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.Location
No . -� 8 Date E"'� Cx
a
G.
ORT” TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
> Building/Frame Permit Fee $
Foundation Permit Fee $
s�CHus
Other Permit Fee I>CIMAO $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ Sv�-=-
e.�,�x C S8 4,9
i�rrr� (Q fob/ j"� Building I pec r
sy 3 Div. Public Works
PER11IT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE I
MAP 4-40. LOT NO. . 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE
ZONE SUB DIV. LOT NO.
LOCATION cif, SuY�� Cr��z--) PURPOSE OF BUILDING
O� Y �i icLG _ ��'►d GI% '-!12C. ' 1, i¢I19/�1 ��!�B'�.fi�
OWNER'S NAME Ved/ _w /�At-7d-Hr 15,/57eW, NO. OF STORIES ISIZk
OWNER'S ADDRESS /4c>990 BASEMENT OR SLAB
ARCHITECT'S NAME 0Ver4^-R2b (J_
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME//`\e7e rzL1/d79rGi�ta/1 SPAN
/'C J 1>V
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES-SIDES REA GIRDERS -
AREA OF LOT RO NTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW > SIZE OF FOOTING X -
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATI IS BUILDING ON SOLI OR FILLED LAND
WILL BUILDING 5PKFORM TO REQUIREMENTS OF CODE IS BUILDING CON ECTED TO TOWN WATER
BOARD OF AP ALS 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
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 1FILED AN13 APPROVED BY BUILDING INSPECTOR
/ATE `.FILED beAJE
V 4 f NUILDING INNPECTOR
SIGNATURE OF OWNER OR AUTHORIZED AGENT
40
ruff
F E E SO J OWNER TEL.#
PERMIT GRANTED CONTR.TEL.# E20-13—
Ntlo 19 CONTR.LIC.#
H.I.C.#
Ceti s ss 69
I �
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 d t 2 13
CONCRETE BL'K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL
UNFIN.
3 BASEMENT 7-7 17
AREA FULL FIN. BM'T' AREA _
114 '/p '/ FIN. ATTIC AREA
NO BMT FIRE PLACES
HEAD ROOM _ MODERN KITCHEN _
4 WALLS 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDVJ'D - -
ASBESTOS SIDING _ COM/ACN
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I� POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH 13 FIX.) _
GAMBREL MANSARD TOILET RM. (2 FIX.I —
FLAT SHED WATER CLOSET
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK I
SLATE NO PLUMBING _
TAR 8 GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES t
a
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
t.
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 NO HEATING
NORTI-r
oVM Of
�I - 4Andover
0
No. Y
'�yy �, :: -ort dower, Mass., :Sark G 19
Q t- LAKE 1-
COCHICHEwICK
ADRATED P'P \ Cl
E BOARD OF HEALTH
Food/Kitchen
Septic System
PERM IT T D
1 BUILDING INSPECTOR
....... .. ! ... . �'� t!;0-,YTHIS CERTIFIES THAT
Foundation
has permission to fit.. MC0.Q ff........ buildings on ......1. ..1.... 4� s. .14a....sTe....................... hough
. .................................... ................................................ .... .. ;
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 Cpnstruction of
Buildings in the Town of North Andover. �� tc �" pN�y PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. ROLIgh
Final
r! V 171131 .
ELECTRICAL INSPECTOR
Rough
......... ... . .. -!! Service
.........................
BUILDING INSPECTOR
Final
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
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
eo%f ��-
ld„OwTy ly C.
OFFICES OF: a� ' q; Town of 120,Main Street
APPE.•\Ls :�=.:�: NORTH ANDOVER
North Andover,
BUILDING Massachusetts o 184s
CONSERVATION •�'"`" e't DIVISIO`OF
HEALTH
I'LAN,NING PLANNING & COMMUNITY DEVELOPMENT
KARE H.P. NELSO`. DIRECTOR
In accordance with the provisions of ;✓iGL c jo. S 54, a condition of Building Permit
Number —c2,4-'O ( is that the debris resultine from this work shall be
disposed of in a properly lice sed solid waste disposal ;acilitv as defined by MGL c 1I1, S
156A
The debris will be disposed of in:
(Location of F acili[v)
Signature of Permit Applicant
Date
:TOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
b—SCD— �`�1.`d� .j: I Oi',ii �-'r:i.:l i � . _i•,.�L.�i-�I d._:e 7e:Jb �� : �._Ci
A C Q R D, L t R T I F I C A T E O F I N S U R A N C E ISSUE DATE (MM/DD/YY) 06/06/95 r
PRODUCER THIS CERTIFICATE IS I"URD AS A MATTER OF INFORMATION ONLY AND CON-
FERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT
CITY INSURANCE AGENCY, INC. AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2SD,WAENINCTON SQUARE
P.O. BOX 1297 C 0 M P A 0 1 ES A FF ORD I NG COVERAGE
HAVERHILL MA D1831- COMPANY
TETTER A COMMERCIAL UNION INS. CO.
Code 20.79369 SUb-Code COMPANY
LETTER 9 LIBIRTY MUTUAL INS. CO.
INSURED COMPANY
LETTER C
KIDDER BUILDING A WRCCKINO,INC. COMPANY
LETTER D
247 MAIN STREET ----- COMPANY
PLAISTUW NN 0t565- LETTER E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
THIS CERTIFICATE MAY BE ISSUED OR NAY PERTAIN, THE INSURANCE ArroRDCD BY THC AOLICIES DESCR[BED HEROIN 15 SUBJECT TO ALL Tltt
TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
e0 POLICY POLICY
LTR TYPE OF INSURANCE POLICY NUMBER EFF DATE EXP DATE LIMITS
A GENERAL LIABILITY
A B R441188 07/01/94 07/01/95 GENERAL AGGREGATE S 2,000,000
IXJ COMM GENERAL LIABILITY PROD-COMP/OPS AGGREGATE $ 1,000,000
CLAIMS MADE X OCCUR PERS 8 ADVERTISING INJ S 1,000,000
EX) OWNRiS A CONTRCTRIS PROT EACH OCCURRENCE S 1,000,000
I ) FIRE DAMAGE COKE FIRE) $ 50,000
I MED EXPENSE (ONE PERSON) % 5,000
A AUTOMOBILE LIABILITY CBA 061042 L 07/01/94 07/01/95 COMBINED SINGLE S 1000000
I I ANY AUTO LIMIT
fX) ALL OWNED AUTOS BODILY INJURY S
DU SCHEDULED AUTOS (PER PERS)
(K) MIRED AUTOS BODILY 1AJUNY S
DO WON-OWNED AUTOS (PER ACC)
f 3 GARAGE LIABILITY
! ) PROPERTY DAMAGE S
EXCESS LIABILITY
EACH OCCURRENCE $ 4000000
A [X] UMBRELLA FORM COOZ6556 1 07/01/94 07/01/95 AGGREGATE $ 4000000
] OTHER THAN UMBRELLA FORM
I I STATUTORY LIMITS
WORKER'S COMFENSAILUM EACH ACCIDENT $ 1000000
8 AND WC1.311.235996.014 07/01/94 07/01/95 DISEASE-POLICY LIMIT S 1000000
EMPLOYER'S LIABILITY DISEASE-MM QMPLOYEE $ 1000000
OTHER
S I
s
s
DESCRIPTION OF OPERATIONS/LOCATIONS/VENICLES/SPECIAL ITEMS
fob name. YettoM FreiBht. Terminat
ERTIFICATE HOLDER tELLATION
I SHOULD ANY OF IOt: ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of North Andover THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR
146 Main Street TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICAYP Nni,nFR
NAMED TO THE LEFT, BUT FAILURE To RAIL SUCH NOTICE SHALL IM-
No. Andover NA 01845- POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,
ITS AGENTS OR RGPRESENTATI S.
AUTHORIZED REPRESENTATIVE-716t,a n
+TUIDENT Ll/
DOUGLAS W. CDX,
ACORD 25-$ (7/90) ACORD CORPORATION 1990
J1'4'-UU"JU i UL ! 1 i Ln' ti. n i Mri.) LriNi..Li --L 1"HA, lr'U, tiUdUOC•t 0 i 0 ( ,
' 1
It
From: Marguerite P. Cote Bay State Cas Company Lawrence
Division
Questions? Call (508) 687-1105 55 Marston Street
Fax (508) 688_1875 Lawrenoo, Mossaohusetts 01840
To: Tom _
Company: Kidder Building & Wrecking, Inc (603) 382- (603) 3$2-1422
Address: 247 Main Street Fla–is—tow,stow, N. H_
Date: June 0, 1995
Time: 11:16 AM Pagas: 1 (including this one)
Message: This is to inform you that the service listed below has been cut at the curb
cock on the date listed, and the building may be demolished.
Address Date Service Cut
221 Sutton Street, No. Andover April 1995
Yellow Freight
z
_.. .. . r.._�__.._... _. .......
7a
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Post-It"brand fax transmittal memo 7671 I#of"gees
Co. Co-
De . Phone N^
(t -�/ate
Fax , G� "X I
ill
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JUN-06-1995 13:16 FROM 62CO/N ANDOUER T-D TO 9-1-603-3823697 P.01 `
i •
ivussachusetts Eieciric Comxsny.'
�1 Massachusetts Electric „oI Turnp,�P";t War
Noah Andover, Massacnusetts 01 845 109
A New Englund Elecfic System compony Telephone: 1508►683.951 1
f.
June 6, 1995
KIDDER Building & Wrecking, Inc.
247 Main Street
Plaistow, New Hampshire
Barbara:
This letter is to inform you that the service wires have been
removed from 121 Button Street, North Andover, MA. , as per your
request.
Viz, t
Harry A. Batchelder {
0/8.:Supervisor
s .
Fi
HAB/dlg. i
i
TOTAL P.01