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Miscellaneous - 144 CRICKET LANE 4/30/2018 (2)
n v �� T � /" THERE IS NO SET �ATHYo��RW HEART C v 6 North Andover MIMAP May 2, 2016 Six }tom r� S �S u 201-ES tl ME 'JOHNSON ST'-- 12& *N ^ r "cP W ilk ONL _ / — F= 038.0-0326 145 CRICKET LN83 -0 m; r- 444 CRICKET LN > tr 038:0 DL,f C3 0e 131 CRICKET LN -`:_132 CRICKET LN "l r- 0396E0328Cur . r — 1 115 CRICKET LN :,, �, .• fC �R ~..__ 120 CRICKET LN � it ...dC•.. - .L`.`�_'�-pip B - 187`.A-16289 � 107.--0286F 110 CRICKET LN X101 CRICKET-LN 100 CRICKET LN 13T. -023fI 93 CRICKET L f K' 107- (6285 107A-0145 307. —021 g�f MVPC Bo Municipal Boundary Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line Meters Data Sources:The data for this map was produced by Merrimack Interstates /� Valley Planning Commission(MVPC)using data provided by the Town of —I (► � sm e - North Andover.Additional data provided by the Executive Office of —SR (SIL) - ts� •�`� Environmental AftairslMassGIS.The information depicted on this map is -Roads "l �2 _ - �E "'planning purposes only.It may not be adequate for legal boundary d �' definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER C.Easements �A ,nf� MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING El Parcels e �, W Od � ! THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT —Trails /p ert i�" 4 ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF CSUeans phic Features (� ([\c}-_ THIS INFORMATION Wetlands •�X! ` V' 0 Exempt Lands 1"=145 ft North Andover MIMAP May 2, 2016 -- ------ --- --- ---- 4 �Ak k, -7 a II, 4— A?� SEi- .-1 ---- __' 04 "7:. 467 -Ak- tte W-, L 0 — , 1;7'- A :A.. -At&- 7:7 Ilk. --�Aw _.: c 1K38.0��7;L 038.G-0326 --- ------ --- 145 CRICKET LN 046 Ak{ 7= 144 CRICKET LN Ak Batt -:7�,JW R2 7 038.0-0325 131 CRICKET LN NALk 'k J32 CRICKET LN -6 03*f.6!0328 36- 115 CRICKET LN 7 107.A-0288 f 107.A-0287 ri 120 CRICKET LN, C:` -it 107A-0289 Q 038.0-0098 1 107.A-0286 110 CRICKET LN \201 CRICKET LN 100 CRICKET LN 107A-0290 1 93 CRICKET LN 107-"285 o 107.A-0145 107.A-0217 kgs 13 mvpc B. Z mg Overlay Zoning 13 Municipal Boundary (YAd.It Entertainment Distric Businei s I District E3 Machine Shop Village Ova 13 Busme!s 2 District Hon2ontal Datum:MA Stateplane Coordinate System,Datum NAD83, —Rail Line 0 Watershed Protection Dist 13 Busine!a 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates 0 Historic Mill Area 15 Busine!s 4 District Valley Planning Commission(MVPC)using data provided by the Town of ElMedical Marijuana IR Genera Business District North Andover.Additional data provided by the Executive Office of 1 13 Downtown Overlay 1,Plarne, Commercial Dev a Environmental Affairs/MassGIS.The information depicted on this map is SR District 0 Historic District t�Comido Development Dist for planning purposes only. It may not be adequate for legal boundary Roads U Osgood Smart Growth(40 10 Corrido Development Dist Go definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER 6 Easements Hydrographic Features 12 Comdo Development Dist MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Parcels d THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY :n us rV 1 District 41: Streams ndZri 2 District 49 OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Wetlands 0 industri il 3 District 41, 4F 0 Industd d S District ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF C Exempt Lands Reside�ce 1 District THIS INFORMATION Reside ce 2 District R,videi ce 3 District dea-5 District ce 4 District 1"=145 ft ce,District ntial District _ .� � 'i"'w "Y � ., rt ,.- ,x• `'£ c - .. 'wry,.. J I44 r P II s � � tom• � �_- ��, �+ � �,a.� i t �l 4 k` r 4• 'h ey 'f `pF Y °'�F ++; C .f+ ka R F 1. ;a',� *iii. ft .y *•5s -,..�,..•, .. a':. "tt 00 C.P. • tr a < V C f , p Z xm tis sk a c s 4 5 t i y - r q. N" 1 syr_{ Datum:Horizontal Meters Data Sources The data for this map was produced by Merrimack Valley Planning Commission(MVPC)using data provided by the Town of North Andover.Additional data provided by the Executive Office of Environmental Affairs/MassGIS.The information depicted on this map is for planning purposes only. It may not be adequate for legal boundary definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO •••IMPLIED,CONCERNING COMPLETENESS,THE ACCURACY, OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOV�R DOES NOT ASSUME ANY LIABILITY ASSOCIATED OR MISUSE OF INFORMATIONTHIS Date./f�: .1 G: .G. ?... . NORTPI 3?py.�,.o ,a 1tiOL TOWN OF NORTH ANDOVER + - PERMIT FOR GAS INSTALLATION s ' + . y �,SSACNUSESS , This certifies that . . .�. !-. . .' .��. . .; .' has permission for gas installation . 1 r. .--7. . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . at .`:. . . . . ., North Andover, Mass. r Fee. .? �'. Lic. No..� . . .�. . . . . . . . . . . . . . .. . . . . . . . GAS INSPECTOR Check# 447 "1 G�tE. MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date QL1 ` c5 O NORTH ANDOVER,MASSACHUSETTS Building Locations f —1 `I( -}-6 r I I L Q Permit# Amount$ a " Owner's Name �Oy) 1+ �a r0 r I e L< New Renovation Replacement Plans Submitted, �[ c � W a ao 4 v� Fes. a p 0 O W E� V Cry WQ' .,+ �1 F on a 2: > z W � C7 O � W W U F ��}} F, 0 SUB-BASEM ENT 96 BASEMENT IST. FLOOR 2ND . FLOOR 3RD. FLOOR f 4TH . FLOOR 5TH. FLOOR 6TH . FLOOR 7TH. FLOOR 8TH . FLOOR (Print or type) Check one- Certificate Installing Cornpany Name 1:1 Corp Address \s t V� M O Partner. Business Telepho Firm/Co. Name of Licensed Plumber or Gas Fitter A-,4A^tz3v\ `) E=w;-o!�"i r I o INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0 N0133 Ifyou have checked yes—please indicate the type coverage by checking the appropriate box. Liability insurance policy M Other type of indemnity 0 Bond r] Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the M General Laws,and t my sr afore On this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent 0 I hereby certify that all of the details and information I have—submitted (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and insta perf un Permit Issued for this application will be in compliance with all pertinent provisions of the Massach a tate C and h e General Laws. By_ Signature icensed Plumber Or Gas Fitter Title ❑ Plumber City/Town Gas Fitter License um er Master APPROVED(OFFICE USE ONLY) Journeyman .' Date... �. ..�1....... IORTII TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMU`�� 7! This certifies that ..............................................0.......................................... —r._� s has permission to perform .....::r.. .................,......:...:,:�............................. wiring in the building of........ at... .. . .... - ''"............... .North Andover,Mass. Fee...G >............ Lic.Nct�'.l./ '`t, 11Pe— .- ........................ ELECTRICAL INSPECTOR Check # ��'Qom' � C 47z) 7 01 4P TilIltYltonwratO of Massar4usemi ictal Use only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT/N INK OR TYPE ALL INFORMATION) Date: City or Town of: Nr-ifty7 t4 A.-.41�� To the Inspector of Wires: By this application of the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street& Number) 144 G '— r%J Owner or Tenantf n1A- Telephone Ncft t 61'21 Owner's Address SAME Is this permit in conjunction with a building permit? M Yes ❑ No (Check Appropriate Box) Purpose of Building SSS1t4G=I L E_kt" 1/c �7/ Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W t d-L t M 6- A/I S A/ S� tiC w Completion of the following table may be waived by the Inspector of Wires. V No.of Total No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Lighting Outlets No.of Hot Tubs :, Generators KVA No.of Lighting Fixtures *3 Swimming Pool Above ElIn- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total ns No.of Alerting Devices No.of Waste Disposers Heat Pump No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.of Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Insper.tor of Wires. INSURANCE COVERAGE:Unless waived by thr.,)wner,no permit for the performance of electrical work may be issued unless the 11%�ansee pro- vides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such cov- erage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE CX BOND 0 OTHER 0(Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) xpira fio ate) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: CONTINO ELECTRIC LIC.NO.: A11983 Licensee: LOUIS CONT I NO Signature LIC.NO.: E 2 8 7 8 8 (If applicable, enter"exempt"in the license number line.) Bus.Tel.No.: 978-363-5420 Address: 1 nnNONIAN nRTVF_- WEST NF'T�BURY, nnn OlgA-, Aft.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law.By my signature below, I hereby waive this requirement.I?m the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ FORM F.P.11 HOBBS&WARREN-BOSTON (REV.11/991 ' Location / yy clerc ( ,v No. I Date• a U NORTH TOWN OF NORTH ANDOVER 3?O�tt`•O •,hO O F 9 + • + � ; , Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ 6 v CM S, �St 9 —�-- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 4 Check # r 675 ✓ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING rrOH fpC Qll '1SQ > rn BUILDING PERMIT NUMBER. DATE ISSUED: -:;2 ic_ SIGNATURE: �C Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: I Ly Cg,C KG-r Llj 058.0 3 � � N o 2 f O Xj D O V eg- , M,4 Map Number Parcel Number � , 1.3 Zoning Information: 1.4 Property Dimensions: CP 92- gesioe.ki4-ia g3, lp+.k7 S. L4 1. . Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 3 ' 31.If r 30 1 3 30+ 1 a 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public R"' Private ❑ Zone X Outside Flood Zone B'— Municipal ❑ On Site Disposal System ®l" SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT �`- M 2.1 Owner of Record Ron and Dia Ka- [--t-C_a-dr,Z,L . 14.4 G2 I T L-N � Name(Print) Address for Service: (} Signtore Telephone r 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: G$ 0 7,2 y k 7 O License Number '3/ U�cily� jT ,�yo,/I,voo✓dam ati9 Mn Address Expiration Date tignaturr Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 a Company Name m Registration Number r Address r Z Expiration Date Q Signature Telephone Y� t SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. -Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other X Specify 42ASe--fa.'/ Brief Description of Proposed Work: ;F�Xc"rrdf.t- - 1-",44zze c're'- ec,q i.i,Y, leod6if i SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFIGIAUL USE ONLY Completed by permit applicant I. Building (a) Building Permit Fee 011e, Multi lier 2 Electrical �,f od _ (b) Estimated Total Cost of U�— Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC D 5 Fire Protection 6 Total 1+2+3+4+5 6 gyp, Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject s property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge 1 and belief s Print Name Signature of Owner/A ent Date a ow 'Wt 001MERIES-91 0-2-V NO.OF STORIES SIZE BASEMENT OR SLAB RD S1ZE OF FLOOR TEVIBERS 1' 2 3 SPAN DIMENSIONS OF SILLS DIlVIENSIONS OF POSTS DIMENSIONS OF GIRDERS a IMIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X + MATERIAL OF CHIMNEY ' IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE E, ASS (M e.0 � FORM U- LOT RELEASE FORM 03 INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fron Boards and Departments having jurisdiction have been obtained. This does not relievE the applicant and/or landowner from compliance with any applicable or requirements_ ** *************************APPLICANT FILLS OUT THIS SECTION APPLICANTT1oi✓ Qiit�.l /�lAo i."� PHONE LOCATION: Assessor's Map Number a-39,0 - PARCEL c3a SUBDIVISION LOT(S) STREET Get'c%6f Lwo' ST. NUMBER./YY USE ONLY *_** , RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS I V S 1 D L Q (� L(- sl TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED_ �1 s DATE REJECTED SEP IC INSPECTOR-HEALTH DATE APPRE?VED. 1 _ DATE REJECTED COMMENTS \C 1,.._ PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm r NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-954 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 properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: (Location of Facility) SignAture,of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts u M` c.l d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 'ODM 5y�� Workers'Compensation Insurance Affidavit Name Please Print Name: Af A>T Location: !9 u P eAr9r City ,yo, AW4VVW1A G14, Phone # I am a homeowner performing all work myself. EZI 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 Cfir. Phone* ------------------ Insurance.Co. Policy# Company name. , Address City Phone* Insurance Co. Policv# Faihue to secure coverage as required:under Section 25A or MGL 151 can lead to the imposition of criminal penattim of:a fine up to$.1;SOd.00 and/or one years imrins"aw nt-as well.as_cwj Reamties-olhelmnsta-S DPYA)RKDRRER andsfine-ctolnol _,,d,againstme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. /do hereby tdy under the Pena&--S of penury that the infarma W pov�de+d above is true and correct SignaturecerDate ?/ir " Print name GyArj' F rr&7o.io Phone. Official use only do not write in this area to be completed by city or town official' City or Town PermlGicensi [,Check if immediate response isrequired El Building Dept [J LkenSln(g Board Contact Selectman's Office person: Phone# 0 Health Department Ei Other NORTH 0 of over No.c-,P/ o� =COCHICMEw,o dower, Mass., 9► a9P- 03 ADRATE D p 'i C .qS "♦ BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... . ... .. �..111. + ........... l��. ��&........................................... Foundation p V 1 .......... buildings on y v% c.K#&+ La 0 � has permission to erect... t......... .... . ..... ........... .... ....................... Rough to be occupied as...... !C r r O fIM N ................................................. ...... chimney ........ wA�....... 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 B -Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3 873a 07 �S PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .. ......... ..................................... Seance BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. i TAC ate, e►�► z� ��� - d _ �.,, .� � ��'�' O No. ®/8 Vak > dover Mass. ~_ .a 2 00ATe Fl?' S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic Syste :✓ IUILING INSPECTOR THIS CERTIFIES THAT.....00.04A............. .... Foundation has permission to erect..............I............... ....... buildings on .10....'..6. � .....�, .. ... .. ...... :LQ%mey Rough to be occupied as. .,. .�.. ......... A. .. ... . ... �.�.............I13 �M( provided that the person accepting this permit shall in every respect conform to the terms of the applica ion 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. tG��/L PERMIT EXPIRES IN 6 MONTHS ►n �' y3 ELECTRICAL INSPE ,TOR UNLESS CONSTRU ®N T S ... ........... ............ ................................. Service BUILDING INSPECTOR Fi V Occupancy .P it Required to Occupy Building GAS INSPECTOR/ Display In a Conspicuous Place n — T Rough 7 Q ��� Premises �® l��ni®V� l �, No Lathing or Dry all To Be Done (Y— FIRED ARIMENT Until Inspected and Approved by the Building Inspector. Burner �q�` ;T F Street No. � �r,SS "� IE� � Smoke Uet.S =E REVERSE S"'Orr �. Z i CERTIFICATE OF USE & OCCUPANCY { Town of . North Andover Building Permit Number im Date `-0 0 THIS CERTIFIES THAT THE BUILDING LOCATED ON �o-/6 CrelCkv4 ZAWe- MAY BE OCCUPIED AS -8i»gf t-I illy-� ��A7 IN ACCORDANCE I WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ad / 77 c.1 e® CERTIFICATE ISSUED TO 012«/��4 7,),v, / h- n a ADDRESS N W - h4 /.v co(96 Building Inspector Town of North AndoverpORTH O�A,%.ED ;6'9�•- Building Department �,? g..; 6 O 27 Charles Street o North Andover, Massachusetts 01845 * - (978) 688-9545 Fax(978) 688-9542 T O CO[wl<�wKN 1' 4 �ssgcHuse APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS LOT NUMBER W SUBDIVISION Lt.J<`n�V 4i DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF HE TRUC�URE DOES NOT MEET ALL APPLICABLE CODES. SIGNAT OFFICIAL USE ONLY ROUTING CONSERVATION DATE 2 PLANNING �" DATE gh. Z1,00 D.P.W. —WATER METER d� DATE 4� D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIG THE INSPEC N Q ST DATE. �---- SIG ATURE/DPW AUTHORIZATION Location �x No. 4/f Date r � " NORTH AL 0TOWN OF NORTH ANDOVER � • • 9 41 41 Certificate of Occupancy $ sACNUS t� Building/Frame Permit Fee $ !j Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # A522 Building Inspector PERN41T NO.,O APPLICATION FOR PERIWIT TO BUILD********NORTII ANDOVER, MA nl\r No. �G I LOT NO. 2. RECORDOFO\\MRSIIP DATE BOOK PAGE /.ONE: SUB DIV. LOTNO. LOCATION cr CLG Gtr Qs"e e— PURPOSE OF BUILDING 0\1NE'R'sN:\N1E Cnc�(c,-\,- `\Je�el�Ql`�cnls ��'G NO.OF STORIES SIZE 0\\TER'SADDRESS \� S � a" BASEMENTORSLAB ARCHITECT'S NAME �uCL L�SGUfnS�/1 �4 �cc� SIZE OFFLOORTINIBERS lsl � 1 2ND � lc) 3RD D`/ (cy U BD.DER'SNANIE VvQ`G� �,�� SPAN ua G.G Il• G,G DIST:INCE:T'O NF.:\REST'B1111.DING S DIMENSIONS OF SILLS 1)IS TANCE:FR0NISTREE;F D IM ENSIO NS 0 F POSTS DISTANCE FROMLOTI.INES-SIDES ��� REAR DIMENSIONS OF GIRDERS �a ala Li �a4 t(o ARE:AOFLOT �3 �y} FRONTAGE HEIGHT OF FOUNDATION TIIICKNESS IS(WILDING NEW �t cS SIZE OF FOOTING 3011 w K- \2,w a ISBUIIDINGADDITION 130 NIATERIAL OF CHIMNEY nn IS BUILDING ALTERATION NYj IS BUILDING ON SOLID OR FILLED LAND WI Ll.BUILDING CONFORM TO REQUIRENIENTS OF CODE -{C IS BUILDING CONNECTED TO ToW"N WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER o IS BUILDING CONNECTED TO NATURAL GAS LINE �lS l INti UCTIONs 3. I'IZOPEIrFI'iNI OIZNIA"TION LAND COST \ S <30 d EST. BLDG.COST °I 3A cl PAGF.I i n.1,ouT SECTIONS 1-3 BLDG. pERWIT FE 0lo3 EST. [ F LESS FDA FEE 1 ,5-0 EST. BLDG. COST PER ROOM U�GCIJ 1.I.rCTIi1C METERS MUST BE ON 0UTSIDE OF BUILDINGSEPTIC PERMIT NO. ,9UF FRAME PERMIT $2 V,5� ATrAC11ED GARAGES MUST CONFORNI TO STATE FIRE REGULATIONS 4. APPROVED BY: v PLANS MUST BE FILED AND APPROVED 13Y BUILDING INSPECTOR BUILDIN(.INSPECTOR DA FE FILED OWNERS TEI.# �7 1 CONTR.TE0 SIG.NAT URE OF OWNER OR AUTHORIZED AGENT �FD rrCPE:RNIITGRAN 12evised 5/5/99 JNI FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from- Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. t *** *tom*AFI'LICANT FILLS OUT THIS APPLICANT Cr,r U.z PHONE LOCATION: Assessors Map Number 0 PARCEL SUBDIVISION LOT (S) STREET C;r,.`K c k LA�,-C— ST. NUMBER 144 * **** *** O F r 1 C IAL USE ONLY*********** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED Z-1ZT DATE REJECTED COMMENTS �,.s5 c T P NNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED .,SEF C I ECTOR-HEALTH DATE APPROVED f aD a �-� DATE REJECTED COMMENTS `/�,�c (� r-.� ��>-a.>t� 7-a� 9 PUBLIC WORKS -SENER/WATER CONNECTIONS DRIVEWAY PERMIT ©� QciLL �' FIRE DEPARTMENT� RECEIVED BY BUILDING ii'lSP CTOIR DATE Revised 919;jm TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508)688-9573 F VkORT{� O tt�co ,agti0 3? �` G OL o ,n A 9q '• �'o1TE0 PPP, .�S 9SSACHUSEt DRIVEWAY PERMIT Date: . 13' 17? LOCATION: 144 Ckf;c�_e BUILDER: phone: OWNER: phone: c7G 6 d -jG� The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: NO 931 APPLICATION FOR WATER SERVICE CONNECTION 7 North Andover, Mass. �`� 19 Application by the undersigned is hereby made to connect with the town water main inSteet- subject to the rules and regulations of the Division of Public Works. The premises are known as No. `"I `"t �c `��e �`"Z Street or subdivision lot no. Owner �'�,clGe t Addr Contractor ddre—ss 477 zA pplicant's Signature (C)� s >y i o T WITH WATER MAIN d3r°° ✓� vlP Street 's. oard of Public Works 0 :ri 0 By CGS ^-� r v O T + 'n Z M O rnd bs and regulations' = o Z a a M J Growth Management Bylaw Exemption Statement Town of North Andover Building Department ` This fort shall be used to assist the Building Oepartment in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permitbelow) Address of Property for Permit(below) Cri,Zk cry-'D cQ6-R r^4- 1,_ C 1,LV,LC`� (0 cq–, uc,_- Map and Parcel : Purpose of licaticn (check below) Phone Number of Applicant: —Single Family _Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXE,NiPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit irk issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s)were/was created prior to May 6, 1986 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. ,i This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density, (buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate nd Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the par I. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application i owed one or more of the above EXEMPTIONS. By signing below atte to the accuracy of the information provided and that the attached building permit is allowed an EX PTI as cited above. Further I understand that the submittal of misleading and or inaccurate in rmati , or the checking off of an above item which does not comply, whether done to my knowledge r not, i grounds for r fus I by the Building Department to issue a Building Permit. 72 1b ignature f ner or Authorized Agent who signed the Attached Budding Permit Date This form ust be attached to the Building Permit upon application for such permit I I _ MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I �40us5_: *�P£ � I Checked by/Date i I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-25-1999 CCMPLIANCE: PASSES Required UA = 764 Your Home = 700 Area or o Cavity Cont. Glazing/Dccr Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1850 30.0 0.0 65 CEILINGS: Raised Truss 230 30.0 0.0 7 KkLLS: Wood Frame, 16" O.C. 3060 19.0 0.0 184 GLAZING: Windows or Doors 650 0.470 306 GLAZING: Skylights 5 0.470 2 DOORS 40 0.500 20 FLOORS: Over Unconditioned Space 2430 19.0 0.0 115 HVAC EQUIPMENT: Furnace, 93.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requireme s of the Massachusetts Energy Code. The heating load for this b ldin , and the cooling load if appropriate, has been determined using he ap icable Standard Design Conditions found in the Code. The HVAC ipme t selected to heat or cool the building shall be no greater th n 125% the des'gn load as spe ' ed in Sections 7800MR 1310 nd J4.4. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 - DATE: 8-25-1999 Bldg. l Dept. l Use I I CEILINGS: [ l 1 1. R-30 I Comments/Location [ 1 1 2. Raised Truss, R-30 I Comments/Location I Insulation must achieve full height over the exterior wall. I I WALLS: [ 1 1 1. Wood Frame, 16" O.C., R-19 Comments/Location I WINDOWS AND GLASS DOORS: [ 1 1 1. U-value: 0.47 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I SKYLIGHTS: [ 1 1 1. U-value: 0.47 1 For skylights without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ 1 1 1. U-value: 0.5 1 Comm-ents/Location I FLOORS: [ 1 1 1. Over Unconditioned Space, R-19 I Comments/Location i HVAC EQUIPMENT: f ] 1. Furnace, 93.0 AFUE or higher Make and Model Number I I AIR LEAKAGE: [ 1 I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or . I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: + [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MA='RIALS IDENTIFICATION: [ l I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be provided. insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] acts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: 1 I A_1 accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TE-M-PERATURE CONTROLS: [ l I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. 1 I I-IV?.0 EQUIPMENT SIZING: [ ] i Rated output capacity of the heating/cooling system is I n3-1 greater than 125% of the design load as specified I in Sections 780C1,1R 1310 and J4.4. I [ 1 I SW1%!MING POOLS: 1 P 1 heated swimming pools must have an on/off heater switch and I re quire a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I _ ' PIPE SIZES (in.) I NON-CIRCULATING CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 1.0 1.5 2.0 1 140-160 0.5 0.5 1.0 1.5 1 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- ✓fze Toomawouve¢�t °��aaaaclu�e%�i DEPARTMENT OF PUBLIC SAFETY CONSTRUtTLON..SU_PERVISOR LICENSE Hui r Expires: Birthdate: CS '` 052921 18/1112/11 18/111965 Restrf�ed To 7 11 y RICHAR0,A WELCH x Oyu,i 9 VIKIN6 RD , WINCHESTER, NA 11891 z 3 The Commonwealth of Massachusetts m d Department of Industrial Accidents Office of Investigations a Boston, Mass. 02191 Workers'Compensation Insurance Affidavit ' 1M 5�6 Please Print Name: GrV C-V zsr Location: V\�^`,13 City N �e�.��n 5 . M�.s� Phone -7 S �Gq - ti am a homeowner pe orming all work myself. r2jfl/ rnaa sole proprietor and have no one working in any capacity L to a (f t-%F' e.,S 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 secureco rage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'impn nement 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 icopy )f this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby cel and he pains a d n "es of pemju at the information provided above is true and correct Signature i Date 1 s Print name eLc�, -5,r, Phone# Official use only do not write in this area to be completed by city town official' ❑ Building Dept []Check if immediate response is required Building Dept ❑ Lincensing Board ❑ Selectman's Office Contact person. Phone#. ❑ Health Department ❑ Other ORTH ;I Town o Andover ndover, Mass., 2 T 0 - LAKE /k• COCMICMEWICK "ATE ACD PP��y�S AC HL)E1 � IT FOR FOUNDATION AND EXCAVATION G�e .... ..............., .. ....... ...AT .... .�THIS CERTIFIES TH . .... CAWL ... . '.... .. .............. and our foundatio at .. �� • .. �•• ••••' has permission to excavate p ' room ' �1 . � ...S�b . ........... ..... � of8 .. . ........ ..... ..5...�.��... . ... Ac............ for the purpose ....................J. ,� The person accepting this permit must return to the office of the Building Inspector a certi le plot plan show of building thereon before Foundation will be inspected. { VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BLDG. PERMIT FEE ........................... LESS FDA FEc .... ..... .. ............... . BUILDING INSPECTOR moor rnARoc OCDAAIT @` AAJ �� NORTH Town of Andover 0 No. - =_ L A o dover, Mass., j 2 COCMICMEWICK AD'QATED PPR `� S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.....Ore kr...........Au....� ..�........... .................. ................ . . ... ..... Foundation has permission to erect............../.............. buildings on.A� ..�.. /.'Y�.....& .. ....r�... ,A� Rough to be occupied as. r 4�+ r � H�ihne p $ Ro .,.........1.a..13.� .................. ...I .Ac�............... I� y provided that the person accepting this permit shall in every respect conform to the terms of the applica ion 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 Rough P G UNLESS CONSTRU ON T S 9.4.040 ... ..... ... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner BLDG. PERMIT FEE� O � Street No. SEE REVERSE SIDE LESS FDA FEE Smoke Det. DUE FRAME PERMIT$ AJ P N2 13154 Date....e e7 7� rn........ �aORTM °f<«`°;•_'"° TOWN OF NORTH ANDOVER ° p PERMIT FOR WIRING CHUSEt .i)4A/�^J/ ............( ....................................... This certifies that ..:::............ has permission to perform -f'-r^ ?-: ��-�' -'� wiring in the building of......................... ....................................................... at..................................1,.ZA............................... ,North Andover,Mass. Fee(N!5.(............. Lic.No :-��.a::`.... . .........: °..�....... / ELEemcAL INSPECCOR t ` 09/10/9911.23 50.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Orny Penft No. �,efUa S• 10 Occupancy Fee Checked ug, 31. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK M work to be performed in accordance WM the Massachusetts Electrical Code 327 CARR 1200 jf— (Please Print in ink or type aA information) DateTo Inspector o- — f Wilres: Town or North Andover The undersigned applies for a permit to/Perform the awdncal work described blow. U)cada,(Stred&Nurr Owner or Tenant / 3 'l !.t r�ry/)i i•�p �7 , /fi/4 Ovm�s Address, , Is tarns pgrmg in coniunction with a building permit Yes ❑ No 6 (Cheat ApprepirieW Box) �^y,hof Bu Uti�C Authorization No. I'— _ �%"�� _ E)dsting Service Amps - erviVohs Overhead ❑ Undgmd �❑ No.of Meters New Service )an _M s h/� 13Overhead Undgmd,�I No.of Maters Number of l=eaders and Ampacity _.._.. Location and Nature of proposed gl@�worts Total No.of Usmnq Outlets No.of Hot We No.of Transformers KVA Above ❑ In ❑ No.of l igh6ng Fixtures swimmmq Pool grrid In gmd ❑ Generators KVA - No.of Emergency ligtrong No.of Recaptades Outlets Noe of Oil Burners BatteryUnits No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No_of Detection and Ne.of Aar es No of Air COW Tons Initiating Devices e Heat Total Dial No of Di No. Pum Tons INV No.of Sounding Devices NoJ of Self Contained No.of Dishwashers Heading INV DetectioniSounding Devices 8 Muni«pal ❑ other No.of Dryers Heating Devices KW local Connection No.of No:of Low Voltage No.of Water Heaters KW _ Si ns Baitases Win No.Hydra MasgNe Tuds No.of Motors Total HP OTHER: INSURAN COVERAGE. Pursuant to the raga of MassaFllusetts General taws I a etc iJ lily Insurance Policy imd O pleted gperations Coverage or its substantial eq '/ NO = h8ve subm_-- vel proof of same to the ce Y NQ = If you have checked YES please indicate-the. of coverage by checking the a�rapttate box INSU E = SONO = OTHER = (Please Specify) (9911"don Date) Estimated Value Electrical works // { Final Work to Start — - q Inspection bate Resquested Rough Signed underth Penaitles of .NO. parjugrs UC FIRM NAk1E Lirennsee43�rf T G-- Signature taus.Tel No. Alt Tel.No. Address O`/� / A — Address INSURANCE wA1VER: I*in aware therthe Ucensee does not have tate InOur"";average or its substantial equivalent as required by MaeShusatts OMEG"aml laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) PERMIT FEE I yLocatlon t No. /� Date Mp"TM TOWN OF NORTH ANDOVER H 9 + • Certificate of Occupancy $ sACMUs Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector I PERMIT NO. APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA LOT NO. (� 2. RECORDOFO\VNFRSIIIP DA"CE BOOK PAGE ZONE Still DIV. LOTNO. (p eta \-Ac�,e— LOCATION Cr.c�G� ` e 2 PURPOSE OF BUILDING O\\'NFR's N,\ML Crtcue�+ �C�e�fhcnls `L G No.OF STORIES SILE O\\NER'SADDRESS �� S � �N �k� BASENIENTOR SLAB :\RCI 11'I'FCf'sNANIF:Z,(�,CG �CGUp.S�/1 �4 l�� SIZE OFFLOORTINIBEIIS Isr ' 2nD \G awn �� lQ 11I�II.DER'SNAn1E l�,eS� SI':\N uQ '(�``G .� ��o°G•G DIS"1'ANCE 10NEARF'sFBUILDING S DINIENSIONSOFSILLS 0 DISTANCE FROM STREET ��� DIMENSIONS OF POSTS 111STANCE FROM LOTLINES-SIDES ��' REAR DIMENSIONS or GIRDERS AREA OFLOT t3 FRONTAGE IEIGUTOFFOUND.ATION \,o, THICKNESS \G 11 IS 111iILDING NEW �c5 ` SIZE OF FOOTING �G 1` W � \ZN � x 1S IUI.DING AI)DIFION X10 NIATERLALOF CIIININEY kj n #S 81111.DING AL"1'ERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE --(C S IS BUILDING CONNECTED TO TOWN WATER B04.-RD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SENVER C ` IS BUILDING CONNECTED TO NATURAL GAS LINE {� IN�;fi!CTIONS 3. PROPER'I')'INFORDIa'1'ION LAND COST 6Gd -- - D3 EST. BLDG.COST 3 ci 3`{O PAGE I PILL OUT SECTIONS 1-3 BDG. PERWI S EST.BLDG. COST PER SQ. FT. O � EST. BLDG.COST PER ROOM a> CESS FDS! E',-_ _._-_ l �� Fi.FCTR1('MF:TERs MUST RE ON OUTSIDE OF BtI1LDING /� SEPTIC PERMIT NO. Iz inAPT �^ \l'1'ACIIED G:Ut:\GELS MUSTCQNFORnI TO STATE PIKE REGIq.:\'PIONS 4. APPROVED BY: C � PLANS MUST BE FILED AND APPROVED DYBUILDING INSPECTOR BUILDING INSPECTOR 11:\fE FILED OWNE[IS TELA CON rR.TELN SIGNATURE OF OWNER OR AUTHORIZED AGENT 1'E1: $ ILLC.� /403, - 1'F:Itnlll'GRANI'EI) Revised 5/5/99 .1111 AORTH of Andover SESSON@ 0 Vr ° 1 0 No. D� TPERMIT MIT ISSU r ~ PEW®INGO j 2 A o �` dower, Mass., COCMICME WJCK ADRATED PC, S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT.....040.fC.�r............� �......�..�.�........... ........................ . BUILDING INSPECTOR Foundation has permission to erect............../............ buildings on .Alf.t..b... Iyy.....�r .. .... .. ......1 � Rough to be oCCU ied as �fib M h hne ..r.. r�. .........1..�►..t .� , .. ......... c1 y p $ / . A........................... .................. 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 / d 7A PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR P G UNLESS CONSTRU ON T S Rough .... ... .......... 94Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — -Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner BLDG. PERMIT FEE 3 to0 3 Street No. SEE REVERSE SIDE LESS FDA FEE Smoke Det. DUE FRAME PERMIT$ No 24. Date......C.AA� .. TOWN OF NORTH ANDOVER 0p PERMIT FOR WIRING S 1,, v,%e- This certifies that ................................................. .......................... has permission to perform .... ....... rr ................................. wiring in the building of....... ....:.......................... at... ....... ...... ........... .North Andov r,Mass. . .. ... .... . Lic .............. Fee.. No. ,..... ...... .. .. ; �LEcTRICAL INSPECTOR ; Check WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ate\ TEC0A MQ 1,77IOFA VAa1USETJS Office Use only //aa DEPART ffiVTOFPVBLIC&4FElYTV Pemtit No. BOARDOFFMPREVEMONRE67IlA770NS527CM IZ-00 -- Occupancy&Fees Checked APPLICA TIONFOR PE AIRT TO PERFORMELE=CAL 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) Date bylJ Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below.J / PARCEL Location(Street&Number) yy C(`�( Q f La-n�� Ld- L� Owner or Tenant }"I/c k:.R.f Owner's Address Is this permit in conjunction with a building permit: Yes No a (Check Appropriate Box) Purpose of Building Sl � c�we �� Utility Authorization No. Existing Service Amps / Volts Overhead Underground [= No.of Meters New Service Amps,a'1 rL-KAZ Volts Overhead Underground to No.of Meters Number of Feeders and Ampacity I ocation and Nature of Proposed Electrical Work o N No.of Lighting Outlets No,of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 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 Iv .of Dryers Heating Devices KW Local Municipal Other Cormcctions ldo.of Water Heaters KW No.of No.of -1Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER hntaa=CawrdW-Rnuarttothetegtman dNias�sGm allaws IhaveaancaLiabtldyh>sr&=P>beymludmgCmTiW WcritssksWntaleqrAent YESNO IhavzahTi&dmihdproafofsffmtotheOffioe YES E] NO r7 Yyoulmdmd®dYES plea eicz *dmtAm =cWbydrddT*E � BOND 0 MHER Q ftmspeffy) Gv I(� t Eshnr Vater dE6chical Wodc$ Waktoslatt 6,,7,6d h�specarall�Regttes4Rwj? n -,,,,d ( Final sigladum,icrTrPtna�ofpajtny / a�v /0 9 7-Y"Ir FIRMNAN E/. Li ensw ( .!/1 !' �Gtl� 1-i c-2 She Iioa>seNo BummTeLNO. Alt Tel Na OWNER'S INSURANCE WAIVER,lamawðattheLxe=does mtfrgwdehurar=o7Ax?Wcri1sstilsontalec asre4medbyMassadmsebGalaalIaws aodthatmysiglahueondrispeanrtapp}ice_W&Nes dais rec�marlart (Please check one) Owner Agent Telephone No. PERMIT FEE$ �Signature ot Owner or Agent Date. . . . . . " No 4457 of,",��T:�� TOWN OF NORTH ANDOVER a PERMIT FOR PLUMBING � ♦ o� _ 'a o•A��4y �,SSACNUS� This certifies that f.. . .. . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .!a.� .``. `. . . , North Andover, Mass. Fee. ?.-Lic. No.J. .'. I. 1 . . . . . . . . ... .{! .":/ ..' PLUMBING INSPECTOR Check # t s WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS _ /� Date L J� Building Location / '-// ( '7 ( Owners Name WQ k N4jf 1 G Permit ? ` Amount Type of Occupancy New Renovation Ej Replacement rl Plans Submitted Yes El No El FIXTUR 'S En zw a w H w H a x aCA CAa En Ha a ' SLRBM B S RWM M Hfm i 4M 1FLo R 5M RaR 6MHDM 7MHBM (Print or type) f Check one: Certificate Installing Company Name v//e, 1'" �'l- Corp. Address , 1/ H-1 yi G oat E] Partner. -Ie,v f� Business Telephone '7 '� -�„ ( � El Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy M Other type of indemnity 1-111 ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent 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 installafi ns performed der Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus S to Plumbin Code and C apter 142 of the General Laws. By lgnatllre Ot LICenSeaum er Type of Plumbing License Title 1 Ci V' )-- City/Towni7cense um er Master Journeyman APPROVED(OFFICE USE ONLY L= � 5J-1 � �.. .... .... Date.. . .. . �-� NORTH TOWN OF NORTH ANDOVER O � m PERMIT FOR GAS INSTALLATION N 9 a • a i, � • ,SSACHUSES This certifies that . . . . . . .. . . . . . . . . . . . . . . ''!. . . . . :. . . . . . . has permission for gas installation . . . . . , :. . .. . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . at 1 . . . . . . . • • , North Andover, Mass. Fee„ -5 . . . . . Lic. No::�/. a,.. /> Jf /f� [ GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer s > MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FTrMG �Type or print) Date � ��r NORTH ANQOVER, MASSACHUSETTS t' Building Locations 199, 421�lr�#aZA21Z Permit# �v Amount S Owner's Name '52 Sloe- New Renovation ❑ Replacement ❑ Plans Submitted ❑ ,n ti n n cn n C Z n �_ C y W `^ L _ — m N .w ~ - _ � N w z w N - ca Z w v > Z 't m %r ` n z t sa w z SU B -BASENI ENT ' BASEM ENT 1ST. FLOOR 2ND . FLOGR 3 R D . F L O O R 4T If FLOOR sTu FLOGR 6TH . FLOOR 7T If FLOOR ST I1 FLOOR Nameor rylae)US ll Check one: Certificate Installing Company Corp. Address 1 `rr ❑-°, WOCAs 1z ❑ Partner. Pel"i i—:r Business Telephone 3 2 3 Firm/Co. Name of Licensed Plumber or Gas Fitter Q"'i hJ 1$ INSURANCE'COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalpnt. Yes-El No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the iv(ass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ { hereby certify that all of the details and information 1 have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued For this application will be in compliance with all pertinent provisions of the Mass s s State Gas de an hapter 142 the General Laws. Bv: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber City/Town ® Gas Fitter {L cense {Numner ivlaster APPRO��ED IOFFu:USE ONLY) L❑1 loumevman