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HomeMy WebLinkAboutMiscellaneous - 518 SALEM STREET 4/30/2018 518 SALEM STREET 210/038.0-0105-0000.0 I 3391-, Date./.. .. ... .. ....`:... NORTH TOWN OF NORTH ANDOVER p PERMIT FOR GAS INSTALLATION i a "• �9SSACMUSEt i G 7 This certifies that . . . ... . . . . . l . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . .•. . . . . . . . . .II . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . .j. . . ... .! l . . . . . . . . . . . . . .. North Andover, Mass. Fee. . .l. . . Lic. No.. . . . . ... . . . . . . . . . . . . . . GAS INSPECTOR i i WHITE:Applicant CANARY: Building Dept. PINK:Treasurer k MASSACHUSETTS UNIFORM APPL,ICATON FOR PERMIT TO DO G ype or print) at _ .:; ��� ✓ NORTH ANDOVER, MASSACHUSETTS IS �a12m c5� ,t 3uildine Locations 5 Pet7ji}t# 'fM A oust s Owner's Name ',Ic>f Co,-t a-1 6 Q Renovation ❑ Replacement Plans Submitted ❑ ' 'i'?F; ` z '� b �' i W '':.' • �_ z �! :.r ;Z.;C z WJtr 13 8 ,-� 5E �1 ENT — — — — u :� SE .M EN 'r 6 'r . FLUOR ? v U . FLOUR ?r 93RD . FLUOR i'r If FLOU K 6T 11 FL00 K 7T 11 FLUOR YT 11 F1. 00 R :'rinf or rypc) Check one: Cenihc;ue Installing Company am, Andover Md. & Ht4. Co., Inc. Corp. 1t � duress 20 Agean Dr., Unit-10 ❑ partner. Methuen. Ma. 01844 9usiness Telephone (978) 685-8383 ❑ Firm/Co. ',amc of Licensed Plumber or Gas Fitter , orae I allose NSLR.ANCE COVERAGE Check one: have a current liability Insurance policy or it's substantial equivalent. Yes No' ou have checked ves,please indicate the type coverage by checking the appropriate box. piiir; insurance policy Other tvpeofindemnity ❑ Bond wner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the lass. General Laws, and that my signature on this permit application waives this requirement. Check one: Sienarure of Owner or Owner's Agent Owner ❑ Agent ❑H": ,erebv certify that all of the details and information I have submitted(or entered)in above application,w.;;, and urate to the. �•. . ui my knowledge and that all plumbing work and installations performed under Permit Issued for this.:tp'p11#tion will be in _omoiiance with all pertinent provisions of the Massachusetts State CAS Code and C to 42 of the Generi4 Ws. �.,. Signature o Licensed Plumber Or Gas Fitter Title [�Plumber 9983 rvrTUwn as Fitter License Number l• •ter Journeyman !'PR0 EDIOFncF:USEONLY) ❑ Date. No 4635 4, TOWN OF NORTH ANDOVER 0 F PERMIT FOR PLUMBING 7 SSACMUS� This certifies that . . . f.�: E.���. .�. . T !�. . . • .�•S . . . . . . . . has permission to perform . . . . T plumbing in the buildings of . . . .. . . . . . . . . . . . . . . . . . . . . . . . at. . . x f . . ..SA North Andover, Mass. Fee. � Lic. No.. `:7 �'. . S . . . . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer _--...... MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) - NORTH ANDOVER,MASSACHUSETTS Date Building Location 511 5ckm St V-ezt Owners Name QP- C t d O - Permit# Amount Type of Occupancy New ❑ Renovation Replacement Plans Submitted Yes ---No FIXTUREScn _ w a � a 0" w H w, H x a w a w � � d a d a � y B�gIVII�Q' ► - M HDD 2M F7il M 3M H-aR 4IH HJMR 5IH RaR 6RiHIM '1IIi H-aR SiH kIDQt - (Print or type) Check one: Certificate Installing Company Name ANDOVER PLBG. & HTG. CO., INC. "Corp. 2122 Address 20 AEGEAN DRIVE UNIT 10 Partner.. MFTHIIFN MA- 01844 Business Telephone 978- 685-8383- ❑ Firm/Co. Name of Licensed Plumber: f F(1Rf;F 1 APQrNF Insurance Coverage: Indicate the DTe 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 a 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 Massachusetts Stat umbing C e Chapter 142 of the General Laws. By: ZSignature Ium0er Type of Plumbing License Title City/Town License nm er Master Journeyman El APPROVED(OFFICE USE ONLY Location 5-(s- Nod Date NORTH '7 1444rx—,-�— TOWN OF NORTH ANDOVER 3?0�,,`•O •,SOL • OA Certificate of Occupancy $ Building/Frame Permit Fee $ r �'�b'••°'�t�' GMUFoundation Permit Fee $ SJASt Other Permit Fee $ *, Sewer Connection Fee $ T Water Connection Fee $ TOTAL $ Building Inspector 12686`1113119.18 e0'N 1 11 Div. Public Works Location No: Date ll� ,.ORT1y TOWN OF NORTH ANDOVER O? • • OA F p Certificate of Occupancy $ Building/Frame Permit Fee $ � Foundation Permit Fee $ SscwuS Other Permit Fee $ t Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 07/15/98 09:18 90.00 PAID Div. Public Works I I E' MIT NO. APPLICATION FOR PERMIT TO I3UILI)********NORTII ANDOVER, MA M\P NO. o 3 . 0 1.otmo. _ ll b 2. RECORD OF OWNERS111P DATE BOOK PAGE V LOhC SUB DIN'. LOT NO. r 1.0( (1If)N 1 (1 s" +- Pllltl(7dE(>f 1)1111UIN<; OWNER'S NAME U ✓ NO.OF S TORIES \`GSIzF OWNER'S ADDRESS BASEMENT C)R SLAB C"` ST ND .AR(TItIEC-I'SNAME SIZE OFFIOOR IILIIIERS J I 2 3 BI III DE R'S NAME l V C SI.AN v DISI ANCE lO NEAREST BUILDING 1 DIMENSIONS OF SII.I.S ? DIS TANCE I RCXN STREET' DIMENSIONSOT-I'C 161 S G AJ(—Z DIS I ANCE FROM I.OT LINES-SIDES j,71 REAR D J, 3 DIMENSIONS OF GIRDERS ��J AREA OF LOT A L A1L FRONTAGE �7`OJ I IEIGI If OF FOUNDATION / TI IICKNESS 1 IS t3UII_DING NEW �9 lJ SIZEOF 1:0(Yl INC ) X 21 / IS BUILDING ADDITION t /\ MATERIAL OF CHIMNEY IS BUILDING ALTERATION CJ S IS BUIIDING ON SCA.ID OR F11 LED LAND L Wit 1.BUILDING CONFORM TO REQIIIREMENI S Or CODE Cy S IS 81111.DING C(NJNECI E1) IO-OWN WA'1 ER HOARD OF APPEALS ACTION, IF ANY L IS BUILDING CONNECT ED TO TOWN SEWER A I v IS BUILDING CONNECT ED TO NAI URAI.GAS LINE INS T(!('7IONS 3. PROPFIVIY INFORAIA110N I.ANDCOS]' ES 1. BI IXi. COST PAGE 1 FII.I.CX ff SECA IONS 1-3 ES f. til DG. COST PER So. FT. "--1 ESI. BLDG. COS I PER R(XXA ELECTRIC METERS MUST BE CNJ OUTSIDE OF BUII DING SE191C PERNII 1 NO. AFIAC11EDGARAGES MUST C(NJFORM'TOSTATEFIRE REGUI.AT-INJS a. APPROVED DY: PLANS MUST BE FII.ED AND APPROVED BY BUIIJ TNG INSPECTOR I III.DING 1 � 'TOR DA I E FILED l l OWNERS 1 Et.#)Z L �� 1 C(NJIR.IEI.# /—, -3 )J SI(iNA fl IRF OF OWNER c Ni Al TI 1 NN217Ji1)AGENT COM'R.I.IC# V 0 —3 vCI � E1:1: ITI.C.M I'IiRhiIT GRANfEI) ��19 r10RT F N fTown of over * Z _ dover, Mass., 19 LAKE 1 '9 COCHICHEWICK iY'�• E D S E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT...............................�.............. alo-C)................................................................ Foundation has permission to�re�f-.... - ........ . :........... buildings on ...........moi . . ..........., .�- �"�-............ .... - Rough to be occupied as.....................................:.... 1'S.�1.o.. ................. - ..................................... 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION SELECTRICAL INSPECTOR T Rough .... . . . .. ...... . .. . . Service B DING 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. ay 7 Location No. Date 40RTol TOWN OF NORTH ANDOVER 3? oL F 9 a .Certificate of Occupancy $ CNusEt� Building/Frame Permit Fee $ S Foundation Permit Fee $ Other Permit Fee $ f TOTAL $ ` I r Check # r 1 r a1263 Building Inspector z i 1 i r � TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING `" htr: .�5� :s' ��Ql•�Iflll��I$�Q ,,. BUILDING PERMIT NUMBER: DATE ISSUED: _ D i t SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION ' 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS .ft Front Yard Side Yard Rear Yard Required Provide Reqaired Provided Required Provided C 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Infomution: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zaae 0 Municipal 0 On Site Disposal System C SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT n 2.1 Owner of Record (l� Name(Print) Address for Service 0 Signature Telephone 2.2 Owner of Record: Name Print Address for Service:. C 2 R Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 o Ao060f � Z � Licensed Construction Supervisor: ` C f 6 S_ �� G It<L f /1 �Yj� Z jt.tr� License Number T Address ter—• [ I'"fi Expiration Date .Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name J1rrn f .n/ `� Registration Number r Y' I �t L��„r— t� Address Date n� Signature Tele hone Expiration `+, i is G tthe ON 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) ` Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result [inial of the issuance of the buildin nmit. ffidavit Attached Yes........0 No.......0 ' SECTION 5 Description of Proposed Work check all applicable) i New Construction 0 Existing Building Repair(s) 0 Mterations(s) ,RC" Addition —0- Accessory Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: � j v �� y ij SECTION 6-ESTIMATED CONSTRUCTION COSTS Item _ Estimated Cost(Dollar)to be Completed by permit applicant 1. Building (a) Building Permit Fee dc--) Multiplier 2 Electrical (b) Estimated Total Cost of > Construction (d C1 rHereb Plumbing Building Permit fee(a)x tel hanical HVAC Protection E 1+2+3+4+5 Check Number N 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i r . as Owner/Authorized Agent of subject property horize to act on in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief 70 Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB 4- SIZE OF FLOOR TRVMERS 1ST2 No3 SPAN DIMENSIONS OF SILLS MIENSIONS OF POSTS DMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHMVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUELDING CONNECTED TO NATURAL GAS LINE _ 4 : Page of Wood Free Estimates 105 Haverhill Street Fully Insured Methuen, MA 01844 THOMPSON'S ROOFING (978) 691-1355 Shingles — Slate—Rubber Roof Single Ply — Copper Work PROPOSAL SUBMITTED TO PHONE DATE Joe Cataldoi - v1 STREET JOB NAME q i 518 Salem Street CITY,STATE AND ZIP CODE JOB LOCATION North Andover MA 01845 AItHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Remo-" and re race 411• tri.4 boards o-n both sides' of house ( 1x2 ) Break off any tabs .that ase ltaft.inq° "l ist-A'll Aluminum drip-edge around roof line Apply ice and water shield 3f t". u"p` 1 laaing edges Reshingle with a 25 year '3tK5bSKl1VWe Install new flanges around soil pipes Cutinia new ridge vewft,• Remove all work related debris 25 year warranty on material 10 year guarantee on labor Construction lic, #060112 Improvement #128612 Option : If you decide to have a 254year Architect shingle i.t wi_11 cost you $480.00 more ( four hundred and eighty dollars) "0 Y C 3propoa hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: Three thousand six haddedd ------------ 3 . 600 . 00 dollars($ ). Payment to be made as follows: All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifications involving Authorize/ extra costs will be executed only upon written orders,and will become an extra charge over and Signature 1 above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully Note:This proposal may be covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. - C Acceptance of Vropozal —The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the �(^ Signature ��K' r *•� work as specified.Payment will be made as outlined above. Date of Acceptance: Si nature / 9 CERTIFICATE OF LIABILITY INSURANCE DATE 04.23.01 (MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS PELHAM INSURANCE SERVICES INC UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER 122 BRIDGE STREET THE COVERAGE AFFORDED BY THE POLICIES BELOW. PELHAM NH 03076- I N S U R E R S A F F O R D I N G C O V E R A G E INSURER A: Liberty Mutual INSURED INSURER B: The Maryland Thomas Doyle DBA INSURER C: Thompsons Construction & Roofi 8 West St. INSURER D: Salem NH 03079 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. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY B [x] COMMERCIAL GENERAL LIABILITY SCP 34865353 04.17.01 04[x] .15.02 FIRE DACH AMAGE `(Any one fire) 81 300,00 � � [ ] CLAIMS MADE OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 ( ]POLICY [ ]PROJECT [ ]LOC PRODUCTS - COMP/OP AGG $2,000,000 AUTOMOBILE LIABILITY ] ANY AUTO COMBINED SINGLE LIMIT ( ( ] ALL OWNED AUTOS (Each accident) $ [ ] SCHEDULED AUTOS BODILY INJURY [ ] HIRED AUTOS (PereIson) $ C ] NON-OWNED AUTOS t p [ j PROPEPer RTYiDAAMAGE $ (Per accident) $ GARAGE LIABILITY [ ] ANY AUTO AUTO ONLY - EA ACCIDENT $ [ ] OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ( ] OCCUR [ ] CLAIMS MADE AGGREGATE $ [ ] DEDUCTIBLE $ [ ] RETENTION $ $ $ AWORKER'S COMPENSATION AND [X] WC STATUTORY [ ) OTHER EMPLOYER'S LIABILITY WC2-31S-314995-019 04.21.01 04.21.02 E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE-EA EMPLOYEE $ 100,000 E.L. DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job: Roofing Job at 6 MIDDLESEX ST. NO. CHELMSFORD, MA CERTIFICATE HOLDER [ ]ADDITIONAL INSURED• INSURED U ED LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FRANK DEAMICIS THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 6 MIDDLESEX ST. TO TO TTHHELLEFT.DAYS BUTWFAILUREEN NTTOICE TO Do SO TSHALLRIMPOSETENO OBLIGATION NO. CHELMSFORD, OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR MA 01863 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE k) 'z e'� (7/97) Page 1 of 2 �ORTIy E Town of 4. Andover 0 No. OEM4a / dover, Mass., ..30 7� ORATED p5 S H � BOARD OF HEALTH Food/Kitchen Septic System . PERMIT T D . C'/Q BUILDING INSPECTOR THISCERTIFIES THAT.......... .............................................................................................................................................. Foundation has permission to erect.... . .. ........... buildings on ......,�...�.8.......S. 1.1.W.........S.. ....... Rough t0 be OCCUpI@d as .................................................... Chimney : . ........ .r.........1 A.Y R.... 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. `rye 3 9 p /d c;L57 . PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough Service ..I.. ........................................................................ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, 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.