Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 5 KIERAN ROAD 4/30/2018 (2)
/ 5 KIERAN ROAD f 210/098.A-0044-0000.0 11 i i I / I /.�. . Date. � 9358 TOWN OF NORTH ANDOVER ' PERMIT FOR PLUMBING 'SSACHUS� l / This certifies that . .�ll�4r 1//. . .�lr�..... . . . . . . . . . . . . . . . . has permission to perform .Ty. .�//I�.NU. . . . . . . . . . . . . . . . . . . . ' plumbing in the buildings of . . . S!?� ... . . . . . . . . . . . . . . . . . . . " :Nor. . . . . ass.at. . f . . . . . . . Lic. No..Zp3�fFee. PS PLUMBING INSP TOR Check # JDD �/ V 1 a MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK j/ CITY .r.. +'�(1'�' 'il. .. . . 1 MA DATE. �' �'t r)4.PERMIT# �I V� '—"50 1 JOBSITE ADDRESS I h '� }r)q"✓1 I OWNER'S NAME P OWNER ADDRESS I_ , ..fl�.r._ ,.._ . . M.. TELT .� IFI. _ I TYPE.OR OCCUPANCY TYPE COMMERCIAL I' l EDUCATIONALRESIDENTIAL,] PRINT CLEARLY NEW:I_.I RENOVATION:I-LKREPLACENIENP .r� PLANS SUBMITTED: YES(e l N01 .I FIXTURES-1 FLOOR BSM 1 1 1 2 3 4 5 B 7 S 9 10 11 12 13 M BATHTUB CROSS CONNECTION DEVICE },.. } . I DEDICATED SPECIAL WASTE`SYSTEM DEDICATED GASIOIUSAND SYSTEM I I I } } } I DEDICATED GREASE SYSTEMI I DEDICATED GRAY WATER SYSTEM _ .._. DEDICATED WATER RECYCLE SYSTEM "} _I } }.. I DISHWASHER I _. .J I ..... } s _ _} # } } } 1 DRINKING FOUNTAIN } } FOOD DISPOSER - _ _} I FLdOR/AREA DRAIN } INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL ,i I j. SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION } t WATER HEATER ALL TYPES WATER PIPING - I i _.: } -.I 1 V.... . .i OTHER } .. _.., � i � } � } �__ } } -I } INSURANCE COVERAGE: I have a current liab_ hits iiisuran.ce policy or its substantial equivalent which meets the requirements:of MGI-Ch.142. YES[ NO I I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW 25/ LIABILITY INSURANCE POLICY( _ OTHER TYPE OF INDEMNITY[ BOND I._. OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter'142 of'W i Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECKONEONLY: OWNER (. ,I AGENT ( I SIGNATURE OF OWNER OR AGENT I hereby certify That all of the details and information I have submitted or entered regarding"this`applicalion 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 mPtiar triti 1 P rlt pr vision of the Massachusetts State Plumbing Code and Ch ter 142 of time General Laws. PLUMBER'S NAME I l r�',I f �a/jA4 e jALICENSE#Ljo 1 I SIGNATURE MPI I JPI.V CORPORATIONM .1111 1PARTNERSHIPI 1#; ILLC( 101 COMPANY NAME /�" M�Lym. ADDRESS q t 1ji1-.A1A1- n CITY ( ' • STATE ZIP TEL FAX I _ 0 W V CELL ? _ EMAIL f�'�J 3 l f _ i AODUGH PLTTITBTNG INSPECTION NOTES BELOW FOI2 Om CE YJSE.ONLY FINAL TNSPECTION NOTES `Yes -No THIS APPLICATION SMVES AS THE PERMIT ❑ All, l 2., FEE: $ PERMIT 0 PLAT--T ':,ZVrEW NOTES Never Contacted forjinspection i i k E .' �Ire•�'o�tiiiotfi«!i=itlllt�i,�1t1`(��strcfitirs�!!s � `� XI��;�r3�larerto,J'XitctiislEt�rl�tce�rteitfs [ '!l,f jfc�'o�j'Ir�t�esti�it(iotls 6p0�i�tistttrrglo �SYr•�el Rogfoil;mw 02111 1t►Pviy trrcrsssoMlM '�'�totTeors''Coz�tl�clis[rtbtcl��e�tti�nf���`fitln�'it:Bi�ftc�crsl�'ottftttt;loisll�le�tt�'cin�tst�'�iitit�5e1� Attl [fcnilfll!£o!'nlafidti -ph s4witt_1V•• fl £iiti [I3lSutttfcr0ighni�itionrtudi�id"ualj.. / — -g. �t�tTl�esse moi' !.J/'N'l!.9` !>'.�T(' ��• - / jl . ' A1t�ot(tiueulpfoixl2CllechthetiJl1uopritittGo�: - 7}ph.�fploletE�(equl(ettj: t!tip 4enlp1' if rt'-(�lalit ggcttcrnlcontr(ictortutti! E b iSColces(tilloldrorpad-61ejt hAiehtredthostib. mclors dNetvCa»stntstton �• II(I sole propeloororpa1111 1 listed ori tite nt(ttc$eti t;)te�l:f 7. j[ieino[Cciing ipnluthavcuoctnpio}ices ThesestlG cai(mctor�ltato $ (�'Detilotilioit ioiking;for• uc la t+ny(npncf[y. �volkera comp.filsulnllce. h Q'puttt4ng'ntttltlion [ko vorkcts"cgiitp:jnsumnct; �,El NYo Ace a cotpointtotlnnd lr n�cJilincf.] ofticershave owciseo 11.101 !Q Q Tileclrfcnl tejWmorMdtrfoiis 3.❑I(tm.altnnieowiterdoiitg'all ijotfi lfgiltofere[nptiollpe�`M©t, II fl orodditioii. lj!yieff.[w 6&'cre comp. 6l1(tt1aIt4vo110 - f2'.QFItoofrepah fusurnncc.rcgpired.]t e»iployces [l�ltr,riori�cis' O,[Tpthcr i E cgnlp.fnsurnticeregulre<f.] tin}o1y+l:cn[(h!(c6ciixbZ�Clltirslr]sofilfcutlhc sctYa:+b.to�FsIwp(ngttrar(mi[,r;aairt rua't'sonpalryPnimr astiai �'titan.,tcu:a�rha s6t nut Ihts atli;t reit Iudicolag li<y uo ilaatgall►wlhrrd PRO[dret)ufstdt feutrpttois ulu,l stij tut nh@ii t<fu Tl�it iaJit�tin�Sut6.' a ttl?rtrx6i,cllul�tr;ttctfrs[++rr,urta'ta.trdanrtdriop1s1;(son+fi�ttctuatc{+hlitsoir•a+n7rtadnordlh;iriii+ikcif c.+iyi.�:+1PtrG><aiiuUnvr_ lRrr/nr erri�rlyl�c�rt/rntlshio(•trlitrb•rvnrtc�s'e(1ir�ierrsirtlnirLrSura,rcefarir(rehIptvrec�s 73elaa�.frllreE►ullea�nruFfnGslie� i?i f/'arrrru/torr. 110ilrotlCocontpauyfti1e,. f'oficy�trrorSe(f.frls_Lic.f;;_ t 4 toil 136t ' Sob sle O(tress { . �t��fStatcYZiji .. g /li(ncil[lcotlk.of(licuoritces (:(nupe11si1i(oi(Iib]ikyciccinlntfotrpoJ;e(sJtotiti�ftlgtlielioflc�ttlniil1el�ntltlCxlifl�a(lou(IitCe?. raf iurc to seriurra•C6t'olllgins require d uni(el Seclioli5h oTMCit,c.f 52 cqn least to[Iia f�uJ(osll iolt flfcrnnilint pl ualtfcs ora fiite tip lq:Vl,500.00 aott/orotlt }eat ulJliisonnielit„ns w011 as chit Net►attics Ll llle for1►1 oEa STOP\fURIC UItDJ It'tirt(T((fitlT s fup(05250.00.nda}(�gafnstthetfola[or. liendt�isc<itliatttcopyoftlikslatenledt,May be. fonvarded,to[Ito Office ot lliveslig(iflons-ortim DIA..for hisumtice coverage veelficatfon. Xtlnlrerc�LJ•cer/' 'rrtrrl •I11e11d r( e Ile of,1,erjurl,/fart!he.hj ortutr?fwrprbllrTerinlio► lsitre(rtrt�edr�ccl. ^� r AMU c 0fj`ii liif trry arrfi Po rml tirrku 1 67 thIs area,to lie conr1rtrtert Le orlarOil o,jjtclnl. j Cif3•or`l uii°1t:_ 1'criul(IL�ce'ttsc tl Isstiftighii(hoil(,(clrcteoile); !.Agled'of Heoldt 2,Building Dejial:hnellt 3.CifYl OWL Clone .4 1Icni IusImNor&I'luttlGfng i►tsjle�toe ti.p[ltcr� Ceililact l'ef o{r': hiowll; IVlassaciiuseftsGenet Ltttttselrapteri<52reg(tiieSnlleoiplogersloyltavideiV0&eWcoin)ilirO&AforMeir eniplo}ees.. Puisuanttotilisstafilte ane1.ilop� it �tlefiiiedtis`::,€irei3rpetstittlirifie¢enticeof�itotbcYtinder;arlconiracto£Ylite,. skies orhAplied,.9ml or v ritteit:" t ilertptoier'istlefi etlas"1111 nilivit(tlai,paitttetsliipj,os&oclat1oh;coip iritionQrotho-dOPteritiCytolFau}rh�'a iaaiiore €tltofoixgomgengagetln>aoinF euterise,aiici iueliccliug the teg'al ieprzscntatives;Ofa deceasesenipldyei;orae iecei�:erorCitlsteco£enGitlat•.id�lal,parGtersTiip,,associltiomor outer legal'enlit};eto �oying,cmpI"nyees Hoivever..tFio oSvnerofa�Iivellinglioiisc-b-tvingnoflnbielbaufhre"pariinents:audmioliordsidesthetein;:orrileoccupantoftile tlk}'ellipgllonseofmiotherniho employspetsous to doanaiiltenxuce,eoiistructiou oi�rCpairivQrk on�ttc7t cit}-�tliug:Itoiis�: >dtpit'tlibgrnnndso buildingn�tpt►rfenantthereto-§halGnotbeernrseof suclibliployment be cteeme(l'ipVeirvgmpl6)'or" II�GL cltaptcr I32; 23!~`(6)Rlso•statestltat'`•`eyoiySfcite q i(cal Iic'enstng ngeligAlclfevitliFiokl ilre s.'stkance or leiietEaiolft cp!5p pir poral to operate abnsi11essot-tow eonstrirctbtilIdingsintIto Col nrioittveAll_Wria npplicanflt7rasliotpr0tiueedaccepfilbleeEicl'eltcr of conipliatree�vitltOreln'sti1.iiucetdveritgeregtlire8" Acldiiibnall};AGI:bit@pterl5��25C(?)states"Neither tite�conulromvealfit iloraay-of its politictl.subttiVision$cirri)) oitt rintoanycontract;f0 tlaperfomtaitc0ofppblig11,01.1;unfitacceptabTeeviclenceoFcorupliaucerrifiitlieinsurance r>tyirlements of tins c)triiitet=lrave been presentecl to the co)ittcting authority" $lijilie frltts 1?Teaseftllout ill .tiffori:erg`caltt0eitsatiouaTVhIvItO plgt T,p3�oltec iifgttefi�o�esfhafapply(gyoiirsiiatatioutuiti,if • nt:ces§fltj;supply SAb-Cnntraetnr{S)1181llC1Sj,adctress(es)•Atidphone mnhbt;i�s�along with fheircecliticrle�s�oi' in tiranLt.MilikedT:iaUilif}'Compatties(LLQ orLimftedVabiGtyPattrio►ships(LLP)With lioentplayeesotherthRli.f(m :liierilbersorpartners nrenotrequiredtoeririyworkers'cotflpeasatiollinsurprtce. If-an LLCorLLPdoes)lave employees,apolicyisrequired..ftodvised that thisis.ti:iclaelt ,lay besitbraittecltothe iepulmentofIndustrial Aeodeirtsforconfimintioltofirlsul'tacocoverage. Asbbesure-tosigitnitdd,,ite-tlttnf£idnvit. ThecftjdaViishottld be rehirttecf to the Ci fy or town that tlr0 application for thepermit or license is being requested,riot tiro Department o Indlrsitia1 Accidents. Shotitcl ylou havz allypuesligfes re--gird ng.110111w or it' it are required to-obraitt a workers' baitipe s�tionpolic};pleasecalltine"D jistfinettftjtthenuntlerlistedbslotiv.: elf-lusncecicoriiparlie90toulttenter then, Selfuisutancelicensenumber-o. te4ppro riateline. Cikv or Foist)Officials - 'lertsebv:nrefliattheaffilavitTscotit)rletefliutpeintetl.iegibly 7liellepaltltientlasprovidetlRFJ3;iroattleGdttolit ofthe,nftidavit£oryoirto filloutintheevenfthe Ofticeoflnvestigationsllas to contac[youreglAuiiibbapplicant. Please be sure to fill in the permit/licenseilumber ivliich tvi l l.be.tised as a:reference titrnlber. In adclilio►t,an applicmnt drat musistiblhit multiple petvildlicense app);cations in aaygfveir year,nee(l'only submit one affidavit indicating cttnent i policy In fonnation(ifnecessary)runt.wider"job SitGAifdress"the applicariYshoulciwrite`callioca(ionsIn (clfyor l fgti' i)'..Acopyofthealfidati€tliathasbeenpfftciallystampedormarkedfeyfirecityortowiltraybe-providedtothe aliplican[asproofthafaYalidnfficlavitisoft tilefor:frriurepernihoflicenses.Atiety.tiflidavitr»usfbef)ledouteach I ye�1t t3'llere a home owner of citizen is obtaitirng_ii 1;cerise or'pertnit not rel�tect to an��bttsvte;s orcommercial�'eritu►e t (i:0.a dog license or pernrit to burn leaves etc)said person is N07'requireit to coiuplete fl►is iifficlrttint. The drj4 of iliuestigations Nvolild l ike Wtiiadkyotr in advance for yor t copperatioii ejrcl thditld'Voldmid rruygtiesuo plerrs, ase do not hesitaf0[a.giv�w#r call: ? Tnc bcpart'tncnt'sadds�sss telephorleaud fat,ntrntl>zr; z The Colzitilar}z�+eaitt \ sEltl�se'tfs D61ia ini-eiit.offgdtisi i41.Accicteilts f}��ce ofiti�•e�t%�fitSohS 600AVashingt-oll street BOS il,n4A.02111 Tot.#617-727-4POU OXt406 of 1-877 MASSOB lrei�iseil 2 .05 AU ft W,74-7749 �tR1�}�;Ilrc�SS,gol'ldil Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that .....................t 10..$............ ........................................ has permission to perform ........... r7/ ...... wiring in the building of........ ........................................... i.161Z.Aw.......4,0.............. ver,Mass. . ... ............ ....... . Fee.... Lic.No. ........*i�*- -*AL INNS IC P Check # 10884 _ L/� Da Official Use Only on:monrv¢aCt�i o���aJJac�u�J¢tfJ O 1z 2eparfinenf or:re Service) Permit No. loe Y Occupancy and Fee Checked _ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (lease blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the massachusects Electrical Code(r-IEC).,-27 CNIR 12.00 (PLEASE PRINT LV 1AX OR TI PE:-ILL Aiever 1LATIO;N j ��7 City or Town of:�� To the Inspector of 1Fires: By this application the undersigned gn es.notice of his or her intent' n to perform the electrical work described below. Location (Street& Number) Owner or Tenant DQ►/%d &,, vv . No �— Owner's Address t B eV "Cid �ZA, 4 Is this permit iri.conjunction with a building permit? Yes ❑ No (Check.appropriate Box) Purpose of BuildingUtilih Authorization No. _ Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Nteters New Service Amps / Volts Overhead❑ Undgrd ❑ No. of 1Nieters' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: e �,a.t Completion ofthe following table mai•be tivaived by the Insnecror or i!'ires_. No.of. Total -l No.of Recessed Luminaires No.of Ceil:Susp.(Paddle) Fans Transformers KVA J No.of Luminaire Outlets No. of Hot Tubs Generators KVA dbove In- t o.of mergency tg ttula--- —_i No.of Luminaires Swimming Pool.'grnd. ❑ gird. ❑ $attery Units No.of Receptacle Outlets No. of Oil Burners FIRE ALARtNIS No. of Zones No.of Switches No. of Gas Burners No.of Detection and 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 Total P ........................... . . .. Detection/Alerting Devices No.of Dishwashers Space/A`rea Heating KW.. . Local❑ Municipal. 0Other Connection _ No.of Dryers Heating AppliancesKit Securitysstems:* y No.of Pt vices or EgUivalent _ No. of Water I{�V No. of o. of Data Wiring Heaters Signs Ballasts Na.of Devices or Esuivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: t No.of Devices or Equivalent _ OTHER: p 7� t4trach additional detail if desired, or as requirrd by the r Estimated Value of Electrical Work:_ (When required by municipal policy.) Work to Start: 7, 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:.INSURANCE ® BOND ❑ OTHER ❑ (Specify:) Self Insured 1 certify,under the pains and penalties ojperjury,that the ormation on this application is true and complete. FIRM NAME: ADT Security Services LIC. NO.: C - `J Licensee: Mark A. Brophy Signature LIC. NO.: C-45 JIf applicable, enter "exempt"in the license number fine.) Bus.Tel. No.: 603-594-5928 Address: 18 Clinton Drive Hollis NH Alt.Tel. No.: *Per M.G.L. c. 147, s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. 00 953 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 reouirement._ I am the(check one)❑owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ti '. �, 71 �� I�''���,�d,•7�i' ir.I. c h� :IIS :.i..•�,., .,_ • A;REGISTERED SYSTEM CONTRACTbP.,•:, ., ,•ISSUES THE ABOVE LICENSE TO: S'ECURIT-Y• SERV•ICES ,' ,ING::,;', ;BROPHY 4.1 o;;UN I VERSITY._AVE ,'..,_,.. : •: r, . .' N '..4�ESTWQOD MA': 02.09.0-23L1 '.�.: C' 07/31/13 .`. .;849174': _•`�� �1 lml r•0710110111,111,1 7I• r•.'.:: •• ', Fold.non Oalacn Along.AN PsecMd ru -{ Keep top for receipt and change of address notification. DPS-CAt 95M-70109-10162009LICENSEFORMI DEPARTMENT OF PUBLIC SAFETY Li�i S-License� Y(1 _ I Number'SS CO 000953 Expires:02/07/2013 Tr.no: 195.0 S-License: ADT . j MARK A BROPHY.SR 410 UNIVERSITY AVE DIG SAFE CALL CENTER: (BB8)344-7233 WESTWOOD, MA 02090 Commissioner I �A I i Date.. .f :.2 ..�.z-. NORTH ;`` �"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ; t -WX SSACHUS� This certifies that ........8.C.C.).VeDz....... .............. has permission to perform ...... ............... wiring in the building of 5 h g� at...... ..!! T ..................... ............. .. .North Andover Mass. Fee..................... Lic.No.. ,�............ ..................�� � . .... .. . ..... . . ......... EECTRICiNSPEf R Check # 10798 y , - commonwealth of Massachusetts offiew Use only10 7TY - Department of Fire Services Permit No. BOARD OF FIRE PREY Occupancy and Fee Checked PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 �MR 1I� V (PLEASEPRINTIN.INKORTYPE ALLINFORMATION) Date: L' t City or Town of: NORTH ANDOVER To the Inspecto Wire By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant_�Ue ` Ly Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No El (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: :5MCtl 'fin .;ov\ ; ► `/ 1z Com letion o theJbllowing table maybe walvedby the Inspector of Wires. No.of Recessed Luminaires ` No.of Cell:Susp.(Paddle)Fans No.of Total Transformers RVA No.of Luminaire Outlets �" No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o mergency yg ng grind. rnd. Battery Units No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches i Q No.of Gas Burners No.of Detection and TotInitiatin Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Heat Pump Number Tons ' KW No.of Disposers Totals: �"-"""""""""""""""'-•--•-•••••••- Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal ❑ Other Connection No.of Dryers Heating Appliances , Security Systems:*. N. of Watero. No.ofDevices orE uivalent of Heaters KW No.Si Bal as Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.ofDevices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: ?j (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: INSURANCE Pq BOND ❑ OTHER ❑ (Specify.) X cergy,under the pains and penalties ofperjnry,that the information on this application,is true and con,ip)eie FIRM NAME: p,CC C`J , t:,� LIC.NO.:A?<XS-XQ Licensee: Signature LIC.NO.: _50AC (Ifapplicabl,enter`exempt"in the license number line.) . g Address. _I L�— �u ( ,* g"'iN Bus.Tel.No.•' ,�� *PerM.G.L c. I47,s.57-61,security work requires Department ofPublic Safety"S"License: Alt. Lic.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.$ r 1 "11 _ JtlR1.�:(L+ L���.R�••RJ.L®•C9.""y' • .. __ •. L � inspectors'comments: " to e�r"• nsp ectoxs isig atuxe-to wtzals) _ Date 2..vm,4lr,lWspictioli; Passedeinspeetiottzec uitec ($50.00)- j 7stspectox ]ntuenfs: - hspectors ia xao falaTs) Pate 3,TJND)+R GRODND 1NSP 0'X01. . gassed-j ] p+'ailetI ?ze-inspaction requirea($50.00)-[ ] Inspectors'comments: C=pectoxs},Signature-m initials) Pate 4.W EMON—SER'n!CE: . D&AMi C%L(,T r'D NI ION'AL C-3:01): NAM:. Passed.—[ ) �+aited--[ ) �e-fnspectzonxequirecl{$5d.0D) -j � 1 lnspeetbrs'co7mmep:fs: " (puspectoral Higa�tuxe•-io W ials) hate r ' �.��`�'ECTxO�I'••OAR: bile[I-j ]- �Le�nspectioxt xec�uizecl($50.OD)�[ � - aspectoxs' �Auspectoxs' ignatuxe xioinitials} Pate D 0O T'A.(9,9ARE TO DE)FIDLED OUT AIM LEFT ON 191TE IF TBE AREA TO BE INSPECTED 18 NOT ACCESSIBLE.AND A.RE-•WOPECTZON OF 850,00 IN TOM CHARGED, r The Commonwealth of Massachusetts Department of IndustrialAccidints Office of Investigations 600 Washington Street Boston,MA 02111 UT www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naive(Business/Organization/Individual): Address: y 4 Y City/State/Zip: C_,� � -M` Phone# you an employer?Check the appropriate box: Type of project(required): 1. a employer with 4 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ❑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 required.] officers have exercised their 10.❑Electrical repairs or additions 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' comp.insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f 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 thepolicy and job site information. Insurance Company Name.-. 'v�— Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: -CV f,- ( C� D � City/State/Zip: i1C�( h -)Ck_)e- Attach a copy of the workers'compensation-policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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 hereby certify under the pains and penalties of perjury that the information provided above is true/and correct. Simature: Date: Phone#: --) D-3 r 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 ofhire, express or implied,oral or written." An employeiis 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-contractors)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. !'he 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 r 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 oxt 406 or 1-877-MASSAFB Revised 5-26-05 Fax##617-727-7749 www.mass.gov/dia Dateg.-.1 : !. . • .�CLF.b y 7 S TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . . . . . . . . . . has permission to perform . . . . IAIlr . . .". . . . . . . . . . . . . . . . . . . . . wiring in the building of . . ����!�! . . .� ✓. h G . . . . . . . . . . . . . . . . . at . . . .57. .c".�.T ci!1. . . . orth Andover, Mas Fee .(9.4' . . . Lic. No. . 1�� . . / . . . . ELECTRICAL INSPECT Check# 11013 i . Official use only Commonwealth of Massachu- setts Permit No. Department of Fire Services Occupaney and Fee Checked BOARD OF FIRE PREVENTION Rev. 11071 (leave blank) REGULATIONS 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 IN INK OR TYPE ALL INFORMATION) Date: City or Town of: _/(/0, l9illdAtc 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) Owner or Tenant: 0660 (),Shaw Telephone No. g1V(o$ ± 7 Owner's Address: Is this permit in conjunction with --a building permit? Yes ❑ No (Check Appropriate Boa) - Purpose of Building: Sirl�{l Q T�lJti'!'y UtiliAuthorization No. Existing Service c-Gy Amps U G Volta Overhead Undgrd❑ No.of Meters � New Service Amps Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity c2d�i� ` Location and Nature of Proposed Electrical Work: Bede GCf1/1�lISPt' Oiil�i��, Ca kfion o the olla►v' table maybe waived by the Inspe ctor of 41 res. No.of Recessed Luminaries No.of Ced.-Susp.(Paddle)Fans Ao. of Tota Transformers No. of Luminaries Outlets No.of Hot Tubs Generators KVA No.of Luminaries Swimming Pool Above o- E] o.o mergency g nd. ❑ d. ❑ Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o7 Detection an Initiatinz Devices No,of Ranges No.of Air Cond. Total 1 Tons 5 No.of Alerting Devices No.of Waste Disposers eat p Number ons o.o ontame Totals: -*"_"_"J __...... tin"� DetecdonlAlerDevices y' No.of Dishwashers SpacdArea Heating KW Local Coni pal ❑other No.of Dryers Heating Appliances KW SecuritySystems: Na of Devices or Equivalent No.oT Water IOW No,of No.of Data Wiring: Heaters Si ns BaAasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or Equivalent OTHER: Attach additional detail if dexred,or as required by the Inspector of Wires. Estimated Value of Electrical Work: S S d 0 (When required by municipal policy.) Work to Start: g J jG`la Inspections to be requested in accordance with MEC Mule 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-poof 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 ❑ �THER ❑ (Specify:) Netherlands Ins.Co. 3-25-10 I certify, oder the pains and pen fides of perjury,that the infortts .0 a on this appUcad true and complete: F1TtM AlAf✓: turam I Electric Co.,Inc. r LIC.NO.: At 1918 License Brian CaAwff Signature LIC.NO.: E25704 (If avplicaiile,enter"ex t"ins thelicense number 1' e) Bus.Tel.No.! 1-218-750-69 - - - Address: 10 Rainbow Terr.,Danvers,MA,,DIf23 Alt.Tel.No.: I �= The Commonwealth of Massachusetts Department of Industrial Accidents i Office of Investigations 600 Washington Street Boston, Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly t Name(Business/Organization/Individual): roMhP Com am eY Th6 Address: 10 Pa(I ii cxj Terrace- City/State/Zip: Dcm ve rs M4 01 q:23 Phone#: `� 7g �S� .6 9 00 Are,you an employer?Check the appropriate box: Type of project(required): 1.VI am an employer with 55' 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hued the sub-contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. I ` required] 5.0 We are a corporation and its 10. ❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑ Plumbing repairs or additions myself [No workers' comp. right of exemption perm MGL insurance required]t c. 152,§ ](4),and we have no 12. C Roof repairs employees. [no workers' 13. ❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill 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. $Contactors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. I Insurance Company Name: 5 5o t Je c 1iJQ S fri ,P S 6� Policy 4-or Self-ins.Lic.#: M Z wo& SG 3 D/a O/A Expiration Dat=3 -2-5- .3 Job Site,`address: 6 V,1-QrW ACOA City/State/Zip: , LS11yS���Ha 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 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 $250.00 a day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains andpenalties ofperjury that the information provided above is true and correct. Signal 11e., C6U,,,.t_ _)noq l «L, Date: Print Name: COM2r`1l/2) ,F cf Phone#: g/7F, X67- 604' v 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 Heath 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact person: Phone#: D ...... NORTH °�<�``°:•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,$$ACMUSEt Thiscertifies that ......................... ................................................................... has permission to perform,..* ( ........... � wiring in the building of. .... ............................................................ at...... ...... :.................... ,North Andover,Mass. Feed............... Lic.Nom ...... ELECTRICAL INS07 �� Check # U '. 7323 aa'' C'ommonwea&o M�a�eac a Official Use Only c� c7 Permit No. '1303 2adomnt Pe o ,}ire�ervices p Occupancy and Fee Checked <? BOARD OF FIRE,PREVENTION REGULATIONS [Rev. 1/07] leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: �(��'� � Q To the I#� ect4of Wires: By this application the undersiEW gives notice o is or her intention to perform the electrical work described below. Location(Street&Number)- "� I E R AN [-t sAL,v Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes [jR No ❑ (Check Appropriate Box) Purpose of Building '�jNbt-'� ���� 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: Q BAIA ��� DF Completion' ofthe followingtable may be waived by 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- ❑ o.ol Emergency--E—igfiTi—ng rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection an Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat PumpNumber Tons KW No.of elf-Contained Totals: "' Detection/Alerting Devices No,of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection 1` No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent Heaters No.of Water KW No.of BalNo.of Ballasts Data Wiring: Signs No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value f Ele trical Work: (When required by municipal policy.) Work to Start: C Inspections to be requested in accordance with MEC Rule 10,and upon completion, INSURANCE C E.:..Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of ability 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)4 BOND ❑ OTHER ❑ (Specify:) I certify, under thepains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: C D AI LIC.NO.: 0 Licensee: Signature LIC.NO.: (If applicable ter ` xem t"in he l' en a mber i Bus.Tel.No. / Address: OK U -5AAAM� 01906 Alt.Tel.No.: *Per M.G.E, c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally <.F required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent d,. Signature Telephone No. PERMIT FEE: $ .� 1�-t �� y ��� �, .� �� N Date. . `� 9:P 7 HaRTM TOWN W'eORTH ANDOVER / O� ..•o .�1'1. PE IT FOR PLUMBING SSAOMUS� p This certifies that,.. . . .`.`. . .. . .�Ln �� - . . l-�. ? . . . . has permission to perform plumbing in the buildings of . . . .. . . . . . . . . . . . . . . . . . . ,.� . . . . . . . North Andover, Mass. Fee 7`. . . .-_---.Lic. No' .2'3/. . . �UMBI*f,2 .`'�--. . . . . . . . . . ECTOR Check # 7361 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) / / NORTH ANDOVER,MASSACHUSETTS // /�7 Building Location 5 /C�/�GV ,/�� Owners NamebA Ut y �✓ 5 AJ L Permit# ((( ` ll Amount T e of Occupancy I ) " / New Renovation Replacement Plans Submitted Yes No El FIXTURES F rA cn H atn Crrn y, a H ' d SLRHM Bri4EWM la EiD((I122 2N1 FIDQt 1 �d.1 FIOQt _ 4M ROR SIH FLOCK 6M Rfm 71H FIOQt g1H H OQt ++ (Print or type) /� __ Check one: Certificate Installing Company Name /1 u GJ (�,10(` �- d� [] Corp. Address 1 Sa M to ) Partner.' t Q.! Business Telephone 3 Finn/Co. Name of Licensed Plumber. c�1�l/1 1� AoV l �1 j Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ 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 11 Agent E] I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass setts Stat 1 g Cpqand Chapter 142 of the General Laws. BYSignature 01 1,1CenSeaum er Type of Pluing License Title `� 7 City/Town ►cense Numoer Master Journeyman .� APPROVED(OFFICE USE ONLY Date/ �. TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING SACHUSf This certifies that . . .�.� .�!. . .�..*.f.?< /.� . / . . . . . . . . . . . . . . . has permission to perform . . . . .H .O. .�. . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . at . . .? . . . k.I. 1? .'.. .`.`. . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee 7L .. . . .Lic. No. . . . . . . . . . . . PLUMBING INSPECTOR Check # 5412 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ,r-"' Date )0 Building Location -rfAvA \-Y. Owners Name ayP i S ho W/ Permit# day Z � _ Amount Ah ? U ,��{r Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES rzw Cn cd '� as a A w w w x 0-4 a ria A A ARERV& R4SEW sir ISE FIOQt M FL" 3 FIOM 4M 11fM 5IH It" 6M FIOM 7M HOOR SIH 11aR FT (Print or type) f Check one: Certificate Installing Company Name )�IL� t G h a 617 Corp. Address 7 � m=�� �� ��"e Partner. Business Te ep one VOM y 5`J—bel/ -3 Firm/Co. Name of Licensed Plumber: 1�,�C1,c�red `SC'01 t., �T Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ 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 ❑ Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Maw ss�hu ett�s State Plumbing Code and Chapter 142 of the General Laws. BY Signature of Liceized riumoer Type of Plumbing License Title i)4/?9 City/Town icense Numoer Master Journeyman ❑ �. APPROVED(OFFICE USE ONLY f s U24 ��/4/ Date......... .... ...... A NORTH ' TOWN OF NORTH ANDOVER PERMIT FOR WIRING .,SSACNUSE� i This certifies that ...............!�..r..�......J. ..`....�.`.. �`.........�..........`............. has permission to perform f wiring in the building of .. ....`.. . L'-. ........... ................................................ v J.. .............. ..... .North Andov ,M llee . S.(/........... Lic.No�.Ml) .......... ......... ......... ................. EL EC RICALINSP CIOR Check # i Official Use Only Permit No /lf�i (N"���fl�ilg,L�!>•r ��1g.5'.S'1¢L .S'�i�$ t. aow---r 4;DSary Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527/CMR 12:00 (Please Print in ink or type all information) Date To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number J Owner or Tenant ,` Owner's Address <�1"�Z r Is this permit in conjunction with a building permit Yes ❑ No (Check Appropriate Box) / c/ Purpose of Building NG Utility Authorization No. r � Existing Service 0d Amps Ile v Voits Overhead Undgmd ❑ No.of Meters New ce 0�_Amps /D Voits Overhead Undgmd ❑ No.of Meters Number of Feeders and Ampacity CD G Location and Nature of Proposed Electrics ork O �,,—!I!C Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners BattUnits No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices F Heat Total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detecbon/Sounding Devices 11 ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy includi mpleted Operations Coverage or its substantial equival-6p NO = Ii roof f same to the O YES NO = M you have c ked YES lease indicate the type of covera a by checking the appropriate box have submitted valid p o _ INSURANCE = BOND = OTHER = .(Please Specify) (Expiration Date) Estimated Value of lectrical Work$ Xq Work to Start — Inspection Date Res pe`sted W/ L f Rou h Final �7 t� ,G Signed RM NAME�e Penalties Of pe'u PAO -5 W14 _ /C� ��, LIC.NO.. Li�ensee ,-DA iUfL:rL W Signature LIC.NO. SL7 � s.Tel No. "Z ►7 2 Address c � / �itJ��An Tel.No. =ic 2 57 n. zaif OWNER'S INSURANCE WAIV)=R: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this reQulrement. Owner Agent (Please Check one) S Telephone No. PERMIT`FEE $ v^��(0 (Signature of Owner or Agent) CIRCLE BUSINESS INS 9787774898 10/02/02 09:40am P. 001 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE( -DD/YYVYI ,00.-2-62 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CIRCLE BUSINESS INS. AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 247 NEWBURY ST. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DANVERS, MA 01923 INSURERS AFFORDING COVERAGE NAIC# INSURED WILLIAM ROWE INSURERA'.WESTERN INSURER B: URICFI.AIIIERICANJN$SlRANCE COJIAPANY PO BOX 995 _ METHUEN, MA INSURER C: 01844 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INR DD' D LICY EFFECTIVE POLICY EXPIRATION LIMBS LTR NSRD POLICY NUMBER A GENERAL LIABILITY NPP73M 03/14/02 03114103 EACH OCCURRENCE 4 1 row COMMERCIAL GENERAL LIABILITY DAMAGE TO RENT PREMISESEa rti '_ ncrenee ,MMM CLAIMSMADE ®OCCUR MED EXP(Arty one person} S r� i PERSONAL&ADV INJURY i _ GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S � _! POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO IEa accident) ALL OWNED AUTOS BODILY INJURY s SCHEDULED AUTOS (Per person) HIRED AUTOS ----_ -.- BODILY INJURY I$ NON-OWNEDAUTOS (Pei accident) i PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANYAUTO -__---- -- OTHER THAN _�A:4CC 5 AUTOONLY: AGG '$ EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE I) S -- -- DEDUCTIBLE is RETENTION S g B WORKERS COMPENSATION AND UB4MSX359A 1,101101 11/01/02 WC STL ,Tu- OTH- EMPLOYERS'LIABILITY '—'"-- ANY PROPRIETOR/PARTNERIEXECUTIVE El.EACH ACCIDENT !S OFFICFRIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE H yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAVID BISHAW DATE THEREOF,THE ISSUINO INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN ATTN: BUILDING INSPECTOR ICE TO CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 5 KIERAN DANE IMPOSE NO OB DATION OR LABILITY OF ANY KIND UP THE INSURER,ITS AGENTS OR N ANDOVER, MA 01845 REPRESENTA FAX 9688'95421 AUT;:O!= ATI ACORD 25(20 1108) KCORD Cl TON 1 AORTH Tovm of ? Andover .. p No. /tea . (� �,o o , dover, Mass-,_3LA COCMICMEWICK 7,p0RATED P' �S 1 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THA .:.....1 ..... .5. ... .................................................................................................................... Foundation .........................has permission to erect........................................ buildings Roughh to be occupied as �S �G►C�•�-.. �C��..�� c�C��........�L� "�... .C. 1. � /�?U:?1....... f.�`�' G��t Chimney ............ ..................................... ` .. ,l provided that the person accepting this permit shall in every respect conform to the terms of the applica ion on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough `. `- .............................................. Service BUILDING INSPECTOR 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 BeDone FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. THIS PROPERTY IS LOCATED WITHIN THE ZONING INFORMATION: WATERSHED DISTRICT. THE PROPOSED PORCH REPLACEMENT DOES NOT INCREASE ZONING DISTRICT : R3 THE PARCEL'S IMPERVIOUS AREA NOR IS THE MIN. BLDG. SETBACKS: WORK WITHIN 400 FEET OF A WETLAND FRONT 30 FEET RESOURCE AREA. SIDE 20 FEET REAR 30 FEET ASSESSOR INFORMATION: MAP 98A PARCEL 44 DEED REFERENCE: BOOK: 3869 PAGE: 127 OWNER INFORMATION: DAVID DISHAW 5 KIERAN ROAD NORTH ANDOVER, MA LOT AREA EX. ROOFED PORCH 25,000 S.F.f TO BE REPLACED IN-KIND WITHIN SAME FOOTPRINT o in N O N N O 32.4' EX. BULKHEAD 16.4'I�--62.4' EX. CHIMNEY 12.3'" 7 1 CERTIFY THAT THE STRUCTURES SHOWN 1 STORY 2 STORY WERE LOCATED BY AN INSTRUMENT SURVEY 2 CAR I FRAME AND EXIST ON THE GROUND AS SHOWN. i GARAGE STRUCTURE � OF � 30.9' OF «. N N III GMLl- ; No.41566 I F6/STEt'�� �,9A_ •per,O� SS/ONALE� �+��LIi►��� 'poPLOT PLAN OF LAND O pa"5' K/ERAN ROAD NORTH ANDOVER, MASS. R,25 00� 25. 3'30 W PREPARED BY: x,28 66, 5�5 1 5 A JOHN D. SULLIVAN III, P.E. �NE 22 MOUNT VERNON ROAD BOXFORD, MA 01921 (978) 352-7871 SCALE: 1"=40' DATE: 1 /11 /1.12 DqmrbmewtqflxdusWdA Bosivirs MA 021H Workers ` P �i�e�rance=�td�mm� --- ---..__ .. _: - • : beis -- - Auul cant Iufeirnmit Name( wbomaw AM you as ei~.Qtitkfiwfete _ i�t om: 1.%l Mnaa jdDyCi = :-A-Ellana com�o�a�a� _.� phew n ii sbip ad have m empkym mme 1ave [NO nsmmce: _ s•[ ca a po ioaaadits to p Fnqwm l + aus or I 3-Elama - - } uw MYBCK[NO w+omlocis' __--Y - - 15 $ att� tebaves� - "An!►e Rte+ b a 3,imosc+ safiBa� i=CG=h>w msky '�' wlioa�cf�ssmthcYa�eao�gaD�artaoat�Baa6�leco�[o�smoa� aie�a�t _�. - - .. Iam�i �isp�ivwr�ras'-�a-ia�zrnmrscfe�nry.�.- ozv�s �i�®rd`jo�i-s�---= Info - Iasa<amu� Compan ye► °�S iO Foft#orSelim ik#'.i C �yZ;t3 S-1 _ DaW Iob Site AO&css: • Anach a copy of the we-r page_ airs Faet�sear�+eeafi3ogecSaxumZSAof�+I�Lc: 52EaaZr�d.�thGofa :ofa- _ f m up to$1,500-M aodloroto yr.w I m .aswa ms.eavnl:p es*- e. im oda S"iW-W-CM gip&£ A�a e ofup tD$250 00 a day agaiestft Bei a,eopy-ofWS maybe f i�ea®dod tai e' oe of - Iavesti�rti�safftDIAfor ecwrcu ev a. : ,• .. Idohere8y.Cow -m*rtke .s efpr�tkattke ioon�wl&ddb~-Isjre � - - _ Phowf. - n Offldd�� Do nature ks drk we%m be� artiomr City orTowos Andwr*tdrde on*- - - 1.Board of 2-BaftgDqmtmea 3-CKyl a & � Iffier 6.Other 07/11/2011 07:45 9786833147 PAGE 01101 4�0 CERTIFICATE OF LIABILITY INSURANCE Ei�il mIS CERTIFICATE B ISSM AS A MATTER OF INFORIAATIO N ONLY AND COAXERS NO RUMM UPON IN GERTMA'E HOUM THIS CERTIFICATE DOES NOT AMMATiMMY OR f1E6A'{IMMX AMVAN MnWW OR ALTER TM C0VERJ= APT W BY IFAS POLICIES BBAMK THIS CERTI ICAT'E OF 110URANW DOES NOT CDISTIt'UI'E A CONTRACT BETVEM THE LSSA» RMUR6Wij, AUTHORIZED REPRESEIfrATIME OR PROOUCER,ANO THE CERmcAIT{IOLOER BI{POR AMI: If the ameftiftD hdder to an ADOPTIONAL WSURED.fl+Q Ooh?mmt�1e CndwwA If SUMUMUM 18 WAIVED.SdWed to the terms dna qWKMw4g al the pony cartel,qWmW ma mqdft 4m errderuMent A.3ftUawd On 1I&oartlftde does fWt cfflftr 140ft to the OpUffaft hokSW In tido of 890 oodoWA!gplft 2RooucE14 X P MEMS INS AGM, INC En (978)683-8073 (978)683-3147 -1.060 Osgood Street sandifimproberts3nsulra =e.c 0a Harth Andamr, MR 01$45 I MTOMM eon MSUHER A: L tKum gffiviN i5var 35ILD514 a RFDDBLING an—umm e-MMIM97INSORMCE 169 HOARD STREET TriffingANCZ nrsuRxlt NORTH AnDOVER, Nh 07.845 e INS F COVERAGES CE"F"TE NUMBEW. REVISION NUMBHk THIS 1370 CERTIFY-MT lr"a POLICIES OF INSURANCE.LBM WLOW HAVE BEEN ISSUED TO TM INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED• NOTWMISTANOING ANY REQUIRE TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERtAItN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERRN 18 SUBJECT TO ALL THE TERMS, E)MLUBIDNS AND CONDI OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIGNA$ tmAn R SPE & uA tn> VCH QC0UfJj6NM $ 1,000,000 g Cr lAt eel 1.09 IIY S 100,000 Q BCtVRidEDE" ummy +t S 5 000 A CFP0060B6$ 1/22/10 1/22/11 i'FASOHAI aADVSVAIRY s 1 00 ,000 cI M'q& AGWMWTH s a,000,Doo GEn AGORWA a i.NT APPLES Int PRODUCTS-COUMP Ar38 IS 2,000,000 ffl MW n PRO-JIMTIs s MULE"Wi &ntMO NX LVAM" : 1,000,000 , 8 aS�C A7013608 1/29/11 03./23/12 SBDOILYRNURYaw A1lTO$ g t Aj�]p1 HRI£D A n= p i i IUMM A LOB OCCUR EACH OCCURRENCE S_ EXCESS UAB AGATE S QEO 3 $ VVQRKM COMPEWAMON Tin it C � NIA E L.WH ACOMENT s 500'.000 1"W4 3MC213375 7/01/11 07/01/12 s L DWASE-EA . : 500,000 x eesarme >m�neww F-L -Pomi— a 500 0Qo oEscRlPrloN OP orERAnvNs r LocaTlols r nsIICLEs IRtlep►ACOr�gym,ASI Rem seheauAe,dmae��169 CERTIFICATE HOLDER CA#ICEUATION TOWN OF NOM A 4DOVER SHOULD AW OF THE ABOVE D63CRMED POLICIES 9E CANCELLED MORE NORM AMMM, MA 01845 THE EXPIRATION DATE THEFteOF. NOTICE WILL BE DW--RED IN ACCORDANCE IWnW THE POLICY PROVISIM& T y " 1�6*(WO- )aO'7 ®9988-2090 ACORD CORPORATION. A1!eghts resmved. Acbmawlams) The ACM nanle and logo are reglsteled marks Of ACM P ' 169 Boxford Street North Andover, 01845 Kmevin, Tvfl�uMhy 0 PH:978-688-53355 Building Contractor • FAX:978-688-XXXX Proposal To: 'Dave&Mary Dishaw 5 Kieran Drive All Home improvement Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma. 01845 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-727 8598 CC: Date: 1/24/2012 Job: Bath/Mudroom/Sunroom Date of plans: 11/11 Architect: Steve Foster Location: Same Section 1—Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 3/1/12. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 5/30/12.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty 1.The Contractor: The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors,employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. 2.The contractor shall supervise and direct the work and the work of all subcontractors.The Contractor shall use the best skill and attention and shall be solely responsible for all construction methods and materials and for coordinating all portions of the work.Unless otherwise specified,the contractor shall provide for and/or pay for all labor,materials,equipment,tools,construction equipment and machinery,transportation,and other goods,facilities,and services necessary for the proper execution and completion of the work.The contractor shall maintain order and discipline among employees and shall not assign anyone unfit for the task at hand. The contractor warrants to the owner that all materials and Page 1 of 7 r Kevin Murphy Page 2 of 7 Building Contractor 169 Boxford Street North Andover,MA 01845 PH:978-6BBS335 FAX:978-688-XXXX equipment incorporated are new unless otherwise specified and that all work will be of good quality and free of defects or faults.The contractor shall pay all sales,use and other taxes related to the work. The contractor shall comply with all rules,regulations,laws,ordinances,and orders of any public authority bearing on the performance of the work.The contractor is responsible for and indemnifies the owner against acts and omissions of employees, subcontractors and their employees,or others performing the work under agreement and with the contractor. The contractor shall keep the owner's residence free from waste or rubbish resulting from the work. All waste,rubbish,tools,construction materials,and machinery shall he removed promptly after the completion of the work by the contractor.The contractor shall pay all royalties,license fees,and shall hold the owner harmless for loss on account thereof.The contractor shall indemnify and hold harmless the owner for and against all claims,damages,losses,expenses,legal fees or other costs arising or resulting from the contractor's performance of the work or provisions of this section. 2.Owner: Unless otherwise provided for,the owner shall secure and pay for necessary easements,exceptions from zoning requirements,or other actions which must precede the approval of a permit for this project.If owner fails to do so this contract is void.If the contractor fails to correct defective work or persistently fails to carry out the work in accordance with the agreement or general provisions,the owner may order the contractor in writing to stop such work,or a part of the work until the cause for the order has been eliminated. 3.Subcontractors: Subcontractors shall be selected by the contractor,except that the contractor shall employ no subcontractor to whom the owner shall have a reasonable objection,nor shall the contractor be required by the owner to employ any subcontractor to whom the contractor has a reasonable objection. 4.Work By Owner Or Other Contractor:The owner reserves the right to perform work related to the project but which is not a part of this agreement,and to award separate contracts in connection with other portions of the project not detailed in this agreement. At the time of the signing of this agreement,this would include an installer for the marble countertop in the bathroom and an installer for the wood stove in the sunroom. All contractors and subcontractors shall be afforded reasonable opportunity for the storage of materials and equipment by the owner and by each other.Any costs arising by defective or ill-timed work shall be borne by the responsible party. 5. Payments And Completion: Payments may be withheld because of 1)defective work not remedied. 2)failure of contractors to make proper payments to subcontractors,workers,or suppliers, 3)persistent failure to carry out work in accordance with this agreement or these general conditions. 4)legal claims. 6.Final payment shall be due after complete release of any and all liens arising out of the contract or submission of receipts or other evidence of payment covering all subcontractors or suppliers who could file such a lien.The contractor indemnifies the owner against such liens and shall refund all monies including costs and reasonable attorney's fees paid by the owner in discharging the liens. 7.Protection Of Property And Person: The contractor is responsible for initiating,maintaining,and supervising all necessary or required safety programs.He should comply with all applicable rules, regulations,ordinances,orders or laws of federal,state,county,or local government.The contractor shall indemnify the owner for all property loss or damage to the owner caused by his employees,or his direct or sub-tier subcontractors. 8.Insurance: The contractor shall purchase and maintain such insurance necessary to protect from claims under workers compensation and from any damage to the owner's property resulting from the conduct of this contract. 9.Changes In The Contract: The owner may order changes,additions,or modifications without Kevin Murphy Page 3 of 7 Building Contractor 169 Boxford Street North Andover,MA 01845 PH:97888&5335 FAX:978888-XXXX invalidating the contract. Such changes must be in writing and signed by the owner.The contractor shall provide the owner in writing the amount of additional costs or cost reductions resulting from changes ordered within 5 working days unless this requirement is waived in writing by the owner. Section 111-Scope of Work General Proposal is to add three quarter bath/mudroom in existing section of garage, and demolish existing screened porch floor/walls, to build new sunroom. Building permit will be provided by contractor. Building plans, any structural engineering, and certified plot plan to be provided by owner. No allowance has been made to obtain any variances, conservation, or board of health approvals. Demolition Existing mudroom / entry area in garage will be gutted. Existing porch floor and walls will be completely removed. Roof of existing screened porch to remain. Excavating Excavation required to install frost wall foundation for sunroom will be provided. Backfilling and rough grading will be provided. Area for future patio will have any stumps removed / rough grade prepped. Any additional fill will be removed from site. No allowance has been made for relocation of any underground utilities, sprinkler systems, removal of ledge,any landscaping or patio installation. Foundation Poured concrete foundation will be provided as shown on plans. Footing will be 10"x20", walls will be 10"thick, grade to be determined in field. Rough concrete slab will be poured in new crawl space area. Any concrete cutting required,will be performed.Ventilation to new crawl space will be provided. Building All frame / siding materials will be supplied / installed to match existing. Floor joists will be 2x8 / 2x12 as required, exterior walls will be 2x6, interior petitions will be 2x4. All floor and wall sheathing will be fir plywood ( 3/4 on floor, 1/2 on walls) . Exterior walls will be wrapped with Tyvek or equivalent. Siding will be preprimed red cedar shingles, to match existing. Eight Anderson doublehung windows, with transoms above, will be supplied and installed as shown on plans.Two fiberglass, insulated door units,with transoms above,will be supplied and installed. Plumbing Plumbing required to add new three quarter bath will be provided to meet code.An allowance of$650 has been included for plumbing fixtures ( $250 for toilet, $200 for faucet, $200 for shower valve ) . Copper pan for tiled shower will be provided. Electrical Electrical work required to wire bath and mudroom to code will be provided. Ten recessed lights have been included.Additional lights can be added at a cost of$75 per light. Phone/cable/computer lines will be roughed Kevin Murphy Page 4 of 7 Building Contractor 169 Boxford Street North Andover,MA 01845 PH:978688-5335 FAX:9786WXXXX in by electrician, to be connected by service provider, at owner's expense. General layout to be approved by owner, prior to rough. No allowance has been made for any upgrade/replacement of existing electrical service. Heating/Air Conditioning I Forced hot water heating will be provided in all added/renovated areas, off of existing first floor zone. Toekick heater will be installed under vanity, in new bath area. Insulation All added/renovated areas will be insulated to meet current codes( R30 in floors, R-21 in exterior walls, R-38 in ceilings) . Plaster I All added/renovated areas will be blueboarded and skimcoat plastered. Walls will be smooth, ceiling to match existing,closets will be textured. Interior Trim/Doors Pre-primed interior trim and doors will be supplied and installed to match existing. Painting All interior and exterior painting will be provided. One coat of primer and two coats of finish will be applied to all painted surfaces. Flooring Hardwood floors will be supplied / installed /finished with three coats of oil based urethane, in new sunroom. Flooring to match existing house. Tile floor will be provided in mudroom/bath area. Shower floor and walls will also be tiled.An allowance of$5 per square foot, has been included for tile materials. Other Allowances An allowance of$1000 has been included for bath vanity/countertop. An allowance of$1000 has been included to supply/install shower door. Waste Removal All demolition/construction debris will be disposed of by contractor. Kevin Murphy Page 6 of 7 Building Contractor 169 Boxford Street North Andover,MA 01645 PH:978888x335 FAX:9786WXXXX Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ... ... ... ... ... .$ 75,000 Payment to be made as follows: Percentage/Item Description Amount 1 Permit obtained $3000 2 Foundation poured $10,000 3 Sunroom / bathroom framed $15,000 4 Windows / siding installed $10,000 5 Rough plumbing / electric complete $12,000 6 Plastering complete $8000 7 Paint/floors complete $10,000 8 Job 100% complete $7000 Total 8 $75,000.00 -Notice: No agreement for Home improvement contracting work shall require a down payment (advance deposit)of more that one-third of the total contract price of the total amount of all deposits or oavments which the contractor Contractor: Kevin Murphy 169 Boxford Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document and accept the prices, specifications, and conditions stated. understand that upon signing,this ro proposal becomes a binding contract.You are authorized to do the work as specified. P P P 9 P Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature ta 44 Date IIIY ? LEFT ELEVATION 011WMOPBOfff NtaDVVMM ASPIMLTSHIMM -------------------- ____ ,,\ Rye MRILATION oARw�e AARo=--* f BEDROOM CROSS SECTION A-A MUSTMo CELMO JOMM GARAGE + FINISH 2ND FLOOR 1 � E WMG WALL NEW WALL; 2X8AT1a'0.O.#WTVM R• X K ;; DINING ROOM VAPOR SAIIRER INTERIOROWs FINISH IST FLOOR + — FINISH GARAGE FLOOR CONTMUOU82X& VAPOR SARRBeR FASTEN TO EXISTNO STRUCTURE. AT FLOOR LEVEL d018r HANpm TREATED WOOD 81LL ANCHORTOSLAL FLOOR: ��I.., 2X8ATIrOA R-6 MM"TIOR 814 PLYWOOD DECK 7$'MN. O NEW TREATED WOOD FRAMED WNDOW GROUP MM BTAM&LANDNM WEATHER RESISTANT DECKWI NOTTUB 81�OVE Til wwriae sxr BABBIEW DISHAW RESIDENCE BUUoqEAD s KIERAN DRIVE PR11/ACY FENCE 7 � ; ENW NORTH ANDOVER, MA COORDII ATE .a,sw.,w nve„nr„ 'OPEN POBRION' CERM FAN1 WIfN ENTRY DOOR&LAMM (ABOVE) �� EXIBTNGANGLEBAYWNDOW. b REMOVE E108RNG DOOR 8'o PRGVIDE NEIN O.O STEPDONIIf`� �� ONE RISER SIN PAI NSULAWK PROVIDE ONTYPEXOWE -----STEPDOWN ONE R18ER REMOVE EXISTING VWWOW. mW%L OPENING TO MATCH EX1871NG CL ®® A KITCHEN �i CL GABAFURlffnW - g EXIWYm PIPE CFUSE ( WALLMOUNTED O WATNG PANEL I I I I SM&VANW kEMbVE EXI M DOOR I LW o WILL V"LL tO MATCH woon M I I I I SHOWER HEAD&COWRM DINING ROOM FIRST FLOOR PLAN PAI NSULATXXd �. (PROPOSED) BTAIRB TO ORADE ww�rar 4X4POBi BAGGEW DISHAW RESIDENCE BUUG EAD 5 KIERAN DRIVE SCREEMM ENM NORTH ANDOVER, MA PORCH .aisw•,a o�,e„nw, suonro DOOR =law SIN WU�OMI BTEP DOWN ONE ROM 8w DOWN ONERIM ®o CL GARAGE KITCHEN CONCFtM&M\ : I I I I I I I I I I I I I I I I I I I I rt DINING ROOM FIRST FLOOR PLAN REAR ELEVATION EX�$TINO WINDOW GUTTER FINISH 2ND FLOOR 2 X 4 SUPPORT MU LMUL FM T"MCAL ALLMULTIPLE —� WIDOW UNITS. RNLlNO NEW STAINS TO FINISH IST FLOOR R*WGRADE FINISH FORC FLOOR EXMnVQ BULKHEAD — FUTURE DBCKIFIOTTUB DOWNSPOUT ",/ — PVC DRAIN PIPE CRAWL SPACE VENTS RIGHT ELEVATI N P vElff OU7LRE OF E70BiAr0 DWB.LNG -_---_ arum _----------------------- ----- --_---7/__- FINISH 2 DFLOOR -------'----- --------------- FINISH If rr FLOOR — FiNiSll RCH F1 NEIN STAM TO FIN04 GRADE }t, TREATFDWOODFRAMRIO WEAIMER REBWANT DECIi NIG. I i RMH GRAOB RALMPER CODE II I1 — —PNC DRAN PFE — \� NEW PCIRi® CONCRETE FO~7= DMCHARGEMAPPROMmmmm—""z Lwpow NEW RIDGE VENT EXOTING ROOF SHEATHING EXISTING ROOF RAFTERS TO REMAIN TO REMAIN PE'W ASPHALT NEW 2 X S AT 1S'O.C.. R-80 NSLILATION NEVI RAFTERTO TOP PLATE 1 FRAMING COIR. EXISTING 4X4 J TYPICAL EAVES DETAIL: ( NEW OONTNUOLIS HEADEtt FASCIA S,SOFFIT TO MATCH EXISTING 2-18/4•X S 1?LVL DOUBLET EEPLATT \ METAL DRIP EDGETYPICAL EXTERIOR WALL'ICEIWATER SHIELD \\—IreQWIlON SIDINGTO MATCH EXISTING 1 XIISTRAPPING SULLDNG WRAP IM COX PLYWOOD SHEATHING SW T&O PLYWOOD. 2 X S AT 16'O.C. PERMErER'RBSON JOISP RAS INSULATION 6 GLUE TO POLY VAPBAS T ION FINISH 1ST FLOOR BRIDGING AT 1?OWB + — — CENTER SPAN OPERABLEGOREENED FINISH PORCH FLOOR CRAWLSPACEVFNIS I i I \ — — FINISH GRADE CRAWL SPACE (SLOPE TO DRAII I 2X12AT12'OC ANQIO EWMAT40A @LL!@ALF0 W NM MTW ': II• Daue82xsymlwsu ,.y MR RSJOLWaesaNJow 2•S REBAR TOPS BOT. — — POLY VAPOR BARRIBL ALLORSANc 2D'X IV—/ SOILB PROM CRAWL BPACEAREA POUR®OONCRETE V IF.ADEQUATE FOOTING SOS.BEARING CAPACITY LEFT ELEVATION 0� 1�o INISH 2ND FLOOR + --- FINISH IST FLOOR FINISH PO CH FLOOR FINISH GARAGE FLOOR =INISH GARAGE FLOOR Location / l G A,, ��i✓f No. 2 Date 2— • • TOWN OF NORTH ANDOVER e e � Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ IN Other Permit Fee $ TOTAL $ C Check# 25066 Bodiri6 Inspector