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Home My WebLink AboutMiscellaneous - 14 HIGHLAND VIEW AVENUE 4/30/2018 14 HIGHLAND VIEW AVENUE e' / 210/067.0-0020-0000.0 F 'E I f I Date.. . Of`NORTH 11, 3� '` O TOWN OF NORM`ANDOVER �� p • PERMIT FOR GAS INSTALLATION S,q us This certifies that . . . . � �?� . . .1�� !!�. �i ... . . . . . . . . . . . . . has permission for gas installation . .�J .dt� in the buildings of . 06.4-h.77. h? e./. .4e. 1 . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ort Andover, Mass. Fee . . . . Lic. No. . :. . q GASINSPEC Check# 1 -{ 5556 . �k. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING �t (Print or Type) — y N ANDOVER Mass. Date 5/9 2006 Permit#�� f`�� - V Building Location 14 HIGHLAND VIEW AVE Owner's Name ROBERT J MCELHINEY Owner Tel# 978-687-3866 Type of Occupancy RESIDENTIAL New F] Renovation Replacement Plan Submitted: Yet No❑ FIXTURES a w � w H UU) W W Q x W UW 0 z � Ow �za o M x xHzj w d W W U) w z Ud x w w W 9 W o A U a �z LUa Lu 0 � i a � 3 A 0< I U W > E a o a SUB-BSMT BASEMENT 1ST FLOOR 2"D FLOOR 3RD FLOOR 4T"FLOOR Y 5T"FLOOR 6T"FLOOR 7T"FLOOR 8T"FLOOR Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131 Water Street Corporation Danvers, MA 01923 Partnership Business Telephone# 800-322-6628 IFIFirm/Co. Name of Licensed Plumber or Gas Fitter -7_3cz rip ri INSURANCE COVERAGE: I have a cur liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ✓ No ElIf you have c ecked y�js,please indicate the type coverage by checking the appropriate box. A liability insurance policy F✓ 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: Owner El Agent ElSignature of Owner or Owner's 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 the permit issued for this application will be in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Hyl • -Plumber Signature of Licensed Plumber or�Gas .,Fitter Title •-Gas fitter • -Master License Number City/Town •-Journeyman APPROVED(OFFICE USE ONLY) 1CNo 3 ' II Date..... ... 3 ............ 01 ! H°RTM TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,S$ACNUSE� This certifies that ......./......�J.�yf... .. ........................................... has permission to perform . (� �!c a w7 ..... ............................ r............... ............. wiringin the building of /4.�..� S 'I..G....�........ ................................. �.� at......�. ..../1�! `!.�t *...... ... ..��`ke..___ ,N6fth Andover,MW. Fee.,1�f �(N Lic.No...:�s.� �... � ^. EucrmcAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 4 TTTEC0M110AWE4L7H0F ASSAQTITS= Office Use only ` DEPARTMENTOMBLICS4FETYC) l Permit No. BOARDOFFIREPREVEM ONRWULAHOA(S5r MR 12-(10 ' Occupancy&Fees Checked APPLICATION FOR PERMIT TO METZFORM=CTRICU WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRIN T IN INK OR TYPE ALL INFORMATION) Dat (j Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 1'4 H#1A L AJC/0 V1 e.w Ave- Owner or Tenant R o,6 c,,-r rh c FL A r nt;4 Owner's Address yi c w se v t Is this permit in conjunction with a building permit: Yes[Z] No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. /0 d O R 3 r Existing Service loo Amps 11 o�/2yo Volts OverheadMIX ED Underground No.of Meters New Service 2-00 Amps/z o /z Volts Overhead M Underground Q No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA Cground El ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Locala Municipal Other Connections No.of Water Heaters KW No.of No.of _.. I igns Bailasis No.Hydro Massage Tubs No.of Motors Total HP f OTHER Ir ra=CO�Ca RXW3rit1Dthera pw atsafMwmdi,seZGmaWLaws IhmaamotLmbiiiyhmm=Pcbyurh*gCo Ti* ComaWcritseWivalet YES NO Iha%eakmitledvalidprodofsartetntheOfm Y1=SX NO r7 Ifj uI ededWYES,pleaseirtdc*thetAXofw&aWby&a: ;rgthe II CE M BOND ORER a (Pl mSpaafy) D* Wa kioSta t y—3 0 -01Est makdValuedElecIncal Wak S h>spectimDateRequr�d Ragr Final Sgnad t nda�ie Pdtrlties ofpajtay: FIRM NAME Li=1seNa Lioat9ee —T`k0 n,A t' YA rJ ~� ✓�' ._�_� Lioa>seNo So` Z E BtsiressTd.Na Adciesc 4/ AiTdNa 1778 OWNMStsBURANCEWANER;lanawmetha lheL=wd cr the amraneomeagea%g1sWWe*u4 tasm*medbyNtsmdx&mCaraalIa a ardthatmysigts ancnthispmntappftcmm%m iA sthisrew'mnem (Please check one) Owner M Agent a Telephone No. PERMIT FEE$ v D at e /7 N2 2Z' 64 +0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SSACHU This certifies that ..... 7�- 14. ........................................................................... has permission to perform ..... ............. wiring in the building of . .............................. ........................... ..................... Z' orth Andover,Mass. 61, AS Ice Fee ...I... .... Lic.No ..... ........... ...... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer rr�� Commonwaa&o f/7adjacltueallJ Official Use Only -'1JaParfnian%o�,}ira �arvicas PCirilrt iVo, Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. l 1i99j llca,e blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Pvlassachusctts Electrical Codc(,,IEC),527 CM11 12.00 (PLEASE PRhVT.1,V INK OR TYP)EALL 11V(•OIWA77ON) Datc: 0/30 �pd City or Town of: AlUr 1 AIL)j-,)oyt To the Inspector of Wji-es: By this application the undersigned glues''notice of his or her intention to perform the electrical work described below, Location (Street & Number) 1 `T Hi G-H (_fz t) J:�, (e i�) wner or Tenant Yom( S+t ne l- ��be�� n'lc- Telephone No. Owner's Address G Is this perutit in conjunction'with a building permi�? Yes ❑ No J (Check Appropriate Box)of Building Utility Authorization No. Existing Scrvicc Amps / \'oils Overhead ❑ Undard ❑ No,of illeters'. New Service Amps / Volts Overlicad❑ Undgrd El No.of Meters R Number of Feeders and Antpacity .: Location 'nd Nature of Proposed Electrical Stork: yG f - rrn Completion of the following table may be n•aived by the In' cctor of;Vires. : No.of Recessed Fixtures No.of CeilSusp.(Paddle)Fans No.of tal Transrattsforntcrs IiVA No.of Lighting Outlets No.of hint Tubs Generators KVA No.of Lie g Above In- 110 o tun mergency ig blttin,Fixtures Stivimnting Pool ornd. E] rnd. ElBatte Units e g No.of Receptacle Outlets No.of Oil Burners FIRE ALARNIS i`lo.of Zoties No.of Switches No.of Gas Burners r o•o Detection and Initiating Devices No.of Ranges No.of Air Cond. "rota! --i—No.o[Alerting Devices Tons a No.of Waste Disposers HeatYump Number 'tons KW No. of off-Contained Totals: -- DetectioulAlertino Devices No.of Disln*vaslters Space/Area Heating KW Ld�=or l ❑ Municipal ❑ C+ther ton No.of Dryers Heating,Appliances KW Equivalent No.of Water INo.of No.of gmas Ballasts Data}+'mug: Heaters KW Si \o.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total Hp "I'elecommunications Wiring: No.of Devices or E uivaleat OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSUR NCE COVEILAGE: Unless waived by the o%�mcr,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: INSURr1NCE ❑ BOND ❑ 0•rHER ❑ (Specify:) (Expiration Datc) Estimated Value of Electrica Work: (Wlien required by municipal policy.) Work to Start: ;2 Itispectioas to be requested in accordance with NIEC Rule 10,and upon completion. ?'o I certify, under the pains and penalties of perjuty,that the hrformadon on t/ris application is trite and complete.A S-# 171101 - F1101 NAME: ADT SE=ITY SERVICES, INC. LIC.NO'.:C1533 Licensee: o I't�J S. �R 5 5 E�1 Signatur L1C.NO.•C1533 (if applicable.enter"�c.mpt"in the licence number line.) Bus.Tel.No.Q 78-1169 Address: 111 MORSE STREET, NORWOOD, MA 0 0 Alt.Tel.No..(781) 278-1131 OWNER'S INSURANCE %U- VER: I am a%rarc that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I ata the(chock onc)❑ owner ❑ owner's agent. Otivncr/r\gent t Signature I'cicpinonc No. Pi,Rt1fIT TE•E: ee�,. ry N26 - 53 Date...�... ....................: t NORTH " TOWN OF NORTH ANDOVER p PERMIT FOR WIRING IL SAcHUS� v j This certifies that ........:. 1....... ......................................................... has permission to perform ........ ! � C' / .............. .... ............................................. wiring in the building of........'.?..(... ....41. f ........ ...... .................................. f .... ,North Andover,ass. Fee.;-:..Z............... Lic.No. .....:-....... ,............ .... ...............:... ................ I E—C..TRICAI INSPECTOR.... Check # /-I WHITE: Applicant CANARY: Building Dept. PINK:Treasurer (OPA THE 00W0AW 4LM0FA SSACHU,SLTIs Office Use only 73DEPARTALENTOFPUBLICSAFETY Permit No. :3d4BOARDOFFIREPREVEN770NREGMTIOA 5527CMR 12:00Occupattcy&Fees Checked PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datl_ Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) _ J+ Owner or Tenant C Owner's Address Ave- Is this permit in conjunction with a building permit: Yes No r-J (Check Appropriate Box) t Purpose of Building '(Y) N C, 0 U 1 Utility Authorization No. j Existing Serviceab(S Amps 1a6/,:')-116VoItsJ Overhead � Underground M No.of Meters I-- New Service AmpsVolts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work P601- /N S%/9l,e-g3%/on1 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground Eound No. �Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local a Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis 1:'. .Hydro Massage Tubs No.of Motors Total HP 1! , O-JiER htsurartoeCotiaage Pt>ssuantbthetequuatla>tis�GmaalLaws IhmeaamertLiabi*fi-rar=PbbcymddagCanpktCaaaWcrisst#swt>tdeWiva YES LZNO IimeatbnaedvabdpcoofofsametotheOftim YES rJ NO r7 If}cuha%edniWYESpiememdc*ftNmofc the INSURANCE BOND a MiER ftweSpadfy')- AI-Lx� EViratimD& E Vakl dE1e&al Weds$ WaktoSlmt hqrcfim11ieRqxsWd / Rouget Fatal Sgftedla dwl iePialhesofp� / ,// r ,✓ FIRMNAME A /YJb - 1 U=WNa 356 [� �•('./.9�1('�,'{;I � /� signanae _ LioaseNo BtsihmTd.Na CCC 4 All.Tcl"Nh OWNER'SWSURANCEWANER,I.mnawatethattheLieassedoes Jq, 1-g flJqiAdatasm#WbyM=dws&GM41aM anddvtMsignatmont mpeantW>fimbanwaiAs tustewmemalt (Please check one) Owner Agent a f-dd Telephone No. PERMIT FEE Location No. �� Date • ��"T" TOWN OF NORTH ANDOVER f 9 Certificate of Occupancy $ JgCNUSE�� Building/Frame Permit Fee $ J Foundation Permit Fed`¢'-$ Other Permit Fee $ TOTAL $ Check # ^ �� + r {} fir ., . . Building Inspectbr/ TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER DATE ISSUED: vr- / SIGNATURE: Building Commissioner/I for of Buildings Date SECTION I-SITE INFORMATION z z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: a� oa i > r019 (�r Map Number Parcel Number co 1.3 �Y1 ,, ,.L� ► d 1.3 Zomig Information: 1.4 Property Dimensions: "R_4— Zonin g Distnct Proposed Use Lot Area(so Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 0 /a fv 1.7 Water Suppty M.G.L.C.40.q 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private 0 Zone Outside Flood Zone Municipal On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner oC Record , Qo6eE_( Name nnt) Address for Service07k . \ n- Signature Telephone R 2.2 Owner of Record: Name Print Address for Service: O • z M Si nature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: O License Number Address 10 00�' D Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name M Registration Number r Address r Expiration Date ^z Signature Telephone L 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 I in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition ❑ onI Accessory Bldg. 0 Demolition 0 Other Lll' Specify Bri scription of Proposed Work: r' Q ( �` I SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ( CIL rt7S�+'�}Niy I � ag ff. Completed by pernmnit applicant 1. Building (a) Building Permit Fee Ci 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"PLIES FOR BUILDING PERMIT 6o ec J C L _e(,11 as Owner/Authorized Agent of subject property Hereby authorize ' (�ei t fv to act on My yhzlf in all�ai3ttyrs rel tive to work authorized by this building permit application. Signature of Owner Datel 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 Print Name Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I 2ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH]NINEY IS BUE,DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL.GAS LINE ' �,E D � . o o - over _ .. .. No. Oleo/ ':.L.C—\*, dover, Mass., od/ DRATED S H � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. .... _. :........... ......................... ..........I .................... ............................................................ Foundation has permission to erec . . . ................................. buildings o ..x.1....... .. .........�. 4/.,�,.�w`' gh to be occupied as Chimney provided that the pe n accepting this permit shall in every respectconform 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 EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR ��i�'1 Rough ................................................................................................................. Service BUILDING INSPECTOR Final Occupancy:Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place. on the Premises — Do Not Rem.ove 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. 1 B 9' B' 9' 38' r-WORK AREA A A A 2 1, r 4 34' \ 20• 31 6'1/8 16' o'�.wa`J�: �ji ,4 '► —1'-O- LOGAHON USP Adjusinble A-Frarne —Salely Line a t� (hares At Wall Joints 7 �ueg 4 �- s� a 11 Indicated fly A. A- _ Digging Layout ., . „ 410"a .r Oro ' '*..�. See."Wall Cmiler drlail" NSPI tae r (typicnl All Corners) � ^+ TYPE 11 DIMENSIONAL SPECIFICATIONS AS APPLIED TO to � 1' :`r r•�)' `► ��, I WEATI-101KING POOLS tel- — — — — ,!�'N.� •~ 1. Overhang of diving board from edge A J 4, O„ A A —� of pool is 2'-8 7/8" (.!3 Inches). ";,A'— �— — --- 2. Water depth under lip of diving board f � � A� 'f�t7tt 'eti Is a minimum of 72" m Point"A". Plat) - Nnle• 1. Maxlrnum board Irnglh Is 8' •U". SInIllinzS Sleet Wall 2_' 8 7/8" Ir 1") Uvnrhang Uistanre A. Mnxhnum board height over water is ` 1'mlris A I"I iigh. All 011+ers 42"Ifirlll. 2.0 Inches. `•„M,, rinlr nIw 1 '1--20” - 2U" Maximus+ Ile AhnvP Water r " 1'-O• S. 1)ivinq board must be centered In width of pool. u•••1 y w Sig Iw 'h — -- `--Salely Line �.+nn 6. etl ler to ninnlnompi S'specilicnlions yrr`"�� •+•.u.•,• L writer L rvP) nfor fulcrum locnllons. 1Y 4" fle.low top Of Liner J�_. . I _.._.—.._..r. h+di",lurhrd I:n1111 T. Snlely lines fmir1 tin mechnnicnlly nl- ' * _Point "A". vim: I inched on ons skin suppnrled fly 'o See Nole 2 /i Vmrl 1-411-1 ()vrr buoys• f i 2" C •u acted Sol,+d a• A step or Indder or other nlylroved s 4'. the o' 6'-O' _ 14-O __ to' O" 1 means shall he provided lit boll► T+, I I shallow and deep ends. y{l , 1100Protile FOLLOW ALL APPLICABLE SAFETY AND BUILDING CODES, AS WELL AS INSTALLA- .r�107 TION INSTRUCTIONS FOR THE POOL AND ALL EQUIPMENT AND ACCESSORIES. /6' /6' 161st' 16vt' CAUTION: DIVE FROM DIVING BOARD ONLY. ' 16,:34 REGT. 6jrSECTIONS 14' z- /4',SECTIONS /4' 2-15WEATHERKING PRODUCTS, INC. 4- 16 SECTIONS 15' 4-16 vi SECTIONS 15 4- /IL'..90'ROL L f0 CORNL RS 4-3 I'C.90'f.ORNERs EAST GREENWICH, R.I. l0- corm CL Ifs /0 C01^lN6 CL IrS 16' 16' 161d I61,:' 16 x 34 x a BGT 11 "►IAwrinF/l� J.P.P. DATE: 12-fj2 Iloliday Coping Layout Snap Strip Coping Layout . RECTANGLE i r I I EMERGENCY AMENDMENT TO SECTION421.10.1 (9.1) I SWIMMING POOL ALARMS At its June 9, 1993 meeting, the DDR5 voted to amend the above Section of the building code by emergency action to clarify the permi55ible audible alarm activation period. Delete the wording "The alarm Shall sound continuously for a minimum of 30 seconds immediately after the door i5 opened" and replace with; "The audible warning Shall commence not more than 7 5econd5 after the door and door Screen, if present, are opened and Shall Sound continuously for a minimum of 30 5econd57 . t BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERUISO.R Number: CS 002$37 t> Iiirtkt�iate: 11/30/1657 Expires; 111.3012001 Tr.no: 20225 A Restricted To: 00 ROY J CHARLAND 670 S UNION ST LAWRENCE, MA 01843 Administrator ACQRD,. CERT=IFICATE OF LIABILITY INSURANCE►D SR DATE(MM/DD/YY) • WIMM-1 03/13/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Landmaitk Insurance Agency, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 198 Massachusetts Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Horth Andover MA 01845-4190 COMPANIES AFFORDING COVERAGE Landmark Insurance Agency, Inc COMPANY Phonello. 978-688-8829 Fax No. 978-975-3987 A Preferred Mutual Insurance Co. INSURED COMPANY B Eastern Casualty Ins. Co. Swimming Pool Center COMPANY Roy Charland C 670 So. Union St. COMPANY Lawrence MA 01843 D COVERAGES THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE s2000000 A X COMMERCIAL GENERAL LIABILITY CPP0100552265 03/01/01 03/01/02 PRODUCTS-COMP/OPAGG $2000000 CLAIMS MADE a OCCUR PERSONAL&ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any one fire) $Excluded MED EXP(Any one person) $Excluded AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ ],000000 AX UMBRELLA FORM UC0120540211 03/01/01 03/01/02 AGGREGATE $ 1000000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STU- OTH- EMPLOYERS'LIABILITY TORY LITAMITS ER EL EACH ACCIDENT $500000 B THE PROPRIETORI INCL WC98470026 02/28/01 02/28/02 EL DISEASE-POLICY LIMIT $500000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESISPECIAL ITEMS Swimming Pool Installation/Service/Repair CERTIFICATE HOLDER CANCELLATION SAMPLE 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Sample for bidding purposes BUT FAILURE TO MAIL SUCH NQ L IMPOSE NO OBLIGATION OR LIABILITY ND UPON MPANY,ITS ENTS OR REPRESENTATIVES. AED PR E La urance ge cy, Inc ACORD 25-S (1/95) .. ACORD CORPORATION 1988 r ;S It IMMIA ti G, I OOL (ENTER INC. Hate ` !ratite ._ .. �fc;� JFf.r`, Hume phone Address /� � . f ,._,' �� • � r�°L �' �4ur1ti f:C t,t.,i„ ,.11:.:P'. -�`�-y k _.. �I __ `-C_''/``� t,,/ .�`g'7 l %'`• _ -- '- - - .,._ � ...t ..',...•c,.. r, r.,. .� . . .. ale(\ ,.i., !t•C •,\ _, -.,. ,.�rlf, �,.;\- ��, ,(, ._ Etta:, ...t." .,.r r\.�!`r�:it _t •�'. •t. ,. ._ � - \. •r .. �., \ },�..- .lt ,,. d_�t., I' d',,, ., ..I"]•. �.� ... -..u. "li., , 'f'i.. J' I`,.�!:'V �..'n..., ,L.:: , r. ...,.'1: '.l l..il,l\(tr �1 li,. Ali;ti. ,.t ;?(t 1Jv ,rJ_ 3l:J C.. ui`k.,,Cl `,1 c i Irtttu,. }, �.. ,• �.1.1, (�U•,.� .1\iC, c.."'\ t t"' , _ �':f^,i_ i .t. ... (,., ..ti.l.. .. �..-`t"n-',��t?� �1 .,��1 ..,�.. ,,. ,. . , a l "I:Ilip I: �n ., t V.B „ .r� +n• i'. ... .'t\ ,�. ,�. , .. !•u; rf'_ l .:i i�t';'t ,h. .r f•:.,..i, I_ , t" l:cti, , .'-.0 In -.. ,. _ k-, 1, !.Sc, Ii;C .,:ill�.;�.,.,,: r.,, dill t•nC; .,i !^..,.;i a'\. L. .. .� _ d. _ i� 1'..... __ .� .,_. ... il_',C.1'.�I i i.. ,K il:�,l'l1�,.4� ,..!1� ..V i.i... ..',� .i I(:}l,' .1• .. , ., , 11C1 L -F_xtras- .\.t:.. >,t`•1 ..u• ,:. , �' .� - -_ aC 111-5 111l;11,'Jr! ?',-i�C r Y "d Pricer l t't) 'h it':L - i'ilF lTlent >l'I;etlall' c 8,11.11tt.0 tt`iC oporl hi— I.':id ;t:, a!!C:'ildltlurlt of this SV:)t I�(. '� t r, • :irl;rr ;-�'��""`� ( r. 1.1� -,�i);tt;• /� riu1L i•. �`'� �. ��.�-'1- _. i}.'.'`L' � r i .� Board of Building Regulat ons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 118519 Type: Private Corporation Expiration: 03/29/2003 SWIMMING POOL CENTER INC ROY CHARLAND 670 S UNION ST LAWRENCE, MA 01843 - -- Update Address and return card.Mark reason for change Address F-] Renewal F] Employment Lost Card �fe Zooa�inwvu,�rea�i n�✓�aooac�-ccdeCZ6 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards a Registration: 118519 One Ashburton Place Rm 1301 Expiration: 03/29/2003 Boston,Ma.02108 Type: Private Corporation SWIMMING POOL CENTER INC { ROY CHARLAND J 1 670 S UNION ST �� ,i LAWRENCE,MA 01843 Administrator t valid without signature 6 , h,4 PLAN OF PROPOSED POOL Date: April- 20, 2001 Scale: 1" = 20' in Engineers: Dante Bartolomeo NORTH ANDOVER , Henry R. Hi tuber prepared for - - 82'.9' � r � ROBERT MCILHINEY Ey 1?r tviovE � 3 R h WE WO�E0 H 3 qtr No % r Y ` t x TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING V BUILDING PERMIT NUMBER: DATE ISSUED: rn SIGNATURE: Building Commissioner/Inspector of Buildings Date z SECTION 1-SITE INFORMATION z 1.1 Property.Address: 1.2 Assessors Map and Parcel Number: O I f\ Map Number Parcel Number 1.3,x(Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 0 ib •a 0 1.7 Water Supply M.G.L.C.40. 54) 1.5. blood Zone Information: 1.8 Sewerage Disposal System: D Public Private 0 Zone Outside blood Zone 19— Municipal On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record Q 7 . ( q k q Name rint) h Address for Service: C , X Signature Telephone r 2.2 Owner of Record: Name Print Address for Service: O Z m Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: U O License Number Address 670 f d, l-t-►1 s� G o .3 7 D Expiration Date SignaTelephone (:J�i 0 X, 3.2 R4iNerodf ome Improvement Contractor Not Applicable 0 v Company Name ;l Registration Number 1 ddress _r 1 Expiration Date ^ '3ture Telephone y J SWIMMING POOL CENTER r 670 South Union Street LAWRENCE, MA 01843 (978) 682-6916 CUSTOMER'S ORDER NO. PHONE DATE �- NAME 74 ADDRESS SOLD BY CASH C.O.D. I CHARGE ON ACCT. MDSE,RETD. PAID OUT QTY. DESCRIPTION PRICE AMOUNT I lop I I I I I I I I I I I I I I I I I I I I I _ I I I _ _ I I I I I TAX RECEIVED BY TOTAL All claims and returned goods MUST be accompanied by this bill. 14353 8 T orr*W.00nt `�®u 600/650SERIES oTHEKIDNEYo 20 x 38 ' January 2000 1 37-4 1/2" LINE A-1315 PARALLEL TO LINE E-F 27K - 27R 37-4 1/2" 27R 6'3" 63 63" i27K 27R A 27R J 27 LIGHT B PANEL 27R 27 27R OPTION H 10R 10R 29'-81/2" 10R 6'3" 6'3" 8R 29'-9 3/4" 15'-5 1/2" R8' R10' R8' R10' F E 10R 10R 21'-9 1/2" E 6'3" F 19'-4 1/2" 1OR LIGHT 8R �� R6' PANEL 12'-9 3/4" 14'-1 3/4" K 16 8RR 10R 10R 8R 8RR 18' 10R 6'3" 8RR 42" 42" 3'-41/2" 8R Rb. 1R 63 0 " OR D 1OR C 16'-4 3/4" 21' "-9 1/2 � C-N 18'-7 3/4" R16' D-N 20'-1 3/4" G A-D 43'-3 1/4" 37-41/2" N I T-A-FRAME BRACE M 27R 27R - 27R 27R 27R 2'7"from panel 27R jointto center line.27 27R 27R 12'-10'Bottom dimension i� 27P offset 2' t� C9 N N 16-3 1/4" 8R 10R 17- 1/4" 10R Co to N C9 1T-101/2" 18'10" 20 15'- 11 1/2" E 16 ��a ` O O N N 10R ^oj d 10R 8R p K 14'-91/2" P> Center line intersects ' 19'-01/4" paneljoint. 8R lr MR 10R lop\ 8RR 8R 8RR RR 8R 1'-2 314" \• 8R 10R from paneljoint 10R 10R to break line 10R 1 9 9' e' ��. 9' 38' -WORK AREA IF — b1 — - -A A A 4'3 ' •s TIM ' oft Mom 60 16' 16 3 °"I'i. ot+1'.0* POOL rrONLOCAA tt Use Adi115lahle -Fame Satefy Line ° ` f Prar-.e' At Wall Joints rr too fee" """""` cal o b tndicaled fly A. A_ _ Digging Layout ,,,•. ., s� •.,.��+r NSPI .0, t See"Walt corner detail" TYPE 11 DIMENSIONAL `QC'. °/ "r"� yflicnl All Corner') �: �•�'i/11�� 16 _ SPECIFICATIONS AS APPLIED TO 4 WEATFIEIiKING POOLS �� ,;,,.•, �; ;;,';;f �- — — - - r r n M 1. Overhang of diving board 1 or edge .,. A `A — A --.--� of pool Is 1'-8 1/8" (!9 incttesl. .t"w; an ' " 2. Water depth under lip of diving boardis a minimum of 72" al point••A••.Plan (Jule' �, \.,•� 1. Maxirnlrrn boned Ir.rrgtlt Is 8' U". , Slallll/`'S Steel Wall °r 1�• . — 7.' 8 //e" (r J' C)VrtI1111g I)Is1aIH.e IIa11eIS t `--` •, 4• s board hCighl over water Is 41"Iligb. All 20 Inches. Other A2"Iligi• nnn•r n/w I i I al 2U'•Maxhnum I Irighl nhnvr.IN r r t O� — _ 5. Uiving board must he centered in wWll► of pool. alrly Line M S /Htl I C. hetet to InAnllfnr.111f e1 S'%pecificA l Ions "0." nln.ln• �t FMInhimm Writer level for lulcrurn Iocnllons. n — C. 1le.low lot)Of(.tner � ��•1,;,-. -- —.._..r. r >n / I Itndi lurbrd 1,11111 Inched (Ines mu.^.1 tinmrcltnnicnlfy AI F, _ polnl Inc hrd o "A �i n one s1/1A suflprnlr.cl Icy >f J a Sec Note?. / � Vln,•I Liner Over buoys. ' 2- C ••rpmclyd Santa 8. A slep or Indder-or other lipproved ---- - menus shrill be provided AI both Tho 1O o• shallow and deep ends. ,. Prolate FOLLOW ALL APPLICABLE SAFETY AND BUILDING CODES, AS WELL AS INSTALLA- p t,� TION INSTRUCTIONS FOR THE POOL AND ALL EQUIPMENT AND ACCESSORIES. k CAUTION: DIVE FROM DIVING 150ARD ONLY. 161 161 161lt' 16vt1 1604 RECr 16jrJ4 ECT /4 2 /41SEC1/ONS 14 2-11 WEATHERKING PRODUCTS, INC. 4- 16 SECTIONS 15' 4-I6vi MC11ONS IS 4- 11*C.90•not t£O CORNS RS 4-3 PC.90'CONNERS EAST GREENWICH, R.I. s; l0 CorING CLIf-5 /0-COrIN6 CLIPS z ---- ------ — - ----- - ---- --- - bnAwt+AF/II ... J.P.P. `w '1 16' 16' 161d 16rt' 16x34x0BGT11 b111E: 12.82 Holiday Coping Layout Snap Strip Coping Layout ' RECTANGLE ,4cc�ssor�Cs� or v�'��l FORM - U - LOT RELEASE FORM INS LTGTIOM: This form is used to verify that all-necessary approval/permits from Board-s and Departments having jurisdiction have been obtained. This.does not relieve the applicant and or landowner from compliance with any applicable reW.Woonows mass 0 memoquirements. APPLICANT --69'►zT' IM PHONE 6 3�C. s ASSESSORS MAP NUMBER LOT NUMBER D o1-9 I SUBDIVISION LOT NUMBER STREET 4Q ��E:4 A �� E STREET NUMBER ir■■..■■■..■■■.■..■..................■.■ ■..■■..r■■■.■.■■■■...r....■■■■.■■■■ OFFICIAL USE ONLY ........................................................................... . RECONPAENDATIONS OF TOWN AGENTS .,.■ ■■..■■..■■■ ■Won Magoon■■asses■..■■..■■■■■■■■.■.■■.■■....■■on-Man■.■.■■. DATE APPROVED I CONSER VATION ADMINISTRATOR DATE REJECTED COIv1TvIENTS t�� o DATE APPROVED CJI Jy TOWN P DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-'HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS • DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COND/fENTS RECEIVED BY BUILDING INSPECTOR /1 /(�f DATE �` �'� a'� d PLAN OF PROPOSED POOL Date: April 20, 2001 Scale: 1" = 20' in Engineers: Dante Bartolomeo NORTH ANDOVER , Henry R. Humber prepared for _ ` . 82',9.' r r ROBERT MCILHINEY 4 � 3 V) Z � t [OMfo k � O t A N 1; Location / �/, v/11f,.Jr U Te r J No. 3 Date °2- G MQRTN TOWN OF NORTH ANDOVER • 0 Certificate of Occupancy $ ;� "•^°'�s�. 9 Buildin /Frame Permit Fee $ h�<Must Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1 J D 15 '4 `t 2 Building Inspector TOWN OF NORTH ANDOVER ` I BUILDING DEPARTMENT I APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING f BUILDING PERMIT NUMBER: L/� DATE ISSUED: I SIGNATURE: �C ' Building Commissioner for of Buildings Date , SECTION 1-SITE INFORMATION t 1.1 Property Address: 1.2 Assessors Map and Parcel Number: x' W Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: w r Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide iiecjwred Provided ReqWred Provided 1.7 Water Supply M.G 1-C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: 7 Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT r 2.1 Owner of Record �► Name(Print) Addressfor�Service Signature Telephone sO' N 2.2 Owner of Record: Name Print Address for Service: = Signature Telephone r SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ - c O 63 0 fU111,a, VI SCIS Licen, •i Construction Supervisor: License Number " Address � L f I?O Expiration Date Signature Telephone - G 5-09 SGS` '70S-Y r 3.2 Registered Home Improvement Contractor Not Applicable ❑ �= c a-l"s 6) t13 OSI w"' V 1 1-�C a Company Name 11S- -I 1� l Registration Number r Address r t Zz.3 Qa - C S 3 62 lJ�� Exptratt Date St natte Telephone i 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.......0 ' SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building Repair(s) ❑ _rAlt�q wns(s) 0 Addition ❑ Accessory Bldg. 0 _ Demolition ❑ Other .1,0 Specify ` Brief Description of Proposed Work: enc L*-!St'-� pp Ake— v'v'1 cp✓1 t�ra„�s � 2 .eQ.e-c{�vcgX ��Ll�'�; h4 11.1 e— i W/lIxs i .J ^\ C �' `�-\ l"' V 1 �✓W,,�./JII✓S SECTION 6-ESTE14ATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Completed by permit applicant _ Me, 1. Building (a) Building Permit Fee Multiplier t2 Electrical (b) Estimated Total Cost of 1 Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical (HVAC)f 5 Fire Protection J 6 Total1+2+3+4+5 �'r i 5� Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN T OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 3) I, ,as Owner/Authorized Agent of subject property 40 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 ,as O er/Authorized Agen f 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 ,n r W_: r-iC hr �i s Print i Si e of Owner/A I ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sT 2 ND 3 SPAN -7 . DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUII DING ON SOLID OR FILLED LAND IS BUII,DING CONNECTED TO NATURAL GAS LINE i The Commonwealth of Massachusetts Department of Industrial Accidents p Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: +ZC �u �1 V Q n W aya V\�-�cr�S Location: CiVV_H_ Phone Gc-.3 362 `110 f �1 am a homeowner performing all work myself. f I [E21 am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone# Insurance Co. Policy# Company name: Address City: Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,5W.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.06)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties ry that the information provided above is true and correct. Signature - Datel2 Z 27 /of Print nameya vt, 6)SI&a-vs Phone# 6t ir 362 6 ko Official use only do not write in this area to be completed by city or town official' ❑ Building Dept []Check if immediate response is required Building Dept ❑ Licensing Board E] Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION STATE/TInE NEW HAMPSHIRE COMPANY MAIC NO/NAME PRODUCER CODE 212-19305 ASSURANCE COMPANY OF'AMER I CA 021-43394 POLICY NUMBER'. E6FECTIVE DATE EXPIRATION DATE SCP 37 85327 04%01/2001'` 04/Of%2062 YEAR - MAKE/MODEL VEHICLE IDENTWICAT1ON'NUMBER 2001 FORD F250 XLT 1 FTNX21 F81 EC95630 PRODUCER NAME/ADDRESS INSURANCE SOLUTIONS CORPORATION PO BOX10.19 ATKI NSON NH 03811-1079 PHoie (603 382=4600 INSURED'NAME AND ADDRESS ERIC DUBOIS DBA NOVA KITCHENS 7 ISLAND POND ROAD ' ATKINSON NH 03811-2129 INVALID UPON EXPIRATION DATE 63049 SEE IMPtfItTAMT MESSAGE ON REVERSE,SIDE AUTHORIZED REPRESENTATIVE North Andover Building Department Tel: 978-688_954.5 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 fa��`►/v r Date NOTE: Demolition permit from the Town of North Andover must be obtained this project through the Office d for 9 ce of the Building Inspector i 4,721 'I �%Jo...Al,. oy if a��r�t6el s r BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 052746 Birthdate: 02/04/1965 Expires:02/04/2003 Tr.no: 6952 Restricted To: 00 ERIC F DUBOIS 71SLAND POND RD iATKINSON, NN 03811 Administrator l / ' ✓he 'C.'a�nmon�ueatlx o�✓�T�r.W�z�,fi�i68l.�d� Board of Building Regulations and Standaeds. HOME IMPk6VEMENT CONTP.ACTOR r H,, Registration: 115786 `. w- � Expiration: 04/13/2002 Type: DBA ERIC DUBOISINOVA KiTCNENS ERIC DUBOIS 7 ISLAND POND RDS ATKINSON,NN 03811 Administrator NORTH Town of Andover 0 V" No. C" t-coC.: 0 L over, Mass., HICINto ORATE BOARD OF HEALTH Food/Kitchen PERM. IT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ........... x Foundation has permission to erect...Re rn CP d14 buildings on ..... ..... Rough 'y.�.1.•�.N.�...v..i,�...7;-re' . to be occupied as......*.ear...... ........ 4 .V.*&cd �VIA.,-�..b 0. W.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. 4 07A PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMEXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS 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 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. O DO ASF1 IN T G TT � MASSACHUSETTS UNIFORM APPLICATION FOR PERMITCa � (Print or Type) NORTH ANDOVER, Mass. Date, 1huilding Location �� %�fi� f � Permit .� Owners. Name_ . . New -1 Renovation �, Replacement a lacement Plans Submitted s FIXTI_iR=I N df W N • � z ac as I H at v CC h cz W CC W us C d (1 m r f" d m N ►' yj W 4 O a tu a W 4 rz w t __ _. t- as > H ae w 0 us to w •c x r e h x W w 0 o U. v t7 F� Z h x W W O ? N Z d W .s d (t .�. h y. N m O d O N = ' Q Z O v Y W O O V > SUIT—BSMT. SASEMEHT IST FLOOR 2140 FLOOR 3110 FLOOR 4TH FLOOR STH FLOOR GTH FLOOR TTH FLOOR 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name ANDOVER PLG. & HEATING CO_ Corp. 2122 Address 573 112 SO UNION ST_ Partner. LAWRENCE, MA. 01843 [_J Firm/Co. Business Telephone: 508 685-8383 Name of Licensed Plumber. or Gas Fitter .GEORGE ( AROSE Insurance Coverage Indicate the type of insurance covd4-age ,by checking, the appropriate box: ,i � �' �•-•-; Liability insurance policy Other type of indemnity; Bond ' l--i Insurance Waiver: ' I ,- the'=Undersigned,�� have been' made aware that;?the licensee of this application does not have any one of the above"three insurancecoverages. Signature of owner/agent of property Owner Agent I hereby certify that all of the details and WOrmation 1 have submitted (or entered)In above application ate tine and accurate to the beat o r my knowledge and that ad plumbing week and Uutalladons petfotn ed unlet'Mmit Weed for this sprUcation wits be fh compliance with ail Vier'l meat provisions of the Massachusetts Slate Gas Coda and.asaptet 142 of the General Laws, By YPE LICENSE: ' Wasf lumber �- Title itttir Siq aEure of Licensed aster plumber or Gasf2.ttjer City/Town: ourneyman 99R� APPROVED (OFFICE USE OHi.ri' License IJumber ,i '�S�CJ Date. ` ' . ..... .. k of, o NpRTH TOWN OF NORTH ANDOVER .a ,e'�hp 0 PERMIT FOR GAS INSTALLATION t � g ; . �-is SACH USES y� This certifies that .,rr. tl-.5 u. � r)?. . . . . . . . . . . . . . . . . . .N has permission for gas installation . .+`t. . . . . . . . . . . . . . . . . . .�. !�in the buildings of . . .17 Pei . . . � !�:!.s. . . . . . . . . . . . . . . —' at . . . .l.5!. ./-1+.g t�a.� . . . T�? . . . North Andover, Mass. Fee. /. , . . . . Lic. No..''1.'� '`-3 . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File r .� r+•/�ve7/14alll.7Cr 1-1 U"IlrvrllM APPUUAIIU(y FUN Ph"M11 1%J sJv s •- �`++,— (runt at Type) 02� NORTH ANDOVER? -, Mus. Otte BuIldlnaJ/ Permit Location �T z Owner's t� Name �iC�y/✓�i! ��3' New Cl nenovallon ❑ Replacement [J Pians Submitted: Yes❑ No Cl: FIXTUAE3 s ss ww J w o sr w .+ w s• u e s o M 14 7t s w k s t R y O a i X M A O O O 16 IL K 30 a Y x o g o �e i w o o j H w It p s s i s i o sup—ssNT. •AGINKIMT 1sT FLOOR SHO FLOOR 1110 FLOOR 41H FLOOR aTH FLOOR OTH FLOOR 1'TH FLOOR •TH FL00a Check one: Cerllncale Installing Company Name ANDOVER PLG. & IIEAT I NG CO. , I NC . Wotp. 2 12 2 •a/•��' Address 573 1 /2 50_ UNION ST ❑Partnetship LAWRENCE , MA. 01843 ❑Firm/Co. Business Telephone 508 685-8383 Nerve d Ucensed Plumber GEORGE LAROSE INSURANCE COVERAGE: ecx 090 I have a current IlablRy Insurance policy or Re substanlW equNWenL Yes No Cl It you have checked yam, plea`seeIIndlcale the type ca•werage by checking the appropdale box. A Itabllty Insurance policy lkf Other type of Indemnily ❑ Bond ❑ OWNER'S INSURANCE WAVER: I am aware that the licensee does not hate the Insurance coverage required by Clvapfer 112 of Ilia Maas. General Laws, and that my signature on this permit application waives this requirement. Check one: owner ❑ Agent ❑ anstura o (?.meta ()✓mars enl I hereby cs.tlly,that ail of the details and inkmmallon I have submitted for entst"ks above appfkatlan sre true and accurate to the best of my Incl-a ge and that ail plumbinp wak and InslaAaltons Worrr»d under the parte ltsu d for We applkallon vr11 ba In compliancy with all per0nent provi0ons of the MassachuseHs State Mumb4rp Code and Chapter 112 of the GenotGrWi. Dy - Tills _ ant a o4 Lkens" um w aty/Town Ucow+safkxnbse 9983 Type of Plumbing License: Master [� I11111T1f D IN FX-'E IISE ONLY) Jouineyman ❑ •r Date.G�9. 9 7. . . . _, _ 3336 A 4,, TOWN OF NORTH ANDOVER *0PERMIT FOR PLUMBING Ui 11 • N s o� _� �•'a cmusE� This certifies that . . An. P.V.5 P . . . . . . . . . . . . . . . fii .n has permission to perform . .1!.-. r . . . . . . . . . . . . . . . . . . . . . . . . . 0 plumbing in the buildings of . . .F. P19 h.h: . . 4 c ! .s. . . . . . , , o at. /.A.h . . . . c' IZ. . . . . . ., North Andover, Mass. Fee.,,?..J t �. . .Lie. No.9l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING � (Print or Type) NORTH ANDOVER Mass. Date / �uilding Location Permit #_� ( J� Owners Name • New '1 Renovation D Replacement Plans Submitted D -� FIXTURE'S (n v YW N z Q rr; rn v a t- a m a .o Wus0 tu Occ O 4r. a i- C !- z ". t- W CC Z W H N Q O O O Z t- tL N N C V W 07 r K tm: O Q W W W 07 J x Q fm: Q Q W t• W U X U7 Q „� tW yW N O ? U. X Q W < oC •• tsi O O to 2 < Stu y .C W O < G 4 Q O O W O W 1-- 0 O c7 Y u. n ca ,1 V ct y Q a t- o sua—asmT. It BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TK FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name ANDOVER PLG. & HEATING CO. Corp. 2122 Address 57371/2 SO. UNION ST. Partner. LAWRENCE, MA. 01843 [_J Firm/Co- Business Telephone: 508 685-8383 Name of Licensed Plumber or Gas Fitter rrnarF el2nSll Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 5D Other type of indemnity Q Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. i Signature of owner/agent of property Owner U Agent F7 I hereby certify that all of the de(sils and information 1 have submitted (or entered)in above application are true and accurate to the best of my Icnowtcdge and that all plumbing work and installations performed under'Permit issmsed lo.- this application wilt-be in compliance with all pertinent Provisions of the Massachusetts State Cas Code and chapter 14:of the General Laws. By YPE LICENSE: Gjs-L_ Title Plumber asfitter- 5 Si ature of Licensed Master Plumber or Gasfitter City/Town: Journeyman - 99113 APPROVED (OFFICE USE ONLY) License Number J....L � N° 15 ..... J C Date.. .. . /J ! NpRTM q o` TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SS�cHusE� This certifies that �1 , 1 I..?...�.. � ( ' .� � ` ....... /............................... has permission to perform .......I �.....r � -,.................................................................... wiring in the building of........l�..f U a > ................................................................... .{ ....................... .North Andover,Mitss. it..................................�................... ._ Fee.,2'.. ............. Lic.No - ............ ............... .......................... ELECTRICAL INSPECTOR Check # / "� WHITE: Applicant CANARY: Building Dept. PINK:Treasurer IIT' M5 Date. . (. ... ... of AO o*a ,ti TOWN OF NORTH ANDOVER 0 PERMIT FOR GAS INSTALLATION I � �9SS�iC'HUSEt h O L6 M This certifies that . . Yt. �. .t.t?. . . has permission for gas installation . . . .f r{. .r. t . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 at . . . . .1. .`/. . . .f��.y��tq�r.�. ''T�!1.� North Andover, Masi. Fee. .)-?.,.`—. Lic. No..1'1.3. . •AS INS�TOR • .� WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Official Use Only Permit No. vomr_�4;D-04 S` Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 52"CMR 0 (Please Print in ink or type all information) Date To the Insires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number 114 W t c�A L,t-rx cA :F-(2 QA C E Owner or Tenant D o P_enn\j Le w i S Owner's Address Is this permit in conjunction with a building permit Yes VTINNo ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters I`\tumber of Feeders and Ampacity. 'vocation and Nature of Proposed Electrical Work o� rs��Vl S;E4tn 4Zoom 2e w1(-e �d i4cld S;x o(d wun IQ LecsE,rsc,�t. Q erm o �iu.L — S� ' Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures �( Swimming Pool gmd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di osal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained N%of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage N16.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy includi Ieted Operations Coverage or its substantial equivale YE NO = have submitted valid proof of s Offi*YE5_- NO = If you j ave check d ES please indicate the of co rage by checking the appropriate box INSURANCE = BOND = TH - (Please Specify) �� rT� (Expi tion(Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough ( 0O Final Signed under the Penalties of •erjurx ^�^ n FIRM NAME MtX �- U� � !Q AT` �J`� �<<' i LIC.NO. A e- Lkensee Signature ` ��(�� LIC.NO. ,3(.t&0 "�, T Address P O a K 3�'� f U. Gh�..Q K aC d "'r AItt Tel 101-1'k- . It �F�3 a OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ v (Signature of Owner or Agent)