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Home My WebLink AboutMiscellaneous - 742 WAVERLY ROAD 4/30/2018Date. /v?h .7///.... . ` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that p` 'TI ..F. "!1?` "G ...... has permission for gas installation . VF.!% S...� ``'!....... •�` `¢ �`�' in the buildings of . « ! '�� !� � � Y ....................... at ..7 ..... v e.`t . (.... , North Andover, Mass. FeO-0,v1. Lic. No.. R). 3 % . Check # i 7842 .......................... GASINSPECTOR i. MYTI IRPC MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING w City/Town: 101 :4�-� MA. Date: / (' Permit# Building Location: '7 �(J►Cj i1 `� Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ ' Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: � Plans Submitted: Yes ❑ No ❑ MYTI IRPC INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 2 -No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Rte— 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner ❑ Agent El By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and ---- - - - - -• �• •••, UW a- au N:uniumu wurr. anu msianaiions perrormea under the permit issued for this analication will be in -- ••�••-••-- -••••• �•• • �•.•••a•.. r---: u:a maaaacnuseus acme rrumouffKpoae apa cnapter 142 of the Geveral Law By Type of License: ['Plumber 4 - Title El Gas Fitter Signature of Licensed Plumber/Gas Fitter E4 -Master Ayrrown [:]journeyman License Number: ' [�3j L APPROVED OFFICE USE ONLY El LP Installer W w co wW OU Im ~ Q W o Q = F Z O I— W 0 Z J O %' IY F Z CO) w p w 2 O W W Q H CO) N V Z W O O 9 Ca 0 W ~ _ W� z W Q W W Z O co W w J F- Z I= 9 0O U) = Z —I W� 0 Imo- � W F. Ir LU w V o LL 0 0=_� O Da QV' a� F>>>� O SUB BSMT. BASEMENT 1 FLOOR 2 NuFLOOR --i'FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 1H FLOOR 8 FLOOR Installing Company Name: Check One Only Certificate # /�� Address: � �� '7 Cit y/Town ,r` , State: []'Corporation Business Tel: � % � ��' ( Fax: El ,j��' ❑ Firm/Company Name of Licensed Plumber/Gas Fitter:. _j /( INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 2 -No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Rte— 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner ❑ Agent El By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and ---- - - - - -• �• •••, UW a- au N:uniumu wurr. anu msianaiions perrormea under the permit issued for this analication will be in -- ••�••-••-- -••••• �•• • �•.•••a•.. r---: u:a maaaacnuseus acme rrumouffKpoae apa cnapter 142 of the Geveral Law By Type of License: ['Plumber 4 - Title El Gas Fitter Signature of Licensed Plumber/Gas Fitter E4 -Master Ayrrown [:]journeyman License Number: ' [�3j L APPROVED OFFICE USE ONLY El LP Installer Date.y:..�.`.�. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..�°!!r.�. s ` `: �' 1 y ...................... has permission to perform ....� �. ¢t r' �' . ............ . plumbing in the buildings of !'.(.` ..................... . at. ...�.��.�.. �!.�.�!�. �.tt.l.. X........... North Andover, Mass. Fee .. S .� , . Lic. No.. .1... .. !:... .... .... . i PLUMBING INSPECTOR Check # k, ) t 5573 MASSACHUSETTS (Type or print) NORTH ANDOVER, MASSACHUSETTS -7 Building Location ! yZ Li ti'l i-, 1, yt t( . New Renovation Type of ME4ancy Replacement FIXTURES �' L TION FOR PERMIT TO DO PLUMBIN Date t( - A Y( Iv C I< Permit #_ ti^9 Amount Plans Submitted Yes13No ❑ (Print or type) Installing Company Name V� Address lJ 0 S^v,j (ILinn� -,1- l C L r(.lf) ✓� a ie3 0 ��tn� b2o7 Check one: Certificate ❑ Corp. Partner. airm/Co. Name of Licensed Plumber: I 1 ) D J S (Z C //9- C - f- -j Insurance Coverage: Indicate the ty e of insu ance 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 threeinsurance ignature 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 p rformed under Perna Issued for this application will be in compliance with all pertinent provisions of the Mass chuse Sta�ttPlumbing Code and�apter 142 of the General Laws. City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License ZL0 7 License i Numper Master ❑ Journeyman El/ s NORTH O ; Date.... �..... TOWN OF NORTH ANDOVER This certifies that .......................... has permission to perform ..-- wiring in the building of ...�`- at y Z� , �< . ............................ Fee." -3L5.- c........... Lic. No�JJ. Check # 17NA 5 12 6 PERMIT FOR WIRING ../ ............................................ �) ... , North Andover, Mass. !:....�....................... ELECTRICAL INSPECTOR vg�� —lit 00H10101110talul of 910floadjusello Etpattmtnt of Public hftlu ROW OF FIRE PREVENTION REGULATIONS 5 CMR 12:00 �l ADPL Office Us1 Only Permit No. (p Occupancy A Fee Check@ -- 3190 (leave blank) KATION POR ERMIT T® ERFORM ELECTRICAL WORK All work to be performed in8cdan a with Ih Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK�Ico;IN tfNAY Nb bate 9 oz/ %)4 or Town of To the Inspector of Wires: The udersigned applies for permlt to perfor th electrical work des ribed below. Location (Street d. Number) ?V2—UAL, _4PAQ Z,0' /,F%�� Owner or Tenant Owner's Address Is this permlt In conjunction with sl building permit: Yes No ❑ (Chuck Appropriate Box) Purpose of Building G S Utility Authorization No. Existing Service ____ __ Amps � Volts O [1 verhead tlndgrnd ❑ No. of Meters New---Sery Ce — Arnps -- ------Volts ®verhead ❑ flJndgrnd ❑ No, of. Meters Number of Feeders and Ampacily Location and Nature of Proposed Electrical Work Anvb tin. of t.ighting Oullnle - 140. of Ifni Tl►hs No. of Lighting f IMhnAl, -.� . f3wiAhne�y In. rnndng Pool _ :_ prrid. gtnd, No. of neceplacle Outlets 1 No. of Switch Outlets 1 No. of Ao".!q a No. of Disposals No. of Dishwashers Ne. of Dryer@ ------------- No. of Water Heaters +L No. Hydro Massage TUbs OTHEn: No. of Oil Burners No. of Monsformerot Tbinl _ -_ KVA -- 3enerator® KVA IJo. 01 t•role rgency Lighting Battery Units INSURANCE COVEriAGE: Pursuant to the requirements of Massac 1 have a current Linbllgy Insurance P011cif Including have submitted v"(1 proof of same to the Office. husens general Laws Completed Operations Coverage or Its substantial liquivelent. Y"checking the epproprlalo box. ES `= NO 0. 11 You have checked YES. ptease Indicate INSURANCE f$IhA lypa Of BOND G OTHER O (please coverage by Estlmaled Value of Electrical Wark ! Mork to Slerl 4 G ` % � rk IExpIta110n Date) Signed under the P Inspection t7ale Requested: Rough allies of per ry; ilnil FIRM NAM Ucenase t P� erfi... LIC. Nci-/3 f1 9&-4 Address /y0 ,/�01I� /L � / - - - — llC. NO.�—�.�/r �L�9G��? bus. Tot. Ne. 928 ��- Jq 5 pWrJEA'S IN$VAANCF WAIVER: 1 am aware that the License* does not have the insuraneetCover ope or hs eubstsnllal e gvired by Mnssachusetle General Laws, and that my signature on IMs psimd application w ah, 1Ma o ilia errant. tlat (please Chock one) guivatant as to. Owner Aoant (signsturs or Ownsy or Agent) Telephone No. PERMIT FEE 4 0 l� IJo. of pas Burners f=ine AL.ARMs No. of Zones No of Ah (;ond. Total No. of Detection And --�_ tons ",at" Oeviees No,ol Heat Total Total Pumps Tons KW No. of Sounding Devices SpaeefArsa Healing KVV No. of Solt Contained OalectlonlSounding Devices Hooting Devices kW LdcalMunicipal ❑ Connection []Other KV4 No, or rJo. or Signs Ballasts Low Voltage Wiring No. or Motors I Tbtal lip INSURANCE COVEriAGE: Pursuant to the requirements of Massac 1 have a current Linbllgy Insurance P011cif Including have submitted v"(1 proof of same to the Office. husens general Laws Completed Operations Coverage or Its substantial liquivelent. Y"checking the epproprlalo box. ES `= NO 0. 11 You have checked YES. ptease Indicate INSURANCE f$IhA lypa Of BOND G OTHER O (please coverage by Estlmaled Value of Electrical Wark ! Mork to Slerl 4 G ` % � rk IExpIta110n Date) Signed under the P Inspection t7ale Requested: Rough allies of per ry; ilnil FIRM NAM Ucenase t P� erfi... LIC. Nci-/3 f1 9&-4 Address /y0 ,/�01I� /L � / - - - — llC. NO.�—�.�/r �L�9G��? bus. Tot. Ne. 928 ��- Jq 5 pWrJEA'S IN$VAANCF WAIVER: 1 am aware that the License* does not have the insuraneetCover ope or hs eubstsnllal e gvired by Mnssachusetle General Laws, and that my signature on IMs psimd application w ah, 1Ma o ilia errant. tlat (please Chock one) guivatant as to. Owner Aoant (signsturs or Ownsy or Agent) Telephone No. PERMIT FEE 4 0 l� Location�oZ No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a 0 y t Check #213 S 17173 _110 M ` Building Inspector Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ^0 BUILDING PERMIT NUMBER: / DATE ISSUED: 157 SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 7 �,Z Ij c, ��-/� /U 1.2 Assessors Map and Parcel Number: a3 -/1 Map Number Parcel Number 1.3 Zoning Information: Zoning Dist;ic_t Proposed Use 1.4 Property Dimensions: 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: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record &e�L�rct_ Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Flame Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor 3 Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (XG.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 ....... 0 SECTION 5 Description of Proposed Work check applicable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: i SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be C leted by pemiit applicant OFFICIAT. USE ONLY 1. Building f C� (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) a (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 as Owne uthorized Agent f subject property e to act on y autill be Ifmatters relative t , au orized by this building permit application. Ly er--- Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMIBERS 1 ST 2 ND 3 RD SPAN DM ENSIGNS OF SILLS DIMENSIONS OF POSTS DRVIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Name The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Location: TC.enc(v( ,X Ilk 1 01I22 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity . Please Print i 73.32 I am an employer providing workers' compensation for my employees working on this:jots. Company name: Address andlor cm Print red muter Setpon 25A or.UM 152 carrlad a copy statement "my Wfiorwwded to the offioeof aodpemWks CIrAi �rMst Mie u. of the DlA br , tbve isfto androrr+ec� G 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, 5- ? 6 • is that the debris resulting from this work shall be ,. disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: ,4 Signat A of Perfft Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector O w2 Cf)w° w z a IS a°G U i� w w°' w pG a � C2 cn w x O to w z w m o cn v cn W W . c o m c _ EdX L Q Q m'- rw O �. • . C. o Q E y: p► y C O ism l`,' CD f *5 os 4b: c: CL= E �• H O m :mm a O N A y M 0 �m� E �a CD r r► m ocm iA m m •: :_� o = v, S �s cQ r mor O a�> Z V 0 CL a m�`mc o CD CLE p N �y mom~ m LUCO3 ea LAJ •N O.Z O C IC �E eos...my o LU COD CL omEc CL R A m ` (a = � � 2 - CL� Q A? pm CO2 O y CD O O co co CD C3 co CL 4-0 � � O>% CD 43 Lim Q Q Q oa CL CM<, o�� Cc CJ ca Z O C CD V y s CL C C s H uj vI uj U) 19 W 19 LU U) David W. Langlois Jr. 567 Washington St. Haverhill, MA 01832 979-372-2201/978-273-3245 C.S.License# CS 077351 Name I Address Robert & Barbara Hinkley 742 Waverly Rd. Andover 01845 Description R&R front right side door with new front door and storm door. R&R door to garage from mudroom with new fire rated door. R&R interior doors (4) eellar,bathroom,office,and bedroom,with 6 panel pine door slabs, using existing casings and hardware. Instal new layer of vynil flooring in kitchen,hall,mudroom,and bathroom. Sand and install 3 coats of urethane to livingroom and hallway floors. staining floors will be an additional charge. Renovate bathroom. Gut interior to studs,install new plumbing and electric, install new plasterboard andprime with 2 coats primerinstal new standup shower unittoilet,fanlight,36" vanity with formica countertop white bowl and faucet, and 18" linen cabinet (flat panel oak Design).existing built in linen cabinet will be refaced to match new cabinets. Any sconces and mirrors for above vanity will be supplied by customer and installed at no additional charge. R&R kitchen cabinets and countertops usmg existing plumbing and electric,move washing machine to mudroom if possible.if customer wishes to supply new sink and fixtures at there own expence there is no additional charge for reinstalling. building permits are based on$$$ spent and fixtures, and vary from town to town so it is impossible to accurately determine the ammount. this will be determined at the time we pull permit and will be billed separately. APw y i -y► �- J2) ee ycSOO- lives ., o i,.sv rlti c6 be- L -,e- L C 3 0 o 0. Ov- ivk-e, &�1,.-�,....._ ,4,00n,OV u 44-1 a6 601JO Date Estimate # 3/9/2004 40 Total Project 1,000'00 600.00 600.00 1,600.00 1,000.00 9,000.00 6,000.00 Total $19,800.00 ck e • i ✓lam P/�! d/amu. BOARD OF BUILDIN, FREGI. T 9 Ucense: CONSTRUCTI Number CS" t7N SUPT RV150R ! 07'351 Birthdate: 01k15/1966 ! Expires: 06%x[5/2004 Tr. no: 77351 41 - i Restricted To: '00 DAVID W LANGLOIS j 567 WASHINGTON STS — HAVERHILL, MA 01832% Administrator \` ✓ize Uiam�reaizurea� � `�aefuae%� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 138583 Expiration: 4/15/2005 Type: Individual DAVID W. LANGLOIS DAVID LANGLOIS 567 WASHINGTON ST. HAVERHILL, MA 01832 Administrator 11