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HomeMy WebLinkAboutMiscellaneous - 58 BRIGHTWOOD AVENUE 4/30/2018 / 58 BRIGH'NPOOD AVENUE 35-pp00.0 \\ r2101 I I I �I I Date.777. .- ......................... kORTPI TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING C u HU This certifies that ..:�..'�t" 1-1 S��............... ..................................... has permission to perform wiring in the building of.....`.~.T /................................................... .......... ,North Andover,Mass. at ..........—.............. Lic.N �........ ....................................... Fee-:��'.............. or ELECMICAL INSPECMEC Check # 6546 The Commonwealth of Massachusetts °ifr`6"�/°n/" Permit No. y Department of Public .Safety occuWay&Fee Ct.ecsced BOARD OF FIRE PREVENTION REGULATIONS 527 GMR :00 3/90 heave Wank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3— ij 9- ©S6- To the Inspector of Wires: The undersigned applies for a permit to perform the electrical wA described Location(Street&Number) Ss� Owner or Tenant n Owner's Address P/ Is this permit In conjunction with a b ilding/perrrtit / YesLe No ❑ (Check Appropriate Box) Purpose of Building._k�' /�1112L/� �11> Utility Authorization No. Existing Service f©b Amps ` Vofts Overhead 9 Undgrrd ❑ No.of Meters ]Jew 1e0M Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity M Location and Nature of Proposed Electrical Work ft �n Total c� Na of Ughft Outlets No.of Hot Tubs No.of Transformers RVA Na of UgfdbV Fixtures Swimming Pool Above ❑ in- Generators KVA Na of Rsceptace Outlets No.of OR Bumers Battery Units Na of Emergency Lighting Na of swish Outlets No.of Gas burners FIRE ALARMS Na of Total No.of Detection and Na of Ranges Na of Air Cond. tis Initiating Devices Na of Disposals Na of PP'U T W No.of Sou vices Na of Sett twined Nm of Dishwashers Space/Arm KW Detectl riding Devices Na of Dryam Heating KW ❑ ConnectuniciMur"ciion❑Ottasr No.d Water H KW Na of BallastsNO.Of Votta�e slam No Hy Massage Tubs No,4Motors Total HP OTHER: tNwRANCE COVERAGE: Pursuant to the requirements of Massachusetts Generst Laws I haus a current Liabillty insurance Policy including Comp) Operations Coverage or its substantial equivalent. YES ❑ NO ❑ t have submitted valid proof vl sameto this office. YESO NOO. If you have check YES,please indicate the type of coverage b checking the ap ropriate INSURANCE gBON_ D❑ OTHER❑ WWAG (Expiration Date) Estimated Value of EiedtFiical Work$ Work to Start 3 v X /'oZ Signed under the penalties of ieriN- �/j,, ` ,I s ,,n 12-1 FIRM NAME J �,, ` E E v , LIC.NO.�L,Z LceneseJ�h / fiL/CLQ._�...._Signature R -79 , UCa MoBus. _ 'G� Address _12&)AIPIM47 Aft Tol. a UWNER S INSURANCE WAIVER: I am aware that the kensee don not have the insurance coverage Or its substantial equivalent as required by Massachusetts General Laves,and that my signature on Oft peantt appl'km*m waives this requirement. Owner ❑ Agent ❑ (Please check one) Telephone No. PERMIT FEE$ isionature of Owner or Agent) Commonwealth ; Offiw Use Only i 'PileCommo;wealth of Massachusetts Permit No. Department of .Public Safety G,a 1 �% occupancy 8 Fee ckeC 1 ` . BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 13/90 (leave blank) 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with thsMassachusetts.Electrical Code,527 CMR 12:00 // (PLEASE PRINT IN INK OR TYPE AL6 .L INFORMATION) Date .3" ✓Z To the Inspector of Wires: The undersigned applies fora permit to perform t_he electrical work described Location(Sheet&Number) r G 'P'67 9 S zS Owner or Tenant Owner's Address '�alm 6, . Is this permit in conjunction with /a Yes. No ❑ (Check Appropriate Box) Purpose of Building �tn�! �JLiY;�C9 /', - �)17✓t UtiBty authorization No. Existing Service I '�=' Amps qUy Vohs Overhead ff t.Mdgrd ❑ No.of Meters Now Servft Amps j Volts Overhead ❑ Undgrd ❑ Na of Meters Number of Feeders and Ampacity IJ M Location and Nature of Proposed Electrical Work Total Na.of ughtim Outlets No.of Hot-Tubs No,of Transformers KVA i Nu of ttiri Fixtures Swimming pool Above lgh ❑ in- Generators KVA r No.of Emergency lighting No.of Receptacle Outlets Nm of 01 Burners Units i+ia as Slvri6`r c'3vt;eis J' No. trU'i*�3 FIRE ALARMS No of No, Ranges No of Air Coed. TotalNo.No.of Detection and Initiating Devices Na of Disposals No.of Pum T KW No.of Sound VICES No.of Self twined No.of Dishwashers Space/Area Fie -- KEN Detectl nding Devices Munldpa1 No.of Dryers Heetin9 KW ❑ Conrrectlon aOther No.of No.of 1LOW Voltage elk V Na of Water H KW ns Ballasts J No Hod-Imassage Tubs N Motors Total HP OTHER: A, 3 WSURANCE COVERAGE: Pursuant to the reWlrernents of.Massachusetts t3�enerat I have a current Liability'{nsurance Policy ioctudrra Com Operations Coverage orks'substa fai.equivaaient` YES Q NO I have submitted valid proof of same to this oifioe. YES Er NO ❑. It you have check YE%please indicate the type of coverage b checking the ap 7-7 box. INSURANCE iJ BOND❑ ©TftER II (Please St�eclfy} )� C al�� 4/112/511 (Expiration Date} Estimated Value of®ectriycal Work to Start Signed under the penalties of perjury: cl t� /r P�� j G' UC.NO.1 � FIRM NAME ' Lconsee Jeh Y? R l'��' Ltir � _ Signature 1 Licop._ l' Bus.Tet, . 7 - !,S^� C) Address Lr AILTdAlo. COMERS INSURANCE WAIVER: I am aware that the iicenese does not have the Insurance covera®e or its substantial equivalent as njqutred by Massachusetts General Laws,and that my signattxe on this peonIt application waives this requirement , Owner ❑ Agent ❑ (Please shack ane) 1 Q Telephone No. PERMIT FEES / ISionmure of Owner or Agent) i;� � a r � ��. ��� D 1� s�'/ ) Z�o� �� 04/04/2006 17:33 FAX 9762503764 PHELAN ENGINEERING 171002 /1 tV AN*0 UC"t ION Lt. 06047.61 Page 1 oft April 4,2006 1V!{sr•. Bob LeEleur 123 Lafayette Street Lowell, MA 01854 Job No. 06047 Rei Evaluation of LVLs Inste lled io the Addition at the LaPorte Resideace,Sg Brightawood Ave., North Andover, WA Dear Mr. LeFieur, As requested, I have reviewed the information you provided via fax concerning the 12'-0" x 14'.0" addition constructed at 58 Brightwood Ave.,]Worth Andover, MA, It is understood that all information utilized for this evaluation was obtained from the sketches faxed and no verific$tion or site visit to the subject address has beers performed, or is planned by Phelan Engineering. The subject address is a single family residence. _ The ridge beam is shown as a single 1'/a" x 11-7/8" LVL spanning 12'-0" and supporting the middle 7'-0"of the roof system. This ridge beam is acceptable with at least two stabilized structural grade 2x4 studs supporting each end of the 12'-0"span. The 2x10 rafters and 2x6 ceiling joists are acceptable. The retraining section of the roof should be over framed onto the main house roof as indicated. The double 1'/,"x 5/a" LVL header over the triple window which supports one end or the ridge beam is adequate with a maximum span of T-0". The two l'W' x 9'/b"LVLs placed in the ceiling of the interface between the addition and the main house are adequate to support the concentrated interior load from the new addition ridge beam and the of the roof load from the main building. The maximum open s indicated portiong P pan for these two 9t/."LVLs is 10'-6". The two 1'/4"x 9'/+" LVL rim joists on each side of the addition spanning approximately 11'-0"with a one foot cantilever are adequate to support their portion of the addition floor load,side wall deadweight,and 3'-6"+/-roof"overhang roof load. It is a"umod that at least two studs are supporting the interior ends of these double LVLs. The 2x10 floor joists 16"are acceptable. The three 6x6 posts supporting t1le addition girder are adequate. Itis assumed that 10" sono tubes four feet below grade or equivalent support each post. The double 2x8 girder supporting the floor deck should be a triple US girder. This evaluation was performed assuming a residential dwelling built in accordance with the building code in effect at the time of construction and that all work was performed in accordance with the 6'h Edition of the Massachusetts Building Code by licensed craftsmen. It is also assumed that multiple LVLs acting as single members are secured together with Timberlok screws or equivalent. Tease feel free to copy this letter to building department officials and call if you have any questions or comments. H OF Mqs,� _ yG PAUL A. iA Regards' PHE4AN JR v STRUCTURAL Ln `l+Ur _ No. 4253 4 Paul A. Phelan, Jr., P.E. "SID AL G�� 12 SLEI(.H P'-�AD A. CHELMSFORD, MA 01824 , 78)266-4014 . FAX:(978)250.3764ernall:paulpnelan@corncast.net i14,_0., �. r -2x70 kd#2&Dtr.spf mffem 16'o.c. ROOF FRAMING -2x12 ka H2&btr.spf Mg. -2x6 k0 N2&Gtr.spf ceiling joists 16',.,. I � H I _ -re existing ertenor wall �-— -install hl M W—see atlacne0 engineering — — — — _ wedaY roof foaming:2x8 ndge, — — — — — — /— — — 2.6 rafters 16' tstng 2.8 2F fkwr I joists existing W rafters LIVING 23'-0"x 2T-11" ! - - - - - - - I Location RR, 4!-'ef C-j 6,0 0 No. Date E: h Qt tt♦t°NORTH TOWN OF NORTH ANDOVER 0? •' tt 0 Certificate of Occupancy $ ` y Building/Frame Permit Fee $ s°o e • Foundation Permit Fee $ s�cNust _Qihw Permit Fee $ �L f U Sewer Connection Fee $ Water Connection Fee $ TOTAL $ u' ing Inspector 3 3:15 . 773.45 PAID 9863 3 Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE MAP 'iqO. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB DIV. LOT NO. I LOCATION ., g'� ` L� PURPOSE OF BUILDING .. - OWNER'S NAM Adg(1D �A L tS QI /�/ �A �� SIZE (� OWNER'S ADDRESSIr�i D N/lye BASEMENT OR SLAB ARCHITECT'S NAME✓a SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES -SIDES l�O " REAR ` GIRDERS AREA OF LOT �/�'D FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDIyG NEW VNo SIZE OF FOOTING x IS BUILDING ADDITION Al na UNZ Iv L- MATERIAL OF CHIMNEY IS BUILDING ALTERATION Iv O'KU '/��V 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 BIDES 00 - EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS I - 12 EST. BLDG. COST PIER 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 B/E�FILED AND APPROVED BY BUILDING INSPECTOR DA FILEDAwl dA W2(� BUILDING INSPiCT01 l9ldNATUhIf­OF'OWNER OR AUTHORIZED AGENT F E E OWNER TEL AI i PERMIT GRANTED CONTR.TEL N �MN1/R�4'� � 19 CONTR.LIC./ . y BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ •� _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WIT APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION" 2 FOUNDATION B INTERIOR FINISH CONCRETE _ d' 1 2 3 CONCRETE BI K. PINE _ _ - BRICK OR STONE HARDW'D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ yr 1/1 +/r FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE — WOOD SHINGLES EARTH _ _ ASPHALT SIDING HARD"J'D ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE_ STUCCO ON MASONRY STUCCO ON FRAME B I N M N ATTIC$TRS. !l FLOOR I -" BRICK ON FRAME CONC. OR CINDER BIK. STONE ON MASONRY WIRING STONE ON FRAME ADPR EO OTE I-I NONE rj ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) _ GAMBQEL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 6 GRAVEL STALL SHOWER ROIL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO f g FRAMING i l HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM STEEL BMS. 6 COLS. HOT W'T:R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS '7 NO. OF ROOMS G . .. ... OIL . - .. B'M'T 2nd _ ELECTRIC -. . - lit 13rd NO HEATING ..2' Ya. } To 0 s, x �/��� . iii.... t , f woo ' .. e5;8 : i 4 Py< kIC�--}- lbo AUS. ' 4 p, *yt H Of JOHN S. x' IAURETANI G V N # 34311 r i r( Scale: d3 Z O ' JOHN S.LAURETANI A PROFESSIONAL LAND SURVEYOR, AMERICAN SURVEYING COMPANY DO HEREBY CERTIFY THAT THE ABOVE MORTGAGE INSPECTION 77 Rumford Avenue, Waltham,MA 02154 (617)893-6477 PVl-fYIt WAEPARED FOR E IWNE Mi!!. GO.{I�1L IN CONNECTION NOT INTENDED ORR GAGE EPRE- Mortgage Inspection Plan AND IS NOT INTENDED OR REPRE- SENTED To BE A LAND OR PROPERTY ` LINE SURVEY, NO CORNERS WERE THE LOCATION OF THE ORIGINAL RECORDED AT Ex COUNTY REGISTRY OF J v r-i SET. IT CANNOT BE USED FOR ES DWELLING SHOWN HEREON EITHER BOOK.. PAGE /Qi2 L.C.Cert,I TABLISHING FENCE, HEDGE OR WAS IN COMPLIANCE WITH THE LOCAL PLAN REFERENCE:: ' BUILDING LINES.THE LAND AS SHOWN APPLICABLE ZONING BYLAWS IN EF- DRAWN PER TOWN OF ASSE; HEREON IS BASED ON CLIENT FUR. FECT WHEN CONSTRUCTED WITH RE- MAP# PARCEL# DATED NISHED INFORMATION AND MAY BE SPECT TO HORIZONTAL DIMENSIONAL ADDRESS:-- nRr�HrWcnD AVE SUBJECT TO FURTHER OUT-SALES, REQUIREMENTS ONLY),OR IS EXEMPT ►� AN,)oQy'r_ MA TAKINGS,EASEMENTS AND RIGHTS OF FROM VIOLATION ENFORCEMENT AC• BORROWER:-LAF�'rE • 'PAVrp A\- 'S_44Arw4 M WAY. UQ RESPONSIBILITY IS EX- TION UNDER MASS.G.LTITLEVII,CHAP. 4 TCNng=r%WCOC1AlTnTIJCI AAI/l/VAItIGc, 40A. SEC- 7. UNLESS OTHERWISE RIIRJFCT r1WFl r IUl;I IFC w Gt nnn �n�te—_t'/ i FORM U - VERIFICATION 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT:ao zzea'# Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street St. Number •50 j0F,, O .ficial Use Only************************ RECOMMENDATI S GENTS: Date Approved Conservation Adm[[i//nistrator / Date Rejected (7 Comments - Mt'-'l' 5 w x" V�N,IDI<v�s b vo Date Approved Town Planner Date Rejected Comments Date Approved Food Inspect r-H al Date Rejected � 5' Septic -� Date Approved Septic Inspector ealt Date Rejected Comments �Se,,ew, - 0 Wt pa Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date NORTH F To" of dOver 0 No. 25 rt ' dover, Mass., 6 � 2 19�� COC r"C"E-ICK P�1 G ADRATED � �-J 1 5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ' 4'*.... BUILDING INSPECTOR THISCERTIFIES THAT.......... . . ............, ................................................................................... Foundation has permission to erect........ . .............. buildings on ....�..Q....C �.6. 7 - 0.�........A.0 Rough to be occupied as..........................1. .. . .......... c .........�C?. ...................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S ELECTRICAL INSPECTOR Rough .......................... ..:... ... ... .... ................. ................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR la in a Cons icuous Place on the Premises — Do Not Remove Rough Display Y � P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. Z-8 Location ���� t GLCiGn� f No. Date SORT„ TOWN OF NORTH ANDOVER Certificate of Occupancy $ �'�s'••°''<� Building/Frame Permit Fee $ �!L JACHUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # " x, 51 1 _ Building Inspector i 1 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ! 7• r. IS . OG offw E-U$C`©lltl. BUILDING PERMIT NUMBER. DATE ISSUED. ri a � SIGNATURE: Mai Building Commissioner for of Buildings Date SECTION 1-SITE INFORMATION Z 1.1 Property.Address: 1.2 Assessors Map and Parcel Number: C t Map Number Parcel Number I 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 ReqWrcd Provided Requir=ed Provided v 1.7 Water Supply 1M.G.L.C.40.5 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public 0 Private 0 Zone Outside Flood Zoae ❑ Municipal 0 On Site Disposal System C SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record viS1119 12o L.4 po,eTL s00 480el trwC,)dd hive � Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: 0 z rn Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 70 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: ©a 7 SI P 9 O License Number Addre zoo l r ���Ou2 2-2a7 �� Expiration Date Stgnatur Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 0 Company Na ! /CP rn Jive Registration Number r Address z Expiration Date ^ Signature Telephone Y! i i i SECTION 4-WORKERS COMPENSATION(AG.L. C 152 § 25c( Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result I in the denial of the issuance of the building permit. I Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work(check au applicable) i New Construction ❑ Existing Building 0 Repair(s) X Alterations(s) 0 Addition ❑ Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: I ket)igVC EX/s7'iwg 3X5' P fr�.yy wi✓c� /�/J%i3 L� S'�X� 6� Ale $At W/Aiow OXJ /jsCItwglL ate' /2,00k, ®IJ *C d+ Awe. �vew d►, wal(cP/Gti� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be V } x Completed by permit applicant �, x I. Building �D (a) Building Permit Fee 3.9 2S', Multiplier C� 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 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, 51�e Rl�lea7 ee/.1'Z/.J G as Owne uthorized Agent f 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 t PH*,J KQ 14, a Pri e §ii2atuilY of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS 1 ST 2 ND3 SPAN DIMENSIONS OF SILLS DD ENSIONS OF POSTS DIlvIENSIONS 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 i H , PRODUCT 118 r• cTOReorder Call 1-NO-225-6380 r Q p a s Page No. of Pages STEPHEN M. KEISLING Building & Remodeling 68 Glencrest Drive NORTH ANDOVER, MASSACHUSETTS 01845 MA Lic. 027489 Home lmpv. 101846 Phone 682-2072 PROPOS UBMITTED TO PHONE PHONE DATTE/� V STREET JOB NAME a � Rev, 41110&11011 CITY,STATE and ZIP C E JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: GX4??�C - ...................................... -._ a-�F- -_ ............ .... ......_ ........... ......................... ........... ............. :- �....._ - ..._:....._ .............. off- �.�.,.`,.'...�, ,.�, '��-�j ............... ..... .,.. `............. .: . .....................-�. ..- ..................= t .. .._�-,�;z`-� �.. ........ _ P_ ._- ...-... --,....................... ... j ...._ �..• a ............................................................. ....................................................................................... --- ............--................................................................................................................................--.............................................................................................................. ................................................................................ ........ .................................................................................................................--...................................................................................................................................--............................................... �. Hit Propose hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: Payment to be made as follows: dollars($ �. I All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized � manner according to standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra Signature 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. Arreptaurr ®8gproposal —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signatur '�?16%a t0 do th P. work aS Snpnifipri Pavmont will ha —rlo ac nntlinorl nhn— ... ._.. ... _....... _..r.. .rr.«.•....—_—...se..rwr�....ua..-..w...wl.o-...«. ..+....«___ w!N•h'w. ...W.. .eM .___«.—..r...dR9CtlY�Y'..'"w..�'wrY'!tw..-.M .. • s``' FarmDECLARATIONS PAGE 1 CONTRACTORS ADVANTAGE SPECIAL Family Casualty Insurance Company POLICY NO. 2005XO431 ® 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 03/21/01 POLICY PERIOD FROM 0:/21/01. TO,03/21/02 12:01 A.M., STANDARD TIME AT THE LOCATION 11E NAMED INSURED IS: INDIVIDUAL I OF THE DESCRIBED PREMISES EJSINESS OF THE NAMED INSURED: CARPENTRY-NOC LOCATION OF DESCRIBED , 68 GLENCREST DRIVE PEOTECTION CLASS IS: 04 PREMISES NO. 01: N ANDOVER MI., 01845 CONSTRUCTION IS: FRAME PREMISES 01 BLDG 01 BUILDING MATERIALS / -EQUIPMENT STORAGE BUSINESS PROPERTY COVERAGE: LIMT.TS .OF TERM ADDL/RTN INSURANCE PREMIUMS PREMIUMS BUILDING . 0 0 0 BUSINESS PERSONAL PIOPERTY 5,000 46 46 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 LIABI}.,ITY 509000 PER OCCURRENCE CODE DESCRIPTION PAYROLL TERM PREM ADDL/RTN 91342AA CARPENTRY-NOC 20,000 379 379 THE LIAIT OF INSURkNCE 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 INSURED COPY PROCESSED DATE: 02/13/01 , � ✓,ze�ar�wnaouvevllfi.a�../�i/,nw�well� - ,� HONE IMPROVEMENT CONTRACTOR =t Registration' 101846 Ezpiratir E: 6/29/02 Type: Individual STEPHE; M. KEISLING Stephe.i Keisling GXI-ll 7�' . 68 Gleincrest Or. ADMINISTRATOR N. Rnduver P1p 01845 I ' � s "!�'�' ✓/re �ianvnranw•e�o�✓�aa��uael=°d BOARD OF BUILDING REGULATION'S e y License: CONSTRUCTION SUPERVISOR ' Number. CS' 027489 i ; y Birthdate".67/16/1953 Expires:0766/2001 Tr.no: 1135'' I i Restricted To: "00 - I I STEPHEN M KE9SLING.- i , 4 68 GLENCREST DR Arator I N ANDOVER, MA 01845 Admin '%� NORTH TO" ofLED,. ,, ®ver No. cRy -- - oC„,C � dover, Mass., ADRATED PPa\ BOARD OF HEALTH Food/Kitchen PERMIT T Septic System v, � � r0 V � ���� BUILDING INSPECTOR THISCERTIFIES THAT...... ......................... �........................................ ............... ..... ................................... Foundation has permission to erect...� ...��....... buildings on ...... wI r w� ..... . �«............................................... Rough IAI A y. `/r1 Chimney to be occupied as... ........ ................................................... ....... ....... ...... �............. . ...... provided that the person accepting this ermit shall in eve res ect conform to the tbrms of the lication on file in P P P g P N P PP 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. P" & to ** x a 0 ,MMINNOW" PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION START ELECTRICAL INSPECTOR Rough ........... .. .. ....... ....................... ............................. ................... Service 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 D Street No. SEE REVERSE SIDE smoke Det.