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Home My WebLink AboutMiscellaneous - 555 FOREST STREET 4/30/2018 (2) 555 FOREST STREET 210/106.8-0046-0000.0 6/17/2016 Date: June 17, 2016 20546 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/20546 TOWN OF NORTH ANDOVER �� 'B PERMIT FOR WIRING �u D This certifies that Bruce A Davis has permission to perform attach (36) solar panels to the rear roof of the house wiring in the buildings of STONECIPHER, TIMOTHY at 555 FOREST STREET , North Andover, Mass. Lic. No. 20699 1/1 i Location S-5 5 S No. -� 7 Date /0 -16-00 ,.ORTq TOWN OF NORTH ANDOVER O? ° • 0 ' Certificate of Occupancy $ t��' Building/Frame Permit Fee $ sACMUS Foundation Permit Fee $ Other Permit Fee $ Q TOTAL $ Check # f r ' Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING r1lt BUILDING PERMIT NUMBER: DATE ISSUED: 1 ®� SIGNATURE: Building Commissioner/1for of Buildings Date SECTION 1-SITE INFORMATION z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O job o4yea Map Number Parcel Number (� C 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Dii6ca 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.L.C.40. 54) 1.5. Flood Zone Infomnation: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 1 Cl` TiJ dy 014,e e 4,ss Name(Print) Address for Service GN Sign Telephone 4/9de ^� 2.2 Own r of Record: V Name Print Address for Service: z Signature Telephone SECtION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: Q 2 7 V.0/2 O CG P Ce e / 2),Z V0 License Number on Address7-1w1 _ 2001 Expiration Date ic �Signa�ure Telephone �... 3.2 Registered Home Improvement Contractor Not Applicable ❑ v _5'A r e 'Is 4L de) B Company Name I/Jp514� m Registration Number r Address Expiration Date z^G) Signature Telephone 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.......❑ No.......0 SECTION 5 Description of Proposed Work(check all a Hcabte New Construction ❑ Existing Building' ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: // CXI sTi u 6- 4eme)deZ k1%C1I -- elltge /cIle ej. �bu/&)q R&Im ChfJ-?~.i7` W1 A-do W lu-V c�i`/if.1 e &II;�C e 46�9 V Acxi,rt ,tJe uJ CA 6i�e.TS SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USS,C?NLY Completed by permit applicant µ 1. Building ,0 (a) Building Permit Fee tai 00' Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection C 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, 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 the foregoing application are true and accurate,to the best of my knowledge and belief r ,del sLAN G Pri e y 41^ ey -Signattffe of Owner/A gent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1ST2ND 3 SPAN DIMENSIONS OF SILLS DM ENSIONS OF POSTS DEMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Page No. of Pages Proposal STEPHEN M. KEISLING Building & Remodeling 68 Glencrest Drive NORTH ANDOVER, MASSACHUSETTS 01845 MA Lic. 027489 Home Impv. 101846 Phone 682-2072 PROPOSAL SUBMITTED TO PHONE DAT JT4SJOB NAME CITY,STATE and ZIP CODE JOB LOCATION ARCHITEC DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: d `2c=cc�r`L .. y_ 73 �/ ��✓� J 2 .......... Qom....._ ................................................... .................. .............. ........... �....�.....E..�_..�............./7�`.........�...�.I..y...r. ..... r. ...•.iC f 1�SA t � sir ... ..� .............................3...r',�,': �-Q-� ........... .,.'lyt'E�.,/l�J.. ._......_...e.. KJ �•.+G� ..... ......... ............................................................................... ..._..................:......r.6........... r................................ .... . .............. ............ 1".." .... �.. .:..:J..... .CT ...LC 'CLcJG2r�iL ..... / /YGGalvte- h R/iG.... �+G 'ov' /�^^�. ...... 4-61 101 fi, Gtr-e^ 1/zc� ✓N.C 'o ..._1 ................................_ ..✓r�tr 1 • ems/ 7� cc JJ 7.............................................................. ........................ ............. ................_ ..................... ....... wWP�1W .fir— .../aP "C.Vt.J.l.�G.� �✓t%'� !(tc� .Yr /�/�/r/ ............................................................................................................................................. / QJ ........................................'. ................................ .... .. ........................... . Or proPOSP hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: ). Payment to be made as follows: dollars($ 4.LLZ��yc.� ..G-r�G�Gtr�Gt:�. ��i�2:�r�!l.c-s�.ar - �✓ �,�., 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 Authorized involving extra costs will be executed only upon written orders, and will become an extra Signature ` tt✓��CCC charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. Note:This proposal may be Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. APCrptaurr of Proposal —The above prices,specifications �. and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as utlined above. Date of Acceptance: Signature 51 OKBOOKS 38 421 6 1 D2 28 30 rvaT: 3212 B1 B1 8 84 O 3 24 3D_ -- — BTR09'--------------- IBM21 34R 34 60 ------------------ --------- i 521 BSC 7 B1 D 1 O '34R 15Q -' s ; r ISH. 11 W3930 34 4D15 O ---------- O 65 1 BRD 34 B1D1534 ❑ ❑ 61D1534 6" REF-3D F 32 W361524 30 0 WAHH2448R W2730 W3018 W1530L 4 8 1384 Dwg no. "= All dimensions&size Scale:1 2 V Design:05105/00 e designations This is an original design and must Date :06/02/00 given are subject to verification on not be released or copied unless JUDITH A GIARRUSSO job site and adjustment to fit job applicable fee has been paid or job 555 FOREST ST conditions. order placed. Designer NORTH ANDOVER MA PAT PALMESE I • i` LARATIONS Farm CONTRACTORSCADVANTAGE SPECIAL PAGE 1 Family POLICY NO. 2005XO431 Casualty Insurance Company ® Glenmont,New York NAME OF INSURED AND MAILING ADDRESS: AGENT NO. 2591 OFFICE NO. 2591 STEPHEN KEISLING JAMES W UGONE 68 GLENCREST DR FARM FAMILY INSURANCE N ANDOVER MA 01845-1315 10 S MAIN ST STE 208 TOPSFIELD MA 01983-1832 978-887-8304 RENEWAL TRANSACTION EFFECTIVE 03/21/00 POLICY PERIOD FROM 03/21/00 TO 03/21/01 12:01 A.M. STANDARD TIME AT THE LOCATION OF THE DESCRIBED PREMISES THE NAMED INSURED IS: INDIVIDUAL BUSINESS OF THE NAMED INSURED: CARPENTRY-NOC LOCATION OF DESCRIBED 68 GLENCREST DRIVE PROTECTION CLASS IS: 04 PREMISES NO. 01: N ANDOVER MA 01845 CONSTRUCTION IS: FRAME PREMISES 01 BLDG 01 BUILDING MATERIALS / EQUIPMENT STORAGE BUSINESS PROPERTY COVERAGE: LIMITS OF TERM ADDL/RTN INSURANCE PREMIUMS PREMIUMS BUILDING 0 0 0 BUSINESS PERSONAL PROPERTY 5,000 74 74 BUSINESS INCOME AND EXTRA ACTUAL LOSS SUSTAINED NOT EXPENSE EXCEEDING 12 MONTHS INCLUDED INCLUDED BUSINESS LIABILITY COVERAGE: BUSINESS LIABILITY - PREMIUM IS SUBJECT TO AUDIT BODILY INJURY/PROPERTY DAMAGE 500,000 PER OCCURRENCE 1,000,000 AGGREGATE 500,000 AGGREGATE FOR PRODUCTS - COMPLETED OPERATIONS HAZARD MEDICAL EXPENSE 5,000 PER PERSON FIRE LEGAL LIABILITY 50,000 PER OCCURRENCE CODE DESCRIPTION PAYROLL TERM PREM ADDL/RTN 91342AA CARPENTRY-NOC 15,600 276 276 THE LIMIT OF INSURANCE FOR THIS BUILDING SHALL BE AUTOMATICALLY INCREASED BY 5% ON AN ANNUAL BASIS DURING THE POLICY PERIOD. ACTUAL CASH VALUE (ACV) - BUILDING OPTION DOES NOT APPLY. DEDUCTIBLE: $250 DEDUCTIBLE APPLIES EXCEPT WHERE NOTED IN THE POLICY OR ENDORSEMENTS. COUNTERSIGNED BY: BF 30 05 01 98 IN`'O ED COPT PROCESSED DATE: 02/14/00 � � ✓fie �aonmwnusea�ffi a�✓�aaaacfucaelta BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS\ 027489 �} B rthda a I07l161-1953 xi; zj 7 + . Expires 07i16720Q1 Tr.no: 11352 To: .00 STEPHEN M KEISLING� 68 GLENCREST DRQ-7!� . N ANDOVER MA1 0 845 " Administrator HOME IMPROVEMENT CONTRACTOR Registration: 101846 i Expiration: 6/24/02 Type: Individual STEPHEN M. KEISLING Stephen Keisling 68 Glenncrest Or. \ ADMINISTRATOR N. Andover MA 01845 i 1 NORTH o • o Andover No. 0 0';a' 7 T-7 low. I (eft- CD 0 A-o�A o��,� �,y over, Mass., "?ATE BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D THIS CERTIFIES THAT...qz%Aq........G- .1...a&..............r*N BUILDING INSPECTOR .... .... ..... ..... ...... Foundation ..... ........ ............41PO.1k 4 4(� has permission to erect....ANI.W. ... buildings on ......T..C...*T ................................. ..... Rough 0.... Chimney to be occupied as... 3......W.1".0b.0%M% .............................................................. 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. W% 10(1a P 44G 4 S 4 s PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMU EAP MES IN 6 MONTHS Final ;4 ELECTRICAL INSPECTOR UNLESS STAP,,;;S Rough .......................... Service BUILDING 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. SEE REVERSE SIDE ��. ,,, -_,x �...,-e .�'r:`r i;`,tsor /�-a' F,...�RSP «. -•,..sA.,t.,,;1,. ,.,..,-ts Date. y- .= 3860 NOR, , a TOWN OF NORTH ANDOVER rV: O '° PERMIT FOR PLUMBING 3 r►� °+,r.0 SSMC USES ,__;• This certifies that . ! '?��'. . . .�� .r/ . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . .Lk.14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . .6./`?/.3.L?f s u at. S^. �. . 1^� ?�. -. . . . . . . . . . . . . . . . . . ., North Andover, Mass. PLUMBING INSPECTOR 11!03!98 09:58 15.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING WMt or Type) Mass. Date %�-��3 19 qB Permit # 3 9 ,,�� Building L.ocatlon SSSS /co,e�S f fT Owner's Name��i /�.�zl�SSd Type of Occupancy, diel New ❑ Renovation ❑ Replacement C9 Plans Submitted: Yes❑ No ❑ FIXTURES _z z rn z x < N r. p1 J N O Z F W W W x J N V N O O y Q ¢ H Z v1 < trcc V) Z O Z a � J N N p Wt- S ¢ < W N Z C d C < a 3 ¢ W o D W< N ¢ < W N ¢ -1 Z a G '' C W I < 2 � � O Z 2 3r Y d CO H < Y < W Y. x W H V > 1- O x a O 61 1- x O O N z .W h• O v I < < < I < <10 < J .j < ¢ ¢ ¢ < O < F- > ac m rn o o 3 " o a < 3 c m o SUR—BSMT. BASEMENT 1ST FLOOR 2NOFLOOR 9R0 FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company NameMAlC •Plynfr`iirc 4 14?7 4 iC• Check one:. Certificate Addre • 13 Corporation _ �!ay . /�7 Iq • O.LI 9 ❑ Partnership Business Telephone G/7«7 7.3 — 93( ❑ Fimt/CO. Name of Licensed Plumber INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. 'Yes IV No O II you have checked Les, please indicate the type coverage by checking the appropriate box. Alliability Insurance policy ❑ Other type of Indemnity - Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee dies not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature or tnls permit application.waives this requirement Check one: Signature of Owner or owner's Agent _ Owner ❑ Agent❑ I hereby certify that all of the details and information I have submitted(or enterer:.h above application are true and accurate to the best of my knowledge and that all plumbing work and installations pe under the pent issued for this application will be in compliance with all Pertinent provisions of the Massachusetts Stale Plumbinaltode Chapter 142,t the General Laws. BY Title Srgnalur Type of=se- CityfTownter x Journeyman❑ 1 S NL Ucense Number_ 7'f S BELOW FOR OFFICE USE ONLY 14SPECTIONS SKETCHES � PROGRESS INSPECTIONS FEE ' NO. APPUCATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMB;t.0 INSPECTOR