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Miscellaneous - 15 LONG PASTURE ROAD 4/30/2018 (2)
I�uf Date......U..... ,10RT1y TOWN OF NORTH ANDOVER a p PERMIT FOR WIRING �,SSACHUS� This certifies that .............7" 51 ....................... .. has permission to perform ROOi ..� .......... ...... ................................ wiring in the building o ./!�...../v.E G`.Iz.D................................................. at........1 .......Ld.N!A�.1"a.`�. .. .........,North Andover,Mass. No. ) j—.�7.. g� Fee.... .......00.. Lic.No. .1..... &. .1�����............ !! EL ECTRICALINSPECTOR Check # b � 7809 Commonwealth of Massachusetts Official UseOnty Department of Fire Services Permit No. 7g Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev.qw] leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to beP erformed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date: 1 i( 1 y) o 7 City or Town of: JV0 IZ T1i /- �n cfo To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 115 l-o•n c, -PA SJ-v.-u_ KO A O v Owner or Tenant IV l G tzo Telephone No. 979-557-5711 7 Owner's Address t 5 L o,, P✓ � e. 1 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Rte-S,L_,n C Utility Authorization No. Existing Service q10 U Amps 130 /0240 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: A(,e S v uy ,,•t a Completion of thefollowing table may be waived by the Ins ctor of Wires. a No.of Recessed Luminaires No.of CeiL-Sus . addle Fans a ns Total p (Paddle) � Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above ❑ In- o.❑ o Emergency ng 07 g d. d. Batte Units Na of Receptacle Outlets (Q No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners a Detection and No.of Switches Initiating nitiatin Devices otal No.of Alertin Devices No.of Ranges No.of Air Cond. Tons g No.of Waste Disposers Heat Pump _.utn er ons a o 1-Contain P Totals: _............._..... Detection/Alerting Devices No.of Dishwashers S ce/Area Heating KW Local❑ Municipal ❑ Other Pa g Connection No.of Dryers Heating Appliances KW Security of Devices or Equivalent No.of Water KW No.of No.of Data Wiring. Heaters Signs Ballasts Na of Devices or Eauivatent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNDevices r Wiring: / Na of Devices or E uivatent r. OTHER. Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Wort 00.0U (When required by municipal policy.) Work to Start: ///15 10.7 Inspections to be requested in accordance with MEC 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 force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 4 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this applkadon is true and complete FIRM NAME: EM M a r I a c.{`/rri c L ../ rr _7V�L LIC.NO.: 15 71 Licensee: e.(.�j R. 6:-M r'kAr Signature LIC.NO.: � i -7I 9 (If applicable nter"exem t in the license number I ) Bus.Tel.No.:, Address: /-36 667 _9(/ �l (7Xe /-74` X19`/ Alt.Tel.No.:�7P-N7v��abo2 *Security System Contractor License required for this work;if applicable,enter the license number here: tr-� 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)❑owner ❑owner's agent Owner/Agent PERMIT FEE:$ Signature Telephone Na I ® _ _ P147 l k R e J NORTFf a��S.lo 16q� r O icy ?, ea yy� T O L•„ 1. T A- COCMtC lWKw V q�RATEO I.P��.�� SSAcmusfc PUBLIC HEALTH DEPARTMENT Community Development Division Date: October 29,2007 Address: 15 Long Pasture Road Re: Building application for sunroon Dear: Mr. Nigro, Your application for the sunroom has been reviewed by the Health Department. The application was denied on, October 29, 2007,for the following reason as shown in red: 1. X Missing information 2. X Passing Title 5 inspection of septic system required per local N. Andover regulations 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system To address the problern If#1 is checked, please supply: a. Floor plan of existing and proposed addition—all rooms b. Certified plot plan showing house, septic system and proposed project in scale(you may pick up an as-built septic plan at the Health Office) H#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine whether it is operating properly: (inspector list attached) OR b. Tie-in to municipal sewer H#3 is checked: a. Relocate the project N#4 is checked: Options 1600 Osgood-Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult a professional engineer or registered sanitarian to determine the flow capacity of the septic system. b. Hire a professional engineer to design a new septic system that meets State Regulations c. Request approval of a deed restriction agreeing to always be a_-bedroom home. i. Submit a request in writing to the Board of Health identifying why the need to upgrade the septic system is a severe hardship. ii. Attend a BOH meeting to address the board iii. If approved, record the deed restriction at the registry of deeds Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, si Sawyer, Pubfic Health Directef Cc: Building Department File 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com m Flo Location J c� No. 1,39 Date �oRT� TOWN OF NORTH ANDOVER c'. F 9 • Certificate of Occupancy $ MUS Building/Frame Permit Fee $ U�y Foundation Permit Fee $ Other Permit Fee $ TOTAL $ —41 61d ! 4 Check # A6 17581 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUELDING PERM[rr NUMBER: 2 DATE ISSUED: )0 SIGNATURE: � - Building 06-�mniissioner/lnspector of Buildings Date SECTION 1-SITE INFORMATION I I I /A 1.1 Property Address: 1.2 Assessors Map and Parcel Number: '�c `�6 � _ po Map Number Par— 1.3 Zoning Information: 1.4 Property Dimensions: V Zonin Distrid Proposed Use Lot Area Frontageft v 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided RelqtLired Provided C 1.3. Flood Zone Information: 1.7 water Supply M.G.L.C.40. 34) 1.8 sewerage Disposal system: Public ❑ Private ❑ zone Outside Flood Zone ❑ Municipal ❑ On site Disposal system ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT _ ri 2.1 Owner of Record t�(� �� lirl � '�- : /� 1✓'f ' , a- Ad,' Name(Print) Address for Service---' Signature Telephone 0 2.2 Owner of Record: Name Print Address for Service: C 2 w Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ ke— Licensed Construction Supervisor: 1. U t l n� 1 License Number Cre s V � "TAdd ^, Expiration Pate 3 Signature Telephone r 3. Registered Home Improvement Contractor Not Applicable C a C C)W (.-- CcA� a Company Name 1 0 � I Registration Number r- Addres _ r 0Q 1;90 G ` Expirati _ o Date Z Signature Tel one SECTION 4-WORKERS COMPENSATION(NLG.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 it. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Descri tion of Proposed Work check aU applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of fit, Construction 3 PlumbingL Building Permit fee(.) x(b) 4 Mechanical HVAC I 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name " Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUBERS 1 2 NU 3RD SPAN DIlvIENSIONS OF SILLS DIMENSIONS OF POSTS D]MENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH1NMY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE a From!Joanne Flaherty To:Fax#19784537035 Date:8/2012004 Time:10:28:36 AM Page 1 of 2 COWT,,n CERTIFICATE OF LIABILITY INSURANCE 08/20/20o PRODUCEi (978)667-2541 FAX (978)671-4514 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Merrimack Valley Ins. Agcy, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 655 Boston Road, Suite lA HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Billerica, MA 01821 INSURERS AFFORDING COVERAGE NAIC# INSURED Crowley Construction & General Contracting Inc INsuRERA Western World 138 Virginia Ave INSUiErE. Lowell, MA 01852 r•l9U:�ERC. ! 114S I'ER D. INSURER E' OVERAGES THE POLICIES OF INSURANCE LISTED BELO01 HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'LNSR T'YpE OF INSURANCE I POLICY NUMBER I POLICY EFFECTIVE POLICY EXPIRATION DATIELIMITS GENERAL LIABILITY NPP865435 11/14/2003 11/14/2004 EAUHOCCUFFENCE $ 500,000 X IAMMERCIAL GENERAL LLABILITY ICP.IdP.GE TO RENTED $ 5(),000 �` ;yy�q CLAIM:MADE C OCCUR MED EXP IAny o-,e persi.ny $ 5,000 A ! GERSOVAL 9 ACV IVJURY $ 500,000 j I GENERAL A33?EG1;E $ 1 000 000 GFrJt AGGREGATE LIMIT A.PPLIE:PEF: FRORUCTS-CUMP+OP AGC, $ 500,000 POLIO7-7 PRO- r1 FCT LOC AUTOMOBILE LIABILITY COMEINED S I GLE LIMIT AN"AUTO I (Ea ndcelt) ?lI 01^AJ=D G.1 TO: I �°CCILY INJUR" I SCHEDULEC AI TOS I!Per pe;cnl HIRED ALTD5 ECCILY INJUR" $ NON-OWNED AUTOS I(Fer aCcl�erq (Per ooaidert) GARAGE LIABILITY I A.Lrro ONLY-EA rCGDENT $ r,N".4U70 OTH=R T-IAN EA NCC $ AUT-501,1_Y ^.GG $ EXCESSIUMBRELLA LIABILITY i I EACH OCCURFENCE $ UC��UH CLAIMS MADE RLUAI E $ 1 F7 DCCUr:Tipi RE7Ef,TION $ I $ WORKERS COMPENSATION AND -- �LTC�F'r EMPLOYERS'LIABILITf iEi L.EACHA(_C:IUEN! P.NY PRGFRIETCRJPAFTTJ=RicxECJTIVE GFFICEFAMEIABEP.EXCLUE El CISEASE-EAEMFLOYEE $ iascree aider I SPECIAL PFOVIBIONS te,b. E.L.CI:EfSE-FOLIC"_IIJIT $ OTHER I DESCRIPTION OF OPERATIONS t LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS L)ER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENCEAVUR TO MAIL Town of North Andover 0 GAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town Hal 1 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Charles Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. N. Andover, MA 01845 AUTHORIZED REPRESENTATIVE jAnthony Lucacio JOANNE % s ACORD 25(2001/08) FAX: (978)453-7035 OU ACORD CORPORATION 1488 Board of Buildin Req ns One Ashburton Pace, (gym Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 02/27/1961 I Number: CS 058114 Expires:02/27/2006 Restricted To: 00 STEPHEN CROWLEY 138 VIRGINIA AVE i LOWELL, MA 01852 Tr.no: 14017 Keep top for receipt and change of address notification. A. . � xafar.,�ei F t •§ 4�: L�0�9YIyLPJtIlJ6""""�4�Sv F BUILDING!REGULATi NS BOARD.OL Licnse CO N-TRUGTIONR` v . {umber .CS� 058114 - - - —- 7 Bi. hdate fWg711961 ;_, zpires Q2/2712006 j Tr.no: 7 4017 ri R stricted: :Qa S EPHEN CRQWLEY 13 VIRGINIA a?\/E 1 L:,WELL, MA (p 1852 Acting C ..mi ones e North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL , c11, S150A. The debris will be disposed of in: ur�L )Lc" s (Location of Facility) Sig of Permitaoii�Wnt Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector AUG-23-2004 MON 11,37 AN FRANCIS PROVENCHER INS FAX NO. 19784549343 P. 01 T , S m.n.. .4 ..i. I 1.yi r 'F 41 V. L#i�(t Yy 11�1' .l4R' •!4'CC.e .�{CIBRAA . 1 NAM k as�l T k; s i�'�4.t n sk ."a ��'�'' tr §�)9'':�'•� 4' 08.23.04 f? • �::i,:,4'i:Ya 1•...,v�,r .. F+�`R ",s.>a ni .".lAA.. :r:117•I r a".>o< •`>"">'!�1' PIIO®U06I L Q CflTE NFER6 NO ®HTS UuPOM THEA C lf�¢A FRANCIS FAOV29C'HER INS ���,,ppe�eIpp� T ( FICATE Qd V AMEN r4xle[FpNuu oM 530 AOGIBRS SI ALT�eR%e 9®E AFFDR60 TME POLICIE4 BELOW. LOWELL KA 01852 COMPANIES AFFORDING 0OVERAGE ` COMPANY Mog A THF TIavELERS INDSPINITY CM*AXY INOUFAID COMPANY CROWLEY CON51RUCTION GENERAL B CONTRACTING INC COMPANY 138 VSAGINIA AVE C I,OtO u MA 01852 COMPANY 0 .. . . n..r..w J+<F. : .•.;.n-:- .�,..•.+'::.'..: � e" ':h� vngr yg�y., q�,b:::.:ia h <• a.r,,�, .1"."•:f`x 4:! ."')"k'f!A::#;k; .�,.. z� �ktidW.x�'r�.� . ,.•M a,:�,���C,diiac,�� �f�:zt�ai�k�w�.',7�m,.4�.,k:2::Cx•,. THIS a TC CERfI THAT THE POU01E8 aF INBURANCfc I.IVED BELOW HAVi BEEN ISSUED TO t1 F IINS��WAiREO NANEd Awn mA Tb1E POLICY PERIOD GE911FICC.ATS AMY BE 168UEQSOROR MAY ANY P'ERrA,K NSURAAIG DID CIM ITIBYPCL ( DFSCRIBSO WEREN I SUBJEOCT M WnM REV=ALLL THE TERMHO S, EXCLUSIONS AND CONDITION CF SUCH PCLICIES.LLIr(S SHOO IAAY HA BEHY REDUCED BY PAID CLAI6I8: TYPH DF MVPA ID6 PDiICY Rlr l PMAV UTUMRE PDIICY am4" lla I l CIAYNI(NADOid1ry DA1E(YHDD1Y17 ' SIAL NAEIUTY C6NEAAl AOOfiE-0ATE s CG4MFtROWLCA�lERA1NlA8MlTY PAODIiCfll-COMPId`AQQ. n:$ CLAIM$KW[=OMa PEF90NALAAIN.IMMY $ owwwStOONTkALmlaPAOT. GACHOOMMNCG I AMR DAMAGE(Dry cno fir#) I i IWFA ORM(Arty ona Pwoon)S AUT&A lB LELNIBL.RT COM81NEti kN¢I E i AW AUTO NANr ALL ChYNEDAVU BODLYINMNY f 8CH60UUW AUTC6 (Pr Pvnan) RICO A" B(pLT IMRIfiY = 4004400 AUT03 (Pr A44*0) PAOP11iTY OAMA09 5 yIM��Y CNIv•EAA40DENT i 1 AIVYAUTO AUTOO Y: EACH ACCIDENT AOOiE6ATE ; 010618LIABILm f�CHOCCiIiRENCE S �LMOFELIAFORM AGGKOATE S MNIGATHM!EJMLAMW A ■0FAMS6UUPE TM Am JVD-837X259-4-04) 02-D2-04 02-02-05 BTATUTORYUMI1'Ni FACN AOCICENY PARTA IIEMMVE X INCL d1EA$E-PdXIY LMfT 11 CFFIMROARL' I I COL UI9 m-EACH 9APLOYEE D 100,000 THIS RL+PL6%C>~3 ANY 1 aop CERTIFICATE SSSUSD TO THE CERTIFICATE HOLDER AFFZCTING WORn" C09 COVERAGE. .r v. __.._. .a1,b..lL'."' ,rC'.lie'':s-.:,_ '.�':1—•: rt.:it:rt't':..'p, " ';S.I. ,+ " ;Wii,tr1 ..ikFi�p : M;+ w ;:" C � N �, ; da , av, t-bk,wsswu . i MM" AW OF THE AWE OEOOINR1 POLICFY W CAMMUID Off= THC RVIRATOM 0011 VId16DF. TIE ftU44 Of,MPAWWU ElOfA%ft TB MAY. TOLVNOFNORTI'iA.NllOVER :C DAYS WAfrPliNOTlplTOWE459111114UTEMONCEARAMICIT1E 21 CHARLES STREET NEFT,8111'fMJM TO MAL SUGH NOTW 00J.L IW44E NO 0611"TION OR N,ANDOVSR MA 01845 LMSLITYOFAWPW UPON 1HEa/OJA ANY,USA"MOR // iNTATIYE0. i AUTIIC� . .K. . .:.,.:r. "'"6?'•J;.�Sfa::#:e:�t;'1':� i•k�e;:.5:;:�::,8•FSF;y?:iaySS+�'OV;�':iy&;.,is4u.:,..:,ri'c.�',i;^Y,:,;.;�y:•:.:;';.tr;f':d+;:F,uiiaikk�it�'.,)ii;.:;ii'.i::Y�::1-'aPfx;ci4h .;,.... .:a:� s,>�xv'� .._i:sl,se a.�. r�srry,r§r,S1 ;�,..;`ky;r+•.,..,�`pa� u j �' 64? I NORTfy F Town of No. 137 A K E dover, Mass., COCIy ICMEwICK �� 'Lugs RATE0 P'? 1 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System W' ' /A Of A BUILDING INSPECTOR THIS CERTIFIES THAT....P $A N dr a / NQ .............. ....................... ..... ����� � ...... ........ ... ............ Foundation has permission to erect..................0011111-1 ...................... buildings on ...... ............... .V y as "s 6 Rough ................................. .... to be occupied as.....I...... ... '*rh ' Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By- ws re ting to the Inspec 'on, Alteration and Construction of Buildings in the Town of North Andover. D 1 O 4000PLUMBINGINSPECTOR ) VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6-MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUPION TAR Rough ...... . ...................................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. V p _ s , a : 3 / p7 ; Lli 41 314 w �j r - �r 'E. S •�s Ar,..0 Ar^f„,..tixd.. •.Y `Ys."4$w. sK ',~�r,,r� rEM , . a�''• `' cam- ,•r'Y ,. ri '� r yr yam' +k # �r ; , 94,s, `.,} - 2 a 9 d r Date. . .. . . ... . . . .. ... . . d ' NORTH 31 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ♦ 's �,SSACHUSEt . . . ."� This certifies that . . . . . . . . . . . . . . . . . . . has permission for gas installation . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •G=z- ,tic T at �S. . :..� . . � , N/o�h Andover, Mass. Fe � . . L c. No. . . .� '-�*0. . .. . . . . . . . . GAS INS����� Check# 4136 =� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) �} -01 /�Kf/-0-0'L MA Cate ��" 2001-"'Receipt# Permit# 43 6, Building Location it/ee � a Map: Lot: Zone: Type of Occupancy�.��� New ❑ Renovation Replacement❑ Plans Submitted: Yes❑ No ❑ Fee: m `� N ¢ Y en w ¢ N N N U x f- w y o s H j. F- w ¢ O U = H c7 N w m - ¢� > z Q 0 w a ¢ x x z a z ¢ m m r- w w o o s w y ¢ w Q _ LU w �, y a W W m 2 OF H Z — Q 2 2 W W U y ¢ C7 1-� Z J J F- 2 w W O U. H w -� F W 2 Q W O U, 4 N Q w > Q w z z Q 'x Q Q o g w - o w ¢ 2 0 C - w z 3 c cs w v ¢ > n a o SUB-BSMT. BASEMENT 1ST FLOOR 2140 FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR � Installing Campany Name EASTERN PROPANE & OIL, INC. Checkone: Certificate Address 131 WATER ST DANVERS MA 01923 � Corporation l� Estimate Valueof Work: ❑ Partnership Business Telephone 800-322-6628 ❑ Firm ICo. Name of licensed Plumber orGasFitter IZ7- INSURANCE COVERAGE: I have a currentility insurance policy or its substantial equivalent winch meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked ves, please indicate the type coverage by checking the appropriate box. A 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. Checkone: e. Owner Agent❑ Signature of Owner or Owners Agent ! I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed underthe permitissued for this application will be in compliance with Massachusetts State Gas Code and Chapter 142 of the Ge f Laws. all pertinent provisions of the Massach aP By Type of License: r Plumber 'gnatu tensed Plumber or Gas Fitter Title ast M Masterer Ucense Number !� City/Town Journeyman APPROVED (OFFICE USE ONLY) Awwd OW171W BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. i APPLICATION FOR PERMIT TO DO GASFITTING i NAME&TYPE OF BULIDING LOCATION OF BULIDING PLUMBER OR GASFITTER - LIC. NO. PERMIT GRANTED DATE TU GASINSPECTOR 2322 Date...kt.t .:........:...�U... NORTN TOWN OF NORTH ANDOVER .- PERMIT FOR WIRING +•rm•O�'(5 SACMUS� (/�/ ll�+.�C.� This certifies that./ l hal permission to perform-: ........................................................................ wiring in the building'f...., ... ........ ................................................. at'..�......:�.. ...y' �'.`.....�................................(North Andover,Mass. Fee %%�'......... Lic.No��z. 7 ... ..,..-a..�..! Viz.................... ELECTRICAL INSPECTOR Check # ��. WHITE:Applicant CANARY: Building Dept. PINK:Treasurer TIM00MV0NWE4LTH0FMtMaJUSET1S Office Use only DEPARTAMWOFPUBLICSAFM Permit No. vj�tS"U t BOARDOFFMEPREVE7MONREGM770AN527CMR 1200 Occupancy&Fees Checked APPLICATION FOR PERAff TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) _ Date J �' Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical worrk�described below. Location(Street&Number) Lown Owner or Tenant�A:I I ��Tsy ■ Owner's Address �� Is this permit in conjunction with a building permit: Yes® No (Check Appropriate Box) Purpose of Building wd 1=r'c� Utility Authorization No. Existing Service Amps Volts Overhead Underground No.of Meters New Service Amps Volts Overhead Underground Q No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 77771 -77, -77 777 77 Avg. PQ I) Q1:+ No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA and ound IM No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.4Dryers Heating Devices KW Local Q Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER L>SsuaroeCaa R�a>ant6nt4tetagtritaretisaETviassnGataalLaws Ihmeataare'tLrabtldyhsuta=PbficyutdttftCanpidcCcra CoAr s�tbaletg iva YES � NO thaNewbmibdvA dptoofofsare1otte0�YES ( NO If}wha%edvdcedYFS,plt m dica6 &tAXCfanerdWbydlcdmgthe b LOJ INSURANCB 0 BOND amm vemespe&y) L-rel,:). 'r l it QO bViatimD& Estermbd Vahiec E1mttical Wc&$ WakbSw s 3 00 hmpectiona*Rapeged Rao Final SigedmcleM ofi Jtey FIRMNAME LtoameNa Siglaw Lioam ilb 15 G X11 A ( L �n Bt&mTel.Na SrnS (b u r 3a a `o Sur•,rr,er- ST, �tiv��5 0' 1� fl MX1 AItTdNa ql-)-?- �a�� OWNER'SRSIS[If2ANCEWANER;Ianawazeihatt4eLiotime tttertma�net agearilssub�artalegtrivalettasiag�edby�Ger►ealIaws aod�atrrryaetnlhis ptm>�appficadottwaires oris Ie�tmerlat. (Please check one) Owner M Agent Telephone No. PERMIT FEE$ . Date. �. .. .. ko oTH of q� TOWN OF NORTH ANDOVER . PERMIT FOR GAS INSTALLATION �9SSACHUSE4 4 t This certifies that . . . f?. ?. . . . �./ / ./ c-� F has permission for gas installation . . . . ./ :. . . . . . . . . . . . ) in the buildings of . . .c .� r'q, u .0.(.(. . . . . . . . . . . . . . . . . . . . . . i at . . .1 .5. s_.� :.). . . �7 ? , North-Andover, Mass. Fee. ^. : . . . Lic. No. .�' ���:`' . . . . . D. . . .% GAS INSPECTOR Check# 1Y 7 I 3622 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING Print or Type) Yi'e) Q .'/� 20 d/ Recei / 2 MA Date pt# Permit# 3 6 BuildingLocation is�Lv�s�A.B5rV.4&- of —s G'.e.oe.0-� Map: Lot: Zone: Type of Occupancy New ❑ Renovation 31 Replacement❑ Plans Submitted: Yes❑ No ❑ Fee: y V> Q 7i Y W 2 y V7 y N U Z H 0: W 2 y ¢ O ¢ W S W ¢ O U S F S N 0J N W F- } m Z x 0] y r W W O Z a N1 ¢ O W Q = Z N O ¢ > uaj U W H W <cc usFUJ H S. k ,,✓° O f- Z J H Z W W O O > r+- !- () -3 y W� Q W > 0: W 3 Z Q ¢ Q4 O O W _ O W S S O 0 S ILL 7 >i O 1 C9 J V Q > G 0. H O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 0 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Li Installing CompanyName EASTERN PROPANE & OIL, INC. Checkone: Certificate Address 131 WATER ST DANV E R S MA 01923 Corporation Estimate Valueof Work: ❑ Partnership Business Telephone 800-322-6628 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter��A�e��/E f�lO�- INSURANCE COVERAGE: I have a current liab"ty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes U No ❑ If you have checked 4es please indicate the type coverage by checking the appropriate box. A liability insurance policy a--� 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. Checkone: Owner C3 Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142;theGe awS. By Type of License: �� Plumber Signature censed Plumber or Gas Fitter Title Gasfitter Master License Number 7 City/Town RJoumeyman APPROVED (OFFICE USE ONLY) Revised 05/17/00 i 1 I / r 1 I BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING I NAME 6 TYPE OF BULIDING i' r LOCATION OF BULIDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 20 GASINSPECTOR r i N° 2243 Date.... . .>��1...... t pORTM 1 o40 TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING SS US s This certifies that ....14 ar...............................................................ky 0 has permission to perform - � ........................................... ............ ... wiring in the building of..1 at..... .. ! ..... �r.,(. North Andover,Mas` Fee.�' ........... Lic.No.. . l ..............iG �/IfticrmcAL114 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer unlW v4u �J'0, , _ — 0lle &MM011wealtil of 1900=41oM Permit o. i0epurttnent of Public bufctq Oc panty b Fee Checked'L BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 pea"blank) APPLICATION FOR PERMIT TO PERFORM LECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Coder 527 CMR 12:00 (PLEASE PRINT 1N INK OR TYPE ALL INFORMATION) Date 1/27/99 City or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work•described below. Location (Street & Number) LOT 1A - TON(' PASTTTRF T ANF Owner or Tenant STEVE CROWLEY _ Owner's Address (978) 453-7035 Is this permit in conjunction with ;%building permit: Yes ❑ No ® (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps _l Volts Overhead ❑ ' Undgmd ❑ NO. o! Meters New Service Amps_J Volts Overhead ❑ Undgmd ❑. No.of Meters Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot Tubs EGenemtors nrlers KVA 3 No. of Lighiing Fixtures Swimming Pool Above Io- KVA gmd, ❑ gmd. ❑ o.oency Lighting + No. of Receptacle Outlets No.of Oil Burners Battery Units No. of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones lbtal No.of Detection and No. of Ranges No.of Air Cond. tons Initiating Devices No. of Disposals No.of Heat •iblal total No.of Sounding Devices Pumps Tons KW No.of sell Contained No. of Dishwashers Space/Area Heating KW DetectiorySounding Devices Lotsai' Municipal Other No. of Dryers Healing Devices KW Connectlon ❑ Low Voltage No.". No.of Vflng BU GLAR ALARM No. of Water Heaters KW Signa Ballasts No. Hydro Massage Tubs No,of Motors Total HP , OTHER: INSUnANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I haves a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES G NO O 1 have submitted valld proof of same to the Office.YES O NO O If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE C BOND. O OTHER ❑ (Please Specify) (Expiration Oeste) Estimated Value of Electrical Work$ 668.00 Work to Start 1/19/99 Inspection Date Requested: Rough - Final 1/2 2/9 9 Signed imdor the Penalties of perjury: UC.NO. FIRM NAME Licernen _ 1)nnal i_A A�•oo s Signature UC. NO. 140 Bus,Tel.No. (413) 737-4400 Address 111 Morse Street, Norwood, MA Alt.Tot.No. OWNEWS INSunANCE WAIVER: I am aware that the LiconseM does not have the Insurunco coverage or Its substantial equivalent as is, oul,wd by Ma.!,nchusotts Genoral Laws• and that my signature on this pormil appllcatgn waives this requirement. Owner Agent (r'teasa chock ono) ,.Telephone No.^._ PERMIT FEE •f. 35.00 (Sionalure of Ownor or Agont) 1•0545 Location No. /IXIIJ Date ` Li M-ter✓ NORTq TOWN OF NORTH ANDOVER 0�� .ao ,•,ti0 3? i • O f A + ; ; Certificate of Occupancy $ Building/Frame Permit Fee $ s�cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� Check # j 3613 _ 8 f f' `Building In�ctor 4 TOWN OF NORTH ANDOVER ' BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: e) X SIGNATURE: Building Commissionelffinspector of Buildings Date SECTION 1-SITE INFORMATION ^ 1.1 Property Address: 1.2 Assessors Map and Parcel Number: V L5 RA 0 ,8 / I Map Number Parcel N ber 1.3 Zoning Information: 1.4 Property Dimensions: o 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 1.7 WaterSuy(tly M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: `/ ? Public B� Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System �Y SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record "N W C �p ,Q l� Cl`. d Name(Print) Address for Servi -1 - q� d Signature' Telephone 2.2 Owntr of Record: Name Print Address for Service: O do® ' t=om I ,ern Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 31 Licensed Construction Supervisor: L� e �6 5' I � Not Applicable ❑ Licensed C nsb truction pe isor: CIS 6 /bc� o o 00 61. _ f` Q License Number Address 7 , ( j r� 91,461 ' 9 Q r��6 � �oU Eviration Date Sign Telephone r 3.2 Registered Home Improvement Contractorp Not Applicable ❑ v Company 1fme U j16 m6 rn A^� Registration KunibeTr r Address q7� al `/ a n&660 te tv (1 Z Expiration Date Si nat re Telephone Y I FORM U - LOT RELEASE FORM INSTRUCTIONS: T'nis 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. AFFLICANT FILLS OUT THIS SECTION**' APPLICANT CC•0U)�e—1 �'1 CD4 I V)C-.. PHONE L463 --�o35 LOCATION: Assessors Man Number PARC;._ SUEDIVISION LCJ C1G LOT (S) _ STRE.T 1 S L�nGr�Syc� 1�C1� ST. NUMEER OFriC1AL USE ONLY RECOMMENDATI NS OF TOWN AGENTS: N6&�Wz) O© CONSERVATION AOMINISTIkATCR DATE APPROVED DATE REJECTED COMMENTS -� TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE.-APPROVED DATE REJECTED S_cFTIC INSPECTOR-HEALTH DATE APPROVED Z Q DATE REJECTED COMMENTS PUELIC WORKS -SEWErRIWATER CONNECTIONS Al DRIVE'NAY PERMIT FIRE DEPARTMENT 6� 4-T � � 11v 'CCEIVED EY EUILGING iNSPECTOR DATE `ted 997 im UlVUt�'�'Crn'UUNL I UTILI RES r 8� WA TER SER VICE X EXIS TING WA TER SHU r-OFF Z k. 6✓" z � v c7 J v BENCHMARK. O TOP FND. = 112.20 Z i N AREA = 2.( O A, 1500 GALLON 7- SEP 77C TANK 16.2 --N SSESSORS Er MAP 10 - Lo X 4' WIDE . TRENCH (TYP.) j cv %VAb I -BOX l A `.`q� L 44.80' / �. �/ .S u ✓1� Covrzrnan�iiecr,�,l� o��,./�f a:fac�zuaello . BOARD OF BUILDING REGULATIONS - ► License: CONSTRUCTION SUPERVISOR Number: CS 010216 a Birthdate: 09/29/1934 Expires:09/29/2001 Tr.no: 5839 Restricted To: 00 STEPHEN S ZAGORSKI JRA : 29 NEWBURY ST PEABODY, MA 01960 Administrator � fie �anv�r;o�u,�etz� o�����ezc�ucae� HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton Place Roam 1801 Boston , Massachusetts 0210 HOME IMPROVEMENT CONTRACTOR /06/00 Registration 11.01.06 Expiration 10 YP - e PRIVATE VATE CORPORATION 1� P AQUA-CRAFT , INC . STEPHEN S . ZAGORSKI , JR . 29 NEWBURY ST PEABODY MA 01960 I RD4Cc-VtIMM Util I ItylUA i L UI- LIABILI I Y INbUKAIVl.;L ASITAIC 1 08,124/99 f11 ER IFI�ATE 13 IS9UE /�iS A MATTER OF INFIRMATIC?N 'Iaasls &, LILTit 1115, Agarlcy Inc. ONLY AND CONFERR NO RIGHTS UPON THE CERTIFICATE :j 0 Box 5.90 HOLDER. T14I9 CERTIFICATE DOES NOT AMEND, EXTEND OR k7 State Street ALTER THE COVERAGE AFFORDED BY THE POLL,CIES BELOW. TewbUryport MA 01550 COMPANIES AFFORDING COVERAGE :raig S. Childs COMPANY t.Q„-VgL- -462 `•_ aN . A Guard Xneurance (croup ALIACU COMPANY $ COMPANY Agim-Craft, 111c.29 C Newbury St COMPANY MA 01-)60 a ;OVERAGES THIS IS TO CERTIFY THAT^'HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATEO, NOTWITHSTANOING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUME14T WITH RESPECT TO WHICH TRIS CERTIFICATE MAY BE ISSUI1.0 OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITI,)NS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE POLICY NUMBER PDIiGY EFFECTIVE POLICY EXPIRATION IJMITS Tq i DATE IMMIDDJYYt I DAT!(MMIDD,YYI } GENERAL LIARIUTY I I GENERAL AGJRWATE 6 I COMMERCIAL GENERAL U NSILITY I PRODUCTS-COMP/OP A(,G Y rr CLAIMS MADE OCCUR 1 PERSONAL k ADV INJURY 8 OWNER'S S CONTRACTOI'S PROT, EACH OCCURRENCE 6 ,.-_� .__-.....,..•__.__-_.--„�„� 1 FIRE DAMAGE(Any unv 14.01 1.$ MED EXP(Any cute perncxU (tl AUTOMOUILE LIABILITY AIJY AUTO I COM61NED SINGLE I.IMIT e AIL O',VNED AUTOS — I �BODILY INJURY ------_- _! _._...___•.._._.__ (- I SCHEDULED AUTOS + i i(Per personl , I1111RED AUT05 ._-�_......_.......__.___.-._.._...__..._,..........._..._... I BGDIUf IN.IURY ! NON-OWNED AUTOS + I I Iger ac dant) , PR(-JPLRI'Y D;,MAGE I S i GARAGE UA81L17Y AUTO ONLY.fA ACCIGFNT 3 I ANY AUTO r� OTHER THAN AUTO ONLY. ^� L-- .--- - I EACH ACCIDENT d AGGR• EGAT EY E64 UAUIUTY EXC EACH OCCURRENCE I e 1 I)MIiReLLA FORM I _._.....-....._-�_ I A03RE.OATE 1 ! OTHER THAN UNIUSELL.A F'JRA1 WORKERS COMPENSATION ANI) 'W;yG����bTATU- OTH- ' EIVIPLDYERS'IJADILITY j `•—yi•x•14 Ll.t 11-T 5.1—_1 EE '. EL EACHACCID.NT it 5001)00 It THEPROPRIFTOR/ �,IINCL -7QWCO22462 08 25 99 0825/00 ELDISEASE•POLICY LIMIT 15001)00 P4ATNER9%5riECUTIVE I / / � .—'—_""""--"-� .,.-_-..--•---- OfFICEAS ARE: I EXCL I EL DISEASE•EA EMPLOYEE l OTHER 6 5001)00 � --••---. ---_ )ESCRIPTiON OF OPE'RATIONS/LOCA110NSIVEHICLES/SPECIAL NEMS "-'__ _,y__—_•_�,j,.,_„___�,�_,i_,,,_,_—__,—__,_. ^_•__-_—_,___-__.__,__.-.___ OpOrations Ugual tD the insured!o business. ;ERTIFI—CA TECA HOLQER NCELLATION THOT1C01 SHOULD ANY OF THi ABOVE DESCRIBED POLICIES BE CANCELLED DEFORE T42 EXPIRATION DATE THEREOF,THE ISBUINQ COMPANY Will ENDRAVOR TO MAIL 1 O DAYS WRITTEN NOTICE TO THE CERnF1CAT6 HOLDER NAMED TO 7I,E LEFT, BLIT FAILURE TO MAIL$0011 NOTICE SF LIMP(90 NO 0�,1 A7����J{{{N OR,�IA 111UP OF ANY KIND NEON THE COMPANY,AS AGIiN 0 AR E5 ATIVE � _.� AIJTHURIZED REPRESENTATIVE 1 - - C ra3.g S. Childs � ,i 1CORD 25•S (1/96) v ACOYip CORPORALICllk f988 V40"H own of :l over moo dover, Mass., COCMICMEWICK �ADRATED '9S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... . . .��..M............... .. ..../�to0............................................. ...................... ......... Foundation ♦,f has permission to erect...!9P.. IQ......�,buildings on .........�«J.�.........I�.Q.*+�... A4....Vrr....7 ... Rough Wo�N s .# ...4.... ..... J%A*1...P0.1..140...���.r..... �.�............ Chimney to be occupied as...> ............ ��!......... . N provided that the person accepting this permit shall in eveMpect conform to the terms of the applic tion on file in Final this office, and to the provisions.of the Codes and By-Laws relating to the Inspection, A eration and Construction of Buildings in the Town of North Andover. /D� ,' PLUMBING INSPECTOR 1$f7 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUW Rough e— ..... .... ................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. a To: (OAlSRf-0A� / k72 �rSSia el 1 Common I Please be advised that the Order of Conditions for the project at /o�vG *aniyzE�s7A?S 9 M Rojea Locxan DEP file Number has been recorded at the Registry of Deeds of Caunry and has been noted in the chain of title of the affected property in Book PVe in accordance with the Order of Conditions issued on 43,4/LcK / 9'9! Ogre If recorded land the instrument number which identifies this transaction is 455 ?,9 IrawmerrNumba If registered land,the document number which identifies this transaction is Doatmerr Nu� _ Sipaue ofAPTCxr I LOCA TION Or UNDERGROUND 1 U T!L I TIES ' I LOCUS � I '"O'qt S r DRAINA �7 s o WA TER 1 SER VICE- . EXISTING & WA TER Z—OFF T SHUei?Ih <� �7 0� 9`��17 \ o � z BENCHMARK. v" O C y l TOP FND. = 112.20 Z LOT 7 O AREA = 2.00 ACRES Z 1500 GALLON -- SEP TIC TANK -�6. � - �_. . - - - - - - ASSL SSc�RS REr t,Rt N —E: MAP 1068, LOT 17 50' LONG X 4' WIDE ON. LEACHING TRENCH (TYP.) i 6 \ / 27.06' <� ��\ P� 96 � —� " 50 4 A� \ f BOX 0 9 S _44ya� AS - 44.80' .80' LOT 6 -N _ 299.84' '��►�� \��' c-A \ / 68.77 DRAINAGE EASEMENT \\ 00, AL I -AIL \ 40.0 LOT 2 52 /. / • � ' // \� � A`A NAFF 59\ ! 60.z2 tcZ�) IL TER 1 7p C, \ t1� Cdool CS 110 Ole N�k -o \ �� ` LIMIT OF 25' NO-DISTURBANCE ZONE c c z -r, POOL \ ,► ,108 \ - LIMIT OF 50' NO-CONSTRUCTION ZONE \ 08 _ _ LOT 7 ALL POOL CHEM/GALS 30' EXISTING SEDIMENTATION CONTROL ARE TO BE STORED IN THE GARAGE i PROPOSED SWIMMING =" POOL AREA CONSERVATION ORDER OF CONDITIONS LOT 7 ``��'4 - PROPOSED FENCE - DEWATERING AREA MODIFICA TION PLAN AREA = 2.00 ACRES 5 FOR �° 8ti ---------- LOT 7 LONG PASTURE LOCATED IN LIMIT OF 100' BUFFER ZONE NORTH ANDOVER, MASS. �-.-DRAINAGE EASEMENT LOT B r '7 PREPARED FOR F lu RAINBOW BUILDERS � y C S EN �O 1 -isa SCALE: 1' = 40' DATE: OCTOBER 6, 1999 NOTE: THE DEWATERING AREA /S TO No.28895 y REV.: 3/14/00, 3/28/00, 4/3/00 CONSIST OF A 2' HIGH BERM OF 314" q p Q 20 0 20 40r•r TO 1-112" CRUSHED STONE WITH A 9��F GIs SF4y��� DOUBLE ROW OF STAKED HAY BALES s/DNAL EN CHR/ST/ANSEN $�SERG/ PROFESS L MIN AND STAKED SILT FENCE ON TOP 160 SUMMER ST. MMINtl• MA 01830 TEL 978-373-0310 ©1999 BY CNRISTIANS£N 4' SERGI, INC. DWG. NO. 94080024 • OR ft QF�t�eo #6q�r0 OL O� [ocS .•Cwwncw� ��SSACH�5�A A5 I i APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY : DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: l0 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES_ NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING ,1_ _ O C ra U" ✓PV,.� � Fel s/5 9 CONSERVATION PLANNING DPW -WATER METER NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW � Signature File: OC forth revised 618/98 t v rn Y i .. .. .. tn 05 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number `a Date ha dg,(� THIS CERTIFIES THAT THE BUILDING LOCATED ON ; /,s4 y" /2C� MAY BE OCCUPIED ASe, ����� / 2`��'' IN ACCORDANCE g / � y WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. / / --� I ",°o';�,. CERTIFICATE ISSUED TO ✓d `V y � l �'P�4 ,?'(� ADDRESS o2 Cm P v to 2 43ACMUsBuilding Inspector It : own of dover No. tt cover, Mass. — 19Y '� �' COCifICNE 9/1CK � 4 TED 9- y ' C BOARD OF HEALTH PERMI -1- T Food/Kitchen Septic System THIS CERTIFIES THAT BUILDING INSPECTOR . Foundation has permission to erect........................................ buildings on .................................:......:..,....................... ..................:.:::..: Rough tobe occupied as.............................................................:..::....... ................................:....... .... ...:.........:................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final /N1 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. hG�/o��QL`^- to ' ` UNLESS CONSTRUCTION STARTSELECTRICAL IN PECTOR ough •/ . ................................................................................................................. Service BUILDING INSPECTOR ina QcC:upanc, . -emiir Required to Occ*lVy I_uiWing GAS INSPECTOR Display in a Conspicuous Place on the Premises -- Do Not Remove Rough Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building inspector. Burner Street No. Smoke Derep PTB31IT,No. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP YJO. O LOT NO. /J L2 ;RECORD OF OWNERSHIP DATE BOOK jPAGE ZONE SUB DIV. LOT NO.LOCATION F BUILDINGOWNER'S NAME / RIES1 SIZE OWNER'S ADDRESS / + OR SLAB ' ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST Qplp - BUILDER'S NAME Qn SPAN //_ DISTANCE TO NEAREST BUI DING DIMENSIONS OF SILLS " DISTANCE-FROM STREET / U - POSTS sx � DISTANCE FROM LOT LINES —SIDES (,Q.FL REAR 0jr- a GIRDERS AREA OF LOT FRONTAGE a�.J �iFOUNDATION HEIGHT OF //(-"• '�1THICKNESS IS BUILOiNG NEW S IZE OF FOOTING x x 18 BUILDING ADDITION ,!d OF CHIMNEY IS BUILDING ALTERATION N/n /� Alac.COY- G - - �V IS BUILDING ON SOLID OR FILLED LAND !U WILL BUILDING CONFORM TO REQUIREMENTS OF CODEV IS BUILDING CONNECTED TO TOWN WATER (/1' BOARD OF APPEALS ACTION. IF ANY _ IS BUILDING CONNECTED TO TOWN SEWER ^ � n IS BUILDING CONNECTED TO.NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION J � SEE BOTH SIDES - LAND COOT 0 V V EST. BLDG. COST 7", PAG I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. ' PAGE FILL OUT SECTIONS 1 - 12 - - EBT. BLDG. COST PER ROOM x SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ���y 4 APPROVED By ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULAT �s / PLANS MUST BE FILED AND APPROVED BY BUILDING INBPECT M ' DATE IL DAI C! h�►wrw7Slf;NATURE OR AUTHORIZED AGENT BUILDING INSPECTOR FEE OWNER TEL PERMIT GRANTED ',"—^^^- t5 �V CONTR.TEL CONTR.UC.0 H.I.C.# — - 5 ... "1IL©ING DEPART 3 y j.._,_.f. iF-.....-... _, -�.,... t..... .•:;: .'.�. :. Y.. .. �> '°3'.i: 'L4x # 9.'`•ei..nvwJ*.'+..w g F Xi vN. Fss d � 'L`.-.o .vA '•."Li�FY�� 'c. 1 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve, the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. I ****************Applicant fills out this segtion***************** APPLICANT: Phone LOCATION: Assessor's Map Number G Parcel Subdivision Lots) Street St. Number ************************Official Use Only************************ RECONDATIONS OF TOWN AGENTS: ~ Conservation Administrator Date Approved Date Refected Comments ( �. Date Approved �✓ Town Plan r Date Rejected Comments r Food Ins ector-Health Date Approved Date Rejected co Date A - &7 fSeg is � nspector-Health ed Date Rejected 4&7 Comments i Public Works - sewer/water connections PW Q � 7 - ,driveway �permit 72 � Fireartme De nt it �. Received by Building Inspector Date LJU BUILDING DEP,ARTAArF,:- THE COMMONWEALTH OF MASSACHUSETTS ! T - DEPARTMENT OF INDUSTRIAL ACCIDENTS N� l OFFICE OF INVESTIGATION 600 Washington Street Boston, Mass 02111 Workers' Compensation Insurance Affidavit < a:r r.:+r::::::::..r::::::».•»::::»::::::.i:Y :.,.,....u..:r:'l;fr;fffi;fi{?i.Yid•'{'?'{{f.f;iii{.rf?;rirf.Yf;:YIY'l?;,1,?:,Y.r:..+++.+Y f:..... ................................................... ..................................................:: :.:::....:. :::.::::: :::::::::::::::,.+:rrr:.,... .: .r:ffff<::::::..:. name Con4 JnL location 1,39 111, >� n city Lowc,I I MA- I am a homeowner performing all work myself I am a sole proprietor and have no one working in any ca acit . se,fN.frs r•+ : fs:s:s;sf :sr^ ffs _I am an employer providing workers com nsation for my employees working on this job. company name address abate city Q d/ _ phone# 5,1Q insurance co. �sc�lL'�o �tS A nc SuKan � # �,t�� -Ub c?,�Sd d .ssssss:sssfxs;sssfs»<f:.::.:•:;;?:. M »? ffff:f::. .+nhr company name address city phone# insurance co. policy# _I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers'compensation police: company name address city phone# insurance co. policy# ;::::fff:......>::ffffff::f::ff::fff::f»>::::f:>.:::f:;::;.;;:;. Y:. :.Y:.;:???.Y:.;;Y;:;.:???.;:.; ::::::,0", . ......... . .. ..............:............................::::::::::::.:..::::. •::.:. :::. . . ...? . .:.} :..:n... <fffffff:r Nrr : + Y+»S`l:Sfr6.if.S�iSSSfffS �3fffS company name address city phone# insurance co. otic # :::.: �•;:;;?•>:•;:>::»>:•fs:•ss::::s:•YY:.;;:.;:;!•:::•.;?;�:•;z:::ssfssY:?•::•;:�:•:;::;::.;:::<•;:•;»:.;,.:•::•. .....�:!::??.?.:::::: r+wssr�:.fs .... ..:.......... .,. srsst`sr Failure to secure coverage as required under Section 25A of MGL xxxxxxxxxxto 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. -Lunderstand that a copy of this statement may be forwarded to the Office of Investigations of the DA for coverage verification. I do hereby certify under pain and p f73s of pe rj ry that the information provided above is true and correct.Signature Oates�Z 5 9 Print Name S741wew 10 G /-_ Phone :f�ssssf�afssr:,:::»•sssY:vsY,ssrr :.!:?:!:: OWN :. #yam f t1:'t53fPf:? ICI?„• :: 'i:+'..ri%'?. ? ?if{,y' ?i.an '??..a +?,?: :'!•ni:.., ::S•ffSS'Say�AAi.�.;: . ;::; :+% S .f.!?.C.:/...y//.f..fY/�.f..;.;Y.;?/�./..l//.•�•�.4�1.{.r,!.+?/f:'/.•:?:?'/•f:trfR'�..!ir' %{{i r f :•r.;•{,x•rr:+r..r..??.:;:+;.•:i<•.'•�'i?n+./r + r•. r?• : -;.r,•�;?: :!.Y...•r:..?,.�.??,.,:y�„ •;;�� Y?•< Y9':S;!.?�//. �i�•j,'.•.�!'•'....,�,?„?, Yr? .:. ., ., .::GSffGFSSnSf:•{rfYff+f•J. 'F•rf`•rfffff>../:...fi+ r. ?.,y��y.•��/•. .••:+rrr+::r.w::r.+::::r::::::::Y::::.::.�. �.•.::.�ir:-?/.r+rr::{,....+:: M• 'f:r:YY.Y.Y.'•YY!:��r.+:S r•:!./.,:'.:/?r ''/1+ ,.� :Tlfi•;�:i��+.................. .............?.:?;?.t•: +•::+.::?:%??!•Y:!•:!!•Y:t????•:?:!!:���fi.M:::fl!'::?!!!?c•:::•::c.a?:•YY:.;..;?;??.;.!:::.f?�'(� r/!J .,�.::. :.::,.r::r:::::::::: ::rrr •' i � f - : . .: ?. : :.. r:::r. ;ff;;;;:>f;YY-:r.,?.::•.:�?.YY:Y,:+ff f.,;:: :.<�<:<r:�:. .' ':>�� �€ .' ���::. :.: ::, : .: ,. >«,fff:, y<. <f.,.f •:ffrr :., :•r::ri:Yifl:: : ::::rf:+.:rcrr r::rrr:::+::+:•r:::::::::::AYE !^Y%:4'4Y:??rfiriffiiffff+:/./r::........: :::re+++irr++: .•f"•f`•:5"".:.+ :!dr/f.+'lr+::r+•:,1r:..r.::::++r:»:,:?,+r:..:.:.:..t:.:. 3f�::ft<SSS}fff;:ff•1::fffS`SftfSSf`;:....: :•:n::f:::.?Sff'f.`•:f .1.1 if:.?r.:•r:::::::::5?:.:�:::::::•:::::::::::.�:::::::::::::::::: +:rf:,r:. !::/.;!:;Y:;:ff:S:;<.'::r fffff`'' .r.fr...5f'/+SSSffiYf�+/'J`lrC� 5 Y•? �►9Yr.•.•?.:?yf:.:S•.•rl!.�.!:+lgkfg S'Ssr, ...................::•.�:.......... ::mow-:::.-::::::::::::::::: .::::::::::.: . , : 08112/1997 11:42 5089577798 GODFROY INS AGENCY PAGE 02 ACORP `C7 2)97DATE twlDDh/Y V PRODUCER THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION GQDFROY INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 1 595 LAKEVIEW AVENUE ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW,_ DRACUT, MA 01826 COMPANIES AFFORDING COVERAGE COMPANY A M�URtD COMPANY CROWLEY CONSTRUCTION & e LEGION INS/WORKERS COMP GENERAL CONTRACTING, INC• COMPANY 138 VIRGINIA AVENUE C LOWELL, MA 018$2 I..... COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TME TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 00 TYPE OF INSURANCE POLICY NNMOIR POIdCr tPFL'DTRr! POLIDY ExF1M710N LIMITS LTR DATE IMM9DfYY1 DAT!(MMfdbNY) -IllammRAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENEP,AL LIABILITY• PPODUCTS-COMPlOP AGO S _ L CLAIMS MADE L» � OCCUR rCRSONAL 6 ADV INJURY ! OWNER%E CONTPACTOWS PROT EACH OGWORgENCE 6 FIRE DAMAGE(;Any ana flra) Al �M MED EKP M one rwn 6 AVr M0i1LB LIAOI M COMBINED SINGLE LIMIT S IANY AUTO I .. ..M_. ... ...... ...... _....................___... � ALL OWNED r1A1T09 i OILY INJURY - f _ ISOMDUUM AUTOS Per peTeenl ,.._.._.i HIRED AUTOG I BODILY INJURY (Par accldan) NON-OWNED AUTO$ a.. —._._. _ PROPERTY OAMAOR $ GARAOL WtlLlr'Y �• .».»� AUTO ONLY-EA ACCIDENT E _ ANY ALTO OTHER THAN AUTO ONLY: r '' y; EACH AC'gftNT !!.:.:' GREGATE S EXCIsi LikomY _ I EACH OCCURRENCE S --- UMBRELLA FORM W08 DTH• ...._ .. THANUMSRELIJA„FOAM _....._..--........•...__...... .. .._._..... .. L._.�.�,......_..,.—_1.....—.�.�--�-..� ..•..�..........�.,., AQQRE13ATE t WCRNEM LIAW KATION AND EL EACH ACCIDENT ER $ 100,000.r- EMPLOYLIAffi LIABILITY WC 2-0023520 101 /15/97 ! 01 /15/96 I THE PROPRIETORI I INCL EL DISEASE•POLICY LIMIT S 500 GOO. RARTNFRBJEXECUTIVE ' l O"rOIARS ARE: I EXCL _.._.. —.._..... ....._.�..._.._.... ..,.........._... —..__._.— EL OISEA44!•EA EMPLOYEE f 11 fl�T1 OTHER-• �..—.�_.. DMRWTTDN Of OPERA RGNBILDOA e►BIBt GENERAL CONTRACTOR CER-inFI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B1 CANCiILEU CAS;HO='0k CANCELLAT tw TOWN OF�/(7ANDdVER BEFORE THE BUILDING INSPECTOR EXPIRATION DATE THEREOF, THE ISSUING DOMPANY WILL P,R®IIAVOR TO MAIL 0 DAVE WRIYTIEN NOTM9 TO THB CERTIFICATE HOLDER NAMED TO rNE LEFT, I BUT FAILURE 70 MAIL SUCH NOTICE SHALL IMPOSE NO CBLIOATION OR LIABILITY OF AN ND UPON TNC M IP•A�—ITS HINT$ OR AEPRIBENTATnES. A o �IIE NTA"II1 ACORQ 25-8(1185) 11 �^d�iP 41141 I Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department 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 Permit(below) Address of Property for Permit(below) (r'601W('.MSL��6e-n C&W h7C • lel t7 - Loi �1�bArlvvye, flu Map and Oarcel :/W Purpose of Application (check belcg)' PFjQn,� Nur�t 2rg�licant: ✓ 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 EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is 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. i 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, 1996 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.c are 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. 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 and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. 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 is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. Y Signature of O ner or A thonzed Age igned the Attached Building Permit Da This form must be attached to the BuRding Permit upon application for such permit. ;1 . i ILI2 07 i _ i BUILDING DEPARTIV EL i DM. p � CROWLEY, #� � , STEPHEN P.' #�i Tl i -�oWs/inuru* DBQAATNB114 OY 4u8LIC SBgB4Y � -i- � COASTAUCSIOA SIIQBAVISOA LICBBSB Bitthdate:� . Bxpites: ��•�• - ,;�� Auabet: 0212111961' . �`�c-�' CS 058114 02121 11998 Aestticted Ta: 00 CA01iLBY STB4flBA ' , 138 VIAGI� 0 852 I HOME IMPROVEMENT CONTRACTORI� Registration1 Type - INDIVIDUAL 87 f t Expiration 08/11/91 CROUIEY CONSTRUCTION • G��,,,, STEPHEN P VIRGINIA RAVEEY 1 ADMINISTRATpR LONEIL MA 01852 2 199` t jLj«U,;NG DERE F.TV, • tAORT Town of _ - Andover . �Z • � :�- _ =-- - jam. - * Z dower, Mass., . 1997 LAKE COC NICM WICK �G BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System /.� BUILDING INSPECTOR THIS CERTIFIES THAT................................... ./�o.�.Y...��..1...(..............I�4.!..(...�..... .u.s.T' """"". Foundation has permission to erect...................I................... buildings on ..........IS .........4-d..41.........1PAS.'� ... &O'.Z Rough to be occupied as.................................................... / Chimney provided that the person accepting this permit shall in every respect conform to the ter of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Iteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST Rough ................................ ......... ... .... . Service LDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. k 3 A Date.�. .' .... NOR7M TOWN OF NORTH ANDOVER ti0 ae �p PERMIT FOR GAS INSTALLATION ,SSACHUSE This certifies that f . . . . . . . ..y . . . . - . . . . . . . . has permission for gas installation (/ . . . . . . . . . . . . . . . . in the buildings of e :.t--. E'�� /. . . . . . . . . . . . . . ,at . 4 41/`- -�-��-. . . . . . . ., NaWh Andover, Mass. Fde. .. . . . . . . Lic. No'9111 . 09/11/98 11:49 574.Op1S IIiBCTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer - MASSACHUSETTS UNIFORM APPLICATION FORPERMIT DO GASFI G (print or Type) f 13R�E>� MASS. / Date 19 Naulldineg { ( 7 Permit Location x^61 r GOwner's -- -- — _ .. Name New n Renovation p Replacement p Plans Submitted: Yes q No ❑ Building Permit No. . i i r I W O ILq I' Z 7 m N i W 7 Q Q ( F I I I O 2 a1A 17 2 I $Ulf SSW- BASCMCNT I I I l I l I I l I_ III I L I I I I I I 1sT ZnIO FLOOR 9RGFl.0VR -_� 9TH FLOOR I I l l l 5TH FIOOR 6TH FLOOR I I l I _L_• I I I I...�.__!._. I ..L. -•� � j--�•-.' �L... � .� I I ...ILS_L...� I I I I I I I 1 I I I f 7TH FL[k7R STH FLWR Check one: Certificate Idrstalling Company Name - waeiV 1r -- /� /�'G, UP-Corp, t" Address 3 C1 A Av 6&-' Fit Business Telephone _ Name: of Licensed Plumber or Gas F-it`er _.�._. _ . _..-..___. . __....... INS11.4RANCE COVERAGE: Check one I have a current liability insurance policy or its substantial equivolcrit. Yes No ❑ If you have checked yes, please indicate the type coverage by checking the oppropr-iale box. A liability insurance policy Car" Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER; I um uwure that the lice-rlsee does not have the insurance coverage required by Chapter 142 of the Mass. General Lows, and that my signature on this permit applicoti'an waives this requirement. Chuck one: Owner ❑ Agent ❑ Signature of Owner nr Owner's Agent 1 haraby certify that all of the details and information I have submitted for antaradi in the Abova wt,r,tsca+ic^ are true and accurate to it.. boat of my knowna iadge and thaf all plumbing work and in.tallatlurm perr,enwad under ike permit Issued for thin nr,plicnfion will 6e m compliance wi , -It ywrlirurnt oro�lslpof the Massachu:otts State Gas Code and Chapter 192 of Ike Cencral Laws. 1 Type of Liconsw 1 }, Fee — - Qfilumber Check # ..� __..._ © Gasfitter Signatura of Licensed PlVbelor Gas Fitter Date p aster APPROVED (Office Use Only) [3 Journey man Lleensa Number . — BELOW FOR OFFICE USE ONLY SECTIONS SKETCHES PROGRESS INSPECTIONS FEE 3 NO. APPLICATION FOR PERMIT TO DO PL'JMBING NAME t3 TYPE OF BUILDING LOCATION OF BUILDING PLUMBER m z 0 o0 A @ A PERMIT GRANTED DATE 19 PLUMBING INSPECTOR -a @ "Z`-Y��I..A�--y�..t/�,��yy' ,..,,...-...ti.-1'hv'�-sR;Y1vM".`rte" .. ....4_..-a-.,� ...__��,,,,rir..`Lj�.F�7'�"�".�` "`fir.••..R .��.. Date/o .cp/-�f N2 3841 HORTM «•° "c TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUSE� \\\\\\\VVVV This certifies that .c ./. has permission to perform , . .. . . . . . . , . . , , , , , , , , , , , plumbing in the buildings o . . . . . . . . . . . . . . at il 1. 5.:". . � . . . . . . . . . . . .. orth Andover, M s. Feetd?$/17''. r-.'. .Lic. No-�7-:�..3. . . . . . . . . . . . PLUMBING INSPECTOR ((UJJ i WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Date his- . .. � r 3841 -. HORT1y ac ' TOWN OF NORTH ANDOVER L1h. a� PERMIT FOR PLUMBING r� �,'D'•�TLD��•L1' a IN CHU This}certifies that,a '` has permission to perform . . . . . . . . . . . . . . . plumbing in the buildings of� . . . . . . . . . . . . . . at!`� .�'. � _' '�; :. . . . . . . . . . . orth Andover, M s. ,. -,. . , Fee�.s?y. -' .Lic. No,�, a.. . . . PLUMBING INSPECTOR ggY i WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 9 3 -71 jog one�� MASSACHUSETTS UNIFORM APPLICATION FOR P6/MIT TO DO PLUMBING (Print or Type) a -1344:lzf:�A, MASS. Dat � -- 19 Building Permit # 11YAW - a Location, . �'W Owner's -- -- Name New vK' Renovation ❑ Replacement ❑ Plans Submitted: Yes p No ❑ FIXTURES Building Permit No. Z o Z ' � ~ > W V �Z V) J � a IW = H iZ_ � O Z. '^ a D Q i I LL Z Z � ut W � iN = ~ Qu+ l <nIYQ �n X V Z F, ut Z K a Q O W O W Q N Q J Z ° z l 0 - LL W = 3 0 = 3 Y � I � , F a Y ° w LL F V j F p 2 LL a F. Z �a � O N Z Z Q Q O V 2 3 �Y Q !m o o 3 °x � i� LLI � o Q 3 � °� m o SUB-BSMT.-1 I I I I I I I I I 'I I I l i 1 I I I BASEMENT I I I I I) 1 ST FLOOR I-g I V I ---1_I I I I l l 11_11 1 2ND FLOOR I I 3RD FLOOR I I I I I I I I I I I I I I I I 4TH FLOOR I I I I I I I I I I I I I I I I STH FLOOR I I I I I I I I I I I I I I I I 6TH FLOOR 7TH FLOOR I I I I I I I I I III I I I I I I I I I I I I I_I STH FLOOR I 'I I I I I I I I I III I I I I Check one: Certificate I nstal I g Company Namer1 � - fl'i .� � t(1L, p-,Corp. _ Address 444 oe S ❑ Partnership �%-F ❑ Firm/Co. Business Telephone � �` '� Name of Licensed Plumber 24 INSURANCE COVERAGE: Check one T have a current liability insurance policy or its substantial equivalent. Yes / No ❑ Ff you have checked yes, please indicate the type coverage by checking the appropriate box. 'A liability insurance policy 2-"'- Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required)by Chapter 142 of the Mass:General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Fee ZJ� 7r'J�L�jt� f�rr�-f'f (✓ Check # 716 3 Signature of Licensed Plumber Date License Number 9'2.2- APPROVED (Office Use Only) Type or Plumbing License: Master � Journeyman ❑ BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR f i — MASSACHUSETTS UNIFORM APPLICATION FORPERMIT DO GASFI G (Print or Type) i '1 BP&eRe MASS. Date 19 auilding / /}`��/ Perrttir .. _ Location rte, Owner's — _ Name New n Renovation p Replacement p Plans Submitted: Yes No c3 Building Permit No. . _ A N i....�. j I ! i I I _ u L� cd I fV) X10 �� _ I I i I 1 I I W ' I I { a i ~ { z Z .Z) z~ a W { Z W F h '(L j Z a = a s Z w o0( >' 'O X H o $Ud STMT. oASCM[NT IWF1DOR ZND FLOOR 3RI'FLo. op. I_ J I ( 9TH FLOUR 5TH FIOOR I I I . _I._.L FTHFLOOR I ... I--I _I. _L....) 7TH FLOOR I I I I I I i I I III .I I I f.__i.._ I I I I -I I I III `I• STH FLOOR Check one: Certificate I ng Company Name � v 1.%' — � �L torp, 9 -- - stallif CJ PQrlrlcrship r) 7 3 `tDate.l. .-T:: l ❑ Firryi/Ca. - — { i .MOQTM TOWN OF NORTH ANDOVER Check one _ GE`••,o 1'S'C �j ° �p PERMIT FOR GAS INSTALLATION f Yes � No p the appropriate box. a ' � Bond p '$Swc►+uSE� t hoye the insurance coverage required by �� rmit application waives Ihib requirement. L f,;,'.u�_ of . . . . . . . heck one: This certifies than,. . . . . . . Ci Agent p has permission for gas installation • • • • • • • • • • • . . • . • • - 'n the buildings Of l.-(:�.�•J• • • • • « �r+r+r�cwrio•+ are true and accurate to Ilia t>�f of my . . . . . . . ., N th Andover, Mass. I� ^r�lr�+tlon wm h compliance w,n, .n , lineal t . . Ft*c��`/•,. Lic. No . . . . . . .. . . . . . . . . . . . . 09/11/98 11:49 574 Us I FACTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 'iature of Licensed P1 beT or Gas Fitter ]---oats- APPRQVED (Office Use Only) El Journeyman Llccn..e Number t 3234 Date. . . . ........ 4 „ORT1y TOWN OF NORTH ANDOVER OF�..io ,^,h0 Q " '� PERMIT FOR GAS INSTALLATION SSAC HUSE ,j This certifies that�.: . . . . . . . . . . . . . . has permission for gas in • 91 in the buildings of . ` . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1 at -�°' �.p.-*•: • • •, North Andover, Mass. -'�� am " \ Fee_ . . . . . . E c. No.. ��. . . . . �. . . . . GAS IN SECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer -77 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) // /V m lP,r- ,MA Date U 19_25Recelpt# Permit# `3`�3�" Building Location '0A • Owner'sName �.pc fi 5 1"n 1-,3&I r Map: Lot• Zone• Type of Occupancy` NewAC Renovation ❑ Replacement❑ Plans Submitted: Yes❑ No ❑ Fee: a, Y W N y N N N O Z- ¢ W ¢ W ¢ O ¢ N ~ W ¢ or O V z S N MAP --- a o W a 0 LU M z in D i w Q¢ O O W ¢ m- N F W0 W d ¢ Q W Q X zto > PARCEL O L L< W w rn H ? Q x ¢ ¢ W4C 0 ¢ W O W ~ H ¢ a F- z J H z W W O O T E- W J �- W z Q W -j Q ¢ ~ F > N M z O 2 ¢ O y S Q W > ¢ W D z Q ¢ Q Q O O W O W ~ ¢ S O a x LL 3 o t7 J O ¢ > 173 o. 1- O SUB-BSMT. BASEMENT Q 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name s t=r r--o ci�>r �r H5 , i n Check one: Certificate Address_13 I I t� 1-F-r "Al t-, -D cc ny Ex YYt 14 3 3 Corporation EstimateValueofWork: ❑ Partnership Business Telephone ❑ Firm/Co. Name of Licensed Plumber orGas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes CW No ❑ If you have checked yes, please indicate.the type coverage by checking the appropriate box. A liability insurance policy Mr 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. Checkone: Owner El AgentO Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and thatall plumbing work and installations performed underthe permitissued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene 1 Layvs. By Type of License: � or Plumber Signature ofgLice sed Plumber or as tter Title Gasfitter Master License Number City/Town Journeyman APPROVED (OFFICE USE ONLY) BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO OASFITTING NAME TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED ti DATE 19 GAS INSPECTOR N2 2 13 Q Date//-/.Z'-..2f.... t NORTH 1 6.6"ooL TOWN OF NORTH ANDOVER PERMIT FOR WIRING AT �,SSAC11U5� This certifies that has permission to perform ......,................ ...... ........ ....... ..................... ... . ........................... wiring in the building of .................................... ...................... � -�.............................. North Andover Mass. V Yee .............. Lic.No ,Z� ............................................................... ELECTRICAL INSPECTOR 11/12/98 12:25 35.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer `•.`rte\ 'I::::C tSC V1If 77ie Commonwealth of Afassachusetts M1.relt Sn. Deportment of Public Safety Occupancy S fee oheeked�, BOARD OF FIRE PREVENTION REGULATIONS S27 C)dR 1200 3/90 heave blank) APPLICATION FOR PERMIT VfO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Mauachusetu Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL ILTFORHATION) Date ♦i- y- 98 City or Town of /1/D2ry A.voaV.6,e To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Number) /S LONG �fiST/1/E Z4A.(c 0-•ner or Tenant Owner's Address SAME (97eq,37_/.y/y Is this permit in conjunction with a building permit: Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization 110. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd❑ Ito. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Installation of Alarm System No. of Lighting Outlets No. of Hot Tubs ' No. of Transformers Total KVA No.' of Lighting FixturesSwimming Pool Above❑ In- ❑ grnd. grnd. Generators KVA No. of Receptacle Outlets No. of Oil Burners" No. of Emergency. Lighting Battery Units No. of Switch Outlets No. of Gas Burnersf: FIRE ALARMS No. of Zones_ Total No..of Detection and No. of Ranges No. of Air Cond. _._ tons Initiating Devices No. of Disposals No. of Heat s Total Total No. of Sounding Devices Tons KW No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection 51 No. of Water Heaters KW Si�nsf Ballasts Low Voltage Wirng No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO ❑ I have submitted valid proof of same to this office. YES❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER J (Please Specify) Estimated Value of Electrical Work S .335- oe Expiration ate Work to Start //-5-- 9 8 Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME A.D.T. SF_CURITV .SYSTEMS NORTHEAST INC. LIC. No. 1231C Licensee DONALD A BROOKS Signet a No. 1231C Address 111 Morse Street, Norwood, MA 02062 ges. Til. No_713) 737-4400 Alt. Tel. No. 1 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or is sub- staniial .equivalent-is required.by Massachu'sctts General ws�a , and that-my_signature on .th.s.permit application waives this requirement Owner gent Please check one) Telephone No. PERMIT FEE S 3S Signature of Owner or Agent .N° 2 0 5 9 Date.................................. NORTH _6 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that r has permission to perform..,,�:.�.Ti%.............I ............................... •_ .' wiring in the building of........... ..:...: .. .'. t-' . at..,/.........:: . ......'....: :. ........ ........:.............,North Andover,Mass. Fee..,�... Lic.No.�"... ......................... R ^ ,/-� ` ELECTRICAL INSPECTOR 10/01/98 12:57 599.00 PAID JHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only Permit Na � r„<E e0'f1f3Jt0"r11�/f, '?" %45-s ?r445'�'775 9e�r..o.e of�a6fle Sway Occupancy&Fee Chec�ce / l BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AII'work to be performed in accordance with the Massachusetts Electrical Cade 527 MR 12:00 (Please Print in ink or type all information) Date � To tlh—eingoector of W . Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number L.a vi Owner or Tenant V . Owner's Address Is this permit in conju cti with a building permit Yes m/ I No ❑ (Check Appropriate Box) Purpose of Building_ J Utility Authorization No. E)dsting Service Amps .Volts Overhead ❑ Undgmd ❑ No.of Meters New Service Amps oits Overhead ❑ Undgmd No.of Meters Number of Feeders and Ampacity Ion and Nature of Proposed E'.ectncal Work Total No.of Ught8ng Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool qmdi ❑ gmd ❑ Generators KVA No.of Emergency Ugnang 'No.of Receatactes Outlets �Q© No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total ii No.of Detection and No.of Ran es No of Air Cond 13 Tons f Initiating Devices Heat Total Total No.of Dioosal No. Pumos Tons KW No.of Sounding Devices { Nod of Setf Contained M.o.of Dishwashers \ Soace/Area Heating KW DetectioniSounding Devices ❑ Municipal ❑ Other No.of D ` Heating Devices KW Local Connection No.of No.of Low Voltage No.&Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER' INSURANCE COVERAGE. Pursuant to the requiremen6l�,so Massachusetts General Laws I have a current Uability Insurance Policy including C9poeted Operations Coverage or its substantial equivalent Y = NO = have submitted valid proof of same to the Office NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Valu if Mectricai ork$ 1 '2— O b 0 Work to Start ZAP — Irrspecilon Date Resquested Rough Final Signed under FIRM NAME the Penalties of penury: `� LIC.NO. b Ucensee Signature LIC.NO. rBus.Tel No. Add.(. � \/L-- 'Nk AIt Tel.No. OWNER'S INSURANCE AIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) „t Telephone No. PERMIT FEES I(Signatuto of Owner or Agent)