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Building Permit #469-11 - 36 PETERSON ROAD 12/7/2010
` TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: / Date Received 1 Date Issued: 7 l IMPORTANT: Applicant must complete all items on this page LOCATION 2so&� 4-. Print PROPERTY OWNER b EE -PA J"osr Print MAP NO: _PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes 70 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 -Ane -family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial impair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ® Septic®�Well��Floodplaui _ ®Wet an 1sG� W t shed IDi tract; � j®�Waate Sewer,, DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: ©EZ PA �7S-bS F Phone: 7dss- Address: .5T - CONTRACTOR CONTRACTOR Name: }�s,_(,{ ig ilq,,✓Yl E�� �S Phone: Address: L{ 5 F_-o6_,bk_- en (; 4.�to-6" �•� � ©L� 3�— Supervisor's Construction License: -® 'i5 F,5-J3—Exp. Date: //0 -z,- !''- Home Improvement License: !a q-,7 7 y Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING ,PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ f _ 7 1 FEE: $ Check No.: 6 1 3 3 Receipt No.:—P-- 13�-(p� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si natureof;Agent/Owner6-'t...t, gnature oMtractorci`�*u w': `�-- Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract a Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on Signature t COMMENT' Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and UA I A — It -or department use Ll Notified for pickup - Date Doc:.Building Permit Revised 2008 Location s / e—'AJ,'J /6j!, -"e_ No. Date NORTH TOWN OF NORTH ANDOVER -Aw a Certificate of Occupancy jr cHus t� Building/Fraame_aermit Fee $ • y Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #&133 23768 Building Inspector cn m m m m YI m mm C3 CO) O 10 Z CD O CD O Ic CD I A ems+. Oq 10% cn cn n O V J r� L� G7, O . d = • f!� O . H ao 5.m v y �: ®n m C9 H t7 d C7 T O ._-► .d.► m N T Er m did CO) m O m y p O ® m = N _�� > >md: c o O O �C N n m C ? - vi CL aom CS.te,..; Cc o O m H co oCDm c CL m, 'm 3 O H ; • W= dca= H 0. _ C O N mO ..► C H N H O sa 4r _ D 3 0' C o o. 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Naine (Bus'iaessl0cgarnzation/!r►aiv[dual): �_b__!.:�� Address: '1.. /narj.•l a •h Phone #' 'Z �' ��.�• i dP� . fprnjett Vilquirrt9j. Ace you an employer?'Check the'.apppopriate liusa 4, [] I am ageneral contractor and I 6. ❑ New cdnstm*n' employer with * havebired the sub -contractors 7. Remodeling employees (full aadJorpatt-tune)• uaadontheaUahetl eaeet. t $ Demdlift 2. I am a sole prtiprietar or7armer- These sub-contraotocs have Building addition. ship and have no employees workers' comp. insurance, 9' airs or additions shipv�rand far me is any capacity 5 (� We ace a corporation and its �1D.(] Sectriaalrep �To workersI comp` insurance; ai#igers have exec oised'�GL .11,;[3. P1ucnbiagtaPaics or ,additions -tegiiited,]'"'" oin au work rp�►t of exemP�d wehave no 1Z:�] Rcof repaitis 3. ❑ I am a homeowner d c. l52,1i( )1 • I3,C] Otb� myself. [No workers' comp• employees. pi workers' insurance twired'i i • .crimp. insivacaesequired•] iilica1atlCO a pop�S°hanpalioyinfomiehaa: fill QUi ON pgation ecidiheatvteoutsideCn'meytsu�nntanewe�iisola in�atmatian. ap�ysppliaentthata�eaVsSsex#1tind►eatingtheyetaido g]eltwotk ag tgameoanetswhosutrmiittlrissid ahadensd tttanalshaetshow6i$t alte�eofiResutrrant�eai°tsendiheifwotke;s'o?mF,�h end,/o6site tCantraetaesthataheakth;s6axm s ¢m io ees. Belowisfh p er that is -providing workers' coinp¢nsat+on insurance far•my � Y I ani qn MAY information. Kane' 5�t=.,.i� c- Iusurauce•ConapanY ExpicadonDate• r Self itis. Lir, #' t�wm�s , Pa]icy# o all5tatelzip. iration date). lob Site Address'—. olio declaration page (9h°w1ngthe policy number and a etsatties of a Attach a copyof the warlaeEo compensation p . Y �R attd a fu1e d;mder9 j don 25AofMGL.c.152 can le orn oaf a STOPWOR1CQRD Failure to secure coverage as requue , risanment; as well as at�•pena]ties to ae frac u to $1,500.00 and/or one-year unp Be advised that a copy of t%is siatemmtmay be forwarded to the office o p of up to $250'.00 a day against the tnotatar. Investigations of the DZA for iflsuranae coverage verification. Y dg hereby eertify,underYhe mDabove is true and c orreee ofperdu�that ienfr pa'ns andpendles _/Z)ae: tom -- t M__ #: Completed by 04Y.or Sown of cid Officid use only. Do not write in this area., -to be comp m`icepse # Per City or Town; Ins ector circle one). �o, Clerk 4. Electrical inspector S. plumbing P Issuing Authority (' Department 3: City 1, Board • of •flealth Z. Building P 6. ®tb( Mae #; Contact Person; A-CORQM CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDIYWYI ouD2tzotaa9iso PRaaueeR (Ba0) 225.1865 THl$ C6RiIFICA1811AINEal Murk uE l epRT+FaC TE Fred C. Church, Inc. 41 Wellman Street Lowell, MA DIRS t 11110425-1865 INSURED Newangland Window & Door LLC 45 Fandi Road Haverhill. MA 01832.1302 POLICIES, ILBR AEIGREIGATE LIMITS 5HOUVN MAT MAVO OOaSV llz"HOt+ or w""' P LID E DTIVE POLICYEiIP6aAIiON LIMIUMBER TS pOLIC $l,a0D, EACHOOOURR6NOE a0D 091IRALLUl9ILITY DR t GET EiE TBC IDO,aDD S X COMMERCIAL 6ENERALLIABILITY PRE ISE6 Eacmuren- CLAIMSMAOE T OCCUR MEDEAP(AnYona arson) g10,0aD PERSONAL&ADVINJURY g 1,x00,000 A ZHN8161407 71112010 71112011 GENERALAGGREGATE $ 2,xaa,DDo PRODUCTS•COMPJOPAGG S Z,xDO,xDO GEWLAGGREGATE LIMIT APPLIES PERr . POLICY1 K 1PRC•F7 LCC AUTO 061LELTASILITY COMBINEOSINGLEUMIT $1,000,000 (Ea aas1d9n1} R ANY AUTO ALL OWNED AUTOS EODILYINJURY $ (Parpalsan} A ECHEOULEDAUTCS ADN8tb2lfi9 11112010 7111201! R HIREDAUT05 RODILYINJURY S (Paraaaiden!} X NON -OWNED AUTOS PRO," )AMAGE $ (Peraaaldan!} AUTO ONLY•EAACCIDENT S OARAOEWA81LiN ANYAUTO 0THERTHRN EAACC S AIJTOONLY: AGO S EACHOCCURRENCE $ 9,UUU,DUU EII06381UMBRELLALIABILITY AGGREGATE S 9,xO0,a00 8 OCCUR CLAIMS MADE 111!2410 1111201 l A LlEII�IB167305 DEDUCTIBLE S RETENTION S �{ O ST TU•ANCppIpp21.6ACHACCIDENBCPFICEPPMl1M8EREi(OLUOE07ECUTIVE W�' 7!112010E,L,CISEASE,—E,L,OISEASE•PCLI WCCZlt259957010 9PECIALPROU SION9 hatow OTHER .ee"ww eenure�eus DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES 1 EXCLUSIONS A9059 aT ENwMaemen. , proof of Insurance w England Window & Door LLC Fondi Road verhill, MA 01930 ACORD 2S (2001108) Client N loan Mst k l0-! l GL, UMB, WC, Cert N Auto SHOULD ANYOF THEA90VEE]ESCRIBEO POLICIES EE CANCELLED SEFORETHEERPIRATION DATE THEREOF, THE 15301113INSURER WILL ENOEAVOR TO MAIL 30 DAYS WRITTEN NOTICE T6 THE CERTIMkie RCLDER NAMED TO THE LEFT, BUT FAILURE TO 00 90 SHALL Impose NO OELIGAT1011 at LIAG LITY 13F ANY KIND UPON THE INSURER, ITS AGENTS OR o c -n 3 -•2-Rom xm a� mam�m,3to c D =r � -o m = 4 m ?. v T O 0 -a n y N N G ?� CL s 3 3 o z 3 CD R X CD o a � ° m N tt m N m D m J CL D � 0 <_I D k1 (J O m m1 - s w n 0 *Ocm=G)5m0'ni Z C -•2-Rom xm a� mam�m,3to O Cif 3 ri N O ° � - mC <D CD 4 rn T O 0 0 C n y N N G ?� CL co CA �. 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THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTIONIS NOT SEPARATELY SIGNED BY THE PARTIES. NOTICE OF CANCELLATION Customer Name: 1� (Please print) Date of transaction: 111d 10, You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Pella Windows and Doors, at 45 Fondi Rd., Haverhill, MA 01832 not later than midnight of /11/u/0 (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) PELLA WINDOWS AND DOORS CONTRACT 1. TERMS AND CONDITIONS These Terms and Conditions are an integral part of the contract set forth on the Product Order (the "Contract") between New England Window and Door LLC dba Pella Windows & Doors, Inc. ("Pella") and the person(s) identified on the Product Order ("Owner") to supply the products (the "Products"), and perform the work (the "Work") described or referred to in such Contract. For Product Only purchases, a signed "Product Only Addendum" is a required part of the contract. 2. OWNER Pella is not responsible for any existing security systems. Owner shall remove all shades; verticals, blinds, curtains, drapes or window mounted air conditioners, prior to the installation of the Products. POWs installers are not responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverings fitting on newly installed Pella windows. The Owner shall provide complete access to the work site between the hours of 7:00 a.m. and 6:00 p.m. (Monday through Friday) for Pella's installers to deliver the Products and perforin the Work. 3. PELLA Pella will be responsible for and have control over construction means, methods, techniques, sequences and procedures and for coordinating all portions of the Work. Pella will be responsible for the Work of its Pella Contractors who will install the Products. Unless provided otherwise in the Work description, Pella will provide and pay for all labor, materials, equipment, tools and machinery, transportation, and other facilities and services necessary for the proper execution and completion of the Work. The materials and equipment furnished under the Contract will be good quality and new unless otherwise required or permitted, the Work will be free from defects not inherent in the quality required or permitted, and the Work conform with the requirements of this Contract. Pella shall not be responsible for damages or defects caused by abuse, modifications not executed by Pella, improper or insufficient maintenance, improper operation or normal wear and tear. Pella will keep the premises and surrounding area free from accumulation of waste materials or rubbish caused by performance of the Work. 4. CHANGES The Owner may order in writing changes in the Work consisting of additions, deletions, or modifications ("Change Order"). Any Change Order shall include an adjustment to the Price and the Substantial Completion Date, as determined by Pella. Pella reserves the right to approve or disapprove any Change Order and any such Change Order must be signed by both Owner and Pella to be effective. SUBSTANTIAL COMPLETION Owner understands and agrees that the Substantial Completion Date is an estimate only and that the actual date on which the Work is completed may be extended to allow for Change Orders requested by Owner or if the time to complete the Work is affected by conduct of the Owner, weather, labor disputes, availability of subcontractors, acts of God, fire or other causes reasonably beyond Pella's control. If for any reason the Work is not fully completed by the Substantial Completion Date (including any extensions contemplated above), but is substantially completed by such date, i.e., the Product has been installed, but minor parts or components are missing or need to be replaced or repaired, a hold back proportionate to the cost of remaining parts or work to be completed is acceptable. However, the holdback will not exceed the amount of the completion costs or 10 % of the remaining unpaid balance of the Price, whichever is less. 6. FINANCING If payment of the Price is financed with a financial institution through Pella, all financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. PAYMENTS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner, including but not limited to, the Owner's failure to pay Pella the amount due within seven days after the date payment is clue. CORRECTION OF WORK Pella shall correct installation Work not in conformance with the requirements of the Contract, if notified in writing by the Owner within two years after the Completion Date or, if earlier, the date on which the Work is substantially completed and payment of the Purchase Price made subject to a holdback as provided above. Correction of Work as herein provided shall be Owner's sole remedy for defective workmanship, and is provided in lieu of any and all other remedies. Pella's obligation to correct Work is conditioned on Pella's prior receipt of all payments then due. LIMITED PRODUCT WARRANTY Pella shall warrant all Pella products, but only in accordance with the Pella Windows & Doors Limited Warranty. THIS LIMITED WARRANTY SHALL BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WRITTEN OR ORAL (INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE). 10. NO CONSEQUENTIAL, DAMAGES UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR CONSEQUENTIAL, INCIDENTAL, INDIRECT, OR SPECIAL DAMAGES, WHETHER FORESEEN OR UNFORESEEN. 11. DOME IMPROVEMENT CONTRACTORS All home improvement contractors and subcontractors shall be registered with the director of the Home Improvement Contractor Registration Program administered by the Board of Building Regulations and Standards. Pella and any of its subcontractors identified in this agreement have been registered. Any inquires about Pella or any of its subcontractors relating to registration should be, directed to: Director, Home Improvement Contractor Registration, One Ashburton Place, Boston, MA 02108,617-727-8598 12. PERMITS (MA customers only) Pen is gbligate and will obtain the following permits for this project: Lyii Homeowners who secure their own permits will be excluded fro the guaranty fund provisions of Massachusetts General Laws, chapter 142A. In addition to the rights and warranties enumerated in this agreement, you may have additional rights under Massachusetts General Laws, chapter 142A and 780 Code of Massachusetts Regulations R6. 13. NOTICE OF CANCELLATION You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail p9sted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached Notice of Cancellation for an explanation of this right. Do not sign this contract if there are any blank spaces. Customer 'gna it 0/ 0 Date i North Andover Board of Assessors Public Access W• , , • NORT!/ Of .ao .0�4 t ► • �sswcMus�t Click Seal To Retum Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 North Andover Board of Assessors, Sroperty Record Card Location: 50 PETERSON ROAD Owner Name: XIONG, HUANXIN Owner Address: 50 PETERSON ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5 - 5 Land Area: 0.21 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1710 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 352,100 352,100 Building Value: 190,900 190,900 Land Value: 161,200 161,200 Market Land Value: 161,200 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=1888927&town=NandoverPubAcc 5/17/2012 N O N LL a NO w Z O w w w M O O '^ ' VJ U � -20 00 W V -U o d Q .@ O � O N O �O J M N O Y U O J m O LO N Q O O O O O Cl) N O O O N O O �I J w C+ C CD,Q I N N o 0 00 i N N co O 10000 �E U N I �co' _j �O J J 2 2,. ,m rn cu =iw c > o o -� cn0 CDw t0C I C) 0 a Qtj �T ' O� _' 1 3o 2 W- N V 'N U. 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Q� 0LU F-co,u-2w'mYw co #.f' m J w Z -i iz z z0 UNUQ AULL.O a N z ' •' IES i z Liw� z � �(p T>., F- =a coxC,-o U U) CL m 0 CDC: � � 0 c .. t_ a ».-! 0 F- w OX Q Ln z SAO00 x1cu o EaC°i � �ia�i? 0 Y 0 N rn co Q _.. Date ...... . ......0 ........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ........ -,, ........................................... has permission to perform ................................ ........ ................................... wiring in the building of .............. ........................... ................................ at ...... 1-:5 0 .-.....0.. ..... .... . ........................................... .. ...... ,North Andover; Mass. ........... ......... . Fee Lic. No. ......... ELE�C�MICAV &S�P�EAR Check 1 Official use only Commonwealth of Massachusetts Department of Fire Services Permit No. 9170 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked - [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (ME), 527 CMR 12.00 (PLEASE PRINT IN INK OR PE ALL INFORMATION) Date: City or Town of.M,-i1dO�YQ/L To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & N tuber) C) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building Existing Service New Service Map: Lot: Telephone N Building Permit# Utility Authorization No. Amps / Volts Overhead ❑ Undgrd ❑ Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Meters No. of Meters Completion ofthe following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans o. oTotal Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑n- rnd. grnd. ❑ No. o Emergency Lighting Batteu Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS i'.':;. a; Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. ` Total No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: ------ 1 KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. o Water KW Heaters No. of No. of Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring. No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of 21ctrical Work: l000 / (-)0 (When required by municipal policy.) Work to Start: IQ E Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the p ins andpenalties of perjury, that the information on this application is true and complete. FIRM NAME: �J/�%1ti/1�/Jl-1 / 167 (L� � 7� LIC. NO.: ` 14 W, Licensee: )LBS( c�frl�ffb , ) 4ic Signature a -A a I (If applicable, enter "exempt" in the license number line) Bus. Tel. No. 10 5 Address: Alt. Tel. No.: 3-3 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. 1CL Inspection Record Date Inspection P/F Inspector Notes f E • � ZORTHANDOVER ��. ... IC "0°T:��a TOWN O� PERMIT FOR PLUMBING s �_ a ,SSACMuSE� This certifies that ......? .................... . has permission to perform .... ....................... . plumbing in the buildings of ...x..%. U ..% ..................... at . '.;0 . `�. ....... ........ t. I.............. . North Andover, Mass. r (�Fee. . f! ... Lic. No..- .3. 3 .% ........ f �. � `.......... . PLUMBING INSPECTOR - Check # 4'1 7 `( 7502 F V MASSACHUSETTS UNIFORM APPLICATION FOR -PERMIT TO DO PLUMBING (Print or Txpe) /1 _ Type of Occupancy Replacement 91", FIXTURES Plans Submitted: Yes ❑ No ❑ S.P.4 SFWFR # SFPTTC Mfr nstalling Company,Name I12P�1"�t,o YYI'!12( Qm Check ong: Certificate +�IIlIJ��'Li`��LrJL�j►�lG' ■ Corporation r tusiness Teleph lame of Licensed Plumber or Gas Fitter ❑ Partnership INSURANCE COVERAGE: } I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. Yes No. ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy P---' Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE 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,Age.n1 ? Owner D Agent 0 hereby certify that all of the details and -information i havesubmitted entered) -in above*a'pplication are true and accurate to the best of y knowledge and that.all_ plumbing work and installations performetl nd rthe permliie's ' for this application will be in compliance with .1 pertinent provision`s' of the Massachusetts State Plumbing Code. a t 142 of the erat Laws. BY S "Itilna ure of LinensredI51umber Title � City/Town Type of License: bo.aster OJourneyman APPROVED (OFFICE USE ONLY) License Number_- ' mm O-M®®MMOOMMOMMMMMMOOMM Kiang nstalling Company,Name I12P�1"�t,o YYI'!12( Qm Check ong: Certificate +�IIlIJ��'Li`��LrJL�j►�lG' ■ Corporation r tusiness Teleph lame of Licensed Plumber or Gas Fitter ❑ Partnership INSURANCE COVERAGE: } I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. Yes No. ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy P---' Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE 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,Age.n1 ? Owner D Agent 0 hereby certify that all of the details and -information i havesubmitted entered) -in above*a'pplication are true and accurate to the best of y knowledge and that.all_ plumbing work and installations performetl nd rthe permliie's ' for this application will be in compliance with .1 pertinent provision`s' of the Massachusetts State Plumbing Code. a t 142 of the erat Laws. BY S "Itilna ure of LinensredI51umber Title � City/Town Type of License: bo.aster OJourneyman APPROVED (OFFICE USE ONLY) License Number_- I This certifies that ... has permission for gas, installation in the buildings of ..... -...I .......................... .�v at.... ............. North An6yer, Mass. Fee: ...... Lic. GAS. INSPECTOR IN*S'P*E*C*TOR Check (0 5364 Date ...... .......... NORTH 6 TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that ... has permission for gas, installation in the buildings of ..... -...I .......................... .�v at.... ............. North An6yer, Mass. Fee: ...... Lic. GAS. INSPECTOR IN*S'P*E*C*TOR Check (0 5364 Date ....P.. .... ...,`... ... . I '3= �` °•° TOWN OF NORTH ANDOVER ;r a a PERMIT FOR GAS INSTALLATION This certifies that ........ .::..`.... `. ......�.. ... ........ . �. . has permission for gas installation ..... : .......... in the buildings of . ........................... at \t� ?? . ` .. `: `"'. f ........ North Andover, Mass. Fee......I.... Lic. No.�-!` z,:� ...... GAS INSPECTOR Check # 564 MASSACHUSETTS UMFORM APPUCATON FOR PERIVIIT TO DO GAS FMING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date % a -1 d 9 0 5 Building Locations 5–o Pe7-e or 5 o / �2'� Permit # �� y >� Amount $ r %1Uo9A-yXAtJ XIPO/Vtj Owner's Name f�totfi�w.rte. New ❑ Renovation ❑ Replacement Plans Submitted ❑ (Print or type) Check one: Certificate Installing Company Name %d�alM s! S �%A L O Pc'i9 �v ❑ Corp. Address g,2& I)Q L 1C S-1-- N• 4 ivlJf u Pte` M 14 ❑ Partner. Business Telephone c,4 ?,y 68 5-- 7510 % ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter 7A0&7 J '1141%G "9e INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No If you have checked yes, please indicate the type coverage by checking the appropriate box. 13Liability insurance policy ❑ Other type of indemnity 1:1 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 oI the aetatts ana tnrormauvn I ,iavc bUMIUucu kV. U,..�.—j .,, �.,... »YY... ».. .. ». •.» .-. »� --�• »-� best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber dyx,33 Gas Fitter License Number Master Journeyman I,/ • 2N FLOOR -D. (Print or type) Check one: Certificate Installing Company Name %d�alM s! S �%A L O Pc'i9 �v ❑ Corp. Address g,2& I)Q L 1C S-1-- N• 4 ivlJf u Pte` M 14 ❑ Partner. Business Telephone c,4 ?,y 68 5-- 7510 % ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter 7A0&7 J '1141%G "9e INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No If you have checked yes, please indicate the type coverage by checking the appropriate box. 13Liability insurance policy ❑ Other type of indemnity 1:1 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 oI the aetatts ana tnrormauvn I ,iavc bUMIUucu kV. U,..�.—j .,, �.,... »YY... ».. .. ». •.» .-. »� --�• »-� best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber dyx,33 Gas Fitter License Number Master Journeyman I,/ Date/-'—.- �4f AORT" TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SS4CHUS This certifies that ..................... has permission to perform ............. plumbing in -the buildings of ........ .................. Cr North Andover, Mass. . Fee -:75 ... Lic. .. .... ....... ... PLUMBING INSPECTOR Check # 67'14 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Location 5'0 I© SO Al AP/lOwnersName /(��¢N�'i/i✓ Xol�itJ�ermit# n Amount 2„ � Type of Occupancy O(N e I I i AJ �y NewRenovation rj Replacement .©C FIXTURES Plans Submitted Yes [] No (Print or type) Check one: Certificate I2ittalling Company Name T 14 PS L L o tr, A rJ .0 Corp. Address ` • 5 % D Partner. t WR filiCe tMA2— Business Telephone cj 7 X e 5 — 15,6 y D Firm/Co. Name of Licensed Plumber: 7-1-10 M O's X10 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policyOther type of indemnity D Bond D 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachu`seettts �e Pbing Code and Chapter 142 of the General Laws..- OVER (OFFICE USE ONLY Type of Plumbing License �f33 icense Number er Master D Journeyman 12 �.�"s`r,`'.4.�{}�?i.:,+......-a,t•.-"sy:: ar +..�"�-,q,_,.-f^.Ax -. -» `tea: w�+rt,;. +�-.�-�`'w.�, r Date.... 1.q4 ; 653 "� TOWN OF NORTH ANDOVER o p PERMIT FOR WIRING . This certifies that ..... ..... has permission to perform ...... \,-�J.,A.s.� j►........! .4.5.f.c�{!°�?.7 ................. wiring in the building of ...... J.. ....... ..(:4. ! .5 .......................:........... at .........J.7P...... P.eAe :..................... ..North Andover, Mass. 3-1.% 1Fee.. �1.:vLrc. No/.........7d. :... ELECTRICALINSPECTOR C /2012:07 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer t Location f No. ` — Date y r, TOWN OF NORTH ANDOVER � p " p Certificate of Occupancy $ �� Building/Frame Permit Fee $ Acm use4, Foundation Permit Fee $ ss�c►+ Other Permit Fee $ y` Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector YP/*IS: 34 25.00 PAID Div. Public Works PERMIT Na. R._ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4d0. --7 LOT NO. 4 2 RECORD OF OWNERSHIP iDATE BOOK PAGE Z. NE SUB DIV. LOT NO. — LOCATION PURPOSE OF BUILDING �'�a OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS510 BASEMENT OR SLAB rTfenL/i!?- /,Ip ((2ND /!'9•i3RD ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST.Z V'P p7 X J �-7'{ V V BUILDER'S NAME �%� SPAN DISTANCE TO NEAREST BUILDING �O ..�' DIMENSIONS OF SILLS POSTS-LiJ`• ��- DISTANCE FROM STREET �1 / .^ DISTANCE FROM LOT LINES - SIDES J/1 REAR /O� �� GIRDERS AREA OF LOT �^®t� -5F .%. FRONTAGE (f HEIGHT OF FOUNDATION O pl THICKNESS IS BUILDING NEW /{�®/ SIZE OF FOOTING % IS BUILDING ADDITION A MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ye yl IS BUILDING CONNECTED TO TOWN WATER ✓ BOARD OF APPEALS ACTION. IF ANY O 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 x 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 DATE FILED SIGNATURE ZED AGENT FEE //!� ty PERMIT GRANTED 14-�4 19 G 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST -30 /9v /'� EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. # CONTR. TEL. �o � a CONTR. LIC.>y -06V81 H.I.C.# w' I OCC l},PANCY rINGLE FAMILYSTo I IES MULTI. FAMILY 6 FRAMING OFFICES APARTMENTS WOOD JOIST CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 CONCRETE BL K. BRICK OR STONE _ HARDW'D PIERS HOT W'T'R OR VAPOR PLASTER DRY WALL WOOD RAFTERS _ _ _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA '/. 1/2 % 7 NO. OF ROOMS FIN. ATTIC AREA N_O B M OIL FIRE PLACES HEAD ROOM ELECTRIC MODERN KITCHEN NO HEATING 4 WALLS I 9 FLOORS CLAPBOARDS I�I I� 1 2 ASPHALT SIDING HARDW D ASBESTOS SIDING COMMCN _ VERT. SIDING A$PH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY - ATTIC STRS. & FLOOR BRICK ON FRAME C S 5 ROOF 11 10 PLUMBING BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. II I .cam 6 FRAMING i i HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. d COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. 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No problem! Ask one of our friendly associates to help you find just the right gift! Item # Description Cost Or there's always a Sears Gift Certificate! We're this close to you: f Dads Wish List Hey Dad, Want something special for Father's Day? Inside are some suggestions. Leave this on the kitchen table for that special person to discover. (By accident, of course.) ...l�x iii►'i.� as� ^. Town of North Andover 01 ° oTM 1ti OFFICE OF �a COMMUNITY DEVELOPMENT AND SERVICES p " 146 Main Street �, `�4,r„ ,;•" 5 KENNETH R. MAHONY North Andover, Massachusetts 01845 9SSACMUSEt Director (508) 688-9533 HC%[EO�-VNER LICE\SE EXEMPTION Please print. DATE 1)6e� aU �R JOB LOCATION 5-0 P 7 -ER EM) 12Ui9� Number J_ s Street address Section of town "HOMEOWNER" �0GA;1— 5GiG(t✓G�P S� Jr0 �� 725 — 7q -5�$i Name Home phone Work phone PRESENT 'IMAILING ADDRESS Sp faFTM77A.) 4,20 /ji.* • C)10e�'5 City/'Town S tate Zip code 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 Sec- tion 109.1.1) DEFINITION 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 dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person wao constructs more than one home in a hyo -year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building 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. The undersigned "homeowner' certifies that heishe understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICL-�L Note: Three family dwellings 35,000 cubic feet, or large., will be required to comply with State Building Code Section 127.0, Construction Control. w BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D. Robcrt Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell