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North Andover Board of Assessors Public Access
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North Andover Board of Assessors
roperty Record Card
Parcel ID :210/047.0-0003-0000.0 FY:2013 Community: North Andover
SKETCH PHOTO
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O'ANDOVERSTREET
Location: 210 ANDOVER STREET
Owner Name: SARACUSA, MICHELLE
Owner Address: 210 ANDOVER STREET
City: NORTH ANDOVER State: MA Zip: 01845
Neighborhood: 5 - 5 Land Area: 0.44 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 1282 s ft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 306,100 290,300
Building Value: 130,200 107,400
Land Value: 175,900 182,900
Market Land Value: 175,900
Chapter Land Value:
http://csc-ma.us/PROPAPP/display.do?linkld=2253331 &town=NandoverPubAcc 3/26/2013
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.44
Date .....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ........op /VAf p ............ .........................
has permission to perform .......... 0 � �4::: W �' // / e,- :, � (� �' 4 i �r
-e
........................... .................... ---*';'�
wiring in the building ofm.' .......... .............................
at ............. ....... ...... . North Andover, Mass.
-S- a. . V, V? A
Fee ..... Lic. NoA?� ................. .
.-. ELiffcrRicAL INSPECTOR
Check # 7
6F,64
M
Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. 6 0'6�f
Occupancy and Fee Checked
[Rev. 9/051 (leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEASE PRINT IN INK ORTY E A L INFORMATION) Date: F- /S -D
City or Town of: i?I wpm /' To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) C:;)/ 1)
Owner or Tenant /97 lc -%e,
Owner's Address 5,q? ! e
Telephone No. Wc)- ;76
Is this permit in conjunction with a building permit? Yes ❑ No 0?0" (Check Appropriate Box)
Purpose of Building S/ e) �e A L & e-11, Utility Authorization No. -9P.:345
Existing Service Amps 2 0/ olts Overhead Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity /
Location and Nature of Proposed Electrical Work: �evlee
Completion of the followine table may he waived by the Inspector of Wires
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of' Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above [j In-
rnd. rnd. ❑
o. o mergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o. of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers
Heat Pum
Totals
N umber.
"'
Tons
KW
o. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municippi ❑ Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:
No. of Devices or Equivalent
No. of Water KW
Heaters
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Euival ent
No. Hydromassage Bathtubs
No. of Motors Total HP
a ecommun�cai
No. of valent
'ices orr Equi
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: '12-11-110 (When required by municipal policy.)
Work to Start: k/g -0 6 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
I certify, under the ams and penalties of perjury, that the information on thlication is true and complete.
is ap
FIRM NAME: i ►� b.� i L a LIC. NO.: Rlp 2 Z
Licensee: -41- ei, e Ci GG D Signature LIC. NO.: �° p
(If applicable, enter' ex mp-C in the license number line-)/ Bus. Tel. No.: S k'
Address: //S 9Z4,A-V n �-i� 11- A 'e" Alt. Tel. No.:
*Security System Contractor License required for this work; if applicable, enter the license number here:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, 1 hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a ent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
5-E< L/ 0lz �rZ 3 -o � 12fl
R
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--A
Location D
No. 74 U Date G'a
NORTIy TOWN OF NORTH ANDOVER
F41
9
Certificate of Occupancy $
Building/Frame Permit Fee $
AGMUS
Foundation Permit Fee $
t
Other Permit Fee $
TOTAL $
Check #
17411
'—Building Inspector
TOWN OF NOR'T'H ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER:; 7 16 t9DATE ISSUED: a
SIGNATURE:
Building Commissioner,11Egector of Buildings Date
SECTION 1- SITE INFORMATION
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information:
2 — /
1.4 Property Dimensions:
/
eJ: P,v :4-/ �r°Ji`�JP,✓Ti/�/
P�lern��
%%�� �9 7__ ley
Zonis District Proposed Use
—'
Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard
Side Yard
Rear Yard
Required Provide
Required Provided
Required Provided
S as' -f-7.
15 L = as R= 30
30 1 /G
1.7 Water Supply M.GL.C.40. 54)
Zone
1.5. Flood Zone Information:
Outside Flood Zone X
1.8 Sewerage Disposal System:
Municipal On Site Disposal System ❑
Public Private ❑
SECTION 2 - PROPERTY OWNERSEIIP/AUTHORIZED AGENT `,iS1.U1`1C 1SttICt: YES NO r/
-,�.1 Owner of Record
4
A /1/x'0 7L iyi�(®ir /ARi+/ q i✓4dye,-, BS/ - jOA.ir /1/. R,4ove- /2y,5
-.Mame (Print) Address for Service rf O /,F*,s
T%Rs+i /1/6d f /h qd" 1-1-e14,V
Signature/' T106phone
2.2 Owner of Record:
Name Print Address for Service:
O
gnature
ECTION 3 - CONSTRUCTION SERVICES
1 Licensed Construction Supervisor:
Licensed Construction Supervisor:
Address
Signature
3.2 Rel;isi
Home Improvement Contractor
ICompany Name
Address
Telephone
Not Applicable
License Number
Expiration Date
Not Applicable
Registration Number
Expiration Date
SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 & 2546)
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. fy i9
Signed affidavit Attached Yes .......❑ No ....... P --
SECTION 5 Description of Proposed Work check altapplicable)
New Construction ❑
Existing Building *"
Repair(s) 0
Alterations(s)
_
Addition 0
Accessory Bldg. ❑
Demolition ❑
Other ❑ Specify
Brief Description of Proposed Work:
-;r- Waald 1-iX-ee70 elvch re
C2 SAPwAllr 11"W;4 oiy e.9 J`A e 19-"v e'l .¢
/c4
TrutiT w -2—Xe eti7-'-Avice W.'w 6e� .
�rvc /OS �-r,N7` N ���4C r— P14 i -01
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed b ermit applicant
OF& CIS L tISE ONLY
1. Building
!L
(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 7, 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
I, 77>9'l1J 4/670 O 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
Si athue of Owner/A ent Date -
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TINMERS is 2ND 3kD
SPAN
DIMENSIONS OF SILLS
DINIENSIONS OF POSTS
DIIv1ENSIONS OF GII2DERS
HEIGHT OF FOUNDATION THICKNESS
-
SIZE OF FOOTING X
MATERIAL OF CHAQNEY
1S BUILDING ON SOLID OR FULLED LAND _
IS BUILDING CONNECTED TO NATURAT GAS LINE
FORM - U -LOT RELEASE FORM
INSTRUCTIONS_ This form is used.to verify that allnecessary 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.
�sila■Lilitoaaia-fa'fLlaraaa■aaiiaa-1LLIL!lLLlfili�i'lILLLLLIal.alaf aaaa:aowon ■isa
APPLICANT / /YEN IV 6? 0 PHONEl%� — '%�� — 9
ASSESSORS MAP NUMBER. �,S LOT NUMBER 1 '74 A0,-&-eZ 99
SUBDIVISION LOT NUMBER
STREET , ,VA
( /d.
�aai+'aiaOWN i•■■aa■■aL■.afaaaaSTREET NUMBER
� :a.f.ia SSSS■■aa ■a a 0 6 aaf. a.■a.aaaaaaa■aaiaaaaaii a!■
OMCUL USE ONLY
�aaiiaasaas_iisaaasweaaaaO's aLaaMMRaaaa.aaMaaaiaa■isa■,aaaa.a a a aafa.aaaami aEaaaa-a.a■
RECO ATIONS OF TOWN AGENTS
!fs sit-o■■.aLlo.assso a.SSlafaossaSfsaf afoioflalofo Lao■oaof lff to of as Soso as
DATE APPROVED
CONSERVATION i
TO
DATE REJECTED
COMMENTS
TOWN PLANNER
COMMENTS
FOOD INSPECTOR - I W ALTT-I
SEPTIC INSPECTOR - HEALTH
CONRVIENTS
PUBLIC WORKS - SEWER / WATER CONNECTIONS
DRIVEWAY PERNIIT
FIRE DEPARTMENT
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR
DATE
I
SEP -09-99 08:17 AM E K SURVEY 5086880485
MORTGAGE PLOT PLAN
EK SU R VEY I NC,
MORTGAGOR OW) REF. ,._3'Orz , ,. ,. PG. IV4
ADDRESS OF PRINCIPLE BUILDING PLAN REF. 4C/A E /Z dr
Zro AMQb/Z[ Ati(&S-*j _ DATE OF INSPEC-ION —160. de, 9K
D #A 1, ftp IiIdkoi
fgo,00,
A000Va OY,0 4SS
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P.09
NOTE, Thta inwtg0 a !ns{asctlon xas praparodqty 0L I PURTF{ER SATE THAT 1H MY PRaFMONAl.
� 1 y for mortpaga purpo.es pin as a vurAr k Ek tjltVEy and Is not to c T� z� OPWION !h� prLnclplt sirut~lunfs and aacauary
s pb autbUAdtn a.
hO rw0Qru9b1 ty for Ownagqto AUDEI a 0th the eetbodc
r.lk�co by anyone other than the sold mbt-t�o�sa Na 366 4 t ronkt ardinon ' �+trtanla of !�-I tocd .
and 9 csailunorw In conn old 1rtt11 Ise ProRW+d `.` �*,�� �lyISit� { or rn0w h Immeni r that
ray 0mv, l�
►tlof'tQ�a Manclnq to sold mortg44or, s, S�'
CMTVIGATIW Tot °".� «xo FrapMtly Itn.s aaco.pt e..6own, j
011. ProParty fa not In a Flood Hazard Ama.
This csrUflcaU" Ia baaad onthe lacxrllm of w.v.y r+torkkt;ts pz Frop" 1.9.
111 4 f1W4 V14=4 MX4
Of athft'i, fid doa3 not reprnsant a P�'aP�Y t�tiro � tharofora � -1.Itlf4tmaticut is �nsunidon! Ea tietscmin. Flatsd Hpzard
off,3etb sh05m oro not to ba L'"4 for the saiobllshmant of Fio4d Huardsiatotmtned !!N, 1~bdoral Flood
propedy IUua Insurance Rate leap Pandt
Town of North Andover
Building Department
27 Charles Street
North Andover, MA. 01845
D. Robert Nicetta
Building Commissioner
(978) 688-9545
(978) 688-9542 Fax
HOMEOWNER LICENSE EXEMPTION
Please print. /
DA'iE �/ o`� � /off �J Q
.0 oT
JOB LOCATION��D ��%� i�l'/r Y —/�� f'�' �• �4/t/1�vv�r /h9-rf /74
Number Street Address Map / lot
"HOMEOWNER
►,J
Name
PRESENT MAILING ADDRESS
IV Go 77P - 73? - 9;70,'
Home
Work Phone
It
c2/o I -51-A-1 Q o vel- (� y �i4 l�!' /l/i / /U� a tl e.,- , 4
City Town State Zip Code
The current exemption for "homeowners" was extended to include owner -occupied dwellings
of two units or less and to allow such homeowners to engage an individual for hire who does
not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1)
DEFINITION OF HOMEWOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one or two family dwelling, attached or detached structures ac-
cessory to such use and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner.
The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other
Applicable codes, by-laws, rules and regulations,
The undersigned "homeowner" certifies that he/she understands the Town of No. Andover
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFIC
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this 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:
(Location of Facility)
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
We, Young K. Kim and Eun S. Kim a/k/a Eunsook Kim
of North Andover, Essex County, Massachusetts
for consideration paid, and in full consideration of Two Hundred Thirty Five Thousand
($235,000.00) Dollars and no/100
grant to Tran Tich Ngo and Muoi Phuc Hoang
P`�
of 210 Andover By -Pass, North Andover, Massachusetts
with QUITCLAIM COVENANTS,
n parcel of land with buildings thereon in North Andover, Massachusetts, being shown as
Lot 17A n a plan entitled "Plan of Land in North Andover, MA., Drawn for Meadows Realty
Trust, P.O. Box 6700 -Suite 209, North Andover, Mass." dated January 7, 1993, by Merrimack
Engineering Services, Inc., 66 Park Street, Andover, MA 01810, filed with the Essex North
Registry of Deeds as Plan #12182 (the "Plan"), containing 7,786 square feet of land, more or
less, according to the Plan.
Together with a non-exclusive easement for grantee and grantees' successors to cross, under, on
and through Lot A2 in the area designated as "Prop. 25' Wide Utility Easement" on a plan
entitled "Easement Plan of Land in North Andover, MA. Drawn for Meadows Realty Trust"
dated February 9, 1993, filed with the Essex North Registry of Deeds as Plan #12195, for the
sole purpose of installing, maintaining and operating underground utilities servicing Lot 17A.
Access to Lot A2 shall only be at reasonable times and in a reasonable manner and only as
reasonably necessary for the purposes allowed herein. In the event Lot A2 is dug up or
disturbed, the party causing such activity shall restore said land as near as possible to the
condition it was in prior to being dug up or disturbed.
This conveyance is subject to the following:
1. Easements, no -cut zones, conditions, restrictions and notes contained on, or referred to in, the
Plan;
2. Sewer Access and User Agreement by and between Flowage, Inc. and Christopher J.
LeSaffre, Trustee of Meadows Realty Trust, dated December 4, 1992, recorded with the
Essex North Registry of Deeds at Book 3629, Page 125;
K)
3. Master Declaration of Meadowood dated July 14, 1993 and recorded with Essex North
Registry of Deeds at Book 3781, Page 90; and
4. Such other easements, restrictions, reservations and other matters of record that are in force
and applicable.
Being the sante premises conveyed by deed dated October 31, 1997 and recorded at the Essex
North Registry of Deeds in Book 4813, Page 144.
EXECUTED as a sealed instrument this fG k day of �,.�z , 1999.
oung K. Ki
e" 3 L j` /41,„
Eun S. Kim
COMMONWEALTH OF MASSACHUSETTS
ESSEX, ss
�Wl- /� , 1999
Then personally appeared the above named Young K. Kim and Eun S. Kim and
acknowledged the foregoing instrument to be their free act and deed, before me,
Notary Pu is
My Cot nission Expires: /
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