No preview available
HomeMy WebLinkAboutMiscellaneous - 20 HAWTHORNE PLACE 4/30/2018 20 HAWTHORNS PLACE 2101026.0-0019'0000.0 s I CERTIFICATE OF USE & OCCUPANCY , � Town of North Andover Building Permit Number �lS- 3'l a .Date [.6 4 ccclt�E-2° Z I_ #,� , THIS CERTIFIES THAT tilt, �,` '�"`•. ' I ,I}, do � r i, :}�.�r !r . i, 1. - ><. ` v, ' t�} 4 ,• , [�:{ 1 r' - . THE:BUILDING LOCATED ON 2-d 4tt"bE�ft�1-l�. {r{$ y if • � it 1 � j 3' y,- .. 1 F , 111 �,i �[}[ r,a s u _ # MAY BE OCCUPIED AS�t� 6 •���L l�I 7 CA2 6APA6EIN ACCORDANCE J. WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO /d K. T��� ' ` L} ADDRES ED I NA fi • r �: �s4CMUb Bui ding ThipeCto s' Ij ;i• r !�'fi ORTF ovm Of - Andover � L No. 376 * t:- dower, Mass., 4061 71 19RS" T O ` L A K t �, T CUC 111C.1l—tt oRg7EU PP BOARD OF HEALTH PERMIT T D E Sep 'c System BUILDING INSPI _`TOR THISCERTIFIES THAT.. .i.":..:.......................:.......................................................................................................................... Foundation has permission to erect.....................!...I.....:.: ;buildings on ..Z, .... u T......R&F... ' ••••��-.Qt'. �, Zou 9'z-I '� led as. .i.?. .. . } ...t::.:.:. w.:.� �.u� .2...CAe.....662A.G.&. ....... ..(> A.N4�,y� c7, uey N " z�l (� to be Occup :.... ;.,. ..,. .. ... provided that the person accepting this permit shall In eves ► respect conform to the terms of the application on file in i►�a U u 0.r . this office, and to the provisions of the Codes and By-Laws relating to the Inspec q�ra o u of Buildings in the Town of North Andover. ru� � D� � �� PLUMBuy G I SPECTOR REGULATED BY PARA. 114.8-S. B.C. 911 2_15 VIOLATION of the Zoning os Building Regulations Voids this Permit. QJ �� �.04, Fi a ��/L�4 s �y �q, FEE PAID PERMIT EXPJ.. MON sa ELECTRICAL INSPE o .. UNLESS CONS o `� R FRAME/BUILDIN(3 PERMiT FOR Ys' BUILDING INS CTOR ry r-- D E PAID'` aQ GAS INSPECTOR ` Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FI E D�EP.�A RTM T Until Inspected and Approved b the Building Inspector. Burner D PLANNINGI FINAL CONSERVATION Street No. 1� I r, I f Smoke Det. SEWER/WATER 2 U) FINAL DRIVEWAY ENTRY PERAIA, T l� �� / ` 100' i LOT I N r�, o 0 0 0 EXISTING FOUNDA TION 19.2' LOT2 TOP OF W FOUNDATION to = 61.9' v � 100' ��HA1ERNEI CER71FY THAT PRIPLA STRUCTURE SHOWN STRUCTURE LOCATION PLAN THE HORIZONTALTHE SETBACKARY REQUIREMENTS OF THE LOCALRMS TO APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS,W£TLANDS.EASEMNTS, CLIENT. COOLIDGE REALTY TRUST ORDERS OF CONDITIONS.ETC.) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY THIS CERTIFICATION /S MADE AND LIMITED PURPOSE OTHER THAN THAT OUTLINED ABOVE.EXCEPT WITH THE WRITTEN PERMISSION OF CHRIS77ANSEN & SERGI INC. TO THE ABOVE CLIENT. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHISITED.CHRISTTANS£N & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- MA77ON CONTAINED HEREON. LOCATION. LOT 1 HAWTHORNE PLACE NORTH ANDOVER, MA. �N OF ,yg3�c g MICHAEL o J. SCALE. 1" = 40' DATE. AUGUST 16, 1995 EA(31 Rb. 91 Q ��.rF� 70 AILENGI SJ CHRI S TIA NSEN 9,SERGI PRoLAND/ONAL SURVEYORS ER5 160 SUMMER ST. HAVERHILL.MA. 01830 TEL 508-373-0310 ©1994 BY CHRIS77ANSEN & SERGI INC. DRAWING No. 9409001 q7- 3'7 8 -• 40 \ •y \qT 44 MA PEN T 1 A - 000 Sj ��-� `46 N/F FOURNIER O LOT 2 30' QEG�I 5Z CI 28895 " PROP. 36'x26 HOUSE 9p G`ISTEA �� 7 77P PND.640 SIONAL 0. 0' \ 4'PYC / DRYAD fiAPCENA/N•--•l M B"f.LRI. B'PYgo C ER W W S \ M&L-NAIN Az STE PLAN OF LAND LOT J DRYAD STREET NORTH ANDOVER, MASS. COOLIDGE REALTY TRU57' �•�. r' : Ar DAM JULY r+, im 20 0 21 /w/r cHRts7z4N SEN-$, AV Q,,.m irr a mawmw a mo rre am Ma sowv LOT I y • . a. FORli U —. LOTn=hSE FORK _ 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 re uirpments ****************A 1 n 1Jge�Cons&u.f�lcJ:0n Co.s`out .this section***************** pp-G3�1 401 /Andover Street APPLICANT: Nnrfh Andover,UA 01845 Phone CJ / LOCATION: Assessor's Map Number Parcel 3 Subdivision Lot(s) / Streete ae &St. Number ZC> ************************Official Use Only************************ RECOMMENDATIONS F TO A S: Date Approved �'- Conserva_ion Administrator Date Rejected Comments Date Approved 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 - driveway permit Ip^ i.J —21 — S ment V&I-AA"w /rire Depart7 �� Received by Building Inspector Date Locatio 2� � �Q �h No. � ` 3�a Date 7-3�- 5 oT: ,�ooL TOWN OF NORTH ANDOVER } p Certificate of Occupancy $ « ; Building/Frame Permit Fee $ Foundation Permit Fee $ ti s�c4 1 Other Permit Fee $ 1� 939 Sewer Connection Fee $ A900-00 3, Water Connection Fee $ 5C Albi TOTAL $ Zon In cto g 07/31/35- 13:17 1,077.5Q,�,�?4_ Div. u c Works PER111T NO. uAPPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, M PAGE 1 MAP dJO. I LOT NO. G # 5— 2 RECORD OF O RSHIP DATE BOOK PAGE — ZONE SUB DIV. LOT NO. LOCATIO f r_1 P RPOSE Q UILDING f QWNER'S NAME _I NO. OF STORIES , {7� SIZE ! � OWNER'S ADDRESS Q , t,_fJ,� BASEMENT OR SLAB C�/lJ s CPQ ARCHITECT'S NAME SS O SIZE OF FLOOR TIMBERS IST v //7 2ND UILDER'S NAME 7 � SPAN /� /� w J� DISTANCE TO NEAREST BUILDING S IMENSIONS OF SILLS �7 DISTANCE FROM STREET t "" POSTS ^ DISTANCE FROM LOT LINES-SIDES /1 REAR O '" GIRDERS / ✓/�l'7 fy�'j 1 AREA OF LOT �Q .� !J FRONTAGE /J7- HEIGHT OF FOUNDATION /�i / !s THICKNESS IS BUILDING NEW v SIZE OF FOOTING X / sJ X Jl �ZI� S BUILDING ADDITION D MATERIAL OF CHIMNEY IS BUILDING ALTERATION _.l IS BUILDING ON SOLID OR FILLED LAND (���({�' V WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER Y_t es VVQ I� BOARD OF APPEALS ACTION. IF ANY O(1 / B IS BUILDING CONNECTED TO TOWN SEWER "J�� J r/�IJL Y . IS BUILDING CONNECTED TO NATURAL GAS LINE 3D INSTRUCTIONS s PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST SEE BOTH SIDES REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS I - 12PA,D /�yl .i` EST. BLDG. COST PER ROOM DATE AI W�� SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDI G INSPECTOR DATE FILED ?IUS� ILDING INSPKCTOR SIGNAT-RE F OWN UTH RIZEDAGENT �C . FEE OWNER TEL. PE M!T FOR FRAM BUILDING � �7 0/ o� • PERMIT GRANTED CONTR.TEL.N 8 19q,` DATE: (;� 'FEE PAID* f 11 CONTR.LIC.# H.I.C.# ct(:)Q x(033- ttt9 ��34 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. • . CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH -d CONCRETE d t 2 3 CONCRETE BL K. PINE _ BRICK OR STONE H —_ PIERS PLASTER _ DRY WALL ol _ UNFIN. ' 3 BASEMENT AREA FULL FIN. B M'T AREA _ '/ 1/2 1/ FIN. ATTIC AREA _ N_O 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDt!J'D _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAMET BRICK ON MASONRY ATTIC STRS. & FLOOR _ •- u _ .. i p ,Va ..�� ,,�.F �1 BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING _ STONE ON FRAME !; t ��•'� '� l7yj.a SUPERIOR I� NONE ~ ADEQUATE E 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBRELMANSARD TOILET RM. 12 FIX.) FLAT 11 SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING • , * r �T'' i 1j'^4 1 ` • 4 WOOD JOIST PIPELESS FURNACE 4 FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM _ STEEL BMS. & COLS. _ OT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OIL 2nd _ ELECTRIC 1st kI 3rd I NO HEATING 0 usu ORT s over, TOof 37$ =s t. ' 1 -t dover, Mass., HCly 6 '1 9 5" • o- C OC MIC ME WICK A �. .„ ,9 °RATED BOARD OF HEALTH 4 Food/Kitchen Septic System . r P,,ERM 1 BUILDING INSPECTOR THISCERTIFIES THAT...�14 K...T(W.%.r.......................................................................................................... Foundation 11 , has per to erect,llC ..I1 IE buildings on., �4.r1l;=. T.......�NE.... Roughoe a 1t y 1 e,�lt� ..... Chimneyto be occupled as�1N,61L°.�14� �,A.N �'�`y ' provided4that the person accepting this permit shall In eve y q ect conform to the terms of the application on file in Final y this offlce;rand to the provisions of the Codes and By-Laws relating to the InspecMIM700POINAVOODAN of Bulldings;in the Town of North Andover. PLUMBING INSPECTOR REGULATED BY PARA. 114.8-S. B.C. .. ; VIOLATION sof the Zoning or. Building Regulations Voids this Permit. Rough f F '' `�` FEE PAID Coo " Final _- PERMIT EXP 6 MONTHS ELECTRICAL INSPECTOR { UNLESS CONS Rough Service t BUILDING INS CTOR � � s Final r 4 Occupancy Permit Required to Occupy Building �� Gtr CTOR Ri Display in a, Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done O� FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL street No I Smoke Det. a AY ENTRY PERMIT SEWER/WATER FINAL DRIVEW Location No. a Date S 1 °"T" TOWN OF NORTH ANDOVER p Certificate of Occupancy $ r + s Building/Frame Permit Fee $ Eta Foundation Permit Fee $ 10a -- i s�c►+us s r Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 11101 Building Inspector 8633 Div. Public Works Location Z-o �QA-- No. .31 F3 Date71113/9r i ot 1 p .. ,dTOWN OF NORTH ANDOVER, o f 3? • t. ' �L 1 Certificate of Occupancy $ Building/Frame Permit Fee $ D© +ss��"US e� Foundation Permit Fee $ �( Other Permit Fee $ _ Sewer Connection Fee $ —' v1l Water Connection Fee $ TOTAL Building Inspector 08/21/9514:20 900.00 PAID t - 86-34 Div. Public Works ` 6 � ��; �' � �visvuL�+Mtkau�i.cum ,._�'�'ir ��MNLmbtngF'emnttR➢FDZF-._..z. w ��-, e �FJ To=cf karth PFnda:er,MA 20427 lmilllll — — TJR9fl/NE Suti�msarrnacssvxxt--- � �°�r's�,s�fi5ie,^i� �r •.�'sr - 1!: rfil�.ecoa.# !`cao .• � ki ;s:1aC,'h=. ® Plumbing Permit Review I' 6s�W'� g[�vnet�ml9ffiagfvsr-.nm,.der_•�' �. Plii�neSaRTe;ll4aszylEiIMQEV_FRCE1 E4C . . r i .a.�•.._,.__. hsa:'ca�r Ea,�imn.. [nas�cr� 20 HAWTHORNE PLACE,NORTH ANDOVER MA This doamient was sent to the printer" x• mmumnst nsu�at� l' 2 S­D Monday, May 23,2016 08:45 AM a ool� _p Town of North Andover,ARA 20420 'Gas ftra*- ofEdsft*Fb ereVA;p ancm(Camum dal ct ReAftedall TIMELINE &AW2%�scaac Ytna'te owafar acres �!t�-s.�t5�ac�-: It4e�t#l�fyw&.-ux���rpdaigsv6a cs-.sa3.Fed ize®to ctvec4ctice stgmat mgtirre L7 cairaras hack to this pap-- Gas apGas Permit Review I.P-r— 0 PermA fee Parma G john sates 20 HAWTHORNE PLACE,NORTH ANDOVER,MA Cheer FRF.13 WIU-IW&EL LEN Aim �o ,tea F �.. Monday,May 23,2016 08:48 AM - r N2 � - /-cr Dae.... ........2Y............ Of �aORTM,� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,ss^CHUSEt / Y This certifies that . ' i has permission to perform_...:45....... T.FC0Afff0A�+ L77TQFMtMCHV u= Office Use only DFPARTAMYTOMBLICSAFM permit No. �a BOARD OFFMPREVF.M0NREGUTATIOAS5V CMR LZ-IO Occupancy&Fees Checked ch UVPPUCATION FOR PERMIT TO PERFORM ELE=CA.L 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) Dat �1c7 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) a(� 'uoi-6�z- Owner or Tenant k6r\ ?hoc yi F , Owner's Address Sj�I�Yi� r Is this permit in conjunction with a building permit: Yes[]Z No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 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 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA i No.of Lighting Fixtures Swimming Pool Above Below Generators KVA and ground No.of Receptacle Outlets h No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets of No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pum s Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal a Other Connections No.of Water Heaters KW No.of No.of _ Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTftER IrtstrarreCo Ptasuat�tmthetegtvtana�ofhtd� (3ata-aiLaws Iha\eacmatLtabdtyhurancePohcymduc&gCar>lletCoArdWcritssksmrtmiegz.,Aat YES [21 NO lhr�cabnadmihdptoofofswriotheOE'ice YES Ifjcuhaw dvdcedYES,pimsemdc*theNxofwmagzbyd=k gthe appLp `� [2 BOND 0 Om p (isle) - IrExpiatiwDaie 9� 1 Estirnaled VahrdEledncal Wak$ Wa k to swat I spectim DateRaluested Rwgh Ftrol Sig-W underlie Pam ofpa*.. FIRM NAME LioaseNa ]LiDz s ;n „_, s LicaseNo 3j�8 t,� &uSiMTd.Na Ah.Tel.Na OWNER'S INSURANCE WAIVER;I amawmdi tthel-imisedoes notthe itstracet>o�aros shqxXWetzalatas regtmadbyMasadmsetts Cental Lam aad drit nTy signtumonthisp=ftappkabwwanesthistegtstanalt (Please check one) Owner F7 Agent Q Telephone No. PERMIT FEE$ Location `x �lAL 1lloro Pf No. Date aO� �oRTM TOWN OF NORTH ANDOVER n Certificate of Occupancy $ Building/Frame Permit Fee $ 1'�b''•° 't� Foundation Permit Fee $ sswcHust Other Permit Fee $ Sewer Connection Fee $ r Water Connection Fee $ TOTAL /. Building Inspector 1 7 r;0%'J72�/99 12:33 32.00 PAID Div. Public Works 4 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Typal NORTH ANDOVER, Mass. Data 10 �, �� ;L0 >� 8undinQ Location Owner's r Name /°1y6yf New Renovation ❑ Replacement ❑ Plans Submitted: Yea❑ No.❑ FIXTURES st • w zW ►- w w w 0 = 0 an a s w44 _ Z _ 0 1 X1 W V i • V. < io- • = S 4 < z < a Z a >r a 0 < w ss < a1 16 W w O e1 s.4 aa •r a s 44 101L lot WX • • o o s >r f. o a6 o a o < s s • o sus—isrT. tAaleatNT IST FLOOR 2NOFLOOR 1110 FLOOR ITN FLOOR STH FLOOR IT" FLOOR I M1 - 7TH FLOOR ITH FLOOR — Check one: Certificate Installing Company Name /v( D i,u rb U ❑Corp. Address r3 /fin k 7 5—% ❑Partnership t/ r ( i;I-Ffm/Co. Business Telephone 2 5 7 — Lr�6 I 7 / Name d liJ censed Plumber r A- 0-/"- INSURANCE ,rINSURANCE COVERAGE: chacx one 1 have a current Ilabllty Insurance policy or Its substantlal equtvalet;t. Yes ❑ No Cl It you have checked y", please Indicate the type coverage by checking the appropriate box. A Itabilty insurance pcilcy Q Cther type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: i am aware that the licensee does not hays the Insurance coverage required by Chapter 142 o1 the Mass. Genera! Laws, and that my signature on We permit appilcatlon waives this requirement. Check one: Owner ❑ Agent ❑ Signature at er a Owners ant I hereby certlty that alt of the dalalls and InImmatlon I hays subs- ted to entatedll in above appikatton we Inue and accurate to the best of my knowledge and that as plumbing work and Instaflattons performed under the permit Isswd foe Ws applica Pn compliance with aA pertinent proyWons of the Masuchusetts Slate Plurnbtnq Cade and Maptet 142 of dw d laws. OY SignstutsW bet Title t mnm Number .-9217 CRy/Town —,-- Type of Plumbing Lkanse: Master Ai'Pi"'ED (OFFICE USE ONLY) Journeyman 0 a Date. s. ./. . . .f1.1 IU Gi "<'AD+o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING p ii a N ,SSACHUS� This certifies that . . . . vr+: .. . . . . . . . . . . . . . . . . . . . .a has permission to perform . . . . . . . . . . . . . . r !` Lon plumbing in tpe buildings of . t�.... . . . ., North Andover, Massg Fee:J=. . . . . .Lie. No/:.' 'A 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File f MASSACHUSETTS UNIFORM APPLICATICN FOR PERMIT TO DO PLUMBING —� (Print or typal NORTH ANDOVER, �`" . Mass. Oai� 10 � Bunding /tea �� ,/ Permit # G G � 3 Location �/7 0//� mNaers Na ����/��iC me New 0 Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No.❑ FIXTURES / st e1 ~ z r 4 r- M . ` V M M 1 4 S i r W Q r h 111 g �' aT e1 = r Is L O J 111 M M ? 4 it 3P Is Its J i r O o A s 1<• i ► i a a s t n i o sua—esuT. •AsararT / a IST FLOOR / 2110 FLOOR t 3116 FLOOR IT11 FLOOR ITN FLOOR 'sTH FLOOR TTH FLOOR 4TH FLOOR - �a/� Check one: Certificate Installing pany Name � ! � /�� \/ ❑Corp. Address 0�' ti` / ❑Partnership "#04/ r 6-77/77- ❑Firm/Co. Business Telephone Name of Licensed Plumber INSURANCE COVERAGE: Gnecx one 1 have a current liability Insurance policy or As substantial equtva anL Yes ❑ No ❑ If you have checked yam, piessse/indicate the type coverage by checking the appropriate box. A IlabiRy Insurance policy td Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the Insuranca coverage required by Chapter 142 0/ the Mass. General Laws. and that my signature on thfa permit application waives this requirement. Check one: SIgnatuts of Ownef of Owner s Dent Owner ❑ Agent ❑ I hereby certify that ala of the detafis and hformation I have submitted Jot entered)in above appikatlon are true and acaxate to the best of my knowtadge and that all plumbing work and installations pariormad under the pormlt I&umd fol thl ap r/ wll be In compAance with Lit Winent provisions of the Massachusetts State Phxnbing Cc-do and Glapter IQ 0f- GWW rututs` sea ar o Title tJaensa Number , ttty/Town Type of Ptumbing Lkanse: Master 13/ APPrW1VED (OfF)CE USE ONLY) Journeyman 0 Date. . . . . . . . . . . . . 2103 "•ORT:�tio TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING d sSAGNUs� i This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . . . . . . . .Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . PLUMBING INSPECTOR I 09/07/93 12121 X2.50 FA.i7 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File PERMIT NO. APPLICATION FOR PERMIT TO IIUILI)********NORTII ANDOVER, MA At%P NO. 2. RECORB OF ON'NLRSIHP DATE BOOK PAGE /ONE SUB nlv. l(YFN()' S'c-rct"o (Ili � �rx14 /✓��� 1 OCA I ION L� PURPOSE OF Bllll DING OWNER'S NAME konjQ D N�=- NO.01:SfORIE•S SIZE ()WNER'SADDR 9b ( 1 1 cs �o N 4 BASEMEN(OR SLAB ST HD RD ARCI IIIECI'S NAME SIZE OF FLOOR TIMBERS I 2 3 Bl)ll DL'R'S NAME U P t l J SdN SPAN DISFANCETONEARESI BUILDING YV DIMENSIONS OFSILLS DIS FANCE FROM SI KEFI' DIMENSI(NJS OI:POS I S DISTANCE FROM I..OF LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE I IEIGI IT Of:FCAINDATI(N! THICKNESS ISBI111.DIN(iNEW =SIZEOF_I(XIIING -" , S X IS BUILDING ADDITI(NJ �.L A j O�� MAI ERIALOFCHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OFC(ILLED LAND WILL BUILDING CONFORM TO RECKIIREMENI S OF CODE IS BUILDING CONNECTED I OTOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CCNJNECI"ED TO TOWN SEWER IS BUILDING CONNECFED TO NATURAL GAS LINE INSTUCTIONS 3. PIinPERTI'INFORMATION ^ _ LANDCOST ES 1'. BLDG.COST ` Q v e, PAGE I FII.I.O(FF SECFI(N1S 1-3 EST,BLDG.COS U PER SQ.FT. ES'I. BLOM COSI"PER ROOM EI ECFRIC hTE'I ERS MUST BE ON(xFFSIDE OF BUILDING SEPI IC PERMIT NO. AI'IACHED GARA(iES MUST C(NJFORM'FOSTAIEFIRE REGULATIONS J. APPROVED Bl': - — s - Ad CA—^-- PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECF(N2 BUILDING INSPEC fOR OWNERS'FEI-N.: CON FRAC-cm 3 4 CONFRAICH tiIGNA1URF lN:OWNER URAIfNI(�MIYl:DA6I:NF III RNIIF(MAN I11) 19 _- r I ``r=�.., .,., � . e it I N N 33'1 N N LIVING I I�I I I m r I / PORCH M i - -- -PO CH- - - � - 18'1 z2 S 5 2'2 18'1 144 331 LIVING AREA 812 sq ft JZ t FOkM 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* 603- 461 -�3G / f r��CtsAPPLICANT A�' U g ��� ,uPHONE LOCATION: Assessor's Map Number o2 PARCELCQ 9 SUBDIVISION LOT (S) nn ST, NUMBER _-14 -STREET _0 dcGU ----=-r---^�----r^...•...•"•^"""**'OFFICIAL USE ONLY"..... RECOM TIONS OF TOW : AGENTS CONSERVAT ON ADMINISTRATO DATE APPROVED /I DATE REJECTED COMMENTS I , (1 ( 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 DRJVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE nURIdA6t IN5PE6110N PLAn city/town:_t_10:_AV4bQV�R___ ,,A„ of Dates Scale: %"—Qom E `yam Owner-----T N b TZ WC-------- Buyers----)4/A-.--------- � Deed Ref. 479A J149 Plan No. \2k80________ o S^'� Drawn per City/Town ofM - __ Tax Assessors Map. MARENGO ST. �oo.00� N LoT� 0 .O I 1 N 0 K, Lcn'T 2 1 i i waoo - too.vo HAWTHORNE PL . o: L ACJ---L_a niC�__ SAV 1 t l yS-- 6At�11----------------------------- - hereby certify- that the- above Mortgage Inspection Plan was prepared for use in connection with a new Mortgage and is not ntended or represented to be a property line or land survey. It cannot be used for establishing fence, hedge , walls or building ines. No responsibility is extended. herein to the land owner or occupant. The location of the original building(s) as shown erein was in cosoliance with the local applicable zoning bylaws in effect whom constructed, with respect to horizontal imensional requirements, to lot lines or is exempt from violation enforcement action under Mass G.L. Title VII, Chap. 40A, Sec. , unless otherwise shown herein. Subject building(s) lies in a flood zone designated lone: X and show- on ------------------------- IRKmap Community-panel I-__S00,,3 Dated: Co 2 9'S 7ch No._ !3-(0041 ------------------------- ___.._1__1____-____ trDr INC)i< PRATED, LAND 05 & Di"E10FMEXT CONSULIAMS 4 AUTUMN LANE, MET)M:EN, MA 01944 508-683'993y ___ ____ _ T40RTown T t e of _ Andover m No. 01.3 - �_ R - i dover, Mass., J":R& LAKE 19 •9 CO CMICHEWICK i�1• E D-ApP`� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......RVM.A.101........... ....... .Q PN.1.......:........... Foundation has permission to erect........... buildings on... 0.4 w orN [.... .... Rou h ..... ............. . . .............. . to be occupied as..,S 04) .... y....... ..r .. '.../....r�/.......... ...4 u. � �. ...U Chimney provided that the person accepting this permit shall in every respect conform to the terms of the pplication on f e in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MO TH Final UNLESS CONSTRU N S ELECTRICAL INSPECTOR Rough .......................... .. ................. ..... Service ..... ... . .. .. .. .. .. ............ ........... BUILD G INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR • Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done ' FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det.