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Miscellaneous - 21 APPLETON STREET 4/30/2018
I N2 3025 Date... -- TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... 7(�.A44.'-3 ..._ ......... .... ()0 .................................... has permission to perform ....... .................... ....................... wiring in the building of ...... ................................................ at ....... 1� .... I ...... X°. c.......... orth.1 ov Fee..7d.,o -�-al ............. .. .0 Q.. Lic.No.4—�,U --.1 . ....... 7, `ELECTRICALINSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �N JH& WMMVIVWLt4LJH U14 JU430"c HUaEl LN u7b g , DEPARTtMENTOFPUBLICS4FE1'Y Permit No. �. BOARD 0FFIREPREVEM70NRE9JL4TI0NS527CMR 12.0 p UVAA Occupancy &Fees Checked PPLICATIONFOR PERMIT TO PERFORM ELE=CJAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 G//�U (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date M&W _ 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) 6? Z 2 �tw)L f 0 ( S--/, Owner or Tenant % , „ 5 — Ovr •t+il ��� ����I 1 1 Owner's Address ^� Sg'�_ Is this permit in conjunction with a building permit: Yes No r7 (Check Appropriate Box) Purpose of Building 1aes ; oC e was Utility Authorization No. Existing Service Amps Volts Overhead M UndergroundM No. of Meters New Service 9206) Amps / ayOVolts Overhead Underground Mq No. of Meters �L Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �Q/CCC/ e ryr c- /(/% r %r1B-;�%,O kpySc-- No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above M Below M Generators KVA ground around No. of Receptacle Outlets / No. of Oil Burners No. of Emergency Lighting Battery Units o. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW / No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections 0o. of Water Heaters KW No. of No. of Signs Bailasis _I No. Hydro Massage Tubs No. of Motors Total HP OTHER Iris wwCm ge RvstrxttDthemgti mutsdMssadxmftGenWLaws Iha-veauratLiat�dyhuattoePbti<yerhttiirgCcmp� Co�gea'itsstkgxUeguivala�t YES L NO IhaNest>t nkedw1idpuofcfsEffneiotheOffie YES ONO If}cuhawd>, WYES,pl mwdc etheWofwagebydWmgthe INR ANCE © BOND OT14R W-- /I cct ll�._ WcrkiDSut N4 InspecfionD*Regttested •J :. ' 1 . I • • : I w •' 1. NIV OWNER'S WSURANCEW. and thatmysignahsernlhisparrftamort thisregAiwia>s (Please check one) Owner F-1 Agent (SIS') EViatimD& E n%kd Valuec£E;xftral Wuk $ •. J Fir>al L�zseNa „ _ - - BtsirrssTd.Na AILTdNa 97r= ?;c/—? V?S— X! 1 &0 Telephone No. PERMIT FEE $ / U N2 4 S 5 3 Date. � ..,-.:>. -. c 1. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . /.:�./ c....P C. C. A—. j.).) .. ...... u has permission to perform ... `:r. Z/............. . plumbing in the buildings of ...r,? t.r. �:..... r<1 .................. at . , North Andover, Mass. Fee..).C:)...- . Lic. No....... . ...... + L. -�`� �...... . JPLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer M!� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ype or print) NORTH ANDOVER, MA building Locations F ei scree+ :t,: o r f h Andover, m Q- Owner's Name New ER Renovation 1:1 Replacement Plans Submitted n Date Permit # Amount (Print or type) Check one: Certificate Installing Company Name WHITE ROCK PLUMBING & HTG. Corp. 1607C Address NORTH ANDOVER, MA. 01845 Partner. Business Telephone 1 ?8 •' ? $ 4 Z Q LiFirm/Co. Name of Licensed Plumber: o b a t• + a. Q I CSA G h ei T'e Insurance Coverage: Indicate—the type of insurance coverage by checking the appropriate box: ❑❑ Liability insurance policy Other type of indemnity Bond Insurance Waiver: I, the undersigned, have been mdde aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issu for this application will be in compliance with all pertinent provisions of the Massachusetts S to Plumbing CoP and Chapte 42 eneral Laws. Title C ity/Town APPROVED (OFFICE USE ONLY Type of Plumbing License 8 5a7 ri-c—en-wNumtier Master Journeyman ❑ MEMO No MENEM • NOON ., • ■�a�nn�un�no 0 ME mom No ME No W111:1 mom =Moo= =MEMO „1•MOM W1111:1991-41 WOMEiiiiiiiiii "''0 OMMOMMM (Print or type) Check one: Certificate Installing Company Name WHITE ROCK PLUMBING & HTG. Corp. 1607C Address NORTH ANDOVER, MA. 01845 Partner. Business Telephone 1 ?8 •' ? $ 4 Z Q LiFirm/Co. Name of Licensed Plumber: o b a t• + a. Q I CSA G h ei T'e Insurance Coverage: Indicate—the type of insurance coverage by checking the appropriate box: ❑❑ Liability insurance policy Other type of indemnity Bond Insurance Waiver: I, the undersigned, have been mdde aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issu for this application will be in compliance with all pertinent provisions of the Massachusetts S to Plumbing CoP and Chapte 42 eneral Laws. Title C ity/Town APPROVED (OFFICE USE ONLY Type of Plumbing License 8 5a7 ri-c—en-wNumtier Master Journeyman ❑ Date . .f : Z.. G / N2 4814 TOWN OF NORTH ANDOVER .o oc PERMIT FOR PLUMBING This certifies that .. r<,. r .�. >�? .G •<• • �: • • • • • !��• • f ? has permission to perform .... .C. cg ........ plumbing in the buildings of .................................. at ..�. ../ f�'/�1 �` " j ....... , North Andover, Mass. Fee. Lic. No.. �� .... ........ � .--.. ✓: fir:; !..... . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Yfi MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) +�� NORTH ANDOVER, MASSACHUSETTS A PP / e fon S f Date O 5– O% 01 Building Location Owners Name Permit # Amount Type of Occupancy R e.s t d can c e New Renovation Replacement ri Plans Su FIXTURES r W No M (Print or type) Check one:Certificate Installing Company Name (AI h/ ie, Q o ck P co r p Corp: _ 160 ?c Address (30pX 72-8 Partner. Ko rf+ Gndoyer, W0. 0181+6 Business Telephone q78 - q ZS - 4 2 Q 9 � Firm/Co. Name of.Licensed Plumber P Q b e t+ 0. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond 1-01 Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner F1 Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issu for this application wi11 be in compliance with all pertinent provisions of the Massac tsetts S to PlumbingCod&d Chat 4 General Laws. P Type of Plumbing License Tette 8 5Q 7 City/Town LLcerise number Master APPROVED (OFFICE USE ONLY Journeyman Location --A A No. 15q V Date �Gr �ORT� TOWN OF NORTH ANDOVER " Certificate of Occupancy $ E Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # / 91 4 76J ` Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,R BUILDING PERMIT NUAiiBER: DATE ISSUED: a a ©© / SIGNATURE: Building Commi%io er/I ttir of BuildinL Date SECTION 1- SITE INFORMATION 1.1 Property Address: "' 1.2 Assessors Map and Parcel Number: 21 LE?olP ST Map Number Parcel Number AgoovwRl, -AA 1.3 Zoning Information: 1.4 Property Dimensions: R_3 1.70 }lcres 15d Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Recl I uired Provide Regifired. Provided Required Provided 30 �O 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: ZOne Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System X Public Private 131 SECTION 2 - PROPERTY OWNERSIE[P/AUTHORIZED AGENT 2.1 Owner of Record G s or �L4.R i r. �(a t se-�i t2r L a►r Q S�n t'¢aJ¢ao r'� LA Name (Pr°i C1�2C�1SP� Q�G�ev`'t'Or! Address for Service g90- L5W Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 I �--Y v�►r Nf� MOSS Licensed Construction Supervisor CS ' 0741,35.. License Number ^ + _R>rt�.� 9 C< �JP Az r Address OQ _ O 7 CDL 7d'' 3 7 �� 7 y 7 Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable .0. LJi11�.) ieociy C-Company ,TIC— Company Name Registration Number �Q#4 -I C r&m Address 6.3 �' 7 � Expiration Date Signature Telephone .1A N. SECTION 4 - WORKERS COMPENSATION (MG.L. C 152 6 25c161 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. Signed affidavit Attached Yes .......0 No....... If ON F 1 c. E SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: ((�' 6-15 SF I'S'faPY a"t allasemeAt l !-d/� JJA"61► *,A I �Xt'S�'na Ar �wrQ W I JI kQ r n -&U W J �4r IneW k +7cLe" l I Viet ram- oJMeL Yt ' a+L SECTIO 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to beSri I Completed by permtit a licant 1. Building (a) Building Permit Fee 130, A 0 0 Multiplier 2 Electrical (b) Estimated Total Cost of • (O 00 Construction 3 Plumbin Building Permit fee (a) x (b) 4 Mechanical HVAC O 000. 5 Fire Protection 6 _ Total 1+2+3+4+5 a 00 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner/Authorized Agent of subjeci property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner SECTION 7b OWNER/AUTHORIZED AGENT Date I, �1na.�.a►S W • Ly ur.S ,as 4AYmi4Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief _T Q3. Lyons Print N e / 0 of y -Il -off . Date NO. OF STORIES I I - SIZE S F BASEMENT OR SLAB —,•► u SIZE OF FLOOR TIlVIBERS is . 2 NU 3 RD SPAN DINIENSIONS OF SILLS x DIN ENSIONS OF POSTS D`[viENSIONS OF GIRDER"- /p Isr ce HEIGHT OF FOUNDATION ' THICKNLOSS •. SIZE OF FOOTING /GX MATERIAL OF CHEVINEY AIIA IS BUILDING ON SOLID OR FILLE15 LAND SOL# D IS BUILDING CONNECTED TO NATURAL GAS LINE un ` FORM - U - LOTRELEASE FORM����ta� INSTRUCTIONS' This form is used to verify that all -necessary approval / permits from - Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. Iowans my won am a N.Wm a Now a a a now so Isom Ono awe moose 1111.0 NONE mama an 11111111 Ono Osman a a IN a Mama 0 APPLICANT \A1l L Lo w ' NUAMISEs. c PHONE Of 78 3 7z1- 7 ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER ! 2 STREET �Pc. E-r+�w ST. STREET NUMBER ............................................■.................s...........■ OFFICIAL USE ONLY RECON vIENDATIONS OF TOWN AGENTS ' DATE APPROVED CONSERVATION ADMRMTRATOR DATE REJECTED COMMENTS — DATE APPROVED TOWN PLANNER DATE REJECTED CONSENTS FOOD INSPECTOR — HEALTH S ,kISPE R —HEALTH DATE APPROVED ' DATE REJECTED DATE APPROVED �� e DATE REJECTED — COQ PUBLIC WORKS — SEWER / WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT CQNMfENIS RECEIVED BY BUILDING INSPECTOR DATE APPROVED DATE REJECTED .TE APO 12 1-1 BUILDING DEPT. 41 . . � r FORM - U - LOT RELEASE FORM INSTRUCTIONS: This'form mused to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT PHONE l 7S"- 371 -7,17S ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET �,2 IAy� I e tom S+ STREET NUMBER OFFICIAL USE ONLY RECO NDATIONS OF TOWN AGENTS r Lt - n 177- � ` DATE APPROVED 3 7, CONSER. ATION ADMII�IISTRATOR � DATE REJECTEDrnkAWNTR Ij DATE APPROVED TOWN PLANNER DATE REJECTED CONIDQENTS DATE APPROVED FOOD INSPECT`O,R�- HEALTH DATE REJECTED - _ y�J 2/2 DATE APPROVED SEPTIC INSPECTOR - HEALTH Ste/ C"gC L E -b ro%Ylod DATE REJECTED COMMENTS 5'C 77C A21017' 0,:E W6'8�C.✓ � PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FUZE DEPARTMENT DATE -REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE ,x45 rPlf% Tow -n of Nol-91-i Andover :&VC ofil-te Health Department U hy Dt--O-ela-nx p,-znand Se-mices Division , -I Director TACW 'reiephone (978) 689-9540 S'ej,jeaa �t "t -r aax (91-8) 68&9542 P'ealth� Dilred-,-)i 17, Thom";--,:.; 1W L)urls' 'Jz rl' V*'Iliovi- 6n(-.r-'T-Ses 99 `f'ross Re'mj PO b�Jx 8344 44 MIA q 19' 5-084 'Dear Lyonc, -sisf-A iditi; -the h.ome at Applc---Ior ad -v t Thli� A 1h;Z" PD.). Street, NNorth Andover; jA-s of1�3nar-7 7 N)0'these- 6c pans f6ithis propery hav beeti appi-oved. In -Addilloni, a re'vR-1,v wl"-Ot�r T�-quest to allow the construction of the addition prior to natio m. ,-..adc t1le septit syst rn msi.� Firstly, fl -I. -AS off c"."s pi-oll'b'-ts the consti.action of the- addition until ndovet- re ti vt gg ]a ons compl,�,tion wft�esep.ic ts you are a are, North A� th 0-, bet 30 of each calendar state that septic instahations -ar' W UL'-wr March I" ani �Ovem Year, weather dqt-n-d11xMg We, withow undt;isiandlng (X me homeowncrS ulrne -Y -th? . -; project was fiDally put into comar-aints, as we7fl as, w< art,, amval", of luw'- ).ale kin thc- eal I Is to -el*- i in Novembe;r. So, the decision action. Having oni'd the fy� m'rar soil tesi� �y I I assist as best as %--e can, and still maln'tahl our policy's I qity. Rather than I'm Uhii. the Health Department will sign of on the bulld,!nv, "fo7nil U" sirrmft'ant�"asly the septiz permit is Issil%-,d. '11' is C -an occur after Moxch I"- Th.is that a, has been contracted with, an agrCement has �xen made to install, OMS a",) Vii t"V- Isle for the addition. -)r Mrs 'T"Dank vou fox "&�SISID'ng R1. 'hiz, iong dis"an"e ' sit w6on. As the wathorized agent ft Dickson, I hope thai you -Yloill. pass ,t)p, this forfflai,ori. ff ytju n I 9.), 1 neem a fist of licensed installers, feel free to contacofficee phone number t 111's at 1h I above. I hope that this decision is clear. As titt.- new septic, season quicUy apP-uac,�ws, I will expect the septic applicmior m or around the `running of Mw -ch. Sincere sr(san Fora,. 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Q H• H' o I n n i -h rt 'O H- rt n a O 1 (D (D 10 '.j m w �j m I rtm I- LQ rtm m I �)' ro H-- O H- ` ¢ I t -b (Dww mtS ¢ n t3' �j t3 rt ' G 1 (D (t h' Q-, �Y (D H- I m (D (D (D n N 1 H• ¢ rt H H• Q. I N Ol WG' ,44 3 thH• 1 ODN)a 1M -N rtrt(D w (D P- "J 1 oD(nON(ii 0 O a m n tQ I (1) O aO 0) rwt¢ I a (D w 0 n o H- (D I ¢ w K N G"10 O m 1 F' W (t a H• G O ,j H- i lQ o a �l m m m LQ I - m 0 b 4 (D (D X 1 0 0 K rt ¢ 1 m m N crr w ¢ 'O n H• O m tr (D 1 000LQ Q, t��¢n H•f-' �J Fl K 100 t -h n P. (D Q. rt H• 1 H rt0 Ih K H• :r Cr 1 00 (D �3' ::� �J (D (D I t7 Q. (D ¢ w 'C LQ K ¢ I w 1-10 1 rt H• tJ rt '0 n �j' n I (D G H- K O w w m I m 000 0 C>N�'0 (¢D n (D I H• H- (D I- H- I P (n l0 61 ::J"w (D a m l 0000 LQ O rt �5 rt I G (D H• 1 _ m I 1 I 1-• N N 1 .PH61 N -,-IJ OL J LD 03 C� •,,, 4. • P.O. Box 8344 CO �� � Bradford, MA 01835-0844 .d (978) 374-7475 1-877-374-7475 (tol ree) (978) 372-1394 (fax) April 10, 2001 Specifications for Addition and remodel at 21 Appleton Street, North Andover, MA. All work to be done per the attached drawings. Allowances shown are for the specified materials. A change in the materials may cause and increase or decrease in the total contract price and will be applied accordingly. Included in the total price are: DESIGN, PLANS, PERMITS, SPECIFICATION Cost and price are based on total amount of job and includes: • Foundation plans, floor plans, elevations, sections, as required • On-site survey & measurements by designer • Conferences with and approval of plans by owner • All required engineering documents • Information research and gathering • Building permit fees TEAR -OUT e Remove 13' section of back wall of the breezeway and create a new opening to the addition • Remove angle bay window • Remove 1 layer asphalt shingles on Main House and Breezeway ti:«oy,,*er-aef s4eat4�ag €4em b�eegeway Laeef • Remove wood windows and trim from barn gable end, main house gable end (east side), kitchen window and picture window from dining room • Gut interior of kitchen & breezeway, leaving only load bearing studs and ceiling joists • Remove bulkhead & break up 8" block wall on 2 sides, leaving the north wall intact. SITE WORK AND CONCRETE • Excavate to 8' for basement, load and remove excess dirt from site • Back -fill after inspections. No rough grading included. • Direct pour concrete from chute: • 10" x 20" continuous concrete footings for concrete wall for full basement • Concrete wall 10" thick 96" high Install new preformed bulkhead and steel entry door • Remove 2 trees from rear, 2 lilac bushes from either side of existing back door 5 yews from front of house and privet on right in front of house. All stumps will be ground. 0 New septic system to be installed at front�of house per plan FRAMING y'• 2" x 6" mud sill; Pressure -treated dimension fir or pine • 2" x 10" first floor joists; 16" OC; Bridging • 3/4" T&G AdvanTech sub -floor, glued and nailed to joists, including all materials as required • WOOD STUDS: • Exterior walls, 2" x 6" framed 16" OC • Interior walls, 2" x 4" framed 16" OC • 1/2" OSB wall sheathing • Rafters & Ceiling joists 16" OC • 5/8" AdvanTech roof sheathing • 2 Lally columns in basement • Wood beams per plan • Install gable vent in barn ROOFING • New roofing on Main house, breezeway and addition as well as new roof framing and add-on to existing roof structure to accommodate addition • 250 LB. (25 YR.) 3 -Tab Roof Shingles: • Flash Roof around chimney • Continuous rolled ridge vent on addition • All new 5" Aluminum gutters and downspouts, including accessories • Drip Edge • Ice & Water Shield as appropriate EXTERIOR FINISHES (on addition) • 1" x 6" fascia; #2 primed pine • 8" soffit; #2 primed pine and 3" continuous aluminum soffit vent • TYVEK HomeWrap • Cedar PrimeTech clapboard siding to closely match existing structure COVERED PORCH AT MUD -ROOM ENTRY $2,440 ■ Approximately 4'.�' x 51-i' ■ Deck surface to be Trex ■ 5' wide steps to grade with handrails on both sides ■ Rail with balusters around edge of floor ■ 2 round decorative columns under a gable roof with plywood ceiling ■ 21x 41, 4" concrete pad at base of steps COVERED PORCH AT BEDROOM ENTRY $3,340 ■ Approximately 11' wide by 3'i�' to 5' deep ■ Deck surface to be Trex ■ 4' wide steps to grade with handrails on both sides ■ Rail with balusters around edge of deck floor ■ 2 boxed in 4x4 columns similar to those on breezeway porch, under a gable roof with plywood ceiling ■ 21x 41, 4" concrete pad at base of steps DOORS & WINDOWS • 3'-0" x 6'-8" steel French exterior door with 15 lite grilles • Insulated glass and flat exterior wood casings • 31�" flat interior casings • Key lock and deadbolt o Two 1'-2" x 6'-8" side lites (5 lite) in angle bay • FRONT ENTRY DOORS, 6 panel 3'-0" x 6'-8" • 134" thick • Foam core, steel clad • Exterior flat casing • 31-� flat interior casings • Single cylinder dead bolt Entrance lock • BACK ENTRY DOORS, 9 LITE, Crossbuck 3'-0" x 6'-8": • 139" thick • Foam core, steel clad • Exterior wood frame • 3�" interior casings • Single cylinder dead bolt Entrance lock • WINDOWS (all double glazed, vinyl clad) with lites similar to existing windows (Vetter, Ashford model) • 2'-8" x 3'-2" double hung over counter in kitchen o Three 2'-8" x 3'-2" double hung; one in mud room, one in -laundry, one in master bath e Two 2'-8" x 4'-6" double hung mulled together in living room o Two 2'-8" x 1'-0" transom windows, one in master bath, one in closet in master bedroom • 2'-3" x 3'-0" single glaze, double hung, in back end of main attic (Brosco) • Full insect screens for venting windows • Divided light grilles • BASEMENT WINDOWS (2): • 2'-81'x 1'-4" Pre -finished wood frame and sash • Water repellent treated • Single glazed • Screen PLUMBING & HEATING o Run new PVC waste and vent piping, Type "L" copper hot and cold water piping, stop valves and supply tubes at each fixture, two frost free sill cocks, and one roof vent (one year guarantee on all systems) • Install Bathroom fixtures in two new bathrooms • White 2 -piece floor mounted Kohler, Wellworth toilet with elongated bowl in each bath • 40" Neo -Angle shower stall Capecod, by Kohler (K1517) in master bath o One piece countertop and sink/s by Oasis, set on vanity in each bathroom • Install white, drop-in, double bowl, cast iron Kitchen Sink, faucet, spray & two strainers o All faucets will be bright chrome Revival by Kohler, with Rite -Temp valves .f •N•. ThEee Four 3-0 x 6-8 doors for mae;�e= bath, bedroom and bedroom closet, laundry room, mud room • ewe Two 4-0 x 6-8 unit -pair for mud room closet, and hall closet • Three Two 2-6 x 6-8 Doors for entries to master bath • One 2-6 x 6-8 pocket door for powder room • All doors as follows • 4 Panel Masonite • Interior 1-3/8" door • Paint grade jamb • 2 sides casing, flat 3 '-�" primed pine to closely match existing • Schlage Plymouth passage sets and dummy knobs • WALK-IN CLOSET: Finished as follows with Closet Maid material • 16" shelf • 1-3/8" clothes pole and clothes pole sockets o One five shelf unit o Peg board mounted on end wall • COAT CLOSETS (3): • 12" shelves • 1-3/8" clothes pole and clothes pole sockets • PROP SGFFIT 1N KIT-GHEN! Drywall, from eeiling te tep ef wall eabinet, ineliading fEafft-ing-as _^__ q; - CABINETS Final configuration to be determined by customer • Cabinet, countertops and accessories • Kitchen Cabinets - Include layout as shown on plan. Builder grade preformed Formica countertop, cabinets by Merillat, style-Avia, color - White. No hardware included. (See flyer, pg.20) • Install pre -finished kitchen cabinets o Approximately 26 LF of base cabinets including one 36" lazy susan and one blind corner cabinet • Approximately 20 LF of upper cabinets including one microwave cabinet and two 24" corner cabinets • Laminate countertop and 4" backsplash, field measured and shop -built by fabricators and installed on the job by carpenters in kitchen a+id en vanities in eaeh bathreefft o Bathroom: • Install pre -finished vanity cabinets by Bertch in each bathroom (60" & 36") • Install Shower Door by Kohler, style Focal, chrome trim • Recessed medicine cabinet with mirror doors installed in master bathroom, 2'x 3' wall mirror to be mounted in powder room • Two sets of polished chrome bath accessories: towel bar, toothbrush and glass holder, paper holder, soap dish e Two grab bars in master bath, one 24" and one 36" FLOORING 6 Medium grade sheet vinyl laid in adhesive over smooth surface in bathrooms, mudroom, laundry room and kitchen • Carpeting and padding in bedroom o Pre -finished hardwood in living room and hall • I?ining Room flooring will remain as is PAINT , • EXTERIOR PAINT (addition only) • Prep, repair, prime and 1 coat on entire structure - Main house, addition and barn. Add a second finish coat to existing and two finish coats to addition. • INTERIOR PAINT - One trim color, two other colors • Prime and 2 coats of paint on all walls, doors, windows, trims and all open shelving in addition. DISPOSAL Removal of debris from demolition and construction work, loading masonry, plaster, lumber and other tear -out or building debris and haul to dumping ground APPLIANCES and installation • Builder grade Refrigerator w/ice-maker • Builder grade Dishwasher • Builder grade Under -counter trash compactor • Builder grade Electric clothes dryer • Builder grade Clothes washer • Builder grade Free-standing electric range and oven • Builder grade Microwave oven • Builder grade Hood and Fan unit Total Project: ALL REMODELING AND RENOVATION WORK $188,800 Allowances: Estimated cost of materials, tax and delivery. Actual costs may vary. Differences will be applied to the contract total Appliances $ 4,790 Doors & windows $ 5,650 Kitchen Cabinets & Countertops $ 4,124 Flooring (mat'l. & install) $ 3,702 Light Fixtures $ 495 Plumbing & Heating Allowance $ 23,225 Included in this number is the labor and material for: o installing a new oil -fired boiler o Removal and disposal of the existing boiler o Disconnecting and reconnecting all existing baseboard heat units • Installing new baseboard heat as required in the addition including the dining area o Installing all new bathroom and kitchen facilities o Making required changes to the plumbing to accommodate new septic system o NOT INCLUDED -any replacement of worn or damaged pipes not identifiable at this time, any re-routing required but not identifiable until the walls and floors have been opened up Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978)688-9545 Fax(978)688-9542 DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of. Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: G Ke —��b T)1.%o-<.--c Facility location Signature of Applicant ZDateff- 12— Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. `'��' � �'+�"� ✓fie Too��tmu»�u�ea.�i o Tfom„ta�t«dl BOARD'OF'BUILDIN GULATIONS• License: CONST RUCTIOERVISOR HONE IMPROVEMENT CONTRACTOR !Numbert-CS. 074135 i ,'� = Registration: 130664 t f Dirthda09/16/1954 Expiration: 04/06/2002 _EE te� 1' �l'Expp res: 09/11 /2002 Tr. no: 74135 Type: Private Corporatio a:6 I Restricted To: 00 NILLON ENTERPRISES, INC. THOMAS W LYONS THOMAS LYONS `' (,.,, —�� G�cor� c o �i L9� CROSS ROAD c 99 CROSS ROAD >� `..�� BRADFORD, MA 01835 ' Administrator ADMINISTRATOR NARDHILL NA 01835 HOME IMPROVEMENT CONTRACTOR Registration 127930 Type - INDIVIDUAL Expiration 02/01/01 THOMAS W. LYONS 99 CROSS RD ��DFORD MA 01835 ADMINISTRATOR MORD. CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER William C. Sullivan Insurance 487 Groveland Street THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill, MA 01830 POLICY NUMBER P:978-372-2790 F:978-373-2281 INSURERS AFFORDING COVERAGE INSURED INSURER A: PHENIX MUTUAL FIRE INS. CO. Willow Enterprises Inc. INSURER B: LIBERTY MUTUAL TOM LYONS , JIM MOOERS INSURER C: P.O. BOX 8344 INSURER D: Ward Hill MA 01835 - INSURER E: RnVPRARFR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIUAEMMIIRATION LIMITS GENERAL LIABILITY IMPOSE LIGATION OR LIABILITY O NY KIND UPON THE INSURER, ITS AGENTS OR NORTH ANDOVER MA 01845– R vES. EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ 1 ® COMMERCIAL GENERAL LIABILITY CPP0702124 06/19/2000 06/19/2001 MED EXP (Any one person) $ 5,000 ❑ CLAIMS MADE ❑❑ OCCUR PERSONAL & ADV INJURY $ 1,000,000 ❑ ❑ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 ❑ POLICY ❑ PRO [:1] LOC AUTOMOBILE ❑ LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ❑ ❑ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ ❑ ❑ HIRED AUTOS NON -OWNED AUTOS DAMAGE $ (Per (Per accident) El GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ ❑ ANY AUTO ❑ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ ❑ OCCUR 11-11 CLAIMS MADE $ ❑ DEDUCTIBLE $ ❑ RETENTION $ WORKERS COMPENSATION ANDLIMITS WC STATU- OTH- E.L. EACH ACCIDENT $ 100,000 2 EMPLOYERS' LIABILITY C131S326660011 03/21/2001 03/21/2002 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 100,000 OTHER 0 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ELECTRICAL AND CARPENTRY RFRTIFIRATF wn1 IIFR I I I I A -1—.I„1 aicnoon. iMen000 I Nr PD- CANCELLATION ACORD 25-S (7/97) 1 OACORD CORPOR ON 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF NORTH ANDOVER DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 020 DAYS WRITTEN BUILDING INSPECTOR NOTICE TO THE ERTIFICATE HOLDER NAMEDTO THE LEFT, BUT FAILURE TO DO SO SHALL MAIN STREET IMPOSE LIGATION OR LIABILITY O NY KIND UPON THE INSURER, ITS AGENTS OR NORTH ANDOVER MA 01845– R vES. HORI E A ACORD 25-S (7/97) 1 OACORD CORPOR ON 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97) �/� • fir, fi rl pp- ox 4c. ,YS Per OWlier A, t: oq J�V �11 o SCAU! r DEAD !D DOOK 87� PAGE 57 AREA 1,17,0-t,4ores PLAN, jt,,3 76Z, ASSESSOR PAP BLOCK LOT :0,1 75V CA APPLETON STREET AS VHAVVH FGA LOCATED AT j -X01 APPLETON STREET Alo, Aid Ver ice. R.A.M. ENGINEERING 160 MAINiSTREET HAVERIJkL,- MA. i ti N SCALE DEED i3ooK 6 7 �PAGE J AWA ere7 I PLAP1jt;,3 7b� ASlL'SSOR MAP BLOCK LOT K y APPLETON STREET 7r A5 DRAWH f- (ail ---_ LOCATED AT Z/ APPLETON STREET ,Quo Ier /LIA R.A.M. ENGINEERING 1600 MAINg STREET HAVERMILL. mA CDm M m 0 m 0 'v O CD C7 z y CL r o, c � ? c C. = y O CD v CL � O cr CD Er CD Ow CCP CD C. CD y� -� CD CL v CO) o co CD I i. FA w n C C -**= -0 m _Z O - Vi O Q y So— co y 7 :2m a m n ycDco 3 m z ��, ai e+lAil °: m c T =ra=a o m mN -400 b =r m m > > a OW � O � %=j � m O z:s0 O y. I m C Ery '= CL o; o gym` ♦:! 0 0 o C�o ' ow CL ceD An �a� O d y CIO d d cr y W : ` CO) !^ y O ;� o VJ y � :� O mC CD T O n NJz O woo: �. s� CD •-•, CD o �om o� CL"% u1 �0 c o �o o ~' o i g 8 0=3 0 c 2 t� Z W -x w o C m w o i=: M �' o oCn r m w n o OCC I w C b C/) o p. Z W ro b C� p 7d i g 8 0=3 0 c m DO m m 0 m v y � d 'v O C2 Z y C 0om 6 O —!• C O. 5 y ato -0 � o � O CD v d� O Q� =r CD !D O CD C CD y. CL v y o co C S CA O O Z O CD CD O Q n O z cn0z U F cn O V J O �• C.0O Q N _n0�m -0 y l a m n m C7 HC.d0 3 m Z •� �� H _I ft -*m o T s o nim y O O m N 0 N ohm: o = 7 �-CO m �o':� : O N• C09 EL ac o " H O O m C 00 O mO. d N CL CL N < : N i m '' CO)o mc 9 wN Qj � m a co h :A o"S vow .Z W03o � o ca om to .T N o ?: W �d m o� CL te. H A ca o 5 p"1 OOil O O a- 0 ;' O a 1r.1 ,•,. n ro O �- ' d ro trioqn p a O x G a. O. C b y O CL W d tri ,t O C 1 �kfq 3 10 Z t7� FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT PHONE q 7g- 37y--7y-7S ASSESSORS MAP NUMBER SUBDIVISION LOT NUMBER LOT NUMBER STREET a i A gg I e,�,^ S -I- STREET NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS ... 467 •' ��� • • • • • _ DATE APPROVED �Z CONSER ' ATION ADMINISTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH ` LL / O`Yloa DATE REJECTED61?-//�✓ `� ��(lj Ti,YJ� COMMENTS 5'C�°TiC 5 )(-y-eH A2z)62- �'� ��J�,4CC ✓yam f�/� 1��°Ui� eA71,o1,), Aoc.P7—✓Za42 // Jj L)14 1"7 ,/A /422. CA) PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE�REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR Date. N2 4534 TOWN OF NORTH ANDOVER • o PERMIT FOR PLUMBING y ) This certifies that ...'. {° .......� has permission to perform ......�'.j" plumbing in the buildings of ... .. .... .... . L. / �-C f ... at ....AAA........ ��'................. ,North Andover, Mass. Fee.,/ .Lic. No .......... ............ (% PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location zl 4r>P1e4on TJI OX Soh Type of Occupancy R es i Cly e n C 2 TO DO PLUMBING Date 4— 2,7-od Permit # S7 Jam° Amount Q. I— P 4 - New F1 Renovation 13 Replacement 1:1 Plans Submitted Yes M No (Print or type) ,t Check one: Installing Company Name "/Ae ack F%u h+ b u2g S N ealjl) fi Corp. Address SOX 7 Z 8 Partner A/01 -i -h to nd oV C0r- rnd Business Telephone q7-9 975 42Qf Lj Firm/Co. Name of.Licensed Plumber. -2—o b P, fft B l ahC h e f� `e Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 Bond ❑ Certificate 16090 Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner F1 Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permitsued for this application will be in compliance with all pertinent provisions of the IV ssach�setts Sate Plumbing �de and C Ater f the General Laws. r VED (OFFICE USE ONLY Type of Plumbing License License Num er Master ® Journeyman a ......................... (Print or type) ,t Check one: Installing Company Name "/Ae ack F%u h+ b u2g S N ealjl) fi Corp. Address SOX 7 Z 8 Partner A/01 -i -h to nd oV C0r- rnd Business Telephone q7-9 975 42Qf Lj Firm/Co. Name of.Licensed Plumber. -2—o b P, fft B l ahC h e f� `e Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 Bond ❑ Certificate 16090 Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner F1 Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permitsued for this application will be in compliance with all pertinent provisions of the IV ssach�setts Sate Plumbing �de and C Ater f the General Laws. r VED (OFFICE USE ONLY Type of Plumbing License License Num er Master ® Journeyman APPLICATION TO CONSTRUCT BUILDING PERMIT NUMBER: SIGNATURE: TOWN OF NORTH ANDOVER BUILDING DEPARTMENT IR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY I 4. DATE ISSUED: >ner/Inspector of Buildings Date I SECTION 1- SITE INFORMATION I 1.1 Property Address: 1.2 Assessors Map and Parcel Number: d 37r KMapN � ? -` tuber D 3r3ok is7 1 -P Parcel Number A S 7 Plc h 3 rca 1.3 Zoning Information: 1.4 Property Dimensions: Zl im6 �� tezP0d 7 ccres 7NO-USS- Zoning District Proposede gC-P— Lot Areas Fr- age ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required ProvideA Required Provided Required Provided 30 'Ato t 36 `0-+ 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System �( I JEl 11VN 6 - YKVYLKI Y V WNLKbUW1AU 1M0K1ZhI) AGE1N'F I 2.1 Owner of Record Name (Print) Signature Telephone 2.2 Owner of Record: Name Print SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Su rvisor: ?,? Press Fa2D /� Address Y,a�97�-37 75l s Signature Telephone Address for Service : Address for Service: 3.2 Registered Home Improvement Contractor �J i `IGw �ll�lPa��SC'S. �C Company Name Q /� ct2(� I�17.��r1:1'7/7 rPlc��S Not Applicable ❑ C3 Cj ? 413s - License Number Expiration Date Not Applicable ❑ 130&,icy Registration Number 0<1 -0& 0z Expiration Date O z M go 0 r M zA G) IN CTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) arkers Compensation Insurance affidavit must be completed and submitted with this application.. Failure to provide this affidavit will result .n the denial nfthe. iseuance nfthe huildina nermit- Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ' Addition �( Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Q co ?w S 62L - SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant vt T?NLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION 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/Agent NO. OF STORIES Date SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2ND 3KO SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATFRIA1. nF CHTMNFY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t i R.A.M. ENGINEERING ROBERT A. MASYS, P.E. ��Zj— 100 MAIN STREET HAVERHILL, MA 01830 TEL: 508-372-0449 FAX: 508-372-7183 August 28, 2000 Willow Enterprises PO Box 8344 Ward Hill, MA 01835 RE: 21 Appleton Street, North Andover, MA. Dear Sirs: As requested, I have inspected the existing septic system at the above address. According to the owner, the system is approximately 42 years old, and consists of a 750 gallon septic system, and leaching area. The owners have stated that they have had the system pumped twice a year from when it was installed. The system appears to be working, although there were signs that the system had overflowed the septic tank in the past. I was also informed that the Town is looking to install a sanitary sewer in the street within the next couple years. believe that the life of this system could be extended to service this house until that sanitary sewer is installed. I would recommend that the system be inspected monthly, and the tank be pumped every four months. I would caution the residents not to overuse the system, and'to limit the amount of flow into the system. I would highly suggest that all laundry be done off site. There is no guarantee that this system will continue to operate, but with care and maintenance, it should continue to work until the new sewer main has been installed. I would recommend that the building be tied into the sanitary sewer as soon as it is made available. If you should have any questions, please contNt me. A. APPLICATION FM SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTHW--NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at -etv-L-k „-.. I will, install this system in accordance With all the laws of the Commonwealth of Massachusetts and regulations -of the Board of Health of the Tartan of North Andover. M Ftirtherf I will construct the.house sewer of bell and spigot pipe# the minimum diameter being 4 inches,9and will maintain a minimum grade of 1% until 10 feet preceding the septic tank wheree grade shall not exceed. Z will install g concrete septic tank of - in size. A manhole (s) permitting easy"n. cleaning will be provided witli removable cover (a) of iron or concrete within lZ inches of the ground surface. I will provide subsurface disposal field with open .jointed bell and spigot Ackron pipe at least 4 inches in diameter anaid is a series of,.trenches, the bottom of which will provide a minimum of lineal (9qqW9);,feet of effective absorption area. The pipes will be laid on a 6 inch layer ofr'washed'gravel or crushed stone ranging in size from 3/4 to 1.1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/$" to 1/4n (dia.) will, be placed over the course P�aavel or stone. The .disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single the line will exceed 100 feet in length and in any case# two lines of the wi3l be installed. A minimum of 6 feet will be maintained between the center linea of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the in- stallation will be less than 100 feet'from any private water supply, 23 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I f of €icer, as provided below# and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE FA Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE Signature of Inspecting Officer Pbreolation Testi Garbage Grinder REQUIREMENTS FOR BULDING PERMIT SIGNOFFS BY BOARD OF HEALTH To be filled out b the he applicant and submitted with the Building Permit application 1. What is the proposed project? Deck pool addition new house other 2. Are plans attached? Yes No (For additions and new houses on septic systems, complete floor plans of proposed construction and any existing house must be submitted. For pools and decks, a site plan with location of pool or deck is required. Dimensions of deck are needed.) 3. Is municipal sewer available at this location?j Yes No PtcLv.-x� jVoc 2,001f.a,s u.) e- w..c�er4,"J,'-t , 4. If sewer is available and a house already exists, is it tied in to the sewer? Yes No 5. Is the location served by private well? Yes No 6. If this project is an addition and the house is served by a septic system, has there been a Title 5 inspection done recently on the septic system? qQ No 7. If, yes, is the inspection report on file at the BOH? Yes WAMw &"rev, ,Z 99 em. .woad Jd Maw 8344 w4lo'e , " 07835=084V /978/ 37,1-7,175 I -877-37,1-7V75 /978/ 372-7394 fay October 2, 2000 SCOPE OF WORK AT 21 APPLETON STREET, NORTH ANDOVER Willow and Eleanor Dickson (property owner) propose to enlarge the first floor living space to accommodate her and her husband comfortably. Mr. & Mrs. Dickson are both in their seventies and will be returning to live in North Andover. Her son currently resides at this address and will continue to do so. Mr. & Mrs. Dickson would like to have a larger, more modern living space on the first floor and would like to eliminate the need for them to navigate the steep and narrow staircase in this structure. Currently the only bathroom in the house is on the second floor. The proposed project involves remodeling the existing kitchen and breezeway in concert with adding about 700 SF of new living space. This combined area will provide them with a new kitchen and dining room that are considerably larger than the former. There is to be a back entry way off the kitchen for coats and other outdoor garments to be stored. Eventually, after city sewer is available, this area will also house the laundry facilities. This project will also create a 1i2 bath off the sitting room and front hall for guest usage and a master bedroom with a 3/4 bath. Additionally, we will update and repair other items including repainting and re -roofing the existing structure, the electrical service, the heating system and provide for underground utility access to the street. Since the Dicksons plan to connect to the city sewer system as soon as it is available on the street (Projected 2004) no additional work is planned for the existing septic system. We had a voluntary Title V inspection done on the system by RAM Engineering and believe that the existing system will accommodate the Dicksons until the city sewer connections are available. Thomas W. Lyons Willow Enterprises T 7 I I I I I I I I ---- a& aw /(D ;2 3 V3 |■ƒE \L6 !!° §i'fk/7 . g OL / > cl) �\ ° \k �k§ ƒ� k( C. °< ,2 mCl) cco (§aE0% (D0) -0 \� co \ 7 £ .. ------",I� .. »!I .n a \ %\ j) % ° $ n■|- m § i§&E®In v f zo }§ /0 ■ a - ■° § 0 �� °� z C _ , » rL E ) ¥/§ CL ; o } �i �•ti 2§ �kE•�F|a 2 _- RL' # _ , m ƒ m,� to 0 P- G' H (D G G a G n o- O n o (D G O O I o CJ C7 q o::E �E o 1 000 LTi 1 1 F -C x n o a O d x n x Ul (i m O C7 H H H H a cn (D rtHrt !n 0'p � H- cn b I OOO��t tiH I Ux1xiNNt t�C I I G x � n H> 0> q H U) CA Cn r F b G O (D LQ H H•t 1 cnUlUlzzcoUlz i r• ro lz7H(n•• Ht -C •• HH LTJ•• ti tJ n (n n lD (D G rt UI H rt I 0 G7 x Fri rt R (DD (D O I w 1 I O C H l- w Z Gi OI n 7 n O H• 6, Fs n m 1 O 0 I I (D U1HNW ° n OD 0 (D O i I �°l ¢ 1 t�7 II N k H m rt 0 (D �' m (D n rt (rtD H crt N• H I Q Q TJ Ti I �I F N y Cl) ° rtt 0 � ct I 0 o t S ri I ro w N a o M n d H O rt cn ro b ((DD H� a H-¢ (OD H rt rt LTJ I Uri m I NUwi Cl) OH b O t'' a LTJ H H rt (D G W �31 ct I (D (D I (D ccnn (D C G (D (D I -h Qr o ct (D ]' LTJ .'T (D 2r I O 0 ` I Fi I -i I I (n ro • • rt N m m ti 0T1 Orth ~~ I LTJ rt fi Q¢. 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I I G• (D C) 10 1 Hbrt10 nlynG'1 (D G O ° 1 F n ro Fl -0 Q_ M� rai 000001, a � 0 H G 10 (D n (D I (D � ¢Ul Fi • CT G1 lANNw A I a H• H• H G rna (D 1-1 H I (D a Cf)I 00 ao A N to I 00000 1 F- �J r- LQ tJ F- rt iQ o rt G ct I I (D < G (D r• I , C7 �0 I 1 1 0 a U1 I I , 1 Fi rt I N H F' H W W I C I CD Ul w Io H cn 0) w I ------- • Prime and 2 coats of paint on all walls, doors, windows, trims and all open shelving in addition. DISPOSAL $.4,430 Removal of debris from demolition and construction work, loading masonry, plaster, lumber and other tear -out or building debris and haul to dumping ground APPLIANCES and installation $ 5,620 • Builder grade Refrigerator w/ice-maker • Builder grade Dishwasher • Builder grade Disposer • Builder grade Under -counter trash compactor • Builder grade Electric clothes dryer • Builder grade Clothes washer • Builder grade Free-standing electric range and oven • Builder grade Microwave oven • Builder grade Hood and Fan unit Total Project: ALL REMODELING AND RENOVATION WORK $182F570 Allowances: Estimated cost of materials, tax and delivery. Actual costs may vary, differences will be applied to the contract total Appliances $ 4,880 Doors & Windows $ 3,560 Cabinets $ 4,708 Includes kitchen and bath cabinets and countertops, medicine cabinets, Shower door, and chrome accessories Flooring $ 3,271 Light Fixtures $ 1,511' Plumbing & Heating Allowance $20,800 We have not yet received a solid quote on the total cost of plumbing and heating. This is the estimated amount for labor and material supplied by the sub -contractor and may vary as we proceed. This includes about $1600 allowance for plumbing fixtures (toilets, sinks, and shower). �✓�i�crava��rule.�2o E �i an�riurcurea BOARD OF BUILDI G REGULATIONS, License; CONSTRUCTION,SUPERV►SOR€ r e{. Number CS 074135:' `# Birthdate: 0911611954; ' x 4 :Expired: 0911612002 Tr. no 74135 tiq k Restricted 70 00 r ,THOMAS W LYONS 99 CROSS ROAD BRADFORD,- MA 01635 Administrator. ' � �/ee �iovnmeasuuea�e a�../�%aaa¢cituae� HONE IMPROVEMENT CONTRACTOR Registration: 130664 Expiration: 04/06/2002 Type: Private Corporatio r NILLON ENTERPRISES, INC. THOMAS LYONS GX� &o 7�- tW CROSS ROAD ADMINISTRATOR WAROHILL NA 01835 d N2 2620 Date .... ....... .. .... ..... () ... 61 A/09/... I &MMiaL MPW—, TOWN -mw- OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... 7 wl.e S ......... M.o.qC.I4.� .......................... has permission to perform ..... k.tw.dofd ... ................... wiring in the building of .........0.; -(-.J�..5Q.n .................................................. a - f ...... A . . ......... . ... North I/ - ...L.A. jdd.(��a ..... S.t .... T/, Mass. Fee .ILv.�.... Lic. No.. .�In-OtF ....... ... . M7Z ELECTRICAL MpEcTop - ��P42 �Im ................................. Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer T1ECVAW0AEi L7]V0F �`l S5AQU+�`S' Once Use only �j DEPARTMOVTOFPUBLICS9FM Permit No. �2 OC O BOARD OF MEPREVF MONREGUTATI0AS R7CMR 1ZO Occupancy & Fees Checked UVPPLICA.TTON FOR PERMIT TO PERFORM ELECTRICAL 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) Date q Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street b Owner or Tenant To the Inspector of Wires: Owner's Address -L.CQ I ( Is this permit in conjunction with a building permit: . Yes n7 No F] (Check Appropriate Box) Purpose of Building to �cj�-r o&, ce,, o oq o, Utility Authorization No. +� Existing Service Amps�Volts Overhead a Underground No. of Meters New Service Amps Volts Overhead Underground Q No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Bec� (i No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total a KVA No. of Lighting Fixtures Swimming Pool Above Generators KVA and 1:1Below ground El Vo. of Receptacle Outlets i No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW htitiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal r-1 Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. I ydro Massage Tubs No. of Motors Total HP OTHER hwaxecoemw R>rsu&vDtktetagtzmvzofMassdt9dlsGata'A1mNS Ihmea=atL 3khnut =PbiLyit&gCaTO*Co+eaWcritsslbft deqmlat YES M NO M limt uh nttedmibdproofofsameathe0ffim YES ,/ NO Ify uharetftadwdYFS,pkmnk*thetypecfcaaageby&cdatgthe INR Al CE [ 7,�/- BOND r7 OTHER M (I" mSpe*) Wak>nStatt Q-zi -6b hnspecdmDat ;R Z -h! Signed tnJa%%ukies ofpq*.. FIRM NAME Liner= l rcia, 4, Sigriabae A c? „ OWNER'SMRANCEWAIVER;Iamawatethatt cLi w anddutmyWmwmcnthispamitWpkmm thism*M nad. (Please check one) Owner r7 Agent a Eshm&d VahtedttUMtncal Wait S 5'0 p s. Ragh Fimel UUMNa BtziressTd.Na q2?�-37 K%l^ AIL TdNa P�y=-3% P' -/LEE segtti iatasrequaedbylvi Cmedlaws Telephone No. PERMIT FEE Location A PPIZA0A) s No. Date 91-1 a 1 a d TOWN OF NORTH ANDOVER Certificate of Occupancy $ vsACMUS A Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # C/o /0 K=- 11.157 Buildinglnspector 00 M W z O V TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING L�.�:•"r>v� 9 fl�F BUILDING PERMIT NUMBER: DATE ISSUED: V I SIGNATURE: -- �" rj4xt� Building Commission er/IEECEtor of Buildings Date SECTION i- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: l A991,+,,, S+ 3043 -i Va,,. 370 LSE - Map Number Parcel Number DatedRoe879 57 1.3 Zoning Information: 1.4 Property Dimensions: Simw F6,r•�1y rhes+' � e % 7acres. V�: , SO ISD' Zoning District Proposed Use Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Reqwred Provided 30 .2/0 ¢ 30 1 4,0 ' 30 oZS ' ±- 1.7 1.7 Water Supply M.G1-C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public W Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System X SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Ele,,rna, b i ckse.,. Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: r Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.14Licensed Construction Supervisor: Not Applicable ❑ b), Ly o -s Licensed Construction Suup"sor: License Number -l( CrOfS a J34) N(� Address oma L} $' 3 7 -/- 7,s47 -s- Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 T1 At It% IQ Company Name I Registration Number sS /� 3RADF6� OY,ErtC —� Address Expiration Date Signature Telephone 00 M W z O V SECTION 4 - WORKERS COMPENSATION (MGL 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. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building W Repair(s) Alterations(s) 11 Addition 0 Accessory Bldg. ❑ Demolition 0 Other 1'9 Specify_,4,2.10J�-�rtn^V%I- Brief Description of Proposed Work: EXISII/L9 "f -bow- Lu, P f Le QL, Qy�/� h I ItCIA4 6'14 PLl1-. f'rL l,vcJ Aed ©i12 LJ L41, u) w; l I Le- nernou eA +L e�� ( S4" C"F j el e" Jan-4 CJ C' � l �u�✓-� (A)� �2 (*A A,,� /V0 Ar'uc ia-'a l SECTIO 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant], {}I?F1tCIAL',USE ONLY ' 1. Building A (a) Building Permit Fee Multiplier 2 Electrical 7� -� ¢o (b) Estimated Total Cost of Construction 3 Plumbing p ; p Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 74 lo,onCheck Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, 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 1, . las (�. Lid rs as 8yoner/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 --FF"6 via o S t l..Lvo -o Pr'nt NaBp Signature of Owner/A en NO. OF STORIES a2 Fla. -100 Dat SIZE V ><3e> BASEMENT OR SLAB SIZE OF FLOOR TMERS .2-K 1 2 NDa 3 SPAN /G'- /a DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGH�.OF FOUNDATION THICKNESS SIZE OF` OOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Ul C X O n X OD � tD 0 DOS O ca N m� 3 'a O$ O m N X. O N C -n O"O-;*,� CD :3 � t0 = �'a v Q =rCD CD 0 ,t O(D .-, O .-+. 3 Q. N C3� . N n�•���p0 ca CJ n 0 O C N � � W CD QO O�'� r -r Ccr 0 p GM �p 0 N (D =gyp= Q CD n Cr OOOCDOr-O OD -0_� m• 4 CL O N tU -p 0 p O cD CD 0 =r ,- CU p. a-� CL (D O O O �3 f�C- ca 3 cD N ;o c 0 C:� CL o ¢ �' Q ( `nmo-� CDS- IW CD cn D cn.mcCDD=o IDmm-n �. z3 = _ :3 tD �, = 3 ::r0 ��ca m�Wo 0 CD :r. CL x:3 0 -_++ N ca -a Q mtD .-t -0 n cr cn cn NOO(DN Sv O n X. a) .-.. Q • _s o� °oma' CL cQ �moco�3 CD <c m <c tib n D O C (A -n '� O (D CD ::rc * CD 7a CD �C . cn O (D 3 X � � O C O ' NOO �- z CD :3 ON< O S 707 O O CD (D CD n -o D CDtQ O -a 3 CDt CD Q� cn CD n n Q. Q O CD _ �� 0-N �•m - (D Q QO (Q CD0 CD c 0 ACORD,M CERTIFICATE OF LIABILITY INSURANCE osi2ei2o 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION William C. Sullivan Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 487 Groveland Street Haverhill, MA 01830 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY EXPIRATIOIMMIDOM,NDATE P:978-372-2790 F:978-373-2281 INSURERS AFFORDING COVERAGE INSURED INSURER A: PHENIX MUTUAL FIRE INS. CO. Willow Enterprises Inc. INSURER B: LEGION INSURANCE COMPANY PO BOX 8344 INSURER C: Ward Hill MA 01835 - INSURER D: INSURER E: 06/19/2000 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVDDrfnE POLICY EXPIRATIOIMMIDOM,NDATE OMITS GENERAL LIABILITY SHREVE PORT 71104— REPRESENT AUTHOR ESENTATIVE .151 EACH OCCURRENCE $ 1,000,000 A ® COMMERCIAL GENERAL LIABILITY ❑ I CLAIMS MADE a OCCUR CPP0702124 06/19/1999 06/19/2000 FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ 5,000 ❑ PERSONAL 8 ADV INJURY $ ❑ GENERAL AGGREGATE $ 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 ❑ POLICY ❑ PRO- ❑ LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ❑ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) ■ . HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ ❑ PROPERTY DAMAGE $ (Per accident) ❑ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO F:3 OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY [I OCCUR � CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ FDEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU• S 0ETH- Ll I R X EMPLOYERS' LIABILITY C50285506 03/16/2000 06/16/2001 E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEEJS 500,000 E.L. DISEASE -POLICY LIMIT Is 100,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CARPENTRY CERTIFICATE HOLDER IFIADDiTiONAL INSURED: INSURER LETTER: CANCELLATION ACORD 25-S (7197) / ©ACORD CORPORATION 1911 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BOB & ELEANOR DIXON 010 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 2611 SEVIER LANE IMPOSE NO OBLIGATI OR LIABIUTY OF ND UPON THE INSURER, ITS AGENTS OR SHREVE PORT 71104— REPRESENT AUTHOR ESENTATIVE .151 ACORD 25-S (7197) / ©ACORD CORPORATION 1911 .f e llanzs#znnr�r�Ztilz t�.�l`��.ksr�r�Jiu3�tr�6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 074135 Birthdate: 09116/1954 Expires: 09/16/2002 Tr. no: 74135 Restricted To: 00 THOMAS W LYONS 99 CROSS ROAD BRADFORD, MA o1335 Administrator HOME IMPROVEMENT CONTRACTOR Registration: 130664 - Expiration: 04/06/2002 Type:. Private Corporatio YILLOY ENTERPRISES, INC. THOMAS LYONS ';,e�tWCROSS ROAD no�ur�isYRaroR NAROHILL MA 01835 t t REQUIREMENTS FOR BULDING PERMIT SIGNOFFS BY BOARD OF HEALTH To be filled out by the applicant and submitted with the Building Permit ap lip cation 1. What is the proposed project? Deck pool addition new house other t—e,loyoli- 2. Are plans attached? Yes No (For additions and new houses on septic systems, complete floor plans of proposed construction and any existing house must be submitted. For pools and decks, a site plan with location of pool or deck is required. Dimensions of deck are needed.) 3. Is municipal sewer available at this location? Yes No 4. If sewer is available and a house already exists, is it tied in to the sewer? Yes No 5. Is the location served by private well? YesNo 6. If this project is an addition and the house is served by a septic system, has there been a Title 5 inspection done recently on the septic system? Yes No 7. If, yes, is the inspection report on file at the BOH? Yes No s Town of North Andover ai NORTH qti 0 Building Department t° -= 27 Charles Street * _ North Andover Massachusetts 01845 978 688-9545 Fax 978 688-9542 SSACHUS� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: Facility location ,�,/,Q� 'r-7 � J Signature of Appli • nt ?,- oy Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 0 a c o m c c t5 _•R o c �v : CL. �ecv ; m C :t O h 0 c �. m liE m m4� o 4D t Q! ` 0 U3 C >cat> ? ` o E wo tv p:moCD CLUCD y O m o IM :d0L •_ mor m w Z o :000 cm CL. c H a � •-s 3 0 = O m r o N h Z W G �r�t •.- N .y cc CL=Z cc Q, ~ m .y O A Z 0 $ i H'�m O d O W w P-4 Ml w co .y Co CL. CD C O co Q ey CL CA _ 0 CIO O m ,c _y co L CL a. O! Q C zCO s CDCLCO2 C LU 0 U) LLI crw LU crW cz ° 04 ° O � x z u ^\p w a c� a w cz U ro w a w X a W to -ci w a w o c o m c c t5 _•R o c �v : CL. �ecv ; m C :t O h 0 c �. m liE m m4� o 4D t Q! ` 0 U3 C >cat> ? ` o E wo tv p:moCD CLUCD y O m o IM :d0L •_ mor m w Z o :000 cm CL. c H a � •-s 3 0 = O m r o N h Z W G �r�t •.- N .y cc CL=Z cc Q, ~ m .y O A Z 0 $ i H'�m O d O W w P-4 Ml w co .y Co CL. CD C O co Q ey CL CA _ 0 CIO O m ,c _y co L CL a. O! Q C zCO s CDCLCO2 C LU 0 U) LLI crw LU crW