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HomeMy WebLinkAboutMiscellaneous - 110 LANCASTER ROAD 4/30/2018 110 LANCASTER ROAD 2101104.D-0166-0000.0 r I i Cunningham Lindsey U.S.,Inc. P.O.Box 703689 Cunnln5lc�n1 Dallas,TX 75370-3689 Lindsey Telephone(888)738-8714 Facsimile(214)488-6766 J CLCAT@CL-NA.COM "*********************AUTO**3-DIGIT 018 773 T3 P1 95000058963 Building Commissioner or Inspector of Buildings 120 MAIN STREET N ANDOVER,MA 01845 Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS Ch. 139, Sec 3B Claim Number: 2541670 Policy Number: 2541670 07 co Company Name: BAY STATE INSURANCE COMPANY Cause of Loss: ICE DAM co LO Date of Loss: 3/8/2015 Insured: ROBERT& NANCY CARBERRY Property Location: 110 LANCASTER RD Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Section 3B. No insurer shall pay any claims (1) covering the loss, damage, or destructions to a building or other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code, to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending; provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. Cunningham Lindsey Catastrophe Department cicat@cl-na.com 800-867-3885 77 b4 Date.. .8. .2 i 9. .. .. NpRT pf „io ,°1ti0 of TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �-.,z SACHUSEt This certifies that . . has permission for gas installation n in the buildings of . . . . . . . . . C. r �. . at A. , 2,9... . . . . . North Andover, Mass. Fee 3O W Lic. No.� GAS INSPECTOR Check# 111 06 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:ft A ANdo a-C, 2 , MA. Date: ?,- �)�-0 Permit# Building Location: t `t L A) ('_FSS te k �4 Owners Name:_E�A � j� � ��o (�(j?�•� Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential o New: ❑ Alteration: ❑ Renovation: ❑ Replacement: 10 Plans Submitted: Yes ❑ No❑ IXTURES c Lu W rn ' z rn L) = W Q I-- D 2 W W U to F 00 = W w z I— z O w w z WWO P S w N W m 0 P W C, O Q P > of LU X z w > V W Q 0 WqWJ W Z 9 W = W O co 2 Z W ZO of co J Q Q m w 0 z 0 W H > z F- = v o o LL z z O a w IW— > > > O SUB BSMT. BASEMENT T-- 151 FLOOR 2 NuFLOOR 3RD FLOOR 4 FLOOR 5TH FLOOR 6 TH FLOOR 7 FLOOR 8 FLOOR � Installing Company Name: Check One Only Certificate# ��'� �r.t/L-�� � �yy bE�-� ❑Corporation Address:_�il f7 nom% 4. 0( ' City/Town: ./y' State: 44 El Partnership Business Tel:_�%`lam`,5����_ Fax: V Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes IS No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:1 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 Signature of Owner or Owner's Agent Owner El Agent E] By checking this box ' ;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 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By SSS Type of License: ❑Plumber Title at,Z ❑Gas Fitter Sign a oLicensed P mber/Gas Fitter 0 Master Cit []journeyman License Numberl 3 J"� APPROVED OFFICE USE ONLY El LP :P Installer T.�.' Date.. . . .. .. . . ... .... .. .. 4 TIy Of NOR14' o� ' TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ,,This certifies that . .�V .w'. . . . . . . . has permission for gas. installatio ` ./ '! .•f- . in the build'ilgs of � at . : ... .r:�. . . . . . . . . , North Andover, Mass. Fee -��. IP Lic. No.�. . �. . GASINSPECTOR J Check# FJ� 5685 MASSACHUSETTS UNIFORM i APPUCntor ypel ION FOR'PERMIT TO 00 GASFITTING i 1 , Mass. Date 205, p t d (�Q Building L tion weer s me Of occupancy New❑ Renovation[] Re lace nt� Plans Sub rlfitied: Yes ❑ No p a W l+ = a • 111 � '� N) � Z Q � � � � � J S .. � . SUB-BSrTr o ©. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR is tailing Company Name Cheek one: certificate ddress ❑ Corporation usiness Telephone__&C)' .—U ❑ Partnership ame OF Licensed Plurnber or Cas FitterirMco. IN,j ANCE COVERAGE: 1 have a current li billty,Insurance policy or its substantial equivalent, which meets the requirements of MCL Ch. 142. Yes t No ❑ If fou have checked yes,please Indicate the type of coverage by checking the appropriate box. A liability Insurance policy&/ other type of indemnity p Bond 0 OWNER'S INSURNAi E WAIVER: 1 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 t54 perm application Walves this requirement Signature oOwnerorOwners Agent Check one: Owner ❑ Agent p *reby Certify that all of the detalls and InFormatlon i have submltted for enteredl In above application are true and accurate to the best of r knowledge and that all plumbing work and Installations performed under thermtt : pe 1 e pertinent provisions of the Massachusetts state cas Code and Chapter 142 of the Ge r this application be incompliance vNtr Type of license: Tide , Ti S g re o Licensed P u ber or Gast F ter e c)Plumber p e as fi tter APPROVED p.IVlaSter License Number APPROVED SOFFICE USE ONLY1 0 Journeyman BELOW Pon OFFICE USE ONLY i • i FINAL INSPECTIONS $KETONES PROGRESS INSPECTIONS FEE N0. APPLICATION FOR PERMIT TO 00 PLUMBING r,wrwi.rr+ir�.�ri rrrwr� - rr.ww.�w _ NAME i TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE _19 PLUMBING INSPECTOR ,733 Location/ No. r Date NORT►, TOWN OF NORTH ANDOVER ; A Certificate of Occupancy $ • ,' Building/Frame Permit Fee $ cHu Sss Foundation Permit Fee $ se , � Othel—Permit Fev<" $ 7 4 Cj C^ Sewer Connection Fee $ Water Connection Fee $ TOT6165 $ Building Inspector � � !/ 6586 Div. Public Works .PERIIM NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. L/P GE 1, MAP +40. I LOT NO. 2 RECORD OF OWNERSHIP iDATE )BOOK 'PAGE — ZO E SUB DIV. LOT NO. 3 � ywATION ` D I /1�Q����` {� PURPOSE OF BUILDING x 3/ //J gllDQA ad r `-`NIliSl NO. OF STORIES 6 SIZE7ER'S ADDRESS ( f `sfJ���p t,I�� f� 11 1, (�,/1` BASEMENT OR SLAM - ARCHITECT'S NAME Aa 6 1 tL hl �(,Af 1� N SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ''S"�1 p�„1,�1 (� �� )'`L"A SPAN 41-1 STANCE TO NEAREST BUILDING OQ / DIMENSIONS OF SILLS -- --_ 41--b ISTANCE FROM STREET ! (� "' POSTS e---6ISTANCE FROM LOT LINES-SIDES 31 1 ,�f' REAR .ry .� T' " " GIRDERS AREA OF LOT •7 FRONTAGEL HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES f EBT. BLDG. COST 0 (� i PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. I PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. y ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FI ED AND APPROVED BY BUILDING INSPECTOR DAfE FI D (�/ t BOARD OF HEALTH SIGNATURE CW6VYNEROR A'IGTHORiZED ENT FEE � d i o o ` � .i PLANNING BOARD PERMIT GRANTED OW� TEL.# G P G !� CONTR.TEL. t» — 4,0NTR.LIC.# d 3 BOARD OF SELECTMEN li BUI NO INSPECTOR �y BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYs oRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ B t 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WAIL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/ ' '/ FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD%tJ'D _ ASBESTOS SIDING _ COMIACN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 6 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. t STONE ON MASONRY WIRING STONE ON FRAME 1 SUPERIOR I� POOR ADEQUATE NONE ! 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT I SHED_ WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING 11 MODERN FIXTURES _ TILE FLOOR TILE DADO 8 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING Y FORM U - IGT RELEME FOIA INSMWCrIONS: This form is used to verify that all necessary approvals/permits from Boards and Depart encs 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: _ �eeef Cr4Qwak Y Phone J Y60S— LOCATION: Assessor' s Map Number Parcel Subdivision NIEw (.A STl C rg-pTrs Lot(s) 3 3 Street CA S TC(Z0-Y) St. Number /4 ************************Official Use Only**************** ******* REC0XMIMIDATIONS OF TOWN AGENTS: a Date Approved /0 Conservation Administrator Date Rejected • Comments ' Date Approved ick1 Town lappet Data Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway pe--=i-,- Fire ermitFire Department ' Received by Building Inspector Date C1D G I/ g _ Striucom las sruc StF' as Pools ` t '�ray�moi; e rg I - • a •a - 1 VN, a — .1 4' kn tat NN , Y • t wnn:4- Sw i m i ndPo I CIM ` %i Y , l A solidi vestment in family un. There is jus no better way for your family to exercise than with your own Structo-GI ass swimming pool. Enjoy hours of endless fun . . . right in you own backyard. Your Struc o-G ass swimming pool will bring family and friends together for quiet evenings, fun-filled afternoons nd healthy ea,rly morning wims. .lam* A6/, I yyF A � i. i it l / �_ ter!• r r w ss �'r.}' / •; ^•.TM'� -err... �. � �. j t "[ _ :/'.. ."`^_.,,mom ::'-... = •L } 1 Soak-up a little id-day su G Your Str cto-Glass pool can be a gr at place to relax, do a little readi g or work on your tan. -° ` 95 o It's your vacation paradise . . . right in your own backyard. Unwind after a hectic day. Ever hac one of those days when everything goes wrong? A relaxir g swim after work can evening. Your Structo Glass swimming pool w offers ar excellent investment in health, propert and peace oi mind. fr Designed for strength . . . Engineered for durability. Rectarigle The Swimming Pool Center ias been a c uality manu acturer and installer of ingr and pools for over 35 years. We offer superior workmanship, dependable service, qual ty product, and so much more. We have an unEqualled reputation fordoing the finest installations along with friendly reliable ervice. Qua ity work has to start with a qu lity product The Swimrr ing Pool Center as a manufacturer has developed a structural fiberglass panel that is non-corrosive wit the 12 x 24 str ngth many times greater than a steel or polymer type panel. It was 15 x 30 deSigned with a unique fiber matrix that in cold env ronments will not 16 x 32 crack or fracture like some concrete walls. The resul of this sup rior 18 x 36 e ign is ong sting durability, consistent quality a maximuni 20 x 40 strength all backed by a lifetime warran y. True-L Gr cian Lazy-L 6x32x24 16'/2 x32'/2 16x40x20 8x36x26 161/2 x 351/2 0 x 40 x 28 1 A 01 201/2 x44'/2 20x46x24 Swimming Pool Center 670 So. Union Street Lawrence, MA 01843 508-682-6916 �a na na n �a II (I �(II__`_ e II II POOL SIZE SCHEDULE II II 'B' (INSIDE "*ION) II II II II ��� II II slzE ,A, ,B. .0 ,D. .E. .F, ,�, H. .�. ,K. '►+' IF- 'E' W--o'x sr-o' W-01 sr-o1 3'-4' 81-01 t-o1 e-01 W-W r-w 81-01 r-0' ..M�� ._ M'-01x 39-01 W-ov se-W 3'-,r r-o1 4'-O' 9-01 M-0' D'-01 81-01 i'-01 M 90'-0'x 40'-012V-** 40'-0' 3'-81 r-0' *-o1 V-01 W-O' Ir-0' 81-01 9-0' O JD L 9rr/P.T-T DIAGONAL I I 1'L(THREERAM notA E6- AL COPE 31.0m y. to IT11RP1 EOl1AL i SPACES) I I OI-AWL Lu Q 2r/1. TOP RAL-M. 2w4 MD. TM P.TRT'D 9rr1�eNDeMo aT)o � 9x4 ao.eND aTlo on — _ 2"IND.MTERtO'VIATE STIR P.TRrD van I mm OVER P.TRrD roar-M. U C>QMNTRtOW PAMEL 2149 TKMT ,"`•o4aT P. TMI TIME) '` '1 CORNER POST DETAIL Ul to 9M BOTTOM RAL-M. —1 NOT TO SCALE (n 11.TRro YOM LINM OVER �• I��� VMYL LMER OVER CEMOITft04 ) S PANEL L II PVC Rdf�TOR c I I I I r eoNalETe w ooR II 9x1 BD.ENo STM I ES I p P.TRTD �. I _9+1 xONIOONAL BRAC -TYTI D I II ANCNOR ONG ROW L IL !R-B) II 9>.1 nAM �I II II u �4%THM POSTP 'Ml ISIX EQUAL SPACE .ea1TL01o8T - . —� z K-4-'N TYP. PANEL SECTION 8 CENTER POST DETAIL —I NOT TO SCALE NOT TO SCALE I POOL PLAN �/ 3 —1 NOT TO SCALE 0 J a'-O. OR 10'-O* PANEL{p���q�y a'-O. OR 10'-0' PANEL yM� y� OVER 98181( '.TRT•O TOP CBTIIfiImJo1'AMELa- M. 9xi P.TIMD CMXTERPOST 4X4 P.TRrD COMM Sri P.TRT'D CEMTlRPOST 4X4 P.TRT'D CORNER �. BRACE EMBEDDED MST- M BRACE EMBEDDED MST- M M CO)ICRBTE ��.�p M CONCRETE 111 �TitT'D BTIDS 4 EMD ST1aa 3} Lu �TRTD $Tun M. TRTD U It is 3 ° STM3-M. (t7 T� TIDS 4 vI P. offrom :q eRllees-TV R.r Z �1�,P DGp r r r r ■9' r n. r r I r r nl i i i r D�!'�C�NC, r �'•'• i iFi/SY ANCMO1t IIODa—moi r-O9•^LSf-o' O COACRETB r r I .�,�.� I I r r r I n u r u u i i i i .. •' i i i i i u - ul ul ul ul Z 2 PANEL ELEVATION S PANE AN —I NOT TO SCALE —I NOT TO C� 4 EIIBmDID M CONC. T3 73 OR A� OR GRADE /n O �r P3L GRADE v/■ ,^ ""M UM pyo ( P R?'91, NATER LMB I TRT'L vI CONCRETE BOOR r Q 11 I I (BOLTED) o r � L �• T��App y4 pE p � 1. r•■4�.p1 I I 1� LONO }: I:•. ••:; •j :.• 7-0•LONA 1 I1NC710R RODS-M. 1 t�M �� 1 1 I r •:.41 r• LJ:' �NCRI.�TE TOOT -O'DEEP 3 SECTION A—A �'J L SECTION E—B —I NOT TO SCALE —� NOT TO SCALE •..ems. .........,.,�s�►un►r►�►�i�YSvs:�'�►1�Y�aliVY � s .- .. AUG 4 m1 ERT/F/ED FOUNDA TION PLAN OCATED /N Wo.Amooyept , rcp, DATE: Scott L. Gi/es R.L.S. 50 Deer Meadow Rood North Andover,Moss. }. E LOT 33 i w Px LOT3t�35 .2!' .age E Sl- I N X3.2.3 AUG 4 pm r / CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BU/L DING /NSPEC TOR ONL Y SHOWN COMPLY AND SUCH USE/S FOR 7-HE- WITH HEW/TH THE ZONING DETERM/NAT/ON OFZON/NG BY LAWS OF CONFORM/T Y OR NON-CONFORM/TY l,lo•AtjteQmmA► WHEN CONSTRUCTED. WHEN BU/L T �.,ZDBS•9 RTvj Town of Andover No. 439 r- v� v o LA 'odover, Mass., &.I,/ 19v COCHICHEWICK V BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................40.I�1''.... > .:.. l� I.. ..................................................... Foundation has permission to erect.....#0p..O.do.............. buildings on /./#..�L..4FAWi�i,�..rt,cAPOA-Or" g ............. Rough to be occupied as1 .�Ql�. .��.� . .�- '. .. oo......................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR � . A1 Rough ......... ...... .... ...... .... ............... ....................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Buildirlg GAS INSPECTOR Display in a .Cons icuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT R+ i � D Location)/0 No. Date Tp TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�cHuse Other Permit Fee SeweiConnection Fee 2 5VVa'Ce Connection Fee $ QG�J TOTAL v" Building Inspector �= 6667 Div. Public Works No. Date c' 40*T�,4 TOWN OF NORTH ANDOVER Certificate of Occupancy $ 4 Building/Frame Permit Fee $ f s � �'�s'••°•''t�' Foundati n Permit,F e $ sAcm r Q t -Oth errr�}# ed'" $ . -Sewer Connection Fee $ _ Water Connection Fee $ TOTAL $ ,0 SEP.j 7, 1993��, � ti --- Building In§pector J 6528 Div. Public Works ti 'Location t 3 � 0 No. ' Date k .3 `01+OWN OF NORTH ANDOV R tPQe of Occupancy $ 7 l-3 53 Buildita I rame Permit Fee $ 66 ssACHUS6 Foundation Permit Fee i �c71 Other Permit Fee $ Sewer Connection Fee $ (� Water Connection Fee $ lu 0/2-3 ;? TOTAL $ .— --� S�bl@uilding Inspector - 6328 Div. Public Works Ax rlIpcation'II � �,���.• 3 l © Date O� # TOWN OF NORTH ANDOVER 1 °,4'� , p Certificate of Occupancy $ `�k! - U U * Building/Frame Permit Fee $ ss� Mus C" E Foundation Permit Fee $ L Other Permit Fee $ ` Sewer Connection Fee $ 4 t'n T Water Connection Fee $ a TOTAL $ •©� , , r Building inspector y i-�c" AI.•�• 6279 Div. Public Works Location l No. Date R1M .--t6WN OF NORTH ANDOVER � .r Certificate of Occupancy $ • r i • - E%Wg/Frame Permit Fee $ 4y wwAn0'�.�. ass„ '? Foun 11tion Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ ZdU Water Connection Fee _ $ 1 Z'`� �- (/D TOTAL $ aG AkC 7633 /� f iiilding ItiSpector' sJ /f 6441 Div. Public Works � E'k%ti�'i 1yc; APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. j i—fiy 3 7 PAGE i MAP 4-40. I LOT NO. 2 RECORD OF OWNERSHIP (DATE (BOOK PAGE — ZONE SUB DIV. LOT NO. LOCATIO PURPOSE OF BUILDING OWNER'S AME NO. OF STORIES � SIZE /c�-la��utr�t ��.4�� �f ��v CtrrJ� c i OWNER'S ADDRESS BASEMENT OR SLAB d p ARCHITECT'S NAME ' SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN 41, ) sem, &�L,� n DISTANCE TO NEAREST BUILDING I DIMENSIONS OF SILLS DISTANCE FROM STREET ! POSTS DISTANCE FROM LOT LINES-SIDES Sal REAR 9v " " GIRDERS AREA OF LOTZ FRONTAGE UV f HEIGHT OF FOUNDATION �/ THICKNESS IS BUILDING NEW q C c SIZE OF FOOTING X IS BUILDING ADDITION 6i6 MATERIAL OF CHIMNEY e IS BUILDING ALTERATION 400V IS BUILDING ON SOLID OR FILLED LAND 'rQ// ,WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �/�S IS BUILDING CONNECTED TO TOWN WATER Y.-S J BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER )1Ef IS BUILDING CONNECTED TO NATURAL GAS LINE E INSTRUCTIONS 3 PROPERTY INFORMATION y.7 + 0 LAND COST - SEE BOTH SIDES �` •zrol+/M'S U U EST. BLDG. COST Ljd PAGE I FILL OUT SECTIONS I - 3Q EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 12 DUE FRWE PERMIT$ EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. l� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND AP ROVED BY BUILDING INSPECTOR DATE FILE BOARD OF HEALTH SIGN RE aP OWNER 611 AUTHORIZED AGENT i F E E \ PLANNING BOARD PERMIT GRANTED OWNER TEL. l t93 CONTR.TEL. t, CONTR.LIC.#� �_ BOARD OF SELECTMEN xi- 1Qi BUILDING INSPECTOR ` 4 ry-1 a7 t d6'1 A BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SIOkIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE d 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJALL _ UNFIN. 3 BASEMENT AREA FULL I FIN. 8'M'TAREA _ 1/1 1/1 1/1 11 FIN. ATTIC AREA NO 8 M FIRE PLACES HEAD ROOM _ MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ {yj • " s►_:;t ; STUCCO ON FRAME ��.-.ws...4,e.. .+•;- s _Nl� BRICK N M N Y ATTIC STRS. & FLOOR _ q• +�sj; BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORPOOR _ ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE I HIP I BATH I3 FIX.) GAMBREL MANSARD TOILET RM. )2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK / SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER / ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE ` FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T I ELECTRIC r 1 sf i 13rd I T' NO HEATING r • � 1 FORM U - IAT 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 local or state law, regulations or requirements. � • ****************Applicant fills out this section***************** APPLICANT: -,/ v � �G,,,c Okil 04 0 Phone LOCATION: Assessor's Map Number e r ti Parcel Subdivision lvE6-�S�J 5��9 �5Lot(s) s Street L� /9 7�g� c�. St. Number Up ************************Official Use Only************************ RECOM14ENDATIONS OF TOWN AGENTS: T l � Date Approved Conservation Administrator Date Rejected Comments Date Approved �o a Town Plann r Date Rejected Comments Date Approved Food Inspector-Health Date Rejected L " _ Date Approved Septic nspector-Health Date Rejected Comments Public Works sewer/water connections - driveway permit Fire Department ` Received by Building Inspector Date V) .. ,, IX \ � .A J � �, , �tel:. •� � .:.,� � :.. I ............... 'o' 0000, l000l 'ole C / a lm� oil, . .. � .+ "t' S r• &ti#�' 4 `n � ^z*i'bf��i 'K ar 4� '�i �L L v + .... 00, •�._ \`^. : �d75 7 �^ � •�{ -iova � � / r; L'o I ;-Ol0000- AUG ERT/F/ED FOUNDA TION PLAN _. OCA TED /N Mo.AmoavER, V16, . uw CALE: / = 4�' DATE:HFARI NENTE Scott L. Gi/es R.L.S. 50 Deer Meadow Rood North Andover,Mass. , LO 33 �T �xl ST 32-.24 L.S�l AM 4 MM / CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE SU/L DING/NSPEC TOR ONL Y SHOWN COMPLY AND SUCH USE/S FOR THE W/TH THE ZON/NG DETERMINATION OFZONING BY LAWS OF CONFORMITY OR NON-CONFORMITY llo•AmWQE&MA. WHEN CONSTRUCTED. tc. WHENBUIL T. 1 7.25.93 • - NORTH Town ofAndover' Y ` VIA 13 No. r ° '� dower, Mass. XkL 19 ADRATED PPa\ �� BOARD.OF HEALTH Food/Kitchen Septic System PERMIT T THIS CERTIFIES THAT../ e�&... �• + 4• Qtoo Foundation BUILDING INSPECTOR BUILD IN buildings on�i!'01 �C . ... has permission to erect.!�!!� / � . ... •.. /q XP.4 a�" 3' Rough to be occupied a • �!•��.��.�����. ... .� �.. .. Chimney provided that the person accepting this permit s n every respect conform to We terms of the application on file in Final this office, and to the pro4diitts of the Codes an By-Laws relating to the Inspec of Buildings in the Town of North Andover. *00 REGUTATW BY PARA. 114.$-S. B.C. PLUMBING.INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. - Rough O PERMIT EXPIRES IN 6 MOWFFFE PAID d v Final �S PERMIT FOR FRAME/. LESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Sv Rough s� FEF FAID:L cam, r DATE: Service BUILDING INS ECTOR Final Occupancy Permit Required to Occupy 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 PLANNING FINAL e/j7633 CONSERVATION FINAL Street No. — Smoke Det. RF1A/FR /1A/ATFR FINAL ld71 eiL#71.0DRIVEWAY ENTRY PERMIT • •. J, + t;!Ilt�t:llll .`:4{1'1'1 NORTH Af 11011.1)INU t.t:ItiC:ll rlll•a•rt•:I11,4.1(i (:.()NS]-.1 WATIM ""' 111\'I::II,tV 1,1 Ili) i)li)i!i•lir!i ,: I I1 iii I:I'I I - I-.i.ANNIN(J 1'LA.NN1NG. (;O!1IAWNI'1'1' Ul;ti'1:1.OI'l1I1 N'l' I::\I;I N11.1'.NIASO )N. I )II(HA( M i CHIAINEY APDL ICA f IDN ANO I'EI;MI 1' • r ATE 43 / 1'Limri.. # )CATION LINER'S NAME: �, "� i JLC 1ILDER'S NAME: ' ' ' SON'S NAME: «� c �1 r•, n c_ J't. ;SON'S ADDRESS: i +SON'S TELEPHONE: �. ;� 1✓ n ,� �� JERIAL OF CHIMNEY: IFERIOR CHIMNEY: J EXIERIOR CHIMNEY: ,J 1I�1BER AND SIZE OF FLUES: f I CKNESS OF HE-ARTI f: -U cfv nimey aa OiAepCace can(aAm to .the uqu,i)(enletr•t:3 u() the curie curet ftc(ve -itice.3 cult( :gue.a .iou beell rceeebed: -- .TE: GNATURE OF AlASON: .-KNIT GRANTED: F L•'L, 'BERT NICETTA GILDING INSPECTOR SPECTEU: -MARKS: _ SOLID FLOCK REQUIRED 3s— THIS PERMIT MUSE GE UISPLAYLO 014 1i(E- PRLAUSES PERJLIT NO. 3/O —` APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 "MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP "DATE BOOK "PAGE ZONE SUB DIV. LOT NO. / .;_ 33 —I LOCATION PURPOSE OF BUILDING ��� (2 s� OWNER'S NAME J�1c/ 7.�r 'j-�/' w NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD _ BUILDER'S NAME 2�1 /� t SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES—SIDES REAR '" GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST C) PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNA NER Uk AUTHORIZED AGENT FEE PLANNING BOARD PERMIT GRANTED OWNER TEL.# t9 � CONTR.TEL.# C/ CONTR. LIC.# BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. —1 PINE BRICK OR STONE HARDw D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ 1/1 7? l/. FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS-7­7I g FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCFETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW 0 ASBESTOS SIDING _ COMIdCN _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 6 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIORI� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) _ GAMBQEL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd 11 NO HEATING i CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 310 Date OCTOBER 250 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON 110 LANCASTER ROAD (Lot #33) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/3 CAR GARAGE IN ACCORDANCE & DECK • WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. / yOKTN CERTIFICATE ISSUED TO Andover Const. & Dev. Corp. 66 Spring Hill Rd. O F ADDRESS Js�CHO uiiding I Spector Town ofover � 'c . ��7 r, jpi�'�`'�aw1.I' v ON °� �o � Q dover, Mass.,_ 19 A°RAT E o PP�\��C, 'Li,9S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System A)IA FAt PA sSIo . $$ 1 � 0 � � V O 4 i A 0 BUILDING INSPECTOR a; THIS CERTIFIES THAT-04' ... /� .. .. ................ .. ...................� Foundation ' i,has permission to erei;U�P'M#'�... . buildings on Rough �K' 7-0 to be occupied a ../.. . .. .. ... .... ....�� ..W14 T4.K.4 Chimney provided that the person accepting this permit sha in eve respect conform to t e terms of the application on file in l X10- this D–�� P P F,,,,;� P every P PP� Fina � � (:" � this office, and to the provisians of the Codes an By-Laws relating to the InspecWMVgr8h0lft6%y6%tq of Buildings in the Town of North Andover. R,EGULATM BY PARA. 114.8-S. B.C. PL G PELT R VIOLATION of the Zoning or Building Regulations Voids this Permit. °ll 3 Fi al � d PE _M 1'-I_ iJN 6 U c` l PERMIT FOR FRAME/ �d ELECTRICAL INSPECTOR B LESS CONSTRUCTION STARTS �� ,;�, S� EEE PA1D:1 ., Rough DATE: ... '�. Service • e BUILDING INSPECTOR -- Final ® r Occ-ttp 111CyPe7-ri1t Recy(li-ed t0 OC:atpy Bt.tildirlg GAS INSPECTOR Display in a .Conspicuous Place on the Premises — Do Not Remove rgh /cfL No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner `. PLANNING 10�1`�� AL 7(33 CONSERVAT10 FIA P� street No. l� V • Smoke Det. SEWER/WATER .�l io/�-� FINAL ��71 Ctd:" �jj.DRIVEWAY ENTRY PERMIT �� �'