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Miscellaneous - 214 SUTTON HILL ROAD 4/30/2018
0 0 41 w (t\ Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. %L Y 2 0 Occupancy and Fee Checked [Rev. 1/071 (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 OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intenti n to perform the electrical work described below. Location (Street & Number) , Owner or Tenant /be, -i Owner's Address 50,t Is this permit in conjunction with a building permit? Yes Purpose of Building Existing Service , iD Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Telephone No. ZGG 2 No ❑ (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Location and Nature of Proposed Electrical Work:( X722 /1MA/M, 0VTK75 fi L/G h1r5 7b )0p -/,v4 A4,64 Cwt )qpf fns ",a G/ ar— ti/ r.S Completion of the follnwina tnhle mnv ho ivnivod h„ rho tnmortor of Wiroc 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 ❑ In- ❑ rnd. grnd. o. ot Emergency Lighting Units No. of Receptacle Outlets / (� No. of Oil Burners -Battery FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiatin2 Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number Tons W KDetection/Alertin No. of Self-contained Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 44.0 (When required by municipal policy.) Work to Start: T fo 7,00>1 Ins ections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C ,,, VERNGE: 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 pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: Signature LIC. NO.: (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: Address: Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insu nce coverage normally required by law. By my signature below, hereb waive this requirement. I am the (check one) owner ❑owner's agent. Owner/Agent PERMIT FEE: $ ' Signature Telephone No.�p$� ?_ o6 ?i ld-- 0 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t have hired the sub -contractors listed on the attached sheet. # These sub -contractors have workers' comp. insurance. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. .Insurance Company Name: Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone #: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: o _ 0 azar m E w o ayi V O p O L L r N U 3 3 E m '- a 3 z Z•� c 0 Zcn z c3 M W 3 L y 0 (A c y N 7 O N o C v C l0 C U f0 IL i N L W Cl) co 8 LO f0 w 3 w Go tl) CL Q m O 3 v� Q W o ani Z Z o c7 o c X O C O � W L � c V' Q ® C � y N 0 r CL N a N z to as N IL a K WO U o 0 U Q W a WD � W4 I � cn cn I Q 0 c I � CL C y O O O O L •- CO z ¢ o o v co f0 y 3 m O 3 � c o ani Z Z N c7 o _ m o " d 3 L' o c c Y n 7c Q c o m d 8 o v c z z z N p w W U D c c m t - A O� a OD v Y 2 < C, c o 7 p o O c o v Q M Nc N o z N c N 0 _co H Q. a £ c � 0 0 L +V+ � Y w 00 LO N - N W N i i C �1 o Rj X f0 W W LO -- -- - m N Q Z - c a � y O N C N C C N U z V1 _ �k Date ..... qhk� ........ .................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that.. Aj ........................................................................................... has permission to perform ................... wiring in the buildinS of // ....... .................. ........ / . ......... ..................... ..... ........ ... at Xla.12� . ............. . North Andover, Mass. Fee..................... Lic. No./ 71?100� ........................................................... Check # 1�' V� � Euc-rmcAL lwwrm 5451 Commonwealth of Ma, Department of Fire BOARD OF FIRE PREVENTIO1 'tts Official Use Only Permit No. -=� / Occupancy and Fee Checked '7's•� ,TIONS [Rev. 11/991 leave blank APPLICATION FOR PERMIT/170 PERFORM ELECTRICAL WORK All work to be performed in accordance i he Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO ,TION) Date: �S p City or Town of Norkh -&a% To the Irdpect4 of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & .Number) a14 ;Sl}� O11 �� Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No � (Check Appropriate Box) Purpose of Building F -41Z -,i CkP-V-NC1t Utility Authorization No. Existing Service —*?W Amps 1 a, 0 l 94 OVolts Overhead [" Undgrd ❑ No. of Meters 1 New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i irJyClh Completion ofthe following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of l Transformers KVA No. of Lighting Outlets No. of Hot Tubs t Generators KVA No. of Lighting Fixtures Swimming Pool rnd. Above ❑ rnd. El cy ng o Bette Units Battery No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS FO.of Zones No. of Switches No. of Cas Burners o. oDeton an Initiatin Devices No. of Ranges g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste .Disposers Heat Pump Totals: umber Tons KW o. of elf -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local Municipal ❑Other Connection No. of Dryers Heating Appliances KW ec riNo of Devices or Equivalent No. of Water KW o. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Tire—communications No. of Devices or E uivalent OTHER: Attach additional detail if desired, oras 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 cove a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE YBOND ❑ OTHER ❑ (Specify:) Py e�-e r r-eA aD t %U S (Expiration Date) Estimated Value of Electrical Work:(When required by municipal policy.) Work to Start: &aInspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete, FIRM NAME: rvi Licensee: k,,Zvi r\ A2 -'E� rh.e�t Signature (If applicable, enter "exempt" in the license er line.) Address: 9O M 0. C OWNER'S INSURANUE WAIVER: t am aware that the Licensee does required by law. By my signature blow, I hereby waive this requirement. Owner/Agent Signature Telephone No. LIC. NO.:1s5IqA LIC. NO.: Bus. TeL o N .• rla Alt. Tel. No.: - not have the Iiability insurance coverage normally f I am the (check one) ❑ owner ❑ owner's agent. PERMIT FEE. $ .co P Location No. Date AORTN TOWN OF NORTH ANDOVER Certificate of occupancy $ Building/Frame Permit Fee $ C" Foundation Permit Fee $ Other Permit Fee $ TOTAL s Check # 1-3,33 ?j bZilding lnsp�dbr TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: �J� g DATE ISSUED: SIGNATURE: )4r Building Commissioner/i or of Buildings Date SECTION 1- SITE INFORMATION 1. 1 Property Address: 1.2 Assessors Map and Parcel Number o a0 no r / �/ w -e A 14114 o / b -y S Map Number Parcel Number at 1.3 Zoning Information: 1.4 Property Dimensions: Zminr District Proposed Use Ld Area Fronto 8 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided red Provided 1.7 Water Supply M.G1-C.40. 34) 1.3. Flood Zone Zoae CWhddLklood Zane ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal system ❑ public ❑ Private ❑ SECTION 2 - PROPERTY OWNS AUTHORIZED AG > ai 11C. ,18tnct: Ye —P,10 2.1 Owner of Rocord�—� /�✓F S (,,jet U a 4- wr/,, (&I e 6yr%� Q a 0k I Name (Priv Address for Service Signature Telephone 2.2 Owner -of Record: odo/e- j�/lei o��`/ svf�vK /�,`1( WcI)C o� Name Print Address for Service: �i C01,1�16,4 97Sr- Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ j �`ef�oG�c --r4l & G / 3 y Company Name h ] 02 (,UG `PO% Pte`` �• Registration Number (,j (g 44 /1 W OSS'/ Address 7 Expiration Date Signature V Telephone 09 M X z a U L _.a z G) SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) t 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 buildipg permit. Si ed affidavit Attached Yes ....... V No ....... 0 SECTION 5 Descri tion of Proposed Work check ss a ble New Construction 0 Existing Building ❑ . Repair(s) Alterations(s) ❑ Addition ❑ oo f Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: roro© F I CRrTinN 6 - RSTiMATF.i1 rnNCTRiTrTinN rncTQ I Item Estimated Cost (Dollar) to be Completed by permit applicant OMCIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) �J 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 0 6 Check Number J&a.aivi'q is vni11FIaInv anVrLAIMA14 1V nZ I VMrLAJLZL Wi1LPt OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PF.RMiT 1, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters rel tive to ork authorized by this building permit application. �2n r C94 LAI C r Signature of Owner Date SECTION 'lb OWNER/AUTHORIZED AGENT DECLARATION 1, ,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 '`-t< (-9Q( r3A0 fd of Date S --,)-y— C9S NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1b72' 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION TWrTcwvQQ MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r rl Z 404 O 0 O z �51 LU om C4 a o p4.1 a a w a o 79A. ww°' w 1� w w w W cii '� w x C7 a�' iv w a� G m� ZO , cn o cn LU om z 0 w w P-4 fil El U 0 v 2 cm ca O •— ca Q .co fCDm m CD �3 O G O L !D O d � v�Q c/ C/�� ■cc ■� O D C Z0 CL O C-7 y c C C • C c C40) Q 161 Y/ U) 19 W W W U) w o c y CL c m O CD c :Z O ' O � N � Ea m c o m2:.. o c N E� Co c� 00 y rr ts c a «• E ti. m m o„ N � 3 rLA C> O n y c N y O C O 7E0N E = cm V V .■.� C O C Q y N • dCOt _ O m V .y O L V.;Z O o` c a c_ O N m c �C = o m_,. 3 N I- o .-. a'o~CO) m CD � z O •0 I.- ••N d t C = 4..C3 Z m p m = C o� OQ h n oM =Oy'� J O _. f- to z $ CL.- Cc > z 0 w w P-4 fil El U 0 v 2 cm ca O •— ca Q .co fCDm m CD �3 O G O L !D O d � v�Q c/ C/�� ■cc ■� O D C Z0 CL O C-7 y c C C • C c C40) Q 161 Y/ U) 19 W W W U) w 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 S�-O)- y- 0 5 - Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 ' Workers' Compensation Insurance Affidavit Name Please Print M Location: 0 f/- I am a homeowner performing all work myself. 6 01 - 3i -7 F1I 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. Comoanv name: :1W -4P10(,4 TH tet' -7-,41- Address x,41 Address ii,,, '4 `7 City'.__ VV k 69t (mo i cqc C or,,,.,e .1. 4- 7- 0 5--a- S^ Comaagy name: Address Clty: Phone # Insurance Co. Pollcv # Failure to secure coverage as required under section 25A or MGL 152 can lead to the imposition of criminal penalties of,a tine up to $1,500.00 and/or one years' imprisonment -as Ncedl_as_civil.penattiesinthefmnnf-a ST,OP..W.ORK.ORDER..and..a.tine of.($10.0.D1)J-ajday 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 hereby certify un i�r the pains and penalties ofPedury that the information provided above is true and correct. Print D &C. Au -L Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensi Building Dept [-]Check if immediate response is required Licensing Board E] Selectman's Ofce Contact person. Phone #: ❑ Health Department I] Other S Agreement Between 1111 11E INTERLOCK INDUSTRIES, INC. Unit 7, 25 Walpole Park South '0�® Walpole, MA 02081 Registered as a Massachusetts Home Improvement Contractor Registration #139640 Customer Service: 1 -866 -588 -ROOF Name Job Address City/Town OAJ)(/,66/ actory Use Only lit° 14325 Date Phone — ,Z Zip Buyer's Home Address Zip The Buyer is the registered owner of the land and premises described in the job address above (the "Premises") and hereby contracts with Interlock Industries, Inc. (the "Contractor") and authorizes the Contractor to furnish all necessary materials and labor to install, construct and place the improvements according to the following specifications, terms and conditions (the "Specifications") at the Premises. SPECIFICATIONS YES NO ROOFING MATERIAL YES— OWNER WILL Shingle -Color AQC -' Supply adequate electrical power. Location for ShipmentO/ZTi/Ld�ST .4&1. 4&1. T-"'* responsible for all rot damage and other necessary ,�/oE'a,FNOuSE- BEViY4 40(-( #OYSP roof repairs. (ie) Roof decking, fascia boards, etc. 1� Flash Skylights - Number _ _✓_ Roof repair work may undertaken by Interlock at a Flash Vents ITFEJOIA"Aw r,3) cost to be mutually agreed in advance between the �- Underlayment parties. rte` Snow Guards PCs. ROOF REMOVAL Strip existing roof *4 layers: Haul away roof debris and pay refuse fees. Note location for bin S1i�iBD' Start date: ON ALL INTERLOCK MANUFACTURED PRODUCTS. WARRANTY IS SENT DIRECTLY TO BUYER AFTER COMPLETION AND PAYMENT IN FULL. WARRANTY IS TRANSFERABLE. Financing Requested Yesy No Pre -Approved Interest Rate 10.9% to 14.9% Payment not to exceed $ Sales Price Sales Tax Sub -Total Down Payment Total Balance on Completion eG 7)`E72AC-7W v.¢C MAKE ALL CHECKS PAYABLE TO: INTERLOCK INDUSTRIES, INC. not sign this contract if/#here ars any blank spaces. IN WITNESS WHEREOF, the Buyer and Contractor have hereunto signed their names this /fo qday of /10 20_0-!;- p��-�c; Thcontractor and the homeowner hereby mutually agree in advance that in the event that the.contractor has a dispute concerning this Contract, the Contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbi 'on as provided in M L c Signed Per: g r 0 INTERLOCK INDUST54897,INC. Signed Buyer Witness This Agreement is a binding agreement and contract between the parties. This is nota credit transaction and will not be financed by the Contractor. If financing is required, the Buyer hereby authorizes the Contractor to obtain credit information and the Buyer hereby agrees to provide and sign all necessary documents required by any third party financial institution to complete the financing, immediately on request. The Buyer hereby acknowledges receipt of this Agreement. See reverse of Agreement for additional terms and conditions. All surplus material is the property of the Contractor Form CON -MA -0804 m v ;;i CERTIFICATE NUMBER r,; ®; y .. •.)>� 002 )DUCEft '. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON MARSH. CANADA LIMITED 70 UNI VERSI•IY AVENUE, SUITE 800 THE CERTIFICATE -HOLDER OTHER THAN THOSE•PROVIDEDBY THIS POLICY. THIS CER11FICA7E DOES NOT AMEND, EXTEND OR A4TER THE OOVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. TORONTO ON M. 5J 2M.4 COMPANIES AFFORDING COVERAGE )RED ERLOCK INDUSTRIES, INC..- COMPANY LIBERTY MUTUAL INSURANCE COMPAW A COMPS IASSACHUSETTS CORPORATION' T #7. 25 WALPOLE PARK SOUTHCOMPANY 9 C LPOLE, MA 02081 • 'COMPANY . D `. sewi, lMIME rf.�et:�:.: ••4L.L`-:171:i�is'ir... .:f••:. IS TO CERTIFY THAT Tw POLICIES OF NSUFWIC9_ LISTED HEAE7N HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE PERIOD OF INSURANCE INDICATED. NOTWITHSTANDING ANY )IREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTLFICXTE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE :IES LISTED HE 4IN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • TYPENSURANCE POLICY NUMBER POLICYFFFECTIVE DATE(MMIDI) ) POLICY EXPIRATION DATE(MMIDDIM LIMITS GENERAL,LWBIUTY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY CLAIMS MADE _ OCCUR PRODUCTS -COMPIOPAGG f PERSONAL 6 ADV INJURY s' OWNER'S -a CONTRACTOR'S PROT -EACH OCCURRENCE S FIRE DAMAGE (Any one /Ge) S MED EXP (Any one perm). j AUTOMOBLE UABtJTY COMBINED SINGLE LIMIT j ANY AUTO ALL OWNED AUTOS BODILY t JURY_ S SCHREDULED AUTOS VIRED AUTOS BODILY INJURY S NON-0WNFD AUTOS F erYeddrnq PROPERTY DAMAGE j C'ARAGELIABL1TY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT j AGGREGATE f D(CESS LURBR IlY EACH OCCURRENCE j UMBRELLA FQRM AGGREGATE OTHER THAN UMBRELLA FORM S WORIOStS' COMPENSATION AND EMPLOYERS' LIABLE Y '' . - -- - X( WC STATU-oTH 8t TORYUMIM f EDEACH ACCIDENT $ 1,000,000 THEPROPRETM X INCL •WC1-B71-072231-055 PAM�gp�VE 2/1/2005 2/1/2006 ELDLSEASE-POUCYUMIT. $ . 1,000,000 OFFICERSARL-. EXCL . • EL S 4,000,000 OTHER •+ I NN OF UFUAA IxN•IS LVVATJUN5/YF7pGlESISYEG7AL REMS )OF OF WORI�MS' COMPENSATION COVERAGE )M IT MAY CONCERN: MOULD ANY'0F THE POLICIES DFSCREW H EIMN BE CANCaLW eEEOPE THE EXPIRATION DATE • THEREOF. THE CW,it& R AFPoRDQRG COVERAGE WILL emvOLR TO MAIL 3 DAYS 1NWT1EN NOTICE • TO THE CERTIFICATE HOLDER NAMED HUSK BUT FAILURE TO MAIL SUCH NOTICE SHALL ILLPOSE NO oMM71ON OR LIABILITY LIF ANY KIND UPON I•(MAMI(S) AFFORDING COVSWA THEIR AGO= OR R2lTAT1VES. OR THE ISSUER OF THIS TE MARSH CANADA LIMITED MM1 (3/02) VALID AS OF: 2H ✓die-Vaminzaruuecc� o��ivGpQdaciu,�4e�G Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registri+tiOft, 139640 Expiration 7128/2005 I type Supplement Card r INTERLOCK INDUSTRIES INCE j.1 KEITH O'DONOGHUE i= � I; 3 #7-25 WALPOLEPARK $OUT1-l�� WALPOLE, MA 02081 Administrator Date ..... .. ........... '0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 'Nr-� ty This certifies that ...... ........................ ................. '0 has permission to perform ..... .... wiring in the building of . . . . . . . ... . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11�Zf ........ . North Andover, Mass. ........................................................... Fee..,.�v Lic. No. —// ELECTRICAL INSPECTOR Check 5377 Commonwealth of Mas Department of Fire ; BOARD OF FIRE PREVENTION APPLICATION FOR PER All work w be performed in 7FO dance (PLEASE PRINT IN INK OR TYPE ALL City or Town of: Noy -+h -Asci By this application the undersigned gives notice of his c Location (Street & Number) ,,? i4 sur 3chUse6s Official Use Only !tY%C Permit No.77 Occupancy and Fee Checked EG LATIONS [Rev. 11/99] (leave blank T PERFORM ELECTRICAL WORK the assuchusetts Eledrical Code (MEC), 527 CMR 12.00 Date: / g & /G4 v To the Inspeclor of Wires: it! intention to perform the electrical work described below. Owner or Tenant —lea acs \t e Telephone No. Owner's Address AS fl bcrY_p_ Is this permit in conjunction with a building permit? Yes ❑ No [�' (Check Appropriate Box) -� Purpose of Building 11� S tc�2v�Co Utility Authorization No.—/006 3J / Existing Service (0O Amps is O 1,94D Volts Overhead Undgrd ❑ No. of Meters \ New Service apu Amps t aO / 040 Volts Overhead [ Undgrd ❑ No. of Meters l Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: $V jib l / �o y, ao(e 100 A —7 aCO A rmmnlONnn nft/tn fnil"Wino tnhlo mot ho UW7;Wd by tho lnenoNnr of wiroe No. of Recessed Fixtures No. of Cell.-Susp. (Paddle) Fans r o otal Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above o In- d. trod. NO. of 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 an Initiating Devices No. of Ranges No. of Air Cond. To°� No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: umber I Tons I KW No, of Se ontained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KWlocal ❑ Municipal El Other Connection No. of Dryers Heating Appliances KW SecuritySystems: No. of Devices or Equivalent No. o ea KW Heaters o. of BalNo. o Sims Ballasts Data Wiring: No. of Devices or Eanivalent No. Hydromassage Bathtubs No. of Motors Total HP T ecommunicationsr No. of Devices or Equivaglent OTHER: Attach aMdond detail ifdesired or as regtured by the Inspedor of lVea. 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 01 BOND ❑ OTHER ❑ (Specify.) (ExpirAtion, Date) Estimated Value of Electrical Work,&(0• 00 (When required by municipal policy.) Work to Start: t a inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, tinder the pains and penaftla of perjury, that the informatlon on this applieWon is true and complete FIRM NAME: lEnnrrto-k EGec- (n I! vv�cos, . LIC. NO.: 1S'l 1 A _ Licensee: i'1e_yi n V_ Signature �_ �/( pct Y LIC. NO.:1 S 1 (If applicable, enter "exempt" in the, license number lure Bus. Tel. No.• q �U Address: EY 9Q4 O )' LAA Alt. Tel. No.; 4 q z' 9 -it a-.• OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normallyCom, required by law. By my signature below, I hereby waive this requirement. I am the (check one ❑ owner owner's t. 0 Owner/Agent CPERMIT FEE: �- OD Signature Telephone No. �c� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) �O . A M Q �v I �a_ Mass. Date U L 1 %' 19 a� Permit # 3 �� i Building Location Owner's Name �i✓ 6� 1 q f 0+f6 ,lc 14►% -Z RD Type of Occupancy `Rt 3 New Renovation ❑ Replacement R/ Plans Submitted: Yes ❑ No T?1 FIXTURES Inctallino C'mmnanv Name �p�,i Ir jA 2 � a1 �lS�;<W►s ���L Check one: Certificate O, Addre��ssjl �] z'^-' �� �d P -t L+ Corporation C- ` -q* -,J 1(i x}:11 % t O 1 `L 30 ❑ Partnership Business Telephone �- 0q 3 J Z. - '5� cvci, al ❑ Name of Licensed Plumber K 1 cN A t t- /+ INSURANCE COVERAGE: I have a current bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No v if you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy VseOther type of indemnity :1 Bond C OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner i Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in the aFMvr applicatio re true and accurate n the t n my knowledge and that all plumbing work and installations pertormed under the permit issued for this application will he in compliance with a I pene t provisions of t e s ch se s State Plumbing Gude and Chapter 142 of the General Laws. 1 1 / . _ nO By Signature of Licensed N..., Tide Type of License: Masters burn C'ity(fown License Number ,' 1/ 7,3 APPROVED iOFF10E USE ONLY! ME FE "Gom 3rd FLOOR ■■■■■■■■■■■■■■■■■■■■■■■■■ off M."OTem- Inctallino C'mmnanv Name �p�,i Ir jA 2 � a1 �lS�;<W►s ���L Check one: Certificate O, Addre��ssjl �] z'^-' �� �d P -t L+ Corporation C- ` -q* -,J 1(i x}:11 % t O 1 `L 30 ❑ Partnership Business Telephone �- 0q 3 J Z. - '5� cvci, al ❑ Name of Licensed Plumber K 1 cN A t t- /+ INSURANCE COVERAGE: I have a current bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No v if you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy VseOther type of indemnity :1 Bond C OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner i Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in the aFMvr applicatio re true and accurate n the t n my knowledge and that all plumbing work and installations pertormed under the permit issued for this application will he in compliance with a I pene t provisions of t e s ch se s State Plumbing Gude and Chapter 142 of the General Laws. 1 1 / . _ nO By Signature of Licensed N..., Tide Type of License: Masters burn C'ity(fown License Number ,' 1/ 7,3 APPROVED iOFF10E USE ONLY! A W W Yn C6 a u z e m t 00 b 06 O 0 O H 6W O W A Z oc O t1. Z O P Q u a C6 Q C6 a e e t 00 b C6 Date. A�7�77 "I'll' 309 , e !a 0 TOWN OF NORTH ANDOVER AL 0 PERMIT FOR PLUMBING This certifies that has permission to perform P0? &Y" ................. plumbing in the buildings of ... ........ 2 ........... at. North Andover, Mass.2' Feee#v .... Lic. No.. 6. d ............................ /*— � PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 7S MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN13 !� (Print or Type) NORTH ANDOVER Mass. Date kuildin Location U 0 f" 4I�� Permit .. g .�l y s i7 1 I Owners Name ? New 4 Renovation D Replacement Plans Submitted FIXTURcc (Print or Type) Check one: Certificate Installing Company Name X19rI/ /� Q Corp. Address -3y Sl'f[%l/ - - S'j,�'PP i Partner. A41�i. ,�( j�'/,� Firm/Co. N W W N - V a r Cf W LU01 d V m r t F Z N : O w tu t' Q a Z r W d a 0] H W {• W W O© p. W 0. 0 Or yxj t" 4 W N W 4 z (J to z z a W %- W d C ti' us y r W X a t-- 0 x A r z i.. W w ra o? W U. tW-1��. WLL Cr Z' Q Q u> W Cr C W a r 2 h' d Y•0 cc Q m .4 ;. O Q O Z W O O N W = N a z J CS u. G O U rr > Q a r O SU$—BSPdT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TK FLOOR 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name X19rI/ /� Q Corp. Address -3y Sl'f[%l/ - - S'j,�'PP i Partner. A41�i. ,�( j�'/,� Firm/Co. Business Telephone: f�� Yf"/f' ZZ/W Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy M Other t•,/pe: of indemnity 0 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 coverages. Signature of owner/agent of property Owner L1 Agent El I hereby ccrtify that all of the deuils and information 1 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 isseed for this application will -be in cpmpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of tho General Laws, / .. By Title City/Town.- APPROVED ity/Town:APPROVED (OFFICE USE ONLY) TYPE LICENSE: P luirtbet'— Gasfitter- ignature f Licensed Master Plumber or Gasfitter Journeyman 7 % cL 3 License Ilumber T J z 0 W N W U LL IL 0 Ir O LL 3 0 J W m a z h ILL N Q 0 0 0 0 .h _h O S W z a CC O LL z 0 Q Cf J a a Q W W LL mlff-1 � i-, N I} W S U Y - -� --- - '4 _ - .- •.�.. r.-+�..�s�Cs. ,.tom_.. -..... .. ... ., .... 10 Date ......... ............... TOWN OF NORTH ANDOVER VILI PERMIT FOR GAS INSTALLATION This certifies that ............ ................................ has permission for gas installation ............................ in the buildings of ....................... ..... .......... at ........... I ....... Nortp Andover, Mass. Fee.Lic. No.. . ..4'. . .......................... GASINSPECTOR WHITE: Ap�llcant CANARY: uilding Dept. PINK: Treasurer GOLD: File Bay State Gas Company GAS INSTALLATION AUTHORIZATION Date—// -/2-93' Issued to Address //Y /_ Z_ For Installation of: BTU Input Restrictions - — ",/I BSG Representative PERMIT ISSUED -By INSPECTOR This Portion of Authorization To Be Returned to BSG. Inspection Has Been Made of the Following Gas Equipment: 0 Heating System (BTU Input 0 Range 0 Water Heater 0 Clothes Dryer 0 Room Heater Location All Work Has Been Done In Accordance With The Massachusetts State Gas Code And Is Ready For Use. INSPECT NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES L----------------- i BUSINESS REPLY CARD FIRST CLASS PERMIT NO. 721 LAWRENCE, MA POSTAGE WILL BE PAID BY ADDRESSEE BAY STATE GAS COMPANY ATTN: SALES DEPT. 55 Marston Street Lawrence, MA 01840 ,. r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) 9 P6 �I �, QCi l - Permit # �3 Z - ;Mass. Date 19 9 = F Building Location Owner's Name C2, ) 4w �% A / `��-� Type of Occupancy G New ❑ Renovation ❑ Replacement Lit' FIXTURES Plans Submitted: Yes ❑ No Z Installing Company Name aILU ► A Iff�If-,0bjtc !! /'i Address p�Varz 'A61 Business Telephone Name of Licensed Plumber or Gas Fitter L- c Check one: Certificate ®'Corporation ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current I}'ability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes GY No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy I!V 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 have submitted (or entered) in the above 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 provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By iT� yggee of License: lumber ❑ asfitter Title as, Signal a of Licensed Plumber or Gas Fitter ❑ journeyman City/Town Lice se Number APPROVED (OFFICE USE ONLY) ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ r..' ■■■■■■■■■■■■■■■■■■■■■■■■■ 6th FLOOR 7th FLOOR Installing Company Name aILU ► A Iff�If-,0bjtc !! /'i Address p�Varz 'A61 Business Telephone Name of Licensed Plumber or Gas Fitter L- c Check one: Certificate ®'Corporation ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current I}'ability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes GY No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy I!V 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 have submitted (or entered) in the above 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 provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By iT� yggee of License: lumber ❑ asfitter Title as, Signal a of Licensed Plumber or Gas Fitter ❑ journeyman City/Town Lice se Number APPROVED (OFFICE USE ONLY) H z 0 H U W a H Z N W LY U 0 a z 0 W H W u 0 0 J W m W W N W H W H V1 z 0 H W a H z J Q z 66 V (`z W H Q V 0 a 0 I - 6W 0 W Z a C9 0 W z 0 N Q U C6 C6 Q z D 66 m 0 W CL W Q z U z_ J m W 0 z 0 Q U 0 C9 W W y Q V 0 09 W cm C J a 0 z u J •.. r) 2 6 7 3 Date.. 9 '40RT" TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION C* This certifies that . C�X �'n ..... ��r: has permission for gas installation 7k CX'�?.ek- e�u N -At T in the buildings of * t4�-� ..................... at North Andover, Mass. Fee;�� .... . Lic. No.�9.1-.-�-:�5 . ................... ...... C '/C it 742-C, GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 0 W49 C10ww0nw?Z1t4 of ff ss$causeM y' Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No. Occupancy i Fee Qiecked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datp City or Town of I ft p - 7� A 04ye--To the Inspector of Wires) The undersigned. applies for a permit to perform the electrical /work /described below. Location (Street & Number) J�J7 Ju7`17©h Rol - Owner or Tenant ,,� jL Owner's Address �/ S4 7Y -42n #1 Is this permit in conjunction with a building permit: Yes ❑ No LJ (Check Appropriate Box) Purpose of Building ���5/a/c hT/ 2,/ Utility Authorization No. _ Existing Service Amps Volts Overhead ❑Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Tidh J a /I_1". TOTAL No. of lighting Outlets No. of Hot Tubs No. of Transformers KVA No of ltiihtine Fixtures SwimmrnR Pool grnd. U Rrnd. U I Generators KVA No. of Emergency lig ting No of Recentacle Outlets No of nil Burners Battery Units No of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No of Ranaes No. of Air Conditioners Tons Initiating Devices Heat cul otai No. of Sounding Devices No of I)isurisals No of Pumns Tons KW No. of Self Contained Detection/Sounding Devices No of 0i0washers Saace/Area Heating KW Municipal ❑Other local❑• Connection No of Orvr•n Hrauisit Devices KW No ut No. ul low voltage No of Waie•r Heaters K%V Siwn% BJIIJsis Wirmit No Hvilro Massage Tubs I No of Motors Total HP I OTIItR IN%RANI:[ COVERA(J Pursuant to the rcouurmrnts ul .Ntassaehustles Gcneral laws I have .i t um-ni l iabittty imuranec 11nlus me Iuumit l umpu'utt l )Ix•rrirom cuveraite ,r its substantiA equivalent YES I.—, No !: ' have submined valid proot ,it %ame it) ilii► ulhe c NES i ' N() I . It sou have a hm ited NES. please indit ite the type -rl t user,iile• by t htt king the Jppropnate box IN,,URANI [ R, HONG 7 l)TIIERI. I VI••asr <��,,�, tEepuauun Uatt•! ( stnnaiitl Value ut I let Inc at wtpk S Wurk *u `tart inspection ')rte �t•Uut•sim tuuKn ,-,int-ti worr the ,irnatluti ,.t i>,•riun t km •1.kit A&W Electric Inc. Gerald Whalen l/,�j✓l •,t,;rt 771 Wachi ngtnn qt- #61161 r,%1 / �� Bus F i na I(J tT L :IC vl) 15513A '11C 140 27631 All .ori ,I '.Jif .. ,. •f' t • 'J. r. ..l _ i LJ'. r, k **- � TO 44- 1238 - U.'"W . D at e/j. .7... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that..'� ........................................................................................ has permission to perform 4�15� ................ ................. .......... gof wiring in the building of .... .. ........ ... ......... . ............................................. 7�_' ........... ....... ...................... . . . ................................. . North Andover, Mass. Fee/-" ....... Lic. No/1L5../3,h .............................................................. ELECTRICAL INSPECTOR 10/20/97 11:48 15.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Location No. Date 1401tTh TOWN OF NORTH ANDOVER 0. Certificate of Occupancy $ CHU Building/Frame Permit Fee $ Foundation Permit Fee $ 1,)OOP Other Permit Fee $ TOTAL $ Check # 4, 37 6 0/ d�11� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Number: Parcel Number .I�alG �- BUILDING PERMIT NUMBER: DATE ISSUED: V l SIGNATURE: Buildin Commissioner/In ctor bf Buildings Date an%, 111/1'4 1- Ji1G 11`1 r%JKIVIA i IV1N I 1.1 Property Address: 1.2 Assessors Map and Parcel Map Number Number: Parcel Number 2.2 Owner of Record: Name Print Address for Service: 1..3/3 Zoning Information: 1v� Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (sfFFronta 1 2,57 e ft 1.6 BUILDING SETBACKS ft Not Applicable Front Yard Side Yard 3.2 Registered Home Improvement Contractor Rear Yard Required Provide Required -4 Provided Required Provided Address Expiration Date +- 1.7 Water Supply M.G.L.C.40. 54) Public 0 Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System 0 DELA MN l - Yi(UYEx1 Y UW1NEKSkHF/AUTHUKIGED AGENT 2.1 Owner of Record �(\-e Q dove arr� Name (Print) Address for Service a),XQM 6(o -2U02 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address - Signature Telephone Not Applicable License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORXERS COMPENSATION (NLG.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 rmit. Si ned 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. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant z $a.4 UFFICIAL USE N.Y`x„ 5 �4V 1. Building(a) -1006 J Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) 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 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 pen -nit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 nature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlvMERS I s 2 3 7 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS llwIENSIONS 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 ,MOOD STOVE INSTALLA ON CHECKLIST F' -.►)IT 110:. Permit A building permit is required for the installation of any ;olid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and not to the stove construction. Stove _ -..i A. NewUsed ' S. Type/radiant �(� c9 i Circufatin e C. Manufacturer Lab. No. L- y VL. – q Owl Name/ Model No. Guar sizeCott 01mensions/Height 3 Length —Width Width Chimney A. New Existing B. Size (flue area) r1 Xtt� —6 C. Other appliances attached to flue (Number and flue size). norms. 0. Prefab (Manufacturer—name and type) ., ),10,9 4 E. Masonry/tined I to, N gyp;„O AM M4,G, fue liner 6kr,-c-tA li` tk- - ved cta a 4�vt i 1 ned V S Unlined 0 .1ro• a manwaciunrr F. Height (refer to diagrams) t �+ cap CHIMNEY HEIGHT Hearth (non-combustible) A. Materials bIIN GV_ B. Sub -floor construction X C. Minimum dimensions (refer to eiacram) T ox 11 Clearances and Wall Protec!lon I,see s,c•je in_s;alla(;cn c!e=_rances chart) A. Type of wall protection provided br c%c B. Clearances (refer to diagrams) FIREPLACE I 'Z160 H t,,A H 11-1 WALLCENTER. 13 Warnock Kersey DO NOT REMOVE THIS LABEL Listed Solid Fuel Burning Appliance�`� I; Suitable for use in masonry fireplaces. MODEL: SERIAL FREEDOM (FLEX) NUMBER ' Tested to: UL-1482/UL-907 Report No. 6009 (March 1990) PREVENT HOUSE FIRES - Install and use only in accordance with the manufacturer's installation and operating instructions. Contact your local building or fire officials about restrictions and installation inspection in your area. Refer to local building codes and manufacturer's instructions for precautions required for passing a chimney through a combustible wall or ceiling. Do not run a chimney connector through a combustible wall or ceiling. Do not connect this unit to a chimney flue serving another appliance. Clearances may be reduced by methods specified in NFPA 211. listed wall shields, pipe shields. or other means approved by local building or fire officials. Minimum Clearances to Combustible Materials Fireplace Insert Installation Freedom K. Mantle 32.0 in. with Mantle Shield 19.0 in. L. Top Facing 30.0 in. with Shield 17.0 in. M. Adjacent Sidewall 15.0 in. N. Side Facing 13.5 in. COMPONENTS REQUIRED FOR MASONRY FIREPLACE INSTALLATION: Surround Panels. Direct flue connection is optional. Do not remove bricks or mortar from masonry fireplace. Note: Replace glass with 5mm neoceramic or ceramic glass only. For use with solid wood fuels only. Operate only with feed door closed - open to feed fire only. Do not use a grate or elevate fire - build fire directly on the hearth. Manufactured By: Travis Indusa ies, Inc. 10850 117th PI. N.E. Kirkland, WA 98033 U.S. ENVIRONMENTAL PROTECTION AGENCY Certified to comply with July 1990 particulate emission standards. Date of Manufacture 1998 1999 2000 Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. ■Fi■■■■■■■►A■■■■■ DO NOT REMOVE THIS LABEL Made in U.S.A. Insert Clearance Diagram 0" 1 EhAN 00, f J3J 00, MO NM N 8 1s HEARTH J EXTENSION Front 16.0 in. Sides 8.0 in. COMPONENTS REQUIRED FOR MASONRY FIREPLACE INSTALLATION: Surround Panels. Direct flue connection is optional. Do not remove bricks or mortar from masonry fireplace. Note: Replace glass with 5mm neoceramic or ceramic glass only. For use with solid wood fuels only. Operate only with feed door closed - open to feed fire only. Do not use a grate or elevate fire - build fire directly on the hearth. Manufactured By: Travis Indusa ies, Inc. 10850 117th PI. N.E. Kirkland, WA 98033 U.S. ENVIRONMENTAL PROTECTION AGENCY Certified to comply with July 1990 particulate emission standards. Date of Manufacture 1998 1999 2000 Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. ■Fi■■■■■■■►A■■■■■ DO NOT REMOVE THIS LABEL Made in U.S.A. INSERT INSTALLATION (CONT. PAGE 7 INSERT PLACEMENT REQUIREMENTS (See the illustration below) • The insert must be placed so that no combustibles are within, or can swing within (e.g. drapes, doors), 36" of the front of the insert • Insert and hearth must be installed on a level, secure floor • The clearances listed below must be met: t"I u0 HEARTH REQUIREMENTS (See the illustration above) • Must extend 16" in front of the insert and 8" on both sides (45 1/4" wide by 23" deep, 17 5/8" deep with flush kit) • Must be non-combustible and at least .018" thick (26 gage) INSERT SIZE REQUIREMENTS max: Minimum Masonry With Fireplace Size Flush Kit A Height* (front) 21 3/4" 21 3/4" B Height* (rear) 21 3/4" 21 3/4" C Width (front) 29 1/4" 29 1/4" D Width (rear) 21 1/4" 21 1/4" E Depth 13 1/2" 18 7/8" F Hearth** 7" 1 5/8" * Older model panels may use the heightened yoke, adding 7/8" to the height. Furthermore, additional height is needed to align the pipe on positive and direct connect installations. ** Does not include the required 16" of floor protection in front. I sv r� co/aKJ", PA .&,JNSERT INSTALLATION XONTA OF G►kMwfq cv Install a non-combustible Q INSERT WITH POSITIVE cover plate to prevent water Cap (prevents water CONNECTION from entering the chimney from entering) NOTE: This installation may be NOTE' used with a masonry fireplace Flue Liner Most factory- only. The requirements in the; built chimney section "Masonry Fireplace The liner must be manufacturers Requirements" must be fulfilledf1 stainless steel make stainless Prior to installation. t connector or flexible steel chimney vent. Follow the liner �� manufacturer's liners, either — insturctions for flexible or installation and rigid. This support. provides a wide variety Of Combustible Mantle ts'`1� Airtight Insulated installation c4rflr Clean -Out options. Make - sure to follow Surround Panels Remove damper the manufacturer's instructionsfor See the section "Insert Notch the first installation Placement Requirements" for connector to and support. minimum clearances and accommodate hearth required. F the bypass rod. EE INSERT WITH DIRECT TE: This installation may be used CONNECTION wit asonry fireplaces only. The "Masonry require nts in the section Flu MASONRY Fireplace uirements must be E finer FIREPLACE) fulfilled prior t stallation. tainless steel i chimney connector NOTE: must Extend 1' past Direct the block -off plate or to the flue liner connections Combustible Mantle require Airtight installation of Insulated an airtight Clean -Out block -off plate or damper, Remove damper adapter (see Surround Panels or wire it open the section "Block -off Block -off plate or Plate See the section damper adapter Construction" "Insert Placem Requireme forIN;M,PN Not he connector for details on minimu earances to acco odate the constructing and rt h required.;,_ bypass ro and installing a r� block-offOhl plate). 'el O z 4 0 6 4 J w o v u w° � cn A w° a�' U w r�° w a w a d cii w a pG w W a m� cn v cn c o ` C H ' O Ci C3 -cc 1 cc W m C Cut !► m .�a Es ! C.) aim m ci c0 Zy O mg ....t �,Jft; 3 ,••• cc �4=_a0090s = c i� C E m m o � ti O cm cm— O: c m � ' 10§30- Z p t A O� cm G 0 COD ""' � D m t •N dt O C O O `rm •vi O_ Lu E 13-o V 'm om c H d OM O:6 g t Salm 5 O w P-4 I �� O O v v ."A a� O E L CD Z y O v I c CM h O 'p m m CD 0 co CL F.. 4-9 co O� �3 as O G O cc o a K: CMa Cc cv 'v d 0 D CO CL C..3 C c— C !cc a CO) Location No. 1-3 Date TOWN OF NORTH ANDOVER 41 ,w -S Certificate of Occupancy $ .1 .74 1. )4 Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ C-9 Check# BuildiAglhspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCTREPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 17 DATE ISSUED: SIGNATURE: C6. Building Commissioner/12gWor of Buildings Date CT /TiA1T JL' �.11V1\ 1- J11 L' 11\P VA1�1H 11Vt\ 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 60 6 Z Map Number Parcel Number Q ��� 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (sfy Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided RNWred Provided 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ❑ Zone 1.5. Flood Zone Information: Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSIUP/AUTHORIZED AGENT 2.1 Owner of Record 4-000e-,;- 4 Lf<A Name (Print) --1,14.11 kt- :. y N L -k) &)Doxl� J�us Address for Service: % G8� Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: • Address Signature Telephone Not Applicable License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 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: S 14 f/D ro cc tFCa c ix� r r A,4, i I QTCTTnN f - FCTTMATirn CnNCTRTTCTTnN CORTC I Item Estimated Cost (Dollar) to be �3x(3FFTICLUSEiNL� Completed by permit applicant 1. Building (a) Building Permit Fee ( OaO. 00 Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee tel X (b)�-� i 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 BUH DING 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 ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T OERS 1ST2 3 RD SPAN DIlVIENSIONS OF SILLS DI1vIENSIONS 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 1 lvrq BAY STATE SURVEYING ASSOCIATES 234 CABOT ST., BEVERLY MA LOCATION = Ajc)R7,H _ SCALE I = (a FY DATE REFERENCE khe location of the building(s) as shown, either complied with the local zoning set backs at the time of construction or is exempt from violation enforcement action under Mass, G -L Title VII Chapter 40A Section 7, 5X C -6a7- -`51-16a vArci �c C-ve .-in5jjo --4l clF0 .. NOTES: - This is a Mortgage Inspection survey and not an instrument survey, therefore this plot plan is for mortgage inspection purposes only: - This survey is based on survey marks of others. - Bushes, shrubs, fences and tree lines do not necessarily indicate property lines. - In my professional opinion the building(s) are not local in the special flood hazard zone, as defined by H,U.D. • Whenever an offset is V± or less, an instrument surve is recommended to determine prop. lines. - Offsets shown are approximate by tape survey. �-r 3t o° 94, 30 (A ; .5-6 0 ?/ tvD, - tiz r 30'� 5TY-WOOD , 4�Z19 / n 61 S urroti NtL ;;�D k, RESIDENTIAL REAL ESTATE HUNNEMAN VICTOR Style: Colonial Price: $339,900 Lot: 1.28 ACRES Age: 31 Rooms: 9 Bedrooms: 4 Baths: 2.5 Garage: 2 ATTACHED Taxes $3,263.37 ROOMS: ADDRESS: 214 SUTTON HILL RD. NO. ANDOVER MA. Living Room: 14'6"X27' BAY WIND. Bedroom: 15'X13'6" Sun Rm: 13'x18' w/SKYLITE Dining Room: 14'X12' Bedroom: 20'X12' & CATHEDRAL CEIL & HEAT Family Room: 17'X18' Bedroom: 15'X13'6" LL Playrm: BAR & CEDAR Kitchen: 15'X15' Bedroom: 13'X13' CLOSET APPLIANCES/OPTIONS: Stove: JENNAIRE Refrigerator: Compactor: NO Sink: DBL.PORCELAIN Security: YES Washer: Disposal: YES Microwave: YES Dryer: Dishwasher: NEW - Central Vac: NO Air Cond: LISTING: Seller: SHEPARD Schools: Directions: OFF CHESTNUT Zoning: R3 Assessment: $238,900 Grounds: NATURAL PLANTINGS Show. Instr: CALL OFFICE Book:4067 Page: 85 Seller Statement: YES Deed Date: PULLDOWN Listing Agent: JOAN MEDEIROS SERVICES/UTILITIES: Roof: Heating: GAS HW/ 4 ZONES Hot Water: Approx. Cost: Sewer: TOWN Electric: MA Cable TV: YES Water: TOWN DWELLING: Color: WHITE Approx. Sq Ft: 3,036 Exterior: CLAPBOPARD Insulation: Basement: FULL/FINISHED Deck/Porch: HEATED SUNROOM Attic: PULLDOWN Storm/Screens: HEATED SUNROOM Roof: SHINGLES Fireplace: TWO Floors: HW/TILE COMMENTS: 4.1 Quality built home set on beautiful lot close to old center. Gleaming hardwood floors, details throughout. New cherry cabinet kitchen w tile & w/bow window, updated tile baths, fireplaced family room with built-ins opens to heated sunroom w/skylites. Finished lower level. On 1.28 acres. OFFICE ... 28 ELM ST. ANDOVER, MA. 01810... (508)475-4477 All room dimensions are approx. NOTICE TO PROSPECTIVE HOME BUYERS: All Brokers/Salespersons represent the seller, not the buyer, in the marketing, negotiating and sale of property, unless otherwise disclosed. However, the Broker or Salesperson has an ethical and legal obligation to show honesty and fairness to the buyer in all transactions. Regulation 254 of the Code of Massachusetts Regulations section 2.05 (15) Except as may be otherwise noted, specifications with regard to the property described above were provided solely by the seller(s) without verification thereof by broker(s) and, therefore, broker(s) accepts no responsibility for the accuracy thereof. Offering is subject to prior sale, price change, or withdrawal without notice. pORTN .. I SACH TOWN OF NORTH ANDOVER. t MASSACHUSETTS . a No BOARD OF APPEALS April 281 1980 JUDITH A. TURNER 214. Sutton Hill Rd. s Petition #10--9$0 Daniel Long, Town Clerk Town Office Building North Andover, Ma..•, Dear Mr. Long: A public hearing was..held by the Board of Appeals'on April 14, 1980 upon application of Judith A. Turner who requested a variation of Sec. 7.3.and Table 2 of the Zoning By -Law so as to permit relief from the side 'setback requirement on the premises located at 214 Sutton -Hill Rd..as.shown on a plan dated March 13, 1980. The follow- ing members were present and voting: James D. Noble, Jr., Acting Chairman; Richard J. Trepanier, Esq.'; and Assoc. Members, Augustine W..Nickerson, William J. Sullivan, and Walter.F. Soule. The hearing was advertised in the N. A. Citizen on March 27 and April 3, 1980 and all abutters were duly notified by regular mail. Thepetition sought to be granted a 16 ft. side setback as opposed to the 20 feet required. . The petitioner presented evidence that showed the house as built.was not only,too close to the lot line but, in fact, a portion of the Turner residence was actually on the property of an abutter, Mr..Chool`jian, 244-Sutton•Hill Rd. The petitioner and abutter had both been under .the impression that a •stone•��wall between the .two dwellings was the property line. The Turners and„Chooljians worked out_an agreement under which Mr.'Choojian would convey to the Turners a portion of his land under and around the Turner residence. To lay out a -property line so that Mr. Choojian would not be in violation of any zoning regulations resulted in'the Turner request for a variance. There was no opposition. After reviewing.all the evidence, the Board found that'a hardship did exist in that the Turner property could not be ' conveyed as it originally stood,, atO TftST1 `required A True Copy Town Clerk Turner Decision —2— further reliefz;after all other methods to rectify the condition were exhausted.: The conditions affecting the parcel were unique to it and are not representative of other property in the area. The granting of the variance would not differofrom the intent and:purpose of the.Zoning By -Law in that the open space would be maintained. The public good would not be adversely affected but would, in fact, be improved inasmuch as by legalizing the existing condition it would make the residence a viable property thus maint'aining'the character of the neighborhood. On motion of Nickerson and second by Soule the Board voted unanimously to GRANT the variance as requested. Very truly yours, WD OF APPPALS James D. Noble, Jr., ' Acting Chairman JDN:gb 0 .,:. ' 0 r q ►► f n r t R ,N r , 1.t ? lY. ,aa '£ ,, r �. t.Y +r 1 Yi,',n O��1 ptl•frso .64�. , Y,,` 1 �Yk't• . t r / i f r -5 , , �1 �•' ,,tags : '� t 3< 1 + r r.f � • .if . T t r + � i s V r ,, M u ORTH ANDOVER t ,, , t , � k�1- 4 r f k ` -MASSACHUSETTS k ry ti �, y v 4 M'{ ,. § fz yy >'' ,Nf , t+ f rr" . x r N t;,; ., a t� z n x 4 c ti t . M° t , ` it ; w� ,� i # h a F/ .J . r �' +�w..�..� �..; t , r rf" ! J:� r i f,.+ 1 �' F { t d Iw t l: r a T, i r! ,.. w - t t i 4 - . 7 $' f ,t+ ,a'. 'r z 1 '� r t r 1 Y d }> `� < ff> , t4 BOARD. _OF APPEALS . ' . �' t" ti -N, rt C' � . t ? ' #a Z ^ . a 14 r D v1.c r a r t's.'.. �'+ ,x ! � i. a ,,�;41r�;, z NOTICE OF DECISION 'r $ (ka <; t1. _, , r x k i •.Y s t Js t,.1.,.-,,-1!------!- "°, ^ e' +.. 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At l4, 1 {�' ' :. �;, t +.... "r $, 1i, a y ( 4 f t _; ,%: 3 N < Petition No. ,, , a �« ," : r 4 !y y A 1• ris k r 't7t+",N�i«"r j�,,, . I,,� V � v7 .I +ti ♦5 -:.1 ` s gr .iai,..r.^ M +� ..tt , « ar'hr ->r ,}�,7� g•�, ,, ? 1- a<.a `ea b r h` rAk. .er r 6 f�,r+ "-�, x a{ �. r f"3 j.+C2 3f ry 1:. fjl' t7 - A v`t'.'p'7+ l " , + - i •' 80 . s f } ✓ :Y i 1.I 1a �� -11,; la,•.+ lar _� " ;''. Date of Hearing: ,April. i4z 19 n t \.. L t �,�'� J,y.?'S. p I{ �,,y. !�N .',- i YR.' Yitl qY r:_ �� M���,y4zl�S .> MA p 1 r 'Zt }I:_ 1 GJ,..e t ". I ;) . G t: -• - y,', .i.. - '. n,Wa u 4 6 - 11 x f 3 3 * 'Wl ` L ... r �y (- .aI $ *y'`trfn'rr*.- ^'..., `ti t t<{ :)� 3't.'( .-4"',; a�.. a Y k( { Petition of " ,=.1f � A,.. �.11" t r " <,i � , �' < � £ t *" � �:t� r ` , ,..r,,,a it . �, .• as � 5,t t f , . - i- , r i. 1. Premises affected zi¢'►�lton .Hill. Itd.�, . �Y 11��"� P �, } �`� ., Y. k. �}. t .r '? . .. r 1 ) •t J. ; Refening hto the above petition for a' vatriation from the`' requirements of the r k y A' ) r •.I. a +rr , y 11:.� w : iortl} tAn o.. . .94. .g By.44a Sect .7r,3. 8c Table 2 l t1. z , so as to'perinit L.xe].3. pqm .r?Wp.' p :k' �4qk ;'11 'e.�?irgmgnt r r y )t t t, r i+' s ~i !'c W w. ' ti A (, r 7 ..,y L '* ,t'" y s S ,try £ r� a �l s r) rr r. r i r ,x ! 4 ,i,. ;1 .'' ' y.. ;.., .tl'ri P •r ) ip- x'"x'L .z �' 4 5 �d t ,, a� 7 ; : 't*T a' Y . 1 t1 . , , 1 After'a public hearing given on the above date,'the Board of Appeals voted to, .??A' the Y , • } fir{ < } r,It . 4 r , , -.ry £ YJ fit A/ r.,s ! 11 ..r r 7" i r y �},�y�I "I+ { ' «. �; .t s • ��{y ,�"r�.," or ' - ra xr ` "I sMr`1 i.4iig' • Y ` ,, J" '. 4 , . . Variance , y ' 7 w+, r '4 +A,+y... s, �„ +i d G %r• a - a 'a ... : � . x .a , t I a' r `°` r vi, '". •+xS r i 4 .. '. , j1� .( ✓1 '��, ...t 1 a V . . , e , r _tzj. A r , + ,. a r .,�.zYf <.t ry •" i L 7 r z .1 '" + L• .. < IA / i A %,A, ..{{ y t r • 7. 4 f 1.v°, /7 ti.l.- a -,J�n t[ _ •1 )V l•' Y'.? x x, w s . for the construction^of the above work, based upon the following conditions x . ,. , ... .. , r, r s :. z : E f b -1 - r,}•�• ." r r - v s -41 '.I+ ,� `h r. e. �'� ,l, r , k I K E 'r, T �I r..+ r r r t Q , < S z` z x` - r« I- I .. r - a+ } ,,� } z r 4. , t ? • ,•. .. ll • Signed i {. ,+ a ` xr v I Y dr z< ,� ', , va� ,�, , .t1.I .1 f James D. IJoble, Jr. , ' Aoting •Chairma1.n r11 A�'' ' _` Y w +Richard J.` Trepanier, Esq. ` r k, iif eF t A} f K r • 4 " t,, TxugRp S` "�r rta`, ; "� ` R Wzlliam J.; Sullivan, Assoc. T(Iember ` a Qs u lsx, ,/mild,!✓- ! t a, F k + 1 , ; T. �` . . t t '" t' `-} f i t ,{TAw:�, Ctrl , J '� rh 'Augustine .Wi iJickersgn, " 1� t i a >.w qL < e . _ L �r b,f «t} fi :L.. 'Yy x ' x.. �a. k. + i ,i 1„ • f`.,' �'^4 1. .. t i J . f r •,,d ^ r,J' `S t y, a !r Wad. p'' It 1'r.�?a9,lil%e:A l7yr• t� ¢ n Y : I mal, Kyr. Jr +. -.'1y t. +.p i4`F iYa !'at1 St'DQQTd ,of AppeQls , .,[?. .y r 4 r s 3 + ,r as .. - i fi i r, ` . . ,V»,__ _ - - . , - . _ _ ._ _—._ _ ._. _ _ . .. 1 -. . �. _ _ - - - ..-r. _ _-a. ---- __ -._. B K 4 3 5 tt ...................M rt h-P.nd ove..r.. ............................ 21 F, BOARD OF* APPEALS April �-I, ........ ............ 19 ..... ................................... NOTICE OF VARIANCE N, Conditional or Limited Variance or Special Permit (General Laws Chapter 40A. Section 18 as amended) Notice is hereby given that a Conditional or Limited Variance or Special Permit has been granted TIMTTIT A. 7�TrtM Te.. .................................................................................................................... ........................... 0%,ner or Petitioner IV Address............. cutton 'Till 7,d . ...................................................... ............................................................... orTown ............... ....................................... ......................................................................... I.J. All 7 ........ ................................................ ............ ....................... ............................ Identify Land Affeeled ................................................................................................................................................ by the Town of...........................Board of Appeals affecting the ................................................. rights of die owner with respect to the use of premises on. "1 le................................................ ............. ............................ ............. the record title standing in the name of 1. ............................Pndit.s .t ............................................................................................................................ whoseaddress is ......ti ti .................... a I. ..................... I ....... ....... Street City or Tore s 1. ............... County Registry of Deeds in Book by a deed duly recorded in the., 1.11a.... page ...... 07.;..................................................Registry District of the Land Court Certificate No .................................. Book ................Page................ The decision of said Board is on file with the papers in Decision or Case No....::................. in the office of the Town Clerk ...... 110i Andovpr, .................................................. V ............................ .......... ii ,eZ Certified this-2SAII.day of ............ L2Zi I ..........................19 ^.1 Board of Appea . . .......t in ... Chairman bl.9,V JI,.B Ar a PV la ... ac'K. . ......................... Clerk anin'toc nosrd of APWIA i. Ile Hook 1290 Page 304 assign said mortgage and the note and claim P / secured thereby to " Assistant Commissioner Comptroller k f +1Federal Housing Administration v De pt. of Housing & Urban Development 0 Washington, D.C. 20412 v .., U.0 tn corpporate execution an 3@ttness the/sl � seal this day of May // P • 'e\ •yf• 4 wx� Lawre ce...$aY.p,9.8.. y .....,....• ........................................ Ttx'Il"'E. '�anc in, u,c�=lvreeident s ..,.... .................................. IDtte mamntAmurttltq of >�Qttanttcttugrt2a May /9 19BO 3 Essex Si. 'S named Russell E. Langevin, Vice Then personally appeared the above—President and acknowledged the foregoing Instrument to be the free act and deed,of Lawrence Savings } jHank before me, (,�, K.�iG�,a.. n ; NoWY hbilc MY rommlolon fsPittr Y #4320Recorded May 1 ,1980 at 2:50PM r f ay Hook 1290 Page 304 assign said mortgage and the note and claim P / secured thereby to " Assistant Commissioner Comptroller k f +1Federal Housing Administration v De pt. of Housing & Urban Development 0 Washington, D.C. 20412 v .., U.0 tn corpporate execution an 3@ttness the/sl � seal this day of May // P • 'e\ •yf• 4 wx� Lawre ce...$aY.p,9.8.. y .....,....• ........................................ Ttx'Il"'E. '�anc in, u,c�=lvreeident s ..,.... .................................. IDtte mamntAmurttltq of >�Qttanttcttugrt2a May /9 19BO 3 Essex Si. 'S named Russell E. Langevin, Vice Then personally appeared the above—President and acknowledged the foregoing Instrument to be the free act and deed,of Lawrence Savings } jHank before me, (,�, K.�iG�,a.. n ; NoWY hbilc MY rommlolon fsPittr Y #4320Recorded May 1 ,1980 at 2:50PM r f D w In. c3i p a o cz a w° °�° v a U c° C w O a a Q. �° w o � w a x � w co O m w z W x w Qi C a? o z L v 0 o cn p r.7 0 U) LLI0 Ir W W U)