The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 151 ROSEMONT DRIVE 4/30/2018 151 ROSEMONT DRIVE j 210/098.13-0053-0000.0 i Date.................................. NORTH A 6 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 3 CHUS fct This certifies that ..... ..... .................... ................................. ...... ................... .... has permission to perform ..............................................#.,L ... .............. ... ........... wiring in the buildin of........ ......el........... ...................................................... at..../% ~A/...... ...... North Andover,Mass. ............. .............................................. ELECTRICAL INSPECTOR Check . 7780 M Commonwealth of Massachusetts Official Use Only a Department of Fire Services Permit No. Occupancy and Fee Checked r(a BOARD OF FIRE PREVENTION REGULATIONSRev. 1/07 [ l (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /1-07-03 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) /Sf �aSLly1�T Owner or Tenant F%)"5 Telephone No. Owner's Address .S4mc-- ci w- Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: F/„IISH woe'r o^/ /.,lAe- Y&hyre-5 4Qao� cO, Reae -&Wc-S + UA/De- 64H3 (-/6#rS /W LltirYH /Z� t k17rtft71) Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires 'Z No..of Ceil.-Susp.(Paddle)Fans No.of Tota .a Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In o.o mergency Lighting No. of Luminaires 41 Swimming Pool ❑ ❑ rnd. rnd. Battery Units No.of Receptacle Outlets :3 No. of Oil Burners FIRE ALARMS No. of Zones of Detection and No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Total No. of Alerting Devices Tons g No.of Waste Disposers Heat Pump Num erTons K No.of Self-Contained Totals: .... .............. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection pp No.of Dryers HeatingAppliances KW Security Systems:* 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: • 100 Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: J601 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: *-VIAI /)I. r"yjl-641644 Signature zc& LIC. NO.: 382-106- (If 82-1O6(If applicable, enter "exempt"in the license number line.) Bus.Tel. No.:97F-2-!r7- Address: 7F-2-!r7-Address: Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: 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, 1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Uy Signature Telephone No. PERMIT FEE. $ �j._ The Commonwealth of Massachusetts Department of Industrial 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 LeEibly Name (Business/Organization/Individual): 'j/1149 dM, m/dJ64.4 Address: 202- WE7-04�'J dV G_ City/State/Zip:611 G c 4MSFW ,A^"4u?6, Phone Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.X I am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. E] Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions / 3.❑ 1 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 1 insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. I 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 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: Policy#or Self-ins. Lic. #: 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). 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 the pains and penalties of perjury that the information provided above is true and correct. Sig-nature: �T —= Date: Phone#: 97,?'2S7 01,7 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#: -7 Date.... ........ ....... ............. NORTH to, 4" TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 4L SS 14 This certifies that ..... ....................................................... ......... ..................... has permission to perform . ................................................................ wiring in the building of........................ ......................................................... .. at-'<5./......letl.........—.141..��............. .North Andover,Mass. Re ....... Lic.No. A ..................... ELECIFICISPECTOR Check # ov6k Palmi �� 7567 7 7,?0 Commonwealth of Massachusetts Otlicial Use Only A Department of Fire Services Permit No. awl, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1//071 and Fee leave blank)Chec d APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ?^ -0 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) %�� O��dy �` p Owner or Tenant ,&/CC / LAJIJtJ �S' Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: D� l ,�`-r Li %S Recess Li C� Completion of the ollowin able may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot TubsKVA Generators �< No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 4 No.of Switches No.of Gas Burners No.of Detection and Initiating Devices li No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self- ontamed Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kms, Security Systems:* No.of Devices or Equivalent No.of Water No.of o.of Data Wiring: Heaters Signs Ballasts No.of D KWvices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: !+ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work tot Sart: Inspections to be requested in accordance with MEC Rule 10,and upon completion. f 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 9 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ) er I C '/-/c m LIC.NO.: d Licensee: JOU 1 Signature LIC.NO.: ��,71 (If applicabfe, enter exempt' in the license number line -� Bus. Tel. No.: Address: (n RAY e! 2y�iL I<--) /cA�,i✓'y�j�"l Alt. Tel. No.: *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S" License: 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 —!l Signature �j Telephone No. PERMIT FEE. $ � � �. i i �� r �� ., I t � � . � � '- I October 25,2007 Mr.Peter Murphy Electrical Inspector North Andover Building Department 1600 Osgood St. North Andover,MA 01845 Dear Mr.Murphy: We are relieving Hammond Electric of all electrical work outstanding on our home at 151 Rosemont Drive. No.Andover. Th you, Bill and Sheila Foulds 151 Rosemont Drive No.Andover,MA 01845 i (978)682-4931 RECEIaw OCT 2S200-1 BUILDING DEPT. i Date ?. . ... .. Of HORTM ,� { o� TOWN O ORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACMUSEt . This certifies that . . . . �!. . . . . . . . . . . . . .. _ . . . . . . . . . . . . . has permission for gas installation . . ��I'�t.f. r �- . . . . . . . . k° in the buildings of F-9-'-: . r. . at A'` . . ., North Andover, Mass. Fee�a . Lic. No.. YO.`'/. . . - 9 .---^fir. .-: . . . . . . +�GAS INSPECTOR Check# )^ 1f 6113 00y- 3� i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO-GASFITTING (Print or Type) ,Mas. Date d Permit X Building Location A—//?0SC 1�I 6�1 Owner's Owner Tel# 7� �a� - r�93l Type of Occupancy New ❑ Renovation [ Replacement ❑ Plan Submitted: Yes ❑ No ❑/ FIXTURES 61 1811 91P to i i BASEMENr 2 ND FLOOR r—FLOOR 4n' TM FLOOR rn FLOOR rM FLOOR - f Installing Company Nam n /Ct'T/ a � Check one: Certificate Address o Sou`�'�} /)')AI'N sT ❑Corporation I �J!DDC,ETN * �I - O I:9'�`7' ! o Partnership Business Telephone 9 7 ) 3L3 —/30 J `<Firm/Co. Name of Ucensed Plumber or Gas Fitter ! /! C 14 19,6L` R y S O i i INSURANCE COVERAGE: I have a current liability hwrance policy or Its substantial equivalent which meets the requirements of MGL Ch.142. yeev No D tf you have ffiecked M,please Indicate the type coverage by cheddng the appropriate box A liability Insurance policy Other type of Indemnity 0 Bond D OWNER'S INSURANCE WAIVER:I am aware that fire licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit appAtxtion waives this requirement Check one: Owner Owner D Agent ❑ I Signature hereby certify that a of dretana and Information I have subm ( entered) appfl my � � or in.abova. cation are and scarabs>A the best of knowledge and that all plumbing work and Installations performed under tM permit issued 1br-". WM kAgIpfflance with an i rtinerrt provisions of the Masaechusetts State Gas Code and Chapter 142 of the BY Type of Uoense: • Plumber Sign re of Licensed.Plum Itter Title -Gas fitter -Master License Number ? d Cityfrown •-Journeyman APPROVED(OFFICE USE ONLY) I .. •' ,, 'y�yr r P x..h.t { USETTS •? COMM ! . �+► XS IS"A,M,. . ,r.. .� .«n..�.+. IN PLUMMMMigff".,01f,V TtIERS LICFNSE.D• JO,U E ::GASFITTE j iss ► ' k;To j • 'MICHAEL B 16 .NSCHOL . . • S�ory y.. `lt'i 2-37.1 a � 1' LYNN. 2B9163 �. COMMON ffl..H.OF MOSACHUSETTS IE I U N PL MBtkS :'AND G 'S IN RS �I CENSED AS ;AN".W- -L6AS .INSTALL M, : 18�YWTMWOEM TO 14ICHAEL A #YWf .0 j L6 NICHOL"S`Ay. LYNN 3718 933 2'59162 I it I .. ',sive. .. ... • i ONLY AND,CONFERS NO RIGHTS UPON THE CERTIFICATE j A.r.lcby._A l YMS IWKromce Agency Inc. HOLDERS;THIS CERTIFICATE DOES NOT AMEND,DaM;ORI W' G>. � aat St. 'COVERAGE AFFORDED BY THE POLICIES BELOW Severly, MA 01916 saman ,.%him INSURERS-AFFORDING COVERAGE NAIL 11 e+SUREo Kidwel A. Srymm I E RA: NatloW GrangeLumrance, Co. 147= PRAT c/a TrS, Lc. E18URERfk 140 S. Main StINSURERG: midaltem, MA GiS49 INSURERD: INSURER M ' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWIT'HSTANDEiG ANY REOUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR mAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIL CLAMIS. SSR TYPE OF NSURANCII POLICY MUMBER UNITS . GENERAL LIABILITY TSD 11/01/2006 11/01/2007 EACH OCCURRENCE f 1000 Z COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED f CLAMS MADE Q OCCUR MED EXP.(AII on.Anon) f S I { A PERSONAL A ADV NJURr. f 1000 GENERAL AGGREGATE f a'000 j 0EWL AGGREGATE UITITAPPUEB PER: PRODUCTS•COMPIOP AM f a'000 POL CY MPRO. Loc JECT A"TO"1O°'LS LIABILITY DOWNED SINGLE LMR f ANY AUTO (Eaeadda9 ALL OW RED AUTOS BOOIIr RuuRr SCHEDULED AUTOS (P.►pason) f HIRED AUTOS ODDLY INJURY f HO"-OW MED AUTOS .Od0.f1Q PROPERTY OHMAGE f 1►E►�0 aARAOE LLABARr AUTO ONLY-EA ACCIDENT f ANY AUTO OTHER THAN EAACC f AUTO or AGO f EXCESSAHAWMLLAUABRM EACH OCCURRENCE f OCCUR CLAMS MADE AGGREGATE f f DEDUCTIBLE RETENTION f f i WORKER2COMPSHOATN NANDW A EMPLOYERS'LWLPTr 1 1001,1 EA.EACH ACCIDENT f ANY PROPRIETORIPARTNERPEXECUTNE OFFICEWMEMBER EXCLUDED? ILL DISE WE-EA EMPWM f SPECIAL PROVISK M3 below I •I LL DISEASE•POLICY LMR f OTHER I JE SCRIPT)ON OF OPERATTONB T LOCATM"S J VEMICLES T EXCLUSIONS ADM BY RNDORttMEMT/SPECIAL PROVISIONS , RTI SHONLI)ANY OP THE ABOVE PMTSCRIBEO►OUCETS Bt G11lCEU tD BtPOq TME tXPMflON DATE T11EItlOr,THE WSUMG INSURER WILL PMD AVOR TO NAL _l6 DAYS WRTM M01 TO THE CIRTMAT l MOL M NMM To rfw uat, SLIT PAUM TO NAiL•IIGI wm SHALL wPOst NO OOUOATION OR LL#BEjiff I OF AMYmD um in INounk ITS AGENTS OR REPItESENTATTY[f For Lrematian Only AVTHORIsognetsneAl ACORD 25(2001/03) OACORD CORPORATION 198t i 'DF created with pdfFactory Pro trial version www,,DdfFactory COm The Commonwealth of Massachusetts Departt of Indushzal Accidents' In Off ee of Investigations 600+Washington Street i Boston,MA 02111 + www mas.sgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): t' L R L �, G t~ Address: /YD 9c u7R A#/Ju 3-/ . City/State/Zip: )�e D ,4F�i—r� . /X# .6/` Y7 Phone#: C/7& 7?q o"Z 76 0 Are o an employer?Check t PPropriate boz• Type of project(required): 1Jm a employer with S 4. ❑I am a general contractor and I 6. (3 New construction ' employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the-attached sheet t 7 (L�'�emodeling ship and have no employees These.sub-comractors have 8. ❑Demolition working for me in any capacity. workers'comp:insurance. 9. [-]Building addition [No workers'comp.insurance S. ❑ We are a corporation and its 10. Electrical repairs r additions' required.] officers have exercised their 3.❑ I am a homeowner doing all work rightof exemption per MGL 11.❑Plumbing repairs or additions' myself. [No workers'comp. c. 151.'-§A(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 aro doing all:woik and then hire outside confiactocs 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. i Company Name: J Insurance Co �JNN.S U>2J GG r.lN C ' j p3q�pPolicy#or Self-ins.Lic.#: W D . x / Job Site Address: i City/State/Zip: Attach a copy of the workers'compensation pohiy declaration page,(showing the policy number and expiration date). Failure to secure coverage as required under Section 2SA of MGL c.,132 canlead to the imposition of criminal penalties of a_ fine up to$. 1,500.00 and/or one-year imprisonment,as wen as civilpenalties in the form of a STOP WORK ORDER and a Rind 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 1 do hereby certify under the pains and penalties of perjtay that the information provided above is true and correct Signature: Phone#: Official use only. Do not write.in this area,to be completed by city or town of ficial City or Town: Permit/License# j Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 1 6.Other Contact Person• Phone#• U11111111unt"G11111 U1 111 uji,liadjunetto Office Use Only .*. Department u I f Public Safely BOARD OF FIRE PREVENTION RKAJI[ATIONS 527 CMR 12:00 Panpit No. Ol Occupancy d fee Checked L. 3/90 lleave blank) APPLICATIONwFOR �fPEIRMIT-1-ill ance 0 ^PERF=ORM ELECTRICAL WO / huscus Electrical Cale, 527 CMR 11:00 RK (PLEASE PRINT IN INK OR TYPE ALL INFOR ATION) �� Date City or Town of lf'C� -00 The undersigned.applies for a permit to perforin il-e electrical work described below.---------.------To the Inspector of Wires, location (Street & Number) � //_,• Owner or Tenant ----- ----.— ---'' -11 ,(�/ Owner's Address Is this per-il in conjunction with a build* ng pernpit: Yes ❑ No (Check A Purpose of Building Appropriate Box) ------------_..Utility Authorization No. Existing Service _ An-Ips Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps Valls Overhead 11Undgrd ❑ No. of Meters Number of Feeders end Ampacity Location and Nature of Proposed Electrical Work na-,-&- r I' men No. of Lighting Outlets No. of Ilot Tubs TOTAL No. of Transformers KVA No. of Lighting Fixtures A ove in Swirumin Poul Hind ❑ rnd. ❑ Generators KVA No. of Rece ptacle Outlets No. of Oil Burners No. of Emergency Lig ting Battery Units No. of Switch Outlets No. of Gas Burners Tota FIRE ALARMS No. of Zones No. of Ranges No. of Air Conditioners No. of Detection and Tuns Initialing Devices heat g No. of Dis xpsals Nu. of Pumps TonsNo. of Sounding Devices KW No. of Dishwashers No. of Self Contained _ S pace/Area- t lealing KW Deteclion/Sounding Devices No. of Dr ers - -- Municipal Ilealiit -Devi es KW Local❑ Connection ❑Other No. of Water Healers KW Vo to eSins Ballasts Wirin No. I lydro Massage Tubs No of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massac_husttes General La — w have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑NO[A I have su of same to this office. YES IJ NO IJ brnitled valid prop( Ifu y u have checked YES, please indicate the type of r Yl coverage by checking the appropriate box. INSURANCE C7 BOND ❑ OTHER❑ (Please Specify) Estimated VaILW of Electrical Work $ _ (Expiration Date) Work to Start Inspection Date Requested: Rh Signed under the penas Rough hl" of perju Final FIRM NAME ---�' .c� Licensee( 00P !J D We --`�- — LIC. NO.100 Signature • LIC. NO. �3 Address ;�/� y v -•-��-A d 7n?Bus. Tel. No. ' zam l. OWNER'S INSURANCE WAIVER:I am aware That the Licensee dues not have the insurance coverage or its substantial eq ivalent asfo.required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent g (Please check one) -- _ Telephone _ PERMIT FEE S,a (Signature of Owner or Agent) ------ ------ r Date....l ..�!'/� . 2823 • r10RT/{ pt tt.ao± 1ti TOWN OF_NORTH ANDOVER o PERMIT FOR WIRING ,SSACHus� - This certifies that ....... 0 SJz n.......... .1.�?.i� '.1.5.................`. / ..... T has permission to perform J >�� .. wiring in the building of......rr. . 1.k U.S.. at. a..t...��........ �.�:...� t?. Uf.' ...// ;North Andover,Mass. Fee. S.'t��....: Lic.No. ............. ............................................................... ELECTRICAL INSPECTOR Ol/z919�I3:5C J 4.00 pp�p WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File s~ \ Office Use Only uhe Gommomuralth of Musar4u r is Permit No. / BepartmeSt of PufAit s'IIfE Occupancy&Fee Checked � 5 6D 3190 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT PERFORM All work to be performed in accordance with Electrical ;16 C�Pel� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (XK or Town of NORTH ANDOVER To the Inspector o Wire The udersigned applies for a permit to perform the electrical work cigso.Fibed below. Location (Street & Number) Owner or Tenant . Owner's Address —L Is this permit in conjunction wit a bu' Ing pe mit: Yes No ❑ (Check Appropriate Box)) Purpose of B u i i d i n g Utility Authorization No. Existing Service Amos _J Vo is Overhead ❑ Undgrnd ❑;,��No. of Meters New Service Amps / iQ` wits Overhead L-1Undgrnd (� No. of Meters Number of Feeders and Ampacity v Location and Nature of Proposed Electrical Work Total No. of Lighting Outlets I No. of Hot TNo. of Transformers ubs I KVA No. of Lighting Fixtures I Swimming Pool grna.Atov ' — In- r ` 9 9 g grnd. _ grnd. '! Generators KVA No. of Emergency Lighting No. of Receotacie Outlets I No. of Oil Burners Battery Units / No. of Switch Outlets I No. of Gas Burners / FIRE ALARMS No. of Zones I Tota+ No. of Detection and u/ No. of Air Cond.No. of Ranges ///—�" I / tons Initiating Devices No. of Disposals I No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Seif Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW Local Municipal [—I OtherConnection No. of No. of Low Voltage No. of Water Heaters KW Signs Sailasts Wirina No. Hydro Massage Tubs / No. of Motors Total HP OTHER: I the reeuirements of Massachusetts general Laws NSURANCE COVERAGE: Pursuant to � _ I have a current Liability Insurance Policy including Comcieted Operations Coverage or its substantial equivalent. YES _ NO I have submitted valid proof of same to the Office. YES = NO = if you have checicea YES. please indicate the type of coverage by checking thea prop[- a box. INSURANCE — OND = OTHER = (Please Soec:fy) (Expiration Date) �� Estimated Value f ectric I Wor c S Work to Start Inspection Date Recuested: Rough r Final Signed under th Pe es of per' ry: FIRM NAME / r LIC. NO. LIC. Licensee Sidr.atur NO. // //` !moo a� /✓ Address Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licen a des not have the insurance coverage or its substantial equivalent as re- ouired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Ow r /�Ag\ent 6 (Please check onej Q C)t /1 Telephone No. PERMIT FE= Cl v (Signature of Owner or Agent) x 5505 I '. A � � w {jo 25! '14,�0- TOWN OF NORTH ANDOVER ,r 0 p PERMIT FOR WIRING. cmus This certifies that ...... ....../ll.. .... t C.. has permission to perform ..... f wiring in the building of....y. ...�31......... ...�,��.....�C� at...... b.//......410-.a-151...................................... ,North Andover,Mass. J Fee. . � ti �aL7:.L}� Lic.No. ..... . , ilOTRICAL INSPECTOR C. 1 49/07195 12:49 225.40 PAID WHITE:.Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File 4 P. Location IS-1- Y an- Wim. No Z Date =,N°"T;�,o- TOWN OF NORTH ANDOVER iidillk S Certificate of Occupancy $ r� Building/Frame Permit Fee $ } -ssAcMusEth Foundation Permit Fee $ t Other Permit Fee $ Sewer Connection Fee $ Water Connection 'Fee $ - TOTAL Building Inspector 47/19/95 11:43 1,265.00 PAID aro p 86 � Div. Public Works Location --iec 5smrnOA1t i yNo Date < °"T" TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ } 'ss,cwuSE`_ Foundation Permit Fee $ _ t_ Other Permit Fee $ a Sewer Connection Fee Water Connection Fee $ ,' TOTAL $ d� ! Building Inspector to � 10:4.9 150.00 rn u Div. Public Works Location No f Date V ORT" TOWN OF"NORTH ANDOVER pt as p Certificate of Occupancy $ *}�o Building/Frame Permit Fee $ 'SswcNustth Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ /4 19-z_o 465 .Water Connection Fee $ a . TOTAL fi BuildinIns for + y D/A 1 0M. Pi'b4 Works [19/95 10:50 1.000 i f _.. 06 PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OjVNER'S NAME rtltik-S 0.��` �� I �'j�p tl, NO. OF STORIES 7, SI OWNER'S ADDRESS 3103 pk"7-'vw s�"fwa �1'��''''�IY� BASEMENT OR SLAB ARCHITECT'S NAME �L �if�u5 ,''t2..S V SIZE OF FLOOR TIMBERS IST �,�//� 2ND 3RD BUILDER'S NAME lz4k SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS --- DISTANCE FROM STREET POSTS Yit tVISTANCE FROM LOT LINES—SIDES \ REAR GIRDERS AREA OF LOT I h �. 1 FRONTAGE HEIGHT OF FOUNDATION ( THICKNESS v 1 6 IS BUILDING NEW SIZE OF FOOTING 7q Nj to " X y /C Jl IS BUILDING ADDITION -r/� MATERIAL OF CHIMNEY k"4� *1-� IS BUILDING ALTERATION 46 IS BUILDING O SOLID FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �J„ 'Q r IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY {q�� - ` IS BUILDING CONNECTED TO TOWN SEWER E9 IS BUILDING CONNECTED TO NATURAL GAS LINE �. INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY EST. BLDG. COST 'VIOT,10 = PAGE t FILL OUT SECTIONS 1 - 3 �- REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST PER 8Q. . 6 EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS i - 12 SEPTIC PERMIT NO. DATE FEE PAID �- ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIR GULATIONS - PLANS MUST.BE FILED ANP APPROVED BY BUI ING INSPECTOR 15 DATE FILED_4 t ` SWLDING INSPZCTOR SIGNATURE OF OWNER OR AUTHORIZED AG NT - ,,�� ~ F-E E -' OWNER TEL.� 'I6C PERMIT GRANTED S-0 �® PERMIT FOR FRAME/BUILDING CONTR.TEL.# 19 FEE PAID CONTR.LIC.# DATE: ._- H.I.C.k Ids mm FEE 13 lc. I 8. 253 FM - 81995 = FROE E•--•-- — ®� HERMIT= , BUILDING RECORD 1 OCCUPANCY 12 c SINGLE FAMILYsroRIES 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 _ 3 2 13, CONCRETE BL K. PINE BRICK OR STONE P PIERS PLASTER �{L ' DRY WALL •I - 1 UNFIN. 3 BASEMENT t 4 AREA FULL FIN. B'M'TAREA ' _ - '/. 1/1 1/4 FIN. ATTIC AREA _ NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN ' — — i 4 WALLS I 9� FLOOR CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �— WOOD SHINGLES EARTH ASPHALT SIDING HARD1'JD ASBESTOS SIDING _ COM/ACN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY �_ 1"t°�i t�'� n�� .•i��{ " STUCCO ON FRAME I '• J 1 . J i •.i BRICK ON MASONRY ATTIC STRS. 8 FLOOR BRICK ON FRAME I •v•'+ .L t. 7..E I t! 7 . CONC. OR CINDER BLK. STONE ON MASONRY WIRING $TO E ON 07AME SUPERIORPOOR –r�• �-' ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK y _ 1'1 SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER - I ROLL ROOFING MODERN FIXTURES TILE FLOOR - I, TILE DADO 6 FRAMING II 11 HEATING s n f1t tr WOOD JOIST' PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. &'COLS. HOT W T'R OR VAPOR ` WOOD RAFTERS AIR CONDITIONING •�' RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GASrn OIL ..w,.. .ve�w.s..r+..r * E�: B-M-T 2nd ELECTRIC g 1st 13rd, _ NO HEATING & r �� NORT Town of � � t � 4 over * NO. 268 40 , rt * dower' Mass. TUAr= 14 19`t s � � T O - LAKE �J COCKICKEWICK V A00ATED PPa` 'Ly BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT a55 lMl .... .................�....... .... ..A�...��.......................................................................... Foundation has permission to erect...WOW.....SME. buildings on ...IS3...�wmo4.4r.. vir...........Ut. .. l Rough to be occupied as.�,,,.lFl,�,.1,8t..�AiT.11. .�f�,L1.1t,t�...... .....�...Lide....�?.!dA�,�...-':........................... Chimney provided that the person accepting this permit shall in every res ct 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 Inspect AA ra�ii��r� p�dd CCpnstruction of Buildings in the Town of North Andover. ��RAMW F�UNUATION ONLY REGULATED BY PARA. 114.8-S. B.C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough � FEE PAID Final PERMIT EXPTT 6 MO ELECTRICAL INSPECTOR UNLESS CONS U T Rough . ..... ............ . Service BUILDING PECTOR Final Occupancy Permit Required to Occupy Building60nvs R Display in a Conspicuous Place on the Premises — Do Not Remove �o Fina No Lathing or Dry Wall To Be Done INP � 14 RE DEPARTMENT Until Inspected and Approved by the Building Inspector. OA� Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT - _ 3A—Nam- 9lar 1 " FORM U - IAT 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 S Phone 4 LOCATION: Assessor' s Map Number Parcel SubdivisionLot(s) zU Street 7-ow-m-imAy=te St. Number_ 4 ************************Official Use Only************************ RECOMMENDAT N OF OWN ENTS: Date Approved Conservation Acfministrator Date Rejected comments EaUt L.Q y Date Approved 9� Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected ,J+4,-Y 1:4 1jn_l� a- . Date Approved e tic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permits Fire Department b j L Received-by-Building Inspector Date .0 - 81995 6 LoT 2-7 t �U o LOT air 36R 6 LoT 3p -- 3r�i,r o 3(.2� �— Q % N Qj TIC z 3G2. CC) m� M SQA = 355. 20 I ' INV = 354, 2-o 0 3 xo N R S/ P''4 G. Hui MIL �F 310870 870 ® C/S TEP NOTE: ALL UTIUTY LOCATIONS ARE TO BE FIELD VERIFlED BY THE GRADING /' SITE Pl" SITE CONTRACTOR. 1�M AN E q-r o..� F E o� � � L_ LOT 31 5 F-T BPC K S = F - 20 ' S - o ` R - 2 0 NORTH ANDOVER ESTATES NORTH ANDOVER, 1[A wWAM M LAND PLANNING TOLL BROTHERS, INC. XNGIIlMP.WG do SURVEY 1800 WZM PARK DWYE 167 HARTFORD AVWMX MUINGHAK ILA 02019 wE3T80R0, ILA 01581 (508) 966-4110 VAX (608) "S-6064 5- 3 Q-9�j � _ 40' 1 /VA E 01 I P L 0 31 IS, -rtI Lo-r v 0 g . z- Y"'K-ANARDNo.3444 lo 19.9 t �.� 'Is Fo uN OA-I-r oN �5-esur�r S TC =3Lz. 92_ N a + H + log. 00 1 � OSEMON-r - ( so' WIDE APP FOUNDATION AS-BUILT I CERTIFY THAT THE STRUCTURE SHOWN IS LOCATED LOT 31 ON THE LOT AS SHOWN ON THIS PLAN AND THE NORTH ANDOVER ESTATES LOCATION DOES CONFORM WITH THE FRONT. SIDE, NORTH ANDOVER. .UA AND REAR SETBACK REQUIREMENTS SET FORTH IN tt m THE TOWN'S ZONING BYLAWS AT THE TIME OF TOLL BROTHERS INC. CONSTRUCTION. I FURTHER CERTIFY THAT THE MO V=T PA 01Wift 6 STRUCTURE IS NOT LOCATED IN THE SPECIAL WMn KA 100 YEAR FLOOD HAZARD ZONE. THIS PLAN IS NOT TO BE USED FOR THE ESTABLISHMENT OF PROPERTY LAND PLANNING LINES. ERECTION OF FENCES, OR CONSTRUCTION OF & aiwm ADDITIONAL STRUCTURES ON THE LOT. w"mom=na ( �.ult �.� MAP NO.eoosc COM NO..25 0046 DATE: 6-z-73 - 18-'q 151 I" 40' F'44'E 71 Zola MILLER ENGINEERING & TESTING, INC. MANCHESTER,N.H. (603)668-6016 NORTHBOROUGH,MA (508)393-2607 AUBURN,ME (207)786-4249 FAX(603)668-8641 FAX(508)393-8490 FAX(207)777-1822 CONCRETE FIELD PLACEMENT REPORT REPORT NO.: 2 A-D PROJECT NO.: C 40076.01 PROJECT: NORTH ANDOVER ESTATES (North Andover , MA) CLIENT: TOLL BROTHERS INC. GENERAL CONTRACTOR: Toll Brothers Inc. SUB-CONTRACTOR: - `%��ae�oF'NtE .:,,�,• CONCRETE SUPPLIER: MacLellan Concrete Vic. .......,•1i4� •.,, PLACEMENT INFORMATION =1-vFRA N JLKX*.� ILLER DATE: 7/7/55 No. 7337 WEATHER: Sunny , SO's ��,��%./orNst'D1� Z CLASS OF CONCRETE (PSI): 3000 s'••,;�SS��NAL•E��'�,••`' CUBIC YARDS PLACED: 1$ 'h,��/..f4!!!'!S',' METHOD OF PLACEMENT: Direct TEST CYLINDERS: 2 A-D SET LOCATION: SEE BELOW ADMIXTURE(OUNCES): TIME OF TEST: 2:00 SLUMP (INCHES); 4 CONCRETE TEMP. (DEGREES F.): $O AIR TEMP. (DEGREES F.): 83 TRUCK NO.: 104 TICKET NO.: 7014445 AIR CONTENT%: - WET DENSITY(LBS/CU. FT.): - TEST CYLINDERS: SET LOCATION: ADMIXTURE (OUNCES): TIME OF TEST: SLUMP (INCHES); CONCRETE TEMP. (DEGREES F.): AIR TEMP. (DEGREES F.): TRUCK NO.: TICKET NO.: AIR CONTENT%: WET DENSITY(LBS/CU. FT.): TEST CYLINDERS: SET LOCATION: ADMIXTURE(OUNCES): TIME OF TEST: SLUMP (INCHES); CONCRETE TEMP. (DEGREES F.): AIR TEMP. (DEGREES F.): TRUCK NO.: TICKET NO.: AIR CONTENT%: WET DENSITY(LBS/CU. FT.): LOCATION OF CONCRETE PLACED THIS DATE: Lot #31 footings. Prepared by : Maurice Roberge JUL 1995 JUL q i 1995 GEOTECHNICAL/SOIL BORINGS/-ENVIRONMENTAL/CONCRETE/STEEL/ ROOFING /ASPHALT INSPECTION yfia MILLER ENGINEERING & TESTING, INC. MANCHESTER,N.H. (603)668-6016 NORTHBOROUGH,MA (508)393-2607 FAX(603)668-8641 FAX(508)393-8490 PROJECT NO: C 40076.01 REPORT NO: 2 OF CONCRETE CYLINDER TESTS. SPECIMEN AGE: 2e. DAYS PROJECT: NORTH ANDOVER ESTATES (Porth Andover , � CLIENT: TOLL BROTHERS INC. o� JOSEPH M. GENERAL CONTRACTOR: Toll Brothers Inc. x SOBOL SUB-CONTRACTOR: - CIVIL CONCRETE SUPPLIER: MacLellan Concrete N0.35429 woe 9f-Isy- LOCATION: Lot *31 building footings F' IOHAL ENG 1 7 Days—1 1 28 Days—1 SAMPLE NO: 2 A 2 6 2 C 2 D FRACTURE DESIGN STRENGTH (psi) 3000 3000 3000 3000 TYPE (NORMAL/LIGHTWGT CONCRETE) N N N N MIX WEIGHTS—PER CUBIC YARD CEMENT (lbs) FINE AGGREGATES (lbs) COARSE AGGREGATES (lbs) 5.3► WATER (gals) - - - - 1 ADMIXTURES (ounces) - - - - W/C RATIO (gals/sack) ,A WET DENSITY (lbs/cu.ft.)(C-138) - - - - SLUMP (inches) (C-143) 4 4 4 4 AIR CONTENT (percent) (C-231) - - - - 2 CONCRETE TEMPERATURE (deg's F) 80 80 $0 80 AIR TEMPERATURE (deg's F) gam; 83 83 83 TRUCK NUMBER 104 104 104 104 TICKET NUMBER 7014445 7014445 7014445 7014445 CONDITION OF SPECIMEN GOOD GOOD GOOD GOOD 3 SIZE OF SPECIMEN (inches) 6 X 12 6 X 12 6 X 12 6 X 12 AREA OF SPECIMEN (sq. in.) 28.27 28.27 28.27 28.27 ` SPECIMEN WEIGHT (lbs.) 28 .0 . 27.75 27.75 27.75 TYPE OF FRACTURE 5 2 5 5 f TOTAL LOAD (lbs) 66000 59000 92000 87000 4 UNIT LOAD (psi) (C-39) 2330 2090 3250 3080 a• DATE CAST: 7/7/95 7/7/95 7/7/95 7/7/95 DATE IN LAB: 7/10/95 7/10/95 7/10/95 7/10/95 DATETESTED: 7/14/95 7/14/95 8/4/95 8/4/95 5 COPIES TO: TESTS PERFORMED IN ACCORDANCE WITH ASTM STANDARDS REMARKS: Reviewed by : HC Tested by : TY/RS Prepared by : Maurice Roberge FnTGrH'PCAL/SOIL BORINGS/ ENVIRONMENTAL /CONCRETE/STEEL/ROOFING /ASPHALT INSPECTION i NORT 0VM of An O .rjr 5S� ': to Ido. 268 UAF- H- • �, : ort dover, Mass., 199 S" 4 O ^'t CAKE T CUCMIC.EWICK A�OATED PP��,�5 E BOARD OF HEALTH Q Food/Kitchen P M T D Septic System ER ITi 1 ass tMi I BUILDING INSPECTOR THIS CERTIFIES THAT ....... ....hAxt ...T T' `0 =oundaeio -tjtb�(� has permission to erect....(AOM.....RUNff.. buildings on...f. 3.. tY1.4?!`�t.. ..........1,P.c..3 0 t0 be occupied as &W �.... Q..... ?!Q�,l�r1�+�....."'.................. ......... Chimney provided that the person accepting thls pdrmit shall In every res ct conform to the terms of the appllcatlon on file In this office, and to the provisions of the Codes and By-Laws relating to the Inspect pp A r W'p pp�dd CCqq structlon of { 9 —Q_ r Buildings In the Town of North Andover. �tRMR��UNDAION UNLY PLUMBING INSPECTOR r REGULATED BY PARA. 114.8-S. B.C. o / r- 0 4 VIOLATION of the Zoning or Building Regulations Voids this Permit. w `�< iI FEE PAID gin � {A PERMIT EXPIRE 6 MO ELE I AL SP UNLESS CONSU T v Rou X' PERMIT FOR FRAMUBUILDING d� } . ... .... . ..... Se ' BUILDING PECTOR /�,/ DATE: FEE PAID•._. . ina '!. Occupancy Permit Required to Occupy Building GAS INSPECTOR I Display in a Conspicuous Place on the Premises — Do Not Remove gag No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building I! ct r. FIR DEPARTMENT PBurner i PLANNING K FINAL CONSERVATION FINAL Street �N SEWER/WATER -T-7-z,) FINAL DRIVEWAY ENTRY PERMIT� Smoke Det.6 f', . la a��s3f DF ? r k t¢ F E +& OCCUPANCY f t , Am AToE r0 US &5 r } r� } C+ERTI Fg IC ,+ AA att `� #S. E 34tr P}m1t ezrl �g i #} { 4}�:a' i; g. i'•' f It'll�r 'd +• a fi, a:r J a 'a} 'Andover � �,}�x. :Vii. =;. .1 ;pEtF} sof. North 'Andover r r. ,. r�:<{` # k 3 .'. ,pr-.: a»,;,p?7 T'�,'..;:${� '...'v i•.ft�kx: � � -.}i-,3 �"v'i,-,,yw�_ sr< :'r a :,�y._i. .[t ,>#;- $ .z.,:v�L{ ��1 :...;� �.t4,:.a;. . . j. b � �, �a+:u� .s+��...� � .,k # } .}`a,: r. #,+,.� a SL,,t:.• xtl, t -Via,... a mt'�.q, fi rP +#:.�a,#t: } '� • � �" � ... t $) $: ,'t ! ?;, i).,ye: �riT -..i t zta ,�t .k..,.t ..$- =e+]i*ii.. ::} t+ �". a>�' ('. ,k '.:1. $o•c - $,i vr1 5 c�#:,,a F' _ i.3 .c- t ,.ap r-l��€�1. „: 1 ( ,,,, W r. ..# 1 �+•, ,' ;.� i:. r � r MIN Rti i ° .t. 7.r • _ W ,,S^ .. -, � .:'vx M; �< 1r x.a!<,:' G�.: ., ,. r :.# ,:: .', r. - '�• ?�- :. i I,r,,".tr Y a. sr5=»: .a . �. ,. ,. r. ,,. :3j �'. .�, ,r�.� Y+6y�.,,i„ �t,e ,u,.. $, _.,_.},,. $ _a -.,:F�, w ,a •. :., •; i- { s:. .,1 ,r yy }.. !.t7..,W W,^ �C.. ,�. ,Fr:. Y, Y,,.,4 `;., .��: f. p,. ...:..�'"7 £... ,! :-. ., .i. ✓:+�' f :k., yt `:`'7'.:$... +:k' `+F�!': E r .. -^+y., L .,�-ss L.,.,.. } .. _ .. ;:.�f�E�: .. .r.:: .•.:rt..:.:.: ;}}b.... .,- { �,". ,¥2 'i:r. � 1 k".�k ts' �.1.,t. . ,,7.,,. r r. i f., ., ..,,p'Y. �1...- „M.a: .: • 1 r•e }. ...d .9 a,..,y �4 . .r'•.,.:a.y ,..�... }y��,, ,�,_. .L.. '_ Xp , _: .. ,Y :"�( <:r,, ,� :.. <.�.-r .. ":: .a.:, , ` t z d},t#�,;„ y,st.bpd re tt eg ,2,gx ,'k R,•tir•.., Y.•.. ;, } _ a o-:.. �S '16 �-"' 77�� Y �'•;•�,,,6 E. ,.�'a til q� .$. .+.s, "c.. 7 .+.ij<. r. C.,•:�� 1 lff: ;; rk {, ( •{-. l,��. R,�tlS�t 3 kk' { r •� S �� a,e. q�1 :I,..f k,. .,Is., a ayt '•�9 +,-t- +�` =•a+ � -'E'{. "cS, i �e � ��{t� r 4�� .7 L }}^ � 't :,3 $r s ?Ki' - �• Srl-i' . k�, ) ai+max 'j "•�k1,.. $'�.1,r>';n�' •'� Y .f-i'7f Ke., r #; Q 1' a t`! �^C� �/� •;<QQ ,7""}". „�, rr�_ :e �'r V !H s; {.3` l M € ' a� Bulldin er I#;Number @ rt _ s9gpa +5 ,. . Dae ,..w : .-. .,�.. ... :. ,))., ..,�.t.�l�y{ � e.. .�.� 't,. ... � .,„ ,.., .. ,, I' ,{�,,.�•f.S ., ):..r -a <'.I, r' 'r f ..4 .-. .,LAt'. .,Quer..^: .:a:� t,: #';.^r` ,•�,.0 r. ,.`�', i �} yY 1 No .5 -'.{ ti � •1[[... ., y k..d .., '. 4.,, ,. a.... ,� ��..:3 '�.u• ,.. 1... fi...n. •,.]! ':?.3 .. .T. • , 1 .g ..; :? w,Er-_.r °i i'3, .E•. ;}...> r., Y' 'I ��" .I�.`• .�-. ,. }.l �..:.h f, <..: _ ,., Y. .. y.{ .: � �''_.*,.: � .,., h... q $�`• #Rr}k- �.: ��., .'e". �:.: sIF. a :f t'i}, <e Y. ?tt r S •t ,r to t 'k � , •!t, f 4.�3 ,�t t•: Ky.xLvtpt .y i,.:.� g k• y` .�.. („* , :. :1� . ,.:. $ :. a rid. r fi ,•as.,k" :,:. < :. �•� ... $•# r' t ,a <t;,j$ z �.:'f i�_. t T- �;i•� - § .,. ., -?4,. �, � ¢¢gg,,,. ,,.:..y t.. ,, . meq .. :.� .$r'. :. s :t�i •fi a',M..:ir �.c, x�, �-5.., +".�:x d. ...5 .Z i' #. ;' � , .§ +Cn3 --f'., �, ' ..:,+., .Y<•a�3:, � s ,„ <.�' .:' ' � � r a t, .,z<# � � :f a!,i i. 'a.3. �A• $• ,";.'- r r" > _,{. S:.k ,.x.:t.y 9Q< ,t1 ., Y• ':.,-. •t"-: • i a.:in 'r, v`z;: a, 4:tXat +'•T-•1+t ra Sit: :,c .a: T�S:.rCERiliiW�1�1AT ,. :e, .. • ':'.�, C�3 .,Y..x/'c r., .>}t '} r � r •� �y: ,. .£ 1.: :,a � :. 1. .. .. ,,, ,.4 ...•k ,,. .� f,. r ,.n.,. , .. ,.+,. .. .:, ..:1 .: > t..� , „<.. � _ ,,-,� e. .:<, >s^., , ,Li. ,: 'ti . , ^s++ .,, > •¢t. _s., i:, p .� $ "k $ -• )a 9.J',. sr - -., .' .,t:.. _.. tr..F-: ...+. �''' ��;a�' '..,> .rf ., ,. ,, S },. �, '. .:; 1�' J :t9 .t -.�.,..'�, «r a 't•.i� x.;= .�x M s `�. d f e :s,t, r. <. S).:: ,. -a.. � ., ��a.: y,. ,� Y. a't?�,,..'?d, ��. ,,,. #. �� +° � ;�'•�,., a ) <*_ a_' y 'P ` t � � ,a E,BU ILDING LOCATED ONi ��,7' -17 I ,a ; o-.-,::, g �.y.�r.*,,{y�.: •.d .r• �r a:;�` +yP"k� Isriu a1 "y ��' ,'-..,� ,1: i' ti:^. .•:.i4tM ✓.:.�'1,V } 40 Y�' .T-e, °3, '� MAYf�BEOCCUPIED AS,A , IN"ACCORDANCE :; :'wigiq #} 3.r ?r a.$ c�Aa;.3. �g., �g, �'..: WITH*�THE�PROVISIONS:OF;,THE MASSACHUSETTS STATE BUILDING CODE AND H OTHER REGULATIONS.AS MAY APPLY. }+11 ., +�°rF 'J Ya L: ."' 4 ",49#�4+4• ,Y�f�f 1 ��k•.P, q �• a'r tY'3}r�J'S� � § •+� g6 r.l ra, # .,��.,�. , w 7'. � ' L a , j'' [ at:s "4"< ¢ }.., >`' a4`i7";' MORT►� �4� "4�. }s ° a ►.W A :I�ILI]°" 1[V�� $ iQ�'ip1E ;Ik,,ss43 ? i.CERTIFICATE:ISSUED ! 9 t• t�� .. ♦ > 1 �:, a..s: (�` i ,Q�t,. 4< y,s: e Y,.;, .�. •R�: �..+k !.` �' Y.'. i'W�..,t: ::+nr:�,,, ♦ �„ -'r...• O '#.' :t" � �k�Y. � a'1; `.;(i�'- it§C-•'•� }',� ^41'' �; 3.�{ t�.e,�P(:.,# �. } 't r $.ItADD .�� '}y. � t' • r• ,t M •�.a;;a ,+ fgl1«{ r.u,..�#7 ++} 7. .r :j ( "1 :§ ..): : '4 E �',: liR� i t i}.� .. "i+ 'i'. w; '�; � .$: �r. rL'.§..+.}fv�� fv. +�' , :�'.� r: [I'}Y Qi l,i X� #t •$'}' '�"� � e :.1 ' ,1. a. w ;' � � „4:, • • r.,�...�..i F$a t !;d g�i%:R� �, I•.:P a _ '�'h' -.} � di �.S},z '� ''r I"' .a ��mzr`�' fc� • j' r .. �� 1�a �r � �)e »�}.$ ) s h.. �-}S a t' �. 4. !#,;.� !. !•��"§�tt<#�� k#�p j e I: ��`�'�r'a' �� c��x �`,#�„ ��.«.At3�r. + g .,'4�� a�? �i x�.<}F ;'4is r o- � t; 3: `YG t•Jp�� #.t e $:- _,6 1;»�✓�~ Ei :..ra a: t., $ .ur#•. "a;t.Y,.: �; i` 3 #b';at:"'' , {'. 4. °F a L- # "a'� -I` ' ;< �4z ,�; 1a � Y`� <t1,�', 'jar':5:�;o: +•�� x. .$"i,�,..��1' :$:i �i 1: ,'y' ::iy r+. x :,P:, 'uk=:' 'fACNU4 $ :1 �.., { )#'s',;.u,. re': � -•1;. a ! t., ):.t 'k•,,'#'3' d ,<' �'k� f' Buildin •;:+ , '.�`� ,: , r� � E: ..,.,;�+ •:, a 1�„ .'+.,1 ,. :. 1 �.. , t ;,, ..,. 3 a. -. �.,. z. y �! rr % S• { � ,,.0 .i" �1:.m !.Q :., f.:L.; •i@��, i.1�i. :#,-3�` � _� ,..,<,. .! j 1�,,:,{ ?• S:, f, Is #[� 1;. .•�. w: d�5n `gi�..^�1 +ii't# t 9 eS. ��,i � .:�1i ,!$ `�'.�1',,. g �•s., %;_ 1 �,}: `i`:' F � .fit k nr":4k a. a E: ry� 9.. s= + � {. I: k, #T! H'+; ' ,t, 7, `: S! .4tt'. 1 y 9 , k d.ii e R:,', �,. ,).• : j ..tf.,'i #• t �A 1i. # 'yx�. �' Y'.� 1.,� dr .A!, r .r'� _i :? ::4 �� } �•:m $ 3$ f Al, ! f �f- .•t H� �t'' �N1.-d 1 !' t } . € , €a',,: c. �` :F i..;.._3'i F°�:- r��. t�^,• � - '� !#E 'i^. 't.,(a�• � k 5 t:5 gg ��••CC 11rff i:'•' -k.-. ..Yf' }.,. w 9r.,¢x , { .A'... ?' :�: t '1 +a..'. 1' SrT n! •4 .! 1' y� :. .. idara.,t.�l�� s ��9 �4a�st ••:s ' 1 t�+' #'✓�ra:.;a,wn,,, rt ,r'",6'' .�. ,�. �x�k4 !{$.Qt,. 't .#. -f !R't } :; a z �: ,:uta ( . f !q : f } t•.p } pq ,,,, � �i:.'d Jf� .,A:: ,°7t a v 1.;:��• 1, "1 4�,t t-'y 3 •.a $ s d * c (( 3F' i f a,l3s.. o f [[ }rall'V' ) �.It E:F 'tr 7.", +,'t- ?.• F, 3 :{•," r , -'t: t !' "�jr,�'w.. ->#} 1 f iaE tr, <}} �. } r};j r ,: - t ,$#t; ?�" , ! t epi' °1 Lr,'� :s y 1 i v ka. � .�. t.\�.. N l�A. '• 4 �..% k i,�,:; 'm 1nha '�: ke., is a. r:: � 7,ar •:*�; k,a L� -w s"� '�4' ,+�,°` •''#t#' 5 , �; a "r• t7* "'�",, tt t � f. } x.x i t :ti as >.. °s s �; A +•r j. xrC $� • "{- .,�"ar"},� � .� � r' 3 s" � ;,,A �"3;4�� •e? ,+ �- a k : � '' r'` [ i ,., t, k � •) j r •.iji "ac'$` raid *: }," i t ;w.. �#S, E ":;�a$..t +..'' i _ ,} f$e -�' is ,.,a. , SL {='r t a.,.' s- _ t +' :rf, at t`.i 4 $. ,t :.2t,. �! a.. � � .ST<"E + p a:r _G,3 ' •'�3S .. 4t: "� � / ,sj gri•'�p��,,: , 1 tjj F # I."t' .i r w $ } :peu w fi � +4;• r rat, :.{, # ; i ,:,>. .. { $6', ;., i-1. t ;$, Y �,�. 'a•� 1�� { +� $ $ e� �,aS i-. yt `,I i;� , ,la` I Ir�..� �� e{�ti �yp�' ;S.} .� L - i T 7:; ;:� E , ;'f bg ytl�}�,y'i' � ref, S t +;x{ `''�,t$'zW'p�11� i i •Yt 9� '� , a t Y 1e F' zt ; t} Lt "Ek@1 t it }j I 11 5 d�•.... � ; � t,$f;L��l:�t:� ^sIUY) I a (f x+`AN.tk ..t - s 1t,xl :.• +�,�`-: < ,•<'x`+c � i!�' An t