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Miscellaneous - 21 MAY STREET 4/30/2018
i:'Ir-�- Ml Commerce INSURANCE - June NSURANCE- June 16, 2014 The Commerce Insurance Company"" Citation Insurance Companyw 11 Gore Road, Webster, Massachusetts 01570 508.949.15001 www.commerceinsurance.com BUILDING COMMISSIONER or INSPECTOR OF BUILDINGS TOWN/CITY HALL NORTH ANDOVER MA 01845 RE: Our Insured: MARCIE JACOBSON Property Address: 20 MAY ST Policy#: BBGLJG Date of Loss: 02/01/2014 Filet JCWX80-CVAKV6 Board of Health or Board of Selectmen Town/City Hall Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. LISA LEAHY Telephone: (508)949-1500 Ext: 15846 Claim Representative I, Property Toll Free: 1-800-221-1605, Ext: 15846 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above, by first class mail. June 16, 2014 Water / mold damage in kitchen CIC 254 (Rev. 4/95) MAIL 788 9306 Date . z/ -3/Z-.. . TOWN OF NORTH ANDOVER .•_ w - _'• OCL ' PERMIT FOR PLUMBING This certifies that ... � AT4'i'!..... . . has permission to perform plumbing in thebuildingsof ...R/!?�"!!��/ .................... . at .....1. /��:..5........ .. , No h Andover, Mass. Fee ..32/5ULic. No.. z�j + �,. PLUMBING IN PECTOR Check # A s Date ...?/W4 ......... /,ao ,sae OL TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION h 'SAC wUSES This certifies that has permission for gas installation .A,f?'!?�P!?�.�!!.�+�'r in the buildings of ..... f7.E=! 4 L .......................... at ... Z�. �!Iq�'T .... ....... North/A,ndover -Mass. Fee.. � :OU Lic. No... -M?: 3.. GAS INSPECT Check # .j Z "s-0 • MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: NORTH ANDOVER MA. Date: Permit# Building Location: Owners Name-Aada�J Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential FV1 New: ❑ Alteration: ❑ Renovation: ❑ Replacement: 0 Plans Submitted: Yes ❑ No 2] Installing Company Name: HALLORAN PLUMBING Address:826 DALE ST. City/Town:N.ANDOVER State: MA Business Tel: 978 6859504 Of Fax: Fitter:TOM HALLORAN lN5UKANCE COVERAGE: I have a current liability insurance policy Check One Only Certificate # ❑ Corporation ❑ Partnership ❑ Firm/Company or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes 21 No [I If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy E] 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 Signature of Owner or Owner's Agent Owner 11 Agent ❑ 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 best of my Knowledge and that all plumbing work and 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 Plumber Title ❑ Gas Fitter ❑ Master City/Town RJourneyman APPROVED (OFFICE USE ONLY) ❑ LP Installer 2 S)gnature of Licensed Plumber/Gas Fitter License Number:-� i. • - MW0r*T*TzWMMMMMMMMMMMM -------------------------- FWffyr*T*TMMMMMMMMMMMMMMMMMM--------- • • ' --------------------M----- FiwffrOT07mmm=mmmmmmlmmmmmm------------ . • - --------------------------- Installing Company Name: HALLORAN PLUMBING Address:826 DALE ST. City/Town:N.ANDOVER State: MA Business Tel: 978 6859504 Of Fax: Fitter:TOM HALLORAN lN5UKANCE COVERAGE: I have a current liability insurance policy Check One Only Certificate # ❑ Corporation ❑ Partnership ❑ Firm/Company or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes 21 No [I If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy E] 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 Signature of Owner or Owner's Agent Owner 11 Agent ❑ 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 best of my Knowledge and that all plumbing work and 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 Plumber Title ❑ Gas Fitter ❑ Master City/Town RJourneyman APPROVED (OFFICE USE ONLY) ❑ LP Installer 2 S)gnature of Licensed Plumber/Gas Fitter License Number:-� <C11 k1riCity/Town: MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING NORTH ANDOVER , MA. Date: c2 Id %>L Permit# Building Location:A. % / c�'r Owners Name%ndt/eW'z-;� Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential Q New: ❑ Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted: Yes ❑ No ❑ FIXTURES Z Z y 0 N a z z H en Y } N J = v P w W 0 W Z 3 N= f» Q f11 fY O M w Q °' Z z W? ga IQ— M z Q 0 0 Z CL o -j nU. a a o w t9 ux—, W V f CL 0O O N V Z Q M Y 2 Nix H H W a y Q Q N j Q 0 m m o o W O_ O= oc m rn Q i- 3: O 1 1 SUB BSMT. BASEMENT X 1 FLOOR 2ND FLOOR 3mu FLOOR 4 -FLOOR !P FLOOR -i 'FLOOR T FLOOR 8 FLOOR Check One Only Certificate # Installing Company Name: HALLORAN PLUMBING n Corporation Address: 826 DALE ST. City/Town: N.ANDOVER State: NIA ❑ Partnership Business Tel: 978-685-9504 Fax: ❑ Finn/Company Name of Licensed Plumber. THOMAS HALLORAN I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes Q No ❑ If you have checked Yes please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 2] 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 ❑ Signature of Owner or Owner's Agent Owner E] Agent I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Title aty/Town _ APPROVED Type of License: El Plumber Signature of Licensed Plumber ❑ Master c>2 Journeyman License Number• 3777 Date ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING C" This certifies that ....... C............. �./.... .................... hh-s permission to perform ..... —4 ..... .................... .j............................................ Y wiring in the building of ....... ................................................. at ........ ..... .......................... , orth Andover Mass. Fee .... Lic. No!.,)., -;'Jr ................. ?�T Check # >LE PI6ALINS** "'**R* 4 Y Commonwealth of Massachusetts Official Use Only m Permit No. ?777 Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Oevc 1p1/99y1 and Fee Checked � leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 52 CM /12.00 (PLEASE PRINT IN INK OR TYPEA INFORMATION) Date:-- UO City or Town of: To the Inspector o Wires: By this application the undersigned ives notice of his or h t tention to perform the electrical work described below. Location (Street & Number) Owner or Tenant v1 � uwh in a Telephone No. Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Yes ❑ No 24 (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Installation of Security sys /1....... 7.. a:..._ _fa1__f_17_-.-: ._1.7 No. of Recessed Fixtures _-- ----_.. .. ..... ...... ..... No. of Ceil: Susp. (Paddle) Fans .»..... "--,v— --c" uy lrlu l/LJ CCL ur U rr Lres. No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑In- Elo. rnd. rnd. o Emergency Lighting Batter -y Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. o Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑Other Connection No. of Dryers Heating Appliances Kit SecurityNo. Devices or E uivalent No. o Water Heaters KW No. of No. o Signs Ballasts Data Wirin No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 0-1 HER: Imacn aaatrtonat aetatt q aestrea, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of El ctrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under t epains andpenalties ofperjury, that the information on this application is true and complete. FIRM NAME:LIC. NO.: 1533C Licensee: John S. Bassett Signature LIC. NO.: 1533C (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 603 594 92$ Address: Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Li*see see does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No.IT FEE: $ PERM 1% Date. //---x -. .° � koRY:rho TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING This certifies that ................... has permission to perform ....... ........... plumbing in the buildings of .................... at. . ................... North Andover, Mass. Fee. Lic. No..../. ............... PLUMBING INSPECTOR Check # 5025 ()^ 6 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building � z k Owners Name i Date SSG% ✓ ��ee� Permit # S L )� s� i Amount Type of Occupancy cZ-FAM t tV CE A;A6 New ©— Renovation 1:1 Replacement E] Plans Submitted Yes 1:1 No 1-3 FXT11RES • -------------------------- MMMMMMWMWMMMMMMMMWMMNMMMM (Print or type) Installing Company Name )Ur 1'f & Address �,L6WL- (to Mj4. Check one: Certificate ❑ Corp. ElPartner. Firm/Co. Name of Licensed Plumber: -J Aw." X li u2Fy---&4 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 made 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 Issued for this application will be in compliance with all pertinent provisions of the Massae setts State Plum ngeode and Ch er 142 of the General Laws. a-w.t.�. By: ig a ure icense u er of Plumbing License Title /W ase) t, City/ i�e� um er Master ® Journeyman ❑ APPROVED (or-Ftce USE ONLY Date .. �.. l.t... `.. r .... . �-` 11�-TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION i This certifies that .............. `..... ' .... ��............... . has permission for gas installation ....... � �.`.. � .............. . in the buildings of......!! .:................................ at ......00.. `!�,�f ;! .............. , North Andover, Mass. Fee.. S.U: ' . Lic. No...! I � : ` r ...... GAS INSPECTOR Check # 1 7 i C 3U 0 lY1ASSACHUS,ETTS UNKFORM APPLICATON FOR PERMIT TO DO GAS FT TE14C, ✓Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Locations r l M APermit 9 Amount S J--0 Owner's Name J` Y 5;6 6d A,(+d`1i/ New Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or type) _ Check one: Certificate Installing Company Name �.�r`� ��� ❑ Corp. Address 4:4 w ICDA:'Ttjep,.A doe- ❑ Partner. Business Telephone �' � � ;LS -ss- ❑ FirmiCo. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE ICheck one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked Nes, please indicate the type coverage by checking the appropriate box. Liability insurance policy r_, Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: [ am aware that the licensee does .not have the Insurance coverage required by Chapter 142 of the Vlass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signarure of Owner or Owner's Agent Owner ❑ Agent ❑ ) herebv 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 pertormed under Permit Issued Cor this application will be in compliance with all pertinent provisions of the �lassachus tts State Gas Codevand aper 1421 of l,}ie Geneml Laws. Bv: Title CityiTown APPROVED ioFi-u- irsc!)Ni.y) \Sidnature of Licensed Plumber Or GA Fitter �Fiumber ❑ Gas Fitter icense Numoer 7 Taster ❑ Journeyman `7 i N2 3 ,; J ) Date ... l. � .!� No TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that} S �.. �) �!.!l. � n ... = F C .................................................................... to has permission to perform ...... A....f 5 �f.fzt.!.. �./....... �............ wiring in the building of ...... at .......... ..... ....>......VL1 -51,.............. , North Andover, Mass. Fee.,, .-....:.......... LDC. No............. ........ .........,, ........I ELECTRICAL INSPECTOR Check N WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THECOA MON WE4LTHOFMAIY9 4 C HUSE 7 7 S Office Use only C DEPARTMFVTOFPUBIK&4FM Permit No. 3 ✓ BOARD OF FLRE PREVE W0NRW M4T10A S 527 CMR 12110 VA Occupancy &Fees CheckedPPLI CATION FOR PERMIT TO PERFORM ELECTR iCAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical Location (Street & Number) a/ -11 ` Owner or Tenant / / Owner's Address /J—O///P/V/& , Is this permit in conjunction with a buildiMperm Purpose of Building _;,L. Existing Service Amps/ Volts New Service � Amps,&2:'�Volts Yes [No = (Check Appropriate Box) Utility Authorization No. � Overhead [:] Underground Overhead r—=9Underground No. of Meters No. of Meters Number of Feeders and Ampacity Loczxpon and Nature of Proposed Electrical Work' 1 No. -,f Lighting Outlets w No. of Hot Tubs No. of Transformers Total KVA No. (IfLighting Fixtures Swimming Pool Above Below Generators KVA and M ground No. of Receptacle Outlets 1 No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Somers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals 11 No. of Heat Total Total O� Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained 4-12 Detection/Sounding Devices Local unlcipal Connections Other No. of Dryers Heating Devices KW No. of Water Heaters/ KW No. of No. of (� 1„, Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER �w ln%==Cowaagz Lam Iha%eaamatLiala1 hs==PbbcyinchtdmgCm#Ap t� a�aritsskstrtialegialat YESE]F NO Iha%e%hn1edvalidpodbfsame1othe0ffi= YES NO eWcpri*bcx NSURANCE = BOND OTHER M (Pl mSpa • I• �� 1 ,ter -.1W • I �� �L n :• ” •: 0:•i v, u I' • FIN Lioen� ' ( d&f/O �� Sigtrahne('��� Ar"426) t r/��. OWNER'SNSURANC EWAIVER;lamattatettnttheLica�edoe�nt andthatmysjp� ontheperm$t ialwaiesthistm"'M rtt (Please check one) Owner M Agent M Telephone No. PERMIT FEE $ 3d - dv Date. /�.��:.`..`....... F NORTH OF ,,1 O -TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION . 9 SACHU This certifies that .... I ...''. ! .. '. T.... ��.... r . ............ . has permission for gas installation ...... ! ?: w-.. f l- !-f...:.. . in the buildings of ... ./................................ at ................ // ................. , North Andover, Mass. Fee... .. Lic. No. .. :.. . GASINSPECTOR Check # 3 17) 19 iVIAS.SACHUS,ETTS tn+TFORM APPLICATON FOR PERNHT TO DO GAS FMI NG Type or print.) D tIff t ta/ NORTH ANDOVER, MASSACHUSETTS Building Locations 3 A �W Permit # Owner's Name New 011� Renovation ❑ Replacement ❑ Amount S Plans Submirted ❑ (Print or type)i J �] Check one: Certificate Installing Company lame 4.J1+(Y`� l � �' /Z 1- ❑ Corp. Address C or o1- " ❑ Parmer. LakA�l:Ck I MA, D/Ns z. Business Telephonef�� t�S�C's �` -- ❑ FirmiCo. C' dame of Licensed Plumber or Gas Fitter�117`C— INSUR.ANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked ves, please indicate the type cover -age by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: [ am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Nlass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ ,-Agent ❑ I herebv certifv that all of the details and information I have submitted for entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pertormed under Permit Issued For this application will be in compliance with all pertinent provisions oFthe .Massachu* State Gas Code and Chapter 42 , f the Genrl Laws. By: Title CitviTown A-PPRU`'ED ioFiu, us iNi.v) of Licensed Plumbe`-Or Gas Fitter ' ❑ Gas Fitter I 15[e r-7 Journeyman r✓I / DSa 11 icense 7,4umoer a (Print or type)i J �] Check one: Certificate Installing Company lame 4.J1+(Y`� l � �' /Z 1- ❑ Corp. Address C or o1- " ❑ Parmer. LakA�l:Ck I MA, D/Ns z. Business Telephonef�� t�S�C's �` -- ❑ FirmiCo. C' dame of Licensed Plumber or Gas Fitter�117`C— INSUR.ANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked ves, please indicate the type cover -age by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: [ am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Nlass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ ,-Agent ❑ I herebv certifv that all of the details and information I have submitted for entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pertormed under Permit Issued For this application will be in compliance with all pertinent provisions oFthe .Massachu* State Gas Code and Chapter 42 , f the Genrl Laws. By: Title CitviTown A-PPRU`'ED ioFiu, us iNi.v) of Licensed Plumbe`-Or Gas Fitter ' ❑ Gas Fitter I 15[e r-7 Journeyman r✓I / DSa 11 icense 7,4umoer Date../� . G' TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING t f� This certifies that .. 7). 1— 0.� T � .0 � / has permission to perform ....%1 . .' . 116. �- .'.-..-�........... plumbing in the buildings of .. .�!% e ................. . !� ./ ---/"at ... �................................. , North Andover, Mass. r Fee. Lic. No.. /c� .' .........` ... V . ` ..... . PLUMBING INSPECTOR Check # 11 2 C 5026 ( )—G MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location d 3 M A lj New Renovation 13 (Print or type) f Installing Company Name Address itk net7 Owners Name fic (,t S .5 e (r � of Occupancy J /—'M V41AV �c� ti� 6 Replacement FIXTURES Date /l- I C O / Permit # -b2- Amount ,b2Amount Plans Submitted Yes 1:1 No ❑ Check one: Certificate ❑ Corp. Partner. 7 f -X '— 4t.S c5Z Z. S`` ❑ Firm/Co. Name of Licensed Plumber: — q 144 -S 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 made aware that the licensee of this application does not have any one of the above threeinsurance ignature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in aboveapplication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachis State Plumbing Codi and(l`ai Ater 142pf the General Laws. own EZOVED (OFFICE USE ONLY I YPe-01`FiTrInbing License rol©'s-ry icense um er Master 0 --Journeyman ❑ i Location No. h ") q-8 Date 9-13 TOWN OF NORTH ANDOVER i Check # /j' `5U13 r v Building Ins or 9 Certificate of Occupancy $ Ire L,s'•^O • EZ� s�cMus Building/Frame Permit Fee $ Foundation Permit Fee $�'t' Other Permit Fee $ TOTAL $ i Check # /j' `5U13 r v Building Ins or TOWN OF NORTH ANDOVER' r" BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: c�,20 j SIGNATURE: Buildin Commissioner/1for of Buildings Date C- f TT/1W 1 cTTru T1Urr%Tnwa' • mT�XT 1.1 Property Address: 5rtze/T— 1.2 Assessors Map and Parcel /7 Map Number �,�` ' Number: Parcel Number 1.3 Zoning Information: —7-oning 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 ,j0 f 5. Flood Zone Information: 1.7 Water Supply M.G.L.C.�30. 34) 1. Zone Outside Flood Zone P.blic Private 0 Z C'7; /�TTAATI T)T AT1r.Tmar is 1.8 Municipal Sewerage Disposal System: On Site Disposal System ❑ -�.•— ��.... ..�.ii v.. i.i:.ia.�a�.r 1t u it&%Lrj\1 I 2.1 Owner ecord�77Ny 6774/15e7 jAf-I_A 'j � /7` T�X,1-- ��- %� �� S 7✓ N� �N r/' �f/T Name{Pri ) Address for Set -vice A� q7� 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: _ 6 %?�`✓e/z�e� ,vl/rid/ Telephone 3.2 Registered Home Improvement Contractor Company Name Address Not Applicable ❑ LicensFNumber ') /j7/aya Expiration Date Not Applicable ❑ Registration Number Expiration Date CF.rTION 4 - WORKERS COMPENSATION (nG.L C 152 6 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 .......0 No ....... 0 SECTION 5 Description of Proposed Work(check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to beO Completed b permit a licant P C11AL USS NL° kts�f kat r 1. Building / S 0 (a) Building Permit Fee Multiplier to 2 Electrical f S0 t1 (b) Estimated Total Cost of Construction / Q O� O oQ 0- 3 Plumbing Building Permit fee (a) x (b) 1 4 Mechanical HVAC 5 Fire Protection rs v -u 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 .?'. , as Owner/Authorized Agent of subject property Hereauthorize /= C,fJ Z- k6 2 15 S-,' - i�4VI"-/�-�r1 ei'c to act on MytSeltalt; it t ers a 'vet oak authorize�blis building permit application. S' afore 5 Date SE 7 ER/AUTHORIZED AGENT ECLARATION I; ,as Owner/Authorized Agent of subject ,pr�1 Her c are that the statements and information on the foregoing application are the and accurate, to the best of my knowledge and belief Print Name signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i4 ) t - FARM l7 LST RELEASE FARM 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 T S SECTION*********************** APPLICANT 4I— PHONE 7,2 otR7% LOCATION: Assessor's Map Number % PARCEL SUBDIVISION LOT (S) STREET /,—I fl- ST. NUMBER Z `" Z3 USE ONLY*********************************** RECOM E-NDATIONS OF TOWN -AGENTS: CONSERVA COMMENTS ADMINISTRATOR DATE APPROVED DATE REJECTED At r TOWN NER DATE APPROVED DATE REJECTED COMM RECEIVED BY BUILDING INSPECTOR —DATE— Revised ATE Revised 9\97 Im FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS g—Z3 D/ -X/ DRIVEWAY PERMIT FIRE DEPARTMENT I RECEIVED BY BUILDING INSPECTOR —DATE— Revised ATE Revised 9\97 Im 724 --l-w V APPLICATION FOI�SEWER SERVICE CONNECTION? ZOC� North Andover, Mass. t 9 Application by the undersigned is hereby made to connect with the town sewer main in� Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No, or subdivision lot no. Z� Z Owner Contractor -Z3 Street 77 Z49> --3 72- - Z2 7 15aI 51 Opil l /a(,t)L/.-1 Address Address Applicant's Signature PERMIT TO CONNECT WITH SEWER MAI The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date i Xf- Z( tea Street ::� Di ision of Public Works By G(� See back for rules and regulations r a a1102 >✓0 I U APPLICATION FOTATER SERVICE CONNECTIOf<; North Andover, Mass. ii Application by the undersigned is hereby made to connect with the town water main in Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. l Street or subdivision lot no. Z �/ z� �b — %�-� �2*10/ 2 1 6 Owner Address z-7 Contractor Th to Sul InsP Date 71')`J/' DPW 404 o ,SSA�r,v5E , _� 1 Date .... TOWN OF NORTH ANDOVER RE= E� F/Af04 that ..........er1,L This certifies has paid ......� ( c for � .G� ...11. `?_.�................... . Received by ....................... .... ... 1: Department ......................... . WHITE, Applicant CANARYDepartment PINK. Treasurer ...,.10UVns Street Bard of Public Works 7 t J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 DRIVEWAY PERMIT�i Telephone (978) 685-0950 Fax (978) 6889573 DATE 2D LOCATION 2. — Z BUILOER phone OWNER A&I-4 phone 37 THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR. APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT ************************************************************************ This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. /Z, e /9 /, erC.-V*1—r C'e Permit Applicant Property address Map Parcel %k?7)- X27 Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further 1 understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. t This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one singe-ftmi{y dwelling unit on the parcel. 1_a„ , y This application represents a lot which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. _ PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GR�S FOR REFUSAL BY'TfE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. ti 71 / PLICANTS SIGNA DA TE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION Name: /2, S S e_ r' DC eta Qz R_ f-i� C—G �G L Location: /-7 Z. 15 a Y J S City /�_fp lq-"ejuyefc /�1/1- Phone % 7� = am a homeowner performing all work myself. = I am a sole proprietor and have no one working in any capacity = I am an employer providing workers' compensation for my employees working on this job. Company name: 17 f` /� GG Z_ C Address ( /2 +-"e S i d', Rv City: v G� .'/ /�-j.� Phon7 7 7 Insurance Co. Z-eG 1 ol'i SNS Policv # 9 3',E 7 Comonv name: Address City: Phone # Insurance Co. _ _ Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herby certify uncidains arKypepalties of gor�gry that the information provided above is true and correct. Signature �z i✓C—-LL�_ Date 7 Print name �U �( 2rU�, Phone # Official use only do not write in this area to be completed by city or town official' Building Dept ❑Check if immediate response is required Building Dept p Licensing Board p Selectman's Office Contact person: Phone #: M Health Department F1 Other FORM WORKMAN'S COMPENSATION MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 TITLE: Duplex May st. No. Andover -Ma. CITY: North Andover`. STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 12-25-2000 DATE OF PLANS: 12/23 or 2 Family, Detached Other (Non -Electric Resistance) PROJECT INFORMATION: Lots 1+2 May st. No.andover COMPANY INFORMATION: RFACO L.L.C. 621 Riverside ave Haverhill Ma. 01830 NOTES: Units �OX28 COMPLIANCE: Passes Maximum UA = 283 Your Home = 257 Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 400 30.0 0.0 14 WALLS: Wood Frame, 16" O.C. 1844 13.0 0.0 151 GLAZING: Windows or Doors 136 0.380 52 DOORS 30 0.270 8 DOORS 19 0.290 6 FLOORS: Over Unconditioned Space ------------------------------------------------------------------------------- 560 19.0 0.0 26 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4..4. B, lder/ signer Date Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax. (978) 688-9542 �7 ��Y'O� DEBRIS DISPOSAL FORM F µaRrH O �s�eo �e'��L �q CO[MCwC K• 1\ SAre SACHUS���� 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 c11, s150a: The debris will be disposed of in /at: Facility location Signature of Applicant ZZ/ 7Ci Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. — ---------- I toy I I. I to III oit" 14"A t 4 .. ........ N V ,p I . . . . . . I. . . too. I I to to REGULATIONS BOARD OF BUILDING REG CT16N SUPERVISOR 4' icense: CONSTRU oX L V1, 029340 t ii Number%Cq ,s f Birthdate 1 960 02127 002 Tr. no: 114186 14P res., ."A Restricted To: ---00,` RUSSELL F AHEWi" 621 RIVERSIDE AVE--�--: ow�- Administrator13, HAVERHILL, MA 011630 Tin I It 11, V • I 101j's 1115it." .. ...... ... 'fit to It, Y I�S r V to to ft". I f.1 it 1-1 ilt to I I I I ye' "t v� H o U Z 0 o � a Z O CA �C C/)Cis c OLL aj t � C (1) a N c ! •z Q vjLL C m= rD v c y a u O1 "♦ c «. _ �• k• N DIm O u - 0 •� cs Ln C a ti 1 �. o u c cr D — >� .02 D > u rn E a, ai O Q = 0w o- c m 0- c m U o_c VV W O cC r C� M •y &- c c .. c W E a .5 0 o f U n.� Nt taa. ° DW �wO MC 11 OL, I Z O aj u L IM o O a ui z > � O z x w o a O v \ w° e L N O cgi C4 o U z Q W C o '7 w 7 P0 , C U ro r a.. C4 0 w a o a D70 �° ro x Cd o W U W W :jro cn w x o N a z d C7 z w0'w' ro z W w Q W GG w C V o z 8 cn v D o V) z 0 W w P-4 loo 01, CD O CD cc 0 O Z � Q. O y � C I CD cm y p 'C CD — 2 O O •E CO m CD 0 CD CL CD �• 3 .a o O coL �C O d y O c � c ca C Z CD L) CA O C d LLJ _0 U) Lij VJ Cc LU W pORTy Cw CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 16 -OA Date o? -1\5` c) o 60-- THIS CERTIFIES THAT THE BUILDING LOCATED ON r->? I MAY A Y S MAY BE OCCUPIED AS D IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 5 Poo ti,,S j p d a 8 A t k S CERTIFICATE ISSUED TO .;27�r a kh T� 02/ Building Inspector h rA M RS Com\ ui am _ o c o ° m c c V 19Wee c N O as v o q VC. -Imu � c C-� C. c a U a i:. � w � cn w � a°G rA cn cn ui am L911, Is • O a� CD Z y C � CD c CO) 0 'O C L0 c 'E mCD 0 CD m L- ~� moa CL CM<ca S � 'EL' C CD C 03 CL C..3 h c C C C cc COD 04, a U) U) w W W U) c �- m c c V c N O C Cc O VC. c C-� C. c O to m c y gym. E a :—woo: C c E � ,o m 0 O 'r V pfai m E cm .icec m� ; 3 ypCWWS m� CIO O O Amo y m Q m ; = Z O O> Of p c O.�Z m C.3 H C zoo O W c ..c�o a _ O : h m c m mt„30 c N W0 4: Aw 45 .y A w I.- =N O.Z C C+rm .E z O V cjcvcm h o' o'm O� _ .0 go ` y O F- .c 0 C..t.. m L911, Is • O a� CD Z y C � CD c CO) 0 'O C L0 c 'E mCD 0 CD m L- ~� moa CL CM<ca S � 'EL' C CD C 03 CL C..3 h c C C C cc COD 04, a U) U) w W W U) Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 tAORT;l JV � dd O L -p_ c«w�cH�wKw 1• OO9 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS SI LOT NUMBER ayfas DATE REQUEST FILED U DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TRvjE FRAME. A RE-INSP ION FEE ,0FY-FIVE ($25.) DOLLARS WILL BE CHARGED IF UCT* NST MEET ALL APPLICABLE CODES. SIGNA' ROUTING CONSERVATION f %�'� DATE 3 PLANNING DATE 3;-:-12 Z D.P.W. - WJ R METER 10 DATE / D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION 7�ST DATE. n _ .TION OT NOw TH 1y Fw e Town of •`�=,;�w�;c'°. NORTH ANDOVER C BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: �Q/Loy D14e::&W I DATE:—7—//" UNIT NO.: FLOOR: WING: BUILDING N0./ AA REMARKS: Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: ( " �� Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector `ire Dept - jil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: —Cof 0# Inspector Inspector Inspector ff Hcuun Pew, 685-7000 Location `� I No. _D IQ M A 4 & f-- Date //-s- U NORTH TOWN OF NORTH ANDOVER ' 0 Certificate of Occupancy $ ��s'•••"'tt�' Building/Frame Permit Fee $ 0 s,qa,us Foundation Permit Fee $ Other Permit Fee $ TOTAL $ S Check # L, P If 15135 ��t!Ck, ding Inspector FQUA DA T/QN 10'.0 T PLAN LOCATED IN. z✓Oe7y.9ti ��a. SCALA':DA TE, TE:✓a s �vai .e= Boo. od' i n U CNv. DEED 8K.-_X5'47'PG. PLAN NO.'F179 t /0 78d. . BK. PG, INV. NO. �i-57 - 6X/srfva FoyWipA>Ip,V. 1!-%9 }-' 7 I �a 1 �M e i PN sA ruo Ta'y-"IV-- r,V A•vo.e,rR �3'v co..1a 1%s.�yAery�.vr I h r�b� csrtf/y tiboi / hcwr Rxarnlrr�d lh�e prarmlasa and that the fopndaMon is tecoted on the graund as shown and fho/ JI does 6y --laws 0007 contructod. ( j conlarm M the zanhrQ I also certlly that fhla property is (•vas-� tardalwd In th• flood haso+d area NOTE. Th/s cwflflmd*n k bond on char survey marks of ahem Pmpsry 1Jnss shown from exfstmg Plans of movrd. Je NoRTHSTAR eoo"r LAND SURVEYSERVICES "THE TANNrRY"—SutTE 13 P-0- &Ox 13 t -- NEWGURYPORT1b A 01-950 TEL -(978) 465--2940 FAN x(978) 465-1017 EMAIL r NORrHsrARO i 9so*Aot.coM .PROPOSED BUILDING LOCA TION PLAN LOCATED /N: OWNER: �Y.eA�t�t/O ��9GTY Tl�rT SCALE: / DATE: �vcvsr 2D, zao� N DEED BK. 25-4 7 PG. 72 PLAN NO. 9/79 BK. PG. INV. NO. /¢7A �SsE.ssd.es .E'�.�E�e.E.vc� MAP -*/7 - Lo rs -4`z4 -z� ICc 800.00 / L=50.00 _ /e= / 200.Oo G- 13 -9, S i i Z.0 7-S 471 2//690S,� ti ti t 20' \ PRoi�tSe D °° 2o' �. %✓000 F,2y,yED DvoLE1( i � I � I /84. 00 /3�/,g S� STieCEr NOTE: _Property 'lines shown hereon are compiled from existing plan:u of recond and deed information. J� NORTHSTAR LAND SURVEY SERVICES THE TANNERY"—SUITE 13 P. 0. BOX 1.3 1 — NEWBURYPORT, MA (01950 TEL : (978) 465-2940 FA -x:(978,) 465-1017 EMAIL : NORTHSTAR01 950CAOL.COM I IN ca a 000 1 I 1 1 � � I 1 1 � 1 I I I � \ , I 1 1 1 � 1 I © I 1 I' 1 1 , 1 1 1 I 1 , 1 1 � , 1 1 I 1 T I � 1 1 1 ,1 " M 1 1 1 1 1 1 4 1 1 I 1 1 I I I � I I I � I I 1 cp 1 1 I o I I •o a� E I 1 1 1 In. c ' 1 I 1 I 1 1 1 1 1 1 1 , I ------------- ------------ I ID m i r 1 _ AnAn V V/ i • NV 6R� U0I� OX17 ii Ln � i � O i i..L.i n � I L LL c as Sl >~ 0 CL V Co CO n SL i Vcz Xcv O u Q OCD -O a-�r IL C-4 E O x �CL . 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IDN r- too( ZC 1 .... �LLY1J1 \. �. 9 1 N 1 r o r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING = r t a �sH �tss ysr x� s a Y �40 BUILDING PERMIT NUMBER: �O DATE ISSUED: _AUC i SIGNATURE: Building Commissioner for of Buildin s Date LST /YTiA1T -vlaL Jl\1'Vl�l\1L111V1\ 1 1.1 Property Address: ,I L � t-20-� Sim 1.2 Assessors Map and Parcel Number: 7 a4 CL Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: `q I FfV-7;-lam ,o t>✓ e lkf;-U a/(16 Zoning District Proposed Use Lot Areas Frontage ft �1.6 BUILDING SETBACKS ft _ Front Yard Side Yard _ Rear Yard R uiredt54) ovide Required Provided Re red ' Provided U�t -30 df 1.7 Water Supply M.G.L.1.5. Flood Zone Infommatioa: 1.8 Sewerage Disposal System: SPublic Private El Zone Outside Flood Zone � Municipal � On Site Disposal System ❑ ECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED A.GFNT 2.1 Owner ecord k7-7Ny fZ4h Se , r3A.,ZA— _ 2AJ-1 re�/7` Tizt1,�j ��` ,�� ��" ST" Name (Pri ) Address for Service 2.2 Owner of Record: Name Print Address for Service: SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: ) Not Applicable ❑ Licensed Construction Supervisor: � 3 6 9 1 1112-4 1_V e1z ,'-/e ! w/ ,`/ License Number 7d-��7,� Telephone 3.2 Registered Home Improvement Company Name 0/j7�o2rroa Expiration Date Not Applicable ❑ I Registration Number Address Expiration Date 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. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ 1 Repair(s) ❑ Aherations(s) ❑ Addition ❑ Accessory Bldg. ❑ 1 Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: I SFCTInN 6 - FSTTMATF.-n CnNSTRITCTION CnSTS I Item Estimated Cost (Dollar) to be Completed by permit a licant 4.OFF`ICIAL;US1~'UNLY r p 1. Building (a) Building Permit Fee Multiplier OP I -Xe n ur rf 2 Electrical (b) Estimated Total Cost of Construction (%OQQ�r 3 Plumbing - Building Permit fee (a) x (b) ��, /R 906 — T vti;4- / 4 Mechanical HVAC o o 5 Fire Protection a v 6 Total 1+2+3+4+5 CV -0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT nqr� I %Z✓+ MS' 2 ,9 !� �L ,.-r, as Owner/Authorized Agent of subject property Herel? authorize %� C/ 2 u S sP���" /9�jetiv '-/ t to act'on My ehalf, iy�rf et ork authorized by is building permit application. Si ature o f 1 _&w Date and belief Print Name of Owner/Authorized Agent of subject that the statements and information on the foregoing application are true and accurate, to the best of my knowledge Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND3 SPAN DUVMNSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 0 z F x 4.4 A a OuW m v Al w '>"- ,ro aziro chi o 9 U z z A G p u. p rw v L U G w W ow a p n: ro G w 94 o w aa U w w 7 p r� c� ro C w x p U w O r� ro G ii z w w A W w 7 as z u cn Q p cn uml am o CD c o E c +- �:oc �.' C3 v a c CD E . o V:Ec CDcoo o V [ mm C, � y Qf Q ; C y C_ \32 V : H C ` y O C o Em 'tl acs Cl) CD 45 cc Bc y :dC� m mom C� a .� Z o . L CD CLC C H Z o Q�p N H y � co,, m � W C +.�Z �. M CL c o W E v.0vy o C.3 `D �mec LO a 8 aim S I O O co 0 Z �—i W co .E coL coCL c 0 CD 0 _m IL W O 0 R .CL CO) c O V CO) G 0 U) LLJ Cn Ir w Irw U) FORM U - LOT RELEASE F•RM 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/br landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THtS SECTION*********************** SSerl ��.��, APPLICANT_ �F4 Ga & L --C PHONE 2 7F 3 LOCATION: Assessor's Map Number Z 7 PARCEL S SUBDIVISION C� LOT (S) . STREET ST. NUMBER 2( ZJ *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF YOWNAGENTS: �0 ffgz ; i COMME TOWN COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMME DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT y ZZ, I RECEIVED BY BUILDING INSPECTO Revised 9\97 jm TE 8- 2 3 -o/ 1724 APPLICATION FOI�SEWER SERVICE CONNECTION 7 zoo � North Andover, Mass. Application by the undersigned is hereby made to connect with the town sewer main in A1-4 Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. or subdivision lot no. 2e 0-5 -01', Akell� Owner Contractor —Z-3 Street '7?:�> - 37Z- ZZ ? 0,41` Address Address kApplicant's Signature PERMIT TO CONNECT WITH SEWER MAI The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date e Street :�; Di ision of Public Works Y See back for rules and regulations P J �r"'c�?✓L1 i 00 APPLICATION FOTATER SERVICE CONNECTIOP:57" North Andover, Mass. 14 u 19� Application by the undersigned is hereby made to connect with the town water main in Street, subject to the rules and regulations of the Division of Public Works. ./A The premises are known as No. ll C C Street or subdivision lot no. 0n" z 70/ -IkL-64 A�/ Oki Owner Address Contractor - to su i Ins�, i Datd r DPW 404 Signature ! - TOWN OF NORTH ANDOVER RECEIPT at.......,..........P... .... ....�ier. lL This certifies th has paid ........-/ ........ t � for ....�s"•a9�i��...... .�............ti... `'"' . ...................... Received by L .... r R c_ V .. ........ ......... Department .................. WHITE: Applicant CANARY: Department PINK: Treasurer _..... gulauuns Street 139ard of Public Works 7 J- , '-ee ' e, J.WILLIAM HMURCIAK, P.E. DIRECTOR Q TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (978) 685-0950 Fax (978) 6889573 I DRIVEWAY PERMIT 2� DATE 2ff® LOCATION `� 2-3 "( BUILDER phone OWNER] /`tphone THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENTS OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. AFir t CAN l �S u SIGIVA-rup-e GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. /-?— C& /- L C_ 2,s reg/ i-!jy4.-rv-1{5*z /'?t� 7 hY Permit Applicant Property address Map f Parcel Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. t/ This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one singe * dwelling unit on the parcels, rA y This application represents a lot which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT ISG S FOR REFUSAL BY THE UII.DING DEPARTMENT TO ISSUE A BUILDING PERMPr. >//-/� PLICANTS SIGNA DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION Name: jL Location: ! l 7 1 S yS City _ /W efc /'I✓i- Phone u am a homeowner performing all work myself. F -1I am a sole proprietor and have no one working in any capacity FT71/I am an employer providing workers' compensation for my employees working on this job. Company name:_Z- G Address 6 -� S 646 tV City: �9v � �� /'�i� Phone#: 3'7J D a- 7 I Insurance Co. Z2G i o�.�5 Policy # 87 Company name: Address City: Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify undaP Tains an5jMalties ofWrJ y that the information provided above is due and correct Print name_ ` �U �e Cr �A Phone #� Official use only do not write in this area to be completed by city or town official' F� Building Dept ❑Check if immediate response is required Building Dept p Licensing Board E] Selectman's Office Contact person: Phone #: 0 Health Department 0 Other FORM WORKMAN'S COMPENSATION MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 TITLE: Duplex May st. No. Andover,Ma. CITY: North Andover`. STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 12-25-2000 DATE OF PLANS: 12/23 or 2 Family, Detached Other (Non -Electric Resistance) PROJECT INFORMATION: Lots 1+2 May st. No.andover COMPANY INFORMATION: RFACO.L.L.C. 621 Riverside ave Haverhill Ma. 01830 NOTES: Units �OX28 COMPLIANCE: Passes Maximum UA = 283 Your Home = 257 Permit # Checked by/Date The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4..4. B ilder/ signer Date Area or Cavity Cont. Glazing/Door ----------------------------------------------------------------------------- Perimeter R -Value R -Value U -Value UA CEILINGS 400. 30.0. 0.0 14 WALLS: Wood Frame, 16"'O.C. 1844 13.0 0.0 151 GLAZING: Windows or Doors 136 0.380 52 DOORS 30 0.270 8 DOORS 19 0.290 6 FLOORS: Over Unconditioned Space ----------------------------------------------------------------------------- 560 19.0 0.0 26 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4..4. B ilder/ signer Date Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax_ (978) 688-9542 DEBRIS DISPOSAL FORM ¢ NORTH O J-0-1 0 16 yb 0To �D �� �•^ , ��Q CO[wltwf K• y1 �q_DR1TlD APa`.�5 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, sl 50'a. The debris will be disposed of in /at: Sem �G� C� 1*.. 9 All/le Ce� ; , .� .57e4'iy /c e ,� ! e V),I_ e--,) M� Facility location Signature /of Applicant 7// 7 C/ Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. LI'.,, i'+1/' ; .l' ' !'•t 9M1,, lel ,`I ,rt•^ � �. �,,,'�. � 1 r ; 111 t Ilk 1`r 1 'i,1 �.. ' ''1'41111'1, 1�1' '1 3•.f, ''1, '?�,n 11 Y 1 Ir '}� .I. 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Birthdate 0287 960 `1 Ires�6 1 7/2002 Tr. no: 14186 } p t ` �'; 1 • •: , ,,, ` Restricted To 00, RUSSELLF AHERN ' y '1 IVERSIDEAVE i �• 621 R r 01830 Administrator ; 11 HAVERHILL 1 1 ; ,•1 1'•1 {✓{ .'4 ' ' I,''1 d'i',+I {, fl"� 11'1, !'1 ' (, ' :1 4ri7 i1''�{�f$441111, 1 I• •.;,,, 1;'r..' i�,;1;1�1'I;r��'i'1"'� ., f,. 1;'QY ..i' �' i 1' �1'('ll .i,r, ✓1'1�'1i11' •11' 1'i'�'11t''�i,I'1'.,1 ','• ,11, .'I,, 1j ', .1, ,S .'', 'tl ow .Irt;'+Ili irYr I', '1 ri i�'• •''. it ,'fill 1111 ''' '•�' �''!' .1,1 11 .,• , i ,111;; 1111}'.r�/i It'1 ,1•. ''11�i!'111 ,"�. '.1'•' ' ' '1' 'ly1 1,111 •�{I I I',1 1 , lV 1 1 '111' fi f , '' '`. .i'1;: ''1'1'1 I♦I�j ,11j�,�1 , t,' :' tl ,lil I ( ' 't hl,. .. l 1. ' .'{ '1- , '.. 1,. 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' ! 1t 1. 1 . r 1 r�; S 1''41 .11 yl'1 ,11i 1 ;l1'' , 11 •, 111' �,,,,, I , i 1„ ,i' f,II' 1r•i S}f��• i''' t t 1. , i li,''', �.ii;11, 1,�A1,�'1,,1�1• I , I Town of North Andover a� tkORT q Building Department»°•alp 27 Charles Street 0 North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 y ca«c«cwK« �•YS [ TED ��S-��� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS OT NUM. a yfia DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL; BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION111,4,I)AIW-rDATE% I Z PLANNING DATE WATER METE DATE �-- D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED 6:5� P TO THE INSPECTION REQUEST DATE. / SIGNATURE/ DPW A HORIZATIO� Location ::>�3� No. /.50 6 Date j/—.S--OS 40*T#j TOWN OF NORTH ANDOVER o` Certificate of Occupancy $ sUs '••�°'� Building/Frame Permit Fee $ Jy 4CM Foundation Permit Fee $ t Other Permit Fee $ TOTAL $ Check # ( Cr YY 15'136 10,4 (6,- Building Inspector FOUNDA TION PLOT PLAN LOWED /M.- 0 WIVEI?,- M.0WIVEI?, s ..V -,g g - SCALE: ' DATE':' ,�✓ogod/ F2P 4'17 Ieo( rZ s- FNO. DEED BK. X5 47 ` PG.. M PLAN N0._ a/ 79 t /0 V4 BK. PG. INV. NO. -1-o7 M' 5' r-) A +3 (Ssv�f c,Q - -o "-�A-v V -0i D 8 �xisr•�.vU, Feiurow>,�p, y � 4 I c `► To: "W4--' Ton%v O,� .c .e7;st A✓oov�rR l vicoi vG 1%3it9erhE.c/r' t herebyetsrlffy that ( have examlrred th�r pnnuies and that the fomdaflon to laa*W an the ground as shown, and that 11 does ( ) conform fo the sardng b}�-laws when contrnhrdt also Wfhfy that thk propsfty If (,vO7-) looatod in the flood hazard arra, NOTA This COFMICadan is booed an the survey marts Of OthoM properly tines shown from oxraNing plans of reraard 0J, NORTHSTAR LAND SURVEY SERVICES "THr TANAiERY"—Suir£ 13 P.O. Bax 13I--NEweuRYPORT. MA 01,9so rm..-(.97a) 465--2940 FAX :(978) 465-1017 EMAIL r NoarHs?'ARO i 95Od AOL.COA4 Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.:�i�al_PROJECT: �C�P/y%�`!!� Il19dla DATE: ��'� i UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: --5- evo ,-S-Ag A-7 Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: I'" -')' _ (9 ( Date: Date: Date: inspector.__AA M Inspector Inspector. Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector. Inspector moire Dept - il burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector orm #995 Action Press, 585-7000 µ0R7p 1sScHusEs CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number /�6-D IR Date `a�-dooms THIS CERTIFIES THAT THE BUILDING LOCATED ON �D7� # a3 17),A V S MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 5- Roo rm 5/ c) Ya 13-A 7 ), 5 CERTIFICATE ISSUED TO Zy Pa M / -0/ /' e d % K US Building Inspector h 9 /� w ui am J. t, : •— o CD c �:r; c ��CA O N 3 CD 0 �. a� i4m= 44: :moo J x0 Qm -- N E � c� Lw u 1C m c L v a -y E m CD Aj C m mCO) N o CD N a E O CD C 0 CM to O N 0. CZ � W O L-+ C] C3y O C ev g Z c I-0. _ Q c` m 3 p = m m�, N CO r0„ A m t r.+ •La O.Z O C Z LLA •m '� •CMcm dCLd— g z 0 W W 0 U) U) CC W w U) rj a , a v � A � CQ � � ► W CA 04 co b x G' w � r/. L w v z w c� � m cn cn ui am J. t, : •— o CD c �:r; c ��CA O N 3 CD 0 �. a� i4m= 44: :moo J x0 Qm -- N E � c� Lw u 1C m c L v a -y E m CD Aj C m mCO) N o CD N a E O CD C 0 CM to O N 0. CZ � W O L-+ C] C3y O C ev g Z c I-0. _ Q c` m 3 p = m m�, N CO r0„ A m t r.+ •La O.Z O C Z LLA •m '� •CMcm dCLd— g z 0 W W 0 U) U) CC W w U) .PROPOSED BUILDING LOCA TION PLAN LOCATED IN: �aeT.y �.�a->�E•�, �til.9 OWNER: /et ,9G T - T 4,s r SCALE. / DA TE: 20ol N DEED BK. 2-5-47 PG. 72 PLAN NO. 9/72 BK. PG. INV. NO. /¢7A MAP */7 - Lo rs J` '4 #2� ZO.111115 /S7-,e1C7- ,e c 800, 00 � I MI i �07-s 47' z/, 6 90 S, A, =0,498,9'f, -201 �2oF{�SED WOaO G,2q.NED DUOLE'}( i I � I l I i ET - NOTE. Property lines shown hereon ane compiled from existing plans of record and deed Information. NoRTHSTAR LAND SURVEYSERVICES THE TANNERY"— SUITE 13 P.O. BOX 1 3 1 — NEWBURYPORT, MA 101 950 TEL : (978) 465-2940 FA -x:(978,) 465-1017 EMAIL : NORTHSTAR01 950*AOL.COM 0