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HomeMy WebLinkAboutMiscellaneous - 16 PERLEY ROAD 4/30/2018/ 16 PERLEY ROAD 210/053.0-0016-0000.0 - - --- North Andover Board of Assessors Public Access _ Page 1 of 1 NOaTh North Andover Board of Assessors OE iz..an a14' - t� �,3•+no J��19 S�CH � roperty Record Card Click Seal To Return Parcel ID :210/053.0-0016-0000.0 FY:2012 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels i Search for Sales Summary Residence Detached Structure Condo 16 PERLEY ROAD Commercial Location: 16 PERLEY ROAD Owner Name: COCO,COLLEEN P Owner Address: 16 PERLEY ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:5-5 Land Area: 0.23 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1056 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 264,600 264,600 Building Value: 100,200 100,200 Land Value: 164,400 164,400 Market Land Value: 164,400 Chapter Land Value: LATEST SALE Sale Price: 1 Sale 06/09/1998 Date: Arms Length Sale F-NO-CONVNIENT Grantor: ANTHONY COCO Code: Cert Doc: Book: 05077 Page: 0239 I http://csc-ma.us/PROPAPP/display.do.1>.nkId-1891131&town—NandoverPubAcc 5/17/2012 Residential Property Record Card PARCEL-[D:210/053.0-0016-0000.0 MAP:053.0 BLOCK:0016 LOT:0000.0 PARCEL ADDRESS:16 PERLEY ROAD FY:2012 PARCEL INFORMATION Use-Code: 101._ Sale Price 1 _ Books 05077A i� Road'Type:: T� � Inspect Date 04/21/2008 Tax Class T Sale Date 06/09/98 Page 0239 Rd Condition: P Meas Date 04/21/2008 Owner: ._.� - � �-� COCO, COLLEEN P Tot Fin Area: 1056_ Sale T e:'P' Cert/Doc: Traffc:� M Entrance: C TotL'and Area 0.23 Sale Valid: F _ m Water: Collect Id RRC Address: �.. — 16 PERLEY ROAD Grantor.i4NTHONY3C000 Sewer: Inspect Reas C w NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style' RN' Tot Rooms: 5 Main Fn Area: 10.56 Attic. NBHD CODE 5 NBHD CLASS: 5 ZONE: R4 Story Height: 1.00 Bedrooms: 2 Up Fn Area: _ -~ Bsmt Area: 1056 Segue }Type Code Method Sq-Ft Acres Influ Y/N Value--- Full --Class "� - .,.A 1 P -- 10.1 - S _10000 0.23 _ _n_ V _ �-.- �.. . -....,,� 0 _�. 164,439'-..� Full`Baths: _ 1`�`�AddrFrr Area` Fn°Bsmt�Area. . _ Rf Ext Wall AV Half Baths Unfin Area Bsmt Grade. DETACHED STRUCTURE INFORMATION ath 7-�� �. asonryTrim Ext.,BathFix: 0 in; TotFAre_a 1056 Foundation: CN BQual: T _ RCNLD: 99167 Str Unit .Msr 1 Msr-2 E YR-Blt Grade Cond /oGood P/F/E/R Cost Class `PT _ S._ ,_182 _..._.0.00 1988 A A _. ///88 1,000 `- Kitch Qual �T�Eff Yr Built-'196��Mkt.Adj:� Heat Type: HW Ext Kitch Year Built 1960 Sound Value VALUATION INFORMATION Fuel Type: O Grade: A x Cost Bldg:­ 99,200 " Current Total: 264,600 Bldg: 100,200 Land: 164,400 MktLnd: 164,400 Fireplace _ 1 Bsmt Gar Cap Condition A AttStr Va11: Prior Total: 264,600 Bldg: 100,200 Land: 164,400 MktLnd: 164,400 Central AC: N _Bsmt Gar SF. � Pct Com_ plete: Att Str Val2: - Aft Gar SF: 308%Good P/F/E/R: %100/100/73 Porch Type Porch Area Porch Grade Factor E 140 SKETCH PHOTO y __�.�............ . y. a_ E a _ FM: 1 4q0 S µ,. 1056 SqR G �� ` 2410 308 Sq { 10 a 14 4- . ^ - `�''�✓J�� aFP 16 PERLEY ROAD Parcel ID:210/053.0-0016-0000.0 as of 5/17/12 Page 1 of 1 10150 Date . . . . . . . . . . . . ... .. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Ce This certifies that . .. . . . . . . . .rj. . . . � . . . . has permission to perform . !' oN�. ��`.. G. . . . .. . .� .. . . . . plumbin in e b ilding� o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . .1. . . . . . . . ,North Andover, Mass. Fee . Lic. No. . . . . . . . . . `. ."`'. . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check# ���� F } MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY tr MA DATE _ _ f _ PERMIT#_ JOBSITE ADDRESS �����y d OWNER'S NAME POWNER ADDRESSS _ TEL �74s €rSZ OZ° FAX - - TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL 0 RESIDENTIAL PRINT CLEARLY NEW: 0.1 RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NOW FIXTURES 1 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 � BATHTUB i 1 __-€ __.__ € I __ ._.__-. CROSS CONNECTION DEVICE I .. ._._( DEDICATED SPECIAL WASTE SYSTEM ._._...._J DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM € _.---._-_I DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN € _.-._...__€ l ! _._ FOOD DISPOSER -,_.. € ( ( ( i -_! .._._._.-J FLOOR/AREA DRAIN I _...__..._.4 ,._.._..._! __J _..___._1 INTERCEPTOR(INTERIOR) KITCHEN SINK ( __._ I .__..-_._..! -_-- -J LAVATORY € --_._..J I _.__._..._[ I ._..._.._.1 _____€ ► -_-.._._i . ROOF DRAIN ------ SHOWER STALL ....__..€ � € .__._._! ._�€ ; € _.__.J ._.._._.._( _..__._._1 .�..._i � � ( € ( _..-__._.l I SERVICE/MOP SINK TOILET __..__.. URINAL WASHING MACHINE CONNECTION WATc1R HEATER ALL TYPES VQTER PIPING OTHER INSURANCE COVERAGE: 0 have a current 1€ab_ il€ty insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES gNo M OF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY BOND ]_I OWNER'S INSURANCE WAIVER:I a aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER Q AGENT B hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME���" r"�P�'� LICENSE# ?SZC� __ SIGNATURE MID JP Q CORPORATION n# PARTNERSHIPS#F--- LLC € COMPANY NAME L _ - fF-�.�,jo l } /4 ADDRESS D !(yz_ _ _ i CITY (�� ��-J {STATE ,��-) _' ZIP TEL �l �� �y I7 Z !®` -fAV FAX — _ CELL ! EMAIL i/l.: 3f _ /0-k- ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No / THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES Y The Commonwealth of Massachusetts IZON- Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumber ease Print Legibly Applicant Information Nate(Business/Organization/Individual): Srcd ���'��`'"��`t L+ ,I Address: 0 g �u� <<Yz /I Pf a 3£-6T Phone#: City/State/Zip: (4�� _----- Are on an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. El am a general contractor and I 6. []New construction employees(full and/or part-time).* have hired the subcontractors � ❑Remodeling listed on the attached sheet.� 2.❑ I am a sole proprietor or partner- Demolition ship and'have no employees These sub-contractors have g• ❑ workers' comp.insurance. 9, Building addition working forme in any capacity. 5. ❑ [No workers' comp.insurance area corporation and its officers have exercised their ❑10. Electrical repairs or additions required.] of right of exemption per er MGL 11 Plumbing repairs or additions c. 152,§1(4) 3.❑ 1 am a homeowner doing all work g 12,❑Roof repairs myself. [No workers'comp. ,and we have no insurance required.]t employees.[No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and 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:. Expiration Date: Policy#or Self-ins.Lic.#: 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 requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one.-yearimprisonment,advised that a copy of this statement may be forw11 as civil penalties in the form of a arded dedP. Otothe f Office f d a fine of up to$250.00 a day against the vi 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. Date: Signature: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person: i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under an contract of h' express or implied,oral or written.,, y tee' An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments p rtments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. AIso be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Conunonwealth of Massachusetts Department ofl dustrial.A.ccidents Office of Investigations 600 Washington Street Boston}MA.02111 Tel,#61.7-727-4900 oxt 406 or 1.-877,7MASSAFF Revised 5-26-05 Fax#617-727;7749 www.Mass.govfdia ° I I i C M DI'WEA TL H FMASSACHUSETTS" `' PLUM'F3ERS AND GASFITTERS LICENSED AS A MASTER PLUMBER ISSUES THE ABOVE LICENSE TO: ANDREI4 M ROBERGE F-0 , BOX :1142 PLAIS70W NH 03865=1142 15269 05/0.1/14 1.8940 = Date.......... ............... ► ... ........ 0* RTN 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION MU This certifies that ....... ........................................ ..... ..................................................... has permission for gas nstallation ...�d.,e................................................I...... inthe buildings of......(...o.a........................................................................................... at..........�.(.P......C- ...................... North Andover, Mass. ... .. .3 Fee. Lic. N 19...... .........................................................tt GAS INSPECTOR Check# 8858 •` MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY &L� o lef II MA DATE _i3 _ PERMIT# - JOBSITEADDRESS I (o Pf Py OWNER'S NAME Ffcj) ,1,evt COC 0 OWNER ADDRESS t�� .__.._ _ . . - T E ----- v Z===FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT ( " CLEARLY NEW:[Q RENOVATION: REPLACEMENT:Pa PLANS SUBMITTED: YES 0 NO - APPLIANCES O -APPLIANCES 7 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER .. .. . ... . . BOOSTER __ .-.C- _-1 ._�.� _ _I _. , .Mr- _ �__Y.I _ .. 1 _. - 54- CONVERSION BURNER ' COOK STOVE DIRECT VENT HEATER J�. �-_, -- I I��.J (� �— -1 -. .__( .Yr-� - -- l I DRYER - FIREPLACE -__: (- I��� - - !I -.i _. ._ ---- v 1 FRYOLATOR FURNACE ------ GENERATOR �.�L�Tf _ (I ( I 1 I__ ! -(�-- I l I. -1 I I 1 -z- GRILLE GRILLE INFRARED HEATER LABORATORY COCKS _-- MAKEUP AIR UNIT OVEN - POOL HEATER ROOM/SPACE HEATER :_.TJ .... I .T�1 1T.T_. —- __. ROOF TOP UNIT 731 - -ST �iT.HEATER VENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE q ! 1 have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL.Ch. YES ITNO S. IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [ ] OTHER TYPE INDEMNITY Q BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the S Massachusetts General Laws,and that my signature on this permit application waives this requirement. f^ 2 CHECK ONE ONLY: OWNER 0 AGENT SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER-GASFITTER NAMEc.�t'Y ._ _-a�S '_. LICENSE# lS76ry ( SIGNATURE MP KAI MGF E] JP (-j JGF[] LPGI E] CORPORATION _�_I# Q PARTNERSHIP[D#=LLC a#= COMPANY NAMEthPr -�?'Or! _w�..,, ADDRESS CITY �'s. ,� STATE nl ZIPF j-=TEL FAX �CELL�_�-„ - EMAILL!�h� ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# / 3p PLAN REVIEW NOTES y r The Commonwealth of Massachusetts "� Department o f 1ndusfrig1 Accidents Office o fInvestigations ow 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/ContractorsfFIectricians/Tlulmbers �T-plicant Information Please Print Legibly Name(Businessiorganization/individual): Address: City/State/Zip: 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 I 6. ❑New construction employees(full and/or part-time)x have hired the sub-contractors 2. El am a sole proprietor or partner- listed on the attached sheet.z �• Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp,insurance 5. ❑ We are a corporation and its required.) officers have exercised their 10.[]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11,❑Plumbing repairs or additions mys elf.[No workers' comp. c.152,§1(4),and we have no 12.❑Roof repairs insurance required.] employees.[No workers' comp,insurance required.) 13.❑Other *Any applicant that checks box#1 must also fill out the section below showingtheir workers'compensation policy information. Homeowners who submit this affidavit indicating they Lire doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 tmd job site information. Insurance Company Name:. Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/StateMix Attach a.copy of the workers'compensation-policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A ofMGL 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 ofup to$250.00 a day against the violator. Be advised that a copy of this statement may be forwardedto the Office of Investigations of the DIA for insurance coverage verification. Idohereby certi under - nd rthe gins ant) enalties o e ' y fy ,� p ,fp ryury that flte znfirmata�nrzivzdetl above is true tnrl correct. Signature: Date: Phone#: rOther only. Do not write in this area,to be completer)by city or town official. n: Permit/License# ority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector - - - Information and Instructions Massachusetts General Laws chapter 152 requires allemployers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,• express or implied,oral or written." An employeils defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the,foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling Douse of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be,deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage, Also be sure to sign and date the affidavit. The affidavit should be,returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' . compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be,sure that-the affidavit is-complete andprinted legibly: The D epaYtmerit has provided a space at fh e botEom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be.filled out each year.Where a homeowner or citizen is obtaining a license ox permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commow.'all off ssachusPtU Dop.artment of ladustdai Accidetats Office of Inve?8tigatiom 600 Wasbia&A Street Boston,MA 02111 Tel,#617-727,4900 eA406 or 1-87WASSME 'G'. -9 41 U CTI rr wh e n Location No. �L�` Date N�.ao ow. TOWN OF NORTH ANDOVER C?0.` ,•,�Oos Certificate of Occupancy $ 41 Building/Frame Permit Fee $ �'�S'••°•Eta Foundation Permit Fee $ s►cNus �, Other Permit Fee $ II Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building InIsp ctor k 1 2 7 255061% 14:20 45.40 PAI Div. Public Works Location 'No. Date NORTH TOWN OF NORTH ANDOVER O41"fic ,,,t. O? • • 0 n Certificate of Occupancy $ . i Building/Frame Permit Fee $ �'Ss�cMuSEt� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector i t 09/06/98 14:20 -_ ' '' Div.'; blic Works r PE'RMI`I' NO. APPLICATION FOR 1'LRM"IT l•O BUILD" *****NOR'Tll ANDOVER, MA . a ►1'NO. a / b 10—0 001 l.Or.Nc).y VT- O -OOoo- Z. RLCONUOFON'NEfiSllll' DATE BOOK PAGE ZJINL SUB 1)1%'.. LO'rNo . I AIR)N 1 Gr , PI11t1Y1Sli111 BIM DING 4.4- OWNER'S NAI.IE GQLCD No .OF S10111ES SIZE OWNERS ADDRESS ur BASEMENT Olt SI.AB AM 1111 ECI'S NAME ( `+ 1 SIZE(T FI.00R I IMBERS I 2 3 131111 DER'S N.MIE S1,AN DISI ANCE 1 O NEAREST UUII.DING DIMENSIONS OF SILLS DIS IANCEIROM STREGT DIMLNSI(NJSOI POSTS DIS I ANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA Or LUT r RON NAGE IIEI(i1fr(N'FOUNDAIION THICKNESS Is BUB.DIN(i NEW SIZE OF 10(Yl INC X IS BUILDING ADDI TION MA TERIAI-OF Cl IIIANEY IS BIIILDING ALTERATION IS DUII.DING ON SOLID Olt FII I-ED LAND Wil I.BUILDING CONFORM TO REQI IIREMENI S OF-CODE IS BUILDING C(NJNECI ED 10 10"WAl ER BOARD OF APPEALS ACTION, IF ANY IS BUILDING C(N4NECI ED 10 IOWN SEWER IS BUILDING CONNECI LD TO NAI URAL GAS LINE INSLII('IIONS 3. PROPERII' INFORNIA-110N LANDCOSI I,--- ESI. BI IXi. COSF PAGE I FII.L OI Ir SECA I ONS 1-3 ES T. til DG. COS I I'LR SQ. 1:1. ES F. BLIX;. COSI PLRR(X)rA ELECFRIC METERS MUST BE ON(XITSIDE OF U011 DING SEV11C PERMI I NO. ArIACIfEDC3ARACESMIJSTC(N4FCNit`IrOSrAIEFIREREGIII.A1l(NJS a. APPI(OVEDBY: PLANS MUST BE FILED ANI)APPROVED BY BUILDING INSPECFOf1 BIIII.DING INSPE(A l lit DAIS F �o' II ED OWNERS llil.a . C(NJ I R.I E I.H (�(�p (YNrFR.I.I(-H JUL 3 SI(iNA FI)RF:01:OWNER OR Al rl 1 N N21 Zlil)�A(�7}L•Nf F F PI:R),III GRANFFD� ^� Oy�h 19 /�j' 00 A.M. FOR DATE TWE P.M. M �. O F PHONED' RETURNED PHONE YOUR CALL AREA CODE NUMBRR EXTENSION PLEASE CALL: MESSAG WILL CALL AGAIN' CAME TO SEE YOU ? WANTS TO SEE YOU I EO �nivers01 48003 NOTES TOWN OF NORTH ANDOVER `A AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units...or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work: tf-e 1 W-.46-LAM -� S i Est. Cost Address of Work pe r 63 • Ad pye- Owner Name: e e •p• �o C_Z� Date of Permit Application: Ity- Ig I 9V I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Pemit No. Job under $1,000 Date 1 Building not owner-occupied =Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND UNER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: 0 , Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above Property: Y JT Date Owner Name i I .ration 1 pm&l Date .�J f l NORTN TOWN OF NORTH ANDOVER pt �ao ,a,�0 p Certificate of Occupancy $ -Building/Frame Permit Fee $ /S �ss�cMusEt Foundation Permit Fee $ t' Other Permit Fee $ Sewer Connection Fee $ c� '0Aer Connection Fee $ TOTAL $ /S-"`-' Building Inspector Ck y` Vrr3C7pp1 Div. Public Works F JtIT NO. '323 /PAGE 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. MAP 4,40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE SUB DIV. LOT NO.. 7 1 LOCATION /f_ e�/� Je '/ �/O� PURPOSE OF BUILDING A6i e OWNER'S NAME �liN/ L. Y�©l�• NO. OF STORIES if SIZE 109 OWNER'S ADDRESS / �(/ L G d� /p !� BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME Q`,Q /� SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS DIMENSIONS OF SILLS DISTANCE FROM STREET / �7 POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW A(//I/® SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER ye-5 f BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER yes J IS BUILDING CONNECTED TO NATURAL GAS LINE Vej INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST �OQ ti PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT'SECTIONS 1 - 12 EST. BLDG. COST PER ROOM ] SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS w PLANS MUST BE FILED AND APPROVEDBYBUILDING INSPECTOR DATE F ED� BOARD OF HEALTH SI TUR F OWNER OR AUTHORIZED AGENT FEE OWNER TEL.# d0��_ PLANNING BOARD PERMIT GRANTED CONTR.TEL# T ; CONTR.LIC.#� l�U0777 . BOARD OF B[LECTMEN BUILDING INSPECTOR y� BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ S,'ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B t 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 1/2 % FIN. ATTIC AREA _ I N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 22 J 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDV✓'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I I POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING - GABLE I HIP BATH Q FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) — t FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &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 GAS OIL I B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING .t a N�RTW 01�, o 1 Andover 93 Liz Mass. 93 19 �- �.� CoC�,��Q� over, > �.! Is, DRArED PPG,`'�� H 4 BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT JN-t4�" -C*. ........d0d�............................................................................ Foundation has permission to greet..... ��. .............. buildings on ...........11.x.....1..., y........... D.................. Rough to be oCCupled as..... ..... . ro Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ....................CL...0...`\1l ........ ............................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough p Y p .Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION 'FINAL Street No. Smoke Det. r�r A fr' 1 „A,ATr-n _ EM A i nRwF\A►Av FNITRY PERMIT -- _.. .�.. .... � .....-_ _... ..�...._,,.,,�:�-..r''1`'•�;...�-L'e' .....:::s.�,.id:J,.i:+.�aN:�.l•:.v:�i:.'a;.:.'J • .. - � COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 EXPIRATION DATE L'= . ._ I_is li J:::;""!,'. =:l,i '=,-,:r ;;';• RESTRICTIONS EFFECTIVE DATE LIC-N0. 0 �? PR ONLY) FEE: - NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY i• j HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER iiiFFFY,,,..'••,( DOB: r THIS'DOCUMENT MUST BE ?t,,. .. CARRIEDON THE PERSON OF SIGNATURE OF LICENSEE '� •� •„- THE HOLDER WHEN EN- f Y ete OTHERS-RIGHT THUMB PRINT GAGED INTHISOCCUPATION. _Xe OMMISSIONER . �/te�ommarw,ea�!/c o�.�aaoaa/uuelld �: ', HOME IMPROVEMENT CONTRACTOR . Registration . 10094 Type - PRIVATE CORPORATION- Expiration 06/15/94 Roger J. Ratte, Inc. , Joseph R. Ratte r.� 342 Mt. Vernon St. ADMINISTRATOR342 MA 01843