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HomeMy WebLinkAboutMiscellaneous - 125 REA STREET 4/30/2018 (4) 1 25 Rea St Map 98b Parcel 14. 10 , 01 Date./ ............ ..1... � t HOR7M, "�,� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SS/ICNUSf This certifies that ........... . ST .. ....... ................ .............. ..................... has permission to perform ......lit/r<...........17.-.,..7!. f...f................ wiring in the building of...........le.. ............ v- ........ at.... ....... . .................... .North Andover Mass. ,'Fee... .......... Lic.No... ...... y' ..:'::............ V LECTRICALINSPEC7O� , heck # �' 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: in accordance-with the provisions of MCTc.143,§,3L,the I.permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an inspector of Wires appointed pursuant to M.01 c. 166 §32 an a electrical permit shall he issued to the person,firm or corporation stated on the permit application.Such entity shall be responsible for the notification of completion ofthe work as required in M.G.L.c.143,§3L. Permits shall_be limited as to the time of-ongoing construction.activity,and maybe.deemed_bythe,inspector.of_W.ireseabandoned.and.invaliddMe_. or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 month period.Upon written application,an extension of time for completion of work shall be peed for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit lication. The Permit]Extension Act was created by Section 173 of Chapter 240 f the Acts of2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job;growth and long-tern economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certaispermm its-and licenses conceming the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwis a applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,200 and extending trough August 15,2012. Permit/Date Closed: *Note:Reapply for new permit. �✓ 11 'Permit Extension Act—Permit/Date Closed: Commonwealth of Massachusetts official use Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] Q APPLICATION FOR PERMIT TO PERFORM ELE�+-e-aveblankA W All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMP,12.00 r Y®R� (PLEASE PRWflV NK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER By this application the undersigned gives notice of his or her intention to perform the el�electrical woector frl�ies abed below. Location(Street&Number) L2 S iii 1�jy ST , Owner or Tenant . A�� �� Owner's Address Telephone No.S�a rn C . Is this permit in conjunction with a building permit? Yes Purpose of Building R E Z, t fl No ❑ (Check Appropriate Box) ��-1 Utility Authorization No. Existing Service Amps / New Service _Volts AOverhead ❑ Undgrd❑ No.of Meters Amps _Volts Overhead❑ Undgrd ❑ No,of Number of Feeders and.Ampacity Meters Location and Nature of Proposed Electrical Work: Com letion of the followin table may be waived by the Ins ector of Wires. t No.of Recessed Luminaires No.of CeR. Sus No.of p.(Paddle)Fans Total No,of Luminaire Outlets Transformers ISA No.of Hot Tubs Generators KVA No.of Luminaires ( S Above ❑ �_ Swimming Pool o,o mergency "lig g --, No.of Receptacle Outlets d. d' 11 Batts Units l D No,of Oil Burners FBF A�AI?�c No.of Switches No•of Zones No.of Gas Burners NO.,of Detection and No,of Ranges � Total Initiatin Devices .No.of Air Cond. No,of Waste Disposers ( Heat Pump Number Tons ns No.of Alerting Devices KW Totals: -- `.- No.of Self-Contained No,of Dishwashers Detection/Aiertin Devices Space/Area Heating KW Municipal No.of Dryers Heatin g Appliances fiances Local❑ Connectiion ❑ Other No.of Water KW Security Systems: Heaters KW No.of No.of No.of Devices or E uivalent Si s Ballasts. Data Wiring: t, No.Hydromassage BathtubsNo.of Devices or E uivalent No.of Motors Total Hp of Wiring: OTHER: No.of Devices or E uivalent 4 Jrbbb mach additional detail if desired,oras required by the Inspector of Wires. Estimated Value of Electrical Wort-: Work to Start C9 •ZZ • (.( (When required by municipal policy.) INSURANCE COVERAGE: Inspections to be requested in accordance with MEC Rule 10,and upon completion. Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability « undersigned insurance including completed operation"coverage or its substantial equivalent The geed certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND ❑ OTHER I certify, under the pains and penalizes o ❑ (Specify.) FMM NAME (perjury,that the information on this application is true and complete. III- Licensee:'06", LIC.NO.: A,(-A i(03 O'applicable,enter --exemp7�h_'J,�cMn m her line.) Slat LIC.NO.: &3 Z335Address;*Per M.G.L c. I47,s.57- requires D Tel.No.:Z� —1-141—.63.032 2 OWNER'S INS eP�rnent of public Safety"S,,License: fit'Tel.No.:Ia �2.y-S � -ro INSURANCE�'l'�VER: I am aware that the Licensee does not have the liabilityLic.No. required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑owner coverage normally Owner/Agent Signature ❑owner's agent. Telephone No. PERMIT ELECTRICAL PERMIT NO. INSPE ELECTRICAL INSPECTOR -DOUG SCMALL TION REPORT[': 1.ROUGH INSPECTION: Passed—[ ) Failed—[ ] Re-inspection require(Y($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) '' Date Z-FINAL IN Passed—[ ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) , Date 3.UNDER GROUND INSPECTION: Passed—[ ] Failed—[ ] Re-inspection required($50.00) Inspectors' comments: AV (Inspectors'Signature-no initials) Date --------------- 4.INSPECTION—SERVICE: - DAT a CALLED NATIONAL,GRID: -AME: Passed—[ ] Failed—[ ] Re-inspection required($5:Date_ Inspectors'comments:(Inspectors'Signature-no initials) k 5.INSPECTION-OTHER: Passed—[ I Failed—[ ] Re-inspection required($50.00)-1 ] Inspectors' comments: (Inspectors'Signature-no initials) Date DOOR TAGS ARE.TO BE FILLED OUT AND LEFT ON SITE IF THE ARTA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED. The Commonwealth of Massachusetts Department of Industrial Accidents Office Of.fnvestgations ..600 Washington Street Boston, MA 0211.1 www m ass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appficant Information Please Print Legibly Name(Business/organization/Individual): AS k,.— Address: Address: 1©o M is►N _<571 I City/State/Zip: 1UA Ktf'►EL� MA d L g o6 n phone#: Z g L '2y S, i Z Are you an employer?Check the appropriate box: 1.❑ I am a employer with 4, P7. E] of project(required): ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors New construction 2.([.I am a sole proprietor or partner- listed on the attached sheet. t Remodeling ship and have no employees These subcontractors have 8. working for me in any capacity. workers' comp.insurance. . Demolition [No workers comp. insurance 5. 9. Building addition P ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.[]Plumbing repairs or additions Myself [No workers'comp. c. 152,§1(4),and we have no insurance ra uired. t 12.0 Roof q ] employees_ [No workers, repairs comp.insurance required.] 13.❑ Other ;Amy applicant that checks box u1 must also fill out the section bele", _ information. t Homeowners who submit this affidavit indicating they are doing all work iand then`jure outside contractors must submitpea-sation Policy a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pair a aloes of perjury that the information provided above is true and correct Signature: G • Z Z e Date.: Phone#: -7 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): { L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person• Phone#• No Date.... .........'1..�..... :::".� NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING D'�1 T�D•1�'��q CHUS� 1 This certifies that . -r--z_.. ...... ...................................................................... j .: has permission to perform :2:.... .............�" .::. '� -� :l:: ,,:.�:..�:•:-�_, wiring in the building of .tiJ......fir at.f//...::.... .....:..::..........':: ......................................,North Andover,Mass. Fec°�f...... ....... Lic.No.............. .......:. .. T :�... :.......................... ELECTRICAL INSPECTOR � �u Check # 'L WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THEC0W0AWE4L7H0FMA,S94CH>SEM Office Use only DEPARTAfflW OFPUBLIC&41M7Y Permit No. BOARDOFMEPREVFMONREGUT4TTOAN5270MR 12:00 Occupancy&Fees Checked APPLICATION FOR PERMIT TO PIWORMELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dates Zo ' O I Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. y�! Location(Street&Number) 12-5 R EA ST. Owner or Tenant 3o S e�-p N A,N E2S61J Owner's Address Sr'' VVX Is this permit in conjunction with a building permit: Yes� No (Check Appropriate Box) Purpose of Building Q ES I t�:-t=NsTt A4 t_ Utility Authorization No. Existing Service Amps�/ Volts Overhead Underground a No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work l)i[,'l•N:� Q 4::1 G4 2ArZL No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground E3 ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units '1 No.of Switch Outlets 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- 1 ln%M oeCo RastlantbtheteVwrr 1sdMwafwsftGff0W Laws [ha%eaamotLiabiUyhstr =Po ityedudurgCaTode CovwdWcritsskstrialeWiv*nt YES Ll—,�,J NO Iha%esubmkbdvandprocof=netntheOffioe YES NO Ifjxutmc& dWYES�pimemdc*the WcfeomaWbydiadkirgthe INSURANCE ® BONDOIIIER (IaseSpadfy) Su�E/ZC,b2 FstmVakvdE1x%A Wat$ WakioSt%t 7 Z0' 1 hq)edMD*RffpeStedRagh CA t_L- SigrWmix&%E ksofpajtay e a s t `- 1�, l 3 FIRMNAME •� LioaiseNa Limnsm s i�.Nt C- Siopnote �' Lioa�seNo BusmTdNa -761 1 f37 0 ArHrt�r CSO KA I Iv ST; � (�A Y—F—17--t r=t_L�` MX (Ol £)80 AltTdNa. OWNER'SPqRRANCTWAIVER,I.anmwwdAtbeI doMnot tCitstr=wmV"mbkvt lewri ddtasm4medbyMmmbEeasG=YWLaws andfutmysigr m,onihispmniOppT ebMwanesthismp*m-aL (Please check one) Owner a Agent Telephone No. PERMIT FEE$ � - i N° % ,`� Date...........�f7...... ....... Of NORTH 1 " TOWN OF NORTH ANDOVER PERMIT FOR WIRING ss/1CMus� This certifies that .— fcr has permission to perform .......� ...p i. ::`:....:................. l ......'............. wiring in the building of....: :: :: .: -` " -. . ..................:............................................. at.. ....... ...........................................................North Andover,Mass. Fee..::................. Lic.No:. ........................................ �.. Check # ELECTRICALINSPECTOR t �c"f� WHITE:Applicant CANARY: Building Dept. PINK:Treasurer \ / Official Use Only VPermit No. C> �P a �«r�6 P Seery of BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy&Fee Checked 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 /© , 12 . pQ 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 Owner or Tenant _ /-! A ru b Owner's Address Is this permit in conjunction with a building permit J g p t Yes ❑ NoCh �( ( eck Appropriate Box) Purpose of Building Utility Authorization Existing Service 11190 Amps 6'20 2 Y6 Voits Overhead Undgrnd ❑ No.of Meters New Service ZUOAmps � 2�) Voits Overhead Undgmd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting OutletsTotal No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets, No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total s No.of Di osal No. Pumps .Tons KW ( No.of Sounding Devices No.of Dishwashers No./of Self Contained S ace/Area Heating KW Detection/Sounding Devices No.of Dryers ❑ Municipal ❑ Other Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Si ns Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy includin mpleted Operations Coverage or its substantial equivale YESX NO -- have submitted valid proof of same to the OfficTYESJ NO = If you have the ked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Plea pecify) __ 7Q / Estimated Value of Electrics ork$ l a d Q I (Expiration Date) Work to Start A0 •/(5.),0CJ Inspection Date Resquested —D,'L L CA LC- Rough Final Gt�f c- CA C- C J Signed under the Penalties of perjury: FIRM NAME LIC.NO. Lkensee llpl3 S i L Jt Signature �a LIC.NO. 160 A4,4,(AJ 5'� GuI�KLTFr Z�r` sus.Tel 7L3/ `2 'S7 Address fib 8!J Alt Tet.No. OWNER'S INSURANCE WAIVER: tam 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) Telephone No. PERMITTEE $ 'd� (Signature of Owner or Agent) Location No. Date M°RTS TOWN OR NORTH ANDOVER 3j •. °oc F 9 t Certificate of Occupancy $ �',,'''••" ',�' G C� Building/Frame/Frame Permit Fee $ ssAcmust 9 war Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 14 1 I 0 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED- I/-/V, W - I X AR re .40 SIGNATURE: C Building Commissioner/I for of Buildings Date Z SECTION I-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number O� 1.3 Zoning Information: 1.4 Property Dimensions: V L", . ga'a r,-�C< ` Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard '5 O Side Yard 0` Rear Yard vv Required Provide Required Provided R 'red Provided v 1.7 Water Sypply M.G.L.C.40. 54) 1.5. Flood Zane Information: 1.8 Sewerage Disposal System: / Public [� Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0' J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name Tint) Address for Service: In � Signatl oe Telephone 2.2 Owner of Record: Name Print Address for Se 7e: rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ ��� s, �� Licensed'Construction Supervisor: O License Number Address qa� 4L� ic 1 n 1 ` t / Expiration Date Signature Telephone 3.2 R tered Home Improvement Contractor cc Not Applicable ❑ v Company Name L f J P Y t CC���, 1, �11 Registration Number r Address rf `� 3 \ r l \ 76 t Expiration D to Signature Tele hone Y/ SECTION 4-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 affidavit will result in the denial of the issuance of the buil ?ng permit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) 11Alterations(s) [I Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify O Brief Description of Proposed Work: \J p SECTION 6-ESTIMATED CONSTRUCTION COSTS M Item Estimated Cost(Dollar)to be {�y _ CIIE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multi Tier 2 Electrical '(b) Estimated Total Cost of 1 , Construction 3 Plumbing Building Permit fee(a) x(b) 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, ,,C; as Owner/Authorized Agent of subject property Hereby authorize )-RC� Z���, \(,� t'�1 to act on My b lf;in all matte s rel ve to w rkauthorized by this building permit application. � I l Si nature o�Owner`. Date SECTION 7b OW(NER/AUTHORIZED AGENT DECLARATION 1, ��\1 c� �� C�\ � �1 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 Print NameU1 K q J ' " l Signature of Owner/A ent Date In 11111JE1133111i NO.OF STORIES I SIZE t-kQ BASEMENT'OR SLAB \ SIZE OF FLOOR TIMBERS 1 ST2ND 3 SPAN �3' DIMENSIONS OF SILLS j f DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS k V" SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND U L IS BUILDING CONNECTED TO NATURAL GAS LINE �, FORM - U - LOT RELEASE FORM 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. ............E................................................)0800........... APPLICANT b)L�`'� e�� �iC�C��\ �C�A PHONE k2 q 2)�l )-+ ASSESSORS MAP NUMBERq2 LOT NUMBER SUBDIVISION LOT NUMBER STREET STREET_ NUMBER ................. ......... OFFICIAL USE ONLY M ��•�s u...............c�- RECO ATIONS OF TOWN AGENTS Grz �e— �► =b'` X ' 1:n,�s�' ��.. . . ................................E E M M M M M M M M M M M M MEMO..M■O M M M O E • DATE APPROVED Z�W CtINSERVATION ADMINISTRATOR DATE REJECTED CON MENTS 6 c^ DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPPeTOR JUEAL4,H DATE REJECTED l DATE APPROVED s Z;)4> S EC OR-HEALTH DATE REJECTED CONMEENTS 1425-51'42" X51'42 _ 7 PUBLIC WORKS-SEWER/WATER CONNECTIONS lV We 9/Z_ �� � r L DRIVEWAY PERMIT `'�'�a •"` ;"� j C � DATE APPROVED _ FIRE DEPARTMENT DATE REJECTED s COMMENTS RECEIVED BY BUILDING INSPECTOR DATE I REA STREET N 76050'57"E 200.00' °OD°DDD °pD 1 pvD OD p D op°p°p A`1I1 233 4j 233Nw / p°DpDoD p°'p°°°o pDD°pvo°pp°D pDODD�D°D�° O D ' Z36.61 b8 r^ 235•Jo 44V7S ]35. Dp pp pp LAWN fJ� Q ~ W ���a, 0 00 \ / o'Vop pop po 000° ,� p �►I� \ N 'b/ O D DDDD D DOOD v V �l /� Q� r O . G) I \"' �QI o oDo oDo 236 45g�'S 6 26 ?35 41 v O p° O p° 1 pD p p DD p p I DDp OD/ Oi o V o ODD V O O° O pO D D 235 4 I PRcOP EXIST. WALK 3702 , •E 2410 % pDDpDpDp 23248 v LAWN \ #125 23512 21 pDDp D ODpOpDpDOppOD v°povv7 II EXIST. n�� 0 00000 Dp"°pD oQ000DP ,n`, b DWELL. ° \ 2350 1 °v DD Ovp�v D DDDR D ry v V I ` \ 1 DD.-9vv OD0/\ Dpp�D�D�D ,D YI CO)' �-.. I •O p DD D D�p`•J°OD D p°D D D D vv v \ I � v�I I 1 j°p0 p p DO p00 o pDp D D D O \ 375 14-3 23 .`�� 1 °OD D°DDpDODp DD Dp0 \ 23355 , 1 ----/ ?3376 pap ?30.20 ? \ 2304,2 '\. 14-41.229. 14 ExrsT. LAWN SHED m1 ?31.58 229,-0 —1� ,- v Z1\ \ ?3p _ ..i W . 229 54 q- ??7j / ??756 \ ' 'i 227 �o 10 228 —.. \ r W 6 �,700 —�? O 0 O ,Q�??515 \ o FGF q_�z442 I \ A_9??4.50 .—.. —.. - 224 —.. —.. _.. _.. — Z AN#7y�3 F� q y2o\ 56 292 S V Q \ 223 " 00 I i S 76050'50" W 175.28' SLC 2 aRNS+ 1NMV7 cs�x3 b�ezi'b_y Zb• • OEz o?. oce I Ae-eve ' FEZ 4d 44441y/'*A°Ir(I.LY�9jp1/7' ; 90" .` 4 44� °4 e 44..� a,e✓a�(`4• I \ 4 4 p f e i 4 In {1 Y S Q °6e ° aO°° a4°e ' 1 4 ° °fe°p4 °.f4°+4 ��U/j� UJ �. °r°4A 444444°4444°pf. I �`•I ` • 4 a \`\� /, °v`��.M'L1:,S��C3'_ r b 0��d� •,`�b,ZU�A`�L.4 °°t4p 4+4°444�°°4A p4a4 11 6°4° 44° 44 44 p . .4 Ab p °ap 4+.e 44 4�44. ° 4° �4A ° A °4a 0 41�,44e44' 44 444, 44 4440e 44444444ad44444°4°44°44°9.74# <( 4444n4e UN M/zb t7 A , 4 °4. p44.4e A4A4a 4 4444 444. 44 . 4444. O p44 ° 4°° ° ° di 6pf44f 444 44 4 °bf 44444 °44 44 lb 446A4°4,f4 4° •p a ° by /�s�.•z •{PNp8 jb 'Z II •I � r 0 / 44 4 44°44 4 r LL. .4-.4.4,4 A4p / LU �bt 9z °444 e�444 O• q . U1Ti e 4 ° p °p ° ,V 44 4°d4,464'4 44 '�4 4e a 4 ' « �• �.{\ lo•• ' .4 4 p A4444 4 NMH7 q444 444 4444 4444 °4 +44 6 4p ` I - +af 1 +' OBS•E•t ( / as°44° 44444°+° I tee 6.4- 4444444 4 4e 444444 4 a 44° ,00'DOZ 3„L5,09,9L N 13��J1 S 438 ACORD„ CERTIFICATE OF LIABILITY INSURANCE 07/07i2o 0. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NORTH ANDOVER INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9 WAVERLY ROAD HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, MA 01845-241 P:978-686-2266 F:978-686-6410 INSURERS AFFORDING COVERAGE INSURED INSURER A: TRAVELERS PROPERTY CASUALTY Michael V. Rodden INSURER B: 47 Prescott Street INSURER C: i North Andover MA 01845- INSURER D: INSURER E: COVERAGES 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 MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ❑ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Anyone fire) $ ❑ CLAIMS MADE FIDI OCCUR MED EXP(Any one person) $ ❑ PERSONAL&ADV INJURY $ ❑ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ ❑ POLICY ❑ PRO ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ E] ❑ ALL OWNED AUTOS BODILY INJURY $ ❑ SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ E] E] PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ ❑ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ❑ OCCUR 1 CLAIMS MADE AGGREGATE $ ❑ DEDUCTIBLE $ ❑ RETENTION $ $ WORKERS COMPENSATION AND ® WC STATUJIMIT- ❑ O R EMPLOYERS'LIABILITY A 820UBS49K419500 01/01/2000 01/01/2001 E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEE$ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER ❑ ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF NORTH ANDOVER DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN NORTH ANDOVER TOWN HALL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR NORTH ANDOVER MA 01845— REPRESENTATIVES. A SEN�VE ACORD 2"(7/97) ©ACORD CORPORATION 1988 1 I � '. :J/re Lomnmonrucald' a`:/!•7,rra;sar�uoe�la BOARD OF BUILDING REGULATIONS j License: CONSTRUCTION SUPERVISOR 3: I ;,w ., Number. CS 028538 Birthdate: 09/05/1948 Expires: 09/05/2001 Tr.no: 4729 f Restricted To: 00 f MICHAEL V RODDEN 47 PRESCOTT ST N ANDOVER, MA 01845r� Administrator � I P,�,xonnrnll�r fl I .I NOME IMPROVEMENT CONTRACTOR I ' _ Registration: 105903 Expiration: 1/11102 Type: Individual MICHAEL V. ROODEN Michael Rodden ADMINISTRATOR 41 Prescott Street I No. Andover MA 01845 PLAN OF LAND IN NORTH ANDOVER, MASS. OWNED BY JOSEPH G. ANDERSON SCALE: 17=20' DATE.3/1/2000 0' 20' 40' 60' . Scott L. Giles R.P.L.S. Frank. S. Giles 50 Deer Meadow Road North Andover, Mass. •G 7.t H Q uKn s REA N 76.50,57" E vvvvoov ovovvpoo7 ovvovoov I vv°vv°v000 ovovpvopo vvopv V 9 000 VV°v poop 0 o p v o o o I ovovo vov ovovo v000 233.47 vv vv v °pO vvvoov vov � 233. 8 voovv vov ovv p p o V ov N N I °vov W W ovvvvv ovv W Iovobovo o° \ I vvvoov vo I°v ° o ov v v vp vv v �` ovvo 9v vp vvovov I TI 0000vvov N vvo vvvvv v \ jV ovvvvv vv vovpvpvpp � vvoovvo Iv .I oovvovvvv v \ vvovvpov ovvvvvopvo V o 235.4 U' vvvvvvvvv vv I 1 p ppp p p p p p p p p p p p p m11 p p O p O p p p v 0 O v O v p O O p p p p p p p p p p p p p p O O p p p 0 1 v p v O v p p v O p v p v v v O v v v v vpvvvpapvo pV'%V p / ,V V V V 7 V ovvv v v° N, vovvpvpo33� ovvovvv 1 O' p v / vvv o opV vvp O v p p v p o �¢�vv V v vvpovvv0v v p o o o o v v o v Z1 p%%%%7 pvp 7VVVvvv ppp p p F- j� o v v o v o o v v 1 LAN/N O� v,vw -ppp p p p p p p p p p p A-21232.48 ° d °p° v000°°° Z1 VVVVIa¢ °pV V VVV VVV p vo°°�v-pp vov v ovovo v A kb � ovvvvv Q� A 235.12 z�0% ppp vi ( p°1p �vpvpvov 4�vv vo .p ov O f—I ovoovv v�V op \ ` (n` +Vvvvvv V V o jp�v°o` vo v ov v oyvv ovv vp °vv\ v000 povv.o p°� ov C 1 v?g'vo v(�oov000 ° ovv ov vvovvoovovv o00 v v000vvvovpvo vvo \ \ 235.02 '1 97 v9 7 7 pv V pvvOp ppp p p pppppppppp p p p p p \ p p p p p p p p O p p p p p Lp,p p p ` �� pv 7,vO O�ppv��v pOv 1�W1s"�iq/IJ O :- FORM U - LOT RELEASE FORM INSTRUCT - ^-+ +f) vPrifv that all necessary approval's"/perms#s:,from Boards anf h��0 ....: e . eeq,obtained: This does.not"relieve: the appli �.tJ , " th`a;ny`applicable or requirements. " ' THIS SECTION**'�`*** *�"'�'" ''�"*'`*** --A?.PLICAN -?-� 9L PHONE a " LOCATIOP �D - PARCEL Vy 1 , SU8DIVIS - • -{---• LOT (S) . STREET_ 3 4: LCG ST. NUMBER 3E ONLY RECOMMENDATIONS Ur Atle CtJ ro A,7 CO ERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS tL LwM- Oi _ Ajdi, TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE //REJECTED y�n COMMENTS �) PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT `� .�i•i/��--mac. � �'2 --�i��£�tt�-->�c - mac. (/ FIRE DEPARTMENT RECEIVED BY BUILDING-INSPECTOR DATE �, Revised 9197jm NORTH To' wn o over No. q y � __ �. 8`��3� �d 0 't- L-A 0 dover, Mass., COCHICHEWICK .44 H BOARD OF HEALTH Food/Kitchen Septic System PERM . IT T BUILDING INSPECTOR THIS .... ...-CERTIFIES THAT..... P..6........ .tj A . 4 d ..1...P*A.) sa ........ .. .................................................................... Foundation has permission to erect.4; �........ buildings on ............................................................................ Rough Chimney to be occupied as....3 ....6.4.mav.... akwle M.... ..... 6.....' ........ hr...... ......I......ty.... provided that the person accepting this permit sffall in every respect conform to the terms of the application on tile 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 C111 (3 PPLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 1 Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STELECTRICAL INSPECTOR A a 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. Smoke Det. SEE REVERSE SIDE