Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 2 PETERSON ROAD 4/30/2018
2 PETERSON ROAD 210/02-0000.0 North Andover Board of Assessors Public Access Page 1 of 1 of pOR7M.�Y Nppdover B ,rd. ®ffAssesso:rs,,. • • cow roperty Record Card Click Seal To Retum Parcel ID:210/025.0-0161-0000.0 FY:2012 Community : North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to EnlarjZe - Search for Parcels Search for Sales Summary { Residence Detached Structure Condo 2 PETERSON ROAD'y Commercial Location: 2 PETERSON ROAD Owner Name: JACKSON,TERRENCE Owner Address: 2 PETERSON ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5-5 Land Area: 0.36 acres Use Code: 101-SNGI FAM-RES Total Finished Area: 1260 s ft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 355,300 355,300 Building Value: 178,500 178,500 Land Value: 176,800 176,800 Market Land Value: 176,800 Chapter Land Value: LATEST SALE Sale Price: 329,900 Sale Date: 12/19/2001 Arms Length Sale Code: Y-YES-VALID Grantor: FRANK CERASO Cert Doc: Book: 06557 Page: 0001 http://csc-ma.us/PROPAPP/disDIay.do?linkld=1888965&town=NandoverPubAcc 5/17/2012 A � s ,}... �. tt _:.'t�. i,' ,....� . �� F,�. .S'-��� '(�.. r �. ._ 1 i I Residential Property Record Card PARCEL ID:210/025.0-0161-0000.0 MAP:025.0 BLOCK:0161 LOT:0000.0 PARCEL ADDRESS:2 PETERSON ROAD FY:2012 PARCEL INFORMATION Use-Code: 101 Sale Price: 329,900 Book: 06557 Road Type: T Inspect Date: 11_/21/2002 Tax Class: T Sale Date: 12/19/01 Page: 0001 Rd Condition: P Meas Date: 11/21%2002 Owner: Tot Fin Area: 1260 Sale Type: P Cert/Doc: --Traffic M Entrance: X Address: TofL JACKSON,TERRENCE re .36—S51 e VaaIi and.Aa: 0id: Y Water: Collect Id: RRC 2 PETERSON ROAD Grantor: FRANK CERASO Sewer: Inspect Reas: 1 NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 6 Main Fn Area: -590 ""Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R6 Story Height: 2.00 Bedrooms: �2 Up Fn Area: 670 Bsmt Area: 590 Seg,Type Code Method Sq-Ft Acres Influ-YIN Value Class Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 ` P 101 S 15476 0.360 176,808 Ext Wall: AV Half Baths:1 Unfin Area: Bsmt Grade: VALUATION INFORMATION Masonry Trim: Ext Bath Fix: 0 Tot Fin Area:. 1260 Current Total: 355,300 Bldg: 178,500 Land: 176,800 MktLnd: 176,800 Foundation: CN Bath Qual: T� RCNLD: 178480 Prior Total: 355,300 Bldg: 178,500 Land: 176,800 MktLnd: 176,800 Kitch Qual. T Eff Yr Built: 1995 Mkt Adi: Heat Type: FA Ext Kitch: Year Built: 1995 Sound Value: Fuel Type: GGrade: G Cost Bldg: _ 178,500 __- _.— — Fireplace: 1Bsmt Gar Cap: Condition: GV Att Str Val1: .Central AC: Y Bsmt Gar SF: Pct Complete: Att Str Val2: Att Gar SF: 350%Good F/F/E%R: — 100/%/100 Porch Type Porch Area Porch Grade Factor W 160 SKETCH PHOTO A >w+ r10 160EQ.ft '10' f , C ►u'' rete 3505p:ft' 25 25 27 27 P. l 8 fir'- •~ 2 PETERSON ROAD, Parcel ID:210/025.0-0161-0000.0 as of 5/17/12 Page 1 of 1 e ` Date . . ZY� . . . . . - fix"� �?;��`i;v•• TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . C-` c> w` lc.aa?. . . . . . . . . . . . .. . has permission to perform . . . wiring inI the buildi g of . . . . pry! . . . . . . . . . . . . . . . . . at . . . . . . . . . . ... . . . ,North Andover, MA:�; Fee . . Lic. No.Z . . . `46 . . . . . . . . . . . . . . . . . . . _ ELECTRICAL INSPECTOR .Check# 11 .103 �. t w. _a . � r . OV- " 2012assachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordancewith the provisions of M.G.L.c.143,§3L,the ermit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.kL.c.143,§3L. Permits shall-be limited as to the time of ongoing constmcOn activity,and may be.deemed.by theJnspector_of-Wires abandoned.and-invalid.if he—__. ._ or she has determined that the authorized work has not commerud or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entitystated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this puipose by establishing an automatic four-year extension to certain permits and licenses conceming the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending"through August 15,2012. ❑ Rule 8—Permit/Date Closed: Note:Reapply for new permit, ._ .. n T)..__�:L.T_.L.._....•...._A,.�.�'Un,.,,+;4Jr1.,4�!'il.,.,...7. Commonwealth of Massachusetts Official Use Only "IFrs Permit No. 11103 Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leaveblank APPLICATION FOR PERMIT TO PERFORM, ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00 (PLEASE PRINT W INK OR TYPE ALL INFORMATIOA9 Date: of ra:r•./IQ City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or r intention to perform the electrical work described below. Location(Street Number) of v�,,.� Owner or Tenant ronC a Telephone No.9;87 97' Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps /,�15 /0yV Volts Overhead❑ Undgr(�< No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 4_ Completion ofthe-following table may be waived by the inspector of Wires. No.of Recessed Luminaires No.of Ceil: .(Paddle))Sus Fans No.of I -Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above Ei In- o.o Emergency Lighting No.of Luminaires Swimming Pool rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones.. No.of Switches No.of Gas Burners No.of Detection andInitiating DevicesTot , No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained: P Totals: _ Detection/Alerting Devices Space/Area Heating KW Local❑ Municipal El Other No.of Dishwashers S P g Connection No.of Dryers Beating Appliances KW Security Systems-* y No.of Devices or.Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. ; - Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: f-Z" 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,ander the pain and penal 'es f perjury,that the information this ap tion is true and complete. FIRM NAL O.: u +tion Licensee: Signature LIC.NO.%DS'� (If applicable,a er " empt"in the license umber li a Bus.Tel.No fsn3 -D/G"(�t9 Address: $ / � 03w Alt.Te1.No *Per M.G.L c. 147,s.5 1,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner []owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. `_' f � , s • .�+ MMU"P.*1.L1-4 TRO. +. N.1 �.�..•'.V ..- • ®w^340 se ctpxs o e ts: x� glaue4oreplg"tva—no plate -VasseaLr I +afiec r to ns ectzox�xec uixe ( 0.00)-[ ) ' lu5�ectax-s'co�vnez�fs: � . (�S.stiectoxs'uzgneture••3�o i�i3�EiaTs) date ' ate fuspeettmxeauke @S0.00) [ I aspectoxs'comments: i . [�nspectoxs',�ignat�ue.� o?izias} Pate .�7��'3E1C�0�7•�,Y��E�.YA�YC1t�v'rY;�:,. :. hY�l V V�i dY.H :. I l r�ectbxs9 eoxn3epfs: , ! (GnsPect(xs',�zgn tuna X inztzals} hate `e�•,[ � �;ai�er�--X �- '?:�e�nspec�oxtxeguixed(�56.OD)�[ � . ECtOxug CO�1]nE'.X1'E3: f ' � • � �ls�ecioxs' zgxiatuxe xto 3cnias} - Pate >d D22 'A'� Cwt b�2�'i_rIl'd!Z�G!7tri �:f!7L dlTCTd l7f �iIT�DP�7'�'7`d'Ti!2rr`i '�3k^117?PA TCb*RW3i gP'R,,(VpvDx.q10 rp The Commonwealth of Massachusetts Department of Industrial Accidents . Office ofInvestigaldons' 600 Washington Street Boston,MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): _S�Vn _ J ,'(V S Address: et* F J(=, City/State/Zip:Mo,l/� ,-, 0316c� Phone#: -3 16 P 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. F1 New construction employees(full and/or part-time):* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t '7• ❑Remodeling ship and have no employees-, These sub-contractors have' 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per.MGL . I LE]Plumbing repairs or additions myself. [No workers'comp. c. 152, §1(4),and we have•no 12.❑Roof repairs insurance required.]t' employees. No workers' comp.insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work-and then hire outside contractors must submit a-newaffidavitindicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors.and,their workers'comppolicy,information. I am an employer that is providing workers'compensation insurance foamy 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. 1.52 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 WORKORDER and a fine of up.to$250.00 a day against the violator. Be'advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. T Flo hereby certify under"the pains and penalties of perjury that the information provided above is true and correct. 5igrtature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City-or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A I Information and Instructions Massachusetts General Laws.chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this.statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or wri itten." 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)jalso 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 I Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es).and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. Ifan 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 permit or license is being requested,not the Department of Industrial Accidents. Should you,have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications.in any given year,need.only submit one affidavit indicating current . policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked'bythe city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. i 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 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 - . www.mass�gov/dia w COMMONWEALTH OF MASSACHUSETTS' s'E7€CTRICIANS 4dA REG JOUR.I EYMAN ELECTR! .." -l§SUESiTHE AB0VE LICENSE TO. R.YAh! R �SROOKS t �` ;II AAQUET TE AVE N j ' F ✓ 3 ••�.Is, J r IM'l�?Ti� :h�E S�T,I_I2� fil H'J4 �._ :2-542UR4-N LI ENSE �l3 113 17;5t}�G_- NO 1EXPIRATION DATE ' .• t I I �� I � �I � � � . �� I R' o��� i , i,: ' �� i �; Date 41 . . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies has permission for gas installation . . �,O—o,.9,rzJt�. . in the buildings of.',.j .C,.CJL"� O.,,s. . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . ... . . . . . . . ,North Andover, Mass. Fee (D . Lic. NoIng4 . -m� . . . . AM f�' . . . . . GASINSPECTOR Check# - 8339 r. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE Z PERMIT# JOBSITE ADDRESS S'G�✓ OWNER'S NAME GOWNER ADDRESS TEq V1 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL 0 EDUCATIONAL E] RESIDENTIALV CLEARLY NEW: RENOVATION:© REPLACEMENT: PLANS SUBMITTED: YES NO[ APPLIANCES 7 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE - 11� r- .. _.� _ (--1 ... _ FRYOLATOR FURNACE GENERATOR GRILLE J= —1 INFRARED HEATER LABORATORY COCKS �- MAKEUP AIR UNIT I OVEN POOL HEATER J .._._.__.. . - _ .. I _ J I _. .. II ROOM/SPACE HEATER _ ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER c WATER HEATER OTHER . r��r— .... ......._...... .Y:........- �—I 1J.. _ _I INSURANCE COVERAGE 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ONO [J 1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY f�Q OTHER TYPE INDEMNITY © BOND F OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER © AGENT 0 SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be In pliance with all Pe nent pro ision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. r PLUMBER-GASFITTER NAME OC16 t/ �Ru � LICENSE# 7q �_' SIGNATURE MP C� MGF 0 JP R—J JGF QLPGI CORPORATION Q#���PARTNERSHIP�I#r LLC[ #� COMPANY NAME: j(/61ts L).2 �./� ADDRESS CITY lfwJo STATEZIP G3o TEL �7l FAX� ��CELLI EMAIL _ _ _ ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ 01� �i A FEE: $ PERMIT# - - - -- - - - - - - PLAN REVIEW NOTES >6. ° �- The Commonwealth of Massachusetts Department of Industrigl Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):_ Q(���/�'� ��® DU 4f-;�i/-'c Address: I �h1 City/State/Zip: VS(J)-/ Phone#: 60 j 6 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2I] I am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. El Building addition [No workers'comp.insurance 5. ElWe are a corporation and its required.] officers have exercised their 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers' comp. 0. 152,§1(4),and we have no 12.0 Roofrepairs insurance required.]t employees.[No workers' comp.insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy 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 requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby rt fy unde the pal and pe aloes of perjury that the information provideedove101 ' true and correct. Si attire: Date: q12,111 2- Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: i Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or.written." An employeiis defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in aJoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, 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." I - 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 I, Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)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 as 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 permit or license is being requested,not the Department of Industrial Accidents! Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a 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: P � P The Commonwealth of Mo ssachusetts Department of Industrial.Accidents Office ofIavestigatxons 6.00 Washington Street Boston,Mil.02111 I Tel,#617-7274900 ext 406 or 1-877�,MASSABE - Revised 5-26-05 Fax#617-727-7749 www- .ass.govfdia COMMONWEALTH OF MASSAC CTT$.~ PIUMBERS AND GASFITTERS- LICENSED AS A MASTER PLUMBER "ISSUES THE ABOVE LICENSE TO- It DOUGLAS. E DUCHESNE i8. EAYERS POND RD t� ZZg HUDSON .. NH 030:511 5343. :.. 11714 05/01/14 2033W ' i T � W �' � �. i I � �' ' I � �, " own of North Andover Page 1 of 1 S V • l • r .' fey1 ❑ Base Map Zoning 2008 Aerials Watershed zone Utilities ❑ Size OOE] SelectionLegend Location Markup Help Scale 1"=i 106 ft Select Parcels 4� +(show all) Q'c oa Owner Prop_ID Address JACKSON,TERRENCE 1025.0-0161-0000.012 PETERSON ROAD s 1 selected To Mailing Labels To Spreadsheet 'r ❑ Property Building Permits Planning Septic Pu❑i i Print Ownerl JACKSON,TERRENCE Owner2 Address 2 PETERSON ROAD PropertyID 025.0-0161-0000.0 Lot Size 15681.6S Fiscal Year 2013 II Land Use 101 l_._.._.._........---....__..._..._ Code Get Pictometry Imag j Go v3.2.0 AppGm Save Map as Image W tk V20wt mi+B Cmmrk39m aaesrotmom enymrmay,e>gxeseeatrpr A.rorasswremylsptaibtapan b'a}yaxQ accurecRoat} . aLeethes d fire Geognphe Va"MnnSpsern Pq oaUorvVotWdaa ate I}.71�QSs Eos rotezfa tl>°pi}cedaprssea:�rm s*neY atq nasro •ap.�v �g;�Eea9}Bm MmFe.9�rp;sts.tl�c+♦anae +ceHe re.p24 Y nP�+ mpmEntagm Wt n%mKberet PWnIIV cown ion mqjmm s. aesarqby*retaewebftseol mwdffeh*n*amkktl'EyPhmftCamdsra,*ecamAmamw.esmwwmvesm fe;mMdUI=a3t0areamraq'0!W4}raa UVM Any tmalars W"ff'bn Isn aeredOi Isomnsk Z�, / �" 3o i s � http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 9/21/2012 .� � � ; Y. down of North Andover Page 1 of 1 t . ' O ♦ DO ❑ Base Map Zoning 2008 Aerials Watershed Zone Utilities ❑ Size O�� Selection Legend Location Markup Help Scale 1 =1106 ft (Select Parcels t :I(show all) :1 _ - l. 1_ I _- Owner Prop_ID Address JACKSON,TERRENCE 1025.0-0161-0000.012 PETERSON ROAD _.. Mailing La 1 selected To Ma bels To Spreadsheet ❑ Property Building Permits Planning Septic Pugs ® AP` _�dSltEiit�rlinment - Print Owners JACKSON,TERRENCE -- 1 0 - - - -- Owner2 �O ` .;"'---•-_- —.44, . _ _:. - Address 2 PETERSON ROAD ..-_ ID 025.0-016 -0000.0 Property 1 v...�.t"� :_.......-: Lot Size 15681.6S -• Fiscal Year 2013 Land Use 101 __.. _.. Code _.. n •• - o/Jnr Get Plctometry Imag��yy�GI Go 0.2.0 AppGeo Save Map as mage - I�huso.vaky CmvN�mdoes roim�eM+nattirtX��"-}sed mNsti�e1,rar ess+me mY� or>" �torQe amxsc}:omq+P—'epi" or mn&mw d&e GeaWWKMmnansysnPgBraaranyoreraasaP te:ffin.ite^++•asecnacts;tncanceofapr�t ior�Esuagandnsm t m to est, six. aesttmce dtage*W*ft tahm Ply a+e wpd&TrA mWesu=m0.—aftnm x Vaft POmt&g mquesM '1. ,,! naayu�dt tti�Martn4la+oeacmnq�eNed er a aywmm to rs souse and ve mamam%my PmWrg CmmdssbnIacawZa=a nnYRs no waTaremor mmmagallwd as to ca mu=yat sea m mmum Ary use OF Cgs&ffWnr on is 22 remd*,'sar dsx I 1� I http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 9/21/2012 r i :� �r (� h_... y .. ,. i � .. .. i i i Town of North Andover Page 1 of 1 4 S ;• y ❑ Base Map Zoriing 2908Aerials Wate►shed Zone Utilities ❑ Size O�Q Selection Legend: Location Markup Help Scale 1"=1106 It ��Select Parcels .. .. J. per{ .4.F (show all) - I : _ Owner Prop_ID Address - - _ __ rJACKSON,TERRENCE 1025.0-0161-0000.012 PETERSON ROAD mim 7. I - - I; - - 1 selected To Mailing Labels To Spreadsheet ❑ Property Building Permits Planning Septic Pui �`� 4161tEh-tt5�b - _ ..... .. .,_, .. Print Ownerl JACKSON,TERRENCE -- o - -- -- Owner-2 b -'- - -` Address 2 PETERSON ROAD -- -.. --: -- PropertyID 025.0-0161-0000.0 _. Lot Size 15681.6S t0• -- _ Fiscal Year 2013 - -- Land Use 101 Code Get Pictometry Imag Go v3.z.0 APPGeo Save Map as Image �''�`� does mot frMeasy,arrmty. a,anyea.nwmons aw�--yor trxcrta Xxy.e <"' ' 4M aoadomna m9tr puteme mater m,a Pmro an metrue 9te7al.sar. as cede .su xdff tom'ter.orp retu'ow nenmitr v4sno tames RWC3% �y tem envisedf�aftan�s5on�aimmy�veigarefae�cerors�seamae6ftrrraxk�YP�HCamid�e+'sra.ei2a>aeora9:esrowm eaeflare ata tic e=o=ya sed M,n„tn+.Any UWCO ea rramrm,+s a IIVR Wivetft~ML http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 9/21/2012 i � ' � =a 1 ', i �;: '� I I G � � i � i , � j �- �� i f i I i I, f I i i i i i � � GENERATOR APPLICATION DATE: LOCATION: OWNERS NAME GENERATOR kw NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* CONTRACTOR: PHONE NUMBER: 5;� ELECTRICAL GA RESIDENTIAL COMMERCIAL TEMPORARY LOCATION OF GENERATOR: AW<< Oft ¢(aUS *ZONING DISTRICT: *CONSERVATION APPROVAL � � � �, � , j i �. '���'� �►��z � I �is ' IMP 1460 ; .1-866-.-543=:S I Rist: Serving MAs.RE MPAMI 1-506- '15+ 3- 4912 4he:Ci4PS£;a-.tSi.AtdDS emn6l.;johnrn,:barroscoiipanies.com 1_ _.East-Stre-eLF_oxbm.,hfA,02035_Lic:_ 's ii.l.6.8 electicaiJ286t-plumbing LATE. 9-27-12 ATTENTION : No Andover Mechanical Ins RE Gen erac generator clearances FAX # 97.8-6-88-9542 PAGES INCLUDING COVER RE: 2 Peterson Rd. As per your request a ached is the genelrator onstaalation informatin .oIf you need an thin Y g further please feel free to contact me Doug Duchesne 603-1-566 4718 PC-f� (,1.�C, Save Time & Mone .. _ y Win' GeneratorsLl ..trkal b i � . � � � ,�� �A G .,. A I j ' 1.401t'43 I IBM . m00 1.00 t ; ►► Serving>MA1 lCOOM'PAN '� + _ °� the CAPE&-tSLA fDS email.j�hrtabarmscomwi&com t % ,.Ea& Stye l,_Fo .oro, A02Q3,5_.iic. QATE 9-27-12 ATTENTION , No. And-,.- ver Mechanical Inst-1 RE Generac generator clearances FARC # 978-- 88- 1. 16542 PAGES INCLUDING COVER: RL. 2 ,Peterson Rd. As 'per yo r request attached is the generator instalstun *nfbrm, ti on. If you need anything further pleasefeel fe to contact me ocg �achesne 603-:566-4718 Save Time & M oney Onit Ql�OE call for ALL .e�e�atoE—le- --- -------- cb ' . SII _ � �� i III II` v I �I � i �'�, • i I � r f i r ii I' � II I .i ,c 4 - - " Information 3. Close the roof. Keep exhaust gases from entering a t 4. Reverse the procedure to convert back to natural gas. area through windows,doors;ventilai spaces or other opening (Figure"1 9) Figure 1.7. 13, 14, 16,,17, &20M,, It is highly recommended that,carban GT-990/GT 999(Airbox Cover Removed) [do detector(s) be installed Indoors ar to the manufacturer's instructionslrec dation; , Fuel Selection Lever-"ln"Posf fon foi Naturai Gas Fuel ` • Tile generator must the mounted safe applicable codes and the manufacture n fications. Do NOT atter or add to the E system, or do anything that might rer, = ` - exhaust system unsafe or in noncomi t= with applicable codes and standards. 1.11.1 - .GENERATOR install the generator set, in its protective enclosu where adequate.cooling and ventilating air is alw (Figure 1.9).Consider these factors: • The installation of the generator must comply =_ NFPA 37,NFPA 54,NEPA 58,and NFPA 70 star, • Install the unit where air inlet and outlet open become obstructed by leaves, grass, snow, etc. Figure 1.6= 13, 14, 16, 17, &20M,, winds will cause blowing or drifting, consider i GT-990/GT-999(Airbox Cover Removed) break to protect the unit. • ns and endanger generator ratoronhigh ground where water 'Out" Fuel Selection Lever- r) uel Position for Liquid Propane . Allow sufficient room (Vaporon all sides of the generatt- nance and servicing.This unit must be installed i with current applicable NFPA 37 and NFPA 70 { well as any other federal, state and°local codes - -` distances from other structures.DO NOT install t decks or structures unless there is at least four(4 - `- ance above the generator,three (3)feet of clear and front,and 18 inches of clearance at back of Install the unit where rain gutter down spouts, landscape irrigation,water sprinklers or sump,pa �h == does not flood the unit or spray the enclosure,int inlet or outlet openings. • Install the unit where services Y411 not be affected i Including concealed,uriderground or covered se: electrical,fuel,phone,air conditioning or irrigafkr 1.11 LOCATION • Where strong prevailing winds blow from one airs ! a TWIMMI generator air inlet bpenings to the prevailing wino • Install the generator as close as possible to the It The engine exhaust fumes contain carbon reduce the length of piping. monoxide,which "can.be DEADLY.This dan- • Install the generator as close as possible to the tr- gerous gas,.if breathed In sufficient con- REMEMBER THAT LAWS OR CODES MAY RE centrations, can cause unconsciousness or DISTANCE AND LOCATION. even death.This generator trust be Installed- The gensetmust be installed on a level surface.T properly,fn strict compllance with applicable must be level within two(2)inches all around codes and standards.,Following Installation, do nothing that might render the system j unsafe or in noncompliance with such.codes and standards. Operate'the generator outdoors ONLY. 10 r I I 1 . J 4 f ,j e , I g�or is Typically placed on pea gravel or crushed The criteria was to determine the worst case fire scenario within . Check local codes if a concrete slab is required. If a the generator and to determine:the igribbiiity of items outside the a�base slab is required,all federal,state and'local codes engine enclosure at various distances.the enclosure is construct- be fotlawed. Special 'attention should be given to the ed of non-combustible materials and the results and conclusions XA XxM base slab Which;should exceed thelength and widlie th from the independent Testing lab indicated that any fire wrfhin the generator'by a:mjoitnum of sa(6)inches(0- A52 meters) generator enclosure would not pose any ignition risk to ney arb all sides: combustibles or structures,with or without Erre service personnel Figure 1.9—Generator Clearances response. Based on this testing and the requirements of NFPA 371-Sec 4.1.4, the guidelines for:Installation of the generators listed'above.are changed to 18 inches(457mm)from the back side of the genera- ifor to a stationary wall.or bullding.for adequate maintenance and airflo►a clearance,the area above the generator should be at least 4 feet with a minimum of 3 feet at the front and ends of the enclo- sure. This would include trees,shrubs and vegetation that-courd obstruct airflow.-See the diagram on the reverse�of this,page and the installation dra Wng vrithin the owner's manual for details, Generator exhaust contains DEADLY carbon monoidde gas. This dangerous gas can cause unconsciousness ordeath-Do not place the unit near windows,doors,fresh air intakes(furnaces, etc.)or any openings in the building or structure,including windows and doors of an attached garage. A-AWA NINGI If the AUTO/OFF/AAANUAll_switch is not set INSTALLATION GUIDELINES FOR STATIONARY Ato its OFF position,theand start generator can crank as soon as the battery cables,are STAfIONARYAIR-CO 8, 110, 13, 14, f6, TT connected.If the utility.power suppiy is not _AN)LO i(W GENERATORS turned off, spanking can occur at the battery ltional Fire Protection Association has a standard for the posts and cause an explosion. - tion ,and use of stationary combustion engines. That 1.12 BATTERY REQUIREMENTS. rd is NEPA,37 r sand its requirements limit the spacing of an See the Specifications section fdr correet'battery size and rating. :d generator set from a structure or wall(Figure 1:10). 17,Section.41.4,Engines Located Outdoors.Engines,and 1.13 BATTERY INSTALLATION :atiterproof'housings if provided,that are installed outdoors Fill the battery with the proper electrolyte fluid if necessary and located at least 5 ft.from openings in walls and at least 5 have the batteryfully charged before installing it i structures having combustible 41falls.A minimum separa- 91 not be required where the following conditions exist: Before insta'ning and connecting the battery,complete the follow- e adjacent wall of the structure has a fire resistance rating Ing steps: at least 1 hour. 1. Set the,generator's AUTO/UFI+/MANUAL switch to OFF e weatherproof enclosure is constructed of noncombus- 2. Tum off utility,power supply to the transfer switch. le materials and it has been demonstrated that a fire within 3. Remove the 7:5A fuse from the generator control panel. enclosure will not Ignite combustible materials outside`thBattery cables were factory connected at the generator (Figure e closure. 1.11).Connect cables to battery posts as follows: k— Expfanatory Material 4. Connect the red battery cable (from starter contactor)to the .1.4(2)Means of demonstrating compliance are by means battery post indicated liy a positive,p115 or(+). full scale fire test or calculation procedures. 5. Connect the black battery cable (from frame ground)to the e of the limited spaces that are frequently available for battery.post indicated by a negative,'NEG or(—}. ion, f has become apparent that exception.(2) would.be 6. Install the battery post covers.(included). al for many residential and commercial Installations.With mind, the manufacturer contracted with an independent HDA' laboratory;to run full scale fire tests to assure that the Dielectric grease should be used on battery posts to aid in the re.will not ignite combustible materials outside the enclo- prevention of corrosion. NOTE: Damage will result if!battery connections are made In reverse. U �./t. 4 f .. r .}`y �' f �. I r �. � is ... �F: _ —. { � � � � � - .. � '1 � .. F I .f _ _ �� �' ._. i q.General Information F1,10 Iftffilaton OUldeffnes No titiindays or openings in".the wall permdted .`r w,thni'S rest fnxo a ,nt of the eiserator �� r68 inch=5n9 VYati 18 orches 64 inches '� +r Minimum Uistan� ,. 0earanbe3, P .. 96 inch Td 'of Generator S6 ches doors any o; t�YdQ Stit11b5 f direr 12`iri h; . :, Gtearance from the ends and fn5r These:quid elines are°based.0 ' n fire generator should be 3s orches f 36,ncties uvoulii rnclucle shrubs_trees and testtng;:Of the generator,enooSUre and {aril!6 vegetation clearance et t the.manufactiire�s requirement for air sloula be a m,n,mum.of so mci :;flow forproper,operation t_ cp.Jl ices er;y structure overhang or pra�ee� rna ba.'.dtfferent and more reSinC 'e frarn the v+a1l The,geiierator�ticae y be placed under a deck or other i t thanwhat is descnbedhere. struaure.tt�at is closed In and w u �-orconiilhiair:flOW. —' tai Minimum 6dy°Recommended Mirilrsurn FfOM-bids 'Generator' M'sri'rcium' This drawittg.suparsedes tnstallation instar'bons in all Carrier air-cooied,hi llation and owners:inanua[s prevlous'to'May Zt,2007, ._ ;�, U t� `", l `.A .`.V III . . ,. .� �� -,.�<� - �.:z J. � - .� � . � II John, From: Bob Cramer<Bob:Cramer@generac.com> Sent: Wednesday,June 20, 2012 10:03 AM To: John Barros Subject. RE: Electrical'I'nspectors in Mass. As you know I have met with several inspectors in Massachusetts and have not yet run into any of them that have not accepted the testing we had performed on our air cooled product. I can provide the complete testing results to the inspection department for our air cooled product that was performed by South West research Institute which is a NRTL in Austin Texas.We have gone through testing that allows our air cooled enclosure to be installed within 18 inches of a combustible wall. Johan what the inspectors need tounderstandis that UL 2200 is the standard that all generators are built to. UL does not know whether or not the generator will be used as a prime power or non-separately derived system. When we open the lid of the generator the first warning label in the upper right-hand corner indicates that this is a floating neutral system.. We are required per 250:35(6)to perform our grounding and bonding at the service equipment.The lug on the outside of the generator is not used unless required for lightning by the local AHJ.This requirement would also have to be adopted and on record to be enforced. From. John Barros tm6ilto:john(abarroscomp6nies comb Seat;Tuesday,June 19, 2012 2:22 PM To: 'Bob Cramer Subject: Electrical Inspectors in'Mass. Hi Bob, It was nice to talk to your however briefly at Northeast Electrical Supply in Brockton, MA. Now that the market is getting back to normal here,(60 generator installation backlog as compared to 200 a few months ago) I'd dike to.send you some of the information/road'blocks that we are hearing from inspectors in our area. The towns of Peabody,Chelmsford,and Tyngsboro are all claiming 5'is required distance for all generators in Mass. The City of Worcester,MA has introduced their own specification for generator installations. (please see the attachment) I spent one afternoon in City Hall with the plumbing inspector and fire department and neither took responsibility for the new rules and pointed to the other. What information do you need from me to send these inspectors the testing? Also,can you-please respond with the code article that explains that a ground rod need not be driven. Attached is an failed inspection report for a job in Sharon,MA and I just want some backup before I respond. I see that at least the .online installation guide shows a ground rod being installed. Thanks and feel free to call me anytime. John Barros cell 508-9623519 mobile email ibarros6952@gmail.com CONFIDEW,iALITY STATEMENT.This email and any attachment is for the sole use of the intended recipient end may contain private.confidential and/or privileged information.If you are not the intended recipient,any dissemination.distribution cr copying is stric%,prohibited.if you have received this transmission in error,ple2se notifyC-enerac immediately by return email and delete the message and all copies and attachments from your system. 1 i ��;_ • kry � 4: � '+4' r .. - t �3 1 I �..r .. I ., � .. � 4 h - � � �. .. � 4E ._ i P,i 'x .. .. � .. \�� Date. . . .. . . . A 01"'AO RT:'�o TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING •O++r,o,O`lh SACNus� This certifies that . :�� . .�. .`.�L' . .. .. .!�.� • . . . . 1�'a . �cr. �.. has permission to perform . .,�.�1. � . . . . plumbin.g in the buildings of l x2 I06�. .;f/ .. . . . . . . . . . . ,--'. . . .`.. . . . . . .. North Andover, Mass. Fee.,�. .Lic. No../��1i1 rte. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # ti ,� . r . 1 1. � ply' � t � -A. � - rrrrrrrr - m1 o WATER CLOSETS 01 KITCHEN SINKS — LAVATORIES Z BATHTUB 0 s a SHOWER STALLS i _ DISHWASHERS g DISPOSERS Z g s ,Z LAUNDRY TRAYS 3 ; '0 r. WASH. MACH. CONN. I ' 3' °� HOT WATER TANKS c IT �{ TANKLE88 0 ¢ g SLOP SINKS A\ Z FLOOR DRAINS \' GAS TRAPS [:I O O URINALS �. N � DRINKING FOUNTAIN Z. y AREA GRAIN 9 D . � o � WATER PIPING CI \ Cl ROOF DRAINS N O CI A BACKFLOW PREV. t7 OTHER FIXTURES. Q 3 BOILER MATE 'V GREASE TRAP r C SCULLERY SINK _ 51TOWER VALVE Z g � v - — .-U . BELOW FOR OFFICE USE ONLY e` 5% FINAL INSPECTIONS SKETCHES FEE PROGRESS INSPECTIONS APPLICATION FOR PERMIT TO 00 PLUMBING }w f f fv' UNDERGROUND ROUGH COMPLETE ROUGH FINAL INSPECTION PERMIT GRANTED DATE _` PLUMBING INSPECTOR Date. . . . . . .. ... .. .. . . . .. . TM Of 3? 5` ° OL TOWN OF NORTH ANDOVER O F PERMIT FOR GAS INSTALLATION SACMUSE� y f�'FU Qyl"w This cer""t f es that .. . . . . . . . . . . . . . . has permission for gas.installation in the buildings of�L A,8'..?/l(! .(. . . . . . . . . . at . .. . . . . . . ., North Andover, Mass. Fee., ! . Lic. No./:� /U� . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR ., J •: Check# -, 4632 MASSACHUSETTS-UNIFORM APPU ATION-FOR-PNMT TO 06 GASFITTING (Flint or Type).. 0-0 _ Mass, tate 1pi b 2Q _ Permit '/v3 Buldicp s/Namw.- �Type,/ot ''�'• Newp Renovation C3 Replacement Plans Submitted: Yesp No-a. a W O: ii L „t d a Z'2Z. . 0- _ a 0. fA III Z: S. LO ` w < ¢ 1&1tea. o _ s 4C 2C ' BASEMENT' 1ST FLOOR 2N0 FLOOR SRO FLOOR - 4TH FLOOR STM FLOOR 4TN FLOOR' TTN'FLOOR- GTN FLOOR.. InstaAing Company Name- AdAGalr, s PL)cv� ,09 . Check-one:: Cerinicdef. Address nn 544 Qe Lee < `'1 . ❑ Corporation (amu rn A . n 1 S( ❑ Partnership Business Telephone I- - A Firm/Co. rfr►.: Name of Lkensed Plumbs or Gas Fitter:. v�ev) -::I' f act--,2Sa t2 , INSURANCE:COVERAGE:. have a cu ilabalty•kwxanoe,poNry'or tts substantid equivalent which-meets:the requirements d.-.MGL-.Ch:.142.. Yes pi No ❑ . - It you have:checkod-lM#;pbeass*ndiaa a**4ype-.corore 94-�l''y ng;the.appmpd&t&box A liability insuranoe:poliey Otfiec,type �indemc>ity.❑ Bond ❑ r OWNER'S INSURANCE_WAlVER:1 am"aware thatahefkensee.doesr►ot have-.the insurance-coverage requked.by. Chapter 142 of 0*:Mast General1aws. and kid-my signature=on-this•pamt-application waives.this requirement Check one: ti;s OWWO Agent.p Signature of_Cw r_a-0wrwr:s Agent., I hereby certify that all of the details and information I.have submitted(or entered)inabove application am true and *=rat e.to,the boat of my knowledge and that all plumbing:work and installationspwformed under the permit issued for th" application will be in compliance with all pertinent provisions of the Ct =adhusetts State Cas Code and Chapter 142 of the General By Tme of License: Plumber natufe of LicenseoPlumbw or Gas Fitte Title Gasfitter :NMCity/Town Jou ter License Number 31 Q(.D. meyman 1 BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO OIISFITTING NAME A TYPE OF BUILDING, LOCATION O SUILDINa . -PLUMBER OR OASFI*TER ... -. Op."0. _ PERMIT ONANfED DATE 20__ i t ,� OAS'INSPkCTOR Date.... ........... .......... TOWN OF NORTH ANDOVER °L PERMITFOR WIRING CHUS -04CThis certifies that ......... ................................................................................... . __has permission to perform........... ........................................... wiring in the-building of... ........................................................ . ................. ........................... North Andover,Mass. Fee. ........ Lic.No.............. '\..Z .....................�., ELECTRICALINSPECTOR Check # 48 1L Commonwealth of Massachusetts Official Use only Department of Fire Services Permit Na Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR�PEA INF RMATION) D ate: City or Town of: To the Inspecto of res: By'this application the undersigne ives ti e o his or her in t'on to perform the electrical work described below. Location(Street&Numb ) Owner or TenantTelephone No. Owner's Address Is this permit in conjunction with a building'permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system Completion o the followin table may be waived by the Inspector of Wires. No.of Recessed.Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA mergency Lighting No.of Lighting Fixtures Swimming Pool-Above ❑ In-- EJB0-01 grnd. grnd. Batte •oatte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.o Detection an No.of Switches No.of Gas Burners . InitiatingDevices No.of Ranges No.of Air Cond. TotalTons No.of Alerting Devices No.of Waste Disposers . Heat°Pump Number To KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers .. Space/Area Heating KW Local ❑ Municipal El Other _ Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water Kit o.of No.of Data Wiring: Heaters Signs -Ballasts No.of Devices.or Equivalent No.Hydromassage Bathtubs No.'of Motors :Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: y> Attach additional detail ifdesired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides.proof of liability insurance including"completed operation".coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work io'Start: Inspections to be requested in accordance with NEC Rule 10,and upon completion: I cert fy, under the sins. nd penalties ofperjuty,that the information-on this application is true and complete. ;FIRM-NAME: -...M- LIC.'NO.: 15_�3C `.Licensee: John .S. Bassett Signature LIC.NO.: 1533C ,(Ifapplicable,enter"exempt"in the license number line.) Bus:Tel.No.• 603 594 .592$ Address: Alt.Tel.No.- OWNER'S INSURANCE WAIVER: I am aware that the Li , see does not'have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE. $ , — �" � , Q Location 2- ?£'i f � No. (^1 Date N°"T" TOWN OF NORTH ANDOVER : ? 3 � • pL F 9 Certificate of Occupancy $ W Building/Frame Permit Fee $ [G oz Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee .$` Water Connection Fee $ _ TOTAL $ 01/27/95 10:42 600-00 Inspector 500-00 PAID T" 7854 Div. Public Works L . :� ±. '� nt '+ r. �� ..{ Locations No. 0 Date i 01 ,40W 11 TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ + ; • Building/Frame Permit Fee $ ,SSACHUStt Foundation Permit Fee $ Other Permit Fee $ I< 0 Sewer Connection Fee $ Water Connection Fee $ TOTAL $ C t17 Qq , � . /4 Bu(I g Ins or J!78453 :I .�J�J • ' 8 4 5 3 r SIJ ` Div. Publi Works 3 F _ �t .. rt' r.. �. .•4 c t z =a � ,z c. Location No. 0� �' Date "CRT" TOWN OF NORTH ANDOVER O� t.ao 40 amimMidK 9 Certificate of Occupancy $ * ;' Building/Frame Permit Fee $ CMutth Foundation Permit Fee $ 'r s� s Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ i ! Building Inspector t� 01/13155 10:55 150.00 PAID � TO 785 • Div. Public Works 4.� � , I � �`„ I �s� i i � 1 ��� } ,�_,i _ . r �` �' PER31IT NO. ® 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP d40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE A SUB DIV. LOT NO. s P F— i LOCATIO �e��` s.Q� n� PURPOSE OF BUILDING !� y es'. OWNER'S NAME /_1i 1 fl _ f �Q-� /T-1 C6 r�— NO. OF STORIES � �!1 SIZE s� OWNER'S ADDRESS Ly „ f BASEMENT OR SLAB QaaC�,p e �. ARCHITECT'S-;NAME Z� SIZE OF FLOOR TIMBERS IST 2ND y/ - 3RD BUILDER'S NAME O let / b�a SPAN Iq DISTANCE TC,NEAREST'BUILDING l' `� DIMENSIONS OF SILLS (�X DISTANCE FROM STREET © POSTS DISTANCE FROM LOT LINES-SIDES REAR 4 f� GIRDERS y AREA OF LOT FRONTAGE J HEIGHT OF FOUNDATION '• 'l THICKNESS IS BUILDING NEW y 4/ l� SIZE OF FOOTING A �r X IS BUILDING ADDITION N MATERIAL OF CHIMNEY IS BUILDING ALTERATION 1j,/ 0 - IS BUILDING ON SOLID OR FILLED LAND , WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ��' IS BUILDING CONNECTED TO TOWN WATER v -e BOARD OF APPEALS ACTION. IF ANY 7 IS BUILDING CONNECTED TO TOWN SEWER i je IS BUILDING CONNECTED TO NATURAL GAS LINE I ,,- s INSTRUCTIONS 3, PROPERTY INFORMATION LAND COST 1��1 SEE BOTH SIDES EST. BLDG. COST ONLY EST. BLDG. COST PER SQ. FT. `IA-�O. PAGE 1 FILL OUT SECTIONS I - 3 PERMIT FOR FOUNDATION ONL _ 4--/PAGE 2 FILL OUT SECTIONS I - 12 REGULATED BY PARA. 114.8-S. B.C.BEST. BLDG. COST PER ROOM ®� r]1►�ry SEPTIC PERMIT NO. ' ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE F103 IkTIONS �3 7 E PAID PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR • DATE FI D s �YILDINO INSPECTOR SIG URE OF OWNER O It AUTHORIZED AGENT PERMIT FOR FRAME/BUllD1NG •FEE �OZ��� OWNER TEL.a _ b"Z�� Uc� o µ PERMIT GRANTED CONTR.TEL.a ,g _DATE: —fEE PAID.- hol- CONTR.LIC.a. y2 3 O / H.Lc.a PERMIT FEE. r7OZ DEC 3 01994 LESS FDA FEE too — MA FRAME PERM; (,®Z 9,U4LDING RECORD 1 :OCCUPANCY 12 SINGLE FAMILY SrpR1ES 'THIS SECTION MUST SHOW EXACT,DIMENSIONS OF'-LOT-.AND QISTANCE FROM MULTI. FAMILY. OfHC-FS LOT LINES AND EXACT DIMENSIbNS OF`.BUILDINGS. WITH PORCHES, GA- APARTMENTS - ,RAGES, ETC. SUPERIMPOSED. T.HLS REPLACES PLO TPLAN:� CONSTRUCTION «� ' , r 2 FOUNDATION 8 INTERIOR FINISH CONCRETE CONCRETE BL K. PINE BRICK OR STONE HARDW D _ PIERS PLASTER _ DRY WALL ..> UNFIN. 3 BASEMENT AREA FULL FIN. B T .AREA �- ih 1/2 °/, FIN. ATTIC-AREA k (, NO B M FIRE PLACES HEAD ROOM -.MODERN KITCHEN 4 WALLS I -9 FLOORS CLAPBOARDS rjiYIVL B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES C EARTH ASPHALT SIDING HARDw'0 _ ASBESTOS SIDING _ COMMCN K _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY- �— STUCCO ON FRAW.". BRICK ON MASONRY - -ATTIC STIRS. 8 FLOOR _ t +� Jf/� BRICK ON FR M�'• I .t.l j " .7 A01 I..f� CONC. QR CINDER BLK. STONE ONiMASONR.Y'-. WIRING STONE ON FRAME _ SUPERIOR I� POOR EQUATE ADNONE 5 jtOOF 10 PLUMBING -wY r GABLE HIP BATH (3 FIX.) --" ""'��3-MLI GAMBREL MANSARD TOILET RM. (2 FIX.) ' FLAT SHED WATER CLOSET ASPHALT SHINGLES JX LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING ^Ilk TAR & GRAVEL STALL SHOWER - ROLL ROOFING MODERN FIXTURES TILE FLOOR -i TILE DADO 6 FRAMING rI .,1 1 HEATING WOOD JOIST •' -PIPELESS FURNACE - FORCED HOT AIR FURN. TIMBER BMS. &.COL•S. STEAM STEEL BMS. 6 COLS HQT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS �g t OIL 71,1 ! 33 Axle B'M'T 2nd ELECTRIC d a �..,� _ 1st 13rd NO HEATING 02LI I .at�w T1 m 434 31 NMI Am r over Town. o N I lc o o No qqq{{{ndover, Mass., Z44 uAQY 13 19 g s COCIC HEW AGK -F�` SAMIT PER TED ',a BOARD OF HEALTH ur Food/Kitchen TO , Septic System THIS CERTIFIES THAT.6.kAAQ�...� L BUILDING INSPECTOR Foundation has permission to erect.who.... ri11k. buildings on .... ...�SG .... ...... .....�czt-2 ..... I Rough t0 be OCCllpled aS�, tx.. Qlr)� well�tl .............. ....�'. . ..�..ASt.lrc`�....!� � Go9F;,..6,ei?ld�E Chimney rovided that the person acceptingthisP �p p p permit shall in every respect confo m 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 `MMIT;FOR FOUNDATION ONLY VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. Rough PERMIT EXPIRES IN 6 MO Final I- rgs FEE PAID ELECTRICAL INSPECTOR UNLESS CONS ) Rough �� c ..U .. . .. ... .... :......... ............. Service VO BUILDING SPECTOR Final ^��0 \4"" Occupancy Permit Required to Occupy Buildingt�0 GA ECTOR 6 ouly �(� Display in a Conspicuous Place on the Premises — Do Not .Remove Qti� Fi No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. �� FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL street No. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT smoke Det. ' S3 - 7£x:3 f e r �A�'A�' I ����d, Y f :�.. _.i .�''�,. } C y y� Y.;'yj .Y:.. n' /`"�•' tib.•' �'`. f I Tyre FORM U(;= LOT RELEASE FORM INSTRUCTIONS: This form is used. to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve: the applicant and/or' landowner from compliance with any applicable local or state law, regulations or requirements. ****************/Applicant fills out this section***************** APPLICANT: l l( /d{ joiP'el IT/ �p �. Phone LOCATION: Assessor's Map Number Parcel Subdivision a u d d Lot(s') $— _ Street TerS'o I,, St. Number - ************************Official Use Only************************ RECOM DATIO)OFS jOF ENTS: Date Approved 12 L Conservation Administrator Date Rejected Comments UDate Approved Z ri Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date 'Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer water connections � �'V�►' / - driveway permit /SS!/ Fire Department Received by Building Inspector ',Date DEC 3 0 199 i a //LLOI.f/EE / 2 . 1 A k t •� - yt� � � I � `� ; Q i Z I Av � M,4PLE O I 0 � Z4¢ 3 TF=252.0 t�G�__ IIIA ) \\ Q o m3-B% \ 1 Z //OWO DD WAo 9 S ' S ��� .. 3 2 `` z_ ilk Hlo 52.0 22 T F=2 2-0 T F=252.0 ca -73 � 26 ,�''-44 x5 FG O 4 ✓ Z 41 ( 4 7. H 19 p 2,31, o 27 /- td 7 ^ F i�- f�3 �� �, 1@9 v ' `r� o A k A- 40 24 M11W i 2 ' At Z4 2 / PROP CRU BTRM F,; 2 nd A nor 21� PRC MAT --, / EXIST GRAF Q h"E;`;DOW 2 W ,y 30 PROP TF=2 .0 I RET WALL iPROP EROSION CO I ( SI_T FENCE) .100i \ _42x5 FGjg2- J _ y ,�� � J:✓... - S. � 1JJ GGI =0. 115 AC. cW� yor =0.1!2C6 AC.. . � = . I5 AC. OQ l 75 ... 75.00 �...• ZSOp. o Q , � L=45 00 r Roy R- Z Q LOT I - 5,004 a x.88 ... w_ .4�°- /9 _ -P.s ' • '- 310"E ��'�� = 0.I 15_: °' T z�5.23' w75. �0 .�- ��p�=5�" ��moo, � •�`/ .0 �9�3 �o LOT 21 LOT 22 L T 23 NZa 5, 187 S.F n 5,000 S.F .p 9,232 S.F zr0.119 AC. v C =0. 115 AC. V :=0.212 , LOT 26 O LOT 20 , M 5,745 S.F 5,157 S.F =0:132 AC. =0. 118 AC �G•�%p ''/`��"°¢�,��. s��o- `sem ��2� ,� `"� •� d'V� a, LOT 19 Z'`5' � • Zo �, ti \• ��,-��. 5,000 S.F s9 o9 bo, �`��°'MDQ ZQ 4�0, 72 =0. 11 Ac. P�QQ T ��� spIAl 2°23�s�„w �. D� �o.oa' ,�✓�7'4��Zo�� �, LOT I g /D.BG ... . ..q2' 1 F 6,420 S.F LOT 4 ` 4,VOV714171V - il = 0.147 AC. 02�'S � 20,427�S.F \ � Py) ���/1. = 469' AC. oq "N s� LOT 25 151476 SF v =0355 AC. � Sq Q .. ,� -. �, ': ._ ' i p . R i �� �, �. _ __ ,. 9s-0�4 c'ar// rY erot6i»E•v7' 1 � 1 /S, 476S,F N9 i 1 � o h tj', . 's,s�EREaY cE.rr/Fs- rr� ryE r�r�E iAvsaeV C OVO f L O T 7?, Tf.�E B•4NAt'T�A4T TAyE 0a'ECGdcK n LdCATEO OAV TAyE Lor.lS-VIAO.VA ANO T.SG47-17'.00CS GCAN amhf /loov - OIr z--we/GAnvws ,fW";,f w/,4 .St r,"e-,x��0�1 sTPEET,S,I GOT U•vES." � /9�/oa�6�/ ASS, ZC LOG4T /A/ T•s�ETFE .aG /SCo1OO 114Z,4e.0 oT ��!��✓N fO�P SyawN D/V�fiNA• tiiviTY PA•ft/GL '� • �pOFM zSOp98oC �c cs,o .�E'.ocT1/ �o e� M. oo rCp G/Z/93 - JE BoavoAPsi RETE - _ BouvoA4Aes�i,��o.P�s- /flEAPAP/�lA4Gf'E.tiGidEE.P/.1i6 SE.Pv/GEs AT/0A(/ 7;fe6-41 F,ra,4f xrsriAvc AeE-coAPos. 64 omA4A W .STAPEET A.t/OOYE.� �1.4S,SA4C//�/SETTS O/8/O i 7 „t i 1j i 1 i CERTIFICATE OF . USE & OCCUPANCY Town of North Andgyer i XX Building Permit Number q 5'Ol�} Date kpai l 2.A I�AAT THIS CERTIFIES THAT :THE BUILDING LOCATED ON Z ps W-L&A MAY BE OCCUPIED, AS�1 t 011 CA9 IN ACCORDANCE .WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND r SUCH OTHER REGULATIONS AS MAY APPLY. ORT CERTIFICATE'CERTIFICATE ISSUED TO 4WOE::4" P p ADDRE _ _T 1,.* . b++ 040 1� 'A A A A i. � ''c""b� Building Inspeclor - � c • y i - N a I 1'� R L ' O ✓ yrt lover, Mass., 19 jW 1 T 0 T` IAMc I. ( •Q G04 n.C.1HAICn �9�0q�rev �Pa5 BOARD OF HEAI.TH �P 4 MIT I „ Food/Kitchen S(pticSystern � a . -1_J_I ..yDIlN,zGs INSPECTOR NSPE R .THAT•• 1.ls,�l . . ? d. ............................................. .........." . .'ta,4140d-W �oundatic,n) �. erect. �..6 buildings on-D. E.Z!I L.POA0......•�... .!o'. �, It�,,,g1, O.li... AIS.. L �x r. `'�1�.J•�.e. .. iL,�,a.�. r1> L,;,�ta. . ......••........... .•...... •Y ..4!..� .�,r. 1 /�sF chi,»ney iersoh acceptin this drmit shall In ever respect conform to the terms of the ap�lcatlon on file in he provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of p Y � '} f awn of North Andover. PLUMBING INSP CT94 PRIVITROMMommy oning or Building Regulations Voids this Permit. BEGU ATED BMW1145-&' B.G. -� -- ;: PERMIT EXPIRES IN MONDW 113 1J FEE PAID_.� ELECTRICAL 1NSPE T UNLESS CONSTRUCTION STARTS R�,,,g,, AN q,� /1 iME/BUILDING Service A. ................................................................................................................. t BUILDING INSPECTOR C�� I ancy e'1'}11it Required t0 OCc-upy Building GAS INSPECTOR 663DR* Rough a Conspicuous Place on the Premises -- Do Not Remove l No Lathing or Dry Wall To Be Done FIRED PAR' T �il I petted and Approved by the Building Inspe o . ` S Burner �= 11 FINAL -z9, �; CONSERVATION _FINAL street No. C�p�tnr� Smoke Det. ' FINAL DRIVEWAY EN ERMIT___