HomeMy WebLinkAboutMiscellaneous - 97 FOREST STREET 4/30/2018 (2)-,*.f-ocation�imr.+
Mo. Date
e NORTH , TOWN OF NORTH ANDOVER
„ Certificate of Occupancy
$
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Building/Frame Permit Fee
$
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Foundation Permit Fee,
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'viewer Connection Fee
$
Water Connection Fee
$
TOTAL
6 Q -
Building
Inspector
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6 u 6 4
Div.
Public Works
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. ,.
COMMONWEALTH
OF
MASSACHUSETTS
EXPIRATION DATE
06/30/1993
RESTRICTIONS
NONE
SS
Z—To
3-32-0323
OTHERS - RIGHT THUMB PRINT ED IN THIS OCCUPATION
20OM-2-8781429
DEPARTMENT OF PUBLIC SAFETY
1010 COMMONWEALTH AVE.
BOSTON, MASS. 02215
LICENSE
CONSTR. SUPERVISOR
EFFECTIVE DATE LIC -NO.
606/30/1991 OCC242
EDWARD A LOIACONO
38 SCOTCH DAM RD
SOUTH EASTON MA 023?,
NOT VALID UNTIL SIGNED By LICENSE! A&,q� L!
STAMPED OR SIGNATURE OF THE
SIGNATURE OF LICIP
---C6mmlsslc
~'ONLY)
FEE:
100.00
HEIGHT:
DOB:
10/17/1944
THIS DOCUMENT MUST BE
CARRIED ON THE PERSON OF
THE HOLDER WHEN ENGAG-
OTHERS - RIGHT THUMB PRINT ED IN THIS OCCUPATION
20OM-2-8781429
DEPARTMENT OF PUBLIC SAFETY
1010 COMMONWEALTH AVE.
BOSTON, MASS. 02215
LICENSE
CONSTR. SUPERVISOR
EFFECTIVE DATE LIC -NO.
606/30/1991 OCC242
EDWARD A LOIACONO
38 SCOTCH DAM RD
SOUTH EASTON MA 023?,
NOT VALID UNTIL SIGNED By LICENSE! A&,q� L!
STAMPED OR SIGNATURE OF THE
SIGNATURE OF LICIP
---C6mmlsslc
CtcERFIR) PLOT PZ.4N
s3 —.
LOCATED /N . , it/oRry , gND01!ER, Mq.
.��`.�'�`���� �'�'y%�'..� SC�JLE• /rr� 40�0,4TE••..Oc'T, 28,/985
ENG/NEER/NG. INC
//4 Ar6WZ4 AXE., "VE/291U . M,4.
rte .
75 T 5T
. .......... . .
/ C67RT/FY TrMT TSE OFf5ET5 S#OWN' Aff FOR T7//5 C07,
BU/LD/N(� S11OWN ON T/1/S ZON/N(� DE7ERN//1/.aT/ON /5 N.07 /N
P. 4N CON1'c02M5 TO T//E ONLY dND AeF NOT TO BE .4 FLOOD
ZONING BY -L4W5 OF Tf1E !15ED TO EST,4BL/5,y .PRO 1.14ZAeD.
... ZZWYN....... OF IU.. 4WOY,�ff PERTY . L /NES . ZONE.
W/1EN I CON5TRL/CTED.
OFFICES OF:
APPEALS
BUILDING
CONSEIiVATIUN
HEALTH
PLANNING
Town of
w
� � s
NORTH ANDOVER
DIVISION ()i -
PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
I2() Main Street
North ArldoV r.
NIf1SS;WhtISCtIS 011i4 i
((i 1 i) (iti i•477 i
17
In 'accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number ° is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
I
ne debris will be disposed of in:
11
':- V / ,
(Location of Facility)
Signature ofermit Applicant
Date
VOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
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&&- Contract Agreement
THIS AGREEMENT, made this 2 o day of iIA y A.D. 19-3
by and between a hereinafter called the
oWNt12
4IAIwl�l�t, and S .3 c� i o/c, cvn ereinafter called the
Sub -contractor.
For the consideration hereinafter named, the Sub -contractor agrees with the O��F as follows:
ARTICLE 1. WORK: The Sub -contractor agrees to furnish all material and perform all work necessary to complete_
iotie .Deele AR "YCZ0i ALL Pte ,r Lipp 7Pa4e J -# i L�M o .1
�
u
LL.
At: y% IibDee7- S'�: At A,r,)iIiot) MA- S r -11 kliau
ADDRESSn CITY COUNTY STATE
For: of n e., G C I s k a 12 o%S
OWNER OR OW ERS
according to the general conditions of the contract, as per the drawings and specifications, and amendments and/or changes
to either (details thereof to be supplied as needed) prepared and identified by y -I T is C -u 2 c
Architect, and to the full satisfaction of said Architect.
ARTICLE 2. TMIE: The Sub -contractor agrees to promptly begin work as soon as notified by the 6 zc)=�
,and to
complete the work as follows: A✓• 4-/c 74D Co n %f LIE_c✓ o —,42 'y G ki a[ �L h
bc.s>•.; a� h9ati �o i9 g�
ARTICLE 3. EXTRAS: No deviations from the work specified in the contract will be permitted or paid for unless a
written extra work or change order is first agreed upon and signed as required.
ARTICLE 4. ASSIGNMENT: No assignment of this sub -contract agreement is permitted without prior written
permission from the Contractor.
ARTICLE S. INSURANCE: The Sub -contractor agrees to obtain and pay for the following insurance coverages:
Workmen's Compensation, Public Liability, Property Damage, and any other insurance coverage which may be necessary as
required by the Owner, Contractor, or State Law.
ARTICLE 6. TAXES: The Sub -contractor agrees to pay any and all Federal, State, or Local Taxes which are, or,may
be, assessed upon the material and labor which he furnishes under this contract.
IN CONSIDERATION WHEREOF, the QW0=iW&- agrees that he will pay the Sub -contractor, in 3
payments, the sum of 4 3 _S -a o . _ U Txr.c V440 u e 6 " e.1
on
j� ($ 3 T-06. -01-1 )
for materials and work, said amount to be paid as follow? l -o O O w„
end fflaWsk1 v*Aek /p00 Add, iiona) od-
of the following month, except the final payment, which the Contractor shall pay to the Sub -contractor within
Go k, or 4W
13a/gnae 64 Coh-
p
The Contractor and the Sub -contractor for themselves, their successors, executors, administrators and assigns, hereby
agree to the full performance of the covenants herein contained.
IN WITNESS WHEREOF, they have executed this agreement the day and year first above written.
WITNESS S B -CON RACTOR
BY
Pqa
ST ICE SE NO
WITNESS
n
S 2
BY
Tops Form No. 3461—Revised
Litho in U.S.A. SPECIAL CALIFORNIA NOTICE CLAUSE ON REVERSE SIDE
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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: 714O/C)x6"9 Phone 7L%7,
CATION:
/Subdivision
Street
Assessor's Map Number Parcel
Lots)
9 % I/- St. Number 917
************************Official Use Only************************
OMMEND�ATIO'NS OF TOWN AGENTS:
Conse ation Administrator
Comments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public
Works - sewer/water connections
- driveway permit
Fire Department
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Received by Building Inspector Date
Suggested Affidavit for Home Improvement Contractor Permit Application
For Orrice Use Only NAME OF CITY(TOWN
Permlt No.
Date
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
MGL a 142A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, inprovement, removal, demolition.
or construction of an addition to.any pre-existing owner -occupied building containing at least one but not more than four dwelling units or
to structures which are adjacent to such residence or building" be done by registered contractors, with certain exceptions, along with other
requirements.
Type of Work: beb,,bl Ci Q,,�rwrc o u--, �'� Est. Cost 3 .S—W
Address of Work �J • aVN Ouv.er AA4 G I
Owner Name: `e"- OD -e v5 c lcr94& IDJ
Date of Permit Application: S 1 13 1 g13
I hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law
_Job under $1,000
_Building not owner -occupied
,owner pulling own permit
_Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL
c. 142A.
Signed under penalties of perjury:
I Hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR:
I ,
Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property:
5 11314 LjzL kC-P
Date Owner Name
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