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HomeMy WebLinkAboutMiscellaneous - 163 KARA DRIVE 4/30/2018 163 KARA DRIVE 2101098.A-01 07-0000.0 I i i PO Box 55098 Boston,MA 02205-5098 617-951-0600 . r Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: PATRICK D'ENTREMONT and KELLY D'ENTREMONT Property Address: 163 KARA DRIVE,NORTH ANDOVER, MA Policy Number: HMA 0345386 Claim Number: BOS00054196 Date of Loss: 3/4/2015 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number,date of loss and claim number. Bryan Savosik Claim Examiner 3/9/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 2070 Fax: (617) 535-5841 Email: BryanSavosik@Safetylnsurance.com CERTIFICATE OF USE & OCCUPANCY 117:01-11h Aindsmser Building Permit Number 585-1994 Date JULY 1 } 19 34 THIS CERTIFIES THAT THE BUILDING LOCATED ON LOT 4 KAM DRIVE (#163) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR GARAGE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. pO RT/1 09, CERTIFICATE ISSUED TO Oak Trus 401 Andover St. =� n ADDRESS North Anrinupr- M ''is ACNUSEBuilding Inspector 1 , FO LINDA TION LOCATION PLAN 1 =' 1 z 1 , CL/ENT: COOLIDGE CONSTRUCTION z 1 C 1 THIS CERTIFICATION IS MADE AND LIMITED 3 r TO THE ABOVE CLIENT. LOCATION: LOT 4 - KARA DR. 1 n , NO.ANDOVER,MA. QO --� I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO 1 THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY—LAWS IN EFFECT WHEN CONSTRUCTED. LOT 3-- 1 c�j (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER / N RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS, N�NG ORDERS OF CONDITIONS,ETC.) '4T�ON,/ 1 THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED. ABOV£,£XCEPT WITH THE LOT 5 WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY LOT ,q 37.4' 1 OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE 4 IS PROHISITED.CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR— A=25,281 S.F. MATION CONTAINED HEREON. �rL'1 BASED ON SCALED DATA ONLY THE PRIMARY STRUCTURE SHOWN IS NOT LOCATED IN A FLOOD HAZARD ZONE AS SHOWN ON FEMA 125 0, FLOOD INSURANCE RATE MAP. COMMUNITY N0.:250098 0010 B DA TE.6115183 rAREFERENCE PLAN: PLAN BY CHRISTIANSEN & SERGI I?A DATED 911519J. �D SCALE:1"=40' -,tA of DATE. 1/6/94 m RG O 0� - s F� ERS• o 1 LAKds`) JAN 10 1T� CHRIS TIA NSEN h SERGI PRO LANDSURVEYORS ERS j 160 SUMMER ST. HAVERHILL,MA. 01830 TEL. 508-373-0310 c0 1994 BY CHRISTIANSEN & SERGI INC. r t Location a o '!r .. _.a-T V No. (? Date /D H TOWN OF NORTH ANDOVER Of NORTt«ao " O? • .v O0A .� Certificate of Occupancy $ Mr Building/Frame Permit Fee $ 0 J Foundation Permit Fee $ SSICHUSE Other Permit Fee $ Sewer Connection Fee $ : Water Connection Fee $ 'A'11 TOTAL $ `fS ,0111T/94 14:59 11577.00 p�Puildincf Inspector 6856 Div. Public Works Location No. Date AOR, TOWN OF NORTH ANDOVER Certificate of Occupancy $ ` Building/Frame Permit Fee $ Foundation Permit Fee $ 11 D Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ A rod d v Building Inspector PIP rt7tr[ 7 Div. Public Works .• i /�I 1.9:Pb 1Ch An Location_ 14 33 40� No. 5S Date /Z-�-c13 TOWN OF NORTH ANDOVER Ot�t�ao ,a'�q.0 I ° O� t F „ Certificate of Occupancy $ # Building/Frame Permit Fee $ SACMUSEt� Foundation Permit Fee $ 5 J Other Permit Fee $ ' f . ` � Alp 624 Sewer Connection Fee $ 6 — hyo Water Connection Fee $ / ' TOTAL $ '400.,,9 B-�114uilding Ins�fz r� + .= 518.1i5m 16-.17 2400.0 ' "Div.Public Works c PERMIT NO. 'L�50 '-f I l Q APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. L/ / t///PAGE 1 MAP 440. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE fi SUB DIV. LOT NO. a- J fy%, r� It LOCATION '.Fid.'" � `c� ��N, PURPOSE OF BUILDING OWNER'S NAME .+ G: `I NO OF IES (Q 3 SIZE ° OWNER'S ADDRESS�,d�}1f n 1/�+ �' �n,N Ali ./; �;7J-f � �/t��.�i+,,,l(„t�SASEM R SLAB —Ti--�- ARCHITECT'S NAME^'/ Vf �� SIZE OF FLOOR TIMBERS 1ST - ` 2ND3RD, / r Y BUILDER'S NAME f ; d�' � � `4 �I SPAN !'m DISTANCE TO NEAREST BUILDING ,�ef..t. DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS 3 X..tG. `!.. f � DISTANCE FROM LOT LINES—SIDESv r!7 f&_e EAR GIRDERS �� r y (�.v(,. AREA OF LOT 4�. i ,1.—+ FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW •4 �!+�f? ,. SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATIONp IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE //'.ra IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 'r� /� IS BUILDING CONNECTED TO TOWN SEWER c -.W F- IS BUILDING CONNECTED TO NATURAL GAS LINE 6 1 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST dP PAGE 1 FILL OUT SECTIONS 1 - 3EST. BLDG. COST PER SQ. NT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM (�nSAE PERMIT$ SEPTIC PERMIT NO. `..� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING •�`L .,a_� 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED ANp APPROVED BY BUILDING INSPECTOR � ri Ao DAT ILED 4r. ( ,A7 7 Zl11/. 2 .. ai' �, BOARD OR HEALTH S G' ATURE F OER OR AUTHORIZ AGENT E FEE (v PLANNING BOARD PERMIT GRANTED 7t' � G� Y I9 1 nom, ''S BOARD OF SELECTMEN G� i 31993 BUILDING INSPECTOR . a r r � BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE d 1 2 I3 CONCRETE BL K. PINE '--, BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. COP 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ '/. '/r '/, FIN. ATTIC AREA _ NO B M FIRE PLACES HEAD ROOM _ MODERN KITCHEN 4L 4 WALLS I 9 FLOORS CLAPBOARDS B OoP_L 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDNWD ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE _ R STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. � „y cw+*""m STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUATE (� NONE v-M 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.( FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ b 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. d 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 B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING s� r r FORM U - LOT RELEg3E FORM } INS=C=0NS: This form is used to verify that all. necassary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant 1�fillsoutthis section***************** APPLICANT: 4f0Blit. Phone - S7 0 1 091 LOCATION: Assessor's Map Number Parcel Subdivision t Lot(s) I Street OU- /a ,t r 1 St. Number 14 3 ************************Official Use Only************************ RECO1UMATI NS OF TOWN AGENTS: Date Approved Date R2� Conservation Administrator Rejected • Comments Data Approved Towk Plannerl Data Rejected Comments Date Approved Z Health agent Data Rejected Comments Public Works - surer/water connections - driveway permit t S5 L-4) Fire Departr►ent , Received by Building Inspector Date � 13 I�93 1 WATERSHED—i( 1 DISTRICT ` LINE EAS � M S RIM = 297.54' 0 4 124, , INV.= 280.34' 2.28 3 f , 1 I co 125.31. 30.00' —', 60.00' .PROP ps,�0 v� 2843' �10�jSE- , 1 of 1 A�°��� LOCUS MAP - LOTI 4 a$mNAL �+ 1" = 1500' f AREA=25,281 S.F. ; 1 PLA N OF LAND ,�T LOCATED IN NO. AND0 VER MA . ,2S 000 PREPARED FOR 54 .00, OAK TRUST 4 SCALE: 1"=40' DATE.-NOV. 26, 1993 � '+HRl STlA NSEN & SERGI LAPROFESS/ONAL ENGINEERS COMM (� ND SURVEYORS 160 SUMMER ST. HAVERHILL,MA. 01830 TEL. 508-373-0310 © 1993 BY CHRIST/ANSEN & SERGI INC. of e�ORTH Town of And O No. w 4. 10 ��L`A dower, Mass.,Ir C• y 19?2 COCHICMEWICK�RATED '9S BOARD OF HEALTH PERMIT T D Food/Kitchen j Septic System t Ale r BUILDING INSPECTOR THIS CERTIFIES THAT...... o .. ..... ................................................................ Foundation has permission to erect.106.�AP.&buildings on 1.9-S /0 ��.04.............................. Rough y to be occupied as§01 me..... , �. .w �..�� ... ... 1. Chimee y provided that the person accepting this permit shall in every respect conform to the lerms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspe f0 iR@RW, of Buildings in the Town of North Andover. REGULATED BY P PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough W �G— 'O C� Final PERMIT EXPIRES IN 6 M,JAITYJ'2z�� i 11NNTT ELECTRICAL INSPECTOR PERMIT FOR FRAME/Bi ICDINSS CONSTRUCTION STARTS . Rough I! ..... .................................. Service DATE: at - FEE PAIDBUILDING INSPECTOR Final - Occupancy Permit Required to Occupy Building GAS INSPECTOR la in a Cons icuous Place on the Premises — Do Not Remove Rough Display Y � P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT N D � TH Town of do ver fort } ; dover, Mass., A,9 0 . / !V 19f.? 4� 0R'aTEL) S l ' BOARD OF HE TH a � Food/Ki tche PERMIT T D Septic Syst� — � THIS CERTIFIES THAT...... rA0 T vI INS PECTO!), .. .r - x , - . undation has permission to erectJ00.641F.&buildings on �` / .. I .......... Rough'41 w C. to be occupied as ., g.. .� .y. L�/. .w �..dAF ..AV � Ch'. 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 Inspe M I i�B n of _j Buildings in the Town of North Andover. REGULATED BY PAP �. PL B "IN ?INSPVIOLATION of the Zoning or Building Regulations Voids this Permit. 3 e . r.'ah ,y'v Y. PERMIT EXPIRES IN -� �� �� G �� y ` } `4 6 M jj 11NNTT �FF ELE ICAL IN ECTOR PERMIT FOR FRAME/BO1C M"SS CONSTRUCTION STARTS � Rough � /r —� •" Service DATE: - FEE PAID' �� BUILDING INSPECTOR Final (� Occupancy Permit Required to Occupy Building GAS INSPECTOR r .. Display in a Conspicuous Place on the Premises — Do Not Remove Rough a - ?` nal No Lathing or Dry Wall To Be Done FIRFJDEPARTME T Until I spected and Approved by the Building Inspector. �l�/C Burner ! ij, 241 PLANNING FIN L CON SERVATIO 29 Street No. l L' ;'�i SEWER/WATER ` 77dSmoke Det. FINAL DRIVEWAY ENTRY PERMIT � N Date.. . .�':G7�/:.a ... .. HORTM � � o� �` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SSACHUSES , C-j� This certifies that . �:!r-:�- . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . .��. . . in the buildings of . . . . . . . . . . .,.. . ... . . .�. . . � s at , North Andover, Mass. ,r �Fee3 . . . . . Lic. No.. ���. . GAS INS �CT�Q.R Check# so U k . 5537 NIASSAC1 SETTS UN71FORNI APPUCATON FOR PERNU TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations �° 3 ` �a r Permit# Amount S A/ p Owner's Name New Renovation Replacement U Plans Submitted G7 Fi F y Z ' t.. " a p� F p F 3 A 0 a 0 w o SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) r Q C e one: Certificate Installing Company Name v f C O W-Eorp. Address 1� Pt", tC El Partner. FL)+- J t & Business Telephone a -fig 1-1 Firm/Co. Name of Licensed Plumber or Gas Fitter g 7� Lf G MURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0 Noll If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy 1 Other type of indemnity 13 Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner13 Agent 13 t 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 :cork and installations performed under Permit Issued for this application will be in ccmpliance with all pertinent provisions of the 'vlassachusetts S Gas Cjoe a r 142 of the General Laws. B Signa e of Licensed Plumber Or Gas Fitter y ® Plumber 467 '1 Title City/Town Gas Fitter License Number aster Journeyman t\-PPRUVED,CFF[CE USE O�iLYi Date. z/-. �`•—" <".�°TN�+ TOWN OF NORTH ANDOVER . o PERMIT FOR PLUMBING SA ow ^ .. This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform -a . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . : . . . . . . . . . . . . . . . . . ., North Andover, Mass. Feea. . Lic. No.4:M . 1�,�e'.�-,�v PLUMBI.Nt INSWf Check # C�'J Go 6935 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS / Date Building Location / 63 l sti pC r Permit# _ �j Amount—�•��� Owner IF N e G New Renovation Replacement Plans Submitted Yes No FIXTURES IP SLJBB". RkSEM[Nr ISr:FLOOR 1 / 2M FLOOR -3M FLOOR 4M RIM 5M FLOOR 6M FLOOR 7M FLDOR 9Hi FLOOR (Print or type) / p ` Check one: Certificate • Installing Company Name / yi—L© D-Corp. Address /0 �T-+ Lf Partner. " -e ("-j i:�- lel Vi- o ( FL, "3 Business a ep one g -?Q '-4j-.)' _a� -5 y Firm/Co. Name of Licensed Plumber: p h h,- UJ'Cc U Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy a Other type of indemnity D Bond D 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 D Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus s St e P I g Code and Chapter 142 of the General Laws. By igna ur is nse er fA Ty of Plumbing License Title ? -7 City/Town Mcense MurnDer Master Journeyman D APPROVED(OFFICE USE ONLY 27P q Date..... y b. .......... �aORT11 - 4 I I'll :° TOWN OF NORTH ANDOVER 00 , p PERMIT FOR WIRING SSACMUS� This certifies that ...... r. ql �......�........ `fi .~�1.............................. has permission to perform ......................................................... ffii i..................... wiring in the building of...�.r?s�.......t�.�.�-�........ 4�!"�-- at................................................................................North Andover,Mass. �> Fee.,',;.b......... ... Lic.No. .....................................�4L.A ...'... ELECTRICAL INSPECTOR Check 6554 H lici'd I .1c )IIIN Commonwealth of Massachusetts _4 11crill't No. JI Department of Fire Services OCCLIpanc\ and Fce Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9 051 1 leave Hank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .111 1A01'k to he pertni-med in iccm-dmice\011 the %lassachuscus I:I cc fi-ica I Code i\lFC). 527 C%I R 12.00 I'L L ISE PRLN r 1A, IN OR TYPE,I L L INFOR.1 I I TION) Date: City or Town of: A/, TO 117C h7NjVL'10P 0/ 13Y [Ills ;IPPIMI(ioll the (lildersigned -Ms notice of his or her intention to pei-torni the electrical wNork described below. Location(Street& Number) Owner or TenantM Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building 'S ) X,-,I,-.- i�l►11 N — Utility Authorization No. Existing Service -2/,J) Amps Volts Overhead ❑ Undgrd No. oll''Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Compleli(jll ., luhle inta he Iron—O)v the hispe ,'oro/ Ild No.of Recessed Luminaires No.of Ceill.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of LuminairesSwimmine Pool '%bove Ei In- o No.of Emergency Lighting r n d. 4rnd. 'nits—. No.of Receptacle Outlets No. of Oil Burners FIRE ALARMS No6ol`7,pnes No.of Switches No. of Gas Burners No.of Detection and 2- 1l.. Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No. of Waste Disposers Heat Pump Number Tons No.of Self-Contained Totals: _4 Detection/Alerting Devices i I Municipal No. of Dishwashers Space/Area Heating KW i Local❑1:1 Connection ❑ Other No. of Dryers Heating Appliances KW Security I .Systems:* No.of Devices or Equivalent No. of Water KW No. of No.of Data Wiring: Heaters _-Signs BallastsNo.of Devices or Equivalent No. Hydromassage Bathtubs No. of.tiTotal H 'I ellecommunications Wiring:P No.oll'Devices or EquiNalent OTHER: F.,,tirnatvd Vidue of Electrical 0khen required by municipal policv.) kk ork to Start: ln:,pe*6ions to be requested in accordance with EIEC RUIC 10, and Upon COIIIPII�*9n. INSURANCE COVERAC'E: ( nlc�s waived by the owner. no PCI-1111t for the pel-1,01.111illicc of electrical work ma5 V-1AIC fflll(­,.j 11IL: licensee provides !goof of lia&ilit', ill."tirmcc includillj 1.,_,o1llPIvtcd operation-'covel-LIU-C or its n1.11,sljntial k:qt1ik;lIk:1lt. I',- f*l1klvrJ, llcd Cr:oific, that mid has,-:.Jlibitud proot 11 .arle lo, the 1,0111it P AHIP., 01ticc. IIIA_' ONE: 1%,;( l0\(_T 1) tuder he 'f"111pe W iIpejriry, -.11w 4e;flfiffwalffm 0H.Iliv "plAitcalillit".8 10fe(P'd co:­p./`.,/e. 11'1 R M NAME: `Jc. 10. j14 Ih;/.X/",i,. TO. Address: �=)42E Alt. TO. No.: T Contl'aLtOl_ lJcQn';C iequired T01 this VsUrk; lriipplic,iblv. enter the license 1lLmlb,crherr: OWNER'S INSURANCE AAIVER: I :,iiii :lwire that Ill.., doi­170 he-11T01C lirlbility i1l.';Ll1';11lU I,.e I1, 1-1 n I CCjL1irt;d by Ill By 11 nature below, I 110A , WL11VC this I-CLILlil-01101t. 1 :1111 the(,-heck onc) i1cl, Li beOwner,'. 1 Date....Y'.7—6.4........ NORTh `° TOWN OF NORTH ANDOVER PERMIT FOR WIRING C SACHUS Thiscertifies that .......... ......... ...... ..... ........................................................ has permission to perform 1'S JK wiring in the building of......b..........�.fLl.: !!j ....................................... k !4A P North Andover Mass. Lic.No.UNA ..............10JK4,,,�.j'1�Ge-� ..... ........... ELECTRICALINSPECTOR Check # J��, 656, t- Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 5 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4/4/06 City or Town of. North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 62 Kara Dr. Owner or Tenant. Donald Ensign Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kitchen renovation Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Fixtures 7 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets 3 No.of Hot Tubs Generators KVA No.of Lighting Fixtures 3 Swimming Pool Above ❑ In ❑ o.o Emergency Lighting rnd. rnd. BatteEy Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and 11 Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers I Heat Pum Number Tons KW No.of Self-Contained Total : Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Munic'pal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.o No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total'HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10 d upon completion. I certify,under thepains andpenalties ofperjury,that the information on his application tru and complete. FIRM NAME: Hammond Electric Inc. LIC.NO.: 11011A Licensee: Paul J.Hammond Signature LIC.NO.: 25730E (If applicable,enter "exempt"in the license number line) J Bus.Tel.No.: 978-373-9979 Address: 60 Railroad Street Haverhill MA 01835 Alt.Tel.No.: 978-210-1900 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does of have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $55.00 Date. k.1..... .. MORTM ,^.,ti0 o� ` TOWN OF NORTH ANDOVER i liaD • PERMIT FOR GAS INSTALLATION SACHUSE This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . f j t f ��. . . _ . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . .., North Andover, Mass. Fee. . .: . . Lic. No./. 7 f .C>.! ' .'�. . . . . . . . GAS INSPECTOR Check# 2- 3 7 - 337 t i MASSACHUSETTS nt FORM APPLICATON FOR PERNUT TO DO GA.S FITTING Type or print) f Date NORTH ANDOVER, MASSACHUSETTS Building Locations �0 -3 t D11 ✓? Permit g_ ✓ �/ — Amount S ZJ / Owner's Name 4/ !� ✓qg e- = h New Renovation ❑ Replacement ❑ Plans Submitted ❑ J n. Z Z 7 -� 51 Su a -a :kSE .YI ENT — a ,1SE .M ENT I iTr F L 0 0 R 2ND . FLOUR 3R DS FLOOR 1 T II F L 0 0.11 57 II F L O U R 6 T 11 F L 0 0 R 775 FLO0It S T I-IF L 0 0 R (Print or type) Check one: Certificate Installing Company A Name � � f ��-r/ ❑ Corp. Address a' G„Qf{ ❑ Partner Business Telephone Q FirmiCo. Name of Licensed Plumber or Gas Fitterh INSURANCE COVERAGE Che-. one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked ves.. please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond F7 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Vass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Aoenr ❑ i hereby certifv 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. Bv: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber / Q 716 CirviTown ❑ Gas Fitter (cense Numoe; Master .4PPPtU�"ED ��I ic:=u� Ni.v� Journeyman ❑ 1 I f Location 3 4n RR �� No. l 0 -- Date MOR7h TOWN OF NORTH ANDOVER f D Certificate of Occupancy $ }��b ^•'t�'' Building/Frame/Frame Permit Fee $ SJ�CHust 9 Foundation Permit Fee $ Other Permit Fee �60f $ —L' TOTAL $ � � } h � Check # 5 �14U (l, 3 U Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING RI OTHER THAN A ONE OR TWO FAMILY DWELLING �I Section for Official Use®nl BUILDING PERMIT NUMBER: / DATE ISSUED: SIGNATURE: l L( � o Building Commissloner/I or of Buildings Date E . 1.1 Property Address: 1.2 Assessors Map and Parcel Number- 07r umberd9r 0101 l� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: v Zoning District Proposed Use Lot Area Frontes fl 1.6 WELDING SETBACKS(ft) m Front Yard Side Yard Rear Yard Required Provide Required Pro 'ded Required Provided Q 1 1.7 Water Supply M.G.L.C.40.§54) 1.5. Fl Zone Infomistiou: 1.8 Sewerage Disposal System: r Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ Q a 2.1 Owner of Record NA-PJ C!l + A4 R-nk GAJy"!j /6,3 t A-A p� r O Name(Print) Ad ress for Service: 5' r �. 3� -�� M Signature r Telepho e 2.2 Authorized Agent Q Lk- La)�, > Name P' t n Address for Service: 019 0 Signature Telephone Z W 90 3.1 Licensed Construction Supervisor Not Applicable ❑ Address /� / License Number O l(� Sid, 97`�fi �v�u"� /�0�'`} (� ? '/�' — D 3 Lice Constru n Supervisor: ? ®'� Expiration Date _ /Sigmiture Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name,. Registration Number m Address Expiration Date /^z Q Signature Telephone I I i I, as Owner/Authorized' Agent -TTereby declare that the statements an information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury C4Jl/7 i a Print Na Signature of Owner/Agent Date Item Estimated Cost(Dollars)tobe Completed by permit applicant '' � * 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a)X(n) 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) 1 l Check Number f.,J!• 7 .�{ r --'' E '.�t P.ra.r : 7a r L tial xq$e kr.�v k:t .. �.. r��.<13 �. . n 31'��y {i;t.} tk.-, ., oji �• ..k a1;✓ t s..{C,t Lt. N.....a-. .� a kY`t �v,J � .',a..�' f ,f r �y. .f� n Yu {%ti :.1 f'r^... ak xT. a r. ' Y v •,< 1.E .-., ?'t, alU P y. '4 b > i,:iX• ',',..£" ","'s r'j ri t r 'x f i `L raMEE a a'�.r -: a x 5.;; ��� r %'.'n. F44 e4 b>}l I r. n .:•✓Leery TaeF rJt�� Ori br3`.^.�ro�t� .`;c.:��,��"��{,,;fir das �1?s a��.z�."<.:r'��..�'�xt`�1,""y��'�t�s�'3K ..�s,�}:���•x���yf���. f t.r'��e,:.��t�r r ,<r.r ��3�,�k?x�4',��iwt��,�; � r���;�'a�c�t � �2 ?� �c �.7��tray � FY*`` ti!,, NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2ND 3 RD SPAN DEMENSIONS OF SILLS DEMENSIONS 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 +,s.i lf`"�H' .3' ' ..2'�;r.., 3 rr. '.',jp.z *J��Y. .x >A5�. gar}+�sx r 4, # Y` as.�' s'i c2' x 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 Yea....... No.......❑ OAS PIOFS © . NSECT � R1 �ONSTR tCTtt?N fti[)l p B A TO 86 R���� i "�»Ad T D`35, 5.1 Registered Architect: Name: Address s Signature Telephone 216seci€Pr�ie�staw Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Registration Number Address Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature>� Telephone Expiration Date . % < 0.0 ` Not Applicable ❑ Com Name: Responsible in Charge of Construction New Con-truction Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: K y USW r l I✓�.E/� a. 7. USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A-2 0 A-3 ❑ IA ❑ A4 0 A-5 0 IB ❑ B Business ❑ 2A 0 C Educational ❑ 2B 0 F Factory 0 F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional ❑ I-1 0 1-2 ❑ I-3 0 3B ❑ M Mercantile ❑ 4 0 R residential ❑ R-1 ❑ R-2 0 R-3 0 5A ❑ S Storage ❑ S-1 ❑ S-2 0 5B ❑ U Utility 0 Specify: M Mixed Use 0 Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: NNO .1 . :lit t 4� BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Required s Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property Hereby authorize to act on My behalf,in all matters relative tA work authorized by this building p6mit application Su �. - - Z Signature of Owner Date FORM U - LOT RELEASE FORM INSTRUCTIONS- This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. i.rri............r..r.■■...r.r.r...r..r.......i.......■.........r.....wage so APPLICANT & + A4 tA,0_ 0AJ y PHONE q 2 k-73 k- Oao ASSESSORS MAP NUMBER LOT NUMBER ( , 6 SUBDIVISION LOT NUMBER STREET �'� ��• STREET NUMBER �.■..■...r■■rrrr.r■rrrrrrr..........r.■.rr.............a6.■■■DID a r a a 0 a■tarn■ OFFICIAL USE ONLY ±wmmwasmzww ............'Orrrrrrr...rr.....r....r.r.RECOME;'NDMATIONS OF TOWN AGENTS #Even.r■■.rr.r..r..r......■■....rr..rr.r......r.r..r..... ...rr.■ DATE APPROVED /0_NSEiVAT1ON ADMINISTRAATOR . DATE REJECTED CO DATE APPROVED TOWN PLANNER DATE REJECTED COMIv1EEN I S --- --- ..- . . -------DATE--AP ROVID - --- ------ - - - P . FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED CONPvffNT8 PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE �2: 24PM HP LFISERJET 3200 P. 2 UNREGISTERED LAND Fu p967311 ®pBOCIL PA �,� GS.317 GILMIARTIN & FIT SIMM US, P.C. PLAN BOOS: -----.FAOE: — "s).4y�Sg NORWEST MIORTGA E iNC PLAN NUIMI: 113333 & 12358 OF Off.–OLLIAM BRUNO REGISTERED LAND ApMcmT; MARK A MANCY ENYEDY REGISF&17iioN 13mr, PA4& - UM 04/18167 - : LnN' a1:TlF'ICATE OF nTLR F00D HAZARD INFORMATION PLAN NUMM' FLOOD YAP COWNUN1TY NO.: 25009 zona: C ASSESSORS YAP 00060 DATED: 08102193 NAP; mm----- Pam- MORTGAGE INSPECTION PLAN ' 163 KARA DRIVE, NORTH ANDOVER, MA It IRON ROD t t 125.31' + ' t 1 � LOT 4 25,281 S.F±1_ MORTGAGE LENDERL `` ' c" ` USEONLY t V} DECK `'t � `I, LOT 5 , LOT 3 lo- t � G' -- - - ---- -- - - - -- --- - - - - SLOPE EASEMENT ��•��� , 125.00' KARA DRIVE THIS IS THE RESULT OF TAPE MEASUREMENT,, NOT THE RESULT DESLAUMMS OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. & 1 130 WEST STREET, WALPOLE, MA 02081 THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED TEL.:(800)287-8800 FAX.:(306}E68-4512 DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN, 4F yeti ,# THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL. WITHIN A SPECIAL FLOOD HAZARD ZONE. MARIO DOMINIC ..... ... ,oe,n,uu tern rnU [I TIJCD u�NneNlr_I � i L;JVMIIvn yr -44- y..-,..., •- NO. 1 841 4 IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN FFECT WHEN CONSTRUCTED (WITH RESPECT 70 STRUCTURAL C1STE�E� FROM VIOLATION '�SF�T�ACK REQUIREI�EHTS ONLY, OR IS EXEMPT u l ANFORCEMENT ACTION UNDER MASS, G.L. TITLE VII. CHAPTER 40A, - �--� ^ SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage Inspection tape survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing dead descriptions or for constructions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey, 09124/2001 22:11 17912713577 MITRE INSTITUTE PAGE 02/02 .'�'1i4H•Tr'j�'�'+N�1.'I.1.�.",'.'I ,. Vtr.�e'.. •n 6..T.,.p., ..AL� FAMILY Pooi & Patio, Inc. SGL# ; 04 Sales•Servh e•Supplies WC ff 1158942997 70 So.Broadway•Lawre e, Massachusetts 01843 LAS#Cc164o95s6a Tel:'( )688.8307 ax: ( ) 688.1949 NAME M I4MtA " DATE 17A /7 _20 ADDRESS k CITYa' STA E–MAO '1 ZIP �LEY4CTELEPH0NE 1P—64,02 Res, CROSS STVDAF �` —S 411� Wk, EST.STAR -EST,COMPLETION DATE * PROPOSAL • hi AIL IV @ La f We propose to furnish and instal! on swimming pool for the sum of$ -3 IV o k q0 �?' Rcd price for normal installation oonsist of: ine hours total machine time i scluding two trips for excavation,baokfilling,and rough grading aroundco, se of one dump truck for six urs for removal of fill during excavation•Installation of pool with filter and wall skimmer. e pric does not include: ,1 5 ny maohine time over nine ho rs, additional machine time to be billed at(1�er hour•Any trucking over six hours, v" additional trucks to be billed at �per hour•Any dumping costs incurred for disposal of ledge or large rocks 1� -seeding of grass around po •Spreading of loam•Trucked in Water•Patio or lance around pool or any accacsorios, ucept as noted below•AddRi al fill,if necessary,for proper backfill or reshaping of hot-•Disposal of large rocks uel Connectiorist Heater Ven ng 9 Fuel Storage Yanks• Permits•Damage done to sprinkler systems or any buried tems(ex.dry well,electrical li s,cables,etc.)in the access and pool overdig areas. lumpin and removal will be subject to n extra charge. Water or soil condition(ex,clay,peat,Ii sand, excessive rock, etc.) requiring Min. Max. a stone ck of the hole will be subject an extra charge of ov 6 w Use oft a above will be at the discretio of the job supervisor. ustom r is to supply access for all t It is the ownges responsibilky to obtain I ie building permit or to assume the costs of necessary permits. •CONTRACT- •EXTRASsz • r1 Vacuum Cleaner Seeps "l ' d�l ) __Ladders)(2& Filter 3010 �- Diving Board �' t�t�c�'�-) WithE60P Pomp r -� Chernioals Liner �n.4 r= Maintenance Kit Coping ( jZ A-t, Lifeline Spa _. Main Drain Miscellaneous ( ) Soler Cover ( ) Miscellaneous ( j Fil;a"tio Light ( ) AU Heater O� OV (3y 4'Vt� ) TOTAL EXTRAS =12 61do ( ) BASIC POOL PRICE Caretaker 99 Pkg Environped plus PI g3 ) SUBTOTAL $ Envlronpool Pkg I { ) q7 Polaris Vac Sweep 5%MA SALES TAX `(ANI ASV It r Polaris•retrof@ only A,, Inline Chlorinator TOTAL CW $ ! 7 Q Pado,Electrical or fence,silo attaehed LESS DEPOSITS%minimum _„T BALANCE OF CONTRACT $ 9 O PAYMENTS: 1/3 Excavation, 1/3 Backfill, 1/3 System Start-up The buyer hereby agrees to pay in ull,the total amount of this transaction upon start up of Installed pool.You,the Suyer, may can el this transaction at any ti prior to midnight of the third business day after the dale of this transaction, Credit c ititcl payments not accepted on contract amount BUYER SELLER �/ Co-BUYER r N 4 Board of Building Regulations One Ashburton Place, Ism 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 07/19/1960 m Number: CS 010330 � Expires:07/192003 Restricted To: 00 m m C3 w WILLIAM C POULOS �. 70 S BROADWAY m LAWRENCE, MA 01843 Tr.no: 11987 .-0 Keep top for receipt and change of address notification. Ire a� 4 CL O 0 RD BOAOF BUILDING REGLJL.ATIONS CL License: CONSTRUCTION SUPERVISOR n N�ber. CS 010330 J fardideow 0MSM96D E Expire=0711s2003 Tr no: 119137 4 Reatrid.d Ta: 00 NnL.LLWI C POIJI.Os 70 S BROADWAY m M H _ 3 M :U C 7 Apr 20 01 U1sU9p f=amily Pools & Patios Inc 9786801949 p. 2 �," ,://II�S'JIGIJI.AIMO6C7 O ((JI�. • j+;w. • Board of Building Regulations and Standards License or registration valid for Indivldul use only t HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Rtglttradon: 118204 Board of Building Regulations and Standards One Ashburton Place Rm 1301 :E41p1n11on: 02/13/2003 Boston,Na.01108 Type: Supplement Card FAMILY POOLS R PATIOS INC GLEN tM001N tAMMNCE,MA 01843 Administrator Not valid without stg t e !j+,rpt"'"" � ;/n•s�i�snr4ltOfuu¢a '7 �'' Board of Building Regulalbm and Standards Ucense or registration valid for individul use only '. • before the expiration date. if fou nd return to: HOME IMPROVEMENT CONTRACTOR Beard of Biding Regulations and SfanJards >•:� 1301 ;: •.' ltttlon. 8204 a Ashburton Place RM a. qe It i t On cpintlon: 021*2003 Boston,W.01108 ;Type; SupJdementCab FAMILY POOLS S'101T10S INC OYNTHIA:OIANOAO L03 , 3i• To 8.BROADWAY ifl.-.• ,,t�"'� _ _ ,sg•'-t c, 'ry! Y•{= Not valid witpout aigna ure LAWRENCE MA 01843 AdnloMtntor 1':,,:.. � i/AA �OHNKOff<IlCctlUtA Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if fount return to: Board of Building Regulations and Standards Registration: 118204 One Ashburton Place Rio 1301 a?" (�pxplrrltlen: 02/1312003 Boston,MA.01108 ;Type: Ptivele Corporation FAULYjPOOL8 FAT10S INC WILLIWwJANORt3ULUS ` •�, To 0.9ROAOWAY � �•� � Not v'aliJ w�'�tignntnre i•:;; . LAWRENCEAMA01843 Adinlolslrotor r . . .:ori• , �r t;ll�• Hyl• V�. ACORD,N CERTIFICATE B '•SURANT 03/09/zo0 1 PIKMIVR (617)$46-5000 FAX (61Y)849-5108 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Elliot, Whittier, Hardy II, Ray HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Insurance Aplenty, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 57 Putnam Street INSURERS AFFORDING COVERAGE Winthropt MA 02192 r181 y Poo 1 at oCo. , Inc. lufuat a Tr�nscont nenta Ins. Co. __. 92 South Broadway INSURER Lelwrence, MA 01843 IN9URER 0 IN-UPER D. _ INSURER E —THR BEEN :1 G TO THECVE FOS The POLIV 99100CATED.NMV-ITPSIANVII40 ANY REQUIREMINT.TERM OR CCNOITION OF ANY CONTRACT OF DTFIER DOCUMENT*MTN RESPECT TO WHICH TH16 CEPTIFICATE A1Av NC ISSUED UR MAY PERTAIN,THE IN6URANCE AFFORDED BY ThE-1XCIEF UESC:RIBED FEREIN IS SUBJECT TO ALL THE TLRM$,EXCLUSIONS AND CONDITION9 OF SUCH POLICIGS.AOOREOATG LIMITS SHOWN 1AAY HAVE BEEN REDUCED BY PAID CLAIMS. VAA F INVURANC. POLICY NUM8ER OAT. M"Mm E UMITS FTY 164095968 12/31/2000 12/31/2001 eP.cmvxvRRtN,6 1 50000 AL OINERAL LIANILITY FIRE DAMAGE(AnT am Ike) 1 500 /MADE a OCCUR MED EXo(Any ane Pa-van) 1 S000 PETISQNALAAD'/INJURY 1 Soo GENERAL A06REOATE i 1000Q OEN'1A0" TOA AI' tt1tA�� APPLIES PER PRODUCTS•COMPIOP ACO 4 1000nod /OLICY '.lCt LOC AUTONOEILELIAELLITY 1038507 12/31/2000 12 31 1001 cOMoms@+oL:LIMIT` ANYALITO c0ea'eOMs} 1 f 1,000,000 ALL OVACI AU101 (vw LY IN.,)RYpati A /CNEOULEO AUT08 1 H/110 AUT01 1 i $DOILY INJURY i IDar AeaAenl) / NON•OrAMEO AUT09 i PROPERTY DAMAOE ! (Per mlta II) 4AKA41LJABIUTY .1U7OONLY•EARCCIDyNT I ANY AUTO ) OTHER THAN eA ACC ! AUTO ONLY: A00 1 2XC112LIABILITY CACNDCCURRENCE s OCCUL CLAIMS MAV$ AOOR.OATE ! OzVvned _ RETENTR)N 1 t f WORK111acatrPeROAT10aAND 164095968 12/31/2000 12/31/2001 T L Ire R EMPLOYERS•UASILITY E.L.EACH 4C.:VeN1 1 A I L.DISEASE.EA EMPLOYet / E.L.DISEASE•POLICY UMIT 1 I ADDITIONAL INSUREp;1148URER LETTER cANUICATION _ SHOULD ANY OF THE ASOV.DEOCRy@/0 POL1.I.t OC CANCELLED 11FORE THE EIIPIRATION DATE'HEREOF,THE ISSUINO CONIPAW WILL ENDEAVOR TD NAIL DAY@ WRITTEN NOTICE TO THE OCRTIPIOATE HOLDER NAMtD Y0"LM, OUT FAILURE TO MAIL SUCH NOTICE SHALL INFOOE NO O@LIOATION OR LUOILITY GMT MO UPON THE OYIPANY, MEMO OR REFRIOW4 WWI& For Information Purposes Only • E 1�� I A C 72-2V Plain Panels(08-009-S) Plain Panels(08-016.5) I Plain Panels(08-018 51 EF _ G „ J --- K--I J Radius Corners(08-141) 17-Turnbuckle Braces(08-214) SIZE A I B I C 1 D 1 E I F J G I H IJ K L ' 1-Steel Hardware!lit(08-204) -ID x IV t6' 32' r r4- r 14'. 516- 4.6- 4'6- 7• g' 4 1-16x32 Straight Coping Set 6'Radius(10-001) P-„,,,...� 1-2'Radius Coping Corner Set(10-138) FM Ma op N 16' rr S'6' r4' r 14' 5'6- 1 4'6' 1 4'6' T' 2-r 1-V4 Liner(see options below) g' 6'Step-Remove 1408409-S)8'panel and TURPS OQZ t 1408-0164)4'panel. had 1401.006)6'step, 2408-011-S)T panels and 1408-214) * turnbuckle brace. wue L ,g;• 8'Step-Remove 1408409-5)8'panel and i3EAo.1�at 1408-016-5)4'panel Insert 1401-002)8'step, KAM 2408-018-5)T panels and 1408-214) turnbuckle brace. 0!7!1! - 4 Replace 4-8'plain panes(08-009-S)with: skimmer panel(08-011-5) yrs 2-8'inlet panels(08 010-5) it> ►1 q.i 1.8'light panel(08412-S) -• 8' 4' NSPI TYPE II * 8' 6' 2' / r TOPAZ STERLING STONETITE (03403-2) (03-P03-2) (03-1103-2) NON DIVING LINERS A"enlien Decier. k a rour,aeaw,.hiGy b s.,woe w.wiry P•do9•aa.id.d by FMM a d.1; a pod awr awd woe da H-6(03-840-2) 1-8(03-P40-2) S-14(03.1140-2) NO DfVW,- m” /�o - _ • • • . na OCCUME r a Foy MUMAMe w"C6ES OW. STERLING* Foer VM' ►oats®.�Sro saevrot �Y pIIlnt Ol CaflIP2 M**e.wPs,- -,ire*.—foal.e a--man E FT MrtTlq N 4�sot aL► 74r dip dia.a,a.unmal•..{e w.��� �ao�."nl•wr no...e....o.m..,.o.oafees.m. pCJLS a11i.$-Q31. rear.s.pgae.d swrs.a.w fe des 6r rn o.e6r oe.as...r.ariar w,pad.y an wseab .,avw„a.eeurta i Y dwg heasb.Cr%ram am as b.wand wih dna.Poo6 Poor rood by NM w dorbouN.r d.arar/ar.aaer avy.fl. mal d.n.vaaeu.fs rsawesa ad d.Pia�ar.r5po E Foal Tara tf.ae...w.sin r wdb r.r.oral a a sedw. a• ... ....s s• o....•. R•1,�06 PM.. 3.ba sme"n sid b.7 6w dra,.ca!!,a am.d. &abaft's wraa..n fo.+dath prier o' asaaeer bad a wf a.aPw r.wibeo d PW►.The awb. Fi.®d.ssdr brat d pa.6 arPxi t»..:.. sid.+an dna.poaa. Fa w6on aianam�c g r tjgboae.s ��..iaead h..w rgp.aar,.od gao;p o,yp a wand an - -a6Y..idr ner.f�ar±rq aar+ici +amda.—me: Manan Soo d Ped Ya.w.2111 F+rdwrwr wares ei�r.ess 14. o•addae.d sr.oe.aa.ands ' — '.. .►.e.w.. AA—i— vet 2231A.701/938-0083 r•ra.bi'/r a..a>a ows. _••• - cf.....wr........s..mesas•wr.arta l =r _ The Commonwealth of ffassachusetts ( Department of Industrial Accidents ' — Mica 91180511921190 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit name locations I b3 V 6LVA t,ice city �,L,tt, Adyy./ C] I am.a homeowner performing all work myself. r7 I am a sole proprietor and have no one working in any capacity 7-1-am an employer providing workers compensation for my employees working on this job. .,company ,��1`tNl(� l S PeA address: 90 ,-b city:. mow Lp— phone4- P�� inlur i2a T_Vl-�Vt r60 ,.7 NA ,, &A �f. Co nfflicytil '4 o s9� I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: any name* address: city: phone q: insurance co, oolicv r# . .... comoan3.name• address: ci phone , In,SStrance cn y.3 cf4 _ Failure to secure coverage as required under Section 25A of yICL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one yeah'imprisonment as well as civil penalties in the form of:t STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. da hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Datex V1 Print name Phone# ofcial use only do not write in this area to be completed by city or town ufficial city or town: permit/license q n Building DeJ.� ty C]Licensing B I] check if immediate response is required CSclectmen'sCHcalth Dep contact person. phone q: nOther (revuuc IM t'!w) NORTH Town ofAndover fAVT ` O „-.arm.ow- "So ,�• �r, o. D� COCHICQ dover, Mass., �d ADRATED pC7 S H � BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System / // IVA.Ree BUILDING INSPECTOR THIS CERTIFIES THAT... .�' ,�1/VG.. .. �N cam{.................. .... ................................ ................ .................................................... Foundation has permission to erect....aZ 'JL0".....4. /........ buildings on .......... 3 /a ...... .... Rough to be occupied as W.TrVtow � r? 1 1 N �V.0_ � .......%'.�4 R Chimney .. . . . .. .. . . . . . . . . . . . .... ........... ................................... provided that the person accepting this permit shall in every respect.conform to thems of the application on file in Final this office, and to the provisions of the Codes and By-Laws relat'ng to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. O' �? d Cl 0//* PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this ermit. �P Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONS ARTS ELECTRICAL INSPECTOR C Rough .......... Service BUILDING INSPECTOR Final OCcuparwy. Permit Required t0 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. Date.....7h.:�A N2 3334 6 0 NORTH TOWN OF NORTH ANDOVER 6 0 to PERMIT FOR WIRING This certifies that .... .......11.a.olt(........C..(ts� ............ has permission to perform ...T.:..!'.-...... ........................................... wifing in the building of.......� 0 v E ................................................ ...4. at..... ...... ............................... North Andoyer,Mass. A ........ ........**51 ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer lJL/1.l/tFacilvtTIFurauaaava a.a.aw..a'vaay.w.. .•.. (� DEPARTMEIVI'OFPUBLICSAFEIY Permit No. BOARD OFFIREPREVEWONREGMT10AN527CMR 1200 Occupancy&Fees Checked IAPPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ( ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 i (PLEASE PRINT IN INK OR TYPE ALL.INFORMATION) Date Town of North Andover To the Inspector of Wires: f The undersigned applies for a permit to perforin the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address s��" Is this permit in conjunction with a building permit: Yes©=No (Check Appropriate Box) Purpose of Building /' C l 2,-e C Ic Utility Authorization No. Existing Service Amps`/ Volts Overhead Underground a No.of Meters New Service Amps / `Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work f�lJ%d��ril�i�77.� �ooG 1��,�t c777 �7� 77,q L0L No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA i and ound No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.o�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 LocalMunicipal a Othrr Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Nydro Massage Tubs No.of Motors Total HP 0 fAER h>Sw&=C RmntiDthemqmanenlsdNbsaduscmGn.rdLmNs IhmeaamxstLmbfldyhstm=Pbhymdu&gCanpl& Co&WcrtsmbswWetgm'alat YES NO Iha%est>Exn&dvMpofofsane1o1he0T=YES M NO If)whm&odWYESspleaseit bo*tttetypeefe vwWbyctockffgthe II�CJRANCE BOND OTHER � (I'IeaseSpetxfy) E*ratianDate EM-ded VahxdUec ftW Wok$ WO&IDSM I 'C r* n._J�/h EkA-. / Rao FIRMNAME lioatsae /`I G��•��/ /7`am��- Signahue f�'� ,�..�..� BtsQ>essTelNa q.?� Ad1imi - AkTel.Na OWNQt'StlSURANCEWAIVER;Iamaw=t1theIxedoes�I etheiistratoeeaeragetrRsst tat>fratec�ricol �iaquuedby�Gas�alLaws "thatnVsWncnftp=*appfCMnVVaiMSthisia4lifflert (Please check one) Owner a Agent n �---�+ Telephone No. PERMIT FEE$ CO i Date.. .. :b . . �,J..`.J.. F ,,pRT1y TOWN OF NORTH ANDOVER 3r ° .6 pL PERMIT FOR GAS INSTALLATION t • SSACHUSE y j This certifies that . . . . ."./ . . ' . . , , • „ I 'I ' has permission for gas installation ­ f. . .: . ... . . . . . . . . .�...� in the buildings of (rf_ f , at !. " #. . . . , . .l.f. . . . :. . . ., North Andover, Mass. { ' f 1r 7 � ,. . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee. 42/Iji �.,ff SS i 30,pQ PAID GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 CASFITTI ' 1 til , (Print or Type) NORTH ANDOVER Mass. Date > building Location �� Permit Owners Name C6�,14 4 P C s /�— Y ' New Renovation D Replacement p Plans Submitted D FIXTL)P=c N cc Q1 Q O O N = F t= >* o W is W o LLI trc- • d W G W W W z Q Ct: of W 4 Q O W C f' J 2 Q Q W tss U "' L9 Q yW. 0 O — LL 0 h W N S Q is > C W < G Q m 0 O o v - ti 3 n l7 v > a Oa ►W- o SUR-3S7dT. � 1 I BASEMEHT IST FLOOR r 2ND FLOOR 3RD FLOOR ( I 4TH FLOOR STH FLOOR 6TH FLOOR i 7TH FLOOR I STH FLOOR - (Print or Type) Check one: Certificate Installing Company Name /I/( L► to � u y Q Corp. Address - - �, k 7 S- Ll Partner. (z-[7r L' 1 V-A G Firm/Co. Business Telephone: �j .S 7 - / ,, y•_ 7 Name of Licensed Plumber or Gas Fitter � 4 c 1�Ce t2 fid-(Cj V. �p �C Insuranc(- Coverace. Indicate the type of insura,:ice coverage by checking the appropriate box: Liability insurance policy [ ` Other type of indemnity u 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 coverages. Signature of owneri agent of property Owner 17 Agent 0 I hereby certify that all of the dc(Ads and information I have submitted (or entered)in above application are true and accurate to the b"t of my knowtcdge and that ail plumbing Work and lnsmUvions performed under Permit issued fo: this apptication will be in compliance with all p=tincat provisions of the Massachusetts State Cas Code and Qsaptu 14I of the General Lawn. By TYPE LICENSE: Plumber Title Gasfitter Signature of Licensed sfit City/Town: .este_ Plumber or Gasfitter APPROVED (OFFICE ONLY) Journevman Z/7 �2z :27—'use o License Tum er