HomeMy WebLinkAboutMiscellaneous - 515 MASSACHUSETTS AVENUE 4/30/2018 515 MASSACHUSETTS AVENUE
210/045.G-0010-0000.0
f I i
Date.
944 s
" , TOWN OF NORTH ANDOVER
°q
PERMIT FOR PLUMBING
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,SSACNUS�
This certifies that . .!/.`'k. Aq... . . . .
has permission to perform . . . . . . . . . . . .
� E%CX
plumbing in the buildings of . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . .
f/�
at . . . . . .�. . . /?. . . �✓E-�. . . . . . . . . . ./. . .,/�V%ki
An-over, Mass. �.
Fee.
No.. �fl.f �hat<f. . . . . . . . .
PLUMBING INSPECTOR
Check tl Z �5�..•�
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY ULIQ MA DATE / PERMIT#
JO.BSITE ADDRESS:5/sti- OWNER'S NAMEE�
o
P OWNERADDRESS `.SI7 �14 aLk� TEL'�79'4* yb2 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL
PRINT
CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES-0 NO❑
FIXTURES 7 FLOOR— BSM 1 2 3 4 5 6 7 8 9 . 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DitAIN
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY ,
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK.
.TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
Gs�
INSURANCE COVERAGE:
I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch.142. YES Gr-'NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT.
I hereby certify that all of the details and information I have submitted or entered regarding this application are true and aerate to the best of my knowledge
and that all plumbing work and installations performed under the permit Issued for this application n canoe with II Pertinait ppro%Mlon of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'SNAME Daniel Huntress LICENSE# 1.0977 f SIGNATURE
MP[ JP❑ 1 0 9 7 7 CORPORATION�2 5 4 9 PARTNERSHIP❑# LLC❑#
Roto-;-
COMPANY NAME Nurotocoofma d/b/a Rooter ADDRESS 175 Maple Street
CITY Stoughton STATE MA ZIP 02072 TEL781 -297-7049
FAX 781-341 -8817 CELL781 -603-5412 EMAILdan.huntress@rrsc.com
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes igol
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT S
PLAN REVIEW NOTES
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
.Uf Boston,MA 02111
www massgov/dia
nc
Workers' Compensation Insu
ra
e Affidavit. Builders/Contractors/Electricians/Plumbers
Applicant Information
Please Print Le ibl
Name(Business/Organization/Individual):
Address:
City/State/Zip:, o < //J�d(t00j� phone#:
e ou an employer?Check the appropriate box:
I am a employer with __ 4. ❑ I am a general contractor and I Type of project(required):
2.E3employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
I am a sole proprietor or partner- listed on the attached sheet.
ship and have no employees �• E]Remodeling
These sub-contractors have
working for me in any capacity. workers'comp,insurance. 8. El Demolition
[No workers'comp. insurance 5. 11 We are a corporation and its 9 C]Building addition
required.] officers have exercised their 10•0 Electrical repairs or additions
3.❑ I a homeowner doing all work
myself.[No workers'comp, right of exemption per MGL 11.❑Plumbing repairs or additions
c. 152 4 1 and we have no
insurance req .]t , ( )' 12.❑Roof re
q ] employees. [No workers' parts
COMP.insurance required.] 13•❑Other
"Any applicant that checks box#I 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 anew affidavit indicatings
:Contractor:that check this box must attached an additional sheet showing the name of the sub
-contractors and their workers'com . Ir mtbrmation.
such.
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.#: Q L'/� Expiration Date: 2 CJ
Job Site Address:_ < 71
Attach a copy of the workers' City/State/Zip
Failure to secure coverage as required under Section 2 )
compensation policy declaration page(showing the policy number and expiration date).
5A of MGL c. 152 can lead to the imposition of criminal penalties of
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the forth of a STOP WOR{ORDER and a f
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 a
Investigations of the DIA for insurance coverage verification. me
I do hereby ce u er the pai Penalties o
P fperjury that the information provided above 's true and c recd
Si nater
Phone#: 2 q�
Date: S /r a'
Oficial use only. Do not write in this area,to be completed by city or town ojriciaL
City or Town:
Permit/License#
Issuing Authority(circle one):
I. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PlumbingInsP ector
6.Other
Contact Person:
Phone#:
)ate: 4/27/07 Time : 12- : 03 PM TO : NA'1tN-nrysc&-
Page: 002-003
® Client* 79872 NN DATE —'
CQR®TM CERTIFICATE ®F LIABILITY INSURANCE 4/27/071DD/vvvv)
A
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
RC Knox 8 Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
One Goodwin Square ALTER THE COVERAGE:AFFORDED BY THE POLICIES BELOW,
Hartford, CT 06103-4305
860 524-7600 INSURERS AFFORDING COVERAGE NAIC#
INSURED INsu RER A: The Employers Fire Insurance Company
National Energy Systems Inc INSURER e: _�•_-
1331 Grafton Street INSURER C. __-
Worcester, MA 01604-2256 -�—
WSURER D: �--_�_•�— —r
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 TERIMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER DAT ! YY D —D/YY1 _— ,—
A GENERAL UABILrTY 7100095110001 10/11/06 10/11/07 EACH OCCURRENCE _ $1,000,000
DAMAGE�SE$IIF.occu D-n o $500 OOO
X COM MERCIAL GENERAL LIABILITY "
CLAIMS MADE FX1 OCCUR MED EXP(Any one person) $10,000
PERSONAL B ADV INJURY $1 000 000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PROOUG—_rS•COMP/OP AGG $2 OOO OOO
POLICY PRO LOC
JECT
A AUTOMOBILE LIABILITY FBl E03830 10111/06 10111107^� COMBINED SINGLE LIMIT $1,000,000
(Ea accident)
ANY AU 10
ALL OWNED AU I'OS BODILY INJURY
(Per parson)
SCHEDULED AUTOS ---
HIRED AUTOS BODILY INJURY g
(Per accident)
X NON-OWNED AUrOS
PROPE RTY DAMAGE .$
(Par accident)
GARAGE LWBILII'Y �_ �-• AUTO ONLY EA ACCIUENI $
ANY AUTO OTHER 1HAN EA ACC, $ .— -----•
AUTO ONLY. AGG $
kA EXCESSIUMBRELLA LIABILrTY 7100095110001 10/11/06 10/11/07 EACH OCCURRENCE $5,000,000
X OCCUR ❑CLAIMS MADE AGGREGATE _ $5,000,000
$
DEDUCTIBLE
$
RETENTION $
A WORKERS COMPENSATION AND 406017291 0000 04/29/07' 04/29/08 _ ��CY IA ITS ER
Ol'H• —
EMPLOYERS'LIABILITY (••`<•MA PA NV E.L.EACH ACCIDENT' $100,000
ANY PROPRIEI OR/PARTNERIEXECUT IVE
OFFI CER/MEMBER EXCLUDED? E.L.DISEASE EA EMPLOYEE $I OO,000
If yes,deacriba under E.L.DISEASE•POLICY UMTr $500,000
_ SPECIAL PROVISIONS balow _— _ ---- '-
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS _!CERTIFICATE HOLDER HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPI FLA T1 ON
Sample DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL ;Ifl DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED*TO THE LEFT,BU IFAILURE TO 00 SO SHALL
IMPOSE.NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSUKEH,ITS AGENTS OR
REPRESENTATIVES. __�•_• - �._
AUTHORIZED REPRESENTATIVE
ACORD 25(2001/08)1 of 2 4S386295/M386293 — FIJM �0 ACORD CORPORATION 1988
MA
New England Sash, Inc. FederalgID#04-2889905 RI Reg,826375
CT Reg,#547271
Main Office:
- - i- 1331 Grafton Street Branch OBiee
Worcester.MA 01604
508-792-9181•800-300-7274 _—Jp�� `��P Ute^
THIS CONTRACT made the ppp ^,,,
- _-day Of_go in the year.,-_'CQ0
�_between New England Sash,Inc.and
(OWNERS)
OF. ME PHONE) - .. .
__..-.__��•-�____,/-{Q,�S� (HO
V-off- _V 1 A IBUS11 ESS PHONE)) .
(STREET) Al CN' r,4.�1>'e�
(rOWN)
As used In this conlracL the words we,us or our refer to New England Sash,Inc.and the words you and your refer to the CustorrrerSTAT� {ZIP)
We agree to furnish all labor and material necessary to install the following described windows at: C
riple Glass with .'Double Low E with i — ---
on Gas as fl
"�'mner'iee++cderldum)
Total Units: S #of Units: Grids:Y /6) Window Color. Material:
Double Hung Units: A t we ce na ao nny 9 8
f V Pa"or matrHrs:.
Picture Units: reor Installation:
c6wmstancea
beyond our conlrol inos,mng condeneatbn ramAM,g
HoppeUnits:
or due to preexislinco
g ndltiom.Our nmlted war. Total Contract: +�
r ranty is herein ncorporalm by mfemnce /
. � ,(J&
Sliding Units: Sales Tax;
2-lite: 3-Ilte
Awning Units:
1-lite: 2-lite
Casement Units;
1-lite: 2-Ide: 3-11te; 4-lite
Bay/Bow Units:DH/CS: Total
Garden Windows; 3-Ilse: 4-lite: 5-lite: Price:
Exterior Finish; Roof Soffit Total Projection Deposit
Knee Brackets: Y I N With Order f f r V
Entry Doors: Steel
Fiber Style: --------
Storm Doors: Alum Wood Core Style: Balance Due
Sliding Glass Doors: # U n Delive :
—_ Inside Looking Out Right Active Left Active
Capping;d�N #
s Capping Color: t;,`11Balance Due_t, �
Additional Notes: (' —,I
UpOn Final IflStall: to S, 3 L
TtU
. iA
1 4 C r
I
DEPOSIT WITH ORDER ❑ CASH F-+—CHECK #
10(2 BALANCE DUE ❑CASH ❑ FINANCE
You agree 10 pay cash according to the terms shown above or,I your credits approved,to sign a note Provided by us}0r payment of the amount due.
The installation will begin on or about -$ t'"a e•
following contingencies could matriallout
y change the estimatedacomplend will rondat substantially stated above:cus omers bnablllty to o�bta;n ar uali for financing;inclement b nt weather;
strikes or other labor disruption;non-availablllty of materials;acts of God, _ It is understood by you that the
We represent that we carry Workers'Compensation and Public Liability insurance In the amount of$100,000-1,000,000.
BY SIGNING BELOW,YOU ACKNOWLEDGE THAT YOU OWN THE ABOVE PROPERTY AND THAT YOU AGREE TO ALL OF THE TERM
INCLUD-
ING THE AODITIONAL TERMS LOCATED ON THE REVERSE SIDE OF S OF THIS CON
COPY OF THIS CONTRA THIS PAGE YOU ALSO A TRACT, LETEO
CONTRACT ACKNOWLEDGE TWO COMPLETED COPIES OF THE NOTICE OF DGE THAT YOU HAVE RECEIVED A FULLY COMPL
TO CANCEL. CANCELLATION,AND THAT YOU HAVE BEEN ORALLY INFORMED OF YOUR RIGHT
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
IN WITNESS WHEREOF,the parties have hereunto signed their names this
Signed /�(�[�
—! =-day of—Pq1-�—.__in the year of
/3U l/
Signed
MARKETING REPRESENTATIVEOWN
Signed
- ------
AUTHORIZED SIGNATURE TITLE
E -+--�
OYVNER
✓ r�
! )TICE.OF CANCELLATION NOTICE OF CANCELLATION
DATE OF TRANSACTION DATE OF TRANSACTION
VCU I��V 1 CHIS Saar T�o�I VitTnauI ANY
YOU PENALTY OR OBLIGP' OM WCIVAICIEL THIS rTWITHOUT EY
HIN HREESUS MSS
PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. RAIDED IN,ANY
DAYS FROM THE ABOVE DATE. YOU
IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAY- M NTS MADE EBY YOU UNDER HE CONTRACT Of' -
MENTS MADE BY YOU UNDER THE CONTRACT ORSALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED
cot_E.AND ANY NEGOTIABLE INS TRUMENRlES NESSED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS
NORTH
Town of Andover
No.
0
IL -
C% over, Mass., 5
COCHICHEWICK
RATED BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.........6.-).5 .................41e-��..............
... ... ....... ................ ........I ........................................***,*,**...... Foundation
has permission to erect........................................ buildiggs on..S/�.T...........V-4...W. ......le*�........................ Rough
Chimney
. ........40j 0 �4 �e-
to be occupied as........ ...It ........�r.........................................................................
provided that the person accepting his p"e**rmft 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
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 CONSTRUCTPNII .s S ELECTRICAL INSPECTOR
T Rough
4—s—��
T
............... ......... .................................................. ............................. Service
BiUILDIN ��R 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. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
80ard or Building 11010,10ons 2t:drStandsrds
Licease or registration valid far individul use anly
HOME IMPROVEMENT CON, OF,RACT
Re before the etpiration date. if found return to:
�,;`;/, Registration: 104098 Board of BuildingRegulations and Standards
Expiration; 7I131200B One Ashburton Place_ 1341
1ttia,e: Pr-r f r
1P e..fltAOt�liOn Boston,IYja.02 tt?
8
NEW ENGLAND SASH. II,iC:
Kevin Wells
1331 Grafton St-tet
Worcester, MA 01604
tiepub'Aciministrsror Not valid 3vithout signature
I
I
I
r..'
s'`\ •�/,,:,, userz�=ac: r-use%� :.,.`'t F�':;��i:<.rc, r.:;ks'�_
t..f YJ Board of Building Regulations and Standards
I? vy License or registration valid for individul use only
(, HOME IMPROVEMENT CONTRACTOR before the expiration date, 1f found return to:
g Board of Building Regulations and Standards
Registration: 145941
-` Expiration: 3/14/2009 One Ashburton Place Rm 1301
Type: Supplement Card Boston,Ma,02108
NATIONAL ENERGY SYSTEM, IN
'FRACI LANE
1331 GRAFTON ST
�-� ';
WORCESTER,MA 01604 ��—'
------------mtnistrator ----- —--.--NotvalidIvitiloutsignature
Board of Building Reguintions and StandardsLicense or registration valid for individul use only
t> y
HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to:
F�T 7 Board of Building Regulations and Standards
l Registration: 104098 One Ashburton Place Rm 1301
Expiration: 7/13/2008 Boston,Ma.02108
Type: Supplement Card
NEW ENGLAND SASH.ING
RUSSELL WOOD 't
.31 Gration Street ..'-t ' y
°figs
orcester. MA 01604 administrator Not valid without signature
Check#
5U63
_
BELOW FOR OFFICE USE i•ONLY
FINAL INSPECTION SKETCHES PROGRESS INSPECTION
FEE
NO.
APPLICATION FOR PERMIT TO ADO GASFITTING
NAME 11< TYPE OF BUILDING
, I LOCATION OF BUILDING I
PLUMBER OR GASFITTER
LIG NO.
PERMIT GRANTED
DATE
GAS INSPECTOR
'r'3P
r
a Location
F
',No. d 29 Date
Molt #I TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
Building/Frame Permit Fee $
�' b' •'�� Foundation Permit Fee $
cMust '
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
Building Inspector
47/17/98 10;. 35• PAiD
Div. Public Works
i
PEA ZMrIT N0. Z7 0 APPLICATION 11-oIt 111i"ItMl"1' TO BUILD********N0IZ"1'11 ANDOVER, MA
6o 1c)-C)06)0, 2. HF(I)HU l)f O\1'Nk HSllll' DATE BOOK PAGE
!1)N t. SIM DIY. 101 N(1.
IUI AIIIIN PIIHkY 6L 1A III III
No ,(1f SIIMtILS ' S17f
\N �A 1�
UNfiHS NAI.IG r,
l)\VNI[R S ADDItk:SS `S d�s BASEMENt Oft SI All
ARCIItIk:(-i�SNAME SIZE OFtl(X)F3)IMIit:HS 7 �/® I ST 2 Nn RD3
fit II DER'S N.MIE 3 `I' Son yl jp!n1c, SPAN
w
DISI ANC E 10 NEARESI BUI1 DING DIMENSIONS OV Sit.[S
DIS I-ANCEIROM STREEI DIMLNSIONSOf:P(1SIS I
DIS I ANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS D
AItf:A OF I OT FR(NJ-I AGE 11EIGIIr of f(NINDATI(Nd THICKNESS
yv
ISL3111LDIWiNEW Q SIZE OfFIX)IING I/ '4 e— Xw
IS 11011_DIN(i ADDITION Vf^ o MATERIAL.OF CHIMNEY )VOKC
IS BIIILDIN(i ALTERATI(NJ I fi/D IS BUILDING ON SOLIDOR FII LED LAND f^
Wit 1.BUILDING CONFORM TOREQ(11REMENISOF CODE eC ISBI)II.DIt,IGCONNLCIEDIOIOWNWAIER es
BOARD OF APPEAIS ACTION, IF ANY J IS BOWDING C(NJNECI ED 1'0 1OWN SFWER L}es
IS BUII DING CONNEC.`1 ED TO NAI(IRAL GAS LINE a�/s�s
INS IIi('IIONS 3. PROPER I YINFORNIAllION LAND COSI Cr
ESI. BI IXi.COST 3 ��
PAGE I FILLO(If SECTIONS 1-3 EST. BI.IX;.COST I'ER Sl). FT.
EST. Bk Ixi.C'OS 1 I1:R H(1OM
A E=LEC"FRIC LIEFERS MUST BE ON(NITSIDE OF BIM DING SEIq W PERNII f NO.
)
A(1ACI 1EDGARAGES MUST C(kJFORhI fOSfATEFIRE REGl11.AfNNJS a. .1P1'RO\'ED Bl':
PI-ANS MUST BE FILED AND APPROVED BYBI)ILDINGINSPECTOR IIILDIN(: SS ECTOR
DA I E F11 EI) �j OWNERS If:l.11 6 ��^ y�p 3
C(NJIR.IEI.11
CONIR.I.WN 0
533
SIGN (I IRE CA:OWNER OR At I I I I N31ZED AGENT
PIiRNIIT GRANIEI) Iy 79 t` + 1
I SUS i 6 199
(
f
a otalo SAN 11INOM do eals�Niwoa"
� o a c�cai J
I! E'''�I'{11XUI J08 iP WHA
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•wT.•�`!! 14w M r�rN NW+4"^'•"•w{•+. _ «�•r—.T..wry '
. ! .•+. WILLL•wI+W/MciN.�NrYF.•n/F+ItLy�3�Y..mLNL!"Xk•Iew+KYlihfl. •+•!•'rw••••x4Tvw•W.•+lWt/^.
� � � _ r✓�� �o��roizP9�iarunnl.(� n�,
p DEPARTMENT OF PUBLIC SAFETY ;.
�; CONSTRUCTION,SUPERVISOR LICENSE
Muuber: Expires: Birthdate
� CS957933; 96 2211999 �16122�19S .j
Restricted Tm06
FRANK J ;FBO6GIATTO +t X41
" 7 FREEMEN ST I6
1 14 HAVERHILL, 'MA 191939, , �t
I'
I /W� J,^ c) G Cl
I I
f i 3
I
7-1 I i
ALLWORKMANSHIP
&
SOck
GUARANTEED 3 YEARS
REMODELING (50'8) 469� 7079 20 YEARS EXPERIENCE
57 Freema
n 'str`eet r�,.wS�IVIA I'C #0�57-83`3� ��-...
. 1 '' g '✓s::i Vil1.,90,5 �1 .:. .,n.�MASTER INSTANK LLER
Haverhill MAS' . 2 rM1F .e�u/rta� K, .,. .y.,: .
rt t `,9Qp fiyp rF' r,
DATE �� �1� SOURCE /1C( CONSULTANT 1�
'EL{ WORK r� TEYL.' E. 3i(•i.I^ 412)r#fit !./ r, i r
HOME Tic��g' hh/ �i�� MR./MRS G
THIS AGREEMENT, made and entered into between FJB & Son hereafter referred to as contractor AND
ADDRESSISTREET 'S/S M.q5-r A✓C CITY #)O n,,L✓e STATE
d . .. - 1i td . �tt�
; if , if�. ':hereasfsivr 7_ rlA efit ,
THE SAID CONTRACTOR hereby agrees that it will furnish all labor and materials necessary to install the following 1de- f
scribed work at premises located at: JOB ADDRESS S E+yl
CONTRACTOR agrees to start described work on/or about weeks after final fittings and complete'des&ibed
work in about Al) working days.
r :; a ! w e ?rEiOCt'i
-FEE lf�EJ } l;t � _e-� rCteR tli�fi }nt5 af' fwl r£tflilM C�'1 '!�{�$fT107'3Cs l} t 96':•+, i '7 aCt t�(Y }(,k ,��rs'it,' .Cl llt�. 3ti'(it Cirlilf5.1
(�ev✓loErc.. �xs�s+;n� Po�c�, � Re �� a �o >��-� s,z� . ...:�7
�avn D I�-�o w E#•G, hJcu� lcJ E nw1 �- .foo �', Usc.. V��►
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W4
( .i�Fi�� f;fi�lCEEf{I! IA 'r' Stisxa? a '8C <}3 b E , h �3 E}E5 5. t93IFr- esi Fl r t Iil >f,.�'4 a 1iIF� rJ�}i f, t 3'
rilrJ c J:i"J' . EL_pe .e J SAaJ,:'^�. •'a[EJ. e .eJ u.rd a A. •.• � w ••
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All rnaterial is guaranteed to be as specified.All work to be completed in a workmanlike manner Authorized Signature
according to standard practices.Any alterations or estimate deviation from above specifications y IpI u`•
' involving extra cost will be executed only upon written orders and will become an extra charge over Date /�/-/
and above the estimate.All agreements contingent upon strikes.accidents or delays beyond our i
control Owners to can fire.tornado and other necessary insurance.Our workers are fully covered by Signature Date L
Workman's Compensation Insurance. ��
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WHEN BUILT WHEN CONSTRUCTED. I I
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-Town of _ Andover
0 _ L
I- m
nQ s LAKE dover, Mass., / V 19 • V
'9 COCMICMEWICK �'�•
�S Aq 7 E
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
f V r+ BUILDING INSPECTOR
THISCERTIFIES THAT................................................ ............ .... . ... ...................................................................... Foundation
has permission to.�ee#........ �..d. 4}l..fe.. buildings on S/,S .. /'"1 f� /�,,�.�.
. ...... .. ...... .. .... .... .......... ... .. ...r.S�.-S........... . .. ... t........... Rough
to be occupied as /° c
p .................................................��....-�!�.....4�.............�C?.R�q-.... ................................................. 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
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 T ELECTRICAL INSPECTOR
Rough
............................. ... ... ......... ..... ...... .. Service
.... ... . .... .... ....... .......
UILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
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
Town ® t ®,ver
L
* _ �O 9g
dower, Mass., 19
0 s LADE
COCHICHEWICN 1•
ATED P
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT................................................ .(D)Z.(.... . .... .�..��... ................................................................
Foundation
has permission to.weei........j'..1E.. ..P}.lA,. buildings on .....S-/..45.7.........../'`'1 .. ..S-S...........&0.9.,........... Rough
tobe occupied as........................... ..............Po. i;nA ................................................ 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
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
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST T
Rough
................................. ... ... ... .. .. ................................................ Service
UILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
Smoke Det.