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HomeMy WebLinkAboutMiscellaneous - 62 MILLPOND 4/30/2018 �� t� I �' tom__ Location No. � Date �5 Y MORTM TOWN OF NORTH ANDOVER 10-3? •` _ _ a O� 9 + ; : Certificate of Occupancy $ • °mob±,.��. ,? � CNUs Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ ad TOTAL $ f Check # f3 t Building Inspecto6/ TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 1 i 1OY 17R:a4�.. BUILDING PERMIT NUMBER. • DATE ISSUED: 3 S43 SIGNATURE: Building Coriimssioner/In for of Buildings Date SECTION 1-SITE INFORMATION I 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number. ........ ..._.. Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Providedred Provided v 1.7 Water Supply M.G.LC.Q.. 34) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Mmicipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name M, Address for Service gnature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ :&-v>d 7- gradsi /� Licensed Construction Supervisor: e� 6G 9 75 / 0 • . �!7 �1��� License Number Address Ij e142 / n� q/ q/ Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name ���� ���d e.�o`� /;lo�✓r��/ll �a. �/'®� Registration Number r Address Expiraattiion Date /� Sin tore Tel G Telephone + 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 it. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work(check ae. ble New Construction '"• fisting ilding ❑ Repair(s) ❑ Alt lid`s(s) ❑ Addition ❑ k '� St r n ' �i:•+✓ tit :. w � t.. Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify. '`11 �� x .,'N, Brief Description of Proposed Work: d°=p1 ! is/S>�r1� .lifr�iel✓ �YB� l�tXleu�f- r it fxt C160,10 ZEW-5147/ teNa SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed b 't applicant .,: 1. Building � �d (a) Building Permit Fee © � Multiplier 2 Electrical �, (b) Estimated Total Cost of Y, o7,706 Construction 3 Plumb' 460...01 Building Permit fee(a)x(b) 4 Mechanical(HVAC 5 Fire Protection 1� 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, �z6f,-!Z4 7e a:ghgo as Owm Authorized Agent 4 subject property Hereby authorize � � /' �' to act on —`_—� My f,in 11 att re five to wo rued by this building permit application... eole V aos Signature o' er Date SECTION 7b OWNEgZMHORIZED AGENT DECLARATION I, 223(r;d _-7—/S tl ,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 9 Print Name �� g Si lure of Owner/ ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2'40 3 KU SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i, North Andover Building, Department Tel. 978-688-9545 DEBRIS DISPOSAL FORM in accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. i The debris will be disposed of in: A�2°✓--Jde L'o - Pf�P��KL �1D r .tl03Z}7ro (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector d The Commonwealth of Massachusetts Department of Industrial Accidents OMca of fnvwdgadons Boston, Mass. 02111 wakm'C.a"nsetFa7ff inalvMM Aad Narn�i PIMS Pdrit Nanta` David J Brady I ocalm 1367 Broadway -Haverhill, Ma 01832 978 469 0681 I arta a homeowner pedcaning aii work ffNeW. ® i am a sde pfvpf dor and have no am wor"In any cVa* I am an empkW pmvidng wxkeW comp on 1br my empknm wwWng on Oftjob. David Brady DBA Custom Installations 1367 Broadway Haverhill, Ma 01832 978 469 0681 • irr>�asCo. Atlantic Charter Insurance Company WCV00528500 CRM nano , I, A+drfiess - Ire C.o. Fspur�to lacuna aavera@tt au re*trsd Urdw Setetlart 2M w MM IN can Ind fW ft krV=w d orlrrtlnd partaltlae d.a ttm up to ii�l?.00 and►�r om„yernr hpeia�rneat..raw+r..r.rldpeace..Jnm.arms:d,,S�.rNlarntRa�I..nea d_qlaaaq���►�rnre� I understand VW a c"d V*statant 9 I MW sat►fa wsrdad to ON O M of knedgtlons of ft DrA for covered.vmftg On. 1 db hereby Cor* ft pafrra arrdpera ffw d per/tsy a of fba kvftwdlon protntW eftw fa bu.and carcecd c Pdrdname David J Brady Ptlof� 978 469 0681 oAkdd use only do net writs in Mta am to to cart Wed by dty or tarn off Idai' Gity or Town —- a!�JLlcenaiM ® ®u&ft D ❑Check Fin ah m2ponse 4 rsgtr W ® Ute`ftwd Conrad person: f hone dk ® He&"DePathnent Carel' "ADDING VALVE TO YOUR HOME" CUSTOM INSTALLATIONS 1367 BROADWAY HAVER.1'i1L.►,MIA 41832 PMONE/1FAX 974 469 0681 PROPOSAL Proposal Submitted To _ Date 03/04/2005 Job#dou4779 Nannie: Deborah I?o glas Job Name Douglas Address: 62 Mill Pond Rd _Job Address: 62 Mill Pond lid City: North Andover � State: Ma 01.845 Ci!y: North Andover State: ;'1+Ia 01845 Plsone 978 7254779 - 1 Ma H.I.C. N 134639 Ma Lie#c9059757 We hereby submit specifications and estimate as provided within. Please refer to specifications worksheet for all details. Kitchen renovation above address $13,746.00 !1 ***THANK YOU FOR YOUR BUSINESS*** �We hereby propose to furnish installation labor and materials,unless otherwise stated in specification worksheet, for the sum of Thirteen Thousand Seven Hundred Forty Sire dollars(513,746.00)with payments to be made as outlined in specification worksheet CUSTOM INST'ALLATI®NS � e AIT'I HORIZ D SIGNA'l UR ...... .e:: .. ................ ...... ! }avid J Brady � Acceptance of Proposal: The above price,terms of payment, __ --- specifications and conditions are hereby accepted. You are hereby authorial to do the work p y k as i outlined in building plans, and, specifications worksheet I eCQlDtraeCt Accepted: signed ...................................... Date ........................ signed ............................... MA LIC NUMBER CS059757 REFERENCE ORDER 4dou47*79 HIC 4 134639 "ADDING VALUE TO YOUR HOME" CUSTOM INSTALLATIONS ,4 DA ViD BRADY CO 3 367 BROADWAY HAVERHILL, MIA PHONE 978-376-6974 FAX 978-469-0681 SPECIFICATION WORKSHEET/ CONTRACT CUSTOMER NAME CUSTOMER PHONE Deborah Douglas 978 725 477Q ADDRESS: ZIP CODE: Mill Pond Rd 01845 (':ITY: STATE: North Andover Ma PROVISIONS: PLANS& PERMITS: ALL APPROPRIATL PERMITS SHALL LIE THE RESPONSIBILTY OF'Custom Installations., ALL WOI SHALL BE DONE IN ACCORDANCE,WITH LOCAL AND STATE BUILDING CODE A DETAILED SET OF BUILDING PLANS SHALL BE PROVIDED,: PLANS SHALL CONSIST OF ELEVATION,CROSS SECTIONS. FLOOR PLANS, AND AN OTHER DOCUMENTATION DEEMED NECESSARY BYBUILDING OFFICIAL,TO OBTAIN PROPER BUILDING PER-MIT: IF PLANS REQUIRE A CERTIFIED ENGINEERS STAMP,THIS COST WILL RESPONSIBILITY OF 140ME OWNER. SUPPI OF APPROPRIATE BUILDING PLANS SHALL BE REPONSIBILITY OF customer .OBTAINING PERMITS, AND PAYING PERMIT FEES SHALL BE RESPONSIBILITY OF Custom Installations. ABSOLUTELY NO WORK WILL BE DONE WIT1401 THE PROPER BUILDING PERMITS.THIS INCLUDES, BUT IS NOT LIMITED TO,ANY AND ALI-.DEMOLITION WORK, UNLESS APPROVED BY LOCAL BUILDING OFFICIAL. UNFORSEEN CIRCUMSTAMCE, GREAT CARE 44AS BEEN TAKEN TO PROVIDE ACCURATE PRICIN(i, HOWEVER,11 THE EVENT THAT"U`NFORSE.FN CIRCUMSTANCES"ARISE THAT ARE BEYOND THE CONTRACTOR'S CONTROL, ADDITIONAL COSTS MAY BE INCURRED BY HOME OWNER- IN THE EVEN OF"UNFORSEFN CIRCUMSTANCES",A WRITTEM ADDENDUMTO CONTRACT SHALL BE PROVIDED BY CONTRACTOR AND SIGNED BY ALL PARTIES BEFORE CONTINUING WITH THAT PARTICULAR ASPECT OF PROJECT."UNFORSEEN CIRP.LIMSTANCES" CAN CONSIST OF, BUT NOT BE LIMITED TO,STRUCTURAL DEFECTS THAT ARE HIDDEN BY SHEATHING,CERT AIN GROUND CONDITIONS BENEATH GRADE. DEBRIS REMOVAL: ALL DEBRIS REMOVAL SHALL BE THE RESPONSIBILITY OF Custom Installations . IF CONTRAC- IS RESPONSIBLE FOR DEBRIS REMOVAL,A DUMSPSTER OR SIMILAR SHALL BE PROVIDED. FURTHERMORE.JOB SITE WILL BE KEPT IN A SAFE, PROFESSIONAL,AND WORKMAN-LIKE MANNER.(pricing has been derived with the liniderstanding that a container may be placed on site) CONSTIRRUCTION PRACTICES: ALL WORK TO BE PERFORMED IN A PROFESSIONAL AND WORKMAN-LIKE, MANNER AND BE DONE IN ACCORDANCE WITH ALL LOCAL AND STATE BUILDING CODES, AND TO CONFORM T PLANS ANT)SPECIFICA71ONS PROVIDED. ALL WORK TO BE DONE WITH GENERALLY ACCEPTED CONSTRUCTIOT PRACTICES. SCOPE OF PROJECT: DEMO: existing cabinets and counter tops,existing wall Pa .,entry to kitchen, existing wall (,�,pass thru, (wall to be @ cabinet height), existing base board and hinged doors(I" floor only), existing flooring (kitchen area only), (1)vanity cabinet, (3)vanity tops, existing plumbing and electric as required, existing kitchen ceiling to be removed to provide case of wiring kitchen., (this will reduce electrical cost PLUMBING: re-work existing waste and water lines @ kitchen area, remove and install plumbing (,a—) vanity sinks and faucets(3), install sink,dishwasher,faucet as required, install pedestal sink., remove and re in-stall (1)toilet ELECTRIC: trouble shoot and update wiring as required by code in kitchen area,supply and install (4)pcs recessed lighting in kitchen area, provide outlets as required in 'Xz wall, move phone and switches as dictated, provide wiring for electric fireplace CARPENTER: install customer provided cabinets per plan provided, install customer provided hardwood flooring (I" floor only), install customer provided split jamb pre hung six panel pine door units (3 —first floor interior), install customer provided base board(I"floor only), install vanity tops (2), install customer provided doors for vanity cabinets to be saved, install "cage"to enclose customer provided electric fireplace, install fireplace, install marble stab @ front of fireplace unit(slab to be custorner provided), install and patch dr)-wall,taped and sanded to point of paint, install crown molding @d, living room area and into hallway, install chair rail wishadow boxes in dinning area, install door knobs DEBRIS REMOVAL: debris will be placed in contractor provided container for haul away, container shall be dropped within a reasonable distance of home as to not cause contractor to incur higher than.normally expected labor charges to get debris from interior of home to interior of container. It shall be customers responsibility to obtain permission and solidify location of container placement IMATERIALS- ALI,MATERIALS WILL CONFORM TO LOCAL AND STATE BUILDING CODES AND WILL BE AS SPECIFIED IN DRAWINGS PROVIDED AND APPROVED BY LOCAL BUILDING OFFICIAL. All material to be provided by customer,with the exception of rough wiring and plumbing materials,recessed lighting ftturcs,switch plates and receptacles, frmn materials,drywall,and fasteners,. All additional materials purchased by contractor will be reimbursed by customer upon producing i receipts. RIGHT OF DISPUTE: IN THE EVENT Of DISPUTE BETWEEN HOMEOWNER AND CONTRACTOR, TERMS OF THIS S1 SHEET WILL TAKE PRECEDENT OVER ANY AND ALL OTHER FORMS OF DOCUMENTATION. THE CONTRACTOR A IIOM-EOW14ER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT THE CONTRACTOR HAS A DISPIJT) CONCERNING TRIS CONTRACT, THE CONTRACTOR MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS A THE CONSUMER SHALL BE REQUIRED 1-0 SUBMITR SUCH ARBITRATION AS PROVIDED IN MCL. c. 142A. . .........................OWNER . .... .....I. .... ... CONTRACTOR NOTICE-. THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES ALTERN.A DISPUTE RESOLUTION INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE AL1`ERNA'ITVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SIGNED SEPARATELY BY THE PARTIES. PAYMENT TERMS: TERMS OF PAYMENT ARE AS FOLLOWS-. permit fees in advance($585.00),one third in advance($4387,00), customer will then be billed weekly as the amount of work dictates(project is expected to be complete in 2 weeks),however upon completion total amount outstanding will become due,If, upon completion,there. is a waiting period before contractor can finish sink,dishwasher and faucet tie in,due to stone installation,customer shall hold back$500.00 until this final aspect ofjob is complete LEGAL, ALT,HOME IMPROVEMENT CONTRACTORS AND SUB CONTRACTORS SMALL BE REGISTERED AS A 1HOM [NPROVEMENT CONTRACTOR WITH THE STATE OF MASSACHUSETTS,ANY INQUIRIES ABOUT A CONTRACTOR t SUB CONTRACTOR RELATING TO AR.EGISTRATION SHOULD BE DIRECTED TO: DIRECTOR,HOME INPROVEMENT CONTRACTOR REGISTRATION PROGRAM, P.O.BOX 871,TAUNTON,MA 02780-0871 PRONE:(508)821-9375 HOMEOWNER HAS RIGHT TO CANCEL THIS CONTRACT WITHIN TIiREE BUSINESS DAYS OI: SIGNING DATE WARRANTY OF ALL MATERIAL SHALL BE THE RESPONSIBILITY OF THAT MATERIAL MANUFACTURER AND NO" THE CON'IRAC'TOE,'THE CONTRACTOR WILL WARRANTY ALL INSTALLATION OF PRODUCT AND CONSTRUCTIO. PRACTICES FOR A PERIOD OF ONE(1)YEAR FROM.THE DATE OF;NSTAL,LATION.CONTRACTOR SHALL ALSO POSSESS AND PRODUCE IF REQUESTED A CURRENT MASSACHUSETTS CONSTRUCTION. SUPERVISORS LICENSE INQUIRIES MAY BE MADE BY CONTRACTING BOARD OF BUILDING REGULATIONS AND STANDARDS ONE ASHBURTON PLACE BOSTON,MA 021+18 PHONE:(6[7)727_300 EXT 607 ONLINE: Hwy vw rLa s,gor_' brs'csisearchAgv ACCEPTANCE OF TERMS:BY SIGNING BELOW,HOME OWNER AND CONTRACTOR AGREE TO SPECIFIACTAIONS LAID OUT WITHIN THIS SPEC. SHEET. ALSO,BY SIGING,TRIS WILL BECOME A BINDING LEGAL CONTRACT. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES APRGX START DATE 4.PRvx COMPLETION DATE CUSTOMER. SIGNATUREr CONTAR.CTIOR SIGNATLJR.E DAVID J. BRADY x. ............ /........................... ......... i DATED: 03/09/2005 03/09/2005 k is Num i tit, fit z Of4111 Tfi, rte. 1 RA°SAY HA i lkJ1 IM t11`��-. Board©f Building RegWatiens and Standards HOME IMP OVEMENT CONTRACTOR R"Is 1341939 . E000 i M20/2005 1�* rn&Mdual DAVID J. BRADY DAVID BEADY 1367 BROADWAY ---� HAVERHILL, NSA 01832 Adud-ristrato° m ! ♦ Y t L�� 6 a o .. i.l W24'4�t$0 i 124 6$ � �� T, COLN ff� i tt 3 shield kh added to ont i k ur-if Usif3�c��3)etg bra ureas,opens o 0 44�: doom&ad draws - during 3effir ng IN 70 Cb y - IN y - --- cue-4 ,sion5 --_ f 4- ' ( i A9,�'roSfFAa@ refer =�� � N y nn qr Gust Signeftre12. L w 30- Jr 1 CAU&nwe ims jue—Anixistewi � I and.➢�ea+ia aaa o . ns a si o :A/7Ara�5 --- �--- am sabjcet to versdam en.job site ib a�eleaaasai nr eVied&Ways Tarinkci:2MM5 j and sadjmdMent to fiat job rAmdAkAAfi- fee has baes pr sd or Lib ardsr pLweL i - r ----------- i �wasap U4/UU/ZUU5 10:10 FAX QjO92 09 2005 iisieirn� i-t t'ri.i t4u, r� ccG .a rGtS v♦ •.� �J ...wi tZn -i:ice .� :J1 LStV �D uL ,. .... t'C Rtl'"te►.M.r�c�. $yV lI VN 1 �L MillOo nd,No.Andovor.Nin. �mliy�. �'!�ll.'#►.U,A..s►allra�uf'�Millr�er�d,Mn.alstx�avcr wiii aE�c�w t3oraerscfc PIUMMOR.bUyar,to ntin mmoidiag%lWbca area. SomCss�g PrttrCrt;cS F1�►'COlI!�F9iti�t1C+ttW ck�■i��f�t�,�Q(!r1,(!bi!d clung ttul c1a:lC�n OU or bofbrc Murch l8,Z(tOS. r �a 0 O ®®0®®® Note: This drawing is an artistic Designed:2/12/05 interpretation of the general appearance Printed:2/12/05 of the design.It is not meant to be an �z exact rendition. 2120t4cl.kit Drawing#: 1 FED-21-2005 oe .*3t Am P. 09 .......... ........... .......... n t raj I'A LL it I ........... xi as ............ II ` �� __-_ : l ,kaz.-, Now; !'hip draw,og i4 an artik(i igncc:2,11 of-tile gonoral appoarance ol' J des!da4 t I Printed!2119-11 'ht Juviget,It IN met mclint to Ir*ail ovact rsa-21-2005 00 :29i Am P. 06 Al jht�derlign.it j,4 mu tymant W he an exact ' \ . . | �r ! { ' i \ � .� \! | . | ( . . | � ___'l --_-----�~----~--------� / ! NORTH Town of _ _ 4Andover .. C '�1.KMv No. dover, Mass. #.. COCMICKEWICK V 0 RATE D OkIF C2 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............... ......................................UA ................... ........................ Foundation has permission to erect........................................ buildings n. ......... .............,............ F.RW................. Rough to be occupied aS ��1A1... ... .. .................. .. ............................................................................ Chimney provided that the person accepting this permit sha 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST T 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 Street No. SEE REVERSE SIDE j Smoke Det. /1 w� Office Use Only Y` 01Ile &111111011wfultil of filagg cllm ettg Permit No. of Q �U Department of Vuhlie OafetU Occupancy A Fee Checked� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) 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 AL), INF RMATION) Date y-II`7 C'1tp City or Town of nnf'�'� l�?4.r\ V er To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Mal Location (Street & Number) 1,a 1 t ial Pond RoQ d Owner or Tenant comp e) WP_,;-denre Owner's Address Is this permit in conjunction wit4 a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps _� Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps—J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity _ Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs• No. of Transformers TotalKVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No.--of-Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal Other ❑ Connection ❑ ,� (c. Il No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP QR 1 9 19h OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy Including Corpipleted Operations Coverage or its substantial equivalent. YES NO ❑ 1 have submitted valid proof of same to the Office. YES O ❑ If you have checked YES, please indicate the type of coverage by checking the app opriate box.. INSURANCE . ,..BOND ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ — Work to Start Q, g��rtspaction Date Requested: Rough Final Signed under th j1,1i1�,• FIRM NAM x LIC. NO. gAtEM, MAS 11 Licensee (5()S) 745 22�9 Signat LIC. NO: Lic 4fF2F93G R, 412247 Bus. Tel. No. Address Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Ow Agent (Please check one) r -6 Telephone No. PERMIT FEE $ (36 I C) (Signature of Owner or Agent) x-6565 �, 1 \.� � � \�' >I 1 � � 4�, t_i f' .. �' - �. �i .x, `' , ,,� ��,+ ` r-t _n�;::+�'",�Fr"' "'�.�'��Crt"i+�' '�`'t �r at..we� — ,..�-n••.-,.-•i� 2586 Date. . . l r. } f HORTM q TOWN OF NORTH ANDOVER �, PERMIT FOR A MINSTALLATIONa �9SS4CHUSEt - 3 This certifies that . . . .w t ;Qe. . t4. . .(�.. .'e to� . . a• has permission.for installation . . �4S �t:x�r,� 7 . . in the buildings of . . . . , .�. . . Pte.".: .. .. at . . . . t`!! . . . , North Andover, Mks. Fee. 3b.CQ Lic. No../:-. C .WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:FII Date.... ....... HORT11 y�y,•( °f,"_'° :°�"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING . ��SS�cHUSE� This certifies that .....`'.d t ........................ .S T�'�i�� ....................c has permission to perform ............... .. .......... .......... ......... ...................... wiring in the building of �..`.....Dwx/!.il!5............................................ ,at.............. Z... ........... ../ `/G-�.c..1 DJL/�J� ,North Andover,Mass. .......... .... . yY7 7 ELECTRICAL INSPi COR Check # ILI 565 1Im I,UiV1iVJULv Yrrdll"n Ur/r"taLarit ClUJAL4 i L3 DEPAR7MIDVT0FPUBIICS4FE7Y permit No. BOARDOFFIREPREVF1V770NREGZIIAZ70NSWa 812.00 Occupancy&Fees Checked APPLICA71ONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform thegelectncal work escribed below. Location(Street&Number) a �t Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: YeSM No a (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps� Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground 1:3 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work p No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round and No.of Receptacle Outlets (' _ No.of Oil Burners No.of Emergency Lighting Battery Units No.of switch Outlets �U No.of Gas Burners No.of Ranges i No.of Air Cond. Total FIRE ALARMS No.of Zones / Tons No.of Disposals i No.of Heat Total Total No.of Detection and Pumps . Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP • OTHER' r IN h151.IlafllJeCA�B'�.RualstYbdletegtmanaltsafN1�t11se1tsC3at®1Lavvs Iha�eaamaYLiabtliyhmaartoePbGcyirchldngCornpltCa�aag�arilssuble�uivala�t YF5 NO I -,e& Yidedvardptoofofsmr1Od eOffice YES LO lf3cutmedledtedYES plea nxic o fttA eofoovmaWby INSURANCE BOND r7 OTER a (P1ea9eS�eady) (� EsdIri*dValirofE1xkical Wade$ Wodcb�alC !�'�� ` h>SpearonDatRtd Rough Final Sigrladturla�ielofpagtlty. lioaz9eNa FWMNAME 11 L;� A� � y Signaaue Liaatsellb (�atf 7 '' Q Tel.No. IdJ 9 /9 J 1 d sX 1�7s � Y•-� �,1� a � g AIL TeLN06 oWrtR'SIIVSURANCEWANF12;Iamavraet udcLio wdoomthavetheinsaa=aNeWorilssttsra tdegwmbtasogimedbyM CalaalLaws _ andthatmyagnahaecnttuspwnkappkab lwaivesalisrec *mialt (Please check one) Owner Agent Telephone No. PERMIT FEE$ signature of Owner of Agent It=L ULV1iV1U1V rrrJtLAi n vr aJt1J,arit 11r1VJ.A i L3 --�•-- DEFAR731ENT0FPUXKS4FE7Y Permit No. BOARDOFFIREPREVEMONRDGULAHOMM7CvMlZM Occupancy&Fees Checked Q APPUCA77ONFOR PERMIT TO PERFORMELECTRICA WORK ALL WORKTO BE PERFORMED IN THE MASSACHUSSTS ELECTRICALCODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat t3 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Ina Owner or Tenant - Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building �` Utility Authorization No. Existing Service ArD ps��Vti is -• �Overtt ad Undt:roun ��- ;Np efll%I ters, New Service AmpsVolts Overhead Underground N0. 4 Meters Number of Feeders and Ampacityq ,.i Location and Nature of Proposed Electrical Work JIK ' rti O No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets j _ No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets �J No.of Gas Burners 0 No.of Ranges I No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals 1 No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers / Space Area Heating KW No.of Sounding Devices No.of Self Contained .Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal � Other Connections `.of Water Heaters KW No.of No.of Signs Bailasis Hydro Massage Tubs No.of Motors Total HP ER Covt�•d e,PI>t mik)tl�etagtmuna&cfMa mdxamGalaalLaws aammLiab�'tyhts�at=FbLYirrJuftCanpkW orbsi alafbalal YFS NO validptoafofsamelofto ue-YES l,/� lfyouWmche3rdYES,plea�eirtdraledrgpeofamWby the BOND11RY) twd IY� EkpkadmD* Estir *dValleofEl=cnlWc&S /� hspeWmD*Reque&d Rough Fmd ut PlmakksofpetjW..C�y 'Gr4� Sc�3?��t�Gg LioareNa AgLeTTA D A1CTUNa t+�X l��s ��-�>� Nle 6'Y� Eu�ssTd.No. (� d-���o�--, C �. 'SINSURANCEWAM31;IamawaedxtdrLioaeedot'snotherethei RM=W%Crd earils&kg3ialegtri WatasmgzedbyMamKhi lsGaleallaws rrisgiamcnftpmtffhcabmwam!sdism%zmnaI check one) Owner Agent Telephone No. PERMIT FEE S Signature of OwnerAgent � �ti 3 �y i � � i !� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) hh__ NO ,'ANDOVER ,MA Mass. Date d"� : 19 �� Permit 2 Q 9 3 = a Building Location „LLPOND Owner's Name NO.ANDOVER,MA Type of Occupancy RES New ® Renovation ❑ Replacement ❑ Plans Submftted: Yes❑ No ❑ V4 W In = in ` NU N ¢ N cc (:) W W N ¢ O U in lu m O ¢ W 4 = 2 ~ N O C } W -LLJ C7 > W h CCW U J W W O N m 2 O W O < W T > D d F- O SUB—BS1.IT. BASEMENT 1ST FLOOR 2ND FLOOR I I I I i 3RD FLOOR _ I I 4TH FLOOR I I I I 5TH FLOOR 8TH FLOOR I I I 7TH FLOOR -LH+r-I I STH FLOOR Installing Company Name CALLAHAN AIR CONDITIONING Check one: CertKlcate ir Address 91 BELMONT STRFF,T l3 Corporation NO.ANDOVER,MA. 01845 ❑ Partnership Business Telephone 508-689-9233 O Flrm/Co. Name of Ucensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN INSURANCE COVERAGE: I have a current IfabUlty Insurance poiIcy or fts substantial equivalent which meets the requirements of MGL Ch. 142 Yes R1 No O If you have checked yeses, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Z) Other type of Indemnfty O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee.does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent O Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) In ove appricatlon are true and accurate to the best of my knowledge and that all plumbing work and InslallaUons performed under the permit sued or this appllcad will b In pilance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the neraZ Tlepe of Ucense: � tubergnatur o c nse um a oc Gas diet Title ratter aster Ucense Number M-3440 Ci lylTown Journeyman Mf'f1CT/F.tSTbTr'1� 0 . l � Y 2093 Date.!/. s NORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 4j � • A �9SSACHUSE��y _ ppl5 O If! . n L1J Ar This certifies that . 0- . . . . . . . has permission for gas installation H.s. "j in the buildings of . . �t. �.�. . . . . u 4 at , North Andover, Ma Fee. Lic. No.3c/.`l U. . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) / ` N �Jb V U� Mass. (Date MaC' I< 19 �6 Permit #GO -217fp Building Location V)- TXul Owner's Name k,0 A lam' M ;--s 6 t j `" Q P Type of Occupancy New ❑ Renovation ❑ Replacements Plans Submitted: Yes❑ No ❑ ' N N ]C W to N (A U Z y (A Q N CC O N ~ W � WW F' Or J rr f. Q >- Z Z CC a m '� a ¢ o: O Q }' w N O W < _ Z t0-sn a C R cc a O W W W (n j Z Q S CC ¢ W Cr W (... W (� h Z a W J <LLI C ~ f' r (A m Z O 2 W O N = 'x o c� z U. 3 c v y c no Fes- O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR ' 3RD FLOOR 4TH FLOOR I 5TH FLOOR 6THFLOOR 7TH FLOOR STH FLOOR Installing Company NameA��e {� lU N^� y�G. Check one: Certificate Address_ 6 nyoc clj .Corporation 'a.0 ❑ Partnership Business Telephon Sob ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter G t`c �� • �'h ,' _ INSURANCE COVERAGE: have a current bility insurance policy or its substantial equivalent which meets the requirements Yes No ❑ q of MGL Ch. 142. If you have checked yes. please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this 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 entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this applicatiogwill be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of t eral Laws. By Zoau,ftn fLicense: _Title mber Signatur Lic ed P u b r or s FitterfferCity/Town erLicense N ber �C7� 5APPROVED(OFFICE USF ONLY) eyman � BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE pp�� NO. APPLICATION FOR PERMIT TO 00 PLUMBING NAME &TYPE OF BUILDING u otd oW4 Ccrldo LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE _19 PLUMBING INSPECTOR J . a xs x 27 Date.: . t„T M HORTM TOWN OF NORTH ANDOVER•. < pF t,,,,o ,e,4, �r '� ♦ pp PERMIT FOR GAS.INSTALLATION ,' ♦ t �9SSACHUSES CU yf. This certifies that has permission for gash� tallati in the buildin s of . .' c! ; 4� . , at 402 . . . .... . . .. . . . . . . . , North Andover, Mass. Fee?;i. ,77u Lic. No.. �Y. 4. . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File ``t --- Date. . .-�-�. . E, �'."O°r"1�o TOWN OF NORTH ANDOVER t • PERMIT FOR PLUMBING ♦ i : • �! SSACMUS� This certifies that . . . . . . . . . . . . . . . . . . . . . . . has permission to perform plumbing in the buildings-of . . . . . . . . . . . . . . . . . . . . . . at.�'?r . . - - � , North Andover, Mass. Fee 1� . .Lic. No..1� ? . . . . PIUMBI : . . . . . . . . . . SPECTOR Jt � �+ Check # 13,161 6400 MASSACHUS TTS IFORM APPLICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER,MASSACHUSE /- � Date Building Location X4*) Owners Name �� Pew Type of Occupancy (Cia AJ 0 Amount p New Renovation Replacement Plans Submitted Yes No FIXTURES �Bavl'>C )Ei�151H1VII�TI' >1s7:>HI �d2.)NIDCI<2 4M HfM sm)NL m 61H HJOQR 7II3 FIDC1<2 F" • (Print or type) �C�L( Check one: Q Certificate Installing Company Name Address wed $� ib Partner. Business Telephone 0 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the tyuw6f insurance coverage by checking the appy ate box: Liability insurance policy Other type of indemnity Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance signature Owner Agent r I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perfo a nder Pe it Issued for this application will be in compliance with all pertinent provisions of the Massa seEts t lum in ode d Chapter 142 of the General Laws. By: igna re o icense u r Type of Plumbing License Title City/Town LIe INE um er MasterJourneyman ❑ APPROVED(OFFICE USE ONLY lod S/-, � � ���1 ' �. � -� i � ► �'� r �,� .� \\\ j • J r. ;`