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Home My WebLink AboutMiscellaneous - 21 ABBY LANE 4/30/2018North Andover Board of Assessors Public Access �a �r .! ;.. ...._. •• roc t # jp # S�cNus Click Seal To Return Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 s1roperty Record Card Parcel ID :210/065.0-0286-0000.0 FY:2013 Community: North Andover SKETCH Click on Sketch to Enlarge PHOTO Click on Photo to Enlarge Location: 21L3 ABBY LANE Owner Name: D&K SAMENUK REALTY TRUST D&K SAMENUK, TRUSTEES Owner Address: 21 ABBY LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 10 -10 Land Area: 1.07 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 4546 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 1,018,500 1,020,600 Building Value: 736,700 703,900 Land Value: 281,800 316,700 Market Land Value: 281,800 Chapter Land Value: 1. http://csc-ma.us,/PROPAPP/display.do?linkjd-2254802&town=NandoverPubAcc 3/18/2013 North Andover Board of Assessors Public Access pORT/� Ot4«10 ��0 • i 4 e w� • �sSwcMuset Click Scal To Retum Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 North Andover Board of Assessors 2JProperty Record Card Location: 27L4 ABBY LANE Owner Name: KING, CHRISTOPHER Owner Address: 27 ABBY LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 10 -10 Land Area: 0.61 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 4720 sqft ASSESSMENTS Total Value: Building Value: Land Value: Market Land Value: Chapter Land Value: CURRENT YEAR 1,038,000 783,300 254,700 254,700 PREVIOUS YEAR 1,043,100 749,800 http://csc-ma.us/PROPAPP/display.do?linkld=2254803&town=NandoverPubAcc 3/18/2013 Date ... /...-.../2.-/?- ...................... TOWN OF NORTH ANDOVER PERM -IT FOR WIRING ,SSACHU This certifies that .......... . .....J LLQ v.......................................... f?�Z2 ........ .............. has permission to perform ......... wiring in the building of ............ S, 9 M ................ ....................... ..................... r. at.41.46131 ..... 4v ... . ........ . ... 'I"'UU ...................... .... North Andover, Mass. Fee..'/S-.2S�77. Lic. No. . . ... .......... "MCAL E ACMCAL�NSP,, R • Check # 10589 \ �cc mmonweaUh o/cc/Ilaa�achu�el Official Use Only Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (*C), 52,7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE AL INFO TION) Date: City or Town of. �7 � dr/P� 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) "2-1 191) )),C y /,9r1 `L Owner or Tenant /�[C,jlefl 5 Owner's Address 2 �, Is this permit in conjunction with a permit? Yes ❑ No Telephone No. (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps %&I' /2W 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: a hu( i n�e�locLi k7 �l�Jd p� Atracn aaamonai detail if desired, or as required by the Inspector of Wires. Estimated Value of lec ical Work: / (When required by municipal policy.) Work to Start: fQ I 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 Covera in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certto, under the pains and ptenal ' s o e * ry, that t�nformation on this application is true and complete. FIRM NAME: l��a O( i/ v/ LIC. NO.: 20 /y3 -- Licensee: t �p�u -t� �S�/ �r't��7 - Signature LIC. NO.: (If applicable, enter "ex mpt" in the license numkr line.) t Bus. Tel. No.�-` `7 'DLJ Address: _ ¢1'-94S her drtS?'4yyct rrt�y,L ( /�J/� O/�O° Alt. Tel. No.: *Per M.G.L. c. 147, s. 57 61, 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 Signature Telephone No. PERMIT FEE: $ «. , 1'"(e r1tu oe wurvea a the inspector o wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above El ❑ o. o Emergency Lighting 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 and Initiatin Devices No. of Ranges No. of Air Cond. TotaTons l No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. No. of Water Kir Heaters No. of No. of of Devices or E uivalent Data Wiring: Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: �l�Jd p� Atracn aaamonai detail if desired, or as required by the Inspector of Wires. Estimated Value of lec ical Work: / (When required by municipal policy.) Work to Start: fQ I 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 Covera in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certto, under the pains and ptenal ' s o e * ry, that t�nformation on this application is true and complete. FIRM NAME: l��a O( i/ v/ LIC. NO.: 20 /y3 -- Licensee: t �p�u -t� �S�/ �r't��7 - Signature LIC. NO.: (If applicable, enter "ex mpt" in the license numkr line.) t Bus. Tel. No.�-` `7 'DLJ Address: _ ¢1'-94S her drtS?'4yyct rrt�y,L ( /�J/� O/�O° Alt. Tel. No.: *Per M.G.L. c. 147, s. 57 61, 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 Signature Telephone No. PERMIT FEE: $ 4 The Commonwealth of Massachusetts Department of Industrial Accidents -- --- -- — —Office oflnvestigations -- _ 600 Washington Street Boston, MA 02111 'Y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: —% � a y h 6( r,1f 5?et Ad City/State/Zip: R0 65 LI A L IA,� Oi q3" Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I ployees (full and/or part-time).* have hired the sub -contractors 2. LRJ 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.] officers have exercised their 3. ❑ I am a homeowner doing all work 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. ding addition IO.D Vlectrical repairs or additions 11.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13.❑ Other �.,�y aFF—aut ulat wccns uux ff i must also nn 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 and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: I Job Site 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 certif n r th 1pai, andpenalties of perjury that the information provided above iss 5 ue and correct. Si nature- - /// / Date: Phone K., 9" 7 � / Official use only. Do not write in this area, to be completed by city or town official. City or Town: -Perm itALicense # 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 #: