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Miscellaneous - 158 COACHMANS LANE 4/30/2018 (2)
158 COACHMAN'S LANE 2101064.0-0065~0000.0 GENERATOR APPLICATION SATE: -ay- l am LOCATION: OWNERSNAME:�ea� GENERATOR kw NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* CONTRACTOR: vz� PHONE NUMBER: � ' tJ Rel I 1 ELECTRICAL GAS 'T e- lzk,0-z> No RESIDENTIAL COMMERCIAL 410 51T� LOCATION OF GENERATOR: *ZONING DISTRICT: LA�A *CONSERVATION APPROVAL1, � 1 GENERATOR APPLICATION DATE: a a—ay- LOCATION: OWNERSNAME: GENERATOR kw NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* CONTRACTOR: PHONE NUMBER: ELECTRICAL GAS '7� Q, 'i� � ^J U RESIDENTIAL COMMERCIAL TEMPORARY LOCATION OF GENERATOR: *ZONING DISTRICT: LAA *CONSERVATION APPROVAL�..�, RRE) r LAW> FQ nI.LP /ALTERNATING 8' =' BARRIER AL NG/LIMIT - a ING :BETWEEN OF WORK AND 'EQUIPMENT' S TO RK AREA ACCES B/PLANTINGS OF j f, 3ERR , BUSH, 'HERN, ARROWWOOD f: WINTERBERRY. QP T BETWEEN / AND AND BASE OF �� . FROM YARD T. -STONE WAY WITH. L} ORA � COBB - {G I� wy l` h� ICY P 11-IOP: 2* J e34 �,p� \ ' - PROP. ST ECONRUCT" SPA ? E Or ` ENTRY (APPROX. �s�nom, 0SLt BRIGG 10' 7F 5:5'y T NE GING 4 MA-VCH { •��• ti�a �`'; EXIST: LANDSCAPI XI TIIi•�C WALKWAY) Gam'- o ry `* �E ✓ RETAINING WALL o (T0."REMAIN) AIRSSROM3' qv r 4"' a TO ' 41,. PORCH .w GROUND LEVEL �v° r EXIST. 'SEWERr 8" ' o' SERVICE / v DRAIN , , �' r.�a ► IS HARGE PIPE 3 FOOT RIPRAP '` POOP. FAMILY iOLW WEIR a�xO s �} `ROOM AND_ - 36.3 (SEE f _ '``PROP. GUTTERS: BASEMEN'T -) 6 .t ; TH- 1-le PER, F04� _ TOP OF _ - ROP. r' F I�fEII EL=167.3FESS fiN - f RI QRS N 169:01 SU AG`E 810ULD r -_ PR60- SCREENED 0�. GRASS—LINED ..-r ;PORCH DEFER • O ARG'F tl' CTURAL ii �a AND/ STRUCTURAL PLANS Q' /� + -F6R op. -SCREEN PORCH P. RIPRAP ?PORT/DETAILS (NAGE SWALE 7 r /58 C,4r- - Location M4AJ4 /A,# No. Sol Date 3" 4 NORTH TOWN OF NORTH_ ANDOVER F P } Certificate of Occupancy $ r ��J''• Et Building/Frame Permit Fee $ �CHUS Foundation Permit Fee $ - Other Permit Fee $ TOTAL $ 1 pO Check # 1712 0JA Mf -- '�+ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. /tea DATE ISSUED: SIGNATURE: L Building Codimissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 15'P CoaL�t nmarNS �.al 1 Map Number Parcel Number ' 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record I H. De-cx\ + Uhorc�k BojoeqU �578 Coo Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Ar � � rs� ry Licensed Construction Supervisor: O License Number JM- 3 7-6)31 Expiration Date s Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ A .!F--, Compan• Jame j rn /,Ldqr 1v� �� Q�f u �r /,(� �3(� Registration Number r A ss Qlfl'� 6 '11 Z Expiration Date ^ Si na ure Tele hone !1/ SECTION 4-WORKERS COMPENSATION(M G.L C 152 § 25c(6) ' Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessoy Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: NJ C� a"KZZ, qr1JA 'scrCeW kc)rcji\ 13'x 1S V SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be t)F1H`ICIA I. JSE-QNLY Completed by permit applicant 1. Building �� (3Q0� (a) Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of a6LO . Construction ^ v 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1Y, �JfQtu Boodr t coi as OiAmer/Authorized Agent of subject property Hereby authorize Ak U R_ iA A I JON to act on My behalf,in all matters re ative work authorized by this building permit application. S j niture of Owner.;A , Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 4 I, Aci�vr WAtso N as Owner/Authorized Agent of subject property l Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief L A�ui0 Pri <1:_ Signature of Owner/Agent Date NO.OF STORIES Q Ale e. SIZE ��° " 2 Z BASEMENT OR SLAB A' 'tMZV SIZE OF FLOOR TIMBERS 19 12 T-A651 2ND 3 /U SPAN 1 g 0 DIMENSIONS OF SILLS 2" 2X DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING /Z k 2 X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND 30 i IS BUILDING CONNECTED TO NATURAL GAS LINE i FQM1f�M� i .SCNetN �onc"l FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT A rA U r Wi TSCA PHONE 0 ` 7 13 f LOCATION: Assessor's Map Number n T PARCEL SUBDIVISION - I LOT(S) STREET J5% �O Acs1A 1ciY1`j I o� n e, ST. NUMBER ************************************OFFICIAL USE ONLY*********************************** RE MENDATIONS OUOWN AGENTS: CONSERVATION ADMINIST TOR DATE APPROVED /JOV y'- DATE REJECTED f ' COMMENTS wl�t�RS�I:.D TO V NNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED W F, r— DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWERAVATER CONNECTIONS DRIVEWAY PERMIT IRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm • apartment of Environmental Protection DEP File Number. a Protection - Wetlands - Order of Conditions 242-1215 !tlands Protection Act M.G.L. c. 131, §40 Provided by DEP f iformation (cont.) iave stamped by the Registry of Deeds and submit to the Conservation Commission. ------------------------------------------------------------------------------------------------ ,I: sion -' -,; it the Order of Conditions for the Project at: 242-1215 DEP File Number t the Registry of Deeds of: Book Page V ri rroperty v.,.... and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded land, the instrument number identifying this transaction is: L-3K6-1 Instrument Number If registered land, the document number identifying this transaction is: Docu nt Nurflopr y Signature of Applicant Wpaform5.doc•rev.12/15/00 Page 7 of 7 A. F. Watson General Contracting Estimate 3 Edgemont Street Derry,NH 03038 DATE ESTIMATE# Tel. 603-437-6134 10/25/2003 1255 NAME/ADDRESS Deborah&Dean Boudreau 158 Coachman Lane North Andover,MA 01845 TERMS PROJECT Due on receipt Family rm.&Sun rm Addi... ITEM DESCRIPTION QTY COST TOTAL Permit Town of N.Andover building permit fee Allowance: 500.00 500.00 Excavation Excavating:Foundation,Rough grading ,Install hay 9,500.00 9,500.00 bales and siltation fence , excavation-regrading in preexisting play area and building of swale detail. Note Loaming,grass,and plantings by Others 0.00 Foundation Install a 12"x 24"footing and a 10"Poured foundation 4,700.00 4,700.00 wall. Concrete Pour and finish concrete floor in basement. 1,400.00 1,400.00 Concrete Allowance;Concrete pumping truck 3 800.00 2,400.00 Concrete Cuting Concrete Cutting @ new basement opening 1,500.00 1,500.00 Foundation Foundation water proofing 40.00 40.00 sill seal Sill seal roll 1 15.00 15.00 2x6x16'PT 2"x 6"x 16-0"Pressure Treated Wood 10 11.82 118.20 1 Joist 117/8"x 18'0" I-Joist 22 32.76 720.72 Rim joist 117/8"x 12'0" 5 24.00 120.00 ADH. Subfloor adhesive tube 4 3.99 15.96 3/4T&G 4'x 8'x 3/4"Fir Tongue&Grove Underlayment 15 34.65 519.75 2x6x16Spr 2"x 6"x 18'-0"K/D Spruce 9 11.20 100.80 2x6x8 2'x 6"x 8'-0"K/D Spruce 56 4.50 252.00 2x6xl4 2"x 6"x 14'-0"K/D Spruce 18 6.86 123.48 4x8xl/2CDX 4'x 8'x 1/2"CDX Plywood 34 18.45 627.30 LVL 1 3/4"x 11 7/8"x 16'-0"LVL(door header back wall& 12 77.01 924.12 basement opening) LVL 1 3/4"x 11 7/8"x 12'-0"LVL(header front wall) 3 50.25 150.75 2xl2xl6SPR 2"x 12"x 20'-0" K/D Spruce(gable window header) 3 31.50 94.50 2x10xl4SPR 2"x 10"x 14'-0"K/D Spruce(rafters and ceiling joist) 42 15.17 637.14 2x12x14 2"x 12"x 18'-0"K/D Spruce(ridge) 1 16.90 16.90 2x8xl2KD 2"x 8"x 12'-0"KD Spruce 36 8.58 308.88 2x10x12 2"x 10"x 12'-0"K/D Spruce 16 11.20 179.20 Plywood 4'x 8'x 5/8"CDX Plywood(roof) 36 16.55 595.80 lx3xi6strapin 1"x 3"x 16-0"Strapping 45 2.10 94.50 1x8fjpri 1"x 8"x 16-0"Clear Primed Finger Jointed 14 26.88 376.32 lx8fpri 1"x10"x 16-0"Clear Primed Finger Jointed 9 26.88 241.92 THANK-YOU A.F.WATSON TOTAL OWNERS SIGNATURE SIGNATURE Page 1 c A. F. Watson General Contracting Estimate 3 Edgemont Street Derry,NH 03038 DATE ESTIMATE# Tel. 603-437-6134 10/25/2003 1255 NAME/ADDRESS Deborah&Dean Boudreau 158 Coachman Lane North Andover,MA 01845 TERMS PROJECT Due on receipt Family rm.&Sun rm Addi... ITEM DESCRIPTION QTY COST TOTAL 1x3xl6Primed 1"x 3"x 16-0"Primed Pine 5 7.36 36.80 1 1/8x6 I 1/8"x 5 1/2"Primed finger jointed clear pine 42 2.33 97.86 1 1/8 x 8 1 1/8"x 7 1/4"Primed finger jointed clear pine 32 3.11 99.52 l x6f pri 1"x 6"x 12'-0"Clear Primed Finger Jointed 9 22.08 198.72 3/4 quater round 3/4"quarter round 38 0.56 21.28 1/2x6clap 1/2"x 6"Primed clapboard 3,800 1.10 4,180.00 Windows Anderson Windows:(TW2852 with DHT2810 6 0.00 Transoms) Windows Anderson(TW2852 three mulled) 3 0.00 Doors Anderson french wood hinged(FWH 6068 APLR) 1 0.00 Doors Anderson french wood(FWH 3168 S) 2 0.00 Windows Anderson Transoms above doors Windows DHT2410 Transoms 10 0.00 Windows WINDOW&DOOR TOTAL 12,630.21 12,630.21 Asphault Roof Bundle of Roofing Shingles 33 13.25 437.25 Ice&water s Grace Ice&Water Shield 4 92.00 368.00 8Aludrip 8"Aluminum Drip edge 7 3.19 22.33 Flashings Alum.step flashing 1 15.00 15.00 1517elt #15 Felt paper 432 sq.ft. 1 7.95 7.95 Nails 1 1/4"Roofing gun Nails 1 65.00 65.00 Insulation Insulation Allowance 1 1,000.00 1,000.00 Plastering Blue Board and Plastering 3,000.00 3,000.00 21/2col 2 1/2"clear colonial casing 216 0.73 157.68 1 1/8x6 1 1/8"x 5 1/2" clear pine 37 3.68 136.16 3 1/2"base 3 1/2"colonial base primed finger jointed 108 1.56 168.48 Columns Decorative Columns 6 275.00 1,650.00 Cabinetry Allowance for Built-in cabinetry 4,000.00 4,000.00 Miscellaneous Miscellaneous(nails,joist hangers,ect 2,500.00 2,500.00 labor Carpenter's labor 528 34.00 17,952.00 HVAC Heating and Air-conditioning Allowance?? 2,500.00 2,500.00 screen Charcoal Aluminum Screen roll 1 120.00 120.00 Tile Tile Backer 40 10.66 426.40 4x8xx1/4ply 4'x 8'x 1/4"Plywood underlayment 26 16.99 441.74 Tile Tile Allowance:(material and installation) 580 8.50 4,930.00 Electrical Electrical Allowance: 3,500.00 3,500.00 THANK-YOU A.F.WATSON TOTAL OWNERS SIGNATURE SIGNATURE Page 2 A. E Watson General Contracting Estimate 3 Edgemont Street Derry,NH 03038 DATE ESTIMATE# Tel. 603-437-6134 10/25/2003 1255 NAME/ADDRESS Deborah&Dean Boudreau 158 Coachman Lane North Andover,MA 01845 TERMS PROJECT Due on receipt Family rm.&Sun rm Addi... ITEM DESCRIPTION QTY COST TOTAL Painting Painting Allowance 4,000.00 4,000.00 dumpster 20 Yard Dumpster 2 450.00 900.00 2 1/4"oak 3 1/4"Red Oak Strip flooring 336 8.00 2,688.00 Fire Place Fire place Allowance 6,500.00 6,500.00 Subtotal labor&Materials 101,023.62 Cont.fee Contractors 10%Fee profit+overhead 10.00% 10,102.36 extra's Extra Office work allowance 500.00 500.00 Note Front entry Roof and steps allowance 5,500.00 5,500.00 Note The Above prices are estimated costs and will be adjusted to actual costs. THANK-YOU A.F.WATSON p TOTAL $117,125.98 OWNERS SIGNATURE SIGNATURE Page 3 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: ed 16 G1 (Loc ion of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i , (p , -t Board of Boiiding litgulat ons atnd S,31. ` HdME; �ROVFMi Nr,. i CONTRA(;TOR , ' Regrstrafli 14:'r 7'yp�i�:ls71•�t ' A.F.1'JA7"SON GEN CONTRA ;TI N'C: " .Ault tUR F WA1 SON -AC-TirLG r.-,A57GEMONT ST 03038 4 Adminisfrattor BOARD OF BUILDING REGULATIONS iLicense: CONSTRUCTION SUPERVISOR F= Number: CS 063168 . t I t Birthdate: 02/12/1956 Expires:02/12/2006 Tr,no: 15623 Restricted:' 1G j ARTHUR F WATSON t , 3 EDGEMONT ST DERRY, NH 03038 Acting C mis over t_� i The Commonwealth of Massachusetts Department of Industrial Accidents 1, Office of Investigations Boston, Mass. 02111 Workers'Comp ensation.lnsurance Affidavit t Please Print Name: U 2WAJS-1V Location: City Phone aam a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity EZam an employer providing.work rs'compensation for my employees working on this job. Company a 0CJ0tK-q,/ A �a' 4e, l Address 4!e 5 Ci : Phone# Insurance Co. -e /ess Poli # cv Company name: Address City: Phone* Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil.penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. 1 understand that a copy of this statement may be forwarded.to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name Phone# Official use only do n e i is area t e com city or town official' E] Building Dept ❑check ifim ate Tu i Building Dept ❑ Licensing Board Selectman's Office Contact person Phone / 14' ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION NORTH Town of Andover O �. - LAY( O� dover, Mass., COC MIC YIE WICK ORATED U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System N & A A� �, woA t #V BUILDING INSPECTOR THISCERTIFIES THAT.............. A.................. ............................................................................................................... Foundation / � / � ati � t has permission to erect.............. ....... buildings on ... .. .8......CO.... .. ...-oo.5........ JdN Rough to be occupied as.... I� ��� ''.. � � fa 3cr�.�. �,�•� 4r, 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 andBy-Laves relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. G // PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONST TS Rough ..........................................�C.'.'...t.... ...�.... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner. Street No. SEE REVERSE SIDE Smoke Det. s, New Foundation Wall Shown With Hatch marks 12"x 24" Footings w/ keyway and 10" poured foundation wall 70'-8 1/16" 14'-2 1/16" S - - - - - - - - -- - - - - - - - ---------- - - - - - - - - - -- 13'-2 3/4" — — — — — — Three 10" S Sono Tubes\\ Eli I s I UTILITY for screen I\ I I L :J T-V x V-10 porch Cut Foundation Wall EXISTING for new opening BASEMENT �, �� , i I I STORAGE 17'-4"x 16'-6" -,AGE 4 FA 5 - 11 7/8" LVL's 23%Tx 19'-2" "..'span Opening and receive joist on F�] both sides OFFICE F1 13'-9"x 6-9" — — — — — — — — — — — — — — — — — — — -- 9 L — — — --- — — - — — — — — — — — --q — s — — — — — — — — — — — — — — — — — — — — — — — — — — — - - - - - - - - - - - - - - - - - - - - - - - - - - - 36'-18" 14'-2 1/16" LIVING AREA FOUNDATION FLAN „ —3/16” " 1214 sq ft V-0 Family room & Screen porch Addition Contractor: (Arthur Watson) A. F Owner: H. Dean & Deborah Watson General Contracting 3 Boudreau 158 Coachmans Lane Edgemont St Derry, NH 03038 Tel. North Andover, MA 01845. Tel. #603-437-6134 #978-686-8959 13,4" DECK 13'-8"x 6-9" r 10" 2 11 7/8" LVL's 12'-T x G-10" 12'-4"x 21'-6" L V UP Window Header DINING KITCI-IE*' N Headers @ new ........ opening 2" .X 12"Joist @ 16" O.C. L 11 7/8" I-Joist@ 16" O.C. EXISTING STUDY EO 13'-6"x 19'-6" cli HOUSE I FAMILY LY SCREEN _up=::� PORCH 17'-5"x 20'-4" 12'-6"x 15'-6" Window Headers 3 - 2" x 6" Walls i ..._.\\\\ __.�...�\ //,: 2"x 8"s W/stud pocket W/ R-19 Insulation ...... CLOSET _10"x '-G]' T� CLOSET CV 3'-3"x 3'-5" ........... ........ ........... .......... .......... .......... ....... ........ ....... ..... 38A" 14'-2 1116"— .......... Proposed New Entry Proposed Family Rm. & Screen DN 4-N Porch Additions LIVING AREA 1691 sq ft FIRST FLOOR PLAN Scale 3/16" = 1'-0" 70'-81/16" Contractor : (Arthur Watson) A. F. Owner: H. Dean & Deborah Watson General Contracting 3 Boudreau 158 Coachmans Lane Edgemont St. Derry NH 03038 Tel # North Andover, MA 01845 Tel 603-437-6134 978-686-8959 Roofing Moisture Barrier - 1.__2x6D.F. Std & Btr. Roof Rafters @ 16" C.C. 5/8" CDX Plywood Roof Sheathing -- __.�_ 1 _--R-30 Ceiling Insulation Std & Btr. Ceiling Joists @ 16" C.0 U8 F460wead Facia " fr 000UHUDUOH000HU0000 1/2" Sheetrock Facia Gutter \3 1/2 Crown Moulding 2x3 D.F. Std & Btr. Ledger � 3 1/2" Crown Moulding _ - - 1/2Ip Sheetrock 10" V-Rustic Siding D.F. Std & Btr. Fire Block Moisture Barrier -_- 011" CDX Plywood ShearSub-Siding � Wall Insulation 3/4")A' Oak T&G Strip Flooring 2x4 D.F. Std & Btr. Studs @ 16" 0.C. - -- -- �% x'3/4" PTS T & G Plywood Subflooring Glues and Nailed 2x4 D.F. Std & Btr. Plate --- _ � ,' " �'� -2x12 y Floor Joists @ 1611 O.0 Foundation Vent --____ _ T__T 13T 2x6 D.F. P.T. Mudsill 1/2 x 12 J-Anchor -- —� - = �� �- `�R-19 Floor Insulation Grade '- '-__._ ___- Grade ---Subarea TTTF fl I -� cr o° CeWG���� °Q v 0 0 4" Perimeter Drain Tile in Gravel #4 Steel Rebar a MOM 0 2" X8" N 4 Rafters @ M 16" O. C. ETa==11E1E]E:= 2" X 6" Walls W/ z ~ R-19 0 N Insulation , Gable End Elevation Date...... .r \� 40RTN TOWN OF NORTH ANDOVER 3? e•,4 .... .• OL O - A PERMIT FOR WIRING SSS^cMusE` , This certifies that �f . .. ... ... ... ....... _ - has permission to perform... ... ....aW.................:.... ....... wiring in the building of... ...,t � ..;....i� ''."`.. ......... at. ....�/J.. ........ .,........... .... .....f..........�...... , o,�h�i°do�er;Mass. Fee..Z-1!-�.. .`...Lic.No..... .. ............................................................... ELECTRICAL INSPECTOR I Check # ��r`_ S5 4.29 THECOMONWF+ALTHOFMAS�SACHUS A� ETIS office Useonly DF.PARTAIWOFPIIBIICSAFElY Permit No. BOARD OF FIREPREVEM0NRFJGUTA77 45R7CM120 00 Occupancy&Fees Checked APPLICATTONFOR PERMIT TOP aORM ELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MA SACHt•1SSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 1,2 Q 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) C} 5 Owner or Tenant £14 Owner's Address 'l )q yn-� Is this permit in conjunction with a building permit: Yes[11�, No a (Check Appropriate Box) Purpose of Building Utility Authorization No. _ Existing Seryice Amps Volts Overhead a Underground No.of Meters New Service , Amps I Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures O Swimming Pool Above Below Generators KVA round 1:3and No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones--- Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of igns Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER- t limttal�io�eCawta�PlLu�tttTothetegt�tatsotll�>t;�llsGalaallaws IhawaaraattLi*T[yImamPolicyi<tcladalgCornplea QLwat Com aaWailsmbfttdepvaht YES NO Ihavesu ninadvabdptoafofmwiDhe0�YES ET FyulmedrdmdYFS,pkWirdc* typeofai-UWby drddngdr4P � bovc BOND 0 MiER 0 (PleaseSpec y) , " a 0,�- —J EVitaliml)* Bs 1m*dVallreaf)~7=ca1 Wolk$ Wbika)Swd L PXfiMD*R0we-qod RaO Fir>al Sigledunder Portal McfpgW FIRMNAME LiteNa Liceri9ae z,', Sigttaaue Z1 LioeNo E-3) U,RT BusinmTelNa AMM.L J "` f/ • AkTdNo. S� OWM R'SINS RVR XEW Iamawatetha&Lio wdmmthareft mraloeaneWoritsa>bstaiialagtrivalentasmgimdlry (',t e:gLaws adthatrrrysgr�hneen thispem�rtapplicaliort waives th't.Sregtmezrta�t (4lease check one) Owner 1:3 Agent a Telephone No. PERMIT FEE$ �� igna ure of Uwner or Agent f � •� Date. ! S. 'J13 4126 NORTIy <,��° •otic TOWN OF NORTH ANDOVER OL PERMIT FOR PLUMBING SSACMUS� M k This certifies that /. . F./. . P. . . . . . . . . . . . . has permission to perform . RP. PV.-e . . . . . . . . . . . . . plumbing in the buildings of . . Rq��. ��.�6°�. . . . . . . . . . . . . . . . . o at . . North Andover, Mass. Fee�.�!,,. . . . .Lic. No.. . .A. . . . . . . . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MAP 01 PARCEL 4-064l�ASSAC USETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING NORTH-ANDOVER,MASSACHUSETTS• Date Building Location Z _6Q-z-Z -,--X nn,!2n Owners Namel2ece;j Permit# yla4 C� Amount Type of Occupancy. 4 -7 New Renovation ® Replacement Plans Submitted Yes No FIXTURES w P, OZA z w pro x a A w -.- -- — H a a g d tx S[WR1 v,;.L, MKOW — - 3M HJ" 4If?(I+IDQt 5M ILOQt 61HYLOQ2 - 7M 1WW (Print or type) , Check one: Certificate. Installing Company Name /-/l �_�Lz S 2�/PM/ji Address �� n�""��-?��` � Partner. fZ Business Telepho e Name of Licensed Plumber: Insurance Coverage: Indicate the,type of insurance coverage by oheckingahe appWnate box Liability insurance policy : Other.type of md�emmty (� Bond.. ® 13 Insurance Waiver: 1,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.perfqrnied, undSj.P.quit lssued.for this a pplicatian.will.be in. . compliance with all pertinent provisions of.the Massachusetttate.Plumbin ',C Chapter 42 of tic�GeneratLaws. By: Signature of Eicenseaer T e of Plumbing License TitleAY 17 City/Towne _ er. ';.Master' Japrn APPR&VED- CE USE ONLY ' — Date. . �1..�1�• d NORTH ?Oya`•``o 'rho F p TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACNUSE�S F This certifies that . . . . . . . . . . . . . . . . . has permission for gas installation ��!,l yin the buildings of �. . . . . . atto . . . . . ... North Andover, Mass. Fee.- . Lic. Noo 777 . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# 1 4581 f 1' MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FMING 7 Y (Type or print) Date NORTH ANDOVER,MASSACHUSETTS 1 Building Locations '�8 �� k �"� �h Permit# Amount$ � o 0 Owner's Name New❑ Renovation Replacement ❑ Plans Submitted ❑ x w rA UCn Cn a ° o � z o a F a z z o E-4 w w z O F O w w � A. c4 z O cw7N z H z x w x o > w w a a� x o � 3 a 0 a U 90 4 �' a 00. N 10 1 SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) ` Check one: Certificate Installing Company Name ✓/ /'/�.� war, f c ❑ Corp. Address 3� Seo ❑ Partner. e !� o Business Telephone �ds��3/— 8� � L�jFirm/Co. Name of Licensed Plumber or Gas Fitter �r� INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy E Other type of indemnity ❑ Bond ❑. Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the b 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 ❑ 1 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 Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title �. Plumber s2,3 S S City/Town ❑ Gas Fitter LicenseNumber' ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman t D N° 2395 Date......���..//.�. �'� r10R7F� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACHUS certifies that ' %�..f .'..y. .!..�........�_.... �. ...�...................... This has permission to perform .... .......I.t.. .../........... wiring in the building of.....Ao.'!r-f? �[q............................................... at... .`f� Co . . N .... North Ando ver, Fee.rS.:.0 ... Lic.No . � .......... _ E Check # VECICALINECTOR - s 7 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THECOMMONJVE41,THOFMA.MCFJUSE77S Officely ��DDNRT�VTOFPUBL1C34= Permit No. BOARD OFFMEPREVEMONREGUTADONS5270M 12.00 Occupancy&Fees Checked APPLICA TIONFOR PEST TO PERFORMELECMCR2:0t WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE Iv. ACHUSSTS ELECTRICAL CODE, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 14 Z—Ocl Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. WAP PARCEL Location(Street&Number) j Owner or Tenant Owner's Address ' s Is this permit in conjunction With a building permit: Yes o (Check Appropriate Box) Purpose of Building e j Utility Authorization No. Existing Service 27 Amps Q/ molts Overhead r7 Underground �— No. of Meters New Service Amps / Volts Overhead Underground No. of Meters lA mber of Feeders and Ampacity Location and Nature of Proposed Electrical Work 77 e- Ti !'�rO JAZ d �No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures / Swimming Pool Above Below Generators KVA —goC�7 and 1:1and No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets �— No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Purnps Tons KW Initiating 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 Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• h$taanceComF.Aaarartmtheregr¢ar�ais�GaraalLaws IbaNeawnuiL bkyh-&aart PohymducbrgCamice ' Comma s crit atsotAalegrAaait YES NO a lbawstbnWdvandprocfofsametotheOfCe YESIappcpdqW NO a Ifyvulta�d�ad®dYFS pls�seicr thetypeofootaagebYd�d�tgthe SCE r7-1' BOND ❑ MIERR F'—j ftm Spe°fy) Estim*dVa1rcf lacbcal Wc&$ WciktoStart Ir>Sptx D&-Rapesbd Rough Final Stgrtedtrdat�ie � .) f FgZTvINAME C Liaa>seNa dy ' Licalsar / /a �� Sigtiahne Lxcrwi b ` BtrM"mTeLNa AdimC / AILTeLNa 7 o OWNQZ'SIt1SURANCEWAN] ,IamawmdiattbeLiowdmnothawtheror&=eaaaFcrilsaismrtdequivala$asmgmedbyMismdmg&Cxmaailmks andthatriysigtntmatthispear¢applirahcn 'wsthistegmanart (Please check one) Owner Agent a Telephone No. PERMIT FEE signature of Owner or Agent N° 1903 Date.................��..... f NORT1{, TOWN OF NORTH ANDOVER o : p PERMIT FOR WIRING SSACMUS� Thiscertifies that•,:: ................... ..................................................................... haspermission to perform�r... ,�: �.... ................................. wiring in the building of :........................................... .. !' :� at..•�...................... .... - .......... ...,:::........,......,North Andover,Mass. �. Fee ..�.r/....... Lic.No 's ... .1 ...........�.fc:....................... fj'— ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. 25.00PIaMeasurer rca tA!15 -SIN- THECOMMONWFALTHOFMASSAC USEM Office Use only DEPARTA&WOFPUBLICSAFM Permit No. 1` BOARDOFFIREPREVEW0NREGUTAT10NS527CMR12:1X1 UVA4 Occupancy&Fees Checked PPUCATIONFOR PERMIT TO PERFORMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR I2:00 Jc 9 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 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) Owneror Tenant D «h Owner's AddressS �- !�I •� Is this permit in conjunction with a building permit: Yes Lg;2j No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead Q Underground Q No.of Meters New Service +� Amps/ Volts Overhead Underground Q No.of Meters,,, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Vlo.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA and ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. i Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local M Municipal Q Other N Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP kstaa=Comar-PtaRa ttothemWianettsGflvbsmdms&C=aallaws Ibmeact=tLiabkIa==PolicynijdutgCoi Vi* Cavwdwantlsmbstm alepWert YES NO Ihmesubmdedwlidptoc(ofsmnetothe0ffio,--YES L 1__..1 No If}mhmdulWYFS,pleas Mdic*tCtAXCfWVeagebyd & INSURANU Q BOND �_.01I�R.•11 aft=Spay) EM*dVa)w IWaic$ WakbSM hVecbwD*Rapested Rough Feral SiffWMle&RWMMdpe3W.. �. �^(�GT/`�c Li eNa FWMNAM�E[t y� {� / //�J{ / Life 14 C.Y L`/ 1�/J L Stgt,= L,Tr g/yp�y� S C-4-kc 5 -,4 (�c.�l` 0 �C i�Tr'�C'�Gc�'►'� A)tTd.Na OWNWSINSURANCEWAIVER;Iammmet dtbeLxmse th,amwmmamW"akswride asteclt WbyMbmxaBsCooatlaws andel my g2Cti11ffip2t *Wpli2bmwaR+ES&IBll-6� (Please check one) Owner Agent Telephone No. PERMIT FEE$ �W 15 51 Date..........�..:�r�/.�....... r' f NORTH, F:° 0 TOWN OF NORTH ANDOVER Cr PERMIT FOR WIRING a 49 LO CU ,S$^CMUSE� Thiscertifies that ............. ...................................................... m has permission to perform . ....... .. .......................................-- -�.. z o wiring in the building of. . �. ....................................................................... ' a at....rCs: ..... �- -.;- -...' ......... ,North Andover,Mass ea Fey�..... ...... Lic.Nqt�.I°. ..:..: 4............. ............. ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE C0MAI0NWE4LTH0FA14M(RUSEM Office Use only DEA9RTMEIVTOFPUBIdCSAF�7Y Permit No. �O / BOARDOFFIREPREV=ONREGM7YONS527Ct1R12:09 Occupancy&Fees Checked APPLICATTONFOR PFR1 IRT TO PERFORMELAE=(CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 p (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date l/ 30 / Town of North Andover To the nspector of Wires: The undersigned applies for a permit to perform the electrical work described below. / [MAP PARCEL Q--r Location(Street&Number) Cepa,&k 0.h L-jiN2 Owner or Tenant Pee',,, ®e h Owner's Address S"9— C a et.,�� r,.tg,K Is this permit in conjunction with a building permit: Yes Q No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Nufnber of Feeders and Ampacity LA,tion and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Bumen No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bum= No.of Ranges !No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals .No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local MunicipalOther C.cti. No.of Water Heaters KW No.of No.of Si Bailasis `:, iydro Massage Tubs No.:ofMotors Total HP i OTHER• hmaarreCocaage.Ptastm�totbeiaq�mana�dsofTvl�a.�1sC>e�lLsws IImeaamerlImbtlityh>SL=PdiLY=k gCag21&- Co cr StkMtmiwta>t ale� YES NO Ibaws bnd2dvandgoofofsarnetotheOfCe YES M NO Yy mbawdiedodYES,pkasemd>cEtthetypeofww.Wbyd=lalgthe INSURANCE F-1 BOND F-1 ME' VaseSpe* E*atiaiD& EVahrelWak$ WaktoStant hnspectia1DaleRegtbd Ra>gh Final \ sgrduricirTrpanbes FWANANE 1��Se fl ec�r e LicerseNo. /4 X09 ,�ct wreh e C 1� S' Lia�seNo Iua>Ssee E �Te1No. 7yS/ �tJ`b 5� Adc1n, SU ►tSeKUG1 O L SLG AlTeLNa OWNER'S INSURANCE WAIVER,IamawatethatlheLiasedoesrnthweft-it>stuatxe wwmge aiisaisortdequivakitasreqmudbylvliss�GtnaalLaws aryldrinaysigr3ahneonthis petrrntapp}ica6Cnwaivesthiste4mermi (Please check one) Owner LJ Agent Telephone No. PERMIT FEE$ tgnature oI Owner or Agent Date.' . N2 4461 0 .0 + TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ,SSACMUS� / �G.G c° X y 7 „ This certifies that . . . . . . . . . . . . . . . . . . . has permission to perform . . ! plumbing in the buildings of .!t=r. - '' `- --'*. . . . . . . . . . . . . at. . . .©�. . . . . . . . . . . . . . . . . . . . . . North Andover, Mass. F&-'?a'.''' . .Lic. No.�� �y(. . . . !,/ IISN PECTOR Check # 7 y WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date (/" Building Location ers Name Permit# Amount T e of Occu an New Renovation Replacement ans ubmitted Yes No FIXTURES w x � >4CnrACn � a w H w E~ d� dd a a w a W -< w a d a d a �" a w a d w w Q E~ p d d a d a d d o a a x ca SIM IK FLDQ2 M Hj0CR 3M FILM 41H RaR 51H FLOM ' Em mm SIH FLOOR (Print or type) Check one: Certificate Installing Company Name % i' � Corp. Address 7. /`e) Y7g- ,�, Partner. 4 Business Telephon Finn/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ 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 performo under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State. lu g Code d apt r 2 of the General Laws. By: igna o ICMKW FIUMDer Type of Plumbing License Title 2 /� City/Town ')✓i�'e Num e' rMaster Journeyman ❑ APPROVED(OFFICE USE ONLY 34 5 4 Date.. �/..�. . ....... NpRTp TOWN OF NORTH ANDOVER pf 4��ao ,a,h0 PERMIT FOR GAS INSTALLATION O n' N D a • �9SSACNUSEt i This certifies that . .. . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at North Andover, Mass. 114 �74 . t— "� GAS INSPECTOR v WHITE:Applicant CANARY: Building Dept. PINK:Treasurer -- ell MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTIlYG Type or print) Date 19 oW NORTH ANDOVER, MASSACHUSETTS Building Locations B�'1�f12�11?.� Permit 9 Amount S Owner's Name `1 New❑ Renovation Ej/—Replacement ❑ Plarrts Submittevm 1A Ch Cn m n L z -t m �,r. In z C C Cn S U 8 8A SEM E :NT -` BASE .vt E `IT -' IS,r. F L 0 0 R 2ND . FLOUR 3RD . FLOOR a'rlt . FLOOR silt . FLOOR 6T it . F L 0 0 R 7T 11 . FLOG R 3T 11 . F1,OO R `=I � (Pe (Print or type) Check one: Certificate Installing Company NameCorp.El Address ❑ Partner. Business Telephone g1lFirm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: ' I I have a current liability Insurance policy or it's substantial equivalent. Yes NO j If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ _=1 Owners 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: Sienature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the derails 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 pertormed un Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Cod Chapter 142 of the General S. By: . nature of Licensed Plumber Or Gas Fitter Title Plumber CiryiTown ❑ Gas Fitter tc.-nse iNumoer o �3�ter APPROVED USE ONI.Y) ❑ Joumeyman Location / J O (C�c�C alt Ay S ZA'vf— No. Date N�RTM TOWN OF NORTH ANDOVER 3? ♦. _ OL O R ' Certificate of Occupancy $ x �ssAc"US*, Building/Frame Permit Fee $ 1 Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ S ' Check # 131" 35 Building Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING x ..." 111,,71A al ... �.�,,. .n+::.•fix.._ _ z. ..:. BUILDING PERMIT NUMBER: � o DATE ISSUED: ` /-7f—0 Y SIGNATURE: /VG Building Commissioneffl for of Buildings Date SECTION 1-SITE INFORMATION I z1.1 Property Address: 1.2 Assessors Map and Parcel Number: /5 I'd Coat,c.kn CLn.s Cowie- Map Number Parcel Number 1.3 Zoning Zoning Information: 1.4 Property Dimensions'. I\— Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard ReqWred Provide Required Provided ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT M 2.1 Owner of Record N (Print) Address for Service: \ Q p' Signature Telephone lzs V 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration NumbW t Address 81IN Expiration Date /1 Signature Telephone Y� T SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction El Existing Building ❑ Repair(s) ❑ --[-Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: •e e e SoNe c 9 ®/ SL SECTION 6-ESTIMATED MNSTRUCTION COSTS Item Estimated Cost(Dollar)to be Z3FICIA1(.iTSE p y Completed by permit a licant 1. Building (a) Building Permit Fee d C 00. Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, X)QALt,. LJO Lhar#_atti as Owner/Authorized Agent of subject property Hereby authorize to act on Mvbeh.qlfjin all matte relative to work authorized by this building permit application. S a ure of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Mature of Owner/A ent Date r NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 s 2 RD 3 SPAN DIN ENSIONS OF SILLS MIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: —De-Q-1r\ Location: City A . (OLkAA w ems-- frog.. 0 0SL , Phone 9 �`• $��o' g'7 S am a homeowner performing all work myself. —ll am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: - Address Ci • Phone#: Insurance Co Policy# Company name: Address City Phone#: Insurance Co Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I Office of Investigations of the DIA for coverage verification. understand that a c of this statement may be forwarded to the O g 9 u copy Y I do herby certify underJUrains and penalties of perjury that the information provided above is true and correct. Signat Q���--- Date •/S• O V Print name 1 )eo1L*A. �SOUL&ea,u`. Phone#9 ?f do Et�i•FS�15c1 Official use only do not write in this area to be completed by city or town official' ❑ Building Dept []Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION t Town of North Andover � Na RTH a �� 67 0 a 0 Building Department ti 27 Charles Street North Andover' Massachusetts 01845 �wO4 COLMI[IN K• 10 (978) 688-9545 Fax (978) 688-9542 SA HU DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, sl 50a. The debris will be disposed of in/at: Facility location Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Ot NORTH 4 • Town of North Andover "" •: Building Department A. p 27 Charles Street North Andover, MA. 01845 ^O•''��g S,K,�SE D. Robert Nicetta Building Commissioner (978) 688-9545 `(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE S' /S• o?d O Q JOB LOCATION C.oV%GLV%•'5 C Number Street Address Map/lot "HOMEOWNE b0X''c\'k!:1 etiu1— CD$4•$�/S�► Cc/3•�13�'�/3� Name Home Phone Work Phone PRESENT MAILING ADDRESS 'JQ-M 4.b— City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner'certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirem ts. JG HOMEOWNER'S SIGNATU APPROVAL OF BUILDING OFFICIAL NORTH Town of Andover 22 $ L A o dover, Mass., �C COC MICMEWICK ADRATE D P?9 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ . ....N.............:.. .a v cl ria v ............................. ............................................. Foundation has permission tom4" hf�al .�...... buildin s on ...... e+. .... O. .C.. ./ N.! .....im... Rough .. ....... . ...... M./ �iApr40 f...��'ST�.� & Ai'pJi1 11!M A.. w i� bOw Chimney tobe occupied as...................................... ....................................... . provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M p it Soft PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 6 snow Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS Rough ......... ................................. Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Location -� COUC�MAN LAtit No. o` Date �4 �aRTM TOWN OF NORTH ANDOVER a Certificate of Occupancy $ L sol ; : Building/Frame Permit Fee $ -6O��f '•••o�'t� Foundation Permit Fee $ Ss CH +_ Other Permit Fee $ V Sewer Connection Fee $ --- I Water Connection Fee $ j TOTAL $ C Building Inspector 1 2 7 1 2 12/10/98 13:36 52.00 RAID Div. Public Works -s 1'1'RMIT NO. APPLICATION FOR PERMIT TO IIUIL1)******''�*NORTII ANDOVER, MA M\P NO. .OT.Nt,, - 2. RECORD OF O%%'NLRSII II' DATE BOOK PAGE ZONE SUB I)IV. 1.01-No. LU('A IION / PURPOSE t)F B1111.U1N(', OWNER'S NAME < NO.OF=SIOHIES SIZE Jy OWNER'SADDRESS / BASEMENT OR SLAB RD AR(I IITE(-T'S NAME ( SILE OF I I CXK2 TIMBERS OT 2 3 Bl Ill DER'S NAME SPAN DIS f ANCE TO NEA K 'I BUILDING DIMENSI(NJS(X'SIl.1.S DIS I ANCE FROM STREET DIMENSIONS OF I'OS IS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FR(111 AGE IIEIGI I-f OF F(A)NDATI(NI T1 IICKNESS IS BUILDING NEW =SIZEOF.I(X)fTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID(N(`FILLED LAND WILL BUILDING CONFORM TO RFQX IIKEMENTS OF CODE IS BUILDING CONNEC)'ED'I'O TOWN WATER BOARD OF APPEALS ACITON, IF ANY IS BUILDING CONNECI'ED TO TOWN SEWER IS BUILDING CONNECTED TO NA(URAL GAS LINE INSTIICTIONS 3. PROPER-Tl'INFORMATION LAND COST D �- EST. BL(X;.COST PAGE 1 FII.I.OI1"T SECTI(NIS 1-3 EST..BI-DG.COS I PER Std.FT. EST. BLDG.Ct)5'I PER ROOM EI E(--TRIC METERS MIIS'1-BE ON ouTSIDE OF BUILDING SEPTIC PERMIT NO. AIAACI`EDGARAGESMUSTC(N1FORIATOSTATE FIRE REOULATI NlS 4. BY: PLANS MUST BE FILED AND APPROVED BY BI WDING INSPECT(l2 BlI1Ll TNG INSPECTOR DAII:1=11.1-1) OWNEF2S'I'El/l. ''I�� CON FRA 1:I.1I 91.21 O ✓ 97'6 (� C(N*I-R.1.1(-H e5l 25 \IGNA 1'l IRI'i lA�t)b\'NI:R t 1R Al I"1'1 k Z):1)A(iLN'L _ 1'IRhlll't�RANILI) 9 -- . I�4`v. V/te -VO�JJZrrtlYYtf!/g(t��� Q�;G"`CrJJ(LC�CIdP.�J . BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 055484 " Birthdate: 11/08/1937 Expires: 11/08/2000 Tr.no: 4260 Restricted To: 00 ARTHURJ DUFRESNE 87 MAPLE AVE N ANDOVER, MA 01845 Administrator ✓/ae-t0ainenanwea�(�o`� luwliC�emeL�d ' �\ HOME IMPROVEMENT CONTRACTOR Registration 100621 Type - DBA Expiration 06/22/00 Wd DUFRESNE'S BRUSH & HAMMER Arthur J. Dufresne g , iAaple Avenue ADMINISTRATOR North Andover MA 01845 r x.10 R of over ToVMt _ _ O L No. 4ZL69 _ * _ - dover, Mass., s LAKE '9A_C0CHICHEWICK �Rq E S BOARD OF HEALTH Food/Kitchen 'PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... ............. L0.v.. � r�.. ............. Foundation has permission to erect....!! ../..!!x.!54. buildings on ..... .. A/1/. ... !�!� Rough 8 to be occupied as......i/ rp .........I%i........ .tl..................` ....... ..... Ch'...... Chimney y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final L PERMIT EXPIRES IN 6 MON a ELECTRICAL INSPECTOR 99 UNLESS CONSTRUCTIOT S - , Rough ............ Service B LDING PECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. Town of North Andover NORTH OFFICE OF 3�of • 6Ayo c COMMUNITY DEVELOPMENT AND SERVICES - A 146 Main Street > r North Andover, Massachusetts 01845 �,'p�:;;;a.:•`ty WILLIAM J.SCOTT 9Ss�c►+u5�t Director In accordance with the provisions of MGL c 40 S 54, a condition of Building:Permit Number is that the debris resulting fi-om this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) a Signatur 'of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9533 Location V,,AC jr-I r j 43,"t-C No. ��, Date -gam "CRT" TOWN OF NORTH ANDOVER 3?o�,f`•O '•,h� j Certificate of Occupancy $ • i Building/Frame Permit Fee $ °''<�' Foundation Permit Fee $ J�CMUSE Other Permit Fee $ ` Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Bui din dt5spector 12 7 8968198 09:39 25.(1(1 PAID / Div. Public Works Location ho. Date MORTp TOWN OF NORTH ANDOVER O?O•t•`•D .•,hO R A Certificate of Occupancy $ 41 Buildin /Frame Permit Fee $ • ,b' Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ i Water Connection Fee $ TOTAL $ Building Inspector "9/48/99 09.39 25.00 PpT" ` I Div. Public Works W PERMIT NO. �� API'LICATION I+-OR PERMIT TO 11UILD********NORT11 ANDOVER, MA —yr LOT.NO. 2. RECORD OF OWNEI(SI1I1' DATE BOOK PAGE N\P N(1. / /0 Z,IINL SUB I)IV. LOTNo . I.D( A I[ON el" PURPOSE OF Mill DING OWNER'S NAME NO.OF Sl(NtIL'S B % w _ rx S Zh Zc OWNER'S ADDRESS BASEMENT OR SLAB ARCIIIIEC-I'SNAME _ SIZEOFFLO(Nt TIMI►FRS I 2 3 BIIILDER'S N.4AIE SPAN DISL I ANCE lO NEAREST BUIDING DIMENSIONS OF SILLS DIS FANCE I ROM STREET DIMENSIONS OF POS IS DIS I ANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FR(NJUAGE IIEIGIfT01:FOIINDAIIGNJ THICKNESS X IS Blllll)IN(i NEW SIZE'OF FOOI INC. r IS BUILDING ADDITI(NJ MATERIAI.OF CIIILINEY IS BUILDING ALTERATION IS BUILDING;GNJ SOLID OR I'll LED LAND Wit 1.BUILDING CONFORM TO REQI IIREMENTS OF CODE IS BUILDING CONNL'CI ED'1 O TOWN WA I ER BOARD 0 APPEALS ACTION, IF ANY IS BUILDING CONNECI ED TO TOWN SEWER IS BUII.DING CONNECT ED TO NAI URAL GAS LINE LANCOSI INSI'll('IIONS 3. PROI'EILI.1' INFORhIATION ESI. DG. EST. BI DG. COST PAGE I Fil-L O1 FT SECTIONS 1-3 EST. B11)G.COS f PER SQ. 1:U. ESI. BLIXi. COSI FERRO OM EI.ECTRIC METERS MUST BE ON Ok)TSIDE OF BUII DING SE19IC PERMI T NO. i AITACIJEDGARAGES MUST CONFMNITOSFATE FIRE REGiILATI NJS 4. .AI,I,lto%'UII BY: PLANS MUST BE FILED AND APPROVED BY BUILDING;INSPECT(Nt BU TING INSPF.CI'01( OWNERS FF:I.H q-, DAIEFit ED rrll r COKIR.IEI b i C(NJl R.l.1C'I/ L SIGNAIIIRE OFI OR At TI UZ]FDAGENT --� FUL �e p( G12AN fl) I 7J . 19 9191, W f x40RTy 0VM Of - 4dover dover, Mass. 19A0J 194 S LIKE '9A_000MICHEWICK '�• .9 0q,T E p S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... .�'4.1.1......-- ... ..Ail.. .!=./q.4 ...................................... ........... ........... Foundation has permission to erect......................... b - din on .....�.. ...� Q./a. 1. �f- . ... .. .Y....... Rough Chimney to be occupied as .�.. .. ...... .Cl.i.. 'Q. .. C.?C '' ........................................................... 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 S Final UNLESS CONSTRU N ELECTRICAL INSPECTOR Rough ... ........... . .... ...... ............................... Service D R Final Occupancy Permit Required to Occupy Bui g GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done i Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. - � ✓fie U/o'llYlrk»ullr.IA(IG® o��ac�tu6eCld HOME IMPROVEMENT CONTRACTOR Registration 100621 Type - 08A Expiration 06/22/00 DUFRESNE'S BRUSH & HAMMER Arthur J. Dufresne G� �o�aple Avenue ADMINISTRATOR North Andover MA 01845 CD 0) N OO i a PE NN O.X64 LOT NO. ©��S 2 RECORD OF OWNERSFi1P GATE Ia00K iPAGE QNE SUB DIV. LOT NO. I TION PURFO09 of Du1LD1 L gG�l 7 WNCR'S NAME NO. OF STORIED Rlu O NEWS ADDRESS (5 wAfEMtNT OR SLA• o,L15vi pi(Q,. A CHITECT'S NAME kip f SIZ9 OF FLOOR TIMBERS IST • BUILDER'S NAME SEAN y ._ DISTANCE TO NEAREST BUILDINGC-,e-I DIMENSIONS OF SILLS .._ DISTANCE FROM STREET FOSTS DISTANCE FROM LOT LINES 81090 VICAR 6/RO[R0 ARCA OF LOT ONTAGt H[IGNT OF FOUNDATION THICKN[0 If BUILDING,NEW SIt9 OF FOOTING x 18 BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION Ii BUILDING ON SCH-10 OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 18 BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY , If BUILDING CONNECTED TO TOWN SEWER If BUILDING CONNECTED TO NATURAL GAS L:NI• a PROPERTY INFORMATION INSTRUCTIONS NO COST SE[ BOTH SIDES EST. SLOG. COST EST. BLDG. COST F[R So. FT. PAGE 1 FILL OUT SECTIONS 1 • S EST. BLDG. COST PER ROOM PAGE 1 FILL OUT SECTIONS I - I= BEFTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTBID[OF BUILDING 4 APPROVIED BY ATTACHED GARAGtS MUST CONFORM TO STATE FIR[ REGULATIONS PLANS MUST BE FILED AND APFROvED BY BUILDING INSPECTOR SUILD G INSPECTOR {/HSNATURE OF oWMER OR AYTMORIMID AGENT E s t OWNER TEL.i �sIe/.IT CONTRA. Z � . CONTRA.LIC.# i ......... i Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption. 'Lease print) DATE 0 JOB LOCATION NumberStre:e��t����Address �[ (� Section of town ,)MEOWNER" xM� U�/ D��� lP��✓ (�����I-7 b l.� 'Name Nome Phone Work Phone ,-RESENT MAILING AD RESS P City own State Zip ode The current exemption for "homeowners" was extended to include owner occupied- dwellings of six units or less and to allow such homeowners to engage andindividual for hire who does not possess a license, provided that the owner acts as ' supervisor. (State Building Code, Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is , or is intended tq. be, a one to six family dwell- ing , attached or detached structures accessory t.o such use and/or, farm structures . A person who. constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form' acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the building permit . (Section 109. 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and .other applicable codes , by-laws , rules and _ regulations . Phe undersigned "homeowner" certifies that he/she understands the Town of ,orth Andover Building Department minimum inspection procedures and -quirements and that he/she will comply with said procedures and equirements . (OMEOWNER' S SIGNATURE ',PPROVAL OF BUILDING OFFICIAL •dote : Three family dwellings 35 ,000 cubic feet , or larger, will be .-equired to comply with State Building Code Section 127 .0, Construction .:Untrol . • air ' • • iii % * Ai * • • 6 I 1 i I I ' fI I ' I � i I ; � NORTh Town of ®ver No. 449.x * - LAKE - s . dover, Mass. 19 LOCM ICMEWICK A T E D_-�-sP��. 7_�1 qHP iC� �1 rG BOARD OF HEALTH Food/Kitchen PERMIT- Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...............................����.........` 1(_3 ►. R ............................ Foundation has permission to weetn.. ... buildings on ......,, 6..........L�0.4-5 f :K15...... .... Rough to be occupied as...................`zN.... � ��.L............C IN... C?. :...../.. .......:........ . .c?�,.......... 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST Rough ............................ ............ .... .. Service B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fi ugh Fnal No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner A Street No. } Smoke Det. Date. N 3800 NORT„ TOWN OF NORTH ANDOVER 3? ��A. • 0 PERMIT FOR PLUMBING ,,ssACHUS� vv11 This certifies that ��.,. . ..!-t. . t,.1�,�. . . . . . . . . . . . . . . . . . . Ll has permission to perform .. . . . . . .... . . . . . . . . . . plumbing in tthhe}rbuildings of . . . . . . . . . . . . . . . . at./LSA. . .(.1 tr--c -►^ -" n. . ../�, rth Andover, Mass. F FePh.'.. . . .Lic. r PLUMBING INSPECTOR 08/25/98 15:21 25.40 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO O PLUMBING W)(Type or print) "?AR G,NORTH ANDOVER, SACHUSETTS / Date Building Locations /_'� J r�/�� �� Permit # U 0 Amount Owner's Name .02 New Renovation Replacement Ea"'- Plans Submitted ❑ FIXTURES w � � Un a � W H = a s w W A w x A w w w E~ Q a F" d SLBBM &lS�')E1�iT ISE FL9R ?I`D FUM 3M FU= 4M FLaR 51H FUM 61H RIM 7II3 HfM SIH RO R (Print or type) eck one: Certificate Installing Company Name Corp. d ❑Address / I i 14Z�7Partner. Business Telephone 7 ❑ Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: t. Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: 1,the undersigned,have been mdde 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 perfo under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts StateP1 Cpde and Chapte 2 of the General Laws. By: Signature of nceUeaum er Type of Plumbing License Title City/Town LI-Cense um er Master Journeyman APPROVED(OFFICE USE ONLY 4927 Date. ..�ZI- . 7 .....A NORTH TOWN OF NORTH ANDOV Oi••�to ,s 100 " PERMIT FOR GAS INSTALLA I O N F 9 SACNUSEt tL1 This certifies thatX: . .r. . . • • • • • • •.. has permission for gas installation `. in the buildings of • • • •- at . , North Andover, Mass. FeLic. N6:SVA 8&198 16:21 . . . . . .1 RB. . .. . . . 7 U GASINSPECTOR WHITE:Aonlicant CANARY:Building Dept. PINK:Treasurer z Y MASSACHUSETTS UNIFORM APPUCATON FOR PERNHT TO DO GAS FITTING Type or print) Date o2 19 NORTH ANDOVER, MASSACHUSETTS Building Locations �L 7 (s t��'-'/, � � � Permit# a Amount$ U Owner's Name New❑ Renovation ❑ Replacement Plans Submitted ❑ w � WW a O OU � F m C7 ..7 W F �+ z z E. W F z C w 0.C1Pte. > W w d w W W-It Vi W .z. Q "WiJ", CG � W � W O A F z F z F Z EW W O Z C z W O m w W o m w 3 'm °x > a o0. o SUB-BASEM ENT B A S E M ENT IST. FLOGR 2ND. FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOG R 8TH . FLOOR (Print or type Check one: Certificate Installing Company Name ❑ Corp. A/71 ( / Address � Partner. BusinesiTelephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter �� � j /�� A?)Wx INSURANCE COVERAGE Check one- have a current liability Insurance policy or it's substantial equivalent. Yes IJ No❑ If you have checked yes,please indica he type coverage by checking the appropriate box. LEdbility insurance policy M Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's 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 perlb d under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State G o nd Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber City/Town ❑ Gas FitterIL cense um er ❑ Master APPROVED(OFFICE USE ONLY) �,LQurneyman 7:' .� 5y ' Date '. 4' 4067 NORT1i t ?�..���°;•.',eco TOWN OF NORTH ANDOVER ; PERMIT FOR PLUMBING .o, . ,S•a 71 •O•�rm�A,y� , ,SSACMl15Et This certifies that .r-.A. 51. . . . ?! . l. . . . . . . . . . . . . . . . . 3 has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s at /. .I `.� . .�'��� ��.� �". . . . , North Andover, Mass. Fee.;2-. ).,. '_ Lic. No.. �./�/3�l. . . . . . . . .D..� MBING INSPECTOR ' i 07/09/99 12:41 25.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer fl � •— -MASSACHUSETTS SACHUSETTS U F FOR PERMIT TO DO PLUMBING FORWARD 1K)Wd (I ype or p NORTH ANDOVER,MASSACHUSETTS dr nn Date Building Location !U /(�IJ Owners Name Permit# I 'Amount j C t7 0('11M i4k S 1 /i/ Type of Occupancy (L �/ New Renovation ® Replacement r-1 Plans Submitted Yes D No FIXTURES z H Z Ln x 9 w H w H a x a a W FG W H4t d a w w � SMBM Isr HBM 2n Rfm 3M FLOCR a>�FLOQZ sM HDM 6M FlaR 7IH FIZZ sm H m (Print or type) p Check one: Certificate Installing Company Name La s / p Corp. Address 36 C r k)^9 4L 19 V ` ❑ Partner. 0 P k S MA r-) ( 902� Business Telephone -j 1Z 7 p X 9- 3 ? Firm/Co. Name of Licensed Plumber: (� C ! S C J K Insurance Coverage: Indicate the e of insurance coverage by checking the appropriate box: Liability insurance policy r—, Other type of indemnity ElBond 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 m knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in Y g P g compliance with all pertinent provisions of the Massac State Plnmbin Code d Chapter 14 of the General Laws. By: Signature or Licensear Type of Plumbing License Title City/TownLicense r u oer Master Journeyman APPROVED(OFFICE USE ONLY u ° 2 68 Date. .:.5 . .......... t p�NC oTM 1+ Op TOWN OF NORTH ANDOVER F PERMIT FOR WIRING �'ISCHUS This certifies that...A--11� ` - ! ...................... -'`............. G has permission to perform.:a,,, . ......... . ......................................... wiring in the building of... ...... � ?� ......................................... t at. ............................... ............ ,North Andover,Mass. Fee ..'.......... Lic.No.4�<#.�:............................................................... (i ELECTRICAL INSPECTOR i2/id/g8 13:45 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THEC0ADf0NWE4LTH0FM4SS CHVSETTS Office Use only DEPARTINFVTOFPUBLICS41UY Permit No. BOARD OFFMPREVEM70NRWMTI01 S527CMR1Z�(JID Occupancy&Fees Checked APR ICATIONFOR-.PUZW TO PERFORMELECTRICAL WORK, ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the nspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) ° Owner or Tenant 7—r- S Owner's Address S11i 1-7'jC. Is this permit in conjunction with a building permit: Yes o (Check Appropriate Box) Purpose of Building � Cv�i��,�— �� Utility Authorization No. Existing Service 2 tO © Amps d�j—Volts Overhead ED Underground ©�- No.of Meters �•--� New Service Amps /_ Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Loc and Nature of Proposed Electrical Work .. No.of Lighting Outlets ,/' No.of Rot Tubs No.of Transformers Total _ J KVA No.bf Lighting Fixtures Swimming Pool Above Below Generators KVA and ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipala Other Connections No.of Water Heaters KW No.of No.of _ Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• kum=CoNca PutsuanttothetegzmialsdMassa�Gnri aws Iha�eaa> iLnbdtyhww=Pobymd.tgCar>de CaaaErorts leWmkrt YES ®ANO a IhENeabn&dmWprtdofsarrtetuthe0ffi=YES ff}cuha%edvdWYES,pkaSeMdU*theVpeofa bydi-Jagthe INSURANCE [Er BOND F-1 Oh1FR O PmseSpeafy) 6j161.Z�. �a GEdd VdUedncal W ctk WcikoSut hspe tmDEkeWesed '� RM FIRM $ ;c, s Litxi�eNa P( �� 244/�Sgran Lt�eNo Ci &uses Td.Na ddrmv ��� r� AiTeLNa OWNER'St4SURANCEWAIVER;IanawatethattheL=wdmio dxeir net , rilssksotiialecialaitastegmedbyMaSsadmetCsGataalLaws and�atmysigttattseat$asperirtitappli�ianwai�dtis tac�teana�. (Please check one) Owner 1:3 Agent ID Telephone No. PERMIT FEE$ No 2 J 61 Date... ....... f pORTM 1 TOWN OF NORTH ANDOVER o PERMIT FOR WIRING AcmUtP l This certifies that .........:`�-°'�-z .........�.................................................... has permission to perform ...... a...... ... ... wiring in the building of...,/ �-a.�..�,-���� rr,�-...... ............................. lot, at ��: .� ": ... ...r:.........-. --;North Andover,Mass. Fee . .... Lic.No.. :..../.'............................................................... ELECTRICAL INSPECTOR 14/41/99 15:33 15.44 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only Permit Nc, 'rr,�£et 1r71r!tr/r2(/G�i'�-Lf�sf �"f s l�ri2(�G%�S Occupancy&Fee Checked t7e�tsvw+e.0 of aar6(Le Sa6ery BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cade 527 CMR 12:00 (Please Print in ink or type all information) Date S5 3 0 i 9 To the Inspector Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. 1 Location(Street&Number S 6 C Och.G k Wick@ - r`Qyx e Owner or Tenant D e �3 G't^ck n ID e C:-l-\ 15�► 1 �' �. 1� Owner's Address S0.Wl Is this permit in conjunction with a building permit Yes ❑ No J,,-(ffh-eck Appropriate Box) Purpose of Building_ Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Worm Total No.of Lighteng LightenOutlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool qmd ❑ gmd ❑ Generators KVA No.of Emergency Ugnting No.of Recectacies Outlets No.of Oil Bunters Battery Units No.of Switch Outlets No of Gas Bunters FIRE ALARMS No,of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total Na.of Oioosal No. Pumos Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Soace/Area Heating KW DetectioniSounding Devices ❑ Municipal ❑ Other NcY of Orvers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Winn No.Hydro Massage Tuds No.of Motors Total HP OTHER' r INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Uability,Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final a Signed under the Penalties of perjury: FIRM NAME �5 i, i��rt LIC.NO. VO 99� . Ucensee kWwa'LENCk" �`/ Signature LIC.NO. s 1 () }'�,( +/I t- Bus.Tel No. y7� "7 7 i—'tSE WL Address ()Ve- SU KS;,.t RC:IC v `1 Y�11cLG'C-'r_ Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FE=_ s------- -- (Signature of Owner or Agent)