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HomeMy WebLinkAboutMiscellaneous - 10 HAWKINS LANE 4/30/2018 (2)�` N r O � r S n O J g m 0 b �� --i Check # 4 r '13565 '—�Building In 1�1- i tor Location N�. Date AORTol TOWN OF NORTH ANDOVER ,,60'. - 0 40 16 Certificate Occupancy $ of CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL s Check # 4 r '13565 '—�Building In 1�1- i tor -W a gym' z 1"7 M. Z _ y r i� � � •ri � rA M Q a i n Ln Q� a = c•f - c ^r) � W rr •Z n � to z K Z c:• n z o o C y > r m a > o � Y ` Z r� C1 = � p y a 1>Z_ � y 1 s l� m y y l _ O- CIQ Q> o H V O r r f rCA a 1 N H N y n L7 t7 :1 L7 o o� o o �' O 4> o c •� cn .rL E 0 C •rf n •q 'e1 y a > C Z C m r to •-� r" C7 C1 n y l*7 o 0 yet y �` � •� y Z ..� -1 -i C .9 � O Z i O ..•� O O -i O r P7 %� � i • qp a y Q~• C r to � � Z C d "_ � 'r7 n > yCon a � a 1 �+ V - o � n � z � b w 0 1) 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 or requirements. *********APPLICANT FILLS OUT THIS APPLICANT Mf4AK SM ► / PHONE -fo�/ - 7 7/ 3 LOCATION: Assessar's Map Number l PARCEL ( ` '-- SUBDIVISION LOTS ' t , ��1 _ STR1_=—T_#_& l,U Y. /`J S. nJ - �J �1) la. S T . NUMBER0 OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: /B KQTJP Fi4mt t Mo -m [v "'J CONSERVATION ADMINISTikATOR COMMENTS Uo:, W a' TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED_ PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVE'NAY PERMIT FIRE DEPARTMENT RECEIVED EY BUILDING liNISPECTOR Revised 9197 im DATE O -4 O Za D - ro o n -- So -4 ( The Commonwealth of Massachusetts Department of Industrial -Accidents Office of Investioations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit dame Please Print Name_,I%�I� )JIB �2iC1< /1 j��P(�13/✓�s2 o�n Location: 7/ t.lov a 461t-' A)Q A4 Ao V e,2 Phone # 02-3 (—� 1 am a homeowner pertcrming all work myself. I am a sole proprietor and have no one wcrkina in any capac:ty Cam an employer providing workers' compensation for my employees working on this job. Comoanv name a8 -13U jPRS •t-- DeSr�cn1 Address 7/ /c7iCiGln�7 Wdo�1L-' Cit,/: A)O,A)J&)e(2 Phone T Insurance Co. �) i 2 cAo p�o Pclic,/- Pe GAJ coa- 5= i Comoanv name: Address Cit,/: Phone M' Insurance Co. Pclicv Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition cr criminal penalties or a rine up to 51,900.00 and/or one years' imoriscrment as 'Neil as c:vii penalties in the f.crm cf a STCP'NCRK ORDER and a fine cf (5100.00) a day against me. I understand that a copy cf ;his statement may be fcrNarded to the Office cf Investigations cf the GIA fcr coverage verification. 1 do hereby certdy under the pains and penalties or perjury that the infcrmaticn provided above is .`rue and correct. Signature ,_ �6 ��� Date /- 1" .0 a ' Print name /5/Z Cis P2 `CGC P111A, .4lZin Phone Official use only do not write in this area to be comcleted by city cr tewn crnc:at C'ty or TcNn Permit/Licensinc A Building Dept ❑Check fiimmediate response IS required [I Licensing Board Cj Se!ectman's Office Contact person: Phone T ❑ Health Department Other A BUILDING DEPARTMENT' DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in- a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: AOAA))< Cu ISO—) AJ Location of Facility Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector �o Builders & Design Co. License No. 063173 • Reg. No. 123349 Fred Pappalardo Laurie & Mark Smith 10 Hawkins Road North Andover, MA 01845 (978)-682-7713 (978)-685-6952 December 28, 1999 The following is our quote to complete the work at your home. Here is a breakdown of material to be used. 1. 8 footings four feet below grade 3000 pound mix to be 2'-0" x 2'-0" with cement piers and #4 Re -Bar for strength. Addition to be on cement filled lally columns with metal bracing. 2. Floor to have one step down and construction to be 2x10 K.D. This is better for insulation. Addition to have Hardee cement board. Skirting to simulate the concrete foundation look. 3. Plywood floor to be % 4x8 T&G Advantech floor glued and nailed. 4. Walls to be 2x4 16 O.C. wail height to match existing. 5. Sheathing to be 1/2 CDX plywood 6. Rafters to be 2x8 12 O.C. 7. Ceiling to be vaulted, joists to be 2x8 12 O.C. 8. Ridge beam to be 1 %x 117/8 L.V.L. 9. Roof sheathing to be 1/2 CDX Fir 10. Insulation to be R-30 floor, R-19 walls, R-30 ceiling with proper vents where necessary. 11. Window headers 2x6 or 2x8 whichever is existing 12. Electrical to code with I TV, 1 Phone switched outlet or ceiling outlet are home owners choice 13. Electrical fixtures see allowance 14. Plumbing, heating and gas fitting by other 15. Gas log insert (zero clearance) see allowance 16. Interior wall finish is V2 blueboard with skimcoat plaster. Ceilings to match existing as close as possible. 17. Interior trim to match existing with French door from existing. 18. Flooring to be owner 19. Painting to be 1 coat of tinted primer, 2 coats of latex trim be 1 coat primer, 2 coats latex. 20. Skylights are Velux see allowance 21. Roofing is 25 year architectural to match existing. 22. Block up windows and reside this area. Interior to be plastered and painted. 23. Exterior to be primed cedar clapboard to match existing. 24. Exterior trim to match existing and to be primed however not all trim can be bought primed but 95% will be. Allowances are follows Windows allowance $600.00 Skylights $1200.00 Electrical Allowance $500.00 Gas log insert $3000.00 Gas supply by other All work carries a full one year warranty for material and labor. Pro -Builders & Design is responsible for all debris removal and is picked up on a daily basis. Pro -Builders is responsible for all workers compensation and builders liability. Proof of insurance is furnished upon request. ,r -+.l ezc Ann An Laurie Smith r,1-1 n_.. rnerf - A -- AIA nio9n - 10701 401 20x7 Builders & Design Co. kense No. 063173 Reg. No. 123349 Fred Pappalardo Payment Schedule Down Payment $8000.00 AXO Cva-s rl S, 000, IV Ig --70-9y 1. Lumber delivered 2500.00 2. Framed & shingles installed 2500.00 3. Windows & siding complete 2500.00 4. Rough electrical started 2500.00 5. Insulation complete 2500.00 6. Zero clearance gas log 2500.00 7. Plaster complete 2500.00 8. Finish delivered 2500.00 9. Finish complete 2500.00 10. Paint started 2500.00 11. Contract complete 2000.00 Total $35000.00 60t, Laurie Smith This agreement has legal force ana ettC- ���� �•••� �V 1 ed in home improvement contracting, unless specifically Notice: All home improvement contractors and subcontractors engaged be lth exempt ate enerallashould mad o the Direct r, Hoith me 1 provement p registration an of Massachusetts. Inquiries about reg Room 1301, Boston, MA 02108. Contract Registration, One Ashburton Place, Designated Registrant's Na e: Registration Number: 22, Salesperson's Name: SA NA t u -2,5r99 This agreement is made on (DATE) A\LE , tc-01'r tACroR.) _ r �v (PHONE NUMBER) of (ADDRESS) `' ( S t' � JZ �' (owi,�t) hereinafter called "Contractor" and A ( / fa --� -' r r Y_7 e% A C1 �� :'i �''�i l , �I ��— � (PHONE NUMBER) (ADDRESS) hereinafter called "Owner". DETAILED DESCRIPTION OF WORK TO BE PERFORMED erform in a good and workmanlike manner all work detailed below. Such work consists of the following: Contractor agrees to p DETAILED DESCRIPTION OF MATERIALS TO BE USED Materials to be used in performing the above described work consist of the following: II. PRTCE Contractor agrees to do all work described in Section I for the total price of Ste--- – III. PAYMENT patent will be made as follows: SEC ATTf CA PA _IME 33 1 `Yo (S upon signing Contract, % (S ) upon completion of % (S %_ ) upon completion of % (S —) upon verification of the work by Owner and the remaining and Contractor as having been satisfactorily completed, which verification shall take place promptly after completion. rk nt ance ) of more than Notice: No agreement for home improvement the actingotal wO nt ofaall deposits or payments ll require a down ewh chvthe contractor must make, one-third of the total contract price in advance, to order and/or otherwise obtain delivery of special order materials and equipment, whichever amount is us.211E. IV. COMMENCEMENT AND COMPLETION OF WORK followingsigningof this Agreement, unless specified here in writing Contractor will not begin the work or order the ate Za 00 () tl(datthird. Bidelay the by ircumstances beyond Contractor's control, the wort Contractor will begin the ork on or about C2 4!!Or (date). The Owner hereby ^c!o c'++ledSes and agrees that the scheduling dates are approximate and that sucl will be completed by cement d6ays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. 1,2-3`' .O ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED G?H(Payment) . ,e Contractor may not require payments to be made in advance of the times specified in Sectioabove for the reason that he deems himself the payments to be insecure. If, however, he deems himself to be insecure, he may require, as a prerequisite to continuing the work described herein, at the balance of the payments under this contract that are in the control of the Owner, shall be placed in a joint escrow account that requires the signature both the Contractor and the Owner for withdrawal. I. INSURANCE ontractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his employees or his subcontractors the performance of, or as a result of, the work under this Agreement. Contractor agrees to cavy insurance to cover such damage or injury. IL SUBCONTRACTING ontractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor is responsible to Owner I completion of all work described in a timely and workmanlike manner. III. CONSTRUCTION -RELATED PERMITS he following construction -related permits will be necessary in order to complete the scope of work included in this Agreement: AUltrplNC d -GLCa•rA1CAL_ ne Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction -related permits. The Contractor iall not be deemed responsible for delays in the work described in this Agreement caused by regulatory, permit grunting or inspectional agencies, tthorities or individuals. otice: If the homeowner obtains his own construction -related permits for the work described under this agreement, the homeowner is hereby advised that in the event of a dispute, judgment and nonpayment of the contractor, the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A, M.G.L. ' C. MODIFICATION his .Agreement, including the provisions relating to price (Section II) and payment scheduie (Section 11I) cannot be changed except by a written statement gned by both Contractor and Owner. However, cancellation by Owner is allowed in accordance with the Notice of Cancellation (annexed). . WARRANTIES he Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of._IYfollowing )mpletion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the ontractor, his subcontractors. employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or orkmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. 11 warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment, which shall and are hereby passed through directly to the Owner. Under such manufacturers' warranties, the Owner maybe required to register or mail in a warranty trd or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such 3cumentation, which failure voids the manufacturer's warranty. shall not create any responsibility for the Contractor to warranty such equipment. his warranty gives the owner specific legal rights, and owner may also have other rights which vary from state to state. Under Massachusetts law, sales goods cant' an implied warranty of merchantability and fitness for a particular purpose. �1�,6 LETENESS OF AGREEMENT FOR EXECUTION er is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or in ked as void, deleted or Aicable, and until all exhibits and related or referenced documents that are incorporated herein are attached here r 1 II. COPY OF AGREEMENT TO BE GIVEN TO OWNER his Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate, and an original signed copy hereof given to the Owner at e time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the owner of a copy thereof. KIWI I b i V I:A1Nkk L The owner may cancel this agreement if it has been signed by the owner at a place other than an address of the contractor which may be his main office or branch thereof, provided that the owner notifies the contractor in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See attached Notice of Cancellation. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Owner's Signature Date Signed ntractor's Signature Date Signed GG 25'•5 I,P2 Additional Terms To Contract The following agreement is to be added to and make part of the contract between Pro Builders & Design and the (owner) (address of worl (date of contract All additional work not shown on attached contract will be covered as EXTRA WORK or CHANGE ORDER These changes will be executed by a written change order and will show price of additional work, reason for additional work, and description of work to be done. These change orders will require the owner's signature and payment in full at time of approval. No additional work or change order will be started before it is approved and paid for. These change orders should be approved and paid for as soon as possible if we are to maintain any type of time schedule in most cases 36 hours or less. If these orders are not approved before seven days then it may be impossible to complete a particular phase of the work or no loner possible to do the change wanted If approval is delayed more than seven days and the contractor feels that he can not complete any other work until this item is resolved then he will notify the owners in writing of this and advise the owner how long it may be before he will be able to return to finish the job. If this happens then the owner will be required to notify the contractor by registered mail as to his decision on the change in question. The owner will have to allow the contractor sufficient time to complete his work in progress before he returns. If no decisions can be reached by the owner after thirty days, then the owner will ask for a summary of the work completed by the contractor and pay the contractor up to the date for the work done. At this time the owner will advise the contractor when he or she feels that a decision will be made and approximately when the contractor may return to finish his work. All payment requisitions from payment schedule will be executed in writing, the payment is due 24 hours after requisition is given. This is to ensure that the project nuns according to schedule without any delays. HIDDEN CONDITIONS AND NECESSARY ADDITIONAL WORK In accordance with Section 7 of the Massachusetts Home Improvement contract, hidden conditions may require adjustments in overall price. If this occurs the notification and price adjustments will be shown by a CHANGE ORDER and the same conditions as above will apply. Approval of the above conditions: Owner Conditions Additional Comments 12 --? 17 NOTICE OF CANCELLATION �I contract transaction date You may cancel this transaction, without any penalty or obligation, within three business days from the date above. - If you cancel, any property traded in, any payments made by you under the agreement, and any nego- tiable 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 he can- celled. 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: Name of Contractor Contractor's Street and Mailing Address not later than midnight of Date of third day after transaction date I hereby cancel this transaction. PLAN IN NORTH AN D OVER, MASS. REID LAND SURVEYORS 365 CHATHAM ST., LYNN, MASS. TO POWDER HOUSE MORTGAGE COMPANY, INC., MARK J. & LORI A. SMITH AND THE TITLE INSURANCE COMPANY INSURING THE PREMISES. I CERTIFY 'MAT THE DWELLING IS LOCATED AS SHOWN AND CONFORMED TO THE ZONING SET BACK REQUIREMENTS OF THE TOWN OF NORTH ANDOVER WHEN CONSTRUCTED, OR IS EXEMPT FROM MOLA11ON ENFORCEMENT UNDER M.G.L. TITLE VII CH. 40A SEC. 7. /� _�',1'� M M LOT 1 , 1 fib, 31 9± S. F. \, 21.86' N/F I / FARR 9.74' r`�4 S N /F COMMONWEALTH OF MASSACHUSETTS DRAINAGE EASEM EN T 209.51' 30.92' DRAINAGE EASEMENT 61.52' 121.78' a SHED pla' 4! 108.98' / 10 HAWKINS LN. "I, HEREBY, CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE DWELLING SHOWN ON THIS PLAN IS NOT LOCAT- ED WITHIN A SPECIAL FLOOD HAZARD AREA AS DELINEATED ON THE MAP OF COMMUNITY #250 PREPARED BY THE FEDERAL EMERGENCY MANAGEMENT AGENCY OR IT'S SUCCESSORS DATED 6/2/93, PANEL 9 , ZONE X ." I FURTHER CERTIFY THAT THIS INSPECTION WAS PER- FORMED IN ACCORDANCE WITH THE "TECHNICAL STAND- ARDS FOR MORTGAGE LOAN INSPECTIONS' AS ADOPTED BY THE MASSACHU! ;ETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS. THIS CERTIFICATION DOES NOT INCLUDE SHRUBS, WALLS, FENCES OR DRIVEWAYS AS THEY DO NOT ALWAYS INDICATE PROPERTY LINES. �.�........ /R 2- J & Ja -3o -i o X04 5 N, 2 STORY X X19 e>/ .11 LOT 2 NOTE: THIS PLAN WAS PREPARED FROM A TAPE SURVEY AND IS INTENDED FOR MORTGAGE PURPOSES ONLY. OFFSETS SHON ON OR SCALED FROM THIS PLAN, ARE APPROXIMATE ONLY AND SHOULD NOT BE USED TO DETERMINE PROPERTY LINES. SCALE: 1" = 100' DATE: OCT. 20, 1998 BOOK: 4832 PAGE: 58 CERT.# CONTROL #:P98-1561 L SLS 98--305 O —• N O Cl N d O < O y tQ= :* m 0 m n ® i d n m Iti Z H c � x N �'Cs, vi -4 w � °: mom'. T CD _a�03 a = m C d m -� c m CA c -� m x N cc _• _ _ ® N m O c O 25• y oti� W �o m CD O 't? 5. v, = W 0 Z vs p Cr1 _ a = r a = D o '� Cn = o -- -_- C3. �. ea m N O. O � C/) CD co� a m. � .40 Cf)G• �• y H a o m tC m on z =w EL m CCD •n Cn H H�0(^ < ® .. -CCD m CD O �• o Cz -� � CA3 1 CD CD W CA :41b CD po Q o 0•" .. n = m w Z �o� CD vsQ CD ' TC/, Z 3 CD ^' CL CO) to co I m CO)CD �, coCA �► O -CU O = o CD � _ O CD z a O ON 0 0 c zCA 9 Co z � yco � h7 w DQ , r� O Z m w n a c 0 r coo ^ a O OTI x z a O ON 0 0 c 458 0 0 0 CH Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ........ ........ has permission -to perform ........ ....... �.y. ................. wiring in the building of ....... sk.11.1..J.,A..� ...................................................... at .... /6 ......... Am o �ers. . . .. .................. ...... I Nor�th ..... Lic. No. ........ ELEcm A �98$2*97 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer - r C114>' 0J0MIriIIIil Vdt4 IIf .6*Uj5t t6 -DeVartine tt of -Public 1&11� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12.00 Office Use Only Permit No. L2 0 Occupancy b Fee Checked y p� 3/90 (leave blank)! �,lJ / Ward Area APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date `71414e - City or Town of /116ge7W 4NO6A1'AC2 To the Inspector of Wires: The undersigned applies for a permit to perform the �► electrical work described below. .A Location (Street & Number) /6 11AUj /NS LANE owner or Tenant In4r2/K +,- Z. cS/7Il 77-1 owner's Address SAT F�S08� .GBS ^1=12L _ Is this permit in conjunction vatth a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Existing Service — New Service — Amps _J Volts Amps _� Volts Number of Feeders and Ampacity Utility Authorization No Overhead ❑ Undgmd ❑ Overhead ❑ Undgrnd ❑ No. of Meters No, of Meters Location and Nature of Proposed Electrical Work Installation of alarm system _ No. of Lighting Outlets No. of Hot Tubs No_ of Transformers Total KVA No. of Lighting Fixtures Above In - Swimmirvj Pool gmd. ❑ grnd- ❑ Generators KVA No. of Emergency Lighting No. of Receptacte Outlets No. of Oil Burners Battery Urns No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Manges No. of Air Coad_ tons Initiating Devices Heat Total Total No- of Disposals No, otPumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers SpacelArea Heating KW DetectkxVSounding Devices Local Municipal ❑�1er ❑ Connection No. of Dryers •' Heating Devices KW No. of No_ of Low Nottage No. of Water Heaters KW Signs Ballasts Wiring UieG r.o No. Hydro Massage Tubs No. of JOWOrs Total HP s OTHER: INSURANCE COVERAGE: Pursuant to the reQulrerttents of Massachusetts General Laws 1 have a Current Liability lnsurarioe Policy incfud- Ing Completed Operations Coverage or fts substantial equivalent_ YES O NO O t have submitted valid proof of same to the Office. YES O NO O M you have checked YES. please indicate the type of coverage by checking the appropriate box... .. _ INSURANCE " BOND O OTHER O (Please Specity) Estimated Value of lect ical Work S 35 o Q (Exp radon Date) Work to Start 9 1t8' � C1 Fro Inspection Date Requested: Rough Final Signed under the Penalties of Perjury: FIRM NAME /� LIC. NO. 12 Licensee signature Av% LIC. NO. -- Bus. Tet. No. 617 -4 31- 5 Address 60 William St /Wellesley, MA 071R1 Au. Tel. No. 6I'7�'3T C40—01NNt7M WISUFLAN H VWMVM f am aware doll the Liosnsse does not hors tM lraufanoe Oaverape Or its substantial equivalea as by kesseactmomem awlem Laws. and,d at ay ,mourns an this Pefif* PPPwaives this +rgtrtifai>ent. ,Owner.. ASK chock vele) ; ,._ .::; -.,,_° �Sr O e Nsf,J,�•aii���'t, _ �� � .. �"iLi���ri :'t+��f V+�+.2' � ..+ , ;ti0�, d Q ;;, �� 1 i Date ..... 459 TOWN OF NORTH ANDOVER PERMIT FOR WIRING AF S AcmU V This certifies that ........ ( (ot-1 has permission to perform ...... 5-::t . ...... AA!;�.k ................................... wiring in the building of .... P.S-Lbm.%A!� ...... .................. at ..... ..... � ..... North Andover, WS. Fee .......... Lic. No. . . ........... ? ............ C' k 0( yo ELEcriuc PECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N2Date ..... ... ................... TOWN OF NORTH ANDOVER 0 0 PERMIT FOR WIRING ................ ................. .......................................... �rhis certifies that.:. has permission to perform ............ ............. .. ................... wiring in the building of ...................................................... at .................. ................ .............................. . North Andover, Mass. ...... ......................... Fek � ................. Lic. No�..X',.� �/ . ...... .......... ; i / I ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Date ............... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ............................. ........... has permission to perform "I ................. U -plumbing in the buildings of . ................... at rt ........ N ' o h Andover, Mass. L i c. N o-'.;�/ Z2 PL 11* 117NiSPECT*0`R* Check # � ",'A � 7 S . U 0 I [1 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date ! % Permit Building Location /-I Owner's Name pe of Occupancy New Renovation C Replacement Plans Submitted: Yes ^ No O FIXTURES CLIMATE DESIGN HEATING and AIR CONDITIONING, LLC Installing Company Name 5 South Summer Street Check one: Certificate Bradford, N A 01835 /Corporation 7 L Address 978-372-9999 (phone) 978-372-0882 (fax) — C Partnership Business Telephone Lic. Plumber: `AV" A .1Vig`11��N/ n Name of Licensed Plumber INSURANCE COVERAGE: I have a cur ren liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes i-7 No 0 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity i✓ Bond C 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. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have and installations performed under the permit issued for this General Laws. By Title City/Town APPROVED (OFFICE USE ONLY) Check one: Owner = Agent C (or teredl i the above a tc t ar rue and accurate to the best of my knowledge and that all plumbing work wil in rnpliance w' all ne provisions of the Massachusetts State Plumbing Code and Chapter 142 of the 5l�yrature of Licensed Plumber / 1 Type of License: Masters C Journeyman ❑ License Number 1)?3/ (/ z Z _ oY ud LW tJ Z Q Z rA Z M W Q? H F� W tom. Z Z H ac W Q' W. N. Q < C t 3ust„OC CA W: Z_ G< tA Z C� �m U > F=' C o. un I— Z ts. O in Z Z W ►— p u=. i i< o a c< 3° m o SUB-BSMT. BASEMENT 1st FLOOR 2nd FLOOR 3rd FLOOR 4th FLOOR 5th FLOOR 6th FLOOR 7th FLOOR 8th FLOOR CLIMATE DESIGN HEATING and AIR CONDITIONING, LLC Installing Company Name 5 South Summer Street Check one: Certificate Bradford, N A 01835 /Corporation 7 L Address 978-372-9999 (phone) 978-372-0882 (fax) — C Partnership Business Telephone Lic. Plumber: `AV" A .1Vig`11��N/ n Name of Licensed Plumber INSURANCE COVERAGE: I have a cur ren liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes i-7 No 0 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity i✓ Bond C 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. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have and installations performed under the permit issued for this General Laws. By Title City/Town APPROVED (OFFICE USE ONLY) Check one: Owner = Agent C (or teredl i the above a tc t ar rue and accurate to the best of my knowledge and that all plumbing work wil in rnpliance w' all ne provisions of the Massachusetts State Plumbing Code and Chapter 142 of the 5l�yrature of Licensed Plumber / 1 Type of License: Masters C Journeyman ❑ License Number 1)?3/ (/ THE 60M110AWF4L2H0FAPSS4C7ff-S= Office Use only DEPARTAfEW0FPUBLICS4FM Permit No. BOARD OFFIREPREYENNONREG L4770MR70M 12.00 �� Occupancy & Fees Checked PPUCATTONFOR Pel TO PLMORM=C-r ICAL WORK UA4 K ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below Location (Street 4 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes �No (Check Appropriate Box) Purpose of Building I/�1°if1106" / , �✓/ Utility Authorization No. Existing Service Amps Volts Overhead M Underground No. of Meters New Service Amps / Volts Overhead [::] Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work /Ve j / A - /Ti> n No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No. of Receptacle Outlets / , J No. of Oil Bumers No. of Emergency Lighting Battery Units No. of Switch Outlets �- No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total - Taal Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal Other No. of Dryer) Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER In%r,y=Cam2W-Ptastlartbthetapmvs sdMwmdis9 G=xWLaws Iha%eaametLiabtdtyhn==PbbynixlirgCQrTi&CmeaWcritsmbstitialeWivalat YES Er NO a lhareaftmttedNebdgodcfsam lotheOlimYES ONO Ifjcuha%edvdWYES,pkmit imtthetypeefa :bydvdmgam NSURANCE ©' BOND 0 OTHER 0 (Pkesespeffy) EVatimDtale WatkiDSut IrspectimDtteReWested SigrdunderliePaktiesofper u FIRM NAME i�'�W/ Licer� (�"�r�/� T1�lr �✓'�:7 Sigr>auae OWNER'S PgRJRANCE W. and fat my s4uUern tm petmit appGraban wars this regtatrrrlet. (Please check one) Owner Agent a Eked VahrdEkchd Wait $ Rout Fttal LioenseNa /.3; �/J �' /4"- Li�eNo %i %�J'� BlsnmsTeLNa dyc - ALTeLNa insurat� m tuts sr>tial egri►alatas ntmeti byMassadxsesrs G Laws Telephone No. PERMIT FEE 6 0 �Wj n e CL 0 c c� S- Date ........................ 04 40RTk TOWN OF NORTH ANDOVER 0, PERMIT FOR GAS INSTALLATION This certifies that ................................. has permission for�gas installation ............. .. in the buildings o ........ /--6 ��/ ............................... ........ North Andover, Mass. at . ..... F61E ...... Lic. NoZ-.I*?�,� ... ...... 4AS INSPECT`6 R�? WHITE: Applicant CANARY: Building Dept.. PI K: '�raasurer MASSACHUSETTS UNIFORM APPLICATON FOR or print) NORTH ANDOVER, Vie ► r/ Owner's MAP RCEL DO GAS FITTING Date 19 New ® Renovation ❑ Replacement ❑ Plans Submitted ❑ Permit # 1335 y Amount $ (Print or type,," r ,/1 n k one: Certificate Installing Company Name -) ih �1'�1 � S [ __ Y I S (i1 l� . U Corp. Address Name of Licensed Plumber or Gas Fitter ❑ Partner. ❑ Firn/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ Ifyou have checked M, please indicate the type coverage by checking the appropriate box. Liability insurance policy P3 Other type of indemnity ❑ 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: r-3Signature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass us State Gas CodejR&CIAter 142 of the General Laws. VED (OFFICE USE ONLY) of Licensed Plumber Or Gas Fitter I. (5;�2%�r_ r License Number Master Journeyman Cj C4 F y Z Z F w d W °' a > Q Gm x c7 U w a d w ae Z d w d z I; F d � m O Z p 5C !� W. o Ws w c °a > a F o V 3 cd7 c SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 61rH. FLOOR 7TH. FLOOR STH. FLOOR (Print or type,," r ,/1 n k one: Certificate Installing Company Name -) ih �1'�1 � S [ __ Y I S (i1 l� . U Corp. Address Name of Licensed Plumber or Gas Fitter ❑ Partner. ❑ Firn/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ Ifyou have checked M, please indicate the type coverage by checking the appropriate box. Liability insurance policy P3 Other type of indemnity ❑ 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: r-3Signature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass us State Gas CodejR&CIAter 142 of the General Laws. VED (OFFICE USE ONLY) of Licensed Plumber Or Gas Fitter I. (5;�2%�r_ r License Number Master Journeyman 1 1 1 i � S i i � i F 1 `y � i p 1 r P I Location—/ No. Date Vj0ffTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ A, 'i Other Permit Fee tewerejoriToignFee $ It w , g�*"\. / ater Connection Fee 4 UdU, 7 t To .Building Insp6ctor Div. Public Works Cll v C !MA= rm m V! a> w m> "i. rTl -1 i r p � Z m> i O O r O i a 0 n A P a zz r r P P 0 0 -ml r 0 i dY :1 J S > v w a �n i z z z a O s x O /: N m m m O x N O m N A m a m a> w m> m -1 i i Z m> i O O r O O a 0 n A P a zz r r P P 0 0 -ml r 0 i n 1 0 C > m >> z W r p g Z Z m m a m >nmN 0 C r O z O z O z r n -iZ n m n m A N> m n tll t0 Z 0 > Ll t>am r r A Q z N z O > D m m O r m m v a Z F A O 3 m 3 m Z a A m m 1Cm rn N Z> In O x m< m m H 3 A r 0 m v c n r 'N m W > CN '{ � O c C r 0 O Z A D N m a ;� r v m A i 9 Z U) 0 Z ^ Z _i Z > j o O p o O A o C p m Q m m 3 N m ` m ; m N ZO N 0 m Z mc j f ® O 1 r m m n O A 1 2 O ri G) m Z .. O m m Z A n v O i >a � A m c r 0 J A p Z N n n O O --i r MT r It V 1 10 I� N N N N > z z z a O s x O /: N m m m O x N O m N A m a m a> w m> 9 -1 i i Z m> i O O r O O a 0 n A P a zz r r P P 0 0 -ml r 0 i n 1 0 C > m >> W r p g Z Z m m a m 0 C r Z LO) -i M c n I 0 Z N I w m f N w m> v .Fhi o o -1 m> O O r O N O 3 A O r m C C C > m >> a r p = Z Z m m a m 0 C r O z O z O z r n M n m n m A N> m n tll t0 Z 0 > Ll Ll ,n A A Q z N z O > m O r m m v a Z F 3 3 m 3 m Z a A m m �^ rn N Z> In O x m< m m 0 z �` r-4 z 'N m v C r 0 O Z 3 -1N Z ;� r v 1 m A U) 0 Z ^ W O _i Z > j o o O O m ` m ZO N 0 j f O It, `\ m n O A 1 O ri O m m n >a � A 1 10 I� N N N N > N m >'LAW N> O I C N C C C C m m O 2 _ m Z Z m In m m O 19 N O O O O > r m m -1 0 N O m i -� m n 0 0 0 0 Om O ,, p N O O O A A r 0 Z Z x GZf Z i N C_ Z Z m Z r m a N 3 a 0 A 9 N to r 3 > m r O 41 0 m O m m O O 0< O O Z m N N N z N �f p 0 0 0 A r H Z m p x > Z m Z F > yC w M a m r z ° D m i �N m atjz a �d ! N a\ A o 0 � b D � I � m Oa LL WW uI z NO _a �I Z3z 0aa Jl7f- L?0 00 1 N a. Z5N Omu N4 Z05 a. uNI az►- W1W 3oN 0<2u u -X0: W IQ:) z UNw WW WZ N W N N FO< } u Z Q a Z) u O � A 4 u 1 1 I ITT y W p �_ -I TIS �� O � 0 p d Z Z m _ LL W 0 Z LL O d z O I I �w ISI I I a� >Z Z �' a LLi�r,nmLL 2z* �jO m �O p��� t� N10waZZ 0 '-vUY W w �0r- W jv=i z OQ ,n= �-Zz V Q y V U N 7 Z m a a U r S 2 v~i U OQ Q c�°Cupz 2 w a 2 i w LL 0W' U 3 O Q _ �n0 00 ;?a d--�d�� a�z �—,,. zz�0 Of Oa a0� do ^ Q p a>�pQO� 3 ' ac O Qf p2 �p j- UW SUQ Q �nQ mr Y Z y H H d N Q oac (� O W Z �� I IIS_ z i'iiiii 0 d p z Z G zo Q=W OpO 0ZviO vCFfh- Z Z K Q N O i vt7« z K ZO of O O v Z:E ZZ 200zz 000 ZZ < vi U Y � mV Oa dO - nO000 U =aS aO -1 W 0 I N - < 0 to 0OO Z. 0¢ c53 �aQ 3 m� --------------------- FORM U - LOT RELEASE FORM �V 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: 'PAV 160e Q&'71/ x�J Phone g 6- mv/ LOCATION: Assessor's Map Number �� �� �' Parcel Subdivision Haj j s Lot(s) Street/1���/<<�ns % �rc%le ) St. Number_ ************************Official Use Only************************ RE O 4DINSOF TOWN AGENTS: fit Date ApprovedCo ervan Administrator Date Resected Comments Town lann Comments Date Approved Date Rejected Date Approved Health Agent Date Rejected Comments 09- SF -P %-1 L Public Works - sew /water connection � b4 " 0 - 9 - driveway permit e)L M r; n Fire Department gaaa Received by Building Inspector Date JUN 23 1992 w �cnz r, �Wl n a H 0 A A H A rt a C Poo T ov 3, H H fA W m z zl CO) y T m 21 0 37 3 c o c(D o o � o °-' m w S 0 rn m co� °-' 3 c v > �, e) Z n v Z �+ C) O fA IAz 'TC 10 T T O 0 _ x z 17 1 Fj z W z 17 1 Fj Location)y No.. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee Sewer Connection Fee X Vter Connection Fee TOTAL Building Inspector Div. Public Works noilr.-.oJ rtzC) to si;D 90 99:1 limie9 ieril"G� es:! noft,_4nnoO iswa8 sl� Osl nollognnoo lot 'IV JATOT iolocqar' jjpjtjjUfj d� 9 VIC X, loo 00, le .00 17 IV/ 40 10 oi CO ry Z/ 14 41 ip { 2 � ` ' i //�/ / . � / it � �' /%/ / til , . , or (11 XA rTl < //XX :',!'h, 1 7 DEPARTMENT OF PUBLIC SAFETY COMMONWEALTH 1010 COMMONWEALTH AVE. OF BOSTON, MASS. 02215 a"y MASSACHUSETTS LICENSE ( D'_,/ 30/1994 S.UPERVISCIR EXPIRATION DATE EFFECTIVE DATE LIC -NO. RffTRI�TIQNS: ;,F= F�hI I LY HOMESr.- --, (.-) / 1'? -, t )41- 06, j ENCLOSE CHECK OR MONEY ORDER FOR REQUIRED FEE, MADE PAYABLE TO "COMMISSIONER OF PUBLIC SAFETY (DO NOT SEND CASH). 83 7 m i# o_;4- '� ~':- 81 4 RIVER (" IEAD IW F' D J NEWIL IRY I' A i � 1985 PHOTO (BLASTING OPR ONLY) FEE: 1. 0i.)„ i?(i NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED - OR - SIGNATURE OF THE COMMISSIONER DQ THIS DOCUMENT MUST BE S'GNATURE OF LICENSEE SIGN NAME IN FULL -ABOVE SIGNATURE LINE CARRIED THE PERSON Of THE HOLDER WHEN ENGAG COMMISSIONER OTHERS - RIGHT THUMB PRINT ED IN THIS OCCUPATION ef5r oe, 44 w. 200M.2-87-81429 Mq to m m n cm �, m 7!n m 3 03 m c m In T _i m o aco a •0 w m <. o m y z 19 O �o o M 3 z [� M T ell 0 � _s o =r C R n Z H T 0 o0 o v T T a _ m z v m CA CA v I v 0 W C. 0 c c� m Z %Y!If/ -1ti t L✓�v,�<� 5m��Li ��z67- �e5�o� L,gLo �t� m M : 4 O CP ago � A C Ma O � O � d r O y O d b ►C y m M : 4 O CP ago � A C Ma O'1 ca cil T II T (Am T1 (7 =1 3 c C m e > >� 0 °-' m °' �• (mom °' 3 ro n n '<ri ri T T ,J O 0 s� 0 s�