Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 54 PHILLIPS COURT 4/30/2018 (2)
'r 54 PHILLIPS COURT 2101095._0-0035-0000.0 } � l � t { J I 1. Date.................................. f Z is � NORT►, "0TOWN OF NORTH ANDOVER p PERM-4T FOR WIRING SACNUS� This certifies that ...t... C.C.- t has permission to perform ... Ql'fC' _..................- ......./17 ..s......... wiring in the building of......... 4j11.c.�. `. .................................. -:_ at.....S .....`f! 1r-.....C� ..................... . ... .North Andover,Mass. .... Lic.No. �©�-�/ LECTRIC IiNSPECTOR Check # ` a 'U4 'a 10627 d - - Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No.—10 10-b ?- 7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/071 (leaveblank 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: f City or Town of: NORTH ANDOVER To the Inspect r of W Yes: By this application the undersigned gives notic of his or her i ention to perform the electrical work described below. Location(Street&Number) t tr Owner or Tenant Telephone No. Owner's Address ji Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service ps �C�VO1tSOverhead Undgrd❑ No.of Meters New Service AmpslYolts Overhead Undgrd❑ No.of Meters Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: �- _� 4By 34 y Completion ofthefiollowing table 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- ❑ oo mergency Lighting rnd. rnd. Ba'tte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: •• •• --'---J_**.................... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal El other Connection No.of Dryers Heating Appliances KW Security Systems:* 'r No.of Water No.of No.of No.of Devices or Equivalent Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent a No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: C_) (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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and pe lties ofper'ury,that th i I t. n on this application is true and complete. FIRM NAME: 7 � LIC.NO.: �,� Licensee: Sign t e ` '�LIC.NO.: (If applicable,enter'exe ' nsf number line.) / 17 3 Z 3 0 0� Bus.Tel.No.: Address: - © Alt.Tel.No.: *Per M.G.L c. 147,s.51-6T,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE. S t� ELECTRSCAL PE+RM'T NO. INSPECTxONREPORT: ELECTMCAlGMSPECTOk2•-. _ VPassed USPCTION; =[ j Failed—[ j Re-inspectionrequirecT($50.00)-[ j ctors'coteJats: L.4• << h• n 8. (Inspectors'Signature-no iritiais) Date 2.I+'INA`C,INSPECTIOI�1; Passed-[ j Failed—[ j - T2e-5uspection required($50.00)--[ f Inspectors'comments: (Inspectors'Signature-•no initials) Date 3.UNDER GROUND INSPECTION: Passed—[ j Failed—[ j Re-inspection required($50.00) [ ] ` Inspectors'comments: J (Inspectors'Signature-no initials) Date .INSPECTION—SERVICE: - . DAT+C f IWD NATIOIRAI,CP i� ; NAMM Passed.—[; Failed—[ Re-iuspectionrequired($50.00)-[ j Inspectbrs'cornrm ls: (Inspectors'Signature•-xiolinitials) Date 5.INSPECTION-OTHER: Passed—[ j I+ailed—[ j_ -Re-insp ection required($50.00)-[ j Inspectors'conim.ents: (InspectorsSignature-no initials) Date DOOR TAGS ARE TO BE FILLED OUT AND LEFT ON SITE IF THE AREA.TO BE I SPECTED ISNOT ACCESSIBLE AND A REINSPECTION OF&50.00 19 TO BE CHARGED. The Commonwealth of Massachusetts 177 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* - have hired the sub-contractors 2 m r r r- listed on the attached sheet.t ❑Remodeling I a a sole proprietor o partner- ship and have no employees These sub-contractors have 8. F1 Demolition workingfor me in an capacity. workers' comp.insurance. Buildingaddition Y9 [No workers' comp.insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions � required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: ,. Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). w Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP.WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into an contract for the performance Y p ance of public work until acceptable evidence of compliance with the insurance i requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line.. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia ` Date..... y..../.. — d f NOR7M� 3�0.'�`"-:°a"0 TOWN OF NORTH ANDOVER % PERMIT FOR WIRING CHUS . This certifies that ../..VX.......�.................... ...... ................ .... . ...... ............ has permission to perform ...Aee ........ ?" ac.. �......................... wiring in the building of... ./.-7......,,5.< .................. at...,f. ......', f s........ .�..�.._.............North Andover S. Fee.A�............ Lic.No-.z Uzl. . ... ............ ELECPRICA� SPECTOR Check i 10-598 �mmonureaLth o� as�ac ¢ Official Use p0n1 Permit No. 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(MEC), 27 C R 12.00 (PLEASE SE PRINT IN INK OR TYPE A LMIOV-er TION) Date: / 9' City or Town of: j To the Inspe or o ires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)����,��1 Owner or Tenant � �o�eir a Telephone No. � O Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 4 /Q('/�--02 Utility Authorization No. Existing Service 2OJ Amps 1119 / 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: //7- Completion L / Com letion of the followin table mav 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 Swimmin Above In- o.o mergency Lighting g Pool rnd. ❑ rnd. ❑ Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of SwitchesNo.of Gas Burners 11 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kms, Security Systems:* Ballasts No.of Devices or E uivalent No.of WHeaters KW ater No.of BalNo.as 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 of le rical Work: �0 Cj (When required by municipal policy.) Work to Start: I / Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: 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:) I certify,under thepains and enaltie ofperjury,that the information on this application is true and complete. FIRM NAME: l— ` LIC.NO.: /= Licensee: Signablw LIC.NO.: (If applicable,enter "exempt"in the license number line.) Bus.Tel.No. 17 Address: _ �- -� Alt.Tel.No.: ` *Per M.G.L.c. 147,s.57-61, ec surity 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 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. $ f s � v /i //:rte 3 0 Date..f/3//.f.G'. .. . ... .. HOtt Try of °` TOWN OF NORTH ANDOVER • `PERMIT FOA-GAS INSTALLATION 'S,9SSAC MUSEtt This certifies that . .ger. . f l"4.'... . . . . . . . . . . . . . . . has permission for gas installation ... . . . . . . in the buildings of �'.�1I'��h. L t'. . . . . . . . . . . . . . . . . . . . . . . at ��. . .!. . !4 4- �f�-s . .(r=f���"� . . ., NorthAfiiover, Mass. Fee. �1-5� . Lic. No.21.eq-$7 GAS INSPECTOR Check# ZZ 7 8039 9292 Date. . NORM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� Q /� This certifies that . . . . . . . . . . . . . . . . . . . r. has permission to perform . . . . . . . . . . . . . . . . . . . plumbing in the buildings of`4L t f.U�'!7 !. . . . . . . . . . . . . . . . . . at. . .�,.�/ s'. .�G.r?` . . . . . . . , Nor- h Andover,; Mass. PLUMBING INSPE TOR 7 Check # Z ? S-N MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA. DATE /' ' PERMIT# lu ,JOBSITE ADDRESS �(� 171��LS �� OWNER'S NAME POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL❑ PRINT .NEW:❑ RENOVATION: REPLACEMENT:E]0 PLANS SUBMITTED: YES❑ NO ElCLEARLY FIXTURES 7 FLOOR— BSMT 1 2 3 4 5 6 7 8 9 10, 11 12 '13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIL/SAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER 0 D INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142. Yes El No❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW r 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 BOX ONLY: OWNER ❑ AGENT ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER NAME Peter J. Crane SIGNATURE LIC# 21805 MP❑ JP Q CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# g g Crane's Plumbing & Heating 70 Doti las Street COMPANY NAME ADDRESS: g CITY Haverhill STATE MA ZIP 01830 EMAIL annacrane.ac@verizon.net' TEL 978.771.1155 CELL 978.771.1155 FAX MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 44 CITY MA. DATE '" PERMIT# JOBSITE ADDRESSOWNER'S NAME GOWNER ADDRESS: TEL: I FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXUTRES 7 FLOOR— Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE { GENERATOR GRILLE LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER , ROOM 1 SPACE HEATER ROOFTOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER I INSURANCE COVERAGE I have a current liabil" 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 of coverage by checking the appropriate box below. y LIABILITY INSURANCE POLICY ❑ OTHER TYPE 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 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will bDp in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ` PLUMBERIGASFITTER NAME: Peter J Crane LICENSE# SIGNOURE COMPANY NAME: Crane's Plumbing & Heating ADDRESS: 70 Douglas Street CITY: I Haverhill STATE: riA ZIP: 01830 FAX TEL: 978.771.1155 CELLI 978.771. 115 EMAIL: annacraae.ac@verizon.net MASTER❑ JOURNEYMAN[3 LP INSTALLER CORPORATION❑#=PARTNERSHIP 0#=LLC❑#� `•ic,irr -w.-..=�1,;.,�, ,.:,.-•�:.;,...,�.Fy.-., vy�.:-:. i Location 67� No. Date o< kORTof TOWN OF NORTH ANDOVEF o: ��' .. .:•.ooh Certificate of Occupancy $ ` y Building/Frame Permit Fee $ AC E Foundation Permit Fee $ •x sHuS t Other Permit Fee $ �. Sewer Connection Fee $ cs Water Connection Fee $ u� TOTAL $ ,c k Building Inspector Y 7838 " � Div. Public Works PERJt1T r,&O. 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE i MAP h40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE I SUB DIV. LOT.NO. F- ill L CATION PURPOSE OF BUIL OVNER'S NAME ` NO. OF STORIES SIZE !J" WNER'S ADDRESS •7 BASEMENT OR SLAB -- ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN -- DISTANCE TO NEAREST BUILDING �J I✓ DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES _ / EST. BLDG. COST PAGE 1 FILL OUT SECTIONS t - 3 EST. BLDG. COST PER SQ. FT. T PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED -7 BOARD OF HEALTH StGNA U OF OWNE R ENT F E A*S PLANNING BOARD PERMIT GRANTED 19 / 'b ✓ OWNER TEL.#1%-$3_ ?V76 BOARD OF SELECTMEN CONTR.TEL.#_�/ -S�a CONT.R.LIC. we BUILDING INSPECTOR - z s BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SLORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY oFFICEs LOT LINES AND EXACT DIMENSIONS OF BUILDINGS.- WITH PORCHES, GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN, CONSTRUCTION 2 fOUNDATION —I $ INTERIOR FINISH CONCRETE d I 2 13 t ' CONCRETE BL K. PINE _ BRICK OR STONE HARDW D — PIERS PLASTER — DRY WALL UNF.N 3 BASEMENT 11 AREA FULL FIN. B M T AREA FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS II 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"✓D ASBESTOS SIDING _ COM/✓,CN VERT. SIDING ASPH. TILE ~ _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY - ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I---I POOR ADEQUATE NONE % g ROOF 10 PLUMBING GABLE HIP BATH )3 FIX.) _ > GAMBREL MANSARD TOILET RM. (2 FIX.) 100_ FLAT � SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO _ 6 FRAMING II i l HEATING ., WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W T'R OR VAPOR r WOOD RAFTERS _ AIR CONDITIONING y5 - RADIANT H'T`G UNIT HEATERS 7 NO. OF ROOMS GAS OIL d B'M'T 2n _ ELECTRIC 1st 13rd I NO HEATING pRT r o Of o No• 003 yi ice._ a f flrt, dover, Mass., 19 O `- LAKE COCMICMEWICK RATED PP �;0( BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT S ............................................ Foundation has permission to erect..�!P�P./.gtP�r&► ....... bui 1n on ...................... �.. Rough W4 Chimney to be occupied as........,�.e 5.. ......../ a.M.i. ................... . .........R� Aa..t�.�l.trl..f..... (i.Y,. .. ..... provided that the person accepting this permit shah 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N STARTS Rough Service ......... .......... ..1....... . .............. 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT � 1142 KEEN CONSTRUCTION CO. 0PAROPOSAL n 21 HEWITT AVENUE ®� NORTH ANDOVER, MA 01845 508) 691.5201 N A R I All home improvement contractors and subcontractors Tel: ( M E M B E a engaged in home improvement contracting, unless Fax: (508) 682.3231 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with Submitted 1 the Commonwealth of Massachusetts. Inquiries about To: � :..+ ...._. c _ -.c.,� __ registration and status should be made to the Director, `r r Home Improvement Contract Registration,One Ashburton Place, Room 1301, Boston, MA 02108 (617) 727-8598. Owners who secure their own construction related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. PHONE DATE REGISTRATION NO. (n T-,-2) +. MA. H.I.C. 108383 JOB NAME/NO. JOB LOCATION > I We hereby submit specifications and estimates for work to be performed and materials to be used: I ..................._..........._......._....}.......................................-........................................_-._.................... ................_......................................................................................................._............................ ` ... . .i�)���._c ...�._i IV ►�_G �_t:�)�...�E�<:..�..t Y)-L.�t1�t �)..+..!�r�tJ s�) Imo, ..... ......................................... ..................................................__._........_.._..._._....._.._........................................................................................................................................................................................................... `r F ............................................................................................................................................................ .................,............_.............................................................................................................................................................................. ................................................................................................................................................................................._._.._.. ................_._.......__...................................................................._........................................................................................................................................... i ............................................._........_.....,....................................................................................................................................................................... ............_..........._.......................................,,............................................................................................. ...................... ..................................................................................... d .............................__..........................................._.................................................................................................................................................................................................................................... t ... ........ ......... ........ ...... ... . ...... ......._.... ........:_................................ . ........... > Construction related permits: L _....................._,,......,,,..................-"",,,,,..,,..,.,",-,,,.,......,,,.,.,.....,...,,...,.......,,.............................,.......,............,..,...........,,,..............,....----.................,,,......,,.,,,.....,,,,......,.,,,,,......,,.......,........,,,..,....,.,..........,,..,,,,....__,,......,,.,,,,,,.,,.,,,...,,_,...__....__.....,.,....,,....,.. _....................................................................................................................................._..........................................................................................................................................................................................,,.........,.............,,,,,,,............_,.......,..,,,.,,,,,,,.,,,,,,,.,..... ...,,,...,.....,.......,,,_,.,,,,,,_, WORK SCHEDULE j Contractor will not 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 the work on or about (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 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. We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of d JS �1 11Ct,�� r�it� fJ '�ir �i� e :� ` dollars($ �j ""r ) Pay e t to be made as fol>lot % ($ j upon signing Contract; `� `� KENNETH B. KEEN Name of Contractor/Designated Registrant ($ ) upon completion of 21 HEW ITT AVE. Street Address %-($ ) upon completion of NO. ANDOVER, MA 01845 City/State 7% ($ shall be made forthwith upon 508-691-5201 508.682.3231 completion of work under this contract. Phone Fax Notice: No agreement for home improvement contracting work shall require a >down payment(advance deposit) of more than one-third of the total contract price Name of Salesman or the total amount of all deposits or payments which the contractor must make, in F A !•, advance, to order and/or otherwise obtain delivery of special order materials and Aut ze gn tore equipment,whichever amount is greater. Nate". This proposal may be withdrawn by us if not accepted within days. I Acceptance Of Proposal -I have read both sides of this document and all attached documents and accept the prices,specifications and conditions stated. I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer, may cancel this transaction at any time prior to midnight of 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 Date Signature Date • IMPORTANT INFORMATION ON BACK NOTICE OF SCHEDULE CHANGES The Contractor agrees that wf-c- oefay-,, buc:^ne krio,tm to the Contractor. the Co-tractor will advise the Owner as soon as is reasonable. DELAYS IN COMPLETION DUE TO HIDDEN CONDITIONS The Owner hereby ac%nowIecges .-ij ic iq k;e5 It lal in Ce;',d1r: r3aioci0rg work, the demolition of port.ors of the pre-existing structure may revea' addition,ii (onoit on% or tne reea for additional work which must be repaired altered or car- ried out it order to clii-imuni-c c, !n corrovllr, t-c -,ork de,cribed under the confiact. In such case(s), the Owner agrees that the price, duralioii ol t:-e %,v,,,k end •hc nate of completion, may differ from the dale stated on the front, and that SUcr, var!avor, whicf t is -ct avo Aa,c by 'he Curtf a�Aor snall not be considered to be a violation of this contract, ADDITIONAL WARRANTY INFORMATION All warranties for equipment si..r0ed 1)y the Contractor under this Agreement shall be those given by the manufacturers of such equiorrieni, which shat ri,- .;, d ,*lE, !`W ll tn!' Ugh directly to the Owner, Under SL)Cn manufacturers' war- ranties, the Owner may be (c,,41, :i,.,,i tc !,;,;slof ill if', J warranty card or other evidence of ownership and use of such equipment in order tl.) actjvale., suct, %,,i r(V° 'lie Ove-er't, fallure to mail in or register such documentation, which failure voids the manufacturers vvat-oy to 3t-yrPssc: for the Contractor to warranty suer. equipment. The warranty gives the Ow-P., :,pcc :ir. wi :-p Owner may also have other rights which vary from state to state. Under Massachusetts law, sale,, r ! -.il, curry :,in rqr:.f=d warranty of merchantability and fitness for a particular purpose. All materia' is guaranteed t_- br. ,iz- }k_" 1s., bc completed it a workmanlike manner according to standard practices. Any a!terat'on or ir,volving extra costs v0t be executed only upon written orders, and will become an exl,i a, 4teerneqts confing gent upon strikes, accidents or delays beyond our control SUBCONTRACTING Contractor agrceS t a I f Vw,' d A:q ( il C!_lt f; and;or labor between Contractor and a third party, Contractor is relsponiio,e tc ic: 'Akt . r, I.— I `;J in a timely and workmaw ke manner. NO ACCELERATION OF PAYt,,+NTS BtJ I F.,SCP0VVING ALLOWED The Contractor rt ay not to .,c ,Jr,(-. - 'e Uf t;',,c *;,res specified in Payment Section (front` for the reason that he deems rwrs!"rf jr 'nn P,1,11 (I IS '�i, flbi)(,Ure if, 1,owever. he deems himseif to be insecure he may require, as a pretecjL,slle 1- 'Ing ",c "%rcin. (fat fly,e balance of the payments under ths cortract %lat are in the control of 'h(,, Ovilici _ _11t 1)0 C. Cr 40 Ot acoo,irt tnal iequorcs the signature of both the Contractor and the Owner for wrtriclrati,val. INSURANCE Contractor will be responsible to Owner or any third pa�iy for any property ckirnage or bodily injury caused by himself, his employees or his subcontractors in tre performa,-ce �-,f o,as a rersuiit of, the vork Under this Agreement. Contractor agrees to carry insurance to cover sucf, damage or injury. CONSTRUCTION RELATED PERMIT ACQUISITION The Contractor under prov,s.:), cl Ciaptoi 142A of 'he General Laws is req,dired to apply for and obtain all construction- related permits The Contractor shall -iot be doemed responsible for delays in the work described in this agreement caused by regulatory. permit granting or inspectior;a' agencies. agencies, authorities or individuals. Notice: If the ©tamer obtains his ovi.in construction-related permits for the work described under this agreement or deals with unregistered contractors, the Owner is hereby advised that in the e%.,ent of a dispute, judgment and nonpayment of the Contractor, the Owner will not be en'tilizid lo rriu%e a claim to or collection from the guaranty fund established by Chapter 142v, MODIFICATION This Agreement. inciuding tne prGvuons ie at ng to price and payment schedue cannot be changed except by a written statement signed by botr, Contractor ar-,d Owner Howeve r cancellation by Owner is allowed in accordance with the Notice of Cancellation COMPLETENESS OF AGREENiENT FOR EXECUTION The Owner is hereb:1 advised that he should not sign this Agreement unless and until all blank sections have been filled in or mar.hed as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated heroin are attached horato. COPY OF AGREE10ENT TO BE GIVEN TO OWNER This Agreement is governed by tl Laws of Massachusetts. It must be executed in duplicate and an original, signed -opy hereof given to the Owner a' the .1ime cf execution, No work ander the Agreement shall begin prkor to the signing of the Agreement and transmittal to the Qv4,ner of a copy ti-,erecif Date. HO oTh 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION S y,SSACMUSE�t This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . in the buildings of . ./4,1/1/1 /!�m . . . . . . . . . . . . . . . . . . . . . . . . . . at C,-1 . . . . . . .�—.Nor�h Andover, Mass. Fee. �1 . . . . Lic. No.. . . . . . . . . . . . . . . . . ,.i /AS INSPECTOR " Check# L/ ? V 4222 .r� MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date ( Z- Z-0 C Z_ NORTH ANDOVER,MASSACHUSETTS Building Locations �!` ` 141 Permif# y L L t Amount$ c�U Owner's Name New Renovation Replacement Plans Submitted 0 z c SUB-BASEMENT ' BASEMENT ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR STH . FLOOR (Prim or type) - ' Ch*one: Certificate Installing Company Name Corp. Address v �2-V y Partner. M z i �G3 Business Telephone " 17 F 6 P 7 3 U (F Z Finn/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0 No[3 If you have checked M please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 0 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 r-3Agent ❑ t hereby certify that all of the details and information I have submitted(or entered)in abyve application are true and accurate to the best of my knowledge and that all plumbing work and installations ed under P it Issued for this application will be in compliance with all pertinent provisions of the Massa s Sta Gas Cod nd ter 142 of the General Laws. Signature of I icens Plumber Or Gas Fitter Title ByPlumber 109 73 City/Town Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) ❑ Journeyman