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HomeMy WebLinkAboutMiscellaneous - 122 PLEASANT STREET 4/30/2018 122 PLEASANT STREET ` 210/070.0-00140000.0 01/04/2002 15:55 19786321149 THE INS PLACE PAGE 01 ASL CERTIFICATE OF LIABILITY INSURANCE PRODUCER D1/u4/2002 TH8 iN9 PI,AL'$/PjTCAgURd THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT$UPON THE CERTIFICATE 516 MAIN STREET HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR FITCHBURG, NA 01420 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P t 978-345-6306 F:978-342-741S INSURERS AFFORDING COVERAGE INSURED WOODWISE CONSTRUCTION, JAMES C INSURERA: ZURICH INS CO. P.O. BOX 1330 INSURER 9: 24 VAS"R STREET INSURER C- Leominster MR 01453- INSURER D: INSURER e: COVERAGES ANY THE POLICIES OF INSURANCE LISTED BELOW WAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PWITH RESPECT TO WHI OLICY PERIOD INDICATED.NOTWITHSTANDING MAY PERTAIN.MTHE ICH THIS CERTIFICATE MAY BE ISSUED OR NSURAN ECAFFORDED BY THE NDITION OF ANY CONTRACT DESCRIBED DOCUMENT N IUBJECT O ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TVPE OF INSURANCE aOUCY FFFECTIYE POLICY EXPIfLIIT10N POLICY NUMBER LIMITS GENERAL LLA80.1TY A WCOMINIMCIAL GENERAL LIABILITY BCP 31685994 ' EACH OCCURRENCE s 1,000,000 07/o1/2oa1 07/01/2002 FIREOAMAGC An „fire S 50,000 CLAIMS MADE ®OCCUR MED EXP one ❑ Pelson) s 10,000 PERSONAL&ADVINJURY S 3,000,000 GEWRALAGGREOATE S 2,000,000 OENTL AGGREGATE uMITAPPUES PER: PRO- PRODUCTS-COMPIOPAGO f 2,000,000 POLICY LOC AUTOMOBILE LIABILITY ANYAM COMBINED SINGLE LIMIT S (Es sad" ALL OWNED AUTOS SCHEDULED AUTOS iBODILY INJURY S (Par P�,sonl g HIRED ALTOS NON-OWNED AUTOS BODILY INJURY S PROPERTY DAMAGE S (Wr sotleeeR) OARAGE LIABILITY ❑ ANY AUTO AUTO ONLY-EA ACCIDENT S OTHER THAN EA ACC 3 AUTO ONLY: AGG S EXCESS LIAMITY EACH OCCURRENCE OCCUR Q CLAIMS MADE AGGREGATE SS S DEDVC71BLE S RETENTION S 3 WORKERS COMPENSATION AND WC STA 110TH- EMPLOYERS'LIABILITY A T81 TC14999883 07/01/2001 07/01/2002 E•L.EACH ACCIDENT S 5001.000 E.L.DISEASE-EA EWLOYFF S S00,000 OTHER E.LDISEASE-POLICY LIMIT 3 500,000 DESCRIPTION OF OPERAnOMUL.00ATIONWVLWCLESIOLCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: CRESIMMO RESIDENCH,122 PLEASANT ST,NO.ANDOVBR,MASS 01645 CERTIFICATE HOLDER I Eli ADDITIONAL INSURED,•INSURER LETTER: CANCELLATION ATTN )ISC(3UIR)R SHOULD ANY OF TME ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EIIPIRATMN TOWN OF NORTH ANDOVER DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRMpq NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,BUT FAILURE TO DO so SHALL IMPOSE NO OBLIGATION OR{.LABILITY OP ANY KMO UPON THE MaURM RLN AGENT&OR NORTH ANDOVER NA 01845- REPRESENTATIVE& UT"mm RECENrATIVE ACORD 26-5(7197) oACORD CORPORATION 1988 Location No. g Date NORTH TOWN-OF NORTH ANDOVER 41 � a Certificate of Occupancy $ _ ,SSACMUSEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ v Check # \ 5 15185 Building Inspector v e e TOWN OF NORTH ANDOVER k . ]BUILDING DEPARTMENT kPPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING r €` ar 3UILDING PERMIT NUMBER: � (y DATE ISSUED: /1-29 9`aQ4/ SIGNATURE: Building Commissioner/Insvect of Buildings Date ECTION: I-SITE INFORMATION — L7 1.1 Property Address: 1.2 Assessors Map and Parcel Number: o14 Map Number Parcel Number h1'1 -A dowr 1.3 Zoning Infoiination: 1.4 Property Dimensions:. N�1`' ?oming District Pr osed%Use Lot Area,s Frontage A 1.6 BUILDING SETBACKS ft Front,Yard Side Yard Rear Yard Regt%ired Provide 'red Provided R *red Provided Flood Zone Information 1.8 Sewerage Disposal SYS- 1.7 Water S M.G.LC.40. 34), Zone Outside Flood Zone j✓ Municipal a--- On Site Disposal SYsOem ❑ ?ublic Private ❑ .. SECTION 2-PROPERTY OVNEIt` HIP/AUTHORIZED AGENT 2.1 Owner of Record C,, e CkrYWu 1� escc MAn 7' Lf P l e Name(Print) Address for Service �. Signature Telephone 2.2 Owner of Record: /22//2L/ A627$/gm— 5 r-- 'Name Print Address for Se ice: P(� _ J ���(g7s)6�7—b 53® M®��c�ovc�2 Nd�3 an Sig' Telephone SECTION 3-CONSTRUCT-ION SERVICES 3.1 Licensed Construction Supervisor. Not Applicable ❑ Lic ed Construction Supervisor.. License Number a� Address w, i f f ( I 3 Expiration I/Date Si re Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ cxx� `Isec\a * I 1 5 g'IS Company Name P O( Registration Number l3 oayr�ir� ) v I frow Address q L 6 ao C 0 a Expiration Date 3i ore Tele one i SECTION 4-WORKERS COMPENSATION(NLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed:and submitted with this application. Failure to provide this affidavit will result in the denial-ofthe issuance of the bufding permit. Signed afl5davit Attached Yes....... . , SECTION 5 Description of Pro o's`ed Work"(cheek an ktppjivable; ' New Construction ❑ Existing Building 0 Repairs) ❑ Alterations(s) 0 Addition 0. Accessory Bldg. 0 Demolition 0 Othertwi Specify (w)Y1ee(eKar'-L�tiM Brief Description.of Proposed Work: dot c'A c SECTION 6 ESTMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ` Completedby pernut applicant01, 1. Building (a) Building P6 Fee 1V iti hor 2 Electrical ;(b) E'stiinated Total Cost of Construction 3 Plumbin Building Permit fee(a)x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 0C(5' Check Nuiribe'r SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN '„OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT �n{horu C(a na VY An l I P SC YOD80 as Owner/Authorized Agent of subject property ? s f Hereby authorize W Gb rl� rn to act on t be alt in all mattei el e wokk autho by is building permit application. Si na e of Owner Date JIZ SECTION 7b OWNER`/AUTH ZED AGENT DECLARATION 1, Chi — roy, ✓(/ ,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 belief S Print e F Si is u e-o Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR'SLAB SIZE OF FLOOR TIMBERS 1 sl 2ND 3 -- SPAN DWNSIONS.OF SILLS DMffiNSIONS OF POSTS DROENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIVFNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE The Commonwealth of Massachusetts Department of Industrial Accidents +�j - B/f/ceol�onestl�►suons 600 Washington Street Boston,Mass. 02111 Workers'Compensation Insurance Affidavit name. 0'arvink location: �'�' �� 1-3 ci 'r� r d15 3 phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company name: ���a.��ssrasWood ___.r �$�tt��'�!mes - ddr s : P.O.Box 1330 city: phone#: 7�- Q insurance to. is # UJ(2, Y(Zp E] l am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address: city: phone#• insurance co. policy# company name: address: city: phone#: insurance co policy# �►t"�b ti��i�ona��,et�f�nti 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$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 top),of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. /do hereby certify under the pains and penalties of perjury that the information provided above is true and/,correct. Signatur- J�c= �/�if�'L Date &, Date / Print name Phone# Ccontact e only do not write in this area to be completed by city or town official wn: permit/license# f'IBuilding Department pLicensing Board Z. if immediate response is requiredpSelectmen's Office []Health Department erson: phone#; nOther (,rased 3/95 PJA) ' Wood Wise Construction, Inc. James & Debbie Chesbrough Mass. Lic. #044627 P.O. Box 1330 Mass. Reg. # 115815 Leominster, MA 01453 (978) 534-9211 L�"Accessibility Our Specialty" GT2. HONE INPROVEHENT CONTRACTOR Registration: 115815 Expiration:-, 01/20/2002 Type: DOA _ MOOD VISE CONSTRCTION JANES CHESBROUGH �Gp7"Q°� �B�A4BbX 1330/ 24 VASSAR Svi" ADMINISTRATOR LEOHINSTER HA 01453 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 044627 Birthdate: 10/31/1956 z_ Expires: 10/31/2003 Tr.no: 5843 Restricted: 00 JAMES W CHESBROUGH _ PO BOX 1330 LEOMINSTER, MA 01453 Administrator i SEE SEE SEE NOTE4 14 NOTED 16 NOTED 12 EXISTING RELOCATED r DECK STEPS SEE H o u S E SEE NOTE# 15 NOTE4 18 9'-p" 6'-O" NEW CONC. FTG FOR RAMP RELOCATED STEPS DN I4 -O" © 5'-O" LEVELLRAMP (LEVEL) NOTE: REMOVE &LEVEL S OPE O SLOPE OI * pBUSHES,z "' ;� > PLANT'GIN CONST.AREA + . SEE a. .� NOTE4 I1 i+l Q h�vY� EXISTING STEPS H0USE GARAGE NOTE: Q o w NOT SHOWN PROVIDE 5 SETS OF OFF SET (SWING- FREE) HINGES OWNER TO IDENTIFY a LOCATIONS. O N I � cV. SEE CONC. SECTION PAD THRID SEE RAMP NOTEtI 9 O — INTEGRATE DRIVEWAY I CONC PAD INTEGRATE u' W/WOOD CONC PAD RAMP W/ASPHALT _O„f CUT OR FILL I& AS REQ'D EXISTING TREE TO SITE PLAN OF RAMP REMAIN SCALE : 1/8' = 1'-0' GENERAL_ NOTES o • ,-,4-ALL WORK TO BE DONE SHALL BE SUBJECT TO THE MASS. STATE BUILDING CODE LATEST EDITION AND THE Q p REGULATIONS OF THE MASS. REHAB. COMM. Q Q 2. ALL DIMENSIONS AND MEASUREMENTS ARE APPROXIMATE AND ARE TO BE VERIFIED BY THE CONTRACTOR IN THE _ FIELD. Q z 3. THIS DRAWING IS FOR GENERAL DESIGN CONCEPT ONLY, CONTRACTOR REMAINS RESPONSIBLE FOR TECHNIQUES OF Q m CONSTRUCTION AND FOR THE COORDINATION OF HIS WORK WITH THE WORK OF OTHERS. U 4.INSPECTION BY THE ARCHITECT SHALL IN NO WAYRELIEVE THE CONTRACTOR TO FURNISH SATISFACTORY N a MATERIALS AND/OR WORKMANSHIP OR TO COMPLETE ALL WORK DESCRIBED OR INFERRED TO IN THS DRAWING. ~ U 5.WORK TO BE REMOVED, ALTERED OR ADDED SHALL BE EXECUTED IN A CAREFUL AND ORDERLY MANNER WITH TH uj LEAST DISTURBANCE TO ADJACENT WORK AND CARE SHALL BE TAKEN NOT TO WEAKEN ANY PART OF THE W OL EXISTING STRUCTURE. >Q L. ANY EXISTING CONDITION AND/OR SURFACES WHICH ARE DAMAGED DURING CONSTRUCTION SHALL BE PATCHED. U >-- REPAIRED ui AMER AL S SHALL BE NEW AND BOTH MATERIALS AND REPLACED BY THE CONTRACTOR TO "WORKMA SHIP SHAEX[STING.AT HIS LL BE OWN F THE BEST QUALITY. wSE ° Q 1. THE CONTRACTOR SHALL: a. EXAMINE THE PREMISES AND SATISFY HIMSELF WITH EXISTING CONDITIONS, LATER CLAIMS FOR DIFFICULTIES ENCOUNTED WILL NOT BE RECOGNIZED. b. PROVIDE ALL LABOR,MATERALS AND EQUIPMENT TO SATISFACTORILY COMPLETE THE WORK INDICATED AND W t f- r.() O REQUIRED. c. d. OBTAIN ANDRY ALL IPAY FOR ALL DINGFOR PERMITS REQUIRED-DO ALL WORK IN COMPLIANCE WIAND TH ALL LOCAL, STATE OTHE PUBLIC. Q () PLUMBING. ELECTRICAL CODES. ORDINANCES AND AUTHORITIES HAVING JURISDK:TION. U_jppO e. GUARANTEE ALL WORK UNDER THIS CONTRACT TO BE ,'-REE FROM ALL DEFECTS FOR A PERIOD OF ONE YEAR FROM THE DATE OF ACCEPTANCE OF THE WORK. AND THAT HE SHALL REPAIR AND/OR REPLACE, AT HIS OWN InIL F--v�9Q EXPENSE, ANY WORK, MATERIALS AHD/OR EQUIPMENT THAT-BECOMES DEFECEYE DURING THIS PERIOD. QZ rr- 8.'PROVIDE' SHALL MEAN FURNISH AND INSTALL COMPLETE,INCLUDING CONNECTIONS,LNLESS NOTED OTHERWISE. 9. NEW CONCRETE WALK SHALL BE 4' THICK (MIN) W/8x8 WWF REINF ON WELL COMPACTED SUB GRADE ALL CONCRETEw�F-QZ SHALL BE 4,000 PSI ( INSTALLED IN ACCORDANCE WITH ACI AND MADE IN ONE POURING. tOALL NAILING SHALL BE IN ACCORDANCE WITH BEST CONSTRUCTION PRACTICE.ALL NAILS.SPIKES AND BOLTS SHALL f- F- BE GALVANIZED. �� �N 11. RAIL STOCK AND CUT EDGES SHALL BE TREATED WITH TWO COATS OF CUPRINOL WOOD PRESERVATIVE. Q I O 12. CONSTRUCT WOOD DECK t RAMP OVER EXISTING DECK. CONSTRUCTION SHALL BE SIMILAR TO MAIN DECK rm CONSTRUCTION-AND MATERIALS. LLn 13. CONTRACTOR SHALL VERIFY TOTAL GRADE DIFFERENCE BEFORE CONSTRUCTING RAMP. ADJUST RAMP LENGTH IF NECCESSARY. DO NOT EXCEED A 1:12 SLOPE. 14. RAISE LEVEL OF MUD ROOM FLOOR (opprox 0 FRAME W/24 JOISTS a 14' a 11)/ 3/{'PLTWOOD FLOORING t'FINISH 12' x 12' VCT FLOOR TILE ARMSTRONG OR n. COLOR AS SELECTED BY OWNER. Q 15. REMOVE DOOR AND FRAME RAISE OPENING TO LEVEL OF NEW FLOOR REUSE EXISTING DOOR t HARDWARE, ETC. Z~ IL. RAISE LEVEL OF DECK OVER EXISTING DECK, FRAME W/2 x L JOISTS a 14,' cc W/ I X G P.T. DECKING. Q ai Il. CONSTRUCT NEW RAILING TO MATCH EXISTING ON EDGE SIDE OF RAMP. 18. RE110YE t RELOCATE EXISTING STEPS t PROVIDE NEW CONC FOOTING a BASE REMOVE PART DECK RAIL AS REQUIRED. tYazj 19. = INDICATES AREA TO RECEIVE I I/2' X I I/2' SQ. P.T. WOOD BAULSTERS. LLWN� UQzn 1 3/4' 0 RAIL Fz_Q STOCK <<(L SLANT TOP OF HRO8C0 s15 �E f- 4X4 POSTS CHAMFERJFANTEIOONO EDGE OF 2x4 zz 2x4 W/ 2 1/4' z LAG BOLTS- LAG BOLT1 n POSTSTO 0 1 w �- i O I 5/4 x L f DECKING — 13AULSTERS 1 P x 4 L'oc WHERE SHOWN ; Ul w BOLT FRAMING Qz 4- 2 x L177f THRU POSTS BOLT CONN. 1 2 - 2 x L'• K Q_j ,r t HANDRAIL zw ASTEEL NRs GRADE DETAIL .a• - r-o• O W ' o U�7]Lot tO'r CONC. I I I i NOTE:FIRMS TO ALL FRAMING LUMBER. JOISTSBEARfNG ' ' ( BECK cc.NDl'RPSSSS ALLSECTION THRU RAMP 1/2' _ r-o• 101NETREATED 80UT}�RN YELLOW DATE: 8.9•ol A - 1 cueaT i nr 122 Pleasant Street North Andover, Ma. 01845 (978) 687-6930 Nov. 16, 2001 Listed below is the information you requested. Also attached is a copy of the plot plan which shows the distance to the property lines. If you should have any other questions or concerns, please don't hesitate call. 1. Owners of property: Anthony F. & Melinda L. Crescimano 124 Pleasant St. North Andover, Ma. 01845 Norman P. Crescimano l 122 Pleasant St. North Andover, Ma. 01845 2. Map No.: 0700 Block No.: 0014 Lot No.: 00000 3. The above listed property has town water and sewer. 4. Attached is a copy of the plot plan. Sincerely, Norman P. Crescimano Town of North Andover STEEL PIN _ 120.00' S 270 31' 3d' E 5.6./D.H. 4�I bj ASS E 55ORS MAP �0 w • LOT 14 30' 'o 1 N 15,GOO S.F N N` , � N • z PROPOSED `9 N ADDITION F �..srs:�.cjt: " c}5� N/F N� Stephen J. £ Helen CONC. Peter S. £ Sophie D. Ac�ey Martin / pORC EX I STIN G01 DWELLING EXISTING ol I' 122 GARAGE 0 O O O O O cel — PLAN of LAND in NORTH ANDOVER , MASS. OWNER : ANTHONY F C1ZE5CIMANO AND NORMAN 0. CfZE5CIMANO STEEL PIN 120.00 N 27° 31' 30"W �— STEEL PIN DATE : APRIL 24, 1997 SCALE I" = 20' 1K C3, PLEASANT STREET t andover u M2 consu I tantsti°JFSS,��� 0 URGE ` inc. 1 East River Place William S. MacLeod Methuen , Mass. Reg. Prof. Land Surveyor 0 ZO 40 Go 60 Ft. Wood Wise Construction, Inc. James & Debbie Chesbrough Mass. Lic. #044627 P.O. Box 1330 Mass. Reg.# 115815 Leominster, MA 01453 (978) 534-9211 L Accessibility Our Specialty November 26, 2001 Mr. Michael McGuire,Building Inspector Town of North Andover Community Development Services 27 Charles Street N. Andover,MA 01845 Dear Sir, We have been contracted by the Massachusetts Rehabilitation Commission to construct a wheelchair ramp for one of their clients, Mr. Norman Crescimano, 122/124 Pleasant Street in North Andover. As no applications were available when we stopped by your office, I am hereby enclosing the completed permit application via mail for these renovations. I am enclosing the plans and copies of my husband's licenses. Our insurance company is forwarding a certificate of insurance to you directly. If there is any other information you require, please let me know and I will expedite it to you. Please let me know the permit fee, and I will forward that to you promptly. Thank you for your assistance. Sincerely, WOOD WISE CONSTRUCTION, INC. Deborah Chesbrough, Treasurer Wood jMWise Construction, Inc. James & Debbie Chesbrough Mass. Lic.#044627 P.O. Box 1330 Mass. Reg.# 115815 Leominster MA 01453 (978) 534-9211 L "Accessibility Our Specialty" November 26, 2001 Mr. Michael McGuire Town of North Andover Community Development Services 27 Charles Street N. Andover, MA 01845 RE: Cresimano Residence, 122/124 Pleasant Street Dear Mr. McGuire, Per our phone conversation this morning, enclosed please find our check in the amount of $25 to cover the permit fee for the wheelchair ramp for Mr. Cresimano at the aforementioned address. I understand the permit may be ready,for pick up on Thursday. Thank you for your assistance. Sincerely, WOOD WISE CONSTRUCTION, INC. D7 Deborah Chesbrough NORTH �_own ® _ E D ..�. over No. i _ . " q� Coca dover, Mass., D�/�� 9'o�oa �.9 ORATED 5 S H E BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System BUILDING INSPECTOR U A/ CJ�°�'It/t N 6'eoS C 67 N B�JI G THISCERTIFIES THAT...... �1 ........... ..... ../.' ............................................................A...... . ............................ Foundation . y a � � ��// a has permission to erect....f/.f.�N......��. #0 buildings on ...�..................Plea'S4 "-' Rough to be occupied as 9��#o'....*I- x u0e" mO d/ 10/C, ip 4 S 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 andBy-Lqws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 9 op l �( 8. -� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ............................................. Service BUILDING INSPECTOR 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 Street No. SEE REVERSE SIDE smoke Det. Office Use Only *' /7�_, 9 0140 Unmunwtalo of MttootttiluoEttg Permit No. i9epartment of Public %fetq Occupancy A Fee Checked BOARD OF FIRE PRE,f€NTION REGULATIONS 527 CMR 12:00 iso (leave blank) n APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORIZ 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 7/93L2Z Q0* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Q Location (Street & Number) 9 P1 eW S 14 Ay+- 8�-• , Owner or Tenant ( !re dm V_�Af01 Owner's Address /�`?� —Jelle-195 A'.J - ��• Is this permit in conjunction with 4 building permit: Yes �No ❑ (Check Appropriate Box) Purpose of Building �4�1�1 -1-/c)A-' �Utility Authorization No. 76�S �� Existing Service /00 Amps 1/0I �Z`Ze) Volts Overhead I��/ Undgrnd ❑ No. of Meters New Service Od Amps J Y6 Volts Overhead L7 Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W/ rr',"JA 6 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total VA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets �v No. of Oil Burners Battery Units No. of Switch Outlets clu No. of Gas Burners FIRE ALARMS No. of Zones i � No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals / No.of Heat Total Total A Pumps Tons KW No. of Sounding Devices No. of Self Contained I No. of Dishwashers ? Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑Other ❑ Connection No. of No. of Low Voltage I No. of Water Heaters KW Signs Ballasts Wiring `T 5}445 i No. Hydro Massage Tubs No. of Motors Total HP 7- OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES C' NO _ I have submitted valid proof of same to the Office. YES _ NO _. If you have checked YES, please indicate the type of coverage by. checking the appiate box. INSURANCE BOND OTHER G (Please Specify) V J (Expiration Date) Estimated Value of lectf -32500, 00 f'cal Work$ "/( C-P'if Work to Start Inspection Date Requested: Rough A&W2 Final Signed under the enalties of perjury: FIRM NAME KC L Se C LIC. NO. ,Sly Licensee SignatureLIC. NO. 6 Bus. Tel. No. 75' �s $ Address 7—+40 , 'e ��kyr Alt. Tel. No. & 3 S S��aCTJ ' — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) x-6565 K . Y' T Date.....7..!?' . N2 1677 NORTH .. "a°� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACNUSE� CJ cckl �P This certifies that . Q e C Js c P has permission toper ....�9r�, .. .Is�n........w. .,l?�..'.X......... :.. - CU wiring in the building of...... 9 at..... ............................ .North Andover,Mass e Fee...,9.11:U Lic.No.]..A(ri.............................. ...... ...... .... . ELECTRICALINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer" yy. V .'1./'� - a:f ._.SFr... T.-.._.. `^ `�' -. p r •�{PY4i+4-.r.+—w..Y,,,,-.,y.ti.J.K.. Location No: - Date N°RTh TOWN OF,NORTH ANDOVER ° C63 F A Certificate of Occupancy $ M k. • � ;; Building/Frame Permit Fee $ cHuset Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ m Water Connection Fee $ TOTAL $ a Building Inspector 10850 Div. Public Works PE&: '00 Y- APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP +40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK :PAGE ZONE I SUB DIV. LOT NO. F LOCATION ��� ��Q 4A,jr J-p7/I�/J� PURPOSE OF BUILDING OWNER'S NAME ,/?AP p_�yvD fit/ /I,n/, ,�/ `�G/)_ JA7 NO. OF STORIES / SIZE OWNER'S ADDRESS9,/vV�'�!//NR-� C��#JU7J( BASEMENT OR SLAB ARCHITECT'S NAME /f jp „J ,S� i/ , SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME iy11r�LJ�� n�j�{/iA a� SPAN DISTANCE TO NEAREST BUILDING b�(©• `V DIMENSIONS OF SILLS --- DISTANCE FROM STREET ,33`� /' POSTS DISTANCE FROM LOT LINES—SIDES/.I Cq REAR 1 GIRDERS AREA OF LOT z /_�� ty FRONTAGE HEIGHT OF FOUNDATION , THICKNESS / 71� IS BUILDING NEW (O: /' JTSIZE OF FOOTING X l IS BUILDING ADDITION !/ MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING OW—SOLID DA FILLED LAND 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 IS BUILDING CONNECTED TO NATURAL GAS LINE j 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 FILED AND APPROVED BY BUILDING INSPECTOR A� / ATE LED � �"/ ` SUILDING INOPECTOR NATURE NER OR WTHORIZeff AGENT ` FtE E OWNERTEL.# ! PERMIT GRANTED CONTR.TEL.# �/��O �'��%'7 o� 19 CONTR.LIC.# H.I.C.# �c f BUILDING RECORD I 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- APARTMENTSRAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 I 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'TAREA _ '/. +/t '/. FIN. ATTIC AREA _ NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ASBESTOS SIDING COMMC:N VERT. SIDING ASPH. TILE �. STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING t' STONE ON FRAME _ SUPERIOR (� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE AH-ED IP BATH (3 FIX.1 _ GAMBRELANSARD TOILET RM. (2 FIX.) FLAT WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES f TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING 1 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'T2nd _ ELECTRIC f 1st 13rd I NO HEATING t+ r1ORT own of over No. m ° dover, Mass., / �0 -T LANE '94:000NICM EWICK LY'�• .qs °q4 E BOARD OF HEALTH i PERMIT T- Food/Kitchen Septic System i BUILDING INSPECTOR THIS CERTIFIES THAT.......................................................... . . ...... .... ...... . Foundation has permission to erect...... ...................z� /J. buildings on 1..z..�..........j...fRough to be occupied as......................... cam- p6 ................. 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST S Rough ............................. .... ... Service B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR i Display in a Conspicuous Place on the Premises — Do Not Remove Rough i Final • No Lathing or Dry Wall To Be Done FIRE DEPARTMENT c Until Inspected and Approved by the Building Inspector. Bumer 3 _ f Street No. Smoke Det. FORM U - LOT RELEASE FORM INSTRUCTIONS: This form As 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: 4 lan' ) -� �"s u M H J6 Phone LOCATION: Assessor's Map Number O 70 Parcel % Subdivision Lot(s) Street St. Number / 2� **Official Use Only************************ RECO ,,/ DA IONS OWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments e�( V�) 'S VIA Date Approved ' Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connecteo - driveway permit � ► re Department ext�j-O- X77 Received by Building Inspector Date r w STEEL PIN Town of North Andover s _ 120.00' S 27° 31 30" E S.B./D.H. w di w ASSESSORS MAP -70 ° LOT 14 3 30' 0 ,a 15)000. 5.F �9 N z PROPOSECD D �N ADDITION N/F N/F } � Stephen J. E Helen CONC. Peter S. £ Sophie D. A9ey Martin PAS / > PORC 15.3' EX I5TI1QG DWELLING EXISTING 122 GARAGE lo 24.3' i _ O O O o p Q crl PLAN of LAND in NORTH ANDOVER , MASS. OWNER * ANTHONY F. C2E5CIMANO AND NORMAN O. CRP-5C1 MANO 5TEEL PIN 120.00' N 2-7031' 30"W STEEL PIN DATE : APRIL 24, 1997 SCALEa or M pito G PLEASANT STREET andover v M2 consu I to nts �,�F Fss,� URV inc. 1 East River Place William S. MacLeod Methuen , Mass. Reg. Prof. Land Surveyor 0 ZO 40 GO BO Ft.