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Miscellaneous - 1365 SALEM STREET 4/30/2018
r1365 SALEM STREET J 210/106.A-0139-0000.0 1 r Location No. r I Y Date r �l NORTH TOWN OF NORTH ANDOVER Of�"•O '•,�O 3? i • O N - P • ; ; Certificate of Occupancy $ sAc,+us s� Building/Frame Permit Fee $ Foundation Permit Fee $ i Other Permit Fee $ TOTAL Check # Building Inspeq,50W ti TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �q BUILDING PERMIT NUMBER: DATE ISSUED: of X SIGNATURE: BuildingCommissionerfl for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 1,366- SALEM ST ®tI C Y b V - Map umber Parcel Nu diber � � N 1.3 Zoning Information: 1.4 Property Dimensions: `a ZoningDistrict Proposed Use Lot Area Fr-ta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard IIS Required Provide Required Provided Required Provided 1.7 Water Supply IvLG L.C.40.` 54) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal.System 0 SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record R Name(Print3 Address for Service Signature Telephone 'N.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ S ,b Licensed Construction Supervisor: AA® OILq ITLf, License Number ST —PI) S77 NMApV.DO10 9n Expiration Date _ Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ AU 1,D CAST I C o AI E U6, * 9L)6 Company Name M Registration Number b b S U, -„T'o u ST, r 111'b ,�-I>1 Vo U E k, J°'d A s 2 1 6 .2 Expiration Date Signature Telephone r f 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. Si ned affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all a Ucable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ f. 9 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: •M, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost/Dollar to be _ ,} , � ;l? C '3° WUt�� Y+ Fir (Dollar) ajN aRs 3;�t'. xh '^v.'� x " Completed bpermit applicant 41-1 1. Building fq� go (a) Building Permit Fee d Multiplier 2 Electrical (b) Estimated Total Cost of 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, as Owner/Authorized Agent of subject property Hereby authorize to act on ` My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date ' SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, DAV IP CA.57— R I C—h dF as Owner uthorized Agen 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 ,y P 24 V C Print e Signature of Owner/A ent Date Egli 11111111111ellial 11111111 NO. OF STORIES SIZE BASEMENT OR SLAB r SIZE OF FLOOR TINMERS 1 2ND 3 RD 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 BUILDING CONNECTED TO NATURAL GAS LINE NORTH E ® of _ over 0 No. - � o�A�o� LA dover, Mass., / 0RATEDpP4c S H E BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT...................................................... .................................................................................................... Foundation J& has permission to erect. ........ buildings on � . .... .. - Rough . . �. . t0be OCCUpled as. .................................................................................... Chimney . . . .prermit . . . .. . .............. provided that the person acce g this shall in respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By- s 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 Final UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR Rough .................................................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final . No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. J SEE REVERSE SIDE Smoke Det. i ✓fie ioaa -- ,�''� vnuY�usea`�f2 �p� ac�rcoe�i` Board of Building Regolations:afid Stan ards License ovreap trat":n iAid for irdividul us o fly 4 HOME IMPIROVEMENT CONTRACTOR be"foie the eapu anon date. If found return to: _ Registration: 144569Board of B�ail]inb_Regulatious and St,nda;:Is Eit .ion Qhe Ashburton Place RM /1`4/07. Ty'^a PRIVATE CORPORATION Boston; 1[a.0�1t1b AVID CASTRICONE-nOOFING,:• t� 7 Hi lsft'Road , _Bcxford.,MA i?,92 - r Admin.3trator • •; i\ot vAlrur wirh<ut.aigna;*t re t I MASSACHUSETTS UNIFORM APPLICAI-ION FOIJ PERMIT TO DO GASFITTIN(3 (Print or Type) I . A_ �0 NORTH ANDOVER Mass. DateGZV1� Building Location� lj� j�� ��• f Permit # s � Owners Name]&��-\Z(�S" �� New 77 Renovation Replacement Plans Submitted FIXCr 11 t%f V x N N a O 0 Y a N Q U ~ t x to CC d m rn N W W o a CC W W l - xto o w a x �„ H in O y W W W W a x d x a t W a W �" w H x c� Cr C7 H x ,� P Z H W W o O ? k H U a H W i Z 4 W G a d G Q W O O w Wet: O N z Q to } C W � 2 cc x O (ti x tL n [] ,Ql U a y cx n0 FW- o SUR-13VAT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6THFLOOR TTK FLOOR 6THFLOOR - (Print or Type) Check one: Certificate Installing Company Name tJ ,� Gp ��� Q� U Corp. Address Partner. N. ���` Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the. appropriate box: Liability insurance policy Other type of indemnity [—] 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 LJ Agent F I hereby certify that all of the details and information I have submitted (or entered)In abote application are true and accurate to the best of my knowledge and that aU plumbing work and Installations petfomicd under permit issued to: this application wW be In compliance with all pettlarnt provisions of the f4suchusetts Slate Gas Code and Chapter 142 of the Genual !Jaws. By TYPE LICENSE: Plumber Title Gasfitter Signature of Lice s d City/Town: Master Plumbft'_ CTS . or Gasfitter c� Journeyman �T ` J APPROVED (OFFICE USE ONLY) License (Dumber v�Y 1 BELL & CAMPBELL PLUMBING & HEATING, INC. 240 CANAL STREET SALEM, MASSACHUSETTS 01970 June 18, 1990 Mr. Domenic Mangano Plumbing & Gas Inspector Building Office 120 Main Street North. Andover, MA 01845 Dear Mx. Mangano: Re: Cooktop Doherty, 1365 Salem St. No. Andover, MA Enclosed please find a copy of gas approval granted to the producers of the cooktop purchased by Mr. and Mrs. Doherty. i If there are any specific questions you have regarding this cooktop, please feel free to call BOB in se at 1-617-255-1766. rvice at Gaggenau Corp, j If I can be of any assistance to you, please feel free to contact me at 1-508-741-2330. Thank you. Sincerely, Al Bell mar enclosure I� n i 'R JN 2 f _.n ,,,,....,,. 1j ' 2� 51' 97E 5'�4d GAGGENAU USA 01 ti Yl�yiI���J,�s1 y a.. MICHAEL e DUKAKIS 4q Y&ee1! geo lm O,�,0O.0 Governor ��� C7/!7G [� ' PAULA W GOLD Secrelary February 11 , 1988 Michael F. Bachand N. E. Manager Gaggenau USA Corporation 5 Commonwealth Avenue Woburn, MA 01801 Re: Domestic Gas Cooking Appliances Dear Sir : At their meeting of January 6 , 1988 you are hereby advised it was the Grote of the Board to grant an extended provisional three (3 ) year approval to the above referenced product : said approval will now be in effect from January 6 , 1988 to January 6 , 1991 . At the end of the extended provisional oproval , it shall be necessary for the manufacturer to Again tition this Board for an extension. As previously advised all approved inatallations must be in compliance with all requirements of the Massachusetts State Plumbing Code and/or the Massachusetts Fuel Gas Code . The preceding approval i,s not to be construed as an endorsement of this product , nor is this letter to be reproduced as advertisement for the product . Very truly yours, For the Board Louis J. "Visco Secretary ive Ex cu e t et y Board of State Examiners of Plumbers and Gas Fitters , emr : he Boards of Replelrelion within the Divielon of Reglelrallon, �LLIEO HEALTH+ARCHITECTS•BARBERS•CHIROPRACTORS•DENTISTRY•D SPENSING OPTICIANS+EMBALMING AND FUNERAL DIRECTING•PROFESSIONAL NGINEERS AND PROFESSIONAL LAND SURVEYORS•ELECTRICIANS•ELECTROLOGISTS•HAIRDRESSERS•HEALTH OFFICERS•LANDSCAPE ARCHITECTS' IURSING•NURSING HOME ADMINISTRATORS•OPERATORS OF DRINKING WATER SUPPLY FACILIT15S•OPTOMETRY•PHARMACY•PLUMBERS AND GASFITTERS PODIATRY•PSYCHOLOGISTS+PUBLIC ACCOUNTANCY•RADII]AND TELEVISION TECHNICIANS•REAL ESTATE BROKERS AND SALESMEN•SANITARIANS+SOCIAL vORKERS•SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY 0 VETERINARY MEDICINE. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTINC t (Print or Type) ,( NORTH ANDOVER Mass. Date �� building Location t► Permit # Jam/ Owners Name NN New Renovation j] Replacement Plans Submitted FIY,TI ►pr.c at W N w v x x tri m a to x n to = A o a U m r x to d R] N H W tu W cc O O ' O W W 1— a to O w Q M t- y q N aW 07 U w Cn 4 tz O A w W x_ x a w r cc LU W t- x t9 1— x J 1- Z t, w W C7 d ? W H W .t F W Z 4 w W a z 4 G ¢ O O W O W N ¢ .W } C w a z a x o c� x LL o � a o � c � y c, n. t- o SUL3I—E3SP.1T. HASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR (Print or Type) r ` Check one: Certificate Installing Company Name, �` ` � L� \:>7` [—I Corp. Address 2. � C ��`�, �� Partner. Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type.'of insurance coverage by checking the appropriate box: _ Liability insurance policy Other type of indemnity I—] 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 u Agent LJ 1 hereby certify that all of the details and information 1 have submitted (or entered)in above application are true and accurate to the best of my .knowledge and tint all plumbing work and Installations perfomtcd under Permit iueed to: this application will be In compliance with all palinent provisions of tho Massachusetts Slate Gas Code and chapter 142 of tho Genual Laws. By TYPE LICENSE: Plumber 1 Title Gasfit:ter Si. a ure of Licensed Master Plu e ov Gasfitter City/Town: `Journeyman �_` �� APPROVED (OFFICE USE ONLY License Number Date. J +^_J ° N°R°TF, TOWN OF NORTH ANDOVER O PERMIT FOR GAS INSTALLATION F This certifies that . . ?�. . .�1?f`1.� `. .{. .(f. . . . . . . has permission for gas installation '� 4Q i 1 ..'.!!!~lr in the buildings of . . . . . . . . . . . . . . . i; at ., !? � .+� 7. ..._ . . . . . . . . . . North Andover, Mass. Fee. '.? Lic. NAP 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V y 0 GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASrITTIt1( I (Print or Type) NORTH ANDOVER Mass. Date wilding Location 64 Permit # 5\c, Owners Name 61 New 77 Renovation D Replacement ] Plans Submitted .❑ FIXT!'R!-*1. X W W I or. 00o�c v CC H x O x F- cW^. a N a o v a z o N W d Gs w a W w O o 0. a W 4 ac t. N N a to cs v w x "'' a cc o a �' W x a r x a FW x „'� ! z t~ w w a a � W r W J � w z d W a .• 4 Q td = O O ra x a t;, > cc W o z .= o o W cc o W F- a x v { SUR-8SIMT. BASEMENT 1ST FLOOR 2MDFLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name Cn Corp. Address QQ�,� 4:706<0 ,,•�, p Partner. W&2 4:706, -0 Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter CoZ�2� !0� ser. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ( Other type of indemnity 0 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 0 Agent n I hereby certify that all of the dcUils and information 1 have submitted (or entered)in above application arc true and accurate to the bcst of my knowledge and that ap plumbing work and instillations petfomicd under Permit issued for this appucation wW be In compliance with all pertinent provisions of tho Massachusetts State Cas Code snd Chapter 142 of tho Genual Laws, By TYPE LICENSE: Plumber (7� j Title Gasfitter Signatur of Licensed City/Town: Master Plumber or Gasfitter Journeyman _ APPROVED (OFFICE USE ONLY License 14umber ,. 45T3 Date. . . . . . . . . . . . I TOWN OF NORTH ANDOVER 3�Og`Ng oT 61�OL o p PERMIT FOR GAS INSTALLATION WIWMW 4�rEo'11 .�E7 SACHUSEt This certifies that . T" :. . . . . . F' �. . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . at . .'...� !. R. •�:� �,.-3 . . . . . . . . . . . . .. North Andover, Mass. Fee-. :.::1. `" Lic. . . . . . . . . . . . . . . . . . . . . . . . . . . (rr GASiNSPECTOR f WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Location No. 5 Date �oRTM TOWN OF NORTH ANDOVER p i Certificate of Occupancy $ SSA�MUSEt Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # i i 4 2 4 C / Building Inspe for TOWN OF NORTH ANDOVER ; BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING R r .:.z, ,ry ara. ", ' an �ts ,. Kti: BUILDING PERMIT NUMBER. DATE ISSUED: rn aa� SIGNATURE: / aA Building Commissloner/I for of Buildings Date 1.0-11—e - SECTION 1-SITE INFORMATIONz 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number G A6. A.vooyF.¢ 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS(ft) - Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided f I d Z 1.5. Flood Information: 1.8 Sewerage 1 1.7 Water Supply M.G.L.C.40. 54) � Disposal System: Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record / \ Name ti Address for Service:_; Signattte ephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 4 L;i;einsConstrJtct Su ervysor. �`— M D y�.�.� (j 4S Q , L•. � 7 c.�T License Number Mn Address 7q— 7 5-4 3e Expiration Date Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v cfa.,-,er ra-S t�f3gy C Company Name / Z p '� m Registration Number Address ` Expiration Date ^z Sin 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 Descrition of Proposed Work(check all a h'cable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: g�z4LA , moi y a 1�� �e/��ace SuoeeA4o-7 pe- ek K p Ada Ct 4711 M aH ��n�4(f C! �9�� �O,IIQ 1M G 14120 Q"t A !f-Uil Sls' SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be {)FFICLAL USE ONLI� h Completed by permit applicant 1. Building 3 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of 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 A NT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owne Authorized Age subject property Hereby authorize C h 2 a 5. 1/1 to act on My beh 11 ui ers re tive==V y this building permit application. Signature of Owner J01 Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 Name Si ature of Owner/A ent Date ' I I NO.OF STORIES, SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2 3 SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DIIv1ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ........... -1--_f ONM ® over . No.ov? ]](( h 1Mass., A � GO ',.:..WICK �,pSDRATED P'P�'�,�5 77 H BOARD OF HEALTH PER Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT..... ..... ...... ......... ................................. ......... ...................... ... ................ Foundation has permission to ere ...... ............... buildings nI..3........... .. .. ....... .... . ....... Rough f to be occupied a3 . . .. . . . . . . . . . . . .. .............................................................................. Chimney . .. . . provided that the person accepting this perm shall every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and -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 Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough 41160&............................................................ .. f!l...fi:G, 40LAS.. Service ... ................ BUIL INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. 5(cQivtl 1(Z.r�/1tt^S FORM - U - LOT RELEASE FORM a. 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. #moos000Rogow.�.re0000000000some 0000.0000000'■.................mmommonsmoms8m APPLICANT PHONE( � ASSESSORS MAP NUMBER /0& LOT NUMBER SUBDIVISION / LOT NUMBER STREET , �� Ji��i-��''� �T� STREET NUMBER OFFICIAL USE ONLY RECONM ENDATIONS OF TOWN AGENTS lN.w l DATE APPROVED CONSERVATION ADMINLSTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED J FOOD INSPECTOR—HEALTH DATE REJECTED # DATE APPROVED D e� SEPff(f INSPECTOR—HEALTH DATE REJECTED COMMENTS PUBLIC WORKS—SEWER 1 WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CON RENTS RECEIVED BY BUILDING INSPECTOR DATE {,'� -3 t .-?�w,nY' *csY..iYM•+,-x"dr,N�Stfie' �Ai - - f 1 1 'f T ' � ti.�: f f.Mj [ ty s .,f`t {S� 1.1 elt ••v3Pv7 r'»'-4 L�1.of/ ^+w�'3 s s a i�;+6'• �1 t 3 r A e 1 fere. (( s! f # .. e t a yJ ` , w' �e `:E`R's - # § ' ;,1,1�(i..i:. 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'rt�,�"�_itb - .E' :i 5,•i' �# xr .: A " "' p-'?• t' A,? v + r v-.50? �.y Am >,�'"i '^ j '" -•.,, f, r Y"'k s i. p� ?" i1 u` r ars,+ a r'. i§ t 4 Ai "��: a}Y`F� J =: s - F :i r r •:-� �(�} � `�R��C�+d a ,i 3 `, fi 4Y. � wit UK1 .a.:.c:: ,.t, .fa Y..i«aF .i:,wh.�.....-.+.t:...w Y.•.a'�-:,:._ � -:. ,. .•vt'.ria. x' a:-.' '::•' .. ... .o. s .. -a., ..s. :a,......._, ..-._. .,,.:-. -:. ,. ..a._..,.... .,.,. .- ....._ . Location z3 `; No. Date N°RTS TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ + ; + Building/Frame Permit Fee $ ' s' MUs t� Foundati Permit Fee $ P mit Fee $ X71 vU !K Sewer onnection Fee $ Water Connection Fee $ TOTAL $ '16 A JtZ Building inspector 05/17/ E;13:3 `=x,70 PAID 97 Div. Public Works r cto/ PER3frr NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP 4-40.'O�� 2 RECORD OF OWNERSHIP iDAT�IBOOK :PAGE — ZONE' SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING ; �ry© ol feL4L7� OWNER'S NAME,Q� [_t NO. OF STORIES A/ SIZE,w [I�(( CT�Y OWNER'S ADDRESSS fa BASEMENT OR SLAB "7 ARCHITECT'S NAME 'P� T� '1" SIZE OF FLOOR TIMBERS IST _ 2ND 3RD BUILDER'S NAME S SPAN -- DISTANCE TO NEAREST BUILDING IG.PJ 7 DIMENSIONS OF SILLS DISTANCE FROM STREET –POS—Ti-- DISTANCE OSTSDISTANCE FROM LOT LINES – SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION �1 }`�/' �� IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM'TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN(NATER BOARD 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 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 17 t NUILDING INGFUCTOI SIGNATURE F W OR AUT ORIZED AG M Ap 14 FIE E U U L OWNER TEL# G �j PERMIT GRANTED CONTR.TEL.# 'iy 19 CONTR.LIC.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SroulES 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 HAW'D PIERS PLASTER RD _ DRY WALL _ UNFIN. 3 BASEMENT 11 ' AREA FULL FIN. B M'TAREA y, %t 1/ FIN. ATTIC AREA _ NO SMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE - WOOD SHINGLES EARTH _ ASPHALT SIDING HARDw'D ASBESTOS SIDING COMMON _ VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ - STUCCO ON FRAME l - _ BRIC N MASONRY ATTIC STRS. 6 FLOOR I_ r - BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING ' STONE ON FRAME SUPERIOR ADEQUATE I--i NONE $ ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR { TILE DADO f 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 r 7 NO. OF ROOMS GAS OIL F B'M'T 2nd I_ ELECTRIC 13,d NO HEATING d fie -�omvinoozcuea�di a�./�craaacicuaet�a HOME IMPROVEMENT,CONTRACTOR: DEPARTMENT OF PUBIIC SAFETY Registration_101862 CONSTRUCJIDN.SUPERVISOR LICENSE Type PRIVATE CORPORATION Nur Expires: Birthdate: ../ Expiration: : 06/29/98''.. CS "045fi36 _ 64i41/1991 06i02/1948 Restrfc ed a "IG RAYMOND E. DAMPHOUSSE,.JR. & x Rayaond E Damphousse=, Jr. 0 RA�M011'D E OAMPROUSSE JR r,.w x G � ``Ig BUTTERNUT LANE — WButternut Lane.. n ADMINISTRATOR Methuen-MA 01844 --,AfiHUEN, MA 01844 li 1 P RAYMOND E. DAMPHOUSSE, JR. AND SONS ROOFING CO., INC. BOX 431 LAWRENCE F.O. MA. C � TIQt� LAWRENCE, MA 01842 �UPE;V1S I L(C. TEL: 683-4588 SOME PNOVEM94T ,,Z L' ' ✓ ROOFING - SIDING = INSULATION' Date �'• From: J-7— /t , (/7 i /`l � (N ame) (Address) T0: UTNOND E. DAIVIOUSSE, JH. AND SONS HOOFINC CO., INC., BOX 431 LAWRENCE P.O., LAWRENCE, MASSACHUSETTS 01842 1 (we) hereby authorize the Contractor to furnish all materials and labor necessary to install, construct and place the improvements described below in-on building located at No. 1- '/ ) �� < �� Street, City A,4 6-<%-�'�✓`2_ State h7�f�r in accordance with the following specifications: �r.;'� — `+7.J f, � r.�, �%f � �,a.�! J%t'; '_� —. �i''r.•"1 0 c:1� 9`�f_.� 0(! /2/(!'.i All of the above work to be done in a good and workman-like manner. All men and equipment insured. Premises to be left clean upon completion of work. For the total sum of ^` y "f— �� !] ' ���`�' ��` - dollars. Entire Sum to be paid immediately upon completion in accordance with plan as shown below. TOTAL CASH SELLING PRICE . . . . . . ... S � i V DOWN PAYMENT IN CASH . . . . . . . . . . . . . DEFERRED BALANCE . UPON COMPLETION . . . . . . . . . . . . . . . . . . The undersigned agrees to keep property mentioned in this agreement properly insured against loss by fire including the Contractor's interest therein. This agreement shall become binding only upon the written acceptance hereof by said Contractor, and upon such acceptance this shall constitute the entire contract and be binding upon the parties hereto, there being no covenants, promises or agreements, written or oral except as herein set forth. It is the intention of the parties hereto that this contract shall be binding upon their respective heirs, executors, administrators, successors and assigns. Customer agrees to pay a reasonable sum as attorney's fees and Court Costs if placed in hands of attorney for collection. The owner further agrees that in event of cancellation of This contract after acceptance by the contractor and before the work is commenced the OWNER agrees to pay 20% of the total consideration herein named as liquidated damages for breach of contract. Said contractor shall not be responsible for damage or delay due to strikes, fires, accidents, or other causes beyond his reasonable control. i _ F NoRTfq Town of dover 0 f . No. 1q1 V' / 19 9,&OC �,o -cIo dover, Mass., QW.A� ;_4 CMict E:9 % ADRATED BOARD OF HEALTH Food/Kitchen PERMIT D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... ... . .... 4AaAlrolndation has permission tom........ .. . . ........... buildings on .1.. J!'...... .... . ... ........................... Rough to be occupied as .........�. ....� ... . Chimney . ............... ..... ... . . ............. . provided that the person accepting this perm' hall in every respec con to the terms of the a lication 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 Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR f�.1Rough 5 ,�........ 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. Smoke Det. 6043 Date..........f.:n6. 0RTH A-`N`"'.°,gyp -iL TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ,SSACHUS Thiscertifies that .................... ............. ......................................................... has permission to perform ..............5��.. .................................... wiring in the building of........0................. ......................... at.........../..3A;!9......5-."'O'e46 ......... ...... .North Andover,Mass. Fee.yS.... Lic.NoA. .U. � ..... .00.0'- . . . ....i�ECAICAL INSPECTOR Check # - 1 I' Commonwealth of Massachusetts Official Use Only� EM Permit No. lit 71 Department of Fire Services Occupancy and Fee Checked E 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, 21 CMR 12.00 (PLEASE PRINT IN INK OR TYPJ ALL INFORMATION) Date: City or Town of: "jZJ4 To the Inspector ofVires: By this application the undersigned gives notice of his or her intenti• to perform the electrical work described below. Location(Street&Number) Owner or Tenant t'PJl Telephone No. Owner's Address fl Is this permit in conjunct' with a building permit? Yes No (Check Appropriate Box) I Purpose of Building. /. %tea,rLy ,e� 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: l G )eM 2.42P Completion of the following 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 KVA7 No.of Li htin Fixtures Swimmin Pool Above ❑ In- ❑ o.o mergency ig ► 1 g g g rnd. rn Batte Units. No.of Receptacle Outlets Nor of Oil Burners FIRE ALARMS I N .of Zones No.of Switches No.of Gas Burners No.of Detection gAd Initiating D vices ot No.of Ranges No.of Air Cond. Tons No.of Alertin Devices Heat Pump Numbe Tons KW No.of Self-C ntained No.of Waste Dispose Totals: Detection/A rtin Devices No.of Dishwasher S ace/Area Heating KW Local ❑ Municipal. El Other y P g Connection No.of Dryers Heating Appliances KW Security Systems: ry No.of Devices or Equivalent No.of Water K`,l, No.of 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 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 certifies that such covera is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) 0-0 (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. I certify, under the pains andpenalties of perjury,that the information on this application is true and complete. FIRM NAME: (/ LIC.NO.: Z Licensee: Signature LIC.NO.: (If applicable,a !ept"' the license number line. Bus.Tel.No.: Address: - Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licehsee does not ave 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: $ 1, I Commonwealth of Massachusetts Official Use Only Permit No. 60 '7` :?I j %J R Department of Fire Services 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(ME 27 CMR 12.00 E (PLEASE PRINT IN INK OR.TYP ALL INFORM TION) Date: City or Town of, Ti the Insrector of fres: By this application the undersigned gives notice of his or her mtenti•a to perforin the electrical work described below.: Location(Street&Number) r� Telephone No. Owner or Tenant 401 A- P / Owner's Address 4 Check Appropriate Box Yes No ) building ermrt. � ( Is this permit in conjunct' with a g p Purpose of Building Utility Authorization No. .- Existing Service Amps /. 1: Volts _ Overhead 'Undgrd Q 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 of thefiollowing table may be waived by the Inspector of Wires. No.of Total No.of Recessed Fixtures No.of.Ceil.-Swp..(Paddle)Fans Transformers KVA No.of Lighting Outlets No.of Hot Tubs - Generators KV ove In- No.of mergency ig i No.of Lighting Fixtures Swimming Pool rnd: ❑ ❑ Batte . Units. No.of Receptacle Outlets No.of Oil Burners FIRE.ALARMS .N :of Zones No.of Gas Burners o.o et ing R No.of Switches Initiating D vices j No.of Air.Cond. ons No..of Alertin Devices No.of.Ranges. Tons Heat Pump` Numbe Tons KW No.of Se&C ntained [ No.of Waste Dispose Totals: Detection/A rtin Devices E ace/Area Heating KW Local .Q Municipal Q Other No.of Dishwasher Sp g Connection Securi Systems: Heating Appliances KW h' Y g. PP Equivalent No.of Dryers No:of Devices or E N5.o Water No.o o.of Data Wiring: Heaters KW Si ns Ballasts No.of Devices or E uivalent i Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP Z, No.of Devices or E uivalent OTHER; Attach additional detail if desired,or as required by the Inspector of Wires. j 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 cover 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 Electrical Work: (When required by municipal policy.) r ` Work to Start: 't!/S Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pains and penaltiiess of perjury,that the information on this application is true and complete. FIRM NAME; LIC.NO.:-1� - Licensee: Signature LIC.NO.: (If applicable,a empl 'in the license number line Bus.Tel.No.' Address: - � Alt.Tel.No.: OWNER'S INSURAN WAIVER: I am aware that the Lic see does not ave 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/AgentPERMIT FEE: $ Signature Telephone No. — j