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HomeMy WebLinkAboutMiscellaneous - 207 FARNUM STREET 4/30/2018N 13-.- o N C) C) V V 'Tl D v O z o c N � O -4 0o m o � d 1k Date /f (o- I v .......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that has permission to perform Loq ' W ...9.......................................................... wiring in the building of ............!�./. ��...................................... C �a � n A/vnA .rte at ...................r?................................................ .. .North Andover Mass. � Fee ...... Lic. No. 3� ELECTRICAL INSPE Check ti__ 9192 FA - Commonwealth of Massachusetts Official Use Only •' - Department of Fire Services Permit No. 14,1 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07) tjPAVP h�anlrl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINTININK OR TYPE ALL INFORMATION) Date: 0/1), , Q City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) a07 1;rf-jum < Owner or Tenant �G �^ W Owner's Address U Tt-ttrn Telephone No. Is this permit in conjunction with a building permit? Yes j [(❑ No (Check Appropriate Box) Purpose of Building Qt/�lQ� �- '� : /t n tP�L'ihn,HNt tility Authorization No. Existing Service Amps / Volts Overhead Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: F�e>% �L n /dI �a / _ / �r 41&4 A"� rL p�a� ©Ut7 �••��.ue�au q aesirea, or as required by the Inspector of Wires. Estimated Value of Ele cal Work: , 0 0 . (When required by municipal policy.) Work to Start: 0)10tal l 0 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 [IBOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete FIRM NAME: LIC. NO.: Licensee: 177i6,ae Signature- _ ,!�,-LIC. NO.: [3 & (If applicable, enter "exempt'; in the li rrpe.nuer line.) Bus. Tel. No.. Address: A M,4, 0/8 7 Alt, Tel. No. *Per M.G.L c. 147, s. 57-61, security work req es 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 law. signature below, I hereby waive this requirement. I am the (check one) owner [I owner's agent. Owner/Agen Signature Telephone No. N if 10 The Commonwealth of Massachusetts Department of Industrial Accidents. Office of Investigations 600 Washington Street Boston, MA-02II1 www.mass goy/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aoolicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: �� rQ 4J. O f9 79 Phone #:(wy) 442 96 /- Are you an employer? Check the appropriate bog: L ❑ I am a employer with 4. [❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ZJ am a sole proprietor or partner- listed on the attached sheet ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. [] New construction 7. [] Remodeling 8. ❑ Demolition 9. [] Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other t :y applicant that checks box #; must s's:. ftl; 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 new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that isproviding workers' compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofpedury that the information provided above is true and correct _ �eSignature: � Date: O i 104 /13 T Phone#: C 7-R) � -- 4?A.(�1 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 #: j.. Information and Instructions / Ze"Uts-et General Laws chapter 152 requires all employers to provide workers' compensation for their employees. statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a, deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license'or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if ! necessary, supply sub-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 carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should. be returned to the city or town that the application for th per it or jicens_e is being requested, not the Department of Indiistrial 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 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 oT,citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog Iicense or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington. Street Boston, ASIA. 0.211.1 Tel. 4 617-7274,900 ext 406 or 1-877-M-ASSAFE Fax 4 617-72.7-7749 Revised 5 -26 -OS www.mass..gov/dia Date.!.:...:,©.§ ....... ,AO oTq f 1 O �1.O \ 91-1 0 TOWN OF NORTH ANDOVER :- 0 PERMIT FOR GAS INSTALLATION This certifies that..r?�.. .... �? .f ...� has permission for gas installation . in the buildings ofG%t.�... �i1� �-S-S............... at ...�;-F/,, North Andover, Mass. Fee .P-,. .. Lic. No. .A. . �. `7H ` ................. . / GAS INSPECTOR Check # 1 2 �7/ 7091 FIXTURES MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING ° City/Town: North Andover MA Date 101/06/2010 ..... Permit# Building Locaticl 207Farnam Street Owners Name erySara Weiss Type of Occupancy: CommercialF Educational Industrial; Institutionali Residential, L— New: Alteration: Renovation Replacement:] Plans Submitted: Yes No a , FIXTURES INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Ye&.,PEko If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy, Other type of indemnity Bond ✓ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner I Agent z Siqnature of Owner or Owner's Aoent �" �"� By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the nest or my nnowieage ana tnat all plumping work ana installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By',- 1 Plumber Gas Fitter Title; Signature of Licensed Plumber/Gas Master $ Journeyman I - — - — ._....._ Cityrrown __ „ y License Number: PL 15479M APPROVED IOFFICE USE —ONLY -1 LP Installer i.. Cn W W D = W O U W W U H = = W W Z H F- g C Z 0 W U)OEWW W O O W W w Z m 00 Q a i— <W o w X w E- > U W U W O W W W O Q W u) Z x W O I– N W = P o W = U. W W Z —1 H F O Z J U' W W m W O z LL O N WI.—WW > f- _ O U o W 0 U. Q 0 0 2 2 J O a IY H>>> zzW O SUB BSMT. BASEMENT 1 FLOOR r` 2 NuFLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR ff FLOOR -i 'FLOOR Check One Only Certificate # Installing Company Name Done Right Plumbing & Heating Corporation i Address:1 256 Twin Bridge Road �City/Town FNew Boston State:' NH Partnership t Business Tel 6033258127Fax 866423036 ... .... y i Firm/Company L t....,.._ Name of Licensed Plumber/Gas Fitter:[Marc Tremblay INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Ye&.,PEko If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy, Other type of indemnity Bond ✓ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner I Agent z Siqnature of Owner or Owner's Aoent �" �"� By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the nest or my nnowieage ana tnat all plumping work ana installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By',- 1 Plumber Gas Fitter Title; Signature of Licensed Plumber/Gas Master $ Journeyman I - — - — ._....._ Cityrrown __ „ y License Number: PL 15479M APPROVED IOFFICE USE —ONLY -1 LP Installer i.. The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le6ibly Name (Business/OrganizationMdividual): Dao, It V Address: a S6 % �• : �� u . 0�� City/State/Zip:_ /Ve . 13017 r,,, V y/ 0 O M Phone #: (o 63 —3 -Ps Are you an employer? Check the appropriate box: L ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. X I am a sole proprietor or partner- listed on the attached sheet. I ship and have no employees These sub=contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] 3. El am a homeowner doing all work officershave exercised their right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp, insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11 ❑ Plumbing repairs or additions 12.❑ Roof repairs 13. FR Other a J t rr a u: r VJl...I MUNL alae! ru out the semon oeiew rnowmb their workers compensation policy information.Homeowners who submit this affidavit indicating they are doing all work and then hire outsidecontractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the. name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the p information. olicy and job site Insurance Company Name: Policy # or Self -ins. Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct 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 -4, -1(9 Contact Person: Phone #: Information and Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs;porsons to do,maintenance, cgnstruction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be., deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit-tooperatea business or to Construct blding uis in the coinnfon ealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retuned 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. i 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 tfiat must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current p�-licy 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 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 \Ji.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 addgesS, telephone and fax number. The Commonwealth of Massachusetts Department of industrial Accidents Office of Investibations 60:0 Washington Street Boston, MA 02111 Tel. # 617-7274900 ext 40.6 or 1-877-MAS.SAFE Revised 5-26-05 Fax # 617-72.7-7749 v mrvT.mass._gov/dia Location No. Date NORTot TOWN OF NORTH ANDOVER F 9 # Certificate of Occupancy $ 2sACNUs <� Building/Frame Permit Fee $ -- Foundation Permit Fee $ t Other Permit Fee $ TOTAL $ '3 Check # i �- 13739 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING _v. BUILDING PERMIT NUMBER: DATE ISSUED: C SIGNATURE: Building Commissioner for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Ad ess: 1.2 Assessors Map and Map Number Parcel Number: Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required— Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record we j Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: t Siptiature Tele hone S4CTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: l,:� Z /J 6' - encs � Addr Signature Telephone Not Applicable ❑ 8 J l License Number Expiration ate A1�d6 3.2 Registered Home Improvement Contractor Not Applicable ❑ A� �SO Company Name Registration Number 01//,9/00 Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 & 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. affidavit Attached Yes .......❑ No ....... ❑ -Signed SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 01 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: OC_1-240- 6 - ESTIMATED CONSTRUCTION COSTS -SECTION Item Estimated Cost (Dollar) to be Cqmpleted by permit applicant fiFCLALUSE TQNLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) a — — 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORTZ4O TO 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, in all matters relative to work authorized by this building permit application. Signature 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 Name Signature of Owner/A ent Date MEMO NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1 2ND 3 RD SPAN DIlVIENSIONS OF SILLS DINIENSIONS OF POSTS DIN ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary 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 SECTIC N**'********�`****� *** APPLICANT �1 it/ �' C SS PHONE LOCATION: Assessors Map Number PARCE_ SUEDIVISION LOT (S) ' ,�7 STREET S� ST. NUMEER C © ` OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CON ATION ADMINISTRATOR COMMENTS =1= e & OLCS' S ap S `Z Q DATE APPROVED %d[06 DATE REJECTED TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH SE?TIC INSPECTOR -HEALTH COMMENTS DATE.APPROVED DATE REJECTED DATE APPROVED/�C3/UU DATE REJECTED PUELIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED EY EUILDING ii ISPECTOR Revised 9\9; im 1^ DATE Gary D. Martino 7 JaAmine Drive Atkinson NH. 03811 Office 1.603.362.5763 Mobile � Pager 1.603.235." 912 Masa. Builder # 047257 Nome Improvement M 107854 Submitted to: Sarah Weiss 207 Famum St. North Andover, Mass. Dear Sarah, After review of your project, we are pleased to submit our Proposal for the following work at your home, as listed below. I. Saw cut an area 4' wide by 7" tall t0 accommodate new door. 2. Supply and install 1 WX V-8% six panel (no glass), steel door with lockset and deadbolt. 3. Relocate existing 3" PVC drain, 4. Deleted..... , .. 5. Relocate gals and water lines as needed, 6. Excavate an area from doorway to existing driveway. Remove excess fill from site. 7. Builder to provide building permit. 8. Supply and install retaining wall using B" x 8" pressure treated timbers. Wall to match eAsting grade as close as possible, .maintaining reasonable grade away from foundation. Wall tip be anchored to as needed. Walkway to be minimum 4' along its total length. Install 4" thick stone dust walkway, Notes: Cutting of concrete based on $400.00 cost. Any less to be credited to owners. Credit on plumbing work to be determined, (Line 4 deleted). Weir Propose hereby to furnid.h material and labor complete in accordance with the above specifications, for the sum of $4,900.00 Termis,100% upon completion................ Ali material is gunrdritted to be w spulfled. All wpt'k to be completed in a worktamtlike maww-r according to standard practice, "alteration from the above sWifiotians involving extra casts will tie executed vnty upon writtan orders, and will become an extra charge over an above this Proposal. ACCeptarnca Of Proposed- the above prices, specifications and conditions are satisfactory and hereby ace -opted, You arc hereby authorized to do the work as 4mcifierd. Payments will be made as outlined above:. Id Wt1ZZ:90 0002 TZ 'a-eW 29ZSZ92209Z : 'ON 3NOHd NOI1'JI d1SN [-D`-ONIi�JUW : WOdJ Cf) m m m 0 m CA CD .O•O• Z CD O ar � d CDO o p CL Q �M CD O .. CO) CD .O•r O O Cos c O C CO) CD O r� CD CO)CD CD CA A CCD CD0 n O z cn co O Q N o o C o C1 yc�a.H m g Lo'. m =ra -+ a m ? C H G y N m CD a -00- a@= : ao = O _y CA W O O ? �• a ao � CL C2 C=D W O m N .. y�: 'mss C W C• a ? y O N to �O :� :�' O O • /p CD : r lb W 5 CD CD m: a 3 CD N 0 .. . o ?: CD C m oma: ate• : 3 fi W M v y 0 0 c I �z•3 7 Q � rb Q '� Q tz p 7 a� Q C 0' p.l I� O y 0 rt x y y W M v y 0 0 c I yt Location /2 i N6. 116 Date 5, - TOWN OF NORTH ANDOVER ICertificate of Occupancy $ BuildinglFrame Permit Fee $ t Foundation Permit Fee $ r J� Other Permit Free $ �? 1a • v Sewer Connection Fee $ Water Connection Fee $ TOTAL A �� Building Inspector Div. Public Works Location - No. Date 3 "CRT" O: TOWN OF NORTH ANDOVER Certificate of Occupancy v a +� Building/Frame Permit Fe e$ 4P S3AC 6 Foundation Permit Fee $ Other Permit Fee $ :r Sewer Connection Fee $ f� 64 Water Connection Fee $ ` ! TOTAL oe- Building`Inspector 6152 Div. Public Works Location? -n/7 �� ✓�sy%�l �7"'" No. x/49 Date 4' 9`3 NCRTM TOWN OF NORTH ANDOVER ? • • O f � 5�� dy 7�v /� 6iy 3 Ins pf1ctor Div. Public Works Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHus Foupd/k)ion Permit Fee $ Other•P.brmit Fee $ Sewer Connection Fee $ Connection'- eel $ OTA� $ i /�e ? R f � 5�� dy 7�v /� 6iy 3 Ins pf1ctor Div. Public Works . '� T1n•.�r.'�-,t�....�.�s..-....'�r�,,,_-cJ`r*-.t,..-.�^�^Yr:..., ._._.L� ...."'.-ai'-••���r;✓..r._,�_.: _..-�„?L.:y-., rr;r. or K0.: Date +�-3 ---w TOWN OF NORTH ANDOVER BUILDING DEPARTMENT Building/Frame Permit Fee Foundation Permit Fee $ /,. MDQ O :Other Permit Fee Lt $ \ d � f � Building Inspector v z p 4 1 W c ° l W ° J z a < 2 ° z z z 0 N N N 3 s p g z z z V! U. a- z 04Duj f C` d z oc oOA F ti < u. 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Jit ti-i�yZX rrODOnDDOD T T IW G D�^ 0C ' m I n NOppz V n tp 0 „_T zz Z<yAz' � C �O ni =y Dnr y a T r _ r r= ~ Q D A _� n x; S v x p V D T Z` Ni m /� n F T A y n x ,,, Z O; y Z y O N N O D p O Z N C z x A -� O W A n n D O ~ a y n ': n r Z O m Z Y A< D < O 2 T N N x 0 A 0 O O T JO O m N_ K 3:7! x N m m � G) p -. -i O "a �0 2 x Z Z_ P T '^ D D A Z N O OZD M D Z T Al ~ n p x N T c m _ A T DD m A v I I � x I I I Ia O O 0 m Z z 0 N x z g a O Z z I I �- I�icI I- T8 p —_HL I C I L I I I I I I I -N I ixl I I� 0 n Tc V D Z Jn 1 >01 C) ,r- u) • zm MMO • DO N Z Ova C AX -4 3> 0 1 00 N O p3m m ILon wo , ;a Z mN3 'UOm z N mW0 N C •Z r N O20 I&)r -000 DSD ? — Z Iv I 0-4 :0D n In mm mm FORM U - TOWN OF NORTH ANDOVER LOT RELEASE -FORM SUBDIVISION ASSESSORS MAP , 67-4 3 9 — S3 - S-(/ IM4 f t:?,`I1 DING DEPARTI nE,;' 24 SUBDIVISION LOT(S) '72A PERMANENT ADDRESS ASSIGNED BY D.P.W.'`� STREET E+,� _ APPLICANT AACS'S /U *q DeU e Lv e PHONE 6R5- Y: ;> ,' DATE OF APPLICATION PLAI�IIIIG BO f4 TOWN—PLANN TOWN USE BELOW 1111S LINE CONSERVATION COMMISSION DATE APPROVED DATE REJECTED �K, ` 1(mjj(, Q DATE APPROVED CONSERVATION ADMIN. , DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT S-9;�/WATER CONNECTIONS RECEIVED BY BUILDING INSPECTION DATE APPROVED DATE REJECTED 2 This form shall be signed by the agents of the Planning and health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. CERTIFIED FOUNDA TION PLAN LOCATED /N N0. ANboyERi t lA SCALE: /"= 4-0' DATE �/X193 Scott L. Gi/es R.L. S. 50 Deer Meadow Road North Andover, Mass. .y N LOT Z..A It LOT 50" I i I �Y I LN 0 W N —EAR -N U I"� $TBUILDING DEPAM MENT / CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BUIL DING /NSPEC TOR ONL Y SHOWN COMPLY AND SUCH USE /S FOR THE WITH THE ZONING DETERMINATION OFZONING ES LAWS OF CONFORMITY OR NON -CONFORMITY 3972 No•WHEN CONSTRUCTED.rER�°y'' WHEN BUIL T L LA mo C2 FA C O d 10 CD CD n Z y Do o- r CM c fl. y O v C° CD ,c o CL _ cr =r d CD CD O CD vw 3 C CD y CD Q O CO) CO CD B v CO) O 'a Z CD 0 o CD CD0 W L� _���_ Cy m H ti co C° � m m v, OCC, a c .+ a m CL. CDCD N CD 2 O� O Z�•O. O� m •, • y ar,..� o mss: IoW m� d N o a. a CL a)• o W a 9 . CD H CO)CD O CD lb -v co C2 0 Olt ^• CD o D o o = . MR N 0 .CD -b C e cel K "G m o � d rD o tz °�'— O oGa ? Z °�'— C CDa- O C" n °�'— O oda "� t' c x O a c O a o. a1 C c� z tD y O 0 rL x o tzz O CD v W y 0 9 O C CD I • N September 01, 1993 Housing Inspector Town of North Andover North Andover, MA 01845 RE: Property located at 207 Farnum Street, North Andover, MA. To Whom This May Concern: This letter is to certify that the property owners, Dean M. Abruzzio and Jana Bopp Abruzzio, have inspected the dwelling at the aforementioned address and accept the property, on this date, with the following stipulations. Messina Development, Inc. shall not be held liable for the following uncompleted items: 1.) Master Bathroom Tacuzzi. As requested by the property owners, the jacuzzi area will remain untiled, and the tub will not be permenatly set-in plaster until, at a later date, the owners chose to do so. C lk►s iv--cA%'Acs *NV_ Ne"UX-4-0- 2.) Fireplace Mantel To be provided by and installed, at a later date, by the property owners. 3.) Hot Top Driveway The owners wish to be granted occupancy of the premise prior to the completion of the driveway; however, noting that Messina Development, Inc. has made arrangements for completion of a paved driveway by Sincerely, Dean M. Abruzzio 4aa Bopp A4iQ) CERTIFICATE OF.USE &OCCUPANCY Town of North Andover Building Permit Number 116 Date OFPTENBER 3, 199-3 THIS CERTIFIES THAT THE BUILDING LOCATED ON 207 FAgNjjM STRFFr (1nt 2A - MAY BE OCCUPIED AS "T""' r FAMILY DWI T r TN(_ R. 1 /' x 12' )ec1dN ACCORDANCE WITH THE PROVISIONS OFAS MAY APPLY- US PPLY ETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS CERTIFICATE ISSUED TO Dean & Jana Abruzzio „•. hoot 207 Farnum Street p ADDRESS North Andover MA Building Inspector I 3 -0 a S, Ca O nco -0 O C7 z O CD \Q� CCD v d _ • CO3 d CD 0 C) CD O CD � O CD y T i CA C'7 r CD O r C'7 Z N! 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