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HomeMy WebLinkAboutMiscellaneous - 126 HOLLY RIDGE ROAD 4/30/2018 126 HOLLY RIDGE ROAD 210/098.B-0028-0000.0 t 9968 / rDate.................................. f r°ORT1i, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUSEt This certifies that .. . .... ... has permission to perform .......... . wiring in the building of ! at....�. ........//. rr L.... ..r..... .E.......... 1. ..... , AAndover,Mass. ` Fee.........d....... Lic.No..2✓ EjIzl�mR N Check # w : vuA.LassaenusettsNeetical odeAmendments527 CMRg.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§.3L,the ;permit pq application form to provide notice of installation ofwiring shall be uniform throucooutthe 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 electrical permit shall be issued to the person,firm or corporation stated on the permit application.Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.I43,§3L. Permits sha Lbe limited as to the time of ongoing construction.activity,and maybe-deemed_by-the-nsp.ector-of_Wires abandoned.and.invalid-ifhe—.. or she has determined that the authorized work hasnot commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for Tmpletiory of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the.permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 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-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain•permits•and licenses concerning 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 effector existence'during the qualifying period beginning on August 15,2008_ d extending through August 15,2012. Dole 8—PermitfDate Closed: G ***Note:Reapply for new per ❑ ❑Permit Extension Act—Permit/Date Closed: Commonwealth �� pp// ficial Use Only l,ommoncvealEh o��a��ac�u.�eEf.� Of 2cc/� cn� Permit No. epartment o/..}ire Service Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3,/ City or Town of: ®( ,vi dale l To the Inspector of Wires: By this application the undersigned gives notice o his or her iVention to perrff rm the electrical work described below. Location(Street&Number) p`l e A t'4 /GOA Owner or Tenante 1/ Telephone No. j`7 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: , Completion o the following table may be waived by the Inspector of Wires. No.of T No. of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Trans Total Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No. of Luminaires SwimmingPool Above [:] n- E] o.o Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No. of Switches No.of Gas Burners No. In Detection and Initiatin Devices No. of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No. of Waste Disposers Heat Pump umber Tons KW No.o Self-Contained P Totals: Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW Local❑ Municipal E] Other P g Connection No. of Dr ers Heating Appliances Kir Security Systems:* Y No.of Devices or Equivalent ! o. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: ? �De? (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the nermi issum office. CHECK ONE: INSURANCE [O'BOND El OTHER El (Specify:) /�lL, �'/A �>a/��/� I certify,under the pains and��enalties o perjury,t at the information/on this application is true and complete. FIRM NAME: / 74e,. LIC.NO.: Licensee /C`ite����/gn moi!//- Signature LIC.NO.: (If applicable,ever " empt"in the tcense number li .) ,,/// Bus.Tel.No.: i Address: f1 Z/,eAyy J� �0�� -Ae-�7 lflI �-3��9 Alt Tel.No.: 57279-11,W3 *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's a ent. Owner/Agent PERMIT FEE. $ Signature Telephone No. S F. The Commomvealth of Massachusetts _P#'irit Form Department of Industrial Accidents Office of Investigations .�. ..n. ... �"�•' v"v0 rrr« iriigfU/ Street r r !' Boston,MM 02111 �rC•�'<' ►vxmv.mass.goi/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Name(Business/organi?afin n/jndividua!):_�!/�G tires �� 1 Address: jJzo d� o� City/Slate/Zip: Phone Are you an employer?Check the appropriate box: Type of project(required): —� 1.❑ I am a ctnployer with 4. ❑ 1 am a general contractor and I ,_,�mployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.L-T I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have Y working for me in any capacity. employees and have workers' 8' Demolition [No workers' comp,insurance comp,insurance.t 9. ❑Building addition i 3.❑ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions I am.a homeowner doing all work officers have exercised their I L[I Plumbing repairs or additions myself. [No workers'comp, right of exemption per MGL insurance required.]t c. 152, §1(4),and we have no 12.❑Roof repairs employees.TNo workers' 13.[1 Other , comp, insurance required.] *Any applicant that checks boa#1 nest also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providin,-workers'compensation insurance far my employees Below is the policy and job site information. Insurance Company Name: ; Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: o�� �d�_�> �v -- - =•� .e—"`=-City/State/Zip: Attach a cop}'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 fine u to$1 50 _ 1 penalties P 0.00 and/or one-year Imprisonment, p tans a i Y as well as civilpenalties of u to$250.00 a in the form of a STOP WORK ORDER P day aeainst v;nla � A, ,,,,, and a fine the .._._tor. Be advised that a co---of this statement may e fo =, l ai. O'I ___ Investigations of the DIA for insurance coverage verification. uY b '�'aided.o („��,lf,L.0 cu I do hereby certif'1{Iid_er thy pains an Penalties 1 that l:o.r,F„r r p_rtal_a s o,perjumj a.t..e 'nation provided above is true and ear; V Sienature: Date: Phone#: FF--Gonfart-Person- only. Do not write in this area,to be completed by city,or town official n: Permit/License# use (circle one): Health 2.Building.Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: ---�- 7467 Date./I )/`* � ..... .. Of.kOF'M i o= TOWN OF NORTH ANDOVER • PERMIT FOR OAS INSTALLATION o � o�� o•r•`qh / � ..N ,SSACMUSES !� J This certifies that . . . . . . . . . . . . . . . . . . has permission for gas installation f. . . . . . . . . in the buildings of .-5. . . . . . . . . . . . . . . . . . . . . . . . . . at (.y. . . . . . . . . . . . North Andover, Mass. Fee. °. .'. . Lic. No.J. . . . . `� ��_-`. . . . . . . . . . . . . . GASINSPECTOR Check - c �' C � �'�► OD 'r 01 N A W tf '� 00 N g 4 ` h N s p ' RANGES NRATER, RANGES � ' ovens c Q GRILLESIL 'TI HEATING BOERS I� :Rg FURNACES C3 . g > UNIT NEATERB- c'� ' WATER HEATERS GAS GENERATORS A �' 1 DRYERS Q io .•I LABORATORY COCKS _ z c , a ❑ `• CONVERSION BURNERS C Q w RoBP TOP UNITS } VENTED ROOM "TRS. roo o DIRECT VONT HTRS. -+ POOL HEATERS Jrg m G g ® OTHER C a . lea �� *0 Holly OLS ;de Private 50` � -�20 9e Z°semnen t L= 120.0 i wi 53.7' - existing concrete Open Space � foundation t Area 2 i V N � � P { Lot -6 '�° wetlands 20, 100 S.F. 0.46 Acres - 3� f i i I204.00 1 Lot 8 Plan D f L ars d In North An ver, Mass. showing "'A s Foundation L OcatiOn " LOT . 6 HOLL Y RIDGE ROAD Prepared For Toll Brothers, Inc. Scale. 1 =20' October 8, 199J Zoning Dis tris t: R-2 = Residence-2—Dis tric t Open Space (Planned Residential Development) Area 4 No te: Property Line Data Taken. From A Plan By Thomas E. Neve Associates, Inc. Dated April 21, 1992, and Revised To June 26, 1992 , - •J l Hereby Certify That Thic Foundation On This Property Is Located As Shown .On Pons And Complies With The Zoning Requirements Of The Town Of North Andover, Mass. wetlands Professional Land Surveyor In My Opinion, This Foundation Is Not In A Flood Hazard Zone As Shown On The U.S.D.H.U.D Flood Hazard Boundary Mops. s: OY1} 21r t i— — e HOMAS� It . , v NEVE n - 1724 Thomas E. Neve Associates, Inc. Engineers — Surveyors — Land Use Planners 447 Old Boston Road — U.S. Route 1 Toasfleld. Mossachuse t is 01983 887-8586 Pkant[T NQ. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 < MAP K4O. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE z ZONE I SUB DIV. LOT NO. F— LOCATION j C G URPOSE OONW09LWWMr e- c:_ - OWNER'S NAME s, NO. OF STORIES SIZE 2 l f OWNER'S ADDRESS/, / r, BASEMENT OR SLAB ARCHITECT'S NAME o /� SIZE OF FLOOR TIMBERS_ IST 2ND 3RD BUILDER'S NAME �e-d SPAN DISTANCE TO NEAREST BUILDING O DIMENSIONS OF SILLS DISTANCE FROM STREET 1.$��� /� POSTS DISTANCE FROM LOT LINES-SIDESCO F-0 REAR' / GIRDERS AREA OF LOT u VV C� FRONTAGE HEIGHT OF FOUNDATION ''' THICKNESS IS BUILDING NEW r,�s. SIZE OF FOOTING c� /' ��/ X .J / i CG IS BUILDING ADDITION // J�7 �" ,O ��./� MATERIAL OF CHIMNEY IS BUILDING ALTERATION L w l' Li L-1 IS BUILDING ON SOLID OR FILLED LAND -7/ i WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �-5 IS BUILDING CONNECTED TO TOWN WATER I..B.OARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST zs-oo 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 / I (` ,906 Z BUILDING INSPECTOR t/ SIGNATURE O O ER OR AdfHORIZED AG NT ld F E E OWNER TEL.N PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# 6 1-, ..,.C.# � 21997 BUILDING RECORD `, 1 OCCUPANCY 12 SINGLE FAMILY I I ES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM ' MULTI. FAMILY OFFICES CES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH r ' CONCRETE _ 3 t 2 13 CONCRETE BL'K. PINE DRY WALL BRICK OR STONE H PIERS PLASTER � - _ _ 1 UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA _ a 114 1/2 3/4 FIN. ATTIC AREA _ NO BM T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 �< DROP SIDING CONCRETE —%7 WOOD SHINGLES EARTH ASPHALT SIDING HARD\�J'D ASBESTOS SIDING COMMGN _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME 1 1. BRICK ON MASONRY ATTIC STRS. & FLOOR SS BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRASUPERIOR R ME ADEO A7E I� NONE t: 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) } FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK ` • ? �- SLATE 'NO PLUMBING `1 TAR 8 GRAVEL STALL SHOWER �� i'1i. - ,,�' • ' ~' _ `� '� ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 •FRAMING I H 1 1 HEATING WOOD JOIST _ PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM - - STEEL BMS. & COLS.' ` 77 HOT W'T'R OR VAPOR WOOD RAFTERS ' _ AIR CONDITIONING RADIANT H'T'G ` UNIT,HEATERS 7 NO. OF ROOMS GAS I OI l � B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING '. PI {7ntr �JQ /a/Nd) )214rkvj� �N, w`� aa� 67 9 I l . 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. *************{***Applica t fills out this section***************** APPLICANT: Cd o SCS` Phone (�17) 63 __371 /a 7762 LOCATION: Assessor' s Map Number Parcel Subdivision / Lot(s) Street o//4 Z14 C St. Number 12C *********************** Official Use Only************************ RECOMMENDATI S OF AGENTS: Date Approved Conservation Administrator Date Rejected Comments _ Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved4a C Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date W F l 596 DEPARTMENT OF PUBLIC SAFETY 58596 ONE ASHBURTON PLACE , RM 1301 BOSTON , "MA 02108-1618 C.ONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: CS 026313 05/28/1998 05/28/1957x.; Restricted To: 00 - 1196 SCOTT D ROY - " - ; Detach bottom, fold sign on 31 ASBUSY AV 10)D', �oo back, and laminate license card. HAMILTON , RA 01982 Keep top for receipt and change `':�ue�►7t�if,(�/ of address notification. ,,� ✓�� 'C�n»�nrrynarcn�/� n���liz-1�ac�ndr��1 I �, Restricted io: n0 c �— Y� DEPARTMENT OF PUBLIC SAFETY G 1 y b CONSTRUCTION SUPERVISOR LICENSE 00 - None Runben Expires: Birthdate: lA - Masonry only CS 026313 05/28/1998 0512811957 1G - 1 & 2 Faaily Homes Restricted To: 00 Failure to possess a current edition of the Massachusetts State Buiildinq Code SCOTT D ROY is cause for revocation of this license. 31 ASBUSY AV HAMILTON, MA 01982 Of e 0114&dd"L HOME IMPROVEMENT CONTRACTORS REGISTRATION P oard of Building Regulations and Standards 1a One Ashburton Place — Room 1301 Boston , Massachusetts 02108 I --------- - HOME IMPROVEMENT CONTRACTOR -L.. " --'-- ks. I -- ---=-- Registration 107762 Expiration 08/06/98 Type — PRIVATE CORPORATTnr4 - I NOME IMPROVEMENT CONTRACTOR Registration 107762 DECKED—OUT INC . Type - PRIVATE CORPORATIP' Scott B . Roy Expiration 0$/06/98 31 Asbury Ave 5 �. Hamilton MA 01982 DECYED-OUT INC. . G� &-qj5cA 8.. Roy V ADMINISTRATOR , sbury Ave Hamilto*"MA 01982,' NORTH , Town f �� c r. O Y{s Ju o. 2S m �t l over, Mass., 3 O s LAKE t 9A.C.C.K;"EWICK.yam',• 4 5 ' '9s �q4 E 16 °' (G BOARD OF HEALTH Food/Kitchen ��1 a a 1 Septic SystemIT T D , PERM BUILDING INSPECTOR'S 4ya THIS CERTIFIES THAT....................................... ./4/l)Cy..... ••............................... Foundation 'a . ... .. .�. �.(.l�..G ......... Rough permission to erect........ � ....... buildings an �... ,....... ' `.................................................................................................................. y to be occupied as................................................... X everyrespect Final Chimney $ta ��`�` provided that the person accepting this permit shall in eve conform to the terms of the application on file in u *,"N. this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of .; fill Buildings in the Town of North Andover. PLUMBING INSPECTOR' °.' 4e VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough. ° Final PERMIT EXPIRES IN 6 MONTHSd�� �C, ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STA TS Rough ..... ......... .... .... Service UILDING INSPECTOR siu Final 46 Occupancy Permit Required to Occupy Building GAS INSPECTOR � < r Display in a Conspicuous Place on the Premises — Do Not Remove Rough { P Y P Final No Lathing or, Dry Wall To Be Done <, FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner '- Irv, Street No. " Smoke Det. ': ° ay 14 ? th 1:ocation a 6 �0. Date TOWN OF NORTH ANDOVER Certificate of Occupancy r Buildingrratrie�Permit Fee. $ 1. '� 0 FoundationfPbTmil ee $ � SACHus Other Permit Fee i i Sewerk(donection Fee $ t Wat@ ndAiQ Fee $ � TOTAL e)0 Building Inspector w � I 6351 Div. Public Works kLocation No. Date s. H°"T" TOWN OF NORTH ANDOVER 3'r • °L a -� Certificate of Occupancy . 4 $ —J' d __B6ilding/Frame, ermit Fee $ �ssAcMusEt Foundation Permit Fee $° Other-Permit Fee a v §$we`Q?Anection Fee Water Connection Fee $ '' TOTAL �ff$ �/a� fJ C�CJ Building Inspector 1 %tom .��•• 6329 Div. Public Works Location e . No. Date p &oft T,;tio � C TOWN OF NORTH ANDOVER 3 ? .•_ ., a c _ _ ' ARN y ; Certificate of Occupancy $ ''Building/Frame Permit Fee a Founc A mus `Permit Fee $ St �q UG '' Other Permit Fee $. Sewer Connection Fee $ 1 s. �111ater Connection Fee $ � TOTAL $ �CJIJ,IJC� y 0019 f / Buibl Mg Inspe f for MS'S V 4 4 5 Div. Public&rks t v f'F (3 APPLICATION FOR PERMIT TO BUILD — NORTH ifiDOVER, MASS. a�.�� ���' AlPAGE 1 MAP d40.� LOT NO. r_ � 2 RECORD OF OWNERSHIP jDATE BOOK :PAGE — ZONE v I SUB DIV. LOT NO. LOCATION © ` PURPOSE OF BUILDING OWNER'S NAME - NO. OF STORIES SIZE a ��,,. OWNER'S ADDRESS -� BASEMENT OR SLAB y7�c� ID'� J• mc �iTTJJ Yw w Y n ARCHITECT'S NAME �G SIZE OF FLOOR TIMBERS IST —�7�1� 2ND ^7 y 1/\ 3RD BUILDER'S NAME TQ�i `.\• �fl 7TSPAN `�� — •�/�l __ f'�L� ly DISTANCE TO NEAREST BUILDING - �'-'F' DIMENSIONS OF SILLS DISTANCE FROM STREET 8 POSTS ��' g-V-- DISTANCE FROM LOT LINES—SIDES 6 T4 3 o REAR Q/_ •' GIRDERS TT AREA OF LOT / ( Q 2 r7 FRONTAGE 26, HEIGHT OF FOUNDATION ���ll(A THICKNESS IS BUILDING NEW VyJ � l!G- SIZE OF FOOTING .20 X /Z IS BUILDING ADDITION Iv MATERIAL OF CHIMNEY ,Woo(D v IS BUILDING ALTERATION ` IS BUILDING O SOLI- OR FILLED LAND O WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER 'EG y BOARD OF APPEALS ACTION. IF ANY /(/OL" ` IS BUILDING CONNECTED TO TOWN SEWER FYIS IS BUILDING CONNECTED TO NATURAL GAS LINE GL S INSTRUCTIONS 3 PROPERTY INFORMATION LAND COSTmr-ft SEE BOTH SIDES i Mmulfis� � EST. BLDG. COST 70 PAGE 1 FILL OUT SECTIONS 1 - 3 1.1i r EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 M-9 FME`JIRMff S.P/2 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY - - ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH S SIGNATURE W ORA H D A ENT �l.L FEE ea, 0o ' o _ PLANNING BOARD PERMIT GRANTED �. v OWNER TEL.# r6 C�( CONTR.TEL.# Gib 7- 2.` 19 CONTR. LIC..#1 I!— - BOARD OF SELECTMEN �� I -1 T LG . rIIE AUG 41993 ' I BUILDING INSPECTOR BUILDING RECORD 1 OCCU ANCY 12 SINGLE FAMILY if 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 B 1 2 13 _ CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. , 3 BASEMENT AREA FULL FIN. B M AREA _ _ - V, 1/1 3/4 FIN. ATTIC AREA + N_O B M'T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 ' DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDN?J'D _ ASBESTOS SIDING _ COMMCN Vy VERT. SIDING ASPH. TILE 4#—STUCCO ON MASONRY _ p STUCCO ON FRAME al - BRICK N MASONRY - ATTIC STRS. 8 FLOOR � 1''T1�'�` BRICK ON FRAME I , CONC. OR CINDER BLK. _STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR 1-1 POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT 11 SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK I SLATE NO PLUMBING - 1J TAR 8 GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING IL 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. fSTEAM STEEL BMS. & COLS. 17'_ HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS I OIL B'M'T 2nd ELECTRIC 1st L 13rd I NO HEATING r f� r FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************\Ap lican fills out this section***************** APPLICANT: b Q, w Phone lO�o LOCATION: Assessor's Map Number Parcel / Subdivision 6�T vv l �J Lot(s) k� Street �A b, © St. Number \-2-(p ficial Use Only************************ RECOMMEN ATO S OF TOWN AGENTS: Date Approved Cons ation Administrator Date Rejected Comments 1 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 connections ` 7 - driveway permit V23 Fire a artment ceived-by Bu ldi g Inspefor Date f n JG 4 1993 k. CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 342 (1993) Date JANUARY 20,'. 1994 THIS CERTIFIES THAT THE BUILDING LOCATED ON 126 HollyRidge Road (SINGLE FAMILY) (TYPE B) MAY BE OCCUPIED AS SINGLE FAMILY W/2 CAR GARAGE & DECK IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. R •p Tb „ •,,.o CERTIFICATE ISSUED TO Toll Bros. , Inc. 3a '- 3183 Philmont Ave. ° ADDRESS Huntingdon Valley, PA 1906 i�eJ Buil r nspector R ` Toll "Vrothers, 17nc. r QuaMy Homes By Uesig'n'` • January 20, 1994 Mr. and Mrs. Shaun Prendergast 126 Holly Ride Road North Andover,i MA 01845 RE: Lot 6 - Nb.rth Andover Estates I Dear Mr. and MS. Prenderaast: This letter is to confirm our understanding at the request of the North Andover Department of Public Works. 5pecificall.y, ; You understand and agree that the driveway, walkway from the front door, and landscaping are all incomplete at this time, and that the Certificate of Occupancy is being issued with the understanding that Toll Brothers will complete these areas under the terms of the Agreement of Sale and to the satisfaction of the Department of Public Works when weather permits. i This statement, is merely a reiteration of our Agreement of Sale for the benefit of the Department of Public Works and in no way changes, adds or subtracts from the terms and conditions it contains. Please sign below so that we may obtain the Occupancy Permit for your new home. If ycu 'have any questions, please feel free to contact me at (508) 682-2999 . Thank you for your consideration. Sincerely, Thomas Frangos Project Manager North Andover Estates i TF:dr I understand and agree with that as noted above: Buyer: Shaun Prendergast Buyer: Nancy Prendergast ^� New England Division IBM West Park Drive • Westborough,MA 01581 . (508)366-9901 FAX(508)898-,'379,7 Corporate.Office:3103 PhilraontAm.Huntingdon Valley,PA 19006 •,rw....-....n.,.,,. ..y„ -;*e-.-r^n-'•.�»-w+r .' ,„,.�sr .. �+�etinr� ,.;,9s•n.... .- .. NORTH F Town of over t 3. No. - ° -_ 'c dover, Mass., 19 �3 COCHiC °RATED j H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ►.... •.., � �• � .... ..... 69 ...... .... ........... oun anon has permission to erect 0"A. uitdings on.f A. to be occupied AVVAM n Chim ey provided that the person accepting this permit shall in every respect conform tithe terms of the application on file in 6- this office, and to the provisions of the Codes and By-Laws relating to the Inspec d Construction of Final - Q-�Y G� Buildings in the Town of North Andover. ORY PL B INSPECTOR VIOLATION of the Zoningor Building Regulations Voids this Permit. RMULM�� ��� �C` Ro << '��9 � 9 901 PERMIT EXPIRES IN 6 MO FEE RAro ,o c� I L; or- UNLESS CONSTRUCTION ST v v ELECTRICAL INSPECTOR PERMIT FOR FRAME/BUILDING Roug TJ/ `� Service � �' FEE PAI C �'��� o �JILD46UNSPECTOR Final DATE. Occupancy Permit Required to Occupy Building GAS PECT qR Display in a Conspicuous Place on the Premises — Do Not Remove P Y P in No Lathing or Dry Wall To Be Done Un it Inspected and Approved by the Building Inspector. FIRE Ep)�RTMENT Burner PLANNINGAFINAL -,/ CONSERVATION `P� Y >z street No. f J _ SEWER/WATEF FINAL 63 a DRIVEWAY ENTRY PERM IT2"u-¢ Smoke Det. /r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN •• (Print or Type) NORTH ANDOVER Mass. e � Date kuilding Location , z2e, Permit # /3 rti Owners Name • :' New Renovation D Replacement Plans Submitted �C-- FIXTUP=S � W N � z is to W v _ P 14 �. z O CC 0 us 'WW Z GI N N W CC o' O Q W t- a W 6 W W t- N ct' CC W 4 N N a v W x m '''1 .� tz o c W 1 W W 07 J Z Q Y W W a Q W f' W V Z al Cr. o f- x _ x 6- W W o > a t- -4 f. W z d W a CC 1' y- 0 m = o z W o to z Q ul > cc W z < t= a Q o o W °C o W 17- c= z o 0 z W n � a u .j v � > Q o. 1- o SU$—MAT. BASEMENT, I ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name re-C) Corp. Address f k, Partner. Q cd SSS Cal } Firm/Co. Business Telephone: YJ t � a Name of Licensed Plumber or Gas Fitter �"a Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Q Other type of indemnity Q 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 coverages. Signature of owner/agent of property Owner L] Agent F7 i hctcby certify that ail of the details and information 1 have submitted (or entered)in above application are true and accurate to the best of rnY knowledge and that all plumbing work and installations performed under'Permit issued fo: this application wilt-be in compliance with Cil pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the General Laws. By TYPE LICENSE: • Plumber • Title Gasfitter Signature of Licensed Master Plumber or Gasfitter City/Town: Journeyman APPROVED (OFFICE USE ONLY) License Number Date.. . . .. . . . ... . . i 3 7 S f HortrM TOWN OF NORTH ANDOVER 10 PERMIT FOR GAS INSTALLATION �9SSACMUSEtt This certifies that . . . I . jf 'r^ / � 5t has permission for gas installation . . . f'�.�. . .. . . . ... . .. . in the buildings of . . . . . . f( . . .1. .:.. . �.:� . . . . . . . . . . . . . . . at . . .� l'rNorth Andover, Mass. Fee.,>�'.-).`. . . Lic. Nolj. ;A' . . . 11f49!9?�11:12GAS INSPECT& GAliY n ' WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File