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HomeMy WebLinkAboutMiscellaneous - 675 GREAT POND ROAD 4/30/2018 (3) 675 GREAT POND ROAD 210/063.0-0014-0000.0 k Date..../f.....2.8..`..G. F TOWN OF NORTH ANDOVER J` 3j •` °L ' PERMIT FOR WIRING. �< SSA US -A This certifies that ..4�f; A.!/M.......... ............. has permission to perform ........ . ..g.'. ..... .D... Vial........ .y wiring in the building of........... at....................................................... ..�..............�..�,North Andover,Mass. Fee....: Lic.No.9.4.4 .7.r f .. ....... `{ -""' ELECTRICALINSPEGTOR �. I' Check N I.SD I Iv 7069 Commonwealth of Massachusetts Official Use only � - Permit No. 7�6� Department of Fire Services Occupancy and Fee Checked r' BOARD OF FIRE PREVENTION REGULATIONS Rev.9/051 (leave blank) 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: J/-� �- -0 G City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notiXe,4-1 f his or her intention to perform the electrical work described below. Location(Street& Number) 67� jc? ltl1 �G7 Owner or Tenant e /" T Telephone No. Owner's Address Is this permit in conjun75, n with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building � 166-f4C r Utility Authorization No. Existing Service Amps / Volts Overhead ❑ 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: S 6-A-5 5 WA.- Completion of the following table may be waived by the hzs ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.or— Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting 4 rnd. rnd. Battery Units T! No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners / Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pum Number Tons KW No.o Sel -Contained Totals I etection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Mun'c'pa ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.o No.o Data Wiring: Heaters Signs Ballasts No.of Devices or E uivalent 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: 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under tt ams a d penalties of perjury,that the i formation on this application is true and complete. FIRM NAME: ,4-/,�/,�/V e .�- �,�;n LIC. NO.: ff j .e Licensee: ✓-t STg ker 1IL'u,"10 Signature LIC. NO.:,,5.10d_7 (If applicable, enter "exempt"in laze license number line.) Bus.Tel. No.47�'`4F157- gJ-3 3 Address: /l GC.� ✓rte o =rr /r o dJpr�r. -- iy!/1 Alt.Tel. No.:7f/-8A/ 2yJ-:,0 *Security System Contra for License required for this work;if applicable,enter the license number here: 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. 1 am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. Date........7n.,/ NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4P SS cs4us I . This certifies that ............................ nc ....................... has permission to perform ............. ......................................... wiring in the building of............... ......... ............................0. at... ...a.e.o. ......�. .. North Andover,Mass. Lic.No"�&.;?/�............. ..... . ..rRICAL INSPE Check 8238 Commonwealth of Massachusetts Official Use Only a Department of Fire Services Ee7 BOARD OF FIRE PREVENTION REGULATIONS d Fee Checked leave blank APPLICATION FOR PERMIT All work to be performed in accordance the TO�PERFElectrical MCode ELECTRICALoWORK (PLEASE PRINT IN RX OR TYPE ALL INFORMATION). Date: 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 lectrical work described below. Location(Street&Number) Owner or Tenant Telephone No. Owner's Address C5 4-,� Is this permit in conjunction with a building permit? Yes No �� l - ❑ (Check Appropriate Boa) Purpose of Building st at / Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und d �' ❑ No.of Meters New Service Amps / Volts Overhead❑ Und d �' ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: c / C P � L I � Com letion of the ollom' table may be waived bv the Inspector of Wires. ' 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 No.of Luminaires Swimming Pool Above ❑ In- o.o mergency ig g d. d. Bette Units No.of Receptacle Outlets & No. of Oil Burners FIRE ALARMS INo. of Zen— No.of Switches No. of Gas Burners No.of Wetection and Initis ' Devices No.of Ranges No. of Air Cored. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number_ Tons KW No.of Self-Contained Totals: """ Detection/Alertin Devices No.of Dishwashers I Space/Area Heating KW Localunicipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or E uivalent Heaters �' No.of .Data Wiring; Signs Ballasts. No.of Devices or E uivalent M No.Hydromassage Bathtubs No. of Motors Total gp Telecommunications firing: No.of Devices or E uivalent f OTHER: 1 �� � Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: � d 6 G� (When required by municipal policy.) Work to Start: Y�.0�7 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 covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE j: e ND ❑ OTHER ❑ (Specify:) I certify,under the p s and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: 1—tG 2 SPS LIC.NO.: / 9r Licensee: -I2 S,-Signature (If applicable, en� 'e�emp� th a nse number lige.) IC.NO.: Address: D� ���/,�y /r© T Bus.TeL No.: -� f *Per M.G.L c. 147 s.57-61 secure work re D Alt Tel.No.: t7 ^D security wires q 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)❑o Owner/Agent wner El owner's agent Signature Telephone No. PERMIT FEE:$ i ®� 17-co -D 4---< 4 ' v i M 1 The Common wealth of Massachuset& kf ! Department of 1•ndustria1Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www massgov/dia . Workers' Compensation Insen-ance Affidavit: Builders/ContractorsMectricians/Plumbers A Iicant Information Please Print Leaibl Name(Business/Organirdtion/individuai);_ !(!�,�Q rale Address: ' // ��- City/State/Zip:S CJS' Phone #: . L79— Are 79— Are you an employer?Check the appropriate box: ' l.❑ 1115,a employer with 4, ❑ I am a general contractor and I. Type of prefect(required): eployees.(full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2. I am.8.sole proprietor or partner- listed on the attached sheet,t 7• ❑Remodeling ship and have no employees .. tP These sub-contractors have 8. ❑Demolition working for mei any capacity, workers, comp.insurance. [No workers comp.insurance 5. 9• ❑Building addition 4 p ❑ We are a corporation and its . required.] officers have exercised their 10•0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions nsSurancNo u�redt comp. c..152, §I(4),'and we have no required.) employees, [No workers 12.❑Roof repairs comp. insurance required.] 13:❑.Other Any applicant that checks tint#t in=also fitt out the section below ' showing(heir workers e i Homeowners who submit this atruiavit indicating they am doing all work and then hire outside©nuactors must submit a neoiv�affidavit indicating each 1contractots that check this box must attached an additional sheet showing the name oFthe sub-conttt cto�s and tirir work='comp.Affidavit in isatin asuci I am an employer that.is providu�rg:warkers'compensation insurance or e f la ees. B mJ' mP elow ' y rs.the 0 inforntatinn. P EcJ'and job stte Insurance Company Name: ' Policy#or Self-ins.Lic.#: Expiration Dam: Job Site Address-City/State/Zip: Attach a copy of the.workers' compensation policy declaration page(showing the policy number and expiration ptratio n date Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a y 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 cerci under the pains and enalties of peri that the informadon prntrided above is true and correct Si tttr e: q Q Date: 1-0 Phone Offieial 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): I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical inspector 5.fjctor 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all emp)oyers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any.two or more of the'foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. 'However the owner.of a dwelling house having not more than three apaxtments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate it business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence-of compliance with the insurance'coverage required." Additionally, MGL chapter 152,§25C(7)states"Neither the commonwealthnor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants v Please fill out the workers'compensation,affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their ceftificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no.employees other than the members or partners,are not required to.carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign.and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not'the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'• compensation policy,please call the Department at the numberlisted below. Self.-insured companies should entertheir self insurance'license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. in addition,an applicant that.must submit multiple permit/license applications in any given year,need only submit one affidavit indicatingcurrent policy information(if necessary)and under"Job Site Address"the applicant shouldwrite"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fixture permits or licenses. A new affidavit must be filled out each c year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture ; (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit ; The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call., The Department's address,telephone and fax number: The Commonwealth of Massachusetts ' Departrnent of Industrial Accidents Office of Investi ations 600 Washington Street Boston, MA 42111 Tel.# 617-72-74900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia I Date. . HOR7N TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUSE� . This certifies that -.. J� . . . . . . . . has permission to perform . r °-^--' -'' K . . . . .`.... . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . at . . �� .`. !. . . . . . . . ..:,. {1. . . , North Andover, Mass. PLUMBING INSPECTOR Check it 03 7773 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Building Location/.I "y 6/'eg► CJ �-Owners Name Date. � ���'� �� Permit# `p Type of Occupancy dal i!/•e l�. Amount New Renovation ® Replacement "� Plans Submitted Yes ❑ No FIXTURES w � w o • H � � UD a w o U St&F14VIC U) A M FLOM MROM 4IHFIOM SIH I+LOM SIKF f SIFT FLOCK ..........[... .... (Print or type) Check one: Certificate Installing Company Name_ p `/ El Corp. Address _ r '!� CO-4"z- r y Partner. Business Telephone 9 4o 51- Firm/Co. Name of Licensed Plumber: l> Insurance Coverage: Indicate e e the f insurance coverage•by checkingthe r liability insurance policy appropriate box: t3' P Y 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 three insurance i Signature Owner ❑ Agent El 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code ajW Chapter 42 o the General Laws. By: Signature o kens urr Title Type of Plumbing License City/Town l Y APPROVED(OFFICE USE ONLY icense um er Master ❑ Journeyman I I ��,Sv Locationl2� No. Date l-/ NaRTN TOWN OF NORTH ANDOVER O? • aOOR p Certificate of Occupancy $ Building/Frame Permit Fee $ %?.S.J Foundation Permit Fee $ sACMus Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ a6, � Building`Inspector 6 2,25.54 PAID a 686*3 Div. Public Works F PERJIIT NO. 4!:% APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AGE a MAP 4d0. I LAT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE — ZONE SUB DIV. LOT NO. i �`g q4 LOCATION PURPOSE OF BUILDING '� l OWNER'S NAMENO. OF STORIES SIZE per) �w,,>V I _ OWNER'S ADDRESS p wo n ,^ ' BASEMENT OR SLAB ^� T ARCHITECT'S NAME l7 tiC]C V4P SIZE OF FLOOR TIMBERS IST — 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING RtS� DIMENSIONS OF SILLS DISTANCE FROM STREET '" POSTS DISTANCE FROM LOT LINES—SIDES REAR '" GIRDERS �- AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION Li• 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 1 FILL OUT SECTIONS t - 3 EST. BLDG. COST PER SQ. FT. i 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 APPROVED BY BUILDING INSPECTOR DATEIFILED �Amen Q VAL BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E _ 2 V 61p, ' d PLANNING BOARD PERMIT GRANTEW 19 � BOARD OF SELECTMEN L; OWNER TEL. CONTR.TEL.# � 2'lalZ3 CONTR.LIC.# �` .\40" T"o e"' \�' BUILDING INSPECTOR 1 I t• � 4" BUILDING RECORD 1 OCCUPANCY 12 rNG'LI? F�AMTir�����✓ 5oOQfES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY !oFFdces•i LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I B INTERIOR FINISH — CONCRETE B I 2 13 CONCRETE BLK. PINE BRICK OR STONE HARDW D — PIERS PLASTER — DRY WALL UNF!N. 3 BASEMENT 11 AREA FULL FIN. B M'T AREA _ - Y, 1/2 3. FIN. ATTIC AREA _ NO BM T FIRE PLACES _ HEAD ROOM MODERN KITCHEN I 4 WALLS I 9 FLOORS CLAPBOARDS B 1 DROP SIDING CONCRETE ��_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDV✓'D _ ASBESTOS SIDING COMMGN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME 6R I-CK ON MASONRY ATTIC STIRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. �`•^ STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR 1 ADEQUATE I� NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO _ 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE > `NN 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 OIL y B'M'T h dz \ ELECTRIC, Isr 3rNOO HE d r • � 11 Mcg 3 u ZIt y r"f a �.�..I,L I► V 1Q'' 0 -16 �-�ti ' 14 !L-LII �S�to� �Lvl�. -SP. °�,�� ?OSS-Z4_ 3 i5-L _� 3c� 6" 'tai Z i 3 t31�3•I AL El _ + S70JF_v ' cL I p -4� K67"rr-Jam,,:�7gvc-�- ® 4- A=52 I ! Y—afiW Q R 62'l W oD — --- S I � u - a L ZI — ttZGc. sq �• w� ROILDVT�._ � .3� q�� i ALL DIMENSIONS AND SIZE DESIGN PLANS ARE PROVIDED FOR THE FAIR DESIGNED FOR BY DATE BY SCALE DWG. DWN DESIGNATIONS GIVEN ARE USE BY THE CLIENT OR HIS AGENT IN f�Cf'cr�T}�y _..lt�� wi T-c�4EN irovkc ss REV It H- ,I No. SUBJECT TO VERIFICATION ON 1�1��1��A1 COMPLETING THE PROJECT AS LISTELY WITHIN Z I JOB SITE AND ADJUSTMENT TO I,\�l ` THIS CONTRACT. DESIGN PLANS.REMAIN THE FIT JOB CONDITIONS. • • PROPERTY OF THIS FIRM AND CANNOT BE USED j-oil OR REUSED WITHOUT PERMISSION. lvlY1�tJ PJ 1=F R `{� DETAILED DESCRIPTION OF MATERIALS TO BE USED Materials to be used in performing the above described work consist of the following: Andersen windows and doors,white recessed fixture trim, one Velux skylight, Morgan six-panel pine doors, Sherwin Williams paint and stain, and related construction material. II. PRICE Contractor agrees to do all work described in Section I for the total price $26,569.00. III. PAYMENT Payment will be made as follows: ($8,000.00)upon completion of demolition and installation of doors and windows; ($8,000.00)upon completion of rough plumbing and electrical; insulation and skim coat plaster; ($8,000.00)upon completion of cabinet and countertop installation,interior trim and paint, and the remaining ($2,569.00) upon installation of hard wood floor and touch up work, and is verified by Owner and Contractor as having been satisfactorily completed, which verification shall take place promptly after completion. Costs do not reflect any permits required. Final payment will be adjusted to reflect this cost. Notice: No agreement for home improvement contracting work shall require a down payment (advance deposits) of more than one-third of the total contract price or the total amount of all deposit or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and equipment, whichever amount is greater. IV. COMMENCEMENT AND COMPLETION OF WORK VIII Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified here in writing. Contractor will begin the work on or about January 10, 1994 (date). Barring the delay caused by circumstances beyond Contractor's control, the work will be completed by the week of January 31, 1994 (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. V. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the times specified in Section III (Payment) above for the reason that he deems himself or the payments to be insecure. If, however, he deems himself to be insecure, he may require, as a prerequisite to continuing the s by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See attached Notice of Cancellation. HOMEOWNER: D GN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Owner's Signature) Date Signed 4ni,U3 Q 6 e-, S 3 (Contractor's Signature) ate Signed COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY a curry aI OF ONE ASHBORTON PLACE '' Etanl MASSACHUSETTS BOSTON,MA 02108 c'- cf Ve:.e it:'::'::.3. + L I "EN SE CAUTION <� EXPIRATION DATE CONSTR. •.illPrRVISOR ') 03/26/1996 EFFECTIVE DATE LIC N0. FOR PROTECTION AGAINSTTHEFT, PUT RIGHT THUMB :� RESTRICTIONS q. ,. NONE 6A� T16/30/19 9 5 0 33217 PRINT IN APPROPRIATE ±" .- 0 6 BOX ON LICENSE. o FRANCIS A HELIP o ' z LAK L-SHORE R D z BLASTING OPERATORS SS Al 023-40-1122 m UOXFORD ' A 01385 m MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FEET:''} p� 1 U O. U L7 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY 1 HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER ': DOB: 03/26/1953 THIS DOCUMENT MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE a SSS n CARRIED ON THE PERSON OF CENSEE THE HOLDER WHEN EN- OTHERS- N- OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATION. COMMISSIONER N � 4 37%. HOME �omw,eax�aeal!/o��'liraaac%.sarlfa xir!"' •,; "` HOME IMPROVEMENT CONTRACTOR Registration 107915 Type - INDIVIDUAL Expiration 08/10/94 � 9 + Francis Hebb Francis A. Hebb 70 Lake S`lore Rd. 9y _ .. ♦�x����s'k``��. , we it ADMINISTRATOR �!, Boxford MA 01885 a 'i '.k s t° NORTIy ,IF s: Townof �� over J4 . 0 n; ^l'� L A E dower, Mass., SI1l�• COCHICHEWICK\�� g.; '7 ORATED VPS �CCl z '9S BOARD OF HEALTH Food/Kitchen Septic System .. .,, PERMIT T BUILDING INSPECTOR THIS CERTIFIES THAT / / .1IZ...�.,R !/yt. '.. �1�! �� .Iy. •• 1 . y........ dt F oun a ion � Rough -.: has permission to.wsl!..�0� .✓.N 0r1 buildings On .4.. 7%r6.� .. ��. ugh to be occupied as..... A.. i Tib ....� . . ... . ... ~ ...... Chimney �` * tf h' 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 .k PERMIT EXPIRES IN 6 MONTHS Final {' UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR i 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 a No Lathing or Dry Wall To Be Done FIRE DEPARTMENT y Until Inspected and Approved by the Building Inspector. Burner fi PLANNING FINAL CONSERVATION FINAL Street No. >' Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT CERTIFICATE OF USE & OCCUPANCY Building Permit Number / D Date %" 1 THIS CERTIFIES THAT /J THE BUILDING LOCATED ON MAY BE OCCUPIED AS �fS i/1�,Lu-��_ � � �` IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. a°r+rN CERTIFICATE ISSUED TO A ADDRESS Building Inspector Y T omm ot 1 1 No. H / 19� North dower, Mass., /l* - '� ° f 'c BOARD OF HEALTH Food/Kitchen PERMIT D Septic System BUILDING INSPECTOR 40 &.* ....0 0 Foundation THIS CERTIFIES THAT..... ... .. Rough N, 1 ... sG.. ... ...... .. has permission to�wet. �': O.�N. buildings on .4 64o.. . Chimney r L: t0 be occupied as..... . •IVO " "' ' l� rson accepting this permit shaConstruction ;4 provided that the pe ll"in every i respect conform to the terms of the application on file in Fina ! this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Constructon of ,) PLG INSPCT Buildings in the Town of North Andover. a/� s V 69 W) VIOLATION of the Zoning or Building Regulations Voids this Permit. nal 3 SPEC OR ELECTRAL I)\O �� / 1 �, r j ' �.�1*•����::._�.i � �, ��•.*I�) � �. ._ - Rough (�� •,;� `; Service ' """' BUILDING INSPECTOR Final DK 1 .. -; GAS INSPECTOR 0CCl,(j)0J[Q1 T'Crrrli F E:�q�sired to c � � Bti�ilc. ink (. --- Rough c in a Conspicuous Place on the Premises — Do Not Remove a Display p No Lathing or Dry Wall To Be Done FIR DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner FINAL Street No. CONSERVATION -. PLANNING FINAL Smoke Det. ,r-inlnv C:niTPV PERMIT MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTIHG (Print or Type) - C NORTH ANDOVER Mass. Date I�uilding Location *�r e�,7` Permit # i ��,� �' ,(��,� !} sip • Owners Name 111c Cy-v- ' y- 62.,-".4 C • - New Renovation D Replacement Plans Submitted r] FIXTUR=c N W W to Vt U a F tr N Cts N Cts .O = .0 S F W LuOr Q V m F = N tu Z m H 1' W w 0 0 a W 4 s > vl a v t'u a d a 0 c w W cc to � Z d .� a ct: W a W r W � z V3 s a t- Wlr_ N c o ~ W o ti i Z d W < m ' d m > C W 2 < G d d O O W Q W t- a z O O S u. n > Q a f- O SUa—i3SP.iT. , BASEMEHT 'IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) _ Check one: Certificate Installing Company Name /ii; ��=7o13 Corp. Address—/ � &tom , 5 - / �- Partner. E/rS/ ��<sro S/�0�+ �'��`` U 3 2- L ' irm/Co. Business Telephone: 60 3 - ,n y2- .-5-6 Q P Name of Licensed Plumber or Gas Fitter 4f'k? f, 7- R0 u Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate 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 three insurance coverages. Signature of owner/agent of property Owner = Agent I hereby certify that all of the dctaihs and infotmation 1 hare submitted (or entered)in above application are true and accurate to the best of MY knowledge and that all plumbing wort and WEAUalions perfomied under Permit izsccd fo: this application will be to compliance with all pertln=t provisions of the Massachusetts State Cas Code and Qapter 142 of the Genual Laws. By TYPE LICENSE: Plumber Title Gasfitter Signature of Licensed Master Plumber or Gasfitter City/Town: Journeyman _ � ��� 7Y APPROVED (OFFICE USE ONLY) License Number Date.:::...:1. ........ hxn 14 % .y NpRTM TOWN OF NORTH ANDOVER pF��•ao ,e 1tip Fr '� pA PERMIT FOR GAS INSTALLATION �9SSACMUSES This certifies that . . . . . . . . . . . ' '. . . has permission for gas installation . :. ` ,._. . . . . . . . . . . . in the buildings of at . .r :f , North Andover, Mass. Fee. ' Lic. No. 4. .7 �/�/;�� 15.00 pqlD GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File l: I ,p� \ Office Use Only g 6 u E LIItriII UUWrtt1#� Uf 4Ja00dr U0tft9 Permit No. 6 +9epartment of Public _+afetq Occupancy& Fee Checked ,q BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 390 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 52Wec (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (X* or Town of NORTH ANDOVER To theWires: The udersigned applies for a permit to perform` the ele Tical work ;scribed below. Location (Street & Num er) 10-7CC7 ,-Pp ! ��� Owner or Tenant U � L �`\o4rnt Owner's Address am Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building ��/D&_WCC Utility Authorization No. Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders.and Ampacity n /��QI Location and Nature of Proposed Electrical Work �S &a L '�� 'W�� /7_L/01,D! ` 1 �1wr'— Room No. of Transformers Total No. of Lighting Outlets 13 No. of Hot Tubs KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. El grnd. ❑ ( Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Air Cond. Total No. of Detection and No. of Ranges tons Initiating Devices No. of Disposals Dis No.of Heat Total Total P No. of Sounding Devices Pumps Tons KW No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW ❑ Connection ❑ No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws ^ I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES = NO I have submitted valid proof of same to the Office. YES = NO = If you have checked YES, please indicate the type of coverage by checking theappropriate box. INSURANCEBOND OTHER (Please Specify) (Expiration Date) 1� crtf)Estimated Value of Electrical Works Vy V 41_1,M%_ , f W/LL Work to Start Inspection Date Requested: Rough (J Final Signed under the enalties of perjury: FIRM NAME UC L / LIC. NO. U _ Licensee 0 V TnOX' C Signature ,�/��/� �_LIC. NO. D\ �VEAdf vb/rT Bus. Tel. No.ZJ�7V 2'� ��7 Address Alt. Tel. I OWNER'S INSURANCE WAIVER: I am aware that the Licensee does no 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. Ow94 Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) x•6565 k e,�� K` s Date.. OORTH TOWN OF NORTH ANDOVER t p PERMIT FOR WIRING �,SSACMUSE� - - - s -- _ This certifies that ..,. .s.t... t�.�?!?. �:......... . P... r. ................ 3 -has permission to perform ...:.... .................... I'llwiring in the building of...... 1.t�.�f.: t.P .: .... .... ........ fQ at. ... ......7............................;- ............a ?......... ,North.Andover,Mass. Fee. .Ll .:U l .. L Ic No:.!... f �RIC�LEC� W, WRITE:Applicant: CANARY: Building Dept. PINK:Treasurer GOLD: File Office Use Only 01 &imm llwe th of Permit Na. O - ilepartmurt rrf Ilublu: *afetg Occupancy& Fee Checked_moi 3/94 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 C',JR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM 12:0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Z G - (XK or Town of NORTH ANDOVER To the Inspect r of Wires: The udersigned applies for a permit to perform rthe e�lleectri I work desc�� below. Location (Street & Number) `v G� I �/ Owner or Tenant P ��- Cig� Owner's Address SA-01 Is this permit in conjunction with a building permit: Yes _ No (Check Appropriate Box) Purpcse of Suildino Utility Authorization No. G V 2 Existing Service - Amos 2y"/ 12,0 Vcits Overread 27!�- Undgrnd No..of Meters New Service Amps 22 Vaits Overhead Uncgrnc (` No. of Meters Number of Feeders ana Amcacity -iI Locaticn and Nature of Prccosed Eiectrcal Won< �/C�S -�— /U w J rpy f C6. I No. of ransformers Ti No. of Lignnng Outlets I No. of ='.ct -,;mss KVKVA Above— In- No. of Lighting Fixtures Swimming Poo, grno crnc. Generators KVA No. of Emergency Lighting No. of Recectacie Outlets No. of Oil Burners Battery Units No. of Switch Outlets I No. of Gas =urners I FIRE ALARMS No. of Zones Tota, No. of Cetection and No. of Ranges I No. at Air Cana. tons Initiating Oev ces Heat Total Torai No.of No. of Disposals Pumcs Tons KW No. of Sounding Devices No. a -:on Contained No. of Cisnwasners I SoaceiArea Heating KW Oetc::o /Sounding Dov cos ccat L — Municipal —other No. of Dryers Hearnc Devices. KW Connection No. of No. of I Low Voltage No KW Signs Water Heaters KSigns Bailas s Wir,nc No -fvaro Massage Tubs I No at Motors otat HP OTHER: INSURANCE CCVEPAGE: Pursuant to the reeuirements of '.tassacnuse-s general Laws _ I have a current Liaoiiity Insurance Policy inctuc,ng Ccmo:etea Operations Coverage or Its sub _stantial equivalent. YES _ NO _ have supmtttea valid proof at same to the Office. YES = NO = if you nave checxeo YES. please indicate the type of coverage cy chec King the appropriate pox. INSURANCE X, BCND = OTHER = (P!ease Scecay) (Excitation Date, W 2C�CC7nJ f E'.ecthcal Work S Estimated Value o W 0rK to Start Inscecnon Date Recuestec: Rougn Final Signed under the P toes atffperjury: _ s FIRM NAME J ' '` �� �LL�� /- LIC. N0. LIC. NO. �®r ('•���_ Licensee � 0V Signature Tel. No.. ���^YG 2-0 7— Bus. `� 7 Address �- J Alt. Tei. Na. OWNERS INSURANCE WAIVEh: 1 am aware that the Licensee apes not nave Ine insurance coverage or its substantial egurvalent as re- auirea by Massachusetts General Laws. and that my signature on this ❑ermit aopiicat,on waives this recuirement. Owner Agen (P!ease check onel Tetecnone No. PERMIT FEE 5 Signature of Owner or Agent 1-6507 Date......F— 1 s q17 1384 �4` f NORTH, TOWN OF NORTH ANDOVER O p PERMIT FOR WIRING SSACMUS� This certifies that ..... .. .....................- fi/Z has permission to perform ....... .f....... ................................ wiring in the building of........ `�.`! :.... :C. .E'ctlai.�..t -..... C`��Ca. v!. p ' ......... ,North Andover,Mass. Fee.//..:....:..)d Lic.No.,. l k. /.. I LECTRICAL INSP�... WHITE:A@Bjiggj% 11.2JANARY:BVipp De.A.ID PINK:Treasurer + MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER , Mass. Date 6 ' �uilding Location t;�•s' C;'i2 f�j�o�� Permit #2- La d' Owners Name /��/� 1cell New Renovation Replacement Plans Submitted FIXTUPFS N trl v ac r s: .tn s E- . trt a a V m f' 2 0 Q t. .z ' O F. o twit 02 0a cc o w z r. w a a w W N 4 W x Z H to O LU w ul (n W z a x a er a a w f' w v x c0 Q a H x � r .z H r L a z LL H m -4 Z < W < cc -� 0 O 2 rt C] N T Q ttr > C ut O 2 Q tt d .4 O O W _ O W N tt z 0 0 :r. U. = a o –Al v ct > O a t–1 o SUR—SS MT. BASEMENT IST FLOOR 2ND FLOOR 3Rll FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check one: Certificate Installing Company I�lame� Lose C1 Corp. Address 0 �f-C/7'�lr,_�pt� __ _ Partner. y17�a1� .N 0 rrrnfCo p . . Business Telephone: `_ -O� Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [� Other type of indemnity F--j Bond Insuroce Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner F-1 Agent [ i hereby certify that all of the dcuils and information 1 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 Perrnit iuecd fo:this mpplication will-be_-In compliance with al!patlnent provisions of the Massachusetts State Cas Code and Chapter 142 of the General laws, •.. By TYPE LICENSE: lubber Title asfitter Signature of Licensed City/Town- ..aster Plumber or Gasfitter Journeyman APPROVED (OFFICE USE ONLY) License Number .Tf1: 225 8 Date.?� "�!.�.. F_ NORTH TOWN OF NORTH ANDOVER r � p PERMIT FOR GAS INSTALLATION + + SSACNUSE Y. This certifies that . . . . . . . . . . . . . . . . . . . . ... . . . has permission for gas installation . 'f. f in,the buildings of . .� . . . . . . . . . . .. M1' at Qv North Andover Mass. Fee.�.Q ' . . Lic. No..r:(.). . . . iAS INSPECTOR ^' 4� WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD-" fnrr��Ra.nu�et ri urolhuHM APPLICATION FUR PF-RMI1 1u Lou rLUIMM U Ste\ IPrinl or Type) NORTH ANDOVER, , Mass. Date / _10 �` _ Bullding r / /� J ,Q Permit #' 'U c Location ( S �9-t'Q T /' 9not !\d Owner's Name XVc New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No.❑ FIXTURES ......... st « s P « ss rt < s. r s«t `si « 4 V H s e1 a « s « s « ac at _ « OL « « _ ~ lo-- s ~ ILI< N M a r O O 0 o • MM at r J p A 30 OW M ! >t 1 • « o o s )f n t~ N L' 40 o o < Ir s a 0 4 sut—!lMT. SASSUGHT 1ST FLOOR !MO FLOOR $N15 FLOOR 4TH FLOOR sTH FLOOR eTHFLOOR• STH FLOOR sTH FLOOR 17 - / Check one: Certificate Installing Company Name ,7 ��1�'%O,� l�j ❑Corp Address CCt Yo c O Partnership Mf rm/CO. Business Telephone /,,o Name o1 licensed Plumber INSURANCE COVERAGE: Check one 1 have a current liability Insurance policy or No substantial equivalent. Yes ❑ No ❑ It you have checked 10, please Indicate the type coverage by checking the appropriate box. A Ilabllty Insurance policy Other type of Indemnity O Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Maas. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ ginstuts o et a Owner s en I hereby certify that an of the delals and Information I have submitted to entered)in above application are true and eoauate to the best of my knowledge and that all plumbing work and installations pedormed under the permll Issued for site application will be In complance with aM pertinent provisions of the Massachusetts State Plumbkv Code and Chapter 112 of the General laws. 8fr Signature 'V TNN CRY/TownUmnse Number Type of Plumbing Lkense: Master ❑ AFTIVMD(OFFICE USE ONLY) Journeyman -Iff, Date. . `. 1943. ti, TOWN OF NORTH ANDOVER ° A PERMIT FOR PLUMBING °++n°•A��•(h SSACHUS� I g, k" F This certifies that . . . . . . _ ' . } has permission to perform plumbing in the buildings of �1j�r.J at. . . .�. � � �` •t : �,a •,: .; North Andover, Mass. ,. . Fee— —.tic. NO.. ./,--/. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 20.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File ronAQQP%Lo"uaCr 1z untt-uHM APPUGATION FOR PERMI11u uu rLUMnrrvut �\ (Print or Type) NORTH ANDOVER, , Mass. Data JAA." BuIldino // Permit # �J �c' 7--� t Location Z'75 6" -e',p-T ! o cl AW Owner's *7i Name �7 C��/h 9 New 0 Renovation p Replacement Plans Submitted: Yes❑ No.❑ FIXTURES IN 11* « z « i a IM 44 16 MM s r O no s t~ u Y at at a1 S M R IL K V a 1 » a s s j °s « e6 a 0 0 On a0i sus-�sMT. •ASKMENT IST FLOOR r r t 1110 FL00N >1R0 FLOOR 4TH FLOOR aTH FLOOR OT" FLOOR. 7TH FLOOR aTHFLOOR 1��/ _ ``// Check one: Certificate Installing Company Name��-���U,d �� CK-/7`�.t.,T ❑Corp. Address AG.Qo te .74 O Partnership 42f s 7- s,-.' Ton ' + irm/Co. Business Telephone G 0-3 42 YAx-e 91, .Name of tJcensed Plumber s7 INSURANCE COVERAGE: eC -one — I have a current liability Insurance policy or Its substantial equivalerst. Yes 9'' No O It you have checked jM. please Indicate the type coverage by checking the appropriate box A liability Insurance policy / Other type of kndemnRy D Bond O OWNER'S INSURANCE WAIVER: I am aware that the licenses 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 D Agent p s ure of Owner or Owners AGent 1 hereby certify that all of the details and information 1 have submitted lot entered)In abow application are bus and actuate to the best of my kn&*iodpe and that aN plumbing work and installations performed under the pemrM lewd la this application will be In compliance with all pertinent provisions of the Massachusetts State Plumbing Code end Chapter 142 of 11>1 Gerwal Laws. By Signature TflN City/Town Number license Numb Type of Plumbing License: Master O f Af'f 110YED(OFFICE USE ONLY) Journeyman 19-�— Date. . . Nil , TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SS CHU This certifies that . . . . . . . . . . . . . . . :. ., has permission to perform . . . . plumbing in the buildings of . . !l.l. ..fi._. . . . . * ././ --^--- at.f^. . . . .`' 1 ,.!"='f ,., N rth Andover, Mass. Fee-.; ---77 �_ ..-f ic. No.. !. 7-7// . . . . . . . . . . . . . . . . . . . . . . . . . . . . j PLUMBING INSPECTOR '4 if 14.4 27.53 PAID WHITE: Applicant CANARY: Bbilding Dept. PINK:Treasurer GOLD: File .,. . MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) NORTH ANDOVER, , Mase. Dat• Pemtlt 3 2-- louilon Owner'a� Name New ❑ Renovation Replacement ❑ Plans Submitted: Yes❑ No ❑ - FIXTURES _ w w w 0 Z s Is H } w = y r tf is J e) = M < t t �! ~ Z w 3 1.0j s w e. F J M w M = t V r w ae < • S 1 Z L ; '< M Fs ` r p p as < at x < tl O M Z ac &r w w O J It .6O d V < Y L Ax I< s ` Z 1t • 00 (" < ■ K ae Y 1� O w F° Z p44 M Z r O V 7C :.� 1 i wt<- e6 i a o < f 0 i o sua-91S1MT. SASaaaaHT I 1ST FLOOR J IND FLOOR f 3AD FLOOR ' I 4TH FLOOR aTH FLOOR aTH FLOOR I TTH FLOOR I ' I aTHFLOCA - / Check one: Cartft4te Installing Company Name /l �G �/ ❑Corp, Address—I/ >-wd -/ t- ❑Partnership �y r ;rm/Co. Business Telephone �`1 601 J=-y Name d Licensed Plumbers INSURANCE COVERAGE: Checx one I have a current IlabiRy Insurance polc/ or Its substsntW equNider;L Yea gl,-� No ❑ It you have checked yU, please IrAlcste the type coverage by checking the appropriate box A Ilabilly insurance polcy ILS Other type d indemnity ❑ Bond ❑ • I OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 d the Masa. General Laws, and that my signature on thla permit application waives this requirement. =- Check one: Owner ❑ Agent ❑ aturs of Owner a Owner a/spent I hereby certify that aN of the delaMs and information I hays wbn4tted be entered)in&bow aap8catlon are true and acuate to the bast of my krwwtedge and that aA plumbing work and instalatlons r-*dormed under the pertM iaswd fol We appkation M17 be In compliance with 0 Wk-tent provisions of the Massachusetts Stale PtumbirV Code and CSapter 142 of this Gerwrai laws. naturesea oew TFtte CriylTown Ucense Number /tF'f'r1QhD (OFFICE USE ONLY) Type of Murnb4ng Ucansa. Master ❑ Journeyman 1,12 2832 410 TOWN OF NORTH ANDOVER . PERMIT FOR PLUMBING ,SSACMUSE� - This certifies that . . . . ./px: .. . . . . . . . . . . has permission to perform . . . . et2..caw -f t uP-.4 . . . . . . . . . plumbing in the buildings of . . .r.[A.44!?-t {.12 . . . . ;. at. . . S. l.$ A!-,� North Andover, Mass. ,F Fee.3.%�, "r. .Lic. No./Y7.7tf ,Y PLUMBING INSPECTOR �. 02!27196 14:45 35.04 PAID WHITE: Applicant CANARY: Building Dept PINK:Treasurer: ,: GOLD: File 3210 Date. ...... .. . . . ..... NpRTM TOWN OF NORTH ANDOVER pF4�•.o ,e,'t'O 3? y= PERMIT FOR GAS INSTALLATION ♦ • si, a s o • SACHUSEt This certifies that . . . .F. . . . . . . . . . . `.-2 j. . has permission for gas installation . . Z��. . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . at .C.:�. } i ` .{��G<; c ? North Andover, Mass. 107109/ N 5 2J.00 ppID AG�S INSPECTO WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION' FOR PERMIT TO DO GASFITTING (P,riint�or Type) R Mass. Date a 19 Permit # Building Location 6-. L(') rP cT I' J -Pr Owner's Name [ _.�2G'M E(2- Type of Occupancy-L-1 New ❑ Renovation ❑ Replacemenpk Plans Submitted: Yes❑ No,-a' N N a Y W ZQ N67 Z U; W J O RN A aO1 ' O W O } W 0 ¢ O aN %% <, I W Q W fn C � `t J MvO� N a W Z V W N W Q cc O W Z' J Z F, W W O O > U. p11 J N W Q I- ? N m 2 O Z O " S SJ Q W W O Z, a = Q Q o O W a O W h ¢ '= O 0 3: LL O 3: O 0 J U a Y Q M F- O SUB—BSMT• BASEMENT 1 ST FLOOR 2ND FLOOR ' 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR { Installing Company Name Check one: Certificate Address MAFFEI PLUMBING, INC. corporation aO 198 High St., Ipswich, MA 01938. TEL(978)356-1122•FAX(978)356-8722 Partnership Business Telephone ,] Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE CO RAGE: I have a current ability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes. pleas 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 application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. ro Te of License: /4 Plumber Signatu f ' ensed P mber o/Gs Fitter Title G atter i° aster License umber L City/Town Journeyman APPROVED OFFICE USE ONLY) B OFFICE USE ONLY FINAL INSPECTIONS SKETCHES O ' PROGRESS INSPECTIONS FEE r. NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING Same- PLUMBER ;j f PERMIT GRANTED DATE PLUMBING INSPECTOR N° 1 9 8 6 ....... t NOR71{ TOWN OF NORTH ANDOVER PERMIT FOR WIRING RFCE This certifies that ....... .... -4. has permission to perform TRS( ;Val wiring in the building of... .............. ........ ............ ...... ............ ��....... at..... ... ........,.....v........ ... ..`r.. ..�,�i�1r�t`hdover Mass. Fee,., l J.7.. Lic.N�.�.... ... ..:... ............................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use Onlyn Permit Na J/6 rte£ ean�a�ui��o��ss��rt�rsE�s -� D ««t rf Spry Occupancy&Fee Checks _ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts.Electrical Cade 527 C jR 12:00 (Please Print in ink or type all information) Date ` S ZZE To the Ins ector of/Vim: Town of North Andover The undersigned applies for a permit to perform the electrical work described Local on Street&Number (;., 7 �C e Owner or Tenant Owners Address Is this permit in conjunction with a building permit Yes 12_� No ❑ (Check Appropriate Box) Purpose of Building �E ( � Utility Authorization No. E:asfing Service Amps .Voits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters �Y `"1! Number of Feeders and Ampacity Ion and Nature of Proposed Electrical Work r Dr "le C6 Total No.of Lightfing Outlets No.of Hot fuse �+ No.of Transformers KVA ? Above ❑ In ❑ No.of Lighting Fixtures 3 Swimming Pool gmd ❑ gmd ❑ Generators kVA No.of Emergency Lighting ,. No.of Receptacles Outlets No.of Oil BurnersBa Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices No.1 of Self Contained No.of Dishwashers Soace/Area Heating kW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OT ER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I havl a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO have lid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box U CE = BOND = OTHER = (Please Specify) �7 (Expiration pDa�te) ,/ Estimated Value of Electrical Work$ p �7 Final J/ ' (_ C � Work to Start Inspection Date Resquested Rough Signed under the PAtaftles^at oa u FIRM NAME (- (/` '�— �^ LIC.NO. Licensee O C —Signature LIC.NO. (=ZO GS � / Is.Tel No. Address 00— `�'"�"� / Alt Tel.No. ' OWNER'S INSURANCE WAIVER: I am a§4are that t e Llcenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owher Agent (Please Check one) Telephone No. PERMIT FEE S_� (Signature of Owner or Agent) Date J.- ; 4273 i TOWN OF NORTH ANDOVER 10 .9 p PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . �� �1. • • • �? • �/,• • • • • • • has permission to perform . . ./P. plumbing in the buildings of at. 7 •-"% .<�,(N- rtb Andover, Mass. - i Fee. .�.�. .> �Lic. No..f.`l. . . . . . . . . f . .. . . . . . j PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer r. . MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS O r jDate Building Location 6;,Y o�4 Permit#_ � 7 Type of Occupancy )01d'o New rl Renovation Replacement Plans Submitted es No FIXTURES E-� 0 rAW F W WW A 5 g 0, rr C to E w Ix A i SUMEVE B4SRVEq ls')C IID(R I ZED FLOOR 3M HDM 4M H M 5M H XR 6M FLOCR 7IH HIM MR HaR (Print or type) j n ,�` Check one: Certificate Installing Company Name o Corp. Address Q c ��"` El Partner. r Business Teleph �; ?y j Q % / El Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the f insurance coverage by checking the appropriate boic Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver L the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 f th neral Laws. ' ' A-A,100 ,0 lei By: Signafure ofLicensewriumDer Type of Plumbing License Title City/Town icense um4 z oc Master Journeyman APPROVED(OFFICE USE ONLY Location � ��� � ► + No. / Date `' NORTH TOWN OF NORTH ANDOVER s: asimaidift Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHust Other Permit Fee $ ' Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector z = 95 21 Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP KVO. 063 I LOT NO. vdid� 2 RECORD OF OWNERSHIP IDAT�IBOOK PAGE — ZONE SUB DIV. LOT NO. LOCAT, N —x j C� y A r PURPOSE OF BUILDING OWNER'S NAME t'w\ � �ti2i� VYo NO. OF STORIES 2iTc5L7� SIZE OWNER'S ADDRESS ` /�\ vc,n_� BASEMENT OR SLAB ARCHITECT'S NAME f2CC1�@ai sT YY,I SIZE OF FLOOR TIMBERS 1ST A 2ND 3RD BUILDER'S NAME SPAN NZA DISTANCE TO NEAREST BUILDING � "t DIMENSIONS OF SILLS DISTANCE FROM STREET til -� POSTS lY 1(////A DISTANCE FROM LOT LINES—SIDES REAR c� SF� GIRDERS /t AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION A /A THICKNESS IS BUILDING NEW A\,wSIZE OF FOOTING AX IS BUILDING ADDITION �\ MATERIAL OF CHIMNEY IS BUILDING ALTERATION Ivl. 4-11 T.5 IS BUILDING ON SOLID OR FILLED LAND iS WILL BUILDING CONFORM TO REQUIREMENTS OF CODE o IS BUILDING CONNECTED TO TOWN WATER �7 BOARD OF APPEALS ACTION. IF ANY ( O - IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDESj� D�• IV /f/�� '/�� �� EST. BLDG. COSJV PAGE I'FILL OUT SECTIONS 1 - 3 P ^1 c) (�n .. EiT. BLDG. COST PER . FT. cG'f�•' N�(�p EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ,— '� ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DA E FILED r1./I�iA�lt`Y1 G�c 6"d CS BUILDINo INsPscroR SIGNATURE OF OWNER OR AUTHORIZED AGENT (40 . F E EFq OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 352-1�g k;–>3 11996 CONTR.LIC.# b33 z� H.I.C.# 1CDZ(i4'�o s �� BUILDING RECORD 1 OCCUPANCY 12 +� ?�, SINGLE FAMILY o _ THIS SECTION MUST SHOW EXAq�.lXg&h4ON QJ %D d;�A1 E FR644 MULTI. FAMILY O FICEs LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS,REPLACES PL"OT`PLAN. " t CONSTRUCTION _ 2 FOUNDATION 8INTERIOR'FINISH' CONCRETE _I 3 t 221,3_ t CONCRETE BIL K. PINE BRICK OR STONE -"'"' HARDW-D PIERS PLASTER - _ DRY WAIL - "-- UNFIN. 3 BASEMENT I - AREA FULL FIN. B M'TAREA '/, 1/2 3/4 FIN. ATTIC AREA N_O B.M"T ---- FIRE PLACES .HEAD ROOM MODERN KITCHEN - - 4 WALLS I 9 FLOORS CLAPBOARDSB 1 2 3 - DROP SIDING CONCRETE �_ "WOOD SHINGLES EARTH ASPHALT SIDING HARDNIJ D F •�,4 'z " ASBESTOS SIDING COMMON _ VERT. SIDING ASPH. TILE STUCCO ON MASONRYO�� y 1 ���}�� 2 I � . Y�-^•' ¢� �' � STUCCO ON FRAME BRI ON M -R STRS. 8 FLOOR BRICK ON FRA I •� "���+�� -', .'•JF' CONC. OR CINDE BLK. � /� ® ` (A r r STONE ON MASONRY WIRING STONE ON FRAME ' "° `"" SUPERIOR I� POOR - -, 11 ADEQUATE NONE . 5 ROOF 10 PLUMBING 7: .. .f GABLE HIP BATH (3 FIX.) w,,,, � - syr�•" GAMBREL MANSARD' TOILET RM. 12 FIX.) - FLAT SHED WATER OSET •,' _ y ASPHALT SHINGLES Y WOOD SHINGES - T . SLATE I .. TAR 8 GRAVEL LL R -g— ROLL ROOFING TAODERft FIXTURES ' S1•r' E FLOOR DADOVA 7 \`3 6 - FRAMING 11 HEATING �V - WOOD JOIE PIPELESS FURNACE - ED HOT AIR FURN. TIMBER BMS. &COLS. STEAM \ STEEL BMS. & COLS. HOT W'T'R OR VAPOR RR Z WOOD RAFTERS / CONDITIONING �7 1 RADIANT H'T'G U T HATERS 7 NO. OF ROOM A OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING _j ' t •G x.. .,.... OFFICES OF. `' - -TO n of _ 120 Maid Street APPEALS - orth Andover, NORTH ANDOVER 'Mas Id users o I sss BUILDING CONSERVATION DIVISION OF HEALTH —7- PLANNING �-. I LANNING PLANNING & COM:I-IUNITY DEVELOPMENT KAREN H.P.NELSON.DIRECTOR In accordance with the prcvisicr_s of `tGi c =C. S a condition of Building Permit Number is that the dcbris resulting from this work shall be disnosed of in a orcneri: Eic r c: solid waste •!,Lin=i :aciiir. as dc:..,c: by 1iGi c III, S The debris will be disposers of in: ��� Wo���J� �© C'Q2y1r�Lg,� y��.� Sa• (ye�res �xc,� t:.ccaron of :acilit}) a ►� Signature of Permit Applicant �1�14c0 Date :TOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. COMMONWEALTH OF CEPARTMENT OF PUBLIC SAFETY~ MASSACHUSETTS ONE ASHBORTON PLAy- CE } .BOSTON,MA 02108 �.. EXPIRATION DATE 9L j i/26/i09:; I RESTRICTIONS EFFECTIVE VE DATE NO=dE .r, ,.LIC-NO.- f FOR PRS •l! � /3 . '>6 i'/4,, -, ; 5 R ; THEFT. ?.. i PRINT PHOTO!ELAS,TNG CRp O, ( �"�= LAST FEE: m MUST HEIGHT: NOT VALID UNTIL SIGNED By LICENSEE AND OFFICIALLY STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: 7 H'S DOCUME\-VUST Sc CAARIE0CN=E?gSCNGF OTHERS RIGHT THUMB P.!N7I �-AGEDNLTID-7S CC`C,aPi,Oti uCE9SEE « SIGN NAMEIN FULL=! COMMISSIONER ;Ine�anoma' MME ImPROVENENT CONTRACTOR a, 0 Registration 107916 1; Type - INDIVIDUAL Expiration 08/10/96 FTanciS.Hebb Francis A. Hebb 0 Box 379 70 Lake Shore, ACMINISTRATOR W, Boxford MA 01885 Sol T , j aotV 's LI :E .03`26 53 = x: y s BM.�N _FR RgNC28 70 LAKE 9MC W B85 99' lA <M— L"-;L �j \ \ C) A 8 " PVC, SEWER] A�,w - 01 VVI up 7.0 STA 71 SRENT- C-L E. 5 7-A. ii �' T$t A 61' I 680 ILL 0 �DO \g ,MAI ELVI. z 161.23 5-eui-V H5E. 675 —1 cc--, 12. i}�9.a¢yp1eS+.wa-.r.wrt. .... .. .. .-. .. .._.. ._.. ..,..._._-. .......+._ ..,..-_ . __.- ... .�_--..�+.-__•^-.. .. .. ,. .. y.?.+w.�..e .e.ei^-"---"a. FORK U - IDT RELEASE FORK - INSTRUCTIONS: This fora 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. rements. ****************Applicant fills out this section***************** i vAPPLICANT: C: FV_,_x e Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) V-Street ('TS C,A"_� VI)J* V0 . St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administra-or Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected -2 c , � Date Approved /8 Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit ✓Fire Department Received by Building Inspector Date � 7 n � Location �+ No. a'� Date f M�RTN TOWN OF NORTH ANDOVER 3? • • OL i � Certificate of Occupancy $ �- . a , Building/Frame Permit Fee $ CMUs Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector r7�1] 9rjv:52 142.00 PAID G // Div. Public Works ! f Location Date f �3 x NpR,M TOWN OF NORTH ANDOVER Of "x' ,•,q•C Certificate of Occupancy $ ' Building/Frame Permit Fee $ • i C Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ w Water Connection Fee $ TOTAL $ I a Building Inspector 7/2-727/98 48:52 142.E f�AYn i Div. Public Works APPLICATION FOR VV( RMYFTO BUILT)********NORT11 ANDOVER, MA Al N N0. LOT.NO. ' 2. RECORD OF OWNERSHIP DATE BOOK PAGE (a� 3 7/INE 5118 DIN'. LO'FNo - 1.0( A O.1.0('A I ION 1S s PI)HF(dE OF DI)II DING OWNER'S NAME ` ` i' NO.OF SIORIES t SIZE JLA, )C,\il ()WN1 RAS ADDRESS BASEMENT OR SLAB x,25 GRST ND SIZE OFFI.IX)R TINDERS I 2 3RD AR(I111ECCSNAME ` SPAN BI IILDER'S NAME c{v�G DISTANCE TONEARES'l BUILDING DIMENSIONS OF SILLS X� DIS I'ANCE FROM S'fREE'1' DIMENSIONS OI POST S DISTANCE FROM LOT LINES-SIDES �( REAR DIMENSIONS OF GIRDERS AREA OF LOT FROM I ACBE I IEIGI IT OF FOUNDAII(NJ THICKNESS -- IS BUILDING NEW Ac' ' SIZE OF F(X7fING X IS BUILDING ADDITION M Q MATERIAL OF CHIMNEY r� 1 IS BUILDING ALTERATION r IS BUILDING ON SOi.ID OR FILLED LAND 1 Will BUILDING CONFORM TO REQXIIREMENI S OF CODE ' IS BUILDING CONNECI'ED 101'OWN WA'I ER % vl BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECIED TO TOWN SEWER fY- IS BUILDING CONNECT ED TO NATURAL GAS 1.INE INSTU('TIONS 3. PROPERTY INFORMATION LANDCOST ESI. Bl.lx).COST PAGE I FILL(Xff SECTIONS I-3 EST. BLDG.COS F PER S(1.FT. ES"I. BI DG.COS I PER ROOM ELECTRIC METERS MUST BE ON O(JTSIDE OF BUILDING SEI'1IC PER1,11 f NO. rlACHEDGARAGESMUST C(NNFORMTOSTATEFIRE RBAILATI NJS 4. APPROVED BY: PIANS MUST BE FILED ANI)APPROVED BY BIIIf.DING INSPECTOR B1III.IIING INS : :TOIt 9 DATEFII.ED OWNERS'IELII CONI RAELH Sl(iNA I DRF.OF OWNER OR AI I'II H)RIZI:D AGLNr FET. PFRKIIT GRANTED /-Z,719 4. i ✓v�d�Q X71!(.({.QB�,�J- ..� , .. .,x OEPARTNENT•OF PUBLIC SAFETY CONSTRUfTIOM SUPERVISOR LICENSE Expires: Birthdate: HOME IMPROVEMENT CONTRACTOR i. CS33111 we3/16/2888 83/26/1953 u1i Registration 107916 tTYPe - Bg PRIVATE CORPORATION Expiration FRAkCsA IIEBB pM 1 08/10/00 I li FRANCIS HEBB CONSTRUCTION 1 W BOXFORO, NA e1885 R j�"'"� Fr M's A. Hebb i ADMINISTRATOR BOX 379/ IQ Lake Shore ��� W. Boxford MA 01885 Rd IOR TG-AGE INSPE � CTIpN PLAN BOSTON SURVEY INC. 1 Thompson Square P.O. Box 220 Cha (617)242-1313 rlestown, MA 02129 MAIN (617)242-1616 FAX APPLICANT I rbMhS STREET:67S— �Qt/S GDEED REP: 8� TOWN: ej — �,Kt �� t 13 g �'u Dcbv�� PLAN REF: STATE: CERT. of TITLE: �G f DATE: I $K fL.�CftiITTED �N t7&ED> i o L •o b a i N 0 IV 0 v1 'o T / a a 0 a N � j. r.; /3L,io �? T � �p Tile permanent structures are a ground as approximately located on the SCALE: shown, They either conformed to the setback SIH OP Mq CERTIFIED TO: requirements of the local zoning ordinances in effect at the �►� 9� ��X1 e time of construction,or are exempt from violation ,Q r ChM enforcement action under M.G.L. Title o CARMEN ye According to Federal Emer encs t SE N Section 7 VU,Chapter 40 A, maps,the major' g Y Management Agency and that there are no encroachmentsTE8Tq I Improvements on this property fall in improvements either way across,propertines except as �� r N°•t all area designated as Zone shown and noted hereon. ash Community Panel No: ZSOp E ffective 98 E Date: 6/Z /93 tS JRv�(�. NOTE: Zone C Is areas of minimal flooding NOTE: This Is not a bounds designation is not based on an elevation certific ate shading). This Inspections as adopted b the or title insurance surve y. This plan was Purpose is prohibited. This Massachusetts Board of Registrati n of professional eng(neers and I prepared in accordance to procedural and technical standards for Mortgage Loan his plait Is not to be used for recording preparing deed descriptions,or construction. and surveyors,250 CMR 6.05,and use for any other o i' i ' I Location Na 1�- 4 Date &ORTPI TOWN OF NORTH ANDOVER 4L I Certificate of Occupancy $ ,SSA01USBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3 Check # 5Z 3 5 '14v Building Inspector /r �.1ORTiy -4 0 of over No.3o _ * Z 9� * Z _ s . dover, Mass., 19 0 o LAKE A '9 LOCH ICHEWICK iY^` V T E DPP` "`J S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System /� , ��,/ �7 ............................................................. BUILDING INSPECTOR THIS CERTIFIES THAT............................/.u................J/�'.1.4:-. x'7%/,1•• Foundation has permission to amd......(C�EP&I. ........ buildings on ....C,.7...°�—........ t 7�.......PU .�.�.................. Rough to be occupied as..................(' �e` .1.. ........ a.R.C..n........ .. ..{a�B.d .............................................. 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIONS ELECTRICAL INSPECTOR T Rough :........ ......:... .... Service .DING INSPECTOR Final Occupancy Permit Required to Occupy .Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Fina( No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. PERIAIT-NOO APPLICATION-r,OR PIMBUILD*x*X*******"' *NORTH RT , MA t lAP NO c It 1 OT NO. i 'i;+t 2 RECORD OF 011'N�ERSIIIP �A j B F s ;,t t t, I QOK PACE 64U E' 1 - •,n� r ut ias N S. B:DII LOTNU f 3I t i )• '" a' a. a! PURPOSE OF D(JILDING O}�RER° NAl�1E � ' yak rt 1 :) 1 Cyt i to \ No.OF STORIES i L)�` L,G ) SIZE. r� SA DRESS' �5 a d i,• : ,,, '. BASEIIIENTORSLAB LRCIII3EC:1'SNAAIE ; { ° SIZE OF FLOORTId10ER�'` 2 B111L[)ER;$NA11IE -— — • i r. SPAN i llISTANCE'TO NEh1IEST BUILDING lliAtENSJONS OF SILLS FR At U!(11ENSIUNSOPOST'S a F DISTANCE FROM LOTIINES-SIDES REAR DIBIENSIONSOFGIRDERS SL AREA OF I,UT FRONTAGE I IIEIGIITOF FOUNDATION THICKNESS 75 BUILDING NENV' SIZE OF FOOTING x 1ST3UILIJING ADDFTION % AIA7ERIALOF0I1111NE1' l�10: IS BUILDING ALTERATION J• IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING,CONFORNI TO REQUIREMENTS OF CODE ` �5 IS BUILDING CONNECTS TO T011'N 1VATER r5 BOARD OF APPEALS ACTION, IF ANY _ IS BUILDING CONNECTED TO TOIYN SEIVER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTUCTIONS 3. PROPERTY INF0161ATION LAND COST EST.BLDG.COST PAGE 1 FILLOUTSECTIONS 1-3 EST.BLDG.COST PER SQ. FT. EST.BLDG. COST PER ROOM ELECTRIC At MIS DI UST BE ON OUTSIDE OF BUILDING SEPTIC PERAIIF NO. ATTACHED GARAGES A[LIST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED IIY' g PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR UU1LllING INSPECTOR DATE FILED OII'NERSTEL# CONTR.TEL/I ZFS^ �5�"(,D SIGNATURE OF OWNER OR AUTHORIZED AGENT ._L1111.�t I \ CONTR.LICH FEE ILLC.1I f77�t Flo PERNIFFCRANIED 19 / Revised 5/�/99'Ji11 - 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: - �1/lncl�o Z1, c,., �,cC 1 C�n�ean �i ?� - �Sz�S--S /. cation 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 _ r" _ -e . . �`��i� .. ✓JLe 1J047LJJ2672U)C2GLfI P�i((QJJ2l,�7� t ��. OEPARTNENT OF PUBLIC SAFETY NCuOmN_bSeTrRSUPERVISOR CTION SUPERVx SOR LICENSE Bi Birthdate', f} rI 82 CS 33 11 03/26/2880 83/26/1953 - 00 HEBB' �. 9'BOX 319 3 " W 80XFORD, NA 01885 !. .4 x y �? OVEMENT CONTRACTOR .HROME radon,. 107916' IM ; PRIVATE'CORPORATLON Expiration 08I0 100 O - FRANGIS.HEBB CONSTR UCTtON _.Fr cis A. Hebb ox-379P-70 Lake`Shore Rd j �rnwisTRn OR. W Boxford MA 01885 ,, �r The Commonwealth of Massachusetts c Department of Industrial...Accidents { Office of Investigations ;cam �--•� �� - - .Boston, Mass. 02191 Workers' Compensation Insurance Affidavit Flame Please.Print -7 77777 Name: Location: _ . . Gini ,.. . .- Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacay I am an employer providing workers' compensation for my employees working on this job. Camoanv name ngeA v�,ct-, 1"I► Address 2n t"'UC City: Phone# '2tZ$--As2_-(o�2-3 Insurance CoPolicy# '-1 1 \A V, Comoanv name Address City- Phone# Insurance Co Polio,/ # Failure to secure coverage as reauireo under SectionGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years' imprisonment as .veil as civil penalties in the form of a STOP WCRX ORDER and a fine of(5100.00) a day against me. I understand that a copy of,his statement may be forwarded to the Office of Investigations of the DIA for coverage verification. !do hereby cartdy under the pains and penalties or pe.jury that the information provided above is true and correct. Signature Date Print name Phone Official use only do not write-in this area to be completed by ciiy or town cfficiai' City or Town Permit/Licensinc ❑ Building Dept ❑Check,f immediate response is required ❑ Lic-ensing Board ❑ Selectman's Office Contact person: Phone ❑ Health Department ❑ Other FRANCIS A. HERB CONSTRUCTION, INC. DESIGN/BUILD CONTRACTOR CONSTRUCTION MANAGEMENT AND CONSULTING Residential, Commercial Building & Renovations Construction Supervisory License #033217 Home Improvement License #107916 CONTRACT DOCUMENTS P.O. Box 379, Lake Shore Road, West Boxford, MA 01885 Shop (978) 352-6123 Mobile (978) 857-1290 Pager (918) 734-5750 Fax (978) 373-2016 RESIDENTIAL CONTRACTING AGREEMENT Read this agreement and male sure you understand it before signing it. This agreement has legal force and effect and binds those who sign it. Notice: All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from registration by provisions of Chapter 142A of the general laws, must be registered with the Commonwealth of Massachusetts. Inquires about registration and status should be made to the Director,Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108. Designated Registrant's Name: FRANCIS A.HEBB,Registration Number: 107916 This agreement is made on November 8, 1999 (date) between FRANCIS A. HEBB CONSTRUCTION, INC. of P.O. BOX 379, LAKE SHORE ROAD, WEST BOXFORD, MA 01885 (978) 352-6123 hereinafter called "Contractor" and Paul Cramer and Nancy McCarthy (Owner) of Great Pond Road, North Andover hereinafter called "Owner". I. DETAILED DESCRIPTION OF WORK TO BE PERFORMED Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such work consists of the following: Renovate new guest room, bath and laundry area. Open up to remove closet in front entry way hall for guest area. Complete demolition included back to studs and subfloor. New electrical and plumbing service to be installed as per plans. Plumbing to include one zone of. forced hot water baseboard heat. Utility sink next to washer/dryer will be installed with removable countertop. All exterior walls and ceiling will be insulated. Install blueboard skim coat plaster on all walls and ceiling. Three new exterior windows and one door will be installed. Redo existing siding around windows and door. Install new cedar railings on garage roof and back stairs. All interior trim and finish will be completed to match existing structure. Install new pine floor in guest room, bath and closet. Maple floor to be installed in laundry and hall area. All new floors to be sanded and finished. Install gas pipe in laundry area for dryer. Note: Painting and bathroom fixtures are not included in total cost. DETAILED DESCRIPTION OF MATERIALS TO BE USED Materials to be used in performing the above described work consist of the following: Standard construction materials and Vetter true divided lite windows and door. H. PRICE Contractor agrees to do all work described in Section I for a price of$38,900.00. M. PAYMENT Payment will be made as follows: ($10,000.00)upon completion of demolition and interior framing; ($10,000.00) upon completion of rough electrical, plumbing, new windows & door; ($10,000.00)upon completion of insulation, blueboard and finish trim; ($6,000.00) upon completion of flooring, finish electrical and plumbing; and the remaining ($2,900.00) upon completion of punch list and is verified by Owner and Contractor as having been satisfactorily completed, which verification shall take place promptly after completion. Costs do not reflect any permits required. Final payment will be adjusted to reflect this cost. Notice: No agreement for home improvement contracting work shall require a down payment (advance deposits) of more than one-third of the total contract price or the total amount of all deposit or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater. IV. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials before the third day following the- signing of this Agreement, unless specified here in writing. Contractor will begin the work on or about December 6, 1999 (date). Barring the delay caused by circumstances beyond Contractor's control, the work will be completed by the week of January 14, 2000 (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. Y. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the times specified in Section III (Payment) above for the reason that he deems himself or the payments to be insecure. If, however, he deems himself to be insecure, he may require, as a prerequisite to continuing the work described herein, that the balance of the payments under this contract that are in the control of the Owner, shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. r VI. INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his employees or his subcontracts in the performance of, or as a result of, the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. VII. SUBCONTRACTING Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. VIII. CONSTRUCTION RELATED PERMITS The following construction related permits will be necessary in order to complete the scope of work included in this Agreement: Building, Electrical and Plumbing (Price not included.) The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction related permits. The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory, permit granting or inspectional agencies, authorities or individuals. Notice: If the homeowner obtains his own construction related permits for the work described under this agreement, the homeowner is hereby advised that in the event of a dispute, judgment and nonpayment of the contractor, the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A, M.G.L. - IX. MODIFICATION This Agreement, including the provisions related to price (Section II) and payment schedule (Section III) cannot be changed except by a written statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in accordance with the Notice of Cancellation (annexed). X. CONSTRUCTION CHANGE ORDER Construction change orders will consist of any change to the original scope of work, such as hidden conditions and changes requested by Owner. These conditions may require adjustment in the overall price and time frame to complete the necessary work related to this Agreement. In such case the Contractor shall inform the Owner of such conditions forthwith and when necessary a written amendment to this Agreement will be negotiated and executed by the Contractor and Owner. XI. WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of one year 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, his 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 replace such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed upon work. All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment, which shall be and are hereby passed through directly to the Owner. Under such manufacturers' warranties, the Owner may be required to register or mail in a warranty card or other evidence of workmanship and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment. This warranty gives the Owner specific legal rights, and Owner may also have other rights which vary from state to state. Under Massachusetts law, sales of goods carry an implied warranty of mechantability and fitness for a particular purpose. XII. COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or not applicable, and until all exhibits-and- related or referenced documents that are incorporated herein are attached hereto. XII. COPY OF AGREEMENT TO BE GIVEN TO OWNER This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate, and an original signed copy hereof given to the Owner at the time of execution. No work under this Agreement shall begin prior to the signing of the Agreement and transmittal to the Owner of a copy thereof. RIGHTS TO CANCEL The owner may cancel this agreement if it has been signed by the Owner at a place other than an address of the contractor which may be his main office or branch thereof, provided that the Owner notifies the Contractor in writing at this main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See attached Notice of Cancellation. HOMEOWNER: rD O N THIS CO TRACT IF THERE AREA BLANK SPACES. 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