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Miscellaneous - 15 COLGATE DRIVE 4/30/2018 (2)
J15 COLGATE DRIVE // 210/091.0-00140000.0 Date.........(./.c4. ........ NonrN of ..> •.,ti TOWN OF NORTH ANDOVER 1- 9 PERMIT FOR GAS INSTALLATION SAC11U5 ,Q This certifies that .. e� ..... ......s '�S ........... has permission for gas installation .39.S..g4Ar...moo .,.bu .... inthe buildings of.....................................................................................:............................. at.45....... ' l lz�......Ir.......................................... NorlhAndover, Mass. Fee4flgq Y...... Lic. No. ............................. A INSPECTOF� Check# I � �+ u t _ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK i CITY MA DATE t+ I r PERMIT# u uU� lT JOBSITE ADDRESS t�' - -�a,-cE 'a_t� _ OWNER'S NAME O N cv a (� _ (--I _ �, <T OWNER ADDRESS cz�g Ma • TE F,qX TYPE OR OCCUPANCYTYPE COMMERCIALE] EDUCATIONAL PST 0 RESIDENTIAL . CLEARLY NEW:Q RENOVATION:O REPLACEMENT:v PLANSSUBMITTED: YES[] NO0 APPLIANCES I FLOORS-+ BSM 1 2 1 3 4 1 5 6 7 8 9 10 11 12 13 14 BOILER -- - - -- - - -- - - BOOSTER CONVERSION BURNER I COOK STOVE - - -- -- - -- (— DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM[SPACE HEATER ROOF TOP UNIT ' TEST UNIT HEATER - UNVENTED ROOM HEATER WATER HEATER - OTHER comas .r•,�-c�. srwv� our INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES fA-1 NO 0 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY® OTHER TYPE INDEMNITY E:] BOND 0 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 ONLY: OWNER E] AGENT 0 SIGNATURE OF OWNER OR 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 'th a P - t provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME 1. cLICENSE#/;Fz SIGNATURE MP C4 MGF E-1 JP Q JGF Q LPGI CORPORATION[A# PARTNERSHIP S#�, LLC[]# COMPANY NAME:F s _ ADDRESS in L�a�TaN S-C CITY �o�cte�s-��Q STATE ZIP ! tz TEL�— FAX CELL I�,J, EMAILi' 0_.__C�LS _ Gt 2012 Massachusetts Electrical Code Amendments 527 CM1212.00§Rule 8: In accordance with theprovisions of M.G.L.c.143,§.3L,the permit application form to provide notice of installation of wiring shall be uniform throughoutthe Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.01c, 166,§32,an electrical permit shall be issued to the person,fur or corporation stated on the permit application.Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. " Permits shalLbe limited as to the time of ongoing construction activity,and maybe.deemedby theJnspector_of-Wires abandoned_and_inverlid.if he_... or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the.permit application. D The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sect4ons.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job;growth and long-tern economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain-permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwis a applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2608_and extending'through August 15,2012. 3 TUle 8—Permit/Date Closed• •—/ ***Note:)Reapply for new permi ! ❑Permit Extension Act—Permit/Date Closed: J Date...... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4L This certifies that ................... ap .... ....................... has permission to perform ....... ....................... wiring in the building of........... /1,.Y............................................ at...../3 ...... .......5:?7............. rth Andover,Mass. Fee....3.���Lic.No..L�!�!7/1............. ELE ICAL R Check # i f IC.omrnonwaaA o f Vamac" official use only 01 �UeParfinant���aroica� PermitNo. BOARD OF FIRE PREVENTION REGULATIONS ey���'and Fee Checked esus blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacbmew Electrical Code(ASC),527 CMR 1100 (PLWEPMTINRVK OR TYPEALL INFORMATION} Date:_W -- /c/ _ 1-1/.0 City or Town of: No 4 N a a Ute-R To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Locatio)O(Street&Number) Owner or Tenant —7-1 h ie n N u Telephone No. Owner's Address Is this permit in conjunction with it building permit? Yes 3-- No ❑ (Check Appropriate Boz) Purpose of Building Q t z..//r„9 Utility Authorization No. Existing Service _ Amps / VoIts Overhead❑ Undgrd❑ No.of Ml tens New Service _\ Amps / VoIts Overhead❑ Undgrd❑,. .No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: f Sri S f e e-,--tx -panyleffon o the ollow' table M be waived by t1 a tyedar of Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No. of al Transformers ` KVA No.of Lumfnaire Outlets No.of Hot Tubs Generators I KVA No.of Luminaires Swimming Pool �Above ❑ In-d. ❑ Bath of mergenry Ugliting gruUnits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.,of Zones 7JJetection and No.of Switches No.of Gas Burners o.Ln4tiatin Devices, No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers eat mp Number I Tons XW M-L of Self-Contained Totals:I I Detection/Alerting Devices No.of Dishwashers Space/Area Heating I(W Local❑ Municmp [I Other Cootneenmmessction No.of Dryers Heating Appliances Tcw Cur'of Devices or fvaIemmt f o.o atero.o o.o W Heaters X Si s Ballasts Data Wiring: I No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommn cations rrmg. w No.of Devices or E iva7ent OTHER Attach ad& onal detail ifdestred,or as required by the Inspector of Wires Estimated Value of Electrical Work: (Whewrequired by municipal policy.) Work to Start: Inspections to be requested in accordance with NIEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including-completed operation-coverage or its substantial equivalent. The undersigned certifies that such coverage is in form,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCES Boren ❑ oniER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete FIRMNAME:Buddy Electric Inc. LIC.N01: 12017 A Licensee: Vincent B. Landers JrSignature�t3 f� LIC.No�: 223 84 E- (Ifapplicable,enter'earempt-in the license ruunber line.) Bus.Tel.No.; —9 15— 4 5 5 Address: 24 Colgate Dr X.Andover , Ma 845 Alt.Tel.No.:I *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety-S"License: Lic.No. I 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 am the(check one)0 owner owner's a ent Owner/Agent PER MH FEE:a Signature Telephone No. i I The ComnwnwentM of Massachusdft Dqwtnt of Industrial Accident fie of fIn vaadpdons i 600 Wasdtingrtnn&Wd � Bastom M4 02111 www.neasxgov/dia .or ers omi pensation Insurance Affidavit: Builders/Contractors/Electriclans/Plu> bers A llcant Informati m Please.Print b Name gwsi� tiow muvidialy ij'-C_ !j G Address: Ll Co 2-r_ city/Statzip-V I Ajc/p-e ms Phone#: Ane you an employer?Check the appropriate box: Type of project(required), 1.Na l ant a employer with 4. [] I am a general contractor sad I employees(full t&or time .¢ have hired the sub-contractors 6. �]New construction 2.0 1 are a sole �r ) listed on the attached sheet. Z. Remodeling I ship and have o em employees These sub-contractors have g. 0kvolition to and have workers' � forme is an �p xis t 9. [3 Building atidilioa � workers Comp.insoraaoe camp.ittsttrance. � p 5. We are a corporation and its 10.[] Electrical repairs or additions 3.0 I ama homeowner doing all work officers have exerased their 1 L[]Plumbing repairs or.additioas ti myself. [No workers'comp. right of exemption per MGL 12.0 Roof mpai s insurance required-1 t c. 152,§1(4),aid we have no employees. [No workers' 13.® Other comp. insurance ragturod.) •Awry applicsint that choeb box#1 must also fill out the section below slowing their wort W oompensatton policy information. t Homeowners eow ners who submit this affidavit inAoaM*they we doing all work and than hive outside cooUactms must submit a new affidavit aidicating such. xC" :aa ants that check this box moo aitwhed an additional street showing the name of the subcontractors and Oft whether or not those entities have employees. If the sub-contramrs Stave employees,they must pro%dt their worlmrs'comp.policy number. I ata an r that is proviAW wor*ws'eompearsadon er uninm for nay tpafoyam Below is&e poor and job,site Its v=e Comp=y N=e: _Policy#or -ins.Lie.b: P� L.c1 ,L.&a�Q� � Expiration Daft: ��O 26o I _ - � Job Site Adt :./<. a/c/ql�e citxy/Storml=:,11�?�� 9 Attas�a copy of the,workers'compensation policy declaration page(showing the policy number and expiration date). Faihire to secure Covexage w required under Section 25A of MOI.C. 152 cash lead to the unposiibm,of crisainai paaalties of a fie up to$1,500.00=&or cine-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.againd the violator. lie advised diet a copy of this statement may be forwtt wed to the Office of Iavthe DIA f I do kereeby emo wWff dire plainsand pednakies of perjoy thaj&e blf ptaeddad above is bwe and ovrre a L Off j iddMWroot write in ibb Ora,!V-Te ���YCd or IMM officw City or Two Penawucense d being Authority(circle one): 1.Board of Beallls 2.Buiiidimag Depart umt 3.Cityffown Clerk 4.Electrical Inspector S.P Hating Iaeped or 6.Utter P6oite#i: Contact Person• - - I I No l : 'r] 2 Date.................................. f NORTH 0� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ss�c►+USE� This certifies that . .r:,:1—..�.... .............:........... /A................................. has permission to perform .......:.:�'✓..�'"' �.............-._e .-�1............... wiring in the building of............ •`.............. " /.......................................... ........................ 7........ ,North Andover,Mass. Feet`...r.......... Lic.Nol?.,I;iF ...............................................................` � / ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use 0 y Olt TD11=011wrat of ittttottrl u0P#f0 Permit No. �- � �I i Orpurtutettt of Public aufetg Occupancy A Fee Checked. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town o /1/Jod f.►.,tf� To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. LocationStreet & Number C.C.-Y 4-- b2/OC-4 „q Owner.or Tenant Owner's Address �,e tj irI i Is this permit in conjunction with a building permit: Yes ��No ❑ (Check Appropriate Box) Purpose of Building (/1,Cy, Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrnd ❑ No. of Meters III New Service Amps / Volts Overhead ❑ U;'and ❑ No. of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work L G C9 CJS-( /J �0 y I i No. of Lighting Outlets No, of Hot Tubs No. of Transformers Total KVA i Above In No. of Lighting Fixtures Swimming Pool grnd. ❑ grnd. ❑ Generators KVA ! No. of Emergency Lighting No. of Receptacle Outlets No, of Oil Burners Battery Units l , No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No, of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices I No, of Disposals No.of Heat Total Total i Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices V, No. of Dryers Heating Devices KW Local Municipal Other i F'F ❑ Connection ❑ No. of No. of Low Voltage I No.of Water Heaters KW Signs Ballasts Wiring I I 1 No. Hydro Massage Tubs No. of Motors Total HP i OTHER:' E ' INSURANCE COVERAGE: Pursuant to.the requirements of Massachusetts general Laws '3 sp I have a current Liability Insurance Policy Including Completed Operations Coverage or Its substantial equivalent. YES JIC NO ❑ 1 f(# " . have submitted,valid proof of same to the Office. YES ❑ NO ❑ If you have checked YES, please Indicate the type of covera�e by y checking the appropriate box. p Al", INSURANCE,'10 BOND ❑ OTHER Ifs(Please Specify) r t tt. . Estimated Valu9 of Electrical Work$ (Expiration Date) Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of erjury: i FIRM NAME Bud-f9 Eiectric Inc Licensee Vincent B. I�a.n ers r LIC. NO. 201 QTS., ,.i Signature_ LIC. No.238 1 Address 24 (`O1 g;�tP Dr N AnrinyP� 1845 Bus. Tel. No. ''OR- 375-4455 I • Ma Alt.'Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the Insurance coverage or Its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE$ (Signature of Owner or Agent) x-6565 is 'a Date. �No 44 6n , TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING • � r / This certifies that . . ._N22 T . has permission to perform . — ?�--. . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings—of//— . �J` t �%'' ' . . . . . . . . . . . . . ..North Andover, Mass. at . . . . . . . . . . . . . . Fee ? . . .L'ic. No,7N7. . . . . . . . . . . . . . . . . . PLUMB�G J144CTOR Check # , ` WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS F TING Type or print) Date ,/r9,j,, ' NORTH ANDOVER, MASSACHUSETTS 619 Building Locations Permit# `7 7 Amount Owner's Name �J,¢ 1� New F1RenoReplacement ❑ Plans Submitted ❑ y n V z ui n n z c y z ? C Z z r C y Z =t m _ :t z ` i4 z ' n z C 7 C n J SUB -8ASE .Yt ENT BASE .M ENT Is,r. FLUOR 2N D . FLO U R JR D . FLOUR x:. 4'rii . FLUO R 5'r if FLU U R 6T 11 . F L O U R 7T 11 . FLUUR ST 11 . F1, OO R IE := ; (Print or type) C����/I� Check one: Certificate Instal ing Company s ' Name 'Corp. Address 6 ❑ Partner. Business Telephone ❑ Firm/Co. r Z.r77r Name of Licensed Plumber or Gas Fitter �p INSURANCE COVERAGE Check on I have a current liability Insurance policy or it's substantial equivalent. Yes 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 Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Arent Owner ❑ AQent ❑ i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the _ best of my knowledge and that all plumbing work and installations pert ed under Permit Issued for this application will be in compliance with all pertinent provisions ofthe�lassachusetu Stat C e and C p r 142 ofthe General Laws. ignature of License Plumber r Gas Fitter By: Title Plumber p�, CityiTown ❑ Gas Fitter (cense ivumoe ❑ Master APPRO�ED wFP!C.usE ONLY) ❑ Journeyman Location No. Date A • "O"'" TOWN OF NORTH ANDOVER ,. , Certificate of Occupancy $ Building/Frame Permit Fee $ E�� Foundation Permit Fee $ ' S�CHUS Other Permit Fee $ Sewer Connection Fee $ __-- Water Connection Fee $ TOTAL $ (/ • J CAl., Building Inspector I ow4/99 tt:2 t 97.00 PAID Div. Public Works PERMIT NO. 2 APPLICATION FOR PERMIT TO BUILD******** ORTH ANDOVER, MA MAP NO. LOT NO. 1312. RECORD OF ONYNERSHH' V DATE, BOOK PAGE "LONE SUB DIV. LOT NO. LOCATION /� �O' LG A PURPOSE OF BUILDING �ZL� �� I��✓ ®! IR OWNER'S NAME ��� NO.OF STORIES SIZE ONVNER'S ADDRESS / S C.oGG TSJ BASEMENT OR SLAB ARCIIFFECT'S NAME ✓d Gf !� SIZE OF FLOOR TIMBERS j ST 2 X JY 2ND 3RD BUILDER'S NAME / SPAN DISTANCE TO NEAREST BUILDING 'S DIMENSIONS OF SILLS DISTANCE FROM STREET d ��f, S' "I" DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES �)!" REAR DIMENSIONS OF GIRDERS AREA OF LOT loD� SF FRONTAGE ` HEIGHT OF FOUNDATION THICKNESS 8 u IS BUILDING NEW �� SIZE OF FOOTING /X �:� X IS BUILDING ADDITION ��7 MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yl�j 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 65 INSTUCTIONS 3. PROPERTY INFORMA'CION LAND COST EST.BLDG.COST &V PAGE I FILL OUT SECTIONS I-3 tl EST.BLDG.COST PER SQ. FT. EST. BLDG. COST PER ROOM X09 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING /9 SEPTIC PERMIT NO. A'I'I-ACIIED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 111 4. APPROVED BY: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSP CTOR DATE FILED OWNERS TEL# CONTR.TEL# SIGNATURE OF-OWNER OR AUTHORIZED AGEN CONTR.LIC# FEE $ 6 PERMIT GRANTED ,s 19 Revised SIK4 JM DEPARTMENT OF-PUBLIC SAFETY a CONSTRUCTION SUPERVISOR LICENSE E tNueber: Expires: Birthdate: CS 005097 02/12/2000 02/12/1955 i Restricted To: 00 , j TIMOTHY GAFFNY 466 NERRIIIACK ST METHUEN, NA 01844 c The Commonwealth of Massachusetts d Department of Industrial Accidents A Office of Investigations .� Boston, Mass. 02111 � y\ S�0 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity dI am an employer providing workers' compensation for my employees working on this job. ComNany name: o.G Address ✓��!? 16602-4,444< 577 City / YGfrGt_ m i� .� Phone#: 9 Insurance Co. 15 DV40' � Policv# Z/v S���U 7��— 0/ Company name: Address City Phone#: Insurance Co Poligy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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. 1 do hereby certify under pains and penalt" s of perjury that the information provided above is true and correct. Signature Date Print name f Phone# P Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing El Building Dept ❑Check if immediate response is required [] Licensing Board E] Selectman's Office Contact person: Phone#. E] Health Department Other , s ` FORMA 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. *****************************AP'PLICANT fiLLS OUT THIS SECTiON***************�`**�'`** APPLICANT AAA (I/ PHONE a LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREETS� � � ST. NUMBER—_�5 **** * ****** *********** ** *OFFICIAL USE ONLY"*** �► * ** *** RECOMMENDATIONS OF TOWN AGENTS: + CONSERVATION ADMINIST TOR DATE APPROVED DATE REJECTED COMMENTS o' . TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERlWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm I ORTH Towno '� �-� o 6 ndover No. Its= x ~- LAKE O ndover, Mass., q COCKICMEwICK ORATE D P? C5 1SSAC H USCI i FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ......../f// ..............d,4..01V ............................•......................... has permission to excavate and pour foundation at AS ..t r...P. T. for the purpose of....... .. 1. ......�..�. .0.........�.......SA . ���al� ..... ....... The person accepting'thfs_eermitlrisfreturn.to-the office of the Building Inspec r: a certified plot plan-show of building thereon before Foundation will be inspected. To Tri I�•r '�O � CJS s ismy y 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. .... ... ....... ..... ......... .. �� BUILDING INSPECTOR F NORTF, own of Over No. C� � c�'Adower, Mass., DRATED S cG 74 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ �.NA.....................6.0...Wwy ............................................ .......... ...................... Foundation 9has permission to erect..... ......X.�r„ ... buildings on ......... . . �Q►.a. ..... � Rough to be occupied as..... �......�!��►..... o / 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 Ric 3 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIO ST TS ELECTRICAL INSPECTOR Rough ......... ... ... ..... .. ... ........... .. .......... Service l 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 r Until Inspected and Approved by the Building Inspector..__------ Burner Street No. SEE REVERSE SIDE Smoke Det. n ' 1 CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE: 1"=40' Scott L. Giles R.P.L.S. NOTE; THE ZONING DISTRICT IS R-4 • 50 Deer Meadow Road North Andover, Mass. (V*bF3- 3 9a Slg(- 104.34 I. 23. 10 i 1 i LOT #2 2500+/- S.F. PLAN #3373 N.E.R.D. I iCD G� LOT #1 LOT #3' ( PROP ADD. 1 ' 0 O i exist. hse.fnd. L—tf - s 6* #15 Vol 125.0 COLGATE DRIVE � CERTIFY THAT OFFSETS SHOWN ARE FOR T41E USE THE OFFSETS OF THE BUILDING INSPECTOR ONLY i SHOWN COMPLY AND SUCH USE IS FOR THE � WITH THE ZONING DETERMINATION OF ZONING BY LAWS OF NORTH ANDOVER CONFORMITY OR NON-CONFORMITY I WHEN BUILT WHEN CONSTRUCTED. i I h ISO r�� I I -Ki"') 4- t I --.1.-.i - - - - ------ �; F--- - - - - -- -- - - - - 07o { o 71 - - - - - - - - - - - - - - 21 -o - �� � � ! � � ' �►-�a}d al— ,}. s-Y*�o�� �I I Iii \ � � � 1C�j r1 :li I I \ \ } Location l No. �2 +e-- Date s NaRTM TOWN OF NORTH ANDOVER A Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s1C14Us4 01her Permit Fee Sewer Connection Fee $ Water Connection Fee $ 60 TOTAL Building Inspector ft�:45 25.00 PAID 9554 Div. Public Works Location 17 Co(-64-tT, 1_._ No. (-Qzz Date �t Ct H "ORT"- aeNORT4,,,° ,,,tio TOWN OF NORTH ANDOVEF#� ,10 p Certificate of Occupancy $ i Building/Frame Permit Fee $ Foundation Permit Fee $ �CHus Other Permit Fee $ _ Sewer Connection Fee $ 4 Water Connection Fee $ TOTAL $ ��N I CSi( Lt.�� � �uifaing Inspector 9432 Div. Public Works PERMIT NO. CJCJ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP d40. - LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE i ZONE I SUB DIV. LOT NO. LOCATION UV 'T PURPOSE OF BUILDING1 1 �V VOWNER'S NAME i ytS`f 1 NO. OF STORIES SIZE OWNER'S ADDRESS ' l rnf BASEMENT OR SLAB ARCHITECT'S NAME l 7� SIZE OF FLOOR TIMBERSa IST x tc) 2ND MIA— 3RD N iL BUILDER'S NAME SPAN '( /©a r� /S DISTANCE TO NEAREST BUILDING 2r.1 DIMENSIONS OF SILLS �J x DISTANCE FROM STREET ij 1 �w POSTS DISTANCE FROM LOT LINES—SIDES 7 1�,,..-,u REAR 10 O ..fes " GIRDERS I AREA OF LOT ;//J_�t If I V FRONTAGE r HEIGHT OF FOUNDATION 1� IvH THICKNESS C,`N !I IS BUILDING NEW SIZE OF FOOTING 4-0R x g i,��� X V I IS BUILDING ADDITION MATERIAL OF CHIMNEY -13,f,41C_ IS BUILDING ALTERATION ,/Eek IS BUILDING ON SOLID OR FILLED LAND 1 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /,'ems ZL:' IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 7yG� IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION OQ-A�c'h.0� LAND COST Q�. I SEE BOTH SIDES ' • 1 EST. BLDG. COST �n.�, PAGE 1 FILL OUT SECTIONS 1 - 3 (/,IAA EST. BLDG. COST PER SQ. FT. 6O Qr„� �/`�,•` 7� /�n�Flw PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM �\, A�-��1�� SEPTIC PERMIT NO. /J ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED B " ATTACHE GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS UST BE F D AND PPROVED BY BUILDING INSPECTOR DATE FI ED — ` UILDING INSPECT011 AT E OF OW. R R A ORIZED AGENT 1 F-E E 60 c n OWNER TEL.# PERMIT GRANTED CONTR.TEL.ry 19 CONTR.LIC.J! r H.I.C.M } I Nov 2F 19,915 ( .432— C90L 3 23 I BUILDING RECORD , 1 OCCUPANCY 12 B 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 _ 8 INTERIOR FINISH CONCRETE B 1 2 13 111 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT I ' AREA FULL FIN. B'M'T' AREA _ '/r 1/2 l/, FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDN"D ASBESTOS SIDING COMMGN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK N MAS NRY ATTIC STIRS. 6 FLOOR I_ r BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I I POOR _ ADEQUATE ONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.( GAMBRELMANSARD TOILET RM. (2 FIX.( FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 3 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING r WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. b COLS. STEAM STEEL BMS. 3 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 _ ELECTRIC 1st 13rd NO HEATING v NORTH OVM of over 0 N - 620 o. Co I rt dover, Mass.,)ANI OEL Z-°1 19 - COC,IICHEWICK ���'ATEL PP�,`'C� 5 BOARD OF HEALTH Food/Kitchen PERMIT T , s Septic System i BUILDING INSPECTOR THISCERTIFIES THAT. ANA..... ...1. .t .4 .L.l..t............................................................................................................ Foundation has permission to emet...Am/A AO........ buildings on .. ... 4'?1' �4 .. G ........................................ Rough to be occupied as TAM ULA24pmIILI�IL....�UI.tI�,,�.•, .-. .`t�`'���/F�L�•••N. .�wl.A:.�'�`��. -C- -+r.�........... Chimney provided that the person accepting this pbrmit shall in everysrespect conform to the terms of the application on file in p P P g P PP 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 EXP 6 MONTHS Final ``b QUA UNLESS CON TI N T ELECTRICAL INSPECTOR Rough . . . .. .. .. ............. ...... . ... . ......... Service ' BUILDING ECTOR 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. Smoke Det. I ' a � NOV 2 7 CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE:1"=40' DATE:8/3/95 11/1/95 Scott L. Giles R.P.L.S. NOTE; THE ZONING DISTRICT IS R-4 50 Deer Meadow Road ` I North Andover, Mass. i 104.34 ?3 10 I I i I i LOT#2 i 25,600+/-S.F. PLAN#3373 N.E.R.D. i N I w LOT #1 LOT#3 °D cc w o �s 3s.s' 0 N PROP o PROP.ADD. o I ADD. 11.5 I s, v I A O N I N exist. hse.fnd. g Cq g o v I 15.0' 21.3' 9H #15 s' 24.6'+/_ I I � I ± I i I I 125.0 COLGATE DRIVE I I I I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE �► "�� THE OFFSETS OF THE BUILDING INSPECTOR ONLY �� 0 '� SHOWN COMPLY AND SUCH USE IS FOR T h HE WITH THE ZONING DETERMINATION OF ZONING BY LAWS OF ,� b NORTH ANDOVER CONFORMITY OR NON-CONFORMITY At 4AM� WHEN BUILT WHEN CONSTRUCTED. . I I v I , I I! • NORTIy Town of North Andover , OFFICE OF 3?Oy sf��o Ie,�Ot r; COMMUNITY DEVELOPMENT AND SERVICES ° 4L WAi 146 Main Street KENNETH R.MAHONY North Andover, Massachusetts 01845 Ssgcwes� i Director (508) 688-9533 I I HOMEOWNER LICENSE E.iLIAPTION Please print. I It DATE .[ I - 2-1 - Q5 ii Ij' VL,JOB LOCATION (5 �, ( Numb-e-r--�-�' S et address /� ,/ p Section of town "HOMEOWNER" I V � 1) -t�f 5 ((�� I ap -108 D r -2 8 (082-1-7 Name Home hone Work phone lG ! PRESENT MAILINGt�DDRESS _J lam- Cc U m — i i&,Town State Zip code I The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to enrage an individual for hire who does I not possess a license, provided that the owner acts as supervisor. (State Building Code Sec- I tion 109.1.1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he:she resides or intends to reside, on which there is, or is intended to be, a one to si-x family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a ! two-year period shall not be considered a homeowner . Such "homeowner' shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be I. responsible for all such work performed under the building, permit. (Section 109.1.1) I The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes. by-lacus, rules and regulations. . I The undersigned "homeow�ner' certi es that he.- e un stands the Town of iVo. Andover , Building Department minimum ins ection ore 'ure anA requirements and that he/she will i comply with said proc Aures and Q�;;_ a ts. it HOMEOWNER'S SIG ATURE zv APPROVAL OF BUILDING OFFICLU Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. i BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nioetta Michael Howard Sandra Starr Kathleen Bradley Colwell TOWN of NORTH ANDOVER AFFIDAVIT Efine 3u¢vvmszt Gmb mt w Law Salepfft to Past Applicatim y MZ c. 142 A r gAres that the'ie curt kn, altSatirn, zsnvatia�4 ter, modearirHrn, canuecsicn, iaplvUa mt, r wwd, dmalitim, or ca tmrtam of an ad itiam to any pn-- eadstig hrild- irg cmtaiug at least one hit mt mxethaifar da- ; units.-.or to st amiurFs 4rich are adjacait to s rh residffrp or baldug'be dom by registB:Ed ar&wb=9 with oataan was, alag wth othEr legirix�a�ts. I Type of Work: akJrL 4-i n r-�) Est. Cost Address of Work � Owner Name: 1 A S,L)n F—)Lc Date of Permit Application: — I hereby certify that: Registration is not required for the following reason(s): For aCfice Use Only Work excluded by law Rpt No. Job under $11000 Date Building not owner-occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING UM OWN PERMIT OR DFAIJM WITH UNREGISTERED CONTRACMRS_, FOR APPLICABLE ED E IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANTY FUND UNDER MGI. c. 142A. Sigred i ikr pe-alties of perjury: I hereby apply for a permit as the agent of the owner: z�-g� i Date Contractor Name Registration No. OR: /� Notwithstanding the abo a no io , I ereby for a permit as the owner of the abo4ve pr e ty: Date w-ner Natfid- CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 620 (1995) date June 17 , 1996 THIS CERTIFIES THAT THE BUILDING LOCATED ON 15 COLGATE DRIVE MAYBE OCCUPIED AS FAMILY ROOM & MASTER BEDRM. ADD-IN ACCORDANCE & INTERIOR ALTERATIONS WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Nina F i s i c h e l l i _ 15 Colgate Dr . ADDRESS North Andover , MA Building Inspector— . , jirt ; yf,l t f+lii •, 4 tE l }r • if , ovv�r� o ford ��_ over fi20 0 No. .l'�•Tort dover, Mass.,)Aoimm� Z.c1 19`�.s tl\ C BOARD OF HEALTH PERMIT TO D Food/Kitchen Septic System ►` BUILDING INSPECTOR THIS CERTIFIES THAT.IA1AP.....FtA.1Q,-WLLL............................................................................................................ Foundation [Ct62— has permission to ereet... ........ btjirdIngs on (Q ....................................... Rou h .to be occupied as Affi4,4 .. . .tY &....d'I�1. .�'1��� ...���I.G,�........... n i. provided that the person accepting this p rmit shal'I iii every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of a Buildings in the Town of North Andover. PLUMBING INSPECTOR V10LATION of the Zoning or Building Regulations Voids this Permit. �G�ra b A PERMIT EXP 6 NI ONTl�`-) UNLESS CON i 1 Tz P\'Z 1 ELECTRI AL SPECTO oug ) ''.!I......:.r.*.................................................................................. ... BUILDING INSPECTOR A q Occupancy Permit PEgtd red t0 GAS INSPECTOR Display 1n a Conspicuous Place on the Premises -- Do Not Remove No Lathing or Dry Wall To Be Done FIR DE ARTMENT Until Inspected and Approved the_Building. _Inspector., — — -- — - ---- At Burner t Street No. <a / Smoke Det. ; (` y-jk 23 I{,aREt H.P. EL's O.N _=-Town Of 120 N f=Ste!.01W - Diffvor �:...- (508) 682,-64883 - �•!► . -:NORTH ANDOVER BCILDING —�•' I . COSSERVATION HEALTH H PL INNT;G g CoN.31UN., = DEVELOPtiiEVT APPLICATION AND PV-P-M. T I PERMIT LCC�T.CN �C"' CQ�GAT-C 10� I NAME -71M o i)f-Y - I sum LCI ERIS NAMZ M.aSCN' S NI?E Al h Z I. �ZCvil � S l'SD LJR .S� ��VICY•♦C..������C1WC<\ 1 .f♦ n - 1 C T•=_-- ..it.�. �() ✓•�J ��� I H ATE:p.ZrA I 0_ C.---.f�,_ � 1T^Y✓f��, c5(all+ �- �/Gh Y ►�ht�G� 1:3': .... C::�:f�d:. __t._R_CR C _.fVE• n , IU LJ S.6 �' Cis .6-- 7 - W::_ c= .=a`r= ='�' -s arid r=_=• -==--'s c==' ='=e=`rec "o S I e ,A--- t $yl:i�nTLlCE OL '►d..=s C.l:�� CnN R. L-A _. = �O9S V/' EsT c�`rsTRLCTION C-_ •„T Cama RT'6`� ! " • V� -== �i ��� ' - ... te•: 0.6- '. RE�L�RRS THIS PERM" :SCS= 3= D7SPLAYE17 ON T;._ PRE:2ISES j I I I II I - I I } i _ 6r.irriirnirrn�•rr�/� � nEPaRrNE'Nr ut � �-� �, CONSTRUCTION "t S"InI'( Nu�abet: SUPERVISOR tICEJSE �xpites: CS 025769 i0;o2liate: , Restricted TO: 0.9 SS1 10/08irthd'11954 SFEPIiEE' J t';k4+!B1..iY 8 MY AVE HE;'fIUE'R, :?g E1I844 - -- -- - ---�� - - - - - -- — Location No. � _ Date NORTM TOWN OF NORTH ANDOVER p Certificate of Occupancy $ +ag • Building/Frame Permit Fee $ _ Foundation Permit Fee $ s�CMust Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ C) vBuilding Inspector !10.04 44.00 PAID Div. Public Works I APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 ' mA KVO. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK `PAGE — ZONE I SUB DIV. LOT NO. I CATION URPOSE OF BUILDINGle -Q 1• W 1 1�cW ' L,JWNER'S NAME 'A 1 L�/ly./ NO. OF STORIES SIZE _AYQNER'S ADDRESS /./1 V/ „�I _r. A�7(��j BASEMENT OR SLAB ARCHITECT'S NAME /`� c�V�7KI G SIZE OF FLOOR TIMBERS IST 2ND 3RD �UILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY `}S-BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND DXT—LL BUILDING CONFORM TO REQUIREMENTS OF CODE ��` IS BUILDING CONNECTED TO TOWN WATER BQ?CRD OF APPEALS ACTION. IF ANY �f 1 7 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTION INC PROPERTY INFORMATION i r \A �5 ��j LAND COST SEE BOTH SIDES �^l�i �/ c � � to � ���'"L�� �t/r�/�Lam/1 ST. BLDG. COST EST. BLDG. COST PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS I - 12 1"�^^' VK+" 111.� 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 AN MUST B FILED NO APPROVED BY BUILDING INSPECTOR D4 I LE �l BUILDING INSPRM(l SI F OW AUTHORIZED AGENT ' •F E E Co OWNERTEL.N PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# 1-11 io H.I.C. ���3 CoA-714 3II BUILDING RECORD , 1 OCCUPANCY 12 SINGLE FAMILY SPORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM f MULTI. FAMILY oFFlces __ 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 3 1 2 13 CONCRETE BL K. —{ PINE _ BRICK OR STONE HARDWD PIERS PIASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'T AREA _ '/. '/t '/. FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN i 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW'0 _ ASBESTOS SIDING COMMON _ 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� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 3 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'T 2nd _ ELECTRIC 1st 13rd NO HEATING I I i NORTH Too over No. 548 o rt dover, Mass., CQe�oa*e. 31 199T COC HIC Ht WICK AERATED BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...M�l'4A......M.... t�1.C.l;��ELI.I........................................................................................... •• Foundation has permission to ereet.MIR.........I..........:.. buildings on ..1�......c4AA h ..... e.................................... Rough to be occupied asr���YJ . SA0.t1a. 0... c4.tl.............i... Chimney provided that the person.a.cce tin this permit shal1 n.4resP confi �- to-(I�hte terms of the application on file n 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 Final qrj A� • PERMIT EXP 6 MONTHS UNLESS CON TR O S ELECTRICAL INSPECTOR Rough ......_ ................... Service -BUILDING INSPECTOR Final r, Occupancy Pe'1"1"nit Required t0 Occupy Building GAS INSPECTOR • Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Until Ins P Burner 1 . — — — — — — Street No. Smoke Det. q;313 TOWN of NORTH ANDOVER AFFIDAVIT Hobe kRnvelffit Gmtractar law awls to Pm t tgucat im 1 M�c. 142 A Yegidres that the , altamtim, isnvatim, repair, I i7atim, capws ion, impvveoait, namval, dmolit im, or caEtnrtim of an alitian to any pre- edstirg aarr- oc oed hdld- ug arta k&g at least cne hit not mxe thm fdr d e l irg udts...cr tb su runes,4fidi,acre, adjaoait to strh residare or huldne'le done by registered aQ�tors, Guth certain e@ , along ot3w YewirE mtts. I I Type of Work: P'47-'z'1,96 'ToLY-1 5y OF td&JS6 Mil Est. Cost I'1SC Address of Work —Pl- Owner Name: I v l l)A— Date of Permit Application: 0 z�21 qS- I I hereby certify that: Registration is not required for the following reason(s): Fcr office Use Qily i Work excluded by law Famit Ni). Job under $1,000 Date Building not owner-occupied I A- Owner pulling own permit i Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DFAIJNG WITH UNREGISTERED CONTRACI9ORS_ FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. i i I Signed uxler penalties of perjury: I hereby apply for a permit as the agent of the owner: j i Date Contractor Name Registration No. I OR: Notwithstanding t e aboveriot " c , I eby apply for a permit as the! owner of the abo e proper ;y• I 5a t el me i I I Location /,5— co/gC3le- No. SC) 9 v Date r TOWN OF NORTH ANDOVER a Certificate of Occupancy $ x Building/Frame Permit Fee $ � o # Foundation Permit Fee $ s�CHU Other Permit Fee Pool $ Sewer Connection Fee $ Water Connection Fee $ LL TOTAL Building Inspector I O t. 6 0 Div. Public Works 1)1?'RM I"I' NO. / APPLICATION FOR I)IAM11T O 131.111,)**"""NORT11 AND )V Nt,' MA KI%PNI1. V I0LNO. 2. fm olmO1 O��•nllt5nu• 1):x"11•: BOOK PAGE.. . /unf. V 51101)I)1N'.LI(1 11 N(I. j -- I1►( %IK)N /j 111 Milt61: MIII I)INc; ��(�1' Cn -Pool, 1Lj' >e,; / X/I Com/ 4 06 / No . O1SIORIUS) SIII: - — - ----- I n\•NCH's NAl.t6 .A --__------- OWNI:R'S AhURLSS I� IIA51:MlNr OR SIAII -�� Cot, fir' .. AKtI111L('1'SNAhII'. slZEOFI1.(XxtIIMBLRS IST Z 131111 DLk'S NAMI: SPAN - DISIAN(l: IONLARI:SI BUILDING DIAIFNSIONSOFS11.1,S DIS I ANCIi I KONI S'1 R1:1:L DII.t1iNSlOt4S(11 1'OS I S UISIANCE I ROt,11 OI-LINES-SIDES REAR DIMENSIONSOL GIRDERS ' AREA Cx=1 Or 114014 1 AGE IIEI(;ItI(M:f:OtINOAIION TI IICKNI:SS is13111LUIN(;NEW sill'Of IIx)IIN(i X _--- 1S BUII.DIN(;ALTERATION IS IIUII.DINO ON SOLID Cx2 FII 1120 LAND WIt 1,BUILDING CONFORM TO RIiQ(IIREMEN'FS OF CODE IS Ill III DIN(;CC)NNLC'I1:1)10 IOWN WAI ER I ! _ - - ISI1l;II.Uitdl;C(X114LCILI) I0NAI(1RA1.GASI.IIJLi wsiu 'IIONS 3. 1'ROPLIM' If�FnRAIACION I.ANOCOS V r ESI.I3I.IX;.COSr C _ I'4GI: I Fit t.ototsECIIONS I-3 ESI. BLIX;. COSI 1'LRS(2.1-1.' ES 1. BI IX;.COSI PER ROOM EI ECFRIC ME I LRS I.II Is V BE ON Of II SIDE OF BUILDING SLIT 1C I'LItMI l NO. AI'IACIIEI)(;ARA(;LSNILISI CONF()I2M rOSFATEFIRUR0;111.AllONS a. APPROVED BY: FLANS MUST HE 111 LD AND APPROVED BY BI111.1)ING INSI'I:CIOlt II(III.DING INSPE.C7 OR 0A 11:IllI:I) Z./o 2 Am OWNERSIl:lI/ 4: r �• 4f r.. (-ONIR.IIIb SIGNAIIMU(11 OX JtatIMAtIIIItNU/I:DA(;INI' 11 I- .,`, 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. FILLS OUT THIS APPLICANT /1//✓� PHONE 7 Wf LOCATION: Assessors Map Number_ PARCEL nL/ SUBDIVISION LOT (S) STREET �� C�fGCo/�?� ST. NUMBER�� *` "OFFICIAL USE ONLY �'` 'k' ` 9ECENbA T IONS OF TOWN AGENTS: /N62-IW ,�d1 /ZVA-2 xRVATION ADMINISTRATOR DATE APPROVED S DATE REJECTED COMMENTS LVYsq'�(r��S L h f,66 6 TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING iNSPECTCR DATE Revised 919;jm CERTIFIED PLOT PLAN LOCATED INN ORTH ANDOVER, MASS. S.CALE:1'=40' NOTE; THE ZONING DISTRICT IS R-4 Scott L. Giles R.P.L.S. 50 Deer Meadow Road North Andover, Mass. 1 p4.34 2 .70 I LOT#2 , I 25,60D+1- S.F. N PLAN#3373 N.E.R D. I 26' ' 68. N i LOT#1 { LOT #3 w 0 li exist hse.fnd. 1 .0' 21.3' #15 24.6'+A A. m tJ + f 125.0 COLGATE DRIVE I CERTIFY THAT. OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE N WITH THE ZONING j DETERMINATION OF ZONING I BY LAWS OF NORTH ANDOVER CONFORMITY OR NON-CONFORMITY WHEN BUILT WHEN CONSTRUCTED. - .. r „e.;F1 ''r+'t, -i '::i 4 -aw{L - i.Ji l sk :.S ")i'�'l)1-1. 1,';"id AL'tr.. -.ti'l--tl F. ,�,! - ..,J.-.. -'_.'. - t' .4 ..1 ..Y .:a' c .3_'.,. ..tf.;. �4-a95i .- :.,.7. .^t. 1.r'.' i -,f, r. �J:` �F -aa+ '•'''r°c� **T^f'S'." 4'lia oi�_ :sl :i.t{- _ t•,�,,r,.. ,.- {,of t.,z< �,fg.., :i =,',t,.f.. •.a { .r?r^..c •y._1.,"'H�.J>;t t.. p..t eyrn`.r",i;;:' Wit` .[.. ? Y 3:f.. s t .x. .e v t z, ¢: .f"}4-' #�'L .fit t,- ` t f ...:F L�fa i -ai i� 1 { t sf"Y1�i Ir.#9r .`tl ! c-:s 2 I.E.,..t,a„. <". �:` rse.=t i�'.. .r-r� '9C`' -t 1 `;}",=3`+`u +'�•LJa .r.:+_ rf;i �j$ t,3.t,.. S e..t is + a.,. n. ?rT ! ", '{. r --,,� , ,-'(',,� 1. .;,. I3ii 5.::? £.4 `�a,t.,.:. t !.A•. 1^t5 E,';7:+Y •• :st ! -i,.J�t ,5., 7' }} t. 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'a t :i { 7 tt e:t4 ) L L a F' a dtt ✓ -t .i, �r t, - ; c _� t t _ .� _ f . i h t t 1 't i rYt i 4 > Er,Pt ;' .t 1 J ` _jf - r .� 1 1 F t t ,} h L .. r - DA11.(MWDV/YY) ACDRDTM 11./05/1999 pPouuct�C (gjg)69�-,7667 FAX,(976)692-6462 THISC IFI ATE IStSSUEDASAMATTER OFINFORMATION ur.(c i•n AeVri es & Pozzi Ins Agcy LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS,CERTIFICATE DOES NOT AMEND,EXTEND OR 27,E Littleton Road Suite 32 ALTER THE COVERAGE AFFORDED,BY THE POLICIES BELOW, P0.Box- 770 COMPANIES AFFORDING COVERAGE We�tfo d, MA 01$86 coMPANr Hanover Insurance Company An6 Elena Mil onopoulos Ext: A . . 1►iLCURGO COMPANY Y CACPny Corp. Contractors B 3bp Merrimack Street Building #5 COMPANY C Lawrence MA 01843 COMPANY y I D ' 7,�Q•i�1��.�T�.—_.,.*.—�, .- L�� :;..: •"�� i.c. ! i�,r.• i r'� ti11,.:ti•�'"•.. .. ..�• •.„r:, ..�_. �.-.--, ' � �kenw�y...�!' ' ..a:•'.��,... L�. ..�Ii',d.�..::'.♦,�i.�.'...J'. . ,,�..( p:�l,, .' '1. .6;.,!. .•:r ,',ILr,.�,:,.?wls, '%Il ' ,::� '-.;a...i. I Tm6 IS TO CERTIFY THAT THE POLICIES OF INSUR,I{NCE LISTED SELQW HAVE KEN IS$UED TO THE INSUReD NAMED ABOVE FOR THE POLICY PERIOD INQICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONPITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICM THIS .C,IiRTIfICATE MAYBE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. `ExCl.USIONS AND CONpfTIQNS Of SUCH POLICIES.LIMITS SI TOWN MAY HAVE BEEN REDUCED BY PAID CL AIMS. I PQLICY EFFECTIVE!POLICY EXPIRATION UMIT9 60 TYPE OF URANCE ►OL CY NUMDER Y U 5 I DATE MIDWYY � OATS(MM7ppI'YT) _ GE GENERAL AGGREGATE s 2,000,000 . NERAI L�1pILITY COMMCRCIRL 01_N411AL LIABILITY ' I !PRODUCTS-COMPIOP AGG !S 2,000,000 r•' 1�ER60NAL 8 ADV INJURY 1,000,000 A clA1MSM�ot ,X ;pc;CUR rUN5407562 ; 03/15/J999 103/15/2000 owNt N's s r,ONTf1ACTVKS PAOT! I EACH OCCUM ONCE s 11000,000 I FIRE DAMAGE(Any one Ore) i 100.000 MED EXP(Any one ocr;on) ! 5.000 'AUTOMOBILE LIABILITY I ;COMtlIN£D SINGLE LIMIT S ANY AUTO I 1,000,000 AµOWNF,D AUTQq' I BODILY INJURY PW per*vl) `X BCUCDULLD AUTOS A ' -ADN5567329 03/15/1999 1 0,3/15/2000 I - s X 'HIRf;r)AUTOS :ppD1LY INJURY S X _ (Per accidcnl)NUN�OWNIOAUTUS j ! ! i PROPER IYDAMAGE S ~ .CAhAGf LIABIUrY l j AUTO ONLY•Ea ACC,IDt NT ,S ANY AUTO I OTHER NAN AUTO ONLY: EACH ACCIOW S I ! AOGREGAIE S EACH occunRENCE s 5 10 00,000 EXCESS L{ABiM A I,X i VMt}kGILA,FOHM :UHNSISQ2O1 103/15/1999 Q3/1S/2000 IAGCKE)ATE ! 5,000,000 OTHCIJ TIM VMdREI.I.A_roam � I S T TW�j K�ERS CQMIPENSATION/WO I 1 X TQR }}NITS, ER W,.. .. EN)PIAYER9'�IgBILITT EL EACH ACCIDENT f SOD,000 WZN5S6,0726 103/15/1999 93/151�000 ---- 01 INCL SEASE•PULICYLIMIT i 500,000 ( .TIIE rHVrk)CT(7R1 ' .. .. ,PARINEryLXLCUI,IVE ! i I OFI-ICER-SAI(E' EXCL EL DISEASE EA EMPLOYEE,S 500,000 DTR--•.«+ � UY,JC1tJYlIGNt)fOP ZTION;lLOGATIONS1VEFIICLE SPECu+LITEMS N, Andover, MA. 09rmational Copy. ' Work perormed at: 15 Colgate Drive, ,e:'.�o N.•. .1 r._� ._ • SC BEC POUC16b PC LLED BEFORE TIIE CANC SHOULD ANY OF TME ABOVE DE RI E EXFlRAT1QN DATE THEREOF,THE ISSUING CQM PANY"LL ENDEAVOR TO MAIL 30 DAYS �a1TTEN NoTTc ETO THE CERTIFICATE IFICATE N OOFR NAMED TO inCLEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUOATION OR 14ABlUTY Nina M, Gaf f n y 15 Colgate Drive OF ANY sQN0 UPON TH PANY,ITS AGENTS OR RE NTW&,ow N. Andover, MA A(IyH MZF,DREPRESE TiV I :;. ... lohn e e + �' �,;� ;;I.....• N 19e '' NORTH t. Town of L Over 0 w" to No. d - o = E dover, Mass., q COCNIE � ADRATED P9 4% S 5` BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR ' THIS CERTIFIES THAT.......Almm............6--a-00V Y ................. .............. ......................................... Foundation ... g ...Co./I..to.. ....... �.V.�.... Rou h has permission to erect.�� ...�.�,..� buildin s on ...... .... g N rOv� to be occupied as...... .......... ........6 �rO I...../�V r 0 a i % �r� Chimney ... ........................................ .. .......... ................... provided that the person accepting this permit shall in every respect conform to the terms of th 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 f VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough rn PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIOTARS.............�..... • EL ECTRICAL INSPECTOR Rough ....... ...... ........................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT-- Until EPARTMENT Until Inspected and Approved by the Building Inspector. _ - ---- - -- Burner ----- ---- ----- —__--- Street No. ----SEE-REVERSE SIDE Smoke Det.