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Miscellaneous - 84 ELMCREST ROAD 4/30/2018
T 0 o rn m r O � O n m m I O I O 0 O Location ?y No. 13 1SI`/ Date 2 -, -4,3 r NoRTN TOWN OF NORTH ANDOVER ?0:.60 ,6'. i • + Certificate of Occupancy $ 'Sa,cZo MusE� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ Check # 6 9 U 9 Building Inspect !1-i'7-Lv3 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATf2 OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER:/ DATE ISSUED: �el L SIGNATURE: Buildingommi-4—r/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: / Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSIUP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record Nam (Print) / Address for Service: Z� 83 2 747 7g -nature / Telephone 2.2 Owner of Record: Name Print Address for Service: s Si attire Tele hone SECT -JON 3 - CONSTRUCTION SERVICES 3.1 Construction Supervisor: Not Applicable ❑ 4Lc.ensed 60 A:OA P—C) ( � 0 C -k- =0, —7 - Licensed Construction Supervisor: C 5-, © S U a (O ,t (J + i^ l ,, A �(�j `� � V1VV- License Number Addre�w� 3'2> -7 "f Expiration Date Signature Telephone ipl� °�zy ►a C,6zL� 3.2 Registered Home Improvement Contractor Not Applicable ❑ Fyt U-�Dr✓� rte, ` oZ g Company Name Registration Number /6/")4/ Add L�)a4/LA,0"011�3 -7 LQa 6 Expiration Date Signature Telephone Ma rn X z v rn SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) X Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify B ief Description of Proposed Work: (l 1 p 2� &C3.y� Q-1 a�2i\ O t C 'i S VA e _W K7\-5����ne 0.tnrti C�eLk — c, a�r�e. a vA8 uis vo tv\ his , t -J\- . SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed bypermit applicant 1. Building coo (a) Building Permit Fee Multiplier 0 2 Electrical U U (b) Estimated Total Cost of Construction c� 5 3 Plumbing o G Building Permit fee (a) X (b) 4 Mechanical HVAC iw cL. 5 Fire Protection 6 Total 1+2+3+4+5 s Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR//APPLIES FOR BUILDING PERMIT I ��5� /tr2bn ��GrS , as Owner/Authorized Agent of subject property Hereby authorize pru- C 6L a - :z t ✓ A L . to act on My behalf, ' all matters relative work a orized by this building permit application. ��r� /6; Name Name: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation insurance Affidavit Please Print Location: City Phone' # QI am a homeowner performing all work myself. I am a sole proprietor and have no one worldng in any capacity " I am an employer priding workers' compensation for my employees working on this job. Address cCft -17 31s 3b8Z3�c7i Company name. Address P#k` Failure to secaue coverage as requlredi undelr Section 25A or MGL 152 can lead tache lir a ion 4 crin�at perry wftr one years hVmormmnt as-wam puna �s6eSams � ]Y?P WeA(Sila understand that a of this statement may beforwarded to the Office of investigations of the DIA for cove►age / do hereby t�Elf� +m�P@ ia andX"Jhes of pegFW hW ftrB mrornraUw prvvkbd above e1 &wand correct Print name A -SA uo Po 1 c Cie_ Phoneme Official use only do not write in this area to be completed by city or town drxW North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: WASE (WO 9,u-(Z✓t , w`-A- ocation of Facility) Signature of Permit Applicant 1 1 6 ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector x .size(omznzancrreaff�'al:.lZal:ltzr�rrJe«s 5 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR t Number: CS 075086 Birthdate: 04/03/1960 Expires: 04103/2005 Tr. no: 9547 Restricted: 00 ADAM N POLLOCK 41 CHEQUESSETT RD READING, MA 01867 Administrator PRO -CARE, INC. 3 NORTH MAPLE STREET WOBURN, MA 01801 TEL: (781) 933-7400 FAX: (781) 933-1222 Client: PETER E KARALIS Property: 84 ELMCREST CR NORTH ANDOVER, MA 01845-0000 Home: 84 ELMCREST RD NORTH ANDOVER, MA 01845-2632 Type of Estimate: FIRE/SMOKE/EXPLOSI ON Dates: Date Contacted: 11/10/03 Date Entered: 11/10/03 Home: (978) 686-2925 x00000 Business: (978) 960-4274 x00000 Estimate: KARALIS-PERMIT vr' 1 Structural repair estimate due to basement fire. This estimate excludes cleaning and painting of the 1st and 2nd floors - separate estimates to be submitted . AP (Job code : 4660) -X� "--I �Lv (�- J�ak-e- 6 pe'—LCP- t - • - PRO -CARE, INC. 3 NORTH MAPLE STREET WOBURN, MA 01801 TEL: (781) 933-7400 FAX: (781) 933-1222 KARALIS-PERMIT Structural repair Room: FURNACE ROOM LxWxH 22'4" x 12'0" x 7'11" Subroom 1: OFFSET General Laborer - per hour Remove fire damaged debris to dumpster (2 men, 1/2 day) Soda blasting General clean - up 2 men, 1/2 day to clean up after soda blasting R&R Joist - floor or ceiling - 2x8 - w/blocking - 16" oc LxWxH 11'0" x 7'0" x 7'11" 8.00 HR 1,200.44 SF 8.00 HR 144.00 SF Replace approx. 50% of the ceiling joists in the basement furnace room (rear, right corner of the house, above furnace and dryer). R&R Sheathing - plywood - 3/4" - tongue and groove 345.00 SF R&R Drilled bottom plate - 2" x 6" treated lumber 40.00 LF Note: Existing sill plate is 4" x 6" lumber. Exactimate does not have this item in the data base. Accordingly, we are doubling up (2), 2" x 6" boards to replace approx. 201f of fire damage sill plate. Carpenter - (temporary bracing) 8.00 HR Carpenter's helper 8.00 HR Bracing materials 1.00 EA Temporary shoring post - Screw jack (per day) 2.00 DA Replace joist blocking - front, right corner of house and offset 220.00 SF Note: Replace the smoke damaged, joist blocking on the ceiling joists that will remain after demo. R&R Thin coat plaster over 1/2" gypsum lath 64.00 SF Replace 5/8" plaster ceiling above furnace and hot water heater. Price has been modified to feflect 5/8" instead of 1/2". R&R Vinyl window - awning, 3-6 sf 5.00 EA Note: Includes one window in the basement storage area. Carpenter 8.00 HR Window frame materials 5.00 EA Note: Modify existing steel window frames (5) to accept new windows. Carpenter 1.00 HR Dryer vent materials 1.00 EA Note: The existing dryer was vented through the steel framed window above. The new dryer will be vented through the rim joist above the new dryer. Seal framing, floor and foundation walls for odor control 1,200.44 SF R&R Stud wall - 2" x 4" x 8'- 16" oc 7.00 LF R&R Paneling 64.00 SF Replace partition wall between furnace and exercise area - Wall is paneled on one side only. R&R Fluorescent light fixture 1.00 EA KARALIS-PERMIT 11/18/2003 Page: 2 zz�� PRO -CARE, INC. 3 NORTH MAPLE STREET WOBURN, MA 01801 TEL: (781) 933-7400 FAX: (781) 933-1222 Note: Light fixture atached to main beam Room: Basement stairs Seal then paint the walls and ceiling (2 coats) Paint door slab only - 2 coats (per side) Paint door/window trim & jamb - 2 coats (per side) Handrail - wall mounted - Detach & reset Stain & finish handrail - wall mounted Plaster patch - ready for paint Repair wall behind handrail Room: Exterior LxWxH 10'0" x 3'0" x 7'11" 235.83 SF 1.00 EA 1.00 EA 11.50 LF 11.60 LF 1.00 EA R&R Sheathing - plywood - 5/8" CDX 128.00 SF Note: Double up on sheathing to fur -out wall to accept new siding. (Previous application had 1/2" sheathing, wood shingles and insulation board underneath vinyl siding. R&R Rigid foam insulation board 64.00 SF R&R House wrap (air/moisture barrier) Du Pont Tyvek or equal 1.00 EA R&R Siding - vinyl - High grade 700.00 SF The above price represents the market rate for vinyl siding in this area. Estimates assumes the rear siding only, corner to corner. Estimate assumes vinyl siding can be matched satisfactorily. Gutter / downspout - Detach & reset 22.00 LF Shutters - Detach & reset 6.00 EA Siding Installer - per hour 2.00 HR Replace aluminum rake to facilitate vinyl siding replacement SIDING - Materials 1.00 EA KARALIS-PERMIT 11/18/2003 Page: 3 PRO -CARE, INC. 3 NORTH MAPLE STREET WOBURN, MA 01801 TEL: (781) 933-7400 FAX: (781) 933-1222 Light fixture - Detach & reset - Exterior 1.00 EA Room: Code upgrades Carpenter - Fire blocking (above beam in furnace room only) (code) 12.00 LF Fire caulk all penetrations to the 1 st floor (basement furnace room only) (code) 1.00 EA Batt insulation - 6" - R19 (code) 836.33 SF Insulation Installer - per hour 3.00 HR Insulate entire basement ceiling, per building code. Difficult access charge due to small access hole leading to a full, basement crawlspace (approx. 2'x 2' hole). Room: Miscellaneous General clean - up 24.00 HR Dumpster load - 2.00 EA Temporary toilet (per month) 2.00 MO This estimated price includes pick-up and delivery ELECTRICAL 1.00 EA Includes replacement of 200 amp service; partial replacement of burnt wiring to 1 st and 2nd floor; replacement of outlets in the living room; re -wiring of the furnace and hot water heater. PLUMBING/ HEATING 1.00 EA KARALIS-PERMIT 11/18/2003 Page: 4 : PRO -CARE, INC. 3 NORTH MAPLE STREET WOBURN, MA 01801 TEL: (781) 933-7400 FAX: (781) 933-1222 Includes winterizing of house until heat is returned; replacement of fire damaged heating and water supply lines; replacement of the hot water heater; replace fire damaged furnace controls and startup furnace; test, cap off and/or re -locate gas lines, as necessary; replace approx. 31 if of baseboard heat in the livingroom. Note: This quote is subject to change pending the status of the furnace and any code related upgrades. Room: PHOTOS Grand Total 35,847.00 Grand Total Areas: 860.28 SF Walls 375.00 SF Ceiling 1,235.28 SF Walls & Ceiling 375.00 SF Floor 41.67 SY Flooring 108.67 LF Floor Perimeter 343.06 SF Long Wall 174.17 SF Short Wall 108.67 LF Ceil. Perimeter 0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area 0.00 Exterior Wall Area 0.00 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length 0.00 Area of Face 1 KARALIS-PERMIT 11/18/2003 Page: 5 y m m C m /X� YI m m CO2 10 CD 0Z CD O ar O CD _� O.� n� .o .o 0 Mia cr %<_ CSD O mm C CD CL am CD Ci! CD 0 0 S CD m CD �a y CD CA 0 CCD O CD OC C O:. O 0 = o — caO Q tIa d O® O CL O C7 O. n =m z =r= CO) O .+O'wm y T CD aim m .� m y CO) CD O c g �o C Z ® CD m ho 0 .-r n o ZSR: o y Cs : o o : y n aOco 'n ... : CD ®y CD '' C7� t:4* L H 0 34 Im CS g : Q CL U. Cn r --ox c y yca m a �. CD CDA W ON CD o CD O NN W O � cn m 1 ` cn V CD o �. on. O: o cncn o d z o b7 z w oC9a Irl W)T trs ►nCDo• 7d • z w0 qd z w n � z a cn CD ^ y �7 a x O 8 w 0 c Date. ,Lz.:7/.- a ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . ................................................... has permission to �rform ..... ................................................. wiring in the building of ... r......:..........� .... /-4 .......... at ... ....... ... ................. . North -Andover, Mass. Fee .�... r..... Lic. NoAD,3,?,?f4...................... INSLECRCAOR Check # 5447 HIECOMMONWEALTHOF DEPARTAIEWOFPUBi BOARD OF FIRE PREVF MON, APPLICA77ONFOR PERMIT TO ALL WORK TO BE PERFORMED IN ACCORDANCE JVITH THE 1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Town of North Andover The undersigned applies for a permit to perform the electricaljworl. described Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes Purpose of Building F14)`11 L -V Existing Service W X ) Amps New Service Amps / Volts Number of Feeders and Ampacity SEM Office Use only Permit No. �y-2 4 527CMRI2:Q9 Occupancy & Fees Checked fZrl c� RMELECTRICAL WORK ELECTRICAL CODE, 527 CMR 12:00 Date To the Inspector of Wires: rNo (Check Appropriate Box)O�OtGj Utility Authorization No. _ Overheanderground No. of Meters Overhead Underground No. of Meters Location and Nature of Proposed Electrical Work W l RP EM 7 17:5 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units l No. of Switch Outlets No. of Gas Burners I FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices al 1 Municipal _ Othe No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP QTHER- hmuanoeCD erago PlusUMttathetegmancrt dWti sadmeltsGff=WLaws Ihawsttblrmwdvaldptoofofsam iotlleOfficF-- YES LL7 checidng NSURANCE��BOND OTHER r WaktD-qm - kisspe limD&Requested�+ Signed underTrRnalliesofpajtay. -OY tn H MNAME alai[ YES T;7 NO F1 lf)uftwcitecWYES, ple%ethetypeofcmvwV by �; • 2-J Esmr *dVahieofEbchicalWodc $ Rao );2-r Final n � I resae Sigaatiue LimmNo �,Tel. OWNER'SINSURANCEWAIVEP,IamawarethattheL,mwdoesnothawtheir mmmmenageorilssubstantialoWnaladasogmedbyNb%adx>sarsGalealLaws andthatmysigattueonthispmvtapplicationwai"sthisceq zmo t (Please check one) Owner L—J Agent Telephone No. PERMIT FEE Signature ot Uwner or Agent 77MCOMMONWLAUH OF DEPARTAIENTOFPUBLIC BOARD OF • "1 APPLICATTONFOR PERMIT TO ALL WORK TO BE PERFORMED IN ACCORDANCE YVITH THE I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Town of North Andover The undersigned applies for a permit to perform the electrical wor described Location (Street & Number) j Owner or Tenant M 41, T1 N Office Use only Permit No. .5-zl'a (W120/. Occupancy & Fees Checked RMELECT27CMRM1:00 WO ELECTRICAL CODE _ Date To the Inspector of Wires: Owner's Address _2:5 /— \,-V vi— Kf Is this permit in conjunction with a building permit: Yes No a (Check Appropriate Box) Purpose of Building A M 1 L Utility Authorization No. Existing Service Ampsj2l/_2�olts Overhea nderground a No. of Meters New Service Amps �Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W i AW 1 I /N No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above 1:1round Below Generators KVA round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units of Switch Outlets 1 No. of Gas Burners , i of Ranges FIRE ALARMS No. of Zones No. of Air Cond. Total Tons No. of Detection and _ of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices b. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices al Municipal Other o. of Dryers He Devices KW Connections o. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP �h>Stu=Coverdge. P URM tIDthetagtmart01ts >st Cmeral Laws IhawaamatLiabt7iybarra PokyittcirhgCo AA& Covr,Worit mbotalegmaiat YFS NO IhawmbT8iadvMptvofofsartetDtheOffm YESJz] r—M ffywhawdrd®dYB pieaseinck*thetypeofcovardWby INSL ANCA EBOND � OTHER a (PledSe Spec�y) 1 /� �� Egitn tedVahreOfDecftriralWak $ WotktDS4tt — II>spectimn ZTeswd �(Fffial Sigtedtmder Ftiaffiesofperjtay. T01(1 .C) [ �� FIRMNAME _.) J LicerseNo. AM Lioertsee Signahae Lio=NoTel. NoL C� 1 ^i �rAIL?]'?N JWNEICSINSURANCEWAMIR Iamawateda ftLioawdoesnothawkinsi m=coveWoritsahtaibialq valatasmgmdbyMassadusMConalLaws andel atmyagnahaeon duspemritappliarionwaivts dis m4mesnat (Please check one) Owner 0 Agent a , Telephone No. PERMIT FEE $ : 'C signature of Owner or Agent Ayk4 9� 11 , 14, 1q—,ep5- fi-iaw ffAI4z. This certifies that TOWN OF NORTH ANDOVER PERMIT FOR WIRING has permission to perform ..... 11...%%...%.,li:�%��j ......... wiring in the building of . .,�� .:�-�C;..%� J........ Fee. _�1. z.tl-." Lic. No�: Check # Z.// ��a j . a�-..�......... , orth dover, Mass. �.............. FOR OFFICE USE 0\7,x' : The CoinmonweJth of Mass4chusetts #4/3 ; i� D�larfinent of Pubbc Sat y P`�"t�' — '3 § 130ARD OF FIRE PREVENTION REGUL'NS 527 CMR 12:00 Receipt Tr o. e ATfO_ APPLICATION FOR PERMI170 PERFORM ELECTRICAL WORK A21 w•oa will be pe:fo =ed i,, acro-�azce with the Massachusetts Genera'. Code. 527 CMR 111) (P LEASE FEINT IN INK OR TYPE ALL INFOR'vLkTION) Date /i/ '/A — 0 Ci 'v o: To -..:n of Ao fl, 71i!1dou e -r To the Inspector of Wires: The undersigned applies for a permit to perform the electrical v;orl: described belo,.,;: Locati: n (Street and Number) 8'!� &M Map:. O•::ne: o. Tenant _P27'e r ha. rC_ t' I Zone: O•.': ner's Address Is this permit in conjunction v. ith a building permit? Purpos_ of Building _¢S" Ae'" C_ ¢, rxisti: g Service'_ Amps --1 A © / A Y O Volts Nev; Service Amps Number of Feeders and Ampacity Yes ❑ No Zl--' Utility Authorization No. Overhead P*'- Underground ❑ Lot: (Check Appropriate Box) Volts . Overhead ❑ Underground ❑ No. of Meters Location and Nature of Proposed Electrical Wo:k - Re 3 46t t JAI0w.e,t- fid h 0 r e - No. of Lighting Outlets No. of Hot Tubs I No. of Transfo.-ime s Total KV A No. of Lighting Fixtures IS'.-:i-,r.�ing Pool Above grnd. ❑ In-grnd. ❑ ( Generators KVA No. of F.eceptacle Outlets I No. of Oil Burners I No. o:` Emerg. Lighting Battery Unit_ No. of S•.•: itch Outlets I No. of Gas Burners I FIRE Al_kF_MS No. of Zones No. of Detection and Initiating Devices No. of Ranges I No. of A;,-Cond. Total Tons No. e! Tota: lot3: No. of Disposals Heat Pu -.;s Tern K No. of Sounding Devices No. of Dish•. -rashers Space!! --ea F. :ea HeatingW No. of Self -Contained No. of Dyers I He Devices ;~"tti Detection/Sounding Deices No. of ti': ate: Heaters r' I No. o:r Signs No. of Ballasts I Loc a. ❑ hluncipal Connection ❑ Other No. of Hydro Massage Tubs No. of i.loto:s Total HP I Lo,. Voltage l iring 0THE'R: INSURA',,CE COVERAGE: Pursuant to the requirements of Massachusetts General Laa:s I have a current Liability Insurance Policy i.c'cuding*Completed Operations Coverage or its substantial equivalent. YES E't\O ❑ I have submitted valid p,-oor oEsa.^:a t, this c`;i_e.'r'ES CLl't�'O ❑ IE you have checked YES, p'.ease indicate the type of co,erage by checking the app:opria'e box. I\ti CE 10-`BO\D ❑ OTHER ❑ (Please Specify) Estim_ited Value of Electrical V,ork 5 ti': e:.. to 5: .. f� ��' ` d 3 Inspection. Date Requested: Rough Z/-X_r� Final S g -.e:1 under the penalties of perjury: F1.7-YNAME Walter B Stockwood Inc. LIC.NO. A4622 Licensee Walter B. Stockwood Si,;na•ure� CNO. EE3344 A.ddc:ss 1-33 c;Vrh __RQad' Wgbilrrt MA01.801 Bus.Tel.No. 781-935-8181 Alt. Tel. No. 781 -729-8994 O',': N;:_R'S INSURANCE �N,'AIVER: I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equi : elent as required by Massachusetts General La•.vs, and that my signature on this permit application v.aives this requirement. O•.•: ner ❑ Agent ❑ (Please check one) Telephone No. PERMIT FEE 5 (Signature of Owner or Agent) t%r nn Tom; 1* UNWUHM ArrUk:A I IUN tUFi rtHM11 1 u Uu rr`vmulll- NORTH ANDOVER, , Mass. Date _Ig 93 D Building Permit ✓ /6 � Location - / L� Name -Ip/f New ❑ Renovation Replacement p Plana Submitted: Yea ❑ No. ❑ FIXTURES Installing Company Addres ,0,-r -nij 27-6 4,,vJe'L,,-e,� d l rY Business Telephone %o FA 4 6- Name of Licensed Plumber Check one: ❑ Corp. ❑ Partnership Chi m/Co. INSURANCE COVERAGE:ec—onee 1 have a current liability Insurance policy or No substantial equivalent Yea CP No ❑ II you have checked y", ple�70thartype to the type coverage by checking the appropriate box. A Ilablit Insurance is of kidemnit ❑ Bond ❑ Y policy Y Certificate OWNER'S INSURANCE WAIVER: 1 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 permR application waives this requirement., Check one: Signature of Owner or Owner s AGent Owner ❑ Agent [I 1 hereby certify that all of the details and Information I have submitted for entw*A In above application are true W4 accurate to the best of my krawle lgs and that all plumbing wwk and Installations performed under thepemnn I a tion compliance with all perllnenl provisions of the Massachusetts State Plumbing Code d Chapter 142 of EY Signat of UcaMw Plumber/ THIS License Number � 6 3 cttylTown Type of Plumbing License: Master B M"IUVED (OFFICE USE ONLY) Journeyman ❑ Fill MENOMONEE BE �ENNNNOVE//-a/NNON mum■1111111■ ���������■���■t■111111111111■ Installing Company Addres ,0,-r -nij 27-6 4,,vJe'L,,-e,� d l rY Business Telephone %o FA 4 6- Name of Licensed Plumber Check one: ❑ Corp. ❑ Partnership Chi m/Co. INSURANCE COVERAGE:ec—onee 1 have a current liability Insurance policy or No substantial equivalent Yea CP No ❑ II you have checked y", ple�70thartype to the type coverage by checking the appropriate box. A Ilablit Insurance is of kidemnit ❑ Bond ❑ Y policy Y Certificate OWNER'S INSURANCE WAIVER: 1 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 permR application waives this requirement., Check one: Signature of Owner or Owner s AGent Owner ❑ Agent [I 1 hereby certify that all of the details and Information I have submitted for entw*A In above application are true W4 accurate to the best of my krawle lgs and that all plumbing wwk and Installations performed under thepemnn I a tion compliance with all perllnenl provisions of the Massachusetts State Plumbing Code d Chapter 142 of EY Signat of UcaMw Plumber/ THIS License Number � 6 3 cttylTown Type of Plumbing License: Master B M"IUVED (OFFICE USE ONLY) Journeyman ❑ _.1 1 �,r,3 NORTN Of �••1D '' 1ti0 Ot O 9 ,SSACHUS E� Ir Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING -r. This certifies that :. ... .��. `?'...... J has permission to perform .... '1G plumbing in the buildings of . !..f.....� ...`......... ...... . at ... 2.4. r .'..>................ . North Andover, Mass. Fee. i `. ?.. Lic. No... c �..'..{.... PLUMBING INSPECTOR 12!08!93 10:33 WHITE: Applicant CANARY: Bbilding Dept. PINK: Treasurer GOLD` ite Location -X & No. Date TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ �- 0 t� Foundation Permit Fee $ ACNUS Other Permit Fee $ w Sewer Connection Fee $ Water Connection Fee $ TOTAL $ —� Building Inspector a i46 7 14?9193 12:03 84.50 PRIG 1..- 4 Div. Public Works RER:IIIT ,INO. S' Z�, L. V u APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE I MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP jDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. OCATION [�J Cf7 O PURPOSE OF BUILDING 6AA p C 1-'? OWNER'S NAME PeG;-� s -.1_ NO. OF STORIES SIZE OWNER'S ADDRESS/ pS%� BASEMENT OR SLAB ARCHITECT'S NAME! SIZE OF FLOOR TIMBERS IST 2ND 3RD UILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING 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 IS BUILDING ON SOLID OR FILLED LAND ILL BUILDING CONFORM TO REQUIREMENTS OF CODE 1p} x`77 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 PLANS MUSt-BE FILED AND APPROVED BY BUILDING INSPECTOR DACE FI_WNt, SIGNATURE OF (O�W�INER OR AUTHORIZED AGENT FEE d /• S c) PERMIT GRANTED OWNER TEL, # 50z?�d�6�Z9'ZS n CONTR. TEL. # 19 f ? CONTR. LIC. # IV Q J9 Ivo f�/,*e y go . DEC 8 C 3 PROPERTY INFORMATION LAND COST at BLDG. COST'-/--% O 0 D 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 OVIWInfa Il mmu-TDR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY -::� STORIES MULTI. FAMILY 4 OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH 3 1 2 13 PINE CONCRETE CONCRETE BL'K. BRICK OR STONE HARDW D— _ PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA '/. '/t 1/. FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES 8 1 2 3 �_ _ _ CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDW D COMIAGN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. 8 FLOOR I_ CONC. OR CINDER BLK. IRING STONE ON MASONRY"A- STONE ON FRAME -ZEQUATE� POOR NONE 5ROOF UMBING GABLEHIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT I 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 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. 8 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 _ lit 13rd 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. Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE /Z1803 JOB LOCATION 811 7 - Number Street Address Section of town "HOMEOWNER" �e�Y°2 Name _50y- soy- - V,- 7y Home Phone PRESET MAILING ADDRESS �5lir�sT ty/Town State Work Phone ip coae The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a'license, provided that the owner acts as supervisor. (State Building Code, Section 109.1.1) DEF NITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- ing, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Bulding Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. " he/she understands the •Town of The undersigned "homeowner" certifies that ;worth Andover Building Department minimum inspection procedures and recuirements and that he/she will comply with said procedures and _e qui_e:�ents. AP_ ,C1.''. -`.L CF BGI'LD1'NG OF `;o... 7-rae f .: i' dwe11inzs 3f .000 cubic feet, or larger wi11 be --o ccMIiD-L" '.with State Building Code SeCt_On 167.0, Cons=uc__on DEC 8 !oaq I z 0 w w cn m 3 GLASS DOORS 12 3,q DEC 8 l9g3 n 3 7 1,8 I 3 8 1,2 75 11,16 S i L, 0 Q r - A O O 3 — 18 — 3 4 3i4 N - -A 41 36 — 18 — 34 3i4 89 3/4 S O J I m z z O m 3 Q (D I W 67 — 2 1 3/4 — 11 67 — 2 1 3/4 — --89 3i4 csi N Cl) Cl) O -01 CD G) G) p� N Ul p C. 0 a O rS C7 m z z O m 3 Q W V co W 36 — 18 — 34 3i4 N Ul v N - 03 -1 I N ul I I N N N - N TI I i I N I N N 36 — 18 —I 34 3/4 II 89 3i4 I z v LO w co 30 —1-18 — 40 3i4 88 3/4 89 3/4 ti CD w OD DL W W 41 co W W co w W D� W O a A O O 3 a n m z Cn CO 36 —1-18 — 36 1-34 3/4 I — 2 8 3i4 — _ 89 3/4 24 — V L DEC 8 I r, vl � r 36 1-34 3/4 I — 2 8 3i4 — _ 89 3/4 24 — V L DEC 8 I r, cn m m DO D m 0 z cn m D 0 z z D CO) 'v CD � z C CL r O d Q �. � O �v CD CL v' d CO) CD 0 _o CO2 d d O 0 CO) O C y 9 CD O CD CD a. y CD y O CD 0 CD O �• Vi oQ N �0CC -0 y C ® n Co y�.arC Z =r V1 --4 CA CD y o y N gymCD. O Im O 7 O o — C W ����` o �C a N v)C9 CD y ►-a � C)= c CD a -1 n `° 3 : c -r o a d_ CA �_ H C (ii a H ^ � iy c �o ((T� „•► CD y VJ H N� CD W y ' �C o �C Q o0 CD CA coCD x Cc ?S. ! +� w r : � CD z� a•o•: lb c� C rfl:lb: y o = 3 � p ^' o c y 7 w 0. S rp 0 S C o 0 S r o 7 0 =r 0 O.. rt G7 C z 0 cp o \ x n Gy 0 x 9 y 0 0 c Location rr' ����--•_.� _ r No. `! 1, Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ 5 y 1 Building/Frame Permit Fee $ k Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee 5�Vater Connection Fee *TAL Building Inspector Div. Public Works PERMIT - r APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /It Ax A %6 &PAGE i '�Tv1AP+P�O. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. 1 F LOCATION ` /f�/ -� PURPOSE OF BUILDING OWNER'S NAME ���f v J ) ( — NO. OF STORIES '✓ IZE ,e OWNER'S ADDRESS `n� /YI BASEMENT OR SLAB ARCHITECT'S NAME I SIZE OF FLOOR TIMBERS 2 D�,_1 1 3RD BUILDER'S NAME / /��/� SPAN / •X ,�{ fJ — DISTANCE TO NEAREST BUILDING CJ it f DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES – SIDES / REAR " " GIRDERS AREA OF LOT 6 FRONTAGE / h J HEIGHT OF FOUNDATION J / /J THICKNESS ze J> IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY 1127 /l IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND cJ A L WILL BUILDING CONFORM TO REQUIREMENTS OF CODE d - PIS' IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY (/ J IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LIN INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METI!PS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FITLED AND APPROVED BY BUILDING INSPECTOR DATE FILED„ tf/ ��h/1 RE FEE 007r,,7, . fl -lie e -o - o_e-r PERMIT GRANTED ENT OWNER TEL. # CONTR.TEL # CONTR. LIC. k ado 3 PROPERT7 INFORMATION LAND COST EST. BLDG. COST 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 BUILDING INSPECTOR INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METI!PS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FITLED AND APPROVED BY BUILDING INSPECTOR DATE FILED„ tf/ ��h/1 RE FEE 007r,,7, . fl -lie e -o - o_e-r PERMIT GRANTED ENT OWNER TEL. # CONTR.TEL # CONTR. LIC. k ado 3 PROPERT7 INFORMATION LAND COST EST. BLDG. COST 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 BUILDING INSPECTOR BUILDING RECORD 1 OCCU,FANCY 12 SINGLE FAMIIY SiOkIES 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. w f MULTI. FAMILY OFFICES APARTMENTS __ CONSTRUCTION 2 FOUNDATION $ INTERIOR FINISH CONCRETE g CONCRETE BL'K. BRICK OR STONE PINE HARDW D PIERS PLASTER DRY WALL _ _ FIN JN BASEMENT AREA FULL ' FIN. B M'TAREA '/, V2 �/, FIN. ATTIC AREA _ NO 8-M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS CLAPBOARDS DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY I - _ J- FLOORS CONCRETE EARTH HARDW'D COMMON ASPH. TILE g 2 �_ _ 3 _ _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME _ CONC. OR CINDER BILK. WIRING STONE ON MASONRY STON CIN FRAME SUPERIOR COR _ ADEQUATE I NONE 5 F 10 PLUMBING GABLE GAMBREL FLAT I HIP B I MA SARDTOILET ERM- (2 FIX.) ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK oo SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 1 HEATING WOOD JOIST PIPELESS 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 GAS OIL 7 NO. OF ROOMS B'MI 2nd I _ 1st L1 3rd ELECTRIC NO HEATING w f 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: P71- l Phone 16's 07 LOCATION: Assessor's Map Number Parcel Subdivision Lot (s) ,gyp Street ��GJV i�/ St. Number RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Use Only************************ Date Approved Date Rejected Date Approved Date Rejected Date Approved �IN_ `� Health Agen J/rA' Date Rejected '� Comments uv � ' _40, Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector r� Date_ AUG 2 41992 � r WU) C O Q V CIO P 1,1C r�yM r Z z.� O O QUW a MYZ 11-0 X b w z w p¢ } GIN W WON q- 04 H AO as moa U. W W o m 1- 4 Cr � NO W W m tnx O MO � r m 00 Y1 V i 00 M 1 N H N Z0 m66 0 Z. m jNWj V InZU O O r WZO V W ? 6- z fr fr Q Z¢- owx 0 U N y _J N O W C y� O F� F -Ull N< co W O� 00 Q W w w O U = ul o" y a z O w LL w m Q . ;cam. �- Z F=U) -J • LU r O O �OUG N w M CL O �% O W �O O �„� a O vi W �. FOLD ALONG w ~O w = OwC w o Z Z Ii0 ,•.� LL w w Q O N W a O :t- ? G%z J'Z L~ W 2� &J--' L6 FOLD ALONG LINE C7— CL W c ,W T � r WU) C O Q V CIO P 1,1C r�yM r Z z.� O O QUW a MYZ 11-0 X b w z w p¢ } GIN W WON q- 04 H AO as moa U. W W o m 1- 4 Cr � NO W W m tnx O MO � r m 00 Y1 V i 00 M 1 N H N Z0 m66 0 Z. jNWj V InZU O O r WZO V y ? w 'L Y 1 W Q Z¢- owx 0 H N _J O V W C y� O F� F -Ull LL co N W P z a JQJ N a o ul W O 3c(j vN � Q Q1 F,1 F=U) -J • LU r UA O �OUG N w M CL O �% O W �O O m �„� O G FOLD ALONG � r WU) C O Q V CIO P 1,1C r�yM r Z z.� O O QUW a MYZ 11-0 X b w z w p¢ } GIN W WON q- 04 H AO as moa U. W W o m 1- 4 Cr � NO W W m tnx O MO � r m 00 Y1 V i 00 M 1 N H N Z0 m66 Z. jNWj V InZU r WZO V `W 3 N . Q Z¢- owx 0 H r OO6~ S�1� V oQZZ m NaWO r w y� O F� F -Ull LL S O O �O r" rt V� C rt� fl. 00 w! a n C c H wo A eD OR 0 M =41 (a w O TI T !n m 21 m T o m �y G j O j cD Oj O 7? O IM o .. H W � z 70 m m z m m z o O Sco) ,m �y 0 c 0 4 m m m 'n z r art C. Bailey Finish Work a Specialty Quality Workmanship -_ ding & Remodeling Free Estimates 499 Waverly Road North Andover, MA 01845 Telephone (508) 682-7087 Builder's License #025620 TO F 7 F - Mr. & Mrs. Peter Karalis 84 Elmcrest Road North Andover, Mass. 01845 L I L DATE DATE COMPLETED TERMS CONTRACT PROPOSAL '7/92 JOB LOCATION same BILLING 7 PAGE NOAH_ OF PAGES JOB DESCRIPTION: As referenced on pp. 1-4 For all work and materials as referenced on pp. 1-4 $28,216.74 Hereby Propose to furnish labor and materials complete in accordance with the above specifications for the sum of $ TwPnty-ainht Ih-oueanrl jw0 Hundred sixteen and X41100 With payment to be made as follows: $6,000 Upon CnMjptjnn'of foundation &-.Pxca-- vation work, $161000 upon completion of rough framing (walls & roof), drywalling, $2000 u on completing of si-din $1500 u on com letion All material is 9fran"IR e 3lakecit&. ]Am wrk is('blbM d= in a w(plisianliWO m p 1X t 1 O.n . manner according to standard practices. Any alteration or deviation from above AUtIIOrIZed specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon Signature strikes. accidents or delays beyond our control. Owner to carry fire, tornado and other Note: This proposal may be wit rawn b us if of necessary insurance. accepted within days. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made Signature as outlined above. Signature Date Accepted Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that :.- !�'"' . �....: ................. has permission to perform 2�..................... plumbing in the buildings of . ` ................ . .. -�'- ...... . , North Andover, Mass. d .. Fee./-//,.`s.:.Lic.No�(.-7-.-2,3.. - ... ECT........... PLU�M� IN ING SPOR V � Check # /Q a 5824 1 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location C- / , C'e ST Owners Name C Date a — 3 - o Permit # Amount Type of Occupancy New ri Renovation Replacement Plans Submitted Yes No ❑ FIXTURES (Print or type) Installing Company Name Address da -- Name of Licensed Plumber: /-1/ Insurance Coverage: Indicate the type o Liability insurance policy (' ance coverage by cnecK Other type of indemnity Check one: Certificate ECorp. � Partner. Firm/Co. box: Bond ❑ z 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 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 Pe 't Issue or this application will be in compliance with all pertinent provisions of the Massachusetts Plumbing e an C a 42 of eneral Laws. i By Signature ui 1-icenseSbM1nDer Type of Plum mg License Title � ,2 zz- City/Townic>v end um er Master ❑ Journeyman APPROVED (OFFICE USE ONLY III/ • .i / • .� 1 • / u �' - / �, .J, .J • � CJI NMI I ,,. ..--5-------------------1 (Print or type) Installing Company Name Address da -- Name of Licensed Plumber: /-1/ Insurance Coverage: Indicate the type o Liability insurance policy (' ance coverage by cnecK Other type of indemnity Check one: Certificate ECorp. � Partner. Firm/Co. box: Bond ❑ z 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 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 Pe 't Issue or this application will be in compliance with all pertinent provisions of the Massachusetts Plumbing e an C a 42 of eneral Laws. i By Signature ui 1-icenseSbM1nDer Type of Plum mg License Title � ,2 zz- City/Townic>v end um er Master ❑ Journeyman APPROVED (OFFICE USE ONLY 3 Date.. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . . ..... .............. 2 has permission for gas installation .............. in the buildings of ... .......................... at ... .......... North Andover, Mass. Fee V/ ... Lic. No........... ....... GAS INSPECT, Check 4 4660 MASSACHUSETTS UNIFORM APPLICATON FOR (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations U f C—/# -- New ❑ Renovation ,-e.S v1 Owner's Name Replacement ❑ TO DO GAS FITTING Date %fir 3^ °3 If Permit # IV,5z D Amount $ y� � �Q ti rc Plans Submitted ❑ (Print or type) Name Name ofLicensed Plumber or Gas Fitter one: Certificate Installing Company Corp. ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked M, please indicate the type coverage by checking the appropriate box Liability insurance policy ❑ Other type ofindemnity ❑ 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 Permit Issued for this application will be in compliance with all pertinent provisions of the MassachusettsSta Code a -Q Chapt�42 96?e Geral Laws. ICity/Town (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber a2 6 -S ❑ Gas Fitter License Number ❑ Master E&Jourmeyman Date..��. ; :�. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSAMUS This certifies that ........ ....... ..................... has permission to perform .......... ................ plumbing inth buildings of---, `R^' '' ............... . at . ?I ............:� ........ , North ndover, Mass. Fee�4. ! .. Lic. No.A� �... j . PLUMBING IN iECTOR Check # 6261 ff MASSACHUSETTS UNI, RM APPLICATION FOR PERMIT TO DO PLUMBP (Type or print) NORTH ANDOVER, MASSACHUSETTS / DateBuilding Location ! ir'Swners Name A��k- 1J Permit # L Amount T e of Occu anc S �� New Renovation Replacement Plans Submitted Yes❑ No ❑ FIXTURES (Print or type)-' Check one: Certificate Installing Company-1ame `k 6 t3 El Corp. Add ess '6 � °`'`' �� S S: ' El Partner. Business Telephone 3 3 0 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicatffth ype. of insurance coverage by checking the appropriate box: Liability insurance policy Other type of. indemnity Bond i 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 Signature Owner Er Agent I hereby certify that all of the details and intork ion I have sub 'tted (or ente d) in above application are true and accurate to the best of my knowledge and that all plumbingand i stallati performe u e s d for this application will be in compliance with all pertinent provisions ofts h s State Plu od� an er 142 of the General Laws. D (OFFICE USE ONLY. Type of Plumbic Licens 36 cense INUMDer Master Journeyman ❑ Location —6pz/&� No. Date /� v �011T" TOWN OF NORTH ANDOVER O % f w 9 Certificate of Occupancy $ Building/Frame /Frame Permit Fee $ s�cNust 9 r Foundation Permit Fee $ Other Permit Fee $ TOTAL $� Check # t_ 17689 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING j%� F t BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION i- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Raqtlired Provided Re(Itfired Provided 1 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ Public ❑ Private ❑ SECTION 2- PROPERTY OWNERSEE[P/AUTHORIZED AGENT P M`� '[CM C D i S t f i Ct: e; N 0 2.1 Owner of Record ' P-0 ��/_" m U - e6 7— ARO n /tlr�'%��i .5 �� ,L Name (Print) Address forService: a f (O 0,�J ~ ,� S/ Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1,.Licensed Construction Supervisor: Not Applicable ❑ J h n LE-0-Mcr �� g Licensed Construction Supervisor: License Number ``'' AA baVIK P O 3Z. IV H —� ?��%C Address L.0 I I Co ! U }} Expiration Date Sign re Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number 25 o t� + P O $0c 13Z Address w 9 —7 0 8 (.p 9 q % I Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Uompensation Insurance attidavit 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 altapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ,, Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 2- 5i"tNLt &0ID 171 (1N Q C F 6/kU< 1PP_C- AVM-C� P\AAJ SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant 'USE: - ,. 1. Building... (a) Building Permit Fee Multiplier . 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b)/ - 4 Mechanical (HVAC)' 5 Fire Protection 6 Total 1+2+3+4+5 S (y% c( 00 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONjVZdT/RACTORAPPLIES FOR BUILDING PERMIT -S%IApr► /V 1, �,9--/` 5 , as Owner/Authorized Agent of subject property Hereby authorize_ '3 o V\►y \ O,e►hct V to act o My be 1 , in all matters rel tie to work pthorized by this building permit application. r nature of Owner Date SECTION 7b OWNE AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are tone and accurate, to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 15 2' ff 3 SPAN DDAENSIONS OF SILLS D]MENSIONS OF POSTS DM ENSIONS 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 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # F7 I am a homeowner performing all work myself. _" I am a sole proprietor and have no one working in any capacity F" I am an employer providing workers' compensation for my 5A#-1C-Z- employees working on this job. C`mmnnnv name• AM MVj-JRC_ Itis • �v � 5A #-1 C -Z. IA-lSLC! A � Address 1 S C-e*n 7i�'i L ST' City' Phone # Insurance Co. �kAA IA.5• CI Policv # 1Z0U 3 Company name: Address City, Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to $1,500.00 and/or one years' imprisonment -as well.as_civil..penattiesin.fheform ofa..STOP WORK_ORDER..and..a fine.of ($1-)0..00)-aiday.against_me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. i do hereby cejpi under the pains and penalties of perjury that the information provided above is true and correct. Printname 1-�Jc)In n Phone# CI -16 Atg5 clCoG(D Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑ Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person: Phone A ❑ Health Department ❑ Other SEP.25.2004 1:45PM A.I.M. MUTUAL INS. NO.713 P.2 CERTIFICATE OF INSURANCE Isst4tR8 DATE (MM1DD/YY) 09/24/2004 PRODUCER TIM CER 11 TE IS ED AS A —M—AWN OF INFORMATION oNLy AND Samel IDs AgCy Inc CONPM NO RIGHTS UPON TME CERTIFICATE BOLDER. THIS CERTDi'ICATE 15 Central Street DOES NO BELOWAMEND, EXT4IaM OR ALTER THE COVERAGE AFFORnT+;D BY TIM Andover, MA 01810 COMPANIES AFFORDING COVIMAGE INSURM North Andover Builders Corp P O Dox 132 North Andover, MA 01845 A A1M. Mutual Insurance Co Cov�AGi;s THIS I3 TO CERT FY THAT THE POLICIES OF INSURANCELISTER BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY FOWL INDICATED. NOTWITHSTANDING ANY REQUIRM4E �jT, TERM pR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONAITIONS OF SUCS POIdCIES, WITS =VWN MAY HAVE BEEN RBDUM LT TYPE OF � POUCY NErdm R POLICY MUMNE POLICY LV IRATE L UATE(A!MlDD/YY) DATE(Mhl/bb/YY) GENEXALL LIABELM MMERCIAL OENEsRAL LUMrrY A CONTPACTOR'S PROT, LR I,IAAIIM AUTO OWNED AUT DS AUTOS WNED ALiTOS IE UAIUL17 Y CRSS LIABILITY —:��tRELLA FORM THAN UMBRELLA FORM 'S COMM aATIONRAND YL rs' L,TABmmy A PROPR)erOR/ ARTNERSIL MCVrh% f1RRICERS ARB; ��. OT= DESCIUMPON OF =P 4TION&LOCATION& V CERTIFICATE HOLDER Mr. and Mrs. Karelis 84 Elm Crest Road North Andover, MA 01845 7010445012003 10122@003 110/2212004 BY PAID CLAW. LIMITS GENERAL AGGREGATE g aMCM-COMPIOR AGG, S PERSONAL & ADV. tN)URY S 2A.M OCC LMRBNL% g FIRE DAMAGE (Any enp fire) S M ED. EXPENSII (Any ow parson) MNVD SNGLE LIMtt S BODILY TN gIRY (Ar Rersan) BODILY rNitIRY tear aroidenV S PROPERTY DAMAGE EACH OCCURRENCE S S AGGREGATE $ x SL EACH ACf.7DENT s 100,000 EL DTSRASE,POLTCY LIMP/ S 500,000 BL 131MUE—EA7 EMPLOYES g 100 000 SHOULD ANY OF TIE ABOVE DESCRRIED POLICIES BE CANCELLED BEFORE THE 0PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE I EFf, BUT FAILURE TO MAD. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TM $ COMPANY, TPS AGENTS OR REPRESENTATIVES. AUMORIZL'D REPRES NTATIVE 1119 -- North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Facility) Si nature 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 J�ze >�ianvaaa�zulea� a� /ri�iaoacfx�aelid - Board of Building Regulations. and Standards • __� CONTRACTOR HOME IMPROVEMENT -- Registration: 137552 Expiration: 11/2612004 Type: Private Corporation iJORTH ANDOVER BUILDING CORP. s JOHN. LEEMAN 45 PINE RIDGE RD. tr •t;, t?,NDOVER. hf.A 01845----- ✓iie �o-iir�uorzuleallf a�'✓�t'a:�ac�uve�': BOARD OF BUILDING REGULATIONS:, License: CONSTRUCTION SUPERVISOR Number: CS 082816 Birthdate: 06/16/1958 Expires: 06/16/2006 Tr. nb: 82816 Restricted: 00 JOHN R LEEMAN JR j 45 PINE RIDGE RD NORTH ANDOVER, MA 01845 Administrator M P� a ;® o a a c` L 0) CML run ' ' v x c o � w o � � ID N A o � r lob; z ;® o c` CML run 4jzD c ... ID N A lob; 0 N E c N 1 CA 0cm •:m3�i 42D.- W •p a L C N C 14 m � .00 CLS co m is o oC lcm pf c ME GO cc CED �• C `� C Q o,` o c o 2 H CD r ymo� N m UA t rl=4D •_� ..c Z ac •E w N o ui C-30 CL C3 _.0 as o � � CL r ZONING DISTRICT R4 MIN. AREA= 12,500 S.F. MIN. FRONTAGE = 100 FT FRONT SETBACK = 30 FT SIDE SETBACK = 15 FT REAR SETBACK = 30 FT DATE: AUGUST 4, 2004 REVISIONS: SCALE: 1 INCH= 20 FEET 0' 20' 40' PLOT PLAN OF LAND LOCATION 84 ELMCREST ROAD NORTH ANDOVER, MA SUBJECT PROPERTY MAP 56, PARCEL 44 84 ELMCREST ROAD SHARON Z. & PETER E KARALIS 84 ELMCREST ROAD NORTH ANDOVER, MA 01845 AREA=0.31 DEED BK. 3336, PAGE 121 MAP 56 PARCEL 39 LOT 12 MAP 56 PARCEL 3 8 LOT 13 I SCOTT L. GILES . OF FRANK S. GILES SURVEYING o � 50 DEERMEADOW ROAD v N NO. ANDOVER, MA 01845 9 TEL: (978) 683-2645 s FrankGilesSurvey@comcast.net T T/�T T(` rf MAP 56 PARCEL 37 LOT 14 MAP 56 PARCEL 44 LOT 28 0.31 Acres 30.16' PROPOSED X7.5'+- ADDITION -- 600 S.F. - DECK _ I— RAMP 120.0' ELMCREST G , BUILDIN L_- - ___1 M", C THE OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING CONFORMITY OR NON -CONFORMITY WHEN CONSTRUCTED. .r 4.2004 MAP 56, PARCEL 47 LOT 25 17' lim 00 MAP 56 PARCEL 45 LOT 27 O � X N O C x N s� X D O r O -0 m C) 26'26' 4' 22' / ---------- ------------------ -------- 00 loll I•::f I i 8' 8, 80 CA I i I--� r- r --I ON I—.—._._._.....� a-.._.—.—.--_.--.Q,.�.._._.—.-----}..,�'. 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