCELLATION YOU MAY CANCEL THIS AGREEMENT IF IT HAS BEEN SIGNED BY A PARTY THERETO AT A PLACE OTHER THAN AN ADDRESS OF THE CONTRACTOR, WHICH MAY BE HIS MAIN OFFICE OR BRANCH THEREOF, PROVIDED YOU NOTIFY THE CONTRACTOR IN WRITING AT HIS MAIN OFFICE OR BRANCH BY ORDINARY MAIL POSTED, BY TELEGRAM SENT OR BY DELIVERY, NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. i h This Contract shall be construed in accordance with the laws of Massachusetts. This Contract may be executed in duplicate. Customer acknowledges receipt of copy by signing below. Ili Cu omer Initials Co for Initials y THIS IS A BINDING LEGAL DOCUMENT. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES OR YOU DO NOT UNDERSTAND ANY TERMS HEREIN. Executed as a sealed instrument this �� day of A� Cus omer 4Byl: eral Contracting, Customer E I l I 10 Cust er Initials CoMictor Initials NOTICE OF CANCELLATION FORM Date of Co tract You may cancel this contract,without any penalty or obligation,within three(3)business days from the date entered on the first page of this contract. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten (10) business days following receipt by the Contractor of your cancellation notice, and any security interest arising out of the contract will be cancelled. If you cancel, you must make available to the Contractor at your residence, in substantially as good condition as when received, any goods delivered to you under this contract; or you may if you wish, comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty (20) days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the Contractor, or if you agree to return the goods to the Contractor and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this contract,mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to William Pogor General Contracting, at - 79 Johnson Road,North Andover,MA,01845,not later than midnight of: llko!� (Date o 3` day.) I hereby cancel this Contract. Customer(s) Signature (Date) i 11 Cu tomer Initials Contractor Initials r I WORK CHANGE ORDER FORM Will&Leta Applegate (44 Andover Street/North Andover,Massachusetts) Customer: Contract Date: i� D5 i This Work Change Order changes only those items specifically addressed herein. Nothing in this Change Order shall be construed to change any other term or condition of the Original Contract. Description of Change(s): a- Wtrcl� ZieXi>N 4 �• I�4:p 4 ate. rece�- t " f I�o�� fix-►�e. - �Nl 99*1\ v �� fie, ►� - i n 12 Cust er Initials *Coactornitials Commonwealth of Massachusetts Official Use Onl Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527•CMR 2.00 (PLEASE PRINT IN INK OR TYfE L INFORMATION) Date: Cp_ City or Town of: Alr611 To the Inspectorl of Vires: By this application the undersigned, ve.not' a of s or her' tenti n to perform the electrical work described below. Location(Street&No r) Owner or Tenant Telephone No. — — / Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / 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: Installation of Security system/,_ o. e6 Completion of the ollowin table maybe waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA AboveIn- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Battery Units- No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o Detection and Initiatin Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: r No.of Devices or Equivalent/2 No.of Water KW No.o No.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: p _ (When required by municipal policy.) Work to Start: (r vp21nspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the haiins nd penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 15-13C Licensee: John S. Bassett Signature LIC.NO.: 1533C (If applicable,enter"exempt"in the license number line.) Bus.Tel.No. 603 594 5928 Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licl9hsee does not have the liability insurance 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: $ Location Nd. Date ' "ORT" TOWN OF NORTH ANDOVER I Ota+oto i�,'�•C p Certificate of Occupancy $ Building/Frame Permit Fee $ 964 sAcMus Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ o Water Connection Fee $ TOTAL gIII Building Inspect6r t` 10352 Div. Public Works APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PACE 1 MA +40. LOT NO. 12 RECORD OF OWNERSHIP (DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. LOCATION a PURPOSE OF BUILDING 1 OWNER'S NAME NO. OF STORIES SIZE �, I-�r _ S \ a OWNER'S l ADDRESS •stT /'1 BASEMENT OR SLAB caC c ✓ ARCHITECT'S NAME � � SIZE OF FLOOR TIMBERS IST7�"r�%7 4 N D i� 3RD a� BUILDER'S NAME •�-ly�� ,y`- i�„I SPAN '"'''�� l•r+4 DISTANCE TO NEAREST BUILDIN , � DIMENSIONS OF SILLS DISTANCE FROM STREET Il-G�x � '" Qx 7� POSTS DISTANCE FROM LOT LINES - SIDES REAR "" dvk 16GORDERS AREA OF LOT / I ,4/j rr FRONTAGE A0D HEIGHT/SOF FOUNDATION / THICKNESS @'f„/1-� IS BUILDING NEW ( <'y SIZE OF FOOTING 1. X •..� ��J IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND so WILL BUILDING CONFORM TOR QUIREMENTS OF CODE •, IS BUILDING CONNECTED TO TOWN WATER y)/,- BOARD OF APPEALS ACTION. IF ANY /7 IS BUILDING CONNECTED TO TOWN SEWER yl-- l ~ IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERfY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST " �J Gn d PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 6 PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOMi SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED •UILDING INSPECTOR SIGNAT AU RIZED. ENT F E'E OWNER TEL.# a 3� U�0d PERMIT GRANTED �l CONTR.TEL. CONTR.LIC.M H.I.C.a Z/ 3 7 i �Lo O � Q BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S DRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 '3 CONCRETE BL'K. API BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ '1, '1, 1 r/. FIN. ATTIC AREA _ NO B MJ FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D ASBESTOS SIDING COMMON _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR 1___i POOR ADEQUATE NONE 5 OOF 10 PLUMBING GABLEHIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST be RERELESS_FURNACE REO HOTaAIR TIMBER BMS. L COLS. T`A _ STEEL BMS. 6 COLS. NOT W T`R R VAPOR WOOD RAFTERS AIR 1071 1 RAX .T 141— #„IMT BEATERS 7 NO. OF ROOMS PoAs2nd Rf lit 3rd EA'TI PRRA1,:;4N0. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP qq O. LOT NO. 2 RECORD OF OWNERSHIP JDATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. F.) LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES - SIDES REAR "" GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY • ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ' DATE FILED \ BUILDING INSPECTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL.# PERMIT GRANTED CONTR.TEL.N 19 CONTR.LIC.# H.I.C.# I BUILDING RECORD - 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d 1 2 I3 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 1/1 3/ FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN- 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDIN D ASBESTOS SIDING COMfACN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR1---jPOOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST I E'ESS F17RNAt:E �Ets T A.4 TIMBER BMS. &COLS. WRAMSTEEL BMS. & COLS.WOOD RAFTERS 957 NO. OF ROOMS B'M'T 2nd 3rd • OR • Town of over No. dover, Mass., 191/ 0 . LA C0CWICHEWICK 0q41 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT A.........0 0.4.......................................................... Foundation has permission to erect ... . buildings on.........JJ......410,6..'a 4 ��.............................. Rough ........ #/90 . Z.�. ...................... 0(-, 0 Chimney to be Occupied as..................................... -7/j.7?.!-�..4.d-,f.k.................. ....... ....4� Wit shall in every respect conform to the terms of the application on file in provided that the person accepting this perm 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough ..... .................... .......................... ..........................:v/....... .... ....... ....UILDING..INSPECTOR Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 00 Not Remove Rough Display in a Conspicuous Place on the Premises Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Or _ t � MoaTw ANDOv�R, Mass d✓%55'. PRlPAlX D FIM JANE W141TEHI LL ��_•d� Klov.27, (*a5 w AAu;ppvfg PLA UN,cur, Ba4tt n CONSERVATION LAND ` N - i 2. 3 f4eRp5 O Zoulum DltTalt•r - ts8 .3 0 ► F 0 1 � � II W u N ; S Sc'- t bt 40%/ to ce vi to. L so N d n j M M K y u V IOU p n <6.`ao'C < < ➢ ico 6A�1 `t (� Grtoao'E F ft (` ds do— moss V) ✓ l DWELL. 1 �! to ♦44• N 8 51'7= • .L .� w- +- EAAT[R L`i �. KJ D O V E Locu !.� p• PuOLIG VA21f 6LQ Wtp76' n t: Loeu+t e� !!��• ���� �h�s ffYrllri �. ;;t R oatcxz G. c occ, N � n Cs li:.,u:. �.rr1 If...rulgfa•, r '� Irterl ALtb `� �Gr<' ;r,.q.. r ry.,.ra G� .... i '� g2 �• J mM. „✓Wit: I.EAtTQAL STRL•E� 01910 FORM U - VERIFICATION 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: '1.4eS-tf rPL eA Phone 6_0,S� ,�7'-y Dh�00 LOCATION: Assessor' s Map Number Parcel c Subdivision d?o Lot(s) i?04"'If Street daa ue_ r St. Number ************************Official Use Only************************ RECOMMENDATIO OF AGENTS: (� b/ Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date Q LJ > � \ �i in O < •\ i' _ ; Iu�tRITI`I�I,1►►uo;5!Ti► tt►ll�►11�1u11�16'+` �',, ,__ E • \ 'i � r ! �pyS \ 111.11It- FO J 1\111111111.1111 jolt ACADENY RD i ® O®i1o11'•` t 11 JJ I 1 \ La lox 10 0 2 Q o ' o 1J i i g s1 •' Os6000 ST 'O ® ! � 1 'J D p sr. n ��E• .. 1 O \,` ! 4'GILi iiilrL'E!1F 1111+Lr1!11111!Li I I , i 8 j i ty c ; 0 i o p�V l IjiL 1F �:\• :. i i �u1LlL�Wlida,U1 �)LllIIIJJW.► ►% , I n(-� i®1 tits LL.lW1 .'� X11 LI1111L! ��' ilk > 13 (\ Z � � � ij (try I I I •\i. ��/�, � %iii' pr �1 tU c- 04. ` � � og CA/-%RLSG)N REAL ESTATE •,Better1Homeso SCHRUENDER DIVISION 73 Chickering Road(Rt 125/133),North Andover, MA 01845 508.685-5000 Fax: 508-685-5900 TSLZL"C"i7i6 ATTr SO4 TT YL 17:Cti'L":LT➢T.ty IIL i•C1Ti�Lf'"T i'7lLA L II 7YC`I C`I4 SLAT le�'A1d 111'!1, vVEN1-1131` IAlu ME31WU1 %_V1V11d113J1'}._ iN CERTIFICATE OF NION!-APPLICABILITY This certificate of non-applicability is issued this 4th day of April 1997 to The Stearn Company in regards to the property at 44 Andover St. in accordance with Chapter 40C paragraphs 5 through '10 of the General Laws of the Commonwealth of Massachusetts as amended and the by-laws of the North Andover Historic District Commission. This will allow new windows and gutters on subtect property. The wood frame of the windows shall remain and the windows shall be as shown to the Commission. George H. Schruender, Jr. Chairman i . t III CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number C200Z y ,� Date o /qR !y THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS46e WC., IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 1 AORTN 1 CERTIFICATE ISSUED TO S4440 ' O • , y0 oroAiNaft p ADDRESS Are-,/[ NAye /� �I� 1,3444 HU Building Inspector �I I I I i I I I i F t4O R Town of Andover No.2G'Z * dover, Mass., s -19 ? 7 O'9LAKE - 4_COCK ICHEWI CK A- Dq E D APP`y SCC SS BOARD OF HEALTH U PERMIT T D Food/Kitchen Septic System _S2 4e �....... BUILDING INSPECTOR THIS CERTIFIES THAT...................................................... ... ...........................,........................ "" Foundation has permission to-erect-.-., .A.T� ,.. buildings on ........ ......... ./1.....�.d..v .�...........�,'T'... ough to be occupied as........................................... "A).:7-0r'.iO..P............AAE44. ..14.774-1-42'>.AJ............... chimney provided that the person accepting this permit shall in every respect 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 Z40C / * ?ep (Buildings in the Town of North Andover. PLUMBINGASPTECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST ELICAL INSPECTOR TS RoughE ............................................. �/ ........................ ........... ...... ....... ...... Service" r . LDING INSPECTOR to � Occupancy Permit Required to Occupy Building RetacFLU e afe GAS sP OR f g c �• / Display in a Conspicuous Place on the Premises — Do Not Remove 7 No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIA DEPARTMENT Burner Street treet No. �c-)9-5 -- Smoke Det. I 1 •�e! 7DOa)t97t0.17.�CO�i/! p/�i'�%fYJJOCr/fIJP.// r OEPARTNENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Naa6er: I Expires: . CS 035146 0Birthdate: 1/02/1991 07/02/1959 Restricted to: 00 x VMr TIMOTHY N PERKINS 14 OLD FERRY•RO s HAVERHILL, . Nq 01830 cwu.�itrda�l'a HOME IMPROVEMENT CONTRACTOR) Registration 10837 Type - 'INDIVIDUAL r` Expiration 09/07197 i TIMOTHY PERKINS, TIMOTHY N. PERKINS ` ADMINISTRATOR 14 OLD FERRY RD.. HAVERHILL MA 01830 ; C, i \ � i i • u� IC���fi ICn,MM�/I LAQ �6rO Zri G ey w. -n c i t � i i t f ' - i f PhO t i I (�o i l i ` iI i i \ iF it 1 it 1� i; 3 f i . ij or a 1 r �. 16.e-T r n it l; -4-� IA j • � Ii E _ LA - i f i 40 `O a L o uPT y r 1 i . I f a� alee14 eior r-7' -- f of i �����'r�• mal z'�n i� i i i i ` I r, z i jsos�,�b(e ,T Ly ouT - i ' I Ii II .i -� O Il vat -3'7 a7n r; s R� TI, i 3 - t i I i /. LL 1 �" 1 I i i i ;7 E I i i I t I 4 r i r , `�s fiQi/ two s'��° I.S�'��N-► ri I 1 ^ode, —r� ;I� I I jam_ '— �,.•-rucl-e , I � t • Tt"� � � 1 2 � f �I Location ? �•''�u'�"'? � No. Date MORT1y TOWN OF NORTH ANDOVER ? �_ •BOOL Certificate of Occupancy $ Building/Frame Permit Fee $ �Ssncmus � Foundation Permit Fee $ �. fs /I/ th 0xL l`iV--- `• Other Permit Fee $ �� -� +ewer Connection Fee $ Water)"66hnection Fee $ IV v� ��T TAL G/70, . Building Inspector Op Div. Public Works p PEWAfff NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. r PAGE 1 MAP 410. LOT NO. 12 RECORD OF OWNERSHIP jDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. �I LOCA ION - w2 PURPOSE OF BUILDING OWNER'S NAME �,/� / ,i j ` AI t t NO. OF STORIES SlZJE OWNER'S ADDRESS Vji�; ,..{�r BASEMENT OR SLAB - ARCHITECT'S NAME `r,$,)r SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ) d �� S��' SPAN 44" r—� DISTANCE TO NEAREST BUILDING , � DIMENSIONS OF SILLS leFG cy L. , I DISTANCE FROM STREET POSTS - DISTANCE FROM LOT LINES —SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICK SS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION Xf MATERSAL OF CHIMNEY IS BUILDING ALTERATION f/ IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE y© IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY LV,}b / IS BUILDING CONNECTED TO TOWN SEWER PST /� '�.� o[` . IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION O J LAND COST SEE BOTH SIDES / t /G- ��-'�`I ( O ✓✓✓ !ll��� / EST. BLDG. COST t"�© a r s�✓ J PAGE 1 FILL OUT SECTIONS 1 - 3 �OI/ 4-��1� e - /4( �L f EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY C ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 4 DATE FILED BOARD OF HEALTH SIGNATURE OF OW R OR AUTHORIZED AGENT FEE / V PLANNING BOARD PERMIT GRANTED 19 OWNER TEL # `' 4 3 BOARD OF SELECTMEN CONTRACTOR TEL g d CONTRACTOR LIC #Go 7 4 7 BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY oFFlces LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDWD PIERS PLASTER . _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'T' AREA _ '/. V2 '/. FIN. ATTIC AREA _ ,`NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 11 9 FLOORS LAPBOARDS B 1 2 3 'OP SIDING CONCRETE �_ DOD SHINGLES EARTH _ ,SPHALT SIDING HARDNU D _ 1,SBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE IBATH (3 FIX.) _ GAMBQEL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR IN TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd ELECTRIC 1st 13rd NO HEATING b a S PLM1WING ORTIy Own o6 OLndover No. 0-12 .......... . .. I I I E 7 v' P'-?tM1 HE er,, Mass., 1 19 WEVV, 9 t OA? SS PERMIT T LD BOARD OF HEALTH THIS CERTIFIES THAT.../... .....Wf4Te.r49.bAj44............................. BUILDING INSPECTOR has permission to erect Alen W. ........ buildings on Rough to be occupied as4.0 • � �. Chimney A* *4�t_ Final provided that the person accepting this permit shall in every respect conform to the terms or the application on file in PLUMBING INSPECTOR this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough* Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST TION STARTS Rough Service Final ...TO, ................................ BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector j• TOWN OF NORTH ANDOVER. MASSACHUSETTS 3 t+CNU�E HISTORIC DISTRICT COHMISSION i Application for Certificate of Appropriateness Application is hereby made for the issuance of a CERTIFICATE OF APPROPRIATENESS under Chapter 40C for proposed work as described below and on plans, drawings, or photographs accompanying this application. CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ( ) New Building ( ) Addition (x ) Alteration Type of Building (X ) Home ( ) Garage ( } Commercial ( ) Other a� 2 . .� d1✓ Z>6o,e �,��/�" G✓�i✓1z.J 3 . Signs or Billboards : � New sign ( ) Existing Sign ( ) Other 4 . Structure: ( ) Fence ( ) Wall ( ) Other (Type or print legibly) r Address of Proposed Work: �2 Date: Owner: / /�._ <�1 'Jt/�" G�/ff - /L�� _ Telephone Home Address (if different from above) : A� Agent or Contractor: wee— //\/dp i Telephone It Address: a�{/ TZ / ST.. MOM- A44. CM944 Assessor' s Map n : Lot tt : ZS 7 1991 y. f I Detailed Description of Proposed Work: Give all particulars of work to be - done (see 78 below) , including materials to be used, if specifications do not accompany plans . In case of signs, give locations of existing signs and ' proposed locations of new signs. (attach additional sheet if necessary. ) �`�x/�7 ��/�' Alff ✓ �N,P��r.� 62, 7ftz- /i✓�71ViA/ ZEct57Zrl4 �'tc— 7 ids- klAtZ,� . 1-4Q4A7tV (70' ZWW-464f C04C,! fr 73 ASA/ Aft-q j 7--IMV ZF= YF,40Y "AlI a-W CAITom'/ �/ y97' ,�,�� ��,g�L,�_�t/�/, �t�jq-r 1��. �A/�i�!/�A-►. / ../[L L��" /Ill //l/ 77� AOw er nt, C tracto DO NOT WRITE BELOW THIS LINE RECEIVED FOR HISTORIC DISTIRCT COIIIfISSIOid: TIME: �/','3d P DATE:/Z ° 45-- YO B Y: Z) 111A/iCucc/ APPLICATION 141r : Ga - f Q ' THISA LIGATION FOR CERTIFICATE OF APPROPRIATENESS :( APPROVED ( ) DISAPPROVED j Reason for Disapproval: I ( ) NO CERTIFICATE OF APPROPRIATENESS REQUIRED I A CERTIFICATE OR APPROPRIATENESS is 6211,z//-0 //13A/for work described in .the application above and attached document . /9j S��/GfC9j�i�1 %/1e3 � a &// ' fc?Tia Chairman: Secretary: Vice Chairman: 1 ' ` ADDITIONAL INFORMATION FOR 14AKING AND FILING AN APPLICATION j Certificate of Appropriateness does not in any way supercede any state or _oval codes or regulations . APPLICATION MUST BE FILED IN TRIPLICATE. Return )ne copy to Building Department, one copy to the Town Clerk, and one to the iistoric District Commission. I :'he four categories for which a Certificate of Appropriateness is required ire: EXTERIOR BUILDING CONSTRUCTION: (new or existing buildings) : An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light, ' parking lots, dish ntennae, solar collectors, etc. , that will be visible from any public street, ,ay, or public place. The following scale drawings are required with .pplication: plot plan, floor plan, and elevators where applicable. Also -equired are photographs of existing buildings, where additions or alterations .re to be made. No plot plan is required for addition or alteration which does iot touch the ground. DEMOLITION OR REMOVAL: Photograph required. SIGNS OR BILLBOARDS: An application is required for any sign or billboard :xceeding one (1) sq. ft. to be erected within the District, with the following -xceptions: a. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three (3) days of the termination of the event. b. Real estate signs as allowed by zoning bylaws advertising the sale or rental of the premises on which they are erected or displayed. STRUCTURE: An application is required to build, alter, relocate or emolish any structure whithin the District such as stone walls, gat es,. ences, etc. i -ENERAL REQUIREMENTS : Work on projects requiring approval shall not be started until the ertificate of Appropriateness has been filed with the Town Clerk by the ommission. Approval is subject to the fourteen (14) day appeal period rovided by the Act. No changes shall be made from the original approval application without dvance application filed with the Commission. A separate application must be filed for each project requiring a artificate of Appropriateness. Under heading of "Detailed Description of Proposed Work" , give detailed ata on all exterior architectural features: foundation, chimney, siding, oofing, roof pitch, sash and doors, window and door frames, trim, and gutters- eaders . A complete and legible application will expedite action of the Commission. Dpies of the Act establishing the North Andover Historic District and the istrict Commission may be obtained at Town Hall . I �m ,yrs :i � � �v f ' gi ZZs ( NEW . .�� 13j I I W►�.t AaW 1 IL W C � I i w I� I � i rn' F i Ir - 7 i T �,•JH IT E H I L L sheet No sNf�OVER ST. N.ANDoVE RPI.A►.1 'I•H61-7. 60 r• '�a2sL,o�tc,5rV(Gj- �/a. S2" =1=O" pate 6 0GT.'90 I Date. /�-'.f. /?'V . . . . . . . . . N2 45 7 NORTM 4, TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING S CHUS This certifies that �� - . . . . . . . . . . .. .. . . . . has permission to pe 4 . . . . . . i . . . . . . . . . . . . . . . plumbing imthe buildings of . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . ') 11 at."�&/ North Andover, Mass. Fee. . . . .. . .Lic. No.. . . . . . . . . . . . . . . L Gi�TOR I U�61 G�INSPEC Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS 1 // / / / Date / Sl- Building Location Y Y Wnc�ol , sf' Owners Name Permit# Amqunt p / •/ 11�/���`o. W jC/l o lam/ /-7/1 , Type of Occupancy New Renovation Replacement Plans Sub Yes r No FIXTURES a a� a a F w w g a a a x a - FCC a z a H w w C� stRBsv>ic &�4�1VIIYf BE 11aR M FZOCIR �FLDClt 4IH FLOOR SIfI FIOCit 61H ROM 71H HJ0CR gm FIDCR (Print or type) Check one: Certificate Installing Company NameF, Corp. i Address ' ' ❑ Partner. i av Ir „,Business Teleph6he j — Firm/Co. Name of Licensed Plumber. ji3surance Coverage: Indicate the f insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond j Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ent I hereby certify that all of the details and information I have bmitted( Bred)in ove application are true and accurate to the best of my knowledge and that all plumbing work and' ons p ed un ermit Issued for this application will be in compliance with all pertinent provisions of the Mass in ode and Chapter 142 of the General Laws. By: igna o rcense er Type of Plumbing License Title City/Town ice se u er Master Journeyman ❑ APPROVED(OFFICE USE ONLY u Date. `. . . . . . . .. . . . .... .. ! I ,4ORTIy O� ma`s e•e O� TOWN OF NORTH ANDOVER i : PERMIT FOR GAS INSTALLATION •`t6� �,SSACHU5Et . This certifies that . . �1 `. .'. : . . ��`. {. . . . . . . . . . . . . . has permission for gas installation C in the buildings of . . .1-4� .'.'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . ... . . . . . ..�.. . f. . . . . . _ , North Andover, Mass. Fee�v . . . . Lic. No.��r J. . . . . . Y?. . . . . . . . GAS INSPECTOR Check it 35 . 3 z iVIASSACHUSETSU� P*AFPUCAT0fXF0RPMMW4 Type or print) NORTH ANDOVER,M' A S TTS Building Locations zJ An twner�s dame °t r r 2 "dw Renovation Replacement • P Suoraitt z � S J , a � 2 :Zz t- :+3 a t a�* i 1st U t3 -B,% SE�t ENT a } t SEM ENT �.a � , T IS'r. FLOOR a .. MIM z 2N U . FLO U R b }z 3RD . FLUOR } zz 5rii . IF L t) U K ,. r 6 T II . F L U U K .° ', } iT11 . FLUOK � Nt } YT I1 . FLOOR •C #L '�,YQ y, Prim or rype) an +amr Andover lb & Ht k n �� TMt Address 20 Agean Dr.,' Unit-10 Methuen. Ma�_�U 844 Business Telephone 978 685-8383 ',ame of Licensed Plumber or Gas Fitter "fit t� INSURANCE COVERAGE have a current liability insurance policy Or It'd subst�tlal"egatialet ' !'you have checked ve$ please l Icate IhC[� a �i�h1 thea pro ate . �s a _i,biliryinsurancepolicy thee type of!Ad Wt+ 13 ()wner`s Insurance Waiver. I am aware that the Ia e the Itis e } a Aass. General Laws,and that my signature on this permit applidadon waives this requirement r Oben one. i;narure of Owner or Owner's Agent Owrt A herebv certify that all of the details and information I have submitted(or entemd above 4p : k Orsi ut•my knowledge and that all plumbing w�and insz lad to Performed uad `permit Issued,,,, _ompiiance with all pertinent provisions of the Massachusetts Mate Gets G and Chapter 142 Bv: Sapatu ofl, sed Plumb OrG� Tille Plumber 0981, (C:rv_iTown r¢as Fitter t t r ivlttateA � �PPP,O\,ED ioFFicF.USEi)NI.Y) oumeyrt srt k ;im 0 �'