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HomeMy WebLinkAboutMiscellaneous - 14 CRICKET LANE 4/30/2018 C 14 CRICKET LANE % ' 210I10?.A-0167-0000.0 AMERICAN CLAIMS SERVICE MULTI-LINE ADJUSTERS Letter 143 January 17, 2018 Town of North Andover Building Department 120 Main Street North Andover, MA 01845 Attention: Building Inspector Board of Health and/or Board of Selectman Insured: Conte Location: 14 Cricket Lane North Andover, MA 01845 Policy: PHO 0100 82 8 13 Loss Date: 1/4/18 Loss Type: Ice Dam ACS File: 180053 Dear Sir/Madam, Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under, Massachusetts General Laws, Chapter 139, Section 313 is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy, loss date and file. On this date, January 17, 2018, 1 caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Unless a response is received within the next ten days we will not be obligated to pay any portion of this claim to you. Respectfully submitted, J Brigida Claims Representative 7 KIMBALL LANE BUILDING C LYNNFIELD, MA 01940 PHONE 781-245-9516 FAX 781-245-1077 claims.acs(a-verizon.net AMERICAN CLAIMS SERVICE MULTI-LINE ADJUSTERS BUILDING INSPECTOR/COMMISSIONER, BOARD OF HEALTH AND/OR BOARD OF SELECTMAN Building Inspector Town of North Andover 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 INSURED: Edward & Threse Conte ADDRESS: 14 Cricket Lane North Andover POLICY: PHOO100828813 LOSS DATE: 02/15/2015 LOSS TYPE; Ice Dam ACS FILE: 31144 PD Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim file number. Craig Gillespie Claims Representative On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Unless we hear from you within the next 10 days, we will not be obligated to pay any portion of this claim to you. Date 02/17/2015 7 KIMBALL LANE,BUILDING C,LYNNFIELD,MASSACHUSETTS 01940 TELEPHONE(781) 245-9516/FAX(781)245-1077 E-MAIL—daims.aes@verizon.net 7577Date.�1� .. .. .. ..... . NONTH '4, I� TOWN OF NORTH ANDOVER -,z PERMIT FOR GAS INSTAL 1ON S. �,SSACNUSEt This certifies that . . �O.P 14Vit. . . . . . . . . . . . . . . . . . . has permission for gas installation . . .l,( l . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .j ��. C. /.� �. .�!`. . . .l . . . . . ; North Andover, Mass. Fee-TC-.c. Lic. No.2.`(i.1. . . . . . . . . . . .i.Ju. sry. . . . . GAS INSPECTOR Check# ZO / / M.1 pcc%f AMERICAN CLAIMS SERVICE ASSOCIATON INDEPENDENT INSURANCE MULTI—LINE ADJUSTERS DJUSTys DEDI(A TO BUILDING COMMISSIONER OR BOARD OF HEALTH OR INSPECTOR OF BUILDINGS BOARD OF SELECTMAN 120 Main Street N. Andover, MA 01845 RE: INSURED: Edward and Threse Conte PROPERTY ADDRESS: 14 Cricket Lane, N. Andover, MA POLICY NUMBER: PH0O100828813 LOSS OF: 10/24/11; Damage to retaining wall FILE/CLAIM NUMBER 29761 PD Claim has been made involving ,lossdamage or destruction of the g above-captioned property, which may either exceed $1, 000 . 00 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim file number. John Caldwell Claims Representative On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Unless we hear from you within the next 10 days, we will not be obligated to pay any portion of this claim to you. November 29, 2011 Date 7 KIMBALL LANE, BUILDING C, LYNNFIELD, MASSACHUSETTS 01940 TELEPHONE (781) 245-9516 - FAX: (781) 245-1077 MASSACHUSEITS UNIFORM APPLICATON FOR PEIRWr TO DO GAS FITTING (Type or print) Date c2-J-// NORTH ANDOVER,MASSACHUSETTS Building Locations 1 Y zity?l/-e%.. `i✓ Permit Amount$ Owner's Name New❑ Renovation ❑ Replacement Plans Submitted ❑ U z�w zG 2 a - o H w � z O - � a y 10 SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 14TH. FLOOR STH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type Name T y�G L O r/a�'✓ n��� one: Certificate Installing Company Corp' Address d 13 O X S-•7 aZ ❑ Partner. G/}WRPrt/lP 44 - /1'/�' �L _ Business Telephone 7 7,Y Z YS- 51-5-0 y ❑ Firm/Co. Name of Licensed Plumber or Gas FitterLly INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No Q Ifyou have checked-Yes,please indicate the type coverage by checking the appropriate box Liability insurance policy Other type ofindemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe Mass.General Laws,and that my signature on this permit application waives this requirement Check one: Signature of Owner or Owner's Agent Owner [IAgent ❑ t hereby certify that all ofthe 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 ofthe Massachusetts State Gas Code pV Chapter 142 ofthe General Laws. �- Br Signature ofLicensed Plumber Or Gas Fitter Title ® Plumber a_4f 33 City/Town ❑ Gas Fitter License Number er ❑ Master APPROVED(omcE usE oNLY) ® Journeyman Date.3. .!. .G.!. . . No 1-9- 74. 5 "pR'M tiTOWN OF NORTH ANDOVER p� i.•°;•'sp TRW PERMIT FOR PLUMBING ,S3 USES t' This certifies that . . .t. . . . . . . !.`. .: ./. . `. . . �! .!. . . . . . . . . . . . . . has permission to perform . . . e�. r.``. . ��` ``: plumbing in the buildings of . . . . . ./. . . . . . . . . . . . . r. . . . . . . . . . . . at. .L. . . . ... . . . . . . . .. . . . .'. . . . . . . .G ,.North Andover,Mass. Fee.;.) Lic. No.. . ... . l . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Location[�' 1'�,1� 1� No. :213 Date NORTH TOWN OF NORTH ANDOVER Of�.�•o yeti° Certificate of Occupancy $ '� 1'�S'••• Ecn Building/Frame Permit Fee $ s <Mus Foundation Permit Fee $ Other Permit Fee /Jod�, $ TOTAL $ Check # 15 6 U Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING This"S&fib6 for Offidad'Use`Oily: BUILDING PERMIT NUMBER: I DATE ISSUED:713 rn SIGNAc � TURE: Building Comrnissioner/I for of Buildings Date SECTION I-SITE INFORMATION Z I.1 Property Address: 1.2 Assessors Map and Parcel Number: O Map Number Parcel Number de 1.3 Zoning Information: 1.4 Property Dimensions: t `` Zoning District Proposed Use Lot Area(so Frontage R) V� 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 private 0 1 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner u^C�Recurd911 Na e(Print) Address for Service: n � Signature Telephone O` 2.2 Owney of Record: / Name Print Address for Service: O z Signature Telephone �rny, SECTION 3-CONSTRUCTION SERVICES 3.1 Liccrised Construction Supervisor: Not Applicable 0 License's Construction Supervisor: O License Number Wdress Expiration Date :ignature Telephone r .2 Registered Home Improvement Contractor Not Applicable 0 ompany Name Registration Number r�.. ddress r Expiration Date ^` enature Telephone y, SECTION 4 -WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 71tion ❑ Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � ' �' OCIAI CISE(} � Completed by permit applicant 1. Building - (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbingBuilding 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 1, Gr/ thorized Agent of subject pro erty Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name ti Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TI HERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DtTENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF Cl-HMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM INSTRUCTIONS: .This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ............................................................................ APPLICANT tI�=i/ �Q/��� /`PHONE � ;7f ASSESSORS MAP NUMBER �� / LOT NUMBER 16 SUBDIVISION LOT NUMBER STREET...:. .,.�� ....1 A,�.� ........STREETNUMBER...— ......... .... OFFICIAL USE ONLY........................... RECOM�EKLATION6S F TOWN AGENTS // /�i "�/ DATE APPROVED (� Z 1 CONSERV AD TRATOR DATE REJECTED CON M ENTS (�/U✓� C�'�E �� �� DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED r Ff Ih*� �_Cj-�-S� DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE �0"Ck ?Oct 31 - QF FORM - U - LOT RELEASE FORM i 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 APPLICANT C& TE'lf� �r / r 2( 7// � � 't/� �� �� PHONE (1�0 ASSESSORS MAP NUMBER/eW 1, LOT NUMBER A;U SUBDIVISION LOT NUMBER r STREET/ /��C/CC' ��7i�' STREET NUMBERA4)Z , /1CYC711 `�� OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS ........................................................................... CONSERVATION ADNM41STRATOR DATE APPROVED DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS I DATE APPROVED FOOD INSPECTOR—HEALTH DATE REJECTED --,4-J / 5L,� DATE APPROVED SEPTIC INSPECTOR—HEALTH DATE REJECTED j COMMENTS /9/%1-2 G%f -)r=c) K" PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT b FIRE DEPARTMENT DATE APPROVED DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE y f C CERTIFIED OC�ATEDINt SCALE:1"=40' n Scott L. Uv 50 Deer North A CRICKET LANE { f k i 44' 46' D=88 58' 05' L=38 T.O.W.=110.35 - - - - EXIST, FOUND. LOT 3A 431 �h� cp 43,846 S.F. F: OF t I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE o .' THE OFFSETS OF THE BUILDING INSPECTOR ONLY k SHOWN COMPLY AND SUCH USE IS FOR THE U i 872 I WITH THE ZONING DETERMINATION OF ZONING ER BY LAWS OF a��L LA0 CONFORMITY OR NON-CONFORMITY NORTH ANDOVER ,MA. WHEN CONSTRUCTED. WHEN BUILT 11 /29/95 E F t t: 4 , h E .... _- _._.............. ..........., .. ,. ..,.:... .::..-:... r.-nrK... s - .bs --n,., ..'i•'s ,.. ..e .. .'�'a,i:, r....., NORThq Town of Andover No. "7 1 3 _ - s 6 019 002 o A o dower, Mass., COC NIC HE WICK V ADRATED S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..0.wa"#...4#Thlef W.. C)Aff,g ............ .........S I&.................................................................................. Foundation has permission to erect . �x. 0....... buildings on .... .q......Crt..C.. <.6 t .v............ Rough V to be occupied as..j4 . '.....GMAWAPA po• l 1 N r S i r 166 A G 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-Law7116 lating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. j D/, � 1 Also SawPLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough (1') A 1 N'fi a 1^-> ) 0 ' Final �,..o � ►,�m-� L I�e s PERMITEXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST Rough ........................................ ........... ... .... Service 61000 0 ......... ... .. .... . ..... .... .. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner • Street No. SEE REVERSE SIDE smoke Det' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) t`� kx-a & - v F ASSWHUSE ' Date A..�.�� Building Locations G� ��c.�_ '�P?eratit �,, 7 �j Amount , ??, .n ± Owner's Name New Renovation13 13 Replacement Plans Submittedri FIXTURES d w a z w w x a o' z S� �. F � d SiB®NC •r LSC FLOIR I raRffR V 3MRf 4M Rf= ` sm F.XR ` 6M ROR 7MRIM M RIM HIE I I I (Print or type) Check one: Certificate Installing Company Name Galinsky Plumbing & Heating Inc. Corp. 1906 Address P.0_Rnx1701 Have rhi 1 _ MA n1 wu Partner. Business Telephone 978-374-1743 Firm/Co. Name of Licensed Plumber: Stephen C Gal'nskv Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy MX 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 Signature Owner Agent 0 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 installati ns perform"gd ermit Issued fbC this application will be in compliance with all pertinent provisions of the Massachusetts mbi Ch ter 142 of the General Laws. By: Signature 5yuLqFR&@q-t:Tum6er Type of Plumbing License Title City/Town Icen mer '-�� Master ® Journeyman APPROVED(OFFICE USE ONLY `y MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBINQ (Ptint or fypsl ��, NORTH ANDOVER. Masa. Dated _lo Bunding ol Permit Location e Owne la Name �'i I ell i A,A. New [�, Renovation ❑ Replacement Q Plans Submthed: Yes❑ No ❑ (/ FIXTURES st w _ w = -< « f• w w } V < = y r w i w a i yr k' s c w a J re tY w M = w Fh u r w s w � = a f- :� as i = s • i s>, w �' fe w a w ewr awi b r O 1- O w 7 N t~ = O Q w = ! .4 V sua—sxNT. si►aar NNT 1sT FLOOR I sr~o FLooR I_ LI L / 3140 FLOOR ' I 4TH FLOOR STH FLOOR ' I sTH FLOOR ITH FLOOR STH FLOOR — 1 lCheck one: CartWIcate 1 Installing Company Name 'C ❑Corp. Address 7 L +, ❑Partnership E t ❑Flrm/Co. Business Telephone bl�Z l Name of Ucensed Plumber INSURANCE COVERAGE: Checx one 1 have a current IlabiRy insurance polr.1 or Ks Substantial equhralent Yes ❑ No ❑ It you have checked yej, p(esse..indicate the type caverage by checking the appropriate box A IlablRy insurance peiicy Other type of k-odemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Masa. General Laws, and that my slgrature on this permit appilcation walves this requirement. Check one: Owner ❑ Agerst ❑ S4natuts of Ownet or Owner s Agent 1 hereby certify that alt of the details and information I hays aubehmsd for sntws4 In above appkatbn are true and sccwats to the bast of my knowledge and that ail ptumbinq wak and InslaAatlons Wormed under the psrmA Iswsd Ws ap rrti bs In campAana with 0 partlnent provisions of the Massachusetts State Ptumb4ng Cada and maptw 112 0l tM laws. Till* na • sea c*r Ctty/Town Ucens•Humber -- Type of Plurnbtnp License: Master ❑ ArrnrJWD (OFF)CE USE ONLY) Journeyman 0 Date,!9 I./g 41" . . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� This certifies that .�, . . . . .Q G . e . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . A).f.L'. ./�/O.H-t..... . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . at C9 !Clic .� .l. h. . . . . . . . . . . . . . North Andover, Mass. 'I Fee.36.?.7.Lic. Nou24/.3. .3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 02/07/% 11:35 363,00 PAID I WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File The Commonwealth of Massachusetts O::lee Use Only (a%�Pernle No. . Department of Public Safety Occupancy i Fee-Pwcked BOARD OF F1RE�.FREVENTION REGULATIONS S27 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All umrk to be periormed in accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL NFOR1=ON) Date C— IQ _q City or Town of�, � (°Jj f �/� To the Inspector of Wires: The undersigned applies for a'permit to perform the electrical work described below. Location (Street & Number) r� Circuit # Owner or Tenant 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 ElNo. of Meters New Service Amps / Volts Overhead 1:1Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work LOW VOLTAGE ALARM SYSTEM No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swi�aing Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting NBatte Units No. of Switch Outlets No. of Gas Burners FIRE ALAKIS No. of Zones No. of Ranges INo. of Air Cond. Total No_ of Detection and tons Initiating Devices No, of Disposals No. of Heats Total Total No. of Sounding Devices Tons KW No. of Dishwashers Space/Area Heating KW ITO. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ liunicipal Other Conner oil No. of Water Heaters KW No, of No. of Low Voltage: urgqlar Q .Fire Signs Ballasts WiringoCard Access r_7 CCTV No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or-its substantial equivalent. YES Z NO ❑ I have submitted valid proof of same to this office. YES Q NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE Ia BOND E] OTHER ❑ (Please Specify) ROYAL INSURANCE COMPANY 10/8/96 • (Expiration Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAMESecurity Systems Inc. d/b/a Sentry Protective Systems LIC. NO. 1109C Licensee JAMES W LEES Signature LIC. NO.000080 ( Address 110 FLORENCE STREET, MALDEN MA 02148 Bus. Tel. No617-388-9700 Alt. Tel. Nog00_445-4505 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) G # Telephone No. P£RMIT FEE S 6D G�4V Signature of Owner or Agent ' n Date. .. Tn 2905 � �aORTM °ft"`°:•-14,° TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSA:"USES This certifies that ......, C'.t!.7 tf..... ja.k. .if.1....S ... .. .. .. ............................. has permission to perform ....... ......... wiring in the building of.......�=.A.......(.QG!J.�. ........................................... at......� ........L.U..................... .North Andover,Mass. Fee..�....� ... Lic.No. /d /. ............................................................... ELECTRICAL INSPECTOR C Ci tt Q� cj�' 3/07/96 13:15 35.00 PAID WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD: File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTI ' t (Print or Type) NORTH ANDOVER Mass. Date Z-, '2 s ' {huilding Location y G y L�f y) Permit # /p / Owners Name P_ffl 1� �• - New 'T Renovation D Replacement Plans Submitted D FIXTUo-c as m Cq tt N C9 V Cr G1 . Cf W ur G O VF- O .AUA z t7! O Z trs C t:- < y- O t- G tL m W 6 to W O O a G W 4 tt! rL N a U W as '� K Q O q y tst W tu W J = Q n= G G tit W O t- .1 f- �.. us O ? tz t.- U -A I.- to d W G C F- }- v! m = O = W O N 2 Q ,ra > G W < C < Q O O to G O W t- Q O 0 = t:. q n O -4 o. t- O BASE141ENlT 'ISTFLOOR 2MOFLOOR 3RQ FLOOR 4TH FLOOR I I I I I I I I I I I STH FLOOR ( ( ( I 6TH FLOOR TT)t FLOOR ` } STH FLOOR (Print or Type) Check one: Certificate Installing Company Name gyp, ��/�d`/l Q Corp. Address -23 f-72 Partner. Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter ,��,� ��„�.✓ Insurance' Coverage: Indicate t:^e t:/pe of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 Bond Insurance Waiver: I , the undersicned, 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 OwnerAgent 1 hereby certify that all of the details and information 1 have submitted (or entered)in&Love application are true and arcuate to the best of my knowledge and that Q plumbing work and lnstatlations performcd under-Permit issecd fo: this application will-be in compliance with ad pertinent provisions of tho Massachusetts state Cas trade and Chapter I4'.cf tae General Laws. ' By YPE LICENSE: �J Title Plulriber Si nature of Licensed Gasfitter 4 City/Town: Master Plumber or asfitter ourneyman Z JJ APPROVED (OFFICE USE ONLY) License Number � �. , U � /L�v MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING 1 (Print or Type) / t NORTH ANDOVER Mass/. Date Z-. -2 7 I uilding Location y Cy [J/� G Permit # a ID / Owners Name - New 71 Renovation Replacement Plans Submitted D S FIX,T(_to_c � v � W N G1 Z M (A W W m e o o m �- I s as W r N a in W 1° °� o > w w z v W '- at � a a F- tyr W Q� J Q C �+ C Q W W = W 0 0 0 W p is t% O t�1 -fit V C y G n0. FW- O BASEMF-MT ZST FLOOR 2ND FLOOR 3RD FLOOR !! 4TH FLOOR I I I i STH FLOOR ( 1 ( E y 6TH FLOOR f TTHFLOOR ' I STH FLOOR ( I (Print or Type) 1 Check one: Certificate Installing Company Name Q,/ Q Corp. Address---2 3 Partner. z G Firm/Co. l Business Telephone: Name of Licensed Plumber or Gas Fitter Z-14,11 „� Insurance Coverage: Indicate t`'e type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Q Bond Ej Insurance Waiver: I , the undersicned, 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 17 Agent I heteby ecrtify that all of the details and information l have submitted (or entered)in above application are true and accurate to the best of my knowledge and tlsat all ptumbi" work and Installations ;.erforsted under-Ptrmit iuced fo:this application rill-be in eompGanos with all pertinent provisions of tho Massachusetts State Cas Cude and t3apter 141 ct two General Lars. By YP� LICENSE: �J Plumber Title PlumbGasfiter Signature of Licensed Master Plumber or asfitter City/Town: Z � APPROVED (OFFME use ONLY) ourneyman License Number ata21 a l. . ..... .. of N0 RT e ,ti TOWN OF NORTH ANDOVER A PERMIT FOR GAS INSTALLATIOIF s o� _„_ �a � • �9SSACNUSES This certifies that . . . G V.t --p . . . . . . . . . . . . . . . . . . . . . . . . I has permission for gas installation in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at .�.4 ��.`� %�!f.% -.?`�` . !'�-. . ., North Andover, Mas. Fee. Lic. No..?.Y-%' .3. GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File 4 (S IL (�IIIITIIIIII mzan III �1ZtL� � Petmd Notttcs Use CMI i� i'i (� !� ft=== of�;Uhrlr Cc=pancI&Fee C.lecMd q SCARO OF FIRE?RE'ieMCN REMLATIMS =- VIR 12:00 3190 peeve blank) APPLICAT ION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in at wrdance with tre Massacrusetts S:ec ricai Cede. 527 CMR 12:00 (PLEASE PRINT 1N INK OR TYPE ALL INFCRLIATION) pate 2- aYv or Town of NORTH pyDOV E R To the Inspector of Wires: The udersigned acpiies for a permit to pertorrnz=e eiec=cat •Norio described detow. ti Locaon G (Street 3 Numcer) 12.( Cwner or Tenant Cwner's Adcress l3 G,�- +'��� l3dxA) Is this permit in cCn•Iunc:ion 'Kith ouilr,ir. ;erllt: Yes NO tC`.eck AC^.rCCrtaie ECXj Fur^cse of Ouiicir.c_ ��Q �y Utility Aumcrization No. c..is;nc _cerrics Ar„es ' �-/7,�1l��,/'� 1 `/c:a Cverneac _ Unc_r ro ��Nc. of Meters Ne"� = ^JIc? _Amcsl�r-1L=/tits Cvernea_ _ l;. _ NO. Of Meters Numz:ar zf =eecers ar.c Ar^cac:ty ��52� -� GU(/L e &2 DC-w Q 2 —�fii c �i ar.= N a-_;, _. . _ - .0;at No. _. _ - nng __.:ets •c. -. -c. -== No. 'ans:ormers S.A No. c. _:g-t:ng =x::res 2� Sw.r..mtng �T_`_e_ cM _ I Generators KVA - No. at Emergency '�gnttng No. a -----ac:e =ut••ets No. = CJ _.rays _ ..ari units . Swoon C-avets j No. =. Sas E_.-_._ I • L>?.MS / No. et -7_res :a: No :t _et_c::cn arc i No. ang=_s 1c. =• ;:r =-• c. :rs I tr.:ttating7evtces a14 c. ea: _:at oat I No. .r sccsats - pu,-_s -a-_ No. zr Scurc rig Zevtces No. cr Sed Coniatnec No. --r _isnwasners SaacsrArea -__..r- f:t Cetec=,Sounctng Cevtces l Muntc:cat -7C:ntar No. cr �^jers '•-!eat-- =ev:ces [:J I -=cat Cannec::crt No. =r +o. _ I _.vv `Jcaage No. :r •.Vater -teasers !C:! S:cas =-a..-_. _ No. =vcro .tassaceacs NO. _. .e._._ -.-. -- i NSL;„sNCS "'JE=AGc. ?_rsuant:a the recuuemems ;er.erat Laws _ _ : rave a current t_.aetiity insurance ?alit', •nc:.;Cr..9 C` Y',fisc C_era:cns Coverage cr ;;s suas:annai ecutvatent. YES _ NO _ ^•ave st�mtree vatic c et of same :o :no C!tice. YES Nc = �t-,cu nave c-ecxec `•'ES. :tease incicato ::+e tyFe at a:veraSs _v necxtng :rte acc:v- to oox. INSL:RANCE 3CNo = OTHER = tPlease S_ec`,f _ (Excitation _asst =s::nates".(at et E:erseat((w�arK 5 :Dern :o Star. J ' / l (, tnscet~_an Cavi -ee_as:ec: ncugn ( / ;r+nat SSgaec :moor no Perattest of et7ury: R!.t NAME �i2/1l�I uC. VO.�Z`71t�) _consee �_� , /S S:grat-:reCNO. I Bus. :at. No. S� tlO'o✓ZD 7 3 ACCress r'COpt6/'1 .alt. :el. No. CwNER'S tNSUSANCE WAIVER: t am aware a:at Te :_-c-^See_ccs -ct rtave :ns nsurarce overage or its suostanttat taurvaunt as re- eutreo 7y uassacnusatts Gonerat laws. ane mat :-Ty s:s-3:,r* =n -:s :erm:t aC ttCaticn warvas iflti feeutfem�nt_ tiMTef Agent .Please cnecx ane► i,ecncr.e No. PERMIT FE= S iS;gnatwe of Cv.ner=r Agent► - n 867 Date..... f NORTH " TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SSACMU I h This certifies that .... A.z....... ���?.��.�5.!................................................ ' has permission to perform 1��..s. 1........... �� } wiring in the building of.........la.�?............. ............................. at../Y......... .�. ..... lu...................... .North Andover,Mass. i' � �� v ' 5 �� Fee. .......... ..... Lic.Not.....I . . ...................... .ICA..NS ........TO ................. ELECTRICAL INSPECTOR i 14 ��JJ 17 02/13/V124 362.04 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File ^ •• - Office Use Only i _•��� C�omntnnw�ttl B1tH>`1 Permit No. if V �?7 � lepmt1timt of JIuhuC *afdV Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 3M rt peeve blank) -. f APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:]00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date /7 T& or Town of NORTH ANDOVER To the Inspector of.Wires: The udersigned applies for a permit to perform the electrical work de sc ibed below. '2L Cc7�r"e St�ruvte c �lCt;r� Location (Street & Number) - Owner or Tenant ( iA a Owner's Address Is this permit in conjunction with a building permit: Yes CLQ No ❑ (Check Appropri-a7te Box) Purpose of Building 0`11107 ���'�•� Utility Authorization No. SO / �� 3 Existing Service Amps —J Volts Overhead � Undgrnd ❑ No. of Meters New Service Amps -LZ:�JZY1A Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity l Location and Nature of Proposed Electrical Work r eyt� r✓ v �� No. of Lighting Outlets i No. of Hot Tubs I No. of Transformers Total No. of Lighting Fixtures ISwimming Pool Above— In- i1 grnd. _ grnd. I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones 1 No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No.of Heat Total Total No. of Disposals Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices No. of Dryers I Heating Devices KW Local �7 Municioal EOther Connection i No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: // �(�n t INSURANCE COVERAGE: Pursuant to the requirements of Massacnusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES = NO _ I have submitted valid proof of same to the Office. YES t---5-0 = if you have checked YES. please indicate the type of coverage by checking the appropriate ox. INSURANCE ND -- OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work S Work to Start Inspection Date Recuestec: Rough -` J Final Signed under the Penalties of perjury: (� FIRM NAME �l�t2 21 S I LIC. NO. Licensee 6 f Signature LIC. NO. 2 Bus. Tei. No. Sb 7 Address Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner A nt (Please check one) �- Telephone No. PERMIT FEE S (Signature of Owner or Agent) x-5565 Date....�.2. .�.�.�..`��..... T' 2752 t NortrM 1 + TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ♦ " i A 'r► wOwwr�o�P"qh Q ,SSACHUS� OL O This certifies that ........� ....... .... ......... .......................................... In has permission to perfor�npl_ "... . .................................. wiring in the uilding of....:.... ...�f..r.l!%Q: ............................. at..1. 4° �.. ..:....................... .North Andover,Mass. Ln Fee....�...n... Lic.NO421- leU.............................................................. ELECfRI�L INSPECTOR� �j WRITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File I Location ep,,c m No. Date B q pf NpRTM TOWN OF NORTH ANDOVER - F. p Certificate of Occupancy $ — *} ° Building/Frame Permit Fee $ Foundation Permit Fee $ *CMUS Other Permit Fee $ 1 Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Z5 Building Inspector ff p / /95�3:12 154.40 PAID - 8803 Div. Public Works i lO 2� Location No. S Date VA T1l TOWN OF NORTH ANDOVER Of'1600 " Certificate of Occupancy $ • : . Building/Frame Permit Fee $# s'ATOO Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ �90 Water Connection Fee $ 1677.50 ° ,i TOTAL $ ���� Bu' g l Alp r 40919. iah•i l i,an.so gainOlt (� !,6 f Div. Pu is works ni �AqE�Locatiom {40z4c --�T —No. Date 1:�6x H°RTN TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ Building/Frame Permit Fee $ 14 73 - !i SSACMUSEt� Foundation Permit Fee $ d Other Permit Fee $ i Sewer Connection Fee $ Water Connection Fee $ '— TOTAL $ Building Inspector _ 12/18/9514:37 8809 Div. Public Works f i,ARMiT NO. 9sq APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVEW, MASS. / PAGE 1 MAP K40. /o I LOT NO.- 2 RECORD OF OWNERSHIP IDATE (BOOK ;PAGE ZONE SUB DIV. LOT NO.O O, LOCATION �4 PURPOSE OF BUILDING �1/ir /L/�y/� —� �I�Q �r� ���-lCe� ' LA O OWNER'S NAME /�/I/. x 1 f NO. OF STORIES Qi1 SIZE /�� 2 w / ep OWNER'S ADDRESS/���c/�� �C..4�JUe� BASEMENT OR SLAB �b�F�F��� ARCHITECT'S NAME e1,,ry, N ,./ 1 SIZE OF FLOOR TIMBERS 1157 IJ2ND Z�/IO 3RD 1 BUILDER'S NAMEcs/ vIi SPAN DISTANCE TO NEAREST BUILDING (501, D DIMENSIONS OF SILLS 2-x (o DISTANCE FROM STREET q,,/ POSTS DISTANCE FROM LOT LINES-SIDES�k I REAR / 0 "" GIRDERS '� 2 -z- AREA z- AREA OF LOT (,/L/ U FRONTAGE 2 I HEIGHT OF FOUNDATION Q THICKNESS /d I/ IS BUILDING NEW jT ea L SIZE OF FOOTING �} V �V X IS BUILDING ADDITION ,116 MATERIAL OF CHIMNEY S($rV1 A IS BUILDING ALTERATION /�to o IS BUILDING ON SOLID OR FILLED LAND►7 sQ 3 /10 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yes IS BUILDING CONNECTED TO TOWN WATER `j ct- BOARD OF APPEALS ACTION. IF ANY Al A IS BUILDING CONNECTED TO TOWN SEWER Ala IS BUILDING CONNECTED TO NATURAL GAS LINE ,Y INSTRUCTIONS 3 PROPERTY INFORMATION SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY LAND COST /Z2-, REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST !,1 •a-� �J/I III O PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. ycl ,G L PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 7� pAip V�J� SEPTIC PERMIT NO. � ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDIN PATE [n1 ^ q APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED I (1 V;�MUILDING INiP[CTOR SIRE OF OWNER O_ R AUTHORIZED AGENT F`E E �5�3 �' OWNER TEL.# -W6-4;d`-&7k92, Zr PERMIT GRANTED qj Ya PERMIT FOR FRAME/BUILDING CONTR.TEL.# 19 -- DATE: fEE PAID CONTR.LIC.# 442 I.S H.I.C.# mum SEP 7 � I,�P 3 . g8C'.� of f�Pa_ Q f BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STOHIES 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 I 8 INTERIOR FINISH CONCRETE d t 2- I3 CONCRETE BL K. —{ PINE BRICK OR STONE HARDW D PIERS PIASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T AREA _ '/ 1/7 '/ FIN. ATTIC AREA NO B M FIRE PLACES T HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS A B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING _ COMIACN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ ^, BRICK ON FRAME I r• l t CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ �,. •A ADEQUATE NONE -` 5 ROOF 10 PLUMBING GABLE I I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. 12 FIX.) FLAT H SHED WATER CLOSET i ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER T ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G •+..i.•-e«-*,.,.....:+a .._�,. _......s•..-. •+ f UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC � � �y• 1st 13rd I NO HEATING °R y � yLocation No. � Date NORTIy TOWN OF NORTH ANDOVER O'tt�•o ;•'1�.0 Certificate of Occupancy $ + ; Building/Frame Permit Fee $ Nis<� Foundation Permit Fee $ ~Permit Fee $ Sewer Connection Fee $ I, Water Connection Fee $ TOTAL $ I �,� X30/96 16:44 25.0 wilding Inspector 9537 Div. Public Works j i _y H.P. NELSON Town--of 120 Mak st. 01845 Dinvo, !n : - . --- (508) 682-64M - BUILDING ' 41NORTH ANDOVER CONSERVATION ^' ommoxof HEALTH PLANNINGPLANNING & COI�BIL-IN= DEVELOPMENT -: CHIMNEY APPLICATION AND PERMIT A rJ C , PERMIT J 7 S DA.,AE LCCXTT-ON Z 8-F' 3 e C R ) OWNER I S NAIME BUILDERS NAII2T ffz7-SS! 'y,4 - MASON I S NAME m.kSON IS ADDRESS - �_.t2.S,^..N I S TEL.EF:ONE HATERZ'17. OT IiTERIOR c::I:�aiiE t S7"�jv� E:{TERIOR C---7 A:TD SIZE OF : -H7C'-^rES�Z of HEART: Will - ?;ney or f..= _� co-: ._. �:. -e��ire�ents of t .e cote a- V..al have rides and red ____..::s oee.. rscei�'�ed DATi SIGI;AT'URE OF MASON �LG_�� <���n CONTR. LIC. • EST CONSTRUCT1.0'll ' PE-RI:TT GRk ITEE) - ROBERT NIC-1TA' , LL.+..J—. ` _•.�.re.�VR /�� �Cip INSPECTED REXARRS -� �^TC7 Rz'r1UIREn THIS PE_RY-IT MUST BE DISPLAYED ON THE PR.ZXT-SES r //tut[+ItN+G'R(/li [l, l rL1Jrlr'�rrJc«J DEPARTMENT OF PUBLIC SAFETY 1 CONSTRUCTION SUPERVISOR LICENSE ' Nusber: Expires: Birthdate: CS 042529 12/16/1995 12/16/1955 Restricted to: 00 Co d ARMANDO PI220 lk 153 PIIn AN ST y ss�°lkl, METNUEN, MA 01844 A f 1 4 CERTIFICATE OF USE & OCC 1 . - Q 4/7 - Building Permit Number / S Date -_ THIS CERTIFIES THAT THE BUILDING LOCATED ON I MAY BE OCCUPIED AS WITH THE PROVISIONS OF THE MASSACHUSETTS STATE B iJ ? . SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO —' .' ADDRESS _ Aw N) : Tovm No. " 57Z ZE--�' '-- -- --- -- - S 111 PERMIT ..iM: - � r /•1 II THIS CERTIFIES THAT.1je=LYSE,4..... ........Q........................... _ has permission to erect- .... ..tCMYZ. buildings on ,.14.......' tc t"...... to be occupied as`, LW—'.LC..... 1Aii11p`eiit 1.x.1 � J ......z...4d.Q....provided that the person accepting this shall in everyyrespe t conform to the teras �; :... this office, and to the provisions of the Codes and By-Laws relating to the Inspectio� E,i . Buildings in the Town of North Andover. -- VIOLATION of the Zoning or Building Regulations Voids this Permit. PL_ __ . .�u .. iGI . . ,N.. JN' ' �,r PERMIT FOR FRAMUBUILDING y - , ... DATE: Z ��FE SAID• :".quirc_'J to Occupy Display in a Conspicuous Place on the Premises — L No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building &: :: . PLANNING UL FINAL CONSERVATION_: SEWER/WATER_ `1^_i J FINAL DRIVEWAY EN7,; , PHONE CALL A.M. FOR DATE TIME P.M.IN M 09 PHONED OF RETURNED PHONE YOUR CALL AREA CODEBER E>VPNSION MESSAGE PLEASE CALL WILL.CALL AGAIN GPME TO 5.�E YOU WANTS TO SEEYOU, SIGNED TOPS sy, FORM 4003 NORTH A. 0� 6 �,Y0 • �l CLAKE \ T �� COCMICMEwICK v ORATED PPS �� �SSAC HUS�� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY:_r, ¢ / DATE REQUEST FILED/READY FOR INSPECTION: b CLOSING DATE ON PROPERTY: Z �o FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED._ ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED• NORTH Town of 41 b Andover 0 , No. Iq 4 5 I - C) E ATor ndover, Mass., COCMICHEWICK °RATED PPP '�� '9S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.1jMiT4 ...1�1.�. �.. VeU-fhe4 �QT........ .................................................... _o�,nd�ti t2CgtS'f has permission to erect.. '....-1?OIIII'Z. buildings on .14..... 4! F.. ........�40E......---...................... Rough to be occupied as�l F�F�1 �1 . ..�1!�J�] �U�. �......�...�.e.... .QAQ4P ............................ Chimney provided that the person tin this err�it shall in everC res eQt conform to the terms of the application on file in p p accepting P Y p Final this office, and to the provisions of the Codes and By-Laws relating to the InspectiokA fti 1D"i9N0 Buildings In the Town of North Andover. REGULATED BY PARA. 114.8-S. B.C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONS FEE PAID Final UNLESS CONS Q T'� ELECTRICAL INSPECTOR Rough ... . ... ....... ... .. ..... ... . ... Service B ILDING P�i� TOR0C? Final %�"zi / Occupancy Permit Required to Occupy Building "I , GA'W&'1KCTOR Display in a Conspicuous Place on the Premises — Do Not Remove o`�� Fi ughQQ�Q Lathing Dr Wall To Be Done No Lat g or y Q6�� FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. . Burner PLANNING FINAL CONSERVATION FINALIr�� street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT FORM U - LOT RELEASE FORM ~ INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: ACV-, eve Phone 420 -gTof� LOCATION: Assessor's Map Number Parcel 1-1 Subdivisions 2 Lot(s) Street St. Number 14 ************************Official Use Only************************ RECOMNSENDA IONS OF WN AGENTS: / Date Approved v II gS Conservation Administrator ( lDate Rejected Comments 3 Date Approved Q qe5- Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected _ �� AtJf Date Approved e�S ptic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit _ Ll k) 8-9 �f Fire Departmentaav,4, Received by Building Inspector Date SEP 7 CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER , MA. SCALE:1"=40' DATE:11/29/95 Scott L. Giles R.P.L.S. 50 Deer Meadow Road CRICKET LANE North Andover, Mass. 44' 4s- N D=88 5 = 25.00, L-38.82' T.O.W,=110.35 W EXIST, FOUND. LU LOT 3A C0 431 43,846 S.F. Ix W () I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE �tl1 OF THE OFFSETS OF THE BUILDING INSPECTOR ONLY ��� s SHOWN COMPLY AND SUCH USE IS FOR THE t 4 97 WITH THE ZONING DETERMINATION OF ZONING <" CrgtERE Qg`� BY LAWS OF CONFORMITY OR NON-CONFORMITY �< LANA NORTH ANDOVER ,MA. WHEN CONSTRUCTED. WHEN BUILT 11 /29/95 NpRT1y Tomin t of over 0 No. 430 - C,o - �A - O: dover, Mass., g N COC MIC ME WICK V ADRATED S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System eaI WA R 61 * �V0P V It CO M� BUILDING INSPECTOR THIS CERTIFIES THAT.......................................................................................................... Foundation . ......... Oje 0 has permission to erect... ........!3�....... buil 'ngs on ...41 ......................................................... Rough ,r t0 be OCCUpled as �.�. r........ .............� ..... �• Chimney ..................�. . . . ................ provided that the person accepting this perm' h I in ev aspect conform to the terms of the application on file in Final this office, and to the provisions of the Code By- relating to the Inspection Iteration and ktrution of Buildings in the Town of North Andover. ' a PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations yids thi Per . Rough � v41A.JS,V„..-10 Final PE E S 6-'MONTHS v1— 0 OO ELECTRICAL INSPECTOR -ESS cfis S Rough f:...... ............................................................. Service BUILDING INSPECTOR Final Oc a cau p e uired to OBuilding GAS INSPECTOR q � g Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations '/2" air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min.22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber- Finish Smooth parging, clean joints, 8"solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee-$25.00(Be Ready). Certificate of occupancy required prior to occupying structure. i. d 1 CERTIFIED PL LOCATED IN NOS SCALE:1"=40' Scott L. Gi 50 Deer M North And( ` CRICKET LANE 44' 461 D=88 58' 05" .4 L=38.8 T.O.W.=110.35 EXIST, FOUND, i AcK .£a Nb LOT 3A p 43,846 S.F. 43' l b' 11,30` p -2 PCs-bl� Oi I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE �S� THE OFFSETS OF THE BUILDING INSPECTOR ONLY o0 SHOWN COMPLY AND SUCH USE IS FOR THE J 972 WITH THE ZONING DETERMINATION OF ZONING ��" GSTEa��� BY LAWS OF CONFORMITY OR NON-CONFORMITY Dkd( LAOS NORTH ANDOVER ,MA. WHEN CONSTRUCTED. WHEN BUILT 11 /29/95 f .. ...-... ...,..: .-- ,.... I'..r:-'K.,.;.YS..: ....r'.,•fF-.4 .V..X..:, ..,•� n t ..r.s.::i .:.. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING ..r.w�"M%" BUILDING PERMIT NUMBER. 3A DATE ISSUED: A � X SIGNATURE: _4M/# W, —1 Building Commissioner/I for of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 6011 14- Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: O Zoning Dis_tiic_t Proposed Use Lot Area Frontage ft 1.6 BUIIAING SETBACKS ft Front Yard Side Yard Rear Yard RegWred Provide Required Provided Recmired Provided 1.7 Water Supply M.G.L.C.40. 54) 1"5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record 00 Nam rint) Address for Service twill, Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M SiSpature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3 l Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 v Company Name Registration Number M Address _r Expiration Date ^z Signature Telephone Y♦ SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE QNI:Y Completed by permit applicant 1. Building �q (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee tel 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 I, 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, ,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 Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2ND 3 RD SPAN DIMENSIONS OF SILLS DIIv1ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ( 5Y30 1) 60---e GOA-14 POal -7-3( - Qc-3 r FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT&C? ��� ���lF' PHONE 6j'4 ;'y��� ASSESSORS MAP NUMBER(/ & LOT NUMBER Aa' SUBDIVISION LOT NUMBER STREET/Y(7/ OFFICIAL E i'7p � STREET NUMBER_ ���u1l/e�, , OFFICIAL USE ONLY .RECOMMENDATIONS OF TOWN AGENTS e . ....................................................................... DATE APPROVED4-6W V CO ERVATION ADMINISTRATOR Q \ L r DATE REJECTED COMMENTS V> DATE APPROVED TOWN PLANNER DATE REJECTED COMNIENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED ---�J / �C�L/ DATE APPROVED 3/ 10 SEPTIC INSPECTOR-HEALTH DATE REJECTED commENTs PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CONMENNTS RECEIVED BY BUILDING INSPECTOR DATE f f 8 f 1 i 105.U t CERTIFIED PL LOCATED IN NOI0� SCALE:1"=40' Scott L. Gi 50 peer M North Andy . CRICKET LANE 44' 46' D=88 58' 05" L=38.8 T.O.W.=110.35 EXIST. FOUND, N6 LOT 3A �ha�Gsp CQ 43,846 S.F. 43' l :S OF { I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE '( THE OFFSETS OF THE BUILDING INSPECTOR ONLY c ;! OR THE SHOWN COMPLY AND SUCH USE IS F t 972 WITH THE ZONING DETERMINATION OF ZONING `� G/STEa��� `E BY LAWS OF CONFORMITY OR NON-CONFORMITY '€ NORTH ANDOVER ,MA. WHEN CONSTRUCTED. WHEN BUILT 11 /29195 t �r x x 4 ,t A �--__- ..,'r':. t',x.t•9!'.,. hh'r i:.-fJ71..:rJi,;.3 e.1...P '..'A'.K'.'#J i'r.:.`....o'/:a.. NORTH TOx over ® - „ O No. y 3 0 0 t�- L Ao over, Mass., COCMICKEWICK V ADRATED P? C2 S H BOARD OF HEALTH PERIV IT T Food/Kitchen Septic System R 61 � BUILDING INSPECTOR THIS CERTIFIES THAT e.wa �1s N Foundation has permission to erect........ buildings on � �I� g AX X....o ...Al. ................�......�..................... ......r.............. Rough to be occupied as......A-4.0_40.4......co.. ;2010.1 Ar a•60% + Chimney :...... ....�.............. y.................................:.. . . . . . .. . . . provided that the person accepting this permit shall in every respect conform to the terms of the application on flle in Final this office, and to the provisions of the Codes and By-Laws relating to the Jos�Lolteration and Constru ion of Buildings in the Town of North Andover. ��� 0 ; PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S ELECTRICAL INSPECTOR Rough .... . .. . . .............. ......... ...... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in. a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.