HomeMy WebLinkAboutMiscellaneous - 535 SALEM STREET 4/30/2018 (2) 535 SALEM STREET
210/038.0-0066-0000.0
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Location S" s` 5 � �i STrzr i
No. /o/C — �'e) Date /S, /5A
gORTN TOWN* OF NORTH ANDOVER
O:t� o �1ti0
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Certificate of Occupancy $
Building/Frame Permit Fee $
�•' Fouftdation Permit Fee $
£ �WQbther Permit Fee $
1t: � I?ar-
C?� ��11M tiC
I Sewer C9ar�ection Fee $
wa* Connection Fee $
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'TOTAL $ a
Building Irk-actor
Div. Public Works
Location '
No. J - Date
p0RTN TOWN OF NORTH ANDOVER
O?O',t`,o ', 0
Certificate of Occupancy $
+ 9
Building/Frame Permit Fee $
�,b••^��''`
ACi Fotation Permit Fee $
SS , .®� , �
- ' Other Permit Fee $ j
;,I �r -,Sewer Connection Fee $
Water Connection Fee $
Building Inspector
Div. Public Works
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CHIMNEY APPLICATION ANO PEI'M11'
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DA'rE,
1'Li RN1.'I' # lold
L0CA7ION
OWNER'S NAME:
SU'I LDER'S NAME:
i-fASON'S NAME:
A!$ON 'S ADDRESS: � a � ������ �-L�✓
+JASON'S TELEPHONE:_ 3 Q
�1ATERIIAL OF CHIMNEY:
FNJ FL!R CHIMNEY: EXI ER1OR CHIMNEY:
VUMBER AND SIZE OF FLUES:
rldCKNESS OF .14EARTH: rf
J e6umney an. 6iaepeace con6oAlll to the. vo the code and have auCu and
tegutati,oa6 been necebed:
)ATE:. 6� /f
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IHGNATURE OF MASON: -
'ERM,IT GRANTED:
r, /s 1 S o 1--'E E 35
?OPER7 NICETTA r
')UIL'DING INSi'ECTOR
:NSPE,CTED:
ILMARKS:
I
�(s� SOLID BLOCK RLQUIRED
TFIIS PERMIT hIU > PREMISES
SI" BE DISI LAYL-U ON IIIE I REMI..ES
i Ir,
Location S 3 S- SA 14-
No. / Date S
NORTH TOWN OF NORTH ANDOVER
O� • •• OAL
i Certificate of Occupancy $
'Is 'c�' Buildin /Frame Permit Fee $
s�cMust 9
iy
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
j Check # ay
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1430 1 ��
f Building Inspector
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- s TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
WM
BUILDING PERMIT NUMBER. 6? l/? DATE ISSUED. � aL
SIGNATURE: Aw(d�e�
Building Commissionerfinymdr of Buildings Date
i
SECTION 1-SITE INFORMATION `
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
535 038 6a6
�
vF Map Number Parcel Number
a
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 Required Provided Required Provided
1.7 Water Supply M.G.I-C.40.1
54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHW/AUTHORIZED AGENT — m
2.1 Owner of Record
r
Name(Print) Address for Service: A,
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor:
License Number
Addre,s
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑
cx�F'n
Company N e
go ���� G� Registration Number
J
Addr a»m
03 31109,-,,
Expiration Efate G)
Signature Tele hone
SECTION 4-WORKERS COMPENSATION(NLG.L. C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes.......0 No.......0
SECTION 5 Description of Proposed Work check au a ucable
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other Specify
Brief Description of Proposed Work:
14
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be Dollar Ug(
Completed by permit appiicant
1. Building (a) Building Permit Fee
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(a)X (b)
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
SECTION 7a OWNER AUTHORIZA ION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BURDING PERMIT
I, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on Ze foregoing application are true and accurate,to the best of my knowledge
and belief
5e,(1 1- 2 u hon
Print
11�-
Signature of Owner/Agent Dat
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 T 2 3RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
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IHPROVEHENT.CONTRACTOR
ration: 03!31/2.002
`pe: Private.Corporatio
Se`n Ha6oney
'AIMINISTI'MOWD READING- HA 01864
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BAY STATE RINC.
617-889-5688 1-888-479-ROOF Fax: 978-276-0888
MailingAddress: Business Address:
P0. Box 324 240 Park Street
No. Reading, MA 01864 No. Reading, MA 01864
April 12 2001
Mrs. Winning
535 Salem St.
No.Andover,MA 01845
RE:New shingle roof
Bay State Roofing,Inc.,proposes to furnish all material,labor and equipment necessary to perform the following
scope of work:
1. Remove approximately 2,800 sq.ft.of the existing asphalt shingle roof down to the wood decking.
2. Install new ice and water shield along the 3'roof edge and around all the roof penetrations.
3. Install new 151b.felt paper throughout the roof area.
4. Install new white aluminum drip edge along the roof perimeter.
5. A new GAF 25 year architectural asphalt shingle roof will be installed over the prepared substrate.
6. A new Cobra ridge vent will be installed to ensure the proepr roof ventilation.
7. All roof penetrations and flashing will be installed according to the manufacturers recommended specifications
and details.
8. Bay State Roofing,Inc.will properly dispose of all roof debris in our own waste containers.
NOTE: Any wood decking that needs replacement will be an additional$2.00 per sq.ft.
Any facia boards that need replacement will be an additional$3.00 per Lf
Total price for this work: $ 5,500.00
This price is final. No coupons or other discounts will be applied to this price.
Payment Schedule
Stock: $ 1,833.00 Completion: $3,667.00
Authorized Signature:
Waste containers supplied by Bay State Roofing,Inc.are for the sole purpose of roof debris.
Under no circumstance,is the homeowner to use these containers for personal refuse.
CONTRACT ACCEPTANCE
The specifications,prices,payment schedule and attached Dater t C
conditions are satisfactory and hereby accepted. BAY ¢ ;.;
STATE ROOFING.INC.is authorized to perform work Signature:
as specified. Payment will be made as previously outlined. l
NOTE: Unpaid bills over 30 days are subject to 1 1/2%finance charge per month(18%arcual) Title:
Town of North Andover ¢ tAoR H
O
6y O
Building Department 0
27 Charles Street
North Andover, Massachusetts 01845 19
4 f(978)
688-9545 Fax.(978) 688-9542 (CC.CM.K■
gcHus���y
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit-# the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL cl 1, sl 56a.
The debris will be disposed osed of in/at:p
V4 -1"Gt_.S
Facility location
Signature of Applicant
2
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
NORTH
E
Town of ®ver
No.
��A�o�„,�� ,y dower, 1Vlassop
DRATED P? C2
S H
BOARD OF HEALTH
PERMIT T D . Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT..........
A.05.0........... #V-� ..�.�..................................... Foundation
has permission to orect...4#0 . ........ build, s on ... sa/ ............................. Rough
.... .................................................
to be occupied as � ,on•O #CAGAW � 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 an By-Laws relating to the Inspectio Alteration and Construction of
Buildings in the Town of North Andover. 4&(9 a 91 moor--- PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EYP1RGS IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
Rough
...... ........ .... .. ........... .........:................................................... Service
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.
a•e"�o^%&nvQr_t ib UNIt-URM APPLICATION FOR PERMIT TO DO C.�ASFITTING
(Pri�nt/Ior Type)
_!ya �AJ)O ��1t= , Mass. Date L 19 7
Permit #
Building Location
4s�--
Owner's Name
'
Type of Occupancy
New ❑ Renovation O Replacement
Plans Submitted: Yes[] No�
N '-
N WUl
y
N x z ¢ Vj
W a N o 0 _ �C
W W 0. O Q N F.
0 J a W C1 m H N .n
z Q W ~ < �' X X Q rr
a m 0 h 4 ¢ m o W
O
w 6 W Q a s ~
x N tl V W = z l- m `(
W W C1 W z UJ W A a O' a W
O z 'J h z x W W Cr ccn Q W W U ill a
X
Q W r J
Q C 1 Y+ M m z O X W W
Q 14un x
as '.i O n w a 3 c d A 0 � y n n0 F- o
SUB—BSMT.
BASEMENT
]i
1ST FLOOR
2ND FLOOR
3RD FLOOR _
4TH FLOOR
STH FLOOR
6TH FLOOR
7tH FLOOR
SSTH FLOOR
Installing Company Name. BAY STATE GAS ; COMPANY
Address 55 MARSTON STREET Check one: Certificate #
LAWRENCE; _ MA 018 4 0 Corporation 1862
Business Telephone 508-68,7-.:110-5 ❑ Partnership
Name of Licensed Plumber or Gas f=itter Francis X. Corker ❑ Flrm/Co
INSURANCE COVERAGE:
have a curreLn#liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes � No ❑
If you have checked yes. please Indicate the type coverage by checking the appropriate box
A liability Insurance
ficY Other type of Indemnity❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application Waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner❑ Agent❑
hereby certify that all of the details and information 1 have submitted(or entered)in
kn&Medge and that all plumbing work and installations performed under the permit Iss f r this app are tare and aocur to to the best of my
Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene application wiles n� mpliance with all
T of license:
True Plumber
Gasfitter Signature o cen um r or Gas
Cl�/Town Master license Number 8697
ml'F�VE„rvr C P O VF__— Journeyman
II
DELOW FOR OFFICE USi ONLY
I
FINAL INSPECTION SKETCHES PROGRESS INSPECTION
FEE
140.
APPLICATION FOR PERMIT TO DO GASFITTING
NAMES TYPE OF BUILDING
LOCATION OF 13U L01140
PLUMBER OR GASFITTER
LIC. NO. >
PERMIT GRANTED
DATE 19
GAs INSPECTOR
� r
2 / 5 7 Date/�` L. 741......
t
j
NORTH TOWN OF NORTH ANDOVER '
Of4,.ao
0 °,. `p PERMIT FOR GAS INSTALLATION
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• 'a �
+O++n o^rrr 4h
SACHUSEt
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� This certifies that F7114.�. . . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . .0/- . . . . . . . . . . . . . . . . . . .....
CM
in the buildings of . . :? . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ic"
i at . ?. .3 . ! ,��' . . . .`.f. . . . . . . . . . . . .. North Andover, Mass.
Fee.; .),.-. . . Lic. No..a .(.!. ?. . .
GAS INSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer