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Miscellaneous - 127 HIGH STREET 4/30/2018 (3)
ti , �, II I i i r ,` THENORFOLK ®[EDHAMGROUPo February 28, 2015 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B Building Commissioner, or Inspector of Buildings c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Board of Health or Board of Selectmen c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Fire Department or Arson Squad c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 RE: Our File No.: P1588628 Insured: 127 HIGH ST. CONDO TRUST Address: 127 HIGH ST., NORTH ANDOVER, MA Policy No.: R0645777A Loss Date: 02/20/2015 Loss Type: Building or Other Structure Damage A claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, Michelle M. Roust Senior Property Claims Examiner 1-800-688-1825 x1171 NORFOLK&DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone:(800)688-1825 FITCHBURG MUTUAL INSURANCE CO. p Fax:(781)329-1818 - Liberty Mutual. Liberty Mutual Insurance ./ New England Region Central Property Unit INSURANCE 75 Sylvan Street Danvers,MA 01923 Tel:(800)566-0323 January 24,2013 Town of North Andover Attn:Building Inspector 120 Main Street North Andover,MA 01845 Re: Property Address:127 High St Unit 2,North Andover MA 01845 Policy Number: H6221822965140 UnderwritingCompany: Libe Mutual Fire Insurance Liberty u ance Company Claim Number: 024677360-0001 Date of Loss:10/29/2012 Attn: Town/City Official Pursuant to M.G.L. c. 139, 5 3B, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, � 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect a lien pursuant to Mass. General Laws, Ch. 139, � 3A &B, or Mass. General Laws, Ch. 143, 5 9, or Mass. General Laws,Ch. 111,§ 127B. This letter should not be construed as a waiver or estoppel of any of the terms,conditions or defenses afforded by the policy or applicable law. Please direct your notice.to the attention of the undersigned and include a reference to the above captioned property address,policy number,claim number,and date of loss. Sincerely, Kristen Hart Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 Ext. 70417 E-mail: Kristen.Hart@LibertyMutual.com Date... .. , ...C. ... lt� tiHORTM I t 3?Ory`�.a° ,.14 p TOWN OF N TH ANDOVER • PERMIT FOR GAS INSTALLATION 9 , 4 9SSACHUSE� ~This certifies that . . . . . .�!f .L o.�'. . . . . . . . . . . . . . . . . . . j. ;I has permission for gas installation . . . t ... . . . . . . . . . . . . . . in the buildings of . . . . r:.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . , North Andover, Mass. Fee. 2). . .^. Lic. No.. ! G.7�. . . 3 ��— ! '`�� . . . . . . . f GASINSPECTOR Check# 5853 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations 4- Permit# ✓ Amount$ '2 j Owner's Name �-� �r I-C e New❑ Renovation ❑ Replacement Plans Submitted ❑ x z z a w w Cn W p m .cr F. z z p w F �¢ a z z c F m v F w a O o w F" a w Q z F. v Oa o: > w CG w F F I C7 F z F z w W C7 G > W W U z d w cC F' > n W z O z W � d O O w O w F x o x 3 c U a x > o w F o SUB -BASEMENT l B A S E M E N T 1ST. FLOOR { 2ND . FLOOR 3RD . FLOOR 4 T H . F L O O R 5 T H . F L O O R 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR or type) ���� %�� � Check one: Certificate Installing Company Name Corp. Address l3J k d ❑ Partner. Business Telephone a G 7 � 13-Firm/Co. IV Name of Licensed Plumber or Gas Fitters INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0— No❑ If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy 13� Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installatio erformed under Permit Iss d for t 's application will be in compliance with all pertinent provisions of the Massachusetts a Gas Co e andhapter 14 of th eneral Laws. Signature of Licensed P umber Or Gas Fitter By. ❑Plumber (� Title City/Town ❑ Gas Fitter License Numoer [3-Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Location f No. Date AOR,►, TOWN OF NORTH ANDOVER Of t„ ° '•,�O 3? � • OL . i , Certificate of Occupancy $ �'�s'•° t<�' ;Building/Frame Permit Fee $ AC Mus Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # C 18829 �/ Building InspikItor 11/14/2005 10:07 617-636-6354 TUFTS NEMC DLAM AGE 04/06 TO" OF NORTH ANDOVER —� BUILDING DEPARTMENT APPLWATM TO CONSI'AUM IfS-M isitE1eONAT 011t Dil2dPOLIS�I A CNB ear ....,,.,r.'i..::"l-•.:.,r:e.lSN+'.�:41:i�".Lr] •�"�7"•„1.r.G CC SMDING PERM r NWER: DA'C'E Issm,/z,��-�--, M SIGNAT'IJRE: B CommiaioneeR ar of Buibspo Date SECnON I-SITIC WORMATION Io 1.1 Propaty Addwm 1.2 Amaroom Map and Puce_I Number. 1� T 1 'c (G MM Number —Paeocl NuatDa 0 V e✓ 004 b , �� zap 5aforwimion: - l.a--r+vpaty 1)imrnAo�: Dituia WqmodUm i L t ars 1.6 SUING SETBACKS ft Fmnt Yard Side Yard Rar Yard Requind Pirevide Rapdmd Ptevidod Ragabcd Provided IS Meestnee>da®reve: Lt sewaWDbpmdsem: 1Pd a bpd awe o a �> zmm o t wo Flood zom v M"Wpd o a � Soo D .a syar,w ❑ „4 SECTION 2-PROPERTY OWNERSHVIAUTHORMD AGENT Historic District: Yes_ No_ m 1 Owner of Record 01 N (Not) Address for'smice; 3 Signature Telephone 2.2 Owner of Record! Address for Se mica z �-� 9 �3 60- s2ysf m Tel Si hope -.._.__. SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Conamdon Supavisor. Not Appho" 0 Licenced Construction Supervisor 0 License Number mn Addaeaa Enp moon Dave 3igDature Telephone 3.2 Re&twW Home lmrovemeM CDDtraator Nat Applicable 0 Q Comi+my Nmne m Raeistrabm Number r Address r z Fa*ati0u Ds* $j lure Tel f t. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I r of Buildings Date Z SECTION 1-SITE INFORMATION z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronts 11 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard R 'red Provide ReqWred Provided 'red Provided v 13 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zona Outside Flood Zone ❑ Municipal 0 On Site.Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes_ No_ 2.1 Owner of Record Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z i M SI;- tue Telephone go SCTION 3-CONSTRUCTION SERVICES 3.j Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number . r Address r Expiration Date z Si ature Telephone 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 building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-FISTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be x (3FFICIA USE ONLY¢ Completed by permit applicant .x a 1. Building (a) Building Permit Fee 18 v Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbin Building Permit fee(e)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 BUH DING PERMIT 1, ✓0/1 1�� ��n S��-t � as Owner/Authorized Agent of subject property Hereby authorize to act on My b a ,in,in a� relative o wo rized by this building permit application. Si ature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 G Print Name Si ature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 ST2ND 3RD SPAN DIMENSIONS'OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUELDING CONNECTED TO NATURAL GAS LINE 11/14/2005 10:07 617-636-8354 TUFTS NEW DLAM PAGE 05/06 Y%m ' robrdo INSTRUCTIONS: This form is used to verify that an necessary appr4va SipermWS from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. N600APPLICANT FILLS OUT THIS SECTION'"*"*"""""""AMICAMIr '"". . n PHONE Q�6 LOCATION: Assessors Nap Number. PARCEL (' l q SUBWVISION LOT(S)�— STREE _ ST.N WWR-f ; OFFICIAL USEONL 10 TOWN S: CONSERVATION ADMIf1 WRATOR DATE APPROVED DATE REJECT® COMMENTS„ f . TOWN KMNEit DATE APPROVED DATE RLIECTED COMMENTS f00D INSPECTORMEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATEAPPROVED DREJECTED COMMENTS,_..._, I PUBLIC WORKS-EEWEERIWATER CONNECTION DRIVEWAY PERMIT Y- FIRE DEPARTMENT vcEiVED BY BUILDING INSPECTOR DATE._..^ RMW ONIM 11/14/2005 10:07 617-636-8354 TUFTS NEMC DLAM PAGE 03/06 '..'0-"4' ^rr.; TOWN OF NORTH ANDOVER a .�)� OFFICE OF r��...;•. v• v.. aw • ;•- k,��;t� :'� BUILAING DEPARTMENT 400 Osgood street North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688.9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Flee9e01im- DATE: 1 Yo\/• I 70B LOCA'T'ION: Number Shied Address Mal" HOMEOWNERIy1 Name Home Phone Work Phone PREsENT MAi wo ADDRESS over AAA ol�� City Town stare zip code The current exemption for"homeowners"was extended to include owner-0ocupied dwellings to two units or less and to allow such homeowners to engage an individual,for hire who does not possess a license,provided that the owner ads as supervisor). State Building (Cade Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parod of land on which he/she resides or intends to reside,on which then is.or is intended to be,a one or two family structures. A person who constricts more that one home in a two-year period shall not be considered a homeowner. The undersigned"bomeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and.regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department tttittimum inspection procedures and requirements and that he/she will comply with said procedures and "irernents. HOMEOWNERS SIGNATURE d��- APPROVAL OF BUILDING OFFICIAL Rcvi"d 1-0,200l Form Fymneownm Examplion 11/14/2005 10:07 617-636-8354 TUFTS NEW DLAM PAGE 06/06 Am v Rl V i 1► _ F• s Ill. I all. r Ni: A" ¢pl lA 10�1'k! �r a { '�� ... AAI -. •♦•i11 h16—_— PB�t tu i IF nr-4 ■ A 4 i old 1 blf+h I 11/14/2005 10:07 617-636-6354 TUFTS NEMC DLAM PAGE 01/06 TUFTS-NEVI( ENGLAND MEDICAL CENTER, INC. An Association of Division of Laboratory Animal Medicine New England Medical Center and Tufts University Schools ofM.edicine, NEW 0112, 171 Harrison Avenue,Boston, Massachusetts 0211.1 Dental Medicine, Veterinary Medicine Phone:(617)636-5611 Fax: (617)636-8354 and Sackler Biomedical Sciences h FAX Cover Sheet Page total including this cover sheet Please report transmittal problems to the sender. Date: TO: %�'�►,� �1 ✓!�/91���� FROM: �)rn felCe PH: Gw 7 PH: FAX: Ce t 7 (a,36- X-51-`( FAX: E-MAIL ADDRESS: SUBJECT: AAA, 6264.1 OF-DEEDS M TE m►MONOWALIH OF W AS.0 41SEM oRl u'.(�/as ra�'c rr,Epsys'e7�x aINlMy WiCTTNE IAIUUf.LOCUM LW LT. p�.4+'+ 2oez(ol 4;54fW fti"T�c6'_ waw To cwau WR11111E wl>ts,ro ' I�E61sr. 5 MHMECT tI&WwFop'o" I Cv,Dr? 001m"TAM AREA ' � I I rr sc I 3 � Y � dllxr � r am t5 t, �: lstrntaa�saert I AaoertaL I ao�oa�ul eu>als � 2 3 tU Will 4 I � � a h I C01a1AA014 PNWNG AAFA ` E r F ' I � II 1,e as�osc 7 NOTE- SITEPLAN HAS MOT BEEN WeVEYEO BY GSO ASSOCIATES. StE SITEPIAN FOR DIMENSIONAL INFORMATION. n 6 Town of N. Andover 127 High St. #2 Office of Building Department N. Andover, MA 01845 400 Osgood St. N. Andover, MA 01845 November 18, 2005 To Whom It May Concern: Please find enclosed an enlarged copy of the schematic site plan for a building permit for the delivery of a utility shed to the property of 127 High Street. I believe the property dimensions can be clearly read, I have included the proposed location of the shed as well( 8x8'). Please let me know if anything further is required. You may reach me during the day at 617-636-8165, and my fax# is 617-636-8354. Thank you, Danielle Bornstein NORTH ® of t 4Andover No. 3 - �z dover, Mass., ,6— T LA E COCMICMEWICK ADRATED PPS\ �S BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System • BUILDING INSPEC'T'OR THIS CERTIFIES THAT.....:........!........ . ........:....................................... ............................. .... Foundation has permission to erect........................................ buildings on ........................ Rough ... .... .. .............. . . .. .. . ... . ♦ • to be occupied as �. Chimney ....R. .... . ................................................................. ..... 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 CONSTRUCTIO?'MARTS 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 DEPARTIVIEN'T Until Inspected and Approved by the Building Inspector. Bumer Street No. SEE REVERSE SIDE Smoke Det. 11/14/2005 10:07 617-636-8354 TUFTS NEW DLAM PAGE 02/06 f Town of N.Andover 127 High St.42 Office of Building Department N. Andover,MA 01845 400 Osgood St. N.Andover,MA 01845 November 14, 2005 To Whom It May Concern: Please find completed paper work for a building permit for the delivery of a utility shed to the property of 127 High Street. Please let me know if anything f other is required. You may reach me during the day at 617-636-81.65,and my fax 4 is 617-636-8354. Thank you, Danielle Bornstein RECEIVED Nov 1 7 2005 BUILDING DEPT. 5984 r Date.... ...... Of �aORT1�,4O TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUSE� - F : This certifies . ........... has permission to perform_ ......,...... ................................................................ i +A a 4 wiring in the building of.... ......................................................... t w at../<:P.7... .............................. .North Andover,Mass. ELECT R[CAL INSP ACTOR Check # Commonwealth of Massachusetts Official Use Only Permit no. .� Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.11/99] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed m accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 P L EA S E PRINT ININK OR TYPE ALL INFORMATION) Date: 8.3.2005 City or Town of: N. Andover T thg I ector o yyyyir By this application the undersigned gives notice of his or her intention to perform e�ectrcavork�esribecie w Location(Street&Number) 127 High St. Owner or Tenant Dave Pace Telephone No. 91- Owner's Address 127 High St. N.Andover MA Is this permit in conjunction with a building permit? Yes❑ No N (Check Appropriate Boz) Purpose of Building RESIDENTIAL Utility Authorization No. 359851 Existing Service Amps / Overhead ❑ Undgrd No of Meters New Service Amps / Overhead Undgrd No of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: replace 100A feeders and weatherhead i No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above In- No.of Emer envy Lighting rnd• rnd Units g ❑ ❑ Battery Unifs No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Na.of Ranges No of Air Cond. No of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW LocalMunicipal Other E] Connection ❑ No.of Dryers Heating Applicances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices of Equivalent No.of Hydromassage Bathtubs No of Motors Total HP Telecommunications Wirin : No.of Devices of E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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 oertifies that suoverage is in fort",,ltd has ex ed proof of same to the permit issuing office. CHECK ONE:Im INSURANCE LJ BOND--] OTHER (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion Icerdfy, under the ai and a lues o u that the in ormation on this application is true and complete Pov�er irng�c merge c�y�eS7dnse inc. 'f A17354 FIRM NAME LIC.NO.: Licensee: Stephen Decker SignatureLIC.NO.: (If applicable enter"exempt"in the license number line) 1 X00-418-3221 Bus. Tel.No.: Address: 44 Stedman St,Unit 2, Lowell,MA 01851 Alt. Tel.No: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the lia • ' insurance cge normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) t Owner/Agent PERMIT FEE 35.00 4259 MORTI/ °f, °:•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SgACNUSES This certifies that ....-,-/ :........ T G................ .................. has permission to perform /ae?..!0...S ........................................... wiring in the building of ..... :.r,............................................... ...... t � y� S at.... ......;..!`;.— ***......... .. ......... ............. orth�do , r ass. flee.... ................ Lic.No.............. ............ . ..... ...... . .. ........................ ELECTRIC NSPECTOR Check # `� r I Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 52 CMR 1;.00 (PLEASE PRINT IN INK OR TYPEA INF RMA TION) Date: City or Town of: P To the Inspect of Wires: - By this application the undersigne gives noti -o is or he * tention to perform the electrical work described below. Location(Street&N her) Owner or Tenant ` Telephone No. 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: Installation of Security system Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA AboveIn- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Battery Units- No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners o.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: . Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: i No.of Devices or Equivalent No.of WaterKWNo.o No.of Data Wiring: Heaters 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. 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 permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of El trica Work: ®r (When required by municipal policy.) Work to Start: l d Q�Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the ains nd penalties of perjury,that the information on this application is true and complete. FIRM NAME: cesLIC.NO.: Jg 3 Jr. Licensee: John S. Bassett Signature LIC.NO.: 1533C (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 603 594 5928 Address Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Lic, see 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ I 3564 Date.:'...Z.•-1.) ..... . t NOHT a ,tio TOWN OF NORTH ANDOVER 3= 0 ' + PERMIT FOR GAS INSTALLATION 9 SS CH :. s °:����. . . . . . . . . .. . . . . . . . . . This certifies that j has permission for gas installation_::.: !' � -f.<... • • • in the buildings of .... . . . . . . . . . . . . . . . . . . . . . at /.i 7 . . . • • • • . . . . • . . . ., North Andover, Mass. !J L' r �• Feed. . . . . . . Lic. No:.IM ? . . . . . . . . GAS INSPECTOR�� WHITE:Applicant CANARY: Building Dept. PINK:FTreasurer s ' MASSA 17--7:AT:JCATON FOR PERMIT TO DO GAS G f ��Type or print) PARCEL Date a —Q� NORTH ANDD Building Locations /077 //1'9 s Permit# c Amount S ��— Owner's Name New LJ Renovation Replacement Plans Submitted 11 V2 C 12 Cn Zc_ W '� — Z 12 c i '* r w w _ C � U] Z %t w %t _ i nz Cin C C W C ++ su8.BASENI ENT B A s E m EN 'r Is*r. F L 0 0 R 2ND . FLOUR 3RD . FLOUR 1'r 11 . FLOUR Sill . FLUOR 6T If . F 1,U U R 7T 11 . FLUOR 8'ril . FLOUR (Prin(or type) � Check one: Certificate Installing Company Name Corp. Address � �e _r Partner. Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter 6 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalenL Yes ❑ No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ ( hereby certify that all of the details and information I have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this pplication will be in compliance with all pertinent provisions of the.Massachusetts State Gas de and apter 142 of th I Laws. By: Signature of Ucensed Plumber Or Gas Fitter Title . M�Plumber City/Town ❑ Gas Fitter License i umoer ❑ Master APPROVED(OFFICE USE ONLY) Journeyman Date. X N2 4291 + TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING i _� may, - This certifies that .? . . . . . . . . . F%?. . . . . ... . . . . . . . . . . . . . . . . . v has permission to perform �—�� 5,r4-a. . . . . . . . . . . . . . . . . plumbing in,the buildings of . . . ,f!! .r-.ti� at/, .7 A. . . . .-44�. . . . . . . . . . . . . . . North Andover, Mass. Feed?-. . Lc. No 5 r . . �.5= t vim!• ... . . . . . . . . 'mow PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR ERMIT TO DO P z ING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location /'A h`i Owners Name Permit#-- y J q/ � Amount Type of Occupancy r �11�_. New ❑ Renovation ED' Replacement Plans Submitted Yes ❑ No ❑ FIXTURES Cn Q d F �+ a d H sLBEM Bk9RWM M HDM 2N31FHIM 3MHLM ✓ ami Ftoa� 5MHOM 6M FI>DM 71H FUM (Print o e Check one: Certificate a Installing Company Name MOV t 0f ( U ryk.Ll ! I/� ❑ Corp. Address ❑ Partner. e / 6 Business Telephone ja — 7 ❑ Firm/Co. Name ofLicensed Plumber 7 o 7 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Ly Other type of indemnity Bond ❑ Ly ❑ 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 rgnature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts a Pl ing C and ter 142 of the General Laws. By: Signature ofpcenfiw Flumuer Type of Plumbing License Title City/Town rcense NumDer Master ❑ Journeyman APPROVED(OFFICE USE ONLY N_ 1 862 NORTH TOWN OF NORTH ANDOVER A PERMIT FOR WIRING ACMU`�� t This certifies that ........� x .......................................... has permission to perform !}!.!?!"'Cr , �'c i; �c ► r► wiring in the building of.......1.. ..................................................... at....�.2. .. � S 1 'G 1 ................. .North Andover,Mass. ........ .......................... v-v '� ....... Lic.No!`NNr.�.TQ . Fee. ........... .............................................................. CC,, ELECTRICAL INSPECTOR 1 Ua 10/99 11:2375,00 ppjp WHITE:Applicant CANARY: Building Dept. PTRK:Treasurer 21,2g fi3$ TIM C0iVM0A7W,4LTH0FA M(,7JUSEM Office Use jonly .: DEA9IZDI�VTOFPUI3IICSAFEIY Permit No. �,e BOARD OFFIREPREVEMONRE67JATIONS527CW 12-M Occupancy&Fees Checked APFUCATION FOR FFJ?AET TOFERFOR IV ==CALWO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date ff�l 9 9 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. kAP ,06T77PARCEL C0 Q--412— Location 2Location(Street&Number) 12,-4- ttk ST. Owner or Tenant r P r`!(' ff e!•�oy N o S 14. Owner's Address Is this permit in conjunction wia building permit: Yes M No (Check Appropriate Box) Purpose of Building es\ 0 , tk ( A we c(rpi Utility Authorization No. Existing Service . Amps / Volts Overhead' Underground No.of Meters (_ New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work r) J e rP t4 y a e No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting FixturesIs Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets C No.of Oil Burners No.of Eme gency Lighting Battery Units No.of Switch Outlets J No.of Gas Burncrs No.of Ranges ",No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.rofDisposals j.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 �'• Cormcctions No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.Eo!_Motors Total HP i • OTHER h>Stz�Cacaa�.Austprdtol6eregtmar�ofIv>amd'a�ltsC�a-alI.aws 1 El Ihaveaameriti abllitykord=Pdt�m&xh%Car>plete C wrdWcritssul ialequivala�2 YES � NO Ibawairnil vandpcdofsm=todrOfCe.YES Y)cubawdrd<edYES,pleasemdcatte Fofwxra rbydr-dmI flet box. INSURAT CE BOND o 011-IR o ) E arTXW ` ( l c Qff3a1,1V;akiedEbticdWczk WaktoStatt hxxill�teRmpesbd Ro#�.Ui Final sigrtadut>da& c r S,e� Lioa>seNo I b SO FTZN Lica>sa PU0 S i Signahue(JLLatu _ Liowsel, Z b50 s� �d��C �� C� drk U�� TeLNa 26 .T owls°s»`rsURaNCEwAIVER;I�rrawaret�ttl>eL;ee�et����rheiteai>sst�r�e�,iva>et>r.asre�.>�lbyzv c>e�I��S aridd-&nTyVnb tecnlwpeaTma tmwx*wsdmreqm'ar�at ''ll (Please check one) Owner Agent F 5 V Telephone No. PERMIT FEE S Signature o caner or Agent G' Ld0-1 Location A-2 - / Z/, S No. Date 6 Ile MbRTh TOWN OF NORTH ANDOVER 09 Certificate of Occupancy $ * ; : Buildi.ng/Frame Permit Fee $ .2 S, CNUFoundation Permit Fee $ SE Other Permit Fee. $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ —"� Building Inspector ' 3 '19 625tiv. PAIn 06/23/99 14:051, w. Public Works PERMIT 1V0. �� APPLICATION FOR PICRMIT TO BUILD********NORTH DOVIIR IMA � MAI'NO. LOT NO. 2. RECORDOFOWMRS1111' ATE BOOK PAGE ZONE Still DIV. LOTNO. �� � V / LOCATION alt PURPOSE OF BII►►.DING Y IV vL 4X15/ (!�� ji /06d AC..u'Y/d /_ Y- OWNEII'S NAMED /y e �g�7 '�14,aoo ' VO.OF STORIES SIZE T O�)NER'sAn REss �1 ��- ' BASENIENTOR SLAB >, --- SIZE OFFLOORTIMBERS ISI 2ND 3f2D ARC111TECT 5 NANtb_ _ BUILIMI'SNAME 'Dq SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF DISTANCE FRONI STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS 1S BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION OF CIl►MNEY IS BUILDING ALTERATION 1S BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORNI TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN)NATER BOARD OF APPEALS ACTION, IF ANY KO IS BUILDING CONNECTED TO TOWN SENVER IS BUILDING CONNECTED TO NATURAL GAS LINE INSFUC'Fl0NS 3. PROPERTY INFORMATION t.ANn cOST �q - --- -- ------ — EST. BLDG. COS"1' (/© PAGE I FILL OUT SECTIONS 1-3 ��c W 131 cl EST.BLDG.COST PER SQ. FT. EST. 131,1)G.COST'PER ROOM ELECTRIC METERS NIUST BE ON OUTSIDE OF BUILDING ! SEPTIC PERMIT NO. VI'TACIIED GARAGES NIIIST CONFORM TO STATE FIRE REGULATIONS� 4. APPROVED BY: / PLANS MUST 131:FILED AND APPROVED 13Y IMILDING INSPECTOR 131iI1.DING INSPI?C"fOR 1)A'1'E F LED OWN Ell S TELH U Jf CONTR.TEIA (a O f 117F7 7 �/ CONTRAAC# J SIGNATURE OF O)V'NER OR AUTHORIZED AGENT 8� ` I PERNI IT GRANTED 19 Revised 5/ /99 .)�i NORTH 0VM Of dover No. .�� r °�A Co�„�Q dover, Mass., DRATED p � S H S� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System aBUILDING INSPECTOR THIS CERTIFIES THAT.........../.....'e......` r............. ......Avv..o..v $ f0..........1..! .. ..... . ............ F Foundation has permission to e�eCt..� v ......... buildings on ......... / ....�........ ............�................�............. Rough to be occupied as....�/V tr i o r �II�N &#PI.A01 l�/Q►1, 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 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 / 31 '? ( PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTI S ELECTRICAL INSPECTOR Rough .. ...... .... ..... .............. .... ....................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. t North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11 , S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i The Commonwealth of Massachusetts w� > Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Af;davit Name Please Frint Name: Location: City Phone # I am a homeowner performing all work myse!f. I am a sole proprietor and have no one working in any capacity aI am an employer providing workers' compensation for my employees working on this job. Comoanv name: Address City: Phcne Insurance Co. Polio✓# Comoanv name: Address CiN: Phone Insurance Co. Policv Failure to secure ccverace as required under Section 25A or MGL 152 can lead to the imposition cf cmmnal penalties of a fine up to S1,5G0.00 andcr one years' imohsonment as we!I as civil penalties in the form of a STOP WORK ORDER and a rine of(5100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investieadons of the DIA fcr ccverace verification. 1 do hereby certify under the pains and penalties of genu that the information provided above is true and correct. Signature _Date g � Print name Phone 7 n write i completed b city or town cmcaf Offical use only do of to n this area to be c., .ed y / City cr Town Permit/Licensinc ❑ Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Ccntac:person: Phone T: ❑ Health Department ❑ Other i ACORDDATE CERTIFICATE OF LIABILITY INSURANCE 06/14/1999 PRODUCER e F THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INTERNET INSURANCE AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 522 CHICKERING ROAD HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, MA 01845 INSURERS AFFORDING COVERAGE INSURED INSURER A: TRUST INSURANCE DAVID GULEZIAN DBA INSURER B: LEGION INSURANCE DAVID GULEZIAN CARPENTRY INSURER C: 428 PLEASANT STREET INSURER D: NORTH ANDOVER MA 01845- 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 DATE(MR LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 600,000 A ® COMMERCIAL GENERAL LIABILITY TMP 1010570 11/10/1998 11/10/1999 FIRE DAMAGE(Any one fire) $ 300,000 ❑ CLAIMS MADE a OCCUR MED EXP(Anyone person) $ 300,000 ❑ PERSONAL&ADV INJURY $ 300,000 ❑ GENERAL AGGREGATE $ 50,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 5,000 ❑ POLICY ❑ PRO ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ ANY AUTO (Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY $ ❑ SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY $ ❑ NON-OWNED AUTOS (Per accident) ❑ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ ❑ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ❑ OCCUR ❑❑ CLAIMS MADE AGGREGATE $ ❑ DEDUCTIBLE $ ❑ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- IM I O R EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100,000 B C4-0115728 08/15/1998 08/15/1999 E.L.DISEASE-EA EMPLOYE $ -900,000 E.L.DISEASE-POLICY LIMIT,$ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS GENERAL CARPENTRY CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN 120 Main Street 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— REPRESENTATI AUTHORIZED E f,Al.tA70VI ACORD 25-S(7/97) ORD CORPORATION 1988 Sy' i 0€RARr1Emr Gun �SA?Et'Y t 3 prs Birthdate CS , 8 �8 J1934 taJg21 9S4 ". AW 4 t 4 - t- j s LIT— JIM" FxQ�NEN�f©NiRA�OR t 10 ���1/,Q1�9 LDSIDDh& EXEil j «��,.�, •PEEKS ���� � +� �� z��" `�1 YfR, " n} a-..• Y \ w. .. - .. QtPARTMENT Q€ PUBEIE($AEETC a.. CQNSTRUOIOg SU E@1�iSQR:IIGEMSE NuA4& Eap�r ` hB rthCat2: K cs ee�1a/eLi�4s K z`tt ANDOVERr MA °pi84 4 r Xi IMPRVEMMEENKTi{'0A HO " TYPO= INffTIIIDUAI Expiration 11/Di/99 � r DAYiDrD 6�EIIAN R�� F, . PtEASAMT:�T' AMD � MA �6 8 �� R;S '4 , � PERAirt- NO._ ,-YAPPLICATION FOR PERMIT TO BUILD****`k**NORTH ANDOVER, MA 'NO. 2. itu-'coltDOFOWNERS11111 DATE BOOK PAGE ZONE, S1111 DIV. LOT NO. I J)CA 110 N 0 V-e X1 )J61k) /0 cd 0 WN E WS NA N I E ?c t UO-0 F STORIES SIZE OWNEWS AIIDIZE'SSJ- BASENIEN FOR SLAB ARCIII I*I-.'.(:-I`S NANIV SIZE OF FLOOR TIMBERS jS-1, 2ND 31t[) IWILDE'll'S NANIF V,(d&J p---c f-d- el SPAN 1)1 STA N CL-TO NEAREST"111111.1)1 N G DUNIENSIONSOFSILLS DISTANCE FROM SHIEFT DIMENSIONS OF POSTS DISFANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE IIEIGIITOF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION NIATERIALOFCIIININEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM To REQUIREMENTS OF CODE ISJUJILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANN' too IS BUILDING CONNECTED TO TOWN SENVER IS BUILDING CONNECTED TO NATURAL GAS LINE INSIVCTIONs 3. PROPERTY INFORNIA-110N LAND COST I.LOtjTsrcTIONS 1-3 EST. BLDG. COST 9,000 PAGE I FI ,0 P-,c,d 13 cl EST.BLDG.COST PER SQ. FT. /P EST. BLDG.COST PER ROOM t'.i,i'c,riticNIF'I'EIISNIIISTISE ONOII,rS[I)EOFBIIII,DING SEPTIC PERMIT NO. N'f'f:NCSIED GARAGES MUST CONFORM 1-0 STATE FIRE REGULATIONS 1/c� 4. APPROVED BY: PLANS NIUSIAll' AND APPROVED BY BUILDING INSPECTOR 111111,I)IM;INSPEU1,01t 1)A1 , LED "'ONVNERSTE1.4 CONTII.TELH SIGNA TORE OF OWNER OR AUTHORIZEDAGENT vn I'VE. VE R N I ITG WA N'l ED l/O 19 Uevised 5/5/99 JNI 0 ORTN �e D • own ® dover T i ." ' cocL dover, Mass., Ige A0RATED BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... ..... ��...... r............. 'e. .. .....%....1.. 0... ......................... ...... Foundation has permission to b�Ct.. nvL�......... buildings on ......... /'' .As Rough1.......... ............4 ................... to be occupied as....,�/V t�'!./.0/'` /Vlll� 1 ,S I. Chimney .................................... ......... provided that the person accepting this permit shall in every respect conform to the terms of th 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 PERMIT" EXPIRES IN 6 MONTHS THS Final � 1 UNLESS ELECTRICAL INSPECTOR Rough • / ........ ...... .... ..... .............. .... ...................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS IN Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location No. D Date / hca NORTH TOWN OF NORTH ANDOVER n Certificate of Occupancy $ Building/Frame Permit Fee $ ZZ CNFoundation Permit Fee $ USES Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �� ✓ 6 / zY, 44 Building Inspector 3 LA 6 07/13/99 14:50 117.00 PAID Div. Public Works 1 /1-'ERMIT NO. �� APPLICATION FOR PERMIT 't . . BUILD******** RTH ANDOVER, MA t s47 NI:�rNo• LorNo. 2.fR�ECORDOF�OWNERS11III DATE BOOK / PACE o G u)NE sullnn. l.orNO. (k9 1$ ��'7 S 11?VWc Pmfo? Fgm► jeeotn4i;,4 ,'C oNFkj-e,Od j-,dt7XG ��l LOCATION ! �7 �� PURPOSE OF ItUII.DING 4^ � I1�4 Qrmac.f�p%e ��' 4N /s,e July OWNER'S NAME e tn. {/VLa��Oy�w! NO.OF SrOR;ES SIZ SfCJ��f- S �isz �r�� f 0WNER'S ADDRESS L I '/ y �' BASENIEN'l Olt SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS `s - IST 2ND 3RD / 4 BUILDER'S NAME Ili /_ � .e�J�/�i(� SPAN DISTANCETONEARESTBIIILDING J DIMENSIONSOFS{LLS DISTANCE FROM STREET DIMENSIONS 1''JFPOSTS y{� Jt�r DISTANCE FROM I.OT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT 0 (� FRONTAGE IIEIGIIT OF Fe)UNDA"r{ON THICKNESS IS BUILDING NEW ►[V SIZE OF FOOTING �[ k IS BUILDING ADDITION nG MATERIAL ONCHININEY IS BUILDING ALTERATION +r� / IS Bt1R.DING 6N SOLID OR FILLED LAND G'1 �O•� '� 11'ILL.BUILDING CONFORM TO REQUIREMENTS OF CODE `G IS BUILDING IONNECTED TO TOWN WATER �.G! BOARD O,F APPEALS ACTION,IF ANY Y1i1 M.nl.IILD{NG t ,aV IF TF.',�n'� _. ti• Pct. 1Oq�"fy:.. -.• - - ----- ' IS BUILDING(�ONNEC FED TO NATURAL GA:, INSTUCTIONS 3. PROPERTY INFORNIAT1ON !;.AND COST -- 4'ST_BLDG.C:OS'r -- PAGE I FILL OUT SECTIONS 1-3 ST.BLDG.COSTPF' 1ii)- FT. I'sr. BLDG. COS"I PER Roo)`.; `- ---- - Ii:1.ECTRIC NIETERS NIUST IIE ON OII'I'SIDE OF BLIILDINC p"IlC 1':�tLifl'NO. AT-1'ACIIED GARAGES NIUSTCONFORNI TO STATE FIRE REGULATIONS 1ri'Lit)Vl:1?ItY — — TITANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 1INSPFC TOxt DATE FILED _ 1lWNERSTEI,hl FL4 g(57W5rtl CD3 - SICNATURE OF OWNER OR AUTIIORI�GENT._ FEE $ '7 ------ —V(-L - ---- — r PERNIITGR:\NTED n �-2 n, Revised 5/5/99 .IN'1 i 4r � FORM U - LOT RELEASE FORM T 4 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT r Ct-e,( PHONE LOCATION: Assessor's Map Number b / PARCEL 7 SUBDIVISION LOT (S) STREET ( �� ST. NUMBER //C;? / *****************************************OFFICIAL USE ONLY*********************************** e. a a,N rear �A RECOMMENDATIONS OF TOWN AGENTS: (`�ec�r, oZNcQ �( Pore I� �Z u�_ Ld_-;L4-,(hne &L tl !1 C SERVATION ADMINISTRATOR DATE APPROVED D DATE REJECTED COMMENTS koo TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECT.6R-HEALTH DATE APPROVED DATE REJECTED SEPTIC IN PECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT DECEIVED BY BUILDING INSPECTOR DATE Revised 9Wjm w Air - SAO hit ASK MCI py PEA s AP z: N to• rn i !' yIN�FI r too,"Ay": - _ t •N hl�i- •h",,` 1. j• _ _ _ 7 1 k � acs,z ., � 'i•v ASAll - r .Iz MA }��rf`�f�N?I li �?cM�lll�ryTt } ,; ? �.i 11a� 7� .: r L� 5..3 v - A w' Ii•J. _ J n 'Y to !�'r { WAY � t INS ..# ��� rra � ��;,��a.s:. � ��"pZ "r :•�,� F -tit �1�y A�i�r�� '1.�{�" St - F ...r '*�\^:. •b:'�.yva a�r.,� �.i < i !+4°�I,� F'��:-?.y r" 'i r I"k„F ,,�� - - .. i xc z - - y �N kms& r .r h r "fin ti � it A - t _. 4 .. 1 E i ORTFf Town o Andover 0 No.3 -00 o; ndover, Massa J� q COCMICMEWICK RATED Pl*'L SSACHU�E IT FOR EXCAVATIONOL E FOUNDATION THIS CERTIFIES THAT ....Pei! h has permission to excavate and pour foundation at .....i-Q 1)........ ....... . .. .. ......... ft I for the purpose of....a y. ..... .l�. .�g � .��...� PEA) D�cK a...sl,� � rs�c.:Rdfa The person accepting this permit must return to the office of the BuildingInspector a certified plot plan sh w 1 of building thereon before Foundation will be inspected. G 1p% Z q p^V d I r e a r Q VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. m -c, r P rk, JW0 ............ ...... ............................. a e C. t 3 Q 4 � BUILDING INSPECTOR NORTH own ofD OLAdover 0 NO. ®® a i dover, Mass.,- r7 1 a ef c Oc Hl E TC �AC•R "\V ATED P•P BOARD OF HEALTH PERMIT T Food/Kitchen Septic System ���'� 116 V AJ cow lb BUILDING INSPECTOR THISCERTIFIES THAT....................... ..... ....................................11... ........................... ............. ............................... Foundation 0\4 has permission to erect.. .... ..................... buildings on ...............�....... . .......................... ............... Rough to be occupied as.. ....... �!!r' .. , a .� 1 q ®PND 1�.,. `.1 IL *W Chimney A... ........ ................ provided that the person accepting this permit shall in every respect conform to the terms of thea applicatio'n' on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection Alteration and Construction of Final Buildings in the Town of North Andover. Fr®r'4 S*4) ivft &v N M 10 y w S t 1404b 1�- PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 14 FA Rough PERMIT EXPIRES Ll�1 6 MONTHFinal L'U I, �TS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION Rough _I .................................... ........................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy wilding GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. BUYER: C!© ,(f 1�0p'dSLXD) P]nn F7� d-survey control. cation ie aivroximate. Inst• tment suri,ey recommendGrl; F. "lan record vdcorde no anrtilar control. evi See4Book 39911 pn ree 2112-2113 for 1 (1 v 1 Variance pranted� which becomes an, instrument to this Inspection I Plan. I-✓l0 1 ` rxcnnt.i on �o P�> N as mr Atty. 'F 11 t n�Plan 5 I � Co.vpl �PR�i �7 Plan f 1 This Company will not be responsible for any r-rors or om ishions to 10019 as shown on Penn P12161. Seo Variance prantod October 7, 1993. TO AND ITTHES(TITLE INSURERS. ) MORTGAGE INSPECTION PLAN I CERTIFY THAT THE BUILDINGS SHOWN DO ( ) CONFORM TO SETBACK REQUIREMENTS 1 �-� LOCT►1 A IN I.E. (FRONT, SIDE, k REAR SETBACK ONLY) OF NORTH ANDOVER WHEN CONSTRUOTED. OR ARE EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS..,C.L ARA�SACHUSETI S nTLE Mi. CHAPTER 40A. SECTION 7. UNLESS OTHERWISE NOTED. lone "X" :s otstaide ther 5qQ ye; or 1 FURTHER CERTIFY THAT THIS PROPERTY IS X" 664 IN`� 14 IiABUSHED FLOOD: DEED HAZARD AREA. 1.COMMUNITY PANEL NO.: DAVE: 250098 0003C 6/2/93BOOK supplied by attorney THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED DATE OF THE LATEST DEED OF RECORD. . - PAGE WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS ADVISED CERT. 110. _ THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY MARKERS OF OTHERS AND DOES NOT P N b PACE _._.—._. REPRESENT A PROPERTY SURVEY. VERIFICATION OF SURVEY MARKERS USED ANO TS. AS SHOWN. ��nnl l'e T MAY BE ACCOMPLISHED ONLY BY AN ACCURATE. INSTRUMENT SURVEY. ORI V REt NOT DEPICTED PLAN / )?1/1 DATED ON THTHI_S CERTIFICATION TO BE USED FOR MORTGAGE PU RES ONLY:`.:.;;. P _ JUNE � 199) OFFSETS AS SHOWN ARE NOT TO BE A USED FOR THE ESTABLISHMENT OF PROPERTY. L'I Ic'la,iiea. SCALJ: 1'-Zo X. BRADFORD ENGINEERING CO J P.O. BOX 1244 HAVERHILL MA. 01831 JAMES W. BOUGIOUKAS R.L.S.'#9529 TEL (118) 373-2398 I i l ,. kk Location No. Adz? Date gr/6 I hy �aRTM TOWN OF NORTH ANDOVER 16 0 p Certificate of Occupancy $ Sg • i � � Building/Frame Permit Fee $ �ss�cMuSE< Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector I .�J J.EG%n g9 01s?P S„00 PAID Div. Public Works E'ft'1IZ NT IT NO. qjD APPLICATION FOR P RNTTT TO RTIr ANDOVER, link 06 0 -®e . )- I.0fNo. 2. REColmoFOWNEIISUR' DATE BOOK PAGE 7i)NtC Sllll DIV. LOT NO. `Y Ayl /x, � !(IC.1.1"10N 7 1111lil'OSE OF 1, q(; �/'� �� Doo No - STORIES (�(Y L�IC/�� SIIvZJE i for L�-� Iy ` G � ()l1'�\'I:it'S:lnnitrss ��� `�rJ`�2,' n.\SEn1ENTORSLAII -.11"Allll(C'I"S iv.-1nIF aA {si e,✓' Y /�, f�, - SIZE OFFLOOII'finlnERS lit 2NI) 3nn(9-,)q t) III I11.DLit's N.�nIF u VI 6 �f/(Y.Qn'1 $I'AId /6 ' Y/QTY/- /,11W� ,644 '# DISI'ANCF I'O NEAREST IIUILDING v 1)1nIENS10NS OF SII.LS I)1.S 11 N C I.FI 0 n 1 S I"Ii FET DIMENSIONS OF POSTS DISTANCE FROM 1.0"1"I.INES-SIDES REAR DIMENSIONS OF GIRDERS Mf k of LOT Flt0NTA GE IIEIGIITOF FOUNDATION C THICKNESS (�( IS BUILDING NEW Ylo SITE OF FOOTING x ISIMILDINCADDI"I'ION MATERIAL OFC111AINE1' IS 11(111.1)1NG AI.PE ItAlION rj IS BUILDING ON SOLID OR FILLED LAND W11.1.BUILD INC CONFORM TO REQUIREn1ENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOA It1)OF APPEAI-S ACTION, IF ANY _(J IS BUILDING CQNNECTED TO TOWN SF\1'ER 1S BUILDING CONNECTED TO NATURAL GAS LINE INS'FtIC'1'InNS 3. i,uc)PFitTY INI_ORNIA1'ION LANn COST EST. DLDG. COST 1'1(;li 1 1:l1.l.Ou't'SEc'1IONS 1-3 EST.It1.nC. CO ST PER SQ. FT. EST. n1.DG. cosi PER noon) f IA VCI"It IC DIETERS nIIIST IIE ON 011TS11)E OF 11111Ln1NG. SEPTIC PERMIT NO. .kT1"A IIF.DCAR.IGI'.SMI'S'1'CONFORnITOSTATEFIRERFCULA'PIONS -1. API'1 OVEDIW: ./� ol I'I_kNS MOST RF I'll I D.AND APPRO1'F11111'IIUILDING INSPECTOR IIIIII.DINC INSPECTOR N nA l'I:fI1.FD OWNERS 1'E1.EI A � O -- CONTII.TELH g d� coN ra-LIc11 a I"IiItE OF :)\1�NI:12 Olt A11T110121"!_I{n AGENTMUNI � I IAIMI l R-AN"1EI) - L IPI. - - - --_ _ _ — - -- - NTs Ii��'isc�i 56/99 .In1 B.�A` t,.$". L NORTH own of 1� - OL dover No. 4110 x _ °�ACoCH� over, Mass., Af A 9 ORATED PP�GG�� Of� S 5` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT....... , BUILDING INSPECTOR . .. ..�� ... ....................................................... Foundation 10 has permission to erect...F buildings on ......f. ...:./........,�' �, /1 5 Rough to be occupied as.. ffi ....4$pA c'1C......jr?.r.......1.... r ,. .../..8 a .... ...1.....P. .N. ..................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough m ` h PERMIT EXPIRES IN 6 MONTHS Final P 1 UNLESS CONSTRUCTION TJAR ELECTRICAL INSPECTOR C - !�s 2 0 Rough ....4 ...... ........ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. d .� ItY�'JT i 3 r t t_ "� TY. 1 5 d i fa3'.�i� ' r'' `' } r7 a "-: t I -F.-.-111.1.11'.—�.: ' '§ iJ rs v -d. FF..}?s,x S y 7r s r r't�'i. �d�t gg. izs,• 1 -.0 '-;. ..r4 a 3 .4 1 > 'a�. s 1 {k 'L e l �� r t €f i lass t Y t s.r'. ,lfdkr,C.w.e 4. .} f -p ; 1 - _ ... e f�.. t ..( e. fJy; ,„. r.J tr•1. l �#�ii t<1�1{i n'•I '&y i {y�tl 3 t T r f s y e i k R J �y t '! s t - i txJ$)°.sem ' r '•, s a i� z d , _ }'_-'; _:.t T I -1 E -ti. y {� - f MaaA r k i E -f t l Y 3 1. trlii i, E t -f t c C .. i its P:.3 { t s..'.. .. ,1 -1 -' a t t u t k ff¢ti„x J r s. 3t. € y ='t} J.`.,k J..J £.t,..�..�..:. _v>". i+ - 61. f£E�,Saevj eta x. 4 y.,.1 . .L - . ti,. .. AP.,:.; r $ f 9 11J k��x,�s d t�. d s ; y t, `x .4 't t4511 11 r ,. �f - . r11,,a.o k� t` tT. .. + >S, - 1 7 r f r. " fy 11. 7•r>`..x If t�" �,t•, t �+: .t k,.,t +- --,Wk lr ,j" ° ? �J �r - - . z 3 . T40 �OBCi f " '+ a. <. 1 I t'' ^,� r z - s Fa, CO,T *ap �u� .t ^Y yac. J .. - _ e _ 1 ° o k - '_' t _ f )�J�,fl tyr tet - I r i fi f +�� ` Q4 lay . Ya�` "5. ^ � �:' fr . ,..; - A"C 1251 - , .. - f i.t' { a e .a x r _ t t J Y I :' . :: . ." yY I " 4T y T Y W r P ._ -_ . l{rl- .1 - - - _ .�, t t k t c a _ _ _ ..., -. - .. :: - .. .. ._: -.. -_-:. : -..c - _ .. •. ` _ - < - 1 .. . .. , g. -... L. :.,... .. -1 I S . 1 .. ... .. ... .. .. .ti ,.: .. „ .'`, -: _ . ,..-: ..----:. : - : -. - - -c - } - - - -� : - .. _ - ;I ..,.. . - :: .. - . 'NMZ f i J a .. - - .. - - - .17 11 t .:. Y .. - ...v .. _ - ., .: -- " y, .: :. .. .- '-' .. _ _.. it - - .. . - >� ` S - - i - .- _ .. - - -: ... - ..... ....r':- _ - - _ - -. :� .- :-.... .. ; j. - - - r . _ - _ - _ 1 Y 1 I - {! ,i x t �, 1 f i { *iJ ,,. - i ; t { ,. s 3: 1 - i J - - - _ tC� -: - - J l '. , _. r'. i �. � �, .. �- i r ,�� ��'� �, \ 1, I I ..,.. _ _ _. I I ,, LOW PA G ol _ yv 0 YZ � - `� \�'?IZI� It.Y� - — -� x►-'1;4X4 - m 2�CGz I � NG�YZ•2xSHEl.�-R .. _ t • �•.V--4-X�--Yl.�.�-r'_.G�.(Ttt�J!.�� PftvF . t� it .1.NG.:G.:i�Cfi�.-��F1C,�,.1 �T �Ll.=.:hP�� l-�1.P'��l 17T '7 Y1✓ JCS- I"TT'iG1G2 `Z_ I'L1� R• _ -- �4-4�V1�� ,: _ P�:-�Lr�__t=--i.C✓'I_�IT' ___v�_C.sG.c�..s4: _:.c,G�t�� iC�2� =I!o v Mir lu EXtsn1 tc,,2X�1✓IrZ(,cclv,cc_vl�t) �4"�� i 2 VAN t - y : I Z7._.:_4-Lt l- _.-5`bR!r T_'. .:�4��t�t f{ �L _1-�1 Xa► __ ����✓.�� � � � �-_ GSRM.Jo- C) U 03 .z 3 AN O MA Jy �9�THOF ShA�'PG w N aw Location 44f(" J t No. 4 Date r0RTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ SOMME ; Building/Frame Permit Fee 'Z.. "— s„° $ Foundation Permit Fee $ S�CHU Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ IdingInspector 11/08/ 15:04 00 PRI T l W 9350 , Div. Public Works PER'Mrr No. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 12 RECORD OF OWNERSHIP :DATE BOOK :PAGE ZONE I SUB DIV. LOT NO. LOCATION 0-7 'meq O-JvdlWOSE OF BUILDINGl 14Acer►'�nr`wiNJc,u/s, 2 Sed 3;4ig, OWNER'S NAME n u�e�/ ► "� ' Vlm NO. OF STORIES nV Ie d �5�or�cra��s,Re?/ire +✓ OWNER'S ADDRESS '^ 7(/orh'•,)r�. BASEMENT OR SLAB ARCHITECT'S NAME ,T ,7- SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME aviep,,,clao SPAN ----- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW )?0 SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y� G IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY J' / IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH BIDESBLDG. COST $` .Q EST. BLDG. COST PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS i - 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 lotfol �•� ryBUILDING INSP[CTOR SIGNATURE OF O NER OR AUTHORIZED AGENT / �9 q�U F E E �Z OWNER TEL.# (, 6 PERMIT GRANTED CONTR.TEL.a (I tlz�s 19 CONTR.LIC.# o H.I.C.I/ igar99 �3-,oh cwu 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 IRAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BUK. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/, '/r % FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS - B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING _ COMfdCN _�_ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MAS N Y ATTIC STIRS. 3 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE ONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY — WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR Ell TILE DADO 6 FRAMING 11 HEATING - WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN.' TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OI l B'M'T 2nd _ I ELECTRIC t ct 13rd NO HEATING i �00N0 o Of over N . 5 7 o brt dower, Mass., �O-JEMGMAZ S JqCt TED S BOARD OF HEALTH I Food/Kitchen PERMIT T D Septic System U BUILDING INSPECTOR THISCERTIFIES THAT. .... .u�`.,.............................................................................................................. Foundation has permission to er �4 4�1 -Q,,............... buildings on ....V Z 1..... �.a S� Rough p eek-.. ...... ...............�.......... 4`• WP ooai �OOIth ....'.�f.....� .&...TfJ(�3......... ........................... Chimney provided that the person accepting this permit shall in every respect confor 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 PERMIT EXP MONTHS Final T - ELECTRICAL INSPECTOR UNLESS CO STR � Rough Service BUIIG INSPECTOR Fes, Final Occupancy Permit Required to Occupy Suing 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. 1�t1�b -