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HomeMy WebLinkAboutMiscellaneous - 60 HEMLOCK STREET 4/30/2018 60 HEMLOCK STREET / 210/045_G-0052-0000.0 U4e LFnmum mab of mu fear uftw p.,,,,,, o.°"`°'`i°"'3 Et{11t1 MratPublic *ufttg Oocupanry a r..al.ctteo BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12.00 390 0e'�blL* APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, S27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Q;* or Town of NORTH ANnOV R Date To the Inspector of Wife&: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 6Y) YY1lr�r k �� Owner or Tenant Gc X Q0 Vt Owner's Address Is this permit.in conjunction with a building CI permit: Yes 'Z\ No C (Check Appropriate box) Purpose of Building W 1 i Utility Authorization No. Existing Service Amps volts Overhead Undgrnd ❑ No. of Meters �,� •' New Bruits Amps _J Vohs Overnead Undgrno C No. of Metan „�� Numoer of Feeders and Ampaetty Location and Nature of Proposed Electrical 'NorK N0. of Lighting Outlets I No. of Hot -„cs No. of Transformers Total7 t(VA No. of Lighting Fixtures i Swimming P_ot Aocve.— ;n• f— grro _ grno I Generators KVA N0. of Receotacie Outlets INO. OI Oil ct rners I No. of Emergency Lighung Battery Units No. of Switch Outlets I No. of Gas =_rrers ; FIRE ALARMS NO. of zOrlee No. of Ranges I No Cl Au C„r.c. To'a' No. of Oetection and cns Indiating Devices N0. of Discos&,$ I No-of Heat "0:a. .-oial Purrzs -ons No. of Souncing Devices NO. 01 Oiahw&snen I No. of Setf Contatnea SoacerArea 4eaurg K.V Oetecttonisounekng oevfces NO. 01 Dryers � ( Heating Cev,cas KW Lrocaf Muntci0u ..�OIhsI Connection No. of No. of Water Heaters KW I Signs Low VOfI&ge �a Ias:s Wiring No. Hydro Massage Tuos ' I No. of Motcrs Oidi HP OTHER. •' I INSURANCE COVERAGE. Pursuant :o Ina reautrements cf '.tassaccusers ;enerat Laws 1 have.& current Ltaoflity Insurance Policy incwatng Ccmc efec Cceratrons Coverage or its substantial s0uivareffl. YEs NO have suorrl1411e0 valid Proof of same to the Office, YES = VO = tf you nave cnecKeo YES. p{ea"Ilwrcaa Ifts 1 checking the approorfate cox. ripe W cowrage ey INSURANCE X,,"8ON0 = OT I IER = (Please Stec.^,) Eaumutw Value of E!ectncal Work JLrA lrauen Date, Work t0 SIaR a4 III C/,? Insoec:ton Date :.ac�es:ec: Rougn a a Fid �-t]I I! C C ( I Signeo under the natttes of perjury: ,`:�•• FIRM NA L `l� S�l G I ,r� c �.�..� 1 I 4censee io-K T"�CC�� t UC.NO.�� C f^ I'C.NO. O Addie&s 22 t )nS-C �,✓ ��JL'o C-' 1 Bus. Tel. No. -'Of? LJ All. Tel. %40. OWNER'S INSURANCE WAIVER: 1 am aware trial Ins t_:censee Ices not nave the msurance eoverege or its suostanttsl equkvWnl Yuweo by Massachusetts General Laws• ane trial my signature on n,3 cermtl a0pttcauon waives this reouuement. Owner (Pisa"check onel Agent ileonone No. PERMIT FEE S ISpnature of Owner or Agenn N° '1434 i t HOR7FI 3?°.,;��'°.;•.."a,L TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �sSwcMusE� This certifies that ` has permission to perform ............................................ wiring in the building of ........... . .�- 1 z1.<,Ira- 1 ............... ,North Andover,Mass. Fee U Lic.N(N.X �/,7 ELECTRICALI pECTOR 02/11/98 11:05 40.00 RAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Location a Y — ' No. Date l j w pORTh TOWN OF NORTH ANDOVER t O' .ko ,stip. ? �. + p _. p Certificate of Occupancy $ Building/Frame Permit Fee $ s Foundation Permit Fee $ SACMUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 12413 2413 Building Inspector Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP +40. p�( LOT NO. 005 2 RECORD OF OWNERSHIP (DATE BOOK :PAGE ZONE I SUB DIV. LOT NO. —I LOCATION b o e V1n J(a C L� ` t PURPOSE OF BUILDING FALZ r G � GL�� 11 J 1' IL�> OWNER'S NAME .• V 3,V OI NO. OF STORIES SIZE OWNER'S ADDRESS L� BASEMENT OR SLAB ARCH1TECT'S NAME E4c -c --a S-t-tIZ SIZE OF FLOOR TIMBERS 1ST to 2ND 2",_, p 3RD BUILDER'S NAME l_ `w 1"q _gyp' / SPAN f� ( (d DIST/{NCE TO NEAREST BUILDING i ��.sl f DIMENSIONS OF SILLS DISTANCE FROM STREET 151 POSTS NC DISTANCE FROM LOT LINES— SIDES �.� REAR ZJ h GIRDERS w AREA OF LOT ,`00., FRONTAGE / t0/© I HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW N SIZE OF FOOTING Y ( X ,r IS BUILDING ADDITION (! MATERIAL OF CHIMNEY N' IS BUILDING ALTERATION L '�� IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE S' IS BUILDING CONNECTED TO TOWN WATER BOARD-OF APPEALS ACTION. IF ANY n/ v IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE n,o( INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST Ll 5-1041 PAGE i FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 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 APPRR�",OVED BY BUILDING INSPECTOR DATE FILED - z NUILDING INGP[CTOR SIGNATURE 07:r ORAUTHORIZED AG f� FE E � = OWNER TEL.# 17 9-0 PERMIT GRANTEDii5L CONTR.TEL.k b9 - 5_3 3 J 19 CONTR.LIC.# D S3 027 H.I.C.# 1 0r9 ` / -- , o ' FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from t Boards andj�?oartments having jurisdiction have been obtained. This does the applicant and/or landowner from compliance with any applicable or requirements.of e � , APPLICANT FILLS OUT THIS SECTION APPLICANT PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) . STREET -�L ST, NUMBER USE ONLY RECOMMENDATIONS OF TOWN AGENTS: C RVATION ADMINI BATOR DATE APPROVED DATE REJECTED COMMENTS ffm TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED � DATE REJECTED IC I PECTOR-HEALTH DATE APPROVED 6 DATE REJECTED COMMENTS --------------- PUBLIC WORKS -SEWER/WATER CONNECTIONS ------------ DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR a , DATE t w P S i L U .. ._al✓__ t - . " --L O ff. -- LP - - MAP 45=-ter.., z __ -40' E 7 71 tE X-isTCr f 4' ell f { � i i - OF or �r� ROBERT _ G U LETT `I"=%Ai.`J.�.��� z GOODWIN j #79-0 TEp ws ivav - 40 ZZ I oD.o� 4a l F/i i Ex tSYCr o f _. G S ZY . ' 1 +'CSO t, C0 A, _ `Z P 1 � } f � 6 1 -• ROBERT GtiLL' TT GOODWIN -it s- O "7930 �.,a= .,.._-� ter.:;..-•� V f • � � w i v r 't KEVIN MURPHY Page No. of L�Pages BUILDING & REMODELING PROPOSAL�O�0�� 169 Boxford Street NORTH ANDOVER, MASSACHUSETTS`01845 All home improvement contractors and subcontractors (508) 688-5335 engaged in home improvement contracting, unless specifically exempt from registration by Provisions of Submitted Chapter 142A of the general laws,must be registered with To:.........._ ......_ ...........L_�4 e...i......... _V_..�........................................................... the Commonwealth of Massachusetts. Inquiries about ,f registration and status should be made to the Director, �� -___........ ` ' • Home Improvement Contract Registration,One Ashburton Place, Room 1301, Boston, MA 02108 (617) 727-8598 t .;.._................................_......__._................. JOB NAME/NO. PHONE DATE JOB LOCATION A,J,4_ ARCHITECT DATE OF PLANS Ste. We hereby submit specifications and estimates for work to be performed and materials to be used: ......... Z_ _'_ . d 4 ,,.. ............. ......... - -... ............ ,. ........... ,,, _ ........... 1..✓-S.X '................t8 _._.......... u�Pi�. .....tz..............J�..... .._ ................ � �c.,,,,,t_.........._,........c .Pi. O .................C ........................................... . ..................... �. - ............... ....__ 1 _ . r . ....... _ . _�A. ,,,. '_.11, 0. ...c ,,.,r ...... _�_ _ .,-c. Q, .. t�,e� .......,a.�,u .� ....I, ,,Q ....I:. ........ . .................................. ..` ...1.2.....c .v�;..c ........�..>.�-t. ��. :....J , .�...�..v� ........"'t .......... /�_t........................U,e�ca�t . 0 .. .. c�.v`t- . 7... .... .......t -�. .w 1-11 3 ... _ .............. ... .. > Construction related permits: _....__._ , .�. ..................... Q..� �:.a��.;t.......... ............. ....,,.....�,,..� .�...�.. .._......�....� 13 �.q. �a .. �.�.- ...................... 4v�,(2,c................. ...... ..._.t .o.........a�a w............. .. ....._..... ..................... v� WORK SCHEDULE Contrac or it not in the work or order the materials before the third day following the signing of this Agreement,unless specified here in w r go t . ractor 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 J(1 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,1tis 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 ooJfurnish material and labor-complete in accordance with above specifications,for the sum of clue� C1-42� dollars($ 417:o , 00 p ) Payment to be as followt) \ % ($ ) upon signing Contract; ✓.� _../....0 v.+� Name of Contractor/Designated Registrant % ($ ) upon completion of p I C o q.. ._.........l.h`l _.�l U l z t ✓J TUU. ............................. Street Address % ($ ) upon completion of lG_.... ._.,�1 .................................. City/State Phone shall be made forewith upon completion of work under this contract. ........ p Registration No. Soaal Security No Notice: No agreement for home improvement contracting work shall require a down payment(advance deposit)of more than one-third of the total contract pnZe'p me of s §mai or the total amount of all deposits or payments which the contractor must make,in advance, to order and/or otherwise obtain delivery of special order materials and Aut .zed Signature equipment,whichever amount is greater. i Note:This propo;#may be withdrawn by us it not accepted within -3 days. Acceptance Of Proposal -I have read both sides of this document 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, s the Bu m c ncel this transaction at any time prior to midnight of the third business day after the date of this trani n906liato must be done in writing. O ' THIS CONT �AAIIFRE AR Y BLA I S.Signature Date SignatureCxLDate IMP RT11NT INFORMATION ON BACK ► owl Wien MYS kyvoi��en'D Pall its is reummus MAYS N "DWAK2 E- ra vowpof wraq, PY WAYn! whow L a a nov races Rd d=A AMM Comm W �z� tr� is plod a P V 0 A 0 f V al 10 d CA Ii unsep the Anne; ogn"Oums, lot "Wounn N hhwvwv� ana VesnadVec dwouf=Q00n smy dMiAnni nedw:�: OWN M1 &M AM ana on, uot VASQ0 luth is non T f 10 XQ L 101%414 A Q A 11 F 1)FT 41 A71 Ci Am show TV) N0 me Ponny Panyd Vwqji donsy to "a Conan t=0�00". ba=15 cat ow owar KA non or KnOwneA Shn"M road mm [SINS :c�� VIA ?w moulay"S"; xannnh� Aud VA Crown ary, fu Am Tnu �aux Ay yhTv OPKY�nv vp�v cr Ags QKiL ma VIAnny any also ox n allit VAPKn VAN4 �&j AT i i� ! '!� P&� K quam nary an whad mv�xky a? 10 yonan Y: a an Who 01, ulawkwing any xxvussw Arm. Whisorof in 1> 00110y toy desudow in a ummy am, immkwome nwnrnm. FR) MUMMA CIE: PAWATIUS it!T FOCKATON3 ALLCOW; 02 COMIXAMmAy rKy i Ina me 11"wan a to Wr etc i a Wan so CY Via hams yNodwin at foaywol I WASY, ["OK fui "T MAY,001 No dooms NOW Or themynonly to OB WaYs,v it havew; he dears ViAnny"4) to Mou" kp�vn rant, to a Pareq,0 0 a K�avry"in owmi clRe bwa. r So 5ya"(01 11 a P.m "Myow 'WaX71 Tal roptum the YglAwye of NO th". f7muraumnal nil 45"unNAT "D jwniow wy A15 d pxW For Hay yopoay daunqpnx buTV play coned by q�ny. 'Y300 ROOM ur".1 AS bypeenary COMM may -4 CAN. 142A A 7MY WON The WARom stop MW lWal WX swanlenq too C"Woux" V numby Mixed WA 101 on evol A a ve of mod lum ITIUM 1 of we Cue A.Moq In&W KS sul 0 P a um V 0 .1 i "WAK V; WHO, of Uncold"KA). and WR nH Mak sgounns hays hZen the �i A <0 OMW an void, Shened on rK applucaNk, and MR ;U andil and W:ZPQ�f TOO Agutinsu n gawmad by Re Lee! UP mus! be Imenown Ympyourn and an Ohow SjMx:! f 0 Via 40 1 �)'i "l. w0n, Agmsman ary! lranArnhind ju Me Down W 11 corry 1hernsf, �.HUSETTS UNIFORM APPLICATION FOR PERMIT ():100'-0LU1461q�?.'r pe or Print) NORTH ANDOVER ,Mass. -<: . ` • Oate.. ZA '\ Building Location ��� ��y>2 IOC�G S f Permit 1, 7—•� I Owners Name /?2 • ��(� ���� tii IV New Renovation r] ' Replacement [] Plans Sybmitted II FIXTURES z -n ;/► Z x t a ,, • N o! O Zla F- F• N Z O! 4 sG a O O 2 a o — W 1- W o, p. C7 W 4* Y z Z zcc C3 60w u a 0 x a a W, 40 O a Is. W oC ,( W Q 9) W J p q J ' ¢ 1., t.• "� a � � ¢ � r. of W Z < X •' 1- V > ' d ~ Y ( !G Wa Y Z1- Q 0O W O V N Y SUB—BSMT. BASEMENT IST FLOOR 2N0 FLOOR 3RD FLOOR bAi 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 6TH FLOOR _ t (Print or Type) Check one: Certificate Installing Company Name �,�r,�- IGGI►!���'G.4 �S Corp. Address f Z� A161 Partner. a� L �'j i'rm/Co.____,. . Business Telephone 3 3 7� e Name of Licensed Plumber: Cir O` G Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type .of indemnity 0 Bond Li Insurance Waiver: I, the undersigned, have been made aware- that the licensee of i this application does not have any one of the above three insurance coverage$. • Signature of owner/agent of property Owner Agene% , 1 ha for codify Wal all of dic dclails and in(o[nsa ion 1 lu•c subuoiUcd(ot cnlacd)In aho.c appikalioe lite love 4:111t 10 lk bat e11q �•• ItiwwhAp and that all plumbing work and inslallalinns loco(no nocd undo Pc,uiil IssYcd for this applicaliosl wdl re iw boNysliatOp�r'th 1111I 1 10 •1sioln e I A Maaachuseus Slate Pluanpiad Code and Quplce 1!2 of flit GWCA l UWL l ilk•w 8y ' Title • Signature of Licensed Plumber ICity/Town: � vpe Plumbing License , 1 i G� 1-1 r7a� ' Date. . . . . . , agJ5 �. f e NORT o TOWN OF NORTH ANDOVER O ��0 1ti to41 PERMIT FOR PLUMBING i 4L tzjK SSACMUS� E This certifies that . . . . . . . . . . . . . . L. . . . . . . . . , has permission to performl'� �. .�. - y•- -:- _ plumbing in t e Puildings of a • • • • q. . . . . . . . . . . . ., North Andover, Mass. Fee'/. . . .Lic. PLUMBING INSPECTOR 02/11/98 Og:06 15.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer