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HomeMy WebLinkAboutMiscellaneous - 15 RIDGE WAY 4/30/2018 15 RIDGE Wqy 210/098.B_0088_0000.0 ® MAPFRE The Commerce Insurance Company'" Citation Insurance Companyw Commerce " Gore Road,Webster,Massachusetts 01570 INSURANCE-URANCE" 508.949.1500 www.commerceinsurance.com ' May 26, 2015 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: ANTHONY ARRIGO/JOYCE ARRIGO Property Address: 15 RIDGE WAY Policyk BDTNHJ Date of Loss: 03/02/2015 Filek JYWY35-HRNWJ6 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. JUSTIN SMITH Telephone: (508)949-1500 Ext: 11538 Claim Rep I,Physical Damage Toll Free: 1-800-221-1605,Ext:11538 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above,by first class mail. May 26, 2015 ice dms CIC 254 (Rev.4/95) MAIL I76 Date... .. .. .G/4. .... .. F N°RTM of TOWN OF NORTH ANDOVER f A t PERMIT FOR-GAS INSTALLATION ,SSACNUSEt This certifies that has permission for gas installation in the buildings of . . r!~! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . .�!�� . . . . . . . . . , North An ver, Mass. Fee.� r Lic. No.l' �,�. . . . . . . . . . . GAS INSPECTOR ' Check# 19 8026 00 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# Coe Amount$ Owner's Name New❑ Renovation ��� Replacement ❑ Plans Submitted ❑ � a �j U W w W OUO pa N x 0 Cn w F EO a z a z o ° z H 9 z U W O O A Gx a w �" w x z w a a 0 o° w o° w p w A t7 .a U 9 D A a H O SUB -BASEM ENT BASEM ENT 1ST. FLOOR , - 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR ±LEE-�± 8TH . FLOOR IE (Print ort,�,pe /� Chec one: Certificat�Inst ling Company Name � ��� Corp. Addres ❑ Partner. Business Telep one , ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Ch k o I have a current liability Insurance policy or it's substantial equivalent. Yess No❑ If you have checked Yes,please ' dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massac set State Gas Code and Chap e 42 of the General Laws. �i Sig Tinature of Licensed Plumber Or Gas Fitter By: ❑ Title Plumber City/Town ❑ Gas Fitter License Number Master 1011IT]eyman APPROVED(OFFICE USE ONLY) 9282 Date. .�1. . . /./.z. . + TOWN OF NORTH ANDOVER - PERMIT FOR PLUMBING 49 This certifies that %% . . . . . . . . . . . . . . . . . . .,. . . has permission to perform . . . 11.P!.0l T'.°?S. . . . . . . . . . . . . . plumbing inpthe/buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . at . . ���~ .l1�. �' . . . . . . . . . . . . . ../Noh Andover, Mass. Fee.!l. .Lic. No./ . .eR� ' PLUMBING 16'SPE Check # 00 2� ,) 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER,MASSACHUSETTS • ,l /&.-iw�� G1 Date Building Location Owners Name Permit# Amount Type of Occupancy • New Renovation Replacement Plans Submitted Yes No FIXTURES H � w A g4g1V1HNT / MHOOR 41H FIAC)Z2 51H FLOOR 6M ROGR 7M I+7 M MIR" (Print or type) %n/'�`'� / Chec one: Certificate Installing Company Name/�..C�� T%l�J�_�Y� �ff�'� Corp. Address�` �-�� Partner. Business Telephone loe j Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the pe of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnityEl Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with allpertinent pr visions f the Mp.6sachuschts St e umbing Codywq Chapter 142 of the General Laws. By: 2agnature of Licenseaurn er Type of License Title City/Town icense 1,477577 Master Journeyman ❑ APPROVED(OFFICE USE ONLY Date........... ...... ... . ... ..... NORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SAcmU Thiscertifies that ............................................................................................. has permission to perform .... .............................................. wiring in the building of....... at........................... ................... ,North Andover,Mass. .117WA...... LECTRICAL INSPEcT6R Check # 0686 A", wil-rd Date TOW_ N OF NORTH ANDOVER ' PERMIT FOR WIRING �-. . This certifies that . . . . has permission to perform . . ,�..T (. . . �,!„ . . . . . . . wiring in the building of . . .Ae.;�1, G-iQ . . . . . . . . . . . . . . . . . . . . . at . . . .j.ROf UJ,*7<. . . . . . . . . . . . . . .North Andover, Mass. Fee . M— 5'44Lic. No. . `�.�7.1,1.�jd. . . . . . . t/ * 7ELECTRICAL INSPECTOR Check# Z. -71 10966 ,i Commonwealth of Massachusetts Official Use Only - Department of Fire Services PemutNo, l Q-(9$ BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PAWT)NINKORTYPEALLINFORMATION) Date: City or Town of. NORTH ANDOVER 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) Owner or Tenant 314 Telephone No. Owner's Address -�,,,,� Is this permit in conjunction with a building permit? Yes .r'No ❑ (Check Appropriate Box) Purpose of BuildingUtility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity ti Location and Nature of Proposed Electrical Work: l/1J/rte Com letion o theJbllowlng table may be waived by the Inspector of Wires. No.of Recessed Luminaires 15 No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency—Ligung rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges � No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _ ..............-.__...............-...._. Detection/Alertin Devices No.of Dishwashers / Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances , Security Systems:' No.of Water No.of Devices or Equivalent Heaters KW No.Si No.of Data Wiring: Sims Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No,of nevices or E uivalent OTHER: Estimated Value of Electrical Work: _1C).z2V Attach additional detail if desired,or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start: Z 2 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 cover n force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify: I certify,under thepains and penalties ofperju_ry,that the informati n this applic ' is true and cor0ete. FIRM NAME: C.L, �z LIC.NO.: /d�- `� ' Licensee: 6 e7 �—�19� Signature � t LIC.NO.: (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.:ia= 292'—' 99.3/ Address: / Ifo 4z Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department ofPublic Safety"S" icense: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ r � _ •�;y�t,{�r�. •�-�7�tp•�,t�y. r •�•�•n•�+ tit ' _. 'l('.1-t d(/_C+(• (/JJj•.l. INSPECTOR.. {�j��•f�' PQ/�(• .U.'l1ylC.LeLTJtOJ.�.tC`B.x����J.: — ELEMICALINSPECTOR•. / 0UO 7$P MO; i Basset - Vaned--[ 3e-inspection zequi�ec ($50.00)-:1 j Tnspecto s'comzuOAts: •'t Err r. ,,•. . (Xnspec ore lige a-u 0itzals) Date Passed [ p'alled-[ ) Re-hispectim required($50.00)•-[ T Snspeetoxs c eats: ( 4ectoxs' gna no initials) Jute 3.Y1ND 1 ROTTND 3¢�SSP CTZOJY: y Passed- [ 1 pailed--[ ) Re-iuspection.required($60.00) [ ] ` Inspectors'Coxmnents. (Inspectoxsgignatuxe-no initials) Date 4.INSPACITON--SWVICE: DATE i AELI ��u I��A±OI�AL ii ; �VAIt +:• Passed.--[ x railed--[ ] Re-fuspectiourequired($50.00)-•( � h8pectbxs'comm.epts: (Inspectors,sigaature-zoo initials) bate Classed•--( Z p'ailed--[ 1. ($50.00)-[ 7 Inspectors,coVim.ents: (&spectors'signatuxe no initials) Date ®OR TAGS An TO BE FILLED OUT AND LEFT ON SITE IF THE.APXA TO BE WSPECTED 18-NOT ACCESSIBLE AND A.RE WSPECTION OF$50.0019 TO DE CHARGED. r The Commonwealth of Massachusetts Ln Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0bly Name(Business/Organization/Individual): �4�!?;✓� �_� Address: l6 City/State/Zip: AA- 07�i' (g T Phone#: 7 52 7 6 ( � Are yo n employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.$ emodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they aie 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. A , I r M Policy#or Self-ins.Lic.#: Dom ` 1�— Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). JFailure to secure coverage as requiredunder 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 *jof 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. Ido hereby certify der th i es and a of perjury that the information provided above is true and correct. Si ature: ��� Date: 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#: �- Information and Instructions � Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of r insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have ; employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the . applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. ' The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigatiions 600 Washington Sheet Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877,7MASSAFB Revised 5-26-05 Fax#617-727-7749 wwwjUass,8ov1dia 129 PROFESSIONAL STRUCTURAL ENGINEERING P.O. BOX 958 DESIGN SERVICES E. HAMPSTEAD, NH 03826 (603)329-5540 FAX(603) 329-6406 RESIDENTIAL COMMERCIAL o INDUSTRIAL. March 8,2012 Mr.Darren Martino DM Construction 44 Addison Ave.Extension Methuen,MA 01844 RE: Client.Requested Follow-up On-site Inspection&Certification of Compliance to Engineer's Specifications A to Customized AnthonyArrigo Family Residence at for Completed Structural Modifications and Additions y g y 15 Ridge Way,North Andover,MA Dear Darien, Asper our agreement w/Mr.&Mrs.Anthony Arrigo(10/19/2011),I have physically inspected the above referenced project for compliance to the Engineer's Desim Specifications. As inspected on Thursday,March 8,2012,the Structural Modifications and Additions,as constructed,to the Anthony Arrigo Family Residence at 15 Ridge Way,.North Andover,MA,have been constructed in direct` conformance to the Engineer's Certified Structural Drawings S1.o,S1.1,S1.2,S2.0,S3.0,S3.1,S3.2&S4.0 as issued on December 15,2011 and all verbal instructions given Thank you, S a e I Moccia,PE R ed Structural Engineer 4 `� � President,Hampstead Consultants, sAILvol 1 � Z MOCCIA STRUCTURAL vi 1 No.W97 GISTt��`� < SNAL cc: No.Andover Ma Building Dept Mr..&Mrs.Anthony Arrigo Date..< r`.. .:: .. 0.e`�.... 40RT#q pF �? TOWN OF NORTH ANDOVER 0 D • - PERMIT FOR GAS INSTALLATION s io .••'`�e �9SS^CHUS' . This certifies that . . . . . :. :� :. : "���• :::". . . . . . . . . . . . . has permission for gas installation . t.:'' ' . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . � � . .... . �.. . . . ., North Andover, Mass. Fee :. . . . . . Lic. sem. . . . . . . . . `GAS INSPECTOR Check# �<;= MASSACHUSETTS UNIFORMAPPUCATONFORPERN UTO DO GAS FITTING (Type or print) Date3/3 &e/3 /� G NORTH ANDOVER, MASSACHUSETTS / 4 Building Locations V Permit# V — Owner's Name Amount$ New Renovation Replacement D Plans Submitted U Z C W V t a G � a x F a d W z d x W a w o� �°, > a Z < W Q �, .Fn F v1 O F" .d F W. W > W a °� SUB-BASEM ENT ° > B A S E M ENT 1ST. FLOOR 2N D. F L 0 0 R 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) �n` 4P- Corp.Chec one: Certificate Installing Company Name I ' I 2 Corp. Address 3 J yyV C, El Partner. ` Business Telephone J- - 77 77 Z I Finn/Co. Name of Licensed Plumber or Gas Fitter IM k Q QUA(�cJ INSURANCE COVERAGE Check one* I have a current liability insurance,policy or it's substantial equivalent. Yes No� If you have checked Les,please i icate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 Owner's Insurance Waiver: I,am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent I hereby certify that all of the details and information 1 have submitted(or entered)in above application 13 are true and accurate to the best of my knowledge and that all plumbing work and installations perfo ed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass setts tat Gas o e and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title [3 Plumber p L3 I Lj -� City/Town, Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) ©' Journeyman . r� .r To The Town Planner, I will be going ahead with the plan that I submitted to your office last week, regarding my yard. The plan was drawn up by the Landscapers Depot from Kingston, N.H..I have contracted Myles Caponette of Have rhill,Mass.to follow the plan. This will involve the removal of all the poison ivy and the bittersweet that is contained in the area. This also may involve the removal of some trees in order to clear out the poison ivy. There will be trees replanted according to the plan. Thank you for your cooperation in addressing this issue. Joyce Arrigo <_ 15 Ridge Way North Andover, Mass. RECEIVED OCT 8 . 2004 Fftw,Oet"w01,2004 AmMea Oift AMRMM Por: 1 BUILDING DEPT. Location C/ t U., A No. Date NORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ INFMW Y Building/Frame Permit Fee $ Foundation Permit Fee $ s�cMus E Other Permit Fee $ Sewer Connection Fee $ I Water Connection Fee $ _ TOTAL $ 6 5' Building Inspector 03/86/99 08:33 65.40 PAID Div. Public Works " s PER M IT NO. APPLICATION FOR PERMIT TO IIUILI)********NORTII AND VCR, MA Mu'NO. LU1'.NO, D 2. RECORDOF(IWNERSNIP DA'T'E BOOK PAGE ZONE SUBDI\'. LO'I'NO. 1.()(:A ZIONPURPOSE OF BUI1 DING '�:.INI S D/a S�m.�..�"f" ��R 6'�CG(')'l -1•- ()\YNER'S NAI.IEN G-C� NO.Of:S FOR IL•S IZF OWNER'S ADDRESS GD6'it5�46Al, BASI--.I tWr OR SLAB ✓3,4�4eYy►WJ AR(•I III E(-I'S NAME SIZE OF FLOOR AMBER$ 2 ND 3 RD lit III DER'S NAME �� ��/✓/✓aJ7✓� SPAN DISI ANC F TO NEAREST BUILDING DII IENSl(NJS OF SILLS DIS DANCE I-ROA1 S 1 REEF DIMENSIONS Oi:POOPS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE I IEIGI IT(N=FOUNDATION TI IICKNESS IS BIIILDIN(i NEW SIZE OF I O(JIING 3 X ISBUIII)INGADDIIION MATERIAL OF Cl11ty IS BUILDING ALTERATION IS BUILDING ON SOLID OKIFILLED LAND /vrS/fG� 6nvY���� So%4c0 WILL BUILDING CONFORM-TO RF(ZIiiREMENI'S OFCODE t5 IS BUILDING CONNECTED-IO TOWN WATER ypc, i;OARD OF APPEALS ACTION, IF ANY Ao- IS BUILDING CONNECI'FD TO TOWN SEWER yam$ IS BUILDING CONNECT ED TO NATURAL GAS LINE INSTL)CT'IONS 3. PROPER-Cl'INFORMATION LAND COST �pC )3C�S EST. Buxi.cOST D dd�0 PAGE I FILL OI I r SECTIONS 1-3 i` EST..BLIXi. COS F PER S(2.FT. V EST. BLIX'.i.COST PER R(X)tl1 EI EC-rRIC NIETERS MAST BE ON(xTrSIDE OF BUILDING SEPTIC PERMIT NO. A I-1 ACI IED GARAGES MUST CONFORM TO STATE FIRE RECULA TIONS a_ .APPIt(-)%lED BY: C PIANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR � BlII1.UING NSPEC TOR �� 1�' OWNE DRS'I'El.11. A I i?PI I ia) 111 r � _-�"•—L..,-- .. ( ,_� . CONI R.IEI.11 S R-344-4 MAR 91 C(NNFRATCtl Q o X191 — 11(iNAI1IRL(A=OU'NI:I(( AtII 0RIZ1iDA(il'N`I II.I.C.H III: I'1 RhIll GRAN 11:1) 19 NORTH Town of over C' 11 Icy 0� �oC L E 4 dover, Mass., RATED P? C5 H 5 BOARD OF HEALTH Food/Kitchen PERMIT T Septic System O C �via0 2 BUILDING INSPECTOR THIS CERTIFIES THAT. ..... ...... ... ... .......................... . ......... ..................... ............................................ Foundation Y has permission to erect... . . ... .��OMAuildings on........l ...7�# �J �y . . Rough .... ......... ....................... 1 s1 � to be occupied as...17IN1.5%.�......3 Aa t IMtft l Co. a&A A 1%00 fM fA tt. Vijt Chimney 4 ............. .................... ...................... .................... ............................. 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 Ruildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough fz rc * O C PERMIT EXPIRES IN 6 MONTHS Final I O UNLESS CONSTRUCTIW ARTS ELECTRICAL INSPECTOR C � Rough W. Service ... .. .. . . .... . ............... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GASINSPECTOR 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. Board of B,uddin 'Regulations tine As ,br*e Place Rm K % 13C 1 ,z�• Boston, Ma 04108-10^18 j License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: Number: CS 050281 Expires: 10/15/2000 Restricted To: 00 C"4 I N WILLIAM J ZA,NNOIN1 C 806 SALLN'i R1) ---..._ --- ----- -- — z DRACiJ"', 'VIA 01826 Keep top tir rec,-jpt and change of address notificaticn. � 1 I� 1i IMe - Mv*1E CORA!t* Ivirlaiea WNW al iam J. 18mai, INC. 11111" I. 11moi S+si>� Read E klowt NA 01926 ! r-+ CD n � Q g P C J �I ri1 15-7d -0 M � �rSZ1� r M � �' L-4. . y --::-_ The Commonwealth of Massachusetts Department of Industrial Accidents — Office af/nyest/gatlens 600 Washington Street i Boston, Mass. 02111 Workers' Compensation Insurance Affidavit name: location: C& phone# I am a homeowner performing all work myself. C] I am a sole proprietor and have no one working in any capacity am an employer providing workers' compensation for my employees working on this job. address:.... phone#: q 7 V insaraneeco: policy# C] I am a-sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: compainy name addre phone#r .: ....:.:.:::...:.:..:;.;,>;^;;::::;; :.... companymme: address cam. phone#• ranee co ya�it # Failure to secure coverage as required under Section 25A of N1GL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or out years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of MOM a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date C4Print nae /z � Phone# 9T S —do `�--3-fm official use only do not write in this area to be completed by city or town official C or town: permit/license p n Building Department Q Licensing Board Q check if on response is required C]Selectmen's Office C3Health Department contact person: phone a: r'IOther (revised 7195 P1A) a 5 ✓fie l�onzrna-nu�ea`�i, c`"�G'Gira�ccc��eG'r�d , BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 050291 Birthdate: 10/15/1959 Expires: 10/15/2000 Tr.no: 3871 Restricted To: 00 WILLIAM J ZANNONI 806 SALEM RDha DRACUT, MA 01826 Administrator I � N2 1575 Date... NORTH 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that ........0... j........... .................................... has permission to perform ..... .........�n�-kwAl........ wiring in the buildinj of....... k/.e-- .. .................. at..... ...... ........ ......... rrth d/ove ass. ........... .... . . Fe Lic.No.../.�F...... ......... ............. /ELECTRICAL INSPECTOR WlIT CANARYItNingAnt. PINK:Treasurer ThFC011M0NW' 1LTH0FMA ► ' aff-:SETTS' Office Use only - DEPARTMF.1Vl0FPUBLIC&4= Permit No. j BOARD 0FMEPREV=0NRE9JT4T10M-V7CW LZ* _ Occupancy&Fees Checked APPLICATIONFOR PST TO MF'ORMPLE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 2 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) - Dat 7 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) �ikt , 1 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes® No F7 (Check Appropriate Box) Purpose of Building r„,I i,'s ) &4 30.01 eel �-- Utility Authorization No. Existing Service ;;L00 Amps kU/ c�Y&olts Overhead Q Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work .0o.of Lighting OutletsNo.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA groand around No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of switch Outlets 7� lV 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 PurnDS Tons KW hutiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal a Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis C No.Hydro Massage Tubs No.of Motors Total HP OTHER IrsuarreCaaa,�Ptaataxbthetegmertats�GenaalLaws Iha�eaamalLnbthyh-sr Ptbcymckd Canplete Comma arnsstitialegiyalert YES F-1 NO ]ha�est>lxrtated.elidptoofefsa<ne�theo�YES F—J_ rf}ouhaw dr&wdYES,please nbcaiethetypecfm&ayby the apprcp NSURANCEI 3OND o R ( spe�y) > tDaw End VahredEletical Wcxk$ wctkiostart InspeaiortDWR4iested Rottjt Fmal Sigred txrh'�ie Penalties " ' j/` FIRM r i' C i Liar>SeNa / 7 �� G. Si>zr>ituae LiartseNo /7: &snessTel.Na Address - Alt.Tel.Na OWNER'S INSURANCE WAIVER;Iamaware thatthe L wdoesnothavetheituvar eammgetxltsstis ntialwasru4medbyMassafatserJsCasalLaws and tiv"sig retie on this peunitappficabrn waivs this m4w=er;L (Please check one) Owner Agent = 16/ Telephone No. PERMIT FEES v f Location I - No. � � ? Date 'v .1 '� &ORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ (/0 IF, ro d s''"•''�� Foundation Permit Fee $ sACHUst Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 961,91 Div. Public Works Location j • No.t Date ORT" L TOWN OF NORTH ANDOVER Ote1'40 I i ' O Certificate of OcctjpaK6y- • Building/Frame Permit Fee $ yds ACHU•Et<'' Foundation Permit Fee ' '$ A .d JACNS —�— Other Permit Fee • ' $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ l � d M 9028 Div. Public Works Location No. 3 Date MORTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ L o i Q Building/Frame Permit Fee $ �4 AcMust< Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ U Building Inspector c 911301 Div. Public Works T✓�n z��2 � PERAHT NO: APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 3 s MAP INO. Qf�B I LOT NO. COgB 12 RECORD OF OWNERSHIP jDATE BOOK ;PAGE ZONE �� SUB DIV. LOT NO. L LOCATION Is l\I pgr & l/ ,f ) PURPOSE OF BUILDING �ULC_ p OWNER'S NAME K e1N sr Tl> NO. OF STORIES ^ SIZE 7 OWNER'S ADDRESS03 _p/ ,/ Jt`��-I/!`F//(�� SEMENT OR SLAB p�ARCHITECT'S NAME 70// /� `l RAFT/ _ Sb!"✓✓�� T SIZE OF FLOOR TIMBERS IST 2A/0 2ND q,,y 3RD BUILDER'S NAME R:W r133"(0/�l `` SPAN r` OC/ DISTANCE TO NEAREST BUILDING X70 DIMENSIONS OF SILLS DISTANCE FROM STREET �Z, 6 Z� (l " k`�e POSTS I� DISTANCE FROM LOT LINES-SIDES f REAR ,,�O WlaY 6 GIRDERS AREA OF LOT R I 3 FRONTAGE HEIGHT OF FOUNDATION / THICKNESS IS BUILDING NEW l �0- SIZE OF FOOTING �7/ X IS BUILDING ADDITION �CQ MATERIAL OF CHIMNEY IS BUILDING ALTERATION n/D IS BUILDING JrSOLIDR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE elc- IS BUILDING CONNECTED TO TOWN WATER 5 BOARD OF APPEALS ACTION. IF ANY / IS BUILDING CONNECTED TO TOWN SEWER �O5 IS BUILDING CONNECTED TO NATURAL GAS LINE eS INSTRUCTIONS // 3 PROPERTY INFORMATION 3 VV// LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EBT. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ' ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE F ED AND APPROVED BY BUILDING INSPECTOR DATE FILE BUILDING INSP[CTOII SIGNATURE OWNER OR AUTHORIZE FEE 1 ���� CD OWNER TEL.# PERMIT GRANTED CONTR.TEL.# / u+ 19 ir Fm l►NAFE �'•'••+�- CONTR.LIC.# C S GLS aR�lo6 r/VI E PMIT$...,� H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S._ORIES. THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL-K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER — �c _ _ DRY WALL ✓ _ UNFIN. 7 3 BASEMENT AREA FULL FIN. B M T' AREA _ y, 1/1 1/ FIN. ATTIC AREA NO B MT FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"JD _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME I BRICK ON MASONRY. ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER.BILK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I��POOR ADEQUATE NONE 5 ROOF 10 PLUMBING _ GABLE HIP BATH 13 FIX.) $y GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK J SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES - TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM Pip STEEL BMS. b COLS. HOT W'T'R OR VAPOR WOOD RAFTERS- IR CONDITIONING (1 RADIANT H'T'G UNIT HEATERS ,..., _ i GAS _ s• Z j 7 NO. OF ROOMS OIL f�s♦i�� .i.'-:.'{ZY +i B'M'T 2nd ELECTRIC J 1st 13rd I NO HEATING _.. _ _.,..�7s�.+lltiv?nl'....•. .r.e ...... ........—.wMtxxSe.WaP.".:_."�ys.:•.rks„ ...w•rni.:Y��n!;ar..wr.wd+csi's`^.+.w•;reer�^s..nrm+... n.,....,+....... .... ._. PER311T NO. — APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. T✓� Z c�2 MAP d40. LOT NO. 001Rg 2 RECORD OF OWNERSHIP— DATE (BOOK ZONE 2 I SUB DIV. LOT NO. L LOCATION KIPfZz-� PURPOSE OF BUILDING OWNER'S NAME ewstw, -�Ow GtJ 5),wTI� NO. OF STORIES .K- SIZE OWNER'S ADDRESSXSEMENT OR SLAB 03 �lillr7.m,���lut3 �� --�7 ARCHITECT'S NAME ��/ ��JOZG�ot,S SIZE OF FLOOR TIMBERS IST /F�(�� 2ND �7 N 3RD BUILDER'S NAME RVI( 13�dL� SPAN OC/L DISTANCE TO NEAREST BUILDING 37- �DIMENSIONS OF SILLS DISTANCE FROM STREET yt, 6 POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT f 2 FRONTAGE HEIGHT OF FOUNDATION THICKNESS /0 7, IS BUILDING NEW v\ c✓ SIZE OF FOOTING � (v IS BUILDING ADDITION ��Q MATERIAL OF CHIMNEY e" A" IS BUILDING ALTERATION �YO IS BUILDING SOLID R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Cj IS BUILDING CONNECTED TO TOWN WATER �J 5 BOARD OF APPEALS ACTION. IF ANY / IS BUILDING CONNECTED TO TOWN SEWER �05 IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMA INSTRUCTIONS LAND COST SEE BOTH SIDES EST. BLDG. COST e EST. BLDG. COST PER SQ PAGE I FILL OUT SECTIONS I - 3 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 FILE Su1LCI SIGNATURE OWNER OR AU,THORlz7A55,W ��_�Q� OWNER TEL. FEE PERMIT GRANTED CONTR.TEL.# 19 9 BLDG. PERMIT FEE / LESS FDA FEE._ CONTR.LIC.q C 6 DUE FRAME PERMIT $ H.I.C.# sWrl rr.a r: .. ......,....wr-�n.,�_.-.,a..r. . ,M.. .... ...... PER"trr NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. MAP h40. D9Q LOT NO. DOgg 2 RECORD OF OWNERSHIP (DATE (BOOK ZONE v I SUB DIV. LOT NO. 1 LOCATION /3 K I Pgf�-7 A PURPOSE OF BUILDING NO. OF STORIES SIZE OWNER'S NAME ►J eN e7t IVV Qom_y 5 J_l> — K OWNER'S ADDRESS SEMEN OR SLAB ff�-� -- '^ ARCHITECT'S NAME 70// t5l)D�oU S SIZE OF FLOOR TIMBERS IST ���V 2ND 7 y 3RD 7b1� i31��� BUILDER'S NAME SPAN IS/ DISTANCE TO NEAREST BUILDINGS J DIMENSIONS OF SILLS !� I� DISTANCE FROM STREET ZZ. 6� POSTS DISTANCE FROM LOT LINES-SIDES REAR $� ��1,X t GIRDERS AREA OF LOT �) FRONTAGE HEIGHT OF FOUNDATION THICKNESS /D l �` SIZE OF FOOTING �71 X IS BUILDING NEW 7 IS BUILDING ADDITION ��1 Q MATERIAL OF CHIMNEY L& to IS BUILDING ALTERATION �Y0 IS BUILDING SOLID R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �j IS BUILDING CONNECTED TO TOWN WATER �J 5 BOARD OF APPEALS ACTION. IF ANY / IS BUILDING CONNECTED TO TOWN SEWER LO IS BUILDING CONNECTED TO NATURAL GAS LINE e j 3 PROPERTY INFORM/ INSTRUCTIONS LAND COST SEE BOTH SIDES EST. BLDG. COST EST. BLDG. COST PER SC PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILE /Z — BUILD SIGNATURE OWNER OR AUTHORIZE ������ OWNERTELJ -MM-6����jj 0 FEE PERMIT GRANTED CONTR.TEL.# BLOC— PERMIT FEE 19 9 � LESS FDA FEE p _ CONTR.LIC.a � G s DUE FRAME PERMIT$ H.I.c.a J IF NORTH Town of 0 No. 7 3 19 `l 6 o dover, Mass., COCHICKE w ICK ADRATED PPP��,�S S BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT.. . � �- ..1 .............. .N.��. '........... .T' .•........... - Foundation has permission to erect..........LJ..D.d. ....... buildings on ...........1.:5............ ................ Rough to be occupied as................................ .ls: --zv..6'4::�G.............. .L.. ..y. ..................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final - this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough Service LDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Finalh No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. 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 1section***************** APPLICANT: C,i�(5� ram wbS ,�ie� Pfi/� ,�Phone LOCATION: Assessor' s Map Number Parcel SubdivisionlA�l(OOur�LAts Lot (s) Street 92!Eklf¢ z St. Number /5^ ************************Official Use Only************************ RECOMMEND TION OF OWN AGENTS: 9 4� Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected r. � I Date Approved Septic Inspector-Health . Date- Rejected Comments Public Works - sewer/water connections -M14 135W_� 3A�k4 driveway permit /SS(/ 3 `YD LZ...,,° � Fire Department 2G Received by Building Inspector Date FROM LAND PLANNING BELLINGHAM PHONE NO. 508 966 5054 P02 ,rte, 50' BUFFER ZONE \fit' LOT 61\9` LOT 12 2'1\938 S.F. LOT 60 0. fp 342 340 `--\344 =34?.p0 \ AF+'=340.0 p -� 38.32' s v0 Jima 342 �. 61 \ �. t i aaM Pao P. ` r u 11 338 - '- -- L�gp.79` - ® o 1 =327. 6 �� 1 REVISED: 3/8/96 NOTE: ALL UTILITY LOCATIONS ARE TO BE FIELD VERIFIED BY THE GRADING / SITE PLAN SITE CONTRACTOR. MWELL WILU"SBURG WCIUM AT -- LOT 61 SETBACK: F-20' 5-20' S-0' R-20' NORTH ANDOVER ESTATES - NORTH ANDOVER, MA rmwm .D FOR LAND PLANNING TOLL BROTHERS, INC. ENGINEERING & SURVEY 1800 WEST PARK DRIVE 107 HARTFORD AVENUE, BELUNGHAM, MA 02019 WSS`CBORO, MA 01581 (506) 866-4130 FAX (508) 968-5054• 2-16-95 1"'=4D' NAE-61 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 73 Date OCTOBER 24, 1996 THIS CERTIFIES THAT THE BUILDING LOCATED ON 15 RIDMAY MAY BE OCCUPIED AS sTNm F. FAmuy DmIjaG IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Kensington Woods Ltd. 321 Commonwealth Ave. ADDRESS We land ''J,cmus � dingector •C�'sr"�l NORTIy own of over 4�4 �. o =~ dover, Mass., 19 9 6 COCHICKEWICK %p A0RATE1) 7 ' BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... .. ... ............. ...........I....... �`-'4�.•........... oundan 2929-- has permission to erect..........C, ..D................. buildings on 1�,..(..�G.. ......�,� !4 tobe occupied as................................... y/.-/v.61--G.............. L..�..y�....................................................: Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fin / 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. ou PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STAR ELECTR/ICAC SPE ou k : 7z ........................ ... ....... ............................................. /�A r ... . .. .. . ..... .. LDING INSPECTOR F' Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough aa)rj(� No Lathing or Dry Wall To Be Done FIRE DEPARTMEN Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. p CERTIFICATE OF USE & OCCUPANCY Town of North Andover _ Building Permit Number 73 Date OMBER 24, 1996 THIS CERTIFIES THAT THE BUILDING LOCATED ON 15 RIDGEWAY MAY BE OCCUPIED AS SINC'IF FAMII.Y DWEIIING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Kensington Woods Ltd. 321 Commonwealth Ave. " ADDRESS We land •A,S� �J,cmus� ding ector . I The Commonwealth of Massachusetts Office Use only Department of Puhllc Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 C=Pancy 3 Fee Check `` 3190 (leave blank) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRIC All—*to b.performed In a=rdor wR„ew M�,u� AL WORK �Etecrnem Coda.J27 CMR 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION i1 C� Date City or Town of1Y�• � -The undersigned applies s far a permit to perform the electrical w.ork.described below. To the Inspector of Wires: Location (Street & Number) /7 7-- Owner or Tenant C!/ Owner's Address Is this permit in conjunction with a building permit yes ❑ no IR Purpose of Build(n (Che-.k Appropriate Box) g�U I� Utility Authorization No. Existing Service Amps_..J__Votts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps Volts Overhead ClUndgrd ClNo. of Meters Number of Feeders and Ampacity Location and Nat• a of Proposed E!ectrical Wor `rPZr-4;� No.of fighting Outlets No. of Hot Tubs TOTAL INo. of Transformers 'A No. of Lighting Fixtures Above In r� Swimmin Pool rnd.❑ rnd U Generators Na. of Receotacfe Outlets Oil Burners No. of Emergency Lighting KVA No. of Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges Na. of Air Conditioners TONS No.of Detection and HEAT Initiating Devices No. of Disposals TOTAL TOTAL No. of Sounding Devices No. of Pumps TONS KW No. of Self Contained No. of Dishwashers Soace/Area Heating KW Detection/Sounding Devices No. of Dryers Heating DevicesMunicipal KW Local ❑ Connection ❑Other No. of Water Heaters KW N°• of No. of Low Voltage Si ns Ballasts Wirin No.of Hydro Massa a Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Polity including Completed Operations Coverage or its substantial equivalent. YES 0 NO I haave submitted valid proof of same to this office. YES 0 NO 0 If you have checked YES, please indicate the type of coverage by checkingthe a appropriate box. '' _ INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify Lr U 1y�O (Expiration Date) Estimated Value of Electrical Work S S Work to Start Inspection Date Requested: Rough Signed under the penalties of perjury: Final i FIRM NAnen��� Licensee LIC. NO. • O• D Signatur Address I )( /,��Q—�--3 �1� •�' /7�/t/��fT•�/i /� HL .� LIC. NO.01'a Bus. tel. No.&49 "9 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its subst Tel. l Massachusetts General Laws, and that my signature on this aoplication waives this requirement. Owner Agent (Please as required y 9 ease check o � (Signature of Owner or Agent) Telephone No. PERMIT FEE S Date. . . . . -7. 3@ NORTq ° '•'�o TOWN OF NORTH ANDOVER t � s PERMIT FOR PLUMBING CHU This certifies that . . . . . . . . . . . . . . . . . . has permission to perform . . .3.,.� . . .-s. . . . . . . . . . . . . . . . r plumbing in the buildings of . . . . . ... . . . . . . . . . . . . . . . . . at.SCS'. . . . . ., North Andover, Mass. Fe w.Lic. No� . . . . . . . . PLUMBING INSP �AR WHITE:Applicant CANARY: Bui .P&DepPAID PINK:Treasurer 7 Date.... 488 f NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that ........ ........ S............................. has permission to perform .......S'.f .... ....... .................................... wiring in the building of........ .... ...... .................................... at..... ....../North .................... .... . . .... .................. Ando r Fee...'3SJ...... Lic. ... .. ..... ...... LECri&LINSPECTOR C � � y� 10/02/96 09:53 WHITE:Applicant CANARY: Pu,1001% PINK:Treasurer (Type or Print) r, , . NORTH ANDOVER ,Mass. :�-{ , '. . pate •3 Building Location P 0 -t✓V` y Permit 1 Owners NameAj&y2 V New Renovation Replacement [] Plans Sybmitted II ' ' . •.� rj, FIXTURF ' o z a a 0 z a a W 'n J a _ 93 43 z ¢ ori z Ql— NW AQtor taQa- JQa3 tA<a: _ O it W aW 4n O oY a J yO to Wkwa.C ; O 0 z _z W H O U T Y J O7 O A A J = 1— N M. O O Q < 'sC p Q SUB—,BSMT. BASEMENT < I t/ IST FLOOR 2ND FLOOR 3RD FLOOR t ' ATH FLOOR f STH FLOOR 6TH FLOOR 7THFLOOR 9TH FLOOR (Print or Type) Check one: Certificate Installing Company NameCorp. Address qV j f S(fin Partner. Y3 L._� Firm/Co. Business Telephone 7.33 Name of Licensed Plumber: /�(Cyl � 0 - 0�� � _ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ;;Z --Other type ,of indemnity El Bond ❑ Insurance Waiver: I , the undersigned, have been made aware- that the licensee of this application does not have any one of the above three insurance caYerages. Signature of ownerlagent of property Owner Agents. ❑ I I bemby ccttify Wal all of Ute dctails and in(otmalion I I4awc suiomiticd Io(cnlacd)in alwrK application ase time ljd :ate to Ont beat d we kwowkdgc and that all plucubing work and insuilalions licr(at nicd undcr rcnnit I%wcd (or this application will be V gwpWwp tiiY ay patiggtt I�M►y visis"of l!►s b4asaachux1ta Statc Mumbia4 Code and Cluptct 142 o c Gcnual wL I ) � 1 By I , Title • Signature of Licensed Plumber Tv ne of Plumbing License i City/Toon: ''. ,���•^� • ^� �, !� Master 11 'JourneywaA License Number w FOR UNIFORM APPLICATION O MASSACHUSETTS F R PE 0 PERMIT R I T 0 GASFiTTiN (Print or Type) _ f NORTH ANDOVER Mass. Date tuil ing Location 7 i k Permit # _Tz Owners Name New Renovation Replacement Plans Submitted FIXTURES dS 4al fn x x x a m a .ot- W W CC d U W F F z N at o uul Q a s °a z u a 0 W W o a tr W 4 t» to > � x w z o W �' w o w r o l- x W W .t d r oc a oc W v 0 W � d W G tt �-+ td0 ru > c W z a cc a d o o W '� a W t- tc x o x U. =3 a 0 ..t UQ a h- o Sua—eS%,IT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TR FLOOR STH FLOOR 6TH FLOOR TTK FLOOR STH FLOOR (Print or Type) Check otie. Certificate Installing Company Name �`� [� Corp._ Address j - Partner. Business Telephone: Name of Licensed Plurc; �.. r kyr '.�.��,: • 11..` :,, i.. ..,.. •�1 �. f� •+ w g 1 2218 Date... N�RTM TOWN OF NORTH ANDOVER F=Orya�...ao ,s 1ti Cp PERMIT FOR GAS INSTALLATION SACHU This certifies that . . P.d.t Af. . . . .�.'� .��. . . . . . . . . . . . . . . . . . has permission for gasp installation . . .�o.1�. .��1�.> ... . . . . . . . . . in the buildin s of . ., °�w .w11dM Q . . . . . . . . . . . . . . . . . . . . . . . at .�-�t ! {15. . . ./.(� . . ,� North Andover, Mass. Fee.�S. OO Lic. No. .`f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (_ j /_/j�• GAS INSPECTOR 06/27/96 11:55 {hl'� jV r WHITE:Applicant A ARY: Building Dept. PINK:Treasurer GOLD:File i To The Town Planner, I will be going ahead with the plan that I submitted to your office last week, regarding my yard. The plan was drawn up by the Landscapers Depot from Kingston, N.H..I have contracted Myles Caponette of Have rhill,Mass.to follow the plan. This will involve the removal of all the poison ivy and the bittersweet that is contained in the area. This also may involve the removal of some trees in order to clear out the poison ivy. There will be trees replanted according to the plan. Thank you for your cooperation in addressing this issue. f Joyce rrigo 15 Ridge Way rip North Andover, Mass. A Frlaay,October 01,2004 America Online:AEAKRMAB Page: 1