HomeMy WebLinkAboutMiscellaneous - 62 LISA LANE 4/30/2018 (2) 62 LISA LANE
210/098.A-0039-0000.0
I,
ARBE LLA
INSURANCE GROUP
Elaine Dupuis-Lane,Claim Manager
09/28/2015
Tow of North Andover
Building Inspector
No.Andover,MA 01845
Claim Number: 033635147
Policy Number: 18755400003
Company Name: Arbella Mutual Insurance Company
Date of Loss: 11/20/2014
Insured: STEPHEN WHITTAKER
Property Location: 62 LISA LANE,NORTH ANDOVER,MA
To Whom It May Concern:
Claim has been made involving loss,damage, or destruction of the above captioned property,
which may either exceed$1,000 or cause Massachusetts General Laws,Chapter 143,Section 6,
to be applicable.
If any notice under Massachusetts General Law,Chapter 139,Section 3B is appropriate,please
direct it to the attention of the writer.Kindly include a reference to the captioned insured,
location,date of loss and claim number.
Very truly yours,
Cynthia Holden-Amor
Claim Service Specialist
Property Claim Office
800-272-3552 ext.7549
Fax 617-773-4760
775ioo Crown Colony Drive P.O.Box 699i9S Quincy,MA o2269-9195 telephone(800)ARBELLA www.arbella.com
I v v V Date......�!
a
I€
pOR7M
°:<��`°;•1"° TOWN OF NORTH ANDOVER
° p PERMIT FOR WIRING
,S3 CMUSE�
rf'
This certifies that r
has permission to perform ....r.A.t........�.f.!!............ `._... .! !.....�.......
wiring in the building of 5 `Q�'`..'.. to........................k C $
. .j. ..~................ ....
at....... .. ........!I-n-.5 ......�!-Q........................ North Andover,Mass.
.. 4.. :. .. Lic.No.1 .!/. �............. ?!!.... ':"�`l�...........
ELECTRICAL INSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
-��—` 0::[ce Use Only
The Commonwealth of Massachusetts
Perm Lc b.
Department of Public Safety
occupancy S iee Owacked
BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 heave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetu Electrical Code. S27 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
City or Town of eTC) tJ,e/Z— To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical Work described below.
Location (Street & Number) /'J
Owner or Tenant
Owner's Address 61-LV �!`5/4 �/�17
Is this permit in conjunction with a building ermit: Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building f/���9 „/ /h Utility Authorization NO.
Existing Service Amps / / Q Volts Overhead ❑ Undgrd❑ No. of Meters
F
New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters
r Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work 4a ,e r
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures Swimmin Pool Above❑ In- ❑
g grnd. grnd. Generators KVA
No. of Receptacle Outlets a No. of Oil Burners No. of Emergency Lighting
Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARKI`fS No. of Zones
No. of Ranges Total No. of Detection and
g No, of Air Cond. tons Initiating Devices
Disposals No. of Heat Total Total
No. of Dis
p Pumps Tons KW No. of Sounding Devices
0 No. of Dishwashers Space/Area Heating KW No. of Self Contained
Detection/Sounding Devices
No. of Dryers Heating Devices KW Local❑ Municipal Other
Connection
a No. of Water Heaters KW No,
nof Ballasts No. of Low
WirVoltage
Signg
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial
equivalent. YES EJ N014 I have submitted valid proof of same to this office. YES❑ NO ❑
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE ❑ BOND [] OTHER E] (Please Specify)
O Expiration Date
Estimated Value of Electrical Work $ e a;Z-w
Work to Start ,49 —^ 99 Inspection Date Requested: Rough Jot' IC4/r Final 0,-11(0,
Signed under the enalties of perjury:
FIRM NAME / t $ 1 ,e T/`t j.� LIC. NO.
Licensee i j )A a j S Signatur LIC. NO.,eE; Q
AddressBus. Tel. No.
Alt. Tel. No. �7�i
OWNER'S INSURAN E WAIVER: I am ware that the Licensee does not have the insurance coverage or its sub-
sta al equiv en s quire y Massachusetts General Laws, and that my signature on this permit
ap n w ves i equir ment. Owner Agent (Please check one) 1
Telephone No./7 ��— d0 PERMIT FEE $
iQn tur of Owner or Aeent
9505
t Date.....�:".Z'
t NORT►,, �1�'y�
TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
,SSACHUS� C
This certifies that ........fftC 07
..... ...............................c. .`. ..---:........................
has permission to perform• r f �� �' .
wiring
/in'the building of........... G.....!.w?.!¢ ��7�....... .... ..........
at..... ...... ......................... .North Andover,Mass.
Fee....3��""". Lic.No. 2�3.!!. .............
Cf LECTRICAL INSPECTt�SR
Check # ��� �
Department of Fire Services PermitNo.
p Occupancy and Fee Checked
y BOARD OF FIRE PREVENTION REGULATIONS [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: -7- 22-,- / U
City or Town of: NORTH ANDOVER To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) Z 1,51q �N
Owner or Tenant 5 Le j 714 L/Ir Telephone No.
Owner's Address 4?-.7- L1,5A, 4zt N e
Is this permit in conjunction iw'th a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building 'J k 1- M v 14 i '=ti Utility Authorization No.
Existing Service 6 6 Amps Z C - olts Overhead 91 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: j--s Rc,A t�
Completion of the following table may be waived by the Inspector of Wires.
r 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
Above In- o.o Emergency Lighting
No.of Luminaires I Swimming Pool rnd. ❑ rnd. ❑ Battery Units
No.of Receptacle Outlets / No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
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 KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
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: (When required by municipal policy.)
Work to Start: 7-Z2- /G 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 Py BOND ❑ OTHER ❑ (Specify:)
I certify,under the ams and�wnyyalties?!fpeVury,that the information on this application is true and complete.
FIRM NAME: 1 c°-� IZ-l��_ l^1' LIC.NO.: t 2
Licensee: L {r r 'I 1�� -e Signature �`� 1- LIC.NO.: 12 3 M /Z.
(If applicable,enter " xempt"in the lic a number tine.) P Bus.Tel.No.: 3"�Z4" 1)3l
Address: PD 6,OX IZ4 t—YA, - G' 1 �l �S ?� �"� L5 5 `✓`�
Alt.Tel.No.:L,t�S 9 j R'
*Per M.G.L c. 147,s. 57-61,security work equires 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
Owner/Agent PERMIT FEE: $
Signature Telephone No.
.-f
The Commonwealth of Massachusetts
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): e\
1
Address:
�/ �l
City/State/Zip: �'1`� /i t, MY- ��'Pho e#:
Are you an employer?Check the appropriate box: Type of project(required):
L❑ 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.( I am a sole proprietor or partner- listed on the attached sheet. t ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition
~ [No workers' comp.insurance 5. ❑ We are a corporation and its
required.] officers have exercised their ME] Electrical repairs or additions
Z 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs
insurance required.] t employees. [No workers'
comp. insurance required.] 13.❑ Other
*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).
f 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 ce�if, nder the pains d pe aliiks of perjury that the information provided above is true and correct.
� / v
Signature: ' L Date: 2 Z
Phone#: ()6 3—
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#:
Location 6Q )-ISR )AN'e—
No. . Date C g 9
�oRTM TOWN OF NORTH ANDOVER
o?oma t•`•o '•,�o�,.
0
9 Certificate of Occupancy $
s +aa ; Building/Frame Permit Fee $ Jd
�ssuMuSE<�' Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
A/0 �-..-
Building Inspector
'
0 J 094/99 10;53 104.00 PAID Div. Public Works
1'1(;RnliT No. / APPLICATION FOR PERN11 TO ANDOVER, n!TA
11a No. G r G LO r NO._ 2. It .coull of owNt:I1S1llP �:�3'L BOOK PACE
7uNL oStill DIV. 1.01 NO. 1�
I ur'I KION / �. !S/j L lllil'OSt:01�IMILDINC
-79
L�
NO.OF S-TO
��✓.
/` (� 2
0 1,14:R'SNAi11E / - ✓ L ;77, - RIES SIZE
/ f
L
011',vl:lt'SnnDlilsS / �l CL�7 19 /�! W%SENIENrORSLAII
.1Rt llfl'Ei`f'SN:IAIE 6' SIZE of FLOOR FIM BERS r. - i / 2�ND 3RD
--IIl111.IlEli'S SPAN CS �G!/G� � (✓ / �/V(� � G=�.�
DISI-: NCE IT)NEAREST 111111-DING � DIM ' �c dL �� .�
-- c I �� s ,P�p� c l-:
DIS TANCr:FROM STREET DIMENSIONS OFPOSTS NL
DISFANCE 1:110m 1.0I LINES-Sims REAR DIMENSIONS OF GIRDERS
,Rr:.lofLOT L FRONTAGE IIEICIITOF FOUNDATION THICKNESS
IS BUILDING NEI' ( SITE OF FOOTING X
IS IIIIII_DING ADDrl ION , til ATER1AL OF CIDNINEY
IS(l(IILDING ACfEitATION IS BUILDING ON SOLID OR FILLED LAND
i�
W11.1.BUILDING CONFORM TO REQUIREMENTS OF CODE 7 L=� IS BUILDING CONNECTED TO TOWN NATER L-
UOAItD OF APPEALS ACTION, IF ANY IS B[111-1)ING CONNECTED TO TOWN SEWER
1S BUILDING CONNECTED TO NATURAI,GAS LINE P
INST(IC'T1ONS 3. PROPERTY INFORMATION LAND COST -- --
--- EST. BLDG.COST D jJ
I'ICG I FILL 011TSECTIONS 1-3 EST.DLDC. COST PER SQ. FT.
EST. ni-Dc.cosy PER Room
"I FCTRIC M'I'vRS kiIIST nE ON OUTSIDE OF BUILDING SEPTIC PERAIll'NO.
A I,I,ACIIEII CARACES NIUSTCONFORM TO STATE FIRE REGII1.11"PIONS 4. APPROVED BY:
"I_1N5 MUST IlF PILI:D:WD API'RO�'F.D ill'BUILDING INSPECTOR BUILDING B 11LDINGINSI'k:(TOII
pEPA�ENT.�
n 1rE FILFn / o11'Neas TEI.1 J to s-- �� 8
cown1.1.101 Q
11'IIItE OI OWNFIIORAlIHIORITEDAGENT
II.LC.1i i 3
f
I'I:RdIIT CR:1NTEll. Xp
ltel•iseil 56/99 .II\I
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ia�"..w�....-e+
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1
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NORTH
of
OL over
Town
iy q 99'
o� �ocLl rt dover, Mass.,
%S RATED Cl
5 BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
BUILDING INSPECTOR
.. . 1!MQ...........�................ ..........................! ......r.....
.. .............. ..................................
.......... Found
ationTHIS CERTIFIESTHAT...'�.iohN � 4 ............bw
buildings on ...... � .......... Roughhas permission to wM.....
,
�
to be occupied as....... ....... .................. ..........�.�........kPP.5 1 � ....�. '.'. i
provided that the person accepting this permit shall in every reSrrrt �c-t'nr-i `n "�� s�.� , ` 0��
this,office, and io the provisions ei i;ie Codus a,,, ��
Buildings in the crh
VIOLATION of the Zoning or Building Regulations Voids this Permit. I Rough
M q $ PERMIT EXPIRES IN 6 MONTHS Final
00 30/ UNLESS CONSTRUCTIONS TS ELECTRICAL INSPECTOR
C Rough
......... ... .. ... .............. ............. ..............
Service
BUILD G 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
Street No.
SEE REVERSE SIDE Smoke Det.
c
-Kie"Woynhan 603=382-1535,bome-6J3-483-0668, cell 603-
231-1444.
Please verify countertcq:dimensions before installing cabnts
Countertops were ordered 1/4"deeper in order to scribe to
--the-Wafts
-163
601M 513 —�— 51
% L �
irW %3636 ' W2436 DW36 Apiliances Planned For.
- -- - - - Range-Maytag"40 MES5770
4 7RBDl DISH. 1 S 9 1 B21 1 SL -R Micro-Amana MVH240
-�- _L-- --L -- - Lrrange
double
' W
pullout O 11N 834
e trash 30
Aack i 21'
lwo _
'138 garage rollou �L ; 8 �(
s 15 I
Noble Cathedral over Noble Square in light stain on oak
_q1 Jl8"..fnishW ceiling.-height figured, cabinets to be hung 41
89.5/8"from FINISHED floor, which will make the counter 2
A:Tpp19 bottom-of wall cabinet dimension off standard'@
W"
2
—�42
�diAg Wired*r-.3/8". p.overtop..rail.of PY3684211
wall cabinets
VTRIMR-FiL L—R TO-.13/46'.&.LOWER FILLFR.TO-.15/16"
appliance garage will need to be trimmed
21rim Aller4o.fit
3:4pprox.3"wall space-each side of window
-4-Ttwewfi be approx 17'frornAhe stove surface to the boom
of the microwave in the front, &approx 16"in the back.
(front of the microwave willbe approx 53"from the finished
floor)
Dwg no.
whitakT�C Scale:1/4"=1' Design: 06129/99
fi711imeocionc 8 size designations This is an original design and must. pate : 07/26/99
givenarn subjOctbo vanfication on notbe-releasedor copied unless
jW.0natttt adjustmenttofit job applicable fee has been paid or job Designer
conditions. order placed.
t
i
BUILDING DEPARTMENT
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 S 54,a condition of Building Permit Number
Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as
defined by MGL c 11, S 150A
The debris will be disposed of in:
`� C��/'� �`�" CSG .� NJ/cJ /�'✓��7" 1,�.�
Location f Facifity I
` Signature of Permit Applic��it
l / �
i
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of
the Building Inspector
r '
-
7
f
'�'i. -HY4.J�ur'v uI ,..i� -Gs-'.�u.9rJs...a-c-....a,Nv --✓_.•as ..+ .. - ..
mn
07. -�� a�'✓ aaaaclivaeG 3 i a
DEPARTMENT Of PUBLIC SAFEIY
--
KTiON SUPERVISOR L�.CENSECONSTRUCy
Number Expires: Birthdate: = r
CS 05625 W10/100083J10J1.991
Restricted for 09
l • +'�OT66RtE RT
C BAILEY
x 499 WAVERIv, RD
N ANDOVER,
a
Finish Work a Specialty °
Robert C. Bailey Quality Wovkmanship � t
Building & Remodeling k
Free Estimates
a
499 Waverly Road Builders License #025620
North Andover, MA 01845 Home Improvement o' f
Telephone (978) 682-7087 Contractor #100239
TO JOB LOCATION
Mr. & Mrs . Stephen Whittaker
62 Lisa Lane
North Andover!, Mass . 01845 same
L I L_
DATE DATE COMPLETED TERMS CONTRACT PROPOSAL BILLING PAGE NO. 2
8/14/9 OF 2 PAGES
JOB DESCRIPTION: As outlined on p . 1 & below
An on-site dumpster unit shall be provided by the contractor to dispose of
construction debris generated by the kitchen remodeling .
All permits dealing with electrical and plumbing work shall be provided by
the owners ' agents performing such work . There is no provision in this
quote for the cost of such permits .
The contractor shall obtain a necessary building permits to cover his portion
of kitchen remodeling work as outlined .
The sand textured finish of the newly installed ceiling in the kitchen shall
match that of the existing ceiling .
The contractor shall apply ` new fiberglass insulation and a 4mil vapor barrier
(polyethelene) to the rear wall of the kitchen and replace existing
insualting material in that area.
Newly installed hardwood flooring in the kitchen area shall have the courses
running in a rear wall to center wall pattern. Where new flooring inter-
sects with existing hardwood in the dining room and living room areasi,
the owners shall have the option of a threshold or a filler strip to
match flooring sections .
Hereby Propose to furnish labor and materials complete in accordance with the above specifications for the sum of
$ 7952.00 Seven Thousand Nine Hundred fifty-two and --------00/100
With payment to be made as follows: 'A due upon removal of cabinetry , countersi, flooring &
existing drywall surfaces—_;_T4 ue upon installation of new drywall an
kitchen f 1 nnring; '/a dile upon ingt.al l ati cn of cahi nPtry and rnunters ;
remainder due upon completion of work as outlined .
All material is guaranteed to be as specified.All work is to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above Authorized
specifications involving extra costs will be executed only upon written orders and will Signature
become an extra charge over and above the estimate.All agreements contingent upon
strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other Note: This proposal ma X be withdrawn by usif n t
necessary insurance. accepted within bU days.
Acceptance of Proposal-The above prices, specifications and
conditions are satisfactory and are hereby accepted. You are Signatur
authorized to do the work as specified. Payment will be made 17 J'
as outlined above. Signature �l
Date Accepted fl2
Fft li'mi, &-Specialty '
R�obert•C. bailey
Quality,�Vorkmansh:p
_ ..
Free EstimatesBilding & Remodelinge 025
6209. u9Waverly Road BildeLcens
North Andover,MA 01845 `
Home.li"ro gement R q .:,
-..Telephone (?78),682*7,087 . Contractor.#100239
JOB.LOCATION
Mr.. & Mrs, Stephen Whittaker Y
62 L.i"' a: Lane a °�
;.North Andover, Muss. 01845 same
DATE DATE COMPLETED TERMS CONTRACT 'PROPOSAL-- 'BILLING PAGE NO. �-
8/14/9 XXX OFAL_PAGES
JOB DESCRIPTION: As _.out! kned below
All parts of this quotation are based upon review `of the site and kitchen
layout as provided by -Moynihan Lumber.
.The contreator shall remove all existing kitchen . cabinetry±,'. counters,, linoleum
and underljrpment -materials.-: :.,.Upon reaching the subflooring in the kitbhen
area , such :underlaym'ent',: (whether plywood of lx8- boards) shall be secured
to, floor, joists by , the use of 2"- dyrwall sceews. at .lb" intervals throughout
the entire. kitchen area,-
addition.,,
rea,addition, the contractor shall remove all drywall from ceiling and. wall
surfaces throughoodttbe kitblbe.n;, rear .hall, and closet areas. All wains-
'cotting!, 2V colonial ,door -and window trim on t-he kitchen'.side of wall
andcased "openings shall also be removed.
There is noprovision in this quote for electrical work, pimbiiggwoork,, electri-
cal and plumbing .dfiture s, painting., wallpapering:, or newddoor. units.
The , owners shall provide all cabidetry:, counters,, hardware,, appurtenant moldings,
and accessory traysi, etc.
All cabinetry, counters, necessary hardware, etc. shall be ,°instal.led by the
contractor according to the Moynihan LUmber . kitchen„_plan.
All applicances and subsequent installations of the same shall be by others
and are not part of. this quotation.
Upon completion of rough electrical and outlet wiringis the .contractor shall
install new Se” drywall. ,panels o ceiling and wall surfaces. '. All panels
shall be taped at corners, butt joints!, and tapered edges .using fiberglass
tape. Following this+, 'three applications of drywall .cgmpound shall per-
formed. After proper curing timedf,all joints and seams shall be sanded
and all drywall surfaces shall have a primer/sealer applied by the ..con-
tractor.
After kitchen cabinetry and counters have been installed , thercontractor shall
install new colonial casing ,,,to all door and window openings on the kitchen
side of entryways. New wainscotting and chairrail of...clear pine stock
shall be° installed to match that of the existing wainscotting and chairrail
formation.
$be contractor shall install Bruce lx3 strip flooring (unfinished white oak)
throughout the kitchen and rear hbil areas . Upon completion of all con-
struction work!, the flooring shall be professionally sanded and three
coats of clear polyurethane finish applied. Customer shall select either
a high gloss or satin finish.
Backsplash areas immediately adjacent to counters in the main work area and
below the wall cabinetry shall have ceramic the installed. All the
shall be installed by the contractor. Tiling materials and stock shall
be provided by the owners .
LocationNo. / ' Date
NpRTh TOWN OF NORTH ANDOVER
pL t
A Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
`lACNUS t e r �
�Ottl$f permit Fee $ '
Sewer Connection Fee $ ---•.
Water Connection Fee $
TOTAL $
_ f Building Inspector
9336
1it/04/95 14:26 : _ ..� 65.00 PAID
7
J 6 Div. Public Works
PE&311T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP+40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE (BOOK ;PAGE
ZONE I SUB DIV. LOT NO.
LOCATION_ ;� PURPOSE OF BUILDING L 1�/v y
LOW NEWS NAME NO. OF STORIES SIZE
OWNER'S ADDRESS �/�/r BASEMENT OR SLAB
1 A
ARCHITECT'S NAME ...JJJ SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME ,� /}� / 'L SPAN --
DISTANCE TO NEA EST BUILDING `/�1 / DIMENSIONS OF SILLS —_
DISTANCE FROM STREET /T/T`CCrJsJ POSTS
DISTANCE FROM LOT LINES—SIDES - ) + REAR ��� j " GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW / SIZE OF FOOTING %
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 t 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 FILEDAND�PROJII��UILDING INSPECTOR
DATE FILED //
BUILDING INSPECTOR
SIGNATURE OF OWNER OR AUTHORTZED AGENT
`
FEE S/'// OWNER TEL.# � ��✓����'
— �
PERMIT GRANT E CONTR.TEL.#
rVol 19 r CONTR.LIC.#
H.I.C.#
(.kec ��3
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY S-ORIES 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 8 INTERIOR FINISH
CONCRETEJII 3 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDW D —
PIERS PLASTER
_ DRY WALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B M'TAREA _
1/1 1/1 '/. FIN. ATTIC AREA _
N_O B M T FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 22 J 3
DROP SIDING CONCRETE I_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARMI.CD _
ASBESTOS SIDING COMMON
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. 3 FLOOR 7I_ - -- ---- - ----- –
BRICK ON FRAME I
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR I� POOR _
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLE HIP BATH (3 FIX.)
GAMBREL MANSARD TOILET RM. (2 FIX)
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 I 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. &COLS. STEAM
STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OI l
B'M'T 2nd _ ELECTRIC
1st 13rd11 NO HEATING
i
NORTH
ovm Of F '
over
No. 566
-- r.
dower, Mass., _kMe-_-* A
191
COCHICHEwICK
ORATED P'VaX\
1 5 BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T D
BUILDING INSPECTOR
THISCERTIFIES THAT................. . .......I......... ... ............ .. .. ............ ... ................ Foundation
has permission to ereet..... . .......... buildings on ...evA...... . .:4... ... Rough
tobe occupied as.......... ..... . ... �. ...... . . ............................................................................ Chimney
provided that the person a ptin his per all in eve res ct conform to the terms of the application on file in Final
this office, and to the provisions the Codes and By-Laws r mg 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 STARTS ELECTRICAL INSPECTOR
:6010
/ 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
Until Inspected and Approved by the Building Inspector'. FIRE DEPARTMENT
Burner
Street No.
Smoke Det.
,
COMMONWEALTH
OF DEPARTMENT OF PUBLIC
- MASSAC14USETTS t ONE ASHBORToN PLACE SAFETY
BOSTON
EXPIRATION DA MA 02108
{� TI_ L I CEN SE
RESTRICTIONS 996 6 E R v I S O R
NONE EFFECTIVE DATE 0.
LIC-N
68,
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_ SS 2� -"T
: . fl —38—:b53 .4y� wAv ;;Lr1Lcy
4 t ,ti A N?C v= R D z
ePR ONLI f FEE: 0 4 S
�c. o I m
•• I HEIGHT. F NOT VALID UNTIL SIGNED RV LICENSEE AND OFFIC{ALL
f
D013: STAMPED-OR-SIGNATURE OF THE COMMISSIONER
TFI,S DOCUMENT MUST /���
CARRIEDCN
T}+EwF -N
CF i
OTRS-RIGHT T"E 40LCER NNe-N
�.: E
_�—�- - AGED!NT+Ig OCCUPA itON. �/MA SIGMA EOF
,ENSEE
' Y 001 ER
-174
HOE IMPROVEMENT CONTRACTOR;_.
Registration 100239
iv4f
Type - INDIVIDUAL
Eip.iration 06/15/96'
Robert C. Bailey.
499 Uaverly Road
Andover- NA @1845 FT
yu to 4_.
ADMMISTRATOR