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Miscellaneous - 15 PETERSON ROAD 4/30/2018 (3)
17 PETERSON ROAD 210/0 1 0 0000.0 .. �— ' I �, � 1 I � I a� . ` I "\ � I �. i �-, i JJ 1 1 �. �� �I� � _ � '1 -.. i 4 �. S �� �, �� I � i ��. ' }}F r i'. • �'' r i 11 a i t, 1 ', � ' I , � ti r f i, i � I i � '' yl � i i 1 � � t . � i � ��I _ � _ ;, } i 1 ' i { I. �_ � _ � � � North Andover Board of Assessors Public Access t Page 1 of 1 �� Vit- ht.Ande@�e aar �n-of� ssess �; k 4 F p roperty Record Card Click Seal To Retum Parcel ID:210/025.0-0150-0000.0 FY:2012 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to.Enlarge Search for Parcels Search for Sales Summary Residence Detached Structure t Condo 1 t7!PETERSdW'#0 D Commercial Location: 17 PETERSON ROAD Owner Name: KAMENOV,TIHOMIR DIMITROV Owner Address: 17 PETERSON ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:5-5 Land Area: 0.11 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1992 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 412,600 412,600 Building Value: 265,300 265,300 Land Value: 147,300 147,300 Market Land Value: 147,300 Chapter Land Value: LATEST SALE Sale Price: 364 9001 Sa a Date: 08/31/2001 Arms Length Sale Code: Y-YES-VALID Grantor: PARVANEH YASSIN- FARD Cert Doc: Book: . 06344 Page: 0020 httn-//nqc.-ma nc/PR.0PAPP/(licnlav dn71in1-Tr1-1 A, 1z 1711)ni 1 Residential Property Record Card PARCEL ID:210/025.0-0150-0000.0 MAP:025.0 BLOCK:0150 LOT:0000.0 PARCEL ADDRESS:17 PETERSON ROAD FY:2012 PARCEL INFORMATION Use-Code: 101_ Sale Price: 364,900 Book: 06344 Roa_d Type: T Inspect Date: 11/19/2002 Owner: Tax Class: T— Sale Date: 08/31701 Page: 0020 Rd Condition: P _Meas Date: -_ 11/19/2002 KAMENOV,TIHOMIR DIMITROV Tot Fin Area: 1992 Sale Type: P Cert/Doc: Traffic: M Entrance: C Address: Tot Land Area: 0.11 Sale Valid. Y _Water: Collect Id: RRC 17 PETERSON ROAD Grantor: PARVANEH YASSIN-FARD Sewer: Inspect Reas: 1 NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 8 Main Fn Area: 912 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R6 Story Height: 2.00 Bedrooms: 3 Up Fn Area: 1080—Bsmt Area: 912 SegL_Ty_pe Code Method Sq-Ft Acres Influ-Y/N Value Class _Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 480 1 P 101—S___5003_671. 10 147,290 Ezf .Wall: AV—Half Baths: -- Unfin Area: Y Bsmt Grade: VALUATION INFORMATION Masonry Trim:` Ext Bath Fix: 0_Tot Fin Area: 1992 Current Total: 412,600 Bldg: 265,300 Land: 147,300 MktLnd: 147,300 Foundation: CN Bath Qua[: T RCNLD: 265297 Prior Total: 412,600 Bldg: 265,300 Land: 147,300 MktLnd: 147,300 Kitch Qual: T Eff Yr Built: 1995 Mkt Adp Heat Type: FAzt EKitch:__ Year Built`. 1995 Sound Value: Fuel Type; G. Grade: _ G Cost Bldg: 265,300 Fireplace: 1 _ Bsmt Gar Cap: Condition: G� - Aft Str Val 1: Central AC: YBsmt Gar SF_: Pct Complete: Aft Str Va_l2: Aft Gar SF: 288%Good P/F/E/R: J� 100/8100 Porch Type Porch Area Porch Grade Factor P 48 W 32 SKETCH PHOTO Filk 4 4 �' ► t "d3 FMB �. 12 I44 Sq. 12 �\ FU-/FM'/B 768 Sq.Ft = ` i..;. 32 32 ©� / FU/G _ 288 SqJ t 24 24 e , It 17 PETERSONROAD 12 Parcel ID:210/025.0-0150-0000.0 as of 5/17/12 Page 1 of 1 [ Date 8918 r- ..- NORTH •°,;•;;+00� TOWN OF NORTH ANDOVER O PERMIT FOR PLUMBING ,SSAC HUs This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform �? 'r .mus. . AA . . . . . . . . . . . . . � plumbing in th buildings of . . . . . . . .s ®.°... . . . . . . . . . . . . at r77.i 1'C.n.oV.�- " North Andover, Mass. Fee. . .Lie. No..�.�. .�. . . . . . . ./ �e . . . . . . . . . PLUMBING INSPECTOR Check x I. F' Fi ' Gp�,pitAl�bt, MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) sn r� C T o Date Building Address r Permit# FEE$ —_ Uri 4 Anc�f -:. .e Owners Name 1IW REVOVATION MREPLACEMENT FIX'T'URES x a x y y �. r n c o a s H n > 0 z O O y rb a p b SrT, v v n y °z w C4 N > _C OO z SUB-BSMT BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR (Type or print) Check One: Certificate Installing Company Name ❑ Corp. Address ❑ Partner 't�10 s�nuc� Q\\ ❑ Firm/Co Business TelephonA� 6—%'1—01 Sa--- Name of Licensed Plumber or Gasfitter I hereby certify that all of the details ad information I have submitted(or entered)I above application are true and accurate to the best of y knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Signature of owner/agent of property ❑ —Owner ❑ —Agent Type of License I have a current,liability policy to include completed operations coverage. ❑ -Plumber ❑ -Gasfitter -Master 0 -Journeyman Sig a of Lice ed Plumber or Gasfitter License Number 0VER .—� 6K . C<, E •; ) t ' 9I 1' v w , w f 1 i � �i E _ y� f F 33 , t w l_ ��.,>.j �_ ., 2 i..�,.�.�4.� ,.;_�: , ,.. E . .+ F., - � _ .. ..._ E .._�.,_.•m a.:-- - i .....4...�--:� _.�.�._.� i ,_ (_ ..... ._P ., a .. I 1......, ' ,, t --�,-- + •� 1 i � ,- �l r xoc;j'-1 IIS,c �T . �c�J ._�.�� _•,�! '�'�:�.�.-}.jam.=- ._; :�msL�;vII�7F7rr(�. �ntti�sac:: tA- ni bl; X14+)l a'{:lo Etli uol&)tjgo! un; A14)r 4,atdrrlgll iiS 1f I1 f)fi& - .�t,L.)i,:,x• :,.;;(t;tk &�`.....fGli.:' . .,'1. .£.r.1:7161fie^.rl`Ji,,rf•s&226�1t9J�iTU ��;l07tffl»'itil`.9{i ' 6w5lc3:7`iJ: l .i)l1;+ ?'{Jflt3' ylilidsil?f;,,.:1 f t I r Date.��-/,3-os. ........... ` r ,r HORTM °�, •�"° TOWN OF NORTH ANDOVER r p PERMIT FOR WIRING ' 419 CHUS v . ... ........................................... This certifies that�~':��`.`.'.:{./.��....:.....� � I has permission to perform ...tom.. :.: wiring in the building of. .... ... ... .. .. ..................... ....................................... �` ............... .North Andover,Mass. at...... .......... .....................j........ ry •... t Fee!�.............. Lic.No?� ...... ................. �- ::.. ELECTRICAL INSPE 7 Ra y Check # 91119 :�; z��1�.._�txy ":"a- v _ *-_r _ :.r�"� .G •f_�: s�w�e«�:- k-^ . .`......,-_-'�,...--is=+�r—• ti Commonwealth of Ma saehusetts Official Use only 2 ry Department of Fir Services Permit No. BOARD OF FIRE PREVENTV Occupancy and Fee Checked N REGULATIONS [Rev. 11/991 leave blank APPLICATION FOR PE ; MIT TO PERFORM ELECTRICAL WORK All work to be performed in accord ce with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR T P A AT ON) Date: 12� City or Town-of: To the I spector of Wires: By this application the undersigne gives n ice or her intention perfo the electrical work described below. Location(Street&Nu r) JAW Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes::❑.. No. (Check Appropriate Box) Purpose of Building Utility A thorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system Completion of t51follAving table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In= ❑ o.o mergency ig ing rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS Nc bf Zones No.of Switches No.of Gas Burners o.of Detection and Initiating Devices No. of Ranges No.of Air Cond. Total No.of Alertin Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Q,Other Connection No.of Dryers Heating Appliances KNV Security Systems: y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the G:spector of Wires. A 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 ❑ BOND ❑ OTHER ❑ (Specify:) _ (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion: I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Secupity ces LIC:NO.: 153 ( Licensee: John S. Bassett Signature LIC.NO.: 1533C (Ifapplicable, enter"exempt"in the license number line) Bus.Tel.No.: 603 594 5928 Address:— Alt.Tel.No.- OWNER'S INSURANCE WAIVER: I am aware that the Lideltsee 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. Ownr/Agent PERMIT FEE: S UCJ Signature Telephone No, o I t � �, � A a � �. .. -r: ... � .. � ,. ` - �. .. i � .. :_. .. ... � �' � .... ..0 ., ._...__ . . - - "w �' l .. i r Office Use Only �1jE �III11IIiIIIIIUPttjt�j Dfttl�6ttt�juEftII Permit No. i0epartment of I-lublic eufetg Occupancy A Fee Checked 3/90 (leave blank) � BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT. TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 C 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date `7 U �G City or Town of NORTH ANDOV' To tsit: of Wires: The udersigned applies for a permit toP erform the electrical work described belo Location (Street & Number) - v T �r .2.SoG✓ kq{ - Owner or Tenant I Ll s!` 2 Oe, . Owner's Address -73 Is this permit in conjunction with Et building permit: Yes ❑ No EJ-- e=No. Purpose of Building Utility Author o Existing Service Amps —J -Volts . Overhead ❑ Undgrndo. of Meters New Service 10V Amps'l `i'O Volts Overhead ❑ Undgrnd ET No. of Meters t Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �- No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No, of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units 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 j tons Initiating Devices No: of Disposals, No.of Heat Total Total _ Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑Other ❑ Connection No. of No,. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring I No. Hydro Massage Tubs No. of Motors Total HP OTHER: i I INSURANCE COVERAGE: Pursuant to the requirements of �NO husetts general Laws I have a current Liability Insurance Policy including Com leerations Coverage or Its substantial equivalent. YES NO O 1 have submitted valid proof of same to the Office. YES CO Ifyou have checked YES, please indicate the type of coverage by checking the aRpriate box. INSURANCE,,Pr BOND O OTHER. ❑ (Please Specify) (Expiration Date) q Estimated Value of lectri Work$ Work to Start 3U 6 Inspection Date Requested: Rough 30 9 G Final 3 Signed under thp P nalties of perjury: t FIRM NAME L1/ 'JV. F4:�, f C L G!;;/. LIC. NO. I 51917,11i Licensee -(��erS LcLk1r Co✓C� Signature \ ��LIC. NO. Bus. Tel. No. 6 F r' 6X L/6 r Address _ __ /�'�SX/�C /�.f- W�'r e� 'l i�il/ 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 thaty signature on this permit application waives this requirement. Owner Agent (Please check one) wo Telephone No. PERMIT FEE $ (Signature o(Owner or Agent) x-6565 I t .:.-..- ._ Date............... ..� .. ...... 1,12 357 NOT TOWN OF NORTH ANDOVER PERMIT FOR .WIRING $ « e, ,SSAC MUS This certifies that . ...... .. ..:. 5 , .. ..... .. has permission to perform ... ... .....:.:. ....�.��(.- ......... wiring in the building of...... . : o_ at ...... . ....... North do r "Mass. Fee... ..`''�... Lic.No./(�'j.�7�.......... .................. .>..:...: ELECTRICALINNSPECTOR UA tOQC1 WHITE:Applicant CANARY:Building Dept. PINK: reasurer . .. .. ,.. .. t. .'`'vis.. • ..+t... .moi.' .. .e yl .iA ! • ..... vef Location No. 317�G.- Date p6 40RTh TOWN OF NORTH ANDOVER ? 3a` .a° 0 Certificate of Occupancy $ i Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHus< Other Permit Fee01DU $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ cZ� Building Inspector 8677 Div. Public Works .. �: _.. - --- -tT,1, ... r ., �.� � -. a.�^ -t �t i .+ `l:. ��, `...... � ,".\h� ,6 rT�11i � �. e� . .. ^'•, .:�: PEWMIT NO. •_ 02, APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. ' LOT NO. 1 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE -ZONE G-. =I SUB DIV. LOT NO. IL,/ �— 1 i LOCATION PURPOSE OF BUILDING -WNER'S NAME / NO. OF STORIES SIZE�—le OWNER'S ADDRESS l G ice— l� BASEMENT OR SLAB �'� 7-" r-h rid.�—� ARCHITECT'S NAMECtiT-a SI2E OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME Q KL{ C a.( -�J a N , 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 •y. - IS BUILDING NEW SIZE OF FOOTING - X IS BUILDING ADDITION MATERIAL OF CHIMNEY - IS BUILDING ALTERATION IS BUILDING ON SOLID OR-FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER - IS BUILDING CONNECTED TO NATURAL GAS LINE ' INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST f. SEE BOTH SIDES EST. BLDG:COST 1' PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 - _ SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 ,APPROVED BY� - ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS - PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED x: NUILDINo ;INSPRC'TOR JJJIGNATURE OF OWNER OR O ED AGE IEEE �� OWNERTEL.# PERMIT GRANTED CONTR:TEL.lf V '�- `"( �• to 19 CONTR.LIC# ��✓ �J H.I.C.N AN 2 31995 BUILDING RECORD , OCCUPANCY 12, SINGLE.FAMILY , _ sroulEs '� �' '> .THIS SECTION MUST SHOW EXACT DIMENSIONS OF`L�O?AND'DIS ACE FROM ` MULTI. FAMILY I ?. OFFICES ' � r y — LOT LINES AND EXACT Dllyi£NSIONS� OF ,BUILDINGS,.WITH ,,' GA. APARTMENTS - RAGES, ETC..SUPERIMPOSED. THIS REPLACES PLOT-PLAN ff CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d 1 2 I3 _. t CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER _ DRY WALL - UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ r _ '/ '/p % FIN. ATTIC AREA - _4 - N - - O 8 M-T FIRE PLACES _ 1'ti ; \c,�F� t? +G:f_� C {f-,, HEAD ROOM -- _ MODERN KITCHEN 4 WALLS I 9 FLOORS T + + +~ CLAPBOARDS. "t 8 - .1 2 .'3 ' DROP SIDING CONCRETE WOOD SHINGLES EARTH . ASPHALT SIDING _ _HARDW'D ASBESTOS SIDING 3 f COMMCN- VERT._SIDING ASPH.TILEr ICASTUCCO ON MASONRY STUCCO.ON FRAME- _. i.- ' BRICK O MASONRY ATTIC STRS. 8 FLOOR BRICK'ON FRAME ' CONC. OR CINDER BLK. STONE ON MASONRY T�, WIRING .STONE ON-FRAME J ' SUPERI OADEOUATE NONE _5 _ ROOF _ _ _10 PLUMBING _ GABLE HIP BATH 13 FIX.) r '' c. eO• ' GAMBREL MANSARD TOILET RM. 12 FIX:) J FLAT SHED. WATER CLOSET-,y \ T. r ••+`; Z % ❑ .r i t O .v + } ASPHALT SHINGLES` 'f..,_ LAVATORY J _ WOOD SHINGES �'3�✓ KITCHEN SINK a1 SLATE— _ NOIPLUMBYNG- o4,e- TAR &GRAVEL STALL SHOWER r ROLL ROOFING f 11 MODERN fIXTURES t . •{, D{c�t` - TILE FLOOR \ rT tTILE DA00 _ _ ,�. -„y_s '.y�_ ' -r s . } 6 ,,,FRAMING , 11 HEATING WOOD 'JOIST,c '\X ' L._ + P_IPELESS FURNACE ' FORCED HOT AIR FURN. TIMBER BMS.-&COLS. STEAM r� STEEL BMS.-&COLS. - );. SHOT W'T'R OR VAPORT _ _ S WOOD RAFTERS = _ AIR CONDITIONING ' �� j• � 1 RADIANT H'T'G UNIT HEATERS 7 NMS O. OF ROOGAS oli B'M'T 2nd _ ELECTRIC l lfr 13rd IH NO HEATING 11N I'x f ' ORT r ONIM , of - over owl 302 yy z rt dover, Mass.. dORPE 2q 19RI7 T ° Z- LAKE �J COCHI CMEWICK 7�A°RATED BOARD OF HEALTH Food/Kitchen PER2M . ITSeptic System `§ BUILDING INSPECTOR .� . THIS CERTIFIES THAT.A. toIL:... `;T.�. ......Caeli b............................................................... ................ .. oun a on l F d ti has permission to erect. E buildings on..� ....... . R�`{.... ....0 ...�4' Rough to be 6, 1c c upied taa �f,( � .... ..... ., T•,••.. .. .�.1 +�+ �..................�.......... Chimney provided that the person accepting this permit shall In every respect conform to the teims 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 R in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough bt Final ' i PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR L= UNLESS CONS T T Rough ' Service 3 BUILDING INSPECTOR Final Occupancy. Permit Required to Occupy Building cas INSPECTOR ` Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done , Until 'Inspected and Approved by the Building Inspector. BurnerFIRE DEPARTMENT PLANNING FINAL CONSERVATION FINAL street No. ' Smoke Det, SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT . SCOT) d B �P i n Q (A V) f,(4 t-5 1'47 Location 1'"� � � I No. Date s . TOWN OF NORTH ANDOVER Certificate of Occupancy $ } : Building/Frame Permit Fee $ �-- �� MUs<� Foundation Permit Fee $ I Other Permit Fee $ Sewer Connection Fee $ �... Water Connection Fee $ TOTAL $ 46 (In M Building Inspector 8 p s� Div. Public Works G Location No. Date I � ' N°"T;�,. TOWN OF NORTH ANDOVER f A- QiwwdAk s Certificate of Occupancy $ �� 1 > _ Building/Frame Permit Fee $ ,SSACMU5, Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ l TOTAL $ 1 I(ol Building Inspector 7948 Div. Public Works i Location I! �,No. Date W WOf A MORT� TOWN OF NORTH ANDOVER& OZ. Certificate of Occupancy $ S Building/Frame Permit Fee $ -rev Foundation Permit Fee $ CHU ' ' Other Permit Fee $ CU ct a .! :c 16 gG6 Sewer Connection Fee $ l Water Connection Fee $ Z,077. ,50 Z TOTAL $ o 42- 'vv Buildi g Ins actor L-- K(o9101 z r,TIp Dior_ Ilic Works PEaTj.. M ' APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE, 1 h-40. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE SUB DIV. LOT NO. LOCATI N PURPOSE OF BUILDING d� tP S • F.� OWNER'S NAME ! (/I,r JO BASEMENTORSLAB J OE �/ �+�pN?SIZE OWNER'S ADDRESS 1l ?`3] 7-`' .�,X�f, J-"'� `�`- _ J-l_ ARCHITECT'S NAME %!�� SIZE OF FLOOR TIMBERS tSTf Il 2ND O 3RD BUILDER'S NAME SPAN V DISTANCE TO NEARESf BUILDING 11'1 ° DIMENSIONS OF SILLS ---' DISTANCE FROM STREET t "' '� POSTS ?l�� /9AREDISTANCE FROM LOT LINES—SIDES ('` , REAR /� GIRDERS 5219- AREA A OF LOT / v FRONTAGE j ! HEIGHT OF FOUNDATION THICKNESS / IS BUILDING NEW y e 1 SIZE OF FOOTING /Oft o. X IS BUILDING ADDITION IIF r 'v/I J �1 MATERIAL OF CHIMNEY ! �' IS BUILDING ALTERATION (J/o) IS BUILDING ON SOLID OR FILLED LAND ( � ! WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �� IS BUILDING CONNECTED TO TOWN WATER / 11,e Gs BOARD OF APPEALS ACTION. IF ANY �. IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE P S INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST 01 SEE BOTH SIDES (� B.C. EST. BLDG. COST ��/� �a��•> REGULATED BY PARA. 114.'3. BCEST. BLDG. COST PER SQ. 4/ ufJ. PAGE 1 FILL OUT SECTIONS 1 - 3 ' PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM O DATE ' FEE PAID (C�C3 ` SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY S� ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR _ DATE FILED / f//Cr SUILDING INSPECTOR SIGNATURE 0W ,7&OR AUT ED E C �p r F E E -7C7-2 �o PERMIT FOR FRAME/BUILDING OWNER TEL.# PERMIT GRANTED CONTR.TEL.# �" E DATE: Act, EE PAID'93& , 19 9 {{ CONTR.LIC.rY. H.I.C.q DEC, 3 01994BLDG.PERMIT FEE _ LESS I1;wllFEF - I00 — __ _ DUE FRAME PERMIT= �� _ ,�� JILDING RECORD 1 OCCUPANCY , 12 / - SINGLE FAMILY r -STORIES _ THIS SECTION MUST SHOW EXACT"DIMENSIONS OF LOT AND DISTANCE FROM � MULTI. FAMILY bFP,.ICES LOT LINES AND EXACT;DIMENSIONS 'OF BUILDINGS: WITH PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED-.THJS REPLAC.ES.P_LOT PLAN. -• -.' CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 0 ,,� • 1t CONCRETE BL'K. PINE I BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. T 3 BASEMENT AREA FULL FIN. B M'T' AREA _ '/ '/J 1/1 FIN. ATTIC AREA `�• NO BMT FIRE PLACES' HEAD ROOM _ MODERN KITCHEN ` \` 4 WALLSI..9 FLOORS CLAPBOARDS B 1 2 3 _- DROP SIDING CONCRETE �_ WOOD SHINGLES '""� EARTH ASPHALT SIDING HARD"J'D _ ASBESTOS SIDING _ COMfACN _ VERT. SIDING -ASPH. TILE —{I_ STUCCO ON MASONRY - ,ST UCCO.ON.FR'AME' RiGK N MASONRY ATTIC STRS.•8 FLOOR I_ - BRICK ON FRAME ' CONIC. 01 CINDER BILK. STONEION MASONRY. WIRING STONE ON FRAME _ SUPERIORPOOR ADEQUATE ''I NONE I - 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES Y LAVATORY1 WOOD SHINGES KITCHEN'SINK - SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ _TILE FLOOR l T'LLE DADO 6 — FRAMING _I ,1 1 HEATING WOOD JOIST ^• '� PIPxLESS FURNACE FORCED HOT AIR FURN. TIMBER BMS..&COLS: _ 'STEAM - - - - - STEEL BMS & COILS '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 . ls1 � 13rd 11 NO HEATING '^""-�'"`"�+�rre...�r�i'�' si• .l d^Pw �l1y �• � i ' NORTIy s _ ON" : 0 And over . �. No. o = E dower, MaSS., 11 R�t� l 0 19 g�"` A- COCHICHE WICK , 1' ADRATED PPa\ �y BOARD OF HEALTH Food/Kitchen REI lT T Septic System BUIL E DING INSPECTOR THIS CERTIFIES THATS.11�?lr�. 1.1r.... ....... .......................................................................... Foundation has permission to erect. u .t'l�idl1«.buildings on...� ...... ..... .... .................... �............:�!-o`�'•...�'9� [tough p ���. --r............1.. �.,... .•il. Chimney to be occupied asi.Aac.,l ..�s•A-!(4�.�... . . . provided that the person accepting this permit 1�,L n every respect conform to the tams.of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, WOO FVOft WNLY Buildings In the Town of North Andover. REGULATED BY PARA. 114.8-S. B.C. PLUMBING INSPECTOR u VIOLATION of the Zoning'or.Building Regulations Voids this Permit. [tough 10 q FEE PAID t90 r - -Final PERMIT EXPIRES IN 6 MONT` s ' ELECTRICAL INSPECTOR UNLESS CONST-k Rough n....................... .... Service BUILDING INSP C R 00 Fin af Occupancy Permit Required to .Occupy Building oVW GNPROECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Ro p y p '¢ a No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. 'OQ� FIRE DEPARTMENT p pp Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT rte^� t a n , _ - 1 A FORM U — IAT =izm z PARK 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. ****************Applicant fills out 'v r g this section***************** APPLICANT: C Phone S/ /ice a y LOCATION: Assessor' s Map Number Parcel Subdivis4Lon A-PA d,/t3Gy0-r? C✓ Lots) 077* -T� T Street �2 J-Pf-Sz>HSt. Nu:tcer 17 ************************Offlclal Use Only*****************xxx***x RECOMMEN T ONS F OWN AGENTS: � 9y Date Aperoved /22 Ccnsar ation Ad=iaistrater Date Resected C cr=er. �( 0 n Date Approved _ Town Planner Date Rejecze Cortr,,e*::s Date Approved _n_ Food al Date Re j ec meFood �.e_� e th Date Approved SEC-=--' C Data Resec:=_ Cc:� ..�..t_ WcrL:s - sewer/water ccnnections l Z-30- - dr_vewa_• per-mit �30 -`� - F.re Depar-zrent `Q - Received by Building Inspector " Date nEr 3 0 "All s•{.. 4 _. .. _ ._ _ - A III I I I � pP/Nl' i 4 N�o Ez 0,00.g9 PEAK 100 YR STORM . IFP.. uPz EL - 245.2 PROP REM: . Lo to DSCAPE +e° .Psy�.ol� FENCE-,, �gl �S d� ��NB 240' 1 ` 4 582 Z z o L kLir- - �E � a 1` Z0 9� 4� 2k �� Z�Z STX ,09 T F=24 8.0 �S/LL=Q� t D� 4I O yy srozY iZ T F= 490 I TF / 246x5 FG {� n O ;«SEE zG k ;�ti oh q 4 - - - - — �0 Z 3 2'%SJ 14 g Sf/EO r 5 Z TF=253 TF ° ,z REM. E / tikhr 2Gj ��5 2, N w O -- / X TF=253.5 �0. _ 2@1 �f } ,vGuVU ZA Z�ti 2 22 OQ T F_252.0 O \ N N x,.39 1 x 1 TF=252.0 244x5 3 16 I �"LL- FG qkl'- ?44 x5 FG \ - I N K F- N I �,J a titI a` ' ,,� 2A�fi ! 23 - �/ L. 19 p 3 . , <. o . y a ¢3. 2/ N-46 -'191.'36'E. _ TO REMd1 • ��, 7,,5.pp• d .t 0 3V LOT 7 `��� � LOT _ I .� w LOT 8 2 r2 STY ` 5,000 S. GA 5,00G S. W.F.D LOT 6 \Z, --0.115 AC. T r =0115 AC.G,Cr 5 ,000 SF 5,000 S.F =0. 115 AC. e 7/ ` -J =0.115 8.33 5-8 33 LOT 10 �,,� �� - os, -_��oo� v se3¢� ..: -�0 0 0 S.F 'V89°o/'�7Gv s,1960, 0.115 AC. 6 LOT 14 � ' LOT 13 L ,s�� ��� h s, OT 12 O� Dc� S.F ' ;�� o0 1 �1 5,000 S.F 5,132 S F 0. 15 AC. , 0. 115 AC. - \ 1 -=0.118 AC. LOT (5 �\N `` - 220. oo� -s•¢� � h 9,069 S.F i0 UT/L/TY 1 =0.208 AC. �'' ROA, 40 , 7788 .. ,t/4l�°- /9'- IJ �- 2.5.23-1 7S. X80 ¢-OZ~w- h ,W �,� p� -���D1-5Y, LOT 21 ; ti ��, 5,187 S.F N o LOT 16 : h `V �zr 0.119 AC: 5 ANT o ,v' 7'oi66 Ac.� ��, N .� o�o LOT 20W d %) 5,157 ST =0. 118AC 0 Q LOT 19 2'so c C 4 5,000 S.F 's989bo' 0. 115 AC. co N � p LOT 17 �` � h � o° 7a.oo �✓:��°¢ °' �� LOT 18 15,750 S.F LL!\ N d L� =0.362 AC. Q. 6,420 S.F ? � � = 0.147 AC. O ' � ^1j.� 'r. f,� _ _ .., _ _ - �r s, � ' , i 1 �� . � r � I •. � .:: • � � f . -. / 77 r 45'O"O/ p.elvEt✓AY s o •S /�EPEBY �E.cT/FY To Tye T/TGE/.vS6.WOX 400 /aL or 1,-=,1-,41vQ1v TO 71,le B.OAW 2-1047 T.1,14C,0014-441W/S COCATEO ON r1le Lar fS AND T//.4T?ODES CD.(/iG=PiYI //V Ifs/T/1 T.�1E y"o�*rA� OF.moo ANGri v�2 ZON/.vG .c�El,!/LAT,l9,t/S � / /J /J/� ,QLr6�4.P0/NG .SETBAC.t'S FEOM ST.PEETS��T C/�✓ES.'' /�O, f��(/�pt,��-,� i�//=s'S> 40!.474-0�T ETFEOE AL fiOI00 H Z� A.PE OT O�PA�iV fO�P tS�yOIvN O/S/FNMA' C'OM�ft/N/TY P..INGL '� �� 015,20041804 c' /`1/LGS/t>c' irv HOFMANN y X36381 �9��cS S`•J��,ti /tlE.P.P/rtl.4Gf'E'•vG�•�/EE.P/.1�6 SE.P�/lES ,1-1100"" G6 ��4•P.f� ST,PEET i N '<X II 1 Ik i I + i a , . . j. .. .,... .. a ... ..._.,.._ ..._. ...,-,.. - ..', ..w. ,.,:•,.�-.,.. .. .. ,. ,....+.. .a I :w m F a CERTIFICATE ,110F , USE 4 OCCUPANCY Town of North Andover Building Permit Number 074 Date TITT Y 91;, 1995 THIS CERTIFIES THAT THE BUILDING LOCATED ON 17 PETERSEN ROAD (Lot #14) - Type D MAY BE OCCUPIED AS SINGLE FAKIY DWELLING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Hillside Realty Corp. • : • ADDRESS 733 Turnpike St . N t ve A ''sACHU ` it - ' F1 ,10Wn 0ORTl `p d. A o. CASA r over, Ir/IasS.,�'° _-l�_ ��____-_l 4ti cor.>ucr.c.v.•irn �1• a QD aA 7'E t) Ism BOARD OF HEALTH Food/Kitclicti Septic: System r— BUILDING INSPECTOR THIS CERTIFIES THAT � - .19 .... .4 ..... ....... "1`o nu dation has permission to erect..U��...�'4�'�Os`W-buildings on ..... t' t � � � r to bo occupled as i.d ...` .�1'�.1.... . .. �,� 1. ... -.� .. �..... ..... ....... .............. Chimney Chis provided that.the person accepting this permit s aI! in every respect conform to the tolms of the application on fila In ;i��� Z� p X71 this office and to the revisions of the Codas and By-Laws relating to the Inspection, Ly Buildings In-the Town of North Andovsr. REGULATED BY PARA. 114.8-S. B.C. PLUMBING INSPECTOR � a a. . 5,�, VIOLATION of the Zoning or Building Regulations Voids this Permit. (tX�6 v� / — j - EXPIRES J��J'tf:) _;(��1 7j� �p A a �� ao T�•FEE: PAID _ loz>_., -� - ELECTRICAL I SPEC OR Rol PERMIT FOR FRAME/BUIL j LA /fir/ �- BUILDING INSP C I R DATE: �,JFEE PAID• — Fi-ndiklna 7 Occupancy Nnnit Required to-Occupy cpy�Bui lding GAS INSPECTOR Display in a Conspicuous Place on the Premises ®- Do Not Remove in NO Lathing or Dry Wall To Be Done , —FIRE PAR Until Inspected and Approved by the Building Inspector. �� Nurner ?/lye PLANNINGA �INAL CON SERVAMN_.:_!�1,/� _FI L Street No. / ,Smoke Det. 4� SEWER/WATER F i N DRIVEWAY ENTRY PERMIT_ t p a Pie Com i onulealth of.Massachusetts "'' VS.: W''76 C"o Department of Public sofeiy fOccupa.cv S Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 (1 _----_-?/V"- ea a blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR K All work to be performed In accordance with the Maccachusctrs Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of N Oe7;V 4AWoL1E2 To the Inspector of Wires: ZZ The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) /7 PETE/eS6n/ R6,4D N-ner or Tenant PAR VANE'H YASsIN/ FAeD Owner's Address SAmE (S08) 557-0207 Is this permit in conjunction with a building permit: Yes ❑ No X❑ (Check Appropriate Box) Purpose of Building Utility Authorization 110, Existing Service Amps % Volts Overhead ❑ Undgrd❑ No, of Meters _ New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Installation Of Alarm System No. of Lighting Outlets No. of Hot Tubs ' No. of Transformers Total KVA No: of Lighting Fixtures. Above In- 8 g 'Swimming Pool grnd. ❑grnd. ❑ Generators " KVA No: of Receptacle Outlets. -No. of Oil,Burners: ;- No.,"of:Emergency-;Lighting 1 Batter y Unit's' ` N o.' of Switch'Outlets No. of Gas Burners FIRE:ALARMS No. 'of Zones 4 - 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 Tons KW g Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local EJMunicipal QOther NoConnection No. of Water Heaters KW Si,nsf Ballasts wNo. of noltag No. Hydro Massage Tubs No. of Motors Total HP OTHER: C) ) SmoKF_ 1)ETECT-0r' INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Lawsl ,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 0 OTHER❑ (Please Specify) Expiration ate . Estimated Value of Electrical Work S //JA5�'Oo Work to Start 1-11-97 Inspection Date Requested: Rough Final Signed under the-penalties-of• perjur .FIRM NAME A.D.T. SECURITY -SYSTEMS NORTHEAST, INC., _ LIC. No. 1231C. 1231C Licensee DONALD A�BROOKS Stgna't e " • ` No;. _..-. -. - _._ Address 60 :W.illiam Street, Wellesley, s el J' r4 - 8 A It 'Te 1. No 617 43'1-5-8 3.1...,.._ stalicationetas required by Massachusetts does not d th the insurance coverage or. ts.sub- OWNER_S .INSURANCE WAIVER: I am aware that the Licen equivalentq y era'1 ws�t'hat-myW"signature: on'�this permit•�� -�•� PP q Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent i i i a �-t � d,. I � � - _ p J c; � .. I i '� IIr ` } '! I - - I ,. � :Y Y - .a �.. i.G.":.'. .. .. .. a '�. 1 j fi+,� .� G. .... _ .. _ � _. .1. i • .. � t � � ! f 5 �.+ G. '.. � r !-i w r e .�"�Lr`..'".`j'"`rw-r`;;f"."v'r'�'�:+-�-ti's..^�+t=:.;"'.:+'i'1.,�"-..:-,d'-�..:e•"'�"Ki���� �.�.m.., - .-_ ��.-i�.r. � .r�-._ Date......1... .... ... ... 7 �., 706 NORT" °f, :•�"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SSwcMus� Sly � e This certifies that ...... .......U.., ......Se c.........�....` �.... .... ... ............... a,� has permission to perform ........ . .....v........,M.....V ..( ........................... .... wiring in the building of....... �t..►�.... tr. �?.....1 y r�.�..'.'..1........... 'rC .... iS at......IJ....... .L.4e.> .Su✓ ....'�?........................... ,North Andover,Mass. Fee.. L...:.O..:. Lic.No. ./ ..>./`C...................................................... 7 11:5V ELECTRICAL INSPECTOR 01/24/ 7�3�dQ PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Staple a � dejS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII i j � � i _ � ,I �. �, - '� �- �_. � � � � � '� � , . TOWN OF NORTH ANDOVER �i APPLICATION FOR PLAN EXAMINATION Permit NO: d 0 Date Received Date Issued: � a P/10 MPO2e�4 RTANT: Applicant must complete all items on this age LOCATION r- d,1 Rod CI Print PROPERTY OWNER V Nllar\z Print MAP NO: PARCEL: I .ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building L-One family Addition Two or more family Industrial Alteration No. of units: Commercial VRepair, replacement Assessory Bldg Others: Demolition Other Septic Well -Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: N d,(- f (tea�_J Identification Please Type or Print Clearly) OWNER: Name: '-Ru in( an a `1 e1-vie_( ICd\/ L Phone: �1)F 3 � ,D2b 6 Address:_ e4e/j o-t Za �6-d �4a, i+ . A nl a vri ft A o P r CONTRACTOR Name: Cs rLCGne_ K(j)4 i2j Phone: 9)% 6�3 3 q)L-O Address:_ZOO Scj-{-I-0n St'Ec 2 10 TYYI t�f /Vltly ' Su ervisors Construction License: P 9935 - Exp. Date: la•- i(�, •moo I t Home Improvement License: 104 5,6 `/ Exp.. Date: ' 1 -c�6 0— ARCH ITECT/ENG I NEER a—ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �O�� r'•7 FEE: $ Check No.: oP1 Receipt No.: '�Of3 NOTE: Persons contracting with unregistered contractors do not have accesss-sa�to the guaranty fund 6ignature of Agent/Owner Signature of contractor-�� ��C°�"`� Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained: Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of,H.I.C. And/O.r C.S.L. Licenses ❑ Copy of Contract - ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department'prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require"sign off from Fire Department prior to issuance of Bid 'Permit New ConstructionI(Single and Two Family) I ❑ Building Permit Application ! ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned)to Include Sprinkler-Plan And Hydraulic Calculations (if Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report L3 Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal,period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Plans Submitted Plans Waived Certified,Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public,Sewer Tanriing/Ivlassage/BodyArt. Swimming Pools Well. _ Tobacco Sales. Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster.on Site . THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH _ Reviewed on -Signature i . . COMMENTS 4. Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water $ Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer:,Signature: Located 384 Osgood Street FIRE•iDEPARTMENT Temp Dumpsterron site; yes L'ocatedat 124;Main Street - Fire e�part anti s,gnatureldate .:`-- > '; ���. ���-�:=- �.��,k, ��� s ��� a�. ��R��• r� ��:.. COMMENTS s Dimension Number of Stories: Total square feet of floor.area, based on Exterior, dimensions Total'-land area, .sq. ft:: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of - Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 section 2 1 A—F and G min.$100-$1000 fine 1 NOTES and DATA— For department use i i i. 0 Notified for pickup;- Date .........-......-._............_.._.__._...-- ---._.............-._.........................................._........._._.........._ __......._._._._......................................_...............................__..._......_ Doc:.Building Permit Revised 2008 t. .fie Location_, No. Date `s NORTH TOWN OF NORTH ANDOVER - Of i �uo ,•,tiG 41 ~ 9 Certificate of Occupancy $ 'Ss,cHUst` Building/Frame Permit Fee $ :2 Foundation Permit Fee Other Permit Fee $ TOTAL $ '` Check # `" ° Building Inspector S TNORTFI 0 0 _. : over 0 No._ oLAKE a over, 1Vlass., COCMICMEWICK ATED FkV) I �7 V ` BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System —� BUILDING INSPECTOR THIS CERTIFIES THAT ��....................... .................................................................................. Foundation has permission to erect......................................... buildings on ............/�.... ......... .CJ�`�. ............. Rough tobe occupied as......................... � ! i��.. ..... .. ® . ..`...............................................................................:....... 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARS Rough .......................... ..... '�`�'�...................... Service UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the7 Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner' Street No. SEE REVERSE SIDE smoke Det. DAVID CASTRICONE CASTRICONE ROOFING&SIDING INC. / ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 In North Andover 978-683-3420 In Boxford 978-887-6147 In HaverhMI 978-374-7314 Uwe the owner(s)of the premises mentioned below,hereby contract with and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions,on premi es below described: Owner's Name...... (,l �ytll.as}1 et,,,........L �[t..)/ln.r.... nn�3.6 p ..............Tele rte#...��.a.........../..I.�`.�..:.�.A.�o g Job Address......f.. ..... e � l'S ti i 1.... ... r...................City... A J"1,�. .. .Q,... .... o..►!Q/'............State... .. .. ....... Specifications: trip existing shingl4d .4ply new drip edge to all edges.wI,Y, g ..................................................................:........................................ ........................................................................................................ .ripply _feet ice and water shield membrane to bottom edges of house. 3 feet ice and water shield membrane in valleys and bottom edges of any unheated areas of house. ...........................................................................................................�... .............................................. ,amply felt paper underlayment. .Install ridge vent to 2 „m ,a ,.rte_c c � .............. ........................ .............................................................. ...... ......... . .... . Y Reroof using �,x r r� ,`D -shingles with a SO year warranty. `(Counterflash chimney. "mow vent pie flashing. "Legal disposal of all debris. 4rea(s)to be worked on: .. ...................................................:..... ........../40..... ei-F...... "e� .��. 'I ............ `�Q....�.... . 1 f��j, r P �,..1~1!Y'IJ.4 ...�a.P..........[.. .�e.....................t••IM� R. l ....Y d.Sl. .............��` ...p.. ...... Q 3. .,..t .2,... ;t a ... �-...-- ......... _;Ogy..................... ..1q.. ... . .�.... Roof board replacement it necessary @ �jl !sheet or 4fl-"/foot. .............................................................................................................................................................. .. ................. .................... Two Year Workmanship Warranty(Not Transferable) 11Tanufacturer's Warranty as speci.fied..by...man...ufacturer... .... The contractor agrees to perform the work and furnish the materials specified above for the SUM of$.... ....... Payable.............................on................................. Payable.............................on.................................. Balance payable on completion of job Owner or Owners aro not responsible for Property Damage or Liability while job is in operation. Contractor is not responsible for any damage to the interior of property,including prc-existing conditions(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials specified above(i.e.objects.coming loose from walls,crumbling plaster,exposed nails,dust in attic or other living spaces).Items in attic may need to be covered by homeowner.All materials are property.of contractor. Any dumpster placed by contractor is for his use only.Upon completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation as requested by contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is agreed that,if permitted by law,contractor shall be paid by the owner(s)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid,that shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith.It is further agreed that this contract maybe assigned by contractor,and also that the obligations hereof shall bind and apply to their heirs,successors or estates of the parties.The undersigned warmnt(s)that he is(they are) the owners(s)of the above mentioned premises and that legal title thereto stands of record in his(their)names(s).There ate no representations,guaranties or warranties,except such as maybe herein incorporated,if any,nor any agreements collateral hereto,nor is the contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor Registration, One Ashburton Place, Room 1301,Boston,MA 02108 Tel:617-727-8598 Any and all necessary construction-related permits shall be obtained by the Contractor. Any Owner who secures his own construction- related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c.142A. Approximate starting date of work................................................ Completion date......................................................... Receipt of a copy of this contact is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall.be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Owner has three business days to cancel this contract and incur no.penalty (see notice f cancellation). IN WITNESS WHEREOF,the parties have hereunto signed their names this.../. .day of...a J.V.t��,.l...,20....1.Q Accepted: Signed. ... ........................................ Owner Signed............................................................................. Owner . ...,. ....... . David Castricone,President � y�7 The Commonwealth of Massachusetts Department of Industrial Accidents —' Office of Investigations 600 Washington Street Boston, MA 02111 F t •. .. �.,•., www mass ov/dna Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Ay I I C Aw I C 0 N R m F I Nc., a SID 1 N�- J N L Address: 20 C) S u-tiT7,IJ S-c rt- So v-rt✓ Z2 40 City/State/Zip: ANDo461. MA 019 45 Phone#: °I)9 (p 3 Jq 20 Are;you an employer?Check the appropriate box: Type of project(required): 1.X I am a employer with S 4. ❑ I am a general contractor and I have hired the sub-contractors 6. E]New construction employees(full and/or part-time).*, 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y p �'� 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑ Plumbing repairs or additions myself. o workers' com right of exemption per MGL Y � p• 12oof repairs insurance required.] t c. 152, §1(4),and we have no //-- employees. [No workers' 13.0 Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer.that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: e— Co MD G.11y 6l� fl-&±—e Policy.#or Self--ins. Lic. #: Yj( CSS a 1 Expiration Date: 9-A a- 2-01 0 Job Site Address: r e4r e'3'Oy� City/State/Zip: ���`1��6l ( Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against.the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations'of the DIA for insurance coverage verification. I do hereby certify under thepains and penalties of perjury that the information provided above is true and correct. Signature: 4��,,'/ C-1— C Date: 61a n, _ Phone Official use only. .Do not write in this area, to be completed by city or'town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health.2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town. of Norte Andover r OEit�f4u ay�O Building Department 27 Charles Street North AndoveJ-, Ivlassucliusetts 01845 (978) 978 688-9545 Fax 4 . ` a ( ) 6b8-9542 LAHJ A C[I[•IIL111 WI[h �R�rcn rN`y,�h Z AcF1Jl DEDRIS DIS130S.AL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building,permit # the debris re-, from the work sluill be disposed of in a pA operly licensed solid waste disposal facilit-, as defined by MGL c11, sl 50a. The debris will be disposed of in/at: I-��tcility lc>�ukion -.--. Signature of Applicant -_fig -ro Date NOTE A demolition permit from the Town of North Andover must be obtainod. for this project tluough the Office of the Building Inspector. 111111 IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII Code End pu3 epo:)- Code Start JUAL*4s Opo � Staple a . 1 1de. IIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllllllll w r�i uwvn nvnv 210/025.0-0146-0000.0 ._ ,, . - a .. � 5 I r - � --j ' � North Andover Board of Assessors Public Access , Page 1 of 1 MORTM. �4��i h_•: �t�1$��9er�. Boa d�,O. f irs., �r o•�- ^ OOL t ' i► SSS"Croperty Record Card Click Sea]To Retum Parcel ID :210/025.0-0146-0000.0 FY:2012 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales Summary i Residence Detached Structure Condo 19 L-tO PETERSON ROAD Commercial Location: 19 PETERSON ROAD Owner Name: MOON,DAVID C Owner Address: 19 PETERSON ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5-5 Land Area: 0.11 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1948 s ft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 348,300 348,300 Building Value: 201,000 201,000 Land Value: 147,300 147,300 Market Land Value: 147,300 Chapter Land Value: LATEST SALE Sale Price: 329,000 Sale Date: 09/21/2001 Arms Length Sale Code: Y-YES-VALID Grantor: WILLIAM GILLEN Cert Doc: Book: 06375 Page: 01.86 hltn•//rer_ma iic/P'POPAPP/rl;cr%laxr Al ?l;„t-1A=1 Qc/1'7innI n Residential Property Record Card PARCEL ID:210/025.0-0146-0000.0 MAP:025.0 BLOCK:0146 LOT:0000.0 PARCEL ADDRESSA9 PETERSON ROAD FY:2012 PARCEL INFORMATION Use-Code: 101 Sale Price: 329,000 _Book: 06375 Road Typed TDate: 07/28/2004 Owner: Tax Class: T Sale Date: 09/21/01 Page: 0186 Rd Condition: P - Meas Date: 07/2812004 MOON, DAVID C Tot in Area: 1948 Sale Type`P Cert/Doc: Traffic:_ M Entrance:_ C Address: TofLand Area: 0.11 Sale 19 PETERSON ROAD Grantor: WILLIAM GILLEN Sewer: Inspect Reas: M NORTH ANDOVER MA 01845 [Exempt-B/L-/. / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Tot C Style: L R NBHD CODE: 5 NBHD CLASS: 5 ZONE: R6 y � .�_,. __-,Rooms: 7 _ Main Fn Area: 912 _ Attic: N Story Height:__ 2.00 Bedrooms: 3 Up Fn Area: - 1036 �Bsmt Area: 912 Seg Type Code Method Sq-Ft Acre_s Influ-Y/N Value Class Roof: ----GFull Baths: 2Add Fn Area: Fn Bsmt Area 1 P 101 S 5000 0.110 147,292 Ext Wall: _AV Half Baths:7 Unfin_Area: Bsmt Grade: VALUATION INFORMATION Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: _ 19_48Current Total: 348,300 Bldg: 201,000 Land: 147,300 MktLnd: 147,300 Foundation: CN Bathual:DM-- RCNLD: - 201043 Prior Total: 348,300 Bldg: 201,000 Land: 147,300 MktLnd: 147,300 Kitch Qual: M Eff Yr Built: 1996 Mkt Adj: Heat Type- FA_Ext Kitch: — Y6aTBuilt---4 1996 Sound Value:-W_. - Fuel Type: G Grade: AG Cost Bldg_ 201,000 Fireplace: 1` -Bsmt Gar Cap: Condition: V- Aft Str Val 1: Central AC: Y Bsmt Gar SF: Pct Complete: Aft Str Val2: Aft Gar SF 288%Good P/F/E/R: ///94 Porch Tyne Porch Area Porch Grade Factor P 52 W 24 SKETCH PHOTO 3 FM/B - 12 144.S4 t2 —_ FU/EM'/0 768 SgFt 32 32 I ; FU"0.75 J 288 5q fft 24 24 19 L-1'0 PETERSON ROAD ;<' 4 4 Parcel ID:210/025.0-0146-0000.0 as of 5/17/12 Page 1 of 1 Location No., -4 Date �6 y a %ORTM TOWN OF NORTH ANDOVEW Certificate of Occupancy $ r Q Building/Frame Permit Fee $ a MUEth Foundation Permit Fee $ ., sACs Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ ` TOTAL $ 8 t � v I Z C? 1�.-Bi7il/di g In for n t� ��MCS• 9 0 6 7 Div.r`uKc Works � y ' Location r.. No. 7iU L Date . r: o f KCRTN TOWN OF NORTH ANDOVER -57 a Certificate of Occupancy $ LA-+ Building/Frame Permit Fee $ �ss,►cNust< Foundation Permit Fee $ .- Other Permit Fee $ g Sewer Connection Fee $ �¢ Water Connection Fee $ a TOTAL $ Building Inspector 1 9615 Div.Public Works > . _ �;, -4-: _ - .. '�}.. _ .. �.,�'� � � � P E` ,' 'i:1 .. N^'r'-ir �O 1 Location No. , 7-0 41 Date 14 TOWN OF NORTH ANDOVER } p Certificate of Occupancy $ • ; Building/Frame Permit Fee $ 0, s " tt� Foundation Permit Fee $ �cHus Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ao; �f� Building Inspector 06/20/% 13:15 77 VV. PAID . 9790 Div. Public Works i t4 ,r _ Lr f , �i YJ 1 1 .l V PEaatrr No.i! APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 'MAP 4-40. LOT NO. to 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. 0 1-1 LOCATION 19 'p �.j_ IZ Q PURPOSE OF BUILDING 5i1 t OWNER'S NAME �7CM� vw� NO. OF STORIES SIZE -- OWNER'S ADDRESST BASEMENT OR SLAB . ARCHITECT'S NAME �© /���� SIZE OF FLOOR TIMBERS ISTX/ 2ND �J� 3RD BUILDER'S NAME © SPAN [ DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET J�s� POSTS i/x,tt DISTANCE FROM LOT LINES-SIDES EAR GIRDERS j la.10 z�10.09 AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION7-,,, `O THICKNESS IS BUILDING NEcW�( SIZE OF FOOTING b ,X -7 IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON,§2L{DAR FILLED LAND V WILL BUILDING CONFORM TO REQUIREMENTS OF CODE y�5 IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS I "7 3 PROPERTY INFORMATION C/ LAND COST SEE BOTH SIDES EST. BLDG. COST .� D PAGE I FILL OUT SECTIONS 1 - 3 _ EST. BLDG. COST PER SQ. FT. EST.BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ,4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS u.y PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ' ` DATE FILED BUILDING INBP[C`oft SIGNATUR`k OF OWNER ORAUVAbRIZED AG T y ` FEE OWNERTEL#WWI am* PERMIT GRANTED owro CONTR.TEL.k C 661/OW ' � p ' FRAME ff @ 9-06,22— CONTR.LIC.N y. 0 — i W H.I.C.# (7 93 BUILDING RECORD 1 .- OCCUPANCY 12 �- INGLE FAMILY S oklEs - 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 r RAGES. ETC. SUPERIMPOSED.-THIS REPLACES'P-L'OT,PL•AN. ' ' - CONSTRUCTION �-A __ 2 FOUNDATION IS" INTERIOR FINISH t CONCRETE a I 2 13 CONCRETE BL'K. PINE BRICK OR STONE HA-RD_WD _ " PIERS PLASTER - _ DRY YlAll UNFIN Pip 3 BASEMENT AREA FULL FIN. B'M'T' AREA 1/1 +/+. lh FIN. ATTIC AREA NO B M'T FIRE PLACES _ HEAD ROOM MODERN_KITCHEN 4 WALLS 9 FLOORS CLiCS'! 8 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING COMMON- +1/I_ VERT. SIDING ASPH:TILE _ :- 'STUCCO ON MASONRY "'" ''N STUCCO ON FRAME BRICK M N Y- ATTIC STRS. & FLOOR _ BRICK ON FRAME I ' CONC.OR CINDERBIK. STONE ON MASONRY WIRING STONE ON FRAME a SUPERIOR I' , R ADEQUATE NONE $ R F 10 PLUMBING + GABLE HIP BATH 13 FIX.) - GAMBREL MANSARD TOILET RM. (2 FIX) FLAT SHED WATER CLOSET _ - ASPHALT SHINGLES W- LAVATORY WOOD SHINGES KITCHEN SINK, , SLATE NO PLUMBING - TAR & GRAVEL STALL SHOWER A ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE ' 4 . > ;FORCED HOT AIR FURN. y TIMBER BMS. 3 COLS. STEAM v STEEL BMS. 6 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS ATR CONDITIONING ` RADIANT H'T'G r. a' 1'"+ 1�O UNIT-HEATERS 7 NO. OF ROOMS •GAS". OIL _ B'M'T 2nd _ ELECTRIC 1st ".� 13rd I NO HEATING y s , a 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. ****************Applicant fills out this section***************** APPLICANT: T H Phone - t16 ' LOCATION: Assessor' s Map "Number �0 _ Parcel�E� ��, Subdivision 'iT Lot(s) Street �� t� -� j� OQ St. Number ,C4 ********************** *Official Use Only************************ RECO NDA IO F WN AGENTS: Date Approved AConsery 'ion dministrator Date Rejected Comments Date Approved -' - 4Town Planner Date Rejected Comments Y 10✓ CC C u c} Al le t/eCC✓eA &rk\Je s ( a 2CM2 n�rJ �vYtir+' Date Approved Food Inspector-Health Date Rejected Date. Approved Septic Inspector-Health Date Rejected Comments I APublic Works - sewer/water connections driveway permit —1-T60 -�G To Fire Department V Received by Building Inspector Date i i F i t 4 L � r i n .� �. �I II � wf. _ i 4. I ., 1 f .. i ..� ...� � � � .. �ISI i t {,. f i '� i ` ,`�° '� �{ .�. i .. .� 1 ..1. �,.. n ,� � . - i � � � � _ j >> , ; �_ i _. I � ,� f i i ._ f � �. � �. �� � � � � � i i ; � i � ► l oo o - M I io.o0 P•26�stA /./oast, GaGATio�/ AND ."LOT • ,N �. ti� Ati�✓E�, /Y�.v 55. 4 FOW HOFIVANN cSSI��� S J� ,5'Si 3-, i(/OF=m�.v,+1 f?G.S. �'P''�� iflE.P.P/rN.9Gt�E.vG�,dEE,P/.(/G SE•P�/G'ES GG �A.P.(�.ST•PEET A.t/DOYE.� �Y1,4SS,oGfi/�SETTS o/8/O i �. i ,ws �,. �e ' '� � • i ' i �. fl�'�� f �: - I 4 i i i ' 1 I � f I I r I �' pp � i I C _. � .:. ... .. .. { NORTH F d 0 oover No. 2oy dover, Mass., z'� 19 �SS COCHICMEWICK 7� ORATED P'P�,`�� 5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR d �c.J a..c�..A.......1`1 .. ,f 7 ....G.d. . ..P THIS CERTIFIES THAT.................................... Foundation r— buildings on ........L 4.....P57t ..5.?. .... �........................ Rough has permission to erect.:...................................... �/ �'„ ........ /¢NL !l Chimney tobe occupied as...........................:.........:......................................... . ,?�...........:......... ............:.... .. 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 a d Construction of Buildings in the Town of North Andover. ID �" PLUMBING INSPECTOR Co p Y o� uF�oA� E�Sh;P� VIOLATION pit,of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS PERMIT FOR FOUNDATION ON Final REGULATED BY PARA. 114.$-S. • ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAIqS qq/ s'22'"/b Rough DATEFEE PAIDI(* .... . .............. ......................................I.................. e 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. Smoke Det. �f^• _ � .. f i R ` /r r � i �. � � .' � � ti .. i.Y,. ' • � � . i 1 � i .. 1 � • ... .. � � o � i � ` i � � , ( ' ' ` � � � ," . �.. y �, :: � • • , �_ . •;, .. � _ _ t � .. ` , . - � .. _ �, '' I �� � I _ � � ':I .. . --y _ �, a CERTIFICATE OF USE & OCCUPAVCY - Town of North Andover Building Permit Number 204 Date JULY 26, 1996 THIS CERTIFIES THAT THE BUILDING LOCATED ON 19 PETERSON ROAD MAY BE OCCUPIED AS ST IME FAMTT Y FLING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 3r;' MOR7H CERTIFICATE ISSUED TO Fxowood Realty corp. o � } p ADDRESS 733 Trt # s s s y F� as4 cHuy� Burl in _... _ _ .:.....:... ' JUN 24 '96 05:19PM 50 MILK STp BOSTON Nn 02109 P..2/3 MEADOwOOD_III DRIVEWAY AND UTILITY EASEMENT (Lots 10, 14 and 15) This Driveway and Utility Easement made by Thomas D. Laudani of North Andover, MA, as Trustee of the Hillside Realty Trust u/d/t dated June 16, 1993 and recorded with the Essex North Registry of Deeds in Book 3887, Page 178 (the "Owner"). The Owner is the owner of Lots 10, 14, and 15 (the "Lots") as shown on a plan entitled "Special Permit and Definitive Plan, Meadowood III, North Andover, Mass., Owner and Developer, Hillside Realty Trust," which Plan is dated April, 1994, rev. 8/3/94 and filed with Essex North Registry of Deeds as Plan No. 12461 (the "Plan"). The Owner intends that Lot 10 be serviced by a driveway and utilities and that such easements and r ghts of way be granted over and desirable to accomplish this schemeoss the Lots as may be necessary and Therefore, for good and valuable consideration and in eration of ishes the sum of tees t being tOwner he intention lof thetthe following owner that no merger restrictions and easment shall occur with the Owner's present fee ownership of the Lots: 1. The area which is shown "Prop. 18' Wide Driveway & Utility Easement" (the "Easement Area") on a plan entitled "Plan of Land in North Andover, Mass. Showing Driveway and Utility Easement" dated June , 1995, by Merrimack Engineering Services, Inc., 66 Park Street, Andover, MA 01810, filed with the Essex North.Registry of Deeds as Plan No. � (the "Easement Plan") shall be used as a driveway for the benefit of Lot 10, as shown on the Plan, and for the purpose of providing pedestrian and vehicular access to Lot 10 and for such other similar uses for of North which a driveway may customarily be used in the Andover. In addition the Easement Area may be used for the installation, maintenance, repair and replacement of: (i) underground water, sewer, gas, electric, telephone and cabletelevision lines, pipes and conduits, and appurtenances thereto, as the case may be; to service.Lot 1 nd (ii) such other or ollities as ther lots reasonably may be required , 1 - �.Y � � 1 �� ., ;E• I ' � � ': I � , 1 f i 1 i •� �I 4 i I I JUN 24 `36 X755*13PM 50 MILK ST BOSTON NA 02109 P•31'3 l ' shown on the Plan. The rights and casements granted herein shall be appurtenant to Lot 10. expressly reserves a temporary easement in the The Owner exp y 2. area designated on the.Easement clan as "Temporary LTemrorarY Easement Area" for the purpthe utilitiof es as referred constructing t he driveway and toherein. stallin g The temporary easement shall expire upon the completion of the driveway and installation of the utilities. 3, The Owner further expressly reserves the right, as the p Y o owner t ' ' his sole discretion deems necessary or advisable, , over the Easement Area for the purposes stated herein, as well as the right to grant rights and easements to other parties (including, without limitation, utility companies or municipalities) in, on and over the Easement� Area for shall such purposes. The Owner's rights con survive the sale or conveyance of the Lots. 4. The cost of maintenance and upkeep, including, without limitation, snow and ice removal, surfacing u�e wmer of Lotf10.ng the Easement Area, shall be pa y Executed as a sealed instrument this 30th day of June, 1995. Thomas D. Laudani, as Trustee of the % Hillside Realty Trust, and not ° individually COMMONWEALTH OF MASSACHUSETTS June 30, 1995 Essex, ss. Then personally appeared before me the above-named. Thomas D. Laudani, Trustee.of the Hillside Realty Trust, and acknowledged the foregoing instrument to be his free act and deed. Notary Public ivly Commission Expires. 2 ., �� i !` �. l I 7� s �: I I i i I i � j it f I I I I I i i - NpRTH 01" . 0 01. dover ;,`r to o doves, Mass., 1.9 COChKMEWICK. AERATED: aP�`�.(5 S BOARD OF HEALTH Food/Kitchen Septic System PERMIT T . D BUILDING INSPECTOR THIS CERTIFIES THAT.................................... d. ..d..G�.. ........ I .:! :Y.... .d ..(...,...................... nd ' ............... buildings on .._.....�q....:P ....f �........................ oug has permission to erect...........::.......... F,4 ( l Chimney tobe occupied as............................................ ........ ......5�...�.�6........ . .... .......,........: y 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 anQd Construction of Buildings in the Town of North Andover. �J' C PLUMBING INSPECTOR COPY 01, AR`°E''o-4� ew- . me'; VIOLATION of the Zoning or Building Regulations Voids this Permit. r""'L_!�Z PERMIT FOR.FOUNDATION ONLPERMIT EXPIRES IN' 6 MONTHS REGULATED R. PARA. 11ON O UNLESS CONSTRUCTION ST S ECTRIC PE DATEs 22-96 FEE PAID ....................... .... ................ ..................:...............:....................... BUILDING INSPECTOR . Occupancy Permit Required- ;to Occupy Building GAS INSPECTOR. Display in a Conspicuous -Place -on the: Premises -- Do Not Remove a #1 - No Lathing or Dry Wall To Be Done; Until Ins ected and Approved by the Building Inspector. FIRE DE ARTMENT l Street No. /1 •� 1,�, 4, Smoke Der. 1� ,� . � .. ' � .. ,.. � ,> � . _ a �� .. . . - ' r � � . . ,; �� i � � o l ' ,.. + �� t .. � -, 111 • � � ; { j �� .. f .� a i �. .�. 1 . , v t , - + � .^.k � � � � . 4 _ �.. t � � i 1 T � .> �� ,_ ' ' ' ' � . .. � � _ 1 , ( �_ — J office Use Only of 4E ����\:511MMUIU1114 of Ans*usPffB Permit Na. Q Eelrartmient of Public Eafttq Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:003190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) nate ( 4 00* 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) L� I /U Pei fl-510111 0- Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate�Box� Purpose of Building h aZ12 a 'Iry _IL 4' Utility Authorization No. 6lJ Y Existing Service Amps _� Volts Overhead Undgrnd (_ No. of Meters New Service 200- Amps /2& J 9 '/() Volts Overhead Undgrnd UG No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work bZeLt/ W e 1 hG No. of Lighting Cutlets I No. of Hot -ucs I No. of Transformers TotalNo. No. of Lighting Fixtures Swimming Pcoi Above.- in- KVA grna. _ 5rnd. _ I Generators No. of Emergency Lighting No. of Receoiacie Cutlets I No. of Oil Eurners I Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Air Conn. No. of Rances I !ons Initiating Devices No.ot Heat Total Total No. of Disposals Pumps Tons KW No. of Sounaing Devices , No. of Self Contained • No. of Dishwashers / I SoaceiArea Heating KW Oe[actionrSounding Devices No. of Oryers Heating Devices KW Local —i Municipal r__1 Other Connection No. at No. of Low Voltage No. of `Nater Heaters KVV I Signs Sailasts Wiring No. Hycro Massage Tubs I No. of %Aotcrs Total HP OTHER: INSURANCE COVERAGE: Pursuant to the recutrements of Massacnusetts general Laws . / I have a current Liability Insurance Policy incluaing Comol c Coerations Coverage or its substantial ecuivaient. YES L NO = 1 have suomitted valid proof of same to the Office. YES Vy0 = If you have checked YES. please indicate the type of coverage by , checxing the abpprppriate box. _ INSURANCE Y BONO := OTHER - (Please Scec.fy) (Exptrauon Oatei Estimates Value of Electrical Work S Worx to Start Insoect:on Date,Recuestec: Rough fwd d/ Chil Final Signea uncer t e Penalties of perjury: FIRM NAME W NGE C I EG-T4/ C' UC. NO. 9 Licensee' _ �a La-g/ce-a c= Signature /� LJC. N/O.c�-�s-�r�-,,-- oo �r1Yn1 / ry1 Bus. Tel. No. JQ'Fl Address � aShlhL ,C�' � " efnVe� „`�� Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee Ices not have the insurance coverage or its substantial equivalent as re- quires by Massachusetts General Laws. and that my signature on this permit application waives this rectircement. Ow er .\ Agent (Please checx one) 1�J Teieonone No. PERMIT FES (� (Signattire of Owner or Agent) C." 5_& x-5565 G ' c I f I TO ' 2464 Date.. . .. NpRTH TOWN OF NORTH ANDOVER pF .a o ,•1't'O 0 • `p PERMIT FOR INSTALLATION ` � �Cc fi?•�4/ SACNUSEtt This certifies that . .Lc.z,,1?: eH e . %��C/e.r-ca . . . . . has permission for ms allation . ./ . . . !✓,/d/!?'.� in the buildings of . . . . . � 115�Q!t ,,,�t'c/) -at ldf/0. . . ?� !.�l. . . �J`tr«. . r;North Andover, Mass. 7-00 KID Q#SINSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD: File �ti.w$,p .s__a�",,.?' 'n'�S;, � ,n,.t,�Z.:..;..�...�v - a7S?�.�8wy�;�w,tg�!Vo�laat5� .�11',.;��.`..=�,t:; ��,_� `� ., ��: r : . . } �4_