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Home My WebLink AboutMiscellaneous - 64 RUSSELL STREET 4/30/2018 - 6 RUSSELL STREET 210/070.0-0047-0000.o 1 i MASSACHUSETTS UNIFORM APMCATON FOR PFRNIlT TO DO GAS FMING (Type or print) Date /Z�(� e S i NORTH ANDOVER,MASSACHUSETTS` S Building Locations 60 S C/ `� �' Permit# Amount$ Owner's Name � � AZ!f-,7y New❑ Renovation ❑ Replacement Plans Submitted ❑ Q O U 0 `n C7 G O G G U 0 o c0. 0 c F z SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR Name or type) � Tl � C�Corp.Certificate Installing Company Address <<�� t� C)Y- F0/1, Partner. 73' 7--777;=— Business Telephone — 79 37 77 7 �rm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0� No❑ If you have checked Yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy 0/ 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 ❑ t 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 in ions pe ormed and r Permit I ed for this a ication will be in compliance with all pertinent provisions of the Klass tts State as Code a Chapter 1 2 of the gqKeral Laws. r S' nature Title of License Plumber Or Gas Fitter By. Plumber S (j City/Town ❑ Gas Fitter License N7mberg rn-Ma'ster APPROVED(OFFtcE USE ONLY) Journeyman I Location No. 1 Date a� D �ORTM TOWN OF NORTH ANDOVER �? • 1 • OR 9 ' Certificate of Occupancy $ 7sJ,KNuSEt�'' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 'i 7673 Building Inspector h TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE �ORyy�TWO FAMILY DWELLING BUELDING PERMIT NUMBER. C;,21 DATE ISSUED: (0/ ic SIGNATURE: Building Commissionefflng=tor of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: � / � -7 Map Number Parcel Number Q 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 Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑III J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT s:c,rit; District Ye's 2.1 Owner of Record Y�GG ssGi/ Sl Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: n'.e Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction St1 rvisor: o z z License Pumber 11 Address O 6 / Expirati9d Date C� Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ G'Smpany Name M Registration Number r / dress z Expiration Date G) Signature Telephone �A r 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 permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all a Hcable New Construction ❑ Existing Building g}— Repair(s) 0 Alterations(4) [' Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: >� fO✓1 C�/S SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building l C / (a) Building Permit Fee S Multi lien 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 1, 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 t I> as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are tme and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 s 2ND3sm SPAN DIMENSIONS OF SILLS �Q DIMENSIONS OF POSTS DIMENSIONS OF GHZDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHUVINEY IS BUILDING ON SOLID OR FILLED LAND _ IS BUILDING CONNECTED TO NATURAL GAS LINE 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 c 11, S 150 A. The debris will be disposed of in: d 7?, (Location of F cility) Signature f Permit Applicant 71,20C a Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector BOARD OF BUILDI G REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 011353 ► 1 Birthdate: 05/22/1951 I Expires: 05/22/2006 Tr.no: 26454 Restricted: 00 ROBERT A STEPHENSON i 11 BIXBY AVE N ANDOVER, MA 01845 Commissioner l Li censod PROPOSALOver 30 Years Experience S & S Building& Remodeling Bob Stephenson Complete Interior/Exterior Carpentry 11 Bixby Ave. (978)688=8097 No.Andover, MA 01845 NAME OF OWNER-HARRY BUNNELL ADDRESS OF JOB_ 64-66 RUSSELL ST., NO. ANDOVER, MA TEL. 978-7943316 ._._ DATE: 8/21/04 -t ireby submit estimates for: BACK PORCH ROMOVE EXISTING BACK PORCHES&ROOF SECTION. BUILD 2(20X10)NEW PORCHES WITH 2X 10 P.T.FRAMING-4X6 SUPPORT BEAMS 2X8 ROOF RAFFTERS- NEW STAIRS ON END TO BACK YARD. 5/4 X 6 TREX DECKING COLONIAL SPINDLES SET AT 42"HEIGHT. PRESSURE TREATED ROUNDED TOP HANDRELS. 2X4 PREASURE TREATED BOTTOM RAILS. WHITE VINYL LATTICE TO COVER LOWER SECTION. ONE NEW REAR ENTRY DOOR. ONE NEW STORM DOOR. We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of. Dollars(S 11.025.001 Paynent to be sande as follows:IMA DOWN PAYMENT 2ND PAYMENT[OF 3-W-00,Ret ANEE UPON COMPLETION OF 4025,00, Ail material is faaraatesd to as specified,All work to be completed in a worlyunifke mazer anNAM le standard pracdees. Any al ridgy or devis Autborb written order.aad will become ap'ertra ebarree oY r and above the admate All agreeaeab contingent upon stoke*accidents,weather or delays beyond Our coptrol. Owner to carry fire,tornado and other necessary Insurance Acceptance of Proposal . — The above Prices,speeffleatioas and condidoes aro satisfactory and are hereby Accepted. You are authorized to do the work as specified.Payment Will be made as outlined a Sigasture Date of Acre: nee JI vc.�v a U1 The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Q a f so Please Print Name: Q r L x-,4k l�� ,N S o�J Location: u-rs-6-11 Sr " City A/6 / Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: 6 v� Address l /9c- City- A/D c/crf. -,-9Y Phone Insurance Co. Policv# Company name: Address City: Phone Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment-as mell_as_civil,penaltiesinthe Imnda..STOP WORK_ORDER..and..a.fine.of.($100.00)-aAayagainst.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. c Signature Date-4 �ie Print name Phone# Fld CJ,f t a tF 7 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept ❑Check if immediate response is required 0 Licensing Board p Selectman's Office Contact person: Phone# Health Department ❑ Other Iii tebnrit Oa ZT�lO re�+VA Town of North Andover o� •' ° ` '' °� Building Department 27 Charles Street North Andover, MA. 01845 �'ss'��►+„$�<�y D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542.Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street Address Map/lot "HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homedwners”was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner'certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said,procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL i w MORTGAGE INSPECTION PLAN NORTHERN ASSOCIATES, INC. 401 SOUTH BROADWAY,LAWRENCE MA.01843-3522 TEL:(978) 837-3335 FAX-.(978) 837-3336 MORTGAGOR: .HARRY * MARGUERITE BUNNELL DEED REF: 4623/87 LOCATION: G4-GG RUSSELL STREET PLAN REF: 0202 CITY,5TATE: N. ANDOVER, MA SCALE: I "=20' DATE: 5/13/04 JOB #: 204.07G 15 50' 5,000 5.F.:L Cr O Q O 21121 STORY WOO D #�6 PORCt1 50, RUSSELL STREET CERTIFIED TO: Flood hazard zone has been determined by scale and is not necessarily accurate.Until definitive plans are issued by HUD and/or a vertical control survey is performed,precise elevations cannot be determined. NOTE: This mortgage Inspection was prepared This nnortyage inspection was prepared to accordance specificallyy Jor mortgage purpose only and with tlw Technical Standards Jbr Mortgage Loan is not to be relied upon as a land or property r +.. Fine survey, used Jbr recording, preparing deed ��4(',1OF A1,A4'q wi Registration oJInsf*ctions as aPrufissio alhEngincers and Lane Massachusetts d of descriptions, or construction. No corners were J� �Y Sunwyors 250 CMR 605. set. Building location and offsets are 2 JOHN 1 further state that in m ro opinion that ssionat approximately located on ground and 4 �'�' y p Jb ), 11 the structures shown conjbrm with the total zoning horizontal are shown specifically Jbr zoning determination I -.` dimensional setback requirements at the time of construction or only and are not to be used to establish property are exempt under previsions of M.C.L CH. 40-A Sec. 7. lines. The matters shown hereon are based on 1 client furnished inJbrmation and may be subject ` I M 1 pro rt to further out-sales, takings, easements and rights Pe t1/House is not in Flood Hazard. o wa and other matters o record and O 2. Property/House is in a Flood Hazard Arca. J y. J present e S /ter p 3. InJbrmation is insuJficent to determine Flood Hazard or other rights. Northern Associates, Inc. assumes no '9N ll �-G1 responsibility herein to Land owner or occupant, '" Flood Hazard determirwd accepts no responsibility Jbr damages resulting from said , r- t from& L Federal Flood reliance by anyone other than the said mortgagee and its assigns q] '�( `' Insurance Rate Map Pariet % �/�v q ��06-?C— in connection with its proposed mortgage financing to said mortgagor. Date �"' a q3 Zone /r`ynf NORT1y own of s 4Andover No. Z/7 * - /07ar LAKE = dover, Mass., lb COCHICMEMCK y1. 7,ps RATED PPG 1 ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... ..... .�.�. .......... N.N..r�...�I....................................................... Foundation I has permission to erect.... .. buildings on ..... .y...... .. .......... .. .V j j�........ .... . Rough to be occupied as 't,I" Aw***#'%cA#*& d N Awdo"s �j� �'; �tall 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 r lating 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 Aa STARTS, ELECTRICAL INSPECTOR Rough 1/ ! ............................ ....... ...... Service . ....... ................... ...... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner s Street No. t SEE REVERSE SIDE Smoke Det.