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HomeMy WebLinkAboutMiscellaneous - 754 FOREST STREET 4/30/2018 (2)91 17 Date . .......`.... . TOWN OF NORTH ANDOVER O PERMIT FOR PLUMBING /�,t3elC This certifies that ... �? ..... .. . has permission to perform plumbing in the buildings of . sv�.............. . at ... ... ........ .,,,North Andover, Mass. Fee !Gl .. Lic. No�! 3 /7!C�`!.... ,rar 4 ...... PLUMBING INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: 10 MA. Date: 7 �� Permit# Building Location: /�ii3/(���� J� Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: VPlans Submitted: Yes ❑ No ❑ FIXTURES \Ql INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes Q"No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. i 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) regarding thi ication are tr, a and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issue r this ap lica n will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the nerals � By Type of License: Title lld' l mber Signatur of s r [aster City/Town License Number: APPROVED (OFFICE USE ONLY) ❑Journeyman M e DEDICATED SYSTEMS � z z v� $ Ln M w ,n 0 Y Q v) 4Au H iii O z Z 0: Z 2 cc W_ Z H W Z O Z N to W LU H d' 0 mW Q O ~ N ;I-= OC H Z (A V FL G. LL H 3. O p[ 3 W �. a LA- W Ln J Q Z cc U.1 CZ U.1W O N W Uj U L o o�>Q> o= o Q a a Uj a a o a a Ca a m 3 C W x Y 7 ac AA ,- D 3 3 ►x- 3 o a U(D(3 3 SUB BSMT. BASEMENT 1 T FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5T FLOOR 6TH FLOOR 7T FLOOR 8TH FLOOR Check One Only Certificate # Installing Company Name: J Corporation Address: INO V&Town: State: El Partnership ^..•� Business Tel l�6�—Y 2�6 Fax: ^O ❑ Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes Q"No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. i 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) regarding thi ication are tr, a and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issue r this ap lica n will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the nerals � By Type of License: Title lld' l mber Signatur of s r [aster City/Town License Number: APPROVED (OFFICE USE ONLY) ❑Journeyman M e z a z � n 0 z cn z n m O Li r r -n 77 v P o CIO � � z r r 3 w z c� N C N U. z Ln r., n 0 z I i i Location 7s4 �•�� 1 r i itt: -'2--7 G Date i TOWN OF NORTH ANDOVER Certificate of Occupancy $ SQ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ " rr;�W��ater Connection Fee $ I L� ON 27 Building Irispector , 4ndover CoRector Div. Public Works IrERIAHT NO* -'w " con APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �dI1l�' Y PAGE 1 MAP dJO. ZONE LOT NO. I SUB DIV. LOT NO. RECORD OF OWNERSHIP IDATE �I • BO PAGE LOCATION +LCiieS G� PURPOSE OF BUILDING .-_ G, „_` �^ PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR OWNER'S NAME N✓1 a^ s.� d.rte NO. OF STORIES SIZE 14.5- -t I O Je OWNER'S ADDRESS 75+ Fooz4as* T BASEMENT OR SLAB ARCHITECT'S NAME ` /� C SIZE OF FLOOR TIMBERS IST )c,Q 2ND 3RD BUILDER'S NAME SPAN DIMENSIONS OF SILLS DISTANCE TO NEAREST BUILDING DISTANCE FROM STREET "' POSTS 4X ¢ (X I DISTANCE FROM LOT LINES - SIDES REAR " " GIRDERS A AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION P,� THICKNESS i J IS BUILDING NEW �47 7 SIZE OF FOOTING Xo . IS BUILDING ADDITION YP� MATERIAL OF CHIMNEY IS BUILDING ALTERATION c+ IS BUILDING ON SOLID OR FILLED LAND Q, y WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YDS 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 SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS I PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED Jt rc OkiiNNER TEL a CONTR. TEL o G Ij639 grl o CONTR. LIC. SIGNATURE OF OWNER OR AUTHORIZED A ..r F - \`\� EE PERMIT GRANTED M /h t4t e- li Il 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST +-S-,600 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN r. CJNIIV3H ON _ I Pic I I ill P -L 1. w.9 31SID313 110 SWOON 10 'ON L SVJ Sa31V31-1 IINn 0I.H INVIOVa . DNINOIIIONOJ blV _ S8314Va DOOM 46 8OdVA 80 8.1.M IOH SIO V 'SW9 1331S ^- wV31s 'Nand aIV lOH 03�dOd 3JVNdn4 SS313dld '8 -Sw9 839w11 1slor 000M ONIMH l i I M' ONIWVNi 9 { 00 0 3111 I 800 3 1 j _ S3anlXld N 0 W y • r NV1d 1014 S3ov-id3u SIHl ;a3SOdwim3df1S '013 'S3OVLi -VO 'S3H:)U0d H11M 'SONIQ11f1H d0 SNOISN3W1a 10VX3 aNV S3NM 10-1 WOZld 30NV1S1a aNV 101d0SN01SN3Wla 10VX3 MOHSisnW NOLUMS SIHl Z i AON Vd f'`000 abOD38 ONlallna 5 r t CJNIIV3H ON _ I Pic I I ill P -L 1. w.9 31SID313 110 SWOON 10 'ON L SVJ Sa31V31-1 IINn 0I.H INVIOVa . DNINOIIIONOJ blV _ S8314Va DOOM 46 8OdVA 80 8.1.M IOH SIO V 'SW9 1331S ^- wV31s 'Nand aIV lOH 03�dOd 3JVNdn4 SS313dld '8 -Sw9 839w11 1slor 000M ONIMH l i I M' ONIWVNi 9 { 00 0 3111 800 3 1 _ S3anlXld N 0 W ONIdOOS 1108 83MOHS 11VA 13AVSO F SVl _o.l ON19wnld ON 31V1S )IMS N3HI S30NIHS DOOM ANOIVAVI S3lONIHS 1lVHdSV 13S01� d31VM 03HS 1Vld 13a9WV�J 1'X14 ZI 'Wa 131101 08VSNVW 'X14 E HIV13 dIH 319Vo ON1.9Wmd OL food 5 r-1 3aol83da_ a Od S ONINIM 3WV84 NO 3NO1S AZINOSVW NO 3NOIS 'AIG d30N17 a0 •JNOD _I 80014 8 'SalS D111V 3WVa4 NO XDId9 ABNOSVW NO XDIa9 O»n1S ABNOSOSVW NO O»n1S —�VNo E I 8 3111 'HdSV ONIOIS '183A NOWWOJ 0 IDIS SOIS39SV O.h\OdVH I ONI( EtS 11VHdSV HAV3 S31`JN[HH+1' 000M 313dDNOD `ONIO S08VO9dVID SNOOK 6 511V1 b N3HDlIX N83(30W S37Vld 3dld _ V3aV :)I11V 'N14 V3dV .1.W.9 'Nld WOOa OV3H I.W.9 ON % 1/1 IA lln4 V38V .. I 1N3W3SV9 £ N14Nf 11VIA Ado Sd3ld 831SV1d ; O.MOdVH 3No1S dO'XD189 3NId 'JI.19 313ZIDNOD 313doNOJ HSINH NOIN3INI $ NOIlVONnoi Z N0110f1HISN00 SIN3WIdVdV S3JIdd0 AIIWVd I1lnW S3180!S I– AINWV4 316NIS Z i AON Vd f'`000 abOD38 ONlallna 5 r t & contractors A DESIGN -BUILD CONSTRUCTION COMPANY John J. Fedas 617-639-0820 Seventeen Essex St. ' Marblehead MA 01945 4>4 c C>KE i'4t%- A . 1 Y � it'•n,Nrai oM .� t c sf, t. ' +v -1 i �.�q¢} �i Q Y-�l�s'tk>. { `� td � ��.il�•p .�(yp. tij �,}�fi , y, � q .�s d,1 _ - t y f FS'n��`'^*aES�Ds"/'-""Y.it",`yo SUBDIVISION ASSESSORS MAP /0-5-z) SUBDIVISION LOT(S) 4 PERMANENT ADDRESS VIIIS"TREET -.I<r.— ., e C FORM U. TOWN OF NORTH ANDOVER LOT RELEASE FORM ASSIGNED BY D.P.W. ,/APPLICANT "C—A �►'L# CVa� C,,4� ��HONE 606396�za KATE OF APPLICATION G J2.o 19 TOWN USE BELOW THIS LINE PLANNING BOARD DATE APPROVED TOWN PLANNER DATE REJECTED CO�NSERVATION.COP ISSION CONSERVATION ADMIN. BOARD OF HEALTH i HEALTH ANITARIAN DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER SCONNECTIONS FIRE DEPT. RECEIVED BY BUILDING INSPECTION DATE DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. ;nxi:,«efaAl; o1I 77'; c d ■ rc Lli LU qC-0 y � • L z ZD F•— z W ZD N ce oc .0 _ O Q E v v oc W � Q C W a O H Z G C W W Z Z O 0 ^C. � C i� O V V V v' ? W c z z oc oc o m L O = j. u u i o m m L CU C - L J t U t Y E c a c W e c ` w o co � tO U ii a:0 ii OAC ii Q U- m Co c d ■ rc Lli LU qC-0 y � • L z ZD F•— z W ZD N fu V M tv mi O z .0 W H Q E v 'Q C � C O O G C 04 O 0 ^C. � i� O M W V Q fu V M tv mi O z N2 2722 Date.......,/,/- GCJ TOWN ate......//,/- TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... P)!�AA41 ........ ....................... has permission to perform ........ .......... ................. i wiring in the building of ...... ri. . .............................................. at . .... ........ ....................,-North Andover. Mass? .... Lic. No. 3�ELECTRICAL INSPECTOR # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer _ �ommorrweatllz o� l�/aa3acjiae�¢EEe Official Use Oil Y o� D c� �] e1.JeparEnnenE al.}ire �ervices Permit No. vi, ,( [R BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev: 11/99] (]cave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO RI�C All work to be perl'ornied in accordance with the Massachusetts Electrical Code (iNfEC), 527 CMR 12.00 (PL Ell SEPRINT LVINK ORTYPE.4LLINT'ORALITIOi) llatc: /I City or Town of: &10 4-00nU,t k, To the Ltsj'ector of 1Y71 -es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number)_ Owner or Tenant �G%/I (,✓ S �� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 11-1/ (Clieck Appropriate Box) 1'w ]lose of 13uildirig_ 0WA. j f (n 'e- Utility Authorization No. Existing Service Amps Nei:• Service Anips Volts / Volts Number of Feeders and Anipacity Location and Nature of Proposed Electrical Work:. Overhead __1Undgrd ❑ Overhead ❑ Undard ❑ No. of Meters No. of Meters- Cvnrnletior vfthe /ollurvin� rnhla »,»„ h� „•„;,.,,,r 1,.. ,r.,, a ...:........ ..� rv:...._ No. of Recessed. Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of "Total Transformers KVA No: of Lighting Outlets _ No. of Riot Tubs Generators KVA . of Lighthig Fixtures Sivirnming Pool a bove ❑ lrr- ❑ rnd. rnd. t o. o mergericv ig ttnig Batte • Units [No.of Receptacle Outlets No. of Oil Burners FIRE ALARINIS No. of Zones . of Switches No. of Gas Burners No, of lletection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alertina Devices a No. of Waste Disposers Heat Puni Totals Iti`un)ber Tons ` " "� —" KW `--""""" No. of Self -Contained Detection/Alertina Devices No. of Dislnvasliers S ace/Area Heating KW p g Local itilunicipal Connection Other No. of Dryers Hen Appliances Ii1V Security Systems: No. of Devices or Equivalent No. of Nater Heaters. Ks No. of No. of - Signs Ballasts Data ,Viring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. ol'Motors Total I1P r 1'elecommunications Wiring: No. of Devices or E uivalent OTHER: llttach additional detail if desired, or as re mired by the Inspector of Wires. 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 ET BOND ❑ 0'I HER ❑ (Specify:) Estimated Value of Electrical Work: (Expiration Date) (When required by municipal policy.) Work to Start: Inspections to be requested in accordance «zth MEC Rule 10, and upon completion. I cer•tif},, under the pains atm penalties of perjury, that the hiformation on this application is trite and complete. FIRIMNAME: Buddy Electric Inc. LIC.N0.:12017_A Licensee: Uir..cen.t B. Landers JR Signature LIC.No.: 23684 E_ (If applicable, enter "ercnrpl " in the license nunnber line-) 13 us. Tel. No. 9 -4455 Address: 24 Colgate Dr N ltndnyer, Mg 01845Alt. Tel. No.: OWNER'S INSURANCE WAIVER:. I am aware that the License- does not have the liability insurance coverage normally required by law. 13)'111V signature below, I hereby waive this requirement., I am the (check one) ❑ owner ❑ owner's ajvent. Owner/Agent Signature 1'elcphotie No. P1 -RJ IIT FEE: & ,��� Location 7 I No. Date ZZ' % 1 rt ,40R7p TOWN OF NORTH ANDOVER Certificate of Occupancy $ • �' Building/Frame Permit Fee $ �ssA SEZ Foundation Permit Fee $ OtheFPermit Fee $ A 0 <j ewer Connection Fee $ !jConnection Fee $ -------- Building Inspector Div. Public Works Location �- L/ 1X' • .�•= •c1Jo. J Date TOWN OF NORTH ANDOVER Certificate of Occupancy, , $ Building/Frame Permit Foundation Permit Fee Other Permit Fee $ RECEIVED PA"Wonnection Fee $ — 'AUG 2 4 19ter Connection Fee $ AL $ R� No. Andover Collector Building Inspector .c Div. Public Works PE&JiIT NO. "" 42 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS/j���y� ,2 9 -?PAGL-i- MAP 4J0. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK iPAGE ZONE I SUB DIV. LOT NO. jk-L-l-I: i^<S 4174�-,Zly¢�t Ce! ] LOCATION_?64F �=ok'c^S`i _ -.57.)L i v.,.s y s. 9e -c. OWNER'S NAME cvzd-c-vs NO. OF STORIES 2 SIZE ` OWNER'S ADDRESS 4�� cC BASEMENT OR SLAB ARCHITECT'S NAME 4 C-- Q��`nG7�� c va SIZE OF FLOOR TIMBERS IST SLA3 2ND 2xiID 3RD J BUILDER'S NAME c— 4 V i✓`��KJS SPAN 14.1 DISTANCE TO NEAREST BUILDING 300 DIMENSIONS OF SILLS Z - DISTANCE FROM STREET % Ir•�J + /'. POSTS Gid DISTANCE FROM LOT LINES — SIDES /i REAR /®0 `7 i GIRDERS P*40,46' AREA OF LOT A s IQ A�+ FRONTAGE 22 cr �J HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING 10"x 06 X IS BUILDING ADDITION YE JJ MATERIAL OF CHIMNEY N'®N6 IS BUILDING ALTERATION IS BUILDING ON SOLID e" P"M.GI3LAND YES WILL BUILDING CONFORM TO REQUIREMENTS OF CODE J IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER O IS BUILDING CONNECTED TO NATURAL GAS LINE &/0 INSTRUCTIONS L SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING j ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS l 1 PLANS MUST BE FILED AND APPROVED BY BUILDING _INSPECTClk DATE FILED / Z� SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE IC7?,, 0 U PERMIT GRANTED r a ��- 19 OWNER TEL. # i 93 - 035& CONTR. TEL. # y38 -�7SZ CONTR. LIC. # l Q 7 z? ¢�„'� %►7 �� - GflAc $ iP_. Sem r®pT.,$ 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST dv/.20, L`n ' 87 ,o EST. BLDG. COST PER SQ. FT. `0 EST. BLDG. COST PER ROOM ,61 SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN 6 BUILDIrm INSPECTOR cam..... , BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OfFICES __ APARTMENTS CONSTRUCTION 2 FOUNDATION g INTERIOR FINISH CONCRETE B il 2 I3 CONCRETE ECK. PINE BRICK OR STONE HARD -D_ PIERS PLASTERDRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA y:, 1/1 1/1 '/. FIN. ATTIC AREA _ N_O BM'T FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH HARDVJ'D COMMON ASPH. TILE B _ 1 2 _ J_ 3 _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON -MASONRY STONE ON FRAME SUPERIOR I� POOR ADENONE QUATE 5 ROOF 10 PLUMBING GABLE GAMBRELMANSARD I I HIP BATH (3 FIX.) TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ _ TILE FLOOR TILE DADO 6 ' r FRAMING 11 HEATING WOOD JOIST PIPE LESS.: FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 1st I.3rd I ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA. RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. y:, PLOT PLAN EST STREET 754 FOR MA . N. ANDOVER, KCAL.. I "■ SEPTEMBERS IiiBA 50 WILLIAM Q. TROY A NQ SVRvt roR 12 EUCLID ROAD • UWKS BURY, M',. t�► pvVG#1 AREA EX�ST/N4 ow�cciMa aaq. P ROPO SAD W A0. ��T1a^1 W � Ftp COArRt E rE_ ,h `� _ 34\ BOrrNA+1AK sEe k t PLAN rjp e � t �Oft Set TH TITLE INEUhOR ANO TO TH[ IANK THAT l Nt11EEY C4AY1fY TO E AND THAT IT POES 4tkk Or At4. THE DWR.LIM4 is IOCATEP ON THE LOT A4 !MOWN S CONFORM) WITH TH! TOWN OF NORTH ANDOVER ZONING RR4UI.ATK1Ns �y` cs At@AAQINO •4TYACKS F11OM :TA.,INE#• WIILINM E ETi ANP LOT GtIJ l /URTN4A C°EATIFY THAT THIS AS�3f0 1�loHOVAp OAYEO KEATKID IN � ! "' rf(U a0 N A zp AjjtA � o RgoIET1£AtQ LAN® URVEVOR v MQAT4At N. [.A. P• 1.AN 717Il. �.. TM14 /S.AN iron QE 1'URr04E3NOT FOR EQUN OAIIY PET[iRMIMATIc9N. SOUNQARY INFO RA/ATION YAKEN M�1tOM FORM U - LOT RELEASE FORM INSTRUCTIONS: This form 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. ****************Applicant fills out this section***************** APPLICANT: V.44&0AJT C�3-ajc Phone 438-,675Z LOCATION: Assessor's Map Number Parcel Subdivision Lots) Streetf o - S`i St. Number -76 4 - ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Date Approved Date Rejected Date Approvedy Planner Date Rejected Comments �,� �•�� Date Approved •-w Health Agent Date Rejected cs°�a Comments M ihf,� Public Works sewer/water connection 3Sf - driveway permit P Fire Department Received by Buildin Inspector Date IJ 1 ~ a N LL ,ri O H Z 0 cr CT. D O 'SJ 1 l0 7 C N J= to !Z] N N 1 T� i to Q d N r O w cc Z O (5 _0 U H Wm J fn Q r Z C7 1 ¢ I,-. J =—. U ::. • 1 � 1 ¢ Co C Q +' _ O 0Q LL O (n J a Y UwLLJ O (r a w � w —� �,1 u LCL O (t";, ) O- (Ci z (,') O Lu r Al r 91 p iz n,R O n � LL V H Z 0 cr �! �Q _ J O w w V)ii)O \ w cc Z O (5 _0 U H Wm J fn Q r Z C7 CL Ri E C •,( I,-. J =—. U ::. in ar ¢ Co C Q +' _ O 0Q LL O (n J a Y UwLLJ O (r a w � w —� �,1 u LCL O (t";, ) O- (Ci tr x (,') O Lu s= U) !— r 91 p iz O Ll •• Li Z � 4— lt1 > t S_ C) O M O U F�F �p I-7LL � W --- -O jrx 22 Z V \ 0til f l .. t -,T 03 • � � w FOLD ALONG LINE H O !) o Z U, a. (D (v X 1 (% w LL V ulZ 0 cr �! w Qom_' _ J O w w O _ -_- U w cc Z O W LL H Wm J fn Q r Z C7 o J =—. U ::. in ar ¢ Co a Z•> > O 0Q LL O (n J a Y UwLLJ O (r a w � w —� _ U Q Zi Z _ ri O ^!uj LL z LU LLO p O �_ z U z w F�F 1 in u j LL V 1.1 �! •-I w i` I Iii (] It z -� Z o i i (^•� Z. ( li•. x > W C C V CL { H _i H F3Lu N W i rti i t 0 z F�F 1 I-7LL � H jrx 22 Z V \ Ld {nes � � w FOLD ALONG LINE u j �! = mono Z. ( li•. H =o x: F3Lu F�F 1 I � � � I O o O < Q 0 U) C^'•I f m yyy< ZO O O ,F.` r •i'!''...' .�.1_ N = N ¢ r Q Q m � �� X ERlt iii L9 w N J W ,�✓ 111 O = A C & C BUILDERS 75 Franklin Street Stoneham, MA 02180 617-438-8752 PROPOSAL SUBMITTED T�harles and Susan Foster PHON`K508) 683-0356 DATE 8/18/92 STREET 754 Forest Street JOB NAME Addition CITY. STATE AND ZIP COI E O , Andover, MA 01845 JOB LOCATION same DATE X19 JOB PHONE 0/22 /1 same We hereby submit specifications and estimates for: Provide the necessary labor, •r^ and materials to construct a two level addition Doff the rear of your house located at 754 Forest Street, North Andover, Mass. The addition will be constructed in accordance with C & C Builders' plans A-1 thru A-4 and dated October 19, 1991. Contractor insibi 1 it ies_incl_ide_the_following: • Provide a certificate of insurance to owner before work begins. • Provide a construction container on site at all times and remove all construction debris off site. • Demo existing area(s) as required. • Excavate, construct and finish the proposed addition, decks and parches as indicated on plans by C & C Builders. • Provide and install all exterior windows and doors, make and style of doors and windows to match existing. • Provide and install all interior millwork such as doors, mouldings, shelving and stairs as required. All interior doors and millwork. to match existing. i • Landscape all disturbed areas as necessary including sodding and replanting all shrubs salvaged during the excavation phase. • All plumbing, heating, electrical and mechanical work including related fixtures. . Painting and/or staining. Page 1 of 2 1 &1XPta =C 0£ Jr0p0$al - The above prices, specifications Signature `- , and conditions are satisfactory and are hereby accepted. You are au- thorized to do the work as specified. Payment will be made as outlined above. x/ Signature L Date of Acceptance: �ropoga�Y - C & C BUILDERS 75 Franklin Street Stoneham, MA 02180 617-438-8752 PROPOSAL SUBMITTEDRaries and Susan Foster (; PHONR50S) 683-03561DATE 8/18/92 STREET 754 Forest Street JOB NAME Addition CITY. STATE AND ZIP CORD . Andover, MA 01845 1V JOB LOCATION same DATE OF PLANS JOB PHONE LO 22 91 same We hereby submit specifications and estimates for: Proposal continued: Estimated time of completion eight (e) weeks. All work will conform to local building cedes and is subject t• � inspect io by the appropriate officials. A 1 1 materials and workmanship is guaranteed for �r one year from completion. Change Orders: Any changes to this proposal after work starts will result in a change order. Change orders will describe the nature of the change, indicate the cost (or credit), length of time necessary to implement the change and will require signed approval by both the owner and the contractor. Work on change orders will begin only after signing. Payment (or credits) for changes will be made within five (5) days of completion of each change order. Total _j2b_cost_for _work _outlined above: ONE HUNDRED TWENTY THOUSAND FIVE HUNDRED DOLLARS ($120,500.00) Payment terms: $5,000.00 upon acceptance of proposal. $20,000.00 upon completion of concrete slab. $40,000.00 upon complet ion of ;rough frame. $20,000.00 upon completion of exterior siding. $15,000.00 upon corn pletion of rough plumb. , heatg. & elect $15,000.00 upon corn plet ion of plastering. Balance upon completion of job. Thank you for selecting C & C Builders as your general contractor. We look forward to providing you with a quality job, professionally managed and reasonably priced. C& C Builders i s a Massachusetts registered home improvement contractor. Registration No. 107343 Page 2 of 2 i�tlii� OirOOS�Y -The above prices, specifications Signature and conditions are satisfactory and are hereby accepted. You are au- thorized to do the work as specified. Payment will be made as outlined above. / / t'j I Q L_ Signature Date of Acceptance: (/ c 1 M O z i to to 71 FA - LAJ cam o Vis: o o h CIS a 'o a as °�� y y y • CL C z o °' y c O • � C o 6 V y ar yC • C � =.r z V h ° e 40 � > W NlitI _ m s a IMLLJV CL ar �'' C •� L1J • Q C c 0 o z Q °° •o `o •o ++ O d40 C N Vi 61 C6 � r a ° a s o • .. U •� w y v e Q o .. a W •� _ J2Ax sai o = 'o w U 0 U V) W J H .y E L CL ow L c L ' c WD .c 'c m WD C�, 0 0 oe W N1 d H O Z Z Z W d Q O ? 0 Z Z V u V 0 m an96 L C E L J t U cm L Y ¢ ii ¢ � ii cc U. 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