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Miscellaneous - 140 JOHNNY CAKE STREET 4/30/2018 (2)
140 JOHNNY CAKE STREET 210/107.A-0197-0000.0 1 I Date. . r 9571 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �SSwcMUSE� S This certifies that . . . r . 4. . .�� . . . . . . . . . . has permission to perform . . . .1`�e�. .? ? . plumbing in the buildings of . . . . 5�e'. . . . . . . . . . . . . . . . . . . . . . . at . . .��J�O. . . . r/.k11'V . ., . . . . . North Andover, Mass. Fee.,:�d%-,-P.Lic. No.. .Z� . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check x F= . MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA. DATE ," PERMIT# JOBSITE ADDRESS ke Sd OWNER'S NAME POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL(4 PRINT NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO ❑ CLEARLY FIXTURES Z FLOOR-- BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIL/SAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER i FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK P LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142. Yes®. No❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW. LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE BOX ONLY: OWNER ❑ AGENT ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered) regarding this 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 Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER NAME Y'1 9 rf`� L' ✓',9 e s f SIG NATURE LIC# 1 g Y MP JP❑ CORPORATION ©#//���-S FI- PARTNERSHIP ❑l# LLC [:1# COMPANY NAME 9 V V,S e S S elv— d i.mss AJ 1-VADDRESS: l9 C) I cl ke 4..,a/ l CITY Tx" Je s yyQ ✓ 0 STATE /M f ZIPCl� EMAIL Ou''$ PJ'S v'P"c TEL..9 7 ff 7::,4 Y9 - CELL g 7 ~ S/S' 78 42' FAXg/ 7 i Y SW O i �� Never Contacted for nspection t r The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA.02111 www.massgovldia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legitbly Name(Business/organizationandividual): 13 U r -e S S' /" �^-c ���s .L C Address: 6 ofd Ke,,d g // reef - City/State/Zip: 7 yh g S;R a V-0 Al q Phone M &XP Are you an employer?Check the appropriate boa: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/orpart-time).* have hired the sub-contractors 2.[] I am a sole proprietor or partner- listed on the attached sheet 7. F1 Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition 4 working for me in any capacity. workers'comp.insurance. g, El Building addition [No workers'comp.insurance .5. ® We are a corporation and its officers have exercised(heir 10.❑Electrical repairs or additions required.] o . 3.[� I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions j myself.[No workers'comp. c.152,§1(4),and we have no 12.[Q Roof repairs insurance required.]t employees.[No workers' .13.[]Other comp,insurance required.]. !Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this boa must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name% ! v C V- Fc v' k A rt d ,0t' Policy#or Self-ins.Lie.#: Lue O b C5 6 % O A Expiration Date: Job Site Address: / Y 0 S� Y C 9 City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.under Section 25A of MGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby cert&under the pains and penalties ofperjury that the information pro videdpabove is true and correct. Signature: Date: Phone*. / f S o Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: Date .��— TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . .b5/f . . //lr . . . . . . . . . . . . has permission to perform . . . . .k (-/Z L/. C?v. . . . . . . . . . . . . . . . wiring in the building of . . . . . . . . . . . . . . . . . . . . . . . . . . at . . � . . 0'44.07 . . . . . ,North Andover, Mass. Fge °�'I ic. No. . . . . . . . i� ELECTRICALINSPECTo, Check# 37[2- 11075 7r211075 • F I ammwoofs./ Official Use pats, r� � PetmitMo.��' BOARD OF FIRE PREVEAMON REGULATIONS O and Fee Cbe) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be ink w tb the Iii code{dE4 SM 0dit 121ia (PLEASEPRINTII1fI W OR TYPE AU DWORAIA?'I©Iq Date=_ `�'/6 C by or Town of %y1(>,� � � To theInspect of Wtrer By this applicwoa-the gives of his or bei intention to petfaim the olectricai Work described below. I;oeatiOn(Street&Number) /1./0 9-2)& w-/ Cir Owner or Tenant '�yvl �`�y�Q _ TelephoneNo. Owner's Address _ is this permit is w4suction with a building perrmir. Yes No ❑ (Check Purpose of Btdidhtg Appropriate Boz) Utility Authorhation No. Existing Service Amps ! Volts Overhead❑ Uad gid❑ No.of Meters New Service Amps ! Vohs Overhead❑ JWWd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: —00-PkfiWz of Me table heuvived the ro fFiret No.of Recessed No.of CdL-SUsp(Paddle)Fans - o.of , Tmnsformers KVA No.of Ing a Outlets e.of Hot Tabs tx�ators. KVA No.of I.amtmaves `3 Sig Pool grud. ❑ ❑ Of Dohs Mau � No.of Receitade pallets pg Burners AIAIlMS No.of Zones No.of Switches No.of Gas FAhWog an evices Na.afRanges ,4al afAlrCond. Tota! Tons Device No.of Waste DiRmse s t MM DevisesNo.of Dishwashers Area Heating� ❑D:hes No.of Dryers RentingAppffancesa.o Ater ' 'or ent Nb:of Heaters KZT+ BaIIas� Data WirhW. y No.of Devices or Equivalent a Ne.HYdromassage Bathtubs No.of Motors Total HP ceommnmca ns Ma of Devices or t OUTER: Estiaatcd Value of Eleckical Werk When requioad municipal unibx the impla.,of—W,- s. Work to start: �- be '�'��" policy.)-) Dons to iupested in acaardan=with NW Rule Io,and upon mWiedom Ih+ISicensc t O GE: Unless by oww-1W permit for the P�mae of tical work may issue unless e,pm1�of mr-h nig �A or its substantial equivalent. The geed certifies that such cmtetnge is in farce,and has exhibited pmolofsame to&c pew*bs*g oB"im CHECK ONE: INSURANtI BOND ❑ t7 rMR ❑ (Spedfy.) I ovuhy mrder the pru�andp=ukf :r ojpwjwA that ME mform:Wwat on d s is tare and complete. FIRM NAME: I7 t!!7 EL c i�T2i CAi CotiT �}G�i&V I.��NO.: Lieeasee: {�:l r i3 �.��,6:$�.. 3igDtafnre t7japplaahb7 eater' UC-NO.: !jq&3 Address: � errdrberine) &MTeLNo..`l7r` `� �-62A,y DL'iir'Z tact. l�i� _ �7 Ai�i2 -�,, Per IyLG.L c I47,s.57-61,secOMY Wolk tegtm of p 030 : Alt:TeL OWNER'S INSURANCE _ Lic.No. WAIVER: I am aware that the Licenseedoes riot latus the o�:nrance w reared by htw. By mysigmMm below,I waive this habtUty �c guy Owner/Agent hey - I ( one ❑owm ❑owners agent- Siguaturi Telephone No. PF$�ITFEE;$ 7--- PZ i M/15E-06u)i Al®-71 Z57.- The Commonwealth of Massachusetts Print Form -- ; Department oflndufftialAceidents Office oflnvent ations i _ I Congress Siree;Suite 100 - = Boston:MA 02114-2017 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Let=W Name(Business/Organization/Individual)' DAVID ELECTRICAL CONTRACTING LLC Address: 87 BELMONT ST City/State/Zip: NORTH ANDOVER,MA.01845 Phone#: 978-682-8262 Are you an employer?Check the appropriate box: Type of project(requireft I-O I am a employer with 7 4. ❑I am a general contractor and I employees(firlt and/or part--time)_* have hired the sub-contractors 6. EINew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-conhactors have g- ❑Demolition working for me in any capacity. employees and have workers' insurance+ 9. ❑Building addition tam [No workers'comp.insurance P- ' moi-] 5.0 We are a corporation and its I 0-RI Electrical repairs or additions 3.❑ I.amu a homeowner doing all work officers have exercised their 1 L[]Plumbing repairs or additions myself[No workerscompright of exemption per MGL I��Roof repairs insurance required.]; c.152,§1(4),and we have no employees.[No workers' 13.n Other �y comp.insurance required] i *Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional shed showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'amp-policy number. I am an employer that is prng workers'compensation insurance for my employees. Below isthepoNcy and job site information. Insurance Company Name: THE HARTFORD Policy#or Self-ins.Lic./# 08 WEC C18293 Expiration Date: MARCH 1,2013 6 Job Site Address- / j l�Ll� Gr¢K�� Citylstate/Zip:Nq*4 4&,,q2 A- if y S� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a Whe up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' urance coverage verification. Ido hereby certify _ -- of - ithatthe in at�nmGion provided above is true and correct Date Z Phone#_ 978-682-6262 FmilaaLR Do ow write in 9WN area,to be completed by city or tawn officioi n- Permit/License# hority(circle one): Health 2.Building Department 3.Cityy/TOwn Clerk 4.Elech ical Inspector 5.Plumbing Inspector son: Phone#: u a s October 15.2012 To Whom it May Concern: As homeowners of the property located at140 Johnny Cake Street, North Andover, Massachusetts, we have been made aware of the Building Code requirements regarding electrical outlet spacing and placement by our contractor, James Testa. We have currently undergone a complete kitchen remodel. Due to space constraints, the placement of an outlet to the left of the kitchen sink would require cutting into newly installed cabinetry. Considering the availability of multiple outlets elsewhere in the room, and the fact that using an electrical appliance in the small space adjacent to running water would constitute an electrical hazard, we respectfully request that this code requirement be waived. Thank you, Tom and Marybeth Shea Homeowners 140 Johnny Cake Street North Andover Massachusetts 617-957-6615 cove wssoc®,w-rEs CONSULTING STRUCTURAL ENGINEERS JOB #12.265 - SHEA RESIN 29 Vesta Road SHMT NO. SSKI Natick, Massachusetts 01760 Telephone(508)655-3976 DRAW ar �- DAN 8/28/12 Facsimile(5;08)655-4284 cHE aA� Email:fred@cowenassoc.com ' Web Site:www.cowenassoc.com �> 140 JOHNNY CAKE STREET NORTH ANDOVER, MA EXISTING WALL TO REMAIN EXISTING 200 FLOOR JOISTS (TO REMAIN) i SECOND FLOOR x X PROVIDE SIMPSON W210-/ JOIST HANGERS (TYP.) NEW (3)-1 3/4 x 9 1/2 LVL FLUSH FRAMED WITH EXISTING PROVIDE NEW 3 1/2 x 3 1/2 PSL ( FLOOR JOISTS POST ® EACH END OFNEW LVL BEAM (2 - REQUIRED) - -) (-F-EXISTING STUD BEARING WALL TO BE REMOVED (REFER TO ARCHITECT) NOTES: 1. SET NEW PSL POSTS DIRECTLY ATOP EXISTING 9x9 WOOD BEAM ® FIRST FLOOR FRAMING. 2. CONTRACTOR TO VERIFY EXISTING BEAM SIZE AND SUPPORT CONDITIONS DURING CONSTRUCTION. 3. ALL TEMPORARY SHORING TO BE PROVIDED FOR BY THE CONTRACTOR. NEW HEADER DEVIL SCALE: 1 1/2" = 1'-0" Location /90 `Tc tiN No. Date J _3 y NORTH TOWN OF NORTH ANDOVER 3? �. • p f s Certificate of Occupancy $ 60 �+s�CHUs<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 631 15904 Building Inspector TOWN OF NORTH ANDOVER i v, BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �L[' �wmaA - -' . y mew BUILDING PERMIT NUMBER: DATE ISSUED: �— Q SIGNATURE: f �Cs -- Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION LI Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin D1S1r.Ct. Proposed Use Lot Areas Frontage 11 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R 'red 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 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ ❑ Private ❑ Posa Ys SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) (p1 Address for Service: O r',"i (,' Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ I2L> Licensed Construction Supervisor: 1 2 O O 100 S���;Lis o ST NA License Number 11 Address L_Cp CAA 00-3 Expiration Date Signa®r Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ ACL dri- 4--lz C)AjCs apo/% / )/ Company Name •�` / �J b /, Registration Number r Address VI-1 _ Expiration Date ^M Si na a Telephone {d r 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.......11 No.......❑ SECTION 5 Description of Pro osed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: F Z Z' !�u SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beOFFICIAL USE ONLY , Completed by permit applicant- 7' 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical HVAC Q 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 -T 1, as Owner/Authorized Agent of subject property Hereby authorize to act on M hat in all ma rs rela i e to work authorized by this building permit applicatio . ti✓ 9' J c Z S" na ure of Owne Date StSAION 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/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUVIBERS IST 2ND 3 RD SPAN DHv ENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE : the Commonweafth o � fJKassachusetts Department of Industrid gccidents Office of Investigations 600'Washington Street Boston, 91A 02111 Workers'Compensation Insurance Affidavit APPLICANT INFORMATION Please PRINT Legibly Name:_ , OY\Y\ t ^�A2V2)' L Location: l46 V �hv�,CA�ZL City: Telephone#: 9'7(-9 9,j- 2S, I am a homeowner performing all work myself. I am sole proprietor and have no one working in my capacity I am an employer providing workers'compensation for my employees working on this job Company Name: -JJ-L Ut,) 4.-Yi O�CJ L 20�F Address: o n� s City: �1/J aU L rM S S Telephone#:_ n7 `7X -c'IF- '21'3 j Insurance Company: SOO L--R S ����� C/a s U l-4 t22 Policy#: 0/6V 93 ID I am(circle one) sole proprietor,general contractor or homeowner and have hired the contractors listed below who have the following workers' compensation policies: Company Name: Address: City: Telephone#: Insurance Company: Policy#: Company Name: Address: City' Telephone#: Insurance Company: Policy#: Attach additional sheet if necessary Failure to secure coverage as required under Section 25A of MGL 15B can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 hereby certify under the pf{ins and penalties of perjury that the information above is true and correct. Signature: Date:_ <�19�0 2 Print Name: 8�\A AA�� G Phone# Official Use ONLY-Do not write in this area City or Town: Permit/License#: ❑Building Department ❑Licensing Board ❑Selectmen's Office ❑Check if Immediate response is required ❑Health Department ❑Other INFORMATION &INSTRUCTIONS Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law" an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on t P g he grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the.box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department hasP rovided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Fax# (617) 727-7749 Telephone# (617) 727-4900 ext. 406,409, or 375 NORTH Town ofE D I Andover IAT o. 4 Z C' L !ICOCHICj oves, Mass., ORATED PPat�S IT H E BOARD OF HEALTH PE� RMIT T D Food/Kitchen Septic System THIS CERTIFIESTHAT �o togo BUILDING INSPECTOR ..................... Foundation ".. "' oun ation has permission to erect....,... �..�............ buildings on .....� .... .......A"A,Ao.y. .�' . .�.... A. Rough le t0 be Occupied as l*4 ! Chimney o....v........................ ...... ., ..Y......r'...................................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatingt the Inspection, Alteration and Construction 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 STS ELECTRICAL INSPECTOR Rough 00 1p?oT .. ...... ........................................................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display iii a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 0 Q)M Chimneys Residential & Commercial Roofing All Types Of Siding CHIMNEYS POINTED-REBUILT-CAPPED Expert Masonry Work ,1 R®®f Leaks l�xperts Licensed & Insured Mass Toll Free `••� Loca!!y Owned Bc Operated Stxce 1976 g License#0342 1-800-WAIT-4-US (924-8487) IKO00 a� Oa dz .�O�x/ti We Work Year Round e - Pho ne, Date Proposal Submitted To r r Job Name Street C Job Location Job Phone city,State&Zip Code We Propose hereby to furnish and labor in accordance with specifications,below, for the sum of: Dollars $ All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices,Any alteration or deviation from specifications be- sjgriature: low involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents NOTE:This proposal may be or delays beyond our control,owner to carry fire,tornado and other necessary insurance. withdrawn by us if not accepted within days. Our workers are fully covered by Workmen's Compensation Insurance. f We hereby submit specifications and estimates for*.—)/-,?q U'i 4j Install 3 feet of special "Save Seal" ice and water barrier protection along all bottom edges of roof and top to bottom in each valley. If roof is stripped, we will apply conventional ice and water shield ( )ft. high in the same locations previously described and tar paper will cover the remaining bare wood. Any rotted or damaged boards will be replaced at ( ) per linear ft. or ( ) per sheet of plywood. Install heavy gauge aluminum drip edges along every edge surface of each roofline ! ' :,' 46 Cover entire roof (s) with IKO 25 year all asphalt, non-fiberglass, premium grade shingles (Color of choice). Replace all pipe boots where possible. Seal all flashings with clear Geo-Cel sealant. No black tar unless previously applied. l Remove all work-related debris. Contractor warrants roof against all leaks due to defects in his workmanship for 12 years under normal circumstances. Local current references and proof of workman's compensation insurance gladly given. %'tet \} �.��.:,. r�Y v °"L t.' l.}ti,n.=j t.J;L ."tC' �C r e^r• _.3 ❑ Remarks: - "',� ,`- Acceptance of Proposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment Signature: 1 will be made as outlined a over % Date of Acceptance: Signature: ��r�rx�/�- �..r • � '� .;� r/ o -,, o � �T^ _---. ���� '� .ago ...o.. - �,,� :,....:...:a,:...n.•. ...:_�-xu,a�a��:�� •..^•gi,,ave ° '.'?3.�s�actl�tu;s^L�cc1M�'=� _�--> . .�4a ,_-'�.ra.z:..is:,saercru�ra� --n�-a■uw.ar�.;aa9ua,u�tse.,.� ____ I r'HOwTN.,HQ _ KAREN,H.P. NELSON Town Of 120 Main Street, 01845 Director ;. BUILDING 9 NORTH ANDOVER (508) 682-6483 ,e84CHV9E44 CONSERVATION DIVISION OF PLANNING PLANNING & COMMUNITY DEVELOPMENT t , . x; January 4, 1991 (= L Robert J. Baker & Chrystine Ward 140 Johnnycake Street North Andover, MA h. I RE: Application for Satellite Dish j Dear Mr. Baker & Ms. Ward: Please be advised that your Permit Application for a satellite dish at 140 Johnnycake Street is refused because the plan accompanying same does not assure compliance with j . the North Andover Zoning By-Law, Sec. 8 . 6 "Satellite Receiver Discs" , as per attached copy. r Yours truly, Daniel G. Frobese, Asst Building Inspector ector DGF• •9b c/K. Nelson, Dir. Enclosure �-r �S �� � � �°�����- ��w ���� ���i C�� (vS-6 r � ^' � w—w e —3r7 Z34-40 7y1.75 PEAT►T Nom.. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 610. I LOT NO. 1 2 RECORD OF OWNERSH!Py' iDATE BOOK 'PAGE y ZONE SUB DIV. LOT NO. I — 'LOCATION PURPOSE OF BUILDING c Y! ► l OWNER'S NAME NO. OF STORIES SIZE /) I` OWNER'S ADDRESS I, A � V N BASEMENT OR SLAB 4,1.0' /yam ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND Ir. 3RD BUILDER'S NAME V ;(_,�. SPAN DISTANCE TO NEAREST B,ILDING %;LC + ! _- 1, _ -C DIMENSIONS OF SILLS .DISTANCE FROM STREET (`O J POSTS DISTANCE FROM LOT LINES—SIDES REAR I O( GIRDERS AREA OF LOT ` S�/ /7 FRONTAGE HEIGHT OF FOUNDATION THICKNESS Se IS BUILDING NEW 5 _ ( -AA-f ���,''k SIZE OF FOOTING X IS BUILDING ADDITION l MATERIAL OF CHIMNEY IS BUILDING ALTERATION �., IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE L ( IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES If fnl EST. BLDG. COST .� PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED ANDAP ROVED BY BUILDING INS ECTOR DATE FILED f'd XJ V � , A/ SIGNATURE OF OWNER OR AUTHORIZED AGENTBOARD OF HEALTH FEE PERMIT GRANTED PLANNING BOARD -19. _ BOARD OF SELECTMEN t 211, OCT 2 9 1990 BUI INO INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SroRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE B l 2 I3 CONCRETE BUK. PINE BRICK OR STONE HARDW D PIERS PLASTER —_ —_— /Q GtG� / ` e�{/B, � VJ , � DRY ALL �v _, UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ y, y, 1/1 FIN..ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE _ WOOD SHINGLES EARTH ASPHALT SIDING HARDV✓'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� NONE POOR ADEQUATE 5 OF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL' STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd I_ ELECTRIC �y}—I 3rd NO HEATING ` I y . i - 89 14:23 FROM Corey & Donahue. Inc TO McGarry Law P.02 5 Job No. Com /Z �� + '� OFM�� i PAM r. DJ. o DeSIMoNE This plan was not prepared from an instrument MORTGAGE LOAN INSPECTION survey. Offsets and distances shown should not LOCATION: be used to establish property lines. This plan is Intended for mortgage.purposes only. DATE: 1 certify that the structure shown on this REGISTRY: Plan . in conformance with the zoning TITLE REFERENCE'S setbacks In effect at the time of construction. PLAN REFERENCE:-c:;-'------' I certify that the parcel shown is -7- located within a flood hazard area as depicted COREY & DONAHUE. INC. on FEMA Flood Insurance Rate Maps for Endrteers a 5uivcyors Community No: =� '�1.2- 3 108 CArnbridge Rand,Woburn,MA OJ801 i 4IuYiW .. � • .. I i 440 _ r C l� w fiL► �� L I I� v I' 8. 6 Satellite Receiver Discs ( 1987/83) ,1 To restrict the erection and/or installation of satellite microwave receiver discs in residential districts to a ground level area, to the rear of the rear line of the building , ,. within the side boundary lines of the same building so that it is out of sight from the street. { I 'ER.111T NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PATI MAP h40. LOT NO. 51 2 RECORD OF OWNERSHIP JDATE BOOK :PAGE t ZONE _ I SUB DIV. LOT NO. �.116 � r t_s g� LOCATION L^A/- I PURPOSE OF BUILDING OWNER'S NAME � IjAk Y NO. OF STORIES T!T SIZE,43 t� �� r S OWNER'S ADDRESS 1440 A.no&Ue.r BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME olexIc $A SPAN DISTANCE TO NEAREST D ILDING - 1KC) DIMENSIONS OF SILLS . - — --- - DISTANCE FROM STREETI 1 O POSTS DISTANCE FROM LOT LINES—SIDES REAR I OO " GIRDERS - - Imo. AREA OF LOT / C- FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW C _ [ �tV`,.` "1� ``'/- - -SIZE OF FC:,'-OTING .X, - IS BUILDING ADDITION •? to 1^T �.]�t n MATERIAL OF CHIMNEY IS BUILDING ALTERATION 1 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE l I IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH BIDES EST. BLDG. COST y PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED ANDAP ROVE BY BUILDING INS ECTOR DATE FILED '6 L yJ •P/� BOARD Or HE SIGNATURE OF OWNER OR AUTHORIZED AGEN i FEE PUNNING B( PERMIT GRANTED 19 I' BOARD OF 8EL[C1 u 7 1J , I BUILDING INSP6 AN 0011991 �� i ;./28/1989 14:23 FROM Corey & Donahue, Inc TO McGarry Law P.02 Job No. 9- 5-11) 17 God r o U , -r ,x �- �ZZ- OF ��� F.✓o 4 G t� PAULJ. r. DeVMQNE NO �' �� �� apo G� `�.+�✓.--'` UP This plan was not prepared from an instrument MORTGAGE LOAN INSPECTION survey. Offsets and distances shown should not LOCATION: -=-be used to establish property lines. This pian is Intended for mortgago•purposes SCALE: -���rc� DATE: 2 -mss only. -- I certify that the structure shown on this REGISTRY: Plan in conformance with the zoning TITLE REFERENCE•�,�L-•�L - - �� setbacks In effect at the time of construction. PLAN REFERENCE:�- -"" NWS 1 certify that the parcel shown is located within a flood hazard area as depicted i `'` COREY & tkfALlI�,'C: ' a on FEMA Flood Insurance Rate Maps for �Endneen+asdiweydr: '�'��� +��� Community No: `E—,52 '=2< 108 CAmbridAc'xtt�wabnrnMrt di8o1� 1 f r* : In,F •a r�R a ct^-a 1,i':'F"^. _ . _j �a� ��a� �c��F�,� ��� �� � ����� ��i9,�Gs f,� � �� ��,�.. _. 4 'f s ! i � .' .. _.. ` 1 Location ZVO �� � / / No. Date 11/6! %l N°"TM TOWN OF NORTH ANDOVER O? •' a O� „ Certificate of Occupancy $ - ` * Building/Frame Permit Fee $ Foundation Permit Fee $ � sic us t Other Permit Fee $ Z.C7 Wiz% k gid -Sewer,Connection Fee $ ti) 1VIC.N Water Connection Fee.- �$ NOV TQT�l / Building Inspector Div. Public Works No'! 6 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 ' 1AP*gO. LOT NO. 1 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE LONE ' I SUB DIV. LOT NO. Ag4h6SC ,, 2 _. I X976 I z LO,tATIO(+1" PURPOSE OF BUILDI G OWNER- M AME J ��p` SIZE Gr NO. OF STORIES K• OWNER'.' ADDRESS tit)t +,- BASEMENT OR SLAB ^ d" / /- b ioV-s c -; ri./`- h ARCHI CT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME k o oe 1 �Q J SPAN DISTANCE TO NEAREST UILDING laf7 f4} DIMENSIONS OF SILLS DISTANCE FROM STREET !`O 41+ •• " POSTS DISTANCE FROM LOT LINES—SIDES 85 REAR i0 C) GIRDERS AREA OF LOT S(%19 ��' _ A s n FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW fAd"FK/►"/�i4�/_ ^�`s / SIZE OF FOOTING X �e // 4 IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION I LAND COST SEE BOTH SIDES /Oe i I I`•r,P S .a v EST. BLDG. COST ? �Gi p ®Vic) PAGE I FILL OUT SECTIONS 1 - 3 G[ ..� �9---1. EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 (a �r1�� _G/1�9 ,Lr� HEST. BLDG. COST PER ROOM P �'^ "0 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING o3 /®7' 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILE BOARD OF HEALTH VSIGNATURE OF OWNER OR AUTHORIZED AGENT OWNER TEL # F E E CONTR,TE , �-�, i CONTR.LIC.# PLANNING BOARD PERMIT GR D BOARD OF SELECTMEN BUIL=D BUILDING '.RECORD , ,.. 1 OCCUPANCY 12 ` II SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE fROM`•;, MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH .PORCHES. GA- " APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION L B jNTERI"OR FINISH CONCRETE _ B 1 2 13 '\ CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS 1 PLASTER DRY.WALL UNfGN. 3 BASEMEN AREA FULL FIN. B'M'T' AREA '-- 1/4 1/1 1/1 .``' 'FVN. ATTIC AREA _ r;3 NO BMT FIRE,PLACES _ V`HEAD ROOM MODERN'KI 'HEN 4 WALLS 1 9 FLOORS CLAPBOARDS B 1 2 3 '. i DROP SIDING CONCRETE �_ I WOOD SHINGLES EARTH ASPHALT SIDING HARMU'D - - ASBESTOS SIDING COMMON _ — I VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ ) STUCCO ON FRAME , '\ BRICK ON MASONRY ATTIC STRS. & FLOOR (- BRICK ON FRAME - CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I-1 POOR ADEQUATE NONE i 5 ROOF 10 PLUMBING GABLE HIP BATH 13BATH 13 FIXE_ GAMBREL A MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES . TILE FLOOR TILE DADO r' 6 FRAMING I 11 'HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. �J ' TIMBER BMS. &COLS. _ 'STEAM ' STEEL BMS. & COLS. MOT`W'T'R OR,VAPOR a' WOOD RAFTERS _ AIR,CONDITIONING RADIANT H'•T'.G ` ) UNIT HEXfERS NO. OF ROOMS (SAS OIC I12 _ EIECTRI -`t'` L3rd I NO HEATING T.. r } N \_\. TO McGarry Lau S 1989 14:23 FROM Corev & Donahue. Inc - F MR 701 Job 1 GO 7" C�T r �S 1 J QJa HiQ' .r` 0 UJ. ��•�- F.�o � PAUL -y � � DoSf MANE fi ci �L 7 INSPECT ON r MORTGAGE LOAN N r7hisplan was not prepared from an instrument . _21 el 1-CT tIAn.CATIC�N._- survey. Offsets and distances-shown� ed shonot be used to establish property lines. i,, This plan is Intended for mortgage.purposes SCALE: ,���y-cv DATE: '-� i only: REGISTRY:-1-2o -27 , I certify that the structure shown on this c�ac ' �3G.�/row Plan G��� in conformance with the zoning TITLE REFERENCE, -53 in effect at the time of construction. PLAN REFERENCE:��~' �`'`� '�'d�' I-certify that the parcel shown is =k~ INC- located within a flood hazard area as depicted ONgHUE, tNC. COREY & D En¢1neers &Survvyors nn FEMA Flood insurance Rate Maps for inn rArnbridste Ron(j,Woh,:rn,MA 01801 6 OOwn ofLndovei No. 486 TIM Am V f V AE 47 PL Y E FIR - �K er, Mass 1 C HI MEWICK - - AOR PPE a\ - - _ BOARD OF HEALTH lift W911011 IU THIS CERTIFIES THAT 1 ...... .....4G, . .rc.... ........ 7-b0V*-Y-dQ)W BUILDING INSPECTOR �.has permission to a bu ..' .....,/..alio.... Rough Chimney to be occupied as................ ......................................................................................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Per PERMIT EXPIRES I M NTHS ELECTRICAL INSPECTOR UNLESS CONST CTI T RoughService Final 17 . .• • • •UILDING 1 PEC-FOR GASINSPECYOR Occupancy Permit Required to Occupy Buildi Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No. filo Lathing to Be Done Until Inspected and Approved by S�k�et. Building Inspector- /• Office U:2& The Commonwealth of Massachusetts Permit No. Department of Public Safety oc�,.nci & Pee checked 3/90 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Maesachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN = OR TYPE ALL INFORMATION) Date City or Town Of �,�r�� � ��`�� To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street it Number)__�'7 Owner or Tenant AW 4 jM . )6066-R7— 4,0 eA) Owner's Address JklnFS Is this permit in conjunction with a building permit: Yes No ❑ (Check propriate Box) Purpose of Buildin (+T�^ ` 17 e — V-.2 S"9' rpo g�1��L� �/�mlLY Utility Authorization N0, Existing Service �p� Amps 2-4,149 Volts Overhead ❑ Undgrd® No. of Feters�_ New Service Amps / Volts Overhead ❑ Undgrd ❑ 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 z KVA No. of Lighting Fixtures Swimming Pool Above In = grnd. ❑ grnd, El KVA m No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting < Battery Units a No, of Switch' Outlets a No. of Gas Burners FIRE ALARMS No. of Zones o, No.Fof Ranges Total; No, of Detection and g No. of Air Cond. :tons. X Initiating Devices X No. of Disposals No, of Heat Total. Total , W Pumps Tons` KW No. of Sounding Devices J D No. of Dishwashers Space/Area Heating KW No, of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal Other Connection❑ LL No. of Water Heaters KW No, :of No, o Low Voltage Signs Ballasts Wirin O No. Hydro'Massage Tubs No. of-Motors Total HP U. 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. YE NO D I have submitted valid proof of same to this office. YES10 NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Elect,riical Work S 450-0, 60 (Expiration,•Date Work to Start- --/ 6 % Inspection Date Requested: Rough 7 Final jiV r-a &4,j,, Signed under the penalties of perjury: FIRM NAME —�Q ��r LIC, ./�S� £�9 Licensee ® � Signature � NO, Address lQL us. Tel. No. r Alt. Tel. No.,S"Q. —3Sa-,7q V OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub's stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) I Telephone,No,2 PERMIT FEE $ Signature of Owner or Agent I INSPECTION RECORD 777 Date Notes — Remarks Inspector I s 4- ' I I r 1 .e} Date.... !. . - - 16:0 pttt�aD..e,h '�i 3: OpL TOWN OF NORTH ANDOVER PERMIT FOR'WIRI"NG ,SSACMUS� - — This certifies that ................................................... !..... . , has permission to perform wiring in the build'ng,....... ;..;. at..... ��... .. .... ... ........ ... ..... ........ ................. .North Aridaver,'Mass v Fee........��`�... Lic.No.. ELHCTRICAL INSkd0R ' /18/97 11:51 75 QO PA1 WRITE: Applicant.. CANARY: Building Dept. PINK:Tfeasurer. PER'117 � � 1 79t APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, V PAGE 1 MASS. 4110.�0 LOT NO. �; 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE ZON 'P, -O V,qlSUB DIV. LOT NO. I -�; FI LOCATIO /i/ /_.�I, f .1 PURPOSE OF BUILDING �N y�Ilk C*% , OWNER'S NAME 4 -W% jW NO. OF STORIES '��� SIZE OWNER'S ADDRESS /4e4? 0aser sem11 _ BASEMEN R SLAB ARCHITECT'S NAME v SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME -1t`✓� < l 1 SPAN DISTANCE TO NEAREST BUILDING V !✓� DIMENSIONS OF SILLS i DISTANCE FROM STREET n Zt,-,tes' "' POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS i AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS I IS BUILDING NEW �® SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY �/r- IS BUILDING ALTERATION �. FiI�ISH �...,_�_�1 A,_.�/ IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO EQUIREMENTS OF CODE tiP IS BUILDING CONNECTED TO TOWN WATER (.1_itC BOARD OF APPEALS ACTION. IF ANY v IS BUILDING CONNECTED TO TOWN SEWER A/ G IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION. LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM. SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS - PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED Z BUILDING INSOKCTOR S GNATU O OWNER OR AUTHORIZED AGENT FEE 7t l I D^ C" � S OWNER TEL.A PERMIT GRANTED CONTR.TEL.# �Vyl ),/-2 A-f>rZ;L 25 19 _ CONTR.LIC.# 7�9 H.I.C.# AR 2 $ 1997 i BUILDING RECORD j 1 ,OCCZA NCY 12 _ MAE FAMILYSTORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM f MULTI. FAMILY OFfICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS 1 RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION / 2 FOUNDATION ' 8 INTERIOR FINISH CONCRETE _ 3 1 2 I3 000 1 CONCRETE BL'K. PINE _ _ / l/\�F j ! 0014c# 1111 BRICK OR STONE HARDW D I PIERS PLASTER _ DRY UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 1/2 - °/. - FIN. ATTIC AREA _ N_O B M-T FIRE PLACES HEAD ROOM MODERN KITCHEN _3 t,.'• 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT-SIDING--r• HARDW'D _ ASBESTOS{SIDING'`" ' COM/AGN _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK N MASONRY ATTIC STRS.& FLOOR I_ BRICK ON FRAME CONIC.OR CINDERZtK, STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR _ ADEQUATE (� NONE n 5 OOF 10 . PLUMBING GABLEHIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES- LAVATORY i WOOD SHINGES KITCHEN SINK SLATE - NO PLUMBING TAR S GRAVEL STALL SHOWER = ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO t . 6 FRAMING 11 HEATING WOOD JOIST ' PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM_ STEEL BMS. &COLS. HOT W'T'R OR VAPOR WOOD RAFTERS"- _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL 8'M'T 2nd _ ELECTRIC lit 13rd I -NO'HEATING ti "IDO6 I I `� !l'`� �ea�:�� SyS����• Gas �y�P.Q ��U-��e 1 I LJ .0 4.s.. 9.6.. WINE ss'. CELLER CEDER FA CLOSET STORAGE I UP 11' I 4 .r 11'6 EXERCISE " M� CLOSET ROOM w PLAY CLOSET 1 ROOM _- 1 s, Q f BATH �// MUD 7'6" ROOM wa ! ROOM \� 5'6 i i i 40%Pre-Consumer Content •10%Post-Consumer Content Pravinat Page No. of Pages DIFABIO & SONS GENERAL CONTRACTORS 47 Delano Ave. f REVERE, MA 02151 (617) 284-2084 PROAL SUB M ED TO PHONE DATE szv MEET JOB 54 N E ITY, STT AND CO JOB LOCATION dt �� (:::) ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: de < < p 7 y .f s�F,� s�- � v�...... ......._,�..._...... _G.uv�y ............. �_�.......~...._ _h..........._!J.d�f e�-......./�Y�s.r...�..f��/�JTjif ad, ..........�....` ......�...... "-p� �d/�,,�': y . ......................................0 tS..................,...........v�..93....'................. ......................._Z—�.. /,,.1..f..4.._( ....................5�........._ h✓ . /�t�� jfl� �✓ ..................1 ... .......................................... ........................................................................................................._..............._.S.........................._............................................................_.............................._......._.._...._.._.__....._.................................................._...................................._...._............................._................_............ / j� c h� /'T 1 ! .... . N Is%O LJegf!✓ 7 ......J f/�... .'... 1j K �fCjf�jd�° ... ............... J _ �' y 'C d �• 1 / n )64v,,_ 4 ....... .......... .......... ......... ............................................................_......... GIo� .... l ....................................................................................... . .............................. ..............................."..1-11-11-............................................... ................................... ................................................................................................. fw� V 7 l � e4- -r�G �r 4%0 � d� ....._............. ............. , _ J � 5 ... ..............._ .._� . �r � .. ..._.... ............ ..................... � ...P............. a . ............................. .................................................................. .......................... ................. w ....._ ............................................... .................................. ...................... r .............._ / ... ..............................................._................................................................................................................................................... • - Or prDpoliP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: tQi�h/ Bt�� 7 dollars($ Payment to be made as follows: A. All material is guaranteed to be as specified. All work to be completed in a workmanlike 1 manner according to standard practices.Any alteration or deviation from above specifica- Authorized tions involving extra costs will be executed only upon written orders,and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. ote:This roposal m be Our workers are fully covered by Workmen's Compensation Insurance. withdraw by us if not accepted within days. Araptattre ITf 11rapajod—The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to-do the work as specified. Paymentwl I made as outlined above. Date of Acceptance: � � �/ Signature PROOUCi 1183 �®Inc.,Groton,Mau.01471.io Order PHONE TOLL FREE 1+800-225-6380 i DBPARTHB NT OF PUBLIC SAFBTY I ,�'; CONSTRUCTION SUPERVISOR LICBNSB 6irthaatec Nu�bet: Expires: k� CS 050119 0110111999 0110111963 ,,, Restricted To: 00 JOSB L DIMIO �.,..r� �� 154 WIHTHAOP AVB RBVBRB HA 02151 � NORT Town tof over No. . * , s dover, Mass., t4 rAMi L AS 199.5 LAX '9 COXICME WICK L~''�• 0441 7 C E �C v BOARD OF HEALTH PERMIT T f' Food/Kitchen Septic System 0,0? �;` , ` rte.`b BUILDING INSPECTOR THIS CERTIFIES THAT.... aftell t........C?� !. .... ........... ......................................................................... Foundation has permission to er+act...M.%;tftl L............... buildings on ....I.'` ... l MAO)......M���".................. Rough 1 to be occupied as..............F!.1;l 1i.... -st �►u ..4�Kr�►. s�'�Z�........................................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating.to.the.Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR • UNLESS CONSTRUCTION STARTS Rough ?alk;tees: , :11Q• T�1w�W�,1C�1 A�'$tZ�t t+ Pee us�� .....................:.. ..................................................................................... Service • �M�rlCC �'►'t�t�'�f' R TL BUILDING INSPECTOR Final `�&IU``ccupuncy 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 Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Q Owe} , 5 ��. i c, S_O��►��g •�-• d����+ Street No. Smoke Det. I (JIL!! "l_00'1179J7,h.77AUCCL�✓17 L�i.•/r' . ,� ._.... . .. t: 46507 wil i,uCiLr.r f n lac 7l.r.,4 (fe� ••. ,`.••••••••• •• �ae��vnM Mrr L %,Ai&un r%jn 1'=mst s u u� rti.uirrarr,v �.•.. .. Writ or type) f NORTH ANDOVER Maas. Date 8ugding Location .f d J Permit ;� J Lh 6-"11 X' t?wnet's / Nems New O Renovation Replacement Q•... Plans Submitted: Yes❑ No ❑ FIXTURES N s N Z W < N J w O IN � b r N s N i s < v ►' s O v w s s ►� ~ " • s s N H rl = S w 1t L w r s 0. o w w o jr w 4 • = • '► t" u y a Y a rt re . >t • e. a at rl ar r � 1 i z ' tlYt—teYT. � •AetMtNTAW. l j f tet FLOOR ,I INO FLOOR i 111111111 FLOOR 4TH FLOORFT rAT N FLOOR M FLOORN FLOOR N FLOOR Check Certificate Installing Company Name Address O Partnership O Fkm/Co. business Telephone Name of Licensed Plumber sls� I INSURANCE COVERAGE: ec I have it current liability Insurance policy or No substantial equtvalenL Yea l No ❑ N you have checked Y4l, please Indi to the type coverage by checking the appropriate box A liability Insurance policy Other type of Indemnity 0 Bond 0 OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Levvs, and that my signature on this permit application waives this requirement. Check one: AIMS o e<or owner• en Owner 0 Agent [3 I hereby artiff that all of the delde end Intormat tors 1 have oubmitled W enter lnowlrad a and that coli to above appilccation are p 1 as phrrnbinq work and Inilallallona true and acaxale to the bell of my � patineni provislons of the Mauschutatle Slate Plum « the penM I thio will be in Hance with aM binp Code and Chapter 112 of Tlg na t hl/Town Wanes Number 7Pz7 Il+navED(OFFICE USE ONLY) Type of Plumbing License: Malar Journeyman ❑ Date. . . 77.------------ N . 3355 . . A. NORT" TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� t This certifes'that~. has permission'to per b . . . . . .. . . . .•. . . . —. plumbing in th bui Ings of . �-- f at. . " . . . . . . . . . . , North Andover, Mass. ' Fee.' . .Lic. No.. . .1.� . . . . . . . . . . . . . . PLUMBING INSPECTOR m ,ecu WHITE: Applidant CANARY: Building Dept. PINK:Treasurer