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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 -4 - o bot WZE,4,1 �f2 aqC o 4_WT_ F)vC n12_:- '-!Wo 77.0(,9 K re K k.r 5 tY w yet - o Q f x) O 4l r f L (✓C- G-ft T L C "W f 111�U 1 U I WJE)'_ 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 --777777 w+ •, •? m fiL - -N SY - �.x.'.' .'rt.fi 1 pyx 6f ;4 f ;, �y C rte' ' 1 F ILIA .n 3 F r s 4 w SJ . L i ............ _........ _...... .• ........ .'`....�'..--�r;T�Y5TE.1✓. _.e�z .. � .>KST,>;c.t-'1. Y•�y�,Vlp Rji_ , od i 3�*�1NOfk,�Tr 4 _ : FRAfflt. `� E ►T ts :4�. 6a 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 s • 1�saasfza>���ca-�ns>��I1�eni�slas�n�s�c .�mc�.a�a-tr� 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 AL 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