HomeMy WebLinkAboutBuilding Permit #451 - 81 BONNY LANE 12/2/2011 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: d— Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION O puff ZA rye
_ Print
PROPERTY OWNER G G 6c k I Unit#
Print
MAP NO:_&ZPARCEL:_F;KONING DISTRICT: Historic District ye no
Machine Shop Village y no
100 year-old structure ye no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑ New Building ❑One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
r�z-,
Septi ®We Floodplain 0 We lands , ® Watershed istnct
DWater/S werd ,
DESCRIPTION OF WORK TO BE PERFORMED:
pormovr ,Exlsi/ry& /s/l"c�t
W,5 "d Ir'Ins /Pi ece , saw elee-& 'Cei wo-V/17
(Identification Please Type or Print Clearly)
OWNER: Name: ty C 9 C t ClEr 1 Phone:
Address: S1 a 0ryn'Y -,'PPE-
CONTRACTOR Name: Z V-C - Phone: 9 7JP-69.36-4! ee If
Address: S- iq(yp f2 F WS r Of S F(EL P ! l9 Q 1 Q►x'73
Supervisor's Construction License: DJ`s Exp. Date: 8-o9l013
Home Improvement License: /�2 2- 7.39 Exp. Date: /0—/0 - 2,011
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ �� FEE:
Check No.: `% Receipt No.: � �
NOTE: Persons contracting with unregistered contractors do not have access to guar ty fund
Signature:ofAgent/Qwner: ;r�„ ;, �: nature`oficont[aet
-3 rr: ,L.
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
I
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$10041000 fine
NOTES and DATA— For department use
0 Notified for pickup - Date
Doc:.Building Permit Revised 2011 June/mi
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
❑ 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
❑ 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)
❑ Mass check Energy Compliance Report (if Applicable)
❑ Engineering Affidavits for Engineered products
MOTE: 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
❑ 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
Location/ �
No. Date
NORTITOWN OF NORTH ANDOVER
O
40 R
9
Certificate of Occupancy $
-TS CMUSEt� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # 1 �LJ'�_
24855 Building Inspector.
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑' Tanning/Massage/Body 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 Signature
COMME�T S
HEALTH Reviewed on Signature
COMMENTS
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
i
COMMENTS
NORTH
® of over
o , �` dover, Mass.,
O -�"- L""�
'to COCHIC EWICK
A \y
�p ORATED p'P�,`�5
`S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT............... .............................G,. ...*wr..r.. ....��►.. :.. ............................................................... Foundation
has permission to er1111111100
ect.... 11111110011
...... buildin s on....... �.
............. ............. .......... ..................... Rough
. ....
t0 be occupied as........... .... Chimney
p ................. .. :........... .......:...................
provided that the person accepting this permit shall in every respect c ns form td the terms of thea lication on file in
Final-
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final
Buildings in the Town of North Andover. PLUMBING INSPECTOR
i
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR. {
UNLESS CONSTRUC S T Rough
................ .......... .... Service
VD
.. . ........... ........
BUILDING INSPECTOR
Final
Occupancy Permit Required to Ocatpy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
- Street No.
SEE REVERSE SIDE smoke Det.
i
CERTIFICATE OF LIABILITY INSURANCE
=011
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not canter rights to the
certificate holder In Neu of such endorsemerri(s).
IRODUCER
Richard Bertolino Jr Insurance Agency PHONE
AZI1200 Sally St X1121 'E`t` (A/c,No):
ADDRESS
Lynnfleld, NA 01940 CUSTOMER
ER IDN:
INSURER(S)AFFORDING COVERAGE ' NAIC Y
NSURED INSURERANautllus Insurance 1
eysk Construction INSURERBA= Mutual 800-876-2765
Aario Zysk
WBURER C:
L5 Andrews St INSURER D.
Popofl®ld MASS 01983 INSURER E:
rzBJSURFR F: j
:OVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
AVOL;SUtIK POLICY EFF POLICYEXP
,TR TYPE OF INSURANCE INSR,Y1VD POLICY NUMBER (MM/DDJYYYY) (MNLUONYYY) LIMIm
Il 'c�ERALLIABILITY NC620601' 12/02/201112/02/20121 EACH OCCURRENCE 31,000,000
.]X OOMMERCIALGENERAL ALIBILITY ,PREMISES(Eaoaurrorwe) $1,000,000
CLAIMS-MADE (�OCCUR MEOEXP(Any ompwmn) 51,000
PERSCNAL&ADVINJURY 31,000,000
GENERALAGGREGATE52,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPiOP AGO S1,000,000
POLICY JELOC $
AUTOMOBILE LIABILITY COMBINEDSINGLEUMIT
(Ea S
ANY AUTO I q
BODILY INJ URY(Per perum) $
ALL OWNEDAUTOS
: BODILY INJURY(Per accideQQ $
SCHEOULEDAUTOS
PROPERTYDAMAGE S
HIRED AUTOS (Per ecddeln)
NON-OWNEDAUTOS S
S
I UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR T�CLAIMS-MADE AGGREGATE b
DEDUCTIBLE i g
RETENTION S i $
B WORKERB CONPENSATION AWC 7024224012011 05/04/201105/04/2012 A
AND EMROYERB'LIABILITY Y I N TORY LIMITS "
ANY PROPRIETOR'PARTNERJECECUTIVE
OFFICEIWEMBER EXCLUDED? [5j7,
NIA? EL EACH ACCIDENT $ 1��,ODQ
(MandatorVinNi) � ! E.LDISEASE-EAEMPLOYEE $ 500,000
It yes,desaibe upder !
DESCRIPTIONOF OPERATIONS below I E.L.DISEASE-POLICY LIMIT S 100,000
i
IESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ADOR01Ot,AddUiorml Remadet Sctledult,it nlom s"m is mquiRQ)
Seperate cert has been ordered for holder from Mass Workers Compesation Rafting Bureau
81 Bonny St North Andover Mass
:ERTIFICATE HOLDER CANCELLATION
forth Andover Buiding Dept
1600 Osgood St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN
Torth Andover Mass 01845 ACCORDANCE WITH THE POLICY PROVISIONS.
AVI1LORlLE0 REPRESENTA
01988-2009 ACORD CORPORATION. A(1 rights rese
(CORD 25(2009!09) The ACORD name and logo are registered marks of ACORD
6'd 8LLOl£58L6 oul eoue.insul ouilohee eRvzL nnOL jq
PROPOSAL
Zysh Construction E Co PROPOSAL Na
FINE FINISH CARPENTRY,TILE AND PAINTING
15 ANDREWS RD. SHEET NO.
TOPSFIELD,MA D 1953
General Contractor
9S 7•S36.6S 79 DATE
®�PDl-If
PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT:
NAMF ADDRESS
ADDRESS q
DATE OF PLANS
PHONE NO. ARCHITECT
J.
We hereby propose to furnish the materials and perform the labor necessary for the.completion of r 0 LI
A45 A&a eaL QFF WE K It rcffAW r—o OiRornrg(lEor r
�.
o G- " L —L 1./ S,c l cW YI�IAW&Wlalhlaj
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F)vC n12_:- '-!Wo 77.0(,9 K re K k.r
5 tY w yet - o
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OV5j( C&X7.. W f G r, mos t PF Fsg y t-1 TFa FAL de � CA my
II&CJ U( PF owrre_ (cctb)4VA,411eAwl`c
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications
submitted for above work, and completed in a substantial workmanlike manner for the sum of el / ,floc.si;a&_
with payments to be made as follows: tr o�(r or 4000 # )q f S}(qp'r- yr spit c))r ®
[.l�br►r O�/`f Ph i»n^
09 arerpIC 4. coc)RK Gacol
UPOW CA>OIP29i'10W vF?Jr&-P rOr? RiX7
Lc�O►`r TIL� �n"S7OC.L .3�p� V
u��o1r �1�T-t p 3�� Respectfully submitted
Any alteration or deviation from above specifications involving extra costs
will be executed only upon written order, and will become an extra charge Per
over and above the estimate. All agreements contingent upon strikes, ac-
cidents,or delays beyond our control.
Note - This proposal may be withdrawn
by us if not 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. Payments will be made as outlined above.
Signature�4
Date Signature
PROPOSAL
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
" www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): _7VW O 1
Address:_ /`7 (rtF�s ,D
City/State/Zip:%D{?SFI�Gj�� d°'�l� D/'�� Phone #: �"0
Are you an employer?Check the appropriate box: Type of project(required):
1. [P I am a employer with / 4. ❑ I am a general contractor and I
6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• F►]Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers' comp.insurance. 9. ❑Building addition
[No workers' comp.insurance 5. ❑ We are a corporation and its
required.] officers have exercised their
10.0 Electrical repairs or additions
3. ❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs
insurance required.]t employees. [No workers' 13.0 Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: PWC 702 422 4Q/ 201 Expiration Date:_ 57—
Job Site Address: c9/ !30 wiry L,ty City/State/Zip: ff.A�/fW�,�JUVI&5—
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certi y undgr the pains and enalties of perjury that the information provided above is true and correct.
na
Si ture: \ PDate: 42 —012 `
Phone#: 9'7d2- 6
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
25 3/8 in
32 1/4 in
108 in
53 1/2 in
i
39 5/8 in O -
O
91 5/8 in 39 3/8 in
37 1/4 in 25 3/8 in
45 5/8 in
63 5/8 in 49 5/8 in
57 in
36 1/4 in
25 3/8 in
Wall Oven
x" ,'�tassuchu��tt�" •
Board: �cPar trnc nt oP'P
of:Buildin« r!blic Satcri
Construction SRc ul;itions and nd<trtl5
pervisor-License
License: CS 91705
MARIUSZ ZYSK
15 ANDREWS RD *�
TOPSFIELD, MA 01983
CuI.....� Expiration:
n: 2/18/2013
Tr#: 11569. I
Office onumfairs&Business Re
i HOME IMPROVEMENT CO gnlahun
s Registration
s NTRACTOR_. . -_
'122739 -- -
Expiration; 1;0(10/2012 Type:
ZYSK CONSTRU DBA
�TIgN
MARIUSZ ZYSKr
15 ANDRESW RD
I TOPSFIELD
Undersecretary
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body 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 Signature
COMMENTS
n
HEALTH Reviewed on Signature
COMMENTS
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
t
COMMENTS
i
J
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
❑ 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
❑ 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)
❑ 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
❑ 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
Sent By: COLDWELLBANKER; 9787191950; 07 Nov 00 14:33; Job 465;Pege 212
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11/10/1999 17:56 9786847506 AMY SEBELL SEBELL PAGE 02
List # : 30458762 ACT *** SINGLE FAMILY - DETACHED *** NORTH ANDOVER
--------------------------- * Listing Information ---------------------
County:
-------------------County: ESSX 81 BONNY LANE List$: 1,750,000
NORTH ANDOVER "01845- Sale$ : 0
Area; Subarea: Pin # :
Schools: Grade: Middle: High:
Directions : 125 TO GREAT POND, RIGHT ON BONNY
-----------------:-------- * Property Information * ---------------------------
Apprx Lot Sz: 68279 Apprx Gross LivAr: 6150 Home Own Assc:
Apprx Acres 1 .56 Gross Liv AreaSrc: OWNER Assoc Req:
Apprx StrtFr: 0 Foundation Size : IRREGULAR HOA Fee $: 0.00
WtrFxt/Beach: YES/NO Garage/Park Spcs : 3 / 5 Sewer Dst:
Exterior Clr: BROWN Heat/Cool Zones 6 / Bsmt: YES YRR: YES
-----------------------------------------------------
Total Rooms: 12 Bedrooms: 5 Full/Half/Master Baths: 3/1/YES Fireplaces: 1
* Room Levels, Dimensions and Descriptions
Liv: 2 26X27 Btl:
Din: 2 12X20 Bt2:
Fam: 1 19X30 Bt3:
Kit: 2 14X36 Ldy: 2 9X12
Mbr: 2 16X17 LTB: 2 10X15
Br2: 2 12X15 SUN: 2 12X15
Br3: 1 15x19
Br4 : 1 13X18
Br5: 1 13X35
------------------------------ * Features *.
-----------------------------------
Style : gTHR ExterFea: PRCH CoolDesc: WLAR Applianc: WOVN
WtrfDesc: LAKE ExterFea: DECK LotDescp: WOOD Applianc; DWSH
GrgeDesc: ATTD ExterFea: PATO LotDescp: PVDR Applianc: DISP
Constrct: FRAM ExterFea: LNDS Electric: 200+ Applianc: COMP
FounDesc: PCNC ExterFea: SPRK Flooring: WOOD Applianc: MCWV
HeatDesc: HWBB SewerWtr: CWTR Flooring: W/W Applianc: REFG
HeatDesc: OIL SewerWtr: CSEW Applianc: RNGE
------------------------------- * Remarks * --------------------------------- -
SPECTACULAR WATERFRONT PROPERTY. MAGNIFICENT ENGLISH COUNTRY
HOME ON PROFESSIONALLY LANDSCAPED 1.57 AC LOT. THIS HOME
EXUDES QUALITY & GRACIOUS LIVING WITH PRIVACY & BREATHTAKING
VIEWS OF LAKE CHOCHICHEWICK. TASTEFUL DECOR.
--- ------------------ * Other Property Info * -----------------------------
Year Built : 1982 Book : 5041 Assessed$ 623,200
YRB Source : OWNER Page : 322 Tax$ . 9291.91
YRB Descrp : APPX Cert : Fiscal YR 2000
Map Block: Lot Zoning RES
Lead Paint NO UFFI : NO Warranty: NO Disc Deci YES
Disclosures:
Exclusions : KIT & DR CHANDELIERS, SCONCES IN DR
*** -
The information in this listing was gathered from third party sources ***
including the seller and public records. MLS Property Information Network
and its subscribers, disclaim any and all representations or warranties as
to the accuracy of this information.
Pia Ar saris r pol on N*Yw bw e,a000
11/10/1999 17:56 9786847506 AMY SEBELL SEBELL PAGE 01
• • f 1
�K 1I
FPark
et
Andover,Massachusetts 01810
Direct: (978)470-3737 x125
Min: (878)470-0007
FAX: (978)684.7506
wuvw.amysebell.com
am�smv�,�rr,c�t 4 Amy L. Sebeil
A REIAL A FA ABA,CBR,CAS.OR).M Ed.
FROM,4MY SEBELL
M t/�l �:✓`� O
Fax #:
# of pages to follow
Date:
If vou need to fax back. Am 's fax is #978-684-7506
SUBJECT:
MESSAGE:
If say part Of this transmission does not go through,please can Sheila at
978-470-37371131 or Amy at 973737 x12 . Thank you!
Each OH�ca"1naeoendantry Owned and Opel&
P
- Date.? . .
3814
f NORTH, TOWN OF NORTH ANDOVER '+
PERMIT FOR PLUMBING
.' D^.1
SSACMus
,� i
This certifies that . . .
has permission to perform . . .
' r
plumbing in the buildingsgf . r. . . . . . . . . . . . . . . . . . . . . . . . . . .
at. 0 f _ . . 10.'A
� . . . . . . . . . . . .. North Andover, Mass.
Fee�! . . . .L & . . .
PLUMBING INSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
9jI,
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO MBING
ype or print)NORTH ANDOVER,MASSACHUSETTS / Date
uilding Locations `/� /.3 D '� Y �'�`� Permit # I
Amount
Owner's Name l COO
a
New Renovation ❑ Replacement ❑ Plans Submitted n
FIXTURES
a
w a
x x A
Q w
RASEv)M F
ISE Him
21`D FUM
M FLOOR
4II-I KOCR
5M Fl OCR
16M RDM
p�FLO(R
s�I7.1Jlil
� .int or type) Check one: Certificate
+stalling Company Name t �( lilil P �1 zT ❑ Corp.
Partner.
Address ❑
Business Telephone j9 (� -� d aFirm/Co.
Name of Licensed Plumber: d 62 CA,�V "e
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑
Liability insurance policy Other type of indemnity ❑ Bond
Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
rgnature Owner ❑ Agent Cl
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best of my 1nowledge and thea ail phmmtimg wo[lc and - Pama m
compliance with all pertinent provisions of the Massachus P bing C e d Chap 42,o General La P
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By: +gna a um er/
Type of Plumbing licease
Title `jj C0
City/Town ri=n Numner Master L-1-j
1-j yman ❑
APPROVED(OFFICE USE ONLY