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Miscellaneous - 196 ANDOVER STREET 4/30/2018 (2)
196 ANDOVER ST 210/046.0-0015-0000.0 f I North Andover Board of Assessors Public Access Page 1 of 1 pORiM North Andover Board of Assessors � � T �SSACMI`rE� roperty Record Card Click Seal To Retum Parcel ID :210/046.0-0015-0000.0 FY:2013 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlar e T. _ Search for Parcels Search for Sales Summary _ Residence w Detached Structure Condo 196 ANDOVER STREET Commercial Location: 196 ANDOVER STREET Owner Name: MERRITT,DAVID P. Owner Address: 15 HOOD FARM ROAD City: IPSWICH State: MA Zip: 01938 Neighborhood:5-5 Land Area: 0.57 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2527 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 408,100 386,000 Building Value: 225,700 194,500 Land Value: 182,400 191,500 Market Land Value: 182,400 Chapter Land Value: LATEST SALE Sale Price: 310,000 Sale 12/03/2007 Date: Arms Length Sale I-NO-BANKRPTCY Grantor: MORGAN Code: STANLEY CREDIT Cert Doc: Book: 10988 Page: 252 http://csc-ma.us/PROPAPP/display.do?linkld=2253084&town=NandoverPubAcc 3/26/2013 Residential Property Record Card PARCEL ID:210/046.0-0015-0000.0 MAP:046.0 BLOCK:0015 LOT:0000.0 PARCEL ADDRESS:196 ANDOVER STREET FY:2013 PARCEL INFORMATION Use-Code: 101 Sale Pricer 310,000 Book: 10988 Road Type: T inspect Date: 05/27/2010 Tax Class: T Sale Date: 12/_03/07 Page: A 252 Rd Condition: P Meas Date: 05/27/2010 Owner: ----Traffic-.-- ____ - --- MERRITT,DAVID P. Tot Fin Area�T2527 __SaleType�P � -aCerf)Doc: Traffic. M Entrance-:-'---X- Tot Land Area: 0.57 Sale Valid: T _ Water: Collect Id: RRC Address: _ --'-'M �� `MORGAN'STANLEY CREDIT Sewer,.-- � � Ins eci Reas. �` 15 HOOD FARM ROAD a ryGrantor: u p IPSWICH MA 01938 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style: CO Tot Rooms: 7 Main Fn Area: 1472 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R3Y..,__ _ ,_ _..�_—__-__ _ . _. .r_s ._ 1 Story Height: 2.00 Bedrooms: 4 Up Fn Area: 1055 -Bsmt Area: 1276 Seg Type Code Method Sq-Ft Acres Influ-Y/NValue Class Roof: __G -Full Baths: _ 1 Add Fn Area: Fn Bsmt Area: 1 P 101 S 25000 0.570 182,380 Ext Wall AV Half Baths Unfin Area: Bsmt Grade: DETACHED STRUCTURE INFORMATION m _ Masonry Trim. Ext Bath Fix: 0 Tot Fin Area 2527 -� �..�,__ . _- ._�.. _ .. _- - --^ Str Unit Msr-se -2 E-YR-BItPGrade Conti'/oGood P/F/E/R Cost Class Foundation: CN Bath Qual. M RCNLD: .-- 212136. PV S 648 0.00 2000 A A 50///50 13,600 _ 7Kitch QuaL• T_EffYr Built' -1980-Mkt Ad/ Heat Typed FA_�Ext Kitch� Year Built:�� 1948 Sound Value: VALUATION INFORMATION Fuel Type;- -G Grade. A cost Bldg: 212,100 " Current Total: 408,100 Bldg: 225,700 Land: 182,400 MktLnd: 182,400 _ .,. Fireplace: 0 Bsmt Gar cap:W Condition: G Aft Str Val 1: Prior Total: 386,000 Bldg: 194,500 Land: 191,500 MktLnd: 191,500 Central Ac:'�Y Bsmt Gar SF: Pct Complete: Att Str Val2: Aft Gar SF: 520%Good P/F/E/R ///80 Porch Type Porch Area Porch Grade Factor E 104 W 378 SKETCH PHOTO 14 FUIFM/B , �X'l: 392 Sq11s }i- WIW 9 v 8 28 14154 4 G 20 FU`0.75 26 520SgFt 14 984SgFt 14 FMy 6 34 1080 SgFt 34 20 884 SgFt 196 ANDOVER STREET 4 sqft Parcel ID:210/046.0-0015-0000.0 as of 3/26/13 Page 1 of 1 8/4/2016 Community Software Consortium Of NOBTff r Forth) Andover Board of Assessors SACHUS Back to Results Search for Parcels Search for Sales View!Print Record Card Parcel ID: 2101046.0-0015-0000.0 FY: 2016 Community: North Andover Photo(Click on Photo to Enlarge View Summary Location: 196 ANDOVER STREET r '— P oprdty Owner Name: MERRITT,DAVID P. Residence Owner Name2: - ■■ r� Map View Owner Address: 15 HOOD FARM ROAD Land City: IPSWICH State: MA Zip: 01938 View Segments Abutters g Neighborhood: 5 Land Area: 0.57 acres Properties Use Code: 101SNGL-FAM-RES Total Finished Area: 2527 sqft _ Detached Tax Class: T Pd-Exempt-Land: 0 Structure Pd-Exempt-Bldg: 0 196 ANDOVER STREET Sewer: Road Type: T Sales Sketch(Click on Sketch to Enlarg ) History Water: Road Condition: P Value Assessments Current Year Previous Year History Total Value: 457,100 411,400 Building Value: 263,900 224,900 pr, ' Land Value: 193,200 186,500 Market Land Value: 193,200 Chapter Land Value: Latest Sale Sale Price: 310,000 Sale Date: 12/03/2007 Arms Length Sale Code: I-NO-BANKRPTCY Grantor: MORGAN STANLEY CREDIT Cert Doa Book: 10988 Page: 252 Copyright©2015 Community Software Consortium.All Rights Reserved http://epas.csc-m a.us/Publ i cAccess/Pages/Parcel Sum m ary.aspx?M enul D=3&Li nk I D=180389&Comm code=210 1/1 NORTil pf��,eo �bq~O Town of North Andover D.B.A. — Zoning Compliance Form °RST•° �� 978-688-9545 �SSAC14 This form must be reviewed with the Inspector of Buildings. Office Hours are Monday-Friday 8-10 am,and 1-2 pm Monday-Thursday. Applicant Name: N� �£/ �P u Name of Business: XWrr 61.E 44,4- Address ofiBuusiness: Zomng District : `T Map o � Lot (Nv5 Phone: Email . 7't�'•- . 8 `f�� � �r,+eve"L>FAd � �`�AiM Pam Nature of Business: /4/56-0 14`+ '�- ��t Do you own this property? Yes No x If no, written permission is required from your landlord. Will you have clients coming to this property? Yes No Will you have any employees? Yes No Will you have any major deliveries? Yes No� Description of Business ctivity(Must e Co pleted) Alec-� � } l'or l�[1sFv�►�S�f�' � .r.�v� 7` � 1�o,,v� a•���hG�/ ��Gf�. Signature of Applicant For Signage Refer to North Andover Zoning Bylaw Section 6 The propose e is llowed in this zoning district. Issued By ate 02 �� 2.4fl Horne Occupation(1989132) Au a-ewssoAr use conduoted wi-tbin a dwdbg by a reszdep wba resides in the dwelling as his principal address, which is clearly secondar r o ltae use of fide iii ciirig for 1zt g p�uposes. Home accupaiiow shall 'include,"but iiot'Emited to the following uses; personal services such as fimaished bjF an arU or instructor, but not occupation. involved wirh motor vehiclo ropairs, beau4r parlors, animal l ezeannels, or the conduct of retail business,or the xxiauufacturing ofgoods,wbich impacts the residential natUro of the neighborhood; 4a For use of a dwelling in any residential district or multi-flmi y distdot for a hoarse mcup6aon,6G fallowing conditions shall appy; a. Not More Thm a total of throe (3) people may be.employqthe.4omo ocoupation, ono of whom shall beIfie=owner ofthdYOPe occUpaton and residing in said dwelting; b. `Ilse use is carried on wildly vffiin.the principal building; o. `There shall be no oi-tenor alfsrations, accossory buildings, or display which are not customuy • with residential buildings; . d. Not rp-oro than twenl�,fvo(25) perceaat of&e, e dit gross floor area of tho dweliang unzt_ so used, not: to awceed aac, thousand (:1000) square feet, is devoted to'such -ase. h connect ioa vw th such use,-there is to be kept no stock in taade, commodities or products which occupy space beyond these limits; e. Tnerewill beno display ofgo6&or wares visiblefrom the steed; f nn building or premises occupied shall not be rendered objectionable or dettimental to the residential character of the neigTiborhood duo to the manor appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any ofther way become objectionable or- detrental to anyresidential.use within.theneighborhood; & At y such building shall include no features of desip not cuSNt ary m buildings for residen l ase. 0 " igna,€ure . y 1 July 20, 2016 To whom it may concern, IYm ive permission for Frank DeMaio to run his business from 196 Andover Street, N. g Andover, MA that he rents from me. He has assured me that he does not have customers to the house but rather in his role of sales he goes out to see them and processes paperwork from the house. If you need any further information you may contact me. Sincerely, David Merritt 15 Hood Farm Road Ipswich, MA 01938 TOWN OF NORTH ANDOVER /ry,�L, c APPLICATION FOR PLAN EXAMINATION Permit NO: y "/ / I Date Received Date Issued: ORTANT:Applicant must complete all items on this page • F -I _� r :� �LtOCATI©N) O •� � y e f` - _ E� �)+ ,.:._ <n. l21T j 'PF20PERTFYf'®WIVER 4vuv: rt -M�, ` i �10i0 Year Old tructurey no MAPkNO� FARCEL11 0 3 Z© ING ®ISTR"ICT Histoiic®istriet <. _ a Y TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial 0 A ration No. of units: ❑Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑Demolition ❑Other -ht_3 a � _�' 'J L..` �'. s t-� } f r W 5 V�eptic' ®i- ll ; {; ` '' ' ©1Floodpla1l' .ta®eWetlandsA'"� '' 'yl 0,111/atershed�Distnct ; ❑Water/Sewe�w, 2 1 DESCRIPTION OF WO TO BE PERFORMED: ,L-Jk CL& c Identification Please Type or Print Clearly) OWNER: Name: &A T� L) Phone: \� � ' \ V'Address: O €CONTRA`CT®�Rt Name� ��c,�� `KLPYione; _ .35► a4i5 _' -" 4 t ,,4"cldress �o tJ`-F�S _ST , 6 t 3 3'd rF )`[rSupeuVn struetiontLicensexp ®ate�� ,HomeJlriprovementLlcerise ' ) j � �. f, .Exp' Date ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. •� J 'Total Project Cost: $ FEE: $ Check No.: Receipt No.: ZG � NOTE: Persons contracting with acnregistered contractors do not have access to the guaranty fund !S.ignature of Agent/Owner. ; Signature of contractor- Plans ontractor-Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ amped Plans ❑ Location 2b, dy eA 54�0- No. 3" `"i DateJS 1 . - TOWN OF NORTH ANDOVER D . ,. , Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ '' Other Permit Fee $ TOTAL $ t Check#- �--��� €U U +J o f/ building Inspector f I Plans Submitted ❑ Plans Waived-E] Certified Plot Plan ❑ Stamped Plans ❑ .TYPE OF"SEWERAGEDISPOSAL Public Sewer ElTanning/MassageBodyArt ❑. . Swimming Pools ❑ Well ❑ Tobacco Sales ❑ f Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY � INTERDEPARTMENTAL SIGN OFF - U FORM I DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ .❑ I COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments WatGr& Seger Connection/Signature i Date Driveway Permit IDYW Tovvz ]Engineer: Signature: Located 384 Osgood Street FQeParhhe &Agigtardjdatd EPARTPIii�T -Temp Dumpster on site yes no at•124 Main'Strdet" ENTS RenewalMA Home Improvement Contractor bAndersen. License#1708 10(Expires 12/23/2013) M . WINDOW REPLACEMENT an Andersen Company Renewal by Andersen Corporation Federal Tax in#41-1918413 104 Otis St.,Northborough,MA 01532 (508)351-2200•Fax:(651)351-4810 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date of Agreement C I >� 1 Buyer(s)Street Address,City,State,and Zip Code E-Mail Address Home Telephone Number Work Telephone Number b I� I 4`ckY Buyer(s) hereby jointly and severally agrees to purcA�ase th products and/or services of Renewal by Andersen Corporation ("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s) (collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Estimated Starting Date: Method of Payment: Total Job Amount: Amount Financed Check ❑Cash Deposit Received(33%):. / l 777—dt UVisa/MC ❑Discover Balance at Start of Job(33%): / 0 ❑Financed OAMEX Estimated Completion Date: If credit card is selected,please Balance on Substantial J y J{p f�� see Credit Card Payment Form. Completion of Job(33%): Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alteration to or deviation from this Agreement will be valid without the signed,written consent of both Buyer(s) and Contractor.Buyer(s) hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation Buyer( Buyer(s) By: h V NC Sign re of Product ager St at re Signature r Print Name of Product Manage rint Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. - - — — — — — — — — — — — — —X- — — — — — — — — — — — — — -X— — — — — — — — — — — — — — — �c NOTICE TftCEL.1fON X NOTICEDIIXANi TION Dale of Transaction . You may cancel I Date of Transaction . You may cancel this transaction,without any penalty or obligation,within this transaction,without ar penalty or obligation,within three business days from the above tate.If you cancel,any I three business days from the above date.if you cancel,any property traded in,any payments made by you under the I property traded in,any payments made by you under the Contract of Sale,and any negotiable instrument executed I Contract of Sale,and any negotiable instrument executed by you will 6e returned within 10 days following receipt I by you will be returned within 10 days following receipt by the Contractor ("Seller") of your cancellation notice, I by the Contractor ("Seller") of your cancellation notice, and any security interest arising out of the transaction will i and any security interest arising out of the transaction will be canceled.If you cancel,you must make available to the I be canceled.if you cancel,you must make available to the Seller at your residence,in substantially as good condition Seller at your residence,in substantially as good condition as when received, any goods delivered to you under I as when received,any goods delivered to you under this this Contract or Sale; or you may, if you wish, comply I Contract or Sale;or you may,if you wish,comply with the with the instructions of the Seller regarding the return instructions of the Seller regarding the return shipment of shipment of the goods at the Seller's expense and risk. I the goods at the Seller's expense and risk.If you do make If you do make the goods available to the Seller and the I the goods available to the Seller and the Seller does not Seller does not pick them up within 20 days of the date I pick them up within 20 days of the date ofyour Notice of your Notice of Cancellation,you may retain or dispose I of Cancellation,you may retain or dispose of the goods of thegoods without an further obligation.If you fail to without any further obligation. If you fail to make the make the goods available to the Seller, or ifou agree I goods available to the Seller,or if you agree to ret im the to return the goods to the Seller and fail to do so, then Igoods to the Seller and fail to do so,then you remain liable you remain liable for performance of all obligations under I for performance of all obligations under the Contract. the Contract.To cancel this transaction,maid or deliver a I To cancel this transaction, mail or deliver a signed and signed and dated copy of this cancellation notice or any I dated copy of this cancellation notice or any other written other written notice,or send a telegram to Contractor. I notice,or send a telegram to Contractor. Renewal by Andersen Corporation, 104 Otis I Renewal by Andersen Corporation, 104 Chis Street, Street, Northbo u h, 1J32, BY NOT LATER THAN North h,MA 01532,BY NOT LATER THAN MIDNIGHT MIDNIGHT OF .(Date) OF 7 ,(Date) I HEREBY CANCEL THIS TRANSACTION. i I H:REBY CANCEL THIS TRANSACTION. Buyer's Signature Print Name Date I Buyer's Signature Print Name Date RbA Copy- White Buyer Copy-Yellow Buyer Copy-Pink QBUP2009.RBArh.MANH NO R T!l Town of �. ? E ndover No. 4 t _ �o h .� ver, Mass, COCMIC"2WICK 111. A04ATEo P"Vrp S U BOARD OF HEALTH Food/Kitchen PER Septic System LD THIS CERTIFIES THAT ................... .... ..................1Ae............................................................... BUILDING INSPECTOR Foundation has permission to erect.............. ........... buildin s on ... ....".04.x...*..................... Rough to be occupied as ........4Z........... .. ........ ........� 4.. Q!"z.............................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service .......... :..:.. :::........................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE Renewal Renewal by Andersen Corporation MA Home Improvement Contractor License#170810(Expires 12/23/2013) psi 104 Otis St.,Northborough,MA 01532 p byAndersen. Federal Tax ID#41-1918413 WINDOW REPLACEMENT an Andersen Company (508)351-2200'Fax:(508)986-7072 WINDOW SPECIFICATION SHEET � Buyer(s)Name Date of Agree ent ;c Qr4 Ct-N a c The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordince with the prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT, of which this Specification Sheet is a part. WINDOW DETAILS 1. Contractor will Install a total of windows in Owners home,using the following individual quantities: Doub ung(DB) Equal sash_Cottage sash(1/3 top,2/3 bottom)_Oriel sash(2/3 top.1/3 bottom)_Flat sill aware(customer is of of Glass loss) Square Check Rail_Curve Check Rail Casement(CS)_Hinge right_Hinge left(as viewed from exterior) Double Casement(CD) 2 Lite Gliding Window(GW) Casement/Picture/Casement(CT)_1:1:1 or_1:2:1 Glider/Picture/Glider(GFW)_1:1:1 or_1:2:1 Picture Window Bay or Bow Awning Window _#Lites Soffit/Roof Shingle/Copper Specialty Window Patio Doors(see separate door spec sheet) Seat to be Primed/Oak/Pine 2. Qty oZWmdows Custom Fit Replacement: 3. QtyoCustom Fit Full frame(INCLUDES NEW INTERIOR&EXTERIOR CASINGS) ExterPine_Maintenance-free material Factory applied 908 Fibrex brickmold 4.Glazing to be: _SmartsunTM _Tempered _Other If other,please specify: 5.Exterior color to be: _Sand_Canvas_Terratone_Cocoa Bean_Dark Bronze_Forest Green_Black_Red Rock 6.Interior color to _ ite_ as_Pine_Maple_Oak_Same as Exterior Note:Woad interiors need to finished by Owner. 7.Hardware:_White_Stone Canvas_Estate Hardware: Style: S. `` Install Lifts with Do le Hung Windows 9. Screens:windows to have:_Half or_Full screens Screens to be:_Fiberglass_Aluminum x ceZ GRiIAE DETAILS 10. Vindows have grilles:_Grille Between Glass(GBG)_Removable Interior Woad(INfW)_Full Divided Light(FDL) ( Owner approved(initials) Draw grille patterns Pelow `Use additional sheet if needed Qty: Qty-- Qty Qty Ift Qty: Qty: Qty: J'E1'.E:1 ADDITIONAL.WORK DEFAE S 1 I. Qty of_Sills—Sill noses to be replaced by Contractor 12. Contractor will remove metal frames of windows. 13. / Contractor will install new_paint-ready or_stain-ready_Interior_Exterior casings in_Pine_Maintenance-free material 14. — mractor will install new_paint-ready or_stain-ready_Interior_Exterior stops in_Pine_Maintenance-free material 15.( )Intls-Owner is aware,contractor does not do any painting or removaVinstallation of alarm system/hardware. It is the �✓�i responsibility of the homeowner to have the ala system/hardware removed prior to installation. 16.—6—Contractor will wrap exterior casings with coil stock of i L color. Note:Wrapping may be required with storm window removal;removal of storm windows will leave screw holes in casing. 17.Contractor will insulate,caulk and seal windows with 3-Point system to prevent water and air infiltration. Removal and disposal of all job related debris, windows,storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. Customer is aware in some cases there will be glass loss If there is glass loss,the amount will be dependent on the type of existing window,type of installation,insert or full frame and the window style. We make no guarantee as to the amount of glass los& Customer is also aware and understands that any and all unseen rot is tluded in this contract.Should any rot be found there will be an additional charge for time and materials unless so stated in this contract. 1 Yvtces El No Building Permit--Contractor will secure any and all necessary permits.The fee for the permit(s)is no ������ included in the Contract Price and a separate check is required at the time of sale for this fee Ck# $ 19.❑Yes F_]No All discounts have been applied to this agreement price. ,A,// 0 20.Additional job delails: i t) 21. Yes❑No Owner agrees to be present on the final day of installation for final' spection and to deliver final payment/finance form(s). It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms.This Specification Sheet may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both the Buyer(s)and Contractor.Buyer(s)hereby acknowledge that Buyers has read this Specification Sheet. Renewal by Andersen Corporation Buyers) Buyer(s) By: / atur of Pr t t Manager t ur Signature ���- Print game of ame of Produ�an� Print Name Print Name TJ�c Co»rmo�r of��� O 600 ojt�tti�toi� qS*bjAftjt,S&CO BOMJI,AU, 02lll Wo>,ere'calape"ation FuBand eart wwro�.nsaa��,yd id&UVPbers Address: 1 a e s S City/StateJ �a-e you an a l:r S a Phone#: S� - S't— p � the VprGprkt�e fro= ad I.0 I am a ftV183 a with 3�__ 4. 0 I am a gen, ,{cantr ar and I of projtxt �ioyew(full and/or part-tm�e).a have hn od ft !6. N (req": 2.0 Ion a sole'peoprietar m © ew eat ship and have no employm These su the�� b-camtnsctors have Shut �' . worjdng far 1ne many c gmchy. MVIOYoes and have waw- g• ❑Deaudkieo [No woriaers'�,ice iosurancet ❑Bu1'ldigg men �4�+d-] S. 0 We are a cotposabici and its I0. 3.0 I am a hommmer dai j all work o�ctaa ❑Blec pcal nWself o hm eaea+cised their �paica or addmons [H wpdcea�s'comp. right of a Per I�GL 11.0 p �8 repairs or addigons ]f c- 152,.f 1(4),and we have no 12.0 Roofrepah Onployebc[No wodmrs' I3.®Other 'may spptioW dW Wwb box d1-o- t do 5U Dodo seotioa �. tAa®eoiHaas�v6embaodt�n belowdewr�4tgwmss. tioeo woe 4knbachn dot eek 66 boot aaat daft•o•vadc,md�o�� � employaea. fft6e nb oaneovc0oos1�.. emplayeek ee R�00t�vsbmd0 mage affho mb'eo purls mod Mw B nj. law fm Jays !€ ' O0p4'p°�' atone en66ar Gave armr�loa� work ao�n"Mm"fo r &dbwkag '. Me bsurinceenpany Name: Yl 11b ; "fin C PONCY#or sw- . 1.1c-0, C t qN?o a _ Job Site Addtrass• n Jam`- SBqftion Dae:' Attmeb a eopy of the VorUrr,empem&,policy d� t1k C�) �/ Fatluee m secure coveUge as d under 25A of MGL 0. 1520�to C WY number cad erp�ttotc��� fine up to$1,500.00 and/or one-year i opris khan of n,up *00 D the violatior. Be advised that copy ofas ciQ d es in die ftm�a S �1tD�a 5ne In, of veification. >�'be faawa�ded to a.O1Sco of fro� J' ' ae ®fes/ at kanwam e �'eanneaC rC�01ft2tad fir we orad. Da ren:°OpMe�Ift of�be Mmlewby�,ori o ty or Town: Authority(circle one): pe�1tllieense �nrd off Etb Y.Builcll IBepae ent 3•�ity/I'own clerk 4.Eleetriesl Pator Qtfser • S'Ielamtbhft hupeeter Person: Phone#: CERTIFICATE OF LIAMLITY INSURANCE IHN CERTIFICATE IS ISSUED AS A CHATTER OF BtFOR1lAT10N ONLY AND NO ��G 82/25/2019 CERTIFICATE DOES NOT AMBNA MMY OR NEGATWt1Y AMEND, p� OR ALTER THE UPON THE�T�TE M01 Tlg BELOW- THIS CERTIFM�,TE OF INSURANCE DOES NOT CONSTITUTE A C B I"UpNe ED Blf THE POS ItEPRESENTATNE OR PRODUCER,MD THE ATE HOS 1. NOR® I ON; an K ndi o h�o Poud� INSURED,the poltor(" Must be oRdoeead. N 8t1gROQ�t,TIOiI tS WAIVED a�t a�ooe�OtoRc otfisa ���� • cas7Nioal�holder In�of aueh onRio o seM€oasonwnQ. A stebsmant On>hk ooe don �confer�W go� momum 1-612-333-3323 XLya coap'alex Jaft"" from os frit JoLpaaa i12-333-3323 to south Itis Street :612-373-7270 Suite 700 KLMUOPPO21e, XV 55402 ARrdRp��AQE IfNfC Q Rsmm€1 BY ladersea Corporation INSWAKII. o1A 2"2maI,IC >3iS CD 24147 106 Otic Street mmuRms. ELTIOIRAb ffvwv P rzzz. HS co OF PZM 1Mi1Ad�C; 19445 i'orthboroah, KL CIS32 NOW=a COVERAGES CERTIFICATE NU�F: 2422!436 THIS IS TO CERTIFY THAT THE POLICIES OF MISURAN QOM NUMBER: ur11 INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM BELOW HAVE BEEN ISSUED CT THE INS(/R® BER: CERTIFICA OR CONDITION OF ANYD THE TE MAY B E ISSUED OR MAY PERTAIN THE INSURANCE CONTRACT OR 07iER WITfI RESPECT TPOLICY X100 E=USIONS AND CONDITIONS OF SUCH POLfCIES.LIIJIITS �BYE BY HEREIN IS SUBJECT TO Al TARS, 1 SHOWAi MAY HAVE BEEN ,THE /otJLYgVEaFet A CAI ow 59028 umm 10 Oa 10/01/13 d11L GHrERAI.URBILITY "wow $10,800 PERSONALEADVN,�Y $ 1,000,600 8+Bd11 A80REIaA7EUMRAPi1LaS;rER �� GATE $4,080,000 PCM P IAC AGG t 3.098,000 >o AUrOWPOW tati MM �21700 20-re-3.12, 10 01 13 t _ ANYAuro 6Y+.odiriq t 31000,000 M10YNO:DAUl06 6001LYIN,IORYO�orson) _ ' SCHEOWMA= RIOOILYMIAJRY(gr�pppek) i HRii31AUT06 z PROPEWY NON-OWNED Auras s � t UMpA"Lwe z oUR4O13355 i EMMLM 410/01/1 10/02/13 EACH 125,000,000 DEDUCUBLE i 25,000,000 � 25,000 ANDERMLOVOW A WWrY JIM 117440 00 ANY YIN 10/01/:L10/01/13 g wCarATU onr 1f�s, undw =1,000,000 ry boo DaxuoEat "JAI t/ti 6L.EACH TION OPERAT�ON6 Eelp�r �'DIBEI►SE-6► =2,000,000 -�LICYUwr t 1,000,000 �1id6aCe aF0/61A ItaCF�71pk5/ U1�ehA00RD109,A/OOpr{�Im IFeoao of TaourEace. 1€ CERTIFICATE IfiOl.fsER CANCEI.�iTIaN !l vL&=oe of Iagumuce SHOULD ANY OF THE ABOVETHE EXPIRATM DATE DnCftoPOUCIES BE CANR2MM SEtgp� ACCORDANCE Wffm THE POLICY PRT*AEOS ft! BE DELNERED a+ AUWAnM RETREMMAWN CJ�ie rpomronzomus�,cr,�.C�o�C�aac�Luaelt i ftiicc of Consumer Affairs&Business Regulation !. ME IMPROVEMENT CONTRACTOR egistration: 17.6810 Type:' Expiration: .1212312013 Supplement RENEWAL BY ANDERSON CORPORATION JOSEPH REZZA 104 OTIS STREET g d� NORTHBOROUGH,MA 01532 Undersecretary Massachusetts -Department of Public Safety ' Board of Building Regulations and Standards Construction Supervisor " License: CS-065272 JOSEPH P REZZ�` --- 168 --168 KELLEY BLVD s N ATTLEBORO MA Expiration Commissioner 04/25/2014 I ' ReniMal »G byAnderserL ' WINDOW REPLACEMENT wnArAcumCafpny WoodMrq►I Composite IF Dual Argon • Low E4 SmartSun Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U-Factor(U.SUI-P Solar Heat Gain Coefficient R III ,'29 gft I w R I ADDITIONAL PERFORMANCE RATINGS j Visible Transmittance 0-n4z- 001=11 mrUwWw4h frrrra br rMr product p.rbrgfMe bWAM01 a _ /MMEwjdmA1p d .SE4,t TGrproOuernwp6w.. I'..., ' �\ Ea WrI.IW�OnI1HN.I A� r.nAaAft—,rak Marry r ^•I.�...�.. Rte-iir lotalfernry,TMuynWYrb ' !'�aaurrl p..bYnd ttt0 • canrtim.r sdocabarai DESIGN PRESSURE(PSF) L M. MA"A Mt Ex- ,25 RbA DB Sloped'Sill DHIN TrWYIw"4rMMAA50MIYMI MYMpR Nrraa wwo Nr aafrmnfo.n Etat awma. NMttar axnad.M.t'A^C.E.C.f.1.t.CC.Air MNIr[bw rq.WmMb nYOatA flaMarkGnhriaa pmprs I I I I I e • gill M.T .iLYWlgI •�/ l.z �' � ' Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Motor location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: lies No 10GL Chapter 166 section 21A-F and G min.$10041000 fine If NOTES and DATA—(For department use - N l I i U Notified for pickup - Date l Doc.Building Permit Revised 2010 I Building Department `ripe following is a-list of the required forms to be filled out for the appropriate.permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L.- Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products 10TE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building pp Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products CITE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products 03TEo All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit fn all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apps al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm:--tted with the building application Doc: Doc.Bui?ding permit Revised 2012 �r Date....... z-..................... �� NORTI� 3?�e TOWN OF NORTH ANDOVER o p PERMIT FOR WIRING CHus� This certifies that ........... r�� ..... z�,. .. has permission to perform ........../.�.�.............. ..............5............................... wiring in the building of............1.'IA.M(.. .`.......................................... at..........�. �.. 71� / ..... ....................... ,North Andover,Mass. ..... a OCO Fee 4:SK........... Lic.No� -':-2,5 ............ ............... ELECTRICAL INSPEC�R 4 Check # , 7991 Date. .. .... ......... NORTH TOWN O NORTH ANDOVER • PERMIT FOR GAS INSTALLATION r. �9SSNCMU°5 This certifies that . . . . . 1. ..... . . :�.^. . . / . . . . . . . . . . . . . . . . has permission for gas installation .�A�'��G . �f.' .... . . . . . . . . . in the buildings of . . S, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .� sal. ?<:�.��`.: . . . . . . . . . . . . . . . , Noah Andover, Mass. Fee<5'.Z . ... Lic. No.2. 2 . . . . Q—. .�..':!` Y'. . . . . GAS INSPECTOR Check# /Mi r11/,4 635`' Commonwealth of Massachusetts Official Use Only f Permit No. '7:1 9/ loom Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.-1/07] (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: 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) 19 find"t'r- -s7-. Owner or Tenant a -1 ,J noy-A1/= Telephone No. Owner's Address ICM S - Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building RP5 ide-le. ec Utility Authorization No. a Existing Service% Amps / Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters i Number of Feeders and Ampacity r�/11� &214Q Location and Nature of Proposed Electrical Work: VLA f ` Completion of theollowin table may be waived by the Inspector o Wires. No.of Recessed Luminaires J No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets / No.of Hot Tubs a Generatorsfn V0 KVA No,of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units ` No.of Receptacle Outlets No.of Oil Burners FIRE ALARIE'IS No. of Zones i No.of Switches No.of Gas BurnersNo.of Detection and I Initiatin Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pum Number Tons KW No.of Self-Contained Totals - " """" Detection/Alerting Devices r No.of Dishwashers ` Space/Area Heating KW Local❑ 'Connection unicipal El Other C No.of Dryers Heating Appliances Q KW SecNotyo D Devices or Equivalent No.of Water No.of No.of Heaters KW Signs Ballasts T DatN of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 2 ' R Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the i mation on this applicatio is true and complete. FIRM NAME: LIC.NO.: Licensee: 5 Signa e LIC.NO.:- (If applicable, enter " empt"in the n t nberti ..) ) Tel.No. Address: Alt.Tel.No.: wi� *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"Lie e• Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. y signature below,I hereb waive this requirement. I am the(check one) owner El owner's agent. Owner/Agent Signature Telephone No.@87`Cl/3,1 PERMIT FEE:$ "�'' `:,.��. �v. t r ti i The Commonwealth of Massachusetts k; ! Department of Industrial Accidents ,. Office of Investigations q;lt�t' 600 Washington Street Boston, MA 02111 www.nmss.g ov/dia . Workers' Compensation Insiitrance Affidavit: Builders/Contractors/Electricians/Piumbers A►Rlicant Information Please Print Legibly Name(Business/Organiza6on/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. Q New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am asole proprietor or partner- listed on the attached sheet.t �• ❑Remodeling ship and have no employees These subcontractors have 8. ❑Demolition working for mein any capacity. workers' comp. insurance. g, ❑,Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10 Q Electrical rep airs or additions required.] officers have exercised their 3.® I am a homeowner doing all work right of exemption per MGL 11.Q Plumbing repairs or additions myself.[No-workers'comp. c. 152, §I(4),"and we have no 12.❑Roof repairs insurance required.]t .employees. [No workers' comp. insurance required.] 13.[]Other *Any applicant that checks bm>t1 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 conuactors 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 isthe policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Ekpiration Date: P Job Site Address: City/State/Zip. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der the pa'of s and penalties of perjury that the information provided above is true and correct. Si ature: l Date:. ' - `" Phone#• Officiat 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. PlumEInsp]ector 6.Other Contact Person: Phone#: 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 any contract of hire, express or implied,oral or written." 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 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 cavy 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.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen'nit 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 nurnber listed below. Self.-insured companies should enter their self-insurance licenses 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 r 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 bum 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 Commonwealth of Massachusetts � �L Department of Industrial Accidents Office of Investigations � 600 Washington Street _ Boston, MA 02111 °` ST Tel. # 617-7274900 ext 406 or 1-8.77-MASSAFE Fax#617-727-7744 Revised 5-26-05 www.mass.gov/dia 4 MASSACHUSETTS UNIFORM APPUCATON FOR PERWF TO DO GAS FITTING (Type or print) Date 3 ' 7 0 NORTH ANDOVER,,MASSACHUSETTS , Building Locations Permit# > Owner's Name Amount$ f 7�y Q� New D Renovation Replacement D Plans Submitted C9 Z W C OZ=. G W Fw+ cL• V < x F• C > d w w Q x a a w R ° z a > w a z d a Q z ° z a c x ° x 3 a tti a ov a > a w H o SUB-BASEMENT BASEM ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR f 6 T H . F L O O R 7TH . FLOOR 8TH . FLOOR i (Print or type) ��/T D Check one: Certificate Installing Company Name corp. Address Od r 2-072r�307 Partner. Business I a ep oneFirm/Co. Name of Licensed Plumber'or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance,policy or it's substantial equivalent. yesNo13 If you have checked es please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D 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 Owner 13 Agent 13 hereby certify that all of the details and information 1 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 Cod Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber City/Town D Gas Fitter License Number Master APPROVED(OFFICE USE ONLY> ® Journeyman I luernard Doherty, P.E. 32 Waban Street Saugus, Massachusetts 01906 Tei. 781-240-2868 March 9,2008 Mr. David Merritt 15 Hood Farm Road. Ipswich, Ma 01938 Subject: 196 Andover Street,North Andover,Massachusetts—Steel Lintel Dear David: On Sunday,March 9; 2008 I visited the residence at 196 Andover Street,North Andover, Massachusetts for the purpose of reviewing the as built condition of the structural steel, double channel,beam supporting the second floor over the kitchen area as indicated in the calculations prepared by me and dated January 10,2008. Based upon this visit I have determined that the beam and supports are installed as per these calculations. a Very ly yours, ti���� BERNARD v WHERTY v;lr Bernard Doherty P.E. &NO.29480 Q sTS SAL��c Date. TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING ♦� �,SSACNUS� . . . . This certifies that . . . . . : .:���-'-cr-:c.-.�. . . .,. has permission to perform : . . !. . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . at .`.���. . . . . . . . . . . ."'' - . . ... . . . . . . . . . North 'Andover, Mass. ii Fee loe!C . .Lic. NoF�','V PLUMBING INSPECTOR I. Check H 7647 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS C / ��,A,rr ,� ���,L Date Building Location 17/l0 A N n(qZ S-� Owners Name y�lilG acp[/YC�3'?' h Permit# Amount —_ f Type of Occupancy � New Renovation n Replacement ' Plans Submitted Yes No FIXTURES roF W v� px O a � W p C x m A w U .a A A a L5 A = SLSB�� rA ]SI:I�IIOCR � M FUJCIR M Y"7OM 4IH RDM SIH RDM 6M)FI1oCR - 7MFIOM SII3 FI�Qt �' (Print or type) Check one: Certificate Installing Company Name Ae,57W� 101-AlElCorp. Address /'nnJ� d 'J 72— Partner. L cam, /N# 19:34 7 Business elephone BO'S _S--1 k- &pfd Finn/Co. Name of Licensed Plumber: --( r,,-Z)2 Pj:C.(-X4 C)kt-p— Insurance Coverage: Indicate the.type of i surance coverage by checking the appropriate box: Liability insurance policy Other type of indemnityElBond Insurance Waiver. I, the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massaes��State Plu •n �and ter 142 of the General Laws. By: igna it ica um er en Type of Plu ing License Title � City/Town APPROVED(OFFICE USE ONLY um er Master ❑ Journeyman APPR i CONTRACT TO PERFORM WORK Work Performed At: Myron P. Dubina 196 Andover St. 3 Carriage Ln. North Andover, MA. Georgetown, MA. 01833 TO: David P. Merritt 15 Hood Farm Rd. Ipswich, MA. Date: 1/07/08 Work To Be Performed 1/. All the interior of the structure damaged as a result of water flooding caused by the frozen water pipe (or pipes)to be removed and replaced in the original condition. This includes;all sheet rock,insulation, window trim, broken windows, doors, baseboard, flooring, etc. 2/. To repair any framing issues that have been structurally compromised by previous contractors,such as plumbers, electricians,etc. 3/. To perform the remodeling as shown in the two pages of construction drawings. This includes the enlargement of the kitchen,reorganization of the washer and dryer, coat closet, half bath area, creation of a new doorway into the family room, enlargement of the doorway from the breezeway into the kitchen on the first floor. On the second floor;the enlargement of the main bath room, relocation of the clothes closet and bedroom door in bedroom#2,reorganization of the clothes closet in bedroom #1. Master bedroom bath and clothes closet as shown on the plan. Rising of the second floor ceiling from 6'11"to 7'8" 94/. All material and labor costs for repairs to frozen water piping and any new remodeling work including gas piping, fixtures and faucets are included. #5/. All material and labor costs associated with the heating system are included. #6/. All material and labor costs associated with the electrical work are included. Pagel of 2 1 #7/. The provisions as set out in the Construction Plans may be altered or amended only by agreement of the owner and contractor for such changes. Such changes must be executed by a"Change Order"or addendum to this Agreement approved in writing by contractor specifying the amount due and providing for the payment of any costs involved in such change. #8/. All Materials and Labor guaranteed to be as specified, and the above work performed in accordance with the drawings and specifications provided for the above work completed in a workmanship manner for the agreed sum of$71,000.00dollars. CONSENT OF OWNER Date: I D Q' By: , Preside t ( CONTRACTOR) Date: Z- R -08 By: za- -- — Owner By: Owner Page2 of 2 2 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address:_AS ►� -1 1a►Z1�1 l7 City/State/Zip: Phone.#: — a Are you an employer?Check the appropriate boa: 4. I am a Qeneral contractor and I Type of project(required)°.� 1.❑ I am a employer with ❑ b employees(full and/or part-time).* have hired the sub-contractors 6 F]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. (Remodeling ship and have no employees These sub-contractors have g, F]Demolition working for me in any capacity. employees and have workers' [No workers' comp,insurance comp. insurance.$ 9. ❑Building.addition , required.] 5. [] We are a corporation and its 10.gElectrical repairs or additions am a homeowner doingall work officers have exercised their 11.R'Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t C. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t SomeemmTen who submit this a f idavit 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am.an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#` Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification Ido hereby c ify under t!hK pains and penalties of perjury that the information provided above is true and correct Si ature: Date: Lof�p Phone 1#: — "ZAtin — Offiq W...use only. Do not write in this area,to be completed by city or town offlcial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: �, ,,� ✓fze -��rvrruvruuP,a.LC�c .l�xtac�ivaelCa BOARD OF BUILDIN6 REGULATIONS License:.CONSTRUCTION SUPERVISOR p' Number: CS 025998 F Birthdate 06/05/-1943 Expires, 06/05/2008 Tr.no: 27310 Restricted.-...00. MYRON P DUBINA 3 CARRIAGE LN GEORGETOWN, MA 01833 Commissioner ti TOWN OF NORTH ANDOVER 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: qej�AIcDt" � ��_ t_► Est. Cost Address of Work J!30 A�[DaJ�t2 5"r. Owner Name: DAU► Date of Permit Application: jA#J (o ' 210015 1 hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Permit No. Job under $1,000 Date 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: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: _Z D to Owner Name I E OORTH TOWN OF NORTH ANDOVER 3r {�`"°°•."�L OFFICE OF ° A BUILDING DEPARTMENT ` 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 sS�GHUSE Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: UASI G , 2606 JOB LOCATION: Lc1lp At 170 (=� S 1 Z%0/041o.0 -MlI 0000,0 Number Street Address Map/Lot HOMEOWNERL7AV l D jERQ aL_ qqp-j- ss`l-Q i 33 Name Home Phone Work Phone PRESENT MAILING ADDRESS IT ►app p 1Z D . i�wtcu Mtn- ot�t38 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE �+ APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSF.RVATON 688-9530 HEALTH 688-9540 PLANNING 688-9535 Location f �`t p c4—&— No. / Z— Date A MOR*M TOWN OF NORTH ANDOVER F „ Certificate of Occupancy $ Building/Frame Permit Fee $ /0 41 �i�s'•^°''t�' Foundation Permit Fee $ J�cNuse Other Permit Fee $ Sewer Connection Fee $ ;i Water Connection Fee $ IF TOTAL $ Building Inspector = 9681 Div. Public Works PERXHT N6. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V / PAGE 1 MAP ddO. LOT NO. /S� 2 RECORD OF OWNERSHIP ;DATE (BOOK ;PAGE ZONE I SUB DIV. LOT NO. i LOCATION l 9 /_ A I u r c5 C. v,ea, PURPOSE OF BUILDING C t ' OWNER'S NAME T h CAS YV\(,j;+ 'e� 'T — NO. OF STORIES �!J SIZE OWNER'S ADDRESS S _1 MR- BASEMENT OR SLAB ! - ARCHITECT'S NAME � SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME �USe,� Le v t� SPAN -- DISTANCE TO NEAREST SUILDINb DIMENSIONS OF SILLS DISTANCE FROM STREET '• POSTS DISTANCE FROM LOT LINES-SIDES REAR •' •' GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW ��1 /-0 SIZE OF FOOTING X IS BUILDING ADDITION A+ )() MATERIAL OF CHIMNEY IS BUILDING ALTERATION Y&Y j2eM /Q / iCh�n O. IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREM;� Tcf h/ecoS OF.CODE Y i0� IS BUILDING CONNECTED TO TOWN WATER Ni., BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER Y� S ICSH I 6d, t-ear, IS BUILDING CONNECTED TO NATURAL GAS LINE Lp INSSTRUCj��S OGev 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES ;.� �S LI f j6$•A 0' H ��( �/" 994, EST. BLDG. COST1 00 PAGE 1 FILL OUT SECTIONS t - 3 EST. BLDG. COST PER SQ. FT. f EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED '-t7 BUILDING INBPUCTOR SIOATORE OF O /E R AUTHORIZED AGENT $� F E E C O OWNER TEL.# 62 PERMIT GRANTED CONTR.TEL.# (A 7 P-793 19 CONTR.LIC.# 0 3 Q GS-/ r r -1 72 I`--P- IF - `''' L H.I.C.# C BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYSTORIES 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 I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE a1 7 13 CONCRETE 81,K. PINE _ BRICK OR STONE PL RST RD PIERS PIASTER _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M AREA _ FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 7-7' 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING COMMC;N VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME - BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING ' STONE ON FRAME _ SUPERIORI� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING I MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I i l HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 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 NO HEATING Page No. of ', Pages., LEV'IS COMPANIES, INC. r .. .: Property Management, Maintenance & Construction Specializing in Rehabilitation of Older Properties • 65 Salem Street, P.O. Box 952 Lavvrence, Massachusetts 01842 (508) 687-2783 PROPOSAL StJBMrMD TO r i PHONE t3AT1 t Thomas & Dena'rBailey t =682-2406 ' 3=11=96 STREET, JOB NAME 2I+AlcoA. e CCkY,STr8TE:and ZIP CODE JOB LOCATION z v r North Andover. 84 .rA 015Andover Street;°North A>zdover` ARCHITECT t7,ATE OF,PLANS JOB PHONE Dena Bazley. We hereby submit specifications and estimates for:. Install new kitchen cabinets, counter tops, .and appliances for kitchen. Install new garden window. Cabinets, counter top, appliances, and window supplied by owner. Install new 8' Anderson French door from sun room to rear yard with exterior landing and stairs. .Anderson door supplied by owner. Install necessary electrical wiring and fixtures for new.kitchen, new bathroom. on second floor, and replace lighting fixture for first-floor bathroom. ' Fixtures to be supplied by owner. Supply necessaa material and labor for new bathroom on second floor above flrst— floor.-bathroom. : Install octagon„'window 1n<secorid floor bathroom 81 ck .off existing, dQar way, and, relocate new doorras-"spec fi. ii All fixtures : o be supplied bjr owner Build -new-.'6' K 26" eYoset xn second€`floor bedroom w%th slidin doors Doors to be} sppplied by.owner k e4 y r Customer has three',working days to .cancels this .cjLgnl]M We PPOpOSe hereby to furnish,material and,labor—cornptete in-accordance with above specifications,for the sum of: TEN THOUSAND and OQI100 --- _--- ----- - - t$ 16,060_ — -' -dollars ). Payment to be made as foitows y ” . ' r F All material is guaranteed to be,as r specified.-All work"to tie completed in a workmanUM: AUthoRZed manner according to stamtard'praohces.:Any alteration or deJiation from above.'specdxatxxu S1 nature involving extra mats will be;exeeuted:only-upon written orders and.wdl become an extra . charge over and above the estimate. All agreements contingent upon'strikes,`acci is or. e h G:: s delays beyond our control.Owner to carry fire;-tornado and other necessary insurance .Our Wife: is p accepted rhay be workers are Puil covered b workman`s Co withdrawn by us if riot accepted within 10 da. . Y Y mper�sation tnsurarice ys Acceptance' O F!OpOSalThe above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the Signature work as specified.Payment will be made as outlined above ? Date of Acceptance / '� Signature ;M\til i Ij i - � _r _ ;( _ g � ' ;,� � �'�p,1�•�1"r, � yA3 � ,}. �,�,�i��_�•":fir, �r AJ.r 4 ak aP. �s1 Kau Wd tfr�F��7 �� dei- f►��f�t` y.t'.1t '+lBF+: .',;:,y�.,#t ��,,��,`'� li q't HOME IMPROVEMENT CONTRACTOR + �4 Registration 1031,12 ' ,tt�t,J.rpe'�$ VNDIVIDUAL , . zpT ionO7/6/%, �;# osepevi1 -'�� e •t. ��*+ +�� $,} ���X65},�a���'St; .,• ` MI �y�,, Nrence`•MA 01843 r"t?I . ADMSTRATOR 'It="I4: a 11 i ' I �..t • P� y] ,1 1 2 ,+ys,„ t�.'t*-44�� .e''..A':��•� :t�- .!����L*_4 r� .. .. _ 4,'.fiT"k-�,y�.�'ty ='� .�;•.r a\ ��,'!>r,.._ �F�^- .s-.a..� .. I "'., 7MI, '"F wr"_ ^ � e t.. ..--raR+..3c a+.•r.s.,:.,-..�a..yy�y �M�Y:r+,�r�•. i.:� - ..� ,i. r.,«. r -_ ,. .�4 mi.., z:- AQ �•..s..,�sy,wst>«a,..„„ # :�:a-cawrm"Y•+k*+."w3 try;.,.a.,- �_,,7�, .-.�,+y,yCy..wr. ...�.,. ,... .a...... dam. =r, �cr'x > s.�r� - �iF°�� •ui- w - 3 ^s�.Af: '�' ��.'a� 57 J�•k &, .a-a f�i a� ,4 •�� � *'.1� ` y 3 - t' rv�` �. 't a� ar'�"W .�. °$• �^.,,gy� _ �� ���"~•� r � ,� �_��> {::« � S '� r-..,,,;�. ........ �F`-i' - ._ ._ _ ,w�.-`..:..._. 't'�'' w.`�' *'.f+t e.,�F`4k!Ci ^�i�� r1 M k'�, _ r PSR3flT NO. APPLICATION FOR PERMIT TO 81111.0 — NORTH ANDOVER, MASS. PAGE 1 MAP+JO. LOT ND O. 2 RECORD OF OWNERSHIP ATE BOOK _iPAGE r -ll r ZONE SUB DIV. LOT NO. IIf LOCATION PURPOSE OF BUILDING • t � 9 (o o ��e r �-i-�ea,�� � OWNER'S NAME NO. OF STORIES l! BIZE:- Thi ►mus . i !ems _ OWNER'S ADDRESS f' _�W1 BASEMENT OR SLAB ;•a,•. - p ARCHITECT'S NAME Y SIZE OF FLOOR TIMBERS IST 2ND -- SRC, j x BUILDER'S NAME 7oe.n �S (. ( SPAN L�v v - DISTANCE TO NEAREST BUILDINb DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES —SIDES REAR GIRDERS - AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEWSIZE OF FOOTING X IS BUILDING ADDITION , / (J MATERIAL OF CHIMNEY IS BUILDING ALTERATION 1QSRe _JQ / [/ifCh�n O. - IS BUILDING ON SOLID OR FILLED LAN y[ 4 (1 7 9- Ax§ WILL BUILDING CONFORM TO REQUIRE M NTS OF.CODE O� /� IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF?NY IS BUILDING CONNECTED TO TOWN BEW6R IIlop J c 1 CA 1 YL4 8/`EY'7W y FeEc IS BUILDING CONNECTED TO NATURAL�AS LINE ,r ' s OPERTY INFORM/TION G "g 1�L S u , Dn I j R CJI�S cS (►t j cl, 1 �'f 1 Co � �,,,�,/4 LAND SEE BOTH SIDES J.- �-S �1. C larQ� I N (/S V"� 1 ��V'0 ee ""� �- - Y^�•`- EST BLDG.COST e.71 ` OO cl• PAGE i FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC-PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 PPROVED BY t i ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ri' I....... M.. {•. DATE FILED *WLDING IHiKCTOR SI AT E OF O E R AUTHORIZED AGENT ' FEE OWN ELI � r " PERMIT GRANTED CONT 'tELI s 19 CONT C.1 +. 35 �Lis M H.I.C. �. I �� K t t NORTH - o o over sem- o 19=- f ZjCOCHICHEWICK ORATED A iC. - rim T ■ 5 BOARD OF HEALTH ' nM I T. !Food/Kitchen .� Septic System ig�.Y BUILDING INSPECTOR THISCERTIFIES THAT........................................................ .......t .........................................................................,,nn ,,�� 11 pp �� Foundation rr i^^,�,n t0 Meet-............... �� � buildings On ......... ./. �P.......!/'� .!.V. J�trl`......................... Rough to '00 Ccc" :r1J'd as lc��. ......... i4�`!�'� ............................................................ . . Chimney provided that the person accepfing this permit shall in every respect confor 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 Void "this Permit. Rough 'E <MIT F XP S Irl b MONTHS Final A IQ E;SS CONST ZLICTION ST TS ELECTRICAL INSPECTOR Rough Service BUILDING INSPECTOR Final Oc cpc icy Permit R giured to Occupy Builth; GAS INSPECTOR Rough Display in a CI nspicuous Piaceon the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inst ected and Approied by the Building Inspector. Burner Street No. s Smoke Det. 2 926 Date.. . ,ORTN TOWN OF NORTH ANDOVER ?py 4,.ao 1e,�0 F p PERMIT FOR GAS INSTALLATION SSACHUSEt Y. . This certifies that��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . ` ?'}4� ! �. . . . . . . . . . . in the buildings of-,, . A.,. . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . .. North Andover, Mass. Fee 4- Ca8li3/ eiP:�� 3. . . . . . 00 PAID GAS INSPECTOR. . . . . . . . . . . 1. I WHITE:Applicant CANARY:Building Dept. PINK:Treasurer z � o MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING v (/ Type or print) Date / �3 19 Q NORTH ANDOVER, /MASSACHUSETTS �l c� Building Locations /�- D y C Permit# / 3 Amount$ Owner's Name —7— L C New❑ Renovation ❑ Replacement 0 Plans Submitted El � w � U w w z 0u v, w o ca x x z �" a z o z w oa m N w a, a � � w -t w w w w w z d x z w w w H x U F z .a E. w w v c > w E~ v a F w z -t w -� -t m ca z o z w o m x w > w p a Z -1 o C w Z o w F- u x o x w a U a > 4 a. F o SUB-BASEM ENT B A S E M E N T IST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR ST H . F L O O R 6TH . FLOOR 7T 11 . FLOOR 8TH . FLOOR (Print or type) Check one: Certificate Installing Company Name ✓C / ❑ Corp. Address ❑ Partner. 9W 0 Business Telephone -2– 7 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Chec6��No Ihave a current liability Insurance policy or it's substantial equivalent. Yes ❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. S 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 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas d Chapter 142 f e Ge eral Laws. J By: Signature of Licensed Plember Or Gas Fitter Title ❑ umber c3 City/Town ❑ Gas Fitter License Numoer ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman N° 2721 Date...L.J.... .... .7.. CJ r pORTM w 3?0; TOWN OF NORTH ANDOVER p PERMIT FOR WIRING CHUS This certifies that ....... S ...................................................................................... has permission to perform ....... .. .:..... �.V.U ...................................... wiring in the building of . G i �... �....:../... . �� F t `1`' `..�P' � ... ,NottAndover,Mass Fee......... /: Lic.No. ./../..�................... ..................../ !�h EIr�C�TRICAL INSPECTOR v Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 111GW1Y11YIV1VY►'1SAullnVCIOfficeUseonly DEPARTMENTOFMIKSAFM Permit No. BOARD OFF7REPREVEMONREGUMMAN 527 CM 12.-10 Occupancy&Fees Checked UA PPUCATIONFOR PER f TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 11 l�� UC/ Town of North Andover To the Inspector of W ices: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) a C? V) � L),e t- Owner or Tenant T h r; tm na S ► J Q Owner's Address Sa VYl P Is this permit in conjunction with a building permit: Yes[Z] No (Check Appropriate Box) Purpose of Building S 1 n CT rn t t- Utility Authorization No. Existing ServiceAOU Amps / _Volts Overhead Underground ® No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work _�A/ it d h Q 1 h 4 ,u U vul 1 W t tm n I4�ou���_ No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total No.of Lighting Fixtures Swimming Pool Above KVA Below Generators KVA ground Eound r No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumers 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 T: .of Dryers Heating Devices KW Local Municipala Other Nr�of Water Heaters KW No.of No.of Connections Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER IrstranoeCo>aage:PtestptY9athetagtriianabs�GenealLaws Iha eaomertLiabkhiam=Pbfxyrck&CCUTpi ae Covuagecrts leq valeit YES NO 71 Iha%esutirni validpoofofs&ne1otheOffm YES P NO r If}cuha,..edxdwdYES,pleasemdc*thetype muagebydrd>he INSURANCE BOI\D o OTHER o ) Esti r"Od VahtecfFJedrical WCdc$ Wak oo Start (� `oCl ... ISR d Rough 1 1,� U Fatal Sigl7W underlie I'dulties ofperjuty. FIRMNAME e L.' O 07 J2 0 k7 �S' LioatseNa _ qq 7 �I LkEnsee 1 D 5 h lr Pu t Sigl t W IioalseNo Bts¢tcss Tel Na Adm �a S: a b W La w rPl OWNER'SPWRANCEWAIVK lam aw=ditthe Lxmsedoesndt ethe inaatoe wvaaw ortls i awAaltasmWWby MassXhuxilsGffxral Lam acrd the my sigtraftsern this pear[&tea t wain flus , (Please check one) Owner Agent Telephone No. PERMIT FEE ,� N2 19U- 7 Date... :. 3:. .... t MORTIS, 3�°.,;�`'°:••"°°� TOWN OF NORTH ANDOVER t, I . PERMIT FOR WIRING ;CHU This certifies that ......................................8 has permission to performer............................................... .:.. ............... wiring in the building-of.yL , -��y� // ................... .................. at.../ C - 1 �/ .......... ,North Andover,Mass .....c..lr............................ '` `'................. M Fee..��..... ...... Lic.Noq.1.7 /............... ..............................................� ELECTRICALINSPECIOR Ij WHITE:Applicant CANARY: Building Dept. PINK:Treasurer V Office Use Only I Permit No. 7W 775 -t 9�,e.Hr..a.c Sammy Occupancy&Fee Checked, BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cade 527 CMR 12:00 /j �'g(Please Print in ink or type all information) Date f3 A V 6` To the Inspector of Wires: 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 ` Is this permit in conjunction with a building permit, es D No ❑ (Check Appropriate Box) } Purpose of Building / Utility Authorization No. � /lJ Existing Service ,Amps Voits Overhead-21' Undgmd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity /� t Location and Nature of Proposed Electrical Work Zi Z /� P&-V--1 2 ` J t 11 Total ' No.of UghtSnq Outlet, No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimmrn Pool and ❑ and ❑ Generators KVA No.of Emergency Ugnting No.of Receptacles Outlets No.of Oil Burners Sattery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Oioosal No. Pumas Tons KW No.of Sounding Devices No.]of Self Contained No.of Dishwashers Soace/Area Heating KW DetectiorvSounding Devices ❑ Municipal ❑ Other N4 of Drvers Heatinq Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Si ns Bailases Winn No.Hvdro 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 submttteA va SURNC = Blid proof of same to the Office YES= NO = If you have checked YES please indicate the t gfoverage by checlting the appropriate box INAE. ONO = OTHER = (Please Specify) (Expi onra�l Date) Estimated Value f E! 'cal rk Work to Start s_Th on Date Resques Rough Final Signed underthe PenaMes of pedury: FIRM NAME d r LIC.NO. Ur ansae i6aaSignature // LIC.NO. r-4-2/ �/' 19 Address / �0 7 Al ,. ///� �GAIt TeT 1 No: OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE 5 (Signature of Owner or Agent) it N� 269- 7 ���A/U �.. Date.. .. .... ..... r HORTI{ °�s"`°;•�"° TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,SSAcmUSE� certifies that ..... .................S �"' This certi ` .....S�....... .`�... has permission to perform s f.R L) <•E G h G .. `....................... wiring in the building of..........l...U n 6 c%J 1................................ ` 4.G...... G� �T ............. ,N rth Andov F, ass. at.............. ... ..... ........... ...... q� Fee......�.).-.�.. Lic.No.,A.?? ...............,,,...."""".,.����.. ... .. ..... . ......................... r�cnCTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer �. Official Use Only ` Permit No. �/ DeAantt�� Sam Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date 16 To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number 7- + (p V1 ofd'dy-P.r, S r e Q j- Owner or Tenant 1 o Owner's Address S o- VYL Q Is this permit in conjunction with a building permit Yes 0 No- (Check Appropriate Box) Purpose of Building_ S t In ed 4E- f e r^o- Utility Authorization No. O O O Existing Service �!}Q Amps Voits Overhead 91. ' Undgrnd ❑ No.of Meters New Service GT Voits Overhead ❑ Undgrnd U.--' No,of Meters N amber of Feeders and Ampacity C'a,v t L o Ili 7 2 (Q 0 a, C)(./ VW U h dPrca t+�.v Location and Nature of Proposed Electrical Work 1 No.of Lighting Total Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Receptacles Outlets No.of Oil Burners No.of Emergency Lighting Batte Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di osal No. Pumps .Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area HeatingfCW Detection/Soundirig Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Si ns 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 equivalent6-ESJ NO = haave submitted valid proof of same to the Office YES= NO = If you have checked YES pleasein icate the type—of coverage by checking the appropriate box. BOND = OTHER = (Please Specify) 6 1 (Expiration Date) Estimated Value of Electrical Work$ oZ ;10 a C) fO,G..o 0 Work to Start Inspection Date Resquested A P(It' Rough Final_ Gt+ [ C Signed underthe Penalties of perjury: FIRM NAME U 11 (A LE, QS' LIC.NO, y 7 Li ensee 41 q -7 rl' O S Q. h G LP C;L..J Signature LIC.NO. �� Cl (l P ( / Bus.Tel No. C 7g 6,g 7 Address n) F e Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this mit application waives this requirement. Owner Agent (Please Check one) ( na of Owne` a f'or ent). Telephone No. �ERMITfEE $ � . dJ d' v "COM �A�TH'OF MASSACHUS n 4` ELGGT `�.1A ;. ne M W�r. a ISSUES THIS LICENSE'TO. ,Q/+ P T .IY C r 7 Yi" I 9 Office Use ON _ of 4e Tommunwr# of fiagoar4ulietts Permit No. +9epartmettt of Ilublic t6afeig Occupancy,& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) af7" '4 - /c• v 0 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) Date )z ( jai or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) D1/ Owner or Tenant Owner's Address Is this permit in conjunction with a buy ding permit: Yes No ❑ (Check Appropriate Box / /Z Purpose of Building A&_ L4 Utility Authorization No. Existing Service 1_11 Amps) Volts Overhead ®_ Undgrnd ❑ No. of Meters New Service Amps -1 Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Locatind Nature of oposed Electrical Wo I2� l D, Vlalt � I S 17/�A4 1G No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures //I I Swimming Poogrnd.l Above In- g 9 1 v g El grind. Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners Battery Units No. of Switch outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and 9 tons Initiating Devices No. of Disposals No.of Heat Total Total P ` Pumps Tons KW No. of Sounding Devices y No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices I Municipal No. of Dryers Heating Devices KW Local 11Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: he requirements of Massachusetts general Laws INSURANCE COVERAGE: Pursuant tot q _ have current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES _ NO — I I aeacu e Y Y 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 r OTHER � (Please Specify) (Expiration Dates Estimated Value f E ectr'ca W rk S G- s Q ///' Work to Start 4 Inspection Date Requested: Roughs Final Signed under th a alti/es De/rjUry: FIRM NAME �` v�J rl v LIC. NO. Licensee Si nature LIC. NP. / � �l� /�J�j Bus. Z. No. Address �A) - 1�.11�// f� L tf Alt. TeI. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE 5 (Signature of Owner or Agent) x-6565 _ «-r,ir..�.-;. .-v.--`_�.,�-��a...-r...r--^*xd..x.rra:•,-.-,;;e.,;�.'a„d:•.�-,3.i;:ti-r`.ti�,:r"-�.:o, .y'--. . ' r Date.....�.�...�Z.. 9XJ. 2994 HORTM TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,SS�ICNUSE� This certifies that .... .. ..... ..,has permission to perform wiring in//the building of..:..... . .' .. .................................................. at./..��..4... ./t'l.wl/< 1..h T..................... ,North Andover,Mass. v � �7a Fee..... .�... inLic. ............... ............................................................... ELECTRICAL INSPECTOR 04116 9% 07M— F 70.00 PAID WRITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File Date. 142 3789 "��7M 1tia TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING f ^ _ ,SSACNUS� This certifies that . . . . . . . . . . . . . has permission to perform .. . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the ildings of . . . . . . . . . . . . . . . . . . . . at. .�.!p .brd . . . . . . . . . . ., North Andover, Mass. Fee....5-. . . .Lic. NAC/oz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 08/13/99 12:18 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer o MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING �.� (Type or print) NORTH ANDOVER,MAS ACHUS TTS Date CH Locations d► ji �/ 1 Permit # Amo nt Owner's Name New ri Renovation El Replacement Plans Submitted n FIXTURES w > rA w F a E~ w C w a w a sA x Q w w w d F d a d d O d F SLBRSr'IC B4SBM T MR M Z10 RfM $al FID(R 4M FUM 5M film 6M RIM 7M Rfm 9M FLOOR (Print or type) Check one: Certificate Installing Company Name Ode Corp. Address ` L Partner. Business Telephone ,r2 'j ElFirm/Co. Name of Licensed Plumber: GLlo J� a Insurance Coverage: Indicate t e type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy Other type of indemnity Bond Insurance Waiver: I,the undersigned,have been mdde aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate tot e 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 to Plumbing Cofi an hapter 142,of the General Laws. By: Signature or-EicensEwriumoer Type of Plumbing License Title City/Town License lNumVer Master El Journeyman dyl APPROVED(OFFICE USE ONLY MASSACHUSETTS UNIFORM APPUCATION FOR PERMIT TO DO PLUMBING -1 (Print or Type) NORTH ANDOVER, , Matt. Oats r` _ig� BuildingPermit oZ K /J Location/? 6' /I vPJ/ S a'�C7 Owner's Name L—r New p Renovation 13---, Replacement ❑ Plans Submitted: Yes p No p� FIXTURES . - w w w Os i h w r 11 J. w N S w O _ kvi a: a3 w s _ � M � w N e w h u w •s se s • � s et e l e s se. • ..e , � s. � . 1_ ►. r Q fW < O s .01 :< F :s<r %' w o • t ..1r tUl! ffMT. fAftarfHT _ 1-1462 FLOOR 4TH'FLOOR - - - STH FL0011 GTH FLOOR l.TH FLOOR 0TH FLOOR — - Check.-one; certiticate� Installing CompanCow- Address ri.Co Address - - _ _ .�_. ❑Partnership-_ . 0 Firm/Co. »_.,. Business Telephone Name of UcensedPlumber i e.. d © INSURANCE COVERAGE: Check—one/ have a current IlabAlty Insuranceypoilcy pr Its.-,substantial equhWenL Yes.L _Na 11 you have checked y pieaie indicate.the type coverage by checking the appropriate-box. A flab IKy.insurance policy ,a Other type of Indemnity OZ'ofld ❑ 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 m signature on this ..� � y _ g permit appitcatton`waKtes this regulrement ,- ,. Owner (1777777=, � < ,. ❑.." Agent p - sitrre o Owner a Owner f en _. _- _ I hereby cwtily that all of the detaNa and information 1 have arbmitted lot entered)In above application art true-and-socwats 1'o the best of my' knowledge and that all plumbing work and installations perfofined under the permit Issued for We applkallon will be in cornpliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the laws,- By i�C . . Title Sgnatxe Cl _ Ctty/Town License Number 7 �4 7_43 Mf'1iGlED (OfF10E USE ONLY) Type of Plumbing License: Mastef p Journeyman �"i�.d/ swsT1..Y �F. •... -16 Date. .��.-./.TO 1 ., 2886 NORT/� •�41, TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ,SSACMUS� ^ f� This certifies that . . . . . . . . . . . . . . . . . . . . . . has permission to perform . .,�� h4/J (.f!��'�s. . �.. . . .~.' plumbing in the buildings of /.•. . . el . . . at. .1. .� . . � '.,, , . . . . . ., North Andover, ads. Y3 s.3. PLUMBING INSPECTOR ClG'�3�?J,04/16/% 13:37 45.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Printf�or Type) Mass. Date ��' /�--10d/ Permit # Building Location_126 AAADa l/C 2 S7 Owner's Name A/Lc-\ ~" .. Type of Occupancy tFS)e-1P _17d,1 New jj Renovation ❑ Replacement ❑ Piarfis Submitted: Yes[] No ❑ 00 54 W N NN N 0 Z tt CC W n' N ¢ O W W C O z O W 4 Cr4C 0 O }' W � m rn r m W0 a ►- W 4 N C W Z V = N w < a O' c ' W W 1' 4 W "r 4 C 0 Z o t. F' yW W O > z W J ��. W m � o Iyn x a '= O tl r'i 3 C d J V ¢ y p a F- O 8 BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Acitress_ 55 MARSTON STREET �O Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business.Telephone .68.7--1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes R( NO ❑ if you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy ' � Other type of indemnity❑ god ❑ 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'slgent Owner[] Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and accu�te to the best of my knowledge and that all plumbing work and installations performed under the permit issu f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. (j i Type of Ucense: . Plumber Signature of censed Plumber or Gas Title Gasfitter City/Town Master Ucense Number 8697 Journeyman O F FIC SE ONL BELOW FOR OFFICE USE`ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO DO GASFITTING <, NAMES TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIG NO. PERMIT GRANTED DATE x....19 GAS INSPECTOR Date.S. ..`. ...... .. „ORTH Of '1,y o� TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION L s ��e -��. .-th 9SgACMUSE� �v V _ This certifies that . . . 1 y/ . . ... .' . !.. . . G!J . . . . . . . . . . . . i has permission for gas installation . . .. . . . . . . . . . . . . in the buildings of . . . .`.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . at .,�`.%�. . � � �I� . . .'�: . . . .. 14. . . . ., North Andover, Mass. Fee. . Lic. No.J. . ?. . . . . . . . . GAS INSPECTOR Check# f 363i 1 MJRT4 JOYCE BRAD" 'AW TOW'♦ C, "k • NORTH ANDOVER MAR R 10 40 PM '�b TOWN OF NORTH ANDOVER MASSACHUSTrS _.._ set,from date of BCARD OF APFEAl c _ �'ofanappeal. Data Joyce A BrBdsha>tf Town Cleric Any appeal shall be filed date of filing of this Notice within(20)days after the NOTICE OF DECISION in the Office of the Town Clerk. Property:. 1.96 Andover St., North Andover, MA NAME: Thomas R. & Dena J. Bailey DATE:.3/11198 ADDRESS: 196 Andover St. PETITION: 008-98 North Andover, MA.0.1845 HEARING: 3/10/98 The.Board of Appeals held a regular meeting on.Tuesday evening, March 10, 1998, upon the application of Thomas R. & Dena J. Bailey,.196 Andover St., North Andover,.MA requesting a side setback for a front porch and to add a family room and master suite,_of the Zoning Bylaws, in R-3 Zoning District, The following members were present: Waiter F. Soule, Raymond Vivenzio, Scott Karpinski, Ellen McIntyre and George Earley,. The.hearing was advertised in the.Lawrence Tribune.on 2/26/98 & 3/3/98, and all,abutters were notified by, regular mail. Upoma,motion made by,Raymond.Vivenzio;_and°seconded:by GeorcleEariey;.the Board'voted.to grant a.Variance for_relief of a front porch setback.of 13..1 feet;and relief of a side porch setback--of 12.T feet and:for relief.'of.9 feet for street frontage',for am additibmof a;front porch:and.family°room,and,master suites.refer to:Plan of Land d'ated.Febrvary;16,1999:by Appleton Land.Surveying,.Inc. Voting in favor:: Walter F. Soule,.Raymond Vivenzio,.Scott Karpinski;.Ellen McIntyre, George Earley, Thepetitioner has satisfied the-provisiom.of Section,TO paragraph 10:4 of the Zoning bylaw and thatthe granting,of these variances will not adversely affect.the-neighborhoo&or derogate from the intent:and purpose of the,Zoning Bylaw, The.-Board finds thatthe applicant has satisfied the-provisions-,for a Special Permit:of Section.9; paragraph 9.2 of ttTerZoning bylaw and that such change,.extensionor,afteration,shail'not:be substantially moredetrimentaKthan the existing,non-conforming structure to the neighborhood.. z Note: The graining of the Variance.and/or Special Permit as-requested by the applicant does,notnecessarily ensure the granting-of a building permit.as the applicant must abide by all applicable local,-stateand federal,and. building codes and regulations, priorto the issuance of:a.buildiing,permit as requested by the Building,Com mission. rBOARD-OF APPEALS- Walter F. Soule;.acting Chairman /decoct2_ ATTEST_ A,Mme Corgi Tia Clark Ir r . • C1 rr 3 Y 1 Y � ;• i4 k , Registry of Deeds f N°r`th?rn Distract 0fEss ex.,Cnu ;LarKe,' t1 01840 04129/,,98, DENA BAILEY OT # 12 keen Type FLAN Inst 12676 1G'�' # 1v Ret: copies '1.56 Inst 12677 Type DECSN 10•00 Total 2-.50 # 14 Payment Check 27.5U THANK YOU! Thomas J. Burke Register of Deeds r _ M Location /1 r,- No. Date all 40 RT" TOWN OF NORTH ANDOVER n Certificate of Occupancy $ Building/Frame Permit Fee $ Eta Foundation Permit Fee $ sACMUS Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ T� 293.UQ PAID Building Inspector 10278:31 Div. Public Works 11 Ucation lto. �T Date !� / NORTH TOWN OF NORTH ANDOVER n Certificate of Occupancy $ * Building/Frame Permit Fee $ ;�s''••°'E��' Foundation Permit Fee $ JACMUS Other Permit Fee $ I Sewer Connection Fee $ ' Water Connection Fee $ TOTAL $ Building Inspector =" !� 05/18/98 08:31 293.00 RAID Div. Public Works I'E'4tMMNO. Z ! APPLICATION FOR PERMITTO BUILD**** 'NORTH ANDOVER, MA hi%I,ND. a /� I.or.NO. .0 2. HE(ORD DFOFI'NLRSIIII' DATE BOOK PAGE ZAIht: L SUB DIV. LO NO. 1.0( AIIONh U� r e� III IRR)st:(M 111111 DI NG \ OWNER'S NAME /� No .OFSI'ORIES SIZE 1L U � OWNER'S ADDRLSS U e r, ,- BASEMENT OR SLAB Base AR(1111 NAME ST ND SIZE OFFIOORIIMBERS 1 U 2 3 BI III DER'S N.4AIE �QSP SPAN DISI ANCE To NEARESI BUILDING DIMENSIONS OF SILLS ) / Do U G ele DIS I ANC'E FROM STREET A M o-c kal DIML•NSI(NJS Of:I't 167 S DIS TANCEFROM LOT LINES-SIDES REAR QG DIMENSIONS OF GIRDERS AREA OF LOT SGS O p O FR(XJTAGE o! </ IIEIGIff OF F(A)NDAll(kl THICKNESS � b ISBllll_DINGNEW N Q SIZL'OFFO()IING "1 11 X IS BIIILDIN(;ADDITION ` PS )1 '( MATERIAL OF CIIIAINEY IS BUILDING ALTERATION IS BUILDING OJ SOLID ON(FII LED LAND �A-II I.BUILDING CONFCN(M TO RE(�UIREMEN'1'S OF CODE VPS' IS BUILDING CONdNECTED'101OWN WA IER l BOARD OF APPEAIS ACTION,IF ANY 5 IS BUILDING CONJNECIED TO TOWN SE WLR L/P� IS BUILDING CONNECI ED TO NAflIRA1.GAS I.INE INSI'liCHONS 3. PROPERTY INFORMATION LAND CCISI ESI.Bl lxi.C06T Q 0 PAGE I FILL Ol IF SECTIONS 1-3 EST. BLIXi.COS f PER S(?, FT. Q�' EST. BLIx;.COS f M-R Rc OM D ELECTRIC METERS MUST BE ON(NFTSIDE OF BUILDING SEP11C PERhtI f NO. Arl ACHED GARAGES MUST CONFORMToSTATE FIRE REGULATIONS a. APPI(OVED Bl': PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BIRDING INSPF.CT(N( DA I E FII ED OWNERS I Ft.# z 4 Q)� C(NNI RAEI H (o 2 -7 z 7,zS!-,3 COM'R.I.I(N U -3 G is ' SI(i TI IR .OF OWNER OR AH 111ORIZLt)AGENT FLI: ' `/ 1 4RKIIT GRANTED C A -7 19 7 7 n ` ° A V FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements.` *****************************APPLICANT FILLS OUT THIS SECTION********* _L Tae I—e-CJ Ly APPLICANT I hams 0 �� ( �P� PHONEJ�P 7 7&3 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREETST. NUMBER l �� «,�,►*,►*************""**************OFFICIAL USE ONLY********* RECOM ATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED i COMMENTS b TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT�Ja - FIRE DEPARTMENT . h: : .11�kj�Z, RECEIVED BY BUILDING INSPECTOR DATE ' � I I ' I ' � �1ae U/MfVI/ �IA/L o�✓l��`uaeCla ' HOME IMPROVEMENT CONTRACTOR Registration 103772 Type - INDIVIDUAL Expiration 07/09/00 JOSEPH G. LEVIS 65 Salem St / Sox 952 MA 01842 ADMINISTRATOR KFART E11 �Of'P..Oftl SRFETY } CONSTROW1UPEWISK,LICENSE ^ K EX EJ�5> B'irt wee: 'r 46, [{1 LlliiR�NCE, Ntk Y2 �5 'S: ?k"w�':t'!s.p.Y'I- ':°Fr��'s.r`�=w"'*.vwew.cw,s•.�*��'+-:r_�y��� ,t.�..� ny'-�' •3�. :��. 4 7 m A A MerdiantsIlk / M �a7 PKi PAi�EC� a /�1r�9 II IL / ■ hiarance —7 MERCHANTS MUTUAL INSURANCE COMPANY 1 %/ ■ BUFFALO,NEW YORK .�. . Group ® MERCHANTS INSURANCE COMPANY OF NEW HAMPSHIRE;INC. ® BUFFALO, NEW YORK 14202 BUFFALO,NEW YORK INSURANCE IS PROVIDED BY THE COMPANY DESIGNATED BY AN 1 ^ RE NEF►,�L Cc <Tirii;ATE DECLARATIONS — COMMERCIAL GENERAL LIA61LITY CiiVEFAGE FOL ICY NL. 800-27-6LN'5.Ei:: C0NT§ACTCR5 COVERALL PLUS LEVIS CEMPANvIES INC CATALANO INSURANCE AGENCY INC PLS iiCX 952 P L t3CX 6 0 y LAWRENCE, EESSEA Cts., METtiUEN's NIASSAChUSETTS NAA 01842 C1844 C39`21 POLICY PERIOD: FROM 06/23198 TO 06/23/99 12:01 Ai' STANDARD TIME AT YOUR MAILING ADDRESS SIZC-WN A&GVE IN RETURN FOR THE PAYMENT GI= THE PREMIUM, ANE SL13JECT TU ALL TtiE TERX5 CF ThIS P`GLICY. WE AGREE WITH YOO TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. LIMITS OF INSURANCE: GENERAL AGGREGATE LIMIT {,_ �g,_,, 2,�ON1N3•t3G;{3 (CT#fER •.THAf4 .PRIjOUC-TS . ETEDGPERA.T.IfjNS3 �s " PR€DUCTS CN3N�€PLN=YETI N3PE�RATI GREGA.TE LIMIT 2 .000,4(1{l FERSC-NAL ANI} ADVERTI I.K& INJ IT 1,bIIO tI{J'{I" EACH GCCURRENVCE L FI:FT �° �__ g'>`I.Otl4•DI3.+G FI,RE D:`A�#AG LTMIT r �fl"s1El€lil AI�€Y: CSirE .FIRE': Mkll-C4L I EX��, LIX1,T n c el, ANDY' ONE N 10 tINfCRIPTION GF SSI- €ESSj• € O ` Tip k . . FORM OF BU-Sl NESS ;COR-P RATIN i 3 8US.I`NESS. OESCRI-PTTUNZ CARP;ENV LOCAT'I[I b OF ALL-, #'E iISES R NC OC UI?. L.00 A,T I Gid- 4 1 60 PINI ST METHUENv KA w � �- G�* g• t �T'u � �_,� MMrr " t t. �^ n_ #�a .VER 'AOE P"ART,4- Slw5'.iIl4,.:*CC A.U011T FR-EQUE'NYCIf= ANNU-AL- W: •- r v t. . 5 ' TOW Ni OF NORTH,-ANDOVER � Noa ry O �t,eo•61�d Office of the 13uilding Department Community Development and. Seri ices ' , N(( thA$4Q3(ne3 .Yi^a-rq ai-.tae. d y g c,Y' 3Yk;vY4�.t'Y x�k 845 o IT AC US D. Robert Ni.cetta, Teleplialle(978)688-9545 Building Co nzrrlassioner 1711X(97 8)698-9542 May 19, 2003 Thomas&Dena Bailey 196 Andover Street North Andover,MA 01845 Dear Mr. &Mrs. Bailey: Please be advised that upon an inspection of your property and specifically the pool located in your rear yard that this department has noticed a life safety issue in regards to the fence. The regulations for in ground pools specifically call for a fence 48 inches in height permanently installed with a self closing and latching gate and shall not allow the passage of a 4 inch sphere at any point in the barrier(fence). Please be advised that the permit for the pool was obtained in October of 2000, has been completed for some time and the fence must now be brought into compliance with the code. Please be further advised that the state building code has penalties for failure to comply of $1000. per violation and every day that a violation continues is a separate violation. Please remedy this violation immediately so that fines will not be incurred and that there is no loss of life on your property due to drowning for failure to comply. I may be reached between the hours of 8:30 to 10:00 AM and 1:00 to 2:00 PM at 978-688-9545. Respectfully, Michael McGuire Local Building Inspector ,ocation L a� i No. = Date 1/�IL,;' r� aoRT� TOWN OF NORTH ANDOVER 3? ' oc ► 9 t • i Certificate of Occupancy $ ACMUS t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL -- � $ r Check # i 4 r L, �- Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING 77 BUILDING PERMIT NUMBER: DATE ISSUED: 0 0 70 SIGNATURE: � - Building Commissioners for of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: L2 AssessorsMap and Parcel Number: / Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) _ Address for Service Signature Telephone,,,,- 2.2 elephone2.2 Owner of Record: Ul' I M Name Print Address for Service: O y M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name rn Registration Number r Address Expiration Date Signature Telephone Y i SECTION 4-'WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL.USE,ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, [/9aL," as Owner/Authorized Agent of subject property Hereby authorize to act on My be alf,in all ma rel ' e to w rk authorized by this building permit application. Si nature of O Date % SECTION 7b WNER/AUTHOR ZED 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 Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHITVVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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. APPLICANT �� /Li PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET,�4, � /� c5J STREET NUMBER OFFICIAL U E ONLY sun sm"ManaffiEffin RECOMMENDATIONS OF TOWN AGENTS i■ ■.■ .........own.■■■■■■■■.■.■...............■......■ ................. DATE APPROVED b �0,6 CON VATION ADMINISTRATOR A l ( ( DATE REJECTED COMMENTS U'V DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED CON*AENTS PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE t NORTH Town of North Andover 0�'"" "°� Building Department A 27 Charles Street a *; Y Y North Andover, MA. 01.845 �,S•,ro��,9 D. Robert Nicetta Building Commissioner (978) 688-9545 '(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print / DATE / 49 JOB LOCATION VA�'11 ��• GDV Number Street Address Map/lot "HOMEOWNER it o4ZV14 /U_ k 7 / II T�(O Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which. there is, or is intended to be, a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL e-'k :. �� 1, � -k. { . . .,... ,h;: - .x E w , �. ., ... � ,. .-. '., _. .,, 46 _- i"a: .. <... .- .> - .. ,.. -}, .., - -. �V -.: .,. � moi. .. �_ ,�: < F' ♦ b-, ,.. -�; _:e., _ e 1. _. '. -r > g AM 0 1 , �. .��,,::� � `^• �tom =; 22 MEL.'we 6�NER �i M,�"�} € a �4� rs - For superior strength and exceptional dura- � 53Y ^' �F t t• ' Y sf4L,b:..; : ; e bility. Attractively printed rile border and rti3bY- �' 4 - bottom pattern. Treated for protection against f rsa � � r �( mold, mildew and fungi. And,protected against the harmful effects of ultraviolet rays. �� ' ryG �� (25 Mil. Liner Optional) i REIMFORCEO COnICRETE DECK 1 An ideal way to customize your pool to fit Nry�'_'+tiy you're rs r.a^ J. ��� re family's needs. t r1 c ,c -•+: �' ° #rte raA� i+a :' ..: � ;�,;..:<.,` k, r -' VERTICAL BMsU+ RECESVER ar b#t Unique,patented design Provides for P osi- L a rive engagement to lock the liner securely into position. �� a r 71-1 -.s' "°,., 3, DECK SUPPORT (osmowa� s �`�;`�&� ?ai' r s' �+ .,'�„ j• ` r '`' � Concrete kit forms reverse Delta Brace for x. added support of your concrete deck. '� ��� UMOERWATiER L•©�iT�(Ma c Provides ambiance after dark. �'� �' oEEP Ensu sTAnsnARsa �- Deep end is 8' 8" down from the top, assuring you a full 8'of water. The deepest standard in the swimming pool industry! sKIn1 nNISR . 'w"= Extra wide for greater skimming action. l4 Custom designed so that water does not contact the pool wall. Requires no additional support due to the strength of the Extruded - � Aluminum Panel. 0 r' NORTH Town of Andover No. �''''�''� ►- -- LA E o h dover, Mass., "ol 3 O Q COCHICHEWICK ADRATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System + 1 % � BUILDING INSPECTOR THIS CERTIFIES THAT. ... .40.A..........�.A.�... .... ..........I................... ...... Foundation 034 has permission to erect... �.• ...... buildings on ... .. ......�Q. .N.... . ..�rw'.....�.�... Rough to be occupied as...../.lr. 1r* ot �0/ ....� Chimney .........I .. .. . . .. . . . .. provided that the persona opting this permit shall in every respect conform to the terms of he application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection,veration and Construction of Buildings in the Town of North Andover. tob OF 6 P/3 9107, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough .......... ...... ........... ............... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location No. — Date y/ f MORTN TOWN OF NORTH ANDOVER O? a O s Certificate of Occupancy $ / Building/Frame Permit Fee $ ���°'••�''<�' MUFoundation Permit Fee $ Ss,�CSE Other Permit Fee $ ___---- Sewer Connection Fee $ Water Connection Fee $ / TOTAL $ /1D, Building Inspector I J 5 9 04/20/99 14:33 110.00 PAID Div. Public Works PE'RMIT NO. rl AI'I'L1CAT10N 1+OR t'E 12MIT TO 13UILU******** OIry ANDOVER, MA Al\1'No . �/ LOLNO. i ` - 2. HECOHUOFl)\1'NLItSIIIP v DATE BOOK PAGF- �+7OhE SIiU Ul\'. 1.0TNO. �7 I ,.f�� I.OIAIION � _C / rQU{�r ee PURPOSE IIFUUHI)ING S ( c l� VN y \l V+, py'.� OWNER'S NAME O t/1 e Lev NO.O 5fORIES �� ] �S 'l o 0 i O\VNER'S ADDRESS 7- SI.AB L<f ARCI III EC1'S NAME SIZE OF I:1("TIMBERS I 2 NU 3 lit III DER'SNAME 1 L) &-S SPAN DISI ANCE l O NEAHES"I-BUILDING DIMENSIONS(N-SILLS DIS 1"ANCE I HOM 51 RIA:F DIMIiNSIINJS 01 POS IS DISTANCE FROM I.OT LINES-SIDES REAR DIMENSIONS OF GIRDERS AR FA OF LOT FR(NJTAGE I IEIGI IT(71-FOUNDATION 1-11ICKNESS IS BI)II.DING NEW ^ UhlN.1 ld SI/E01-I O(AING X IS UILDING ADDIMAI ERIAl-OF CI 11NINEY IS BUILDING AL1 ERATI(NJ IS BUILDING ON SOLID OFUII LED LAND W11.LBUILDING C(NJFCMMTOREQ)IREMENISOfCODE IS BUILDING CONNECIED1010VMWAIER BOARD OF APPEALS ACI ION, IF ANY �S �? IS BUILDING CCNNNECI ED TO TOWN SEWER 1pC 00 C, IS BUILDING CONNECI EDTONAI URAL GAS LINE " INSTU(TIONS 3. PROPER 1'YINFORI\IA'1'ION ho4n( 43t,0LANDCOST IS I4`I(��l i ® Lg EST. I3t.DG CCXif PAGE I Fll.l.C111 T SECII(NJS 1-3 I ® EST. BI.DG. COSI PER SQ. FT. EST. BI.DCi.Ct)SI I'EItROOM EI EC-TRIC LIE'I ERS h1USI-BE(NJ(NITSIDE OF BUILDING SEPTIC PEHMI 1 NO. AI'IACIIEDGARAGESNIl1STCo t4FoRt,I"fOSTAl-EFIRERE(MI.AD(NdS a. APPROVED BY: PLANSMUSTBEFILED AND AIWROVED13YIi ILDINGINSPECT(* BUILDING INSPE:CIOlt _ I nn DA 1E FILED cl OWNERS'IEI N. I i '. I I r CON l'R.'ll.IN _2- 7 9-3 , > r CON Iit.I 101 SIGNA111 -01:OfNI:It(MAM1(l I1ILI:DAli1.N1 3' f-z:�, I M3 77 1'1-III'MI (MAN I11) L 19 r FORM U -LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *******"********************APPLICA-NT ffLLS OUT THIS S-ECTION********************'`** APPLICANT'�—�C-AA'� PHONE 3 LOCATION: Assessor's Map Number - PARCEL SUBDIVISION LOT (S) STREET fi No L) -e ST. NUM1 ER **** *** ****** *********** *****OFFICIAL USE RECO" ENDATIONS OF TOWN AGENTS: CONS RVATION ADMINISTRATOR DATE APPROVED j {SATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BU1LDMG 4NSPECTOR DATE Revised 9197 jm REGE .JOYCE BRAD' SAW TOWN CLERK + � y NORTH ANDOVER �, ..•' "y MAR 18 10 40 P� q ` TOWN OF NORTH ANDOVER Registry of Deeds MASSA0-4UStTT5 -- ,>;�,;, ,•�,,�.,. �^ Northern District of Essex County Lawrence, MA 01840 BOARD OF A F F BA L jvIcv iJ..Yw.s A. = 04/29/o Tcwn Dark DE1,41 -TAiLE`i` 12 Rec. T'1pa PL 16 - Copied i.3Ci rt f" "-co 1v DCC {.1 NOTICE OF DECISION _I%_ , try Property: 196 Andover St., North Andover, MA ota i ailey DATE: 3111198 ".50 PETITION: 008-98 1* ''--�''r�iert Chec! HEARING: 3!10/98 iUgular meeting on Tuesday evening, March 10, 1998, upon the application IHAit�; ' !):' IhGOi.y=. y, 196 Andover St., North Andover, MA requesting a side setback for a Reg-ter of Deefl;- room and master suite, of the Zoning Bylaws, in R-3 Zoning District, resent: Walter F. Soule, Raymond Vivenzio, Scott Karpinski, Ellen The hearing was advertised in the Lawrence Tribune on 2/26/98 & 3/3/98, and all abutters were notified by regular mail. Upon a motion made by Raymond Vivenzio, and seconded by George Earley, the Board voted to grant a Variance for relief of a front porch setback of 13.1 feet and relief of a side porch setback of 12.7 feet and for relief of.9 feet for street frontage, for an addition of a front porch and family room and master suite, refer to Plan of Land dated February 16, 1998 by Appleton Land Surveying, Inc. Voting in favor: Walter F. Soule, Raymond Vivenzio, Scott Karpinski, Ellen McIntyre, George Earley, The petitioner has satisfied the provision of Section 10, paragraph 10.4 of the Zoning bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. The Board finds that the applicant has satisfied the provisions for a Special Permit of Section 9, paragraph 9.2 of the Zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming structure to the neighborhood. Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure the granting of a building permit as the applicant must abide by all applicable local, state and federal and building codes and regulations, prior to the issuance of a building permit as requested by the Building Commission. BOARD OF APPEALS ��'2 11i,1 Walter F. Soule, acting Chairman /decoct2 A.'Ty-ue f'- . .. � �'!�e{�'om�nan«eal!/c o�✓�oaac/uiarlYa HOME IMPROVEMENT CONTRACTOR Regfttration 103772 a Type - INDIVIDUAL Expiration 01/09/00 JOSEPH G, LEVIS 65 Salem St / Box 952 ence MA 01842 ADMINISTRATOR . .. ' �-'�..- ✓�2e -(DOiriL072O42LU2flGtll. p�,�ib'�<1,1CLCl7CCJE�i.1 I..1 r� � ••. DEPARTMENT OF PUBLIC SAFETY I' CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: { S CS 030651 011@112000 01/0111954 Restricted To: 00 . JOSEPH G LEVIS PO BOX 952 LAWRENCE, NA 01842 i Merdiants SATE PitEPAiiEG: C5/20/9E I ® . o InsuranceI�MERCHANTS MUTUAL INSURANCE COMPANY / UB u BUFFALO,NEW YORK JLv .�. Group MERCHANTS INSURANCE COMPANY OF NEW HAMPSHIRE,INC. BUFFALO, NEW YORK 14202 X BUFFALO,NEW YORK INSURANCE IS PROVIDED BY THE COMPANY DESIGNATED BY AN X1 '&ZNEWAL CERTIrICATE DECLARATIONS — COMMERCIAL GENERAL LIABIL.I'TY CUVEF&GE PULICY NG, 8CN7-17-6LC5i673 CON'TRACTC RS COVERALL PLUS LEVIS CCMPANIE.S INC CATALANO INSURANCE AGENCY INC PO .BCX 952 P L BEA 609 LAWRENCE, ESSEX CU.• METHUEN• MASSAChUSEITS i,A 01842 01844 039221 POLICY PERIOD: tRI.lt`'1 06/13/98 TD 06/23/99 12:01 Ar, STANDARD TIME AT YOUR MAILING ADURESS ShLWN AdLVE IN REYURN FOO THE PAYMEINI LF THE PREMIUM, ANG SW3JECT TL' ALL THE TER?,S OF THIS PGLICY• WE AGREE WITH YCU TsD PROVIDE THE IN5URANCE AS STATEU IN THIS POLICY. LIMITS OF INSUtANCE: GENERAL AGGREGATE LIMIT � �a2•C00.000 (LTHER THAN PRODUCTS — COMPLETED OPE€tATIGNS ) r i PRODUCTS — COMPLETED UPERATIONS ,.A66kEGATE LIMIT $ 2.000•CCO PERSCRAL AND ADVERTISING INJURY LIMIT ` � �� 4 19000,000 EACH OCCURRENCE LIMIT 3 I90G0.000 FIRE DAMAGE LIMIT " , � , a '1 50.000 ANY ENE FIRE. MEDICAL E=XPENSC LIMIT ,� 3 59000 ANY CAE PER5CA DESCRIPTION OF BUSINESS AND LOCATION OF PREMISES: �' M FORI4 OF BUSINESS: CORPC ATICN BUSINESS .DESCRIPTION: C.APPENT-RY �~ LOCATION OF ALL PREMISES YOU OWN9` RENT OR OCCUPY: LUCATICN z 1 60 PINE ST METHUEN 11A 0.1844 t 1 r TOTAL AuVANCE PREMIUM FUR' THIS COVERAGE PART: S1,5L4.CC AUDIT FREQUE14CY: ANNUAL MAGE L+ MU2094(3-87) NORTH Town of ` L dover No. oC L dover, Mass., ORATED P' -`C, S 5� 7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THAT*** BUILDING INSPECTOR THIS CERTIFIES THAT.....1..�.0 !. ..�1-... ....... .�...1.*.. .................... . Foundation has permission to erectFAIN" S.......... building on .........1.... ....l�.....�N.Q!/„�_V r .... sT ph to to be occupied as...? mneY �.�.�.' r~� rA �� (f�r M Chi 1' ................................... .............. . � 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. Z b A A P P rp y A I a,/D/q8 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough ft C 414 q PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL' 3 O UNLESS CONSTRUC N TSS INSPECTOR Rough .................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. .- - NR INNIS logoIniffs 0 .. ii t / i ■ i t i �Ii!i moos ��® _ ■ ■ �� NINO SI� mom son - F � - � 1■■ �e .�� ♦ �/�` �� ® ,� ,� ■ ® ■�■ ■1■ m ■ ■all ■ ■ 11;tv � gram��e a � 1 1 � � � �, ♦ . � a ♦ � � � � :, � � '�r� �.�:��iar=is��a. j ,� � �® q���o ► �e Sii �o � /ate �/.� �����,�e �/��0�•v�,, a�iia=at•t!aal i i i�a�� ♦ ®. `tea=_�������r�s�i �� ai ��� �� ��A' �,,�y4� ��; i► �� ���®���; a 0�� °� ���D /Ii9 �� 1�®� 0 ���A � rt�:t�ot:��a���a�atE�aat.m ��aaffis� ®3BS!aOq i r�aa®: 1 IlllWlllllllllill! �� r!!lIU1111111111111 � 1 illlllllllliillllill ��® ■■ 11111111►!1!!111!►Ili YYIl�YYOYI YI amommomms on no III—ma 1N■■® �■ low mm ■■ �igi 1■.■■ gown i�!®�!�� ■111 ® i�n1�i111u;i i '• / AI®M 1■IIi■■1■1 1■�■■■■ft11 WM■®■ 1niaN1lanN