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Home My WebLink AboutMiscellaneous - 2 NANTUCKET DRIVE 4/30/2018 a 4hT(4Cr(er RIV6 porc 1 I i I I i I IL Ct (OPTN ti 3y. a` .,•. hoc � i A t K SS.4CN�E CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number -""76 Date le —a-a 700R, THIS CERTIFIES THAT THE BUILDING LOCATED ON s�v T f OZ MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REtsULATIONS AS MAY APPLY. / CERTIFICATE ISSUED TO Building Inspector FORTH own of `ED 0 Andover rs No. '� ~ X - _ _ g . 6 _d00 / °0 �OCH,C!E ICI dover, Mass., ADRATED P? C-1 S H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR �� /�s�?."... s rN THISCERTIFIES THAT............................. �' ..................... ....................................................................../.�......J.................. Foundation �� has permission to erect..... �..................... buildings .. � /. a N �c/� T �/?. Rough X11 f -off-o g f ' � ........... /. ../..�..�.J........t........ to be occupied as.. o...l oo� �• 7� ��1..nFI...AA!��..��.._��/ Chimney �.......... .,t'' , ......�.. ..... ........ . provided that the person accepting this permit shall in every respect-conform to the terms of the application on file in Final /p—�-o 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. A147/91y'� am PL G INSPE�OR` VIOLATION of the Zoning or Building Regulations Voids this Permit. L PERMIT EXPIRES IN 6 MONTHS N G� ` UNLESS CONSTRUCTION STAR ELECTRICAL INSP c ou .............. �I��.............................................................. ..... BUILDING INSPECTOR / Occupancy Permit Required to Occupy Building AS INSP TO$`^ Ain . Display in a Conspicuous Place on the Premises — Do Not Remove 'G No Lathing or Dry Wall To Be Done FIRE DEPARTMENt Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 1 � l� l U SEE REVERSE SIDE Location � l a /JAA lyckj� )/Z . No. (.7 Date t NORTq TOWN OF NORTH ANDOVER f ,ti F � Certificate of Occupancy $ s�cHus Building/Frame Permit Fee $ Foundation Permit Fee $ { Other Permit Fee $ _ TOTAL $ Check # rti r /��Y►'! �l� 14 ; 9 Building Inspector 4. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT T APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEEMrOLISH rAa ONE OR TWO FAMILY DWELLING 77 r t Ham BUILDING PERMIT NUMBER: '/P DATE ISSUED: Q —(goo C rear A'rr TO n. C U1 Vim\!-V1W. An Building Commissioner/Insl5ector of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ing /2j 1,w 3 02 ( 0 C2 Zm District Pr osed Use Lot Area(so Frontage 11 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required I Provided Recluired Provided -1-110 :�o 1.7 Water Supply M.G.1-C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record 300 S-- ' � N the Tint) Address for Service Q��- I )r I G Signature Telephone 2.2 Owner of Record: Name Print Address for Service: 0 z Signature — Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Lie ns Construction Supervisor: Not Applicable ❑ Licensed Coirstrttetion Supervisor: License Number Ad ss !!!///((( C o' Expiration Date Signature Te phone 3.2 Registered Home Improvement Contractor Not Applicable ❑ raw Company Name M Registration Number I� Address z Expiration Date Signature Telephone i a SECTION 4-WORKERS COMPENSATION(1VLG.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. Si ned affidavit Attached Yes...... No........0 SECTION 5 Description of P o osed Work check all applicable) New Construction E-- Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition 0 Other 0 Snecifv Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be `M rQFFiCIAI,�USI'±1tDNLY Completed b ennit a licant �� 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of �- 3 Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC p A. n 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION T6 BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,ui all matters relative to work authorized by this building pennit application. Sigiiature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, As Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print N Skore of i"t Date NO.OF S S SIZE R SLAB E OF FLOOR TIMBERS 1 s 2 RD 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS 6 SIZE OF FOOTING v X MATERIAL OF CI r IS BUILDING O (t FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT U �(_:'Vk) PHONE TV �I�J_ l O LOCATION: Assessor Map Number PARCEL SUBDIVIS 1 0ON LOT(S) STREET— � �I ST. NUMBER / 6" ************************************OFFICIAL USE ONLY*********************************** RWMMgPCATIPWS OF T WN AGENTS: ON RVATION ADMINISTRA AOR DATE APPROVED DATE 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 CONNECTI DRIVEWAY PERMIT FIRE DEPARTMENT d $ RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm III 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*********************** 9 A U YIC�(�lJ 7�— �� r—f�7 APPLICANT PHONE �.1 C1�(Y LOCATION: Assessor's Map Number PARCEL 2 SUBDIVISION LOT(S) STREET--30e ✓ � �� ST. NUMBER_�� ************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS -- -, `I� TOWPLANNER DATE APPROVED U DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNE d�0/ DRIVEWAY PERMI 7 - FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm P.01 Jul -19-01 03: 17P N/F ARELNE SHENKER 100.08' �Pvv to LOT # 1 u ai N/F JEFFCO, INC 13,552 t S.F. 18.8 wUJI 21.0 Z 4 "' o PROPOSED PROPOSED UNIT UNI? ~o APPR PW N J LL 17 N-1 EXIST. FF=228.5 WATER FF=227.0 Z N � �3or .o w�►t�= � O �- q OS Ppp�OX EE ES�w�R GF=225.0 GF=227.0 ti m o a oz w >✓� �r-Mti, PROP. BIT. j?/DOUGLAS CONC. DRIVE o a vi. .:� 22-1 1 Fss/o,, 'L 76.12 . 1 3 NA�MTUC JET RI VE'0 EDGE OF PAVEMENT y y y REVISED 7/17/01 - MOVE PROPOSED UNITS PROPOSED PLOT PLAN DANA F. PERKINS,, Inc. Consulting Engineers & lend Surmyon LOT #1 L215 MAIN STREET UNIT 111 TEWKSBURY, MASSM:NUBETTS 01976 CHATHAM CROSSING PREPARED FOR: JEFFCO, INC. NORTH ANDOIIER, MA DUNDEE PARK ANDOVER, MA 01810 SCALE: 1'=20' DATE: MAY 24, 2001 JOB N0.51165-91` SHEET 1 OF 1 COPYRIGHT 0 2001 9Y DANA r. moms, mc. i TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 J.WILLIAM HMURCIAK, P.E. Telephone(878)685-095 DIRECTOR Fax(878)688-8573 � NORT�y �Q6tt Lfo '6.��0 3 OL O T F 9 qL 7 999.ETEA+hPp'`.�5 . �SSacHUSE� DRIVEWAY PERMIT DATE d �; Z. LOCATION Z. BUILDER{ e/1it j phone o ds- 44 OWNER hone THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET . CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. I X APr<< CANT-15 StGNAYUZE i i E 1087 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town water main in V A,&U7 e 1- M —D 2!— subject to the rules and regulations of the Division of Public Works. The premises are known as No. 2 N "OC-le 1 7 Street or subdivision lot no. A,5��---�,a c>a> ,f � fir'r C Q_, Owner Address �� iM brol C' d N! •c Contractor Address Applicant' nature C7 1`-�✓� lam- L� / '- Z S Ti l L $,� d4 Z C:n c� 4A r-4 C3 Cx YOCCS-g ,p l y PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to,-:ko"Ll 0—o2VLA II t e a to make a connection with the water main at Z 1`� TU LICIT 7 fL- —cam_ subject to the rules and regulations of the Division of Public Works. Bo �of Public Works By Inspected by Date See back for rules and regulations i ` 17 ® 7 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. J" Application by the undersigned is hereby made to connect with the town sewer main in I&AI T , dZ Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. 4zr1z Street or subdivision lot no. q5 L600 A 22&, ,ez2 Am-Do Owner Address Contractor Address Al plicant's Signature 1Jo CNAI L�r�:Xt�b d-!G �ce->c72FPL PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to e � �.O PQ ► � to make a connection with the sewer main attreet-- subject to the rules and regulations of the Division of Public Works.. Divi ion of Public W Fks� Inspected by Date See back for rules and regulations III k. u The Commonwealth of Massachusetts d Department of Industrial Accidents e Office of Investigations r Boston, Mass. 02111 Workers'Compensation Insurance Affidavit ` Name Please Print Name: Location:Xi Cily Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no workin in any capacity G' Lei IF I am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone#: t y Insurance Co. Policy Company:name: Address Phone#: Insurance—Co. Policy..# i Failure to secure coverage as required underSdetion 25A or MGL 152 can lead to the,imposition of criminal penalties of a fine up to $1, 00:110 and/or one years'impds.onmentas ell as-cimtpenalties.tn-theform,d-a STOP_W-ORKORE)ER.and..a-fine_of�.$9D0.M_a�y agmnstme. I i understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the and a off perj W the informati Med bove is true and correct. ?5 / I'I Signature Date i Print name Phone.# R officiai use only do not write in this area to be completed by city or town official' F i City or Town Permit/Licensing i 0 Building Dept OCheck if immediate response is required 0 Licensing Board p Selectman's Office Contact person: Phone#: Health Department Other NO VM1bD/YYI A CORD ' ., pp � 7 PROD MIA D3/07101 97s-45$-1865 Fred C. Church, Inc, THIS CERTI TE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR One Merrimack PJaz S NO ]RIGHTS UPON THE CERTIFICATE P-0. Box 1865 ALTER THE COVERAGE AFFORDED B E POLICIES BELOW. COMPANIES AFFORDING COVERAGE AL Lowell, MA 01853-1865 ALTER COVERAGE DA�il 0 F INFORMATION c S A MATTER RIGHTS UPON THE CER NOT AM ND, ,AF�0'1'1'D'1'ED' A"'ES AFFORDING COMP N COMPANY urar INsuArn a 1 rd n V Company INSUATO A Hartford insurance Company OM N COMPANY ------ Cormier Andover a Construction Corp. B 59 Chandler Circle COMPANY r Andover MA 01810 COMPANY D Q, Eiljl�i � THIS is To C . ....... CERTIFY THAT THE POLICIES OF INSURANCE LISTED BE INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OA CO-LOW HAVE BEEN ISSUED TOT INSURED NAMED ABOVE FOR THE TO PERIOD CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPELf To WHICH THIS CERTWICATE MAY BE ISSUED OR MAY PERTAIN THE iNSURANCE AFFORDED BY IrmE POLICIES DESCRIBED HEREIN EXCLUSIONS AND CONDITIONS OF SUCH POLICIE"LIMITS SHOWN MAY HAVE BEEN REDUCED DY PAID CLAIMS. IS'SUBJECT'TO ALL THE TERMS, co ITR TYPE OF JNSUR"CE POLICV NUMBER POLICY Orr-MVE POLICY EXPIRATION DATE INIM1DOi1YY) DATE(MM/Vpfyy) Umrrs A GENERAL uARWY x OSUEN8S1390 1127101 COMMERCIAL GENERAL LIABILITY 1127/02 GENERAL AGGREGATE # 2000000 'CLAIMS MAOCEX_0 OCCUR PRODUCTS-COMP/OP AGG A 2000000 OWNER'S&CONTRACTOR'S PROT PERSONAL&ADV INJURY $ 1000000 EACH OCCURRENCE 00000 FIRE DAMAGE(Any"tire) 300000 AUTOMOBILE UA"BRILtry MED EXP(Any Oft pvr4on) 1 100 0 ANY AUTO COMBINED SINGLE LIMIT AUL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY RRED AUTOS (Pat pqrsofo NON-OWNED AUTOS BODILY INJURY PROPERTY DAMAGE CARAGE LIASU" ANY AUTO AUTO ONLY-EA ACCIDENT S :7777r� OTHER THAN AUTO ONLY ....... EACH ACCIDENT EXCESS Luumrry AGGREGATE UMBRELLA FORM EACH OCCURRENCE OTHM THAN—g—,A FORM AGGREGATE A WORKERS CDMPtN&ATjON AND SSWEIE8129 FIMPLOYIERS'LIABILITY 10/14/0010114/01 K H. 7777777!!�7= YORYtiod THE MopRIETopj PARTNERS/ExEcurivE INCL EL EACH ACCIDENT 4 200000 1OFRCW ARE: "14 EL DISEASE-POLICY OMIT 9 500000 Drum EL DISEASE-EA EMPLOYEE # 100000 DESCRI►T19?4 OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS A, SHOULD "Y OF THE Abovg DESmEW POLICIES BE CANCIEUID BEFORE THE Town of North Andover �I 'EXP'PAY'ON DATE THEREOF- THE ISSUING COMPANY wjLL ENDEAVOR To MAIL _LO DAYS WRITTEN NOTICE TO THE CERTIFICATE NOW"NAMED To THE tpq. OUT FAILURE TO MAIL SUCH NOTICE SUALI,IMPOSE NO OBLIGATION OR UAIDILtTy KIND UPON THE COMPANY AUT111( E IVE !2 ff3l!i� OR REPRESENTATIV1S. .......... Aow�",. 4:0 • 4. g. TOTAL P.02 MAR-07-2001 0938 978 454 1865 97% P.02 'A MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checked by/Date CITY: Lawrence SPATE: Massachusetts - - HDD: 625 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 5-16-2001 DATE OF PLANS : 5-11-01 TITLE: CONDOMINIUM PROJECT INFORMATION: RAY CORMIER n—N TUCKET ,DRIVE COMPLIANCE: PASSES , Required UA = 268 Your Home = 263 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1132 38 . 0 0 . 0 34 WALLS : Wood Frame, 16" O.C. 989 19 .0 3 . 0 53' GLAZING: Windows or Doors 185 0 .350 65 GLAZING: Skylights 35 0 .410 14 DOORS 21 0 .350 7 DOORS 84 0 .350 29 FLOORS : Over Unconditioned Space 1282 19 . 0 61 HVAC EFFICIENCY: Furnace, 83 .0 AFUE --------.----------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been, designed to meet the requirements of the Massachusetts Energy Code. I The heating load for this building; and the cooling load if appropriate has been, determined using the applicable Standard Design Conditions found in the Code . The HVAC equipmen ected to heat or cool the building shall be no greater than he d ign load as specified in sections 780CMR 1310 a .4 . Builder/Designer /� Date � �� MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 CONDOMINIUM DATE: 5-16-2001 Bldg. Dept . TTo o --- v va. CEILINGS : [ ] 1 . R-38 Comments/.Location WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS : [ ] 1 . U-value: 0 .35 For windows without labeled U-values, describe features: # Panes Frame- Type Thermal Break? { ] Yes { ] No Comments/Location SKYLIGHTS : [ ] 1 . U-value: 0 ..41 For skylights without labeled U-values, describe features : # Panes Frame Type Thermal Break? { ] Yes. { ] No- Comments/Location DOORS : [ ] 1 . U-value: 0 .35 Comments/Location [ ] 2 . U-value: 0 .35 Comments/Location FLOORS.: [ ] _ Over Unconditioned .Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] X . Furnace, 83 . 0 AFUE or higher Make and Model Number THERMOSTATS : [ l Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type. IC rated and installed with no penetrations- or installed inside an. appropriate air-tight. assembly with a 10 .5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS- IDENTIFICATION.- 4 [ •] . Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating, and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to- R-2-0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-Sensitive tape may be used for fibrous ducts . -The HVAC system must provide a means for balancing air and water systems_ TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A ,-manual or automatic -means to partially restrict or shut off the heating- and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- u I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 063515 -M Birthdate: 12/16/1967 Expires: 12/16/2002 Tr.no: 5058 Restricted To: 00 RAYMOND Y CORMIER 15 MEADOW VIEW LNC'. % ANDOVER, MA 01810 Administrator Town of North Andover NaRrf, 16 Building Departmento� y - .a 0 :1.� 27 Charles Street North Andover, Massachusetts 01845 978 688-9545 Fax. 978 688-9542 �s,4s°q�re° rPa�,t9 SACHLUI DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, anda condition of Building permit-# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: Facility locatid Signature 'pplicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. ORT Town o 0 ' , ndover No. 04 0 ndover, Mass., 0 __-SLAKE a— —p� � cocJCK —C�E- 0 RATE D C, SSACHUSV- FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT .......D....s-P,3. -Aj ...IV has permission to excavate and pour foundation at ...49"t.................... .... .S 1) A%yj%Ctdd for the purpose of......... ....... .... • The person accepting this permit muss return to the office of the Building Inspector a certifiedplot plan show of building thereon before Foundation will be inspected. 417/42/ $ /Svo Am=- VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN ( MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a Permit for entire building structure will be granted. ............................................................................. 'ITCTOR IM11,I)ING INS " NORTH Town of LED` ove r No. '� °� coC LA dover, Mass., ADRATED PP � S � _` BOARD OF HEALTH PERMIT T Food/Kitchen H Septic System V� '�5� ` NN BUILDING INSPECTOR THISCERTIFIES THAT......... /......................................................................J.................. Foundation has permission to erect............../..................... buildings on ..,�4+/- 0 a N�-i&*c1e.,* b/? ................. � Rough t0 be occupied as.-..46 ,� d. .............. P.t .... ...�d*. �..................j�� Chimney p ...................../...................... 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. 0 y7� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARELECTRICAL INSPECTOR C Rough ..................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Dec. Location d �" No. 72 Date MGRTM. TOWN OF NORTH ANDOVER .. 41 A • ; ; Certificate of Occupancy $ CNUS Building/Frame Permit Fee $ 14,V e Foundation Permit Fee $ Other Permit Fee $ TOTAL $ llt 1.117 n) Check # 5 5 U 6 ,/,"--Building Inspect r ANDD VER STREET ( PUBLIC 60' WIDE ) 110.42' i L=39.53 R=25.00' 20.8' EXISTING STONE WALL �►r t4.o'o 0 16.0' 0 42.4' 25.5' 9.0' Q EXISING LOT >1.0' FOUNDATION 00 W 10 3A TOP Of n AREA= 1,3,552 f S.f. o � N FOUNDATION=128.59 � s IS L 25.5' c 9.0' Q Q 30.2' Q 1 136.12' 18.9 1 LOT O �j Hlf THOMAS G. & MARIE 111t H/F THOMAS G. & MARIE HILL H/F EDWARD G. & JOAN F MAILHOT LOT # 12 01TOH It HfIF ELL R. & LOREITA JO gATTAGUA I HEREBY CERTIFY THAT THE FOUNDATION ON LOT 1 IS LOCATED AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK �tA OF REQUIREMENTS OF THE ZONING BY-LAW OF THE TOWN OF NORTH ANDOVER. GREGORY, R. �+ CORCORAN :. . .. .. ... ... o. 38034 . PROFES IO>`t� SURVEYOR DATE:.....'¢. .l G (� k�SURV CERTIFIED PLOT DANA F. PERKING, Inc. Consulting Engineers do land Surveyors 1215 MAIN STREET a UNIT 111 PLAN OF LAND IN TEWKSBURY. MASSACHUSETTS M976 N.ANDOVER, MASSACHUSETTS PREPARED FOR: R 1 R- CO M E ANDOVER CONSTRUCTION CORP. CHATHAAl CROSSING 59 CHANDLER CIRCLE ANDOVER, MASSACHUSETTS SCALE: 1"=40' DATE:APRIL 16, 2002 X013 NO.51165-1A I SHEET 1 OF 1 COPYRIGHT 0 2002 BY DANA F. PERKINS,Inc. Date. 7: �— °' 4, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� _ This certifies that . . . . . . . . . 9,4. 1.... . . . . . . . . . . . . . . . . . has permission to perfor1 . . . . . . . f plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . ... . . . . . . . . . . . . . . . ., North Andover, Mass. Fe6� ?. . . .Lic. No.. . . . . . . . . . --�-tl PLUM81 SPECTOR Check # 5300 MASSACHUSETTS UNIFORM APPLICATION FOR•PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS y Date Building Location .� 01 M C 05 1;1 Permit# %52" Amount Owner v it fir` New Renovation Replacement Plans Submitted Yes No ❑ FIXTURES H nj a x A w � w w c4 A H A d w SLREM RASEVENi' M HDCit MMM y 3dl HDm 4IH)F fM MHDM 6TH HJXR 7]H HDM SIH HfM (Print or type) f Check one: Certificate Installing Company Name 4%ok IM r„ PL'14 El Corp. Address 7 L IiA Q'V9 fie/� �' Partner. J1 car I AAA, al SJkb usmess T ep one (:7 [3—Firm/Co. Name of Licensed Plumber: Qi CNAA IMAI Jr. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnityEl Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner El 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 Massac a St to PI u bing Code and Chapter 142 of the General Laws. . 1 By: Signature of-EiceWu riumDer Type of Plumbing License Title City/Town icense Numoer Master Journeyman APPROVED or-r-tcE USE ONLY Date. . a.. . . . Of NO oTh 1ti o� 1TOWN OF NORTH ANDOVER r- D At. ' PERMIT FOR GAS INSTALLATION �,SSACHUSE� This certifies that . . . . . . . . :�. . . . . . . . . . . . . has permission for gas installation' in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at . . . .0 ' - L-'. . . . ... Alrt,� Andover, Mass. Fee! :� . Lic. No�l.'Iff. . . . . . OR Check# 4077 MASSACHUSETTS UNIFORM APPUCATON FOR PERAUr TO DO GAS HrrING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations i O onA LN c6lharn (1koS'>iVia Permit# �O �77 ` Amount$ �J & 1 ifCy e T n Ve Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ W W TA W o U pOq W FW+ GL 0 0 a a o SUB-BASEMENT BASEMENT 1ST. FLOUR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR STH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) `C P�� C one Certificate Installing Company Name ` �� Corp. Address (W ❑ Partner. Business Telephone -1 - 6(� EFirm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. 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 ofthe Massachusetts State Gas Code and Chapter 142 of the General Laws. By: -Signature of Licensed Plumber Or Gas Fitter Title lumber 11)4 g- City/Town ❑ Gas Fitter License r Master APPROVED(OFFICE USE ONLY) ❑ Journeyman