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HomeMy WebLinkAboutMiscellaneous - 10 PEACH TREE LANE 4/30/2018North Andover Board of Assessors Public Access :- OE NONT1� 9a t �Sswcnug� Click Seal To Remm Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 S, roperty Record Card Parnal Trl •)l n/MQ A_nt An_MM n RV•9n1 lU—+h A.,a., — in: 10 PEACH TREE LANE Name: BAUER C/O ALEXANDER MACLELLAN IOwnerAddress: 10 PEACH TREE LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 9 - 9 Land Area: 0.31 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 3353 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 634,500 634,500 Building Value: 428,700 428,700 Land Value: 205,800 205,800 Market Land Value: 205,800 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkId=1893872&town=NandoverPubAcc 5/18/2012 VqV /� WiVJt \ 0 N J nM 0 $..EN� 00 ,p U r € m UB ct Np. {i N0jN Q (1 in a wU O N N 9 LLQ Zaa m v J o'U'+a�a`>j n W zo,ar:cLo m� p wU) 4 f 1 — x I A U' W <'•� i d C%1 W) O mi W OIrn1.1 o �O='m0O pU U P I i Wi (D¢°o o W m o CL a oa `Q o L O O OiNr.:N � J ��m?.A m L- m CD Q- 01 O 'O o (D O R ai at c cn cn O :mfmMm!m@ N C O cnIU �� U'(Dcl� J LO r' O' M O F- Mo \ i Y U co J O N 0!�!Q ` m 0 ' X .... 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L N N ca �. my O O Opp t �FLmt�1�' co, MV mpm ,�`�' .. _ q U d N Z6 kC-"U' m U. �cn >_Im�,m,�� Y �'-O =12 .. 2``"w `EIE' NLn F- m LL,1 ILLI oQ 1Y -60'6Q Ln kw M U.N �t9 LL U t LL U CD H O aiOa...0 Tri U,Q F- U CL W OOo ir, . O= iami 7!� N� Y 1(/) U) JEW LL M Ll LL UI d d F- U) 0 N EEL L 10627 Date ..... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that..&?�2 1611t, x 4 1 ................ I .......... .......... ....................... I has permission to perf6rm.A1-1-1"6d-,e— �eecol-, ................................................................................................ plumbing in the buildings of .... ... 11.,4-1 .......................................... .......... .... ..... ... .. ..... ........ at .... ................. . North Andover, Mass. ............. ................... ............ FeeLic. No. 411Y.1 ...... ................................................................. PLUMBING INSPECTOR Check # 1-4 Y 01 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE 7' C ( PERMIT# JOBSITE ADDRESS wee OWNER'S NAME POWNER ADDRESS TEL a __ FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EO EDUCATIONAL RESIDENTIALA PRINT CLEARLY NEW: EI RENOVATIONA REPLACEMENT: Q PLANS SUBMITTED: YES ® NOM FIXTURES 7 FLOOR--> BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB =J ; _ f 4 I ( ___ === ___._I ___ ( = == CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOIL/SAND SYSTEM f _I DEDICATED GREASE SYSTEM J _ _.._I ! _ _i (____._..._I __--_f _____I ,___1 _J ._.__.J I DEDICATED GRAY WATER SYSTEM I _ ( f _- I i _ _� _ I I J I DEDICATED WATER RECYCLE SYSTEM DISHWASHER I- € --_-_f ._.__._I _____.-I __ _____I .__._J ____1 DRINKING FOUNTAIN FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR _I i I J .._._._ f i --..__.I ____.i KITCHEN SINK I 1 —._i _--_-�--_-__� _ E f } I f I. _-__. LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WXER HEATER ALL TYPES WATER PIPING I i f .--__-.� — f __.--_- 1 I-_- _f __..._.._i f OTHER ( I f -DE---I l _..-J ---I . .......I ......__J — I _._.. = "if J' € i _--1J ....._.__. ....._.._I INSURANCE COVERAGE: 1 hove a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES V] NO 0 IF `YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW L LIABILITY INSURANCE POLICY , OTHER TYPE OF INDEMNITY 0 BOND 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT 10 SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliit al inent provision of the h4assachusetts State Plumbing Code and Chapter 142 of the General Laws. 7W PLUMBER'S NAME � C, k AA 1 LICENSE # '--SIGNATURE _ MP © JPn CORPORATION R# ©PARTNERSHIP 0#L - ; LLC COMPANY NAME �, y I ADDRESS k¢cKn ; /f CITYWl r4� — STATE FM � I ZIP _ D f �L�-.._..__ i TEL - FAXCELL �� EMAIL - - --- ----- -- - -- - - _- ----- - _..--......- - ---_ --- -- ... _ 01 o� z N ❑ } w W -, The Commonwealth ofMassachusetis - Department of IndustrialAccid nts Office of Investigations 600 Washington Street Boston, MA. 02111 wwii.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print I,egiblY Name (Business/Organization/Individual): [ 57k /C/ 4b, i A., L,I, Address: City/State/Zip: c'_ �.2 Cvt t S .4,,W w to a 84 Phone #: 7 Are you an employer? Check the appropriate box: - Typo of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* 2./ I am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. �• ❑Remodeling ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance.g• ❑ $wilding addition [No workers' comp. insurance 5. El We are a corporation and its 10.E] Electrical repairs or additions - required.] 3. ❑ 1 am a homeowner doing all work officers have exercised their right of exemption per MGL 11. E] 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.❑ Other comp, insurance required.] 'Any applicant that checks box #I must also fill out the section below showing their workers' compensation policy information. T Homeowners who submit this affidavit indicating they tie doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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. i 't Al Insurance Company M Policy # or Self -ins. Lic. #: �G Ub 01 a o 1 L. � K b t q l Expiration Date:/6 Job Site Address- /zq C4 City/State/Zip: j• 0 .�' l��i Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A ofMGL o. 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 ofup to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido Hereby cert' t ains andpenaldes ofperjury that the information provided above is true and correct. - Phone #• 1,7Y ?« ( ;-' 3 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. CitylTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - Contact Person: Phone #• Information and Instruction -8 Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract ofhire,- express or implied, oral or. written" An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more Of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a If cense or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapterhave beenpresentedto the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply toyour situation and, if necessary, supply sub -contractors) name(s), address(es) and phone numbers) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP floes have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confnmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a referene number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only. -submit one affidavit indicating current Policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The CoxnmonwealthofMassac�?usetts Department of Industdal .Accidents Office ofInvestigat ioaas 600Wasbingtan Street Boston, MA 02111 Too, # 617-727-4900 oyt 406 or 1:-877MASSAF Revised 5-26-05 Fax 4 617-727-7749 j i Fold, Then Detach Along All Perforations �i l'`F111AMnNIW.�Y11°�" AC 11A ii'it►��t env Lit Ec+�r=�.rn >_... i 63u8 b- .0d Date.............. ................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 41 ......... mu,, . e ..................... A[) 7' FECV1?- /W 5 ......... .. This certifies that .............................................. ... has permission to perform .... ...... .... ..... .. . .......... ...... .... V wiring in the building of ......... ........ ......................................... Z - I'd at ..... ..... . North Andover, Mass. 3. .................. 0'a> Fee ... .. :7� .... = Lic. No. ..47166 . ............. P. Check # Commonwealth of Massachusetts Official Use Only w Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TP ALL INF TION) Date: City or Town of: Q j ,L. 4I 0 LleQ, To the Inspector of Wires: By this application the und, Location (Street & Numb Owner or Tenant .10S7 Owner's Address Is this permit in conjunction with a building permit? Yes U No Purpose of Building Existing Service New Service (Check Appropriate Box) Utility Authorization No. Amps / Volts Overhead ❑ Undgrd ❑ Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: Installation of Security and or Fire alarm systems Completion of the following table may be waived by the Insnectnr of Wires No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In- Swimming Pool rnd. ❑ -rnd. El No. o. o Emergency Lighting Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners R Deiction and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat PumpNumber Totals: . Tons ........................ 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 E uivalent No. of Water KW Heaters No. of No. of I Signs 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. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 1 Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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:) I certify, under the pains and penalties of perjury, that the information on this application is trate and complete. FIRM NAME: ADT Security Services, Inc. LTC. NO.: 1533 C Licensee: Kenny Wong Signature / �� �� — _._ LIC. NO.: 5966D (If applicable, enter "exempt" in the license number line.) c Bus. Tel. No.: 603-594-5900 Address 18 Clinton Drive Hollis N.H. 03049 Alt. Tel. No.: 603-594-5930 *Security System Contractor License required for this work; if applicable, enter the license number here: SS CC 001975 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 ,rptnature Telephone No. PERMIT FEE: $ f Date..��/ ........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ... ............. ........... ...... ......... ..................................... has permission to perform ........ .......... ..... :, .................................................. wiring in the building of .... I. ................. ................................. at ...... .. ................. .......... ��Q'A-P ...... I North Andover, Mass, "&7 Fee.0,3' Lic. No.1&10 .......... 4695;;0q.4! ELEcrRICAL INSPEMR Check # AL 5530 TBECOMMOAWE LTHOFMASS4CHUSE77S DEPARTA1 UV T OF PUBLIC SAFL7Y BOARD OFFDZEPREVEMONREGUL47YONS527CA 812;00 Office Use only Permit No. Occupancy & Fees Checked APPLICATTONFOR PERMIT TO PE ORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSA HUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date / 0 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work des 'bed below. Location (Street � Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes 1:3 No ® (Check Appropriate Box) w 5 a r7 Purpose of Building � °Z,W Lfb� Existing Service Amps volts New Service _� Amps f / t%U Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �,er/1 Ce Utility Authorization No. Overhead Underground No. of Meters Overhead Underground No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round itround No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners, 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 Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal _ Othe No. of Dryers 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• Itl%=xeCc)wrag- PumarittDthetegt mTiattsdWbwdxseMGataWl aws IhawacurrmLia &y1muana R&yinchldmgColiVW 00mom Covw4poritssubstarrialWivaiai IhawwbmtlmdvandptcofofsametDdrOffim YES INSURANCEEU9 BOND MIE R F1 WotkloShatt IrqearonD*RaWestad SignedunderTr ofpa WA,,�M FIRMNAME ////// Li�rlsee lllIGVlA�f /II�Try('1/U.LfI Sigh flme Slimy) a b- • // Estirnatad Valueof&cbical Wcdc $ Rao final fe4e .tai.• .,. Alt. Tel Nb. OWNER'S INSURANICEWANEt;Iamawateda drI- erwdoesnothaysedleinsurancecovaageoritssubswlwale nvalauastagtmadbyMassadnseasGmrJLaws andthatmysgumonthispmT tappbcaimwaivesthisogmanat (Please check one) Owner M Agent Signature ot Uwner or Agent Telephone No. PERMIT FEE $ PeactMI rA To: Robert Nicetta Building Commissioner Town of North Andover 27 Charles St North Andover, MA 01845 From: John Crawford Peachtree Development, llc 231 Sutton St North Andover, MA 01845 Subject: Construction Supervisor Change Dear Mr. Nicetta, This letter is to inform you that Michael Mammola will be our on site construction supervisor for all lots at the Peachtree farm subdivision. He has assumed the duties from Mark Venti, as supervisor, on all houses under construction including all active permits, which he is the supervisor of record. This includes 16, 41, 65, 71, 81, 105, and 124, Peachtree Lane, 12, 20, 26, and 32 Lavender Circle. Enclosed is a copy of his construction supervisor's license. Thank you for your help in this matter, John Crawford Peachtree Development, llc CC: Brian Darcy Mike Mammola Thomas Laudani Peachtree Development, LLC P.O. Box 907 • North Andover, MA 01845 • 978.327.6540 Fax/ 978.327.6544 • www.Peachtreefarm.net Tk �✓la� BOARD OF BUILDI G REGULATIONS; License: CONSTRUCTION SUPERVISOR Number"' CS 088997 -_ i Birthdat2.r Q9/Q�/1969 oLjs xpire 09%09/2007 Tr. no: 88997 . RestTr�ted F 00 MAN�FOL� 7 SENECA ST G— METHUEN, MA 014 .. Commissioner Town of North Andover Building Departments 27 Charles Street a North Andover, Massachusetts 01845 4 (978) 688-9545 Fax (978) 688-9542 b4 y -GV 'p COGNI[N(wKM � �S ACHUS���� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS ID ,V (tie �,r Aj 2 (LL4-AA ). LOT NUMBER A ') C( SUBDIVISION 2 ,&��� DATE REQUEST FILED DATE READY FOR INSPECTION S /J-� IO TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEIN OF TWENTY -FI ($25.) DOLLARS WILL BE CHARGED IT, THE STRUCWRE DOES IST N ALL APPLICABLE CODES. SIGNATURE Y ROUTING D.P.W. —WATER METER l as4qM DATE��/D� D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. Q44 Wwql�,Q/1/L SIGNATURE / DPW AUTHORIZATION