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HomeMy WebLinkAboutMiscellaneous - 189 BLUE RIDGE ROAD 4/30/2018396 Date �. 1 ......... TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION This certifies that A :�Ai............... has permission for mechanical installation :h �a A4 L in the buildings of .... � c_�C c� ................ u at . � S.i . ?�1,.4 ...v' : North Andover, Mass. Fet. .�LH.... Lic. No.A.,?� ";" .... .......................... C, ��� I ' to D <' � GAS INSPECTOR �Jn jay WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �J A .o 'Y Commonwealth of Massachusetts Sheet Metal Permit ` G Date : ��. 3 e S Permit Estimated Job Cost: J Q o v p , p o Permit Fee: $ / D® Plans Submitted: YES NO Plans Reviewed: YES NO Business License # Cep E9 Applicant License Business Information: Name: Moms %%-i-II I'm 4 Street: �6,/%l.�fic;l� � /� Ad, City/Town: �+ j' ►' j G 1. r ,/n A Telephone: e13;Z 8 Photo I.D. required / Copy of Photo I.D. attached: Building Type: Residential: 1-2 family Multi -family Commercial: Office Retail Industrial Property Owner / Job Location Information: Name: k o e Street: IP? City/Town: CQ O V&k Telephone: YES V NO Condo / Townhouses Educational Institutional Building Cubic Footage: under 35,000 cu. ft. —Z over 35,000 cu. ft. Sheet metal work to be completed: New Work: Renovation: HVAC / Metal Roofmg Kitchen Exhaust System Chimney / Vents Provide brief description of work to be done: N INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes[Z No ❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ® Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxWhereby 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 sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Date By Title City/Town Permit # Fee $ Duct inspection required prior to insulation installation: YES NO Inspector Signature of Permit Approval Progress Inspections Comments Final Inspection Comments Type of License: Ply aster i ❑ Master -Restricted ' ❑Journeyperson Signature of Licensee ❑Journeyperson-Restricted License Number: tr—� ❑ Check at www.mass.gov/dpi ® ,�� o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Boynton Insurance Agency 72 River Park Street Needham MA 02494 CONT CTBoynton insurance PHONE (781j449_(7$( (A No), (781)449-4269 EDORILss: info@boyntonins . com INSURERS AFFORDING COVERAGE NAIC # INSURER A:Harle sville Preferred Ins Co 35696 INSURED Morris Heating & Air Conditioning Inc 56 Mitchell Road Ipswich MA 01938-1219 INSURER BHarle sville Worcester 26182 INSURER C:Harle sville Mutual Inc Co 14168 INSURER D: INSURER E INSURER F: rnn.rccer_oc cGaTIRII-ATF NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I LTR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100 000 PREMISES Ea occurrence $ X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 10,000 A I CLAIMS -MADE ❑X OCCUR PERSONAL &ADV INJURY $ 1,000,000 X Form CG0001 (12/07) SPPOOO00016803T /1/2015 /1/2016 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY X PROJECT LOC AUTOMOBILE LIABILITY Ea aCcideDtSiNGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OWNEDX SCHEDULED 000000168027 /1/2015 /1/2016 NED X PROPERTY DAMAGE $ Per accident X HIREDAUTOSNON-OAUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE CMBOOOOOO16804T /1/2015 /1/2016 B DED I X I RETENTIONS 10,000 $ C WORKERS COMPENSATION - X WC STATU- OTHR ER AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN E.L. EACH ACCIDENT $ $00,000 E.L. DISEASE- EA EMPLOYE $ 500,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA C 00000019816T /1/2015 /1/2016 E.L. DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) rCDTICICATG HOLDER CANCELLATION ACORD 25 (2010/05) I N 5025 nm nnsi m ©1988-2010 ACORD CORPORATION. All rights reserved. Th. arnon nom. onrl Inn- or. —i.+a i m—i— -f of npr% SHOULD ANY OF THE ASOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE -POLICY PROVISIONS. For Evidence of Insurance AUTHORIZED REPRESENTATIVE S Denneno CISR/JPM ACORD 25 (2010/05) I N 5025 nm nnsi m ©1988-2010 ACORD CORPORATION. All rights reserved. Th. arnon nom. onrl Inn- or. —i.+a i m—i— -f of npr% a, Location 0/ �_. -•��� No. Ak / Date MORTN TOWN OF NORTH ANDOVER � 1h O•'t�•• .•. O • • O o ; , Certificate of Occupancy $ CMUs <� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ /lam CCJ TOTAL $ �7 Check #;. 111 i 17009 Building Insp(S"r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING TWSJ BUILDING PERMIT NUMBER: DATE ISSUED: — 3 d SIGNATURE: (&4AA— Building C ssioner/I or of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number 'Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required 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: Pc`'Oc 0 Private 0 Zane Outside Flood Zane ❑ Municipal ❑ On Site Disposal System 0 SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record 5TE�^Cl�34# F,,.C-/DGe- /eG O Name (Print) Address for Service Signature Telephone 2.2 Owner of Record:: rd IR &Zz Name Print Address for service: Signature Tele one 8ECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: /,G//1—/�� A2&e)ge— Licensed Construction Supervisor. Ad 71z, voo 6Z-1601 t a Telephone Not Applicable ❑ �� � ��3y �� License Number Expiratid Date 3.2 Registered Home Improvement Contractor /L 4M#7 Not Applicable ❑ Q �3 /,e Company Name I� Registration Number 2oa5- 91:5--112005- Add 7-/,f- Expiry on Dat /V • ra ra C SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work check au applicable) New Construction 0 Existing Building X, Repair(s) 0 application. Failure to provide this affidavit will Alterations(s) * I Addition 0 Accessory Bldg. 0 Demolition ❑ Other ;, Specify Brief Description of Proposed Work: 40 11:kJqMJ=_ I SECTION 6 - F.STIMATRD CONV.TRTTCTiON MRTC I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building ,OCA (a) Building Permit Fee Multiplier 2 Electrical opow DO (b) Estimated Total Cost L Construction �m 3 Plumbing Building Permit fee (a) x (b) Q Q �- 4 Mechanical HVAC pep , v0 5 Fire Protection 6 Total 1+2+3+4+5 Check Number sEU11UN 7a OWNE+X AUIHUKIZAIION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTIION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,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 a /// t/O Siena a of OwAorWeent nat. NO. OF STORIES ate. SIZE BASEUENT OR SLAB SIZE OF FLOOR TEVMERS PT 2 ND 3 RD SPAN DD,4ENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIVINEY - - IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO 14ATURAL GAS LINE 6 The Commonwealth of Massachusetts t Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation./nsurance Affidavit Blame Please Print LG Location: %9 City /!�/% ��T JZy/-��i /7%% Phone # I am a homeowner performing 11 work myself. F7— >4 1 am a sole proprietor and have no one vuorking in any capacity 1 am an employer providing workers' compensation for my employees worldng on this jot Company name. Address City Ptforle # . Insurance. Co. Poftcy # Company name: Adctr�ess. . CrCit_. MOM*. F.01" to secure coverage as regWrect under Section 25A of N1fL 152 cartitead ivfhe mpos ion of arfii andlor one years' b pftonrnent-as-*vN-sshg peon-b-tbe—cfaMU- ftes€ASIOD-W)-a-d f understand that a copy of this statement may be forwarded to the Office of Investigations d the M for coverage erage verification. pm,lhes of perjwy that the fnfonnat w provWed above a hue and correct - A 7Lt� Official use only do nod write in this area to be completed by city or town d5dar �:� �t'3'ni�1Zd12Zfl�r�.C'rT>7f d� i1%�SS�(,�ZLS�%%S 'Dybrt ad �uEllc Sa6cry BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Official Use Permit No. Occupancy & Fee Che( APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number Owner or Tenant Owner's Address Date To the Inspector of Wires: Is this permit in conjunction with a building permit Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps. New Service Amps Voits Number of Feeders and Ampacity Location and Nature of Proposed Electrical Voits Overhead 0 Undgmd 0 No. of Met( Overhead a Undgmd 0 No. of Met( OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability 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) Estimated Value of. Electrical Works (Expiration Date) Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME LIC. NO. NO. Bus. Tel No. Address 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 Mass General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or gent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above 0 In 0 No. of Lighting Fixtures Swimmi Pool and 0 rnd 0 Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Baftm Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone _ No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices _ Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding Devices _ NoJ of Self Contained No. of Dishwashers Sp2celArea Heating KW Detection/Sounding Devices _ 0 Municipal 0 Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability 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) Estimated Value of. Electrical Works (Expiration Date) Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME LIC. NO. NO. Bus. Tel No. Address 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 Mass General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or gent) CIRCLE BUSINESS INS 9787774898 09104/03 01=17pm P. 002 OATEtMMMDIYYYYI AGO RD,M CERTIFICATE OF LIABILITY ,INSURANCE o9/m3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CIRCLE BUSINESS INS_ AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 247 NEWBURY ST. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DANVERS, MA 01923 _-- INSURERS AFFORDING COVERAGE NAIG _ MSUAERA: INSURED WILLIAM POGOR INSURER i3: 79 JOHNSON STwsuREfl c___ : -- NORTH ANDOVER, MA I INSURER O' 01845 OVERAGES ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICIES. AGGREGATE LIMITS POLICY EFFECTR(E POLICY EXPIRATION LIMITS NSR DD'L1POLICY NUMBER TR RD! - 09/041D3 EACH OCCURRENCE } A GENERAL LIABILITY T.B.O. DAMA TED } - X COMMERCIAL GENERAL IJARIUT Y -i PREMISE Es occurence MED EXP (Any one peroon) ! CLAINISMADE .X OCCUR PERSONAL &ADV INJURY GENERAL AGGREGATE 8 I . _ _.... _. .__.. ... ... ... ... PRODUCTS - COMPKW AGG_ i GEN'I. AGGREGATE LIMIT APPLIES PER. 1 _ — —i POLICY JECT ILOC - '. I COMBINED SINGLE LIMIT } AUTOMOBILE LIABILITY AU { --_- ; tra acetum) I i ANY AUTO . I i ALL OWNED AUTOS I Iper08reort{ 1perve offs :SCHEDULED AUTOS . ' BODILY INJURY S HIRED AUTOS (Per accident! ' NON -OWNED AUTOS l PROPERTY DAMAGE } (Peraccident) AUTOONLY-EA ACCIDENT S GARAGE LIABILITY EA ACC $ - ANY AUTO i OTHERTHAN '—'- AUTO ONLY: AGO S EACH OCCURRENCE S II EXCESSIUMBRELLA LIABILITY AGGREGATQ } I OCCUR � CLAIMSti"AI>C � s T DEDUCTIBLE S I E. RETENTION 5 WCSTATU- OTH- WORKERS COMPENSATION AND E.L. EACH ACCIDENT 6M - iEMPLOYERS' LIABILITY i w EMPC IR id ANY PROPRIETORIPARTNER!C-KECUTIVE El__ DISEASE - EA +— 1 OFRCENMEMBER EYC.LUDED? E.L. DISEASE. POLICY LIMIT S _ II yes, tlescribr: unAer SP.CiAI PROVISIONS helaw OTHER pESCRIVTION OF OPERATIONS / LOCATIONS t VEIi1CLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL CERTIFICATE HVLutH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATi TOWN OF ANDOVER DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL W DAYS WRITTEN BUILDING DEPT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TOWN HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THF INSURL°R. ITS AIiENT6 OR ANDOVER MA 01810 REPRESENTATIVES. AUTHORIZED REPRE CORD CORPORATION 1988 CORD 2 5 1 2001 /0 8) i EM 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: (Location of-Ficility gnatuyfi of Pefmit Applicant l NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I 1/2" Dia. 8 1/4"x9" PL SECTION A A r ri ig 4-2x10 Beam Sister C9x20 and 114x9 Plate to Existing Beam with 2-1/2 Dia. Bolts at 12 O.C. Extend 12" Beyond Bearing Point A Existing 4-2x10 Beam Existing Framing 0 o a e o i A I i Existing Bearing Wall Existing Steel ColuOin w/ 4-2x6 Post Under Beam Bearing Remove E)dsp ig Steel Column 11 II � Existing Basement Grade 189 Blue Ridge North Andover, MA __ Calculation Sheet Project Name: 189 Blue Ridge Location: North Andover, MA Date: 1/8/2004 Engineer: Chris Mauck, PE ROM ME ■■■■■■■■■■■■MOMME A ■■■■ ■M �� �� ■ ■■ENu��.:Rais�MEN LINEIM EMEMS� ■■■■■■■ ■■■■■■MEMEM MEMO ■■■ ■■■■ ■■� LINEMEN LIENEE EE■a ENEMIES ME M ■EEE EN■LIEEEEEE No ■■■ENE■■■EE■LI■LI■■E■■Er MEN EEEME _ ME M NELIEV.:�_Pw'".r� Calculation Sheet Project Name: 189 Blue Ridge Location: North Andover, MA Date: 1/8/2004 Engineer: Chris Mauck, PE °FSS10A�fi1 F�`�'� r�; �AI �lt,_� ■■■■ ■ ■■■IMMENSE ■■14■ ME ME ■■■C� :=■�■■�A■■■■■■■ ■■■■■ ■ ,■��.�maim ■■■■■■■■■N ■■■■■■■■■■■■■■■ smug ME■MEM■�■■�MEMM■■■■■■ ME�■���� Y` ©,lT'1:L1■ ■ ■■■■■■■MEM■■ ■IN MMMINIMMEa ILWIXIM WE ■■■■■■■■■■■■■■■■■■ MINE ■■!�'a■ MIME MEME IN °FSS10A�fi1 F�`�'� r�; O a w° cin o U u°. C2 U x a 0 W 80 p4 x a 0 v � C2 cin w a o � w z W cn 0 cn 141 LUT �Z CLM Aff rte, i Cl' s 40 CL H CD 'CD coo CO m � A m Q CD C- Q. cDa _ _-+ _ c cc CL CO) _ =o 0 p:'~" ' c o ' O y O. C cog c Eex- 3 L m) =aa0 o 0 6. 82 S= m c y cm � r: C C 0 �m o 3 CD o_t.3 L.: m i = O Of 3 � ��m a�� o v 'y Z Qcm o` c O 0 c H �® is a CL.I-- N o LU c ��vt t cc E ccs c o LLJ CO3 CL O z Nil S N y O a CD a Aff rte, i Cl' s 40 CL H CD 'CD coo CO m � A m Q CD C- Q. cDa _ _-+ _ c cc CL CO) _ Co Co a �a�) a) Cr CD W .0 ca W .—&C)o Q CD r— Z C Lli L O LL U) CL ^^0 1..1. Z ,ZG 0 r M • £ -1 4 z— �� ■ ■ ■ £ z-1 I §c L e -I -1 z— z z— z� ........ Date. Z.-. 2... /. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ r -ILI ................ has permission to perform .................................. wiring in the building of .... ........... ........ ..................................................... at .....Z //.. 4�v :-., ��.r.......:..:.... :� ............. ........ . North Andover, Mass. -V Fee .11.1-6 ............ Lac. No. ............. ................ ........................................... ELECTRICAL INSPECTOR Check # 4>75 Official Use c Permit No. , Dr�antxurr ?� Sa6cts/ Occupancy & Fee Chec BOARD OF FIRE PREV NTIOA REGULATIONS 527 CMR 12:00 APPLICATION FOR P" RMIT TO PERFORM ELECTRICAL WORK All work to be performed in acc"iorddance with the Massachusetts Electrical Code 527 CMR 12:90 (Please Printin ink or type all information) Date D To the Inspect6r o Wires: Town of North Andover The undersigned applies for a per/mitt to perform the electrical work described below. Location (Street & Number Owner or Tenant Owner's Address f S Is this permit in conjunction with a building permit Yes 0 V No 0 (Check Appropriate Box) Purpose of Building ni (� 01L� ZiN f.1 Utility Authorization No. Existing Service Amps Voits Overhead 0 Undgrnd 0 No. of MetE New Service Amps Voits Overhead 0 Undgmd 0 No. of MetE Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work=1n/b{��//V(� 610 • Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA (\ Above 0 In 0 No. of Lighting Fixtures v Swimming Pool gmd 0 gmd 0 Generators KVA f` No. of Emergency Lighting No. of Receptacles Outlets V No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone _ No. of Detection and Total No. of Ranges No of Air Cond Tons Inflating Devices _ Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding Devices _ NoJ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices _ 0 Municipal 0 Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP J INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability 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 Signed under the Penatties of perjury: FIRM NAME LIC. NO. ^. Licensee r v1l j/T Signature / LIC. NO. � Bus. Tel No. %(� 6 Address / �VI�L % �j `y yC a /�%&ALI AttTel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Mas& General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FESS ✓ (Signature of Owner or Agent) The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # QI am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for rry employees woridng on, this jot Comoany name. Address CitK. Pftorte Insurance Co. Policv# Company name: Address r... pho Fal'kwe to sectu c coMesage as ►equired gntler SeCtiExr 25A of tiAeL 152 can leadtvthe Mnpo6idon of cximirrat.pe�ra anchor one years' imprisorrr_as�cne7 penaltiessm�he3nrnna S7% fnelifU understand that a copy of this statement may be forwarded to the Office of Investigations of the DA for coverage, / do hereby cffW wxAr the p am and penwhies of perjury bW the k rmabca provkbd above its &w a►)d cornett Sigrtature Date Print name p one-# official use only do not write in this area to be compieted by city or town dnciar City of Town.. Buu []Check if immediate response is required ba El Seh Contact person: Fbofm # Q NCE D Cth L U TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAHt, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Date I SECTION 1- SITE INFORMATION 1 1.1 Property Address: jBg 0/ ,, 0K7RMap Ro 1.2 Assessors Map and Parcel 6 tr Number Number: _ 1 %0 Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Regifilmd Provided 1.7 Water Supply M.G.1—G40. M) Public ❑ Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System ❑ SECTION 2 -PROPERTY OWNERSIHP/AUTHORIZED AGENT nisT?ric Uistrict: YP-s No r,... 2.1 Owner of Record '%- wxw,Y- Pis k.ve- 1 a2r D&K Name (Print) Address for Service 2.2 Owner of Record: Name Print Address for Service: SECTION 3 - CONSTRUCTION SERVICES j 3.1 Licensed Construction Supervisor cs o 7 Licensed Construction Supervisor. �^ 74q Address 'd �i� ,, �'7 i 3 % (o l dU 7sI 3.2 Registered Home I!0provement Contractor .-`e Company Name Not Applicable ❑ r-5 05X17 License Number Expire ' n Dat Not Applicable ❑ 161 70w _. 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This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** n, APPLICANT t�. (�'� P ova— PHONE!q 7 �8 S LOCATION: Assessors Map Number PARCEL% SUBDIVISION LOT (S) , f/p STREETIg!J Ott R1 M4 FO -A D ST. NUMBER-Zff9 USE ONLY*********************************** RE IVIMENDATION§ OF TOWN AGENTS: P. Ait"OL CONSERVATION AD ISTRATOR-E*PP#�i ATE REJECTED " tO O COMMENTS " too't�nas m4uavc A, Hu -s4 F.�k. RDA, don4r-dc, nat-,�ec�. TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS R -HEALTH DATE APPROVED DATE REJECTED_ EALTH DATE APPROVED DATE: REJECTED COMMENTS Me- 0 kaW: &bM S1CW r p - PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm M 0 CERTIFIED FOUNDA TION PLAN LOCATED /N (P, At-l1)PV , M� SCALE /_ DATE o Scott L. G//es R.L.S. 50 Deer Mecdow Road North Andover, Mass. LT G3 L, ` jc' t (Z" t' Lo -r 64- 4151CA-3 -S.F. - oo. 13LUc- am, 14 iq / CERT/F)," THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE SU/L DING /NSPEC TOR ONL Y �o SHOWN COMPLY AND SUCH USE /S FOR THE o �� WITH THE ZON/NG OETERM/NAT/ON OF ZON/NG BY LAWS OF CONFORMITY OR NON- CONFORMITY � - ANDS, WHEN CONSTRUCTED. WHEN BUIL T 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: �hGLU otz& (Location of Fac .S 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 roame Name: The ' Commonwealth of Massachusetts Department of Industrial Accidents Office of lnvesfigaffons Boston, Mass 02111 Workers` Compensation:Insurance Affidavit Please Print Location: -------------- Cily Phone # I am a homeowner performing all work myself. i am a sole Proprietor and have no one working in -any capacity, r Z r tarn an .. Player Prrn�idn9 workers' compensation for my employees working orr this loEx P 76 / A 7 s- FMUMSa 8=W&. oonerage as to ukedtxWo Secfon 254 or an&Or oneYWW .tom u nhand that a copy of Oft statement Mw b6forvvarded to 01 a►►dPe A+etofpe�jrAryHaetd infonmbbiarrpv+v►n" 'abomixbzv-ar c cnftx d6�6 Pant narne�t-U�f���-p �'-- 9�83�G 1. -: L -ir,,;L It, Bk.J'� I ^i'..'� BOARD OF BUILDIG�a'_GtJLAS License: (, I Number: CS 083917 i i Birthdate: 06/28/1957 Expires: 06/28/2006 Tr. no: 83917 { i ' Restricted: 00 WILLIAM H POGOR 79 JOHNSON ST 1 NO ANDOVER, MA 01.845 Administrator 1 �� � ✓/ie �am�nwou�rea/i>< o�./�,Cwoacfu�.aelZaU l J Board of Building Reguations and Standards s' f +: HOME IMPROVEMENT CONTRA&OR Registration`. 139701 Expiration: , 8/5/2005 Type Individual BILL POGOR i; �i WILLIAM POGOR 79 JOHNSON ST. ti °? NORTH ANDOVER, MA 01845 gg**�� Administrator ,� „,n ..v 1w -r uri Vi-Jd iii iuNna.uec_(I tuc, rnA 3w, fol.CiawgD i, u Work order Contract FROM: WILLIAM POGOR 79 JOHNSON STREET NORTH ANDOL'EP JNIA Fax: 978-685-2425 TO: STUART PESIlOE 189 BLUER[DGE ROAD NORTH A.-NDOVER, M.tl 1. Remove existing Deck and dispose of debris, 2. Rebuild new deck using same footprint and layout for pattern of deck and location of stairs. I .Material a) Framing- Pressure treated lumber b) Decking- Wheatherbest composite material (c 'hers choice of color) c) Ra:ihngs- Mahogany balusters and caps Sub Total Discount (10%) Deck total. Cost $10,791.00 Due on signature 3597.110 Sub Total $ 7194.00 $11990.00 1191.00 APR -08-2004 THU 05:35 PM Alnnatech Inc. FhX K 7812739341, Due upon reframe Sub Total Remainder Due Upon Substantial Completion Total amount to be paid upon this contract •:� Signature of o acceptance 17ate: $ 3597.00 $ 3597.00 3597.00 $10,791.00 Please Male Cbecks Payable To: William Pogor General. Cantracting Services, LLC 79 Johnson Street North Andover, Massachusetts 01845 C:onstrucuon Supun,;oxs License Number -0$3917 Note:MO'_ EY O\WED WILL CHARGE AT 18% RNTEKl-.ST PER ANNA'LM ATa'f ER 30 :DAYS. P. 02 M N °� 4 r O M o� O ' Co a y' Co (D C Co rn Qj co Cl)C CD z N A4& CIc CLAIMS DEPT. January 27, 2005 Commerce Insurance The Commerce insurance Ccmpanv Citation Insurance Company Members of The Commerce Group, Inc. 11 Gore Road, Webster, Massachusetts 01570 (508) 949-1500 BUILDING COMMISSIONER or INSPECTOR OF BUILDINGS TOWN/CITY HALL N ANDOVER MA 01845 www.Commercelnsurance.com Board of Health or Board of Selectmen Town/City Hall RE: Our Insured: STUART E PES.KOE./_BARBARA WOLFINGER Property Address: 189 BLUERIDGE RD f Policy#: N65689 Date of Loss: 01/26/2005 File#: YK1217-TTP117 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. SUSAN BUTLER Claim Adjuster Telephone: (508)949-5588 Toll Free: 1-800-221-1605, Ext: 5588 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above, by first class mail. January 27, 2005 Ice dams, interior water damage. C4)m mCiro Companies .... COME GROW WITH us CIC 254 (Rev. 4/95) MAIL E49 TOTAL 11/30193 49.59 6758 $ Building Inspector 25-M PAlb Div. Public Works No. or Date NORTh TOWN OF NORTH ANDOVER F - Certificate of Occupancy $ + ; ; Building/Frame Permit Fee $ b'^•°''�t� Foundation PerrTTit Fee $ CHust Other Permit -Fee $ D U Sewer Connection Fee $ Water Connection Fee $ TOTAL 11/30193 49.59 6758 $ Building Inspector 25-M PAlb Div. Public Works Lopation /ez9 No. `F* 9,$11 Date a -a NORTH TOWN OF NORTH ANDOVER Of, tt�o '% Certificate of Occupancy $ Building/Frame Permit Fee $ 173,9-S-0 ' SACH Foundation Permit Fee $ f;�z-" Other Permit Fee $ Sewer Connection Fee Water Connection Fee TOTAL $ �s15 f/�3 Building Inspector 'sem `` Re06 2 8 Div. Public Works 4-,,/ Loi Loiation�/ No. •3 Date • t NORTAJ TOWN OF NORTH ANDOVER O t�eo gee .y ;+ F p_ Certificate of Occupancy $ 7 U• U + ' Building/Frame Permit Fee $ Foundation Permit Fee $ 1-4 U. Z) c> s�CHust Other Permit Fee $ ' Sewer Connection Fee $ r- Water Connection- Fee $ TOTAL $ ,/ .�D • �1 -;;;bz - Building Inspector �+= 6529 96 Div. Public Works Location (ort- 6�-- No. 9 y Date 4 ,CRT" TOWN OF NORTH ANDOVER a 'Of�'°° 1°141O C� „ Certificate of Occupancy $ + ; • Building/Frame Permit Fee $ Foundation Permit Fee $ s�c►+us OtMer(Permit Fee $ Sewer Connection Fee $ /L �tlo 275, water Connection Fee $ l ,aOTAL $ .?/j c ,,c• �' Building Inspector 6456 Div.,Pub$ Works �( 0 N - W N t N N a I d' 0. �\ k ! w ] m Z < W Z a �I ^ m W a m 0 C C'7 ] m r p Z Q U. 0 W ~ W Z a J Y m J O J J to O Z I D O N 0 j 0 O Ix i m W 0 LL p 2 m I (Wp m a. 00 1 O W N tD m 0 to 0 Z W i US a � d 0 M O F 0 Z Qo> 0 u u U� i aZo i W m N W U Z LL O O J �( 0 N - W N t N N a I m d' 0. �\ k ! N ] m Z < W Z X Z ^ m W Z m 0 C C'7 ] m r p Z Q U. 0 W ~ W Z a J Z p r m J W f F J J to O Z I D 0 u a. M N 0 j 0 O Ix i m W 0 LL p 2 m I (Wp m a. 00 1 O W N tD Z < to 0 to 0 Z W i m 0 Z 0. �\ k ! 0 ] m Z < Z X Z e` m WIlkd A m 0 C C'7 ] m r W Z J d W ~ W Z O Z p r 4 `IK W Z O K < N 0 00 J 0 1 z H Q a W Z US a � d 0 0 !J O F 0 Z Qo> 0 u u U� i aZo i F O m N W U Z LL O O J O d (� G d f N N w o V m It V O < Z Z N < N m d INO_j W W' O O v di r s h J W W W p Q W pl Z ✓ u X x x 0 Z I.- 0 0 O LL LL 0 W N a V z f e c S zz z z N Z 0 F- u N 0 Z 0. �\ k ! ] m Z < Z i�- Z N m A m 0 C C'7 ] m r W Z J d W ~ W Z O Z p r 4 `IK W iZ K < N 0 00 J 0 z r a< a W Z p U 0 US a Z 0 O F 0 Z J 0 u u U� i d (p W Z W U Z W U Z LL O O J O d Q C G G d m _N O V m lo < m < - m m u ] Z F F r s h J W W W p Q c S zz z z N Z 0 F- u N M tll 0 o < U( W 4 a a N 7 p 0 f J J f iL L 0 m W L W 0 U) d L a r ■ G 0 C i it d C} oc�v 0 Z W _a ] m Z < Z i�- O- J N A m 0 LL Z C'7 ] m r W Z J d W ~ W Z O Z p r 1 K LLp 0 r < iZ K < N 0 00 J 0 z r a< a W Z p U 0 US a Z 0 LL p J 0 Z 0 Z 0 Z Z p J < nLL LL Ku W O W Z W U Z W U Z LL O O J O J O J ] m O m _N O O lo < m m - ; m M tll 0 o < U( W 4 a a N 7 p 0 f J J f iL L 0 m W L W 0 U) d L a r ■ G 0 C i it d C} oc�v A C'7 W Z CY) clli K d W ~ W L.LJ IL d . 1e r^:E �;"00 y y^pAy ymD��Of1 mZ� D :2 CD r)r) D;N >8-u>>> O N A IO A T A 0 0 v r mvy~m zzOAXn(n Imm Ommm �m' A �m D W Nnz z N >�IO T 00000 00 � 0 r O A 3 a" O m m m m x N Z Z A Z Z Z Z p N N i256 0 ti C A "' ^' Z D �= r T 0 0 0 0 N N ti m 0 N N N S'O mNm;0 > ZO S T Z z << 3 O T O N T m• v+m>m OT ZA Z3 0 3 y N < j T z N z O O j n 11 1 1 1 I I I I I_ 1111 �I N- c Z x m >0 D D^ x ^ � r v_ _T c 0 v x v A N � O-�<DDDi m� �_ v0AAO 0-zz Z.DD Zi C O ^amrx O x3 z oT. yA ^ _ro y Li V x y A 1 0 A (1 i v= m A y m Z` Q T (% m L cz0 DO �O ` Z .; D 3 A^A yA .-Z0 2' Z Z Z X C T T N� D 10 Z z N C c T I I Im O nZ D D I I Iw x O Z O O A tul N Z SON N NrN Zm y>Z AA 1 4n3Cx T C C AXN 'v 0 I y O 0 � ma .sr p..r�s } PMX -IZD ... .,r"r mo Z _ �o mN3 T �Omm c mW0 cnSN r v r ergo -4c)r Z G1 r• Tog a*> � m Z�Z A xo O ti p� o nz i 10 mm M- + O0 4 Dp . 3 T CTM� N FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having .jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** f{ Phone &3-7-C APPLICANT: I //' �� �� �' LOCATION: Assessor's Map Number Parcel �Z �`Lot(s) Subdivision _mei 4-1a Streets P St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: - Conservation' Administrator Comments W Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Date Approved Date Rejected - Date Approved 421a� Date Rejected Date Approved Date Rejected Date Approved 7/�v Date Rejected Public Works - sewer/water connections - driveway permit r Fire Department Received by Building Inspector Date I SFp 2 100 ! ' F or / j 1 ti FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction ` have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: t APPLICANT:4Phone LOCATION: Assessor's Map Number Parcel Z Subdivision A.)ei JJL Lots) 6 Street Q ya, R 4 eS St. Number ************************Official Use Only************************ RECO104ENDATIONS OF TOWN AGENTS: -i?- Conservation Administrator Comments t Town Planner Comments FoodI nspector-Health . Septic Inspector -Health Comments Date Approved Z R3 Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved 7/;V -a/ Date Rejected 4 ti Public Works - sewer/water connections - drivewiay` permit Fire Department Received by Building Inspector Date c 2 nag 13 _ ., • r� x ,. 4'�.- ru `�' a.M �•'.���a ::rT+ -.2•-+ �.�,y(�,..� 1d-� ��+F--�k=+ ^ 4i....'4ic 6 �i�—'w�` k�1.,..r"k�.�wx,.1''��--...w.....- �h:.t _ y.a•_ ; a -0r {,'`,r 4 ` ",.!.4 C s -^'% '� { ��s�'" `is c r{ k . y��.�3 a ?tti"s,.T""i "a. 4: x ..,:, ., . r.. - �`r �""'Kt"" i�a � °°1 74 ,,� � n f ,...'s .r;� •'p , .e V �.."e Y � ,�rY. � .t r 7.1 CERT/F/ED FOUNDA TION PLAN LOCATED /N N �, �►I�C�OV �.CZ�, Mme. SCALE /"= ' DATE Scott L. Gi/es R. L. S. ,,- •� 50 Deer Meadow Road North Andover, Mass. i 42 O 0 Lo -r 64- • 38 BLUE / CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE�b r THE OFFSETS OF THE BUIL DING /NSPEC TOR ONLY moo' SHOWN COMPLY AND SUCH USE /S FOR THE o WITH THE ZONING DETERMINATION OF ZON/NG z o BYLAWS OF CONFORMITY OR NON- CONFORM/TY aEo tib• A WHEN CONSTRUCTED. "''L�"°S WHEN BUIL T. C ti M W cz O A x d v $ w e >- d a U)w � O cCL4n C7 z Q o o o C4 T s U c w O U w M C7 z o r4 c w O w z ¢ u a U w o cG ,��, cn c p F U o C4 c w w a w Q CO o i cn Q ° cn ui.Vi • zr O cm o Cc',3� CO D ~L� q � �IrY m cc Fe CO2 oco r CD v o -- a m c a !� y O � _ CA •. q •cO m y L =C, O O vE® R m O Q -C3 i d = �� o c c O ¢ =o 4 acr m o: r a� o � cay O L era •� Z O cl3 Q ` H CD c m d CD W CO '••' 2� .� y... C V1 dt O•C Z •� CM • 4D to O V O p m C cm COD CL m 'O 0:6 F— c 4- o.:*E- m co O co 0 O 0 H y .co i co C O co V M y O O V CO) C O cc C m CLCA L: O z co CO) C 0 co L CD O O O CL Q ca C Cqu J -a CO Z co CL CO) C J Q z z 0 Q LU C/) z 0 U ATE )CATION N O R"t H AN IA) \ L i t 1"LiI.NNING t;t)(1lAWNITY 1)I:VIIA,01'l111;N'1' KAH-FN 11.1'. NFLSO )N. I )Iltl:t: l ()It CHIAINLY APPLICA11ON ANO I'LKA1I1' LINER'S NAME: z 1I LDER' S NAME: ' ' '�-,j� /4�,.,�`� ISDN' S NAME: j? %SON'S ADDRESS: A03 kSON' S TELEPHONE: t�11'1'. # 1' I :!I I f%1;1iI I ! 111 1.1 1:111111 .111111\ f.1 hl:ItiC: �i F111•;t •(I•: t 1 I ti•i i Ili1711av-,•17i!i `�TERIAL OF CHIMNEY: 1FERIOR CHIMNEY: L'XI LRIOR C1110XV: 11�WER AND SIZE OF FLUES: 1ICKIJESS OF HEARTH: ' - ,.0 chbiney ua OiAepeace cun(uam to .tlte uqu.iAeme11•ts u() the curie (11111 have nuce.b aI111 -guta ti.ulvs been neeesued: -- -- . ,TE: .GNATURE OF MASON:- :KNIT GRANTED: )BERT NICETTA !ILDING INSPECTOR ;SPECTEO: ' MARKS: SOLID BLOCK RL U� IIt11) 1' L L , ) ,Src) a THIS PERMIT MUSE GE OISPLAYCO 014 111E I'RL1,11SLS S CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number 394 (1993) I IM_ NUMEROUS=•• THIS CERTIFIES THAT THE BUILDING LOCATED ON 189 BLUE RIDGE ROAD (LOT #64 MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/3 CAR GARAGEIN ACCORDANCE & DECK WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. �� yOaRoT iy CERTIFICATE ISSUED TO Mark Rae 221 BLUE RIDGE ROAD ADDRESS NorthAndover, MA rte'" Building pector i 0 y \J v cn O W �nD V �lVl O w a L� 0 0. w° cn w° p .2 w U m G x 7 m o G W �o ? m C � o G „ o CO cn � ui z c H p `d v� d CD Q a = z its CDo CD a, ^ CD ft% o CL ca v: o -- O cm 67 C ��-•� o► . rn O N � ' g.5 3 N C . C , � y •O � •O � N FI �. a C C O � o W �'•�rCO) r.+ CD cL C.3 � O l �/� O D cmo 0: m Co cryoui � O 3 o`� m N O C 'C = mgyp~1i� m o 0 4 N. ~ C)y m ~ m L�j- e L uj LL •y m A C C O :O 11 2c P— CD ca cm LLA 3 cm v m o m c_ y n' m 'a c G: tr O i O V CD y C y .E CD L CD C O co Q a y C O cv y C O R cc co 1-= s .Q i co D O O 0' Q �a C CC O J .O O CO Z V co y c