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Miscellaneous - 115 CASTLEMERE PLACE 4/30/2018
S`T (���CASTLEMERE PLAOE �"��!"' 21010370000.0 _. � �� \\\ i J 1 North Andover MIMAP 115 Castlemere October 2, 2017 i. 16 MARBLERIDGE ROAD "� . - x 03r7.A-0012_'!:.. a •,_� , Y ' MARBLERIDGE 037.A-0042 65CASTLEMERE PLACE R .='- 037 A-0031 037.A-0030. "� + , RBLERIDGE ROAD (, + ❑ a MA I dy 4i`•!:� Wig' 037.A-003x2 ' ARM " 03-7.A-0043 037.A-0044 1 5 89 _M E PLACE } C-ASTLEM'lERE PLACE i '' _ t r N � �� �I �I i IC liyi q�•�r i . y 1 03*7.A-0033 , 143 C-ASTLEMERE =,�' 0 MVPC Bo ❑ Site Address Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Interstates Meters Data Sources: The data for this map was produced by Merrimack ® Interstate N '9�ORTI� Valley Planning Commission(MVPC)using data provided by the Town of — Major Road E North Andover. Additional data provided by the Executive Office of Q`�t�ac � OO — Roads ,r a Environmental Affairs/MassGIS. The information depicted on this map is Easements for planning purposes only. It may not be adequate for legal boundary definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER ❑ Parcels MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY 41L ? 0.� OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Q c,c„� �w,�, �. ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF �9AQgATfD�' �y THIS INFORMATION i �SSgcNus�t 1” = 55 ft w�E 9 f c� � /1S �'�►s�/��r1+�r� �/ Locatlon�'�((��� No. Date "pRT" TOWN OF NORTH ANDOVER 41 F ; p Certificate of Occupancy $ ssACNUSEt Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Q _ TOTAL $ U -S Check # clqcf "14 : 68 Building Inspector TOWN OF NORTH ANDOVER , ` BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. 5�/ DATE ISSUED: /0-a _ Q SIGNATURE: IVA C Building Commissioner/ Date.Mtor of Z SECTION 1-SITE INFORMATION IO 1.1 Property Address: 1.2 Assessors Map and Parcel Number: I u Map Number Parcel Num C� 1.3 Zoning Information: 4 Property Dimensions: •r ,� _ f) Zoning40 � District Proposed Use Lot Areas U Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided )(1/ 1 3L v 1.7 Water Supply M.GL.C.40. 34) 1.5. blood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ _ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner ofNu� d C Name(Print) Address for Service: Signature Telephone .� I 2/7 6v C-00ju 2.2 Owner of rd: ( G [ Vq vl D� q�, c CONJ I I's- cg4puts 4 C-Q Name Print Address for Service: z I)OaA ca" M rn Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 LtACons.Tltio�uaper-Cvisor: Not Applicable ❑ CS') Licensed Constructio upervisor: O � � License Numbermn Address � K D GC��� Expiration Date Signa r Telephone 3t 11-71 < 3.2 Registered Home Impr vement Con for Not Applicable ❑ v Company N l rn Registration Number r i Address Expiration Date /1 Signature Telephone G) SECTION 41-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) • Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavitwill result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......C9' No.......❑ SECTION 5 Descri tion of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 01CIAt USE ONLY Completed by permit applicant 1. Building (a)(a) Building Permit Fee 7 7 r 0 / Multiplier 2 Electrical 000 (b) Estimated Total Cost of V Construction 3 Plumbing Building Permit fee tel X(b) 4 Mechanical HVAC 5 Fire Protection r 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT/ORCONTRACTOR APPLIES FOR BUILDING PERMIT I, a(il 1 W v-6 0 ,as Owner/Authorized Agent of subject property Hereby author e LaL4v+ CA 00 to act on My behalf,in 1 iatt s re n e tol work authorized by this building permit application. Ll AA& Signature of Owner Date SECTION 7 WNER/AU I/Z�jE�D�AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and bel �A-ev�_ q C G Print Nar!Lo 6 (!jl — Signature of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR T11v1BERS 1 2 3 SPAN DIMENSIONS OF SII.LS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Net. hep ( — I��bo FORM - U - LOT RELEASE FORM This INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from • Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. .......................■.........■....■■.al...■......■ ..................... BACOO CON*Mci-O e- APPLICANT �9�v C V e PHONE `18)—8 3T—lct f l 0 ASSESSORS MAP NUMBER 3f) A LOT NUMBER `C SUBDIVISION LOT NUMBER t STREET �� ° r-e STREET NUMBER t ................................owes■...■.i................................ OFFICIAL USF; ONLY ........................................................a.........a........ RECOMMENDATIONS OF TOWN AGENTS U^� 1 Z"C-sem. � DATE APPROVED 7 CO SERVATION ADMINISTRATOR DATE REJECTED COMMENTS DATE APPROVED _!ZA 40 TO P `i-!v r p n sem TOWN/ &0 PA e atEtic�►°U DATE REJECTED �'� ►h�(-33 CONMIENTS 1Z DATE APPROVED £ FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS. DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE Sep 15 00 04: 41p Thomas Neve Rssociates 978-887-3480 p. 2 I TOONw-' EAENE ASSOCIATES, ITC. September 15, 2000 Mr. Michael McGuire Building Inspector 27 Charles Street North Andover, MA 01845 Re: 115 Castlemere Place,North Andover Dear Mr. McGuire.- Please cGuire:Please be advised that I have inspected and surveyed the above-referenced site and it is located over 500 feet from the high water mark of Lake Cochichewick. If you should have any questions regarding this please do not hesitate to contact me. Sincerely, THOMAS .NEVE ASSOCIATES,INC. Thomas E.Neve,PE, PLS President,CEO TEN /km cc: Paul Calvo Bob Bacon #2005BI.doc • ENGINEERS LAND SURVEYORS 447 Old Boston Road LAND USE PLANNERS (978)887-8586 U.S.Route#i bpsfield, MA 01983 FAX(978)887-3480 The Commonwealth of Massachusetts Department of Industrial Accidents < Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone am a homeowner performing all work myself. �I am a sole proprietor and have no one working in any capacity �am an employer providing workers' compensation for my employees working on this job. Company name: Address City: C � 5 Phone#: I t z C0 0 2-00 Insurance Co. �1'n� QG' N S CG Policy# C W9 V 43 31 0 Company name: Address City Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify andr t pa"4and a s of perjury that the information provided above is true and correct.Signature Date a o ZPrint name � CA Ca' i Phone# 7 3 l '77 Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION I i . Ale �rr rllrur,irrnvrr�//t r�. /lir.;.iirr�rr llJ BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR i Number: CS 035353 Birthdate: 04/18/1945 Expires: 04/18/2002 Tr.no: 18551 Y µa, Restricted To: 00 ROBERT F BACON 110 STAGECOACH DR MARSHFIELD, MA 02050 Administrator X \ 0 r \ �� ti - MORTGAGE ]_NSPECTION PLAN I�+ ITER DATA SERVICES INC r 7 UN20 ELANCHARD RD- - EURLIC=TO: , 'NLA 01�30� TEL(`781) 272-91Z)0 ' F,A_X (781) 272-6900 • r V rQFz PAU �0 L A.dT K ►Cy ✓•CA�V� pLAhr �T6�- f 9781 .0� dae CsIST��MERE PL.A� ivaALF.` zt E7� NORTH AAmCVE�? lWA .lDB I/t 88l 07950 !7E a As e 401 deck — 31't a i/� srt: �vrdc LPT 24 , 32'± _ t 1 ' 1 I aa" R-=2,9U.00• R-243 X103-ZZ' I=22. 73 CAS TLEMF RE PLAC.= E FiT,rF,.TED T� q.4T[J�ITA FAL NA'Fi'TBA01E C1G►RP. _CGfcA1Nr Tf1AmuLjN TAlild i RV YF1FiT P`n lei -iN nNGP F��ryGICNCtifi: ��� � of �.l f,1R TM n tu[ LA 6 nlvlhtrJl r7Cti'I•nSI7G" N P'F My-DATE:�O• 'Iri.LTfTDTNO(NU dgADYNc:). GIT19�M1UNI:,•(7^wlL(0 w1LTinf:OIC ryrr}.nMAT,. � L111:9,�•ciRNgTTTIN TS NV'1•.Iw:GILI]1)N aN K1.RVwTI()N(:F.RTITIC'3'R To'e Nto Ri'G:neT::INarecTSON!'y rIGKPwiiiN!uKllu�YllGf,GRIPT10NF9 OA CbMCTRuiN NO CO pukrr 1.InK 2VIi.Y,Ullin l�Of:{LILCORII/N ,SGJ.:GRT.1T GriNUT R{^(I;gSU PV K yy'fnB1�IDI11I1P[O PNn MAY ISH NULHL CCT Tr]GIIRTITER �, aL ywN RERUN oR.G bn91;D ON CL17iNT FURNISH})INP �Yr1,7i MA'1'I'KIC`:in'c kGAul,n,NU 7'-An1.C4.T,oyaN29.FaECMENTS nNn RIc tITs or'WAYr ANI.. nnOxIpIP9'r'I.YI•uc•wTKn I1N-r}II.GROUND n6 SIIVWIV.THEY urrHER cG%N l�Ynnlr_u r 1.•}.1*TIInCi:1tP4Uller,MCNTl30PTH8 r.^•Icwl•rIvG OR OTIICR WCIG'Is NO R165P7NS1TILITv lb dbhUMFa�nmaaN'rU'rIH;LP.NU OWNER OR Y. Ctll•wNT_TITS PCRNInN11NT gr1111CTUAGC ARG AP IIN_THLti 1'IAn wN:VRYtyARCD IN nCCOI1,pnNCE TO GLZ 141,Nf ,aL• .r T11'Lfi If.Yc:nAYT�K hb 4"T'pN7 UNLJ'R f)TNRhw,SE NOTfiD OR yHnw6ry HCRi>t. flNl.v.nRwEkE 1:7.TMVC FROM VI0L.T10 I�URGI; K TF 71N/CnL STANI►nf+•n:l POR MORTUAGE LOwN[M1'C4�'IUN� ..,Ips ar,IN TNQ MH35ALHUb•E1'TS 1SUAK[/cir'I(ISG1)-Rgl SUN OP rTt6Rl%GSIPNwL LTh:1NL'uR5 AND OCEDWULLPNU C, NO g(IPw LYO".^'ll(;NIR nlc aN0 USE PORANY OTH>=R PURrgSC[S PROHIBR'4n. CA�Uo J fi`n(rLd�V -SAS Vly(l Q�ZIN11 0069ZLZTRL �d 9Z:CT [IRT 66/70/60 i i NORTH Tovm Of 4Andover �,o _= �A o dower Mass. 0 'a " O J7 .1L COCHICMEWICK RATED S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.......... .V..1................ ...A...I.. ................................................................................... Foundation has permission to erect.9.1..... .'Vo........... buildings on ....�I. .....� }..�l.. '�.� ....... • .............. Rough to be occupied as. .V.N.. ..... OO.�........� ..:... �.i.r`......�� V%a - 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. M %3v) A Pu ) s e l -wv PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. '1 Rough PERMIT EXPIRES IN b MONTHS Final UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough .................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. • SEE REVERSE SIDE Smoke Det. Date. :/. . . . ... . . . . . . . . . . 0 TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SACHUS ES This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Z- Fee: . . . . . . .. . . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check# '/"-30 3674" .nota\ 1 � - P MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FTITING ` (Type or print) ✓Date - NORTH ANDOVER,MASSACHUSETTS k Building Locations ��� G/�// £ /�- Permit# `36 ✓1 Amount$ Owner's Name New I� Renovation ❑ Replacement ❑ Plans Submitted ❑ w w o o z N x d o 3 A U °x SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) / LJ one: Certificate Installing Company Name 4*0j /-/y/jl �%U6 l�C- TidC• Corp. APY-2 Address JSP' 7 S�` ❑ Partner. Business Telephone q,,Y) 9T9,3Yy/ ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE �i Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked}_es,please in icate the type coverage by checking the appropriate box. iability insurance policy 6 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: ❑ Signature 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 !t best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in V )mpliance with all pertinent provisions of the Massachusetts State Gas Code and Cha ter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber 9�j X City/Town ❑ Gas Fitter License Number ©'Master APPROVED(OFFICE USE ONLY) ❑ Journeyman f ;l AMSC TES, INC. September 15, 2000 Mr. Michael McGuire Building Inspector 27 Charles Street North Andover, MA 01845 Re: 115 Castlemere Place,North Andover Dear Mr. McGuire: Please be advised that I have inspected and surveyed the above-referenced site and it is located over 500 feet from the high water mark of Lake Cochichewick. If you should have any questions regarding this please do not hesitate to contact me. Sincerely, THOMAS E. NEVE ASSOCIATES, INC. Thomas E. Neve, PE, PLS President, CEO TEN/km cc: Paul Calvo Bob Bacon nn j SD 1 8 2000~ +JiL..iivt � i-sy7164i- #2005BI.doc • ENGINEERS LAND SURVEYORS LAND USE PLANNERS 447 Old Boston Road U.S. Route#1 Topsfield, MA 01983 (978)887-8586 FAX(978)887-3480 s N° 2657 Date.... f NORTH 4 i, �?;•';�``- ma TOWN OF NORTH ANDOVER FO 9 PERMIT FOR WIRING �ss�cHUSE� /� n This certifies that < 1- "r `�rJ�? `1..Iv/ has permission to perform ....... ....T-.G / v� . ....... .... ................................................ wiring in the building of......... ..«. .f.'z........................................................ at........./ 1... `r ; ��<�l P,�r North Andover,Mass. Fee....7�" Lic.No. ..% � ..:.. ?��.. ...................... ... ............ ............... ELECTRICAL INSPECTOR Check # 9 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 0!fl.e Y.• a%% The Commonwealth of Massachusetts V. L ✓�/ Department of Public Safety ►...tt BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12:00 OreYWry& tem owtud r 7/90 Uean •t«u! .APPLICATION FOR PERMIT TO PERFORM ELECTR CA WORK All writ b be Perft►r*►ed b atturdanct with the Maeeachtuene Electrkal Code. $27 CMR 2:00 (PLEASE PRINT IN nM OR ITP"AM FORHATZON) Date � Z U06 City or Tots ol* _ lT fV To the Inspector of Wires The undersigned applies for a permit to performtheelectrical work described below. Location (Street i Number) Owner or Tenant_ N0 t-NG h c u C.CA w U Owner's Address Is this permit 1A conjunction with a building permit: Yes No ❑ (Check Appropriate Dox) I Purpose of Building Utility Authorization N0. Fxisting Service An Volts Overhead ❑ Undgrd❑ No. of Haters New � ABPs /.Volts Overhead ❑ Undgrd❑ No. of Haters Y tuber of Feeders and Ampaciey Location and Nature of Proposed Electrical WorkMf\jA YA t P66h e No. of Lighting outlets No. of not Tuba No. of Transformers Total No. of Lighting Fixtures Striping Pool Above In- d.❑ d. ❑ Generators . RVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Datte units No. of Snitch Outsets No. of Gas Burners FIRE ALARHLS No. of Zones No. of Ranges No. of Air Coed. =oral No. of Detection and tons Initiating Devices _ No. of Disposals no. of Neaps -Teal -owl—Tons No. of Sounding Devices No. of Dishwashers Space/Area Heating MW No. of Self Contained Detection Sounding Devices a No. of Dryers Heating Devices Ew Local❑KmLcipal ❑Other Connection NO. 1f Water Beaters 1CW NO• ° o• o Low Voltage S s Ballasts Wirt No. Bydro Massage Tubs No. of Motors Total SP arm: INSURANCE CDVD=t Pursuant to the requirements of Massachusetts General Laus I have a current LiabilityInsurance Policy including Completed Operations Coverage or its substantial equivalent. TES* NO[ I have submitted valid proof of same to this office. YES® NO 0 If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE 0 Bow ❑ (Please Specify) M F R('H A NT S T N Sn- R A Nr Estimated Value of Electrical Work S 1 1 G V U p r�ati/on ace Work to Start Inspection Date Requested: Rough 11 I11 Final_ UV�_ Signed *.Aer the penalties of perjur;: FIRM NAME LIC. NO. Licensaes�REGn 0RY TAY . R Signature LIC. NO-3 2 2 Address 4 SAN MATED DR CHELMSFORD,MA 01824 Bus. Tel. No. 5nq_2Sn_nnt 7 OWN17t•S INSURANCE WAIVE1U I am aware that the Licensee does not have the insurance coverage or is sea stantlal equivalent as required by Massachusetts General vs► an that ry signature on this permit application waives NL requirement. Owner Agent (Please check one) Signature of ant) Telephone No. -\PpoQT FEE S er or Ag 73.98 Z / N 33 � p N v FQv�D AT/a \ 3Od k� i I � �.g8� � Gq�TLE�E2E 4 22.73 �.t .yE.PEBY CE.�T/FY Tl7 TyE'T/TLE/,�/SU.�0.�.4N0 RL or 7V rAW ji"-Ve O.t/ Ti1�EGOTq.S.S.ff9VA ANO .7AMr1.7'O0FS eewxz-►ew /N 1Y/1N T,S/E Tr"'A.' D/-//O.ANDD✓6,e 2GW/N6 zewoGATifWS w / A WMA01W JET,IC rX FZOM ST-PEETS/40T J,e- e �S$ LOG4TE0 IAA T.f�ETFEAE�.aG FiCAOp 4Z4 O6.4.PEAIf ar 4 e,4,*-Al foie 254498 O� C G,��f �GE�C/J.cl,�,2/S 10A 1o�2�5t3 'S / /948 S. •y MA �jL.s� pA E HOFMANN y #36381 /Me-e /r1lWr E'.t/ A. de I.. 10 SE.PI�/lES gtiasuRv � 66 f'•4•P.(�X;-edrET A.f/QOI'ET �lAS.T4G�l/SETTS o/8�D Location 1115 No. Y Date 9 l �oRTh TOWN OF NORTH ANDOVER O? • '• 0 n Certificate of Occupancy $ Is Building/FrameP rmit e Fee $ Foundation Permit Fee $ s�cHus w <A°hw Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ °, N2 Gi A t s I mg Inspector Il 6a !07!98 16:09 2,144.00 Div. Public Works Location prte`"' No. Date i gORTp TOWN OF NORTH ANDOVER a I t p Certificate of Occupancy $ a * ; ; Building/Frame Permit Fee $ s�CHUs<� Foundation Permit Fee $ _ r Other Permit Fee $ Sewer Connection Fee $ f Water Connection Fee $ TOTAL $ eo uil,In I eco rrN 1010719n 99;18 11040.00 PAID 9159 Uiv lic works k � iali[T NO. APPLICATION FOR PERMIT TO BUILD — NORTH .ANDOVER, MASS. PAGE i MAP ilp- 1� I LOT NO. a� 2 RECORD OF OWNERSHIP IDATE (BOOK :PAGE XJDNE ,S SUB DIV. LOT NO. /I S F I - LOCATION /Q PURPOSE OF BUILDING Q eS i OWNER'S NAME VC�enL)teu� /Y ISG j lO� NO. OF STORIESCl SIZE 17s ru _ _ OWNER'S ADDRESS t �1 62, S�,I`� BASEMENT OR SLAB q` �cc � ARCHITECT'S NAME 1-'C er c- Q SIZE OF FLOOR TIMBERS 1ST /1L� -2_' 2ND V� 1� 3RD BUILDER'S NAME �r{� (� S SPAN O DISTANCE TO NEAREST BUILDING / DIMENSIONS OF SILLS = J DISTANCE FROM STREET ��`til POSTS T - DISTANCE FROM LOT LINES- SIDES i4 c>1 REAR (00� GIRDERS AREA OF LOT 211 , ( f i FRONTAGE `�1�r1 0' HEIGHT OF FOUNDATION ` THICKNESS \ Oil IS BUILDING NEW 'T'T �cQr l� tJ SIZE OF FOOTING �it X ('1 bl IS BUILDING ADDITION ` MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE q IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY Q J IS BUILDING CONNECTED TO TOWN SEWER Lk � IS BUILDING CONNECTED TO NATURAL GAS LINE .e 1 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH 61DE5EST. BLDG. COST - �, _ PAGE 1 FILL OUT SECTIONS 1 - 3 EBT. BLDG. COST PER SQ. FT. COST PER BLDG. ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 EST. SEPTIC PERMIT NO. ELECTRIC METEPB MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ,n PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR L71 DATE ILDING INSPECTOR ySl`G URE F OWNER/60-AUTHORIZED AGENT F E E OWNERTEL.X PERMIT GRANTED BLDG, PERMIT�alp* � CONTR.TEL X l , [,a cb LESS W :. q _003157 CONTR.LIC.X � DUE FRAME FLl;,�,/ H.I.C.X tAOR Ty A aTownof _ Andover 7--� 41- — - - ��' Z l dover, Mass., 19 LAKE A COCNICNE WICK iA. E DPA`y S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................................. ' ,. ,c�.�I.L. ............... Foundation has-permission to erect................... .................... buildings on ....'..I..S.....:C,.ATtXC.A.1.4 A. '��................ Rough to be occupied as........................................... ...........r./Q'. '1.�..`. .... Chimney provided that the person accepting this permit shall in every respect conform to the t sof the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspectio , Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final • ELECTRICAL INSPECTOR UNLESS CONSTRUGTTON ST T � Rough ............................. .... ..... ... .. . ......... Service. ..... .... ........ BUIL ING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. i r • COys oo� � r / "l�� ed%�B1lPs• 44 `* 88 lyyg !p BS �U� 98�58/96dtP. f �; .. � 91B18i i 4r r/ i I I y , s t a The Commonwealth of Massachusetts -- - Department of Industrial Accidents Office o//nvesUgaUons = 600 Washington Street ' Boston,Mass. 02111 1 Workers' Compensation Insurance Affidavit f •ci ohone 5 s��ecsle C] I am a homeowner performing all work myself. C] I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. comaasv name ad cess....:. city:: phone#i ittsaranee co:. poli y# I am a-sole proprietor,q eneral contrac or r homeowner(circle one)and have hired the contractors listed below who have the following /workers' compensation polices: ado lfress, nn rr'_1 city N' VtIL lir U �,� phon #•1 "f'� � insuranee>co, Policy* iC mpanx name address.; .. ciLy phone#• insurance eo.: ...... •ya;icf# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be ded to the Office of Investigations of the DIA for coverage verification. 1 do hereby cern and a pains and pen 'es perju at the informapon prgvided above is true and correct Signature Date PrintnameLEA ter Phone# y � official use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Department C]Licensing Board check if immediate response is required Selectmen's Office C]Health Department contact person: phone#; nOther (rwiud 3/95 P1A) INSTRUCTIONS: This form is used to verify that all necessary approvals/perrr is from " .� V1 k Boards and^apartments 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 SECTION 6req APPLICANTe '�rI la!kS PHON 9?V 'W5— 868 7 LOCATION: Assessors Map Number PARCEL �` k su�►pivisio l�mprP .P.0-.cue _ _. LOT (a) y` STREET (�S7"l?Xere `GLC ST. NUMBER�•� ""OFFICIAL USE ONLYo*��A�k%��-ttab�o��------- ----- - RECqMMNfiATI SOF W AGENTS: ' LASER ATION ADMINISTRA R DATE APPROVED DATE REJECTED I COMMENTS �e_�J«P_. a A 6Q `�v, /Ui 160 � I TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS o u� S ► 6t W I A 400 FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED IC INSPECTOR-HEALTH DATE APPROVED l DATE REJECTED COMMENTS /j7--,_ I PUBLIC WORKS-SEWER/WATER CONNECTIONS : I • DRIVEWAY PETIT LJ FIRE DEPARTMENT iRECEIVED BY BUILDING INSPECTOR pAT I v 1 Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applic t on Building Permit(below) Address of Property for Permit(below) av,eel imp-C, Map and Parcel : Purposegf�pplication (check below) Pho a Number of Applicant: • ✓\Single Family _Two Family (6t�t S'Za-� I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. 1 also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit irk issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement.restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. Ala7e lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel an the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate ation, or the checking off of an above item which does not comply, whether done to my knows or not, is grou f refusal by the Building Department to issue a Building Permit. ignature of Oyfner or AGIFahze gent who signed a Attached Building Permit Date This form mttst be attached t the Building Perini upon application for such permit 1,31' N° 1 v24 Date...... . .... .... t t NORTH, or:t'�`` :'�•"�,� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �ss^cmUS This certifies that .........1.0n.......b o. .......................... has permission to perform v YYl�-- ........ .............................................................. wiring in the building of G-A.-',vu..n.Lt,;v......�0 Ca ..t�.. vrrt°!1� �/ n ................................................................. orth Andes c S. 4e..,377....... Lic.No.3 Av/.2L....... �. ..... ................ ELECTRICAL INSPECTOR C � W99 13.32 379.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer I: t Date... .... 9 ' ,,ORT" °t �``°;•� TOWN OFN H ANDOVER PERMIT OR (RING 4 � i SSACMUsf This certifies that 104.... . .. . .U.1 4QCt has permission to form .. . ....�. .�v�.!n. ... .......... ........................................ wiring in the building f ' C S 'North Andover VSs. 1-1,ee 9/.......... Lic.No. �.. 1.r` .... ........�E�M M.... .................. ICALINSPECTOR 1 G KY WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE09WONWE4LTHOFM4&S4CHUS 77S Ogee Use only DEPARTMFEI'0FPUBLICS4FM Permit No. v BOARD 0FFIREPREVENTI0NRWMTI0AS LZ* ��— ' !���,�Q2 �4�5_/��•� Occupancy&Fees Checked APPUCATION FO6R PERMIT TO PERFORM gWORK 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 k`1 Coll Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. t5OwnLocation(Street&Number) its- Owner er or Tenant Q Q Owner's Address \fit e 42,-- Is :-Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) Purpose of Building 1::7�- t VA Utility Authorization o.��6 Existing Service Amps_ / Volts Overhead a Underground No.of Meters New Service apo Amps volts Overhead Underground V No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA '` of Lighting Fixtures Swimming Pool Above Below Generators KVA and E71 eround �No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets I No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No,Hydro Massage Tubs No.of Motors Total HP OTHER i 0 J IrrnrxreCo Ptlzstothera �dssr GataalLaws limeaatnartLibyhtsur uPol ymdu&tCanpkie C vwdWcr�sskstFtUe*ivalart YES a NO M Ihmsthmiltadmandptoofofsametothe0ffio,-- YES rJ NO u IfjcuhmdreWYES,pimeadcE ethetAxcfx maFbydu>gthe a BOND o OT1iM o ) E*atimD* Estim*d Vahx:cfElwhd Wodc$ WodciDSw I spectimDaleRapesbad Rough Fxtal Signedu xkrTrNnaJhmofpjtay. FIRMNAMME 7,� f� Li== `l��"I I��O e011 V, i s gr>ait.ne B im Td.Na Add=- L C-" A1V'0 ZF 9 RD 1,N LI) SIV M 444 DZZ_4 AjTe1Na 7X :12-12 q,6 OWNER'SMJRANMWAIVMI.ammntha&L=wdbesmti their�rmoetx txicss�shintiialegl>Naia>tasrac}madbyM G®aallaws andt;;�tmysigrraruern�as ptm��l fI��er�>x. (Plelsse check one) Owner Agent2� �, Telephone No. PERMIT FEE$ c/ PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. ',A LOT NO. ° �/� 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE ZONE I SUB DIV. LOT NO. T F— LOCATION ��C y,11e � PURPOSE OF BUILDING !,nckig- 1 �( e Se j(L�g OWNER'S NAME -1 T ✓,i - NO. OF STORIES SIZE OWNER'S ADDRESS f , •A_ _nQ� dr r O�,e�` BASEMENT OR SLAB t�SQw�C� ARCHITECT'S NAME L `3 C'1yiJ SIZE OF FLOOR TIMBERS 1ST � I n 2ND 2,<' Z 3RD L.r BUILDER'S NAME k ILA., 9, 0-to vi V-0 -"'t 1 �^ SPAN DISTANCE TO NEAREST BUILDING C DIMENSIONS OF SILLS DISTANCE FROM STREET too POSTS DISTANCE FROM LOT LINES-SIDES t iqJ 1 l l [�REAR Z_C) 1 GIRDERS AREA OF LOT �J.� .1 Q t C �1lFRONTAGE, HEIGHT OF FOUNDATION THICKNESS Ott IS BUILDING NEW n CJ j� SIZE OF FOOTING 1.-� 11 e �X 19 BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND <7�10 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER C BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER P G7 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST '1 OO `oQ® 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 BUILDING INSPECTOR SIGN E OF OWNER OR A ORI D AGENT i FEE OWNERTEL.k PERMIT GRANTED CONTR.TEL. 19 CONTR.LIC.# H.I.C.# I ,'I BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S 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 I 6 INTERIOR FINISH CONCRETE _Ill B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE P —_ —— PIERS PLASTER _ DRY VJALL UNF—IN . 3 BASEMENT AREA FULL FIN. 8'M'TAREA _ 114 1/2 FIN, ATTIC AREA _ N_O 8 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 HARDVI D ASBESTOS SIDING COMfACN _ VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS.& FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH Q FIX.) GAMBRELMANSARD TOILET RM. 12 FIX.) FLAT A 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 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 13rdIl NO HEATING FORM U - VERIFICATION 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******** **M*** APPLICANT: J11 �- Y)utec Cmy, , _ Phone S T I LOCATION: Assessor's Map Number 37 a. Parcel 7'7 Subdivision sk'� QfP /SCG Lot(s) Z5— Street C�S�I�W`eJe � St. Number ************************Official Use Only************************ RECOM ENDATIO B OF TOWN AGENTS: Date Approved /f1l 70�° C , servati sn Administrator Date Rejected Comments Date Approved 1q Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections 1 Z4-) 1l,-�-�� - driveway permit _ TT60 to -7- C� Fire Department`` QU�'�e.j hv)Ac& Wire L,&,6 ke cdT�cT6fL'�-r�i � `Cd)A/J`lY Received by Building Inspector Date 1 Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit(below) Address of Property for Permit(below) (x!�q 4��r,k S WsS � C-e Map and Parcel : Purpose of Application (check below) ,Phorze Number of A plicant: Single Family _Two Family 1 the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. ?The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning ylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density,(buildable lots), permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. aThis application represents a tract of land existing and not held by a Developer in common ownership with an cent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and coFhmissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. Signature of O er or uthorized gent who signed the ttached Building Permit Date This form musft be attached to he Building Permit upon application for such permit. �. CERTIFICATE OF USE & OCCUPANCY Town of North Andover October 5, 1999 Building Permit Number 124 Date � THIS CERTIFIES THAT THE BUILDING LOCATED ON 115 Castiemere MAY BE OCCUPIED AS single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Gle ew Consuctionn 1.4 Crestwood D Andover MA ADDRESS • s � ,SSACMUS� - ie ,.. .':, S <.'..:a s "..r ..� e -t r. z ax. s �, t•x,C' 3 t• i "°C .. .. _ _ 4. ry S F .f t . ._ \ .. : .. ... j. 4;» r.. �ORTey ® Of _ _ 4 over No. _77%. dover, MI' .� - 19 a O LANE COCHICHEWIC K+'-�'�• � '9� Aq T E d R•PP �'� �G BOARD OE.HEALTH MIT TPEt,t Food/Kitchen r Septic System b 4 ; BUILDING INSPECTOR Tt�isCCRTIFIESTHAT.:............................... . + .. .L.V.0................. ........ .'.... ..!�i". . �. ............. ..:: Foundation r ,- has permission to erect...................(.................... buildings'on ....�..�..��.......�, ,....:........... RoNu�gh� c��i3l�i r l Chimneyi' A <c � -6 tobe occupied as........................................... ,r..14?.. ,.. ,. ..........4...... .. I....... ...................;;............................ 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 lnspection, Alteration and Construction of Buildings in the Town of North Andover. PL BIN SPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. : g c� S �� PmAd EXPIRES IN=:6 MONS-IS E CTRI UNLESS CONSTRUCTION ST . T Ou I aJ ♦/ � � — / ........................ .. ..... ................... Servi e /1 ..... ... .. . ........ BUILDING INSPECTOR inal Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the .Premises - Do Not Remove Rough �d y � P y P No Lathing or, Dry Wail To Be Done Until Inspected and Approved "by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. I /.7.u,4 October 4, 1999 Town of North Andover Attn: Building Inspector To Whom It May Concern: In regards to the residence at 115 Castlemere Place It will be my responsibility for the completion of the landscaping and the master shower. Paul Calvo �( /X . r- .'.JrZ--._ _ �....,�-• ' r r'7^--••`ti"--• `J.-v.. .. - t: ..,fie',^.,..,,,1, ,>•.' ...... �: Date. . . T ° 4002 t`+ M NOR71� t o? <��•°;•;;hTOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �SS+�CHU This certifies that . . . . . . . . . . . . has permission to perform .. C... . ..�. . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . , at , North Andover, Mass. Fe&27 . .:. .Lic. No//,3O.�.l . PLUMBING INSPECTOR 04/20/99 14:29 397.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date \-1- 1�-1-�► Building Location 1A�s�l,t �v iR- _ Owners Name Permit# 1-" 0 Amount c X97 Type of Occupancy (L", New © Renovation Replacement Plans Submitted Yes No 0 FIXTURES w w rn a � z Cz zCn s z a ° F z F o F � � S133-13M il;��vr t 1 IST.FWM f i 2NIFLOCIR G �► a 311D FUM 4IH FUM 5M FLOCK 6IH FLOCK 7111 FLOCK SIH FU= (Print or type) Check one: Certificate Installing CompanyName(\,.nWcJ P\ymb,ac; ���AAC�lS � Corp. Address i�)(La`AL ❑ Partner. Business Telephone CV;`)-9ioo Firm/Co. Name of Licensed Plumber: AA Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: El insurance policy n Other type of indemnity EllBond Insurance Waiver: 1,the undersigned,have been made~aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner Agent El 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 Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: Signa u�re of Licensea riumoer Type of Plumbing License Title City/Town License TNum er Master ® Journeyman ❑ APPROVED(OFFICE USE ONLY Date. .��'. 9 ii M3 �'<"•0 TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING s^o •'i ,SSACNUS� This certifies that i has permission to perform . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of at.// . . . . . . . . . . . . . . . . .(. . . . . . . , North Andover, Mass. Fee/-/( . . . .Lic. Noka3b. . . . ... . . . . . . . . . . PLUM SPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMI O DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS 1 � Date �G Building Location 11 S S i^ti,C zt°2Owners Name !) Permit# / / Amount Type of Occupancy New Renovation Replacement ® Plans Submitted Yes No FIXTURES z W � Con 01 w � a W �-+ F+ z SMBM M 110CIR zrn FLaR 3MH1M MHJOCIR 51H lJoat M moat MiFlaR • HBM (forint or type) Check one: Certificate r Name f ( GGz �l �' �' Corp. Installing Company N � 5 �• �f � Z'-F Address sv Fb 2"' J F Partner. `Z2y ✓T"" 0 LJ/-Z , -1, Business Telephone �� I—�„ �• Z p aFirm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the Ilype of insurance coverage by checking the appropriate box: ❑ Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature 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 in ns p ed un Permit Issu for this application will be in compliance with all pertinent provisions of the Mass usetts S to mb'ng C and Cha 142 o General Laws. By: SIgnature ot Licenseaum er Type of Plumbing Livens Title City/Town w ,.,um er Master � Journeyman ❑ APPROVED(OFFICE USE ONLY 3150 NORTH TOWN OF NORTH ANDOVER pf +�ao ,e,h0 ar PERMIT FOR GAS INSTALLATION S G. SACHU`'Et This certifies that;. . . .�. • • • • •, has permission for gas installation . . . . • in the buildings of.. . ... . . . . . . . . . . . . . . . .�.-�. .. . . at -Z` �^`'''�,• • • • 1•, North Andover, Ma!a Fee.7.� Lic. No.. . . .. J GAS INSPECTOR WHITE:Applicant CANARY:Bullding�oept. PINK:Treasurer t o Y MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING �k ype or print) Date LA { _ 19`l� NORTH ANDOVER, MASSACHUSETTS Building Locations Permit# Amount$ S�--� Owner's Name New® Renovation ❑ Replacement ❑ Plans Submitted ❑ Le w �' C r z Z C V coG w z u w z = -c m � w U C. � W n z a _ r �, m z C �" -s w w z U L SUB-BASEM ENT r B A S E M E N T � M IST. FLOOR 2ND . FLOOR 3RD . FLOOR 4T H . F L 0 0 R 5"rH . F L 0 0 R Ell 6T 11 . F L O O R 7Tli . FLOG R 3T H . F L O O R (Print or pe) Check one: Certificate Installing Company Name— rn£cL�us.+� plvr.�b�,�G �� cLAdS" ❑ Corp. Address S�.c�Ag I�IL�i/.e ❑ Partner. Business Telephone qns_C,j—1=liLo M Firm/Co. Name of Licensed Plumber or Gas Fitter {� ,.`Ili kA .4-n 1 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® 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: Signature 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 Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title 0 Plumber "— City/Town ❑ Gas Fitterlcen�Numoer r 754 Master APPROVED(OFFICE USE ONLY) ❑ Journeyman N 2v � G Date..... .v......`.1...:...�! t NORTH 1 °�,��`°.;•.,"°° TOWN OF NORTH ANDOVER ° ' PERMIT FOR WIRING SSACMUS�� This certifies that U✓yj ..J�u � v U U 4 /� S �...........T............. has permission to perform .. l e.��' ����`Jt C .............................................................. wiring in the building of... �.'E' ��`^"` S r ................/................................................... l/.5�,,,C�? S f �I�f �L ,North Andover,Mass. ,.. 7)Fee.. � . ... Lic. 2 .......................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANAR Building 13%$00pj YDNK:Treasurer ;� Office Use Only Permit Nc, 761 r�� ea,�o��vF�T,><o;yxrrssJ'��rrwJC�'7s D Sammy Occupane/&Fee Checxed BOARD OF FIRE PREVENTION REGULgT10NS 527 CMR 12:00 f 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 (0 C_� , G I To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. location(Street&Number Il,, Owner or Tenant Q(veck \4ll��) a iy-t c Owners Address Is this permit in conjunction with a building permit Yes No ❑ (Check App Purpose of BuildingUtility Authorization No. � Exis'111g Service Amps Voits Overhead ❑ Undgmd'C3 No.of Meters /f Newfervice Amps Voits Overhead ❑ Undgmd ill No.of Meters :1- Number of Feeders and Ampacity ---�— I ocation and Nature of Proposed E!ecstcal Work Total No.of Lignt8ng LightenOutlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Ugnbnq Fixtures Swimminq Pool gma ❑ and ❑ Generators KVA No.of Emergency Ugnting No.of Receotacles Outlets No.of Oil Burners Battery Units t o.of Switcn Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and ria.of Ranoes No of Air Cond Tons Initiating Devices Heat Total Total No.of Diooaal No. Pumas Tons KW No.of Sounding Devices No.]of Self Contained No.of Disnwasners Soace/Area Heating KW Oetection/Sounding Devices C Municipal C Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs 8adases Winn No.Hvdro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the regkuremen6ts of Massachusetts General Laws I have a current Uabdity Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you hive checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BONO = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: LIC.N0. i FIRM NAME p `/ Ucensee �M r'J t7 tl K 1) kJ l!etj[D -� -Signature -LIC.Bnv�,�.kJ..n NO. {� Bus.Tel No. / 7 2 Address s / G11�I'�lIO Z 16 1 'N Alt Tel.No._ OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) 5� (Signature of Owner or Agent) Telephone No. PERMIT FEE: