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HomeMy WebLinkAboutMiscellaneous - 55 BRADFORD STREET 4/30/2018 / 55 BRADFORD STREET J 210/061.0-0024-0000.0 6082 Date..... ....../. ' NORTM TOWN OF NORTH ANDOVER ° PERMIT FOR WIRING ,'sSACHUS� _ a This certifies that ...... ............................ has permission to perform ...... c e-L—A...................... wiring in the building of-.'-.H. ti ..... !- . ................................................. at....s.� ....... ............... ,North Andover,Mass. r Fee- ' .............. Lic.fico. ht .' ... TR.IC.�� �.... y ELECfRICALINSPECTOR Check !t J. Commonwea Cif of klass'aco8usettA :r' Official t"'i IV __......._.._.� i a; r2 ' � !'trrltt 1`0. �6 !T � Department of Fire Services r s. I ( cupattey and i ee Checked, �J BOARD OF FIRE PREVENTION REGULATIONS ,. I lm)) (leave-blank.) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK :Vl work to be performe i in a,a=eTrdanx vvith the�[363-1J1usctit Elccui:al Ccxlc(%H? ,i 17(:MR 12.00 (I'LL,4SE PRINT/N INK OR TYPE ALL INI URA•L4TION) Date: City orTown of; �rET7>< f}.t,/Dioj/prL, 7u the Iizs _i �rIYire BY this application the undersrgneu gives notice of Ills or Iter intclltion to lxsfortrr die vlectrical work sescr1bed bciu ti•. Locs,tiora(Street .4r gttltrlber) O -mer or Tenant f0at,nLAAe O. -Cl-7 -���� QJt� T le liotne iso. _ Owner's Addt�ss55 - t� �1 vJ ,j Is this penriit in conjunction will,a building permit'! Yes D, No ❑ (Cherie Appropriate Bars) Purpose of Building ,p Utility r°uthotiL ation No. Existing Sen-ice�t1sG Amps 12,0 1 Volts Overhead �. Undgrd❑ No. of,Meters � New Service Aat,px 1 Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders:and Arnpaciiv Location and Nature of Proposed Electrical Wotl:: �eW J .� Af4Q (V 1 /e4-J Dec-41, fn/ST»-i/ 6o�9ry S Cpnrnletra,r of t!r¢jcallc,rt'uT table m,ry be waiwrl by the Jnr ctor of if•ires. No.of Recessed Futures No.of Ceil.-Susp.(Paddle) Fans t o ° uta Transformers 101,-l�� No.of Lighting Outlets No.of Hot Tubs Generators KVA No,of sighting FIxtum. Swimming Pool ° �ovc � n' ❑ t o,o thergency i ,ng ,vel, Ivrti. Ballery Units No.of Receptacle Outlets 9 No.of Oil Bu,rum. FIREALARMS No.of Innes No.of Switches No,of Gras Burners No.of Detection an Initiatin Devices No.of Ranges No.of Air Cond. Turps No.of Alerting Devices No.of Waste Disposers Heat � um er ons KW N—o. Totals: DetectiordAlertin Devices j io.of Dishwashers Space/Area Heating KW Local �] un! p ( Other Connasction No.of Dryers Healing Appliances !CW Security sternsi No,of'Devic+ex or Equivalent o.of water KW o.u o.o Data wiring.� , l�'Ieaters S s Ballasts No.of lkvices or Equivalent No. Elydroummge BathtubsNo.of Motors 1'otr,l ISI' a ecommata,cat ons irmg: OTHER.(/) Na of Devices or Equivalent 60om 1a�/a yo vo tom' sN�, P e"L :1 - Roach addwonat detail tf dwired.or as rerpared by the Irspector of f?<'iru. INSURANCE COVERAGIE: 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 sane to the permit issuing office, CHECK ONE: INSURANCE A BOND ❑ OI'T-IIrR ❑ (Specify:) Estimated Value of Electrical Work: r (Expiration lutea (When required by municipal policy.) Work to Start:5U&.lou_Uy Inspections to lx requested in accordance with NEC Rule 10,and upon completion I ca dfy,under the pains and penalty of perjury,that the infotmad n this tgrplicvtion is erne cord corer Iaa FIRM 1VAIVTE: t t K.! _ LIC. NO.:�jZ.r Licensee: MOL Signatum ' LIC.NO.: �p (If applicable,enter•'exempt"in the licertre 7line.) Bels Tel No.: - fJ - 9-81-300,6 Address: l t N (� ® Alt.Tel No.:t_ OWNER' INSURANCE WAIVER: I a aware that the Licensee does rtet fuive the liability insurance coverage normaRy 7' required by law. By cry signature below,I hereby waive this requirement. I am the(check cite)Q owner ❑owner's agent. j. Owner/Agent signature Telephone No. [PERmi r FEE: $-S f i CommonweFtt I h of Mass s. qchusetts -Lvx; nent of Fire Services ervices No, BOARD OF FIRE PREVENTION REGULATIONS I I/Cx) blank-) APPLICto be ATION FOR PERMIT TO PERFORM ELECTRICAL WORK "J (PLF-4-SE I �illl The MA�ujlwcth MccuizJ1 )I?1jV7.1Af1NK0R 7-YPE' -ILL 1,,V/;-0jtVZ47,j()A,) GXIFr).527('&fjZ j2j,�u City or Town of; / this application , Date: ale under 8.n �_44 sl ed ziv P lie ITn"Oryf2_1 , L es'10110e0i'llisor To the IS eck r o "Mres: Loeld'on(Slfvet &Number) rz —il�M�itloll to I)CIturill ale elec (11cal, ".�Jle�'"j ............. OwnerorTen;,ni Owner's Address Is lephone No. 7 'U-z9this permit in eonjttnelionwithahu,ld,ngp:rn'ij? J '5 Purpose Of Building es Non '0-Da el (Check ApprolpriiteExisting S"ni'. Utility Authori, lionNo. olts Lem—sa—vice 0"Clilead UndrdE- Overhead j No. of,�.lvtcjs Number of Fecders and -Unpacif ❑ Undad❑ No. of,%,- Y eters Location and nc�41 work. Nat'Ur'Of Proposed Electrical Work: - & 1�e SI-71/Y-- :4 8-1 A Atv IA151 No.of Reecs,;cd Fi_xturcs No. C01?;P1etj()?j of 111e.10 0"D mal, No.of Lighting Outlets Transformers nins 1 0. of !CtOr 01 Wire.� Transformers ON of Lighting FIxtum No.Of Hot Tubs Generators A KVA SIvi-alming POPoolove n- L 0.0 El. arnd. Batten Units e of Receptack outlets merg nev ig jag 1,10.Or VII Burner Battery 0. Of Switches FUZE ALAXN-1S No,of Innes No.Of GAS Burners D.of Ranges efect Ran - Init; ­­Devices No. of Air Cond. ota — Of Waste 13j3poxrs Tons NO.of Alerting Devices eat um ter ons Of Dishwlmhers Totarl: 0.0 DelEction/Alytin D SPacdArea Heating KW of DrYors "10 , Unicip 0 stet Heating Appliances KWbecunty Connection El other • Heaters KW 1 0.0 No.o steins: 1 0.0 evices or Equivaletir 0,Hydromassage Bathtubs S s Ballasts Data No.or M No Q1Or3 fees or E Total up c ecommunIcatious Uivak-nt — N I o.of Devices fring- " 2 314 Ai e.L- or E uivjijL.nt .................. ISURANCE CCVEPA(;E: 1 11'':" b licens U11'ess Ivuived by the owner . 0 il�(dejred. as re tired -�ej;.Or -wiret ee Provides Proof of liability insurance 0 permit for the c'.()f tile Ila Cj klers'gned certifies that such coverage u1cluding"C'Wleted operation"co electric- Work V Issue unless is in force,and Imi exhibited proof of&Ulle to 'gp or substantial equivalent. Ille NECK ONE: INSURANCE. A 1301 E3 OD-IER0 the issuing 011,1c". Iti'mted Value of Electrical Work: (Specify..) -2- ork to SW: (When required bymunicipal policy) (fficl�rauon Dat.' Inspections to IV requested in acco 6L,c;a* Underthepaim andpaumes 0fPeV.UjY"(haj rdance with NIEC Rule 10,and upon cornplet,OIL NAME: - PUd",On s Inle and eOj?T1 7 the inforwxio",jh',�r 4F e're Licensee: 01 f WOPPficable. we, LIC. No.: ,,,np, Uee". Signature -13a. 11 ft—, Add ren: I I in the liceme 16te.) LIC. No.: .1Z, 11). 'U NS 1111'"EP- la awa •re Alt.TeL No.- OWNER' Bus Tel N required by law. By iny signature below,I ret that Licensee .-1-Covera *vena. -3.o vA�, OwneiYAgent creby the lia 14tv waive this rcquirerueru Signaturt, am the(check one)❑Owner 0 owner's agent- Tekphone No. PERf1rlIT FEE: . y° i o et a -z - ..s ... y..;. -o-.+, -..,-.,.,,��,�.:•.!-'_ .•�Y:� n..,,h.-. ..,,^sem . f Location No. Date 4 © s �oRT� TOWN OF NORTH ANDOVER o x . 41 Certificate of Occupancy $ CH�s t� Building/Frame Permit Fee $ a o Foundation Permit Fee $ Other Permit Fee $ TOTAL �. Check # �3a� 18573.F '4 _,/building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMO�LI■SSHHw�A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED. �- M D /6 ' o X SIGNATURE: E Building Commissionerilfor of Buildings Date SECTION 1-SITE INFORMATION —7 Z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O �3radre� cSf�-�f ffofA PodouA y 1,4A of?,V,5 "u" 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 R red Provided Re red Provided 1.5. Flood Zone Information: DishSystem: v 1.7 Water Supply M.G.L.C.40. 54) 1.8 Sewerage 1 Public 0 Private ❑ Zone z Outside Flood_ 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/ UTHORIZED AGENT 2.1O er of Record arrI4, �5 ra - (daLn e(Print) `' rJ � Address for Service: ti ,A dyer Aff tn,atur Telephone 4' t 2.2 Owner of Record: i Name;PnntAddress for Service: O Z Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 1 9* 3.1 Licensed Construction Supervisor: Not Applicable ❑ Da✓1d K a n 6/Qck u`IderS the Licensed Construction Supervisor: -- O �� � � Jn�'� J /_ _` p 3 License Number M Address (� l /L'/I J 033o 7q Expiration ate iC Signature Telephone r SEP 8 2 Qa .� 3.2 Registered Home Improvement Contractor Not Applicable ❑ v 6rkd Q &//d rte , BUILDING C D P Company Name 166(?7 7 RECE1 EB Registration Number r 7.• d 800kart Vol 'l �/0-0 �{� c �y _ Address � �� ' ®�JC7f�1o(Q6�j SEP 1 ��5 r' Expiration Date Community Dev iopment Z^ Signature Telephone 0 and Seri es SECTION 4-WORKERS COMPENSATION(M.G.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.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) ❑ 7dition ❑ Accessory Bldg. ❑, - Ddinolition ❑ Other ❑ Specify Brief Description of Proposed Work: a4ty add a-, >e SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONI:Y Completed by permit applicant 1. Buildingr7 �� (a) Building Pernut Fee c'/�(� /�m — 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 AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR.BUILDING PERMIT I, � aqo &1141", Calr�lkr�y{{aI/;as ner/Authorized Agent o subject property Herebv au e ` /Gt /Jh-r l i)C, to act on My beh_ t,in I ma er r tive Mwork authorized by this building permit application. o d5 Sim iatt of iter Date SE TION 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 Print Name Signature of Oi;mer/A crit Date I NO. OF STORIES SIZE BASEMENT OR SLAB SUE OF FLOOR TIMBERS I 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DiMENSIONS OF GIRDERS f 1EIGHT OF FOUNDATION THICKNESS n SIZE OF FOOTING X MATERIAL OF CHIMNEY IS I3UII_DING ON SOLID OR FILLED LAND IS BIAL DING CONNECTED TO NATURAL GAS LINE E NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL e 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined by MGL Chapter 111, S. 150 A. The debris will be disposed of in: 6a �ak- 1,S,0b1,SaJ — mor Lff (Location of Facility) Signature of Permit Applicant L'N®a o5 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector DESIGN REMODEL ' �' ' ��e �anvmanweaL/.� a�.-;l/faaaar✓z�ca� 00-35,000 cf enclosed space BOARD OF BUILDING REGULATIONS (MGL C.112 S.60L) 1A-Masonry only License: CONSTRUCTION SUPERVISOR ;I G-1&2 Family Homes ' Number: CS 048847 Failure to possess a current edition of the Massachusetts State Building Code Birthdate 08/30/1964 :.Is cause for revocation of this license,h. i �,1 jilt fled. Expires 08130/29ee Tr.no: 1575 Restrlcfetl: 1 G DAVID K BRYAN 7 RED ROOF LN#1 SALEM, NH 03079 i Administrator DIG SAFE CALL CENTER: (888)344.7233 t - y, �lL� U�OIYLy/7.0�/9.a/P.CLG� p��./I�LCZdJILC�LI[66�6 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR j before the expiration date. If found return to: Registrkiori: 106877 I Board of Building Regulations and Standards ExpwaCiIi 7/28/2006 One Ashburton Place Rm 1301 ?ype `Phvate Corporation Boston,Ma.02108 BLACKDOG BUILDERS INC DAVID BRYAN 7 RED ROOF LN 01 Salem, NH 03079 Administrator Not vali i ut sighature t•3xS3Nu�`., Did" ®QO t{ The Commonwealth of Massachusetts xt Department of Industrial Accidents U/flCC 0/I08SHOBdOIIS 600 Washington Street, 7 h Floor <<.- Boston,Mass. 02111 Workers'Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors A�alicant.informahan:` p " r41 lease PRINT eeiMY' name: address: c)tv state: zi hone# work site location(full address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel ❑ I am a sole proprietor,and have no one working in any capacity. ❑Building Addition ® I am an employer providing workers' compensation for my employees working on this job. LAcKDoG LD�RS, INC. company name: 4 t1 Q p �` address: 1 1 1� 1�CQi- �r1e. V h1 T 1 city: SQ1ew1 N 03d''1q phone#• Gn- 898- 68($ insurance co �eridl0� �Y15ur�nCe, policv# WCC ooV1GAO 4 . 3 ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company-names address _ city: phone#• insurance co. policy# Y Al company-name:'' address: city: , phone#• insurance co. Doliev# Attaehraddit�onal�heet�fnecessary,-;- �� ;. .: :- r � - �' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. 1 understand that a copy of this state may be forwarded to the Office of investigations of the DIA for coverage verification. /do hereby certi er the p 'n and p a ies of perjury that the information provided above is true and correct Signat Date Print name : ZrCL° E, /JI) Ad$ hone#_ &a63) 6 /g —09-6 official use only do not write in this area to be completed by city or town official city or town permit license# ❑Building Department ❑LicensingBoard ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#• ❑Other (revised Sept.2003) . .,:e� x.._.�:'..� .._.-...:..:�.._.,__._.,a:.. ..-w.: f:rs—_r__..-._.�•-�-- ...;..:_.:._, �.<::,::: z„a.:;sx- .._.,s U6/32/2UU5 THU 8:26 FAX 001/002 AC,Mm CERTIFICATE OF LIABILITY INSURANCE DATE(MMMOIYYYY) 06/30/2005 PRODUCER (603)669-0704 FAX (603)669-6831 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Infantine Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 5125 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Manchester, NH 03108 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Joyce Dunlap - INSURERS AFFORDING COVERAGE NAIL# INSURED Blackdog Builders., Inc. INSURERA: peerless Insurance 24198 7 Red Roof Lane Unit 1 INSURERB: Acadia Insurance Co. 31325 Salem, NH 03079 INSURER C: INSURER 0: 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. /NSR DD' TYPE OF INSURANCE POLICY NUMBER -POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CBP9869957 07/01/2005 07/01/2006 EACH OCCURRENCE s 1'000 OO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,00 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,00 A PERSONAL&ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 0 000,00 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS•COM P/OP AGG $ 2,000,000 POLICY PRO- - JECT LOC AUTOMOBILE LIABILITY BA9860458 07/01/2005 07/01/2006 COMBINED SINGLE LIMIT X ANY AUTO - (Ea accident) S 1,000,00 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S A X HIRED AUTOS - BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE 5 OCCUR ❑CLAIMS MADE AGGREGATE 5 5 DEDUCTIBLE S RETENTICN $ S WORKERS COMPENSATION AND WCA006920414 07/01/2005 07/01/2006 X We srAru-EMPLOYERS LUIBILITY R B ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBEREXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYE 5 100,000 SPECIAL PROVISIONS be!rnv E.L.DISEASE-POLICY LIMIT. E 500,00 OTHER DESCRIPTION OF OPERATIONS L4CATIONS!VEHICL /,EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - Various work throughout the policy term. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL ServAtt: Insuran Inc. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Att: Insurance Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 14203 Denver West Parkway Building 64, Suite 200 OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. Golden, CO 80401 AUTHOR¢ RESENTATN I ACORD 2S(2001108) FAX:. (866)280-9621 0ACORD CORPORATION 1988 Al BUSINESS CONDITIONS TO THIS CONSTRUCTION CONTRACT This Contract, dated 8/15/2005 is by and between: Corrine and Gerry Hall 55 Bradford Street North Andover, MA 01845 Blackdog project code HALL-6101-B (Hereafter referred to as OWNER), and Blackdog Builders, Inc. 7 Redroof Lane, Unit#1 Salem, NH 03079 (603) 898-0868 (Hereafter referred to as CONTRACTOR). Work will be performed at: 55 Bradford Street, North Andover, MA 01845 (Hereafter referred to as PROPERTY) 1. GENERAL This CONTRACT is for the following work and materials to be performed by the CONTRACTOR on the PROPERTY address shown above. The project is generally described as follows: Breezeway Remodel and Deck (Hereafter referred to as WORK) The CONTRACT consists of this document, any plans, the specifications, the Blackdog client package and the Construction Contract. (Hereafter collectively referred to as the "CONTRACT") 2. PRICE The total price for the WORK agreed upon is $28,172.85. Payment terms are set out below in Paragraph 6. This proposal may be withdrawn by us if not accepted within thirty(30) days. 3. STARTING AND COMPLETION PROVISIONS The WORK will begin on approximately 9/2005 and will be completed, absent unusual or unforeseen circumstances, on 10/2005 providing this CONTRACT and any related CONTRACT documents are accepted when presented. Projects requiring two contracts (one for construction work and one for bath or kitchen product) will not be slotted into the schedule until both agreements have been executed. The aforementioned dates reflect our present workload. Projects are assigned a slot in our work schedule as they are accepted, on a first come first served basis. These dates may move based on the completion time of the project that immediately preceded yours. 4. PERMITS AND APPLICABLE CODES; COMPLIANCE WITH LOCAL LAW a. All work to be done under this CONTRACT will be in accordance with local, state and county building code. The CONTRACTOR shall obtain all necessary permits and pay all required permit and plan fees from the CONTRACT sum, unless otherwise agreed. The CONTRACT price does not include any fees, which may be incurred to obtain a variance, if required. The CONTRACT price does not include any unbid items required by any local building official to bring the project into compliance with any relevant local, state and county building code. 08/15/2005 Contract Proposal-Page 4 of 21 I�- A �► c. Notwithstanding any manufacturer's warranty of any component, appliance, or system, no action may be brought against the CONTRACTOR on this CONTRACT for the performance of this work, except as provided above. 14. SEVERABILITY If any portion of this agreement is found invalid or unenforceable by any court, the remaining provisions shall remain in force between the parties. 15. ENTIRE AGREEMENT This CONTRACT consists of the documents defined herein, and constitutes the entire agreement of the parties. It can be modified only by a written document. OWNER acknowledges that he has read and received a legible copy of this agreement signed by CONTRACTOR, before any work was done, and that he has read and received a legible copy of every other document that OWNER has signed during the negotiation of this Contract.. SUBMITTED: _ DATE : Steph n Stuart 8/15/2005 Design Consultant Blackdog Builders, Inc. ACCEPTED: DATE:-/j Corrine Hall DATE: 17 `,0 Gerry Hall 08/15/2005 Contract Proposal—Page 12 of 21 • FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION APPLICANT �laC0 ���Ide�S �e- PHONE f�u3 64 LOCATION: Assessor's Map Number OW o PARCEL oc� li SUBDIVISION LOT (S) STREET Q,5 �r�Ard A �e�, ST. NUMBER OFFICIAL USE ONL PNSE OFT AGENTS: RVATI ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS 1 ✓� / TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD I CTOR-HEAL DATE APPROVED DATE REJECTED 1--""',sfp/ridiNSPECT6R-HiALTV DATE APPROVED b ftp ,v � DATE REJECTED_]7, < D COMMENTSZZ In PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE 8 2005 ROVISW9197Im BUILDING DEPT, MORTGAGE PLOT PLAN EK SURVEY EY 17 ROYAL STREET, LAWRENCE, M-A. 01841 TELEPHONE 508-975-1413 MORTGAGOR HALL DEED REF. W. IIeZ PG. ADDRESS OF PRINCIPLE BUILDING PLAN REF. RAY 4170 -- 55 C t��oKD s7-rz�E-r' DATE. OF INSPECTION. ltl— 3 td0m A I!4Z.42. 7. Pd 12 . tr io�.cLZ .4, lI A 0 � a o 26sW pul�U:l!JG kp .ALSc m � TRV�T,- MIr l o No. 1416 58 K SCALE 1" = $U' C329D2DT t NOTE: THIS MORTGAGE INSPECTION WAS PREPARED I FURTHER` STATE THAT IN MY PROFESSIONAL OPINION THE PRINCIPLE STRUCTURE/S AND ACCESSORY' SPECIFICALLY FOR MORTGAGE PURPOSES AND IS NOT Tp OUTBUILDINGS - CA►�t=or2iv.Gq WNb'Yy-I�IJIC.T" BE RELIED UPON AS A SURVEY. EK SURVEY ACCEPTS WITH THE SETBACK REQUIREMENTS OF THE LOCAL NO RESPONSIBILITY FOR DAMAGES- TO ANYONE OTHER-THAN ZONING. ORDINANCES". AND THAT THE SAID MORTGAGEE � AT NO ENCHROACHMENTS AND ITS ASSIGNS I N CONNECTION WITH OF MAJOR, ITS PROPOSED MORTGAGE FINANCING TO SAID MORTGAGOR. PROPERTY LINES EXCEPTS S SHOWN.EITHER Y AROSS RTIFICATION TO- ' lrl�9 .ep ALSO: INIS CERTIFICATION IS BASED ON THE LOCATION`OF SURVEYMARKERS nil. PROPERTY IS NOT IN THE 100 YR: FLOOD: HAZARD AREA OF OTHERS; AND DOES NOT REPRESENT A PROPOERTY SURVEY, THEREFORE ❑2. PROPERTY'IS 1N A FLOOD HAZARD AREA OFFSETS'.SHOWN ARE NOT TO BE USED FOR THE ESTABLISHMENT OF 3: INFORMATION•IS ISUFFlCIENT TO DETERMINE FLOOD: HAZARD. PROPERTY LINES. FLOOD HAZARD-DETERMINATION`FROM THE LATEST FEDERAL FLOOD INIMIPANM PATO IIAD DAAILI i Town of North Andover MCRTM Community Development and Services Division �a •' ° " '• �� o A Office of the Health Department 400 OSGOOD STREET ''►", , a'« North Andover,Massachusetts 0"1845 1c►n►s Susan Y.Sawyer,REHS/RS Public Health Director (978)688-9540-Phone (978)688-9542-Fax Date:,5�p j q 1 door' Address: 55 _�MA��,4North Andover,MA 01845 Re: Application for: D D I J Dear: J Your application for (j.Q C at �j' YC�(�i�'i'�has been reviewed by the Health Department. The application was denied on,,'3ap T a 00 52684 for the following reasons: 1. V Missing information 2. ❑ Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system To address the problem(s): If#1 is checked, please supply: a. Floor plan of existing and proposed addition-all rooms b� Certified plot plan showing house,septic system and proposed project in scale If#2 Is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project If#4 is checked: a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult an engineer to determine the flow capacity of the septic system. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, eviewer" J Cc: Building Department File BOARD(W APPEALS 688-9541 BUILDING 688-9545 CONSI=.RVA'FION 688-9130 NURSE 688-9543 PLANNING 688-9535 i NORTH TO" Of . _ 4Andover Or.��w'. Y�'4• �, .41 No. Ca == A dover, Mass., I� COCHICMEWICK �It ADRATE D `S BOARD OF HEALTH PERMIT. T D Food/Kitchen Septic System - BUILDING INSPECTOR THIS CERTIFIES THAT r�./! !... .... .r.~. ................ .................................. Foundation S' Bhas permission to erect...../J............R.......... buildings on ................................ ............................................. Rough to be occupied as D /ftN DIV e/... : � ........ . wChimney ....................... o 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. y y/a PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STAR S ELECTRICAL INSPECTOR Rough ... .. .. ................................ ... / .... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR DiRough splay in a Conspicuous on the Premises — Do Not Remove Fina, 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. W \ M \ \ _ Typical Stair Detail 36" Wide Four 2" x 12" stringers Rail on both sides 101-31 /211 Tread width 11'� Riser height —7" determined on-site Tread number determined on-site Stringers to sit on 6" concrete pad ° COPYRIGHT RESIDENCE OF: CLIENT APPROVAL: SCALE: NONE PAGE BY BLACKDOG BUILDERS, INC. GERRY & CORRINE HALL THESE PLANS MAY NOT BE DATE: DATE. USED IN ANY WAY WITHOUT SUBJECT: 5 WRITTEN PERMISSION OF DECK & BREEZEWAY THE COPYRIGHT OWNER DN v i DN .. i t COPYRIGHT BY BLACKDOG BUILDERS I RESIDENCE OF: NC. CLIENT APPROVAL: THESE PLANS MAY NOT BE GERRY& CORRINE HALL SCALE: 1/4"=1� USED IN ANY WAY WITHOUT SUBJECT: PAGE ! WRITTEN PERMISSION OF REMODEL THE COPYRIGHT OWNER DATE: DECK & BREEZEWAY DATE: 08/23/05 i ti I I : I I I I I I co I I 00 I \ \ � \ M \ co 101-3 1 /211 i. a � - COPYRIGHT R BY BLACKDOG BUILDERS, INC. ES I DE N C:E OF: CLIENTAPPROV THESE PLANS MAY NOT BE GERRY & CORRINE HALL A�"' SCALE: NONE PAGE ' a USED IN ANY WAY WITHOUT S U BJ WRITTEN PERMISSION OF ECT: THE COPYRIGHT OWNER_ DATE: •• DECK & BREEZEWAY DATE: 08/ 23/05 x fi c t t EI 1 1 IIr I I SCOPE OF WORK �• Walls stripped and re-finished. 2. Ceiling stripped and re-finished. 3. Carpet removed. 4. Laminate floor installed. 5. Iron railing removed. 6• Wood railing installed. DN Window removed, Patio door installed r!7 COPYRIGHT BYBLACKDOG BUILDERS, INC, RESIDENCE 0-F: BREEZEWAY THESE PLANS MAY NOT BE CLIENT /q P P R OVAL' VA 1 GERRY & CORRINE HALL L. SCgL USED IN ANY WAY WITHOUT S U BJ E NONE WRITTEN PERMISSION OF ECT. PAGE THE COPYRIGHT OWNER DATE: DECK & BREEZEWAY DATE: 08/23/05 4' . E M f TYPICAL RAILING DETAIL i f F RAIL HEIGHT 36" MINIMUM BALUSTER SPACING NO MORE THAN 5" 2" X 2" PT BALUSTERS FLASH APPROPRIATELY 2" X 8" PT JOISTS 1211 5/4" X 6" PRESSURE TREATED DECKING KING ' DOUBLE RIM JOIST JOIST HANGER AT EACH JOIST POST BASE LEDGER LAGGED TO EXISTING SILL 3/8" X 3 1/2" STAGGERED 16"OC �- GRADE 12" CONCRETE PIER 48" BELOW GRADE DECK _ , . R A MING ® d r . COPYRIGHT BYBLACKDOG BUILDERS, INC. RESIDENCE OF. THESE PLANS MAY NOT BE CLIENT APPROVAL: USED IN ANY WAY WITHOUT DERRY & CORRINE HALL cn WRITTEN PERMISSION OF SUBJECT. ALE: NONE PAGE THE COPYRIGHT OWNER DAT DECK & BREEZEWAY DATE: 08/23/05 M c